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Permit . . . CITY OF TIGARD MASTER PERMIT Aii PERMIT #: MST2003 -00461 'y" l DEVELOPMENT SERVICES DATE ISSUED: 10/6/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11655 SW BURLCREST DR PARCEL: 1S134CA -04800 SUBDIVISION: BURLWOOD NO.2 ZONING: R -4.5 BLOCK: LOT: 021 JURISDICTION: TIG REMARKS: 700 sf. addition BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 11 FIRST: 785 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 72,534.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 785 sf REAR: 15 PLUMBING • SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 . DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < BHP: VENT FANS: 3 CLOTHES DRYER: ELE FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 2 W00DSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: 1 W/SVC OR FD R: 00 PUMPARRIGATION: PER INSPECTION: EAADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st WAD SVC/F DR: SIGN/OUT LIN LT: PER HOUR: ^ • LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CAR: SIGNAL/PANEL: IN PLANT: C.— J MANU HM/SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/voK : PLAN REVIEW SECTION Reconnect only: >=-4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS ARENSPC 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: (../3 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/rELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,542.56 CHESLER, KENNETH UHOLLY G + TERRY TALBERTCONSTRUCTION This permit is subject to the regulations contained in the GENET, DONALD D 8920 SW MIDEA LN Tigard Municipal Code, State of OR. Specialty Codes and ) 11655 SW BURLCREST DR PORTLAND, OR 97225 all other applicable laws. All work will be done it 0 TIGARD, OR 97223 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: A Oregon law requires you to follow rules adopted by the � Phone: Phone: 503 292 - 3074 Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You Reg #: LIC 74221 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. •� REQUIRED INSPECTIONS Erosion Control Insp & Post/Beam Structural PLM/Underfloor Framing Insp Rain drain lnsp Footing Insp Post/Beam Mechanical Mechanical Insp Shear Wall Insp Electrical Final Footing Insp Underfloor insulation Plumb Top Out Exterior Sheathing Ins[ Mechanical Final Foundation Insp Crawl Drain /Backwater Electrical Service Fireplace Insp Plumb Final Foundation lnsp Footing /Foundation Dr; Electrical Rough In Insulation Insp Final inspection ++ � s %chi" 0. a d0 f ( ipfr Issued By : Permittee Signature - Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00461 _il,L e Ahk DEVELOPMENT SERVICES DATE ISSUED: 10/6/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11655 SW BURLCREST DR PARCEL: 1S134CA -04800 SUBDIVISION: BURLWOOD NO.2 ZONING: R -4.5 BLOCK: LOT: 021 JURISDICTION: TIG REMARKS: 700 sf. addition BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 11 FIRST: 785 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THFm: sf RIGHT: 5 VALUE: 72,534.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 785 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: ELE FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp:' 0 - 200 amp: 1 W /SVC OR FDR: 00 PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 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: $ 1,455.84 This permit is subject to the regulations contained in the CHESLER, KENNETH L/HOLLY G + TERRY TALBERT CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and GENET, DONALD D 8920 SW MIDEA LN all other applicable laws. All work will be done in 11655 SW BURLCREST DR PORTLAND, OR 97225 accordance with approved plans. This permit will expire if TIGARD, OR 97223 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: 503 292 - 3074 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You R °9 #: LIC 74221 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. 503 -g -IL//4/ REQUIRED INSPECTIONS Erosion Control Insp 8 Underfloor insulation Plumb Top Out Exterior Sheathing Insj Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Service Fireplace lnsp Plumb Final ,Foundation Insp Footing /Foundation Dr Electrical Rough In Insulation Insp Final inspection Post/Beam Structural PLM /Underfloor Framing lnsp Rain drain Insp Post/Beam Mechanical Mechanical Insp Shear Wall Insp Electrical Final Issued k � � I ! ` .ice► � � Permittee Signature : ,/ y f _ g X Call (503) 6 9 -4175 by 7:00 p.m. for an inspection needed the ext b s e — ss day Building Permit Application FOR OFFICE USE ONLY Received y ,* Building ry � I Date/B : /6 / #4 Permit No.: /rc- t 1/ — Z "I 1 O City f Tigard Planning Approval Other ` V+ y g DateB Permit No.: 13125 SW Hall Blvd. �� Plan Rev iew Other Tigard, Oregon 9.223 P ' Date/B : !�4A d • -2 • -o Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 O � m u'di l y i �� li t 4 i l f Post-Review Land Use p _'' SE f Internet: www.ci.tigard.or.us Q 200 c - Date/B : Case No. -� Contact '� 0 See Page 2 for 1 24 -hour Inspection Request: 503-639- 175 Name/Method: Sus lemental Information CITY OF TIGARD , q .5— c.2 — u - BUS Q � z RI , 'ail s D Q fi , : " � . r i ' 0 , f ? % Ei New construction Demolition � � , g a # p Addition/alteration /replacement ❑ Other: Sa >CA OGTOM (3 POW$Ta(t Tta `, n„ ';_ Note: Permit fees* are based on the total value of the work performed._ Indicate I] 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. co ❑ Accessory Building ❑ Multi- Family , 72153 N - El Master Builder 111 $ Other: Valuation T `.:. '.a 0$a IT.. ° 0 3.7 iNiid 0 n No of bedrooms: / No of baths: / \ l j ll S 4) /3[J ,e <<A ;5� r T num o f fl oors / ' "7 f(� `�' Job site address: - 2;1/6.... 6 S New dwelling area (sq. ft.).. 7 Suite #: I Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: C�bi 57/672 Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) / 2/ SP- To SUsi2n4G7e c,ect r /-b Other structure area (sq. ft.) p DD Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate -' er r ME;„ W `' - the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Valuation $ • Existing building area (sq. ft.) td New building area (sq. ft.) • Number of stories : g P:goAT ' iN OI2 t roW =::T• lr, ie4 "k° Type of construction Name: �/�� 5 qio 0/ 7 .--- [ Occupancy group(s): Existing: Address: New:. l /ASS' S�.✓ G�rJ2 c�� City /State /Zip: 9./4W Pie >700 Phone:�'C 3 f36 7o Fax: NOTICE: All contractors and subcontractors are required to be o ` o �i- r . ya 1, - t , ; licensed with the Oregon Construction Contractors Board under �[1'TGN' ":- ,'` °,., '- row -'' "r' provisions of ORS 701 and may be required to be licensed in the Business Name: 7 - /je-c7C p jurisdiction where work is being performed. If the applicant is exempt Contact Name: 72j;/ / c;:e17' , from licensing, the following reason applies: F Address: 7c2 0 .SG✓ "i/ ,D Lrr/ City /State /Zip: /ef re 9702-5 Phone: 3 9 3 & 7,9 t a., G E a s 1 E -mail: .' I'vleas � r efe t o s 4 c „ h e _ u ll le , Business Name: 72- ' ? Wiz&- �)T .-ryv5; Fees due upon application $_ Address: 2 O S /77/..6.<1 2>Y City /State /Zip: AA- 69,e 9'7z zS Amount received $ Phone: 5",„ 3 7 3C - 7c9 Fax: Date received: CCB Lic. #: ,'2 2 / /3/0 Authorized ? 7 Notice: This permit application expires if a permit is not obtained within Signature: Dater 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) p� i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03 ' �� r One- and Two - Family Dwelling 1y Building Permit Application Checklist Reference no.: City of Tigard Cit Of TI aria Associated permits: Y g O 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. • 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. • 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ 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. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis.provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 .Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. 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 -ors. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. 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) Electrical Permit Application FOR OFFICE USE ONL � Received Electrical /4„ 1 � , O Date/By: PermitNo.: , h r -- )/ 1 City f Tig , and Planning Approval Sign Y b Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review ' Other Tigard, Oregon 97223 „ Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 'hl l 4�. : -.`j� ° ', '�' Post- Review Land Use g 41/ 4j1N�F Date/By: Case No.: Internet: www.ci.tigard.or.us ._1 Contact Juris.: El see Page 2 for 2 4 -hour Inspection Request: 503 -6 17 Q ` -- _W Name/Method: Supplemental Information. • CITY OF TIGARD MI ir.,r t O) i a ' ° *l ' °s� v_ lti : xea C`cloz:v hatr s�� .. R ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Addition/alteration/replacement E] Other: Hazardous location El over 320 amps - rating of ❑ Building ng over over r 10,000 10,000 squaze feet, r „ L f a'I ` t. O ,t QAS, Yditti ° ” l;* - ,' 1 & 2 family dwellings four or more residential units in l2G 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: , _ r s > r ' °;. - Submit sets of plans with an of the above. ,,_ �.f e�;S1T *U O'��@ anti��fJL�- �)Cl!_ �� ' p y The above are not applicable to temporary construction service. Job site address. _ f . ,7tl ..� $71.5!IVE-''" alt Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total 1 Cross street/Directions to job site: New residential- single or multi - family per j dwelling unit. Includes attached garage. 2--/ i ' �L 7b 5 c/�lr. � r '74e C' e- service included: 1000 sq. ft. or less 145.15 4 A //e(c 6 - /— Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: / Lot #: Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 • Tax map /parcel #: Each manufactured home or modular dwelling "" ` '* ` �j` DES,o PT c ` so: - I . ° "`` `- --5 service and/or feeder 90.90 2 €.x <b , `" V Services or feeders - installation, alteration or relocation: J �0 200 amps or less / 80.30 $U 3 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 r13 '?ORZM0112,. iIl `;1 601 amps to 1000 amps 240.60 2 / Over 1000 amps or volts 454.65 2 Name: 45z/1 /1749/C, C /�e' Reconnect only 66.85 2 Address: 11' S� 4 ..,/ /3cJe[ e ,?,--w- C7 Temporary services or feeders - installation, City /State /Zip: CdC7 C Q/7 9 ' y alteration, 00 ams o or relocation: 7 <L cU 200 amps or less 66.85 • 1 Phon 5 / : 3& 7092Fax: 201 amps to 400 am 100.30 2 401 to C ' . 4 4i, ' ^-'GO` fre: PkRS®Nitigi , t Branch circuits - new, alteration, or ps Name: / 133.75 2 7 / V / /Ql i' c 4/$ extension per panel: Address: 0 S �.J f2/ i0d� L/L /l A Fee for branch circuits with purchase of 7 �/ 55- service or feeder fee, each branch circuit 6.65 (� ° 2 City /State /Zip: p 0,e 9 725--- B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: 5 9' - Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): o v- Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 2 Business Name: 8000+l5 i,- A7ev . -c Description: Address: "D. go), 62 City /State /Zip: ,�So„ d R_ 7 O 7 Each additional inspection over the allowable in any of the above: o Per inspection ection per hour (min. 1 hour) 62.50 Phone: p)3l 6 g a - v934 Fax: r 6 82 —7er/6 Investigation fee: CCB Lic. #: , , ; _ L:c. #: Other: I, Supervising electrician i Subtotal $ /2 �� / signature required: ' 7- Plan Review (25% of Permit Fee) $ Print Name: ,5, ^ Ai - o.. f . Li #: '9/ 6 5 State Su (8% of Permit Fee) $ /d 1. � TOTAL PERMIT FEE $ /3 7 -- Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: Audio and Stereo Systems ❑ Burglar Alarm n Garage Door Opener n Heating, Ventilation and Air Conditioning System Vacuum Systems fl Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls 0 Clock Systems n Data Telecommunication Installation 0 Fire Alarm Installation n HVAC n Instrumentation Intercom and Paging Systems I I Landscape Irrigation Control D Medical D Nurse Calls n Outdoor Landscape Lighting O Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations • i:\Dsts\Permit Forms \ElcPermitAppPg2.doc 01/03 . . Mechanical Permit Application . FOR OFFICE USE ONLY .. ' •• ' , Received Mechanical Date/By: Permit No.: W0.-00f'/ Building , City • of Tigard Planning Approval Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 R ECEI • Date/By: Permit No.: Phone: 503-639-4171 Fax 503-598b 1 ,_.,, Oa Post-Review Land Use EP 7 ry It ri Contact ...„,...a,r- 0 Date/By: Case No.: Internet: www.ci.tigard.or.us 1 o. Juris.: gl See Page 2 for 24-hour Inspection Request: 503-639-4175 ---1 • -". Name/Method: 72c9 Supplemental Information. CITy o ri A BUILDING D G 1,YPEOF . zWORIC - NT41.4 k Yk§ ,1RD ( 4.1I4&'-;14 . ';' ,, 1,ficomuvIErictWFEEtISCHEDULT:,'.L''',USECITECKLIST, 0 New construction 0 Demolition Mechanical permit fees* are based on the total value of the work y r:Addition/alteration/replacement CI Other: performed. Indicate the value (rounded to the nearest dollar) of all ',..'i': .:ti•TM:4i IV., 4,14 mechanical materials, equipment, labor, overhead and profit. . g] 1 & 2-Family dwelling II] Commercial/Industrial Value: $ See Page 2 for Fee Schedule 0 Accessory Building 0 Multi-Family !,:?.-4S.RESIDENTIALEQUIPIVIENT/SYSTEMa-FEEIESCHERULtaK Description Qty I Fee(ea.) Total 0 Master Builder Li Other: Ileating/Cooling 41011:SITE: -*:,-': Furnace - add-on air conditioning** 14.00 Job site address: //‘, 55 5 41.4e4cZe5, e--7- Gas heat pump 14.00 Suite #: Bldg./Apt.#: Duct work 14.00 / Project Name: Hydronic hot water system 14.00 5-r Residential boiler Cross street/Directions to job site: - 1336 - / z / 7e) (for radiator or hydronic system) 14.00 5 Pe r - 7 - 0 (' c,e,-- Unit heaters (fuel, not electric) (in wall, in-duct, suspended, etc.) 14.00 Flue/vent (for any of above) 10.00 Subdivision: R„. Lot #: 2......._ Repair units Other Fuel Appliances 12.15 Tax map/parcel #: Water heater 10.00 ''.,:a.'.:' - f4liESeRinttil■KOFIVORI,:., -, 4::',..... , :. - V'."! Gas fireplace 10.00 Flue vent (water heater/gas fireplace) 10.00 Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent / 10.00 /6.00 441'01 . TENANT ./ Other: 10.00 . - • . Environmental Exhaust Name: kr,. pz- ■‘/.0/e c_/Ve-5-',-/e &Ventilation Range hood/other kitchen equipment 10.00 Address: /16 .5 S'e...) zi'doelc i: . Clothes dryer exhaust 10.00 /0.0 City/State/Zip: &6 62 '72' I _ _ Single duct exhaust Phone: 3 473‘ - 2.07e..._ Fax: (bathrooms, toilet compartments, p- WP146ICANV utility rooms) - 5 6.80 -- .--:- Name: - 7Z --- ; - ..e./ //qz&-7,-,... , Attic/crawl space fans 10.00 Address: iga - •.,,,f /De /....e/ Other: •. FuetPipinw 10.00 City/State/Zip: c:9 ' $."-- **($5.40 for first 4, 51.00 each additional) Phone: ce)- 1 -/ 91.3 - 7c Fax: ,0 Furnace, etc. . ** ** E-mail: (9/' Gas heat pump Wall/suspended/unit heater ** : NTitAcTsmilt'A d/ Water heater ** Business Name: 7e-441/ 7/f6Z- Ce.‘0,u5r Fireplace ** Address: e p.i_ e 7 i ') M //), / A./ Range ** BBQ ** City/State/Zip: p c' 7 Z z 5- Clothes dryer (gas) ** Phone: 5, 9•3- 7 Fax: Other: ** CCB Lie. #: VOe / . . Total: Authorized / iliger, i., . Mechanical Permit Fees* Subtotal: $ Signature: ../..- //1/4.% Date: _ 41/9 c.),3 r / Minimum iimum Permit Fee $72.50 $ AIWA!, • • A.t - 2 Plan Review Fee (25% of Permit Fee) $ • (Please f int n. e) State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: TOTAL VALUATION: PERMIT FEE: $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. $100,001.00 and up $1,396.50 for the first $100,000.000 and $1.10 for each additional $100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. is \Building \Permit Forms \Mec PermitAppPg2 09- 01- 03.doc • Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY . Received % �� ed Plumbing n � ( ■ Date/By: Permit No.: ir City Tigard �, of Ti and �� Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 e �p Date/By: Permit No.: • Phone: 503- 639 -4171 Fax: 503- SW4 0 2l Post- Review Land Use chii i l i i\ Date/By: Case No.: Internet: www.ci.tigard.or.us W ��'� F - 1 A -6 7 I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -60-W Name/Method: Supplemental Information. BUILDING DIVISION �� ,$`�_,`.. `.`t$"'> . +,� �-jjj;,- vr .a� ,�_ -_ ° "" - "`L'lAiKF'„SV.,y. - _wc 7,. '.'eg•.: ^s,�3WS"s :�' ^ �: ;,��., >: ,..?`�...�.._..... �. ,��..s� . �,�.:�a,. <, .,.. .�ET�SC.,FIH� .�.. E�.(for�speciallinfor- �►ato.. ;.:se�c�ticklist)�� =�:.� ❑ New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total [ Addition/alteration/replacement .tea & ms x��. ❑ Other: _ 4 2 Tamaetltngs Sl : YIOF `' znedd$ 1.00 x,each w'. onnections k;;:;° ��G�GQR .�CO SRlI4`.��PO,I��' ,�. �....;,s� :� ( � _ _ �Lil�'�. 4)a:.. �,� ��,..� a1 & 2- Family dwelling ❑ Commercial /Industrial SFR ( bath 350.00 SFR (2) bath 350.00 ❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 Mil: - t_ 0 : 030:1 F0..RUA73ftO -1 ar cl I:'p,MAONta rkg Fire sprinkler - sq. ft.: Page 2 Job site address: / I (o 5 - 5 - 5, j ",,,,,e ve k c r/L Si . + # Site_''i7t lit A Ili ', , . Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: Drywell/leach line /trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Dire9tions to job site: Manufactured home utilities 110.00 / 2/ i C9^4/6� C� Manholes 16.60 b l2 tC,e F- . Rain drain connector 16.60 • Sanitary sewer (no. linear ft.) Page 2 Subdivision: Lot #: Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: Water service (no. linear ft.) Page 2 �,re.,,.,. -,.. ",.. ww ...,. te r,...... ..., _....,.. _..<... .......,_,.: ,. ., � ., -. ` '��"i I " `....f` k ur � tir , '�'�� "'�`�, ' " �� ' � �"" �°a�°�- . A Absorption valve 16:60 Backflow preventer Page 2 Backkater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROP .R.7 ONS 1 citS j N .�'? y � A Ejectors /sump 16.60 Drinking fountain 16.60 '� /e-- r � Name: ��,V 'Ho ec e_/ ti Expansion tank 16.60 Address: /1 6 55 S' "/ </ ( r Fixture /sewer cap 16.60 City /State /Zip: j3 (9 97aoR Floor drain/floor sink/hub 16.60 5c, 3 f 3 f -7o9 J Hose bib disposal 16.60 Phone: ax: Hose bib 16.60 I Ili Ea :00.1 - A I INIIIOKIN `� ITiftR'SO M Ice maker • 16.60 Name: le 1, v v ; A,/4t. -etic p (36_ (0, Interceptor /grease trap 16.60 Address: 9107 Iv .1 (3 6 c `t- Medical gas - value: $ Page 2 City /State /Zip: J e a,i..c- t,..>,/a 9 U6 ei Z Primer 16.60 Roof drain (commercial) 16.60 Phone: 56c 899 0 70 Fax:3 6 0 646 O3 70 Sink/basin/lavatory 16.60 2- E -mail: Tub/shower/shower.pan . 16.60 1 r 'Z i t < ,, . t r^°,:•'Sft vy r'r.k;-, .ate AR - '.tc s....I B Urinal 16.60 Business Name: / 2 ° A s GuA,zwc.c 'P C CG. Water closet 16.60 2- Water heater 16.60 Address: x /2 t/ E 07 , / 3Y ck Other: City /State /Zip: ./P.,<•-)c- c.)/1 9 Y/ ( c9 Z \ ' Other: t o nmier ee » M Phone:3 (cc) € % 03 7 0 Fax: S 4,-- e 6 . _ -.." iPlumois R ;� Ma CCB Lic. #: / SI 3 Z q Plumb. Lic.#:3 7- S Z I P13 Subtotal $ h L Minimum Permit Fee $72.50 $ Authorized c _(V - v -3 Residential Backflow Minimum Fee $36.25 Signature: Date: ( Plan Review (25% of Permit Fee) $ �l 1/(� ��- State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri -County Building Industry Service Board. i:\Dsts\Permit Forms \PlmPermitApp.doc 01/03 • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information - Fee Schedule: Residential Fire Suppression Systems: ':. yiTtittes w �.- .�k Squaireootae_.. ,...:. Qrmiee, 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 _,.x., ,, , . i. ; rr;J: . 1At ; . - ,e 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 additional $100.00 or fraction thereof, to and e t!! e i' en? < I I 'e W W 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 specially requested inspections - per hour 72.50 $742.00 $50,000.00. 42 . 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 *. fQ Comments regarding fixture work: �. �, uagftt�by (Ftxture�'4�`or�k,�,er,�orttied g g xxtar }pe�� vx MOW' ep* . e .. 0;.s 2 _ Ne4acia : . Pal ataaittli 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 *Note: If the fixture work under this permit results in an Garbage - Domestic Disposal Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach. /Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is \Dsts\Permit Forms\P1mPermitAppPg2.doc 01/03 CITY OF TIGARD '� BUILDING DIVISION PERMIT #: MST2003 -00461 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 10/6/2003 Phone: (503) 639 -4171 i „ � ° h��u� l i � Inspection Requests (24 Hrs.): (503) 639 -4175 u''f II INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 88 SITE ADDRESS: 11655 SW BURLCREST DR CLASS OF WORK: SUBDIVISION: BURLWOOD NO.2 LOT #: 021 TYPE OF USE: PROJECT NAME: CHESLER DESCRIPTION: 700 sf. addition 2 -28-06 This permit is reinstated for purpose of final inspections for a period of 30 days. Until 3-27-05 OWNER: CHESLER, KENNETH LIHOLLY G +, PHONE #: CONTRACTOR: TERRY TALBERT CONSTRUCTION PHONE #: 603-292-3074 Inspection Request Scheduled For: Date: 4/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 004095 -01 503- 521 -9717 N Corrections /Comments/ Instructions: A- CY0 , 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ;fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: Date: 4-- ” OS Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IviST2003.00461 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/02003 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 =� INSPECTION WORKSHEET FOR DATE: 3/29/2005 TIME: 7:11AM PAGE: 99 SITE ADDRESS: 11655 SW BURLCREST DR CLASS OF WORK: SUBDIVISION: BURLWOOD NO.2 LOT #: 021 TYPE OF USE: PROJECT NAME: CHESLER DESCRIPTION: 700 sf. addition 2-28-05 This permit is reinstated for purpose of final inspections for a period of 30 days. Until 3-27-05 OWNER: CHESLER, KENNETH UHOLLY G +, PHONE #: CONTRACTOR: TERRY TALBERT CONSTRUCTION PHONE #: 503-292-3074 Inspection Request Scheduled For: Date: 3/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003018 -04 503521 -9717 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - . Date: 5 Phone #: (503) 718- I CITY OF TIGARD ` - - BUILDING DIVISION PERMIT #: MST2003 -00461 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _, INSPECTION WORKSHEET FOR DATE: 3/29/2005 TIME: 7:11AM PAGE: 102 SITE ADDRESS: 11655 SW BURLCREST DR CLASS OF WORK: SUBDIVISION: BURLWOOD NO.2 LOT #: 021 TYPE OF USE: PROJECT NAME: CHESLER DESCRIPTION: 700 sf. addition 2- 28-055 This permit is reinstated for purpose of final inspections for a period of 30 days. Until 3-27 -05 OWNER: CHESLER, KENNETH (./HOLLY G +, PHONE #: CONTRACTOR: TERRY TALBERT CONSTRUCTION PHONE #: 503 -292 -3074 Inspection Request Scheduled For: Date: 3/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 003018 -01 503 -521 -9717 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL i __ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ?— 2-9 € 2 f Phone #: (503) 718- CITY OF TIGARD - - BUILDING DIVISION PERMIT #: MST2003 -00461 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2003 Phone: (503) 639 -4171 . nonNpit i Ins Requests (24 Hrs.): (503) 639 -4175 W' INSPECTION WORKSHEET FOR DATE: 3/29/2005 TIME: 7 :11AM PAGE: 101 SITE ADDRESS: 11655 SW BURLCREST DR CLASS OF WORK: SUBDIVISION: BURLWOOD NO.2 LOT #: 021 TYPE OF USE: PROJECT NAME: CHESLER DESCRIPTION: 700 sf. addition 2 -28-05 This permit is reinstated for purpose of final inspections for a period of 30 days. Until 3-27-05 OWNER: CHESLER, KENNETH UHOLLY G +, PHONE #: CONTRACTOR: TERRY TALBERT CONSTRUCTION PHONE #: 503- 292 -3074 Inspection Request Scheduled For: Date: 3/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003018-02 503 -521 -9717 N Corrections /Comments /Instructions: m 61 -c id l/ cujt✓ CI-F-0 /- /10 -6 - r0 -( -r - 7 -- ' d 6AJ.Jc/-c- fr e tx5o iY 44- -04/ZT> �� -�c__c f7, `-- -- e_rorc. S )4/- _S�0rrr�'i.c.e,.%. '" 7r-61-L4- • n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , A Dater --- ' 9 C — Phone #: (503) 718- CITY OF TIGARD = 24 -Hour BUILDING Inspection Line: (503)639 -4175 -; 00 7 2 INSPECTION DIVISION - Business Line: (503) 639 -4171 - �ST BUP Received -7 D ate Requested 2 57 — 0 AM PM BUP Location 116 5 5 6 Suite MEC Contact Person Ph ( ) 936 ?KY? Z. 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 Framing 1-t. � , Y S L. �..tJ V c. �, e` 1.-e +" - �- - I LA-4, ■A ��t j..<. Insulation I I 3 ° o tdC . 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 ASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECT RIC AL Service • Rough -In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Li Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date ) I 2 n i y Inspector (7 4 ti�^� � ��"^ Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD . 24 -Hour _1 - BUILDING Inspection Line: (503)'639-4175 MST 3 a ° • INSPECTION DIVISION • Business Line: (503) 639 -4171 BUP Received Date Requested // 3 AM PM BUP Location ,-t24 .6 — Suite MEC Contact Person Ph ( ) 7 36-70 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain A ccess: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ) (1-71-€0 v ! �✓ �� /-BLS e Framing sulation) A - DTrrwall Nailing � t -i�u 1/ c vG�r v �i� /'�/1C; Firewall / Fire Sprinkler Fire Alarm Susp'd Ceiling Af? 4./ �e/> u" - c ..< Roof Other: Final PASS 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 El Please call for reinspection RE Unable to inspect - no access Fire Supply Line ADA /� — d3 Approach /Sidewalk Date Inspector Est 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 • 3 - D O 4246 INSPECTION DIVISION` Business Line: (503) 639 -4171 BUP Received Date Requested /U — 3 AM PM BUP • Location /1 10 sue Suite MEC Contact Person Ph ( ) 7.34, 7 2 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 /S (int Sheat he • anq Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof Other: F' 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 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 El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date �C� <9 - ' Inspector N -C, 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 3 - 0017164 INSPECTION DIVISION -- Business Line: (503)639 -4171. • BUP Received Date Requested / 0-30 AM PM BUP Location / / G CS 13 v-' 1 �e•S- ev • Suite MEC Con..ct Person Ph ( ) q 36- 7092- PLM Cont•.ctor Ph ( ) SWR Err Tenant/Owner ELC Foot L - tP ELC Fou • - • n Access: • Ftg � ' ELR Crawl r � rain Slab ` Inspection Notes: • SIT . Post ,: 1:earn She.: , chors E • :. - :th /S•-ar .0 - r,'; MI • ulation '� p V rywall Nai' g ``G t) fJ j G7 M y1 c_ f'1i C '��$' D� C>NA\--, irewall Fire Sprinkler ' . Fire Alarm Susp'd Ceiling r -) S Y )-) C Other: 4 A\11(/* A) ,i ili� , � b POQ 4 IF Final V PASS PART FAIL PLUMBING ' • Post & Beam e 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 P RT FAIL L CTRICAL • ' ervice 'ough -In itr p y � 1 1 Y\\ � "� a. ,� J Low Voltage 1 • Fire Alarm PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA U 6" I / I�li/■ 41 Ext Approach /Sidewalk Date I nspector �L �i_J Other: Final DO NOT REMOVE this inspection record from the Jo' site. PASS PART FAIL CITY OF TIGARD • • 24 -Hour BUILDING Inspection Line: (503)639 -4175 • MST 3 O a q (o l INSPECTION DIVISION , • Business Line: (503) 639 -4171 BUP Received Date Resuested / 6- AM PM BUP • Location / ( - . ! a Suite , ` MEC Yt Contact Person Ph ( ) 6 P- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner • ELC Footing Foundation ELC Ftg Drain Access: G" /" ELR Crawl Drain AVo'� )i off /c, / S ` c � Slab Inspection Notes: SIT • Post &Beam f�, " (r`�rg`�l" r 04, Shear Anchors Ext Sheath /Shear , Int Sheath/Shear Framing Insulation Drywall Nailing g Firewall Fire Sprinkler 5e-�(/> C:0; TO 3 � c c Yjq c. 6- L..) Fire Alarm 2, 7--L ,`� ' Susp'd Ceiling .✓ Roof Other: Final ', .-- PASS PART FAIL UM 1311 _. _ ., - • . Posf'& Beam G / i Under Slab A/< W • " / / O Od //AA / U v Rough -In - -- . 4 "''7 / %.. Par 1. /'Y l Ut/''t° f Water Service Sanitary Sewer _ - - Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: . • Fir - 'ART FAIL K.\ - , NICAL ' Post & Beam Rough -In Gas Line Smoke Dampers Final P FAIL C Service 4 N a 0)61).2)) Low Voltage Fire Alarm Fina 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S) PART FAIL E . Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA (C/z 7 Approach /Sidewalk Date Inspector Est Other: : Final ''° = ' DO NOT REMOVE this inspection record from the job site. % PASS PART FAIL \\\ ` t . CITY OF TIGARD • y 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST — ; v 5 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /U ' 2-2 AM PM BUP Location / / 6's oa f" t , Suite MEC Contact Person Ph ( ) -70 9c- 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 Drywall Nailing Firewall . Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab ater Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: tO al PA 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date (v 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 0 0 46 f INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / D AM PM BUP Location 11!055 8 A-nICr — tr-r% Suite MEC Contact Person Ph ( ) 9 ado- 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS • ; RT FAIL - ost & Be - u Under Slab • Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL • Service Rough -In UG /Slab Low Voltage Fire Alarm Final 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 Est Other: Final • 0 N • REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 3 a /�O INSPECTION DIVISION Business Line: (503) 639 -4171 ' MST 2" / BUP Received Date Requested / 6 ' - �AM PM BUP Location / ( ( e LS S --. ,.& 'L - Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ? 36 -76 ELC Foundation Access: 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 MFNICAL - Post• & Beam R n Gas Line Smoke Dampers F' a N‘ As PART FAIL c , TRICAL 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: 0 Unable to inspect — no access. Fire Supply Line ADA Approach /Sidewalk Date 6 3 Inspector ' 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 '"l3G tt6,1 INSPECTION DIVISION Business Line: (503) 639 -4171 '' BUP Received Date Requested l Z AM PM BUP Location _ ( o � � Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 736 - 769 ELC Foundation Access: 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 Sanita Sewer ain Drains =asin / Manhole Storm Drain Shower Pan Other: Fi j N PAS PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers • Final PASS PART FAIL ELECTRICAL - Service Rough -In UG /Slab Low Voltage Fire Alarm Final 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 tb /� { '� Approach /Sidewalk Date 9 6 Inspector ' h ' 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 `0 O e/6 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested l AM PM BUP Location 1/65 nab/ c-(i Suite MEC Contact Person Ph ('7).S) 7 )P(" O 5 7,6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 9 dati ELC Access: Ftg Drain °l 66 j ELR Crawl Drain Slab Inspection Notes: . ` , � v p SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing /Y�� / -7.-"; 4./ r - P Insulation - Drywall Nailing N. Firewall Fire Sprinkler /-�-.c�evl., rte- , o L St z P7 572/3.-c, i -� S Fire Alarm 5l-,Zw Susp'd Ceiling �/ Roof Other: Final 6- PART FAIL i 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA / 6 --O 3 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 ' 3-6 D 4 /6/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / 5-<S" Date Requested l0 — ° AM PM BUP Location 1/ 6 IL Suite MEC Contact Person Ph ( ) ' 3G — 70 PLM Contractor .Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Drain . ess: ELR Crawl Drain Slab Inspection Notes: . SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ti . 4 / s/Z rle /f ��✓r� c_ Insulation / Drywall Nailing w/ d\ /x/' e Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 4 d e p....evt...../ Other: Final PASS PART 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 Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA b - � 7 7 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 7 / BUILDING Inspection Line: (503) 639 -4175 MST 3 �� -ao . - C/( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re uested ` AM PM BUP /I Location f' $ ' .( -vveA ' - Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) ( - SWR BUILDING Tenant/Owner ELC Footing Foundation ►, : T "' °i�: �r�a: , ,� - � �. j /y7•: .rc ... 4, ELC Ftg Drain ,` J�7'�i ce. !c•.:'jA �'�� J~ . f. E LR Crawl Drain .',. �,•.__�Vi.._, ^i:P. .., _...,�:., •.�.s-�. �� t . ��.3 r� ♦_�ST.? ; Slab Inspection Notes: SIT Post & Beam Shear Anchors ; , •7 , % • Ext Sheath/Shear • Int Sheath/Shear Framing 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: Final PASS PART , FAIL •MECH'ANICAI' Post & Be ° , Rough -In % L. �' - - - Gas Line SmokjDampers Final PASS PART FA I C S ELECTRICAL / Service ( / ,/ Rough -In �l�' f./ f� C7 F' �`C? ! 1 i s- F r/,) UG /Slab , • - Low Voltage \ Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. T FAIL - _ ____ ___ _ __ . -- -- -• -- Please call for reinspection RE: Unable to inspect - no access Fire Supply Line - - - - - - - - - - ADA • Approach/Sidewalk Date f it - 'i ( L/ Inspector ) Ext Other: Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL )� L . So3- .51/