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Permit
• A ` MASTER PERMIT CITY OF TIGARD PERMIT #: MST2001 -00024 , DEVELOPMENT SERVICES DATE ISSUED: 2/20/01 � II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15309 SW REGENT TERR PARCEL: 2S111 DA -10900 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7 • BLOCK: LOT: 102 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: 4 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: 4 VALUE: $ 185,481.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,023.00 sf REAR: 30 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: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 1 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: 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 8, STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,946.13 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP 12755 SW 69TH AVENUE #100 12755 SW 69TH AVE #100 Tigard other Municipal Code, State work k w l b Specialty Codes and done a PORTLAND, OR 97224 TIGARD, OR 97223 all other applicable laws. All work will be done i 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 #: LIC 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 Post/Beam Mechanical Mechanical lnsp Framing Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall lnsp Rain drain lnsp Plumb Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insi Water Line Insp Final inspection Foundation lnsp Footing /Foundation Drs Electrical Service Low Voltage Appr /Sdwlk Insp Building Final Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Fireplace Electrical Final 1 Issued By : Permittee Signa • e • /_-4....E \ / //' Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next b iness day • 77QSr 0 / -11—al W R a.aoi'- o ' . Building Permit Application . Datereceived: (' 0 Permit I :sra(jdl -00x7_ . ,, City of Tigard �! -' -�•. _.. ` Project/appl.no.: Expire date: City ojTigard 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: 18c2 family: Simple Complex: AMEN TYPE OF PERMIT e1 & 2 family dwelling or accessory CI Commercial/industrial 0 Multi- family IC New construction . 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkledalarm 0 Other. JOB SITE INFORMATION Job address: (s' 3 a - c r„(t) . , Bldg. no.: Suite no.: Lot •, _ Block: Subdivision: ' 4) L•- aD O P'. Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST ' 112E e. 30 14 (Flootiplain, septic capacity, solar, etc.) • rrt1117Erer44 1 & 2 family dwelling: City: 0 s v . , State:0 4 ZIP: 9'7 Valuation of work 4 4 1 9 . 0 . Phone: .42,0 ; 'c f b = j Gtr E-mail: No. of bedrooms/baths • _ .1._ Ownea's representative: �t:6.7 11 °L.-EDP-N.1 Total number of floors 2 • Phone: C27,0 5' 'ax: S t'$fip0 E - mail: . New dwelling area (sq. ft.) .Zo t 3 APPLICANT Garage/carport area (sq. ft.) y ea • Name :„„ . „ 0 v Covered porch area (sq. ft.) Mailing ad • : c a. , — _ , - Deck area (sq. ft.) me ,rw Statep ' ZIP: - __ _ Other structure area ( .. ft.) Phone: ;. 0 ; e , -.1 var • d E-mail: CommerdaIIhadastrtsUmalti faintly: • CONTRACTOR Valuation of work $ Business name: Z 0• Existing bldg. area (sq. ft. �� ��� . New bldg. area (sq. ft.) Address: ha. 7 , ' ' • Number of stories Stated ' ZIP: `17a2� Type of construction ... a. a i 01011 �� � • i'ri E-mail: CCB no.: `+ b p -/a Occupancy group(s). ' g: • New: City /metro lic. no.: 7 Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under • Name: D / j provisions of ORS 701 and may be required to be licensed in the Address: 4ffifai jurisdiction where work is being performed. If the applicant is City: d f- o , Stater ZIP 9 7_ exempt from licensing, the following reason applies: Contact person: i , . : A , y.de - Plan no.: Phone:4, 2 'i evd OHM= E-mail: ENGINEER Contact person: Fees due upon application $ • Address: ' - 0 • , ,/` d. • Date received: • ZIP: q 74-1 Amount received $ Phone: • - p. Fax: E -mail: ' Please refer to fee schedule. I hereby certify I have read and examined this application and the • Not all imistiedom accept credit ore,. please call Jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this cm= CI MasterCard work will be complied-with, whether s • ified he • or not. Credit Card number: Expires Authorized re: • - ii/- i ,.., I : 1 — / I -,r>/ Name of cardholder as shown on credit card $ Print name:/ P7 j�f 9/ /ry/ / Cardholder signature Amount Notice: This permit applicati6n expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (&OOKKOM) a . . -., . . Electrical Permit Application • Date received: Permit noirti $7o o / - ;u.' 1 ti City of Tigard Project/appl. nos Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: [ Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement X New construction O Addition/alteration/replacement 0 Other: 0 Partial JOl3 SITE INFORMATION Job address: /,S - p Y emu! 4 - 7 • Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: p _ Block Subdivision: 1„ lyC Project name: Description and location of work on premises: Estimated date of completion/inspection: C'ONTRACIOR APPLICATION FEE SCHEDULE ' Job no: Fee Max Business name: . / s Bea on MI (ea.) Total no. ins Newredtal dei- or muld-famBy Address: _ • � . dweutng�Inehdnattached garage� IFESLI Stater) ! I I ' . g `_MI Servlceinduded: Phone- – " O CZENIWI - mail: 1000 aq. ft or less • 4 Cr.: Flamm ' Elec. bus. lic. no: Each additional 500 sq. it. or .. rtion thereof M I MUM _ - �r �/r limited residential ra zy m7; i��ii f Limited energy, non-residential _ _ _ 2 r �7 � . -- a ' a Each manufactured home or modular dwelling III a ■ _ er . .1 r : -. is . g el- ..clan ( -. u• - • Date Service end/or feeder 2 License o: Q Ai Sen[cesor[eedarn- imtallation, Sup. elect. name (print): i / , I in alteration or relocation: 111 .■ 2 PROPER I 1 OWNER 200 or less Name (print): ., , , , , - I I amps to 400 amps _ III. _ 2 • Mailing address: 401 amps to 600 amps • M 2 - 601 amps to 1000 amps MIME • 2 • ."i Over 1000 amps or volts _ _ _ 2 Phone: 6010 i 3 Fax:s ,i; i- E -mail: Reconnect only _�_ 1 Owner installation: The installation is being made on property I own Temporary aenicen or feeders - which is not intended for sale, lease, rent, or exchange according to tog>uteration,orreloafon: ORS 447, 455, 479, 670, 701. 200 amps or less 2 Owner's signature: /�° -- � � �1 201 amps to 400 amps =NM 2 Owner's gnature: V O� :Li, a : ■ : 401 to 600:.. M M _ 2 F I N L E R Branch 'clradts- new, alteratlon, Name: / R or extension per panel: A. Fee for branch circuits with purchase of Address: - — • - / , - service or fader fee, each branch circuit 2 City:,. - Alliffligill Stategr, ' ZIP9'7 „ M B. Fee for branch circuits without purchase Phone: • G . - p � Fax: E -mail' of service or feeder fee, first branch circuit 111111 2 . • Each additional branch circuit ME _ _ I'LAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps - commercial 0 Health -care facility Each p .. , or litigation circle III ■ ■ 2 O Service over 320 amps - rating of 18x2 0 Hazardous location Each signor outline lighting _ _ _ 2 family dwellings 0 Building over 10,000 square fat four or Signal circuits) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* • . 2 Cl Building over three stories ' 0 Feeders, 400 amps or more *Demi , don: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable In any of the above: O Egress/lightingplan O Other. Per inspection __ Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all judedicdom accept credit cards, please call Jmisdicdoo for mote Information. Notice: This permit application Permit fee $ Cl Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: I / within 180 days after it has been State surcharge (8%) .... $ Expi"' accepted as complete. TOTAL $ Name of cardholder as shown on credit card 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.......................--..........- '$76.00 Service included: Items 4. (FOR ALL SYSTEMS) Cost Total 4a. Residential - per unit . Check Type of Work Involved: 1000 sq. ft. 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.--...-...-............................ $76.00 200 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 .2 Chedk Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. ❑ Audio and Stereo Systems 4d. Branch Circuits • 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 dtcult $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits • • without purchase of service ❑ or feeder fee. -- ' Fire Alarm Installation First branch circuit $46.85 • Each additional branch circuit $6.65 _ ❑ HVAC 4e. Miscellaneous (Service or feeder not included) ❑ Instrumentation • • Each pump or irrigation circle _ $53.40 ❑ Each sign or outline righting • $53.40 Intercom and Paging Systems Signal circult(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Contror Minor Labels (10) $125.00. . 4f. Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 .0 Nurse Calls Per hour $62.50 • in Plant $73.75 ❑ Outdoor Landscape Lighting* 5. Fees: ❑ Protective Signaling Sa. Eder total of above fees $ • 8% Surcharge (.08 X total fees) $ ❑ Other Subtotal $ Sb. Enter 25% of fine Sa for Number of Systems Plan Review If required (Sec. 3) S _ i Subtotal $ • No licenses are required Licenses are required for all other installations I ❑ Trust Account # FEES: • i Total balance Due $ , ENTER FEES $ 8% SURCHARGE (.08 X TOTAL ABOVE) S TOTAL . $ • Mechanical Permit Application Date received: ' Permit n604 .5 row /- tervay _ " ' City of Tigard Project/appl. no.: Expire date: City o gard 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: Building perinit no.: TYPE OF PERMIT f dc 2 family dwelling or accessory O Commercial/mdustrial O Multi- family 0 Tenant improvement ew construction : 0 Addition/alteration/replacement . ' 0 Other. • .1 Olt SITE INFORMATION COMMERCIAL VALUA'T'ION SCHEDULE . Job address: 1' / e & 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: O.2_ I Block: I Subdivision:`(- -oi /k *See checldist for important application information and Project name: _ jurisdiction's fee schedule for residential permit fee. City/county: ; rgavra/ ZIP: q 7.2.1zi• 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE . Description and loh of work on premises• 1N U COM \•I ER I CAL /INDUSTRIAL EQ U I PSI ENT S C I i ED ULE Fee(ea.) Total Est. date of completionfmspection: Description Qty. Res. only Res.only Tenant improveme . r change of use: • HVAC: Air handling unit CFM • Is exis ■ , : space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required) Is e ' , g space insulated? Cl Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler/compressors . 'I , State Boller permit no.: Business name. , IB K/ HP Tons BTU/H Address: „7� s f /0(5 Fire/smoke damuers/duct smoke detectors City: v . SLOW ZIP: 9 , Heat pump (site plan required) Phone: f3 - 7) Fax: 3 7/ E -mail: • . • : ['rep ace -er aY , urner : t -` Including ductwork/vent liner O Yes 0 No CCB no.: y/? / 3 J Install/replace/relocate heaters - suspended, City/metro lic. no.: j 0. 74. • wall, or floor mounted Name (please print): Doi) C, Vent for appliance other than furnace Refiigeratlon: CONTACT PERSON Absorption units BTU/H • Name: Pp�n cc - Co o Chillers HP _ mp HP Address: ,g q4' cr& /Qlr Favl[onmantal exhaust and ventilation: City: Pej•z /�., o / • `State :OQ IZIP: 9'.ZJ' Appliance vent Phone. -77 Faxg,sa -o L I E-mail: Dryer exhaust . Hoods, T yrpe U II/res. kitchen/hazmat hood fire suppression system Name: t -p ,ply/ D/Y) 0 S Exhaust fan with single duct (bath fans) . • Mailing address: � 7.) - ft"" '4 - Exhaust system apar•from heating or AC ' Fuel piping and distribution (up to 4 outlets) City: Stated, ' ZIP:9 - Type: LPG NO Oil Phone• -' _. i j� �jr �i E-mail: Fuel , • , ing each additional over 4 outlets • • ENGINEER ' ' - - • piping (schematic required) Number of outlets . • . Name: / - /.P G ` Other listed appliance or equipmentr • Address• 9l y c // `, Decorativefireplace City: t � � N S tate: ( ZIP: �- type , Phone: toot `% 7G'j' I Fax: E-mail: Woodstove/pelletstove Other. Applicant's signature: , a/i, - -_ . . . ' •: I -/' - a/ : Name (print): ?e7 /rlv/eit - _ Not all iiuladiedam accept aedit cards, . -. - call jurisdiction for mom ��oo. Notice: t This lication Permit fee $ O vtsa [MasterCard Ix� app Minimum fee $ expires if a permit is not obtained pl review (at _ %) $ C,eait card ember: Ex within 180 days after it has been • a ccepted as complete. State surcharge (8 %) .... $ Name of cardholder as shown on credit card TOTAL $ $ Amount 440 -4617 (600/COM) Cardholder signature . ■ • Commercial Schedule 1842 Family Dwelling Schedule • ASSUMED VALUATIONS PER APPLIANCE • Description Furnace to 100,000 BTU Table IA Mechanical Code aY Price Tow including ducts 8 vents 955 1 ) Furnace to 100.000 BTU Induding duds & vents 14.00 Furnace > 100,000 BTU 2) Furnace 100.000 BTU* ve induding duds & vents 1,170 3) including duds a "' 17.40 ace Including vent • 14.00 floor furnace 4) Suspended heater. wa6 heater Including vent 955 cr f oo mounted heater 14.00 suspended heater, wall heater. 5) vend not included In apptiance Pew 6.80 • or floor mounted heater 955 6) Repak unto 12.15 Vent not induded in appliance permit 445 Chedt For r H it i° °r-1 °.' 'tidier Heat on ems 7 -10, see or Pump Coed Qty Price Total Repair units 805 footnotes 1.2 comp - 7) 4HP; absorb unit to < 3 hp; absorb.unit 100K STU 14.00 to 100k BTU 955 1 00k to 5 BTU u 25.60 • 3-15 hp; absorb.unit 9) 1540 HP; absorb • uni.5- 1miSTU' 35.00 101k to 500k BTU 1700 10) 30-50 HP; absorb • unit 1 -1.75 mil BTU 62.20 15-30 hp; absorb.unit 11) >5011P; absorb u118>1.75 ma BTU 501k to 1 mil. BTU 2310 87.20 , 12) Alt handling unit to 10,000 CRd 30-50 hp; absorb.unit 10.00 _ 1 -1.75 mil. BTU 3400 13) Air handing unit 10.000 CFM+ vso • > 50 hp; absorb.Unit 14) H°"-p°ttaw° evaporate cooler t000 > 1.75 mil. BTU 5725 15) Vert fan connected to • single duct 6.80 Alr handling unit to 10,000 cf m 656 16) Verteation system not induded an appliance permit Air handling unit > 10,000 cfm 1170 - 17) Hood sewed by mechanical exhaust 10.00 Non - portable evaporate roller 656 1000 18) Domestic incinerators vent fan connected to a single duct 4.46 17.40 PP permit 19) Commerdal or Industrial type incinerator Vent cyst. not Included Ina appliance rnit 656 69.95 Hood served by mechanical exhaust 656 20 ) Other units. Including wood stoves 10.00 Domestic Indnerator 1170 21) Gas pig one to for outlets 5.40 Commerdal or industral indnerator 4590 22) More than 4-per outlet (each) wood stoves, Inserts, etc. 656 1.00 Other unit, induding Minimtsn Permit Fee $72.50 SUBTOTAL i MK Gas piping 1-4 outlets 360 • 6% SURCHARGE Mal 11 • PLAN REVIEW 25 %OFSUBTOTAL .= ".". <::.::_ . Each additional outlet 63 commercial Regtdred for ALL commercial permits only i � _ .' _ . TOTAL MUM Other Inspections and Hew I. Made: Gan outride drums, budreaa hats prenknun dsrge4eo hour`) $7210 per how 2. aspedbas Matadi no lea b spedsaM tedkated (mnbaen dmge4ra9 tau) $72.60 per her Total Valuation Fee a. Adman' plan dsrges .additions wrevisionsteplans(mini un durgemwte U hone) 572Q0 per how `State Contractor Baler CereOadon required $1.00 to $5,000.00 Minimum $72.50 - ae,aemal /VC req ires site plan snaring placement d unit $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 e. $742.00 for the first $50,000.00 and $1.20 • for each additional S100.00 or fraction ' thereof ' . Plumbing Permit Application City of Date received: Permit no.v/K'g0D/-"CrOO,P ' , , Citf Tiga A4- Sewer permit no.: • Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 6394171 Prolect/appl. no.: Expire date: Fax: (503) 598 - 1960 Date issued: By: I Receipt no.: • Land use approval: Case file no.: payment type: TYPE OF PkI1f111T 4 1 8c 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family CI Tenant improvement blew construction 0 Addition/alteration/replacement : .0 Food service 0 Other. • JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address:/s2.0 j f IZ P t 7—.m, Description Qty. Fee (ea.) Total Bldg. no.: i Suite no.: New 1 - and 2- family dwellings only: ' . Tax map/tax lot/account no.: M 100 g. for each atllttyconnedlon) SFR (1) bath • Lot: /d Block: I Subdivision: SFR (2) bath Project name i" -tJ Cap f PPv .- K_ SFR (3) bath City/county: --/-,--. 0,,,,,:‘,/ I ZIP: ' 7 24 Each additional bath/kitchen Description and IoEation.of work on premises: Siteutltles:.. • Catch basin/area drain Est. date of completion/inspection: Drywells/leach line/lrench drain • PLUMBING CONTRACTOR Footing drain (no. lm. ft.) Manufactured home utilities Business name: (,JO/ Ca 4- f /um ; n� Manholes Address: ? U+ B a k a Qa 7 Rain drain connector City :6 /'QSf10//01 IState:oA I ZIP: 9 70 Sanitary sewer (no. lin. ft.) Phone: GG 7 -/7 / I Fax: GG 7-9',// I E -mail: Storm sewer (no. lin. ft.) • CCB no.: � 38 I Plumb. bus. reg. no: oFi'.2p8,$ Water service (no. lin. ft.) City/metro lic. no.: Fixture or Item: Absorption valve . Contractor's representative signature: P0., I 2 ) - • • cn Back flow preventer '-- Print name: e - n2 d an d Date: Backwater valve CONTACT PERSON Basins/lavatory Name: 6 /or t a, Clothes washer Address: po R o i-a oa 7 Dishwasher s ty ( ' rATAof � 27 I SOK 1 9 ZIP: •:.0311 - Ejectors/sump � (s) Phone: ., - ,' - Fax: E -mail: Ex , on tank - OWN ER Fix ' sewer cap Name (print): Z ,o 040/ )1 41 Lai' Garbage sinks/hub Mailing address: / 7,j-3' d- li'ial-17 bb posal City: por/ - an ,/ • State: a 4. 123P: 97.2 Ice maker Phone: 6„20 m Sei I Fax: f Jt I E -mail: Interceptodgrease 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 CM:, 447. S rnk(s), basin(s), lays(s) • Owner's signature: ? e - c - - . i; - I." f -o/ . Sump F \ G IN LE R Tubs/showedshower pan Name: , y , /,.6,11 ' Urinal Water closet Address: G 96 9. tZlll , 3 •12 Water heater City: °P"} a/ I state��(I �: 9 7 0�� other. • Phone: 42 _ )pow {Fax: I E -mail: Total Not all Jurisdictions accept meat , p eau am j for more inferma8m T h i e Notice: s permit application Minimum fee $ O Visa O MasterCard expires if a p rmit is not obtained Plan review (at %) $ Ciedit card rumba: Eapir / within 180 da after it has been State surcharge (896) .... $ Name of cardholder as shown on meth* care accepted as'complete. TOTAL $ $ Cardholder signature Amount 440-4616 (61001COM) • • PLEASE COMPLETE• : FIXTURES (individual). :sty. : ?, "� ;Total fixture Type Quantity by Work Performed Sink 16.60 New Moved Replaced RemovedJCappw Lavatory 16.60 Sink Lavatory - Tub or Tub/Shower Comb. 16.60 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 Garbs Disposal 16.60 Laundry Room Tray 9 p Washing Machine Laundry Tray 16.60 Floor Drain/Floor Sink T • Washing Machine 16.60 4 3. ' - Floor Drain/Floor Sink 2' • 16.60 Water Heater Other Fixtures (Specify) 3' 16.60 4' 16.60 • Water Heater 0 conversion 0 like kind • 18.60 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 Stonn & Rain Drain -1st 100' 55.00 Storm & Rain Drain - each additional 100 46.40 Commercial Back Flow Prevention Device • 46.40 • Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Insp. of Existing Plumbing or Specially Requested 72.50 • Inspections per/hr Rain Drain, single famiy dwelling 65.25 Grease Traps 18.60 QUANTITY TOTAL .: y ;' - ' • Isometric or riser diagram Is required If Quantity Total is > 9 *SUBTOTAL ':' • 8% SURCHARGE "'PLAN REVIEW 25% OF SUBTOTAL • • Required omty r ibdure qty. total is • 9 % i; Y TOTAL J -•• { • ;;'. • 'Minimum permit fee b $72.50 + 8% surcharge. except Residential Baddlow Prevention Devoe, which Is $3625 r 8% surcharge. • "AO New Commercial Buildings require plans with Isometric or riser diagram and plan review. • • • • 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 #: IVIST2001 -00024 Date Issued: 2/20/01 Parcel: 2S111 DA -10900 Site Address: 15309 SW REGENT TERR Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 102 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 AVENUE #100 21785 SW TUALATIN VLY HWY #C PORTLAND, OR 97224 ALOHA, OR 97006-1249 Phone #: 503 -620 -8080 Phone #: 503 -648 -4552 • Reg #: Lic 121159 SUP 3707S ELE 34 -305C AN INK SIGNATURE IS REQUIRED ON THIS FORM • X Signature of u ing Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1,6 - - do ©Of• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP &s P Date Requested /L AM PM BLD Location �S S 4 f U 7/ Suite MEC Contact Person Ph PLM Contractor Ph SWR ILD Tenant/Owner ELC Re aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam at Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi : ',61711 PART FAIL PL MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PAAS__ FAIL i'IECHANIC6L Post &Beam • Rough In Gas tine Smoke Dampers 'al S PART FAIL CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final - PASS PART FAIL SITE BackfilUGrading Sanitary Sewer Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date -/ �� Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - CITY OF TIGARD BUILDING INSPECTION DIVISION MST —cea7J* 24 -Hour Inspection Lines 639 -4175 Business Line: 639 -4171 !Z BUP Date Requested (b/( Y' AM PM BLD Location ! C 9 TP44) Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILD 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 Insulation 0' � Drywall NailingT `' Fire wall 'X4 X' C at c- .«/G.- 4/� Fire Sprinkler ®� �� Pt � T�7i✓Q.. Fire Alarm �I �TN ,�� Susp'd Ceiling �U f , ^ l /, � Roof L) 0 L) k€ A° ✓r AJ F 7�N C.t�1 Misc: tp ( 'ASS PART ` Lo be, Q - �r. A-T L- Q, ' PLUMBING tS N67 cz, Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS RT FAIL ECH AL - Post & Beam • Rough In Gas Line � ke Dampers Fi PASS PART 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 / p � 1 Approach /Sidewalk D (0/ 1 'i ('f ( Inspector /� E Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TI BUILDING INSPECTION DIVISION MST - 40 , 40/ — 6907 24 -Hour Inspection Line: 639 -4175 Business Line: •639 -4171 BUP 1,7,6 Date Requested Wig' A M PM BLD Location /6 S(.tl (R 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 Fire wall A- n Fire Sprinkler C( Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL cECECT- Service Rough In UG /Slab Low Voltage Fire :farm , Fiff� 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 Other oach /Sidewalk Date 1� �. O / Inspector Ext 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: 639 -4171 MST 7�Q11 7/ BUP Date Requested 60// - 2 AM PM BLD Location `5 1 g 71 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain ✓ "JS'> 1-2 t✓ o o J 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 PART FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain % rains dam' 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA �! ! _ el RIB ,e Approach /Sidewalk Date �/ / — O / Inspector � • Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r T TY OF TIGARD BUILDING INSPECTION DIVISION / 4.0.-...7--- / 24 -Hour Inspection. Line: 639 -4175 Business Line: 639 - 4171 MST1.�� - 'U ) CZ r / BUP ' Date Requested €(...-7., AM PM v BLD o:'' Location / 5-3 u f S w gefr -1- . Suite MEC Contact Person / OG✓"- Ph ,'2Z -0 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 �f S Misc: —�� (/ Final P ASS PART FAIL 7 0 t 4, cJ 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 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 reinspe ion RE: [ ] Unable to inspect - no access ADA oach /Side Date 2 /� 1/7 Inspector �,` �f Ext PART FAIL DO NOT REMOVE this inspection record from the job site. �.� A CITY OF TIGARD BUILDING INSPECTION DIVISION J MST jp/ Z 14 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested c/ AM PM BLD Location /5 . 541 Ay..i4Jlfl�'' Suite MEC Contact Person / Ph 5 Ff G`f'g3 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing X11 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi ePAS,V 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 � V Other Date / Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 ) —� Z c( 24-Hour Inspection.Line: 639 -4175 Business Line: 639 -4111 // BUP , Date Requested 7" AM PM BLD Location JJ 3 0 9 5& /c -e 7 Suite MEC Contact Person Ph v -33 7e) PLM Contractor Ph SWR BUIL N@� 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 /S�r ra nsulation Drywall Nailing 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 /7 / Other D a t e ( Ins pector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CtT1( TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST Y C) BUP Date Requested i f d ' AM PM BLD Location /5-3 ° y 5 w f*�g.. Suite MEC Contact Person / Ph 5 8 , OT 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 . d / C Fire Alarm r Susp'd Ceiling C1 Roof Mis � ) 1 7 er d U. V 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 ELEQIR1 L _ •ug n UG/al • oltage Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before •ectio• ay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: I Unable to inspect - no access ADA f � pgjr. Ot her Dat �/ Inspecto Approach /Sidewalk _ �/, _� E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ,e �6�-U Db Z 24 -Hour Inspection. Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested Y " AM PM BLD Location / 5:3 Sw e frees Suite MEC Contact Person / Ph 7€f' 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 rami C 5-t72.a/7 cAliAbti g (4--,3c11) Insulation Drywall Nailing 2 • Firewall Fire Sprinkler AM/L. Fire Alarm Susp'd Ceiling ir Lc- 14 v YeL f - r� � . ! G �> ' Ag - TtS Roof Misc: 4A Sd L/i�, ,z 42cc iL Final PASS ART FAIL A 791 alS' 77 05— i r Fo/L /S'GtrLi' S PLUMB Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL EC ost & Beam Smoke D . mpers Fi r• AS PART FAIL CTRICAL 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 y- - /P — d/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - "CITY'OF TIGARD BUILDING INSPECTION DIVISION MST 0 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4 71 ! BUP ' Date Requested '7 / 1 AM PM BLD Location /573o 7' )e ,-1y.,a.„� T�-� Suite MEC Contact Person // Ph ;-. 7— 3370 PLM Contractor Ph SWR CRi n 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 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 PASS PART FAIL <PECAOZeits Post Beam 0 rZiEgtbo 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 — /7 - 0/ Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • C 'CITY OF TIGARD BUILDING INSPECTION DIVISION 3f)6 MST 2 e/a--(- 4 °'z- 24- HoMr'Ins' ection.Line: '639-4175 Business Line: 639 -4171 4--/ BUP Date Requested 3 AM PM BLD Location (53 G 9 S iv R- .4., Suite MEC Contact Person Ph 7 l 7?/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation ( J_ 9 4- d � rem FPS Ftg Drain v 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 �v PASS PART FAIL t -A✓ CP L_ UMB Post & Beam Under Slab 0 ater Service Sanitary Sewer Rain Drains Fi Amp PART FAIL �. NICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE - 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 ,�c3`6 / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITY'OF TIGARD BUILDING INSPECTION DIVISION MST • s mo 24 -Hour Insaection Line: • 639 -4175 Business Line: 639 -4171 BUP -- Date Requested /61/ AM PM BLD Location Suite G MEC t. Contact Person Ph o PLM Contractor Ph SWR BUttD1NG , Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT heath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Misc: Fin y ASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ECH st 8 Beam Rough In Gas Line Smoke Dampers Final t , 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 — n — d / Inspector , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • CITYOF TIGARD BUILDING INSPECTION DIVISION MST • fy -D v� U Z 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ` Date. Requested 3 - ' AM PM BLD Location /573 0 7 5 w Ry - ? — 'e - 'y' � 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 Under Slab Top Out Water Service Sanitary Sewer Rain Drains W ART FAIL ICAL 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 11 Other h /Sidewalk D 3 (, t / fl / In c Other Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. • QTY OF TIGARD BUILDING INSPECTION DIVISION Mss ��•�� Z �( 24 -liour Inspection Line: • 639 -4175 Business Line: 539 -4171 BUP Date Requested Z Z r AM PM BLD rw. Location 15 G P 54/ 1 Suite MEC or, Contact Person Ph lj f 4 3 / PLM Contractor Ph SWR UILDI Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS F Inspection 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: Fi • PART FAIL B Post & Beam Under Slab Top Out F' ASS 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 ate � Ext l Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �CITY` TIGARD BUILDING INSPECTION DIVISION /2-7op 1 ' �' 2- 24 -Hour Inspection Line: 639 -4175 Business Line: 639-41 MST G�� / BUP Date Requested JZ / AM v PM BLD Location / C 3 09 56v yet C�-1 �-� t/ Suite MEC Contact Person / Ph 7s3 - S7 ( 7 PLM Contractor - Ph SWR B Tenant/Owner (A14/ / i"7"" 1/ 4 ELC Retaining Wall ELR Footi Access: 4 - FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation tat'// �/ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: F . PAS 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 Approach/Sidewalk Other Date Inspector / ' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection recor. . from the job site. - '01 AF TIGARD BUILDING INSPECTION DIVISION j •24 - Wour Inspection Line: 639 -4175 Business Line: .639-4171 msT � /fie 6 - e � BUP • Date Requested O` " -2 4 AM PM BLD • Location X53 09 ,SG1/R -�Gl ",may/ - Suite MEC Contact Person / Ph 713- 5 / 7 PLM Contractor Ph SWR Tenant/Owner (/ /4i, /24-• ELC Retaining Wall ELR oo,:•• Access: - • undation 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 j7PART 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 Other Date 2- Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.