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Permit i.. „ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00061 i DEVELOPMENT SERVICES DATE ISSUED: 3/4/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12066 SW WHISTLER'S LP PARCEL: 2S103CC -WW274 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 074 JURISDICTION: TIG REMARKS: New SF detached. DEMO CREDITS FROM BUP2003 -00591 APPLIED TO THIS PERMIT. BUILDING REISSUE' DM194A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT' 24 FIRST: 1,625 sf BASEMENT' sf LEFT: 15 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD. 40 SECOND: 1,695 sf GARAGE: 578 sf FRONT: 20 PARKING SPACES . 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 5 VALUE' 324 OCCUPANCY GRP' R3 BDRM: 5 BATH' 3 TOTAL: 3,320 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: BOILICMP < 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/S VC OR FOR PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 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: $ 3,981.03 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the all other Municipal e laws. . All work will Specialty in and 4230 GALE WOOD ST 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done in STE 100 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire if LAKE OSWEGO, OR 97035 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 5 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You L Reg #: k3 87 3 7 5 5$ 3 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 Low Voltage Storm drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Footing lnsp Crawl Drain /Backwater Framing Insp Gas Fireplace Water Service lnsp Building Final Foundation lnsp PLM /Underfloor Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Post/Beam Structural Mechanical Insp Exterior Sheathing Ins F Rain drain Insp Electrical Final Issued By : _1 l �� _ / Permittee Signature :'"" '' _ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • Building Per D ®n . Date received — Permit �$ o� /O O �� rmf no.: S ey - . OCR. ''' ` City of Tiga ` Address: 13125 SW Hall B1v f Bar4, OR21)01123 Project/appl. no.: Expire date: City of Tigard / , Phone: (503) 639 -4171 Date issued: j Receipt no.: Fax: (503) 5984960 CITY OF TIGARD Case file no.: Payment y type: Land use approval: BUILDING DIVISION 1&2 famil : Simple y p / Complex: ••. TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 'New construction O Demolition O Addition/alteration /replacement O Tenant improvement 0 Fire sprinkler /alarm 0 Other: ' JOB SITE INFORMATION 1 Job address: �iski igra,- l,� Bldg. no.: Suite no.: ■ -1111 Lot: -1111 Block: Subdivision �PARRL� ,Lta'LI Tax map /tax lot/account no.: Project name: ,' 4,5 Description and location of work on premises/special conditions: OWVN'L FOR SPECIAL INFORMATION, USE CHECItLIST Name: f lW � ; 1111 ' (I loodplaiu ,septiccapacity,solar,etc.) Mailing address: ' eSrAtrai Ri � ffe 1 & 2 family dwelling: City: ', ZIP: ingh Valuation of work $ Phone:. r �J OrrylalliPai • - mail•. No. of bedrooms/baths S r 1 (9 1 0 - Owner's representative: 'IR& j if � 1 L - , Total number of floors d•• Phone: Fax: E -mail: New dwelling area (sq. ft.) • ; APPLICANT . Garage/carport area (sq. ft.) Name: �� Covered porch area (sq. ft.) Mailing address: ' . t CG Vt. Deck area (sq. ft.) City: [State: '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: .�& d w•LA, New bldg. area (sq. ft.) Address: v �r We/ Number of stories City: State: ZIP: Type of construction Phone: 1 Fax: E -mail: CCB no.: �) ` %?) 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: (-1a.i,� provisions of ORS 701 and may be required to be licensed in the Address - ,. C -rh jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: 1Fax: 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 junsdiction for more information. attached checklist. • . rovisions of 1 ws and ofdinances governing this CI visa t] MasterCard work will be comp - s v./1i whether Hied jierei t. Credit card number: / / /� � � Expires Authorized si a atu , , / i A i l Name of cardholder as shown on credit card Print name: •!>.'j — 1 (.'� 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 (6I110/COM) • One - and Two- Family Dwelling ,,.. Permit Application Checklist • ; Buildin' g Permit Application Chkli Reference no.: CiyofTigard Cl Of Tigard Associated permits: `J g O Electrical 0 Plumbing O Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE _FOLLOJY.ING_ITE11S_ ARE _REQUIRED_ FOR _PLAN _REVIEW __ —_ _ __ __ _ _ es_ _ 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. x 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 0 plan CI permit required. Include drainage -way protection, silt fence design and location of ,/ - catch -basin protection, etc. J� 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 x 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, X fireplace construction, thermal insulation, etc. r. 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 (6/00/COM) • Mechanical Permit Application � � Date received: Permit no.:AS �©(,$./ , - 000 r 1 j, .•pi City of Tigar t . IN Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall :•a M i vif ` , Phone: (503) 639 - 4171 Date issued: By: Receipt no.: _ Fax: (503) 598 -1960 FEB 1 0 2004 Case file no.: Payment type: CITY Land use approval: TY OF TluAHU Building permit no.: • (17 OF PERMIT .. 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement • ,Iew construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE - Job address: e>g ai �� j( J. , 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: `Z 'Block: I Subdivision: Lt�') - `See checklist for important application information and Project name: AA jurisdiction's fee schedule for residential permit fee. City/county: 1 ZIP: I &:2 FAMILY DWELLING PERMIT FEE SCHEDULE' Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCI®ULE Fee(en.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: r ha • Is existing space heated or conditioned? 0 Yes 0 N o Air handling unit CFM S P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR .. _ Boiler /compressors ��}� State boiler permit no.: �1�� ►i���fi �I.� HP Tons BTU/H Address: inim Fire/smoke dampers/duct smoke detectors City: V.^d U r EMMERMAIrean Heat pump (site plan required) Phone: ,...4j _ Fax: E -mail: Install/replace furnace/burner BTU /H Including ductwork/vent liner 0 Yes 0 No CCB no.: F-.),91:-:- - Install/replace/relocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): j . . imp NELL_ Vent for appliance other than furnace , CONTACT" PERSON Refrigeration: �_ • • Absorption units BTU/H ME MI i Chillers HP Address: Com.re HP rte_ ♦ �l Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust • - OWNER - Hoods, Type U lures. kitchen/hazmat 1 hood fire suppression system ��.fu i gia giL Exhaust fan with single duct (bath fans) Mailing address: / • Al Exhaust system apart from heating or AC �_ Fuel piping and distribution (up to 4 outlets) �� .� 'i�i�f�� LPG NG Oil Phone: , t i.2 Fax: E - mail: Fuel piping each additional over 4 outlets _ • • ENGINEER - Process piping(schematicrequired) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: / Fax: E -mail: / � � Woodstove/pellet stove PP g .,. ,e' ta/ i z- Mr/P . Other: —7— A Applicant's si rioter Date: _ Name (print): 11i;d f (f i i' �!r' / I Not all jurisdictions accept credit cards, please call jurisdiction for more mformauon. it fee $ 0 Visa 0 MasterCard Notice: This permit application Mini Minimum fee $ expires if a permit is not obtained Plan review (at _ %) $ Credit card number Ex it s w ithin 180 days after it has been p State surcharge (8%) .... $ Name of cardholder as shown on credit card accepted as complete. S TOTAL $ Cardholder signature Amount 440-4617 (6,00+COM) Plumbing Permit Application - . A Datereceived: Permit no.- ,7"}Ol - eao6/ argif City of Tigard a ^ Sewer permit no.: Building permit no.: Address: 13125 SW Hall UI g P r o k ecUpp a I no.. Expire date: Ciry ojTigard Phone: (503) 639 -4171 Fax: (503) 598 -1960 1 0 1 Date issued: By: Receipt no.: FEg L Case file no : Payment type: Land use approval: Y OF 1 IGARD . . 'li i; II: )E PERMIT ' .. 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement ►- ew construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION - 0 • • • • - - • - r E SCHEDULE (for special information use Checklist) Job address: � v r / (j ) i ' ) Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only Bldg. no Suite no.: (includes 100 ft. for each utility conectiOn) Tax map /tax lot/account no.: SFR (1) bath Lot: -7 Block: I Subdivision: kk/k,- SFR (2) bath Project name: � A � SFR (3) bath City /county: I 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.) - PLUM IIING CON I IRAC rOR ' Manufactured home utilities Business name: ` 1 L i Manholes ME Address: .i�bT��0 Rain drain connector . '/S ZIP: Sanitary sewer (no. lin. ft.) IIIII City: �� Storm sewer (no. lin. ft.) Phone: y 1 - I Fax: E -∎ Water service (no. lin. ft.) CCB no.: [rj l-t -] Plumb. bus. reg. no: - -�� ' Fixture or item: City/metro lic. no.: N/A , ' Absorption valve 7 Contractor's representative signature Back flow preventer Print name: • VMS M • - Backwater valve CON PERSON .. Basins/lavatory Name:\ --t • p - ) I ,...AE- Clothes washer . • Dishwasher I Address: au ", _ 0 g p It: 4 , N - Dunking fountain(s) City. State: ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank =_;: ; . :; -;: •;:,: O v \ I R Fixture/sewer cap III Floor drains/floor stnks/hub Name (print): ` ;[� �(` _� - Garbage disposal IIIII Mailing address: _ • • • so L � Hose bibb City: _ �ial Ice maker MI j . - A , Fax: E -mail: Interceptor /grease trap 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) Owner's signature: Date: Sump MI ENGINEER pan Urinal Name. Water closet Address: Water heater City I State: ZIP Other Phone: [Fax: 1E-mail: Total Minimum fee $ 'Na alt lunsdreuons accept credit cods, please call duns Lcuon for more oromuuon N otice: This permit application of $ ��_ Plan review (at _ %) 0 Visa MasterCard ' / e spires if a permit is not obtained State surcharge (8 %) •••• $ �— C.ed�t card number w ithin 180 days a fter it ha been $ Expires accepted as complete. TOTAL �— N ame of cardholder as shown oa credit card $ 440 (6A(KbM) ■ Cardholder signature Amount Electrical Permit Application ' . - R E C E 0 +► / E 1 1 Date received: Permit nom43 - r �/�Ud bi . ., _ . • , • , City of Tigard V LJ Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigarc CD 11 11 C g 9723 204 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family ❑ Tenant improvement • New construction 0 Addition/alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION Job address: l _ /(O � � 1 >�.A3►.J Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Al Block: Subdivision: • inillrfft 1! `r"" Project name: !Description and location of work on premises: Estimated date of completion/inspection: „CONTRACTOR APPLICATION . _ . FEE.SCHEDULE . Job no: ]- ) Fee Max Business name: Cx•FgA C., Description Qty. (ea.) Total no. rasp New residential - single or multi- family per Address: '''' r/ • `.■` taltw. • c" Al dwellingunitlndudes attached garage. City: L -P< State: 0 ZIP: R - ? ? Service included: Phone: L f 2_ .. , - i . !Fax: E -mail: 1000 sq. ft or less 4 a (o� G Eac additional 500 sq. ft or portion thereof CCB no.: � � '�, Elec. bus. lic. no: Limited energy, residential 2 Limited energy, non - residential 2 • / Each manufactured home or modular dwelling 2 nature of supervising electrician (required) D ate / 1 Service and/or feeder Sup elect name (print) 1 C.-... License no 1 e�7 Serncesorfeeders— installation, alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name (print): , . t11[ ►�'�w 401 amps to 600 amps 2 Mailing address: 1 ;�i �1 ��,� �• , 601 amps to 1000 amps 2 City: , is State 1 ZIP: 70 Over 1000 amps or volts 2 Phone: 7 - Fax: - `7rp/7E-mail: Reconnect only 1 , Owner installation: The installation is being made on property I own Temporary services or feeders - inst which is not intended for sale, lease, rent, or exchange according to allalion , alteration, orrelocation: 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 ENGINES _ 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: r State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 • Phone: Fax: Ema Each addiuonal 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 irrigation circle 2 O Service over 320 amps - rating of 1 &2 ❑ Hazardous location Each signor outline lighting 2 family dwellings O 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 O Building over three stories 0 Feeders, 400 amps or more 'Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lighting plan ❑ Other Per inspection I I I I Submit _ sets of plans with any of the above. Invesugation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all jurisdictions accept credit cards, please call jurisdiction for more tnfomuuon. Notice: This permit application $ 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) Credit card number. / / within 180 days after it has been State surcharge (8%) .... $ Fx accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440-4615 (600/C0M) • 44 57ao i ik,AAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAa' ------ - - - - -- r . ■ . I CAT I TIF CE Z ST REET TREE ► I, > ?jL►� -1�� �-6EPRI , Owner /Agent fo D 1102 /ssTIC 44 -145 . . . ■ ' (PLEASE PRINT) (PERMIT HOLDER) 1 Do hereby certify that the following location meets City of Tigard /Washington County - ■ . land use and development standards for street tree installation. I ■ ' .4 A DDRESS: /ZO&& ivii, - 5 cz tz- S GvoP • 44 1 L OT: 7i/ SUBDIVISION: I4l4757i625 _ it/ I BY: / DATE: 6 /j Dy ► ■ RECLIVED BY: DATF.: ,S" DV ■ FTTTTTTTTYYTT TTTTTTTTTTTTTTTTTT ® *TTTYTTTTTTTTTTTTTTTTTTTTT® CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST — /.L / INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 5 -/ 4 AM PM BUP Location 20 �! .1 4 / �,��/ uite MEC Contact Person ' �i(. Ph ( ) � J —, 5- 95' 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 � 1-O� Framing Insulation - ��n-� bisQ43 Drywall Nailing Firewall Fire Sprinkler Fire Alarm b. U L.r \ZW ep� - � `pF\�.� �1 azEZin Susp'd Ceiling r�o Roof �i B a-m0 S 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 C Low Voltag - r Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - AS' PART SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date ' Inspector next 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 MST0q.00 4V- (9 -666 . / INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received 3 l P Date Requested AM PM BUP Location /2-6 b ' /f)-(.- tz Suite MEC Contact Person 6-6( Ph ( ) 99 6,59 9 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 , . __ V Firewall / j y 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 P: = 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 Da U Inspector Ext Other: Final DO OT REMOVE this Inspection record from the Job site. . PASS PART FAIL apt 0F TIGARD 24 -Hour BUILDING Inspection Line: (503) 36 9-4175 _ - a 006 INSPECTION DIVISION Business Line: (503) 639 -4171 �- - MST--OZ) BUP Received Date Requested AM PM BUP Location / 2,6 (4G-, �� /J E OJI� _ ` 0 Suite MEC Contact Person Ph ( ) �� — q- CZ-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 Lib elr■ Insulation ° — Drywall Nailing Fire wall - 7 -� �C Fire Sprinkler L � �� 47 �l Fire Alarm Susp'd Ceiling Roof • . - . `ASS PART FAIL PL I 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 Dampers I 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 / ❑ Un- = - o inspect - no access Fire Supply Line / ADA ` Approach/Sidewalk Date ` r Inspecto Li e Ext Other: Final DO NOT REMOVE this inspection ecord from the job site. PASS PART FAIL