Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00299
,�� DEVELOPMENT SERVICES DATE ISSUED: 10/26/1999
r � ll � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11143 SW SUMMER LAKE DR PARCEL: 1S133AD -15300
SUBDIVISION: SUMMER LAKE ZONING: R -7
BLOCK: LOT: 034 JURISDICTION: TIG
REMARKS: Replace porch roof, add new garage to an existing single family dwelling.
BUILDING ,
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 14 FIRST: 0 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: • 443 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 5
VALUE: $ 15,000.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: 20
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
' MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: .PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL 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: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
TOTAL FEES: $ 443.90
Owner: Contractor: This permit is subject to the regulations contained in the
RANDY MCNEILL JTC INC Tigard Municipal Code, State of OR. Specialty Codes and
1143 SW SUMMER LAKE DR 3324 SE 57TH AVE all other applicable laws. All work will be done in
TIGARD, OR 97223 PORTLAND, OR 97206 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 51586 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
Footing Insp Exterior Sheathing InsF .
Foundation Insp Low Voltage
Electrical Rough In Gyp Board Insp
Framing Insp Electrical Final n
Shear Wall Insp Building Final
ate
Issued By : L - - `'� /% Permittee Signature : !'
Call (503) 639-41 5 by 7:00 p.m. for an inspection needed the ext business day
1 CITY OF TIGARD Residential Building Permit Application Plan Che *�
t g pp Recd By
13126 SW HALL BLVD. Additions or Alterations Date Recd e
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ' a - A9 14 i--
V 503 - 639 -4171 Date to DST `«- 345-471
F 503 - 684 -7297 Permit #/yf5r /9fq- -Wo?
Print or Type X Called F3-79 J #
Incomplete or illegible applications will not be accepted a e- w / iQ Q4
Name 'of Project Name
Job MCN-E GAfzrct ADO f) 1.01 S A Ssonecri5
Architect Mailing A
Address S ite Address Address
s (1143 Su4 Su vn wm U\ Ve b 7905 Svc gz �v1 vu
glty /Slatg, Zip Phone
Name
Owner 6 1 1 4 7 Add si A Stt fn n , In ,f'c
U �� �� V W r YY r 0� -C.1�t IGL
Engineer M a i ling Address
City /Statee Zip Phone
g
11 el �Q �' - 72.7.3 ? 50�t 60.)5. • City /State Zip Phone
General Name
Contractor 1 Describe work New 0 Addition Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit RE - c Work: � / / p 1 �
issuance, a copy City /State Zip Phone K ' C.-
of all licenses •
are required if Oregon Const. Cont. Board Exp. Date PROJECT •
expiied in t COT Lic.# VALUATION $ 1 S, 7.
Mechanical Name NEW CONSTRUCTION ONLY: .
Sub- Sq. Ft. House: p �� Sq. Ft. Garage
Contractor Mailing Address
House: /) D� 2 (k
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
•
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) _ (check one)
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.#
expired in COT I hearby acknowledge that I have read this application, that the
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 S t a ; s��
Name �Signat f r / ` ,at Dte e / • Electrical 1131 �� e J /A) t /4
Sub- Mailing Address f.. C t P son N. p
Contractor g � e Phone tiay f 6A1S167,... s
City /State Zip Phone 3 /7 ?5
Prior to permit etc ∎",�,�f,t LA ._ LUT 39' issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: MaplTL #:
required if Lic.#
expired in COT t0.7 - 3 /5153■D- 1'
database . Electrical Lic. # Exp. Date Setba Zone: �'� Solar
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF /ft
P 1/6/69&
i:\dsts \forms\sfaddalt.doc 7/28/99
ii,( p N
JAN -14 -2000 16:01 SCA SUN SYSTEMS 503 639 470B P.01/01
199ees
I' C 2e�n Fix; (o ?‘r—? -?
Co R01711Adb?r\I e l e i ' S p e r m i t 75
� � lo� `� Address! «IL'3 SW u1�ti+?.l, hat
' N .rt4ir = . FlI `
I J
" A Issued by: ,. Date: j L i — Oa
Statement: Information Notice to Property Owners
About Construction Responsibilities
. Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the ,
following statement before a building permit can be issued. This statement is required
for residential building." electrical. mechanical, and plumbing permits. Licensed
architect and engineer applicarus, exempt from registration raider ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
•
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
0 . 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
•
0 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Own - 0 . t uction Responsibilities on the reverse side of this form.
(Si .. re of permi applicant) (Date)
(White copy to issuing agency permit file, z Pm ''7r "
pink copy to applicant)
l 2� 7 ifiesilA
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION MST / o0=1- 9q
24 -Hour Inspection Line: 639 -4175 / Ct) Business Line: 639 -4171
BUP
Date Requested 4 /(1/ AM /` PM BLD
Location / 1 - 1 3 / /��'� ite MEC
Contact Person Ph a2-C77 —od/ PLM
Contractor Ph C SWR
BUILDING - Tenant/Owner ELC
' 9 Wall --- ELR
Footin Access:
undation FPS
Ftg rain •
Crawl Drain Inspection Notes• .,,,- = . a� - -- SGN
-
� ,._
Slab M `
Post & Beam /f _
Ext Sheath /Shear I
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ •'�
Fire Alarm
Ceiling `
Roof (► ,Q ���
Misc:
Fina C\ s1 l p
F PART FAIL \
P I MBING 1)
•
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
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
Approach /Sidewalk /�, /1
Other Date �f 1 V 0 I nspector C
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION W, do 199q -2 ?`l
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -7 /7-/ G a AM 1 I 0 VPM BLD
Location I I I L i ��IAIY) / itA - Oy. Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
ILD Tenant/Owner ELC
Retaining Wall _ ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain 7
Slab NO INSPECTION(S) FOUND IN FILE A qt r9f
Post & Beam ,, `` ,IT
Ext Sheath /Shear �N /'1 '(g /G d
Ina Sheath /Shear /V � - \ �, � I „ �� 8
Framing l , l.X
Insulation tl y\ / ��, -
Drywall Nailing / ' ��—
Firewall r ,� - , 4 / . 0
Fire Sprinkler V �.A
Fire Alarm L;�1 _ 5 n �
Susp'd Ceiling I (��
Roof , � // v
Misc: C2ss1"..._k, VV1�6 • " /-� t, 6....,_....-, Lit/.
= PART V �' � 1 v lN-_ -\. ' r>
PLUMBING s'l S cS - � ..5
Post & Beam $ ` n ,
Under Slab V l Q 9- � f( \ L---Lt
Top Out aa y,,, ,
Water Service G...*CJ � RJ�� ' `
Sanitary Sewer ' n a
Rain Drains `/1/` *'e�r �M O .
Final
PASS PART FAIL
MECHANICAL e_ �� �^ vvt ' _ '� ) � �S
Post & Beam &11-4-- r( 1111 `i --� �
Rough In t/vt. x. ?---1---e-s 5 41'2.-L0/O 0 . • 'iyi.
Gas Line
Smoke Dampers d 'r Vi &Q,
Final
PASS PART FAI S 1 a +a-S • �� Gtr,
ELECTRICAL
Service emu C 1 S
Rough In C p ��.�I''.J� o_ C.V 6,� w
UG /Slab Y� ,/
Low Voltage ` 1 - Q l C pntl
Fire Alarm 41) � ( 1
Final P�Q-V S (-f ivN Lk) C -t - L -- - -- G../ -c.1 �-
P ASS PART FA L J
SITE ( :Q. l - �!%W\ 6J p J2 ,
Backfill /Grading /+ am
Sanitary Sewer IT
Storm Drain . - - I 4-. :. m 'e- . :. required be o - inspection. 'ay at i ' all, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Inspector 2 / Ext (,9
Other Date >�� 6 t
Final
PASS PART FAIL DO NOT REMOVE this inspectio record from the job site.
t .
CITY OF TIGARD BUILDING INSPECTION DIVISION ® 7 q ,00297
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
PP��
BUP
Date Requested 2 /01nD AM PM > BLD
Location /1 1 13 � �,l r (A-CC Suite MEC
Contact Person S-Ft'fue Ph ato - 7 - OZ99 PLM
Contractor Ph SWR
B LDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
unda i FPS
I-tg rain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear �
Framing */J (W[. i i.uSA5C 0 IV @ MIL
Insulation ���
Drywall Nailing * /AGS -791 Q ,c/ C'h4 . 5TI z•� S�i�c �.�
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin.
I " 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
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date 2-- /0 — �Q Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST /79
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �3 AM PM / 15° BLD
Location / / ( t; s -/ 1 tl. V Suite MEC
Contact Person �S -tt Ph 2(67 'D2. 99 PLM
Contractor Ph SWR
ILDIN Tenant/Owner ELC
Retaining Wall ELR
ou ation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing /f S / Al PEC,T'on) " �n� s 1Jt1 r c
Insulation
Drywall Nailing .''oii
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
ART FAIL
BING
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
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
Approach /Sidewalk
Other Date Z. 3 - ®O . Inspector i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST /ff"—O -Z s y
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 AM PM • BLD
Location g/ it S5 w ..56 4.1 L.4ke 0r Suite MEC
Contact Person Rce, -6. Ph Lr/ 9 Y3 PLM
Contractor Ph SWR
tIiLDIN - Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain • Inspection Notes:
Slab SIT
Int Sheath /Shear ''
Oramin oLOou xef �/ i.� 5� /� .42 s o �S S CO all-
nsulation
Drywall Nailing L,6�v.�/L AJf l"0S, -
Firewall �)
Fire Sprinkler P 7 0vi .76 .41.A TIeS ` .� s
Fire Alarm
Susp'd Ceiling re, 0s,i G{W� ��c iant ( TV
Roof
Misc: Cci /"CV014-/ `j5r7-44. 5iV • ��6� �•
Final
PASS PART IL /i' S TV 4S - liGu..c.l i q --//2
Pos & Beam iLYL� !�� �,��' � �GP TG�Ic"
Under Slab ,I
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
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 •
Approach/Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r)7 /7.71
CITY OF TIGARD BUILDING INSPECTION DIVISI MSTIP79- 66 2 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 ,/ 3 AM PM BLD .
Location /1/ 13 541 5-4 64 "& L7 Suite MEC
Contact Person Ph 70 5 ) PLM
(�
Contractor '-. ( c2 / mac " Ph Z`' //.3_3 SWR
• ' I Tenant/Owner i a a , /D 4 - ELC
etaining Wall ELR
• • oting Access:
F.' ndation FPS
Ftg Prain SGN
Cra • Drain Inspection Notes:
Slab SIT
Post & =earn
Ext She.th /S ear
Int Sheat' . ' ear
lnsulatio
Drywa Naili
Firewpl
Fire • rinkler
Fir • Alarm 7 —
sp'd Ceiling
' oof of
Misc: of C. /
. :i d/
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
LE CTRICA
lab �
Low Voltage
Fire Alarm
Fina
S�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
Other Date ,3 /' a l Inspector . = Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION sT //4 000
24 -Hour Inspection Line: 639 -4175 Busines f L T� 63� 4171 0
BUP
Date Requested 3- 3 - 6 l AM PM BLD
Location / / J4-3 Sum YY7-e-cl /•Suite MEC
Contact Person Ph 79 3- 0 S?1S _ PLM
Contractor Ph 614- / / 3 3 SWR
t UILD 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 S� ' /Shear �� l
' :rGG
nsu a ion
Drywall Nailing t I Apr A-47 ,( A- C, T Ta
Firewall
Fire Sprinkler .-
Fire Alarm
Susp'd Ceiling
Roof
Misc: ,5"
Fi Z S /A-l L,
.SAS 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
ELECTRICAL
Service
Rough In [
UG /Slab C
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 _ _��
Other Date / Inspect Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 16 t1 MST 1 7T�— /
GlJ f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�
,/ BUP
7
Date Requested ` -, S AM PM BLD
Location / /1 `'f 3 -5 *fl14,tn. /G /'( D y Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain i/ 3 .4 — /.n./7 ceA — S C> v I f�i /A// SG
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 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
41 �
ervice
Rough In
UG /Slab
Low Voltage
F' e • -
fg
'ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: nable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other D 07 Inspector /�L � xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DI
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST /
BUP
Date Requested AM PM BLD
Location /// 43 S w - ;fro ..,.., 744 /'f Suite MEC
Contact Person Ph 7f3- li .C-6 S _ PLM
Contractor Ph SWR
UILD 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
'.Framin4)
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �`
Roof
Misc: 6
Fin
PAS 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
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
Approach /Sidewalk Date /� / / �/ In Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.