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Permit
A - CITY OF TIGARD MAS TER #: PE 2000 -00039 1 �` 1 DEVELOPMENT SERVICES O R , GtN ISSUED: 02/11/2000 9.� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 , SITE ADDRESS: 12215 SW 128TH AVE PARCEL: 2S104AA -10700 SUBDIVISION: BELLWOOD NO. 3 ZONING: R -4.5 BLOCK: LOT: 126 JURISDICTION: TIG REMARKS: 660 sq. ft. addition BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 20 FIRST: 330 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 330 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 6 VALUE: $ 46,840.20 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: sf REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS • FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 3 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 1 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 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: $ 1,007.24 SP ISAK, RICK A + JULIE A OWNER This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 12215 SW 128TH AVE OWNER RES PONS FORM SIGNED TIGARD, OR 97223 all other applicable laws. All work will be done in 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 #: 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 844 -8444 Post/Beam Structural Mechanical lnsp Shear Wall Insp Plumb Final Footing lnsp Post/Beam Mechanical Plumb Top Out Insulation lnsp Final inspection Foundation lnsp Underfloor insulation Electrical Service Rain drain lnsp Slab lnsp Footing /Foundation DI Electrical Rough In Electrical Final Wtr Proofing Bsm't Wa, /undslab lnsp Framing lnsp Mechanical Final ;c „....- Issued By : Permittee Signature • X A - -S Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Che # I-5%6 13125 SW HALL BLVD. Additions or Alterations Recd By Date Recd / - ))1 2-0 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. Z - z V 503- 639 -4171 Date to DST Z -- `' F 503 - 684 -7297 Permit # MSS - 07)M Print or Type Called.,1 // 00 / /%`t.4i+ ab Incomplete or illegible applications will not be accepted r 0 Name of Project Name Job .Sl l 5 A K ADD-,-ton Po li O .140511)l12 ASSOC _ Architect Mailing Address Address Site Address $ 7/ S i Fc Ldf S0, % i 210 / Name SI,J 1 Z8 City /State Zip Phone N ame 7754 o, 02 97ZZ3 629 r/ c K S t 5A K Name I Owner Mailing Address 77,1 /e- F2o E l; ` -� E l , �ir(4 4 � T , vz. i22.1s Ste/ /Zg , City/State Zip Phone En g ineer Mailing 9 Address AM 70 y A,eio, 7; Ot 97 ZZ y 3 5Z 6y69 �/ Ci /State P Zip Phone General Name 17,420 , 02 972 62_` - 7cro,S Contractor G ii,.) /J E/2 Describe work New 0 Addition Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City/State Zip Phone / of all licenses 4/ 4 / ‘ , .(o. t- are required if Oregon Const. Cont. Board Exp. Date PROJECT i expired in COT Lic.# VALUATION database Mechanical Name NEW CONSTRUCTION ONLY: Sub- ik'4. t / ,^ /� Sq. Ft. Garage Contractor Mailing Address A r/?YL ` hr 46 Prior to permit Indicate the restricted energy installation by the electrical issuance, a copy City/State Zip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- 0 apply) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name T ure f Owner /Agent Date Electrical 0 A - --S/- 1- 3r - t'o M ailing Address Contact Person Name . Phone # Sub- JE'r � k Sao / $4 /( .5z41-09,01 Contractor City /State Zip Phone Prior to permit issuance, a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #: required if Lic.# l � �� I '),Q ZS I �- M ' io 7e° expired in COT database Electrical Lic. # Exp. Date S5b ks: n _ j Zone: t / Solar: A . Electrical Supervisor Lic. # Exp. Date Enginne Approval: Plannjpg Approval: TIF: . tA.. W f _ �OV is \dsts \forms\sfaddalt.doc 11/20/98 i_tj Permit #: H o1TA00©- OOa 39 .F \ � Address: / / S4A-) /Z et V. Issued by: Date: / / Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is I ' (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR p -5 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. A . S - /- 2 7- Or) (Signature o pf ermit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) CITY OF TIGARD RECEIVED 13125 S.W. HALL BLVD. JUN 1 4 2000 TIGARD, OR 97223 BY: IMPORTANT PERMIT NOTICE H & R ELECTRIC INC 20415 SW CELEBRITY CT ALOHA, OR 97007 Electrical Signature Form Permit #: MST2000 -00039 Date Issued: 02/11/2000 Parcel: 2S104AA -10700 Site Address: 12215 SW 128TH AVE Subdivision: BELLWOOD NO. 3 Block: Lot: 126 Jurisdiction: TIG Zoning: R -4.5 Remarks: 660 sq. ft. addition 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 Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SPISAK, RICK A + JULIE A H & R ELECTRIC INC 12215 SW 128TH AVE 20415 SW CELEBRITY CT TIGARD, OR 97223 ALOHA, OR 97007 Phone #: Phone #: 642 -4161 Reg #: ELE 34 -292C LIC 70097 SUP 2837S AN INK SIGNATURE IS REQUIRED ON THIS FORM 11, l' Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 K. 5p1SAk 5zH - O°1 o�I /2 Z i S ,SW /Z zi / 4V. beLL VJ ,)c No. .3 G or :/z4 7;p4 MAP : 4 1316 l�1 kr� : 2S y ,4q - /0 'MO SCALE, : I If = 20' Z2� E 7.2 6' EC 7S • I x--15 1.1 SETBAc.K BOON OA21 l - / / /,/ 2 - Ex , s7; 4 SrS i- -- �XISTINq / 7/ f� 1 fo ` 1 � - � 7. U _ - —� I • t . 22`1 i 23I' EL. SW /Z8�`' AV, —4 )4 E�. • O, • CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,2_000 �a e.3 f 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • / BUP Date Requested ! D q AM PM BLD Location /Z-2 / S 1✓ /2 ye Suite G MEC 5 Contact Person Ph 5 Y G PU / 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 / 1--- 7 I /` �?' 57_5' 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 Gas Line Smoke Dampers Final PASS PART FAIL LECTRICA service Rough In UG /Slab Low Voltage Fire Alarm PASS PART FAIL 'Backfiil /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before nex 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 l 0 '�� Inspector .1%. _ 4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r CITY Ow TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested /0 — y AM PM j BLD Location / Zi z-- /) s w /,2-/rt / " ' Suite MEC Contact Person Ph 52'( G ,•G �J PLM Contractor Ph / SWR UILD 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 41, - P �v , ®� S / clfs Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4. FAIL �,/ C/ V P' T KING Post & Beam Under Slab lJ 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 ,/U' — Inspector S — - Iector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. F W TIGARD BUIWNSPECTION DI MST 24 -Hour Inspection Line: 639 -4175 Business Line, 639 -4171 BUP Date Requested Ot Z AM PM BLD Location 1 ZZ ! 5 < Cc) / - zg . 7r'AI Suite MEC Contact Person esi Ph -5 1.0q 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 / SNAM A - Fire Sprinkler Fire Alarm / Susp'd Ceiling w °#e- ` M�sc: i d / r � L / Final RT FAIL _ n • os Beam Under Slab �L ,i Top Out r Water Service Sanitary Sewer Rai • ains li t9 PART FAIL HANICAL 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 /1/7 Approach /Sidewalk Date Inspector 71 ( Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST zC/ll./ `0003 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ( /oC AM PM BLD Location /2-2.- l S 1 L.b 94 Suite MEC Contact Person JC 1 IC) Ph en% -'u q / 7 PLM Contractor Ph SWR qUILDIRIC Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear c:Framing7 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: F 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 Other Date 6 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 2°c0 MST -OOO 34' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 69/q/00 \ , BUP Date Requested AM X PM BLD Location l 7i Z 1 S f 7 Suite MEC Contact Person ) i /1 Ph gt %— et4 C /( 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 Misc: Final PASS PART FAIL PLUMBING 00 , ,, q 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 TRIC Service � �UG75fab Low Voltage Fire Alarm FO at, PART FAIL ITt 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 A Approach /Sidewalk f o Date Inspector p� �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. A CITY OF TIGARD BUILDING INSPECTION DIVISION MST q_oc0-0400 9 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ( /q /6310 AM PM X BLD Location 1 ZA S 17 ` ` Atie, Suite MEC Contact Person i6ei(JI, ) Ph KOS- g�-I C / (c9 PLM Contractor l Ph SWR DI Tenant/Owner ELC - Mtn - TN Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear nsu ation Drywall Nailing ♦ L Ar. i Firewall Fire Sprinkler �1� % / - / _ _ .■ Fire Alarm Susp'd Ceding .» VV r - Roof 4u/ \ . 4 �J��o L/ •�1 r Misc: Final PASS PART FAIL 7e2" /7'= .CALL. . P��tS v °7.StZ -721; i"7 PLUMBING Post & Beam Under Slab Top Out Water Service &r.L71 /1r2C-. 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 lJ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST '21ECo- O0033 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested (4 / AM PM BLD Location 1 2- Z S / 2 Suite MEC Contact Person U.0A./ Ph OS 9 gq7 (U 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 S2 �-/ Insulation / Drywall Nailing — Firewall Fire Sprinkler 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 Gas Line Smoke Dampers Final PASS PART FAIL (CT RI�:A oug UG /Slab n / Low Voltage Fire Alarm ' Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ se a call for rejnspe tion RE: 0... 3 0; Unable to inspect - no access ADA Approach /Sidewalk Other Date i, Inspector Ext Final PASS PART FAIL 0 N • T REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2IX O — CCO 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 69r/00 AM PM BLD Location 1 ).2 I ' 1 jig Suite MEC Contact Person AC -)) Ph 80S - 9 ' 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 / 9 Mg 31.4 AAA' � ` Z�CJ 1�7V ' . elliC-i O.SC..a ' Firewall Fire Sprinkler Fire Alarm /�. Susp'd Ceiling /4 7 64-A/4/0 ,t E'e\,/ Roof Misc: A - ; �4 -dt/E .� C1 Final PASS PART FAIL PLUMBING ) 011,11n 7 / Post & Beam Under Slab Top Out J Water Service / ail! 14 CAI- 71''N /f ,4f f s Sanitary Sewer Rain Drains 3fjl,�,� • � c")//'4•0 ��.�,/ CAS'._ Final y / PASS PART FAIL ? emu MECHANICAL Post & Beam Rough In 5 ,2;; ?$ / eA" ' 0./ e' i ? // Gas Line l`- Smoke Dampers Final PASS —R4 T FAIL (fLECTRICA Service__ ou h UG /Slab Low Voltage Fire Alarm Final PASS PA' 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 (r/ / 0 0 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST _Z00O 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested (WS/00 AM PM BLD Location 1 2*' f Suite MEC Contact Person (J) A Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall a ELR Footing Access: Foundation [ y� � or 30 - „ �J _ FPS Ftg Drain ~r ` Csf SON Crawl Drain Inspection Notes: ® �,t �`ri./1" SIT Slab Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final P P T FAIL MBI Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains F'• ( 1 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 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 /� / , — 73)/1/1 other Date (2J Vv Inspector ^� Ext Final v PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST -L e w- war 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3O/ AM PM BLD Location 1 2:2- I S 17 50 A Suite MEC Contact Person fQ ,( )1 ✓) Ph eo - 0./96 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 SLo� ( I Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling // Roof Misc: Final PASS B—�ART FAIL R UMBIN6) d � i aididK_&Ztr'Cir-7 Post &Beam Under Slab op Odf ervice Sanitary Sewer Rain Drains Final PASS PART jIL MECHANICAL Post & Beam Rough In J 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 1 1 Inspector /9 Ext _ Other Final PASS PART FAIL ' 0 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,ao'noo3? 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2 S /OO AM PM BLD Location t ' S 1 ? ,' ,' Suite MEC Vl/�� Contact Person 1a t) I4 Ph g OS T gl19k PLM Contractor Ph SWR 0LDIN Tenant/Owner ELC Retami g Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Irheath/ eaT� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: F' ASS 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 _ 2— d4 Inspector Other , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 20 - 06 0 39 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5/E/ AM 4° PM BLD Location t" skt) Suite MEC Contact Person OA) //I Ph KOS-- F `/q( PLM Contractor Ph SWR E I IL ONRGG) Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl D,q�rV `. Inspection Notes: & Beam SIT most Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi • PART FAIL • I MBING 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA j 1 , � Approach/Sidewalk Date �5 U Inspector ' ' v Ext3 Other O Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr ?tea -0003 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 g BUP / Date Requested 3 /to AM ! o? / PM BLD Location (2-2- i S l Zr b Suite MEC Contact Person rpm li Ph gDS — gyq, PLM Contractor Ph SWR UILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: EP SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear 6) W p Framing �1/t OrU -0, --- 2 1 Insulation s Drywall Nailing it 2 /AA I `...(rZ>" . Firewall p Fire Sprinkler Fire Alarm A n Susp'd Ceiling�t -c/��✓ Roof f ,42---( 1. — 1 $2—,/ Misc: 1( Final PASS PART 0 1� /5 C - PLUMBING Post & Beam ] ` Under Slab tie-- \L N S , /� To Out (� v v c r Water Service !1 Sanitary Sewer Rain Drains Final PASS PART FAIL C, /�� 40 t . MECHANICAL Post & Beam Rough In '' 1 `) 7 r _S , Gas Line Smoke Dampers i t - p • _°- Final t Lt ■ ■ ' ' — PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm b o 1)01 Coi/vg- (_.--......._..%.,,.........____...._......._...------ 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 t Other Date b Inspector Exi3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7 — OW S 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested s/ 1 AM PM BLD Location 1211 170-\ `\ sek t,, Suite MEC Contact Person 6/.0/;' 1 Ph 9:0S—gy PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab p�/�/� ��II^ /' J( �[' -e �1 �/1 SIT Post & Beam Ext Sheath/Shear �' �/v S ft 1 I l l — t, /I/ D t, ` W/ �J r✓.r Int Sheath /Shear �> Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm � o Ceiling Roof C.1 Roof of 1 Misc: Final PASS PART FAIL P. -am nder Sla Top • ut Water Service Sanitary Sewer Rain Drains F' PA 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 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 Approach /Sidewalk / �/J ' 1 OtDher Date, ` Inspector 1 l'�g E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST "OW act 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested �n AM 121 M BLD Location 1"2 I 12 / 4-t i Suite MEC Contact Person CUB) t ► \ Ph gOS - 'J ! p PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi PART FAIL Post & Beam Under Slab Top Out Water Service Sanita Sewer rain Drat Fin - 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 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 `+/ I /,% Other Date l S 0 Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0)O• 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3 / 3 D/O6 3 AM PM k BLD Location (; C 2- .i41} € Suite MEC Contact Person 0 As Ph gOS - 1 /9 f 2 PLM Contractor Ph SWR UILDN`? Tenant/Owner ELC Retaining Wall ELR Footing Access: un a io FPS I-tg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing \/,,9E CciEGS C /-t 7S'l, / - r7. Insulation Drywall Nailing 6 2ez 5774-e �a Firewall Fire Sprinkler e:/-.47.2 �a - 5";"7--C sic � S Fire Alarm Susp'd Ceiling S� Roof Misc: Misc: a PASS PART FAIL MBING 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 Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 9 moo. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ® ` / BUP Date Requested .3 2 AM PM BLD Location 1 ZZIS i 2%" ' PP_ Suite /� MEC u' Contact Person (i I Ph WQS-gq 96 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 �� i,_ l /Lf L� i►l �� ;1 Fire Alarm f Susp'd Ceiling Roof Misc: �/ /� .rt1 _ � L�J Final PASS PART FAIL UMW Post & Beam Under Slab Top Out Water Service S iter - SerA Rain Drains Final PASS d, FAIL MECHAN AL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk �J Other Date 5/ C� d Inspector 1 Ext 2 / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 3G 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q BUP Date Requested ( ,� . (� AM PM BLD Location / ZZj S Suite G/ MEC Contact Person (j) I ✓1 Ph Q PLM Contractor Ph SWR UILDIN Tenant/Owner ELC Retaining Wall ELR •o in) Access: oun • ation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing et ivy ! y4.A/ Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: Fi AS _ ART FAIL UMBING 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 ZT `� Inspector i " Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST aoG OO& _' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested a AM, PM BLD Location /2,2 / ) 5 /.- re( / Suite MEC Contact Person gt c /C Ph 52, 4- UC1 G / PLM Contractor Ph SWR BUILDING c..- Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: n 1 Slab * G'C /�/ e SIT Post & Beam Ext Sheath/Shear A' ( 11 Int Sheath /Shear Framing Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4pai P PART FAIL LUMBING 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector . • Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • MST — Master Permit 11 Inspection Description Date Passed By Notes Grading Footing /Setback Foundation walls Slab Footing drain Waterproof basement walls Plumbing underslab r /l/fra /, Crawl drain Post/beam plumbing Post/beam mechanical Underfloor insulation Post/beam structural Shear walls /anchors Exterior sheathing Plumbing top -out q/j//6 *71 Gas line & test l( 66(( �/ Mechanical rough -in Electrical rough -in Electrical service Low voltage Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing MFG -Home set -up Insulation Drywall nailing Masonry /Reinforcement Rain drain Sanitary sewer Water service Pump /fill septic tank Approach /sidewalk Grading final �� Mechanical final /6- S -O` Plumbing final Electrical final t6 </ O7 Final inspection / p O Special Reports SWR - Sewer Permit 4 Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD - MST (MASTER) PERMITS CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00039 i DEVELOPMENT SERVICES DATE ISSUED: 2/11/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12215 SW 128TH AVE PARCEL: 2S104AA -10700 SUBDIVISION: BELLWOOD NO. 3 ONING: R-4.5 BLOCK: LOT: 126 JURISDICTION: TIG REMARKS: 660 sq. ft. addition BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 20 FIRST: 330 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 330 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT: 6 VALUE: $ 46,840.20 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 660.00 sf REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 3 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 1 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: Ilt >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL I LN AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: "4"1 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,007.24 /L.3 SPISAK, RICK A +JULIE A KEVIN WILLIAMS CONSTRUCTION This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 12215 SW 128TH AVE 2454 SE 56TH COURT all other applicable laws. All work will be done in TIGARD, OR 97223 HILLSBORO, OR 97123 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 111535 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You 1 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. i ii REQUIRED INSPECTIONS Erosion 844 -8444 Slab Insp Crawl Drain /Backwate Plumb Top Out Framing Insp Electrical Final O Sewer Inspection Wtr Proofing Bsm't W Footing /Foundation Dr Electrical Service Shear Wall Insp Electrical Final Footing Insp Post/Beam Structural Plm /undslab Insp Electrical Rough In Insulation lnsp Mechanical Final Foundation lnsp Post/Beam Mechanica Mechanical Insp Electrical Rough In Insulation Insp Plumb Final tkii Slab Insp Underfloor insulation Plumb Top Out Framing Insp Rain drain Insp Final inspection 'N O Issued By : Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 8/16/00 Activities for Case #: MST2000 -00039 2:01:29 PM Assigned Hold Updated " Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 1/31/00 BON RECD No Hold BON 2/7/00 r • MSTA008 Permit Created 2/7/00 BON DONE No Hold BON 2/7/00 MSTA010 Check for prcl. restrict. 2/7/00 BON DONE No Hold BON 2/7/00 MSTA012 Plans routed to Plans Examiner 2/7/00 BON DONE No Hold BON 2/7/00 MSTA026 Plans approved by Pln Examiner 2/9/00 BT2 DONE No Hold BT2 2/9/00 MSTA030 Reviewed plans routed to DSTS 2/9/00 BT2 DONE No Hold BT2 2/9/00 MSTA700 Erosion 844 -8444 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA705 Footing Insp 2/9/00 2/9/00 3/29/00 KBS PASS No Hold AKJ 3/29/00 • MSTA706 Foundation Insp 2/9/00 2/9/00 3/30/00 KBS PASS No Hold AKJ 3/30/00 MSTA707 Slab Insp 5/3/00 RB FAIL No Hold AKJ 5/3/00 1) waterproofing and dampproofing req for basement bedroom 2) provide a found drain at the ext entire perimeter exposed 3) provide a R15 insul barrier for the entire perimeter 6 4) compact the rock 5) wrap abs plm lines, protect from concrete embedment do not pour MSTA709 Wtr Proofing Bsm't Walls 2/9/00 2/9/00 5/4/00 RB PASS No Hold RB 5/5/00 (MS) viewed during rain drain inspection- OK. MSTA710 Post/Beam Structural 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA711 Post/Beam Mechanical 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA712 Underfloor insulation 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA714 Footing /Foundation Drain 2/9/00 2/9/00 5/4/00 RB PASS No Hold RB 5/5/00 (MS) viewed during rain drain inspection. MSTA720 Mechanical Insp 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA722 Plumb Top Out 2/9/00 2/9/00 5/30/00 MRS FAIL No Hold AKJ 5/30/00 1) basement door locked 2) no answer at door MSTA723 Electrical Service 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA724 Electrical Rough In 2/9/00 2/9/00 6/7/00 CD FAIL No Hold AKJ 6/7/00 1) ground subpanel enclosure 2) insta hot cannot be on small appliance circuit 3) ground 4 square box in pantr 4) need verification if plugs are going to be wired in storage roo 5) install bath fan and hook up MSTA725 Framing Insp 2/9/00 2/9/00 6/9/00 KBS FAIL No Hold AKJ 6/11/00 1) nail ledger supporting fl joist 2 od three per space • 2) firestop furred walls at 10' ' 3) ventilate each rafter space at • vaulted ceiling 4) provide full bearing under ridge beam and post/post conn elec cover app 8 Page 1 of 2 8/16/00 Activities for Case #: MST2000 -00039 2:01:29 PM Assigned Hold Updated ' Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA726 Shear Wall Insp 2/9/00 2/9/00 5/25/00 KBS PASS No Hold AKJ 5/25/00 i • MSTA740 Insulation lnsp 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA752 Rain drain Insp 2/9/00 2/9/00 4/5/00 MRS PASS No Hold AKJ 4/5/00 MSTA790 Electrical Final 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA795 Mechanical Final 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA797 Plumb Final 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA798 Final inspection 2/9/00 2/9/00 No Hold BT2 2/9/00 MSTA032 DST Post - Review Completed 2/11/00 DEB DONE No Hold DEB 2/11/00 ' MSTA080 (F) Ready to issue 2/11/00 DEB DONE No Hold DEB 2/11/00 Must identify subcontractors prior to issuance. Hand out owner's copy of signed Owner Responsibilities form. MSTA715 Plm /undslab Insp 2/11/00 2/11/00 5/1/00 MRS PASS No Hold AKJ 5/1/00 waste only • MSTA092 (F) Issue combination permit 2/11/00 KJP DONE No Hold KJP 2/11/00 All subcontractor will be owner. MSTA704 Sewer Inspection 3/29/00 MRS PART No Hold AKJ 3/29/00 pipe going thru footing needs lo be wrapped with heavy foam MSTA713 Crawl Drain /Backwater valve 4/5/00 MRS PASS No Hold AKJ 4/5/00 MSTA097 Issue electric signature form 6/14/00 SLT RECD No Hold ST 6/14/00 conversation with Rick Spisak, 613 -0877, he is not doing any work, will find talk to his general contractor & inform COT who the electrician will be MSTA095 Issue plumbing signature form 4/7/00 JMT NOTE No Hold JMT 4/7/00 same note as electrical sig.form MSTA707 Slab lnsp 5/8/00 RB PASS No Hold RB 5/8/00 MSTA722 Plumb Top Out 6/5/00 TLP PASS No Hold AKJ 6/5/00 MSTA097 Issue electric signature form 6/8/00 JMT DONE No Hold JMT 6/8/00 owner did not call back. but, per Chuck Dutton, H &R is doing the electric work MSTA724 Electrical Rough In 6/8/00 CD FAIL No Hold AKJ 6/8/00 no access MSTA790 Electrical Final 6/9/00 BRP PASS No Hold AKJ 6/11/00 MSTA725 Framing Insp 6/12/00 KBS PASS No Hold AKJ 6/12/00 MSTA740 Insulation Insp 7/3/00 KBS PASS No Hold KBS 7/5/00 MSTA093 (F) Reprint Permit 8/8/00 HAP DONE No Hold HAP 8/8/00 Page 2 of 2