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Permit C It Y OF TI ARD -- 7 - 0.394 MASTER PERMIT PERMIT #: MST2002 -00321 / . . /6`)XV ec9- -- -te., / {. 2--- e _ e l . dej 4 4\ DEVELOPMENT SERVICES DATE ISSUED: 8/1/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15087 SW 107TH TERR PARCEL: 2S110DA -08500 SUBDIVISION: ERICKSON HEIGHTS ZONING: R - 3.5 BLOCK: LOT: 046 JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,433 sf BASEMENT: sf LEFT: 8 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,537 sf GARAGE: 564 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 27 VALUE: 311,358.40 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,970 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: 1 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: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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: $ 8,311.64 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This d Municipal is al l C d the regulations ec Co in the Ti 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR ll other applicable laws. All work w Code, , State Specialty be done Co in and WEST LINN, OR 97068 WEST LINN, OR 97068 all o applic will i 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 - 557 - 8000 Phone: 557 - 8000 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You Re g # LIC 130449 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr Electrical Rough In Gas Line Insp Water Line Insp Final inspection Post/Beam Structural' PLM /Unde i. Framing Insp Gas Fireplace Appr /Sdwlk Insp Issued B . 1 / Permittee Si natu - : -\ S. _Al g Call (503)•39 -4175 by 7:00 p.m. for an inspection needed the next business day /j T 7- / - A - Bw 7T? ldini PermitA ' ation � i'P . . - Datereceived: 7 ? e' Permit no. :M >T `y - ev a -o?Jy'l City of Tigard Tigard, OR 97223 • Project/appl. no.: • a date: Address: 13125 S II Blvd City nfTiga.d Blvd. , g, �-� ' Date issued: By Y Receipt no.: Phone: (503) 639 -4 1�' ��. � Fax: (503) 598 -1960 �-. �,� ,, y am . 4. `41 Case file no.: Payment type: Land use approval: • • ' 't 4 ' ) ' : . r P " \ 1 &2 family: Simple Complex: - II V' T_ 1 Ill: O PEJtl%Ut ' 1 & 2 family dwelling or accessory 0 Commercial/'industrial 0 Multi - family 4New construction 0 Demolition a Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other. Job address: ( O $7 , &„ /0 7'`- - - ' Bldg. no.: Suite no.: Lot: `,, Block: Isubatvtsion: ",. /,s o,, /j,►, >44r Tax map /tax lot/account no.: j Cu Project name: E rcles�+ fl r e, ' I f —e _ ' �• Description and locatior. of work on premises /special conditions: 5' %c f!a 4.-, /1 - Hr.... OWYNFN , FOR SPECIAL INFORMATION. USE CHECKLIST . . : - & ' t tut,dplai,►, +(prir capacity. solar. etc.) Mailing address: / G 7 Z .. r t,/, bie,,w #to r 4 /we 1 & 2 badly dwelling: .,., t ,, City: 6„/, - 1,;,..t 'State: ZIP: •97 6 $ Valuation of work . lL E -- $ Phone: s S 7 17.4 ' TO Fax: ft /64p/ E- mail: No. of bedrooms/baths ? • 57 Owner's representative: Sera Wt.., 7" Total number of floors _ Z ' . Phone: C 7,9 ?'op Fax: ‘70 96,63 E -mail: New dwelling area (sq. ft.) b APPI.1c., NT Garage /carport area (sq. ft.) Covered porch area (sq. ft.) / 30 _ Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) --.. -. Phone: Fax: E -mail: ComatereiallindustelaI/multl- family: cONI RACT(ttt Valuation of work $ Existing bldg. area (sq. ft. Business name: s;t,.,, New bldg. area (sq. ft.) . Address: Number of stories City: State: 'ZIP" Type of construction Phone: Fax: E -mail: Occupancy group(s): Existing: _ CCB no.: q q view: City /metro lic. no.: �,, 2 496" Notice: All contractors and subcontractors are required to be A K( 1ll (ill i :5I(:'Vrat licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is exempt from licensing, the following reason applies: City: State: ZIP: ` Contact person: Plan no.: Phone: Fax: 'E-mail: l' N(.INI. N Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ . I Phone: 1 Fax: E -mail: t Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information.), attached checklist. All provisions of laws and ordinances governing this U Visa 0 MasterCard work will be complied with, whether specified herein or not. credit card amber: / / Expires I Authorized signature: Date: _ Name of cardholder u shown on credit card S 7j tr t t. ,r Cardholder signwue Amount 1 Print name: 16_ sa rt3 (woo/cow This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Electrical Permit Application Date received: 7 ', 09— Permit no. :Ny( —00394 yl PTG j CCt/a ( City of Tigard pp 1. no.; Expire date: J City nfTgrrrd Address: 13125 S W Hall Blvd, Tigard, OR 97223 Phone: (503) 539 -4171 Dat issued Sy: Receipt Weal Fax: (503) 598 -1960 Case tile no.: I Payment type; Land use approval: 'ri'1'E OF PEILM111•r & 2 family dwelling or accessory 0 Commercial/industrial Multi- family ❑Tenant improvement New construction Addition/aIteration/reptacement 0 Other: , C� Parma JOB SITE IN FOR NIA 1'10\f J ob address:_ i oo C".° 07674 i � E ,51,6___ Bldg. no.: Suite no.: 1Tax map /tax lot/account no.: I Lot: I B1ock: - ISubdivt`sion: e,, /t / r ,,,, tg ---- Project name: 0-4.z k ,,,, /,4 / i Description and location of work an premises: Estimated date of completion/inspection: ('ON•IRA:( "1"Olt APPLICATION _ "_\ I'LL S('IILUt1LE Job nos Fee Max Business name: C.., e 7;-,c, Deecrtptlon Qtv, (ea. I Total no. ins• • Address: / a c.,,, l�/Z New residential - atngleor mold - family per Ci t t-- - - d+vellittQtmh.ladades etbtdrcdgae garage. Y: ej„,, 4,;,,,, y State: oQ i ZIP: 4 ) 7 © / S Servicelnclude& i Phone: 5 0 , 7 0; z I Fax: 1E-mail: ;000 sq. ft. or Less 1 4 CCB no.: a>3 s i Elec. bus, lic. no: 3— / Z g'e h add tional 500 sq. ft. or portion the :eef Limited ener• y, residental City/metro lie. no.: / Z•Z •. Limited energy, non- residential 2 Z; Each manufactured home or modular dwelling Signature ofsupervisir.. electrician (required) Date Service and/or feeder ! 2 Sup. elect. nam 4 -e (print): '< Q • e, License no: C/ g• Serricesurfee l turtallatla alteration or relocation: £1tOPLItIN OWNER 200 amps or less 2 Name (print): - "€ , ...? ct, : r. /'' s 20l amps to 400 amps 2 Mailing address: G 7 / 401 amps to 600 amps 2 IEZIFVEIEEIIIIIIIIIIIIII 'i''`"9, e " 601 amps to 1000 amps 1 2 State: ZIP: 9 ,, Gge Over 1000 amps or volts I 2 Phone: t 557 race rinfirigfflitair Reconnect oni 11111__ I Owner installation: The installation is being made on property I own Temporary Services or feeders - 4 which is not intended for sale, lease, rent, or exchange according to anstallat`att,edteratfan , orrelocation: I ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's Si: attire: Date: 401 to 500 am..s I 2 f N(; I N F ER Branch circuits - new, alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of I Address: service or feeder fee, each branch circuit i 2 L City : Stare: I ZIP: B. Fee for branch circuits without purchase f I Phone: Fax: E of service or feeder fee, first btarch circuit: � --- 77 Each additional branch circuit: I P1. •\N R1''.Vtl.11 (Please check all that apply) Misc. (Service or feeder not lncbuded): D Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle i 2 0 Service over 320 amps - rating of 1 &2 0 :[aurdous location Each sign or outline lighting MINN 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts rioimnaj more residential units in one structure alteration, or extension* I 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: ___ 0 Occupant load over 99 persons 0 on aver t Manufactured structures 9r RV park Each additional inspection allowable In any of the above: � 0 Egress/lightingplan 0 Other: f Per. inspection 1 I i. Submit sets of plans with any of the above. investigation fee f The above are not applicable to temporary construction service. Other J ( ( Not all jurisdictions accept credit cards, please call jurisdiction for more information) Notice: This permit application Permit fee $ i Ca visa 0 MasterCard expires if a permit is not obtained ban review at %) $ , ■ c card number / / within 180 days after it has been State surcharge (8%) .... $ _ f Expires i accepted as complete. TOTAL $ I Name of cardholder as shown on credit card i,. S Cardholder signature Ameumt 4404615 (WboICOM) . . , A , Plumbing Permit Application ... 14,111,; City of Tigard Date received: �6 U Permit no.: y j 9Yx� �� . Address: 13125 S'J✓ Sewer permit rto.: Building permit no.: i Hail Blvd, Tigard, OR 97223 Ctyo7iand f g Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 Date issued: By ' f Receipt no,: Land use approval: , Case file no.: Payment type: % Pt Oi f F.Rl%Il l ` 1 1 & 2 family dwelling or accessory 0 Commercial industrial ❑ Multi- family 0 Tenant improvement New construction 0 Addition/alteration/replacement 0 Food service 0 Ot her: _ JOB SITE 'INFORM saMS LEE tf'IILUIJLE (for special information use checklist) Job address: j5 87 - S c..r /D'7 prff �/1. Descri .lion 4 . EEInni Total Bldg. no.: f Suite no.: 'ell I.- and 2- , Ty dwellings only: Tai map/tax lot/account no.. (includes 19t1ft. for each utility connection) 1 SFR (1) bath Lot: y6 'Block: f Subdivision: E , /5,,, / �,y� sFR (2) bath 1 Project name: ,r, t 4 s.,x hie. r,54 f3- SFR (3) bath I City /coun , , �L,r'as��,�P: Each additional bath /kite tf eti Description and location of work on premises: e /.://e , .9rly Site ut litles: .ersil+lerN hap/ Catch basin/area drain Est. date of completion/inspection: Urywells /leach line/trench drain 1'i.t 'NI ILING t'Ol�r�l'It Al - 10k . ootin; drain (no. din. ft.) Business name: G. ,c h Manhaetured home utilities _ �_ 4 4+ Manholes MN Address: 1 s' • ;,,, 6 Rain drain connector City: it , t State: c,( ZIP: 9 7 tlita' anitary sewer (no. lin. ft.) Phone: 5 fc 911 Fax: [E-mail: Storm sewer (no. lin. ft.) + CCB no.: 7 9 �CC J Plumb. bus. reg. no: ;r� _ ,�y4r f,i, Water service {no. li�' .) City./metro tic. no.: 250 / Fixture or item: —� Absorption valve Contractor's representative signature: ye:d1" -- ,' Back flow •reventer i I Print name: "a "It A / e. Date: Backwater valve r` CON! 1 ('I Pi[R'+ON Basinsilavatory esr, o es washer Name: „ Address: Dishwasher City: State: Drinking fountain(s) Phone: l pax: Ejecta sum t anion tank 4 )WJ" f:K ixture/sewer ca C; Name (print): ire.1 a i.+rlarrre� ,., 4- /-7/,.., oar drains/floor sinks/hub Meiling address: 'b 7-2. :, -I a . //s , H ose a tiffs 'sal ECMIIIVZIPPMIIIIIIIIECMMII '' Hose bibb ZIP: " 7 '- ' Ice maker Phone : S.f 77 eat" Fax: E -mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) , employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's si . ature: — Date: Sump I NI:Lit Tubs/shower /shower an ' Name: Urinal Address: Water closet ' Water heater City: State: i ZIP: Other. r Phone: I Fax: E- ail: Total Not sit lurisdleriow acxpt srodit cards. please call itmsdiction for mom irdrsrnatianl Minimum fee $ Notice: This permit application 7 Visa D MasterCard s . Plan review (at %) $ expires it a permit is not obtained Credit card number: / 1 within 180 days after it has been State surcharge (8 %) .... $ — Expires TOTAL $ :Name of cardholder as shown oo credit card accepted as complete. $ L- Cardholder signature Amcurl J 440 -016 (6/00/CGM) Mechanical Permit Application F_ µ` v� City of Tigard Date : Permit no. : ► City nfTrgari Address: 13125 SW Hall Blvd, Tigard, OR 97223 ppl. no.: re date: Phone: (503) 639 -4171 ' Date issued: By Receipt no.: Fax: (503) 598 -1961; Case file no.: Payment type: Land use approval: Building permit no.: PCv & 2 family dwelling or accessory 0 Commercial/industrial w construction 0 Multi - family J Tenant improvement 0 Addition/alteration/replacement 0 Other: _ 108 l 11' INF011MA 1 ION VONIAIE:It( IAt, VALI':1l I0r' S(Ill EUl.I Job address: /5 g - s r_ ,' d Indicate equipment quantities in boxes below..Indicate the dollar I Bldg. no.: J Suite nu.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ Lot: yi f Block: I Subdivision: : „k.k 4 / " A y .. - + See checklist for important application information and Project name: E „44«.,,,, j.,/,,,J4 7t jurisdiction's fee schedule for residential permit fee. City /county: k ti,.. ,t,,,, ZIP: I .. 2 I. 111I1.Y !311 I I.i.Ii\(: Pt R all t I l l : SCHEDULE premises: _rte LI; Description an' location of work on P �+ ...., /. /,� 1.” �!)( (1i11�1t1�lt i(.1111r1►t�till2t :V 1;(1t'tl'1II :ti1S('IIFIIt {LE .' - Fee(ea.) Total Est. date of completion/inspection: Descxpdon Qty..Res.only. Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handbill unit um I Is existing space insulated? 0 Yes 0 No Air Alteration (site plan required) Alterati of existing HVAC system NIF(1I.1'V!C.11. C'0N1itA(`E Boiler /compressors I Business name: 4 , f State boiler permit no.: ' �"' HP Tons BTU /H Address: 499 a S . I s „ .4 - ire smoke. dampers/duct smoke . electors City: State: ZIP: q 7p4' ' eat pump site p an require - _ Phone: 1C 12 Fax: 26‘ 7k`jil I E -mail: Instal replace urnace •urner CCB no.:� $ Including ductwork/vent liner 0 Yes 0 No City /metro lie. no.: Insta ll/repiacelrelocateheaters- suspended, x.4 j/ 3 wa1l, or floor mounted Name (please print): K a �, LI< o. V exit fora• •Trance other than furnace (()N 11C I PE RSON Absorption units BTL /H Name: Pe” Chillers HP � I Address: Compressors HP City: animates tu ves tilatioa: Chore: State: LZIP: Appliance vent Fax: E -mail: Dryer exhaust MI NUR Hoods, Type 1/ llfres. kitchen/hazmat hood fire suppression system Name: / e off 0,ss , eix.r74..,,t hic rs Exhaust fan with single duct (bath fans) Mailing address: ( 72 Si,. i✓/ // t FAds #,,, Exhaust system apart from heating or AC City: tiled H � State: �f' t Fuelplpu andd�islrI5lttion (up to 4 oulets)) 7m g r Type: LPG NG Oil ! Phone: SS 7 Vac 0 Fax: 65 C . tri E -mail: Fuel ppin each additional aver 4outlets l I N t. I\ 1 I U Pros s p l ong (schematic required) I Name: Number of outlets r." 1` j Address: Other listed appliance or equipment: Decorativefireplace I City: I State: + ZIP: nsert - type I Phone: i Fax: I E -mail: Woodstove/pellet stove Applicant's signature: Date: 0 ----� j Other: Name (print): „,C' ✓e P1: ,4� -I 1 'a all iunsdictiona accept credit cards, please call jurisdiction for more information \ Permit fee $ 1 Ca Visa ❑ tvlasterCud Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtaine plan review (at °.'c) $ - Expires within 180 days seer it has been State surcharge (5 %) .... $ i Name of a da as s hown on credit card accepted as complete. TOTAL atsurcharge Garr iicLdct signature Asmara a40 -4617 (6/00 /COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST — 3z/ INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received Date Requested — I ( AM PM BUP Location /37 $ 7 / 6 7V / �+ / Suite MEC Contact Person ` jtr41■0. Ph ( ) — 3/ 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 -, 1- Carl o/G Drywall Nailing Firewall 5 ' T CGtl Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot er: - t' PART FAIL - U MBING 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 Vii. J .— 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 A ADA Approach/Sidewalk Date r I /'o "3 I nspector �� Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL V • • • • 1 • • • 1 TREE C • STREET • . • . • . • . • I, ,7 i , O wner /A gen t f or Aeitf }-/S � �s ■ (PLEA E PRINT) (PERMIT HO DER) ► • ► • • • ► • ► • ► • • Do hereby certify that the following location ■ • meets City of Tigard /Washington County ■ ■ • • land use and development standards for street tree installation. ►∎ j ■ • ■ ■ ADDRESS: /0 IV ( 7M - j t • • s • • LOT: S , BDIVISION:► °� f� �/ 6-�'/� ► • • ► / D ATE: Z D ■ • • ■ fIr BY: / 3 : ' t i 1 RECEIVED BY: ia r ' DATE: ° (--- ■ • ■ A YVVVVVIITVIITVVVVTVTTVTIVTVVYTTVVTV•TTIFTVTIVVVVVY7VVVVVVVTVVVVV1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST a-063( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3/ AM PM BUP Location /,57) g7 / �� -(%LU Suite G MEC Contact Person Ph ( ) 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 MW Drywall Nailing Firewall MMEOMMIffir Fire Sprinkler Fire Alarm !� ! c 1 4:3 Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING . ArA / /,L Post & Beam Under Slab i /' _ - ,i — _ /�/ �� Rough - In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: S - 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA 1 �" 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 Z _v 1634( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / Z AM PM BUP Location / S v 7 / 7 VPI C----' ,A—CA/1 Suite MEC Contact Person S/1 -67 ;0 1/4-9— ' Ph ( ) l PLM v cZ Contractor —�_ � Ph ( ) — 3 / D Z 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 Int Sheath/Shear Framing Insulation 7y // 7;4 Drywall Nailing •�� L` a 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 J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Fire Supply Line ADA ` Approach/Sidewalk Date V&i • (2J (2 Inspector - 7 Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL