Permit I,
CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2001 -00108
= 1 VIII DEVELOPMENT S SERVICES ) 639 -4171 ACES DATE ISSUED: 3/16/01
13125 SW Hall Blvd., Tigard,
SITE ADDRESS: 12162 SW QUAIL CREEK LN • PARCEL: 2S103CB -10700
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 065 JURISDICTION: TIG
REMARKS: New SF detached. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.890 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.070 sf . GARAGE: 624 sf FRONT: 21 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 14
VALUE: $ 270,450.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,960.00 sf REAR: 27
PLUMBING -
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 W000STOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVCIFDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FOR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ ampNolt :
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 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,629.96
MORISSETTE HOMES, This permit is subject to the regulations contained in the
DON
DON MORISSETTE
ST., STS INC. IN Tigard Municipal Code, State of OR. Specialty Codes and
4230 ALEW O, S 97035 all other applicable laws. All work will be done in
LAKE
accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg S: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8 Post/Beam Mechanical Mechanical Insp Exterior Sheathing Insl Rain drain Insp Final inspection
Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Building Final
Footing Insp Crawl Drain /Backwater Electrical Service Gas Line Insp Appr /Sdwlk Insp
Foundation Insp Footing/Foundation Drs Electrical Rough In Gas Fireplace Electrical Final .
Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Plumb Final
Issued By : ` � ‘.--e/k)/i Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
ion �� Oh m0 Z1 1Z ) Jo- 3-lt - tA -g'
� d/-
' 1 �' � �,�--
Date received: L 0 / Permit no.:
� ..., . �� MS7Zo0/ �D /0�
Project/appl. no.: Expire date:
City nfTigard AO...... IJILJ o w nail rstva, Itgara, UR 97223 ,�� ' (
Phone: (503) 639 -4171 Date issued: B Z , T I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment Y type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family , 'New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler/alarm ❑ Other.
JOB SITE INFORMATION
Job address: Filli ,RA Gj 1 - / IAA. .. Bldg. no.: Suite no.:
Lot: , Block: Subdivision: « LP _; Tax map/tax lot/account no.: J /03CQ 1/70,
Project name: 2- '1, 5 A /o?y 3 9 3P 39 r/'
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name:, d _' �M11(�� __L ( septic capacity, solar, etc.)
Mailing address: '�;1rit_i, R;r3Lertea I & 2 family dwelling:
City: ¶ iY4 ZIP: alM - 51' Valuation of work 02.Vli.g) $ r "Ilea yy'-jri °
Phone: r f g= __ No. of bedrooms/baths
Owner's representative: ',Via Total number of floors
Phone: ax: E -mail: New dwelling area (sq. ft.) s? Y 0 T j
APPLICANT Garage/carport areas ft.) . t r 3.
Name: _ k glitir �L Covered porch area (sq. ft.) ....... --
Mailing address: ii-1(e__. / • a_ . • °� Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E- mail: CommerclaUindustrial/multi- family:
CONTRACTOR Valuation of work ^ $
Existing bldg. area (sq. ft.)
Business name:
llia �' �'
� -� New bldg. area (sq. ft.)
Address: •� v� r MI Number of stories
City: State: Type of construction
Phone: I Fax: I E -mail: Occupancy group(s): Existing:
CCB no.: �j 7j
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER
licensed with the Oregon Construction Contractors Board under
Name: (, a ' f�T� • •(y provisions of ORS 701 and may be required to be licensed in the
Address: . ,a_. ..avtgrirmall i 110 jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
City: State: ZIP:
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: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jwisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. A r rovisions of 1. ws and o r ' nances governing this ❑ Visa ❑ MasterCard •
work will be compl - s wr •' , whether . - ifi - ' 'ere' or Credit card number / /
n Expires
Authorized si atu • = r i I '.. 111 ` it ate: J J I Name of cardholder as shown on credit card
Print name: .. g!�S �af $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-9613 (6/00/COM)
One - and Two - Family Dwelling
u ,:,, Building Permit Application Checklist Reference no.:
City of Tigard City Tigard Associated permits:
'J g ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TIIE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
3 Verification of approved plat/lot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval. �(
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of t /
catch -basin protection, etc. J�
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 x
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.
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. I �( \
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
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. j(
r. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ' \
for four or more appliances.
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 ". X
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 (60000M)
•
• Mechanical Permit Application
� � ^ Date received: P ermit no.:/Jf_- p?/JD��eiVe
'tY
Y , - -• .. City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.:
- •
Fax: (503) 598 - 1960 Case file no.: P ayment type:
Land use approval:. Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement •
few construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE •
. Job address: I , . (40' ( 4 Y (5 %J ai ( (eP V____. t n • Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax ma . /tax lot/account no.: profit. Value $ •
Lot: �� Block: Subdivision: • Uttat OM 1- 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: I & 2 FAMILY DWELLING PERMIT FIE SCHEDULE
Description and location of work on premises: AND COMMERICAL/lENDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res.only Res.only
Tenant improvement or change of use: HVAC:
space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM •
Is existing P Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No _ Alteration of existing HVAC system
MECI- IAN ICAL CONTRACTOR Boiler /compressors
�� State boiler permit no.:
Business name:
gtiMir �� J HP Tons BTU/
Address: iii�tl• tom_ • Fire/smoke dampers/duct smoke detectors
City: LA:dmimarnamirioriamalimai Heat pump (site plan required)
Phone,.. - - j ) Fax: E - mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: • ?)(9 C- 7)(:l lnstall/replace/relocate heaters - suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): Ai Plai d' {1/4-ta-1____ Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/
Name: O iii Chillers HP
Com . ressors HP
Address: ` ,1M- 0 C f Environmental exhaust and ventilation:
City: I State: ZIP: Appliance vent
E Phone: Fax: E -mail: Dryer exhaust
OW N 1: R Hoods, Type U lures. kitchen/hazmat
hood fire suppression system
Name: q �! Exhaust fan with single duct (bath fans)
A 7 system apart from heating or AC
Mailing address: ��j / 1 _��ii���r� Exhaust
City: .... • . - State•���4 ZIPq - 2(1 5 Fuel piping and d (up to 4 outlets)
Type: LPG NG Oil
Phone: 2 7- .i Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required) ,--
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: 1 State: I ZIP: Insert - type
Phone: Fax: E -mail: Woodstove/pellet
Other:
. Applicant's signafu" f ,go, r Date: td I l Other.
Name (print): ( -1 YY f f i'T)e' l
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Mini Permit fee $
Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number: Ex i / w 180 d after it has been Plan review (at %) $
p een State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440 -4617 (6AOOVOM)
•
Plumbing Permit Application
Date received: Permit no. e4freiQO /-0 0!D
° tit , (� ' t; Ci ty of Tigard � Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: •
Fax: (503) 598 -1960 Date issued: By: ( Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
0 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
v. ew construction 0 Addition/alteration /replacement 0 Food service 0 Other.
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: # �. .ai; EN Description Qty. Fee(ea.) Total
Bldg. no.: Suite no.: New 1- and 2- family dwellings only:
(includes 100 ft. for each utility connection)
Tax map/tax lot/account no.: SFR (1) bath
Lot: / ° Block: Subdivision: ` IIV f l SFR (2) bath
Project name: mkt, ' SFR (3) bath
City/county: I 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 nameD • gpt N . Lu rtia i 1.16 Manholes
Address: l , Rain drain connector
��' 1 �� Sanitary sewer (no. lin. ft.)
�� � v� �� Storm sewer (no. lin. ft.)
Phone: , Fax:
y Water service (no. lin. ft.)
CCB no.: I, ( - Z t—( Plumb. bus. reg. no: - — - i Fixture or item:
City/metro lie. no.: N/A ' '' Absorption valve
Contractor's representative signature Back flow preventer
_
Print name: , t. ' U• ?riir/t� Backwater valve
CON FACT PERSON Basins/lavatory
` s ��� I OE Clothes washer
Name ` 1 Dishwasher
Address: ,0 'A 1,6 C Ary — Drinking fountain(s)
City: State: ZIP: Ejectors/sump _
Phone: Fax: E -mail: Expansion tank
o W N I : It Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print): j t lli Garbage disposal
_
Mailing address: _�► Alb "iii. Hose bibb
City: _(' • State.' ZIP:q , Ice maker
.
Phone: "7 —" ?f I Fax: 7-7k . 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
I: N G IN ELK Tubs/shower /shower pan
Urinal
Name: ' Water closet
Address: Water heater
City: State: ZIP: ' Other.
Phone: Fax: E -mail: Total
Minimum fee $
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at %) $
_
Credit card number / / within 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
Name of cardholder as shown oa credit card accepted as complete.
S
Cardholder signature Amount 440.4616 (&VpCOM)
Electrical Permit Application
Date received: Permit no.: N/tT�00 / QO/0ek
City of Tigard
tit 1 I , '� Project/appl.no.: Expire date:
r�l ..
City ofTigard 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
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
6. New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
JOB SITE INFORMATION
Job address: , (, ., AP a.laL " r 4W '$fdg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: - Block: (Subdivision: a\ ai\ • r
Project name: I Description and location of work on premises:
Estimated date of completion/inspection: .
CONTRACTOR APPI.ICA PION FEE SCHEDULE
Job no: . Fee • Max
Business name: c 4 E-' C. option Qty. (ea.) Total no. Imp
IVewreddentiat- single or multi-family per
Address: 1 4. 10 ,, • • i •_ 1110■ . • 1 dwefngtmit Includes attached garage.
City: () State: 0.# ZIP: 9 - 7 a.. 3 Servieeinclade&
Phone:4- f L , - j Fax: I E -mail: 1000 sq. ft. or Less • 4
Fach additional 500 sq. ft or portion thereof
CCB no.: L I Elec. bus. lic. no: (.-- Limited energy, residential 2
C: • Limited energy, non- residential 2
Each manufactured home or modular dwelling
-nature of supervising electrician (required) Date N3101 Service and/or feeder 2
Sup. elect. name (print): 1 _ • w 'Jj License no: , 935 Servieesorfeeders- Installation,
�tl alteration or relocation:
PROPIR fY Ow NI:R 200 amps or less 2
Name (print): � ` o 201 amps to 400 amps • 2
..- . Al- 0V ��itt1 .401 amps to 600 amps • 2
Mailing address: S ' _� 601 amps to 1000 amps 2 ,
City: � 2 s State � Over 1000 amps or volts 1
Phone:% 7 � Fax:7= 7fp(3E-mail: Reconnect only
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, atteratlon , orrelontion 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 pump or irrigation circle 2
e facility 2
O Service over 320 amps - rating of l&2 0 Hazardous location Each sign or outline lighting
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
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 O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card oumbu / / 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 (&O COM)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC + SUPPLY CO • `•
8900 SW BURNHAM F -27
TIGARD, OR 97223
Electrical Signature Form
Permit #: MST2001 -00108
Date Issued: 3/16/01
Parcel: 2S103CB -10700
Site Address: 12162 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW - EAST
Block: Lot: 065
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached. Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMES, INC. CITY ELECTRIC + SUPPLY CO
4230 GALEWOOD ST., STE 100 8900 SW BURNHAM F -27
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
Phone #: 503 - 387 -7538 Phone #: 641 -8012
Reg #: SUP 3592S
LIC 42422
ELE 26 -289C
AN INK SIGNATURE IS REQUIRED ON T FORM
X
Sign of SupervisinElectrician
•
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JARDINE PLUMBING
P 0 BOX 186
ESTACADA, OR 97023
Plumbing Signature Form
Permit #: MST2001 -00108
Date Issued: 3/16/01
Parcel: 2S103CB -10700
Site Address: 12162 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW - EAST
Block: Lot: 065
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached. Path 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
DON MORISSETTE HOMES, INC. JARDINE PLUMBING
4230 GALEWOOD ST., STE 100 P 0 BOX 186
LAKE OSWEG OR 97035 ESTACADA, OR 97023
Phone #: 503 - 387 -7538 Phone #:
Reg #: LAC 108747
PLM 3 -320PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
lippr •
X
Signature of Authorizes 'lumber
If you have any questions, please call (503) 639 -4171, ext. # 310
•
AS a w l, 6-01os •
STREET TREE CERTIFICATION
Nc CbbPO , OWNER /AGENT FOR NO UtR■SS L1 i ROWE 'T --- -
(PLEASE PRINT) (PERMIT HOLDER)
DO HEREBY CERTIFY THAT THE FOLLOWING LOCATION MEETS
WASHINGTON COUNTY LAND USE AND DEVELOPMENT STANDARDS FOR
• STREET TREE INSTALLATION.
ADDRESS: la-1 S•
LOT: SUBDIVISION: no f\--t Li 170 v �(--0 E
BY:
�Cd DATE: 1
SIGNATURE
RECEIVED BY: • DATE:
SIGN
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ?AZ 46 Of
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/��
C9 � � Date Requested CUIt AM BUP
_ BLD
C
Location U 6, 2- Sal axit 6LiV.r 4 Suite MEC
Contact Person Ph ,,/ PLM
Contractor Ph 1.# 315 SWR
�UILD Tenant/Owner ELC
L`F faining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Misc:
A SS PART FAIL
PUM - ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date 17 Inspector �� - Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Z99/- /Of
- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�`Q / BUP
9j 2 Date Requested (0/ 1 2) AM PM BLD
Location t ' ' 1(02i SW (1(A/Zt 0l Suite MEC
Contact Person c i ` L � Ph V P PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear G Q. jA _ • (J / I
Framing (�Y ifiL� - T\ -
Insulation w n p � �� ■
Y� Drywall Nailing ( � �QJ ey
Firewall T v \ A-
Fire Sprinkler v --� �(/ `
Fire Alarm �/ ' O a — Q 6 2. `�[ F.- - 61,N) C-Q,_
Susp'd Ceiling ► � _ U /�
Roof ems- Y'LL .s , k / j ■ ∎ (3 L 1
Misc:
Final � / A 4
PASS - • RT FAIL 0 U
& Beam 1
Under Slab `� (iv■_1
Top Out 4'� ✓�
Water Service r.
Sanitary Sewer
Rain Drains
i IW= FAIL
HA •L
Pos = Beam
Rough In
Gas Line
Sm• a Dampers
FAIL
.; o 41 T'.7TP
Se
Rou•
UG /S b �D∎
Low h•tage ,�,/
{ F (.D 0
hi FAIL
r iaLITMEMai
1 Bac ill/Grading
Sanitary p\
anitaSewer \\I [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
ch Basin IPI ,
Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
2
• o ch/ i ealk Date K ( L�D I Inspector Ext J e � w I S
tig PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 4:1,0)00/-00/0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /I I/O AM PM BLD
Location \ 2-\ 4 2, `%V .ei Suite MEC
Contact Person C XnKC T Ph 7i! - 4 0 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof c 1p
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P ASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS P T FAIL
LECT IC
Service
Rough In
UG /Slab
Low Voltage
Fire rm •
° • S - ART FAIL
Sit •
Backfill /Grading
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date ‘--/� d� Inspect /J12�/1/ E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF'TIGARD BUILDING INSPECTION DIVISION , sT vJ 6(/k
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t
(/ BUP
Date Requested � � 0 AM PM BLD
Location /-./6•1_, QG4 4 � / ( Suite MEC
Contact Person Ph 7.0, 4D 3d PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 0 Al +- 1 A ^ c
Framing 1 ' h C
Insulation
Drywall Nailing 'P
Fire wall (�
Fire Sprinkler V /V
Fire Alarm • / '( L-e_ \ / � v , / 1
Susp'd Ceiling C./l (�' � 1 �
Roof S b
cl ∎ ^
Misc:
Final r/� A • � - • ( - e
P ASS PART FAIL �^�l
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL r
MECHANI ■ , •
Post & Beam /
Rough In I W
Gas Line
Smoke Dampers �
Fina
ASS PART IL
ELECTRICAL
Service S c t
Rough In 1
UG /Slab
Low Voltage
Fire Alarm
Final -
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA � /(jI
Approach /Sidewalk Date ( uL / X51 6 Inspector � J Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
%z. sy fl
•
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST �v ' 66761e �
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested s 0 AM PM BLD
Location / G icy •wG l C k Suite MEC
Contact Person rte` Ph 9f 19 3 / PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab d pd VA_
Top Out
Water Service
•
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
•
S ckfiill / Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
O t he oach ewatt� 5-10 —D Inspector 1V Ext �'(0
Fr) Date
S PART FAIL DO NOT REMOVE this inspection record from the job site.
C4'Y OF'TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4 71
BUP
Date Requested 3 AM PM t
BLD
Location / 1/6 -5 w Q GI ' Cry' /L Suite MEC
Pfr Contact Person Ph / Lae 3 7 PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framin
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
AS PART FAIL
MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date S _ 3 �/ Inspe Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
2,01p •
CrTY'OF TIGARD BUILDING INSPECTION DIVISION c�� • v �
MST/Tii-G /dQ
24 -Hour Inspection Line: 639 -4175 Business Line 71
BUP
Date Requested ✓Z� AM PM BLD
Location / Z/ fj Z 'es/ Qe4 t r' / C Suite MEC
Contact Person Ph P•O7 ' i 3 7 PLM
Contractor Ph SWR
RU1L41d'�' Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing 6
rywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PARTCFAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate - U� Inspector Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
Z,5 3P
• • " - CITY OF TIGARD BUILDING INSPECTION DIVISION .
MST G/ /d8'
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5-- / AM PM BLD
Location / Z-/ Z $ C Q(4 c 'I Suite MEC
Contact Person Ph oZ U 9 —14 kj7 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
'ear
rmin•
rrsu ation v t ,c in C � A 11
Drywall Nailing 1 ��.. ��` ` ""C, `�W)
Firewall � 11 � _
Fire Sprinkler J-- \'C1� ��'1,� QA )t� Q
Fire Alarm
Susp'd Ceiling (3 0
Roof
Misc:
PAS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
<MECIA1 =Id
Post & Beam
Gas Line
Smoke Dampers
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date S ( Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
3s-G
- ,OF TIGARD BUILDING INSPECTION DIVISION MST -G l
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested q - Z AM PM ! ' BLD
Location / t/G/-54 atGi / C ro-•r k- Suite MEC
Contact Person Ph 026 9 J '/h'3 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear UjtA n1 - i Int F aminath /Shear � VJ 1 C`-'� l �. L7 U ` \
9
Insulation •■ 0
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLU
Post & Beam"
U.•-.;ab gviro $ t ✓'
I I 0 i
Wa - 'ervice
Sanitary Sewer
Rain Drains
Fin
ZEP PART FAIL
HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date I �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
z•)
.' ,•• •- C4TY.9rTIGARD BUILDING INSPECTION DIVISION /
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
MST �GY %ri
4/ BUP
•
4
Date Requested 7 - 6 AM PM BLD
Location /2i (' Z- 5 qt.te, t I C v-"- R L Suite MEC
Contact Person Ph •r)7 at 3 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall • ELR
Footing Access:
Foundation 417* FPS
Ftg Drain �1 SGN
Crawl Drain Inspection Notes:
Slab ' ". IL c,C2 M IN- tritt� 2-A7N4 i Ail- SIT
Post & Beam 1
Ext Sheat 00111 ) niNceaD ioNI
Int Sheath/ ear
amen ...,..�IL 1 Stai:PS P1N?N►,(1 Qbi t�l WqL� .4)
Insulation C. CiM l— 1St U molt) CC LA � N I
Drywall Nailing PX
Firewall
Fire Sprinkler s t S- C � . Q -
Fire Alarm
Susp'd Ceiling ..)45 Ll, - 51 . 111 Per> IZa IV 1 'l t`iCC vs/INL -
Roof ��� r
Misc: -1- 1 p CZ ZS 'W 1 /aD _
Final
PASS PART FAI
PLUMBING 1 45 LL. 5 SEC I, ..► .QAJ _ WilL& &..
Post & Beam
Under Slab
Top Out ,�`. �
Water Service ` C " - C n f % - ' I T iEf S 1 - .1 '-
Sanitary Sewer
Rain Drains &V () 11-ZYS Z%Z ` GA RLL .
Final
t .V
PASS PART FAIL
ost :: eam C /31-1S ; ) k--- -. 31-1 - 6:1T / t S( �1 b) L.. I I\ l
. .. �1l__.
711.43k- L 1 t - t I , , _ .
a _
Smoke Damper ) tA LLL- " 3V'M El
Final
PASS PART FAIL (� V IQ E CS: ► 5 ► Ibm _ kJ' ■ •
ELECTRICAL
Service _ 'L'N'fl LlS'c (ac P-citti {tot
Rough In . 1 ,
UG /Slab 1 Qt l
/11 l' A 'C(Z.S '" � �►� ` - 1/�li, f�
Low Voltage
ID e�1�11 , t " I � �1S V P ( 3
Fire Alarm v-�,
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D ate 11 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
3 r-e
••• , C1TY OF'TIGARD BUILDING INSPECTION DIVISION •
MST � .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested y - Z C AM PM BLD
Location / Qµ G 1 / C ry-? A Suite MEC
Contact Person Ph ? 9 (4? PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm I C Q
Susp'd Ceiling
Roof V /
Misc: Final 1 D ) vD
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
TRICA.
• S ab
ow Voltage
Fin - a PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Otheoach /Sidewalk Date — ��) Inspector .4 cr � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY .OF • TIGARD BUILDING INSPECTION DIVISION a • - 4'o(a(r)
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
Date Requested 4, z y AM PM BLD .
Location / t/ G 2 5h., Oct 4 r 1 CA.0 /C Suite MEC
Contact Person Ph oZff 4 J 1 PLM
Contractor Ph SWR
UI _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
ear
/Shat
aming / /".,a) „o2^
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART ir
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date Y Z4/ --.0 Inspector Ext .X;
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITYOFTIGARD BUILDING INSPECTION DIVISION
MST ZjG/ - Ocs : /eNt
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Q Date Requested 4/7,0 AM PM BLD •
Location
/2-(Cal S6tJ cpU LAzza )3 _ Suite ,` MEC
Contact Person Ph 7) - `C // f37 PLM
Contr Ph SWR
1.0r111-71j0107 Tenant/Owner ELC
Retaining Wall ELR
Footing Access: (n4 :L- - — \
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Bea
xt Sh athLSb
In eath /Shear
Framing t Q' S d 7 o e v- P e•S-r : r r ah: D
Insulation
Drywall Nailing /7 4 C / /r 1f / .rS / .1 G�
Firewall ,� L
Fire Sprinkler 'W \ Q 1 C K 1 ! r `C / D ed S ) a• �
Fire Alarm
Susp'd Ceiling h C Nor s l QS P e✓ S c 4 e.0 U Gt
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
• Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA L/
Approach /Sidewalk Date £ 01 Inspector 1 / 7 r E x t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION • Nisi : b<! ) a
24,Hoyr inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (''" 8 AM PM BLD
Location / 2 / G 2-f w Q_Q t' I Cp -'-€ /< Suite MEC
Contact Person Ph ?-p 9' -L/ f 71 PLM
Contractor Ph SWR
=UILD . - Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Be -
Ext Shea
Int Sheath/ - . is
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1.15. PO-CV P P ^w m [ 1 11
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL •
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date - Inspector v Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,1
,...::CITY'OF TIGARD BUILDING INSPECTION DIVISION
MST - AaD /--ee •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
y BUP
cu v , Date Requested 7 .---Z AM PM BLD ' _
Location / & 2 Q ut. C. Suite MEC
Contact Person / „z Ph 2 D J ' , 7 PLM
Contractor Ph SWR
/rIEU5W3 Tenant/Owner.- --- ELC
Retaining Wall / -----5- ---- s ' - -:-Ll . �---\ I ELR
Footing Acts( ,!) c j S FPS
Foundation
Ftg Drain SGN
Crawl Drain Insp`eCt - 1�To S _____ ---
l Slab SIT
s & Bea
' Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation /� ?
Drywall Nailing v j t /(//h v�L f /v' J
Firewall
Fire Sprinkler 570 S/f2L/ J��G O� y C e�
Suss d Ce iling C j �5 S /-7/1 /_ .eq �v�
Susp'd Ceiling �/
Roof
Misc: AA./ /) /.S/L/' .T 5 7 -7D/v CC C° /u 147
-
F PART FAIL i- 9e Ge /� 7 yi./p orz / l
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
- ART FAIL
1! /_1JIrei.
ea
Rough In
Gas Line
Smoke Dampers
Final
PASS PART AIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain . [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: 7a24,7 [ ] Unable to inspect - no access
ADA / /- /b/
Approach /Sidewalk Date Ins ector
Other p Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• • • ' CITY.OF TIGARD BUILDING INSPECTION DIVISION •
MST 2vv / '� 'U '�G
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -'3 AM PM BLD
Location l Z) 6 L Sv Qk a I Gr -'-l'L Suite MEC
Contact Person Ph 2z' 7 L1 K 37 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing C'
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final •
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICb
ough In
Gas Line
Smoke Dampers
F'.:._.
1i PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilVGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL ' DO NOT REMOVE this inspection record from the job site.
• 2,/QP •
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST �U /-GU /.GY
::24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP • •
• Date Requested 3' Z AM PM BLD ,�-
Location /t) (/(- Sw Qit a r � GL€-de Suite MEC
Contact Person Ph 2,, 9. cik 7 7 PLM
Contractor Ph SWR
wIL JJ - Tenant/Owner ELC
ining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Inspection Notes: SGN
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F' •
PART _ FAIL
I 1�l'1
Post & Beam
Under Slab
Top Out
r
et, • , r s
p PART FAIL
• NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilVGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �
Ext
E x
Approach /Sidewalk Dat 3 /2' z/ f� / Inspe / `,J
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF•TIGARD BUILDING INSPECTION DIVISION • MST 2
. - Hour Inspection Line: 639 -4175 Business Line: 639 -4171
•• BUP •
Date Requested 3 lei AM PM BLD
Location '216 2- 5 y / C - ' / Suite MEC
Contact Person Ph ,fl' - Q t31 PLM
Contractor Ph SWR
•B Tenant/Owner ELC
• Retaining Wall ELR
ooti • . Access:
1•. FPS
1
g 'rain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation , Lb ` - ' J
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd.Ceiling
Roof
Misc:
Final
ASS PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE •
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for rei pection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection r cord from the job site.
CITY OF'TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST sv / i/1/2Y
BUP
Date Requested 6- AM PM BLD
Location l 2/6 Z_ 54 4€ / C j-- ' /C Suite MEC
Contact Person Ph Z'7- e/t3r y
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: V /2 P .
Foundation r S FPS
_
Ftg Drain /24-
Crawl Drain Inspection Notes: SGN
Slab SIT •
Post h Beam
Ext Sheath/Shear 0 ZO O '— 6 0 ` 0 P—
h yT /
Ina Sheath /Shear f /
Framing /� 7 f, CAkt � C"-Pc/ ; .•�
Insulation ,,
Drywall Nailing 7) /m C » (/ ` i �— ' l "`�- 5,--t
Firewall
Fire Sprinkler 2) £ c/ cy tit tiler-- �d'x.r /k a /CCt•
Fire Alarm
I Susp'd Ceiling Tr/ �'� L-� t �o`� Co co
Roof
Misc: •f7) /7 / J 1
` 9'4vKT� �.oa�-?-- A-e t— � -e Ve2'! ct lv`•-
Final 9/ f�
PASS PART FAIL' / `1 3 (Y6 /emu 1- l�Gr 41v- > `-' �u f'c` r'
�ost�8� B 4", ` ),2? 0 V S 4 - flS 4 cic, S C 4 c. -�
eam •
Under Slab f! ; ti ,
Top Out
Water Service
Sanitary Sewer
Rain Drains
PASS PAR
MECHANICAL rz
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk // /�
Other
Date l Inspector ,(,5 r ( / � � Q v`4-. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.