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Permit
. A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2001 -00006 i.�lil DEVELOPMENT SERVICES DATE ISSUED: 02/01/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10537 SW LADY MARION DR PARCEL: 2S110DA -07500 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 036 JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 1. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1,646 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,807 sf GARAGE: 711 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE:. $ 31.9:344F80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,453.00 sf 333 303, O REAR: 67 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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: 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: 7 201 - 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: $ 7,387.00 This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in WEST LINN, OR 97068 WEST LINN, OR 97068 accordance with approved plans. 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 049955 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8' Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Grading Inspection Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wail Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insj Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr< Electrical Service Low Voltage Water Line Insp Final inspection Issued By : ' <0.--INN fle.--- Permittee Signature : CJAC.----*----------------- - -- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day .1.ve9.00 /•0000 - Building Permit Application • Date received: 5e), Permit no.: j/ /. © �/p 1 1,4 1 1r City of Tigard . ".... Project/appl. no.: ■ Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 N. Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 ' C Case file no.: Payment type: / Land use approval: 1 &2 family: Simple Complex: !/ . • . TYPE OF PERMIT V & 2 family dwelling or accessory ❑ CommerciaUindustrial ❑ Multi- family '\Iew construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: ON JOB SITE; INFORMATION ■ Job address: 105 SIA! I "017...04 P ' . Bldg. no.: Suite no.: Lot: (p Block: Subdivision: , C, II _. S Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: CiaVcrivi, T 61 ?Jr L.Z' Fah1M1Ly Hem E. • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: tZENAV55A1sle. ,a, /v tiv4 E (Floodplain, septic capacity, solar, etc.) Mailing address: Z. W W :el II 4 fj , • I & 2 family dwelling: .19 3//,`'w' . r ► MIZIP: ii1v Valuation of work $ - ' r' Phone: r, ..r i i Fax: E -mail: No. of bedrooms/baths 4 2. ' r Owner's representative: /j _" V14 I. Total number of floors Phone: ' v . 55TIF. • _ .$ (lb E -mail: New dwelling area (sq. ft.) 20-.3 APPLICANT Garage /carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: t jY Deck area (sq. ft.) 33 -I ..' ISMIIIIIIIMMOIMII State: ZIP: Other structure area (sq. ft) ....' Phone: Fax: E - mail: Commercial/industrial /multi family: • • CONTRACTOR Valuation of work $ ' Business name: Existing bldg. area (sq. Address: New bldg. area (sq. ft.) State: ZIP: Number of stories Phone: A M Fax: E -mail: Type of construction CCB no.: Occupancy group(s): Existing: • New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: • it /J r]' 0 • , provisions of ORS 701 and may be required to be licensed in the Address: o 1 ' 1 - jurisdiction where work is being performed. If the applicant is il` ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone:, i . 12 1 l • mail: Wk/IV. PP r i ' ENGINEER Name: C A Contact person: /•L Fees due upon application $ Address: Z ) Date received: City: p / L N ! State:1 .. ZIP: 411 /7 ' Amount received $ Phone: 22, , • '� Faa'►yt i /941 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 p visions of laws and ordinances governing this O Visa ❑ MasterCard work will be complie i ether s e . ted herein or not Credit card number: I I Expires Authorized signature: r — Date: — 0 IP Name of cardholder as shown on credit card $ Print name: W °,E�.y 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 (6100 /COM) Mechanical Permit Application A. Date received: / "s' ®/ Permit no.: HSf Pal/ -.4.)Qpp 6 _ZIP City of Tigard Pro ect/a 1 no.: Ex ire date: _�__„ b 1 PP P City ofTigard 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: Building permit no.: . TYPE OF PERMIT 4 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement NCNew construction ❑ Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 1 0 5 31 Sk) LAN I2.40.1 co.. 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: 50 'Block: I Subdivision: gV .1C f HIS . * See checklist for important application information and Project name: - jurisdiction's fee schedule for residential permit fee. City /county: °t ji( ?,p I ZIP: 11 223 1 &.2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: _ • TD COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Air handling unit CFM Is existing space heated or conditioned? ❑ Yes ❑ No Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: at P1014 ��A State boiler permit no.: HP Tons BTU /H Address: ?AM) M E -bit Fire/smoke dampers /duct smoke detectors City: mu", pow I State: rIP: on 123 Heat pump (site plan required) Phone/AA• CO2 2 I Fax: I E - mail: Install/replacefurnace/burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No ' CCB no.: 01 22 VP Install /replace /relocate heaters - suspended, City /metro lic. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Name: EOS A a A Chillers . HP Address:. Compressors HP Environmental exhaust and ventilation: City: 1 • State: I ZIP: Appliance vent Phone: ti Fax: E -mail: Dryer exhaust - OWNER Hoods, Type U II/res. kitchen/hazmat hood fire suppression system Name: - Cn'E,WW Exhaust fan with single duct (bath fans) . g address: Mailing q (,[,t�, f� , Exhaust system apart from heating or AC Wit Fuel piping and distribution (up to 4 outlets) City: W "`94 (�� F. • N State) ZIP: �� jf Type: LPG NG Oil Phon 5 1 • E - mail: _ — Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Number of outlets Name: C, , i Other listed appliance or equipment: Address: Z,Z,t 9i) 4 v. Decorative fireplace City: pog D .State:Q, I ZIP: d1'I2 Insert - type Phone E -mail: - Woodstove/pellet stove Other: Applicant's signature: Date: d J Other: Name (print): emiep Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ O Visa ❑ MasterCard Notice: This permit application Minimum fee $ Credit - - - c ard number: / expires -if -a- permit -is- not - obtained Plan review (at - _ %) -$ card 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) Plumbing Permit Application Datereceived: /-5 Permit no. :AfAel -0 y tiK1 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 • X I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 'New construction O Addition/alteration /replacement ❑ Food service 0 Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: O ®531 S,A) //110-404 OP- • Description Qty. Fee (ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot: 3(o I Block: I Subdivision: SFR (2) bath Project name: EJ.ILIC 14 e.141 PITS SFR (3) bath City /county: -fiz I ZIP: inti,„3 Each additional bath/kitchen Description and location of work on premises: Site utilities: CON S -I SIN ALE, BAUtilLy HOWIE 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: GRAFT wage. Manholes Address: 11 g, ( 'k/ )J I t 4 (4 . Rain drain connector � City: A( g. !r I State :P)L I ZIP: a'Z j Sanitary sewer (no. lin. ft.) Phone: t • ;, . liFax .6111E -mail: Storm sewer (no. lin. ft.) . CCB no.: ? 4' ( I Plumb. bus. reg. no: LO -1417 f 8 Water service (no. lin. ft.) City /metro lic. no.: Fixture or item: Absorption valve Contractor's representative signature: . Print name: ?r. • ALA-IL 1:0 Date: Back flow preventer Backwater valve alve CONTACT PERSON Basins/lavatory Name: PETE- E R•1l• Clothes washer Address: Dishwasher Drinking fountain(s) . City: I State: (ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank OWNER Fixture/sewer cap - Name (print): a 1%.1/41.6e7 e.E. Floor drains /floor sinks/hub g t 1/1' WIU�ME I Di. • Garbage disposal Mailing address: W �� Hose bibb • City: ! J y� N State:AL ZIP: 0 "i Ice maker Phone: r • ', i / / Fa " -S•(6 E -mail: Interceptor /grease trap Owner installation/residential. maintenance only: The actual installation Primer(s) will be made by me • the maintenance and repair made by my regular . drain (commercial) employee on the p • • :; own as per ORS Chapter 447 Sink(s), basin(s), lays(s) • Owner's signature. Date: ,.' 01 Sump ENGINEER Tubs/shower /shower pan e6A Urinal • - Name: Water closet Address: 311 ■41! 4. fa Water heater City: Palt.A¢ND I State:Q . ZIP: 4 204 Other: Phone' FaxL•04/51 E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application 0 Visa 0 MasterCard Plan review (at %) $ expires if a pennit is not obtained _ _ _ __ _ credit card number: — 1 ' within after it-ha-Oxen State - surcharge -(8 %) .... $ Expires TOTAL $ Name of cardholder as shown on credit card accepted as complete. $ Cardholder signature Amount 4 (6/00 /COM) • • Electrical Permit Application A. Date received: / -,j p/ Permit no.: fr/5/70/ • -(MI y/ 4 ,411 City of Tigard Projecdappl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT X 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement few construction 0 Addition/alteration /replacement 0 Other: 0 Partial JOB SITE INFORMATION Job address: 1 �1 01 ,r7,1 . no.: Suite no.: Tax map /tax lot/account no.: Lot: � Block: (Subdivision: E&.1(,k , Ni H.s.14 . Project name: I Description and location of work on premises: gl p LE. Fin4i ILy timsiE Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDULE Job no: Fee Max Business name: elm E u G Description Qty. (ea.) Total no. map �y , � Z � New residential - single or multi - family per Address: r/ dwelling unit Includes attached garage. City: Gl.k. Awle I Stater I ZIP: #17 Service included: Phone : . 0142- I Faxt#4' *1033 E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: v354.4. I Elec. bus. tic. no: G1 �Cj Limited 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, . alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): f l t i e- GVS M )' 4 f 5 201 amps to 400 amps 2 g I�1Z ov w' a M �� D � , 401 amps to 600 amps 2 Mailing address: 7 v�/ 601 amps to 1000 amps 2 City: w__,, N State: at ZIP: la ' Over 1000 amps or volts 2 Phon • " I K .� 1 0 MI L.` V E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: ORS 447, 455, 479, ■ '.01. , 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: i Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: 4 A. Fee for branch circuits with purchase of Address: 1.4 'OA) 4 ii service or feeder fee, each branch circuit 2 City: R11144/0 I State: 10110, ZIP: I11 tali. B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 . Phon $ Fax: E Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps -rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings O 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 0 Building over three stories ❑ Feeders, 400 amps or more *Description: Cl 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 I 1 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 1 days after ifhas 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 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2001 -00006 Date Issued: 02/01/2001 Parcel: 2S110DA -07500 Site Address: 10537 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS • Block: Lot: 036 Jurisdiction: TIG Zoning: R - 3.5 Remarks: Construction of new single family detached residence, Path 1. 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 97 066 CLACKAMAS, OR 97015 - 1429 Phone #: 503 - 557 -8000 Phone #: 503 - 657 -0142 Reg #: suP 6185 LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM • Signature nature of Supervising Electrician 9 If you -have- any- questions,— please -call (503) 639 - 4171,, ext. # -310 - CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001 -00006 Date Issued: 02/0112001 Parcel: 2S110DA -07500 Site Address: 10537 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 036 Jurisdiction: TIG Zoning: R - 3.5 Remarks: Construction of new single family detached residence, Path 1. 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 1-A1 ST. 1 !MN, nR n7ORR . RFL1\/FRTfM f1P Q7fAR Phone #: 503 - 557 -8000 Phone #: 644 -8698 Reg #: LIC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you- have -any questions,_ please_ caH_(5.0.3_)_6.39_41Z1_,_ext._# 310 `CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6000 6 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 -0 — ' `U \ A M PM BLD Location 1 ) r 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 / I •U0z.---- lO r fr ✓4-1, Insulation Drywall Nailing o" ,,, T (.itv _FC / ��/ �Pr� 0 C- 9-,— Firewall / �� Fire Sprinkler �i S /,jd2 4 6 4, 2 S 2Q�� `7c, f• G fi'4 c S Fire Alarm ') / / / , L /d 7 1. 0 ` v,/ Susp'd Ceiling Roof PQo Final P RT FAIL P.LUMBIN Post & Bea'in ' Under Slab Top Out Water Service id Sanitary Sewer Rain Drains COQ ■ - AS_ PART ��. s Post & Beam Rough In Gas Line Smoke Dampers - Final PASS PART FAIL • ELECTRICAL~:_° , s Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 6 - /F 0 / I / Ext E � 1/C_ X D Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - t\ - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 6`" if AM PM BLD Location /CU .) 3 7 cl 1714 yr Suite MEC Contact Person Ph J9 9 --3.JZ a- PLM Contractor Ph SWR 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 ' EYr '67 4J��,& y7o,u ,� � � — �j` ��r� v�n� �40 �✓ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PART FAIL PLUMBINGa " Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains - Final PASS PART FAIL Post & Beam - Rough In Gas Line Smoke Dampers ina PASS R FAIL Service _ Rough In . UG /Slab . Low Voltage Fire Alarm. Final . PASS PART FAIL SITES a ` " ". .. a<` „. F Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date • C� r7 7 • nS / Inspector Ext Other P Final PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. •- --CITY OF TIGARD BUILDING INSPECTION DIVISION MsTG /G 00o 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / - BUP Date Requested 2c) AM PM BLD Location / 0 53 7 S6,.9 "1/6,7-/e Suite MEG . Contact Person / Ph 7 / 3J PLM Contractor Ph SWR • UILDING�' Tenant/Owner ELC aining Wall ELR Footing Access: • Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof M • - PAS: PART FAIL • PLUMBING p Post & Beam - Under Slab - Top Out Water Service Sanitary Sewer _ Rain Drains Final PASS PART FAIL • Post & Beam Rough In Gas Line Smoke Dampers Fin AS PART FAIL • • ELECTRICAL, Service Rough In UG /Slab . Low Voltage .Fire Alarm . Final PASS PART FAIL SITE '! >> ` .: m. . Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date _ 2a_ dl Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from-the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST O6 / '0 6 6 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � -1 AM BuP Date Requeste AM PM BLD Location 5- 1 M^ Suite MEC Contact Person Ph qj c(¢ r`1' / � - 3 Z 2_ 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 Susp'd Ceiling Roof /I-1H q / o 4„ Misc: Final PASS PART FAIL • Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL � • • MECHANICAL; a?; Post & Beam Rough In Gas Line • Smoke Dampers • Final • 1: FAI L Service I • Rough In UG /Slab Low Voltage Fire 4, _.m ASS ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next i• section. Pay at City Hall, 13125 SW Hall Blvd . Catch Basin Fire Supply Line [ ] Please call for reinspection RE: Unable to inspect - no access ADA Approach /Sidewalk Other Date c / _ � / Inspector 1111 Ext Final • PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. . •