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Permit e " MASTER PERMIT CITY OF TIGARD PERMIT #: MST2004 -00212 lIti''' DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15107 SW 94TH AVE PARCEL: 2S111DB-KE225 SUBDIVISION: KESSLER ESTATES NO. 2 ZONING: R -4.5 BLOCK: LOT: 025 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: 5 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: 12 VALUE: 308 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: 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/O SVC/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+ amo /volt : PLAN REVIEWSECTION 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 CUSTOM HOMES BUENA VISTA HOMES 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard Municipal Code, laws. of All work kwil Specialty done Codes and all other applicable laws. All workwill be done n 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 vales adopted by the Oregon Utility Notification Center. Those Reg 8: 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 lnsp Water Line lnsp Plumb Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Issued By : - / _ !l'-r , Permittee Signature : _5.<..-� \,n ', Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day C� // rf m7Ip `i °t'l�App`1 i on FOR OFFICE USE ONLY Building Per Received ,2 !) ( Building 14 t , Date/By: `/ Permit No.:/ 14 )/ C9dOt{ OOa/ City of Tigard JUL - tr 2004 Planning Approval Other Date/By: Permit No.Uft, 0 Li' ,0001.11 13125 SW Hall Blvd. CITY OF TIGARD Plan Review . Other Tigard, Oregon 97223 BUILDING Date/By: t4 g_,2 3- oy _ Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 ' 'll'� PP o t- iew Land U se Internet: www.ci.tigard.or.us - - -- Contact Ju ' .. • ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: ! Supplemental Information TYPE OF WORK " - - - -.: ' REQUIRED. DATA . _:.:• • • , © New construction Demolition ❑ Demo 1 & Z FAMILY DWELLING : ['Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate © I & 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 4 k, S No. o f bedrooms: No. aths: JOB SITE INFORMATI • N `; LO • TION 2. Ts'► Total number of s r J ..4.03. - ob site address: hi b /�!'- %► �. New dwelling area (sq. ft.)... . Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: Covered porch area (sq. ft.) ' -41 - Cross street/Directions to job site: Deck area (sq. ft.) _ Other structure area (sq. ft.) • ... , • REQUIRED DATA : ' -. : -• • .. - - -: COMMERCIAL - USE CHECKLIST ! Subdivision: '�3� � ZMIR: Lot #: tc 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 ❑ 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: 503-443-6033 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 ❑ CONTACT PERSON 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: Eliabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: • Fax: E -mail: • 'BUILDING.PERMI *_t::• •'..- CONTRACTOR .. . . `:` _. - 'Please ref . eescbedule: ' : • `' :, :: • 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: 1 CCB Lic. #: 1 52235 Authorized ,,/ //�� _ • Signature: (i1�� 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 Boa (Please print name) i:\Dsts\Permit Fomms \BldgPcrmitApp.doc 01/03 ' - 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 • Electrical PermirtrAppl"ca ton R.e;ved Electr;eal OateIBY: Pamir No • I (�� O(� nt, f �a City of Tigard , ' C 2001 Planning Approval Si 13125 SW Hall Blvd, J Plan Ry: Permit No.: Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/B : y Permit No.: Phone: 503- 639 -4171 Fa t196QS10� • Post- Review ._ Land Use ' Internet: www•ci.tigard.or.us od d Case No,. 24 -hour Inspection Request: 503 -639 -4175 Contact Juris.: S ee Page 2 for Name/Method: _ Supplemental Information. • • ' •.. OF WORK. ..,•. • . --�� ;)! 1 EVTEW.( Plesiaiti 'cSeekaV:'t>ztit:sitifib') : <• : __ IV New Construction • Demolition ❑ Service over 225 amps. ii Health -care facility commercial Additionlalteration/r • • lacement I Other; 1:1 ❑ do us location Service over 320 amps - rating of ❑ Building over 10.000 square feet, ':CATEGORY.{)F'CONSTRIJCTIObi, 1 & 2 family dwellings i1;' & 2 -Famil dwellin y One or residential units in t C O111n1C1'C131/IndliSh'laI 0 over 600 volts nominal one structure • • A a , s • ❑ Building over three stories Feeders, 400 amps tf il _ Multi- Family ❑ mps or more ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park • Master Builder Pa .-.: � Qtller: ❑ Egresdlighting plan ❑Other: . • • : JORSITE INFORMATION: cud LOCATION Submit Seto or plans with any of the above. Job site address: Q / Tire above are not applicable to temporary construction service. Suite #: $ld.. /A•t. #: • ` .. FEE! SC11Ef ':: ':�:'.';, �;;`%;•::•;.-;:; • Number of inspections per permit allowed -- Pro'ect Name: Description Qty Fee (es.) Total Cross street/Directions to job site: New residential-Awe or mutt/- family per 1 dwelling matt includes attached garage. Service Included: 1000 sq. R. or less 145.15 4 — Each additional 500 sq. tic or portion thereof 31.40 1 Subdivision: Lot # : Limited ever , residential 75.00 2 Limited p•rgy, non re 75.00 2 Tax ma• /.arcel #: Each manufactured home or modular dwelling • •'` 'DE . ' r OPL'OF"WQR :' service and/or feeder 90.90 2 • E •l.V �`'—_ Servh ea or feeders - Instaltatlao, • aheration or relocation: ,- GA t. • • d n c—Q 200 amps or less 80.30 2 -- 201 amps to 400 amps 106.85 2 ' dr, 401 amps to 600 amps 160.60 2 i . 8O>Q:1 RTY OWNER t . :.;.NE. .TEN . , .:.. • - 601 am to 1000 240.60 2 Name: t e Q • r Over 1000 amps or volts 454.65 2 a Reconnect only Address: - 2 1 Gl1 >/C/G/ n t' L ` Tem porary serv car feeders - installation. 0 7 2 200 amps or less 66.85 1 alteration, or relocation: Cl /State /Zl ° ' VC Phon= .•�c 1 / 1 /3 - (a3 Fax Lig 19 3 201 amps to 400 ama 100,30' I ill :•:'. '. • C' • - 401 to 600 amps 133.75 2 a�. N CT'I'E ON Branch elre4lta - new, alteratlon, or Name: S t . y Q'. / ...5 S extension per panel: _. Address: A. Fen for branch circuits with purchase of service or feeder fee, each branch circuit 3 6.65 2 Ci /S tate/Zi .: B. Fee for branch circuits without purchase of Phone: Fax: — service or feeder fee, first branch circuit 46.85 2 Each additional branch circuit 6,65 , 2 E -mail: ' Misc,(Service or feeder not included): .,.. • .' tii4tt)it - Each ptmtp or irtigaiion circle 53.40 2 Job No: Each .9trr or outline lighting 53.40 2 Signal circuits) or a limited energy panel, Business Name: t� �C Desenpn j � ! - alteration o r extension Page 2 2 Address: Q !0 5k) aa rivt [� ' !'3 an ; Ci l Stat€/Zl • ; HI IS (p0 �-�} O / �� _ Each additional inspection over the allowable_In any of the above: Phone: Per inspection per hour (min, I haaL 62.50 .�-3 (0 'IQ, Z80 07 Fax: 5V_3 .1 � investigation ice: CCB Lic. #: is Lie. #: 34G Oth v Supervising electrici• : - .'.`:; Ekt i[ca1;Pckeli ;r:: ;, ?. ;> )� si • ature re • uired' _46, Subtotal S Plan Review (25% of Permit Fee) $ 5( Print Name: ' C / OSS Lie. #: 2 State Surcharge 8 °�° of Permit Fee) S A TOTAL PERMIT FEE S Sign Authorized riz ; Notice: This permit application expires Ir permit is not obtained within Date: 180 days alter it has been accepted as complete. "Fee methodology set by Tri -County Building industry Service Board. (Please print name) - i :\Dsts \Permit Ferny \ElcPermitApp.doe 01/01 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 °- A Mechanical PermttrAp,Uiic-a -tIon Folk uF°F-I( r •r cUa ,5 Received Mechanical " ° u U I IQ VU Oat&B : - Permit t4e.: - 01 • ib 'DO_ City of Tigard Dan mina Approval 13125 SW Hall Blvd. l W 2004 Per Review • Tigard, Oregon 97223 bats . g S CITY OP Tic =qRn Phone: 503- 639 -4171 P'ax:J150v598 UIVIS .. '' t poet -R ,_,r Post -R ` lane c 1ew land Use Use U:rtel:llet: vaww,ci ttgard.or.tis • �, l Contact Juris.: • 4 See Pagel for 24 - hour Inspection Request: 503 639 - 4175 f - Naax Artethad: $eppteRreetal fntbrrna+Soo. • : • • '1 TYPE QFWOt:ZIC' ; 5 ?3i" ; 2 .::; t:, : : .; : ' : 'r.::: :"it RC11 .T:PSE� 8CP0&D[7[Z V.088i>GJ YO 11131,.:.:'`: New construction I Demolition Mechanical pertr¢t fees* are based on the total value of the work AU Addition /a]tt ration/re i lacernent U Other: performed. Indicate the value (rounded to the nearest dollar) of all `:.:CATIEGOR ::OP.CONSTRUCTI a A: i 1., „ ° - 'i", : mechanical materials, equipment, labor. overhead and profit. ILArianimamAalavard ■ Comtnercial/lndustrial Value: S See Page 2 for Fee Schedule 1M , Access* Building ❑ Multi- Farnil ' - REsimag nAD martrisrsrEtt5 _-. n l Deur •lion ► Fe es. Tissal a/ Master Builder [Other: Heed.. Coolie. • „JO :'SITE INTORMAT[ON and LOCATION ': :. • furnace - add-on air conditioning *` 14.00 Job site address: /e 7 c§m) Zialeb Gas heat • •• 14.00 Bld :. /A • t:#?: Duct work 14..00 Proj ect Name: llydronic hot water system. 14.00 Residential boiler Cross stteel/Directions to job site: for radiator or h • mile s stem . 14.00 ' Unit heaters (fuel, not electric) in wall, in•duc su • tided ctc.) Ill (4.00 Flue/vent for an of above 10.00 Subdivision: LOt #: R •air units 12.15 Tax - - /•arcel #:. Water heater '0.00 • • • • •• DES «- I LON • F • • • RK ' ; ' • Gas fireplace 10.00 NEW CONSTRU TION - GL - F • I ' Flue vent (water heater/pas fireplace) 10.00 DETACHED RESIDENCE Log lighter (gas) - 10.00 Wood/Pellet stove 10.00 —. Wood 6replace/insert 10.00 Chimney/liner /flue /vent _ 10.00 Ire. ' a PEi rs O = 1D :TJr.NANrStt "1 . .. Other. 10.00 Bavironm.ent a exbattse & veld brsatk name: B_=1_, V i s - .. - ul -au Range hood/other kitchen equipment 10.00 Address: 6932 SW Macao:. —.I, . v - S . - C Clothes dryer exhaust 10.00 Ci /State /Zi•: Portland OR 9721 9 Single duet exhaust Phone , _ I _ . , Fax: 1 _ , . _ (bathrooms, toilet compartments, IYt ts4n CONE • gERSON . "' utili rooms • 6.80 Name: David Goloba Attic/crawl space fans I 10.00 Other; _ 1 10.00 Address. . — City /State/Zip: **(SSA for first 4; 51.00 tacit additional) Furnace etc. Phone: Fax: eras heat pump E-mail: Wall/sua • elided/unit heater CUNT)<RACTOR Business Name: _ •_ . w a . �� • Addre8s :2428 5E 105th Ave. ;i 111111 � Ci IState/Zi•:Portland, OR 97216 Fax:503- 5 - �a 3 Outer. •• Phone: 503- 253 -7789 Total. .CCB Lic. #: 45131 Meebaeleal IPerudt Fees* Authorized • Subtotal: S Signature: .,:�. t.J Date:_ 4121;04 Minimum Permit Fee S1t50 S David Go1o y Plan Review Fee %of Permit Fee) S eas e Print rt$rite State u fir -.• : % of Permit Pee S PR ) TOTAI. ' A. ► S N otleet This permit application expires If a permit is not obtained within .Felts a an dot ' set by for Trt exterior a/C Building Ladery Service board. 180 days after It has beet oeeepted as complete. i;\ASts\Pamit FatmstMeCPetrtutApp•doc 0143 • • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY + HENNA VISTA ca 002/003 Plumbing Permit Application FOR,OFF,c 1'sL ONLY acceirved Date/B : , O --00, City of Tigard (� � E �� � � D e s Approval Sewer . Permit No.: 13125 SW Hall Blv Plan Review Other Tigard, Oregon 97223 11 iq . b 7 004 Date/By: Permit No.: Phone: 503- 639 -4111 Fax : - 503 -598 -1960 Post - Review Land Use I ' Internet: www.ci.tigard ;oruspF TIGARD ',f 11 Date/H Case No v t Contact Ms.; See Page 2 for 24 -hour Inspection R eeq� ���1503 1[13M Name/Method: Sa • • lomaom tntbrmaeioo. •- . :'1. :..'s'... . rgroP.WORK.' :... ' .a. r.•__:..... " . ..FEVI . .D.1Li$• or 'r. - . •lnfQ tralito - ' '%.-i1 lig New construction Demolition Description Qtr. Peace..) Total • Addition/ cvalterart�ilo�nnht�e7ep�iacernent Other : v` : N ,t V41 .' Igi i• :. .g., ' 4.,:,, :A : '� OATECrQR'Y�OIP. !. L-4N D t,)I ' " 4 od ' o' dme i ketet'kiab:ermiy", ' o`osnecbaou 4:'•-�',• ,• !r'1 1 & 2- Family dwelling El Commercial/Industrial SF ial SF (1) bath 249.20 R (2) bath 350.00 ■ Accesso Buildin: _ Multi- Farnil _E LS( bath 399.00 ■ Master Builder Other: Each additional bath/kitchen 1.00 dOB SLFE INPOR1NATIOdst an LOC tTIONI ' ' Fire vrinkler • sq. It.: Pa e 2 Job site address: (6 7 se ' .. - . . SlttiJtiaties :..:':4,... W 1,t.� ? '. - - • - . Suite #: Bldg. /Apt, #: Catch basin /area drain 16.60 Project Name: Dsywcllileal hline/treneh drain 16.60 Foottn[ drain -(ne. linear t.) Paee 2 Cross street//Directions to job Site: Manufactured home utilities 110.00 . Manholes 16.60 • Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Storm sewer (no. linear ft.) Pakee 2 Subdivision: I Lot #' Tax map/parcel #. Water service (no, linear ft.) _ Page 2 • Fixture or Item : :... .. ' .. . ' s e ' ...'. DESCRIPTION OF WORK Absorption valve 16,60 • A' NN K, ,CONSTRUCTION - SINGLE FAMILY Sal:know preventcr Page 2 TAIMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 �f 1PROPERZY'1,1 NEW ' ::'�r:9'TENA7iT . • _ Ej eakinR fountain 16.60 - ' : , Bi�ors/iumP 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 69 3 2 SW N1a ra d am Fixture/Sewer ca. 16.60 Ci /State/Zi, : Portland OR 97 21 9 • Floor drain/floor sittk/ttub 16.60 Garbage disposal 16.60. Phone: 503 --443 -6033 FP:: 5030.443-2443 Hose bib 16.60 J APPLICANT . ;' . fl CQNTA T'PRRSQN ' Ice maker 1 6.60 _ Name: Ray Mullen Interceptor /grease trap 16.60 Address: Medical Sae • value: S Page 2 Primer . 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 . COPFTRACL'OR • Urtnal 16.60 + BusinessName: ED Mud, Pluft lbi.na Wat rhea 1.60 �1} - Water heater 166.60 _ Address: 24470 SW Rainbow Lane Other: City /State/Zip: Ili 11,13l�ar . _p$ 9 71 7 a Other. Phone' S 0 t 628- 1 6 3 2 Fax: t Q -• �,., : Plttsoble _ i+umle;>faebr... . Subtotal s CCB Lic. #: . p E R q Plumb. Lic.#: • _ , p• _ Minimum Permit Fce ST2.50 S Authorized / Residential Backflow Minimum Fee336.25 Signature: ./ A -A..1 �. ' . C _ I Plaa Review (2554 of Per is Fee) S Ray ul en State Surcharge (8% of Permit Fee) S (Place print name) � TOTAL PERMIT VEE S Notice, MI6 permit application expires If a permit is not obtained within • Au now cotortlerelal buUdiap require 2 tots of plans with isometric o r 18O days after Is has been tempted as complete. rI4se diagram Ibr play review. ' methodology set by Tri-Conner &sliding Industry Service Board. iADits \Pertnil Fortne\PlmPermltApo.doc 01/03 CITY OF TIGARD 24 -Hour - - 'BUILDING r InspectiorA„ I_ne:, (503) 63• -4175 ' MST 06 INSPECTION DIVISION Business Line: (503) • -4171 ' 9 BUP Received Date Requested / — A h PM BUP Location S D 9 Suite MEC Contact Person Ph ( ) 7/0 — F./ /' 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 n Sheath/S�j �t _� ! Z . Z-'9. 0 4 Framing G Insulation kV/14 Drywall Nailing • Firewall ( bk>7 Fire Sprinkler ►`� /` _ Fire Alarm 1111.1"."- _ `= 5 " Roof le i Zsr� e v l� - t\/14-7 l ���7 � t ( f� � /'V4 L -3 Other: PART FAIL MBING. t2o� t t (✓ / 6;0 Post & Beam © / . 6 � - � 0 Under Slab V `� � '\ Rough - In — S � /�7� �:✓�GcJ' C Z Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: CAS Final PASS PART FAIL MECHANICAL Post& Beam � Rough -In • Gas Line Smoke Dampers 11 ' : - J$ PART FAIL TRICAL 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 i Fire Supply Line . e C -w ADA r Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record fro a job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST o r b d "Da INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested I Z — - AM PM BUP (. Location 5 ( 7 '5 _- Suite MEC Contact Person ('-#.. . Ph ( ) 7 / b — g /S 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 a/ 7/7 7� 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: 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 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA /19/2-9k (/ Inspector � Ext Approach/Sidewalk Date p 1 ' Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection ,l.ir± : (503) 6 4175 MST o Z 1 INSPECTION DIVISION Business Line: (503) 9 -4171 1a1 I ,3A , BUP Received c�� Date Requested f `�o AM � PM BUP Location / 5 D l � (,J 5 MEC Contact Person C l cCd Ph ( J ) - 710'4) 5 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 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 Service Rough -In UG /Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection: Pay City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA *Tr- Approach /Sidewalk Date / 2 . 0--C" Ext Other: Final DO NOT REMOVE this inspection reco, from the job site. PASS PART FAIL „, ' AAAAAAAAAAAAAAAAAAALCULAIAILAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 4i ir 0 fib Iir STREET TREE CER 4 Pk- A O 0' 4 , 1 1 41. I., et. g6 e9 , I (PLEASE PRIM) / (PERMIT HOLDER) ; 1 4-1 . 1 ir 1 ; Obi ...` , 4 : . ,__•- lit- ti , _ ts. i I Do here') .7.: : 1 -- '; I' I ---..1- ; . di# meets,qtryf. s . .4,,, on County ilk ■ 1 i arid use and development standards for street tree installatiou. 0). It. 1 I 1 ADDRESS: to. 44 _ ..* gt. to. 1/ 1 LOT: t 2- 5 41 SUBDIVISION: I ble• 4/ . "O. ‘ ,__ /---- __._------, 4 BY- if> 0 , Oz. 01 --- ZV C 177 to. 1 1 RECEIVED BY: DATE: It; li l' ■ ,VVYNYVVYVVVVVVVVVVVY VVVYVVVYVVVVVVYVVVVYVVYVVVVVYVVVVVVVVVY'l ix