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Permit . R& /A 7 C0/'/ -E ! ,D,e6 a/�Vo• A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00211 i rliti � DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111DB-16600 SITE ADDRESS: 09481 SW TILLIE LN ZONING: R -4.5 SUBDIVISION: KESSLER ESTATES NO. 2 LOT: 023 JURISDICTION: TIG Project Description: New SF detached. BUILDING REISSUE: BVH3684 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,652 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,032 sf GARAGE: 782 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TI4tI2 sf RIGHT: 5 VALUE: 361,595.40 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3.684 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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 FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps - 1000x. 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 0 SYSTEMS: • Owner: Contractor: This permit is subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES and all other applicable laws. All work will be done in 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C accordance with approved plans. This permit will expire PORTLAND, OR 97219 PORTLAND, OR 97219 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 Phone: 503 443 - 6033 Phone: 503 - 443 - 6033 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 152235 direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 8,199.06 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Issued By Permittee Signature : (71V ✓ /97 \ Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I . Building Permit Application FOR OFFICE USE ONLY Received R E C V E D Date/By: �1/ Building J " �� I /l Dt -( Permit No.: rl , 4 —CO 4/ City of Tigard Planning Approval `-- Other Date/By: Permit No.: '1.0e.-900 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 it'., , ., - 2004 Date/By: MAv I a 3_ ov l Permit No.: Phone: 503- 639 -4171 Fax; 503598= D /�, ' I ' Post - Review Land Use t.rI t t lat i I.4 %. ' , ) II Date/By: Case No. Internet: www.ci.tigard.or. s - -- �III I�I DIVISI Contact tun El Page 2 for 24 -hour Inspection Request: 50639 -4175 Name/Method:, Supplemental Information TYPE OF WORK ..: : � ' • REQU DATA : - . = •.'; : _� : 'w ® New construction Dlition - ❑ e mo 1 & 2FAMa.YDWELI:IIYG,� :.= ;:;;'::.. El Addition/alteration/replacement _ ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees' are based on the total value of the work performed. Indicate © 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family ❑ Master Builder ❑ Other: Valuation S JOB SITE I RMATION and LOCATION No. of bedrooms: C N of baths: e d, Job site address: �cr I �j 77111e. I Total number of ors Suite #: �/,� Bldg. Apt. : New dwelling area (sq. ft.) 9 Bldg./Apt.#: Garage/carport area (sq. ft.) Project Name: 46/ s /,v OS Covered porch area (sq. ft.) Erif Cross street/Directions to job si'te: Deck area (sq. ft.) Other structure area (sq. ft.) 0 .REQUIRED DATA:. ; .. ;. -: ' _ Subdivision: , 7hL� r r // Lot -/.4 COMMERCIA = USE .. . . LST Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application.' DEATACHED RESIDENCE Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER • 1 ❑ TENANT - Type of construction Name: Buena Vista Custom Homes Occupancygroup(s): Existing: Address: 6932 SW Macadam Ave. Ste C New: City /State /Zip: Portland, OR 97219 Phone: 503-443-6033 Fax: 5 0 3- 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be ❑ APPLICANT En CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may beiequired to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: Eliabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: I Fax: . . • • E-mail: BUI LDING.PERM FEES• : . " CONTRACTOR : :Please refertofeeschedule: Business Name: Buena VIsta Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 I Fax:503- 443 -2443 Date received: CCB Lic. #: 1 52235 Authorized tei 7 y _ Signature: Gl J Date: A Notlee: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. (Please print name) 'Fee methodology set by Trl.County Building Industry Service Board. i :\Dsts\Permit Forms \BldgPermitApp.doc 01/03 S; zrz 70 : • 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 • - Mechanical Perwit Appl cation 10 ` Ii(1. I •.i `.' N t.1 • Mechanical r' V Received eebanice N [9 V l. �J C l a w 8 : Permit No,. o 9 64 oo a t I City of Tigard Planning Approval 200 13125 SW Hall Blvd AAi 1 b °4 pe r lie y Tigard, Oregon 97223 o'a ` Phone: 503. 639 -4171 Fax: �Qi[S T960� Post- ew Land use Internet: www.ci.tigard.or.us BUILDING DIVIF : : ° D : L No': 24 -hour Inspection Request: 503- 639 -4175 J , i onto Mothae: • .... :r .,..TlOE s >5P`t -•� -?•: Alt cOND=RCEAL- PEE±$G> IRIILE,'. . ;••-:4 IE New construction IN Demolition Mechanical permit fees* are based on the total value of the work N• Addition/alteration/re • lacement ■ Other: performed. Indicate the value (rounded to the clearest dollar) of all • .A'TSGORT"OP.0 1EICa +" : : f'; = -_. mechanical materials, equipment, labor. overhead said profit 4 1 & 2 -Famil dwell' : DI ComtnerciaVIndustrial Value -. 5 Si e Page a for Fee Schedule 1$ Acc so Builds . Q Multi Farnil : R1E'SiDEIIDl7• :SOBED Deseri� don Qh I tr'ee(ea.) I Total ail Master Builder 0th: Heating/Cooling .JQ : SITE 1 e - MN and _ • 0 VON ' • ::._ Furnace • add-on air conditioning" 14.0 Job site address: ' - r / Gas heat pump - 14.00 Suite 0: , ,' SW :.IA • t.#: Duce wont 14.00 l•jydronic hot water system 14.00 Project Name: Residential boiler • _ Cross street/Directions to job site: (for radiator or hronie system) 14.00 Unit heaters (fuel, not electric) ... (in wall, induct, suspended etc.) 14.00 Flue/vent (for arty of above ) 10.00 Subdivision: Lot #: R •air units , . , Fuel A. Hance. 12.15 Tax - • arcel #: - • Water heater )0.00 '• DES «: r' ION OF WORK ; ' Gas fireplace 10.00 NEW CONSTRUCTIO — SINGLE 'At'�1IL Flue vent (water hator/ltastiireeisc0 - 10.00' DETACHED RESIDENCE • Log liahtet!tes) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 - Chimmev/liner /flue /veht _ 10.00 �► 114; Other. 10.00 :• 6"•Ei�p1,.ItTSG:Oq►�3k " - ..�i��}} � -., x�% . Eaviroatnenta exhaust tit Veadateatt Name: B _ _ • �, . • R ange ho od/other kitchen equipment 1 0.00 Address: 6932 sw Mao a& W Ay 2., Ste C Clothes dryer exhaust _ 10.00 City+ /State /Zip: Portland OR 77219 ' Single duct exhaust { - Phone • _ • . I Fax: • _ . _ , . (bathrooms, toilet com munents, I. _ U 217 •CONT PERSON •' oh by rooms) . 6.80 LP Name: David Golobay Attic/crawaie fans 10.00 • Other: 1 10.00 r Address: - Peal 1rolota City► /State1Zip: Furrttace, etc. a* A0 for first � t� teen a ddibonat) j .. Phone: Fax: Gas heat pump •• E-mail: Wall/suatuoded/unitheater •• ": CONTRACTOR . . -.... _ Water hearer • • i •' Business Name: _ . , Fireplace •• Address:2428 SE 105th Ave. _ BBQ _•• Ci State/Zi.:Portlatnd, OR 47216 Clothes dryer (Qas) , Phone: 503- 253 -7789 Fax:503- 5 -" to "3 o •. - .CCB Lie. #: 48131 _ Total Meebaeleal Permit Fen' Aufborized • Subtotal: S Signature: •+ _ Date:2=4 Minimum Permit Fee 50 S David Goloba y plan Review Fee % of'Pamit Fee) S ease nt ms State Yr" ". d' T t1 - S ( P P+� ) TOT ..�� -, � a _ S Notice; This permit application expires V a permit is not Obtained within 'Fee methodology set M Tel-County Banding Waste-, Stroke loud. 180 daze after it sus been aeeopt d as complete. *'Sate ptan required for exterior A/C unit!. 1f tPsttlPerndtFocrnatcoPermitApp •doc 0143 • 03%04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 r Electrical Permit Application Received FOR tlfhl('N: t SE ()NI 1 Electrical v OatoBy: Permit No.:l 1 9Oo 00 I ) City of Tigard Planning Approval Sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 ;.R, EC �l ED Date/By: Permit No.: Phone: 503- 639 -4171 ax 503 -598 -1960 Post- Review land Use Internet: www.cl.ttgard.or.us Dau/B : Case No.: 24 -hour Inspection Request: 50 Contact Jtrris.: See Page 2 for Name/Method: Supplemental Information. CITY ° F TIGR4FID • ` .•. ... ::TYPE' y • • •. - • - .. ; •'' . P,LlN REVIEW:(Pleaseellet itria7Ftlmri*p�ib s:`:: New construction Demolition ❑ Service over 225 amps - 0 Health-care facility ❑ Addition/alterataon/replacement El commercial ❑ Hazardous location ❑ Service over 320 amps - rating of ❑ Building over 10.000 square feet. CATEGORY:OF'CONSTREICTION. 1 & 2 family dwellings four or more residential units in & Z Family dwelling Commercial/Industtial ❑ System over 600 volts nominal one structure _ Accessory Building Multi- Family ❑ Bu over three stories 0 Feeders, 400 amps or more I=1 Master Builder ❑ Occupant load ova 99 persona 0 Manufactured structures or RV park Other: ❑ Egress/lighting plan ❑ Other. '• 20ItSITE FORMATION . d•LOCA TION • Submit sets of plans with any of the above. Job site address: / / �l u (,_,� The above are not appppliicaab�ble�'to tempoorLE construction service. Suite #: cliff, i Bld /A # '':V:;';',. • Number of inspections per permit allowe Project Name: Description Qty Fee (ea.) Tatar 1 Cross street/Directions to job site: New residential-Allele or mohbhmily per dwelling mitt toeledes attached garage. Service Included: 1000 sq. It. or less 145.15 4 Each additional 500 s6/. ft. or portion thereof 33.40 1 Subdivision: Lot #: enemy, cne,, residential 75.00 2 Limited energy. non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling . `DE ' 1 • Ko rwo ; . :: service and/or feeder 90.90 2 Sery ` tt hn or feeders - Installation, ��M' Go/1 S S //1 C /Ill /� Aeration or ret«ition: p.z-� Lh et "P..a.. ) e n C -- 200 mpg or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps _ 160.60 2 37102E1RTY OWNER : • :':. TEN - 601 amps to 1000 amps 240.60 2 Name: 1 e a Vi S �� � - `� Over 1001 amps or volts 454.65 z f Reconnect only 66.85 Address: , . '2... A p(aC/t/n Aye. 5tt.t Temporary services or feeders - instillation. - 2 alt City /State /Zi r • per4•(G 0 IZ gig/9 200 a tioo, or reiotatlon: / 200 amps or lean 66.85 1 r Phon =. • 7 3 -( Fax • 3 201 am.. to 400 am • 100.30 2 c al• • 401 to 600 amps 133.75 2 :: C . +�' , IN Branch circuits • new. alteration. or Name: f. V '. / • 55 extension per panel: Address: A. Fee for branch circuits with purchase of service or feeder fee. each branch circuit 3 6.65 2 City /State/Zip: B. Fee for branch circuit; without purchase of Phone' service or feeder foe, first branch circuit 46.85 2 1 Fax: - tad additional branch circuit 6.65 2 E -mail: Misc.(Service or fader not included); •. :..:....' +.:: 7. . • :.. :. CfJNI'rl�cf OR Each _sign or utline l gh circle 5 2 Job NO: Signal cireuit(s) or a limited energy panel. Business Name: Ross rte. af_T; - or extension Pap 2 t Address: a2 $70 $1� azti F) 44- �• QC:3 Deserrytion: City /Stattj/,Zl i1- 23 Each additional inspection over the allowable in an of the above. Phone : Co 1 /2, Z300_ Fax: &. Per inspection Per hoer (mi „. 1 how) 62 S0 j J � investigation fee: CCB Lic. # :1573 Lic. #: GC ot her Supervising electtici . j ::: = ':;;' Eirltal3elml3 +:::: ....:ts: .. Subtotal 3 si X attue re .rived' _. — Plan Review (25 °.6 of Permit Pee) $ Print Name: 1 OSS Lic. #: _ State Surchai a (8e% of permit Fee) S Authorized TOTAL PERMIT FEE S Notice: This permit application expires Its permit is not obtained within Signature: Date: — 180 days after it has been accepted» complete. •Fen methodology set by Tri-Coon y Building industry Service Board - (Please print name) - i :\Dsts \Permit Forms'.ElcPermitApp.doe 01/03 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY • HENNA VISTA a 002/003 .• Plumbing - Permit Ap ReCei pt� ing E t lz U v DaW BY: Permit No.: N , l o�p0 00 2�_. City f Ti and Planning Approval Sewer •J fa O I. Date/9y: Permit No.: 13125 SW Hall Blvd. JUL .l J 2U 't Plan Review other Tigard, Oregon 97223 T IGAP oate/8y erntit No. Phone: 503 639 - 4171 Fax: 303359& =1960 Post.R view d the iV' ' ' ' 1 DateJBy: Case No.: Ittxrtte t www'ci.tigard.or.us 13UIL ®I�G' O 1 1 i Contact luris.; El See Page 2 for 214 -hour Inspection Request: 50 3.639.417$ Name /Method: I Suoplomaottat Intbrmatios. .:'• :.'^= •- TrwrOB. P-/ ,'.o.. 7'- r •171.8.303 DLILEr• of info atibVJgeo T • , 1` , .' •i.'7 New construction Demolition Description Qty. Peo(eri Tots) • ement Othe r. ` �'r �sl'tX gei � :� - r ''.•••.; < .OA rat1 o r Addition/alteration/replacement E1b N e • • : 0 1 __ llsr'r3 • `iinec Too t ' : ti / r.i 1 & 2-Family d Commercial/Industrial SFR () bath 350.20_ � SFR (2) bath 350.00 ■ Accesso Build' _ ■ M .i l SFR (3) bath _ 399.00 Iii Master Builder NI Other: Each additional bath/Ititchen 45.00 • OB STIE 1NPMIW TICKinttL'oCATION ' ' Fire sprinkler - aa, ft.: Pam 2 _ Job site address: • : - - L • • .. Site Mattes', : •.. 04M: 7 . _ . . Suite #: y yri Bldg. /Apt. #: Catch basin/arca drain I 16.60 Project Name: Dtywcllileaeh line/trend' drain I 16.60 1 lee Footlni (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60' . Rain drain connector 16.60 Sanitary sewer {no. linear ft.) Page 2 Subdivision: I Lot #' Storrs sewer (no. linear ft.) Page 2 Tax map/parcel #: Water service (n linear R) Page 2 I Blbcture or Ite . ' DFSCRl 10N OF WORK Absorption valve 16.60. NFj, ,CONSTRU - SINGLE FAMILY Backflow prevcntt:r _ Page 2 FAMILY DETACHED RESIDENCE Backwater valve . 16.60 Clothes washer 16.60 ' Dishwasher 16.60 Drinking fountain 16.60 pitOPF.RTY'OtOftNFat ' :� P7 • a ° ANT :. :.. _ • . . Ejeotors/at p 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6932 SW t(aoadam Ave . S tp c Fixture/sewer cap 16.60 Portland OR 972 1 9 Floor ge disposal sink/hub 16.60 Garbage disposal 16.60 Phone: 503-443-603311 503••443-2443 Hose bib • 16.60 ;1d APPLICA, 4T • . • ' • 1I CONOTi tcr1:ERsON . • • lee maker 1 6.60 Name: Ray Mullen interceptor /grease trap 16.60 Address: Medial gas • value: S Page 2 (7i /$tatelZi • : Primer 16.60 Roof drain (commercial) 16.60 , Phone: Fax: _ Sink/basin/lavatory 16.60 E -mail: Tub /ehoweeshower pan 16.60 :. • . ` • • - . CONTRACTOR :. • • • . .. r Urinal 16.60 _.. Water closet 16.60 BusinessNaale: ED Millen Plumbinq - Waterheatcr 16.60 Address: 24470 SW Rainbow Lame Other: City /State/Zip: millaberr.. CSR 07171 Other•' Phone: 0 _ - 628 -1 . Fax: _ , .. :Platnbiate'tecm"�e:1 Bite •:. • ' Subtotal S CCB Lic. #: . A R 9 Plumb. Lio. #: • - • • 0- : •• — Mania unt Permtc Fa s72 50 S Authorized 4' 4 Residential Baclilow Minimurt:1036.25 Signature: ✓ 1 A / :• sr . ...or / putt eviOW gssi of Pamic Fee) S _ Ray ul en State &ucharge (S% of Permit Fee) S _ �•_ (Please print Hans) TOTAL PERMIT FEE S Modem Tblo permit application erwptrea if a permit is not obtained within an new commends! buUdlnp multi 2 Sets er plans with isometric or 110 days after Is has beet exempted u complete. riser diagram lbr plate review. , Fee methodology set by Trl- County Bolldinp, Industry Service &lard - t :'Dtts \PevTnil Porni..PlmPerml1Apo.doc 01/03 LAA " ' AAAAAAAAAAAAAAAAAAAAAAAAILAAAAAAAAAAAAAAA AAAAAAAAAA t Fr 1 STREET TREE CERTIFICATION : W. A l■ ® Gt, / / p steer n I (PLEASE PRINT) for �, f K ' - (PERMITHOLDER) • ® F' :i 1., I. �� ;W 2 3 t ,® Do hereb i _-'-': . :4',- ; . _ location lit .j"8„.,-t-- meets ‘• 1 °` ._ ; i e ' '. :` ' I SA - 1 on Vounty _ Ig19/ _1 ® � ',was AM/0 /10? pl/ti� *In p ..} Afn e i • ��.as for street tree j,�, lidldUil. � 1 ADDRESS: .. 1 � ADD SOU ��1 � t L i al ® LOT: SUBDIVISION: ___61.2214.e_ E-____________ 4 BY: DATE: ___k__ 77- Y Ar -.......„. � ' RECEIVED BY: rvvvvvvvvvvvvvv vvvvvvvVVvvvvvv vvvvv®vvV v ® ® ® ® ®v ®v ®v ®vv ®vim CITY, OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 39 -4175 • MST INSPECTION DIVISION Business Line: (503 39 -4171 BUP Received Date Requested / A PM BUP Location Suite MEC Contact Person 4 7‘7 1 0 Ph ( ) 8 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1 � Framing V S A C -1Z4 S/ o FI VA _ Insulation Drywall Nailing 111:7 1� �— '�J �. - Fire Sprinkler / N S U --�. —i=E :t Fire Alarm Susp'd Ceiling Roof Other: PART FAIL // ` � MBING vk>A14-x/ r o''1 ?- u i !t.4 Post & Beam N F! „� Under Slab 1 ) © / Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole C#fS Storm Drain Shower Pan Other: - rap Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smo e Dampers 4 0ART FAIL - RICAL 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 Please call for reinspection RE: U Unable to inspect — no access Fire Supply Line • ADA Approach/Sidewalk Date / 7Z9 : ; 07 Inspector Other: Final DO NOT REMOVE this Inspection record the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 MST ,4)e)4 o INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested I —,pZo AM PM BUP Location --C.P ti0 Suite MEC Contact Person 9 Ph ( ) — 7/ o -" 8Y' S 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 /AY Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan •.:r: n- 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date o Inspector !/ Ext Other: Final 0 NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST °3d0 C�J O p° Z ( INSPECTION DIVISION Business Line: • 03) 639 -4171 BUP Received Date Requested l AM PM BUP off Location [ / Suite MEC Contact Person 79 gi C-Azt-d P ) 7J -- F915 PLM Contractor Pr 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: Final PASS PART FAIL PLUMBING 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 Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fi e 7 4 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: / 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date c ‘• . Inspector Ext Other: Final DO NOT R , OVE this Inspection re * : from the Job site. PASS PART FAIL