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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2001 -00438 lIc DEVELOPMENT SERVICES DATE ISSUED: 8/22/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10722 SW KABLE ST PARCEL: 2S110DA -04500 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 16 FIRST: 1,905 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,257 sf GARAGE: 642 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 10 VALUE: $ 307,005.40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,162.00 sf REAR: 53 PLUMBING SINKS: 2 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: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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: 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: TOTAL FEES: $ 7,991.00 Owner: Contractor: This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR. 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in WEST LINN, OR 97068 WEST LINN, OR 97068 accordance with approved plans. Th is permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 049955 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 Erosion Control Insp 8d Slab Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Grading Inspection Post/Beam Structural Plm /undslab lnsp Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Sewer Inspection Post/Beam Mechanical PLM /Underfloor Framing lnsp Gas Fireplace Electrical Final Footing Insp Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Foundation Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final / 9 Issued By : ,0., �--/ :/l/ Permittee Signatur= :-.\ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the n t • usiness day 14 B uilding Permit Applica 'on ._.� u��.n..:. Date d Permit no.: � G2� o' �i� �iyi� City of Tigard 161 �- . ..- Project/appl. no.: Expire date: T Address: 13125 SW Hall Blvd, Tigard, O 23 City of Tigard / °Q Phone: (503) 639 -4171 Date issued: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: ly N. Z3N Land use approval: 1 &2 family: Simple Complex: TYPE O F PERMIT %1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family New construction ❑ Demolition Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /ala ❑ Other: JOB SITE INFORMATION ' • Job address: 'V®; Zt,. so") 'T;- Bldg. no.: Suite no.: Lot: . Block: Subdivision: ' .„-436,5t."1.-_ .lie .1, ):-.0 Tax map /tax lot/account no.: �$ IODA -`O i{Saa Project name: sF - . D I . =, 3' 3 Description and location of work on premises/special conditions: b'i t5) 5; „ k 4, OWNER • FOR SPECIAL INFORMATION, USE CHECKLIST Name: I erl - _ G _ ' ,_ _, r.. _ ( Floodplain, septic capacity, solar, etc.) • Mailing address: J , a ,:., e.",, //,a 6 ,.....14e 1 • I . 1 & 2 family dwelling: 307 0 q`' City: ie?5 - )_I , EMI ZIP: "7d (,p i Valuation of work _" Phone:. g', - COQ Fax: E -mail: No. of bedrooms/baths 4 1 -7-`t Owner's representative: - Z N 9,' -3- Total . number of floors " 2 Phone: _ 4 -. - - E -mail: New dwelling area (sq. ft.) LOUP 316Z '^ - " - ` " APPLICANT' - - . - - Garage /carport area (sq. ft.) 0 64,- Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) 3 Z Z. AD J_ State: ZIP: Other structure area (sq. ft.) Phone: ' Fax: E -mail: Commerciallindustriallmulti- family: CONTRACTOR Valuation of work $ Business name: Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: �' State: ZIP: Number of stories Phone: ■11112 E -mail: Type of construction CCB no.: Occupancy group(s): Existing: New: City /me • ic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under • Name: /'✓l C.c•. -ca r. . 6; •-` provisions of ORS 701 and may be required to be licensed in the Address: (, jurisdiction where work is being performed. If the applicant is Stater ZIP: '� - exempt from licensing, the following reason applies: OBEIVEIMMIE Contact person: ei _ Plan no.: ),�c j Phone: ,v,ag -- q% , Fax: E -mail: . • ENGINEER Contact person. Fees due upon application $ Address: ys 5� o. ' - d Date received: City: rpz -.I. j g,d Stater _ ZIP:' ,7 I , Amount received $ Phone: 2 iS"l( . . , Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied w hether specified herein or not. Credit card number: / / Expires Authorized signature:. t r.,,,t(' Date: 4 Name of cardholder as shown on credit card $ Print name: Cardholder signature Amount Notice: This permit-application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /COM) One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: - "" Associated permits: City of Tigard City f Ti and Y g LI Electrical ❑ Plumbing LI Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 • • THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW . Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. • 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. • 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if • there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. _ 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show . details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. • 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists • over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required • for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS • 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. • 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 • Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6t00ICOM) r .0, Plumbing Permit Application • Datereceived: Permit no.://t5 / / co yer . > �', g City of Tigard ,,.� �� `'J Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT . )01 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ;J' New construction ❑ Addition/alteration/replacement ❑ Food service 0 Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: /0 7. e ` - ,. )Z2)) 1e - Description Qty. Fee (ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot: Block: Subdivision: 6-; 1 , , ° • SFR (2) bath Project name: SFR (3) bath ' City /county: , I ZIP: q 3 3 Each additional bath/kitchen • Description and Ration of work on premises: Site utilities: Catch basin/area -drain Est. date of completion/inspection: Drywells /leach line /trench drain ' PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: 02--&-c t, ?.00-k Manholes Address: - 4.3u ,:i.. • A, v»bo.s Rain drain connector City:15tewev4ovv I State ZIP: 7qb Sanitary sewer (no. lin. ft.) Phone: ( - vim I Fax: (¢I4. slet E -mail: Storm sewer (no. lin. ft.) CCB no.: 79 (r Lt. L: I Plumb. bus. reg. no: -. /45 Ns Water service (no. lin. ft.) " " "' City /metro lic. no.: Fixture or item: I Contractor's representative signature: Absorption valve Back flow preventer Print name: - P a l lgr Date: Backwater valve Mil • ... CONTAC PERSON Basins/la �-e, 1.0.-; 1.0.-; Clothes washer Name: r Dishwasher Address: Drinking fountain(s) City: C r✓t-L- I State: . I ZIP: Ejectors /sump Mil _ Phone: Fax: E -mail: Expansion tank ■ - . OWNER Fixture/sewer cap • Name (print): -e. r e, i5tplC� Floor drains/floor sinks/hub address: Garbage disposal Mailing g l i.i �7 G� ^i l ,pl p e_ c liS �- Hose bibb 11111 - City: eA , 1;,,,,,„„ I State Cr !ZIP:4404,z Ice maker Phone:S".s- _Zocc I Fax:b.i TU4E - mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the propert I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: '< , j - a!' Dater F" I I Sump I - ' - ENGINEER Tubs /shower /shower pan Urinal Name: Pvl ll v or.eC,r,.-A- Water closet _ Address: 4S-" c JG. /se ,. Water heater _ City:'f ,,-). /p I StateOR I ZIP: / (r Other: Phone:06-q/. La I Fax: E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for, more information. P l nlmum fee $ Notice: This permit application ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ Name of cardholder as shown on credit card accepted as complete. $ Cardholder signature Amount _ 440-4616 (6/00 /COM) +w. PLUMBING PERMIT FEES: 'PRICE -.. .TOTAL , = +New...l.iand Z famil dwellin sonl� •- FIXTURES (individual)' - QTY (ea)- AMOUNT`' (includes all plumbing fiztures - " = - PRICE ,TOTAL -- - Sink 16.60 the dwelling and the first100.ff. ,QTY (ea) AMOUNT Lavatory 16.60 for�each conne One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 , Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE . Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL . Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 3" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 ` Water Heater 0 conversion 0 like kind 16.60 : ' ': - -Quantity'by Work Performed ... ' Gas piping requires a separate mechanical ,Fixture T _ • - . - `New•. Moved„ - .Replaced Removed/ permit. ` . .. , • MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain • 16.60 Water Closet Urinal • Other Fixtures (Specify) 16.60 Dishwasher Garbage Disposal ' Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer - 1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 55.00 Water Heater Other Fixtures Water Service - each additional 200' 46.40 (Specify) Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 , Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL ;', , :'' ; - <-: Isometric or riser diagram is required if !;>:..'"';;''' Quantity Total is > 9 ' aT *SUBTOTAL ,f`- , <;:ei! :x; , 8% STATE SURCHARGE c'''' „, .`�° -- a. . t;, ;;' • ,: **PLAN REVIEW 25% OF SUBTOTAL = ''aF :g: `- s'i< Required only if fixture qty. total is > 9 L.. r ` 'q":', 7,, TOTAL t:.;, $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require plans with isometric or riser diagram and plan review. is \dsts \forms \plm- fees.doc 10/10/00 ,A MechanicalPermit Application - Date received: Permit no.: 4-0 3 ,� ,,. � City of Tigard Project/appl. no.: Expire date: City afTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT X I & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement 9EiNew construction ❑ Addition/alteration/replacement ❑ Other: * '. . " JOB SITE INFORMATION ' " ` - . COMMERCIAL: VALUATION SCHEDULE Job address: 0 , y i Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: ., - profit. Value $ - Lot: Block: Subdivision: ' , lc_ p.,.„ •. _ *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: i _ o .. ZIP: liEW2MIIMIN 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and 1 ∎1. tion of work on premises: AND COMMERICAL/INDUS EQUIPMENT SCHEDULE Fee(ea.) Total Est. date of completion /inspection: Description. Qty. Res. only Res. only Tenant improvement or change of use: HVAC: ■ -- Is existing space heated or conditioned? ❑Yes CI No Air handling unit CFM Air conditioning (site plan required) - Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system ME • °'" MECHANICAL CONTRACTOR Boiler/compressors I ■■ Business name: e ' , A _, . „� 4, State boiler permit no.: HP Tons BTU /H - Address: , 6 y Fire/smoke dampers/duct smoke detectors - ZIP: ) - Heat pump (site plan required) _ Phone: 2i Fax: E -mail: Install/replace furnace/burner BTU /H ■-- Including ductwork/vent liner ❑ Yes ❑ No CCB no.: r � ; Install/replace /relocate heaters– suspended, ■-- City/metro lic. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace _ Refrigeration: BTU /H CONTACT PERSON - ■ -- Absorption Name: Bob AffillIMINIIIMIMIE Chillers HP - Address: / Compressors HP - Environmental exhaust and ventilation: / State: ZIP: Appliance vent III Phone: Fax: E -mail: Dryer exhaust _ .. OWNER . Hoods, Type I/ lures. kitchen/hazmat ■__ hood fire suppression system Name: Cy) 9', ', 6 n • Exhaust fan with single duct (bath fans) - __ Mailing address: . _; :7 , c:4 44. j/S Exhaust system apart from heating or AC NM I4 ZIP: 70 Fuel piping and distribution (up to 4 outlets) 11 Type: LPG NG Oil Phone: g's' - "80 c>o BEINSTM E -mail: Fuel piping each additional over 4 outlets = ENGINEER Process piping (schematic required) = == Name:QG.;Z.� Number of outlets t • Other listed appliance or equipment: ■ - Address: ` ., ,.....,/ Decorative fireplace City: Wi c j Wa ZIP: / . Insert – type _ Phone:: . MEMO Fax: E -mail: Woodstove /pellet stove ME Other: NM Applicant's signature: °' s� -� +� Date: � � Other: MI Name (print): M Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $ Expires within 180 days after it has been State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440 -4617 (6/00 /COM) • MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: • Des`crl Uon' :TOTAL 5,000.0 ON ,;' . PER Minimum fee $ =n 72.50 'spy 'Table A Me ical:Co , 4 Qh' .(E : ' ' % .A $1.00 to $5,000.00 um fee $ B 0, 10 e t n Furaco 100,000 BTU $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) including to 10 000 Bs 14.00 $1.52 for each additional $100.00 or fraction thereof, to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional $100.00 or fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check' -all ,that;apply - ;" Boiler , :. Heal`;. - $1.20 for each additional $100.00 or • For°ite tS1..11 *see or - , Pump Cond fraction thereof. , footnotes, below. - = Comp'`, "a„ > .„''" ` ` 7) <3HP;absorb unit Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU 14.00 8) 3 -15 HP; absorb 8% State Surcharge $ unit 100k to 500k BTU 25.60 9) 15 -30 HP; absorb 25% Plan Review Fee (of subtotal) $ unit .5 -1 mil BTU 35 Required for ALL commercial permits only 10) 30-50 HP; absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1 -1.75 mil BTU 52.20 11) >50HP: absorb unit >1.75 mil BTU 87.20 12) Air handling unit to 10,000 CFM ASSUMED ° VALUATION , PER.APPLIANCE_-v ,s . 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler ducts & vents 10.00 Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct ducts & vents 6.80 Floor furnace including vent 955 16) Ventilation system not included in Suspended heater, wall heater or 955 appliance permit 10.00 floor mounted heater 17) Hood served by mechanical exhaust Vent not induded in applicance 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator to 100k BTU 69.95 3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves 101k to 500k BTU 10.00 15 -30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets mil. BTU 5.40 30 -50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each) 1 -1.75 mil. BTU - _ 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 ' SUBTOTAL: - , tiyt:# $ >1.75 mil. BTU t� 1, i('F Air handling unit to 10,000 cfm 656 8% State Surcharge ,, ° , , $ Air handling unit >10,000 cfm 1,170 1 2-,A 7,447.1.*: Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: =r 3 y ; � $ Vent fan connected to a single duct 446 Vent system not included in 656 appliance permit . Other Inspections and Fees: Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours (minimum charge - two hours) Domestic incinerator 1,170 $72.50 per hour. Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge - half hour) Other unit, including wood stoves, 656 $72.50 per hour 3. Additional plan review required by changes. additions or revisions to plans (minimun inserts, etc. charge -one -half hour) $72.50 per hour Gas piping 1-4 outlets 360 Each additional outlet 63 *State Contractor Boiler Certification required for units >200k BTU. ** Residential NC requires site plan showing placement of unit. TOTAL COMMERCIAL ` : F ;F, $ VALUATION: �. _ ; , . ' fi - - -, is \dsts \forms\mech- fees.doc 08/06/01 •. Electrical Permit Application - . - . • Date received: Permit no. - r, ea f --ro to 4 1.1.Vi City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 - 4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: ,. TYPE OF PERMIT • ' .1 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi family ❑Tenant improvement New construction ❑ Addition/alteration/replacement ❑Other: ❑ Partial - ' `- JOB SITE INFORMATION Job address: Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: ti- ;C }s. Project name: Description and location of work on premises: ' ;,, 7 ,,,. i. ru Estimated date of completion/inspection: - CONTRACTOR APPLICATION .;. FEE SCHEDULE . - ' Job no: Fee Max B 1 t e. l` /� 7a Description Qty. (ea.) Total no. insp New residential - single or multi - family per Address: . ,, 9 dwelling unit. Includes attached garage. State: ZIP:1 70 • Service included: Phone: VS - 7- -C)y' Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof __ CCB no.: Elec. bus. lic. no: I Limited energy, residential ___ 2 City /metro lic. no.: Limited energy, non- residential ___ 2 5 • Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder ■■. 2 `o,i Sup. elect. name (print): License no: Services or feeders — installation, alteration or relocation: • ` . PROPERTY OWNER ' 200 amps or less 2 Name (print): `Peet 2155 ,9x.0.- l `I4p 2 � 201 amps to 400 amps ___ 2 , 401 amps to 600 amps —__ 2 Mailing address: (e}a t- l lerr-tC -FD A e ' 601 amps to 1000 amps ___ 2 • Q ZIP: `' Q - Over 1000 amps or volts _—_ 2 P • -. ir m ax: ttZ —M E -mail: Reconnect only IMM 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps ___ 2 Owner's signature: ' - l V. Date: ' 1 bJ 401 to 600 amps ___ 2 - ENGINEER Branch circuits - new, alteration, • or extension per panel: =VII A. Fee for branch circuits with purchase of i Address: c . ..... • - service or feeder fee, each branch circuit 2 ISZEMPPMEMIll State:6& ZIP:6; 70 /6; B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: ■■ 2 Phone,, Fax: E-mail: Each additional branch circuit: __ `PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle ■■ 2 ❑ Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting ___ 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* ■ 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting plan ❑ Other: Per inspection __ Submit _ sets of plans with any of the above. Investigation fee • The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ • Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6/00 /COM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular n Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders I I Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 2 I I Vacuum Systems 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps • $240.60 2 I I Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918 260 - 260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: . Over 600 amps to 1000 volts, see "b" above. Audio and Stereo Systems Branch Circuits Controls • New, alteration or extension per panel a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $ 46 . 85 Each additional branch circuit $6.65 n HVAC • Miscellaneous r , , n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Intercom and Paging Systems ' Each sign or outline lighting $53.40 El Signal circuit(s) or a limited ener gy . panel, alteration or extension $75.00 n Landscape Irrigation Control Minor Labels (10) $125.00 Medical • Each additional inspection over the allowable in any of the above n Nurse Calls Per inspection $62.50 • • Per hour $62.50 • In Plant $73.75 0 Outdoor Landscape Lighting Fees: El Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee * No licenses are required. Licenses are required for all other installations See "Plan Review" section on $ front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due - $ • i:\dsts \forms \elc- fees.doc 10/09/00 - CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001 -00438 Date Issued: 8/22/01 Parcel: 2 S 110 DA -04500 Site Address: 10722 SW KABLE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 006 Jurisdiction: TIG Zoning: R - 3.5 Remarks: New SF detached. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR. 7736 SW NIMBUS AVE WEST LINN, OR 97068 BFAVERTON, OR 97008 Phone #: 503 - 557 -8000 Phone #: 644 -8698 Reg #: LIC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2001 -00438 Date Issued: 8/22/01 Parcel: 2S110DA -04500 Site Address: 10722 SW KABLE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 006 Jurisdiction: TIG Zoning: R -3.5 Remarks: New SF detached. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR. PO BOX 1429 WEST LINN, OR 9706E CLACKAMAS, OR 97015 Phone #: 503 - 557 -8000 Phone #: 503 -657 -0142 Reg #: SUP 618s LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 . ./14 5 rc2av I - col 3g' I E T T EE E TIFICATION T C S R R R ► 1 I, � � , Owner/Agent for k=/"�S /4641T-5 r • 44 (PL ASE PRINT) (PERMIT HOLDER) ► A ■ A ■ A ► • `' 0- . ,' ■ • Do hereby fly e foll location ■ II q a -4 meets .City of Ti - and /Washi on ounty • land use and development standards for street tree installation. ■ • ► • ► • • ADDRESS: D 722- - S 1 c J 7 ► • • LOT: SUBDIVISION: E.4 SW fri I S ► A �/ ► ® BY: , j�'1► i�A DATE: Z !2 o 2, • • JR". • 1 _. RECEIVED BY: i ` ' DATE: Z - / S o - 2— • A VVVVVVVVVVVVVVVVVV® VVV VVVV VV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVV1 CITY C� RD 24 -Hour y°3 :. • BU _ Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 2 BUP Received Date Requested AM PM BUP Location 7,4 7 Z Z Ka Suite MEC Contact Person . Ph ( ) 5? V3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 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 Drywall Nailing rY119t1 / Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL - Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm nal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL SI Li Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA _ / `Z 0 � • GL j' Approach /Sidewalk Date sp ® ` ®p Exit; Other: Final DO NOT REMOVE this inspection record fr ' m th = ob site. PASS PART FAIL CITY O RD 24 -Hour BU �-, Inspection Line: (503) 639 -4175 Z / J 06 ' Ore INSPECTION DIVISION Business Line: (503) 639 -4171 MST', J BUP Received Date Requested a `"(1 AM PM BUP Location / 7 22 K 4± Suite C / ` MEC d Contact Person �4—Y �.c J�-� Ph ( ) L , 3 3/ 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 l // '' Drywall Nailing C l �" / ( 2 q lq c-c % w Oa/Gt Firewall 0 cJ7 ) ,G Z 14 e _ Fire Sprinkler � Fire Alarm /7 Susp'd Ceiling V F'� /V 6-e--L� La-/ �� d /CP < 1_ SIC/ d/ 0 tr /ti/ Roof ‘21 r - 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 PART ELECTRICAL Rough -In UG /Slab Low Voltage Fir- larm larm 'ASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.. SITE C / Please call for reinspection RE: El Unable to inspect – no access Fire Supply Line ADA 24 D actor �-\ ( Ext Approach /Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL Uri 6 TIGARD ByII.DING INSPECTION DIVISIOIM" , .- °« 24 -Hour Inspection Line: 6: 975 Business Line: 639 MST UJ� ©' BUP Date Requested / / ' / AM PM BLD Location 0 1 7 e 61 Suite MEC Contact Person Ph PLM Contractor . - - t a - t,QQd � Ph C.Z23 BUILDING Tenant/Owner , Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: _ Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing --Z . • r y !r s .�� i Firewall _)�:� �9 Fire Sprinkler " ` 1.') / �: hc� f S'- y� � rp - n r e fit Fire Alarm o s J Susp'd Ceiling 11� r' Roof k.01-71-6 Misc: Gat` P 1 /�i 1�1I- 'L n- Final / ii PASS PART FAIL L. / / d / N `9 ,PLUMBING.::„ Cl Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL= ":";'' Post & Beam Rough In Gas Line Smoke Dampers Final • PASS PART FAIL Pp- C /� o c iP ELECTR_I.CAL# pA s& x UG /Slab -;_ow of -..- Fire Alarm Final PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: - [ ] Unable to inspect - no access ADA Approach /Sidewalk ® Other Date -0a-0 Inspector Orr Ext Final PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour - BUILDING Inspection (503) 639 -4175 MST 7-&1 o d y3g INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested AM PM BUP Location /6 7 2_ Z c Suite ,` MEC Contact Person Ph ( ) c» `t 9 3/ 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 Other: in ASSN PART FAIL PLUMIBING 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 in PASS 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 Ext Approach /Sidewalk Date `� 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 ),(7 / 0 6 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Reques e —2 _ / AM PM BUP Location /6 7 2- ? !' Suite MEC Contact Person Ph ( ) ?Y9 3 0 Z PLM Contractor Ph ( ) SWR BUILDING 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 Framing i d4i -I Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: dig PART OP 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 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 Z r L .— o Approach /Sidewalk Date ""z___ 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 ..;?do( O6 Y INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested — /3 AM PM BUP Location / 6 7 7•Z Suite / MEC Contact Person f Ph ( ) 8`x3 3/6 2-- 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 _ ! r- G fs 4(J Insulation Drywall Nailing t l 1 ' - -- • 4 .4 v G — Fire Sprinkler �� '''L , t�-c,2�) (? ' 4-c2 J Fire Alarm . 1: -NA CJ U1A.f)�C 1(1 A< =JO/ A./7 -S Susp'd Ceiling Roof Other: •Z,� Ad o c 414'1.-- '✓4/�i .� SS PART FAIL PLUMBING 521/11L !e 's et., Post & Beam Under Slab Al A tii Rough -In Water Service - _G' C&J e — L 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 ina PASS PART 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 Date Z � '� Inspector Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION.., MST —0 y3Y 24 -Hour Inspection Line: 6; 11.75 Business Line: 639- 1 /l BUP Date Requested /A Z—)) AM PM BLD Location /0 77 Z— - Suite MEC Contact Person Ph f � f 3 �G Z. PLM Contractor Ph SWR �-8 Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing rywall. Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PAS PART FAIL PLUMBING'; = ;` •, _. Post & Beam Under Slab - Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rough In Smoke Dampers FP4 /F' PART FAIL ELECTRICAL' ` Service Rough In . UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ( / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site CITY OF TIGARD BUILDING INSPECTION DIVISION • • MST y 3 24 -Hour Inspection Line: 6; ,175 Business Line: 639-1 .I BUP -7 Date Requested / �i/ AM PM BLD / Location / v 2 Z— S co 4.6/Le S' Suite MEC Contact Person Ph I/7- 3/6 PLM Contractor Ph SWR ', 7 Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation /• FPS Ftg Drain ', SGN Crawl Dra• �\ (, Inspection Notes: Sla ` SIT 4 41 ' • x e hear • Int Sheath /Shear Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PASS PART FAIL • Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final • PASS PART FAIL Post � Smoke Dampers Final PASS PART FAIL ;ELECTRICAL~ , Service • Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay atCity Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk g Other Date 1 l � Inspector Ext Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. • CITY OF TIGARD Br DING INSPECTION DIVISION r MST Co 24 -Hour Inspection Line: 63t -4175 Business Line: 639-i �. BUP Date Requested / / / 3 AM PM BLD Location / 0 7 ZZ o }—eo Suite MEC Contact Person ' Ph ? 3/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS • Ftg Drain SGN Crawl Drain Inspection Notes: Slab • SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear -- Insulation . Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Misc: - Final PASS PART FAIL :PLUMBING • Post • Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANIC 'CAL`° mom;;' `:..' Post & Beam • I Smoke Dampers Final PASS PAR FAIL ' Service • Rough In UG /Slab Low Voltage Fire. Alarm Final PASS PART FAIL -SITE. _eg Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date // / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . CITY OF TIGARD Bt DING INSPECTION DIVIS1010, MST 2 .6"" 24-Hour Inspection Line: 63-4175 Business Line: 639-k 1 BUP Date Requested / AM PM BLD Location / C — 7 2-- Suite MEG Contact Person Ph 16 `f 9 -3/ PLM Contractor Ph SWR BUILDING: '; Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath/Shear Int Sheath/Shear are 1711111r..> h-t.) ( Insulation Drywall Nailing A - a r .! Firewall Fire Sprinkler 1-1/ s) 4 Also 5 Fire Alarm Susp'd Ceiling 69, i I _L - Roof Misc Fial PART totopr,. PASS Aertz- - 7" i° 0/Ad, - 7 - z) PLUMBING - z2.„ Post & Beam Under Slab )6 4,5"" bs Top Out Water Service V '6) A ig 0 t_ /16 „ A 03 A 1 , 44 4771 Sanitary Sewer Rain Drains - 0 ite - Ay. 4._ - Final PASS PART FAIL 4; 5 - 7 - 7 - 2 - vss MECHANICAL 40) Post & Beam ' as Li Smoke Dampe Final PASS PART 1:1Do ELECTRICAL • Service Rough In UG/Slab Low Voltage Fire Alarm Final • PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date Inspector Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST _200/ 0 24 -Hour Inspection Line: 6: .175 Business Line: 639 -k 1 BUP Date Requested I ( AM PM BLD Location 1 0 Z Z / '( &-_ p, Suite , f MEC Contact Person - Ph g Contractor Ph SWR BUILDING ° Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection t es: - Slab A S I T Post & Beam Ext Sheath /Shear G� - v✓L,� Int Sheath /Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi PASS ART FAIL P _�. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANI:CAL` 4 , fr Post & Beam Rough In Gas Line Smoke Dampers Final • - PASS PART FAIL ;ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE!' • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for rens ection RE: Fire Supply Line [ ] Pl f i p [ ] Unable to inspect - no access ADA Approach /Sidewalk Other bate / /-- /— 0/ Inspecto Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD Bl "I_DING INSPECTION DIVISION', MST 7y_) 24 -Hour Inspection Line: 6.. 4175 Business Line: 639-... ,1 BUP Date Requested / O —? ` AM PM BLD Location / 0 . 7 Z Z /< 2 Suite MEC Contact Person Ph 7 7 3 3/d v PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation Aamm FPS Ftg Drain Crawl Drain V Inspection Notes: SGN Slab rI ;.l_- '�'�'I2�� SIT • st & Beam Ex eat he Int Sheath /Shear Framing �U ' �-�r. r �.� r- ,- i ir- of 2�,o Insulation Drywall Nailing 5 Li ('Potir" ScIS a,,Lrr4se: , Z Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fina ASS PART FAIL P-L,. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICALp Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date /Q — 3/ O Inspecto E • Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BL'' DING INSPECTION DIVISION -- MST 2 ■ 0 e 1 0671 24 -Hour Inspection Line: 63:r - 4175 Business Line: 639 -4 BUP Date Requested AM PM BLD Location / D 7 2 Z K b_ e, - Suite MEC Contact Person Ph 8 `7 - a/0 2- PLM Contractor Ph SWR BUILDING t Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT .Pooft, I3ea Ext Sheath /She Int Sheath /Shear Framing L61vi�T - u�)/OAJ ���. =J �U/Ji4" e77/ Insulation Drywall Nailing S'c2S s 5 Firewall L Fire. Sprinkler SGT Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL 'PLUMBI • Post &Beam Under Slab Top Out Water Service Sanitary Sewer. Rain Drains Final PASS PART FAIL MECHAN • Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL` w" "' X Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call forreinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 14 / Inspector Ext Final PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BU• DING INSPECTION DIVISION MST o2 0 / 00 [3? 24 -Hour Inspection Line: 63_ ,175 Business Line: 639-4 .._ BUP Date Requested �7 -az) AM PM BLD Location f 67 �, - iii-& _ 4U Suite MEC Contact Person ` Ph i 1q3 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Cry gain Inspection Notes: SIT Post &Beam z Ext Sheath /Shear ;30 p1 7---- ) Int Sheath /Shear ` f Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof .1 Misc: Final SS PART - FAIL • N UMBING • Post& Beam Under Slab Top Out Water Service - Sanitary Sewer • Rain Drains Final PASS PART FAIL - MECHANICA :; - o . Post & Beam Rough In Gas Line Smoke Dampers • Final PASS PART FAIL ELECTRICA 1 °'fir - Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to. inspect - no access ADA Z Approach /Sidewalk G Other Date / — �D'"D� Inspect E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY QF TIGARD BUII DING INSPECTION DIVISION MST / —&) 443 24 -Hour Inspection Line: 63, 175 Business Line: 639-4 BUP Date Requested 1 AM PM BLD Location ) 0 7 2 2 Suite MEC Contact Person ( Ph (O q- PLM Contractor Ph SWR Tenant/Owner ELC R Wall ELR 'Footing Access: .koundatipd FPS Ftgrarain SGN Crawl Drain Inspection Notes:. Slab / SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing ( &ire - < - C = _ -. Insulation Drywall Nailing -00r A U Liv 5 Firewall Fire Sprinkler , Q . 3,Z.kwA' Fire Alarm Susp'd Ceiling Roof Misc: Final PASS) PART FAIL • Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ;MECHANICAL-•£} `-:;- ` .. Post - & Beam Rough In Gas Line Smoke Dampers Final • PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE ,;axs; ° "..,`,,' q f Backfill /Grading • Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ' — - ��/ Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ZOO (d 4 g3E) INSPECTION DIVISION • Business Line: (503) 639 -4171 - BUP Received Date Requested D - - AM PM BUP Location /07-2-2. te / Suite MEC Contact Person Ph ( ) 4' 3 3 / 6 -2 -- 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 Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains i Catch Basin / Manhole Storm Drain Shower Pan Other: *ASS APART FAIL - 17 -7: a ICAL 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 _ Approach /Sidewalk Date ®r Ext • Final nal ( DO NOT REMOVE this inspection record from the job site. PASS PART FAIL — CITY OF TIGARD Btr'd' DING INSPECTION DIVISION MST C)( 3 E? 24 -Hour Inspection Line: 6.A. _175 Business Line: 639 -4% _ ` / BUP / Date Requested 6 ��- SAM PM BLD ! Location 6 7�Z� /Gt_Q ,k Suite MEC G Contact Person � Ph g l 3/ PLM Contractor Ph SWR BUILDING ; ��. z� Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation n c,"� // FPS Ftg Drain C. r�Scc--, ,GP SGN Crawl Drain Inspection Notes: Slab SIT • Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains _ F,- PART FAIL N ICALw ' " ,.- Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL u` Service Rough In UG /Slab . Low Voltage Fire Alarm Final PASS PART FAIL SITE . 4 Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd • Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / Approach /Sidewalk Date J / / el / Inspector I / / / //� , E x t Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD rLJILDING INSPECTION DIVISION MST Li{,y) l an ci 24 -Hour Inspection Liner 411,1175 Business Line: 639- 1 �-1 BUP Date Requested c7---1 �f AM PM BLD Location /0 Suite MEC Contact Person l ,,f& , Ph 6 24's - 3 PLM Contractor Ph SWR BUILDING ,� Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing . Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -c(6 Roof Misc: Final P., - —•ART FAIL MOWN! Water Service Sanitary Sewer Rain Drains Fi � <•� , ) PART FAIL ' •• -•-- NICAL4 Post & Beam • Rough In Gas Line Smoke Dampers Final PASS PART FAIL • Service Rough In UG /Slab Low Voltage Fire Alarm Final . . PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk �� Other Date U Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARVA INSPECTION DIVISIOr MST 2-00 ( 24-Hour Inspection Line. 75 Business Line: 639-41-• BUP Date Requested AM PM BLD Location / 0 K .s- Suite MEC Contact Person Ph e: 76' q -asY3 PLM Contractor Ph SWR BUILDING:; Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation " t o vs 4044.400 - FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab . SIT Post & Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS P,ART FAIL Pos Beam ...- Under Slab Top Out Vater iervi Sanitary Sewer Rain Drains 'ile PART FAIL 0 Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE; Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk /?'7/.° Other Date / Inspector Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BU" DING INSPECTION DIVISIOP' MST ) /—ee 24 -Hour Inspection Line: 61. ,175 Business Line: 639 -4 .. BUP Date Requested AM PM BLD Location / Suite MEC Contact Person Ph 76 q- PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing ACC s: Foundation II // FPS Ftg Drain e, C k S.07--x Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 1 �l.14 r-2� PH-1I (-'t Aj0 L �» ��G, / / - eg,r Insulation Drywall Nailing ., Firewall fie, Fire Sprinkler 7 " // pre' M S 4 Fire Alarm Susp'd Ceiling Y Roof Misc: . Final PASS PART FAIL • PLUMBING • - Post & Beam .Afs $ Under Slab TopO t a e ain Drams 7 ,0 Fi b' PART FAIL Post & Beam A1 7 S 4l ��/ !"c-e � i 'a e,.� / ��tc era /ti Rough In 0 - Gas Line , - � ` 6�5 `, — �, Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab . Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA G 1 /� Other oach /Sidewalk Date / - / 2 - -o/ Inspector / , J� �Y Ext Final . PASS PART FAIL DO NOT REMOVE this inspection record from the job site.