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Permit ciTy OF T I MASTER PERMIT PERMIT #: MST2002 -00100 IA DEVELOPMENT SERVICES DATE ISSUED: 5/22/02 " ° = -- ' 4 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13265 SW YALE PL PARCEL: 2S104DA -QHS41 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R -4.5 BLOCK: LOT: 041 JURISDICTION: TIG REMARKS: SF rowhouse,Unit #41,BIdg 9,AN plan. STRUCTURAL FILL, REQUIRES GEO -TECH INSPECTION AND REPORTS BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 173 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 730 sf GARAGE: 547 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. 720 sf RIGHT: VALUE: $ 160,062.40 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,623.00 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp. 601 +amps•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,880.09 This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC all other r applicable Municipal Code, State work k w Specialty Codes and 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY all other applicable la All work will be done i PORTLAND, OR 97223 PORTLAND, OR 97223 t 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: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 124627 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Sewer Inspection Plm /undslb lnsp Framing Insp Exterior Sheathing Insr Smoke Detector Final inspection Footing Insp Electrical Service Fireplace Insp Firewall Insp Electrical Final Foundation Insp Electrical Rough -in Gas Line Insp Gyp Board Insp Plumb Final Wtr Proofing Bsm't Wa Mechanical lnsp Insulation Insp Rain Drain Insp Mechanical Final Slab Insp Plumbing Top Out Shear Wall Insp Water Line Insp Building Fi Issued By : ��C Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business Ja( ' d`euZ vZo 04675 -- Building Permit Application Ci of Tigard � e Datereceived: /,0,, z Permitno.: h� Oo - o9/00 no.: a date: City of Tigard Address: 13125 SW Hall B }[ EW2ED Date issued: / , Phone: (503) 639 -4171 h y �d� �� Date issued: � B Receipt no.: Fax: (503) 598 -1960 d 7(}j1`) Case file no.: Payment type: RB 1 &2 family: Simple Complex: Land use approval: �f L1Q y p p L YI OF PERMIT 0 I & 2 family dwelling or accessory 0 Commercial/industnal 0 Multi- family 0 New construction 0 Demolition 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: / 3 a 6 /` s , j _y A Bldg. no.: 9 Suite no.: Lot: U I I Block: ! Subdivision: Tax map /tax lot/account no.: ,//}ev 6e /5h s q � Project name: q,5 A Description and location of work on premises/special conditions: • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: Re0 t9 r +Vt 4-n t,« Olin t, . (_( L (C (Floodplain, septic capacity, solar, etc.) Mailing address: l ` -698 0..) . (P eF� b ,., c� - S .2fv i & 2 family dwelling: City: Po v4 -- l r. I State:c ZIP: � cj r) 3 Valuation of work $ Phone:.6 yg -V6S Fax: 62o J7 E -mail: No. of bedrooms/baths Owner's representative: . c - Total number of floors Phone: g' Fax: E, . 2 0 _ E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) r r r Covered porch area (sq. ft.) Name: f 6 CaJ .S�tS Q a 1- 1 2 t Deck are ( ft. q Mailing address: l 2,69 sf c) sue q' ) City: (Jo ,.. a � St ate:® ZIP/9 I)a 17 Other structure area (sq. ft.) Phone: - 63 Fax: E -mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work $ - I II rr Existing bldg. area (sq. ft.) Business name: r W �,.5�'O N� t�V�tS r!-.� New bldg. area (sq. ft.) Address: /.2_6,0 0, &) 6g � t .kuxtr - sc ,ct.L 2�Numberofstories City: PC1 r -� MLA rL I StateCILI z 9) 3 Type of construction Phone( _')65 Fax:6.20 -9960E-mail: CCB no.: y (� h Occupancy group(s): Existing: I New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: 6 6 Lp provisions of ORS 701 and may be required to be licensed in the Address: / Q j Fl r A V C. -Sc, �O ( jurisdiction where work is being performed. If the applicant is City: a t State Aj :9 / exempt from licensing, the following reason applies: Contact person: a. 044ti,. near Plan no.: Phone: _ E-mail: G - Name: - 7,,, F- (, L Contact person: p N Fees due upon application $ Address: 69 f c s (o [. 1 0.0 „ cc4- Date received: City: < c,.rc1 State:ORZIP: cir) a,�. Amount received $ Phone: 6 cf?? 0 I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdicaoos accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard work will be complied 't , whether e • ed herein or not. Credit card number: / Expires Authorized sign re: Name of cardholder as shown on credit card Print name: 1 4..en. a' f -GS Cardholder signature S Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (tyoo+COM) . S7 02 e' 6 A Ze /ss a. tr: Alez (,,"9--g-7 z__ i 5 a /i, & c.-9 Plumbing Permit Application � Datereceived: 4 02- Permit no.:W /0 City of Tigard ���,'.���� Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City ofTigard phone: (503) 639 -4171 Project/appl.no.: Expire date: Fax: (503) 598 -1960 Date issued: By: I Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: /3 _ 66 w C - I Z Description Qty. Fee(ea.) Total Bldg. no.: Suite no.: New 1- and 2- family dwellings only: (i Tax map/tax lot/account no.: Fades b ft. for each rtllityrnmection) Lot: /4( I Block: I Subdivision: SFR (2) bath Project name: 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: line/trench drain PLUMBING CONTRACTOR Footing drain (no. lin. ft.) - Manufactured home utilities uneinece " " ^P• Manholes - Wolcott Plumbing Rain drain connector PO Box 2007 Sanitary sewer (no. lin. ft.) Gresham OR 97030 -0594 Storm sewer (no. lin. ft.) 503- 667 -1781 Water service (no. lin. ft.) CCB:23847 PLM #:26 -208PB Fixture or item: Contractor's representative signature: Bac flow valve Absorption Back flow preventer Print name: Date: Backwater valve CONTACT PERSON Basins/lavatory Name: Clothes washer Dishwasher Address: Drinking fountain(s) City: I State: I ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank OWNER Fixture/sewer cap Floor drains/floor sinks/hub Name (print): Garbage disposal Mailing address: Hose bibb City: I State: 1 ZIP: Ice maker Phone: I Fax: I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(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 - 3 - ENGINEER . Tubs/shower/shower pan - - Urinal Name: Water closet Address: Water heater City: I State: I ZIP: Other: Phone: I Fax: I E -mail: Total Not all jurisdictions =apt credit *WC ods. e an l@ir m fa ot me idemr.6°11 Notice: This permit application Plan nimtun fee $ O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $ credit and comber: —I- within 180 clays after it has been State surcharge (8%) .... $ Expires accepted as complete. TOTAL ..... $ Name d ardbolder as shown m mat aid $ Cardholder dae nee Ata000l 4404616 (6100/COM) • r Mechanical Permit Application Date received: 2/ d 2 " --- Permit no.: V5T -0O2 -ego() iYit X11. •'�I, City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Paymenttype: Land use approval: Building permit no.: .) TYPE OF PERMIT > - 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration/replacement 0 Other: JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE Job address: f 3 D A S' S w a.-_i_ . Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map/tax lot/account no.: profit. Value $ . Lot: 4{/ (Block: I Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. • City/county: ZIP: I & 2 FAMILY. DWELLING PERMIT FIT SCHEDULE Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQ1.1PMENTSCI-IEDL'LE 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? 0 Yes 0 No Alteration of existing HVAC system ' v • MECHANICAL CONTRACTOR Boiler /compressors State boiler permit no.: Four Seasons Heating & A/C Service Inc HP Tons BTU/H . Fire/smoke PO Box 66409 re /smokedampers/duct smoke detectors Portland OR 97290 - 6409 Heat pump (site plan required) Install/replace fumace/burner BTU/H 503 775 - 5919 - Including ductwork/vent liner 0 Yes 0 No CCB: 48283 . Install/replace/relocate heaters ".,�.... ,, , ,., ..... wall, or floor mounted Name (please print): Vent for appliance other than furnace CONTACT PERSON Refrigeration. Absorption units BTU/H Name: Chillers HP i•-- Compressors HP Address: Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: ' E -mail: Dryer exhaust OWNT.R Hoods, Type U lures. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fang) Mailing address: Exhaust system apart from heating or AC - City: S m�• Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel i ing each additional over 4 outlets p (schematic required) Number of outlets Name: Other listed appliance or equipment: — Address: Decorative fireplace City: ' State: I ZIP: Insert - type Phone: I Fax: l E -mail: Woodstove/pelletstove Other. Applicant's signature: I Date: Other: Name (print): Not all jurisdictions accept credit cards, please call jurisdiction for more iaformatiaa Permit fee $ Notice: This permit application Minim fee $ 0 Pisa O MasterCard expires if a permit is not obtained Credit cud Dumber: Expires within 180 days after it has been Plan review (at %) $ Name of cardholder as shown oa credit card accepted as complete. State surcharge (8 %) .. $ . $ T() TAL . S Cardholder gigantism Amount 440 -4617 (60000M) Ir Electrical Permit Application Date received: ®9' Permit no.:; t r-,:,�.r,�0 /09 �, j ;� �_� ilL City of Tigard P roject/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement 0 Other. ❑ Partial . • - JOB SITE INFORMATION , • . Job address: s W . 0 - , . 0 - , / • 1` Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: [Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: _ CONTRACTOR APPLICATION FEE SCHEDULE • , Job no: Fee Max .. Streamline Electric Description Qty. (ea.) Total no. imp New residential - single or multifamily per DBA La Valley Corporation dwelling mdt.fnt attached garage. 6025 East 18 St Service included: Vancouver WA 98661 1000 sq ft. or less 4 360- 993 -5080 Each additional 500 sq ft. or portion thereof CCB:116514 ELC#: 34-432C SUP #: Limited energy, residential - 2 ...� . .............. .. ' Limited energy, non- residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders — installation, alteration or relocation: ' - . ' . PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I 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 ins amps o less ation,orrclocation: ORS 447, 455, 479, 670, 701. 201 amps or less 2 201 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. (Service or feeder not Included): O Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2 0 Service over 320 amps - rating of 1&2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* — 2 O Building over three stories O 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/lightingplan 0 Other: Per inspection Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all junsdictions accept edit cards. please call junsdictioo for more information_ Notice: This permit application Permit fee $ cr 0 Visa O 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 oo credit card S Cardholder signature Amount 440 -4615 (Ml0 COST) CITY OF TIGARD 13125 S.W. HALL BLVD. ?E[VED TIGARD, OR 97223 , , MAY 3 n 2002 IMPORTANT PERMIT NOTICE r::An ld�� B d .D JG DIVGIO- WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 • Plumbing Signature Form Permit #: MST2002 -00100 Date Issued: 5/22/02 Parcel: 2S104DA -QHS41 Site Address: 13265 SW YALE PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 041 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #41,BIdg 9,AN plan. STRUCTURAL FILL, REQUIRES GEO -TECH INSPECTION AND REPORTS Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR: 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503- 598 -7565 Phone #: 667 -1781 Reg #: HC 23847 PLM 26 -208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature Auth zed Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED STREAMLINE ELECTRICAL MAY 3 n 2002 DBA LAVALLEY CORORATION ,, .1. t ujii la�j o 6025 EAST 18TH ST Eiaa` `'�� VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2002 -00100 Date Issued: 5/22/02 Parcel: 2S104DA -QHS41 Site Address: 13265 SW YALE PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 041 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #41,BIdg 9,AN plan. STRUCTURAL FILL, REQUIRES GEO -TECH INSPECTION AND REPORTS Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC STREAMLINE ELECTRICAL 12670 SW 68TH PKWY STE 200 DBA LAVALLEY CORORATION ' PORTLAND, OR 97223 6025 EAST 18TH ST VANCOUVER WA 98661 P Phone #: 503 - 598 -7565 hone 360 -993 -5080 Reg #. ELE 34.432C SUP 4801S AN INK SIGNATURE IS REQUIRED ON THIS FORM X fee . 0 Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 C 1 1.AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA\ • ■ • • • O• • ■ E TREE C TIFICATION R • S A • • I , 71N/11\ , Owner /Agent for ,k , r • • It (PLEASE PRINT) (PERMIT HOLDER) J ► • • ■ • o. • ■ • ■ ► • Do hereby certify that the following location ■ • • meets City �f Tigard /Washington County ► ii • land use and development standards for street tree installation. ■ • • ■ • ■ t l • ADDRESS: I � 7-- f � 4 • • ► • • LOT: S UBDIVISION: U / r tt J � • • • • • • • BY: 1./ D ATE: ti (3 /Igi • • • • 10. EIVED BY: 1 / f- � DATE: !� • ■ • • RECEIVED • AIVVVVVVVV VVVVVVVVVVVVVVVVV7VVY VYYYYYVVYYYVYYYYYYYYYYYVYYVYY ® CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST _ 6 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requ-sted AM PM BUP Location „ / , Suite MEC Contact Person — 77a!j1 Ph ( ) 79 3'3 ` �.S 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 Ire ^ - ����i ���i��.I�_�.. Fire Sprinkler � - --- -- -- --• -- Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab /'f 474 P/) Y 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 A Low Voltage I, Fire 4ASP ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART ± J SITE i Li Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Xleb/ / ) D 2- Inspector GLE” 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 Z Z - G c) /G 0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /1 7 AM PM BUP Location / _3 ? 5 c . /41-e Suite MEC Contact Person Ph ( ) 7 3 - 5 3 q � PLM Contractor Ph ( ) _ SWR UILD Tenant/Owner er= u C e-C/ c� � �,.. � � 1'rl I/-P 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 •,� IgrOp PART FAIL P ' 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 Smo - Dampers air PART FAIL C ^ CTRICAL � �-{ Ro Rough-In g !► w5` ©4 UG /Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [J Please call for reinspection RE: [] Unable to inspect - no access Fire Supply Line ADA . % Approach/Sidewalk ® 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 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / ( /l �- AM PM BUP Location /3 a-ho_C a_ Suite ' L MEC Contact Person Ph ( ) 79 3- .s3`15 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other S 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 Are Supply Line / �% /� ADA i-- Approach/Sidewalk Date( ( Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL