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Case File I 00 00 A O b C O 0 O A 8840 SW Avon Court CITY OF T i G Q R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MFC2003-00710 13125 FW Hall Blvd., Tirard, OR 97223 (503) 639-4171 DATE ISSUED: 12/15/0 PARCEL: 25111 DD-01300 SITE ADDRESS: 08840 SW AVON CT SUBDIVISION. STRATFORD ZONING: R-4.5 BLOCK: LOT: 045 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL- VENT SYSTEMS: STORIES: BO;LERS/COMPRESSORG _ HOODS: FUEL_ TYPES 0 3 HP: DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 1 , - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: RemarKs: Install gas fireplace and 1 outlet. Owner: FEES TRELISF, MARTIN Description � Date Amount 8840 SW AVON COURT ti1I.C'I I 11,0111111 Fce 12/15/03 $72.50 TIGARD, OR 97224 II'AXI R",, 5ta1c tiurrh;irt 1/15/03 $5.80 Phone: 503-598-7699 Total $78.30 Contractor: OWNER REQUIRED INSPECTIONS Phcne. Gas Line Insp Mech?nllcal Insp Reg #: Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable I:;ws. All work will be done in accordance with approved plays. This permit wi;l expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ,ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 i Issued By: l L ��; � Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day N'.'e4?4anical hermit Application Recei ped Mechanical Dates.". /`� C196 Permit No.: /, 6 u'CU Planning A pr al Building Cit ' ofTigard igard Datc/B Permit No.: : ,t25 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: W-639.4171 Fax: 503-598-1960 ,, Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact .lurk. See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. _ TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New con u0ioa _ I Demolition M;chanical permit fees'are based on the total value of the work Addttto altt ratir�1l�e lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all - mechanical materials,equipment,labor,overhead and profit. CA'MIGWIRY OF CONSTRUCTION 1 &2-Famil dwel'in Cotttmerrigl,'Induhtl` Value: $_� See Page 2 for Fee Schedule Accessora+ Bullc14, Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE'at;HEDULE UescriptHntv Fee ea. Total H7Master Builder Other: Heatin Coolin JOB SITZ INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address: NO w AVo'u C_r Gas heat um _ 14.00 Suite #: Bldg./Apt.#: Duct work 14.00 i �.---- -- - Project Name: – H dronic hot waters stem 14.00 _ -- Residential boiler Cross street/Directions to job site; for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) (in wall,in-duct,suspended,etc.) 14.00 Flue/vent for any of above 10.00 Subdivision: L #; Repair units 11.15 _ — Other Fuel 4p(lances Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 1p�_ F-1 IZc. V?CA t E Flue vent(water heateN as fir lase) 10.00 ^— Log lighter as 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 —_ 13 PROPERTY OWNER TENANT Other: 10.00 Name: Environmental Exhaust&Ventilation Range hood/other kitchen equipment 10.00 Address: o r in NE72, Clothes dryer exhaust 10.00 City/State/Zip: e' �,Q Single duct exhaust F Phone: ,v, `J i 7,.,5 Fax: (bathrooms,toilet compartments, APPLICANT U CONTACT PERSON utility rooms— 6.80 Name: Attic/crawl space fans 10.00 ----------- ---- Other: Address: _ _ Fuel Piping City/State/Zip: **($5.40 for first 4,$1.00 each additional Phone: Fax: Furnace_etc. - Gas heat pump_ " E-mail: Wall/suspended,unit heater CONTRACTOR Water heater " Business Nalne: E— Fireplace " Address: RangeB_Q ---- .« Ci /State/Zip: Clothes dryer(gas) Phone: 1'ax: Other:CCB Lic. rotal Authorc�ed Mechanical Permit Fees* / __ Subtotal: ' S _— Signature: �/ _. Lt...._� Date:_Z i S�r) +--MinimumPermitPermit Fee 5'.2.50 I $_ - �' Plan Review Fee 12500 of Permit Fee S ---- / �-'s�---- State Surcharge(80/6 of Permit Fee S (Please print Hamel — _ TOTAL PERMIT FEE I 5 r' Notice: This permit application expires if a permit is not obtained within *Fee met4odology 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 1NecPermitApp doc W 03 Mechanical Permit r U ication - -itc of Tigard .. Page 2 - Supplemen ..I Information Commercial Fee Schedule: _ TOTAL.VALUATION: PERMIT FEE: $1 00 to$2,000.00 Minimum fee$72.50 _ $2:001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof,to and including$5,000.00. $5,OU 1.00 to$10,000.00 $141.50 for the first$5,000.00 and$1.80 for each additional$100.00 or fraction thereof,to and including$10,000.00. $i 0 001.00 to$50!'00.00 $231.50 for the first$10,000.00 and$1.3 5 for each additional$100.00 or fraction thereof,to and including$50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and$1.25 for each additional$100.00 or fraction thereof. to and including$100,000.00. $100,001.00 and up $1,396.50 for the first$100,000.000 and $1.10 for each additional $100.00 or fraction thereof. All New Commercial 13uildings require 2 sets of plans. I I i;tBuilding\Permit FormsAIecPermitAppPg2 09-01-03 doc CITYO F TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00203 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/15/02 PARCEL: 2S111DD-01300 SITE ADDRESS: 08840 SW AVON CT SUBDIVISION: STRATFORD ZONING: R-4.5 BLOCK: LOT: 045 JURISDICTION. TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS WIO APPI_: VENT SYSTEMS: STORIES: _ BOILERS_/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 -1- HP: WOODSTOVES: FURN <- 100K BTU: AIR HANDt_:NG UNITS CLO DRYERS: FURN -100K BTU: <_ 10000 cfm: OTHF-R UNITS: > .0000 cfrn: GA6 OUTLETS: Remarks: Installation of exterior A/C unit. Cannot be placed within the required set backs. Owner: _ FEES _ ~ ALLISON, MITCHELL J AND Type By Date — Amuunt Receipt MARLEE D — — — 8840 SVV AVON COURT PRMT CTR 5/15/02 $72.50 272002000C TIGARD, OR 9722.4 5PCT CTR 5/15/02 $5.80 272002000C Phone: Total $78.30 C —tractor: SPECIALTY HEATING & COOLING 9528 SW TIG/,RD ST TIGARD, OR 97223 REQUIRED INSPECTIONS _ Mechanicallnsp Phone:620-5643 Cooling Unt Insp Reg #:LIC 66578 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: '� L_ Perm iee Signature: h // Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day _ -J Mai 08 02 O9: 37a Specialty Heating 503 598 0718 p. l Mechanical Permit Application Date rcrniwvt•• 1 �r_� Parmjt no.: O 3 City of Tigard Project/appl,no.: Expiredate: Ciry of rSard Address: 13125 SW Miall Blvd,Tigard,OR 97223 Date issued: o Phone: (503) 639-4171 t/�v Fax: (503) 598-1960 ULl . Car:file no.- Paymcnitvpe: Lund use approval: Building permit no.: "&2 dwelling or accessoty D Commercial/industrial (7 Multi-family U Trnant im),mvem�nrtlOt1 'Atldiuon/akeratian/replacement Cl Other: 1 INFORMATION Job address: SCLf li(u 0 lndicnto equipment quanurlcs in=s r -'vw.lndicat:the dollar Bldg.no.: Suite no.� value of all mechanical materials,equipment,labor,o renc�ad. Tax mapitax lot/account no.: _ pn)fit.Value$ Lot: Block: Subdivision: *Jct: checklist for Important application information;nd Project name: Re-e-45•e- jurisdiction's fee schedule f'or residential permit fee. City/ ounty: ( 0aN I ZIP: a1xl i I al Description and location of work on premises. _ Fee(,a.) Total I)t:unption . Rea.tttly ltts.onlvl Est.date of campletioNinspeuton: / Q 2r _ Ql) ._. Tenant improvement or change of use: -- tiV'n;ti: Is existing space heated or conditioned?J2rYcs Cl,vo Air hariMing unit CFM Aircondiuontng(site an require ) Is existing spate insulated??,Yes O No Alterationo c sting ' svatem j Boiler/compressors Business narnt 4(� `�) ¢ y) State boiler pe;mit no.: Addtrss: 6U•� j'� all '19/_ HP Tans RLorg _ icdsmo c�a�c act omoke ececrorr rity + Qi1 d Statr.:0,t? ZW:q 7a 2 eat pump(sefurn n re olre Faxt S9�-o)/ E-mail: IncluI replac ductwork/ a urea / 14 Phanc• ;(,,�i��` Including ductvvork/vent liner t]Yes d No _ UCR nn .4(e5 7 e _ nx a rep ace/re11ocatehratiiY-suspcn e . City/metro lie.no.: wall,or floor mounted _ Name(p(t=w print): 4jrtijA VentCorapp rc7trn: manceo er Un uact: e 6 tion units _ 13TH/14 _ Name: � /`I/y T�' ri 7��1� Chillers_-. -- HP - Address! Sa• �c.V �� S T Com ressots` HP t IrOteatal c. ust and vent ation: -1 C.iry: 7 i d She-G' ZIP: 7oLJ-4 Appliancevent Phone 3 6ao- Fax:59So719' E-mail: Dryerexhaust Hoods.TypeT/ res, tehen7hatmat hood fie suppression sy stfnl J Name: kAf rif M 72e Q-/-/5e. Exhaust fan with single duct(bath fans) Mailing address- Sl.(J __WE > GT taust systema an from healing or C. �fVO S tic�s nt on(up to 4 outNtN) City: 7 ! ' SLife:e),,e -L[P 7a,14 Type LI'G NG Oil Phone: 26Fax: I E-mail: Fuel pipingc 1ch additional over 4 Outlets :I roctu pipiog(schematic inquired) Name Number of outlets tI`tsfnd appy of oee or equ pment: Address. DCcotativerim lace City' _ 4tatw ZIP. nam-typo -- -- _ Phone: ax: E-mail: oodstovcjP etslT toT Othef: Applicant's sign urs: 17ate:S TN7tme(print): 'r _ ------� Permit fee...... ._....... ...S — �vn 1!untAiutlON s'riyt.ream; ,junuricnnn for iNotttmion. �—'- visa O Mterl '.004� ,�` If Notice This permit apphcauon Mtnunum fec... ...S -_ 4MM� O.rt+irt"if r permit is not obtained Plan review(at `�) J cna cmt wmbr, within 180 days atter it has been 1 I Me±lp 1_� Xp'� State surcharge(8%) ....S _ �ne:nmgle_of accepted as complete. S TOTAL .........., 5 t ttd601t1u ti/nature Y Amoum_ 410.W7 WOWCOM! May 08 OZ 08t37a Specialty Heating 503 598 0718 p• z SITE .PLAN PL PL — --- ISL a PL STREET Specialty Heating & Cooling, Inc 9528 S W Tigard Strc et Tigard, OR 97223 Phone 503.620.5643 Fax 503 .598.0718 Hillsboro Phtme 503 .640.3607 Fax 503.681 .0793 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _ u Date Re ested_ AM._ PM — BUP Location _--- L U �'� J Suite MEC Contact Person Ph(—_) to Z� 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 � L'�9L IA4 1k04 h h�C 2.y/U �/ �✓%Qi�s� �i.,Ce!'�•T"' Insulation 47/CvN�� Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd i;eiling -- ---- Roof Other:_ — — Final PASS PART FAIL - PLUMBING Post 8 Beam - -- i^--- Under Slab Rough-In — Water Service Sanif,a y Sewer Raii i Drains — Catch Basin/Manhole Storm Drain — Shower Pan Other: -- Final PASS PART FAIL --�— — - - _MECHANICAL Post 8 Beam ---- -- - __ — _ Rough-In Gas Line — Smoke Dampers [*Imb— &,CAL PARTFAIL— Service --- — — Rough-In UG/Slab Low Voltage Fire Alarm — Final n Reinspection fee of$ required before next ins PASS PART FAIL 4 pection. Pay at City Hell, 13125 SW Hall Blvd. SITE — Please call for reinspection RE: _ E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab - � Inspector Other: _ Final - DO NOT REMOVE this inspection reoord hole the fob site. PASS PART FAIL L _ ELECTRICAL PERMIT CITY �F �'IGARD PERMIT#: ELC2003-00744 DEVELOPMENT SERVICES DATE ISSUED: 12/26/03 13125 SW Hall Blvd., Tioard, OR 97223 (503) 639-4171 PARCEL: 25111DD-01300 SIVE ADDRESS: 08840 SW AVON CT ZONING: R-4.5 SUBDIVISION: STRATFORD BLOCK: LOT : 045 JURISDICTION: TIG Project Description: A/C unit RESIDENTIAL UNIT TEMP SRVCiFEEDERS _ MISCELLANEOUS_ 1000 SF OR LESS: — 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 arnp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: __ PLAN REVIEW SECTION 1000+ amp/volt: — >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: TRELISE,MARTIN OWNER 8840 SW AVON COURT TIGf RD,OR 97224 Phone: 503-598-7698 Phone: Reg #: FEES _ Description Date Amount Required Inspections Ll PRMTj ELC Permit 1' _1001 $46.85 I-rAXJ 8%State Surcharge I, 2h(11 $3.75 Elect'I Final 'Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes 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 H work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344 Issued By: J, Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ __.. — DATE: LICENSE NO: _ -- - ----__�,—_—___ --- -- Call 639-4175 by 7:00pm for an inspection the next business day Flecti: ica! Pe n it Application FOR PFF.ICE USE ONLY. City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : A 34,, 6' PerinitNot' •'D / RevPhone: 503,639.4171 Fax: 503.598.1960 .� Plan By: w Date/ Other Permit: Inspection Line: 503.639.4175 Date Ready/By: lura 0 See Page 2 for Internet: www'.ci.tigard.or.us Notified/Melhod: Supplemental information TYPE OF WORK i PLAN REVIEW ❑New construction Addition/alteration/replacement Please check all that apply: ❑Demolition ❑Other: ❑Service over 225 amps,comm'I [3 Hazardous location -- ❑Service over 320 amps-sating ❑Buildng over 10,000 sq.11., CATEGORY OF CONSTRUCTION of I-and 2-family dwellings 4 or more new residential I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Multi-family ❑Master builder ❑Other: ❑Eluilding over three stories []Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SrTE INFORMATION AND LOCA'T'ION ❑Egress/lighting plan RV park Job no.: Job site address: 8t9�I0 Sem 9YiI/✓e-'T []Health-care facility []Other:_ Submit_I sets of plans with any of the above. City/State/ZIP. 2612o0z> OlCi t/ The above are rot applicable to temporary construction service. Suite/bld ,/a t.no.: FEE* SCHEDULE name: Description Qfy. Fee. Tm+' Cross street/directions to job site: New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.R.or less 145.15 4 Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion 33.40 _ I Tax map/parcel no.: i- Limited energy,residential 75.00 2 --- Limited energy,non-residential _75.00 2 DESCRIPTION OF WORK _ Each manufactured or modular /fL/FC7'T,ICAL C��.�i✓iCCT/��✓ Df (�°S dwelling,service and/or feeder 90.90 2 -- Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 —�PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 -- Name: 401 amps to 600 amps 160.60 2 /�T/N L: TiQ�z�'/1 i 601 amps to 1,000 amps 240.60 2 Address: Q S'&L- Over 1,000 amps or volts 1 454.65 2 City/State/ZIP: _( Reconnect only 66.85 2 `yam 2 _-_ � �� y _ Temporary services or feeders installation,alteration,and/or Phone: U� n relocation (S ) S --�� O Fax:( ) 200 amps or less �6�6.85 _ I Owner Installation:This installation is being made on property that I own ch is not 201 amps orto amps 1' 00.30 - 2 intended for tale,lease,rent,o Xchange according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75_ 2 Owner signature: r'' Date:/-0C'� Branch circuits-new,alteration,or extension.per panel ❑ APPLICANT_ ❑ CONTACT PERSON A.Fee for branch circuits with service or feeder fee,each Business name: — -- branch circuit 6.65 2 Contact name: B.Fee for branch circuits without service or feeder fee, Address: +� �'a �j /a V'69,,�/ (- T each branch circuit 46'85 (� j� 2 ,fid Each add'I branch circuit _6.65 2 City/State/ZIP: C/r �� '. Miscellaneous(service or feeder not Included) Phone:000) Pump or irrigation circle 53.40 2 E-mail: Sign or outline lighting 53.40 2 Signal circuit(s)or invited- ` CONTRAChOI energy panel,alteration,or Business name: f �>`�`L L/ extension.Describe: Page 2 2 Address: Each additional Inspection over allowable In any of the above -- -- Per inspection 62.50 City/State/ZIP: Investigation per hour(I hr min) 62.50 Phone:( ) Fax;( ) Industrial plant per hour I73.75 ELECTRICAL PERMrr FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: — Subtotal Supry Electrician signature,required: Plan review(25%of permit fee) Print name: Date: w State surcharge(8%of permit fee) -� �-- TOTAL.PERMIT FEE Authorized signature: �✓ f This permit application expires if a permit is nil obtained within Iso Print name: —? ' —� days after It has been accepted a complete /F o/V y Date: /2 zG U • Fee nrerhodololly,set by Tri-County Building Induary Service Board •• Number of inspections per permit allowed. ilBuildintiler., %MC-ParndtAppdoe 12/0) 440-4615T(I0t02/CoWWEn Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES; RESIDENTIAL WORK ONLY: Fee for all residential systems combined........ $75.00 (_'heck'I ype of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: _ COMMERCIAL WORK ONLY: Fee for each commercial system....................... $75.00 (SEE OAR 918-260-260) 'i Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data'Telecommunication Installation ❑ Fire :'Mann Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i�3uildin{\PermiulLc-PermhApp doc 04ro3 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received Date Requested �` AM PM BUP Location �,2_ (. L-- Suite_ _ MEC Contact Parson .- _ Ph( ) PLM Contractor _ _ Ph( ) SWR - BUILDING Tenant/Owner _� S 7 b�� ELC 3~y�7 L/ __ Footing Foundation Access: ELC Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors ------ — Ext Sheath/Shear Int eat ear Framing - -- - Insulation Drywall Nailing Firewall Fire Sprinkler -- _- - — - Fire Alarm �-- Susp'd Ceiling - --- Roof Other: Final ___PASS_PART FAIL PLUMBING Post&Beam Under Slab —_ Rough-In Water Service - - - - ---- Sanitary Sewer Rain Drains - _-_ - - ---- -- - -- - Catch Basin/Manhole Storm Drain -- - Shower Pan Other - Final FSS FAIL - - Post—8Beam - _- Rough-In Gas Line Smoke Dampers --- — inWSART FAIL ELECTRI ice Rough-In 412,< all ' UG/Slab Low Voltage A - Fire Alarm r (PASS PART FAIL 1-� Re sp` "n fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd SITE u Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA 6 �' - Approach/Sidewalk Date -�- Inspect r �,c.c� �`�� Ext_ Other: Final DLJ NOT REMOVE this Inspection record from the job site. PASS PART FAIL � _ 1 C!TA" h Ir- T:"'I.A R D 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DI` 'Slry Business Line: (503) 639-4171 MST BUP — Received _ i ate Requested "Z AM PM _____- -- BUP -_- _-_— Luc:ation ___ —__--!T�!`�1r` Suite --- _ MEC Contact Ferso- Ph(_ ) PLM _ Contractor _ — Ph(—) SWR _ - --- --- r .6II.DING Tenant/Owner 223 CA JZ;, S2[(- 7� 9' ------ - ELC �y� 7 Foun(',3tion ELC Ftg D-Air Ac,ess' ELR Crawl non t slab Inspection ;Votes: — - SIT r• st&Bean: ohear Anchors - - ------ Ext Sheath/Shea Int Sheat;/Shear Framing Insulation Drywall Nailing --- - Firewal; � --- Fire Sprinkler --- - ----- --- -- ___ Fire Alarm Susp'd Ceiling - Root Other.-_ -- - - Final _ SS PART FAIL PLUMBING Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain Shower Pan Other: - Final T FAIL - - - - - - Post& Beam _ Rough-In - Gas Line oke Dampers - -- - _P RT FAIL - ----- _ELECTRI - j,ce -- ` - Rough-In —L�'�1yp, UG/Slab - .--.—�-- ---_---- Low Volta -- Fire Alarm r ASS PART FAIL L� Reinspection fee of$____. __ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE E] Please call for reinspection HE:-__ Unable to inspect-no access Fire Supply Line ADA _ Approach/Sidewalk dab = - Inspecto#_ �e - � --Ext- - Other: - Final DO NOT REMOVE this Inspection record from the Jab site. PASS PART FAIL