Permit i
4 l
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00076
� DEVELOPMENT SERVICES DATE ISSUED: 3/29/04
' --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12049 SW WHISTLER'S LP PARCEL: 2S103CD - WW294
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 094 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE* DM145 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK NEW HEIGHT: 26 FIRST. 1.290 sf BASEMENT sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE. SF FLOOR LOAD: 40 SECOND. 1,690 sf GARAGE: 460 sf FRONT. 20 PARKING SPACES : 2
TYPE OF CONST. 5N DWELLING UNITS: 1 THIRD sf RIGHT. 15
VALUE. 289.518 00
OCCUPANCY GRP• R3 BDRM• 4 BATH. 3 TOTAL• 2,980 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS' RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS'
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K• 1 UNIT HEATERS* HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES• VENTS: 1 WOODSTOVES. GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp 0 - 200 amp W /SVC OR FDR: PUMP/IRRIGATION. PER INSPECTION.
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 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: $ 8,054.25
This permit Is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR Specialty Codes and
4230 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done in
LAKE OSWEGO, OR 97235 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION
Oregon law requires you to follow rules adopted by the
Phone: 503 387 - 7538 Phone Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #. M may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 - 4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins F Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
7" Post/Bea • • - Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Issue • By : -/ �9!. A. .11 . / • Permittee Signature : 2
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed t next business day
2� 3 L
. 2� ' G v ,PLC7g• A0 i° 6t6Vc
Building Per I ' W 'on
0 1 ll.. Daterecetved: Permit
p6.. of T i and .��1�� , ,.o
' ' l�l! g
Project/appl.no.: ' a date:
City of Tigard Address: 13125 SW Hall Blvd,' rdjC Fifi /
Phone: (503) 639 -4171 Date issued: m Receipt no.:
Fax: (503) 598 -1960 CITY OF TIGARD
BUILDING DIVISION Case file no.: _ %:ymenttype:
Land use approval: 1 &2 family: Simple Complex:
. TYPE OF-PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family , 'New construction 0 Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address / // IA I INIMINIMIll Bldg. no.: Suite no.:
fall
Lot: grfi Block: Subdivision: r� faip " AL/.1,91!I Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
O%%NI H - FOR"SPECIAL INFORMATION, USE CHECKLIST
7 • ' (Flootlplain, septic capacity, solar, etc.)
Mailing address: '�s�E� 6 A it m '�744 1 & 2 family dwelling:
IEMailli 'M ZIP: " ' ) - WI Valuation of work $
Phone: . No. of bedrooms/baths
Owner's representative: , A �� ( _ Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) `��',�
APPLICANT Garage/carport area (sq. ft.) -�.
11 >L AITM Covered porch area (sq. ft.)
Mailing address: i i L' ,, City: State: Deck area (sq. ft )
` ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
. - CONTRACTOR - Valuation of work $
Existing bldg. area (sq. ft.)
- �' L ' BL= vifd "`� New bldg. area (sq. ft.)
Address: "� L r �_at
City: Number of stories
ity: State: ZIP:
Phone: Fax: E -mail:
'Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
• ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
M _ • provisions of ORS 701 and may be required to be licensed in the iffnia '� jurisdiction where work is being performed. If the applicant is
Address:
' � ' �� exempt from licensing, the following reason applies:
City: State: ZIP:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER.. y. •
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. A . rovisions of I ws and o dinances governing this ❑ Visa ❑ MasterCard
work will be compl - • wi whether Hied iiere i t. Credit card number: / /
Authorized si a atu • i
A t LI Expires
( e:
Print name: .. 3 7 Name of cardholder as shown on credit card ( ( .K Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6ioacoM)
One- and Two- Family Dwellin
Building Permit Application Checklist Reference no.:
a
City of Tigard City of Tigard Associated permits:
g ❑ Electrical U Plumbing O Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
THE FOLLOWING 1TE1♦IS 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. 4
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 ❑ 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 t/
if copyright violations exist. J�
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot
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. x
20 Manufactured floor /roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ' \,
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440-4614 ( /COM)
Mechanical P • Jo. .'
Ati 0 on
Date received: Permit no.: ti 1 - ...4146,74.
�,y, ..III City of Tigard 7Z23 4 Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, 1 -^r•. , t.io1R59
Phone: (503) 639 -4171 TIGARD Date issued: By: Receiptno _
Fax: (503) 598 -1960 CITY OF Case file no.: Payment
BUILDING DIVISION type:
Land use approval: Building permit no.:
• TYPE OF PERMIT •
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
X Iew construction 0 Addition/alteration/replacement 0 Other.
. . JOB SITE INFORMATION • COMMERCIAL VALUATION" SCHEDULE - ,
Job address: /m - J L MI Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ '
Lot: , 0 1 111 Block: Subdivision: T V Ilr i771F ' `See checklist for important application information and
Project name: TV (, AM jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: . 1' & 2 FAMILY DWELLING PERMIT FEE SCHEDULE , _-
Description and location of work on premises: AND COMMERICAL /INDUSTRIALEQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res.only
Tenant improvement or change of use: HYAC: 111 •
-
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
g P Au (site plan required) i
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system I
NIECH NICAL. 'C_N "IR_CT_R Boiler/compressors 1111
EMM ■■
State boiler permit no.:
- HP Tons BTU/H
Address: alr Fire/smoke dampers/duct smoke detectors -
A . . t ffl ZIP: '1011 I � Heat pump (site plan required) I
Phone:��� - ' Fax: E -mail: InstalUreplacefurnace/burner BTU /H
Including ductwork/vent liner 0 Yes 0 No
CCB no.: • 1 i Install/replace/relocate heaters -suspended, ■ --
City/metro Iic. no.: N/A wall, or floor mounted
Name (please print): ViPip_MINME111. Vent for appliance other than furnace :
: CONTACT , PERtiON. . • - • Refrigeration:
Absorption units BTU/H
` Chillers HP NM
Address: Compressors HP _
�. ♦ bt Environmental exhaust and ventilation: ■ --
, City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust al
Hoods, Type U II/res. kitchen/hazmat ■ __
hood fire suppression system
Millf _ IIMVII=1 Exhaust fan with single duct (bath fans) - __
Mailing address: / i l ,i Exhaust system apart from heating or AC _
��� ��
�� � -� Fuel piping and distribution (up to 4 outlets) ■ --
� Type: LPG NG 011
Phone: �/ Fax: E-mail: Fuel piping each additional over 4 outlets _
1 ' •
1= N G IN f: li R. Process piping (schematic required)
Name: Number of outlets -
Other listed appliance or equipment:
III
Address: Decorative fireplace
City• State: ZIP: Insert - type
Phone: IEZEIMIMI E-mail: Woodstove/pellet stove ME
� Other:
adi .T\ Applicant's signatu" . +WO r , - . Date: �t Othe El
Nos all j nsdtctions accept credit cards, please call junsdtcuon for more tnforauon Permit fee $
rn
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
expires if a permit is not obtained Plan review (at _ %) $
Credit card number. Er gyres within 180 days after it has been
Expires State surcharge (8 %) .... $
Name of cardholder as shown on cmlii card accepted as complete.
S TOTAL $
Cardholder signature Amount 440 -7617 (6d00/COM)
Pl umbing Permit Application - • ' 3
1V ED Date received: ... 7/
'"i►I City of Tiga�� Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223 ProjecJappl.no.. Expire date:
Ciry ofTigard Phone: (503) 6394171 MAR 15 2004
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
CITY OF TIGARD C asefiteno.: Payment type:
Land use approval: B j D 40.as Ol`L -- --
T OF PERMIT .
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
b New construction 0 Addition/alteration/replacement 0 Food service 0 Other.
JOB SITE IINFORMATION• - • FEE SCHEDULE (for special information use checklist)
Job address: `
v i f
I , 4/, Description Qty. Fee(ea.) Total
New 1- and 2- family dwellings only:
Bldg. no.: Suite no.: • (indudes 100 ft. for each utility connection)
Tax ma /tax lot/account no.: SFR (1) bath
Lot: e.-1 IBlock: Subdivision A � �� (SFR (2) bath
Project name: SFR (3) bath
City /county: ZIP: Each additional bath/kitchen
_ Description and location of work on premises: Site utilities:
Catch basin/area drain
Est- date of completion/inspection: Drywellsileach line/trench drain
_ . Footing drain (no. lin. ft.)
-- ' . PLUtiMBING..`. CONTRACTOR - - Manufactured home utilities
Business name: p [,F L-,U I-'4_iA h 1,1b Manholes
Address: T ") `* Rain drain connector
City:71 I ZIP:
Sanitary sewer (no. lin. ft.)
1 Fax: mail Storm sewer (no. lin. ft.)
Phone (` 5� ax: I Water service (no. lin. ft.)
CCB no : [ [;f,"7 l--( -] I Plumb. bus. reg. no: — �-7 ' Fixture or item:
City/metro lic. no.. NA - - Absorption valve
Contractor's representative signature - ' ✓(1 Back flow preventer
Print name: V` • " I Ua: _. i Backwater valve 1
. CONTACT .l'LRSON . • . Basins/lavatory
' 1 Clothes washer
Name:1 1 ��t? �I tyE Dishwasher
Address: dp i I 0 ti , ,Ni Dnnktne fountain(s)
City• I State: ZIP: E)ectors / sump
Phone: Fax: I E -mail: Etpansion tank
OV \ l R , Fixture/sewer cap
,, . Floor drains/floor sinks/hub
Name (print): s ,j . , _at `'�` Garbage disposal 7,77,11 Mailing address: Hose btbb
City• _ 0 , Ettreing Ice maker
IN
Phone y — J Fax: •.7-7k E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Pnmeris)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s). lays(s)
Owner's signature. Date: Sump
• Tubs/shower /shower pan
[iNGINEIiK Unnal
Name Water closet _
Address: Water heater
City I State I ZIP. Other
Phone. Fax: E -mail Total
Minimum fee $
Na
all iuns;.rcuons .accept credit cards. please call iunsdreuon for more �nformauon Notice This permit application
Plan rev (at _ %) $
0 visa 0
MasterCard expires if a permit is not obtained State surcharge (8%) . . 5
C.edn card number w ithin 130 da}s after it has been $ -_
Expires TOTAL
accepted as complete
Name 4 carGlolder as shown oa credit card
S
Cardholder signature Amount i 4.104616 (6iV iCOM)
. ,. , "_
Electrical Permit Applicat '
E ,
RECEIVE ate received Pemutno
\// mil. ...490 7. -,
'"t
st1. X11 City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 MAR 15 2004 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: BUILDING DIVISION
TYPE OF PERMIT • .
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
►' New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
.. JOB SITE INFORMATION
Job address: I, 02 ' � MIMIC, � Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 4. Block: Subdivision: f V ` ' r- Tv/ r
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
; CON CONTRACTOR A PI'I.ICA V I ION " FEE SCHEDULE
Job no: Fee Max
Business name: . 1 Description Qty. (ea.) Total no. Imp _ `I � New residential - single or multi- family per
Address: 4. �, _ _ _ �(`` dwelling unit. Includes attached garage.
111310 I MIL Al��i Seri «included' 4
Phone: 22 I • Fax: E -mail: 1000 sq. ft or less si, J - �� Each additional 500 sq. ft or portion thereof
CCB no.: Elec. bus. lie. no: or 0 �� Umited energy, residential 2
C' ---, Limited energy, non - residential 2
Each manufactured home or modular dwelling
nature of supervising electrician (required) Dat 0)CF( Service and/or feeder 2
Sup elect name (print) 1 C _ t.� License no � d5 Serncesorfeeders — Lutallation,
..AL. alteration or relocation:
' PRO P Ij R f Y O W N k R 200 amps or less 2
0 201 strips to 400 amps 2
Name (print): �, , ill ∎IILror 401 amps to 600 amps 2
Mailing address: '��1 �,� �• • 601 amps to 1000 amps 2
City: t . s 'Mg ,'i`i Over 1000 amps or volts 2
Phone: , a -2 D a m I I I II = I Reconnect only I
Owner installation: The installation is being made on property 1 on Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to 6uUllation, alteration, orrelocation: 2
200 amps or less
ORS 147, 455, 479, 670, 7 0 1 . 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
• ENGINEER _ Branch circuits - new alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN. REVIEW (Please check an that apply) . ... . Misc. (Service or feeder not included):
O Service over 225 amps-commercial 0 Health-care facility Each pump or imgauon circle 2
O Service over 320 amps - rating of I &2 0 Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stones 0 Feeders, 400 amps or more •Descnpuon:
❑ Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lighungplan ❑ Other Per inspection I I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $
Not all lunsdicuons accept credit cards. please call jurisdiction for more infomuuon Notice: This permit application
Plan review (at _ %) $
❑ Visa ❑ MasterCard expires if a permit is not obtained
Credit card number / 1 within 180 days after it has been State surcharge (8%) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
S
Cardholder signature Amount 440-4615 (6/00+COM)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST °U -6(14 7b
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested .- 7 -- "<ro AM PM BUP
Location /AO tey Suite MEC
Contact Person Ph ( ) e ?'y '3-7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC ■=k
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain UAW
Slab Inspection Notes: SIT
imo r Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear U t 0 r v I Zi . 0 F 1 UA VND
Framing �'
Insulation ;-. V S � LA ` a15 . Li 6 F
Drywall Nailing �'YD lJ
Firewall 1» S �, o � Q L P-F b
Fire Sprinkler � _{
Fire Alarm
Susp'd Ceiling -
Roof
Other: -
Final
PASS PART FAIL
MB
B eam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
O• -
.
• S1 PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Rorvice A G Op - 1, `■ J�
Rough -In V � v ��'1 5 d ` U PaiLA.)14)
Low olt
�` I s
Low Voltage �� �J�-•
Fire Alarm
An , Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART AIL
SITE fl Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA +r � /
Approach/Sidewalk Date 1 6 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
INSPECTION DIVISION - Business Line: (503) 639 -4171
MST o?
BUP
Received Date Re uested 7 - - 7 AM PM BUP
c
Location / L 0 I 1 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR -�
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC „��
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
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
F' larm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
A R ��
DA 1 V�c1p`
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) • -I. - 4175 MST < d0 0 7(0
INSPECTION DIVISION Business Line: (5 417
BUP
Received Date Requested 7 -/3 AM PM BUP
Location / a d L I ` (dc Suite MEC
Contact Person Ph ( ) oZd 1?' g37 PLM
Contractor Ph ( ) SWR
T Tenant/Owner ELC
oot�ng
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 �I
Fire Alarm
Susp'd Ceiling f
Roof
_4 1 i
- k 01( -
ft PART FAIL �t /n
• &45/tfv (g lK I
Post & Beam
Under Slab
Rough -In N "C a,' g
/
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan •
Other:
Final
PAS PART FAIL
ECHANII_AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
�l
zoo PART FAIL
E TRICAL
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 111 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