Permit / CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00075
44'1111 DEVELOPMENT SERVICES DATE ISSUED: 3/24/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12465 SW ASPEN RIDGE DR PARCEL: 2S110BC -04500
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 016 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE: DM199ST STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 503 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5
VALUE: 310,367 90
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.400 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 GAS OUTLETS: 4
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 FD R: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT:
MANU 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: DATAfTELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,014.79
This permit
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC Mu c subject the regulations contained Specialty i the
Code s and
4230 SW GALEWOOD ST 100 4230 GALEWOOD ST, STE 100 all other applicable Municipal e law . All w
Code, State work OR. Specrk will be done e Ce
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 all applice law it
accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: Phone: Oregon Utility Notification Center. Those rules are set
R forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIk 387375533 may obtain copies of these rules or direct questions to
1 5 OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins Rain drain lnsp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final
Post/Bea - • . Mechanical lnsp Shear Wall Insp Insulation Insp Appr /Sdwlk lnsp
Issue. By : • % - - -e !! , ;_.:,, Permittee Signature : y
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
3- /q - L' P 1A J
ru Qis 5ioR -ev08
Building Permit Application
Date received: 5 , Permit no.� t/ 5y , a jc 75
ar:Itll : City a Tigard, _ `�
IB D Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall IM
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 MAR 1 2 2004 Case file no.: Payment type:
Land use approval: CITY OF TIGARn 1 &2 family: Simple Complex:
.. TYPE OF PERMIT - , -
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family ,'New construction 0 Demolition
D Addition/alteration/replacement ❑ Tenant improvement 0 Fire sprinkler /alarm ❑ Other:
JOB SITE INFORM ATION
Job address: rr L ,I1 % ] M111.1111111 Bldg. no.: Suite no.:
Lot: 11=1 Block: Subdivisi ■, n: ]` " �1 Tax map /tax lot/account no.:
—
Project name:
Description and location of work on premises/special conditions:
•OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
,� W ISI (Floodplain, septic capacity; solar, etc.) . ,
Mailing address: Tw a aggream��t�nall 1 & 2 family dwelling:
Eliallif EIMM'M ZIP: '2). �� Valuation of work $ � 112,_
Phone: . r ,AJ _ No. of bedrooms/baths
Owner's representative: , A." Total r of floors dr
ige
Phone: Fax: E - mail: New dwelling area (sq. ft.)
APPLICANT - . Garage /carport area (sq. ft) �(,)�
SIMPFIMMIIII Covered porch area (sq. ft.)
Mailing address: ar.��] Deck area (sq. ft.)
City: State: . ZIP: Other structure area (sq. ft.) _
Phone: Fax: E -mail: Commerciallindustriallmulti - family:
CONTRACTOR Valuation of work.... $
Existing bldg. area (sq. ft.)
F �� �" New bldg. area (sq. ft.)
Address: .rv`
City: Number of stories
ity: State: ZIP:
Phone: Fax: E -mail: Type of construction
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
provisions of ORS 701 and may be required to be licensed in the
Address: _ ,L ► Cr��ll'!.
. � =� jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: • Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. • i rovisions of 1 ws and o dinances governing this 0 Visa 0 MasterCard
work will be compl wt , whether cified iiereAn rrt. Credit card number: Ex pi s
Authorized sit, atu / ` • A I OA-MK Ol / ' t Name of cardholder as shown on credit card ,� 7 $
ri` M i Print name: 1 . � ( -} . Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/OWCOM)
One- and Two- Family Dwelling
Reference no.:
i Building Permit Application Checklist
Associated permits:
City of Tigard City of Tigard
❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N /A'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. V
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.
X
8 Soils report. Must carry original applicable stamp and signature on file or with application. *)(
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of \
catch -basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed rf
if copyright violations exist. J`
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot x
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location. ,�(\
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. l<
20 Manufactured floor /roof truss design details. •
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28
•
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440 -4614 (6/00/COM)
A - Electrical Permit Application
Date received: Permit no.70 — 6Qci 1
.41 City of Tigard J PP
Pro ect/a I 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 ❑ Commercial/industrial Cl Multi - family ❑ Tenant improvement
v. New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
TOII SITE INFORMATION .
Job address: ii. !� _ .� - ti Bld_ o.: Suite no.: Tax map /tax lot/account no.: '
r
Lot: ir Block: Subdivisi•ri: r! 40Jr •
Project name: I Description and location of work on premises:
Estimated date of completion/inspection: .
CON'I'.RAC"FOR APPI.lCAi'lON • FEE SCHEDULE ..
Job no: Fee ' Max
Business name: G`"�t- -� �E(� .V>�\ Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: r, . � ` r t a • 6" - .� dwelling Lincludes attached garage.
City: : tot 9. Inge: ZIP: • . , Service included:
Phone: 2424.3 I •_ Fax: E -mail: 1000 sq. ft. or less 4
` ! Ea ch additional 500 sq. ft. or portion thereof
CCB no.: .�-f E lec. bus. lic. no:a(�p� (� L res 2
C Limited energy, non - residential 2
U I ..) Each manufactured home or modular dwelling
nature of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): 9 License no: /� � Services or Feeders — installation,
alteration or relocation:
200 amps or less 2
, )1�
Name (print): � �c
` � ��'1,7 201 amps to 400 amps 2
� � t !y�� 401 amps t 600 amps
Mailing address: ' x / l .l f � • 1(,� 601 amps to 1000 amps 2
City: (_,Q, StateZ "703 Over 1000 amps or volts 2
Phone: Fax: -7 mail: Reconnect only 1
Owner installation: The installation is being made on property 1 own Temporary servicesorfeeders -
which is not intended for sale, lease, rent, or exchange according to Nation, alteration, orrelocation: 2
200 amps or less
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: _ Date: 401 to 600 amps 2
ENGINEER Branch circuits - new, alteration, •
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: [State: I ZIP: B. Fee for branch circuits without purchase.
of service or feeder fee, first branch circuit: 2
Phone: Fax: E - m ail: Each additional branch circuit: •
PLAN REVIEW (Please check all that apply). - ' Misc. (Service or feeder not included):
❑ Service over 225 amps-commercial ❑ Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 0 Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension' 2
O Building over three stories 0 Feeders. 400 amps or more *Description:
❑ Occupant load over 99 persons 0 Manufactured structures or RV parts Each additional inspection over the allowable in any of the above:
0 Egress/lightingplan ❑ Other. Per inspection I I I I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application $
0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %)
Credit card Dumber: I / 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)
A . Plumbing Permit Application - . `. y _:..'
Datereceived: Permit - 600 7
.t� City of Tigard Sewer permit no.: Building permit no.:
.t Address: 13125 SW Hal Blvd. Tigard. OR 97223 Expire date:
Cary ojTigard Phone: (503) 639 -4171 Project/appl.no.: P
Fax: (503) 598 -1960 Date issued: By: . Receipt no.:
Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT .
O 1 & 2 family dwelling or accessory Cl Commercial/industrial 0 Multi- family 0 Tenant improvement
■- New construction 0 Addition/alteration/replacement 0 Food service Cl Other.
. JOB STTEINFORMATION - FEE•SCREDULE (for:speciah nfurmation use Checklist) • Job b ' I" $ WWI Description Qty. Fee(ea.) Total
Bldg. address: V � o.: • New 1- and 2- family dwellings only:
Bldg. no.: Suite (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot IIMMI Block: Subdivision: • - :' ia VII SFR (2) bath
Project name: SFR (3) bath
City /county: I ZIP: Each additional bath/kitchen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est date of completion/inspection: . Drywells/leach line/trench drain
_ - Footing drain (no. lin. ft.) •
°'•_,.. • . ` • PL'L''�IRING. CONTRACTOR - Manufactured home utilities �.
Business name: - L, v Manholes
Address: .�na.• Rain drain connector
111313111— l�• 11EINCtil ZIP: Sanitary sewer (no. lin. ft.)
• F ax: E -mail: Storm sewer (no. lin. ft)
•
one: y (�� — Will, Water service (no. lin. ft)
CCB no.: [ L9 ■ — ] Plumb. bus. reg. no: - Fixture or item:
City/metro lic. no.: N/A i Absorption valve
Contractor's representative signature /� ..,, C / � _ Back flow preventer
. • i i�� :�.. / / Backwater valve
CONTACT PERS()N - • Basins/lavatory
Clothes washer
Name : � { S��DI �e Dishwasher
Address: _ ' A e 0 ip V , •v Drinking fountain(s)
City: I State: ZIP: Ejectors/sump
Phone: Fax: E - mail: Expansion tank
y - O \tiNE(t Fixture/sewer cap
�,� Floor drains/floor sinks hub
Name (print): - :�1� < <�' Garbage disposal
Mailing address: - _ • • "• Hose bibb
City: _ ") , IMMEiII Ice maker
. I Phone: f , — j Fax: lagling 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: State: ZIP: Other.
Phone: Fax: E -mail: Total
•
Minimum fee $
'Not all jurisdictions accept credit cards, please call jurisdicuon for more informauon. Notice: This permit application
Plan review (at _ %) $
0
Visa htisterCard expires if a permit is not obtained State surcharge (8 %) •••- $
C.edit card numbe w ithin ISO days after it has bcen $
Expires TOTAL
accepted as complete.
Name of cardholder as shown on credit card
S
` Cardholder signature Amount / .1.10.4616 (6010tCOtit)
•
•
Mechanical Permit Application _
k
Date received: Permit noOj Li 7 S
,yl City of Tigard - ty g ProjecUappl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no. .
• TYPE OF PERMIT .
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
, New construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE' INFORMATION ` COMMERCIAL. VALUATION SCHEDULE
. Job address: I, amp 1 ,O ' _ii , Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite n..: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lolot/account profit. Value $ lot/account no.: � '
Lot: n.' Block: Subdivision: 'T _�_ "1� "See checklist for important application information and
Project name: • jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: .1. &.2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND 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
g P Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No _ Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
State boiler permit no.:
Business name: I �L _ HP Tons BTU/H
Address: ���b Fire/smoke dampers/duct smoke detectors
City: " Li I1 ZIP: Jilt 1nfi Heat pump (site plan required)
Install/replacefurnace/burner BTU /H
Phone:��� _ Fax: E -mail:
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: ' )..9( i) - Install/replace/relocate heaters -suspended, .
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): j . t 1 1Jja' N.ELL._ Vent for appliance other than furnace
" " . CONTACT PERSON - Refrigeration:
Absorption units BTU/H
Name: or "1a S2f�E Chillers HP
Compressors HP
Address:
'ALA.. - C Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
I Phone: Fax: E -mail: Dryer exhaust
.. OWNER _ • , • Hoods, Type I/11/res. kitchen/hazmat
hood fire suppression system
_IR >R IIM 111 Exhaust fan with single duct (bath fans)
Mailing address: 1,1ipi Exhaust system apart from heating or AC -
City: State' IA ZIPRTx')�S Fuel piping and dist (up to 4 outlets)
Type: LPG NG Oil
Phone:. ;2 - f Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER. Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: [ZIP: Insert - type
Phone: Fax: E -mail: Woodstove/pelletstove
Other:
.E Applicant's signatu ili ir' Date: ' Wall Other:
Name (print): .i; - ' . . / _
•
Na all jurisdictions accept credit cards, please call jurisdiction for more information" Permit fee $
0 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
cam led as complete.
State surcharge (8 %) .... $
credit Name of cardholder as shown on edit card accepted p
S TOTAL $
Cardholder signature Amount 440 -4617 (6■0CCOM)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST . ` —62 � �
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 - 7 AM BUP
Location ' S e MEC
Contact Person Ph ( ) 024 f ' V �-37 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Othe :
nal
42:D PART FAIL
PLU BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
4101-41) PART FAIL
EL CTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Eli Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �_ itA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour h
BUILDING Inspection Line: (503)639-4175 MST OIooc(--00075-
INSPECTION DIVISION Business Line: 03 '39 -4171
BUP
Received Date Requested 1 ? AM J PM BUP
i
Location 0 J � !�'JVy. /' �! iGI . \--- MEC
Contact Person 5 ( ) .AC cf 40737 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear t C / _ v� V (1--1 ` ` 12 /� Framing + kv`- ■--ik —C— C"r
Insulation ) 0 CP& C�- %
Drywall Nailing /
Firewall
Fire Sprinkler \ -Id
Fire Alarm
^ VU��
Susp'd Ceiling (/` I `
Roof
•
Other: r. " ,, / �
Final / 4 -
PASS PART FAIL i- — b •
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service U ��
Sanitary Sewer Le/V-37—‘>\e'N `
Rain Drains
Catch Basin / Manhole _'- LJ( t
Storm Drain
Shower • : ; / 9 .
Other:
0 A PART FAIL
NICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line /L-(<
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: ' 39 -4175 MST °?? Y 66 7
INSPECTION DIVISION Business Lin (503) 639 -4171
BUP
Received Date Requested 7 �1 PM BUP
Location ° f'. • __i /6'1 Suite MEC
Contact Person e - Ph ( ) ad ? '(C'37 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA D 1 Inspector 1 k Ext
Approach /Sidewalk P
Other:
Final DO NOT REMOVE this inspection re rd from the job site.
PASS PART FAIL