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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00279 .��� DEVELOPMENT SERVICES DATE ISSUED: 10/22/2004 ` =--� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14596 SW DEKORTE TERR PARCEL: 2S112BC -14100 SUBDIVISION: LEISER PARK ZONING: R -4.5 BLOCK: LOT: 010 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: LP010 -A1 STORIES' 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,457 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 5 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS. 1 THRD sf RIGHT: 15 VALUE: 320,039 20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL. 3,287 sf REAR: 15 PLUMBING . SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES. 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. 1 CATCH BASINS: TUB /SHOWERS' 4 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: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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: 6 201 - 400 amp. 201 - 400 amp: 1st W /OSVC/FDR: 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: TOTAL FEES: $ 8,022.59 Owner: Contractor: This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR Specialty Codes 12755 SW 69TH 12755 SW 69TH AVE #100 and all other applicable laws All work will be done in SUITE 100 TIGARD, OR 97223 accordance with approved plans This permit will expire PORTLAND, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days Phone: 503 - 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 60563 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 lnsr Rain drain lnsp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp 1: ilding Final Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation lnsp •.pr /Sd 'k Insp Iss ed By : . ' :' � _ _ �.[�! i _' Permittee Signature 1i ►1l Ai Call (503) •39 -4175 by 7:00 p.m. for an inspection needed the next business day RECEIVED Buildin Permit Application vo. L t '� Received y 4r FOR oRE ICEyOSE EON 1' $ 200 1 � m$ h4?kvrv" S P 21 1 C �jk ,},, ' 6C ` ' '`Y City of Tigard e /By � ' � Penmt No. �t 15�a�� 7 , 13125 SW Hall Blvd , Tigard, OR 97223 CITY OF TIGA' Plan Review i Other Permit �7 / - Phone: 503 639 4171 Fax. 503 598 1960 ' � I a Date /B . / ` y ao, 1 Inspection Line: 503 639 4175 BUILDING DIV y ; L ;.. Date Ready /By, V hi m / 0 See Attached Checklist for // Internet: www ci tigard.or.us Notified/ ethod. /6 .09/411111411 I. 1-, Supplemental Information thq w Q <'. . :ray °' ' ' t , , • AT A: AND 2- FAMIL= ... � ;':REQ ` IRED=A: 1 . �., Y DWEIsL�ING,� � >.�:,� i��m��,, -, �.-.. - .«a _ an „ �. F.t:•`.,�#��'. ., °fir:. i.;�:, :.., ., _,, � - ' � ; New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the work indicated on this application. OF ".'CONSTRUCTION " ' k i °: s "Y," .'.,. 3�' =�'� :„ `:'��. ® I- and 2- family dwelling El Commercial /industrial Valuation $319,076.40 E] Accessory building ❑ Multi - family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: 3 1 . -• N TI, _.� ;A. w" ; l -JOB . SITE :INFORVIAI ION AND - LSO @ATION< ' Total number of floors: 2 x ; .E'' .. . .: job site address: 14596 SW Dekorte Terrace New dwelling area. 3287 square feet City /State /ZIP. Tigard, OR 97223 Garage /carport area: 632 square feet Suite/bldg./apt. no.: Project name: Leiser Park Covered porch area: square feet Cross street/directions to Job site: Deck area: square feet Other structure area: square feet REQIIC RED - DATA:' COMMEI2CIAUUSE CHECKi IST , 41V. - I Subdivision: Leiser Park Lot no.: 010 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.- equipment, materials, labor, overhead, and the profit for the work indicated on this application. �:� �.� w �� � _,'„ -, ” . ��x• gib, ," > = E.= m .,, a , �t,; �L.�. � � = Valuation: $ Existing building area. square feet New building area: square feet TaENANT ` Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69` Avenue, Suite #100 Occupancy groups: City /State /ZiP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: a's;<163 '' .,' ON' _ � * ®APPLICANT ° " ® CONTA , < „z&: , : - -'i� rt :, „ , . '. ,Q�.F � . _ �...�r .yr rg� a a.� .__ „�,�.c, r ° : IGE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the City/State/ZIP. Portland, OR 97223 applicant is exempt from licensing, the following reasons � apply: / Phone (503) 620 -8080 ' U Z / ( Fax : (503) 598 -8900 E -mail: slucas @legendhomes.com `�. `, �`;�` ;'��;:�,. _, � `��a , • � ,�CQNTIir�CTOR.,, ,��� ,� `�” '. � � _�•„ -. Business name: Legend Homes s °, , °' *::,; ` °`'„' BUILDINGERM1Tr °PEES %;11" Address: 12755 SW 69' Avenue, Suite #100 Please refer to fee schedule. City /State /ZIP Portland, OR 97223 Fees due upon application Phone (503) 620-8080 Fax (503) 598 -8900 Amount received CCB he.: 060563 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 name: Steve Lucas Date: 9/20/04 * Fee methodology set by Tri- County Building Industry Service Board i \Butldmg \ Permits \BUP- PeimaApp doc 12/03 440- 4613T(11/02/COM /WEB) • •t 11/04/2002 05:34 6427925 PAGE 01 FAX MON 11 ;08 � :' .•t1 FAX N0. 5035988900 P. 02 . Petr al Permit Aopl'cat>�aw 2 2 00 City of Tig*t4 ` " � p �r``wna� " N° S� -2or7 y flu ?9 13125 SW Roll t11vd., Tigard, OR 97222 CITY OF TIG' • N.A.... Cutter perch• Pone: 503.630.4171 l ex: 3Q ,5 8,1960 G D `•:;: ....�'i.i1i .1, fir: Jar . e rr t,r Internet: LinLimn www,OI 503.629,4175 BUILUIN s?+� Na, Mas auoolc naatul lnfmmItlan lumek ,tlgarLui +.tie N I' .I'. %I' s p y +•FI .•^ ',,, ••�' � 1'797' � I I I ', 4 I I I I! q '! j I1 J.1 rro .1.' I I I I! :: J " AI �I:Y- r�r • • � I , ., '� ,',I' N • . ,:It i ^I L �, L y,��'S i °. I , I" t'V'•1•.• Ir I ' f: .l f I� I W I ! • I I :1- I 'i lt l "'�• +'l li,rli Nr i1:17. 114116,'1::• P, f �•nlifl , l'Ci511ny tlz "rda + ___ , .1: .,+ ..,. " , I i. ".j• ® 1New construction 0 Addition/alteration/replacement Moose check sit that apply: ❑Sarvioe 4vor antis, conim9 QWeteardout locadon 0 Demolition • O Other: f Sorvlco over 320 arms - rating ❑ 13tailing over 10,000 eq. it,. i ;VI 'i,u1 .i:: +11 g • t :.' : 1 iy ' u o YI31:Alaw� � r 'I, "1141: �a:. cII', ;1'I'' 1. ': 'II �' iy:. i or •and 2- family dwelitnge 4 or mom new residential ., I n"a' YI iaaY I ', � I . d I ; I'I I' �I I' I I ® 1 - and 2- ttmlly dwelling 0 Commerclal!IRdtleiriel 0 Accessory building 05yetom ov4r 600 volts nominal units in one FtrttMitro ©nuttding over thrill stones ❑Seeders, 400 amps or more 0 Muhl- family 0 Muter builder 0 Others QOcospattt load over 49 persons °Manufact red amic lroe co ' 'iii .t ?i ti0 r' ::, ^'I • , of I. (( III RVpv14 1 !'rlll'Ix;., ° 'll��ra''•I�'It'tir 5 '( ���... - :wl., "::•�I:!a,.•,', (�Ii Job no.1 Job site address: 11596 SW Dekor'to Terrace - Sabre ,2, fot e facility plans Glitter: Suhmlt seta of pl with any oP the curies. C ity/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary onstrgodon service. - -- nI �t•1`.;x;";.;••'.ii I - r . : , :'•'•'!..:1' , ', •Iii ;•''•i' '!•„1.',I.,..:,;. '!•„1.',I.,..:,;. SuiurcitS . /ap no.: Project name: Leiser Park _ — O- w .paeu var. u _liilll Cross ebnei/dlrectlone to job site: New residential tingle- or multi4ennlY dwelling unit. • rncludesausebsd 1,000 se. ft, or lent 1 145,13 III Subdivision: Leis Pa rk Got ne,: 010 Su. add'/ Jua ICI, tR or .orlon 33.40 Limited energy, residential 75.00 © Tax map/parcel no.: Limited ever! , non4mddrs,tiat =I 75.00 2 • • I , , 11 , I ! :I '' i ,' I' ;1 '•III! r 1''' I 1 loch manufactured o 'I',�,,, +�al`1! , a ria I{ iIlly', e. I';I�nl'illaF6',�,�1� {p�'�!iFl: , 1:JI'�f�!'lll•r>!'I''r I';Lj�;,'�,'I ";�..lal ,I t: r. or modular dwelline. service and /or feeder 90,90 2 Services or feeders Installation, altcretlen, and/n1' relocation 200 a • or lees 8030 MEIN X ' I; t 1 8 '' I ' 1 4 . 11' 1 701 a111pt t0 400 a • C 106,85 — r ',�u' :' ali'i';! 1 1' 1 I'I 'I•[! I! ,�1�Id' I``.:: ;r? Ii' 1 1 / I II I „1 ,.v I I , i r. iAll I� I6 V' in , t4 . '•: . J• 1,III•. 201 all - to 600 amps =I 160.00 fill Name: Legend Homes 601 amps to 1.000 amps I= 240 Addreile: 12755 SW 69m Avrrtne, Suite 0100 , „ , Over 1,000 a • or volts � �p .--- - Reconnect oily 66.115 2 C1ty/StetoiZlPt Portland, OR 97223 - 'Temporary surviens err reed era installation. akaratloa, sed/ur Phony (503)620 -a080 Fox: (503)598 -0900 . .; can 200 a • • or lose- 66 55 _III Owner inatullhttOrt: This Inslalletion Ii befog made on property that l own which is r1Ot 301 w„9, ;,e 400 amps lin 100.30 iiiin intended for sate, tepee, rant, or exohangc, according to 0129 417, 449, 670, and 701, Opt a • e in 600 ottt•e 133,75 Owner Signature: Date: Brunel' circuits- new, eiterotlen, or extension, per panel � • 1 1 'l'1 %•ty� r �ba�i;lY r�„ 1 ' . rl fir+ I i' 1 � A. Pea for branch chain with �'� I i ;,:',.,;',1.,.^1, ',r1'. , t1Wtl • '�RFO7C.�� 1 /� �LI ; � : i'��(E�l:', I ��'i, 3.��)��1V�'R�' IP��� �� '�� t1. - : service or Ikedef fees rsCU 8ucineae nailer: Legend $etne9 brand) circuit 6.65 2 " D. Far far nrancit eiraue Contact name: Steve Lucas wirhsar service or feeder fee, 46,85 2 Addreoe 12731 SW 69° Avenue, Saito #100 each branch circuit Bach IWd'I branch circuit 6.65 2 Clq' /State /ZiP; Perpatld OR 91223 Mirwihnaouu (seiv re or feeder not laeludcd) Pup o rtb lrrletioncircle 53,40 2 Phone: (503) 620 Fax; I (503) 5911 -8900 S1g or nail ino Iigltdng y 53.40 2 ' &moil: elute .(.Jte epdbomo zom • Signal circuit(s) or Iimlled :n t•iT•:' 'I'' I i g II' 'I'I { "11'l,l.,.lII,I,I i : I l "1'! ":..':I: energy nel alteration, or ' ' t.,. ;: �i a �IiA�TIP1111 .L" •1.J�, ';� _ , r L. I I. , I I lu',. 1 Il gr ' .�,:. - ' extension. 00101be: Page 2 2 f3uS'nese name Career lei , Address; 2920 SW 247`" Avenue # A filch additioaae tns , den over allowable la guy at' quo above Per inspection 62,50 City /9tnte121P: Rhlithoro, OR 91123 Invectigation lerlluuts*loin) 61150 Phone: (503)591 . 1 ti ti "(503)642- '25 irulustrlal lent •cm hour 15-7e . I;i.'u1 :10?,,, rig n C71, l' 1 ' 1 4:1 1 I NMIT ,iR1.'P' : ;:1,;';. CC13 Lie.: 171159 r • - Lac,: 37094 Subtotal Suprv. Electrician signature, required' . /�/ j :' 1/ Plan review (33%of permit fee) Print name: Date: 9/30/04 Siata surcharge (8% of pelh*t sea) -• TOTAL larltIvirr mat 1 Authorized signature: . Thhi permit appnestton expires if a poratlt to not ofWlnud whit a 1119 - - der aner It has boa teetotal ad ,am Print rabic: Date: a 1 ere ntalhodeleity sow 'M-ceuntyBuit4ina Indssvy aorvka Bear4 r• Numberofiespovdons per permit ettowse. hisimOn ¢Rarml111,p1.t',.Plrinlhredee 12/03 44Q Mechanical Permit Application FOR OF,.FICEUSEIONLY �F 1.',. '.:,�� City ,of Tigard /�® Date/By , ^ , �+ \I y Permit No'' _ C t/ �l 13125 SW Hall Blvd., Tigard, OR 9 2Z i� �+ V Plan Review 4J 7 I Phone: 503.639.4171 Fax 503 598.1960 Other Permit: inspection Line. 503 639 4175 SE P 2 � o� x �! Date Ready /By Juns m See Page 2 for or.us Internet: www.ci ti and �' ������ g Notified/Method Supplemental Information GITY OF TIGAR pA t;44" ." ? 'tM '"�`4"z " "'" ,3 ":rt;,' "t'` :.: 'tr.'»'z ''�� '.(f ' ,15 {0, ',? °F` °.,` ;; •H" - ' ":7e...,.. ,F . "- =, .,: - •�:,e. ;. ^.< .; �; 't' .r, �, -... " ^. w„ , >b 1 .'Vt rem- „ :, ;:`'s. ...Wb COMMERGIALFEE,* •'SCHE,DLItiE`.` -., US CHECKLIST' ® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit. " " CATEGORO F "CO NSTRUCTION" i ' Value: $ t " ^`'lr *, I ` :,•s:. "`... -, .. -<. ..:. - ' .. „ 'E ,, , '+ x k: ... ”' RESIDENTIFALEQUIPMENT / ,SYSTEMSFEES"= . E 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea Total � - ■� tee.,; �_���, +, �<;, >�.: >��--,� , J, OB3' SITEINF ORMATION '' <.' Heating/cooling Air conditioning or heat pump Job site address: 14596 SW Dekorte Terrace (requires site plan showing placement) 14 00 City/State /ZIP" Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 S ui le/bldg./apt. no.: Project name: Leiser Park 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: Leiser Park Lot no.. 010 Flue /vent for any of above 10.00 Other 10 00 Tax map /parcel no.: Other fuel appliances m ... n �. z Water heater 10.00 .< ''i° ¢ "DESCRiPTION`',,OF= WORK ' r •,,, " : S w �� �� }' .,�,..�: . r, �. • ,�� "ter .-. _ .., �" ti .. � = ' 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 NROPERT,YOWNERE° ' °' Chimney /liner /flue /vent 10.00 ® TEN,P17 ,. 9 < < Other: 10 00 Name: Legend Homes Environmental exhaust and ventilation _ Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10 00 City/State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone. (503)620 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80 "` ° F rs4 ` Attic/crawlspace fans 10 00 �,. ' €;`.: ® „ APPIICAlVT`, � ; ,`. a ` - .''; _ °, ®C'ONTACTPERS*ON " "' a, p • , P,� Other. 10 00 Business name: Legend Homes Fuel piping Contact name Steve Lucas $5.40 for first four; $1.00 for each additional Address. 12755 SW 69 Avenue, Suite #100 Furnace, etc. Gas heat pump City /State /ZIP. Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 - 8080 Fax. : (503) 598 - 8900 Water heater Fireplace E - mail: slucas @legendhomes.com Range g , V41 V k CONTR:ACT012 „. w7 Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address 13150 Clackamas River Drive 1GITCHANICAL,P� IliGI rTAFES `t - City/State /ZiP• Oregon City, OR 97045 Subtotal Phone: (503) 557 - 2220 Fax (503) 557 - 0919 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie : 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature. This permit application expires if a permit is not obtained within 180 g days after it has been accepted as complete. Print name: Steve Lucas Date: 9/20/04 * Fee methodology set by Tn- County Building Industry Service Board t \Building \Permits \MEC- PermitApp doe 12/03 440 -4617T (I I /02 /COM /WEB) Plumbing Permit BEGRIIV E D ke-44,1 ? ; `r F OR O v i.t f USE ON , c if s , , Y_ - City of Tigard Received Permit No 13125 SW Hall Blv Tigard, OR 972S[P 2 1 2UU4 Date /By Plan Review � � � �.� -71) Phone 503.639.4171 Fax: 503 598 1960 r Date /By Other Permit No N ® 24- Hour Inspection Line. 503.639.411 OF TIGARU c'�"' Date Ready /By lures See Page 2 for Internet: www.ci tigard.or us BUILDING DIVISION Notified/Method Supplemental Information :.� ' : '.` -, n s � � -�,s� v�:� , -.`tea'° ";a,.;,;- ;;;�.�_ ., « � . n ��vr�m - �'.,ti .,�� �-;• - _-° .�,3� �+.� ,x.. ;:_ . „ c v , t.� ? <r e - i _ ' ' .F, EE *.' SCFIE ., -4, <- - , : , :;' , 1 ,- ' . . ,, ..1:‘ i , , t T YPE ` pF,,';WQRK ; : y =. ,, ' e- ,� . f. :_! :. ,w,.y . : A,,, ; . "..`— , :, - ...,.. e <. !K� i...s "f��• - .'- i�. x: ` r ` ..,,�YS' �i. q..?.� _ - :y��' .'‘' , '^= 4 k .'e 3. cffi. °= �` =-k.� a ® 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) �€ z'; : °�"', ": � tea:`,: �,,,. ���,; ,.� '', `CATE 8-, OF CONSTRUCTION � :'° ' 0 '� '` S FR (1) bath 249 20 ® 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 l 6 J O B�S IT E " :off:- LOCATION �''' ' - , . , , ., , - -°- °;tee, . . > , �,i a „: ,`. . , _- 2,�.'.'r°`. _ Sit u Job site address. 14596 SW Dekorte Terrace Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16 60 Suite /bldg. /apt. no.: Project name: Leiser Park 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. Leiser Park Lot no.: 010 Water service (no linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 `° ' :;". zsDESCRIPTION •EWORK '� ` .. A : :__ .: , , = 'a , . :CI: , , . . , : ` Backflow preventer Page 2 Backwater valve 16 60 Clothes washer 16 60 Dishwasher 16 60 Drinking fountain 16 60 M a` git'RROPERTY' O WNER;E174; "' ? k. i:: , S"TE . .T ' ,r ye, , x . . , _ _ ,.. a ,,d Ejectors /sump 16 60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16 60 City/State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16 60 Hose bib 16 60 ' €' ' ; VII: ' ®�APPLICAN _ .�' • ' . . `fire (NfiAd P ERSON : , • _ ' - • Ice maker 16 60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value $ ) Page 2 Address. 12755 SW 69 Avenue, Suite #100 Primer 16 60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16 60 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink / basin /lavatory 16 60 Tub /shower /shower pan 16.60 E slucas @legendhomes.com Urinal 16.60 - q'. ': ':' -, „ :w a, - 'max` CONTRACTOR � ...: '''K � °,.: ' ; :," Water closet 16.60 Business name: Wolcott Plumbing Water heater 16 60 Address P.O. Box 2007 Other City /State /ZiP: Gresham, OR 97030 Subtotal Minimum permit fee: $72.50 Phone: (503) 667 - 1781 Fax: (503) 66'7 Residential backflow minimum permit fee: $36 25 CCB Lic.: 23847 Plumbing Lic. no.: 26 -208PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature. TOTAL PERMIT FEE Frint name: Steve Lucas Date: 9/20/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn- County Building Industry Service Board 1 \Bmld,og \Permits \PLM -Perm tApp doe 12/03 440- 4516T(i 0 /02 /COMIVJEB) CITY OF TIGARD � ; BUILDING DIVISION PERMIT #: MST2004 00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 . ? �»d�rymypi Inspection Requests (24 Hrs.): (503) 639 -4175 ����� INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7 :10AM PAGE: 60 SITE ADDRESS: 14596 SW DEKORTE TERR CLASS OF WORK: SUBDIVISION: LOSER PARK LOT #: 010 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 4/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 004180 -01 503- 209.3370 N Corrections/Comments/Instructions: V,S L1 oS, ©iv! - FE jam COIL c �✓ 4111111Llilk —mom. C4s6 F/Alfte-c="6 4SS RTIAL APPROVAL n CANCEL n NO ACCESS (l FAIL M ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , � Dater/ � Phone #: (503) 718 - CITY OF TIGARD Al BUILDING DIVISION PERMIT #: MST2004-00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 , / At 0 � i Inspection Requests (24 Hrs.): (503) 639 -4175 . 'I .. INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7 :10AM PAGE: 59 SITE ADDRESS: 14596 SW DEKORTE TERR CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 010 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 4/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 004180 -02 503 -209 -3370 N Corrections /Comments/ Instructions: F,1, PASS 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �' 7/! Inspector: �1 Date: e Phone #: (503) 718 - i CITY OF TIGARD M BUILDING DIVISION PERMIT #: MST2004-00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 i„,/$01 41,1 Inspection Requests (24 Hrs.): (503) 639 -4175 l '__— INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAGE: 40 SITE ADDRESS: 14596 SW DEKORTE TERR CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 010 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503- 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 4/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 00372B -03 503.209 -3370 N Corrections /Comments /Instructions: • .PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 474-'" —sr' 0 . Phone #: (503) 718 CITY OF TIGARD 24 -Hour " • , BUILDING J Inspection Line: (503) C39-4175 - MST e e' Y - 66 a1g INSPECTION DIVISION Business Line: (503) 639 -4171 BUP / _ Received Date Re.uested / ' S AM PM BUP Location ". ►, .t1 --'%1 10 Suite MEC • Contact Person -- �--- Ph ( ) d — > PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELR Foundation ELC Access: t To - �v Ftg Drain Crawl Drain DO �� � � L r= \ 5 � I �` 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 i Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final &'I iA S 0 (7'i ) 1. t7 Y 1 t \ (1, J p� V . PASS PART FAIL MECHANICAL Post& Beam Rough -In Smoke Gas Line \ ,� ` 1 4 Q Dampers '}, � a I% -- ` L ,� Final 0 — PASS PART FAIL . \l G L U cp f ELECTRICAL \\- � '�(�, �� cs� 0 < erv L- \7' UG /Slab o age fi L C Fire Pi ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: D Unable to inspect — no access Fire Supply Line ADA '� Approach /Sidewalk Date' �. 5 ~ Inspector �--? Ext Other: Final DO NOT REMOVE this inspection record from the/job site. SS PART FAIL CITY OF TIGARD - . . BUILDING DIVISION I PERMIT #: MST2004 -00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639- 4171..��A �I�' Inspection Requests (24 Hrs.): (503) 639 -4175 = J� `__.. INSPECTION WORKSHEET FOR DATE: 4/7/2006 TIME: 7 :14AM PAGE: 91 SITE ADDRESS: 14596 SW DEKORTE TERR CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 010 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 4/7f2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 V Plumbing final 003946 -03 503. 209-3370 N Correc ions /CommIns /Ins ru tion : w,. 4/0 S (s) _ a s s s C-4 U L—C1-- Z . Do ( A__6,L...)__<_. ut.L,c,L.. L.....ArThr t 7 . 0 5 0,1--(7,06 5, loGu 3 3/' \/b - 4SS ❑ PARTIAL APPROVAL ❑ CANCEL _, NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - \4) - Cfe Date: . / ° Phone #: (503) 718- CITY OF TIGI D .1 BUILDING DIVISION PERMIT #: lviST2004 -00279 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 /O i�mu�d4hu� p �1 � Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAGE: 39 SITE ADDRESS: 14696 SW DEKORTE TERR CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 010 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 4/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 003728 -04 603-209-3370 N Corrections /Comments /Instructions: h - l /7 — ------ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 4 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 9%' Date: V.--0 Phone #: (503) 718- .- I CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST Y_20g:2 INSPECTION DIVISION it Business Line: (503) 639 -4171 a BUP Received /C9Ad( Date Request- s ib AM PM BUP Location I Q /0 MEC Contact Person / Ph ( 3) 6 7-1 1 ' PLM Contractor 7, .<.P,cd79 fiGe h,e ) 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 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL �alri:lT►td► __ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 4 0 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 fj q A Date f U� y Inspector Ext Approach/Sidewalk 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 )00 � � d 2 77 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received IA) � � Date Requested /'�"/.' AM PM BUP Location /q 4 7 T Suite MEC Contact Person d Ph ( ) 66 /72" PLM Contractor l.(�� 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 Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL MB ost & B Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 I ADA Approach /Sidewalk Date //))t1 y Inspector? \'�^f1'�� ^"'-' 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 ST �r1f i v _eo a.79 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re• uested /— AM PM I/ BUP Location / ! S9 (.° ' ' Suite MEC Contact Person \-- 61! - Ph ( ) 96 T -" 2 /63/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC. Foundation Access: C ,, . Y) ,j� fl Ftg Drai � fre-� V,,�C./ ELR 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: Fi S PART FAIL BING Post & Beam Under Slab Rough -In <ulLYlj Catch Basin / Manhole ' m Dr.'s Shower Pan Other: F 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 Anal Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - F Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA 3 Approach /Sidewalk Date t t 4.1 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 o L/ _do a 7 7 INSPECTION DIVISION a Business Line: (503) 639 - 4171 BUP Received Date Resuested / — / 3 AM PM BUP Location S/ A . _.� 2 f. Suite MEC Contact Person - 7 - L / Ph ( ) U, — 3 7 PLM 1 Contractor CC1l 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 • ( Sheath/ 4¢- .1'P ` 1 ' - ion Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fina ASS RT FAIL P BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL - . Post & Beam Rough -In Gas Line Smoke Dampers 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 - n Please call for reinspection RE: 0 Unable to inspect — no access Ext Fire Supply Line J 0 S ADA �-oac Date �/ 3 s Inspector ,� dewalk iiiimmilion.„_ DO NOT REMOVE this inspection record from the Job site. . CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 260 7 INSPECTION DIVISION Business Line: (503) 639 -4171 - - BUP Received l Date Requested / — / AM PM BUP / 7 Location / 6 L 4� A4.15r J 1 i Suite MEC Contact Person 7 P ( ) rA D 9 — 33 - 76 PLM Contractor ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain . , ELR Crawl Drain Slab Inspection Notes: SIT Post V & Beam Shear Anchors Ext CDSieath/ ' Insulation l ' aVi / - C 1 ■I C am . / A / Z, C I C1441-Al 6_;g Drywall Nailing 6'.- �p '' Firewall P2 P o V IN C L / A/ek, �-i iV fill ` / A, Fire Sprinkler / Fire Alarm - ?r -0 i/ /f) ( OQ " F.- 0F. 1) F� / F - b - � � Susp'd Ceiling Roof /" % ` -- 1 P I p _ e---/4 Other: Final Z, PASS PA FAIL 5 ! a 4 I �, IS L.-. i (+� t1) fl PLUMBING �O �� �( Uodt& Slab � /A/ A1 C-- Under Slab � Rough -In ' � .. _ / er .r ` _ 1: ICJ I 1 - Water Service — Sanitary Sewer F2:41A4/ L p, Rain Drains 7 Catch Basin / Manhole It) 1355 rL12 ' ,.6., r.1-'Y A- Storm Drain Shower Pan L r t A. _ u- .1 ' e._ . 7 ;,g it `' Other: - _ Final • (-J !► Cam , / PASS PART FAIL MECHANICAL ' , .. S O Z,C� f I_ 7 f i.ft S i Z c. P L-&T7 '`'Ai Post &Beam s ) 0 / dJ I 6-, e �� %�S Rough -In. Ll 1! tt _ FOK Gas Line / Smoke Dampers _ - LS17 — Final l Z) Pg-c l/ t' r N74-7 �- PI.--- -- 17-7 a R PASS PART FAIL J ELECTRICAL.. 11 �Z-{ -- -c_. S-17 i ly //4 (. Service Rough -In Fi - y PbsiDM UG /Slab Low Voltage Fire Alarm Final 0 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 D e l ® I n s ector Ink, - `--- Ext Approach /Sidewalk l P -- , up- Other: Final DO NOT REMOVE this inspection record :. the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (,' 3) 639 -4175 MST .;?46 INSPECTION DIVISION Business Line: 03) 639 -4171 BUP Received Date Requested l — AM PM BUP Location s IV - = Suite MEC Contact Person / Ph ( ) 0615 — 3 3 7D PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes, SIT Post & Bea 1 Shea c o , Ext °Sheath /Shear tit s heath /S -a 61A-SL-44 / g - e....--- I 'P /of . Tr U - r 5 H 6 Drywall Nailing Firewall Fire Sprinkler Fire Alarm ���s U Susp'd Ceiling�'l�r�� _ Roof r /iL n ® ! ,� �; Other: Anal I r.®o 441 I =4 ' r)e}{' , /,�j/ -- t La� PASS PART a y A ' PLUMBING ` tom o \! i' 1 (S Z_.x 10 1 �<, - lip( *i L_ Post & Beam Under Slab Jk 1 - n A 5 A Ml ! SS iN./ fri1 11" /9j 1,,,M: -/ .ri Rough -In e` o V S ® 1--K. , "d— 2 7 %Yi ` Water Service Sanitary Sewer • s: `: S • ,1� Rain Drains Catch Basin / Manhole *! T \7p Sy- re____ h - f'/ .- . Z_ Storm Drain Shower Pan (35 , — P L.--/i S e---,gZQ2._ Jr-b i z ' ' /-Z t < Other: Final ; 1 Al PASS PART FAIL MECHANICAL jam` 4 ( -- re_' - 4. .' /- e Post & Beam fain l—L- a u S //^ RS a"/ T5/ 5 - 7 - g#4 - e5" 5 e m s i -�-0 - 4 P 8 Svi Smoke Dampers , Fi PART FAIL �! A 6 Po 5 1 L' O U E______--(5 l nit) S .'i _ E Pg-a n[ T TRICAL - '7"19" _ i ,,./ b 01.5 Service "'link // C� / Rough -In (7 < p, 5 . 1 .-- h I CA G-- (-3 "@ U 1 Q UG /Slab �- Low Voltage %'1�►e14" e - 7. - Nib - s - 70 / V11 Fire Alarm ° 7 \ e 4/ B 5 V /4' /'p pr b� S/ r (� c.� ( ev= Final J k',Y0 I]!; � PASS PART FAIL Li Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection R Ad 0 Unable to inspect - no access Fire Supply Line - P� ADA D v Ins ector --- /11( _ - Ent Approach/Sidewalk P Other: 0 Final DO NOT REMOVE this inspection record , the job site. PASS PART FAIL o j /2tAb CITY OF TIGARD 24 -Hour (� BUILDING Inspection Line: (503) 639 -4175 MST °��v INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested _ 7:= — - 7 AM PM BUP Location Suite MEC Contact Contact Person % Ph ( 0 l J 33 -76 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 Gi Sheath/S:,� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: _FART FAIL BINC - Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: - Final PASS PART FAIL , ' Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL = Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 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 /2. 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 °IZ)- D INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Req -sted f° S AM PM BUP Location «��• = - 4-g- MEC Contact Person Ph ( ) 9 -33 7o 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 Int Sheath/Shear /A AP/ A./e37 Framing / �p w ry Insulation 4— Drywall Nailing �� f�.� al= Fi rewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS_ AR FAIL PLUM 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 ri 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 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c;a0_44-e`�'J.27 f' INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received 1,062 Date Requested G, I /2— AM PM BUP Location / %" 5 9h w it) Deteo-d-e_ ��z, Suite MEC Contact Person 7-�u� Ph ( - - L'" /1 - 91 '37 v PLM Contractor / Ph ( ) SWR BUI G _ Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT � 'Shear gchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F' .9 PART FAIL PL's BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL AL os Bea Gas Line Smoke Dampers PART FAIL EL - CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA _ �,� Approach /Sidewalk Date 1j J Inspector ,A1 At l l Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Lin (503) 639 -4175 MST ) O d - 7? INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Req sted "" //_, /f , AM PM BUP Location 1 L/ q� ��a �1�1L� Suite MEC Contact Person Ph ' ) 7 3 — S 7 (7 PLM Contractor P ) SWR BUILDING Tenant/Owner ELC Footing �n Access: ELC ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Ext Shear Sheath/Shear Anchors L -/9 d b �) Ext eah/ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling o Rof Other: Fi PA PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final IVO! [� d� I I�G� N c =!-fc) (moo L i S PcER, PASS PART FAIL MECHANICAL S eA s�/`#,�(�f:J C z-) -6; oVI l� Post & Beam Rough -In FL-do l2 %/C 7 L ,4-7j/1/4/ Gas Line Lo 2�� 0/2 R/ ' �� ( /yy\ /7I L= MP 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 E Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date //' ® Inspector ` Est Other: Final DO NOT REMOVE this inspection recor ' rom the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 � � INSPECTION DIVISION Business Line: (503) 639 -4171 MST o2l�D �— O - Z `� BUP Received Date Requested b v ' AM PM BUP Location 4' •„ _at Suite MEC Contact Person )� Ph ( )'7.53 S - 7 ( 7 PLM Contractor Ph ( ) SWR / Tenant/Owner ELC oot Foundation ELC Access: Ftg Drain • ELR Crawl Drain • • Slab Inspection Notes: SIT Post & Beam /1:06 Shear Anchors Ext Sheath /Shear Ina Sheath /Shear US/It J O 7 I 0 , / - Framing ! Insulation Drywall Nailing Firewall S�C_K Fire Sprinkler ;,I / Fire Alarm / u —i..-Z. , Susp'd Ceiling Roof - Other - ) - ��7 . 4,4 (5 U 12 v��� 7) - Fin. PART FAIL It UMBING` f • 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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ - , ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA d — D /� Approach/Sidewalk Dat / Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL Nil IL- if N 11 - Ox- 1 STREET Q. ,,, ® N .. 4 - j v I ' 72-1 ,,, ii (7 ,, . . q c.,2 4 Z entfor Z Jb - A A A A s. ► x t ® R � . �� � , � {�CaC10 II � i a { , . i meets �► , ► F ounty r I land use and development standards for street tree installation. ® ( � � t ■ u) 1 (� Bo ADDRESS: � ► r u(cS-eV/641' A Ow i l .1 LOT: / 0 7DWISION: ►`'k., ® N a ► t BY /t .ao, "45-_,, . AI d „ ,. d! I s)-11- k L ! 6 v I v `' I r Al I RRCE1VED BY _ _ _ .” " ► � i ' i=== ■ / /7- ,= D sS 6-) m --- yri-t-Ty-t-v-vy--yvv, lib- it virvi N