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Permit
A,..,,, CITY Or T I G A R D MASTER PERMIT PERMIT #: MST2004 -00206 jib, lt DEVELOPMENT SERVICES DATE ISSUED: 8/18/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09357 SW HOME ST PARCEL: 2S111DB-KE219 SUBDIVISION: KESSLER ESTATES NO. 2 ZONING: R -4.5 BLOCK: LOT: 019 JURISDICTION: TIG REMARKS: New SF detached. BUILDING . REISSUE: BVH3465 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,455 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,010 sf GARAGE: 655 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 337 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,465 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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200amp: 0 - 200amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 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: 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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,069.64 This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES 6932 SW MACADAM #C 6932 SW MACADAM SUITE C Tigard Municipal Code, State of All kwil Specialty o ne i n PORTLAND, OR 97219 PORTLAND, OR 97219 and all racer with approved laws. s . This permit done in accordance with approved plans. This permi t 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 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insj Rain drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service' Insp Building Final Foundation lnsp PLM /Underfloor Framing lnsp Gas Fireplace Appr /Sdwlk Insp Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Issued is&c,„4,a Permittee Signature : CZ '� � "" Call (503) 639 -4175 by 7:00 p.m. .for an inspection needed the next business day , t , ,. Building Permit Application FOR OFFICE USE ONLY Received j Building rDate/By: 7 / /S //ly .� Permit No.: _ 4 - Oa�d�c City of Tigard ( ° �� E, Planning Approval Other ``'' � Date/By: Permit No.:vW 2 .loo Li --oo o 13125 SW ,Hall Blvd. Plan Review Other Tigard, Oregon 97223 i , 75J ■ ( J • ' �) 4. I Permit No.: Phone: 503- 639 -4171 Fax 503 -598 -1960 i '\ Post Review Land Use Internet: www.ci.tigard.or.us -•1_1I . - 1 G A RDate/By: _ Case No. 24 -hour Inspection Request: 503 - 639 4175 mot' ' - O lvl ; Contact Juris.: See Page 2 for P q BUILD ® ■me/Method: 7 _ Supplemental Information TYPE OF WORK r ..... •. : _• • © New construction Demolition 'REQUIRED DATA :. - -: ;••• _ ❑ 1 & 2 FAMILY DWELLING,:. ; `_ . : ❑ 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 5 . JOB SITE INFORMATI and LOCATI No. of bedrooms 5 No.�f baths: Job site address: • Total number of rs Not '{ New dwelling area (sq. ft.).. ....4 Suite #: Bldg. /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.) . •. REQUIRED DATA: _ ..,: - : - - COMMERCIAL - USE CHECKLIST.: -r • . - Subdivision: Lot #: I Tax map /parcel #: 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, NEW CONSTRUCTION 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 I .0 TENANT - - Type of construction Name: Buena Vista Custom Homes Occupancy Existing: Address: 6932 SW Macadam Ave. Ste C New: City /State /Zip: Portland, OR 97219 Phone: 503-443-6033 Fax: 5 0 3- 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under APPLICANT 0 12,} CONTACT PERSON 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: Eliabeth Moore from licensing, the following reason applies: Address: City/State /Zip: Phone: Fax: . • • • • E -mail: • ' PERMIT FEES *. -: • ` Ple ase • refer to fee-schedule. • - • ` - CONTRACTOR • • . • • • - . ......•• - Business Name: Buena VIsta Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 Fax:503- 443 -2443 Date received: CCB Lic. #: 1 52235 Authorized //11 .. Signature: td C I Date: Notice: This permit application expires if a permit is not obtained within J 180 days after it has been accepted as complete. •Fee methodology set by Trl- County Building industry Service Board. (Please print name) i:\Dsts\Permit Forms \BldgPcrmitApp.doc 01/03 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 - M Permit .Application FOR rtFF1( P. t ►,t Received City of Tigat -d a Planning Approved Building v De : , Permit No.: 13125 SW Hall Blvd. � �� Plan Review • Tigard, Oregon 97223 \C� •%'° '1 E7a'tdt�l . - Phone: 503 - 639 -4171 Fax 503-598-1960 ' ; . _ 6 : , JS, -) -Review , an d Use - s lttterttet: www.ci.tigard ���� -sb ' `` I � � _. 24 - hour Inspection Request: 503- 639 -4175 y ,, QQ ; ``09 Ol���' \v •: Name/Method: CfiC Q`\� -ti.. •[:.' : ° :?... e. • COLV CIAL FEE' SCEINDIT E'b 5'_ -XM SI :; .1 e - ■.• :'. lE New construction ■ Demolition Mechanical pertriit fees* are based on the total value of the work lU Addition /alteration/re placement ■ Other: perforated. Indicate the value (rounded to the nearest dollar) of all :,.CATEGJR1l; ;O.CONSTRUiE "TI • L ;i " i "!, ?: =: mechanical materials, equipment, labor, overhead and profit. Lai 1 & 2- Faznil dwetlin:. IN Commercial/Industrial value. S _ See Page 2 for Fee Schedule IP Accesso Buildirl Multi- Parnil Dem • eon Fe ea- Total (I ■ Master Builder ■ Other: neat mgr000rea ,,JO : SITE 1 + • , • ON and LOCATION . •- .: furnace - add-on air conditionin3 " 14.00 l Job site address: F.. - 0 - R Gas heat • - 14.00 INEEMMUNEM 81d , ./A.• t.##: Duct work Illil 14.00 L Pro act Name: 1-1Ydroaic hot water system . 14.00 �1 Residential boiler 111 Cross street/Directions to job site: (Ibr radiator orhronic s•r„tem)' - , 14-00 ' Unit heaters (Wel, not electric) in wall, in.duc su tided. etc.) 14.00 Flue/vent for an of above 1 -00 LOt #: R .air units 12.15 Subdivision: jib • Tax map/parcel #: 1000 . • • • • .. DES el [ON i FWORK •:. .i• .. 10.00 NEW CONSTRU TION —SI GL " >• ' I ' Flue vent (water he etistas fireplace) 10.00 M DETACHED RESIDENCE Lo: li. ter _• . 10.00 Wood/Pellet stove _ 10 III Wood . : • lace/insert 10.00 Chitreteyfliner /flue /vent 10.00 R:' OP1zIt'1E'SG'O' ca . - - NAFix s ri:<ti': Other, 10.00 • - .. Eaviroammdal exhaust & Veatdtadoa Na1Tte: B _ = .t- . V i s - .. • u ..1:- Range hood/other kitchen equipment 10.0 Address: 6_,932 Sw Mac ad - q :,_'.7 - S - C Clothes dryer exhaust J 10.00 CiV/State /Zip: Portland, OR 9721 9 Single duct exhaust Phone • _ • . _ . e I Fax: 1 — , . _ , , (bathrooms, toilet eompattmcnts, 111 • . n►'" •CONT ?MON. urili rooms • 6.80 Attic/crawl Space Eons L 10.00 nzzle: David Golobay Other; 1 I 10.00 Address: t e .a_.I. - City /State/Zip: ''(SSAO for first 4 140 each additional) Furnace, etc. ` • • Phone: Fax: Gas heat pump I •• E-mail: Wall/sue • ended/unit heater '" - • . • core RACTOR • r .. . , . • , ., Business Name: _ ,_ G . w , . • • Address :2428 SE 105th Ave. ES* -- Ci /State/Zi. :Portland, OR 97216 Clothes dryer Seas) Phone: 543 -253 -7789 Fax:503- 253 -1i "3 otter. Total: CCB Lie. #: 45131 r M echaefeal ?credit Fees" A gnat ze e: � Subt2ta0 S S Signat Date: _*13=1..1 Minimum Permit Fee S�250 David Golob y Flan Review Fee (25% of' Permit Fee) S print Warne State Suro(tar .. : % of Permit Fee S ease (P Pn ) TOTAL ' . E 5 Notice: Tbts permit Application expires if a permit is not obtained within *Fee methodology required Eby Tr t byaC Building ladnstry Service Board. 1110 dye after it has beet aeeopbod as complete. i;■stSPcrmit Forms\MenPetmitApp.doc 0103 1I 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Permit A Received Electrical Oatc/By: Permit No.: Vhf) Ana — 9 )O City of Tigard Approval Sign 13125 SW Hail Blvd. ��� Date/By: Othe No.: Plan Review Other Tigard, Oregon 97223 Date/Ely: Permit No.: Phone: 503- 639 -4171 Fax; 503- 598 0 r Post- Review Land Use Internet: www.ci.tigard -onus Date/B : Case No,. 24 -hour Inspection Request: 503-639-4175 O� Contact 1uris See Page 2 for \ , e O 3 �o = Name/Method: Supplemental Information. • . • ..: -. . .. :' :.TYPE of worm •' . :. :. :.., .: .... , PX.ANREVIEW. CP iea* thecrt iltit;at ititily),.': • New construction 'lJemolition ❑ Service over 225 amps. In Health -care facility ❑ Addition/alteration/replacement ether; commercial ❑ Hazardous location ❑ Service over 320 amps.rating of ❑ Building over 10.000 square feet, •, - •. • '`CA1h0ORY.oF'C©NS7b',RT3C FION. 1 & 2 family dwellings four or more residential units in & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure Accesso B uilditi g ❑ Buildin over three stories (� Muth- Fami El Feeders, amps or more • p Master Builder Oth er: C:1 Occupant load over 99 persons El Manufactured d structures or RV park © Egress/iighting plan ❑ Other: .:. -:: ; '3010 :SITE INFORMt4TION iiiii LOCATION • ' Submit seta of plans with any of the above. Job site a 9 3 57 The above are not applicable to to address: E pA temporary construction service. Suite #: Bldg. /Apt. #: — . ` '!:SCHNOME.. >;'::; it °:r , , - ;;;�4;;`%;•:; ";••';'; • Number of inspections per permit allowed Project Name: Description P Qry. Pcc (ea.) Tatar Cross street/Directions to job site: New residential - singes or motel- family per dwelling cult. Includes attached garage - Service lncladed: 1000 sq. ft. or less 145.15 , — Each additional 500 sq. R or portion thereof 33,40 ' I Subdivision: Lot #: (9\ Limited cnerSy, residentiai 75.00 2 Limited energy. non residential 7100 2 Tax map /parcel #: Each manufactured home or modular dwelling ' .. ' .. `DE , l' ONOFWORIC z service and/or feeder — /!� 90.90 2 Services car feeders - installation. _ �Ew t� 0,� �i S J"�_ f /Sl Services alteration or relocation - in e ge.: ct c-h e L � en C--- 200 am o r less 80.30 2 2011 am to 400 a 06.88 _ 40i amps to 600 amps 16 0.60 2 RO1PERTYOW.NER • :.:4.; D.'EEN .. .,. 601 a mts to 1000 amps 240.60 2 1 t✓ Over 1000 am. or volts 454.65 2 Name: i'/ S f I ' '`ten— Reconnect only 66.85 2 Address: �, j - t' & 6-1C , c a c o Ave. .� Temporary services or feeders - installation. City /.State /Zi : Pert( 0 _ 9- a ci alteration, or relocation: 1 / i 200 amps or less 66, a5 l Fhot12 0 ' ` - (a)53 F' gq 9 ?) 201 amps to 400 amps too.9o' z hpp�I �! 7 an l to 600 am 133,25 — 2 ��� CC PE Branch -circuits • new, alteration, or Name: � "tf'' , . ✓ Q- 10--oS S a extension per panel: Address: A. Fee Fpr branch circuits with purchase of acmes or feeder fee, each branch circuit ^s. 6.65 2 City /State/Zip: B. Fee for branch circuits without purchase of Phone service or feeder fcc, first branch circuit 46,55 2 Fa Each additional branch circuit E -mail: 6,65 2 . Misc,(Scrvice or feeder not included): . - . ' CONTRACTOR Each poop oration circle 53.40 2 Job No: Each,tn oroudnc lighti�n 53.40" 2 Signal circuits) or a limited energy panel, Business Name OS 3 L'-e_C alteration, or extension Page 2 2 Address: .870 S k.) eta,,i (203 °� "on: CL /State y'L !� S ( -d /� l7 Each additional ins 'on over the allowa I n an of the ahem Per in t' n hour min. 1 hour 62.50 Phone :50.3 (o (Z 2$00 Fax: 6Z 3 1 S investiga fee: CCB Lic. #: IS .Lic. #: 3 3eG other X Supervising electrici � . ..::; EliiitiiniiPekm1 :yr.:: .;,'�;:: signature required. , � JI Subtora - S Plan Review (25% of Permit Pee) S Print Name: .S} -fAIC ROSSI Lie. #: 4.42 State Surcharge A PER MI T t FEE S Authorized Notice: This rmit application pa Signature: Date: � PP tspires If a permit is not obtained within 150 days after it has been accepted as complete. *Fee methodology set by Tri County Building industry Service Board. • (Please print name) - i:\Dste \Permit Fornts` 01/01 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY a BUENNA VISTA lit 002/003 Plumbing Permit Application FOR OFFICE 1'SE ONLY Received Plumbing O DatdBy: , Permit No.. / C� ,47 �O /5 Planning Approval &twat City af_Tigard D Date/Sv: Permit No.; 13125 SW Hall Blvd. ` Plan Review CA Tigard, Oregon 97223�� t2 �� \ Data/By: other Permit No.: Phone: 503- 639 -4111 Pax: 503 -59S -1960 - ; - . �. Post.R.e iew Land Use \\ , F_ I I ._\ Date/By: Case No.: _.� Internet: www.ci.tigard,or.tts r e { ••� Contact Amis.: ® See Page 2 for 24 -hour Inspection Request: 503.639.417 ' ` NamelMethod: Supolomences tnfermatloa - s='''' " - rnB OP.wOR� ;';'.'. • , " . .. : FEE*SC E D U L E ' o r - . . - inroh'mdt Qle ] r5'01 . *.x TNew construction To cc(ea•) Total Addition/alteration/replacement tacement � Other. . • ., `�� ,�, '; �, e]� Demolition Description Qtr. r ' ;r•.� ..,,,;,.,!• . It, .,OA1<EGO1e E. !. I:a. D 1lI , ' . 5 •-... ••:•.•„ O aiik r l ��b: oanlection...:1:� 'a'•.'� SFR (1 Lath 249.20 • • M & 2- Family dwelling - 0 Commercial/Indus_ al SFR (z) bath 3so.00 ■ Accessory Building 311 Multi - Family SFR (3 bath 399.00 •I Master Builder Other: Each additional bath/kitchen 45.00 - OB sin emon A:'Tlt oindLOC*TIO@t ' ' Fire sprinkler - sq. tt.: - Pa e 2 _ Job site address: C1357 � »26 ... . • • , - . Sete 1;ltiltties • ,,;, ':,t?'�'.I , • .. r. . Spite #: l Bldg. /Apt. #: Catch basin/arca. drain 16.60 Project Name: DrywdUteaeh line/trench drain 16.60 1 - - Fotitin[drsin (me. linear -ft.) Pace 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 S torm s ewer ( no. linear ft.) Pp 2 Subdivision: � Lot #; , t' � • Tax map /parcel #: Water service (no. linear f>;.) - _ Page 2 - - DESCRIPTION OF WORK Bbtturt or Item s NF,, „CONSTRUCTION - SINGLE FAMILY Baal wo event 16,60 prcvcntcr Pa4c 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 _ Clothes washer 16.60 Dishwasher 1 6.60 EIPROPERTY CIV ';'...':'••,:. '- El TFd` AIN1T .. Drinking fountain 16.60 E]eators/aump _ 16.60 Name: Buena Vista Cus;'tom Homes Expansion tank 16.60 Address: 6 9 3 2 SW biacdam Ave_ B C Fixture/sewer cap 16.60 _ City/State/Zia: Portland OR 97219 Floor drain/floor sink/hub 16,60 Garbage disposal 16.60. _ Phone: 503 --443 -6033 Fax: 503+443 -2443 Hose bib • 16.60 sa ;APPLICANT . '. _ . :v: •N . Ice maker 16.60 ' Interceptor/grease Name: Ra Mullen eP grease trap 16.60 Address: Medical gee • value: S Page 2 Primer . 16.60 City / State/Zip: Roof drain (commercial) 16.60 �, Phone: Fax: Sink/basitvlavatory _ 16.60 E- snail: Tub /shower /shower pan 16.60 CONTRACTOR , ' • • ` Urinal - _ 16.60 _ Business Name; ED Mullen Plumbing ter 16.60 g W water-r h heaeater 16.60 _ Address: 24470 SW Rainbow Lane Other: City /State/Zip: Hi bnr , jaR 971 7,3 - - Phone: 501-628-1 632 Fax:g _` _ ` Other. .... , :Plumb i:1Pac's�leStieet..• • • Subtotal s GCB Lic. #: Plumb. Li c. # : • 0 1: ' • • - Mi Perm F ee S72.50 S Authorized P ✓ rl, ? Li Residential Backflow Minimum Fu Signature: ✓ ` Plan Reviewp% of Permit Fee) S - Ray ul en State Surcharge (8% of Permit Fee) S -......._ (Please print name) TOTAL PERMIT PEE S Maker Tblo permit application expires Ira permit is not obtained within • AU now commercial buU4ings require 2 sets or plass with isometric or 180 days after It has beta accepted as complete. riser dlagrem Ibr plan review. •Fee methodology set by Tri- County Building Industry Service Board. I :\Dsts\Petrnil FortnmlPlmPormiiApa.doc 01/03 • 1 STREET TREE CERTIFICATION : :ci 1 . 6 'r _ (�'SEPltJ e'mer! t for �� 4 ' ("ERIA T HOLDER) tilb N 0. 4 li Do hereb � '# � i , 1 to ® - (noso atcal 4 .a+nA i ..". ^.re, a•4n .-d .... a ,4-.. .. o...... ..e.. I.`.... ...o-� fi.. a. , i sa,sti. 44141.1%.9 d a elop .®.a. .....a mi les uJ fo .►t.i.CCL ILA Ce . was iiti€Llilil. 4 0. li ® LOT: ,/ SLTBDSI IW / / _ . - DATE: 0 BY oo 6 II RECEIVED BY: AB DATE: , 2- 1_____12 L 71" 0. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 004 Za INSPECTION DIVISION Business Line: (503) 639 -4171 • pl BUP Received Date Requested / — AM PM BUP Location 9 3._C Suite MEC Contact Person .G � Ph ( ) 7/6 _ &' y fS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC (i Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PART FAIL 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 ' Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line !!�� � ADA Approach /Sidewalk Date( /i ' / d- "7 Inspector V 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 461 ` ©U ze g' INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re ested ` AM PM BUP Location 933– - 7 Suite MEC Contact Person Ph ( ) 7/6 — /WS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain _ , = _ ELR Crawl Drain Slab Inspection Notes: SIT 4116A Post & Beam Sr Anchors Ext Sheath/Shear ear Int Sheath/Shear IOW Framing Insulation Drywall Nailing Firewall I. - / • 'ir 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 PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Unable to inspect — no access Fire Supply Line �} ADA y 2(, Approach/Sidewalk Date ( C./ Inspector , Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ,66e.-/- INSPECTION DIVISION Business Line: (503) 639 -4171 c� BUP Received Date Requested 9 _� 1 AM PM BUP Location 57 AlNrL-a- Alt Suite MEC Contact Person 0//t/1. Ph ( ) In (12- _ Z Feo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART 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 E 'TRICAL ougn -I UG ab Low Voltage Fire Alarm Fin Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line I 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 egoe INSPECTION DIVISION • ° Business Line: (50 639 -4171 . y BUP Received Date Re uested M PM BUP Location ` 3 C Suite MEC Contact Person Ph ( ) 7/0 "/5 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 -tom i' C-) /,. -_ _ ® / , / / ®� ( Framing (� 1'" 4� l CiL (I l J Insulation ��, p Drywall Nailing � ✓ I . Firewall Fire Sprinkler Fire Alarm FL 5 V j m og Susp'd Ceiling • Roof Other: IN F ®I�/ L��� --1' „— v../ 1 S C� { 6Z e p (A/14 /A/67 - � / o AV/ G-� - - PASS PART ( 2 ..� G . l ( 15 ) PLUMBING - ri �. �. - L o L l - / Post & Beam Tl � � 7 --414_s PLi - l- S Under Slab � / � Water S f/&1 � � � V /4 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 S yoke Dampers PART FAIL E CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ri Unable to inspect — no access Fire Supply Line / t ADA ` • Approach /Sidewalk - Date / 0 Inspector Ext Other: Final DO NOT REMOVE this inspection record fro + the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING 0 • Inspection Line: (503) 63 175 , MST c'100 INSPECTION DIVISION , • Business Line: (503) 6 -4171 , BUP Received Date Requested `i AM ,PM BUP Location C / 3,' - 7 Suite MEC /� Contact Person [ Ph ( ) 9/6 8 ' (S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC A ccess: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear • Int Sheath/Shear Ir. av'e, ` 1/ ` 'I, i- 615 cZ 1 -12 - o Framing Insulation f ` LS - O . CC-4. � U 6 Drywall Nailing / •\ \ Firewall C0 - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: • 4i a IFI PART FAIL PLUMBING: v Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • I _ Rain Drains winpimiii p Catch Basin / Manhole Storm Drain Shower Pan _ Other: Final PASS PART FAIL MECHANICAL, : -- ` Post & Beam Rough -In Gas Line . Smoke Dampers Illir PART FAIL LECTR ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before ne 4 inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE , . " t 0 Please call for reinspection RE: j ∎ . Ext El Unable to inspect - no access Fire Supply Line D at e l l � Inspector `_ ir ADA �` 0 v Approach/Sidewalk Other: Final DO NOT REMOVE this inspection recor A the job site. PASS PART FAIL