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Permit ■ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00503 .11 (1 DEVELOPMENT SERVICES DATE ISSUED: 12/21/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13345 SW 129TH AVE PARCEL: 2S104DA -04300 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 FIRST: 2,581 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: V TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: 515 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7 VALUE: S 234,431.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,581.00 sf REAR: 21 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: 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: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: ' BURGLAR ALARM: 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: $ 4,295.46 DEBISSCHOP & COMTOR ECK CONSTRUCTION INC This permit is subject to the regulations contained in the DEBI DEBT SW 31ST C EC BOX 204 Tigard Municipal Code, State of OR. Specialty Codes and BEAVERTON, OR 97008 SHERWOOD, OR 97140 all other applicable laws. All work will be done i accordance with approved plans. This permit wilexpire 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 114755 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 8 Post/Beam Mechanical Mechanical Insp Framing Insp Gas Line Insp Electrical Final Sewer Inspection Underfloor insulation Mechanical lnsp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins Rain drain lnsp Plumb Final Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Fireplace Insp Appr /Sdwlk Insp Building Final Issued By : 1 - Permittee Signature ;,_ --- -" � Call (5 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . 5 051- - // ' gar . s4,e2(rre) oe) 3y A Building Permit Application Date received: C wail Permit no.: frapy 1 11 :ail i',y � , City Of Tigard Project/appl. no.: Expire date: CirygfTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 C Phone: (503) 639 -4171 i 1 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: ■ TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family jirNew construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: 1 JOB SITE INFORMATION Job address: 3 _ - ' AWallill1== Bldg. no.: Suite no.: Lot: 4 Block: Subdivision: dIv gy p/ r Tax map /tax lot/account no.: Project name: di - a /- , ;,,..e3 2.410' Description and location of work on premises /special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: it .1 / x f ice,, 0 1 � (Floodplain, septic capacity, solar, etc:) Mailing address: /9 ee ,fw �' r 1 & 2 family dwelling: W ( t!fr-74,A REM ZIP: -- " er.s . Valuation of work $ /2 ,,f Phone - Fax: — E -mail: No. of bedrooms/baths g __ r Owner's representative: l��C Total number of floors Phone: # - `ri LEEK_! New dwelling area (sq. ft.) 2576 APPLICANT Garage /carport area (sq. ft.) ,S Name: t Covered porch area (sq. ft.) 0 Mailing address: Deck area (sq. ft.) -- City: State: ZIP: Other structure area (sq. ft.) -4 Phone: Fax: E -mail: Commercial/industrial/multi- family: y . . CONTRACTOR : Valuation of work $ • ! i e �'� Existing bldg. area (sq. ft.) C � Business name: / ` � - New bldg. area (sq. ft.) -- Address: i Q ,� 4 20 Number of stories 1 / ZIP: / Phone... -��.r" "�Mr Type a construction ."f"' Occupancy group(s): Existing: CCB no.: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be • ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: € 1,,, is cl, provisions of ORS 701 and may be required to be licensed in the Address: / p ' �� d jurisdiction where work is, being performed. If the applicant is ,!/ sM ZIP: % mod' exempt from licensing, the following reason applies: Contact person: Plan no.: /,, /- ,/ 4 Phone: -Zic Fax ff'_- E -mail: , - , ENGINEER f Contact person: Fees due upon application $ Address: ,� • / Date received: City: i/ o .- dr/ ,�� 1.� ZIP: 7 ( Amount received $ Phone. _ i fE�7, 4 ME I IN M 11 I I. I IM 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. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with, whether s ecified herein or not. Credit card number: Ex Expires Authorized signature: / � � bate: / 9 ,2� 2 Name of cardholder as shown on credit card $ Print name: ''f�� y ;2 Cardholder signature ST Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6ro0/COM) • One- and Two - Family Dwelling • e o e e ° Reference no.: � wAl Building Permit Application Checklist Associated permits: City of Tigard City of Tigard Y b ❑Electrical ❑Plumbing ❑ 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. 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 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. -- Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. 24 25 26 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 (6/00 /COM) . Mechanical Permit Application Date received: Permit no.: i. �;wr t ,�,s (; t. ,.•__ City of Tigard Project/appl.no.: Expire date: • City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Paymenttype: Land use approval: Building permit no.: TYPE OF PERMIT • ❑ 1 & 2 family dwelling or accessory LI Commercial/industrial ❑ Multi- family ❑ Tenant improvement New construction ❑ Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: /J,J c,: f? /, '9 r .,,,i/c- Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: 29 (Block: I Subdivision: eVeApj /l6,0e) *See checklist for important application information and Project name: `p(� �Y./f jurisdiction's fee schedule for residential permit fee. City /county: 77.- I ZIP: 1 & 2 FAMILY DWELLING PERMIT FIE SCHEDULE Description and loCction of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENTSCHEDULE 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? ❑ Yes ❑ No Air handling unit CFM Air conditioning onditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: i.« - 7 4 ?" / /7; State boiler permit no.: HP Tons BTU /H - Address: Fire/smoke dampers /duct smoke detectors __ City: I State: I ZIP: Heat pump (site plan required) Phone: ja -e I E -mail: Install/replacefurnace/burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: 6��.�r Install /replace /relocate heaters— suspended, City /metro lic. no.: wall, or floor mounted " ` Name (please print): Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent - Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type 1/ II/res. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: 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: Decorativefireplace City: • I State: I ZIP: Insert — type Phone: I Fax: I E -mail: Woodstove/pellet stove Other: Applicant's signature: . I Date: Other: ' Name (print): . Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑ MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at %) $ Expires within 180 days after it has been accepted as complete. State surcharge (8 %) .... $ a cce Name of cardholder as shown on credit card $ P TOTAL $ Cardholder signature Amount 440 -4617 (6/00 /COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional $100.00 or including ducts &vents 14.00 fraction thereof, to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units . $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that9apply;w� f= '..Boiler: , =Heat . ; ,Aii, ; °, ' .E ', ; . :4- $1.20 for each additional $100.00 or For items 741,1,_see .� or',`, , Pump ' s Cond _ r „,.' fraction thereof. =footno ,4. tes &below.- -- ' 1 Comp *� 'I -. "" � .`` -.1. = , I: h _.: 7) <3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb Value Total unit 100k to 500k BTU 25.60 Description: Qty (Ea) Amount 9) 15 -30 HP; absorb Furnace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35.00 ducts & vents 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb Floor furnace including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included in applicance 445 13) Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14) Non - portable evaporate cooler < 3 hp; absorb. unit, 955 10.00 to 100k BTU 15) Vent fan connected to a single duct 3 -15 hp; absorb. unit, 1,700 6.80 101k.to 500k BTU 16) Ventilation system not included in 15 -30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00 mil. BTU 17) Hood served by mechanical exhaust 30 -50 hp; absorb. unit, 3,400 10.00 1 -1.75 mil. B 18) Domestic incinerators >50 hp; absorb. unit, 5,725 17.40 >1.75 mil. BTU 19) Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves Non - portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 21) Gas piping one to four outlets Vent system not included in 656 5.40 appliance permit 22) More than 4 -per outlet (each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: _ _ ''',' : :" `° $ Commercial or industrial incinerator 4,590 `'' , ,r Other unit, including wood stoves, 656 8% State Surcharge ,.y a , , 4 �. $ inserts, etc. . = k x. Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) ; .,i f ,. ' $ Each additional outlet 63 Required for ALL commercial permits only .- - :,.. q P Y ;� . :` °',.. _ °� F.. ` TOTAL RESIDENTIAL PERMIT FEE: ., ; - .,._r - <`, $ TOTAL COMMERCIAL $ VALUATION: �� Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (minimum charge -one -half hour) $72.50 per hour * State Contractor Boiler Certification required for units >200k BTU. ** Residential A/C requires site plan showing placement of unit. is \dsts \forms\rnech- fees.doc 10/11/00 . • Plumbing Permit Application � Date received: Permit no.: � r , City of Tigard 4 . - - �_ Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard 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 ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: JOB SITE INFORMATION FEE SCHEDULE (for special inforn ation use checklist) Job address: /33 c!5" ` J ) /2p,-.0","-c- Description Qty. Fee(ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: Tax map /tax lot/account no.: (includes 100 ft. for each utility connection) SFR (1) bath Lot: 9 (Block: I Subdivision: e Paepi -/ SFR (2) bath Project name: //or- 4 /2}r ? -0' .. ,..--> SFR (3) bath City /county: l� ®6 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 PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: ,i� S , �Zel;y Manholes Address: Rain drain connector City: I State: I ZIP: Sanitary sewer (no. lin. ft.) Phone: ,<Zs —j (7 f Fax: I E -mail: Storm sewer (no. lin. ft.) CCB no.: �� 7 I Plumb. bus. reg. no: Water service (no. lin. ft.) • ~ City /metro lie. no.: Fixture or item: Contractor's representative signature: Absorption valve . Back flow preventer • Print name: D Backwater valve • CONTACT PERSON Basins/lavatory Name: Clothes washer Address: Dishwasher Drinking fountain(s) City: I State: . I ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank OWNER Fixture /sewer cap Name (print): Floor drains/floor sinks/hub Garbage disposal Mailing address: Hose bibb City: I State: I ZIP: Ice maker Phone: I Fax: I 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: I Fax: I E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application ❑ 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. $ Cardholder signature Amount 4444616 (6/00 /COM) • PLUMBING PERMIT FEES: ° PRICEr.'` TOTAL °; New1{and 2famil" dwellings,only: mo w,: • � °�a -Y` - .�: II lumbi 'fixtures in PRICE; . TOTAL Sink ESy,(indrv'idiial), -OT 1 AMOUNT (ncludes,a ,p g Sink 16.60 ttie dwelling and E h first1, ft : _ ; QTY= .(ea) A 1 6.60 °'forleach°utilitYFconnection) =° • - - • �� _ , Lavatory One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL r Urinal 16.60 8% STATE SURCHARGE . • • Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL ' ` Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 2" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 • -4 4 Quantity by' Work.Perfor'tned. ,: - n Gas piping requires a separate mechanical 'Fixture Type <" New Moved .Replaceii. > ;Removed/ permit. ••, a r,.. 'Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only • Drinking Fountain 16.60 Water Closet Other Fixtures (Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer - 1st 100' 55.00 3^ Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Other Fixtures Water Service - each additional 200' 46.40 (Specify) Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 , Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if ° - Quantity Total is > 9 *SUBTOTAL .° °:• � _ :per? 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL " °` Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** AII New Commercial Buildings require plans with isometric or riser diagram and plan review. is \dsts \forms \plm- fees.doc 10/10/00 Electrical Permit Application Date received: Permit no.: A a11la • !+6 :.. City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.: 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 0 Commercial/industrial ❑ Multi- family 0 Tenant improvement At construction 0 Addition/alteration /replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: /..72_ L / ..j s C 7,e kz.e- Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: . ,29' Block: ISubdivision: �l /,„rz-A -��' _,��� Project name: Q(7� , Description and location of work on premises: • Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDILE Job no: Fee Max Business name: A ','< ... / '74 rip. Description Qty. (ea.) Total no. insp New residential - single or multi- family per Address: dwelling unit. Includes attached garage. City: I State: I ZIP: Service included: Phone: 7p�i " -l'Fax: I E -mail: 1 000 sq. ft. or less 4 6��jZ I Each 'additional 500 sq. ft. or portion thereof CCB no.: Elec. bus. lic. no: Limited energy, residential 2 City /metro lic. no.: Limited energy, non - residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders — installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to instauation , alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, . • • Name: or extension per panel: • 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-mail: Each additional branch circuit: PLAN 'REVIEW (Please check all that apply) Misc. (Service or feeder not included): U. Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps- rating of 1&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 ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other: Per inspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ • ❑ 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 $ Cardholder signature Amount 440 -4615 (6 /00 /COM) • Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee • $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less . $145.15 4 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40. 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 Garage Door Opener Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 . 2 201 amps to 400 amps $106.85 2 n Vacuum Systems* • 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 • 2 n Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 • 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, � see "b" above. 17 Audio and Stereo Systems Branch Circuits ❑ New, alteration or extension per panel Boiler Controls • a) The fee for branch circuits with purchase of service or n Clock Sy feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation, b) The fee for branch circuits without purchase of service or feeder fee. Fire Alarm Installation First branch circuit $46.85 � Each additional branch $6.65 I 1 HVAC Miscellaneous n Instrumentation • (Service or feeder not included) • Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 n Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour . $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting Fees: n Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: • Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts\forms \etc- fees.doc 10/09/00 • J8 14:29 PACIFIC NW TITLE 4 5032547542 NO.268 DL CITY OF TI ,SARA Credit No.: 3 Date Issued: June 8, 2000 Engineering Authorization Date: June 8. 2000 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Caseflie No.: 97- 517- PDJ$ /DHA In accordance with Ordinance 379 Cypress Ventures c�� � a ewao.n is entitled to $ 292.254.,9j in Traffic Impact Fee Credits atcan be applied to TIF tc v DWI charges for development on lots) all of the Quail Hollow - WEST Developments. To use this credit, present this form at the time of issuance of the building permit, Clerz e. L pate Permit Numbers Lot Numbers Credit Used Balance l Beginning Balance $ 292 • Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 7 years from authorization. loginIviolaNti109 1 Use Additional pages if necessary. • Electrical Innov., Inc. 503 - 632 -6564 P.1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ELECTRICAL INNOVATIONS 22300 S LEWELLEN RD BAVERCREEK, OR 97004 -8733 Electrical Signature Form Permit #: MST2000 -00503 Date Issuod: 12/21/00 Parcel: 2S 104DA -04300 Site Address: 13345 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block: Lot: 029 Jurisdiction: TIG Zoning: R Remarks: S/F PATH I 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: DEBISSCHOP & COMTOR ELECTRICAL INNOVATIONS 13590 SW 31ST ST 22300 S LEWELLEN RD BEAVERTON, OR 97008 SEAVERCREEK, OR 97004 -8733 Phone #: 503 - 649.4541 Phone #: No business phone Reg #: ELE 26699C LIC 00066412 SUP 3621S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature up4ising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON ST SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2000 -00503 Date Issued: 12/21/00 Parcel: 2S104DA -04300 Site Address: 13345 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block: Lot: 029 Jurisdiction: TIG Zoning: R Remarks: S/F PATH Your company has been indicated as the plumbing contractor for the permit indicated above. - In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: DEBISSCHOP & COMTOR NORTH STAR PLUMBING 13590 SW 31ST ST 1445 SE OREGON ST BEAV ERTON, OR 97008 SHERWOOD, OR 97140 Phone #: 503 -641 -4541 Phone #: 625 -2679 Reg #: LAC 00090697 PLM 34 -255PB AN INK SIGNATURE IS REQUIR -D ON THIS FORM AIWA. 1 � . �: - Sign.ture of A uthorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 STREET TREE_ CERTIFICATION , OWNER /AGENT FOR f�imW ^ (PLEASE PRINT) (PERMIT HOLDER) DO HEREBY CERTIFY THAT THE FOLLOWING LOCATION MEETS WASHINGTON COUNTY LAND USE AND DEVELOPMENT STANDARDS FOR STREET TREE INSTALLATION. ADDRESS: 5 LOT: ? SUBDIVISION: • C da/ / / J BY: DATE: 7 — O / SIGNATURE RECEIVED BY: DATE: SIGNATURE .,.' ..��r�`. ..•� �. ,,', ....ls.. .., ...'^Y'`Y'!"�' + + w. N J„ �.J,_,..r?...:.f d ' c -. .u� v ..., y ; ° , .n , ; •�,. z ..„ , :n< .. {, ,, !„ ; r ,''ter -., +�- . ,. :r ,• •ti ; ° PERMIT NO. "" �.. c,as : ' -' '• EROS CONTROL INSPECTION REPORT . M1 ' DATE 746 °01 INSPECTOR OWNER/PERMITEE CleanWater : S +erviceS SUBDIVISION Qto,. %( / /o1I Cap • LOT _ • Our commitment is'clea'i. x: SITE ADDRESS 1 33645 .f ' / 2. ? a Avg, • . .':;+;: r :, • 2: ' i . ,. . : : ,,,H:,.... . , . , : i . .?,,,H ; , : ., , .), � S ; SITE MEETS THE POST - CONSTRUCTION ' ••kF' THI � ; _ l''L EROSION CONTROL REQUIREMENTS SET 1 • ,' r " ° • : -' ' FORTH IN CLEAN WATER SERVICES '` ', - �:h ' : : kw RESOLUTION AND ORDER >..' �k: � „' ' • • i ' IF• POST- CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ■ P!-= r- IIS..SITE TO MEET.. CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND' ° , '•.: .:'„ •• .c�,, COVER: IS ESTABLISHED. vr' -'Y °''i A COPY' OF: THE: FINAL EROSION CONTROL INSPECTION REPORT MUST BE. FORWARDED ' ' `,, • .:TO;THE•NEW OWNER, AT ,WHICH TIME THE NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. , • ' r •,I :u. _ OTHER , ' ' THANK YOU FOR YOUR COOPERATION! • °•: " ,DATE ' . _ 7 /6 INSPECTOR L/! PHONE .CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2e -G 'J' 3 • 24- Hour.Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested q Z1J AM PM BLD Location / 33 Y 5 sw /�� 1 Suite MEC Contact Person 5/ Ph 3 9 a PLM Contractor Ph SWR BUILDING : Tenant/Owner fl14 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 Framing Insulation Drywall Nailing CL/?C G% Firewall . Fire. Sprinkler Fire Alarm Susp'd Ceiling /- / �� / &./c; �7?i'ovtG Roof l/ Misc: - PART FAIL P • I■ D`_ ,2fe_ 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 ; xa Service Rough In UG /Slab • Low Voltage Fire Alarm Final PASS PART FAIL SITE:.. g , _ ` 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 Q — e l i' r �•� Ext .760 Other Date 7 I nspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. IL,c /Z �! C ITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 -0.a :L0 5 v3 .24.-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 , it BUP Date Requested /--f 7 AM PM BLD Location ,,3 3 `f S Suite MEC Contact Person Ph �c f �i 3 / U PLM • Contractor Ph SWR LDI 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 P2 2Goc, - 0029' ar ea/ _c„,<7 a0/ Oj� Insulation / Drywall Nailing Firewall Fire Sprinkler 'SA f-, cc./ eve? r Dv fir/ Fire Alarm Susp'd Ceiling Roof ` Misc: / 2.ke�/ r,L�la.,.��ar'�� a ✓� F PASS PART FAIL Tf . , c-, c•- /t>+e- v o" 7 /1 i /Z �� PLUMBING . G / Post & Beam o ��' C/.2., `T � Under Slab Top Out Water Service 4,-/ /� a� /,L�. 2000 -- OQZ2 Sanitary Sewer / Rain Drains Final PASS PART FAIL ,/v 0724 e /c 4 y j' u-c • C lrflE�14�AN1�' _ n/ Post & Beam k yr Rough In Gas Line Smoke Dampers A PART FAIL E CTRICAL 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 1 T _° Other Date 7 Inspector Ext 2‘' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ; - CITY OF TIGARD BUILDING INSPECTION DIVISION �' • Zo —60 3 ,`24 -H Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested 7 3 AM PM BLD Location / 7 3 ef 5 S' /21 f a Suite MEC Contact Person Ph /� °�i� U PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation /id / 1 l- FPS Ftg Drain a ti a J r1 /I d w w-LS 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 ca , Beam Under Slab Top Out Water Service Sanitary Sewer • -• s Final 4 0. - . 47 - = ART 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 �R II Other oach /Sidewalk Date 7- a-- v) Inspector I1 / / (,- I/' - • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY of TIGARD BUILDING INSPECTION DIVISION ■ MST 'a z �'GUS 6 3 2 4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP • Date Requested // AM PM BLD Location /33 (I C 5 w / Z y ,S2,a Suite MEC Contact Person Ph / t C.3 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm �C_���� /Z / �rvYQ -J Susp'd Ceiling / r � / � �Y Roof Misc: Final PASS PART FAIL PLUMBING & 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 j ECTRICAL ` Service Rough In UG /Slab Low Voltage Fjr.eAlarm - - ART 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 7i/ _ ® / Inspector Other Date ! nspec E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job -site. C4TY OF,TIGARD BUILDING INSPECTION DIVISION MST',12D o 3 3 '24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP • Date Requested 7 -1( AM PM BLD Location /3 3 )75 w ( Z f Suite MEC Contact Person PhJ� ' � U PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain a ( AQ,rl Ha fl/„ w -mss SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear int Sheath /Shear Framing ' ' �r dr .V ?1-12 „ - C/Q -t 0 i 1 ' / LI Insulation Drywall Nailing C -e Ce goi Q r< 1 Firewall L Fire Sprinkler 0,4 - e ' ♦ .l o k T ' -�� I ' -. Fire Alarm , Susp'd Ceiling fr:'� .� dj S` ‘°r -zp S r 4 � � r h -0•=1 pr, Roof /% Misc: Final PASS PART FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains S 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 / 1 Approach /Sidewalk Date 7 I Inspector / Ext Other Final • PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . : CITY OF TIGARD BUILDING INSPECTION DIVISION S-d 24 -Horir Inspection Line: 639 -4175 Business Line: 639 -4171 MS ..� BUP Date Requested l�� AM PM BLD Location / 3 3 c4 w / zt Suite MEC • • Contact Person Ph f ‘ f` 3 f 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 /VS 4 ' 'e' 1 E/ P., E . J - Final ���' PASS PART FAIL -�! ■+!��'"�'' • PLUMBING. . • . / Post & Beam Under Slab Top Out Water Service Sanitary Sewer /' Rain Drains /� 17, • Final PASS PART FAIL -- MEC,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 $.ITE; 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 /� pproach /Si ew D at e � ( , r E— 0 ( Inspector — Ext Fir. PART FAIL DO NOT REMOVE this inspection record from the job site. Sent By: NORTHWEST GEOTECH, INC.; 503 682 1880; Mar -26 -01 8:19AM; Page 2/2 ' = - ,(3),/, v-0 Northwest'Geotech, Inc. , 9 :20 SW Picneer Court, Suite B • Wilsonville, Oregon 97070 503 / 682 -1880 FAX: 503 / 682.2753 DAILY REPORT OF INSPECTION ACTIVITIES DATE. 03/21/01 Joe NO. 11 19.1.1 PROJECT Brookfield Development REPORT NO 2 LOCATION /Y) '1 13345 SW 129`" Ave., Tigard, Oregon PERMIT NO / )�/t 0,5/93 — CONTRACTOR: J & S Concrete ✓(/ OWNER: Brookfield Development, Inc. SUBJECT WEATHER: PRESENT AT SITE: Epoxy Dowel Installation Clear, 40's THE FOLLOWING WAS NOTED: NGI arrived on -site, as requested, to monitor the installation of one 7/8" diameter threaded epoxy dowel for the southwest corner of the dining room stemwall hold down of the above listed residence. The hole was drilled to a minimum depth of 10" with a 1" diameter drill bit. The hole was cleaned with compressed air and a nylon brush prior to the injection of Simpson Set epoxy adhesive (exp. date 08/02). To the best of NGI's knowledge, the epoxy dowel was installed in general conformance with ICBO Evaluation Report ER -5279. NGI informed Brookfield Development personnel of all observations. • • • FIELD REPRESENTATIVE: Rick Yeager REVIEWED BY: Jon L. Sparks. C.E.T� COPIES TO Building Department, City of Tigard Carter Stafford, Brookfield Development REVISION(S) TO PREVIOUS DOCUMENT NOTED IN ITALICS C: \WINDOWS \Daily Reports \Protect No. 1100+-N 119- 11\1119- 11jrp02.doc /baw 9 „s� CITY OF TIGARD BUILDING INSPECTION DIVISIO K -- - i j p ` j _GU ,3 3 24 -Hour Inspetion Line: 639 -4175 Business Line: 639 -4171 i e BUP Date Requested 5 -24 AM PM BLD t � Location /33 s Sw /1- 9 Pt Suite MEC Contact Person Ph 9 5 7/ PLM Contractor Ph SWR Tenant/Owner 12Iras,t C 4i, I? r 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 ns 4 4- rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PAS PART FAIL MBING • Post & Beam - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL— Post _t 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 4W/ Approach /Sidewalk A other Date r Inspector ,0 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. fv3o CITY OF TIGARD BUILDING INSPECTION DIVISION " MST 0. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested .3' Z � AM PM BLD Location / 3 3 Sw/ Z f Suite MEC Contact Person Ph f(9 C.3 PLM Contractor Ph SWR X11Dl 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 Framin Drywall Nailing (A_ 12\ Firewall '\ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi F' A PART M BING "" T • 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 fo reinspection RE: ^ [ ] Unable to inspect - no access ADA Approach /Sidewalk a '! Date ate Inspector E \, • x Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site CITY OF TIGARD BUILDING INSPECTION DIVISION MST AO 6 6.0 56 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3-- z ( AM PM BLD Location /33 Li 5" S' / 2 7 e ,42 Suite MEC Contact Person Ph 91 PLM Contractor Ph SWR O1LTT, .,. Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS • Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam iT iii1ag; r Q Insulation Drywall Nailing • 'Mgt (0 - A.B. .. • I 1i✓ a Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 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 V1� Other D -3 2.1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ) o P / • • s.� -'CITY OIF,JI9ARD BUILDING INSPECTION DIVISION �t '' �c� - ov 40 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 , BUP Date Requested Z AM / PM BLD Location � '' .c 3 / Suite MEC • Contact Person Ph 9 9- 3 f / PLM Contractor Ph deli> XQ -0d3 / BUILDING Tenant/Owner FA C 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 4 Framing • tl,. -I / I O±: Insulation Drywall Nailing 4 ' l 4k Firewall Fire Sprinkler Fire Alarm j9 Susp'd Ceiling k. � c , 9 ` Y v Roof ' A Misc: 1 JL��3 Final PASS PART FAIL P G ost & Beam r, t. Water Service 041, Sanitary Sewer , Rain Drairts.,2,6, gip 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 3 � Ext 01 3 Other Date l Inspector " `� / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. --CITY OF flGP RD BUILDING INSPECTION DIVISION • • ST U'is rGD.S G..3 24 -Hour Inspection tine: 639 -4175 Business Line: 639 -4171 .r . UP • Date Requested 3-/ / AM PM BLD Location / 3 3 •mow /2-ti .1 /.t. Suite MEC Contact Person Ph 9Cj o q PLM • Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Pt/Crawl Drain Inspection Notes: Y\ b L ---i ) SIT Ext Sheath /Shear 'C- 7 �. Int Sheath /Shear Framing I I - I _ _ - IlL AI . - - - " 0 L' Ar■ . \ Insulation �- ^ Drywall Nailing n ' �`-'c 9 t`'' D � ") Firewall 4 0 0 v � Fire Sprinkler • I• ∎■ . ■ 0 - Fire Alarm • �_ Roof t k v Susp'd Ceiling r - _ �i 4 ! - - Misc: g � A /� I _ L � ry Final PASS PA ART F ' IL g Jib, L . A ' -,L ice— - .. _- A 4 .LMIN� ' /0 0 , ] 1 Pi! w a'ISO L�/� - 'Post & Beam U. R.lci Slab /.e.t. r -' Water Service C Z 1.LL v 3-0.-S ' t Sam S,eyuer c Rains ®ra ns`` l ,a i / r A )L °Final. \\ PASS PART A i / • – ( C..— Z \-,-\^ ( . .. MECHANICAL . .�� Post & Beam gra��V ��v Rough In PI s , Gas Line - Smoke Dampers b - 1 — 41-N- - • Final PASS PART FA 1 4 ►I-K j U _ di✓tA �_, ELECTRICAL - _ ° 1_,J. Service (p/ 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 3'\ � �J - �j V / 1 b � � c Z_ Ext3 L Other Date _ l l Ins Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. `'S 7 ` JCITY OF TIhAfRD BUILDING INSPECTION DIVISION 1 • .24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 3-/,‘- 2/ AM PM BLD Location f? ` ` J-' /29 , 96 Suite MEC Contact. Person Ph 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 �L a o Framing j/ J �� ri �-,� 44_ .�.�.. tl /C -- Insulation Drywall Nailing Fire wall Fire Sprinkler ` �- �' �/'� ` "' " C fCc" `r T�c"z` fay`�. " e Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL FAJM>IIG U nst e & Beam 0.1-- •� / / £ v t � „ / / I / Top Out Water Service �/ i f �I�il.�e�l`� ��-- Rain Drains L ✓2 � ' ? � � 49,4 P 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 [ I 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 . - l 4 O — v/ Inspector �_ - • Ext Final PASS PART FAIL DO NOT REMOVE this inspecti s C ecord from the job site. - OF II,GARD BUILDING INSPECTION DIVISION MST >�, . .24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • • BUP • Date Requ>sted 3--/ ( AM PM BLD Location / 3 ) / 2-9 G Suite MEC Contact Person Ph f3 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 Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ �trtECH Post & Beam s Line Smoke Dampers PART FAIL ELECTRICAL " . Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL 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.f reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the. job site. . 'CITY OF TIGARD BUILDING INSPECTION DIVISION • .cii‘7 .24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ,4,6)0 - �il� • - `•B' Date Requested 3---/ AM PM BLD Location / c1 --3 5 L- /27 Suite MEC Contact Person / Ph f��- 31.E 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 5-Y' V L Post & Beam Under Slab b Ct h ) 14_ Z S.S Top Out - Water Service � D 116 Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL a ernce Low Voltag: ire Alarm PASS "ART FAIL 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 r / O toach /Sidewalk f Approach/Sidewalk Date -" l Inspector • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job. site. .: OF TIGARD BUILDING INSPECTION DIVISION' • • ' - -•�� _� � MST �Y'G'O b � 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • , BUP Date Requested .3 �—I AM PM BLD Location f 3 j I5 5(-4/ Suite MEC Contact Person Ph 9t� ��i' 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 nsu ation Drywall Nailing . Firewall Fire Sprinkler CST 1NA- Z x.1 ,1 'Q ,k Sta t•L` Fire Alarm Susp'd Ceiling Roof Misc:. Final .PASS PART lab PLUMBING Post& Beam • Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL - HAN ost tx beam oughln 'Crscip 1/NtSTtLZV - =3Tove as me A$ Smoke Dampers Final PASS PA FAIL \ 1' � cq ELECTRI L 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 f reinspection RE: [ ] Unable to inspect - no access ADA \ Approach /Sidewalk D ate Inspector O Other p Ext Final PASS PART FAIL DO N REMOVE this inspection ecord from the job site. `C ITY ' OF TIGARD BUILDING INSPECTION DIVISION 4. 'MST 2,6i - .24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BOP d Date Requested 2– 2 7 AM PM BLD Location / 3.�f 4� `S�' Z Suite MEC Contact Person Ph 9/y 31 f} PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Bea Ext Sheat Sh Int Sheath /Shear Framing c 1‘.61 ■\1 v !�� iRsse JS 'Liza S I OIE t Insulation FDrywalllNailing ���Q� � �1 � � TlVIS 1 1V S �� `� Fire .Sprinkler . • \A9 - 1 N5T 1L 151,_ % Fire Alarm Susp'd Ceiling Roof Misc: © 1 l' tt LL L 9.. 3 PNI Final PASS PART FAI PLUMBING O t- -� D e — • Post & Beam Under Slab • Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ��U Cmi,4 _ MECHANICA Lu Post & Beam U l� l-� 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 D ate 22 Inspector ( Ext Final PASS PART FAIL DO NOT REMOVE this inspectio record from the job site. ..,, 0ITY OF TIGARD BUILDING INSPECTION DIVISION 2, '6.--c.01 . --� o®5 Q-3, Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested 1 �� otS AM PM BLD Location \ '31 ` �� `y Suite MEC Contact Person Ph - 1o3C13 PLM Contractor Ph SWR 8UILQi1 Tenant/Owner ELC 'Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi ____ PART FAIL Post & Be Under Slab Top Out Water Service Sanitary Sewer Rain Drains Fin ART FAIL CHA -Al.; S ug n • Gas Line Smoke Dampers Fin - AS PART FAIL TRICAL ` : 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 h J n _ 5 Date r �,d Inspector V c� Ext 1 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • Ij. rITY • OF TI.GARD BUILDING INSPECTION DIVISION • i MST e) ;e zy 3; •24 '-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP a g P Oath Requested /� l —dl AM PM BLD Location ! 29 7 6 5-k.) i /z.4 Suite MEC Contact Person 3 ? 13 � Ph 94'9 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing �G,.!144 Foundation Access: i � l� 74 FPS Ftg Drain SGN Crawl Drain Inspection Notes: / ! 4 Slab _ � SIT • Post & Beam k ` ' Ext Sheath /Shear , v 6 Ina Sheath /Shear /- I� f , L ?..-/■1 ) � /�� ��.i J Framing G—� V--{ l Insulation I a Drywall Nailing �, S Firewall /� S ^,. (z�`l'C_ 1 ✓ •�i -- � Fire Alarm Sprinkler l� C �ry Fire Alarm �—.. Susp'd Ceiling W> (2)2_4- --`✓L- $ 94 Roof ` n^ -�^ d b 0 - 0 0 S Misc: _, � ` 0 Final PASS PART FAIL 1 ✓ v ! �' �' ` f -- - `5 - �� . i s c7 o o - U 4 ^o3 Under Slab - C 1 ■ ° ‘ S C S - Nt' .-- *l/k4, C.,' Cwt Top Out Water Service L0 v U \ V W \C3 Lv v" ' C-o c .s2---t_ L° - v/ - C -1n 6 Sanitary Sewer - J � ✓ Rain Drains v� c " \ L./" \ ►'Y `� .C/, . ., c—1 Final � PASS PART FAIL � Q `1/2 VA..z. \"._.0_,(2....Q / ) Rough In .nr k L"\".-t) ` l3 f W\ � \ `\'`� Gas Line N Smoke Dampers :12e. C. V = (/V\* S , t ,p Final �, �� PASS PART FAIL Z S A--��\ 5 Le---e ELECTRICAL 4 �! _ Service 1n'`Qr L69 "°r I \ �, 9 • Rough In UG/Slab Low Voltage \..f�,`�� 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 0 d- �/(, � I Inspector � C"� ExtT 1 9 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. � = ''°GITY OF TIGAIRD BUILDING INSPECTION DIVISION G>: MST ° Q ` ', 24 - Inspectioi Line: 639 -4175 Business Line: 639 -417 ° -��7 O �1P ____ ` B lD 0 , Date Requested /' 1 -v / AM PM ��-�� BLD Location t' 7 5 510 J2_g' Suite /_ MEC Contact Person / Ph b' 63r3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ' Retaining Wall ELR Footing Access: Foundation FPS � t• Dr.� �� SGN l l rf• . ` �n t ( Inspection Notes: Slab I SIT Post & Beam D Ext Sheath /Shear Ina Sheath /Shear , AC}V 1 ` - i F ram i n `� Insulation Drywall Nailing Firewall / - ` 0 � (12-0-Y-k , rt Fire Sprinkler `J"�C Fire Alarm 9 I. r ?c.----CI' 6 '--e Susp'd C�eiilinng4 `��- '✓� --L� — d Roof kA Fin. ,,„, . A tili el....„,..L., 4::_".. L ........_ ; . ; ._ .0. _... 62 r ..,,+,l -il 1 Post & Beam . eam � Under Slab ? % SA j-- C _ " C' To Out er ervic 4anita 'tItam c • thy" Fi o FAIL MECHA ' I ... f‘..e..4-V- CAr%r (,°- Post & Beam I�CN ���� t� c'•`/` � n/ Rough In �� '2/\./�, Gas Line Smoke Dampers IIJJ Final PASS PART FAIL ELECTRICAL.. - = . Service 0 o f) fv► - Rough In 4 7� .� ` n UG /Slab `1 C @ u ` � Low Voltage � � � — ( - _ Fire Alarm �� (�'� ` � - Final \1 p L.)2.__ 0 S L� PASS PART FAIL `^'� SITE '• . (o-4 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 /J ---� t C7 Approach /Sidewalk Date . A / I Inspector v - Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site • 7:I tITY OAF TIGARD BUILDING INSPECTION DIVISION • ,�o - 6 � - �` ; MST 24 -I4dur Inspectioio Line: 639 -4175 Business Line: 639 -4171 Date Requested / / 7----- AM PM l " BLD Location /35 (1-5 � Suite �s MEC Contact Person Ph 7 , 9— 0 < 3 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ft• I -'n_ raw Dr- • Inspection Notes: k � ,L_� dam !_' " Slab hear o rnitoZili Int Sheath /Shear (` ' Framing I 5 "/i -e 64 -- �9�-�lit�v�r ?� IJJ�Ie■/• L J . Insulation JJJJ Drywall Nailing Firewall libt_fr + 1 , J J f I l _ • Fire Sprinkler l� �-l S `l S Fire Alarm Susp'd Ceiling ... -� " .C----& Roof Mc: 1/ �- -3 C-(� lYv� �G / Final PASS PART V).[--- l , PLUMBING . I �) 1Zr�� O- 4... Q...-Ii (4-7\ Top Out p, Water Service C le_..- �W..-- Sanitary Sewer . Rain Drains Final \ ` e PASS lerlD FAIL 4) LAI �-' -�--? `�'` L"'W t, G. (/� --G' MECHANICAL a / gh I n c?..A.-Ce-dr C-k' + Qu --- Gas Line Smoke Dampers Final PASS CPAR FAIL lj S1._ C ,1 -- ‘, , � - 1 2-A. L191 SS_ ELECTRICAL Service tl. 4 " s / f 44 1 / y\A_4..) 4.9__..C2 Rough In UG /Slab eO5k 1 Low voltage b \ ) ��'S !( � .� d- ,/ tiv -,_,,S Fire Alarm // Final ° . PASS PART FAIL . A SITE 11' 1 . , 1 1'1/ A I . S I / 1 1 ( .. L. Backfill /Grading Sanitary Sewer v 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 r ` Other Date t d Inspector ,.../e. Ext i 15 Final PASS • PART FAIL DO NOT REMOVE this inspection record from the job site. ; • 1Th OF TIGARD BUILDING INSPECTION DIVISION 5 'MST �jvu alb -c� 24 -Hour Inspection Line: 639 -4175 Business Line: 63 171 Date Requested / Z'� , AM PM BLD Location / 3 ?.'/$ ") Z✓ / Z y Suite MEC Contact Person Ph 9 ' y_ G 3f 3 PLM Contractor Ph SWR Tenant/Owner ELC etaining Wall ELR i;� Access: FPS g Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing )43 ��,t'C,G cr,— ST7�u�rih N,4, f7) Insulation Drywall Nailing " - S' mac. ' - - / iti &v4 S1 c,A S S uw.v Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final 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 ` / 2-4 Inspector I ector Ext Other P Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ` . 1. MST - M:ster Permit r• . . J Inspection Description Date Passed By Notes Grading " _ Footing /Setback / 3 D f I _ Foundation walls / 2"/ K J Slab . Footing drain 17% - 7 / O t 45 5 - f - 4 Waterproof basement walls 1A 7 /a 1 e 3 Plumbing underslab Crawl drain 1/1 1 ,197 Post/beam plumbing '1/ t E - / % 2S? Post/beam mechanical j /■ Cr-7 ' •QJ Underfloor insulation Post/beam structural tV % Q- /O' veg Shear walls /anchors > - I D l Exterior sheathing �i I f Plumbing top -out ') /Z.O/G k Gas line & test Mechanical rough -in 3 k 416 ■ s Electrical rough -in o / Electrical service 3 -/ - 0 / 6P Low voltage 3- /- 0 / Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing � 0 , MFG -Home set -up Insulation (.2)g to t Drywall nailing Masonry /Reinforcement Rain drain - 3 /3 o/o t of Sanitary sewer it 7( ®1 ✓A Water service V 7/0 .09 9 Pump /fill septic tank Approach /sidewalk 7 / Q7 Grading final J /7 vsl} g 7 Mechanical final 7-/7-6/ 9 Plumbing final 7— (1 - q ? C . Electrical final 7-// /3en Final inspection 7 -29 -0/ Special Reports �' SWR - Sewer Permit 4 Inspection Description Date Passed By Notes Sanitary sewer _ t f 17 /b t ` Final inspection INSPECTION RECORD - MST (MASTER) PERMITS 1 'l - o - s1 . .i • _ . `-‘1, ,-1'. ' . : • .!'� ,� _ .�., . . iT y� TI LR MASTER- PERWIIII PERMIT #: MST2000 -00503 DEVELOPMENT SERVICES DATE ISSUED: 1.2/21/00 , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13345 SW 129TH AVE PARCEL: 2S104DA -04300 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG REMARKS: S/ F PATH I - BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 FIRST: 2,581 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 CECOND: sf GARAGE: 515 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: `_N DWELLING UNITS: . 1 FINBSMENT: st RIGHT: 7 VALUE: S 234,431.00 OCCUPANCY GRP: R3 aDRM: 3 BATH: 3 TOTAL: 2,581.00 sf REAR: 21 _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACK: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: t LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUE /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 130 BCKFLW PREVIITR: 1 GREASE TPAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < lOCK: ,.OIUCMP < 3HP: VENT FANS: 4 CLOThES DRYER: 1 GAS FURN >=130K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W000STOVES: GAS OUTLETS: 1 ELECTRICAL - RESIDENTIAL UNIT _ SERVICE FEEDER - TEM= SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 100G SF CR LESS: 1 0 - 200 amp: 0 . 200 amp: W /SVC CR FDR: 1 PUMPARRIGATION: PER INSPECTION: EA ADM_ 500SF: '5 201 - 400 amp: 201 • 400 amp: 1st W,'O SVC /FDR: 00 SIGN /OUT LIN LT: PER I-1OIIR: LIMITED ENERGY: 401 - 600 amp: 401 - COO amp: EA ADDL BR CIR: SIGNAUF'ANEL: IN PLANT: MANU HNLISVC /FDR: .601 . 1000 amp: 60 +amps- 1000v: ,L'INCR LABEL: 1100+ amp /volt : PLAN REVIEW SECTION — --' Reconnect only: A >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA'SPC CCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PA SING: OUTDOOR LNDSC. LI: li g BURGLAR ALARM: OTH• BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: D.ATA/TELE COMM: NURSE CALLS: TOTAL s SYSTEMS: TOTAL FEES: $ 4,295.46 0 Owner: Contractor: This permit is subject to the regulations contained in the DEBISSCHOP & COMTOR ECK CONSTRUCTION INC Tigard Municipal Code, State of OR. Specialty Codes and o 13590 SW 31ST ST FO BOX. 204 ail other applicable laws. All work will be dune in BEAVERTON, OR 97008 SHERWOOD, OR 97140 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 114755 forth in OAR 952- 001 -0010 through 952 - 001 -0080. You o may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS 0 Erosion Control Insp 8 Post/Beam Mechanical Mectianical lnsp Framing Insp Gas Line lnsp Electrical Final - Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins t Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection O Post/Beam Structural PLM /Underfloor Electrical Rough In Fireplace lnsp Appr/Sdwlk lnsp Building Final Issued By : Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day