Permit C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00307
v�; D EVE , L i OP B MENT r S O ER 9 SERVICES
639 -4171 DATE ISSUED: 7/19/02
SITE ADDRESS: 13680 SW SANDRIDGE DR PARCEL: 2S105DD -04900
SUBDIVISION: PACIFIC CREST ZONING: R -7
BLOCK: . LOT: 025 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,552 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,590 sf GARAGE: 778 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 304,273.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,142.00 sf REAR: 37
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: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 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 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 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 AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 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: $ 8,010.01
D R NORTON HOMES D.R. NORTON INC This permit is subject to the regulations contained in the
5125 SW MACADAM AVE STE 145 5125 SW MACADAM #145 Tigard Municipal Code, State of OR. Specialty Codes and
PORTLAND, OR 97201 PORTLAND, OR 97201 all other applicable law. All work will by 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
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 130859 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 Control Insp 8 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Do Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Post/Beam Structural . PLM /Underfloor Framing Insp Gas Fireplace Electrical Final
Issued Byf ., . AO i Permittee Signature : .
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next bu day
iii i- 2- /0 -o z- i
. • acoA • 1
• Building Permit Application
. ems,' ", - D. • received:(D , s Q8 Permit no.: y 1 „pp30 /
. ` �y' City of Tigard _-
oject/appl. no.: , e date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard � -
Phone: (503) 639 -4171 I ' 9 (0 2002 Date issued: / Receipt no.: Q
Fax: (503) 598 -1960 Case file no.: Payment type:
i /621 d p l _ ck'
Land use approval: B f , i 1 . 0 T3 ';`":tr :.., family: Simple Complex:
TYPE OF PERMIT 'S
CI 1 & 2-family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ,j New construction ❑ Demolition
O Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: 4 i , i /,em / ► . Bldg. no.: Suite no.:
Lot: Block: Subdivision: ter v ?!h t Tax map /tax lot/account no.: D D'5 �- i ,
Project name: AO -'l (/ LVi� _-7
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: V..12- • Nil —j-6 h I-tb VW 47 (Floodplain, septic capacity, solar, etc.) 2%
Mailing address: 125 5W 4444 • � . g • i L 1& 2 family dwelling: i '
City: I hl�-I'Iaa State: OF .ZI tt P: Iitp Valuation of work e� 2, $
Phone: 0 -1,n- ( IFax:602 -V :u70 -mail: No. of bedrooms/baths 3 _
Owner's representative: it 01-6 6k • Total number of floors 2-.
Phone: X . i 3 Fax: E -mail: New dwelling area (sq. ft.) 3 / q v
Garage/carport area (sq. ft.) 7 7 8
Name: 7 . > — • t r t In Covered porch area (sq. ft.) 6' 7
Mailing address: ii vot A S a le/ 0 V -ti Deck area (sq. ft.)
City: 1 I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial industrial /multi- family:
CONTRACTOR Valuation of work $
Business name: D . b r-1 el Existing bldg. area (sq. ft)
'A New bldg. area (sq. ft.) •
Address: C712,6" Y n V' S At etd a YVt k/-1/ Number of stories
*
City: i7nr�l a. I State: pia I ZIP: '11to Type of construction
Phone:rte 22Z•g15/ I Fax: M.- I E -mail:
CCB no.: /30— Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: D. c , /-1--0'1--D yi provisions of ORS 701 and may be required to be licensed in the
Address: ' 'Z1 k-- - As Q jai) V�j jurisdiction where work is being performed. If the applicant is
City: State: 'ZIP: exempt from licensing, the following reason applies:
Contact person: f a anly14Pi Plan no.: 4 0(44
Phone: - / j .l Fax: E -mail:
ENGINEER
Name: //�� /4� , ; ontact person: 1, a f F ees due upon application $
Address: 13 e/ $ E /y(pi''Gh °, Date received:
City: 0/g0,4f124s 'State:Q/_'ZIP: 070/5— ' Amount received $
Phone: atj- (7 ?. 'Fax: y4r41/ 04.E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
/' •Expires
Authorized signature: �1 Date v / /�� Name of cardholder as shown on credit card
Print name: N /h7/ 1 47 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 (6K10/COM)
•
• . - Electrical Permit Application
Date rec / ids" Permit no.: 4l or, • r .0 ,
• ' 14 ,11 1 1 l City of Tigard Project/appl. no.: , �`re date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: , �/ Receiptno.:
Phone: (503) 639 -4171 NI '
Fax: (503) 598 -1960 Case file no.: • ayment type:
•
Land use approval:
TYPE OF PERMIT
0 & 2 family dwelling or accessory O Commercial /industrial 0 Multi- family 0 Tenant improvement
New construction 0 Addition/alteration /replacement 0 Other: 0 Partial
JOB SITE INFORMATION .
Job address: /j 6V , ; Idg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: � ." mock: ubditon:
t lj e,re'
Project name: 0 0i f y( G! Pis 1- I D escription and location of work on premises: •
Estimated date of completion/inspection: .
• . CONTRACTOR APPLICATION \----"\, , FEE SCIIEDU.E
Job no: Fee Max
Business name: f4&/.2 �f ( („ Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: 6W ,1/ 1 dwelling ttnit .Includes atiachedgarage.
City: lli State: ZIP:4'71 73 • Service included: s .
Phone: bp I Fax ��2�/vj/►.(JI � E -mail: 1000 sq. ft. or less 4
// II energy, 500 sq. ft. or portion thereof
CCB no.: Elec. bus. lie. no: Ali- y?j1OV Each ad Limited energy, residential 2
City /metro lic. no.: 5- Limited energy, non- residential 2
�._. Each manufactured home or modular dwelling
Signatu of supervising electrician (required) Date Service and/or feeder • 2
Sup. elect. name (print): License no: Services orfeeders — installation,
alteration or relocation:
' , PROPERTY OWNER - 200 amps or less 2
Name (print): p e / o j h frlfz� 201 amps to 400 amps 2
Mailing address: . �J/ s Apt) �j � /I/5- 401 amps to 600 amps 2
601 amps to 1000 amps 2 •
City: gr./7R vG State: M IZIP: ,07 Over 1000 amps or volts 2
Phone: /4z- y r ( .1 / I Fax: - 51111E-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,orrelocation: •
ORS 447, 455, 479, 670, 701. 20 201 amps or less 2 ;
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps . 2
ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: % I1 ?v 1 1 / 1S 047144 A. Fee for branch circuits with purchase of - '
Address: ty6y 56 . / Zff ek Ay service or feeder fee, each branch circuit 2
City: eigWfAm I State: Q I ZIP: B. B. Fee for branch circuits without purchase
' of service or feeder fee, first branch circuit: 2
Phone: Fax01 ' - ' E -mail:
,v,,,- - r� � Each additional branch circuit:
PLAN REVIEW (Please check all that apply) misc. (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
0 Service over 320 amps -rating of 1 &2 0 Hazardous location Each sign or outline lighting 2
family dwellings . 0 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 0 Feeders, 400 amps or more *Description: •
0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lightingplan 0 Other. Per inspection
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 $
❑ 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 (6/00/COM)
•
•
•
•
Mechanical Permit Application . . /
Date received: ffill, 7' Permit no.: , ,„ a � •
. .,J�: "r:��l! City of Tigard Project/appl.no.. • Ex. ire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 I
Phone: (503) 639 -4171 Date issued: den Receipt no.: •
,
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family • 0 Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other. -
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: / , } ;" p l,( i 11 , p 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: 5' (Block: I Subdivision: Fife//(, /p p 5 i - ' See checklist for important application information and
• Project name: / 4u . f Gr i-- jurisdiction's fee schedule for residential permit fee.
City/county: 7-744 /-- I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description andttocation of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIEEDULE
. Fee(ea.) Total
Est. date of completion/inspection: Description - Qty. Res. only Res. only
Tenant improvement or change of use: .. •
Is existing space heated or conditioed? 0 Yes 0 No Air handlin unit CFM
Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
I♦IECHANICAL CONTRACTOR Boiler /compressors
Business name: V f - r,° State boiler permit no.: .
2 HP Tons BTU/H
Address: (Q(g' * h A " • Fire /smoke dampers /duct smoke detectors ,..__—
City: a i 1 Li _ State: CO- ZIP: D0 Heat pump (site plan required)
Phone: (Q(�i - i Fax: E -mail: • nstaWreplace furnace/burner BTU /H
CCB no.: ` iQ Including ductwork/vent liner 0 Yes 0 No
Install/replace/relocate heaters - suspended, •
City /metro lic. no.: . wall, or floor mounted
Name (please print): 4 4 d , 4 A Vent for appliance other than furnace •
CONTACT PERSON Refrigeration:
Absorption units BTU/H -
Name: NI e.- I tind,SO/i Chillers HP
. Address: 6jfjq !�`t 6'), /4 Q`kda/.yj , �.� , /(/S Compressors HP
G - Environmental exhaust and ventilation:
City: �/9'I I State: I ZIP: 471- Appliance vent . •
Phone' - 2zy - / Fax. i - -37/ E -mail: Dryer exhaust
owi'wj Hoods, Type U II/res. kitchen/hazmat
•
hood fire suppression system
D
Name: p. A . W Y -I ti'd/fe , Exhaust fan with single duct (bath fans) •
Mailing address: 0 d/ i ... e ,.. - e/ Exhaust system apart from heating or AC -
uel piping and distn . ution (up to 4 out ets) •
City f t-tigh State:Qk ZIP: 4 I
Type: LPG NG Oil
Phone: ' /,r/ Fax: / E -mail: Fuel ipP ing each additional over 4 outlets
Process piping (schematic required) •
Name: e, 7�w C� //� Number of outlets
_ • Other listed appliance or equipment: •
Address: 4'5y . 5( / ..e,, Decorative fireplace
City: et 144 1/j y f State:p< I ZIP: 47t9/r Insert - type
Phone: ,41 Fax: (/f1?, 'WAI E - mail: Woodstove/pelletstove
Other: •
Applicant's signature: le J. illi.,r Date: / /i i.2 Other
Name (print): /� /e ft , s.2, .
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Notice: This permit ap Minimum fee $ •
Credit card number. / expires if a permit is not obtained- Plan review (at %) $
• Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
$ .
Cardholder signature - Amount
4404617 (6N01COM)
•
•
•
Plumbing Permit Application 1
• Date received: MOP Permit no.: 1 1 d 4990 0 A
• '� City of Tigard
44- Al - Sewer permit no.: Building permit no. :'
Address: 13125 SW Hall Blvd, Tigard OR 97223
City of Tigard Phone: (503) 639 -4171 Project/appl.no.: 4 ra date:
Fax: (503) 5984960 . Date issued: 1112M Receipt no.:
Land use approval: Case file no.: , ' ayment type: .
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial . ❑ Multi- family ❑ Tenant improvement
X New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other.
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) •
Job address: 'f ` ` / // Description • Qty. Fee(ea.) Total
Bldg. no.: Suite no.: New 1- and 2 -family dwellings only:
Tax map /tax lot/account no.: (includes 100 ft. for each utility connection)
SFR (1) bath
Lot: LIMP Block: Subdivision: MO Ma= SFR (2) bath
•
Project name: Mil SFR (3) bath .
City /county: not ZIP: Each additional bath/kitchen •
Description and 1. cation of work on premises: 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 .
immizzl
Manholes •
Address: (g 82... , / Rain drain connector '
IMA l A - 1' ZIP: / 00 Sanitary sewer (no. lin. ft.)
• Phone: , / - 03 , E -mail: Storm sewer (no. lin. ft.)
CCB no.: Imam / Plumb. bus. reg. no: - '3 -18 , �;� Water service (no. lin. ft.) •
City /metro lic. no.: Fixture or item:
Contractor's, representative signature: ,M Absorption valve
Back flow preventer •
IIGMEM Date: Backwater valve
CONTACT PERSON Basins/lavatory - .
IffillM; , Clothes washer
Dishwasher
Address: /2 „1, • J/&. , / i � . „/i Drinking fountain(s) •
�'.rf1.fh StateO� E /��� Ejectors/sump
Phone: . -y1L • / =MOM E-mail: Expansion tank
OWNER Fixture/sewer cap
Name (print): p. fc . l�rfvh �dh9t 5 Floor drains/floor sinks/hub
Mailing address: 67 • . II 1 a . .■ Garbage disposal • Hose bibb •
Emirmri State: p' ZIP: "// , Ice maker
Phone: • - 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
Water closet
Address: i' 4414111111111 Water heater
.i, i MA / Other. '
Phone: _ - a , i � ; � . E - ma il: Tota •
Not all jurisdictions accept credit cards, please call jurisdiction for mote information. Minimum fee $
Notice: This permit application Plan review (at %) $
❑ Visa ❑ MasterCard expires if a permit is not obtained
- Credit card number: / / State surcharge (8 %) .... $
Expires within 180 days after it has been
TOTAL $
Name of cardholder as shown on credit card
accepted as complete. •
$ •
Cardholder signature Amount 440-4616. (610O/COM)
At 57 - cro 3 o 7
■••••••••••••••••••••••••••••••••••••••••••••••••••••••••••)01111
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STREET T EE CERTIFICATION • R
• .
• .
• .
• ►
• I, EP1P'( , Owner / Agent for D _ � . RopriIJ ►
• (PLEASE PRINT) (PERMIT HOLDER) ►
• ►
•
• ►
•
• ►
• Do hereby certify that the following location ■
• meets City of Tigard /Washington County ■
• land use and development standards for street tree installation. ■
1
• ►
1 •
■
• ADDRESS: 15(100 X 111. c 4 94)C 0 1-4 E NVE. ►
• ■
• ■
• LOT: 2� SUBDIVISION: p (, ►
• � ►
• ► •
• BY: DATE: r L 10 '07.--
■
• ■
• ■
1 RECEIVED BY: 1/, DATE: J�z -i / -o •
A V YYYVYV•••••••••••••••••••••••••••••••••••••••••••••••VVVVV\
CITY OF TIGARD : 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2 J0 O 3 0 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested l°)- —5 AM PM BUP
/
Location / 3 4 a Fb ∎f�d.L7/ - 1. ���� ' Suite MEC
Contact P- rson • i ( ) ,S �3� 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
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm L -4 . /
Susp'd Ceiling ����t��� �'
Roof -
Other:
Final
PASS PART FAIL % k i ‘
PLUMBING D°
l
Post Beam I n
Undder r Slab O pJ�'
Rough -In 1 ; (d
Water Service
Sanitary Sewer
Rain Drains ‘ 1
Catch Basin / Manhole 1 / W"
Storm Drain �
Shower Pan ) `I•
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL i Pa +c
Service e
Rough -In L - ✓ I
UG /Slab i _
ism. rI UI� –
Fire arm—
PART FAIL
❑ Reinspection fee of $ required before next inspection. Pay at . ity Hall, 13125 SW Hall Blvd.
SI E ❑ Please call for reinspection RE: D Un : ble to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date C. Sd P_ Inspector _ , i _ . i. Ext
Final DO NOT REMOVE this Inspection record from the job : te.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 70 30 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested Ic -' - AM PM BUP
Location / 3 /o gb a- /1.t Suite MEC
Contact Person <leng/I Ph ( ) 3 PLM
Contractor Ph ( ) SWR
BUILDING 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
IV /617/1
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /
Other: 4, /1.Pi� .
Final � ��
�
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
4X PART FAIL
' HANICAL
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 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 2- � Inspector /
Other:
Final O NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 264 2--» —G U 36 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /7. — / / AM PM BUP
Location /. 3 6 Sri✓ Suite MEC
Contact Person Ph ( ) S " y - �J / PLM
Contractor Ph ( ) SWR
UI Tenant/Owner ELC
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
- ffi P Framing �[. '� L �. - ' — - -
Insulation
Drywall Nailing : I AMfL'i 1___ __ ° -arr "
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
may'
ASS 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
OS eam
Rough -In
Gas Line
Smoke Dampers
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 /2 -/I D Z. Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour - •
BUILDifef Inspection Line: (503) 639 -4175 MST ° - UD 36 " 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /2 - AM PM BUP
Location /.3 S t-t- ) d I- id.._e Suite MEC
Contact Person Ph ( ) -5 - l3( / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access. , 2— O
Ftg Drain ELR —bl�1 7
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 4• 2 i . / .4I
Other: - , — —
Final �// :)
PASS PART FAIL J U
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
OW 'o ..La
Fire Iarm
❑ Re fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
. • SS) PART PART FAIL
SIDE' Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line // /
ADA D -) r CO) ) CV, Inspector 2.. V ' 6( Ext
Approach/Sidewalk ' P � v
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 .2..-0030 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Req sted / a — (S AM PM BUP
Location / 3 i2 0 4 Suite MEC
Contact Person Ph ( ) 97' ' 9 3(°l PLM
Contractor SS , &i Pe _ Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC J�
Ftg Drain Access: ELR 2 oo(8
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
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
F ; Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
=5", PART FAIL
Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA - -
Approach/Sidewalk Date EC" 1 Q „) Inspector �� �1 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL