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Permit A'Y',q,^vv re) Co Rre& - AA6o zess 4/% A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00210 __�y� DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111DB-16700 SITE ADDRESS: 09486 SW TILLIE LN ZONING: R - 4.5 SUBDIVISION: KESSLER ESTATES NO. 2 LOT: 024 JURISDICTION: TIG Project Description: New SF detached. BUILDING REISSUE: BVH3070 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,398 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,672 sf GARAGE: 658 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TIRtD st RIGHT: 5 VALUE: 302,545.80 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,070 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: BOIL/CMP < 311P: 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: 0 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 FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 • 400 amp: 201 - 400 amp: 1st W/O SVCIFOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HWSVC /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 # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal 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: $ 7,844.23 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Issued By : At/: �� / I/ Permittee Signature : e)Al f9 - 7 0 / 0 J - 70" 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 Received u Building , Date/By: / / /�07 Permit No.:16/ CO QOa /0 City of Tigard Planning Approval Other �� �' Date/By: Permit No.:01, G199:,9 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 1 , 200! Date/By: / J W-.23 -o y Permit No.: • Phone: 503- 639 -4171 Fax ' ,� :1 '� Post - Review ! Land Use Internet: www.ci.tigard.orfusTY OF I'IGARD -!: - 'I �� Date/By: Case No . Contact Ju ' ® See Page 2 for 24 -hour Inspection Requ00ISp 610$. 715aI01�1 Name/Method: /�, Supplemental Information TYPE OF WORK , :.. . •.... - . New cons truction ROARED DATA: 1 ` : . :: :',: ® Demolition ❑ 1 & 2 FAMILY DWELLING : :: 7 :: ' •.. ❑ 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 INFORMA ION d LOCATION No. of bedrooms: No. o ths:LJ Job site address: I i l le- Total number of fl ors Suite #: ' New dwelling area (sq. ft.) 9 /Apt. #: Garage/carport area (sq. ft.).... Project Name: ( ,/O /O.s Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) 4 Other structure area (sq. ft.) / �� :.:;;. . : REQUIRED HATA: .• . _ ,' .; . • Subdivision: „ ���/„r► ' ;1 /1[r1, !�;_ COMMERCIAL -USE CHECKLIST : Tax map /parce #: 41.1. 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 • I ❑ 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 ED 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: El iabeth Moore from licensing, the following reason applies: Address: City/State /Zip: Phone: I Fax: E -mail: ° B U ILD IN G.PERM T £FE E S ` ••. .�_ Please retenileescLedu` k : • ;' CONTRACTOR • • • • _ . Business Name: Buena VI s to 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. #: 152235 Authorized /n� Signature: U. Date: - • Notice: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Trl- County Building Industry Service Board. • (Please print name) i :\Dsts\Permit Forms \BldgPermitApp.doc OI/03 • - 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Pe rlm�'i' to Appri tc ati on FOR (I 1( (;( r)NI_1 Received Electrical Oatc+By: Permit No.: H51 1 [ 'Mal 0 City of Tigard I' • . c 2004 Planning Approval Sign Date/Dy: Permit No.: 13125 SW Hall Blvd. CITY OF TIG,�r Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 UFgi:r03 54-8,121960ON Post•Review Land use Internet: www.ci.tigard.or.us Co Case No.: 24 -hour Inspection Request: 503 -639 -4175 - onta`t 1uris.: I S See Page 2 for Name/Method: SJtplemental Information. • • ` •< . ° :, TYPE'OF WORK .. ..:. - ..:• :..; , PL NREVIEW :(Pleatee5ttk ell'tiatapbb'3 : - : :' . • Ncw construction Demolition 0 Service over 225 amps• ❑ Health-care facility __ ❑ Addition /alteration/replacement Other: COmmer ❑ Hazardous location ❑ service over 320 amps - rating of ❑ Building over 10.000 square feet, ' •• •. C.ATEGOiRYOrCONSTRVCTION - 1 & 2 family dwellings four or more residential units in Pi & 2 -Famil dwellin 1 la Commercial/Industtial ❑ System over 600 volts nom;nal one structure II Accesso Buildin • Multi - Famil ❑ Building over three stories ❑ Feeders, 400 amps or more ■ A ccess Builder ❑ Occupant load over 99 persons ❑ Manufactured sauctu es or RV park 'U Other: ❑ Egress/lighting plan ❑ Other: . ' , ?: '. JOUS= I FO ' , - 1I0N ; d LOC411014 • . Submit sets of plans with any of the above. The above are not applicable to temporary Job site address' y eooetruetlon service. Suite site 9 iii i Bldg./Apt.#: ..... i P! S E::....: 1::,�, -• - . • ... �..... FE ;:....: :,.tip`": <:�: ��;': • Number of inspectfoas per permit allowed Pro'ect Name: A /. /� Deseription Qty Fee (ea.) - rota, , i C:rOSS street/Directions to job site: New residenttal•eingto or mohl •family par dwelling unit. iactades attached garage. Servke Incleded: 1000 sq. ft. or less 145.15 4 Each additional 50D sq. ft. or portion thereof 33.40 1 — Subdivision: I Lot #: Limited enee ,residential 75.00 2 Limited energy. non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling ' ". 'DE N .OF•WORK ; • :: • •• service and/or feeder 90.90 2 �F A ' 1 / 1 T /111 / r Services or feeders - Installation, • .A..,) ` o n s'kj c , S //� / fv ah or reloeadone - ch e cl L d en cam—/ 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps ) _ 160.60 2 0P i1�RTY OWNER ' ::•.:, O.}ENP . ' 601 =DI to 1000 amps 240.60 2 Name: (fin a vl 5 -}� t i s. 1,167762: _ , Over loon amps or volts 454.65 2 Reconnect only 66.85 • 2 Address: ( ,�� ' 5 W r (., a c c io� Temporary services or feeders • installation. City /State /Z : Per 0 ' '-1 L/9 no a mps o leor ss 66.85 I Phon 0 143- 443D F ax j .44, ei 5 2 � ps to 40 amps 100.30= t pPP� 401 to 600 amps 133.75 2 C A Grit N' . Branch circuits • new, alteration, or .. 13: Name: - '.✓Q+., �-oss extension per panel: Address' A. Fen for branch circuits with purchase of service or feeder fee, each branch chub a 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 I Fax: Each additional branch circuit 6.65 2 E -mail: Mise,(Savice or feeder not included) ); - • ' • ... Each pump or irrigation circle . .•. . CEITI:ZRl6�OR .. ,_ - _: •: � R 53.40 � 2 Job No: Each ten or outline lighting 53.40 2 Signal circuit(s) or a limited energy panel, Business Name: R OSS , alteration. or extension Pap 2 2 _ Address: a S-70 1+111S 5k) of tt oez Description: City /State/Zip: 4,01-10 , DR 17i 23 Each additional inspection over the allowable In any of the above: Per Phone :.$�3 442, 2300 Fax: Qy inspection per hour (min. 1 hour) 62.50 3 (o 2.__ - $1 S _0__on far. CCB Lic. #: 1is Lic. #: 3_5 G Ot inve ter: I Supervising elCCh7C.::::::,......,....;L E�I�' , X signature required. Subtotal - _ Plan Review 25x.6 of Permit Fee $ S Print Name: .Si -t(e 1 OSSI Lic. #: 4/2,3as State Surchailte (8% of Permit Foe) S Authorized TOTAL PERMIT FEE S Notice: This permit app catioo expires If it permit is not obtained within Signature: Date: — 180 days after it has been accepted as complete. •Fee methodology set by Tri -County Building tadustry Service Board. (Please print name) - i :\Dsts\Pcrmir Fnrrro`.ElcPermitApp.doc 01/03 • 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 • Mechanical Permit Application Rec . ve a ntcst i Dateliv: • Permit Ne.; 114 City of Tigart pcENED Planning Approve! Date/Bv: Building Permit No.: 13125 SW Hall Blvd. a . Plan Review Other ....... Tigard, Oregon 97223 • Danny: Permit No.: _____ Phone: 503 ti:C: 5035M40 Post4teview Land Use ...Datelliv: Case No.: Intefflet: wi.vw.ci.tigard.cir ( - , ,I - r 1G AR D _ .4. . Contact kris.: 1 1$1 See Page 2 for , 24-hour Inspection ReqC 50 : 639-4 gt 1\1 - - - --- Namelbtethod: 1 Saypiententai Informatioth • BUILDIN LAV i — , • . - • : .-. !..'" • N. ::',. 4 E OFWORK.*:5,•li•i' ••• .::•• •.',• etosticmgaatisT *,• ?. V New construction • Demolition Mechanical permit fees arc hued on the total value of the work In Addition/alteration/ ilacement • Other: performed. Indicate the value (rounded to the nearest della) of all ' • . • ' - 'CAM° ' X., ' 1_2_,IAIV..TitiniEME mechanical materials, equipment, labor, overhead and profit lr 4 1 & 2 Value: $ See Page 2 for Fee Schedule il dwe% L 1111ARMITMWM711 i Accesso Buildin: 11111MOMMIIIIIII HRESUMURIAZWAMMPMENTATIM1245EMOCEEDULl ' Description i Ql7 1 - F ecies-1 1 Total i _ PI Master Builder _ • Other: ReadoKeeitag , • 1 0 : S I T E 1 s ' • - TION and L O C A T I O N • - ., • ' : : . • Furnace • add air condin• , "n • " 14.00 Job site address: -17 - . ots heat pump - 141.00 , Suite #: . • 4firi Bid, Jilt,. t#: Duct work 14.00 , Project Name: • ftf/P- Hydronic hot water system - 14.00 Residential boiler Cross screet/Directions to job site: (kir radiator or hronic system) 14.00 ' Unit heaters (fuel, not electric) in w all. _lS"t-duc s eu Med. ctc.) 14.00 Flue/vent for any of den) 10.00 Subdivision: 1 Lot #• _air units 12.15 , Oliser Fuel Ais tined Tax - -meet # • Water heater ;0.00 • • • ' • • • '• DESDIA/MON OF WORK ••• • ..■ • ' . • Gas fireplace 1 10.00 NEW CONSTRUCTXON-SINGLE PAtaLY Flue vent (water hater/au firep(ace) 10.00 • DETACHED RESIDENCE Loglahter (eaS) - 10.00 Wood/Pellet stove I 0.00 • Wood fireplace/insert 10.00 • Chimney/liner/Hue/vent 10.00 riaITOPERIVOWEER. ... ; Ai •EZIANT:littlg :•••••:•.;f Other: 10.00 . Environmental Palma & Venda:lion NaMe: B . , , • Range hood/other kitchen equipment 1 so.00 Address: 6932 SW Macadam Ave.,„S.±..e_ C Clothes dryer exhaust 10.00 City/State/Kip: Portland OR 97219 Single duet exhaust Phone . — 4 I Fax: 1 _ , . - , . (bathrooms, toilet companments, II WETZINEINNialliM110 .CONT - „ PERSON • ' •• • utility rooms) • 6.30 Name: David Gol.b- Anic/crawl_pace fans j I 10.00 . Other; J I 10.00 Address: 141 vats City/State/Zip: ' for first 4TSL0O earn addinona0 1 •• Phone: i Fax: Furnace, etc. .. Gas heat Puttli — E-mail: ' Wall/suipeoded/unit heater ••• ' .1. : . • . '-: , • • CONTRACTOR ,. c:. • ::, : - : ' . • • •• • Water heater •• -- 1 Business Name: si _Inc - Fireplace . •• • • Address:2428 SE 105th Ave. Ranee , •• B139 Ci /State/Zi.:Portland, OR 97216 cbltles e t----. 716 -- -- :: Phone: 503-253-7789 FaX:503- 5 ... 6 -.3 Other: •CCB Lie. #: 4 8 131 . — Total: - Memaeleal Pero* Fees* _ AuthorIned-...4 . • S • .. - : S Signature: G Jo „, Date:&112proi Minimum Permit Fee — 50 S David Goloqy Plan Review Fee % of - — t Fes) 5 ( tete ' Tr7COTEZMIZ S P ease P------r-7--------..-------ifa natne) TOTAL • . 4-1 71 i S Notice This permit application expires If a permit is not obtained within •Pee rivedlodelogy set by Trt-Cotuur Building tadttstry Service Board. ** 180 days after it has been accepted as complete. Site man required for miterier A/C unit"- IAPstalrennit FarrnnMeePerrnitApp.doc 0143 • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY i* HENNA VISTA a 002/003 Plumbing Permit AnnliC$tion Fr►[tc►rrlc 1: l tit ONLY . (� (� (� Received Plumbing L� BUJ !� _ �l D Datrier Perm Na.: N! 7 -r --/ . Planning Approval Swwr City of Tigard pate/Bv: Permit No.: 13125 SW Hall Blvd. Plan Review Other "" Tigard, Oregon 97223 i i � . _ '.. 2004 Date/By: Permit No... Phone: 503- 639 -4171 Fag 503 -598 -1960 Post- Review Lind the r ' f Y OF fICaArRD I Date/13y: []ateNo.: internist www.ci.tigard.or.tt t P n ' 11 ± Contact Jura.: ® See Page 2 roc � 24-hour Inspection Regt a :) �303.639.4lT iu Name /M ethod: S u op loaaeao I tntartnetiot. .. ••'TYPE OP_W r 7 •. 1 •.r•• _ - . -FI r SOICIDIJ iE•ger9peeratinfelr�t74a". b��W lin New construction Demolition Description I Peo(eei I Tow • Addition/alteration/replacement • E Other �•• - ' • :•:-' ., • •: s � x; r .e/SIFI`rORSCt�IP: `'d ..:. • . `::,•; adn )I Sr'for eliVia tmiy'.'o`oii>aedtteor t� u :' : s-,• " ' ` SFR (1) bath 249 P 1 & 2 -Family dwelling 0 Commercial/Industrial SFR (2) bath 3 ■ Accessory Building 8 Multi -Zti y SFR (3) bath 399.00 Ili Master Builder Other: Each additional bath/kitchen 41.00 IlOB Srrz MP. s e • ill tlfi. Fire sprinkler - sa, ft.: - - Page 2 Job site address: _.at . co / . •., Slfe Utilities •, ;�:�,;,' :..tre!'J. *.1 :7 - . . Suite #: ' , . Bid :. /A • t. #: Catch basin/arca drain 16.60 r Drywall/1=h line/Wendt drain 16.60 Project Name. -. _ Footingdrein (ne. linear ft.) _ Paee 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 #: Storm sewer (no. linear ft.) Page 2 Tax map/parcel #: water service (no. linear ft - ) Page 2 •, ' " '', • FluttlreorItma ' ..` y DESCRIPTION OF WORK ' ' Absorption valve 16.6 NM. - SINGLE FAMILY Backflowprevcnter _ Pagc , PARTLY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 ---' Dishwasher 16.60 aPROPEAT]t'OlOftNER ' :1- , 0 • 14' SIT ..:. , _ Drinking fountain 16.60 E'eotore/auttt - 16.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6 9 3 2 SW t(aceam Ave. s tp c .. Fixture/sewer cap 16.60 City/State/Zip: Po r OR 9 7 21 9 dtatl Floor drain/000r sink/hub _ 16.60 �' Garbage disposal 16 Phone: 503.443 -6033 Fax: 5030443 -2443 Hose bib 1640 Ad APPLICANT • • '. IL ,- .._..!V'z . N • • ' Ice maker 16.60 ' J Name: Ray Mullen Interceptor /grease trap 16.60 Page 2 , Address: _Primer Medical gm • value: S Ci /State/Zi • : 16.60 Roof (commercial) 16.60 Phone: FBX: Sink/basin/lavatory 16.60 E -mail: Tub /shower/shower pan 16.60 „' •'., • . CONTRACTOR , • • • . Urinal 16.60 . Business Name: ED MU 3,1 >S P lamb i. n Water closer 16.60 L . _ _ . _ _ : . g water heater 16.60 Address: 24470 SW Rainbow Lane Other: City /State/Zip: Hibn e, nR 971 7,3 . Other. _ • Phone: 503 PaX:501_62R - 4613 ....:Pluwbl6nNacmle ee.. ; • , CCB Lic. #: Plumb. Lic. #: _ . 0 • _ Subtotal S _ l - • Minimum Permit Fee ST1:.50 S Authorized „ / Residential Bacltt3ow Minimum Fee $36.25 Signature: . % . ' Plang evlenv (2554 of Pcntuc Fee) S _ Ray ul en State Surcharge (8% of Permit Fee) S -.....-r (Pima print name) = TOTAL PERMIT ME S Netleet Ibis patch application expires Ira permit Is not obtained within ' AU rtow commercial buildlep require 2 sets Or plans with isometric or ISO days after tt has beet accepted u complete. riser diagram (br plan review. 'Fee ttutbodologr set by Tri - County Baltdinp, Industry Service Board• 1ADsts\Petmit PormAP1mPermltApa.doe 01/03 .., • AA T d/- 2-10 LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA NI r 1 ii pl• :41 STREET TREE CERTIFICATION r. 1 . 1!*• 1 r \ ii ,• 1 /7‘' t 1 or _, .....-, „Owner Agent 4 4 40 (PLEASE PRINT) \ (PERMIT HOLDER) No. 1 \-, titt• •ko .- ' f zt, f'' -F. ES• . /.., ,,, % , ),,,,, ,It• 14 f ) - ■ . ,4=- -. , .f-t-7----\ 1 a 14S Y , 9. Do hereb,;, t ' d '$ 1:: :7- t ' '4 1 i . .: 4 ' illg location 10. Di> :z. .5 ,, 1 I 1 % meets oncounty tt. I iti• 44 ig• 1 , land use and development standards for street tree installation. , IA* 1 , lit• — - 1 , ..----1-, r itt> 1 ADDRESS: 7 r 4 i v //i ( / / c „ ti- lt> 1 . Bs> 1 ' ■ 1 LOT: .-- i ,A rr SUBDIVISION: 7" 1 . ' 't• 1 ..." A. .... 1 1 BY: /le/ DATE: iy_I c7/ y 44 . RECEIVED BY: . 41 . 1 DATE: /7_- 0 y lix. A FVVVVVVVVVVVVYV I vyvvvvyvv7vyvvvyvvyvvvyvvvvvvvyyvvvvvvvvvv. I CITv OF TIGARD 24 -Hour BUILDING Inspection Line: ( ; ) 639 -4175 11, INSPECTION DIVISION Business Line: • 3) 639 -4171 MST ,aoy ooa 10 BUP Received Date Requested fo ' AM PM BUP Location Suite _ MEC Contact Person ) 7 /0 /-S PLM Contractor ( ) 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 �' ` 12-/. O Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 42% PART FAIL PLUMBING Post & Beam A Za 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 PART FAIL CTRICAL 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: i Unable to inspect — no access Fire Supply Line / n ADA /0 /3 Q/ Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection rec d f om the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 ) 639 -4175 MST olOW � 1 p INSPECTION DIVISION Business Line: ( ) 639 -4171 4.......... Received DateRequested /) ' ? AM PM BUP Location / / ' � o / ` e A Suite MEC Contact Person C442-ei Ph ( ) 7/6 8 (//3 PLM Contractor Ph (, ) 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 F amhngath/Shear /) t / 6 A 0OS / 6 J� Insulation Drywall Nailing Pr 1 ► r - , . G f L Firewall I. A ■ . 0 (--74- c_eg la Fire Sprinkler Fire Alarm .41 P O 4. s /A, . u .Ci rib C.-- s Susp'd Ceiling — Roof Kt i / /., / A/ //--) k oc,/•- Other: • • SS PART - /I PLUMBING .. /A/ ' S %— /0 / Post & Beam A O, 4 U / �� A/ J, _ , p �/( +� ` �! 1 -r, � p Under Slab `�/� IL \ p /�t'vl Rough -In _L / A1 0 01 "9- _-i 4 , 1�/ S 0P-1 Water Service Sanitary Sewer A L_ S �s Rain Drains - Catch Basin / Manhole K 0 v S F-7:-/e0 !' M Storm Drain �� ` T Shower Pan r eT / 2Ai A- b.v (f.— Other: Final Ib — PASS PART FAIL MECHANICAL :.! Post & Beam Rough -In A + _ _ t 7 _ %�� Gas Line S ilA moke Dampers — F, PART FAIL AP TRICAL 1 Service .. I . 1 Rough -In ‘��( ‘1111.1111111m— — 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 0 Please call for reinspection RE. ❑ Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date Inspector Ext Other: Final . DO NOT REMOVE this Inspection recd om the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST oq 6 INSPECTION DIVISION Businesd Line: (503) 639 -4171 �/ BUP Received Date Requested /? — d AM PM ' BUP Location 9 / / -- r � Suite MEC Contact Person C∎A. i'4' Ph ( ) 7/ — 2 4 1/5 -- PLM Contractor Ph ( ) 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 Insulation Drywall Nailing `' - - i1� `f ssa 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 Ina - PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA P/7/6) Dat Approach/Sidewalk Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Lin - • (503) 639 -4175 MST U - 0.2 1 GO INSPECTION DIVISION Business Li . (503) 639 -4171 BUP Received Date Requested / AM PM BUP Location % /, 'iii Suite MEC Contact Person i Ph ( ) 2 -WC PLM Contractor Ph ( ) 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 Insulation - Drywall Nailing Firewall , Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: y 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 1v o C 1-1Z. tie 6 u- 774 PAM -kV m PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection RE: / Unable to inspect - no access Fire Supply Line ADAM Approach/Sidewalk Date - Inspector Ext Other: Final DO NO REMOVE this Inspection racer 1. om the job site. PASS PART FAIL