Permit CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2001 -00141
. .Ao,..,,,,, j. i I DEVELOPMENT SERVICES ) 639 -4171 DATE ISSUED: 4/10/01
13125 SITE ADDRESS: 13099 SW RAPTOR PL PARCEL: 2S104DA -08300
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 069 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building #6. Setbacks as per sheet A10.10
Plan BS
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 sf GARAGE: 410 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 sf RIGHT:
VALUE: $ 138,193.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,488.00 sf REAR:
PLUMBING .
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
. MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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: 2 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALLENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,553.49
This permit is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC
all other Municipal Code, laws. All work k w Specialty Codes and
12670 SW 68TH PKWY #200 12670 SW 68TH PKWY all other applicable law All work will be done i
PORTLAND, OR 97223 PORTLAND, OR 97223 t
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 #: LAC 124627 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 84 Underfloor insulation Electrical Service Gas Line Insp Rain drain Insp Electrical Final
Sewer Inspection Plm /undslab Insp Electrical Rough In Gas Fireplace Roof Nailing Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Insulation Insp Water Line Insp 'Iumb Final
Foundation lnsp Mechanical Insp Shear Wall lnsp Gyp Board lnsp W r Service I final inspection
Slab Insp Plumb Top Out Exterior Sheathing Insl Firewall Insp Apr dwlk Insp
Issued By : Permittee Signature : V"i
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Application
. A Date received: ..S/20/0 / Permit no.: fristz(i4/ DO / N/
_ I City of Tigard
4 � _ _ � Project/appl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 18,1 family: Simple Complex: z
TYPE OF Pt iU lIT
& 2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family r% New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other.
JOB SITE INFORMATION
Job address: t 0 q ' t..J P - b TLAZ ' (. Bldg. no.: Suite no.:
Lot: , 0 Block: Subdivision: a p, L- ,1 a ,, - �T , Tax map/tax lot/account no.:
Project name: Q ik ' L _ . % tx )
Description and location of work on premises/special conditions: PcsuN VAouSS_ I� -,
•
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: 011 j Rf3'Mts (Floodplain, septic capacity, solar, etc.)
Mailing address: 12670 Sw (op,tab j ` ✓ tt. sp 1& 2 family dwelling:
City: a er A; 1.5p State: Or ZIP: - 7223 Valuation of work $ 2, dC
Phone: '8. 1. Fax: y 8 yob 1 E -mail: No. of bedrooms/baths
Owner's representative: • M . • l'e" Total number of floors 3
Phone: '.35775 Fax: 57ei W19'1.- E -mail: New dwelling area (sq. ft.) I 54-
APPLICANT Garage/carport area (sq. ft.) L'O-
Covered porch area (sq. ft.) --
Mailing address: Deck area (sq. ft.) 'QC75ea FT
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E- mail: Commercial/mdustriaUmult3- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name:
G ' New bldg. area (sq. ft.)
Address:
City: State: ZIP:
Number of stories
Phone: Fax: E-mail: Type of construction
Occupancy group(s): Existing:
CCB no.: 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: GO 1 a provisions of ORS 701 and may be required to be licensed in the
Address: \ \C\ \ 'Z00D , , C IL (off jurisdiction where work is being performed. If the applicant is
` State:WR ZIP: fo 101 - _ — exempt from licensing, the following reason applies:
a . t
Contact person: 1 l Plan no.:
Phone:26(,- 4 - Fax:),0)467 -, _, E -mail:
ENCIN1 :1 it
Name: VI 2. - . E61(21.. . Contact person: ': EN IA( A Fees due upon application $
Address: b•_ • S 0., N i bt e S Date received:
____ .., 1 State: )f ' ZIP 722,3 Amount received $
Phone:,($'p - 9 6 '33 Fax: E-mail: — Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of la s and ordinances governing this o Visa t] MasterCard
work will be compli whe ified herein or not. Credit card number /
Au signature: ( J`�/� Date: /k/C> ( Name of cardholder as shown on credit card
Print name: It) IM • A Oti.3 Cardholder signature Amount
Notice: This perm it application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6v OM)
Mechanical Permit Application
. _
. -
Datereceived: Permit no.:/f51ZM1 -oiyi
,_9-;''.0 1 City of Tigard Project/appl. no.: Expire date:
of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223
City Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Paymenttype:
Land use approval: Building permit no.:
TYPE OF PERM 1T
2 family dwelling or accessory 0 Commercial/industrial O Multi- family 0 Tenant improvement
New construction 0 Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMIERCIAL VALUATION SCHEDULE
Job address: 1343 --',‘ / , ' ro 2 pc, Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical mauls, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ .3-000 - .
Lot: Block: Subdivision: Qui: I .. u. 'See checklist for important application information and
Project name: aFli 1 Hp . . Ttx,a. w bw o. jurisdiction's fee schedule for residential permit fee.
City/county: ICIJ t.D 451_\ Emspea 1 & 21 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location o work on premises: • ..�lf 'tr i. AND COMMERICALIINDUSTRIAL EQU I PM ENT SCI I EDULE
Fee(ea.) Total
Est. date of completion/inspection: Descd , 1 on Qty. Res.only Res.only
Tenant improvement or change of use:
■ ' handling Ill
Is existing space heated or conditioned? O Yes 0 No Air co unit CFM
g P Air conditioning site plan required) I=
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system IMI
MECHANICAL CONTRACTOR S i ,■■
Business name: L j 44
jl 1 lUL1 t cool t tae boil H no.: Tons BTU/H
Address: ',O to (o i,V ' Fire/smoke dampers/duct smoke detectors gm
City: 'v(LT . ■ Statet. -i ZIP: c(7 L90 eat pump (site p an required) =
Phone: j 5 — • Fax: 775" 1141 E -mail: — -
nstal rep ace fuma .urner BT -' II
Including ductwork/vent liner O Yes l] No
CCB no.: 4 . Eta Instal repla relocate heaters— suspen. ed, Ill
City/metro lic. no.: DO DO 1 02- wall, or floor mounted
Name (please print): 0.4 M 10611- Vent or a .. liance other than furnace NM
CONTACT PERSON a on ' ■ --
Absorption units BTU/H
Name: -I LA i ■ .,_, Chillers HP I=
Co Imressors HP iiii
Address:
�� � --
: ;tillers . .:ustan. yen .1 • on:
City: State: ZIP: Appliance
Phone: Fax: E -mail: a erexhaust : ==
OWNER H . . . . I res. lutche . azmat
hood fire suppression system
Name: L� �, E — ;, a _ r Exhaust fan with single duct (bath fans) EA
Mailing address: o . I t „ ' . ', ' I y n: or C IIIII
. State: ZIP: n P P h. an' ' 7 1 on up to • ou eta -
City: Type: LPG NG X Oil
Phone: Fax: E-mail: Fuel .1 . ing eac . additional over 4 outlets NM
ENGINEER ' , • -, p p h: (schematicrequired) MIN MI■IIIIIMIN
Name: .1U1 IC / Number of outlets =
r . er I - . app 1 — or eq • i potent: ■ •
Address: Decorative fireplace
City: State: ZIP: = ��
Phone: Fax: E -mail: "... tov pel etstove M
• e er. NM
Applicant's signature: Date: r ;, . MI
Name (print):
Not all jurisdictions accept aedit cards. rye all jurisdiction for more ioformalico. Permit fee $ /1.50
O Visa O MasterCard Notice: This permit application Minimum fee $
ex if a permit is not obtained .
Credit card number: / / Plan review (at _ Rb) $ C
E within 180 days after it has been _ �
Name of cardholder as shown on credit card $ accepted as complete. TOTAL e (89b) $
- Cardholder 'imam Amount 440-4617 (6i00/00M)
MECHANICAL PERMIT FEES •
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: -
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or induding ducts & vents 14.00
fraction thereof, to and induding 2) Furnace 100,000 BTU+
$10,000.00. Including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or induding vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all-that apply: . -Boiler ; .Heat : Air ` %• a ` : : t '
$120 for each additional $100.00 or •, Fo'r.items,7-11, see ,,, : ` Pump , 'CON ; '
fraction thereof. ;footnotes below ; Comp* : . • . %' "'.
7) <3HP;absorb unit
to 100K BTU 14
ASSUMED VALUATIONS PER APPLIANCE: 8) 3-15 HP; absorb
Value Total unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9) 15 -30 HP; absorb
Furnace to 100,000 BTU, including 955 unit .5-1 mil BTU 35.00
ducts & vents 10) 30-50 HP; absorb
Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20
ducts & vents 11) >50HP: absorb
Floor furnace induding vent 955 unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM I floor mounted heater 10.00
Vent not included in applicance' 445 13) Air handling unit 10,000 CFM+
permit 17.20
Repair units 805 14) Non - portable evaporate cooler
< 3 hp; absorb. unit, 955 10.00
to 100k BTU 15) Vent fan connected to a single duct
3-15 hp; absorb. unit, 1,700 A- 6.80
101k to 500k BTU 16) Ventilation system not included in
15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU 17) Hood served by mechanical exhaust
30-50 hp; absorb. unit, 3,400 1 10.00
1 -1.75 mil. BTU 18) Domestic Incinerators
>50 hp; absorb. unit, 5,725 17,40
>1.75 mil. BTU 19) Commercial or industrial type Incinerator
Air handling unit to 10,000 dm 656 r 69.95
Air handling unit >10,000 dm 1,170 20) Other units, Including wood stoves
Non - portable evaporate cooler 656 10,00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included In 656 1 5.40
appliance permit 22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic Incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: i'° tw "."-'4;',7,:::; $ %
Commercial or industrial incinerator 4,590 .>. . ; 2 ' -
Other unit, induding wood stoves, 656 8% State Surcharge ^ fi: ^: . $
inserts, etc. =c0/... ; w.:,'4"
Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) :.' " , $
Each additional outlet 63 Required for ALL commercial permits only :-.;:::4: 7. .: �'( G
l'
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: - °Y = $
VALUATION: ,
Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours)
$72.50 per hour.
2. Inspections for which no fee Is specifically Indicated (minimum charge -half hour)
$72.50 per hour
3. Additional plan review required by changes, additions or revisions to plans (minimum
chargeone -half hour) $72.50 per hour
* State Contractor Boiler Certification required for units >200k BTU.
"Residential NC requires site plan showing placement of unit.
-
I :VdstsVorms\mech- fees.doc 10/11/00 .
Electrical Permit Application
•
14h . , Dote soothed: Penniteta Q - / / •
•, City of Tigard Projeghpal. he.: P.apke date:
ci en Addeeu :13125 SW Hall Blvd. Tigard, OR 97223 Date Issued: 8y: Raaelpc to.:
Phone: (S133) 6394171
PO: (503) 598-1960 case Cda no.:
Land use approval:
. •11 I'1 isi rI H\II I
}4-2 homily dwdliog of accessory O Cciamelclabfndustrial U Mulddanily 0 Tenant impnvventent
JNew conMtncion 0 Addition/alteration/replacement O Other: U Partial
.Ic►H `111 I \1 111\1 \110\
Job addtttar _ ° • •' M- i I✓ Bid no.: , Ta , . 101/ . t oo,:
Lot: ,,a Block: Subdivlol o: ' 4 .1 44 1 4 %. Ho tlwa wtC%T
Project name: d' Ml Ids 1100 Deacri • ion and location of work oa • • sea: N? (L'1m warm riewt
Eatialued due of . e.0oeli • • - .
iO\IIrt1Iew U•1.1 I1 ■1I1 /\ I I I %1x1111111
�.� —!!fit elP!
t . . �..► -r. par NEIN
: V- n c o u v- r MIMI 2P: 9 8 6 61 sarrlottatelrrd►
affr • mail:
1000 •.A or1111 •
r 1 Elea bus. Ile. no: 3 4 - 4 3 2C It am11laoal 500 . ft, or EMI= i= �
Li . leaden MOMEaSi illE1•
6islitadasea ,hoe- rteWeraiat MI NM _ 2
- �- - - -- et aeasiokw h;a Date tRgiRilijilailiiiallIll1111 2
Um= no: e>aasden- -.
2 aer nlaetlaa N. s
ru
1<l'l It 11 tr�� •i a 200 Op , - . er kp 2
Name �. r.l ' ' • 10400 NS �M
1 �1 1► C�11d. _ : r. < 11711",T' Y'L� �` 2
Cam _ •l• _ S11 ZIP: - t f ..alr t, , MI 501
S Ts ..- '? T inQ-77 E -mail: U.-- . • T MIN= rMail
Ow110r : : I • • , ! iortaitadon 13 mode on property own •o°f°r of helm. • I II.
which is not lehndwd for sale, l • I ,. or exdtaoga word* to taalas wb
alka roliga.rabeallela
ORS 447, 415,0 r r 1. son a Iss
tot . , le • ■ woo MIN in � s
Owndf m 1 , , , pallet /1. Q1 sot to '•', .: MO NM ONO WIN
♦1.1\1 , ps -aaw. .••
waaaalea oar oath
MOW A. Fa for base%Wean aN110arohwe of
Ate; aanim er Win brava abeam 2
LSIMIMIIIIIIMIIMIIMIIIIII =In nit . tat breads girt • attune • :. -
E-mail! etsadaor tear fa tNtaridaGiro* 2
II=.1111111111111 =MIN ( rt"77 ?"117.7 "L' Tf an MI MN �
1•I % 111 % II %% (11 .,.• (he,1.. :.11 1•.n ;∎D1,1%1 IIIIII
0 Swabs owesUSmoco ermaiew ' 0 11aalO+m•*WWI
a Bernet ovee32Qaapa,elra3of 0ifatadaa1oe111ea .r•• or *Ora ' T NM. 2
aadlyd.elliels 0Hait ovml0,000egoaae bet towa , �' .-" 1 ,. ■
0 iylewo.a60 0vwteiseeminal Fra reskisad etsto roe ttlaa m
o I1wiwNlsevare ee stela 0 Irwdwa. 400 woos w wow _
o Oearpaal lad ova 99 pawns O Wallowed auoawea a RV pat rah R war '•'I hay a
O EgswatBib lootho O Oster: ter NM
MI" p Oruroabove • coos .
. „The ahttoomelet • • atom... , eemMAafioaford%. :
' Ma m J1rdkwNa owp aim area otwi roll a wee two e Islemwaeo Mine. This oohed ggllleatim Permit fee •..•.....,......_.• s -7
0 v%a 0 tri.alelc nil mile its Wink is not obeamed Piha wino (at ` 96) $ .��
. mason aemnie , withto 110 days agar It hew ben State stnchstge (Ss) .... $ '7c.��
nceeptsd ■ complete. TOTAL ...... _...._...,... $ 4
- Ilan aanmatr EM e •
~, 4144113 (1113003/4
•
10 /L0 39Vd 0I810313 3JI1WV3?!1S Z60SE 66 09E 62::LL 190Z/90/E0
Mar -06 -01 03:05P Wolcott Plumbing 503 667 9891 P.01
03/06/01 TU+. 14:91 RA1 503 598 1960 CITY OF '!!CARD
V)002
Plumbing Permit A pplication .
Ci of Ti ar
d " Date received: Permit no. :0. , •40 ri /
.1j -•I I_ Addre&rs: 13125 SW Hall Blvd, Tiger I. OR 97223 Sewer permit no.: Building permit no.:
C- iryofTigard Phone: (503) 639 -4171 ProjecVapp'. tax
p ica date:
Fax: (5(13) 59fi -1960
Date Issued: By: Receipt no
•
Land use approval: Case file no.: Payment type: .
T1TE Ol PF:K,.u1r .
U 1 & 2 family dwelling or accessory O Conamracial/industrial O Multifamily CI Tenant improvement •
C3 New cooserucuon 0 Additic n/alterariocheplacentent (J Food aonvies la Other:
•
Jilt SITE 11%40101,\l'l(\ •. Et S( I 1.E (1..r vecial lnfotmuaiinu chca:li.a)
Job address: 13 p ''o - - Deacripdob Qty. Fee(ea.) Total
Bldg. n.: lbri. Suites no.: New 1• attd 2-fatally dwellings only:
Tax map/tax IoVaccouut no.: SFR lbseludeo
(I) 00IL for eac6trtilltycottoeettoo)
SPR (l) bath
Lot: V 4 1 IBlocic: 1 Subdivision: SFR (2) bath I f - 7 - '
Project ttarnc: . SFR (3) bath
City /county: r: Each additional bat /kitchen —
y Description and location of mark on premises: Site Willies:
- -- Catch buin/area drain
Est. date of ctmlpletion/inspection: y leac ine/trench drain
mom Footing drain (no. Iln. R)
Business Dame: plC4 i i rq Manufactured home utilities
Manbo
^ Address: . O. 50 2.0 0 ? Rain drain connector
C
•
ity: _Gee yt-,o, .v. Statclp R ::IP: Sanitary sewer (no, 1io, ft.)
Pllone: S03 447 -171}t !Fax: 4, 6 I E -mail: '6..yL1009.- o Storm sewer (no. lin. ft.) ,.
CCB no.: 23 g 43 _ J Plumb. bus. reg. no:24.- 2.0 Si pp Water service (no. lin. ti.)
Cityirneuo lie. no.: Fixture or km
Ctlntraytor's rcpresernadvc signature:
Absorption revs
r r r - ..;, back flow preveatet
Print name: L.; - et D Backwater valve
• ... CONTACT PERSON • Basins/lavatory
e:
Nam Clothes wruhcr
Nam eca: is wnsher
Drinking touniata(s)
City: slue: UP: Ejectorsrntmp -
Phone: Fax: E -moil: Expansion tank
IIIIIINIIIIIIB
E'ixiturlsewer cap
Name (print): Flour dratins/f`loor sinks/buts
Gnbage disposal
Mailing address: Hose bibb
• City: �Statc: f. !1P ____` Ice maker •
Phone: Fax: 1E mall Int(xce tor/ tease trap
Owner installation/residential maintenance only: The actual installation Prrmero
will be made by me or the maintenance and repair errs de by my regular 100f drain (commercial)
employee on the property I uwa as per ORS Chapter 447. Sink(s), basin(s), lays(s) '-
Owner's signature: Doe: — Sump
t VCLN F:h:K . Tu s/s nwcr /shower pan
Name: Uri n
- -- ----- Water t�ttset
Address: Water heater .
City: State: ZIP: Other.
Pho ne. rw E -mail: Total yy r
' Nu YI iia:rdatutwl eaep Bede cants. N.ars cilll jueiruesao (« mote in omwlion Mini mom rcc.... i .. . ..... $ J �' d J
!Notice: This permit appointor
U vise 0 MasterCard Plan review (at _ 9b) S
expires if o permit is nut obtained
CreJii card Draper: - -L -.L w ithin in d after it has been State surcharge (8%) •••• $
sainra TOTAL s
Nano
of cardtwidW 4 My.. ail nut:. cod hCr4:Pied as 3r7nlpleta
— • -- — rardtddar urnrlun
$ maw*
o NO aptd <6ADa CM!1
r .6 ,
r7) ®
1 1V o
�J� •
Mar - 06- 0 1 03 : 05P Wolcott Plumbing 503 667 9891 P . 02
03/06101 'I'CE 1 4 :42 FAX 503 598 1960 •
CITY OF TIGARD • .
ft 0 03
•
PLUMBING PERMIT FEES:
r 7 -7 .., , • :. !:-... .:- ....:::.,': ..... • .• , . ..:.: .: TATAU... ". 2 ,40. 1 .k drign.9$ Ami.V L'i : : • . 'i _1 !'•;. ,• '• . • _.„
FIZapitt itle6idUil) - . i i'.:. :.;:giSf!!i :•: ;(14pluilei•ig;PrUmbirifettiqUee•In . :"•:•::i.: '.151C,k '; :• • 'TOTAL: . i
Sink •.1, 16.6) I 6 (0 ".0SO:direllfiiii 0114.1ite•Eri$1.0041: r;i: • ! ,..••aty. .40 .. ,..,-.AmptiNT.
Lavatory
v 16.8) 33 i . foe edvut ...:, - •.• ,.:. ,-. • :.. • . ....• ., ...:::... ...,,- , ..., .
or Tub/Snuwer Comb
i--- ' rP1/ _ %6.6) , 1,9 Two (2) bath .
I _Shower Onty 16.6) Three (31 bath
1 . - .6f Clatel I
9, 16.6) . -....-.............-
. - ■•■•• SUBTOTAL ' ..r; :
nna • • .
Ul 16.6)
1 - . -
8% STATE SIJRCIIARGE ....:•-•.. - • -,1 :1' _..i
Dishwaner I 16.63
16b -•
- L __' PLAN REVIEW ;5% OF SUBTOTAL
- :
Garbage Disposal
. 1— 'TOTAL. - i
Chi
Laundry Tray 16.€0
Washing Machine I 161 . IlMil •
Floor Drairvf lour Sink 2 16.10
3" 1610 PLEASE COMPLETE:
4" 16.10 •
water Heater 0 conveaon 0 like kind 1510 : '!"••;:. ". . • • • .• • !:!'.•.';`,'''' •:. ' :. ::SiI - OUAnti5t by WOrlt: For f peeled_
Gas piping requires a separate mechanical
1 iO '..fbit*e Typee '.i .!::..!:;Nevii ': :441•StieelL. • Repirri , RernOVed/ .
Perna. -
MFG Horne New Ware Service 48.0 r Sink
...
Ml Home New SanrStorm Sewer 46.. 0 , Lavatory _ ,
Tub OT Tub/Shower
Hoe fibs r t/ teAo 3; ty
Combination •
•
Roof Cvallis 10.1.0 Shower OrIty_
--___
Drinking Fountain — 16.iio Water Coast i
...-..—.. ,
Other Fixture — U5 nal : (SpeC1 16.110 —
• --.... Dishwasher
Garbaii Disposal
• Laundry Room T9Y —I
•
Washing Machine
Floor DrainiSink" 2'
---
Sewer - 1st ---- M 55. io irs, V ' r • —
Sower - excr additional 100' ' 461° =Me 4'
- Miler 5..11ViC0 • 111 100 1 ) - 76 )
' 0 MI .0:' Water Heater •
Wa:er Service - each a(iditional 200 46. $0 Other Fixtures
(Specify)
Storm & Rain Drain • 10 100' 1 55. )0
i .
Storm & Rain Drain - each additional 100' 46.40
Commercial Back Flow Prevention Device 46. 40 .
Residential backficw Prevention Cevice• 27.55
Catch Basin 16 60
--i
inspection of Existing Plumbing or Specially - '2 50
Requested inspections peithr COMMENTS REGARDING ABOVE:
Rein Drain. single family dwellIng
1 65 25 wfigal- ---
Grease Traps . 16 60 -.
QUANTITY TOTAL
Isometric or 4Ser diagram is !Squired If I ii
'
Oue .;I;:i.r1.: . ,!::: ..!, .
n itt: "•
....--
'SUBTOTAL .. -...• •• .. . .141, •
• • • • • • - ._
— 8% STATE SURCHARGE ':'• .•: ; - ' L „
PLAN REVIEW 25% OF SUBTOTAL .''' • • '''.1.
, Required 9nry II future c . is , 5
TOTAL • : . • .- •.•1 S
-.' t
* Minifnum puma fin Is I72.50 • a% mare 5kleitZ/91. except Resid tag DeCIOCroi
Prevent:On Device. ',hien is 330.15 I 5% stare ou 'chew.
"AU New commercial BuildIncs require slam with Isometric or rble diagram and
plan !emir.
lAdstsWomisipim-lees.doc 10/10/00 .
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
•
6017 -B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST2001 -00141
•
Date Issued: 4/10/01
Parcel: 2S104DA -08300
Site Address: 13099 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 069
Jurisdiction: TIG
Zoning: R-4.5 -
Remarks: New SF detached rowhouse in Building #6. Setbacks as per sheet A10.10
. Plan BS
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:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6017 -B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 503 - 598 -7565 Phone #: 360- 993 -5080
Reg #: LIC 14 -43216514
ELE 3
suP -24 - C yam/ S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of S pervising Electrician
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
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2001 -00141
Date Issued: 4/10/01
Parcel: 2S104DA -08300
Site Address: 13099 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 069
Jurisdiction: TIG •
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #6. Setbacks as per sheet A10.10
Plan BS
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:
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503 - 598 -7565 Phone #: 667 -1781
Reg #: LIC 23847
PLM 26 -208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature o utho z d Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
PERMIT NO. e,trzool- 00/
EROSION CONTROL INSPECTION REPORT
r R� DATE y-3o -0/ INSPECTOR d-,%-
OWNER/PERMITEE �.*�.tr� e
v ilo•Ps
CleanWater Services SUBDIVISION o ( /10//0 Klrrr.
LOT
Our commitment is clear.
SITE ADDRESS X30 99 .rec..) R /1.
•
APPROVED
FINAL INSPECTION
'.THIS SITE MEETS THE POST - CONSTRUCTION
EROSION CONTROL REQUIREMENTS SET
FORTH IN CLEAN WATER SERVICES
RESOLUTION AND ORDER •
NOTE': IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED
ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S)
MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND
COVER IS ESTABLISHED.
A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED
TO THE NEW OWNER, AT WHICH TIME THE NEW OWNER ASSUMES THE RESPONSIBILITY
FOR MAINTENANCE, REPAIR AND REMOVAL.
OTHER
THANK YOU FOR YOUR COOPERATION!
DATE S -3o INSPECTOR PHONE
. '
a BROWNSTONE r ; r
• �� = ?_ \Arr
Ralph Dougharty
Doughart Construction
I here by certify the Brownstone Homes Lot # LA Bldg
Interior Sheer Wall was done in accordance with state and Local Bldg Codes
& engineering specification.
Signed by �� / j - , / ; , (print)
Sign 1 � �/ �d `� , � ; Date , 3® — Y.5
BROWNSTONE HOMES L.L.C.
12670 SW 68TH PARKWAY, SUITE 200 PORTLAND, OR 97223 PH 503.598.7565 FX 503.598.9081
CCB: 124627
fri3T C t -c +1
■♦••••••••••••••••••••••••••••• ••••••••••••••••••••••••••••i
• ∎-
• ∎=
STREET TREE CERTIFICATION : {
•
• . ,
• .
• .
• ______, .
• I,
\seo'- (»Q_' , Owner /Agent for R JV � o V t W e S ►
• (PLEA,SE PRINT) (PERMIT HOLDER)
►
• ►
•
• ►
•
• _ ►
• Do hereby certify that t A e followin location ►
• meets City of Tigard /Washington County ■'
• ■
• land use and development standards for street tree installation. ■ 1
• ■
• ■
• ADDRESS: � (3 ° I S w ?--'--f"\ o V P L- ►
• ►
• ►
• '1 \AAA 1 ►
• LO T: Co � 1 SUBDIVISION: Q cue. ` \ Cs ■�-J ■
• \ ■
• • BY : Al 30 0 ►
� & DATE: 1 l ■
• � `- 1 ►
1 • \' \ ►
• • RECEIVED BY: _ DATE: ���a / 3 1 ■ ► ■
CITY OF TIGARD BUILDING INSPECTION DIVISION
.t MST (— !'4f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3d AM PM / BLD
Location /3o l ( , OL _ Suite MEC
Contact Person Ph 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:
PAS PART FAIL
PLUMBING
9 j (
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
AS 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
(SITO
Backfill /Grading
Sanitary Sewer A D
Storm Drain 0 , n(� [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin 1 Y
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /
Appro ch /Si ewalk ` g 3 0 / o N �
1/5 r�ev�. Date 1 Inspector Ext
dap P ART FAIL D O NOT REMOVE this inspection record from the job site.
PART 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 7-- (7 0l —The oi q
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2' — > 7 AM PM BLD
Location / 3 6 9 Suite MEC
Contact Person — 774 Ph 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 F ami n g th /Shear I 1.A.-- r ( �� c] _� /� --}� _ r � N - r1 � — v2.,2
g Vj )Y 1 �' �- i G
Insulation ) � $ L , /e \
Drywall Nailing — h - " � .. Firewall r , q.. _ , t C `3 - . -e .. \'‘.2.4.-......f a. -
Fire Sprinkler l�
Fire Alarm (' ,Q.. Qx \ l /1
Susp'd Ceiling R L� �j �
Roof i-,
PASS PART 4015 -`---(. C' . 7 4 .._a_.-e *7-/ --. 1 ,- \--8 d l — `---
PLUMBING _ _ `�>< V
Post & Beam \
Under Slab U C
Top Out
Water Service Q �__�_,
l-bX p O s_41 -' ,- �.,..
Sanitary Sewer , rJ r
rains �C...Q —T Lc,—� �' L (---kA S M/�d�L„,.
ina
7P7� PART AIL LA- // ?l " ^^ -- .
efECHANCA
Post & Beam
Rough In
Gas Line
S ` m�� -
S PART
41
ELECTRICAL
Service -il a 1
Rough In v
UG /Slab n erjzzietp,
Low Voltage C)
ire Alarm Qz
/Fire
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 V / l V 1 Ins ector „I Ui I EX Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 6-4171 MST --1 /41
39
O �� BUP
Date Requested o ') AM PM BLD
Location / '.-0 ? g J Suite MEC
Contact Person / Ph 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 / 4 Misc: / l/ r��� i _ - i .A Ate �! e ✓ r �slJ , s.
Final
PASS PART FAIL CO n / / l b al 8 G /IJCJ� Ai `� ,S / ,
PLUMBING /
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains Final PASS PART FAIL
r\
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P FAIL
LECTRIC
ervice
Rough In
UG /Slab
Low Voltage
Fire Alarm
400 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
Approach /Sidewalk - -6 / Other Dat / Inspecto iA„,„24_,, E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•ti:ITY OF TIGARD BUILDING INSPECTIONbIVISION • MsT 200 ( -do I
24 -Hour Inspection Line: 639 -4175 'Business Line: 639 -4171 ��
BUP
Date Requested ZO AM PM BLD
�Q La Location / D 7 (� 1 Suite MEC
Contact Person Ph 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
// 1116
Post & Beam /
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
na
PASS PART CO
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 26 r�1 (� ( �
Other Date ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION •
I
•
24 -Hour Inspection tine: 639 -4175 Business Line: 639 -4171 MST / -OTC l�
�/ BUP •
Date Requested 2 AM PM BLD
Location d ! , Suite MEC
Contact Person Ph 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:
PASS PART FAIL Sl* PLUMBING
Post & Beam 110
Under Slab
Top Out
) fr(
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
na
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 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARb BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST . GG I
BUP
_Date Requested 7-Z AM PM BLD ?
Location / � U q g A Suite MEC
Contact Person Ph '7 T 3 / 79 PLM
1
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 5e,PAree171 0 -I (A.1 L L (.
Insulation
CnECISWV
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
Final
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 Inspector — ��
Other nsp ec t or E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Liner 639 -4175 Business Line: 639 - 4171 MSw(m - 00 1
/ BUP '
• f !rcequested 7- Z 7 AM ✓ PM BLD
Location 1 .3 0 ?/ CbiaCl � L — Suite - _. MEC
Contact Person pp — Ph 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
Insul n
ailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
6::1P 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 7 'Z 7 6 ( /
Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
, CITY-OF TIGARD BUILDING INSPECTION DIVISION nnsT /al(
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
r7 BUP
Date Requested , / Z > AM PM BLD
Location / s'r/ 7 - !C 4 7 S i Suite - MEC
Contact Person Ph 7(.3- 77/ 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin.
PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PA FAIL
Post eam
h In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm C
Final `-
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer P
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: [ % ab - to inspect - no access
ADA
Approach/Sidewalk Date J � // )"� /Q -/ `r t Inspector n
om _ Ext3 L
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record fro the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
- BUP -
' Date Requested / -- AM PM BLD
•
Location / '3099 5 4-- ,A /- Suite MEC
Contact Person Ph 7,3-5 . PLM
Contractor Ph SWR
BUILD 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
Insulation _
Drywall Nailing �i _ . 4 0111'- . - j. �l�
Firewall
Fire Sprinkler , '� 0 -- er� _ ik
Fire Alarm -
Susp'd Ceiling i A / . WA. _ - _ __ / Roof t� �/ L - N - rt'� C,2 , Misc: •
Final I t
PASS PART FAIL (�S 5 .
PLUMBING e e r
Post & Beam
Under Slab ic L;1-) C ° t 5 O
Top Out ^
Water Service 9,? • � � i u (�j wp.)Q.g-iel
Sanitary Sewer
Rain Drains _ '
Final _ � 1 D' , -
PASS PART FAIL �, l c�.iW
eam V L ! - U
RE. t ' .:l .
Gas Line
Smoke Dampers 7) /� ,y - - C v . ^ � gc ' 5 Q__
Final l
PASS PART 0.4-/ t"� •
ELECTRICAL _ 1
� • U \ a, g1'-k
Service
Rough In g
, L UG /Slab d i �. .. . _ AL
Low Voltage _ k _
Fire Alarm sr - w
Final • �_
CO 5 ' - P((-1
PASS PART FAIL ti�J1
SITE A , � �k � ` tea •
Backfill /Grading � f
Sanitary Sewer t 11 _ C"'C C LI
Storm Drain [ ] i e 'on fee of $ quired befor next inspectio Pay at City Hall, 13125 Hall Blvd
Catch Basin
Fire Supply Line [ ] Ple II for r ' [ Unable o in ct - no access
ADA r
Approach /Sidewalk Date - 7/ -2 - Inspector �/ - /d ) / 7
Other 3 Ext�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
'CITY OF TIGARD BUILDING INSPECTION DIVISION s • 26a--e4/•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�7 / BUP •
Date Requested / —1 7 AM v PM BLD
Location /3099 S w Suite MEC
Contact Person Ph 7 1 1 3 - S77 PLM
Contractor Ph SWR
=julIi ,Ie 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
ami
Insulation
Drywall Nailing
Firewall
Fire Sprinkler A Ii
Fire Alarm / mom i
Susp'd Ceiling
Roof /� •
Misc: I U
Final
PASS PART FAI
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS _PART FAIL
�C�t�41L�
Post -ld-Bean
04/Gas Line
Smoke Dampers
Final
PASS PART Al
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
Otheoach /Sidewalk Date 7/' — 2/ 01 Inspector l/( EXt i 7
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 0.DU /-0G/W
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�-7 BUP
/
• .Date Requested — 1 3 AM PM BLD
Location13 D 9/ Sc7. R4 Suite MEC
Contact Person Ph - 77? -5.6 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 -S r I// (L°
Fire Alarm 0 I I
Susp'd Ceiling h
Roof t� /
&0
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
e •�GGz��
ghln
UG /Slab
Low Voltage
Fire Alarm
1
PASS ART FAIL
SI E
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 � ,� 0
Approach /Sidewalk '` -
Other Date Inspector e�� E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • • " te '
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
FOIST a/ •Gl � �� _ ;4
BUP
• Date Requested AM PM BLD
Location / 3 0 9 $ c - /r� ¢�.,� Suite MEC
Contact Person Ph - 7 17 r/ 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 /
Post & Beam
Under Slab
Water Service
Sanitary Sewer
:ns
Final
PASS PART FAIL
' ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
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
Other
oach /Sidewalk Date 7 — /o" 4 Inspector pc �c
� �/ �2?f0e. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
• r CITY QF . TIGARD BUILDING INSPECTION DIVISION - = zl
MST l - / ( •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested - 2-4 AM PM BLD
Location / 30? /2 Suite MEC
Contact Person Ph 793_- X 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
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P T FAIL
Post & Beam
Rou
Smoke Dampers
nF•
P S PART FAIL
LEC ICAL
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 CO tI t E ' ` ' J h Dat e Inspector l ` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
��CIYI( OF T IGARD- BUILDING INSPECTION DIVISION
•
MST �� /- riL�4 •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 1
BUP •
Date Requested �p- 7 2-- AM PM BLD
Location / 3 P 9 $ w # ! i ) 4 — h Suite MEC
Contact Person Ph79.? 22 7 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
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
ain rains
al
ASj 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 FF
Approach /Sidewalk Date - 7) 22 � Inspector ` InS '% // t . / V . Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF'TIGARD BUILDING INSPECTION DIVISION • • • I � i�- � i� � • /
- 24- Hour'Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ? Z_ AM PM BLD
Location / 30 U 5 � � 4 � �v,� � P / Suite MEC
Contact Person Ph 7 f 3-5 777 PLM
Contractor Ph SWR 11
UILDIN�j Tenant/Owner ELC
'Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
c!-3
earth /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �v� MST 20Z)1 — ObY3.
Fire Alarm
Susp'd Ceiling
Roof
Miser
Final
PASS 421210 FAIL
PLUMBI
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
Other oach /Sidewalk Date (c122 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CID'( OF TIGARD BUILDING INSPECTION DIVISION �
' _ •
24 -Hour Ihspection Line: 639 -4175 Business Line: 639 -4171
MST cr��/
BUP
Date Requested 6( 7 AM PM BLD
Location l qg SGU Ettpfi -•Ld Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UIL G 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
Fr
nsul • A
rywall Nailing Wt
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS FAIL
PLUMBI .
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: [ I Unable to inspect - no access
ADA & /,, Inspect or Approach /Sidewalk Date /13/tV Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
..1• • CITY OF TIGARD BUILDING INSPECTION DIVISION • • • nn � /� Mr' •
24 Inspection Line: 639 -4175 Business Line: 639 -4171
BUP '
Date Requested �� AM PM BLD
Location /30 95 - �r`j��, / 2l Suite MEC
Contact Person Ph 7 3 ' 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
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation eGr `oc ,�. !
ireire wal �� �� T�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
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
Other oach /Sidewalk Date L Inspector krY Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r. CITY OF TIGARD BUILDING INSPECTION DIVISION • • • : MST / • •• Col ( �,
24 -Hour Inspection Line: 619 -4175 Busing Line: 639 -4171 `
BUP
. Date Requested ' -$ AM PM (-4 '�� BLD
Location f 307 Suite MEC
Contact Person Ph /l3- S PLM
Contractor Ph / SWR
�sU1LD 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
D all Nailing
- at ,
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUM 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
Other oach /Sidewalk Date Ci )( Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
t.
•
• •''CITY•OF T1GARD BUILDING INSPECTION DIVISION • • • • M S T ' 'i ' u,t / .
24 -Nowt Inspection Line: 639 -4175 Business Line: 639 -4171 '
BUP
Date Requested 5 3 ' AM • PN6 e••••••*".... BLD
Location /.30,2 Sc.. � ���� 7Z Suite MEC
Contact Person Ph 7,3-S 7'7 / c 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
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
D.. all Nailing
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
F • A- • PART FAIL
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 fo reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date LJ ,
Other Inspector 7-)
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
, ' • CITY or TIGARD BUILDING INSPECTION DIVISION •
eU =oU/ y�•
•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ,
JBUP
Date Requested AM PM • BLD
Location /3 a 9 9 Suite MEC
Contact Person Ph 793 — s ' 7 7 , PLM
Contractor Ph SWR
BUILD _ 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mis
Fi I
AS 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 [ ] 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 Dat 0 - 2 — / 8 Inspecto 4' E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• . "'CCI1 GU ARD BUILDING INSPECTION DIVISION • • • zU I 6 (- V.
2•VHour Inspection Line: 639 -4175 Business Line: 639 -4171
. .Date Requested 5 (r AM PM
BLD
Location / 3d 99 9 5" 2J 7 J2-e Suite MEC
Contact Person Ph 7f 3 -5 7 7 y PLM
Contractor Ph SWR o?ool- Gvv6-(e
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 �, Q / `Q r
Framing 6L-C/ /`-'
Insulation r �(
Drywall Nailing A l'� C S \
Fire Sprinkler I _ c i
Fire �^
Sp ��2 \�/ •
Fire Alarm
Susp'd Ceiling
Roof
F
Final
inal
PASS PART FAIL ` n p �
Post
Beam
c� ` t ry �-- A•,
& Beam
Under Slab
Top Out
at- ern -
Rain Drains
Fi
PART FAIL
CHANICAL
& 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 �j .
Ext
Other
Approach/Sidewalk he ¶/1 b I Inspector ' _ Ex
Dat r
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• . CITY, OF TIGARD BUILDING INSPECTION DIVISION • • • • ' • 1..
24 -Hour Inspection Line: 6394175 Business Line: 639 -4171
•
BUP
‘.Date Requested - AM � PM BLD
Location /3 0 f St,✓ R4 Age- 77 / Suite C? MEC
Contact Person Ph 75 - 7 7 y 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
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
41:01711 - /r'■
Fin
ASS 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 Date �/ 0/v Inspector ` Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
. CIT-Y OF TIGARD BUILDING INSPECTION DIVISION • •
MST, 1a U/ �//
. 24 -100r Inspection Line: 639-4175 Business Line: 639 -4171 '
/ . BUP
Date Requested 5 - r AM • PM CA/ BLD
Location / : 0 Yf 54-1. 17/ Suite MEC
Contact Person Ph 753- S 7 7 PLM
Contractor Ph SWR
(BUIUJNG Tenant/Owner ELC
Relaming 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
D ailing
ire Sprinkler f/ ( / !� (2
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS i g FAIL
PLUMB
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 > f � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• ; La CITY OF TIGARD BUILDING INSPECTION DIVISION _ • '
• 2& -Nods Inspection Line: 639 -4175 Business Line: 639 -4171
,/ BUP
Pate Requested `� — 3 U AM PM BLD
Location / 3 0 9 S w • � 4 , -- P / Suite MEC
Contact Person Ph 7 3 ' 7 2 7 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
v Footing Access: FPS
Foundation
Ftg Drain
Crawl Drain Inspection Notes:
SGN
• st & Beam
SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing 'V� t
L
Insulation
Drywall Nailing Cirne r l \s2—r
Firewall
Fire Sprinkler w -..?
Fire Alarm
Susp'd Ceiling i
Roof .d I �/� ►S 2c0 00 l d')
anal
PASS ZIP FAIL
PLUMB!
Post & Beam
GUI/Under Slab Top Out 7 /1 – rid ✓ (4 �� � � U G. ✓_ D C.
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 A / i Inspector Ex;
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• �
. BUILDING PERMIT
CITY Of TIGARD PERMIT #: BUP2001 -00107
DEVELOPMENT SERVICES DATE ISSUED: 3/28/01
=' 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 13021 SW RAPTOR PL PARCEL: 2S104DA -07600
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: •62 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FND FIRST: sf N: S: E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST:
AREA SEP. RATED: FIRE RET?
OCCUPANCY LOAD:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
BSMT ?: MEZZ ?: READ SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:' ''
Remarks: Foundation permit for Building #6 Lots 62 63, 64, 65, 66, 2 •; ,3
Owner:
Contractor:
BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC
12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY
TIGARD, OR 97223 PORTLAND, OR 97223
Phone: 503 - 598 -7565 Phone: 503 -598 -7565
Reg #: LAC 124627
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt F iat Inspection
PRMT CTR 3/28/01 $62.50 27200100000
5PCT CTR 3/28/01 $5.00 27200100000
EROS CTR 3/28/01 $40.00 27200100000
ERPC CTR 3/28/01 $13.00 27200100000
(additional fees not listed here)
Total $133.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 work is suspended for more
than 180 days. ATT = TION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. ose rules are set forth StionsRo OUNC by calling {503246198 952-001-1987. You
may obtain a copy o 1 ese rules or direct q
i.
Pe rm !tee
l oo k
Sig - ure:
• . #- .∎.1-.
. • 9 -4175 by 7 p.m. for an Inspection the next business day
CIS OF TIGARD BUILDING INSPECTION DIVISION .
` �'j .L�!/J`�(f'
24- Hqur Line: 639. -4175" Business Line: 639 -4171' • •
BUP • '
• Date Requested y - Z S AM ' PM , 1 BLD
Location / 31 5 `I`S4/ Lei✓ 77/ Suite MEC
Contact Person Ph 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 &C C--e- � `/j
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling >
Roof
Misc:
Final
PASS PART FAIL
for BUIT13
csi & Beam
er SI
��✓C
Water Service
Sanitary Sewer
Rain Drains
74:5) 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
Otheoach /Sidewalk Date / 7_,S /U\ Inspector '\ EXt J ,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.