Permit • • ` -' FOR OFFICE USE ONLY
BlL�ildi�llg P lication FOR
Building
U Date/By: 49/7q/03 41 .2 Permit No.: .S I- 00.4/1
City of Tigard Planning Approval Other
B Permit No.: S 04
13125 SW Hall Blvd. JUN 7 2003 Plan Review y: 1S other
Tigard, Oregon 972 Date/By: It' 23 t'3 F Permit No.:
Phone: 503-639 -4 12t G F Sb960 Jf ' � Post - Review Land Use
DIVISION A Date/B Case Juris.
Internet www.ci.tig
^ ^^ Contact : ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: T/6. Supplemental Information
TYPE OF WO •
- >-. - . ' . . � .REQUIRED DATA: ..: . _ .
New construction [1:1 Demolition I &:2 FAMILY DWELLING :
❑ Addition/alteration/replacement ❑ Other:
•'- CATEGORY OF CONSTRUCTION - • - . • - Note: Permit fees' are based on the total value of the work performed. Indicate
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 Li Multi- Family
❑ Master Builder El Other: Valuation a -- � 19
: :;JOB SITE INFORMATION•and LOCATION t ::: : - No. of bedrooms: 3 No. of baths: Z
Job site address: lQfi (5 5 {•6417�(6-ia. /hLa(/e..- Total number of floors _ 5
New dwelling area (sq. ft.) _ /•43
Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) liblt
Project Name: HAW t.S Ilf_AA 'r MKDMES Covered porch area (sq. ft.) )2
Cross street/Directions to job site: Deck area (sq. ft.) ?2
ski 130 TM Ave/40e /b•+)) S.hf. N BEA Other structure area (sq. ft.)
S
REQUD3ED DATA:: . � -
COMMERCIAL - USE CHECKLIST :i - •
Subdivision: 4/tw 6c414, --rood P0,14 Lot #: to ? . . . . .
Tax map /parcel #: 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,
overhead and profit for the work indicated on this application.
Cr�.J NEiJ 3 ST - o2.i Tovl/( NCtw�
`P9•a.SEu-- Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
P.ROPERTY.-:OWNER -I. TENANT- - -•. :: _. Type of construction V N
Name: A 1 ll" 4 PAg K - '" ivLES / L . L. G . Occupancy group(s): F
R-3
Address: 9S00 S W Ve gue. & ib/ SU 0-€ 221
City /State /Zip: "PoerM�� , 02 q-7 2-19
Phone: 601) F12-0 Fax :a.:3_) Pf12 4( NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
( i APPLICANT: - 7 -;;.:',. - 7.:. : ,: : LID: CONTACT PERSON__= :1 -: provisions of ORS 701 and may be required to be licensed in the
Business Name:'ie.EK L .3.2004 a ,4 ZJA4S i (4, . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: P1/re K (44.4coo c,2 2t,c.t Pe z from licensing, the following reason applies:
Address: gSe)o SW p/K[,I ue- &-It4 Su (7th 210
City /State /Zip: Pbe at q 2-1 c i
Phone: -6 I Fax:(50.3j03t2 -6eA( .._ _. .. -._ _.
BUII.D.INGPERNIIT_FEES*• �,-' °. ":_
E-mail: rya r K 4 d t b r ,' o& ASSVc. , C:DM - :Please r to'fee schedule:
.. "" 2 ....;;. _ �- - , - . . 1. ... - ...... .. -1 '" • . . -. _- -. . -. . .
-. ; � : - ... CONTRACTOR • . -. ..
Business Name: �EQ,EC L• cJN 414 &CAste, Y 1 6, Fees due upon application $
Address: 9Sol:) Slnl gAt &uw„ gu/D [ .cores no
City /State /Zip: fber 012 - ( Z 9 Amount received $
Phone:(G3\ 692-$`15 ( Fax: 5630 2-884 I Date received:
CCB Li . #: gig
Authorized / Notice: This permit application expires if a permit is not obtained within
Signature: D ate : 1 ( 180 days after it has been accepted as complete.
i i th e *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name) •
i:\Dsts\Perrnit Forms\BldgPermitApp.doc 01/03
' Electrical Permit p
erit Alication FOR OFFICE USE ONLY
Received Electrical
R E C E v E D Date/By: Permit No.? sf OO 3 ) o2 '7
Cit Cl of Ti and Planning Approval Sign
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 .II IN 2 7 2003 Date/Bv: Permit No.:
Phone: 503- 639 -4171 d8-'96° A Post - Review Land Use
I S() + Date/By: Case No.:
Internet: www.ci.tig jj }}� u �j C ontac t Juris: ®See Page 2 for
24 -hour Inspection R � L�49N " '""
Name/Method: ontac . Supplemental Information.
TYPE OF WORK PLAN REVIEW Please check all that apply)
( KNew construction ❑ Demolition - 0 Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: 4 Service over 320 amps - rating of ❑ Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION I & 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 stories ❑ 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.
The above are not applicable to temporary construction service.
Job site address: 1Qfi 'I S S ) 44u.JTt•.ArrapJ kietAt FEE* SCHEDULE
Suite #: B11 /Apt. #: Number of inspections per permit allowed
Project Name: ,1-14A/KS (gt3r25 . 0,viE S Description I Qty I Fee (ea.) I Total I
New residential - single or multi- family per 4
Cross street/Directions to job site: �, ,/ 9K�\. dwelling unit. Includes attached garage.
,\/.) 150 4."t A lie 51, Nom' l Service Included:
3 044 S \ ? a. ft. or less _ 145.15 _ 4 1d 5 4
l r c.t -Q/1 Each Each addditional 500 so. ft. or portion thereof Z 33.. ` , 8o I
TOM 44,4 I r7 Limited energy. residential I I 75.00 - r ,�v 2 WcAel Subdivision: 1-611414 ' W w' Lot #: C� 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 1 2
Services or feeders - installation,
Co 4S'7-1,“ -c'T1& C4 AI6i,.) 3 -Crew224 1 alteration or relocation:
--77)&) . / t/'1`) CWIG f 200 amps or less _ 80.30 _ 1
W 201 amps to 400 amos 106.85 2
401 amos to 600 amps 160.60 2
;:[ EROPERTY'O . R" : :: .. -- 1- ❑ TENANT: -- - - =. •_ . 601 amps to 1000 amps 240.60 2
. A i , U P T l q ��0 4 eS 1- Reconnect nett amos or volts 454.65 2
game: i� �� Qom/ LLC, nect only 66.85 2
Address: C Ski j goe_ gu SU (7.4. 222 Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: Fb2TLA' Oe. cii 219 a 200 amps or less 66.85 1
�
Phone ) 89Z -F75S Fax:(50 592 l 201 amps to 400 amps 100.30 2
401 to 600 amps 133.75 2
• )2rAPPL ANT=" •. ':,. -- : D :CONY CT "PERSON Branch circuits - new, alteration, or
Name : K L. P° d A-S ciA1r5 1 , extension per panel: of
Address: gSfXj 0l?11� (. � 5 �1 ZZO Fee for branch eedcircuits each u i
service or feeder fee. each branch circuit 6.65 2
City/State/Zip: e , C/f2„. 9-7219 B. Fee for branch circuits without purchase of .
oQ
I service or feeder fee, First branch circuit 46.85 2
Phone: �'�v'k) 049 -$155 Fax: (::,.1) 692, egit Each additional branch circuit 6.65 2
E -mail: vrn, r a- d I t, uJ..3A -cSOC , co,'-- Misc.(Service or feeder not included):
(CONTRACTOR = - Each pump or irrigation circle 53.40 2
• "-'' 7474, : - :' E4ii :, _ - Each sign or outline lighting 53.40 2
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
2050 Vista Ave #100 Description:
Salem OR 97302
Each additional inspection over the allowable in any of the above:
503-361-1256 Per inspection per hour (min. 1 hour) 62.50 _
CCB:116453 ELC:24-353C Sup:2919S Investigation fee:
CCB Lic. #: Other. Lic. #: - . .._. Elt:ctncalPe .
_.-. -.
. ..... rmlt - Et:es
Supervising electrician — Subtotal _
signature required: Plan Review (25% of Permit Fee) S _,
Print Narne: I Lic. #: State Surcharge (8% of Permit Fee) S _,
TOTAL PERMIT FEE S -
Authorized � 2 Notice: This permit a pplication expires if a permit is nut ••• -iin
Signature:
J Date: c l.� 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
riIfM- t /J. l Sep
(Pleafe print name) •
is \Dsts\Permit Forms \E1cPermitApp.doc 01/03
" 1 Mechanical PREgahilEation Received FOR OFFICE USE ONLY
Mechanical
• Date/By: Permit No.# i7eZa T-- Ogg/ 7
e Planning Approval Building
City of Tigard JUN 7 2003 Date/By. PermitNo.:
13125 SW Hall Blvd {TY OF TIGARD Plan Review Other
Tigard, Oregon 97223 DateBv: Permit No.:
Post - Review Land Use
Phone: 503 639 - 4171 FAPPla I�dS(O t � Date/By: Case No.:
Internet: www.ci.tigard.or.us I I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 639 .4175 Name/Method: Supplemental Information.
_ _ ':z. COMMERCIAL FEE *SCHEDULE - USE CHECKLIST -.• • ::: - �_ :: TYPE OE'WORK .... :. :
,' 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. • �.f:
'l & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE` SCHEDULE. •
Description Qty I Fee(ea.) Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning** { 14.00 I l4
Job site address: Jog/s Ski.) I d. J77,1GT1J 4VE_ Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Ductwork 1 14.00 14.
Project Name: 441.4 n .4 ag{/E21� TO 1J � - Cc Hydronic hot water system 14.00
]" Residential boiler
Cross street/Directioonss to job sit (for radiator or hydronic system) 14.00
SW ` v t30 -t '` ! vE /� . 4/ Unit heaters (fuel, not electric)
- ge 1 547Y2ai (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 t0 • aJ
Re units 12.15
Subdivision: �b4�D Lot #: b Other Fuel Appliances
Tax map /parcel #: Water heater l 10.00 10.'
. DES CR IPTION OF WORK ' • '"
Gas fireplace 1 10.00 l0.'
/ ...cr J.C77 A OF 6EtiV 3 S '1- otat -t Flue vent (water heater /gas fireplace) 2. 10.00 2/1. '°
LJAJ 10m` Phi - (` U) Log lighter (gas) 10.00
'[ Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER - - - . -1' (] -TENANT - - , . Other. 10.00 I
Name: Avril tr1 Ai K T wiJl -o#+? E f LL.0 Environmental Exhaust & Ventilation
Range hood/other kitchen equipment 1 10.00 10.°
Address: a Ski r24ue 0/4 / .S 1 Z w Clothes dryer exhaust ( 10.00 10. °O
City/State /Zip: Qo2'RhA de Q l q Single duct exhaust
Phone:�5o3) ao12 -&? I Fax: (� c) 99 2 8 mn
- '{ ( bathrooms, toilet compaents,
(gAPPL' CANT 0 CONTACT PERSON utility rooms) .5 6.80 20 • `0
Name : 'bCg 4-- i 2ot.)J 8 A Stc/fri (. /A/C . Attic/crawl space fans 10.00
�_ ca w Vag,,a_ �- S I/17t Z Z) Other 10.00
Address: Fuel Piping
City/State /Zip: ` itrt.i ✓ S i ce 7 21�j •`($5.40 for first 4, $1.00 each additional) )
Phone:(So3) NZ - 156 Fax: 5 3 \012 -084( Furnace, etc. {
Gas heat pump *•
E -mail: rrvirL t a d I broc.)i O_ Sdc .Car► -, Wall /suspended/unit heater "
• CONTRACTOR • • Water heater I "
I
Smart Heating & Cooling LLC F ireplace ,�
7616 NE Everett St Range
BBQ '.
Portland OR 97213 -6347 Clothes dryer (gas) ..
503- 254 -5096 Other.
CCB: 154133 Total: 3 5.'40
- Mechanical Permit Fees*
Authorized / , / / Subtotal: $ I 2.5. 910
Signature: ,�74� [ter Date: GCS 6 0� • Minimum Permit Fee $72.50 $
1 UC E. OWE- Plan Review Fee (25% of Permit Fee) S
(Please print name) State Surcharge (8% of Permit Fee) $ 0
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
� t$111141111t, r IA1.u1.C3 •
`" Plumbing Permit Application FORUFFI Plumbing 4 USE ONLY
Rec e ived Pluy ^,,
RECEIVED Date/By: nnin Permit No.: f/ SY ' 4 J 41I/
Planning Approval Sew
City of Tigard
Date/By: Permit No.:
13125 SW Hall Blvd. t Plan Review Other
Tigard, Oregon 97223 JUN 2 7 ZOO Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 50 Post - Review Land Use
B li1 i t9r I ICiA ; 1 t DatelBv: Case No.:
Internet: www.ci.tigard onus oDI D1 V 9 I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 50i- _1 -4 Name/Method: Supplemental Information.
TYPE OF WORK • FEE* SCHEDULE (for special information use checklist)
g New construction ❑ Demolition Description I Qty. I Fee(ca.) I Total I
❑ Addition /alteration/replacement I ❑ Other: I New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft for each utility connection)
SFR (1) bath I 249.20
gr 1& 2- Family dwelling I Commercial/Industrial I SFR (2) bath 1 1 I 350.00 350, °° I
Accessory Building I ❑ Multi- Family I SFR (3) bath I 399.00 j
❑ Master Builder I ❑ Other: I Each additional bath/kitchen 45.00 I j
.. JOB SITE INFORMATION and LOCATION Fire sprinkler - sa. ft.: I Pace 2 I
Job site address: /0c' /5" AI/ AioIv77 v; jJIV �4v T Site Utilities •
Suite #: Bldg. /Apt. #: I Catch basiniarea drain I 16.60
Project Name: I-1,41AJks ZE,4 -b "rGk1r1 PcMgS Footing I/leach (no. linear ft.) I 16.60
Footing drain (no. linear ft.) I Page
Cross street/Directions to job sit Manufacrured home utilities 110.00
SLR) 1;0 A 1/�� S. �' Manholes 16.60
36iiit S j T Cf Rain drain connector 16.60 I
Sanitary sewer (no. linear ft.) I Page 2
Subdivision: /-1/4(n/K S CEA L I Lot T: b2- I Storm sewer (no. linear ft.) I Page 2 I
Water service (no. linear ft.) I Page 2 I
Tax map /parcel #: I • :,_. Fixture or Item ...-
• - • DESCRIPTION OF WORK Absorption valve I 16.60 I
• r a /4c Q(A 116IJ OF NE(A) 4 Si CYd.I Backflow preventer Page 2 I
- iJ fyyf. P2M.l €C ( 11 (pg Sk) Backwater valve 16.60 I
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
••E'PROPERTY'OWNF1t ....):• ...TENANT• =,` .,;'•-•-.- ',_ � ..,. Ejectors/sumo 16.60
Name: At1ft Wl fu PAte K MAIN Fri 440S 1 L 1..c.- Expansion tank 16.60
Address: q StDO SW SITekle (i.k/6, S /tri Z Zo Fixture/sewer cap 16.60
City /State /Zip: PoeT1 D OR C{ z i'9 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
PhoneS. 3) S q,2 87 5a 1 Fax: $.13) 892 SS4 ( Hose bib 16.60
I
APPLICANT -' ,. : <; .: - •= CONTACT PERSON:: =..:. Ice maker 16.60
Name: b K L. 8QQu J S 4SSOCIA-^C (1✓, Interceptor /grease trap 16.60
Address: 95a) St.-1 gte.81Jie, gLA., Su at ZZc) Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: 1ctxT2A-DS , Ct t - 2 i i Roof drain (commercial) 16.60
Phone:(503)EZ- 6758 _ Fax(503)ei2 6841 Sink/basin/lavatory 16.60
E -mail: r'IA+Llc. d Itexibiria «dG. Ca . . Tub /shower /shower pan 16.60
.. CONTRACTOR •::_ • Urinal 16.60
Plumbing E Inc Water cioset 16.60
Water heater 16.60
11925 SW Parkway Other.
Portland OR 97225 -5413 Other
503- 469 -0443 ..: Plumbing Permit Fees'''. -:.:•. =-..:;;: :-T % :• ... : :•;
CCB: 149035 PLM: 34- 391 PB Subtotal S 3 4 0
Minimum Permit Fee $72.50 S
Authorized /� /0 � Residen Backflow Minimum Fee 536.25
Signature: � .(.11i 61A L Date: / Plan Review (25% of Permit Fee) S
I P U C E C &ikl ( State Surcha Pe rmit Fee C S . .
-__ (Please print name) TOTAL PERMIT FEE S
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 Forms\PlmPermitApp.doc 01/03
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 -00317
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB062
Site Address: 10815 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 062
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
9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC
PORTLAND, OR 97219 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 892 -8758 Phone #: 503 - 361 -1256
R #: LIC 116453 S
SUP new .222 3
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PLUMBING EXPERTS INC
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00317
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB062
Site Address: 10815 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 062
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
9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY
PORTLAND, OR 97219 PORTLAND, OR 97225 -5413
Phone #: 503 -892 -8758 Phone #: 503 -469 -0443
Reg #: LIC 149035
PLM 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ---
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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1 STREET TREE CERTIFICATION
•
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• (PLEASE PRINT) (PERMIT HOLDER) il•
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• Do hereby certify that the' follOwing location •
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meets,cpdfiTig:arcl/Vahiron'Qounty ■
•
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• land use and development standards for street tree installation.
• •
• •
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A ADDRESS: /CY/S S.LO . AtkAA:veGlir l■
• •
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1 LOT: & -. 2. SUBDIVISION: Aroivog.s tEk D 1.
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1 1 BY: grAuk 6fAc_■ DATE: i h ? I eel— .
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RECEIVED BY: yi 17/, y _ _) '` DATE: /g - "'‘,-- i'--- I•
110-
ITVTVVVVVVVVVVTVVVVVVVV•VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV1
CITY OF TIGARD 24 -Hour '
BUILDING ' Inspection Line: (503) 639 -4175 MST 260 — 00 3 /7
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested / '22 AM PM BUP
Location / R/ S- X11.144 Suite MEC-
Contact Person i Ph ( ) A /o - L d q 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
O 4
ina
I' • • FAIL
MBING _
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART IL
MECHANICAL
Post & Beam d
Rough -In [ 0
Gas Line 1
Smoke Da e s t j
mal
ASS 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 M — ZO — 0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
•
BUILDING Inspection Life (503) 639 -4175 MST 0.63 --2P3 1
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7/) — / 3 AM PM BUP
•
Location / /• ,. I Suite MEC
Contact Person Ph ( ) 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing `i,4.►:�11a��:t . _ : .^f @.S �>•' �� '� L Y'
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
Service
Rough -In
U
Fire Alarm `�`
IZZO Rei nspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAR
0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date U Inspector A / _ Ext
Other:
Final DO NOT REMOVE this Inspection recor from th job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
•
BUILDING • Inspection Line: (503) 639 -4175 MST °?OU 3 `"no 3 /
INSPECTION DIVISION • Business Line: (503) 639 -4171
BUP
Received Date Requested / L3 AM PM BUP
Location • ,L_,,. Suite MEC
Contact Person / Ph ( ) _d �� — ��� 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing JO.
Firewall / / / 7 / 6-r ' f- ( (
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:
1
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 ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date A 0 Inspector Ext
Other:
Final DO N • T REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING . Inspection Line: (50 iI' : 175 MST 260 3 - ' 6 0 3 17
INSPECTION DIVISION Business Line: (50 ,, • 1
BUP
Received Date Requested / ('7 AM PM L/ BUP
Location /D 5? l.c" /.141, -��►;1 �r1 Suite (Z MEC
Contact Person Ph ( ) cao to 1' r?q7 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 j kb I �� � I Framing �-�C l�/� 1.
Insulation
Drywall Nailing l W L!"V`A C
Firewall 2°) 1 1 i \...-‘," C *-1/-- --
Fire Sprinkler " '
Fire Alarm ` � f -- ∎ r ■4 a r `` 1 2Q
Susp'd Ceiling 1,� ,� n
Roof 5') V V -- iw• c \ r ' ,' G S
Other:
, �V . --.-1/.-\ V" 2. C12-A-6----v.--'1/4 v �+� .
SS PART t � 6) - n
PLUMBING _I. � ct,k9A� e)—Uo C�r
Post & Beam j1... , t - � � , — Z � 1'
Under Slab W - �/ � ,_:,c
Rough -In ' 5 • 1 _ 0 , Q �, 1-1k--e- 1 i
Water Service I -�J� Il /\ �(/ \�
Sanitary Sewer `� - \7 1/ ` 4_ - _ Lt--• < //
•
' Drains . �°�
Catch Basin / Manhole
Storm Drain
Shower Pan 12Q_ -_ ' \ '
Other: r, `` 1
Final [ r C X Cl
PASS PART
MECHANICAL FAIL u $ ( - L-r-vN 171
Post & Beam
Rough -In
Gas Line
Smoke Dampers
4 PART 4
EL TRICAL ■
k
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: Ej Unable to inspect - no access
Fire Supply Line y,
ADA Approach/Sidewalk Date ` b /`��� In \� v L �� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL