Permit BUILDING PERMIT
CITY OF T I GA R D
PERMIT #: BUP2000 -00236
� i� DEVELOPMENT SERVICES DATE ISSUED: 7/5/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BA -00102
SITE ADDRESS: 10218 SW WASHINGTON SQUARE RD
SUBDIVISION: OMBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 58 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 100,000.00
Remarks: Interior tenant improvement to turn existing Pizza Hut into a Starbucks Coffee.
Owner: Contractor:
PPR SQUARE TOO LLC WESTERN CONSTRUCTION SERVICES
BY MACERICH COMPANY 4612 NE MINNEHAHA ST
ATTN: JANET FISHER, ASSET MGMT PO BOX 5768
S rn no n eMONICA, CA 90407 V_PlnoOUV , -5 i 68
Reg #: LIC 00063717
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK DEB 6/27/00 $431.60 0003290 Framing Insp
Gyp Board Insp
FIRE DEB 6/27/00 $243.75 0003290 Susp Ceilng Insp
PRMT DEB 7/5/00 $664.00 0003441 Final Inspection
5PCT DEB 7/5/00 $53.12 0003441
(additional fees not listed here)
Total $1,414.32
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.
Permite �
Signatur •
Issued By: • O
Call 639 -4175 by 7 p.m. for an inspection the next business day
�'` 6- 73G ab
CITY OF TIGARD Commercial Building Permit Application Recd By .
13125. SW MALL BLVD. Tenant Improvement Date Reed •60 - l!v •C
Date to P.E. , - ' -00
TIGARD, OR 97223 Date to DST /� �_;r hi 639 -4171 Permit # / :.� o -•G
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project s-pp���S Co Existing Building] New Building ❑
Job WP.SNIt.IA,Tt !Zvi - rocs
Address Street Address Suite Building
1 0213 e-0(.0 wProt -L sck C- 4 Data
Bldg # I Ciity /State Zip Existing Use of Building or Property:
l I IGIA2'o Wl► gCST — ?t2Zh, 11JT
Name •
• Proposed Use of Building or Property:
Property - 1 - Y'IAc lz-tc_A.1 C.. .
Owner Mailing Address Suite T-cS- — e:, 1k - -s
1 2- Yitzoaawy.` ?u'zP. No. Of Stories:
City /State Zip u�� Phone I
q
(A)pi.KJ7T C.g.r. lL 6.4. 6 12.5. 6 131 • Aol Sq. Ft. Of Project: 2 1 --
Occupant Name
G J - r'�e - - ovc-IS C0r Occupancy Class(es)
Name Loss M ERO C c 4E CAL
_Contractor _ - 41 _ Type(s) of Construction
Prior to permit Mailing Address Suite 11 = Sr
issuance, a copy 4(1,12 we mla,•t�►M.N►. Will this project have a Fire Suppression System?
of all licenses Yes - No El
are required if City /State Zip Phone A mericans with Disabilities Act (ADA)
in C.O.T. VP.nI(zooetZ W A Scoo - 6 9 I - ( )
database ciSc1,co 53\ Valuation X 25% = $ Participation ,
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
1 41 `'22 'b y Project $
Name Valuation �� ���
Architect '1 Buc-,4 C,o E Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
ZA p1 t>TS», kV E S 5 1.41. 'Fi .00ct
City/State Zip i Phone I hereby acknowledge that I have read this application, that the information
�ea T'
•rsc eta R2 L"o Loc. Loc. - _ given is correct, that I am the owner or authorized agent of the owner, and
I51-5 that plans submitted are in compliance with Oregon State Laws.
Engineer Name
SigA.., of n • / • Date
Mailing Address Suite / / • (O - I • CID
Co • act Pe on Name Phone
City/State Zip Phone c DTEVS e l�cc.-
FOR OFFICE USE ONLY 2010 (� 2 (o 2'�`�
Indicate type of work: New 0 Addition 0 Demolition O Ma/TL# Land Use:
p
Accessory Structure 0 Foundation Only 0 Alteration t 45/358/9' — 00/
Repair 0 Other 0 Notes:
Description of work: 1 t.1TG¢,o1g_ -1-.0_14.11.1,i-r- iMY AIEMQJ
- To 'TJ¢.e.L SST. Pizzo. 1.7s 1■4 A. STAP- F•.) r,4g TIF: -
Gor
-. 3u PPLa 61 5/5 / . v 'C f - LS 4 3 /
Note: Site Work Permit Application must precede or accompany Building 7 5 N 2 � [L y a � ,�5
Permit Application r tJ 3' �J
��5
/
I: \COMNEWTI.DOC (DST) 5/98 I
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
pphcation For an 1edncaI submittal, the application must contain the
•
'' ''' iipotiiiiibiiiiftahDrirlow.-paitA.NOW:ppyp.
146641*:° the supervising e1ectrtoiat before plan rnvtew win be codu
fto:i :61
additional plan sets for Totalof
• '
KEY:
................
Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
-
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
...........................................................................................................
NOTES:
,
I: WstsIforms \matrxcom.doc 11/10/98
•
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ I CEO i - 0O 0
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 25 00.0
• - In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order: --
(a) Parking $ A'- a - iD.4
(b) An accessible entrance: $
(c) An accessible route to the altered area: $ At.,ee
(d) At least one accessible restroom for $ 10 Ov
each sex or a single unisex restroom:
(e) Accessible telephones: $ 1.1)1 - tJo "P►-kv S
(f) Accessible drinking fountains: and $ 1111-- .b -
(g) When possible, additional accessible
elements such as storage and alarms: -$ P-e �� ►S
'Bc�1 SOL:r Tp gE
TOTAL: Shall equal line 2 of Value Computation
is \dsts \fortes \access.doc
. . G 0 - Co 3 C
06/01/00 THU 18:10 FAX V) 002
Form 2a Project Name: 'rAQ _ Page:
SUMMARY
ploject 1. Project Name Si.". C _
/02112, ��99 _ .ANC /Ati1
2. Project Address k� GvA s ff eA. 4 77D AY Q
3. City/Town 4 , c A pn 5. County I
4. Building, Gross Area (ft 214 6. No. of Floors
Chapter Type ID Description Attached
Attached Building Envelope Form 3a Building Envelope - General ❑
Forms and 3b Prescriptive Path -- Zone 1 ❑
Worksheets 3c Prescriptive Path - Zone 2 la
check boxes to 3d Simplified Trade -off (Use c cvnw;lama) ❑
fOnne and indicate attached Worksheet 3a Well U- factors ❑
wodceheets. 3b Roof U- factors Cl
3c Floor U- factors Cl
Systems Form 4a Systems - General ❑
4b Complex Systems ❑
Worksheet 4a Unitary Air Conditioners - Air Cooled ❑
4b Unitary Air Conditioners - Water Cooled CI
4c Unitary Heat Pump - Air Cooled ❑
4d Unitary Heat Pump - Water Cooled ❑
4e Unitary AC & Heat Pump - Evapordtively Cooled 0
4f Packaged Terminal Air Conditioner - Air Cooled ❑
4g Packaged Terminal Heat Pump - Air Cooled ❑
4h Water Chilling Packages - Water & Air Cooled a
41 Boiler- Gas -tired & Oil -fired ❑
4j Furnaces and Unit Heaters - Gas -fired & Oil -fired ❑
Lighting Form 5a Lighting - General Er
5b Interior lighting Power - Occupancy Method lii-"
5c Interior Lighting Power - Space-by -Space Method ❑
Worksheet 5a Interior Lighting Power lie
5b Lighting Schedule I
5c Interior Control Credits C
Applicant 7. Name 06 LA/Ur:4420M 10. Telephone &(L/- Se- a 32;:
8. Company r &I _ I Al - 11. Date &V/ /00
9. Signature
11
Attached No. of Pages Description of Document
Documen- - -- •.
tation 0 .�Nr ato,f2 4 f 1 8UP 6T .
II
(1 OM) Forms 2 -1
06/01/00 THU 18:10 FAX 0 003
Form 5a Project Name: g2)3,0CV5, Page: j
LIGHTING GENERAL
1. Interior Exceptions (Section 1316.1)
❑ No Interior Lighting. The building plans do not call for new or altered interior lighting. Skip to
Item 4, Exterior Building Lighting — General, below.
Exceptions C" Exception. The building or part of the building qualifies for an exception from code lighting
requirements. The applicable code exception is Section I3ILQ.1, Exception(s) 15 l'I .
Discussion of
i
Qualifying excep• Portions of the building that qualify: p nlTi RE SPE
Vans on pogo 5.7 •
2. Local Shnt -off Controls (Section 1316.1.2.1,1)
CY Compiles. At least one local shut -off lighting control for every 2,000 square feet of lighted floor
area and for all spaces endosed by walls or ceiling height partitions. This control(s) is detailed in
Exceptions the building plans on drawing number _ ��, . 0
D,, of 0 Exception. The building or part of the building qualifies for an exception. The applicable code
qua/dyingexcep- exception Is Section 1316.1.2.1,1, Exception . Portions of the building that qualify:
lions on page 5-a
3. Office Controls (Section 13161.2.1,2)
Tr, Not an Office Occupancy over 2,000 square feet.
❑ Complies. All interior lighting systems are equipped with a separate automatic control to shut off
Exceptions the lighting and lord override switching. These control(s) are detailed in the building plans on
drawing number
Din of
we/lying excep. CI Exception. The building or part of the building qualifies for an exception. The applicable code
dons on page 59 exception is Section 1316.1.2.1,2, Exception . Portions of the building that qualify.
Definition - -
EXTERIOR 4. Exterior Building Lighting General
suiLOING l la" No Exterior Building Lighting. Skip the rest of this form.
c/GM7NG fa lighting dlecl+ad to C) Compiles. Complete items 5 and 6 below.
illuminate the .. �
exterior lding 1 p11e 5. Exterior Building Lighting Controls (Section 1316.1.2.2) and
adjacent walkways 0 Compiles. The building plans require that all exterior building lighting is equipped with automatic
and lo without awes controls described in Sec. 13161.2.2. These controls are detailed in the building plans on
with drawing number
❑ Exception. The exterior building lighting is intended for 24 -hour continuous use.
6. Exterior Building Lighting Power (Section 1316.2.2)
❑ Complies. The plans do not call for incandescent lamps greater than 10 Watts for use in exterior
building lighting.
❑ Exception. The building plans indicate luminaires with incandescent lamps greater than 10
Watts, but they are 5 percent or less of the total installed exterior lamps. Total number of exterior
lights . Total number of exterior incandescent lights
(6/99) Forms & Worksheets 5 -1
3
06/01/00 THU 18:10 FAX 21004
Form 5b Project Name: Snq(L v Page: '1
INTERIOR LIGHTING POWER - Occupancy' Method
(a) (b) (c) (d) (e) (f) (g)
Lighting Max
Budget Power Lighting Power
•
Floor Density Budget
Group Occupancy Use Area (ft (W/tt ((c-d) x e) + f
Retell or If area is less than 2,000 tt enter 0 3.4 0
Me.ohendlae area in (c). this row
(Group M ont') M If area Is between 2.000 and 6,00 a 2 2 6 ��
ft enter area in (c), this row , F
If area exceeds 6,000 ft enter 6,000 1.7 16,800
area in (c), this row
(a) (b) (c) (d) (a) (f) (9)
Max
other Occupancy/
Use Types Floor Power Lighting Power
See page 5-11 for Area Density Budget
hasiflicakna Group Occupancy Use Ceiling Height (tt (W /ft d x e
under 15 ft 2/US ) . q 001,5
RETAt L 15 ft or more
under 15 ft
15 ft or more
under 15 ft
15 ft or more
under 15 ft _
15ft ormom
1. Total Interior Lighting Power Budget (Watts). Add amounts in column (g) I Z'4 -1 O
Track 2. Total length of track lighting (ft) 1 0
Lighting -
3_ Multiply fine 2 by 37.5 Watts/ft 31
4. Amperage of circuit breaker serving track lighting (amps) 7_0
5. Voltage of circuit breaker serving track lighting (volts) 17 0
6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) 2. Li 00
7. Track Lighting Power (enter smaller of line 3 or line 6) '3 S
Building's 8. Track Lighting Power from line 7 w .51 5
•
Lighting 9. To Interior Lighting Power from Worksheet 5b + 4
Power
10. Total Control Credit from Worksheet 5c —
Total Adjusted Lighting Power (Watts). 1
11. Add lines 8 and 9, subtract line 10 - L j I (, t_
Does design meet budget? l-
12. Enter °YE° if line 11 is not greater than line 1. Otherwise redesign.
5 - Forms & Worksheets (6/99)
•
4
•
• 06/01/00 THU 18:11 FAX el 005
Worksheet 5a Project Name: 1 , i 2 #aL)c k P age : !.. f
LIGHTING SCHEDULE
Lum. ID is bra (a) (b) (C) (d) (a) (t)
identification
number or letter
used or your plena Lamp' Ballast Luminaire
or specification
Lum. Power
'Enter the number ID Luminaire Description No. Description No. Description (Watts) 5b
and type of imps in _
the 5b P PIA/PAA/ L6 35 .1 ?(
lamp codes. � /vo %1. � • C�F32�D� \ 6
=Enler the number B • Patty, r F 4ao4. l CF32 I C 35 X
and type of ballasts ot C SO ec'i„c t tolc6tz 1 /xow 1∎;616 / Z X
in the fluorescent and "' 1
high t� ensity 1) 12ae 1A 1 So Paz2o 1 ( C- 5'S X
" ', are: ReecSs6D � d lic„�r l 6F 1 6►.EC`C' 6 L X
M Standard
F 1.1/. PnlDA 1 _12vC7V5o 1 G �� 5s X
•hf.AG EE for R SSED • . ; fi I QSC M V. tv 61,6 5
Energy Efficient
Magnetic
r - P• _lo , 1 00 A2. E■0/46 I CO
•ELECT for
Electionic I Pe o Auar . 3 >±3a. 1. Cic.T 9 Z XC
See Table 56 for -.
other ballast %) Nall ..50,014C0E" 1 (1SMR14 1 GL& r 32
abbreviations. ,
1
•
- 1
5-4 Forms & Worksheets (10/96)
5
,
06/01/00 THU 18:11 FAX (I006
Worksheet 5b Project Name: ' E j - 2. �. Page:
INTERIOR LIGHTING POWER
'Enter the quantity (a) (b) (c) (d) (e) (f)
for every non -
exempt luminaire. Luminaire Lighting
Do not consider Room or - Luminaire Quantity of Power Power
track lighting on this
worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e)
•
lighting Is so- " !'
counted for on 61.0 s ).1.6s AQ.Ep, A 2 `5 -- IS
Farm SA •
G W 12° ` (60 •
_ 6 17 7 6S5g5,
3 55 I (p
10 5 SS°
k 1 Z loo 1200 .
1 g2 1 _ 1144 .
J I Q2l )Z
•
■
F Additional pages
maybe necessary if ' . " -
b uiIo ' g lies in " 1. Page Total. II
`rains pie" there ll
are tines on this T the amounts in column (f). Add the sum of all pages on Form 5b, line 8. ` S \
.
form.
_ II
(i 0r98) Forms & Worksheets 5
6
J 06/01/00 THU 18:11 FAX 2 007
Worksheet 5c Project Name: E Tp%2. _ S Page: ,
. INTERIOR CONTROL CREDITS
Definitions - ( (b) (c) (d) (e) (f) (g)
LUMEN MAINTE # Of Control
NANCE CONTROL
A device capable of Room or Plans Luminaires Luminaire Luminaire Control PAF Credit
maintaining Designation w /Controls ID Power Code Value (b) x (d) x (f)
preset illumination -
level by automat - callyadjustingCre NOIll , .
Iwninehe power.
DAYLIGHT
SENSING
CONTROL
A dewoe that - -
automatically
adjusts the power
Input to ',bark
lighting near
windows to •"
maintain dashed
wonA;oiace
Illuminafon, taking
advantage of
daylight Shouts be
tenable of reducing
electric power to 50
percent orlass of -
maxbnwm powei
Three Word types
of dayLof dayhght sensing
'canbab ere:
• Single-stepped - -
contol. Automaa-
cally toms a light on
or off when daylight - lighting wan"- — —...
ment&
• MullksteOped _
dimming Dims ighl
IT discrete steps-
Forexamole, dims
ION by25percent
50 percent 75
percent and off.
w • Continuous r
o9mming. Dims ION _ . I
Ina continuous 1. Total Control Credits (Watts).
kTshion- Add amounts in column (g) and enter on Form 5b, line 9.
-
Folder Automatic Lighting Control Control Code PAS~
Ad,)nstsnent
Factors Single - Step On/Off Dimming SS 0.10
(PAP)
Daylight Sensing Multiple Stepped Dimming MS 0.20
Use in column m.
Continuous Dimming CD 0.30
TABLE 13-0 Lumen Maintenance LM 0.10
5-6 Forms B Worksheets (10/98)
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 63 71
3 d BUP U - G 0 )X
Date Requested AM PM BLD
Location /6 zd C 5(4, 6c)0A. 5 j C Suite MEC
Contact Person Ph C -off 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
Insulati
rywall Nailina
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
PART FAIL
P U 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 ` 1
Other Date ( (1311/64i
Inspector v� Ext3
•
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
a
24 -Hour Inspection Line: 6394175 Business Line: 6394171
BUP �U U G —0a236
Date Requested AM PM /a BLD
Location /a Z !V 5 44. wk-s4 5'J� ,5-‘7 Roe/ ` Suite ? -1 v -// MEC
Contact Person / / r l( Ph CV) — Z $ 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 /Shear �5 TO1) v t
ramin Q�� � v V _ - _
Insulation
a Nailin Q y / /1 C. SA_
'Firewa
Fire Sprinkler
Fire Alarm 1^ 1 ,, � �
Susp'd Ceiling (� S v/
Roof Q
Misc: C�
Final
PASS 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 /4°6
Rough In--- 8
UG /Slab & t`''�
Low Voltage 6 L4/
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 D ate Q l� �
Other Inspector Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
— CITY OF TIGARD BUILDING INSPECTION DIVISION Ms
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
J ,6600 -00 2-3
Date Requested ZO AM PM BLD
Location /o 2 ' / ' 56.i W6, I t , Suite f-/ i/I MEC
Contact Person 01 Ch. Ph 00 fe ZY PLM
Contractor Ph SWR
BUILD t Tenant/Owner 6 9 1 A J-C...-L 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 01115 T_✓]!J� it ._ S '.
Insulation
Drywall Nailing .G l lA 000 - • r � ,, ^ / ` n _ . ` _
Fire wall `� \A 2-000 00 2) cl ( S, W c L ` � e W G t.) . -
Fire Sprinkler
Fire Alarm
Roof e�� zoo OO 3--)01 / 7 - 1
Q a_ �C 9 � ` J
W(�p� U2 2 - vU A'1 . .
ASS PAR F
"` k AIL I MEC 200 0 - 00 2 (0 "0 ( 7- T)
PLUMBING 1 r K WOO — 007,4c ( 1- T)
Post & Beam
Under Slab __
Top Out w. \I>/�!W _
Water Service � '
Sanitary Sewer
Rain Drains di , L � 6, . i k CL.M.
Final
PART FAIL r --7,,_ P ,..,...e..-/- e______
MECHANICAL or -- C %-%v."--____c / �\� lir
Post & Beam
Rough In s 1 S - �A...
Gas Line 1 -
Smoke Dampers -
Final 4.._. PASS PART F t =. 4,_..k MCA
ELECTRICAL
Service
I
Rough In i j
UG /Slab j�� I , OM* ■ L 6--". Low Voltage n - " jr-SZ
Fire Alarm — y / _ , _A—. - ��
Final //�� �� A � �\ '�
PASS PART FAIL 2-A AT--1 `MS �.R C-�-�� ."— 1 "\— l Z
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 re'nspection RE: [ ] Unable to inspect - no access
ADA 2 i1/\ \1( Ex-t--5 ��
Other
Approach /Sidewalk b VV
Date Inspector
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
4217 Ror.v -G00236
Date Requested 8 2 — / AM � J LPPM �a 00,-79 Location / 0 Z� r $ 4, tfiee4A 5 Suite 9 - if 4 0,200 - QOo/6 0
Contact Person ?1 e/C Ph 70 - � ZY 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
nsulation ` - •
Drywall Nailing
Firewall 6)-79
I<-F n'RF re Spri )- q l
Fire Alarm &404,1--
Susp'd Ceiling ICJ
Roof
Misc:
Final Q rj
PASS all FAIL \ ��
PLUMBI `
Post & Beam O
Under Slab 1 \I
Top Out $
Water Service V%
Sanitary Sewer b
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
as Line
Smoke Dampers
Final
PASS dr. FAIL
ELECTRI
Service
Rough In G11\ D i
UG/Slab b 6ICV
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 / ' O Inspector Ext J
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.