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Permit tC ,$1: off == ;. 1 ,1_Sy t . . — t. . _- y_5 MASTER PERMIT TY F T I PERMIT #: MST2002-00041 � ��, DEVE H d Tigard, OR SERVICES 5039 -4171 D ATE ISSUED: 2/25/2002 SITE ADDRESS: 12930 SW WILMINGTON LN PARCEL: 2S109AA -03500 SUBDIVISION: WILMINGTON HEIGHTS ZONING: R -7 BLOCK: LOT: 009 JURISDICTION: TIG REMARKS: Convert basement into habitable space. 1340 sq. ft. Path 1 x'1-1 /24 /04-PERMIT - REI NSTATED FOR ^30 -DAYS-FOR_ -FI NAL— INSPECTIONS. BUILDING __ c rr,,....- _,. _.1 .�, = REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: 1.340 sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: NB D: sf RIGHT: VALUE: 65 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 0 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amp6- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,082.85 This permit is subject to the regulations contained in the BOSZE, EDWARD + JENNIFER A KILMER CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes 12930 SW WILMINGTON LN 15511 SW PERIDOT WAY and all other applicable laws. All work will be done in TIGARD, OR 97224 BEAVERTON, OR 97007 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or rf the work is suspended for more than 180 days. Phone: Phone: 503 - 579 - 0991 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 110666 rules are set 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 Control lnsp & Underfloor insulation Mechanical Insp Electrical Rough In Electrical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Framing lnsp Mechanical Final Foundation Insp Footing /Foundation Dr: Plumb Top Out Shear Wall Insp Plumb Final Post/Beam Structural PLM /Underfloor Plumb Top Out Low Voltage Final inspection Post/Beam_Mechanical PLM /Underfloor Electrical Service Insulation lnsp Final inspection Issued\By : I`•, _ , -f tiA. / Permittee Signature : x —� _ \ - Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day '.6 r # sy MASTER PERMIT PERMIT #: MST2002 -00041 ' i t DEVELOPMENT SERVICES DATE ISSUED: 2/25/02 ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12930 SW WILMINGTON LN v- irizti� 6" 2: -.4g' PARCEL: 2S109AA -03500 SUBDIVISION: WILMINGTON HEIGHTS ZONING: R -7 BLOCK: LOT: 009 JURISDICTION: TIG REMARKS: Convert basement into habitable space. 1340 sq. ft. Path 1 BUILDING REISSUE: a l i t STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK L( Y N - �� , HEIGHT: FIRST: sf BASEMENT: 340.00 sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 65,000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 0,00 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ' ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL - B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 957.85 This permit is subject to the regulations contained in the BOSZE, EDWARD + JENNIFER A KILMER CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and 12930 SW WILMINGTON LN 15511 SW PERIDOT WAY all other applicable laws. All work will be done in TIGARD, OR 97224 BEAVERTON, OR 97007 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 than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Reg #: LIC 110666 Notificase forth in OAR 952 - 001 -0010 tion Center. through Tho 952-001-0080. rules are You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. • REQUIRED INSPECTIONS -Erosion- Control - Insp -8 Post/Beam Mechanical Mechanical Insp Low Voltage Final inspection Footing lnsp Underfloor insulation ' Plumb Top Out Insulation Insp Foundation lnsp Crawl Drain /Backwater Electrical Service Electrical Final Wtr Proofing Bsm't Wa Footing /Foundation Dr; Electrical Rough In Mechanical Final . Post/Beam Structural PLM /Underfloor Framing Insp Plumb Final ,-�J i� /� 1, l - j am Issued By : �/,�CG�� , / .��1i� , Permittee Signature : / k CaII (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day d 3 ,) -s--0 2----- eg O O • O • -.1 A 7 s,k,,}° -- '+ 97 t -i t.� r ,,, 3 �'rr ;5; -;,�` r ti s� * . :1 r , H tz. . • Building Per Applac . ,N, • on ,� ' , .� s , �, Y, r h , il , .�r • City off Tigard /�1 Date received: ' H 0 `Y Permitno.: 14 YJ2 - '.// assF } 1 }�11/1•:4 't..., ' ! t Pro ecda I no.: Expire date: t r _ o ® J PP P City Address: 13125 SW Hall B F di% ip ' �Y) � Ci +J Phone: (503) 639 -4171 Date issued: By: • 1 Receipt no.: J Fax: (503) 598 -1960 Case file no.: Payment type: FEB - 4 2002 i Land use approval: 1 &2 family: Simple Complex: Cl1 I Ur iitIARD 7 i re 4 : 4, .4}Y , i 4 ii 1 I ) l L .�,;4 'f . i p--1R J7 r t ' s 11 K o j uti . p:. . s , ' E '+i t , i :.,,;,?;: . _ : 1 . :n 4�, i { y .'41: ;u `n, , ,',..%, h' :R .�,,r " 5.):1.f S,t , .' :-.;: Of 1 & 2 family dwelling or accessory U Commercial /industrial ❑ Multi- family 0 New construction CI Demolition Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: 7 T � !' I !- 1 v' iq s 'Se ` �f - x SX�.�, rf . C -, i :'•'� ` S'P 1 . 4 :1 Jrr >'�;' ili . „'"r;. ' J013SI7L:INFORMAT , , 1' s z r. s i s - 4:r ..,, .. , - � ..: .. .. _ ,�..�^,. �..*:7, eai.�.Rc r.'C. .;,.?. c . «�r<,o..v...+�w. - r x -- �,r.,w i.,ra� ✓.... ;°€r e: � er. �r • . F �?:a�i N. .. . ., Job address: 1"1 o , , ' '. • ■ Bldg. no.: Suite no.: Lot: Block: Subdivision: yq\\,.,,\ b„, \\ lkin Tax map /tax lot/account no.: I o frA '03500 Project name: Desc ?'ption and location of work on premises /special conditions: bak.ap►,er Co ■n4AN,,�C\ /yeNko4:21 l () foNL -r& ' Pet MG tr■1 I n° t-4 P lei LG. S c 1 (1-r- _____, , , {, ,; ' OWN • _ , �x r - �;.., x" _ a 'v H : FOR S' �,CIAL INTO. MA ION: USE CHLCKLISTi ^ .:: . ... _ a -.' _'. h.: Y ,.: S Y: . ,. -M a^. 1 FI s j c _ J s Name: 41. J. ,.�` Y ( FIoodplatn ,.septiccapacttr,,solar,etc) ki Mailing address: \2W')- S 1/4, v � k r.av‘R___ 1 & 2 family dwelling: City: ‘ o),r,,._A (State: op, IZIP: o 224 Valuation of work $ 65, 000 Phone: S6-4, — 4 1 1Z4Fax: to IA IE -mail: 2d'\tv.b,,..0wok. .,,No. of bedrooms/baths 'L / L Owner's representative: Total number of floors L V Phone: Fax: E -mail: New dwelling area (sq. ft.) Ii :4 0 k , ` ' , k APP LICANT * r F . fi,5 , " `. Garage /carport area (sq. ft.) Name: E t Q-jo,,_,..e._ Covered porch area (sq. ft.) Mailing address: o M ' hw` .......1 Deck area (sq. ft.) City: rt k 6,n.r( State:6.& ZIP:( -1224 Other structure area (sq. ft.) Phone:s i gq_ Fax: A E-mail: el t .Ab,i,,ze.Q,,tol, Sommerciallindustriallmulti- family: ; GONTRACTOlt a7 M1 ; t Valuation of work ,... $ Existin bld area (s ft Business name: Ki\,...Q,.( Ca IA c4,,, t ! h p� New bldg. area (sq. ft.) Address: IS 11 C, W Qp'r ,1 t.t W Number of stories City: ri-Ap„v ,,A-vv\ State: 02, I ZIP: 4- o 0 Type of construction Phone :56.41 g -0qm I Fax: � 1p I E -mail: ,, i A ,(-' Occupancy group(s): Existing: CCB no.: tt 06,6b. i -// New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIII 11 CT /DI SIGNLR r licensed with the Oregon Construction Contractors Board under Name:�av\ �\� \� provisions of ORS 701 and may be required to be licensed in the Address: X611 p �,W W\,\ LeF�i 3 c„...\ _ jurisdiction where work is being performed. If the applicant is City: 'j t U r7 State: p � I ZIP: exempt from licensing, the following reason applies: Contact person: a,„ kke \1R Plan no.: Phone co _ •, ax: A E-mail: A - L i LNGINI• LR.` Name: T• N , 5 P \.e - Contact person: •- S \ Fees due upon application $ Address: 1i 2C, R , (A- - Date received: City: W <b.\._ 1,.1 N v\ State:p L IZIP: Ciio6 Q, Amount received $ Phone: c -6 ob— 3o 6*Fax: 1J I Ac I E-mail,: N Ih Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for mom information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa O MasterCard work will be complied wit ether s 'fled • ; in or not. Credit card number: / / Expires Authorized signature: ._ _ I !ate: 2/ 25/02_ Name of cardholder as shown on credit card $ Print name: -ii too v(Y 1)0 ze Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o -'$613 (6ro0/COM) ii One- and Two-Family Dwelling _ 'r • e • e e Building Permit Application Checklist Reference no.: City of Ti and Associated permits: City of Tigard Y g ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 ' y EpFOLLO, A FOR PLAN • REV � 'u A r j 5 r Yes es No;r N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable lecal and state building codes.. Lateral design details and connections must be incorporated into the plans or on a separate full -size / sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs,' fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. • ISDICTIONAL'SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan must include street tree size, type & location per City of Tigard Street Tree List booklet. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6/00 /COM) El ��7}��qt � 4 � ` • p o n ® {y�� as 42 1'3,1 "S�t' y @"`' 4wlM . i i j �` �% �. . ecu ical Permit. �� ;r 3 c 8 -: c .k :'r --' } k . ? i, r r� J : , z), A t: Date received: Permit no. 6141 ?iKlf l`I City of Tigard Projectlappl. no.: Expire date: CiryufTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: I ' ' 7i7 r . ;� . v3,4:, :0,2 , , 1 a ' , 9 ,: ..., y o n y 4 t .r4 -pv4 ps-, ;s .:, a ti f s4. , 0 1. t '•� X .1 a ,, g 4.„ s, " , ..1.. ,,,Y �' ,2 4v, 4 :b 4 -i - --- ,.....,... .. S . = � 14st:.(. 1 fi - ,,,,`�" Et. _ r "� �� � f '�� TYPE O ,,, �.><,. u+ �A '���_�S,rw.�.�:2iatrc.sx�s. k;,,�r- ..,a:�' l avaaX�xr`.. c%, .3�_ :3L�,. �:r ��?A!: .�&,. �"�'€ `�,tv�`t w;c a_ ,,.�t� 0 1 & 2 family dwelling or accessory 0 Commercial/industrial Ll Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: 0 Partial ' r ii k� -1 y fi ^ #,: .^, .'� 7` �.� J fit .. r ,�, F,.v... y .R. T , :...._ , ..'k2',a : 4 v i ( l..V i.-: 4 si n 1 h i i ' # ,` wr^?fT, Y� M � w it 7 ,,�,a < ev # :i tj.. 5 y , ,. sJOB SITE.INFORMATION . ,eK , z vx ,� :1 " a „ts , a, .; . :! Y t' �,, . A ' rr'..uv�`:a''1 �.: <� eta,�� :�;J`, ..s�.- .�... � N.K ... .,..�...,*� � i. . _ 1 �.. ...- .. ..: . ,.. , . Job address: 12.4 W VO,w). Zu.n. _, ," Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: „e;i, `,•1• Project name: Description and location of work on premises: tom, _,,_ e. ` a ,ai Estimated date of completion/inspection .. �` .. I i wpm? ”, air 4 ,, ` " I E:E SCIIE ';% e: i , e i � +. ,GgNTR ACT ; ,APPLICATION R� y . 2 % , DU>!� .� { ,5 , � ,d. ... i.�r .: ,` . . - - `.. ....., ., s. -.,4 �t� i.b, ni.s `� . :Yl .' . ,t � . x_.a. '� t_.? � n . 4�_... N_. ... � . .,, a f ��l"', c..... -. Job no: Fee Max Business name: Description - Qty. (ea.) Total no. insp r V e ♦ L _ New residential - single or multi- family per Address: , , , L _ _ 10 ' "I 6 dwelling unit. Includes attached garage. ESMNIMIIIMMIIMI StateO(Z., ZIP: q' f7 • Service included: Phone: c, o .3 0 _B •. Fax: p., EIEMOMMEM 1000 sq. ft. or less 4 CCB no.: Z _ � G E additional 500 sq. ft. or portion thereof W'__- • Elec. bus. lic. no: r [5O L energy, residential OM__ 2 City /metro lic. no.: D 0 0 .0 D , S Limited energy, non - residential ___ 2 / / • wir i Each manufactured home or modular dwelling Signature . supervising electrician (required) Date , Br/ D Service and/or feeder ■■■ 2 Sup elect. name (punt) �� a License no: 3 5 7 tip Services or feeders - installation, , ..",^7.},:-,1"..,:f . ��,t , r rr alteration or relocation: i �` ,.:i� ua ,� y - PROPERT O WE N a c t .; �„ v ; r, 200 amps or less 11111 2 S �.w ZfZ 201 amps to 400 amps ___ 2 Name (print): 401 amps to 600 amps ___ 2 Mailing address: c v W _ _ L , 601 amps to 1000 amps M�� IIIE Stately& ZIP: • Z • Over 1000 amps or volts ___ Phone:So -7 0 9 ax: lvlp* BEIMPLIMNI Reconnect only __ 1 Owner installation: The installation is being made on property I own L. ' Temporary serricesor feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less II . 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps ___ 2 Owner's signature: Date: 401 to 600 amps M__ 2 t , -. . Branch circuits - new, garb .... LNGIALER ` .''r . :b h iit : ' alteration or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: B . Fee for branch circuits without purchase State: ZIP: =:�-� y' of service or feeder fee; first branch circuit: %r ' 2 Phone: Fax: E-mail: Each additional branch circuit: rem_ 1'- -LAN •121 V IL A' . Yl c'tse chcck2 all teat a ly ` ,, Misc. (Service or feeder not included :- ---- -- - ME ❑ Service over 225 amps- commercial ❑ Health-care facilit Each pump or irrigation circle 2 O Service over 320 amps -rating of 1 &2 ❑ Hazardous location Each sign or outline lighting ___ 2 family dwellings ❑ Building over 10,000 s feet four or Signal circuit(s) or a limited energy panel, ■■. O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lightingplan ❑ Other. Per inspection __ Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ❑ visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (6/00 /COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY /� Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular n Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders n Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 Vacuum Systems . 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 n Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or Tess $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler Controls a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $46.85 I � I Each additional branch circuit $6.65 l l HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above - n Per inspection $62.50 Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting Fees: n Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i:\dsts \forms \elc- fees.doc 08/30/01 IL•l • ...._t__ - ' C300 Plumbing Permit Application w - Date received: Permit no.: ' City of Tigard -} i> `J Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 - 4171 Project/appl.no.: Expire date: Fax: (503) 598 - 1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: r , 'i } j. .. ry y P1. r a ) t , e;;;„; .. _ L I 1 f.i T, � of Pitn� I r , ` . > . R 1 & 2 family dwelling or accessory ❑.Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New constnjction ❑ Addition/alteration/replacement Cl Food service ❑ Other: ' ''''-'' - ' — ` ' r J013SIE IN f'OR1�11TION � ' ;�FF L UI S(III D i• (for.�spectUliurforniahon rise checklist) r .: 1 Job address: i 2 s w nn ev Descri , tion Qty. Fee (ea.) Total Bldg. no ' Suite no.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot: Block: Subdivision: \M .,... SFR (2) bath _ Project name: SFR (3) bath I= City /county: • • 4 ,. , 1 1/4 ZIP: r. 2 .4 Each additional bath/kitchen = Description and location of work on premises: iRaw a.Q.✓'c Site utilities: III . e n A S hstA-11w■ Catch basin/area drain Est. date of completion/inspection Drywells/leach line /trench drain _ -I I Ui�113IN(• GON I ItACTOR<, Footing drain (no. lin. ftJ _ Manufactured home utilities _ -- Business name: • e 5 • 01 _.�i,a • Manholes _ ' Address: `p - - 4, . , - Rain drain connector' MI State: a ZIP: C 2.2 • Sanitary sewer (no. lin. ft.) _ Phone: S 3 -64t o Fax: pi D. IIIMIIMEM1111 Storm sewer (no. lin. ft.) _ CCB no.: Plumb. bus. reg. no: Water service (no. lin. ft.) MI City/metro lic. no.: 3 • _ . - Fixture or item: 1 Absorption valve Contractor's representative signature: ,Mir ��� Back flow preventer _ Print name. Gov- V.ar • • ' 4 Date Backwater valve = (Q, 11( I. PI RS. Basins/lavatory _ MI Name. _ • L . � z Clothes washer Dishwasher FM - e Address: q . W W1\r,,\.r.>-bvN _ , ,_ Drinking fountain(s) MI City: 'C \ uvck State:(( ZIP: 4122' , Ejectors/sump W1 ' Phone:5 -- 134- `? 1 Fax: m /» (jp E -mail: € ,� Q . xpansion tank ONVNI R r Fixture/sewer cap ME Floor drains/floor sinks/hub . Name (print) 0, S22._ Garbage disposal Mailing address: \Z930 SW '\ ,m,..• 1-ov. _o . Hose bibb _ City: , NJ State: Dv, ZIP: (Al 2.2„ A Ice maker _ Phone: 503— t ■ — Fax: ,N pR EEMMEMMIN Interceptor /grease trap M Owner installation/residential maintenance only: The actual installatio ' Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain (commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) WA Owner's signature: Date: Sump Mil I NGINI I R • - Tubs/shower /shower pan — ILE Urinal Name: Water closet lin Address: Water heater MN City: State: ZIP: Other: N — Phone: Fax: E -mail: Total IIII Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Minimum fee $ dic - ❑Visa ❑ MasterCard expires if a petnut is not obtained Plan review (at _ %) $ Credit card number. i / within 180 days after it has been State surcharge (8 %) .... $ - Expires TOTAL $ Name of cardholder as shown on credit cars accepted as complete. $ Cardholder signature Amount 440-4616 (6/00/COM) PLUMBING PERMIT FEES. . PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY .(ea) AMOUNT Lavatory 16.60 for each utility connection) One (1) bath $249.20 Tub or Tub /Shower Comb. I 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath _ $399.00 Water Closet 1 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher 1 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Home New San /Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures (Specify) 16.60 Urinal Dishwasher y E Q yr **, /fwruQ ?v..rc Garbage Disposal Laundry Room Tray ' Washing Machine - Floor Drain /Sink: 2" Sewer - 1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Water Service - each additional 200' 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 Requested Inspections , per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total is > 9 *SUBTOTAL 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i:\dsts \forms\plm- fees.doc 12/26/01 alt tit , • ■ M echanical�Perinit Application ,, • i Date received: Permit no.: Y �. �,..,, F 1 1r. City ®f Tigard Project/appl. no Expire date: Ciry ojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: � `' s �.� ,''' 1 V Nh # 1� y ?ti . \ b y 1'1' . P L O( 1' LRi 1 111 ` .= j ' a ..2i ,ul v.' - - ' ,.j�.-. '%R:.. 5 V j' `' f ' ' .. t: } r + ,, ,y 1 r 1 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: - !!, ? „ ti - `JO SI CL'1NI*ORMAI IO _i 1 $'t "^ i it 'pt ,' . _ , COM MERCIAL :VALUA1ION' Still DULE`' A Job address: licy'bp 5■,J W' k,.uvs12_ Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ • Lot: (Block: I Subdivision: W\ \,,t,\,,, \SetyV,� *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee City /county: 7\ , 4 , ZIP: - - 722∎ •1 S 2 FAMII .: DWI DWELLING PERMIT LEE Description and location of work on premises: SQL,-N20 oG�'i 1ND COA1i�ICRI .AL /IIVDUSrRIAL LQUIP11FN1 SCIIEDUI E' -C,,.-aatt. t r,, tc * „soYV\ s- -4'i\R SAC ( o l a' - - Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res. only Res.only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system M FCliANJ1AI fa' COI\ 1`R A(TOIi { Boiler /compressors w,k�.x(t�c 1.�.-L State boile permit no.: Business name: Sht �A / HP Tons BTU /H Address: 2.24 S W Q., „ ,, 'R (t„, - Fire/smoke dampers/duct smoke detectors City: - , I State: p`�I ZIP: ono 61_ Heat pump (site plan required) E -mail: Phone: ( C, I Fax: (�qy - SS I U Q InstalUreplacefurnace/burner "ie- >"BTU /H Including ductwork/vent liner Va Yes ❑ No 1 4' J CCB no.: y 2f, at', \ Install/replace/relocateheaters- suspended, City /metro lic. no.: Cl p n oc 8€14 wall, or floor mounted Name (please print): e jca - t - C Sl •, •,1, v • Vent for ap • liance other than furnace (ON7 AC1 PERSON Re 1 _eratron: is /H ,.� . , . ;,. ..,:.... � Absorptionuni BTU Name: Er, Gy.,2e Chillers HP Compressors HP Address: 11q -b o S W W i \• ja^ `^� Environmental exhaust and ventilation: City: 1 ‘ga4 1 State:Qsk I ZIPg1124 Appliance vent PhoneSo1, - 134 - 1111 Fax: W A - E- mail: ea`mbxzstt✓Aol -kaNADryerexhaust MI . d Hoods, Type I/ I1/res. kitchen/hazmat . .- - _ �: ' -. -' _ - - hood fire suppression system Name: a U,{ (XL, Ao.12 Exhaust fan with single duct (bath fans) (1' ' Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG 'X • _ NG Oil 5 -4° Phone: Fax: E -mail: Fuel pi • ing each additional over 4 outlets 1 •N( INI^ 1 R ' '' Processp p , : (schematic required) Number of outlets Name: Other listed appliance or equipment: q 1 O , u' Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: 1 Fax: 1 E -mail: Woodstove/pelletstove Other: Applicant's signature: I Date: Other: Name (print): Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review (at _ % Credit card number: Ex Expires 180 days after it has b ( %) $ p been surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. $ TOTAL $ Cardholder signature Amount 440 -4617 (6/00/COM) MECHANICAL PERMIT FEES - COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Fumace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 1 - 14.00 fraction thereof, to and including 2) Fumace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Fee $72.50 SUBTOTAL: 7) <3HP; absorb unit $ to 100K BTU 14.00 8% State Surcharge $ 8) 3-15 HP; absorb 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb 35.00 Required for ALL commercial permits only unit .5 1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler ducts & vents 10.00 Fumace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct /f ducts & vents J.- 6.80 Floor furnace including vent 955 16) Ventilation system not included in Suspended heater, wall heater or 955 appliance permit 10.00 floor mounted heater 17) Hood served by mechanical exhaust Vent not included in applicance 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 to 100k BTU 19) Commercial or industrial type incinerator 69.95 3 -15 hp; absorb. unit, ' 1,700 101k to 500k BTU - 20) Other units, including wood stoves ,( ± 10.00 15 -30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets mil. BTU (2. o� 4 5.40 30 -50 hp; absorb. unit, 3,400 1 -1.75 mil. BTU 22) More than 4 -per outlet (each) 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $3� 2v >1.75 mil. BTU Air handling unit to 10,000 cfm 656 8% State Surcharge $ Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 - - appliance permit Hood served by mechanical exhaust 656 Other inspections and Fees: Domestic incinerator 1,170 1. Inspections outside of normal business hours (minimum charge -two hours) $62.50 per hour. Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Other unit, induding wood stoves, 656 $62.50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 360 charge-one-half hour) $62.50 per hour Each additional outlet 63 State Contractor Boiler Certification required for units >200k BTU. TOTAL COMMERCIAL $ ""Residential NC requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. i:\dsts\forms\mech-fees.doc 12/26/01 Permit #: OIST D-c .D -000 Li 1 OF > - • �, Address: 12- 1 O l 1vv\ I•,V� m t ln,r4' :': z Issued by: Date: n Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: F l 1. I own, reside in, or will reside in the completed structure. IS 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is I ! (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR n 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Const Responsibilities on the reverse side of this form. / (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) — ~ Information Notice to Properly Owners Abe Construction Respons`t^U^t^es Note: ?hixInformation Notice /n Property Owners about Construction Responsibilities was developed by the Construction Cu:/mcmnBoard i, accordance with ORS 701.055(5). (| you are uo)oc2;:o your own contractor 0» conxoncL u new home or make a substantial improvement \oan existing aUuquxe, you can prevent many problems by being aware of the following responsibilities and ,areas of concern.. EMPLOYER RESPONSMILAIRS: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or impnovenzn( of reoidnn6x| structure, you will, in most \nstances, be ruled to be an employer and the people you hire wifl he empoyees. As the ernployer, you 'must comply with the following: Oregon's withholding tax law: A•miemp|o�r, you rnust \vithhoid incomc taxes from employee wages at the tirne empoyees are paid. You will be liable for the tax payments even if you don't actually' withhold the tax from our ernployees. For more information, call the Oregon Dept. of Revenue at 945'8091 . ' Unemployment insurance lax: As an emplover, you are required to pay a tax for unemployment nsurance purposes on t wages of all eniptoyees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378-3524. Workers' compt insurance: As an employer, you ar subject to the Orcgon Workers Compensation Law, and must obtain workers cornpensation insurance for vour cmpioyee.s. Ef you fail to ohiain workers' cornpensation insurance, you may be subject to penalties and will be liable for all claim costs if one of youremployees is injured on thejob. Foe more information, call ehc \Vorkers Compe.nsadon Division at the Department of Consumer and Business Services ut945'7888. 0.3, Internal Revenue Service: As an employer, you rnust withhod federa income ta from cnip1o'ees' wages. You will be hahle for the tax paymcnt even if you didnt actually whhKo|ddhe/ux. For marc information, ca!I the Internal Revenue Service at 1-800'829'1040. OTHER RESPONSIMUTIES AND AREAS OF CONCERN: Code compliance: As he ermit hokler for this projeci, you are responsibie for resolving any fadure to meer code requirements that may be brought k` your attention through inspections. LiabEtJty and property damage nsnrance: Contact your insurance agent to see if you have adequate insurance coverage for accident.; and omissions such as falling |onb, puiot overspray, water damage from pipe punoiunox, fi/e, or work that must be re-done. Tirne to supervise employees: Make sure you have sufficie.nt ime 10 supervise your e . ces. Expertise: Make sure you have the experiise expertise to act as your own general contractor,. to coordinate the work of rough-in and finish trades, and to nOtify building officials at the appropriate times so they can perform the required inspections. if you have additional questions, writc or ca!1 the Construction Contractors Board (PO Box |4|40, Salem, 0K973{9'50j2. 503/378'4621). The Board is Iocated at 700 Sumrner Si, NE Suite 300, in Salem. pmp'uwn*m4 / 9• October 25, 2004 u nrr CITY OF TI OREGON Edward Bosze 12930 SW Wilmington Ln Tigard OR 97223 RE: Permit MST2002 -00041 This letter is notification that the referenced permit for the work at the above address has not received a final inspection. Since more than six months has elapsed with no inspection activity, it is assumed that the work has either been suspended or abandoned and this permit will be expired by limitation as provided in Section R105.5 of the Oregon One & Two Family Dwelling Specialty Code. Please be advised that, in the event of a subsequent sale of your home, the lack of inspection approval for this permit could delay closing. The lending institution and /or the title company may require proof of a completed permit for such work prior to the sale of the property. We will allow thirty (30) days from the date of this letter for an opportunity to apply for reinstatement of this permit for the purpose of final inspection(s). Certain fees will be applicable at the time of reinstatement. If you have any questions about the permit or its status, please call Jeanne Temple in our office at 503 - 718 -2433. vM Sincerely, V 7 8 =7 7uf Qc v -e—Q LD a j — cL V �Yt �; ao�,n 1 - y - 04 Darrel "Hap" Watkins k2/ gr'" 1 / - 1S- OLI C P- Inspection Supervisor 4-6 ' cc: Property File 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 Q7� -060 4/l INSPECTION:DIVISION Business Line: (503) 639 -4171 BUP Received Date Req ested 2 — 3 AM PM BUP Location _ D . • _idd _Ai A _'a Suite MEC Contact Person Ph ( ) PLM Contractor c �� Ph ( ) SWR IL' IN Tenant/Owner £d &- IN — 710.17 ELC 00 49 ELC Foundation Access: Ftg Drain �QS G�� 7 Crawl Drain Slab Inspection Notes: 8 - SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation E C,�I P1N _ t DISH v\) fl ) Th C V\\i\iDO Drywall Nailing �( �\1 Firewall Fire Sprinkler � 1� ' `° V 16- \f l" Fire Alarm Susp'd Ceiling Roof Other: PART • - G • • :abm Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 11 , Storm Drain Shower Pan Other i +Ta •: RT etL 1T% Post & Beam j , 4 Rough -In Gas Line J y t Smoke Dampe' t Tina) PA PART FAIL AL Service Rough -In U Q ow Volt • arm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ` .l` �� Inspector t'�4'y 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/ 4-'1 bd 4/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re ue ted l AM PM BUP Location / Z OO 1 ` Z� , � / 1 t? Suite MEC Contact Person � a Ph (` - 2e PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation .) & l/)0 / Ode , L G/G . / -� C / , / Q - 1 5 C Drywall Nailing J Firewall � . 1-el/ O /RAZJ /779 Fire Sprinkler / ��i 4y ,, Fire Alarm V Y,/ 7// /j l kil re)/ k,Q fyi 74 , ji -w�o Susp'd Ceiling `- I���G��Yi Roof Other: Final PASS PART .FAIL Under Slab pl),:71_ ► WGC% G`CJ ` J V Rough -In u) 5 �� / a Water Service ��/�"' Sanitary Sewer I. 1 � t l'� ,b C 0 s4 - G� Rain Drains £J C - � Catch Basin / Manhole ) /Q Ile- Ag-ea n ` '� - Storm Drain "" Shower Pan i VW o' 4 v J Other: PASS PAR /61 FAIL MECHANICAL Post & Beam Rough -In Gas Line Smo. - t ampers *A 01.41 alp PART FAIL CTRICAL Service Rough -In UG/Slab Low Voltage �m • PASS PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please caleinspe tion RE: 0 Unable to inspect — no access Fire Supply Line ADA Date (2 v /j L .....tor �� Ext Approach/Sidewalk p i 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 ZG42 00o4 - INSPECTION. DIV SION • Business Line: (503) 639 -4171 101 �3 BUP Received 31 2 ( 1 Date Requested 1 0 /zt4 AM PM BUP Location l Z 9 3 C7 u i f Line �� l Contact Person Ph ( ) PLM Contractor p- 60; 2— Ph ( 5U 3) 7(V - 7 '7' 7 SWR BUILDING Ten. t/Owner J i' ELC Footing _ _ _ ELC Foundation Access: / 2 Ftg Drain 4 Q -P--\ �r ' 1ELR Crawl Drain _ u "IT Slab Inspection_Notes Post & Beam q q Vim'- GA -Ir' Shear Anchors C + / c 4 -= 61 Ext Sheath/Shear Int Sheath/Shear l Framing Insulation Drywall Nailing AJE.Ei G f'�i� w •-�5 �• Fi rewall Fire Sprinkler `"" /7" 1 �� `--(4-1 C. Fire Alarm Susp'd Ceiling Roof C Fina PASS PAR1t� 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 Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Ai y ' ° � Inspector • Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUII inING INSPECTION DIVISION • MsT c.?®o z _ o 2, / 24 -Hour Inspection Line: 639- . 5 Business Line: 639 -411 . . // BUP Date Requested 5"' 10 - AM PM BLD Location / Z » l 3 © C ! / , - „ Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab o7Q Wafer Service Sanitary Sewer Rain Drains F' . PART FAIL ANICAL Post & Beam Rough In Gas Line Smoke Dampers / Final � PASS PART FAIL finq / (� ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date �� 0 Inspector ' K Q d - e , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST e9040.:?- O c2 �( INSPECTION DIVISION • Business Line: (503) 639 -417 UP Received Date Requested •s- I AM ( PM la " ' BUP Location / > C-L x »'11 , Suite MEC Contact Person U Ph ( ) 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 '! b 5 �,`. '� , Framing J `/ V�1 Insulation Drywall Nailing W\ - k (%^/l 5X �A Firewall 1 5 1 Fire Sprinkler Fire Alarm C9 . v p "j C-s Ql< Susp'd Ceiling C1 • - "`-� Roof C ^ _ /—. 0 C_ ---Q-3 _ 14 • Other: Final l S Ct ,i PASS PART FAIL �� ; (J C" ��/� PLUMBING A. l •' �a ■�■ o l r Post Beam r f � � , r (2 S 3 r t _ ' ^ -- cw - - -,J 1 Under r Slab er v J 1 3 `'`-�� ° atW Service ,V ) S ' "-`( � o �' " ' Sanitary Sewer !. V . C�. C ■i-e._ Rain Drains Catch Basin / Manhole " - , , Storm Drain � = - al Shower Pan Other: Final / - i 1 v N PASS PART ` I _ MECHANICAL ►_ `i ,, �I - ; V--. ' Post & Beam n �,, 1 Rough -In = v r 1 Gas Line �J (L e--r- � Smoke Dampers V'"' �� I Th^� �� SI - \ . 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: 111 Unable to inspect - no access Fire Supply Line . Approach/Sidewalk Date 3' Inspector v E st 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; evc 4-# INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM v PM BUP Location / :D % Cd t-L2-4/ /, 41/L. Suite MEC Contact Person Ph ( ) r 9 , 0(, PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: .$ G--y Jb Ftg Drain ELR .I Crawl Drain Vim`^ S 1 `' Ms-- Slab Inspection Notes: t SIT Post & Beam Shear Anchors Ext Sheath/Shear - � Int Sheath/Shear J I Framing /�l' ✓r l$ (.t / eow 7 Cce -pc,) S Insulation �J Drywall Nailing l` Firewall Fire Sprinkler 2 A � - z✓�/ ✓ +d h k H f ,.0 }- S P 141 4/ G S 7 L.. 0,4 Fire Alarm �p / Fire Al Ceiling X) ??9 /1L(-e_ A � r /� 11 4-ec �► 4V Pi7Gcrfvt • Roof 1 erav 1%4A-e- V `�C.( ��r.+.a h 1;4 3 1 r Other: Final r 7" V r ' rrl-e /44 i,;P S z 9 (re-" PASS PART FAIL PLUMBING /Lr.o S, Post & Beam Under Slab c Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS FAIL MECHA AL 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 Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 5/ /22 Inspector2 '1j �q / '� ' 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 600 z it INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested `� 3 AM PM BUP Location 1 �- i 36 .2) c.& Suite MEC Contact Person r h( ) 9 2 v • 3 PLM Contractor Ph ( ) CP) 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ost & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Anal Q Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA � Approach/Sidewalk Date V"--3 ^ C Z " Inspector � � tercPel 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 0oQ d� � INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location - i3 Suite MEC Contact Person Ph ( ) e y - 7/e 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 Ijie9 0/74 t ✓ F ire Sprinkler I r „ � '/ ' vp Fire Alarm - /'� C Susp'd Ceiling 1 / Roof l� i , i Other: Final PASS PART FAIL PLUMBING — eam ncrer SIa Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART 4 p MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date (� — Q Z Inspe ctor / �G %fie • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL "ATV OF TIGARD Hour �/ BUILDING' .pection Line: (503) 639 -4175 MST - 6 C j / ! INSPECTION DIVISION Business Line: (503) 639 -4171 BUP received Date Requ sted /L M PM BUP 1 .ovation d- 93 v 1.1/ ' / Suite MEC ;ontact Person P ( ) — 7 0 f -7 7;- PLM ,ontract L Ph ( ) SWR ' *-- DI Tenant/Owner ELC ELC Foundation Access: • Ftg Dfatn 6 rn 00 ELR • Crawl Drain • Slab Inspection Notes: /'I ._ - SIT Post & Beam (.fJ . ..1.41 /Lo�'I� d �,r Shear Anchors / • Ext Sheath/Shear i -Z- ' ,..0 ./L_A 40/A ' % r i InShear / C J L � /,� /J� ' � 1 • ....6,...- 4...... ....il '_ -� LPL/ Drywall Nailing �a L Firewall f' (/ J �/'L r/ 1 C C PcX,4%._ L < Z C•,._,•tA b ec Fire Sprinkler Fire Alarm C4 2 /2 fy,u S / 7 /0 ‘41■4 L. Z/v 5 , 4 c/7 / Susp'd Ceiling Roof Other: Final ogjallo PART FAIL PL ► - • - Post & Beam Under Slab _ ' - Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P FAIL ECHANICA P m ough -I was Line Smoke Dampers Final P :T FAIL • Rough -In U a• Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SSait•ART FAIL �-.....- El Please call for reinspection RE: Ej Unable to inspect - no access Fire Supply Line ADA II Approach/Sidewalk Date 1 140 '" Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL - I CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 _ Or-7.79 INSPECTION DIVISION Business Line: (503) 639 -4171 MST `Z I / BUP Received Date Requested 7 / 9 AM PM BUP Location / D-" ? 3 o / � Suite MEC Contact Person Ph ( ) g 4 7 70/-' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab spection Not IT Post & Beam - ktz.t, _dry' r Shear Anchors 6 a� w Ext Sheath/Shea � C.O Sheath/Shea� raming ArssulatfOr) 13rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi CM... PART FAIL BING 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 Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Dat 7/ / 9 / 3 Inspector ector Ext Approach/Sidewalk p Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour VI BUILDING fe Inspection Line: (503) 639 -4175 MST 6 6 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested, /a- PM BUP Location d- 9.3 6 ).0 .�y� A Suite MEC Contact 1 7�7 ontact Person Ph ( ) � 0 � _ � PLM Contract Ph ( ) SWR ULLDIN Tenant/Owner ELC Foundation ELC Ftg Diann Access: C6 'yam ,(1, J� ELR Crawl Drain (1 (� Slab Inspection Notes: //�� � � - SIT Post & Beam LlJ`�l /' . .l�/ 4_0.171 0--,r Shear Anchors / • .. Ext Sheath/Shear _.. 2_,. %/ /LJ i = I : i Int Shear / Drywall 'Nailing 1.X41 Firewall d a �/2r✓ 1 �Q ot, e \ < 1 G-wt d rc Fire Sprinkler / Fire Alarm e4 2 /9 O S / 7 % i4ve- L X/v!/ 5/( vW Susp'd Ceiling Roof Other: Final 0023111 PART FAIL PL ': - i Post & Beam Under Slab ) ' Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P FAIL ECHANICA P m Rough -1 was Line Smoke Dampers Final P - -T FAIL . Rough -In U a• Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. F ART FAIL ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 1 f ' 1, /01/ -1\---C:3V1.- Approach/Sidewalk Date Inspector • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL TA CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 00CD, 00 L i I INSPECTION DIVISION Business Line: (503) 639 -4171 0 Received Date Requested y / v AM / PM BUP Location ) a- ? 3C) W-- - 1.__. ' l Suite MEC Contact Person E U Ph ( ) 7 .V L I 7 c 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC • Footing Foundation ELC Access: Ftg Drain �<l ELR / Crawl Drain 1 �� Slab Inspection Notes: �� G� *A SIT Post & Beam �� -/ . - / Shear Anchors I' ^ �� Ext Sheath/Shear ___4 - 4.2— �.'A Y/I,Li7�tiL.� __o_.-... Int Sheath/Shear Framing 1 L., sou U'oonn j �' Drywall Nailing J 0" a. L t r_ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling , Roof D j Other: _ n so Fin. `f ¢ " " ".1-.P�-�` FAIL P•BI 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 Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA 4/0 Date 4/ o 17 Inspector 0;3 1 q 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 ; 6 q/ INSPECTION DIVISION Business Line: (503) 639 - 41 BUP Received Date Requested l - ' AM PM BUP Location /3-93e) Yt Suite MEC Contact Person 6 `x` 1 Ph ( ) 6 PLM • Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: .� Ftg Drain � �' • ELR Crawl Drain Slab Inspectio 1 otes: � - - � SIT Shear Anchors / e Ext Sheath/Shear Int Sheath/Shear I I , J( Framing �� �J�L `� 4 Ci cur Insulation Drywall Nailing 1� a /' Firewall ( OY ` *c 4/3/ /U Z (� L) - Fire Sprinkler »> Fire Alarm PQ ' Un^S • Susp'd Ceiling Roof Other: � ' C7AT PART FAIL Fin- \ 1 v ( ' . ' BING JQ - LP �,� I c 9- 5 Zet CA Post & Beam r Under Slab Q X. k 4 +j 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 Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date / Inspector it,Xt Other: 111 Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL p 24 -Hour NG Inspection Line: (503) 639 -4175 MST 2O 2 - X04 �l / ION DIVISION Business Line: (503) 639 -4171 BUP Received II- 2- Date Requested Li` 3 AM PM BUP Location ( 3 0 Sw f � ("'� ,4 14 o h Suite MEC Contact Person C 4 H 7 1) c) T 7 ph ( . 3 ) 20 3' '9( PLM Contractor 51/1 4rv� b evci !t t) Ph ( 'D j ) Gq Z S 56 3 SWR ( UILDIN Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors U H d e✓ 6 li r e 4, '(a 4 c 0 h Ext Sheath/Shear Int Sheath/Shear Framing Drywall Me+ � /hoeKe n w f. InP Ct cpvt'f'v4.c. O� Firewall O Dwall Nailing nn / // C S v evl SS ( mi ° O T Cc 'f" ` c � ,, / Fire Sprinkler " �� � J UV< 001/- Fire Alarm / -C) Susp'd Ceiling 1 e I c.✓( S54 L e. e ( co f\ J ✓'��� `( Roof Ina 9 i tLc e T� rc C *_ >0c t zs +1,A e h Other: CO A � e ICJ U 1 ( 4 - , v.� ' 1 J Final 1 J 100 V .leV GI e l9Gc f e V ✓�'-. IGt T'/C?vt iS PASS PART FAIL PLUMBING jfl O 1 0 A 9 -ed v pp ([r° cf CCU JI i a C si v W;( l Post & Beam /� Under Slab i I S r L a ( a Vi 1 ✓' (i v1 .C.. 6 ¶ c 't" rv1 1.� /o, Rough -In / d s/ ) L i Water Service 'tU "G. /� -e (J S ( G( �° ext ' >Ct.dr.1 I / 1 •e "Or T Gc>�'s Sanitary Sewer ( ' ra to f v N Q fi P J r u ✓\ (3) S UP/' / C, pull Rain Drains ,/ Catch Basin / Manhole 7-b 1 h e l� es a v,e a 4 i f / e u H O vov .Z(on d/ Storm Drain -044.-/- f` Shower Pan as k 6 v e i'l • ( 1-vi i" ; Other: J - / Final c3 f a iAi 0 v' �5f 01 c a 1 v 0cA t/ (Vee ivt (0-0//:/e PASS PART FAIL _ � / y MECHANICAL C U J E' (v It t �J I G1 I/1 U J e ( t r I o f C C� v.^ t ✓l Post & Beam pf Z "1 r � L / j� / Rough -In r — V 0 ✓� �l -1 l/� eA S T u,-JG( L - t'l�l i� Lt/ ; C 1 Gas Line {� I 1 Smoke Dampers V e co Tea + -l V ✓ IA 4 e t( +-) Cowl P 0,1 Final PART FAIL al tit) k N �/ Y h 461 • 6 - C tc/ Gt +e 61 PASS ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date 4-1 -02-- Inspector Cr) a 6- -'� Lu. wt h ri L Est Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Gv CITY OF TIGARD E . LDING INSPECTION DIVISIr' MST , Z-GUb (( 24 -Hour Inspection Line: 639 -4175 Business Line: 639- ..71 BUP Date Requested 3_f9 AM PM BLD Location / 2 q 3 7) 4S CC / lin l7 y /✓�- Suite MEC Contact Person / Ph 7/ 8 9 PLM Contractor Ph SWR ILDING Tenant/Owner 77O.A.- (s0 `'^" ELC c, ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin ASS. -PART FAIL L PthMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk _� Other Date Inspector , E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 MST c;?O4a CC)O INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested —/� AM PM BUP Location /, 30 &t-.tAY -/-4 f")/ Suite MEC -- ' o Contact Person Ph ( ) 3/ J 6U PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ooti oundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear _ Framing /^fir a / 7 - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fina 3 -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 Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 3 / d Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL