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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00163 4i� DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09346 SW HOME ST PARCEL: 2S111 DB -KE009 SUBDIVISION: KESSLER ESTATES ZONING: R - 4.5 BLOCK: LOT: 009 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: BVH3684 STORIES: ' 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,652 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,032 sf GARAGE: 782 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 361, 595.40 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,684 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 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: 6 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: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 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: 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: $ 8,038.46 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard other Code, State of All work k wil b o ne i n PORTLAND, OR 97219 PORTLAND, OR 97219 and all ra cer applicable ed laws. Al. This permit done in accordance with approved plans. This permi t willexpire 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 Ins Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Ins• Buil+ing Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /S•wlk Ins• j 411‘ i ---"'" / i Issued By : :a��� 1` _ Permittee Signature : ■ .,J� 1 A`� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next bu iness da, q 'Bu ldiag Permit Ap ' -a ® FOR OFFICE LSE ONLY t.1 — Received Building �i Date/B : /, / ��i Permit No.:(lT ,,,,0,• Al /6 City of Tigard ry 4i PlanningA..roval Other ' '/ ` L� Date/B : Permit No.: i o `t 0 I 13125 SW Hall Blvd. `�1`V ,1 L Plan Review Other Tigard, Oregon 97223 r , Rp Date/By: /'/1 V 6- d " � t / Permit No.: Phone: 503 -639 -4171 Fax 503- 59b119{9� � ' �' * % h,PL l Post- Review Land Use Internet: www.ci.tigard.or.us yLD1NG' ''� �.. Date/B : Case No . g Contact 0 See Page 2 for 24 -hour Inspection Request: 503-6391:T175 Name/Method: , Su. , lemental Information TYPE OF WORK 121 New construction El 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 © 1 & 2- Family dwelling ❑ Cotnrnercial/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 El Multi-Family ❑ Master Builder ❑ Other: Valuation S . JOB SITE INFORMATION and LOCATION . No. of bedrooms: Y No. of baths: 5 ' Job site address: 93416, Az /fig t-7---- Total number of floors New dwelling area (sq. ft.). '.. Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.)....... 8 Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) •: "., .. -: REQUIRED DATA: Subdivision: -�—'S1 �S -ut- - 1 Lot #: 1 COMMERCIAL USE CHECKLIST . , 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 — 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: 503-443-6033 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 ❑ CONTACT PERSON provisions of ORS 701 and may be required 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: Fax: . .. ...... , ... . ..... _ .• E -mail: • :_ PERMIT FEES *.? ::': • • CONTRACTOR . . _ .. ;- Please efer fee schedule: • Business Name: Buena Vlsta 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. #: 152235 Authorized //�� / � _ Signature: Ll. 1 5' 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 Forma \BldgPermitApp.doc 01/03 • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY 4 BUENNA VISTA VI 002/003 . Plumbing Permit Appli . on � Pl"lttbn J C � �� Planning Approval Sewer `., Dawe Y : P ermi t i No. :,"tGf —a7l63 City f Tigard r ?� `J y, Dale/By: Permit No.: 13125 SW Hall Blvd. '1 Plan Review Other Tigard, Oregon 97223 \\3‘%‘ �- DateBy: Permit No.: , Phone: 503 fax; 50 - 196 598 0 Ppf Post.Raview land Use l�G I ' ` Date/By: Case No.: Internet: www.ci.tigard.or.us ,i OF 0 0 ... .4 . - :AiI Contact ' Jurist grSee Page 2 for 24 - hour Inspection Request: 503• $+itra - Name /Method: 3upelomeont Information. OA e — �^ _ ' - . - TYPE OB.WQR'l� .' • • - '. q. •� ' r!'" '•' "!'• '..TE .t �CEE ED.ULE•(for•specral'infoi'niat t 3 �' . •••••r-' New c onstruction Demolition Desert tiara Qtr. Iseo(e..) Total Addition/alteration/replacement Other ', ', '� ' ` t ' , s ��' a:; ~:l :• i* F C/STE R'Y�IP. 'a' • • _i lii&fE fer Irhib: t ' eo` iiiiefat e . .. 1 . 4. ,: , y: r , ` SFR (1) bath 249.20 • j 1 & 2 -Family dwelling ❑ Cotnmercial/Industrial SFR (2) bath 330.00 ■ Accessory Building 10 Multi - Family SFR (3) bath 399.00 ■ Master Builder Other: Each additional bath/kitchen 45.00 O B VIE MP a TIM dLOCATION ' ' • Fire szrinkler - so, ft.: _ Pag 2 Job site address: • At) / ' • . - Site Ut lities • • !.4,, „ t,J:- ., &lite #: Bld _ ,/A • t, #: Catch basin /area drain 16.60 Project Name: Drywc1t each line/month drain 16.60 Footint{ drain (no. linear ft.) - P . ace - 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: Lot #: I - Storm sewer (no. linear ft) Pie 2 Tax map /parcel #: Water service (no, linear ft) page 2 !DESCRIPTION OF WORK Fb[tttrt or Item , N N, ,CONST13UCTION - SINGLE FAMILY Absorption valve 16 ' prevcntcr _ Page 02 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer _ 16.60 Dishwasher _ 16.60 c 1 PRDPERZ'Y'OWNER .,::_f a 'IEIIFAZVT .. Drinking fountain 16.60 6iectorsltium 1b.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6932 SW Macs am _Ave . St/. c Fixture ca - 16.60 City /State/Zip: Portland, OR 97219 Floor drain/floor sin /h 16 60 - Garbage disposal 16.60. Phone: 503- -443 -6033 Fax: 5030443-2443 Hose bib • 16.60 Et1 APPLICANT • • . •• '. ft • a • ACTT :4: a N • • • Ice maker 16.60 ' Narne: Ray Mullen Interceptor /grease trap . 16.60 Address: Medical gas • value: S Page 2 Primct 16.60 Ci /State./Zi•: Roof drain (cammetclal) 16.60 Phone: Fax: - Sink/basin/lavatory 16.60 E -mail: Tub /showeriahower _part 16.60 ` : - . CONTRACTOR :. • • - - Urinal 16.60 J BusinessName: ED Mu7,lon Plu bincl Waten c � a et 16.60 Water aatcr 16.60 Address: 24470 SW Rainbow Lane ^ Other: Ci ty /State /Zip: Hi llobor .. _7R 971 Other. Pho11e: 628-1 632 P3:5O3 -628 -4E 1 • . , . „ .,.,. :Pliton151atLhum}e: • CCB Lic. #: 1 • , ; • Plumb. Lic. #: - - 0 • : $ subtotal ' Mi n i mum P ermit Fee STZ.50 S Authorized / Residential Back low Minimum Fee 536.25 Signature: I .4 A ...d.../ • e: C / Plan Review12556 of Permit Fee) S Ray ul en Srate Surcharge (8% of Pcrmit Fee) S (Please print name) TOTAL PERMIT FEE 5 _ Notice, Tbls permit application expires Ira permit is not obtained within Ali new commercial butt4Intis raelulre 2 sets or plans with isometric or 180 days after It has been aeeepted es complete. 'lair diagram far plan review. -Fee methodology set by Tri- County Beading Industry Serrico Berard. it\Dsts \Permit Forme\Plm?erntlt,Ape•doc 01/03 03 (04/2004 16:26 5032537693 SUN GLOW INC PAGE e2 ' Mechanical Permit ,Application Received City of �'� Planning Approval Building Tigard y � Date/By: PermitNa.: 13125 SW Halt Blvd. Plan Review Other Tigard, Oregon 97223 M 1 MIA, patty: Permit No.: Phone: 503- 639 -4171 Fax: 50o =59$-1960 y Post - Review Land Use Internet: www•ci.tigard.or.u& 1.� Date/ 8 : Ca se No.: ? .1. •� Contact Amis.: See page/ roe 24 - hour Inspection Request: 5038139 ' S ` ` _ .4 . .. �tatnc/4tethad, 9spplenleotai In forntadoo. BUILDIN • ........ ;.,...,•,,.. _ E op- WORK',si). p•F.t - . ,; ',F ;0:4'itco]titt+ CJG .-PEEtSCREDII.E.`=1 •;k.' ! New construction I• rnd Demolition Mechanical pet fees* arc based on the total value of the work _ 111 Addition /alteration/re • lacement • Other: performed. Indicate the value (rounded to the nearest dollar) of all , mechanical materials, equipment, labor, overhead and profit. •�::CA'T1fGf)R'; ��:G41!ISTB'fI�'1Z." L:5 >,'` �="'�:, •:..... IL 1 & 2 -Famil dwellin: II Commercial/Industrial V fur. S See Page 2 for Fee Schedule � M B Accesso uitdiri� ! : RESIAELI`I �'.4 /�S1 .St•4IEDULE , Descripdon 1 Qt7 j Fee(ea -) i Tetal Master Builder • Other: Heat eriCootiag • „gyp : SITE INfORIKATION kit LOCATION • ' ': :. • furnace • add-on air conditioning *` 14.00 ' Job site address: li r%IImfyrdm Gas heat • - 14.00 Eger ski, IA. t.#: Ductwork — 14.00 Pro'ect Name: HYttronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (kr radiator orh system) _ 14.00 Unit heaters (fuel, not electric) (in wall, induct, suspended. ctc.) 1 4,00 Flue/ventSfot any of above) 10.00 Lot #: *al RCpair units 12.15 Subdivision: ether Fuel A. • llama Tact - -1. arcet #: Water heater 10.00 '• DESCRIPTION * F WORK • ..., • •• . • Gas fireplace _ 10,00 NEW CONSTRUCTION —SI GL" F' 1 Flue vent (water haterl_ fireplace) 10.00 DETACHED RESIDENCE Log lighter (Ras) 10.00 IIIII Wood/Pellet stove 10.00 Wood . = •lace/insert 10.00 • Chitral /liner /fluelvent ! 10.00 - ' • OPER'1E'x O' w • - El :1IFNATix':1r ,,,, : Other, MI 10.00 MIMI . Environmental Exhaust & Veatdl*Cots .auw: 8 - = .,_ . V3. s - • n .41.u- Range hood/other kitchen equipment { 10.00 Address: 6 - Sw Macao _I, • v-_ s . - C Clothes dryer exhaust { 10,00 Ci /State /Zi.:Portland OR 97219 Single duct exhaust I Phone- • _ . • - . 4 Fax: 1 - , • - ' - (bathrooms, toilet compartments, in APPLIC %N f . 1167 CONT • prasorI •' urili rooms • 6.80 Name: David Galobay 10.00 Other; 1 1 0.00 Address: Fug 11, " : C1 /State/Z1' : 1 * .40 for first 4. S1.1X0 etch additional Furnace, etc. ` Phone: G as heat pump ,• Wall/su2peuded/unitheater I " Wter a heater I} .. BusinessNarrte: G . Fireplace w :. -- Address:2428 SE 105th Ave. 8 S• City /State/Zi.:Portland, OR 97216 • � i Phone: 503 - 253 -7789 Fax:503 -25 i7 " ' 3 OTher: - ! CCB Lie 0: 45131 Mechanical Permit Fete Authorized u. total: S Signature: ,:. C..4-4A0 _ Datc:_412=pti Minimum Permit Fee 37250 _ David. Goloba y plan Review Fee (25% of Permit Fee) print State Surcharge (8% of Permit Fe) (P lease Pn name ) TOTAL PEI MIT FEE Notice: This permit application expires if Al permit is not obtained within •Fee methodology set by Trt- Couutr Building Industry Servlet Board. after it has been accepted of complete. •'Site plan required for exterior A/C units. 180 de i ;\ $ts\Pcrtttit FaciraMnPernutApP•doc 01/03 ... 93704/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Pe . o f — 4. f 11 ., �` - Dn Receiv ` Ele ctrical Datc,BY: Permit No.: 1I°7%/1/Y) ai / 3 City o r Tigard (� Planning Approval Sign 13125 SW Hall Blvd. JUN 04 Date/By: tNo.: Other Plan Review Other Tigard!, Oregon 97223 Date/By: Permit No.: Phone: 503- 6394171 Fx4TY09F9T 0.1 Post- Review land Use Internet: www.ci,tigard.oVIWLD'NG 1 1 oil ''' *• :, ' oatcf8 , Case No, 24 -hour Inspection Request: 503-639-4175 Contact kris.: See Page 2 for Name/Method: Su •lementalInformation. :.. . TYPE;OFVfFC1IfK' ..;: .: < PLAAF)W (PI . ' ease' eStacTaali';ttiat :ie¢Pb'}r ::. New construction Demolition ❑ Service over 225 amps - 0 Health -care facility ❑ Addition/alteration/replacement t]161: commercial ❑ Hazardous location • .' CtTEGOEYOF'CONSTRIEIC I N'. .. ' ❑ 2 Service ' over 320 amps-rating of ❑ur or over 10.000 s uit feet, • _ 1 & 2 family dwellings four or more residential l unnits in Fr & 2- Family dwellin. C CornmercjaUlndusttjal ❑ Srsmm over 600 volts nominal vnc structure • Accesso $uildin Multi - Family ❑ Building over three stories ❑ Feeders, 400 amps or more [] Occupant load over 99 persons ❑ Manufactured structures or RV park Q Other: ❑ Egress/lighting plan Master Builder ❑ Other: . '. IOU. Sfl'E INFORMATIO N' OCAIION Submit seta of plans with any of the above. Job site address: � j -.y t The above are not applicable to temporary cooetructian service, Suite #: Bld :. /A•t. #: FEII,"" :SC>JS T ;1@'_ ,., :; 4 ;::= >` :: Number of inspections per permit allowed Project Name: Description Qty _ Fee (ea.) Total 1 Cross street/Directions to job site: Nex residential-single or math- family per dwelling autt includes attached garage. Service Iociaded: 1000 sq. R. or less _ 145.15 4 Each additional 500 sq. fk or portion thereof 35,40 1 Subdivision: Limited energy, residential 75.00 2 Lot # Limited ene non residential 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling ' '.. `DE ' t' ON OFWORK' • :. � �. `.t service and/or feeder 90.90 2 ___LieA GOn S Ma — S ///' , C Services or feeders - Instafatlon, � _ /y alteration or relocation: Lh L ^ Y-t1) d e n «Z__ 200 amps or less _ 80,90 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 • 'ROz RTY OWNER . ::... }.'FEN ; . -60 am to 1000 240.60 2 Name: 121t e a- ' -zz- i.,/ S A .0 a t, Address: . ci,?j 51f/ / aU - 'c/G� t', L , 66.85 2 ' C alteration, or relocation: ity /State /Zia : r- --(p 0 � q -7� 200 am or leas 66.85 1 / /q Phon =. • 't43' 3 Fax( 44 / 201 am ' ,t �.." '. ' • C. NT GT PFI ON t°. 133,75 2 — Branch circuits • new, alteration. or Name: .v I ---0.55 extension A. Fee for branch circuits with purchase of Address: C }� ' 6.65 2 ity /State /Zip: B. Fee for branch circuits without purchase of Phone: — service or feeder fcc, first branch circuit 46.85 2 Fax: Each additional branch circuit 6.65 2 E -mail: Misc,(Scrvice or fader not included); j'OR ` Each pump or irrigation circle 53.40 2 Job No: ---- Eact noroutlineIightij 53.40" 2 Signal circuit(s) or a limited energy panel. Business Nam 0$ ��' (�; alteration, or extension Page 2 2 Address: 3 $ 70 5 LJ eta, 3 Description: Cit late /Zip: M-t 11S 4 -6 , 0/2 q7i a,3 FAch a dditio na 1 ins pecti o n over the allowable In in of the strove: Per inspection per hour (min. lhow') 62 50 Phone: r '" 3 CO L IZ Z$00 Fax '3 ( Z 1s- investigation fee: CCB Lic. #: 1$7661/ Lic. #: 7 34 puler: Supervising eketricta ' :: )Eiet tcaf PeYmR3ret '. : : J. ,', : X signature required Subtotal 3 Plan Review (25% of Permit Fee) S Print Name: .Sj -e-VC (OS Lic. #: y2 State Surcharge (8 %e of Pemtit Flesj_ S Authorized TOTAL PERMIT FEE S Notice: This permit application expires If a permit is not obtained within Signature: Date: — 180 days alter it has been accepted as complete. *Fee methodology set by Tri-Cnunty Building Tndustry Service Board. (Please print name) i :\Data \Permit Fnrms`.E1cPcrmitApp.doc 01/05 .M6 — r I .„3 LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA -- 1 TREE CS ..- i „f,„ .. I, ad /7,L,-.0, , Owner /Agent for , ( 1214_ ,.,,, i ' �`r.,,,et 1 (PLEASE PRINT) (PERMIT HOLDER) ,` 1 .,• 0. 1 Do herebb,cert ty tha ` l e' following location 0. 1 1 meets � � ; it of Tigard /Washington County 0. land use and development standards for street tree installation. ADDRESS: ?”/ 5W / -41.Y 57 j l LOT: _ SUBDIVISION: 6€1,slev- 0. BY: / DATE: tO /fy1(/ 1 RECEIVED BY: _L �: ._--� DATE: / 0- - C�3�� CITY OF TIGARD , 24 -Hour • BUILDING Inspection Line: '(503) 639 -4175 ,,) V -eid ``63 INSPECTION DIVISION Business Line: (503) 639 - 4171 �-- /� BUP Received i ' ' ' Date Request_ /"" i�r� PM BUP Location q 3 7 4 l Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BiltING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear . Int Sheath/Shear ; � O i A 1 Framing .I Or Insulation _ - r� " Drywall Nailing ' jai-.- I- - . — ' - ' Firewall p Fire Sprinkler ,� -R p I Fire Alarm / t ' h..t _ MC .C✓li�e �1" J 1 L: VI Susp'd Ceiling Roof PA 657 —__ _rg SEE if\itf7" / €4-v9\t O PASS PART , -7 P/c) \../ e_6 6 �C S/ (.L S -t J --- 4=='r PLUMBING' ®� 14/ \/C F-fe - PC i(•J (Li\J//J(am Post &Beam Under Slab • ' P p G `l i C A A/ ib �\ N, r C, Rough -In Water Service „iii � J �� Sanitary Sewer a / 4• ' ra �.--;-- r— - i•ri 0S7 Nar i► Rain Drains Catch Basin / Manhole Storm Drain / Ili ' _ �g J Shower Pan ( .- r ,_ �. U�1� �, _ . 2-�' - OZ-/ Other: Final — C-e - Z3 PASS PART FAIL ICAL ost & Beam Rough -In. Gas Line S�Dampers i al al LECTRICAL 4 Service Rough -In UG /Slab Low Voltage -�y�, rm _ ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA / Date ( a Inspector - d Ext Approach/Sidewalk Other: Final • DO NOT REMOVE this inspection record f m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING: Inspection Line: "(5031639 -4175 MST A00 ( f-io U `te3 INSPECTION DIVIISI Business Line: (50 39 -4171 BUP Received Date Requested `' 7 AM PM BUP Location 3' (P Suite MEC Contact Person Ph ( ) 716 - Fq PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot l AS PART FAIL PLMBING 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 S oke Dampers /PART FAIL RICAL -. - 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 — 7 — 4-- Inspector r Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL