Loading...
Permit V Vv C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00151 -..,, 4,i DEVELOPMENT SERVICES DATE ISSUED: 5/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 110 B B -02200 SITE ADDRESS: 14340 SW HAZELHILL DR ZONING: R -1 SUBDIVISION: AMES ORCHARD LOT: 022 JURISDICTION: TIG Project Description: Addition of 310sf garage and sunroom 423sf. 11/30/05: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 255 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 210 sf GARAGE: 315 sf FRONT: 30 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 465 sf 46,618.00 REAR: 25 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: GAS OUTLETS: 1 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: W /SVC OR FDR: 7 PUMP /IRRIGATION: PER INSPECTION: A .0: . EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: j 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: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other WELCH, JAMES P + CHERYL B OWNER applicable laws. All work will be done in accordance with approved 14340 SW HAZELHILL DR plans. This permit will expire if work is not started within 180 days TIGARD, OR 97224 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those 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 -6699 Phone: 503- 639 -8093 Phone: or 1 -800- 332 -2344. Reg #: TOTAL FEES: $ 1,359.16 REQUIRED ITEMS AND REPORTS -�^ r - � Issued By : - / <� ^� Permittee Signature : _ A , ,f,:, , __f Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. I This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. fl A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00151 11 et DEV ELOPMENT SERVICES DAT ISSUED: 5/25/2004 { 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14340 SW HAZELHILL DR PARCEL: 2S110BB -02200 SUBDIVISION: AMES ORCHARD ZONING: R -1 BLOCK: LOT: 022 JURISDICTION: TIG REMARKS: Addition of 310sf garage and sunroom 423sf. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 255 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 210 sf GARAGE: 315 sf FRONT: 30 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 46,618.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 465 sf REAR: 25 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 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: W /SVC OR FDR: oo PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC 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: w 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: $ 1,109.16 CHERYL B OWNER This permit is subject to the regulations contained in the WELCH WELCH, JAMES P + C DR Tigard Municipal Code, State of OR. Specialty Codes 14340 , SW HAZELHILL and all other applicable laws. All work will be done in TIGARD, OR 97224 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. Phone: 503 639 - 8093 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Rea #: 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 Grading Inspection Mechanical Insp Shear Wall lnsp Insulation lnsp Plumb Final Footing Insp Plumb Top Out Exterior Sheathing Ins[ Gyp Board Insp Final inspection Foundation Insp Electrical Service Fireplace Insp Rain drain Insp Slab Insp Electrical Rough In Gas Line Insp Electrical Final Footing /Foundation Dr; Framing Insp Gas Fireplace Mechanical Final Issued By • / / Permittee Signature : KO itat./ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day I Building Permit A I EI V ED FOR.OFFICE.USE ONLY ` City of Tigard DateB d a Permit No.:ins 4;400 -• ad / 5/ 13125 SW Hall Blvd., Tigard, OR 97223 MAY 25 2004 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /494 Other Permit: Inspection Line: 503.639.4175 CITY OF TIGAR ¶ I DateB Date Ready/By: a See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISI • 1 • Notified/Method: Supplemental Information rffei ";z ° =x .r �:. :,; °. x,?�� „�. ? , t s v' o r s " , ` : gs <, �° ° t r y �w n�,;: �e �: .<.:o. n: „:0*`,s.• ._5r ,�•�:: x �€5.r.-- .�:,:,.:�°•; .;r - - - tPA .mod as'>' .' -°.*, t - ?t ., a ' ' °�. , - ° ... :I , r .. ` r, Z ;, ^,• , '" a�" TxYPE Q , 1 „ r : "' !. ' R.EgpIRE DAT 2-FAIV DWiE ING ,�.+�,.,mmt�,rY: - x..z�,�'iz, e «s�x. ..r ... €, >�.�^`.kr � :�� =��•aKn...��,�i� �` , c�, �: Yw: � .; »,:�-?.:a�.;,;a ^�;:- �:: -�c��: Saa r•, �z4 „�, «;- :�:��:�.- r�s-..�A;. ;�: . ['New construction ❑ Demolition Permit fees* are based on the value of the work performed. �,r Indicate the value (rounded to the nearest dollar) of all u Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, a e grofit fc he .: c. n. . . eas,� ^ �, <a -:;a, .._,; v i Mr "; "fi' pil work on this �O /d v TION. s , , . - r,, k indicated hi s a lication. �,t ma „�.t:I.� \ axl.,� Ct�s� E�,G`,0R °,,,. QF.CO�N<�3'RUtC'��w3r;•�”: »:_' ��„� pp � yG �� ti ,�, Valuation: $ 1 Lld t- and 2- family dwelling 111 Commercial /industrial 2 /3 J U 0 ID Accessory building CI Multi-family Number of bedrooms: r ❑ Master builder ❑ Other: Number of bathrooms: v"-1142-..-- V s::. },', �w:".: " ='.�:a r . :�rg,;r•.*�::p,.. , .,. Y�.:, a. s; ` ��;a�;;;m�t:q.; °;,,�.` ,w, -"`" �„ r JOB SITE rIP . 43#TIO i SAND LOCATIO ' . : Total number of floors: Z Job site address: / 413(€) 56) H , P . New dwelling area: 7.2_ 3 square feet City/State /ZIP: ' 7 - ) & 1 1 / 2 . , i ) / 02 G) - •1.2,y/ Garage /carport area: 3/0 square feet Suite/bldg. /apt. no.: Project name: S iv 00n Covered porch area: d square feet Cross street/directions to job site: i'o Deck area: 4 square feet 1•) ti �11n t- / RA - 72.Z— TR <= e 14 P ►l- i L Z, Other structure area: 0 square feet 61.511066- O 2'a 1 REQ JIREDfAATA CO- MER fiC CALSleiKLISTi i• : Subdivision: 02e- /2-471 Lot no.: c2 2 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all flo y co r3 �,� a.. / S'7Y Z -'e 'S I / 0 &'O quipment, materials, labor, overhead, and the profit for the 1 ' aY :_'€�'� �' ` � °�. ^, .z k ^ e` % + ���'''° �;; ati"-,, �;s°v�„� "`��:^,,,�,�;^.�;'srF'� ws;�;,' :s :�.::.;,��Y3. ,`yr, ��,s... °j:,: 1„ ;' ' 14 oI:SCRIP tr RKe " n .4 indicated on this application. nn /-.,(442 n Va uation: $ Existing building area: square feet New building area: square feet iir; ,- t ( � PR O P4 Y OWN , � µ ..� s , AN #T 1 41 p Number of stories: Name: 4 - 09 p-v. tA.102-6, 14 Type of construction: Address: »/3 y v 64. m9-L7 H/LL D Occupancy groups: City/State /ZIP: 776 47.2 � 1 (.22 9 7x22 Existing: Phone: (53 42 ? Fax: ( ) New: -; , R.PLTCAI�TT`Iv':� ^:. � t ;��' a�ONTACT , ERSOO N��. "' �, ':mo ,.,�,� -- s; €w" �»t�� ,�€Ft=:�t � :.� � . ,t x,a» .> ` _ . 3!, riv.,t; ,,..rse; :',Z,; ,: 1 ..., _e .w x � a ;,s ab�NAW lei �_. �a ; �g `•' i N OTIC _,r" � . Business name: All contractors and subcontractors are required to be Contact name: a ��-77-76� //' 7 /J licensed with the Oregon Construction Contractors Board 2 under ORS 701 and maybe required to be licensed in the Address: �4/ ') ,5 4.1 / 7 5 9 2 . - Z - 5 2 . y/ . ,e?" jurisdiction in which work is being performed. If the City/State /ZIP: 77G' D �( �' 2j7.-- applicant is exempt from licensing, the following reasons J apply: Phone: ( 6.. 9 >c47 3 Fax:: ( ) E -mail: ` , .` E CON IkI2A�GTOR�' �' Business name: ' P4,1 ZC rY °; -- • . ,BUI „. - - PERIVI_IT`'FE- • Address: /4/3 � ;�, ; �.. x !: �: -, • = :�, _ :,,., y() 5Ci) �yL.,qz.z &-' 7}7L- L �� Please refer to fee schedule. City/State /ZIP: 77644 644 D . Q 2 % 7c V Fees due upon application Phone: (5Z G 7 7 ;Z Fax: ( ) ' CCB lie.: Amount received Date received: Authorized si re: / // This permit application expires if a permit is not obtained 1 ( . ;. /l we m e od days after it has been accepted as complete. Print name: ��� � r / // Date: 0y//9 * Fee methhodollogy y b set by Tri- Count y Building Industry Service Board. is \Building\Permits \B - PermitAppdoc 12/03 440- 4613T(I1/02 /COM/WEB) • Building Division A l Plan Submittal Requirement Matrix C ommercial & Multi- Family - New, Additions or Alterations City of Tigard T pe of S brnrttal „ ili , # of Plans v R � v a � ve g I ncl dessnew,�adclit ions and alterattlonst) R ego red a �� �.,;� A � y �;,S h ubm>< ttl Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) • 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical • 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Building \Forms \COM- PlanSubReq.doc 12/24/03 Building Fixtures: Plumbing Permit Application FOR OFFICE USE ONLY, . City of Tigard Date/wed Permit N°./14,, ( 7 r�� J� � _ ( y 13125 SW Hall Blvd., Tigard, OR 97223 y' Plan Review C/"' I Phone: 503.639.4171 Fax: 503.598.1960 Goa lNlryu ' I + Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 e I' Date Ready /By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ` :• ;s e r..v.::i i . 't - 6 , - . ... ' ': ',2 ..+. r '.. ' w pM ." _ " tt w :::z y *. e, +r.�. az �"T: q �, w r n ',- - 7T.' " w Gd . w.r ; s i 4 sI > E W®RK 's �,:. ¢ . ' t s s t " � F.EE� . .01 . ' . ,,a't °_ r �''�° `i'r: W.ea` �,,+.e -r.. �.x �.. a;s'i� : ; �;. " . , :`4Ex Lm,:u: S,w �.k%n�r:5`Jfp..;:s?;�a"; ti,%s°'�:°:a.:E: as ..�: r:...:�r,..<- sc, -e :.. .. ❑ New construction ❑ Demolition For special information use checklist. Description Qty. Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) 3� '.k qe. r C tTEGORY' WFC�1'ST�RUCTION -m SFR (1) bath 249.20 ,4 c;�. '`� x ��,.,� -� .=,¢ "; Qaror.a.�., _:te : a �,.U., �: ,.r.. _,,.s �^ ,.���"'. .. ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building 1=I Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 k x �< �, O y ti t rS IPIFOIt, VibI Rk AI D�LOelit t 1 € Sit • ut iliti es Job site address: / .. _rAj 4 2- N 1 G4 - 2i , Catch basin or area drain 16.60 Cit State/ZIP: 771 =�140,� �!L �7�� G Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: 6 e ) Page 2 SS; (X 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: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: -" k r , y �„ Absorption valve 16.60 a� i 1 � `1,,, i1544ION eVf a Q i gackflowpreventer Page 2 7/6 //t) 6 t, TIP•26 / v c k y7 t J Backwater valve 1 6.60 / i /j't'- 1 � J es e /,' j Clothes washer 16.60 // 7 �! G� �J Dishwasher 16.60 x, . , - F Drinking fountain 16.60 : "' if PROPER , ®WNE { . , a } I E .A i v� O} I 4 „ . ._.- ��5�.,:� � i - e•t . : _ ut Wit ,.. Iiii,, ,Ute , .., . l a Ejectors /sump 16.60 Name: �� ffyj65 7 hE Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City/State /ZIP: Floor drain/floor sink/hub 16.60 Phone ( ) Fax: ( ) Garbage disposal 16.60 4 41 ,,=1� , a Hose bib / 16.60 (h. 6o 1 A l',] AN4. " * , C�OPITA?G+ ER ON, a4 , :�:�w_z- :�.. _ � . V �� ,� �t�� , �.�� �a�„�M. Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 � 0,, ' _�. " '* O1�TRACT,, _ _ .' k' r, .x�R .. 16.60 z:�*��.� =.r �•. �Q:�zr���.. �mR _ � _ �:,.` =tt�� Water closet Business name: O 1,L) /-- /2- Water heater 16.60 Address: Other: Subtotal City/State/ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signal III .1 TOTAL PERMIT FEE Print name: 1ii�1 / Date: ,,/, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i.\Buitding\ Permits \P F- PermitApp.doc 12/03 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 54114: (11141 it ei s 'x = 0 ...... 44 1 y , Q . R t U1 total S =u`a>re FoMotage: Pexmit Fee t. Footing drain - 1s` 100' I 55.00 j 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 F Talu �1QI1 Per It e8 .. - ....� 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 =;; a ° additional $100.00 or fraction thereof, to and axtur Item �Y ., a =.2 • M rs { 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. 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 * . Q i ,: Quantity by 010' e) '01010faaie t Eixt1rre*Type' 04y4,4 ...2 t Replgce *-17,400, . �� New � Moved xusttng appedk: Comments regarding fixture work: 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" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach./Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar/Lavatory Quantity Total - Bradley Commercial Isometric or -riser diagram is required if fixture quantity Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal _ Other Fixtures: i. \BuIlding\Permits\PLM- PermitApp doc 3/03 Electrical Permit Application - - FOR OFFICE usE • Olv v , #; . City of Tigard Received Pit No : y 1 `t^ 151 Plan Review 1 3125 SW Hall Blvd., Tigard, OR 97223 M Plan s"iew Phone 503.639.4171 Fax: 503.598. 1960 Other Permit: D Inspection Line: 503.639.4175 ' Date Ready /fay. Juris 0 See Page 2 for Internet: www "cl.tigard.or.us 'Notilied0iethod: Supplententall TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition III Other: ❑Service over 225 amps, comm ❑Hazardous location ['Service over 320 amps - rating ❑Builcing over 10.000 sq. ft.. CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential ❑ I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure Building over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: Job site address: /4�i ' r ❑Health - care facility ['Other /t�.jGV / *F &Z /f /LL D Submit 2 sets of plans with any of the above. City /State /ZIP: 7764 p n 7 _ ,y The above aie not applicable to temporary construction service. Suite /bldg. /apt" no.: Project name: FEE* SCHEDULE Description 1 Qtv. I Fee. Total Cross street /directions to job site: New residential single - or multi- fancily dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq ft. or portion 33 40 I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 , - DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90.90 '_ Services or feeders installation, alteration, and /or relocation 200 amps or less / 80.30 I 2 - ❑ PROPERTY OWNER 201 amps to 400 amps 106.85 I ❑ TENANT 401 amps to 600 amps 160.60 2 Name: , amps to 1,000 amps 22240.60 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 Intended for sale, i al, rent, or exch ge o i ORS 447, 449, 67 , and 701. 401 amps to 600 amps 133 73 signature: Owner si g � / _ Date .44-- C'T Branch circuits - new, alteration, or extension, per panel ❑ • .' ' LICANT ❑ CONTACT PERSON A. Fee for branch circuits with I service or feeder fee, each / 6 65 , Business name: branch circuit ` - B. Fee for branch circuits Contact name: without service or feeder tee, 46.85 �'- 2 Address: each branch circuit Each add'I branch circuit 6.65 ,4 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 I 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration. or Business name: t()/J �e_ extension. Describe Page 2 2 Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Investigation per hour (I hr min) 62.50 I Phone: ( ) Fax: ( ) Industrial plant per hour I 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: Electrical Lie.: Supry Lic.: . Subtotal Suprv. Electrician signature, required: Plan review (2)% of pern,it fee) 1 Print name Date: State surcharge (S'S of permit tee) I TOTAL PER7IIT FEE I Authorized signature: This permit application expires if a permit is not obtained ssithin ISO days after it has been accepted as complete Print name: Date: . Fee ncetliodoloyv set by Tn- County Rutldnig Industry Service hoard " Number of inspections per permit allowed i. ABuilding \Permits \ELC- PermuApp doe 12.0.1 440-45151 IO , COMi. WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined S75.00 Check Type of Work Involved: I Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: F1 Audio and Stereo Systems Boiler Controls I I Clock Systems n Data Telecommunication Installation n Fire Alarm Installation • n HVAC Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations VBudding/Pem ts'ELC -Per uApp doc 04/03 Mechanical Permit +A lication _- . FOR US - Cit y g of Tigard Received -J I G � I Date/By: Perm t No.: A/11-02f 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / / yn A +l ,) Date/By: Other Permit: Inspection Line: 503.639.4175 _. I,� y Internet: www.ci.ti ard.or.us c""� �.. Date Notifieed/MetcVMet hoo d: S Juris: See Pen l for g Supplemental Information a� � °�,;t '�� .c pk3 ;:.n.*: -fi «,f.^ �a 1 X ms � � �..x? ., z,p < - > - -, t � � , . �; �1. e �, �� �,��;;, ;�� TYP O ' � W ORK � � � ` ��::. � �^ C IY C QMIERI EE *S - ° - .� � �,.� .s. tam. 4 _ . � _v , .t�> '�- _ �: € - �: +e �j5 ac�. - Mechanical permit fees* are based on the value of the work 1:1 New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. : , *mo w ' '4` : Wft r �� . C Aiiitiii OF COIVS'i'RUC� '' RA �4 w _ ' , 47. Value: $ . _ :_. :. . € .� 'i ' ESIDENT,F E UH' SYSTElvIS ❑ 1 and 2 family dwelling ❑ Commercial /industrial Ill Accessory building is ` - ` '< Q ''' k. El ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total �. w, ��:xa: =..�:.�� ��.��.; - mil; ". l ,_ „ 5 .7,,1JOB STLE INFORIVIA TI OIY` ' ANAL CATON, €" ' Heating/cooling �,�:... ..::� .*;.x a�-75a zaurrti��� ., _. °.t>�s^a, . w,�s «=� g/coolin g // / l / Air conditioning or heat pump Job site address: /`� ? � �L! G'z�Z7� /LL ��. (requires site plan showing placement) / 14.00 City/State/ZIP: 774'4i77 f d 2 q 7�,2 y Fumace 100,000 BTU (ducts /vents) 14.00 Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 1 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: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances s . z .;.,� A '� x ; ': 4/ ,Water heater 10.00 ' A� lift "DESe'W ION` OE W91'gCpa A ' F . __ :. ;<,; -a' ' �:. ...tv�`c; ;�. m.Ya+r �. y�.�3�, +�aa3t; _�. €� as '.ate: 4�e:'atsxs'?:6'f, «rte °U� � - Gas fireplace / 10.00 L G -GG'�C 4 cC 7 ,s't -e _ 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 J 40 ,r.=,< „_ >::. 1 5 �:2_ _< - ; ,,= r: „ :,r",4 : ..- rw - ',: r , = . Chimney /liner /flue /vent f .. 10.00 °.r., f.x. P120PER Y` Q�WNER1,4M1 .....1 ' .. iat 1TEN`ANT° . . ' " �'� `� � '��� Other: 10.00 Name: '_ zsi L 5 ,2 it/eZe Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Phone: ( ) Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments, utility rooms) 6.80 % "�s;. .,.". ° ,," s "' `,''.,;e:sa.�ta x«?;::r=:�s" r;e + , x „ , = a = „. t „ �?.:. .:x.�;r.' ;?,^ =r: E , - :� ro revie C . FrtI° $ ' ;',, ; If, CZ GO GT ' Y P• -_ Z�O' N . ': 3 N Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall/suspended /unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range • . ' *-z51--4-'' , v ' ? C . OR r - " " `� `" Barbecue °a.,` � .- �"9 S.�'k . .,;`� ,,+ s.r.n,� ."�.�a ,a ARP i':'' Business name: O UJ 1JG, 2 Clothes dryer (gas) Other: Address: wit ;,. - �5r ;, iffif g, t "`it) , IQ'AL ERI_ ,', 3 -, S * _. City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB he.: State surcharge (8% of permit fee) �� / TOTAL PERMIT FEE Authorized signatur . This permit application expires if a permit is not obtained within 180 � ���/// days after it has been accepted as complete. Print name: ,T' 7 P k,e,ZZ Date: / /�� �' Z �V Lj * Fe e methodology set by Tri- County Building Industry Service Board is\ Building \Perrnits\MEC PemutApp doc 12/03 440- -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: TotalValnaitQri, " PermitFee� ; $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Permits\MEC - PermitApp.doc 12/03 2 CleanWater Services RECEIVED 0.__ coaat�:: ?�,e_� is MAY 25 2004 CITY OF TIGARD BUILDING DIVISION May 17, 2004 • James P & Cheryl B Welch 14340 SW Hazelhill Dr. Tigard, OR 97224 Re: Addition to single family residence located at14340 SW Hazelhill Dr., Tigard, OR CWS file 4231 (Tax map2S110BB, Tax lot 02200) Clean Water Services has reviewed your proposal for the above referenced activity on your site. Staff has conducted a pre-screen review and requested completion of a Sensitive Areas Certification Form. Following the review of submitted materials it appears that Sensitive Areas do not exist on -site or within 200' from your project. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 04-9, Section 3.02.1, and your Stormwater Connection Permit authorization from Clean Water Services as required by Ordinance 27, Section 4.B. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This concurrence letter does NOT eliminate the need to p'otect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please fee! free to call me at 503681 -3605. Sincerely, Chuck Buckallew Environmental Plan Review E: \Development Svcs \SP 00 -7 \Concurrence Letters\2S I I0BB02200 - no sens area spl and sc 04 -9.doc 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org Permit #: ONC TAO 0 — CA7 15 Address: HO* S(iU l" ,4 1 iL Issued b ,l tCJ , Date: S 4 6,4 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ire 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale ( before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR !,/ 3B. I will be my own general contractor. • If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to P i s erty Owners about Construction tr sponsibilities on the reverse side of this form. - (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • ' . Information Notice to Property Owners About Construction Responsibilities Note: This kformation Notice to Property Owners about Construction Revonsibilities was developed by the Construction Contractors Board in accordance with O 701.055(5). Efyou are acting as your own contractorto construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer. you must complywith the following.: Oregon's withholding tax law: As an employer, voumustwithhbld income taxes from employee wagesatthetimeemployees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378-3524. — Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must , obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you my be subject to penalties and will be liable for all claim costs ifone of your employees is injured oothojoh. For more information, eallthe Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888, • U.S. internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be |iab}efbr\butuxpuymco\cvnni[youdidn'tactuuUywithboidthetax.Formoocinfhnnution Service at 1'800'829'1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: • Code compliance: /\s the perm it holder for this project, youaocn:upoosib|cfbrreso|viugany5ui|urcio'nccrcoden:qxirerncnts that may be brought to your attention through inspections. Liability' property damage insurance: Contact your insurance agent to see i fvou have adequate insurance coverage'for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coord inate the work of rough-in and finish trades,-and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140 Salem, OR 97309-5052, 503/378'462}). The Board is located at 700 Summer St. NE Suite S0&inSalem. prop-own.pm4 1/94 CITY OF TIGARD BUILDING DIVISION . PERMIT #:472064 *tS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: VA CS TIME: p m PAGE: SITE ADDRESS:ilia 1 3 $ W 1462, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: v E V C DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 0 W OWL. PHONE #: Inspection Request Scheduled For: Date: ILI V7 I `t7 Pour Time: Code # Inspection Description Confirm # Contact # Message `q 9 E tag. % k‘ P ist Q It Corrections /Comments /Instructions: Ileftikt_. " ;.! ir PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G N cupu+ Date: i Z Phone #: (503) 718- 2441 CITY OF TIGARD BUILDING DIVISION PERMIT #:. ' Mebb04-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/20t14 Phone: (503) 639 -4171 At, i f11 Inspection Requests (24 Hrs.): (503) 639 -4175 ,.........W r:_.. INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 14340 SW HAZELHILL OR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 022 TYPE OF USE: PROJECT NAME: WELCH DESCRIPTION: Addition 9f 310sf garage and :gunroom 423sf. 11/30/05: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. OWNER: WELCH, JAMES P + CHERYL B, PHONE #: 503-639-8093 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 023916.01 503-639-8093 Y Corrections /Comments /Instructions: 1 l)N6i M,L 6-,K,1 ‘) \--VC,- . N St:- SAA Y“,:e , jal.:\,, •ftAi\ 55 z,. • ❑ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ..l ` ; 1 I FAIL / El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: L"`' ``''�' J � Date Date) . � /� Phone #: ( 50 3 ) 718 - � --Y `7` 6' CITY OF TIGARD BUILDING DIVISION PERMIT #: WIST2001-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/292004 Phone: (503) 639-4171 "lilt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12128/2005 TIME: 7:02Alvi PAGE: 41 SITE ADDRESS: 14340 SW HAZEL .1. DR I CLASS OF WORK: SUBDIVISION: AivIES ORCHARD LOT #: 022 TYPE OF USE: PROJECT NAME: WELCH DESCRIPTION: Addition of 310sf garage and sunroota 423sf. 11/30/05: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. OWNER: WELCH, JAMES P + CHERYL B, PHONE #: 503.639-8093 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 , Final inspection 024079-01 503-639.8093 N Corrections/Comments/Instructions: 7/ ,,,,, d 61 7 0 ,4 eA4 R"'/)V e _e_. -e_elteri-042 .rd■ - 0 .,--',L( cgl PASS n PARTIAL APPROVAL fl CANCEL El NO ACCESS 1 I F 0 CALL FOR INSPECTION i 9 AA' n ADDITIONAL FEES ASSESSED Inspect. ir ' Date: [ // #: (503) 718- Z 7 (:) ... CITY OF TIGARD , t‘ A BUILDING DIVISION PERMIT #: • MST2004-00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2004 Phone: (503) 639-4171 tritiult Inspection Requests (24 Hrs.): (503) 639-4175 2.1. INSPECTION WORKSHEET FOR DATE: 12/22/2006 TIME: 7:03AM PAGE: 43 SITE ADDRESS: 14340 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 022 TYPE OF USE: . PROJECT NAME: WELCH DESCRIPTION: Addition of 310sf garage and sunroom 423sf. 11/30/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. OWNER: WELCH, JAMES P + CHERYL B, PHONE #: 503-639-8093 CONTRACTOR: OWNER / PHONE #: Inspection Request Scheduled For: Date: 12/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 023916-01 503-639-8093 N Corrections/Comments/Instructions: - Z ---- I j1: - Te - likaAit. ( Ceti a (4Aa..0 I C:1 -e- ... A 7 V.a \ SI f 4 A Ait w Ss rito --42 (`) ) p 4 ?)›.4,,d,e S'49/ A kr de-4 clot') .&k? ei h.,061/20327.4 C 07152._ e Jael 7 ree,,, let5c2nde 44 ,e.., A edi 6v ) t eA)4 41 2 • a i f, „A e.d g/i7 et, -arnacjal n PASS 7 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS )1 FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: 7 7/ 7 ( Date: /* Phone #: (503) 718- 27 61-6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 41 SITE ADDRESS: 14340 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 022 TYPE OF USE: PROJECT NAME: WELCH DESCRIPTION: Addition of 310sf garage and sunroom 423sf. 11/30/05: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. OWNER: WELCH, JAMES P + CHERYL B, PHONE #: 503-639-8093 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 023917-01 503-639-8093 ¥ I414c412 —Pep cO Corrections/Comments/Instructions: • i s 7 PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718-'17—el) CITY OF TIGARD . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ��DC) /5-7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 6 -2 g AM PM BUP Location � .y�� �I A Suite MEC • Contact Person g ! Ph ( ) 6-.39 _ golf 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/0 ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation /;1 p,� ^ iNpr�\1 �f `rt ` e-0 6-q � Drywall Nailing ;1 O v l Firewall Fire Sprinkler W grGD` sea' I �' YtiQti `1 ' —n Fire Alarm Pat W 4W- tA'7 1 Ni Iv WYi gAt,Vk Susp'd Ceiling Roof p co Other: Final PASS PART FAIL ( Post & Be- Ci er Slab . Rough- n Water Service Sanitary Sewer Rain Drains Catch Basin / anhole Storm Drain Shower P. Other: WM _ PART FAIL NICAL Post & Beam Rough -In r Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service • • h -In /.lab ..., ag: Fire Alarm Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 1 1 PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA ( Approach /Sidewalk Date ° o 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 .0,61i4.--0c.) /57 INSPECTION DIVISION • Business Line: (503) 639 -4171 BUP Received Date Requested 6 � �� AM PM BUP • Location � a� u Suite MEC • Contact Person c� ,z4'J'I Ph ( ) G -391 _ Dom-/ _ PLM Contractor � Ph ( ) SWR BUILDING Tenant/0 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 A gf3\1 �' � , `-n/ ( , ,.JA O Drywall Nailing V `(� _B� � t~QV [ry �yi Firewall G v I J P 1 Fire Sprinkler GUS VA-WI Fire Alarm U G1017-- 1 1 N /,� 1 ff v: Susp'd Ceiling ov Roof C J Other: Final PASS PART FAIL PLUMB - •ost & Be er Slab oug - n Water Service Sanitary Sewer Rain Drains Catch Basin / anhole Storm Drain Shower P. Other: . 4141) PART FAIL NICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service • • •h -In e,.i.lab - .• ag_ Fire Alarm Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 'A PART FAIL SITE - Please call for reinspection RE: n Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 4 ( 2 - 5 •gi Inspector N 681JC> ' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 - Hour y BUILDING Inspection Line: (503) 639 -4175 MST 0160 q-- Do /57 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received (/ Date Requested AM PM BUP Loc C / cT 3 j) / 4,e, 2 £v Suite MEC Co t %�yyl Ph ( ) 3� -86 �3 PLM . ■. Con ctor Ph ( ) SWR MIN BUILDING - ' Tenant/Owner ELC IBI Footing ,Arf. Foundation Access: ELC MEV Ftg Drain . ELR Crawl Drain Mr Slab Inspection �cues: SIT Post & Beam '/ -L- xtir Shear Anchors ,, /� Ext Sheath/Shear - -el_W ( «ee.e A—c ` 7 '' ial Int Sheath/Shear Framing /-1 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm .?(w14103e -- N's - 7" 0N) I ` _ �' MI Susp'd Ceiling 1 O I �� Roof PCCA O2 7 O N ? c �� 4.-- Other: N Final PASS PART FAIL ( � i RLUMBING (; % pL 1 V ,i JCL P. . :eam nder Slab \\ ` Roug - n t3 Water Servi Sanitary Sewer Rain Drains Catch Basin / Manho e Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line - Smoke Dampers Final PASS PART FAIL "ELECTRICAL _ Service R. ..- G/ lab Low Vo .ge Fire Alarm Feral 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA PART FAIL Ei Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA ll 1 Ift7 Approach/Sidewalk Date - O 6 Inspector v o q • Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ti► 24 -Hour BUILDING Inspection Line: (503) , • 4175 a INSPECTION DIVISION Business Line: (50 .,' , 71 .� ST Od y - Si BUP Received Date Requested i — 7 AM PM 4 BUP Location D _- / - ' uite MEC • Contact Person .,D Ph ( ) jn 3 — god PLM Contractor Ph ( ) SWR tt ILDI Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Cra Drain ("Slab) Inspection Notes: SIT - Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear i ' , Framing ; • ..� _ .! .•�.� ��A _(2_12...0K. Insulation Ni i ,1 -- t /� Drywall Nailing '� ` b " _ W ∎�N\ Firewall Fire Sprinkler Fire Alarm <1n S Susp'd Ceiling �"- Roof Other: �/ /� � L Fin- (/ °_f `Post & Ere 1 /' •I nder Slab \ Roug - n . Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin i PART Vi/ ME HANICAL 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 El Please call for reinspection RE: 0 Unable to ' ect — no access Fire Supply Line r 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 0160 I57 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 7 e AM PM BUP Lot f —I" �/ C 3 A L O - t .i0 kt Suite MEC Co tact) l� %1/yy1 Ph ( ) le 3 -86 93 PLM Con ctor Ph ( ) SWR BUILDING Tenant/Owner ELC MEM Footing ELC .�i_ �M Foundation Access: Ftg Drain ELR Crawl Drain Slab I ns ection es: SIT Post & Beam c Shear Anchors Ext Sheath /Shear �! ` =- — _� Int Sheath/Shear Framing �J Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ?L-$:7 10,e `T 7' 0 N -L-o60- p Susp'd Ceiling Roof Pg..%a;z I O IM)ip ctiJ*— Other: Final PASS PART FAIL PLUMBING _s (r-lat-7 R vA V viRtn,12NN f 5 P• :eam nder Slab ` `∎11 ().) Roug - n �0 Water Servi Sanitary Sewer Rain Drains Catch Basin / Manho e Storm Drain Shower Pan Other: Final PASS PART - MECHANICAL Post & Beam Rough -In Gas Line — Smoke Dampers Final PASS PART FAIL_ 'ELECTRICAL T� Service R. ..- UG /lab Low Vo ge Fire Alarm F al Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date * if Ti 4 Inspector �J 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 �®O --eo INSPECTION DIVISION Business Line: (503) 639 -4171 . Y- BUP Received Date Requested D - 2 3 AM PM BUP Location _ Suite MEC • Contact Person Ph ( )(0 Fro 9 .3 PLM Contractor lJ �� Ph ( ) / 7 SWR BUILDING Tenant/Owner ELC Footing Foundation - ELC Ft Drain Access: `� Crawl Drain J \ �� �� ` 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 ` t 1 ( ( A W \AAO ��''`� �J )(t- 1 (0 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 CTRICAL Service UG /Slab �/ Low Voltage 4 V U e 11 C Fire Alarm • Final � FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call f• r reinspecti ' n RE: Unable to inspect - no access Fire Supply Line ADA V 2 4 Approach /Sidewalk Date � Inspector // Ext Other: Final DO NOT REMOVE this inspection record from the - ob site. PASS PART FAIL 4 CITY OF TIGARD 24 -Hour BUILDING Inspection Line:. .03) 639 - 4175 MST L INSPECTION DIVISION - Business Line: 503) 639 - 4171 BUP Received Date Resuested l / AM PM BUP • Location J d kwJ 1 _ 2 P Z / Al Suite MEC i Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/ wn ' 9e-M1 ELC Footing � � 9 °-go 93 ELC Foundation Access: epuLI- MT , M-uL -1 T Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing RP I / Ac/' / ,.GGt'.S 'To Insulation Drywall Nailing tit- r7� r —[_dc� e ; ✓101 Ta V Fire Sprinkler .r7� ��T� p, Sprinkler Alarm Fire - Fie Al AIM ch i F a Al Ceiling � Q t I� {� 01'"'t C` "j_r) /�� R - A - »v Roof 12 U''rL G� [ TS>c - &S Other: Final \ t9 n G- i 1.--/ t ! Pe PASS PART FAIL ` � �(��, — PLUMBING -. Li .) I ZOV / (V uA k r Post & Beam Under Slab PL i Ll5 (s Rough -In S �YILLt oil . U L� Water Service Sanitary Sewer T F>6 1`4 A7 L &1::) F Lam- l Rain Drains Catch Basin / Manhole 6) s Storm Drain / `/ Off Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL �S _ Ct r u -In UG /Slab Low Voltage PASS PART AIL 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 r_ ADA Date I Inspector I _ A .� Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: • 03) 639 -4175 -C�o INSPECTION DIVISION Business Line. (503) 639 -4171 MST .0c-f l BUP Received Date Requested " °� 1 AM PM BUP Location / iY1) ZJ QnA / / Suite MEC Contact Person h ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 'k 9 3 ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear Framing Insulation ?ywall(Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F PASS PART FAIL BI NG 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 Please call for reinspection RE: D Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date /I Z f r - Inspector — Ext Other: WIW Final. DO NOT REMOVE this inspection recor , o the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour �l BUILDING Inspection Line: (503) 639 -4175 MST c 1 -6°75 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / �-C J /p ate Requested / a _7 AM. PM BUP `�C Location A ,,,g, /,:," Suite MEC Contact Person iy}i. Ph ( 0,:te •53 _ /7 8 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 i" L, 1 nsulat • • Drywall Naili Firewall Fire Sprinkle Fire Alarm Susp'd Ceili Roof Other: Fi PASS PART FAIL ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date _ 7 — 7 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: (51 ) 639 -4175 MST 6?) 'dd lam( INSPECTION DIVISION Business Line: (51,4) 639 -4171 / BUP Received Date Requested /( J s M PM BUP Location �� . uite MEC Contact Person --2/-e-M, M , Ph ( .) ) PLM Contractor Ph ('_._i ) / _ f / 7 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain t a b ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear Int Sheath/Shear ,—� di r d / /r (7 . 017/(c.- i��► � � Gam' /G Insulation • ■ ,o Drywall Nailing Firewall c2a ) 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 ELECTRIC AL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE • Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date O Inspector Ext Other: Final DO NOT REMOVE this inspection re rd from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection L ne: (503) 639 -4175 MST ��,e) q_ /S( INSPECTION DIVISION .* Business L. e: (503) 639 -4171 BUP • Received Date Requested AM PM BUP Location D 1._y,, , 1 " A Suite MEC Contact Person Ph ( ) PLM . Contractor Ph ( ) SWR BUILDING Tenant/W I ..∎ 629-'49 , ELC Footing -e--P) 1317 gg7 . 3 ELC Foundation ACC - - s: 150 t- - - , "'vr: Ftg Drain . ELR Crawl Drain ( (2, Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ..K to L Insulation V\ pc_ -- -1--G- Drywall Nailing V Firewall Fire Sprinkler • Fire Alarm i 1 L A-Gx.: ` V o . x ` Susp'd Ceiling Roof IN I S 'T`I W Cr Other: / Final � Z A 0 - - . - . - - -- I 6- L ` C Soh PASS PART FAIL PLUMBING o. f" _ I2E PL4 e. r,-H-fl-S C , ( Fii& SP lecsik i,./'4e1'S) Post & Beam 3 Under Slab b_ o i "' 1► t(" 4 = LA S Rough -In — _ Water Service -- : oo Mk. ' , , A_ Sanitary Sewer ( 1.1 ..1 ^_ oVT- o ikl �4 p Rain Drains i Catch Basin / Manhole , i • s 1 , : j ' �V S V '-1 _ !� ` � ,i Storm Drain - - Shower Pan 6.- AL-/-- a C . A=.' ! LL � C - A Other: — • Final j:A 0 . • I✓ -- L)1.-4..- 16, o.. ` L i- . . L it PASS PART FAIL r m MECHANICAL � t L v — L- 43 S C- 7 �I 1 61 C� i S T I Bq C-s1 P., _ - =.m ough -1 - I C----iJ i 61 as i ne 14 0 V! t l� - A L�2 U A O P f o/T c j I oTC. t-^f eb Smoke Dampers Final _ )(� (� ^ (s ) PASS PART FAIL l It (✓ �� nT C li Lit L U L,4--,A1 ELECTRICAL - 1-1-4A/ t? e"- D G. u ei ) Service f C, ?Ro'/ f � L . ;m s- ¥ (_Ly) "&t! F s [ 4-5 UG /Slab Low Voltage N a` o p PL--5 1 p 61 & /to Fir fiar F', -I Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. - ASS PART FAIL 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA lit Approach/Sidewalk Date / - O Inspector Ext Other: Final DO NOT REMOVE this inspection record the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 b0 /SY INSPECTION DIVISION • Business Line: (503) 639 -4171 BUP Received Date Requested " —JO AM PM BUP Location / 0 A ' ' • - / Suite MEC • Contact Person Ph ( ) 7 S' ' L W /7 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam .0 Shear Anchors xt Sheath / :T15► �iCr eath /Shear f Framing OD / r int ST ►27eW /'-trarei 0 5 ,2'i, -/L • 04 :1 . Insulatioi /r �UI SrA' &?ZO�l LA) /-105 a Girt fie t>. Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fina • - ART FAIL • UMBING 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 e/ 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 02 ° DO ILCI INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 7 ° ` AM PM BUP Location — � Suite L t if Contact Person . Ph ( ) 78 — °T A ¶ 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 i � �U c-47 0 ti 1�11� 2 C,�L L ,r%�,,2_ J� S'/ c;T70 cJ Insulation Drywall Nailing .�i/ift%,v g a".41 1 .... Firewall Fire Sprinkler � 5 ''�'�e "` - T, - � = 3G Q r `. L /rate— Fire Alarm p s f Susp'd Ceiling Z4 T�S� 5 Z�Z 3� Roof • Other: Final PASS PART - IL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Man ole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL • Post & Beam Rough -In ■as ` Smoke Dampers Final PASS ,PART FAIL ELECTR 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: El Unable to inspect — no access Fire Supply Line ADA 7 U 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 gOC `E JX ( CS7 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received q / ' 3`�/ Date Re uested s 2,-7/ AM PM BUP `C Location d — �1�c Suite MEC - Contact Person ` - n.c� Ph (_ ) 7F?) - 1 5 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing :a ion ELC Access: rain ELR Crawl Drain Slab Inspection Notes: dd SIT Post & Beam L /r ` /1 Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing / S LR /4-G4sc ; ,z - SO/ !4S' <..44 Insulation U C �� /'' /� /, € -'-vS .� Drywall Nailing ,— S �� Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final i PART FAIL • UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA / 2 _� 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 Lin, (503) 639 - 4175 MST r- 6'©5 1st INSPECTION DIVISION Business L' (503) 639 -4171 BUP Received late Requested A AM PM BUP Location 43' o .' C • Suite , r, MEC Contact Person - � C Ph ( ) 0 1 '-`t� PLM Contractor (V . Ph ( ) SWR BUILDING Tenant/Owner ELC ooting + • a ion ELC Access: St/u. !fAZ L �" Ts'l Ftg Drain ELR Crawl Drain Slab Inspect Notes: �� SIT Post & Beam . .�u� MA/U-1- {'L Q 1 Shear Anchors Ext Sheath /Shear Int Sheath /Shear I Framing 1\)67 rov-rtg y��C�� 0 Insulation 4/ Q % � 4- #46-- ` , S Drywall Nailing V �Y ' ' '� In i Z .�1 Firewall t S `�G—■ 7 Fire Sprinkler Fire Alarm Z. MA - S - 7V /4� �f ®t= Susp'd Ceiling Roof ,�. r 6 1/1 C 0‘) Other: 6 v,� Fi Ge -P IV PART FAIL - : RING fie Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Av._f �m v c-� � P� - - KRt= - ZN---Tz:W S Co 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, 3125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to ins t - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Lr _ Ext Other: Final DO NOT REMOVE this inspection rec . rd from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MSTq?J 'DO /L-57 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re uested D — AM PM BUP 'J Location 1 I 7 t "t 0 -Q 1 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner C-AVGV 6 3 F6 ? 3 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 �-7 Roof ` �(U (/c -(._ 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 Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line �� U ADA roacZ Sidewalk c� f Oct r s Date (1 V Inspector Ot er: Fi DO NOT REMOVE this inspection record from the job site. S PART FAIL