Loading...
Permit y, _ C CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00158 _it DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15130 SW 93RD AVE PARCEL: 2S111 DB -KE002 SUBDIVISION: KESSLER ESTATES ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: BVH3070 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,398 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,672 sf GARAGE: 658 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 302,545.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,070 sf REAR: 15 PLUMBING SINKS: 1 . WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,181.57 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard Municipal Code, State of All work k wil b Codes PORTLAND, OR 97219 PORTLAND, OR 97219 and all ra cer applicable ed laws. Al. This permit done in accordance with approved plans. This permi t 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 - 443 - 6033 Phone: 503 443 - 6033 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 152235 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Wat ice Insp 'nal inspection Issued B : P ermittee Si /icy Y � n ature : 9 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next sin day I• • Building Permit Application FoR OFFICE: USE: -ONLY Received /_ Building � Date/B : (P ' Permit No.: iii �G?��j � City of Tigard Planning Approval Other Date/B P it No.: No. E..,,,4, /0 13125 SW Hall Blvd. Plan Review Other .� Tigard, Oregon 97223 UR 20 0 Date/B : AAA (, - . 9 - oc Phone: 503 - 639 -4171 Fax: 503-598-1960 y �t l : Post - Review Land Use Internet: www.ci.tigard.or.usGljY OF SIGARD ■ /�,.'�t `� �� " Date/B : 7 P Case No. �� Contact or 0 See Page 2 for 24 - hour Inspection Request : oi► h�lY5sl0 " " "� Name/Methode/ Z.. AMOR Su . . lemental Information TYPE OF WORK © New construction :. - . REQUIRED DATA r :.. .:,; ❑ Dem olition 1 & 2 FAMILY DWELLING• :.:, .. `' : . ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION . 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 _ S . JOB SITE INFORMATION and LOCATION . .. No. of bedrooms: No. of aths:�:"> Job site address: 151 SD '1 ? t D I -O f ,, Total number of flo rs 0 New dwelling area (sq. ft.)..� Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.)....(p.2. Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) .. ' ... RE Q UIRED DATA: - ..... ...• :. _:... - •. MCOMERCIAL` - CHECKLIST . -;', ... . e_ �sl g- 1 ... . . _.. .. ... . Subdivision: Lot #: � Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK • . . • • the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application. DEATACHED RESIDENCE Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER 1.0 TENANT ,,.. •-• . : • . Type of construction Name: Buena Vista Custom Homes Occupancy group(s): Existing: Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 97219 Phone: 503 Fax: 5 0 3 — 4 4 3 — 2 4 4 3 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ❑ APPLICANT CONTACT PERSON . provisions of ORS 701 and may be required to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: El iabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Ph one: Fax: . . . . ... . . . . :..... -.. . E -mail: • :°_BUILDINCPERMIT *. : -- - _ • fer`t _ f ` staieedule : • . : < . :; Please re to ee u e. .. • . CONTRACTOR . • . .- . Business Name: Buena VIsta Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 hori Autzed /n1 A hori nature: U � Date: - Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Pemiit Forms \BldgPermitApp.doc 01/03 • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY ' BUENNA VISTA 1ih 002/003 Plumbing Permit Application FOR OFFICE b Ing u 1 Date / red elumblNs p hi AV tf -oo /s4, Datr/ev: Permit Na.: City of Tigard Plannio, Sewer `•1 DaulBy: Permit No.; 13125 SW Hall Blvd. ' Plan Review Other Tigard, Oregon 97223 DateBy: Permit No.: Phone: 503- 639 -4171 Pax: Sp3et 98- 1 - Post Land Use ��UU I C ote/By: Case No.:, Internet: www.Ci.dgafd,or.us a A I D ontact !iris.; ® See Page 2 for 24 -hour Inspection Request: 503.639.417 R p" - , N arne/Method: Supplomeotsti l tnrmatioo. CM( OF "n - t ltL IVISION 2 • .. - YPEOP- WORE ' ' � � D r .. '•fl * $CII ULE' or . . - 'infol'udtLOarti .'..• . •'%•Y.• 7 - New construction Demolition Descrl • thin Qty. Feo(ea•) Tow Addition iiiteration/repiacerent E Other, ' ° "• "' "' ' ., `, ;.-fa 'euiii �� ',. li. :i :' �,'. , " •: 7 {,CATEGORY . , . i • :: r„ fo 7DtiseC�On ..::o -• :: :�. • y, 1 , welling fl CommerciaUIndustrial SFR (1) bath 249,20 Y-- SFR (2) bath 350.00 Accessory Building 8 Multi-Family SFR (3) bath 399.00 Master Builder Other: Each additional bath/kitchen 4100 .3OB ST[E INFORMATION dig4 C*TION Fire • ' ler - - , ft.: Pa_e 2 Job site address: 1S T o 0 `rJ` A IYL- ' ,. ..,.... ..:. • - Site 1Jtil1ties'. ; ,. _. _ • . Suite #: Catch basin/area drain 16.60 Project Name: Dtywoll/leaeh line/trench drain 16 Footing drain (no. linear ft.) Pane 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.) Paste 2 Subdivision: - 1 Lot #: _ Storm sewer (no, linear ft.) Pa 2 Tax map /parcel #: Wazer service (no, linear ft.) Page 2 DESCRIPTION OF WORK ..' ' "• : Fixture or Item . ' ' S • . • Absorption valve 1 6.60 . NF,,p� „CONSTRUCTI - SINGLE FAM ILY Backnowprevcnccr Page FAMILY DETACHED RESIDENCE - Backwater valve • 16.60 Clothes washer 16.60 Dishwasher 16.60 .1 PROPERZY'OWNER • '. : r 'QTENA 4T ... _ Prinking fountain 16.60 _ E'eators/eum- 16.60 Name: Buena Vis talMzs tom Homes Expansion tank 16.60 Address: 6 SW M&oadam Avg tp_ c Fixture/sewer ca • 16.60 City /State/Zip: Po rtl and ! OR 9 7 21 9 Floor druiNfloorsink /hub 16,60 Garbage disposal 16.60 Phone: 503 - 443 - 6033 , Fax: 5030443 -2443 Hose bib • 16.60 la APPLICANT' • •'. r-g P ' Ice maker 16.60 Name: Ray Mullen Interceptor /grease trap 16.60 Address: Medical Ras • value: S _1 , _Page 2 P °r 16.60 City /State/Zip: Roof drain (commercial) 16.60 Phone: I Fax: Sink/basin/lavatory 16.60 - E -mail: _ Tub/shower/shower pan 16.60 ' • CONTRACTOR : • " • • . Urinal 16.60 I Business Name: ED Mu 3,1 o ri plumbing _ water closet 16.60 Water heater 16.60 Address: 24470 SW Rainbow Lane Other: _ City /State /Zip: Hi ], j 3be r9 . nR Q 71 7 3 Other. _ Phaue: 503 -628 -1632 Pax :503- 628 -4613 Pltatab><astiecmle:l•..r Subtotal S CCB Lic. #: 22 F H g Plumb. Lic. #: • - ,, . 0.- _ • Minimum Permit Fey 572.50 S Authorized Residenti Bacldlow Minimum Fee)36.25 Signature: .4.41( .4.41( L �. a c: - / Plan Review (S34 of Permit Fee) S _ Ray ul en State Surcharge (8% of Pcnnit Fee) S (Please print name) --- TOTAL PERMIT FEE S Notice' This permit application expires If a permit is not obtained within • All now commercial buildlno rrqutre 2 sets of ptat+s with isometric or 180 (lays after it has been tempted as complete. riser diagram Ibr plan review. 'Fte methodology set by Tri -County Building Industry Service Beard. I:\DSu \Penn' Por ne\?lmPermltApp.doc 01/03 • 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 • Mechanical Permit Application F I.sr• c��1. Received Mechanical „__ I / ADO ` /g City e . a rd Oatell Permit New APPI J City of Ti and Planning Approval Building b I Pet - . PermitNa.: 13125 SW Hall Blvd. Peet Review other Tigard, Oregon 97223 JUN 1 2 Overlay; Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598.1960 Post•Revlew Land Use - :It,' Dateitt Case No.: Laternet: , .ww.ci.tigard.or.us Y OF TIG' ,A " : Conner i I Anis.• 181 See Pagel for 24 -hour Inspection Request: 50. R1 DI " -" • --„ spp tneatsl Jlolbrmadoo. • • hiamc/\Qethod: 8e le : : t : E O F - W O R K . , sy - ,.•. ..... r"'° ,. , ,'•' �:. CO CJ<Fi.L 8Geo&D s 1 C.1e0KCEESSF:^ , 1110 New construction i. Demolition Mechanical permit fees* are based on the total value of the work MI Addition /alteration/re • lacement • Other: performed. Indicate the value (rounded to the nearest dollar) of all - `i.:CA7Ela4R ' :01V:COPISTB>QiCTT+ : s ,:-..:, ... mechanical materials, equipment, labor, overhead and profit. ••. �_ � : Li 1 & 2- Fssnil dwell a Commercial/Industrial value: S See Page 2 for Fee Schedule iii Accesso Buildin: ! REsr m19 knits s:»: uLt Description I Qty i Fee(eal I Total p/ Master Builder II Other: liie_tiotrCoaii ..JQ: SITE INTORMA ON aid LOCH . ON ••� : •.:. • Furnace • add air conditioning *' 1 4.00 r Job site address: MFIMIPMEIrrsoVitegnal Geis heat • - 14.00 $1d:. /A.. t.#: Duct work III 14.00 Pro'ect Name: Hydronic hot water system 14.t>4 all Residential boiler Cross street/Directions to job site: for radiator or h . tonic system 14-00 ' Unit heaters (fuel, not electric) in wall, in•duc su nded etc.) Ill I4.00 Flue/vent for an of above 10.00 MOM Subdivision: Lot #: dAg R •air units 12.15 IEMEEZZIMIIIIIIIIMMIIIIIIIIIIIIMIIIIIMII Water heetet MI 10.00 ' •• DES 0 t• ION • F WORK • .. • ' One fireplace 10.00 NEW COLVSTRU TION - GL' T. I' Flue vent (water heater /_ tireplacel 10.00 DETACHED RESIDENCE Lo:, h. ter 10.00 MEM od/P Woellet stove • 10.00 Wood . : • lacelinsert 10.00 Chitrst- /liner /flue /vent MIll 10.00 MEM 0-, • OPE1tM :e , . •:•..f, Pi TENANT:irA=A!';:.: .. Other J 10.00 Eavirontnenta Exhaust& Vetrtlla;dott Name: 8 _ = . V i s . • 11 - . u - Range hood/other kitchen equipment 10,00 Address: 67 2 Sw l aeali =.+t v-_ s - C Clothes dryer exhaust 10.00 Ci /Stable /Zi•: Portland OR 97219 Single duct exhaust Phone B . _ . 4 Fax: 8 _ . • _ . . (bathrooms, toilet compartments, 1. _ NP CON'F - • PERSON • i urili rooms • 6.80 NOW David Goloba Attic/crawl space fans 10.00 Metre, 10.00 Address: i .a Ao for first 4. S'1.00 each additional Phone: Fax. Furnace etc. Gas heat u , Rrall/sug • eade ded/unit heater Water heater MOM Business Name: . _ G • w :. SIIIIIIIIIIIIIIIMI Address :2428 SE 1 05t Ave. BSg - Ci /State/Zi.:Portland, OR 97216 Clothes dryer ( gas) '" Phone:503 -253 -7789 Fax :503 -25 - 6'3 otter. •CCB Lic. #: 4 6131 Total: t Me ehaeiml Perotit Fees* Authorized tt • Su•total: S ' Signature :�. •-4 c Datc:_algi2sant.A Minimum Permit Fee S72.50 S David Golob y Plan Review Fee (25% of Permit Fee) lease print State Sureher _e :1/4 of Permit Fee Pn name ) TOTAL PE" FEE Notice. Tills permit application expires If a permit is not obtained within • Fee methodology set by Trt -County Building Industry Service Board. 180 dci�•® antes it has been aeeepted as rssmpletc. "'S1te plan required for estertor A/C units. i:\Psts\Permit Fauns\ MesPermitApp.doc 01)03 " 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Peril , = fit ! i n _ FOR 0111( i NI.\ ' Received Electrical 1 6t DatLis Pcr mitNo.: ! ___ City of Tigard 1 AA .� 200 Planning Approval Si 13125 SW Hall Blvd. .W Date/ Permit No.: Plan Review Other Tigard, Oregon 97223 R° Date/By: Permit No.: Phone: 503- 6394171 Fax: 313t1Y9 - .9 IS1. >, land Use " y: Case No,: ww Internet: w,ci,tigard_or.us BUILDI . . "' Contact 24 -hour Inspection Request: 503-639-4175 . ' Datc Post - Review Jugs.: ' ® Pape 2 for Name/Method: Supplemental Information. :.• . • . :.TYPE.OF WORK.' . . RE�W (P _ • . .:. •..; .'•;....• .• pd -A1�F Ittase' c6t:ckSt71';eliat:aPtit41.''' • .. -. New construction I Demolition ❑ Service over 225 amps - 0 Healthcare facility ❑ Additiottlalteration/Y IaCCltleilt Other: commercial ❑ Hazardous locatitrn ❑ Service over 320 amps - rating of ❑ Building over 10.000 square feet. . • • CATEGORY.OF'CONS;<,'RTJC FION. 1 & 2 family dwellings four or more residential units in & 2 -Famil dwellin Commercial/Industiial ❑ System over 600 volts nominal arse structure ` • Multi- Family ❑ Building over three stories ❑ Feeders, 400 amps or more Master ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Builder Ell Other: ❑ Egress/lighting plan ❑ Other: • f013_SITE ENIFOEtMATION:•ilid•LOCt1 ON Submit _ seta of plans with ally of the above. Job site address: 5 1 30 W q & The above are not app construction service. Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: , Description Qty Fee lea-) T °tat i Cross street/Directions to job Site: New realdeattstil. single or multi-family per dwelling unit Includes attached garage. Service Included: 1000 sq, t1. or less 145.15 4 Each Additional 500 sq. ft. or portion thereof 31.40 1 Subdivision: e `,,te S Lot #: g-- Limited energy, residrntial 75.00 2 Limited energy, non residential 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling .: • 'DE - O \ N , — OF WORK t • :: , service and/or feeder 90.90 2 scRE kj V C.-0 G /I ''1 C✓ V f ' /4 /,.,r C II T /�1 Semites or feeders - Installation, V� ft/1 / t/ alteration or relocation: g e - - cj l . CI en u2 _ J 200 amp or less 80.30 2 201 amps to 400 amps 106.85 a 401 amps to 600 amps 160.60 2 k °M TV OWNER •: t/ ::.'.; TEN ' 601 amps to 1000 amps 240.60 Name: }r�,t e el.- . .0 Reconnect nett onlys or volts 454.65 2 l Reconnect only 66.85 2 Address: . q 3 � j l (/ 1 a c c/ o,� ' (. 5►L G Temporary services or feeders - installation. City /State /Zi • : • 'cr 0 ./2- ' 1 - 9 alteration, amps o le relocation: / ! 200 amps or less bb.65 1 0 Phon -. e •/ 3 -- Fax - 3 2 01 amps to 400 amps 100,30 2 ill : _` •. • C. • *NT. CT: Pt Ns ON -. ap t to 6ao imps 133.75 2 �� Branch circuits • new, alteration. or Name: V / • SS ertenslon per panel: Address: ' A. Feo.for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: 13. Fee for branch circuits without purchase of _ Phone: service or feeder fee, first branch circuit 46.85 z Fes' _ Each additional branch circuit 6,65 2" E -mail: Misc,(Scrvice or feeder not included): •, :. CONIR4C TQR''• • . Each pump or irrigation circle 53.40 2 --- Each sin or outline lighting 53.40 2 Job No: Signal circuits) or a limited energy panel, Business Name: -8 p$rs ��G a alteration, or extension Pape 2 2 °G 70 S k � t 0't,l L Description: Address: 8 #` a G , 3 City/State /zip: i}f )1 S 4,Q ), f D/2 g71 Each additional inspection over the allowable in anyof the abo P M. lion hou r , min as 1 h Phone:$c2 -3 Co 'IZ 280 F ax :503 ( Z f investi 62.50 pat(on fee: CCB Lic. #: 1$73$1 • Lic. #: 3 366 Other _ `— Supervising clectrici � 2'. 6[lt�l l LLL?iiYUC e2'�p i �r f7:.. f X suture required Subtotal $ Plan Review (25% Of Permit Fee) 5 s/ Print Name: S) - e , VC 1 OSS Lic. #: q 23 State Surcharge (8% of Permit Fee) $ , Authorized TOTAL PERMIT FEE S Notice: This 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 'Fri-County Baildiog Industry Service Board. (Please print name) i:\Dsts \Permit Frn 01/03 CITY OF TIGARD 24 -Hour s. BUILDING Inspection Line: (5' ) 639 -4175 ( MST Aco (- ° / INSPECTION DIVISION Business Line: • 03) 639 -4171 BUP Received Date Requested 6 AM PM BUP Location • Suite _ MEC Contact Person • • , ( ) 7 [ 6 — F 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 0- • 0 C -CCU . Z C.) Insulation e_..19/s"* . Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof O - r: C Atro 1 PART FAIL G PLUMBING' : °a W t TA e 07/11_ 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 440 PART FAIL RICAL 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 1 � ' Inspector Ext Other: I I, Final DO NOT R MOVE this inspection record from the site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MST .1N1� 4 ,S a INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / U -81 AM v PM BUP Location / 5 / 3 D 7 Suite MEC Contact Person Ph ( )7/0 R4/5 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 Fire wall % T Pfl 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: 0 0' 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 Li Please call for reins ection RE: Unable to inspect — no access Fire ADASupply Line e5 . 6 ���� 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 , =ga - 15 7 9C l Sc� INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested /./5 - � 7 AM PM BUP Location ` 5 r v / �/4- ' �_� Suite MEC Contact Person 0/A- Ph ( ) / °Z -2-PO 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 'AY Framing Insulation Drywall Nailing Firewall ' C! /. Fire Sprinkler Asp' 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 Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Ej Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA 14-16,,,,_ Date 7 � 1 Inspector I /��a 7 Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL ilia 0- STREET CERTIFICATION .. ,- µ I, �' Ik. � , ,Owner /Agent fo p k e v t y (_ ,,�., r '''', (PLEASE PRINT) 1 ' . I (PERMIT HOLDER) - „, 11 �.o Do hereb iti:hte° following location 0. fi r : . .. .._ 3 �:x : _;_ ; E * , meets Ci ty Hof =,Tigard /W a s hi n gton County l and use and development standards for street tree installation. i l ADDRESS: d 5 3d*V 9'3 R V S l SUBD / / 10. L OT:S?`� -I-z 0. BY: _ DATE: ? RECEIVED BY: DATE: ^ 0 Y 0>