Permit g FOR OFFICE USE ONLY
t �3 .ildirl Per 't • tion
Received Building q A
. Date/By: (7. A ,�(� i Permit Nob -003 - ( 03/.5
Planning A roval Other
City of Tigard Date/By: Permit Other No.Cif) •22OOJ — P0b 2 f9
13125 SW Hall Blvd. .Il IN 2 7 2003 Plan Review
Tigard, Oregon 97223 p Date/By: 10- L3 - AS PermitNo.:
Phone: 503 - 639 -4171 9b3TJAAllii b / J ,a11 Post - Review Land Use
ING DIVISION ._aJ11_ e. I Date/By: Case No.
Internet: www.ci.tigat��dflt l s— ^^ Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 639 -4175 Name/Method: 76r Supplemental Information
TYPE OF WORK REQUIRED DATA:
aNew construction ❑ Demolition • . . 1 &2 FAIVIII.YDWELLING
❑ Addition/alteration/replacement ❑ Other:
''. - -CATEGORY OF CONSTRUCTION • . - Note: Permit fees* are based on the total value of the work performed. Indicate
1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Li Multi- Family
❑ Master Builder ❑ Other: Valuation $ I'i 7 7V986
: :_ ::,- ' . );JOB SITE INFORMATION LOCATION No. of bedrooms: 3 No. of baths: Z
Job site address: 0055 SW Fklr. TW r174 Ave,a4 Total number of floors _____.3._
New dwelling area (sq. ft.) _/4-S
Suite #: Bldg./Apt.#: Garage/carport area (sq. ft.) _ itSq
Project Name: HAW 1F • _ - 127%41414 ,M, Covered porch area (sq. ft.) $2-
Cross street/Directions to job site: Deck area (sq. ft.) 7.L
SW I z m ltviguE h,,)) siv. i4A.WKCS BF.A Other structure area (sq. ft.)
. ••- REQUIRED 'DiiTA:. - - -' _ -
����`` �� COMMERCIAL• CHECKLIST :'-. ::::..', .
Subdivision: " �
la "T �\, Lot #: (oO
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
DESCRIPTION OF - :: • • the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
�►J, NEt 3 sT Tom NCjwt�
'Pe+3,eCA"-- Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
: : $ P R O P E R T Y A W N E R -•-'" •L❑ 7 . . : - . - T E N AN T. . . . . - . ._. - - •" -. Type of construction V /4
Name: Aiffb,n rJ Ply K 0lam L.L.C. Occupancy group(s): New Existing:
R-3
Address: 9500 St4 eguae & .v lb/ Su 0-€ 22
1
City /State /Zip: 'Poenj 3> , ore. 9 2-19
Phone: 601i 992$lSS Fax :63) e, z- a 4I NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
®`APPLICANT.: - _,.. :: : .❑= . CONTACT PERSON ::::;: provisions of ORS 701 and may be required to be licensed in the
Business Name: bEieEK L .TaotJ is Age:0ga / (4. . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mike K (WSW cg. eta Pe.4 Z from licensing, the following reason applies:
Address: g SID SIN/ gA•2Ate-- t3L.l1 I SU a 22.0
City /State /Zip: kt2 7J Ott g121 `'t I /
Phone:( -e/Se 1 Fax:( ieat2 _ BU1 •. • -•. :PERM
E- mail: rrvark (jl brat - Jr% ASSOG,Cdi►'1 =" Please =refecto: fee se hedule.' : - .•`
..CONTRACTOR . .- � - = . ... _..,.. -.. .._ ..._ . . -. _ . ..
Business Name: �Eet:C L. IJ , 4 skot 6 YVG, Fees due upon application $
Address: 9Ca) Ski gA2Bule• gl-VD i Sonic ZZO
City /State /Zip: Rbe - /J J Q2 -1211 Amount received $
Phone:(3\ 892 -875$ I Fax: 5 2.-604( Date received:
CCB Lic. #: . eb
Authorized / Notice: This permit application expires if a permit is not obtained within
Signature: v` Date: �� 180 days after it has been accepted as complete.
r AMAC - • *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name) •
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
. ' ]Electrical PerpitEdEpitiRtion FOR OFFICE USE ONLY
Received Electrical P
Date/By: Permit No.�/-fT 003 - eV 34
Ci of Ti and P lanning Approval Sign
ty g I JUN 2 7 2UU3 Date/By: Permit
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/Bv: Permit No.:
Phone: 503-6394171 FRUIte I DV 1SIO Post-Review Land Use
Date/13y: Case No.:
Internet: www.ci.tigard.or.us .. 4 J . e i Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 6394175 Name/Method: Supplemental Information.
• TYPE OF WORK I 7.1 - PLAN REVIEW (Please check all that apply) •
XNew construction ❑ Demolition I El Service over 225 amps- ❑ Health -.:are facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: pg Service over 320 amps - rating of ❑ Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION I & 2 family dwellings four or more residential units in
' l & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other:
JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: 16935 510 4.6.J'ro.xyRta.l ,j6,J� FEE* SCHEDULE
Suite #: B1 g. /Apt. #: _ lI r Number of inspections per permit allowed
Project Name: .J_ 4 <S e �' T Description I Qtv I Fee (ea.) I Total I I
New residential - single or multi- family per +
Cross street/Directions to job site: dwelling unit. Includes attached garage.
s'vJ i -50 A Vepi i e Ari.4. Sa Service included:
I
1000 a. ft. or less 143.15 1 15 4
Each ch additional ft. 2J 4 ditional 500 so. or portion thereof 33.40 I 6,80 1
Limited energy, residential I I 75.00 I IS ,co 2
Subdivision: tIKS 1 - 610-464 Lot #: Limited energy, non residential 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK . service and/or feeder 90.90 2
"/ Services or feeders - installation,
C o t4 '7-rt�-cren.) cr u'� 3 --crow-L4 alteration or relocation:
�W . / i J �y� , 1 -r 200 amps or less – 80.30 2 i
"
Al. l''CWiL r''cZ1Jrc C.l 201 amps to 400 amps 106.85 I 2
401 amos to 600 amos 160.60 I 2
ISEIPROPERTY:O.. R "'::. T' TENAN -
601 amos to 1000 amos 240.60 l 2
'4 �1 Nit -� I � Over 1000 amos or volts 454.65 2
1V ame: 4 J) k Td 4/ 1.)/ 14nes LL Reconnect only 66.85 2
Address: alb Ski gLJ- gi_- Sig ►NL 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: Fb2rt - 012. 9/ - 2 ( ( Q 200 amps or less 66.85 1
Phone e� 8ctZ rd58 Fax :(So 59 2 -�8 `{ i 201 amps to 400 amps 100.30 2
133.75 2
APPL T'., i=t - D - ❑. / G ' ONT CT PERSObf 401 to 600 amps
Branch circuits - new, alteration, or
Name: 1 1Z K L. r J t if%3C/R'riS l AZ ,
/ extension per panel:
� Q4 n 01 , S A. Fee for branch circuits each with purchase of
Address: Br1Y f� - A (1i Z20 service e feeder or feedd er fee each branch circuit 6.65 2
City /State /Zip: eR) , Oe_ 9-721 B. Fee for branch circuits without purchase of
Q p p� I , I service or feeder fee. first branch circuit 46.85 2
Phone: (J b 7 -8'158 Fax: (So3 6 i � 2, -ee4 ! Each additional branch circuit 6.65 2
E -mail: yv)Qr K a_ d l tri r,.),30.S'Soc , COM Misc.(Service or feeder not included):
E pump or irrigation circle 53.40 2
r = r.:ik. :... :;;: ; .- _:`CONTRACTOR ._ • .. :- - ._ - ,..:t'- . . .. 2
Eac signor outline lighting 53.40
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration. or extension Page 2 2
2050 Vista Ave #100 Description:
Salem OR 97302
Each additional inspection over the allowable in any of the above:
503- 361 -1256 Per inspection per hour (min. 1 hour) 62.50
CCB:1 16453 ELC:24 -353C Sup:2919S investigation fee:
CCB Lic. #: I Lic. #: Other : _
Electrical :PerdiftEeei* _
Supervising electrician Subtotal S _
signature required: Plan Review (25% of Permit Fee) S _,
Print N. • _ : Lic. #: State Surcharge (8% of Permit Fee) S —
/ / � TOTAL PERMIT FEE S
Authorized ,/ /// . Notice: This permit application expires if a permit is not obtained within
Si ✓ ✓✓ �« (/ L Date: / 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
MtYG 1[ Ai . k
(Plea& print name) •
i:\Dsts'.Permit Forms\ElcPermitApp.doc 01/03
•
/' FOR OFFICE USE ONLY
1' - N ' ha 1 Pe g Ith _ n Received Mechanical
Date/By: Permit No.:/f.7e 200 3 O $
City of Tigard
Planning Approval Building
JUN 2 7 2003 Date/By: PermitNo.:
13125 SW Hall Blvd. CITY OF MAR Plan Review Other
Tigard, Oregon 97223 II nn''N pl0/S • Post-Re view Permit No.:
o ne: 503- 639 -4171 Fax: � 59S =r
Post-Review Land Use
Ph / "� Date/By: Case No.:
Internet: www•ci.tigard.or.us , tl,. ' .l♦ I
A Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 - Name/Method: Supplemental Information.
TYPE OF WORK. • - :: :..''. = „:: :. COMMERCIAL FEE * SCIEDULE - USE CHECKLIST
, 'New construction ❑ Demolition Mechanical permit fees' are based on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
' CATEGORY OF CONSTRUCTION. 1, :'
01 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE *SCHEDULE.
Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
• JOB SITE INFORMATION and LOCATION Furnace - add - air conditioning ** I 14.00 I l4,
Job site address: /0835 skl NO,t/T NE. AVE_ Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Ductwork 1 14.00 (+{.'
kS 'gem-b TQVJ kfnm -05 Hydronic hot water system 14.00
Project Name: Residential boiler
Cross street/Directions to job site:, , � (for radiator or hydronic system) 14.00
S LI) j ffi/E+.J(/ "JA Unit heaters (fuel, not electric)
- 7 1 ai r (in wall, in -duct, suspended, etc.) 14.00
v Flue/vent (for any of above) 1 10.00 ID • w
R units 12.15
Subdivision: f-lAWR S I:_:( V1) Lot #: U Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 10.'
• • DESCRIPTION O p F WORK '"
Gas fireplace 1 10.00 10 •'
C�v 1( T &LG7tea) OR ACCT _z ,s-r-012-Lt Flue vent (water heater/gas fireplace) 1 10.00 20 . '
� i` wij ry? Peo Jed-- ( � 0 L Log lighter (gas) 10.00
l 'S Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER. - : 1:• ❑.TENANT Other. 10.00
Name: A JrUm K TO WA11 E c LLG Environmental Exhaust & Ventilation
,�,� �}}��,, Range hood/other kitchen equipment 1 10.00 10 . ai
Address: ( 3 Ski ` lade /SL- 4 / SJ ix. z w Clothes dryer exhaust ( 10.00 O. °O
City /State /Zip: 9,2.-r D de q 219 Single duct exhaust
Phone: So3) e _a'7' Fax: (5r) S j 89 2- 88 4( (bathrooms, toilet compartments,
[AP.PL 'ICANT . 0 CONTACT PERSON utility rooms) 3 6.80 20 .
Name: �Eet 4. gamdaJ 8 /4Siw,41`6C; !fic • Attic/crawl space fans 10.00
Other 10.00
Address: q vagi ve„ 6_,A .svir ZZC� Fuel Piping
City /State /Zip: ep s S t or& '1 2 9 ••($5.40 for first 4. S1.00 each additional)
Phone:(COS) 2R2.. -8 Fax: 601P??,-084( Furnace, etc. { -084( Gas heat pump ••
E -mail: ovez... C C d 1 brownassrJC : c47r - \ Wall /suspended/unit heater ••
CONTRACTOR Water heater
• Smart Heating & Cooling LLC Fireplace I
7616 NE Everett St Range
BBQ ••
Portland OR 97213 -6347 Clothes dryer (gas) ••
503 -254 -5096 . Other: ••
CCB: 154133 Total: 5 . 5.4o
Mechanical Permit Fees*
Authorized < e / Subtotal: $ 1 2.3. go
Signature: L Date: k laa /Q Z _
Minimum Permit Fee $72.50 $
QP— VCE CO 11/41J - Plan Review Fee (25% of Permit Fee) $ _
(Please print name) State Surcharge (8% of Permit Fee) $ 1.. 10
TOTAL PERMIT FEE $
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry ........... --. --
1g0 days after it has been accepted as complete. * *Site plan required for exterior A/C units.
i:\Dsts\Permit Forms\MecPertnitApp.doc 01/03
hulloing, r ixtu1"Cs
•. b '° FOR OFFICE USE ONLY
. Plumbing Per • R . on Received Plumbing
DateBy: Permit No.:�.t�l'T2 ..E? v...<
a�
City of Tigard JUN 2'7 2003 P lanning Approval Sewer
Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other
Tigard, Oregon 97223
BUILDING DIVISION Date/By: Permit No.:
Post - Review Land Use
Phone: 503 639 - 4171 Fax
U3= 8 - 1960 � � ; Date/By: Case No.:
Internet: www.ci.tigard.or.us :�, c . ' I Contact Juris.: ® See Page 2 for
24 - hour Inspection Request: 503 639 Name/Method: Supplemental Information.
•
.. 'TYPE OF WORK • FEE* SCHEDULE (for special information use checklist)
EI New construction I ❑ Demolition Description I Qty. 1 Fee(ea.) I Total
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
01 & 2- Family dwelling ❑ Commercial/Industrial - SFR (2) bath I 350.00 350,
❑Accessory Building ❑ Multi - Family I SFR (3) bath 399.00
❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00
.. JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: Page 2
Job site address: /0S 5 S(,(1 N(/N77/U670,( 4UL_. Site Utilities
Suite #: Bldg. /Apt. #: I Catch basin/area drain 16.60
Project Name: - k 'aIJkL1 Teti wom.g c Drywell/leach line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s t Manufactured home utilities 110.00
SLJ l �C) S' Manholes 16.60
6 4i b S? or Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: / S G'EA-e.D Lot #: 100 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: - - - -Fixture or Item ` -
DESCRIPTION OF WORK Absorption valve 16.60
C a/4S?7LtAL?1G}J OF I'V E1A) 3, Si (zeta I Backflow preventer Page 2
--r - + , P E ( (06 Sp-P ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
..IS' PROPERTY' OWNER . .- :'I •D-TENANT• • ;.•.. ..- Ejectors/sump 16.60
Name: AUT1JWIN) P A R . K T IN 11QYt1 ES I L • (. , C, Expansion tank 1 6.60
Address: C SCO SW s4, 6LJ6 Sit Z 2 Fixture/sewer cap 16.60
City /State /Zip: Poen_A1, 012 q 19 Floor drain/floor sink/hub 16.60
Phonek5o3, 8 42- 81 50 Fax: (Sc3.3) S 2- SS I Ho se bib 16.60
.Z APPLICANT: _..- :❑ CONTACT PERSON, . Ice maker 16.60
Name: bEi2Ek L. 8E0 0J S 4 SOCI.H`g, 'N✓L Interceptor /grease trap 16.60
Address: 9503 S+o..) g te. gi,141, Su tit Zza Medical gas - value: S Page 2
Primer 16.60
Ft�
City /State /Zip: er[it�S , Cr. �'L � i c} Roof drain (commercial) 16.60
Phone:( 6 7 Fax ( 2 8& f/ Sink/basin/lavatory 16.60
E -mail: rnA4,1[. cl. di t1eric- Jr latce9 G • Co' r•■■ Tub /shower /shower pan 16.60
CONTRACTOR - - Urinal 16.60
Plumbing Experts Inc Water closet 16.60
Water heater 16.60
11925 SW Parkway Other.
Portland OR 97225 -5413 Other:
503- 469 -0443 _. :;..7.Plumbing Permit Fees* •
._= _ °'
CCB: 149035 PLM: 34-391PB _ Subtotal S S 5 o, m
Minimum Permit Fee $72.50 5
Authorize �,, /' / Residential Backflow Minimum Fee 536.25 _ -
Signature: i �"r✓ ate: !X( 0- - Plan Review (25% of Permit Fee) S
S p C&N State Surcharge (8% of Permit Fee) S . °O
(Please print name) TOTAL PERMIT FEE S .,_
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans witn ,O,,.... •■ --
180 days after it has been accepted as complete. riser diagram for plan review.
*Fee methodology set by Tn-County Building Industry Service Board.
i:\Dsts\Permit Forms\PlmPermitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRUM INC
DBA SPECTRUM ELECTRIC
2050 VISTA AVE #100
SALEM, OR 97302
Electrical Signature Form
Permit #: MST2003 -00315
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB060
Site Address: 10835 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 060
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for
the electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC
9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC
PORTLAND, OR 97219 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 892 -8758 Phone #: 503 - 361 -1256
Reg #: LIC 116453
SUP 24k9f 62 -
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PLUMBING EXPERTS INC
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00315
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB060
Site Address: 10835 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 060
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC
9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY
PORTLAND, OR 97219 PORTLAND, OR 97225 -5413
Phone #: 503 - 892 -8758 Phone #: 503 -469 -0443
Reg #: LIC 149035
PLM 34 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x ) 7;4 11
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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• (PLEASE PRINT) (PERMIT HOLDER) ►
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• • Do hereb !certif that the followin location ►
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• meets y C zX.e of : and /Washiri on 'Count ■
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.• land use and development standards for street tree installation. ■
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VYYY YYVYYYYY YYVVVYVYYVYY VVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVV1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2003_0 e 3 fS
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /6 - a 6 AM PM I/ suP
Location
lb B Suite MEC
Contact Person Ph ( ) SW0- 4:?' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain S 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 •
... • 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
S _,.. P ART 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 ❑ Please call for reinspection RE: 0 Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date 24 2-e— v4— Inspector d Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY•OF TIGARD 24 -Hour
BUILDING Inspection Line:-603) 639 -4175 MST 20 o 3 -00 3/5
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re•uested I b — AM PM BUP
Location 6 • 3 h�� .� L .,4 Suite MEC
Contact Person / Ph ( ) — y(S'fr PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
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
R ,' Shower Pan v
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
Fire Alarm
441111PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI Please call f• r reinsp..ction RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date V 0 Inspector Ext 1%
Other:
Final DO NOT REMOVE this Inspection record from th ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ✓Jam 3L�
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / — ` AM PM BUP
Location : 35 is._ -IA �v/ ,�. Suite MEC
Contact Person / Ph ( ) S (/ 8" 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
—77 -.
Firewall A5
Fire Sprinkler M
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:
461
PART FAIL
CHANICAL
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 ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /
/ /
Approach/Sidewalk Date i2< Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST gO'2 3-003 is
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ` AM PM BUP
Location / '33 s Suite MEC
Contact Person Ph ( ) 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 CY
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
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: 0 Unable to inspect — no access
Fire Supply Line
ADA
ac Sidewa� Date 7 - 3 Inspector - Ext
other:
Fi DO NOT REMOVE this inspection record from the Job site.
41- PART FAIL