Permit }CITY OF T I G A R D MASTER PERMIT
iii
PERMIT #: MST2004 -00024
* **AO DEVELOPMENT SERVICES DATE ISSUED: 2/27/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08387 SW DURHAM LN PARCEL: 2S112CC -00015
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 015 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE: BVH1675 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 635 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND' 1,040 sf GARAGE: 305 sf FRONT' 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS. 1 THIRD sf RIGHT 5
VALUE. 163,061 30
OCCUPANCY GRP• R3 BDRM. 3 BATH: 3 TOTAL. 1,675 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS. 3 WASHING MACH. 1 LAUNDRY TRAYS RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS' 1 FLOOR DRAINS: SEWER LINES. 100 SF RAIN DRAINS: 1 CATCH BASINS
TUB /SHOWERS' 2 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES. 100 BCKFLW PREVNTR• GREASE TRAPS'
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL /CMP < 3HP: VENT FANS: 4 CLOTHES DRYER' 1
GAS FURN > =100K: UNIT HEATERS' HOODS' 1 OTHER UNITS:
MAX INP• btu FLOOR FURNANCES: VENTS. 1 WOODSTOVES. GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS 1 0 - 200 amp. 0 - 200 amp W /SVC OR FOR' PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp 201 - 400 amp: 1st W/O SVC/F DR: 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: $ 7,264.61
This permit Is subject to the regulations contained in the
BUENA VISTA HOMES BUE NA VISTA HOMES Tigard Municipal Code, State of OR. Specialty Codes and
6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable laws. All work will be done in
PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION
Oregon law requires you to follow rules adopted by the
Phone: 503 - 443 - 6033 Phone: 503 443 - 6033 Oregon Utility Notification Center Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LTC 152235 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Water Line Insp Plumb Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Service Insp Building Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Insulation lnsp Appr /Sdwlk Insp
Foundation Insp PLM /Underfloor Framing Insp Rain drain Insp Electrical Final
Post/Beam Structural Mechanical Insp Shear Wall lnsp Storm drain Insp Mechanical Final
Issued By : / P ermittee Signature : — /'��'�
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1 7
- Bu lding Permit Application FOR OFFICE:; usF ONLY Received Building
�+ „ o Date/By:/ c2� -194 / 6'P_ Permit No. ��0 &41
CIt of Tiand Planning Approval Other
Y g ` Date/By Permit No S L - a-9.2 ii 1:2:: ''
13125 SW Hall Blvd. � Plan Review Other
Tigard, Oregon 97223 0 Date/By. MA J a -a '7`* , Permit No :
Phone: 503- 639 -4171 Fax. 503- 1U -14uw � ' O � t 11 0 �.Y i'l � Date/By 1eW Case Noe
Internet: www.ci.tigard.or.us , - --. Contact See Page 2 for
24 -hour Inspection Request: 503 - 639`4,17#1 DV; , Name/Method Supplemental Information
GV 1Nr;D
-TYPE OF WORK , 7' ,: ':- : - , REQUIRED DAT- ,
A:...•_:
gi • New construction ❑ Demolition .: `: '
I A 2 FAMILY DWELLING ', .
El Addition /alteration/replacement ❑ Other: —
CATEGORY OF CONSTRUCTION . Note Permit fees* are based on the total value of the work performed. Indicate
I & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation ... ... S
. JOB SITE INFORMATION and LOCATION No. of bedrooms 6 No. of baths: 2s 5
Job site address: q 3 4S1 '17JYtnc:,w.. it t4— Total number of floor ...........
New dwelling area (sq ft ) . ..................... 0 i111E• -
Suite #: 1 Bldg. /Aot. #: Garage /carport area (sq. ft) . •
Project Name: R, � f w cA \5 Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.) .. to
`‘\,'\) N c 1 1 .\ J A- s Di/wham i Other structure area (sq. ft) %i
�J� - . - .REQUIRED DATA: - ... . -
' - COMMERCIAL =USE C
Subdivision: D nm a Oo `{ S 1 Lot #: J 5 —
Tax map /parcel #: , �1 .,LC, — p®1.,�1 S Note Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
VV v na � n �i / y i ^ � p (� overhead and profit for the work indicated on this application.
1 N n r 1 C t' 1 c4 v-e Ills et . Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stones .......
0 PROPERTY OWNER l ❑ TENANT. - . Type of construction
Name: P/�fx)(n 'I 1st( t1-Dmes Occupancy group(s): Existing:
tP°l ?_ Svc M cC 11.m *C� New:
Address:
City /St to /Z : Pt* * o Iz oil-2.19
Phone :(59 - j .141-1-& LeD Fax: ( D j) 1-144; ZL} 2 NOTICE: All contractors and subcontractors are required to be
[]' APPLICA CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: I&' (",1-i- jurisdiction where work is being performed. If the applicant is exempt
Contact Name: M \ n 6t Avl P ,vS from licensing, the following reason applies.
Address: /y1P, a cub twe,
City /State /Zip:
Phone: I Fax:
E -mail: `' BU ILD ING :PERMI F EE S* = -
al ism e vuPX\G � 1st h Di s. C•�,� .: Please Fitefeeichediile: . .
CONTRACTOR -. . - .. • - - -
Business Name: O PX1A V i 1, Fees due upon application.......... s
Address: / ._ . JA /, t kAa - 4-L
Cit /State /Zis: I I MIRUYI �L Amount received S
Phone: I ' 0 r 3 Date received -
CCB Lic. #: 1 F72_
Authorized
Signature: Date / Notice: This permit application expires if a permit is not obtained within
g 180 days after it has been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i. \Dits\Permit Forms \BldgPermitApp doe 01/03
01/20/2004 16:22 5032537693 RECEIVED' GLOW INC PAGE 02
26 2001 . F O R U1 FR 1;I
1rV echanica 'ermit � p� l><c ejved Mechan
bate/8 - Permit lto.: lYK 0 -evip
Planning Approval _
City o Tigard C ', OF TIGAR I paten
1,3125 SW Hall Blvd 1114G DIVISI "° �'^� Other
Tigard, Oregon 97223 B ` na . - emit No.:
Phone: 503- 639 -4171 Fax 503- 598 -1960 Post.Review Land Use
Internet: www.ei,tigard.or -us 4::`_A 1! Contact torts.:
24 -hour Inspection Request: 543- 639 -4175 - rJ NarneNcthod:
• ' OF WORK .. ' . , . .1..:-.- CO u' tN• FEE*.SC;H2AU1LEI ISLCBR . Sl". '' Ar.+•
go. New construction N Demolition Mechartical permit fees' are based on the total value of the work
LM Additiof/alteration/re lace:x1unt II Other: peed- Indicate the value (rounded to the nearest dollar) of all
' ._CA.TttleRT OrCONSTRUCTION, 4 - •. mechanical materials, equipment, labor, overhead and profit.
IIP% I & 2- Fartu'l dwellixt- 11111 Commercialfhidust l Valuer S See Page 2 Rer Fee Schedule
I� Accessory Buildint 1r Multi- Fa1ni1 y I t per , a a' r YSTE SPELL
Descri• :on 'ey l Feel's.) went
■ Master Builder - Other; Mooting Ceoling
' - JOBSITE INTORMATI ON.atid Furnace • add ^on air conditioning** 14.00
Job site address: Gas heat pump 14.00
Suite #: 111001M Duct work 14 00
Pro'ect Nat�1e: ,Fi / ,fie! , Hydtonie hot water system 14.00
Residential boiler
Cross Street/Directions to job Site: (ter radiator or hydronic system 14.00
1 a f /� G �� / q 1 !� ( rt it Mar el
heaters (fuel, not electric)
v A l ` V to th ers in-duct, , not suspended, etc) 14.00
Flue/vent for an of above) 10.00
Lot #: f Re s�st units 12.15
$ubdiVi3i0n L # (•' Other Fuel Iinaces
Tax map /parcel #: Water heater 10.00
• ESCRI P'FTON OF WO ' Gas fireplace 10,00
4 .../ g MAN Flue vent (water hour:rips fireplace) 10.00
Lo: li: er :a5 10.00
<IA � �i� _ IL Wood/Fellet stove 10.00 NM
— rICI1/�''IIMh1 Wood fireplace /insert 10.00
Gttirtute /liner/flue/vent 10.00 MINN
pPRQPERT0 R' ' .• - :. !! TEN- . ', Other: 10.00
y' Environmental Exhaust & Ydttifatiou
Name: . '.a ��r ►�_ �I �I ' a hoed /other kitchen equipment 10.00
Address: iriON s] MINAB II t1. ' clothes wryer c er kit 1 0.00
> • k._ �.Wir Single duct exhaust {
Phone: 0 N F�iS1 ' psi; Clathroo►t, taQct eOmparanents,
IN ,AIPPLIC NT it a :C0!NTACT PERSON utili rooms 6.80
Name: iw7ill
V / � i1 0 • Mii Attic/crawl space fans _ 10.00
Other 10.00
Ci IS . te1Zi.: •1$540 for first 4, $!1.00 eaeb additional)
T� Furnace, etc, ""
Peon � [� ., Fax: Gas heat pump °"
E - Mail: IV.. I ,'J / . lI Wall /s •.. dodiunit heater '
• . •_• ' r ' COMFRAGTOR . , Water heater
Business Name: , : A 4 I . A . Fireplac .. INNIMI
EMIIIM
Address: 1 •
EumilliMIIMINEN
Ci /State/Zi.: fr-I lnut , ()K c1Z2 ice Clothes :as
Phone 1A - 2.5 7 :' Fax: ", - 255 7 Other: _ "a
$
Total:
CCU Lie. #; L() y Subtotal: l+liecusmkcat ) crash Vee *
Authorize d l•
Signature: /111 alt) Date: 112:0109 Minimum Permit Fee S72.S0
. r� Db Plan Review Fee 25% of Permit Fee)
tLb x . ( ibs name) State Surch - _e 8% of Permit Fee
(1� TOTAL PERMrf FEE S
p application *Fee tuetbodolov set by Tri- County Soaring Gldostry Service Board.
Notice: This t a IttAtton expicoe t[a permit It not obtained within "Site plan required for exterior A/C tarts
180 days alter it has been accepted as complete.
i:\Dsts` ,.t t Postru■MecPermitAPP.doc 01N3
01/20/2004 16.03 FAX 5036284633 THE MULLEN COMPANY 2002/002
Plumbing Perm A pplication t.��I1 ►[ �'!c'f_ b ONLY
r ., ei ved Plumbing RE /� i , •
)c Permit No' 9OL1 -- 00 -
C i of Ti and V 1 7' it,a approval
Sewer
i7 g Date/13 : Permit No.:
13125 SW Hail Blvd. 1' fart Review Other
Tigard, Oregon 97223 b L U Permit No.:
Phone; 503 Fax: 503.598.1960 .
Lncertlet: www,ei.rigard.or.us .� 1' u ',I 1 it TIGA" ``. met � .-
'1 See Page 2 to
24-hour Inspection Request: 503- 639 -4175 DIVI'1 • .
.•. ethod: 8u .. teaming Information_
TM OF. WORN. •FEE *SCHEDULE ( tbC' SpeCrta1a[oiE7R1raeeEiec3tllst) '' -
10 New construction • Demolition Description i QVf• LFcc(rm) ( Total
• Addition/alteration/r• . laoement 1111 Other; ' y
�1'"' �' t it ;::+
£A'Y�GOPM Die �.s,. ON .�r.`.'. , -,..:' , a$iiaigi 'toi- ti7oi _ ;i i' ,,,...r t�. -
SFR 1 bath 249.20
11� 1 & 2 -Famil dwellin_ 1■ Commercial/Industrial SFR (2) bath 359.00
• Accesso Buildin: • Multi -Fami1 SFR ,(3) both 399.00
II Master Builder I Other: Each additional bath/kitchen 45,00
s'OSSI?TE TIOMaadLOCATION Fire sprinkler • sq. k: Page 2
Job site address: • • • ......... ...Site Utl3fitie .. - •, , r i,:,: ;aty'.'jw1+,;,:,6 - . ' :'
Suite #: Hld:. /A. t. #: Catch basin/area drain
_ 16.60
. . , . /A Drywel leach line./trench drain 16.60
Pro'ect Name: /,'�► Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilitioa 110,00
1 % A A ri ao I ' '01.+ - ‚ I )1 vA - Manholes t6.60
Rain brain cottnector 16.60
. Sanitary sewer (no. linear ft_) Page 2
Subdivision; 9 � �i 1 11 R ► Lot #: 5 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
' Fixtureorltem:
r ' • ' t, O a • a �� ,
Absorption va l 6 60 ': '
,VIII . Backflow preventer Page 2
ugg I'u �gigoiV m Backwater valve .. 16.60
Clothes washer 16.60
pishwasher 16.60
1si PROPERTYCAVNEE . : E 9' TEPIitNT • Drinking fountain 16.60
EjectotFJswny 16.60
Name: jgll / (A7 me� l��� ' Expansion tank 16.60 ,
Address: I il�'�t[ r Fixture/sewer rap 16.60
Floor drain/floor sinklhub
- 16.60
N PIEDL Garbage disposal 16,60
Phone: >.I Ll - L ECII MEIR�I�L'gwI Hose bib
,i �_ *:r COeU , , EASON . lee maker 16.60
Name: MITOIMMIAMIUM interceptor /ease trap I6.12
Address: i I li_.' / - APOWNINIE Medicalgas - value. $ Page 2
Primer 16.60 ,
Roof drain (commercial) 16.60 _
Phone: . • - -i ' OZ FINIMMISUBBEE Slnklbasin/lavatory 16.60
IMp/ �J 1r/ I 11 l '. • 0 - Tab /shower /shower pan 16.60
O tSTOFt ' Urinal 16.60
usiness Name: L water closet 16.60
B
fj . l'i / Li / Water heater 16.60
A ddress: _ / re ' .4" A ! 1 Other 1,—.-
• r r . Ocher , rT-
Phon' 6' A�r F 5D , ' . : " . - �.platin Ye t is & s
//_TSi , ! Subtotal 5
CC$ Lic. #: " : ' ` lumb. L'e.#: -2&Q 'e Minimum Permit Fee $72.50 $
Au orized - Residential Backflow Mirdran Fee 536.25
Signature; / sr Date:! - z �`t Plan R .cvicw 3S% ofPe Fe e) S
r Wff� _ _State Strcha a (S% of Permit Fee) S —
(Pleas . print name) TOTAL PERMIT FEE 5
Notice: Thia permit application *spirt= if a permit is not obtained within ' All new eomauretal buildings require 2 acts of puns with isometric or
180 days after it has been aeoeptod Ita complete. riser diagnuo for plan rider,.
* Fee methodology set by Tri- County Building industry Service Board.
i Mets \Permit Forrns\P[mPermitApp.doe 01/03
01/20/2004 16:08 5036425815 OS ELECTRIC INC PAGE 01
lectr�� cal 1'erm��t A lica,� n -
P,N c � 6 2 t < . ivcd Electrical
D.. /8_ _,: Pertttit No
City of Tigard Approval Sign
]
erm
3125 SW Hall Blvd. Y O �►G ,,•. t{ pit No.:
Tigard, Oregon 97223 �.IWG' I' Date/ y: Other rmit No.
Phone: 503- 639 -4171 Fax: 503 - 598 -I960 Post- Review Land Use —
Internet: www•ci.ttgard.or -us ' '. 1 Contact t Case No -:
24 -hour Inspection Request: 503- 639 -4175 -" I , ' �" J kris. Su pee Page 2 for
Name/Method: Supplemental Information.
•"iYoFwoz • Rill New construction W (PIeitae•e4eeka7Etbat.' lYl ' . • . ..
�a Demolit Service ov er 225 amps. t] Health-me facility
• Addition /alteration/r- •lacement commercial
Other: ❑ Hazardous location
Cl CATEGORIC OF CONSTRTJC'I If]N • Service over 320 amps -rating of in Building over 10,000 square feet,
1 & 2 family dwellings four or more residential units in
a1 & 2- Family dwellin • ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
Multi -Famil
El over three stories ID Feeders, 400 amps or more
111 Accesso Buildiltt
I � Master Builder • Other: 0 ❑ Occupant load over 99 persons Manufactured structures or RV park
❑ Egress/lighting plan Other
, '• bbE SITE INFORMATION 9ind LOCATION ' Submit sets of plans with any of the above.
Job Site address: The above are not applicable to temporary construction service.
Suite #: Bld•. /A.t. #: • - , • ' SCHEDULE . •_ ,.* .;
Pro pct Name: Number of ins . ections i er . ersnit allowe
i ♦ �M ay o0 Descrl • lion Qty Fee (ea.)
Cross street/Directions to job site: New residential - stogie or mold- family per
/� VOL luag unit. includes attached garage. v
► "�/� - Y\"" fl/\ R / � t/ t an, { 1 I V vo • Servi. tncladed-
1000 sq. n or less 145.15 4
Each additional 500 • - 0. or . .rtion thereof 33.40 1 '
Subdivision: E I i/f� Lot #: Limited ever ,residential 75.oa - 2
Tax map /parcel #: Limited energy. non residential IMO 75.00 2
Each manufactured home or modular dwelling .
- • , • ` 'DESCRIPTION OF WORK . service and/or feeder 90 90 - 2
III i IAA 1 /j • - / A' Services or feeders - installation, Or relocation: C / 200 am.s or lean 80.30. 2
201 am ps to 400 amps MIMI 106.85
2
IN , PROPERTY QTR r - . . 51111 TEItf_ ' , 601 am, to 1000 ant ., ME 240.60 2
Name: ��. / + �� 0 C Over 1000 am• or volts = 454,65 2
l�- Reconnect en NMI Reconnect SS � 2
Address: Pa / �+ — u • AA • Pl Temporary services or feeders - installation,
r I /` J p alteration, or relocation:
200 am.s or less 66.85 1
Phone tea >• �, , mfi .! 50 rliMPAMIll 201 am., to 400 am NM 100.30 Ill11 2
1U I CONTACT PERSON 40 i to 600 am ., 133 75 2
IVY va a ,^ ext ns n per p t - e ew. alteration, or
/► l cztenalan per panel: • Address: ...A � a A. Fee for branch circuits with purchase of
service or feeder fce each branch circuit III 6.65 2
Ci /State/Zi .: B. Fee for branch circuits without purchase of .
46.85 2
Phone: I D r , fi 1 i4 servi
h ce ti or ona! brass feeder fee. ie c fvs ircui i t t ranch circuit
E-mail: / p( � _7! Z4 —1 adtj
a - V `-" V r� I s 1 mats. corn Misc.(,Service or feeder not included). 6.65 2
• •` CONTRACTOR' , • Each .um. or im :, 'on circle 53 40 - 2
Job No: Each sign or nuNine lip�hri 53.40 2
Signal circuits) or a limited energy panel.
Business Name: Ross_ E - pc. alteration, or extension 2 2
Address: Q S ?O 540 j -' p-C e ' _ Description III
CI /State /Zi.: ii't S ( et r 1-71Z3 Each additional ins. ion over the allowable in an of the above:
Phone:,5b3 6 Z 2$OO ire ' �.• I. tnvesti aie tee r 6250 —
CCB Lic. #: is / Other: _ um
Supervising electrician : Eleitlrfcai.Pett�fti'et_;,., , ,.-
si;e attire re. uired ' !^ - Subtotal $
, Plan Review 25% of Permit Fee $
Print Name: Ct I OSS Lic. #: `123RS State Surcharge (8% of Permit Pee) S
Authorized TOTAL PERMIT FEE $
Authoriz Notice: This permit application expires If* permit is not obtained within
Date: ISO days alter it has been accepted as complete.
"Fee methodology set by Trl- County Building Industry Service Board.
-
(Please print name)
is \bsts\Permit Forms \ElcPermttApp, doe 0 1 /03
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STREET TREE CERTIFICATION
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land use and development standards for street tree installation.
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VVVVVVVVVVVVVVVV l VVVVVVVVVVVVYTYVVVVVVVVVVVVVVVVVVVVVVVVVVVN
r CITY OF TIGARD 24 -Hour
BUILDING dp Inspection Line: (503) 639 75 , MST 7 --(36/6 L I
INSPECTION DIVISION Business Line: (503) • -4171
... (/ BUP
Received Date Re nested R-1 b . M PM BUP
Location `I` 3 8'1 citiA , Suite MEC
Contact Person - •h ( 17 ( 6 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 1—C) . 1 Q �Q
C,
Int Sheath /Shear c , 117.0 C � � 6 S V S
Framing t � .Y y C
Insulation
D Va
Drywall Nailing ��
Fi rewal I
Fire Sprinkler ■
Fire Alarm
Susp'd Ceiling
Roof
Adiravaris
4 PART FAIL
UMBING
Post & Beam A Under Slab �-� il
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
AS PART FAIL
h1_ 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 ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Date Inspector ._� 6 • /8 • I ns ector ∎ _ Est
Approach /Sidewalk
Other:
Final DO NOT REMOVE this inspection lord from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour �1
BUILDING Inspection Line: (503) 639 -4175
MST 1 ` aC54
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested I 7 AM PM L BUP
�y
Location a 3, 31 Suite MEC
Contact Person ` Ph ( ) _7/6 --((/ 6, 7 PLM
Contractor Ph ( ) SWR /
BUILDING Tenant/Owner ELC L/∎
Footing
Foundation Access: ELC �
Ftg Drain ELR //'��,1
Crawl Drain =.�I"
Slab Inspection Notes: SIT �'l
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
A - (� Inspector Ni* t
A �— Ins
Apppp Approach/Sidewalk Date p Ext
Other:
Final DO NOT REMOVE this Inspection re ord from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 6 -- /S i AM PM BUP
Location S35? 7 .b Suite MEC
Contact Person Ph ( ) 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 �' /,,/ Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
. Under Slab •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
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 /t3 Approach /Sidewalk Date v Inspector Ext _
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL