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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2002 -00075 , DEVELOPMENT SERVICES DATE ISSUED: 3/6/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13235 SW KINGSTON PL PARCEL: 2S104DA - 20000 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R -4.5 BLOCK: LOT: 026 JURISDICTION: TIG REMARKS: 10/27/04: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF 30 DAYS. SF rowhouse, Unit #26,BIdg 3,CS(Option 3) plan with deck BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 744 sf GARAGE: 412 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 732 sf RIGHT: VALUE: 173,305.60 OCCUPANCYGRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,796 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 LPG . FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 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: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL - AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,724.33 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC This d Municipal is subject , the regulations contained C o in the WY STE 200 12670 SW 68TH PKWY Tigard other Code, laws. of All OR. Specialty work wil bey done 12670 SW 68TH PKWY in and all other applicable laws. All work will be done in, PORTLAND, OR 97223 PORTLAND, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 598 - 7565 Phone: 503 - 598 - 7565 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 124627 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Mechanical Insp Footing Insp Slab Insp Electrical Rough -in Mechanical lnsp Gas Line Insp Gas Line lnsp Footing Insp Slab Insp Mechanical Insp Plumbing Top Out Gas Line lnsp Electrical Final Foundation Insp Slab Insp Mechanical Insp Framing Insp Insulation Insp Plumb Final Wtr Proofing Bsm't Wa Plm /undslb lnsp Mechanical Insp Framing Insp Insulation lnsp Sewer Inspection Ftg Drain Bsm't Walls Electrical Service Mechanical Insp Gas Line Insp Shear Wall Insp / � Issued By : Permittee Signatur : d `�� /' �1, Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next usiness day - 54.0/ Building Permit Application " ° City of Tigard Datereceived: , idp `., Pernut no. ..a A- vz . 4... . • . -„ } ® Projecdappl. no.: • ='re date: CiryofTigard ` Address: 13125 SW Hall Blvr °' .(, �� < °,L� f Phone: (503) 639 -4171 v „ Date issued: Receipt no.: Fax: (503) 598-1960 FEB - 4 2002 Case file no.: Payment type: • Land use approval: arit of T1GA2D- 1 &2 family: Simple Complex: • 'ITIFE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 New construction 0 Demolition 0 Addition/alteration /replacement 0 Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: • - '• ' • JOB SITE INFORMATION Job address: • a, _ cz C.t . c, • ( ctc_.C_ Bldg. no.: Suite no.: Lot: 26 Block: Subdivision: eau • 'LLOZti - 'o Tax ap /tax lot/account no :,/ ,4tr,,f -gi, 5 ,, rawsorminimaiiimin Project name: / Description and location of work on premises/special conditions: • • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: r ( ....• . . IPA:: J (Floodplain, septic capacity, solar, etc.) ' Mailing address: I . a . . , `n tagrareffillin. l & 2 family dwelling: City: ' tr ..4,_ r �N..,,1 State:0)Z ZIP: Valuation of work $ Phone:,5 - ; - 6111N Q �J E -mail: No. of bedrooms/baths Owner's representative: MilraliMill Total number of floors Phone: i 8' Fax: ‘_,24)- y E -mail: New dwelling area (sq. ft.) APPLICANT . ' Garage/carport area (sq. ft.) o Covered porch area (sq. ft.) Mailing address: , ., • ,$'(,J V-. IMMISTIMM2 Deck area (sq. ft.) ��c ffe , _ State:o ,L. ZI'. q t • Other structure area (sq. ft.) Phone: -8-- 65 Fax: E -mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work $ Business name: Existing bldg. area (sq. ft.) �i T. O r ..'' ° - New bldg. area (sq. ft.) Address: O S _ . 8"C-S- ag Wit► �� _ State:© • I OjTj M Number of stories • Type of construction one imp . Fax:62o e , A Occupancy group(s): Existing: no.: -3f< New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: 6• G t✓t) provisions of ORS 701 and may be required to be licensed in the Address: Q r . _ A. t , _ S ` {� O jurisdiction where work is, being performed. If the applicant is exempt from licensing, the following reason applies: An.' _ O Contact person: y ,, i, ,I, , ,y Plan no.: Phone:206 - . i: : < E -mail: v ENGINEER b Cont . person: b 4 , Fees due upon application $ Address: 6 • . • s 03 „,,, ■ •,., - 4,., - e - (...4 - Date received: City: 7`( c` ,' OM ZIP: - AMOI Amount received $ Phone: _ : - 0 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 andordinances governing this 0 Visa 0 MasierCard work will be complied • ' . t , whether_■yi ed.herein or not. Credit card number: I i - Expires Authorized . sign. re: � ` � i. . • - . Naafi of cardholder as shown on credit card + 1. S Print name: E . Cardholder signature Aaiotiat Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440,4613 (6/0310OM) • _ . , • Plumbing•Permit Application ,. , - ' . • . Alip. D atereeived: Permit no.:Mirge./Z707-0t16 'City of Tigard and .j i `J Sewer permit no.: Building penult. no.: `� t Address: 13125 SW Hall Blvd, Tigard, OR 97223 City ofTigard 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: MIT :. Tl`PE OF PER ' • � -f 0 1 & 2 family dwelling or accessory O Commercial/industrial O Multi- family 0 Tenant improvement O New construction 0 Addition/alteration /replacement 0 Food service O Other. . JOB SITE INFORMATION -. FEE SCIIEDULE (for spe information use checklist) • Job address: �Sw <_k w 4, P cLCt Descri lion Qty. Fee (ea.) Total Bldg. no.: Suite no.: New 1- and 2- family dwellings only: Tax map/tax lot /account no.: (includes 100 ft. for each utility connection) SFR (1) bath Lot: • 6 Block: Subdivision: SFR (2) bath Project name: SFR (3) bath _ City/county: ZIP: Each additional bath/kitchen ME Description and location of work on premises: Site utilities: II Catch basin/area drain Est. date of completion/inspection: Dryv✓ells/leach line trench drain _ PLUAIBING .CONTRACTOR , Footing drain (no- lin. ft.) = ` ° Manufactured home utilities -- -- - - -" '" Manholes ME Wolcott Plumbing Rain drain connector - PO Box 2007 Sanitary sewer (no. lin. ft.) _ Gresham OR 97030 -0594 Storm sewer (no. lin. ft.) = 503- 667 -1781 Water service (no. lin. ft.) MI CCB:23847 PLM #:26 -208PB Fixture or Item: ■ -- C Back floow w ontractor's representative signature: Absorption valve Back preventer _ Print name: Date: Backwater valve = • ��- _" CO \TACT PERSON Basins/lavatory NM Name: Clothes washer Dishwasher _ Address: Drinking foun • • (s) _ City: • State: ZIP: Ejectors/sump - Phone Fax: E-mail Expansion tank ME .., 'OWNER Fixture/sewer cap • _ MI Name (pant) Floor drains/floor sinks/hub Mailing address: Garbage disposal _ Hose bibb MI City: State: ZIP: Ice maker MI Phone: Fax: E -mail: • Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) MI 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 3 {`.ENGINEER` ' " ` �,, Tubs/shower/shower pan - - Name: Water closet _ Address: Water heater _ City: State: ZIP: Other. • M Phone: Fax: E -mail: Total = Not all jurischctioos accept credit cads. plume call jurisdiction fa mote Wenatim Notice: This permit application Minimum fee ..» $ O a 0 MasterCard expires if a permit is not obtained Plan vis review (at _ %) $ - - Credit ard aatmber: -- – - —=1Expires -1.-- - within 180 days after it-has-been State _suncharge_(8%) ...._$. _ Nacre of cardholder u shows w credit card accepted as complete. TOTAL $ $ Cardholder ailoaat Aroma • 4404616 (6000I006o . Mechanical Permit Application :' - Date received: Permit no.:/firgaga.-02 75 ''f'i'll" City of Tigard mi l,{. • _ • ty g Projecdappl. no.: Expire date: CiryofTigard 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 • ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement ❑ New construction 0 Addition/alteration/replacement 0 Other. %'' JOB SITE INFORMATION - COMMERCIAL VALUATION : SCHEDULE ' Job address: / 3 35 S GO L.....-s- s e lac c. Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map/tax lot/account no.: profit. Value $ . Lot: ) 6 IBlock: I Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: : 1 & ZFAMIL1' DV*'ELLING PERMIT FEE SCHEDULE Description and location of work on premises: AND COM11ERICAIJINDUSTRL&L EQUIPMlENTSCHEDUI E 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 io unit CFM space insulated? 0 Yes 0 No Air conditioning existing HVAC required) Is existing P Alteration of existing HVAC system '. AIECIIA LAICAL CONTRACTOR = ' Boiler compressors _.. State boiler permit no.: Tons BTU/H Four Seasons Heating & A/C Service Inc g _ Fire/smoke dampers/duct smoke detectors PO Box 66409 Heat pump (site plan required) Portland OR 97290 -6409 - lnstalUreplace furnace/bumer BTU/11 503- 775 -5919 - Including ductwork/vent liner O Yes O No CCB: 48283 _ Install/r +eplace/relocate heaters - suspended, l wall, or floor mounted Name (please print): Vent for appliance other than furnace �,,.. ;: CONTACT PERSON _ Refrigeration: Absorption units BTU/H Name: Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: - E -mail: Dryer exhaust V.1,34.", ; , OWNTH Hoods, Type l/ IUres. kttchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I Ste I gyp: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets o ',.� - 4 " ;:, � ENGINEER . Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: `Insert —type Phone: I Fax: I E-mail: Woodstove/pellet stove Other. Applicant's signature: ( Date: Other: Name (print): Not all f¢isdict ons accept «edit cards, please call jurisdiction for mote information. Permit fee $ 1 O Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained CrecEt care number — — = 1 within after it has been Plan- review -(at- _ - %) -$ -- accepted as complete. State surcharge (8 %) . $ Named cardholder as shown on aedit d a ccep ad $ •i O'I'AI. $ Cardholder signature Amount 4404617 (6190/C0M) ' {` Electrical Permit Application _ g 2 \ Date received: Permit nor:, S l_c z7S ti ; � ii 1 C ity of Tigard Pro)ecdappl. 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 " „ . , O 1 & 2 family dwelling or accessory O Commercial/industrial O Multi - family O Tenant improvement O New construction O Addition/alteration/replacement O Other: 0 Partial - . , :' : "`_ ' JOB SITE INFORMATION - . Job address: i g235"s L k,,,,, , s ,,_ pt„,..____ Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: °,,LC, I Block: I Sultivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: .. . ": - CONTRACTOR APPLICATION ,. -- . -. . • -. ' ... - -FEE,SCHEDULE Job no: Fee Max ^__ -__ - ____ % Description Qty. (ea.) Total no. insp JEROME ELECTRIC New residential- single ormulti-family per P O BOX 7 51 dwelling mit. Includes attached garage. . Service included: HILLSBORO OR 97123 1000 sq. ft. or less _ 4 503-648-5144 Each additional 500 sq. ft. or portion thereof Limited energy, residential - 2 CCB: 36051 ELC: 34 -119C SUP: 2877S Limited energy, non- residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Services Sup. elect. name (print): License no: orfeeders installation alteration or relocation: , PROPERTY OWNER . 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: ! ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only j 1 Owner installation: The installation is being made on property I own Temporary nxrvlces feeders - which is not intended for sale, lease, rent, or exchange according to 200 O1� E aMerati°°,orrelocation: 2 ORS 447, 455, 479, 670, 701. p 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 m;» .:--,:t.' ENGINEER 6 ,4 , .. ° ¢ 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 check all that apply) . ' < Misc. (Serviceorfeedernot Included): O Service over 225 amps- commercial 0 Health-care facility Each pump or irrigation circle 2 O Service over 320 amps -rating of 1&2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* — - 2 O Building over three stories 0 Feeders, 400 amps or more *Description: • O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 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 edit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ credit 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number - - — / / within i80 days aRer if bas been - State surcharge-(8 %) --. $ -- - - - - - - - - - Expires accepted as complete. TOTAL $ . Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6A tCON) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002 -00075 Date Issued: 316/03 Parcel: 2S104DA -20000 Site Address: 13235 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 026 Jurisdiction: TIG Zoning: R Remarks: SF rowhouse, Unit #26,BIdg 3,CS plan with deck 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 Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR: 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503 - 598 - 7565 Phone #: 667 -1781 Reg #: LIC 23847 PLM 26 -208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X I /7 , vv0 Signa uth.rized Plumber _I_f.you have any questions, please call 50.3118.2433,_ CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002 -00075 Date Issued: 316;03 Parcel: 2S 104DA -20000 Site Address: 13235 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 026 Jurisdiction: TIG Zoning: R - 4.5 Remarks: SF rowhouse, Unit #26,BIdg 3,CS plan with deck 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 Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 97123 Phone #: 503 - 598 -7565 Phone #: 648 -5144 Reg #: LIC 36051 SUP 2877S ELE 34 -119C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervis ng ectrician If you have any _questions, please call 503_7.18_.2433,___ _ TREE CE R TIFI ATIOl .. STREET r , .. I, / � JICbfit 6 M , , Owner /Agent for (40i(40g/ %a '7 // L k / u (PLEASE PRINT) I (PERMIT HOLDER) Do hereby crtiy th-atthe following location meets C .of Tigard /Washingto ounty _.., l and use an development standards for street tree installation. M 3,- 2or .v-- - ©o ® 7 S • ADDRESS: /3 - W . re / / /,1- G��;c 0. • LOT SUBDIVISION: G2� � i � BY: 6Q/, , ` DATE: (� • RECEIVED BY: / , .do A DATE: 9/96/0 A t CITY OF TIGARD 24 -Hour • AUILDING • Inspection Line: (503) 639 -4175 61)(90d'_ 0607 INSPECTION Business Line: (503) 639 -4171 Received �C.0 d2 1 Date Re sted 1I / foe AM BUP Location 43. -. 5 ,� / qu Suite MEC Contact Person Ph ( ) M — £/F6 PLM Contractor Ph ( ) SWR ILDI 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 ZS �W / ('j / ! 3 Fire 0 .r Sp Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Othex;. PART FAIL 'rAll. Post : :eam ' Under Slab Rough -In Water Service r Sanitary Sewer 7 7 ' / • Rain Drains Catch Basin / Manhole 3Y_ k 4 , //) 4 / / 3 C i ) ` — rSs L ei Storm Drain J Other: Pan C. • Other: 11115 PART FAIL CHANICAL' • , st & 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 1 1 � - c ADPP Aoach/Sidewalk Date ` V S /� Inspector V C�t� 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 2 —06075— INSPECTION DIVISION • Business Line: (503) 639 -4171 'y BUP �! Received Date Requested -/ 7 AM LVRA BUP Location ! 3 2 3 • ae • Suite MEC Contact Person i—i�A1 l Ph ( 7 71 —S Tcf6 PLM Cont Ph ( ) SWR • ‘CILLCCING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: // �/ SIT - Post & Beam — 1C (P. k/ / Vl a LZ I/LC�I - Shear Anchors Ext Sheath/Shear . Int Sheath /Shear Framing Insulation / L Di( Drywall Nailing Firewall / ,/ I 1" /�„ _� Fire Sprinkler 1 t ,� Fire Alarm 4 vv../ AA t /n (/„ � I 4 d9 4 Susp'd Ceiling `� A``' Roof f ff No 4 • SS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final 41 A PART FAIL A Ste. .►L Post :& Beam Rough -In Gas Line S - • !.mpers • Final • PART FAIL y�x► RICAL Service Rough -In UG /Slab Low_Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect - no access Fire Su l Line Supply -- - - ADA Approach /Sidewalk Date Inspector . • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour -7 BUILDING Inspection Line: (503) 639 -4175 MST ` INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP 1.-" Received Date Reque ted U AM PM BUP Location / 333J 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 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 - G� ( l Post & Beam Under Slab Rough -In 7 r Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole �ui ( 12 Storm Drain Shower Pan Other PAS 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 ILI1 Please call for reinspection RE: ❑ Unable to inspect — no access — Fire Supply Line ADA 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 a"��� INSPECTION DIVISION „e-- Business Line: (503) 639 -4171 BUP Received Date Requested 9 / f AM PM BUP Location / � -' i i,t1 Suite MEC Contact Person Ph ( 5 77 ) 71 ? � r ) 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 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 P PART FAIL E C T I A L =- Service i 1 (Z-a)`1 Rough -In Low Votage �" ri 0� Fire arm • Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL SITE Please call for reinspection RE: • ❑ Unable to inspect — no access Fire Supply Line J ADA ® 03 - Ins ecto� `� `I ' �U Ext Approach /Sidewalk Date N I 111 P Other: • Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BWLDIIiG Inspection Line: (50;- & 9 - 4175 MST 0766.07-em 75- INSPECTION DIVISION Business Line: (5 t , 1- 71 , r b BUP J tt.. ■ 4. Received Date Reque ted / i AM 1 4 PM I BUP Location / 3 Lr Suite / (/ MEC Contact Person • Ph ( ) �O , `t T �� PLM Contrac Ph (C n i p) 71.E -- el e''o SWR BQIL Tenant/Owner ELC Footing Foundation ELC A ccess: Ftg Drain Crawl Drain ` Slab Inspection Notes: 30 7) 2/ '' 7 SIT Post & Beam r Shear Anchors i Ext Sheath/Shear J2 .? -11-1 J Int Sheath/Shear j/� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceili g/ Roof I / Other: Fi f RT FAIL iik P ost eam Under Slab • Rough -In Water Service Sanitary Sewer R i ain Drains C l atch Basin / Manhole , Storm Drain Shower Pan in ASS PART FAIL M 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 — no access Fire Supply Line G, r ADA Date ` l A ` 7 L I Inspector "V - Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL