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Permit CITY OF, T I G A R D MASTER PERMIT PERMIT #: MST2004 -00178 �In DEVELOPMENT SERVICES DATE ISSUED: 7/19/2004 °A' -- �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12053 SW WHISTLER'S LP PARCEL: 2S103CC -14500 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5 BLOCK: LOT: 092 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM181A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,520 sf BASEMENT. sf LEFT. 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,171 sf GARAGE: 604 sf FRONT: 20 PARKING SPACES . 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD' sf RIGHT: 5 VALUE: 314,715 60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,691 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: 4 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: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS. HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: 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: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 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: fiLL E&(vf11 BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner Contractor TOTAL FEES: $ 8,304.77 This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES INC 4230 GALEWOOD ST., #100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, laws. of All work k will b o ne i n LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and rd ra cer applicable ed p. Al. This permit done in accordance with approved plans. This permi t will expire If work is not started within 180 days of issuance, or if the work is suspended for more than 180 days Phone: 503 387 - 7538 Phone: ATTENTION: Oregon law requires you to follow rules 387 7 3R adopted by the Oregon Utility Notification Center Those Q Reg #: �1 55533 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Service Insp Building Final Issued B Perm ittee Signature Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day To PT" 7- B-" ' . `/700/ . B uilding Permit Application Date received , 9# ,/ I •ermit no fJjy , Vii / / ,' 4, Cl g !,, 1 of Tl _ r �L ► \ ' Project/appl. no.: Expire date: City of Tigard Address: 13125 S j i' 1 223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 JUN 0 4 2004 Case file no.: Payment type: ' 'N Land use approvaGITY 1 &2 family: Simple Complex: : ■ . n _ , • TYPE OF PERMIT hil ❑ I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ,'New construction ❑ Demolition ,- ❑ Addition/alteration/replacement ❑ Tenant improvement 0 Fire sprinkler /alarm ❑ Other: I JOB SITE INFORMATION ( N Job address: ������ 1=1 �r Bldg. no.: Suite no.: Lot: Block: Subdivision: :nor „, Tax map /tax lot/account no.: c Project name: �` Description and location of work on premises/special conditions: OWNER - • FOR SPECIAL INFORMATION, USE CHECKLIST E. Name: , ,Y\ • Aft ' _ g . � (Flood plain, septic capacity�,solar, etc.) Mailing address: • : I ,.(,•V C i.1 t---. i .) 1 & 2 family dwelling: City: WiliM111111.1.121121M ZIP: ' ). 3111 Valuation of work $ 111 ` Phone: . T sJ M -mail: No. of bedrooms/baths MI Owner's representative: . i If Cut (I L1L Total number of floors Phone: ` Fax: E -mail: New dwelling area (sq. ft.) : APPLICANT Garage /carport area (sq. ft.) _I AM Name: M �M . l ai l . � Covered porch area (sq. ft.) Mailing address: ' .'Yy1e_, a a, \,^ Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial/multi - family: . CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft.) Business name: V MMA tgrA �rL_� New bldg. area (sq. ft.) Address: _� �L City: State: ZIP: Number of stories Phone: I Fax: I E -mail: Type of construction ` CCB no.: ?j S C� �j” Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: (-ia4, t tl_, ..., provisions of ORS 701 and may be required to be licensed in the Address: • ��� jurisdiction where work is being performed. If the applicant is ` exempt from licensing, the following reason applies: City: State: ZIP: Contact person: Plan no.: Phone: Fax: E -mail: • ENGINEER' Name: Contact person: Fees due upon application $ Address: Date received: City: (State: (ZIP: Amount received $ Phone: I Fax: I 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 1 ws and o dinances governing this 0 Visa ❑ MasterCard work will be compli• • wt.•, whether ified1ere r r �tot./ Credit card number: / / j 1 t— Authorized sit+ atu. , r 1 A 4t �1 e: Name of cardholder as shown on credit card Expires $ Print name: 1 v4.%.." ' T 1 .e..._ 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 (6/00/coM) One- and Two - Family Dwelling j5,�,, Building Permit Application Checklist Reference no.: Associated permits: City of Tigard Cl of Tigard `J b ❑ 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. X 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� 1 I 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 v , area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. n 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, X 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. x 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. X 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 t6/00/COMI , _ _ • • • Mechanical Permit App ""• r Date received: Permit no i Odd 7a �,_y, "• I!. City of Tigar , ® Project/appl. no.: Expire date: Ci ryojTigard Address: 13125 SW Hall Blvs ' - , r ' - 2' Phone: (503) 639 - 4171 Date issued: By: Receipt no.: _ Fax: (503) 598 -1960 JUN 0 4 2004 Case file no.: Payment type: Land use approval: C;ITV f1F TIGARD Building permit no.: TYPE OF PERMIT. . O I & 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: ` r 0(� v � r v � �� n � , Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: 1 Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax ma i /tax lot/account no.: profit. Value $ . Lot: - Block: Subdivision: ��W D.. 'See checklist for important application information and Project name: 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 COIMMERICALIINDUSTRIAL EQUIPMENTSCIIEDULE Fee(en.) Total Est. date of completion/inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: • Is existing space heated or conditioned? O Yes 0 No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system M ECFInNIC11 L" ;CON "LRnCTOR _ B oiler /compressors II ■■ State boiler permit no.: t HP Tons BTU/H Address: Eran Firelsmoke dampers/duct smoke detectors - -- 4-r MEAlljIf Heat pump (site plan required) 11.1 Phone: ' .. ' Fax E -mail: Install/replacefurnacelburner BTU /H II - Including ductwork/vent liner 0 Yes 0 No CCB no.: - A Install/replace/relocate heaters - suspended, - - City/metro lic. no.: N/A wall, or floor mounted Name (please print): ���j�� Vent for appliance other than furnace a ■■ COTT.l'LRSON • s. Refrigeration: ' ' ''� NAC Ab sorp ti on un BTU/H Name: / i t I ` a , Chillers HP - Address: Compressors HP t1 4 . 6 4t Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E - mail: Dryer exhaust Hoods, Type U lures. lutchen/hazmat ;-•.:•. '•� ••• hood fire suppression system 11112111MU I qtAit Exhaust fan with single duct (bath fans) - __ Mailing address: viz,'" i in l i w i Exhaust system apart from heating or AC IME �� _ y �r Fuel piping and distribution (up to 4 outlets) U __________ PhoneI/ Fax: E - mail Fuel piping each additional over 4 outlets W . ,';, Process piping (schematicrequired) MEN Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: Fax: E -mail: Woodstove/pellet stove Other IN :�� q, �', Applicant's signatu" rir' Date: ,/ �' , Other. = Name (print): ,<• ` 1 • ' ' Permit fee $ Na all jurisdictions accept credst cards, please call junsdreaon for more information. Notice: This permit application Minimum fee $ r Visa CI MasterCard Credit card number E ir! expires if a permit is not obtained w i t hin 180 days after it has been Plan review (at %) $ Expires State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440 4617 (600r'COM) Plumbin : :a � . 4� • 1Caflon `= , I L { 1 f N Datereceived: Permit no. X00 ..6,0/94 d Building �tt�t�l City of Tigard Sewe p ermit no.: g Pew it no.: Address: 13125 SW Ha3161E lirR 97223 City of Tigard Phone: (503) 6394171 Project/appl.no.. Expire date: Fax: (503) 598- 196CCITY OF TIGARD Date issued: By: Receiptno.: BUILDING DIVISION Case file no. Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family 0 Tenant improvement ►: New construction 0 Addition/alteration/replacement ❑ Food service 0 Other. `'-' JOB SITE INFORMATION - FEE SCHEDULE (for special information rue checklist) Job address: Q �a. Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only: Bldg. no.. Suite no.: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: ..� , SFR (I) bath Lot: API= Block: Subdivision: jl: SFR (2) bath Project name: SFR (3) bath II 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: Drywells/leach line/trench drain Footing drain (no. lin. ft.) ` '- - PLUNIIRING :' CON:.FRACFOR. . • Manufactured home utilities MI Business name: IN, ` 7 L i Manholes - Address: ��. Rain drain connector M �� _�. a Pi � ZIP' Sanitary sewer (no. lin. ft.) Phone ,-- I Fax: E-mail: Storm sewer (no. lin. ft-) _ ;�� ti Water service (no. kin. ft.) CCB no : [ (9 k...-1 - 7 Plumb. bus. reg. no: -� ` Fixture or item: Tr II City/metro lic. no.: N/A / '// ''/ Absorption valve Contractor's representative signature ` ���t/ �/,� Back flow preventer � • i 7 i r i l int61 Backwater valve ■ -_ CO\•l'AC I ; PERSON , , _ Basins/lavatory — ` Clothes washer Name: ` 'i . ' , 11� E Dishwasher Address: sA • / ip k, ,Ni – Drinking fountain(s) City - State: Ejectors/sump Phone: {Fax: Expansion tank 7 - OW \l H. . Fixture/sewer cap 111111 _ ,�, �.� Floor drains/floor sinks/hub � Name (print): \ ;(S HJ' * L 't zY - Garbage disposal 111111 Mailing address: - j L1 . • PAZ 1 .111 Hose bibb 1111 City• L.. State.A2 ice maker • Phone: y — Fax: ffliallartrill interceptor /grease trap IIIIII Owner installation/residential maintenance only: The actual installation Pnmer(s) 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) II Owner's signature: Date: Sump . Tubs/shower /shower pan (;NGINELK : ' Urinal ■ Name Water closet Address. Water heater ■ City State ZIP Other Phone Fax: E -mail: Total M — _ Minimum fee $ 'Not all runsduuons accept credit cards. please call lunsdreuon (or more mtm (ouuon\ Notice. This permit application Plan review (at _ %) $ C Visa 0 MasterCard expires if a permit is not obtained State surcharge (8%) • -•• / / wi thin ISO days after it has been C.edit card number $ Expires TOTAL. _____--- accepted as complete Name .i( cardholder as shown on credit card $ Amount .*401616 (6AO.C'OM) ■ Cue-holder signature � . ... Electrical Permit Application . . , , � - , R E E I V E D Datereceived: Permit no.. ,, .2_00 ADO/ ,% _,,7 1 City of Tlgar i! Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Iil11,1iB1 U ,4Ti i �{ 97223 Date issued: By: Receipt no.: Phone: (503) 639-417F Fax: (503) 598 -19 4ITY OF TIGARD Case file no.: Payment type: Land use apprff°DING DIVISION TYPE OF PERMIT - • , 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement ►' New construction 0 Addition/alteration /replacement 0 Other. 0 Partial - JOB SITE INFORMATION �'"ST'�i n . Job address: Bid._ . no.: Suite no.: Tax map /tax lot/account no.: Lot: f' Block: Subdivision: v1,'"'""" 1 Project name: !Description and location of work on premises: Estimated date of completion/inspection: • :; CONTRACTOR' ' APPLICATION FEE SCHEDULE ` .. .. Job no: /Mfg' Max Business name: Busi ,./ 1 Description Qty. (ea.) Total no. hasp _ �/ �� New residential - single or multi-family per Address: . �,����� d well i ng un Includes attached garage. :� 7uii Service included: Phone: .j - 1 •'j Fax: E - mail: MOON. ft. or less 4 — ' Each additional 500 sq ft or portion thereof 2 CCB no.. y Elec. bus. lac. no: Limited energy, residential C Limited energy, non - residential 2 Each manufactured home or modular dwelling nature of supervising electrician (required) Date ' / Service and/or feeder 2 Sup elect name (print) 1 r 'j License no � o Z S Services or Feeders— installation, AIL F A alteration or relocation: .. PROPERTY . OW'N112 200 amps or less 2 • 201 amps to 400 amps 2 Name (print): A a( IMILr11• 401 amps to 600 amps 2 Mailing address: AlrW� _ �(�j� _11 601 amps to 1000 amps 2 City: .. a i � State l � ZIP: )0 ') Over 1000 amps or volts 2 Phone: /--- Fax:7- 2615E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to i or relocation: 2 200 amps or less ORS 447, 455, 479, 670, 701. 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: [ State: 1 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 all that apply) • Misc. (Service or feeder not included): O Service over 225 amps-commercial 0 Health-care facility Each pump or imgation circle 2 O Service over 320 amps- rating of 1&2 0 Hazardous locauon Each sign or outline lighting 2 , family dwellings 0 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 extensions 2 O Building over three stories 0 Feeders, 400 amps or more •Descnption: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lighting plan 0 Other. Perinspecuon 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 )unsdictions accept credit cards, please call iunsdicuoo for more information Notice: This permit application Plan review (at _ %) $ O Visa 0 MasterCard expires if a permit is not obtained Credit card number- / / 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/COCOM) p i /14 5 9-a - 00 7 8" L. AAAAAAAAAAAAAAAAAAAAAAAAAAAAA_AAA*AAAAAAAAAAAAAAAAAAAAAAAA.A.A -44 44 STREET i - A ' 1 STREET TREE CERTIFICATION -44 i 1! : 1!8,,,...,. ArrE-__ (1' 1E/SI: Pli1N 1) _ _ _ __, °wile' /Agent for D H Ar.E5 • (PERAturnot,DER) ii 44 I )o field)), (Tal i(' dim the f (Mowing Inc( Ion i 41 1 meets City of Tigii County ■ i• I ■ 0■- 44 laud (Ise awl development staild;tids (of sti I ice insollatiott. II 41 • 1 ADDRESS: _/245.3 pol-isrtgies i., — : 41 44 • ' . 1 LOT: 9 2 . _ SI MI )1 V V;IC) NI : 0.9.msriz- p _ I BY: DATF: ,-_„77-0 V [ A 1 RECEIVE" BY: _._ ', _i_,e.)-2 .. HATF: ( 7 - 2 - %- - Of --- fir-WYTTYYTY*TTTYVYYTYTTYTTTIrvilirTY7*-fiVirTIFYVVYTTYTTITV*TYY1 CITY OF TIGARD 24 -Hour � /BUILDING Inspection Line: (503) 639 -4175 MST � °"12-81 INSPECTION DIVISION Business Line: (503) 639 -4171 '2 BUP Received Date Requested �°� AM PM BUP , Loc / O s - 3 Suite MEC Contact Person Ph ( ) c ? D j cLf PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Fog Drain Access: /i3 beVet4. ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �1 �- Framing v nn 4-/c [� 11 o, Insulation �,,f , _ `/,�/'�� �� e � Asco E Drywall Nailing �i /�� !�` Firewall �E. n /C'P9'(L_ 70- / Fire Sprinkler Fire Alarm 7)7 Susp'd Ceiling aa G�- Roof � /V C� — '� C� i 15 - Gc ___ Off' Other: - r /� Final G i • - CEO Oki =? PASS PART FAIL "17-MBVIG OA/4.r Post & Slab / CAL J Z14-11PHOL-d L/ /' Under Slab • Rough -In Water Service Sanitary Sewer /� 7.•-9-1) Rain Drains ? Catch Basin / Manhole � /©� 9 D Storm Drain Shower Pan 043a n 4 / / k-1 ® Ot =:: ! e / � Aga) 10 • -5° PART FAIL ANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final P FAIL LECTRICAL Rough -In UG/Slab Low Voltage Fire Alarm 411111110r. • Op 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART SITE Please cal, or reinsp: lion RE: ❑ Unable to inspect- access Fire Supply Line ` ADA �.. �( ■//. /���/ Approach/Sidewalk Date Inspect ; Ext Other: Final DO OT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING. Inspection Line: (503) 639 -4175 MST - 78 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested q - 7 AM PM BUP Location / oZ () c-e) 2=l ily Suite MEC Contact Person Ph ( ) °'t/3.5_ X3 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 i L Framing ► / O tG '� D Insulation Awl P( Drywall Nailing �,,, -d 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 AI Low Voltage �� • IM a MD iEL2 Fir- larm Air PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. E ❑ Please for,einspection RE: ❑ Unable to inspect — no access Fire Supply Line , e ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record f the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDINGn1 Inspection Line: (503)39.4175 ,; p� MST cz -7)0 17 INSPECTION DIVI Business Line: (503)09 -4171 .: •� . BUP Received �'� Date Requested �-�� AM PM BUP Location l �- U r �/�0�1 Suite p MEC Contact Person e2� Ph ( )0 f - 4 7 1 7F37 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: • SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _ - Other: - 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 S.• ke Dampers - — PART 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 9- 2 7—a 4- Inspector Ext Other: Final DO NOT REMOVE this Inspection•record from the Job site. PASS PART FAIL