Permit u ,
. ,
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2001 -00360
4 DEVELOPMENT SERVICES DATE ISSUED: 6/26/01
"'" c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 .
SITE ADDRESS: 15356 SW 82ND PL PARCEL: 2S112CB -05800
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 072 JURISDICTION: TIG
REMARKS: Addition of 500 square feet.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 20 FIRST: 400 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 100 sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 6
VALUE: $ 43,150.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 500.00 sf REAR: 12
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 1,091.01
This permit is subject to the regulations contained in the
CASQUEIRO, GENE ALAN + TRACY L OWNER Tigard Municipal Code, State of OR. Specialty Codes and
15356 SW 82ND PLACE all other applicable laws. All work will be done in
TIGARD, OR 97224 accordance with approved proved plans. This perm it 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 #: 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.
503 g /(o — glIg REQUIRED INSPECTIONS
Erosion Control Insp & Underfloor insulation Electrical Service Low Voltage Electrical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Mechanical Final
Foundation lnsp Footing /Foundation Dr; Framing Insp Gas Fireplace Plumb Final
Post/Beam Structural PLM /Underfloor Shear Wall Insp Insulation Insp Final inspection
Post/Beam ∎ - 1 -nical Mechanical Insp Exterior Sheathing Ins l Rain drain Insp
Issued :y : , .! Permittee Signature : � , azer
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business'
f ' 6 d sr 6- - G / i
: A Building Permit Application
4110 t0
Datereceived: /4 Q/ Permit no.: ! V DO f
4 : �yp� City of Tigard
-.. Project/appl.no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
Addition/alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: /s356, -.C4) PaZ "` i°L Bldg. no.: Suite no.:
Lot: 7___ Block: Subdivision: gS , ,2G / •9 o va 2, Tax map /tax lot/account no.: a, f/ a C 6' z PO i
Project name: A - 7 /
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: G e l ,- )e.. , ql_•�Q g.' /.4",( (Floodplain, septic capacil y, solar, etc.)
Mailing address: _, • 1,0 , nd 0 Lac - it & 2 family dwelling: �p�,�
City: . , , State: De_ ZIP: ' 1 . - Valuation of work 1t / J� $ ```21r ) /
Phone: , • 4 -I 15 3 Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors 1/
Phone: Fax: E -mail: New dwelling area (sq. ft.) .CC1
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family:
CONTRACTOR Valuation of work $
Business name: Otc r-g_ Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
City: I State: I ZIP: Number of stories
Type of construction
Phone: I Fax: I E -mail:
Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E-mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit car, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether _specified herein or not Credit card number: / /
Expires
Authorized signature' j L _i: _ . /4∎ ,.. /. 1 . Date: /0//40 / Name of cardholder as shown on credit card
X Print name: T ( � P.( re) Cardholder signature $ Amount
Notice: This permit application expires i a permit is not btained within 180 days after it has been accepted as complete. 440 -4613 (6A0/COM)
One- and Two - Family Dwelling
. , ,,,, Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard g AElectrical ❑Plumbing Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 O Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 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. l/
5 Septic system permit or authorization for remodel. Existing system capacity r------r
6 Sewer permit. ,/
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application. ✓
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
asin protection, etc.
1 q' " - 3 c omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
ding 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 ite/plot plan drawn to scale. The plan must show lot and building setback dimensions; p roperty comer elevations if
" there is mo than a 4-ft. ele ation Jiff" rential, elan must show contour lines at 2 -ft. intervals1; location of easements and ✓
`�, driveway; footprint of structure (including decks); oca on of we septic systems; utility locations; direction indicator, lot
Q area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
(� 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show
details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs,
fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for
non - prescriptive path analysis provide specifications and calculations to engineering standards. /
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists /
over 10 feet long and/or any beam/joist carrying a non - uniform load. ✓
20 Manufactured floor /roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required /
for four or more appliances. /
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons. /
26 No rolled, reversed or mirrored building plans will be accepted.
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)
r '
: A Mechanical Permit Application
Date received: 6 /g ey Permit no.: Mor i -(,i7, 340
A 4 " " j'i�'' City of Tigard
ty g 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 P 'RIM IT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction .Addition/alteration/replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: ICJ3 S V.i SiLr' pr! aCP • Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: 2.5 (I r9-C.6 —Drj Es-VD profit. Value $ .
Lot: (Block: 'Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: -rio,044 I ZIP: q -1 a---i4 I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and loVation of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPi% ENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Air
Is existing space heated or conditioned? 0 Yes ❑ No Air conditioni ng handling unit CFM
tioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECIIANICAL CONTRACTOR Boiler /compressors
Business name: CGCJ to e ,4_ State b permit no.:
HP Tons BTU /H
Address: Fire/smoke dampers/duct smoke detectors
City: 'State: I ZIP: Heat pump (site plan required)
Phone: I Fax: 1E-mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes 0 No
CCB no.: Install/replace/relocate heaters— suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: MV�� 5��......\ Chillers HP
Address: \p S�v>. Q � S�- ,
Compressors HP
Environmental exhaust and ventilation:
City: \ \,� ^�~� I Ja'' I Z Z L ` Appliance vent
Phone: Q . 9 _ - i 5 Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system
Name: GeV) / _ i erra 0.- C&S stn) Exhaust fan with single duct (bath fans)
Mailing address: 15A 6(1) t,,� s gz ' r L Exhaust system apart from heating or AC
City: 1 a I Stater I ZIP:C1 'ja- Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: 3 Fax: E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace •
City: 'State: I ZIP: Insert — type
Phone: 'Fax: 1E-mail: Woodstove/pellet stove
Other:
Applicant's signature: ' Date: Other:
Name (print): -
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
❑ Visa O MasterCard Notice: This permit application Minimum fee $
expires if a permit is not obtained Plan review
Credit card number: / i wit hin 180 days after it has been ( at % ) $
Expires State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 443.4617 (6/00/COM)
MECHANICAL PERMIT FEES i
•
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) 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 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
fraction thereof. footnotes below. Comp* "
7) <3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 3- 1K 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
Fumace to 100,000 BTU, including 955 unit .5-1 mil BTU 35.00
ducts & vents 10) 30 -50 HP; absorb
Fumace > 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+
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 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 10.00
1 -1.75 mil. BTU 18) Domestic incinerators
>50 hp; absorb. unit, 5. 17.40
mil. BTU
Air handling 19) Commercial or industrial type incinerator
Air handling unit to 10,000 cfm 656 69.95
Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10_
g
p p 00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets _
Vent system not included in 656
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
Other unit, including wood stoves, 656 8% State Surcharge $
inserts, etc.S FP
Gas piping 1-4 outlets I • 360 25% Plan Review Fee (of subtotal) $
Each additional outlet 63 Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
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 or revisions to plans (minimum
charge-one-half hour) $72.50 per hour
`State Contractor Boiler Certification required for units >200k BTU.
"Residential NC requires site plan showing placement of unit.
i:\dsts \forms\mech- fees.doc 10/11/00 .
• ' Electrical Permit Application
Date received: (p if ®/ Permit no.: 1T A/— 0 0 3 D
a w � i •
_-Il ,. .)l I � City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction _ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: If - A _ ; n ' p L Bldg. no.: Suite no.: Tax map /tax lot/account no.:a$ // 5 2C43 05
Lot: Block: , Subdivision: H SH Ford Qakz NO. L
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
. CONTRACTOR APPLICATION FEE SCIIEDU:E
Job no: Fee Max
Business name: � - � Description Qty. (ea.) Total no. insp
New residential -single or multi - family per
Address: dwelling unit. Includes attached garage.
City: I State: I ZIP: Serviceinduded:
Phone: I Fax: I E -mail: 1000 sq. ft. or less _ 4
Each additional 500 sq. ft. or portion thereof
CCB no.: I Elec. bus. lic. no:
Limited energy, residential 2
City /metro lic. no.: Limited energy, non- residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): License no: Services or feeders — installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): Gene A- 7o Cas (tar'
.e r ) 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 1 5 ( S W n 4 P Latc, 601 amps to 1000 amps 2
City: -'n caret State(Z I ZIP: Gila-34 Gila-34 Over 1000 amps or volts 2
Phone: (-153 I Fax: I E -mail: Recortnectonly I
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, orrelocation:
ORS 447, 455, 479, 67 , 01. ([ , 200 amps or less 2
C - --- 201 amps to 400 amps 2
Owner's signature: Date: " I 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: - I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit: a
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ 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 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 *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan ❑ Other. Per inspection
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other -
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card •
$
Cardholder signature Amount 440 -4615 (6/00/COM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
p Restricted Energy Fee $75.00
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. fL or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener
Services or Feeders ❑ 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 ❑ 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. ❑ Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel ❑ Boiler Controls
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit $6.65 2 ❑ 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 t •$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 ❑ 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: ❑ 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 S
i:\dsts\forms\elc- fees.doc 06/07/01
Permit #: `a - rplO 0 — IJO 34o D
Addr :. CD ga
Is • ued by: / i. Date: 6464/
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board - to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: • . •
1. I ow reside in or will reside in the completed structure.
�' 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis.- #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
- ,=' 3B. I will be my own general contractor. •
•
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
�gnat i a licant Dat
ure o perm pp ) ( )
(White copy to issuing agency permit file,
pink copy to applicant)
•
. .
-' �
- `
About Construction Responsibilities
Note.. This Information Notice to Property Owners about Construction Responsibilities
was developed by the Consm��Cantractor.,Board in•acewdance with ORS 701.055(5). •
• • � '' ''- -
I f you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure.
you can prevent rnunypcoblems�vhc� fth fhU i ih�|ki d [
'� m�uv/uoco the nv/n�!�spmns / nsun areas concern.
EMPLOYER R
If you hire persons not registered with the C Uoct Contractors Board to do | ho ' i eoostncingor assisting in the
construction or improvement o a�sidcuha Structure, ` ' jou�nccs^ be ruled tohoan°kr
pyurand the people
you hire mUhcemployees.' As en 'oyr� muStcomply <�
`, ^�'
� �
Oregon's b��L��'Asunon�\o�oc no ,�� thh |di� taxes from employee �h � k���
��_ m� p _ yoo u vo o conc . run v/u��oo1 r�mocmp employees
are paid. You will be liable for the'tax payments even if you don't actually withhold the tax, from your employees. For more
information, call the OregOn Dept. of Revenue at 945-8091. '
Unemployment insurance tax: As an employer you are required to pay atax for unemployment insurance purposes on the
wages of all employees. For more information, call, the,Oregon Employment Dcpartmento\]78-3524
Workers' compensation on insurance: As an employe re subject Cornpeiia,tion Law, and must
obtain workers' compensation insurance for your employees. lfyou thil to obtain workers compensation insurance, you may
hc subject uz penalties and will hc|iah|u[br all claim costs i[000nfyoorcmp|oyncsixi �orzdon the �oh��ormor�inhx��xhoo,
call 'rkccy . ' � [)�vi ' � - ~ '
ou the Cmnpcn��/oo � sm
U.S. internal Revenue Service: As an employer, yij must withhold federal income tax from employees wages. You will be
|iuhkcfhrthe tax payment even jf you didn't actually withhold the \m�For n�orcio�`nn/tiOh,mU!dhelniennb|Rcvcuu,Service
at 1-800-829-1040.: •
�
`�.��' ` � ` • •
OTHER RESPONSIBILITIES AND AREAS OF CONCERN: •
Code compliance: As the perm it holder for this p jcct,youun:/eoponsih|cforrcso|vioguuy6i|urctomeezcudercquircments
that ma he brought to your attention through inspections.
_ . ' '
-
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and °in rssions such as falling tools, paint overspray,.water damage from pipe punctures, flre..or work that must he
re-done. ' -
`
Time to supervise employees: Make sure you have sufflcient time to supervise your employees.
Expertise: sure you have the expertise to act as your own general contractor, to coordinate the work o[ rough-in and finish
trades, andto'hotify bui'lding offlcls at the appropriate times su they can- purfovmthe required inspections.
. . „ •
if you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052,
50]/378-4621). The Board is located n170V Summer 8L7�E Suite 300 in Salem.
prop-onx.pm*
|/94
`` `� .
/H5779.60/ °&61
NOTICE OF TYPE I DECISION
ADJUSTMENT (VAR) 2001-00011 �
SETBACK A N ) z nay,
CASQUEIRO REAR YARD SETBACK ADJUSTMENT CITYOFTIGARD
Communit Development
S6apngf Better Community
120 DAYS = 10/18/01
SECTION I. APPLICATION SUMMARY
FILE NAME: CASQUEIRO REAR YARD SETBACK ADJUSTMENT
CASE NO: Setback Adjustment (VAR) VAR2001 -00011
PROPOSAL: The applicant has requested approval for a Development Adjustment to
reduce the minimum rear yard setback by 20 %.
APPLICANT: Gene & Tracer Casqueiro OWNER: Same as Applicant
15356 SW 82 d Place
Tigard, OR 97224
COMPREHENSIVE
PLAN
DESIGNATION: Medium Density Residential
ZONING
DESIGNATION: R -7: Medium - Density Residential District. The R -7 zoning district is
designed to accommodate attached single - family homes, detached
single - family homes with or without accessory residential units, at a
minimum lot size of 5,000 square feet, and duplexes, at a minimum lot
size of 10,000 square feet. Mobile home parks and subdivisions are
also permitted outright. Some civic and institutional uses are also
permitted conditionally.
LOCATION: WCTM 2S112CB, Tax Lot 05800 (15356 SW 82n Place).
APPLICABLE
REVIEW
CRITERIA: Community Development Code Chapters 18.370, 18.390 and 18.510.
SECTION II. DECISION
Notice is hereby given that the City of Tigard Community Development Director's
designee has APPROVED the above request. The findings and conclusions on
which the decision is based are noted in Section IV of this decision.
NOTICE OF TYPE I DECISION VAR2001 -00011 /CASQUEIRO REAR YARD SETBACK ADJUSTMENT PAGE 1 OF 3
N.
SECTION III. BACKGROUND INFORMATION
Site History:
A search of City records shows no other land -use records for this parcel.
Vicinity and Site Information:
The property is located on the north side of 82 Place, which is a cul -de -sac on the north
side of SW Ashford Lane. There are no sensitive lands on this site. A single- family home
exists on the property. The homes on the lots surrounding this property contain
single - family homes with larger footprints.
Proposal Description:
The applicant has requested approval for a Development Adjustment to reduce the
minimum rear yard setback by 20 %. This request is necessary to allow the applicant to add
a 20' by 25' addition to the backside of their residence.
SECTION IV. APPLICABLE REVIEW CRITERIA AND FINDINGS
DEVELOPMENT ADJUSTMENT - APPROVAL STANDARDS:
Section 18.370.020.B.1.a provides that up to a 25% reduction of the dimensional
standards for the rear yard setbacks required in the base zone may be approved as a
Type I Development Adjustment. Section 18.370.020.B.2, Approval Criteria, provides
that a development adjustment shall be granted if there is a demonstration of
compliance with all of the applicable standards:
A demonstration that the adjustment requested is the least required to achieve the
desired effect;
The applicant has requested an 20% reduction. This would reduce the rear yard setback
from 15 feet to 13 feet. The adjustment is needed to ensure the least impact on the
existing roofline and to complement the existing structure. The applicant has stated that
the current plan for the addition was built according to incorrect information gained from
the City which stated the applicant could build up to 10 feet from the rear lot line. This
standard has been met.
The adjustment will result in the preservation of trees, if trees are present in the
development area;
No trees are impacted by the proposal. Therefore, this standard does not apply.
The adjustment will not impede adequate emergency access to the site; and
The adjustment will affect the rear yard setback only. Emergency access from the street
fronting the property will not be affected. Therefore, this criterion is satisfied.
NOTICE OF TYPE I DECISION VAR2001 -00011 /CASQUEIRO REAR YARD SETBACK ADJUSTMENT PAGE 2 OF 3
..
There is not a reasonable alternative to the adjustment, which achieves the desired
effect.
•
The adjustment will have no impact on the applicant's property except by reducing the rear
yard by 2 feet. The desired effect cannot be achieved by building in any other direction due
to the shape of the lot and home. The neighboring houses appear, to have envelopes that
extend deeply into their backyards, so the effect of the setback encroachment will be
minimal. Therefore, staff finds the adjustment to be the most reasonable alternative.
SECTION V. PROCEDURE AND APPEAL INFORMATION
A rear yard setback adjustment is a Type I procedure. As such, the Director's decision is
final on the date it is mailed or otherwise provided to the applicant, whichever occurs first.
The Director's decision may not be appealed locally and is the final decision of the City.
THIS DECISION IS FINAL AS OF JUNE 22, 2001. .
THE EFFECTIVE DATE OF THIS DECISION SHALL BE JUNE 23, 2001
Questions:
If you have any questions, please call the City of Tigard Planning Division, Tigard City Hall,
13125 SW Hall Boulevard, Tigard., Oregon at (503) 639 -4171.
r
-1 C 40 1( LC; �, �, y v � • June 22, 2001
R E P ED. BY: di Buchanan DATE
Current Planning
C - ‘,()J OA � ` June 22, 2001
APPROVED BY:. Richard Bewe orff• DATE
Planning Manager .
•
NOTICE OF TYPE I DECISION VAR2001 -00011 /CASQUEIRO REAR YARD SETBACK ADJUSTMENT PAGE 3 OF 3
,
j W y/ ---1111I I CITY of TIGARD
i .
+ GEOGRAPHIC INFORMATION SYSTEM
► I 111prA VICINITY MAP
_ m' . _ IILLIEw-E4
NMI ' -
oil VAR200 I -000 I I
WI _ I CASQUEIRO
s� > I REAR YARD
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RAEBURN C a S •.411 • • 1I ADJUSTMENT Ail= Ill ti
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■ Inlormation on this map is for general lopation only end
should be verified with the Development Services Division.
3125 SW Hall Blvd
1111111111111 p'q L 11 111 1 T ard. OR 97223
• (503) 639 -4171
• \ , I f-1_ I http://www.ci.tigard.or.u3
Community Development Plot date: Jun 21, 2001; C:lmagic\MAGICO3.APR
CITY OF TIGARD 24 -Hour.
BUILDING Inspection Line: (503) 639 -4175 _1'_ di1 " 00
INSPECTION DIVISION ' Business Line:., (503) 639 -4171
,-- BUP
Received Date Requested y/� Z AM PM BUP
Location (5 35 ' �-t1 97 /4o / Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
UILDING Tenant/Owner ELC
mooting
Foundation Access: ELC
Ftg Drain - r r � 0 L r ELR
Crawl Drain
Slab Inspection Notes: 6, 3 6 ^ 7/ 8 3 SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ---------
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling '
Roof .
Other: .
M'
all PART FAIL
' I ' :ING
Post & Beam ,
Under Slab
Rough -In .
Water Service
Sanitary Sewer
•
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
ECHANICAA
am
Rough -In
Gas Line
Smoke Dampers
:AlGY3■
PAR
RIC� T FAIL
Se
Rough -In
UG/Slab
Low Voltage
Fire Alarm
ina ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA L,/ /
Z ��
Approach/Sidewalk Date / Inspector C C - N Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
. , 1
r CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST ,geic)/ Op 3 c
INSPECTION DIVISION . . .
• Business Line: (503) 639-4171
,-
BUP
Received Date Requested 3 ° /-5 AM PM BUP
Location / .6 .3.c R - .?-1.S pi__ Suite MEC
•
Contact Person Ph ( ) g q q -- 71 .< PLM
4 i i i -. - - N Ph ( ) SWR
47 ILDI Tenant/Owner ELC
• ::=
ELC
oundation Access:
Ftg Drain . ELR
Crawl Drain
Slab Inspection Notes: SIT -:
Post & Beam
.$hear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
il iaili k
427 PART FAIL
• s BING
Post & Beam
Under Slab -
7
Rough-In - 7 -
Water Service AV
Sanitary Sewer 1 N q-„,id co ..'•
Rain Drains ----
, '. _ ,.--- -
. ____--/_., Vdt' A .
.
Catch Basin / Manhole • _.._.---
: , .: . .-
, --
Storm Drain • U • Shower Pan Qs'
.-
_ --
-
Other: . :•
/
Final -- ,,
:
PASS— PART FAIL %
\
VECHANICAL■ _7 \\......._; A t‘ .72-- )
---- Y \ \
7
1 . ,
,
Piist-&-Batti- ,
-1- I Q
Rough-In .
Gas Line
/., /
Smoke Da mpers
Final ..../ • )' tit /C 7
PAW PART FAIL ; , j/ 11 61j-
/ ' /
- BLCAL / i ,
Service
/ i )/";
I 1 a i v\ 9 1 : : : 4 . ' /
Rough-In
UG/Slab 0 10 " -- •
k 1 ••
Low Voltage .
,
Fir- !.larm C \ \
\ \ .,
alr
El
PASS PART Ref , §on fee of $ - required • : • e ne I . pection ay at City Hall, 13125 SW Hall Blvd.
,
lib
SITE —
L j Please . for reinspection RE - ill Unable to inspect - no access
\ -
Fire Supply Line --..
1 di
1
ADA . ,
Approach/Sidewalk Date -- I : , : -- or Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
_ - ,_
CITY OF TIGARD Br' DING INSPECTION DIVISION _
MST vi ad 3Gv
24 -Hour Inspection Line: 63>tr -4175 Business Line: 639-4 .1
BUP
Date Requested l / "/ / AM PM BLD
Location 85-, 10L - Suite MEC
Contact Person Ph 0 4 4 IF - 7/ PLM
Contractor Ph SWR
BUILDING Ten ant /Owner ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab g SIT
Post & Beam ///J
Ext Sheath /Shear d— f1 'T
Int Sheath /Shear .A4411. . Framing % L � _ / I i ,; ic .1 <<
Insulation /
Drywall Nailing
Firewall
Fire. Sprinkler .
Fire Alarm
Susp'd.Ceiling ?4 PP)^15 2 - G r
Roof
• Misc: GI-i1 /5
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
Smoke Dampers
Final
PART FAIL
tLECTRICAL
Service . _
Rough In
UG /Slab : ..
•
Low Voltage
Fire Alarm .
•
Final
•
- - PASS .PART_ FAIL
SITE
Backfill /Gr•ding .
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 // / y el Inspector Ext
Final
- PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BULL DING INSPECTION DIVISION moo r a o � 6 0 d ap 24 -Hour Inspection Line: 639 75 Business Line: 639-41
• BUP
Date Requested / U — / 7 AM PM BLD
Location 2 i A -1 E C
Contact Person 0 Ph g'45 - 71 S P M
Contractor - WR
BUILDING Tenant/Owner ELC
Retaining Wall • ELR
Footing Access:
Foundation 6-19 �� Z FPS
Ftg Drain SGN
Crawl Drain Inspection Note .
Slab SIT
Post & Beam
Ext Sheath/Shear • 4 .666 / l dAv." .
Int Sheath /Shear
Framing
Insulation
Fire Sprinkler L��
Fire Sp _
Fire Alarm ��
• Susp'd Ceiling . fag
Roof
- Misc:
Final
PASS PART FAIL
PLUMBING 1i c
Post & Beam � ��
Under Slab G
Top Out
Water Service 7 S 7 1 S-72:49 ,(I _` f/ � /�
Sanitary Sewer V
Rain Drains -- kJ/L_.A._f_.Q,
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 l� l
Approach /Sidewalk Date ) / I Inspector Ext
Other
Final
PASS PART FAIL DO. NOT REMOVE this inspection record from the job site.. - • - •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST oZbC 6-- 63 0
24 -Hour Inspection Line: 63 175 Business Line: 639-4
BUP
Date Requested AM PM BLD
Location / .ei .Suite MEC •
Contact Person rnn Ph EL/9- 7/6 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
Framine •
131f1' -St T� Aio 7
Drywall Nailing
Firewall
Fire Sprinkler G U / ‘,o � T / SC/ / G! 7 76A,( J•41
Fire Alarm O d / ' 2 • V /
Susp'd Ceiling . C•
Roof
Misc:
F' • -
0 ) PART FAIL
= ="�= ING
Post & Beam
77(2. •
•
Under Slab
• Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL Z/J>
MECHANICAL
Post & Beam
Rough In
Gas Line - V -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL '
Service V
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 / 0 / !\ I �' ) v \ Inspector Ext
Other
Final
PASS PART FAIL . . . DO NOT REMOVE inspection record from the.job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST D-GYJ / o 3t9d
24 -Hour Inspection Line: 61 175 Business Line: 639-4 _ - I
/ • BUP
Date Requested /0 — S AM PM BLD
Location 1 s end � L Suite MEC
Contact Person M ®A Ph 8 L i 1,s-1 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 „r
7
ion
Drywall. Nailing
• Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Misc:
Final
PASS ART FAIL
PLUMB
& 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 V
Low Voltage
Fire Alarm
Final
PASS PART FAIL •
V
SITE
Backfill /Grading
Sanitary Sewer
• Storm Drain [. ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin •
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date /0- S=am Ins Ext
Final V
PASS PART •FAIL DO NOT REMOVE. this inspection record from the job site.
r
``CIT - Y OF TIGARD BUIL ^ING INSPECTION DIVISION
MST O 1
24 - Hour Inspection Line:. 639 5 . Business Line: 639 - 417
BUP
Date Requested _ /� AM PM BLD
Location 7j--. et- Suite MEC
Contact Person Ph gq,7-713 PLM
Contractor Ph SWR
BUILDING . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain J1S • - Cti•jr otes = SGN
Slab A, .
SIT
Post &Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation -
Drywa
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 5 /./e.a4,/
Misc:
Final
P • S 'PART FAIL
• BING
Post & Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam -
•
Rough In
Smo a 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 Inspector A/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ... •
F\ - CITY- 7 01F TIGARD BUIL•^ING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4 5 Business. Line: 639 -417. • � .
• BUP
Date Requested - 2'"d - ?'Q I AM PM. BLD
Location / 5 ?. .Rv - PL Suite MEC
Contact Person Ph 3/ 7— S3 0 9 G 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 ClAs 4/6o1, ,--�
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
MECHAKIC�/ .)
Post &- Beam - -
Rough
as-Line - •
Smo e Dampers •
Final -
PASS PART •
ELECTRICAL
Service
Rough In
UG /Slab .
Low Voltage
Fire Alarm
Final
• PASS . PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
- Storm • [ ] 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 7- 2-3-- e/ Ins Ext
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • .
S`,/
Cl-T?
OF TIGARD BUILnING INSPECTION DIVISION l
MST 211//�V � �
24 -Hour Inspection Line: 639 -4 3 Business Line: 639 -417
BUP
Date Requested "'" AM PM BLD
Location 15 S w 9 Z' eke Suite MEC
Contact Person Ph t it y ' 7/ 3` y PLM
Contractor Ph SWR
LDING� 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 )
g
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
• Susp'd Ceiling
Roof
Misc: -
- Final
AS PART FAIL •
BING
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 $ V 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 p
Date 7 -/ 1 i D Inspector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
�
':,CITrOF TIGARD BUILnING INSPECTION DIVISION MST 2 W-Ov3g0
24 -Hour Inspection Line: 639-'4 o Business Line: 639 -417 .
BUP
Date Requested 2- " 7 AM PM BLD
Location /5 3 5 �v 5 '9--( t Oe l Suite MEC
Contact Person Ph f y- 7(- 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
1 o 8 Beam -
Ext Sheath /Shear
int Sheath /Shear
_ Framing / ,�� , S � r� „- c—
Insulation
Drywall Nailing < �i( ,trfailef i u, I- r . e /uS GL S
Firewall
Fire Sprinkler JAd Z. 6 L , .
Fire Alarm
Susp'd Ceiling ..
Roof
- Misc:
Final
PASS AR • FAIL
PLUMBIN
•
Post & Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
!& Beam.
•ug
moke D = mpers
Fin
AS 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.
'_ CITYTOF TIGARD BUIL^ING INSPECTION DIVISION MST /GU
24 -Hour Inspection Line: 639 -a 5 Business Line: 639 -417
BUP
Date Requested 7 / AM PM BLD
Location /C33 5 6 1/ - Suite MEC
Contact Person • Ph . 94'f.,7/ 5 / PLM
Contractor Ph SWR
BUILD Tenant/Owner ELC
Retaining Wall _ ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing _ •��i.�a yr A - r-61,t s ii�r�FX
Insulation
. Drywall Nailing _ v - 2c C62/4
Firewall
_ Fire Sprinkler . • • - .
Fire Alarm
Susp'd Ceiling
•
Roof
- - Misc:
Final
ASS . PART d5
i'?11a- m
Un --er .lab
T >p Out
ater S - ■ ice
•
Sanitary Sewer
•
Rain Drains
Final
PASS PART FAIL
::r� y:F�v, • L
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 ' /� °�� Inspector Ext
Other
Final
- PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I rrr 20G —c Ga
GJTY -OF TIGARD BUILnING INSPECTION DIVISION MsT
24 -Hour Inspection Line: 639-, 5 Business Line: 639 -417
// • BUP
Date Requested • �— C/ AM PM BLD
Location /5 SG J cd g Z -t-.! Jl,/ Suite MEC
Contact Person Ph .i76 3 PLM
Contractor Ph SWR
Tenant/Owner 7`Uu'` 4 (,, , ELC
•
Retaining Wall ELR
Footing • Access:
CrauaarlIN FPS
Ftg Drain SGN •
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
•
Ext Sheath /Shear _
Int Sheath /Shear / /
• Framing ( p l t ' a • S e N 'c core Cr 9-e fr, ,'T w/ /
Insulation - /
Drywall Nailing
•
Firewall
. Fire Sprinkler. . . j. .rti SPA // i /Z. o/S e w , & oS ��r
Fire Alarm
Susp'd Ceiling
Roof c2 k TO }� /e e CGf7C/r �Pe
Misc:
Fin-
PART FAIL
• U BING
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 V
SITE
Backfill/Grading •
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ V required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 7 o/ Inspector / Ext ,347
Final
PASS - PART FAIL DO NOT.REMOVE this inspection record from the job site. .
CITY OF TIGARD BUII DING INSPECTION DIVISION
MST vR dd/ 603(
• 24 -Hour Inspection Line: 63. 195 'Business Line: 639-4
• BUP
Date Requested /b — AM PM BLD
Location 1 5' 3 £ rn 8 mef PL Suite MEC
Contact Person f� QJ1, 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 C - (�
Drywall Nailing *l-a�4s /- CoriE VHF
Firewall
Fire Sprinkler
Fire Alarm //
Susp'dCeiling /R(CPp -fr, ) .. ? F1 St � 4 -∎ (' b �G�i
Roof —1-1(1),
Misc: l'n f ?On >r iv4� p !'
Final
PASS PART FAIL Code
PLUMBING
Post & Beam
Under Slab
Top Out r J J q '/
Water Service 3 a cI d, 'f7 �» I b f r�I' CIr) C
Sanitary Sewer
, Rain Drains 6:c . ±0 p Cl� . SE. d U)G� r )p I -i
� oy7--) /)')F -ar
Final
PASS PART _ FAIL 1
MECHANICAL V
Post & •Beam - - • r o''1' ';
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
id 11
UG /Slab
Low Voltage
Fire Alarm
Fin:
PART . FAIL
S
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 Dc7 C O0 I Inspector . , _ t' 411 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
' - - ' CITY -OF TIGARD BUILnING INSPECTION DIVISION s
24 -Hour Inspection Line: 639 5 Business Line: 639 -417 ..�,
MST 4
• BUP
Date Requested 7 z AM PM BLD .
Location /5 - $ w z Suite MEC
Contact Person / Ph 3 /f - 93 0 9 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: /
Ftg
Foundation FPS
J .g I I 2 (0/ ,�L In 'Cord Z .
wl Dr ' Inspection Notes: SON
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing. l/1 S /4 /l q �(/ e `' fivt 4 14 r r
Insulation
Drywall Nailing . _Roc /' L., /*- o.: l S , S /k C-C.A.. G4 Cr 4C4J I I
Firewall
Fire Sprinkler dr a,) i-. p u �.w
Fire Alarm
. Susp'd Ceiling . . c7 r'Xpoc -e a,',... Pre. i 10 eCt Gke2. 2). ... / ..... 7 .
Roof l y
mi.: / ' p d s 4 - re e p Cot 6 �,.� /7 <� is...4.
ese
Final c T:
PASS PART `IL _1;i 5, 1 l 9
:earn /�
Under Slab 04 / 74 .oar. ',-• ., /C cr e- A S l // f /'Ns S
Top Out _
Water Service eirl c,/ I dTa f H
l ateZier.tigve 1 � C.4 �� f S: ) z S 6 ,i_ a Ci Cr ( du, ,, v, /� a h0 TG,,,,, 64,4 /A"
Final p� / / __,,rr,,I�
PASS " ' RT 114 r0 ,. 9 G fit. 4�. ti ' ' i t.'" _
Pos eam (0 iiSUo // Q1, ue �.F //4/L' -PG� C r4 WWJ I f 4i.,fy
RoplA disc 4G lien -" -
fa ke • :, mpers 7) Cr,,,, / 7c, IAA r I ._ , '‘ C.4 Q H Qpr 0 ✓
PASS PART FAIL r -c «,. A"- 4 / 0 r 14 � C --SG ��r L
ELECTRICAL
. Service Cy- 4 1 Cfi_i c. c._ -
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: V [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk i / Inspector / /
Date 7- Ext
Other {ns
Final
PASS V PART FAIL . DO NOT REMOVE this inspection record from the job site.
c „ _ _ - ilk — •
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