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Permit e > my °Y O F TIGARD MASTER PERMIT PERMIT #: MST2001 -00330 ,,,I:k DEVELOPMENT SERVICES DATE ISSUED: 06/20/2001 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13434 SW 122ND AVE PARCEL: 2S103CB -11600 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 074 JURISDICTION: TIG REMARKS: New SF Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 405 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: S 286,397.00 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190.00 sf REAR: 25 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 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: SIGNAUPANEL: 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: Contractor: TOTAL FEES: $ 5,826.52 Owner: This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code, State of OR. Specialty Codes and 4230 GALEWOOD ST. 100 4230 GALEWOOD STREET all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 SUITE 100 accordance with approved plans. This permit will expire if LAKE OSWEGO, OR 97035 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 35533 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You ft may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control lnsp 84 Post/Beam Mechanical Mechanical lnsp Shear Wall lnsp Insulation Insp Mechanical Final I Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing /Foundation Dn Electrical Rough In Gas Line lisp Appr /Sdwlk lisp Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final .I i / e•-•i Issued By : .ILA ./Lc., _ /1111.7 - Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day tilliP. 4, MASTER PERMIT CITY OF TI CARD PERMIT #: MST2001 -00330 i. ���; DEVELOPMENT SERVICES DATE ISSUED: 06/20/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13434 SW 122ND AVE PARCEL: 2S103CB -11600 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 074 JURISDICTION: TIG REMARKS: New SF Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 405 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 286,397.00 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190.00 sf REAR: 25 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP <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: SIGNAUPANEL: 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: $ 5,826.52 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 GALEWOOD ST. 100 4230 GALE WOOD STREET Tigard Municipal Code, State of OR. Specialty Codes and LAKE OSWEGO, OR 97035 SUITE 100 all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 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: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 35533 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp & Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing /Foundation Dn Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : . « .. ' Permittee Signature : . / AA/. «1VA_ _'�I Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application �/"^ C l of Tigard Date received( / 0/ Permit no. 6/4 /.- .0D37f) �j ti : g ' ' Project/appl. no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Phone: (503) 639 -4171 Date issued: By( I Receipt no.: Fax: (503) 598-1960 ; Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: j..../ TYPE OF PERM! r ❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family 'New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: 't , • . ' C , 1% ra9 Bldg. no.: Suite no.: Lot: --- i Block: Subdivision: 6,00 A 1 1 0 \ i 1/4 . L E I Tax map /tax lot/account no.:, S /n 3 c_-13 - i I b 1pp Project name: R - 4.5 PP Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, ISE CHECKLIST EMI �I W4WIiWA t 1111 I I ME (Floodplain, septic capacity, solar, etc.) Mailing address: i tralWrili/35� ` R ' I 1 & 2 family dwelling: City: =mil ZIP: �� Valuation of work X 0 6 ' . 71 $ - ."' Phone:. r j }l EireNNE,MrArli No. of bedrooms/baths __ Owner's representative: ",yV Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) l OP APPLICANT Garage/carport area (sq. ft.) I C EM � � ata Covered porch area (sq. ft.) / Z 3 Mailing address:, C a Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft.) ... rEMIDIPMPRMII Mar./MIMI New bldg. area (sq. ft.) Address: _� ` _a City: State: ZIP: Number of stories .. Type of construction Phone: J Fax: I E-mail: Occupancy group(s): Existing: CCB no.: 5 �j?) New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under rallIVENIUMEIF provisions of ORS 701 and may be required to be licensed in the 1 Address: c �C _ A CL.,/ (Q t jurisdiction where work is being performed. If the applicant is City: State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: State: IZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I 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. A • rovisions of 1 ws and o dinances governing this ❑ Visa ❑ MasterCard work will be compli wt whether I - cifi- 4 sere or not. Credit card number: / / ' ( /C) Expires Authorized si natu , , - A . ate; Nam of cardh older as shown on credit card Print name: 1J�`1 L \: 1 f— $ Cardholder s ignature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-16)3 (t>&Oa/COM) » � One- and Two - Family Dwelling • A V:4y; B P A pplica ti on C hecklist Refe no.: C of T Associ permits: Cit o f Ti 0 Electrica 0 Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 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. 4 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. X 8 Soils report. Must carry original applicable stamp and signature on file or with application. x 9 Erosion control 0 plan 0 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 designdetails 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 tf if copyright violations exist. J� 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. n 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. i c 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. /1 c - 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. x ■ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." K. 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists y over 10 feet long and/or any beam/joist carrying a non - uniform load. x , 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 11" x 17 ". x 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. 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 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 (&aaCOM) 1 Mechanical Permit Application � � � Date recei g / 0 ? Permit no.: i�: i " i? !{ f <�,� . J City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 Date issued: By: j Receipt no.: _ • Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement • ,Iew construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: (, Nt v' l,. T r 1\\l - Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: `1 JBlock: ISubdivision:�`� t, vi.t� HD 1 V *See checklist for important application information and Project name: C.) jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQIJIPMENTSCHEDULE Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No _ Alteration of existing HVAC system MECHANICAAL. CONTRACTOR Boiler /compressors Business name: �� ( b. 4 ,.1 t State boiler permit no.: HP Tons BTU/H Address: genr Fire/smoke dampers/duct smoke detectors City: \, �� ig' ZIP: Halal Heat pump (site plan required) InstalUreplacefurnace/burner BTU /H Phone: . „S u or _ ' Fax; E -mail: Including ductwork/vent liner 0 Yes 0 No CCB no.: ?),9C-7-)('5 Install/replace/relocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): • t_T -- ,/10 (-E�1.____. Vent for appliance other than furnace Refrigeration: CONTACT PERSON Absorption units BTU/H Name: 0 R t� L.. Chillers HP Address: CIA (t_ Compressors HP ' � Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type!' II/res. kitchen/hazmat hood fire suppression system Name: M la Exhaust fan with single duct (bath fans) Mailing address: g / 1` Exhaust system apart from heating or AC City: �� Fuel piping and distribut (up to 4 outlets) Type: LPG NG Oil Phone: , y cons__ ZIP ) )7 - �li Fax: E - mail: Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: Fax: 1E -mail: Woodstove/pellet stove Other: Applicant's sigrraiu SIX ( Date: ( f j) J f j I ' Other. Name (print): k/ Li Yr f I. r I 1 T Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ 0 Visa 0 MasterCard Notice: This permit application Mini Minimum fee $ expires if a permit is not obtained Credit card number gs Expires w i t hin 180 days after it has been Plan review (at — %) $ • p State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete TOTAL $ Cardholder signature Amount 440 -4617 (MUO.COM) , Plumbing Permit Application Date received: y/,"; ! Permit no. :n 1 )r00.3 �,-,, { 1 l 'i City of Tigard ,,.� �I y g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 Project/appl. no.: Expire date: Fax: (503) 598 - 1960 Date issued: By 7 e) I Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT O I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement ►: ew construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: t J 1 V 1,4_} ti's- ps -v , _ Description Qty. Fee(ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: 1 SFR (1) bath Lot: '7,J j Block: I Subdivision, IAL2J ! � SFR (2) bath Project name: t4)+ SFR (3) bath City /county: I ZIP: Each additional bath/kitchen Description and location of work on premises: Site utilities: Catch basin/area drain Est_ date of completion/inspection: line/trench drain Footing drain (no. lin. ft.) Manufactured home utilities Business name: > (`V> LU 1"'« 1 1....1(.. Manholes Address: T ` w Rain drain connector ' City: i7 • wip . Ciitil_ ZIP: Sanitary sewer (no. lin. ft.) Phone: , --f -� Fax: E-mail: Storm sewer (no. lin. ft.) Z - .-1p Water service (no. lin. ft.) ` CCB no.: Plumb. bus. reg. no: -� Fixture or item: City/metro lic. no.: N/A — Absorption valve Contractor's representative signature Back flow preventer Print name: jnn ldirl �Ef Backwater valve CONTACT AC f PERSON Basins/lavatory 1 i ��,7i E Clothes washer Name: S Dishwasher Address: '4,.' / f ,ry - Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank Fixture/sewer cap �, L 4.___. Floor drains/floor sinks/hub `:� 1. E 'l 1l� Garbage disposal Mailing • • • 2 --L El PQ,,R 7 ' `� L Hose bibb r) State. I ZIP:q - 70- 5 Ice maker — Phone: / - Ap,gp Fax: 4 ,7-70 . 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 signature: Date: Sump ENGINEER Tubs/shower /shower pan Urinal Name: . Water closet Address: Water heater City: I State: I ZIP: Other. Phone: Fax: E -mail: Total Na all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Minimum fee $ 0 Visa t] MasterCard expires if a permit is not obtained Plan review (at %) $ _ Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ accepted as complete. Name of cardholder as shown on edit card atilt $ Cardholder signature Amount 440-4616 (600000M) Electrical Permit Application MMIIIIIIIIIIIIIIIIMIIIIIIM . - ilio Date received (o 1 Pe rmit no.: � `7 �D l_626, 'PO I' ' may,. -4 Ci ty of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By I Receipt no.: Phone: (503) 639 -4171 Y Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement v. New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION Job address: fr Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: .- I Block: Subdivision: • Aa,t ■ )% 7 Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR API'I.IC'A ZION FEE SCHEDULE Job no: Fee • Max _ Business name: CA"(t-i a— E[.,Tt�A (, Description Qty. (ea.) Total no. Insp New residential -single or multi- family per Address: ' • gap 0 • I LL - c - � dwelling unit Includes attached garage. City: t , t 1 • `. g ZIP: • Service included: Phone:142 -1.3 I rult_J Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: AI ,.� Elec. bus. GC. no: 0 O� Limited energy, residential 2 a. .... ,,,___.,:_ D_ ..............___ Limited energy, non - residential 2 Each manufactured home or modular dwelling nature of supervising electrician (required) Date e .�6 i c Service and/or feeder 2 Yr' Sup. elect. name print) 1 2 , License no: J Services or feeders - installation, �Il alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 11'4 VA ',.�! 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing addres 2 (1 r"\f /� • * 1 601 amps to 1000 amps 2 Cit L,t)t State ZIP:q 76 C., Over 1000 amps or volts 2 Phone: /�--7 Fax: 7- ��j(.5E -mail: Reconnect only 1 Owner installation: The installation is being made on property l own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. - 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: k Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps-commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of I &2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting plan ❑ Other. Per inspection I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application $ El Visa ❑ MasterCard expires if a permit is not obtained Plan review (at ,_ %) Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ , Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440 - 4615 (6•1)o/COM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 D - 0/- -�j33c) 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 9-JD- AM PM BLD Location / J '43 L( / 2 _ 714 Suite MEC Contact Person Ph ��D J 4 (83 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation ACC I ' / /t s Ca s T FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: n -t► •ASS - RT FAIL i° • . Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain ' ains F O a) PART FAIL = ANICAL Post & Beam Rough In Gas Line Smoke Dampers 4 _ PART FAIL - AL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D ate OZ /!/ Other Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Date Requested / r / AM PM BLD Location / 3 ( L J L L / 2-3 417/ jk` Suite MEC Contact Person O ��'/ Ph S7 '. 4- /S Z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ��-- Fire Sprinkler T j )1 CL' - e rte Y P Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL / MECHANICAL Post & Beam Rough In \ \J Gas Line Smoke Dampers Final FAIL ELECTRICAL f rvice Rough In UG /Slab Low Voltage Fire Alarm PART FAIL eSS ; L Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA 9 1/ Approach /Sidewalk Date . D / Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BU" DING INSPECTION DIVISIOP' MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -41 f 1 1-0 BUP Date Requested ( AM PM BLD Location / 3 g3 Al - Suite MEC Contact Person a /I /VALI/ Ph / 9 7 "6 c fS Z_- PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear Framing Insulation 1 1 � Drywall Nailing v� �1 Firewall b Fire Sprinkler T O/I /R g Fire Alarm / _ y Susp'd Ceiling ,Q (��•J -1� ( � �� ) Roof fi t) ET� 0 C 2 e- C- Ann . — - e AC-egg �,. Misc: maf SS PART F PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Iii w PASS PART ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Ot / O Approach /Sidewalk 6 / Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • 'CITY OF TIGARD BUILPING INSPECTION DIVISION 24 -Hour Inspection Line: 639-4 .i Business Line: 639 -417. MST p20 O ( 0033 a BUP Date Requested - AM PM BLD Location 1 Li 3 '- / Z Z ld Suite MEC Contact Person , ,Q,a)-4 —Q--- Ph o� ©J - ?3 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear trraming Cj�¢, Drywall Nailing Ny Firewall Fire Sprinkler tfi'1 7 --- 2 Fire Alarm Susp'd Ceiling Roof � YC7� Nib �N1 AL�CD — i2c�r S�ti 1� Misc: Fina ASS PART FAIL TZt-- BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D Inspector `;;_ Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY•OF TIGARD BUlI DING INSPECTION DIVISION ., MST v � Gl) ) YJV. ,3 3� • 24 -Hour Inspection Line: 635, 175 Business Line: 639 -4. BUP Date Requested 7 - 2 AM PM BLD Location ( (73'1 sw / Suite MEC Contact Person Ph .S /f - C</S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof � y L / Misc: C Final PASS PART FAIL :1?) PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final J'ARR BART FAIL CTRI !Is I r7 r — �ti L '}ire At rm 1 PASS ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before • section. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access � W ADA Approach /Sidewalk /�) �� � ` /// �� Ext Other Date ` "� / Inspect Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. << a •CITY OF TIGARD BUILnING INSPECTION DIVISION MST ��5i-LU U 24-Hour Inspection Line: 639-4 o Business Line: 639 -417 BUP' Date Requested AM PM BLD Location / 3 (I 3 7 . S w / Suite MEC Contact Person Ph —77 7— Y s Z- PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing 1. Z ''s c.//a, 7t -f /;t0, or..c 17oic T ion Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: � O PSZ TrS Y - 1 % Z , 9 £ f 3 7 Final J PASS PART FAIL PLUMBING Post & Beam Top Under Slab ,/elt5Tg-i (/R t/rf 'd Z5f Q a r h e17 Water Service 6""4-.5 Tr f 0 Sanitary Sewer Rain Drains let S/ / (,{J o�',� Final PASS PART FAIL <RUMEX. Post & Beam u h Smoke Dampers PAS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 7 - °0/ Inspector Ext c z Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - : ; CITY OF TIGARD BUILnING INSPECTION DIVISION 24 -Hour Inspection Line: 639-1 5 Business Line: 639 -417 MST BUP Date Requested / AM PM BLD Location / 3c/ 3 (( S L✓ / 2 ,4' Suite MEC Contact Person Ph 5/7 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & RPam ar heath /S ie raming Insulation Drywall Nailing ./4 e'? / /,' o i•r f P /e4 f t Firewall , Fire Sprinkler � S a n t p r -,�, • T - ` 1701/t SS /'l 't71 . Fire Alarm Susp'd Ceiling Roof Misc: , ) .TJ� S r. // M T 0/7 ///) �I S. e e - , C PART FAIL 4 ) ds7STR // /'/ST.' ex.r cy/cxe PLUMBING Post & Beam Under Slab Top Out Water Service .A-v) S o it il /0 cv.,f #/l ra Sanitary Sewer Rain Drains b t t . ,7l, Tr ••r TO fm // /✓ Final d PASS PART FAIL ;/ /eaSC 7 MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL id re' c/e,C ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date 7 -/e -0 / Inspector -� ��'""I Ext • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • :CITY OF TIGARD BUILnING INSPECTION DIVISION 0-60/--- MST '; ' 24 -Hour Inspection Line: 639-% 5 Business Line: 639 -417 / if BUP• Date Requested 6 - i / AM PM BLD Location / 3 4"3 S / 2 Z Suite MEC Contact Person Ph 3/9 ' 6 co-- PLM Contractor Ph SWR U Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ft Dr SGN ravel Drain Inspection Notes: Slab SIT ost xt heath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing (o rr t c /. a l-7 5 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling d)( ?C? De C Roof Misc: F' PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Other ‘'`2 ? G/ Inspector ?t•-4 / Ext �� Z Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. y . ITY9 F TI3ARD BUIL ^ING INSPECTION DIVISION .MST 24 -Hour Inspection Line: 639-. 5 Business Line: 639 -41'r o _ o BUP ' �� �3 . Date Requested AM PM BLD Location - Suite MEC Contact Person /1 , Y Sw /zZ c" Me Ph Zri7-- C1837 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing �E1� - 0.n ( Insulation Drywall Nailing Firewall Fire Sprinkler "r ! . - :T - ST7 Fire Alarm Susp'd Ceiling Roof Misc: F ART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date G - 2/ - 0/ Inspector X, 7 ,4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �' : CITY OF TIGARD BUILDING INSPECTION DIVISION MST 21)/.646t* • 24 -Hour Inspection Line: 639• '5 Business Line: 639 -41'. • BUP Date Requested 6— Z) AM PM BLD Location /3 43 c( S w / Z Z—' e_ Suite MEC Contact Person Ph Zr./1 — 4 !Y 3 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation Q U41 i / 444.) CQS FPS Crawl Dr • Inspection Notes: SGN Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: F' 41 PART FAIL Post & Beam (—Mew. Under Slab Top Out sr i ts • diaip F'• FAIL 1 HA J 7 • f42 f O .o /' 1 2s� Post & Beam Aid © �V "'e n �( / Rough In ' 704-4 . / -T..✓ v' � /A1 /e) re g. Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA { Approach /Sidewalk Date �.F / 7 r � �O Ins pec t or 13,t II t� /�d- . E x t Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY TIGARD BUILnING INSPECTION DIVISION • �� • 24 -Hour Inspection Line: 639-1 5 Business Line: 639 -417 _ �++�+'°�� �- 00 3, BUP Date Requested — — 1 AM PM BLD Location /3 Li 3q / ZZ 4-1 4-1,, Suite MEC Contact Person Ph 26 1 837 PLM Contractor Ph SWR 0260 /— 00Z'Kp BUILDING Tenant/Owner •:: tek-<5. Retaining Wall _ N& It/WO i (3 Footing Access: Foundation FPS Ftg Drain % Crawl Drain Inspection Notes: SGN Slab SIT 10 Post & Beam LAN- Ext Sheath /Shear G /,,,d / (13 ) Oa- Int Sheath /Shear M4/ O /� _ / j� A � ! d- / L') Insul�t� ` Lsl/ / ,� ` mil. / Vd/ Drywall Nailing Firewall _ VI /J Sprinkler . I — ( 1' /J Cif Fire Alarm Susp'd Ceiling Roof IL � � �-� �,�'� e • (' t Roof � \ �E /� � 9 V ciA_ _,e_ ( e--r 'C� Misc: J � `-"� F PASS PART Cf 4--‘r1(\"- S r� j PLUMBING 4 '1&.Q,12 /' 1 ' 0 ` / Q c Post & Beam Water Service ` -Z 7 /_„9---it ,L-e, \' c, T 6,.-v._ Sanitary Sewer Rain Drains " f S a ^ — e @ Lit/\ S . F' • A PART • FAIL -11 !AL ' _` ■ sr. 1 0 _ MECHANICAL as.,cE 5 \ a� � Post & Beam 5\-.6-eisu1/4_ "� I1- Rough In IC> l' _ "' C, C ) 0 .4/ Gas Line Smoke Dampers �/l Final Z �/`.. ( 'j,r-� �, a_ PASS PART FAIL • f �, r`-t..— f Li 0A- ELECTRICAL ` >_^ pf✓ Service I.J. 4 • . .M Gni Rough In . c�.- 1 ely.Lks UG /Slab f / t ► G!�� l lam? SS S Low Voltage Fire Alarm AI Final PASS PART FAIL 1 v �- • .. `? ^r , \ " \r V` SITE 1 '1^;( c �' k 4 P U Backfill /Grading ' Sanitary Sewer ` I )6/ 5\44w-et . Storm Drain [ ] Reinspection fee f $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk e n Date 1 9 Other Inspector �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. l ' • 7 CI TNT OF TIGARD BUILnING INSPECTION DIVISION - �- - • ' 24:H Inspection Line: 639- 5 Business Line: 639-411 �" BUP d4 /- d o338 Late Requested 6 Z - AM /d5c= M BL D Location / 3 "(34 S w / Z Z ...,,f Av-e Suite MEC Contact Person Ph s �9- 6c/c PLM Contractor Ph SWRr /- 00 1g 6 UI • .. Tenant/Owner ELC "fining Wall ELR Footing Access: Foundation FPS Ft. I -in SGN 4 Crawl Dra Inspection Notes: -. SIT li e. t& :- /Shear Int Framin /Shear I ` ft r---a.. Insulation 1 Drywall Nailing 'c — 2 �'-c S ° Fire wall 1- � r � r � Q , . Q Fire Sprinkler l � f \ �n Fire Alarm Susp'd Ceiling > - W, 12 t/1/1- &i0—e W , Ai60-^r S • Roof Misc: `"I ° .,N_ S � 6c_A k v ` ` Final PASS PART FAIL / Q -p P -��`� �Y II " w e =, l '' . /l, 'L._ � GaC �2. ender Slab to • �1r -- Se, $ e /" . I 0 ?, 4— Top Out Water Service' Q V G�.S� ��� �. „�'" - Sanitary S - er J"' S ••••dd„ J � ` / 1 Rain D - ns +S/.V' ) ,/c'ii c- 1 k&--,J Vjb S 0 ct? ` I 1∎0, t A 04--,.._4,1C -- �, r -e�wQ Ks o- ,0 . PART FAIL /� o 1' LS) - c / �I��ixN:u IT «- 1) / v 0 0 �T L V1 e c2 1 L€) '^-v Post & :7,1".."-- ough n 1 2 l/) � S 6 T S �y �e p C7 Gas Line (' ` '� Smoke Dampers N4 , t ( - Fin ASS -LA PART FAIL 2c/, V l l l ---e.- C' lJ� W v \_Ct,./\ (Si EL TRICAL Service C.)2_ � L2 ` S / _ S I _},9 Rough In + (Ala/ = Q ` ' r •` UG /Slab 9- I.S Low Voltage VVl 5 1 ^ n I ' .�) _ 1 (] Fire Alarm 'C Q�`� -� 1 vU' C`�C �f-e Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �, Approach /Sidewalk Date -Q //1 D I Inspector t Other ‘0). d-/(---- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. s if M ` Master Permit 2O0) - O0 33 d _ T - - J . Inspection Description Date Passed By Notes Grading / Y Footing /Setback ' 27-c/ p /A Foundation walls e .'i_,� / , f „ _ Slab Footing drain ImwrrrwaIb Waterproof basement walls rINNINIMINI Plumbing underslab V Crawl drain VW. , '�'',�. V Post/beam plumbing Le I Z7 0 ) r . V Post/beam mechanical 6010 ► Underfloor insulation ummuummEl V Post/beam structural j a 7 - /' V Shear walls /anchors e 7 -/4 -o/ v Exterior sheathing 7- i2 - j 77 V Plumbing top -out 7/ 1-7/. / '65 V Gas line & test 725 -o/ - ✓ Mechanical rough -in 7-25 -o/ Z Electrical rough -in ' '2L -co / v Electrical service 7-?4 - p / A•41 Low voltage 2 - x-6 - 0 / MP Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing '7 '3v fib 1 4-(_ MFG -Home set -up ® Insulation '7 '55 O , • Drywall nailing 0ac Masonry/Reinforcement Rain drain , / CI Q - ` Sanitary sewer * - 200/ gL �1, r' v Water service Pump /fill septic tank - v Approach /sidewalk Grading final i imommirommi• Ns Mechanical final / /2 /G / T/f v' Plumbing final ' Electrical final `, /10 I v' Final inspection // z./6 ( 7`/ 0 Special Reports Sewer Permit C-00 / - O 0 / . I Inspection Description Date Passed By Notes v" Sanitary sewer (o /706( F1- ✓Final inspection INSPECTION RECORD - MST (MASTER) PERMITS