Permit 1 ■
A
CITY OF TIGARD MASTER PERMIT
PERMIT # :''MST2003 -00442
i t DEVELOPMENT SERVICES DATE ISSUED: 10/9/03
•� li 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06970 SW LOCUST ST PARCEL: 1S1,36AA -09900
SUBDIVISION: VENTURA ESTATES ZONING: R -4.5
BLOCK: LOT: 021 JURISDICTION: TIG
REMARKS: New construction of SF detached, Path 1.
BUILDING ,
REISSUE: MAS22141 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,490 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,501 sf GARAGE: 662 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 292,455.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,991 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: i GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
•
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: . LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,194.36
INGATE CORPORATION This permit is subject to the regulations contained in the
WINGATE CORPORATION WING
ATE
S POPE LANE Tigard Municipal Code, State of OR. Specialty Codes and
15840 S POPE LANE 15 ING
OREGON CITY, OR 97045 OREGON CITY, OR 97045 all other applicable laws. All work will be done i
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:
Oregon law requires you to follow rules adopted by the
Phone: 503 793 - 8895 Phone: 503 793 - 8895 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 94680 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control lnsp & Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final
Sewer Inspection . Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Issued By Permittee Signature : 4 411v.1. tO.N
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed t■ e ne. , • Ines • day
' /ti p 9 aq -o3 sttRo.o03 -00334
Building Permit Application
Date received: glal I DN Permit no -ra00 3 -p fl q
'Zi '11 ., City of Tigard
- Projectlappl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, REcelvED
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 AUG 22 2003 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
I • . - ■
T If IT. OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family rit New construction 0 Demolition
O Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: 6q'1-p ,g,,v L.4:5 C..i ST c6-r- Bldg. no.: Suite no.:
Lot: Z) I Block: Subdivision: Je, sb I Tax map /tax lot/account no.: /34_7_07 02 W
Project name:
Description and location of work on premises/special conditions: ,S.i R. 1
i
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST I:
Flood I rib septic capacity, solar, etc.) ` '
Name: t N (�f1T� Coll.(' ( P � � P P ,
Mailing address: j S et.10 S, p LA ,- . 1 & 2 family dwelling:
City: ti L — , o 61 Lr r9 State02-- ZIP: 0 a Valuation of work $
Phone: 651- -33o0 Fax: E -mail: No. of bedrooms/baths
Owner's representative: ■Sr�i' 1bE.SgteniS Total number of floors .`
Phone: ' 3--Qg' Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage carport area (sq. ft.)
Name: C._. Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: j ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercialindustrlal /multi - family:
CONTRACTOR Valuation of work $
Business name: SAT... Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
Number of stories
City: I State: I ZIP: Type of construction
Phone: I Fax: I E -mail:
CCB no.: Occupancy group(s): Existing:
City/metro lic. no.: New:
Notice: All contractors and subcontractors are required to be
r'1RCI IITECC/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is, being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: f Plan no.: b
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: [ZIP: Amount received $
Phone: I Fax: ' I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions a :ept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this o Visa O MasterCard
work will be complied with whether specified herein or not. Credit card number: Expires
/
Authorized signatu : Date: ' Name of cardholder as shown on credit card
Print name: t l a ■ S $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (&VWCOM)
i.
A, Mechanical Permit Application
Date received: Permit no.: •fa273.410 V -
=,J,j Fl
','.. _ City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, tg , 7 2 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 AUG 2 2 2003 Case file no.: Payment type:
Land use approval: CITY Of TICARD Building permit no.:
'i' Pi: OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
New construction ❑ Addition/alteration/replacement ❑ Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: C ( - 1 - p ,S ,I...) L,o c - 0 , & 1 . — Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: 2 'Block: I Subdivision: '‘,/C tJtvp4 EST . See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county:' 1 gJ vgA$ei . I ZIP: G11. -22-3 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and locatiof of work on premises: $ NI. E2.4.3 AND COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM
space insulated? ❑ Yes ❑ No Alconditioning
t rati of existing plan HVAC Is existing system
g P Alteration of existing HVAC system
MECIIANICAL CONTRACTOR Boiler /compressors
Business name: ('! �e e 1 �, • e �o u State boiler permit no.:
HP Tons BTU /H
Address: 16600 S E. E.4 et-.1 n Fire/smoke dampers/duct smoke detectors
City: a _.Ae- —itki WAS I State: 60_1 ZIP: Heat pump (site plan required)
Install/replace furnace/burner BTU /H
Phone:Fj$L9 —Sp I s.4 I Fax: I E - mail: Including ductwork/vent liner O Yes ❑ No
CCB no.: 1— Ig'i -g - Install/replace/relocate heaters - suspended,
City /metro lit. no.: wall, or floor mounted
Name (please print): 1 i K- S , 'F(- - Q.6 C.J14- Vent for appliance other than furnace
CONTACT' PERSON Refrigeration:
Absorption units BTU/H
Name: c_5(4/1,Nee. Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER- Hoods, Type lUres. kitchen/hazmat
hood fire suppression system ,
Name: Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type -
Phone: I Fax: I E -mail: Woodstovelpelletstove
Applicant's signature: . wJ Date: _ 0 ?,
Other:
Name (print): & ■ w_ tels4S
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
O Visa ❑ MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $
E within 180 days after it has been
Name of cardholder as shown on credit card accepted as complete. State surcharge (8 %) .... $
. $ TOTAL $
Cardholder signature Amount
440-4617 (6/00/COM)
Plumbing Permit Application
1 Date received: Permit no.: J , 9j 3 .p0V'y P-
th,, :4' City of Tigard ECE�VED
b Sewer permit no.: Building permit no.:
`� Address: 13125 SW Hall Blv , Tigard, OR 97223
City ojTigard Phone: (503) 639 - 4171 AUG 2 2 2003 Project/appl.no.: Expire date:
Fax: (503) 598 - 1960 Date issued: By: I Receipt no.:
Land use approval: CITY OF TIGARD Case file no.: Payment type:
at I •N
TYPE OF PkRM1T
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
IiICNew construction 0 Addition/alteration /replacement 0 Food service 0 Other:
JOB SITE INFORMATION FEE SCIIEDULE (for special information use checklist)
Job address: (' S•.0 L.o SST ST Description Qty. Fee(ea.) Total
Bldg. no.: Suite no.: New 1- and 2- family dwellings only:
(includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: 2_,1 I Block: I Subdivision: V card p Eb * FR (2) bath .
Project name: SFR (3) bath
City /county: _ ; + . ZIP: G{'}z .3 • Each additional bath/kitchen
Description and location o work on premises: , 'F12— t.0 Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line trench drain
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Manufactured home utilities
Business name: . An , Q....0 M•(1,3 w I'1 Manholes
Address: N 1 I Ir e i up-1(4^1 Rain drain connector
City: LI L„pJ State:a ZIP: el : 6 6 ^ Sanitary sewer (no. lin. ft.)
Phone: s -(,9; -0 Fax: E -mail: Storm sewer (no. in. ft.)
. CCB no.: !IS 2 (o Z I Plumb. bus. reg. no: 3 '1 35,- P8 Water service (no. lin. ft.)
City/metro lic. no.: Fixture or item:
Absorption valve
Contractor's representative signature: Back flow preventer
Print name: GaT1 1�. a 1.. Date: r. ', b Backwater valve •
CONTACT• PERSON Basins/lavatory
Name:
Clothes washer
Dishwasher
Address: Drinlcirig fountain(s)
City: I State: I ZIP: Ejectors/sump
. Phone: Fax: E -mail: Expansion tank
OWNER • Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print): .
Garbage disposal •
Mailing address: Hose bibb • •
City: I State: I ZIP: Ice maker ,
Phone: • I Fax: ' I 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 signature: Date: Sump
ENGINEER Tubs/shower /shower pan
Urinal •
Name: Water closet
Address: Water heater
City: I State: I ZIP: Other: - '
Phone: I Fax: 1 E -mail: Total
Not all jurisdictions accept credit cards, Please call jurisdiction for more information Notice: This permit application Minimum fee $
Plan review (at _ %) $
O Visa 0 MasterCard expires if a permit is not obtained
Credit card number. / w 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
'Name of cardholder as shown on credit card accepted as complete.
$
Cardholder signature Amount 440 -4616 (6/00/COM)
Electrical Permit Application ..
Date received: Permit no.: Hhfap,,54p1 4_
�a.Kp
A.
.: : City of Tigard m Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, f t;;- r. GENE D Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 AUG 2 2 2003 Case file no.: Payment type:
Land use approval:
TYPE., OF PERMIT
•
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
g New construction 0 Addition/alteration /replacement 0 Other: 0 Partial
JOB SITE INFORMATION
Job address: C - t3 S L.o t Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 2 . 1 I Block: 'Subdivision: ' , � N T'U Es Ti tv r Es
Project name: I Description and location of work on premises: S ice. NCB
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCIIEDL E
Job no: Fee Max
Business name: De% •E� a -�1 c,., Description Qty. (ea.) Total no. insp
b a S1G g,t �v L LE4 -- �D Newguniresidential cluneleo attached per
Address: IO
P �� dwelling unit. Includes attached garage.
City: 1 r .ip State: f De—I ZIP: 4 11-'LZz, Servioeincluded:
Phone:'- , —0$v6 I Fax: I E -mail: 1000 sq. ft. or less 4
CCB no.: 43 3 S I Elec. bus. lic. no: Z4 3 Li c., Each additional 500 sq. ft. or portion thereof
Limited energy, residential 2
City /metro lic. no.: Limited energy, non- residential 2
. t � _ Q� 103 Each manufactured home or modular dwelling
pery
Signature of su g electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): D i7E,,,,i. r t el G - License no: `2..4a. L 3Z.. Services or feeders — installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - .
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am ' s 2
ENGINEER Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: • I ZIP: ^ B. Fee for branch circuits without purchase
Phone: Fax: E - mail: of service or feeder fee, first branch circuit: 2
Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 ❑ Hazardous location Each signor outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories ❑ Feeders, 400 amps or more *Description:
O Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lighting plan ❑ Other. Per inspection I I I i
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card •
$
Cardholder signature Amount
440-4615 (6/V0 /COM)
m 6 - 7 - g o3 - 0zDyy2_
• i1.
• ■
• ■
• ■
•
• •••••• T CE TIFICATION
• .
• ,
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• 4 .
• I, TT S.ke , ,Own /Agent for u3. • ►.S � -G Gm-f •
(PLEASE PRINT) (PERMIT HOLDER)
• ,` ►
• / ►
•
- ►
• Do hereby certify tha t location ■
• ���.,�.�. ■
•
meets ,,C vy� Ti� a'rd / Washington County ■
• land use and development standards for street tree installation. ■
• ■
• ■
• ■
ADDRESS: Co L. -®c-*— SI- ■
• ■
• ■
• • LOT: Z SUBDIVISION: \{G�T ( S ■
• ■
• ■
• BY: . �a�� . mow* DATE: Q (So `off ■ ►
• ( L ►
• • � ;RECEIVED BY: - DATE: V \ �0 y ►
• ►
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 3 — Z
INSPECTION DIVISION Business Line: (503) 639 -4171 �y
BUP
Received Date Requested AM PM BUP
Location Z O 7 7' 1.l) C u - f Suite MEC
Contact Person Ph ( ) PLM
Contrac or Ph ( ) SWR
G Tenant/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
C/11/1:1s, •
PART FAIL
BI r •
Post Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Oth = •
AS PART FAIL
____ " ' AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
I®` 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: El Unable to inspect — no access
Fire Supply Line
ADA (3, 1 A
Approach/Sidewalk Date / V6 ( i 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 goO 3 "
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested S ' /3 AM PM BUP
Location 9 7(L_62_,41.2E)____ Suite MEC
Contact Person Ph ( ) 773 g 7 5J PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC � -
Footing
Fog Drain Access:
t _ ELR �J IMI
Crawl / <, _ ,�,� � Crawl Drain Cam' x `� '�� �°
Slab Inspection Notes: SIT /!� ,AW
Post & Beam miw
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear v y 112-d2'D F
Framing
Insulation rn 6� t l- . Q * 519 5 0
Drywall Nailing �
Firewall G.kn ,, -�v s vac,.
Fire Sprinkler "
Fire Alarm C\\11014
Susp'd Ceiling
Roof
Other:
Final 1Oi Zit. p2atza Op Fak. WgrCL
PASS—PART FAIL 's .,(�
UMBI G p i1" w 10 V* N> V>� Atratkr6 .
Post Beam FLETX)I •Q, ( cstx,1 b J 7 Y cJ �e ur► 7.
Under Slab �;�7 " � "��
Rough -In Y�3�" rn0`a N Vt Rog b K) W4� tA)11 1 fly
Water Service
Sanitary Sewer Chi) (1.-166 7
Rain Drains
Catch Basin / Manhole
Storm Drain -� tt � L
Shower Pan E 1V A� L� (L Pbov
Other.
O- t,8 v
'ASS 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
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
S El Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA �..,A (��
Approach/Sidewalk Date — b 4 3 ^ 0 �1 l Inspector 7 ri U�) ' W 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 ® l/
INSPECTION DIVISION - Business Line: (503) 639 -4171 • 00 ��-
Received Date Requested 3-.9--6 AM PM BUP
Location Co 49 - Suite �a
Contact Person 4'.d .J Ph ( )'29 - 8W 1 7‹ S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: , ---- SIT
Post & Beam
Shear Anchors /
at Sheath/Shear _1,41 ���-Q'
Int Sheath/Shear
Framing '' S ' - ri5/c-r'
Insulation
Drywall Nailing � YT1�ci7 /1.4 ( aA X71€ I rz
Firewall �/
Fire Sprinkler V Vic! y�'f�"�L' t)-/ 4c t.- L( At L4 .
�" ' ' "./ C j 5,�.t'l�.csCt
Fire Alarm / ®/
Susp'd Ceiling ,5'Zvc1� ry/� - -` f
Roof
Other:
-A I i
SS 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
PART FAIL
CE
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 g - Z, — D
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL