Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00266
^_� DEVELOPMENT SERVICES DATE ISSUED: 10/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07820 SW BROOKLINE LN PARCEL: 2S112BA - BT023
SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12
BLOCK: LOT: 023 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 167 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 820 sf GARAGE: 585 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 787 sf RIGHT:
VALUE: 181,320.30
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,774 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
,OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3
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: 3 201 - 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 +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: $ 6,903.03
This permit is subject to the regulations contained in the
JLS CUSTOM HOMES JLS CUSTOM HOMES Tigard Municipal Code, State of OR. Specialty Codes
16280 NW BETHANY 16280 NW BETHANY and all other applicable laws. All work will be done in
BEAVERTON, OR 97006 BEAVERTON, OR 97006 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.
Phone: Phone: 503 - 533 - 4006 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 139970 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
Ersn Cntrl 681 -4444 Ftg Drain Bsm't Walls Mechanical Insp Gas Fireplace Structural welding final Water Service Insp
Sewer Inspection Slab Insp Plumbing Top Out Insulation Insp High strength bolts fins Smoke Detector
Footing Insp Plm /undslb Insp Framing Insp Shear Wall Insp Rain Drain lnsp Electrical Final
Foundation lnsp Electrical Service Roof Nailing Exterior Sheathing Ins[ Storm drain insp Plumb Final
Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line lnsp Firewall Insp Water Line Insp Mechanical Final
Issued y :k C Permittee Signature : _ - _
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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Building Permit Appli t o n C - V �D FOR OFFICE USE ONLY = :
City of Tigard �UG 1 8 2UU4
Date/By. glffAM —16 Permit No thr , . ��A6�
13125 SW Hall Blvd., Tigard, OR 97223 . 0 Plan R eview Other Permat' oZ /1
Phone: 503.639.4171 Fax: 503.598.1960 bfi 41 14'l l 4ia Date/B : 0 _ 1 U Y astir
ii! /1.
Date Ready/By ��� El See Attached Checklist for
Inspection Line: 503.639.4175 CITY OF TPGARD ±- r °'� Notified/Method. MI Supplemental Information
Internet: www.ci.tigard.or.us BUILDING DIVISION ALL
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�: � x�" �;�s �;ca: u, " s .`DWELLING
. . a. - .. : _ , ATA 1;= =AN 2 =FA1VfII .:
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New construction ❑ Demolition ME 9y Permit fees* are base on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
i ' 'e �.',f fkiV 4a - � � ' -_ >::. �xt: ;sr:trq:. .n :; work indicated on this application.
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e , ;R , A CEGORIz OFs , ONSv�UG IOt*It '0 - R
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Valuation: $ ! `� 3Zo. 30
I- and 2- family dwelling Commercial /industrial f —
Number of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder ❑Other: Number of bathrooms: 2 l.,
cfgV r AT.Ri -' tlig lffil -, .•.., Total number of floors: 3
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TIOhI AN�Dz`l`a ,
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Job site address:7-820 _ tti) moo AL_ , )E L. qNE" New dwelling area: 1-4 --4. square feet
City/State /ZIP 0 ' CR Garage /carport area: 58 u. 2 square feet
•
Suite/bldg. /apt. no.: Project name: 7 V�� Covered porch area: 37_.._ square feet
Cross street/directions to job site: y\‘�a. �o h e ree l Deck area: ` 40 square feet
Other structure area: square feet
_
REQUIRED D` ATA:'COMMERCIAL- USEiC
K,. :...,,,
Subdivision: n1 Qw\� ( Lot no.: a3 Permit fees* are based on the value of the work performed.
� �' . ` ,J.__) 11 � Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
; 'y«cnr� ,�_. ^ +:,e:�;•. ^ .Ora. °x• :;:7„ ,.r; ,: "=.: z ,. :'.,:r; . '.' �*.r .; k,t'." • .,r;�;, ,,511`$'
f 4 b. t ,� ':$ ;: e , s _ $° „<° fe,, t ,;; ,,,, "; a !'l°. ` -, work indicated on this application.
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Valuation: to -,_ $ J
1
Existing building area: I� l A square feet
New building area: j( , � 411 square feet
,�� _ i® 3
XT �t hired R r 1 -t ) a �: 'I;E V :" � l Number of stories: •
" aka:,, , 1,4,,,, ��30,,,;A-:�.. a .,. _ ,. -2'v _ - -,r:
Name: a•S CLIA rt\ k-kostoPS Type of construction:
Address: `(0 Q I \W T,Q.. 1�Y� Occupancy groups:
�
City/State/ZIP: CV— • 9 -1(` Existing:
533' /4666 ' Fax: ( 5 e )
Phone: ( b ) a 5 — Lis ew:
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*���`��. �_ �,e �CONfiAC� MP;E ". w 1` h` " �NOSsIGE ''
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Business name: 5 � P, All contractors and subcontractors are required to be
Contact name: r-? ,,
�- licensed with the Oregon Construction Contractors Board
Q S under ORS 701 and may be required to be licensed in the
Address: 31\1-E: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
� c apply:
'hone: (S ) at � q `, I t - 1 s 3 Fax:: ( ) � � I y • l V
mail:
: -:a3�, �,,a1r G . ", ` ;r.zr ?,r,'°,iitif tai < = : ,i,. igi` ..anP�y�,± ., ;;-" .. .7.41 • C ' ^-"�- .'."s,, � r.`<{ �r'W4
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.ness name: 5 B m E :: _- r'.�. ' ' - ,. * s: " ".<�' ' . • s `; it4 BUIL'DIIVG' 121 I F !EES„• .
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°ss:
Please refer to fee schedule -
tate /ZIP:
Fees due upon application
( ) *Tir Fax: ( )
9 9 --f( Amount received
i
Date received:
d signatrtfe: i This permit application expires if a permit is not obtained
IN within 180 days after it has been accepted as complete.
Date: * Fee methodology set by Tri- County Building Industry
Service Board.
BUP- PemutApp doc 12/03 440- 4613T(1 I /02JCOM/WEB)
r
, Electrical Permit Application flED FOR OFFICE USE ONLY
4 LQ 11 V I Rec e ived
City of Tigard Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 I Plan Review
Phone: 503.639.4171 Fax: 503.598.19 18 2004 t . 11iti j! �1" > Date/By: Other Permit:
Inspection Line: 503.639.4175 t n` I' Date Ready/By: Juris a See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
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<t- cP `AN VIEW
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❑ New construction ❑ Addition/alteration/replacement Please check all that apply
❑ Demolition ❑Other: Service over 225 amps, comm'I Hazardous location
... . 3, _ > ,;;: �._ n .:: ;.,., r. m ..�. „ - . ,. ,x- __ e.: .. ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
'?• 4� " GATEG. i OIt CONSTRUCT N t „ "l v i
; . ,,;,.- .. -:r,, ..,,,,;m. -r _, , L _ , - .„, r of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other:
Building over three stories . ❑Feeders, 400 amps or more
' ,_ ,,a�,. tea, >K.. W �� ,, ry* ^r - m , p � , Other: ❑Occupant Load over 99 persons ❑Manufactured structures or
;:�,; ." i „'4 r z ," i r °` _ ` ".;rt t , `" c <. t� i r =, y:,.'^�: "' RV
:.,� =':TOBs.SITElIyEO T�OIY .AN]3�LOGATI x - 1 ;� E ess /li htin plan park
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���fi�a �i�=.. �___ ... ...�;,._.�,•,�,.,,• ..� -. n 3��..�.::� ❑ Egress/lighting g gP
Job no.: Job site address: ❑Health - care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: n ^ x . - 6 O� • The above are not applicable to temporary construction service.
�, u i',7 i . -e ,=f."-?FEE*, SCHEDIIT E -
Suite/bldg. /apt. no.: Project name: , :h_ `
n % Description ` Qty. Fee. Total
Cross street/directions to job site:'y\ l Teknn l Se New residential single - or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 1 145.15 4
Subdivision �y\ k
t r � 'c „ . Q 93 Ea. add
� Lot no.: ( '1 500 sq. ft. or portion 3 33.40 1
Tax map /parcel no.: � ^ + \ Limited energy, residential 75.00 2
(S l OL Limited energy, non - residential 75.00 2
„q , } iri s _ ) :•I T'lete„Orilr �, w•.y..' .w,*rai:�• i t `- °7 g. ` iii ' si ` i,, _ a: r,:.
yrs e g OIa WO , r "t, b E � °' f
:'s �;"s��;�„ _�<�.- ��s. - -_ ,. ,�_. . >- ��: � . � � ��>x' >ai��=� . Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
; , t:: „ . ::" ia , «._ .- - ;:r . ; . , 4: , ,.t -...- : . 201 amps to 400 amps 106.85 2
i$�a PROA R � �t �;, �..� y �; �" ;', �, .., P P
K` 4. r x° : >T E1!fANT:. .. , 4. ..0
sr .: a:, �. n: a..0 M.., e9 srm a 401 amps to 600 amps 160.60 2
Name: "3 Ls Ce,��cr\e\ \-\, 601 amps to 1,000 amps 240.60 2
Address: '6 O !V`t p , .
7� - s a, l „ v s, ` C k . Over 1,000 amps or volts 454.65 2
,�, S Reconnect only 66.85 2
City /State /ZIP: ' , :tt , 4 * Q - I1 " . Temporary services or feeders installation, alteration, and/or
//^��� jjL� relocation
Phone: (5 3 ) 533"' '� ` co G Fax: (s 53;x-- 4360 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: - Dater Branch circuits – new, alteration, or extension, per panel •
„ ice ., .1.. '"'' .*a:•, « ^�,."",< <_ - - •• r:e ,.�1�< - ''''''.'.'s. -. « *--
”" ' " i � 1C7f " - ie A A. Fee for branch circuits each
?,-': m. " �; '� " r PL ICAN T� s " ° � � � � ��` �: 1 _ ° - � ^ C�- .�' A' PERSO�t i �,�.�-
. � � �• } -. ��, rm� service or feeder fee, each
Business name: - branch circuit 6.65 2 S It
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 • 2
Address: each branch circuit
3 1 ► l E ach add'1 branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
(sb3) C1(2 � . l / - I ( ) S `/4 E Pump or irrigation circle 53.40 2
IVI
Phone: Fax: : r �
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
�'#. ?. x ='3�';,. ° F•, s. , a'�-`:n=:e�:^s.zw.;sss:P,:a--t. n: - - .. w.=.:;.•�c"q. ..
a .: st ',. .:�: ''z.,'' . s- ,h' a ' ' ' :'. .xl , ` '# `§ energy Panel, alteration, or
t.:F :ri� c y x...,.. t.?;.ta , CO 1S� R FO ts:[ ' _ , n''��. extension. Describe: Page 2 2
Business name: «.: ;.,.
r� 5 ' E., _ ' c k -
": r Le. -}t
Address: an `O SI - \ �Q� C L J ` Each additional inspection over allowable in any of the above
L Uhl N Per inspection 62.50
City/State /ZIP: u ; VLS� ro O e. - 91 12 s Investigation per hour (1 hr min) 62.50
Phone:
(Sp3) _ago Fax: O � j{2_ S2Sts Industrial plant per hour 73.75
CO '' ";` El1rE.CT_RI:en::107:at 'I ;FEES * + - ; r
CCB Lic.: l ggz I Electrical ;c.: q - i , Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: A Plan review (25% of permit fee)
. . .. , VAII / St 'PI _ i . ._ Print name: S'k. Svc. , Datt- State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized si: iature: ■ / f ' � This permit application expires if a permit is not obtained within 180
�
days after it has been accepted as complete
Print name: , i i C - g...Te. Date: * Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
i :\Buitding\Permits\ELC- PemutApp doc 12/03 440 46I5T(10 /02 /COM/WEB
) Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard FD)-g CEOVED A Received
Date/By: Permit No.:
13125 SW Hall Blvd., Tigard, OR 911223t.--,
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 - loafulailli\\ Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Jurts. El See Page 2 for
Internet: www.ci.tigard.or.us AtiG 1 8 2004 .4-u.
Notified/Method: Supplemental Information
..- - ^ •-
; •=3, ; i:VP : i;. 5- 4i,i,M,A,V„'SWAFITZS I tiVitikirpr , @;:WARAW;;W4f.;,; 7 4; ; ; W4SW •= 'USE' CHECKLIST
New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
X
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
ViV,WilOrrArilliMParieolifidiW'I`rthlreefitUfnit'Mgili3V: Value. $
, /SYSTEMS FEES*
ICI and 2 dwelling 4 Commercial/industrial 0 Accessory building
For special information use checklist.
E Multi 0 Master builder 0 Other:
Description Qty. Ea Total
RHYRNME(01#30§MMICA:e:71:1; 0 C'A VP NI-W:ti:ifs ,- HeatinWcooling
Air conditioning or heat pump
Job site address:
(requires site plan showing placement) 14.00
--- ' \
City/State/ZIP: ie ,,, 6 , 3 _, re , .0 O._ 91 . Furnace 100,000 BTU (ducts/vents) / 14.00
I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name!Bo i4,
Gas heat pump 14.00
Cross street/directions to job site:C6ton.‘N R.6. c\--- cceiv\c-, Duct work 14.00
K Hydronic hot water system
Residential boiler (radiator or 14.00
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc 10.00
Flue/vent for any of above 10.00
Subdi yisionre 5 Lot no.: c R3
Other: 10.00
Tax map/parcel no.: 4Q, 5 1 ( ..k. 1 Z 1 Other fuel appliances
4. Ite"..., Vrakrtfi.iaW,•5PZV•Yfaar ,r, ;,: Water heater / 10.00
Gas fireplace / 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
. .
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
ei --1 ' ratrabirlifF6WielirAtelrri'WROJ tilk:CeftWar"ig ! Chimney/liner/flue/vent 10.00
ft . 'A - . 1.--,:ig.' ;1 A, , ., A ''. ' A•461A.,, - A., oth 10.00
Name: 3LS C_11 2 \ ZeNzs, Environmental exhaust and ventilation
Address: 1 6 1, \.... 0 9.4.ci(rjak.... Range hood/other kitchen
equipment 10.00
City/State/ZI1(60 n.02 ri:Z‘C \ CIZ, . Clothes dryer exhaust / 10.00
) Single-duct exhaust (bathrooms,
Phone: (563 )•3:2 tio Fax: (56 S ) 53s 1,1366 toilet compartments, utility rooms) 3 6.80
Attic/crawlspace fans
' g T Migtt1-0-1:40-SPARAWItt-MiiitZlenTARTIM.9,.,N,WA-46; 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: ‘ c Ej . Furnace, etc.
Gas heat pump /
3P
City/State/ZIP: - Wall/suspended/unit heater
Phone: (563) 9( I Li I Fax: : ( ) 3t;VN5
C .i Water heater
Fireplace
E-mail: Range
tw, qey7w g6
:pmkvzFez4rTawaitw Barbecue rgqw-:. ::;witm, ',I; .
- *%',' ..NalE,::(4 ., ',,,ga2::
1 .
Business name: MV;e, Re - C Clothes dryer (gas)
.ocanc Other:
Address t
. - 0 • (Co S 63 : , ,
. . gmfmircweif-a fezeivoiria§k' - - .
City/State/ZIP: %(1\1\c,„ 0 C • 9 -NCY Subtotal
/ Minimum permit fee ($72.50)
Phone: (55/ ) 59‘ -99 24 . Fax: ( 5 6 3 ) bylig. 0 -- ).e R
Plan review (25% of permit fee)
CCB lic.: 14131q State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized siteature: . • , !
days after it has been accepted as complete.
p
,..
Print name: 1 : e j : 4 Tyx \e Date: , • Fee methodology set by Tri-County Building Industry Service Board
i: \BuildinePermits \ MEC-Permit App doc 12/03 440-46 I 7T (1 I/02/COM/WEB)
r
. Building Fixtures
Plumbing Permit Applicationdu wi L FOR OFFICE USE ONLY
City of Tigard �oOl Received Permit No :
AUG
13125 SW Hall Blvd., Tigard, OR 97223 / � j J Plan Review Date/By: Phone: 503.639.4171 Fax: 503.598.1960 / /H� / ,N 1 DaDate/By. t\ Other Permit No.:
'��i�p
24- Hour Inspection Line: 503.639.4175 , . '-" Date Ready/By: Jun' El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIG�
j
g Notified/Method: Supplemental Information
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- �� ,::��r o - �• �.«x.. -sea:
4, -.w.:iu -X = r W -. yr ._ 5t 4-' :, s.? f,I*:C :4 ', - , ,'; -:c <c •=,A - "F.� • �4xi.�u,
N.�T.�i`:'n . r� % " �.,,'�M?i't .. .. :?Rt h:•;,:.c+l •z;:.`� r: = ,'i�i..,...,cs..,..ac�:.,= _ FCi:,.t f;.'k . t._ g ,
, � , - .�x-. x -r Tl'.P)v,OT�tWO --- - pt� ,- k.. FE .- SCHEDiJIE
"ns��`•id•;lsNi��.o:.:,_ �tA'+£ Rxkw; rt/° ��: y".. 1. d.: 3.::._, i,.> rsF�";€`,' � .,;;.,. �_t::- ::ht?:3�` eiY d1E-�;':+:�.r, 'iT.... -.. .. x _... ,. x,.:�x ,- ... -,.,, r..,> ...
,New construction LI Demolition For special information use checklist
Description Qty. 1 Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection)
x• q 9 C '`•'
w ` , ` '
- SFR (1) bath 249.20
za W ` ATE,xGORlk 11• CO RL;I. O 7t e r&k. ., . , ^• ; t ,..
�; A. f_ ` �'. ax ec�.rrt.'g cs3P�r s' �. Y�` M ' S ;° es& �� .<: �a�s .a.e' •
`; t
xr1- and 2- family dwelling XCommercial/industrial SFR (2) bath 350.00
❑ Accessory building < < < «❑Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
_ " 1' - z �� Fire sprinkler ( sq. ft) Page 2
, :�. s= ziix ? ,,. .a x :. S ite ut iliti es
Job site address: Catch basin or area drain 16.60
City/State/ZIP:
V ` ` a e q "1- Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: � Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site he S t r. � • C QQ h
� v `` Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
2 '�[
Subdivision:: I 1 i]1.� k QS Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcellnno.l:. 0 l t ` Fixture or item
, - � Absorption valve 16.60
���" '•3t � � A£�- ^+493 4'�k '�- z'+*.k.o • i �.*s�a u _
;e _ t ?� _ / 1frR1T,TIO r®r4 ' ' ar , C, : ,;3
- w et . mo n Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 1 16.60
',�je rA , # �7, d a . ., r Drinking fountain 16.60
Ejectors /sump 16.60
Name: TLS (,1 I F\ ��P ?S Expansion tank 16.60
Address: ' Co asp 3(„3 Fixture/sewer cap 16.60
City/State/Z1P:�r �{�. q Floor drain/floor sink/hub 16.60
��`"' --��� ��1 ``w / Garbage disposal 16.60
Phone: a ) LI 6 Fax: (56 ) 5 q 4. (0
- , Hose bib 16.60
a ' » 4$ .. i,b ` t 1 � . H ems
' Ice maker 16.60
Business name: 5f:\ rn -
Interceptor /grease trap 16.60
Contact name: ,tratiLA Medical gas (value: $ ) Page 2
Address: 3Pt ME. Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: (56,&) 0 AO!` 11{53 I Fax: : ( ) NMEd S ink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
4: - t « . .- E.zc .nY . ". ' " .!•". := ,... t 3:''..-s' `tc' :
":`ct�s # _'.'` . 4-i £ �. '� ,� ._�._ «.. -_ ���, a ° �� y���;'� �," -� Water closet 16.60
Business name: � i l M \ 1n l� ��'t� Water heater 16.60
Address: a Liu 6t. „, a s 1 r 11 k y � 1 t / 4 v ` � +l *` � Other:
City/State/ZIP: \ i U bO J1 f Z ci 3. Subtotal
6 '/n�'�V 1 �' Minimum permit fee: $72.50
Phone: (653) /.02.1? /.02.1? l 1 I 03P_. Fax: ( 6' in Residential backflow minimum permit fee: $36.25
CCB Lic.: O 9 Plumbing Lic. no.:3q 7:2110 Plan review (25% of permit fee)
State surcharge (8% of permit fee) '_ . E Authorized signature" TOTAL PERMIT FEE
Print name: � Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
' Building \Permits\ PemutApp.doc 12/03 440- 4616T(10 /02JCOM/WEB)
:^ � L 7
October 1, 2004 ;-.'��I ' r F
CITYO T c :i o.
JLS Custom Homes OREGO fr
16280 NW Bethany /. b .
Beaverton, OR 97006
•
rr
F4` _ "f b
rixl- # f
,L � f, Ut
RE: NEW TOWNHOME DEVELOPMENT t. ��.:` 3. s s
4
Tenant Name: Bonita Townhomes Occupancy Type: R3 /,5.1 -a n s
Construction Type: VN Stories: 3 s 1.: 'k
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) ' -.:. f, , F.
1998 edition; Rowhouse Construction Interpretive Ruling No 00 -10 (RCIR -10); and the -Vv_: =y r'5",
Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The submitted '' ._=-. },
P P P g P
Tans area roved. The following permits are j approved for construction subject to the ``= "'yr ,< -• :.•::;:
.
�,..:r
following conditions. ,- A. °
Lot 19 7872 SW Brookline Lane Permit Number MST2004-00242 `` `ry x.4
Lot 20 7868 SW Brookline Lane Permit Number MST2004 -00243 4 - : '' .
Lot 21 7850 SW Brookline Lane Permit Number MST2004 -00264 . .:1
Lot 22 7838 SW Brookline Lane Permit Number MST2004 -00265 i t-,.4--,
Lot 23 7820 SW Brookline Lane Permit Number MST2004 -00266 N 4 1 1 ,
Lot 24 7804 SW Brookline Lane Permit Number MST2004 -00267 - :Y .asj4
CONDITIONS _ ,
..
1. Attached is a copy of Interpretive Ruling 00 -10. Please use it as a guide.
,tv
2. Shearwall Sheathing and Gypsum Sheathing shall be attached and inspected in .....:
stairwells prior to the construction of stairs or landings.
3. Special Inspection is required for STRUCTURAL WELDING and HIGH- `±'
STRENGTH BOLTING. The special inspection agency of record shall furnish
inspection reports to the Engineer of Record, ROWELL ENGINEERING &
DESIGN INC., the General Contractor, JLS Custom Homes and the City of Tigard,
Building Division, attention Hap Watkins. All discrepancies shall be brought to the
immediate attention of the general contractor for correction. The special inspector
shall submit a final signed report stating whether the work requiring special
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ,; VA-( y266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10127 0`.4
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 227/2006 TIME: 7 :02AM PAGE: 2
SITE ADDRESS: 07020 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: F3ONITA TOWNHOMES LOT #: 023 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: PHONE #:
CONTRACTOR: ,ILS CUSTOM HOMES PHONE #: 503,633,41006
Inspection Request Scheduled For: Date: 2/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 02642x -01 603.463.4500 N
Corrections /Comments/ Instructions:
• 111741111Mrk
_ ,
I PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: /' f/ . Date: vt Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t, ST20O1 -00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10127/2004
Phone: (503) 639 -4171 d �l�
Inspection Requests (24 Hrs.): (503) 639 -4175 !+; `: _..
INSPECTION WORKSHEET FOR DATE: 7J7/200 : 6 41 : 111t$:/IT TIME: 7 :02APMM PAGE: 1
SITE ADDRESS: 07820 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: 13ONITA TOWNHOMES LOT #: 023 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: NE
OWNER: PHONE #:
CONTRACTOR: IS CUSTOM HOMES PHONE #: 503-633-400E; Inspection Request Scheduled For: Date: 7a7/2p06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 026423 -02 503-463-4600 N
Corrections /Comments /Instructions:
I A... AL
' . . ,, li 7.-- WAIF •
PASS n P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: ' ~ n ` Date: 7 7 O� Phone #: (503) 718 -
VIP'
CITY OF TIGARD
BUILDING DIVISION PERMIT #:pr ZOQA - "
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7 /c/ TIME: PAGE:
SITE ADDRESS: 70 11JE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: IT/ - T 1V'*kCS'Mas
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message s
Corrections /Comments/ Instructions:
C
. /
PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
FAIL El CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
7 (0
Inspector: _ , Date: r Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00266
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/27/2004
Phone: (503) 639 -4171 � o u,m�p���i'pl�lfi1hl
Insp Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 3/21/2005 TIME: 7 :10AM PAGE: 59
SITE ADDRESS: 07820 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 023 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: PHONE #:
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 603"633"4006
Inspection Request Scheduled For: Date: 3/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002296 -08 503-642-2800 N I./
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G' ks N lb es 1 _ c - Date: 3-21
21, Phone #: (503) 718-
CITY pF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MSTO ?" 4
INSPECTION DIVISION Business Line: (503) 639 -4171
\ _ - BUP
Received " Date Requested / — o Z 5 AM PM BUP
•
Location
Z ail � .��! LPL _� 411A Suite MEC
2-8�
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
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 L\- ` \ �� a` ,
Fire Alarm <� � X
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
Gas Line
Smoke Dampers
Final
PASS PART FAIL
E TRICAL
UG /Slab
Low Voltage
Fire Alarm
Fin Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date •'`J () 5 Inspector N ■ �� - d " ( o 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 ‘ ,66) C I - °6 .R
INSPECTION DIVISION Business Line: (503) 639 -4171
1.-.i BUP
/R Date Requested / / AM PM BUP
Location i / i Z 0 d AK —..c yi L Suite MEC
Contact Person e ' Ph ( ) 6 4, /,- -2 -866 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation 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- j� (( \r Roof Other: f { 2-o � l,� %‘T ,X C .w� b 4 ` 1 FLOW
Final
PART FAIL ` P6 t ` L W LAN; &L 0 `( q11,\L.
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole Z,
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL .
ELECTRICAL \b \ C.' \
M
.. Low Volta. -
Fire Alarm
Fin
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS PART Al
SITE El Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line p
ADA Approach/Sidewalk Date �� 1 Inspector t° � Ext
Other:
Final DO NOT REMOVE this inspection record fro the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MSTY &
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requeste• AM PM BUP
Location a ' tr/+ Suite MEC
Contact Person 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
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
_ASS FAIL
BING
Post &
Under Slab
gh - In
a er ervice
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 I 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 Inspector , 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 ` O c°
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 1 - AM PM BUP
` I
Location � 2- i ,t _... �rG ' � � Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph (. ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
ter ice
Sanitary er
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
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
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 W 1
Inspector Est
A roach/Sidewalk Date 1
Pp
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 ,R
( -6/)2
INSPECTION DIVISION Business Line: (503) 639 -4171
q� BUP
Received Da a Requested 1/` _ O AM PM BUP
Location _g 7 - --() Suite MEC
Contact Person Ph ( ) � —0 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
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 j'— 111►
Roof
Other:
Final
PASS FAIL
PLU -
Post & Beam
Rough -In
Water 'ce
anitary ewe
Rain rains
C tom- / Manhole
• er
an
Other:
Final
T FAIL
CHA I L
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date At / Inspector Ext
Other:
Final DO OT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD
24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST aOD
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ;- '- AM PM BUP
Location 1 X - Suite MEC
Contact Person Ph ( ) 1 ? PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing /n
Insulation per.
Firewa
Fire Sprinkler - I
Fire Alarm
Susp'd Ceiling
Roof
wit
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
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 0 Please c- for re' spection RE: 0 Unable to inspect — no access
Fire Supply Line 1
ADA r
Date
�
ae
Approach/Sidewalk Inspector 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 JU ;6w0-
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / 3 AM PM BUP
Location e w ' d d Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
ILD Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing l s j
Insulation L��
'•, v ti� g
4D/
Fire Sprinkler
Fire Alarm
A
Susp'd Ceiling
Roof MI Filing W;
Ot.
PART FAIL
9IJ ING
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 c. II for reins!- ection RE: Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date v Inspector 1"1111 Ext
Other:
Final DO ' T REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ta.C T [�
`
, INSPECTION DIVISION Business Line: (503) 639 - 4171
�-/ BUP
Received Date Requested / _ Z7S AM 1- PM BUP
Location - 7 • Suite MEC
Contact Person 1.•j •• - Ph ) 7 .� — 6( 4(3. PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear • �i d
Framin
ns ati Lc/ Lc/ 171 / \/ ✓SGT r r -i.: ' / /LAO ? CO �
Drywall Nailing
Firewall
Fire Sprinkler r - 7
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 019 FAIL
PLUM: •
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
/fri
SITE 111 Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA J — S
Approach/Sidewalk Date Inspector 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 64 q--60.;w2
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 1 — AM PM BUP
Location Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear t
Insulation i � : fee
Drywall Nailing
Firewall 4; �� . C
Fire Sprinkler �j
Fire Alarm
Susp'd Ceiling (�
Roof ( 1`�
Other:
Final
PASS
PLUM: NG r FAIL I ` ' ST-AK-a_ ,2O-y TS AT S� t o
Post & Be. I V �� ^
Under Slab l< �"V/ �/ l
Rough -In
Water Service (3 E4( E
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan b.
Other:
Final 441M 1 Ara _ `
PASS PART
MECHANICAL FAIL ' Atimrs ' 1 .''
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 •:II for reins. -ction RE: ' El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector ! Ext
Other:
Final DO NOT REMOVE this Inspect on record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
'�
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested l •=7 AM BUP
Location ZV Suite MEC
Contact Person Ph ( ) 7 93 `v 1 - 3 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 ._.._ J C ce J f,/� ! i g--‹ , } t--2cAr(bic_
cfrogiv
�1 �- - '" Insulation / f C J l r`-
Drywall Nailing (� (�J� /�i
Firewall �t R-v
Fire Sprinkler
Fire A g'0 ' (j H-
Alarm -^ � � ,
Susp'd Ceiling f (� 9 � �Q t `�
Roof 1 V 130 S l; I �'
Other: AIL G%��
Final
PASS - ) FAIL
PLUMBI
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole '
Storm Drain V linnliaal 4 Shower Pan
Other: 1 — >/
Final
PASS PART FAIL
MECHANICAL
Post & Beam
ig
Gas ine
Si • • Dampers
O ∎
PASS PART FAIL
RICAL
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
lI
SITE El Please • -: II for reins • ction RE: , Unable to inspect - no access
Fire Supply Line ,4i If
ADA 40'
Approach/Sidewalk Date Inspector Ext
Other:
Final DO N T REMOVE this Inspect ' n record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2 4-_
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date u ted V 2-6 / 045— AM I�I� nn PM BUP
Location -2 4 u Suite MEC
Contact Person Ph ( ) PLM
Contractor ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
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 0 FOR— C V k)
Fire Sprinkler
Fire Alarm
Susp'd Ceiling A.2-9c
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
rIGf�CHANIC �—
o
Rou h -In
as Li
Smoke Dampers
F'
PASS ART FAIL
_ CAL
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 MIMS
ADA ,
,Approach/Sidewalk Date Inspector
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 0 (k--od Z‘a
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested (— 1 `t AM PM BUP
Location 7 ? 2 - 0 E f —C-- Suite j� MEC
Contact Person Ph ( ) �` T — 61 56 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access: •
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing i2 7
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
Smo e Dampers
Final 7
PASS PART
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 111 Please call for reinspection RE: ri Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date / Inspector % 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 ‘ —00 - ) -6( 0
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / ' 3 6 AM PM BUP
Location qD-0 - -P - Suite MEC
Contact Persons Ph ( ) 93- PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation 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 "�
NM
Fire Alarm 411 Wa
Susp'd Ceiling p '
Roof
Other: ��(� 1.1.• / /
Final op if
PASS FAIL
PLUMBI
Post & Bea
Under Slab
Rough -In ( 7
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 n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call or rein .pection RE: �l 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �J
pp Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour J>
BUILDING Inspection Line: (50 639 -4175 MST -G6 6
INSPECTION DIVISION Business Line: (50639 -4171
BUP
Received Date equested M PM BUP
c�
Location /� ;A-- Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
•
wI Drain
Sla Inspection Notes: SIT
ost & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing /� /�
Insulation ' .9 a44
Drywall Nailing `mss
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof Vl/ . Ajd,AiA / r /0Y 1 ' g is
Other:
Fin
A 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 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 U ` Inspector t 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) 6 75 MSTaa��
INSPECTION DIVISION Business Line: (503 tpi 1
BUP
Received Date Re uested r A PM BUP
Location g �� Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BU G Tenant/Owner ELC
noting ELC
. Fni indat Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear �cJ `
Framing
Insulation s \ � �� kJ 0 , k ÷ak_S
Drywall Nailing r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 4 01 FAIL
PLUMBIN
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 n 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 /`t 6 Inspector Ext
Other:
Final • DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL