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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00077 DAT DEVELOPMENT SERVICES DATE ISSUED: 3/29/04 A J P 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12084 SW WHISTLER'S LP PARCEL: 2S103CC - WW283 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 083 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,570 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS• Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 460 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 Two sf RIGHT: 10 VALUE. 308 00 OCCUPANCY GRP. R3 BDRM. 4 BATH: 3 TOTAL' 3,190 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 FOR' 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: 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: DATAITELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,356.47 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the 4230 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State of OR. Specialty Codes and LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 all other applicable laws. All work will be done I accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone. 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set 3g forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Rev # 5p : LI 3873755533 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 Gyp Board lnsp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final Issued =\ : • i// /L: Permittee Signature : k �l Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day T o - 3 - 2 5 - 0 AA) , jihii Building Permit Application Datereceived: ,_N Perm 1 _,, ` 4# vi—z. I City of Tigard �i N Project/appl no �ri • date: City of Tigard Address: 13125 SW Hall Blvd, Tig � 'a� - Phone: (503) 639 -4171 1 Date issued: . rk ' eceipt no.: Fax: (503) 598 -1960 MAR 1 5 2 Case file no.: ■ Payment type: Land use approval: CO ( G ' : 2 family: Simple Complex: Pi PE OF PERMIT ❑ 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family ,'New construction ❑ Demolition O Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinlder /alarm ❑ Other. JOB SITE INFORMATION Job address: IV / _tLrM =J�/ Bldg. no.: - Suite no.: Lot: a' Block: Subdivision: W" I! 1 MA Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: 0%%NER FOR SPECIAL INFORMATION, USE CHECKLIST caAM (Floodplain, septic capacity, solar, etc.) Mailing address: a eri nfigali 'irU��v =nn 1 & 2 family dwelling: EtElifff ■ ZIP: 7) . i� Valuation of work $ �� Phone:. r __ No. of bedrooms/baths Owner's representative: , i _ Total number of floors _ ■ Phone: Fax: E -mail: New dwelling area (sq. ft.) — APPLICANT Garage/carport area (sq. ft.) 11 1L �_�: A'� a L� Covered porch area (sq. ft.) Mailing address: �aLr Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial/multi - family: CONTRACTOR Valuation of work $ ummln bi f/I aLr Existing bldg. area (sq. ft.) Address: .� �r 1=a New bldg. area (sq. ft.) Number of stories City: - • , State: , ZIP: Phone: Fax: ' E -mail: Type of construction CCB no.: Occupancy group(s): Existing: New: City/metro tic. no.: Notice: All contractors and subcontractors are required to be ARCI IIlECI /DESIGNER licensed with the Oregon Construction Contractors Board under MI IWI: . provisions of ORS 701 and may be required to be licensed in the Address: _ ,a_ _A • a Ira 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: ENGINEER 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. • 'rovisions of 1 ws and oidinances governing this 0 Visa 0 MasterCard work will be compl r wt .' , whether ified fiere i t. Credi card number: Far i s Authorized si u , ' /I A y �.• e: 1 � ✓ ' Name of cardholder as shown on credit card Print name: . vi,_ $ Cardholder si 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,V Ora) • 4 11, One- and Two - Family Dwelling ' ' Permit Application Checklist Building Permit Application Chkli Reference no.: Associated permits: City of Tigard City of Tigard g O Electrical 0 Plumbing U Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 CI Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 TILL FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. i 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. )/ 9 Erosion control 0 plan 0 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 K if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot 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. 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. J� 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. ' x \ 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 (M10/COM) ., Ai, Mechanical Perini _ Vk Date received: Permit no.: No 77 '�� City of Tigard 004 z.i�. ,,11,.,:1., 1� g an 1 � j Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard 97 O 1GPF� Date issued: By: I Receipt no.: _ Fax: (503) 598 1960 Oki ‘1 O O �v 1S10N Case fi le no.: Payment type: 9011..P-P Land use approval: Building petmitno.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement • .Iew construction ❑ Addition/alteration/replacement ❑ Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 1iX1� MAAttrA TigraM P . Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax ma . /tax lot/account no.: profit. Value $ . Lot: ZAINO Block: Subdivision: igl�.1Mp'n ,/ 'See checklist for important application information and Project name: VAA, jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: 1 & 2 FAMILY DWELLING PERIIIT FEE SCHEDULE Description and location of work on premises: AND CONLMERICAIJINDUSTRIAL EQUIPMENTSCIIEDULE Fee(ea.) Total / Est. date of completion/inspection: Description Qty. Res. only Res. only ( Tenant improvement or change of use: Ei Air hart Is existing space heated or conditioned? CI Yes ❑ No Air c unit red) g P Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boller /compressors ��� State boiler permit no.: �! "� M HP Tons BTU/H Address: deiWa�_ Fire/smoke dampers/duct smoke detectors �. EEMEM ZIP: "Iti,1ffill Heat pump (site plan required) ,r M � 01 Install/replace furnace/bumer BTU /H Phone: /� Fax: E -mail: Including ductwork/vent liner ❑ Yes ❑ No CCB no.: '?jr9�j(°) Install/replace/relocate heaters — suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): d p l um- ma_c__ Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: ° I . , Chillers HP �Compressors HP Address: a — b[ Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type 1/1Ures. kitchen/hazmat 11 hood fire suppression system , _�.fu y � q it . a l Exhaust fan with single duct (bath fans) Mailing address: WiM / AW iijo real Faust system apart from heating or AC City: _ ,, • . State , '4 ZIPq - 7) 5 Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone:oVidi Fax: E -mail: Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert — type Phone / Fax: // E -mail: Woodstove/pelletstove Other: • pp g 1 �r��� r tI g- ii r ;Ii Other: Applicant's s si natu� : Date: Name (print): ,(r ■ • 1 • , P Not all jurisdueions accept credit cards. please call funsdicuon for more information. n fee $ 0 Visa ❑ MasterCard Not Th permit application M Minimim um fee $ expires if a permit is not obtained Plan review (at _ %) $ Credit card number: Expires w i t hin 180 days after it has been ( ) p State surcharge (8 %) .... $ Name of cardholder u shown on credit card accepted as complete. S TOTAL $ Cardholder signature Amount 440 -4617 (6i001C•OM) Plumbing Permit Application . A A C ' Date received: Permit no. f f; � . { City of Tigard C��7 D Sewer permi t no.: Building permit no.: Address: 13125 SW Hall Bl d City of Tigard Phone: (503) 639 Project/appl.no.: Expire : Fax: (503) 598 -1960 LIAR 15 2004 Date issued: By: Receipt no.: Land use approval: CITY OF TIGARD Cue rile no.: Payment type: . . I SIGN 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 Food service 0 Other: • JOB SITE INFORMATION FEE SCHEDULE (for special information use check list) Job address: /��; 41.AL410.frili / ) Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only Bldg. no.: Suite no.: (indudes 100 ft. for eadt utility connection) Tax mar tax lot/account no.: � ��� SFR (1) bath Lot: % ` Block: Subdivision: Wa J SFR (2) bath • Project name: M M In 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.) I'LUI NMI NG CONTRACTOR Manufactured home utilities Business name: Q, ` 1, L i Manholes Address: •L�dTallia_o Rain drain connector • ZIP: Sanitary sewer (no. lin. ft.) City: ‘ pt. State Storm sewer (no. lin. ft.) Phone: y � Fax: E -mail: Water service (no. lin. ft.) CCB no.: 1, C9 - 7 l..( -] I Plumb. bus. reg. no: - - � or ' Future or item: City/metro tic. no.: N/A Absorption valve Contractor's representative signature � ✓L/ Back Clow preventer Print name: . `� i V Backwater valve CONTACT PERSON Basins/lavatory Clothes washer Name: 1 {\' S��DI E Dishwasher Address: _ aA e • • c ,V - Dnnking fountain(s) City: I State: ZIP: ` Ejectors/sump Phone: j Fax: E -mail: Expansion tank OWNER N E R Fixture/sewer cap .74::,4-!..,::::-;--,.,-..r, Floor drains/floor sinks hub Name (print): ;� -v` l� -'« ` v' Garbage disposal t» [- • Mailing address: -i-9 - • PIVT ' Hose bibb City: L _ State .. ZIP :R7CZ r jj ■ lee maker Phone: I - , Fax: la i I 1 0 a 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 ENGINEER. Tubs shower /shower pan Unnal Nam e - Water closet Address: Water heater City State ZIP: Other. Phone: — 1 Fax: — E-mail. Total � Minimum fee $ 'Not lunsdscuons accept cretin cards. please call lunsduuon r more tn(omuuon N otice This permit application Plan review fee %) Visa O MasterCard / 1 expires if a pe mit is not obtained State surcharge (8 %) •.•• $ C.edtt card number w ithin l80 days after it has been $ �_ Expires TOTAL accepted as complete. None of cardholder as shown oa cretin cud S Amount 44o -1616 (6NdCOM) %. Cardholder signature Amount . ., . 4,, Electrical Permit Application RECEIVE received: Permitno.:V6 Ce,0 ' } Pro ect/a 1 no.: Ex - w -- . .liI City of Tigard 1 PP Expire date: P City of Tigard Address: 13125 SW Hall Blvd, Tigard, CAW21 �3 5 J 200 1, t Date issued: By: I Receipt no.: Phone: (503) 639 -4171 �MIH ' Fax: (503) 598 -1960 C ITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement V New construction 0 Addition/alteration /replacement 0 Other. 0 Partial JOB SITE INFORMATION • • Job address: % ��� ��i� Bldg. no.: BM= Tax map/tax lot/account no.: Lot: 10501 Block: Subdivision: nl / �V llirM Project name: Description and location of work on premises: Estimated date of completion/inspection: CON "I RAC TOR Ol( AI'I'I.IC•A I ION FEE SCHEDULE • Job no: Fee Max _ Business name: CA ELE[��g, c , Description Qty. (ea.) Total no. hasp New residential -single or multi - family per Address: r' _ • �` ' W ig . • c" - AI dwelling unit. Includes attached garage. City: \ : t lio State: i .s ZIP: • Servi«include& Phone:L.(.L j 1 • Fax: E-mail: - _ 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: •y ,„ d O 9 Elec. bus. lic. no: 0.( G [umjted energy, residenual 2 r'''-)_ ....___..... Ea chtma manufactured d home or modular 2 �� J Each manufactured home or modular dwelling nature of supervising electrician (required) Date CJ / V 1L 1 Service and/or feeder 2 ` Q S Services or feeders— Installation, Sup elect name (print) 1 License no. 1 alteration or relocation: 200 amps or less 2 Name (print): �,5,` 1[ ar►lit.w 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 1GT.fa , &i :: % A. r5 ■ _ 601 amps to 1000 amps 2 City: . 40 s State a ZIP: 70 5 Over 1000 amps or volts 2 Phone:" .YJ R Fax: -7/ E -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 installation, alteration, orrelocation: 200 amps or less 2 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: 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 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 0 Hazardous location Each sign or 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 alterauon, 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 0 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 Not all jurisdictions accept credit cards. please call iurisdictioo for more infarmauon Notice: This permit application Permit fee $ O 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%) .... $ , Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440 -4615 (6OO OM) /'l ST�'6 4 -( – Gtfrn 7 7 kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAMI ® r 44 ON. ®` ® STREET TREE C 1 / \ ® I, Z -�- /11{4. C , ®caner / for 7) i Tfvn�ss�zr� ffa S (PLEASE PRINT) I (PERMIT HOLDER) A i ._ \ 0> ® I' ® _ ' /\--, : 1 - 44 . 1 „t,n -- -: blA 0> ® Do herebycert Sfy thatlthe following location kali !"N'' '4' 44 I meets Cit of a d /Washi =agton County ® land use and development standards for street tree installation. ® S ,,✓ ( . 0+1 9 71-6 2 S 4-P . ADDRESS: � Zp� � ® LOT: <6' SUBDIVISION: 1,,,,h+-( T A R- r s - t t%),4-C- 4 _ ito ® BY: DATE: _ z S -DY 44 ..----- sc;z./1 0> ® RECEIVED BY: (' DATE: (-) ------- ' 0> ® VVVVVFVVVVVVVVV� - 'VV VVYYVVYVVVYVYYYYYYYYVVYVYYYVY VVYYYYv®V1 • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639-4 MST ����� 7 7 INSPECTIDN DIVISION Business Line: (503) 6 171 BUP Received Date Requested ^ & a PM BUP Location / o R ( -(J At Suite MEC Contact Person Ph ( )et l' - 5 4 ?37 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC fl Footing - Foundation ELC Access: Ftg Drain ELR Crawl Drain 1 Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear /) SA 4ge O G w, • C.— i lly Framing Insulation , `� 2 Drywall Nailing • " ■ II '' Gil '. ....._ W - Firewall 3 -- Fire Sprinkler Fire Alarm 4 �N f Sf'{c' -A->2 Z14 S/°� C ,l -- Z7 L� -Al of Susp'd Ceiling l �RRoof : "i&:__ - / - • ■ FA 47Z e" Z :r ter% -'�� M� /! 1 l�l 4"1- /tPP1'eov' 4' PART FAIL PLUMBING © k II. `C . .... PA1� Post & Beam ie `� / /_ O /� SU -( Under Slab �' /� 6 Water Co>/`'`/ 1( '� V , � � e !�✓ Water Service Sanitary Sewer tS f' P Rain Drains /� - — Catch Basin / Manhole Storm Drain Shower Pan ' Other: Final .F7:7•Ae..61b PASS PART FAIL _ MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Z:0 PART FAI CTRICAL Service Rough -In Low olt Low Voltage- Z Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA Z / --' Approach/Sidewalk vv Ext Other: Final DO NOT REMOVE this inspection recor from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ! / —� BUILDING Inspection Line: (503) 639-4175 MST�b� �f77 INSPECTION DIVISION Business Line: (503 639 -4171 BUP Received d Date Re neste AM PM BUP Location I a- 6 O G� (.Q) 1 il Suite MEC Contact Person Ph ( — ei 7 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 "J. 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 Fire Alarm AS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _1=1 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ,. { �/� ADA b 25 C - v (�� T1� t V C)8 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) • • x175 MST .v-e.o9'ddd INSPECTION DIVISION Business Line: (50 • • 1 BUP Received G' Date Requested � - d am ' AM PM/? BUP Location i a D' /()�I C�D4 Q� Suite /D MEC Contact Person / Ph ( ) 9 `0137 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 /G1-0-6 Ext Sheath/Shear S� Int Sheath/Shear Framing Insulation f l / 9 Drywall Nailing Firewall Fire Sprinkler -�� � 11 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: a i PART FAIL M HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - Rough -In UG/Slab Low Voltage Fire Alarm • Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line d Approach/Sidewalk Date Z� / Inspector - Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL