Loading...
Permit • . CITY OF T I G A R® MASTER PERMIT PERMIT #: MST2004 -00166 "Tit DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004 7 - "' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15115 SW 93RD AVE PARCEL: 2S111 DB -KE012 SUBDIVISION: KESSLER ESTATES ZONING: R - 4.5 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: BVH3684 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,652 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,032 sf GARAGE: 782 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 361,595.40 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,684 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: . OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: 1 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: 6 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: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 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: $ 8,038.46 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES Tigard Municipal Code, State of l w kw il Specialty o ne i n 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C and all other applicable laws. Allworkwill be done in PORTLAND, OR 97219 PORTLAND, OR 97219 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: 503 443 - 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 Underfloor insulation Electrical Service Gas Line Insp Water Line Insp Plumb Final Sewer Inspection Crawl Drain /Backwater Electrical Rough In Gas Fireplace Water Service Insp Building Final Footing Insp PLM /Underfloor Shear Wall Insp Insulation lnsp Appr /Sdwlk Insp Post/Beam Structural Mechanical Insp Exterior Sheathing Insi Rain drain lnsp Electrical Final Post/Beam Mechanical Plumb Top Out Low Voltage Storm drain lnsp Mechanic I Final 4 Issued By : •�•� _ /% - , 410 , _ _ , ' Permittee Signature : 1 A Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next b d siney Buillin Permit Application - FOR OFFICE USE ONLY g PP Received Building EC E O VE D Date/B : , .��� � Permit No.: i /. // �6e/♦ i City of Tigard Planning Approval Other 1 2004 Date/B : Permit No.: 13125 SW Hall Blvd. JUN Plan Review - Other Tigard, Oregon 97223 Date/By: �j ? - 01 / A '/ Permit No.: Phone: 503 -639 -4 171 Fax: 503 -598 -1960 I4 r ' ti Post Review Land Use Internet: www.ci.tigard.or.us CITY OF TIGA -71 I� Date/By: Case • o. p 4 !VISION Contact "'ri g2 See Page 2 for 24 - hour Inspection Request: 5U3- �S�l- Name/Method: 1 he' Supplemental Information © New construction - .. `• REQUIRED DATA : • `....' Demolition ❑ � & - 1 FAMILY DWELLING:: •:' -' ; 2.. =. : • . • - ❑ 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 n Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. n Accessory Building ❑ Multi - Family n Master Builder n Other: Valuation $ • JOB SITE INFORMATION and L CATION No. of bedrooms:A(� No. baths:) Job site address: /5 � u3 5'3 r AWE.- Total number of floors New dwelling area (sq. ft.)... ,,_,. . Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) 1. Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) ;_: ,' REQUIRED DATA: Subdivision: ` OMCIL` =.0 CHECKLIST SE CHCKL =r. .- �SSI Lot #: 17i COMMERCIAL 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 $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 13 PROPERTY OWNER • (.0 TENANT - - Type of construction Name: Buena Vista Custom Homes Occupancygroup(s): Existing: Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 9T219 Phone: 503-443-6033 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 ❑ CON TACT 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: Phone: Fax: . E -mail: _ 'BUH . .,mo . PERMIT FEES; = . • - - CONTRACTOR • - .. • = • - : : - Please refer to _ fee schedule: • : : 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 Authorized dt(A._r) - Signature: 1/1. f 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\Pcrmit Forms \BldgPermitApp.doc 01/03 • • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY 9 BUENNA VISTA IA 002/003 ;' Pl Permit Application Received Flulttbing • E ��� ri E® P Permit Na.: / (7 '�� Ci of Tigard planning Appra�al Sewer 13125 SW Hall Blvd. JUN Plan Review Other Tigard, Oregon 97223 1 2004 Date/8y Permit Na,; Date/By: Permit No.: Phone: 503- 639 -4111 Fax: 503-59S-1960 . .. , .. Post-Review Land Ute Date/ 3y: case No.: Internet: www.ci.tigard.ol�t Y OF TIGARD � Contact Juris.: M See Page 2 for `., 24 -hour Inspection Req i s .L 4 b 19 '4V11.)N - Name /Method: Su • •!amongst informatloe. •' - TYPE OB- WOK'S.'' ...•� '+^•':?;: .. . - SCALE v.1ETLE.(foripeerat 'info tTolniYl6 • DJ New construction Ili Demolition Deseriptlan I Qtr. Feo(ea,) I Total • Addition/alteration/1 •laceznent ■ Other . . � °;� , $ Ty :° ^.-r.:•;���:, , . •, ..: A` `lfr:,�l�; �.fatoi�g Sl� : ?.., , .,. : h ;. C%T GO1Z'SC� r. k!-4 n: u tai '1- 1 •• •• . '. 6oclo' la l e 'ir tolib :ittilliy✓e`oanectiooj' - -:: ; SFR (1) bath 249.20 • F,1 1 & 2 -Famil dwellin: • Commercial/Industrial ' SFR (2) bath 350.00 Access° Buildin: ■ Multi -Famii SFR (3) bath 399.00 Ir Master Builder • Other: Each additional bathikitchen 43.00 OB SrrE INP a TIMisidL s • OK Fire sp inkier - so. ft,: Page 2 _ Job site address: 11111FIROZ '`'' a ' ' .. - . stfe.t?tiaties'. •:' :.4•,; ': ,iii1,.4: .: r_ . Suite #: Bld I ./A • t. #: Catch basin/arca. drain 16.60 Pro ect Name: • Drywcllilruh line/trench drain 16.60 Footin jdraia (no. linear ft.) Page 2 Cross street/Directlons to job site: Manufactured home utilities 110.00 • Manholes 16.60• Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Pate 2 Lot #: Storm sewer (no. linear ft,) Pe 2 s Subdivision: / � Tax ma. /.steel #: Water service (no. linear 13•) Page 2 DESCRIPTION OF W O R K • • r ' F i x t u r e or Item . A Absorption valve 16.60 NW ,CONSTRUCT ION - SINGLE FAMILY Backflow preventcr . PaRc 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ 16.60 a q a ,a r• Prinking fountain 16.60 :� l� TENA?IT :. :..._*• .: • :.' •: Eiectoreaun 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6 9 3 2 SW - ... m - Fixture/sewer ca • 16.60 Ci /State/Zi • : Portland OR 9 7 219 • Floor drain/floor sink/hub 16 Garbage disposal _ 16.60 Phone: 503 -- 443 -6033 Fax: 503..443-2443 Hose bib • 16.60 Efil APPLICANT • - . . - 4E. ' ' , ACTT A •N • . ' lee maker 16.60 ' Name: Rd Mullen lnrerceptor /grease trap 16.60 t Address: Medical gas • value: S Page 2 Ci /5tate/Zi • : Primer 16.60 ROOT drain (cotnmerclal) 1 16.60 Phone: Fax: Sink/basin/lavatory 16.60 E -mail: Tub /showerithower put 16.60 C O N T R A C T O R : • • - • . • • • . ~ Urinal 16.60 Business Name: ED Mu ,_ P l it . , n • W atcloser 16.60 Wateer r h hta eater 16.60 Address: 24470 SW Rainbow Lane Other: - Ci /State /Zi.: , ' _ . • • Z - Other. Phone: 0 - 628 - Pax e _ . . - ... .• . ...: Platablsi:'P.cmle :bred• r • . Subtotal ' S CCB Lic. #: , ► . ; Plumb. Lic.#: • - . • . 0 - a • Minimum Permit Fee 572.50 S Authorized /` / (4 Residential Bacldlow Minimum Fee $36.25 Signature: ✓ 4 i , • c: - V " Plan Review (255 of P ermit Fee) S Ray ul en State Surcharge (8% of Permit Fee) S _.,—..^ (Plow nt name) TOTAL PERMIT FEE S ase Porker Thin permit application expires Ira permit is not obtained within • All new eac merelal buildings require 2 seta of plans with isometric or 180 days after Ii has been accepted as complete. riser dlaVam (br plea review. .Fte methodology set by Tri-Count' Bonding Industry Service Board- i:tosts\Permit Forms\PlntfermlcApp.doc 01/03 03/04/2004 16:26 5032537693 . 1. , ) SUN GLOW INC PAGE 02 ao , i_ li X � fl Mechanical Per il ' ; n X . I on : Reca�ed Mechanical III 1 200 Oa� permit ice.: 1 -- ("ti City of Tigard "" ° Planning Approval Building Da tel$y: Permit Na.: 1312$ SW Hall Blvd. I CITY OF TIGARD • Plan atsy ,�' a it No.: Tigard, Oregon 97223 B ir, x Phone: 503- 639 -4171 Fax: 503 :39 ;• r .s Post - Review Land Use lzrrerltet: www,ci.tigard.or.u& i' C onta c t _ Case No.! 24 -hour Inspection Request: 503- 639 - 4175 ` 1t�. '�_� " Canned kris-: �See 7ageZ for • Name/4tethad: $�ptlttteats na5 i Infbrton. . .. : . TIME OF WORK , s} P`°-• . . .`".` ,''''• sitC01 P E E S S C R : E D I : I = CZEINCIZEISE , .: I! New construction ■ Demolition Mechanical permit fees* arc based on the total value of the work 1• Addition/alteration/re •lacemerit ■ Other: performed. Indicate the value (rounded to the nearest dollar) of a ll : .OF `' '• :' .'i •• mechanical materials, equipment, labor, overhead and profit. iii I & 2 -Fa rail dwellin: El Commercial/Industrial Value: S See Page 2 for Fee Schedule : R EsI Fat►C I� .- i ICla0 1 ; a*1tEEDUL1 Master Builder r Other Des cr'• a Fe- ea. oral _ Head � . Coolia • ,,JO : SITE II 'Oi1MATt - • NN skid L'OC 1 OO • ° ' : • • f urnace - add-on air conditiuuin • ** (♦ 14.00 Job site address: [i" krilE i2�_Jt Will i".. Gas heat • .- MINI 14.00 Suite #: a1. /Azt.#: Duct work r 14.00 MINNIE Project Name: . Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: fbr radiator or h • ronie system 14.00 Unit heaters (fuel, not electric) (in wall, induct, suspended ctc. 1 4.00 Flue/vent (for any of above) 10.00 Lot #: ' S RcRair units 12.15 Subdivision; Other Fuel A. • tlaeces Tax - - /•arcel #: U 10.00 •'• DES .t- I• lazy =FWORK „ •. • • . • � 10.00 NEW CONST tRUC`.TION —SI GI,' r • Z Y Flue vent (water heater /: fireplace) r 10.00 DETACHED RESIDENCE LO1( ees - 10.00 III — Weed/Pellet stove II 10.00 Wood fireplace/insert 10.00 Chitral /liner /flue /vent 10.00 RV 'OPERTSt'O' w . . - = .:TEN21FiT:ari::w°:. _ Other r 10.00 [ Eavironmcetal tabaust & Veatsiadoa Name: B _ = .. ; V i s - n - • . 1: - Range hood/other kitchen equipment f 10.00 Address: 6 • SW Maca: - .,, • v - S . - C Clothes dryer exhaust 10,00 Ci /State /Zi•: Portland OR 9721 9 Single duct exhaust Phone , _ —. a Fax: I — ' — ' • mill at 6.50 oiledcompt;unents, rm • . 3j .CO !IT -. PERSON Name: David Goloba Attie/crawl space fans L 10.00 — — Other: 1 10 -00 Address: P trillioing Ci /State/Zi • : x *(55.4a for first 4. 5140 each additional) Furnace, etc. Y0 Phone: Fax: eras hest pump ' •• E-mail: Wall/suspeuded/unitheater (•" CO CT OR :; Water heater _ s BusinessNarne: B GI, ow Srlc Fireplace .. Address:242s sE 05th Ave. B B. -• Ci /State/Zi•:Portland, OR 97216 clothes dryer (gal •" Phone: 503 -253 -7789 ax:503 -25 b Al Otter: . . Total: IIIIIIIII CCB Lic. 0: 4 S 131 Mechanical Permit Feee _ Authorized . Subtotal: S Signature: '.—t. Datet_SW21zoi Minimum permit Fee S72.50 David Goiob v MiliMIMMIMUICEM2M11 s s (Please print name) TOTAL ' PE • FEE S Notice: This permit application expires if a permit is not obtained within 'Fee methodology set W Trt -County Building Industry Scrviee Board. 180 dare after it has been accepted as complete. "Site ptan required for exterior A/C units. i:■Psts\Permit Fern teaPeanitApp•doc 0103 t; , ,_13/,@4/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 1 a Electrical Permit Ap 9& ( � _ (J' ry� �® Received Electrical "v` U Datc'BY: Pcrtnit No.: ite /0 City of Tigard -1 20 Planning Approval sign 13125 SW Hall131vd. C /Tf, � / Date/By: Permit No.: Tigard, Oregon 97223 ear / S D I/ � F T / C , • Da e/By Review Per No.: — Phone: 503-639-4171 Fax: 503 -598 -196 / vi- D Post - Review Land Use Internet: www,ci.tigard -or.uS Date/By: Case No.. 24 -hour Inspection Request: 503 -639 -4175 °" Contact Juris.: see Page 2 for Name/Method: I Sueplemental Information. .. 'lYPE:OF WORK . ..:: • • • • ..: ..: '. '.. MAN;I VIERr �p leas • • e 't5eckit7lthat:is��pb'};•':` N ew construction Demolition ❑ Service over 225 amps- in Health -care facility [1] Additiott/alteration / r laCetnent Other: coi, ❑ Hazardous location ..: . ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet. CATECORYOF'CONSTRVCTION. , 1 & 2 family dwellings gs four or more residential units in & 2- Family dwelling 0 Commercial/Industrial ❑ s over 600 volts nominal one structure L] Accessory Building Multi- Family ❑ Building over three stories ❑ Fecdcra, 400 amps or more Li ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ,�] Master Builder y Other: 0 Egrese/lighting plan ❑ Other: ... ': JOU. SITE INFORYLATION..iiittLOC t1 . ON Submit seta of plans with any of the above. Job site addr 1,9,/ The above are not applicable to temporary cooatructlon service. Suite #: Bldg. /Apt. #: ' . , .. F>�*:SC1�1b��;�:°::: •; •. -, :; • Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) total Cross street/Directions to job site: New resldenttat- shtgie or moth- family per dwelling matt includes attachod garage. Service Included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 Subdivision: eS Lot #: Leaned ` , residential 75.00 2 Limited mew. non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling �3E ON'OF WO RX service and/or feeder 90.90 2 __ j el-C Goo sort,! V i1 - S / 4 6 r rv�� or or relocation: - Installation, ^� I C fT/� i /� alteration or relocation: e' + cih e d 1�-`J 1l e n c�- J 200 amp or less 80.30 201 amps to 400 amps 2 to6.as 2 _ 401 amps to 600 amps 160.60 2 $I3�.! OWNER, :1 • :.::. :Q TEN . : ' . • .. 7 601 an to 1000 2 40.60 2 Name: 1'..1.1 e a- \r S ( i,/ S 1'x'1 1 t Over non or volts 4 2 Reconnect only 66.85 2 Address: , i u�cIo . � /n /W(', 51L Tcmporary scrviccsnr - installadon. Ci /State /Zia : we G 0 �� alteration, or relocation: �( -"oil 200 amps or less 66.85 1 Phone. �CY� �` f 3 ✓ Fax 4 + C f 3 201 amps to 400 amps ' 100.30 2 (�:AFP)lIC •1�FT C- I;PP1E$ 401 to 600 amps 133,75 _ 2 Name: Sit' V K-OS 5. stanch t - new, alteration, or ` extension stnn per er panel: Address: A. Fen for branch circuits with purchase of C l}, ' /State /Zt service or feeder fa, each branch circuit 6.65 2 • 7 l� B. Fee for branch circuits without purchase of Phone: — service or feeder fee, first branch circuit 46.85 2 Fax: additional branch circuit 6,65 2 E-mail: Misc.(Scrvice or feeder not included); . _ • . •CON:'F `I •CE011 - Each .. . or irri • ation circle 53.40 2 Job No: Each sin or outline lighting 53.40 2 Signal circuits) or a limited energy panel, Business Name: R 0S5 E C al eranon, or extension Page 2 2 Address: a S 3 ilk raj `w. i iv-e # ' 00 Description: : City /State /Zip: }i it S (:›01.-C. t D/2 q'f Each additional ins over the . ___ble In an of the above: Per inspection per hour (min. 1 hour) 62.50 Phone :53 Co 5EZ 7 80 0 Fax: 50_3 ( VZ, n1 S investigation fee: CCB Lic. #: 1$'7,391 Lic. #: 3 34-6 Oth Supervising electrici ' :;'•Ete"ctrical:Pekm u bt o tetAr °'r., :;: X signature required �, � Subtotal _ _ Plan Review i6 of Permit Fee) $ S v' Print Name: [VC. i OSSI Lic. #: el Z3__ St Surcharge (s% of Permit Fee) , S 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 Tri- County Building industry Service Board. (Please print name) - i:\Dsta \Permit Farms \ElcPcrmitApp.doe 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) . y 75 MST ' — e 0 /4 INSPECTION DIVISION Business Line: (503) • 71 BUP Received 7 //)/ Date Requested /j" "2- AM PM BUP Location / 5 S` Z Suite MEC Contact Person Ph ( 4 03 ) 7/0 $V /5 PLM Contractor Ph ( ) SWR IILDIND Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: 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 Susp'd Ceiling Roof ip Oth PART FAIL - - 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 41, !1 S AN AL ,� Post& Beam • Rough -In Gas Line Smoke Da r ma /G PART FAIL EL - ICAL 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 1 t ---W° Approach/Sidewalk Date Inspector Ext Other: Final DO NOT R MOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour t� BUILDING Inspection Li rr- : (503) 639 -4175 MST 6 " -°67 /C INSPECTION DIVISION Business Li : (503) 639 -4171 / / BUP Received Date Requested / / > ° 4 " AM PM BUP 4. Location _ �� _ Suite MEC Contact Person _ _ , � _ ' Ph ( ) S �• PLM Contractor Ph ( ) SWR UILDIN 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 , i ..- o - D • 4 / j. . 0 41A Framing 6 /`t Insulation ��� U A CS r 6 -T Ie Drywall Nailing (_ Firewall PC— Fire Sprinkler /� /, S Fire Alarm (} �5I O All _ ( usp'd Ceiling Roof area OZ� ,or e" Z "V-4e.7.- Other: PASS PART FAIL PLUMBING R. Post & Under Slab V) 1.41 7 71 - 114 /' �U� Fl/`L�& Water Rough-In Service �'L°"I �16 ��S�" ` / Sanitary Sewer S v P Pa K l '5" v `-7 _ / e______ Rain Drains I Catch Basin / Manhole Storm Drain C Shower Pan 4 l /VS C __, 6J( -ST -- °VeK c_ * Other: Final U E"CHANIC ► L _ FAIL ;�► �`! / 0-- 1 �L !! C /C./L �� Post di beam g - e /A-/4'62 Rough -In Gas Line S moke Dampers PASS PART .ECTRJCAL Service Rough -In UG /Slab Low Voltage Fire Alarm 1i4 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please c I for reinspection RE: -' ■ ❑ Unable to inspect - no access Fire Supply Line ADA -- �` Approach/Sidewalk Date In spector S ar, ■ Ext Other: Final DO NOT R MOVE this inspection recor !Pt. m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5' 639 -4175 MST 4 S 1 1 c INSPECTION DIVISION Business Line: ,/ /% 639 - 1 BUP Received Date Requested l ( AM c f / M BUP Location ( Stiff Suite MEC Contact Person Ph ( ) 7/ gf/..r PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear n coN-A--s- .tzt_v\ s-- Framing K /, Insulation ( IV\ as) (�-� 1 Drywall Nailing l Firewall i 59,g _s Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL - PLUMBING Olt_ _ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • O'er: i 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 fl 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 G Approach/Sidewalk Date /� Inspector '' Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL I STREET TREE C .. .. A a I, e c,, ce #9, „ o Owner /Agent for lic t pi a (11(S4 CT s As-► 2447 -/ I (PLEASE PRINT) , (PERMIT HOLDER) 1 2r r Dr- 1 i I `` '/ , , d o I ,A Z : a Do hereby c t f y t j a ? �� i /the following location meets ; C ty of Ti a /Wash -ngton Cou 0. 41 land use and development standards for street tree installation. I • ADDRESS: /y73 '3/ 3 2 SUBDIVISION: _ 6,,,..., 7, ,-- • LOT: .. ,.. ® BY: / DATE: 9 / l u C / / 1 1 • RECEIVED BY: `_ _ DATE: f ( / e mow 'VVVVVV y y yyy, y L. 1 JXS • -\