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Permit 4 CITY OF TIGARD MASTER PERMIT � DEVELOPMENT SERVICES DATE ISSU 2/3% 4004 -00005 c- - ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: r PARCEL: 2S103CD -04100 SUBDIVISION: / 2 083 1,0 ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: Model Home SF residence. Lot 84 BUILDING , REISSUE: DM199AS STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,610 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,890 sf GARAGE: 630 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD. sf RIGHT: 5 VALUE: 339,456 00 OCCUPANCY GRP. R3 BDRM: 4 BATH: 3 TOTAL: 3.500 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: BOIUCMP < 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: EA ADD'L 500SF: 7 201 - 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: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps 1000v. MINOR LABEL: 1000+ ampNolt : 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: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC' DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,499.02 This permit DON MORISSETTE HOMES DON MORISSETTE HOMES INC Mu is al C subject Code, the regulations contained Codes i the Tigard 4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 all other applicable cable laws. All work Code, State o r k w Specialty be done Codes and STE 100 LAKE OSWEGO, OR 97035 a othr applicok wne i 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 5 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You L Rego: k38737 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 Insf Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Line Insp Plumb Final s Beam Struc • -I Mechanical Insp Shear Wall Insp Insulation lnsp Water Service Insp Building Final Issued By : _ '! 1".1 i.1 1 , Permittee Signature : &L_ ----- Call (50 ) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . - T o tr 2-4 -o'f # 141 U 003 —OO 0 ✓ � / S - 080D ,, - ( 7 A Building Permit Application - �; . Date received: � - 3 �,;i`'Li' City of Tigard RECEIVED " - • � Permit no.:yiS . - — Ciryoj7Tgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Project/appl. no.: Expire date: Phone: (503) 639 -4171 IJAN 1 Date issued: Receipt no.: Fax: (503) 598 -1960 1��4. Case file no.: Payment type: Land use approval: CITY OFTIGARD 1 &2 family: Simple Complex: 8 BUIl.DJNG • / . • - - 7l' OF PERM! i O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family ,'New construction O Demolition O Addition/alteration /replacement O Tenant improvement O Fire sprinkler /alarm O Other. .1011 SITE INFORMATION o. . 8 ' : / - D v jrl i,♦ 1 il�.� Bldg. no.: Suite no.: Lot: 1 /;!.1 Block: Subdivision: W'V p-mumma Tax map/tax lot/account no.: Project name: Description and location of work on Kends • . special conditions: &O s ' . � 0� _,g0 . O11NElt FOR SPECIAL INFORMATION, USE CHECKLIST •u I n tt4is 11 ( Floodplain ,septiccapacity,solar,etc.) Mailing address: 'erirMa M !l.M. R4B 1 & 2 family dwelling: ECINIIKUMMENI EMM 4 ZIP: i� Valuation of work $ , ` • Phone: . Fe s�� _ , o No. of bedrooms/baths 4 Owner's representative: . Wariallir if _ Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) t0 i APPLICANT Garage/carport area (sq. ft.) 4 Covered porch area (sq. ft.) # �L� ♦ _ Deck area (sq. ft.) Mailing address: City: _ State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: I CONTRACTOR Valuation of work... $ . ��� Existing bldg. area (sq. ft.) M � t!_ (Id • l New bldg. area (sq. ft.) Address: . v a. .LAIIIIIIIMMIll City: State: ZIP: Number of stories Phone: Fax: E -mail: Type of construction CCB no.: Occupancy group(s): Existing: City/metro lic. no.: T New: Notice: All contractors and subcontractors are required to be ARCI IITECU /DESIGNER licensed with the Oregon Construction Contractors Board under CEIM ���� ► j provisions of ORS 701 and may be required to be licensed in the a R: i � T7� -� g performed. •� jurisdiction where work is bein If the applicant hcant 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 oldinances gove 'ng this 0 Visa O MasterCard work will be compl ' wt »» whether ifred ltiereA t. 13 credit era number: / / Authorized Si i at ,; • _ Expires _ , � � / - _ 1� Name of cardholder as shown eredrt card $ Print name: lit ' .� �'�' 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 (6/00K:OM) .- 7 ..-. • ,_, A One - and Two - Family Dwell r' ,,,,,. :, Bu lding Permit Application „ , eckl Reference no.: _ CiryofTigard City of Tigard 'UJ�J \J 11 �JNJ JU u Associated permits: � ❑ Electrical Cl Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ! tiny Z 0- j• f�,i� ■ ❑ Other: Phone: (503) 639 -4171 • t•: - Fax: (503) 598 -1960 6 rfal 95r f - ,) Chi a 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. k 8 Soils report. Must carry original applicable stamp and signature on file or with application. )[ 9 Erosion control O plan 0 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. lc 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, `J fireplace construction, thermal insulation. etc. -' J� 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. 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 ". x 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 (6A0/COM) • l;1 Mechanical Permit A lication ttGEl Date received: Permitno.: ks ,0 Qa©S" r,rnt .44 ."1 City of T1 Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall BlA'i (20047223 Phone: (503) 639 - 4171 �`YYwT Date issued: By: I Receipt no.: - Fax: (503) 598 -1960 CITY OF TIGAR) Case file no.: Payment type: Land use approval DIVISION Building permit no.: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family 0 Tenant improvement construction 0 Addition/alteration /replacement 0 Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE • . Job address: 5. ' " "IF Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax ma /tax lot/account no.: profit. Value $ - Lot: (Block: I Subdivision: r 'See checklist for important application information and /A,( 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 COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE Fee(ea.) 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? 0 Yes 0 No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? O Yes 0 No Alteration of existing HVAC system ME:CIIANICAL CONTRACTOR Boiler /compressors ��}}�� State boiler permit no.: sllfa HP Tons BTU/H Address: rM Fi re/smoke dampers/duct smoke detectors &ts �drl irdeffill Heat pump (site plan required) Phone:_ . ' Fax: E -mail: lnstall/replacefurnace/burner BTU /H Including ductwork/vent liner O Yes O No CCB no.: '?. ---3(1) - Install/replace/relocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted , Name (please print): • p 1 A le I■IELL. Vent for appliance other than furnace Refrigeration: 1 CONTACT PERSON �� Absorption units BTU/H tiKaLiR M Chillers . HP Com.ressors HP Address: a — ♦ �t Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U Hires. kitchen/hazmat hood fire suppression system Name: 1 i q � ' ! � � Exhaust fan with single duct (bath fans) Mailing address: 7 / iv_ 11 Val Exhaust system Type: LPG NG Oil apart from heating or AC City: State a ► � ZIPq 2I ) Fuel piping and distribution (up to 4 outlets) t Phone: t - 2 - _Al Fax: E - mail: Fuel piping each additional over 4 outlets • ENGINEER - Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City" I State: {ZIP: Insert - type Phone: Fax: - mail: Woodstovelpelletstove pp g flaw MUM Other: , Other: Applicant's s s! ffatu Date: Name (print): _ ,.1 Yr t Min, r $ Not all runsdictions accept credit cards, please call junsdtcuon for more information. ermit fee n 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ / expires if a permit is not obtained Plan review (at %) $ Credit card number Expires w ithin 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 (6A0ICOM) Plumbing Permit Application • Date received: Permit no.: ,A.I >ld �,irl; City of Tigard �_� � Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blv, T' 97223 City o�gard , � � Projecbappl. no.: Expire Phone: (503) 639 - 4171 Fax: (503) 598 -1960 JAN p n�, Date issued: By: Receipt no.: Land use approval: .IAN 13 2QQ4 Case file no.: Payment type: • °..117E OF PERMIT • 0 1 & 2 family dwelling or accessory a 11)I' CI • � ri a 0 Multi- family 0 Tenant improvement ►: ew construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address:r�� Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only Bldg. no.: Suite no.: (includes 100 ft. for each utility c�tmeClioD) Tax map /tax lot/account no.: SFR (1) bath Lot: 77J Block: Subdivision: r SFR (2) bath Project name: NAf.. • 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.) • - PLLI\HUING COtiTR,Ac colt Manufactured home utilities Business name: 1N ,._7 L i Manholes Address: l ti , Rain drain connector �s Sanitary sewer (no. lin. ft.) � - vim Storm sewer (no. lin. ft.) Phone: y 1' if Fax: - Water service (no. lin. ft.) CCB no.: [ ' • 'Z L I Plumb. bus. reg. no: - ; �� � Fixture or item: slIPP City/metro lic. no.: N/A l �/ ! Absorption valve Contractor's representative signature � ✓�/ C Back flow preventer Print name: • 1 ` ` ' pa ? • i Backwater valve CONTACT PERSON Basins/lavatory Clothes washer Name: 1 {� SPr�L71 E Dishwasher Address: aa i / p le , Ai - Drinking fountain(s) City: State: Ejectors/sump Phone: {Fax: Expansion tank OWNlilt Fixture/sewercap . Floor Floor drains/floor sinks/hub Name (print): 1 • , _aQ 1 Garbage disposal Mailing address: 4 , _ • • . • m► 1 • r ri'TRAII Hose bibb City: - l ���ig '4 iatrall� Ice maker Phone: f • — Fax: 'ClagErirEl Interceptor /grease trip 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 Name: Water closet Address: Water heater , City• I State: I ZIP: Other Phone: Fax: E -mail: Total Minimum fee $ Na alt dunsdicuoru accept credt cards. please call hunsdicuon for more infonnauon Notice: This permit application % S �_ C Pisa 0 MasterCard Plan review (at expires if a permit is not obtained _ ) C.edii card number / / within 180 days after it has been State surcharge (8 %) ...• $ Expires TOTAL $ ---- accepted as complete. • Name of cardholder as shown oa credit card S Cardholder signature Amount 440 4616 (60OcoM) ., Permit Application 1 ,, Electrical PP D ate received: P ermit n o.:1 Jape �0 -�: ..� i ! I ;, 1 � j, City of Tigard e EI VE �! Projecdappl. no.: E xpire date: City of Tigard Address: 13125 SW Hall Blvd, igard, OR 97223 Date issued: By: I Receiptno.: Phone: (503) 639 -4171 'J 13 2004 Fax: (503) 598 -1960 Case file no.: Payment type: CITY OF TIGARD Land use approval TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family 0 Tenant improvement ►' New construction 0 Addition/alteration/replacement 0 Other. 0 Partial JOB SITE INFORMATION . Job address: fj \, ,, 11 I 1 • Bldg. no.: 11,, Suite no.: Tax map/tax lot/account no.: ' Lot: VI I Block: Subdivision: ' d kA-0A4- Project name: I Description and location of work on premises: Estimated date of completion/inspection: CON I ItAc l OIt APPLICA ION FEE SCIIEDU.E Job no: I 1 Fee Max �'" _ Business name: (1-4 EL- -C V -' C Description Qty. (ea.) Total no. hisp New residential - single or multi- family per Address: ft. • �` &VW_ • f - dwelling unit includes attached garage. City: t : : 4 / ID V! ZIP: • Senice induded Phone:2 -11-).3 - I r •_ Fax: E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: I Elec. bus. lic. no:a(dp9 G Limited energy, residential 2 C Limited energy, non- residential 2 Each manufactured home or modular dwelling , �ature of supervising electrician (required) Date c 614 Service and/or feede 2 Sup. elect name (print) 1 License no d5 st Services or feeders - Inallation, alteration or relocation: 200 amps or less 2 (print): , 1 201 amps to 400 amps 2 2 Name tint): �4 401 amps to 600 amps Mailing address`43 ) ( S. 601 amps to 1000 amps 2 City: L. O, I State IP: .- 20 , Over 1000 amps or volts 2 Phone: )7 7� Fax.---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 Installation, 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 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 all that apply) Misc .(Serviceorfeedernotincluded): 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 signor 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 extension' 2 O Building over three stories 0 Feeders. 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 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 can jurisdictioo for more information. 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%) .... $ Ex accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440 -4615 (600000M) 4 5 raoz - CrZ5 - 0 - 0 5 . • • ► .• • 1 STREET TREE C • l • • • • • • I, l L o --. s ,,Owner/A ent for ,� Flo,-, - s t - `~ ■ • ; g //o �. 5 ■ • (PLEASE PRINT) (PERMIT HOLDER) ► • • • /7. ► ► ��` - • Do hereby:-certify that t1he following location ■ + ; � s ■ ; • meets x yxdf `-�igardtWashirigton ■ • land use and development standards for street tree installation. ■ • ■ • ■ 1 ADDRESS: (20 131 3 s‘.., LJ�,'s- -i c-s Ca o ■ t ■ • / ■ ■ • • LOT: ? SUBDIVISION L - , L €`c 4- I <_r s I t• o� G-- ■ • ■ • t BY: DATE: 3- , - 2 3 — ° cf ► ► • ► 1 RECEIVED BY: A / r a', �� DATE: - 2 3 - d ■ • - ■ A VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVV CITY OF TIGARD 24 -Hour BUILDING. Inspection Line: (503) 639 -4175 4) ' _ ra S INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3 2 3 -O AM PM BUP Location / Za V iL 1 ,d 20 Suite MEC Contact Person 41 Ph ( ) _LV—;/ — to 4i PLM Contractor Ph ( ) SWR BUILDING ` j3, 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 ' i.cr• L k" F/ � kt E '_�i/ Insulation Drywall Nailing �ie YI ��- grl�.� r f sc•,a of Firewall ? Fire Sprinkler A-I ` c - "` ' ..� /' e'2�cilavt. , f4 ' � y Fire Alarm Susp'd Ceiling Roof Ot anal r SS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manho e Storm Drain Shower Pan Other: Final PASS PART FAIL (JiIECHAN : - - Post & Beam Rough -In Gas Line Smoke Da ' ers • S• SS PART FAIL EL 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: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 7 29-- 0 4— 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 BUP Received - ' 7 y d 03 Date Requested 3-1T--b4 AM PM BUP Location / 2-061 1L)'4A i 7� 4 o Suite MEC Contact Person Ph ( ) a? itN -4I ' 3 7 PLM Contractor 6 ivA 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan _CO* PART FAIL IVITECHANICAL 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 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 1 Approach/Sidewalk Da Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL