Permit 4,, iii CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00335
1%40111 Vit. DEVELOPMENT SERVICES DATE ISSUED: 11/03/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09811 SW PIHAS CT PARCEL: 1S135CD -09300
SUBDIVISION: JACOB COURT ZONING: R -12
BLOCK: LOT: 001 JURISDICTION: TIG 3
REMARKS: PATH I: New single family dwelling w /attached garage. v
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW , HEIGHT: 22 FIRST: 572 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 689 sf GARAGE: 377 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 10
VALUE: $ 96,535.53
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 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: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 •
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
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: 1 PUMPnRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL 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 ARENSPC 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: $ 5,363.88 •
This permit is subject to the regulations contained in the
KIMCO PROPERTIES LTD K PROPERTIES LTD
KIMCO
SE 442ND N PROPERTIES igard Municipal Code, State of OR. Specialty Codes and
22060 SANDY, ND AVE A ES KIMCO IMC SANDY, SE 4 PROPERTIES
N D AVE A EE 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 the
• work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
ORIG t +' A L Oregon Utility Notification Center. Those rules are set Reg #: LIC 110832 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final inspection
Footing lnsp Crawl Drain /Backwater Electrical Service Gas Line lnsp Appr /Sdwlk Insp Building Final
Foundation Insp • Footing /Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Mechanical Final
Post/Beam Mechanical Mechanical Insp ' Shear Wall Insp • Rain drain Insp Plumb Final
Issued By : ',i, Li IL ' J1Lt/i4'k— Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne busin s day
CITY TIGARD Residential Building Permit Application Plan Check# ? 7A
13125 SW HALL BLVD. Additions or Alterations Recd By 4
Date Recd - A 9
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. i
V 503 - 639 -4171 Date to DST /.)- / - g
F 503 - 684 -7297 / , Permit # n1 F -- f` 3 35—
Print or Type / Called - l - 9 0 1 —
Incomplete or illegible applications will not be accepted we dNrs «'So
6(),E 9- 60 /4/
Name of Project Name
Job 514)66 'AM /14 R6 /ATE `7�fDC�E2S0/� /7 //cl s
Address Architect 49Address zti, lattsi/retc YzoR
/Pi/ Address f H71 S Cr // 5 14Z C.. City/State Zip Phone
Name HMCo P/ nos t17 faro& Oat, 772z�' 2976
Owner Mailing Address _ ,n Nalne� Pa /9 041/44044)
Oto
z Z0 5. G • 1-4 i /4'v Engineer Mailing Address �� 9 �
City /State Zip Phone / 2 56 b /(i, Gd • /'t)gL. DID /�
$PND 1 1 ) " 770 WI WI -7075 Qty/State Zip Phone
General Name Pae o op , .77227 S'..3 -5' 72
Contractor kw) co " P 7i/ . I 7D , Describe work New$ Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit 2 ZO (, O g', (: , 442'2- A t/4 Additional Description of Work:
issuance, a copy City/State Zip Phone • .
of all licenses fr ok 9705 ' ,bf?-707S "At
• are required if Oregon C 6 r/st. Cont. Board Exp. Date PROJECT /
expired in COT Lic.# VALUATION $ q�O �
database //9'3 Z / 1
Mechanical Name . NEW CONSTRUCTION ONLY:
Sub- JAc-& s i-164-TJ/'t/L Sq. Ft. House: e: �, .
Sq. Ft. Garagg
Contractor Mailing Address r 37 i S
/
Prior to permit
4 74/ s F . mii.. otaK/s Indicate the restricted energy installation by the electrical
subcontractor in the following areas
issuance, a copy City /State Zip Phone Z3
of all licenses /? p77 gt7ZO� 733 / Restricted Audio /Stereo
are required if Oregon Const. (font. Board • Exp. Date Energy System Alarms
expired in COT Lic.# 1 T 1/ Installations Vacuum Irrigation
database y� Jf " / - 0 ° System _ System
Plumbing Name 7D Be SG�Crii (check all that Other:
Sub- 47 apply)
Contractor Mali Addres CornerLot YES NO Flag Lot YES NO
•
^� (check one) (check one)
I Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone .
issuance, a copy •
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# I hearby acknowledge that I have read this application, that the
expired in COT
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon Stat= -
Name Si ure • r, g D a
Electrical. /Q/� Al /4-L5 giZrZ /C, - G < hon ontact Verson e o
Sub- Mailin Address �VCi/ / / 1/6/ l /+ 77-0 �JE 2% % 2q 1
Contractor 4 77 S , , /g72/ ,- . �7 < �3
City /Sta a Zip Phone
Prior to permit tog F931'7
•
issuance, a copy h(j & ,9-2/g3 FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic.# / D 1
ical Li 15 3 O6
.6 -7/ S O `o
expired in COT d // s -cp- 693
database Electr . # Exp. Setbacks: Zon Softy / 9
3- 2 570 ,o /i /O/ 74 -/ /�
Electrical Supervisor Lic. # Exp. Qatei Date Engineering Approval: Planning Approval: TIF:
4 . 1 , e94- 06(901 i:\dsts \forms\sfaddalt.doc 9/8/99
11/22/99 MON 14:43 FAX 503 598 1960 CITY OF.. TIGARD Peflrv\ l I002
CITY OF TIGARD f an Check #
Electrical Permit Application
13125 SW HALL BLVD.' -fif n Rec'd By
Date Recd
TIGARD OR 97223 • N i . .� -Zg( • 1(01.00 -
2,� ,�/�
Date to P.E.
Phone (503) 639 -4171, x304 \ I14 rt, fy - Date to DST
Inspection (503) 639 -4175% Print of Type Permit #
Fax (503) 598 -1960 +,, Incomplete or illegible will not be accepted Called
1.• Job Address: H5-7 )'Q9 -00335 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
I Name (or name of business) 1C lQ kr) rI Ie-5 Service included: Items Cost Sum
1 Address gib \ \ 5(1 o \ -k C-t• • 0 4a. Residential - per unit
I City/State/Zp �\ (-piP__ 1000 sq. R: or less $ 117.75 4
r
1 Each additional 500 sq. ft. or
portion thereof $ 26.75 1
Commercial El lE limited Energy $ 60.00
t Each Manuf'd Rome or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
Information for COT data base). Installation, alteration, or relocation
Electrical Contractor RNA r 1 f ( 1 -
( 1 -, 4V....) _ 200 amps or less $ 64.25 2
z 1.. • i 201 amps to 400 amps $ 85.50 2
Address 11111 , _ ± _ 401 amps to 600 amps $ 128.50 2
'^ , City .(r S ta te �� Zi r _ _ 601 amps t 1000 a $ 192.50 2
Phone No: ; o..5 • lo'1 D • Over 1000 amps or volts $ 363.75 2
" Job No. kli Reconnect only $ 53.50 2 • ' Elec. Cont. Lice. No. r9 - e Exp.Date /0 " t1 ' 4c. Temporary Services or Feeders OR State CCB Reg. No. 3 o Exp.Date (12 Installation, alteration, or relocation
' :, ; COT Business Tax or Metro No Exp.Date 200 amps or less $ 53.50 2
-,: 201 amps to 400 amps $ 80.25 2
j // / / • 401 amps to 600 amps $ 100.00 2
Signature of Supr. Seen --Ai _�
Over 600 amps to 1000 volts,
y. u •
see "b" above.
�; -� License No. /.s 7 • S Exp.Date / D-- fi /
fe Phone No. 'ZrJ" • C )1 7C) 4d. Branch Circuits
, on �0
1 New, alteration or extension per panel
I' a) The fee for branch circuits •
Ci"x
pid' 2b. For owner installations: with purchase of service or
feeder fee.
x ` . Print Owners Name E ach branch circuit $ 5.35 2
' � Address b) The fee for branch circuits
r ",i without purchase of service
...':;,. City State Zip or feeder fee.
'-‘,1- rJ Phone No. First branch circuit $ 37.50
r
' I • Each additional branch circuit $ 5.35
i •* The installation is being made on property I own which is not 4e. Miscellaneous
t intended for sale, lease or rent. (Service or feeder not included)
` 1 4i1 Each pump or irrigation circle $ 42.75
r, Owners Signature Each sign or outline lighting $ 42.75
3 = Signal circuit(s) or a limited energy
...T.I. panel, alteration or extension $ 60.00
3. Plan Review section (if required): * Minor Labels (10) $ 100.00
• 4'
'-..' Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units In one structure the allowable in any of the above
■
Service and feeder 225 amps or more Per inspection 5 50.00
j ' Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
•
• • described in N.E.C. Chapter 5 5. Fees:
•
• • . 6a. Enter total of above fees $ • * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $
'" Not required for temporary construction services. Subtotal $
I
NOTICE Sb. Enter 25% of line 6a for
Plan Review if required (Sec. 3) $
j PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOTCOMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
• TANY TIME AFTER WORK IS COMMENCED. Total balance Due $
6/5/00 Activities for Case #: MST1999 -00335
1:23:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 9/23/99 GEO RECD No Hold GEO 9/29/99
MSTA008 Permit Created 9/29/99 GEO DONE No Hold GEO 9/29/99
MSTA010 Check for prc. restrict. GEO No Hold GEO 9/29/99 MLP99 -00001 not recorded at
time of submittal. Will need to
check w /Planning and
Engineering for condition
approval and release.
MSTA012 Plans routed to Plans Examiner 9/29/99 GEO SENT No Hold GEO 9/29/99
MSTA026 Plans approved by Pln Examiner 10/1/99 BT2 DONE No Hold BT2 10/1/99
MSTA030 Reviewed plans routed to DSTS 10/1/99 BT2 DONE No Hold BT2 10/1/99
MSTA700 Erosion 844 -8444 11/10/99 CPB PASS No Hold RB 11/10/99 FIRST SITE INSPECTION
FAILED- USA Failed Red Tag
Posted
USA (CPB) passed later same
day.
MSTA705 Footing Insp 10/1/99 10/1/99 11/10/99 RB PART No Hold RB 11/10/99 USA REd Tag posted at 1130
AM/ Returned at 1401 PM-
Green Tag Posted.
1. Contineous footing req'd
2. Maintain seismic req'mts
3. Keyway req'd
4. Ufer tagged
5. Low point drain req'd
MSTA706 Foundation Insp 10/1/99 10/1/99 11/15/99 KS PASS No Hold VT 11/15/99 1. install holdowns as shown
also anchor bolts
2. locate foundation vent within
three ft of corner eight total.
3. pour F.T.C. @ front of
garage with piers.
MSTA710 Post/Beam Structural 10/1/99 10/1/99 11/14/99 HAP PASS No Hold DGW 11/24/99 Crawldrain & BWV OK Install
ground vapor barrier so it is on
soil UNDER backwater valve.
MSTA711 Post/Beam Mechanical 10/1/99 10/1/99 11/14/99 HAP PASS No Hold DGW 11/24/99
MSTA712 Underfloor insulation 10/1/99 10/1/99 No Hold BT2 10/1/99
MSTA713 Crawl Drain /Bac valve 10/1/99 10/1/99 11/19/99 MRS DONE No Hold MRS 11/19/99
MSTA714 Footing /Foundation Drain 10/1/99 10/1/99 No Hold BT2 10/1/99
MSTA717 PLM /Underfloor 10/1/99 10/1/99 11/24/99 MRS DONE No Hold MRS 11/24/99
MSTA720 Mechanical Insp 10/1/99 10/1/99 1/26/00 RB FAIL No Hold AKJ 1/26/00 see framing 1/26
MSTA722 Plumb Top Out 10/1/99 10/1/99 1/7/00 MRS FAIL No Hold AKJ 1/10/00 1) no test on waste
2) require 50 lbs on water for
test
MSTA723 Electrical Service 10/1/99 10/1/99 1/27/00 TLP PASS No Hold AKJ 1/27/00
Page 1 of 4
6/5/00 Activities for Case #: MST1999 -00335
1:23:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA724 Electrical Rough In 10/1/99 10/1/99 1/27/00 TLP PASS No Hold AKJ 1/27/00
MSTA725 Framing lnsp 10/1/99 10/1/99 1/11/00 RB FAIL No Hold AKJ 1/11/00 unable to perform insp w/o elec
app (none installed)
MSTA726 Shear Wall Insp 10/1/99 10/1/99 1/11/00 RB FAIL No Hold AKJ 1/11/00 a) detail #20 for gar incomplete
1. nail header beam /sheathing
3" each way
2. MST28 straps not installed
3. trimmer studs missed 3 each
end req
4. sheathing req in both sides of
gar shear cones
Do not sheath until viewed and
approved, one side already
covered
B. block sheathing at powder
detail 15
MSTA728 Low Voltage 10/1/99 10/1/99 No Hold BT2 10/1/99
MSTA735 Gas Line Insp 10/1/99 10/1/99 1/26/00 RB PASS No Hold AKJ 1/26/00
MSTA736 Gas Fireplace No Hold BT2 10/1/99
MSTA740 Insulation Insp 10/1/99 10/1/99 2/3/00 KS PASS No Hold AKJ 2/3/00
MSTA752 Rain drain lnsp 10/1/99 10/1/99 11/19/99 MRS DONE No Hold MRS 11/19/99
MSTA760 Water Line Insp 10/1/99 10/1/99 2/22/00 RB FAIL No Hold AKJ 2/22/00 no test on service, maintain 24"
depth and provide a yard box
for house shut off valve to be
viewed at final
MSTA765 Appr /Sdwlk Insp 10/1/99 10/1/99 3/20/00 MH PASS No Hold AKJ 3/20/00
MSTA790 Electrical Final 10/1/99 10/1/99 5/19/00 CD FAIL No Hold AKJ 5/21/00 gar GFCI is hot in tripped
position
MSTA795 Mechanical Final 10/1/99 10/1/99 5/19/00 MRS PASS No Hold AKJ 5/21/00
MSTA797 Plumb Final 10/1/99 10/1/99 5/19/00 MRS PASS No Hold AKJ 5/21/00
MSTA798 Final inspection 10/1/99 10/1/99 No Hold BT2 10/1/99
MSTA799 Building Final 10/1/99 10/1/99 5/22/00 KBS FAIL No Hold AKJ 5/22/00 1) final erosion control app
2) elec final app CD
3) mud and tape gyp behind
fumace and seal all penetration
also gas pipe
4) supp gas pipe at horizontal
support other gas pipe
5) smoke detector too close to
return air supply at upper level
6) remove wood and debris at
crawl space and recover vapor
barrier as needed
7) seal all nails overdrive at ext
siding and all penetrations
Page 2 of 4
6/5/00 Activities for Case #: MST1999 -00335
1:23:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA080 (F) Ready to issue 10/7/99 GEO DONE No Hold GEO 10/7/99 Need plumber to be identified
prior to issuance.
MSTA032 DST Post - Review Completed 10/7/99 GEO DONE . No Hold GEO 10/7/99 Engineering gave ok to issue.
MSTA095 Issue plumbing signature form 1/5/00 SLT RECD No Hold ST 1/5/00
MSTA097 Issue electric signature form 1/25/00 SLT RECD No Hold ST 1/25/00 change in contractor. mailed
new form to MA Electric
MSTA092 (F) Issue combination permit 11/3/99 BON DONE No Hold BON 11/3/99
MSTA095 Issue plumbing signature form 1/4/00 JMT DONE No Hold JMT 1/4/00 change in contractor
MSTA727 Exterior Sheathing Insp 1/11/00 RB FAIL No Hold AKJ 1/11/00 see shear 1/11
MSTA722 Plumb Top Out 1/11/00 1/11/00 1/11/00 MRS PASS No Hold AKJ 1/11/00
MSTA727 Exterior Sheathing Insp 1/12100 RB PART No Hold RB 1/12/00 Report dtd. 1 -11 -00 RB- issues
A-4 & B still outstanding- will
view at framing. OK TO SIDE !
MSTA726 Shear Wall Insp 1/12/00 1/12/00 1/12/00 RB PART No Hold RB 1/12/00 See Exterior Shear notes this
date.
MSTA097 Issue electric signature form 1/21/00 JMT DONE No Hold JMT 1/21/00
MSTA097 Issue electric signature form 1/24/00 JMT DONE No Hold JMT 1/24/00
MSTA725 Framing Insp 1/26/00 1/26/00 1/26/00 RB FAIL No Hold AKJ 1/26/00 2) provide pos connection at top
plate off sets less than 48"
3) supp round duct supp the b
vent in gar
4) nail plate dryer vent
5) add stud rt side of fireplace
6) firestop unusable space at
main entry chases
7) secure and seal exhaust
vents at fan housings
8) nail plate vent in master bath
9) vent vaulted rafter spaces
10) vent baffles req at ceiling in
east bdrm conn to vaulted rafter
spaces, do not block air spaces
11) no gas line to vent less
fireplace
MSTA726 Shear Wall Insp 1/26/00 - 1/26/00 1/26/00 RB PASS No Hold AKJ 1/26/00
MSTA725 Framing Insp 1/30/00 1/30/00 1/28/00 RB FAIL No Hold AKJ 1/30/00 report dated 1/26/00 issues 5, 8
and 9 still incomplete
MSTA720 Mechanical Insp 1/30/00 1/30/00 1/28/00 RB PASS No Hold AKJ 1/30/00
MSTA725 Framing Insp 1/31/00 1/31/00 1/31/00 RB PASS No Hold AKJ 1/31/00
Page 3 of 4
6/5/00 Activities for Case #: MST1999 -00335
1:23:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA761 Water Service Insp 2J27/00 2/27/00 2/25/00 RB FAIL No Hold AKJ 2/27/00 house locked
no ext hose bib installation or
gauge set for pressure testing
trench wet, leak?
PRV installed at meter, OK but
unknown pressure
MSTA780 «RE INSPECTION» 2/27 /00 2/27/00 3/1/00 DEB PAID No Hold DEB 3/1/00 failed water service, $50.00 due
Paid $50.00 reinspection fee,
receipt #0000356, on 3/1/00 by
Deb.
MSTA050 Hold for 2/27/00 AKJ DONE No Hold AKJ 2/27/00 reinspect fee due
MSTA202 Hold Release to Issued Status 3/1/00 DEB DONE No Hold • DEB 3/1/00 Reinspection fee paid on this
date.
MSTA761 Water Service Insp 3/2/00 RB FAIL No Hold AKJ 3/2/00 test 41# at 0952
next failure will result in
reinspection fee
MSTA761 Water Service Insp 3/6/00 MRS PASS No Hold AKJ 3/6/00
MSTA790 Electrical Final 5/22/00 CD PASS No Hold AKJ 5/22/00
MSTA799 Building Final 5/30/00 RB PASS No Hold AKJ 5/30/00
MSTA960 (F) Issue Cert. of Occupancy 5/30/00 RB DONE No Hold ST 6/5/00 6/5/00- mailed to owner /file
Page 4 of 4
CITY OF TIGARD BUILDING INSPECTION DIVISION Fr) r9 --- 0 aS
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 01',
BUP
Date Requested s/30/66 AM PM BLD
at
Location 1 L�) t f Suite MEC
Contact Person 1�� Ph gf 6 — 2) Zl ' PLM
Contractor Ph SWR
GILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear `�
Framing • 0 .f �� • i I I ^—
Insulation'
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
SS� PART FAIL
•
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final/
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Otthe�ach /Sidewalk ✓ Date "51- 6 / Inspector �2: ( ., Ext )
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT /999- -003'2 S
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5(12/Oc) AM �C PM BLD
n
Location 'i 31 �I h� ( Suite I MEC
Contact Person 1 1 Ph g1 27 2(2 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler t
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
_ PASS PART FAIL
�ECTRICdt
Service
Rough In
Low Voltage
b
Low V
Fire rm
PASS RT FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: _ [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q / � `� BUP
Date Requested S O1 v AM PM 1C BLD
Location ti i ` I Vi60 Suite MEC
Contact Person AL1, 1 Ph S 1 c 'Z7 2 (o PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: i n 1 b V 1 ar r 5 FPS
Ftg Drain r SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS ART FAIL
(LUMBIN9)
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
41111P
PART FAIL
ANICAL.
Post & Beam
Rough In
Gas Line
Smoke Dampers
4 11Vir lh
PART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �_
Approach /Sidewalk
3
Other Date /I Inspector Ext
Final
PASS PART FAIL • 0 N • REMOVE this inspection record from the job site.