Permit .. A a CITY OF T'IGARD MASTER PERMIT
4 �` ,4, DEVELOPMENT SERVICES PERMIT # • MST97 -0320
t ell DATE ISSUED: 10/22/97 '_ 13125 SW Hall Blvd., Ti Tigard, OR 97223 503) 639 -4171
PARCEL: 2S109AB- 06300
SITE ADDRESS... :13063 SW STARVIF_W DR
SUBDIVISION -FORAN ZONING: R -7
BLOCK LOT :005 JURISDICTION: TIG
Remarks: SF - Path 1
- ------- -- - - -- BUILDING --------------- - ---- -- -
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 629 sf REQUIRED SETBACKS - - -- REQUIRED------- - - --
CLASS OF WORK. :NEW HEIGHT : 35 FIRST : 1228 sf GARAGE • 528 sf LEFT • 6 SMOKE DETECTRS: V
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 888 sf FRONT • 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 6
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 4 TOTAL : 2116 sf VALUE..$: 192976 REAR • 55
— --- - -- PLUMBING ------------------
SINKS • 1 WATER CLOSETS.: 4 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS • 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— MECHANICAL -- ------ ---- - - - - --
FUEL TYPES- - - - - -- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 5 CLOTHES DRYERS: 1
GAS FURN )= 1mK ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
- - - -- - - - - - -- -- ELECTRICAL ---- ---- — — 1
-- RESIDENTIAL UNIT - -- — SERVICE /FEEDER - - -- --TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS -- ---- MISCELLANEOUS - -- - -ADD'L INSPECTIONS- -
1''"'"0 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 alp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 — PLAN REVIEW SECTION - —
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 6m V NOMINAL: CLS AREA /SPC OCC:
------------- - - - - -- - - -- ELECTRICAL - RESTRICTED ENERGY ---- - - - - -- - ---
A. SF RESIDENTIAL-- - - - - -- B. COMMERCIAL-----------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL 0 SYSTEMS: 0
Owner: - - - - - -- Contractor: TOTAL FEES:$ 4674.36
CLIFF WAIBEL CLIFF WAIBEL This permit is subject to the regulations contained in the
879 NW 10TH 879 NW 10TH Tigard Municipal Code, State of Ore. Specialty Codes and all
HILLSBORO OR 97124 HILLSBORO OR 97124 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 640 -3110 Phone 0: 640 -3110 not started within 180 days of issuance, or if the work is
Reg R..: 002545 suspended for more than 180 days. ATTENTION: Oregon law
- -- - - - - -- - requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- - - -- — --- - --- -- --- - - - - -- REQUIRED INSPECTIONS - --
Erosion Contol Post /Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundatio Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Post /Be-m Struct 'lumb Top Out Low Voltage Gyp Board Insp Electrical Fi
/ ' . L -
Issu. d B y : _L, _ , 1 4, ALL/ .' Permittee Signature:_ j /
+++++- +++++++++++++++++++++++++++++++++++++++++++++++++,- +++++++++++++++.4-1-
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Plan Check 07 p
' OF TIGARD Residential Building Permit Application Rec By V 9 Th
AV
;'i 2 .SW HALL BLVD. New Construction Additions or Alterations Date Recd — 1 - 30 - er2
'GARD, OR 97223 Single Family Detached /Attached (1 or 2 units) Date to P E. g - 5 - 1r/
• 13) 639-4171 Date to DST y -5 6 "f
Print or Type Permit # S 17 - 032D ' q1 -
Incomplete or illegible applications will not be accepted Called /Permit
S '/‘,(4,. W.
Name, ,-1
Name of Project f rl�� � -7—" -- L , .
1- rJ C.s;
F„ � P L, 1c A rc hi tect Mailing Address d r
Job )D yQ „ t) , i /off
Address Site Addess Ci /State Zip Phone
� � O z:36-CV , v� 3 .1 ;9, ,I 1. �/l - 1 670 670 Name= LI 1 ± f � I/ Y A( he, L_ Name, a / in Cm/ eR/1
Owner Mailing Address r,r M arlin Address 4- '
›? „4' , r." Engineer I2_ to ;
C.tyrSl ' Z Phone Rey/State Zip Phone
General Name Describe work NewX Addition 0 Alteration 0 Repair 0
Contractor CL � , ��� to be done:
,Prior to Issuance Mailing dress
Type of Use
applicant must /) 79 dre /' 1 E
alt C�' yIStat /'/ Zip Phone Type of Construction
coors /Y, O 171 byD J/19 e):,,) e):,,) ntract
Occupancy Class
•icers• information Oregon Const. ]'� Cont. Board Lic.# Exp. Date
for COT �'I7 /,Z -2?-97 Will It be sprinklered? YesQ No
aata case) COT Business Tax or Metro # Exp. Date s, separate FLS plans and
7- to ) Sim 1Z ; /- 7 If yes, application to be submitted
Mechanical Name Number of Stories
Sub- I.-L' 1 L- - .1 j` ` •
Contractor Mailing Address l • - Proposed Use 5 �'^ p 0
..Prior to Issuance i � ✓ v i1 ' a
Previous Use
applicant must City /State Zip Phone /0 p) 6-2,
provide ail i :e,' . _f 1 d !I ', ! .- 4' ' - ~ .--i . V
for Oregon Const. Conc..-Board
Lic.# Exp. o ` , /'., 6 VALUATION $ / '
licenses ,�, - Cr `1 , .
COT data base) COT BiAnesi Tai or Metro* Exp. Date . NEW CONSTRUCTION ONLY:
Plumbing Name
m' 72,6 _ 1 '• ' - BUILDING ID
n ,
Sub- r �, . • - �` .l�fs �' !7 ; ra Unit Types , Square Ft # of Units
Contractor Mailing 6 Address / , 1
Prior to issua � � B
nu . ' ;, L � / /1„ ,C, B.)
appicant �� /S
LP Phone ,, C. )
provide as t � .Y�T .., J !17. t .3 J D.)
=macro's Oregon Const. Cont. f t
Board L:c.i Exp. atte„ ✓ Will the elerricat subcontractor wire for all restnGed
es No
licenses !Or 0 T l P {�
r energy installations? �g,,�,/
No
C.O.T.:ata base) Plumbi Lic. # Exp. Date Q 4._,' Has the Subdivision Plat recorded? N/A / \
i — 1 L ,3. F6 . l - 31 - �R
COT Business Tax or Metro # Exp. Date I hereby acknowledge that I have read this application, that the
- 17— o' 3 /0 information given is correct. that I am the owner or authorized agent of
Electrical Name the owner, and that plans submitted are in corn. iance with Oregon
Sub- f al-!) E-2_,-_-(2,., State laws. / if
Mailing Address r , ► Signature �• er ,. Date �n Q 7
Contractor g t i � ■ %/ �� 7�.3/ ! /
rror to issuance S0 7os t) 1,(�, (--"4411<41441) r , 4 ' Contact P o • • e Phone
aocticant must 1 City/State Zip (hone � L 00 „ /0
;rov,de all r , v�! 9711 357 -23.5 t /` , � r " !J
Jr7 p�� 1 . ��j
centraccrs Oregon Const. Cont. Board Luc* Exp. Date FOR OFFICE USE ONLY: 52 +(�t.0 Z' tile bd`,
tenses 0 O 7 Gj-3 ) - / b_ GL- Plat # MaplTL# zone 564_11g-
ir. icrma:on
'or COT t cal Li # Exp. I D1- (5) Z� °C 16 i;3 —� - • cam base) I ci (0 /7'1S Eng _ _ n ag _ "nF .. = "
COT Business Tax or Metro* Exp. Da' 4 �` " : }' ° 's V
/413 - c4 � �� Plf _. 5 y
bstlresapp.coc 11/96
LO, (1 (tea C ,x._ vin t t) .,e-k- c' (.iris Ir.0�
I -T,ir rer Mir .
Permit 4 Account Description Amount Amt. Pd. Bal. Due
51 7 MST. Permit (BUILD) 66.C.56/ :'M
p 4as, 3 '
Plumb. Permit (PLUMB) 42 ���;:i co
Mech. Permit (MECH) �e' i8',
ELC /ELR Permit (ELPRMT) a7) v� V o? 7.) , e-)
z
State Tax (TAX) f/, z y �p C/. Y
Bldg: .33 , 2 `r V
Plumb: / V- ?' /
Mech: 2, 0 v
ELC /ELR: / 3. 23
----
Plan Check
- t/
- - -- - - - -- MST: � .5" /7z, -52---5:;— (BUPPLN) �3Z.
Plumb: (PLMPLN)
Mech: (MECPLN) /2. Gk 7Z `
CDC Review - planning (CDCPLN) - �" ,
CDC Review - bldg (CDCBLD) c 9--e v 0 2 a
6Gc-IfL Sewer Connection - (SWUSA) c ccO 0 / c:20? 4) 0
17 - b3o7 Sewer Inspection (SWINSP) 3.5 - I/ 3
Parks Dev Charge - (PKSDC) /0522 1 /D ( 57;
Residential TIF (TIF -R) /4 . V. A '
Mass Transit TIF (TIF -MT) / 3 c J 3 O
Water Quality (WQUAL) c 0 / c- / 0
Water Quantity (WQUANT) o q 0 V , e2 9 0
Erosion Control Permit
( ERPRMT) 6 v ---/ 6 l{
U
Erosion Planck/USA (ERPLAN) ,0 / mar
Erosion Planck/COT (EROSN) - II
Fire Life Safety (FLS)
TOTALS: 7S /4. 25Z- .7 . —
i:ldsts\resapp.doc rev. 10/96 C / �'
Solar Balance Point Standard Worksheet
Address
Box A calculations: North -South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east -west and intersecting the northern most
point of the lot.
Lai 104
North -South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along 9 Z
the described line. / U feet
1
I N
raoQSwouM oweeor
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure_ The orientation of the ridge is also important your residence?
1a: If the roof line runs North - South, measurements will fioaCti (circle one)
be b a s e d on the peak of the roof. o 0 0 0 .�
1
"m" "'► 1A 1 B
1 b: If the roof line runs East -West and the roof pitch is
less than '5/12, measurements will be based on the
eave.
94•CE PONT EPA
1 c: If the roof line runs East -West and the roof pitch is
5/12 or steeper, measurements will be based on the .. li
as �vQ
peak.
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
•
3. Measure distance from finished floor elevation to the affected peak/eave. + 2 7 ft
4. if the roof line runs North - South, deduct three feet. If the roof line runs East -West, - 0 ft
deduct nothing.
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. - ft
6. Total figure for box B: C ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the S/ ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + 13 ft
3. Total figure for box C: 7 Z f
it is most useful to draw a vertical fine to represent the appropriate figure found in box 'A' and a horizontal fine to represent the
appropriate figure found in box C. The intersection of the vertical and horizontal fines determines the value found in box D. The value
in box 'O' should be compared to the value in box '8'; if the value in box 18' is less than or equal to the value found in box '0", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to North -south lot dimension (in feet)
shade 14 r + 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
•1 I . I .:.
• • i 40 40 41 42 43 44
65 8 38 38 39 40 41 42 43
60 6 36 36 37 . 38 39 40 41 42
55 34 34 35 36 37 38 39 40 41
50 2 32 32 33 34 35 36 37 38 39 40
45 0 30 30 31 32 33 34 35 36 37 38 39
40 8 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 25 26 27 28 29 30 31 32 33 34
25 2 2 22 23 24 25 26 27 28 29 30 31 32
20 0 20 20 21 22 23 24 25 26 27 28 29 30
15 8 18 18 19 20 21 22 23 24 25 26 27 28
10 6 16 16 17 18 19 20 21 22 23 24 25 26
5 14 _i4- 1S, 16 17 18 9 20 21 22 23 24
I Box D. Maximum allowed shade point height " O feet
hMoa4sanMvennrraisoiar.chp c � � f - ° f Q
Revised J=6r ?6 �J'�"�E i V
" c.Y
/ / R
�V "IVu,'Vl I
CITY OF. TIGARD
•
OREGON
INTENT TO HAUL EXCAVATION
1, CL -cf `y� �1 z°� - (print name), hereby certify that all excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back -fill the foundation ONLY. I understand that
failure to remove the excavation material will result in the requirement to remove the
material or obtain a grading permit by submitting grading plans prepared by a licensed
engineer accompanied by a geo- technical report regarding the placement of the
excavation material as fill.
2J. / 7-
3l 77
Sign, Date
Job Address: /o3 S te) , , Pt
Subdivision:) � �° Lot:
13125:5 bl.drdaltalrrair ifigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
r M- rv
• GEOTECHNICAL RESOURCES, INC. SITE VISIT REPORT
Consulting Engineers and Geologists
9725 SW Beaverton - Hillsdale Hwy, Ste 140 Pg I of
Beaverton, Oregon 97005 A
(503) 641 -3478 (FAX) 644 -8034 /3063 ,D/ (. ,
Project: Lot 5, Foran Subdivision Date: October 28, 1997 •
Feature: Foundation Subgrade Time: 9 A.M. & 11 A.M.
Weather: Overcast and Cool Job No.: 2041 (Residential)
Contractor: C.C. Waibel Construction Client: Cliff Waibel
Submitted by: Robin Warren, P.E. • -- ntd �9' --4 3)o
At the request of Cliff Waibel, GRI completed a site visit to evaluate foundation subgrade for lot 5 in the Foran
Development. General recommendations for development of the site, including recommendations for
construction of spread footing foundations, are contained in our report to The Piculell Group titled
"Geotechnical Investigation, 11 -Lot Residential Development on Bull Mountain, Tigard, Oregon," dated
February 16, 1996. .
At the time of GRI's initial site visit, the southern half of the foundation excavation had been completed using a
moderate -sized trackhoe equipped with a smooth - lipped bucket. The foundation excavation was completed
into medium stiff to stiff, brown silt, A buried tree stump was encountered in the southeastern corner of the
excavation. The contractor had overexcavated the stump to firm, undisturbed silt soil.
At the time of second site visit, the foundation excavation was completed. The excavation spoils had been
dumped onto the back of the lot. Based on our discussions with the excavation contractor, we understand that
the majority of the excavation spoils will be used to backfill around foundations. Final slopes constructed of
compacted, structural fill should be no steeper than 2H:1 V. We also understand based on discussions with the
excavation contractor and with the Cliff, that the grass was stripped from the back of the lot prior to
stockpiling of the excavation spoils.
Foundation subgrade consists of medium stiff to stiff, brown silt. The foundation locations were staked at
corners and foundations along the lower (back) portion of the footprint are setback approximately 8 ft from the
slope. In our opinion, the foundation subgrade is suitable for support of spread footing foundations designed
based on an allowable bearing pressure of up to 1,500 psf.
w p, c.
Reviewed by ' - yA Date: /1) + Z8 - 2 7
Comments • Copies to:
J OC128 -2.041
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: I Z 0 Z - 97 A.M. P. M. X MST: q 7 -0 3,D-0
Location: 13 0 ? 5 (A' � .)\. BUP:
Tenant: ///l Suite: 2 j Bldg: MEC:
Contractor: C�,C, CC- l,( )...-b '1'C.X.. Phone: 6 3� / - (..0 PLM:
1 (� /
Owner: Ce Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMB MECHANICAL ELECTRICAL SITE
Site Post/Beam o Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Gas Line Rough -In UG Sprinkler
Foundation Insulation ewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved o pproved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
O Call for reinspection 0 Reinspection fee of $ 2—/ before next inspection 0 Unable to inspect
7 6� / 9
Inspector: L Date: ( `/ 0 2 " / / ' Page / of
07//
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /1 / — 9 7 A.M. P.M. MST: 9 7
Location: 0 0, I . _44__ /_ 1 1 ! l = BUP:
Tenant: Suite: Bldg: MEC:
Contractor: _ _ 4 _ , �L� Phone: 7 ,F/ - 0 S 76 PLM:
Owner: I Phone: ELC:
ELR:
SIT:
U ILDING) BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Foo • 1 : Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
�h� I 1 l
V r 10-1--
L A) 0 k V - L4
•
1
O Call for reinspection O Reinspection fee of $ 1 required before next inspection 0 Unable to inspect
C Inspector: . i ) ,"\/\.— Date: I \ — \ 0 ` I Page of
■ .
-- -
0 1 I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171
Date Requested: /' 'q 7 A.M. P.M. MST:q 7-03J-6 _>S
Location: / 304 3 (J , S zJ W - tie,c) (x_._. BUP:
Tenant: n Suite: Bldg: / MEC:
Contractor: l . ( . �/( �[ J _-L Phone: 94"\-- �/ 7 d l - Q J 7 (i PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Sla r Framing Top Out Gas Line Rough -In UG Sprinkler
4 oundation ' Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approv Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
A =.,;cd ? 1 S -7 � S4. PYb , i t 9 rs= L S
/.B [i-ics ..4,5v,.:,-4 o!" CuT
1 t S y 2 4 4- , ,e4he. c4...s. s 4S S, e.,., ti.
r, Ste- .4-- la 4 Si - 4e - S,e4C-• c-e-s .0 • .illGC., %V
I
O Call for reinspect' !,, A O Reinspection fee of $ required before next inspection D Unable to inspect
Inspector: i Date: / / -Lo 9 2 Page of
6� b
1 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
• Date Requested: _ — l `' A.M. P.M. MST: q7-032,0
' Location: 13O (to 3 L ( 5 - .A. / BUP:
Tenant: Suite: Bldg: MEC:
Contractor: C_■( Phone: 64e) '' 3 1 I 0 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING . ; LD . on't) PLUMBING CHAN ELEC TRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
<....Approvedd Approved A rov Approved Approved
Appr /Sdwlk X .,) roved Not Approved Not oved _ Not Approved Not Approved
FINAL FINAL FINAL
-c- At A4-C. Ere° s‘() .Cl a 'Jfieo L_, is.-t-.= rp
gD t:v G I Z.‘/ < .r . I :::/ s ili% `7? CO 7 TA1 c S r �U'
41.0s-I/ AVE 62 u ATE 2 EG.I4i -/.! 2e4-L. ` Y
/ � / .. V cc.,_ h 6V6.-- Gr I S / r..v.Pije f C -
i. - r1_ 5 Ge t..Z.. T Q vi /z.-5 Q9 j % OS Ti 0 mot.. /i TZ- Su 1" 1 >4- Lj
A.--t-151 24.0--).0 e e,x-f `�aGL -�
O Call for reinspec ' O Reinspection fee of $ / required before next inspection O Unable to inspect
Inspector: -- r Date: 6 9 — 5Y( Page of
i_
K <=S-
s
/5c
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: - 6 '- ' i P.M. MST: 7 7 :3 _al
• Location: 1.3(.+ �; ?) �� &U ,S (Gt •'-4. d k- / BUP:
Tenant: / Suite: Bldg: MEC:
Contractor: ( ) Li-in Phone: Y (-' 3 // C' PLM:
t (-,.
Owner: Phone: ELC:
ELR:
SIT: SQL'/ C C/1), - (L-V, 6'
BUILDING BLDG (con't) — .JL INUMB G- MECHANICAL ELECTRICAL SITE P. C,? Cir 7
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved o roved Not Approved Not Approved Not Approved
FINAL - (FINAL ) FINAL FINAL FINAL
O Call for reins to Ai r 0 Reinspection fee of $ requir before xt inspection 0 Unable to inspect
L
Inspector: Date: Page of