Permit '1
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00197
m- t ' yA, DEVELOPMENT SERVICES DATE ISSUED: 7/20/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12051 SW WHISTLER'S LP PARCEL: 2S103CC -14600
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5
BLOCK: LOT: 093 JURISDICTION: TIG
REMARKS: New SF.
BUILDING
REISSUE: DM194 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,625 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,695 sf GARAGE: 588 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRO sf RIGHT: 5
VALUE: 321,869 80
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,320 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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 FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st 1M0 SVCIFOR: 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 +amp6-1000• 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 S1GNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,512.40
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC
4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 Tigard other Code, laws of All work kwil Specialty done in
STE 100 LAKE OSWEGO, OR 97035 and all other applicable laws All work will be done in
LAKE OSWEGO, OR 97035 • 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.
Phone: 503 387 - 7538 Phone: ATTENTION: Oregon law requires you to follow rules
387 7 3g adopted by the Oregon Utility Notification Center. Those
Reg #: iq 355533 rules are set 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
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Gyp Board lnsp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line lnsp Plumb Final
Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation lnsp Water Service Insp Building Final
Issued By : •../ - :� � _ Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
r
' Building Permit Application FOR OFFICE USE ONLY
City of Tigard and f r �C 1 ` , : ° r n• Received y� p
� ;� / Y
Date/By. / o f ,$3 Permit No.: M g [�� c �
13125 SW Hall Blvd., Tigard, OR 972232 , � - Plan Rev w
Phone 503.639.4171 Fax: 503.598.1960 1 � '1 Other Permit E 44 —CO At
�"I'l�f �l I Date/By b 7. 2c) - O y V
Inspection Line: 503 639 4175 16 JL �a' ^ . -, Date Ready/By: Jura el See Attached Checklist for
Internet: www.ci.tigard or.us L Notified/Method: T I Q Supplemental Information
Cf I V O I ICMRJ
' _ :.+_ 'Y,PE'OF vI} lc:'i \1 REQUIRED DATA: 1- AND 2-FAMILY DWELLING
�Q New construction El Demolition Permit fees* are based on the value of the work performed.
V Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building CI Multi-family Number of bedrooms: S
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: P"--
Job site address: 1 ,,k v`•' " t� I p • New dwelling area: square feet
City/ State/ZIP: O V bp Garage/carport area: 5 square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ' l u U4A, 71E-r--. Lot no.: v J Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
. PROPERTY OWNER ❑ TENANT , Number of stories:
Name: 1/(4 G Type of construction:
Address: c) (1 GT aj( l �„ )00 Occupancy groups:
City /State /ZIP: Lb�l�i a ` p I VI` q 70 35 Existing:
� j Existin g:
Phone: (a)/'5) �j� ^ /' %�2) Fax: ( l�j) .3i1'7._ 7 / /5 New:
❑ APPLICANT ❑ CONTACT PERSON '
NOTICE
Business name: '3 1M e j f e� All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
•
Business name: F-1,� P peove. BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Phone: ( ) Fax. Fees due upon application
( )
Amount received
CCB tic.:
���' _, Date received:
Authorized signature: / '- �"',,- C•�It.� This perm application expires if a permi is not obtained
1 I �� UM G4 ee methodology l ogy set b yt has ou Building g I n ust ylete.
Print name: 1 ' 1.� ` i -- Date: �� /// ( //.�/./ * Fee methodolo set by Tri -County Buildin Industry
Service Board.
t\ Budding \Permits \BUP- PermitApp doc 12/03 440- 4613T(1 I /02/COM /WEB)
,Electrical Permit,Application FOR OFFICE USE ONLY
City of Tigard "' , ' " ' ' �� Received
g DateBy: Perot No.: m6 r no4 -
13125 SW Hall Blvd., Tigard, OR 97223 r n Plan Review I.1 d`VV �/
Phone. 503.639.4171 Fax: 503.598.1960 L ,," , �� "'�' 'ilKi�' ' Date/By: Other Permit:
I Line: 503 639.4175 '''I I Date ReadyBy Juris El See Page 2 for
Internet: www.ci.ti ard.or.us C ' ` • ° ' fied/Meo: Supplemental �L ` � mss_ :: - .,+, �- .•1 Notithd PP lemental Information
' - ri'OF 4 PLAN REVIEW
New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l El Hazardous location
Service over 320 amps – rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ❑ Feeders, 400 amps or more
❑ Multi family 0 Master builder 0 Other:
['Occupant load over 99 persons EManufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 2, Job site address: i l A v 2�S ❑Health -care facility ❑Other:
L Submit 2 sets of plans with any of the above.
City /State /ZIP: — (p l The above are not applicable to temporary construction service
Suite/bldg. /apt. no.: J 1 Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: -�Z�� Q�� \M�, K- Lot no.: 0 7) Ea add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: "�� ✓ Limited energy, residential 75.00 2
Limited energy, non - residential 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106 85 2
� t 5 . 1 -V vLO
401 amps to 1, 600 amps
am ps 240.60 2
160.60 2
Name: 601 amps to 1,000 amps
— I t� w l J� lLuU� �- l co Over 1,000 amps or volts 454.65 2
��
Reconnect only 66.85 2
� City /State /ZIP: � U! (/G/ i f70 Temporary services services or feeders installation, alteration, and /or
Phone: ) -2.----7
Fax:��) — .7((S relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits – new, alteration, or extension, per panel
' ❑ APPLICANT ' ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone. ( ) Fax: : ( )
Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail. Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: CA--\\.3 Q,L.�,`� / J
Address: w C w u ,� I s l L r� 7 Each additional inspection over allowable in any of the above
1 ' Per inspection 62.50
City /State /ZIP: I (4A ( q") - 3 Investigation per hour (I hr min) 62.50
t V Fax: J Industrial plant per hour 73.75
Phone: (5 LH /oq ']. (
)
v �/ � /
� ELECTRICAL. PERMIT FEES*
y
CCB Lic.: 0 _ Electrical Lic C1 Suprv. Lie.: 3= " A;9 " Subtotal
Suprv. Electrician signature, required: — � Plan review (25% of permit fee)
Print name: 1/ /� / t;,_,f State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i \Buildmg \Permits \ELC- PermitApp doe 12/03 440.4615T(I0 /02 /COM/WEB
Plumbing Permit Application_ ,' �� 'v,/ FOR OFFICE USE ONLY
City of Tigard Received Permit No.'rn p 1,-6 /Q
13125 SW Hall Blvd., Tigard, OR 97223 t. fl(} Date/By.
�Si Plan Review
Phone 503 639 4171 Fax: 503.598.1960 /44070 I +r\ Date/By: Other Permit No.
24- Hour Inspection Line: 503.639 4175 i-." I V O , � t L I. Date Read y /B y Jun 0 See Page 2 for
Internet: www.ci.tigard.or us , -
Cijit IliiVrt _ );W,:ztnif i Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
FLN construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 00 f7 I /Li k Lp, Catch basin or area drain 16.60
City /State/ZIP: Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: k
S WOA -� I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Al; OWNER I Dunking fountain
Ejectors /sump 16.60
Name: , , A 77
❑ TENANT
` 16.60
/� �(Jv`'1 Expansion tank 16.60
Address: 1 I,2 , za.. . 5?-, 1 CD Fixture/sewer cap 16.60
City/ State/ZIP: (�J OF- N 5 Floor drain /floor sink/hub 16.60
Phone: ,) �j�7 7 0 .-b Fax: ( }2, 7 '7(o(S Garbage disposal 16.60
❑ APPLICANT . 0 CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value. $ ) Page 2
Address: Primer 16.60
City / State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16 60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR, . Water closet 16.60
Business name: V s ? `J1'y ' � , t ( �( Water heater 16.60
Address: 1 ✓\ Other:
City /State /ZIP: .C�c:l�-G Subtotal
- 3 ` ( Minimum permit fee: $72 50
Phone: ) 5 ) `� � Fax: ( ) Residential Backflow minimum permit fee: $36.25
CCB Lic.: l (:) ----) miii Bing Lic. no.: ? . 7 -• izt'1/.')J�j Plan review (25% of permit fee)
c � . �� - � State surcharge (8% of permit fee)
Authorized signature. t
TOTAL PERMIT FEE
Print name: ..... 1 � V Date: 5) V This permit application expires if a permit is not obtained within
V 180 days after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board
I \Budding \Permits \PLM- PermitAppdoc 12/03 440 -4616T(10 /02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received c ^�-�/
Date/By:
Review Permit No : J�d,fl � /.__ &a /19 13125 SW Hall Blvd , TigardOR, 7223- \, r = �
Phone: 503.639.4171 Fax 1503. 960 ' / 01'P� I ir Date/By: Other Permit:
Inspection Line: 503 639 4175 _di,- to I Date Read /B Juris
Internet: www.ci.tigard.or.us � �� --� Ready /By. See Page 2 for
g 4 Noli f ed/Method: Supplemental Information
. tYPE' )RK . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
• t `� ' '�'' ` Mechanical permit fees* are based on the value of the work
New con struction Addition /alteration/replace performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY ' OF CONSTRUCTION Value. $
El I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION - Heating/cooling
Job site address: I PO 1 Air conditioning or heat pump
/' _ (requires site plan showing placement) 14.00
City/State/ZIP: Cit 14.00
y I U Y�— Furna 100,000 BTU (ducts/vents )
Furnace 100,000+ BTU (ducts/vents) / 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work / 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
)y in -wall, in -duct, suspended, etc. 10.00
I„ ��� WAS I A fly ��/ 2 Flue /vent for any of above / 10.00
V � / �, /(
Subdivision: Lot no.: `'�
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater / 10.00
Gas fireplace / 10 00
Flue vent for water heater or gas
fireplace 2 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
- PROPERTY OWNER n ❑ TENANT Other: 10.00
Name: \ V`Vi y-y � / Environmental exhaust and ventilation
Address: N . ID Range hood /other kitchen
equipment / 10.00
City / State/ZIP:
` ( a q )���� // Clothes dryer exhaust / 10.00
r .CJ/� � �j�j 7 to 1 J Single-duct exhaust (bathrooms,
Phone: . �" Fax: ! toilet compartments, utility rooms) ...2 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10 00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. /
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater /
E -mail: Fireplace /
Range
CONTRACTOR Barbecue
Business name: (.1 J c� 6 ` N 4 a Jn Clothes dryer (gas) I
�o , J • �' Other:
Address: L I
MECHANICAL PERMIT FEES* ct o
City /State/ZIP: /\ j \j\ ` q - 201 .4 ,5 Subtotal r
V Minimum permit fee ($72.50)
Phone: ✓7 I Fax: ( ) Plan review (25% of permit fee)
CCB lie.: �.7) State surcharge (8% of permit fee)
/�� ' ire TOTAL PERMIT FEE
Authorized signature: - �IX/i� This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: � , ,' I Date: Li 1064 * Fee methodology set by Tri- County Building Industry Service Board
I\ Building \ Permits \MEC- PermitApp doe 12/03 440 -4617T (I I /02/COM/WEB)
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CITY -OF TIGARD 24 -Hour
- C` lbU1LDING Inspection Line: (503) 39 -4175 * MST (1-66
INSPECTION DIVISION Business Line: (503 39 -4171
BUP
Received Date Requested le —1 A PM BUP
Location 0 57 L4) /1-- Suite MEC
Contact Person Ph ( ) Po — 1 7 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 . �� I[� F M 1 741 7
Drywall Pe Dryll Nailing ,-
Firewall —
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling =
Roof
• ler:
PART FAIL - - tor, 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
Fib
PART FAIL
RICAL
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 ( Inspector. _ .� Ext
Other:
Final DO NOT REMOVE this Inspection roc -d from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST v 1,0 U — ' °D 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /Z /° AM PM BUP
Location / DS 1 Suite MEC
Contact Person 63 Ph ( )4=ZO 9 — e 3 7 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
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:
V'
- S 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 0 Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line -
ADA Approach/Sidewalk Dat / 0/I r Inspector ' 972-1 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line :'i c1 03) 639 -4175 MST C > O / — D / 7 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / r 7/ AM PM BUP
Location / oZ D . / (' Suite ��y MEC
Contact Person Ph ( ) ° 9 �7 ? J? 7 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
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 /V° L A-
F i r Alarm
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
ADA /Q 1 Q , . /
Approach/Sidewalk Dat Inspector Ai r Ext
Other:
Final DO NOT REMOVE this Inspection record from the Jo • site.
PASS PART FAIL