Permit .,
, , CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2003 -00330
Aw,yflln DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10915 SW BRIARWOOD PL PARCEL: 1S133AC-11100
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 029 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THROE 728 sf RIGHT:
VALUE: 145,364.40
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,416 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3
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: 3 201 - 400 amp: 201 . 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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 SIGN L:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,199.57
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I his permit is subject to the regulations contained in the
igard Muniapal Code, State of OR. Specialty Codes
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and 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.
Phone: 503 233 - 0075 Phone: 971 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 58699 rules are set 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
Ersn Cntrl 681 -4444 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insl Water Line Insp Mechanical Final
Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service Insp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final
Issued By : 1L Permittee Signature : .L't. \ ,p
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Application FOR OFFICE USE ONLY
Received f '' f F ' = Building
Date/By: ( ii 10 A Permit No.HS7 ,2005 - ®033
City of Tigard RECEIVED Date/By: : Approval Other /�
DateBy , Permit No.: Srac-203 4
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUN 2 7 200 , Dam°: I'3 / 5S. Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 " tp �llit Post Re ew L an d Noe
Internet www.ci.tigard.or.us
CITY O TIG ' �,!��� I _. Contact Juris.: IS See Page 2 for
24 - hour Inspection Request IiiW11tt,U1$09IVISIOIN Name/Method: 776 Supplemental Information
•. ,...: ..TYPE OF WORK .. .
- . REQUIRED DATA
• aNew construction ❑ Demolition • . 1 &I FAMILY DWELLING '' •.
❑ Addition/alteration/replacement I ❑ Other:
- F---. -"' CATEGORY OF CONSTRUCTION - . - Note: Permit fees* are based on the total value of the work performed. Indicate
ir 1 & 2- Family dwelling I ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building I E?Multi- Famil
❑ Master Builder I ❑ Other: Valuation s q 5 2 c 6.`a'
.:::: SITE INFORMATION and.I;OCATION •:� � -- • 1
No. of bedrooms: 2- No. of baths: Z 72
Job site address: 109, IS 13Q (�W�I P I Total number of floors
New dwelling area (sq. ft.) l 4 ((p
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 504'
Project Name: MAW Vs 11 -ra•-1141412M,ES Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
sib) 1 &,.,- Av&Ju ,)) Shf. ;4"..Scs 13EM Other structure area (sq. ft.)
::;,..:: _REQUIRED DATA:.:= " ':'. = �� �:� = ='::: _
COMMERCIAL: - :USE CHECK : ::S.` - : --.
Subdivision: imut<S i &� 1Th-) F4nr4 Lot #: 29. •
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
"` " -r- DESCRIPTION OF' WORK - • the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
�, or NELJ 3 srore,i 7.0.41 Nr�
),Evr, Valuation S
Existing building area (sq. ft.)
New building area (sq. ft)
Number of stories 3
J PROPERTY.- :OWNER =t I 'TENANT: •:-:.__._._ .. Type of construction . V N
Name: A ITT1MI 4 PAg K 731.lta4, l 5 / L .L..6. Occupancy group(s): New Existing: R-3
Address: 9Soo SW EAeguie, &i?b cu 0..e 22.6
City /State /Zip: ' P o a i t 0 ) , o r . q 219
Phone: 660 oca -$JSr Fax :6:13) eA2-62.41 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
' APPLICANT' ;• • : : z: `— •- Q :=CONTACT"PERSON: --.. provisions of ORS 701 and may be required to be licensed in the
Business Name: bEie•EK L . - E1204/4 e i JMt' / (At , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: MIAre K (4kn1St o G2 elnt PeA+-)z from licensing, the following reason applies:
Address: 'St)o SW 4lh ( Su (?Yc 2io
City /State /Zip: �t277, Ott qZ 2t'
Phone:(SotS 2-656 I -604(
. BUILDING PERMIT 'FEES _- ; . -'
E -mail r+- a-s C 44 16 r ot-JA ASSOC. ,fpm - . Plt sire'fer to'fee seheiiule: - -
-. :.:• -.- . „ CONTRACTOR
Business Name: *bezeC L. .4.3 4 4&JArre, Y'G, Fees due upon application s
Address: ' x) SW g A,zi Ae gulp , Sdc?,cc 2ZO
City /State /Zip: 1berml. oe g - 1 Z ICI Amount received. s
Phone:( \892-8'759 I ax :(5o3' Sgt- 594( Daze received:
CCB Lic. • . 5 699 J
• Authorized
) 4J..( Date: Li(2'e/(03 Notice: This permit application expires if a permit is not obtained within
Signature:
A _ 1� 180 days after it has been accepted as complete.
/Y Ay'- K 4 ' I A L 1S� 'Fee methodology set by Tri- County Building Industry Service Board -
(Please print name)
i :lDsts\Permit Forms\BldgPermitApp.doc 01/03
Electrical Permit Application FOR OFFICE USE ONLY
Received Electrical
RECEIVED Date/By: No.: � �� 3 °®O ‘23D sign
City of Tigard Planning Approval
Date/Bv: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUN 2 7 2003 Date/Bv: Permit No.:
Phone: 503 -639 -4171 Fq� .quo Post- Review Land Use
l"lr � IL�Af�� Datef y: Case No.:
Internet: www.ci.tigard.or§ f "' n ls$ _tom e!� � Contact Juris.: 0 See Page 2 for
24 -hour Inspection Request: `�' ' �`-4 Name/Method: Su. lemental Information.
TYPE OF WORK - PLAN REVIEW (Please check all that apply)
(New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -:are facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: pg 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
12 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building ❑ Multi- Family 0 Occupant load over 99 persons 0 Manufactured structures or RV park
❑ Master Builder ❑ Other: ❑ Egressilighting plan ❑ Other:
JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above.
�,.� The above are not applicable to temporary construction service.
Job site address: D tS LQI � Pt- tcp • FEE *"SCHEDULE
Suite #: Bldg. /Apt. #: Number of inspections per permit allowed
Project Name: ,j44MS e / L fiQW/"rc„igS Description I Qty I Fee (ea.) I Total
New residential- single or multi - family per
Cross e street/Directions J b site: � � . / /Jf' dwelling unit Includes attached garage.
U Ski /�' S lam, Service Included: d
1000 sq. ft. or less E 145.15 45.1 4
3 044 mLiir Each additional 500 sq. ft. or portion thereof 1 33.40 ;3,40 I
`, " TOM -4 I �� Limited energy. residential 1 I 75.00 I 1 S ,ao 2
Subdivision: 1 ;fit J�li]� ' LOt #: Limited energy, non residential I 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
• - DESCRIPTION. OF WORK - service and/or feeder 1 90.90 1 2
Services or feeders - installation,
Cip.,[S CT1t_7 CF 9J 3 see alteration or relocation:
" a . O 2 ,,
�W - / I) �y a ! „� 200 amps or less I. 80.30 t O
A6 � f''�71� c I 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
PROPERTY O.WN R` :::.._. • = =❑ TENANT:" ::. .. __
601 amiss to 1000 amps 240.60 2
� � q ' -� ",,� Over 1000 amps or volts 454.65 2
fame: ��(M4 f2�.fI� . (�W 3i4»I�is L� Reconnect only I 66.85 I 2
Address: ci gulf guN StJ 7- 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: I r r1j &, C .. 91 249 G; 200 amps or less 66.85 1
Phone(Sp�)$t2-2rSS ,)
Fax:(�t�92 J 201 amps to 400 amps 100.30 2
3� 401 to 600 amps 133.75 2
APPL ANT':,: - :: []' / G ' ONT CT'PERSOL�i Branch circuits - new, alteration, or
Name :ICjEK L. t t itSS QA-re 1 n�G , extension per panel:
�s� t.� e+TV�/ 0, (J- 1 S A. Fee for branch circuits with purchase of
Address: ��! U l�l'¢ Z� service e feeder or feeder fee, each branch circuit 6.65 2
City /State /Zip: o,r r1'tA , G� 9-72.19 B. Fee for branch circuits without purchase of .
service or feeder fee, first branch circuit 46.85 2
Phone: 6, N 2 -81Se Fax: (So3) S92 -864 4 / Each additional branch circuit 6.65 2
E -mail: W1 A./' K a... d 1 tY'O t,Jw)0.cSoc , Co-- Misc.(Service or feeder not included): 2
• Each pump or irrigation circle 53.40
s =r; T i=_' _: . CONTRACTOR •• '''';',....7r - Each s or outl l 53.40 2
Electrum Inc ' Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
DBA Spectrum Electric Description:
2050 Vista Ave #100
Salem OR 97302 Each additional inspection over the allowable in any of the above:
503- 361 -1256 Per inspection per hour (min. I hour) I I 62.50
Investigation fee:
CCB: I{r
CCB: 116453 ELC: 24-353C SUP: 2919S Other:
CCB Lic. #: I Lic. #: -. :...., Electrical.Peii iilt-Eees* :P. = _:; .!
Supervising electrician Subtotal $ z 1 , ,8 5
signature required: Plan Review (25% of Permit Fee) $ A3 . 40
Print Name: Lic. #: State Surch- :e (8% of Permit Fee) $ 2 ' ■
TOTAL PERMIT FEE $ ' • ' . 0
Authorized , /� ( Notice: This permit application expires if a permit is not obtained within
Signature: (� ( Date: ` `a- 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
ill -tC IQ . A sefr3
(Plea print name) •
i:\Dsts\Perrnit Forms \ElcPermitApp.doc 01/03
•
/ ,
FOR OFFICE USE ONLY
/ Mechanical Permit A lication Received Mechanical
Date1Bv. Permit No.: /° -5 7 e- 0 § -
Planning Approval Building
' City of Tigard Date/ Permit No.:
13125 SW Hall Blvd. JUN 7 2003 Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Post - Review land Use
Phone: 503- 639 -4171 Fa$;ITQ3E3881•l !I. ?RD A Date/By: Case No.:
Internet: www.ci.tigard.ol JILDING DIVISIO' ,14 11 Contact Juris.: ® 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 on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF CONSTRUCTION- =:' -
R1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
Multi -Famil RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE.
❑ Accessory Building El y Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning" I 1 I 14.00 lI(.cP
Job site address: J 7/5 (. efA iJ(YD P L- Gas heat pump I 14.00
Suite #: Bldg. /Apt. #: Duct work i 14.00 t4.
�� 1gr4el� - rz . i .34o>NLCS Hydronic hot water system 14.00
Project Name: Residential boiler
Cross street/Directions to job sit JCS (for radiator or hydronic system) I 14.00
.S1,4) 130 J ' Unit heaters (fuel, not electric)
-ge7 r (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10. a
u
Subdivision: //-/A WX $ DEi9Jzl� Lot rr: pZ cJ Repair units
/ Other Fuel Appliances 12.15
Tax map /parcel #: Water heater I 10.00 (u.
- • DESCRIPTION OF WORK Gas fireplace -1 10.00 10. w
C r al•Cn L QF aEiki ,L Flue vent (water heater /gas fireplace) I 7 10.00 2v. `6
-WA) k i PeJF (1414 SQI Log lighter (gas) I 10.00
l Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
0PROPERTY OWNER - •I ['•TENANT'' - Other. 10.00
Name: m �,nn To WrJl•
K (awt i S LLG Environmental Exhaust & Ventilation
7 r/'Tr` / Range hood/other kitchen equipment ` 10.00 ICJ.'
Address: a s(� 0 Sh/ 1,4ave i]a4 / S'J 1? Z w Clothes dryer exhaust i 10.00 10 a
City /State /Zip: P de Q12 l9 Single duct exhaust
Phone:(' o3) 8412.87SS I Fax: j 892.-884( (bathrooms, toilet compartments,
• NAPPL CANT ❑ C - NTACT PERSON utility rooms) 4 6.80 li- 2.0
Name: b t€( L. gamdAJ 8 A4SS /�'ES ! , 4c • Attic/crawl space fans . 10.00
� 1g2 � Other: 10.00
Address: SI„/ �1;E 2,6 Fuel Piping
City /State /Zip: 702it4 BIZ q12i'3 '•($5.40 for first 4, $1.00 each additional)
Furnace, etc. 1 •* Phone:(SJ3) NZ -8 Fax: (03.p??,-084.g Furnace,
heat pump **
E -mail: V►vA2 C C d I broe.), O_ do , Co"- Wall /suspended/unit heater "
CONTRACTOR Water heater I "'
Fireplace I "
FORECAST HEATING & AIR CONDITIONING Range "
17135 NE GLISAN ST BBQ I
PORTLAND OR 97230 Clothes dryer (gas)
CCB: 152194 Other. "
Total: 'i 5•
• Mechanical Permit Fees*
Authorized r / ( /0 (?/° � Subtotal: $ 1 3C� , en
Signature: ��P 1� Date: Minimum Permit Fee $72.50 $
7JP cce Co x),F Plan Review Fee (25% of Permit Fee) $ 3 2 • Co 5
(Please print name) State Surcharge (8% of Permit Fee) $ to • `tS
TOTAL PERMIT FEE 5 1 70
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\MecPerntitApp.doc 01/03
' ISLlliuiiIg r 1.Lu1
FOR OFFICE USE ONLY
• Ilumbin Permit A lication
Received Plumbing / Y s /�aa3 l
Date/By Permit No..
City of Tigard Planning Approval Sewer
Date/By Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUN 2003 Date/By: Permit No.:
Phone: 503-639-4171 Fax: CiP13161EiFIllke AR Post- Review Land Use
ti :
Internet: www.ci.ri Ui gard.or.t DIVISI uJ��c� +
1 ContactCotta Case No.:
Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 639 - 4175 Name/Method: Supplemental Information.
•
'TYPE OF WORK FEE* SCHEDULE (for special information use checklist) . -
M . New construction ❑Demolition Description Qty. Fee(ca.) Total
Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (l) bath 249.20
NI 1 & 2- Family dwelling ❑ Commercialllndustrial SFR (2) bath \ 350.00 ,7 -ii h.. 2A
❑Accessory Building I ❑ Multi- Family SFR (3) bath - 4- - 399.00 -4a1-° I
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2
Job site address: it tI/. L'R /.4 j2 4JV PD IL- Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: NAV V� 3F�2h Tit IJ po rA ! C Footing eIUleach line/trench drain 16.60
Footi drain (no. linear ft.) Pace 2
Cross street/Directions to job sit Manufactured home utilities 110.00
SLR l �() S'� Manholes 16.60
3Eitit. ,(' Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: / /,'y C,54 Lot #: 2 c I Storm sewer (no. linear ft.) I Page 2
Water service (no. linear ft.) I Page 2
Tax map /parcel #: - Fixture or Item ....
DESCRIPTION OF WORK Absorption valve 16.60
ON.S12uk.0 rIQ OF EIA) 3 She-i Backflow preventer Page 2
TpwJl`i 4o Pr�AlEc.T (0-111g S t J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
ErPROPERTY'OWNER j: TENANT = - • - Ejectors/sump 16.60
Name: A to 1 N) PA4 K To> IN gait 1 es, L LL Expansion tank 16.60
Address: q SCO SLR E (30/6, otri Z Za Fixture/sewer can 16.60
City /State /Zip: Po2T1_Alf•6 0 2 q-r2I9 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone :(503) 9 S2- 615a I Fax: Scr2- S8i.i I Hose bib 16.60
;APPLICANT' =❑ CONTACT PERSON,:- • Ice maker 16.60
Name: brael;V L. geou//1/4) i ACSoC1A-t'�S, i1-1L Interceptor /grease trap 16.60
Address: 9500 SL..-3 &II -gut& gl-k/br Su tit ZZa Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: r , C. ;12, l 9 Roof drain (commercial) 16.60
Phone 3) &2- 6758 Fax(503)612. Sink/basin/lavatory 16.60
E-mail: re/4,21L v d I betic,,na (co c . ca Tub /shower /shower pan 16.60
CONTRACTOR Urinal 16.60
Water closet 16.60
PLUMBING EXPERTS INC Water heater 16.60
11925 SW PARKWAY Other.
PORTLAND OR 97225 -5413 Other:
503- 469 -0443 'Plumbing Pernik Fees *..., ".. -.::: _: k
CCB: 149035 PLM: 34 Subtotal S Y "'
Minimum Permit Fee $72.50 S
Authorized . /) Residential Backflow Minimum Fee $36.25
Signature: , _ /I.! s ate: /� v ' - Plan Review (25% of Permit Fee) $
- RU C& OWE- State Surcharge (8% of Permit Fee) S p
(Please print name) TOTAL PERMIT FEE _ S e..W'
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric og 4)
180 days after it has been accepted as complete. riser diagram for plan review. J �D
•Fee methodology set by Tri- County Building Industry Service Board.
i:\Dsts\Permit Fomu\PlrnPermitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD. RECEIVED
TIGARD, OR 97223
AUG 1 u 2004
IMPORTANT PERMIT NOTICE
CITY OF TIGARD
BUILDING DIVISION
PLUMBING EXPERTS INC
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00330
Date Issued: 8/5/2004
Parcel: 1 S133AC -11100
Site Address: 10915 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 029
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
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
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC
4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY
LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413
Phone #: 503 - 233 -0075 Phone #: 503 - 469 -0443
Reg #: LIC 149035
PLM 34 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X . /A.e./Wov A '
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRUM INC
DBA SPECTRUM ELECTRIC
2050 VISTA AVE #100
SALEM, OR 97302
Electrical Signature Form
Permit #: MST2003 -00330
Date Issued: 8/5/2004
Parcel: 1 S133AC -11100
Site Address: 10915 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 029
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the electrical contractor for the permit indicated above. I n 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 Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC
4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC
LAKE OSWEGO, OR 97035 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256
R #: LIC 116453
SUP 2919S
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
. 7 j �CI� ��
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
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® ■
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STREET T EE CE R TIFI A R C TION ►
® ■
• •
• I, ��t3 CA JEE Owner /Agent for pL'�r ric.. L . .�,eQ J 4 4SsTc.
►
• (PLEASE PRINT) (PERMIT HOLDER) ■
•
• •
1 / I. /,: • ► •
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® Do hereby certify that the following location •
• , _: •
• meets ,CityoflTigard /Washington County ■ ►►
® land use and development standards for street tree installation.
►
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® ADDRESS: l Dq /S 1U)• B RA fRw00p f L. T�t� -- 6(61 T 33
• •
• LOT: ' .9 SUBDIVISION: HA W# Ir 4F •
® ►
• •
• B Y: ►
® DATE: 'l 1 •
® ►
® 3 3/d •
® RECEIVED BY: DATE:
® ►
% YYYYYYVYYYYYYYYYYYYYYYYYVYYYYYyyyyyyyyyyyyyyyyyyyyyyyyyyyy'
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 3 3.6
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested 3 — ( AM PM l BUP
Location / C ! I -C f Suite MEC
Contact Person Ph ( ) 8 (0 (a — (- /' 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 N ! io /
Fire Sprinkler / "" "'
Fire Alarm
Susp'd Ceiling
Roof
Other:
r'�
Fi , l�I PART FAIL
P !4' •'RING
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
fir' -
AO PART FAIL
RICAL
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 / ya
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 MST Z oo 3 -
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Re uested Z — Z7( AM PM BUP
Location /6 c ?( Suite MEC
Contact Person Ph ( ) g ( P6 — 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear —PO,A -�� —
�.i r
Framing n Net i9� &G �d� ��—
Insulation r �/� L o�� > < 4-.CS V /.�S7 Z- . .
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
PASS ART 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
,�S;m�oke Dampers
I
PASS PART der
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 4/;4'
ADA Date - 2 _ —
Z — � —
Approach/Sidewalk D S 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 , 2 7--6633 d
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — i! j AM PM BUP
Location .-I.. iii..i Suite MEC
Contact Person .c —ti,e _ Ph ( ) We(' — T 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / /����
Fire Alarm /
Susp'd Ceiling
Roof
Other:
Final /iI _ / // �!.� .♦ ,_
PASS PART FAIL � � _ _
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
407-4t
PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
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 MST A 66, 3 -663
INSPECTION DIVISION Business Line: (503) 639 -4171
.(� BUP
Received Date Requested I AM PM BUP
Location ��� �'� �� �'-� ��-- Suite MEC
Contact Person Ph ( ) - 78Q7 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 Ad et ✓ c S-i"v •
Insulation
Nailing ( Gw T p o w,. To � �.� 0/31/4-3,, 1� [re., FL-5
Firewall (ec k 44 c.-- (,J S
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof H r'f T� S ,�-- � w-- V G lJ e l M c.. 12-J v dl c w "-en
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:
ther
PASS PART MO
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: n Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 21 Inspector c1,5 1,4...A 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 1 " j' AM PM BUP
Location �9" s Suite MEC
Contact Person .�.(.C�C� Ph ( ) g• _ R/c-7 7 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
• ugh- n
"a er Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fa
• PART FAIL
ANICAL
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 �fjApproach/Sidewalk Date (>0:11 Inspector f 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 663
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date equested '' .. AM PM BUP
Location /0?/c
0 ? / 5 _ Suite MEC
Contact Person Ph ( ) 7(e& — T 6 9 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation P O r T 11�e.-A
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
P• .._: - -am
nder SI - •
Rou • - n
Rain Drains
Catch Basin / Manhole
Shower
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date g [O LI Inspector Crb k' u 1 ' \ 1 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lin @: (503) 639 -4175 MST 2 00,3 - 0 6 3 30
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested _ a AM ✓ PM BUP
Location / h 91,5 - Suite MEC
Contact Person Ph ( ) - (/ ( ?7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
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
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PAE3T FAIL
- ELECTAICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date c J
Approach/Sidewalk Inspector _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the J ' ' site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lind (503) 639 -4175 MST aZo°
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location Suite MEC
Contact Person Ph ( ) 26 d'Z 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
r: / ► M LI Vrnr& � 5 t7 te5 PAW
Final L Leo{ ie E f s
PASS PART FAIL
PLUMBING F - ro 'Yoi W z'i1.1L P-4 6it /
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
C11\10 —
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
F Alarm
al
P El ASS PART Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS
SITE Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
DA ht
AAoach/Sidewalk Date Z ✓ D 5 Inspector / 6 �'( � Nt � Ext
PP
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 car_70_3 ?Jv
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested • — / AM PM BUP
Location /d C f 1 Suite MEC
Contact Person Ph ( ) c 3e , 6 T 8 '7 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 n�
Firewall tL kA) l_ lt ( w 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:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line —rrp v � _ 5 M 1
Smoke Dampers e 1 c ,�-
Final i ^ N(1 J i%) , 1c etA/ ' kJ -\-
PASS PART FAIL
ELECTRICAL
ough-li
� N -b
1 ow Voltage P
Fire •
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspe ion RE: Unable to inspect – no access
Fire Supply Line
ADA � ��
Approach/Sidewalk Date /• ® O Inspector
Other:
Final DO NOT REMOVE this inspection record from the ob site.
PASS PART FAIL
•
CITY:OF TIGARD 24 -Hour
' bUILDING Inspection Line; (503) 639 -4175 MST 3" 30
INSPECTION DIVISION Business Line: (503) 639 -4171
O BUP
Received Dat equested O AM PM BUP
Location / 4 5/ S 70-r1'i Suite MEC
Contact Person / 3 / (L C—� Ph ( ) — (/ 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing a r �%� , ��
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
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
lEiM PART FAIL
SITE ❑ Please c- I for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA IlL1/1"4/70 Approach/S idewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record f the site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 5 3_ �d33
INSPECTION DIVISION Business Line: (50 6
BUP
Received Dat- Requested BUP
Location /0 9/ � w U o Suite ea MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
UILDIN Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear � !1 (l � / _ -3 1 ( Z x ` J
Framing r c�' - + ' v+ u l 7
Insulation � � �. c"—<- 1Th. ' (2. t)
rywall Nailin
it
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
F';c;ia1
'`7�'ii� -i�� PART FAIL
PL ' 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 Halt Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line � n /) � � U ADA / \ I . Ext
Approach/Sidewalk Date 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=4475 Y �, _ �,kjY j el �
INSPECTION IVISION • Business (50 347. .i�
n.
BUP
Received Date Requested �� AM „PAIL BUP ct
Location /0 9 kg /i1 •moo C%-:-:114.2 g o,�) - Suite MEC
Contact Person - Ph ( ) PLM
Contractor Ph ( ) SWR
4
UILDINd Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear i •
Int Sheath/Shear , „, f //` , ,_,,d ,`, -3 / 7__ 1 )
Framing J l
Insulation �,� l ' 1 ; ,2.. \ \ L, e-( 2 ?t 1
t'Drywall fsailin 1
ire'WaI
Fire Sprinkler
Fire Alarm
Susp'd Ceiling i 1
Roof
Other: •
Fi
AS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole C> '
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: 0 Unable to inspect — no access
Fire Supply Line
ADA y CO �
Approach/Sidewalk Date
\ �� f j Inspector ��L A c IL_ J Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL •
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (5 9 -4175 MST °3 j
INSPECTION DIVISION Business Line: 639 -4171
BUP
Received Date Requested /.2- -4 i AM PM BUP
Location / 91 S Suite MEC
Contact Person /.a-le__.-- Ph ( ) 3'6,6, 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain - ELR
Crawl Drain
Slab 6 Inspection Notes: SIT
Post & Beam
Shear Anchors /
Sh atw \ • L '' �i �•�/U Sheath/ �t/Y�"'��'
Thu atio ; �,,
BY a I Nailing Cpl./"/ Lr: �l ' Fire Sprinkler "TA �` ' '� ''' �`��
Fire Alarm - R P/LA �2 &-1- � LJ 7 e_, '
Susp'd Ceiling
Roof s
Other: S) „
Final <L�v1 (` R (. `A-SS �.(V 1 l t u∎ cS
PASS PART FAIL ��
PLUMB! _ -
Post & Beam
if-v--es-18--c 1 n ) �
Under Slab v� j
Rough -In gr '_ S , I . -e • U S ' (
Water Service Sanitary Sewer
Rain Drains / "` -
Catch Basin / Manhole -J
Storm Drain
Shower Pan •
Other: A ( / -
Final V `�C �,IVAX./� GI.. �, C V (i({'�(��
PA � �}--
CHA T AL FAIL
(kited
,((),
Post & Beam
Rough -In P /��
Gas Line /"'�_
Smoke Dampers
Final
PASS tat# FAIL
ELECT ,
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 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 17 /7‘ / c i Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site. /
PASS PART FAI
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: 4175
INSPECTION DIVISION Business Line: ,' - 171 MST y� .3
BUP
Received Date Requested /
4= ` 3 AM P _ BUP
Location / 69 /. < �; IA/- JT� Suite MEC
Contact Person l Azi...P Ph ( ) 6/6-4F9 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain `ate' 3 - PLG Nib !n'` r1 �7
Slab Inspection Notes: 64 5 SIT
Post & Beam
Shear Anchors
O Sheath/Sr
Sheath/S e y- ,- g YkAvs
Insulation ` . . . 77 `!
Drywall Nailing
•
ire prink e
Fire Alarm -P ^�.
Q c d ct.
Susp'd Ceiling ` •
Roof � --Vi\A,et—
Other:
QS
Final d
P ASS • FAIL
PLUMB! X"
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final &`
� +D �iv�s��
PASS PART FAIL �� 11
MECHANICAL IJJ\ `Ss \x-42S Vim' •
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 / \/L1R
ADA Approach/Sidewalk Date �[ 6 Inspector Z Ext
Other:
Final DO NOT REMO, E this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503 75 3- Qa 33 Q
INSPECTI • Busines Line: (50 17 BUP
Received " Q S R ues`ed Y AM BUP
Location /' /1,S 1 f/ GCJOd Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain ��
Slab Inspection Notes: � � / / � SIT
Post & Beam [�1
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
Other:
Final
PASS PART FAIL
EC ! AL
Post iam
Roh -I
as ug ine
Smoke Dampers
Final
PASS PA FAIL
ELEC L
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 -(4
Approach/Sidewalk Date Z � Inspector 1 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) 75 MST 2 003 — C43
INSPECTION DIVISION Business Line: (50 71
BUP
Received Date Requested /c; — 7 AM P BUP
Location ` 9/S "Lecitcil Suite MEC
Contact Person Ph ( ) 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 �S � y 1 % 1 3 Framing
Insulation
Drywall Nailing
Firewall if
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �
Roof Z y"
JZ 4) C-2
Other:
Final - f (J ---^
PASS PART FAIL
PLUMBING
Post & Beam �l S � fte
Under Slab
Rough -In r s ..
Water Service
2 Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final •
PASS PART FAIL
MECHANICAL
Post & Beam
o1�m v/'
Smoke Dampers
Final
PASS PART
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required afore 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 ADASupply Line `''2/i�., 6 /J .t
Approach/Sidewalk Date
G Inspector v C Eat
Other: /
Final DO NOT REMOVE Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (51 " ' ' 175
MST (7(00 - �✓
3 6
INSPECTION DIVISION Business Line: � , 1
Q� BUP
Received Date Requested / O AM t* BUP
Location /b i3 6- LCie'TrrTi S � � MEC
Contact Person , Ph ( ) (76 C — eg97 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
, ,,b_ .1,6u../..__
Ext Sheath/Shear
Int Sheath/Shear j 99-3-7---1 /O / `-L j C^ / /6 a
Framing
Insulation /51/t
ill
Drywall Nailing 7 • /
Firewall 1 1. Lei / � __ �f e r a
Fire Sprinkler • '
Fire Alarm U2 ,ti - 4---,/1 S 7 j Q ft.
Susp'd Ceiling
Roof
Other:
Final FA. ' - A v _ / . „ __ e / S -
PASS PART FAIL — - ;
PLUMBING 4/5 B c CA /`e '-- Post & Beam
Under Slab tt %L��' ./..,-. A _ .. - / _. , so :_
Rough -In
Water Service �- • �� "�� S—S 'P�
Sanitary Sewer
Rain Drains /
Catch Basin / Manhole
Storm Drain . � � . � � .4.t. L ��
Shower Pan 6 -- u
Other:
Final /J w
PASS PART FAIL J /G �L^� l L it' �
MECHANICAL
Post & Beam
rn:
Smoke Dampers
Final
PASS PART ifit
ELECTRICAL
Service
Rough -In
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: ❑ Unable to inspect — no access
Fire Supply Line I //
ADA Approach/Sidewalk l v ( ( Inspector C
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 o?.6 3 J6 ° 3 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / 2 — Cc' AM BUP
Location / / S Suite MEC
Contact Person Ph ( ) 36 6 g`17 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
e Sheath/SAM
Sheath/ TY' C
Framing l". •
Insulation •
Drywall ,✓ S ���
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: �./� `WA
Final -
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In l �
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 ( �
Approach/Sidewalk Date 6 Inspector Ext
Other:
Final D NOT REMOVE this inspection record from the Job site
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 39 -4175 MST .V.663
INSPECTION DIVISION Business Line: 0 9-4171
/ BUP
Received Date Re • uested 1 — AM BUP
Location ! ! �r��r: Suite MEC
/
Contact Person Ph ( ) glo J T PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
. Ext Sheath/Shear -
Int Sheath/Shear {� �� S (� \ ✓
Framing T�l/
Insulation
..40211$‘ ailing ! I „ , / �f
Firewall `t' �-'�`�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 6 0 FAIL
PLUMBI
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line 1
APP DAoach/Sidewalk Date l0-7 [ 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 -
INSPECTION DIVISION Business Line: (503) 6 - MST
BUP
Received Date Requested ( I ® M BUP
Location l Suite MEC
Contact Person c.....e-- Ph ( ) PLM
Contractor Ph ( ) SWR
IL IN Tenant/Owner ELC
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab sr Inspection Notes: SIT
Post & Beam 5
Shear Anchors ' '
Ext Sheath/Shear
Int Sheath/Shear �—S 1 /(-)9Js-- /�� at/ ( � Y�Is r - ed � - 0 3 c
Framing O ZX
Insu at'on ` �..ot % ? 3 �1 `- x (`
D -ilin• l/3 a- V /
ir alf a 'Gt_ C� =/ 6) r X (.P
ire prinkler
Fire Alarm ' Z / 0 a r `1--Y ; 6--- cJ 0--ix- J 4 . -7 v 3 - a V '13
Susp'd Ceiling L
Roof
U
Other: / �l �- % . - Z�j 7'
o1 X
Final r ' FA G c 7 3 � (.P PASS
PLUMB! I 0 � D / ..... -� ` - frkt S^ r ?- U 3 - ci 3 3 Z
Po Under Slab �C. � /� Y� /
e
Water Service ' �� e c;--)( ce
Water S
Sanitary Sewer
- -
/ 4,0 / � c,�., _ km (� -C /& 7 a e9 3 33
Rain Drains / `''' —
Catch Basin / Manhole ( 4' �,_ (C 3 2-C (I
Storm Drain
Shower Pan 4. ldi(
cfi--.-` 2q - 2-X
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 0 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: Ei Unable to inspect — no access
Fire Supply Line
ADA L V Approach/Sidewalk Date C I nspector T 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 • 175 MST ‘ ,./406 3- 66336
INSPECTION DIVISION fr • Business Line: ( �°� . 9 -4171
BUP
-
Received Date Requested / t — / d A BUP
Location / v c 7 / 5 41 4 di Suite MEC
Contact Person Ph ( ) 8 ' - d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Sh- -
Int Sheat P � 61 ) Z �[
Framing `
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm 3
Susp'd Ceiling ,
Roof
Other: II 1
Final
PASS FAIL
PLUMBI
Post & B :am
Under SI 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: Unable to inspect — no access
Fire Supply Line
ADA 1c / b' 1' 1 ,,
Approach/Sidewalk Date ` Inspector V ''' Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
O 0 0 0 0 O O O C 0 r° 0 0 0 0
1...cOROER CALL MODES BUSINESS F M (503) 2424,,
CITY OF TIGARD 24 -Hour t,
BUILDING Inspection Line: (503) 639 -4175 ! MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received (' _, Date Requested k k/3 6 (4 ;0 PM BUP
Location Suite / c MEC
Contact Person 1 11- ( — Q -- Ph ( ) YLP t0 " `7 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
V
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/S - .r
10°1 0S ' -� O d (7) - 6) S 0 3 -0 631
Insulation A�4 Ca--7-\___A— - rt 'Z
DD� ailing � "�-(� �/�
- pnnkler �j�"
Fire Alarm
Susp'd Ceiling
Roof \ 0 G∎ c' C ?--.( ; c...,( w 0 d 2 2c)03 - 6633 6
Other:
Final
PASS - FAIL
PLUMB •
Post & Beam
Under Slab \
Rough -In 1 1 C 1 0 \ N' ' ( ct- V 'Sr2o 3- 00 3 3 Z
Water Service
Sanitary Sewer L r— L4 Li
Rain Drains I
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: , 0 Final 10 { \ 0,---.__--e--; (_`i ) \\kS o 3 0 6333
PASS PART FAIL
MECHANICAL � l 19 LA
Post & Beam
Rough -In
Gas Line
Smoke Dampers _ l `---k".\/ Final I , � � Ll A. `�/� -e -^ f LA ---- '
\
PASS PART FAIL ,, (�
ELECTRICAL \ \ 5 U1/4--,.U1/4--,..A. -.A. Gam J'. - 0 S (1 L
Service V C
Rough -In
Low Voltage \ e_–,A
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: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 \ /O y Inspector \z-ck..ci-z_______Ei.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 175 4 ii ?_ 0O330
INSPECTION DIVISION Business Line:
BUP
Received Date equested. /1 / PM BUP
Location / 7 / c lj f /Cc.-/w a 4 Cf Suite Zy MEC
Contact Person Ph ( ) 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 9 /I
Ext Sheath/Shea
Int Sheat%r
Framing ��/
Insulation d
DD •_ Nailing
1 prinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS ART FAIL
PLUMBI
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 D Please call for rein pection RE: ❑ Unable to inspect — no access
Fire Supply Line /J
ADA Approach/Sidewalk Date b I nspector V l v� Z)
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 .175 MST ;
INSPECTION DIVISION Business Line: ( 4 4171
BUP
Received Date Requested /D — a 7 AM t/ PM BUP
Location Suite MEC
Contact Person Ph ( ) 4 75-- 4- 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-7/ - Yet
Framing ✓�
Insulation I IMEall Nailing
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS FAIL
PLUMBI
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 0 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 / / Z -7
b (
Approach/Sidewalk Date / '17 1 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 `2-CQ3 —d633
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 -.2 3 AM PM BUP
Location / � l / S Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footin ELC
and 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 iF'4
Fire Arnkler
Fire Alalarm I Zf - - V VI / ■■■ �.-.
l.J
Susp'd Ceiling
Roof
Ot• -
f PART FAIL • .� BING
lAk
Post & Beam
Slab " ,% ( v , I!
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
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (5 :9 -4175 MST 3 - - 3 3d
INSPECTION DIVISION Business Line: b ; ) .9 -4171
BUP
Received q Date Req sted Z r P• BUP
Location / / f S Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
��awl grain
i�`jay/ Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
F
4--
raming /'
Insulation I n
Drywall Nailing 4-4--1,1--t /-"" •
Firewall
Fire Sprinkler '-
Fire Alarm Al b a
Susp'd Ceiling
Roof
Other: W/7/7/d"'( 0 -t
Fin• 3 VV / 1
r PART 41,
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
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 /z` / G y'
Approach/Sidewalk Date ` 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 2 3 O\
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested /d — a a— AM PM BUP
Location �_ !�/� -!-! �'!� Suite MEC
Contact Person Ph ( ) 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
r a#1 Nailing 1'�
8�yi
irF' a Sprinkler •` '/ 11C , f i ` 1 'IPPP
Fire Alarm r �, ' / ! � l
Susp'd Ceiling —
Roof
Other:
Final (SgV
PASS f• • - FAIL
PLUMB!
Post & Bea
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 cal for reins • ection RE: ❑ Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date , Inspe 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 01 o 0 .3 — CX 3.3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / r aS- AM • PM BUP
Location / 0 ' /S J 1 Suite � MEC
Contact Person ae, Ph ( ) `1' — L {(e L0 p 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 / / /ts; Ay,-ZZ-
Insulation
cfrirl Nailing I , ; ' - 1/0 10 ( 6 z or „_ Sol. r 9
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin-
- AS •ART FAIL
P MBING
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 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date id 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. 9 -41 _5 MST °? -663 3
INSPECTION DIVISION Business Line: -4171
BUP
Received Date Requested JO -t° AM PM BUP
Location /z /5 611.4,aA /,U l Suite �/� MEC
Contact Person PQ A, Ph ( ) 7_ T�`�O , /p PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab I Inspection Notes: SIT
Post & Beam / r w
Shear Anchors I
Ext Sheath/Shear
Sheath/ e a //J / J 0 _
Framing
Ins . a
D rywall Nailin •
` '' N�
ire prinkler 1�'K -
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS - FAIL
PLUMB
Post & .am
Under - lab
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 Ei 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 r
Approach/Sidewalk Da 0 / 2 / / Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
?RMIT NO.mST Zoo3— o03Zy , 003W,00317 003'8
003Zg d'010, 0033
EROSION CONTROL INSPEeTION REPORT
DATE u 3 -
�� INSPECTOR Nn 3
O WNER/PERMITEE (\VT.U.tf \ QF \Q
CleanWater Services LOT
Our commitment is clear. SUBDIVISION 1k PA042.j
SITE ADDRESS 10 '115 ) 109.65 . , a9 :45 16136 409145
t U 10%35
. APPROVED
FOR THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN
WATER SERVICES EXISTING RESOLUTION AND ORDER FOR
DURATION OF CONSTRUCTION, THE OWNER/PERNIITEE MUST:
• MAINTAIN CLEAN STREET (S) - FREE OF ANY VISIBLE OR MEASURABLE AMOUNT OF DIRT,
GRAVEL OR DEBRIS. GRAVEL ACCESS RAMPS STRICTLY PROHIBITED.
• TO PREVENT TRACKING. RESTRICT ALL CONSTRUCTION VEHICLE TRAFFIC TO GRAVEL
CONSTRUCTION ENTRANCE OR STREET ONLY.
• MAINTAIN ALL EROSION CONTROL MEASURES TO CLEAN WATER SERVICES INSTALLATION
STANDARDS.
• PROVIDE MAINTENANCE OF ANY SEDIMENTATION BARRIERS/FILTERS AT STORM DRAIN
STRUCTURES OR DRAINAGE AREAS WHICH ARE SITE SPECIFIC.
• PROVIDE ADDITIONAL EROSION CONTROL MEASURES AT ANY TIME DURING CONSTRUCTION
WHEN SITE CONDITIONS CHANGE:
•
• OTHER
NOTE: FAILURE OF THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN WATER
SERVICES RESOLUTION AND ORDER CAN RESULT IN TILE ISSUANCE OF A CIVIL
CITATION, STOP WORK, OR SUSPENSION OF PERMITS AS DEFINED IN CLEAN WATER
SERVICES RESOLUTION AND ORDER 90 - AS AMENDED.
NSPECTOR g Itztg PHONE 69/3‘..67
?RMITNO.mST Zoo3- o032. C 5.00326,Oo3t1 ) 0032..
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EROSION CONTROL INSPEeTION REPORT
DATE U - CM .
`Z3-
1 INSPECTOR ?VPn isT - • 30
CleanWater Services
OWNERIPERMITEE P�YV. L \ QPI�Y., LOT
Our commitment is clear. SUBDIVISION *P)4 E Q)
SITE ADDRESS 10415 j 10%5. ,voyys , I 09 3'S t 01 LS'
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FOR THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN
WATER SERVICES EXISTING RESOLUTION AND ORDER FOR
DURATION OF CONSTRUCTION, THE OWNER/PERMITEE MUST:
• MAINTAIN CLEAN STREET (S) - FREE OF ANY VISIBLE OR MEASURABLE AMOUNT OF DIRT,
GRAVEL OR DEBRIS. GRAVEL ACCESS RAMPS STRICTLY PROHIBITED.
• TO PREVENT TRACKING. RESTRICT ALL CONSTRUCTION VEHICLE TRAFFIC TO GRAVEL
CONSTRUCTION ENTRANCE OR STREET ONLY.
• MAINTAIN ALL EROSION CONTROL MEASURES TO CLEAN WATER SERVICES INSTALLATION
STANDARDS.
• PROVIDE MAINTENANCE OF ANY SEDIMENTATION BARRIERS/FILTERS AT STORM DRAIN
STRUCTURES OR DRAINAGE AREAS WHICH ARE SITE SPECIFIC.
• PROVIDE ADDITIONAL EROSION CONTROL MEASURES AT ANY TIME DURING CONSTRUCTION
WHEN SITE CONDITIONS CHANGE:
• OTHER
•
NOTE: FAILURE OF THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN WATER
SERVICES RESOLUTION AND ORDER CAN RESULT IN THE ISSUANCE OF A CIVIL.
CITATION, STOP WORK, OR SUSPENSION OF PERMITS AS DEFINED IN CLEAN WATER
SERVICES RESOLUTION AND ORDER 90-63 AS AMENDED.
INSPECTOR 1,71-4 PHONE 69-(3‘,61
. .
aiem Office Bend Office
P.O Box 23814 4060 Hudson Ave., NE P.O. Box 791
•
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 9771
P hone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330-
Carlson Testing, Inc Fax (503) 684-0954 Fax (503) 589 -1309 Fax (541) 330-9
Special Inspection Page ( of
I / DAILY FOLD REPORT
Project: A /CIA 5 I/- c.: / o . - N .., , , �t S
Date: l 3 / U y
Job Address: S V' l 3 01-14 . f4- VS /'''' 1- 7 15 c - ', 04 - CTI Job No. ✓o ( , / ' 1, S c.4--
Permit No.: (...4 / v i , h S (c- Type of Inspection: i-Z h r S v' ., 4
Field IQ or Fab Shop
Weather. 0../ - ( I -- 6,0
Inspection Dotes (include location, testing data, substitutions/deviations, materials and methods of construction, non - conforming items
acceptance criteria, corrected non-conforming items, etc.): /
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1( 1 j f (.L - C. /' wu.. ,-- l t,A A o/ • , d /-c Lot -`f s — "Th, i .-. x 6
* ** CHECK ONE BOX ONLY * **
1. . This is a preliminary inspection only. - OR - YES
0
2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are
non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which la 0
are not preliminary in nature, are to be considered as conforming.
. Inspector. ---- 7 J / .. /,.,
r Certification No.:
Use of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions.
Information contained herein is not to be reproduced, except in full, without prior authorization from this office.
CITY QF TIGARD 24 -Hour
t' BUILDING Inspection Line: (503) 639 -4175 MST cz. 200 . 3 6°3 .36
INSPECTION DIVISION Business Line: (503) 639 -4171
UP
Received Date Requested g — AM PM BUP
Location I D � 'f / .�2�'� V�' LLCM( Suite 7.9 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BU ' ING Tenant/Owner ELC
ooti : ELC
• ndation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / V SIT
Post & Beam
Shear Anchors `\
Ext Sheath/Shear
Int Sheath/Shear Shear q � _ ( ,
Framing J I "�-
Insulation , ¢ L1
Drywall Nailing /�
Firewall `
Fire Sprinkler VS 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
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 . h t V A (r ��
ADA V \
Approach/Sidewalk Date • Inspector Ext
Other:
Final DO OT RE OVE this Inspection record from the job site.
PASS PART FAIL