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Permit
�' CITY OF TIGARD MASTER PERMIT 1 PERMIT #: MST2000 -00480 �i'l�I DEVELOPMENT SERVICES DATE ISSUED: 2/20/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10247 SW 87TH AVE PARCEL: 1S135AA -05200 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R -12 BLOCK: LOT: 007 JURISDICTION: TIG REMARKS: S/F A PATH I - Lot 7 (attached dwelling /on lot 8 /addressed @ 10255 SW 87th Avenue) BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 680 sf BASEMENT: sf LEFT: 0 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 648 sf GARAGE: 260 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 3 VALUE: $ 121,199.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,328.00 sf REAR: 12 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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 BOIUCMP < 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 SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,750.50 This permit is subject to the regulations contained in the WINDWOOD HOMES, INC. WINDWOOD HOMES INC all other Municipal Code, . All work k w l be Codes and 12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will be done in TIGARD, OR 97223 TIGARD, OR 97223 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: 780 -4375 (M) Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 50196 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Underfloor insulation Mechanical Insp Shear Wall lnsp Insulation lnsp Appr /Sdwlk Insp Footing lnsp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins Gyp Board lnsp Electrical Final Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Firewall Insp Plumb Final Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Rain drain Insp Final inspection Post/Beam Mechanical Mechanical lnsp Framing Insp Gas Fireplace Water Line Insp Building Final 1 Issued By : > Permittee Signatur Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 10109/00 MON 08:53 F.1' ;,j L 8 Lh Q / RD :-2- � \ 1 j003 v /1 1_ 9t, 0 , , ,_ ________, • - Buildi. yam' , '! *: � �7' ereceived 6 j9 e() Permit no.: /i(y -^ ', /, City of a -. 4 -- Project/appl. no.: Expire date: C' Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 . Phone: (503) 639 -4171 Date issued: By: Receipt no_: Fax: (503) 598 -1960 ' (.• ,k" o-e -(03 3 vim- Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: di gggIIIIIII T1 P1': OF PERMIT ,d'1 & 2 family dwelling or accessory ❑ Commercial/industrial U Multi - family .QNew construction ❑ Demolition ❑ Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm ❑ Other. JOB SITE INFORA1.1170\ Job address: , )/ Bldg. no.: Suite no.: Lot: Block: Subdivision: AL:0„ r= /2- ,5',[�,i Tax map/tax lot/account no.: /S/ 3 5 4- [..-.. .07 Project r i . t F 1a;2 -' U ' .:r Description and location of work on premises/special conditions: /1 q w'G en cr 011 \C_It 10R Stilt 1. \I. 1 \FORN1.kIION. I SF Cl1F1I■LIST EMSERIBINENNESEPEN 1 Floodplain. septic capacit }, solar, etc.) Mailing address: , , - ..1...: , -'", ,,, • ,.r•,2, "'sra/r• ,, - 1 & 2 fondly dwelling: ISIERIMEIPIOMIEMIIMMIII Valuation of work $ i Z 1,/q1 q Phone: ! 7, / .. E -mail: . No. of bedrooms/baths 3, �-' 112 Owner's representative: 4/ /Up" ' Total number of floors - Phone: ,: .13 i f I ax: ..5? , c - -mail: New dwelling area (sq, ft.) ....; ,› G 1.11'1.R. ‘ N I Garage/carport area (sq. ft.) .2 412 Name: 5,401 r Covered porch area (sq. ft.) ....r Mailing address: . - 0 - , . Deck area (sq. ft.) MOM AI State: ZIP: Other structure area ( • . ft.) .......r- " Phone: ;c /9-.41 . Fax: E -mail: CoarmerciallindusiriaUmulti family: CONTIt \(U)lt Valuation of work $ Business name: ,<- . , , Existing bldg. area (sq. ft ) New bldg. area (sq. ft.) Address: r. , Number of stories City: ,,< - , State: ZIP: Type of construction Phone: Fax: E -mail: CCB no.: ,. Occupancy group(s): Existing: • New: City/metro lie. no.: Notice: All contractors and subcontractors are required to be 1R(lIITI .TID!SI6NER licensed with the Oregon Construction Contractors Board under • Name: r.? : /.. ,� 1) c'.. - • ,-,, 7./ % provisions of ORS 701 and may be required to be licensed in the Address: ,, <,, , " 'i ;a _ • • ,, ' f , jurisdiction where work is being performed. If the applicant is Ci L +- i State: r' ZIP. _ ^-- .„..• exempt from licensing, the following reason applies: Contact person: /.)...,/,... ,, Plan no.: .-j ' C''., 4; Phone: ' �;: _- / f , Fax: E-mail: ,r,;: q EN(:INFLIt Name: ,C.,- c.... ;/ -.�,,,; Contact person: - Fees due upon application $ Address: '•k•• ` ;•; -, ,)..: Date received: City: O T P. ZIP: . -- : r Amount received $ Phone: 1 , ' WEINENEI E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the No • all jurisdictions accept credit cam, please call imiethation for mote iarartnatioo_ attached checklist. All provisions of laws and ordinances governing this ❑ visa ❑ MasterCard work will be complied with, whether specified herein or not. , card number: / / -y Expires Authorized signature: Date: w Name of cardholder as shown on credit card Print name: Cardholder aignatr¢e Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 410 -4613 (6) OM) 10 /09/00 11ON 08:55 FAX 503 598 1960 CITY OF TIGARD [ j005 Mechanical Permit Application 4 Date received: /( : / / %Gij no.://s Permit - 'Y > Ci{� of Tigard • . .' i `J Projeet/appl.no.: Expire date: City ogard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 .....e..071.7-0 "ice 3 3-.- Case file no.: Payment type: Land use approval: Building permit no.: TTPE OF PERMIIT Q? & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement • `ew construction 0 Addition/alteration/replacement 0 Other: JOB SFIE INFORM :1I ION (1)11\l1.11(1.1I. VALI ".1IION S( 1111I ii: . Job address: Aa. [l) 5 40 7 — 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.: /,5 i ,571-,Q. „.5 ,� 1 4 profit. Value $ . Lot 7 'Block: I Subdivision: „p1lf: )04, y &. *See checklist for important application information and Project name: ,41-4.4.7 / I ,J-(1 ✓ v, cy-S :: - jurisdiction's fee schedule for residential permit fee. It City/county: j..4- (. 4 rZIP: q 72,; I s 2 F:11111 "1 ll1)l:! "LI \G !'I R11II II 1: St711:DIl,E Description and location of work on premises: 5 f fl \ND CO\1MFRtC1L[I\l)l Sl RLV. F:QL ISClll.l)LI:F Fee(ea.) Total Est- date of completion /'inspection: Description Qty. Ran. only Res.eniy 4 Tenant improvement or change of use: Air handling unit r t_, CFM / Is existing space heated or conditioned? 0 Yes 0 No conditioning (site plan required) Is existing space insulated? 0 Yes .0 No Alteration of existing HVAC system �1i C 11,1 \lC CO \TR 1( TOR Boiler /compressors Business name: „ j r, "L. ;..,.r ;) A i t ii77 State boilerpermitno.: HP Tons BTU/H Address: /9.--4 S - `'S�' w 11;; iL. - r J , Fire /smokedampers/duct smoke detectors City: o r "Zip State: - ,�- ZIP: ✓ f ' _ Heat pump (site plan required) Phone: 4 - � F. ,r+. -mail: Install/replace furnace/burner BTU/H Including ductwork/vent liner U Yes O No CCB no.: Install /replace/relocate heaters- suspended, City/metro lie. no.: wall, or floor mounted Name (please print): /4.14.4' ,g • ,• Vent for : t.liance other than furnace ( OR I:11.`I PERSON Absorption units BTU/H Name: , ..P. 0 9 - .4%.1.9 — , 2 G /7-7.:'';'Z. ,C•= Chillers HP sors HP Address: , En exhaust and ventilation: City: ..5 L I Stat I ZIP: Appliance vent Phone: 5 /; - Fax: E -mail: Dryer exhaust Hoods, Type I/ H/res. ldtchen/haamat hood fire suppression system , Name: !,AJ - 4-Ar) ‘,, r ?." - e f 41,S Z ,CA/C... Exhaust fan with single duct (bath fans) Mailing address: ,, , --- ... ,I ,,,, ,a I , .7--,09 Exhaust system ai art from heatin . or AC City: T r Cl"= L L s tate. ;/ ZIP: 9 2 ,a _?, ' Fuel P rmn •tsatbi iun (up to 4 outlets) Type: LPG NG Oil Phone: .:-' = -, :. Fax::. %S`i' E-mail: Fuel ' in each additional over 4 outlets (schematic required) Name:'~ Number of outlets Address: Other listed appliance or equipment: Decorativef replace City: State: ZIP. _ Insert - type Phone: I Fax: E -mail: Woodstovelpelletstove r Other: Applicant's signature: [ Date: Other: Name (print): Not all jurisdictions asxept credit cards, please call inrim:flo on for mote information Permit fee $ U Visa ❑ Mastercard Notice: This permit application Minimum fee $ Coma card nut: / / expires if a permit is not obtained Plan review (at _ 96) $ expires within 180 days after it has been State surcharge ($96) .... $ . - Name of cardholder as shown on credit cast accepted as complete. $ TOTAL $ Cardholder signature Amount 440-46l7 (non OM) 10/09'00 MON 08:54 FAX 503 598 1960 CITY OF TIGARD 1?) 004 Plumbing Permit Application 1 ?• City received: ' // � Permit no.:t —,— . 00 `1� od ;all: a Tigard .J�i Address: 13125 SW Hall Blvd, Tigard, OR 97223 Sewer permit no.: Buildingperrnitno.: City of Tigard Phone: (503) 639 -4171 Project/appl.no.: Expire date: Fax: (503) 598 -1960 _C&/ '.207v -QO 3 ,32. Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: •Il 1'F OF PERMIT I p f & 2 family dwelling or accessory 0 Commercial/industrial Q Multi- family 0 Tenant improvement O-New construction 0 Addition /alteration/replacement Cl Food service ❑ Other. JOB S11 F J .'\ OltMA I ION FIT. M MATCH 1.L (lot .,pecial information use checklist) Job address: /6..2q? Sc.) o' 7 > Description Qty. Fee(ea.) T r otal Bldg. no.: I Suite no New 1 -and 2- family dwellings only: taz lot/account no.: �.. ( h > C h u i k s 100 Q. foreach utility connection) Tax ma P/ /5/ 3 - 5 .- -- 4, 4; or SFR (1) bath Lot: Block: Subdivision: , ,7.4..)/ 6' 2, ,D.'IF SFR (2) bath Project name: /j,, /4'4.4. / r tZ ,L''S7" -'' SFR (3) bath ;---- City /county: r,;,-, ,,r/. ,e / {: I gyp: .-2.1, 3 Each additional bath/idtchen Description and location of work on premises: f',/ :;I Siteutilitles: Catch basin/area drain Est. date of completion/mspection: Drywells/leach line/trench drain PLI 111I1G (O\ 172 1( fOR Footing drain(no.lin.ft) Business name: ,. �•)yl5 />f _� Manufactured home utilities w. Manholes Address: ") ,' / , r> 7// C' Rain drain connector City: .fol-=/ s ,y [ State-' I ZIP: r/ : :,--c -r. Sanitary sewer (no. lin. ft.) Phone: L yq.. gj3z! I Fax: n; I E -mail: Storm sewer (no. lin. ft.) CCB no.: - 7 j ,j i-', I Plumb. bus. reg. no: ,7"...,/ii.,,,,;- p Water service (no. lira ft.) City/metro lic. no.: 0 U C c, / , g,�- • Fixture or Item: Contractor's representative signature: ,d,/�r/.1 Absorption valve ' Back flow preventer Print name: ,4,-/ // 7 AW /p4, Date: P. �0 Backwater valve Basins/lavatory Name: .2t // ;;, h,c" / �%7 /L.' 44114 4 Clothes washer Address: �- tf /L d •, '7 / / Dishwasher Drinking fountain(s) , City: /5--1 hi-A- I State :,7Z [ZIP: e:?" 7 CC .- Ejectors/sump , Phone: / ,c 1. ax: _,.._ —' E -mail: -- --_---_ Expansion tank Fixture/sewer cap Name (print): �, ;1 1 , . �..� . , . vC. Floor drains/floor sinks/hub ? � " ,�;r Garbage disposal Mailing address: /;),,r z-,; f! dH ,J44.r HQSe bibb • City: /"4� ".-4 : '6 !State::: re [ZIP: 9.7 a.7-3 Ice maker Phone: ;,.. t; _ 4 .r..2.4. I Fax:,,, /;isz t 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: /•1•,,'' , Sump p I'M; I \TER Tubs/shower /shower pan Name: -�. Urinal Water closet Address: __ - War heater City: ( State: f BP: _ Other: Phone: 1 Fax: E -mail: - - Total Now all jurisdictions accept rod t cants, please call jut adicaoa for more information- Notice: This permit application Minimum fee $ l7 O� expires if a permit is not obtained Plan review (at % ) $ Credit cad number: / / within 180 days after it has been State surcharge (8%) .... $ Expires Name of cardholder as shown on credit card accepted as complete. $ $ Cardholder signature Amount 440-4616 (600/COM) 10/09'00 MON 08:56 FAX 503 598 1960 CITY OF TIGARD 11 006 Electrical Permit Application Date received : rte /jam / � permit no.: y � , � y �� { i City of Tigard - .. I'rojtxdappl. no.: Ex pire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: By: Receipt Phone: (503) 639 -4171 Fax: (503) 598 -1960 .5�.e 2tr7D — D D 3 3� C ase file no.: Payment type: Land use approval: T1 PE 01 l'FR%ITE „Erne 2 family dwelling or accessory D Commercial/industrial D Multi- family Cl Tenant improvement ,talgIew construction 0 Addition/alteration/replacement 0 Other: Cl Partial Job address: /Ual K) S c, g --)/- Bldg. no.: Suite no.: Tax map /tax lot/account no.: 45435 44 Lot 7 I Block: I Subdivision: , ff g L/:,--. t.1) 6-. Project name: 41,/,:4 4' [ Description and location of work on premises: Estimated date of completion/inspection: CON 1R -1(l OR 1P1'I.IC:ITIO\ I I E S( IILUI. LC Job no Fee Max Business name: ,.v" ., ^ . _ boa Qty. (ea.) Total as hasp New reddmlLl dagleoradtl - fa hyper Address: 6 3 #., it; ,.•,,, /2.•' - -L ,( dwelling aait Includes attacbed City: P 1 - 1 - 4 I state_: =1LI ZIP: ? 7�' y ,),.-q Phone: '1 ;37 54 Fax ..____4 E-mail: -- ---. 1000 • • tt or less 4 CCB no.: 3-f Li :9 .h !Elec. bus. lic. no: �► ta 13 %; ..�_ Limited energy, 00sq. or portion thereof ' 2 City/metro lie. no.: ; .?i*� tJ L°? 1,o Limited energy, non residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date ;'J, Di cv Service and/or feeder 2 9,,�i Sup. elect. name (ptint):1 , i, e" . , License ao:2 3 L, -5 Service* or feeders — iasraladon, akeradon or relocation: PROPEI {1'1 011\I.It 200 amps or less 2 Name (print): / ,- , ,; . ! , ,/-4—S . 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: / , 5.7: " :.3 A.: Q . " ^L r-,4 ) -ev 7I 601 am to 1000 amps 2 City: � 44,0 I State: ytJ ZIP: 2 7 Daa, Over 1000 amps or volts i 2 Phone: ‘,.,r'„S" ( $". ,4, I Fax: -,')5 E -mail: - - - -- - Reoonnectonly 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to OOr on, oreelecatba: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: • Date: 401 to 600 , . 2 F\(:1\EEIt - Branch circuits- new, alteration, or extension per panic Name: A. Fee for branch circuits with purchase of Atatess - - -- -- -. - -_ service or feeder fee, each branch circuit 2 City: Pte: "'-- -fit � B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E - mail: Each additional branch circuit PI, X. REV check all that appl)) lithe. (Service or feeder not hact.dei): O Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps - rating of l&2 O Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuits) or a limited energy panel, 0 System over 600 volts nominal more residential snits in one structure alteration, orextension• 2 0 Building overtimes stories 0 Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each addltiaul inspection over the allowable la any of the above: 0 Egress/ligluingplan 0 Other: Per inspection 1 1 1 I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all j urisdictions accept aedr cards, please east jurisdiction for moue lafo®atioa Notice: This permit application Permit fee $ O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ 96) $ Credit card numbs / I within 180 days after it has been State surcharge ( .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount , 440-4615 (6no0ICOM) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2000 -00480 Date Issued: 2/20/01 Parcel: 15135AA -05200 Site Address: 10247 SW 87TH AVE Subdivision: MAPLE RIDGE ESTATES Block: Lot: 007 Jurisdiction: TIG Zoning: R - 12 Remarks: S/F A PATH I - Lot 7 (attached dwelling /on lot 8 /addressed @ 10255 SW 87th Avenue) 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: WINDWOOD HOMES, INC. JIM'S PLUMBING 12655 SW NORTH DAKOTA PO BOX 7160 TIGARD, OR 97223 ALOHA, OR 97007 Phone #: 503 - 625 -6526 Phone #: 649 -4034 Reg #: LIC 71860 PI M 34 -186Db AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorize Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 • ,FROM : OWENWEST ELECTRIC FAX NO. : 5032976375 Feb. 23 2001 10:23AM P1 CITY OF TIGARD A- 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWEN WEST ELECTRIC 8310 NW REED DR PORTLAND, OR 97229 • Electrical Signature Form Permit #: MST2000-00480 . Date, issued: ,2120/01 ParcTTSISSAA -0520 Site Address: 10247 SW 87TH AVE - . • Subdivision: MAPLE RIDGE ESTATES Block: Lot: 007 Jurisdiction: TIG Zoning: R -12 Remarks: S/F A PATH I Lot 7 (attached dwelling /on lot 8 /addressed @ 10255 SW 87th Avenue) 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: WINDWOOD HOMES, INC. OWEN WEST ELECTRIC 12655 SW NORTH DAKOTA 8310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97229 Phone #: 503- 625 -6526 Phone #: 297 -6375 Req #: LIC 00029492 SUP 2SSSS ELE 28-398C AN INK SIGNATURE IS REQUIRED ON THIS FORM X r`'' // / /: Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF T,IQARD 24 -Hour BUILDING i Inspection Line: (503) 639 -4175 MST 2 -61 0 0 — 00 L ikt INSPECT! N DIVISION Business Line: (503) 639 -4171 BUP Received Z /C Date Requested / J AM PM BUP Location l © 21' 1 C Suite MEC Contact Person k Ph ( ) ■ '9 0 C 1 S — PLM Contractor Ph ( ) SWR Tenant/Owner ELC Footing ELC Foundation , , Ftg Drain V O ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors ki-AA- 1 / 4( 2.1L 5 Ext Sheath/Shear �' Int Sheath/Shear Framing Insulation A" \ ‘C L.J4- / 1 0/ ©1 (\) Drywall Nailing Firewall Fire Sprinkler N a A) ( Fire Alarm c Susp'd Ceiling / Roof '9 7 7 04 I•Y1 a,✓ C — O 4 Oth fin al PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL Post & Beam Rough -In Gas Line =Dampers A I ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA �/ 6 3 Ins ector Ext Approach/Sidewalk Date � p Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY -- -OF TIGARD F" IILDING INSPECTION DIVISI MST . 0 6 60'/ 24 -Hour Inspection Line: .9 -4175 Business Line: 63.. x'171 BUP Date Requested - AM PM BLD Location f 4 (7 Suite MEC Contact Person L?J(Mri Ph c? 06 73 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing ess: Foundation 0 0 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 1:6 So p #o,e -- \l-/s-if"- ( Insulation Drywall Nailing Lc A Firewall Fire Sprinkler 4 - ✓arr� S c L Fire Alarm Alarm l, e /J L �-2 J ( � �� Susp'd Ceiling �-� � e � � /� i Roof Mi • v -, fir- - -r -roe6 L7"' arr. - PASS PART 41110 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 anal PASS PART FAI 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 f - 0 / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , CITY'OF,TIGARD PVILDING INSPECTION DIVISI^N c — 00,74f-a 24 =Hour Inspection Line: 9 -4175 Business Line: 63, A71 4427 BUP Date Requested �s c_ �7/6 / AM PM BLD Location l 60. V? a 7' / Suite MEC Contact Person to Ja: r Ph lr / 9 - 06 ZS 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 Fire wall ^/ /� �^ ��y9 A4oarn Fire Sprinkler l � �--■/ rl �4, Fire Alarm Susp'd Ceiling Roof // Misc: l - D t ) ( ` 6 t'Q 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 RT FAIL CTRI S ervice Rough In UG /Slab Low Voltage Fire Alarm *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 �S 7 �,r Otheoach /Sidewalk Date v � / Inspector �rv E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 'cITY;OF TIGARD RIJILDING INSPECTION DIVISI ^N MST 2dleb 24 -Dour Inspection Line: 3 -4175 Business Line: 63. A71 BUP Date Requested 2 /-' 2 6 AM PM BLD Location / U Z - 7 S 4✓ r 7 At Suite MEC MEW Contact Person Ph J/9— 6 G 7s PLM `IV 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 PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ern GGve..`. ough In UG /Slab Low Voltage Fire Alarm Fjgal PASS P RT 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 reinspec ion RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector C3f Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •CITY OF TIGARD RIJILDING INSPECTION DIVISI ^N MST 4 — e 2 4` -Hour Inspection- Line: 9 -4175 Business Line: 63„171 \ BUP/ Date Requested AM PM - UL • Location 7 0 2 01 - 5 w ? 713' /J-i Suite MEt j � Contact Person /(25/7 Ph Pty- 0 6 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 n / 6-- /L/ /'( /1— Fire Fire Sprinkler Sp Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART 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 RT FAIL ' ough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAI 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 D a t e 7 / hector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L_ • CITY'OF TIGARD RUILDING INSPECTION DIVIS MST - 6.00 C;ctlee 24 -Hour Inspection Line. 39 -4175 Business Line: 6. 4171 BUP Date Requested � I AM PM BLD Location /6 2 4 / 7 74 I LA--E-_ Suite MEC Contact Person tL) (A ,C Ph ?// 06 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing AC e ms, Foundation �0 0 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 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: J [ ] Unable to inspect - no access ADA J ' I I L Aproach /Sidewalk Jo / `0 ` Inspector Other D a t e p G1(� -Q E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L , CITY OF TIGARD BUILDING INSPECTION DIVIc4ON MST 74 i) ( 1 1 k ° 24 -Hour Inspection Lin 839-4175 Business Line: , A-4171 Q/ BUP Date Requested l AM PM BLD Location 1 9 '7't 7 -t- -- Suite MEC Contact Person Ph (9 e 75 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing otion s: Foundation '"� T1 FPS Ftg Drain v SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear j Framing r 1 ..e pIQci I r� hid ��1 c. � e. — FAZ Insulation L L / Drywall Nailing Q N '€' P- 7 _ O / L.) N Firewall .,� Fire Sprinkler �tv ' 2)Y4s 7 'C �— I y -0,4 Fire Alarm Susp'd Ceiling a 4 c. 2:oD/?r Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains SS PART AI 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk 91 �e 0/ I A/ / / 1 / 1°0 E D Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVIF "ON dOY4F-0 24 -Hour Inspection Link 539 -4175 Business Line: t._1 -4171 BUP 1 Date Requested ' 2— d /� I ,, AM PM BLD Location / 0 7 7` �'7�'T - Suite MEC Contact Person 60X-ref Ph F/ I - Q 6 7S~ 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 /� ' I Int F amingth /Shear I; 1� (� (-l am \() v K 1 ! o � IN q �{- r g 1 l ) A ley- Insulation Drywall Nailing - k r. -Q r r 1-e 1, Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof N O / , ) f Misc: `� �N Final PASS __T FAIL ' c TIOA Tee Inn S C p1 RcUME Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rai ' rains •ASS 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 In spector ?-1 _ 0 I Inector �(� I ` e ✓ "l' V e Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY'OF TIGARP BUILDING INSPECTION DIVI "'ON Y � MST 000 ''4 '6 • 24 -Hour Inspection Lir, 639 -4175 Business Line: _49 -4171 BUP • Date Requested AM PM BLD �I /I Location /0 Z r(, Sw �'7 Suite MEC ��I Contact Person Ph 1y— 4 4) 3 y PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: ■ Foundation q 7 0 Oct /( r --6 (6 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 rr-j , G Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains F'. PART FAIL ANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D ate y ,/ Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. / • 1 . CITY•'OF TIGARD BUILDING INSPECTION DIVP ^ION N� ' • MST �4'v' Zil (lee) 24 -Hour Inspection Lir. 639 -4175 Business Line: _49 -4171 BUP Date Requested 3 . ' AM PM • ' BLD Location / D 2-q 5 r k rf Suite MEC Contact Person Ph 4 V9- 4' 3 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 E3 Under Slab Top Out Water Service Sanitary Sewer Rai ins PART FAIL 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA `/n Approach /Sidewalk D ate 3/5 4/ Inspector Other Ext Final " PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 63v • -' r CITY O BUILDING INSPECTION DIVI`''ON 24- Ho '!�F'fnspection Lin, 639 -4175 Business Line: k...J -4171 M's T v�_LV ,(ka BUP • Date Requested 3— L AM PM 6'�!'-� BLD Location /U Z it 7 S w � 7 k..to Suite MEC Contact Person Ph 37,-O 7 , PLM Contractor Ph SWR BUILDING Tenant/Owner ELC •,� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Inspection Notes: Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin - ,,/I PART FAIL MBING Post & Beam Under Slab To • Ou r, 1E�!!r Y i.n - am Drai Fin AS ART FAIL HANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date 2 2 I v J Inspector ( q k- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . AY OF TIGARD Pi IILDING INSPECTION DIVISION J • 24 -Hour Inspection Line: .1 -4175 Business Line: 63. 171 MST BUP Date Requested 2 2--- AM PM BLD Location /c) Z y7 5 57 6-1 Suite MEC Contact Person Ph g b (r 7 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 Framing Insulation Drywall Nailing 5 � S j ft ,S T Firewall Fire Sprinkler Fire Alarm � y Z 7 '7V 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 CHA Post & Beam Rough In as Lin ampers Fin AS�i PART FAIL 'ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � /� Other Date ‘-2 '°/ Inspector /�Z Ext°� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • � 'CI -TV OF TIGARD P' IILDING INSPECTION DIVISI ^N MST. �j6 G �'� 24 -Hour Inspection Line: _ .9 -4175 Business Line: 63, .171 BUP Date Requested 5 () AM PM BLD Location /0 Z '/7 5 S w e 2 e Suite MEC Contact Person Ph 1 / 0 7 - 0 Yi 3 ( PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int � ath /Shear Framing 5 /n L e 5 R,70k., Insulation r �.� 1 a trir.. gal Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat _ /0 G'/ Inspecto E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. le,de • • •:CITY-OF TIGARD P' IILDING INSPECTION DIVISI^N MST Zee) .- clPv' 24 -Hour Inspection Line: _�9 -4175 Business Line: 63. 4171 BUP Date Requested S° r AM PM BLD Location / 241 - tT� Suite MEC Contact Person Ph C/O'- - / PLM Contractor Ph SWR UILDIN 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 C L 41y ,Z ( St-, .2A n e-. 4 L c , Insulation ` �rvCrywall Nailind� 'ls• all Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fina S PART FAIL UMBING 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 S 61 / Inspector E x t Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT^.i(OF TIGARD BUILDING INSPECTION DIVISION x MST 06/./..k -G6 "& , 24-Hour Inspection Line: ) -4175 Business Line: 63 171 BUP Date Requested 3- 7 AM y PM BLD Location /42.2101-r7 Sy/ 97 vi Suite MEC Contact Person Ph .5 C 7 S 3( PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear � ^ Framing A-4' 'may Insulation / (n .. N 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat S� 7 — v/ Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , '.CITY .OF TIGARD ^ INSPECTION DIVIS• 1N MST '& ' -6 lrY 6 ' 24 -Hour Inspection Line: .49 -4175 Business Line: 6b4 -4171 BUP Date Requested . ° AM PM BLD Location / Z 14 - 5 4-✓ 7 Suite MEC Contact Person Ph 8/9 D G 7 s PLM Contractor Ph SWR 1 - 11.1I Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear lnt Sheath /Shear !— rum• rywan ailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ART FAIL LUMBING 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 Otheoach /Sidewalk Date r / Inspector . E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . :CI TIGARD BUILDING INSPECTION DIVISInN MS "ao o coo r Q 24 -Hour Inspection Line: 3-4175 Business Line: 63 171 SUP Date Requested S - AM PM BLD Location r0 � 4 1 - 1 5 W .r7 Suite MEC Contact Person Ph /9 —d 75— PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear I • - ath /Shear n • . / e fE" Cie • /t 2 - .� ectI130n Drywall Nailing Ans. _ _ =_ ..mot :/moo .4L Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMB G 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: I [ ] Unable to inspect - no access ADA Approach /Sidewalk 5-- 2 _ Other Date Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 7 - � :erryoF TIGARD P' IILDING INSPECTION DIVISIr%N MST Z(/UG Or qi u' X24 -Hour Inspection Line: .9 -4175 Business Line: 63„171 BUP Date Requested i■ Z ' AM PM BLD Location / 0 2 6' 5 ' $ 1 ALY Suite MEC Contact Person Ph ? /9 G ' ' PLM Contractor Ph SWR ILDING 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 26D l 3•'t2 ,v LC_ j 4f . c \ !6 4 X /0 ` r 4 Insulation Drywall Nailing 445- - e K - z t.., Firewall Fire Sprinkler � f7n, C.-. Fire Alarm ����� '�// Susp'd Ceiling Y �'oY� 7 .vSTfa 1 , 4 , ,L S 'A', y @ Aj 775jC fi' Roof -5/6 �� �� i ae/S Misc: C'" / / Final PASS PART �A19 � - / = � T PLUMBING Post & Beam Under Slab aA S -PiFi,u r T. -� /5 .rn;2 ' ' /_ /f4i-..1c,T Top Out Water Service ,J? - yf 79 / $� Sanitary Sewer Rain Drains Final PASS PART FAIL <IGI€CHA Post & Beam Smoke D. mpe Fi ASS PART E TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 7 G Q� Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site • crrt OF T1GARD P' IILDING INSPECTION DIVISI ^N MST' _ k .6): 24 -Hour Inspection Line: _.9 -4175 Business Line: 63. 4171 BUP Date Requested '' / v AM PM • 'BLD Location J d Z i/ 7 S 17 Suite MEC Contact Person' Ph y ,v7 — 6 8' 3 / PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear /� Framing o /ls �O Si s - 4r - sS Ins - ••• D . - - ..1.11.► Firewall Fire Sprinkler _ �� . • at _ ,,- — Fire Alarm Susp'd Ceiling Oi S "A 01rl a •-' `�-- Roof Misc: Final P ASS PART 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 Other Date Ins E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD P' IILDING INSPECTION DIVISI^N MST • 6 - dv c re . ° ' 24 -Hour Inspection Line: _ .9 -4175 Business Line: 63.. *171 BUP Date Requested `-f' ,, AM PM BLD Location / U 2- q 7 S 411..-e Suite MEC Contact Person Ph PLM Contractor Ph SWR CUM; L 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 I,su -'•• /r 75 / , ; Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS - AR 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA /' I - Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • .CITY OF TIGARD c' 1ILDING INSPECTION DIVISI ^N MST Od = a04 o • 24 -Hour Inspection Line: _49 -4175 Business Line: 63.. 4171 BUP Date Requested A 1 1 ' AM PM ' BLD Location /0 7si•/1 g? r i7 R 11 Suite MEC Contact Person 41,44.4.d Ph `5'1 q 0 7 S PLM Contractor Ph SWR -+� atir Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Sheath /Shg Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PART FAIL P - MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat L/— L — e/ Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L rCiT`'OF TIGARD i" ■ILDING INSPECTION DIVISI ^N • MS'f[ru - l 11 .� 24 -Hour Inspection Line: ,..09 - 4175 Business Line: 63,. 4171 BUP Date Requested 3-(# AM PM .BLD Location /U Z q7 5 i.) 7 t Suite MEC Contact Person Ph PLM Contractor Ph SWR (BUILDINN 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 . 7 . n - c- 1 .12 L L 2 - 4,9 r7oC Insulation Drywall Nailing _7 1 c'T'II - of= Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin ASS JPART FAIL 'PL BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rough In Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date --�-- 6- k Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • lGARD P' IILDING INSPECTION DIVISI^N MST dG v 24 -Hour Inspection Line: ..49 -4175 Business Line: 63 4171 BUP 'Date Requested 2 2 AM . B LD Location /U 1 6 11 %7 Suite MEC Contact Person Ph p��U� 7 s PLM Contractor Ph SWR ILD Tenant/Owner Liy /7biv ' ELC Retaining Wall ELR 1 Access: FPS g Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 7: C1 21,NrA7 s ip tams C P7 i Insulation Drywall Nailing /''-C. A- - ci4, 1 �b�r� 5�7,: 5 .ar A 5 ',J Firewall Fire Sprinkler "111. L '/ - —yo .� Fire Alarm Susp'd Ceiling -'AJ 41So Roof Misc: Final ART FAIL PLUMBING Post & Beam ' Under Slab / Lyl4 It?, /; S�� .44c/Z. Top Out Water Service 7 , oY� ,- ,� , Y - �> � ,�l�i 77 x4e 4-e— Sanitary Sewer Rain Drains 5��:; 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 7 – Z"—e." Inspector / I ector i . Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST L 006) 60 98 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested G '- / AM PM BLD Location /6 - 7 7' /I_42 - Suite MEC Contact Person W QA4 Ph ? i' '67.S' PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall _ ELR Footing CCeSS: Foundation 0 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: - 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 na ..1a1P PART FAIL (BI ECfRICAL 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: i [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date /4 -/— D / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAMAAAAAAAAA T TREE CERTIFICATION ST EE R I, V4/'/,J � , /7 O 6? ?,/ , wner gen for /"Id:';e:-.L�e,.O .�' C'�� (PLEASE PRINT) ( PERMIT HOLDER) A Do hereby certify that the following location meets City of TardfWashingtonounty x 1 it l and use and development standards for street tree installation. ADDRESS: /az 1.2 - !�'" 2 i � • LOT: SUBDIVISION: /1 0 % �c ' `s : -/T r` w ® sr • BY: DATE: - 2e— e-y o. I RECEIVED BY: , at I i DATE: / c - /- d ♦vvvvvvvv♦vvvvv♦ v♦ vvvvvvvvvv♦ vvvvvvvv „ iittl i s i, CITY OF TIGARD Residential Certificate of Occupancy Permit No.: f - 41 4-YO Address: in ...4 `7 7 Owner /Contractor: C,Ji AaJW4J fl 44 G EES Date of Final Inspection: /1-/_--f Inspector: a i . This structure has been found to be in substantial compliance with the provisions of the State of Oregon One & Two Family Dwelling Specialty Code and is hereby approved for occupancy.