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12
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A
11799 SW Aspen Ridge Dr
MASTER
CITY OF TIGARD PERMIT
MSTT
PERMIT N: MST2000 00362
DEVELOPMENT SERVICES DATE ISSUED: 10/18/00
13125 SW hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11799 SW ASPEN RIDGE DR PARCEL: 2S11013D-04700
SUBDIVISION: ASPEN RIDGE 7.0NING: R-4.5
BLOCK: LOT. 012 JURISDICTION: TIG
REMARKS: New SF detached. Path I
BUILDING
REISSUE: STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 20 FIRST: 7.267 of BASEMENT: of LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,1;0 0; GARAGE: 77e of FRONT: 20 PARKING SPACES
TYPE OF CONST: 5N DWEL'ANG UNITS. 1 FiNBSMENT. of VALUE: RIGHT: 29
R 75n 0717
n
OCCUPANCY ORP: R3 BDRM 3 BATH: 3 TOTAL: 3.187 00 of REAR: 20
PLUMBING
' SINKS: i WATER CLOSETS, I WASHING MACH. I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS
LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES- 100 SF RAIN DRAINS: 1 CATCH BASINS,
TUR/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 5 CLOTI IES DRYER: I
i3AS FURN>-TOOK: I UNIT HEATERS: HOODS: 1 OTHER UNITS 7
MAX INP: hlo FLUOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLE IS. I
_ ELECTRICAL. ---
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS_ BRANCH CIRCUITS MISCELLANEOUS__ P DD'L INSPECTIONS -
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amG: WISVC OR FOR: 1 PUMPIIRRI(aA110N: PER INSPECTION.
EA ADD'L 5003F. 7 201 400 amo: 201 400 amp: let W/O SVC/FDR: 00 SIGN/CUT LIN 1_7: PER HGUR,
LIMITED ENERGY 401 - 600 amp. 401 • 600 amp. EA ADDL BR CIR: SIGNAL/PANEL. IN PLANT.
MANU HMISVCfFDR: 601 • 1000 amp, 601.ampa-1000V: MINOR LASE'_:
1000.ampfvoll: PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS: SVCIFDR>=215 A: >600 V NOMINAL: CLS AREA/SPC OCC,
ELECTRICAL.-RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO VACUUM SYSTEM: X AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM: X OTH: IRRI(lATION BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL.
GARAGE OPENER CLOCK INSTRUMENTATION: MEDICAL: OTHR:
MVAC DATAf'ELF COMM: NURSE CALLS TOTAL 0 SYSTEMS:
TOTAL FEES: $ 6,816.79
Owner: Contractor: This permit is subject to the regulations contained in the
GARY HASLAM CO GARY W HASLAM Tigard Municipal Code.State of OR Specialty Codes and
W15 SW JAMIESON RD 9415 SW JAMIESON RD all other applicable:laws All work will be done in
BEAVERTON,OR 97005 BEAVERTON,OR 97005 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone Phone Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Ruta M: ur 1.15aas forth in OAR 952-001-0010 through 952-001-0080 You
c/ may obtr'n copies of these rules or direct questions to
�qq / OUNC by calling(503)246-1987
�y(s RCQUIRED INSPECTIONS
Erosion Control Insp Post/Beam Mechanica Mechanical Insp Framing Insp G;1s Fireplace Electrical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Irsulation Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp FootingiFoundallon Dr; Electrical Service Low Voltage Water Line Insp Final inspection— t
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final J
Iss,ied By : t k1 �'- -�-__- Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the business day
CITYOF TIGARD SEWER CONNECTION PERMIT —
DEVEL.�JPMENT SERVICES
PERMIT#: SWR2000 00248
13125 SW Hull Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/18/00
SITE ADDRESS; 11799 SW ASPEN RIDGE DR PARCEL: 2S110BD-04700
SUBDIVISION: ASPEN RIDGE ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: DWELLING UNITS: 1
TYPE OF USE: NO. OF BUILDINGS: 1
INSTALL TYPE: L.TPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached.
Owner: --— �_—_—
FEES----
EES _
GARY FIASLAM CO. — - --
9415 SW JAMIESON RD _Type By Date Amount Receipt
BEAVERTON. OR 97005 PRMT CTR 10/18/00 $2,300.00 27200000000
INSP CTR 10/18/OG $35.00 27200000000
Phone: 291-0164 --—
Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feel in all directions from th,� distance given If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon iaw requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
Issued by: 4 C� <<tJ_�� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nezL-V6siness day
ov
CITY OF TIGARD Resid / ration Plan Check
1:3125 SW HALL BLVD. � Rec'd By
TIGARD, OR 97223 Date Recd o L)
Date to P E.
V 503-639-4171 F- Z
F 503-684-7297 Date to DST �- ,G u
Permit*/YS1.2000-
Print
2000-Print or Type Called�I- -
Incomplete or illegible applications will not be accepted
- — --- .a u7/1.2 0 2 y
Name of Project -� - - ---- Name -
Job
Site Adder �- Architect Mailing Address
Address ,e�Apd�d �� �� X.4a _
1,7 91_==�a�L��-l'yir � ' - city/Ste a Zip Phone
Name
Owner Mailing / C Name
Engineer Mailing Address -
Cit;:"tate Zip Phone
v --
Name c City/State Zip Phone
General �,.�.t�F�..c c', �-,+t`y►124.�
Contractor lavt M Describe work New Addition O Alteration O Repair O
Mailing Address // to be done
Prior to permit >>/jJ' -��J �;- Additional Description of Work:
issuance,a copy Cit /State Zip Phone
of all licenses �,, ,ofP,4
are required if Oregon Const.Cont Board Exp Date PROJECT
expired in COT Lic.# VALUATION $ �//',�O[70
database _ Pyf —� _ - y_ Oy
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- •/� i Sr. Sq. Ft.House: Sq. Ft. Garage
Contractor Mailing Address-T--` J1 7 0•
Prior to permit rrf0 f f y, Indicate the restricted energy installation by the electrical
issuance,a copy City/$tate Zip Phone subcontractor in the following areas
of all licenses � ,,,,,, '2A y Restricted Audio/Stereo
are required if Oregon Const Cont Board Exp Date Enervy _ S stem Alarms
expired in COT Lic it Installations Vacuum Irrigation
database /0 y�_—� &-," stem System
Plumbing Name , (check all that Other:
Sub- op�.+•+• apply)ss�/M Number of Units In Buildin Unit Number Desi nation
Contractor Mailing A resdt3 s � 9 g
�aHas the Subdivision Plat recorded? N/A I YES I NO
Prior to permit Ci to 7ip Phone
issuance,a copy 1�i 4416-ilJt —
of all licenses are Oregon Const.Cont.Board Exp Date
required if Lic#
expired In COT irrill G .*L -0-P
database Plumbing Lic.# Exr Date I hearby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized agent
14,L V 046 ,�-J/-e/ of the owner,and that plans submitted are in compliance with
Name Oregon State laws.
ElectricalSignature of ner! Date
•�fr��r.rs�`.�a�vc.� L..
Sub- Mailing Address rso -0 _
Contractor iw Cot n rn Phone#
City/State 7_11) Ph,n
Prior to permit
issuance,a copy ,.y _f y All,3• 4 1- FOR OFFICE USE ONLY: _
of all licenses are Oregon Const Cont Board Exp Date plat# Map/TL#:
required if Lic#
expired in COT y L-- G1�•�� G J /� irc '7 'Q�/ 't7(�
database Electrical Lic # Exp Date et cks: , Zone:
Electrical Supervisor Lic # Exp Date Engineering Approval: Planning Approval: TIF:
Vp
i\ds!skforms\s'd-new doc 11/20/98
I
4
J f�
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
FINNEY + SONS PLUMBING
20010 NE GLISAN
PORTLAND, OR 97230
Plumbing Signature Form
Perm;+ #: MST2000-00367.
Uate Issued: 10118/00
Parcel: 2S110BD-04700
Site Address: 11799 SW ASPEN RIDGE DR
Subdivision: ASPEN RIDGE
Block: Lot: 012
,Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached. Path I
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 helow and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing :rispections will be authorized until this completed form is received
OWNER. PLUMBING CONTRACTOR:
GARY HASLAM CO. FINNEY + SONS PLUMBING
9415 SW JAMIESON RD 20010 NE GLISAN
BEAVERTON, OR 97005 PORTLAND, OR 97230
Phone #: 291-0164 Phone #: 666-2839
Reg #: I Ir 94531
PI M 26-244PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Sign re of thorized Plu
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CONTRACTORS ELECTRIC INC.
465 NE 181ST
PORTLAND, OR 97230
Electrical Signature Form
Permit #: MST2000-00362
Date Issued: 1Oil 8/00
Parcel: 2S110BD-04700
Site Address: 11799 SW ASPEN RIDGE DR
Subdivision: ASPEN RIDGE
Block: Lot: 012
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached. Path I
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections Nill be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
GARY HASLAM CO. CONTRACTORS ELECTRIC INC.
9415 SW JAMIESON RD 465 NE 181ST
BEAVERTON, OR 97005 PORTLAND, OR 97230
Phone #: 291-0164 Phone #: 762-5828
Req #: LIC 124616
ELE 26-966C
SUP 2544S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
f -
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUIP
Received __— Date Requested -fJA�7-AM __-- PM BLIP
Location _ ✓ uite ------- MEC
Contact Person ._ _ Pti(— ) _—__—_-_ -_______ PLM. iC'1`-' C-)U
Contractor —_ P.1 SWR — - -_
BUILDING _ Tenant/Owner __..—_—_. ELC
Footing ELC
Foundation Access:
Ftq Drain ELR --.. ---- - _
Crawl Drain
Slab Inspection Notes: SIT -----_---_------- _--
Post&Beam ------- --
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -. - -----
Insulation
Drywall Nailing - - --- ----- -- oe
Firewall
Fire,,prinkler
Fire Alarm ,/�
Susp'd Ceiling
Roof
r'
Other: _..-
Final
� ---PAflL- FAIL - -------.....------..------- - -- —
Post& Beam
Under Slab --- -----------
Rough-ini�
Water Service -----
Sanitary Sewer
Rain Drains �—
Catch Basin/Manhole
Storm Drain - --- — ---
Shower Pan
Othgr�cc�CXi - - -- - ---
Finfil '
'laA PART FAIL _
M HANICAL — _ --__—
ost& Ream
Rough-In _-- . --- -— - - --- --
Gas Line
Smoke Dampers ---- -- - - - --- -- ---- .... —_--- - -
Final
PASS PART FAIL ------- ----------------- - - -- -- -
ELECTRICAL
Service ------- ------_ -_---_--------- - ----- ----- -----
Rough-In _-- -----_ —UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ E' Please call for reinspection RE:-. _ Unable to inspect-no access
Fire Supply Line ,
ADA
Approach/Sidewalk. Da _ Inspector -- Ext
_tes ��
Other
Final DO NOT REMOVE this Inspection record frim the job site.
PASS PART FAIL
d`
�w.a.iwfl L.-•� -
CI TY OF T I G A R D PLUMBING PERMIT
' DEVELOPMENT SERVICES PERMIT#: PLM2001-00218
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 5/29/01
SITE ADDRESS: 11799 SW ASPEN RIDGE DR PARCEL: 2S110BD-04700
SUBDIVISION: ASPEN RIDGE ZONING: R-4.5
BLOCK: v LOT: 012 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES-
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS:
GREASE TRAPS:
LAVATORIES:
OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device.
Owner: FEES
GARY HASI.AM CO. Type By Date Amount Receipt
9415 SW JAI'AiESON RD PRMT CTR 5/29/01 $36 95 27200100000
BEAVERTON. OR 97005 5PCT CTR 5/29/01 $2.90 27200100000
Total $39.15 A
Phone 1: 291-0164 — `—
Contractor:
RAIN OR SHINE LANDSCAPE MAINT
28400 SW LADD HILL RD
SHERWOOD, OR 97140
REQUIRED INSPECTIONS
Phone 1: 503-625-3042 RP/Backflow Preventer
Reg#: LIC 6743 Final Inspection
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 if 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 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to C'UNC by calling (503) 246-1987.
htsued By: _
_. C�t�ot
Permittee Signature:
� L
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
"Datermeceived: 5 0�l �/ rP, "o,: /�� _ 6' (�
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 --
City ojTigard Phone: (503)639-4171 Project/appl.no.: Expire date:
Fax: (503)598-1960 Date issued: By: Receipt no,: --
L,atld use approval: Case file no.: Payment iyp,::
0 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
=td 11
U New construction U Additior✓altcration/relacement U Food service Cil'Other: -D!,.
FUT
Job address: ,w, °, _ IMscription Qty. l ee(ea.) 'Total
Bldg.no.: uite no.: New I-and 2-family dwellings only:
(includes 100 ft.for each utility connection)
7 ax map/tax lot/account no.: _ -__ SFR(1)bath
Lot:— IBlock:r Subdivision: SFR(2)bath----- _---� - -W--- -
Project name: - rt,. Q-t 0.g SFR(3)bath
City/county: Tt ,,, -- Wrr'. 'LIP:--q 711 Each additional hath/kitchen
Description and location of work on premises: •�Z ��^ Site utilities:
-10 (_4 1 !j ft r r S Catch basin/area drain
Est.date of,—,impletion/inspection:' Drywells/leach line/trench drain
11111119490 Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: A
_ _ �r4 t� c r ^^f' S t Manholes
Address: z,SHcl e, %,;j pjj Rain drain connector —
City: 111 �" --- _ State:(gym ZIP: Q Sanitary sewer(no.lin.ft.) --- --
Phone: L L 5 ` 2. Fax: E-mail: Storm sewer(no.lin.ft.)
CCR
no.:`50 �Plu n a.reg.no: �S' _ Water service(no.lin.nk 112:E . -�- ---- -
City/metro lie.no.: D _ Fixture or Item:
Contractor's represents ve signature: `/cr>� Absorption valve
Pont name: I Date: 51-Z110 Back flew reverter
Backwater valve _
Basins/lavatory^
Name: Clothes washer _
Address: -- __ - - Dishwasher
State: 'T_.IPDrinking fountain(s)Ejectors/sum
City: :
Phone: Fax: E-mail: Expansion tank
Fixture/sewer cap
Name(print): ar Floor drains/floor sinks/hub G _
��T `' '� --- -
Mailing address: arbage disposal
- --
Hose bibb
City: _ _ State: ZIP: Ice maker
Phone:y0-- ur3 br' i•ax: I E-mail: - -
Inrerccptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the pmpetty 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _
Owner's signature: Date: Sum _
Tubs/shower/shower pan _
_Name: Urinal _
-------- -- - Water closet _
Address: Water heater
City: State:_ ZIP Other:
__
Phone: _- Fax: _ I E-mail: _ Total
Nor all Juris.actions accept reedit cards,please call juriadicNon for luxe infomutim. Minimum fee................$
,lotice:'Mis permit application —
U visa u MasrerCttrcl Plan review(at + 9E) $
expires if a permit is not obtained — —
!'redit can?murder:_ �,.�— within IRO days atter it has been Stade surcharge(8Q6)....$ �" jr
E<pites f.
accepted as tom Tete. TOTAL .......................$
home of can9rolder as eA�ram ont cadp p
$� r
Cardholder siErtatl!! 440.1616(001COM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 rind 2darWhy dwellings only:
FIXTURES indivldua_L^ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
a 16 B0 for each utill connection)
Lavat
y — Ones bath 3249.20
-- — --
Tub or Tub/Shower Comb. 16.60 Two(2)bath — $350.00
Shower c my 16.60 Three(3)bath —_-_ —_ $399.00
Water Closet �— 16.60 - _ SU_B_T_OT:,L _—
Urinal 16.60 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
tarbage Disposal 16.60 TOTAL
LaltndryTray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16,60
3 16.60 PLEASE COMPLETE:
4- 16.60
Water Healer 75—conversion O like kind 16.60 L_ Quantic b Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit.
MPG Horne New Water Service 46.40 Sink — —�
WF_G Hume New San/Storm Sewer 46.40 Lavato _ —
Tub or Tub/Shower
Hose Bibs 1660 Combination —_
Roof Drains — — 16.10 Shower-Only _
Drinking Fountain — 16 60 Water Closet _
15.r:;0 Urinal —
Other Fixtures(Specify) _ Dishwasher _
— _ Garbage Disposal
LaundryRoom Tray—
- — - — Washing K act
_— — Floor Drain/Sink: 2"
Sewer-1 st 100' 55.00 —3"
Sewer-each additional 100' 46.40 4" _
Water Service-1st 100' -- 55.00 Water Heater _
Other Fixtures
Water Service-each uddltinnal 2U0' — 46.40 Soecify) _�—
Storm&Rain Drain-1st 100 55.00 _ —
Storm&Rain Drain-each additional 100' 46.40 ---_ — —_ --
Commercial Back Flow Prevention Device 46.40 ----- — —� —
Res!t4ntial Backflow Prevention Device' ( - 27.55 71
Catc Basin 15.60
Inspection of Existing Plumbing or Specially 72.50
Requested Inspections er/hr _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps — 1660 ---- _— — ------ --
QUANTITY TOTAL
Isometric or riser diagram Is required N
Guantity Total Is >9
*SUBTOTAL — --
8%STATE SURCHARGE
"PLAN REVIEW 25%OF SUBTOTAL
Required only if fixture qty total is>9
TOTAL b
Minimum permit fee i;$72 50 4 8%irate surcharge,except Residential Backflow
Prevention Device,which Is$36 25•8%state surcharge.
**All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
I:\dstslformstplm-fees da: 10/10/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ;�-,V`I 3G Z
k4-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUPDate Requested 641 ---AM AM PM _ BLD _
Location_ fl y Suite MEC
Contact i-lerson Ph _ PLM
ContractorPh SWR
— Tenant/Owner __ ELC - -- _ -.—
Retaining Wall -- ELR -- -
Footing Access: FPS
Foundation -- --
Ftg Drain — SGN
urav l Drain Inspection Notes: -- —
Slab _ --_ —_. ----_—_ SIT — --
Post&Beam
Ext Sheath/Shear ------------ -
Int Sheath/Shear
Framing -- - - ---.. _-__ --------- -- ----------..- - - -
Insulation
Drywall Nailing -_ - --- - -- --- ------- ---
Firewall
Fire Sprinkler ------ _---------------- ---------- ---- - -
Frre Alarm
SusfidCeiliny - ---------- -- - ---- - ----- ------- ._.. -- -
Roof
biisc _ ---------- - -- ------ ------ --- - -- _- -- -
Fi -
SSPAR'r FAIL - - ---- ---J.__---------------- - - ----- --
PL MBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS) PART FAIL - -- -- ----- ---- _----- - ------�.__ -- -- --
MECHANICAL
Post& Beam - _-----.-_----------- ---------__-_ --------------- - ----- -
ough In
GasLine -------- -------.__--_-----�_-_---- --- - ---- -_---------__---------
Smoke Dampers ___-- ------
Final
PASS PART FAIL
ELECTRICAL
— --- ---_ _---------- __ �----- --------._.._.-_.--
Service _—__ ---------------- --- -- — _-
Rough In
UG/Slab ------ ----- - - - ----- ----- - - ----
Low Voltage
Fire Alarm --__--
Final
PASS PART FAIL ___-----__-- - _-- ---- - — - --- ____^
SITE ------------ - -—
Backfill/Grading -- --
Sanitary Sewer
Stone Drain I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch BasinUnable to inspect-no access
Fire Supply Line ( ] Please call for reinspection RE -- ___ I l p
ADA `
Approach/Sidewalk g Inspector Ext
Date _
Other —__-
Final
PASO PART FAIL DO NOT REMOVE this inspection record from the job site.
UTY OF TIGARD BUILDING INSPECTION DIVISION
Z-
-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST ��.3L
BUP
- Date Requested 4* C.-I ` _AM PM BLD —_^ --
Loc ' —
OS �e'= ��d.�r Suite MEC
('on.- et ,on Ph +)v — 7Z �� PLM
Contractor _— Ph SWR _ —
BUILDING Tenant/Owner _ ELC
Retaining Wall `
Footing ELR
Foundation Access: /�-�
FPS
Ftg Drain
Crawl Drain Inspection Notes. SGIN
Slab _ _
Post&Beam --+-- SIT
Ext Sheath/Shear
Int Sheath/Shear --- - -
Framing -
Insulation --" ---
Drywall Nailing / / _ ¢rt c l _ ,`�,• _ r-t�.'c='?' 4
FirewallFire Sprinkler
Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Mise. - _ - ---- -- -
Final
PASS PART FAIL - ----- --_-- _ __- - __--
1
Post 8 Beam --------- -- ---- --- --
Under Slab
Top Out ------ --------
Water Service
Sanitary Sewer f x _- -- - -----� --
-------- -----------
BAW-Dia
ins 0/ /
SS PART FAIL
AN CC
ALL - - --------
Post& Beam ------- ---- --- - --- ----- - - - _
Rough In
Gas Line —---- -----
Smoke dampers -------- __-.-- --- ---
Final - -- - -- -- ----- - --------- ----- -
PASS PART FAIL
ELECTRICAL ,._- ---- ---._�—__.---- — ------
Service
Rough In
UG/Slab _--
Low Voltage -- - --_.---- -- -
Fire Alarm
Final -- ---
PASS PART FAIL
SITE -
Backfill/Grading — -- -- --- ----- ------ - - -- -. -
Sanitary Sewer
Storm Drair, ( J Rcwmspection fee of$ _ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: _ — __. [ ]Unable to inspect- no access
ADA ,
Approach/Sidewalk /
Other Date �i' _-- �r --- Inspector , `1 C E'/c,��'-� Ext
Final
PASS PART ---FAIL__] DO NOT REMOVE this Inspection record from the job site,
CI) Y OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST e0 -063G 2
BUP _
Date Requested fU'.3AM PM BLD _
Location_ �/ 7 y Sw Seo Suite MEC
Contact Person Ph A - SZ 7 / PLM
Contractor _ Ph _ SWR _
BUILDING Tenant/Owner _ ELC —
Retaining Wall —- —
Footing ELR — _—
Foundation Access: —
Ftg DrainFPS
Crawl Diain Inspection Notes: SGN
Slab —�—
Post& Beam - --- —--- _—_-- — SIT _
Ext Sheath/Shear -
Int Sheath/Shear
Framing
Insulation _._— -- ----- _— _ __ — ----- --- -
Drywall Nailing
Firewall `-- _--_—._—_—_— ----_--- ----
Fire Sprinkler —_—
Fire Alarm --
1SUsp'd Ceiling _
poof — �--- — ---- ----—— - -----
Final — —
PASS PART FAIL
PLUMBING -
Post&Beam - —--- - —
Under Slab
Top Out --- ---- — -----
i.Nater Service
Sanitary Sewer ---- — _ _
Rain Drains
Final -- -- --
PASS PART FAIL -A,, /e/_
MECHANICAL v
Post&Beam --- _ —_—
Rough In
Gas Line
Smoke Dampers Y —
Finai ---- V
PASS PART FAIL
Service. —
Rough In — — — —_
UG/Slab
Low Voltage
Fire Alarm
%�ASSPART FAIL.
Backfill/Grading -- —_�. __---_---
Sanitary Sewer
Storm Drake ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin — —
Fire Supply Line [ Please call for reinspe_(ion RE _— ( ]Unable to inspect-no access
ADA
Approach/Sidewalk / l ?f
Other — Date
Final /Inspector n Ext
PASS PART' FAIL W) NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection ' ine: 639-4175Business Line: 639-4171 MST -201"a -6u,3G Z —
BUF
Date Requested .5- 3y AM PM — -
— - BLD _
Location / 7Suite MEC
Contact Person _ Ph ;74 PLM -- —_
Contractor Ph SWR
BUILDING Tenant/Owner - — ELC
Retaining Will — ELR
Footing ---
Foundation Flnsj�")actiot,
e S: FPS
Ftg Drain Crawl Drain 11;::ies: SGN
Slam --- ------
Post&Beam ,. — - --- —- -- SIT
Ext Sheath/Shear —
Int Sheath/Shear A-7-7 n_.- ----- ---- -----
ramin9
Insulation -- -- -- ------ — ----
Drywall Nailing
Firewall —- -- — --
Fire Sprinkler �_----
Fire Alarm - ----- ----- - --- -- -
Susp'd Ceiling --
Roof —
Misc: _------ -- - ----_
Final --
PASS PART FAIL
PLUMBING -----`---__-.--._--- ---- ---- -
Post& Beam —_._. �.--- -- --— ------- ._ ---
Under Slab
Top Out _—__---- . — - -- —
Water Service
Sanitary Sewer
Rain Drains
Final --------------- --------
PASS PART FAIL
Post e 7m - __ --------_-- -
Rough In ----------------_ --
Gas Line _--
Smok Dampers
PSS PART FAIL -----
(ITRICAL — --------- — --------
Service
Rough In -- - -----
UG/Slab _-
i_ow Voltage - --- -- -- -- -
Fire Alarm
Final ---- — --- -_. -- --
PASS PART FAIL
SITE ----- ---- ----- — ------- ---
Backfill/Grading — -- --- ---- --_ — _-- `_--
Sanitary Sewer
Storm Drain I J Reinspection fee of$ _ --_— required before next inspection. Pay at City Hall, 13 Q5 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE:—_ _ —_ _ [ J Unable to inspect-no access
ADA I
ApproachlSidewalk
Other ^� _ Date 5; Inspector — — Ext
Final -
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site.
R
CITY OF TIGIARD
Residential Certificate of Occupancy
ermit No.: -2MC10 — 003(m2— Address: lk qq
i
Owner/Contractor:
--------------
Date of Final Inspection: ��8!—�I _ Inspector:
'this structure has hcen found to ue in substantial compliance with the provisions of the State of Urekon One& Fvvo Marro!% I hi effing
Ale jalty Code and is hcreby approved to Lu ti _