Permit •
,1 CITI( OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00049
fly DEVELOPMENT SERVICES DATE ISSUED: 3/29/04
x ilj. '"" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15985 SW AVON PL PARCEL: 2S11200 - 18300
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 019 JURISDICTION: TIG
REMARKS: New SF detached. DEMO CREDITS FROM BUP2003 -00510 APPLIED TO THIS PERMIT.
BUILDING
REISSUE: BVH1631 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 697 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 934 sf GARAGE: 284 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N -DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 158,103.60
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,631 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3
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: 2 201 - 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: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,584.67
BUENA VISTA HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the
all other r applicable e Code, State work OR. Specialty Codes and
6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable law All work will be done i
PORTLAND, OR 97219 PORTLAND, OR 97219 t
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: 503 443 - 6033 Phone: 503 443 - 6033 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 152235 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 - 4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Storm drain lnsp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Service Insp Building Final
Foundation lnsp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk lnsp
Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final
1'
Issue By : 4 ,1.� -f.., Permittee Signature : � /
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex busi ess d.
/3
Building Permit A lication FOR OI'I I(I USE ONI .
fi EI Y
Receivte/B ed � Building
,/ �� Da Permit No.: I
Y`Io -d� J� N�r��'—Opa�'
City of Tigard Planning Approval Other
Date/By: Permit No.:S[., j 12._./(2.)/ —000 .3-6
13125 SW Hall Blvd. AiV d U 2004 Plan Review Cu Other
Tigard, Oregon 97223 Date/By: 6/1v 3 Permit N o.:
Phone: 503 639 - 4171 Fax: 34 ap + m A , ,` t 1I t Post-Review Land Use
�� .1 Date/B Case No.
Internet: www.ci.tigard.or.t �_ � Contact 4y�si0.r � t 1 See Page 2 for
24 -hour Inspection Request: 503 -639 -4 Name/Method: 77c . Supplemental Information
. TYPE OF WORK _ RE UIRED D `•
New construction De molition
❑ 1 & - 2 FAMILY DWELLING :':
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees• are based on the total value of the work performed. indicate
gs 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation S
. JOB SITE INFORMATION and LOCATI N No. of bedrooms: F No. of baths:] . C-j
Job site address: . C3 .. k Total number of floors 7
New dwelling area (sq. ft.) J 1 231 SF
Suite #: Bldg. /A t #: Garage /carport area (sq. ft.) 7.a4-1- 5F-
Project Name: , 1iky v& \<5 Covered porch area (sq. ft.) 2-4 SE'
Cross street/Directions to job site: Deck area (sq. ft.)
O ther structure area (sq. ft.)
- :REQUIRED DATA: - • : , _ •
Subdivision: Du,i o S ) Lot #: f COMMERCIAL` cHECIQ.ISr
Tax map /parcel #:,. I )ac_e_ _'T) ()1 Note: Permit fees• are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
p1 e , J c n oy1 ) fltfl ^ � 1 1 ( „ ^ overhead and profit for the work indicated on this application.
(N' t I V 11 v 1L� 1 1 ' - U - r vied ` - S u r.- l e c Valuation S
"? • Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
IN PROPERTY OWNER 1 ❑ TENANT . - . - Type of construction
Name: BA) }(1 \I 1 S-tA VkDr( ^ 5 / Occupancy group(s): Existing:
Address:
lP / liZ ` S' ca a . -ftZ , New:
Cit /St to /Zi : y yy f I2 1 i
Phone4 j 144.& j pQ , F ax: ( 3) j - 21447- NOTICE: All contractors and subcontractors are required to be
[] APPLICA CONTACT PERSON licensed w the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: EvrAl jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
�
Address: u/Y�P a tu e ,
City/State / Zip:
Phone: 1--n 1 Fax: �i Dm n D
E -mail: al f }gym e 1t/ ul V i ,0 ► C. 5 i 011 . 'BUILDIN e V e a e FEES* = -
CONTRACTOR n = Pte r e f er tfee :.:. •
Business Name: r PAA V I' A xS Fees due upon application S
Address: ' A. ► J /. 1. /..,if ii-
Cit /State /Zi.: , ra r mmrig uG' Amount received S
Phone: A, ' 0 .EIMME 3 Date received:
CCB Lic. #: I 0172
Authorized
Signature: i/' ate: �•— Notice: This permit application expires if a permit is not obtained with
180 days after It has been accepted as complete.
'Fee methodology set by Trl- County Building Industry Service Boa rd.
(Please pr me)
is \Dsu\Perrnit Forms \BldgPerrnitApp.doc 01/03
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
. ' �P g y t l S U ti L I
- Mechan Per �i Or 01 D ‘t. if i Received Meehaniml
Dates . Permit No.: OISI 7D1/ —oo 9
City of Tigard ,JAN . 6 0 2004 Planning Apprava! _
l312.5 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF Tie ' 7 D Datd6 . - emit No.:
= :
Phone: 503- 639 -417l Fax; 50 :).��:= a PotaReview n e •
twww.ci.tigard.or.us "` I
Internet ' ->1 I � Cot etB Inds.: �:�
24 -hour Inspection Request: 503 -639 -4175 on
o WORKI .. Cot CI _EV.SCil ,v janfS. KKUSI". ,.,A:,,,
PO New construction M Demolition Meahim oal permit Sties° are based on the total value of the work
IM Additiof/altrrationhe • lacement • Other: perfbnned. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
ril I
1 & 2- Family dwellin_ ■ Commercial/Industrial wee: S See Page 2 (or Fee Schedule
•
Accesso Buildln r Multi -Famil Destri , :on LiriZUMTNI Tidal
• Master Builder S Other 13 : , = Coor+n.
JOB SITE INFORMATION and •.... 14.00
Job site address: I S S 5S - - U O d' i, 14,00
Suite #: 1314 JA.t.# Duct work 14.00
H d!'onic hot water a •ten 14.00
Pro'ect Name: J. I a 4 ,/I Mks Residential boiler
Cross street/Directions to job site: fbr radiator or h oie a gam 14.00
4-- H i )3 A unit heaters (fuel, not electric)
Flue/vent for an of above 10.00
Subdivision: Lot #: Other
Tax ma. /.: el #: Water heater
■ ESCRWFION OF WO ' r� ' '' Gas fireplace 1100:7
/ % IMMER= Flue vent (water heater/pa fireplace) 10.00
el, !<I _ .// -. Lo_ ti: er (gas) r
7airi �i� /AA. Wood/Pellet stove 10.00
it i // 111m • Wood fireplace /insert 10.0D
GltirntteY/ltner/fluc /vent 10.00 .
I PRoPY. i'Y'O WNER : ' ':' z .=Dr- ..a. ;••..., ! :. ; Other: 10.00
hood/otheEnvironmental Exhaust & Ventilation
Name: . '.� / �� ��. � rote j Range r kitchen equipment 10.00
Address: �1 I _ A /i � " Cl o c hes d ryer ex 10.00
r i t'�.� tWi TSI V Single duct exhaust
Phone: 0 I - II 4 Glarlin ► (bathroom tam cornpa;tnlettts,
lu .APEPLIC - NT I� i :COmmcr PERSON utili rooms 6.80 MM.
V ti I �� tea• D / MI Attic/crawl • . e fans OM ME Other. � Y � 10.00
Y
Address: . JA . ' I S / - V , Fuel Qiniu�
Ci IS . te/Zi.: •Sss.aa f or f irst 4, 51.00 each addle. of
Furnace etc. INIM Fans;: .9
E- mail: 1A .• •
! . 'J /. v. �]�� :_ �I ma
. �� UMW
CONTRACTOR Water heater
Business Name: , : A • 9 . ._ i Frreplace
Address: L • 3 r -Lb BB* - 111311•11111111•Ell
Ci /State/Zi • : 0 Cl .b Clothes • :as
Phone --1A - 2.5 7 ► / 1112MIUMMII Other. Total:
11=11 NM
CCB Lk, #: •. t3 u
Authorized - I Subtotal:
Signature: 0 oste: I 12.0i D +
(Pleas '' "e name) TOTAL PERMIT FEE S
*Fee mMbodotoe3 set by YtrCounty Butid9lg [ndostry Service Board.
Notice: This permit appGtAtloa expired Ws permit is not obinldcd within "Site plan required for exterior Ale units
180 days alter it has bees accept 18 compteta
i :l List :Or /2titPattu'MecPermitAPP.doc 01/03
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY 1J 002 /002
a • FOR ( li:l'IC "F_ USE ONLY
Per A Received Plumbing
,/ Date/B ; Permit No. O
City 6Op i
Tigard RECEI ! Planning Approval
�S of Ti g I pate/6 : Permit No.:
13125 SW Hall Blvd_ plan Review Other
Tigard, Oregon 97223 iJAN 3 0 2, i Date/B : • Permit No.:
Phone: 503 - 639 -4171 Fax: 503.59$•1960 Post- FAVIeW
MillIIIIIIIIM
,,. 1 :, Date li :
1nitrtlet: WWw,ta.tigarcLor.us C�L F TI r 1 =_; r�= t .� � � Contact Jutis.: '... Set Page 2 for
24-hour Inspection Request: 503 - I G DIVISION Name/Method: Su..l entecast information.
TYPE OF WORK ' " z `' ' "' . FE$ *:sCriEDi►L1E Obr'speif 'ta[oima t4tj -
Id New construction ■ Demolition w Description IT _ ef5e � ri ce(ce.) ( Total
• Addition /alteration/re iacement 1 ■ Other; , i' ry {' .i ip$ �! EAR % ?
.. , ,e k11GoPstio1x�OYd . • . -,; : aaaitie :to:- e1 +ilo1i4 ... � ' ,, ''•g
SFR (I) bath 249,20
14 1 & 2 -Famil dwellin_ Ir Commercial/lndustrial SFR (2) bath 350.00
■ Accesso Buildin_ ■ Multi - Famil SFR (3) bath 399.00
• Master Builder Other Each additional bath/kitchen 45,00
'J0/t SITE INFOR :4TIONattd.IACATION Fire sprinkler • sq. ft.: Page 2
Job site address: L 'S 5 rf. VON • ,.. •_.: . •Sint:Utilities. - , L •i,:,:'ivt t'iwil'∎: :. • '
Suite #: Bid • . /A. t. #: Catch basin/area drain_ 16.60
Pro•ect Name: P P. i r /A/1111]/;� Footing line/trench drain 16.60
Footint; drain (no. linear ft.) page 2
Cross street/Directions to job site: Manufactured home utilities _ 110,00
P li r i l' R�. + I I B1 v/� 1/� " Manholes 16.60
1 i I ` Rain drain connector 16.60
. Sanitary sewer (no. linear ft.) Page 2
Subdivision: la / MI N Lot #: Storm sewer (no. linear ft.) Page 2
Tax ma • • arGel #: Water service (no. linear ft.) Page 2
DESCRIPTION OF WO • DESCRIPTION Item:` ' "
�� Absorption valve 2
J� A Backflow preventer Pella age 2
Irri nl ibil Ibi , u 1610 1 M ' Backwater valve 16.60
- Clothes washer 16.60
Pishwashar 16.60
Ia_+ Pf11 OP]ERTY'OWNER ' : las' TEN`PIZ+I'P ' . Drinking
e ctor6lsump fountain 16.60 1
Name: 'A " / E 111r 1]�I11i(`111'" ^ Expansion tank _ 16.60
Address: I f * l� / l.Mi 1 if a il Fixture/sewer 16.60
rm � t ��� , ,� � Floordruinitloor sink/hub 16.60
� p �� • Garbage disposal 16,60
Phone :RE L - LPO, �P fiiiii►��1.'L'bfw7 Kesebib 16.60
j v . s a►I Co,,_..... 'saws . fee maker 16.60
Name: �M `1 1 h Interceptor /grease trap I6.6Q
Address: j 11.' / A • • •k e- Medical gas - value; $ Page 2
City/State/Zip:
Primer _ 16.60
Y p: Roof drain (commereia)) 16.60
Phone: 5D3 910 L0O22 I Fax: So?) 414 3 2 Sink/basin/lavatory 16.60
E -mail: m - 1 , %J 'J /,i 1ry 6 to" '. . C Tub /shower /shower pan 16.60
CONTRACTOR , Urinal _ 16.60 •
Business Name: J �/� yyt Water closet 16.b0
Water heater 16.60
Address: / , r e . ' at . = other:
City /Mate /Zip: 1 .115 J9,o) e9 c v2-, Other. T .
Phon- co • 4 ; ., r $ !
Fax ' . • • .;, ''` , = ,., a;,.: : :.-at�htiltr�eoaaitHe`xs, ' , . .
Subtotal 5
CC$ Lic. #: . , " • lumb. L'c. #: -260 11 MUrirnum Permit Fee $72.50 S
Au orized '' - _ 2.-c3- 4 Residential Backflow Minimum Fee 536.23
Signature; , - Date:/r `t Plan Review (25% of Permit Fee) $
(4 Y State Surcharje (aV. Of Permit Fee) S
(Pleas print name) TOTAL PERAUT FEE _ 5
Notice: This permit application aspires it a permit is cot obtained within ' All new commercial building. require 2 sets of plans with isometric or
I $0 days alter it has been e000pted as complete. riser diagram for plan rpvtew.
*Fee methodology set by Tri- County Building Industry service board.
iMsts1Permit Fotms\PImPermitApp.dee 01/03
01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01
• Electrical Permit A °
I
Received Electrical
ete : Pem tit No.: � T � Odv 47'
City of Tigard Flannin Sign
13125 SW Hall Blvd. JAN 3 0 j 4 Plan Review Permit No.:
Tigard, Oregon 97223 Plan R Other — --
D
•
ate/By: Permit No.:
—
Phone: 503-639-4171 Fax: 503-5 98CilMOF T Post•Revtcw Land Use
Internet: www.ci.tigard.or.us BUILDING ', 4.' ' 11
Y Case No,
24 -hour Inspection Request: 503-639-4175 " Conrtict Juris.: _1 See Page 2 for
Name/Method: Su • • lementoi Information.
. .::'• ' • . • ..:. .•TYPE'OF WOR ' • . ,• :••.: ' • - • '• :'• PLN`RE�TIEW • litYse etieekii71 't
New construction ' A
mot
i
Demol i t i. On � Servi over 22 5 amps. III Health-care facility
commercial
•
Addition /alteration/re Q ether: ❑ D Hazardous Location
❑ Service over 320 amps -rating of Building over 10,000 square feet,
CAkTEGORYOPCONSTRYJC•'l' ON.. I & 2 family dwellings & 2- Family dwelling Q Commercial/Industrial (]S System m over 600 volts nominal one save u�residentiaE units in
❑ ACCfSSO Buildin Multi -Famil ❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
1W Master Builder
• Other: ❑ Egress/li plan n ❑ Other:
.. . 'METE MORMATION" gd'LOC',`ttk,TION' ::. Submit sets of plans with any of the above. _
Job site address: S3er S vv The above are not applicable to tempo ry construction
Suite #: BId • . /A 'tit:
E°,S4UI1�.: service.
Pro act Name: I Number of ins , actions • er ' erntit allowed
Toni a Descrl • don Qty Fee (ea.) Total ,
Cross street/Directions to job site:
New residential-single or multi-family per
�U�f� A , )( Rol - - o I I V Vt 1 • S ervi i e I cult Includes attached garage.
/ �' 1 161 �Jfl1 Service (ncladed:
1000 39. R• or less 145.15 4
Each additional 500. • . R. or • • mien thereof 33.40 I
33.
Subdivision: gii.�I'TIT��'��rli a Lot #:
Limited ener, , residential 75 00 2
Tax map /parcel #: Ea c Limited ter:• .non residential 75.00 2
l�eh manufactured home modular dwelling
DESCRIPTION. DESCRIPTION. OR WOIC service and/or feeder or 90.90 — 2
g 0A! / A I ` WARM M Sarv of f ee l o c s - Iusta llalloo,
�fi 1r alterat or relocation: III 200 am.s or jell
201 amps to 400 amts Il 80.30 2
MEI 401 a ... to 600 a •s 106.55 2
16 . PROPERTY OWNER.... • ' DE •• : • m . 601 a •: to 1000 am •. Ili 160.60 2 •
]]�� . i 1000 am • or volts ME 240
2
Name: / ��� �1 NAZI [, 454,65 2
aormect on ` 66.85 2
Address: a a U 5:I • , Temporary services or feeders - installation,
• - e 01, I M% ► / 471 alteration. or relocation:
260 am•s or less 66.85 1
Phone , t _ � � ' 5'0 VJ��TWlr/I 201 am., to 400 am ' 100.36 2
[�— � ' �M gi..CTTACONI':. 'RSO �[I • aol to boa am.
�!�l�F���'iTI _ PER50N: 1 33.75 2
�� � eAn
Branch circuits per panel:
new. alteration, or
extension per paneel:
Address: v�� et L � A Fee for branch circuits with phase of
service or feeder fee each branch circuit I 6.65 2
, B. Fee for branch circuits without purchase of III ��Z I ID �.. service or feeder fee, first branch circuit 46.$5 _ 2
E-mail: w 'V / VIA g tlI ()MI
p Each additional branch circuit Mill 6.65 2
.. .. �� � ` J' ► �S . GOm Misr. {S�vicc nr Feeder not included); ill .. ...CON CTOR.::. . Each •um • or Uri:, 'on circl • 53.40 2
Job No: : 53.40 2
Signal Circuit(s) or a limited energy panel.
alteration, or extension • 2 2
Business Name: Ross t.
Address: 4Q1370 5L) Oa) _ Z � f'lC` De ript;on:
Cl /State /Zl, • . M-I S ( - d 1 Each additional ins. • ion over the allowable in an of the above:
Phone:5b,3 Z 2800 per; Per ins. ction • hour min. 1 hour ME 62.50 • Z. [nvesN don fx 11111111
Cole Lic. IS7391 Lic. #: 3 4112136,6. other:
Supervising electrician, Ele t t:Pelt; l Subtotal _,
signature re. aired• �'-�
Subto $
Print Name: O( ) 0S5 Plan Review 25°% of Permit Fee $ •
State Surch.: : e 8% of Permit Fee S
Authorized TOTAL PERMIT FEE S
Signature: Notice: This permit application expires if a permit is not obtained within
Date: 150 days after it has been accepted as complete.
l "Fee methodology set by Trl- County Building Industry Service Board.
(Plea9c print name) .
i:lbsts\Permit Forms 1 ElcPermitApp,doe 01/03
STREET T C ..
A
y( S t
%
I, E�GCe Gi V% f , � $wnerl�Agen f or ken °I . r $1 1 . 0.
(PLEASE PRINT) €N (PERMIT HOLDER)
,,
_.
W,.
Do here_ , cer � a `; e " owing location
meets Ci(of='T i�g /Washi°ntton County
l and use and development standards for street tree installation.
1 Oi-
ADDRESS: t 5 1 g 5 5 �/ A von ? / 0.
10 SUBDIVISION: 0.
1
LOT: u,rhunn nak S
O.
....14
BY: DATE: 5AZO(0 t 0.
/ 0.
1 0.
RECEIVED BY: DATE: S - Zic O 2-- 0.
4
CITY OF TIGARD 24 -Hour er
BUILDING dp Inspection Line: (50 39 -4175 MST ,2404) -6 °' G (-
INSPECTION DIVISION B usiness Li ne: 3) 639 -4171
s � BUP
Received Date Re nested U f Z � AM PM BUP
Location 5 S �c-' J'aY� Suite MEC
Contact Person (�> �Z �� Ph ( ) 7/0 1 & CP 7 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 ..� • 8- Z o . 0 , / �4 Q , 2 {Qc f Framing C�� _ "� C °'
Drywall Nailing
Dryll N
Firewall
Fire Sprinkler CePM,p
Fire Alarm
Susp'd Ceiling
Roof
O -r:
0 PART FAIL
MBING
Post & Beam
Under Slab � �
Rough -In
Water Service
Sanitary Sewer
Rain Drains ;fig. L � �
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PART FAIL
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 E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA g--2-6 _a
Approach /Sidewalk Date v Inspector i , Ext
Other:
Final DO NOT REMOVE this inspection reco d from the job site.
PASS PART FAIL
CITY OF TIGARD . 24 -Hour c!
BUILDING Inspection Line: (503) 639 -4175 MST °700 6 l/ 9
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested $ — AM PM BUP
Location 1 S r S Suite MEC
Contact Person Ph ( )7/C l ( 607 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 -1—
Framirig �1.,1�� 1. , �,z -nc,. jnp ° cef.ffe.... 1
Insulation �)
Drywall Nailing
Fi rewal I
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:
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
Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date (l av( -( Inspector l '► � LUG. -�_ Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF. TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171
p � BUP
Received Date Requested O / 7 AM PM BUP
Location /,< A- 0--Br? Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC Aft.
Footing ELC I�
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam r
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
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA - 1 v L Ext
Approach /Sidewalk Date , Inspector
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL