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9095 SW NORTH DAKOTA STREET i 1S vioNv I HINON MS 5606 r 0 Y Q LIC � m � t7 0 LU rn r i 9095 SW NORTH DAKOTA ST CITY 6*F TI GARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2005-00046 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: IS13 005 PARCEL: S 135DA-02603 SITE ADDRESS: 09095 SW NORTH DAKOTA ST SUBDIVISION: GRAHAM ACRES ZONING: R-4.5 BLOCK: LOT:029 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 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: WOODSTOVES: GAS PRI�SSURE: 50+ HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Owner: _ FEES GOULARTE, JEAN Description Date Amount 9095 SW NORTH DAKOTA ST [MECH] Permit Fee 1/31/200° $72.50 TIGARD, OR 97223 [TAX]8%State Surchart 1/31/200,1 $5.80 Phone: 503-620-2978 Total $78.30 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 _ REQUIRED INSPECTIONS Phone: 503-557-2220 Heating Unt Insp Final Inspection Reg#: LIC 72623 CL oc rn m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes W —i 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 n:les 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: Call (503)639-4175 by 7:00 P.M.for Inspections needed t�business day Jan 30 0115 05: 46a TriCaunttj Temp Cntr•al 5035570919 p. 1 Mechanical- Permit '_ i�/�� FOR • [._ Received Permit No. �ov City of Tigard - oae�y - _ _ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revlew Phone: 503.639.417 1 Fax. 503.598.1960 2UOra p4ttrny. oeller Permit: inspection Line: 503.639 4175 JAN JJ U'ue Rady/By IW r 0 See Page 1 for Internet: www ci.hgard.or us pp{{�� NonflediVethod. I sapplanseotal torormadon A�J t j COI1'L1VC11^IIt&I L]Rj&►�SCIIEDdLZ = [JSE,CHF.CKLZST Mechanical pmrnrt fees'are based on the value of the work New construction Addition/altetationJreplacement performed.Indicate the valuu(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,crverhead,and profit - t .. Value:S _ ` cw GdRX 10 01! 11lUMON" •'141 Esim r�pL,T�QtJII'MENT/SYSTEMS FEES* I-and 2-family dwelling [] Cornmereial/industrial ❑Accessory building For special information use checklist. ❑Multl-family ❑Master builder ❑Other: Descnption Qty. Ea. Total .,� " ]OB S1TFr Fj!IF6111MA7`k0N.AND I cAfioN., , Heatin cooling _ Air conditioning or heat pump Job site address O Q .O 4 re res site showinacemanrL 14.00 City/State/ZTP: Furnace 100,000 BTU(ducts/veno) 14.00 ----�--- Furnace 100,000i•BTI_J(ductsNents) 90 Suite/bldg./apl.1x2.: Project name: —Gas heat_�mp-__ _14.00 Cross street/directicro to fob;ite: EResidential work 14 00 ^ ---- — --��— mnic hot waters stem 14.00 boiler(radiator or ��— one) 14.0(` _ Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 10.00 Flue/vent for any of above Subdivision: Lct no.: _ Other: El I 10.000_ Tax mapiparcel no Other fust appliances :''� '�IjESt'1RIPTiON OF.WOR7tC tt5 :ir� � Water heater IO.OU -- �. Gas fitt lace 10.00 Flue vent for water heater or gas TireElacu 10.00 Log ii Ritter(gas) 10.00 Wood/pellet stove 1000 — Wood fireplacelinsert 1000 s Chi rme /liner/flue/vent 10.00 :1?�tnT?E1Y OWaYFRr 7- _"H. . +t �'Br1A:�� 1' r - 10.00 1 a Other: Name: Environmental exhaust and ventilation Range hood/other kitchen Address: _ ui t 10.00 City/State!ZTP: Clothes dryet exhaust 10.00 Single•duct exhaust(bathrooms, Phone:(6 in toilet com eriments,ttcili rooms 6.80 >0:A*' Pr ;;f COSTACT,,EERSON Attic!cnwlspace fans 10.00 Other: _ 10.00 Business name: I 7 n C U ^T__ '' Fuel piping — Contact name: S5.40 for iirsr fuur S1.00 for each addltloeokD l IL i Furnace etc. Address `/�I C Q wy L.r j�( f�l.l (las heat m tp — N City/StatdZIP. �` WalVauspended/unit heater Water heater _ L Phone:(52) x',5• Fax:: ) 5.r5*7 1 q Fir lae�ce — J E-mail: 0,_4 f/�/�' :v flat i,ir ,F1 Barbecue W s T� SCMD l l Ir'ttm) Clothes dry as) - J Business Warne: --- Other: w.: Address: I l f 1 l i "�:~ :q? lak,41Cr?y P]I:iftfVlFf,IBSS'' City/State/Z.TP 1 � Subtotal Mi �^�Jl� ��,�.,, nimum permit fee(572.30) Phone:(�) Fax: J �J, ! P!an review(25%of permit fee) CCB lie, ''7��� Sate snrcttarge(896 of permit fee —__ � _ —r— -- -- ------- _ TOTAL PER1rf IT FE CThis nermi:application exp rn If a permit It not Ghtal a thin Authorized signature. dart ober It ha;Ween accepted.a complete. L /1 nnt name: LC/ urle J rvt/lvO�1 Date: Fee methodolnxy set by Tri- :aunty Building Indmrry Service Board P _ .•s.,IdmCP—t%\M'EC•P-rm'tArrp doe 12/03 4411.46177(I I/02/COWW") CITY OF TIGARD 24-Hour BUILDING A Inspection Line: (503)639-4175 INSPECTION DIVISION Business 41pp► j503)639-4171 MST _ BUP Received Date Requested _ �•� AM �._—PM_ V� BUP Location — c� S S Suite_— _—__. MEC Uo �G Contact Person — rC� _n2�rn Ph( ) 5S v2��c� PLM _ Contractor Ph( ) — SWR _ BUILDING _ Tenant/Owner ELC Footing - IU Foundation ELC -- - Ftg Drain Access:�—� ELR Crawl Drain Slab Inspection Notes: SIT — Post R Beam Shear Anchors — --------------- -- -- --- --------- Ext Sheath/Shear Int Sheath/Shear — Framing — Insulation Drywall Nailing - Fh ewall Fire Sprinkler ---- --_- 1 Y 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 -- 4-' _MECHANICAL Post&Beam _.- --- - Rough-In Gas Line IL Smoke Dampers —------ - OC F- -UAW PART FAIL — — TRICAL J Service - _m Rough-In — (9 UG/Slab ---�-- -- - J Low Voltage Fire Alarm - -- Final Reinnpoction fee of$_______- required before next inspection. Pay at City Hall, 13125 S':'Nall Blvd. PASS PART FAIL SITE - 0 Please cail for reinspection RE: 7 Unable to Inspect--no access Fire Supply Line _.•�" ADA 2 . G� Approach/Sidewalk bats Other: Final DO NOT REMOVE this Inepoedon Irncard from b sits. PASS PART FAIL ELECTRICAL.PERMIT____ CITY OF TAGAI\® DEVELOPMENT SERVICES DATE ISSUIED: 71812004 00410 13125 SW Hall Blvd..Tigard.OR 97223 (503) 639-4171 PARCEL.: 1S135DA-02603 SITE ADDRESS: 090(15 SW NORTH DAKOTA ST SUBDIVISION: GRAHAM ACRES ZONING: R 4.5 BLOCK: LOT: 029 JURISDICTION: TIG Project Descriptlow 2 branch circuits: AC and outlet. _ RESIDENTIAL UNIT _TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 --200 amp: PUMP/IRRIGATION: - EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 300 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 2nn 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: 1 IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: — >600 VOLT NOMINAL: Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREAS C ACC:_ Owner: Contractor: GOULART,JEAN GRF ELECTRIC 9095 SW NORTH DAKOTA 15460 SE PARADISE LN TIGARD,OR 97223 MULINO,OR 97042 Phone: 503-620-2978 Phone: 503-829-4146 Reg#: L.IC 76751 SUP 16555 FEES ELE 3-484C Description Date Amount Required Inspections [ELPRMT]ELC Permit 7/8/20114 $53.50 [TAX]8%State Surcharge 7/8/2004 $4.28 RoughFinal 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 Utilit7 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) 246-66S9 or 14300-332-2344. IL Issued By: 1 _ Permit Signature:- 0-yi a D r'►"- OC N OWNER INSTALLATION ONLY C The installation is being made on property I own which is not intended for sale, lease, or rent J m OWNER'S SIGNATURE: DATE:—­ a w CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE:_ LICENSE NO: tiC `J Call 639-4175 by 7:00pm for an Inspection the next business day Jul 07 04 06: 55a GRF Electric 5038295747 p, l Electrical Permit Application Received MUMME Electrical patdB o Permit No.: :�—► /� I City oaf Tigard H EG E�V F I Planning A at sign pate!By:_ _ Permit No.: 13125 SW Hall Blvd. Plan Review _ Other -- Tigard,Oregon 97223 � 11 Da►�y PerrnitNo.; _ Phone: 503-639-4171 Fax: 503- 9��I- 9 �/� Post-Review Land Use rhic(By: Case No.. intemet: www.ci.tigard.or.us -- —__ Tyy (( Contact loris.: See Page 2 for 24-hour lnspection Request: 503- -4I5 Name/Mcthod: Su ,lemcatal Intormat{on. fe; TVPEOF_W_O_RK, PLAN REVIEW Ieate cheekall,thet apples New construction Demolition Service over 225 amps- Healthcare facility commercial Hazardous location Addition/altemtion/replaeement Other: L,Service over 320 amps-rating of ❑Building over 10,000 square feet, CAMPORY. ,CONSTRUCTION 1 Qt.2 lamly dwellings four or more residential units in pil &2-Family dwelling Co_mmer_cial/Industrial ❑System over 600 volts nominal one structure Accessory Building 1VIUlt'-r BtlUly [IBuilding over three stories ElFeeders,400 amps or more ©Occupant load over 99 persons ❑Manufacntred structures or RV park _Master Builder Otlit'. (,)F.grr_Rs!lighting plan [J Other,---- JOB ther _JOB SITE INFORMATION and LOCATION Submit--sets of plans with any of the above. The above are not applicable to temporary constrict service. Job site address: t7 5 p FE_E•SCHEDULE Suite#: Bldg./AUt.#: _ Number ofInspectlons per permit allowed Project Name: 0c�LT0.,�,, +� :3sfcrl riots �T Qty I Fee(62.) Total I —'— New resldential•single or multi-fancily per Cross street/Directions t0 Job site: dwelling unit.Includes attached garage. Service Included: 1000 sq,fl.or leas 145.15 4 Each additional 500 sq.R.orMon thereof 33.40 1 Limited energy,residential _ 75.00 2 SUbd`.VISIOn: — — LOt#: Limited e �non residential 75.00 2 Tax ma / areel#: FJch manufactured home or modular dwelling AESCRIPTION OF WORK and/or feeder 90.90 2_ 9ervkes or feeders-Installation, alteration or relocation: 200 amps or less ___W 80.302 P — -- 201 am sto 400 atm 106.85 2 401 amps to 600 am 160,60 2 [�ORORMTY O . ANx 601 amps to 1000 ams 240.60 _ 2 Name: J Over I WD amps or volts 454.65 2" Q ct _y<.t.l��r fi e Reconnect only 66.85 2 Address: a 0 15^ 5K 14,7yf_ h )1 Temporary services or feeders-Installation, city/state/Zip: —-�---f h alteration,or relocation: ^ i _200 RMPS or less 66.85 1 Phone &U -- Fax: _201 amps to 400 amps — 100.30 2 401 to APPJ,ICAl1 :.;i "1 CONTACTMRSONT �- Branch0am�s !33.73 2 _-- Branch elreufta-new,uteratlsn,or Name: extension per panel: Address: A.Fee for branch circuits with purchase of service or feeder fee,each branch circuit .665 2 CI /State/Zt : B Fee for branch circuits without purchase of service or feeder fee,firm branch circuit 4685 4 2 a Phone: r�� Fax' Hach additional branch circuit 6.65 2 E-mail: Misc.(SeMce or fader not included): Each pumpAMILMoqcircle 53.40 2 U) ` Each sign or outline I' hti _ 53.40 2 Job No: _ Signal circuit(s)or a limiterl energy panel, tion,or extension Page z zBusiness Name: P_e-y- nescrption Address: Q m Each additional Ins ectlon over the allowable In any of the above: 19 L-I Z Pet i tion per hour(min. I holm 62 5 I W Phone: _ 0,61-V!`h(1 Fax: 5b3- 8 Zq �� Investigation fee: _ CCB Lic. #,. b_l Lic- #: 3- „ tictfitatl It'Yeiee Supervising electrician -^ SubtoS ' si tal afore re uired: '^�`' �"'\ Plan Review of PtKmit l=ee) Print Name: ,]Ji 0 drAd <;:;Z1•ic.#: — State Surcharge Bert of Permit Pee S 1 &1 { TOTAL PERMIT FEE S� 7.1[�_ Authorized (�� "l -'t Notice: This permit application expires If a permit Is not obta�eaCa within Signature: _ _ — Date: "'"r' _ g� 1tM days after It has been accepted as complete. *Fee methodology set by Tri-County"e/nilding Industry 51"ce Board. (Please print mete) i:\Dsts\Pcrmbt Forms\rslcPemritApp.doc 01103 • , l CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00439 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/6!2004 PARCEL: 1 S135DA-02603 SITE ADDRE!;S: 09095 SW NORTH DAKOTA ST SUBDIVISION: GRAHAM ACRES ZONING: R-4.5 BLOCK: LOT:029 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP CO�-'_ERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: ACin stall. Owner: FEES GOULART, JEAN Description Date Amount 9095 SW NORTH DAKOTA [MECH]Permit Fee 7/6/2004 $72.50 TIGARD, OR 97223 [TAX]8%State Surcharl 7/6/2:,04 $5.80 Phone: 503-620-2978 Total ----$78.30 ---- Contractor: TRI COUNTY TEMP CONTROL 13150 S.CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone: 503-557-227.0 Cooling Unt InspFinal Inspection Reg#: LIC 72623 IL e1 m W This permit is iss 1 subject to the regulations contaired in the Tigard Municipal Code, State of Ore. Specialty Codes and all other app ale laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within J days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By: 4.4- Permittee Signature: _ dyt ��t"&3'L — Call (503)639-4175 by 7:00 P.M.for Inspections needed the next buslness day Jun 30 04 04: 31p TriCounty Temp Cntrol 5035570919 p, 1 M nical Permit AualicationI- I FOR OFFICE USE ONLY ,`VV'� Qty of Tigard +� Received 13125 SW Hall Blvd.,Tigard,OR 97223 V �/ QPermit No.� Phone: 503 639.4171 Fax. 503.598.1960 Plan Revis Inspection Cine: 503.639.4175 1 DamMy Other Permit: Internet: www.ei.tigard.outis 11-,� Date Readv/By: NoaHed/I�gerhod: �See Page torte` Srpplemen I Information ,•+taC A�Tjly y!1•:',.t,,, ` (;Ol4ilV[ tCIi1J�.Rl:E' 3C$EDUL:)�'=Tl L+CHECKLIST ❑New coDstruchon gAddUoltralteratiorUreplacemtm[ Mechanical permit fees*are rased on the valu of the work ❑Demolition ❑Other-. performed. Indicate,he value(rounded to the crest dollar)of all .rc -----•�— mechanical materials,e�uirmen. labor,averh d,and ratio. t Tr.-�.. ff t1lr $ C'p °ICO UC7IUN'`? t'.M ` y value:5 M I-and 2-family dwelling ❑Comnurcial/industrial ❑Accessory building QST/SYS FEBS• ❑multi-family ❑Master builder ❑Other' rc�ecio/in ormarion use chec list. �, .. —� Description SOT:, .} I~ AN CGCA7TON: TQ .7 Ea. Total o � Q• Heartnpfeoo(la(s Job site address: 110% w Nor Air conditioning or heat pump T' 1, ^ uvea site plan showingPI-1;c-11r I ' 14 00� ------- City/State/ZIP: (�"` (((` Furnace 100,000 BTU ductvvenb ( 14.00 Sui;etldg./apt.no.: Project name: Furnace 10000()+BTC odu,,yK�- 1790 Cross street/directionsto job site. Gas heat pump 1400 Duct work 1400 _ H drooic hot water s srem 14.00 Residential boiler(radiator or h dronic) 4.00 Clnit heater(Nei-type,not electnc), in-wall,in-duct,suspended,Sec. 0,00 Subdivision: Lot no.: Ftudvent for any of above i 0.00 Tax map/parcel no.: — Other. 0.00 '.t;'' T DFSCR OPT16N OF. WORK ;; Other fuel a liancea e Water heater 0.00 ►18frttl Gas fire lace 1 0.00 Flue vent fix water heater or gas fir lace 0.00 Los 11ILhter(gas) 0.00 P+'ood/Pellet stover — _ 0.00 Wood fireplsct:Hnaert .00 �E�tOPERT�''.OWh`ER�'.`.' `«•1;% ;v>'; ' `''•[}:TEIVAN]r Chirme /linvr lue/vent 00 • _ i i ,is t Nome: Other: .00 . _ Environmental exhaust and ventilatIon Address: Range hood/other kitchen -- _ equipment I .00 City/State/ZIP: Clothes d exhaust 1100 Phone: Fax:Fax:( ) — Single-duct exhaust(bathrooms, toilet co zments unlit .00tru .80 ,� N ry r•r "i. !:= 1',11 _ T,; `�, ,;;",. —' C�1NTySCG E�RSON Auidarawl ace fans WOO Business name: Tri l � ��"— Other; _� 1 .00 Contact name: ' Fuel (plan Address: $5. 0 for first four;51.00 for each ad Clonal - IL CityiStatdZlp /)t�, V um �! Gas heat pp_ C•" Wall/suspended/unit heater U) Phone:(N) 55'7 rax:: ) SFJ-1 ( Water heater E-mail: Fi lace J :;'rift r �r •i,t i ;yQ ( I yS i. f. �.. �'' Ratbecue ED Business name: Tri Cfl r ' I Clotho d (prt) WAddress: i �i T Other: oyer a �� � • l .P)!' .• .. Ciry/State/ZfP: (� 0 � q, Subtotal Pho e: —sem ( ) 5 —� Fax ( �( Minimum permit fee(572.50) CCB lic.: -7G !'— �' Plan review(25%of permit fee) State surcharge(11%of permit fee) Authorized signature' � � 4047 K_—__V TOTAL PERMIT FEE This permit appiteaden expires if a permit Isnot obi ntd within I80 �� days after It hu Mao accepted n compo e. Print name: ��yy,�,,,�, 'n A L tY y y tt try m+tee Board JJGW fX Nl(�Jo`7 Pee methodology set b TIi Coant Buildin Indus r k1uddlnaVl. WMEC-PomtkApp.doe 12107 4.10-4617*(IM21COWWE9) Jun 30 04 04: 31 TriCounty Temp Cntrol 5035570919 p. 2 06/07/2004 09 10 FAX ®0 3/006 •9 494 v v :3 a z � w 4 � W a. t IL Ll C :J p 0 LL ir 0 Z J J J O Z 4 Cc1 U Z Q I-4" E", CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-41175 1191 MST — INSPECTION DIVISION Business Line: (503)6394171 SUP —--- --�. Received Date R quested.____ J AM PM BUIP Location 24— Suite _.._ MEC O d Contact Person Ph( ) _ PLM _ Contractor Ph( _) -� SWR _ BUILDING Tenant/Owner __ � O' 2�_: p_ ELC _ Footing ELC Foundation Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: 4 S1 I-'f 1tTl/1 - Post&Beam _ A — ShearAnchors 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: _ -- --- --- -____ Final _ PASS PART FAIL — MECHANICAL Post&Beam / ou -n -- --- - ---- a. a e Ir Smoke Dampers - --- -- -- ----------------- -- N nil A SART FAIL ---- ---- — - — J ICAL m Service Rough-In _j Slab Low Low Voltage Fire Alarm Final PASS PART FAIL Reinspection fee of$_-- _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ C� Please call for reinspection RE:__ - ---- _—_ L� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date__ Inspector _______e_-_____ __.._ _--._IExt--_ Other: Final DO NOT REMOVE thls Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Ho BUILDING ins. ec ne: (503)6394175 is INSPECTION DIVISION Business Line: (503)639-4171 MST _______. _ BUP ----- ------- Received __— Date Requested ��_ I AM.—_--_PM _____..__-_ BUP Location _ U uite __—_____ MEC Contact Person Ph( ) _ PLM Contractor_ — Ph( _) SWR BUILDING Tenant/Owner o20— _ ELC`;QQ ' Footing Foundation ELC Access: Fig Drain ELR — Crawl Drain _ Slab Inspection Notes: SIT tl- 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: Final PASS PART FAIL MECHANICAL Post& Beam Rough-In — IL Gas Line Smoke Dampers --- ------ ---- Final PASS PART FAIL -- ELECTRICAL —_ _--- - - . i Service m Rough-In — (? UG/Slab W Low Voltage Fire Alarm in PART FAIL El Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. S SITE — Please cal for reinspection RE: -- __. Unable to inspect-no access Fire Supply Line ..r' ADA /f a Approach/Sidewalk Date Other: Final DO NOT REMOVE this Inspection record thom the job she. PASS PART FAIL