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Permit ; ' CITY O TIGARD MASTER PERMIT PERMIT #: MST2001 -00043 'i DEVELOPMENT SERVICES DATE ISSUED: 02/21/2001 . '�I ! . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ' SITE ADDRESS: 16001 SW 81ST PL PARCEL: 2S112CC -14400 SUBDIVISION: DURHAM SCHOOL' PARK ZONING: R -12 BLOCK: LOT: 006' JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 8. BUILDING . REISSUE: , STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 - FIRST: 588 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: B81 sf. GARAGE: . 400 sf . FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 6 VALUE: $ 135,855.00 OCCUPANCY GRP: R3 . BDRM: 4 BATH: 3 TOTAL: 1,469.00 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100. TRAPS: LAVATORIES: 3 - 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: 1 GREASE TRAPS: . OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: - GAS OUTLETS: 1 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: 1 PUMP /IRRIGATION: PER INSPECTION: • EA ADD'L 500SF: 2 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR:- 00 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: $ 6,118.04 • This permit is subject to the regulations contained in the .. HERB HOFFART &CO HERB H OFFART . Tigard Municipal Code, State of OR. Specialty Codes and 4632 SW VERMONT ST 4632 SW VERMONT all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 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 Notification Center. Those rules are set - Reg #: LIC 34247 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 Insp 8 Post/Beam Mechanical . Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain.drain.lnsp Plumb Final Footing Insp ' ' Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection • • Foundation Insp Footing /Foundation Dr; Electrical Rough In - ' Gas Line Insp Appr /Sdwlk lnsp Building Final Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final L ' re L7/ .. < / Issued By - di « . - Permittee Signature : • • - . 0116C . 1(50 639 -4175 by 7:00 p.m. for an inspection needed the next busine A, • CITY OF TIGARD c Li `l3 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001 -00043 Date Issued: 02/21/2001 Parcel: 2S112CC -14400 Site Address: 16001 SW 81ST PL Subdivision: DURHAM SCHOOL PARK Block: Lot: 006 Jurisdiction: TIG Zoning: R -12 Remarks: Construction of new single family detached residence, Path 8. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: HERB HOFFART & CO EASTGATE ELECTRICAL INC 4632 SW VERMONT ST 1410 NE 106TH PORTLAND, OR 97219 SUITE 206 PORTLAND, OR 97220 Phone #: 503 - 244 -0876 Phone Req #: LIC 43701 ELE 26 -340C SUP 1512S AN INK SIGNATURE IS REQUIRED ON THIS FORM X / , � � Si ature .f Superv ing `lectrician If you have any questions, please call (503) 639 -4171, ext. # 310 • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001 -00043 Date Issued: 02/21/2001 Parcel: 2S112CC -14400 Site Address: 16001 SW 81ST PL Subdivision: DURHAM SCHOOL PARK Block: Lot: 006 Jurisdiction: TIG Zoning: R -12 Remarks: Construction of new single family detached residence, Path 8. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: HERB HOFFART & CO CRAFTWORK PLUMBING INC 4632 SW VERMONT ST 7736 SW NIMBUS AVE PORTLAND, OR 97219 BEAVERTON, OR 97008 Phone #: 503 - 244 -0876 Phone #: 644 -8698 Reg #: LAC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X , 444 Signature of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 Tv Rsr ov -7 0 1 gar - • .aQ2.290/ — 0002. _ Buildi Permit Application A, Date received a Cl of Tigard :,2 -�-0/ Permit �"lsT�oo /- ,�0�1 (� g ' I Project/appl. no.: Expire date: n City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: 2 Ki ce I BMA I Receiptno.: I Fax: (503) 598 -1960 'I G Case file no.: Payment type: •� . , Land use approval: 1 &2 family: Simple Complex: v - r r TYPE OF PERMIT ss 0 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family •d New construction ❑ Demolition VAddition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm 0 Other. JOB SITE INFORMATION \ Job address: - ( DO I S. W. '/ sT 191. Bldg. no.: g Suite no.: l Lot: 4 Block: Subdivision: b AA Schoo l • RQN( Tax map/tax lot/account no.: Project name: t Hk i „ Scjoo • 7- a., Description and location of work on premises/special conditions: AJEw /doer (= . OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: C2h /-lo f412 p CO (Floodplain, septic capacity, solar, etc.) Mailing address: 63,2 .t. CV. l/ == /',7o t., 1 & 2 famlly dwelling: t'e al ImiocQ State:e5g ISMER= Valuation of work , $ / 8S5 Phone: a 1/. , Fax: R(/-D81 E -mail: No. of bedrooms/baths _ Owner's representative: !a /e Z. iF ,0,e7 Total number of floors Z Phone: o7W -OE1- ( Fax: �garic:- E -mail: New dwelling area (sq. ft.) J c/ 1 -± APPLICANT Garage/carport area (sq. ft.) y U Name: .9UC 4' 5 + /2'rL- Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi - family: CONTRACTOR Valuation of work $ Business name: � /felL /75 ,qj,//Z, Existing bldg. area (sq. ft.) Address: New bldg. area (sq. f _- City: State: ZIP: Number of stories Phone: a i/c/ -097 Fax: E -mail: Type of construction .. • CCB no.: c/a V / 7 Occupancy group(. fisting: New: City/metro lic. no.: 9 G- 'J /rj0 Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: . S provisions of ORS 701 and may be required to be licensed in the Address: / , te., (c` jurisdiction where work is being performed. If the applicant is i exempt from licensing, following reason a lies: City: oei , ,' State: ZIP: 97 / P g g PP Contact person: "Ammo Plan no.: Phone: ,,,, 1Qy Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: �,e/ c !/5 Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: 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 more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard % . work will be complied w' own on credit whether s, : cifred , erein or not. Credit card number: • / / Ex Authorized signature / / / / z,,,,,, , ' Date: Name of cardholder as shown card Print name: /S / :Cfe J. /4/ /9 if $ Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00✓COM) I Ahh ., One- and Two - Family Dwelling • Checklist Reference no.: ;' Bu�l Permit Application g Associated permits: •City of Tigard City f Tigard t � _ D Electrical O Plumbing ❑Mechanical , •Address: 13125 SW.Hall Blvd, Tigard, OR 97223 CI Other: • Phone: (503) 639 -4171 Fax: (503) 598 -1960 ,,-!;1 TffE.fT*LO,,WING'ITEMS ARE''RI•QUIIZED I OR PLAN REV I E3V , : , rte `.Yes No . .; - 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 0 plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. ' 10 Complete sets of legible plans. Must be drawn to scale, showing conformance t� applicable local 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. V • 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. — V 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. V 21 Energy Code compliance. Identify the prescriptive path provide calculations. A gas- piping schematic is required for four or more appliances. V • 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. , , � � ;�;J UR ISDI(TIONAL 23 Five (5) site plans are required for Item 11 above. 24 25 . 26 27 - - • 28 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 (6ro0icoM) • Plumbing Permit Application 4% Date received: A i t — O/ Permit no.: f -4r , _C 4/ ° , , City of Tigard • �� 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: I Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family Cl Tenant improvement 1 ew construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: /4 €Q f ra •W i S` T f Description Qty. Fee(ea.) Total Bldg. no.: N (k Suite no.: Ott 1- and 2- family dwellings only: Tax map /tax lot/account no.: (includes 100 ft. for each utility connection) SFR (1) bath Lot: Co (Block: NI\ I Subdivision: C rhAm 5chuc;l 19 SFR (2) bath Project name: Lt,tNhA m Sclnoo) PPrRK SFR (3) bath City /county: j ;; wv ,Al / WrtSln I ZIP: (77a;S— Each additional bath/kitchen Description and location of work on premises: Site utilities: Net() /ior/IE Catch basin/area drain Est. date of completion/inspection: Drywells/leach line/trench drain PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: //AI l&/o, /k' ' /, i „ b ; 4/9 Manholes Address: '7Ai3 f 6 .10- /U. Pi 64.5 1 Rain drain connector City: - hc Ut�r'Fc(J I State:p4 'ZIP: 97007 _ Sanitary sewer (no. lin. ft.) Phone: �p 44/. �f(, y$ I Fax: 1E-mail: Storm sewer (no. lin. ft.) CCB no.: '71'6,649 I Plumb. bus. reg. no: ..70 - Ne f,8 Water service (no. lin. ft.) City /metro lic. no.: a5pi Fixture or item: Contractor's representative signature: 1'34 �,./ Absorption valve Back flow preventer Print name: �c L 0/4-rd D ate: / -2 3 - Backwater valve CONTACT PERSON Basins/lavatory ■ Name: s R rn Ei /9-S /l-bouE: Clothes washer Address: Dishwasher City: State: ZIP: Drinking fountain(s) • Ejectors/sump Phone: Fax: E -mail: Expansion tank not : C'D Al / / OWNER Fixture/sewer cap Name (print): A C Lb 4J07 g . Floor drains/floor sinks/hub Garbage disposal Mailing address: y6 . 3? ..‘1..). //e/^/7v/v/ Hose bibb City: g,A.7 /..)-4,60 I State:p ' I ZIP: 9•2/ ' Ice maker Phone: 2''- p19)6 I Fax: 1E-mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation 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) Owner's signature: Date: Sump ENGINEER Tubs /shower /shower pan Name: Urinal Address: }N, iglu, • - Water heater Water heater _ City: State: I ZIP: Other: Phone: I Fax: 1E-mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application ❑ Visa ❑ MasterCard Plan review (at %) $ expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ Expires TOTAL $ Name of cardholder as shown on credit card accepted as complete. $ Cardholder signature Amount 440-4616 (6A0/COM) ■ PLUMBING PERMIT FEES: • PRICE :; TOTAL • New 1 and 2- family:dweilings;only: • FIXTURES' (individual) QTY (ea) AMOUNT (includes all plumbing fixtures In . = PRICE -. TOTAL Sink 16.60 the dwelling and the first1011 1t, •QTY • (ea) , - ..AMOUNT Lavatory 16.60 for each utility connection) - • One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE . Dishwasher 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 3" 16.60 PLEASE COMPLETE: 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 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 72.50 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 Beddow Prevention Device, which Is $36.25 + 8% state surcharge. "Ali New Commercial Buildings require plans with Isometric or riser diagram and plan review. is \dsts\forms\plm - fees.doc 10/10/00 Electrical Permit Application Datereceived: a 3 t / Permit no.:/i6TA0/—.0 Li 'if City of Tigard "_ _.. `J y g Project/appl. no.: Expire date: CirynfTigard 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: " ', ;� - TYPE OF PERMIT , ❑ & 2 family dwelling or accessory ❑ CommerciaUindustrial ❑ Multi- family ❑ Tenant improvement New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial " . JOB SITE INFORMATION Job address: epee / 5. (&J. 'f S P1. Bldg. no.: Vl Suite no.: l ( Tax map /tax lot/account no.: Lot: (p. Block: A Subdivision: (Jur•hR -sc-h 0 • IA g-. Project name: $ ,.1 w, Schvul PR-A.44 Description and location of work on premises: . Estimated date of completion/inspection: o C . r ; '- ,r, CONTRACTOR APPLICATION - FEE SCHEDULE ` Job no: Fee Max Business name: Er/5 a fir- Eft { Description Qty. (ea.) Total no. Insp New residential - single or mull- family per Address: /0 E ibc)9 i &9, .7gaoio dwelling unit. Includes attached garage. City: o ¢.l 1 State:p. ZIP: 97,2RO Service included: - Phone: 503 -as, /O Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof =S CCB no.: 76 Elec. bus. lic. no: �( - ,3SL0� Q Limited energy, residential 2 . City /metro lic. no.: ZJ Limited energy, non- residential ___ 2 // Each manufactured home or modular dwelling ■■- Signature of supervising electrician (required) j •• /W Date - 23-ev Service and/or feeder 2 Li cense no: S�e� 5 Services or feeders- Installation, W , 2 0 o 'a m p s or i e ss ocation: MN � 2 PROP / E / RT / Y,OWNER 20'a slss Name (print): - ER • doffARl f CO 201 amps to 400 amps _M 2 Mailing address: 6.41. 401 amps to 600 amps _�_ 2 � 1 ie _ r tno/IJ r 601 amps to 1000 amps _M0 2 o , p iv State:, ,e' ZIP: 972/ Over 1000 amps or volts • 2 Phone: a 9y- O; t%/ Fax:/-t s 7 E -mail: Reconnect only =MI 1 ' Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation : IIIII ORS 447, 455, 479, 670, 701. - 200 amps or less 2 201 amps amps == 2 Own signature: Date: amps _ 401 to 600 a s . ;° , ,- , , s ,EN Branch circuits - new alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of Address: ® service or feeder fee, each branch circuit 2 City: l State: ZIP: B. Fee for branch circuits without purchase Phone: E -mail of service or feeder fee, first branch circuit: ■■ 2 Fax: Each additional branch circuit: __ vi - r� t -PLAN REVIEW (Please check all that apply) ■■ • pp y) Misc. ' ❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps - rating of 1 &2 ❑ Hazardous location Each signor outline lighting ___ 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ■■® ❑ 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: O 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 $ O Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: • / / within 180 days atter 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 Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.0c Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: • Residential - per unit 1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 Limited Energy $75.00 I i Burglar Alarm Each Manufd Home or Modular n Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 n Vacuum Systems' 201 amps to 400 amps $106.85 2 401 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 1 200 amps or less $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. J 1 Audio and Stereo Systems Branch Circuits Boiler Controls ri New, alteration or extension per panel 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 Each additional branch circuit $6.65 n HVAC Miscellaneous n (Service or feeder not included) Instrumentation Each pump or irrigation circle $53.40 • Each sign or outline lighting $53.40 n Intercom and Paging Systems • Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n Landscape Irrigation Control' Minor Labels (10) $125.00 '.ach additional inspection over n Medical P.;r r allowable In any of the above Per inspeclinn $62.50 n Nurse Calls Per hour $62.50 'n Flanl $73.75 n Outdoor Landscape Lighting` Fees' (n Protective Signaling If above fees $ n Other 87. State Surcharge $ Number of Systems 't m Review Fee ,.ce "r'ian Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: i uial Ialance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 • Mechanical Permit Application g Date received: , _,? =Dl . Permit no:: / � pa Dd S d ' i " "' :r., ! City of Tigard �r�!,L Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment'type: , . . . • Land use approval: Building permit no.: • . TYPE OF PERMIT 0 11 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi -family 0 Tenant improvement la construction ❑ Addition/alteration/replacement ❑ Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: / 400 ( 5. w. '/ r P1 • Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Nh I Suite no.: NA value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: [o Block: 10 I Subdivision: Oix.hi m Sc.hu�l Prike *See checklist for important application information and Project name: o rhn ty\., SChr -rl fP/+fZK jurisdiction's fee schedule for residential permit fee. City/county: ,77 �.,,,d/ toms) ZIP: c/''�.?o?5- 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and cation of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE /V.E&J ijom/ . Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res.only Res.only HVAC: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors State boiler permit no.: Business name:. u p rem e Coen coil HP Tons BTU/H Address: 9 4 L S . W . a n n i e 5 r e F ‚ ? ( 2 / E Fi iRsmoke dampers/duct smoke detectors City: W /5o4. u, 11 - I State:pR I ZIP: 9 7.6 20 Heat pump (site plan required) Install/replacefurnace/burner BTU/H X03 6e2-/9e5 Fax: I E-mail: Including ductwork/vent liner O Yes 0 No CCB no.: o? /RSa Install/replace/relocateheaters- suspended, City/metro lic. no.: .f a \' ∎ wall, or floor mounted Name (please print): C i) E Wear Vent for appliance other than furnace , CONTACT PERSON Refrigeration: / Absorption units • BTU/H • Name: .�fn E RS e9 feUF Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: i State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U lUres. kitchen/hazmat hood fire suppression system Name: - e,r' /., , I f/ q R f (G Exhaust fan with single duct (bath fans) Mailing address: 4/4 3a 4. w . (ler rYtoiu lr Exhaust system apart from heating or AC Fuel piping and distribution (up to 4 outlets) City: „, -r (p A.,d I State. k I ZIP: g 7z/c Type: LPG NG Oil Phone: a!` -o g7 Fax: E -mail: Fuel piping each additional over 4 outlets - - . Process piping (schematic required) Name: Number of outlets �/ Other listed appliance or equipment: Address: U G L/;t Decorative fireplace • City: 4 tate: I ZIP: Insert - type Phone: ( Fax: I E -mail: Woodstove/pelletstove Other: Applicant's signature: a-'( /0107 96 . I Date: I - 9,3., b I Other: Name (print): Wel 1)(= 1)(= Ke''o f • Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee I O Visa 0 MasterCard Notice: This permit application Minimum f ee $ • expires if a permit is not obtained Credit card cumber Expires wi 180 days after it has been Plan review (at — %) $ State surcharge (8%) .... $ Name of cardholder as shown on credit card accepted as complete. $ TOTAL $ Cardholder signature Amount 440-4617 (6100/COM) MECHANICAL P FEES • - . ,. _, _ .- , . • • j$ COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE : Description: - Price Tote- . Table 1A Mechanical Code - " ' . Qty (Ea). Amt $1.00 to $5,000.00 : Minimum fee $72.50 $5,001.00 to $10,000.00 . $72.50 for the first $5,000.00'and 1) Furnace to 100,000 BTU , $1.52 for each additional $100.00 or Including ducts &vents `' 14.00 • _ fraction thereof, to and including ••2) Furnace 100,000 BTU+ . $10,000.00. ' ` 'including ducts & vents i 17ACi _ . $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 . - - 14.0 ' 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. ,. 1215 $50,00100 and up . $742.00 for the first $50,000.00 and ° )ai(,that. 1 : , �+ t Healr Air �' ti�a.Zs 5 -. - , • $1.20 for each additional $100.00 or m For. Items 7.11,bsee , U a p ` Qond,,, ,wrv, " y , • . - fraction thereof.. . - '. footn'otes . 1.'. = . "`Corrip' . t 7' • , i . s ?' - f , '' r ' : • 7) <3HP;absorb unit : ASSUMED VALUATIONS PER APPLIANCE: 8) 3_18 3- BTU • � '. 14.00 Value ' Total 8) absorb unit t 15 100k k to 500k BTU 25.60 Description: Qty (Ea) - Amount = 9) 15-30 HP; absorb : - Furnace to :100,000 BTU, including 955 unit .5 -1 mil BTU- 35.00 ducts & vents • - . 10) 30 -50 HP; absorb • Furnace > 100,000 BTU Including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb - Floor furnace including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM - . • floor mounted heater • 10.00 Vent not included In applicance 445 13) Air handling unit 10,000 CFM+ [R permit , • . . 17.20 epair units - 805 14) Non - portable evaporate cooler - , ' < 3 hp; absorb. unit, . 955 10.00 to 100k BTU • 15) Vent fan connected to a single duct 3-15 hp; absorb: unit, , 1,700 . - 6.80 101k to 500k BTU : • - . 16) Ventilation system not included In • 15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00 mil. BTU 17) Hood served by mechanical exhaust 30-50 hp; absorb. unit, . •. 3,400 1000 1 -1.75 mil: BTU 18) Domestic incinerators >50 hp; absorb. unit,': ' . . , 5,725 17.40 >1.75 mil. BTU .. . -° 19) Commercial or Industrial type Incinerator Air handling unit to 10,000 dm 656 69.95 _ Air handling unit >10,000 cfrn 1,170 • 20) Other units, Including wood stoves - Non- portable evaporate cooler . 656 , 10 .00 Vent fan connected to a single duct 446 21) Gas piping one to four outlets Vent system not included in 656 _ 5.40 appliance permit 22) More than 4 -per outlet (each) - ' Hood served by mechanical exhaust _ 656 1.00 - Domestic incinerator 1,170 - Minimum Permit Fee $72.50 . SUBTOTAL: ; , + `� � $ ' Commercial or Industrial incinerator 4,590 • 4k,..a,. ; ' . Other unit, including wood stoves, 656 8% State Surcharge w '- $ Inserts, etc. 4-, : �; ,` Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) ";:Q 2.;,"..,-, $ f Each additional outlet Required for ALL commercial permits only 63 ,'a„;?..-,' '''5, P' TOTAL COMMERCIAL `.; ;; $ TOTAL RESIDENTIAL PERMIT FEE: 4 >'e' t; $ VALUATION: • .. , p' - Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. 2. Inspections for which no fee Is specifically Indicated (minimum charge -half hour) $72.50 per hour ' 3.; Additional plan review required by changes, additions ovrevisions to plans (minim( • . charge -one -half hour) $72.60 per hour - . `State Contractor Boller Certification required for units >200k BTU. "Residential NC requires site plan showing placement of unit. i :\dstsformslmech- fees.doc 10/11/00 . • • :CITX-OF TIGARD.BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST aD0 (- 00 o y� BUP Date Requested AM PM BLD Location / (.0 6 S Suite MEC Contact Person P ) Ph!' ' 7 `7`r' 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: ASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line S i oke Dampers —� AS 4 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 [ ] Please call for reinspection RE:. [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date 7 - 30 — 1>i Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the. job site. . • CITY.EJGARD BUILDING INSPECTION DIVISION +` 24 =Ho r inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 7-Z- `( AM PM BLD Location /.00/ — sw b /S "jf Suite MEC Contact Person Ph 7 - ,77 Y y 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 Spr Fire Alarm Susp'd Ceiling . . Roof • . Misc: Final PASS PART FAIL PLUMBING 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 FAIL Service Rough In . UG /Slab Low Voltage ire larm a PA 'S r. 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 Date 7 / Inspector Ext Other Final • PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • - _CITY.OFTGARD BUILDING INSPECTION DIVISION • MST S )--°Pe) 24 -Hour Inspection Line: 639 -4175 - Business Line: 639 -4171 BUP Date Requested � ! Z.e) AM PM BLD Location /CpOU 5 f f ` Suite MEC Contact Person Ph 7 Zv 7 y PLM - Contractor Ph SWR BUILDING Tenant/Owner • ELC Retaining Wall ELR Footing - Access: Foundation 11 / FPS FtgDrain . v�, e kc — Cc, L. 1 Crawl Drain Inspection Notes: SGN • Slab SIT - Post & Beam Ext Sheath /Shear Int Sheath /Shear J Framing U. i L r�c� o.�. CJlyk Insulation n Drywall Nailing l '-.26PGc Cj r A Firewall - . Fire Sprinkler Fire Alarm N Susp'd Ceiling ._ �IMb� ��' — / ! 6 cJ Roof Misc: Final PASS - PART FAIL • Post & Beam Under Slab Top Out Water Service Sanitary Sewer R. • Drains PART IL ANICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date - .20 _ O 1 Inspector 1.( /I tefa Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. _ ; a 'Y:OF CARD BUILDING INSPECTION DIVISION "�'� ' . MST O/ -- ek-29 45 24 -Hour Inspection Line: 639 -4175 Business Line:. 639 -4171 //-- BUP Date Requested (0/ I AM PM BLD Location 1(D 00/ 75t i? . Suite MEC Contact Person Ph . PLM Contractor P/L Ph 7 ' ' 774 ,/ 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 Top Out _ Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL C HANT — • ost &Beam - Rough In 2, Fp Gas Line 4 .-- 4 Smoke Dampers Fin c A PART FAIL • LECTRICAL 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 Date /5 Inspector Ext Other Final • PASS PART . FAIL • . DO NOT REMOVE this inspection record -from the job site. ' - CITY OF- TI BUILDING •INSPECTION DIVISION• y- 24 flour Inspection Line: 639 -4175 . Business Line: 639 -4171 MST ` 1 a ®c: ��!! // BUP Date Requested V 61 AM PM BLD- Location 11000/ /S/ P Suite • MEC • Contact Person D-, L Ph PLM Contractor . Pct, Ph lie 7e7 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 1J/ 4 A Insulation • Drywall Nailing Firewall . . Fire Sprinkler Fire Alarm Susp'd Ceiling . Roof _. Misc: Final PASS ' PART FAIL • PLUMBING • Post & Beam Under Slab TO Out Water. Service Sanitary Sewer Rain Drains Final PAS._PART FAIL CHANICA Post Beam �� , ', Rough In � �' • " Gas Line Smoke Dampers . • - Final PASS PART —OP 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 [ ] Please call for reinspection RE: [. ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk • • Other Date / . / Inspector Ext . Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. _, 'CITY OF TIGARD BUILDING INSPECTION - DIVISION • MST 0 2,0401 06.-b- 7 9 ' - 24 =Hut inspection Line: 639 -4175 Business Line: 639 -4171 . - BUP - Date Requested AM PM BLD Location /6 bo / 5 1 -✓ 5 (S f f/ Suite MEC Contact Person Ph 7Zo — 77 yc( PLM Contractor Ph SWR 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 tut3!►�:�� Drywall Nailing Firewall Fire Sprinkler . Fire Alarm Susp'd Ceiling Roof Misc: Final SS -ART FAIL 'Post L MBING & 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 [ ] Please call for reinspection RE: . [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date 5 Inspector Ext . Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ,CITY =QF - MST TIGARD BUILDING INSPECTION DIVISION ' - - • . ", , _ 0 2 66/ 41'66-- - 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 rr' BUP Date Requested 7 AM PM BLD Location / 600/ 5 61 a' bf Suite MEC • Contact Person Ph 71.0- 7 I PLM > r Contractor Ph SWR U ' Tenant/Owner ELC - Retaining Wall ELR Footing Access: Foundation FPS I1 Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int eath /Shear / r��v /�+4 "7-' ) (.; , / L'Lr - Insulation Drywall Nailing z 'L-e ( I<r 7 Firewall Fire Sprinkler ' 'i ? P 5 "R-r,-77-,--51 = I R e Fire Alarm Susp'd Ceiling /%1.5 4/ 75'10 Roof Misc: " Final PASS PART FAIL PLUMB • Post & Beam Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final PASS PART FAIL • Post & Beam Smoke D mper • F' PASS PART FAIL ELECTRIC 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date — 7 — Q7 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.. • c 0 CITY F BUILDING INSPECTION DIVISION . 24 -Hour 0 /�= G Inspection Line: 639 -4175 Business Line: 639 - 4171 � d �� ' S Date Requested (�� I AM PM BLD Location \ Le 0 0 1 I �- I— Suite MEC Contact Person )tZ v -(s Ph Z0 — - 7? V 7 PLM Contractor Ph a-/ - O 7 (Q 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 5 l C� f / 'C� L_ Firewall Fire Sprinkler �iC -- �— Fire Alarm Susp'd Ceiling Roof V - Misc: - Final PASS PART FAIL PLUMBING • Post & Beam Under Slab Top Out Water Service - - • V " Sanitary Sewer • Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam V Rough In Gas. Line V Smoke Dampers V Final PASS PART FAIL •E LECTRICAO • - ou'h I UG /Slab Low Voltage V V Fire Alarm Fl.. PART ,FAIL Backfill /Grading V Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA I / e----0)//) • Approach /Sidewalk Date 57 / 4/ ( Inspector Ext Other Final PASS PART FAIL V DO NOT REMOVE this inspection record from the job. site. • .CITY-41r, ARD BUILDING INSPECTION DIVISION MST -• • y3 24 -Hour Ins Line: 639 -4175 Business Line: 639 - 4171. • ' UP . • Date Requested q Z AM PM BLD ■ 1 • Location I - 4 74 4 - 1 S1 Suite MEC Contact_ Person Ph 1Ir 9 - j9/ z 7 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 LUM os & Beam Under Slab /Le o a er Service Sanitary Sewer Rain Drains • ear 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 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 L Other Date 771 (� , ( Ins Ext Final PASS PART FAIL .. DO NOT REMOVE this inspection record from the. job site. • CIT ( F T @GARD BUILDING INSPECTION DIVISION • _'� ' G = - • 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4 1 MST Roo , U G • 7 3 BUP Date Requested 6/— Z AM PM BLD Location /[ U o / S w 8/ di Suite MEC Contact Person Ph 6 W-fr 9 -S.6 fr PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: 0 � Foundation l FPS Ftg Drain SGN Crawl Drain Inspection Note . Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing Insulation Drywall Nailing. Firewall Fire Sprinkler Fire Alarm /A ` �O Q 5 , Susp'd Ceiling � I Roof Misc: Final PASS PART FAIL Post & Beam Under Slab . o. O_ e Service Sanitary Sewer Rain Drains Final PASS PART 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 _ [ ] Please call for ,inspection inspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk G 6 Other Date Ins Ext Final PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.. • C1=DF'TIGARD BUILDING INSPECTION DIVISION F,. MST Y.6' D - 4C4 c 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested 749 AM PM BLD Location 400o/ SW 87<4 . Suite MEC Contact Person Ph 7 770/ PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Framing Insulation Drywall Nailing Firewall Fire Sprinkler , Fire Alarm . Susp'd Ceiling Roof • Misc: Final t elk - S — S7)-'ART FAIL PLUMBING 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other • Date V-- 2d — ,2/ Inspector Ext Final PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. I BUILDING INSPECTION DIVISION MST v / -G `7'" 3 24 -Hour Inspection Line: 639 -4175 - Business Line: 639 -4171 BUP - Date Requested .7— Z6 AM v PM BLD - Location /Goo/ ) Fl/ s/ Suite MEC Contact Person Ph PLM Contractor Ph SWR _OUIWJAL Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Bath /Shear Int Sheath /Shear Framing Insulation • Drywall Nailing Firewall Fire Sprinkler. Fire Alarm Susp'd Ceiling Roof Misc: . - .. Fi AS PART - FAIL • PLUMBING 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 Date - 2 - d/ Inspector Ext Other Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. t r _ l'. _�Y r• ' • trintf OF TIGARD BUILDING INSPECTION DIVISION MST - 4 24- Hour:Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested 3 - / - • AM BLD faMr . Location ,Oh/ S c) / S i" Suite MEC • Contact Person Ph PLM • Contractor Ph SWR UILD Tenant/Owner ELC !rung Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: &itaiciz> SIT Ext Sheath /Shear int Sheath /Shear Framing • Insulation - . Drywall Nailing Firewall Fire Sprinkler . . Fire Alarm Susp''d.Ceiling - Roof Misc: F' • _ PART FAIL • '2�"'l:1l: lea. ab Top Out ervice anitary Sewer Rain Drains • Fin. • ; RT FAIL - C1Zi r: u - Rough In Gas Line Smoke Dampers • Fi IV PART FAIL TRICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line Approach /Sidewalk - Other Date Inspector Ext Final PASS PART FAIL • ' DO NOT REMOVE this inspection record from the job site. • • .CI1'Y4ETI ARD BUILDING INSPECTION DIVISION MST • • � ' -= �aY�'�'�.�• . 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 4210 . Date Requested 3 'AM PM BLD Mire* 1 Location /6 Geri) 5 <-✓ 5 1— Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner - ELC Retaining Wall ELR Footing Access: Foundation \ /J 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 on•er Slab Top Out • Water Service Sanitary Sewer _ Rain Drains 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 - [ I Reinspection fee of.$ required before next inspection. Pay at.City Hall, 13125 SW Hall Blvd . Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk 1 Other Date ? / (Inspector Z Ext Final PASS. PART FAIL DO NOT REMOVE this inspection record from the job site. . • r 4/ ;1 • TIGARD BUILDING INSPECTION DIVISION a ' ; 24- Hourinspection Line: 639 -4175 Business Line: 639-41 1 P , Date Requested 3-) AM !/ PM BLD TM • Location / 'GU (S ge/s/--- „ex Suite MEC Contact Person • Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall E LR Footing Access: Foundation FPS Ftg Drain SGN wi ur Inspection Notes: SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ,^ Framing �> Lr �.� C Insulation - .A S� Drywall Nailing b S Fire wall Fire Sprinkler Fire Alarm .� Susp'd Ceiling. d Roof Misc: • Fin. 'AS PART F IL Ti11..fe e Post & Beam Under Slab_ Top Out .•cu e - .e.) ,P rn. A FAIL M CHANICAL Post & Beam Rough In ' • Gas Line - Smoke Dampers Final' V 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 [ ] Please call for reinspection RE: [. ] Unable to inspect - no access Fire Supply Line ADA (� Approach /Sidewalk Date / ( dam - Other Inspector Ezt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CV - TI 3ARD BUILDING INSPECTION DIVISION MST ��r -U t/3 24 -Hour Inspection Line: . 639-4175 Business Line: 639 -4171 • BUP m' Date Requested � AM ' PM BLD Location /boa/ s 3/5-1 Suite MEC Contact Person Ph PLM Contractor Ph - SWR UILDI Tenant/Owner ELC Retaining Wall ELR Footing • Access: oun FPS • g 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 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date - 2 1 2 - 8/0/ Ins (, Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • (P1P TIGARD BUILDING INSPECTION DIVISION MST Z - el .' �J� Y-3 Y-3 1- 24 -Hou inspection Line: 639 -4175 Business Line: 639 -4171 c%� r BUP • Date Requested - Z, AM PM BLD Location /46 U I SLi . /sue 0 40de . Suite MEC Contact Person Ph PLM Contractor Ph . SWR UI Tenant/Owner ELC Retaining Wall ELR Access: Foundation FPS . Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing UfEi� "�rr f� 2 Insulation Drywall, Nailing . Firewall Fire Sprinkler .., Fire Alarm • Susp''d.Ceiling . . Roof • Misc: • .. . Final AS PART FAIL PLUMBING -- 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date Z Inspector Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site