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Permit a CITY OF TIGARD MASTER PERMIT 11111 g COMMUNITY DEVELOPMENT Permit #: MST2003-00248 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/24/2003 Parcel: 2S104AD03801 Jurisdiction: TIG Site address: 12630 SW WALNUT Subdivision: Lot: Project: SMITH Project Description: 2 /28 /05:This permit is reinstated for purpose of final inspections for a period of thirty days. BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms' 3 First 1532 sf Basement sf Left: 5 Parking Spaces. Height 22 Bathrooms 3 Second 1331 sf Garage: 535 sf Front 20 Smoke Dwelling Units 1 Third sf Right 5 Detectors: Yes Total sf Value $279,995 70 Rear 15 PLUMBING Sinks 1 Water Closets: 3 Washing Mach 1 Laundry Trays. 1 Rain Drain: 100 Catch Basins: Lavatones• 4 Dishwashers 1 Floor Drains: Sewer Lines 100 SF Rain Other Fixtures 0 Tubs /Showers 4 Garbage Disp: 1 Water Heaters 1 Water Lines 100 Drains 1 Bckflw Prevntr MECHANICAL Fuel Types Air Conditioning: N Vent Fans 5 Clothes Dryers. 1 GAS Heat Pump N Hoods 1 Other Units Fum <100K Vents 1 Woodstoves. Gas Outlets. 3 Fum > =100K 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less. 1 0-200 amp' 0 -200 amp W/ Svc or Fdr Ea add9 500 sf. 5 20 1 -400 amp 201 -400 amp 1st W/O Svc/Fdr Limited Energy 401 -600 amp: 401 -600 amp. Ea add! Br Cur 601 -1000 amp' 601 +amp- 1000v• 1000 +amp /volt ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo N HVAC: N Security Alarm N Vaccuum System' N Garage Opener N All Other N Other Description Ecompasing N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) NANCY SMITH TODD BATES CONSTRUCTION 12630 SW WALNUT 4828 HOLLY HTS AVE. TIGARD, OR 97223 TILLAMOOK, OR 97141 PHONE' 503- 692 -5436 PHONE: 1 -503- 812 -0363 FAX: Total Fees: $3,672.02 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1 800 332 2344. Issued By: Permittee Signature: I. .''' Is CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00248 .14 4P. DEVELOPMENT SERVICES DATE ISSUED: 7/24/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 • SITE ADDRESS: 12630 SW WALNUT PARCEL: 2S104AD - 03801 SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: Construction of new SF detached residence. Existing house to be demolished. House on sewer. Sewer Credit applies after DEMO permit is finaled. BUILDING REISSUE: MAS2164A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 22 FIRST: 1,532 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,331 sf GARAGE: 535 sf FRONT' 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT. 5 VALUE' 279,995 70 OCCUPANCY GRP: R3 BDRM: 3 BATH. 3 TOTAL: 2,863 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS' 3 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 FD R. PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF. 5 201 • 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: SIGNAUPANEL: 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 & 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: Owner: Contractor: TOTAL FEES: $ 3,547.02 This permit is subject to the regulations contained In the NANCY SMITH TODD BATES CONSTRUCTION NANCY SW WALNUT TODD BATES HS AVE. Tigard Municipal Code, State of OR. Specialty Codes and 12630 TIGARD, OR 97223 TILLAMOOK, OR 97141 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: Oregon law requires you to follow rules adopted by the Phone: 503 692 - 5436 Phone: 1 - 503 - 812 - 0363 Oregon Utility Notification Center. Those rules are set forth In OAR 952 - 001 -0010 through 952- 001 -0080. You OUNC Res #: LIC 72409 may obtain by calling copies (503) of these 246 -1987. rules or direct questions to • REQUIRED INSPECTIONS EXPORED Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insf Rain drain Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall lnsp Insulation Insp Water Service Insp Building Final Issued By .---_-_, -: - . � ,.- �_. A Permittee Signature : / i / _` Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day jo •'7 /go,IA✓ I \Jv S> G - . / / Cry a Building Permit Application FOR OFFICE USE ONLY Received Building R ' /�/ City of Tigard L� l� DateB ' Permit No I ro�3 - �a ` �� � � �- - � Planning App Other Date /By 13125 SW Hall Blvd. �* Plan Review 1 Other Permit No.: Tigard, Oregon 97223 JUN 1 e Date/By ' 0 Permit No.: Phone: 503-639-4171 Fa- 503 -5 ° : 1 1 � 6 J F / ""O f Ei,U� 'M' '' Post - Review Land Use ;' I Date/B b I,// Case No. rL� �1 i h�I�IC , Internet: www.ci.tigard.or °,• - Contact / Juns: ® See Page 2 for 24 -hour Inspection Reque: ;- 639 -4175 Name /Method Supplemental Information TYPE OF WORK REQUIRED DATA: ® New construction ❑ Demolition 1 & 2 FAMILY DWELLING ❑ 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 El Multi- Family J - ❑ Master Builder ❑ Other: Valuation 0 $ .2-2 f.5.33 JOB SITE INFORMATION and LOCATION No. of bedrooms: 5 No. of baths Job site address: / ( , a 30 . S G J %/A2 N (. - 7 - T S N number floors Neew w l a dwelling area (sq. ft.) '...: Z 8 4.3 Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) � ... 53.E Project Name: ,r/p-, / - n-4 - NA nI C/ ¢ t X Covered porch area (sq ft.) /.2.0. .... Cross street/Directions to job site: Deck area (sq. ft.) - 43 Other structure area (sq. ft.) ivLsT QF /24L del ii,41240u"r S REQUIRED DATA: ,,25 /O Z - U 35'u / COMMERCIAL - USE CHECKLIST Subdivision 1%(I —0 30/ I Lot #: 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, matenals, labor, overhead and profit for the work indicated on this application eoAlsTRc,C'T!o Dr lick, S'>l)6[.r ,.DlJ C- A) (7 Si ) c iC Sti i L T M /f+ C Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories CA PROPERTY OWNER - I ❑ TENANT Type of construction Name: Abewe / -fc2 /n1,1 SPY, i ?YI Occupancy group(s): Newing: Address: ) , P ( 4 . 3 6 SW 1✓A2 4 u T 51 City /State /Zip: TI6,4/20 o le 97a 3 Phone: .5 3 lv y 2 SV- 3 G Fax: 503Y ( -- �2 7 NOTICE: All contractors and subcontractors are required to be C licensed with the Oregon Construction Contractors Board under ® APPLICANT ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: SA-r,, N4,40/ ? Qe( fin , - Ti - / jurisdiction where work is being performed. If the applica i is exempt Contact Name: from licensing, the following reason applies: \ Address: City /State /Zip: Phone: Fax: BUILDING PERMIT FEES* E -mail: rsm t -fj 347 t as I , Co m Please refer to fee schedule. CONTRACTOR • Business Name: - ' C2 .2 S Cc1457/L6[c7[h3 Fees due upon application $ Address: zi Z? cDGG y //T5 ,4r/C" City /State /Zip: Vi _ 9 - 7.7/1/1 Amount received $ Phone: / ) / fax: /00,3) Z- 6, Z--9 Date received: Friz -63 - CCB Lic. #: 7 2 ‘,4.7 Authorized /J Notice: This permit application expires if a permit is not obtained within Signature: `� (� '' �( Date: G� 3�U 3 180 days after it has been accepted as complete. NAAJCV S srh / "7–)4 *Fee methodology set by Tri- County Building Industry Service Board. (Please pnnt name) is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 • r d r A h 6 One- and Two - Family Dwelling `: Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes • No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 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 Cl plan ❑ 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 if copyright violations exist. 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 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. 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, fireplace construction, thermal insulation, etc. 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. 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 revi• . 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 ". 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. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. 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. 440-06i4 (6/00 /COM) , Mechanical Permit Application FOR OFFICE USE ONLY Received Mechanical �I Date/By: Permit No.: 0 C�1 i 3 —00dl iS Cl of Ti and ' Planning Approval Building `J g U "y �� Date/By: Permit No.: 13125 SW Hall Blvd. . '1 Plan Review Other Tigard, Oregon 97223 11,; 1 DatdBy: Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 ���' Post - Review Land Use //giv Ci ,°� Internet: www.ci.tigard.or.us ;` +od i 0 ;v�' Date/By. Case No : Contact Juns.: SeePage2for 24 - hour Inspection Request: 503 639 - 4 7, �5 .O -- Name/Method Supplemental Information. TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction ❑ Demolition Mechanical permit fees* are based 6n the total value of the work ❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. IN 1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 14.00 Job site address: l .2G 3o S/,J 4JF►2 u S T Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Hydronic hot water system 14.00 Project Name: Sm / 774 — NA /siC `/ ¢ Re X Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 /a / eT , qv E") Unit heaters (fuel, not electric) L)6 7' CG /.2 1.29-774 DAl / , � (5 (in wall, in-duct, suspended, etc.) 14.00 G Flue/vent (for any of above) 10.00 Subdivision: I Lot #: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 C C 71 0 "7 D G n/e G+) -C-77 G4 Flue vent (water heater /gas fireplace) 10.00 31.1) L 7 .s' /n) 6 1..& ./70 ELL / N(7 f nE_ Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 (PROPERTY OWNER I ❑ TENANT Other: 10.00 Name: NI) „/ c V SQL / Ai dc) S1r / -r-7-) Environmental Exhaust & Ventilation Address: 1 3 d ,50) (AmLNu T ST- Range hood other kitchen equipment 10.00 City/State/Zip: �� '7 , 3 Clothes dryer exhaust 10.00 y p' ���� 1) Single duct exhaust Phone: .0v3 (9y' 2 SSt760 Fax:503 G 2b 32 7 % (bathrooms, toilet compartments, 111 APPLICANT 0 CONTACT PERSON utility rooms) 6.80 Name: fm-n - A/,9 / 4 / ¢ , ee-i Sn9 i 771 Attic /crawl space fans 10.00 Address: Other: 10.00 Fuel Piping City /State /Zip: * *($5.40 for first 4, $1.00 each additional) Phone: Fax: Furnace, etc. ** Gas heat pump ** E -mail: rSn- -rlh 3'97t/ d i, cd 1'r Wall/suspended/unit heater ** CONTRACTOR Water heater ** Business Name: t 9c, 4 9"/ Fireplace ** Address: Range ** BBQ at City /State /Zip: Clothes dryer (gas) ** Phone: Fax: Other: ** CCB Lic. #: Total: Authorized Mechanical Permit Fees* Signature: —/� Date: Z /11/v 3 Subtotal: $ Minimum Permit Fee $72.50 $ Ng,ic / J. J,,, / 77-/ Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i \Dsts\Permit Forms\MecPerm,tApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 $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 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Assumed Valuations Per Appliance: Value Total Descnption: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp; absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30 -50 hp; absorb unit, 3,400 1 -1.75 mil. BTU >50 hp; absorb unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: i• \Dsts\Permit Forms\MecPerrnitAppPg2.doc 01/03 bumming r fixtures Plumbing Permit Application FOR OFFICE USE ONLY Plumbing Date/By Permit No. - f ?O')3 - C a; tif IS Cl of Tigard Planning Approval Sewer `,y g Date/By: Permit No.: 13125 SW Hall Blvd. - , Plan Review Other Tigard, Oregon 97223 i v � ' C i -i DatelBy: Permit No ( " ' I C' 1� v Post - Review Land Use Phone: 503- 639 -4171 Fax: 503-598.-T960 41 Date/By: Case No.: Internet: www.ci.tigard.or.us _ Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Vd; -- - Name/Method: Supplemental Information. „ TYPE OF WORK - ' , 9 ' FEE* SCHEDULE (for special information use checklist) IN New construction ❑ Demolition Description • I Qty. I Fee(ea.) ' Total ❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft for each utility connection) 1 & 2-Family dwelling Commercial/Industrial SFR (1) bath 249.20 © am }' we g ❑ SFR (2) bath 350.00 ['Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: 124, 3 a SW W N ,... s -r Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: S' hn / - T - NA n1 ( L/ ei l�l � Drywell / leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 /.z ) s r Al-✓.,� Manholes 16.60 1 65-7 e r )2 4 oA/ l✓Az.NUT ST- 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 DESCRIPTION OF WORK Fixture or Item Absorption valve 16.60 ( N Stu (711 d 9 O F ) Backflow preventer Page 2 .s') A)6 c C et L/ Al E 1 ZSIa / yT Backwater valve 16.60 AI 6 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ® PROPERTY OWNER 1 ❑ TENANT Ejectors/sump 16.60 Name: NArl e / S t /Airci Jn• , T7a Expansion tank 16.60 Address: I a ( 30 J'tid Li Ai N i., T S Fixture /sewer cap 16.60 City /State /Zip: TIC ) ° q7 a 2 3 Floor drain /floor sink/hub 16.60 Phone: 5'03 ( 543(0 Fax: W3 (07,0 -3L7 Garbage disposal 16.60 Hose bib 16.60 APPLICANT 0 CONTACT PERSON Ice maker 16.60 Name: Sp,,, e - - iv NC / f A26' •-f by / Ili Interceptor /grease trap 16.60 Address: Medical gas - value: $ Page 2 City /State /Zip: Primer 16.60 Roof Roof drain (commercial) 16.60 Phone: Fax: Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 CONTRACTOR Urinal 16.60 Business Name: `(2L Water closet 16.60 -� W /`f Water heater 16.60 Address: Other: City /State /Zip: Other: Phone: Fax: Plumbing Permit Fees* CCB Lic. #: Plumb. Lic. #: Subtotal $ Minimum Permit Fee $72.50 $ Authorized ✓f Residential Backflow Minimum Fee $36.25 Signature: `1 Date: L// 7 /6 3 Plan Review (25% of Permit Fee) $ NA C 1 S. -Cm, Ty/ State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri- County Building Industry Service Board. I: \Dsts\Permit Forms\P1mPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard r e Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l 100' 55.00 0 to 2F100- $115.00 Footing drain - each additional 100' 46 40 2,001 to 3,600 $160.00 3,601 to 7,200 $220 00 Sewer - 1st 100' 55.00 7,201 and greater $309 00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55 00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1 00 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46.40 $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 Fixture or Item Qty. Fee (ea) Total including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27 55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72 50 and including $50,000.00 Subtotal: $50 00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by (Fixture) Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Existing Capped Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" -4" Car Wash Drain *Note: If the fixture work under this permit results in an Garbage - Domestic Disposal Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Unnal Other Fixtures: i:\Dsts\Permit Forms\P1mPermitAppPg2.doc 01/03 Electrical Permit Application FOR OFFICE USE ONLY Received Electrical `� �� Iu� Date/By: Permit No.: /149- r ?'y 0Od t13 Planning Approval City of Tigard i� Date/By Permit No.: 13125 SW Hall Blvd. Pl Sign n Review Other Tigard, Oregon 97223 i�� ; Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1964 Post - Review Land Use ,, • • � "�ro-� .`ii �' +� Date/By: Case No.: Internet: www.ci.tigard.or.us +� � .. e ' j Contact Juns ® See Page 2 for Inspection Request: 503 -639 -4 24 -hour Ins Re 1LL " " p Q 1i Name/Method. Supplemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) ® New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in _ 1 & 2- Family dwelling III Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: f,2b30 S!J iJpj AhA r sT FEE* SCHEDULE Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: Siim/i7 -, ! NA/iCV 0 /?L Description Qty Fee (ea.) Total 1 Cross street/Directions to job site: New residential-single or multi-family per � dwelling unit. Includes attached garage. Jot) s' #4 ✓E, r, Service included: t'if/ 0 /2q- Cr f IJn 3/ 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: I Lot #: Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 q Services or feeders - installation, C_ D N S -TJ2 L< c 71 0 ri oF Nat) Si,J 6 L L' alteration or relocation: c_)s () a L/ ,[1 h JT UL a // /.0 % Ham E 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 JE PROPERTY OWNER I ❑ TENANT 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: J'/A ).! C / S'eL / ^ J Pr ,Sets l ■ 74 Reconnect only 66.85 2 Address: /,,n, 3 o .SO t.) al_ A.1141 _$'T Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: 7&,i - /? c 012 'Y7.? D 3 200 amps or less 66.85 1 Phone: ,D3 b, 5V-36 Fax : 3 6.2o- 3 .2 7 9 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 2 i APPLICANT ❑ CONTACT PERSON Branch circuits - new, alteration, or Name: S► E_ NA/slG1' f Rix S/77 /17.1 extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: -_ )40 ) Signal circuit(s) or a limited energy panel, Business Name: alteration, or extension Page 2 2 Description: Address: City/ State/Zip: Each additional inspection over the allowable in any of the above: y p Per inspection per hour (min. 1 hour) 62.50 Phone: Fax: Investigation fee. CCB Lic. #: Lic. #: Other: Electrical Permit Fees* Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized 11 / / / Notice: This permit application expires if a permit is not obtained within Signature: /I Date: (o � U3 180 days after it has been accepted as complete. 1 / *Fee methodology set by Tri- County Building Industry Service Board. / ighiC y .S. fill /7)--/ (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: n Audio and Stereo Systems n Burglar Alarm Garage Door Opener Heating, Ventilation and Air Conditioning System Vacuum Systems n Other COMMERCIAL WORK ONLY: Fee for each system ... $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls LI Clock Systems Data Telecommunication Installation 0 Fire Alarm Installation n HVAC ❑ Instrumentation 0 Intercom and Paging Systems ❑ Landscape Imgation Control ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting n Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i: \Dsts\Petmit Forms\ElcPermitAppPg2.doc 01/03 Inspections Required for: ✓ Code Inspection Description I PASS Date I By I ✓ Code I Inspection Description PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 Electrical rough -in 805 MFG - Structure grading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 3 - 24--1,)' 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X. 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 _ Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer _ 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls __ 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection ] 599 Final inspection I: \Building \IVR\InspCard- AOP.doc 02/02/2005 CITY OF TIOAR.D .4. BUILDING DIVISION PERMIT #: MST2003 -00248 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2003 Phone: (503) 639 -4171 �'r Inspection Requests (24 Hrs.): (503) 639 -4175 I L- . INSPECTION WORKSHEET FOR DATE: 3/24 /2005 TIME: 7:09AM PAGE: 15 SITE ADDRESS: 12630 SW WALNUT CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: 2/28105:This permit is reinstated for purpose of final inspections for a period of thirty days. OWNER: NANCY SMITH. PHONE #: 503- 692 -5436 CONTRACTOR: TODD BATES CONSTRUCTION PHONE #: 1- 503 - 812 -0363 Inspection Request Scheduled For: Date: 3/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 299 Final inspection 002731 -02 503-703-1927 N Corrections /Comments/ Instructions: • • PASS PARTIAL APPROVAL El CANCEL NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: — Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200300248 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2003 Phone: (503) 639 -4171 4y10 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 16 SITE ADDRESS: 12630 SW WALNUT CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: 2/28/05:This permit is reinstated for purpose of final inspections for a period of thirty days. OWNER: NANCY SMITH, PHONE #: 503- 692 -5436 CONTRACTOR: TODD BATES CONSTRUCTION PHONE #: 1- 503-812 -0363 Inspection Request Scheduled For: Date: 3/24 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 002731 -01 503 - 703 -1927 N Corrections/Comments/Instructions: • • • ZDASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 Phone #: (503) 718- • • MST - Master Permit 2 Co ' ti D 2-48 4 Inspection Description Date Passed By Notes Gradin: womb Footing/Setback 7 - 2z -0 3 ��� ■ ■ , Foundation walls 7 — Z� — //3t Slab 8 — 4 — e. Z � Footing drain b Waterproof basement walls �b Plumbing underslab • Crawl drain Q /� ;? Post/beam plumbing /Li7 2 Post/beam mechanical 11 l Underfloor insulation �� Post/beam structural L if ' 4 • , .i - i l�tors j . s J � Exterior sheath �.. / S Plumbin: to. -out /0 • hair � ► .(" 1 ' Gas line & test / ■ �f� I, l4f/V" 1 Mechanical rough -in Electrical rough -in f • N Electrical service .2 1 r Low voltage Vasolmille Sprinkler rough -in Backflow preventer ali■■ma Roof nailing mum Firewall i Framing ilk MFG - Home set - Insulation /� 03 ' Drywall nailing elIl••IIIIIIIII■ Rain drain '3( J� Sanitary sewer ��f / �/✓ Water service - 4 / / ; Pump /fill septic tank r Ow••••■ Approach/sidewalk Street Tree Certificate EXPIRED Grading final ONNINNob Mechanical final ✓� >/ S Plumbing final Y � Electrical final ` D j9 Y 'nb Final inspection Special Reports 11111111•r SWR - Sewer Permit 4 Inspection Description Date Passed By Notes Sanitary sewer Final inspection Inspection Record — MST (Master) Permits i Adsts \ forms \ InspRecordMST.doc 04/17/01 a MASTER CI TY OF TIGARD PERMIT #: MST2003 -00248 „ u; � " Illl A DEVELOPMENT SERVICES DATE ISSUED: 7/24/03 £` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12630 SW'WALNUT PARCEL: 2S104AD - 03801 SUBDIVISION: ZONING: R - 4.5 1. BLOCK: LOT: JURISDICTION: TIG REMARKS: Construction of new SF detached residence. Existing house to be demolished. House on sewer. Sewer Credit applies after DEMO permit is finaled. BUILDING REISSUE: MAS2164A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW '> HEIGHT: 22 FIRST: 1,532 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,331 sf GARAGE: 535 sf FRONT: 20 PARKING SPACES : Z TYPE OF CONST: 5N DWELLING UNITS: 1 TIRO sf RIGHT: 5 VALUE: 279 995 70 OCCUPANCY GRP: R3 BDRM: 3 BATH. 3 TOTAL 2,863 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: 4 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES. 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3 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 FD R. PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF. 5 201 - 400 amp* 201 - 400 amp. 1st'W/O SVC/FOR: 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: A MINOR LABEL: 1000+ ampNolt : 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 & 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: Owner: Contractor: a TOTAL FEES: $ 3,547.02 NANCY SMITH TODD BATES CONSTRUCTION This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 12630 SW WALNUT 4828 HOLLY HTS AVE. all other applicable laws. All work will be done in TIGARD, OR 97223 TILLAMOOK, OR 97141 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: 503 692 - 5436 Phone: 1 - 503 - 812 - 0363 a Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 72409 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 Plumb Top Out Exterior Sheathing Insl Rain drain Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final > c � Issued By , t - _ S Permitte Signature : y� 9 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD 24 -Hour. BUILDING Inspection Line: (503) 639 - 4175 MST °Z'4v Q' INSPECTION DIVISION Business Line: _ (503) 639 -4171 BUP Received Date Requested AM PM BUP n Location / a- (0 30 4) a J Suite MEC Contact Person G Ph ( ) - 70 3 — L �j �.7 PLM Contractor v Ph ( ) SWR - BUILDING Tenant/Owner ELC Footing un a ELC Access: Ftg Drain ELR Crawl- Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / Framing l l C-t--ri ) Insulation Drywall Nailing C ,e. 1- ;/ . 75s1 y/ve w ,4V Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: • Fi PART FAIL 111 ■. =ING - 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 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: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk ®at Ins pector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639-4175 AAST 3 --Q,Oa. y INSPECTION DIVISION Business Line: (503) 639 -4171 0 BUP Received Date Requested AM PM BUP Location f o?—& 30 Lt) Suite MEC Contact Person Ph ( ) ?o 3 - 1927 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing oun ation ELC Access: g rain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / ,oci..e 5' 4-S Framing /nr Ss�ly /a %�cel+�r,C 7 5/ �� S� Insulation Drywall Nailing Firewall ^ f Fire Sprinkler ` ` /15-0 Fire Alarm !� A Susp'd Ceiling Roof Other: Fina PART FAIL ING 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 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 ¢ � , Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour. - BUILDING Inspection Line: (503) 639-4175 MST DIVISION " Business Line: (503) 639 -4171 BUP Received Date Requested 7 l ( AM - PM BUP Location l a—(Q 3 O Jr Suite MEC ( Contact Person "Y za_—r.t Ph ( ) '76 3 -1 C(a 7 PLM Contractor_ Ph ( ) SWR �UIL Tenant/Owner ELC Footing Foundation ELC Access: Ftg Dr,• ELR SS ab Inspection Notes: �'}/) SIT Post & Beam P / / Shear Anchors ` / � �` ` ` / Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Other: Fin... PART FAIL • BING • Post & Beam Under Slab Rough -I O .ir ilk Catch Basin / Manhole - Storm Drain Shower Pan Other: - 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 E Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 0 076 Inspector / - Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: ( . . •39 -4175 • MST 3 - ao a qr INSPECTION DIVISIM Business Line: 39 -4171 BUP Received Date Requested O l /����A�M PM BUP Location l�(e 36 T ' wGi!.0!'�',� fluite MEC Contact Person Ph ( ) 7 PLM Contractor Ph ( ) (, 3 9 -3/ L(( SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain e �� Access: ELR Crawl Drain Si.. Notes: `� SIT Post & ; - Shear Anchors i Ext Sheath/Shear Int Sheath/Shear •'� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi (PAW PART FAIL PL LIB _ Post & Bea now a• Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin AS PART FAIL HANICAL ost Gas Line Smoke Dampers Fin PART FAIL ELECTRICAL Service Rough -In - UG/Slab Low Voltage Fire Alarm Final D 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 Approach/Sidewalk Date q7( Inspector � ✓ (i" " Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour . • . BUILDING Inspection Line: (50 y 1-1 75 —3 _ 0d a i4 INSPECTION DIVISION '' 5 1 Business Line: 9 4 .1' MST ( ) - BUP Received Date Re / 9,1:1 /4 /Q AM PM BUP Location / -- 3 a 1 t'3 P41/t ' Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR r BUILDING a Tenant/' - a ELC - Footing 7 3 —I ! a- 7 ELC Foundation Access: Ftg Drain ' � 6 , U m r2 /� ELR Crawl Drain o U L J Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1 . ' '° Framing 1 Insulation -- ' /,j 1..4..A • s ` v �� • , . Drywall Nailing 1 �,� •_M Firewall V)) `'�" r - �- - & `�L.c.J� 1 Fire Sprinkler • Fire Alarm a. -I-C T -L f -3/ / 6. Susp'd Ceiling / Roof �U ,� ` — _ w� w _et Other: I \ Final d 4 ' c^ n / e--v D� PASS PART FAIL ^ , v PLUMBING ' IA) 14&_■ !t we 0 _ d' Post &Beam / / Under Slab • • Rough -In Q° 1 � Water Service / Sanitary Sewer y �� Rain Drains �/ ,� Vic' r r � = i�, . I ' </ Catch Basin / Manhole • Storm Drain Shower Pan ` c) 1 L 1 Q V _ 4/ -ke _s 'A + L Other: Final v d • - PASS PART 40 -- l v, MECHANICAL _ .ik .. _ A 4 . . _ . . Ro & Beam p — _ � p e V S c "1 , N _ / Rough -In W Vl.l� 7 ` • � -0L� -� '-t A.�1 ti( f Gas Line i ° �� —s d Smoke Dampers Final 1& PASS PART FAIL C � - � C - -r—S ELECTRICAL 6--) -\/ ° ' o e Service �/� �� r 9 Rou h -In 01/4... LT . V - \ �Q� i �.: ♦ s \ , R DN L ow olt _ W � , l ,�` '-p t4 ( i , ` .,..1 / � k � ' � Low Voltage /', "'.�` ` �� ll • Fire Alarm ) A. ' 7 S \ L L--� e Final ❑ Reinspection f 1'3125 °- i of $ required before next inspection. Pay at City Hall, SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Ej Unable to inspect - no access Fire Supply Line ADA / � D a t e � 0-3 Inspec Approach/Sidewalk Ext Other: Final DO NOT REMOVE this inspection record from t� b \ . PASS PART FAIL �/vs () �-,,� CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 _ D INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /0 AM PM BUP Location / 2..c 14/0‘,6-7 .c Suite MEC Contact Person / `( c-i � �'7 Ph ( ) 7 0 3 — /q PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: • ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: n SIT Post & Beam /�-s� ✓LSp e G / • ear Anch • .1 �yL✓ l.� a - Q Z S , e _ / (0. heat � GT "; • s (jramingt /r�. 7L5� e?� 0-6€ 0/tGt s /6)/449 -9'7 Z'tiN^ ` Insulation e wren—gels- I Axe,. to Drywall Nai ' g Firewall �/�S Fire Spri . ler / Fire Alar I, 5A .eLerA /.c� /14 • L. Z ref" )7", S�1 ze4--- Gt�6t�,s Susp'd eilin Roof Other. / Fin pA , ART FAIL 2) e —oght. ,`A aerC �6 ei16 C 51-1, d$ �! /'a,ilr/ 5 try PLUMBING 3) -P/-o t- X -3, 1r P , Post & Beam Under Slab ` ' �o" Rough -In Water Service Sanitary Sewer eo�r �e '� ,✓ e Vr � e Rain Drains c� - 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 . Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line. (i c) 639 -4175 s c 3 _ --(90---24/7 INSPECTION DIVISION - Business Line: (. • 39 -4171 BUP /� Received Date Requested I 0 /1 7 AM 1 " .- PM BUP Location 1 2-1 ) 0 � a I Vv IA,t S f• Suite MEC Contact Person ngivt $VVL Ph ( ) — f 7 2 7 PLM Contractor Ph ( ) SWR BUILDING Tena 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 1>i — • -r - � /� Framing Insulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan PART MECHANICA 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: El Unable to inspect – no access Fire Supply Line Approach/Sidewalk Date OA - Inspector PP Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 3 r o oagg INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /0 — /7 AM PM BUP Location 1 2 C S o w &Jn tk+ S• Suite MEC Contact Person g Ph ( ) 7 3 - /43.27 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: / � SIT Post & Beam �"^ ( ice r'f`�° 1 •�"SPcA:711 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 1 Insulation l`-0-_ c(C_ C./e(U Drywall Nailing Firewall c ,Q l -� Fire Sprinkler ` 1•\7‘ Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL (� PLUMBING Post & Beam ro 9 _ Under Slab L Rough -In Water Service / Sanitary Sewer I _ Rain Drains � Catch Basin / Manhole oi 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 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 Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour c/ BUILDING Inspection Line: (503) 639 -4175 MST 3 - INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received' Date Requested / b .a ( AM PM BUP Location / 0 -- 6., 30 Suite MEC Contact Person . � ?' .c � , Ph ( ) / - /'7 2 . 7 PLM Contractor d 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 IC /ic 5hr' ILL-' t� Wi6S 7 Gc.c 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 = ou • h -1T as Line • Smoke Dampers • Final �� PASS PART FA - 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 Date 1 — - " 3 Ins actor Ext Approach/Sidewalk P Other: Final - _ DO NOT REMOVE this inspection record from the Job site. • PASS PART FAIL CITY OF TIGARD " 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3'0 v a 4S INSPECTION DIVISION Business Line:. (503) 639 -4171 BUP Received Date Requested / /) — 7 AM PM BUP Location / a (0 3 d -t Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 7d 3 - / ?a ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear � �1 I l - r - Sv ��- �,t7 % �� ��( `� 5 am' / � Drywall on Nailing Z, S U-►�� r r "T .4 Dwal Firewall � � ,'` a LAS Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 1w '^ -C') . ` ft) t^ 1�— `, .1, Y \ C Other: Fi / G--+ -� a ✓ - � i S U /er— . J PART FAIL P ING 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 Gas Line Smoke Dampers Final . AS 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 Date �- �-Z '7 01* C Inspector - _ \ " Z r... Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD .. - 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST 3 - Dd ca INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP • Received Date Requested 'a AM PM BUP Location I' 2 - C 3 o . Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR - BUILDING Tenant/Owner �/ � ELC Footing 74 3 - q 2. 7 ELC Foundation Access: Ftg Drain C- rn 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 T FAIL LUMBINCW Pos�eam Under Slab ou Water Service Sanitary Sewer - R \%. ain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin. • PART FAIL NI L Rough -In L /L(s as Li Smoke Dampers Fi .I PART 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 El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date l�/ /�� �5 � Inspector Ext 1 Other: Final - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • 3 — 04 a INSPECTION DIVISION • Business Line: (503) 639 -4171 MST / BUP Received Date Requested 6 — ' AM PM BUP Location 1 D-4 30 I.CJ Suite MEC Contact Person .ti't Ph ( ) 7 ) 3 ' f ! 2 7 ?PLM Contractor QU 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 Framin Drywall Nailing ✓ /` Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin - PART FAIL BING 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 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 in pect — no access Fire Supply Line ADA ' Approach/Sidewalk / ! 4/ ® 3 Inspector ` �> _ Ext pproac Other: Final DO NOT REMOVE this Inspection record from the Job site PASS PART FAIL CITY OF TIGARD 24 -Hour - -`* BUILDING Inspection Line: (503) 639 -4175 ' 2 _ v024 (F. INSPECTION DIV SION • . Business Line: (503) 639 -4171 alp I a �23 / BUP Received 1� 33 414- Date Requested 1(J /z A PM BUP Location / 4 7 CD � lit/ GG i (/Vll "�` S7' Suite MEC Contact Person /VV a) Srvlit d _ Ph ( ) 703 — I q 27 PLM Contractor Ph ( ) SWR BUILDING Tenan wne .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 'N Ian �{!1 p"\ Drywall Nailing Y y Q ✓ Firewall Fire Sprinkler . r I air s' A , ^ ' (� � Fire Alarm \`�I 1 'U t� V � R oof d Ceiling ) I To t7,^ S Roof 1 `1 f l - 1 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 ough -In Low Voltage Fire Alarm Final PASS PART Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. • SITE Please call fo reinspe tion RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date °' Inspector ,/. , : = Ext Other: Final DO NOT REMOVE this inspection reco d from t e job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ;f . � • BUILDING Inspection Line: (503) 639 -4175 7� -- e INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received Date RReq "� AM PM BUP Location /2& /O �' / / Suite MEC Contact Person Ph ( ) 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 J , � Ext Sheath/Shear r < / .s�4 G- 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 PAS PART FAIL 1 LE RICAD < ou 9 n \�. V a ) ,,, UeY a. prre. Voltage Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. .1 PART FAIL SITE ❑ Please cal or reins ection RE: Unable to inspect — no access Fire Supply Line �/ ADA Approach/Sidewalk Date Ins"pe or cif fExt Other: Final DO NOT REMOVE this inspection record from a Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Li ne: (503) 639 -4175 3 - Zye INSPECTION DIVISION Business Line: (503) 639 -4171 CO 31 '1fo BUP Received45lP /2 ! P Date Requested AM PM BUP Location / 2 (3 O (A) cue.A4A,ut Suite MEC Contact Person i A «'.4&.t .I! Ph ( ) O ? J — / 27 PLM " Contractor Ph ( ) SWR BUILDING Tenan •wner 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: 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 A"& e L �rm PASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 3 - - Inspector Ext Ot er: Fi 47 - PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ( 4P INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received - • 2 g P Date Requested — ( — OAM PM BUP Location ____221a. Suite MEC Contact Person 7 e r Ph ( ) 7 (2 3 - /9 2 7 PLM Contractor v 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 r NE � � Firewall Fire Sprinkler AP/ �� I 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 Oth-r: '? 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 p ADA t Approach/Sidewalk Da Inspector Ext Other: Final DO NO7 REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MSTZ),3 2/? INSPECTION DIVISION — Business Line: (503) 639 -4171 BUP Received 2 f • 2 8 P Date Requested i v 7" AM PM BUP Location / 7 (O 373 �N (2)4vlt,l & • Suite MEC Contact Person / / 4/!4i Ph ( _ 7 6 — (g Z ? 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 (10 A..e . r iP c'•) S - )8 — Insulation Drywall Nailing ' /t�EC - r] ^"�, ` 5' o.v � u'- Firewall Fire Sprinkler c_ 3 °g �T �� c - - CD fei o,- - c��-7 Fire Alarm - rerA1.2.4 /.rTA Susp'd Ceiling Roof �� `art-. x� 5 7 L. /-t-L P- Pcs - .....:r,- Oanok.33 ( C 4 1645,f. ( Final • i1'0 S1. a/ PASS PAT 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 Dampers final PASS PART AIL 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 s Approach /Sidewalk Date 04� Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL