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11905 SW Buricrest Drive
CITY OF TIGARD BUILDING INSPECTION DIVISi�N3��
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -------- --
BUP _
_Date Requested__ — / —AM PA' — BL.D
Location C k Suite — MEC
Contact Person —__—_— Ph �7 7/ q PLM Z e a —Ga
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC —! `
Retaining Wall ELR _
Footing Access
Foundation FPS
Fig Drain -
Crawl Drain Inspection Notes: 7 SGN —
Post& Beam srr --
Fxt Sheath/Shear
Int Sheath/Shear `
Framing 1�fS1r I v G
Insulati,,n _
Drywall Hailing '� �� `7 �u � `d
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceilinrl —
Roof
Misc _.—
Final — -_
PASS PART FAIL
DUMB 3 as
Post& Beam —
Under Slab
Topw„d_
unitary Gewei --------- — -----
Rain Drains l
F rW1-1 + /
ASS " PART FAIL
MECHANICAL
Post& Beam --- -----.-. __. - ----- - --------
Rough In
Gas Line --------- ----— -- - — -- --- — ,. _
Smoke Dampers r
Final ------- - ---
PASS PART FAIL
ELECTRICAL -- --- --------—
Service
Roogh In v- --- - ----___-_
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE ____---------- ----
Backfill/Grading --- --- -- — ----- — -- -- ----�—�.
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _Y required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE +_—_--- _—_ ( J Unable to inspect- no access
ADA
OPheoach/Sidewalk-- Date _ L �_ _Inspector __ Ext `
Final
PASS PART --FAIL--
FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF
T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00307
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/18/2001
SITE ADDRESS: 11905 SW BURLCREST DR PARCEL: 1S134CA-02000
SUBDIVISION: BURLWOOD ZONING: R-4.5
BLOCK: LOT: 013 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SI;.KS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 50 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of(50')water service.
FEES
Owner:
—�– Type By Date Amount� Receipt
ROBE T AA GERALD J PRMT CTR 07118/2001 $72.50 27200100000
1 1905 SW BURLCREST DR 5PCT CTR 07/18/2001 $5.80 27200100000
11905 S _ ---
TIGARD, OR 97223 Total $78.30
Phone 1:
Contractor:
CHRISTIAN PLUMBING INC
DESA CROWN PLUMBING
5429 SE FRANCIS REQUIRED INSPECTIONS
PORTLAND, OR 97206 ------- – ---------
Phone 1: 771-9449 Water Line Insp
Reg #: LIC 42671 Final Inspection
PLM 34-70pb
This permit is issued subject to the regulations contained in the Tigard Municipal Cede, State of OR.
Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
J
Issued By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
JUL-16-2001 02 : 47 PM CROM PLUMBING 503 771 9454 P. 01
'I
Plumbing Permit Application
City of T19aW l C�
IDaTteremived: Perttti(no
Sewer perm ltno. BuIIdirig ptrrmhMo.
Addmes: 13125 SW Hall Blvd,Ti OR 47223 ---- —
City ojTigard Phone: (503) 6394171 Noje>ct/appl.no,: _ Fa pare dwtc;
Fox: (.503) 599.1960 Daze issued By: Receipt no.-
Land use approval: _ Case file no. Yaymen(type:
1 7& 2'f,-iIy dwelling or accessory U Commercial/induauial U Mnlh-lamhly G Tenant improvement
U onstruction U Additi(in/dtcraiiu.)th/rcplaccment U Food service 0 Other.
Job address; per' �5 w D arse caw Total
Bldg.no.: Stritaa�.: ew 1-and 2-tut ly we lags only:
l�t L r� T (bWludt�s 100 n.for each utility conneNoe)
Tax ma lot/account no.: S12R(1)bath
Lot: Block_— Subdtvigion: S tzaih
Project tame: - th
City/county:aZi�,, ZIP: — had itional bath/kitchen - - -
Description and f6cation of work on promises: h/ f 8lieglWlles:
t S e v,t!h t--t Catuh basin/area drain
Est.date of completion/inspection: lhywelll I-eac t li�renehd-
Footin drain(no.fin.ft,)
Manufactured homo utilities
latuinessname: r L „� I) Cy+wrj Oes _ --
Address: if t- a.c s $l Ras din connector
City; Vk f I w1 _ Stab;: e10[zip: p'7xh�, Sanitary sower(nto]n. —
Phone; 2_71. 9 V V Fax: 77Y/ 9y4-y I E-mail: Storm sewer(no.lin. ft.)
Water service(no.1in.ft.
CCB no.: a y J Plumb,bus.reg,no. Y-ao t1 D .v :u
City/metro lic.no.: )y 3 / Fitttratre or heat.
Contractor's sentative si natum: ��,�, y ., " BacAbxhw valve
Bac raow rs;venter _
Ptint name: `( otI v t e Dere: 7- - 0/ Beck-atet valye
Bisins/lavatoty
Name: 5 j�-t vt F� Clothcq wmhcr
Address: -` Dishwashot
ing fountain(s)
Cit : Ejectors/�sump_
Phone: -
Fixtu sewer ca _ --
Name(print): Floor drain oor ei
Maill addteaa: d to ch„Tc V r Dr Gxrba�e Is
Hose bibb
Clty�, e.+. Sfrlfe: G'R ZIP. '9 1 Ice' er -- - —
Plinne "y p P Fox: - Email: nterce r/grehve trap
owner innallationdresidential nhaintenance nnly: The actual inslallatinn Pnmer(s) _ ^—
will he made by tru or the nhaintcnance and repair made by my regular Roof drain oommetrtT
ernployce on die pttWiy I own wt per ORS Chapter 447, Sink(s), basin(s),
owner's M' nuncre Date:._ - Sum -
Inmost Tu ower shower pan
Name: Urinal
- --- -- Watcr closet —
Address:
-_CV�arar heater
city.
state' -- ZIP: - Dither: __—
Phone:� --" Fax.
Na an)uftdYylan w"M nada cent,Okay call l dWictlea far OWN IoranMsarrMinimum fee.. ... .. .....S
Notice:"This permit application
Visa a Mr std 1/- Plantcvitw(al '11) Z
ca lost If a it in n�rt crhuained
L O rr -�d79-bS>Y�[_... !' �'ys rL�le nurr.herpr(M9t,) —•
VI c' o lu we ri1 * c
within IRO days eller It hrw�been
....S •�
wr an c�� --- - KXePrad a��cxnplutc.
s tUM
3�
sarsts r MI
'��►ro� -C -/ (X_►14) `x! �e,,••w l�c,.Q� to H.S �E,c,•+4.d
CITYOF T'IGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00146
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/24/04
PARCEL: 1 S134CA-02000
SITE ADDRESS: 11905 SW BURLCREST DR
SUBDIVISION: BURLWOOD ZONING: R-4 `i
BLOCK: LOT: 013 JURISDICTION: TIG
CLASS OF WORK: ALI FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
_ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODST OVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 1C)K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN —100K BTU: <= 10000 cfm: GAS 0111 LETS:
> 10000 chn:
Remarks: Intali Biu race and exterior A/C. Do not place A/C within the required setbacks
Owner: _ FEES
FIARITO, GERALD J Description Date Amount
ROBERTA A —- -
11905 SW BURLCREST DR )MECH] Permit Fee 3/24/04 $72.50
TIGARD, OR 97223 TAX) P%State Surchari 3/24/04 $5.80
Phone: 503-590-4696 _ Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 12ND AVE
PORTLAND,OR 97224 REQUIRED INSPECTIONS
Phone: 503-453-4822 Mechanical Insp
Final Inspe.:tion
Reg#: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: - Permittee Signature: E.
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next usifless day
�+
Mar 24 f14 09: 40a climate control 5173 968 7224 p. l
I
Mechanical Permit Application
City of Tigard Date received: I`crnut
Ctq of Tigard Address: 13125 SW Hall Blv rti M 47 2� ProJecVapph no,: Expire date:
Phone: 1503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598.1960 r [; ���4 Case file no..
Payntegt type
Land use approval; _ .,s_>>'+ Building permit no.•
:0-1 &2 family dwelling or accessory U Commercial/industrial Cl Multi-family U Tenant improvement
U Nlew construction D Addition/alteration/replacenieni CI Other
JOB SITE INFORM ATION-
Job address: 1 I q pJ g Lir
DPS _ Indicate equipment quantities in boxes below. Indica:e the dollar
Bldg. no.: Suite no value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lodnccount no.: - - profit. Value$
Block: Subdivision:_ _ 'See checklist for important application information and
Project name: ZS005rJ jar scGcnon's fee schrrlule for residential permit fer
Ctly/county: t a ZIP: q T;L -
Description andel II cation of work on premix s: , t 1
h�altti�\ u>r'rtc►�� a C"n C- C-
I t
Hsi.date or completion/inspectiotc Fce(ea.) Total
--- Dcscr1 tion Q Res.onlY Res.ordy
tenant inlprovement or change of use - A
Is existing space heated or conditioned?U Yes U No Air handling unit CFM
Is existing space insulated?O Yes O No Air conditionin�(8ue plan require ) a,
eeruuon oZ ex-iYtingsHVAZ ysiern
Moiler/compressors
Business name: Llity Slaw boiler permit no.:
Address: I to e3pp S(,v-� 'I�y�� HP funs BTLI/H
City: t �4,1'li— Slate:Q12 71P: ruxmo a atnpe. duct smo a electors
q.7 _Z141eqt pump(s to p an reryu re
Phone:563-L&S34 F'ax -7Da E-mail: nslnTTTp-face umace -met -
CCB no.: Ly;I-1 i U Including duclworkivenl liner PYes U No
Cnslnll/replacc rc orate sealers
ity/metro lie,no. 1: ►tea '- -•-'--
wall,or floor mounted
Name( lease print) �� ' - Will for appliance nt er than furnace
1 Refrige-r- on:
Absorption units___-__ BTU/H
Nome: _ - C:hill;rs `___ HP -'-
Address: Compressors HP —
City: - m•ronmental ex oust an vent latwn:
J State: IP: A pliance vent
Phone: Far E mail: -�---'----
Uryrt exhaust
odds,'ripe l�I//Tres. Its chen/hnzmttt
Name:
ex y- I- 1 GlY 1'l� hood fire suppression system
Exhaust fen with single duct(bath fans)
Melt-__ingiaddress: �c�d5 G _ R E-621 st svmern p art from hcuUn or AC
Cit t a L ue pip ng Rnd distribistlon--(—tip—t—o-7W—(i—tj—trel—sj
phone: d �IGgeFax. E•tnail: Type; LPG NG Oil
duel-i n ea7 i s n onoToter 4 out ets
irocesa Piping(sc emal c required)
Name: _ _ Numb:r of outlets
Address: `---- ---- --- t ter s e app once or equipment
City: -" - Decorative fire lace
State: ZIP: ---- - nseri--try e
Phone: Fax: _ E-mail: - oorl<tove pe ct stove --
Applicant's signature: Date:5••a,/-( ter:
`Name(print): stn y ter. -
Not all)urlilfcrinnit Wcept Credit yards.plena call)unldictian—Mote Mort mronnuitnPermit fee ......n —�
.....11
..........
J visa ']hloterCard Notice: This pemrit application Minimum fee................$ _-7 a.5C—)
Credit card cumber: __�/ expires if a permit is not obtained plan review(at .— %) $ _
' i within 180 days aRrr it has been
Namr n curJhnlder u.+here nn credit cur accepted as complete State surcharge(8%).... �
t<nrdhe er a�nature t TOTAL........................
�meum -
440.da17(r"VCLIM)
Mar 24 04 09: 40a climate control 503 968 7224 p. 3
n
Ca-_
l
i �
CITY OF TIGARD __—_ ELECTRICAL PERMIT
PERMIT#: ELC200400160
DEVELOPMENT SERVICES
DATE ISSUED: 3/30/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134CA-02000
SITE ADDRESS: 11905 SW BURLCREST DR
20
SUBDIVISION: BURLWOOD ZONING: R-4.5
BLOCK: LOT. : 013 JURISDICTION: TIG
Project Description: (2)branch circuits to wire AC and Furn;we.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPIIF'RIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amyls -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ _ _ADD'L.INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: I IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: -4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
FiARITO,GERALD J WEST SIDE ELECTRIC CO INC
ROBERTA A 1834 SE 8TH AVE
11405 SW BURLCREST DR PORTLAND,OR 97214
TIGARD,OR 97223
Phone: 503-590-4696 Phonr: 231-1548
Reg #: LIC 13306
SUI' 26635
FEES F1,F. :6-135c
Description Date Amount Rer :fired Inspections
�I I.IIRM11 EL('I'crnut t 01 iia $53.50 — -
I AXj M4,State Surcharge i Iii u 1 $4.28 Rough-in
Elect'I Final
Total $57,78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws
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 rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246.6699 or 1.800.332,2344. f,,�
Issued By: IPCG��v � �_ --- Permit Signature: ) �t (9sc !' 1 1�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO: _�__ -- - -------— _--- — --
Call 639-4175 by 7:00pm for an inspection the next business day
HuC 1 1 Cl7 01 :22r bt,f£y Mercep 503--G35- 8517 p.2
I
Electrical Permit A,pplicon
-- Rcccrvat,..J>� /,j Licctrrcal
UoWlt C 1 l� Pcmut No,:�-c��I
I'larann
City of Tigard t: t�n'at Stan
rkrte/fAy:
i;)25 SW Hall Blvd. Flan ItEvrcw Prtrmtl No..
fEsid
r
Tigard,Oregon 97223 I?.re/11y:- ' No•
Phone: 503-63913171 l7ax: 503-598-19110 Post-Rcvrow yx -_ --
(lpnemy. No.
Internet' wtvav,ci,tigar(1.Or.us Contaal
24-hour inspection Request: 503-639-4175 ' « age 22 for
N �Af � •1 yMP[MemnitalAnre�rm- sties.
TYP1r:Or WORK PIAN RF.VIE�i/1'1h�check NII that rppho --
]TCW construction De O]iUOn Service over 22,5 amps Health caro raciliry
dditi(m/alteration/re laccml:nt Ot r: Cmice"al Ot(,r.ra4wsloc.((o
- �--- 1__—._— ❑5ervrce ovcr,120 arrgts-ratinr,pf f]It,jildrng over 10,000 xQ�are l:et.
CATEGORY OF CONSTRUCTION I it:2 family dwellings: Gwr or wKxc resiticnual maty in
] 1Qc 2-Family dwell,ing- [(.'QmmeMial/lndtA1 it ;] 133Yslamever600voilanominal ons structure
Accc.-mary Auildin Multi-Tamil — 0 Building over thrm scenes C3Fecdcvx.*X)AmM ser nvrc
❑(Xcupant load over 99 persgns 0 Manufactured struclllmG cx KV Palk
Maxtor Builder Other: D Is,7m0ighling plan p Other
_JOB SITE INFORMATION and LOCAf LION Sohm(t seri of PIANO with.wy;fate A*".
Job site nddress „J __T above arc■«aprlLeib- /01aNrrot an ern.rmeNM aevviee.
Suite 0F: � --p Number— _ .___ -- _
Number of M rotla cr in{t allowed
Plfo' t Name. ` theatrl�tttan vq �`tela) 'r.el
CPOSS StrCCt/Ditt ction5 t0 jobS1LC: IVew reskirw4rFttariC r wralfiJaeady per
dwrei.rc 061-Ie6,14cs rlfac heJ K■ra�e
Serviro laclodw!
n 000 .R nr IoM 145,15 4
__ I'Ath addiflonal .R of portiow oreeoof 33,40
t�: 1 wnNad enc ,rgiderulal
5111X1..- - n: -- ,---" _- -1
I.iminll cm:n'v,inn aRrr7cnual %1.00 9
Tax ma yamen#: Eachmrnu(xpad!hwnelw—modulardwelling ---
4Iiy1(`RIrTION.ON W service.nrl4v tee,kr ^ 90_40
:
Serrvitn or keaets-IeOtttNwHsw,
,��• ..4.:..+C_YG. �`/�a�'- G�= ..__ .Nv.tie.r M reMr.lin.:
- 200am
— collo 2
201.Preps m.> o_ n — --- 1068+ z
401 a ro GOOatnpO ___ 160.60 T
Ll PROPA(.(,Y,OWN�BR TBNfMIT _ 1 a to 1 a s 2
Natric- AWru 1000 mps M V01111 _ 154,65 2
( 6GN1 2
Addrms: 11 ry o r y s�r l C�r r^F _ romporprry wtviemar rve4"s rnstallatiorr,
City/Stat¢//_1 ;r �l/ g 7 T.2 'j wherat,or,er relaewtiow:
200 rmps Bless— 4t+MS I
_ . Fax: — seiotti aam' r 10 400!MP
Phonc:
t c LMT OIAef ERSON 600 smp& —
.^ I,t1.%s
RnKh e(ne'olta_naw,wkerwMn,nr
Namc: w�{pi( (p - - etesnrinn p"panel:
Atldrt:3S: L O"3 4 Q�i — n Fee rur branch ctecuiu wish purc%am or
Powis sof francs fee,«h lnarrcl cmuin 665 2
eityistatc/Z fortvaneAeirnetitswitMwlpurchagof
Phone.2• � +c. roc a riwlr■frr,11rK 1n9nOh eh.�rA 46It5 7�•�S 2
Fax: Foch rkfihunal Eeanch citpro 6S 2
I?_mei]: Q v�1C i t/ Mife.�Scrvice or fogler nra IM
- C:ach an or kr tuck
• C'lOR , � �_..,�eA
Job No: 'S I _,�h otr or nullwra lactam
L t n� Yryttat cifeuit(t)or r Iimtgyl crrerp•puce!,
I Ck-Y' V U ahemirm,w exiem;on
usincsa Name: Pa 2 2
Address:_�.yy — rxter+peiorr
rlt��StBIfJxAF1' - +Y'- i.rc\aAellueNal IMI e�tlioe ,,ver the.RwwdAe in■ .f the above:
s ---- _.». Per r•rf�Mion tri Mev
in 1 how? 62.50
1 hone _ Pax: _ 1two .lion sea,
CCA I.ic.#: Lica
-- ts
atotal s
- Fyectrical terinh Fe[a'
SuliervisirAg elet;trici
si t-L a uucd; - S
Plan Rev+ear zsx of Pvmil ren S
Print Name: :e A t� #: Stao 3urch�lr1e(A9of'Pamtt Fo S -�r
-- — -- IOTA[.P1;RMIT per S
Aulhorized Notke: This
Irerntif appfitatiew erpinn if a perentt it Ml obUinrd wr1►ne
$IPrfattre. nae IBR days after It has been accepted a complete.
'r er nrethodobcv ret by Tri-Chavity Ftuildinr Indestry Service Boatl.
(Pleaie print nares)
i,()tttl111krttnll>*attre�tllell milApp.doc alp3 RECEIVED
Mi,,I., i 1 1004
t,H` OF I IGARD
i BUILDING DIVISION
� 'd LL9D-9ELIEOS] '00 01J2Ua
i3 Opts zsaM bQ OE aeW
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
A4 RUP -- -
Received Date Requa ted LN1 AM PM BLIP
Location _ __ _ Suite ---- MEC -___
Contact Person - -- -__---- -- _-- Ph ( )��—?" / ' ?PLM _-.-
Contractor _ - - -----------_.�__..__-- -- Ph(—) . --- __-- ___ SWR
BUILDING Tenant/OWrlel
-------_--_ ELC _
Footing
ELC
Foundation
Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam --------
Shear
_—_ __ _______._____._ __.._..__, --_Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- - ---- --
Insulation
Drywall Nailing - -- --- - --
Firewall
-ire Sprinkler
- -_
Fire Alarm
17
Susp'd Ceiling --- - - -
Root
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam ( v
Under Slab
Rough-In
Water Service -- - -- —
Sanitary Sewer
Rain Drains -- -- - -
Catch Basin/Manhole
Storm Drain -- ------
Shower Pan
Other:_
Final
PASS PART- FAIL
'NMi�C NICAL }
Post& Beam --- -
Rough-In --.-
Gas Line
Smoke Dampers
[�'inealART FAILLIC L
Service -"�
Rough-In
Ur/51ab
Low Voltage
Fire Alarm
Final El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
Please call for reinspection RE: Unable to Inspect-no access
Fire Supply Line
ADAC
Approach/Sidewalk Date ' 1nslpecf0r. �_/
Other:
Final DO NOT REMOVE this Inspection recore froih the job slt�.
PASS PART FAIL /
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _.
Received -_ �J/ ate Re uesled `'�`--
q --___- 1_aQ.. _ aM PM_ .-- -_-- BLIP
Location itil-Y Suite . MEC
Contact Person _� _— ` ph (_ 7_�_;/X��2-PLM
- ..---
Contractor. — --�. Ph (—) __-- SWR --- --
BUILDING Tenant/OwnerLC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl rain _
Slab Inspection NoteF. 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 1 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 7oltage
PART_ FAIL Reinspection tee of$_, __required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA l� - i U
Approach/Sidewalk Date Inspector _ o- __ut
Other-
Final
therFinal DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL