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Permit
CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2001 -00044 0 DEVELOPMENT SERVICES DATE ISSUED: 2/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15999 SW 81ST PL PARCEL: 2S112CC -14500 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R -12 BLOCK: LOT: 007 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: 9 . SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 681 sf GARAGE: 400 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 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: 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 OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: : EA ADD'L 500SF: 2 201 - 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: I 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: • BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: : TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,118.41 HERB HOFFART & HERB HOFFART This permit is subject to the regulations contained in the HER HER H VERMONT CO O 4632 H VERMONT Tigard Municipal Code, State of OR. Specialty Codes and 4632 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 84 Post/Beam Mechanical Mechanical Insp . Shear Wall Insp Insulation Insp . Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp 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 Insp Building Final Post/Beam c PLM /Underfloor Framing Insp Gas Fireplace Electrical Final _� IS P rmi Signature : - , t r °� Issued B: A. = __ e /L a �! e ttee Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busine s/y CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE i EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001 -00044 Date Issued: 02/21/2001 Parcel: 2S112CC -14500 Site Address: 15999 SW 81ST PL Subdivision: DURHAM SCHOOL PARK Block: Lot: 007 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 Reg #: LIC 43701 ELE 26 -340C SUP 1512S AN INK SIGNATURE IS REQUIRED ON THIS FORM X � Si to e o Super E 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 -00044 Date Issued: 02/21/2001 Parcel: 2S112CC -14500 Site Address: 15999 SW 81ST PL Subdivision: DURHAM SCHOOL PARK Block: Lot: 007 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 #: LIC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X ,4 Signatu e of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 %�dst 2 -r -° 3T • • ... ,§1.44.9c01-0063o ' - Building Permit App Date received:• O Permit no A ., City of Tigard a -�-- I r15� - : , 00 X11 . I I! Project/appl.no.: Expire date:' City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: n Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: * TYPE OF PERMIT Z ❑ & 2 family dwelling or accessory CI Commercial/industrial 1:1 Multi-family, " New construction CI Demolition Addition/alteration/replacement CI Tenant improvement CI Fire sprinkler /. . CI Other: N vi JOB SF1'E INFORMATION Job address: . 5999 5. ttJ. ; . i • Bldg. no.: NA Suite no.: n)14 Lot: Block: ■ Subdivision: urh 5 4hco ° FOLK Tax map/tax lot/account no.: ,, Project name: i , ; 4i i e ,L . C\ Description and location of work on premises/special conditions: /1/tE4J - 6M6 \, OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST Name: • G / 0 h rkT f e■ (Floodplain, septic capacity, solar, etc.) Mailing address: 63- 6 -a' eg '4.0 1 & 2 family dwelling: laanillirte iiiivet EMMIESEEEN1111 Valuation of work $ / 34 Phone: , - . Fax: 07K-Or E -mail: No. of bedrooms/baths 1 / Owner's representative: o ,q¢/ , Total number of floors / Z. Phone: , [AI- p; ')( Fax: S. 0-k1 E -mail: New dwelling area (sq. ft.) / 5!G APPLICANT Garage/carport area (sq. ft.) ` t U u 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: ..5/tmL /95 A(o Existing bldg. area . t.) / Address: New bldg. area (sq. ft.) City: • State: ZIP: Number of stories Phone: Fax: E -mail: Type of construction CCB no.: y a Occupancy group(s): Existing: New: City /metro lic. no.: - - 0 Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: S 0 ,d S provisions of ORS 701 and may be required to be licensed in the Address: ' / ..(J.1. 6171--4 jurisdiction where work is being performed. If the applicant is WM , State:Q,e ZIP: exempt from licensing, the following reason applies: s? /y Contact person: - Orita,c) Plan no.: /4/, - Phone: , 9'4/- „ Fax: E -mail: ENGINEER Name: . ' Contact person: Fees due upon application $ Address: 1/77E /95 1 .0 6 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 o Visa ❑ MasterCard work will be complied �,�/� ' ., wl whether �speCi 1 - herein or not. Credit card number: / / "7 /(i'/ � : Expires Authorized signature: I Date: Name of cardholder as shown on credit card Print name: lei ,C„ Aogeic' $ 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 (6A0/COM) i . One- and Two - Family Dwelling ,,,�. Building ' Application ' Reference no.: d �_ . a- t,,,i,,° Building Permit Application Checklist ; rynjTigard Associated permits: City City of Tigard O Electrical 0 Plumbing ❑ Mechanical • Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 ,..4 : r •`a °s•�.,,:7.., 'tFO , I ' • ,,A ' ' I I is I ' LANt!REVIEW :t :.Yes - No N /A, . 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. . . -ME- 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 O 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 to 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. 1 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. . l5 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ' Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining wails. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required - for four or more appliances. - 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. + ;$ �" ", * -,.,;, "' �"a " . ., � 4t' JURISDICTIONAL ^'SPECIF ICS f k 4� ,. �, ,. ` ,--�.. F "1 t�'ti� �, r., ...! � +" S .. _ .vie ' �, r , i;�: 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 (6/00/COM) Plumbing Permit Application D ate received: ,Q -a- Permit no.: j —0°0 ' 3 j y ;' 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 U II & 2 family dwelling or accessory ❑ Commercial/industrial O Multi- family ❑ Tenant improvement '®'New construction ❑ Addition/alteration/replacement ❑ Food service O Other: JOB SITE INFORMATION FEE SCI IEDULE (for special information use checklist) Job address: /5 i'�/ 4.1d• Zi Pt, Description Qty. Fee(ea.) Total Bldg. no.: /U Suite no.: N q New 1 - and 2- family dwellings only: Tax map /tax lot/account no.: N A (includes 100 ft. for each utility connection) SFR (1) bath Lot: r/ Block: I Subdivision: (ukiAWI Savo( PAP g SFR (2) bath Project name: I )�r1nel Scl,lct) ( Pjt(2 SFR (3) bath City /county: 1 / Lilt %. I ZIP: 9 a a 6 -- Each additional bath/kitchen . Description and l8cation of work on premise Site utilities: - • /lieu) /doryie. 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: AAF4t )otr14 9 kk n rObr 0C Manholes Address: 7'7 3 4> .W. Aii M bto Rain drain connector - City: ' 8E411E -v 0Ik-3 J State: pQ I ZIP: 9 7 0 Sanitary sewer (no. lin. ft.) Phone: 4l/y- gL e I Fa I E -mail: Storm sewer (no. lin. ft.) CCB no.: 7940p I Plumb. bus. reg. no: aQ -/9 pg Water service (no. lin. ft.) City /metro lic. no.: , 5-Of ,.., Fixture or item: Contractor's representative signature: „e. �� ' Absorption valve Back flow preventer Print name: ' C/E 0 / /jp Date: / -23 -0/ Backwater valve , _ CONTACT PERSON Basins/lavatory Name: 6 a vyke fft a 11-bob3t, Clothes washer . Address: Dishwasher City: I State: I ZIP: Drinking fountain(s) • Phone: Fax: E -mail: Ex tan Expansion tank • • OWNER Fixture/sewer cap Floor drains/floor sinks/hub Name (print): - � 'rqxU 4 Garbage disposal Mailing address: 46 3Z A•W //eKvn(v67 Hose bibb City: / 7 J I State:p,� I ZIP: 972./9 Ice maker . Phone: a? /4 D5'74 I Fax: I E -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 /l /O/1/ / �, - �(,/ Water closet Address: r e U Water heater City: I State: I ZIP: Other: Phone: I Fax: I E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ ❑ Visa ❑ MasterCard Notice: This permit application expires if a permit is not not Plan review (at — %) $ t ot 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: r - . • PRICE' TOTAL New 1 and 2- family dwellings�o�ly: FIXTURES' (Individual) QTY (ea) AMOUNT (includes all plumbing fixturesin " PRICE TOTAL Sink 16.60 the dwelling and the first100,ft. , • QTY " (ea) AMOUNT Lavatory 16.60 for each utility connecflon)''' One (1) bath $249.20 'fib or Tub/Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 ' 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 Hose Bibs 16.60 Tub or Tub /Shower 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" ;, -: ,ve r - 1st 100' 55.00 3 " Sewer - each additional 100' 46.40 _ 4" - M,,'ater Service - 1st 100' 55.00 Water Heater _ Water Service - each additional 200' 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' 55.00 _ term & 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 Backflow . Prevention Device, which Is $36.25 + 8% state surcharge. ** All New Commercial Buildings require plans with Isometric or riser diagram and plan review. i:\dsts \forms\plm- fees.doc 10/10/00 Electrical PermitApplication Date received: 4 - -0/ Permit no.:rJSraco _woof/ '2 1 ' 4 ..1 1 11' r L .I1I, C ity of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 • Date issued: By: Receipt no.: Phone: (503) 639 -4171 - Fax: (503) -598 -1960 Case file no.: Payment type: Land us approval: may_ , TYPE OF PERMIT . • ❑ 1 & 2 family dwelling or accessory ,. 0 CommerciaUindustrial . 0 Multi- family ' ' ' 0 improvement' ^Ci lvew construction 0 Addition/alteration /replacement ❑ Other: 0 Partial )0t 7. . _':.. - . JOB SITE INFORMATION Job address: ' 5" . .ti, : 6 P • Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: ,g,$, b • Project name: 0 . a g 0 I.., (< Description and location of work on premises: • stimated date of completton/inspectton: , f_ W CONTRACTOR APPLICATION . • .-• . . FEE SCH EDULE - Job no Fee Max Business name: 6.; - E E L- G Description Qty. (ea.) Total no. !lisp Address: blot* *C6 New residential- single or multi-family per Ait dwellingunit. Includes attached garage. y: PorZi I w St ate�yil` ZIP: 7,/,26 Service included Phone: g5,2 9' w Fax: E -mail: 1000 sq. ft. or less 4 CCB no.: 2/ Elec. bus. lic. no: ,9‘_, Each additional 500 sq. ft. or portion thereof = = S— Limited energy, residential 2 City/metro lic. no.: • Limited energy, non- residential ___ 2 �! Each manufactured home or modular dwelling ■■ . • Signature of supervising electrician (required/ "r' Date Z3 Service and/or feeder 2 Sup. �. elect. name (print): Tok to ,et-an ,% tie t / License no: 5/,Z5 Services orfeeders — installatlon, alteration or relocation: PROPERTY OWNER 111111 • " 2 00 amps or less 2 Name (print): w e-,26 - O7(49/¢ / f CO _ 201 amps to 400 amps ___ ,_2 • 401 amps to 600 amps _M_ 2 Mailing address: 4.32 6.Gt1. UEQI7/o10-7- 601 amps to 1000 amps EMI= _ 2 City: og.. qt , State:p, ZIP:. 971✓' Over 1000 amps or volts 11.11__ 2 Phone: , W-0876 Fax: a l Y-) E -mail: Reconnect only IMINIII _ 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which 200 amps is not intended for sale, lease, rent, or exchange according to instaati or le ss n, alteration, or relocation: 111111 ll � 2 ORS 447, 455, 479, 670, 701. 201 to 400 amps ME�= 2 Own signature: to 600 Date: 401 to 600 amps s , ' .- l-- ENGINEER • - _ - _ Branch circuits - new alteration, Name: or extension per panel: • A. Fee for branch circuits with purchase of Address: LAITAIr ) service or feeder fee, each branch circuit 2 City: ° State: ZIP: B. Fee for branch circuits without purchase Phone: Fax: - E -mail: . - - of service or feeder fee, first branch circuit: �■. 2 Each additional branch circuit: ____ ∎ : . PLAN REVIEW (Please check all that apply) PP y) " Misc. (Service or feeder not included): 11111 ❑. Service over 225 amps- commercial ❑ Health -care facility - • Each pump or irrigation circle . - 2 ❑ Seivice over 320 amps-rating of 1&2 ❑ Hazardous location Each sign or 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 •Descri, Lion: . ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: ' ❑ Egress /lightingplan ❑Other: Perinspection ___— Submit ^ sets of plans with any of the above. Investigation fee • The above are not applicable to temporary construction service.. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ " ❑ Visa ❑ MasterCard expires if a permit is not obtained' Plan review (at _ %) $ Credit card number: I / within 180 days after it has been State surcharge (8 %) .... $ . Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card • Cardholder signature Amount 440 -4615 (6/00 /COM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total `l, 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 Opener* O Door a Dwelling Service or Feeder $90.90 2 ❑ Garage p Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 n Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or 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. n Audio and Stereo Systems Branch Circuits I�I Boiler Controls New, alteration or extension per panel I I a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: n Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10 /09 /00 • A M Mechanical Permit Applicat :, - 2c- / Permit no:: rl5 %/ -e / ,i,tia'i!' Ci of Ti and � � g no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 . By: I Receipt no.: Fax: (503) 598 -1960 Payment•type: . Land use approval: it no.: ; • TYPE OF PERMIT � & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family_ U Tenant improvement ew construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: / 5 9 $. W. ( Pl. Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: • 7 I Suite no.: N/ value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: A/e profit. Value $ ' • Lot: 17 'Block: Noq- I Subdivision: 'Q *See checklist for important application information and • Project name: n gm 5c Iw left ILK jurisdiction's fee schedule for permit fee. City /county: g , 4 hA. l (jg95i'l I ZIP: q7;,,2 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and [bcation of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE /4l .4.1 ,ogx . - Fee(ea.) Total Est. date of completion/inspection: Description . Qty. Res. only Res. only Tenant improvement or change of use: HVAC: 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:. j u p (eine l Fog. HP Tons BTU/H Address: -4/a ./.e) Comry/EreG Li ve/L Fire/smoke dampers/duct smoke detectors City: J), / / / / //C I Statei I ZIP: 9 76 70 Heat pump (site plan required) Install/replacefurnace/burner BTU /H Phone: /�gd -6 $ / 'Fax: I E-mail: Including ductwork/vent liner 0 Yes 0 No CCB no.: c7�g�la Install/replace/relocate heaters - suspended, City/metro lic. no.: /� /j wall, or floor mounted Name (please print): 0 ' UE , i Vent for a . • liance other than furnace CONTACT PERSON e(irgeraUon. Absorption units BTU/H Name: .409E /75 Air.- Chillers HP Compressors HP Address: Environmental exhaust and ventilation: . City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U II/res. kitchen/hazmat /�/� hood fire suppression system Name: . Fgh olj; /27 f tit Exhaust fan with single duct (bath fans) _Mailing address: , j, v .. r----/-zim,,t/j Exhaust system apart from heating or AC . City: oe7 4,i te:0 e ZIP -7Z/ Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: aW-O Fax: E -mail: Fuel piping each additional over 4 outlets - - . Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: /JQ//f2 / .^E(P Decorative fireplace . City: I State: I ZIP: Insert - type • Phone: I Fax: I E -mail: Woodstove/pellet stove • Other: Applicant's signature: - 2:2 4 7. e it 9 I Date: /-,2 3 d/ Other: Name (print): 7 4-P • 'Not all jurisdictions accept credit cards. please call jurisdiction for more information.' Permit fee I Notice: This permit application 0 Visa 0 MasterCard Minimum fe e $ ex if a permit is not obtained credit card number: / / Plan review (at %) $ Expires within 180 days after it has been State surcharge (8%) .... $ Name of cardholder as shown on credit card accepted as complete. $ TOTAL $ Cardholder signature Amount , 440-4617 (&t)OICOM) • -- - --- 1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: : - < • Price' Tota $1.00 to $5,000.00 Minimum fee $72.50 • I• Table 1A Mechanical Code' Qty (Ea) Amt $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 ' 17A0 • $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace ' -i F . $1.54 for each additional $100.00 or • including vent 14.00 fraction thereof, to and including ' 4) Suspended heater, wall heater •• - $25,000.00. or floor mounted heater 14.00 ' • $25,0n1.00 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 $50,001.00 and up , $742.00 for the first $50,000.00 and • _ 'Check all that,appl r X8,911 t 1i , 41 . ` Air + :, ' 1.20 for each additional $100.00 or For items 7 „ i 11, sae ..F `x.= mp fond, + s ' • fraction thereof.. -' ,footnotes :below • ?' • pk Z ' 1'7 '4e , ! " ' Y* ' n = - - . • 7) <3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: 8) 3-15 BTU 14.00 8) 3 -15 HP; absorb . =• ' . • , : - - Value • Total - - unit 100k 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 - ' l 11) >501-IP: 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+ . permit - • 17.20 Repair 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 -3 • absorb. unit, 501k to 1 2,310. 16) Ventilation s not included In 15-30 hp; -- ° .` - : • appliance permit -. , _ � ` 10.00 • mil. BTU 30-50 hp; absorb. unit, 3,400 17) Hood served by mechanical exhaust 10.00 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 cfm 656 69.95 ' -. Air handling unit >10,000 cfm 1,170 • Non - portable evaporate cooler 656 _ 20) Other units, Including wood stoves 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 mechan'cal exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Permit Fee $72.50 , . SUBTOTAL: :: ° ti = %,.'` $ r - : = ?'? . Other unit, including wood stoves, 656 8% State Surcharge ,'� `'�� ? : i $ Inserts, etc Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) - $ Each additional outlet 63 Requ ire d for ALL commercial permits only :�_ ` ', TOTAL RESIDENTIAL PERMIT FEE: `,;:1'; ;',i;1,-, $ TOTAL COMMERCIAL : �� - ;• ` �• �,= ;�;���.;��,�,;,.:: $ VALUATION: 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 oyrevisions to plans (minim. charge-one-half hour) $72.50 per hour • * State Contractor Boller Certification required for units >200k BTU. - "Residential NC requires site plan showing placement of unit Ifidsts\formslmech- fees.doc 10/11/00 CITY-OF TIGARD BUILDING INSPECTION DIVISION MST 24 1 79 `( 24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP _ Date Requested © 3 AM PM BLD Location / S � F/ ✓ -7 Suite MEC Contact Person , Ph 7 2,40 -77(.14 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 /U Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - ■i nal SS 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 , . • PART FAIL CTRICAL 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 Other .Date Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from job site. . CITY OF TIGARD BI DING INSPECTION DIVISIO 24 -Hour Inspe'ction.Line: 6 '4.,-4175 Business Line: 639 - ` 1 MST Z�"D( 4 - / - BdJP Date Requested �� AM PM BLD - Location I S` q q l g/.4-7` Suite MEC Contact Person Ph 7 2,0 - 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 n ! / �ls v Misc: ��� Final PASS PART FAIL PLUMBING Post & Beam Under Slab .. Top Out Water Service Sanitary Sewer Rain Drains Final � J PASS PART FAIL MECHANICAL 1 - Post & Beam Rough In Gas Line - Smoke Dampers Fin SS PA FAIL • ELECTRICAL" ervice Rough In UG /Slab Low Voltage Fire Alarm . gap 'ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ' L D/ Ins /SO Ext Final PASS PART - FAIL DO NOT REMOVE this inspection record from the job site. : • �- f. e .CITY'OF TIGARD BUILDING INSPECTION DIVISION + - _ _ q 24- Hour- Inspection Line: 639 -4175 Business Line: 639 -4171 BUP - Date Requested F --- if) AM PM BLD Location M --- 7.9c7 r � �-1L -riL, Suite MEC -_ - Contact Person f L1�li'�� -riry Ph 7 7-0 •— 7W L 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 1 • Ina Sheath /Shear ( l In �c X Framing , CQ � (\ic,C� Insulation Drywall Nailing ,P� 7 Firewall • Fire Sprinkler . ^—h ' Fire Alarm Susp'd Ceiling Roof Misc: - s '%--.. --- -- • Final RT FAIL • • ' UMB • Post & Beam Under Slab ' Top Out _ Water Service - Sanitary Sewer Rai I ains - • PART FAIL ' A NICAL . 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 3 (9 Approach /Sidewalk ‘ C/6 \ C n Other Date �/ .Inspector S CJ1 Ext Final PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. - . CITY OF TIGARD BUILDING INSPECTION DIVISION MST lam_ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP r Date Requested C 3 AM PM BLD Location i s ` q9 Suite MEC Contact Person Ph 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 PLUMBING - Post &Beam Under Slab Top Out - Water Service Sanitary Sewer • Rain Drains Final • PAS _ _l?AT FAIL Post & Beam - Rough In ` G' ' - Gas Line Smoke Dampers • Fin - AS 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 • [ ] 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. _O 1TY'OF TIGARD BUILDING INSPECTION DIVISION ` 2 1Ak 4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST /440/- C0.�. r)1)51--- BUP Date Requested �//2. AM PM BLD Location t �9 Eke Plea,/ Suite MEC Contact Person Ph PLM Contractor �, Ph , '7a� - — 71q 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 - - 1`/ /LCD 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 NI • e am Rough In 6i Fe • Gas Line Smoke Dampers • Final • - PASS PART ,- AIL 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 / Z- Other —D/ I Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - ' OF TIGARD BUILDING INSPECTION DIVISION MST 24- Hour``nspbction Line: 639 -4175 Business Line: '639-4171 BUP ! 4- , = Data Requested S" / AM • PM BLD • Location / f Cl .5(4. / S / l&to fit Suite MEC Contact Person Ph 7 ze. 7 7 ci y PLM Contractor Ph SWR ILD�•� 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 Fra all Nailin . My 9 Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling - Roof Misc: • - Final SS PART FAIL ING 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 Date / Other / — Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . . OF TIGARD BUILDING INSPECTION DIVISION 24- Hour.Inspe Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 1//m AM PM BLD Location . /sggq S g7' Suite MEC Contact Person Ph "726 77C./Ls PLM Contractor Ph SWR U I Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: . Slab SIT Post & Be -m • -r - Framing. Insulation - Drywall Nailing Firewall Fire Sprinkler . . , Fire Alarm Susp'd Ceiling. Roof Misc: Final - -, 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 L , Other Date / 2o-- 0/ Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • . • 0o -. -ebF TIGARD BUILDING INSPECTION DIVISION aro 24- Hourinspection Line: 639 -4175 Business Line: 639 -4171 °1 ! 0� ` S/ � BUP 3 Date Requested /4 /Q AM PM BLD • Location 1 � j � q c J 5;i ?L, Suite MEC Contact Person per ` i v`-r__ Ph 7 2,0 ° 7 PLM Contractor Ph 2 - d 7 (4, . SWR BUILDING Tenant/Owner ELC Retaining Wall EL R Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Note SGN • Slab Post & Beam - Ext Sheath /Shear Int Sheath /Shear Framing Insulation / Drywall Nailing % � t� G ' G<- 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 • ('ELECTRIC 'oug ab Low Voltage . , Fire Alarm _ F: O PART FAIL Backfill /Grading • Sanitary Sewer Storm Drain [ ] Reinspection fee of $ . required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / Approach /Sidewalk 1 /5l /� / Inspector ��jjJJ Other Date ((( pector �G� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . . ''CITY OF TIGARD BUILDING INSPECTION DIVISION - . • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST a; il - 7 (' BUP Date Requested -5- 7 AM PM BLD Location f CI 9 S g( t // Suite MEC Contact Person Ph 77- 7 7 4( PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain _ Inspection Notes: SGN - • Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear -/ d one nssulation Drywall Nailing 6 Firewall Fire Sprinkler f.y c/1-3 ,�, r "7 5?` _ .a / 5 L Fire Alarm Susp'd Ceiling��v�s �•5� 4-1 ? 7' (/ Roof • Misc: • Final - PASS FAIL PLUM NG Post & Beam Under Slab Top Out Water Service Sanitary Sewer • Rain Drains Final PASS PART FAIL • Post & Beam 'me ter; Smo a Da pe - Final - -ART FAIL ELECTRI • - - 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 mod/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . -Cerf OP TIGARD BUILDING. INSPECTION DIVISION - ` - ,•-, 24 -Hour Pnspection Line: 639 -4175 Business Line: 639 -4171 MST �u /-- GDo� BUP "` "�. • Date Requested y Z AM PM BLD Location l 5 99 5 4- 8 /s s Suite MEC L"�• Contact Person Ph 9 ` -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 LUMB1 st & Beam Under Slab O a er Service Sanitary Sewer o - Rain Drains f l , 1 16b PART _ FAIL HANICAL • Post & Beam RoughIn• 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 V /2 - W 7(1/ Inspector Ext Other Final • PASS- PART FAIL DO NOT REMOVE this inspection.record from the job site - • - ortY OF TIGARD BUILDING INSPECTION DIVISION MST .2t,L / - 006 q y 24 -Hotfr Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • Date Requested 3 2 4 AM IPM BLD Location 1 tr/ 9 9 5 ' S /S/ Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: • Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: Slab SIT ost 8 Ext Sheath /Shear Int Sheath /Shear Framing, Insulation Drywall. Nailing Firewall Fire Sprinkler . Fire Alarm Susp'd. Ceiling • Roof Misc: • •" Final F 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 — Ins Ext Final -PASS PART FAIL DO NOT REMOVE this inspection record from the job site. " PI_ - DE TIGARD BUILDING INSPECTION DIVISION . _ MST Div %-0 1, 4) .. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested .3 - "- AM l/ PM BLD Location /.5 f9 s i /l- Suite - MEC Contact Person Ph PLM Contractor Ph - SWR BUILDI Tenant/Owner ELC Retaining Wall E LR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling . . Roof Misc: • —PAS PART FAIL - 1' Under Slab Top Out ater Service ary Sewer Rain Drains Fi PART FAIL ough In Gas Line - - Smoke Dampers Fin - • - - • RT FAIL E - CTRICAL 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 / i 7 o / Inspector 7 all Ext Other ((( • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION o FAST . , . 2q F ur Inspection Line: 639 -4175 Business Line: 639 -4171 BUP dB - Date Requested AM PM • BL Location J J 99 .54/ Q 1ST Suite . MEC Contact Person • Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation . . FPS . Ftg Drain SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing _ Insulation Drywall Nailing .. Firewall Fire Sprinkler .. Fire Alarm - - Susp'd Ceiling Roof Misc: . • Final • PASS PART FAIL •1Lll = f l e _lc -.m ._ nder Slab Top Out Water Service _ Sanitary Sewer Rain Drains • Fi - _ PART FAIL 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 Date 3 /,'t I 6 Inspector _n / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 0Iftr -OP TIGARD BUILDING INSPECTION DIVISION °� 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - MST / - BUP — A Date Requested Z' L AM C—PM BLD II®. Location /J ff99 5 c .V / Suite MEC `ir Contact Person Ph PLM Contractor Ph SWR UIL Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS rain 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 Date Z/2 c d / Inspector . / a' - / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . - j - •.CIY ®F TIGARD BUILDING INSPECTION DIVISION ofv,, :U `_ ei r . 24.$Iorjr Inspection Line: 639 -4175 Business Line: 639 -4171 p .BUP Date Requested � � ° AM PM BLD Location / 5/97 S� K/ S 74 /e Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS . Ftg Drain SGN' ie rawr ra Inspection Notes: Post & Beam V . SIT Ext Sheath /Shear Ina Sheath /Shear yV U 1 C � ^ n s 4- 1 V27( _Framing V �X Insulation Drywall Nailing V t j Fire wall Fire.Sp Sprinkler_ Fire Alarm - Susp'd Ceiling .. V Roof - Misc: - Fina • PART. FAIL V • ` .Iim-ii rrt- `�/v Post & Beam V h Under Slab Too_Out Wa- -- ' .� � � p • Fi PASS AR FAIL MECHANICAL Post & Beam -- .. Rough In . Gas Line V - Smoke Dampers Final - -- PASS PART FAIL ELECTRICAL Service Rough In . UG /Slab Low Voltage Fire Alarm - Final PASS.. .PART FAIL SITE ' Backfill /Grading V V Sanitary Sewer V - 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 J � / ° � Other Date ( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . Zook -00u. ► TIGARD BUILDING INSPECTION DIVISIO MST ' 2 4 -Hour Inspection Line: 639 -4175. Business Line: 639 -4171 BUP Date Requested Z " Z 3 AM PM BLD Location / J 9'f 7 5 w 8/s I- A, Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retainin Wall ELR ooh Access: oundation FPS Ftg Drain SGN • Crawl Drain • Inspection Notes: Slab - SIT . Post & Beam Ext Sheath /Shear Int Sheath /Shear " • Framing f UZ -- 7 - 97 Tl Insulation Drywall Nailing , Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc: Final 3c ARART 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.