Permit :CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00002
i ° � D EV ELOPMENT SERVICES DAT ISSUED: 1/28/03
A I! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13775 SW 124TH AVE PARCEL: 2S103CC - WW010
SUBDIVISION: WHISTLER'S WALK ZONING: R -4.5
BLOCK: • LOT: 010 JURISDICTION: TIG
REMARKS: Const. new SF detached residence.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,449 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,501 sf GARAGE: 682 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 289
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,950 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
LPG FURN > =100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 0
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: W/SVC OR FD R: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HWSVC /FDR: 601 - 1000 amp: 601 +am ps- 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: $ 5,394.65
DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the
Tigard
4230 GALEWOOD ST 4230 GALEWOOD STREET all other applicable Municipal a laws. State s. All work w Specialty
be d o n e Codes and
all other applice law wone in
STE 100 SUITE 100 accordance with approved plans. This permit will expire if
LAKE OSWEGO, OR 97035 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:
Oregon law requires you to follow rules adopted by the
Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: 5 $ may obtain copies of these rules or direct questions to
S OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins E Rain drain lnsp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Gas Line lnsp Water Line Insp Plumb Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Fireplace Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing Insp Insulation lnsp Appr /Sdwlk lnsp
Post/Be- •• - • al Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
ISS I ed By : �:i ', Mr � i , . a Permittee Signature :;00,. ,( a
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
_ — .i3 - CCC7"
Building Permit Application
I Date received: , - 0 2, Permit , Id Apo o g•
�'
A Address: of 13125 d
an d, Ifcg 4 F •
�.. j ' : •1 I! f g Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blv 7 2
Phone: (503) 639 -4171 Date issued:_ Receipt no.:
Fax: (503) 598 -1960 JAN U b 2003 Case file no.: Payment type:
Land use approval: CITY OF TIGARD l &2 family: Simple Complex:
9 4 1, II • ■
Il P1.: OF 1'11011 I
❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family , 'New construction U Demolition
❑ Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other.
JOB SITE INFORMATION
Job address: t ':7 . . J I Dt-t t^ a 1' . Bldg. no.: Suite no.:
Lot: Block: Subdivision: ‘,, , Ai - r \, tit Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, C SE CHECKLIST
1221,E i t (I•loodplain, septic capacit %, solar, etc.)
Mailing address: ' f:airdiregri 1 & 2 family dwelling:
EtEll111/1 1272A' 7R: /MIMI Valuation of work $
Phone:. ra all 1Ari ra No. of bedrooms/baths '/ Z' Ii
Owner's representative: , WAR' r _ Total number of floors i
T i�
Phone: Fax: E -mail: New dwelling area (sq. ft.) ...Ma
if IVAP
APPLICANT Garage/carport area (sq. ft.) rl
>♦ 1rL n larielaill Covered porch area (sq. ft.)
Mailing address: `' , t cc. 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.)
1 I ie - -'� New bldg. area (sq. ft.)
Address: _ 4
City: Number of stories
ity: State: ZIP:
Phone: I Fax: I E -mail:
Type of construction
CCB no.: 7j 5 �j Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
AR(l Ill E('TDI :SIGN ER licensed with the Oregon Construction Contractors Board under
Name: ( = ia t.�r 4111721k provisions of ORS 701 and may be required to be licensed in the
Address: --s C -rNt jurisdiction where work is being performed. If the applicant is
City: State: 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: ZIP: 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. • r rovisions of 1 ws and ordinances governing this o Visa ❑ MasterCard
work will be compl r wi .' , whether ified tiered t. i Bpi 1
Authorized sj atu i � ( (f/ 3 credit card number: ___ Name of cardholder as shown on credit card $
Print name: •: 't C pia t (' .e._ Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM)
One- and Two - Family Dwelling
,, L' Building Permit Application Checklist Reference no.:
City of Tigard C of Tigard Associated permits:
J g 0 Electrical ❑ Plumbing O Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ 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. S
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. J�
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 t/
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 x
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. ' l( \
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, X
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. 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 t600/coMl
A .. _ Mechanical Permit Application ,
Date received: Permit no.:M5 7 1224_
tY
�i j, �•j �,, l City of Tigard Project/appl. no.: Expire date:
City of Tigard Address 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Dace issued: By: Receipt no.: _
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
X New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: I '7 7�) "'\) L t " "-- + -(' . 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: I U (Block: I Subdivision: VA i r *See checklist for important application information and
Project name: \A-fe j jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT' FEE SCHEDUL 0
Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENTSCIIED ii
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 Y es 0 No Air conditioning unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRA croR Boiler /compressors
State boiler permit no.:
Business name:�� ��,/ / HP Tons BTU/H
Address: ��jo Fire/smoke dampers/duct smoke detectors
s Li Ear " ZIP: li 1 ill Heat pump (site plan required)
-
Phone:„. MI Fax: E -mail: Installlreplacefurnace / burner BTU /H
_ cc�� Including ductwork/vent liner 0 Yes 0 No
CCB no.:
`,. ;�'7(,r) Install/replace/relocate heaters — suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): • p (-LEL—L Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H ,
Name: A � • Chillers HP
Address: Com.ressors HP
4 — ♦ �t Environmental exhaust and ventilat
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U Hires. kitchen/hazmat
hood fire suppression system
Enli �,ir q�R l Exhaust fan with single duct (bath fans) •
Mailing address: r r to j,1, 1 Exhaust system apart from heating or AC
ry Fuel piping and distribution (up to 4 outlets)
City: NM State ZIPR`x)j Type: LPG NG Oil
Phone:. ai 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: State: ZIP: Insert — type _
Phone: F ax: E - mail: Woodstove/pelletstove
Other:
Applicant's sign atuLm Date: I l Go 1P Other.
Name (print): (. ;1 yr f fyi t r, 1 (
T
Na n all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Not Th permit application Minimum fee $
expires if a permit is not obtained Plan review (at % ) $
Credit card number: Ez
Expires wi thin 180 days after it has been
p State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 440-4617 (6A0/COM)
A Plumbing Permit Appl
Date received: Permit no.: f - 0 y
..o•,,�,1 1 • Cit y of Tigard �,� �t Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223
City of Ti phone: (503) 639 -4171 Project/appl.no.: Expire date:
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory CI Commercial/industrial 0 Multi - family 0 Tenant improvement
►' ew construction Cl Addition/alteration/replacement 0 Food service ❑ Other.
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: ` 7 , `_may � L — 1..---
15.0 (' • Description Qty. Fee (ea.) Total
N ew 1 - and 2 -family dwellings only:
Bldg. no.: Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: � Block: Subdivision: k,, r1 " 'A/ SFR (2) bath MO
Project name: \A/ A.A. K— 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: Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
PLU \1IIING CONTRACTOR Manufactured home utilities
Business name: 1 L • Manholes NM —_
Address: • Rain drain connector
ISBffr vfi IMEWma
� ZIP: Sanitary sewer (no, tin. ft.) MI
Storm sewer (no. lin. ft.) M
Phone: y -<- A Fax: E -mail: -
t_ Plumb. bus. reg. no: — �p~� Water service (no. lin. ft.) NM
t
CCB no.: t g• +
lip Fixture or item:
City/metro lic. no.: N/A �/ ' Absorption valve
Contractors representative signature ��.�■/ woo
Back flow preventer
Print name: • P\-f_ IL). - ' a a���il Backwater valve MI
CONTACT PERSON Basins/lavatory — __
Clothes washer
Name: {.\• 1 1 1�E Dishwasher
Address: � ' . / ` ;Ni � Drinking fountain(s)
City: State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
OWNER . Fixture/sewer cap
, ,� Floor drains/floor sinks/hub III
Name (print): \ ;� Ht :alt t �` Garbage disposal MI =
Mailing address: _ • • . • !Lt. i Hose bibb = •
I� ��LZi ..m.t•�� Ice maker
I Phone: / , — A pr Fax: 12NiErr Interceptor /grease trap NM
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 U
Name: Water closet
Address: Water heater U
City: State: ZIP: Other
Phone: Fax: E -mail: Total —
Not all urisdicuotts xce cr edit cards, please call jurisdiction for more infortruuon Minimum fee $
� W p 1 Notice: Th permit application %
0 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 TOTAL $ ----
Name of cardholder as shown on credit card accepted as complete.
l Cardholder signature $
Amount j 440-1616 (6t 1COM)
Electrical Permit Application
Permit no. '
Date received: • 5 ,.//- - ,I //:
-14 _�!I� City of Tigard
Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt
Phone: (503) 639 -4171
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. O Partial
JOB SITE INFORMATION •
Job address: `] 7 - 7 /v ' ' t Z ` A Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: j 0 Block: Subdivision: V.AL -1-Ln. v/ Wei'
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
(ONIRACI OR \h \ I ION FEE SCHEDULE
Job no: Fee Max
Business name:
G L _ Description Qty. (ea.) Total no. imp
New residential -single or multi- family per
Address: i 1, • �` attC • C --- — dwelling unit. Includes attached garage.
City: Z t ' State:itti ZIP: • ., Service included:
Phone:l ,j - I 4 %, Fax: E -mail: 1000 sq. ft. or less 4
• ,;(,,,,—e9-9 ,a Each additional 500 sq. ft or portion thereof
CCB no.: 4. Elec. bus. lic. no: (.f limited e nergy, residential c 2
C Limited energy, non - residential 2
Each manufactured home or modular dwelling
nature of supervising electrician (required) Date vas; Service and/or feeder 2
a mp License no • Services or feeders— installation,
Sup. elect. name (print): .... 9 • alteration or relocation:
PROPERTY OWNER 200 amps or less 2
0 201 amps to 400 amps 2
Name (print): l ttt , t1[ ►.t�.�tti� 401 amps to 600 amps 2
Mailing address: j� �( R�� c�• l _ 601 a mps to 1000 amps 2
City: ,. State - ZIP: 70 7 Over 1000 amps or volts 2
Phone: k Th Fax: f -7, E -mail: Reconnect only 1
Owner installation: The installation is being made on property 1 own Temporary services orfeeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: 2
200 amps or less
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: A. 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 Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
CI amps-commercial over 225 ampsommercial O Health-care pump or irrigation circle 2
arc facility 2 '
O Service over 320 amps- rating of I &2 0 Hazardous location Each sign or outline lighting
family dwellings 0 Building over 10.000 square feet four or Signal circuit(s) or a limited energy panel.
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other. Per inspection I I 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
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card rumba- / / within 180 days after it has been State surcharge (8%) .... $
, Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount , 440 -4615 (&vo OM)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST °? °� 3 ono o
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / .3 ! AM PM BUP
Location / a Suite MEC
Contact Person Ph ( ) S ( PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain / ELR
/ V57ain
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:
Fin
d S PART FAIL I y "
MBING .��
Post & Beam
Under Slab
Rough -In
ecS�i9iICe
SaniMMWOr
atc� h Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
S PART FAIL
H ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ii 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: El Unable to inspect — no access
Fire Supply Line
ADA i
Approach /Sidewalk Date )// Inspector ,� Ext
Other:
Final DO NOT4IEMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
oZ-
INSPECTION DIVISION Business L• ine: (503) 639 -4171 MST a 3 "4
BUP
Received Date Requested / y AM PM BUP
Location / 3 7 7S" l 9•• i t -v-- -- - Suite MEC
Contact Person !Y Ph ( ) J q-6 PLM
Contractor Ph ( ) SWR
BUIL.ING Tenant/Owner ELC
tin
ELC
Ftg Drain rrik, Access: ELC
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation uS f Dr f y5 V2A /d 3 L3-)
Drywall Nailing v
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
,'t- 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: ❑ Unable to inspect — no access
Fire Supply Line ! �7
ADA / Z - i /' D , 3 Inspector v v v Ext
Approach/Sidewalk p
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 - DO
INSPECTION DIVISION • Business Line: (503) 639 -4171
3 (3/0_3 BUP
Received Date Requested AM PM BUP
Location /3 77-6- /a L/ ` 14. " A Q--- Suite MEC
Contact Person Ph ( ) 579-6 gSZ 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 oraula.
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
(CM PART FAIL
PL i MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Date 3 3 / 3 Inspector ' ( 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: (503) 639 -4175 �a od
INSPECTION DIVISION Business Line: (503) 639 -4171 MST 3
BUP
Received Date Requested — 21 AM PM BUP
Location __L..3_7= 1e;-- Suite MEC
Contact Person Ph ( ) 1 ? - ' ( Lig: '3 7 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 stLeath/snear 4,66. e'e c 044 49■4.=4- CA c
a
Insulation
Drywall Nailing i2 4r, s @ C' ti2n, s Firewall
Fire Sprinkler /V /} /L 5v r /�. S�su. ? A OA 4.,f'
Fire Alarm
Susp'd Ceiling AD C� C'!1 rz1LC
Roof ,
Other: �osrlV+.: a �sA4 -T lia.v 1, L. - Teti � ��r L r:A2aS.: G$0 rn4T &c r vR„
Final /7� Ai 44- 5,41.2,.4s N./. L.. r ,. - ro �� �i.�, -1- /•
PASS PART L
PLUMBING '57 3T744 li. J ac. &c. s -ro 0 l.Lt.. r 1 7 ,0 /lr v S>>0
Post & Beam
Under Slab e;
Rough -In
Water Service 'r7-- 71., 24, /4'1 s4' P. y
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan -7-itt,SS C /,,os
Other: /nc SS's /� a rrL,�.s2 T y14. �S
Final 9l►a s -t- -71v1 G,"o..°,Er
PASS PART FAIL
MECHANICAL �fl.i,nC /1�Ts c /k�vFss
Post : - - - m
. . - � L�Yrl7citL/7 �4�C.� �Cl /�`` -L� `S i ?" T � -!� 4 - - y t✓t c TTLt.St'
�mpers O ,,u2
Final
PART FAIL € QA '% "' S r� -r-� T - 3Q T?S ,T >4),z- 20 Ail/401171'
CTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA Est
Approach /Sidewalk '2 7 -0 Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour 22
BUILDING Inspection Line: (503) 639 -4175 MST cJ ' nd 0 Z----
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested 02 —, D'l AM PM BUP
Location 1 3 7 7 S / W - 41) Suite MEC
Contact Person a'k O i Ph ( ) 1 1 4 5 — c— PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain /,�� �� 7.61 �L. G l C Lu ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
St or Anchors
Sheath/S
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
1, RT FAIL
• =1NG
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
ADA
Approach/Sidewalk Date 2 I Z ' \ Inspector Ext
Other: J
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 7 ° ° d o
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 2 Z d AM PM BUP
Location / 3 ? 7S_ /a ¥ vim. Atj - Suite MEC
Contact Person Ph ( ) ,6 — ( o'5.\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
I Sheath/S A O
I Sheath/S - • r
raming ' � //4115 /1- 44 9 ii.-45// S /; Ali O/i7oc v- is Q r2,1 S'�
Insulation
Drywall Nailing �� 4' ! / rte Ale: i $Tla- .-e i,- G �.�2 -er v4.-e.
Firewall S T
Fire Sprinkler '/�(.v i,c /TC�cc 0.,2.- '5'7.--,43.12 S (,;) lJe r - .,,_:7. - ,..4. TTY %
Fire Alarm �)2<0 Cc7 e — •
Susp'd Ceiling /
Roof /lj iv L ! / 4/7 , ' e..v
Other:
Final ft" e — I S �& - Z,S ' f -7 .t - : / >vGv
PASS PART
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 4
ADA
—2-41 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 Q
INSPECTION DIVISION Business Line: (503) 639 -4171 MST --
BUP
Received Date Requested -! 7 AM PM BUP
Location ` 3 7 7 5 7 tY4- ,�rV�Suite MEC
Contact Person Ph ( ) d 7-1./F3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain LC
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall /11411W
Fire Sprinkler , ���� �`��•
Fire Alarm
Susp'd Ceiling iL�ist /_
Roof
Other:
Final
PASS
PLUMBING FAIL / �i _ //
Post & Beam
Under Slab WM �-
Water Service - �-� L_i0
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS P FAIL
MEC A AL
Post eam
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: 111 Unable to inspect - no access
Fire Supply Line I �
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
BUILDING Inspection Line: (503) 639 -4175 MST e
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
—
Received - Date Requested AM PM BUP
l
Location / 3 7 s /a -t1� �� Suite MEC
Contact Person �` Ph ( ) 5 ( C? _(Q
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: �
Ftg Drain j ELR
Crawl Drain
Slab Inspection Notes: SIT
st &
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
PART FAIL
- BING
<)///
nder Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PART FAIL
M H CAL
ost & B
ough -In
Gas Line
Smoke Dampers
F
QM PART FAIL
E r _ RICAL
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 r
ADA I I
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 -660
-
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested —� 7 AM PM BUP
Location 1 3 7 7 .S AP-9 ° _ Suite MEC
Contact Person Ph ( ) 020 7- 4g37 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain rl S7 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 Srrrvice
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
Serv�
UG /Slab
Low Voltage
Fire Alarm
Fi PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
t "1110- kit f Please call for reinspection RE: D Unable to inspect — no access
Fire Supply Line
ADA /02 1/0‘,3 Approach/Sidewalk Date Inspector 1 eO ' ' i Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour 2
BUILDING Inspecton Line: (503) 639 -4175 MST 3
INSPECTION DIVISION Etueiness Line: (503) 639-4171 / BUP
Received Date Requested I J AM PM BUP
Location / 37 7 / a Suite (/ MEC
Contact Person Q' � Ph ( ) ! 6 9 - ifV�PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain 4../ /4 I S (�� / S e r / / 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:
FIT FAIL
rI r�
Pram
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
• /
• PART FAIL
•
ANICAL
Post & Beam
Rough -In
Gas Line
\ Smoke Dampers
ART FAIL
ECTRI AL
Service
Rough -In
UG/Slab
Low Voltage
Fii-- warm
- ASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
El Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA / (
Approach/Sidewalk Date / 7 0 Inspector l Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL