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9783 SW FREWING STREET c0 4 00 W C� G 'n X m z CD 19783 SW FREWING ST. MASTER PERMIT CITY OF TIGARD ���� PERMIT#: MOT 000-00062 DEVELOPMENT SERVICES .� DATE ISSUED: 3/24/00 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09783 SW FREWING ST �- P;%RCEL: 2S102CA-01200 SUBDIVISION: MLP96-0001 ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: PATH I: New Single family dwelling w/attachsd garage&covered pore. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 15 FIRST: 1,400 of BASEMENT: 0 00 sf LEFT: 5 SMOKE DETECTO'tS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 of GARAGE: 440 e1 FRONT: 25 PARKING SPACC:S 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 0 at RIGHT: 5 VALUE: S 108,642 16 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,400,00 of REAR: 32 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN GRAINS: 1 CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 NATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURLS: MECI IANICAI. FUEL TYPES _ FURN<10OK: 1 BOIUCMP<AHP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER'INITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL _ RESIDENTIAL uN1T SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMP/RRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp: 201 -400 amp: tat W/O SVC'1FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 101 too amp: 401 600 amp: EA ADDL OR CIR: SICINALIPAFIEL: IN PLANT: MANU HMISVCIFDR: 0)l • 1000 amp: 601+amps-1000v: MINOR LABEL: 1000#amplvolt PLAN REVIEN 9E('TION Reconnect only: >./RES UNITS: 9VC'FDR»226 A.: '802 J NOMhJAL• CLS AREAISPC OCC- ELECTRICAL•RE!TRICTED ENERGY _ A.SF RESIDENTIAL _ B.COM ALRCIAL AUDIO 6 STEREO: VACUUM 5'/STEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGINf3: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER. HVAC: LANDBCAPMIRRIG: PROTECTIVE SIGI IL: GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAJTELE COMM: NURSE CALLS tOTAL 0 SYSTEMS: TOTAL FEES: $ 5,437.48 Owner: Contractor: This permit is subject to the regulations contained In the SAM SARICH OWNER Tigard Municipal Code,State of OR. Specialty Codes and 26865 SW PETES MTN RD all other applicable laws All work will be done in WEST LINN,OR 97068 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more then 180 days ATTENTION: Phone: Rhone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rer,A: forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Underfloor Insulation Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Building Final Footing In:D Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final Inspection lasubd By : ri �. �P' t"� __/ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD Q 1 _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00045 13125 SW Hall Blvd.,Tigard, OR 97223 (503) �J►1 DATE ISSUED: 3/24/00 SITE ADDRESS; 09783 SW FREWING ST <i� PARCEL: 2S102CA-01200 SUBDIVISION: MLP96-0001 ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG TENANT NAME: SARICH, SAM USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING, UNITS: 1 TYPE OF USE: SF NO. OF BU,LDINGb. 1 INSTALL TYPE: LTPSWR INIPERV SURFA ,E: Rema-ks: Sewer connection for a new single family dwelling. Owner: FEES SA N1 SARICH Type By Date — Amount Receipt — 26865 SW FETES MTN RD ---- WEST LINN, OR 97068 PRMT DEB 3/24/00 $2,300.00 0000932 INSP DEB 3/24/00 $35.00 0000932 Phone: 50:3-722-8593 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee;ie accuracy of the side sewer laterals. If t;ie sewer is not located at the measurement given,the insi.aller shall prospect 3 feet in all directions from the distance o?ven. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. , Issuell by: (I;'1 }r PermiLee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 32/2.8/00 Mti\ 15 17 111 :,n 59S 1960 t 1 1) (W I I i;WD Q002 CITY OF TIGARD Residential Building Permit Application Plane 13115 5W HALL. BLVD. New Construction Reeder e Recd_ �-/-� TIGARD, OR 97223 Single Family Detached DatDat@Rsc'da to . V 503-639-4171 -� ! Date to DST D F 503-61 4-7297 `� Permit00✓ 'Rinn 46,;•? Print of Type Caund 3 Incomplete or or illegible applications will not be acceptedl-f-Ir Name of Project Name Job 5q"0- S;2,1 S Addroa --------- -- Architect MallingAddress Address Site 7� s ,,k Ivy NameClty/State tip Phone 7 � •d ca; y7tz 3 zy—osss Ovmer Mailing Address Name iI.rr L,� .Su P,ks Mhi Rd Engineer Walling Addross -- city/state Zia Phone 11N 17 �'-1`1 3 CRY/State Zip Phone General Name Contractor , ,,,,c Describe work New O Addition O Alteration O R•palr O Mailing Address to be done. Prior to permit Additional Description of Work: /L✓r J �� issuance,a copy City/State Zip _ Phone of all licenses _ are required If Oregon Const,Cont,Board Exp.Date PROJECT ?xpired in COT LICK database 17-E.7 Q�Zvc,c� VAI.U_ATION Q� database _ Mechanical Name -- NEW CONSTIRUCT_I_ON ONLY: ;cel 6ivt�. Sq. Ft.House: Sq.Ft.Garage Sub- ,�tc,►'I� /yrr:h�a � lr,�/,�� 'i DU y Contractor Mailing Address � — __�— Prior to perrnnSt- Indicetu the restricted energy installation by the electricalow � — -- subcontractor In the fcllir areas _ .ssuence a copy Cityl9tate 'ZIP Phone _ of all licensos Or, q705, C.f,r;' Restric ed Audio/Steieu are required it Oregon Const Cont Board Exp.Crate Energy §Yatem �- Alarms expired In COT Lie$1 7� Installations V�CUUm Irrigation database / System _ System Plumbing Name (Oieck all that other: Sub- apply) _ Mlm i t,1 (ifi pl c C- Number of Units in Auildin Unit Number Designation_ Contractor MaIII�Addroas g g _ 1722-0 Lo Irl/e l 1Nr- Has the Subdivision Plat recorded? WA YES NO Prior to permit CRY/State Zip Phone issuance•a ropy J��of all licenses are Oregon Caner dont Board Exp Date required R Lie M - — expirod In COT )3 31)Z Cd_ /( datahase Plumbing Lie r1 E P.Dat I hearby acknowledge that I have read this application,that the - p?, information given is correct,that 1 am the owner or authorized agent (� of the owner,and that plans submitted are In compliance with Name Oregon State laws ✓ Electrical ,,B Signature of-0nor/ n Date Sub_ Mailing Address - / - /_�, Con 'erson NOI160 Phone# Contractor /arc SOF b;J�..r;.t-! L.r �� .r `_?u , 7c 3 City/State Zip Phone Prior to permit Issuance,a copy IL 6-,� 4 971 f+7 g3E FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont Board Exp.Date required R Lic.M API 11 / Lou Mapllf L#: , expired in COT 9',a�'lG. /- L7'O L / �� 4- (tr 3 - _� O; `- /7-0cC database Electrical Llc N Exp,Date tbacks. Zone: `" 3,10 1 '<- /C -✓•00 k Electrical Supervisor Lie 0 Exp.Date ngir"�ring App Val Planning Approval: TIF: e-1-r r( v_Y i Wsts\formslsfd-new doc t 1120/98 'z Sam Sarich Crust Ing. EkN?0 Ewe, �3 26865 S.W.Pete$Mt Rd. 88 Wast Linn,OR 97068 31 Scan )"= 0 l0 _7 7500 PARCEL o-3 it PAR71-TION) PIAT ` --- 00 No. M6-081 itioo s.F N fin Poor Ebu , lot N co (Par& , iii 5 5 ' -------------- I' 1s, , S•°z�na� h1 9 ; � F"REWIND S T CITY OF TIGARD 13125 S.W. HALL BLVD. '—"�7j i;ff TIGARD, OR 97223 MAR 3 1 2000 IMPORTANT PERMIT NOTICE P B ELECTRIC INC 1000 SE DOGWOOD LN OAK GROVE, OR 97267 Electrical Signature Form Permit #: MST2000-00062 Date Issued: 3/24i00 Parcel: 2G102CA-01200 Site Address: 09783 SW FREWING ST Subdivision: MLP96-0001 Block: Lot: 003 Jurisdiction: TIG Zoning: R-4.5 Remarks: PATH I: New Single family dw�:lling wlattached garage & covered porch. 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 Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SAM SARICH P B ELECTRIC INC 26865 SW PETES MTN RD 1000 SE DOGWOOD LN WEST UNIN, OR 970133 OAK GRIOVE, 04 97257 Phone #: :.03-722-8593 Phone #: 786-4499 Rea #: LIC 85896 SUP 4333S ELE 3-428C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD — - .- 13125 S.W. HALL BLVD. TIGARD, OR 97223 � MAR ;? 0 7000 I IMPORTANT PERMIT NOTICE MT VIEW M!-:CHANICAL. INC '19220 COKERON DR OREGON CITY, OR 97045 Plumbing Signature Force Permit #: MST2000-00062. Cate Issued: 3124100 Parcel: 2S102CA-01200 Site Address: 09783 SW FREWING ST Subdivision: MLP96-0901 Block: Lot: 003 Jurisdiction: TIG Zoning: R-4.5 Remarks: PATH I: Now Single family dwelling wlattached garage & covered porch. Your company has been indicWed as the plumbing contractor for the permi+ indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below a-.-)d return this Plumbing Signature Form prior to the start of the work to the address above, ATTN. Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: SAM SARICH MT VIEW MECHANICAL INC 26865 SW PETES IVITN RD 19220 COKERON DR WEST LINK!, OR 97068 0RFG0N rITY. OR 87046 Phone #: 503-722-8593 Phone #: 503-650-1780 Reg #: I Ir 133172 PI til 3-415PB AN INNS SIGNATURE IS REQUIRED ON THIS FORM Signature o�Atho�rized P m e If you have any questions, !Tease call (503) 639-4171, ext. # 310 CITY Y OF TIGARD — ELECTRICAL PERMIT . PERMIT#: ELC2000-00164 AskDEVELOPMENT SERVICES DATE ISSUED: 04/10/2000 '31:25 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CA-01200 SITE ADDRESS: 09783 SW FREWING ST SUBDIVISIC N: MLP96-0001 ZONING: R-4.5 BLOCK: LOT : 003 JURISDICTION: TIG Proiect Description: Temporary service/feeder of 200 amps or less. RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ MISCELLANEOUS 1000 SF OR LENS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L. 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): __SERVICEJ.EEDE:R __ BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 20C amp: i) W/SERVICE OR FEEDER: y PER INSPECTION: T 201 4CO amp: 1st W/O ERVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'I. BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLA14 REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: >= 225 AMPS: CLASS AREA/SPEC-OCC: Owna,*: Contractor: SAM SARICH OWNER 26865 SW PETES MTN FRD WEST LINN, OR 97068 Phone: 503-722-8593 Phone: Reg #: qR1 (`) 1NAL FEES _ Required Inspections Type—By Date A,nount Receipt Elect'I Service ` PRMT KJP u u4110/200C $53.50 0001277 Elect'I Final 5PC2 KJP 04/10/200C $4 28 0001277 Total $57,78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all cther 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 Ulilriy Notification Center Those rules am set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE i ISSUED BY: ' , OWNER INSTALLATION ONLY The installation is being made on proo hick is not intended for sale, lease, or rent. i OWNER'S SIGNATURE: DATE: k CON TRACTOR INSTALLATION ONl Y SIGNATURE r)F SUPR. ELEC'N: ______—.— __. __._ --_ __ DATE: LICENSE NO: __� -- ---- --- — - -- ---- - ---- Call 639-4175 by 7:00pm fur an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 1312 SW HALL BLVD. Recd By_R teecd TIGARD OR 97223 Ua --- Date to P E. Phone (503)639-4171, x304 Date to Inspection (503)639-4175 Print of Type Permit# Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 9. Job Address: 4. Comptete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or name of business) _�,Yt JQ,iL h L��s� _ Service included: Items Cost Sum Address_ 9 7 ti 3 .S�.J Fit w S f 4a. Residential-per unit City/State/Zip '7j.,rd 02 q�1.,L 3 t000 sq n or less $ 11 - 1 Each additional 500 sq ft.or portion thereof $ 26 75 Commercial ❑ Residential Limited Energy $ 60 00 _ Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 _ 2 (Prior to permit issuance,applicants roust provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrcal Contractor 200 amps or less $ 64.25 2 Address 201 amps to 400 amps _ $ 85.50 v_ 2 401 amps to 600 arnps _ $ 128.50 2 city _ StatP Zip 601 amps to 1000 amps $ 192.50 2 Phone NO. Over 1000 amps or volts - $ ;183.75 _ 2 .lob No. Reconnect only _ $ 53.50 _ _ 2 Elec. Cont Lice. No. Exp.Date_ _ ._ 4c.Temporary Services or Feeders OR State CCB Reg. No _ Exp.Date Installation,alteration.or relocation COT Business Tax or Metro No _ _Exp.Date_ 200 amps or less / $ 53.50 2 201 amps to 400 amps _ $ 80.25 2 401 amps to 600 amps $ 107.00 2 Signature of Supr Elec'n _. ovei 600 amps to 1000 volts. see"b"above. I cense No _ -----.__Exp.Date �_-- 4d.Branch Circuits Phoil� No _-- -- -- New,alleration or extension p,-1 panel a)The fee for branch circuits 2b. For owner installations: with p--hase of service or I feeder fee. Print W Owner's Name ��4M �/L tC Gt ���S cG \.o� Each branch circuit $ 5.35 -_ Address Zto?b, , SN lit d b)The fee for branch circuits without purchase of service City (J1>1 .1MA State 0 k Zip now _ or feeder fee. Phone No. 2L-Z- e r First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or.Tr (Service or feeder not Included) / Each pump or irrigation circle $ 4275 Owner's Signature Each sign or outline lighting $ 4275 Signal circult(s)or a limited energy * panel,alteration or extension $ 60.00 3. Flan Review section (If required): Minor Labels(10) Please check appropriate Item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 _ System over 600 volts nominal In Punt $ 59.00 ___-Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5 3 So Sa.Enter total of above fees $ -�-�- Submit 2 sets of plans with application where any of the above apply. � 0--surcharge(4&X total fees) $ q . " Not required for temporary construction services. Subtotal 106- $ Sb.Enter 25%of line 6a for NOTICE Plan Review if required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# O AT ANY TIME AFTER WORK IS COMMENCED Total h3fance Due $ S7. 7p r J.(s ter inswiectric doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394,171 — BUP Date Requested AM PM BLD _ Location I Suite MEC _ Contact Person _ Ph :7 Z ? ��59 PLM Contractor Ph SWR _ BUILDING Tenant/Owner _ ELC -4X)t; -[X.)1 Retaining Wall ELR - Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: – Slab SIT Post& Beam Ext SheathlSheai Int Sheath/Shear Framing Insulation Drywall Nailing - - Firewall Fire Sprinkler �'- Fire Alarm Susp'd Ceiling - ------- _..__.--- ----- -- Roof Misc:_ ----- - ---- - --- - Final PASS PART FAIL ------------ ---- - -- PLUMBING Post 8 Beam ------_--- ---._.�_. ------- --- .� - Under Slab Top Out Water Service Sanitary Sewer Rain Drains - --_- -- -- - --- - - -__ --- Finai PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line --- ---- -- ----- -- -_- __ Smoke Dampers Final -- PASS PART FAIL Service - Rough In UG/Slab -- --- -- - -- -- Low Voltage Fire Alarm - - - - -- ---- F A5 PART FAIL -_-_ _.- --- Backfill/Grading -- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Halt, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for; Unable to insefnspectfon RE: [ ] pest noaccess ADA (.[ Approach/Sidewalk Date ` ( w Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Mir A,w L) 24-Hour Inspection Line: 639-075 Business Line: 639-4171 e li P _ .. Date Requested �- Z � AM PM BLD Location /G �� 3�� �rPw Suite MEC _ Contact Person _ G'P+l Ph .5 :f t z PLM _ Contractor Ph SWR BUILDING Tenant/Qwner — EL.0 — Retainiog Wail ELR Footing Access:_—• -- ------- Foundation / x �� �� / FPS Fig Drain G��! -J' yo — -` Crawl Drain Inspection Noter,: SGN Slab Post 8 Beam --------------__—___.-__ ---- SIT ----- ------- Ext Sheath/Shear Int Sheath/Shear Framing --- - ---Insulation Drywall - ------------_.__.---.-_-._-- Drywall Nailing ------- -- ---_---------- --.____�T_ Firewall Fire Sprinkler - ------ - — ,_�..---...� ------ _ - --- --- Fire Alarm Susp'd Ceiling --------------__.._--. ---- Roof Misc: — _ - ----- - ------ Final ------_-____._- -----_-_� PAS PART FAIL PLUMBING—> Post eam _ - -- — - ---- Under Slab _�. _ ---. - - ---- - ------- -_..—_.. --- -- - - Top Out Water Service Sanitary Sewer - Ra' ART FAIL Post&Beam -- - -- - - ---- -- -------- - - Rough In Gas Line -------- -- Smoke Dampers Final --- - -- ------ -- - --------- _ ...----- - -. PASS PART FAIL ELECTRICAL - ervice Rough In ------ ------ --- -___ ---- UG/Slab Low Voltage — _�_— ------- - - --- Fire Alarm Final - ------- -- ----------- PASS PART FAIL 81tE �. _- ---- - Backfill/Grading - --- Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next inspecllon. Pay at Chy Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:�_ - - _ [ J Unable to Inspect-no access ADA --2 Approach/Sidewalk /�� Other Date -- ---1.� Inspector —�_� _Ext Final PASS PART FAIL.] DO NOT REMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST , Ue Ce" Z- 24-Hour Inspection Line: 639-4176 Business Line: 639-41171i 'h,V_ --- B U P ------ Dats Hequueested�—Z ��' ——AM--PM BLD Location_ ��3 s w "+'�'�'' �A 3�` _ Suite _ MEC Contact Person Ph .56, -3� �'.3z PLM Contractor —_ � *� Ph 6 3P SWR Tenant/Owner c•17�,-,�' !� r EtC-TIT ---.-- e arning Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab -- — --.. ----- SIT Post&Beam —--------- ____ Ext Sheath/Shear Int Sheath/hear ------------_-._._____--_ Framing ------------ -- ----- ----- Insulation Drywall Nailing - ---- ------------- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- ----- — -- -------- --- ASS BART FM.L. ---- ---- --- PLUMBING Post 8 Beam _ _. _ _ - - ----- -- - --- _ - -- ----- -- - -__ Under Slab Top Out --- ------------------- Water Service Sanitary Sewer ------- - ----------- - - --- Rain Drains Final ----- PASS - FAIL MECHANICAL _ Post& Beam - -- - ....... -- --- Rough In Gas Line ---- _ _. - - - - - ---- - -- Smoke.Dampers - PRSS PART FAIL ELECTRICAL - - ----------- ---- -------------- -- ------------�— Service Rough In UG/Slab — - --- --- --------- --- Low Voltage Fire Alarm — — Final PASS PART FAIL SITE BackfilUUrading Sanitary Sewer Storm Drain [ J Reinspection fee cf$ required before next inspection. Pay at City Hall, 131[5 SW Hall Blvd Catch Basin [ )Please call for reinspection RE: _ _ [ ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Other �� IFxt 1---- p - --- - — - - Final PASS PART FAIL DO NOT REMOVE thils inspection record from the job site. r