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Permit
,Z - V -0, - e- , pcA,>3----eiL--/ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00161 DEVELOPMENT SERVICES DATE ISSUED: 5/20/2003 � it 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11325 SW 90TH AVE PARCEL: 1S135DB-00300 SUBDIVISION: TIGARDVILLE PARK ZONING: R - 4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Construction of attached garage and bonus room. 2/4/05: This permit is reinstated for purpose of final inspections for a period of 30 days. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 15 FIRST: 430 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: 630 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5 -1 HR DWELLING UNITS: 1 THRO: sf RIGHT: 5 VALUE: 55,041.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 430 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: oo SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 00 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: $ 1,490.16 GHITA, VASIL & DOMNICA OWNER This permit is subject to the regulations contained in the G HIT V SIL & gard Munidpal Code, State of OR. Specialty Codes 11325 SW 90TH H AVE AV AV E and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 620 - 8694 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg n: rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control lnsp 8 PLM /Underfloor Electrical Rough In Fireplace Insp Roof Nailing Footing Insp Plumb Top Out Electrical Rough In Fireplace Insp Electrical Final Foundation Insp Plumb Top Out Framing Insp Insulation Insp Mechanical Final Post/Beam Structural Plumb Top Out Shear Wall Insp Insulation Insp Plumb Final Crawl Drain /Backwater Electrical Service Exterior Sheathing Ins( Rain drain Insp Final inspection Issued By : _ " . f i Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day MASTER PERMIT ' Wi-5,/,,-.`"Rt);,_,,,, alat 0 4- 10.-4 CITY R ® PERMIT #: MST2003 -00161 l 0.�� DEVELOPMENT SERVICES DATE ISSUED: 5/20/03 13125 SW Hall Blvd., Tigard, OR 97223 0E6V4I JOr SITE ADDRESS: 11325 SW 90TH AVE JJ�� VV PARCEL: 1S135DB - 00300 SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Construction of attached garage and bonus room. BUILDING REISSUE: STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 15 FIRST: 430 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: ' 40 SECOND: sf GARAGE: 630 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5 -1HR DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 55,041.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 430 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: . TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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: EAADDL BR CIR: 300 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: $ 1,302.66 DOMNICA OWNER This permit is subject to the regulations contained in the GHITA, VASIL & GHITA, V SIL & gard Municipal Code, State of OR. Specialty Codes and 11325 SW 9 H AVE AV AV E all other applicable laws. All work will be done in 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: Oregon law requires you to follow rules adopted by the Phone: 503 - 620 - 8694 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control lnsp 84 Crawl Drain /Backwater Framing Insp Rain drain Insp Final inspection Footing lnsp PLM /Underfloor Shear Wall lnsp Roof Nailing Foundation lnsp Plumb Top Out Exterior Sheathing Insf Electrical Final Post/Beam Structural Electrical Service Fireplace Insp Mechanical Final Underfloor insuletio Electrical Rough In Insulation Insp Plumb Final 1 / Issue By : L • ,��� -�= = �' Permittee Signature : - �� e1 c ti1it o - 1 u� Call (503) 6.9 -4175 by 7:00 p.m. for an inspection needed the next business day I , • 0/ i ' ` t• CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00161 ji1 DEVELOPMENT SERVICES DATE ISSUED: 5/20/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11325 SW 90TH AVE PARCEL: 1S135DB-00300 SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Construction of attached garage and bonus room. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 15 FIRST: 430 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: 630 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5 -1HR DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 55,041.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 430 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 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: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 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 FD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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: EAADDL BR CIR: 1 00 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: $ 1,149.47 This permit is subject to the regulations contained in the GHITA, VASIL & DOMNICA OWNER . Municipal Code, State of OR. Specialty Codes and 11325 SW 90TH AVE all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. Th is 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: Oregon law requires you to follow rules adopted by the Phone: 503 620 - 8694 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: may obtain copies of these rules or direct questions to qq G, // OUNC by calling (503) 246 -1987. / �.. O h - p `1 `-// - REQUIRED INSPECTIONS (`•.�/ Erosion Control Insp 8 Crawl Drain /Backwater Exterior Sheathing Insr Electrical Final Footing lnsp Electrical Service Fireplace Insp Mechanical Final Foundation lnsp Electrical Rough In Insulation Insp Final inspection Post/Beam Structural Framing Insp Rain drain lnsp Underfloor insulation Shear Wall Insp Roof Nailing .4.,,Lt �j� -U I !f Issue (By � 1 A� : vl� 4�1 -/ Permittee Signature : � Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day :.: ['� , . - iBuihding Permit Application FOR OFFICE USE ONLY s` Received Building .� / EC G V Ell Date /By: y A3/ Permit No. :rot: 8 -�ll0/ Cit of Tigard 9 Planning Approval Other y b Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other $ -l y - Tigard, Oregon 97223 APR 2 3 2003 Date /By: M A V o3 Permit No.: //H� �+� Post - Review Land Use Phone: 503- 639 -4171 FaiT5M 11'093D a � I i I Date/By: Case No. Internet: www.ci.tigard.c . �LDING DIVISI • ' "2' Contact J ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: // _ Supplemental Information 'w„ :r ;� �, w - -;�— .•1, °',�.?�.:• t � �: ` � '� r .�. '':$.� #:� "?:� �� tu•:.;.�.�.^�::t .,s.;r�. `t;�' - .�: �;. Y'" ss r,.;�, ..t.I ... -tee `� . UIV,0F� 0_1W7,;.:.6 : : :ail �..` ; .Z x $ ' REQUIRED DATA i 'i M it 1.1 New construction El Demolition ' :" X &e2`FMILYWEL . LI ' a # '` ❑ Addition/alteration/replacement ❑ Other: °"!_ i' "' : A*.i"" °tCATFEGO W1(31CONSTRUCTION g ` :`r` !.: Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ 15 BOO 0 0 A ? * JOB SITEsINEORiVIATION'aii I LOCATION t �j%k 1 No of bedrooms: No of baths: Job site address: //3 .Sbii 9,0 e, /r' P }t 77� Total number of floors ' New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) b3.0 Project Name: Covered porch area (sq. ft.) _ Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) _ EXiSTiAZ6Q Fi /g'S"D� ' - i TM>.. 3 S RE IIIRED D ATA : Y " M :' i ; S # � t¢ c 9+.. :' ai'i . "3 = 2 � t • s �%'�'Si' K+ y's.'a'P ss s4I... z. .. 'x35 t '''', i COIVIMERCIAL US ,0 4 Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate -"`''`T ; ,'„ .', ' ' DEiltI_ ION' -OF WORK°`` . 7w� ° .`',�; ?- . ' `i the value (rounded to the nearest dollar) of all equipment, materials, labor, �w �, `' /�_� SC`I C,on r' G?-� �, 'eC C r 6a V e- ei \'1 overhead and profit for the work indicated on this application. 130A4A -._2 P m Valuation $ P- v / Existing building area (sq. ft.) New building area (sq. ft.) Number of stories f ROPERTI' OWNERE �I: TENANT� '; r t': ` Type of construction Name: \1 ac $ I l e 2. bOlvt \ Cc_ 6 Occupancy group(s): Existing: Address: 113 as s LU9Q t` / vue- New: City /State /Zip: j C1-6( trd v a ? a 2'\ NOTICE: All contractors and subcontractors are required to be Phone: 0� j� -C'� 0- ��� Fax licensed with the Oregon Construction Contractors Board under f, I A'PPLICANET AINSV S: `CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: „, - . ¢ , , t P „ k B =T FEES* 1 ; r E -mail: ` , a , rr ef er 'to fee ul o V : i . 'WNW ` r-ro�e x r �„ '" v m * ".m . �..,..ys wi #,, ` , *-.. ,.- s us ,__,. T s:•^„ .?s�:.. , , L�'. „el,v� t� ?:- ... °��. w�' C®1VT k Business Name: � �� = �\ - / v �� Fees due upon application $ Address: CJC_/ City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lie. #: Authorized Notice: This permit application expires if a permit is not obtained within Signature: mAti.._ - Notice: �Q,, ,, � 7 180 days after it has been accepted as complete. —10 m V e,Ca G. ITI *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts \Permit Forms\B1dgPermitApp.doc 01/03 One- and Two - Family Dwelling - 6 '��� Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City of Tigard • t7 Electrical ❑ Plumbing [] Mechanical Address: 13125 SW Hall Blvd, Tigard,'OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOW ING- 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. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 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. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. 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 /O0 /COM) , l ' FOR OFFICE USE ONLY ' • Electr Application Received Electrical i r Date/By: V P3 /0 3 Permit No.: /5 (JQ / '/ City of Tigard • and Planning Approval Sign y g Date /By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503-598-1960 \ Post-Review Land Use Internet: www.ci.ti ard.or.us � d 'W �° I Co ntact Case No.: g I I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 W Name/Method: Supplemental Information. .,n laNg.TY=P 1: MAWORK =a a' .. 5 _"w :t_. ;% 4Vii PLAT!15REVIEW Plea§.e;eheckr'"allvthata' 1 , ¢ �i; ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps- rating of ❑ Building over 10,000 square feet, s•x'� ssF�: "`�t`'• .�kx� ., �. °,l t CATEGORY; OF`CQNSTRUC�TIO;�,` N > . -° ':; I & 2 family dwellings four or more residential units in ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: rVilV,XiialOOSITEIANOCO_RWTION;WirditlOYA.VONACIUM Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: 1 g.5 �' 9 Q 't Ve ?i � 9 7�2 _ tetra is „A .�� `FEE*SCHEDULE €ra* :�' ; - "5 Suite #: Bldg. /Apt. #. Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total Cross street/Directions to job site: New residential - single or multi - family per 1 dwelling unit. Includes attached garage. • Service included: 1000 sq. ft. or less • 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Limited energy, residential 75.00 2 Subdivision: Lot #: Limited energy, non residential 75.00 2 Tax map /parcel #: Each g manufactured home or modular dwelling x, service and/or feeder 90.90 2 ' — - DESCRIPT IONIOFWORK ,_ M 2 u C:.t W r� Ca : _ V � I R ANN Services or feeders - installation, �, (9 C � 1 alteration or relocation: y 200 amps or less I 80.30 2 W ©� 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 PRQpERTYOWNER ; ,. `z:,. TENAN =` °>;_ '= , ;.;,;...: 601 amps to 1000 amps 240.60 2 >' i ' Over 1000 amps or volts 454.65 2 Name: VII g 1 ��� 'v NN 1 I Reconnect only 66.85 2 1 Address: 113 �- S z( IN * t /i-v e- Temporary services or feeders - installation, _ alteration, or relocation: City /State /Zip: ► 1 V J q 70� {� 2_ ^� > 200 amps or less 66.85 1 Phone: , 3 G2 �( F ax [ .-� yt 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 2 SAM - PL t°1 T' , l :, CONTA`CT PERSON „ ', p Branch circuits - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circuit j 6.65 2 E-mail: Misc.(Service or feeder not included): I (° �, <:.. r - y Each pump or irrigation circle 53.40 2 ,� ,;,,�;CO�iT?RACTQR " ; - : _K sue= Each sign or outline lighting 53.40 2 Job No: „ 1 � Si gnal circuits) or a limited energy panel, Business Name: XJ alteration, or extension Page 2 2 Description: Address: City /State /Zip: Each additional inspection over the allowable in any of the above: Per inspection per hour (min. 1 hour) 62.50 Phone: Fax: Investigation fee: CCB Lic. #: Lic. #: Other At 0 Elect`rtcal Pe it,Fees* , ;,.R v iii Supervising electrician • Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Name: � � Lic. #: /y State Surcharge (8% of Permit Fee) $ K � U s t{Q `d l `7/231 Notice: This TOTAL PERMIT FEE $ Authorized is permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set.by Tri- County Building Industry Service Board. .pm�nr,ca, (' 1 l (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard L �, Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: n Audio and Stereo Systems n Burglar Alarm n Garage Door Opener n Heating, Ventilation and Air Conditioning System n Vacuum Systems PI Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation F - 7 Intercom and Paging Systems D Landscape Irrigation Control • Li Medical n Nurse Calls . n Outdoor Landscape Lighting n Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 �• FOR OFFICE USE ONLY �� +� Mech niC�l' Permit Application Received Mechanical f 9 a 4 )19/ADO3 -60 i4/ Date/By: P er mit No.: Planning Approval Building City of Tigard Date/By: No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use N l�� Internet: www.ci.tigard.or.us . �.' f Date/By: Case No.: Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. ,, " TYPE „OF W ; ORICV ;W E a q - t4,=: „ ,Mco1V mEricatiF.EE* SCHEDULEtaustrCFIE-ckesT ` `s ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work ❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all Y: �� wy $ t�.:. r : F; .,CAT' ., EGORYnCO a NSTRUCTION��� � ,aux.. ;;, :,' *4 , at mechanical materials, equipment, labor, overhead and profit. §, ��, OF, ❑ 1 & 2- Family dwelling ❑ Commercial /Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /S,YSTEMS FEE* SCHEDU E : Description Qty I Fee(ea.) Total ❑ Master Builder ❑ Other: ... - ,',Heating/Cooling ,, ' . . - . - . `AIN JOBtSITE INFORMATION/ ii(1 Q CATION Furnace - add -on air conditioning ** 14.00 Job site address: / l 3.25' -04/VD �' Ate /'l ja Yd q?22-5 Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: Hydronic hot water system 14.00 a Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) • (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for any of above) 10.00 Lot #: Repair units 12.15 Subdivision: - „_; - ., » Otfier;Fuel "Appliances _ Tax map /parcel #: Water heater 10.00 t , '' ” zmiwto CRLRTIONr,OF. - WORK na "l��'` �* ` ~li` Gas fireplace 10.00 C O yA J/V- u r rat � c Flue vent (water heater /gas fireplace) 10.00 f) ,I ce _f pe ,��� Log lighter (gas) 10.00 / Wood/Pellet stove 10.00 Wood fireplace /insert eil 10.00 , Chimney /liner /flue /vent 10.00 F, ^._. .�,,; i t ,:. z.E .r,. O ther: 10.00 illtiOnitU OWNERv' 1 TENANTN a s °�'" 0 ��,, pp Env ronme'ntal>ExfiaiiiLgi Ventilation'`' Name: vcR2l le '- ...b, v' r 1C� v"t�1 .,; ;.:. ' .r " ° ° °,7 to 00 p Range hood/other kitchen equipment Address: �� �j (� �'W� �" �U� Clothes dryer exhaust 10.00 City /State /Zip: Tl S CE V L�(12- 7, - Single duct exhaust Phone :Nv') 6'9.0 _us6 9 L Fax (bathrooms, toilet compartments, I APPL CANT ' , , k f CONTACT PERSON a' `~ utility rooms) 6.80 Name: Attic /crawl space fans 10.00 Other: 10.00 Address: t f _ :7 >q'71. s :' 'r 1"t Fuel Tipioga, P 2 S _ ,`-:, City /State /Zip: * *($5.40 for first 4, $1.00 each additional) Furnace, etc. ** Phone: Fax: Gas heat pump ** E -mail: Wall/suspended/unit heater ** 'r ONTRACTOR ** ' . :� -n w � - C. .� ,_. � . Water heater Business Name: r �� , , Fireplace ** Address: (JO /�-J L Range ** City /State /Zip: • Clothes dryer (gas) ** Phone: Fax: Other: ** CCB Lic. #: Total: ,.` - Mechanical "Permit: Fees* .`h . Authorized ��} (.r / Subtotal: $ Signature: U� "' � — Date: Minimum Permit Fee $72.50 $ 0 n-1... h. I.GQ C7 N ,-&,..... Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard ‘, Page 2 - Supplemental Information Commercial Fee Schedule: Permit Fee Totalvaluat><on . • � , - P , :- $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Assumed V_aluation_s,Per Appliances,. ;_.? Value Total Description: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 • Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp; absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30 -50 hp; absorb. unit, 3,400 • 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1 -4 outlets - 360 Each additional outlet 63 TOTAL COMMERCIAL ', ; ;;n $ VALUATION: ..._,..�. is \Dsts \Permit Forms \MecPermitAppPg2.doc 01/03 Permit #: y�`100� — D e.0/ Address: (l a-s L.33 96 )fv_- Issued by: If , ' Date: 5490/6 3 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 own, reside in, or will reside in the completed structure. v 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 v 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. %n1 '7i'k .14u1 /lbl0 3 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Information rotice to Proderty Owners About Construction Responsibilities Note: This information Notice to Property Owners about Construction Responsibilities was de by the Construction Contractors Hoard in accordance with ORS 701.0j/B.. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in dho construction or improvement ofa residential structure, you will, in most instances, be ruled t� be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer you must withhold income taxes from employee wages atthetime employees are paid. You vill be1iabe 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 a tax for unemployment insurance purposes on the wages of all employees. For more information, calithe Oregon Employment Department at378'S524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers Compensation Law, and must obtain workers' compensation insurance for your employees. /[youfbi|oonhteinv/ockom'oomponuudoniox/nsnuo.youmay be subject to.penalties and will be liable for all claim costs ifone of your employees is injured onrhe job. For more information, call the Wollers' Compensation Division at the Department of Consumer and Business Services at 945-7888: U.S. internal Revenne Serv As an employer, you mustwithhold federal income tax from employees wages. You will be liable for the tax payment even i[ you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1'800'829'1040. OTHER RESPONSMLITIES AND AREAS OF.CONCERN: Code compliance: Ao the perm h holder for this project, youurcreqponaihk:forreeo|viogunyfuUupc1onoectoadcrcquircmmnto that may be 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 omissions such as fall ing tools, paint overspray, water damage from pipe punctures. fire, or work that must be re-done. Time to supervise employees: Make sure you have sufflcient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrough-in and finish trades. and to notify building officialsat the appropriate timesso thy can perform dhereqVi/ed inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14|40, Salem, 08P7]09-5052. 503/]78-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1/94 liulilamg r fixtures Plumbing Permit Application Received FOR OFFICE USE ONLY Plumbing Date/By: to 1 63 Permit No.1 5 - e5 1 /�a C . of Ti and Planning Approval Sewer y g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use //H tl i ,� � j i I A' Date/By: Case No.: Internet: www.ci.tigard.or.us ■ i I1 . Contact JyeiS� ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 - Name/Method: �(I (• Supplemental Information. .. ..r;;i:4" ' 1- Fs ; ^: s,y - °,f w >= =x E>.;, "s? r te,: r .,. ,, . °.ik . "` �„ - ..,�, - > ". °�"� � °�°� �:.�� ,T�YPE�OF WORK �i4 , .�, ,.� ,�;� w .�; �� , .FEE, ,S,CHEDULE„ for• specialamformatlon use _checklist ❑ New construction ❑ Demolition Description - - I Qty. I Fee(ea.) I Total ``Nei.. 8i 2 famrly dwellings ,, ' �, * " ❑ Addition/alteration/replacement Other: �. =v�.:�; ,:��f� �� E � ��., �:� ��� `'"t�' �,`T°' ^°';; "v.,„'s)" ` ,• t �x a v a t •'' `�' 1 ,1171, -' 11 , �.. ,a a iPit; ,7 ( d s 1 0 f .f. h , utility conneco n) t , d,, f E >:; =fit ; inclu f or ea _ ,'� ,, N:,. $_ SFR (1) bath 249.20 ❑ 1 & 2- Family dwelling ❑ Commercial /Industrial SFR (2) bath 350.00 ❑Accessory Building ❑ Multi - Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 ., �� a �..,.�.�•�- . „ . JO&SITtaNEORMATIWThi BL®CATION, ., Fire sprinkler - sq. ft.: Page 2 Job site address: I 1 3 25 _c' (Al Ave filar/ 972?3 N g Si1:e Ufillt>es; , r ;; mizir q m Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: Drywell/leach line /trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: Lot #: Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: .n.- y; _� i ... �.. b, a 'a;m.�;,�, r e, _e F >. <,...... ., eaa� e sx. � ... V• � F?. .. ....,. ...aWUisc.�,.SF .�. ... p.e?G��`#uki: .,.,� � � `�"��• •�Ht: `•tip: =�. � Fiztu'r o � tem ,, _, , .0 ; „� €�� DESCRIPTION';OF WORK, .: :. _ t . �. Absorption valve 16.60 Backflow preventer Page 2 • Backwater valve 16.60 Clothes washer / 16.60 Dishwasher 16.60 _,, _, x - Drinking fountain 16.60 PROPERTY OWNER `, ' ��� t❑ trivOT �> ;./ ._•. �� Ejectors /sump 16.60 , Name: Vas (t . born t^ % 6 7 t -TGL Expansion tank 16.60 Address: 11 36 .J'w Y& f fr V e- Fixture /sewer cap 16.60 City /Sta e /Zip: I / 1Q IO 0/2 q 7Q 2 -\ Floor drain/floor sink/hub 16.60 Phone: ))- �� r 8� F Garbage disposal Hose bib 16.60 �: 2 16.60 " Wit'M,:�'ha 41 ' 1700.NT'AC,T; ERSONR " %ia Ice maker 16.60 Name: Interceptor /grease trap 16.60 Address: ( Medical gas - value: $ Page 2 City /State /Zip: Primer 16.60 Roof drain commercial) 16.60 Phone: ' Fax: Sink/basi lavatory A_ 16.60 E -mail: Tub /shower /shower pan / 16.60 ti ,,.., �; Urti:! : _. , #,.. C �' �" I ; 3 ` `4 `' . 't ' Urinal ,��� _�.;x � P�.a��,�. �,?,``",�i�CONT �'I�OR • ���"r , m� �.. :.''i'. »'..s. 1 Business Name: 0,0)0e-(2--- Water closet / 16.60 Water heater , 16.60 Address: Other: City /State /Zip: Other: Phone: Fax: MUM, N PlumbfngPeemit =Fees* . 4 Subtotal $ CCB Lic. #: Plumb. Lic.#: Minimum Permit Fee $72.50 $ Authorized �� Residential Backflow Minimum Fee $36.25 -g, / ' �° Signature: ��[/v pp, �y�6��� " Date: /o f /C! t(3 Plan Review (25% of Permit Fee) $ State Surcharge (8% of Permit Fee) $ 'I.9 7 (Please print name) TOTAL PERMIT FEE $ /697. 5 Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri- County Building Industry Service Board. i:\Dsts\Permit Forms \PlmPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: r1 Residential Fire Suppression Systems: Qty ' s Total u ' � do ns . ^. s a �,�..�. _,�ese�.( ) ` �.. ��E.;.�, Squa re Footage..`: ra Footing drain - 1' 100' 55.00 0 to 2;000• $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 - Valuahtiii �, � � Perr;<ut Fee = °�; � �, Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each ' i :�`w ra:)' Ere 'Re ea _Total additional $100.00 or fraction thereof, to and _:? r °. tI . fixtureoarItem .. ,w : 1 Q�Y E....,.,. .. 3ita,l including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quatttityl y(Frxture)ork,Performed0d Comments regarding fixture work: lxtare Type * y . a ' 'w RCP 0 deg -g4 ' k. ' g ati7g t,I Mpvecf I ficisting1 « Capped Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" - 3" Car Wash Drain *Note: If the fixture work under this permit results in an Garbage - Domestic Disposal Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach. /Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is \Dsts\Permit Forms\P1mPermitAppPg2.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (51 :) 639 -4175 ,do3*--4346 INSPECTION DIVISION Business Line: (51c) 639 -4171 BUP Receive � 33 Date Requested 0 M PM BUP Location / t.:-.111- a. Suite // MEC Contact Person 1111 Ph ( ) �g ° d �2 ' `� PLM Contract Ph ( ) SWR BCW_DIN.G Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: .409P ELR Crawl Drain &pe 44, G o Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear r-2. O Framing Insulation ;Z--� ✓ S Drywall Nailing —+`� Firewall c-o ,\ p Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: fi`S PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer AWAMIRMIMPF Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final l/ PASS PART FAIL ELECTRICAL Service • Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA _ of Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from job site. PASS PART FAIL IMPE TIGARD 24 -Hour DING 1111 Inspection Line: (503) 639 -4175 0 MST � CD3 — Oo INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 6Z A M /' �� PM BUP Location _ o .A-t9� Suite . MEC Contact Person ) (32— Ph ( ) PLM . Contractor , r Ph ( ) SWR BUILDING Cam/ Tenant/Owner 6- `w-et._-) ELC Footing (, dD` b — g (0 &/ ELC Foundation Access: Ftg Drain `°try ��� ELR Crawl Drain Slab Inspection Notes to_61.440 , S Post & Beam Shear Anchors / Ext Sheath/Shear / 0 cA 6 a} t_ %1 Ina Sheath/Shear c /vim -e-/eLN / j / / • 1 6 Insulation Drywall Nailing ^ Firewall '_ / >'; t»:k V )\ c- 1,/� d ( ( - ) a Fire Sprinkler Fire Alarm 66 G ,--- r- -i -7 Susp'd Ceiling Roof 1 - 1 r 7 =S _ ! .-) Other: i in 5 4,.....e . , , , v - e _ _ . - , / _ i---Y 4' 1 - 7 - - ( - - - a 141 s 7 J PASS PART FAI . PLUMBING 0-4< T - _3' Post & Beam �j Under Slab �'v( /�I) -1 - -- Rough-In Water Service F Sanitary Sewer 07 --------- L6-c - .� � e 1 Rain Drains Catch Basin / Manhole - — ,a 7 — -, __ - —�� ,� g.. Storm Drain _ Shower Pan _ ' - l ' ��-- Other: .-`�`- G�-- C�,c..� L�a-' ' 11 PASS PART FAIL f f �i G— '7 MECHANICA 1�v ./ Post & Beam 7 71- - ,1 Rough -In ' Gas Line Smoke Dampers . a�► PART • FAIL • TRIC AL Service Rough -In UG /Slab Low Voltage Fire Alarm - Final El Reinspection fee of $ required before next inspection. Pay.at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Q Unable to inspect - no access Fire Supply Line ADA / .77 f Approach/Sidewalk Date Inspect ®r _ Ed Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL RL'CEtVE[ civ TIGA D iri etilLONG DIV; ION 'A- 4-- 0 -- 2 k .•-•1 PPR* • :', ED _ _ I Isom A . , , 1 t , 1 • . /Lc/9 • ../. • r r; i 1 1 h 10 1 RE, S '''.,,i.,' •` ON , . .! . gOA/II:..5" ,eao , 4‘ 4 Smo■d: Terf croft_ . te.., ) ., .,, -"--'>■ '1-1 '''. . \ 1 WT , , 7 - ----- --, ‘, i 1 •••-i / E - 0_ 8 A k / 0 .. _ - - =i _ 1, / f . . \,,.. . ... ■ , . ' 1 ' i • (Di • . --... _..-.- , P111111111& - - 0 - 20 '17,_-____ - L- - . - op. .-..----- I Le 1 /7, 1 (1 e ._, 1 _.,.. _ . , 1 ED A a . 4ez._ t L- Ti CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: (503) 639 -4175 . _3 — 00/6,/ INSPECTION DIVISION Business Line: (503) 639-4171 /1-) / BUP Received l 3 2-4n D ate Requested ' — ` f 0 C AM PM BUP Location 1 3 2 0 Suite MEC Contact Person t6 ./ 1 v Ph 0 2G, PLM Contractor Ph ( ) SWR .BUILDING Tena Ow, =r ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal l Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL - Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART' FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. " '? 'ART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA l l Approach /Sidewalk Date 02 Ext Other: Final DO NOT REMOVE this iinspectio record fr m the Job site. PASS PART FAIL .1 .. ,. 'I .,1 ii il , ii -!- 1 -'t, , H L : - - IM -- aN, \\- gi\ -' v\k ) n (1- 14 - e-c-c)E- •%_ \-- ) 4 4 l',1 l' ( c10 Ci . , . . . , H CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639-4175 / <9/ INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested u - 2 Z AM PM BUP Location l 1 3 o -S 170 'f Suite MEC Contact Person Ph ( ) D - a — EL itt PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing • Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Roof Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final __PASS -- PART_FAIL— - � LECTRICAL. (/ - Service -` Rough -In UG /Slab Low Voltage Fire Alarm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Unable to inspect - no access Fire Supply Line A ) ' -- fl 3 J Approach/Sidewalk Date Ins p ector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART ' FAIL • CITY OF TIGARD 24 -Hour, BUILDING Inspection Line: (503) 639 -4175 MST 3- 00/G INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 — 1 -77 AM PM BUP Location l 1 3 ?- Suite MEC Contact Person a o _) Ph ( ) O ‘ ? PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ''O( SIT Post & Beam VA(/ kiS GA 1 ,0)\ 1 VI 5 Shear Anchors �2 Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • } Roof / q / 1 0 6 .-2(Win- 6 1/ io as /a- Other: Final Z Ho p oe n L ( S'c 4L' l.L PASS PART FAIL PLUMBING 3 /V0 G .c_rs -P.,1-2-- c cr.-Se/IL Post & Beam l Under Slab e '� C Rough-In `/ / Water Service d v Y'--S� i O jo 0 is 11 0 it 144 / die, � -7` f`-iY Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post-& Beam Rough -In Gas Line Smoke Dampers Final PASS PART �►IL ELECTRICAL Service Rough -In AC ? (� / p LowSlob I�O �L 1-G�l '. �' 1 q Cq�s-r �\ / 1, Low Voltage Fire Alarm Final F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART SITE ri Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date _ — 1 1 — ° _ Inspector. Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL 2 . • . . I, . . g L 1-\ L� LQ -0 . . .. . .... \ ONg,5 A (J, Ilan Le---) ( L kr c . . .. ___ _ .. . 1 . , ., 503 1 . . <1)17 `635-02 1 . G.irc - c...42.43-sta . _ . __ . . _........ _ . _ . vtech _ _ .- VTECH TELECOMMUNICATIONS LTD. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 dp 3 x-0 G . INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received I 2J 3: 37 /Me Requested i / 0 3 AM PM BUP Location 113 ZS Suite / . MEC Contact Person fi � ! l t � — f � { Ph ( 6 3 6 co - 2 7 ? PLM Contr L Ph SWR BU Tenant/Owner /DO rn % Yl l co I Q ELC g ELC Foundation Access: fey ai ,, 5e y c, Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ' / / /' Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall �� (,� y Fire Sprinkler ' Fire Alarm Susp'd Ceiling • Roof I Other: 1 / 2 'd ci C .� Final PART FAIL I BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line • Smoke Dampers .Final PASS PART FAIL ELECTRICAL Service - Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access +`A Fire Supply Line ADA �'Z — 3 —0 , Approach /Sidewalk Dat Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Lin elf/ 39 -4175 MST 3 6).!) INSPECTION DIVISION Business Lin BUP Received Date Requested / - — - A" PM BUP Location 1 / 3 a s 9e` Suite MEC Contact Person Ph (. ) 6,c1 D " g 6, q Y PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath /Shear N Framing /V l_.�_ AAYV Insulation Drywall Nailing Firewall - I Le Fire Sprinkler Fire Alarm , CL ,V ‘r-et v-■ VI/\ S Susp'd Ceiling. Roof the �� O ther: Final PASS PART FAIL C PLUMBING ) ' V Post & Beam Under Slab Rough -In Water Service Sanitary Sewer . Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In • UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access _Fire Supply Line 7/ d ADA Approach/Sidewalk Date f Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour 3 BUILDING Inspection Line: (503) 639 -4175 MST `, INSPECTION DIVISION Business Line: (503) 639 - 4171 2 BUP Received Date Requested — 36 AM PM BUP Location / f' 3 Suite MEC Contact Person Ph ( ) ‘2.0 –8 '/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: C. j/ ELR Crawl Drain �(/ Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Frami,• rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: WE 'ART FAIL PL ' MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL • MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final _ PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final. ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 7(3 ) ( Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OFTIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 "'0 INSPECTION DIVISION Business Line: (503) 639 -4171 • cy BUP Received Date Requested r ,, � ( AM PM BUP / ocati l / 3 °Z s �D / T " - Suite MEC Contact Person Ph ( ) 6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear r Framin • 700 be/Ag.4....:5 , WL S i/h47 Z 7 Z e sulation V4 ' Z Si l c/�s,.�7re— 1 l=L- --(2-- Z3� ' a Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART, FAI PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post-& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm • Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 7 � �� Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3-0 , INSPECTION DIVISION Business Line: (503) 639 -4171 d BUP Received Date Requested ' g3 AM PM BUP Location l r 3 ' Suite MEC Contact Person Ph ( ) 6'' - n g V PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall 1 "WSW% V V./ Fire Sprinkler C'ef.a/t j� F ire Alarm / ���)7 FIA %41. Susp'd Ceiling / Roof / Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin AS PART 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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date �" Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 - .aD 14 • INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 7 °� l AM PM BUP Location 444^-- Ite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner to a ---- 9 4 ( ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 6 )414 Us T ,,gnJ TO ,Exr C aaF JA-c.1( sulation Drywall Nailing A 1 - 50/6 - .5 A 3Ac -7 /a/4-4/ Firewall ' L E Fire Sprinkler Fire Alarm N 0 - Susp'd Ceiling Roof Other: Fin. PART FAIL BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam 'Rou -In as Smoke Dampers Final PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect – no access Fire Supply Line ADA �/ Approach /Sidewalk Date / Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour. • BUILDING • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST 3 - Od BUP Received Date Request 7 I AM PM BUP Location // 3A5 �d Suite MEC Contact Person Ph ( ) G a- ' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC ' Foundation Access: Ftg Crawl ELR Drain Drain Slab Inspection Note . SIT • Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Alf 1 t I I Fire Sprinkler Fire Alarm 1A/ Susp'd Ceiling / / Roof Other: — C77 . - Final PASS PART FAIL MBING ost & Beam Under Slab 'oug - • va er Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Oth • Final /ICAS PART 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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line , /" ADA D ate 1 Approach /Sidewalk ( 110 J 7 ) '( Inspector Ext Other: 111 Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour - BUILDING • Inspection Line • 39 -4175 MST 3-60/41 INSPECTION DIVISION Business Lin : ) 9 - 4171 BUP Received Date Requested 7— 7 AM C---.._ PM BUP Location /1 ZG � 7 al 140 77 " Suite MEC Contact Person DV/C.a Ph ( ) gbyi PLM Contractor Ph ( ) SWR BUILDING . Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam `� �` Shear Anchors 6 cn�� c 7 - _ / 1 • Ext Sheath/Shear Ulu►' l� Int Sheath/Shear Framing a \* I Insulation r 1,16.1A,/ A IL( Drywall Nailing a. - Firewall Fire Sprinkler Fire Alarm (:) C � C `��� _ f P f . Susp'd Ceiling Roof R-e- Other: ��� e1/\ L--(____ o Final q e___ PLUMB) - FAIV �S ��, r �` G.l� Post & Beam Cr � -- . Under Slab _ �� T "`- ug -n ater Service Sanitary Sewer W V _ ,�1"1® Rain Drains v Catch Basin / Manhol o (--t Storm Drain Shower Pan Other: ■ Final PASS V FAIL MECHA AL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date < �� Inspector v � __ Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD , 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 2 - ec , /6/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 6- 30 AM PM BUP Location 4 C__ s4 Suite MEC Contact Person / 1 30-6 Ph ( ) PLM Contractor d).<1•-CO Ph ( . ) eZ v — g'9 `( SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: • Ftg Drain ELR Crawl Drain Slab Inspection Notes: )U SIT Post & Beam Xr S- Shear Anchors � ayvt.k- e Shear Int Bath /Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Sus 'd Ceiling of er: Final PART PLUMBING Post & Beam • Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post-& Beam Rough -In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL • Service . Rough -In UG /Slab Low Voltage . Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Date G"° 1 — U Approach /Sidewalk Inspector Ent Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 0 MST 3- .° 6 )/C=.1 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP • Received Date Requested 6 - °Z'v AM PM BUP Location // 3/6 D' Jq-o €-- Suite MEC Contact Person 2 -� Ph ( ) _ 869 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: O � "`� ELC Ftg Drain • ELR Crawl Drain v Slab Inspection Notes: SIT Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Fi. PASS PART FAIL - ost at Be- • Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan / Other: Fi 410/ PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final • PASS PART FAIL ELECTRICAL Service Rough -In • UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / ) Approach /Sidewalk Date CJ / 2- b Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour " BUILDING Inspection Line: (503) 639 -4175 MST _ UO INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received Date Requested - equested Q � 1 AM PM BUP Location / ( 3 2-S qv t14- \ v'! - Suite MEC • Contact Person Ph ( ) 6d--0 - g61( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC. Foundation Access: 9 I y. e ',,I Ftg Drain ���iA��"��' ELR Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin ASRA FAIL / P UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer ram Catch in / Manhole Storm orm Drain Shower Pan Other: Fin PART FAIL ECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers -Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA /6 Approach /Sidewalk Da Ul / ! u Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL . CITY OF TIGARD 24 -Hour , BUILDING Inspection Line: (503) 639 -4175 MST 3 -e90/6/ INSPECTION DIVISION Business Liner (503) 639 -4171 //, '� BUP Received 1 / 7 7/2.- (1" /3 Date Requested AM 1 BUP Location 1/32.5 ,6e) l r A / r / � Suite MEC Contact Person Da�ii.2 C t'A Ph ( ) t 569y PLM / Contractor _ Ph ( ) SWR / `3 Tenant/Owner ELC / " 7 ELC Access: tg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ( / Drywall Nailing .��. ;r ;,— ,.�.,A ._ A 1 �� 1 �/I J Firewall I /,'' 1,� ! I Fire Sprinkler (/� J �l .0 Fire Alarm Susp'd Ceiling 4 1 r Roof //% iA ../ -2 i i a . C 1 I I i 4 AI . ,p_ t 1 / PART FAIL ■ / . e"--"' = ING Post : Beam _ Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL . Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line re ADA � Approach /Sidewalk Date ✓ I nspector y i Ext Other: / Final • DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL