Permit CITY OF TIGARD MASTER PERMIT
- '�I �!
PERMIT #: MST2004 -00295
V' DEVELOPMENT SERVICES DATE ISSUED: 11/23/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08071 SW LEISER LN PARCEL: 2S112BC -13800
SUBDIVISION: LEISER PARK ZONING: R.4.5
BLOCK: LOT: 007 JURISDICTION: TIG
REMARKS: New SF detached dwelling.
BUILDING
REISSUE: LP007 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,457 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 TKRP. sf RIGHT: 5
VALUE: 320,039.20
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,287 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: j VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5
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 FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 • 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 REVIEWSECTION
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: $ 8,017.55
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
12755 SW 69TH AVE., #100 12755 SW 69TH AVE #100 Tigard Municipal Code, State of OR. Specialty Codes
PORTLAND, OR 97223 TIGARD, OR 97223 and all other applicable laws. All work will be done in
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
Rea #: 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 Electrical Service Low Voltage Storm drain Insp Mechanical Final
Sewer Inspection Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Servic Insp Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp ppr /Sdwlk In
Post/Beam Structural Plumb Top Out Exterior Sheathing Insr Rain drain Insp ` ectrical Final
Issued By : a 1,),F.Gf,. Permittee Signature : )1\11\, r\i
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
RECEIVED
• Building Permit Application - FOR OFFICE USE ONLY
City of Tigard UL 6 2004 Date/By: /0/6/0 V i Permit No. r #570{00/ DOo?
13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGAR Plan Review
t`
Phone: 503.639.4171 Fax: 503.598.1 Date/B : / Other Permit tW/1a00 r
D. -0 Y'a es
Inspection Line: 503.639.4175 Date Ready/By:
g �� 1 1L[�ING DIVIS �� / � e�� {� ® � V . Juris: ® See Attached Checklist for
Internet: www.ci.ti ard.or.us Notified/Method�Q ♦ / Supplemental Information
i i ; . ,
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition 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.
Valuation: $319,076.40
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 5
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 8071 SW Leiser Lane New dwelling area: 3287 square feet
City/State/ZIP: Tigard, OR 97223 Garage /carport area: 632 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 • I Lot no.: 007 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
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 I ❑ 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 Fax: (503) 598 -8900
Amount received_
CCB lic.: 060563
Date received:
Authorized signature: e g 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: 10/5/04 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440.4613T(I1 /02/COM/WEB)
11/19/2002 02:04 6427925 PAGE 92
• \ e c u VED 1 ;,,,r:,„.,„ t 1AI'(,.,11ii II ;,
City of Tigard :: paldINa. i t . y', • ,
13125 SW Hall Blvd„ T OR 4723 ' 1 b 2004 *" ,eibuft..v.
Mom 503.639.4171 503,598.1 .. ,� .
tnspati"i LJae: 103.639417$ • E `
!mama wwrr.ci.tipard.ar.Ya CITY OF TIGAR - y�1l'''''' ��
�17 {f� Till' v+ •.,. :', �. !. r.ii. �:�,? ....i. •_.tii'rF�S .._ • •I'..` � . r ..
migi V • a� ,. w R.V. -. I
® New oonIRuedon • Addldon/altsradonMoytacemant please cheek a apply:
• Dem011don to Other: • 013orvice over 215 arms, cont l C1Heendooe locator
0 rvice over 320 tops - rnthta O8u lde6 over 10,000 eq. et.,
INEMEMOriattare="11 3°' ` o of I • and 2-family dwelHnge 4 or !lane new resitientlal
3 I- and Mornay devOtiing ❑ CornmerdaIindusl id ❑ Aooe SSOry bonding ' El Syrtam over 600 volts nowdnal anin in One atruetom o
idinp over three rialto Q T�s, 400 p"9 fit
• Multl•thrrgl ■ Master builder • its Other DOceuutet load corer 99 Pelsoras UMenufwtured euucturee or
ti .,tii+i "'I ❑EIPeddlishua$ptwt RV so*
ClOstsir
Job no.: Job site address: 5071 SW Weer Lane `afe �
8Sarni' L 1 deb oPplana with any Of the above.
city/Matt/VP: Tigard, OR 97133 'Rite above are not ttppuesbk to remporery construction service.
Suite/bidg./opc. no.: Project dome; Lekiet 5 *At tslss
I ' osevlM4a � 0 i rre�
I fiwi
Chan;Deet/dIreetlona to job stmt New Addenda! sip «or multl-f• y dwtutnwa
. 1a11ed■ atlacb• t 'utllo• -
. • - 1,000 eq. it, or less t 145.15 i4•-t 4
•
Subdtvlslonl Leiser Park .Lot no, i 507 , toot X9■/'q norpartilon S��08 1
LOCO are! resldenttat /f /75.00 , 3
Tae Ina: p - Ltn�ited noe- veeidtetial 7300 2 i
:a u•:. ;1l•' ! li i 1' I % , ' Lyn ( :7
, � ,6 °� 6,4 i f I • ii 9 :. `. 1
' 1lacf irtsnµfaetured or modular _
4v4Ili, wrviyo_ ar 4r *eon ._ 90,90. 2
Services or feeders toot.ltadoth alteration, meths retoeato
• 1004sorlout 5030 2
152K 301 p .. to 400 angle 106.81 Z
. +t TM+ *;�•�• " °" •
401 amps to 600 em 100.60 2
Nome. Largaud Rates 601 tuna to 1,000 arts 340.60 2 _
Address: 12755 SW 49 Avernus, Suite *100 , Over 1,000 amps or vo11a 45443 3
__ Reconnect o City/ROW/ZIP: Portland, OR 97223 o er Ir 6ta t 2
_ serviced er feeders InaaGaUsa, al lte on. townies
Phone: (509)620 -5050 Fat: (591)5984900 s on — -
iAO amps Of lass 66.53 1 •,
et with M • n: It abed I • ein5 ma • 0 on property at awn 10149 is not 201 imp to 400 amps 100.30 2
intended for sek, loam 11111, or axohsn$e, wording to ORS 447, 440, 070, end 701. 401 amps to rho amps 139.73 - • 2
J
Owmt signature, - Date: • $rant circuits - tow, alteration or 1101111116% • .r • soot
�u w.�m,Nr I En, ,1 . Opa lbr branch aim" w 1 I
. ..t f .,�.2 t ri,�.s x.. „, �,�t A navies, or feeder fee. sock
Business name: Legend Roma , u_t CO3
Conitot mime: Stave Loess - 3, - as for branch circuit
tve7114ut ar feeder tom III 60.83 .2 .
Addtwct 1279$ WW Arum, Sine *I00 ,. • anon '1...._ i
Bac edd'I branch circuit Mil 6.65 =NM •
Cltr/Stot&ZiPi Potlitlad, OR 97223 Miscellaneous (service or Ibbdor net included)
Phenix (503) 620.9959 j Feu:: (500)5931900 Per ar inn •. 'on cirolo 53.40 2
Si • or *Wine Ii tali jr 51.40 —
8•nuil: slash t . .. dhentes.eoi* ; pia - (s or I rote.
Il • . '
•.i!2,. : ;" .. c"' W/ papal, altariton, or
Boeing= nem Curer Kteettse . .:tension. Desottbo: Pose 2 2
Address: 3910 SW 247 Avenue 0 A Leek additions! ids • Cation over allowable I a any of the strove
- — 63•50 SWIM
Cityt'St.ZelZiP: RIIISboso, OR 97123 . • :matt :. donors hots (I by moo allIKET3
Phone: (503)5914320 FCC -' I x) 642 -7925 industrial lent . hour ME 73.75 111111111111
CL1o.: 121159 I Meetrioal 05C 'pprv. Lie.: 37074 - 2 `M.�� < :,:-..-F.-.
CB Subtotal
3( 2.1$
awry. Weed** signature, total r9d / / 1 tar. review (2596 of permit fee)
Print dine • • - r- , - 10 1 5 c' . State rare (896 of prink fee) 24.97
Authorized signature: I* v� a p/ rOTwt. PERMIT > t a .41 ti 11 III
� aa�.i�, moll Is •■blalooa.tAa 10
days stew it Ito buss sesapted a amplest
Prii t own: Mate: " • • he medtedolosy estby Tri•eouray 5054ie9:ndwvy SweetS+osro •
•• Natmiarofinsae ada ptrptumh albllei
hiposenitsioiodd.04anneneedea Ms MPaelmlbsaks)WWea .
.
aechapical Permit 13* 1 frIii b ED ..F OFFICE USE ONLY
City of Tigard OCT 6 2004 Daete/By Permit No.:
Ms��oa y ooa95
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.196 /t I tl� Date/By: Other Permit:
Line: 503.639.4175 CITY OF TIGARD All Date Ready/By: ]uric: El See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISI • 1 Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration /replacement 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.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or hcat pump
Job site address: 8071 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.: 007 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
® PROPERTY OWNER [1] TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: 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
Minimum permit fee ($72.50)
Phone: (503) 557 -2220 Fax: (503)- 557 -091 -9 Plan review (25% of permit fee)
CCB lic.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized st ature: 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: 10/5/04 • Fee methodology set by Tri - County Building Industry Service Board
i:\ Building \Permits \MEC- PermilApp.doc 12/03 440-4617T(II /02/COM/WEB)
. 4 ti .
Plumbing Permit A l IIIELEIVED . FOR OFFICE USE ONLY
City of Tigard OCT b 2004 Receive Permit No. �95T�00 /' 00 029 S
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19A Gs� Other Permit No.:
24- Hour Inspection Line: 503.639.4175v OF TIGAR a J ill Date Ready/By: Juris: See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVIS ' v Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ 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: 8071 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.: I 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.: 007 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
Drinking fountain 16.60
0 PROPERTY OWNER ❑ 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
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
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 do S Water heater 16.60
Address. P n Rnv 11107 - Other:
City /State /Z �TnO tie_ _ Subtotal
_ / Minimum permit fee: $72.50
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25
I CCB Lic.: 23847 Plumbing Lic. no.: 26 -208PB - Plan review (25% -of- permit -fee)
State surcharge (8% of permit fee)
Authorized signature: Cam- -
`JG TOTAL PERMIT FEE
Print name: Steve Lucas Date: 10/5//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.
i:\Building \Permits \PLM- PermitApp.doc 12/03 440 -4616T(10 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION ''' PERMIT #: MST2004 -00295
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/23/2004
Phone: (503) 639 -4171 # P��4P , /1,1, °-----
Inspection Requests (24 Hrs.): (503) 639 -4175 . ---W `:_..
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7 :42AM PAGE: 76
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING A/C.
OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005555 -02 503- 209 -3370 N
Correction /Comments /Instructions:
Cp U-; VIAAA ( S-eS 2 -an--c^-- - ---
/ t e liC)/
&v..\ 4 LAA lac ` .f\n_ -6 -L( i
Os - ASS - - - - -- ❑- PARTIAL — APPROVAL 0 CANCEL — — — — NO ACCESS
-- - - - --
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VU Date: 1- 0 irp hone #: (503) 718-
CITY OF TIGARD -
�. A
BUILDING DIVISION PERMIT #: MST2004 -00295
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/23/2004
Phone: (503) 639 -4171 �" 'jiii
Inspection Requests (24 Hrs.): (503) 639 -4175 4 :_..
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7:42AM PAGE: 77
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING NC.
OWNER: LEGEND HOMES, PHONE #: 503-62118080 1
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 005555 -01 503-209-3370 N
Corrections /Comments/ Instructions: � G
(1:7-1 PO d — O O O C(SKJe_ - -� \,.) �LU��U� ;,,, ; carve
(
i r
e AtlA\CAodeto 2(2-44"/■:i r .',)c- GvC1, .
0 -PASS - III PARTIAL El CANCEL -- ❑-NO- ACCESS
- - --
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 6 5 --- Phone #: (503) 718-
" i
CITY OF TIGARD -.
BUILDING DIVISION PERMIT #: MST2004 -00295
13125 SW Hall Blvd., Tigard, OR 97223 .. DATE ISSUED: 11/23/2004
Phone: (503) 639 -4171 :m4o li
Inspection Requests (24 Hrs.): (503) 639 -4175 `_L
INSPECTION WORKSHEET FOR DATE: 4/25/2005 TIME: 7:10AM PAGE: 6
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING NC.
OWNER: LEGEND HOMES, PHONE #: 503- 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Scheduled For: Date: 4/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005285-03 503 - 209-3370 N
Corrections/Comments/Instructions:
_ JA -PASS 0- PARTIAL - APPROVAL 0- CANCEL ❑ -NO- ACCESS
- --
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 n �— Date: Phone #: (503) 718 -
/I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/23/2004
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ...
INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 63
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING NC.
OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005028 -10 503 - 2033370 N
Corrections/Comments/Instructions:
,�(0 ired�` ULu 140 U S O
(0. k kt 11-4. Li I
— ❑- -PASS 0- PARTIAL - APPROVAL ❑- CANCEL— — ❑ NO- ACCESS - - - - --
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /4111/4-4411 Date: 4 1 ) ( O S Phone #: (503) 718-
•
CITY OF TIGARD 24 -Hour Q
BUILDING Inspection Line: (503) 639 -4175 MST a 6)6 q �?
INSPECTION DIVISION Business Line (503) 639 -4171
BUP
Received / equested �� AM PM BUP
Location 'D--11 Suite MEC
Contact Person P ( ) _, 'L33 PLM
Contractor P ( ) 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
.:1:.,, MA/ l3 0 ) (- S (� tL�/ fL-� 118? �'
■ - .rte a
UG/Slab
Volta. =
Fir: . =m
', .
PART FAIL ❑ Reinspection fee of $ required before ne pection. Pay at City Hall, 13125 SW Hall Blvd.
El Please call for reinspection RE: c] Unable to inspect — no access
Fire Supply Line
ADA r ' 5... a Approach/Sidewalk Date / Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record fr a Job site.
PASS PART FAIL
CITY OF TIGARD
y BU1LDINGi IVISlON PERMIT #: MST2004 -00295
13125 SW Hall Bl Tigard OR 97223 DATE ISSUED: 11/23/2004
i c,
Phone: (503) 639 -4171 ,10,1n ! l ii''� 1 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TIME: 7:10AM PAGE: 77
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING A/C.
OWNER: LEGEND HOMES, PHONE #: 503.620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 - 6080
Inspection Request Scheduled For: Date: 4/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005359 -02 503-209-3370 N
Corrections/Comments/Instructions:
K
■./
_ PASS__-- ❑_PART_IAL_APPROVAL 0- CANCEL — NO- ACCESS— __
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
11/2(V
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00295
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/23/2004
Phone: (503) 639 -4171 U °1 iT�iijll °�
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 64
SITE ADDRESS: 08071 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached dwelling. 2/3/05, ADDING NC.
OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005028 -09 503-209-3370 N
Corrections/Comments/Instructions:
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__ _❑- PASS _ ❑_PARTIAL - APPROVAL El CANCEL - - -- - -O -NO- ACCESS - - - -- —
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTS 19 I -- Date: 1 -1)2,/ I 0 (C4 Phone #: (503) 718-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: X503 . 5 MST 2-O 2 � -
INSPECTION DIVISION Business Line:
BUP
Received c � Date Requested / J�� AM PM BUP
Location CS U 7 ( -,4 -P/\ ) Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) (d 6 7-17R( 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 ART FAIL
UMB O q
ost s eam
Under Slab
=ouyo'••
er Service
Sa itary Sewer
R• n Drains
C= ch Basin / Manhole
St• m Drain
Shop er Pan
Othe . _
Fina
4ig PART FAIL
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 � Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA \ D (,. ✓.� ,... ,
V ( V � I
Approach/Sidewalk Da � Inspector ` Ext
Other:
Final DO OT REMOVE this inspection record from the job site.
PASS PART FAIL
VITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST &Z -(36.
INSPECTION
DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re uested / — /3 AM PM BUP
5?/) Location /� 7/ 2.1- -a. -R/1— Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) 7 ? / 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 of r/(-
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
S 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line �� /� — — — — --
ADA T./ ,Z Approach/Sidewalk Date Inspector Ext
Other: /._
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST co oo a9s
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received ( Date Requested / 3 AM PM BUP
4 �
Location 0 7 1 Suite MEC
Contact Person / -e.A Ph ( ) ,P , C) 9 -33 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam ..
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
•ost & Bea
n.e a.
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm •
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
- Fire Supply Line D / •
Approach/Sidewalk Date ��( /6 J Inspector Ext
PP
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 °? (3 4 1 1 oo0-g
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re nested 7 AM F PM BUP
Location 3 7 Suite MEC
Contact Person Ph ( ) �O ' 1 5 PLM
Contractor Ph ( ) "f h g 4 46031 SWR
•
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ft D n • Access: 0,0V-71/Usb ELR
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 Y� -�'
PLUMBING /
Post & Beam
Under Slab
Rou In
a er Servi .=
its
Ca 'tc assn / Manhole
o
Shower Pan
Other:
Final
S PART FAIL
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 El Please call for reinspection RE: El Unable to inspect — no access
-- - -- -- - - - - - -- — - -- - -- -- ---------------
Fire Supply Line — — — - - - — — - -
ADA
Approach/Sidewalk Date 01 Inspector Ext
Other: l•
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 66 L - od -2-1
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / AM PM BUP
Location R b 7 / ) Suite MEC
Contact Person Ph ( ) - _0 c T 76 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
Sheath/ ,
Framing
Drywall Nailing t Lc_ < `d 4•1":d/0A.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin.
e _ •ART FAIL
P . = ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line — — — —
ADA
Approach/Sidewalk Data / S Inspector - Ent
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
•
INSPECTION DIVISION Business Line: (503) 639 - 4171
f r- BUP
Received Date Requested [ — ` -;") AM PM BUP
Location F0 7/ C all .0)1_J Suite MEC
Contact Person Ph ( ) () - - 33 7 2) 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
aa She .th/ 0:-3
Insulation
Drywall N. fling
Firewall cc��
Fire Spri ler
Fire Alar �) c _ G it'S:
Susp'd C fling
Roof � .5 ,
Other:
QW CI FAIL
•C
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
Smoke D. pers
Fin-
AS PART FAIL
TRICAL
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 rij Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date / ---26 —� Inspector 44 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 7,6 tfre ° 2 S
PECTION DIVISION
I Business Line: (503) 639 -4171
BUP
eived T Date equested `/` AM PM BUP
Location 1 . C Suite MEC
Contact Person Ph ( )14?,-- - 33 - 7 v PLM
Contr r Ph ( ) SWR
I ING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Sh • -
r ,
In - - Shear // / l _ ,,/ �
Framing (. /fi /C��. e„,....0,=.5 <... � fir _roUz�.
Insulation 6 -eee--- C 7.e.,(7/6 Zi4_
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PA AIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE Unable to inspect - no access
-- Fire Supply Line A 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 OO b `l,5
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received �i Date Requested I _ / 3 AM PM BUP
Location T� c 7 / r Suite MEC
Contact Person Ph ( ) cC-)5 3 3 76 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
COheath/4:.
Int Sheath/ ear / 9 /7 j 41 l 1 ,
Framing / AAA- 4s S�TU/J S (°'
Drywall Nailing 1 2 A 1Z ' S j
Dywall N � it� -� � ��� �
Firewall i7 �� U b eax..4 -,/,2 0,e" � 72_ 4'73
Fire Sprinkler
Fire Alarm �fT Si m_ v ` �/t i •
Susp'd Ceiling
Roof
Other:
Final
PASS PA - 1100
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: U Unable to inspect — no access
Fire Supply Line
ADA / /'"
Approach/Sidewalk D ate 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 - g0 0 1 4
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received - - Date Re n ested AM PM BUP
Location 6 l / -� t d &jam G J Suite MEC
Contact Person 7 Ph ( ) 2d j j 'v PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Stab Inspection Notes: SIT
Post &
Shear Anchors
at Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: altiMEIPMIPMERMITP
.
k 44. \ S PART FAIL 7 rdl/ \
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECJI
ost & Beam
Roug - n
Gas Line
Smoke Dampers
F'
PASS PART FAIL
ELE ICAL
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 E Please call r reinspec • n RE: El Unable to inspect — no access
Fire Supply Line +�
ADA ` /17
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NO REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 - 4175 MST e2 DUY — 6119 - 1 - 95 - 1
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested /' - 3 AM PM BUP
Location ?O Suite MEC
Contact Person / Ph ( ) ?t' g. 3 32 PLM
Contractor Ph ( ) SWR
•
BUILDING Tenant/Owner ELC
Footing ELC
exiMZei Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: /
Post & Beam / - 6
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /
Framing /�S LL 4--A 0 14 6 1 /
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fina
PART FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next ins action. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E
R
on Please call for reinspecti Unable to inspect — no access
-- Fire Supply Line se -- — on RE — — - -- f — — - -- — — — -- — — ADA / - 3 "
Approach/Sidewalk Dat 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.00 t f 95 —
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Re uested / AM PM BUP
Location Suite MEC
Contact Person / �AJ1 Ph ( ) i?O � f ' :33 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
noting
oun ation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:
// - 0 SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear • / -
Framing L
Insulation
Drywall Nailing �- ' 5
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: •
a r PART FAIL
•'u MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City. Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date / 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 7 00 2-
INSPECTION DIVISION Business Line: (503) 639 -4171
AsTa BUP
Received / ? 3 ;7 Date Requested ' PM BUP
I r
Location t 7 / c. Suite MEC
Contact Person e- Ph ( ) 2-6Q - S 2-Sd 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 I
Under Slab \�
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final Olja
PASS PART FAIL \ -
MECHANICAL `
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
P.c S PART FAIL
El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
Approach/Si • ewa . Dat ' � Inspector Ext
•
F' DO NOT REMOVE this inspection record from the Job site.
PART FAIL