Permit 0.
CITY OF TIGARD MASTER PERMIT,
PERMIT #: MST2004 -00035
1 � DEVELOPMENT SERVICES DATE ISSUED: 3/23/04
F 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13620 SW PIPER TERR PARCEL: 2S103CD -WW271
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 071 JURISDICTION: TIG •
REMARKS: New SF detached
BUILDING
REISSUE: DM181 ST STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 • FIRST: 1,605 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 633 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 330,573.90
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,395 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 2 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: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 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: 7 201 - 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 HWSVC /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: $ 5,909.08
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes and
4230 SW GALEWOOD ST 100 4230 GALEWOOD ST, STE 100 all other. applicable laws. All work will be done in
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 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: Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: i.4- 387 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 Insr Gyp Board Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
' A ... Z ....L._
Issued B Y : .. Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
70 FT 3 1.1 AV
, 54) U/iv -v 3
Building Permit Application
f1"c Datereceived: f -- a $' -0 �-I Penult nod sTa 60 -D0
i', City of Tigard `��
° = - - 't Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, TigR 7 1 V ED
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 ',JAN 8 2004 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
•F I _ _;'
"1 >';I or 1.∎ :1111 ■
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family y 'New construction ❑ Demolition ° a
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler/alarm ❑ Other. C1
JOlt SITE INFORMATION
Job address: i , Ti liQ 04, ) E 2 - c (L , - Bldg. no.: Suite no.:
Lot: Block: Subdivision l ' vb t WiO r , Tax map/tax lot/account no.:
Project name: / 2 i I R
Description and location of work on premises/s. - cial conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
M ale ' d . 14 L � (Iloodplain, scptic capacity, solar, etc.)
Mailing address: 'exitarLr*a /, ti[3`�� rt'l I & 2 family dwelling:
El 1 IN Illf .FZEIRA ZIP: 60' Valuation of work $
Phone: . No. of bedrooms/baths L
Owners representative: , : Lra e _ Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) �J
APPLICANT Garage carport area (sq. ft.).
V
Covered porch area (sq. ft.)
Y Mailing address: • 'ag a _ ..r Deck area (sq. ft.)
City: 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. ft.)
�' '=' 4 01 V -A ■ New bldg. area (sq. ft.)
Address: _IL v` i WI iiVr
City: State: ZIP: Number of stories
Phone: I Fax: I E -mail: Type of construction
CCB no.: �j 5 �j �j Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
A Rill! ITECI7DESIGNER licensed with the Oregon Construction Contractors Board under
Name: ('-iet,h, fe provisions of ORS 701 and may be required to be licensed in the
Address: `ti"�.Q C SN jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail: -
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: I Fax: J 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. • . rovisions of 1 ws and ordinances gove T 'ng this ❑ Visa ❑ MasterCard
work will be comp • • wi •, whether cified ilere Credit card number: Expires
i
Authorized si . f I L L . . t. Name of cardholder as shown on credit d t car $
Print name: " �� N f dhld
- r_- 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 (6IOO/COM)
1
• 1
A .
One - and Two - Family Dwelling
Building Permit Application Checklist Reference no.:
City of Tigard Cl Of Tigard Associated permits:
b O Electrical 0 Plumbing Cl Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews: V
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
•
3 Verification of approved plat/llot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit. ti
7 Water district approval. ,(
8 Soils report. Must carry original applicable stamp and signature on file or with application. )/
9 Erosion control 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of
catch -basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed K
if copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot v
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall construction, roof construction_More than one cross section may be required to clearly portray construction. Show
details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, `l
fireplace construction, thermal insulation, etc. J�
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for
non - prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non - uniform load. x
20 Manufactured floor /roof truss design details. •
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required
for four or more appliances. / X -
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28 •
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 4404614 (6/00/COM)
N
Mechanical Permit Application
� � ^ Date received: Permit no.: m.4-a00,c
"1 City of Tigard r a il. ° ^� ty g Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard OR 97223 - .
City ofTigard
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.: •
Fax: (503) 598 -1960 Case file no.: _ Payment type:
Land use approval: _ Building permit no .: .
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement . •
lew construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORi11AT1 I COMMERCIAL VALUATION SCIIEDULE
. Job address: � r j ' ' 1 "=1 P J _ - Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite n_.. value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $
Lot: - 7 I 'Block: I Subdivision: I •See checklist for important application information and
Project name: \kf -(,1 ' jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC: •
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
8 P Air conditioning (site plan required)
Is existing space insulated? 0 Yes O No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
�}� State boiler permit no.:
t /I.f� �. HP Tons BTU/H
Address: M Fire/smoke dampers/duct smoke detectors •
�• EMSEUMilitle Heat pump (site plan required)
Phone: Fax: E -mail: Install/replacefurnacelburner BTU /H
Including ductwork/vent liner 0 Yes 0 No
CCB no.: •: ,,9 f) - Install/replace/relocate heaters -suspended,
City/metro lic. no.: N /N wall, or floor mounted
Name (please print): • , lL1 .Pdt (•�L_ Vent for appliance other than furnace
Refrigeration:
. CONTACT PERSON Absorption units BTU/H
Name: .d p 1 `aaa Chillers HP
Address: Compressors HP
4_ ♦ Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type 1/ lures. kitchen/hazmat
hood fire suppression system
rer�.� ��,� Exhaust fan with single duct (bath fans)
Mailing address: g irSifp w / 'v Z;��`WA Exhaust system apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
Ealtilli CiZiLZ��i 4411 Type: LPG NG Oil
Phone: 2 ��� Fax: E - mail: Fuel piping each additional over 4 outlets
• ENGINEER Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: J State: I ZIP: Insert - type ,
Phone: Fax: E - mail: Woodstove/pelletstove
�' rgr- !LA A `M Other:
Me Applicant's signatu Date: [�� Other.
Name (print): ({ 1'r f m / / _
Not all jurisdictions accept credit cards, please call jurisdiction for mote information. Permit fee $
Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number Ex
Expires w i t hin 180 days after it has been Plan review (at _ %) $
p State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
• Cardholder signature Amount 440 (6/00#COM)
\ Plumbing Permit Application
41 Ik
Datereceived: Permit no j . ,, .„4.40.3c :4){,�Ii; City of Tigard -� � an
g Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223 Project/appl.no.: • Expire date: City ofTigard
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
►- New construction 0 Addition/alteration/replacement 0 Food service 0 Other.
JOB SITE LNFORMATION FEE SCHEDULE (for special information use checklist)
Job address: � -
ap� ' . ► i 4 (2 .,T L� ; 17 Description Qty. Fee(ea -) Total
Bldg. - 1 New 1- and 2- family dwellings only:
Bldg. no.: Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account SFR (1) bath
Lot 7 ( 'Block: !Subdivision: ` ,o SFR (2) bath
VV •`"
Project name: 'Ua SFR (3) bath
City/county: 1 ZIP: Each additional bath/kitchen
_ Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
PLUMBING CONTRACTOR Manufactured home utilities
Business name: '.(`�(� Lk) t 1 1.1(7 Manholes
Address: - p 1 �, � Rain drain connector
Ci ZIP: Sanitary sewer (no. lin. ft.)
�'' r!'� -vim • Storm sewer (no. lin ft.) Phone: �1 Fax: E - mail: '
e/ ti Water service (no. lin. ft.)
CCB no.: 1 - 7 �- Plumb. bus. reg. no: - - � Future or item:
City/metro lic. no.: N/A ' Absorption valve
Contractor's representative signature Back flow preventer
EZZEIMI011110. '101 Backwater valve 1
CONTACF 1'1:RSON Basins/lavatory
\ N E Clothes washer
Name: l`'� Dishwasher
Address: , • • b 1, N'"" Drinking fountain(s)
City: I State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
O \\ N l :lt Fixture sewer cap
Floor drains/floor sinks/hub
Name (print): 1 ' , - _am_ t � Garbage disposal
Mailing address: 4 L( - w FYA,7 . 1 • Hose bibb OE
City: L _ State , ZIP:C / Ice maker
. Phone: 77 -" j Fax: ' 7-7ei . E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
Tubs/shower /shower pan
ENGINEER. Urinal
Name: Water closet
Address: Water heater •
City: I State: I ZIP: Other.
Phone: I Fax: I E -mail: Total
Minimum fee $ _.----
`Na all jurisdictiotu accept credit cards. please calf jurisdiction for more information Notice: This permit application % $ �_
Plan review (at _- )
0 Visa MasterCard expires if a permit is not obtained State surcharge (8%) •••• g �--
C.u1ir card number. / / within 180 days after it has been
Expires TOTAL $ ____.---
accepted as complete. •
Name of cardholder as shown oa credit card S
440 —1616 (6. OM)
Cardholder signature Amount
•
. tj
Electrical Permit Application
• Date received: Permit no) -o
Ai, . C i ty of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
v New construction 0 Addition/alteration /replacement 0 Other. 0 Partial
JOB SITE INFORMATION
Job address: 1 i „,t, , o r s !. ( 0 .'': -..r, l' . Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: '7 Block: Subdivision: IV / VIAA. V-
Project name: I Description and location of work on premises:
Estimated date of completion/inspection: .
CON"' RAC"I OR Al'I9.ICA l ION FEE SCIIEDIULE -
Job no: Fee Max
Business name: CA`j-i a_eC V -\ Description Qty. (ea.) Total no. tarp
N ew re d a l - s or multi- family per
Address: rip _ • `` a t e , • �" dwelling wtit .indudes attached garage.
City: : t ' MA ZIP: Service included:
Phone:1+4.3- jr•_ Fax: E -mail: 1000 sq. ft. orless • 4
�, Each additional 500 sq. ft or portion thereof
CCB no.: y �!�` Elec. bus. lie. no: l0 -- Limited energy, residential 2
C Limited energy, non- residential 2
Each manufactured home or modular dwelling
nature ojsupervrsing electrician (required) Dace ,� Service and/or feeder 2
�
� ale 64 Services or feeders — Installation,
Sup. elect. name (print): _ .4.. 1 , t' _ w ',y License no: / o� 7 alteration or relocation:
PROPERTY OWNER 200 amps or less 2
0 201 amps to 400 amps 2
Name (print): r 1114 ULNA'. ' 2
401 amps to 600 amps
Mailing address: � �� jot fl �� �• _ � 601 amps to 1000 amps 2
City: ,, • s State ZIP: ' a over 1000 amps or volts 2
Phone: )7 Fax: }/- 7h(5E -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, orrelondon: 2
200 amps or less
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E -mail' Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
O Service over 225 amps-commercial 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 0 Hazardous location Each sign or outline lighting 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders. 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lighting plan 0 Other Per inspection I I I i
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 $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number. I / within 180 days after it has been State surcharge (8%) .... $
, Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440-4615 (600/COM)
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,I )o hereby cci i if}- Iliat the following location
1 1
meets City of Fiord /Washington County
■
land use
incl development standards for street tree installation.
t JRDI VISION: cam C csiiiefs 0 -_I I <_ -
i LOT: _____1711_________ 1
. I i3 Y: , . 4 . 4 - ' . . 0 1 1 . ....:j•• ---- - - - -- - ,) A I I-, : 6 /y 9
IZIiCI:IVEt> Irv: - -_ PAM.: x/r.07/
AF----"TTYVVYYTT ®T
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: ) 639 - 4175 (1 -6o5(
INSPE1rTION DIVISION Business Line• 503) 639 -4171 MST \
BUP
Received Date Requested 6 AM PM BUP
Location I -� - 0i 1 a ' ivt- , Suite / MEC
Contact Person ' . o . Ph ( ) a — `T'1t p 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear _ 111
Framing A' r' Jiro /
Insulation
Drywall Nailing
Firewall MXIZU ^ Q
Fire Sprinkler `�
Fire Alarm
Susp'd Ceiling .
Roof
Other:
1 0 4 , PART FAIL
• BING
Post & Beam
Under Slab r •
Rough -In
Water Service _
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
CHANIC
Rough -In
Gas Line
Smoke Dampers
CAL
Service •
Rough -In .
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City H 5 Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date
6.11/: Inspector .�► is
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 2--15v
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested k(k AM PM BUP
Location / .32,0a( !l'j tr ee Suite j MEC
Contact Person Rd."( .9-- Ph ( ) 001 '4 37 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 � - i / / / —
Drywall Nailing !� . LLi�:
Firewall / �-
Fire Sprinkler J -
Fire Alarm
Susp'd Ceiling — -
Roof
Other:
Final
PASS PART FAIL
MBING
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F��y1
• 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 / 27 -- )
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 0
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST �` "��
/ BUP
e t
Received Date Requed � J AM PM BUP
Location 0(0'0 SO) . ��- L.A.1. ' Suite MEC
Contact Person P b_PiCh2./ Ph -44 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ; N _ e EL S 52
Framing 62 1 W
Insulation C-23N`R{t■ � — �44 -
Drywall Nailing
Firewall w ,_ 1
Fire Sprinkler U ��
Fire Alarm
Susp'd Ceiling �-q n Q -{�
Roof �J � `� -F.7V � 1 f' T PC Y l 4p X
Other: •41 10 N 1 U IJ r ZIO sio S \r-tv
PASS PART FAIL
ur Bi I E G
Pos am
Under Slab /_ ��/�
Rough -In 3-) o ® v N Q is LQW419 ( 9.
Water Service
Sanitary Sewer t2.3' ° F. 1.\(1.v.5161-,
Rain Drains
Catch Basin / Manhole _—Z "( VV•i 1'1-4bc1F t 2� 6`�� (T'•A '101/%0L V
Storm Drain
Shower Pan
Oth
final
PASS PART
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
EC TRICAD
Rough -In
UG/Slab
Low Voltage
Fir= : - rm
'in -I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA ` ^^ �J Q
Approach/Sidewalk Date �� �U Inspector „Nu?, t ' Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL