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Permit CITY OF TIGARD - MASTER PERMIT PERMIT #: MST2004 -00275 ' ' li DEVELOPMENT �B , SERVICES 9 X71 DATE ISSUED: 10/6/2004 13125 SW SITE ADDRESS: 07947 SW LEISER LN PARCEL: 2S112BD -LP014 SUBDIVISION: LEISER PARK ZONING: R - 4.5 BLOCK: LOT: 014 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: LP014 -A1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.363 sf BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.475 sf GARAGE: 621 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 278,284.30 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,838 sf REAR: 15 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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL // SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,176.17 LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the L Tigard Municipal Code, State of OR. Specialty Codes 12755 EGE D 69TH 12755 LEGEND 55 S 69TH AVE AV #100 and all other applicable laws. All work will be done in SUITE 100 TIGARD, 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: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg 6: LIC 60563 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing InsF Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service lnsp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Issued By : Permittee Signature . ' \ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . �raoY -oo ®9 Building Permit Application FOR OF USE ONLY City of Tigard Date/B 1 p Plan Review y Permit No.. / • D 13125 SW Hall Blvd., Tigard, OR 97223 R Phone: 503.639.4171 Fax: 503.598.196 l E ��4,fogilit l+ Other Permit :3 ∎ , AOC/ -. ._ ‘ 6 I I . Inspection Line: 503.639.4175 " Da te Read /B Date/B EI ®See Attached Checklist for Ready /By: Internet: www.ci.tigard.or.us SEP Notified/Method: Supplemental Information 16 2 004 TY1{bV OGARD REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction BUILD IfIgNaitmo Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Qj 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $277,321.50 ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 7947 SW Leiser Lane New dwelling area: 2838 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 621 square feet Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Leiser Park Lot no.: 014 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ . Existing building area: square feet New building area: square feet - ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City/State /ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: / ® APPLICANT ® CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the City/ State/ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com CONTRACTOR Business name: Legend Homes BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 Please refer to fee schedule. City/State/ZIP: Portland, OR 97223 Fees due upon application Phone: (503) 620 -8080 X ali I Fax: (503) 598 -8900 Amount received CCB lic.: 060563 Date received: Authorized signature: — This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 9/15/04 • Fee methodology set by Tri-County Building Industry Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440-4613T(1 I /02/COM/WEB) 10/31/2002 00:04 6427925 PAGE 03 - SEP- 15 -20C4 WED 04 :18 FM Le end Ho = FA}I N0, 60359889D0 P, 02/03 . Mgrisailsgjaltjaitgoji 5 1 ,•, Nle.:y 1":„,240 a 4 '- city of Tina SEP 16 200 ' _ 17125 SW ROI pled., Tigard, Ott 97233 0 t 503•639•4171 Fat: O3,59e.t� ITV OF TI -- ,, :l i � . . Munn ion Line: dgerdat.es BUILDING DIV • ' � 1nlelrtaL' NNW�.t18ttrd� at � N.Id .L 11 4y1��I �q C � I , r ,: 1 : I I� i ',i , 1 � � :,i y :�,l 'w�i!I��i,1�,r � J to" � tier l 4 ►ct .uir �'aii��1 :16.i.4i!,;r.4 ��:0yi :.5. ;.IIv,:.'+,1. :i l r ROY, ..7., t4 w eelttltrYatI9n Additlxlrolmrotion/l+e•1, leasment I ©gervlea ova 225 amyl. eellan't Qeu9dt,e mew 0. 4 ft., ce arm 320 amps-. t0,000 a • Demolition • Other; U ,.1 R ., 1 ., . �.. �., 4 s: ��j.ondJ fandtydwaittnge 4wmonnew �M"P,�. tvAEZE I O. `•:,1. : i : . ' .1 :.. Cl; A 1 :� units M ere smuts ,1 ; ,:ld�:W ,: ov 600 vote nom inal • t- std l.�n,nr awenuw • Con"n allindwtrlM ■ Magary building I ClBut 4Iig emir tope atones c3Feede e. 400 amps armors me Mu1ti -femll w w.M skier all Ot or InOnoupron tool over 99 moons 0 Mi or r , ti , 6. r �" t � ,•, ❑� ratsAiBhtM plan • °►, ttY °�f ° :. '��'r,.I �. ...'.1�.•�'•`. 4. B t .��� —'r RV pant '..i.11 o n ': y'C: , i b';'. I S , .. ,,,: •r , •i address: ' lOnsid 1Meore �IH 1' Job site eddreta :7647 SW !.sine Lane Submit Lints or nters with any of the above. City/Sam/ZIP: n o.: The show ere net oppl'a abte to terroO aY p nrrnactVCA *vim Sulud ldwin . d. OR !:7=37 Ir ilEF .172LTI � ' 9uhelbldglept. llo�t 1 • P ro j txt tunic Leiter Park ttn.,ar too eA1F Kenn ra•IdontIit staff -or taatti- farsIY Cross meeNdltroatione to job tits Winks attoeaod • tAoo .. a. er Ig 11131/1 ..1M32 Se. sa l 500 oq. A or portion 33,00 NI l it no.; Old Limiest moray, roaideonst ' 75,00 t i;a.tsd an. ., .non -resid nWl, 75.00 _Q i�1SYE�' w y lla1 >tl liEY�..:� ,.i 14 'u ' •,k'`G ..' „ tini.lbetureeor • w • � IIIII Senses or folder .. ebreatta e. sad/or ratoeation 702 amps or lass __r 80'30 II r y,�1��y .,.0,,,..:;.,1.,;i,,....,,,: . ,701 anion tu400 ' 160.60 ' '4' `�i,1u,�,`'.4_'tgt=sS3.2 ,E9,f 1 �4.4;h� ! �'1�i pie, un `;' :. r ,�I • m :, : . =11111E1 ea t amps to 1.000 emu 11 24O. �p Noma; { Some ,,,_..^._... Ovm 1,000 a • or volts 454,6! d • : 12755 5 6 ~ Done. 9wlte 4100 .. , , •, , . 66.83 � W1 �� ---.. Temporary terriers or Pastore IrsKa fin. elteretteTM an , ror CiglSmte /ZIP PotKletl4 97ss3 _ - •-- _ Phone: (541)6 =0.9090 '1 Fax: (soft t22 a .:, . or lase r �� owns iaataltetien; This installation Isbeing made en propel low which G not tot , • e to 1o0 a 's 1 3 5 100 ' d blended for isle, lease, rent, of exchange. according to ORS 447, 449, 610, and 701. 401 amps to 600 • Dar brooch strains - now, alteration or tir•aaIo1, MAN Owner •ipietu�: r �� -- A Pee for lsttulafi among won . �. a, i . 'w I, ;epui�eiuu' v, ,K i,:�.' `' IT ', P ab '4 Bor ,'7 T i4 'orrice orFe•da 910, Leh 6.64 t Wean circuit Buenas name: I.sIontt Bison! 1i. Nee roe ircutiq casein Contact nadir. Steve Lowe. wi /hoW ,swiss ar holm tea, 46,85 II • • It branch circuit Musk 1275¢ SW 69 Avenge, Suite 4104 rsuh aWW1 branch circuit 6.03 2 City/StatelZEPN Portland, OR 97223 Mlwellsesees (service er Refer not (nehtded) Pump or tees pen circle 33:40 Ell Phone: (503) 624010 P53 : (907) 595 - 9900 Si •• or outlineHahtms I 57.40 III 3 adbomee,00m I cuvult(s) or trotted- B -mills a '. ' i �12p ( 5 energy panel, elimenen. a+' 2 . I : "::4‘., . y' ''.(4 ::.. (I i ( 1 :•`.k oi7 ;: . r, jL°j� 1. W. •alrnaion. Deionle: 3 Sustnest name: Garner Btoetrie Rea addHioaat In n over st1..+•tta is of do 'how Addrose 2920 SW 247'” evens A A - or inapeala 63.70 - Inveenpaion per hoer o lean) 62.90 — CItY/State/Z1Pt Hillsboro. OR 97123 tadlta4tial • � per hoar r 73.75 Phone: (5W) 591.1720 Fez: (501 2-7025 L . '..1[01:711'.1 i : MI ti ti , A, CCB Lki 131159 182e Ica c•: ...414111.0r &Motet Z'{•$ } � piss review (2346 Of writ Are) $Ni V. 6lantdoion signature. requtred: ni / / - State surcharge .5% o wri r e) ZZ -3.0, e„ ►.''� L .' L. - - ? L -��� "' TOTAL 06R9tSTPKR - SOL Autliariaed119naturC Too woo ae uorolo. Ore etta+tIs oar Donlanwhew= 4q1 aler owe ooze aceoptoa or ampule Daft • Poe mestoaeb■ eel by 7•4Caa1t7 6eltdlaa1n4aee7 Senior liana Print name: Daft •• wonder of haoreare a paw attawad. ,.,•....v......� AvI PdmnOAee.11ae IV+03 an4416TIIOApCOAYaiee - • Mechanical Permit Application FOR OFFICE USE ONLY Cl ` of Tigard Received , p ' Permit Not ` " -a ' 73 3125 SW Hall Blvd., Tigard, OR 9722 , Plan Phone: 503.639.4171 Fax: 503.598.1 60 ECEIVE A Date/By: Other Permit: Inspection Line: 503.639.4175 ai I - Date Ready/By: Juris: H See Page 2 for Internet: www.ci.tigard.or.us SEP 1 6 20 r.-- J Notified/Method: Supplemental Information • L it;IO RD t3 tJItV N COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction ❑ Addition/alteration/rep Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. n Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: 7947 SW Leiser Lane (requires site plan showing placement) 14.00 City/ State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Leiser Park Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Leiser Park Lot no.: 014 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ® PROPERTY OWNER ❑ TENANT Other: 10.00 Nam.: Legend Homes Environmental exhaust and ventilation _ Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City /State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. Gas heat pump City/ State/ZIP: Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas @legendhomes.com Range CONTRACTOR Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City/State /ZIP: Oregon City, OR 97045 Subtotal Phone: (503) 557 -2220 Fax:4503) 557 -0919 ___ _ _ Minimum permit fee ($72.50) - Plan review (25% of permit fee) - CCB lic.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE signature: This permit application expires if a permit is not obtained within 180 Authorized si Bn Lt days after it has been accepted as complete. Print name: Steve Lucas Date: 9/15/04 • Fee methodology set by Tri County Building Industry Service Board i:\ Building \Permits \MEC- PermitApp.doc 12/03 440- 46I7T(II /02/COM/WEB) t B IVEa Plumbing Permit App >< FOR OFFICE USE ONLY City of Tigard Receiv Permit No.. M ' {' 131 SW Hall Blvd., Tigard, OR 97223 SEP 16 200 Date/By: ) L�C�e ��� 7 J 7 Phone: 503.639.4171 Fax: 503.598.1960 0 - � A Plan Review DateB Other Permit No.: 24- Hour Inspection Line: 503.639.4175 CITY OF TIG y 3uris: ® _ - Date Ready/By: See Page 2 for Internet: www.ci.tigard.or.us BUILDINGDIV - --- Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Additionialteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ i - and 2- family dwelling • ❑ Commercial/industrial SFR (2) bath 350.00 (2 Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 7947 SW Leiser Lane Catch basin or area drain 16.60 City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Leiser Park Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Leiser Park I Lot no.: 014 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ® PROPERTY OWNER Drinking fountain 16.60 ❑ TENANT Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 City/ State/ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 -8080 Fax: (503)598 -8900 Garbage disposal 16.60 Hose bib 16.60 ® APPLICANT ❑ CONTACT PERSON Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City/State/ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Sink/basin / lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: slucas @legendhomes.com Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Wolcott Plumbing CON77egd.i . Water heater 16.60 Address. / k� //4STdR/� cOLUMaiA, "Il/o Other: /� 7S Subtotal City/State/ZIP: 30 �(TfE �� ?"706. d Minimum permit fee: $72.50 • Phone: (5 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25 CCB Lic.: 23847 Plumbiriglic. no.: 26- 208PB -- - - - Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized s i g nature: �soi� TOTAL PERMIT FEE Print name: Steve Lucas Date: 9/15/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. is t Building t Permits \PLM- PermitApp.doc 12/03 440 -4616T(10 /02/COM/WEB) N A AAA AAAAAA AA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAA h I • STREET TREE CERTIFICATION : i • . • ; r • N / , waer : ent for • i (PERMIT HOLDER) 1 z • Ed 6 • Do hereb ' . , � Vie; _ , • location ! ► ■ • meets .. ; ; n :r r , ! c J ttt • • • land use and development standards for street tree installation. ■ ∎ 1 • - ta 23 I ADDRESS: 1 ?/ S Le. / -- lam!!? -Q— • `4 1 � C ■ E m • L OT: / SUBDIVISION: ��' 4 ■ at Lo i BY: k . ' DATE: ZZ o Cj ■ m 7. 1 ; / 1 V I. G7 N RECEIVED BY: ,.� DATE: / m ► N m CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST a72_,q-L INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — / 7 AM PM BUP Location 9 7 7 Suite MEC Contact Person __.7 — Ph ( ) 7 - 3 3 77 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains 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 i! ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 41 PART FAIL ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 21g d Inspecto ��_ Ext Other: Ilk Final DO NOT REMOVE this Inspection record fro ' the Job site. PASS PART FAIL CITY OFTIGARD 24 -Hour BUILDING' Inspection Line: (503) 639 -4175 MST I n!) ("--- a7s INSPECTION DIVISfON Business Line: (503) 639 -4171 BUP Received Date Requested °� AM PM BUP Location / I7 7 Suite MEC Contact Person Ph ( )G 6, 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: PASS PART FAIL - 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 g1 r ASS RT FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line -- ADA Approach/Sidewalk Date — — D 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 Od4' - 40 �-'� — INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received 7 Date Requested '`" 1 7 AM PM BUP ~ Location - ?4/7 Suite MEC Contact Person / 2/ Ph ( ) � l '3 3 7G� PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler OF � / �� _ s�� �� ' — - Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ce- Post & Beam r //Y- Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: i '° PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final fl 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 l 7� Approach/Sidewalk Date` Inspector ��� Ext Other: Final • DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL