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Permit IP �' MASTER PERMIT fird .1 CITY OF T I GA R D PERMIT #: MST2003 -00559 ��4� DEVELOPMENT SERVICES DATE ISSUED: 3/3/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11483 SW 90TH AVE PARCEL: 1S135DB -HP003 SUBDIVISION: HOFFMAN PART /MLP2003 -00015 ZONING: R -4.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: MAS22148 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,601 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 479 sf GARAGE: 419 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 10 VALUE: 204,531.70 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,080 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +am ps-1000 v: 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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,751.41 This permit is subject to the regulations contained in the HOFFMAN, MICHAEL LEWIS & CLARK HOMES HOFFMAN, M 24TH MICHAEL 16058 S. CLARK Tigard Municipal Code, State of OR. Specialty Codes and PORTLAND, OR 97210 OREGON CITY, OR 97045 all other applicable laws. All work will be done i 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 - 810 - 3300 Phone: 503 722 - 1182 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 77409 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall lnsp Insulation Insp Appr /Sdwlk lnsp Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final Issued B � G �� ' l i - Permittee Signature Y� : X. /6 " 1 , 2 * 14/..... Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • 200 10:51 FAX 5035981960 CITY- ,f1F T.IC•1RD C�ot)3 t h. 94) % at* -o0 , 6 llCat10I1 FOR OFFIC CE O ILY Building Permit AAA - : , -, . • Received. City of Tigard � °a'°'8 : I 0 4Ith. .: 1 t 1- UI -1:19 . 5-1 13125 SW Hall Blvd., Tigard, OR 97223 Other Pernik: )lm l LP�D� 3 -�p/ Phone: 503.639.4171 Fax: 503.598.1960 i L ' r -. ' ' Dale � R �uris: l�1 Sec n�taehed Cheeklir[ for lnspestion Line: 503.639.,4175 � `,4i 1 • 1 .1 Nol end erhod: supplements! Information Internet: www_ci.tigard.orus , I •!', Ir • a.. n II Ib• p�I1LY � ,.j.. _ .. . ,.. E "ING 1 �., 1 „ .I• " ^I P r ill ( I: 1 a d 1 i p I I I 11:. n d i i F I l ,. ..- l r I I {'II (I I p ,i' Jr 1l l l . l l ; ! .1:1ll l ..!,:•';i 1 I JI X 1��''n. i 't `,!, ,. :g l : :l. � � l Yl ~ � 6; i � P I Ir ,. .il i, _) l E , . . � � i�[ti I : ■'', I�..l1.il1, 1r J l .. I, I i:' 01, :,. I .. • performed. Permit fees arc barred on the value of the work Or New cons onstruction ❑ Demolition Indicate the value (rounded to the nearest dollar) of all equipment, materials. labor, overhead, and the profit for the ❑ Addition/alteration/replacement El Other: „ a ” work indicated on this application. . r :, a;:, : . , 1 , 4,,,J- y �� .i .1il il ji . ,!yi;.;h!l ,.1,∎1 .,t,. l. ∎Ei i!,, _,_ �f1.1I { ty, i i l }£'II[ �r4 :kPllli d „ „ ' , ",T T I f • . , ,� � , ,:hl0 ;. a ir�1 41= ��l l �d{ Il �illilCf� Ld IL.:• W ,. „!% bllo ,..ii: valuation: 'i I- and 2- family dwelling ❑ CommerciaVindustrial - - Number of bedrooms: ❑ Accessory building ❑ Multi- family �Z Number of bathrooms: s9 0 Master buildQ n',:r +:nl'i.r! :.r,.a pie Other: -, ,,,,, .:n,r,, ,(I�Ij�1rj4 ;'!i ?;;' 1 f' ;j,,l'j;?Lir, Number number of floors: `Z ti ' I IV it Il I r�l l l !',V ,ln. + R i u ! I 11 ittodk J.c t I �( f' I� I' ,p iii �•� Iep�� •y ry IN i iG A y1 . ril l . ;fir l �., ..'3� :.1" v r I ,. ii. .i0 it . i6',ai'II , � ; }i I , }I 777 .I 1 �. 1 _, l� 1 � �,. � - 11 i1 iiS rt'• ". inie �...,.. 11 �, .I +�� i i I i r 1 I , • r. s ., . New dwelling area: u� " �u square feet Job site address: l 14 $3 5 1.x.) �`�`` Garage/carport &ea: c} l square feet City/5tatelZlP: 'C - ltlZD L [ ZZ3 . j F ? , ' Covered porch area; ( square feet Suiterbldg.lapt no.: Project name: � IV I TJ O /V Cross street/directions to job site; ' '-`1- = c_ _ Deck Iffea: square feet Other structure area: square feet Subdi I Lot no.: Permit fees* are based on the value of the work performed. Indicate-the value (rounded to the nearest dollar) of all Tax map /parcel no -: .4 1 3 S D PARee L 3 equipment, materials, labor, overhead, and the profit for the y, .'ii :,I.r: '�:b. ",. I•,I�;, . ;;,lyua� :II "':I'r,�, ' 7 iil_ °I:i;i,;!:ai: 7 . 1 1,1:, ,I;, work indicated on this application. L'n , 115 I ' i l ; r :A.: !`l ' q' i r l .;i0 :''r r p p I r7 w r, f, t ran, .;,, l .1,.1 :1: ,.ire, !I da i,, , . L1 :,, I. .4 ,.: , - ll,r,d �.I �, .•" i y IJ. i,..),:.u,knL, �,.. � Valuation: $ _ Existing building area: square feet New building area; square feet ! ,w:.�- ' mifM1 :''4rrl:,o,�; " l''�I "i i(;`�I !; rLJ': 't t!. U II:• i l i {:rl }'J ^r_':: lit i' - Ii,"� i �'w r r.i r xil I ' a ..i i i ! . r !i • ,,. ,. "+ I, i I r I' N umber of stories: r !till I i t., I' , . 'l� Fi,A!?7`,;..:..7 °T' !;. i i :hit, p, 1; Ii,'01 .., ° } 04, ! .k '7 v n' ill . Name: Ik/(104AEL 14OGFM 1 Type of construction: . Address: 1 22: (.4.) 2-4' Occupancy groups: City/State/ZIP: i TLM Y7Z 10 Existing: Phone: ( ,?j) ( ) , 7 -4 I b 00 Fax: .� SO Neu: l ua ? , a i;' 11 T i' n •r n .. octal.• .1 •'. );, :r' I i k >, a. o ,Meow, 'It I ', , :M4 "I J . ..r:. ,,,,,f I,I ! ' h 1' ,J� : f F .. >r : S � , e � ;a 1. ; :,�! a °i : . l� : 9 (♦• rr� , r. Q ° "f t i I�i1.. .,� i .1 � , � ^. a '' • i i':: ' t .l � w II:: •'4W �• .I. ��•� v a. � ,l I t if, pl :h�r y i �-i �i�la,�- ,. <d�;�r .rn ,.S i�, I '� i. .....,.....11 .a1:. �i'�� :' �� 'r'�'�1�' ^ "i ❑ Yr' ��, ,�yJi . �ili . +r � ^ '�i {. : ;0-4'0 i, :�!'a :dY.�� e�Gr.'.r .� I � '�i f 1: i , • �a :`fS� :� „Jiv :,s ..�- :,' :iji.'...' � � � ,'�: �l� '::'.a.. nl ,� l Business Hams; All contractors and subcontractors arc required t0be 7 licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 .and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the /� applicant is exempt from licensing, the following reasons City /State/ZIP: D 1 a pp l y' Phone: ( • ) , I Fax: : ( ) • E- mail:, �n ' • • y a :- f n . r ",,�.:. 1i rnrtlf :.�Ii :rwnuga• I�•dn•' I �rN xl ,yia; +'11 { l "iy : : i ] ' i�, l^�- �91 17 e;` :.'ili�'i ��• "'� • l,Fi.%wli i t ,4;f A l'l l-�r� J , rl i i• � i� i ll ,I I, I � I , r , i ! .,.h i J t a a,.`a , i N ,rI.I I 4 i,40 'J a 1 , r r �x , ;- at l�, 4 !N,. „„41 : -0 r il ...:',;• ,. ,tmo!^I':1 - . 7 h ll i'.• }, 1 . :. Ir. tl �l'lilalk ll „ , c... •;J$Ilti,il 7. a� C.:). I ■ f i��" t'P -1-1 -" C �j /� . 1L * I I1vl i p �tr�C�l I ! � /4 .� q' I 9 I ' 1 II I � Bl7 � ! ��•+� .. r i fis $itSlnr.55 name: �.PiL`��• .ti ...,li, Address pT� ` SM/L� 7 - Please refer to fee schedule r + o- City/State/21P: �� Aryy , f 27Q1/� Fees due upon application Phone: (, . ) 7,, a Fax ': ( ) £� Amount received CCB lie.: , " '7 v — D ate received: Authorized' signature: ; This permit application expires if a permii.lS not obtained within 180 days after It has been acccptel as complete- . L Print name : v j,i -t j Date: /� . 3_, —0 3 , ° Fee methodology set by Tri -County Building Industry (i / //% '` J Service Board. ::l@wld ep�P amicasuv- PmfIQrAPPd0C 17109 4.1D-oeisr iuinicovinve11) . ding Fixtures 5k) R a 03� . a d 4 ./O, Plumbing Permit Application t FOR. OFFICE: USE ONLY - ' City Of T1 Date/By: Permit No.: ✓1/1 aolv33 �s 13125 SW Hall ll Blvd., Tigard, OR 9722:1 Elan Review I vv (� Phone: 503.639.4171 Fax: 503.598.1960 /� ti i o i hateBy: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 '.!J ill I! . Date Ready /By: Juris: Et See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information www.ci.tigard.or.us 'I o-_z':.ypasr,.aa , ): ; ' .'��xt r4 . ., „,a �, y , wa .+a- � ,vars�v, �. ;A�" i - t�.,,...�-�h k:E'� -�z�, �j " , l '' 3 " 6 i;: Pft ,=.", "�'F1 i,d"`?}�ri a �� r th,? ° i 4�'t 7fif fi .kx d * ;. r "n, 1 3�3 r „_ , . , ,:4140g ,' -' $ ati a . i 0 , TYP -E< 0,4, W ORK ;1? ` 6 c { r a .A a a i .. FEE '11 SCHEDUL i" '�, �� .. " « F r`a�e=t�'u .�� , » ce4- mr6..da1�u -s, aSs?ra ,...� .:._. '* r�,. ! �. : z� �. 5. �: .'.,;, �. ^G.k `.. "'�t��ii� ��=r ... ��S^t is s« ,v a. : . � �s �� . .. =ai t . � .t - ...,.. ;. - r, , n : , 1 For special information use checklist. gj New construction ❑Demolition Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: � New 1-2-family dwellings (includes 100 ft. for each utility connection) ,. { =x ,`,' -ary . T.; _,& . >'. :�ts�r�42R?x = §a�::1 � z. N: a ;sq��,:ais�.5 » i,�_: ,:�£�' : {�alv' irk , ° •I. u;,�,:�F' t Y M` 7" rCA OF ,t� : SF (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ',i &",.;: k7;;i.4xwk. . +r'„ rv� _.,* m3i: W' a.:: r' W ,. a ;s s.,::as::, y t:'ti.v, :5k ..;» „;�; srn`�.: : , : s '" �'� ".,GixaxTr: T a `4 �, JOBxSI E T AND =I OC A T ION ,� ��, ' a •' Si te utilities � ^n s; ,, ,aa• -:=1"I ` 5 4,. ' R' u.,N c �. ,4m,3 4;,,41 -.;. :.2 3 1%la . 8. ' , "+'0A 4 u Job site address:: I I 4 8 3 yw 9O $' +l Catch basin or area drain 16.60 ' City/State /ZIP: T ( {Lb '7 24.3 ( , Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: oF AAA '9 -rt-rt v / Footing drain (no. linear ft.: ) Page 2 I Manufactured home utilities 110.00 Cross street/directions to job site: G Qa, Manholes 16.60 Rain drain connector _ 16:604, ' - 1 r Sanitary sewer (no. linear ft.: ) Page 2 ' Storm sewer (no. linear ft.: ) Page 2 Subdivision: . Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.( 3 5 p 3 'P/�r(ZCE 3 _ Absorption valve ��. , � Z }� ,� �� r�� -� �� -' �,'C �,. fit A b orpt' 16.60 P ' °' ? A DESCRIYTION� OFtWORK� , � r _ Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 4 Dishwasher 16.60 ' € °PROPER+ OWNER a ® f. ANT41 I4 Drinking fountain 16.60 ..,. „� , Ejectors /sump 16,60 Name: M (,4AEL �O Frr1V� I Expansion tank 16.60 Address: 124,.3 N '�" ' w � 4 ' Fixture /sewer cap 16.60 City/State/ZIP: p r sus› a7 Zt O . Floor drain /floor sink/hub 16.60 Phone: (9)3) 11 le) • .3 ?job Fax: ( ) S vi. 4 SO I Garbage disposal 16.60 n ..j , c° ^;r >r :, a -;. . ,.; : ,:a E.: '< ,`' , „ _ a; -=a: ;a ,,, ,, n ea ,9 Hose bib 16.60 �t 1 r ' APPLI,0 ` 1 . ' , ' .01 0 4 Ya.= .u, - -: .. ..... - mow.: R, r:�c ^s.'� Q »a�.,.,,_a:ro�w r.. �,6 g„»..,.,.�a, .5�: ,firers . -.:. >- ,: �` °� ``- lee maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 . P �_ r;: ^�,.�s s '.$ "i:.. , .�3�., „�;.x >:��. =. 4xd?, ��i >;.-- a�'- w =- _S'.�a . ''z^�'h •� zi,;*�'. a: yz.;•..:�RS;,:w�};"k`�: =..:u 4.10,0 �., .- r' "CONTRACTOR i rs I < " t t ;l.:1 , Avewa _.tipewi,.:,0 F�k,o > , = - e...q,..=. „.,, 4. „. ' .. 1' , k. , ,s :ex. Water closet 16.60 Business name: T S l U .tnn � tv>c� Water heater 16,60 Address: �tt Net); Other C �, wl►�(A ( Subtotal City /State /ZIP: P ® t ,- ' -! a0c i '7)4(1 Minimum permit fee: $72.50 Phone: ( ) 5' 3 9 4 in() Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: 3 ( cl 8 Plumbing Lic. no.: 126 ;( •),..l{p Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: Met .1 6 l a TOTAL PERMIT FEE ' Print name: �r (% ✓/ a�' Date: t t_ O 3 This permit application expires if a permit is not obtained within CJ /� 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i :\Building\Permiis\PLMF- PermitA p.doc 12/03 440- 4616T(10 /02/COM/WEB) i s Plumbing Permit Application - City of Tigard . , • Page 2 - Supplemental Information •l Fee Schedule: Residential Fire Suppression Systems: ._ ? ',�._ �,.,,r„; .. , :YfaV a„ cer m 't ! , 3 i ;o i, ,_ ,, ` N..: .,, ;, :,, ': 'k" �d^}V!,: "a';�:d4A;i1M, .,.` .. • _. •• - „ a �A ; , ee t"e Totel S U are f�+'oota e. � 'I peru111t; Fee g,,;,„ ><t ,..� �, �� ... , � .� ��.� Q� � ' � ? ., �� ,� ti.� n tq, g :� � �: v � . _ .� 1 , � . _ _ _ 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 i;,; -Y�l :; zi;:� t "' » c. x a„ ;- n;i C1,::'; 1 Ya l u at Qn ¢, :. ?, 4 - .P er m it` F e ;x e .. ,...� , 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 z' e additional $100.00 or fraction thereof, to and F><xture o rItem� , Xv,r .. ,Q r �„� a9 �° tal �n , 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 ‘,.___t 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 each additional $100.00 or fraction thereof, to Inspection of existing plumbing or - I and including $50,000.00. - specially requested inspections -per hour 72.50 $50,001'.0 an up t • $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. f I C Fixture Work: ? , . \Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Fajure to accurately report fixtures could result in increased sewer fees * . N 2" Q uantt b ►xtpre) Wo Perfo iiii 1 Frztu> T P .Rg a� 14 R�. , ` �.. r R `i A , e i , , : ,,, M iit e .pe , d Comments regarding fixture work: Baptistry/Font . it ' Bath - Tub /Shower - Jacuzzi/Whirlpool 1 Car Wash -Each Stall ' . _ • • -Drive Thru 1 Cuspidor /Water Aspirator ' • Dishwasher - Commercial y 2 -Domestic - . Drinking Fountain • • Eye Wash Floor Drain /sink - 2" - 3 „ Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach. /Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Isometric or riser diagram is required if fixture quantity - Commercial total is >9. - Service Swimming Pool Filter Washer - Clothes Water - Extractor Plan Review • Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal • Other Fixtures: is \ Building \Permits\PLM- PernutApp.doc 3/03 S ' s w 2aaa3- a o - Electrical Permit Application '; `- . • FOR.OFFIC �' • City of Tigard Received Date/By: ermit No.: 1363 13125 SW Hall Blvd., Tigard, OR 97223 y g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 _idyl. II, "� r� Date/B : Other Permit: Inspection Line: 503.639.4175 ._idyl 1± Date Ready /By: furls: 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 1,e5% °, ; �} 1 ;;9:, s n - .. s, ,.,.. v�r. s wns7"x +"_ - - .1/, ;. ,..�,� -, ?;* _, a .< " TYPE " WOR "' 3 s , , , l :i }� w> *,a ''," } m �, ' ' za, w�...,,,_ ��t��- �:��„�at,��,��r�.�. ,.- .,..:3 ..., �_;. },. �. ' �n.r:::. �_��._�1� t, 1•10•1,4!a:-:-.,•:•:. L�A,,REV�IEW�, r ` • gi New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location t , , k ,- .,� ,,, ,,, ABU _� , ,,,,_ ,, , "e ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ,,i,,ia ., "� i:. M ' i ` QA1PE'GORX- OF,, CONS R" , TI ., 4. .g' g i ' , ,' lit ; i , « _�, } ,.��:�� .,,,��t,iss �i,,� e � „�, LI.0 O �:1,.;,� ? , ,,,.�;,,;. , "��, , of 1 -and 2 family dwellings 4 or more new residential .., �s � "es;��- & !a"s : *. �m�s�b� ,a!ia ��M�rs,.,..:.�:«...t�...u, „.- sue,.,,.., a.'`�rs,a- t�»��k, g 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories EFeeders, 490 amps or more µ, _,y „ Master " , , ;, , ,- ❑Occupant load over 99 persons ❑Manufactured structures or V,, <.,J' ,, m�,:ya9t"r,s � >`;'s 3y� �ait'k '..fi - p'jf( F>' : t r` ,'a5.r*a'r3a'. ,p S . c., Y' : ? � '}'-' ktii; : "i''4� " ! " ...,..klt s' 'tr x.e JO STTE '�IN FOR MA T ION AN OC'ATI®N " Vii 3 „" „ ❑Eg ress /lightin p RV park ❑Health -care facility GOther: Job no.: Job site address: 141S v{,(j Submit 2 sets of plans with any of the above. City /State /ZIP: "", I ‘ ,„ te . a , 17 22-3 The above are not applicable to temporary construction service. Ut 't'IO t awt�� i s , Suite/bldg. /apt. no.: Project name: 1- „Fri►In„w 2,4,.,-17 too %) ;SCHEI),IlLE x „ .r „ , ** Description Qt) I Fee. Total Cross street/directions to job site: aN g am New residential single- or multi- family dwelling unit. Includes attached garage. i 1,000 sq. ft. or less 145.15 i 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 DI3 Tax map /parcel no.: I S 13 ' ..+ .e &L 3 Limited energy, residential 75.00 2 ;, °; °,;: kn -;,u f.FaS .f :" ,. „; ; ,, ...,xE;: : :I;t:r,.. Limited energy, non- residential 75.00 2 'Fr : a ';' r "` : �:. . `v s. D4:*tTION 0 WORK 4 u a d ; z ,�.,.��.��e_ n �E:,,t. �., ._�w�� _� as �r`�. Each manufactured or modular dwelling, service and /or feeder I 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 m ai l : ,r_ t. > " '. >. . , i :; aw. , . ,,;,., ,. . ,t:. ',-- -'., . , ,, ,n: 201 amps to 400 amps ' ilt.,t.E - PROPERTY OWNER a r, i .t 1, i ; `,,ul rTEiVANT ` ,`.` s.. . ° P P 106.85 2 "" 401 amps to 600 amps 160.60 2 Name: Ml cl Itorrivm 601 amps to 1,000 amps 240.60 2 Address: 13 2 3 m 9 .4 5. Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: 20 (ZZ (pthji) l'7 II ) Temporary services or feeders installation, alteration, and /or Phone: ( 3) ' 10 3 Fax: ( ) z7.• 4 $ I 200 a 2 a mmps p 45 or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel '1>: ' " l 4 ° rIWI IVIW � l t"� ° `C ONTAQT fT MLIgt ,` A Fee for branch circuits with ..: ��- �° n a,r 1 r ..., > ,� , �, a +. - , service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 , 2 City/State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - l ;'.. &r.", sn3J.' `- ikk'�k,;.: ., ir4„ti:•s- .�.: « - ...,, +jY,'s:: T «- -,� €a"'�^I'a±. +.• "'- '•1"i� �a3 C ='.°.:. =;rF:'r:S ., nt :.x ", .` of CC?N'T�iiACTOR_:_ .. , ...:t .,...<...,' 1l ..:. ^ =« i.,,� << ';}.., energy Panel, alteration, or extension. Describe: Page 2 2 Business name: L.,i 424 j y � Each additional inspection over allowable in any of the above Address: J7gt9T - o Per inspection 62.50 City/State /ZIP: 0,0 C X I 1 Investigation per hour (i hr min) 62.50 Phone: ( � 3 pei Fax: ( ) Industrial plant per hour 73.75 =1' ' { , E_ LECTRICAL_ PERMIT „FEES* „:, 1 >' CCB Lic.:.9'07-7 Electrical Lic.:3 - "se. Suprv. Lic.:i/5 Subtotal Suprv. Electrician signature, required: (�(nr,4 Plan review (25% of permit fee) Print name: 'RA ( t. � V a't ) Date: * - - State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: / _ S / , I , . This permit application expires if a permit is not obtained within 180 C 1 days after it has been accepted as complete Print name: j _ ` c2e Date: ; - 3- 04 * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. 1:\ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED) ENERGY PERMIT FEES: e„ � p � k ,N�'a y � 1 a L � � � +� a3 ;; $7.ffi N,TIAL WO* 0INLV M =. �,.. ,.., ..,_ ,. Fee for all residential systems combined ... $75.00 Check Type of Work Involved: • Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* . ❑ Heating, Ventilation and Air Conditioning System* • • r L j Vacuum Systems* ❑ Other: NC O _.v o _ r.RCft- WORK ONL , v , . Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls , ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑' Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pemtits\ELC- PermitApp.doc 04/03 5 W 04 3 D5 Mechanical Permit Application - FOR OFFICE USE ONLY- , City of Tigard Received y: Permit No. S13-- iST��3 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /GYliµr l ( A\ Date/13y: Other Permit: "'1Ptd41 Inspection Line: 503.639.4175 Date Ready /By: Juris: See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . e ;�.. „,...,., :.. ° -. ,,.r >.:... ... ,, ... a r'-'ai. Yf.i",.��•. :,rZtl::p - R; k, . .-isr,L:: .c4sa,t'§: « >.}ISSS�:.. �: 1. ..h. } a s.c . k"=P_k,.n,,u,,. ,�.4ty�.: :. . ' r: ,tr ^' ,' �& ;,4,,, :i;kr's` " - ° =•R _ e - - -g.Y.= , .rya..: :.A`>f., ,°6 -'^;, 4 r, p , �. ,,, ..a.: ",'n'r :+,£ ' r,4 :: . . =14: ',�4�f�,' n p . t "` °i t .,^ " ' tk" w l [t Tl'PEI WO RK 11 r k � : " F 1R1 ?1, �;. 1 C OMMERCIAL 1F,EE,* S T , ST y v*, .. »�.�f:v 1�S .�. -x�M �si'FY��ft� /,rz s_Nn1'vka:�k `NSL b.w.r�e9.., a. ..�,1n,' .e_ _, �L:�ta .i,_� � 8<.. �.:.. �- ,sr ..a rl .,:'. f..�PCn.�.n � .msr �. s=N I✓ .4 . ,., e +a tr - x � . [g] New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. :;z ; ;: ," Value: $ 1j -'' # es l I` II her edai editi OE eaSTRUCTIQNl„ a g .,f4%-'1 :2�m, �it,,;ok4tt 1 r-"„� ?r_, a>a,�»m k., ,,,,,'i6.., ;,,,,,,.,< ....r, .. .,a« - a ,emu..-. ✓.. ,,pli„ , r -..f Ex, , a•,,gp ,,,, * , 1 - ,m = • �s. .'s.;'- . 4 - 'RESIDEN. TIAL ' --EQUIPMENT /`SVSTEMS 'FEE . S* pg I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total _: '",>!�y "3tY`'yti f >�S, �i,:t�Y'(�:C3:lua w- t , .epflt5 r- .w5 }I:C:. :`?'SSsaki4 , is .11,e"siP4. i :n5!s. d >.S'R.. z % 4.. ,�4ii, "� :' , 3 qn .. ,-4,,s_r, a-{„ i '"'';:, TI `:.a.N ,-,f.,,. �,)r:JOBSITE. IO AND LOCH O k �y:a,: Heati , 4 ng /cooling ',+ .`d:��:K.� � `YCm. t'�� a`* x#. � , d , Job site address: I i 4 ? .3 5 W 901'• Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: -It 9712; Furnace 100,000 BTU (ducts /vents) 14.00 �f Furnace 100,000+ BTU (ducts /vents) 17.90 ' Suite/bldg. /apt. no.: Project name: 1 ►t/ FFMAN a TIT VN Gas heat pump 14.00 Cross street/directions to job site: G RF ENR,l?1� Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: 1 5 i 3s- b 13 PALCE L 3 Other fuel appliances - ;•M ' Vi Y,'�a <rvl�.. a,��%s,��;:m. ��,x. ,:fi �i<rs� *:,++�" =_ �� =e�'�ac�EY�'�s�:e: ;N C" ,.:a „_ �.,. . ,µv ,.,�yu. � �� - ILI 1, Water heater 10.00 M "'v t c , tt t , . fit€ "F DES, RII'TION OF;,WORK t r . ,1. Aa.�..�§ �,.ea..� a'�,.. �. �s .�. ...: -. *, �sx.,�. A.� ,��, s�e ama� �: , �„��. .,� ." , Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 re , < t ii a r : - a.. s g , m t.. ,, *, �,.: r : ::,,, ,,:� ;t � � -a Chimney /liner /flue /vent 10.00 � , .r� PROPERT ®W.. , ,,• , ' �i'� � He ,� v, :Nam- TE .: ", sek� --- e €.�,..� t _ � _,�, a �.. ��-� >«_ cr, _ .,,� .... u'm�s�.xR *�' - �>�,�.,,.N Other: 10.00 , Name: M 1C 14 AU- NOFFMhN Environmental exhaust and ventilation Range hood /other kitchen Address: 1 2 Z 3 Nw 24*. 4.5 equipment 10.00 City/State/ZIP: tZ Z T Aut, Of 2.. 10 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (D') g 1 0 _3300 Fax: ( ) '8.21 - 4 501 toilet compartments, utility rooms) 6.80 ,,:.f r - -,°_� ; .::. l;., i t Ii ; ,,_.' 1 i . �. w-,-: E •r r w fans �; �;. �r� � " "� �� ;"t 't � ` � �.: ° *� Attic /c a lspace f s 10.00 ikkdIVIZI,'W,. ,, ;, t .APPLICANT sl. , . ' ',. ® C ONTACT: PERSQi64n, . , ,,, �. Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater • Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range `- '; = °tea:; 3. ice_ ;. ,, ' z '.z .co; : hifT ve uu :iP "`:t ` ^s 5 t ' j iF ; ;°�+ s�- asp` ` KFI:i� n.t`i,=i:'vl' � " W Th 0.42 .: ,, r a� ;; CO N T RAG/ T U R , ,.'A, .. e , ',` :A*46,, _. � =g� ... �?i.T *, Barbecue Clothes dryer (gas) Business name: . /We I - 1 / - �� Other: L 1 �I ■ C . O 1H�;r °.�k; jJ �a��m'd:� 1i9.... , t +§ ...... _ .- - _- ,..... Address: l 5 o S„ l 2 Z l ri-O ;; i , ' ' a ME6 - ifaf z,iiii VITT FEES* City / State/ZIP: C 0.01 ,�j Subtotal ) Phone: ( )/ t� ^� O l Fax: ( ) Minimum permit fee ($72.50) tP �.� co �} 1 3 Plan review (25% of permit fee) CCB lic.: ZSI R bill f 4 l; ( 3 State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signatur days after it has been accepted as complete. Print name: Date: '9 E1 * Fee methodology set by Tri- County Building Industry Service Board • i'\Building\Permits \MEC- ermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: ,. �, g �� ", �,. i�a5�&fi:; ". °��E >:s;. . �, ,` .�' Ty. Y ; +L� ` ota fi $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. ; $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and . $1.25 for each additional $100.00 or fraction thereof, to and including • $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 a) — 00 4 INSPECTION DIVISION Business Line: (503) 639-4171 BUP l� r / Received //Z 0 - ? Date Requested 3 - / 5 - v 9( BUP Location 11 ��3 90 Suite / � MEC Contact Person -% ! J %%i 'h ( ) Ci - 3UU PLM Contractor Ph ( ) SWR UILDI N Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR ,sSa raw r 6 Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing - Insulation Drywall Nailing J, 96 b Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: SS PART FAIL BING Post & Beam Under Slab Rough -In Wa -r Se • - Rain Drains - Ca :asin / Manhole Storm Drain Shower Pan Other: ) Final A S PART FAIL CHANICAL Post & Beam • "Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please c- II for reinspection RE: Ei Unable to inspect — no access Fire Supply Line ADA A 0 1 (2 pproach /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 MSTal 603 -ea INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received �+ Date Requested tO - a AM PM BUP 0 Location f / 3 ci co Suite MEC Contact Person ( ) gl U — 33 00 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain / ELR Crawl Drain Slab Inspectio es: 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: 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: ii. W 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 1 / Approach/Sidewalk Date I V Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING y Inspection Line: (503) 639 -4175 MST 3 - mac • INSPECTION DIVISION Business Line: (503) 639 -4171 BUP _ / Received Date Requested V2 2 / �� AM PM BUP Location / (Cl / g3 d ' f("`-� Suite MEC _ Contact Person i? ),...,C< a O Ph ( ) g/ d' — 33? 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 r 5 0 (� . L-1, J _ `(1 Framing Q �l NW 2 Insulation ! 29 , g° 6v T....a-,N S J \ „�, . 2 y bo Drywall Nailing ?D lx y , Firewall \ R / 3 r " `) - VV i 45 ° �� Fire Sprinkler � �'r v" �� ' Fire Alarm Susp'd Ceiling .Roof Lo yr - 1 1 k\-1.-- i V\ 'CWiAlta 19 Other: ^� Final NVG `- ‘213 F F v �- z Ue_ PASS PART FAIL UMBI Post & Beam Under Slab Rough -In Water Service Sanitary Sewer '"Rain Drains Catch Basin / Manhole Storm Drain Shower Pan , I1°7 ( S PART illialTh 'MECHANICAL - = :QT - Post & Beam Rough -In Gas Line Smoke Dampers Final PAS _ RT FAIL ECTRIC L .• : °;=, , ervice 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. SITE , _ ;9, - El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA -0 Approach/Sidewalk Date ‘ . 22 " 0 q - Inspector t-k 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 0 —0c)515 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received (1-5 Date Requested - 10 AM PM BUP Location / ( 3 v Suite MEC Contact Person t Ph ( ) 8/6 -3366 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access. Ftg Drain - / C ELR Crawl Drain Slab Inspec % r n Notes SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal I 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 Stor in ower Pan Other: 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: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date I I Inspector Ext Other: Final DO N • T REMOVE this inspection record from the job site. PASS PART FAIL GI 1 Y OF TIGARD 24 -Hour BUILDING , , Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 3 -OQS3 ? BUP Received Date Requested a AM `� PM BUP Location 1 { LE 3 '70 W- Suite MEC Contact Person Ph ( ) SID PLM Contracpr Ph ( ) SWR UILDIN Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain - - ' frt-<4 d . ._, ELR Crawl Drain , Slab Inspection Notes: SIT Post & Beam 1' Shear Anchors E.. -- 1 nt She. Shea 3% ) `2 Cr I f 7 " 4� Framing a 1� Insulation OK. `� O 6N A-14,16 -y1�+ Drywall Nailing �� i Firewall Fire Sprinkler - Fire Alarm X p� b� �" Z �^ a P r ],( Susp'd Celli U �` Y LI 1 ''+a Roof O L I O CAVE, 1 4- c-1r1P6 st P . r Other: 1 / Final - i 'ASS _PART FAIL ' - U MI ' 'Post & Beam ,Under Slab sough -I CflV0 : CAN Sanitary Sewer" Rain Drains N. Catch Basin / : nhole CON) A i to*. S (9 0 1 6F-F- ® 0 V 6E FtiL Storm Drain 1 ,, Shower P. �V 1 LG^ U t� I� d 0 _4_,A._.........- Oth 0 _4_,A._.........- 9 1 Fir. -. �t� 14 1 'L) 3' _ %0C Po .— ` l Qcsivrew - 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 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA 1� Q Approach/Sidewalk Date 0 Inspector � - VV r � �J L 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 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3 ` 2 -2-- A PM BUP Location /14-/g3 "D Suite MEC Contact Person Ph ( ) F/D ~3 0O PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: / ' Ftg Drain / ELR Crawl Srawl Drain /� Slab Inspection q.�`e 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: Final PASS PART FAIL PLUMBING — t &Bear Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final dip 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: ❑ 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 � 60 .3 --66 R- 55 7 INSPECTION DIVISION Business Line: (503) 639 -4171 ,/ BUP Received /I Date Requested �c - `f AM PM BUP A ,,, = Location If ,, `' C) �1 Q 3 2 �"�-� Suite MEC Contact Person ui Ph ( ) Qr - 13 360 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 Framing .. - �. _ t� �, - i r5 Insulation Drywall Nailing � C 1 CC, f -c ` r a G - � - Fi rewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PASS PART FAIL • • r KING 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 Approach /Sidewalk Date — � Inspector /45 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 c c �" INSPECTION DIVISION Business Line: (50 • . 9 -4171 BUP Received Date Requested 6 ' AM PM BUP r Location / / -( g3 � f D ` Suite MEC Contact Person 7 � - P Q ( ) 6 I o -33O PLM Contractor Ph ( ) SWR BUILDING -- Tenant/Owner ELC Footing Foundation Access: - ok ELC �� Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear ,► - Framing i _ a r �s Insulation 2 T P v� EC=, Drywall Nailing I �� , Firewall or • Fire Sprinkler — =� ■ — - Fire Alarm ,� Pe r / Susp'd Ceiling Roof Oth na (°h ASS 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 4 PART FAIL RIC AL -- Service Rough -In UG /Slab Low Voltage Fire Alarm Final LI Reinspection fee of $ required before next' spection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: / E Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection recor rom the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • BUILDING. Inspection Line: (503 175 MST 3 -OV sS' INSPECTION DIVISION Business Line: (51 / Z 171 BUP Received Date Requested 4/1.---g- 7 AM PM BUP Location I / ' 0 3 ')`-' Suite MEC Contact Person Ph ( ) ?l v ' 33 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain -S a Inspection Notes: SIT most & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear 5 -014 P cga G Drywall Nailing Firewall s 1 � " " :A } f Fire Sprinkler Pr 4 � Fire Alarm Susp'd Ceiling Roof . /,s,, . / /t:•f' �• :�� / R Other: �� . ..� ► ►_.' _� - O� �i�71 ' d rte' =1NG . w j/7 Post & Beam Under Slab Rough -In /�'� `- T-0 2) v /R Water Service / �-C/ Sanitary Sewer Rain Drains Catch Basin / Manhole Pf //J (MA-10a") Pave Lt, l �• �„ Storm Drain Shower Pan � �P E43 d cer(.' ,c /A+-IL_ 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 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: E Unable to inspect — no access Fire Supply Line ADA '' Approach/Sidewalk Date q/ 2 ) 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 - ® �'C ] INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Reques ed° AM PM BUP 1 Location //q 83 yo Suite MEC Contact Person - - -e-/ Ph ( ) / 330 0 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 C ` c.A -L 4) v�� ( < 4---2_6 — a 4- q..\/, in Insu ation �,,� / S � a' Drywall Nailing ' ' "' " Firewall /2,e,f4--1 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof . .. J,s -cr - - Other: - - J Final ✓ fa G ?fz�ir�' e�IGyn� ! — J ;it" _ $ PASS PART FM PLUMBING 1� _ - . • U.: S T - <ito t C. Post & Beam Under Slab !/ S7 -"- - Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: • Final PASS PART FAIL MECHANICAL Post & Beam Gas Line Smoke Dampers F' PAS PART FAIL CTRI 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 LI Please call for reinspection RE: _ Q Unable to inspect - no access Fire Supply Line ADA M �� 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 - 64 4 57.5 - 1 q INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received I J r Date Requested Z71 Z AM PM BUP Location (/ 7 � 83 ?0°1 Suite MEC Contact Person ' / l Ph ( ) !S lh ' 3,3 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 O ST Insulation / ) Drywall Nailing _ c ' Firewall e f= dS Fire Sprinkler Fire Alarm Susp'd Ceiling t �� • r ` 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 as Lin Smoke D mpers PASS PART 10 E RIC AL 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 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 Line: (503) 639 -4175 3-bv s-s- INSPECTION DIVISION Business Line: (503) 639 -4171 (2 P Received Date Requested / _ d AM 1 PM BUP Location // L/83 ?O - Suite MEC Contact Person Ph ( ) g D 3.3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC -.oting ELC F. ndation Access: , ` o � v'�p f Ft. Drain ELR Cra .I Drain Slab Inspection Notes: SIT Post & :earn Shear A ch., s Ex Sheat -h-. heat N C LLit;\,.....P '�\ -( '° � I V �I � 1 o Framing Insulatio `T`' S Drywall; ailing Firewa,+ �� Fire S%�rinkler %-,1," > Fire '!arm 5.)6A t 3 - IJ 31-N-5A Q__ ._,)---- ylC__ t Sus- d Ceiling Roof . Other: Mb Final LA) \ wJ PASS PART FAIL 2 a 1 ( I ■ __ �J 0 PLUMBING _ Post & Beam ( -5) t/� �f ,�\ CS---v-4 Under Slab Rough -In 6,) 4,....) '° i ,, - P V 11 u n - "'��t Q_/ Water Service Sanitary Sewer o , Rain Drains s Catch Basin / Manhole S 4 — 5 Storm Drain Shower Pan `, . ° Ct r 131-11 5- 0 CO_ Other: Final V ! ■O `-°`/o -Fe PASS PART FAIL MECHANICAL ) S �� ®� ° Post .. - ou•h -I. S t—T- Gas Line • Smoke Dampers Final NJ el L-see--e. ( PASS PART AIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 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 Approach /Sidewalk Date 4/ ° I nspector 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 - o 5 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested q--a0 AM L- PM BUP Location I 1 14 g3 9 ' Qi4,L. - Suite MEC Contact Person Ph ( ) SID " 33 00 PLM Contractor Ph ( ) SWR UILDIN7 Tenant/Owner ELC Footing Foundation ELC Access: Ft Drain 9 d ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors E .4 _ - z - - • - 4 nt She- Shea 3 I0 12 G- C� 1 vv61� pga Insulation 0 N n �] ; Pf aTT+ Drywall Nailing (� "-� Firewall v �R Fire Sprinkler j ►j Fire Alarm ( Al f% 4 bc11- Z �"'p r p ( '�0 Susp'd Ceili , g U Roof 0 L 1 O CS1\1 4'' C4.4_ 1p6 9 P r Other: Final - ASS PART FAIL U :1 Post Beam Under Slab qiough -1 L �V'( ZE � : C a `Z .. er Servi +AN �ic 10 STE .s Sanitary Sewer Rain Drains . Catch Basin / : nhole C ON) A€01 to*. , FO v`T 6EF ck ® lA 0 v 6E FtiL. Storm Drain 1 Shower P. "' S��`(ZVIC . Other: !_ /i _ ,,. _ • Fi �.-. i �►k . 4� Illn '` '- ` %ORD � {� � � OUt W.1 w�% 4 ' Po.: aralr` - •� D.- pers 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 III Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA � r F� /� � Approach/Sidewalk D � 0 Inspector Y V v�J �-G" E x t Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD _ 24-Hour on Lin �':) 63' -4175 ) SS 1 BUILDING ;i MST 3 ��Od INSPECTION DIVISION • Business Line: 'io - 639 -4171 BUP Received Date Requested y ' 7 AM gem BUP Location /( l03 Suite p MEC Contact Person Sfri;r4Ph ( ) T93 ��O F: PLM Contract.r Ph ( ) SWR B eLD ' Tenant/Owner ELC Foo ing ELC Foundation Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchor xtS eai, S. -. `• \ - —.) L A / \ . . ( . . . e , „ , _ _ _ e e 0 _ ra Insulation \O---r— k- S -- -0 .. S (r /e. Drywall Nailing Firewall • 1 d• ?�� (C 'J T f U _ C • S r _ pL JL€ Fire Sprinkler Fire Alarm "7\,,a, L4 \r2, t • ■/ (, C..( , Susp'd Ceiling p� r Other: Roof / .1) N7.� .� ( (---1.... (---1.... XX.� c�J a �A.. ' Final 40- �� g .2.__. , � PLUMBI PASS l' � SL .�,,r�(�_ ^ "__19 2-) 1. Z 2 _S Post & Beam C..._ M y Under Slab � S Rough -In " -) 0 ?\ e - `- )'SL ",J Water Service J Sanitary Sewer L �� ° - S ' a� S _ Rain Drains �7 Catch Basin / Manhole (% ) t, 1 b / , ' _ _� - A_ r - - e 0' . G Storm Drain Shower Pan i ( LS Other: Final C-- `vL1 -^ 1 ` - P S PASS PART FAIL Cc 6, MECHANICAL 'Q_ ` C 1 n % C j S Post & Beam l i) �L� Tom► \ - Z) — y 1..._ .s `1A..„.04,1 Rough -In Gas Line 1 Smoke Dampers v` Q Anal PASS PART FAIL t �) i a 7 C U..1- 4.)) �' , (rk ELECTRICAL l 1 ( - e.___9----d.,:,. \ -- — v' - \ . Service 7 Rough -In e ' I/ ' ' I _e_s_4- lt.._41.,..._r UG /Slab ( � Low Voltage �e � �r 0 1 . A./r" - �uC._. - Fire Alarm Anal ..- 0 Reinspection fee of $ required before next inspection. Pay at City all, 13125 SW Hall Blvd., - PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no- access Fire Supply Line s'` 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- 6-)3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested `- Z Z A . J PM BUP Location //q �1 Q 3 �� Suite MEC Contact Person Ph ( ) 71/ 0 ° .3 3 � d PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT civertrr Bea Shear Anchors Ext Sheath/Shear Int Sheath /Shear p - d ! l 14"..- Framing arc =�-� c, �'��= c Insulation 9 Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi - ,%•"" PASS PART • • ' BING Post & Beam Under Slab Rough -In Water Service • Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART AIL MEC. CAL i'ost & Rough -In Gas Line Smoke Ia'.ers 4e1 " PART' RICAL w 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 E Please call for reinspection RE: 111 Unable to inspect — no access • Fire Supply Line ADA Date 3 " — 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 BUP Received , [ �y Date Requested. 3 AM PM BUP Location `7 h `� �� " � Suite MEC Contact Person � � � ��JyGC Ph ( ) �/ (' 9 d b PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC vi47 ELC '�iftri ' Access: • Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam -0Pi1 / Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation /,�Q Drywall Nailing d f/(,�w°`.'t d O. '� ��f1 /1'J -C., W Firewall f �' L C �U`4 9 1 / ) / 3 'a a T^��) t9 ;2 Fire Sprinkler /— / 0�- Fire Alarm r t Susp'd Ceiling if /C.1 4 % 14 di,. `a Roof 171/'60 l�l.�.d�) Other: Fi • - 1� '' r �' PART FAIL P MBING Post & Beam (4)14/1-6t/94 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 ELECTRIC AL 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 —0 4- , 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 _ BUP Received Date Requested �✓ AM PM BUP Location / (LI b 3 / 0 �'"'` Suite MEC Contact Person A .ca p. Ph ( ) �'/ 1J — 33 ea 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 3 ®V- • L•4\ J _ l(� Framing NW Insulation ■ csu ; 60 1491-\, Drywall Nailing Firewall \ 1R, ? J ° G-0451) C Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof L. p 'T�L [■ � 5 st) 9 Other: Final NZr•L-_ ‘2.O �. v �•� ice_ PASS PART FAIL UMBI Post & Beam Under Slab Rough -In IIIT il■M Water Service / Sanitary Sewer / � Rain Drains Catch Basin / Manhole 7 Storm Drain Shower Pan Oi - -- S PART A IL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PA PART FAIL ECTRIC iL service Rough -In UG /Slab Low Voltage Fire Alarm 416 PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA 2 2.' 0L Approach/Sidewalk Date I nspector �" Est 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 INSPECTION DIVISION Business Line: (503) 639 -4171 �y BUP Received Date Requested o -- /D AM PM BUP Location 1 / 03 � - Suite p MEC Contact Person ',j O\ Ph ( _ ) 1 -5 O PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner Footing ELC Foundation Access: --6U aro 0700 Ftg Drain Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear O 9(v■O� 12O v e O - \ Framing ,,11 �I`� 1 l 1 OV Insulation 2� ��1 5I 6V S�N Drywall Nailing 1 � Firewall Fire Sprinkler Fire Alarm ® PCL \ , bi.. \-04- ∎ , 8 Susp'd Ceiling ., Roof Other: Final p \ A 1. 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 Ala st 'ASS PART Reinspection fee of $ required before next ins•ection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: •, Un- de to inspect — no access Fire Supply Line ADA 6.� I 'g-- Approach/Sidewalk Date / Inspector �� - � Ext Other: Final DO NOT REMOVE this inspection ecord from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • • BUILDING' Inspection Line: (503) 639 -4175 MST -00,..5.37 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received ll Date Requested `7` � ° AM PM BUP 1� U -- Location / / 3 Suite MEC Contact Person `1Yrii -1/ " Ph ( ) 3/D —.3306 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 EkiN 6 S a\3.. E �Z�• Framing Insulation Drywall Nailing Firewall 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 E ICAL UG -. • ow Volta ire Alarm Fi Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. •AS" RT FAIL SITE _ ❑ Please c I for reinspection RE: El Un- •le to inspect — no access Fire Supply Line ' ADA Approach/Sidewalk Date Z v Inspector ��/ Ext Other: Final DO NOT REMOVE this inspection cord from the Job site. PASS PART FAIL , T EET T C ::: S R L e / I, /1 /c-h4LEL Appli4A,v , „Owner /Agent for I , A*Ji a.,, < � (PLEASE PRINT) (PI " 'WIDER) <, r -_ ,,T . lix . l ocat i Do here on b ,, y cer tify h!a� " t ie f g meet Count s�C%ty��of . Tigard /Wash °n�g y l and use and development standards for street tree installation. ADDRESS: / / 4 3 5l' QD - 0. LOT: 60 SUBDIVISION: o F PA / Al L p zo 03 - 000 / 6 BY: - .. ■i,/ DATE: 6 - W —di 1 ri P 0" . RECEIVED BY: ` ■ DATE: 43 ' Z2 - 0 Y 0.