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Permit uil d n mi �( a P v. _buildin_g Per Y $ n FOR OFFICE USE ONLY Reeetved / � Building n4 JUN 2 p 2003 DateBv: co Permit No.:6' $ r 003 ,9D31� City of Tigard / Platming Approval • Other CITY OF TIGARD DateJBv: PermitNo.:.. _ .20, / j, ELI 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 BUILDING DIVISIO ►•, DateBv: lo-27-643/74 Permit No.: Phone: 503 - 639 -4171 Fax: 503 - 598 -1960 /.�lir. ,;i I A Post - Review Land Use �� .1 I I Date/By: Case No. Internet www.ci.tigard.or.us Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: f/6.- Supplemental Information TYPE OF WORK • .. .. REQUIRED DATA:.. , -7 " .. • • aNew construction ❑ Demolition • . . 1 & Z FAM LY DWELLING . ❑ Addition/alteration/replacement ❑ Other: -- . • - CATEGORY OF CONSTRUCTION - . Note: Permit fees* are based on the total value of the work performed. Indicate g 1 & 2- Family dwelling ❑ CotnrnerciaWlndustrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building Er Multi-Family ❑ Master Builder ❑ Other: Valuation / yS 3 6# Id :, ;JOB SITE INFORMATION-and LOCATION. No. of bedrooms: 2.. No. of baths: Z Y2 Job site address: WO 50 SW Nv m L Rt/(ri+-VC. Total number of floors New dwelling area (sq. ft.) 01 1( Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) _ CO Project Name: I-IIW 1LS RE441 "f MES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) st s J 1 .r,,, Avalue ,4 Sxt. gAuiti,s13E.Aa Other structure area (sq. ft.) StItger7 • • REQUIRED DATA: ' • / COMMERCIAL :.USE CHECKLIST ::._'- Subdivision: 1-tk )( (t {A4 'TOvidg we I Lot #: 4 Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate ' - DESCRIPTION'0F'WORK ":- . the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Ce4St U.C.TV.r( of •EiJ 3 STo21 Toolii E o. . 3 , E Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 -0PROPFRTY.OWNER f" 0 'TENANT- ,. == -• .. Type of construction V N Name: Alla" J PAg K Tely -tt I- vteS i L . L.0 . Occupancy group(s): Existing: Address: 9500 5) to gene &al j Su l Z Ze..) City /State /Zip: Two i,t'3 , 02 (3 Phone: 603 '2-7S' Fax PAZ -634( NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ErAPPLICANV ; ::` W •;>•=.:--.: ' °Q CONTACT. PERSON: _ provisions of ORS 701 and may be required to be licensed in the Business Name: jt! 1.... e A .J/}I t ' / ( , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mike K (J4,) a2 lew.lr Pe-A0Z- from licensing, the following reason applies: Address: gc2o Sh1 e&e, J Srj « 220 City /State /Zip: ke-i 012 Q 1 c 1 Phone:( & Z-e1 1 -t 2 Fax:(�3i eats - b'04 ( : •_• . . . •, - y BUILDINGTERMIT'FEES E -mail: ena-Pl(L b rbc )6 ASSve - 'Please refei:to'fee.ichedule. -. - _ = .. . • . -r... - .. . ........ . • • - -- --- .. - .. - - ;�:• -.- .. _ . ...CONTRACTOR' -• _ . - - _ - Business Name: Igat L. (42.cc,JrJ $ Acsamte, Y46 Fees due upon application s_ Address: 'x) Sin/ gAL@iil2 gun, (( Sda�C ZZo City /State /Zip: fbQTlh.1 ( Q2 9 - 1 Z 9 Amount received s Phone:3) 892 -8 f Fax: 503\ Si- g �gT i Date received: CCB Lic. #: ,e3 Authorized . lit 41 03 Notice: This permit application expires if a permit is not obtained within Signature: � Date: 180 days after it has been accepted as complete. M A-4. 'A . k L I �- y / *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Electrical Permit Application FOR OFFICE USE ONLY Received Permit Electrical No.: Date/By: d ,93 - 0�3// • • Permit E C E I V E .\ Planning Approval Sign City of Tigard Date/B Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 JUN 2 7 200 Post -Ry: eview Pem it No.: Phone: 503- 639 -4171 Fax: 5Q -598 -1960 Post - R Land Use CITY OF TIG ' Date/By: Case No.: Internet: www.ci.tigard.or.us ■ 04 .- t:` s Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 5 HIV ` = Name/Method: Supplemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) At New construction ❑ Demolition — 0 Service over 225 amps- ❑ Health-care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: pg Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in R1 & 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: ❑ Egressilighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above. `��� �1/ The above are not applicable to temporary construction service. Job site address: (OS /, ` SW 4.6 /WSJUe FEE' SCHEDULE Suite #: B1 g. /Apt. #: Number of inspections per permit allowed Project Name: . e ,--l- QW,{-'cOMIES Description 1 Qty I Fee tea.) Tatar I New residential - single or multi- family per i Cross street/Directions to job site: dwelling unit. Includes attached garage. s � 150 0 "t A ire .5 Ai ei a ,/ Service Included: loch . ft. or less E 145.15 147 ' G44 additional � W C 'I "� Each additional 500 sq. ft or portion thereof 1 33.40 6 0 Z Subdivision: .AfAi A 4) TO/4J 1-Ft Limited energy, residential I I 75.00 "15,00 L. Lot Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders - installation, I C at4crrtAk.C-TId1 -) c old 3 _cr alteration or relocation: "'iW l) y , t , 200 amos or less 80.30 _ r ( �y''c71J�c.I 201 amos to 400 amos 106.85 2 401 amps to 600 amps 160.60 2 1QPROPERTY'O.. R' :. :_. ❑TENANT::: _— .....: _ :: >. 601 amps to 1000 amos 240.60 2 ,,4 � q � Over 1000 amps or volts 454.65 2 lame: k t '4 /2 K d�/ �� 5 Lr w Reconnect only I 66.85 2 Address: C1560 5t&) go - (4_.UN Sll tN� 22z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: (-�brzr A-r ( .. q1 219 200 amos or less 66.85 1 Phone SA 8 92 —PASS Fax :(SoS -08 `-11 201 amps to 400 amps 100.30 2 �C 401 to 600 amps 133.75 2 ' APPL ANT = ": 7= : " � �w =_ ," � :: ❑ CT PERSON -� =. --: , • • Branch circuits - new, a or Name:) 1?2 c 6a� L. )J e pp Asgjc 7 5 , / M extension per panel: of Address: CO eitelLM ig. SUiT'f Z2.0 service Fee ic branch f feeder r each branch circuit 6.65 2 service or feeder f ee. eac branch circui City /State /Zip: )er Lire , iO 91219 B. Fee for branch circuits without purchase of . off ,/ service or feeder fee, first branch circuit 46.85 _ 2 �� Phone: 6 7_,S1 S Fax: (Sa2) S'92 -'�&4 / Each additional branch circuit 6.65 2 E -mail: w\ afi a d t aJa0.SSoc , GoM Misc.(Service or feeder not included): .., :: -'..: AFCONTRACTOR - - ... Each p ump or irrigation circle 53.40 2 r' "'" _ Each sign or outl l 53.40 2 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. I hour) 62.50 CCB:116453 ELC:24 -353C Sup:2919S Investigation fee: Other CCB Lic. #: I Lic. ;<t: .. • .. . - -. ;ElectricaLPermit'Eeti * 1 ;Ate : i .F . Supervising electrician Subtotal $ _ _ signature required: Plan Review (25% of Permit Fee) $ - - Print N.' e: I Lic. #: State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized , �r I Notice: This permit application expires if a permit is not obtained within Signature: Date: / 180 days after it has been accepted as complete. r *Fee methodology set by Tri-County Building Industry Service Board. Alitet IC N, A S (Ple e print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 FOR OFFICE USE ONLY • T Mechanical Per 't lieation Received Mechanical Date/By: Permit No✓ %S7a00.3 - 00 3f/ Planning Approval Building City of Tigard Date/By. Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Ocher Tigard, Oregon 97223 Date/By: Permit No.: Post - Review Land Use Phone: 503 Fax: 5 (3 OWIGA " � cr F A Post -R y: Case Use No.: g BUILDING DIVh,':� C ontact ® g Internet: www.ci.tigard.or.us I Case Juris.: Se Page 2 for 24 -hour Inspection Request: 503 - 639 -4 175 _ Name/Method: Supplemental Information. _ . .. : ,: TYPE OF WORK.. ' -. - COMMERCIAL FEE* SCHEDULE - 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 - - 2 & 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 -on air conditioning** I I 14.00 11. Job site address: / /sSU scti U T /n1 G70 N 4 V_ Gas heat pump I 14.00 Suite #: Bldg. /Apt. #: Duct work 1 14.00 14,0 r KS " 4i ..� IQ }40 Cc Hydronic hot water system 14.00 Project Name: ]� U Residential boiler Cross street/Directions to b site AA-vies (for radiator or hydronic system) 14.00 .S(}.) j /+1/Unit heaters (fuel, not electric) gy I 5 e i (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10 • a Lot u : 4 Re units 12.15 Subdivision: Ii91tlir�i t�191`�1� rr Other Fuel Appliances Tax map /parcel #: Water heater 1 10.00 Iv. ' - DES IPTION r F WORK Gas fireplace - 1 10.00 10. `A C o , 1/4/ &(,(.c ?C .) QF 4E- IA) 3 5 Y Flue vent (water heater /gas fireplace) 7 10.00 2G. A. -ro w/J vif PeoJF- / I4Ic SQr6 Log lighter (gas) 10.00 l Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 %PROPERTY OWNER. • 19 -TENANT -' -_.. __• Other. 10.00 • Name: rn� Or f.,,fI TO c.o. eC 11-6 Environmental Exhaust & Ventilation 7 I/ ) Range hood/other kitchen equipment 1 1 0.00 1U..* Address: ( 3 2X1 SW vebie 13tA / Sil 1 ?'�L 2 w Clothes dryer exhaust l 10.00 10 City /State /Zip: Pac2'R de 912 l9 Single duct exhaust Phone:(5o3)84.12 -6758 (Fax:(5)5) $92 -a8'l (bathrooms, toilet compartments, . (gAPPL CANT ❑ CONTACT PERSON utility rooms) 4 6.80 21. � �� 4- g{207 b m /i - / �G . Attic/crawl space fans 10.00 10.00 Name: Other Address: 9 �Sh� 7rig✓i2 (�I? t &/ I t� 020 Fuel Piping City /State /Zip: `pora l ot 91219 "($5.40 for first 4. $1.00 each additional) Phone :(So3) QR2 -SISO l Fax: §330??, -0084( Furnace, etc. i .. Gas heat pump E -mail: rr vz C C d 1 brocuno.. c. , C.0s► -, Wall /suspended/unit heater " --. .. . CONTRACTOR Water heater I 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• *O Mechanical Permit Fees' Authorized / �/z / Subtotal: $ 130 . Signature: Date: Minimum Permit Fee $72.50 $ - -p(J C� C 0F� Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ PO •''S TOTAL PERMIT FEE I $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Sc......... -. -. 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i :\Dsts\Permit Forms\MecPermitApp.doc 01/03 1sulllliAb r 1ALU1 CJ Plumbing P . � I ,� & non FOR OFFICE USE ONLY r Received Plumbing No.: / $ /o100J -3// DatelBy: Permit • City of Tigard Planning Approval Sewer 2 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. JUN / 2003 Plan Review Other Tigard, Oregon 97223 IT F TIGARD Post -R y: Permit No.: Phone: 503 - 639 - 4171 Post - Review Land Use - 17TVl §q0N l i Date/By: Case No.: Internet: www.ci.tigard � Al Contact Juris.: El See Page 2 for 1 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: Supplemental information. 'TYPE OF WORK FEE* SCHEDULE (for special information use checklist) ' - El New construction ❑ Demolition Description 1 Qty. I Fee(ea.) I Total ❑ Addition/alteration/replacement ❑ Other: • New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION I (includes 100 ft. for each utility connection) SFR (1) bath 249.20 cg 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 _ ❑Accessory Building ❑ Multi- Family SFR (3) bath - 3 99.00 - 3(c1 .m ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 I • . JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Pace 2 Job site address: /OSYS2 c .) 6.10/v &,CTON AVE, Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: HAIA) k -1 'rGk1tJ 1�GN/l1r S Footing l/leach line/trench drain 16.60 Footing drain (no. linear ft.) Pace 2 Cross street/Directions to job sit Manufactured home utilities 110.00 SLJ 1;0 A1/EduE S. Manholes 16.60 36-hit Srz&( Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Pace 2 Subdivision: /- /4/K r_TM42p I Lot #: 4/ Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Pace 2 Tax map /parcel #: - Fixture or Item ._ . • . - • n DESCRIPTION OF WORK Absorption valve 16.60 t_f'f•lS 73L C?1CtJ i'1 ) 3 Sil;Y� Backflow preventer Paget - r , Pe 1401 A. cr (041u Sit ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 •-121"PROPERTY'OWNER ..• -*•0 TENANT . - - Ejectors/sump 16.60 Name: AUTO $1 tJ P, K "MAIN OiM ES, 0.4. Expansion tank 16.60 Address: CiS00 S■W FArtgUQ &./D/ SlIcti Z20 Fixture/sewer cap 16.60 City /State /Zip: jo2TU¢1JD 02 q-7219 Floor drain/floor sink/hub 16.60 �I Garbage disposal 16.60 Phone {5o3j 89.2- 61 C� Fax: (Std) 89 2 SSL - I Hose bib 16.60 .;APPLICANT" - - . ..- =❑ CONTACT PERSON • • Ice maker 16.60 Name: 1>a+2Ek L. 820t,,/n) S /iSSoCIA-t'`ES, j,.ki Interceptor /greease trap 16.60 Address: 9503 5u) ghegkie. gLIID, Su tf ZZC.) Medical gas - value: S Page 2 Primer 16.60 City/State/Zip: F}JQr(he.s , Cr. ( 2, l 9 Roof drain (commercial) 16.60 Phone: 03),F2- S758 Fax(c03)61Z-6841 Sink/basin/lavatory 16.60 E -mail: hit 44,14. Cl.. di betjonG..cco G • co r'-'N 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 . :. .. -. ... -r. -.: "Plumbing Permit.Fees•..; CCB: 149035 PLM: 34-391PB Subtotal S 5 o • m Minimum Permit Fee 572.50 S Authorized L � Residential Backflow Minimum Fee 536.25 _ Signature: .� = .�I� Date: �� Plan Review (25% of Permit Fee) S RUGS C€I)O State Surcharge (8% of Permit Fee) S -a l . a Z (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 wi........... -...- . 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri-County Building Industry Service Board. 1:\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 -00311 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB041 Site Address: 10850 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 041 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 R #: LIC 116453 a2 3 SUP ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electr clan 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 -00311 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB041 Site Address: 10850 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 041 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 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 34-391PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X %//6z, riAA Signature of Authorized Plumber If you have any questions, please call 503.718.2433. ,41572c - 3 • pr • • - 1* • te- STREET T EE • CERTIFICATION _ . • . • . . 1 - ■ • I , R UC 1. 0119 ,Owner /Agent for PEtS4 C.. C ROC Ef A -056 . ■ • (PLEASE PRINT) , ,. z (PERMIT HOLDER) • /' P I ■ • ■ • �'. . �' ■ • ��.. � ., • Do hereby .certify that th e following location ■ • meets , =of7Ti a • , rd / *a on � Count • land use and development standards for street tree installation. i • 4 • ADDRESS: 1 0 85 5W 140ETINGT©O Avg • • ■ • LOT: 4 i SUBDIVISION: WA Pies 15EAZI> ■ I P • • BY: CAL,- DATE: //441---- P • • 1 RECEIVED BY: DATE: • Pi- AV vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv,' CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 ( 3- 063 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Req sted P BUP Location / O S /� Suite MEC Contact Person �� a Ph ( ) F6 6 - 4 9' 2 PLM Contractor Ph ( ) SWR BUILDI G 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 , _ ` e, Susp'd Ceiling I Roof irw Other ) r , SS PART FAIL am, yip P L ING Post & Beam Under Slab 1 _ 1 4 I/ I Rou h -In Water Service I Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final AR IL C HANICAL am Rough -In Gas Line S . •..e Dampers - SS PART FAIL LE 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 fl Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 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 c:71-663— d a 3 1 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 9 - is AM PM BUP Location D T Suite MEC Contact Person / Ph ( ) — 9: `l7 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 1 6 ' OD5 L✓ �l N4t Fire Sprinkler 7 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 FireAlarm fie PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S E 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line .r I�i't 13E t 7 / Approach/Sidewalk Date t v f t - 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 a 3 u G 3 q INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ? AM PM BUP Location b r .5� ...-,,,r0A4:41( _a' Suite r / MEC Ale Contact Person D Ph ( ) S6 6' -4 (� 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: 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: PART FAIL 1,'�I 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 Date I Z Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL