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Permit
414 ',.,.." MASTER PERMIT CITY T I G A R D PERMIT #: MST2004 -00209 Ali DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09415 SW HOME ST PARCEL: 2S111 DB -KE221 SUBDIVISION: KESSLER ESTATES NO. 2 ZONING: R - 4.5 BLOCK: LOT: 021 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: BVH3304 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,463 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,841 sf GARAGE: 631 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TIRE: sf RIGHT: 5 VALUE: 322,814.10 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,304 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 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/O SVaFDR: SIGN /OUT LIN LT: PER HOUR: . LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWSECTION 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;952.42 BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C and 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. Phone: 503 443 - 6033 Phone: 503 443 - 6033 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 152235 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 Underfloor insulation Electrical Service Gas Line Insp Water Service Insp Building Final Sewer Inspection Crawl Drain /Backwater Electrical Rough In Insulation lnsp Appr /Sdwlk Insp Foundation lnsp PLM /Underfloor Shear Wall Insp Gyp Board lnsp Electrical Final Post/Beam Structural Mechanical lnsp Exterior Sheathing Insf Rain drain Insp Mechanical Final Post/Beam Mechanical Plumb Top Out Low Voltage Water Line Insp Plumb Final Issued By.: ✓/, Permittee Signature : ..5-2. - e-- PI \/I\p Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ONL • • • � FOR OFFICE: LSE ONLY B uilding Permit Application Received E: LS g Ht� I' / C u V 1 Date/B 7 !b d �� Permit No.:l I SI OO,)O City of Tigard Planning Approva Other ^ _ 13125 SW Hall Blvd. it l`> " 1.1104 1.1104 �4 Plan Review Other • Tigard, Oregon 97223 rtYV nf - 11GARD Date/By: � V k '3 Permit No.: '' y Phone: 503 -639 -4171 Fax: 503 - 598 -1960 l M i I : Post Review Land Use Internet: www.ci.tigard.or.us BUILDING ut m r -,� I Contact Case No. Contact J IS See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information TYPE OF WORK : j QUIRED DATA:•. - :..'. © New construction ❑ Demolition 1 & 2 FAMILY DWELLING El Addition/alteration/replacement El Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate © 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family El Master Builder El Other: Valuation S JOB SITE INFORMATI and LOCAT ON No. of bedrooms: f 5 No. o baths: . Job site address: Total number of ors • New dwelling area (sq. ft.) Suite #: B1 g. /Apt. #: Garage /carport area (sq. ft.) ., ...�/ Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) //1.>, REQUIRED DATAc. Subdivision: ; 71rr/F /e, Lo - COMM ERCIAL` = USE CHECKLLST: Tax map /parce #: Note: Permit fees' are based on the total value of the work performed. Indicate DESCRIPTION OF WORK lir the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application. DEATACHED RESIDENCE Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER . .1 ❑ TENANT . - . Type of construction Name: Buena Vista Custom Homes Occupancygroup(s): Existing: Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 97219 Phone: 503 Fax: 5 0 3 — 4 4 3 — 2 4 4 3 NOTICE: All contractors and subcontractors are required to be ❑ APPLICANT Q CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may beiequired to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: El iabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: I Fax: . -... . . E -mail: • . "BUILDING PERMIT FEES *. CONTRACTOR , Please refer to fe_e.ichediila . Bus Name: Buena V I sta Custom Homes Fees due upon application S Addreis: SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 I Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 Authorized � J/n1 Signature: U. pi Date: Notice: 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. (Please print name) i:\Dsts\Permit Fomu \BldgPermitApp.doc 01/03 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Perm:%er"A�]�].hl�°`atio l FOR t)I•'1 1(`F: t ti F: r)NI.i _ r Received In � %..P 11-- , v �- — Electrical Oatci y: Permit No.:l j1 .-__ Cit of Tigard - Planning Approval Sign 13125 SW Hall Blvd. i j i_ 1 ' 4 Plan Review Permit No.: Tigard, Oregon 97223 _ Other Phone: 503 -639 -4171 C Fa x ; 503 5 1 6U Post land Use Post-Review Internet: www,ci.tigarR'nialP ij in/1010 I� , [Yate/gy; Case No.: Contact Juris.: l ® See Page 2 for 24 -hour Inspection Request: 503-639-4175 Name/Method: Sueplemental lnlbrmation. •... • : • • • .... , : . . . ... TypE;OF WORX( ... • .• -. .:: •. ,. • .:...:. '. N.AKIt.EVIEW: hoe hetkil<7d`,tliat N. New construction Demolition ❑ Service over 225 amps- 0 Health-care facility ❑ Addition/alteration/t• ■ lacetntnt !� Other: commercial ❑ Hazardous location Service over 320 amps - rating of ❑ Building Over 10.000 square feet. • CAThOORY.oF'CONSTRTIC"F1011. .. ❑ 1 & 2 family dwellings four or more residential units in & 2- Family dwelling ❑ Commercial/Industtial ❑ System over 600 volts nominal one structure ACCeSSO $uilditl ID Multi-Family ❑ Building over three stories ❑ Feeders, 400 amps or more Master Builder ❑ occupant load over 99 persons ❑ Manufactured structures or 1W park Other: ❑ Egress/lighting plan ❑ Other: . ' • ;:, ?: '. JOR SITE INFORMAT1ON' ant['EOCA'n oN . Submit — sets of plans with any of the above. Job site address: 7g/ �T The above are not applicable to temporary construction service. Suite #: B ldg. /Apt. #: ( • .. ..... • ' k� Number of i E* :SC>�T�,>6i ;; ;��ti -.;':: . . inspections per permit :Mowed Project Name: Description - Qty Fcc (ea.) Total 1 Cross street/Directions to job Site: Nen residential-single or mott6ramily per dwelling unit includes attached garage. Service 'Waded: 1000 sq. ft. or less 145.15 4 Each additional 500 so. ft. or portion thereof 33.40 I Subdivision: I Lot #: Limbed cnerP, residential 75.00 2 Limited energy. non res 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling • .. DE OPL • ::. service and/or feeder 90.90 2 LiEt-A) con s-ur✓ e)1 — /r/C I C y Service, or feeders - Installation. l F III / alteration or retocatlon_ ge -1-ct a e d - 41.,'i d am— en c 200 am or l es s 80,30 2 201 am to 00 s nips tOb 85 2 401 amps to 600 amp, 160.60 2 '$op it iryOWNER . ' :.':.:, Ill TEN- . ,' , ..- 601 sit to 10 00 240.60 2 66,85 1 Name: i en a_ / 5 - , /' Reconnect nt n Over ec amps or volt 454.65 2 Address: � �j,= j 511/ , ac..ado Te mpo wry 66.85 2 /t) (z, ` Temporary services or (ceder, • instillation. alteration, • Pert( 0 0 � 9 "- a /9 alteration, or relocation: / / i 200 amps Grim W Phone 5o '/U3 - ( 3 Fax (901 44,4 9 3 201 amps to 400 amps . 100.30' 2 ��pPt tbx� 401 to 600 a:t, - C . U CC • PNN ON•• - ` Branch clrettits - new. alteration. or 133,75_ 2 Name: ry TD. V Q., 40s s extension per panel: Address: A. Fcc for branch circuits with purchase of C Address: /Zl service or feeder fee, each branch circuit 3 6.65 2 p B. Fee for branch circuits without purchase of Phone: r ! service or feeder fee first branch circuit 46.85 2 Fax: Each additional branch circuit 6.65 2 E-mail: ' Misc.(Service or feeder not included); Cf1ef:T.1A row . Each pump or irrigation circle 53.40 2 Job No: Each sin oroutline lighting 53.40 2 Signal circuit(a) or a limited energy panel, Business Name: -ROSS Et-t- y ./ alt or extension Pace 2 2 Address: x8 SLJ �o �^ +4><i # l33 Description: C1 /Statea..3 Each additional inspection over the allowable In any of the above: Per inspection per hour (min. I hour) 62.50 Phone:�553 ea Z Z300 Pax: 6V) (054Z, MS1 _ ` investigation fee: CCB Lie. #: is--73g, Lie. #: 3y434.G other: X Sesing cites cian�, ■7 _ :: % Eltitcslexm31 /N si erequire Subtotal 3 Plan Review (25% of Permit Peel_ $ r/ Print Name: -eve 1ROSSI Lic. #: t/ State Surcharge (8% of Permit Fee) S Authorized TOTAL PERMIT FEE S Au nature: Authorized Date: Notice: 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 - (Plcase print name) - I: Os ta \Permit Fnrny\E1cPcrmitApp.doc 0l/01 - 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 Mec&anla��ler�mii i sAilg>ato n R eceived Mechanical • thtergy: - Permit No.: I I5(910 11 --COO° 1 Ti Planning Approval Building . i I f of rgard 11 t ±�u`► Date/Ely: PermitNo.: 13125 SIAT Hall Blvd. • - Plan Review titer Tigard, aregon 9722311"Y C..) i t6Hrti.) oa»: y: Pcnntt phone: 503 - 639 -417 1L a;c`503:= 59$!19)40 Po ew Land Use - i ; t e e Page Z for Case No.: ,. intertlet: www.ci.tigard.or.u& ,. :� Connet lur is.: S 24 - hour Inspection Request: 503 - 639 - 4175 ` - - Name/Method: 9emplementat inlbrmtadoa. • .. . is ... ,, . •. T1(SE OF WORK.. 57 2,, c -, •. q ,.:,:: • :.... 'e .. ' ... ; < :? :• ei. COMM IatCLI .. SCRED =. • ; •. •,a • If New construction ■ Demolition Mechanical pertrut fees* are based on the total value of the work liii Addition /alteration/re •lacemexlt • Other: performed. Indicate the value (rounded to the nearest dollar) of all . ; .CA.T11vGOR - •O)[r:CONS1gB1QC'ITa :,} '.: •'!..: •.: mechanical materials, equipment, labor, overhead and profit. Li 1 & 2 -Fain dwelling • Commercial/Industrial value. S See Page 3 for Fee Schedule B ii. _� ■ REgIDt rat. _ _ i I ' Find* Uf DU3L:E ' Descr' Fe ea. Total RI Master Builder ■ Other: Heating/Cowie% • Jo : SITE Q pRMATtON "', LOCATION" . • Furnace - add-on air conditioning *' 14.00 l Job site address: ' ',S." , 'I� Gas heat • •• 14.00 Suite #: Bid , ./A. • t.##: Duct work NM 14.0o Project Name: . H dronic hot waters tern 14.00 - Residential boiler Cross street/Di rections to job site: for radiator or h • rook svttem 14.00 Unit heaters (fuel, not electric) in wall, in -due su • nded. etc.) 1111 14.00 Flue/vent for an of above 10.00 Subdivision: Lot #: R .air units 12.15 Tax map/parcel #:' • ,o.00 . - DES 0 r [ON it F . e RR I SEMIIIIIIIIIIIIIIIII 10.00 NEW COt ST tRU TION — ST GL " F - I _ — 10.00 DETACHED RESIDENCE I . La:li• ter 10.00 MOM Wood/Pellet stove 10.00 Wood . : • lace/insert 10.00 IIIIIIIIIIIMMIIIIIIIIIIIIIIIIIIIMI Chitrr LThrter /fue/vent 1. 10.00 ANX'at"•i�4`'`: Other, 10.00 a PE1tT'SC'i]' e . = del :'€>irN Eavironmentai tabling do VattttgesOa Name: slap,. v i s - .. Range hood /ocher kitchen equipment 10.00 Address; 6,93_2 SW Mac ad - tt • v -. S - C Clothes dryer exhaust 10.00 Ci /State/Zt': Portland OR 97219 Single duct exhaust Phone , _ • . _ . , Fax: 1 - A • - ' • (bathrooms, toilet compartments, in • • i►7 •CONT ' • PERSON •' will rooms) • 6.80 Attiecrawl space fens 10.00 Nle: David Golobay Other; 10.00 Address. — Puett' Ci /State/Zi' : « AO for first MOO each additional Furnace, etc. Fax: eras heat 16,1,t1. E-mail: Wall/suspended/unit heater — CO t,TOlt water heater :•:: -,:. ..lase Business Name: . ,. . w , Fi . Ina Address :2 4 28 SE 105th Ave. B B •' Ci /State/ZijPortland, OR 97216 Clothes . er as ." Phone: 503 253 -7789 FiiX:503- 253 -1k. "...3 Other. • a Tool: 'CCB Lic. ii: 4 81 31 • Mechanical remits Fees' Authorized • u.total: S Signature: ',� Datel_ala.123:04 Minimum Patmit Fee 572.50 S David Golob y pion Review Fee (25% of Permit Fee) S (Pease print name) State Surcltnr_ % of Permit Pee S TOT/41. ' S Nutley; Tbls permit application expires it a permit is not obtained within • fee echo d eq� or exterior %I) Building i tedustry Serviet Board. tan dare after it has been accepted as complete. ia3staermit Forms aMecPatmitApp.doc 01/03 • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY + BUENNA VISTA Ij002 /003 ' Plumbing Per & Application Received Fop. I. . US ONLY y , Date/aL: Permit Na.: ��j1O9LCJ'ke o `j ' i s � . Planning Approval Sewer Cit of Tigard ` l r Date/Sv: Permit No.: 13125 SW Hall Blvd. C , ,_ Plan Review Other Tigard, Oregon 9722381 / > ei� � �`/ A DateBy: Permit No.: Phone: 503- 639 -4171 F / X ; -1'960 , - Post- Rxview Land the ,' I I www.ci.tigard.ar.us `� /V /6 � . ] I Date/By; Case No ' --� 24 -hol Ins ection Request: 5 03.639.4175 ° An x Cantact ' 'aril : e is Page 2 for p q `w Name /Method: _ �Sapplemeotat Information. • ' - TYPE OT_1W ' •.,. ; >'"'' - r '•FEE' •SCRXD.IILE ffor ipeeratinfO tLbinitIelblC itrA4 TNew construction Demolition - Based don Qtr.. Padua. Total T I •. F'IL.i IJ.�' •j /r �it1'�,� y�9 �'o� Addition/alteration/replacement Other, v ".,$ `$ velfidgs,; •;;, ,, J :r: 'tif .�- ; :,CATEGQR'S O1F, i f '•., . . �od'o' . l to lbrltaili:beafilti ineetion)'.::t�" k k r• ti `- SFR (1) bath 249.20 • 01 Sc 2- Family dwelling El Commercial/Indus_ SFR (2) bath 350.00 Accessory Building ❑ Multi -ley SFR 3 bath 399.00 Master Builder ❑Other: Each additional bath/kitchen 45,00 u. OB Sr1tE INFQ12If�i:TI dL'OC*TION ' Fire sprinkler - sg, ft.: _ Pa��,,e 2 _ ; 4':.: 1,' , �:'.' ._ Job site address: 9 644.) 5../._ .. � ' " ,..`'`,: - Site.t lttUties •, , • • •'• .. •_. . I Bldg /Apt. #: Catch basin/arca drain 16.60 Project Name: cll/leaeh line/treneh drain 16.60 Footitudrain (no. linear ft.) Page 2 Cross street/Directions to job Site: Manufactured home utilities 110.00 . Manholes 16.60• Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 _ Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: Water service (no, linear ft.) Page 2 DESCRIPTION OF WORK ' •• ' "' Fixture or Iteta t : - NNK.,CONSTRUCTION — SINGLE FAMILY Absorption a valve I 1 ge2 prevcntcr _ Page 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 S PRE)PERTY'O . ,:eV, SS TEN VT Drinking fountain 16.60 3= E'eotors/aum- 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 ' Address: 6 932 SW ttaceam _ Ave. 5 t c Fixture/sewer ca. 16.60 City/State/Zip: Portland OR 9 721 9 FloordraiNtlaorsinklhub — 1660 Gerba • e dis • • sal 16.60. Phone: 503 - 443 - 6033 _ I Fax: 5030443 -2443 Hose bib • 16.60 APPLICANT , • . '. CONIT 'F CN . • ' Ice maker _ _ 16.60 ' Interceptor/grease tor/ trap 16.60 Name: Ray Mullen � � ease Address: Medical gam • value: S Page 2 Ci /State : Primer 16.60 Roof drain (commercial) 16.60 - Phone: Fax: Sink/basin/lavatory 16.60 _ E -mail: Tub /shower/shower pan 16.60 - • , Urinal 16.60 — ., . � • • , CONTRACTOR � • ' � • • � • • Water closet 16.60 Business Name: ED MuIleri Plumbing Water heater 16.60 Address: 24470 SW Rainbow Lane Other: City /State/Zip: fri l Rbarp . OR 9 71 ?3 Other: Phone: -628-1 Fax: _ • . - .. ' . • ., ..." : Plumbiaa, a r • _ • • •• , Subtotal s CCB Lic. #: t 9 6 E 9 Plumb. Lic. #: • - . 0 : , Minimum Permit Fcc S72.50 S Authorized , - �j � -- / Reside Bazkflow Minimum Feu S26.25 Signature: ./ A — .. c: t Plan ReviewwZS% of Pamir Fee) S Ray ul en Ai State Surcharge (8% of Permit Fee) S --^. (Please print name) TOTAL PERMIT PEE S Noeteet This permit applleatlon expires If a permit is oat obtained within All now commercial buildings raqulre 2 isle of plans with isometric oror 180 days sae,. is bas bees see.pted as complete. riser diagram Ibr plea review. •Fee methodology set by •Tri - County Building Industry Service Board. inDsts \Permit Forete\PimPermltnpp.dec Olro3 1 LAAA.AAAAAAAAAAAAAAAAAAA,AAAA4WAAAAAAAAAAAAAAAAAAAAAtA/VAAA Pr /(STo2rr- y- a-6,?0 I 44 ii■ ii Pt' 44 STREET TREE C ERTIFICATION : 1 itt- 0. 11 I, _ Gc /. r nerl' gent four � �-- t "�. �/ /� 0- (PLEASE PRINT) r (PERMIT HOLDER) 0 , 44 , , - 4 - I Do hereb a -¢ r . * ; t -i ig location N ` 4 v on. County b)' `� meets �i�a � . d� t-y .41 8 8 a vc f , 9 ,.. ! - - - i ., 9 I ra . 4 ® ,4,..1---,....„. at - - -1---i- . 47. .... x- - „..s- , .r..-11.s: �...� l ®• - saaaxu asst. asses u` v elo1aaaa,..E L aLa ndaa.r ua f o JL1 eeL L1 ce .11 st allat ion . 1 , 1 Stb 44 ADDRESS: ( l l �_ � ^�, �. �7 - -_ 4 1 44 LO`�': 7 (, SUBDIVISION: ' a ` "2 `/ 1 4Y: DATE: / L. /57---(-9 O. A / 0. 00 4 RECEIVED BY: `_ / i DATE l Z` 7 - 0 A YYVY ® ® ®7®® y®y® - VYVY YY ®®® ®y VVVYVVYYVVVVVVVVVVy ® CITY OF TIGARD 24 -Hour BUILDING 0 Inspection Line: (503) 639 - 175 MST ° °' 1 J BD)".09 INSPECTION DIVISION Business Line: (503) 63 4171 111 a-/ BUP Received (cD Date Requested /) AM PM BUP Location q s s ST c a - MEC Contact Person e -Itici.cA 1 Ph ( S 0 3, PLM Contractor Ph ( ) SWR ILDIN Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT = Post & Beam Shear Anchors Ext Sheath /Shear no) u I Int Sheath/Shear p - 0� + b / . o Framing 'l Insulation _ �! Drywall Nailing Firewall Fire Sprinkler Cy, 1 Pc Fire Alarm Susp'd Ceiling Roof ' Other: i PA 'S PART FAIL P BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole E Storm Drain Shower Pan Other: Final PA . • ± • T FAIL Post & Beam Rough -In Gas Line Smoke Dampers PART FAIL L _ Service Rough -In UG /Slab Low Voltage Fire Alarm __ ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL • S ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line I ADA Approach /Sidewalk Date ! 2 ° Inspector Ext Other: Final DO NOT RE OVE this inspection recor fro 1 the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 0 0 ( 7 / --rx)a' INSPECTION DIVISION Business Line: (503) 639 -4171 7 � 1 � BUP Received Date Requested / ? —f AM PM BUP Location Suite MEC Contact Person Cik_ot4 Ph ( ) 7/U — ?I« PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC • Footing Foundation ELC Access: Ftg Drain Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation I/ Drywall Nailing 4�'I � / Of' /J • Aria"' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ' Other: Final PASS PART FAIL PLUMBING "r' ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Ot .° /ri •AS' PART FAIL M , HANICAL 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,' Ill Please call for reinspection RE: /,6/di El Unable to inspect — no access Fire Supply ADA Approach/Sidewalk Date ) - ) 7' Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL