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Permit C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00493 i D EVELOPMENT SERVICES DATE ISSUED: 1/28/04 .41,1._ i �'i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11785 SW 98TH AVE PARCEL: 1S135CD -KE215 SUBDIVISION: KALAMOIIKA NO.2 /SUB2003 -00003 ZONING: R -12 BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: Const. new SF detached residence. BUILDING REISSUE: SUN12901B STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 514 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 753 sf GARAGE: 228 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 5 VALUE: 123,27520 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,267 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN >=100K: 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: 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 +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: $ 6,582.10 S CONCRETE, INC. ECK CONSTRUCTION INC This permit is subject to the regulations contained in the J & J& Tigard Municipal Code, State of OR. Specialty Codes and PO BOX BOX 516 6 97115 PO O BOX BOX 2 2S4 0D, OR 97140 all other applicable laws. All work will be done in DUNDEE, 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: 503 307 - 0236 Phone: 625 - 1305 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 114755 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins[ Rain drain lnsp 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 Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Issued By : / LQ /m i _ Permittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day - "c , F ; ) a -i5 Building Permit Application FOR OFFICE USE ONLY Received � , Building DateB : '<--- -' Permit No.: !JO ■ City of Tigard Planning Approval Other y g Dat eB Permit No. )/T.2oU3 —c773 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/B : ►3 /0-9-03 Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 / / *��l )�l Post - Review Land Use ■ Date/B Case No. Internet: www.ci.tigard.or.us - ` ---. Contact ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Su i .lemental Information S v I (305. ,>f — /0 -- .. a New construction ❑Demolition ,, • Addition/alteration/re.lacement ❑ Other: _ _ c $ "i: b , 91� ? i a I rT ; �r Note: Permit fees* are based on the total value of the work performed. Indicate i 4. 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 El Master Builder ❑ Other: Valuation /,2-4. �Z 7S, % $ -! • ;;:::1,41-1 IT l ' i„':� 4, " ', 4 ::�, ' No of bedrooms: 'o. fbaths :_ Job site address: /7 Q ' M'- Total number of floors , : New dwelling area (sq. ft.) /.6 7 /�G 7 Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) -# &' 2 2. Y Project Name: Covered porch area (sq. ft.) o i t U Cross street/Directions to job site: Deck area (sq. ft.) x}— Other structure area (sq. ft.) -4;'-- e _ 7'61 ° (..,Y6 ,. .. ia s Subdivision: _ Lot #: �.._� .. .. .... .. . . ...� ,.: .. Tax ma. /. arcel #: S/ :5j:1/2 — 1 1 " - E IP < Note: Permit fees* are based on the total value of the work performed. Indicate F +,� t, ,i � a the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Valuation . $ Existing building area (sq. ft.) .... New building area (sq. ft.) Number of stories ... ''_ _: ti ' , .. t ' 'I:, _, Type of construction ... ( Name: ,„ p�� caj1 Ce"...- - Occupancy group(s): Exis • :• Address: / _ ,, New. moo s /- City /State /Zip: d ezzj7 ' _ -.. _ y 7// Phone: _10 0.2,E — Fax: NOTICE: All contractors and subcontractors are required to be t y � licensed with the Oregon Construction Contractors Board under ' ''' `''''''''''.1`1'1 "I'''''.::"-:-` _ - "5 ' '' ' ' provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: I Fax: E-mail: _ra r,. a - 5v) A Business Name: -4:- ' _,,e,/e.. -,� 2 , Fees due upon application $ Address: P. ' - �OK2O Y City /State /Zip: , ��tJ eyQ•/7:0► Amount received $ Phone: _6Z5 - /3' r Fax: ./ %2��3 Date received: CCB Lie. #: //9 7 �s'� Authorized �� Notice: This permit application expires if a permit is not obtained within Signature: ` wG� Date: 180 days after i t 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 FROM :TAURUS POWER FAX NO. :503 692 9273 Sep. 25 2003 05:40PM P2 ueN L.1 uJ u3:1dp ECK Construction Inc. (503) 625 -- 2553 p. .- . Electrical Per Applicati vcd LPLaaing DoloAlv; 13125 SW of T H 1 1 B lv d 0�' : _ Yitmt No Fbe116erxw Other Tigard, Oregon 97223 l 0 . 104 /21 Pernik No.: Pa nne' 503 439 -4 1 71 Fax: 503.598-1960 Paet Lam [:se ` Interact: w�ww, .t.tigard.or.ds • . 1 . ,, � D`� e v..rr — . -. lea. El see Mee lair 24 -hour Inspection Request: 503 -639 -4175 - �i L rtawe�icrhal: _ ) Sgyreaauaid atsnaaeien- P New consm ttpt ■ Demolition i Service over 225aver- Webb-are facility Additiodsllerationh . - . lacement ,U Other: --1 � e°"'"`r °inl D il.srq. m tawi 0 service over 320 amps -ruing of D Building ever 10,000 maim aim feet, s• ! , f 1 a 2 fa n y dwellings Anse or ntove:edtmda) units in . WM I & 2 dWC1li A rI QOnminitiaill dust sal ; m ! ❑ syste oar a�lo role nominal ow ttr+cmte U a ald ss uwr 0a.. dories ❑ P..dus 400 or akR Mmp•= s ,,,, , vi ndo e t p II Multi- Fannl• '"'�' ' ❑ O xupsnt !cad use J�lperaam Q 1•fsaufsegprod atruetsros or RV perk IV Master Builder I■ Other: I U Waos,✓li,►+u a ?ben a Oda: s ; Sabot sole dpisae aids rosy of eta tore 'rMe suers o sot , _-._ f mot Job site fl a C a � r � �• Suite #. Bld : J • • it oiabu of • *as • - .perdt allow. Project Name: .,11,u 11C31 N.leal z «.l n �,.{. w rypdsetial -ei til or Maki -4 Nit Cross SQ job CEi/DIrcclio s to RUC dm:0 t uk. Lteb ess ansebed garage. Sankt latituto . - - m• - or o. Or .. 1 33.40 Subdivisirm: / i �� Lot #: ' -' . ara -." midget! NM � mu rendes:eel ENE iniireili... El ., Tax creel ti: Ea.b a ainika•ed lzme dtee8iee ■ © . . - .errv. e +se*r cerrkes w eed rest i ad.b.ii.n, IIIIIIIII � ` a1Me.tko or e.r.ea, __. . _ 11111111111111111 a. ' - ,. to 1 ann. fri 401 _s . _ , - 601 m Ykif? a! Min tttF..'3 � Natuc 7 ~ f . -.l Pa .,- 6d . • y 66. 115 . • Ade /� . / f AY _ _ i Tontsorary senates or seders - lausMds■. &kende& or retoeatbn: _. t , ,„ -. l�j� e a ins 6t111i Phone: Fax: m: mu u, ,,an _ _ __ • • No m! ex • Brand gin-miss- new, abandon, or Name: ae...l.a per p.nei, t . Address: turner F . far briw:h cie me with p.mIa:. of eerie. ear feeds for .sak - circuit R 64 City/State/Zip: 9. Fee k skein d c without • • • o - rav,w or feeder Iris imash secant III PhtutC: I Fax: _ . h .t+i.t,. Womb .itwr 665 11■1■1■1© E mail: _ l4i...(earziee .. foe*, oat i ebdo4 . , ri ta ek _ - 6 i.!R - Enka!) a w . ens ,0 Job No s A eneweinel a . trnlatoesegy t..a. Business NstafG: a l :sit '1'li1Fi.��L�',Zt r r A i -- the. -1 ill Each City/Stael • �' Pji v, etbktla cal ... die am.uta u • aid* show t/Z • r�ti , ... = 'r F. ►. - b . - J watisar;fb ►M; , "'" '�� CCB Lie, #: ik, VeNki Lis. #: ■ - f; C Maintains amino= Sopervisits s eel: iein* Subtotal S lure • Wiwi: :. , • l : ,Iii" ► tP _ Plat Raynor n (2344 of Pod Pool $ Print Nemr. ;0., t • 'OEM e r t;. ill: Li f f i _ Sotto sunset ill% of Pena* NC s TOTAL MUM? six i s Awhorizsd N.tise: IYr p.rmis oppdeadaa .spires If a p rush b tee obob+O wghle Rigged Duo: 110 day. baler leas bun ice.psd as e.r ploa. *Foe axtkodarp see b7 Tri- Oeuney ledleSat ladwb7 Servteo loud. Man prim marl 1 fore craatltaxidoc 011033 09/25/2003 18:24 5039826284 KENTEC HEATING PAGE 01 Sep. 25 03 05:08p ECK Construction Inc. (5031 625-2553 P•2 1441; 4)1 1 11 I t` i 4).1 i Mechanical Permit Apvhcation tlateieed t a i i s __, 7 00 i! neatens Armee, Bui lding City of Tigard : Peron No.: 13125 SW Hall Blvd. Fa . Permit Tigard Oregon 97223 teed Use Phone: 503- 63941 Fax: 503-598-1960 °ti , , B : Case No.' Interact: www xi. t igard.or.tts isy- •I , Contact tuns: Si, to 2. ter 24 -hour Inspection Request: 503. 639 -4175 - *latne/Method: Se 1 Ian rtaaeiaa TYPE OF WORK • COM CIAt F6£' l4t�It11L� - f Ciitt�l�.1 !_-1 construction Demolition Mechanical permit fees° we based on the total value of the work AdditipNaltq atiott/t eplaeemcrrt K: mechanical performed. (t+ , vale nt. l d to the a l or ell atehani anleal =totals, total tctiats egteepmeot gtbor, overhead morn d attd lerof CATEGORY OF CONSTRUCTION . , • Vales: S See ►a@t 2 for Fee Schedule • i 1 A -Fami1 dwellin' Cornmercial/htdustrial — x:m sete S ch III Access() Buildi _Multi- Fttml peseripd n I Qty Fie(e..) I Total • Master Builder Other: twntrtl)Caltme ms SITE INFORMATION and LOCATION Furnace - add-an air cnnditianin4 14.00 Job site address . 1. L- ' Gas heat pump 14.00 ,_ B ld JA t.# 14.00 Suite Ile: S p hot water system 1400 ptoitxt Nate: _. . - Residential boiler Cross street/Directions to job site: (for radiator or hydrotrie system) 14.00 • Unit heaters (fuel, not electric) (in wall, in -duct. suspended. etc.) 14.00 Flttdvertt (for any of shove), 10.00 �_ j Repair ants " 12.15 Subdivision_ i i �� Other Feel Aflame! Tax map /parcel #: water Woo 10.00 DESCRIPTION OF WO0IC Gas: fireplace 10.00 , ___.— - flue veflJw.IwM.terl esfin eeet 10.00 Log lighter (Ana) 10.00 Wood/Pellet Move 10.00 Woad att:ptaee(Ins rt 10.00 Chironey/tinerlfh dvent 10.00 jr OWNER : r Elymo1T Other 10.00 ca.ktssasar�t tCsaatnt ti vewe.'►daa Name: J- �°GS�e�;. .,,, Range hood /other kitchen ognipment ( [ 10.00 Andress: / de _ i Clothes dryer exhaust 10.00 Cit /State/h. ! 4 �, � 1 - D 7 singe duct exhaust Phone: Fax: (bathrooms. toilet compartments. ATP1dCANT • CONTACT PERSON utilityrootrs� 0.30 N am e: - Anidonwl space fans 10.00 Other: 10.00 1 Address: R •d "_ CytState/Zip: Furnace, epee •'(SS.4o ter Ord 4. Sl. each a+aitiouat) - MI Phone: ___________I fax: ter head PIN_ " .T E-mail: wa1Vs++ „ , Ftn�laCC .. Business Name' � ( � �tsks r K. . Water ee , Address: Q.v. BOX 433 e E City/Statc i bh, .D." 0 . 'Iv" 1 ' Cl dry�gis) Phone: Se -- %JA r a- a a x Sol - a- todSty Other: .. CCB Lic.: (Q3bd1 Tort: Maehatd *milk Fns' Si Again= r d j e . ' 1( _' Subtotal: S ar►etur � G�°�j D - J + Minimum Permit Fa $7250 S Plan Review Fee (25% of Permit Fee) S name) State Surcharge (5% of Permit Fee) 5 (Please print 1 TOTAL ,CRl UT FLO S Nester. This peewit apptieed a expires Ma permit ii aM obtained within 'lee niethodeter tee by T*C.a itp Wining Wintry Semler Mini. IBe days and It ens been accepeee as complete. - "She plan req.ored for extorter A/C eats. i:\Dtte rerrne Ftmmi/eleePemitAOp.doe 01/03 09/26/2003 07:19 5036254567 NORTHST PLUMBING PAGE 01 . avp. tLR t:enstruction Inc. 1'031 G25 - 2553 p.2 • riuucung r mares . h humbine Permit Anphcotion ' `''' "r ` ` ( 0.1 flusables Pamir ....ti_._.- . -Cel City of Tigard Sower 13125 SW Hal 1 d. Other Tigard, Oregao 97223 FRiallilill. smosNo.: Phew 503439-4171 Fax: 503.5911 -1960 Lod Me R Weald: ertexi.tigard.00Us , { 1 lb:, CoWaot b rie Na: w 24 -bra bawd= &quoit .503-639-4175 - Nan,aOyuMot . . I New construction II Demotftion �� _. . --- �..E km Amite,* :... _., t ■ Other: i►'1 i dt 2- Family dwn h g� ■ i biub 249.30 1111 .... Bgts • t : UI Multi -Fmn l - 33x90 . in Maasr Bu13da SFR 3 bade am 399.00 �s other • B.eA addition' tved.itebea 1.111 45:00 MIMI Job site , /� 1, - ` - - z. Suite #: BIdgJA V MI 16.60 EMI New: 7 _ . 1 t ., r 1660 • Cross street/Directions to job site: .. dm* . , liner R MO �i'"." 11000 - 11h0iolss NO 16.60 Mims x 0. d .. , • •r r away os. haw 11. • NM 1 Stl�risionr. 0 � � �� s � ..• L .. • Water strike • • l ne r ll. 11111111 1i' 'l, r . y 16,60 Dackilow .: - 8ackweer Valve M 16.60 IIIIIIIIIII (o �-T�`. 16.60 MINN + 16.60 MEM r 16.60 MEM Name: To<J eA61C . _ - 16 Addle= / 1 -_ 'I. Pix • , MI 16.60 MIMI 3 1, / /i �rlll/ Moor dmiatfiour sahib& MO 16.60 �r■■�■ Phone: 16.6° MIMI Pl li ons bete 1640 l e mica MN l • 60 Name: L 1660 MEM Address: Mead . _„ ear $ MIN 111M3111111=11 ,r . Primer MI 1640 �F+�•� �:�'<i' _'.TC"""'�" = MI 16,60 Phone: ( Fax; 16.60 - B111il: O 16:60 .,;0,--:-,-,.---- _..:_'''_ - - - - Urinal MN 16.60 Bus Name: Z1 .T �1 w... , . =i ] Address: 1 iii E. Ott aim — �� ea' , - ' . . .:' 4 . ., ' i1 Mac �� Phone: . ' -,_ a 'tor h► ie. _ - . , - . CCBLie. :'. ;i�,„ t �ir Subl S s AWhariO.d MiDbMmf Patin Fee t1Z.50 !'per " Residamiel Seddon" Melons tie $3625 ` v •a a -t sate ., • . . of r rmit Fat 111111111M11111111111 Meese • ) MINIMIIIIIIIIIIILdjAl s . Now.: t{leb perish appieetiee rewires 1f ■ permit b ..e .N+is.l wilds AR low esoaesree.e wary esee4e 2 sees le /pleas with bswestrie er Mier dew I f ns bey aeeepsr.s c-- : riser dle r.ee rsr plow review. V o l e amelsdalsp as b l 4 - C e s a V r Ihdidies Iris hr Stinks Dew* 1AOse6Preteir FereverkeTtswitApp.doc 01/03 ELEVATION CERTIFICATION ifak PER SECTION 710.1 of the OSPSC CITY OF TIGARD 3510.1 of the OTFDSC OREGON THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMATION: LOT NUMBER ,, SUBDIVISION y5 ADDRESS I I S q 4 Y ^ PERMIT# MCC 2-66 - A TRANSIT SHOT ON (DATE) 8 - � HAS VERIFIED THAT THE FIRST UPSTREAM MANHOLE SPILLRIM IS I -<‘ / ffiG R LOWER (CIRCLE ONE) THAN THE LOWEST FINISH FLOOR ELEVATION. CD e47, � 1 DATE PL ER ` S7 DATE JOB SUPERINTENDANT ABOVE INFORMATION ACCEPTED AND APPROVED BY: INSPECTOR ``.� � --� �� ` - DATE / 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD 24 -Hour L' BUILDING Inspection Line: , ) 639 -4175 MST 6U3 00193 INSPECTION DIVISION Business Li . (503) 639 -4171 BUP Received Received 7 � " Date Request- • 74 AM PM BUP Location 75 , Suite MEC Contact Person �`�i' Ph ( ) pLM Contractor Ph ( ) SWR (UILDIN Tenant/Owner ELC Foong Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear � © .b1•\ u �� Framing `� O 46027 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • I: 03 0 PART FAIL • MBING Post & Beam S & Under Slab Rough In PCLIWAQ.Z. 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 7�/ 4 L Inspector Ext Other: Final DO NOT REMOVE this inspection record m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 639 -4175 MST & ) - 3-60 <e?3 INSPECTION DIVISION Business Line: 03) 639 - 4171 BUP Received Date Requested 7 / 4 P AM PM BUP Location • ` � Suite MEC Contact Person Ph ( ) 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 ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm S PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date fL 4 Insp ector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour MST ,2�3' BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested 7--1 AM PM BUP Location 6 �� ,F•t. 2 .6t Suite MEC Contact Person Ph ( ) 5 0 a — aS - se 5 C) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing AIM Foundation ELC Ftg Drain Access: ELR Aril= Crawl Drain .47 Slab Inspection Notes: SIT Airdrie �� Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear �^ 1 "ti Framing ' Insulation Drywall Nailing Fi rewal l ©� C201► � '2 V - 200. CS) C 1 b (J Fire Sprinkler Fire Alarm I ZY a • b"' ��- S i _ \� \ 4 `� LL � 6(+ Susp'd Ceiling iv \ �^^ Roof 1 C 3 V 1 Other: C7 Final PASS P T FAIL MBIN Pos eam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan O e 'ART FAIL ' ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm S PART FAIL I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: n Unable to inspect — no access Fire Supply Line ' ji ��5 ADA Date _ 1 \\.) (Y8 L Ext Approach /Sidewalk Inspector < Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL I ST TREE C ® ► b • ® I, _._,7 ' , ,& ' . , Owner /Agent for k— c _jc�C c ■ (PLEASE PRINT) z ; (PERMIT HOLDER) O• r` ► x .11 A ► I fr ' ► ._,_„ • ® Do hereby certify , . �x �' ri ewing location ■ A meets C ity of v ; rd ' 4, :i. on County ■ ® l and use and development standards for street tree installation. ■ ® ■ ® • ® • ADDRESS: 7/ 78,E , 5�� rt. / " "- ■ ® • ® LOT: �� SUBDIVISION: 1 e AO , ,r �S' ® • / • BY: / DATE: �� ✓O O� ■ • RECEIVED BY: A r ,e/ ` I j ��. v DATE: 7 l el (-04— .