Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP95 -00109
yyr DEVELOPMENT SERVICES DATE ISSUED: 7/26/00
'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171
SITE ADDRESS: 09785 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: 11D1INGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 350 sf N: S: E: W:
TYPE OF USE: COM SECOND: 0 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 0 sf N: S: E: W:
OCCUPANCY GRP: B2 TOTAL AREA: 350.00 sf ROOF CONST: B FIRE RET? Y
OCCUPANCY LOAD: 1 BASEMENT: 0 sf AREA SEP. RATED:
STOR: 1 HT: 34 ft GARAGE: 0 sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: 125 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: Y PARKING: 0
VALUE: $ 19,300.00 •
Remarks: Mezzanine addition
•
Owner: Contractor:
NORTHERN STEEL INC HLDNGS LTD
6633 NE 59TH PL
PORTLAND, OR 97218
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT CJS 5/8/96 $140.50 95- 263619 Sprinkler Permit Required
Framing Insp
PLCK CJS 5/8/96 $91.33 95- 263619 Gyp Board Insp
FIRE CJS 5/8/96 $56.20 95- 263619 Susp Ceilng Insp
5PCT CJS 5/8/96 $7.03 95- 263619 Misc. Inspection
Final Inspection
(additional fees not listed here) Final Inspection
Total $522.39
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe Signature: /J /�
Signature: E �,�/� //
Issued By:
•
42 Call 6394175 by 7 p.m. for an inspection the next business day
•
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� J0 ��' �' �k��n � � ' � B UILDIWG PERMIT
��m�� � � �m��� � � � �m�N��p-��� � � � ^ |z�R IT �� : �UP95-010g
COMMUNITY DEVELOPMENT DEPARTMENT ' ' . • DATE ISSUED: 05/18/95
1moeSw Hall mw�T�w�.o�mvn 9722301e0 ��1' .
• , • , • � ` ` PARCEL: 1S12600--0141
SITE ADDRE88.. . : 09785 SW WASHINGTON SQUARE 'RD .
SUBDIVISION �^ �� . � �� � ' � ZONING: .
BLOCK. . . . �� . .`. . :' � LOT-i. . . . . �. . . . . . . g. • -
6a = . � _ ___
-_____-_____�-_- __ ,
� AEISSUE: � • ` ` . TERIOR WALL CONSTRUCTION
CLASS OF WORK. :ADD . RS 3560 .� sf N: 8 E W:
TYPE OF USE. . . :COM • • SECOND. -. . : , sf PROTECT OPENINGS?
TYPE 'OF COMBT. :5N ` r' THIR�. .. . : • '' ' sf N:' ' S: • . E: W
OCCUPANCY GRP. :B2 • •• - .350 sf ROOF CONST:B FIRE RET?oY
• OCCUPANCY LOAD:1 • . BA ENt i ' • - sf• AREA SEP. RATED:
STOR. : 1 HT. ;34� ft � GARAGE. ^/^ : •• ' sf OCCU SEP.. RATED: •
BSMT?:N MEZZ?:Y • REQD SETBACKS----.-7--- . REQUIRED------------- -
FLOOR LJAD.. .. : .125 psf LEFT: .' • ft� RGHT: • ft 'FIR SPKL:Y SMOK CET. . :N
1 DWELLING UNITS: - ' FRNT: ft REAR: ft • FIR ALRM:N HNDICP ACC:Y
I
BEDRMS: BA�:-Z: IMP SURFACE: � • PRO CORR:Y PARK I%G:
VALUE. $: 19300 ` ' � ` . • .
. � ,
Remarhs : Mezzanine addition / �'.. • . .
�` . � '
� ` • � •
1 Owner: . . ' - --- FEES ---
WI NMnR CO. , INC. ' `� ' ty e amount' by date recpt
. P.J. BOX 21345. • • . PRMT $ • .140.50 B 05/11/95 95-263619
~. ' � ' .
�
� PLCK $ 91.33 B 05/11/95 95-263619
.. .
SEATTLE 'WA 98111 .. ' • FIRE $ 56.20 B 05/11/95 95-263619
Phone �: 206-223-4567' ' '5PCT '$ 7.03 B 05/11/95 95-263619
s_........... ` ��� ` _ � . �
Contractor: -- �- '
�----� . •, . • ' NORTHERN STEEL 'INC. HOLDINGS '�
LTD. � _ |�
I .
NE 59TH PLACE - � ' •� � ' `
PORTLAND OR .97218 ' �� '. --+_-�-� � - . �
� . `
Phone #: '2'88-0155 `. '• " ` $ 295.06 TOTAL • .
Reg #..: 070332 ! �
'�
� �-- REQUIRED INSPECTIONS -------
/ �
�
This perait is issaid subject to the regulations contained- in the . Framing Insp . __________.
Tigard Nunic pal :ode State of Ore. Specialty codes and all other •,Insulat ion Insp . ____
applicable lams. All work will. bo done in accordance with _ . Gyp Board Insp
approved plans. This pmrnit will.' expire if work is not :Started ' • ' Sus p Cei lng Insp _ _____ __
within MO days of issuance, or if t;:ork is susp�dod �r core . • Final I�ns P ection .
than WO days. ' � �� � . `�. �_____.________ ____ 1...---- � • �
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• • • �
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• Issued
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- `' 'Call for ihspec�tion - 639-4175 • .
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Commercial Building Permit Application.
C ity of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
. Jobsite Address: Washington Square RD, Portland, OR 97223. ,....... :.... .. • ':<: :`'Offihe:Us�e On :: :: <::` > >:: ':.,:;::::;.. , ::: " ;... ::
Tenant: Radio Shack Suite # D 11 1 •:: ::::. .:. >. ::
ec
$19, 300.00 P f ar ic i gvi ; #J
Valuation: :.: . :: :: {:} :' .::.;.::;' ..::., :-: .
.:... .
:......::...... ...
.. •. :...:::.....:.
Owner:
Winmar Co., Inc . :
P . Box A
O o 5
Address: .
es
';� Re :: : >::�. °': � � �:.::.:..: : � 2
Seattle, WA 98111
::P •.. . . .
Phone:
206 - 223 -4567 •;::.::..::.::.::.:.. :::::.;:;::::::::.:::.:..::::.: •.::<.; ..:.:..
:::::.Other• .•:: .
-._._Contractor:...__.... Northern Steel, Inc. _ tr.____; -;::.:: ::::::•.::::::. :: :.:.,:. ..:.;::;....:.... ..:..:..
4 - T �
Address: 6633 N.E. 59th PL 5 ...)1.1
A
Portland, OR 97218 - • ; Type of const: Steel F abrication q �
Phone:
( 503) 288 - 0155 Occupancy class: ' ( l a
Contractor's License #
070832 Sprinklere • No
(attach copy of current Oregon license) Sq. ft. of project: 350 sq. ft.
Contact name & phone: Steve Stone, 288 -0155 Story (1st, 2nd, etc.) 1st CIN\t
Donald Otte, P.E. Proposed use: Backroom Storage
Architect/Engineer: Cubic Designs, Inc.
Previous use: Storage
Address: 13555 Bishops CT
Note: Plumbing & mechanical plans
Brookfield, WI 53005 must be submitted at time of
Phone: 414 - 789 -1966 building permit application.
JOB DESCRIPTION:. Pre- Fabricated, Unoccupied storage platform
(503) 288 -0155
A. g
AC Signature Phone number
Received by: 8 Date Received: S - d¢' - q..5 .--- •
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit V .5-0
g. (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 7% 03
Bldg:
Plumb:
Mech:
q/•3
Plan Check
(PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) mac! . 2-D
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
1
CITY OF TIGARD BUILDING INSPECTION DIVISION M
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
BUP fr- e/U /G
Date Requested AM PM BLD
Location Q'7s-) W4,4 S y. /L '. a4 c,.d.tu s -ec.k {Suite MEC
Contact Person Ph Z -461-7 PLM I 1
Contractor Ph SWR A, TAD
BUILDING Tenant/Owner ELC UMW
- aining Wall ELR
Footing
Foundation A cess: 1' A FPS
Ftg Drain 1‘
Crawl Drain Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing si g 0 d •
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
IFf:;
in
PART FAIL
B ING
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
BackfilUGrading
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 (�
0
Approach /Sidewalk Inspector Itor �'J `
Other Ext
Final
• PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
UNIT NO. 010148 CORPORATE CHECK NUMBER: 100558117
VENDOR NO. 0000159893 . P 0 80k 1052 FORT WORTH TX 76101 CHECK DATE: 08/11/2000
817 -415 -3454 CHECK AMOUNT: $2,925.00
INVOICE 'VOUCHER' STORE GROSS DEDUCTION CODE NET AMOUNT
00037192 010148 2,925.00 2,925.00
SETTLEMENT OF VIOLATION /CASE 40400 -02 /D KET4200- 17081/TDF
TOTAL 2,925.00 0.00 2,925.00
p
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, hour God , r (� o v _ /®�d °las
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koWY5 9r N! S! B►� Cui c
1u v>
,4 ,0 141'447 , 0 `
IN /�L t�n
cefi,,
PA VIII
DEDUCTION CODES: 01 PRICING ERROR 06 QUANTITY CONTESTED 23 SPECIAL CHARGE NOT AUTHORIZED
38 SERVICE INCORRECT 54 FREIGHT DEDUCTED 55 TAX DEDUCTED 76 CASH DISCOUNT 79 COOPERATIVE ADVERTISING
97 HANDLING CHARGE 98 LABOR CHARGES 82 REBATE E3 WITHHOLDING
nntnn4
165, tat_ j)_
FILE COPY
Puimemaid
Rail() sLia_A
Customer Receipt
CITY OF TIGARD Printed: 08/14/2000 15:29
User: front
Station: 02
Operator: DLH
Rcpt No: 0004475 Date: 08/14/2000
Customer No: 000000 Amount Due: 2,925.00
Name: RADIOSHACK CORP. Cash: 0.00
Address: PO BOX 1052 Check: 2,925.00
FORT WORTH, TX 76101 N/A 0.00
Change: 0.00
Type Description Amount
BUILD Building Permit 2,925.00
0/ /ooSSP //
G�u���-ooio 9
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP y5 — /09
Date Requested ) AM PM BLD
Location g70- . 5 a - 5Q Suite D —// MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain l/� ,, r O SIT
SGN
Slab
Crawl Drain Inspection Notes: / IX�r(t�l 1 "- CD M �1 4
Post & Beam �^A
Ext Sheath /Shear . ' fie- - ..' ✓1 all/(/' all/(/' f tto LA4 — )/ C�
Int Sheath /Shear
Framing
Insulation /105,,R; ` ,�' w t) ,
Drywall Nailing e 1;4 d 1 /� � 4
Firewall t d
Fire Sprinkler 1 /� is► //_ J�_.L ., / 7
Fire Alarm ' /
/
Susp'd Ceiling ' z- / / 44 / �' l ,/ i/ I �/
Roof % I / r
Misc: i�'('; / s ,e,-,,,, c e
Final .
PASS PART FAIL
PLUMBING / 'I /i
Post & Beam '
Under Slab r ,_ CO / CC Top Out �
Water Service
Sanitary Sewer ,2. / _ 0
Rain Drains f a a/V /41.e,-, 10 ! ��� � J 7 €.�d! ed( -
Final
PASS PART FAIL ��) 4 / � / •-
t24/ KW 01/f2 eR4 v /�. u i 7 4,29 MECHANICAL / � Post & Beam 7%.4,14 4 r'/ d�>i
Rough In
Gas Line •
Smoke Dampers f 1 II / 47, Ai fit, e / I/0// ' 411
Final
PASS PART FAIL j) / g 4 e_ 13s " - �1 �
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 II for reinspection RE: [ ] Unable to inspect - no access
ADA /
Approach /Sidewalk / S 0 E % ��
Other Date Ins pector /� FFF���///
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP qs -001 7
Date Requested AM PM BLD
Location 9) gS IA)a-S k) • St? 14AJLLd Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UIL ING Tenant/Owner Po k o S //OVA ELC
Retain niam g Wall ELR
Footing
ds
Foundation NOT REQUESTED FPS
Ftg Drain j FOUND DURING RESEARCH SGN
lab I Drain
s NO INSPECTION(S) FOUND IN FILE
SIT
Post & Beam
Ext Sheath /Shear ►' Zq "�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof
Misc:
ASS 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
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 CD c/5— OZPI
9/H AP Date Requested //— /0 AM PM BLD 11
Location T 785 (5W Gc�� /�—C� Suite MEC
Contact Person Ph PLM
Contracto /.o1A ! F Ph d'� p p � 0 1 SWR
A t ea& ' BUILDING Tenant/OwnerLQ, ELC
Retaining Wall � ELR
Footing Access:
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam '� / } ��, n ,t / 23 4 7
Ext Sheath /Shear (/(/ ' `� l� (O 'b�oC JW
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
S 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 P
Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job.site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
Date Requested l f Z AM PM
Location SA' 0.14•5 A 5/, (941 k (Cl S uite C
Contact Person S Ph 4s 2 ) . 5 f v —9 IJ LM _
Contractor Ph (0 4-7-1 2- 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
IGEMEallipm, ) 7/ aid" I
Firewall
re Sprin (T[Er>
ire Alarm ( �� /„ ky � a& (17-›A--s
C usp'd Ceiliny� J� ! U�J �/�!//
Roof
Misc:
Final /� � ze-pt
PASS PART I — �(�f h-P� C'�O GT L /r /J
PLUMBING 20 (%� G��) War ,s �.
Post & Slab 0 fi e_e_ C9+iJ
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
Other oach /Sidewalk Date -00 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 171
BUP frS .G /Oy 7
9 72‹ Requested 3 / AM PM BUP agaL- L190,;)-I t '
Location 9-crf 541 Gve,si (Ra Sti 4 ch) Suite p -) / MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner .,Q4 4 /, ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear -
Int� She �� i
su ation �J 7
Drywall Nailing
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'
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 - f l 0 •
Other Date I nspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection recor. . from the job site.
cITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 6 -4171
!o —eo BUP qc 040/.09 T'
Q Date Requested AM PM Bup , C)12 i5
Location 9?t' tO h 5 // (� Suite MEC
Contact Person `l �� Ph PLM
Contractor Ph SWR .,
BUILDING Tenant/Owner • ELC 1
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 / - /i/ —, 0 i ! ) 44 ' ' i o / 5
Firewall
Fire Sprinkler
Fire A arm nr ' D q , -- oo/n� � �w ��r.0 `� 1P/
usp'd Ce'' K / / g" yu ' / � Roo f W 1 7 (/(4 /rf/ w%% ��J z.<4 —
Mi )
f P� A� PART FAIL ) 4
r, 1 ` l 7 74 K . m Z g s7 a-,,,(- /(
PLUMBING /144/F; �� 1/ - 014IG� .
Post & Beam �� 2/l 4f /1' C
Under Slab
Top Out
Water Service
Sanitary Sewer 104/%;4 ' r j,/
Rain Drains
Final
d (/ � !'�'� J �,
PASS PART FAIL /4 1 / l � •/ � 5/ ' , e _
MECHANICAL
Post & Beam
Rough In
Gas Line Y.
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL 9 /v
Service
Rough In 1
■ 6,
UG/Slab P
Low Voltage
Fire Alarm
Final �,U�►� �10
PASS PART FAIL d' y"`
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 ` 7 I ns ector Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
(11MP RTANVMESSAGE)
S.
FOR
DATE • 7- 0 TIME A.M. •
P.M.
M ,ZWA/". (..//-1/110 )
OF
PHONE 7 / 7
AREA ODE NUMBER EXTENSION
*--..TE1..EPHONED! , .
4 A
;CAWJETO.SEENO. %WILL CAU.:AGAINi AVA1P
MWANTS, SEENOLI.qAvg
eAr;q'
MESSAGE
6tA40 • /
..t. - A' .. -'
/
_ IL 0 ...
SIGNED
LITHO IN U.S.A.
TOTAL OFFICE PRODUCTS TOPS 3002-S
and printers, inc. 228-2395
NOTES
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O- Phone):639- 41.75 Business Phone: 639 -4171
- Inspection: '
Fooling Susp. Ceiling Sprink: Rough -in. Appr /Sdwlk
Foundation. Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct: Plbg. Top Out Elec. Rough -in FINAL:
_ Post /Beam Mech.. - San. Sewer -Gas 'Line - .4Idg. -. . - -
Plbg. Underfloor _ Rain Drain Framing - Plumb'.
Alarm - Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd.. - Elect.
Date Requested: / /�4,e7-�� Time -AM PM
Address: 2
Builder: - Permit #: 5�16> /e
THE FOLLOWING CORRECTIONS ARE REQUIRED:` .
_ _
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Inspector: L/ Date:
APPROVED y61SAPPRO. ED _APPROVED SUBJECT TO ABOVE
Call For Reinsp:
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: .rtatx-A/
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out • Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall. Gyp. Bd. - Elect.
Date Requested: /' 1-6 Time AM PM •
Address: 9 7 f £ Jo`. -
Builder: Permit #: ��- ��D 9 -
THE FOLLOWING CORRECTIONS ARE REQUIRED:.
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Inspector: 1" Date: //-2-es - pcs'
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE . •
_Call For Reinsp.