Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00270
.44 DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD
SUBDIVISION: ZONING: R
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical and low voltage for fire alarm and intercom /paging systems
RESIDENTIAL UNIT TEMP SRVC /FEEDERS 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: 2
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 15 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 4 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 303 IN PLANT:
601 - 1000 amp: 2 PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: X
Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC:
Owner: Contractor:
SCHOOL DISTRICT 23J TEAM ELECTRIC CO
13137 SW PACIFIC HWY 9400 SE CLACKAMAS RD
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone: Phone: 557 - 7180
Reg #: LIC 47336
SUP 4416S
FEES ELE 3 -225C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/17/2004 $4,174.90
[ELPLCK] ELC Pln Rev 9/17/2004 $1,043.73 Ceiling Cover
[TAX] 8% State Surcharge 9/17/2004 $333.99 Wall Cover
(additional fees not listed here) Underground Cover
Elect'l Service
Total $5,714.62 Elect'l Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION • Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of thes rules or dire ons to OUNC at (503)
246-6699 or 1 -800- 332 -2344. • +J 11 l i t
Issued By: Permit Signature:
itS to
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
SEP. 1.2004 3 :23PM TEAM ELECTRIC i NO.164 P.2
t Ele tricai Permit Application rokon ci usi. ()NIA(
City of Tigard - v Received � I �
D --4<5.
t 1 / 9 e-Pt L
Permit 1 47/12f7 160.
13125 5w Hall Blvd., Tigard, OR 97223 Plan Review -
Phone' 503 639 4171 Fax, 503.598.1960 4,r ' i "'r't fi l " `I'+ Datelif: OtherPerrnlr
Inspection Line, 503.639 -4175 _al- : :ill' Data Ready/By: - /uric Iii Sec Pep 2 for
Internet: www,cj.dgard. Noriflad/Method: Svpplemcntal Infarmodon
;I
a ` " w „ - ft . 7 i ' t N A + 1 ,'h$ tidy Urr I ' 71 l'i ,.t a'
., _ ` •.. " 9 . Wit.4__ , ,,, !
. ��: 1l a t . r d1 fi, ,G ##1� � i ,i}6, I . . t (• lI I 'A W W' , ua ,
" � ._ � �,:: �,tlibl_IrJ�,,.>,�'_3hi ) . �i�J.�l�t,i' '+ ' .� U:i�t� t �� Wi
❑ New construction 4 A Please cheok all that apply:
❑ Demolition CZ Other *Service over 225 amps, c omm'I ❑Hazardous location
!{ SG - e rt"4 Fxte. rr- , n r, r' d q + ;pt n r4 v� h y ( t , I, SP to over 320 amps - rating gbuildng over 1 0,000 so. f+ ,
rr i : ; ,1 ^. •. { .fit J * :' eA7h 17 ' ei, f tl i r
� r �g�
'4 • ,F" ' t- n rr..a'I1iII: ,.,r, , . , ' ,I . "'t1.nnr,_' , 6 , d ,, 11 ' I r ` '1': . 1 l�ki''1ll . !tt: � ° of 1- and 2 fer*v1Y dwellings 4 or more new resldennel
❑System o ver 600 v olts nominal units i one structure
1:1 l - and 2- family dwelling ' ■ 1 CommerciaUinduslrial 0 Accessory building '
❑Building over three storieseedors, 400 am _ .
7l Muhl fsitiily ,. El Master builder 0 Other Occupant load over 99 persona I_ t cur i! o i.
v'y' ,�r 7~ �t,y +. �y < "�` l'71 z t' J 1 1 `� { . 1 t� �l 'fl �l'.
Tel Z7i �•,Jtki Ci at, uy ypr l ihx Z � ✓iij 1Sd 1 }D ,LiI(i) �,flfu -f ' l I :`I1 l;i V
p
^�P i 44} •rrt ,: :.�r1_.Li-.i.i _)•., .,I,::. Iltb r' ,
•,r. . .. ,d_, grca6 /lighting
Job no.:.,(� % /- l ob site address: % Sv Gr., r� ❑ eaith -care facility r.
� Submit 2 sets of plans with any Le ve.
Ciry/Stare /ZIP: l / v - X : 7Z z T The above are not applicable to temporary construction scrvlcc,
/7
i t rhu t c 4 �:
Suite/bldg. /apt. no.. • Project name: 7 1, nibllp,1 FIOI I, I rito�i : +fLv''
.: �I,i ll,. u1 :l y. in�,l�aa..,,.�.��.,.;; n � '��
Defertgeoe Qty. B :e. real
Cross street/directions to job site. New residential single- or multi - family dwelling unit. -,
— - - Includes attached garage,
1,000 sq, ft. or less 145,15 a
Subdivision: Lot no.:
Ea. add'I500 ft. orportion 33.40
- — Tax map/parcel no Limited energy, residential 75 -00 2
Limited energy, non - residential 75.00 2
4' l r 4 1�t ..3 vi 1 10 ` cA t ! t J 'ti•t +J i, ; 3 tit 7, , 1 r! ' -II ^ : t
_ _- - :. �" i rY' ,. �d. r.,:. o . � t
.i 1 :, :�,��,, „ r,' •, ,...,,,;Iii'',.
L , a •a'� .�.. � ' l..1t, :'�,!1 Each rnarlufrtotured or modular
T /--,,_ !� 2' ` f - � � ` . S erv iins , rfee a and/or feeder 90.90 2
l_ - �-J� e,kiY� S ervice s or feeders lnstalladon, alteration, and/or relocation
(, 200 amps or less 15 80.30 12 D4,6p 2
1 � g o)1 eN�: a `i k ! 5 ii” °r 7 � 'hi ! ' + 'r w "t
� ,, ' ' 201 amPa to 400 amps I 06,85 � `
'. i., ^• ;asr'S` .rs , � ' A �∎ R .,. s :,.: r iii t ti - 4i., l�.• I : �,.�,I L :•1 t . , ,
V 1 7 , 1'• 11 ' .4 4 ,,,k TI,; r 0,i 401 amps to 600 amps 160,60
Name: 601 amps to 1,000 amps 2_ 240,60 +Bi•2
,address; Over 1,000 amps or yaks 454.65 2
Reconnect only 66.35 2
Ciry /State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone, ( ) Fax' ( ) 200 sips or less 66,15 I
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 00 -30 2
tntended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
,s s �.-- t r
? l,til =L r � , f 0s, , f.' : n� ;+ ., ;' /, , :. l ,, r I ,IT,6. :11 , service or , 4 fr
.. f;cf. • r. ' ,, ^,, A, Fee for branch circuits with
service or feeder fee, each
Business name: `` - . ( _ ` C • branch circuit 6.65 2
Contact n a m e . � / , 7 N . y —
B. Fee for branch circuits
Mama feeder fee,
s� C f �i 4...c 4...c f�
each branch circuit
Address: ./e,.7400 r 46.E5 �, 2
Each add'/ branch circuit 7c 6,65 20/$,52
City /State/ZIP: Z. ....,_ a...5 6, 7 DJ Miscellaneous (service or feeder not included)
Phone: (5) ) S S' 7_7
c-, 6 o Fax:: (93 .) SS 7 -g' . 0 1 Pump r out lighting ,
circle 53.40 2
Sift or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
+ " " "�'1 )}� 1 + ! b crier Panel' or
• i. .y' �.•.fM•R''< .!reG ''',:1 .- iJ 1 fn(/7e'il�l Ke i 4' 1,l,Ji L ALY:L } 1 1.11,1 lLJ ! ,� gY
Iw ) r::: <• .. d; rffi r L. f_ _ II e .,, u,L�_, ..�rlr, JS .' any_ p
extension. Describe: Page 2 56
Business name: < / , e• (,./.... Q (/<, ,
Address, Each additional lnspoctlon over allowable in any of the above
Per inspection 62,50
Ciry/S tate/ZIP : Investigation per hour (1 hr min) 62,50
Phone: ( ) Fax; ( ) Industrial plant per hour 11111 73,75 -
i'1 l .r +,/lrrt! ?lt�M1l1l i '. it 5 i7'C.'w i -f, ,i b 19)1 , f '' .
CCB Lic,: `� 7 �, Electrical Lic. :3' ' ' Suprv, Lic,. 441/,95 Subtotal 114,�, .
Suprv. Electrician signature, required. ' ------- b. Plan review (25% of permit fca) ! 0 3 •
611. 1 State surcharge (8% of permit f ee) 1
Print name: 4 '. C �/(Q �'J h 5� :e.
7-7-::(4.,s " "'-"� Date: / - I ' v TOTAL PERMIT) EE
Authorized Signature: 113te permit application expires If a permit Ii aot'obialned wirhln 1 0
days after It has been accepted as complete
Pnnt name: Date: • Fe methodology set by Tri•County Building Industry Service Board
•• Number of inspaedoru per permit allowed.
, , surlaterscrr osLe- PmnitAnecee Iyni MO.t615T(10/o2/QOMIWBB
503 - -.55 7 — 7/ 8'-D
Electrical Permit Apps i o>c> . �� �.FOR�OFFICE U S E O , •
Permit No
City of Tigard Received f Date /By �/ ��o� - 2 e . a ` � / ,�Ic�: av
13125 SW Hall Blvd., Tigard, OR 97223 MAY � UU9 Plan Review
Phone: 503 639 4171 Fax 503 598.1960 //M*nrd ill' efiii Date/By Other Permit:
Inspection Line 503.639.4175 CITY OF TIGARD IL,: Date Ready /By Jut is El See Page 2 for
'ntemet www.et.tigard.orus BUILDING DIVISION Notified/Method 7 Supplemental Information
',• ,k. "'i'"i�' �:` - i AN 'R
, � a `TYPE�xOF „`. WORK - ` „* � p t � ' ., .I L ..°
� ���u t.� # °.Yt �; , - „., ' { ` ' � ' >. +
❑ New construction Addition /alteration /replacement Please check all that ape , : 1
❑Service • e , e comm'l ❑Hazardous location
• ❑ Demolition ❑ Other: III yw ice o,° %- t+ p't rating ❑ Buildng o'er 0,: sq. ft.,
:3 = r`i:''<,[ „3 c a'sr_•• „ •wor- <: ;, ;, ,% .: -: ai,.x.. .S} ' J
<s �� '' �•> _� CATE G ORY;
�`,OF;(emsTRUTI
Gp,, .
,r ~ „„ „ „ : t = 1 0'' I K
> wr dwe lings 4 or m• new resider tai
a, �, 5�' ��+ 2 .f'6� �,��.`�'
";,.,�>,' a8 �w:ris�„�.�: �= �,:..�a�r; •� � ,e� - ��<� - <rt ,- 3.�«�a, d;;°��+s ..crr�..�.rk ;ie °'�� 1 an.
❑ 1- and 2- family dwelling rS Commercial /industrial ❑ Accessory building ' s.- over 600 volts nominal unit non structure
• Building over three stories ❑F.•-ders, 40 mps or t ore
❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons iii anu acture tructu es or
,3 ,r.:. =.A,'tt t ',a Fi f .,:a4 � ,. „� .,.,. R - ,, ,,, »: Mf:1'4:;,;,: Egress/lighting
.,, ,:, ,; ;.,, .,�, _. �,r:r,., °;r'''f; JOB 4 - -TE ?INF,ORMATIO <A19g 0CATIO,iC ` ;`n ,, ❑ lan RV lark
P
,..i�'f..ti ,u��a ., nu .k `�C.k, ,.�, »..- .waa °�� ,�,. s,.zv.�wa�..n�tt.� s�,;.u�..� . es ^.: �; �:� <�n�x �� d .� y,; a",-.. z-�?�r`. x,
9•000 ❑Health -care facility 11 • er.
1 Job no.: Job site address: Dogik 4M IRV. Submit 2 sets of pla s with riy of the above.
City /State /ZIP: TG.pg„ 5 7 2.23 The above are not app cabl to tern or •s con- coon service.
Suite/bldg. /apt.no.: Project name: T�►121� O c, A5t 2 :, �� : 'R' - - ° - "' ` _. E -HE UIEt� ,
Description ,µL i i Fee. I Total
Cross street/directions to job site: 5( (.{-ptu, Ig LU rj To New re 'dent ' I si s_le- o multi - family dwelling unit.
Inclu•s attac •d go rage.
S I,a t O & -)rprM leo. ' ,000`s,. ft. or 1 145.15 —� 4
Subdivision: Lot no.• a. add" 500 ••. ft l'portion 33.40 P' 1
Limited ..• -- gy, residential 75 41 2
Tax map /parcel no.: 2 S 11 y X4,4 VD I OC Limited e - rgy, n•• - residential "5.00 2
t : , s °F'`l : • '.;., SRIPTION _OF_k''WORK°: fi "'' ,:,;,. , `,:i., <;i<,''`':' nu - ed or modular
�,'� .'hr »�z''�� � r���r� ���' C
E „,.�t , _��., .� t.,, ,� , ��:�ac>r ��,'.:�; ,'� �s�,45.� -���� _, uw(a Each ma ,
we I!, service and /or feeder , 90 90 2
OECD 1 Su t 5 evTr2u al) b'2t - IZIOetmt. 1N/ $ tLd Service o feeders installation, • ' and /or relocation
Z 4 TDP%( 0�ASfQOUM V5 VILA/ DU& 200 amps ■ less 80.30 Zv07. 2
:.,u , i ,, ; ` - iii g •,WNER ” to t =`:;e '. -, ,, , - • ��" ,a g ; ® 'TENANT',' ; , a , $ r 201 amps to 400 amps 106 85 ff ef 2
. .1 , rPROPER,7„1,,O:, O. . -..; -1 �. - . ,,. - ,.
=&4'-- 401 amps to 600 amps 160 60 2
Name: ' LIG,PRY2 - ^rJA-L - ¶ J DDL 7IS"I12(C( 601 amps to 1,000 amp- •Z 240 60 el/d'f,' . 2
.ddress: b 1 0 st to' 5400 tp t w over 1,000 amps or vo is 454.65 2
to w& only 66.85 2
City/State /ZIP: "' TC7/s4y 6 t2, 7'12 3 Temporary service. or feeders installation, alteration, and /or
I
(S� (S I)3) 31 relocation 00 ams
Phone: 3 ) y '3 � . . (.f bp'7, Fax: � - y � 4 � 200 amps or less 66 85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
I X , : `°:' '' ®.APPLICANT , ,, .: h. ',':x; a - -z *°� ;a = or ranc
€ -� .} rs .
s" tv -.. A Fee circuits with
.= ^nom '', _. t =.= :- •, CO 1 VTyACTrP. ERS O N .. :
service or feeder fee; each .514 6.65 'Zicy -60 2
Business name: puu, x w Awak • branch circuit
/ ' V -- B. Fee for branch circuits
Contact name: falck. bkt1o10/l.) without service or feeder fee, 46 85 2
each branch circuit
Address: 31 9 SW k)A Ml rTbu 4 5T . A - zoo Each add'1 branch circuit 6 65 2
City/State /ZIP: po�- r(„put 7 , DK 9'7 2 D4- Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (953) 224, 4 is- 0 Fax: : ( 5•p-7 ) 273 - ii l i z. Sign or outline lighting 53.40 2
E - mail: J C . c- t 4 • Gp l, Signal circuit(s) or limited -
.: l ; : i , ,;, energy Panel alteration or
' ' ` n, „_,,i4,,. , ,x, . t �. Imari: CONTRACTOR'., ° iv ,. . ' . ".'.,a:' !
extension Describe: 47 Page 2 37c 2
Business name: //
Address. Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (1 hr min) 62 50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
. 112 : I ' 7 EL E:CTRICAL:EERMI'TuE,E,ES *7
CCB Lic.: Electrical Lie.: Suprv. Lie.: Subtotal ' .. Q ,i
u rv. Electrician signature, required: Plan review (25% of permit fee) •,
State surcharge (8% of permit fee) '. 5 , 75
Print name. Date:
TOTAL PERMIT FEE -75 „,
Authorized signature: This permit application expires if a permit is no obtained within 1 i I
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building hidustry Service Board
** Number of inspections per permit allowed
I \ Budding \Permits \ELC- PennaApp doc 12/03 440- 4615T(10/02/COM/WEB
\ .
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information - -
LIMITED ENERGY PERMIT FEES:
C.141WitNif[WW0k7O:f■WP.OrtiVitTakitiP
Fee for all residential systn, s combined ... $75.00
la
3
Check Type of Work Inv v :' :0- 0 3 4
4417 0 Audio and Stereo Systems*
o Burglar Alarm
O Garage Door Opener* ' *
El Heating, Ventilation and Air Conditioning . .
System*
El Vacuum Systems* . .
El Other:
gai5 ..
Fee for each commercial system $75.00 .
(SEE OAR 918-260-260)
Check Type of Work Involved: . .
O Audio and Stereo Systems .
0 Boiler Controls • „
E Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
. , .
O Instrumentation .
111 Intercom and Paging Systems
fl Landscape Irrigation Control*
. .
E Medical
El Nurse Calls
El Outdoor Landscape Lighting*
o Protective Signaling
• fl Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t \Building\Permits\ELC-PermitApp doc 04/03
Sent 8y: MFIA INC; 503234 May -17 -04 15:35; Page 3/3
.. Electrical PermitApplication - City of Tigard .
Page 2 - Supplemental Information
Y ,IMITED ENERGY PERMIT FEES:
S YDEN ►it'NvVORK ONLY :.. ' t O�
Fee for all residential systems combined $75.00 L
Check Type of Work Involved:
Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System" 17
❑ Vacuum Systems" 1
❑ Other: \)1.))
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
Audio and Stereo Systems
•
❑ Boiler Controls
❑ Clock Systems
►�� D • • munication Installation l ^ E l�
❑ Fire Alarm Installation
ma c (
►�� HVAC dt., L(kerC�
❑ Instrumentation
►�. Intercom and Paging Systems P . -
• Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape I ghting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
UuJdrostrcm od•Alc Punuu pp do, 6N/03
•
. „
FILE COPY goo d '49
/-7(it4•40(:
THS /00- ir
Tecckvi_ (pc-fr. ue
r` ,peci v c-4
4 1-7 r rk, f 62.
RS .7 c (too 7 4/ Tex g.r b oe
efir
''\K\-= 15 vowic,
SEP. 1.2004 3 :23P TEAM ELECTRIC NO.164 P.1
1 a .7 4�'►Q1�° NA Y&
iffa
9400 SE Clackamas Rd
_ Clackamas, OR 97015
TEAM ELECTRIC COMPANY Office(503) 557 -7180
FAX (508) 557 -8201
Facsimile Transmittal Sheet
DATE - / ^ I ' l
FROM S t
T ALE
EAM ELECTRIC Co.
To C!I t ( 503 ?Li
cc G! `L f f T �C Grr
REF s calp to t 1• . -
TOTAL NUMBER OF PAGES, INCLUDING THIS COVER SHEET IS:
MESSAGE
0 �.: ' v t is s 4r
(IAA ' n - a4A-4 `LGt..e �Ot.t�Sl ,� l ar ' ct
�I Q.>rv►� I s ' ct ons
_A Lam[
f1ltt,si C (On•,
________.4 '621.
w 2 . L . r _ _� p r does
L L' i �L� ,�I me, % -- 7
14 P CA_
Th ll
The documents transmitted will J will not ❑ follow via US Mall, If documents are not received in their, entirety
please call and notify us immediately at (503) 557 -7180.
/^r
,
���~�.�� ���� �����������
OF nu��m������
CITY
KUUU ��U0��� DIVISION PERMIT ~�~°"~~~"^"~~° �~^°"~~"~~"° : EiC2004'00270
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/1772004
Phone: (503) 639-4171 n ootgotiil
Inspection Requests (24 Hrs.): (503) 639-4175 °414 m '-1..
INSPECTION WORKSHEET FOR DATE: 8/18Y2006 TIME: 7 PAGE: 15
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: '
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Phase!! electrical and low voltage for fire alarm and intercom/paging systems. 1/2S/05 Revised bx
Phase UA and ||B
OWNER: SCHOOL DISTRICT 23J. PHONE #:
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 557-7180
Inspection Request Scheduled For: Date: 8/1E/2OO6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 lectrical final 013934'01 603-939-7640 N
Corrections/Comments/Instructions:
.
CI PASS El PARTIAL APPROVAL El CANCEL NO ACCESS
1 I I FAIL | I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
MX �� #� ��" �4�/
| nopactor ���- l`^ Date: ��~" t~ ~~� Phone #: /603> 718- � ^ ^��~
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) - 639 -4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received Date Requested l'°�� AM PM BUP
C
Location ` 0 oo fL/L_#L.4L_4'✓` Suite MEC
Contact Person A A-L Ph ( ) - D PLM
7
Contractor Ph ( ) 3 Cj SWR
BUILDING Tenant/Owner ELC
� - DC) a 7
Footing d's
Foundation ELC
Access:
Ftg Drain • ELR
Crawl Drain
Slab` Inspection Notes: SIT
Pos Beam
She r Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
.�
Fire Sprinkler �- pk)06/-6- Fire Alarm 1 i� G1 P J e / 1
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 & Beam
Rough -In
Gas Line
Smoke Dampers
Final
RT FAIL
EC,TRIW
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_ . "i PART FAIL
S Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date 1 Inspector \_ 10V\ ( Ext
Approach/Sidewalk P
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
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / — 2 . 7 AM PM BUP
Location �� /� Suite MEC
, /�
Contact Person � Ph ( ) /��� " 7' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC ,2 06 6 "/" - DC) a 7 c
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: P z SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear iNryl L\
Framing T�Q 1
Insulation '��55 0c', D - ` u � I 1 _ 1 9 '1 1
Drywall Nailing 1 c�L
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
NY,
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab 1
Rough -In • , C+ s p Lr
Water Service
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
JECTRICAA , ;`{
Service
'ugh V-)
UG /S a.
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS AR FAIL
SITE � �<<° : ='. El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line �7
ADA
Approach /Sidewalk Date \.-• 1 - Q s Inspector kA 1.' \
1 0 V\ i Ext
Other:
Final DO NOT REMOVE this inspection record fro the job site. •
PASS PART FAIL