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Permit
Af AR t CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 00188 �I�j DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09042 SW BLACKOAKS LN PARCEL: 2S111AA -10100 SUBDIVISION: GREENSWARD PARK NO. 3 ZONING: R -4.5 BLOCK: LOT: 085 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: PH2156A -GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,372 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,579 sf GARAGE: 541 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THR6 sf RIGHT: 5 VALUE: 286,681.90 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,951 sf REAR: 15 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: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: , VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,068.46 FOUR D CONSTRUCTION FOUR D CONSTRUCTION This permit is subject to the regulations contained in the FO R BOX CON FO FOUR BOX CON Tigard Municipal Code, State of OR. Specialty Codes BEAVERTON, OR 97075 BEAVERTON, OR 97075 and all cer applicable p. Al. will done in accordance anrace with approved ed This p plans. This permi t will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: Phone: 720 - 7445 MOBL ATTENTION: Oregon law requires you to follow rules 1 adopted by the Oregon Utility Notification Center. Those �� Reg #: a 080 5 /1037 rules are set 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins l Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Issue By : _,.:.. ' ,: /1_:_.i ; Permittee Signature P Call ( 1 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . RECE VEJ • Building Permit Application FOR. OFFICE' USE ONLY City of Tigard li 1 101 Received Tigard, OR 97223 J Plan Date/By: 0,, / ! a � i1/ _% ' A 13125 SW Hall Blvd., Ti g Plan Revi ' ' Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TI G '" ' "l r'1It Date/B : Other Permit: __,, 7 7 Inspection Line: 503.639.4175 Date Ready/By: orris: p See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DI "�" °'' Notified/Method: I I Supplemental Information x ... Nes: -x':. .. r. -.j `d:sY, x :s x5 ,�^ , ' ' " >` .2:.r- " "4 :.?""t::'_•.$:.."..� 'r.'.�' =e=: �3.,.: >:.:;. ., q +�.... ��., . , '' #,y;'��, � �.'�.�a' �'� �'�r o �,.,k :�..: �$ `� &�'da�II t 'am .ia.. � - a . ^"� "r - .,�;� :.,�a�i,`.tc �;;:': , ,, :it '.�==. f g r4 5 WrgtiM .s"' .: -� T $ ( Q.UIREDr "`Afiii='TAIVII ING '�'L#ne> 1 440,; b.;c �; ?4-Yv =,... : rx *.... .,:i?, - "'' ,,-. 4'a ` ?,- .74' °.:,.: 1 ` M7.i a :.f:4 . .?- „efaii,f4s 4^vv : ::: 44., °= s ,,, , ii.la"*„,s7 -; X New construction ❑ Demolition Permit fees* are based on the value of the work performed. p Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the T � , I ' $ ; �, - L work indicated on this application. .� r�,•,1TEORIOF CONSRiJCTION a + >Grt . c :., _ s , a t om. s .- „,°...., 1X1 1- and 2-family dwelling Valuation: $ ' y g ❑C ommercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: I j L.% Number of bathrooms: 2t� � ❑ Master builder 0 Other: aL /�i ?'' ° A= ' °' :k ., '+:: ;. r»' z,. '� ?=.x: a .2' �» i "^ an. nn ux', ¢ °.C;i� r�,f: 'i _;; ;r,T:;. t w, � : ;rt r if ,w,'• w` ° gam e JOB` SITE ......o. Q,= $ ,;,�,_ 7" ' Total number of floors: W4'xt r.'' $ A .. . q. INFORM' TION ,,,,, IL® ATIt,, r . ,” ..s,..- ^„ ; Job site address: 2 S �, `22, / y g z ,,,,,, f ,2 New dwelling area: Q 9 j / square feet City/State /ZIP: `-1,m D ,L 9l `7.2v Garage /carport area: �zi / square feet , Suite/bldg./apt. no.: Project name: Covered porch area: *� square feet t Cross street/directions to job site: Deck area: square feet Other structure area: square feet >., . :.,a a . • f' R EO IJIRE D.DQ1 ,, T , C0 b „U S E 'll. <. •~r +sc. ,'G°` "xh . +.�.. a ,,,;,..,,r ,. -_a rr . ... . Subdivision: 1 i e 7,c, I -i. // .1 9/1,e k. Lot no.: es Permit fees* are based on the value of the work performed. I Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the W i � �,r �” _ �' �, '�r � :� � ��� � �''��' work indicated on this application �, : r .,zk, . g , Al R „ TO OF , O R'K , � ,' . .4. , � 2:4 � ;_ .:. iii PP 934- 1 , - . /- uS -e. Valuation: $ o � /mofw Existing building area: square feet New building area: square feet � 't: :lx ;: ate:: °rte s � ° ' :: - . '.: <: Mt ..e° ., ;.;:, ; .r;, ' < �' w.f .� = ` PRORYOWIVER ) TA �� Number of stories: Name: u 1)-A <— C7,. v 4) a Type of construction: Address: 2, , 7 Occupancy groups: ' City/State /ZIP: e! %�N C,X._- Existing: Phone: (9) C-V06 Fax: (S63 �9 — / 7J ( New: ," i ' `� �. `� �' "'; �^ �s"; �4' �, �.:: T: �," ,? ,� . , Wa, � .;r» °p A .�a Y . -y t. ` i I C ANT CONtil T' PERSON t,. , � ' .. : J - Y,'t` ';tr ; , ` " r r, , + ; : i' . *"_ '':.T , : - . za. ` .,% . . :u.'r�.', ,.s . :'Wil fi .74 ,,, :>y�' ?Ago ;ku. ;4";.,r4,4 v ' 3 i " - .,ss� ,e" . 1� 4 T W � SA A 4''•� ,. a � � =,� � 1ry� � � O DICE ` � , �y :4. . . �- :: _ :"r;: ";� = -.. ;,... . ?A` ��--: a."' e.., �r„ �m� , �:. �� &.. ,..,.:e1:rt';e+i��"�;ib;k J.; . .. :. Business name: `( �/?.P �6 d 0 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: ;NA a' 4. ' CO YTRAC x 's a : Business name: S,17414, , i t/I, 0 -per K; x{ : u 6 . r, , ,W ' IN: Gra t a : II FEES ., Address: Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: 7 7/ p 3 7 Date received: Authorized signature: ,�� ,_ - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nameD3 / %2-4_72 ) ,04/,y/ '''h,e T Date: 2 .22_ D q * Fee methodology set by Tri -County Building Industry f Service Board. ., i:\ Building \Permits \BUP- PermitApp.doc 12103 440- 4613T(1[102/COtv1/WEB) a One- and Two - Family Dwelling ,, Building Permit Application Checklist FOR OFFICE USE ONLY . City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 Ilithh I " ; 1 ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639,4175 • - Internet: www.ci.tigard.or.us LI Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I 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. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ' ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 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 if copyright violations exist. 1 1 - - - Site /plot - plan drawn-to The -plan-must-show- lot-and_building_setback.dimensions;.property_comer elevations (if 0 0 _ -- 0 _ 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. 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 and 22 above. , ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ • 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ , ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. • i:\Building\Permits \One- Two - FamilyChecklist.doc 12/03 f Mechanical Permit Application \ v � • • FOR OFFICE USE ONLY . City of Tigard n i,.. _ Received V Date i , . A /By: Permit No. _ e 13125 SW Hall Blvd., Tigard, OR 97223 y. 1 Phone: 503.639.4171 Fax: 503.598.1960 E �' ` Plan Review Other Pernvt. � /binrplM,, Date '� '� P� dl�' � y: Inspection Line: 503.639.4175 Y of TIc wl� _I i i Date Ready/By: Iuris' El See Page 2 for Internet: www.ci.tigard.or.us Cl` Dtv1 Notified/Method: Supplemental Information Bv1LOlI t :. ,,,, t'YPE�OT !ORIia tis.. .`�- s ;31.s0 r ° 1 ,4 s -, i COlVIVIER C,TA . C C < l Mechanical permit fees* are based on the value of the work ]C New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ' ��- Z r ATEGOiii itt Sge O ° Value: - .. - - .m .. .. , a;.—.S � c ..��*.3ars- s-z masx s.'r« r. ��< «.^� sra�P-a :,. ` _�..» -E�.�. ' � �'�� R c. ^�k�p, ��et � .� �:.` . �:,'�'3^',; -s _ .. 3 ESID EQ UI , PMEl / FEES tgf 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total !,, _ ''^ ` 4z; zi° u 'z r <_ _ =.,:fi g ^; S :s ^e.a*f;„r ^: ^. exit.: - 54 < a , .n:rra i.„'z�.;° , i-.¢ ,,, ,d ,, z,t —a. '`. `; i c 4,,,,,,,,..,,,,- �OB STTi W F A O S I LO(ATIOPf _� . 4 p v sue . �,..... " , .,. Q� .. - ,° '`,fir Heating cooling / 1 / �r� �/ "`/^ I--)/A/-17....../ Air conditioning or heat pump Job site address: 904/2 S, GJ i 81, /L t� //W (requires site plan showing placement) 14.00 City/State /ZIP: G , q '] Fumace 100,000 BTU (ducts /vents) 14.00 �_ � / / 2 � � Fumace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: 6-1 srj e:d � Lot no.: ,Q�S Flue /vent for any of above 10.00 7*�`�- v Other: 10.00 Tax map /parcel no.: Other fuel appliances ;< l' a m - e DESCRIP,TION -O WORK �< Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert _ 10.00 ` P OPE12T` -OW1 ER W 'f tl. 4 1,1 o f t -* Chimney /liner /flue /vent 10.00 ",�. �; ���; ���s �^ ..�*��a�,�. 4 '�zvrt 14: ,• v:-t ; E� � « .'^`���� Other: 10.00 Name: r , _ a s 7 2(--e G ? 7 v , V Environmental exhaust and ventilation Address: ? Q 26% /.5--- 9 7 equipment hood /other kitchen e ui ment 10.00 City/State /ZIP: .0, U�� f _J-,_ O,C 9' 2 673-- Clothes dryer exhaust , 1 10.00 '�" `� Single -duct exhaust (bathrooms, Phone: (5b ,) ...S p cPO. Fax: (y)3) „ / 7,37 toilet compartments, utility rooms) 6.80 *motUM "° :''' s ,0iF. lVI.p = Attic /crawlspace fans 10.00 ., '�. -z &.. o ”. ?.....,.jAPPLICAN ' ... 1 � : �' GONT�A.CTr'PERS®1V " J Other: 10.00 Business name: S - � A A6 (r"Q-.— Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) l Fax: : ( ) Water heater Fireplace E -mail: Range ., b ° .4 . . r�. +� ^, Kra. u` '« i=k�.n „�. ,t a -rs - W to >.x ,4., w ` . , .. _ CON RA�smOR A _ � �v ,_. :r Barbecue Business name: 3 -�A," Clothes dryer (gas) I (� �( Other: Address: i c l A i U'j /� gel T .:. --`- . �� ',, "€ s��.e„ a.°^. .r r,- `.. , 2, ,+'+-'<: f. »:; '.:°s City/State /ZIP: / /I/Z , fibj D A_- , 97/2 3 Subtotal Phone: L3) b . 2 0 ..., ...3 Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: (. 6 ‘ ___ c -. -7 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: e , , I � ��rjf _ _ - This permit application expires if a permit is not obtained within 180 ��"�� days after it has been accepted as complete. m Print name: A / 0 p 1j, / 1 r 7; S Date: 6 - ` .`�.. .__ s f * Fee methodology set by Tri- County Building Industry Service Board i:\Building\ Permits \MEC- PermitApp doc 12/03 440 -4617T (l I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total,aluaion 'erm><t Williz'AVIS14111 $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 Building, Fixtures RECEIVED Plumbing Permit Application ) FOR OFFICE USE ONLY •_ City of Tigard 1 l / , •) [��� Received Permit No.: /l4 1 0� _ 00 1 9' O 13125 SW Hall Blvd., Tigard, OR 97223 r Date/By: i I Q .1 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 I Y 01-.40,,,41A /%io4 DateBy: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 I r�(I' r7.4 WI Dat Ready/By: Juns p See Page 2 for Internet: www.ci.tigard.or.us P' LO. `��� � B g Notified/Method: Supplemental Information ,:R "l ? �' , „zrA.: ';�w,a s°... '': - X. , . " . ,t E .� ..,.. . g a s:v . t..za ,.`�'•F -�':., 'v;;a „ -� °, , ' .. IYPE °' ,,,,,K-a, t , , . „'FEE_ SG^'$EDiILE r' e. 4.� -.�.. q 'i!`.. , 1 .N»3 s�,v`A'Ti',r 4's_..r - : �t ,, t.. �Y` 5.x'A,.2 S. "�� if:.�u� " .YC- -. 5... 'x`a�- .A#Y,.sYC.r.S .v .. 56 New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) 1* eng WiCATEG �OI?�lG� S tTTOPT ` * 3„y • # ,'S 3�"" - SFR (1) bath 249.20 N 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 ` . N JU B,S I % G<J RN , TI I QN�A N D , ® GATI6 : ." '"' " `. _ . ... Site utilities Job site address: 0 4/2 GLI c 2/ /C UI1 L/1/v.eJ Catch basin or area drain 16.60 City/State /ZIP: T,Aeli UQ 9 7 224, Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: / 7 Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: S4,0 A� Lot no.: l� Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 > K A, , ESCRI - PTION "OF WORK. ." ' .' 'd Page 2 ���' D �, }� �; ,. " ;,,-�;� „ , .�,� „, . �; . �' Backflow preventer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 . , i t. °,l , fir r:.�; „ : t Drinking fountain 16.60 PROPER ° 74 E R A s , V6' :,a.�kl g :fix K . 'i # � � €,� ,�. �;�x1: #,�:i Y, � +. N�, a � � �� �` .. � a ..»� , ` ..�. �, �,: �._ .- m" � ... �:����� .;,.�,t ?,�„� Ejectors /sump 16.60 Name: � i ✓ 5 ' 3 ' 1 _ rr2- 71 - ��/ Expansion tank 16.60 Address: -`p 0 „c.-,- /S 7 7 Fixture /sewer cap 16.60 Ci /State /ZIP 1} : B ow U ti , . 4, 97 U? s" Floor drain/floor sink/hub 16.60 Phone: (53) .7 v .� O ��- I Fax: (st3) c j 7 v -1 7.3-"/ Garbage disposal 16.60 ��xx , ,�;��- .�,;;�,�;,;�,..; � <.�;��. `"a�� �y � „: •� ' - r.A�"� Hose bib 16.60 1 I APPLICA I� ' ' A' �ON , 16.60 y� <�x . ��• :.; -, a. e w. Ice maker Business name: ,T i n„,,_ D �' ..4 t) V''Z-' Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 > #G{ONT _ _ � ��:���� . �.�'��z �0� '"°3� c� � ��� t " ::-i �.. i',..:w ...A. A Water closet 16.60 Business name: 7 -pi- Z (P2Z�h , 1; Water heater 16.60 Address: IS 22_ .' IA s/ sZ 0-a_./ Other: City/State /ZIP: � /L � h () �� 7 l 2 3 Subtotal Minimum permit fee: $72.50 Phone:,(533) („ clo ___ / / Fax: ( ) • Residential backflow minimum permit fee: $36.25 CCB Lie.: /, 9O 7 Plumbing Lic. no.3' -4/...?„4 Plan review (25% of permit fee) / /�� /-- State surcharge (8% of permit fee) Authorized signaturei' //l D 4 re TOTAL PERMIT FEE Print name: )(4 1 &� ©(. L e 4 , Date: 6 -22 -ey II This permit application expires if a permit is not obtained within III(II 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:\Building\Permits\PLMF- PermitApp.doc 12/03 440- 4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire _ ression Systems: Fee Schedule: Reside u >< S 1 t l l l t l S '� ° � QtY Q e (ea?1 J ff : l e Fr 00 a � e a p p Peri 11t 'fi Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 ^ °" -' :� iiat' t - ;: , f • . «:,,,r 'Vuattop Fermvtee Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each '' `" g = t F ee ea ' . T falr` additional $100.00 or fraction thereof, to and FIlagr ©2' ItCnl . x.;; .: 'at � .' :: �, t , rN: including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . r r Quanttt med Ax tur l ype '�,'� i -„ .. ej c sr 5 w k oeea E`xisttn r z a pea Comments regarding fixture work: . �� ?��� . � �� . _ g g Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic • Drinking Fountain Eye Wash Floor Drain /sink - 2" -3" -4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach./Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: is \Building\Pennits\PLM- PermitApp doc 3/03 REC' "1 " Electrical Permit Application FOR OFFICE USE ONL c1 of Ti and Received Permit No.: ..-/- )! ei 13125 SW Hall Blvd., Tigard, OR 97223 CITY l T I L ' AR � I P.1 n R : e / ill /j'l dl/ 1 t Phone: 503.639.4171 Fax: 503. 598.1960 r- y� "/a /ii pj ? \ S l' � D e / eview Other Permit: Inspection Line: 503.639.4175 BUI�. fl ll Date Ready/By: Saris. El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information °_ - s �.isw v. � �. ,.,� • Aar et� "'Y.' .. f"+ .aS,'+4 .yt "*C'�+° �.a.,'�'i - iY 3 :l. e`I'r:.. ,r.. v ,bk K t,� , ,�.,. r i ,_ ae.. * :x Ticpr W ORK r . 1 r. , , .' x`'; 4 , tw akRE� IEW r" , . � ., . �:. s. . - _ Q �„ ., .t..s t- .,,. ,.. s ._ -_ ';* -`#, - sr`. -: 1 _ _. ,t-mss. ' a . .1 1 :�w:. . _ -.,>. . - ,,L , . - K New construction ❑ Addition/altcration/replacement Please check all that apply: ❑ Demolition ❑Other: ID Service over 225 amps, comm'l ❑ Hazardous location Yx. _.,+ „ „� ,, ❑S ervice over 320 amps - rating ❑ Buildng over 10,000 sq. ft., tk � i GA`T RY o C Og ST RI r c T O N s ` ' 1 of 1- and 2- family dwellings 4 or more new residential g t 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi family 10 Master builder 1=1 Other: ,� ❑Occupant load over 99 persons ❑Manufactured structures or n rM ' JOB'I'I'E INI?ORMAT OIV DLO, ATION M . RV. ark �.. . mg4ftf Paa„ k , a � - �. a� a s .� �` ;, , ❑ Egress /lighting plan p Job no.: Job site address: n/ ❑Health -care facility ❑Other 9o�L w SS�L A C ' -� Submit 2 sets of plans with any of the above. City /State /ZIP: 7 / U , / D� 7 7 2 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: KRIYAITIMETRINIRWERM07,7,':it.TT7.:' Description Qty. ` Fee. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: ‘.:4 3 Lot no.: 6,s Ea. add'1 500 sq. ft. or portion 33.40 I f! Limited energy, residential 75.00 2 Tax map /parcel no Limited energy, non - residential 75.00 2 4 , ' f Jf g ' ' DES: ^RIP iON O,F '� ia�. ' �' "`r ;;�� „; 3 �'.r ,;�:� ^ . � „, ��;�, '�'W:��.:;.,.,;; �'�"����;: °a�;. „, v_,�i:� ��.�,l Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 - . ., F�� t ,• s ,; , ,,.s. �. - - P . '.7 , B >u, :. , •,� 201 amps to 400 amps 106.85 2 „ it "PR O I' OWNERS „ `:'''''' _ ' ;, r _, „ �w'PEIr'AN . r: ”? ,r ' � 401 amps to 600 amps 160.60 2 Name: / v c t r.-- £ S7- , 601 amps to 1,000 amps 240.60 2 Address: ? a ee / 7 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: X p `, ,,_ j D,6, 27 c: 5--- Temporary services or feeders installation, alteration, and /or _ (c63) _ relocation Phone: (I ) S7`'o _ Dcpn� Fax: 3) ,_G _! 7� 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel Ili M" �' "` " . ' ` t W ' `ego ' 4' A. Fee for branch circuits with ,, A PP.LIC AN, , „ , , , ,, ,%,,,' t ` , :n, .:.,., , . VTA C , PE ` atv., service or feeder fee, each 6.65 2 Business name: - I u _ ' A2 /9 ,4 a � V branch circuit i7 � ' B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- _. t r t ; . t” troc N wd,* R &a r t, a ` ni aa`. energy panel, alteration, or extension. Describe: Page 2 2 Business name: E ,A , 2 Address: ` 7� S' W , ad-. �� Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: ! L5 4, 0/...._ X 722, Investigation per hour (1 hr min) 62.50 Phone: (5 �a `77� 4 Fax: ( ) Industrial plant per hour 73.75 CCB Lic.: 93 J',c? Electrical Lic. 3 4 C' Suprv. Lic.: o 2 Subtotal Suprv. Electrician signature, required: 'ir � '-/ ` (lf� G j - Plan review (25% of permit fee) Print name: �j / !� State surcharge (8% of permit fee) !� 0.10 /C - 7 — `mc a ad, / Date: b_ 22_0 TOTAL PERMIT FEE Authorized signature: V 7QT `5.4A2_,_, l`� GX7 This permit application expires if a permit is not obtained within 180 �� days after it has been accepted as complete Print name: L� ..2 /9�s,/ Date: ‘_ 22 — 67 * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i:\ Building \Permits\ELC- PemutApp doc 12/03 440 -46 ST(I0 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC 0 Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations \ Building \Permits\ELC- PerrnitApp.doc 04/03 • A V S7 0 6( er 0> STREET TREE CERTIFICATION .. 4 0t- .. ,, / tt, I, 1..Y ►p - De ic> To ,- ; � -- , Owner /Agent for Fog?, , ) �� sTta!ict /c ,J (PLEASE PRINT) z (PERMIT HOLDER) RECEIVE* F - : FEB 1 Pi 2005 D h ere 1 / 4 " ; .:1 _,t y : ,.. Y O F TIGARD y t�hatt f o llo wing l oca ti on SIT 6%, E °a'r " ' ,. ?;i .. }. N,yyt k Z .;.i f I ®� O. it -'-': '... , ", ' ,. IVIS. ��° �� �„ � B UILDING D meets City- ofrTirgdrd /Washn'gton County .�, _,;. l and use and development standards for street tree installation. ADDRESS: 90 '/.2. S', CA), gL,a cg K.S ZA/ . LOT: 8S SUBDIVISION: 6, s -� P,,�� k . / DATE: - BY: - z .i 1 d S 4 / :�' i DATE: O'L / 7% <- o. 4 RECEIVE BY: ,L ��,, VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVN CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 001813 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/17/2004 Phone: (503) 639 -4171 ' "Atilt Inspection Requests (24 Hrs.): (503) 639 -4175 . �,� 4 __... INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7:11AM PAGE: 8 SITE ADDRESS: 09042 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 085 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720 -7445 MOBL Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003648 -04 503-720-7445 V Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /! �/ '1 Date: 4- — 5I- —d,� Phone #: 503 p � ) 718 - CITY OF TIGARD - BUILDINGi [DIVISION PERMIT #:,, MST2004 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 97/2004 „ Phone: (503) 639 -4171 , ll 4N����41 8. i � � r 1� 4 .. Inspection Requests (24 Hrs.): (503) 639 -4175 ._': INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7:11AM PAGE: 7 SITE ADDRESS: 090412 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 085 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO.3 DESCRIPTION: New SF detached. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720 -7446 MOBL Inspection Request Scheduled For: Date: 414/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003648-05 603 -720 -7446 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /.,( Inspector: Date: 4- —dS Phone #: (503) 718 - CITY OF TIGARD - /0( <<-- •.,. BUILDING DIVISION PERMIT #: MST2004- 00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2004 Phone: (503) 639- 4171l��i� @���I �� Inspection Requests (24 Hrs.): (503) 639-4175 .......� INSPECTION WORKSHEET FOR DATE: 3/15/2005 TIME: 7:13AM PAGE: 21 SITE ADDRESS: 09042 SW BLACKOAKS LW CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LO T #: 08 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720.7445 MOBt. Inspection Request Scheduled For: Date: 3/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 001763-01 503- 720.7445 Y Corrections /Comments /Instructions: r =LL 21G -L A -G 61 -e) 3 11 a��� 1 `// 7 /•c/z$ U� // . Opt/ 6 i ' Z 5?` Cv ( A / e Ar° / (19-<— ` � ��Ce,/d6 z' Gib c�_71 C'a- 4i /c,% — 0•/ t 25 14 xib /L4 /.JJ.S L-- )114- A./A7i 5 ©x) (,' '&/ .- A-cc, sS . _ - UPS GvDo , A - mil' /C <3 L`- 064 ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FI CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 7— Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004-00188 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2004 Phone: (503) 639 -4171 u ��'7����ii ���f1 (6. Inspection Requests (24 Hrs.): (503) 639 -4175 ___ INSPECTION WORKSHEET FOR DATE: 3/15/2005 TIME: 7:13AM PAGE: 20 SITE ADDRESS: 09042 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 085 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720 -7445 MOBL Inspection Request Scheduled For: Date: 3/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 001763 -02 503-720-7445 N Corrections /Comments /Instructions: --:—..:..) ---'5"- 64., 4,6', "-z. ,-- 4-1-- ..- 7 - r- - /-‘ C <-& n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:° /5 ---- G 5 ----- Phone #: (503) 718- E CITY OF TIGARD = ° - BUILDING DIVISION PERMIT #: MST2004- 00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2004 Phone: (503) 639 -4171 7 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/14/2005 TIME: 7 :11AM PAGE: 3 SITE ADDRESS: 09042 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 086 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720 -7445 MOBL Inspection Request Scheduled For: Date: 3/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 001619-03 503.720 -7445 Y Corrections /Comments /Instructions: i e-- . eyr/4( 0 SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED Inspector: r,� Date: l V Phone #: (503) 718 - Li . _ ., CITY OF TIGARD 24 -Hour ke BUILDING • Inspection Line: (50 gr 175 MST c,/..0U r INSPECTION DIVISION Business Line: (51 ' , " C BUP Received l ate Requested l —. 'a AM ' BUP Location � � � -di -aro . Su ite MEC Contact Person q . v r Ph ( ) 6 Ye) — a-3 tI( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Acc ss: fi /� 3 F-� ELC Ftg Drain �'°T ELR t� d �r / / Crawl Drain � � f f. --r^ .!,1,/ s---t5- -A- � '� � Slab Inspection Notes: j , SIT Post & Beam p4S Shear Anchors 9 6 y rt,15 Ext Sheath /Shear Int Sheath/Shear Framing Insulation V v e `yl� Drywall Nailing Q A Fi reveal l `; le l.,...) ` LNG S r _ Sr- ---rk Fire Sprinkler Fire Alarm /1 Susp'd Ceiling Roof 442d 5 cl fl i Final PASS PART FAIL " PLUMBING ' j e/r S—� et 4 z-v—e claagrisam Under Slab � y � j' cr ) / Rough -In ' 1 �� 5 • _ Water Service 1 `� Sanitary Sewer ,�.s . / /' J� . r '- Rain Drains Catch Basin / Manhole Storm Drain - Shower Pan Vic, 7::V4Q 0 Other: _ ._ �� �� /9 .� �� r�( - / �/ ( l °. I � 1 C�` Other: u ./ �) \.) `__- U -2:----'''') ' d �---- y A 'I PA - F IL CJ`�J ( (v l V l LA Post & Beam I 2 Rough -In . Gas Line • t �? ' - /} g (\,/ ,K1, ) Smoke Dampers 7 ( "' ^ Final x PASS PART FAIL iv iT lig ( F _ t f � �' li ELECTRICAL (1/„ vi ` v ✓i �� J.'� �� l � , (i ,� C Service ,; ' _I °' " `.-' - - Rough-In � JLJ UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line Date / � _ Ext ADA Approach/Sidewalk ate I nspector 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 ^� BUP Received Fi'�3 ,Date Requested 10 i_.- PM BUP Location 9e 4' - /G CA_..® Suite MEC Contact 4 ` Contact Person / l.—( - c Ph (_ ) ; / ( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear. Int Sheath/Shear / l � Framing (, O L-�`a r)T C T j O t T� 9 a,„( rpzc-✓ Insulation o Drywall Nailing C O ezv y. pe. - � w. d-- I� +� ✓` ^ � � �1 ve Firewall Fire Sprinkler `` `,`' \Dc 1‘.15 ` t, Fire Alarm Susp'd Ceiling Roof Other: Final ART FAIL -LU. G Post & Beam Un de b ough -I Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin (PASS PART FAIL M ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRIC AL 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 El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line • ADA Approach/Sidewalk Date I I l 1/2 9 Inspector j 1 ) Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 6 Li--00/2---,7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / AM PM BUP Location 7 11, s 4 pieedderi-46 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BU I Tenant/Owner ELC Foo ing Foundation ELC Access: Ft• Dra'• . ELR Cr- i = 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 - P AS N S FAIL os t & Beam Under Slab Rough -In Wate. S r ri� i►�' / 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 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 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD . • BUILDING DIVISION PERMIT #: MSTZ004- 00'18$ 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/17/200 4 Phone: (503) 639 -4171u ' gm�lly�y� ill+ Inspection Requests (24 Hrs.): (503) 639 -4175 r_ INSPECTION WORKSHEET FOR DATE: 3/14/2005 TIME: 7 :11AM PAGE: 2 SITE ADDRESS: 09042 SW BLACKOAKS LW CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 085 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. op 1 s qy D OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 720 -7445 MOBL Inspection Request Scheduled For: Date: 3/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 001619-04 603- 720 -7745 N Corrections /Comments /Instructions: 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 64 Date: I V Phone #: (503) 718 - CITY OF TIGARD • /X 5T BUILDING DIVISION - 1 PERMIT #: �� dd X 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a C� ` Phone: (503) 639 -4171 ow�y��i0V@ � Inspection Requests (24 Hrs.): (503) 639 -4175 �I . INSPECTION WORKSHEET FOR DATE: 3 9 TIME: PAGE: SITE ADDRESS: 90 L i t CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: E)-(_A)1/4-e______ PHONE #:7 41) - 7 C Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message E--P,6_ IY a-P L &X = S / < r,etions /Comments /Instructions: i R it/ 1 e c. — L - LL - p iP c_ L- t' (-s/ i 'T1 �-1 FL / I 0-Z. .1 ;-cJl3 �1 e � r� i ii' 1�?A I ITiA p.4 >4i� f i� r4 e -- perk GL aS - t + S ?'.q . . . . / c . _ J ' ' pis 2 v i`-'l - j = t 6(C e S ( z 7`/ i L . . / eQ. 4 1 -> x 7 i R e 'TO 6: I- - G N 1Ndr »1. 8) lip — _P iZ . 0 u -c_i_;--- i ` niu it .r E ®,..1 A1 =G,1 'P.,,V 'PR ov>h c= /t- �'�lJu r L=P(k tv vTS r o le 14-Z- e.._ ,- P P 1...//4 n./ e_ c- s c P4-^/ (_-_, -- 11: s,+ t.,../.V4 -.S 14 -x - 0 \z(, , 1 :--> /. L.. a T, KIeT .bc o2 GLC_ Ain, O, Cs /4-7-- /NL—, 4 I Le -5 � lZE' N US't c ov - - 7� 5 1 S • . " . r=o (Z. -...i PASS PARTIAL APPROVAL El CANCEL ❑ NO ACCESS V .E6 . 1L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I i A ' Inspector: ■ /0. Date: 7 ' L •• Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 60Y INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received G� Date Requested / AM PM BUP Location / ? ' Z- -� � /, -(04; _4-1 Suite MEC Contact Person s Ph ( ) _J; PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ��p (� Drywall Nailing ) t d � V� I S � � F Firewall - r-- Q - c L &s 5 �� (/ ( c Fire Sprinkler J l� 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 eK/ Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL ou gh In UG7Slab ow it e� Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI t 111 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 1) 13 Inspector P Ext Approach/Sidewalk Date 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 ��jj INSPECTION DIVISION Business Line: (503) 639 -4171 MST ofC�e) �'d 0 /E, BUP Received Date Requested // — c? AM PM BUP Location Suite MEC Contact Person yQ', --Pi Ph ( ) -- 7c — 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 4;1%; SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing � ` f Insulation \ I 1L 1 \- A\ l ' VAS ��1WLZ \ {� iO \ ) � . � \/ V 0 �� (T Drywall Nailing- Firewall •G AV� \�, C.(c C —\ k f Fire Sprinkler c � l , \� -� / p ` Fire Alarm '4 - ` V� t y w J� o �` ‘ �� �� \ I �, l . 1 \-ro Susp'd Ceiling {� Roof ! -) b� � 10 (,):),()W �� ti W 1)-1- Other: nhar: t 1 \ �i�c��j 00 ) L \ ' T FIN1g0 _ ti PASS PART FAI PLUMBING' G iYvC7 Qti fq (I'tq Post & Beam ktAll b � W 'b � D I A ,1 �j I r� , N r� � Under Slab r r� � ,,� Rough -In ' � hl1U ' 1p ) L' ���1U - ) -Z- Water Service v !` Sanitary Sewer 11'7 1t i 5 1,41 Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: / Final b �, � L., U1l \ '� J t- rJ J c f PASS PART FAIL MECHANICAL Post.& Beam Rough -In Gas Line Smoke Dampers �j Final G S V AL - �) 0 k‘ 5 \ a PASS PART FAIL J ELECTRICAL l ervice ou UG /Slab ow Vo Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PA SITE ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date/ Q Inspector )( - ir�` Ext Other: ` Final DO NOT REMOVE this inspection record from the j site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ‘,2 V -C- d / INSPECTION DIVISION • Business Line: (503) 639 -4171 - BUP Received y Date Requested 1 r 5 AM PM BUP Location / .?` �� S uite MEC Contact Person Ph ( ) / n ? 0 ~ 7 1 tS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath /Shear ntSh -t 1 nsulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin mi l{ AS.S- PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL • MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: i ❑ Unable to inspect – no access Fire Supply Line ADA Approach /Sidewalk Date � D — 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) ;9 -4175 MST __ —0 6lr eS INSPECTION DIVISION Business Line: (503 :`•39 -4171 I BUP Received Date Requested / a M PM BUP Location 90 a uife MEC Contact Person p ctu'f __- Ph ) I ° & 7 4' 5 LM Contractor Pr ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors E -r ., -- raid /z- g ' o / (cc) c7 s a lo. Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PAM FAI PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ` 0 Unable to inspect — no access Fire Supply Line / ADA / 3 ° z 0 '/ C Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record f lithe job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 MST Q* 0 fgA INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / - _ AM PM BUP Location fi. d 14_,L0 Suite MEC Contact Person L — — Ph ( ) �� — - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear nt heath/S ea u anon r — %.U�� S /-/ - c.c� A-L c, Drywall Nailing % Firewall Fire Sprinkler ti /"I' :/ Fire Alarm .10 �r . . `` • Susp'd Ceiling ( ;`- - Roof _ /j�c Z�'J c/2. Other: Final ° - �l �- ri S J e ' Aii S' 1 , 1 2 / T PASS PART FAIL . PLUMBING Post & Beam - Under Slab /j -In Rough Service � /i.4-S e/ i Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam u gh as Line Smoke Dampers • Fi ASS PART FAIL E , ECTRICAL 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 El Please call for reinspection RE: - f Unable to inspect — no access Fire Supply Line 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: (503 • 175 , MST °lad –06 /Pe INSPECTION DIVISION - Business Line: ( BUP Received Date Requested / c — ( AM PM BUP Location 7 C, o Suite MEC Contact Person 7) Q w-P Ph ( ) a( - 7"7 /4 45 --- 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 =-2A✓mac cs�(t -/�- �r1s2 -e ���5 �) �' Insulation \./V\- , - 1 /' _ C - . Drywall Nailing ' v Co n+ Firewall � S � (0)( Zy C /� �-G�E? t eCy .. Fire Sprinkler ` L2.-S Fire Alarm > S/' f s � wk- h Susp'd Ceiling nn Roof (17\ , `W kA (.-.�� ( i,.r` l�W\ S — `.. 0 Other: \ ri �} j ' ' ) ' Final 4 .l r; .Q I - ?�� CSC 1 i- !J' ° S 'T 5 \* S LL -- \ PASS PART CP PLUMBING (20( r te' Q "� � r?i1 l \ Q -��,2. ° - Post &Beam ,-. /L k 1 c (_-. t � ■ 0\---v l��v- . Under Slab T Rough-In 7 ;n ' Water Service ` C)<-741 `' r `� - ;) / Sanitary Sewer Y �" '" ‹ � 5 6 4 � 4 c � � �'� SL ° Rain Drains Catch Basin / Manhole --' , ,--I e 0 '- \/ �a Storm Drain Shower Pan ‘---71" C J I Other: Final 1: Al6 -..-v -C! ()/' , L I 7 ^ \ "V\ f�. � • PASS PART FAIL MECHANICAL C‘�. ■. \ re-S • Post. & Beam "o‘---- ) 0) / 7- Y_ \re: -c---c-e-ves r),L, Gas Line's --- pet $3 j f 1'� .v v C ,: - 5 n Q--z Smoke Damp rs ` " Final I1) \ 1 .e �55 � r_,, L S ∎, U . • PASS - FAIL ELECTRI • 12-) i ✓ / c-c _ cc S• z L . Service Rough -In � LL- -/2 D " t' '. `{. /l. - Z- . c O �, � Slolt Low Voltage - 1 — e S'fi' It 6 v I — - Low 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: 0 Unable to inspect - no access Fire Supply Line a ADA L/ • Approach/Sidewalk Date �� � Inspector t %/ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL a 1 - • CITY OF TIGARD - 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 MST .4 V a 6/ Or INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / / — /- AM PM BUP Location 9� / �./ Suite MEC Contact Person Ph ( ) 7� v - 7 - d � PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors heath/ e' Int Sheath/Shear Framing - 7 - i i r1Ju / A L /7 / ;7‘2,--4.../.4-/ -- �21 j` 6 6 LU10`u- Insulation Drywall Nailing Fi rewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi - AS PART FAIL MBING Post & Beam Under Slab Rough -In• Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In . UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: / El Unable to inspect - no access Fire Supply Line 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: (503) 639 -4175 Od ( g ti MST 07�(`' INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested � AM PM BUP Location Suite MEC Contact Person Ph ( ) 1 - 6 Rd PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT, .-ost : :ea i Shear Anchors Ext Sheath/Shear hit Sheath/Shear Framing / /VEL6.Q ������ � � v Uti • t z 3 �64 -�W') Dry at wall /(/d ; '�- / SSd� Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final . 1 1 ART 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 wmarizziow Rough- n Gas Line Smoke Dampers Final PART FAIL ECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ei Please call for reinspection RE: Unable to inspect – no access Fire Supply Line • ADA �_ f- Approach/Sidewalk Dat Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST aZ - q / g 1s INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /) ° ( AM PM BUP Location 9 6 �� Suite MEC Contact Person kaa.,bLe Ph ( ) v 7o2 b — 7 ¥ / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ootin ELC a ion Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ,/'� Framing e t d a O �-TI-k -S'). Insulation Drywall Nailing S- c /A S Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final • .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 =ln 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: El Unable to inspect — no access Fire Supply Line ADA Z 1 , Approach /Sidewalk Date g" a45IL Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL