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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00037 � �41 DEVELOPMENT SERVICES DATE ISSUED: 2/4/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AA-01400 SITE ADDRESS: 10215 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 9 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: 2nd floor tenant improvement. Owner: Contractor: INTEGUMEND JHC COMMERCIAL LLC 10215 SW HALL BLVD 7035 SW HAMPTON ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 - 245 -2415 Phone: 503 - 624 -7100 Reg #: LIC 158061 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 2/4/04 $235.30 Electrical Permit Required [TAX] 8% State Surchari 2/4/04 $18.82 Sprinkler Permit Required Fire Alarm Permit Requirec [BUPPLN] Pln Rv 2/4/04 $152.95 Plumbing Permit Required [FLS] FLS Pln Rv 2/4/04 $94.12 Framing Insp Gyp Board lnsp Total $501.19 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 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 a copy of these rules or direct questions to OUNC by calling (50 6 -6699 or 1- 800 - 332 -2344. Issu d By: �: I - /,e I S it tee Signature: e: x / i Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit ApplicatteeD FOR OFFICE USE ONLY r� V � Received � City of Tigard � Date/By: , =�j Permit No.: P � l �- �, '37 13125 SW Hall Blvd., Tigard, Phone: 503.639.4171 23 Plan Rev n �00 // l • Other Permit: 4 1 c1t O 3 _ " Inspection Line: ne: 50033 .639 9..4175 503.59 D _41... _41... +y L , Date/By: Date Ready/By: 1n ' 0 See Attached Checklist for Internet: www.ci.tigard.or.us j�Gp►R Notified/Method. l to Supplemental Information GO \I D! IS�0N ; . . ; n • " WORK e RE QUIRED DATA , AND "2- F DWELLIN = ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - _=:` ° " " "° GATEGO,, ,r; work indicated application. n this OFe ,,,, - ONSTRi3CTION' Valuation: $ ; r ' El 1- and 2- family dwelling ACommercial /industrial t ID Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: r ,, _..... _.._ ,:- „ : ,,, ^�= >::. -. , ,:H , � , .,�,�,�r, , :,•. , ,.,.:' ..,Y:�, ,',” T otal number of floors ,, I :x ::- _. ,'- ' a s 0 S :1 INFU,_ MATIONN AND` 1 OCATION '., ; "; , . Job site address: (OR 15 ()1,3 Cam, ( New dwelling area: square feet City /State /ZIP.- eta (' a O 2 q1 ga 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: PG �s „a---- Covered porch area: square feet Cross street/directions to job site: J Deck area: square feet 4 -ka ( ) 7 I C i JL , n r Other structure area: square feet REQUIRED DATA: COMMERCIAL USE CHECK IST ; Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the p r ofit for the : :1 "'` , ,,lw � � ~ : < " work indicated n thi application. ��� Wiz" ' nDESC ,T w' o on this a ca �> bfrl b /3 4 / e v r— Valuation: $ Z © / QC�C� n qt 2�, 4TH 4E- eio S Q u /.-RE tom_ ,4ea Existing building area: 94 , square feet New building area: ( square feet �i:,.m elhN ",t ;'tkY l �vl 3l ::,�. P OPERTX , _ — TEN Number of stories: Name: c ` � � -� 1 LL T Type of construction: v�'- re_ Address: t o `� 3 Ls 4 a ` I Occupancy groups: City/State/ZIP: ; a ( � (' / 0 e. c ) ^ - 3 Existing: Phone: (� Fax: (o� iJ L.1 5 q lQ 3 New: lj#10141,/z APPLICANT - . CON ACT ,RERSON - ",," T i w � n , .�..':��:,i'a -� ` €: Wig "�va,Y .......:.: :..::.<:' ',� , ^.. - . '[��; ri: Business name: G Co m .( C3.J). u_ c All contractors and subcontractors are required to be Contact name: Y '� S C1Q�� licensed with the Oregon Construction Contractors Board Y e under ORS 701 and may be required to be licensed in the Address: /O %� SW `AG n p n S.�- jurisdiction in which work is being performed. If the City /State /ZIP: [� t O �], �� applicant is exempt from licensing, the following reasons /�� r - �( apply: Phone: �� CQ 1 i ©p Fax: : ' , ^ /� `r-` � -r � -1 n n S / °�ct S E- mail' jD ge fl {�� a C-V il.� 1/ t-IL1 vU I v , 4 ,, D 1 T = < liit �:E 3.T3i : i'i(E,�i' .. ii,,;A57.,:... a': Business name: 47 ::' ;mwmol: :.7,.. ;•; z .. ..� "' ,..., , - ..v ;w ';m alVkk 4.D 6.100 2... _ : � � ; ,,.;:�,,:"::, <, � BUI IM9. PER iITtsF..E ; Add ress: ;��s s� -: _ _.. , , „��',:,,,,,... =lr�,:�,,,, „ ��� » ^ <:�;�: , ^,, Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone:( ) i Fax:( ) I Amount received CCB lic.: I (6 ` • } Of #2-/P7 Date received: Authorized signal L z.A._ . - 4 -i . ! This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ► 7 Print name: n' S el� i Date: a. , J 14 * Fee methodology set by Tri- County Building Industry "`--- I Service Board. i:\ Building \Permits\BUP- PermitApp doe 12/03 440- 4613T(I1 /02/COM/WEB) / ?/9 sw W RAW . %oao - a7 30 37 LE FILE i Fire Marshal's Offices 1 i� ° , I North Division - 14480 SW Jenkins Rd., Beaverton, OR 97005 • PH (503) 356 - 4700 • Fax (503) 644 - 2214 � Thalatin Valley South Division - 7401 SW Washo Ct., Ste. 101, Tualatin, OR 97062 • PH (503) 612 -7000 • Fax (503) 612 -7003 e &Rescue East Division - 624 7"' St., Oregon City, OR 97045 • PH (503) 657 -1365 • Fax (503) 657 -7913 Building Survey Report FMZ : (to be filled out by TVF &R) Code Edition: Name of Facility: ___1 T U M N --kvti Lr Gk1_N!'i_G Name of Building: __LN � U NC r t &( G G- Address: jQ2L ' -- ..V t -T raD fig- 97zZ Owner: . 49I -1..11 4. S Telephone No. ( ) ...4.5.___,24 Architect: . d:y_II% ,A.7'_ Telephone No. () _ .6 2 _ " - la Architect Address: _ ��_ __ S _La '* j1 r ' ?;'ri l'Q�g- . 9.71:1 ITEM . COMM.: DE : 1. Occupancy Type GA... 1 1 i Co Use Capacity 70 2. Construction Type Year Built 3. Area (Sq. Ft.) G7 2 1 iota . - ; Largest Flocr • Basement 4. Stories No. 2...... Height fief'• Height High Rise ❑Y ■ 5 a. Exterior Wall Construction / ' . bOP � `G � v � b. Opening Protection 1/ / _Herr �� - 6. Interior Wall Construction l'/. w c (i4tt4 R„TO) 7. Floor Construction %//,.- Cot■MAAEBrM S I 5 N 6, EZ 3 8. Roof Construction // •Pr r blf . W P. .- Z / �4 Pi 9. Attic Draft Stops V / No. l g,�,,p �6 �ul 1 K. (4 9 060 10a. Occ. Sep. Wall Construction / No. 4 i- t e? V 'y ,a , � �/ ' b. Opening Protection VVV / N c 61C I la. Area Sep. Wall Construction / No. _ 1 I 1 n 1 � 541 b. Opening Protection / liar o .tom q " R 0 12a. Smoke Barrier Wall Construction No. 14 cr tri n rye b. Opening Protection // � u f 13a. Corridor Wall Construction ✓/ $5 • , (V 1 � b. Opening Protection vv // Cr 6i.171 k 14a. Corridor Ceiling Construction / 6-Kf, o �^ b. Opening Protection VVV I�A'� r T Y✓ tio 1 15a. Shafts , / No. c.r 1 Type I b. Opening Protection 17 / i✓ V f + (k D t7 rsuuaing purvey rceport FMZ : (to � , b � efilled out by TVF &R) Name of Facility: _ J.Nr t if ^ tl t" 'c`Q1.Oc ITEM COMM. DESCRIPTION 16a. Stair Enclosure No. �VV/ b. Opening Protection ` ■{ t or 1 b � 17. Stairs / No. I 7 c R v Y 18. Ramps ,'/ No. 19. Interior Finish Class Room Crricjg� Exit Enclosurg Y 20. Exits No. Total Width 2 _ 21. Exit Hardware Type Ait=vac eonA 22a. Exit Signs/Illumination v/ / C 6k28/1:310 • DES b. Emergency Lighting t ✓QivI CoI> / l D • b 23. Auto Sprinkler Coverage / 24. Standpipe Class/Locations / G CrV 1 ° 1 i? P� C C � b Lo' �• 25. Fire Alarm Type/Coverage V P,re,V■A 1.0TV 4 :AIS/15419 26. Heating, Ventilation & Air Conditioning Type + ► AI,. 7f'�•� b 27. Electrical Installation ry 1 L T G ery t> 28. Stage/Platform {,I o , + "' 29. Hazardous Area / �`� d 01 OO A 30. Other f� -'��IV Comments: (/ Alternate Materials & Methods TVF &R Use Only Inspected By: I Date I No. Attachments Reviewed By: t I Date Updated CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTICdN DIVISION Business Line: (503) 639 -4171 MST et ePC Received Date Requested 3._ / AM PM apt — 00 o37 Location /0. -/3 Heal 13 /for/ !` A%' ~ Suite 2 ^ 7 • MEC Contact Person R x-0 Ph ( ) 20 f — &251 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ELC Foundation Access: Ftg Drain PAT ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall CEireSprinkler Fire Alarm Susp'd Ceiling AID f ,� ��= Roof NAIDTimaYglizZYMIE Otter: • 'ASS. PART FAIL . I• LU, : ING Post & Beam Under Slab Rough -In t Water Service o 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 El Reinspection fee of $ required befo - next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - Ill Please .='I for Hnspection RE: ' Unable to inspect — no access Fire Supply Line ADA ' , ,, Approach /Sidewalk Date -' OSIOP Inspector Ext 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 MST INSPECTIM DIVISION Business Line: (503) 639 - 4171 � 6 � BUP oe 3 7 Received Date Requested /' 6 AM PM BUP Location Suite MEC Contact Person Ph ( ) 6,a 6— 00) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner _Or 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 4 i, A± Insulation 0 tO 1(�J� A ,,� .6-7 1?) t» Drywall Nailing V�t�� l/�-' I Firewall Fire Sprinkler e‘- `�-'�� 4 • I N (5 D® I Fire Alarm i A ` �..� � J ,RE Susp'd Ceiling '- II Roof `� '� (�� � _ 6T ez_r Other: na }, ASS PART AIL 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspe . ion fee of '• requires before ne inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please s - II for rein section RE: ; 114-101111 '( Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector ME- Ext Other: Final DO OT REMOVE this inspe ion record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Ling -((03) 63• MST INSPECTION DIVISION Business Line: (503) • d �° l C L I • ' BUP 7 Ca0 J/� r 13 7 Received Date Requested ` J /v AM PM v BUP Location /6 c- I Suite MEC Contact Person Ph ( y7 / ) a 7 ^ 4 /a I I PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Note egelLeo, SIT Post & Beami Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation r , D ^ Li9 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot r: F a P SS PART FAIL BING P t & 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 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 l Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour f, BUILDING Inspection L>ier (5'b3) 639 -4175 /� MST INSPECTION 'DIVISION Business Line: (503) 6 171 .� � 7 Received Date Requested (— AM PM BUP Location 1 0 ;'t s _) Suite . MEC Contact Person 77i Ph ( ) a - 6 6.-CP PLM Contractor Ph ( ) SWR 1ILDIN Tenant/Owner ELC Footing F ELC oundation ,,- i* �, (L Ftg Drain Access: ELR /�p Crawl Drain Slab Y' 1 Inspection N. es: SIT Post & Beam Shear Anchors Ext Sheath/Si a/ I ntSheath/ V I r �-e.,.' f , S`'t' 0 5'd- s' Insulation ) /) 0 !� L y ( Drywall Nailing )y f 2 Firewall - y - L (-� -� Fire Sprinkler /J� S Fire Alarm cti- Vi L 4- Susp'd Ceiling Roof i 1 ' e l -er , ( 1 ___ Other: Final --- 1 . _ d .p;-- -•� <__ e i - I PASS FAIL PLUMB 1 t - - Post & Be -m Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: I\& 0_ i Final _' � 9" J PASS PART FAIL `��' � MECHANICAL _ - , fi r 0 ©, Rost& Beam O 6`_" 1/`'_ Rough -In / �/ Gas Line V Smoke Dampers Final PASS PART ELECTRICAL FAIL 0 Service Rough -In �j ,:, � UG /Slab ������ Q L Low Voltage (, (2,,e,..e - Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line /`e /0 ` �, ADA i �� Approach /Sidewalk Date Inspector — 'Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour -. ' , BUILDING Inspection L-•ihe:. 3)' 63 4 MST INSPECTION °DIVISION Business Line:�''� (- (503) :,;9 .-.-0 BUP 0 Z.4 37 Received Date Requested A M PM BUP Location /:U 2 15 Suite MEC Contact Person Ph ( ) ,ZD / - 6, 0 a.60 PLM Contractor Ph ( ) / SWR BUILDING _( Tenant/Owner - 4 .t_.' %�4i& J. u ELC Footing Foundatio 4/1i) ELC Ftg Drain d R j cress: ELR Crawl Drain C�� r Slab 2 Inspecti 0 n Notes: SIT -a- dot-el Post & Beam . iia _ / . '1/ - Shear Anchors i Ext Sheath/Shear _II Int Sh /Shear - 416— ' / -S-i? J i I // Insulation E L,� o • , _ 60040 Drywall Nailing Firewall e'1 C1 q - 0 0' Fire Sprinkler Fire Alarm 17 2,do L{ 0 OS Susp'd Ceiling `,/ Roof Ll•-4 .- 2 3o L4 cV U 3o �Y Other: `� Final /' ^ L 2■60 t4 -- C.) Q Q S q I` r 60ThAS S/A G ee 4rAas PASS PART PLUMBING. _ G ?2-60 © Tf/ - G 6 6.0 4 ( PQS) Post & Beam Under Slab - ".. _ Rough -In /� Water Service ,� l Sanitary Sewer r d Fe/Z-0-N _ �1 V `moo l Cv.e-_ - , - r f► tZA vv..... �.. Rain Drains Catch Basin / Manhole Storm Drain Shower Pan ( e, I L _, — _Aga - al _I ei '` \y � Q' > . Other: ', Final ,. 7/00 00 -i '' k 47 0 4 PASS PART FA r , MECHANICAL v ' �.. 'i • w • l-M l' X15 . Post& Beam ' `� t� t om ` o q - 00 - � � Rough -In Gas Line i0,1■Ne LC/100 3 - 00'11'7 N1 tx. 0 % // L b ' lk 6 0 (i.?---(3) Smoke Dampers : Anal / i 4 _ d -i i i L %- . ' ; �� PASS PART FAIL r �/ ELECTRICAL it qt 6 es i ° t ° c' L44 v C Service 1 / Rough -In i �j'- 4U -i( ' . UG /Slab I Low Voltage 't .. d' . i �!� . . Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE . _ ❑ Please call for reinspection RE: E Unable to inspect - no access Fire Supply Line ......--- ADA Vi/C74.---S Approach /Sidewalk Date inspector v vv Ext Other: Final DO NOT REMOVE. this inspection record from the job site. PASS PART FAIL r. CITY OF TIGARD 24 -Hour • , • BUILDING Inspection Line: 13) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 9 3 7 Received Date Requested 2 - 2.3 AM PM BUP Location / Suite MEC Contact Person Ph ( ) / Co ?.3/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ,k..,97 Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Firewall —C71_ ^ Fire Sprinkler 1 c/ C I C C Fire Alarm /Ma Susp'd Ceiling ' - Roof Other: PART FAIL '' :ING 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑l Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA ) l 1 � Approach/Sidewalk Date / 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY' OF TIGARD' 24- Hour" ' _ BUILDING - Inspectior (1503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 663 �. Received L.•�� /2' f Date Re • u - ted l l //0 AM PM BUP / / Location /0 5 4f ir / Suite -- "e MEC Contact Person AL _ _ a °Ai - (4 Ph ( (57) 2e'/ — 4 ast PLM Contractor Ph ( ) SWR (13UILDI _ Tenant/Owner ELC ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ct Post & Beam Shear Anchors Ext Sheath/Shear Int S•eath/Shear Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof • Other: - ►' PART FAIL ` I BING 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 PASS PART FAIL ELECTRICAL Rough -In UG/Slab • Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line /19/a ' Approach/Sidewalk ADA Date Inspector Ext P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY ►GF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested AM PM 127 -00 -- Location /0.-- /7 Wye', 1'r a MEC Contact Person - Ph ( ) A- — 6.267 PLM Con . Ph ( ) SWR BUILDING Tenant/Owner _ Z/./ TEG 6(44 ■ Z De? ' ' 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 U P—L- 4W Dlr ?fill (1 1�,;� _lag _ _9 Drywall Nailing Firewall S L -4/ .1 *5) FOR- V\ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Ot r. Fi r2 - inal PASS PART 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ require. • = •re ne. inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call or reinspe• ion RE: i ❑ " Unable to inspect - no access Fire Supply Line 4 B ar ADA A pproach/Sidewalk Date I m mo or V _ Oct 11/ Other: • Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL