Permit ..
.. ,
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00510
I DEVELOPMENT SERVICES
s ai II DATE ISSUED: 2/2/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09830 SW PIHAS CT PARCEL: 1S135CD -KE218
SUBDIVISION: KALAMOIIKA NO.2 ZONING: R - 12
BLOCK: LOT: 018 JURISDICTION: TIG
REMARKS: New SFR
BUILDING
REISSUE: PLANC STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 685 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 781 sf GARAGE: 264 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 142,869.60
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,466 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 W0ODSTOVES: GAS OUTLETS: 4
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 FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 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: SIGNAUPANEL: 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/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,738.49
This permit is subject to the regulations contained in the
ECK CONSTRUCTION INC ECK CONSTRUCTION INC Tigard Municipal Code, State of OR. Specialty Codes and
PO BOX 204 PO BOX 204 all other applicable laws. All work will be done in
SHERWOOD, OR 97140 SHERWOOD, OR 97140 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: 503 625 - 1305 Phone: 625 - 1305 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 114755 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8& Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insf Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp 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
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Issued By : Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
B Permit Application
FOR OFFICE USE ONLY
Received , ,,.., Building
Date/By: J , �; Permit Nol 2 (,; .
Cit of TigQard Planning Approval Other
y b Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: M PJ L1 " o) Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 " '" 4 1 A Post- Review Land Use
,. I Date/By: Case No. ■ Internet: www.ci.tigard.or.us �L - -�' Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: �/) Supplemental Information
- �r -..,. _ ,,.,5 1-.. • wgg' "iJC3` .. te t - 'eS i - y :r.. c x O a i 4 2 / ( w .:,.
New const ru ction ❑ Demolition
.? a k i °& �o� ,G�` :•,:._.:„ 7.. ,
Ad d El Other:
;;r,,,;�;:,5 _ .'`;'1, F �` CAlt,'GORY'011CO] LUeT&O ` -' .�'
" ' i 7. "` ".'; : Note: Permit fees* are based on the total value of the work performed. Indicate
1 & 2- Family dwelling El Commercial/Industrial
K
Accessory Building ❑ Multi- Family the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
El Master Builder El Other: Valuation $77
..:: : :. 4.JOB TTON`and TJON',''':; �` *'�.'5 No of bedrooms : No athsg %5
Job site address: Y�1p , f� r/ 7 <�C Total number of floors
Suite #: Bld /A t. #: New dwelling area (sq. ft.)...... lr�.fe.�s
g P Garage /carport area (sq. ft.)
Project Name: Covered porch area (sq. ft.) -r'--
Cross street/Directions to job site: Deck area (sq. ft.) .6--
Other structure area (sq. ft.) -6:›'
VN '' '. .*„ : «,, . ;',,, ?`z; ... �... - mix , : . ;'J''- ',.
i� ' 1 i ti ti COM VISE C7ALL.�, _r_„.,„ E CFfEeKLAST .
Subdivision: /riArx, - ,r . �GC. Lot #: /� '.. .. :. � . ,..:.. .i ,.. , .
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
„;'' <' ": :.T. " the value (rounded to the nearest dollar) of all equipment, materials, labor,
,. • . : �r L : .:: _ � p'E$GRIPT)(Ol� O'I'~ " �3}s:. : !
-.. �. ' y ;. ,.; ','�'_� � (
overhead and profit for the work indicated on this application.
Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
PROPE'R!.Y'OSY:N:,ER ii;;; r" • ' ±A TE Y 1 '' "',. * ' ,Y', - .s. Type of construction
Name: j;45 C j G l /►, l i c' __ Occupancy group(s): Existing:
Address: QdX ,S'/ New:
City /State /Zip: 6q & ;-t e ( '77//J
Phone; ,7 2,6/f Fax: NOTICE: All contractors and subcontractors are required to be
®. 'APliTCAN�T '• " :', -. ' licensed with the Oregon Construction Contractors Board under
>W , . -'C YC ,PE 12 S g1X. ; . :.• provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: Fax:
.
..- • •; u B11ILDI G PE 1 T °FE S *., :_ `
E -mail: , .' - z. ": ' : ' -' - R N r_ a4 .;':% ; . ' - 0 _..c:: " efi
,, , �„ „� . ref {s =,- ;� �.
Business Name: ,.G /-' ( 7 __Z
.. 3 ' = Fees due upon a $ a
Address: I 0, ge3x- ,,Zci�/
City/State /Zip: - S`J -7� 6?p..
/ 7 I?/j "77/7ie) Amount received ° $ a 5 0
Phone: ‘2s = /,�2rr Fax :6 ?J f Date received: /i) /a D/ 0 3
CCB Lic. #: //V 7 _ f- .
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: 'L� ��� "�— Date:/D—/7-6k7 180 days after it has been accepted as complete.
7 /f —/e< /'7 *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03
IA
FROM : TAURUS POWER FAX NO. :503 692 9273 Sep. 25 2003 05: 40PM P2
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Electrical Permit Application
f il le 1111111111M11111111111.11111 oeical • •
City of Tigard Ayprofit s .
Blvd. 131 ZS SW Hall Blvd. tMtr. - remit No.: •
Pa Maraca Other -
7 O4 Oregon 97223 . Penult No.:
Phone: 5034394171 Fax: SO3.598 -1960 P'on Rev:ow Laud Use •
Interact a'Ww.ci.tiga d.or.ca !'`, I.R _..- CaaNa:
24 -hots Inspection Request, 503- 639 -4175 ' - � , " , I , N n own: kris: I So ties Yoga' tor
a�+�a f '" ion.
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.N New construction 1 III Demolition i sae.. p teamy ilsah. - 41 lireitIv arefsobii
II AdditioDfalterat on/i .lacement t• Other , C°m"eb ial el H° °1O
C service over 320 aapseatttmgot Q Butldoag rwr , 0.000 rgwro tier,
c:_c":: t: L,;.I 16t2t�rn'lyd.dtia11r On'roruime:eela®dat oral tit
" 1 & 2-Family dwcliin lb Comincicial/Indu. tzie] i ! ❑ Syrtet■ over 600 wits nominal ow rtsaonae
■ Accessory pudding I A Multi-Family . ' 1 u lino over o stories ❑ taao�rra 600 amps or mac
I ❑ up load over!Opersons ❑ iamdaoaaed Monism or RV perk
• Master Builder
III Other: lJ aPc iSrwna o odu :
Sobel! Me orptaas with any of the sterns
1St d - -i_ ,Y t '1; '..t y ..J -�. 1 . - )r } • ,.. . . I�. :, ' Th above are 001 a, m •�h , en set tan
Job site address , p -S!v /,I / / By' CJ ( -.. T ` , 4 y emu- ? : y :: -
Suite #: Bid • J ' #: u • bar of ■ on • - .germalt allow
R79ject Name: De - -- Posies.) . Taal
Maw *
CROSS S�eq/1?iicCtiorms t0 job cite: aid.i J i. eyM
or makI.fam per
dtrditott ant. Isamu undid tun..
Saralee Waded: .
1000 ad. P. or Av 145.1$ .
/ _
pea additional SOD Q. A ce moan tte,eot 3340 .
_
SubdiVia011: �1 et_ Lot #: ,e„ Wind emir • . 1 71.00
. 1'altrl! eaw.f , •, "6•'reeidneW Mill IIIKEEMEMIMI
Tax Ma tr arcelR Each aanmArttrcdktos ar "thin 111111111 • 111
ipil ..
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Address: / - . 0 / G7' -� //• •r ooparary services or &!dean - lnataltatto4 •
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S lw !./ . l 20D r,r re ken II 66. 113 II •
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Name: , � / J oat.miaa per peed' t
Addre �/ / A. Pie Sir brut.:h circuits with paecbs;. of 1 .
� / �` _ tavie. wRad.afoe tad .. -. circuit F145
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Job No; 34,4r0(.wuaiw.L...Tvt mask IIIIW
Business Name: V Mit: 1 a'lg 1).r. t .>l f,; l t — • . -
Addreea: dl��� r
Ci /StaveJZ • . - - I p Dm additional I • • ,,, the allowabla In • area above: •
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CCB Lic. # Lic.:
Supervising .. tactician • . . i _u bte �w l a
Si. . • Im'e • u -red:. , a ', . • „ n Plan Itavtevv (1514 of Permit Pao
Print Name: 1 04 • w l e r ' . irt Liu. #: fil,/ $taro Swamp 8 E P 1i $
.
Authorized Notice: Tblr percsle epptleadoo.zpIres If. weak is oat obWOe4 witch
eigttoturo: _ Duel 160 days +liar It boa bas accepted as ample..
..
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` BOP 25 03 05:08p ECK Construction Inc. (503) 625 -2553 p.2
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1.1)1•Z t11 11(l',d '1. Oh 1
Mechanical Permit Annlication Methxn:r it
Due/9y: Parr* Ne..
Manning Ap aove Bwaing
City of Tigard � Per at No.:
1� an Review ' Otha
13125 SW Ball Blvd. Date/D�: Permit No.!
Tigard. Oregon 97223 pop - Review Land the
Phone: 503 - 63941 Fax: 503 - 5964960 • . . , z.,i 1 1 Dotday: Caw No:
loternct: d
www.ci.ti ar.or.tts Jain: I ® See Pap 2 0w
13 - 1 ' �! 1 1 Sapotenantel information. .
24 - hour Inspection Request: 503 - 639 - 415 •
TYPB O WORK • • I r • CULFEE •SCED3 - USE CHECKLIST ' .
2 New construction • Demolition Mechanical permit fees• are based on the total value of the work
laeemtlrt ■Other: performed. Indicate the value (rounded to the erred dollar) of n11
• Add'tioWalutat'o
n/ mechanical materials, equipment. labor. overhead and profit.
Ce,- RY Cp»TRUCiTON—• • VNae: f Sea Page 2 for Fee Schedule
► 2-Family d
_� 1 & 2- Fay avetling (■ Commc • a
reiULtdusfrial • mlr taovlpn lnstrs Fee! SCHEDULE en.
■ Accessory Build' : _ ■ Multi - Fermi Description LQty I Fe) e. I Total
• Master Builder ■ Other. Hearn : A _ rte
3O11SITE INFORMATION and LQCATION 14.00
Job site address: �fff9 570.} /% forf_i• '� 14 00 14.00
B ld /A 1 #: Duct work
Suite #: _ S p Hydrae le hot water system 14.00
Project Name: Reeidenitial boiler
Cross street/Dircctions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
• in wal in • soy.. L. • etc. 14.00
Flue/vent (for any of above) 10.00
Repair units • 12.15
Subdivision: �i ' .4-- Lot #: All Other Feet 4 ... . .
Tax map /parcel #: water heater 10.00
DESCRIPTION OF WORK - • • Gas fir l ace 10.00
file vent waier heated .,, • c) 1111111 10.00
10.00
Wood/Pellet stove r 10.00
oed ft -. ace/inset Mil 1000
Ch' Ainer /llutivent =I 10.00
iNit: !LAI:/�"_111.111IR ±- Other: 10.00
Environmental cabana et ventilitloe
ii 1. Range hood/other kitchen 04111Fment 1 10.00
Address:. /* D 1 a Clothes dryer exhaust 10.00
Cit /State/ l • ' /j /,),, ' - I f _ Single duct exhaust:
Phone' — 0 Fax: (bathrooms, toilet compartment&
Y. ; ' PLI ■ CONTACT ERSON uty toottls) 6.80
_ Attic crawl space fens 10.00
Address: 7 - D i ' f' / 2rx 2 Q 4/ c Other. tta 10.00
JJE
"(55.do Sir Ord 4. SL etch additional)
Ci lStatea'Zi , : ,, _ .A/ .3A0 ..
Phone: . d Deer hoar pat •
E -mail: Wall/Su • . ed/unit heater ••
Water heater •n
Business Name: e GifilkIttik . Fireplace ••
Address: ' >.. • 33 Rune
• Ci /State/ • : D:x46 ' 0' , •r i ethos d cr gas ■ "
Phone:Sa -' • , • ', a «ill aill other! ••
CCB Lic. #: (03 (oa 1 Total:
7 Mes haake mit Fees'
Authorised ' -- � + Date: q � IL 1 Subtotal: S
Stratum 1 ll � Permit Fee $72.50 S
� 1_ X` A Plan Review Fee (25% of Permit Fee) S
� (Please print name) I State Surchgrge (8% of Permit fee) S
TOTAL PERMIT FEE 5
Notice. This permit applladae espina if a permit Is ant obtained wlthlo • he mathodote y ref by Trt.Coonty 1Idin Ie dudry Smite Beard.
Itta days after It MI been usespled as complete. "Site plea required For exterior A/C saps.
110su \Permit ion t,'MeePer nitJWp.dat 01107
■
try / Zb /Y17173 17 /:1y 71330L7470 �w+�c�rv�.ec r�an••ualw+ +.
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Plumbing Permit Application , u his 1 °, ,
Wall.11.1 F;
City of Tigard Sower
�1'31125SW Hai Blvvd..� p
Tigard, 972( .... 1 ):1 •.
Phone; 503439 -4171 Fax: 503.598 -1960 1 w taae Ilse
Da - :. Case Nat ;
24 -)a�i Inspection ltd 503.639.4173 Ia. ._1 i �, Coat=
I S. _ r -.+p 1 ' - 1 - ; . 1 [qi 'Sy` ,. .. .
1 - . . I I . ...-T, � Y .1. [ l N e w 1■ Demolition . „ l Term
1■ Addmon/altetlati' I ..I I t 1 t Other `
'' • Budding I ■ Multi - Family SFR
.�
� . , _ ,.,.,. ... � Other ir ME 45.90
3 bath IIIIIII 399 Op
J ob site address: ' Sw ` " / d ot, - C A - - , . .---,- '. Z _,., ?,T:i, -' ., -- - \ - ; ..
Suite th 1BidgJApt _ elitin Elii 16.60
'eat Nam: fir .. Ifodaeaeh dram MN 1660 MIN
Cross street/Directions bo job site: F. , der9p Iiaear t. MO
McadIstand farce eddies ]I 110.00
-
Wanks NW 16.60
Aaeh ehain (♦ Offaa
Subdivision: .iir M raM11 Lot #: y, ou ., R 11011111:751
J .. , .. weoor eervlee . • lbw 8.
• f1` � 16.60
8acldlow • . • - MN ii3
Backwater valve MN 1640 NNE.
0 �"` 16.60 MOM
n: ..,•. 16.60
„ � r 16.60
,.;;': (♦ 16.60 _
Name: e'er e, 1 . , ., _ 16.60
Address 7'. , f O3 „ r ' _ . C" . Pblun 'm ,• — 16.60
City/State/Zip: /, /."' •! _Of r7/7 Floor drain/1)oataialrihub.. EMI 16.60
�� Fax �_:.�,. ,_ r 16.60
Boars bit MN )6.6U MEM
�� 1ee aoakec r MIMI
Name: -
_.._ r / s - � - -..•. ,, ,•- �- -:.,�. � 16.60 �
• Address: /' , 0 _ _ a d e? M edical : as -vAue: s NM 1112"111
rr ..,, �� P ry � ''
4 53 ' 'r�� i i.—_� / Rwrdraln .•.., - .. r 1600
Phone: - f 71' Fax:. �ZCr sablasicna„ato MN 16AD
E-mail: 1E1.1. 1 . . , . 16.60
;. .:: _ { ► _ 'F', : s, Urina ME 16
Business d i � *� , r water -0sd r 16. ' —
Wafer r :_.- EM 16.60
Add) V j ' F Ord Obe n me
C1 I. o f • >, I Oda= am
. Phone: PTIM111111 nix h'3.aV + l- " ' .. _: , , , s__.
.. .
Subtotal CCB Lac. : 1 Plumb. Lic.# i 955 ; = 972.30 s
Authorised Nsietewm Permit Fos s7uo s
A ,� Residential Beddow Minivans Fete 136.23
IVAP3 c 11111•111111.:-, . ' . arms 1 MENIBMONI
Nope.= II& poetitappie.rie. rxptr.a Ira pre Is est *wed within AD aKn oommerdal binding require a.ee. orphan with 6.meetIe or
11194go after ii bee ere aoerprra as anion& rifer diagram fr t pun carter.
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1 STREET TREE C
•
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� I, � � � �G� , � ®caner /Agent for . � . ��� '
• (PLEASE PRINT) � � (PERMIT HOL ER)
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• i.:. ---. Vi a.,._.. .'.:.. ,, ■
• • Do hereby': cce �tify tlia following location t•
t meets,f�:` x".y o f ;Tigard /Washington " County
• land use and development standards for street tree installation. ■
• •
• •
•
• ADDRESS: 9€ Sz Pl f' C.7z
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• •►
•
LOT: /8 SUBDIVISION: 14' e ,At O i r . /1 j
• •
• BY: - -�� DATE: � 7 377r j
• •
1 RECEIVED BY: DATE: D Y ►
• ►
CITY OF TIGARD • 24-Hour -
`BUILDING Inspection Line: (503) 639 - 5 -066"/ D
INSPECTION DIVISION Business Line: (503) 6 -4171 MST o?G0.3
BUP
Received Date Requested PM BUP
Location i r _� _ Suite MEC
Contact Person 6 , ) 5 ? -a soo PLM
Contractor r ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear �p d - 6 / C' Q , Z 1 D " t (ks ) 63 J - o Framing
Insulation �S U S Co ✓" l (:r1�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
4: 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
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 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA —'
Approach/Sidewalk Date 6 — Inspector Ext
Other:
Final DO NOT REMOVE this inspection recd d fr the Job site.
PASS PART FAIL
CITY OF TIGARD _ 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 ) 3_
INSPECTION DIVISION Business Line: (503) 639 -4171 - MST
Received 7A 0 Date Rested —71 BUP AM PM BUP
Location ?t1 ,3( 5u) n'it, Suite MEC
Contact Person Ph ( ) 6 .— PLM
Contractor // �� Ph ( ) 9 SWR
BUILDING Tenant/Owner . llGt o �C . ,i'J e - -- ELC —
Footing ELC
Foundation Access:
Ftg Drain s ELR
Crawl Drain
SIT /AN
Slab Inspection Notes: "m„
Post & Beam
Warp
ExtS /
Ext Sheath/Shear
Int Sheath/Shear
Framing `
Insulation O t 3Z,V k 0 .- raji . M® M P I. cr ��
Drywall Nailing 1 �.l `1''''
Firewall .� -� L 6e ,� I n 1n- [ Ott)
Fire Sprinkler v �`t7 1,�`�} �""
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
& B eam n (Q� ' n �
Under Slab �� l`� `-� repCMA 40\1*) �`�l(�� 6�
Rough -In
We Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: 44C _
PART FAIL
M ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
TRICAL
'e
Rough -In
UG/Slab
Low Voltage
Fire Alarm
C ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line 1-� �( C
ADA
Approach/Sidewalk Date 2,1 0 1 . Inspector C 0 4- "" Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL