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Permit ,, \ Alk ' CITY OF TIGARD MASTER PERMIT PERMIT #: I � DEVELOPMENT SERVICES DATES ISSUED: MS / 3 -00253 ' fl f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11815 SW WILDWOOD ST PARCEL: 2S110BA - 05300 SUBDIVISION: SHADOW HILLS ZONING: R - BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: Add 1350 sf shop /garage and breezeway. - BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 1,350 sf FRONT: 30 PARKING SPACES . TYPE OF CONST: 5N DWELLING UNITS: 0 THI sf RIGHT 5 VALUE: 39 20 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 25 PLUMBING SINKS: 1 WATER CLOSETS. 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS' LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 2 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 1 CLOTHES DRYER. GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS _ 1000 SF OR LESS* 0 - 200 amp: 0 - 200 amp' 1 W /SVC OR FDR: 00 PUMP /IRRIGATION: PER INSPECTION. EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: . BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor TOTAL FEES: $ 1,135.14 GARY JOHNSON OWNER This permit is subject to the regulations contained in the GA GAY JOHNSON WILDWOOD ST Tigard Municipal Code, State of OR. Specialty Codes and 11815 D, W W ILDW DW all other applicable laws. All work will be done in 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: 503 603 - 1814 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You Reg #: may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. — gC[Q _g y if REQUIRED INSPECTIONS • �, Erosion Control lnsp 8 Plm /undslab lnsp Framing lnsp Roof Nailing Grading Inspection Mechanical Insp Shear Wall lnsp Electrical Final Footing Insp Plumb Top Out Exterior Sheathing Insr ,Mechanical Final Foundation Insp Electrical Service Gas Line Insp Plumb Final Footin./ -: Do Electrical Rough In Rain drain Insp Final inspection / I • Iss• ed By : \ ,� ! l ' , ice / alt Permit Sig nature :. Al r 1._ , .. _.� Call (50 ) 639 -4175 by 7:00 p.m. for an inspection needed the next ' sines day • Bigl�d Permit 1L4 atk D FOR OFFICE USE ONLY Received Building ..._ Date/B , — 5 -03 Permit No. i 0123 " ✓, ✓ j City of Tigard J i � i � U Il r lrl � Planning Approval Other Date /B : Permit No.: 13125 SW Hall Blvd. Plan Review Other \ Tigard, Oregon 97223 J TY OF TOGA' 0 Date/B : Permit No.: I Phone: 503 - 639 -4171 Fax: 50 =59 = N&DOV ■ - ,. .,1 y , y e I , Post - Review Land Use ��`� �I a l Date/B : Case No. Internet: www.ci.tigard.or.us Contact El See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: Su i • lemental Information R_._ //a - -/ / 1y a,a TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition I & 2 FAMILY DWELLING 2 /alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate E 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family 2.4.30 X 1350 3, FIO ' ❑ Master Builder ❑ Other: Valuation $ - JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Job site address: 11615 S W W '1lWoo c ST ?72:2A Total number of floors New dwelling area (sq. ft.) Ct Suite #: — Bldg. /Apt. #: Garage /carport area (sq. ft.)...l.3.5 328o5 Project Name: bar" Sk op }; ;1 cl ; n9 Covered porch area (sq. ft.) 4.7.z..h. /4'4 j 'JAS. �U Cross street/Direction't to job site: I Deck area (sq. ft.) A. "i1j,1 t ocrS ?? on 8011 MTh . R.O4J ^Tvtn R, ;Or Other structure area (sq. ft.) �p 1 e.6 i,,.�. 4. Fr ow.Te 1'JC15T ,.13' -f 1P.461€46o on �tI F.rla " (2540) REQU ®ATA: W;L clweod. -- / fir keco.,e 04 c;(37 Cc, 1,c5ac. COMMERCIAL -USE CHECKLIST Subdivision: Sko„1.w h ;1(s. Lot #: Tax map /parcel #: / /// 063Ei) Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, 1 I overhead and profit for the work indicated on this application. 4c l a 4lciE. 411(y) 6ui l41'∎ 0 Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories [✓PROPERTY OWNER 1 ❑ TENANT Type of construction Name: Gq f £ . Te�an so r` Occupancy group(s): Existing: y New: Address: // 8 / 5 5 W to L, w.4.ci ST City /State /Zip: T1S4 r44 OR 472-2_4- Phone:So3 -603 -I B/ 4 . a B 11 t So3 -3 41 - 022_6 NOTICE: All contractors and subcontractors are required to be Pho n e: LICANT (],CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: Otvrtr r jurisdiction where work is being performed. If the applicant is exempt Contact Name: 6 , To it M $ from licensing, the following reason applies: Address: s , .e City /State /Zip: Ba 0 1, c_ Phone: 5o3.341 —O 2-26 Fax: BUILDING PERMIT FEES* E-mail: W l ldwooa kouste 5 n . Co IA Please refer to fee schedule. CONTRACTOR Business Name: Ot..9mge. Fees due upon application $ Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: Authorized This permit application expires if a permit is not obtained within � Signature: QJ g Date: s-Zq "d3 180 days after it has been accepted as complete. G a ry E E. Zo(n n SOr. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: City of Tigard City of Tigard Associated permits: ty g ❑ 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 I 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. `• • ;-• 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•conipleted" if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property comer. elevations' (if I" - . ; = there is more than a 4-ft. eleva differential, plan must show contour lines at 2 -ft. intervals); location 'of easements and i , • , , . - . driveway; footprint of structure (including decks); location of wells/septic systems; utility locations;,direction 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 'detail's, vent .-. size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. , - , 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction,. roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are.acceptable. . 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for' ' ' - non - prescriptive path analysis provide specifications and calculations to engineering standards. , , 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing', spacing, and bearing ,. . locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all-beams and multiple•joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 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. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. • Checklist must be completed before plan review start date. Minor changes or notes on sufrYiitted• plans maybe in'blue•or black ink. Red ink is reserved for department use only. 440 -4614 (6/00 /COM) • /' S I a.o - cam 9._S Mechanical Pen it:,Application FOR OFFICE USE ONLY Received Mechanical ' Date/By: Permit No.: City of Tigard Planning Approval Building `J g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Dat 'By: Permit No.: Phone: 503- 639 -4171 Fax: SO 7 pz ,.196 0 � ,1 �d Pos/By: Ia Casse e No � „ „�; � �� Date/By: .: Internet: www.ci.tigard.or.us - _ .1 e . C ontact Juris.: •I I ® See Page 2 for - 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: Supplemental Information. TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ❑ Demolition Mechanical permit fees* are based �n the total value of the work 0 Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule la Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE ❑ Master Builder ❑Other: Description I Qty I Fee(ea.) I Total Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 14.00 Job site address: 1/8/ 5 5 w (4)il :,�oo,S 57Z 1730' Gas heat pump 14.00 Suite #: I Bldg. /Apt. #: — Duct work 14.00 ( ,I� , Hydronic hot water system 14.00 Project Name: { s � O P R"' ` ~2 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 X4Aye ofrc 99 oil &. 1 MTn. gel -Turn R kro � Unit heaters (fuel, not electric) 7J1 f tv.J Aer. i...•,.e,iiQr. 1ec-r oITh 1,e,: ILw0,a 57-r. (in wall, in duct, suspended, etc.) 14.00 — / s?' house o r:* ,,T Ca I Je Sae, Flue/vent (for any of above) 10.00 Subdivision: $6,1,,,,, µ;11s I Lot #: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 060,-Q r X.L.,-. z A-4 Iti -Lua..) Flue vent (water heater /gas fireplace) 10.00 Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 [ PROPERTY OWNER I ❑ TENANT Other: 10.00 Environmental Exhaust & Ventilation Name: d � fi, ?oln ws ors Range hood/other kitchen equipment 10.00 Address: NSlS Sul wiljwoa1 sr Clothes dryer exhaust 10.00 City /State /Zip: 7 and Ok 971Z4. Single duct exhaust Phone: Ses3 -6o3 -1814 Eax-: if L -341 -07-1 -4 (bathrooms, toilet compartments, ['APPLICANT PCONTACT PERSON utility rooms) 6.80 Name: 4;r E•�., k �.sor Attic /crawl space fans 10.00 Address: Sa ote y 5 0 3-31-1 - 02-2-4 Other: 10.00 Fuel Piping City /State /Zip: g' * *($5.40 for first 4, $1.00 each additional) Furnace, etc. ** Phone: Fax: Gas heat pump ** E -mail: rv; 1d wed Iltovse da yh Sn .e-orv Wall/suspended/unitheater ** CONTRACTOR Water heater ** Business Name: Oar fief Fireplace ** Address: Range ** City /State /Zip: Clothes dryer (gas) ** Phone: Fax: Other: ** CCB Lic. #: Total: Authorized Mechanical Permit Fees* Signature: Date: Subtotal: $ Minimum Permit Fee $72.50 $ Plan Review Fee (25% of Permit Fee) $ • (Please print name) State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri - County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000 00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000 00 and $1.20 for each additional $100 00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Description: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp, absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30 -50 hp; absorb. unit, 3,400 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: is \Dsts\Permit Forms\MecPermitAppPg2.doc 01/03 Buitaing r ilxtures 7 /4s x0 a S 3 Plumbing Permit Application FOR OFFICE USE ONLY Received Plumbing F, '� Date/By: Permit No.: Cl of Ti gar - v Planning Approval Sewer ty g , \ Date/By: Permit No.: 13125 SW Hall Blvd. s Plan Review Other Tigard, Oregon 97223 9R y y ; � DateLBy: Permit No.: Phone: 503 - 639 -4171 Fax: 503-- ' Post Land Use ,�, + I Date/By: Case No.: Juris.: Internet: www.ci.tigard.or.us OF S1 ' / i as;. b . , I Contact � ^ , �{�. c_ I ® See Page 2 for 24 -hour Inspection Request: 503 •�4■�;�t-, !�1 ',- � Name/Method: Supplemental Information. TYPE OF WORK FEE* SCHEDULE (for special information use checklist) . ❑ New construction ❑ Demolition Description • .1 Qty. I Fee(ea.) I Total Jj Addition/alteration/replacement ❑ Other: New 1 - & 2 - family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) 2-Family dwelling Commercial/Industrial SFR () bath 249.20 ❑ 1 & 2 Fil y g � C ecil/Indstrial SFR (2) bath 350.00 [Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 _ Job site address: //8/5 SW Wt ldwo«) 57: Site Utilities Suite #: I Bldg. /Apt. #: -. Catch basin/area drain 16.60 Pro Project Name: • ld Drywell/leach line /trench drain 16.60 l 6a rc e a nd S hop 8 u ;el Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site Manufactured home utilities 110.00 A M 1e. ofc 44 on Ball MTw. Rd -Tue. R( Manholes 16.60 McFariana ?lien },,,, lecr•^To W;laao ood T. Rain drain connector I 16.60 I s - ST' /1ou� m.� - c I c. Sac Sanitary sewer (no. linear ft.) Page 2 Subdivision: 56.cloc..i 14; Its Lot #: Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: Water service (no. linear ft.) Page 2 DESCRIPTION OF WORK Fixture or Item Absorption valve 16.60 Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 t PROPERTY OWNER I ❑ TENANT Ejectors/sump 16.60 Name: 6qr y 4, Sok , Expansion tank 16.60 Address://5 S 6t! w i l d II .�. wo od 5T. Fixture/sewer cap 16.60 Floor City /State /Zip: 77 Q ,d OR ?7224 Garbage disposal 16.60 9 Garbage disposal 16.60 Phone:5o3 -403 - I8 /4 Farrell : X3-341 -oZ Hose bib 16.60 El'APPLICANT ❑ CONTACT PERSON Ice maker 16.60 Name: 6 r) , A, ro ulsor,_ Interceptor /grease trap 16.60 Address: !1$14 Sw Wildrvood STS. Medicalgas - value: $ Page2 City /State /Zip: 1i an t g72Z Primer 16.60 j Roof drain (commercial) 16.60 Phone: y 1 Fax: Sink/basin/lavatory 1- 16.60 E -mail: u, ; l c4, ooafnoc,s e. a 1)1591. Gorr Tub /shower /shower pan l 16.60 CONTRACTOR Urinal 16.60 Business Name: Water closet I 16.60 Dtv n P Water heater 16.60 Address: Other: City /State /Zip: Other: Phone: Fax: Plumbing Permit Fees* CCB Lic. #: Plumb. Lic. #: Subtotal $ Minimum Permit Fee $72.50 $ Authorized Residential Backflow Minimum Fee $36.25 Signature: Date: Plan Review (25% of Permit Fee) $ State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ ,gq,1 Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri- County Building Industry Service Board. i:\Dsts\Permit Fomu\PlmPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l 100' 55.00 0 to 71000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof,to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379 50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • • Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by (Fixture) Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Existing Capped Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial • - Domestic . • Drinking Fountain . Eye Wash Floor Drain/sink - 2" -3" -4" Car Wash Drain • Garbage Domestic *Note: If the fixture work under this permit results in an Disposal - Commercial increase of sewer EDUs, a sewer permit vyill be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Dsts\Permit Forms\PlmPermitAppPg2.doc 01/03 A4 c- 7020 - c re) aS 3 Electrical Permit Applicaton FOR OFFICE USE ONLY Received Electrical � � (� Date/By: Permit No.: City of Ti and Planning Approval Sign g !� v \ Date/By: Permit No : 13125 SW Hall Blvd. �p3 Plan Review Other Tigard, Oregon 97223 1` 1� 1 1 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -19 G, t. "' . Post - Review Land Use 1 0.7-/ , ii' f Date/By: Case No.: Internet: www.ci.tigard.or.us 0'0 w 0 ` n , , 1 a •••1 Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503. O -- Name/Method: Supplemental Information. TYPE OF WORK PLAN REVIEW (Plea se check all that apply) ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location [Addition /alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stones ❑ Feeders, 400 amps or more ('Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other JOB SITE INFORMATION and LOCATION Submit sets of plans with any of the above. 1 The above are not applicable to temporary construction service. Job site address: //,3 /5 S W vV i I d wnod I sr" FEE* SCHEDULE Suite #: ---- -' I Bldg. /Apt. #: Number of inspections per permit allowed Project Name: d N , s e i avld Shop 8u i t - r n9 Description I Qty Fee (ea.) Total Cross street/Directions to job site: New residential- single or multi- family per �" dwelling unit. Includes attached garage. V.4 "Mile ocir gq or. Bell MTh . Qd —Tor" RV3hT on Service included: tit cFor tar.d 'flee n 2 MW►'ed1 .1 t le4T on Wtlb't..todc) 9 sq. ft. or less 145.15 4 / - house. o A. I sS 1 cG Soc. Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: 51,„,a,,,, ' �l LOt #: Limited energy, residential I 75.00 I IT 1-1. i 5 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders - installation, alteration or relocation: 200 amps or less / 80.30 2 201 amps to 400 amps 106.85 2 • 401 amps to 600 amps 160.60 2 El OWNER 1 ❑ TENANT 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: aafy E • a0t o Reconnect only 66.85 2 Address: // 8/5 5W W i as wood ST Temporary services or feeders - installation, alteration, or relocation: City/State /Zip: 17 4 fei C 972..2_4 R t 200 amps or less 66.85 1 1FarLell :503 34I - o Z 201 amps to 400 amps 100.30 — 2 Phone:3o3 -603 ^ / gig_ 401 to 600 amps 133.75 2 ❑ APPLICANT ❑ CONTACT PERSON Branch circuits - new, alteration, or Name: 6 ar i E. , 3 h N, extension per panel: Address: / 1 ` A. Fee for branch circuits with purchase of / /f3[5 5 ((f IIV i Idt.) Oqe ST service or feeder fee, each branch circuit 6.65 2 7 City/State /Zip: f0 0 �R72Z4 B. Fee for branch circuits without purchase of Col service or feeder fee, first branch circuit /0 46.85 2 Phone: 6o3 -34 1 - o Z2- tol Fax: Each additional branch circuit 6.65 2 E -mail: W i lcl woos house e...215. 71 . Co W■ Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: 0 u) NE 0- Signal circuit(s) or a limited energy panel, Business Name: alteration, or extension Page 2 2 Description Address: City/State/Zip: Each additional inspection overt the allowable in any of the above: Per inspection per hour min. I hour) 62.50 Phone: Fax: Investigation fee: CCB Lic. #: Lic. #: Other: Electrical Permit Fees* Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Name: I Lic. #: State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Burglar Alarm El Garage Door Opener ❑ Heating, Ventilation and Air Conditioning System ❑ Vacuum Systems Other • _ COMMERCIAL WORK ONLY: Fee for each system ... $75.00 : ° i (SEE OAR 918- 260 -260) Check Type of Work Involved: 0 Audio and Stereo Systems El Boiler Controls Clock Systems El Data Telecommunication Installation Fire Alarm Installation HVAC n Instrumentation ;. . _ • ! : ; - • i n Intercom and Paging Systems . • .,: is •.. ... • 0 Landscape Irrigation Control • • " Medical 5 0 Nurse Calls `'-• _.. . �,:. ❑ Outdoor Landscape Lighting ❑ Protective Signaling n Other Number of Systems * No licenses are required: Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 f Permit #: ths "©O- -coc, S RECE VED Addres • `' S SuJ (J )t L D U )OVA JLIN 1 8 2003 OF TIGARD Issue. by: _/,'i � - Date: 7�/ CITY O - — BUILDING DIVISION Statement: Information Notice to Property Owners • About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer-applicants, exempt from registration under ORS 701.010(7), • need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: - [7j I own, reside in, or will reside in the completed structure. . 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale • before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 0 . 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the • name of the contractor. • I hereby certify that the above information is correct and that I have read and do understand the Information • Notice to Property Owners about Construction Responsibilities on the reverse side of this form. .21vr ,S -2R -03 i gna r e of permit applicant) (Date) (White copy to issuing agency permit file, - , pink copy to applicant) 14 4 .01 - - Information Notice to Property Owners • Abut Construction Responsubn9otues Note: This Information Notice to Property Owners about Construction Responsibilities -was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. - EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes froinernployee wages atthetimeemployees are paid. You will be liable for the tax payments if you don't actually withhold the tax from your employees. For more • information, call the Oregon Dept. of Revenue at 9454091. - - Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378 -3524. Workers' compensation insurance: As an employer, you are.subject to the Oregon Workers' Compensation Law, and must • obtain workers' compensation insurance for your employees. Ifyou fail to obtain workers' compensation insurance, you may be subject to penalties and w i l l be liable for all claim costs ifone of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even ifyou didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. - - - OTHER RESPONSIBILITIES AND AREAS OF CONCERN: - Code compliance: As the permit holder for this project, you are responsible for resolving any fai lure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see ifyou hay e adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify build ing'offcials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378-4621). .The Board_is Ideated at 700 Summer St. NE Suite 300. in Salem. . prop- own.pm4 1/94 • • • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003- 01253 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �� INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 :01AM PAGE: 44 SITE ADDRESS: 11815 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS • LOT #: 012 TYPE OF USE: • PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 sf shop/garage - and bre a . . PHONE #: 503.603 -1 OWNER: JOHNSON', GARY 503-603-1814 � 8 CONTRACTOR: � F2 ; or PHONE #: Inspection Request Scheduled For: •a e: 12/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Mes�. 299 Final inspection 040945 -01 503 -341 -0226 Corrections /Comments /Instructions: ►S �'( > z /e/ 61 mss . • • • • �SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ethP Date: /Z /Z eZ Phone #: (503) 718- 2� • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00253 13125 SW Ha ll Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003, Phone: (503) 639 -4171 .° . Inspection Requests (24 Hrs.): (503) 639 -4175 'IL. • INSPECTION WORKSHEET FOR DATE: • 12/12/7006 ' TIME: 7:01AM PAGE: 43 SITE ADDRESS: 11115 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 012 TYPE OF USE: PROJECT NAME: JOHNSON . DESCRIPTION: Add 1350 sf shop/garage and'breezeway. • OWNER: JOHNSON, GARY PHONE #: 503-603-1814 CONTRACTOR: OWNER PHONE #: - Inspection Request Scheduled For: Date: 12/1006• Pour Time: Code # Inspection Description • Confirm # Contact # Message 399 Plumbing final 040945 -02 503- 341 -0226 Y Corrections /Comments /Instructions: Ge • • • • 1 /2 PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 11 FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G14 I1 - Date: IV/Z/06 Phone #: (503) 718- ZGSiy. • CITY OF TIGARD BUILDING DIVISION PERMIT #: yiST2003.00253 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 11815 SW WJLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 412 TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 sf shop/garage and, breezeway. OWNER: JOHNSON, GARY PHONE #: 503-603-1814 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For Date: 12/12/2006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 199 Electrical final 040945.03 503-341-0226 Y Corrections /Comments /Instructions: Nib Rrib e ���U � • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI ❑ CALL FOR INSPECTION • , ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /z //Z' D 6 , Phone #: (503) 718- z_4 CITY OF TIGARD BUILDING DIVISION c PERMIT #: ST2003 00263 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -- INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7:01AM PAGE: 48 ca_ ,4-r_ M FI1(..4NA) SITE ADDRESS: 11615 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS • LOT #: 012 TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 sf shop /garage and breezeway: , • OWNER: JOHNSON, GARY PHONE #: 503-603-1814 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/8/2006 Pour Time: • Code # Inspection Description Confirm # Contact.# Message 299 Final inspection • 040823 -01 503 -341 -0226 N OALL E4 Corrections /Comments /Instructions: \ F ► .+f _., --1"1 ', FA-5 s LUX / / Vp...4 de. a Ai kAl ("1c/ 1%;A 1:r/iv of . r c a, 1-0,,e,14) • �1 s� "� �� �' . Gw 6 ' g (1110 Wig()); • • 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ■ NO ACCESS ti , 1 0 FAIL ❑' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: „ Date: IZ /53 676 Phone #: (503) 718- Z 61-1Y CITY OF TIGARD � BUILDING DIVISION PERMIT #: MST2003 -00253 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639 - 4171 4 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7 :01AM PAGE: 26 SITE ADDRESS: 11815 SW W1 LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 01 TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 sf shop /garage and breezeway. OWNER: JOHNSON, GARY PHONE #: 503.603'1814 fi CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12114/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 023472 -01 503 -341 -0226 N Corrections /Comments / Instructions: • • • // -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date:7 /�" Phone #: (503) 718- • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20D3 -00253 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639 -4171 • Apto Inspection Requests (24 Hrs.): (503) 639-4175 ^_ .. INSPECTION WORKSHEET FOR DATE: 12/13/2005 TIME: 7 :02AM PAGE: 73 • SITE ADDRESS: 11815 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 012 TYPE OF USE: • PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 cf shoplgarage and breezeway. OWNER: JOHNSON, GARY PHONE #: 503-603 -1814 . CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 023351 -01 503-641-0226 N • Corrections /Comments /Instructions: "">> � al/-4.• ��,� : �� s O��cT4�1 kilierfv / A 4, 41 1 x ,44 • • • • • • • • • ❑ PASS PA RTIAL APPROVAL • ❑ CANCEL NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "' • Date: /2-- Phone #: (503) 718- CITY OF TIGARD - ` BUILDING DIVISION ) PERMIT #: MST2003 -00263 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2003 Phone: (503) 639.4171 / d . °h�N� Inspection Requests (24 Hrs.): (503) 639 -4175 `�' L 'I — i, 61S • INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 109 SITE ADDRESS: 11815 SW 1MLDWOOD. ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 012 TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Add 1350 sf shop /garage and breezeway. OWNER: JOHNSON, GARY • PHONE #: 503 -603 -1814 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 320 Plumbing rough -in 009246 -01 503 - 341 -0226 , • G .15. Corrections /Comments /Instructions: C/d 3 2 ,. 1. .N stALtif 1,/v i2 j9 4:3 - .- ' d _ e _ ' / 4 c_ C _ a k 1 r 1 _z_ji-. cc, C.AI o.)( 11-00f-QtK L+ ) 6 rG , c,.e...r 7 /ems • • • • !D • ' ��- • L . fi � ecz/v,e , . ❑ PASS ' ' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � _. Date: Phone #: (503) 718- CITY OF TIGARD 24 -Hour ka �! BUILDING Inspection Line: (503) 639 -4175 MST - Oa 2 -'-C - 3 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received 7( O� Date Requested 17 AM PM • BUP 7( Location ©/, k • 1t Suite MEC Contact Person Ph ( ) PLM Contractor �J Ph ( --� SWR BUILDING Tenant/00 Z ' 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 ,p Insulation ' _ N- MIAD (\ � ll \( k4 1 �� i d `1 Drywall Nailing I 11 \ \ r I � Firewall Fire Sprinkler Q Q4UV "� �" CG A `� ) \ R - Fire Alarm 3 Irk-- 'Mi\O 1NL � � V) 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 Low olt Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect - no access Fire Supply Line Q • Approach/Sidewalk Dafa \ I V D Inspector '-., . l Ext Other: Final DO NOT REMOVE this Inspection record fro the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour l BUILDING Inspection Line: (503) 639 -4175 MST 3 �� -dot S3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date R uested / Z r ' AM PM BUP 1 ( 0/ � [, Location / Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 9-k1441)Ai ,2 Foundation ELC Ftg Drain Access: ELR ARM Crawl Drain Ili, Slab Inspection Notes: SIT MAW Post & Beam / Shear Anchors Ext Sheath/Shear Int Sheath/Shear ..rt �r Framing �rllGG��6 PLA.5- 7 7(ef �(DY/�fr�D�j_ /[b, S /(ln,4$(, Insulation 2- A-11- G/t p5 /N 4 5X MU_ Ba E1 n1t D �C & 7 71t Drywall Nailing Firewall C - Z FAZEITI 4-0/¢ G/ Tr? CbA/Arsc rz>2 Fire Sprinkler � Fire Alarm lam/ CR4/14P SLDES /ya7" Appgoila0 R_ 2_ — go, AI Gj /26.5 'Ks° Susp'd Ceiling / Roof IlD7r" APPR n/E-P Felt- A/o. /0 SD Li O bUUL s , Other: 9116E0 ga g 5 Final (q) /V 2- 41 i FFED&IZ Nor / T J Ara_ /2- i¢MP, ZItC'1 R._ //t(Ar -e02 PASS PART FAIL PLUMBING - i Post & Under Slab Beam Q F aEIZ 6-11.007a Mosr BE L4iVDE12 7z '946XV Jimcnew S4'( Rough -In con/Iva -44C Al 6 J -1 cX /YES Mbf Mica LA-774/6 7Th h 74)04 5 ), Water Service Sanitary Sewer TYPE S 6K Citf3LE Ne 4 'PR Fat_ U 5E /A/ UVier7426/LOc Rain Drains Catch Basin / Manhole 6 Storm Drain Shower Pan CV t 1111-V6 Wei JlF,av or 7xe tivo 2.Dirrl.6 we -a/A / /1,W/4- Other: Final fNsfr -- i A-N.D f PP -oi/M F_ Co1/5 , PASS PART ' FAIL oft . MECHANICAL tir (A/ 771 E.SUBPANEL G B 771E GROG 2 A NEB M-4- MUs/ Post Beam Rough-In Mar BF W M. 7,6 S k.-, e 612Domp / se 77ED 70 Gas Line life r/irG4.9504 -E ear 714 ifYrtirRit, /9'1as - No, (wrc 2✓1) 3Z BYO Smoke Dampers Final 1O 6 16 p[PF AlV Iie 15071.654 731E 5o i994iYE4- P 2z"0, /DY PASS PART FAIL ELECTRICAL 0 Pi 6 -AE 7' 't- Gn W/2 i�T /iV6- BBC P - YZ (ervic � D . r;"" SHE �Z w 5 UG/Slab Low Voltage Fire Alarm Final 0 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: E] Unable to inspect - no access Fire ADASupply Line /© 26 G o 4-444 � iz � y Approach/Sidewalk Date Inspector Ext Other: Final DO NOT this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 D02-5,3 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received A 2'53 Date Requ sted /// f 01" AM PM BUP Location / /,/ 5 Suite MEC Contact Person � � - - a J / , ' Ph ( 6 3 V- 2 2 Z2 PLM Contractor Ph ( ) SWR BUILDING Tenan , O j / 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 i� 4071.7 Other: Final / Lt-7 PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service c 5 Sanitary Sewer Rain Drains Catch Basin / Manho Storm Drain Showe -- Other: Fi • er PART 41 1 - !• CHANICAL G �� 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 Approach/Sidewalk Date, // 6 Inspector Est 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 MS 3' - 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location / /3/ /w /1l� � 7 Suite MEC Contact Person rG Ph ( ) 3 W v 2 ' 2 - 6 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: Final PASS PART FAIL A ?silt Beam der Slab) Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi PART FAIL CHANICAL 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 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA (� / /�G� Approach/Sidewalk Date Inspector 3 Ext Other: Final D ► NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 2s5 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested of — AM PM BUP Location / I g/ 5 ..„/ Suite MEC Contact Person Ph ( ) ,3 ¥ I SS I PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Crawl ELR Dr ain ` - 4 4V/L � '°Z Crl Dr J Slab Inspection N tes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm OV-6616 j ;' ` Susp'd Ceiling Roof . �! _ii z • L _ Other: - Final / PASS PART FAIL PLUMBING Post & Beam Water Service Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain ` J� Shower Pan (�f Other: WC Final PASS " FAIL r 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 Date 2 / © Ext q Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. • PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Li : 03) 639 -4175 MST 2 ° v3 OcI" 3 INSPECTION DIVISION Business Lin : 03) 639 - 4171 BUP Received Date Request d M PM BUP Location n V s f Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner A":441..ii k 4 4 ELC Footing / 3 / -d Z ' / , Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear • • Int Sheath/Shear ..g� Framing _ �� �,��� / Insulation /474•70, Drywall Nailing Firewall / Fire Sprinkler f ° � :r" ENlE2 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 - as ine Smoke Dampers Fi PART FAIL CTRICAL • Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pa - - all, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: • 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date S ' 0 7 1 Inspector v - 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 MST 3 - aS3 INSPECTION - hi) - Business Line: _(503) 6394171 • BUP Received Received I : Z o - Date Requested I — 2 Z AM PM BUP Location oafs 14), .0 Suite MEC Contact Person all Ph ( ) 39g / SS/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing �I Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing t7 ( - ', ,WSr at ,� > �= [.✓i..�.S w /L ��S Insulation Drywall Nailing. A _ 7 C=-.# C=-.# -� � — �- ��e �,14C1 -1 . S Firewall < Fire Sprinkler Fire Alarm Su ,• Ceiling Other: A ' - Final PART FAIL • UMBING 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 Final El 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 �" Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site.' PASS PART FAIL I - CITY OF TIGARD _ 24 -Hour BUILDING Inspection Line: (503) 639 -4175. ST J - d a. 3 INSPECTION DIVISION Business Line: . (503) 639 -4171 BUP Received Date Requested /0 — a ( AM ✓ BUP Location ( ' /S d � Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUI I G . TenantI c3 5 — 4 a ( ELC cr ELC Foundation ',= • - . Access: Ftg Drain ELR Crawl Drain . 4/ Slab Inspection Notes: _ SIT Post & Beam < , n" ; Q.�6- °�° :� ter: : 1 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing C.�'�U — hiAS o.u/ay +:�o✓lArt/,c_ w V� Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceilin Roof • Other: Fi •ART FAIL • • BING Post & Beam Under Slab Rough -In Water Service • Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan V 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 Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE E Please call for reinspection RE: Unable to inspect — no access Fire Supply Line • ADA Approach/Sidewalk Date /O — — D3 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 MST 3 - v a INSPECTION DIVISION - - Business Line: (503) 639 -4171 BUP Received Date Req ested 0 — AM PM BUP Location / GC- ' ..t Suite MEC Contact Person Ph (. ). 3 9/ -dA a PLM Contractor Ph ( ) SWR BUI i NG Tenant/Owner ELC ootin • - oun• ' n ELC Access: /_ 44.44,1 6�1 /1.44;y/ " "'"'� LR ravel Drain Slab Inspectio otes: SIT Post & Beam Shear Anchors • - Ext Sheath/Shear Int Sheath/Shear Framing l art r,&.A 6-AtC) Pei t ..rn� ;A... - Insulation © � .TT 1 ' & Q 196 G* g' V Lm' 1(S Fg� Drywall Nailing - � 1tJ Firewall Fire Sprinkler c( ezg+v-r` 1"` Q ' '• c 1 ' Fire Alarm Susp'd Ceiling rr Roof 2 0) S uCp G re,ti°ze .Lvdi Cw Other: Fi R t t ate,.. Ci21F-Ar • PART FAIL c� PLUMBING ea. Ivl Fian - 7r �' J�s.� Z pcET'io Post & Beam Under Slab b 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 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: Et Unable to inspect - no access Fire Supply Line ADA v %\i" e \ -11‘...- • Ext Approach/Sidewalk Date t a r 6 " Inspector Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST -�� 3 / BUP Received Date Requested q 2 5 AM 1 ✓ • BUP Location / l P/ 5 /A'JJ wood_ /46 • Suite MEC X 771 Ph ( ) G?62 — i -cl t) PLM Contact Person %•�. ��: .�� 1 !_,.� Contract . Ph ( ) SWR B DING Te • t/Owner ELC • otin ELC or oundation (PatA Access: Ftg • rain ELR ravel Drain - . b Inspection Notes: au, P vVl • T Pos :: _ .. Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: _ Fi PASS PART FAIL • • ING • 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 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 C /ic/,U3 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) 639 -4175 MS 3 D2 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 4 2 -; AM PM BUP Location I/ Fl 5 W-L/SA'I J(JT) i 4 • Suite MEC Contact Person pta-AA4.0 Ph ( ) 1 9 - O3 cl d PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Foundati• • Access: ELC Ftg Drain - :, ELR Crawl Drain �. -: *; 'r •,; , Slab Inspsrction Notes: SIT Post & Beam ' �' o Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing r, --- Insulation _ ,_- Drywall Nailing ` 1 rel 1 A� Firewall Fire Sprinkler 7 . C.1 l∎ ��4 t �U13 A. Lk- �c�-C �^ ■ In `a Fire Alarm Susp'd Ceiling Roof Other: - Final PART FAIL 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 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 D Q — 23' - ® 3 Inspector J ‘1\.% � � Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD " 24 -Hour 503 Inspection Line: BUILDING p (503) 639 -4175 ' MST 3 OQ��3 INSPECTION DIVISION i Business Line: (503) 639 -4171 ,3 BUP Received Date Requested �� AM " Z PM BUP Location / / g /s 14)' . J Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BU G a Te n .t/Ofi r 3 ! -d tea— ELC Doti oundation ELC Access: • Ftg Drain ELR Crawl Drain • Slab Inspection Notes: (2 1 SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing `—•�� 1 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PFAIL P UMBI 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 Final 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA ' a a Approach/Sidewalk Date • I nspector E)Ct Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART' FAIL •