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Permit • . ,., ,. A„.. C I TY OF TIGARD MASTER PERMIT PERMIT #: MST2002 -00196 h_iili� DEVELOPMENT SERVICES DATE ISSUED: 5/23/02 +,-. ; --..-` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10788 SW KABLE ST PARCEL: 2S110DA -04400 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 005 JURISDICTION: TIG REMARKS: New SF detached residence. path 1 BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,476 sf BASEMENT: 123.00 sf LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,522 sf GARAGE: 912 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 7 VALUE: $ 401,528.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 2,998.00 sf REAR: 54 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 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: 1 GREASE TRAPS: - OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 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: 8 201 - 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: 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: $ 8,949.81 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit c Municipal Code, to the re OR. S C o in the Tigard Municipal Code, State of OR. Specialty Codes s 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. This permit will expire if work is not started within 180 days of issuance, or if the • work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 130449 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 8 Post/Beam Structural Plm /undslab Insp Electrical Rough In ' Gas Line Insp Appr /Sdwlk Insp Grading Inspection Post/Beam Mechanical PLM /Underfloor Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation' lnsp Footing /Foundation Dn Electrical Service Low Voltage Water Line Insp Final inspection r— Y g illi Issued B �I Permittee Signature e : LAM .., / all ( ) 639 -4175 by 7:00 p.m. for an inspection needed the next busine- • - • ca;t,&_ a -00/3g • Building Permit Application Date received: /6 I Permitno.: � „ -,-110, City of Tigard 1� /qlo Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639-4171 1 Date issued: By: 38 Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: fj- TYPE OF PERMIT X1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family J11'New construction ❑ Demolition Cl Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: (p ? $ 5w K 3L I--51 Bldg. no.: Suite no.: Lot: 5 I Block: ISubdivision: E - ( San tree /yA fs I Tax map /tax lot/account no.: Project name: E,. / c . ks....,„ Ne /yGrfs Description and location of work on premises/special conditions: .i j /P 4A4/ /irsoVe..7. at/ OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: Rem a a take C / O" (Floodplain, septic capacity, solar, etc.) Mailing address: / 6 72 SG/ 1.4/ /4, —e7}e At /4 d •, 1 & 2 family dwelling: , t.)/ S Z� City: (, , / -j- L,4,� I State: I ZIP: Valuation of work $ Phone: Ss.J Fax: So3( socv/( E -mail: No. of bedrooms/baths y ` 6/ . . Owner's re I - entative: ° - 77 0 , y AS rc, o /pS Total number of floors 3 � Z } Phone: sure Fax: E -mail: New dwelling area (sq. ft.) '7 ! . APPLICANT Garage/carport area (sq. ft.) Yl 2_ 6 3 $ Name: ata 1-t Covered porch area (sq. ft.) _ Mailing address: Deck area (sq. ft.) `I O City: I State: I ZIP: Other structure area (sq. ft.) c / / .5 Phone: Fax: E -mail: Commercial / industriallmulti- family: °' CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft) Business name: s.r,.,e New bldg. area (sq. ft.) Address: City: I State: I ZIP: Number of stories ' Type of construction ," �' Phone: I I Fax: I E-mail: Occupancy group(s): Existing: _ CCB no.: e X� 3�Z ( // 47 — New: City/metro lic. no.: /,,..- ... / ? m 6 Notice: All contractors and subcontractors are required to be ARCIIRFC] /DESIGN FR licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: (State: (ZIP: Amount received $ Phone: I 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 0 Visa t7 MasterCard work will be complied with whether specified herein or not. Credit card number: Ex �/ P Authorized signature:_ ate: Name of cardholder as shown on credit card $ Print name: -r /✓ �.0 <.F 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 4/0. Building Permit Application Checklist Reference no.: Associated permits: City of Tigard Cl of Tigard J g ❑ Electrical ❑ Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 Cl 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 0 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, roofmg, 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 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 No "mirrored" building plans will be accepted. 28 "Drawn to scale" indicates standard architect or engineer scale. 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 (6ro0/COM) ' Q�Electrical Permit Application • :- ' - : • - Date received: Permit no.: , .._ , _41 i )9 7 1 City of Tigard Project/appl. no.: Expire date: City r (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 : ".. . ' . & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: e)? te, S\4) L7__ e Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: IBlock: ISubdivision: 6..ic 4 s7,1 / e. Lls Project name: ,E,r,cks - , ,,.,, /4,7 I Description and location of work on premises: Estimated date of completion/inspection: ,CONTRACTOR.APPLICATION' "r' '""'iw FEE SCHEDULE' Job no: Fee Max Business name: � . , � / ec 2 G Description Qty. (ea.) Total no. insp New resident - s or multi- family per Address: PC' ‘30 / 9 dwelling unit. Includes attached garage. • City: Clc'.c k4.r+r, y I State: c? I ZIP: j 7 © / S Service included: Phone: S 0 c 57 0; if Z I Fax: I E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: ,3 Syq I Elec. bus. lic. no: 3— 12 T.e Limited energy, residential 2 City /metro lic. no.: ) Zij3 Limited energy, non- residential 2 ��--1 ;7a e Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): 4.0 si - ' e License no: C/ .5 S" Services or feeders — installation, � alteration or relocation: • . PROPERTY OWNER 200 amps or less 2 201 amps to 400 amps 2 Name (print): R ck y S cinc:e s / i // per 401 amps to 600 amps 2 Mailing address: 1 6 7_ 5 ' // R,' ,9 /u ��S ,,,/ rt' 601 amps to 1000 amps 2 City: 4/•,,,- L4: I State: Irj2 I ZIP: 979x8 Over 1000 amps or volts 2 R econnect only 1 Phone: S,� S_S7 5j I Fax: Sow GSA %/, ��E -mail: 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,orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 • ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: 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 ch 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 I &2 ❑ Ha7nrdous 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/lightingplan ❑ Other: Per inspection I I I I 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: I / 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 PERMIT FEES; ` Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL�ONLY Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 I I Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 I Garage Door Opener Services or Feeders n Heating, Ventilation and Air Conditioning System" Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 I I Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 I I Other 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. I Audio and Stereo Systems Branch Circuits New, alteration or extension per panel Boiler Controls a) The fee for branch circuits with purchase of service or I I Clock Systems feeder fee. Each branch circuit $6.65 2 I I Data Telecommunication Installation b) The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 I HVAC Miscellaneous I Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 D Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above - • Per inspection $62.50 n Nurse Calls Per hour $62.50 In Plant $73.75 ri Outdoor Landscape Lighting Fees: 7 Protective Signaling Enter total of above fees $ I Other • 8% State Surcharge . $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ is \dsts \forms \elc- fees.doc 06/07/01 : A ' Plumbing Permit Application Date received: Permit no.:n4STA - 0o9 :411111?' City of Tigard 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 • 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑Tenant improvement New construction ❑ Addition/alteration/replacement 0 Food service 0 Other: JOB SITE INFORMATION FEE SCHEDULE (for special infor ation use checklist) Job address: f v7 at, i C./ ra-130 ../--- r Description Qty. Fee(ea.) Total Bldg. no.: 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: I Block: I Subdivision: 5,-,k . ' SFR (2) bath Project name: E ,,, t /< 5 .,,.,, / e,3At, (3) bath City /county: 7 — , -- yelye /nhshr, i f4ZIP: Each additional bath/kitchen Description and location of work on premises: slm 4. '. , Site utilities: rrs«�lr,4 Vic/ 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: C .1 t _., , Jc f / 4.,.y Manholes Address: 7 73 si„i 11,- -1 yc,,t Rain drain connector ector City: ;:,,� -y . (State: 0,‹ ZIP: 9 7 t"i'S Sanitary sewer (no. lin. ft.) Phone: Sr5- 01/ -- 9y Fax: E -mail: Storm sewer (no. lin. ft.) CCB no.: 79 6t;G I Plumb. bus. reg. no: 20 _ /V'c//06 Water service (no. lin. ft.) City /metro lic. no.: 25,0 / Fixture or item: Contractor's representative signature: — f ' Absorption valve > f Back flow preventer . Print name: 4.7e /4. Date: _ Backwater valve CONTACT PERSON Basins /lavatory Name: Clothes washer ame: 1e, Dishwasher Address: Drinking fountain(s) City: I State: I ZIP: Ejectors /sump Phone: Fax: E -mail: Expansion tank . OWNER Fixture /sewer cap /��� Floor drains /floor sinks/hub Name (print): 6 r:s- > e e (us ZZtic Garbage disposal Mailing address: /6 72 St.✓ l,/, //a e 6'' " Hose bibb City: 4,/,,, /,,,, I State: oye ZIP: 9 Ice maker Phone: Sm5 . 57Te^ c'I Fax: I E -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 property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: Date: Sump Tubs /shower /shower pan Urinal Name: Water closet Address: Water heater City: I State: ZIP: Other: Phone: Fax: E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application Plan review (at %) $ ❑ Visa 0 MasterCard expires if a permit is not obtained 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/OO /COM) PLUMBING PERMIT FEES: - - PRICE TOTAL New 1 and 2- family dwellings only: _ FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 - - the dwelling andthe - - QTY= (ea) - - - AMOUNT - -- _ _ Lavatory 16.60 for each utility connection) - 24920 One (1) bath $. 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 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped 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 *SUBTOTAL . 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. " New Commercial Buildings require plans with isometric or riser diagram and plan review. • is \dsts \forms \plm- fees.doc 10/10/00 • . , ii, 6 Mechanical - Permit Application Date received: Permit no.: 06T:0 6. _ Do t r I Al- A � � City ' O Tigard Projecdappl. no.: Expire date: , CirynfTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Paymenttype: Land use approval: Building permit no.: • T YPE OF PERMIT • 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family ❑ Tenant improvement New construction 0 Addition/alteration /replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: /e) 7 Se 5 L( '" r�_ Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: L Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ - Lot: IBlock: I Subdivision: kc..,e %S ovr /../,. *See checklist for important application information and Project name: r „ 4 /.I /, - jurisdiction's fee schedule for residential permit fee. City /county:y,.j /�,,, 7 ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: •/e (uM.)/ AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE ,-esi1.0.., /7 z, / 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? 0 Yes 0 No Air handling unit CFM space insulated? 0 Yes ❑ No Air conditioning (site plan required) Is existing P Alteration of existing HVAC system ' MECHANICAL CONTRACTOR - Boiler /compressors State boiler permit no.: Business name: C/, hie`1 ' HP Tons BTU /H Address: '273•0 5` 39 7 ' /.77 Fire/smoke dampers/duct smoke detectors City: /,/, /%s .;,, I State: 04 I ZIP: , 7/Z3 Heat pump (site plan required) Phone: f .736..Z9029 Z I Fax: I E -mail: Install/replace furnace/burner BTU /H Including ductwork/vent liner 0 Yes O No CCB no.: Of 7.. Z i'5' epf✓, 4 /1 2 9/0 1 / Install /replace /relocate heaters— suspended, City /metro lic. no.: 3 8- 5C wall, or floor mounted Name (please print): G , i /al Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Name: yAe.,z Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type l/ IUres. kitchen/hazmat hood fire suppression system Name: � ,,/ C=.s4 ---t /3•a -met Exhaust fan with single duct (bath fans) Mailing address: /6 72 Si J / /w ijt i•.. //f 4-. Exhaust system apart from heating or AC City: i^� s I State: n,Q I ZIP: Fuel piping and distribution (up to 4 outlets) � Type: LPG NG Oil Phone: 5J3 557 Fo CO Fax: 5 t5e 4 -mail: - Fuel piping each additional over 4 outlets Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: ZIP: Insert — type Phone: I Fax: I E -mail: Woodstove/pellet stove Other: Applicant's signature: j ��� -. Date: — Other: Name (print): / n / . Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ CD Visa CI 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: • TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Furnace 100,000 BTU+ 17.40 $10,000.00. including ducts & vents $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 $1.45 for each additional $100.00 or 6.80 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 Heat Air • ' $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond . fraction thereof. footnotes below. Comp ' Minimum Permit Fee $72.50 SUBTOTAL: 7) <3HP; absorb unit $ to 100K BTU 14.00 8% State Surcharge $ 8) 3 -15 HP; absorb 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal) 9) 15-30 HP; absorb $ Required for ALL commercial permits only unit .5 -1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 - 50 HP; absorb 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 . 12) Air handlin unit to 10 CFM ASSUMED" VALUATIONS<PERAPPLIANCE 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 Suspended heater, wall heater or 955 16) Ventilation system not included in 10.00 floor mounted heater appliance permit Vent not included in applicance 445 17) Hood served by mechanical exhaust 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 to 100k BTU 19) Commercial or industrial type incinerator 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: ' $ >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 8% State Surcharge : $ Non- portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: ' ; ' :' $ Vent fan connected to a single duct 446 Vent system not included in 656 -- appliance permit Hood served by mechanical exhaust 656 Other Inspections and Fees: Domestic incinerator 1 170 1. Inspections outside of normal business hours (minimum charge - two hours) $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 inserts,. etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 360 charge -one -half hour) $72.50 per hour Each additional outlet 63 * State Contractor Boiler Certification required for units >200k BTU. • *' TOTAL COMMERCIAL $ * Residential A/C requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. is \dsts \forms\mech- fees.doc 08/29/01 ∎AAAAAAAAAAAA®� ® ® A ® AAAAAAAAAAAAAAA\ • • ■ • ■ • ■ • 1 I. T REE CE TIFICATION STREET R R • I, ti - ijLM/r , Owner /A for Ra/4 , w . (PLEASE PRINT) (PERMIT HOLDER) . � ■ ► • ■ • ■ Al 4 „.rte' r '' " � ■ • Do hereby cert � �att e`fo l lo wing l ocation ► • • meets City of ,,Tigard /Washington .County ► ■ • land use and development standards for street tree installation. ► • ■ t ADDRESS /D 786 c.. r.� jlr, • ► . t• t LOT: S UBDIVISION: ( 0�'� 50� fr6 j 1 A l• • .1',--ii _0/ i a� ■ • BY: Am I ` fai, DATE: /D 7 O ► ■ • / I* 1 RECEIVED BY: Via" DATE: V / AR-- ■ A • /VVVVYV®®®® Y ® VVV TT TTTT TTTTTTTTTTTTTTTVVV,V® CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: (503) 639 - 4175 MST _. 9 - 00 r'9 0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Reque ted AM PM BUP / Location ,[ S g �J� 4- Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain 4 eDa _ DOo Slab Inspection Notes: SIT 7 Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing ‘././ Fire wall Fire Sprinkler Fire Alarm /4 ;� LCe�1�t!fi" % ' ��t�iZ�Ji1 'v'- Susp'd Ceiling �'�'( (f - / Roof 64,1/1:44/441 . h / G ®I / Other: Final •c wc11 � `'/D 1- - /4/-QZ PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA —mi � - /i �r Approacj /Sidgwalk Date Inspector / 71r , Ext Other: H t� ' DO NOT REMOVE this inspection record from the job site. 4 l 3 A4 PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: . (503) 639 -4175 Z—GO l INSPECTION DIVISION Business Line: (503) 639 -4171 MST 2 /eCe BUP Received Date Requested / 3 AM PM BUP Location /1 '7 9 5 41 -el, S f Suite MEC Contact Person Ph ( ) gY r - 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 d Other: / Final if PASS PART FAIL LUMBI 1 Seam Under Slab • Rough -In Water Service Sanitary Sewer Rain Drains _ Catch Basin / Manhole Storm Drain Shower Pan O ar,; • 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 Inspector )7 2'7 z 2 Approach /Sidewalk ®a$® # Insp ®®r Ext Other: Final DO NOT REMOVE this inspectio record from the Job site. PASS PART FAIL • CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 /q& INSPECTION DIVISION - Business line: (503) 639 -4171 BUP Received Da Requ C �� sted r Z 7 AM PM BUP Location _ /® Fk Suite MEC Contact Person Ph ( ) FVQ— - 3/62- 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 r I / Fire Sprinkler Fire Alarm /7 Susp'd Ceiling � 7 Roof Other: Othe l Final Z//, ,--. / PASS ART FAIL c ` cLUMBIN - Post & Beam Under Slab Rough -In 1/ Water Service _ _ Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan Other: Final S PAR FAIL - CHA Post & Beam Rough -In Gas Line Smo Dampers inal A gapp 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 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line � /%, �^ , Approach /Sidewalk Date Inspector `'�' / !EA Other: Final DO REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour r BUILDING Inspection Line: ,(503) 639 -4175 MST — & / q , INSPECTION DIVISION Business Line: (503) 639 -4171 "' BUP . Received Date Requested / AM P_ � � 1 BU • 7 Location / 0 ' 0. Suite ,, EC Contact Person � ir)'e Ph ( = ) g — 3/ 0 --- P Contractor Ph ( ) WR 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 , � / r Firewall `/'� E Fire Sprinkler Fire Alarm Susp'd Ceiling r Roof ` f Other: Final I \ �ASS FAIL MEIN ea - Under Slab Rough -In N Water Service Sanitary Sewer L -,---" Rain Drains Catch Basin / Manhole Storm Drain Shower Pan O er: — f ina —` ASS PA F IL -- - MECHANIC Post & Beam Rough -In .."„,. TT- - - • ' 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: El Unable to inspect— no access Fire Supply Line ADA U 6� G�i� 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 d` 67� I INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / / 6 AM PM BUP Location : _ � � - Suite MEC Contact Person Ph ( ) Fe( 9 31 / z 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 I PLUMBING I Post & Beam Under Slab 1 Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain (ShOWer 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 ri Please call for reinspection RE: _ Unable to inspect - no access Fire Supply Line l ADA / ` D d / - ( ` Approach /Sidewalk 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 l67- /9 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received D.te Re.uested AM PM BUP Location Suite MEC Contact Person � Ph ( ) 7 3/ O ._ 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 Insulation Drywall Nailing J� AP' ; / - Firewall Fire Sprinkler Arrffilirr — Fire Alarm , Susp'd Ceiling • Roof Other: Final PASS PART FAIL PLUMBING' Post & Beam Under Slab ouq Water Service Sanitary Sewer Rain Drains ' Catch Basin / Manhole Storm Drain Shower Pan Other: ,(Feb PART FAIL ECHANIC 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 2/(Z/6 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 v MST W0� ''�r��9� INSPECTION DIVISION Business tine: (503) 639 -4171 ' BUP Received Date Requested 61'--l/ AM PM BUP Location / f d .4 1 - Suite MEC Contact Person •=3.4u._ ! Ph ( ) D Ig - 3/62— PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Yf ELC Foundation Access: /� Q Ftg Drain ./. /2 ELR Crawl Drain Slab Inspection e : SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing b / ; Firewall ' i f Fire Sprinkler i 7 Fire Alarm j Susp'd Ceiling `r Roof - Other: M ' � Final PASS PART FAIL q'G� ost &seam - er a Rough - n Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: F' • = PART FAIL � '" HANICAL . R Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRIC A L Service Rough -In L olt R �, 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 f Approach /Sidewalk Date V,; I nspe ct or " `. � 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 '-� ( c� INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Reques e� ea1 7 AM PM BUP Location g • 1 ! ...� 4 r 1 Suite MEC Contact Person Ph ( ) g y q --3 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING • Post & Beam Under Slab Rough -In er - ice anita Sew- yam Drains Catch Basin / Manhole orm Drai • Shower Pan Other: Final tap PART FAIL • 'Y% ANICAL 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 0 Please call for reinspection RE: Unable to inspect — ho access Fire Supply Line ADA f Approach /Sidewalk Dat / V Inspector �G ' 9 Ext Other: Final DO NOT R EMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 -60/9-6_ INSPECTION DIVISION Business L(503) 639 -4171 '#. BUP Received Date Re nes ZS AM PM BUP Location / Suite MEC Contact Person Ph ( ) `1 " PLM Contractor F Fkr f'4'' 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 G' Fire Alarm Susp'd Ceiling Roof Other: Final _ PASS PART FAIL PLUMBING _ • S=S Post & Beam Under Slab Rough -In Water Service Sanitary Sewer - Rain Drains Catch Basin / Manhole Storm brain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS RT FAIL ECTR Service Rough -In UG /Slab Low Voltage Fire arm mal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE LI Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date �D � oa Inspector y ' t_k_r Ext Other: Finial 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 4 J6. 0/ INSPECTION DIVISION Business L":,'`'(503) 639 -4171 / BUP Received Date Requested 17 / AM PM BUP Location ��� Suite MEC Contact Person Ph ( ) 1i — 3/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: ►�- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam V Shear Anchors Ext Sheath /Shear Int Sheath/Shear 1--0 \ c ) 1 4 ) ( .0 / T ]- R Framing W V l Insulation (� (� A` Drywall Nailing �j ) U S v6) Firewall Lq)-\°1 \f` i o � � , \ 1 Fire Sprinkler Y ` 1 Fire Alarm Susp'd Ceiling Roof Other: Final (� `` PLUMBING PASS PART FAIL �IJ)S� Y�N11 . of P.C“ Post & er S lab Under Mr. n j1 dlab � � 1 � J Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhol { ` D iZ7° � J I D `r \c \ Dr), ' wiLA S pez__ Storm Drain fr ,\ N 1 Shower Pan \ I V 1 1 '�'( `, N vi L ( tv S' . D Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL E TRICAL (enri oug -I l 1 p 1 ow Volt... < IZ, 1� lO 1)'(\ --, t7 0)( t ►, °1 Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 7 � z---- inspector Gam' �`�`� Ext Other: Final DO NOT REMOVE this inspection record from t e job site. PASS PART FAIL C Y OF T CARD 24 -Hour .. BUILDING J Inspection Line: (503) 639 -4175 � ., ,,ir ; �S� ( INSPECTION DIVISION Business Line: (503) 639 -4171 � BUP L. (_ — — — — Received _ Date Req ested / `,1-• ? .%'_ . AM PM _ BUP Location _ % �' `��� �"` — Suite — MEC Contact Person -- Ph ) -- V . 4 7--- j 1 U --- 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 7_ l 7 Fire Sprinkler / ,-_67/ Fire Alarm l / Susp'd Ceiling - / Other: ` ('&I Other. , Final (:: "K ( /1.-- / / 3 PASS_ PART FAIL _ ISLUMBIN) Post &Beam Under Slab - - Rough-In / �/ Water Service OF r L> .`�� C 7 -_ ,/7 Sanitary Sewer �,� Rain Drains �- • Catch Basin / Manhole Storm Drain Shower Pan . Other: ,`F_inal ji' ,, P ASS • PAR FAIL • k ",'HA Post & Beam Rough -In Gas Line Smoke Tnal ',/ *ASS PART FAIL L ' TRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final I I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I ] Please call for reinspection RE: Unable to inspect - no access Fire Supply Line Approach /Sidewalk Date / Inspector 1�/ Ext Other: G' • 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 a- O INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location / ( 7 g$ Kam Suite MEC /Mi Contact Person Ph ( ) it - ! �? -3/ 0 o_ 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 su a ion Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fina A PART FAIL -- i r = ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam , Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line o ADA Date d �f 6 Inspector Ext Approach /Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 — ( q INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Reques d AM PM BUP Location / U'7 ( 71 Suite MEC Contact Contact Person Ph ( ) g`( 61 - 3i O 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 Sh - -th /She. '= - -°4111 10 A)O an./ w�` 14. u.-4r L 1, Insulation Drywall Nailing cl 7 � rz4...«.�� wr L. t_S ( 4. \s' 2 `« — 3 Firewall ire Sprinkler 4 - I � �� 0.16-4,e4,4 �.� c c �z =l�L 4 C.C. = / Fire Alarm Susp'd Ceiling `�r t� zu s - L�"�� Roof Other: Fin PASS PART FAIL PLU ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL rMECHANIGAL Post & Be m gh -I as Line Smoke Dampers Final ASS PART FAIL RICAL I, 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 [j Please call for reinspection RE: 111 Unable to inspect – no access Fire Supply Line ADA Approach /Sidewalk Date ?— 6 — 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 40 ----(3- INSPECTION DIVISION Business Line: (503) 639 -4171 � y / / BUP Received Date Requested b !� AM PM BUP Location l d 7 � 4 , t / , /' Suite MEC Contact Person - Ph ( ) C 1 �"3� O , 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 �� (/3 0.3 j�i ii.�s (�iT -- z T = Z0 t Sir:, t -'o,'= . liK IA! dT�S Dry allN 6-774, 1-75575 Drywall Nailing Firewall 11, Fire Sprinkler `ee 0,5 L -� - �2 �:. mot' �2 - eve, ka:x d Fire Alarm Susp'd Ceiling Roof a tAAPL L //y S1-LLl 7? 0,./ I /-7S Co $u5 Other: Final �� f7�S �Z _ PASS PART 4 10 PLUMBING Post & Beam Under Slab -� 3 4.4424 ,v a 17- 417..40; T Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Gas Cme moKe U mpers Fi PASS PART FAIL EL 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: Unable to inspect - no access Fire Supply Line ADA -4 �_ 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 J ea( INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested -7 r 3 AM PM BUP Location /0 7 aG Suite MEC Contact Person Ph ( •) F oZ PLM Contractor -7 (e >'�Gn`S �;'7 S = 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 (- RA-Net t Grc S I oe'E/Z c , It L t , CD--ies .ic Insulation Drywall Nailing G• % — Firewall Fire Sprinkler t C6A -2aSe Fire Alarm el- , - e Susp'd Ceiling �' v ` - Roof Other: Final �e Gl-� "�/�� /.� ��i2�c� @ Lam PASS P T FAI - - PLUMBING ?7 �• Post & Beam ,/ Under Slab r / g lr p LA-- 4 1,1�C w /} le l � eV !r /150 2. Rough -In Water Service 05- �^��✓ T -� L eve' Sanitary Sewer of 1, 4 c, f `, 1 ` �¢ hears Rain Drains DY/ �`� �►/ l� ° _ O Catch Basin / Manhole " Storm Drain Shower Pan /AGS72,41-- D - GI/K c%< Other: Final C/,1.411.5 PASS PART FAIL MECHANICAL Post& Beam as ine Smoke Dampers Final PASS PART err ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm • Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 7— 3/"- Inspector `�` Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL e CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 6- r INSPECTION DIVISION Business Line: (503) 639 - 4171 MST " BUP Received Date Requested 7/ � AM PM BUP Location /0 7 Si 1q -6-- -- Suite MEC Contact Person Ph ( ) g 4 3 / o� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Inspection Notes: SIT Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final . PART FAIL BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA _ Approach /Sidewalk Date 7 l 7-e7 < 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 2 r / INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 2> /� AM PM BUP Location /0 73 fi K(2'6-62 Suite MEC Contact Person Ph ( ) ' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT la Shear Anchors �_ �eath/She Int Sheat ear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PASS ',PART FAIL 'I�OM Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final - PASS PART FAIL MECHANICAL Post "& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRIC AL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 7 0 -- e: Inspector . '" Eat 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 --OZ) j INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Reque ted e- g7/ ( / T AM PM BUP Location 7 i J O / Suite MEC Contact Person ��.r Ph ( ) 5T 3 / ---PLM Cont Ph ( ) SWR UILDI Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Drain ,SZE1 • Inspection Notes: SIT -ost & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F 77 PART FAIL PLT BING Post & Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required bef•re next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA ✓1 Ext // Inspector; Other: Final ' DO NOT REMOVE this - inspection record from the job site. PASS PART FAIL s.�,�: CITY OF TIGARD . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 - BUP Received / Date Re uested O // °�- AM PM BUP Location 1 d Suite MEC Contact Person Ph ( ) 3/ D 2� PLNI Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT .os• : Beau - - r Anchors Ext Sheath /Shear • Int Sheath /Shear ] � �� m�SS�O .4; se; 6,r ice - ›.) S� Z� �t�E.� Framing E Insulation , � Drywall Nailing " fi0r °v` /7£ ‘10A f 1 c% Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PAT FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA o 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 (10 BUILDING Inspection Line: (503) 639 -4175 CD/ INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Reque ted �" AM PM BUP Location / b 7 g ' a Suite MEC Contact Person �-2� Ph ( ) 5? c " 3 / d — PLM Contractor Ph ( ) SWR BUI Tenant/Owner ELC noting ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ��**��, SIT Post & Beam //• �J f42/_../-A--/ Shear Anchors Ext Sheath/Shear Int Sheath/Shear /� Framing /7l A' S ' ' S (r cr'2 6S6 /.7) Insulation Drywall Nailing ;OS If:- " ' 1Gd —"Of Ga/b— Firewall a l) Fire Sprinkler '/!�z L�� �i,. L SuS "�•��� /� Fire Alarm Susp'd Ceiling • / - _ -r0 2 id, l `-= Roof o Other: .4)4/7 .7 c - /1'S wG-� lGl /EL• .�/ Jc >d Final ,, RT FAIL 4d - Y-6 - n7 3 Pc-5,-1-r- ,Pc-5,-1-r- C . 4.2 so ,Cd,or/tac7-b, w r [, c - 644C ASS PA BING ci G` »rz 4 TYW AG S /f'1'0 ffr: ,Vra / /4S Post & Beam Under Slab _ • - 'i , ' Rough -In Water Service v " (-2 Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final • PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA �/ –U Approach /Sidewalk Date Inspector Exit 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 01--00/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Request d I ( g AM PM BUP Location / a 7 Fed-- Suite MEC Contact Person Ph ( ) ?)(( —3/ 02— 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 C I � MAM / B OO " Firewall # . /i � _� 7/ Fire Sprinkler • '� � Fire Alarm / /0 Susp'd Ceiling - Roof Other: PART FAIL PL I v BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS- PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line _ ' Ar ADA 0 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 G / BUILDING Inspection Line: (503) 639 -4175 MST a�� & / l� INSPECTION DIVISION - - Business Line: (503) 639 -4171 BUP ./ Received Date Re uested /62 / /A AM PM BUP / Location O 8 5 tJ ' 6 & ST Suite MEC Contact Person �' / �r-ri1 1 Ph 1''b 3/o2- PLM Coctnr Ph ( ) SW UILDINt' Tenant/Owner (F-� ' ' ' -n5 'ui1 6i2__ hire c Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: Post & Beam �4V PO l SIT Shear Anchors Sri- [1442.,e- 64 �G/, Ext Sheath/Shear '►' _,- Int Sheath/Shear ' ® '�i: fr�i � ,.x- . / " Framing '� IL ' / , G- A . /' i Insulation f � � . ^ Drywall Nailing //4,114-4/ Firewall ki i / 4' l; . t_ - a/re . < < w v4 Sprinkler Sprinkler " ` � " Fire Alarm iil/r/' /,,, -,,e�s� / Susp'd Ceiling Roof ii. (/ A r � - / kA /I 4,a 40 ( .k S S PART ' ./� / . ' . ,� ' - _ 1,0 AArri L. Z-X . / . / � . � / , PLUMBING v ' F gi . is I!^ 1 .r d ' ' '• /S 7 - Post & Beam r Under Slab 4� i �� - e I .1 I*Je/ A • Rough / a) /G A s , .'a Service Water Service Sanitary Sewer , ' / , P r Rain Drains e- iM / - , /44. _.. _� ., /�,i, 'g i i ' /i , � �� "` j r Catch Basin / Manhole % >I f// </ A` // iii_ _' ° _.,./ ' '/i .rj _. 1_ Storm Drain �I�/ // / Ai Shower Pan r !, e lAa eirfi w .e l kilt/ 11 G:Lx Other: '" � , PASS PART FAIL I� Final �I0!- .? at) � Pit_. c MECHANICAL �� ` t , � j U , M 7"l�Y� �� /G K(� � % _ ECH 7`' �i ' Post& Beam c c,/ / Rough -In Ill /4 /ie 1 " `7. /W/`i� " a _ Gas Line ! d� Smoke Dampers ,. •1/S1 1 '\ I , } & w c� Anal (, P w ( aitA ' e LuQ ail k PASS PART FAIL ELECTRICAL -( e i k Oa-we") s/4 , J Service Rough-In / j/ ..PJC � rtem - , � ,, - Q \\ /_ ) / L w Votage �l l�t{/2�,) /i1/" `�! f ,! /c Fire Alarm ; � r i, ., r� / I Final '. /_ . ! �' �` PASS PART FAIL einspection fee of $ J / regwred •efore next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line l ADA Approach/Sidewalk Date ( ( I l nspector f Ext Other:_ Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL