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Permit
, CITY TIGARD MASTER PERMIT i PERMIT #: MST2000 -00458 DEVELOPMENT SERVICES DATE ISSUED: 11/6/00 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10635 SW LADY MARION DR PARCEL: 2S110DA -07800 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 039 JURISDICTION: TIG REMARKS: Construct new single family detached residence. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,439 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,252 sf GARAGE: 645 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 246,875.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,691.00 sf REAR: 56 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS:' 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: • MECHANICAL . FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 . GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 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: 5 201 - 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: $ 6,788 T RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard d Municipal csubject to the re OR. Specialty in the y Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR al other laws. work k will l be done Colt all WEST LINN, OR 97062 WEST LINN, OR 97068 all othh Municier applicable pal a lawaw Code, State s. All wo This b i accordance with approved plans. This perm itwillexpire 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 lnsp 8/ Post/Beam Mechanical Mechanical Insp Exterior Sheathing Insl Rain drain Insp Final inspection Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Building Final Footing Insp Footing /Foundation Dr: Electrical Service Gas Line lnsp Appr /Sdwlk Insp Foundation Insp PLM /Underfloor Electrical Rough In Gas Fireplace Mechanical Final Post/Beam S ral Mechanical Insp Framing Insp Insulation Insp Plumb Final Issue. By : 1 _ � _ �i_ IL _■ All Permittee Signature �1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day b p59/6,-et - 4 1,1„ Building Perm Application ' • . - ` •.. r` ; • y;�rji� "�� City of Tigard Date received: /0-4.66 Permit no h�'7 -o0 «i: " - Project/appl. no.: Expire date: Ci o Ti and Address: 13125 SW Hall Blvd, Tigard, OR 97223 ry f 8 t no.: Date issued: Receipt %(cd0 -73, Phone: (503) 639 4171 P Fax: (503) 598 -1960 Case file no.: Payment type: ME Land use approval: 1 &2 family: Simple Complex: • • . - s ' TYPE OF PERMIT . . , , . t � ,. - , h�� Cy � � :S; '`' ` yr,�Hx t �� ,� 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family XNew construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: k ";;`r _ tai:JOB SITE` INFORMATION u r ; Job address: D A p r ' lolj 0 ,i i!' I • D' 1 1, Bldg. no.: Suite no.: O '�i1 Tax ma /tax lot/account no.: zg — a7$oo l Lot: . 0 4 Block: Subdivision:����_. /���� d / /O p ,� Project name: FAA) - w ' , Desc 'on and ration of work premises/special conditions: ��S 6T Id F/ 61 10/4 APYIVI < ,k " : .. OWNER w ; 4 `u',:e s FOR SPECIAL INFORMATION,3USE CIIECI(LISV:" C 1 i1 ;? r , i , ( Floodplailn ` , " septic f c a paciity;solar,etc ),, 4,` t� I` ; s ` c Mailing address: _M, j �;Al l + , 1 & 2 family dwelling: 1131E State: ZIP: Valuation of work $ 0. ' 7/' Phone: Aw ', „■; Fax: E-mail: No. of bedrooms/baths A/ 3 Owner's representative: Total l number of floors 2- Phone., i �' E -mail: New dwelling area (sq. ft.) 07, ' C/ F' ; ,t ' kAPPLICANT , t „ t Garage /carport area (sq. ft) G 4 S" Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) State: ZIP: Other structure area (sq. ft.) Phone: Fax: E-mail: Commerciallindustriallmulti-family: t, "' CONTRACTOR "° s, Valuation of work $ Business name: Existing bldg. area (sq. ft.) Address: New bldg. area (sq. ft.) �. t Number of stories State: ZIP: Type of construction Phone: Fax: E -mail: CCB no.: Occupancy group(s): Existing: • New: City/metro ltc no.: Notice: All contractors and subcontractors are required to be i.:; , t ., . ' ARCHITECf/OESIGNER •� i ,4 ' , ',.'„ licensed with the Oregon Construction Contractors Board under _ L� id 1A ;] provisions of ORS 701 and may be required to be licensed in the Address: • 4 i. jurisdiction where work is being performed. If the applicant is State: ZIP: i k 1 i exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: /<ZI }7 • E -mail: ' . �' , ,� x ENGINEER �'�"_ � f t . " t ,' "' ta' ,.1 1 ,� . r" a � -7 s t r N1.. ' � . 14 : t n : .;.1:,, , 1 : ,f,- c x l',...4.7 � � ��,.. �', s � r�;., �, " z4` , - " t.� Y r f x �� . ° .:,� s�tv. , �s va �;. 3 ,,� r. r;.. , � . , .!:: Eri ;; Contact person: AL Fees due upon application $ • ' Address: ZL 4 1 , 1 1MIIIIIII Date received: /D — a--'O cya M I I EA �State: ZIP: ' 1.4i�� Amount received $ o? 'SD ' Phone:',, , + �AY , +6tE, 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 0 MasterCard work will_be_complied_ i , whether -specified_herein- or_not._ ._ Credit card number: / I Expires Authorized signature: Date: l0' 0 Name of cardholder as shown on credit card Print name: 4 ` `_ _ I 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 (6ro0/COM) Mechanical Permit Application Date received: 0 -, .00 Permit no.: //..5VDGe -DO f/jr;; 1 „ „. � I „ City of Tigard Project/appl. no Ex e date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: Phone: (503) 639 -4171 IL -1/11M vRecei Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: • TYPE OF PERMIT & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 Tenant improvement r ! ew construction 0 Addition/alteration /replacement 0 Other: JOB SITE INFORMATION: .. :;k,, <* COMMERCIAL VALUATION SCHEDULE Job address: / $ - r11 1 I Warigol / Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax ma /tax lot/account no.: profit. Value $ . p ,_5 • A - 07tsob Lot: lUVIII Block: Subdivision: i ..,„' 501 *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: ZIP: 1 & 2 FAMILY DWELLING PERMIT, FEE SCHEDULE . D - scr location of wor on . emise • NT, AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE N L4 IL. 1v ` 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 ❑ No Air handling unit CFM Air conditioning (site plan required) _ Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system i s' _ , MECHANICAL CONTRACTOR _ Boiler /compressors Business name: ' 1 / State boiler permit no.: I ■ J V� HP Tons BTU/H Address: 2 A 6 1 7 / Fire/smoke dampers/duct smoke detectors — City: It ! L(,4 4. 4.€7 State: ZIP: 'HIMIll Heat pump (site plan required) _ Phone ` l�t , - / �' U[i 7 Fax: E -mail: Install/replace furnace/burner BTU /H ■-- Including ductwork/vent liner ❑ Yes ❑ No CCB no.: O1 /g7it) Install/replace/relocate heaters - suspended, ■-- City /metro lic. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace : == < Refrigeration: CONTACT PERSON Absorption units BTU /H Name: CO twos-) Chillers HP - Address: , Compressors HP _ Environmental exhaust and ventilation: ■ State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust MI OWNER - Hoods, Type U II/res. kitchen/hazmat ■_— 'I hood fire suppression system Name: f UA I i C .- f Exhaust fan with single duct (bath fans) - -_ n o! !a.t.ltaxw Exhaust system apart from heating or AC _ "�”' _ Fuel piping and distribution (up to 4 outlets) ■-- State: ZIP: r P O T ype: LPG NG Oil Phone: r , / p Fax: E -mail: Fuel piping each additional over 4 outlets _ ENGINEER , i ; Process piping (s chematic requir ■= Number of outlets IIII Name: p. • E,..-Arg L J Other listed appliance or equipment: Address: I 1 2 .. i Decorative fireplace ■ -- „ A i p State: ZIP: Of LZ Insert - type _ Phone: d l! E -mail: Woodstove/pelletstove —_— t, /� Other: M -- Applicant's signature: Date: �, ©LL Other: MI Name (print): nlirr I/ i M Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ Notice: This permit application Minimum fee $ ❑ Visa ❑ MasterCard / / — expires - if a is-norobtained Plan review (at %) $ Credit card number: Expires within 180 days after it has been p State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440 -4617 (6/00 /COM) - A Plumbing Permit Application Date received: /p. p -ea Permit no.: /.t r ��, .- > }. y ; City of Tigard • R, �� 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: / 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 ew construction ❑ Addition/alteration/replacement U Food service ❑ Other: .. ' , ' JOB SITE INFORMATION ' FEE SCHEDULE forspecial information use checklist Job address: 1 04, .1 t iW Ip Pit . Description Qty. Fee (ea.) Total New 1- and 2 -family dwellings only: Bldg. no.: Suite no.: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: 0 1.5//0"2:>4 - b7 a pQ SFR (1) bath Lot: M' Block: Subdivision: SFR (2) bath Project name: ,� , , . ii ii. tU SFR (3) bath City /county: 1 A &I / p ZIP: Each additional bath/kitchen _ Description and location of work on premises: '". Site utilities: ■ -. .. _ - . >t ..,":21.41 Catch basin/area drain Est. date of completion/inspection: Drywells/leach line /trench drain _ Footing drain (no. lin. ft.) _ :, ,?`' PLUMBING CONTRACTOR, - ' Manufactured home utilities Business name: C. 7i1 1 Manholes _ Address: a utia,L's Rain drain connector _ ._ State: ZIP: on e . ;� Sanitary sewer (no. lin. ft.) — Phone ;„ Fax: E -mail: Storm sewer (no. lin. ft.) CCB no.: ' Plumb. bus. reg. no: 249- i Water service (no. lin. ft.) rol Fixture or t it City /metro lic. no.: ■-. Contractor's rel se tative signature: i U 2 Absorption valve Back flow preventer _ Print name: W� Date: 10 ALMM Backwater valve _ { 1 F b a,r .' ; CONTACT PERSON . . . Basins/lavatory -- Name. (6j RV- Clothes washer —_ Address: :£t ' Dishwasher _ Drinking fountam(s) _ City: • State: ZIP: Ejectors /sump _ Phone: . Fax: E -mail: Expansion tank _ 1. ' , : ': OWNER , H .. Fixture /sewer cap Name (print): f i(J,q rAt, . , J C t5 Floor drains /floor sinks/hub _ (/ . Z Garbage disposal _ Mailing address: - � I' I Hose bibb , �_, State: ZIP: Ice maker _ Phon: F ) - '41_ Fax: E -mail: Interceptor /grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) ME will be made by me or e maintenance and repair made by my regular Roof drain (commercial) — employee on the pro own as per ORS Chapter 447. Sink(s), basin(s), lays(s) — Owner's signature: Date: SO '' Sump _ --ir �: •• ' ' ENGINEER `. { " " Tubs/shower /shower pan _ D Urinal — E / D a �1 i J. i1 Water closet _ Address: Tri, '� _ Water heater Ean l �r State: ZIP O� �� O ther: _ Phone: I / il Fax: E -mail: Total _ Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application O Visa 0 MasterCar Plan review (at %) $ — expires -i f- 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 ou credit card accepted as complete. $ Cardholder signature Amount 440 -4616 (6/00 /COM) • • 'A Electrical Permit Application • Date received: /0 a.)) Permit no.: 5)y -429 ,/ „,- 1 ! "' i' it City of Tigard ,. ty g Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: Byf r% Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: • T YPE OF PERMIT . 0 1 & 2 family dwelling or accessory ❑ Commercial/industrial Cl Multi family ❑ Tenant improvement New construction CI Addition/alteration replacement ❑Other: ❑ Partial -" .' JOB SITE INFORMATION ,t., . Job address: (, 0 & 3,5 I i ., i . / N Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: IA' Block: Subdivision: L /6 0 Project name: Description . d location of work on premises: Estimated date of completion/inspection: lOr d' CONTRACTOR APPLICATION • ` _. ' ' ` FEE SCHEDULE Job no: Fee Max Business name: �1 1 Description Qty. (ea.) Total no. insp w �f A: . At New residential -single or multi- family per Address: F 7 dwelling unit. Indudes attached garage. • J A ; State: ZIP: 4 0) 5 Serviceincluded: Phone: 0j of 'L Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof ___— CCB no.: �� Elec. bus. lic. no: ? - L energy, residential ___ 2 City /metro lic. no.: Limited energy, non- residential ___ 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect name (print): License no: Services or feeders — installation, : u`? . -_ y PROPERTY. NER OW alteration or relocation: 200 amps or less ill 2 Name (print): I {,J t Ii f � G 201 amps to 400 amps MOM _ 2 401 amps to 600 amps ___ 2 Mailing address: 1^i I j r ` 601 amps to 1000 amps =NM _ 2 State: ZIP: ' O6 Over 1000 amps or volts ___ 2 Phone: ./ Fax: E -mail: Reconnect only il._ 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended f sale, lease, rent,- or exchange according to installation, alteration, or relocation: ORS 447, 455, 479, 6 0, 7 1: 200 amps or less 2 201 amps to 400 amps ___ 2 Owner's signature: Date: t o L 401 to 600 amps ___ 2 ' .- ''' ENGINEER % • ' - ''�" t Branch circuits - new alteration, or extension per panel: Name: r rvIA"r.. A. Fee for branch circuits with purchase of Address: I 1 D 1 to UV ' service or feeder fee, each branch circuit 2 EN ' i State: ZIP: 4 B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: ■■ 2 Phone ,' / Az, Fax' E -mail: Each additional branch circuit: MIME ," ' 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 l &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 *Descri .lion: ❑ 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) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE 00\1 9 2000 CRAFTWORK PLUMBING INC CONDOIMfY DEVELOPMENT 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000 -00458 Date Issued: 11/6/00 Parcel: 2S110DA -07800 Site Address: 10635 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 039 Jurisdiction: TIG Zoning: R - 3.5 Remarks: Construct new single family detached residence. 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 R+ nw R�aa rR /1►.1 OR A7 Ail R1 WES I LINN, OR 97062- BEAv�ERTON, OR 0 O00 Phone #: Phone #: 644 - 8698 Reg #: LIC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X i • Signature of Authorized Plumber If -you- have - any - questions, — please -call- (503) -639- 41 -7 -1, ext —# 31 -0 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED GAGE ENTERPRISES INC NOV 8 2000 PO BOX 1429 COMMUNITY DEVELOPMENT CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2000 -00458 Date Issued: 11/6/00 Parcel: 2S110DA -07800 Site Address: 10635 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 039 Jurisdiction: TIG Zoning: R - 3.5 Remarks: Construct new single family detached residence. 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 97062 CLACKAIVMAS, OR 97015 -'1429 Phone #: Phone #: 503 - 657 - 0142 Reg #: 618s LI C 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X i . _ atm • Signature of Supervising lectrician —If- -you- have -any- questions, - please -call- (503) -639- 41- 7- 1 -ext -# -310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0 �J 24 -Hour, Inspection Line: 639 -4175 Business, Line: 639 -4171 BUP Date Requested y AM PM BLD Location / 0 & 35 56) .Lc cI &7 1214k/k- Suite MEC Contact Person Ph PLM Contractor Ph SWR • BUILDING ' F 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 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm _ Susp'd Ceiling ,/ C Roof Misc: Final PASS PART FAIL PLUMBING a, Post & Beam l / Under Slab / � Sjc /'2G ✓`v�'� / � ,�J,P� / — Top Out Water Service Sanitary Sewer J Rain Drains C/ l, C � � »c C CQ iv )4 0 y Final h .� / / / / PASS PART FAIL N MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage . Fire Alarm PASS P • RT FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access - - ADA Approach /Sidewalk Date 1 A03 Inspector 0/ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record. from the. job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST ' tiJ 2 ,24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 3 AM PM BLD Location f 4. 3i c Suite MEC Contact Person Ph .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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler . Fire Alarm I Susp'd Ceiling Roof C14 a / lj PART FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains r _ .•ART FAIL ®ANIC Post & Beam Rough In Gas Line • Smoke . Dampers 0 -ART FAIL RICAL Service Rough In UG /Slab. Low Voltage Fire Alarm Final PASS PART FAIL • SITE :. =a .., :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 / ' /2D Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.