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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00205 I DEVELOPMENT SERVICES DATE ISSUED: 8/18/2004 r �' � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15092 SW 94TH AVE PARCEL: 2S111DB-KE218 SUBDIVISION: KESSLER ESTATES NO. 2 ZONING: R -4.5 BLOCK: LOT: 018 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: BVH3212 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,402 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,810 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 308,476 80 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3.212 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILICMP < 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/O SVQFDR: 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: 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: $ 7,876.69 This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES 6932 SW MACADAM #C 6932 SW MACADAM SUITE C Tigard other laws. Code, ws. Aof ll l work k wil Specialty o ne i Codes PORTLAND, OR 97219 PORTLAND, OR 97219 and all ra cer applicable ed p. Al. work 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 Insf Rain drain Insp Electrical Final Sewer Inspection 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 lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk lnsp Issued By :, ,raL ,L Permittee Signature : d1 1 i t L'. r� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . Y xi.. Building Permit /Application . OFFICE USE o l.ti Received J�� / ei �/� Building � � (' � � r t •----- Date/By: // [ JdJ Permit No.: 's` I o��'r —O�a� City of Tigard CU' A PlanningAppro(al other "�' p// �� Date/By: Permit No. t e - C.V4 -L9OaQ 13125 SW Hall Blvd. ,/, ( Plan Review Other Tigard, Oregon 97223 `�� _ Date/By:11nd g /k /n�i Permit No.: C/1 ` i P ost - Review [and Use Phone: 503 -639 -4171 Fait: 503 -5.98 -1960 � I' nn ��1 ' �U Date/By: 5///a -'✓ Case No. Internet: www.ci.tigard.or.us 1- /�li C '` 1 0.... ..- - .I I Contact Juris.: Q9 See Page 2 for 24 -hour Inspection Request: 503- 639 - 41`755'/0 Name/Method: - 1 - 1 Supplemental Information TYPE OF WORK :. .. REQ TIE DATA: • 121 New construction ['Demolition . l & 2 FAMILY DW ELLING . ❑ 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 LO ATION No. of bedroomsX N baths: Z....5" Job site address: Q '��rj�`�7 Total number of ors , New dwelling area (sq. ft.) , Suite #: Bldg./ • pt. #: Garage /carport area (sq. ft.) 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 !T`W'�M Lot #: �+ COMMERCIAL USE CHECKLIST s., . • . 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 • 12 PROPERTY OWNER .. 1 .Q 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 97219 Phone: 503 Fax: 5 0 3 - 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be ❑ APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may beiequired 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: . PERM FEES • :.-.' .. : Pie • CONTRACTOR . ,. . ease refer to Business Name: Buena V I s to 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 I Fax:503- 443 -2443 Date received: CCB Lic. #: 1 52235 Authorized Signature: U . /n� � 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\Permit Forms \BldgPermitApp.doc 01/03 03/04'/2004 16 :26 5032537693 SUN GLOW INC PAGE 02 `r Mechanical Permit App ication FOR (1F I 'I• (t ►.', Received Mechanical [� � Datoil3 : Permit Ne.: a ' OD ♦ • City of Tigard � � Planning Approval Building � EC v I- Lam' Plat : Permit No.: 13125 SW Hall Blvd. Plan Review logig Tigard, Oregon 97223 Datere ' Phone: 503- 639 -4171 Fax= 5035 .//'fill.;. Post•Review Land Use Contac s No.: Internet: www.ci.tigard.or.us I•� -.,.: �t11. Dateni Ca e 24 -hour Inspection Request: SO3-'639 4175 `-- `" - --' Natr�e/Lietltod: Cb BUILDING DIVISION • .: r' E car WORK ,`e•• . ,, ;�. :z.::tr. C014DME»itClA.•I►EV. SC>Ev :' •:'' III New construction IN Demolition Mechanical pertrtit fees* are based on the total value of the work ■ Addition/alteration/re r lacement ■ Other: performed. Indicate the value (rounded to the neatest dollar) of all • �OII�:COPISTB'F� :.CATEGOR _ ii a ; 't,,,• Y� � , mechanical materials, equipment, labor. overhead and profit. .L L h •' - l • Commercial/Industrial value: S _ _ See Page 2 for Fee Schedule ILI ` 9 • B' i•t INIMMEMBINIIIIIIIII Description I Qty Fee(ea.) I 'total ' ■ Master Builder • Other: aead.K(Cooriaa - ..JQ : SrfE INPORMATION and LOC.A ON .,, •: : . • Furnace • add-on air conditionin • *` 14.00 i Ammon Job site address: 50 y '' Gas heat • .• • VINS 14.00 Suite #: Sld : ./A. ■ t.#: • . Duct work ■ 14.00 Project Name: . Hydronic hot waters tern 14.00 IIII Residential boiler Cross street/Directions to job site: (fbr radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) in wall. in•duc su • nded. etc.) 14.00 Flue/vent (for any of abo ) . - 10.00 Subdivision: Lot #: �� R •air units 12.15 iimimir ina r Tmisommun Tax map/parcel #: Water heater 10.00 • • • ~ DES s' s' ION * P WORK - One fireplace _ 10.00 NEW CONSTRU TION —SI GL' }:'' 1 ' Flue vent (water he2terfAUfreptacel 10.00 DETACHED R Loglighter(gas) • 10.00 — Wood/Pellet stove 1111 10.00 Wood 5replacelinsert 10.00 . Churn Hiner /flue /vent 10.00 . 'TNAI!NI r'44'.' Other. ■ 10.00 fi' tOpEg1E'SC!:p '[� a > . Invironmtuta Calmat & Veatltaieoa niltrie: 13_=1„.. V i s • • n -au Range hood/other kitchen equipment ■ 10.00 Address: 6932 SW Mac a _.it • v - S . - C Clothes dryer exhaust 10.00 City /State /Zip _Portland, OR 97219 Single duct exhaust _ 4 I Fax: 1 _ . . _ .. (bathrooms, toilet compartments, El APPLICANT • .. IP .CO NT • • PrtSO1('' ••' will rooms • 6.80 Anic/crawl Space fans I 10.00 Nom David Golobay Other; 1 10.00 Address: pad =..-,1 City/State/Zip: x{' .40 for first 4: S1,00 nth additional Furnace, etc. •• Phone: Fax: Gras heat Liu. E -mail: Wal1/suepeodedfunitheater 1 •• _ CON' TRACTOR I • • • •:•- ::..,.• • , :• :..: •. Water heater Fi • .lane .. Business Name: s�a>a Glow J rte • • Address:2428 SE 105th Ave. ' Illrall .. City /State/Zip:Por land , OR 97216 _ Clothes dryer ia� IIII Phone: 503_253 -7789 FFax:503- 253 - "3 °n Total: •CCB Lie. • 4 1 1 31 Mechanical Pertttit Peen• • Authorized G 43,‘... t • u.total: 5 Signature: .+-4 a _ Date:_ y Minimum Permit Fee S72.50 S David Golobay .1.1112- rril 312137111211151 : 1241 = 11111 (P ease print nartte) 'COTAL • r r t ' E s !Suttee: Tits permit application expires If a permit is not obtained within • Fen methodology Web! Trt- Coutuy Building ladnstry Servlee Board. 1$0 tows after it has beet necep as cntnplete. •'Site plan required for exterior A/C unit!. taktfferrnit Falms\MecPetmitApp•doc 0143 • ' 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Pe cation Received Electrical i � LL . i11 r5 s•� �. y� Oatc/By: PcrmitNO.: ST�1QQ - pD,Qb City of Tigard Planning Approval Sign 13125 SW Hall Blvd. j i I t l l LUu P Review Oth o.: Other Tigard, Oregon 97223 1 r � N 1 1 Date/By: Permit No.: Phone: 503- 639 -417.1 (FaxY 503 - -19 Post- Review Land Use Internet: www,ci.tigari or!usOING U1VV6IUN D ontac t C ris.: : 24 -hour inspection Request: 503 -639 -4175 Contac 1uris.: - See Page 2 for Name/Method: Sufplemental [nfbrmatian. . T PETOF WORK ,....:..... - . . '. . <.> R.EvrEw :Mleasie'meekialr:euaat;:;:sPlibli - Ncw construction Demolition ❑ Service over 225 amps- 0 Health -care facility ❑ Additiott/alteration/r lacement Other: commercial 0 Hazardous location ❑ Service over 320 amps.rating of ❑ Building over 10.000 square feet, ' •.. " CATEGORICO CONS,UAJ TION. 1 & 2 family dwellings four or more residential units in & 2- Family dwelling [( Commercial/Industrial ❑System over 600 volts nominal one spvcture ACCeSSO Bu Multi- Family 0 Building over three stories 0 Feeders, 400 amps or mom ❑ Occupant load over 99 persons 0 Manufactured structures or 1W park [j Master Builder U Other: 0 Egress/lighting plan ❑ Other: ' :: ?'. ;.1010. SITE NFOIiMRcT,nON. slittLO Submit sets of plans with any of the above. Job site address: /509 a, g 'A �/� _ The above are not applicable to temporary construction service. g. /A pt. #: :SC>�>t�' = F ; ;�:. • . , • Suite #: Bld �W Number of inspections per permit allowed Project Name: Description I Qty Fee (ea.) Total 1 Cross street/Directions to job site: New resideettAt sittgic or mutt6family per dwelling unit tociadea attached garage. Service Included: I000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Lot #' Limn energy, 75.00 2 Subdivision: gy, residential Limitrd energy. no residential 75.00 j Tax map /parcel #: Each manufactured home or modular dwelling . j j €. • O ONOW seice anor feeder )∎ ) .. 'E Services or feeder, - instanter*, 90.90 2 Go/1 S — S / /79/C t �/A / alteration or reiocadon: > - } - ct civet , T._().i d en (—€2-- 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Rppairy owNER < • ' :' :: N ' • ..: ..: .„ 601 , saps to 1000 amps 240.60 2 Name: ?,i en a- \1l S �v- Gu 5 JZ- R ear (neon art] • or Volts 466.85 a a, ,• L Reconrlett� 66.8s 2 Address: (oq,,5 7 611 t't, /a cia/v /If ` Temporary services or feeders •installation. , City /State /Zi : er +(o 0 � Gf '1 g/9 200 amps o to ss relocation: f ( 200 amps ar le I Phon .5O� 1 143• - t;�i3 , Fax 201 am to doo am A '��, '/�f zj too.3o ' z C 401 to 600 amps 133,75 a - .. • ° NT CI':PE ON L Branch circuits - new, alteration, or Name: 4 VQ., .0 55 extension per panel: Address: A. Fee for branch circuity with purchase of service or feeder fee, each branch circuit •• 6.65 2 City /State/Zip: B. Fee for branch circuits without purchase of Phone: service or feeder fee, first branch circuit 46.85 2 Fes Each additional branch circuit 6.65 2 E -mail: Mise.(Scrvice or feeder not included): .. ::, .:..:..i : • CopriERACTOR• T Each IMP or irri R anon c ircle 53.40 2 Job No -- Eh + or outlaw lighting 53.40" , 2 Signal circuit(s) or a limited energy panel, Business Name: - ROSS E alteration. or extension Pans 2 2 Address: a 870 5 k.) OUR) �- l` #�- Description: City /State/Zip: y-t 11S kNO►- d , DR 171 Each additional inspection over the allowable In antof the alcove: _ Phone :$5 -3 (es'Z Z300 Fax: Per i investigation fo ion per hour ( I has) 62.50 j � investigatir. CCB Lic. #: IS - 73g I Lie. #: 34e Other • X Supervising elcc ciartri r7_ `: - ,'. ' Ei+ ila1 P �]rml p ; _ ;, ,: . si�clature required. ` ,x 'T^- -/IC.e/^' Subt 3 Plan Review 25% of Permit Fee S Print Name: QC ROSS Lie. #: 4,I3 ____ ?...S State Surcharge (% 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 Tn-County Building industry Service Board. (Please print name) - i :\Dsts \Permit Fomts\E1cPermitApp.doc 01/03 • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY 4 BUENNA VISTA lit 002/003 /-0.• • Plumbing Per7niirA : 'a licirtion FOR OFFICE I 'Si ONLY itcceiwerl PitunbIng „ Date./Br. Planning Approval Permit Nal / 1S - 406 City of Tigard JUL 1 t: ZUU4 Daterar Sower Permit No.: 13125 SW Hall Blvd. Plan Review Other --•• Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.: Phone: 503-6394171 rik1111570 * 3 W V59 CO 10 N . Prot Lend Use _______ l Internet: www.ci.tigard.or.us .4: A ll Date/By: Contact ,_ C.ose No.: pq.,, g Page 2 rer ---- Inte 24-hour Inspection Request: 503-639-4175 - '.- -...6 Name/Method: "" _ Snook:nester Information. .. - .'' - .: ''•-••="..*.' , - TYPE ov.vvosac.. . F . , .-EIL*10031DIJL Inc • '' . - . ' infaittidtrolfialota . !' - ' 1 !•':•34. New construction Z Demolition Addition/alteration/reptac ement _ Other Descri • lion Qty. Peo(m.) Total '0.4`.:ri. t:wi,•?.:,,.. . ... ' "...:; 3 ::.CATEGORVOr 9 ri N: 9 '• 191 II , •••7--- -.; - . . '•■C;;Jalleadell)100lefeitlIN.CifilivAtaiisictio . .. atile, ' ,.., , K• 1 1. -- SFR (1) bath 249.20 . CR1 1 & 2-Family dwelling El Commercial/Industrial SFR (2) bath 330.00 Accesso Building IU Multi-Family _ SFR 3 ....... 1 batt0 Master Builder IU Other: Each additional bath/kitchen 45.00 . ‘... dOBSTIE rNfOlyfrfATICklkt idulLOCATION . " . Fire szrinkler - sq. ft.: Pag,e 2 Job site address: / ,-c0, (i ... .... :: ..., • • . ..". Site litilltles ',. .,, .:021U 7. . Suite #: I Bldg./Arst.#: Catch basin/arca drain . 16.60 Project Narrie: . allAtacli lin ch draite/tren 16.60 Footitti-drain4tic. linear ft.) F`w2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 _..._ Sanitary sewer (no. linear ft.) Page 2 _- Subdivision: I Lot #: j Sterrn sewer (no. linear ft.) Pipe 2 Water service (no. linoarft.) Page 2 Tax map/parcel #-. '4 : . . ' '...:' .' ,..:','", DESCRIPTION OF W012.1( ' .. Absorption valve 16.60. NNN. ,CONSTRU CT ION -SINGLE FAMILY Bacicflow prevcatcr Page 2 .. FAMILY DETACHED RESIDENCE Backwater va)ve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 KIIPROPERTYPANNER ',.'!...':-...:=,- ', SE IIENA.14T .. :....•••'.,.....: • :.• ... E'eniOrtlaUM - 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6932 sw Kacaciam Ave : S tp C Fixture/sewer cap 16.60 16,60 City/State/Zia:_ Port land, OR 97 9 . Floor drain/floor sink/hub Garbage dispose] _ 16.60 Phone: 503-443-6033 Fa.x: 503 - 2 4 43 Hose bib • 16.60 ;APPLICANT • • . . ''-' . C CTPERsQN . . • Ice maker 16.60 - ' Name: Ray Mullen Inrerceptor/grease trao 16.60 # Ad _ dress: Medical KEG • value: $ Page 2 . Primer . 16.60 City/State/Zip: - - Roof drain (commercial) 16.60 • Phone: I Fax sinkrbasinnavatory 16.60 E-mail: Tub/shower/shower part 16.60 - ' • . CONKRACCOR : ' • - . • , , _Urinal 16.60 -- Water closet 16.60 Business Name: ED mullsn Pth Water heater 16.60 mbina --__- - Address: 24470 SW Rainbow Lane . Other. - _ CidStaie/Zip: Hi japbsfyr . rig Q71 u Other: .. .: „ . .....:...:PliscobliiteiiittPtirs"..' ' Phone: 503-628-.1 612 Fax:5f11-428-4 6 . lhac • 11 Subtotal s , CCB Lic. #: , • • : • J Plumb. Lic,#: 34-L60P,13'. -- Minimum Perrnit Fcc S72.30 S -. Authorized , / 9- (4 Residential Backflow Minimum Fet$36.2$ Signature: 1 ...a I I e A -A/ .... 0 ,C: -,... 1.--'' PM Review_125 Ye of PaTnic Fee) S Ray ul en State Surcharge (8% of Permit Fee) S ----. Moose print name) TOTAL PERMIT FEE S NOM This permit applicadon expires Ira permit is not obtained within ' All now comtnereIII buildings require 2 sets or pkos with isometric or ISO days after it has been sweated as complete. riser diagram (or plan rrricw. .Fee methodology set by Tri-Count) Building Industry Service Board. InDsra \Penni' litsmOtmParrnicApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING ip Inspection Line: (503) 639 -4175 ( MSTaDD e - vZc (S INSPECTION DIVISION Business Line: (503) 639 -4171 ' BUP Received — Date Requested f 1 / Li AM PM c------- BUP / Location / C R � i(4_ -_._- Suite MEC Contact Person aP Ph ( ) 7/ O — 1-5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain , r Slab Inspection Notes: ] � l) ` 6 j T SIT Post & Beam J �V Shear Anchors ' Xg In �'�/ °7 �/ E .a - .s. e r _ U V/ l b - V �1 ' L/ (/(J O — U 6Q Framing l ' -P� f\ 1, �iL W l - / 2 • (K--) C \ g ' S S U S Insulation // C - J Drywall Nailing�""��5 C ��� Ft Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • + er: 10 ART FAIL s ' i BING - , Post & Beam Under Slab Rough -In Water Service / Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain ORWAVI2T41,444111-ilak Shower Pan Other: iwimpr Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers i ASS PART FAIL TRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm • Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: III Unable to inspect - no access Fire Supply Line ,-------- / / „- ADA c filc Approach /Sidewalk Date �� Inspector Other: Final DO NOT REMOVE this inspection record fr + the Job site PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c q '° 45 - INSPECTION DIVISION Business Line: (503) 639 - 4171 j BUP Received Date Requested l � 3 AM PM BUP Location ,, 9a-- 9 L ['v"'� Suite MEC Contact Person Ph ( ) 7 /Z� 8h` PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext.Sheath/Shear 1nt Sheath/Shear ll Framing �ai�L'L'�GC �� /� 4/ �`�CJt� ST /-ff',�/7) Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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 PASS PART FAIL ELECTRICAL Service / Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El 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 "�4-0°.=)(:),C INSPECTION DIVISION Business Line: 03) 639 -4171 y?111 J BUP Received `J o Dat e Reques ( - c AM. PM BUP Location J � (IJ G ` - r ==-Ai =5th- / g MEC • Contact Person Gk-et_ k Ph S3) 1 [ O g 15 PLM Contractor P ( ) 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 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 CTRIC Rough -In UG/Slab Low Voltage Fire Alarm duiii1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE 111 Please call for reinspection RE: Q Unable to inspect — no access Fire Supply Line ADA 41 Approach/Sidewalk Date / C Inspector — Firir„..w � Ext Other: Final DO NOT REMOVE this inspection record fro e Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MSTO,a/ D Oa -D INSPECTION DIVISION Business Line: (503) 639 -4171 Q� BUP Received Date Requested / - -24 AM PM BUP Location Z q/ 7 '- 4-1}—e---- Suite MEC Contact Person Ph ( ) — 7/ ` g1 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 GSA > G Drywall l l N V / �y Dryll Nailing I 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: 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 .;12n/ ADA Approach /Sidewalk Date l / (,' Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL 1 halal' °di. dlAdAdAddddddAddAddd ®. �doddLldddAdd.�dd .. 11 ddd•�dd�►lr ®rdd I i STREET TREE CERTI-ric : 4 1t. A I, Z et, 0 ( ,6.,( Q ert 1� ark ® (PLEASE PRI _' t fir .Z 14:4 s (PERMIT HOLDER) Al 1 E114. I r I Do hereb 7',-1-. - "' " ,� � n > .y t . r t:. location meets ,L c f _. . •. ► 9 ' ,. a a on County �7 ��e�rai4 vie+.® and �,m�rajr.e�ros. � 3 j Za d use amid development elopment siaada dss for street tree i i st lati on. P. 1 ® . f 44 = ADDRESS: i c-0 1 :V „ 41 LOT: /e5 if SUBDIVISION: p' 4 iY: l e DATE: /Z /2-F-C2Z___ li 11 RECEIVED BY: II f 1*