10300 SW GREENBURG ROAD STE 375 1
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10300 9W areenburg Rd#375
CITY OF
T I G A R D _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00444
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/19/02
PARCEL: 1 S 135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 375
SUBDIVISION: ZONING:
BLOCK: LOT:
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS-
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE. ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Install plumbing fixtures: 1 dishwasher, 1 hub drain, 1 sink, 1 water heater, other fix. 1 primer.
_ FEES _
Owner:
--- Description —Date Amount
EOP LINCOLN, LLC
107.60 NC LN,LLCtJRG RD II'LUMB] Permit Fee 11/19/02 $83.00
SUITE 100 II'I_UM13] Permit Fee 11/19/02 $000
PORTLAND, OR 97223 1 i'AX] 8%)State Tax 11/19/02 $6.64
1 FAX] 80/o State"Fax 11/19/02 $0.00
Phone 1: ---
Total $89.64
Contractor: �—
POWER PLUMBING CO
P O BOX 23144
TIGARD, OR 97281 REQUIRED INSPECTIONS
Rcigh-in Insp
Phone 1: 244-1900
Top-out
Reg#: LIC 52378 Final Inspection
I'LM 34-150PB
This permit is issued subject to the regulations contained in the 'Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENI ION: Oregon law requires you to fcllow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OIINC by calling (503) 246-6699.
Issued By: r). - ------ --------._--- Permittee Signature: yam_ , hr
Call (503) 639-4175 by 7:00 P.M for an inspection needed the next business day
Nuv 14 P002 10: 53RM HP LASERJET 3200
.t. - 5
Plu�nbin fi�rre mlt pplicahan
b Dacereyxii`ved f 3'dmitr+o.: liiR+G•^�C tl
j BU11dID$perYl'Ll DO.:
City of Tigarld 9EIV . Sewerpermitna.:
Address:13125 SW Hail Blvd,Ti p�ja(/eppl.no.: E:.pirt:date:
Cirynf7Tgord phone: (503)639-4171 NOV u02 By: ,0' Receipt no.: ---
Data lesual
Pax:(503)598-1960 - `� payment type.
GI-Ty OF TIGARdh caseIllc,o.:
Land use approval:
-jai fit Ij
O[bmmetciaUinduttrial 0 Multi-family
eoant improvuncnt
7LU1NCW2Cf17SU
ily dwelling or accessory ❑Other:
ucdon $(kidilior/311crationheplaecmenl U r'ocxl serviC+.
I
t Fee ea. Total
Job addross -� .-_.!
New 1-and 2-faztily drvellWP nuly:
Bldg no., suitcuo.. '�' (jgdua .100 ft.for exchatithy'mnnectim)
Tax map/aux lot/account no.: _ S):R(1)bath
Subdivision: ------ --
Wt; Block: Subdivisio- --- S (2)h 1 --- - --
__
SIR(3)bath -
Prvject nae. Gacli ditional battt/kitchen
Cimty/county: Z[P: ��,,
_C513<-- 8ketsWities:
pcsc�prion and 1 ion o '.vo� mi n m - Catch basin/area drain
(d� jyrywellsJleach line/trench drain
Est.date of com letinn/inspection: Footingdrain, (no`lin ft-) -
1 Manufe(:tured home utilities
Business name: (/ Il Manholes --
Address: �( Rain __connector -
- -ex Sanitary sews r(no.lin.R)
(city. State: 7.[P: r_
5tortti sewer mail (no�in•ft-)
phone: Q Fax: • : �scrvic- eo.in.fl.) - -
(VB no.: Plumb.bus.M&tto: — Ttxtwe or Matt:
city/me"tic.no.:-1 +- Abs( on valve -
Conhaetor's prrsr ntative signature: BMLC flow pneventer
printname. Date: I I I q 040 Backwater valve
as'ms/lavatay _
Cloth"wa- s for
Name*iDishwas r
Addres : !Ol[_ t tav+VVIA nk><ng fountain(s)
(
LY: State: ZIP; _�.
on G+nk
Phorw 1.axe rmail: 'X �_
sewer G�!� _ -_
1loocdralns/tloo-raitr]x�lhub _---------=
Naroe(print): r &L 4 �—diAp08a1
address: Ibibb
City: (, _ � _ State: ZIP: fee er
l-LL"'L F mail: Interco tor/gneme trap
Phone:
Owner lttstnllation/residenual maintenance only The actual insWlation Pritner(a) _ --
wiu ife made by me or the nurinterxance and repair made by my regular Roof drain ecttnmemal) - —
employee on the property I own as per OILS Chapter 147. Sink(s),bas n(s , ays(s)
T1ntc: .---- _ Sum, ^.
Owner's si true: - - --- i shower a tower n
Urinal
Name: -- Vntet c oset
Address: V -� V�atcr'heater __
City•
State: 7.1P: —other.
phone: Fax: �E-mail: - 7bW
- Minimum fee............... $
as rl jmtsaldtau--P. (�'Pty O0 rm moble iafamaim. Notice:*nits permit application plan review(at °F)
D Visa U MRSICKard expires if a layman is not as been State sumharge(85b)... $ -
cmatc■d Dumber:-_.,_�__ - - : s- within lfla days eller it has been TOTAL ........Q� 5
accepted a4 complete.
N�cvAho--1�e(u sbowonn '�arA f — J�:T.� .
410 4616(GIO
. g9 Co
NV 4 ?-1.1112 10: 53AM HP LRSERJET 3.'_00 P , 1
"�&S�W
' �.dI111 INC' v 4
�.. .,... An..th�C�M.l�l4/'C'. ;f ,,�• �rjfl.; .:d .r,�,. v t � v.rt, r .?'4.-`�.t. �� ,.h ,�
exTv 16so
Sink
_ 18.80 -
4 .20
l evatory One L-nth -350.00
-
16.80 Two 2 bGut
Tub or TublShower Comb. . - Three 3 bathS?99.00
Shower ONy --- 16.60 w --
.Water Closet - 16.80 SUBTOTAL t
f+Y,STATE RG
SURCHAE
UtinalWater
- - - 18.80 PLAK REVIEW 25%OF 8UBT0TAL
t&shwasher TOTAL
18.80
-Laundry Tray ;�_ r
Washing Machine 16.60
FGWNilNFkwr SW -2' 18.60 PLED SE COMPLETE: )
3.
16.00SA/a
Water Heater O requiresportverslcxl like klnd6
cas piping requires a S%mrelmechanical
echanical (
permit 46.40 Slnk _.
MFG Home New Water SorAw Lavato __ .---
MFt3 Home New Sen/sum Sewar 46.40 Tub or Tubfshower .
--- 16.60 Cw�mbinagon -
Hose Bibs 5hlrNer On'
Rnuf Drains _ 16.60 Water Closet r.`;
Drinklny fountain. 16.E _ Urinal r --
Othor FbctureQ(9Ped(y) 16.80 Dishwasher
Garba Dis 1
Laun Rootn T
Was n h''acNne
Floor DnArV51M 2' '
Sewer-1st 100' 55'00 _ 3' -
-.-_._._____----_-�- 46.40 ,+
4a _
Sewer-each eddttinnal 100' Water Heater
w.rer servbe-1st IOU' 55.U0 other Fixtures
Wafer SeMre-
each addlUonel 200
siorm&Rain orale-est loo•
55.00 .;
SkarnRRall Draln- ketional 100'
Gcwtlmerclal .Flow Prover Uon Devk a 46.40
ResldenUel8addlowpreven Device", 27.56 - � __
Catdo Baster 16.60
IrtsPeraon of Existln9 Pkmbing or Specially 7 COMMENTS REGARDING AROVE: 'r
R ueatod Ins a rlh/hf -- _-_
Rain drain.Fingis family dwelling - -
16.80 -
__ dUANTITY TOTAL
h•metric or riser dagram N raCd►ed N --- -- ---- -_-
-- p6ardT,'2'� ,9_eSUBT07AL - �,� -72Yv -
-_
BYe STATE SURCI ARGE -�a O _
'•PLAN REVI,---W 25Y.OF SUBTOTAL r:-
Raqu�ed pnl H Allure lctd Yr>o -- .
TOTAL •e• A+� � 'j
*minimum permit fee Is$72.60 �6%state e,rrch@W,arnept Pcarrlor*tid nnci, a ► y/ �/ , ,I //
pmverftn Do-Ace.witch Is 936 15�8%State 9)R:t.r90
"All New l:ommerclat Dutkllnye re0+,ire mane.v!!I,h<xnetrlr or r15bI ding,ens end
plan review A ,• 1` f 1•
i
i klstsVormalplm-feos.Eoc; 10/10/00
,
r
Accumulative Sewer Tally 1
Tenant Name. Vacant Space _ This SWRA NA _
Site Address: 10300 SW Greenbury Ste. 375 I his PLM# 2002-00444
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off#s coun__t # value #s values
a Us
Bor�/Font 4— 0—.----- 0 v — 0 0 0
Bath -Tub/Shower 4 0 0 J 0 0
-Jacuzzi/Whirlpool 4 0 _ 0 _ 0 �00
Car Wash- Each Stal; 6 _ 0 _ 00 s 0— _ 0
Drive through 16 _ 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher-Commercial 4 0 0 0 0 0
_ Dornestic 2 v0 0 _ 1 2 1 2
Drinking Fountain _1 _ —_ 0 v � 0 0_ 0—�0
Eye Wash _ —� 1 0 0 _ 0 0� _ 0
Floor Drain/Sink-2 inch 2 0 0 1 — 2 1 _2
3 inch 5 0 _ 0 _ 0 —_0 0
_ 4 inch 6 _ 0 0 _ 0 _0 0
Car Wash Dr fi 0 0 0 0 0
Ge
_arbayDisposal _----- _—T
-Domestic(to 3/4 HP) 16 0 0 0 0 _ 0
- Commercial (to 5 HP) 32 __0 _ _ 0 _ 0 0 0
_ - Industrial(over 5 HP) 48 _ 0 _ 0 0_ 0 0
Ice Machine/Refrigerator Dra' _1 _0 0 0
'til Sep(Gas Station) 6 _ _ 0 _0_ 0 0 0
Rec.Vehicle Dump station 16 _ 0 0 C _ 0 0
Shower-Gang (per head) 1_ 0 0 _ 0 0' 0
__ -Stall 2 _ � 0 _ _0 _ 0 _ _ U_Y 0__—_
Sink Bar/Lavatory 2 _ 0 0 1 _ 2 1 2
Bradlee 5 — 0 v _ 0 0 0 0
Commercial 3 _ 0 v 0_ 0 0 0 _
-Service _ 3 0 �v —0 0 —
Swimming Pool Filter 1 0 0 0 0 _0
Washer-Clothes 6 0 0 _ 0 _ 0 0
Water Extractor 6_ 0 _ 0 _ 0 _ 0 _ ' 0
Water Closet-Toilet 6 0 _0_ 1 0 0 0
Urinal _6 0 _ 0 _ 0 I 0
Previous EDU Count 50.8 812.8 812.8
Capped EDU Credit 0.4 6.4
TOTALS 0 812.8 0 0 3 1 6 3 1 812.4
Current Fixture Value 812.4 divided by 16 = _ 50.8 Current EDU 1 EDU = $2,300.1`0
Previous Fixture Value 812.8 divided by 16 = 506 Previous FDU
Change -0.4 divided by 16 = 0.0 over (under► $ _
Enter EDU Change Here 0
HISTORY
Notes: NO ADDED FEE PLM# EDU# _SWR#
Previous count has$920.000R PLM# _ _ EDU# SWR#
,is added tally added 4 or$920. PLM# _ EDU# ;WR#
Name: -G L Date // f�
Signature of person(hat calculated this tally sheet and date perfromud Is required
ELECTRICAL PERMIT -
C1-71'Y OF TIGARDRESTRIC ED ENERGY
DEVELOPMENT SERVICES _ PERMIT#: ELR2002-00267
.3125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 11/27/02
SITE ADDRESS. 10300 SW GREENBURG, RD 375 PARCEL: 1S135AB-01003
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Install Data Cabling.
A.RESIDENTIAL_ v B.COMMERCIAL
AUDIO & 3TEREO:�- AUDIO &. ST'EREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOrK: MEDICAL
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: O(ITr)UOR LANDSC LITE:
OTHER: HVAC. PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
EOP LINCOLN, LLC JUNIPER rELECOM
10260 SW GREENBURG RD 21.17 N EMFRSON ST.
SUITE_ 100 PORTLAND, OR 97217
PORTLAND, OR 97223
Phone: 203-285-0002 Phone: 203-285-0002
Rea_ #: LIC 67762
ELE 26-590CEP
SUP 10191,F.A
FEES Required Inspections
Description _- —_Date Amount Low Voltage Inspection
JT'AX] 8%Staie'Tax 11/27/02 $6.00 Elea"I Fins'
[ELPRMT] ELR Permit 11/27/02 $7500
Total $81.00
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. T his permit will expire if work is not
started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTENTIL.,N: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
Issued by f Q G�c� K�'GtZ cf -� Permittee Signature
{
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. E_I_EC'N DATE
LICENSE NO: ---
r ,
Call 619.4175 by 7:00 P.M. for an inspection needed the next business day
Nov 26 02 05: 51p JT/JTS 503- p. 2
11.'26/2002 10:58 FAX 5030981980 CITY OF TlnARI) 01002
-lectricalPermit Application.
Ci� � �E C E I V E D Dalataealvad: /- _ � Permltttu.: r • -�,
0 T d Pfojeet/appl.no.: Bxpiredate!
CryaJTl„ard .Address; 13125 SW Hall Blvd,Tigard,OR 1, Late Issued; By ' Receipt no:
INione: (501, 439.4171
11A: 503)598.190NOVn” V 20
02
C.sc li le no.: PaylnerN type:
Land use approval: C:4Ty pF TIGARD
U 1 &2 family dwelling or accessory U Commercial/industrial 0 Multi-family 10"Pcnant imptvvement
0 New constro rion O Addition/alteraiionirepiar_ement U Other D Pa-tiol
11 1
lob addle', 1U 3U I jhl C hbL)f 81dg. no.. Suite nn. Tay map/tax lorlacrount no
— -- -- — —
Let: Block: Subdivision: _
_Project name e,_ Description and location of work on pronne Qp
Fsumnted date of cornpleuon/inspection: 2_— ()--- Q2_
/ SCHEDULE
Job no: F_ htax
Businessname: 'VJAI — gc0Pk [>ecriptioo __— (rt) notal ria.%n
IVowterfdmrlal-smrkorinoldfaintly peg
R — --
Addrt�1_N, U N S V. _ dweiYnguntt_Inrinde+dtaetrdprM,_
City: T state: ZIP; F11 U~ ser.laincld«d:
Phone:2.�J-0c C' Fax: - �S 1 -mat) I D00 e .hv m teal _ e
CX:B no.: Elec.bus.lie.no' _ E*chadditiono 5oocq fL arponion,',eroor
—.—SY._L1.j(C..� ___ Llmiteden►.r ,roidemW 2
City/metro Iic,nu.: 7-3 2- 0--1 _ I, Li mliedenergy,nan-maidend&1 2
/t, /-( Uchmanurwturodhemeormodulsrdwellins
!!# of supnrviain Nttrricia t r er red) rate 117-1510� 9ervice.vdror feeder 2
Sup.electnome(prirq: �� Licemeno; 01 ;(E Se^'icesorr— eedin-'ina
dtention at reloe�tian:
2004M or lets 2
Name(print): i - , 201 am W 400
Mallin addttx,s: 4olampsro
—+ — 601 unps Io 1000 lunge 2
ovn 1000 rungs or vol" 2 -
Itihone: pat E-snail: It cannrctody !
Owner insta111don The installatiun is tieing made coo property I own TUponryserNtrcerraedon-
which is not inlendecl for sale,Icxsc,teuL in cxchnngt tcrortlrna 10 frtetalladnn alMwtlon,wnbati.n:
OPUS 447,455,479,670,'101. 2oQ amps or lets —I 2 -
-------
'2'-
0j_ to 400 amps '2
Owners l+ignatui e: Darr: 00 a,n6 ps �` — 1
Brancheireaib-ntw,sleeretian,
er exteatloa per penal:
Name: _ _ ___ A. Fee for hmneh cercutb wldi pvrchtcrt or
Address. _ rrt.ice at reodcr roe,eoa brarrh nrcuir 2
City: Slew: ZIP;a-` ---- 9. Fnefnrhraneacirroiuwtthntrtpumhsse - ---
Phone - Fax ? rno- of adrvlcc or feeder fee,Rost branch dreuil: I
m:h additional txanch cin-uit
Mia.(servicearfeedernet lachadel):
0 Scrvicco+ W srnpt.cnnurvrcial ❑Halth•rnrefdlity F.xh�umpnrinigaslonetrelr _ 2
0Serv1aaver370ampsratin9of1dr.2 ONsardouslocuion Fxhtionorowilaellshg ring _ I _ I 1
familydwellmits 0 Railding ever 10.000 tgaate feel four or Signal eirouil(/)eta Nmiled cnetgy panel C
0 System over 600.oltarmminul more-esidexttlatunits In amstraclure wttntuon.oreslenflon• � �7 2
O Buil0ingoverdveestoriri O tesdsn,e0Damptnrrrtnrr -Ihscri Uon•
(3 Ocrupant lasd^vna•99 P4 Mow O Manufactured wucturrs of-RV Park l'.adt additiotal basrertioa ev.r the allowable in may of On asovr:
O Etlpr/llghongplin O Odra _.�__ per'nrpertlnr, —
Sublell—sets orplini vvilh any of the altnre. invesugouon rea
_
The above am nel applicable to temprrrai y conlaruction service. oder-
�Nat alllarbdkdar acts pr credit earrir,tdeau call jvdtdkdon nor in—Inrornutlan. Notice:This permit application Permit fee.....................s �'
O vera O MaearCard expires If a permit is not obtained Plan review(at _ %) S
rr.ele and mmMcr_ ' / within 180 days atter it has been State surcharge(11%)....$
— accepted as complete TOTAL.......................S _ 'A1=
,- --� aaware f Amaunt aao�6lf(tioncom)
CITY OF TIGARD► 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received ____._ /.__n--Date Requested
�_wAM_ PM_—._-__ BUP _--
Location __ ____. 1s�3av-_-.�:z� l-��LIL �-Suite ZMEC -I/'///
Contact Parson .-----.----____----------- _ - P (_._.�_) �L - Ll __ PLM ' �7--
Contractor ---- -- --------- - - - Ph 1- ) -- SWR -- ---
BUILDING Tenant/Owner ELC -----
Footing -_�-_-.- -- ELC
Foundation ACCeGS:
.=tg 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
Suspd Ceiling
Roof
Other: --
Final - --- -__
PART FAIL --- - — - - - -
rP'-ZQ,st -
Under Slab -- --- - ----- -. -
Rough-in
Water Service ----- ---- --
Sanitary Sewer
Rai,.Drain ------- --- - —
Catch Dasin/Manhole
Stuns Drain --- - - .---- -- ---- -._..--
Shower Pan
Othor. --------- - _____
i ring
b PARTtL
FA _
_ ICAL_ -- --
Post& Beam—
Rough-In - -
Gas Line
Smoke Dampers - - - - --
Final
PASS PART r-AIL -- -
ELECTRICAL
Service
Rough-In
VG/Slab
Low Voltage -�— -- -
Fire Alarm
Final Reinspection fee of$ _�. requirod before next inspection. Pay at Clty Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection R=: _-.- — Unable to inspect-no access
Fire Supply Line y
ADA / ;1//0 / � LLI
Approach/Sidewalk onto ___-- _-_. Insp�octor -- - --- _ _ Ext
Other. __--
Final DO NOT RF MOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Flour
(BUILDING Inspection Line: (503)639-41 i5
MST
INSPECTION DIVISION Business Line: (503) -4171
� a BUP
d — — - - — —
Received _ —_-- Date Requested__—__. AM—_ _- PM- BUP
Location ------- y�Ou_ �-�✓ —Suite-�6_ _ N1EC - -- —.
Contact Person ---__ -- _- -- _._. _-- Ph� ) 1:10_ PLM c�-- ---
Contractor __-_ - _ __ __ -_-- -- -- - -- Ph( 11W) _73 0 —30 Ito SWR
BUILDING_ _ Tenant/Owner - --__-_. ___-_- _-- ELC -
Footing — ELC
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
In.v
Post& Beam _----- --- - --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Si i,:ei
Framing -- --- ------- - - —
Insulation
Drywall Nailing �— - -- - ——
Firowall
Fire Sprinkler --- -- -"
Fire Alarm
Susp'd Ceiling -- -
Roof
Other.
Final \
_PASS PA%T FAIL J - -
PLUMBI —
Under Slab
mice --- _---.— _ _
Sanitary Sewer
Rain Drains ---- — —
Catch Basin/Manholo
Storm Drain -- — --- --
Shower Pa
Other: - — -- ---- -
PASS -WT FAIL —� -- -- _--_--- --
ME NICA_L _ __— ----- ------ _—_ —. ------ --
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$—__—_-- required before noxt inspection, Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
❑ Please call for reinspection RE:—__ _ -- Unable to inspect-no access
Fire Supply Line
AOA Z�c� \�
Approar:hiSidnwalk Dow_-y� Inspector _.— -_.. -- -- Ext _-
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART '=AIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISIONBusiness Line: (503) 639-41171
BLIP
Received Date. Requested AM PM 6UP
location suite-._
MEC
Contact Person LS1 .e? Ph PLM
(-',ontractor 61 ?TAnw
Ph SWR
BUILDING----- Tenant/Owner C EL
Fooling ELC
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other -------
Final
PASS PART FAIL
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
-
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
-----
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
FLEC_TRICAL___
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
�. a 0 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd,
r-ILMS—
IMIRT FAIL
Please call for reinspection RE: no access
MTF Unable to Inspect
Fire Supply Line
ADA Date
Approach/Sidewalk Inspector (5 YQ�sqcl Ext
Other:
Fnal 00 NOT REMOVE this Inspection record from the job site.
PASS PART FAIL