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Permit CITY OF T I GA R D MASTER PERMIT PERMIT #: MST2003 -00509 ',TIP DEVELOPMENT SERVICES DATE ISSUED: 2/2/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09810 SW PIHAS CT PARCEL: 1S135CD -KE217 SUBDIVISION: KALAMOIIKA NO.2 ZONING: R - 12 BLOCK: LOT: 017 JURISDICTION: TIG REMARKS: SF detached BUILDING REISSUE: PMPLANC STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 685 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 781 sf GARAGE: 264 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 142 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,466 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: '100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: , OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 1 GAS FURN > =100K: 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: 2 201 - 400 amp: 201 - 400 amp:' 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EAADDL 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 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: $ 6,738.49 CONSTRUCTION INC ECK CONSTRUCTION INC This permit is subject to the regulations contained in the ECK C 204 EC BOX 2 CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and EC BOX SHERWOOD, OR 97140 SHERWOOD, OR 97140 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. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 625 - 1305 Phone: 625 - 1305 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 114755 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 Plumb Top Out Exterior Sheathing Insf Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final Foundation lnsp • PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final • Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Issued By : . .... .I .r Permittee Signatur Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • - ?. ,2.-is -03 SIVR -6 3 7{0 • o 1 �` acq.. a , FUR OEFICE� 1SE QNIN M ° , 's• ' �'` ` Building 'permit Application Received ` Building ./ p Date /By: \el� L 7I0111 Permit No.':Ll 3 aS 3J�9/ C o Tigard Planning Approval V Other J g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: 'AAA/ )1 " )0-03 Permit No.: Phone: 503- 639 -4171 Fax 503 - 598 -1960 (4'4011\\ Post- Review Land Use �_� • . (' Date /By: Case No. Internet: www.ci.tigard.or.us °�. Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information ?�,;; ;�:t 'k.,..:� «. as ra... �, ..>'� `$ , ° � .rx_, n� +�' ,� h„' =�i�t- a. ,.; � »s'3 %�:;+:'° i:: ; , r` .,�`, , t ,rFt..c v . :.i... «b _ : AYE, „' a`""';,,;y,. " ,',n4 " " :rz... ^?i ", . ,,.4.. .,.,, . ., ,'�t: -', "`r. ?s:Li+�.`�`.�aa -,, t., ..f,.. ,,b'y,'�,'p*,''._, � $. .,d��' r- Li' # ®'�,'�' �.0 'i'Y'r;.iF; �:'i '«'.� a.. .;t.. « s, r �'�d;. =. ax'. . �<�+:;;� - .z=,.,,W.,.�, -. €., ,r.,.,�..�..n_....c�S..: r;wc��'�"w_ ..: v..- �.° ...t...,��:....?:�'�..,ras:..,. Y.�.rs�4:3 ., ... ,.x„ � - ..�_. _ .,,. :.tea„ � °�a„ €.,� ,.��, �. x a s.,_. ''}�.'.',�,,s- �`. "� s:�" F New construction El Demolition s A ��� y �� y( ; l l Addition/alteration /replacement l �- .�,'*�' �. „� �^ �(l ��Y� IJJr� xllYA�d�7� ;ig$; 5 � i �'�� nG El Other: ;;;;Ate `� �` ��'� V .Mir ' e i s �L ., �_ ��,,��,�,,;� >,��,�,P�,EG' „IOC CO��T�R'[��T�I� %y .. Note: Permit fees* are based on the total value of the work performed. Indicate Ki the value (rounded to the nearest dollar) of all equipment, materials, labor, R/ 1 & 2-Family dwelling ❑ Commercial/Industrial L overhead and profit for the work indicated on this application. L� Accessory Building Multi - Family ❑ Master Builder ❑ Other: Valuation $,/ ,,. �'7Z i s ; °; a '�' .... - -: :. ' a .. �:l a M �, No. bedrooms: 2 No of baths .±.5--- i := J®B'1yIN }+O TIn1 n 3rL ,, . w s . of . V < Job site address: 7' /Q _fa.) / Gr,/ c>4.-- Total number of floors , New dwelling area (sq. ft.) /�7 ��'' i Suite #: Bldg. /Apt, #: Garage /carport area (sq. ft.) .6.5' Project Name: . Covered porch area (sq. ft.) • - Cross street/Directions to job site: Deck area (sq. ft.) r-- Other structure area (sq. ft.) -— _ , :'''''' ''-4'''a,.NUa'- rA'-: ��?' �e.^ M”; �' s�; �SMVg��sE ;:��f.'��,�;�;�t��z';lg.,,r�= � e, �?}'"�' IA `f m,�@ k >..4 �" 9 '`R" PMAEMMSY E1TJ .11i.L11A7 - ., .<=t � 'e,. ' t S ubdivision: y �l ,� Lot #: ; - �.'�, �'?�t. c Lau. c,,.' .. r. ..' .a v,..�t« . _., Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate -;; „li ,= 'a �=_` t gra),T r;i`" - ,: ;',f;. ";titt= s;:` 'ct "up` the value (rounded to the nearest dollar) of all equipment, materials, labor, ,,.�� �� .. >..�,,�: .r;�,�,�]IESCRIP{��©rp� z�',OI2CC.;.a�.,;�,,: ,�; .,�;�-�� overhe'd and profit for the work indicated on this application. Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ' "' �£ "' ' a" " "` ""` "'' I',�RO�L12TnI?OW;1vE'12*�;;;r ; �_�'� �`�E���� .,, _ ':.:.,���,... «.,,3��" Type of construction Name: j r ,4 c . - c-, : -' _ Occupancy group(s): Existing: New: Address: p_ ,2, �' : e - ,1" City /State /Zip: a�i'� >!f „, 0,,,ee ' 7// NOTICE: All contractors and subcontractors are required to be Phone, - � f` Fax: licensed with the Oregon Construction Contractors Board under e 1'P]� 1N'l aM R i CC?NA c` W0Stil :: provisions of ORS 701 and maybe required to be l in the ,, Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: ar ;� < -x , 4 ;. ; ; � y, �� T , t � _= � _= . " «itAk w. „:; k _ , ,, , ''; jR ' - 'n-tF� y d 3` i € g : ' s s "'�' ' S ;,Sa , : Sii`% > E -m all: c e s S � n3 a & ',1� a�,. rr & a v'4 � fig} +Y hry �' n ' t } L 'P,e +i e -6 f8E Pkti e4 .. y s rely b s ''�'' 'v*a'..�' + ,. % ° =P2` Y:. .. ':`�- ?a�B: = =, ,.zx�x,.v z's;:. x ..*, i _ . , d 0 .w. : y +y,..”? -;+v. ..�: s;'..,:. r-�;€,t w �4a°ku'' ='��` = L �, ^ „r, ".n «.,� :'rte`!; �: g .�3'.�"�„, :''', « .. 6 , ..k.�x". �,. "' „«`��"^� ,.vM. ?��te"``"±�r. ,,�:;, l!�� x � t FF** �" p ,,..,,,,.. .,p '.�"ate^�€���� .a �sc,r:x.... ? „5``w*,'4� §:. y::s �.F,F;ae.�SSV. "'+7R::� ..cn.:s, .. a�r'1, -, ic;,:.�r,,vs:a�'e< .�� _` �,l/�'7'�°.�' eQ �t{; ".' : �r .� 3- �`.T .r?'» � a -, '�.i''r- ..ts,,.M. e �. a,;:,..:,. , r�..; .5. t�.�;:: ..a':.S`�;,�"sr .9 1.:,. � i� .3.:; =,� °L .- ats'a-a��:t�a`�+w°�:�s:,r�. - ".a Business Name: e: 1 (--'-' i?' e , Fees due upon application $ c25Z -- Address: 0, ,5e,c ,:c G%5;-.' City /State /Zip: 3 ,,." --1 % e , c % - ,e ' 17/7e-ii Amount received $ c , - 5 ? ) Phone: 6:2r Fax:627- ..23 Date received: / 0 /Z i /V CCB Lie. #: j',/,' 7 .J J . Authorized / Notice: This permit application expires if a permit is not obtained within Signature: ,.. ` - e - '---- -- c a ' . Date : / /.7 - 8� ` J-7741,--.e2 / 180 days after it has been accepted as complete. '' • 4- - G 7 *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 FROM :TAURUS POUER FAX N0. :503 692 9273 Sep. 25 2003 05:40PM P2 keep L1 UJ U3 : 13p ELK Construction Inc. (5031 625 -e553 p.2 E- lectrical Permit Application Dery ..4451 a� 3 rra Cit of Tigard ptaaning mei - . 13125 SW HA Blvd. aI Permit No.: • Pao derma Tigard. Oregon 97223 1... . r: Other * E_ Mae: 503.039 -4171 Fax 503.398.1960 faar•Revsr Luse lac __- Internee www.ci.tigard.ar.us ' I P! .... Cass rry : Xi 24.bour Inspection Request: 503-639-4175 ' ' ! M � c4„,,, ` ltais: I t S t I *. e t o r a fanotipa • ►~ Newconstructwn ■ Demolition i Ctrvie�segr22% 4 lieat • Addltlonfalterationh • • lacement I11 Othe e°'°"".iia1 • Ji.aruwo location Lam. t i . ,> . i t :• • • 0 Scum. ever MI sops -mew of 0 &Maas ever 10.000 scums feet, • , i I& Limb' d.sdtinOI tow or more maldmslal ores rn IP 1 & 2 -F • • dwellin 1 OOmtnerciaL'Ltdustiial i 1 0 syakta oo. f 600 vole nemioal ono svo.eav III Matzo 'Building A Multi-1?atnlly °' l U Balding uv*r ken. g stories g Poodus 400 amps or mere • ❑ Ouupant lead over pl parsons g Manufssalred structures or RV perk . ! ■ Master Builder • Other l;,l naafi slsuaa oaa o Odier: 1, j"a''_;::i ?...`^" ' „{ _ ii \�..:1 : i ;'.' �" S nab of •. �Swubu7aftht.aSaK IOb Site et eSS Th aboveaenote, ee , , eaeetida. Suite #: Bid : l • #: r: 6q : : weber of less on g_ee It allo Project Nerve: nuflotion II hscca/ . row 8 Cross StrCeiID1Iad071S to 91te: fins so id.atial -rbpu or adrtrgaar par j avenue oak. lmeblsa saaebsd prate. Scales battiest 1700 ,. • 4 S Subdivision: �/ /�� — et Lot #: . rse erxr • al g, �J El Tax ma u • arcel #: Eich matuAtrtec>i lams or • 40010op IIIIII1R1 NI S +a - :, y • I( ! seder . terrka a aces . imraharba, . . albeetbo or erlae.rioa, • • 1•, .. ,. ..0.30 - N i •:. , I 2" __ i ,•� ( l �, • 601 ..,. t NW IMIIET.I — Naiue: ' . El = . Cam` �� . li _ Resound Address: A_ O - O „ �r ! TemporeeM eraa services alteration. or Ntoeatiew III ` x� !" ✓ .! �' • �L 6 _ _ *P . apt of teas 66.05 F a x : ' . am • u, 0o • , • ■g, IO( O El MN I 131 . ; ` smack moats - tow. a mnia % 6,, A. pee Sir brut.:h.irc.v a .rid( paachuo o/ Addres • : ./ f e, twig. ur reaeba foe Amok - circuit ti AS . ' i %-Z � r ' ° far•bsaeb e W But lensh evaOtt 0 • • • •• PI I j�1 . _ i 1 r� h aedioets► tuawit sirs* © t+4..0s w feeder AM ischtd aiN i� �__ t rl oeti6.ewauiek _ 53 .1. 4 Q. . ►aaY. aisu�r a W ._ Job No; Sial+l GgauUsi co a L ula%wwao�y pros). 2 .h.ratio. a eats. u 13usines, Name: 1 1f .�R.7�1i1?1.t.l Y Rt�i .�I It"— � . —" et •�� / Addrs: '. ���` V � C /$ i (! • # Fr cha4tittose1l the allowable to • aftaaalum: !ty_ iii-ti i... .. - . - - ,t saes t IL= s, � p Phone. r F• ►• ( p, ,� • 7 .__ __ l ti,... Ta to Ltc. a: I C; slat IN Lc. #: , .- vi; rf�l , . \ Supervising r ectriciara ' ' . 10 - I — 01. Subtotal $ si : • true lilted:. , • 1 , i • 1' n. II _AI Plats Bourse (1SSt of Permit Pee Print Name: '0, 'armlet , ' Liu. #: m . ^ halo 8u.il 0 875 of Pen ni: Fee S TOTAL PERT ST FEE S Authorized Notk.: Ibis paella oppfeadoa *spine Vs permit Is OM obWa*0 wldda Signature: • Duos too days der it bas bad sccoptad at coaphew *Fes atabadotoe. sit Trl - County P Il lad*Nry Sure° Board • ("bate print natrto) i•tl71rt\Perdal EornAPJettrriwpp.doe OUO3 • 177/ L7/ L1717.3 L 0:14 713.77154bL04 RtN I Gl. new 1 11'117 r i4tut 571 Sep 2503 05 :00p ECK Construction Inc. (5031 625 -2553 p.2 Mechanical Permit A trc112 Ili l'1( i. i `1' r >\11 Application w:d Permi o.lig acv? -0) _, 9 p Dwe!8v' Permit N e.: T Manning Approval Sulhnng City of Tigard wit No.: Plan Review Other 13125 SW Batt Blvd. 1�a1B� Permit No.: Tigud. Oregon 97223 Post-Review Land Use Phone: 503 - 639 -41 Fax: 503-59S-1960 .,_:..., ,..... .. , . y Cue No.! Interact: www,ci.tigud.or.tts = jl C r Juris.: I el See ('ate 2 tar 24 -hour Inspection Request: 503 639 - 4175 a NsmedMethed: I Supplemental leformatien. CIAL ne• SCD - USE. CRSCJaJST • . /2 New construction O WI U • Demolition Mechanical . it fees• are based on the total value of the work 12 New Additionlalteratio a/t 7 laeetn�t ■Other: performed. Indicate the value (rounded to the neatest dollar) of all mechanical materials. equipment. labor. overhead and profit. CA . CO vCTf ON • : • • . • • • ' value: S Sea Page 2 for Ea Schedule ► 1 8 x ' 2- Family dwelling J • Commercial/Industrial Far SCHEDULE • Mee • Buildi : _■ Multi -Famil -RESIDENTIAL eon 1 par [ Fates.) I Total II Master Builder I■ Other: HeaumrCoeIh j , • S SITE INFORMATION and L r ...TION Furnace - add-on air eandinooaing" 14.00 Job s i t e address: -,',..)-%."- /_ : 1 . g . / C Gas heats unu 14.00 , _ 14,00 Suite q: B1dS /Apt.# Duct work HIe hot water system � � 14.00 Project Nam ." Residential baiter Cross street/Dircc to j ob site: (for radiator orbvdtonic sliders) _ 14.00 Unit heaters (fuel, not electric) (in wall, in -duct. susaepded. etc.) 14.00 Flue/vtftt (for any of above) _ 10.00 Repair emits 12.15 Subdivision: ��/�_ �� i Lot #: ,4A1 Repair Fed Appliance Tax map /parcel #t water he 10.00 DESCRIPTION OF WORK • .. Gaa f,,e ate 10.00 Flue vent (water htateryn fireplace) 10.00 L g lighter(gaa) 10.00 Wood/Pellet stove 10.00 Weed fireplace /Insert 10.00 Chitauyiliner/IlU )vent _ I0.00 K. • ,,, • ER U.111_ :. . : ••u. : Other _ 10.00 N T .S CO i e? ���_ E aWmwtal Reiman la vca roa utatIoo Range hood /other kitchen aWipment I 10.00 Address: / - /e . - Cl othes dryer exhaust 10.00 Cit /State/Zi • : i/ , / Sing(e duct exhaust Phone .jp/ : i s < / Fax: (bathrooms, toilet compartments. ►t APPU • CONTACT PERSON utility room) 6.80 Name: . i s 's _ Attic/Crewl space fans 10.00 Other. 10.00 1 Address: 1 . / a - — ✓ Mill Fool P:paa Ci /State/Zi I :.s.4 i .. _ 1 /iC ire O " "55.43 tnr that 4, 51. each adaitoaar) f � l Ftal tc. Friona' ' Oaa heat •' E -mail: WaWUsu un theater. '• .: Wa ver heater CO es Business Name:... v .. GAt.rctnR _ Fireplace •' . Address: `, p l . 3 I e Range .. • Ci /State/ ' . a;>�ltar►1k" 0' •'5'01 .13K______ clothes (S) •• Phone: , • . 0'. J MegriiiigMal other: . _ •• CCB Lie. #: (03 leer 1 • Total: Meebeelsl tarmit face Simian= / �fA1 f CAW Dare: R ��0 Subtotal: S Si;neturr - j fjC Minimum Permit Fee $72.30 S • Plan Review Fee (25% of Permit Fee) S Y" � (Please print name) Stale Surcharge (8% of Permit Fee) S TOTAL PERMIT FEE S Nader. Mb permit applladaa mires if a permit to ant 'obtained within • wee nretbodedogr ter by TA-County building leduatry Service Board. 10 days attar It ens been aticeytad as complete. • ••511. plan required for tutorial. A/C nabs. l isPamil F ob i%MeePmaitAOP.dot 01103 try / :LW LI7l73 17/:17 3u30L74430 I RJR In.71FCC r�..m,ua.w+ ..+� •... - -r —. .r.. % . *up tt.n l:onstruotion Inc. 15031 625 -2553 p.2 »uucung to inures . • Plumbing Permit Application f or ( )1 f 1: , ,1.0 , City of Tigard Some 1317,5 SW Haf Blvd. _ 1.. Oxd: ti7ther Tigard, Ore oa 99223 FRall1111111111 Pant Phone; 503 - 639.4171 Fu 503.598 -1960 t,aatae Om tin: 24- a 1I spec 503439.4175 - -II t ' . yy..yy r c. �„�`�. • . J . . 11 -"7: ice -) ' � .. 1, � Q 0 a'u �.. + l I .l '1 1 (1 , . , : •. T 1 New construction I I Demlition _ > '.Is— � nta1 1 ■ Additi0a/al • - .. • , ' • • - • • 1 Other: - r - - -, ; ,;,; T i ti "' • i ` ... , • till ,! -• 1 u r• 3 bads INN liaLEI • in Masterfu�7der O• - Other 43:00 ; - il i�� lob site address: . Suite #: B1d dn 16.60 _ I ' l l 10" -..' Rodhaiactt dram MIN 1660 G t o s s s t r e e t / D i r e c t i o n s to j o b sits: F..: ` Man ". linear R. NOM NM 110.00 Ma01iolto mg 16.60' Rehr drain Millini sewer no, !Mara • IIIIIII ii.11E7MI Subdivision: ,r . a,A ' t s- Lot#: ,... _ . no. ' . R.INIMMI 1111111 Ern Tax # • Wang service • r ' MN 11Kr33 r .. , Meer S. -- - _ . _ ,: _ _ ..: _ ` __� �..[r'�•''t*`,. � 16.60 � eaddlow . MillN O3E11111•1111111 • BbdMster valie NMI 16.60 11.1011 ILL.' M 16.60 MIMI ir:.,,. No 1660 • ' . c,' - 1 *Wan MI 16.60 J . / „ /' �. ; . 16.60 Name: 16.60 - Addiesa: 7 / � tse aigeaer MI 16.60 C1 r .. /.*. _ .L 'l 11 Fart . ICY Fes' <. . . ... , !„ 16.60 I • 1lsasbeb NM )6.60 11111111111111 Name: C • ∎/e �' r] G • MINE • Address: ' - O 1"0 O $ � - $ 11.11 �"�] a AL` -1 .: e - re iiLi - 4 - "' . i lrn�r ! i = 16 h0. Phone .. _ — D Fax: 62 — 41rAjFi siebbastmayato — 16.60 - E - mail: 11dtn ►u6ower MN ' 16:60 , ..r--. - - - MIN 1640 � eg N.��../� •J _Mt to YYi g WYW iWW.•. � � - . 1 , ,� 1! woe, _ :. WW Address:1 'li. F. QIc9 ■ Other MI COB Lie. : go 7 numb- Lic.#:1 a.55" t = Subtotal 92.50 9 wisror�ed M in4tmn, >Pamit Fie rrLw : 9' t].e: -9 3 Residential M Feo $36.25 Plus Review ZS% o Perna Pee 9 41 epdac&ll'f‘ 111.111.,===ti-VAI=MI MIIIIIIIMMIE maser db pastr appio'iw euplres fro Await Is est Mrdsed wltbls AD am aomaearehl boiler. rube 2 u ef' plbm with isslertro or t$Gdge odor it eao boat soeeptN as coaprolo. rba d 3 Orr pms review. •Fri sestbellelosy sw4Z1fCowsly Wain Iedostry Sent= Heard. KOmMerass .dot: 01)03 RECEIVED PPR ZU 2O CITY OF TIGAR BUILDING D Y I O ELEVATION CERTIFICATION PER SECTION 710.1 of the OSPSC CITY OF 7 3510.1 of the OTFDSC OREG S-it V4 Aro V :Ac glavahtOr up s +A.— M a•�s� c, y f esla q THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMATION: LOT NUMBER 0 SUBDIVISION K(%w M O i i k4 4.2 ADDRESS 6 1 g t o I°i Nas Ur PERMIT# Aii3T -20 0 , ne So q. A TRANSITSHOT ON (DATE) y-- 7 — Cc° HAS VERIFIED THAT THE FIRST UPSTREAM MANHOLE SPILLRIM IS 3• .s / HIGHER R LOWER (CIRCLE ONE) THAN THE LOWEST FINISH FLOOR ELEVATION. DATE PLUMBER DATE 20-(0 JOB SUPERINTENDANT ABOVE INFORMATION ACCEPTED AND APPROVED BY: INSPECTOR DATE 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 TDD (503)684 -2772 TnnfEla MHO 9ria OHVOLL 4O A.LID T89CtiZ9CO5 XV,d 6T:ZT RHd. b0 /5T /b0 r /4 sra o 3 – o Sai • ■ • ■ • ■ • ■ TREE CE • TIFICATION R STREET • . • . • . • . • I, 574 4 f , Owner /Agent for Ea, - ..2 c , ot • (PLEASE PRINT) (PERMIT HOLDER) • ► • ► • ► • ■ • ► • Do hereby certify that the following location ■ • ■ • meets. City of Tigard /Washington County - ■ • • land use and development standards for street tree installation. ■ ■ j ■ • ■ • ■ • ADDRESS: 9 tM' 5L / ! /Ors C-t • ► • ■ • LOT: / • 2 SUBDIVISION: � % , p) f ', rG • • • • • • BY:_ i � — DATE: 7 .7/ ► • /^ • • • RECEIVED BY: Z D _ • IVVv7VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV ♦♦,♦YYYVYVYYYYYYVYY1 CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: 639 -4175 ` INSPECTION DIVISION Business Lin (503) 639 -4171 MST .oli3O 3-79055 BUP Received 7/1 a` Date Re ted / a' AM PM BUP Location l0 � W ri It-a- Suite MEC Contact Person 5 i-r e Ph ( ) .5;3a a SO.O PLM Contractor Ph ( ) SWR ILDI Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: t SIT pre Post & Beam A- C GC1 4' -• 4,.r it,C1i Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 7 OSA e T■4 Insulation Drywall Nailing Eti' —0:22 ■; -"- .ta` Firewall 3 - /i•lss.)LA4 -rte 1•( e..C"i • Fire Sprinkler Fire Alarm S L.- -- T"lleti oPeA_A -% i_ ✓ie_ 6< 7 Susp'd Ceiling Roof e- Other: — 1 42E, 425. e--4$47: - . . *r---2 ,,tz.,\ / - z - 1 c ( Tr-- - - - _S 1.- PASS PAR PLUMBING ��- a J�: wililr_ 1 ■ .: IA._ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL ME Post & Beam Rough -In Gas Line •• eke Dampers •AS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect – no access Fire Su pply Line • ADA Approach/Sidewalk Date Q Inspector I _� Ext Other: Final DO NOT REMOVE this Inspection recor . /' rom the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour , BUILDING Inspection Line: (50 ' 175 MST v100 3 "S-67 INSPECTION DIVISION Business Line: ( 3) W BUP Received Date Requested -7 - AM PM BUP Location Suite MEC Contact Person Ph ( ) . ' �� ' ) PLM Contractor Ph ( ) b SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ' . SIT Post & Beam Shear Anchors n 1 o 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: 14PART 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: Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date � Le( G 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: (50 9 -4175 MST . 3 - D D s07 INSPECTION DIVISION Business Line: - 13) 639 -4171 BUP Received Date Requested 7 ' J = AM PM BUP Location • ao Suite MEC Contact Person ._ - Ph ( ) 5,7 - 36 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 �f� /�S /� !� i / y� Zi6 ! // G/`� �/� i JU fG✓/ /e/A4 Fire Sprinkler l Fire Alarm Susp'd Ceiling Roof r L- ,M 2 4 , (AZ, 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 Fir: larm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA A Ext Approach/Sidewalk Date Inspector / 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 1 MST )`" 3-- INSPECTION DIVISION Business Line: (503) 639-4 - �" BUP Received � Date Requ ted /��j ;,, �' PM BUP Location _W/O � �) / � Suite MEC Contact Person P ) PLM Contractor ( ) SWR UILDI 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 Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof d Other: PART FAIL PLUMBING Post & Beam Under Slab F Wate h Water Service .. � Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL Rough -In Gas Line Ss,e Dampers 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 • fl Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line � / 1 ADA Approach/Sidewalk Date 7 z3s Inspector ffial_./AdiallO Ext Other: Final DO NOT REMOVE this inspection reco , from the job site. PASS PART FAIL