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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MT20 DEVELOPMENT SERVICES DATE ISSUED: 3/ 04 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12370 SW THORNWOOD DR PARCEL: 2S110BC - 06100 SUBDIVISION: THORNWOOD ZONING: R - BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM170QA2 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.600 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.670 sf GARAGE: 404 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 316.612.40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.270 sf REAR: 15 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: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILICMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL 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 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 4 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,054.75 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 4230 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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: Oregon law requires you to follow rules adopted by the Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg 4: i9-387- may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service lnsp Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insf Gyp Board Insp Appr /Sdwlk lnsp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain lnsp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Issued By : tC/ o ai2 Permittee Signature : — / Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day _ �c P T 3 -c j —O , A M/ ' Building Permit Application • ,. Date receiv -. i / �%' , /� i ��.+ Permit no.1 ✓/ 1 126. +_! .,� . ". ,,.., i i� City of Tigard Trg RJQE��/ED Project/appl.no.: /��7 Expire date: Ciryoj7igard Address: 13125 SW Hall Blvd, Phone: (503) 639 -4171 CC p 2 5 Date issued: By: Receiptno.: FED Fax: (503) 5984960 2004: Case file no.: Payment type: Land use approval: CITY nF TIGARD I &2 family: Simple Complex: - • , , .. TYPE OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ,'New construction 0 Demolition O Addition/alteration/replacement Q Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: J SZ�,WA� ��DI�PI _ Bldg. no.: Suite no.: Lot: 'a m Block: Subdivision: LII N A1) Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST 11 MI'sir.4 ( Fl oodpl ain,septiccapacity,solar,etc.) Mailing address: 'e,nt.a f real 1 & 2 family dwelling: 11511311111 EMIA ZIP: l i M �� Valuation of work $ Phone:. r` .,../ ffEripl , No. of bedrooms/baths Owner's representative: , �� , _ Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) IMEn 1L ��:�'j.I ' . Covered porch area (sq. ft.) Mailing address: Ln . Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E- mail: Commercial/industrial /multi - family: CONTRACTOR Valuation of work..., $ Existing bldg. area (sq. ft.) IAI O M f1 New bldg. area (sq. ft.) Address: .18.7L.� if— illagVrill.ilIMIIIIIME Number of stories City: State: ZIP: Phone: Fax: E -mail: Type of construction CCB no.: Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECCIDESIGNER licensed with the Oregon Construction Contractors Board under M : • :� provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is ' C � '' City: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINE'ER Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: 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 cards, please call jurisdiction for more information' attached checklist. A . rovisions of laws and o dinances governing this ❑ Visa ❑ MasterCard work will be compl - . wt whether cifre,d llere Ai rDtot. Credit card number: / / 1� � Expires Authorized sly atu. , f A_ (' n L e. Name of cardholder as shown on credit card Print name: utt _ 7 (..fZ . t t .K_ _ ` Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6r00/COM) A lltb One - and Two - Family Dwelling w r. r,? Bwldm Permit Application Checklist Reference no.: City of Tigard C' of Ti al1'd • Associated permits: City g Cl Electrical 0 Plumbing O Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 O Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. i 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity }( 6 Sewer permit. 7 Water district approval. �( 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control O plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/ if copyright violations exist. J� 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot x area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. ! 1 ( \ 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction-More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, `J fireplace construction, thermal insulation, etc. J� _ 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered • systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. A 20 Manufactured floor /roof truss design details. ) 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required / for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". x 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 • • Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6/00/COM) • I Mechanical Permit Application A. 0, Date received: Permit no.:)l 000( g "`"`r City of Tigard Pro ect/a I no.: Expire date: City of Tigard Address: 13125 Ellat,Tat 97223 Date issued: By: I Receipt no.: _ • Phone: (503) 63 Fax: (503) 598- 1960 2 5 2004 Case file no.: Payment type: Land use approval: Building permit no.: - - - -:D TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement . - lew construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE - Job address: . or 70 ANT N 0' 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.: r • profit. Value $ Lot: 7-0.-21— I Block: I Subdivision: r �� VVUSa `See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: I & 2 FAMILY DWELLLNG PERMIT FEE SCHEDULE Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCI ®ULE Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: • Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No _ Alteration of existing HVAC system M ECHANICAL CONTRACTOR Boiler /compressors ����}� �. State boiler permit no.: Business name: giiMIRVfi HP Tons BTU/H _ Address: tfralretb Fire/smoke dampers/duct smoke detectors City: IENRMIEllar,1ga Heat pump (site plan required) Install/replace furnace/burner BTU /H Phone,? - ' Fax: E Including ductwork/vent liner 0 Yes 0 No CCB no.: �r���,r) - Install/replace/relocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): j p •p.j ' (tEZL. Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: # +L� • Chillers HP Address: Corn . ressors HP 4 - ♦ � l Env exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U II/res. kitchen/hazmat hood fire suppression system Name: , � � .� �•, • � A � Exhaust fan with single duct (bath fans) _Allot Mailing address: ��� � / i ��_ iIE OA Exhaust system apart from heating or AC City: � S �A���` � r� Fuel piping and d ist rib ut i on (up to 4 outlets) � Type: LPG NG Oil _ Phone:. 27- ._ Fax: E -mail: Fuel piping each additional over 4 outlets • ENGINEER Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: insert - type _ Phone: Fax: E -mail: Woodstove/pelletstove . Applicant's signatu" . �, r70, I. /- / Dat at.'t �, Other Name (print): k(-1 f ij1r'n1.jj T $ Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review (at _ %) $ Credit card number Ex Expires w i t hin 180 days after it has been ( • • p State surcharge (8 % . ... $ Name of cardholder as shown on credit card accepted as complete. S TOTAL $ Cardholder signature Amount 440.1617 (WO/COM) • r Plumbing Permit Application Date received: Permit no.: ly l00 - UG , i '°`o�i��1 Cl Of Tl and RECEIVE Building t no.: .� g Sewer permit no.: S P Address: 13125 SW Hall Blvd• T ►�iard 2 5 10U4 Project/appl.no.: Expire date: City ofTigard Phone: (503) 639 -417 F EB Fax: (503) 598 -1960 Date issued: By: Receiptno.: CITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement ►: New construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION FEE SCHEDULE LE (for special inforrnatian use checklist) Job address: 1,,13 70 V , /P f Description Qty. Fee(ea.) Total ^ New 1- and 2- family dwellings only: Bldg. no.: Suite no.: .(includes 100 ft. for each utility connection) Tax map /tax lot/account no.: , SFR (1) bath , Lot �� Block: Subdivision: V'r�� ; SFR (2) bath • Project name: SFR (3) bath City /county: I ZIP: Each additional bath/kitchen Description and location of work on premises: Site utilities: Catch basin/area drain Est. date of completion/inspection: Drywells/leach line/trench drain Footing drain (no. lin. ft.) Manufactured home utilities Business name: N,R V‘ L t--ti:i I ¥.±7 Manholes Address: 1 Rain drain connector State ZIP: Sanitary sewer (no. lin. ft.) City. Storm sewer (no. lin. ft ) Phone :(��1 -{ Fax: E -mail: Water service (no. lin. ft.) CCB no.: [ Plumb. bus. reg. no: - - Fixture or item: City/metro lic. no.: N/A Absorption valve Contractor's representative signature ,' _ Back flow preventer Print name: , \ ` • ' I U �ai Backwater valve I CONfAC'1' PERSON Basins/lavatory Clothes washer . Name: ` 1 P\--1 . -DI 1 ■- E Dishwasher Address: .y.P (L�(� t V _ Drinking fountain(s) City: State: j ZIP: Ejectors/sump Phone: J Fax: E -mail: Expansion tank ` , -�' = - OWNER Fixture/sewer cap Floor drains/floor sinks/hub Name (print): \ k--/tro e 1,S` ---- CCE 1 ILA ,} ,� Garbage disposal Mailing address: E-7 " • "IA. 'T. �' u Hose bibb r ZIP: 0 -- )C� j �j Ice maker Phone: — j ir 1 A IRAM E -mail: Interceptor /grease trap Owner installation /residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) _ . Owner's signature: Date: Sump Tubs/shower /shower pan Urinal Name: . Water closet Address: Water heater City: I State: I ZIP: Other. • Phone: I Fax: I E -mail: Total Minimum fee $ Na all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application % $ 0 Visa 0 MasterCard / / expires if a permit is not obtained Plan review (at _ ) C.edit card number. within 180 days after it has been State surcharge (8 %) .... $ s Expires accepted as complete. TOTAL . . Name of cardholder as shown on credit card I 404616 woac'om) Cardholder signature Amount ` Electrical Permit Application Date received: Permit no.: ,m061 l;vgal City of Tigard RECEIVED Pr oject/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 FEB 2 5 2004 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: CITY OF TIGARD .. . 1 SION TYPE OF PERMIT • 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement 1' New construction 0 Addition/alteration /replacement 0 Other. 0 Partial JOB SITE INFORMATION Job address: r 7 --Tr • prow Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: or Block: Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: . CON I RM fOR API'I.IC'ATION FEE SCHEDULE • - • - . Job no: a - ' Fee Max Description Qty. (ea.) Total no. rasp Business name: ' � 1 New residential- single or multi-family per Address: ' `� - li ` ` � � � i dwelling unit Includes attached garage Z Wit_ 11=ripl 0 /GMFMNI Senice included: Phone: ! -3- j aa Fax: E -mail: 1000 sq.ft or less • 4 n Each additional 500 sq. ft or portion thereof CCB no.: y Elec. bus. lic. no: 0 (� Limited energy, residential 2 -., nature of supervising electrician (required) Date / Limited energy, non- residential 2 Each manufactured home or modular dwelling D� Service and/or feeder 2 � Q Services or feeders— Installation, Sup. elect. name (print): `� � 1 , t' F— A :J! License no: IOZ alteration or relocation: PROPERTY OWNER 200ampsorless 2 201 amps to 400 amps t 2 Name (print): ��It1� ��tt/ � amps to 600 amps � 401 amp 2 Mailing address: ���� • 15� �>•l + �J 601 amps to 1000 amps 2 City: Lit State I� ZIP: - 20 Over 1000 amps or volts 2 Phone: , ,/? _` Fax: - - -mail: Reconnect only - I 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 ittstallaaon ,alteration,orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: 'State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: Email: Each additional branch circuit: • PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not 'mcluded): ❑ Service over Each pump or irrigation circle 2 225 amps-commercial 0 facility 2 ❑ Service over 320 amps- rating of 1&2 ❑ Hazardous location Each signor outline lighting family dwellings ❑ Building over 10.000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O Building over three stories ❑ Feeders, 400 amps or more *Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting 0 Other. Pcrinspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Plan review (at _ %) $ Cl Visa 0 MasterCard expires if a permit is not obtained Credit card number. / / 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 (6A)000M) • ■ ■ STREET T CERTIFICATION • ■ . • . • • . • . • I u9- /c f¢—T �� weer gent for /4 ,i �/ ,> • (PLEAS RINT) (PERMIT HOLD ) • • • • • • i • Do hereb / Cam' ` d4 � ;'. 4 o Ft, i g location ► • i�f ■ • meets ' A _ 4� . • • • L ounty ■ • land use and development standards for street tree installation. ■ • • ■ • ■ ADDRESS: J'.2370. SP./ ih aii✓woop O� • • • 1 • LOT: 52--- SUBDIVISION: 1ko� • f( --....._______ • BY: DATE: 41 7 —o`' • • • • • • R BY: , I , DATE: 6 ? o� • I V♦ VV 'TV VVVVV; YVVVVVVV7VV♦ VVV7VVVVVVVVVV V♦7VVVVV7VVVVVVV7VVVVl ■ CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ,P /)6(/-0606,82 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 6 '/ 7 AM PM BUP Location It J dl .artaz Suite MEC Contact Person /� Ph ( ) Q C f — �� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL PL MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers ma PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA _/ 7 O g- Inspector � Ext Approach/Sidewalk Date p Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: (50) 639 -4175 0 0- INSPECTION DIVISION Business Line: (503) 639 -4171 MST o BUP Received ate quested h,c— AM PM BUP Location /, 3 3 e (.A-B--/-ems A.. Suite MEC Contact Person „��//�� Ph ( ) PLM Contractor rC1Y Ph ( ) 0 "/P3 7 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing e_. Insulation __ Drywall Nailing ��►�.i� �moris�v.� - Firewall • ' "r v -v1 i i Fire Sprinkler � ----E-4,-. ��� � � � � - �` - l���T_sYi►� •;.� -: t � • Fire Alarm C�- _ _I Susp'd Ceiling Roof Other: Final FAIL UMBI G Post & Beam I. uI' pj . . Under Slab Rough -In - vb� r e y t Water Service �� 11 Sanitary Sewer i (A -- JE ' SV U P PW Rain Drains Catch Basin / Manhole 1 . 3 6 F l G- v t Da w - I ,� 6n �. Storm Drain +� ,`'} - Shower Pan Ot r = • , Qoti , � , tv.. 6 SS FAIL a O' Vn-ov1 ©I 3 wA41 5lid 0e4 d5 Al (' lee ek 6� • ANICAL t‘ C IrOil RA Post & Beam Rough -In Gas Line Smoke Dampers �Z” P�v'`L'� Q` god Final PASS PART FAIL S LIJ� M I c e CTRICA� O � Rough -In `� C ` .l ` F "1 V *3 M PgiLiaid - UG/Slab � Low Voltage Fire Alarm Fi 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Ell Please call for reinspection RE: n Unable to inspect — no access Fire Supply Line ADA t- � �,��Q Approach/Sidewalk Date L ` I J 'Q Inspector N �]J LE- Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL