Permit A ' CITY OF TIGARD MASTER PERMIT
'PERMIT #: MST2001 -00099
641111 DEVEL 639 -4171 DATE ISSUED: 3/21/01
SITE ADDRESS: 15255 SW REGENT TERR PARCEL: 2S111 DA -10600
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 099 JURISDICTION: TIG
REMARKS: S/F Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.054 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 969 sf GARAGE: 480 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 9
VALUE: $ 185,481.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,023.00 at REAR: 26
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 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: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 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: 1 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: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 801 • 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner Contractor TOTAL FEES: $ 3,865.13
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes and
12755 SW 69TH AVE #100 12755 SW 69TH AVE #100 all other applicable laws. All work will be done in
TIGARD, OR 97224 TIGARD, OR 97223 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 60563 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' PosUBeam Mechanical Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins Rain drain Insp Plumb Final
Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing /Foundation Dn Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final
Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final 4 z
Issued By : Permittee Signature •� / `i
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
_SS 25I are T S W Dot - ovp5S
, A . Build 1, e - 0
L issued: received: 3 ( 0 ( Permit no.: poi y
ii:'j,�'. Cit of l assay u I ei
X1,1- '1 ct/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd Tigard, OR 97223
Phone: (503) 639 -4171 . By: R e ce
Fax: (503) 59 8-1960 Case file no.: Payment type: • Land use approval: • l&2 family: Simple Complex: v /
TYPE OF PERiIIT
liid & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family laNew construction . 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkiedalann 0 Other.
3011 SITE INFORMATION
Job address: ( _ l - = Bldg. no.: Suite no.:
Lot • . Block: Subdivision: y''�L _ ffi��l_?tW� Tax map/tax lot/account no.:
Project name: M
Description and location of work on premises/special conditions: �o ' 0 i _
OWNER FOR SPECIAL INFORlMATION, USE CIIECIiLIST '
CM 1110M ,f,
_� /Q "
(Floodplain, septic capacity, solar, etc.)
„ . : : _ I & 2 family dwelling:
City: 0 & . J/ State:0' ZIP: `!7 G Valuation of work $ (R.c C.IS 1
Phone: . ' ,'off r ;, -.t Gl3 E -mail: No. of bedrooms/baths • _3___ 3
Owner's representative: 'fees HIDE..-E.30--1 Total number of floors Z
• Phone: 02.0 - cist, ax: Si- t-V-10O E -mail: . New dwelling area (sq. ft.) 7r) 2 - 3
APPLICANT Garage/carport area (sq. ft.) 4gt
Name: Covered porch area (sq. ft.)
.. Ay 0 z . Deck area (sq. ft.) •
Mailing ad. s: A - 4, - '
�P� t ,i StateV ' ZIP: - Other structure area ( .. ft.)
i E - mail: CommerciaUindastriailmultl- family:
Phone: O p r , "• �
CONTRACTOR Valuation of work $ •
Existing bldg. area (sq. ft.)
Business name: Z 0• .,- pll(/ - New bldg. area (sq. ft.)
Address: /a.7� , ,
• Ci Stated ' ZIP: `r 7adt Number of stories
�"• o' Type of construction
Phone- . D 1 '.' .i/•i E-mail: Occupancy group(s): • ring:
CCB no.: Al b p — 63 New:
City/metro lid no.: 7 _ Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: , • f provisions of ORS 701 and may be required to be licensed in the
Address• • jurisdiction where work is being performed. If the applicant is
qty. exempt o Stater ZAP: 97_ exempt from licensing, the following reason applies:
Contact person: A , , : $ - Plan no.:
Phone:4„20 %O(a WifirMFM E -mail:
ENGINEER
M IIMEIMPAIMIll Contact person: Fees due upon application $ _ '
, Date received: •
ZIP: f 77-2 Amount received $
Phone: . 4, Fax: E -mail: • Please refer to fee schedule.
I hereby certify I have read and examined this application and the • Not all jurisdictions accept credit cads, please can jurisetcdon for mom information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied. with, whether s - ified he in or not. Credit eard number —L _L_
Expires
Authorized I • - ij. - vii D : .■ ♦ Name of cardholder as shown on credit card
$
Print name a y / cardholder siguame Mwimt
Notice: This permit applr if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (610OJCOM)
Plumbing Permit Application
Datereceived: Permit n5445
:;,y; City of Tigard
.� 1�• � Sewn 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: I Receipt no.:
• Land use approval: Case file no.: Payment type: .
TYPE OF PERMIT
1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
(clew construction 0 Addition/alteration/replacement , Food service 0 Other:
• JOB SITE INFORMATION FEE SCHEDULE (for special Won ratioil use checklist)
Job address: .( SAS j 6vi Description Qty. Fee(ea.) Total
Bldg. no.: I Suite no.: New 1 - and 2- family dwellings only:
Tax map/tax lot/account no.: Ondudes100 g. for eachuWityconnedlon)
SFR (1) bath
• Lot a q 'Block: I subdivision: SFR (2) bath
Project namel_.�y,) Cat) fJh� K., • - SFR (3) bath
City/county: / r q (ZIp: Ti 4. Each additional bath/kitchen
Description and Io6adon,of work on premises: Site Wades: .. .
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
PLUMBING CONTRACTOR Footing drain (no. hn. ft.)
Manufactured home utilities •
Business name:
60p/ Co p / iu , ,i f Manholes
Address: p0 B o oZ DO 7 J Rain drain connector
City:a / SA aim I Statez9A I ZIP: 97, Sanitary sewer (no. lin. ft.)
. Phone: GG 7 — /7 / I Fax: GG 7-9/1/ I E-mail: Storm sewer (no. lin. ft.) .
CCB no.: �, 2 ? 7 I Plumb. bus. reg. no: a f kopBP$ Water service (no. lin. ft.)
City/metro lic. no.: Fix a or Item:
. Contractor's representative signature: Poy I • t Absorption valve
Back flow preventer
Print name: A - /)2 d on Backwater valve
CONTACT PERSON Basins/lavatory
Name: 63 fo r cr.. Clothes washer
Address: po g d *4(90 7 Dishwasher
City: alp A r/�io'2dJ I S�OR I ZIP: 4 . 3d E >3 � g Ejectors/sump
'
l p
Phone: 6 „ - ; - Fax: E -mail: Expansion tank • •
OWNER Fixture/sewer cap
Name (print): i
a 1-10 / p - Floor drains /floor sinks/hub
Mailing addres 7,375 Ch.- G �J Garbage disposal
City: Von t- d state: o lQ. 17 97-2 Here aker Ice maker P h o n e : G - I Fax: d - R2 - I 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 per ORS 447. d Sink(s), basin(s), lays(s) •
Owner's signature: ZO I Sum
Tubs/shower/shower pan
Urinal
Name: , rri Water closet
Address: h1.4 1 ) &p wl, 44 Water heater
City: °Q"s art/ I State; I ZI YJJ , Other: ••
Phone: 10 - 1,.:) Eli - Fax: I E-mail: Total
•
Not an jmi m etio aooept credit card:, please call J for more information Minimum fee $
0 Visa 0 MasterCard Notice: This permit application Plan review (at %) $
Credit card number: / / expires if a permit is not obtained State surcharge 896 ... $
within 180 days after it has been ( )
EXpireS
accepted aicomplete. TOTAL $
ted a
Name of cardholder s credit shown on edit card p p _
S
Cardholder signature Amount 440 -4616 (61001COM)
•
•
•
PLEASE COMPLETE•
• :FIXTURES (individual). :`s ;Qly.:• ;Total Fixture Type Quantity by Work Performed
Sink 16.60 New Moved Replaced RemovedlCappe.
• Lavatory 16.60 Sink
Tub or Tub /Shower Comb. 16.60 Tuvatory
Tub or Tub/Shower Combination
Shower Only • 16.60 Shower Only
Water Closet . .16.60 Water Closet
Urinal
Urinal 16.60 Dishwasher
Dishwasher 16.60 Garbage Disposal
Garba Disposal 16 60 Laundry Room Tray
9 P Washing Machine
Laundry Tray 16.60 Floor Drain/Floor Sink 2'
Washing Machine 16.60 4 3-
'
Floor Drain/Floor Sink 2' .. 16.60 Water Heater
3' 16.60 Other Factures (Specify)
4' 16.60
Water Heater 0 conversion 0 like kind • • 16.60
Gas piping requires a separate mechanical permit.
MFG Home New Water Service 46.40
MFG Home New San/Storm Sewer • 46.40
• COMMENTS REGARDING ABOVE:
Hose Bibs 16.60
Roof Drains 16.60 -
Drinking Fountain 16.60
•
Other Fixtures (Specify) • 21.75
Sewer-1st 100' • - 55.00
•
Sewer - each additional 100' • 46.40 """...""� •
. Water Service -1st 100' • 55.00
Water Service - each additional 200' 46.40 .
Storm & Rain Drain -1st 100' 55.00 •
Storm & Rain Drain - each additional 100' 46.40
Commerdal Back Flow Prevention Device 46.40 -
Residential Backfiow Prevention Device' 27.55
Catch Basin 16.60
Insp. of Existing Plumbing or Specially Requested 72.50 •
Inspections per/hr
• Rain Drain, single family dwelling • 65.25 -
Grease Traps 16.60
QUANTITY TOTAL ;,� = Fz; =�; • •
lsometdc or riser diagram Is required if ouantly Total Is s• 9
*SUBTOTAL ; ,i:? h
. 8% SURCHARGE , `
"PLAN REVIEW 25% OF SUBTOTAL yti$rs� :i
Required only If fixture qty. total ls >8 . rx.S c==t: ^:;. •
TOTAL >
•
•
'Mlnlmum permit fee Is 372.50 + 8% surcharge, except Residential Beddow Prevent ion
Device, which Is 33825 + 8% surcharge. •
"AII New Commercial Buildings require plans wars isometric or riser diagram and plan review.
•
•
• i Mechanical Permit Application -
leo Date received: Permit no. ca aro 99
_, lli t City of Tigard Project/appl. no.: Expire date:
City of Tigard
Address: SW Hall Blvd, Tigard OR 97223 Date issued: B I Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 - 1960 Case file no Payment type:
Land use approval: Building permit no •
TYPE OE PERMIT
.I� & 2 family dwelling or accessory 0 Commercial/ industrial 0 Multi - family 0 Tenant improvement
l New construction 0 Addition/alteration/replacement ..D Other
• .JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: (S 5 o w pi r Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: - profit. Value $ .
Lot: £c, (Block: I Subdivision: 4 ) a 43/C *See checklist for important application information and
Project name: „gu / .may(. jurisdiction's fee schedule for residential permit fee.
City/county: ,' r .. . f ZIP: it • 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and 1• ;on of work on premises: ND COMMERICAUINDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res.only Res.only
Tenant improvem • r change of use: - H /AG.
Air handling unit CFM •
Is exis ; ■ : space heated or conditioned? D Yes 0 No _ Air conditioning (site plan required)
Is ' . • . g space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CON "IlL1CTOR Boiler/compressors
State boiler permit no.:
Business name: / , h9Gd HP Tons BTU/H
Address: ,,7 r e Jecr il i' Fue/smoke dampers/duct smoke detectors
City, o I $�� Z[p: f 7 0 ? Heat pump (site plan required)
Phone: 7 7 Fax: 76 9 3 E -m ail: �reP1ace fiunace/burner BTU /H
• an o� .3 Including ductwork/vent liner D Yes D No
CCB no.: y / 3 J Install/replace/relocate heaters -suspended,
City/metro lic. no.: j oZ 7 /. • • wall, or floor mounted
Name (please print): Don a. Vent for appliance other than furnace
Refifgetad
CONTACT PERSON Absorption units BTU
Chillers HP
i7O/7 ji C{ Co HP
Address: „z sjj4 cI' /Q mvlrontneutal exhaust and ventflatlon:
City: Pa, 6 of • `State: DQ I ZIP: f 7A.13 Appliance vent
Phone., -77,s, Faxo4,s73 3 E - mail: Dryerexhaust
• • • , _ ..: i t /res. . , azmat
01VN1:R hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing Exhaust system apart heating or AC
g address: e2 J - 7 tom Fuel piping and di ibutlon (up to 4 outlets)
City: s r 4 State ' ZIF:9 A.& Type: LPG NG Oil
- . �
Phone: ,. , a, r jk , 'oi E -mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Number of outlets
Name: /: /, G h Other listed appliance or equipment:
Address: G 94 N .-/j Decorativefireplace
City: . .- - a State: ZIP: Insert-type
Phone: too? - Gin Fax: E -mail: Woodstovelpelietstove .
im, - .
Applicant's signature: p, , /t // I: : ' Mt, 1 Other.
Name (print): Pe7 /rh„%y / / Permit fee $
Na all luciaatcaam accept aemt Cards. ' eaa *MI= for more infnrn atica‘ Notice: This permit application Mi fee $ •
Credit card Pisa O MasterCard expires if a permit is not obtained Plan review (at _. 9b) $
cr J s within 180 days after it has been • •
Expire surcharge (8%) .... $
Name of as shown on au& card $ accepted as complete. TOTAL $
Cardholder signature Amount , 4404617 (6A0IC014)
.
Commercial Schedule
•
• 1&2 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE •
T
Furnace to 100,000 BTU TaW Code
Including ducts & vents • 955 1) Furnace to 100.00° BTU Price TOE
induding duds & vents 14.00
Furnace > 100,000 BTU 2) Furnace 100.000 BTU+
inducting Induding duds & vents 1,170 3) Floor Furnace & vents 17.40
• floor furnace Including vent 14.00 •
4) Suspended heater. wall heater
induding vent 955 or floor naurded heater 14.00
suspended heater, wall heater. 5) Vent not Included in appliance permit 6.80
or floor mounted heater 955 6) Repair units 12.15
Chedt all that apply. - 'Boiler Heat Air
Vent not included in appliance permit 445 For Items 7 -10, see • or Pump Cond oty Price Total
Repair units 805 footnotes 1,2 Comp -
7) 4HP; absorb unit to
< 3 hp; absorb.unit • 100K 8TU 14.00
8) 3-15 HP; absorb unit
. to 100k BTU 955 io0k to soak BTU 2560
3-15 hp; absorb.unit 9) 15-30 HP; absorb
• unit .5-1 mil BTU • 35.00
101k to 500k BTU . 1700 10 ) 30.50 HP; absorb
•
unit 1 -1.75 mil BTU 52.Y0
15-30 hp; absorb.unit • 11) >50HP; absorb rnu >1.75 m8 BTU
501k to 1 mil. BTU 2310 ' , 8720
12) Air handling unit to 10.000 CRS
•
30-50 hp; absorti.unit 10.00
13) Air handing unit 10.000 CFM+
di
1 -1.75 mitt. BTU 3400 17.20 .
> 50 hp; abSOrb.Unit 14) Non-portable evaporate cooler
10.00 •
> 1.75 mil. BTU 5725 15) Vent tan connected to a single dud
6.80
Air handling unit to 10,000 dm • 656 16) Verdlallon system not Included in
appliance permit •
Air handling unit > 10,000 cfm 1170 17) Hood mechanical exhaust 10
• �
Non - portable evaporate caller 656 1000 •
. up Domestic mdnerators
vent fan connected to a single duct 446 17.40
19) CormerJal or Industrial type incinerator
Vent sysL not induded In appliance permit 656 69.95
Hood served by mechanical exhaust 656 20) Other f units, including M1°od stoves
10.00
Domestic indnerator 1170 - 21 ) Gas piping one to tour outlets
5.40
Commerdal or Indust-al indnerator 4590 22) More than 4-per owes (each)
Other unit, including wood stoves, Inserts, etc. 656 1O0
Minimum Parmk Fee 172.50 SUBTOTAL : .. wag
Gas piping 1-4 outlets 360 • 8% SURCHARGE
Each additional outlet 63 PLAN REVIEW 25% OF SUBTOTAL
'Required nrmW
red for ALL "'-0 . T . :; -
'R
. TOTAL MINI
Other Inspedims and Fee=
1. Inspections outside et normal business hours (einknre charge-two lours)
' 272.50 per hour
' 2. Inspections for eeidi no lee Is spedaaay kdlated (minimum d.ngedwahour)
Total Valuation Fee _ a O�la p l r eview requited w changes. additions or revisions to plans palhtn m
dwrye.en6• W41272.50 per hour
• 'State contractor tioaer Ceen:albn terminal
$1.00 to $5,000.00 Minimum $72.50. Reaaeam NC rep'r6n sae plan showing ptaan'ent of 'ma
•
• . $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
each additional $100.00 or fraction thereof;
to and including $10,000.00 . •
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54
for each additional $100.00 or fraction
thereof; to and including $25,000.00
•
$25,001.00 to $50,000.00' $379.50 for the first •
$25,000.00 and $1.45 .
for each additional $100.00 or fraction
thereof; to and including $50,000.00
•
$50,000.00 and up k $742.00 for the first $50,000.00 and $1.20
. for each additional $100.00 or fraction •
•
• thereof .
• •
. A Electrical Permit Application
Date received: Permit noj(41 7 Zi /— 91
_, i j; 4 1! City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family ❑ Tenant improvement
y i New construction 0 Addition /alteration/replacement . • 0 Other. 0 Partial
JOB SITE INFORMATION
Job address: (5255 -SW t Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot a 'Block: subdivision: • PL. P/ Zi<'
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: gee Max
Business name: (p O 0 Q e b , ,. Description Qty. (ea) Total no. Imp
pp - New te l- singleormultl y per
Address: .2 9 if JAI q 7U dwelling unit. lndtdes attached garage.
City: 4 I, h FStateo4 I ZIP: 9 e'4 Seriafnclnde k
Phone- 5/ — / j) I Fax: GV — 7t mail: 1000 sq. ft or less 4
C : • • o.: / A L.5 1 I Elec. bus. lic. no: 8y 613 C Each additional tion l 500 s residential or portion thereof 2
sty Ii:' , i' • • C'i • , 3 7' Limited energy, non - residential i 2
t IP7UWI T � / (11 • ff1 • Each manufactured home or modular dwelling
• • - • supervis g el- .•'ciao (required) Date Service and/orfeeder 2
Sup. elect name (print): t✓ , Ls I . I 1.4.. License no:370 5 Services or feeders— Installation,
alteration or relocadom
l'ItOPERTY OWNER 200 amps or less 2
N a m e (print): L 4/Q9 4 Ar „' 5 261 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 7 A 70 „flit.) G -)4Z---¢ ,e-- 401 amps to 1000 amps 2
/rout` a S ZIP: p
City:
� I rate�t3.e 971..x.3 Over 1000 amps or volts 2
Phone: GaO V10 I Fax:EV I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to Installation, alteration, ortehreation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
Owner's signature: V O p'( 201 amps co 40o amps 2
/
•
401 to 600 2
Branch circuits - new, alteration,
/ or extension per panel•
Name: r r , C A &l ay r • A. Fee for branch circuits with purchase of
Address:476 # 0 . 740 / yp service or feeder fee, each branch circuit 2
Crty:g7" ei /id
I State I ZIP:0)7 B. Fee for branch circuits without purchase
Phone: -6 � — p., Fax: E of service or feeder fee, first breach circuit 2
• Each additional brands circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not lnduded):
O Service over 225 amps - commercial O Health-care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 18'2 0 Hazardous locadon Each signor outline lighting 2
family dwellings O 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, orexteasion' 2
O Building over three stories O Feeders, 400 amps or more *Description:
O Occupant load over 99 persons CI Manufactured structures or RV park
Each additional inspection over the allowable In any of the shove:
O Egresstightingplan O Other. Periaspecdon I 1
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
'Nei all Jurisdictions accept credit cards, please call jurisdiction for tame Inhumation. Notice: This pemiit application Permit fee $
O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: I / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
s Cardholder signature Amount , 440.4615 (600ICOM)
•
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
4. Complete Fee Schedule Below: -
Number of Inspections per permit allowed Restricted Energy Fee......................--...........- $75.00
Service included: Items Cost Total 4' (FOR ALL SYSTEMS)
4a. Residential - per unit Check Type of Work Involved:
1000 sq. fL or less $147.15 4
Each additional 500 sq. ft. or ❑ Audio and Stereo Systems
portion thereof $33.40 1
Limited Energy $75.00 ❑ Burglar Alarm
Each Manirfd Home or Modular •
Dwelling Service or Feeder $90.90 2
❑ Garage Door Opener"
4b. Services or Feeders
Installation, alteration, or relocation ❑ Heating, Ventilation and Air Conditioning System*
200 amps or less $80.30 2 .
201 amps to 400 amps $106.85 2 ❑ Vacuum Systems'
401 amps to 600 amps $160.60 . 2
601 amps to 1000 amps $240.60 • 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only • $66.85 2 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
4c. Temporary Services or Feeders '
•
Installation, alteration, or relocation ' Fee for each system.........» ..... ». ». »�. »._. $75.00
200 amps or less $66.85 2 (SEE OAR 918-260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 . Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. ❑ Audio and Stereo Systems
4d. Branch Circuits V
New, alteration or extension per panel ❑ Boiler Controls
a) The fee for branch circuits -
•
with purchase of service or ❑ Clock Systems
• feeder fee. -
Each branch circuit $6.65 2 ❑
b) The fee for branch circuits Data Telecommunication installation
without purchase of service • ❑
. or feeder fee. -- • Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit $6.65 ❑ HVAC
4e. Miscellaneous
(� or feeder not included) ❑ Instrumentation •
Each pump or irrigation circle $53.40 •
Each sign or outline lighting • $53.40 ❑ Intercom and Paging Systems
Signal circuits) or a limited energy ._._,
panel, alteration or extension $75.00 Landscape Irrigation Control•
Minor labels (10) $125.00
V 4f. each additional inspection over ❑ Medical
the allowable in any of the above ❑
Per Inspection $62.50 Nurse Calls -
Per hour $62.50 - •
In Plant $73.75 ❑ Outdoor landscape Lighting*
5. Fees:. ❑ Protective Signaling
5a. Enter total of above fees $ -
8% Surcharge (.08 X total fees) $ ❑ Other .
Subtotal • $
1 bb. Enter 25% of line tia for • Number of Systems
Plan Review if required (Sec. 3) $
• Subtotal 3 • No licenses are required. Licenses are required for all other installations
I
I El Trust Account 8 • FEES:
T otal ba lance Due $ • • ENTER FEES $
8% SURCHARGE (.08 X TOTAL ABOVE) $
TOTAL V $
•
•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TUALATIN VLY HWY #C
ALOHA, OR 97006 -1249
Electrical Signature Form
Permit #: MST2001 -00099
Date Issued: 3/21/01
Parcel: 25111 DA -10600
Site Address: 15255 SW REGENT TERR
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot: 099
Jurisdiction: TIG
Zoning: R -7
Remarks: S/F 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:
LEGEND HOMES GARNER ELECTRIC
12755 SW 69TH AVE #100 21785 SW TUALATIN VLY HWY #C
TIGARD, OR 97224 ALOHA, OR 97006-1249
Phone #: Phone #: 503 - 648 -4552
Reg #: L1C 121159
SUP 3707S
ELE 34 -305C
AN INK SIGNATURE IS REQUIRED 0 THIS FORM
X ik
Signature of S pervising Electrician
•
If you have any questions, please call (503) 639 -4171, ext. # 310
•
- -sye
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��1)/ 6 f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7-1 3 AM PM BLD
Location / S Z) Sc'- �y -71-444y" Suite MEC
Contact Person Ph 5P 9 PLM
Contractor Ph SWR
Tenant/Owner ELC
Re ing 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
* 4-111114 " fl
FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
final yj,¢
PART FAIL
hECTRICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 7 -/? - d/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Zu,A-ed 099
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7- / Z AM PM BLD
Location /.> 1•
' 5'l Z��r Suite MEC
.s _ G9Z
Contact Person Ph �� � PLM
Contractor Ph SWR
BUILDI Tenant/Owner ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Sv PQj 1/2z 004 LA) t, AS A lfei�,:,
Insulation
Drywall Nailing &E1,/,47 Ta — E / , , i ALGA,
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling.
Roof
Misc:
anal
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
M
Post & Beam
Rough In
Gas Line
Smoke Dampers
(Finn
"P ASS PART FAI
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.
/173
C, TY OF TIGARD BUILDING INSPECTION DIVISION MST 290/ = i 4 6
•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7--f/ AM PM BLD
Location l) Z fl srti Suite MEC
Contact Person Ph S (s %.&> PLM
Contractor Ph lj 3) 7o 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 LL / "� /
Misc: — � C_/� Imo / C / �/ 4 ) a0/4) - v1AQ
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
TRIO
Service
Rough In
UG /Slab
Low Voltage
Fire larm
PASS ART FAIL
SI I t
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
I nspector Approach /Sidewalk
Other D ` / — v / I Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job .site.
•
CITY OF TIcARD'BUILDINQ INSPECTION DIVISION
MST • Oy� - 0 *?f
• 24 -14our Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 74P AM PM BLD
Location l rZ 5�✓ -� 9-�-✓� 77:,. r✓ Suite MEC
Contact Person Ph -5 Y • Z3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ACC ss:
Foundation / FPS
Ftg Drain 'p I -2 t/�oo r.„94 -
Crawl Drain Insp Notes: SGN
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
in Drains
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 / � 0 0/ Inspector 7 r // II Ext
Other Date
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• 3,a , - p .
CITY OF TIGARD BUILDING INSPECTION DIVISION
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST / ° r �
BUP
Date Requested � � AM PM BLD
Location /5 5 7 5 - Q / y - rev" Suite MEC
Contact Person Ph c5# G l 2-3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ��., (- c -'n d /' �j +'{ fe SGN
Crawl Drain InsOeEtion Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear / t
Int Framing th hear !) C e( p e 7 c / / C. 414 c
Insulation
Drywall Nailing �����/ f f (� �rler � �•e�,
FirewaII
Fire Sprinkler Of S sled / /( A. 4- is 1 —eCk h4 •
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Finals
""BA PART AIL
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 (J
Other Date Inspector __ ( ��G�`�. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT 2riil — ?�
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested i 3 AM PM v BLD
Location / 4!0 / _ f-rr✓ Suite MEC
Contact Person P9 Pnf PW) Ph S7 Z '9 Z J 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 (5-0 C PASS PART FAIL ✓ 1
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
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
1ach/Sic A /M
Date Inspector ` � �� � 5 ik
Ext 4
Fi
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
;CITY,, OF TIGARD BUILDING: INSPECTION DIVISION MST �vJ— • •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S- AM PM BLD
Location / S Z sm S G✓ ac.. 6 ,�� Suite MEC
Contact Person / Ph )ff O Q Z3 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
ramin •
g ig oreir•T•
D rywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
ASS PART FAIL
LWMBING
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 S /1 — 01 Inspector Other p Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•-■ CITY OF TIGARD BUILDING:INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5— AM PM BLD
Location /3 S - � y..�,J t-�✓✓ Suite MEC
Contact Person Ph a07— 3 37v 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 & Beam
Ext Sheath /Shear
Int Sheath /Shear 64-41
Sc�'v/li: EL6 crier ✓�L 6 G f o� 'ii -cE
0
Drywall Nailing 4-.0 C 3 , - _ . - S — 2_ for s rz
Firewall
Fire Sprinkler C s) v* 4 i 74 aq
Fire Alarm
Susp'd Ceiling ev ��� � 4 -7 a. /1 -t.-/t 147.A-(71.4= r"7
Roof
Misc: ( �J � ��� • I e y - 72G.1
Final
PASS ART FAIL
PLUMBIN
Post & Beam
Under Stab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
hlou
Smoke Dampers
Final
P PART FAIL
ELECTRICAL
Service
Rough In
. UG /Slab
Low Voltage
Fire Alarm
I 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 55— a / Inspector
Other / - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CY OF TIGARD BUILDING INSPECTION DIVISIO
tT `
24- Hour @ nspection Line: 639 -4175 Business Line: 639 -4171 MST 4)I- 0 • 0 1 ?
BUP
Date Requested .g AM PM BLD
Location /) Z- 5 J Sri R-/7 -,- - Suite MEC
Contact Person Ph ,‘_ / '% 78/ 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
LOMB
Post & Beam
Under Sla o e 7 r i'Z UG c°B o
c re...0t,er Service
ci
Sanitary Sewer
Rain, Drains
1 4:01300 PART FAIL
M - ' 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
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] 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 C pl/ S
Approach /Sidewalk
Date - 5--- 4 05--- e , / Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspec o ecord from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 7 60 1 - 61 "4 �f
24- Hbur,lnspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM 1 PM BLD
Location / _ (-c 1 Suite MEC
Contact Person Ph 20 7 - 33 7v 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 iy L/ f '
Fire Alarm O / '12.' �+
Susp'd Ceiling �� r A
Roof
Misc: k 6
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service to
Sanitary Sewer / )
Rain Drains AILS 6`1 ) r -
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTRIC
,� CGuCti
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS ART 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 I� Q /
Approach /Sidewalk
Other Date v 16v - Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• • 'CITY y OF TIGARD•BUILDING INSPECTION DIVISION MST � tiW . -0 u
• 2441 Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP
Date Requested 5 ? AM PM BLD
Location /5 5 S S c„ R ,, ,,,.,A 7- yy Suite MEC
Contact Person / Ph 6 c 7-..-7 7k/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC r - .
Retaining Wall ELR
Footing Access: '3l 5 �& J
Foundation / ` I f S . w_ � 5 �� \ FPS
Ftg Drain 1. V/� l 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 • • ' T FAIL
PLUMB! ► t�
/ 77'''....--
- Fos & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drain A) 0 � Av �- "— S a �7
Final ' AP
PASS VVia
MECHA Mr/
Post & Beam -
Rough In
Gas Line
Smoke Da pers
Final
PAS PART FAIL r
Ol
ELE ' TRICAL
90A jjj11— . ,.... ------ Lf Se ice
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 4 a Z / 5
Approach /Sidewalk Date
Other .� ® 7 ' v ( Inspector Ext
nspeco
Final
• PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CJ OF, TIGARD BUILDING INSPECTION DIVISION • MST 2 Gv 9
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1-/- .30 AM PM BLD
ZS¶ S � y
Location / � � w ° Suite MEC
Contact Person Ph 7- (7f/ 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
I Fire Alarm
Susp'd Ceiling •
Roof
Misc:
Final •
PASS PART FAIL
Post & Beam
lab
op 0
Water ervice
Sanitary Sewer
Rain Dreins
Fin
P4SS :141. RT FAIL
ME na CAL •
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 reinspect ' n RE: . _ [ ] Unable to inspect - no access
A Yel
Approach/Sidewalk
Other Date nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,.01,TY.OF TIGARD BUILDING:INSPECTION DIVISION •
MST 10/-000 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ti — 7 AM PM BLD •
Location / , Z - $ 5A, Rt.�
, Tyr►- Suite MEC
Contact Person / Ph 2G 337 9 PLM
Contractor Ph SWR
�$UILDIRGI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Pos -11
=.9Ts751 �!
Int Sheath /Shear
Framing I i .. �. %l ii.� i a
Insulation
Drywall Nailing Tb r=te y,.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS BART ) 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 V Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CI.TY TIGARD BUILDING:INSPECTION DIVISION MST _��/ •
?-��
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 '
BUP
' Date Requested '9 � AM PM BCD
Location / S Z CS Sc✓ 6e,e „ y -.,may. " Suite
MEC
Contact Person Ph ‘7 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
Pos -1..
r
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
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 fo reins. -ction RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D "i In spector C Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING:INSPECTION DIVISION •
• 24 =Hour lrlsipection Line: 639 -4175 Business Line: 639 -4171 MST u -00( •
� too
• BUP •
• Dade Requested `7 ' J AM PM BLD •
Location / 52 S J S L �-� %�.1 �-n"' Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Pos
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
' PASS PART FAIL
M CHANICA
Rough In
Gas Line
Smoke Dampers
PART FAIL
E RICAL
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 p
Approach /Sidewalk Date 7/7570 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
►,
CITY. OF TIGARD BUILDING:INSPECTION DIVISION -
MST c PO —.ed ° ?
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 4
' Date Requested AM Z.4 )`{ PM
BLD
Z S5 Sc✓ Suit MEC � Location / 1
Contact Person Ph q (/‘ 3 / PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
awl D - Inspection Notes:
a. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
( 6 PART FAIL
NG
Post & Beam
Under Slab
Top Out
ewer
sans
iI -I
11'},■■ 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 1 1i U Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• ,' Li
•
- ` CITY•OF TIGARD BUILDING INSPECTION DIVISION MST ?� -�—. y
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
2 BUP •
Date Requested 3 — z6 AM PM BLD
Location /5" L S �S �✓ ,f,7. j��r� Suite MEC
Contact Person / Ph IO r G,� l Z 7 / PLM
Contractor Ph SWR
Tenant/Owner 0 ' 0 14-'1 ? G,,, L ELC
Retaining Wall i� ELR
Footing Access: FPS
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:
Fin
.ASSI 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 D — g G — 6 / Inspector Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
, c17,4 0 ' ° • • +
Cox OrTIGARD BUILDING INSPECTION DIVISION '
24)-loyr Inspection Line: 639 -4175 Business Line: 639 -4171
MST 0
BUP • •
•
• Date Requested 3' Z 3 AM PM BLD
Location / 5 1i 5 S w r'✓ Suite MEC
Contact Person PrtA Ph ?�v Z 7 PLM
Contractor Ph SWR
UILDING Tenant/Owner PU1-."- / 9 O cn ELC
Retaining Wall ELR
undation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall I
Fire Sprinkler /
Fire Alarm
Susp'd Ceiling
Roo
Mi c:
F' al
PASS PART FAIL
PLU ING
st & 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
Other 0 ( Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.