Permit ��r;,Ir,,0;.i. , D E'VELOPMENT'SERVICES ' ';' . . � • . :'r..�: ._:. 41�,�.� '
` �1_�:. '.'.. • 131 Tigard, OR' $7223i (503),639-4171 , , , .r r'F ir ;d1!' "[�. �1' }0 �" _ r�L;i =1��'r� 2 +;', . .
' ' ' T- iRCE!; ;;S i, 041)k.- i:i3
L ti r r.. r• . p -•q P r ,• 1 L: lr--rr1 r!, - -
�IT ��1���n v J.._.LLt� f v ��1 =___ �1�'1 _ Y 1 Y ,
1 P_, I 1,E SBU ^'r r ' TS 7 r1 h f- 5 • •i
3U , DI I �. S ]: QtJ „ . � Ai 1 r, 1 ' I , T =. I �i {�f 1,..T • _ _'.�1'.� I �f ,3 � YI - -i>' 4 �, ,
BLOC} < < ,, „ - . LG "f o d1��� -�, .LURISD1.0 ION11 ,, •; IG. ' .
C°.:.ASS OF WORK.' ., ALT . ' 13ARBACE ,D I SF°GSPLC _ G ... 1103U _:0 � y'E S'"' C23n, r, -
t' J1 s r•� C. '
TYPE OF U a n li "' WAS{-1I. CaG 6��s =1€ t^Jn.4 41 v�a�i4 •k� ,PRE .,�i�I ?':,,e � ; i. „,,
- . i V . r c - ' r-� -' . FLOW,
nc:ci��1�r C,V''� '� r r; ' Ft J �� i'- ��a"�1�>?... INS. I .- _ ,: „ d I ,' T, f r��:�.�.,a �' :, n e- � = d. 0 , �
3 I GR I : So f•11P;T�_ C-;- S. ..' �,�' '1' , .�' f_:R11' • H'' E\RS•a'NiS .,''e t ?r:, • �r1I X TUfc? S; ° , , . - - ' • ' !._AtY,ADIRY , T�Fi iYSo •r a � � I ; , �, car', ;R „ �tlr DRAT I `o . ,, • ,
SINR.F.; e'' ,, -- : 0 , - . UFa.M I S a ,, 6 ,, GRE Tn'F nS. 0 , - v. '
'LAVATORIES n . , .. G1 • OTHER .r s a I `
TUB /SHOW RS, . , e . ICi' EWER' ;_.1NE. (ft),.
ia1 TCl CLOSETS. S. o 0 ' WATL1? LINE ( f t ) . 0 . , ,
D�=�I- AWPS -OE RS., , 4 . a 0 • Rr iIN 'DRF�IN (f '- °) .. . -' '
.
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DALTON -COh;1STRUCTION . . '' . •v;. nn C, 4, 01 1:* *.. 7- c. a4' ^' , L.
8465A G1`»' "1iEI1LG1t.K ST' . i • . •r i t i 7 ' . , C , ` I 11i,•�D IS 4.'Yi , ',..S ii
r .I LIA RD OR •.`I r ; L;.3 • - SP C .. ' ' 0, 75, 1, :.:!.. ' 0, t; .' ':,� 3- r3'C:'- '}y+L -■ 1.9 '
F'- i f} Tt E'-1: _
oT1•i-r- ac'c or ._. - -._ - _..-- -- •- - • -- -- -- =-• -- -- ---.--: --- --
OREGON CPSCAD',_-_ -- Ld'4NDSCPP'IN5 .INC-.:' -' - •
- '75'87:., : Sk1 ; 1z `TI- "E R;�i.0 : .
a`_ .GNA .,OP .,97-47:07 . , , , . -' , ,: ° : - - . "-- - __,, 1 :,� _ :. -. -._ - -._, -. _ _. -. -'
;P,` •rai'r� e _ +fit os7,
,, , - -- - - -- REPU F?ED'.'I NSPEC r I ON' -, w.
..,
This 'oeriiit is - i.s11ed subject to tr,e re' ions 'coltaineu' in the . FP, Ee.s`k .i ow i= ;i, ' _ '• '
•
', Tl gord Municipal Lode, State of the Specialty Cods irL all Othei`. F i na l • 1. n•s peck,. inn f1• _..-
' applicahle'.1a:is. C11 work will be done in accordance with
3pprosied GianS.- T,`ILS. peroit 'Jo II' expire' it 16o ?'1: ,ia not started
i wit!, in. 3'ays of i5sue.O6e. we :f,wirek• :- eii:per foe ,a,orc' - •
thar. IN der MENTION: °` Oregon' ?aw T.e.c1; vees., ou to follow . es r. .1 . b „ . ' .. • : buy th Greaon,-.Uti'lltb Not ificatican.. C iitai;� Illo_e ;nu1es ore ,�, . ;1 - - ' — .'. : .r '
sLt;��'fu "th y: ,n Cg7i' 35- �G201-- ' jt1 'thr'�;un�' ►J -Ri'35 l'- its- ,. , 10',' i'' aagr , , " ii'_'__' ,
, ,61.1i•ainlc)r1
oes ortiles a 'G'S'ea or th e2r gutSt'1'EIns',. o Cir..'v? Lit)1_ii7"r„ ' ' ,, — — . - -• -- - ' -- , •
,SS i_I'Ee �'. — _ 1 , -- t _ . „ p,& !Ti T'i.t�".ee ,Si - -' - _ ',
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' ' Call 6'39-4 ,. S L 7 1? '':).. ' TIT ''' ',f o' (.,!' A i 2 r s 7- 6 r t . ' rl 71 Tti ; e E.` j f? i i � - i ,. • 'el ' 1" = i u g- - 1'.1.1 7''-'''''''' ' "r1 5” ' 4.ti A •'r' , '
'-i••f- � , '- - t. r1 -- f -1� =i--h-f'- i:.p:�_- i.•'r�•- i°'•F, {-' 1-=; + i•',« E,=? t h- n .:. � �*.. hrt- c= P• 1- r?' -{ � . - I - ' - F't i f:•i- =i� : °-i'r'-{•'•i-- }•...`__.... a
:f „ t' L'
TY OF' T 1OA`RD 3 *;
Pl um b ing Application Rec s y �s:
125 SW HALL BLVD. Commercial and Residential pale Recd
;ARD, OR 97223 Otte to P E ►till.
)3) 639 -4171 Date to o 'v. _
Permit s 3
Print or Type Related SWR a " ; Y - r , •
Incomplete or illegible applications will not be accepted called �. . ..
. ' },4
Name of Cev IopmentJProtect FIXTURES (Individual) I '' �' °''"•
Job afS \f i Sink - , QTY PRICE 9.00 . MITT
1 Lavatory
e ess 3 A 1 l w� st.nte 9.00 i �� • Address S ::eet dress
3 -4 ) TTT ° 11!),„5.3.00 ruo or ruo,Shower CJmo ti p
Su s Shower Only
9.00
_ 1 g � � Coy/State ` up 7. - ,--- .'l.`
0 Ti l 1 r tl (R I . Water Closer I
9.00 9.00 ; � :'
Name
.
Dishwasher '
1 I ` Ll. 11 ( N I
Garoage Disposal 9.00 �:.• -• !
Owner Mailing Address I ` ` Suite ' ""' ^= "
(4-)(-)CS N 't, Yil�( 1". �i Wasning Machine 9.00 9.00 r:, e.
>y I 9.
zip Phone {nw
1 � �r F loor Drain 2-
C4viState ,
� m� rlrA r c1 )_; I : -F�jl ( Y f I 9.00 �, 1
a 3' 9.00
4' 9.00
Occupant Matting Address Suite Water Heater
9.00 i ...
Laundry Room Tray 9.00
CayrState Zip Phone .
Urinal I I 9.00
Name j Other Fixtures (Specify) I 9.00
L /r')(1 ( /� C `rf /i L /7 \1.krti ( i`%` \ 'r1: I 9.00
;ontractor Mai r1 1 Address Sue _J
J y %r; c, �� ,.');').S11-17,-.r 11 I 9.00 ..
C
nor to issuance , tyrState Zip 9.00
tpplicant must C Phone � I I 9.00 • I
orovrde all Oregon Const. Cont. Board Lac a Exp Cate _
'n -7 ' -� I I
:7ntrac ors (
license Plumbin Lic. tt / C t I / r v I 9. . 0
information ExP• Oa Sewer • 1st 100' 1
1 30.00
for CO , ier s
o Sewer • each additional 100' 25.00
d for COe). t Exp' Cate I I
COT COT Business Tax o
i ",(),'�i" ' - (7 / I /T; ' Water Seance • 1st 100' 30.00
Name Water Service - each aacutional 200' I 25.00
I
Architect Storm 3 Rain Crain • 1st 100' 30.00 t
Of Mailing Address Storm 3 Rain grain - additional 100'
Suite 2 5.00
•
Mobile Home Space I 25.00 . 1
Engineer CayrState Zip I Phone Commercial Bacot F!ow Prevention Cevice or Anti-
25.00 j
Pollution Device I t
scr:oe work New : Addition C Alteration C Repair C Residential 3acx.",cw •reventton Cev,ce• I I l
=' :one: Residential 0 Non-residential C I 7 5.00 I •
::::oval aescnpuon of work Any Trap or 'Nave Nct Cannered to a Fixture 1 i 9
Cate Basin I I 9.00 I •
insp. or Existing i- umoing I I 4 0.00
Specially ReQues:ed Inspections Perrhr I
::rg use :f I 40.00 I
:rig or property I I cer:hr
:
I Rain gain singe 'amity c'welting
:zosae use of I I 30..20
cir.g or ^f Grease T rats
. agony I I 9.00
!Cu caoo�ng . moving or replacing any 5xtures? Yes r' No QUANTITY TOTAL I i
Isarretrc x +s er : asram 's recurred 4 Cuanrty ' :s clot > a
yes see back of torml 'SUBTOTAL
.trecy acknowledge that I have read this application. that the information
:n is correct. that I am the owner or authorized agent of :ne owner, aria 5% SURCHARGE I
: Mans summed are :n. :amoliance with Cregon State Laws. i
:nature of Owner/Agent I Cate PLAN REVIEW 25% OF SUBTOTAL I �r .,
•
Pecureo :nry f 5rure elr a, is ' 3
1
,t
act Person Name TOTAL I
Phone � l5,.7.
'I -
Minimum permit tee is 325 - 5'.6 surcharge. except Resiaenual Backflcw
Prevention Device. wrath is 315 • 5'.6 surcharge
i:'osts'.oimaop.coc 546 I
• u • A APP' • PRIAT • P; • T:
Fixtures to be capped, moved or replaced I Qty
Sink\
Lavatory
Tub or Tub /Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4" I
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
)MMENTS REGARDING ABOVE:
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 ' Line: 639 -4171
G I BUP
I 7( VZ Date Requested 7 - 6- 9 6 AM PM BLD •
Location I t l 0 / Suite MEC
Contact Person Ph V
Contractor 0Ae �vn, Ph Q/' fit r R
d C
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain / SGN
Crawl Drain Inspection Notes: r
Slab / '. IT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling
Roof
Misc:
Final
PA T FAIL
MBING ) ! J r ,,
Under Slab
Top Out
Water Service fyj
Sanitary Sewer td
Crains
WART 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 $ _25 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 J
Otheoach /Sidewalk Date �� /S /� 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 -4171
BUP
Date Requested 11 0 (0 /O0 AM PM BLD
Location 1 i Suite MEC
Contact Person 6144. Ph S 2L1'2L/ (A PLM 9 - Oo l q 3
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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: a -
Final
PZRT FAIL /� /
r '-
Post & Beam
• Under Slab
Top Out
Water Service
Sanitary Sewer
R •'n Drains - •
4
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
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' f )( Inspector / Ext
Other
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
Date Requested (p AM PM BLD
Location l 34
/ 44 ' I g
� e' MEC
•
Contact Person Ph PLM ?? r ( 9 3 .
Contractor Ph SWR
BUILDING Tenan � a— t �7l � 1,c ��vvLJ ELC
Retaining Wall f�79��y�ti/ ELR
Footing Access: (f
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
. Framing
Drywall Nailing Insulation ` ' �
Drywal ,( k!� / ,{ ' / .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — i4 _ ! • • _
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab \ �,
Top Out
Water Service �>~
Sanitary Sewer
Rain Drains 1 + `
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 t
I
Date Inspector Other 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 -4171 •
BUP
Date Requested V AM PM BLD
Location l , 1 2(0 (A)W. /✓�°'�'� Suite MEC
Contact Person �� Ph PLM C:01 q 3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing A ; NOT REQUESTED -
Foundation FOUND DURING RESEARCH FPS
•
Ftg Drain NO INSPECTION(s) IN FILE SGN
Crawl Drain If
Slab n^ 0 SIT
Post & Beam ''JT
Ext Sheath /Shear - - - _
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /441PWV
r
Misc:
Final T �ar
PASS PART FAIL ,
MBII /
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
$ajn Drains
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 V
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk ' }�
•
Other Date l 2')/ Inspecto V ! ' `� E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST qf -OQ.2.,6
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUD
LL
7 02-1 Date Requested -7 � q �' — � AM PM 5C BLD
Location 15 SW W tirt J u P1 Suite �T 35 MEC
Contact Person -0� d Ph J) q-0 58k PLM qg 0 /9'3
Contractor Ph SWR
(BUI� L� DL G Tenant/Owner ELC
Retaining Wall ELR
Footing Access: Y l A/
Foundation �C 80 X lV E 'vV FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab
SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear 1) H L V /` Framing I C
Insulation - ,
A- / ti
Drywall Nailing I• /. A A J v∎ d A 1 .�
Fire wall + f ¢� `
Fire Sprinkler ` -- . ll , 1
Fire Alarm 11-/
Susp'd Ceiling £ i/
Roof
Misc:. ► l 1
F _' RT FAIL fAV / � V S L-1- -- i- _
i' BI ► __ V '7 4 ,. L i
Post & Beam , Y , ; 1 ( A
Under Slab n �(/`�
Top Out U" ir
Water Service _to- t k
Sanitary a V•
- '1 Dr
Ali «
FAIL "j I �AECHANIC e '-- •- - 7/ l7 / C 5 /
Post & Beam W -
Rough In
Gas Line I , ) _s__)( _s__)( / ._�
S ,. - __Ipa ■ers 1 c , ( r
•AS) PART FAIL A _ i v \ J2 ( 1..,\/\ 5 \ i>s--/ ,
ECTRICAL Qt_,
Service w \ U \. � \.
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 /� -16
Approach /Sidewalk
Other Date — 7/k41'/ ° I V Inspector Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.