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Permit • i • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00018 .iIlj SW a DEVELOPMENT Tigard, R RV 3CES 639 -4171 DATE ISSUED: 2/4/03 SITE ADDRESS: 14305 SW 114TH AVE PARCEL: 2S110AB - 03100 SUBDIVISION: COLE'S ACRES ZONING: R -2 BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: A BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 21 FIRST: 838 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 837 sf GARAGE: sf FRONT: 47 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD. sf RIGHT: 17 VALUE: 154 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,675 sf REAR: 76 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 6 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 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: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: 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: $ 2,316.03 BURNETTE, DAVID G + THERESA ANN TODD A. CHRISTENSEN This s d Municipal is j od to the regulations contained C o i the Tigard r applicable Code, State work k w Specialty Codes and 14305 SW 114TH AVE 4040 SUSSEX ST all other applicable law All work will be done i TIGARD, OR 97224 WEST LINN, OR 97068 -3724 t 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: Phone: 503 656 - 4665 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You Reg #: LIC 104394 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. X 5 0 3 _534L,— �l-/.4 REQUIRED INSPECTIONS Erosion Control Insp 8 Plm /undslab Insp Electrical Rough In Electrical Final Footing Insp PLM /Underfloor Framing Insp Mechanical Final Foundation Insp Mechanical Insp Low Voltage Plumb Final Underfloor insulation Plumb Top Out Insulation Insp Final inspection Footing /Foundation Dr; Electrical Service Rain drain Insp Issued By : V /l Jai 1 ,,.. '/U Permittee Signatur: ! 4 / i• = ,.:.''' Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • Building Permi ED FOR OFFICE USE ONLY Received Building Date/By: % - // Li Permit No.: T oo J - 000/1 City of Tigard I JAN 13 2003 I anni y Approval Other Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY O F T I GAR Date/By: - 1— v 3 P i Permit No.: Phone: 503- 639 -4171 Fax: www.ci.tigard.or.us J IVI " e I \ Post - Review Land Use F .f I ( Date/By: Case No. Internet: WW.ci.tlgard.or.us '' Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information r ,. t TYPE` OF WORK '- REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING ❑ Addition /alteration/replacement ©'tither. .,, =CATE(ORY'OF.Ct ' 0.11CTI0 , Note: Permit fees* are based on the total value of the work performed. Indicate 1 & 2- Family dwelling irCommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. R Accessory Building ❑ Multi- Family Master Builder ❑ Other: Valuation /.5..V. 7 7 ' . $ - JOB SITE INFORMATION and LOCATION No. of bedrooms: Z- No. of ths: — Job site address: /'/3 a S, / 3: Total number of floors ` ... .,�. �J New dwelling area (sq. ft.) 1. Suite #: � Bldg. /Apt.# " Garage /carport area (sq. ft.) ` Project Name: �f %P, , ,, Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) f Y t r '':'',3.;,441'q fi t1S 4iI ; 4 '' 1 sa .. ' 1! M. . . !'V l a i IS Subdivision: I Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate 40;,,,,,,,„."'''',- • , D ES $'0. the value (rounded to the nearest dollar) of all equipment, materials, labor, � �l/ overhead and profit for the work indicated on this application. o L S o a ///03'f/ .. Valuation $ • Existing building area (sq. i New building area (sq. ft.) Number of stories . a e,,_1 n ik . . 0 : ` y .. s, s j_,, ." i Type of construction Name: D,9,440 Occupancy group(s • Existing: f New: Address: /'�eas' S -ie. (Af s City /State /Zip: ?T yip, Qk- Phone: Fax NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under i. .P ' * - - - ' '. - '� " � provisions of ORS 701 and may be required to be licensed in the Business Name: ' d / _' S ; - , jurisdiction where work is being performed. If the applicant is exempt Contact Namerp2d Dee a - ,o,e/t eit.) from licensing, the following reason applies: Address: /o %{o .S4/sSe c S City /State /Zip: ,( ,e c7 7.0f67 PhoneLcd3 --3 /.� - -7rj",?1 Fax: , 7 W ��,,i�� F Email 7 ;711F; '''!4 >,, ,' I t ° W Business Name: o -'f e Fees due upon application $ Address: e/# t& S C' S"/ City /State /Zip: `tk /"./".1d,C . Y 7oly 7 Amount received $ Phone: ,$ j_ %5 - '6i5 - 1 Fax: Date received: . CCB Lic. #: E ' loft ->?9t� Authorized I v Notice: This permit application expires if a permit is not obtained within Signature: ! // .■e i .i Date: //4 180 days after it has been accepted as complete. gi `/ ..5 Y.f ��S�j�/ *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) Q i:\Dsts\Permit Forms\B1dgPermitApp.doc 01/03 4 0 j T. � ° � 5 . 65 One- and Two - Family Dwelling . Checklist Building Permit Application Chee i Reference no.: Associated permits: City of Tigard City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 LI Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 1 1" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6/OOICOM) r Electrical Permit Application FOR OFFICE USE ONLY Received Electrical Date/By: Permit No. P1 S %a(. -- 0 0 0 / • Cit CI of TI and Planning Approval Sign y g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post- Review Land Use Internet: www.ci.tigard.or.us / /, d ,? 1' Date /By: Case No.: ■ , �� Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 "." Name /Method: Supplemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location [1 Cddition /alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in B"f& 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: if '2S .3.t() //p FEE* SCHEDULE Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: (�Q1S74 Description Qty Fee (ea.) Total I Cross street/Directions to job site �f C e New residential - single or multi - family per 1 dwelling unit. Includes attached garage. Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: I Lot #: Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling � 7 '_ TIONTOF WORK � , ` „z service and/or feeder 90.90 2 D L�Z / ,e/... a or feeders - installation, alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps / 106.85 2 401 amps to 600 amps 160.60 2 ❑ PROPERTYOWNER I ❑ TENANT 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: ,..pip, Reconnect only 66.85 2 Address: / 4 • .5 .1 //y s . Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: 77y9 & ©/e • 200 amps or less 66.85 I Phone: Fax: 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 2 &APPLICANT CONTACT PERSON Branch circuits - new, alteration, or Name: `�' ��&els �1es-' � extension per panel: A. Fee for branch circuits with purchase of p Address: yiD s •'V� e S service or feeder fee, each branch circuit 6.65 2 City /State /Zip: 4/ /1.-/ 4 77,47 B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: ,9, L3.-, I Fax: Each additional branch circuit Z 6.65 2 E -mail: Misc.(Service or feeder not included): = CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: t''hns /� �/e- yr. / � z %�(/ alteration, or extension Page 2 2 �!4 Description: Address: 4 4V 7 „lr<c40� s-71 y p „�/ ��� p -9 Each additional inspection over the allowable in any of the above: Cit /State /Zi d/� 97,a Per inspection per hour (min. 1 hour) 62.50 Phones — ,�Sd� -5/ Fax: Otheri Investgation fee: CCB Lic. #: /eq.? yr Lic. #: . ElectrlcalT ermit Fees* '' Supervising electrician Subtotal $ signature required: ,. Plan Review (25% of Permit Fee) $ Print Name: / - /G� O.tl fi ic. #: State Surcharge (8% of Permit Fee) $ . TOTAL PERMIT FEE $ Authorized Oirjr / / Notice: This permit application expires if a permit is not obtained within Signature: _I ./ .. „' I le: ( /ii/e?'? 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. -- e C��f . 2ee (Please print name) i:\Dsts\Permit Forms\ElcPermitApp.doc 01/03 ♦ _t Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems n Burglar Alarm n Garage Door Opener n Heating, Ventilation and Air Conditioning System n Vacuum Systems n Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control F Medical n Nurse Calls Ell Outdoor Landscape Lighting n Protective Signaling F7 Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 Mechanical Permit Application FOR OFFICE USE ONLY N Received Mechanical DateB : Permit No.: 4 S,,, 'I,. ^'4/ I / ) : 1 Planning Approval Building City of Tigard DateB : Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/B : Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 A Post- Review Land Use �� Internet: www.ci.tigard.or.us a /i • i 1 Date/B : Case No.: Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 '- '" Name /Method: Su • i lemental Information. TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST IJ I construction ❑ Demolition Mechanical permit fees* are based on the total value of the work Addition/alteration /replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. 1 & 2- Family dwelling ❑ Commercial /Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description I Qty I Fee(ea.) Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 1 14.00 Job site address: l g,�D� .6 ./,(J f/ s Gas heat pump / 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for any of above) 10.00 Subdivision: Lot #: Repair units 12.15 Other Fuel Appliances _ Tax map /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 ,t 9 / g ode 4�� /�S1,e if e__ Flue vent (water heater /gas fireplace) 10.00 ' /C_ j 7 Log lighter (gas) i 10.00 e� Wood/Pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ® PROPERTY OWNER , t ,,Lk 11 :\ . s :„ _ . Other: 10.00 Name: ❑9v Environmental Exhaust & Ventilation Ran hood/othe kitchen equipment 10.00 Address: /¢,�Qs'S GO. //di Clothes dryer exhaust 10.00 City /State /Zip: 7 9Rp P ' Single duct exhaust Phone 3 /3 _ 70 Fax: (bathrooms, toilet compartments, ?/ El APPLICANT ' f El CONTACT PERSO utility rooms) 6.80 Name: "rod d C.J7zzr ,e f�j-l/ /C,+r --S Attic /crawl space fans 10.00 Other: 10.00 Address: Lf d . � Sro� � Fuel Piping City /State /Zip: oed A A441/ c", ?7a‘7 * *($5.40 for first 4, $1.00 each additional) _ . F etc. ** Phone: D /�- T Fax: ** as heat pump E -mail: Wall /suspended/unit heater ** CONTRACTOR Water heater ** Business Name (? ( j iJ l,r Fireplace ** Address: 4W' SKIS e.)c S /' Range ** City/State/Zip: Xl CBQ y p: G�� �/Y� � �7�� 7 Clothes dryer (gas) ** Phone: SU2_ j 4/,... Fax: Other: CCB Lic. #: f 3 7 Total: Mechanical Permit Fees* Authorized / Subtotal: $ Signature: /, // .X. -. / ,/ .." ,,f. Date: . O Minimum Permit Fee $7230 $ Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Description: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp; absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30 -50 hp; absorb. unit, 3,400 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: is \Dsts\Permit Forms\MecPermitAppPg2.doc 01/03 Plumbing Permit Application FOR OFFICE USE ONLY Received Plumbing Date/B : Permit No.: J s- it • a - 00 v/t Planning Approval Sewer City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 G Post Review Land Use *llI i ? l \ Internet: www.ci.tigard.or.us ■ •' Date/By: No.: J Contact Juris.: ® See Page 2 for 24 - hour Inspection Request: 503 - 639 - 4175 ' " " "� Name/Method: Supplemental Information. , * risp tion'�uuse checklis _ ' TYPE� WORK° . `� � " FiEF CHEDULE~�(fo eciai�n�'� a •. Or W construction ❑ Demolition Description Qty. I Fee(ea.) I Total Addlrion/alterarion/replacement 0 Other New 1- & -famil , diwell ngs. r,,� , . (inclu les.100 ft 'off' ea ch utility connec ` j CA'IrgGUR' ! kl.± ,O NSTRUCTION °`t °... SFR (1) bath 249.20 I 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 ['Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 ,; ;` JOB$IT FO - LION and'LOCATIO '.4,4 Finnkl • ft Pa e2 Job site address. /y20_v- - / /�s' Fire • - ` er .k l $` " - 71 . , .. . . Suite #: -} Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: Drywell/leach line/trench drain / U Footing drain (no. linear ft.) ft.) Page 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 Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2 Tax ma . / arcel #: Water service no linear ft. Pa :e 2 p it f� R ," - r.f...m.aP' .i it ' d•. .4 ; . = "'' ?: h i e: K. � � � � � #: �� • �° v ,` � Absorption valve � .e 16 .60 � i Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ,' t .a a s i A , ' '% Ejectors/sump 16.60 Name: P p f Expansion tank 16.60 Address: Jy ' c5".40. / Fixture /sewer cap 16.60 Ci /Stae /Zl: f p 7 e Floor ge disposal sink/hub 16.60 �' t [/ � � 0 /- �. Garbage disposal _ 16.60 Phone: Fax: Hose bib 16.60 r l' ' r ..: , w ° c TahCT • �.''` _ Ice maker 16.60 Name: Q, , ,e ' Gjoxe � Interceptor /grease trap 16.60 Address: o q' �� rS6°� �T Medical gas - value: $ Page 2 Primer City /State / ip i /'4'� er /P 974‘7 67 16.60 � Roof drain (commercial) 16.60 Phone:-.4 Fax: Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 1 16.60 :. , Urinal 16.60 Water closet 16.60 Business Name: , ,�`� i , : , .� - e Water heater 16.60 Address: 4pf41 S S • Other: City /State /Zip: !�/� /� ,1/'ie• 9706 -7 Other: Phone55 L -,/A6f Fax: p .' ;. _.o, e _ ,,;: . Subtotal $ CCB Lie. #: /. 3 - Plumb. Lic. #: Minimum Permit Fee $72.50 $ Authorized / j // �1 ' Residential Backflow Minimum Fee $36.25 Signature: •_s / , .- >/ s ate: IM; Plan Review (25% of Permit Fee) $ _ !' ,... ` � (# / State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. - *Fee methodology set by Tri -County Building Industry Service Board. is \Dsts\Permit Forms\PlmPermitApp.doc 01/03 M. Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: eg trot s « ; ` : g „ Fee {ea, ' , T t I Square Footage: Permit Fee,: ��. � ..,, . s� 4 Footing drain -1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and Elxt re�9r= Item Qty. Fee.(ea) , : Tot a l including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 _ $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. 0 r s n t i ar k r , Comments regarding fixture work: �� _.cam a ,I4 '0' Ex red Baptistry/Font - Bath - Tub /Shower _ - Jacuzzi/Whirlpool _ _ Car Wash -Each Stall - . -Drive Thru • Cuspidor/Water Aspirator . Dishwasher - Commercial - - Domestic _ Drinking Fountain Eye Wash _ Floor Drain/sink - 2" _ -3" - . Car Wash Drain - *Note: If the fixture work under this permit results in an Garbage - Domestic increase of sewer EDUs, a sewer permit will be issued and Disposal - Commercial - Industrial fees assessed for the sewer increase must be paid before the - Ice Mach. /Refrig. Drains _ plumbing permit can be issued. Oil Separator (Gas Station) _ Rec. Vehicle Dump Station _ _ _ _ Shower -Gang _ _ -Stall _ _ _ _ Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet - Urinal Other Fixtures: is \Dsts \Permit Forms \PlmPermitAppPg2.doc 01/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ANDERSEN ELECTRIC LLC 9390 SE HIDE A WAY COURT GRESHAM, OR 97080 Electrical Signature Form Permit #: MST2003 -00018 Date issued: 2/4/03 Parcel: 2S110AB -03100 Site Address: 14305 SW 114TH AVE Subdivision: COLE'S ACRES Block: Lot: 015 Jurisdiction: TIG Zoning: R - Remarks: A Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BURNETTE, DAVID G + THERESA ANN ANDERSEN ELECTRIC LLC 14305 SW 114TH AVE 9390 SE HIDE A WAY COURT TIGARD, OR 97224 GRESHAM, OR 97080 Phone #: Phone #: 503 - 665 - 4327 R #: ELE 3 -516C SUP 4826S LIC 147561 AN INK SIGNATURE IS REQUIRED ON TH 0 ► Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 Mar -06 -03 12:18P P_O1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE D + F PLUMBING 4636 N ALBINA PORTLAND, OR 97217 Plumbing Signature Forrn Permit #: M5T2003 -00018 Date Issued: 214103 Parcel: 2S110AB -03100 Site Address: 14305 SW 114TH AVE Subdivision: COLE'S ACRES Block: Lot: 016 Jurisdiction: TIG Zoning: R -2 Remarks: Addition of 1675 sq. ft. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: UURNETTE, DAVID G + THERESA ANN D + F PLUMBING 14305 SW 114TH AVE 4636 N ALBINA TIGARD, OR 97224 PORTLAND, OR 97217 Phone #: Phone*: 2_ F2 - Reg #: LIC 465 MET 00002033 PLM 26 -23pb AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o- itr • = umber If you have any questions, please call 503.718.2433. ( 4 ' Y - 3 & ?/ Too ¢j Lim Dm QV9IL 30 ,'IIID T99C6u'9tOS IV4 Ct :TT LULL C0190 /C0 01.21.03 07:54 FAX 5038463525 CLEAN WATER SERVICES Z 0131 FR0m �• Panasonic FAX SYSTEM PHONE NQ. - 17 CI V ED 14 2003 �J6: 28! `1 P2 01 urt: _1J rA.t 5038463825 , r-' Ni 1�T ',VI(' S V 1� [r 13132 ' JAN 21 2003 .- 1,N 1 20 � JAN CITY C$F..:45 I BUILDING DIV Clean Water Services BY Onr anmr fitment i o1 -n ensi #Ive Area Pre-Screening Site Assessment Jurisdiction - %�; -' Date / Map & Tax Lot I / o Al3 03r od Owner ___ ; , &re4,/c,7'` Site Address / d . / n A. t2 __ Contact S': Zile' h,e, ` i-. s —✓ w Proposed Activity _ /d ep .. .s o , Address --7 9A , s. Ste" /Sri , Phone 3"0 ..�_ Ofc131lag onlybO /pw ;h $ ling 4. et Y N NA Y N NA Sensitive Area Composite Map Starriwater Infrastructure maps FA Li ❑ Map # 5/ fi .- ® QS 4r t S1 D 0 [7 Locally adopted studies or maps 7] 7 Othe.i. Specify Specify Based on a review of the above information and the requirements of t: lean Water Services Design and Construction Standards Resolution and Order i0a. 00.7; 7 7 Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUAIli: : :';: OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERM11°. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Niatural Resources Assessment Report may also be required. ,ZL Sensitive areas de not appear to exist on site or within 200' of the site, This pre- screening site assessment does NOT eliminate the need to eviuiluate and protect water quality sensitive areas if they are subsequently discoveved on your property. NO FURTHER SITE ASSESSMENT OR SERVICE PRI:;tWICDER LETTER IS REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ;� The proposed activity does not meet the definition of develop - ,lent. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRE1,:1, Comments: rt ,iccl a■ yev: eW liaiG rke _25c / a r-o f e a r ui : /1 4,1,7 5.' ,' - ____/,_ _.,. tea . cb_s_7,!1-,p z r z r ...1 4s.'r►..e g - r K w____6.. k rar___„- e . — - Reviewed Illy: .-". = r ��_ Date: /z Returned ro Applicant PossPost-IV Fax Note 7671 oate .3 3 as°' I / f Maims Fax X Currntei• Toy o ( // NriSrckfei• From /%4T �c vekw 4 -: Dare _i c By if Co. /Dept. CO L , 5 Phionr # q Phone ti ,.0 3 , 9 , y6 _ 7.5 _ FaX ii 50 3' 6 4 l" i 75 4 Fax* � e PERMIT NO.2 003-1901 tP CONTROL N NTROL INSPECTION REPORT DATE 1 — ((- 03 INSPECTOR �©,J Ra w CleanWater Services OWNER /PERMITEE A l / c ClAyis ll � e. /4 Our commitment is clear. SUBDIVISION WA LOT SITE ADDRESS / Sal- ( 7 APPROVED FINAL INSPECTIO 'r THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THAN YOU FOR YOUR COOPERATION! INSPEC , PHONE " 9#4! "eV* • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: '41t . 175 3 _ 0061 INSPECTION DIVISION Business Line: _ • 9 -4171 MS� � ` 7b3 BUP Received Date AM PM BUP Location C✓ w d 5 1 r `�% Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR y® 11LDII Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain \ l /`r � Slab Inspection Notes: 2 J,( SIT Post & Beam L(2.--2 S ��� Shear Anchors Ext Sheath/Shear Int Sheath/Shear A f , 4147 % ■•■,............_..........„. Framing Insulation Drywall Nailing ..\-A-4 Firewall /l Fire S rinkler )\/. O C7D � /� Fire Alarm Susp'd Ceiling - . — - P Roof Othe : • ' PART FAIL • • BING ) c Post & Beam Under Slab Rough -In V - Water Service 'or Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final "1 e°1" PASS PART FAIL H C L Beam Rough -In Gas Line S • e Dampers . 4:0 PART FAIL TRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 111 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: 111 Unable to inspect - no access Fire Supply Line l ADA Date Y\ \/ 6) Inspector ector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 't • 39 -4175 �� /0 INSPECTION DIVISION Business Line: • ' -4171 MST BUP Received Date Requested AM X PM BUP Location / � 5 k 1/ 7 Suite ., MEC Contact Person - i _4 di � � - ' %i Ph ( b �) 3/3 /2Z PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain 1 � Slab Inspection Not s: /1 f / � e Post & Beam ( . ` / // y 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 �� V PLUMBING II Post & Beam Under Slab Rough -In Water Service • 1/' Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PART FAIL HANIC L Post & Beam Rou Lin Smoke Dampers Z io 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line � 1 � ADA r I �j " v` Ext Approach/Sidewalk Date l Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection 03) -4175 MST 3 Od O i INSPECTION DIVISION Business L 6 •-' BUP Received Date Requested —/ BUP Location / '13 O.5 / / a`--- Suite MEC Contact Person Ph ( ) 3 / 3 - 'Z Z4 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 Y d _g v� /t /©� ( , \ SS 11�S • Framing Insulation re 'CQ) ,� > U v L Drywall Naili C J Firewall (Z ‘(- 2/ - 1) ‘ Fire Sprinkler () >_1A._ S �� Fire Alarm (�) Susp'd Ceiling ` _ ,(� S 1 Roof (c� S -,r.,, - - 4 0 - v'V� / c..x. A Other: p(1.1■Lizi2 S p ► -2.c.J L J v le, .L,j PASS PART 40 1 - �—' t PLUMBING ►9 A C/c — �'i"■ \ I/\ V't S t \ il ? Post & Beam ^ ,' Under Slab �`C 'r .fM1 S a - p - C a—✓■i (--+- -X Water ' n V � ` � r� t Water Service *� w►'1 Le..-1■Z...M/1 Sanitary Sewer ©l i J/ 0C� ®a 3 ' 006 Rain Drains ' Catch Basin / Manhole r Storm Drain Shower Pan Yv 0 (t. c. ,-c-?\ b `C" c- CQ4 S Wk S Ze-.Sk-;•— Other: Final C 7 4 a � -� vt..,t w_ MECHANICAL � v���x � VIA Post & Beam k,o3 6N) /' • o `.. Rough -In Gas Line 0 '41111111111 ... Smoke Dampers Final PASS PART FAIL ` ` � ` ' 1 ELECTRICAL f �, Service l A S P �C `( uc -uv'� Rough -In V Low Voltage 94 Co �y 4 detf Low Voltage � - ' '•i""f' Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: E Unable to inspect — no access Fire Supply Line ` �i ADA Approach/Sidewalk Date /` 76 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 3 -boo `A INSPECTION DIVISION Business Line: (503) 639 -4171 ' BUP Received Date Requested d AM PM BUP `e3° 7 L Location � 7 Suite MEC Contact Person Ph ( ) 20) 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 RT FAIL LUMB Pos & Beam Under Slab Water ervice Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: tr . PART FAIL CHANICAL 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: 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 3-600,e INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3 -7 AM PM BUP Location 3 D S / I LI - pc-u—e-- Suite MEC Contact Person .___1364-0. Ph ( ) 31 3 — yZ2-2r 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 Drywall Nailing IF • 1 Firewall A' .1�sL 0 `I if Fire Sprinkler ` ° '= �, Fire Alarm ' Susp'd Ceiling -- Roof s / `. / o r Other: — — .f�. _ Final f ,/ PASS PART FAI PLUMBING L2 - /� d f - ' ' � LUMBING , Post &Beam / /. Under Slab - ou•h -In Water Service Sanitary Sewer Rain Drains � l �i� Catch Basin / Manhole a - �� r �� A - %M � f Storm Drain Shower Pan _ Other: � � �iy Final A II / �.��. W PASS MT FAI MECHA ' / .' ■ /ice A/ i . i1 �✓ . Post & Beam Rough -In Gas Line Smoke Dampers 1,6 )64-- Final PASS PART FAIL ELECTRICAL Or ` �AVIPIWAVAlly L l Service Rough-In •t __.Li I , � IW � L /.. _ I" .. 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: fl Unable to inspect — no access Fire Supply Line ADA 4 Approach/Sidewalk Date a - Inspector Ext Other: Final 1 I NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST owv✓ ' a 0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received to Requested 3 -� AM PM BUP ij 3L3 `Location � 'Ll / 1 1 —' Suite MEC Contact Person Ph ( ) ? /3'" #4' 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 Drywall Nailing 0 / Firewall Fire Sprinkler - - - Fire Alarm Susp'd Ceiling Roof / —/ / ✓ Other: , ' — Final PASS PART FAIL PLUMBING G i Post & Beam Under Slab ou h -I 1 /' �► Ar /O s 411 Water Service Sanitary Sewer v C. � Ce9 ( Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART F L MECHANICAL Z-1( J Post & Beam Rough -In 7 Gas Line Smoke Dampers 7 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 17/7 ADA Approach/Sidewalk Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour Q� BUILDING Inspection Line: (503) 639 -4175 MST ;' 3 - ooa r v INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested °? ! AM ✓ PM BUP Location < T 36 - -( ._ Suite MEC Contact Person 1-0-4.41 Ph ( ) 3 1 _3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: tg Drai ELR 'raw! rain 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: F . 4 PART FAIL PL BING . 17 Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Catch Basin / Manhole Storm Drain Shower Pan Other: Final r PASS T FAIL ICAL 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: U ble to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date � Inspe Other: Final DO NOT REMOVE this inspection record fro the jo to. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ad 3 -add iff INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ,2 —� AM PM BUP Location / 9 3 d 5 //`'� Suite �/ MEC Contact Person Ph ( ) 3 / 3 � 2 Z d PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain L/� 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 Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 4 t 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: 0 Unable to inspect — no access Fire Supply Line ADA 3 ! � - frk) Approach/Sidewalk Date 2 /1 '2-/0 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour 2 BUILDING Inspection Line: (503) 639 -4175 MST ✓ -OVv /8/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested , y -- 3 AM v PM BUP Location (fv� d 6 / 1 Suite MEC Contact Person Ph ( ) 3 / 3 r c 1 /2 'k 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 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S A FAIL SITE 111 Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA ! Approach/Sidewalk Inspector � - Ext II / , Final DO NOT REMOVE this inspection recor r ' e o site PASS PART FAIL CITY OF T.IGARD 24 -Hour Q� BUILD�VG Inspection Line: (503) 639 -4175 MST 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Request AM PM BUP ,c� Location / 1130 S 1, �LG �_ _'—" Suite MEC Contact Person Ph ( ) 3/3 - -- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ft Drain Access: / L r f� Crawl Drain A r O D& l• Q �,i/ ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall C 'S' d C < < A L> Fire Sprinkler Fire Alarm //::: r ` -- Ae SU 6 Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains 4411140 Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final T FAIL - ice er lab Low Voltage Fire Alarm Fin fl ��� PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ✓ C 0 1 ) Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour d 2�, – ` -_ BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested nn//,�,�, 3 _ AM PM BUP Location _ /`{3, 3 I N`f `•"l 4 Suite �^ MEC Contact Person Ph ( ) 3( g'C� 7� 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 Sheath/Shear Framing t V -11 `,,� �v J� ' l.a Lr �V Insulation ' Th \ - S ��4c� �l � Drywall Nailing 1� ( 't" �(J � Firewall Fire Sprinkler Fire Alarm ' / jJ ) ,� / A 1 am: 0 Y 4 i til.J , V \ , )1 lA 1 Q \' \ \JP" Susp'd Ceiling p ` � Roof V t� 1J\ ' Q y , \ - 1') 1 \ I C ')/{)111\41 0 VGA Other: Final PASS PART FAIL — j' PLUMBING 0 L 1 D &' O Post & Beam 10 \ ) il Under Slab l- ' Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL IJ 'a-71/ 91,- -C ,` f 4 Rout h -Beam / 7 b 5. � , 1 - H l.¢.�/a C g y Gas Line C,P� It p / Smoke Dampers Final G o \-j_ j_ V Zc') PASS PART FAIL v Yo ELECTRICAL Mt W Yo 0 ( 4 d Service -o .. -I:." L ow olt -M,C — \ Fio � &< Low Voltage 1 Ti j Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ge PART FAIL 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ,;�' ADA Date �ij - Q �nsps d E Dt Approach/Sidewalk y Other: Final DO NOT REMOVE this inspection record from the l ob site. PASS PART FAIL CITY OF TIGARD 24 -Hour 22 BUILDING Inspection Line: (503) 639 -4175 MST 3 — 80 lv Q INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3-11 AM BUP Location f 3 0 5 /1 "[ Suite MEC /L Contact Person Ph ( ) 3 ( 3 ' 7 Z PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: r f�� Ftg Drain ( . ELR ` Crawl Drain iThI ) < Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ati • • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi - PART FAIL P BING Post & Beam Under Slab Rough-In 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 fl Please call for reinspection RE: [] Unable to inspect — no access Fire Supply Line ) ADA Approach/Sidewalk Date / J / Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL _ %i CITY OF TIGARD 24-Hour on Line: (503) 639 -4175 3 �'�p BUILDING p ( ) MST INSPECTION DIVISION Business Line: (503) 639 -4171 _ BUP Received Dale Requested AM PM BUP Location r f 4 l / - Suite MEC Contact Person Ph ( ) 3 i 3 - Z z Y 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 s ,uPEn 7,11/44-t v �A-45 - Tet i A vT. Insulation Drywall Nailing '777". o" AA2 / 71i e A./ 1'L �cp�� ∎/x-47 � Firewall S / Fire Sprinkler Fire Alarm 1„,o Lc�TL J .� Susp'd Ceiling ' Roof Other: Final PASS ARTJ 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 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: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext A Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD _ 24 -Hour 2 BUILDING Inspection Line: (503) 639 -4175 MST - eto 6 f INSPECTION DIVISION Business Line: (503) 639 -4171 3 �7 UP Received Date Requested 3 p — ? AM / PM BUP Location � J[ 3 —' f y ..j.,_ -fi Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) 31 3- q2 9 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: ✓ Ftg Drain ELR Crawl Drain Slab Inspection Notes: 1 Le i S ', a-- SIT Post & Beam Shear Anchors A ' Ext Sheath/Shear �-� �� Int Sheath/Shear (3— v „ } S — 6 f _ s Framing �►7 v` u-✓ I I� v�1 ) Insulation Drywall Nailing ct.....-, 5e_J(i. �� Firewall 1 1 ' 0 ---(1/\/\ 1\ ` S 4- Fire Sprinkle Fire Alarm i��` ( `' V--4-A--./` \ f Susp'd Ceilin• Roof # �• ✓ Other: Final .� v v— �� Os' PASS PART ($AII. PLUMBING 4 c_-e. Post & Beam Under Slab Rough -In _ Q om✓ I � r - °'. Water Service � Sanitary Sewer L ie ArIM Rain Drains ' � � G= Catch Basin / Manhole °I.I°.i. Storm Drain — - , Shower Pan C(-� Q '-e.1 \rL-) s • OA Other: • Final 6 1 c AIM .. , PASS PART FAIL '' Post & ea .1,,.. .1,,.. ( ough-In m W � Nev., . ' ZA v as ine W t�� LA/3 fl (/� � 1/k/N Smoke Dampers .• e 6_,..\,,..(s Final . S &_.1-a� t PASS PART 4 ELECTRICAL ��� P \ L f \ S Q,,� I Service 7 ' " Q S t 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 Ill Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date D 3 Inspector ,t 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 a�3� INSPECTION DIVISION Business Line: (503) 639 -4 2 BUP Received Date Requested 3 ,� AM PM BUP Location _______W,3_03 / I Li Ati - Suite p . MEC Contact Person Ph ( ) -3 /3- q �1 2240 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 3 / 3 `f Z Z ELC �i F. •• -tion Access: ' -v- z c�. 4 SZ. St-t( —6 e n s( c,1‹...9.1 4 tg Dr -' • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear c� Int Sheath/Shear •' I n �1 a cQ- �U� e U et 6 Insul t' �— Drywall Nailing C;/ J Firewall Fire Sprinkler Lw\ O� l��s S Fire Alarm Susp'd Ceiling -a. / Final mm"mi- PASS PART AIL PLUMBING Post & Beam Under Slab C ' Rough -In Water Service Sanitary Sewer l Rain Drains Catch Basin / Manhole 4 Storm Drain , Shower Pan ` I r Other: P/',1 Final i PASS PART FAIL , " MECHANICAL ,v 4 Post : Beam Gas Line Smoke Dampers Final PASS PART ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line 4 ADA �� Approach/Sidewalk Date ' 3 Inspector (l ` Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL — a r I U A , 0 1 <a ( 6;0\ Ls( \0‘ V2',, -et.jv-N " 763 ✓() / CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MS ( `3 - ,© k INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested- /i AM BUP Location 14 . � 4 �^- � Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR Tenant/Owner ELC o ng Foundation ELC Ftg Drain Access: ` _�! e � s ELR • Crawl Drain � �( Slab Inspection Notes: /, '( l, SIT Post & Beam '� Shear Anc • • s 1'L -y _m7• -ar l �•���'" Z�., A-& Le—SL S WL S ► �R Fram g Insulation l Drywall Nailing Firewall Fire Sprinkler ✓ ''' p Fire Alarm S O S - ` -&_J ' Susp'd Ceiling '" O Roof the 1 ( P ✓� e-, Other: Final 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 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 ADA / Approach/Sidewalk Date Z L� l v Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL r f,u ( Ja CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 - 00 O INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested °2 — I3 AM PM BUP Location 1 4- (3 S / / �/� Suite MEC Contact Person Ph ( ) 3 t) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain • ELR Cra, I Drain a: I f Inspection Notes: / D 3� SIT Beam ear Anchors 0 e ]1 / / V I Ext Sheath/Shear / Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fig . RT FAIL 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 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 / /D 3 ` (�� I ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL — 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c 3 -666/6 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested I ( AM PM BUP , L Location f "t 3 d s T' Suite MEC Contact Person Ph ( ) 3/ 3 `f ZZ-8 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing r ian /�� - , fik ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: / SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing vs 24/e Insulation Drywall Nailing Firewall if 6 ✓� Fire Sprinkler Fire Alarm R oof Ceiling Roof ! / c t � ` � J�(� oof .re) 'k ""(r.�.�J�; Other: I � PASS ART FAIL PLU G ost & Beam f // Under Slab �J _ 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 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: El Unable to inspect — no access Fire Supply Line • ADA '�.J 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 eon Line: (503) 639 -4175 - OD 3 - d p BUILDING MST S � l Cf INSPECTION DIVISION Business Line: (503) 639 - 4171 ,/ BUP Received Date Requested , ' _ J AM PM BUP / Location / 1136 J� I I'7 �`' r T -v- -- Suite MEC Contact Person � Ph ( ) 3 13 - 14.se PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ootin roundatiori ELC A ccess: Ftg Drain ELR Crawl Drain \ Slab ` Inspection Notes: C.e /1 SIT Post & Beam �i Shear Anchors I. Ext Sheath/Shear " f2451-1.41/.--/ 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 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:_ El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date � S — � Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL