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Permit -e_ �\ t'7 dam - -6 .- CITY O F TIGARD MASTER PERMIT PERMIT #: MST2004 -00109 ZI r^ DEVELOPMENT SERVICES DATE ISSUED: 3/30/2004 I I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13530 SW WATKINS AVE PARCEL: 2S103DD -00200 SUBDIVISION: MELROSE ZONING: R - 3.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: Addition of 720 square foot attached garage. 2/25/05: This permit is reinstated for purpose of final inspection for a peroid of thirty days. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: new sf RIGHT: VALUE: 14 00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS• WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVCFM: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWS ECTION 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 & 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: This permit is subject to the regulations contained in the CEARLEY, DARRELL A + CARVER WOODWORKS Tigard Municipal Code, State of OR. Specialty Codes ANGELA M 16850 SE HWY 224 and all other applicable laws. All work will be done in 13530 SW WATKINS AVE CLACKAMAS, OR 97015 accordance with approved plans. This permit will expire TIGARD, OR 97223 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: Phone: 503 - 504 - 4555 adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through Re g # : LIC 113506 952 - 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 527.21 direct questions to OUNC by calling (503) 246 -6699 REQUIRED ITEMS AND REPORTS Gu1 CO AACLUA 2-. ,, ,,, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00109 6.141 DEVELOPMENT SERVICES DATE ISSUED: 3/30/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13530 SW WATKINS AVE PARCEL: 2S103DD - 00200 SUBDIVISION: MELROSE ZONING: R -3.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: Addition of 720 square foot attached garage. BUILDING REISSUE' ��� STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: Ayu ` HEIGHT: FIRST: sf BASEMENT. sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE. sf FRONT: PARKING SPACES • TYPE OF CONST. 5N DWELLING UNITS: THIRD sf RIGHT: VALUE. 14,800 00 OCCUPANCY GRP: R3 BDRM: BATH. TOTAL: 0 sf REAR: PLUMBING SINKS• WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS• FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS' CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR. GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp 0 - 200 amp. W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF. 201 - 400 amp 201 - 400 amp. 1st W/O SVC/F DR SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY' 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL IN PLANT. MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL. ' 1000« amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & 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: $ 464.71 CARVER WOODWORKS This permit is subject to the regulations contained in the CEARLEY, DARRELL A + ANGELA M CARVER R HWY WOODWORKS Tigard Municipal Code, State of OR Specialty Codes and 13530 SW WATKINS AVE CLACKAMAS, OR 97015 all other applicable laws. All work will be done i TIGARD, OR 97223 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: Phone: 503 - 504 - 4555 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 113506 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Shear Wall Insp Footing Insp Exterior Sheathing Ins[ Slab Insp Electrical Final Electrical Rough In Final inspection Framing Insp ' v4I 4,41. Issued By : t, _ l ' ,.4 _ Permittee Signature : i � Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day e Buildjr Permit A Hutto ED FOR OFFICE USE ONLY ■ Received i Permit No City of Tigard Dat / D �0 .Jr 13125 SW Hall Blvd , Tigard, OR 97223 411,,, Plan Rev Phone: 503.639.4171 Fax: 503.598 9 gR 3 0 2004 r jl h � � Date B Other Permit: Inspection Line: 503.639.4175 ! ^' 11 Date Ready/By: MI H See Attached Checklist for Internet www.ci.tigard.or.us O TIGARD Notified/Method. Supplemental Information CI �Y DIVISION tsU ® aria TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING iga New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ /'(/ K Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ! 3 5'.5 Q •W C ert.to 5' 4 vg New dwelling area: square feet City/ State/Z1P: 7ibnk...> tiO2 Garage /carport area: 7z0 square feet Suite/bldg. /apt. no.: Project name: C io kj Covered porch area: square feet Cross street/directions to job site: .7 Tb G✓A -7t./ 5 Deck area: square feet r Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: pRtvr-- l e y 4 r e-G Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. G A- a. A-6 ` 2 g X O Valuation: $ /I ` ^ Existing building area: square feet fT C� New building area: square feet N. PROPERTY OWNER ❑ TENANT Number of stories: Name: 0A rize2 L C L w Type of construction: Address: 1.55- 3o 5[x 4vAct w C 4V e Occupancy groups: City/State/ZIP: , -t- b /r, ti _ Existing: Phone: (9q) &ze, - 3g 0 Fax: ( ) New: fA APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: Raj/ •pAca> licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: fog 50 5 / 21:. ce jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: A D. p apply: Phone: ( } 95 6 j& 9- Fax:: ( ) E -mail: CONTRACTOR Business name: J4 //, g. GJ f ac BUILDING PERMIT FEES* Address: /0659 , Gf r het" 22, Please refer to fee schedule. City/ State/ZIP: 2 J ctimk_ A_s Fees due upon application Phone: ( 0 ( u '5& j 5 Fax: ( ) Amount received CCB lic.: 113 6 © 6 6 Date received: Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 04) S Jp Date: * Fee methodology set by Tn County Building Industry fi Service Board. I \ Buiiding\Permns \BUP- PermitAppdoc 12/03 440- 46I3T(I 1 /O2/COM/WEB) Building Division Plan Submittal Requirement Matrix E 'I II Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i :\Building\Forms \COM- PlanSubReq doc 12/24/03 Electrical Permit AcacQ 1 i FOR OFFICE USE ONLY • ' 7 ' ''s'=" City of Tigard AR 3 u 2004 Date/13y ..- i r oe/ Permit No 10,44'. ,' 11 — 13125 SW Hall Blvd., Tigard, OR 97223 1 `' Plan Review Phone. 503.639.4171 Fax. 503 598.1960 of T1GARo � ,,': . DaDate/13 rm other Pen Inspection Line 503.639.4175 C11 t! � ' � � c\ p� Di IS‘ 41-.1.9.3P- r_ _1.. Date Read B Y Y J am 10 See Page 2 for Internet: www.ci.tigard.or us BUILDING Notified/Method Supplemental Information , T OF". WORK . :',71;',',-:,:-, v.K�. - - • - � ._ .:, -� .:.� - - — - -- PLAN_REYIEW. ., ❑ New construction ❑ Addition/alteration/replacement Please check all that apply ❑ Demolition ❑Service over 225 amps, comm'I ['Hazardous location ❑ Other: ❑Service over 320 amps - rating ❑Butldng over 10,000 sq ft , .. ,_ CATEGORY OF CONSTRU = of 1 -and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stones ['Feeders, 400 amps or more ❑ Multi-family 0 Master builder 0 Other: ` " ; `' JOB ,SITE - INFORMATION AND LOCATION ❑Occupant load over 99 persons ['Manufactured RRp structures or ❑Egress/lighhng P Job no. Job site address: -1353o 5W �'l0 ['Health facility ['Other � Submit 2 sets of plans with any of the above City /State /ZIP: '716,1\ 6,1\ Ep { 7 7-Z The above are not applicable to temporary construction service suite/bldg. /apt. no.: Project name: - . FEE *' SCHEDULE ,:'' Description I Qty. I Fee. I Total •* Cross street/directions to job site: New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145 15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33 40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited ever w DESCRIPTION OR WORK " _ energy, non - residential 75.00 2 �':' .. .',- Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 2 . 0 . ;I R OPERTY OWNER _ 201 amps to 400 amps 106 85 2 � ( /� , ❑ � N � " 401 amps to 600 amps 160 60 2 Name: Q•ketl.. Ca1.4 la. 0 601 amps to 1,000 amps 240 60 2 Address: (10 30 -5 c i � ,/ v Over 1,000 amps or volts 454.65 2 � Reconnect only 66 85 2 City/State /ZIP: 1 164 - . 77 22 3 Temporary services or feeders installation, alteration, and/or Phone: (5O) 6 20 3 it 5 Fax: ( ) relocation 200 amps or less 66 85 1 Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 2 Owner signature. Date: Branch circuits - new, alteration, or extension, per panel - ` `iE•'' ❑'APPLICANT`. ,> ( - . ' -; ; , - _ ❑ CONTACT PERSON , - A. Fee for branch circuits with service or feeder fee, each 6 65 2 Business name: branch circuit B Fee for branch circuits r Contact name: without service or feeder fee, 46.85 / 2 Address: each branch circui Each add'l branch circuit 6 65 / 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- , ' :'," ' ,..4' - 'CONTRACTOR. • ' c _ ' ' energy panel, alteration, or Business name: z Oaj A} /_ J�_ /J J extension Describe Page 2 2 Address: Each additional inspection over allowable in any of the above Per inspection 62 50 City/State /ZIP. Investigation per hour (1 hr min) 62 50 Phone: ( ) Fax: ( ) Industrial plant per hour 73 75 ' ` ELECTRICAL PERMIT FEES* , ,.. ` . : CCB Lic.: Electrical Lic.: Suprv. Lic. Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) - Print name: Date State surcharge (8% of permit fee) . l � ( TOTAL PERMIT FEE Authorized signature: ' ,, This permit application expires if a permit is not obtained within 180 • p Z I days after it has been accepted as complete Print name: r � i� Date: ✓/ �� * Fee methodology set by Tn- County Building Industry Service Board l ** Number of inspections per permit allowed i \Budding\Permits\ELC- PernutApp doc 12/03 440-461 5T( I 0/02/COM/WEB Electrical Permit Application - City of Tigard Rage 2.- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i•\Bwldmg\Pemuts\ELC•PermitApp doc 04/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED OWNER MAY 3 2004 CITY OF TIGARD BUILDING DIVISION Electrical Signature Form Permit #: MST2004 -00109 Date Issued: 3/30/04 Parcel: 2S103DD -00200 Site Address: 13530 SW WATKINS AVE Subdivision: MELROSE Block: Lot: 003 Jurisdiction: TIG Zoning: R -3.5 Remarks: Addition of 720 square foot attached garage. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: CEARLEY, DARRELL A + OWNER ANGELA M 13530 SW WATKINS AVE TIGARD, OR 97223 Phone #: Phone #: Reg #: AN INK SIGNATURE IS REQUIRED ON THIS FORM X Q=UAtit Sign. - - - .. - - . •- - - • -- If you have any questions, please call 503.718.2433. ______ R [., rl , k . 7 1 ,, . ,._,__ P , ea.4Vat Services �,Y ! tiScree :::: ssessment it Ti GA al). Date 3130/9 q- A Tax Lot 25/ 0 pj2 Q 2 Owner pQ L. [ Ge ' , Address I'3 9iO 1:d 1 i61 1?,jLJ l 1:-0 Contact Proposed Activity Address /&" 5e- Hui y Z,2. I (Z.�1 LASP)1 , J Phone y 3 q d - �q � ` j Official use only below this line , Y N NA Y N NA ❑ ❑ ❑ Sensitive Area Composite Map ❑ ❑ ❑ Stormwater Infrastructure maps Map # QS # ❑ ❑ ❑ Locally adopted studies or maps ❑ ❑ ❑ Other Specify Specify Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 03 -11: ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. NO FURTHER SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: Reviewed By: , e / Date: - 30 - 0 LI Returned to Applicant Mail Fax ' Counter Date By 155 N First Avenue, Suite 270 • Hillsboro, Oregon 97124 Phone: (503) 846 -8621 • Fax: (503) 846 -3525 • www clejnwaterservices org CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00109 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2004 Phone: (503) 639 - 4171 °pu�yy�r r� Inspection Requests (24 Hrs.): (503) 639- 4175"L— INSPECTION WORKSHEET FOR DATE: 3/26/2005 TIME: 7:07AM PAGE: 116 • SITE ADDRESS: 13530 SW WATKINS AVE CLASS OF WORK: SUBDIVISION: MELROSE LOT #: 003 TYPE OF USE: �1 PROJECT NAME: CEARLEY DESCRIPTION: Addition of 720 square foot attached garage. 2/25/05: This permit is reinstated for purpose of final inspection for a peroid of thirty days. OWNER: CEARLEY, DARRELL A +, PHONE #: CONTRACTOR: CARVER WOODWORKS PHONE #: 5035044555 Inspection Request Scheduled For: Date: 3/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 002759.01 503-313 -4780 Y Corrections /Com - s ruc . -: XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CS 1\1 (e Date: 3 24.5 Phone #: (503) 718 - CITY OF TIGARD 24 -Hour /07 BUILDING BUILDING Inspection Line: ,(503) 639 -4175 MST e5 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested S �AM PM BUP J ? Location / S �O 6 G e� � ,4-. Suite MEC Contact Person Ph ( ) ai - .3P) 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 Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 11. — Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING iv' 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 UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART Irk SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line , ADA Approach/Sidewalk Da Inspector t -A Other: Final DO NOT REMOVE this Inspection record fr the Jo site. PASS PART FAIL •