Case File II
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12305 SW Aspen Ridge Drive
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-
— ---f�ERMIT -
'Y OF TIGQt® MASTER
PERMIT#: M -0(413
DEVELOPMENT SERVICES DATE ISSUED: y;10103lnios
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
jITF ADDRESS: 12305 SW ASPEN RIDGE DR PARCEL: 2S110BC-06700
SUBDIVISION: THORNWOOD ZONING: It
BLOCK: LOT: 038 JURISDICTION: I It
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DM199 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 2,040 of BASFMENT. at LEFT. 5 SMOKE DETECTORS: Y
rYPE OF USE: SF FLOOR LOAD: 40 SECOti'. 1,360 of GARAGE: 412 0l FRONT: 15 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 TOAD at RIGHT: 5
.
OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL: 3,400 -if
324,91680
1 3EAR: 15
PLUMBING
e1NK, WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN LIRAIN: 100 TRAPS.
LAl NT'LRIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF FAIN DRAINS: 1 CATCH BASINS:
UBBHOWERS: 2, GARBAGE DISP 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
FUEL.YPES FURN<100K 130ILICMP<3HP: VENT FANS. J CLOTHES DRYER: 1
GAS FURN>=100K: 1 UNIT HEATERS: HOODS OTHER UNITS: 1
MAX INP: Wa FLOOR FURNANCES VENTS: 1 WOODSTOVES GAS OUTLETS: 4
F!::ZTRICAL
RESIUENTIOL UNIT SERVICE FEEDER TEMP SR11S/FEEDERS BRANCH CIRCUITSMISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 amp: e • 200 amp: W/SVC OR FDR. PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5003F: 6 201 400 amp: tot 400 amp. tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EAADDL BR CIR: SIGNALIPANEL: IN PLANT:
04ANU HMISVCIFDR: 691 1000 amp: POt+ampe•000v MINOR LABEL:
1001"amp/volt: '
PLAN REVIEW SECTION
Roca meet only:
-4 RES UNITS SVC/FDR—.225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO R STEREO: VACUUM SYSTEM: AUDIO 8 STERFC FIRE ALARM: INTERCOMIPAGING: OUTDO(R LNDSC LT:
BURGLAR ALARM: OTH: LOILER. HVAC: LANDSCAPEARRIG: PROTr,;TIVESIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA(TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,01037
This permit Is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipa!Code,State of OR. Specialty Codes and
4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 1001 all other applk;able laws. All work will be done in
LAKE OSWEGO OR 97035 LAKE OSWEGO,OR 97035
accordance with approved plans. This permit will expire H
work i3 not started within 180 days of Issuance,or if the
work Is Suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503-387-3875 Phone: Oregon Utllity Notification Center. Those rul as are set
forth in OAR 952-001-0010 thruugh 952-001 (1080. You
Reg N: � -'-'� � may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Cortro!Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwik Insp
Grading Inspection Posb•Bearr,Mechanica Plumb Top Out Exterior Sheathing Incl Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mecnanical Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM/Underfloor Framir.g Insp Gas Fireplace Water Service Insp Building Final
Vol
Issued By Permitter. Signature
Call (503) 639-4175 by 7:00 p.ln. for an inspection needed the r'ext business day
\ (V I iT Y of TIGARD SEWER rONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00313
3125 SW Hall Blvd., Tigard, OR. 97223 (503) 639-4171 DATE ISSUE 3/10/03
SITE ADDRESS; 12305 SW ASPEN RIDGE DR
PARCEL: 2S 11 OBC-06700
SUBDIVISION: THORNW001) ZONING: R 1
BLOCK: LOT: 038 _ JURISDICTION: "AG
TENANT NAME:
USA NO: OXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: [-.PSWR IMPERV SURFACE.
Remarks: Sewer connection for new SF
Owner: -_�_--- FEES v-
DON MORISSETTE HOMES '�escri tion Date Amount
4230 GALEWOOD ST#100 p
LAKE OSWEGO, OR 97035 [SWUSAI Swr Conncct 9/10/03 $2,400.00
[SWUSA]Swr Connect 9/10/03 $0.00
Phone: 503-387-3875 [SWINSP)Swr Inspect 9/10/03 $35.00
[SWINSP) tier Inspect 9/10/03 $0.00
Contractor.
Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 measu,'ement given, the installer shall prospect
3 feet in dll directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm
/
�
Issued by:cZt�-�c.�--�:'��:r �� Petmitteo Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
I
2,0 din 1"iii tr.+ ,�' =at!--,.n ,
lDate!r_-,42;�cived: (o Permit no�City of of Ti and �''-
Proju:Vappl.no.: ['.xpire date:
Address: 13125 SW Hall Blvd,Tig 1t��JZ 97 2 -
Phone: (503) 639-4171 I o ofl Date issued: _ _ By: Recc,pt.
Fax: (503) 598-1960 Case file no.: Payment type:
CITY OF TIGAH t(!rj
Land use apprOva,: -__ h I&2fam0y.Simple Complex:
U I &2 rainily dwelling or accessory U Commercial/industrial U Multi-family XNew construction C1 Demolition
LI Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
Job address: 7 ' 'V N21', -% Bldg. nc. __L.S�,tte no.:
Lot: Block: Subdivision:' L �_, Tax map/tax lot/account no.:
Project name: --
Description and location of work on premises/special conditions:
Mailing address: 1 &2 family dwelling:
City: State4I _ZIP: Cf ' Valuation of work........................................ $ -
Phone:. - Fax: t -7• -mail: No.of bedrooms/baths.................................
Owner's representative: -, 6 t y Total number of floors................... .............
Phone: Fax: FE-nr'W:_
New dwelling area(sq.ft.) ....... ...
Garage/carport area(sq.ft.).........................
Name: �Y Covered porch area(sq.ft.) ..............I..........
I Mailing address: �. V
Deck area(sq.ft.) ........................................
City: State: I ZIP: Other structure area(sq. ft.).........................
Phone: Fax: E-mail: Commereiattindustrialhnulti-fancily:
111011 Valuation of work........................................ $ --- _
Business name:
Existing bldg.area(sq.ft.) ..........................
'�
Address: Z New bldg.area(sq.ft.) ................................
City: State: ZIP: Number of stories........................................ ---
Phone: Fax:_ _ E-mail: — Type of construction.
f'CB no.: � — Occupancy group(s): Existing:
_��. —_ _ _
New: _
City/metro lie.no.: Notice:All contractors and.ubLontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: C-na tit,`C1 ir�� provisions of ORS 101 and may be required to be licensed in the
Address: n ' jurisdiction where work is being performed. If the applicant is
Cit : State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.: -
Phone: Fax: E-mail: ---- --
Name: Contact person: Fees due upon application ...... ................... $
Address: Date received:
City: State: ZIP: Amount received ......................................... $
Phone: _Fax: I E-mail: _ Please refer to fee schedule.
I hereby certify I have read and examined this application and the got all junsdicdotu accepi c,edi,cards,pie:se raft jurisdiction for more i^rormati(m
attached checklist, rovisions of l ws and o dinances governing this L visa O Mastercard
-Rork will be comp) w, ,whether tried AercA t. (.=Jit card number: _ — Expires
Z 1
Authorized si star _ �" t�le: _ l Name of cardholder u ihowr on cndi,cW —
s
Print name: I 411 I(_�._ —T CXahotr'rrAmount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted is complete. 440 4613(NONCOM)
One-and Two-Family ily Dwelling i t
Building Permit Application Checklist Reference no.:
.+ Associated permits:
City ofrigard City of Tigard U Electrical O Plumbing ❑Mechanical
Address: 13125 SW Hall Blvd.Tigard,OR 97223 ❑Other:
Phone: (503) 639-4171 '
Far: (501) 599-1960
1 1111 1111,11111101.,
I Land use actions completed.Sec junsdiction cntetia fur concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. —
3 Verification of approved plat/lot. _
4 Fire district_ approval required.
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit.
7 Water district approval. — –
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan 0 permit required. Include drainage-way protection,silt fence design and lavation of
catch-basin protection,etc. _
10 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be comple:_d
if copyright violations exist. _
I I Sitelplot pian drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway;footprint of structure(including desks);location of wells/septic systems;utility locations;direction indicator,lot
area;building coverage area;percentage of coverage,Amvious area;existing swctures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection detaiis,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross sections)and details.Show all framing-member sizes and spacing such as Floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, Y
fireplace ce construction, thermal insulation,etc.
15 Elevation
news.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grede is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross rtferences are acceptable.
16 Wall bracing(prescriptive pair) lateral analysis plana.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered
systems,see item 22,"Engineer's calculations." _
19 Beam calculations.Provide two sets of calculations using current code design values for at,seams and multiple joists
_ovea 10 feet long and/or any beam/joist carrying a non-uniform load. —_
20 Manufactured tloorlroof truss design details. __ _.
21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required
for f aur or more appliances. _
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stampci by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
1 '
23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will be accepted.
27
28 —
Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 44a-4614(CvmWOM)
Mechanical Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Halms F r%W V1E1D Date issued: By, Receipt no.,
V� t 1
Phone: (503) 639-4171 nn —
Fax: (503) 598-19601 I((p ennn no..Case file no. _ Payment type:
Land use approval
AUo 6 2003 Building p: _
e�
all-1 1
7LlI family dwelling or accessory _ofrtmercial/industrial ❑ Multi-family ❑"tenant improvement
onstruction O Addition/alteration/replacement ❑Odier:
JOBSI'FEINFORNIATION COMMERCIAL1SCIIIEDULE
Job address: ] ` O� Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suit no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit-Value$ _
Lot: .720 Block: Subdivision:`- ,,'1(� "See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
ILMCity/county: ZIP: 1 t
Description and location of work on premises:
Fee(ea.) Total
Est.date of completion/inspection: Descripdon Res.ody Res.only
Tenant improvement or change of use: an
Is existingace heated or conditioned?L)Yes ❑No Air handling unit — CFM _
space Air con sunning(site plan required) _
Is existing space im•ulated'?;.l Yes ❑No teration o existing
Boiler/compressors
State boiler permit no.:
Business name: 11 I HP Tons BTUM _
Address: _ ire/smoke ampere/ uct smoke etectors
City: <_.l State: ZIP: eat pump(site plan requir
Phone: Fax: E-mail: nsta rep ace mac umer T /
Including ductwork/vent liner G Yes U No _
CCB no.: rstall/replace/relocateheaters•-suspended,
City/metro lic. no.:N/A wall,or floor mounted
Name(please print): Ventfora lance offer than urnace
e erat oa:
Absorption units BTU/H _
Name: `0 CL L, Cnillers lip
--- -- Com ressors HP
Address: G 0— r ortrnenta e. ust and rend tion:
City: State: Z(P: i Appliance vent
Phone: Fax: E-mail: ryer exhaust Hoods, —
Type U I Ures.lutchen/hazmat
hood fare suppression system
Name: Exhaust fan with single duct(bath fans)
Mailing address: 7 �' aust system apart from heaung
or AC
C tie pip ng and distn tit on(up to 4 outlets)
City: State 7.IP ) Type: LPG _._ NO -- Oil
—
Phone: 7' Fax: ! E-mail: vel iping each additional over out ets
rocwpAping(schematic required)
Number of outlets
Name: _ — ter Wed appliance or equipment:
Address — Decorative fireplace _
City: -- -- �State: ZIP: _ nsert-typeWood
Phone: - Fax; E-mail: stove/pe let stove
OW I Other:
Applfrunt's slgnafu" e t Date: 257ter. —_
Name(prints'.
Not dl jurisdicuro acce
opt credit cards.please till junwiction for more information Permit fee ................$ _--�
Notice:This permit application Minimum fee
................S
❑Visa ❑MasterCard / expires if a permit is not obtained _
Credit card number — Expires
within 180 days ager it has been Plan review(at _ %) S
--- -
accepted as complete.
State surcharge(8%) ....S
Name of nrdholdtr as shown on credit card P
sTOTAL .......................$
CardhoiJer sipatum Annum 4"17(GOM M)
FOR*OPFI( 1-1 1 SE ONLY
Electrical Penn cin Received Electrical _
Dale%B : Permit No
City Olt Cigard Planning Approval Sign
OCT
q t 4 2003 Date/By: Permit No.:
13125 SW Hall Blvd.. Plan Review Other
Tigard,Oregon 97223f TIGA! Date/By: Permit No.:
Phone: 503-639-4171 Fax: F3CI1r 4"Wr Post-Review Land Use
'��'' Date/By: _ Case No
Internet: www.ci.tigard,or.us Contact Juns.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method Supple ental Information.
_ TYPE OF WORK _ _ PLAN REVIEW Please check at that apply)
New construction __ __ Demolition Service over 225 amps- I lealth-.are facility
- - commercial E]Ilazardous location
Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION I&2 family dwellings tour or more residenu d units in
I &2-Family dwell ing Commercial/Industrial ❑System over 600 volts nominal one structure
Accessory Building Multi-Family
C3 Building over three stories ❑Feeders.400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑F.gresslighting 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: i r - _ _FEE*SCHEDULE
Suite#: Bld ./A t. : —� Number of fns ections er -mitallowed
Project Name: , � Description _ Qty Fee(ea.) Total
New residential-single or multi-family per
Cross street/Directions-a Job site: dwelling unit.Includes attached garage.
Service Included:
1000 sq,ft.or less 145.15 4
Each additional 50O sq.ft.or portion thereof 33.40 1
j'y� Limited energy.residential 75.00 2
Subdivision �dl^ Gd 1/ j_`�y�#__ 1.1mited energy,non resr'^ntial 75.00 2
Tax map/parcel #: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and or feeder 90,90 2
Sers Ices or feeders-Installation,
alteration or relocation:
- --�-- - 200 ams or less 80.30 2
__ __ -- --- -- 201 amps to 400 amps 106.85 1 2
401 ams to 600 amps _ 160.60 2
PROFERTY OWNER TENANT 601 amps to IOp0�s __ 240.60 _ 2
Over IO00 amps or volts_ 454.652
Name: AW ¢ Reconnect only 66.85 _ 2
Temporary services or feeders-installation.
-alteration,or relocation:
Cit /State/Zi : L (� 200 amps or less 66.85 1
Phone: - Fax:. 7&-/-_ 201 ams to 400 ams _ 100.30 2
401 to 6(A)amps 133.75
APPLICANT LJ CONTACT PERSON Branch circuits-new,alteration,or
Name: extension per panel:
A.Fee for branch circuits w ith purchase of
Addresa: service or feeder fee.each branch circuit 6.65 2
City/State/ZipCity/State/Zip B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit 46.85 2
Phone: Fax: _ _ Each additional branch circuit 6.65 2
E-mail: Misc,(Service or feeder not included)-
_ CONTRACTOR Each pump or irrigation cycle 33.40 2
—•— Each sin or outline h htin 5340 Y_ _
Job No: Signal circuit(s)or a limited energy panel,
Business NL C / alteration,or extension �— Pa e 2
Name:_ _ < _ De_cription.
Address: � �
City/State/Zip: f A D Each additional inspection over the allowable In an o_f the above: —�
Per inspection per hour(min. 1 62.50 _
Phone: 3SL Fax: 1,7 3L Investigation fee: _
CCB Lic. #: 1,5 222L Lic.# C Other _
Electrical Permit Fees•
Supervising electrician ✓ _ Subtotal S
signature required: 7LL — 7 — Plan Review(25%of Permit Fee) S
Print Nail,e: r ic. State Surcharge(8 of Permit Fee S
C"- 9 TOTAL. PERMIT FEE S
Authorized Notice: This permit application expires if a permit is not obtained within
Signature' _ Dater 180 days after It has been accepted as complete.
*Fee methodology, set by Tri-Count Building Industry Service Board.
(Pleas:print name) v�
t DswPerrntt Forms LlcpetmilApp.doc 0103
F:lectricai Permit ;application .- Cite of Tigard
Page 1 - Supple►riental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all systems........................................................... $75.00
Check'r)pe of Work Involved:
Audio and Stereo Systems*
Burglar Alarm
nGaragc Door Opener*
Ilcanng.Ventilation and Air Conditioning System*
Vacuum Systems*
Other _ --
COMMERCIAL WORK ONLY:
Fee for each system......................................................... $75.00
(Ser OAR 918-:e0-260)
Check Type of Work Involved:
EAudio and Stereo Systems
D [,oiler Controls
I
`'lock Systems
Data Telecommunication InstallaD.m
Fire Alarm Installation
El HVAC
❑ Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
Nurse Calls
F11 Outdoor Landscape Lighting*
[_] Protective Signaling
n Other
Number of S�sten s
* No licenses are required. Licenses are required frur all
other Installations
r`Dsts'Permit Forms1IcPermitApp.#1.d,c 01'03
SU AAA
Date received: Permit no. `lci
City of Tigard Sewer permit no.. Building permit no.:
Address: 13125 SSV 14,d lFf )*03 ProlccUappl.no.: Expire date:
City of Tigard Phone: (503) 639-4171
Fax: (503) 598 1960 Date Issued: By: Receipt no.:
AUU U 6 2003
Vase File no. Payment type:
Land use approval:
� a�
7.VL,4e,Nco:ns,u,ucuon
y dwelling or accessory 0 Commercial/industrial O Mult-i-family 0 Tenant improvement
0 Addition/alterabon/replact-mcnt FJ Frwd service Q Other. �-
11 t , ,.. i
Job address: tom" N J-N 1 Description4'". Fee(ea.) Total
New I-and 2-family dwellings only:
Bldg. no.: Suite no.:
(includes l00ft.for cachutility conndtion)
Tax map/tax lotlaccount no.: SFR(1) bath
Lot: Block: Subdivision: Y-N SFR(2)bath
Project name: _ SFR(3)bath _
City/county: ZIP: Each addtuonalbaEvIkutchea
Description and location of work on premises: _ Site utilities:
Catch basin/area drain
DrvwellsAcach lin,•Jtrench drain —
Est date of completiurvinspection: Footing drain(no. lin. ft.)
Ml Manufactured home utilities
Business name: f����p, L �_— Manholes
Address: i Rain drain connector
State- ZIP: SaniUrr sewer(no.lin. ft.)
Cit Storm sewer(no.lin.M)
, �' Fir: E-mail:
Phone: Water service(no.lin.ft.) _
CCA no.: Plumb.bus. reg. no: Future or item:
Cityimetro lic. no.. Absorption valve ---
Contractor's representative signature Back tlow preventer
Print name:
U `� Backwater valve
Basins/lavator:
Clothes -masher
Lim►�l E Dishwasher
Address: k V Dnnkine fountain(s) -
Cir. State: ZIP: E L=rsAum �
Phone: Fax: E-mail: Expansion tank
Fixture/sewer cap
Floor drains/floor sinl:sihub
Name (print): ` Garbage disposal
Mailing address: �T Hose bibb
State ZIP Ice maker
City _ � _
Phone- - Fax: 7-7ki E-mail: Interceptor/grease trap
Owner instadation/residendal maintenance only: Thr" actual instaliation Pnmeri s)
will be made b,, me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sinkisi,baslnw, lays(s)
Date: Sum
Owner's signature _ Tubs/shower:'shower pan
Unnal
Name: Water closet
Address:
- Water heater
Citi state: ZIP: Uthcr
E-mail. Total
Phone: Fax:
Minimum fee................
No,311 junsdictioni 3ecepr cre ,suds please can tunsdicuon rat more in(omuuon Notice:This pe^nit applicatirn Plan review(al __ %))
diS
C Visa O ktaatercard �— expires if a permit is not obtained State surcharge -------
C.edit.3rd numb"- — Expires within ISO days after it has been TOTAL .......................
me
Naj(Glhoider u shown di
oo ae ,card accepted as Complete,
s
_ is0-616 1600'�Y�M 1
Amuun,
czeholder signature
DON • MORISSETTE
H O m E 9 I N ^ 0 R P O R A T B D
4230 G A L 3 W 0 0 D 91nRE I 3UITIi 100 R�j1
(6 0 3)B3 8 79 7 6 8� ► A IR(6 0 3) n
3 8 7 It G0 7 6 1 6 OBE :• 2915
LOT: 38
DATE: 7/15/03
STANDARD ELEVATION PROPERTY: THORNW00D
CITY- TIGARD
SCALE: 1"-20'
PLAN No.: 199
460' 50.001 461'
rm.rrrrrrrrrr
w6C--
I TiT7T I I TfTTT1 I rt i�TfTR1 i inttn i i Im' sm s
I iA
-----•-
a!n ., ys ROCK WALL
-
-
�`' ` -- 4 bdrm.
-2--N2 bath
FF.E. 458-5' _
I 5A' U,
412 aq. rt.
2 car gar.
5 m' EF4. 450'
P40OW04 ASC 41)V
!'.— 0
e�oe-o.eo"«cl COf'TGF�tL!
It'P.U.E
f- H
449, ..n . ..77 8
Approach
— al J
w150.00,
9 _
l I LA
12305 e-W, Alc-5/FEN RIDGE Df',
LEGENCD LOT COVERAGE
a a5C 5C. cr. LOT 038
2 C1 1 5C. 4,450
' 32% sq. fit.
'RE:: CAK
J
CITY of TIGARD - SITE
PIAN
BUILDING PERMIT NWWS,1190 ')
PLANNING DIVISION: Not Ari�'o�ed
,r7( Approved [3Required Setbacks' � to
Side: St eet Side:e: Rear: t—
From. 1._-- arag �-�- Not Approv4
❑
Visual l`IrA Droved
arnnce: teet
ivlaximunn Rriildiiig Weight' s Ye
CWS Service Provider Letter Required: 0 Received No
K Q Date: 8
l3�
EN(i1NEERIM, UEPARI MENi1Ved ❑ Not Approved
Actual Slope:1?.f%. Approved❑ N t Approved
Site Plan: Date'
Notes:
RECEIVED
'MC 0 6 2003
CITY OF'i,,iARD
BUILDING DIVISION
CITY OF TIGARD RE TE
RIC D ENEECTRICAL RGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00331
13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 10/23/03
PARCEL: 2S 1 10BC-06700
SITE ADDRESS: 12305 SW ASPEN RIDGE DR
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 038 JURISDICTION: TIG
Proiect Description: Installation of I,miled energy for data cabling.
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: — AUDIO & STEREO: YINTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM S1'JTEM: FIRE ALARM: OUTDOOR 'LANDSC LITE'
OTHER: DATA : X HVAC;: PROTECTIVE SIGNAL.:
INSTRUMENTATION: OTHER:
_TOTAL.# OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES PACWEST SECURI I Y INC
4230 GALEWOOD ST#100 2650 PROGRESS WAY
LAKE OSWEGO, OR 97035 WOODBURN, OR 97071
Phone: 503-387-3875 Phone: 503-981-2155
Reg #: 1-10-98121 4597CLE
LIC 132704
FEES Required Inspections
Description Date Amount Low Voltage Inspection
' �LLPRIvIT] ELR Permit 10/23/03 $75.00 Elect'I Fina'
[TAX] 8%)State Surcharl 10/23/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Soedalty 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 Co follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
• 4-11Issued by ' Permittee 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:
CONTRACTOR INSTALLATION-ONLY — —
SIGNATURE OF SUPR. ELEC'N _^ DATE:_—_______ --
LICENSE NO: _ - – --- ---
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Eiecl:rical Permit Application
---� — _---
Da:e received:/ 3 Permit no.: 3—�� /
City of Tigard Project/appl. no.: Expiry date:
Cit),of rlgard Address: 13125 °W Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.. Payment type:
Land v se approval:
Z!4ew
family dwelling of acces ory J Commercialhndustrial J Multi-family G Tenant improvement
onstruction CiAddition/alteration/replacement U Cher: 7 Partial
r ;
I Job address: 9 5 <'a r Idg, no.: Suite no.: ITax map/tax lot/account no.:
Lot' i Block: — Subdivision:
Project name: Description and location of work on premises: —
Estimated date of complete nm'inspectiorn:
.lob no: Ftx Max
iiUSm.55ltalne: / � 1 L T IDevcrlption Qtv. (ea.) Total no.insp
P Qt` a r SCC v'o J Ir
Address "7� C-5%
Ne" per - —
r� dwellinigunil.Includesaluwhedgaraae.
city: Statco Serviceincluded:
Phone;kj gj Fax E-mail: ij,r AW sq.n.or less 4
CCB no.: 13 2
1`, Inch additional S(X)sq. It.or portion thereof
"� E. �.bus,lie.no: Limited energy. residential 2
City/metro lie.no.: Limited energy, non-icsidcntial
Each manufactured home or modular dwelling
Sign rc of s 1pervising electrician (required) _D_ate Service and/or reciter y
Sup.elect. r v^c(print): l„ ,,.,,- ,,,, 3164LL: Services or feeders-Installatlun,
xlleratlon or relocarlon:
'00 amps or less 2
Name(print): 201 amps to 400 amps 2
Mailing addrss: -- sol am s to 600 amps 2
--- 601 amps to 1000 amps 2
Cin: _— - StateZIP: Over 10M-imps or volts i -
Phone: Fax: E-mail: Recomter_mmly— - --
Owner installation: The installation is being made on property I own Temporal y.er�ice,(or feeder,-
which is not intended for sale,lease,rent,or exchange according to In lalh,sion,alterailon,orrelocstion:
ORS 447,455,479,670, 701. 20(1 amps or less 2
201 am s to 4110 am- s� 2
Owner's signature:_ _ _- Date 401 l0 600 am s 2
Branch circuits-new,alteration,
Name:
or extendiin per panel:
ranch circutts
ith
-
A.
service<r feeder fee,each ranch cit of
---
Address: h branch circuit
City: Stag: ZIP: B. Fee for branch circuits without pumbasc
-_-- -
PhoneFaxE-mail: of service or feeder fee,first branch circuit: 2
: :
Each additional branch circuit:
Misc,(Service or feeder not Included):
U Sen tce over 225 amps-currmercud J I lcalili-.arc lacor) Each pour or irrigation -c1c 2
U Service over 320 amps-rating of 1&2 U I lazardous fixation Each sign or onlline lighting 2
family dwellings U Building o :r 10,00(;square feet four or Signal circait(s)or a limited energy panel,
U System over 600 volts nominal more residential units in one stmc,tu alteration,et -xtcnsion*
U Building over three stories U Faders,400 amps or more *Description
U Occupant load over 99 persons U Manufactured structures or RV park @aehaddltlnnal Insper•tionover the alanwableinanyoftheabove:
U EgressAighting pian U Other:—_ -- per inspection _ L
Submit set%of plans with am of the above. Investigation fa _
he abase are not applicable to temporary cuns►rtaction service. Other
Not all urisdiction%acct t credit cards, lease call unsdi,uun fix more inkamation Permit fee ..................... $ �h r
1 ro D i Notice: This permit application —
U visa U MasterCard expires if a permit is not obtained Plan review(at -_ %) S _
Credit card number _ within It)days after it has been State surcharge(8%).....$
xpirra accepted as complete. TOTAL. .. ..S
---- — --
Name of car older as shown on credit ca -
Cart (der signature S Amount 440.4615(6/00/COM)
CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00607
13125 SW H211 Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/3/03
SITE ADDRESS: 12305 SW ASPEN RIDGE DR PARCEL: 2;''1 OBC-06700
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 038 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILi- 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 inigation backflow preventer.
FEES
Owner:
Description Date Amount
DON MORISSETTE HOMES
4230 GALEWOOD ST#100 11'1 I \1111 PCilllll I cc 12/3/03 $36.25
LAKE OSWEGO OR 97035 1 I.\X1 x Salic 12/3/03 x;2.90
Total $39.15
Phone : 503-387-3875
Contractor: J
I ANDSCAPE OREGON, INC
12200 SW MYSLONY RD
TUALATIN, OR 97062
REQUIRED INSPECTIONS
PRP/Backflow Preventer
Phone : X03 692 5945
Final Inspection
Reg#: I IC LCIS: 7804
PLM ALL PHASEF - PLL
T his Dermit is issued subject to the regoiations 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 perrnit will expire if work is not started within 180 days of issuance, nr if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to fOliOW rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of 'hese rules or direct questions to OUNC by caliing (503) 246-Eh99.
Issued By: u.�r� ��,, ��,-1 _- Permittee 0ignature: ( )) C �',r_(1 d� ! )'
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Hec 02 03 10: 13a dan edmonds 503-692-0768 p• 2
Plumbing Perm li on ' ' OF,ICE USE
Received /� � 1'lun,bing j y
CitTigard Planning Ap ovrl -^- -Scwcr----- -- --- -- ,I
Y of Pernnt No..
13125 SW Hall Blvd. OEC 012 2003 Plan Review ath„, _
T igard,Oregon 97223ttatdtl . _ I'emrit No.:
Plione: 503-639A I71 Fax:!S6-*•0ar-J49cAK Post-Review Iznd Use -
Intetmet: www.ci.tigar0.or.u%.IILO1N�VVISI( ►�atrlUY: __� Case No.: __`
2 fur
24-hour htspcction Request: 503-639-41" Contact Jins.: Sec Page 503-639-41"'S Contact
Information.
TYPE OF WORK _ FEE- SCHEDULE(for special infortrratlon use checklist)
New construction Demolition Descnitiott Uly. 6et(ea> Tata)
/�ddition/alteration/repiaccment Other: New I-&2-family dwellings
_CATEGORY OF CONSTRUCTION (includes 100 R.for each uti_lit coonecdon
249.20
1 &2-Family dwelling CommerciaVlndustrial SFR 1)bath ^�
SHR(2)bath _ __350.tN) _
Accessory BuildingMulti-FamilySFR 3 bath 399.00
MasterBuilder_ _ Other: Each additional bath kitchen_ 45.07
JOB SITE INFORMATION and LOCATION Fire sprinkler-sq. fl._�- - Page:2 T
Job site address:%rt30S- Stv - _ L Site Utilities
Suitt;#: a 1�ldg./ fat.#: Catch basin/anxt drain 16.60
Project Name: 'jyjJyW�ic{ I �7 ��' v U well/leach linc/trench drain _ 16.60
--- Footing drain�o.linear f�_ Page 2
Cross street/Directions to job site: Manufactured home utilities
�-- 110.00
_Manh-rlcs --- 16.60
Y[� R_ain drain connector _ 16.60
Sanitary sewer uo. linear ft. Pa+e 2
Subdivlslan: C 1U= Lot#: Storm sewer(no.linear ft.) Page 2
Tax map/parcel yW_at. s_r:rvice no.linear ft) Page 2 ^_
DESCRIPTION OF WORK `Fixture or Item
- AbsoVion valve. Fixture
16.60
�CLYI6ZS _C___ ( f lC{'70CL� (✓(C�Lti U Backflow enter Pa c 2 erev '".C5"
Backwater valve_ 16.60
Clothes washer - 16.60
Dishwasher - 16.60 _
-- Drinking fountain �_ 16.60
PROPERTY OWNER TENANT _ G� mU 16.60
ors/su
Name: /may �i � tm�s _ - Expansion tank -- 16.60
Address: ABO &.LL) &,eL".P_AJClp CXt ) Fixture•Isewer cap 16.60
Cit /State/Zip:l.o k'�e CSS Lve 6 4`1U. __ Roor d nin/floor sinkAtub _ I6.60
Garbage d�sal 16.60
Phone: __ Fax: Hose bib _ _ 16.60
PPLICANT _ J UUNTA(T YEIt50N Ice maker _� _ 16.60
Name:E-,J I!c,r1 Z.p0_�rifi_0 Intcrc tor/ roasc teal _� 16.60 -
Address:I.� 0 O CLO ►11 S{lJYt (LD Medical -value: _Y�c 2
Cit /State/Zi :-n&a-f LLs!-1iv-. 0- 9 70(,ra � Primer _ 16.60
Roof drain(commercial) 16.60
Phone�3 ta41- -S94- Fax:b3 log al- o9to.V Sink/basin/lavato_r�_ - _ 16.60-----
E-mail:
6.60 - -
E-mail Y' Tul,,showcr/showe�an _ - 16.60
_ CONTRACTOR Uriruil ` _ 16.60 �-
Business Name-L!0 r ts! Ufa r Water heatecloscr
-- _ - -- -- 16.60
--/'"�----•-,�-�-�-� Water heater _ _ 16.60
Address: "her: -
-9ity/State/Zip_11%-al -I
PhoneS03 L-qQ- S9 J Fax-J)3 IP9.1 0%,L' �_PlumbinaPermitFees* .,2'IZ
" -r- Subtotal S
CCB Lic. #: "7dt I Plumb. Lie.#: - T- - - -
Minimum�crmit�cc C72.50 S
Authorized
Residential Backflow:dinimum Fee S36.7.5 _
SignatutS�Lt� L� Y.� bate:0, 6.x I6 �f---Plan Review :-5"ie of Pcrmic Fee) S
E1%Cr���v r r�► _ _ State Surcha%c(8%of Permit Fee) S
I (Phase pnnt name) y _ TOTAL'PER_MII
Notice: This permit application expires if a permit is not obtained within All-w commercial buildings require 2 sets or plans with isometric or
INO days after it has been accepted as complete_ tser diart.m for Plan review.
*Fee melhodotorty see by Tri-47ounty B silding Industry Service Ward.
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CITY OF � 24-Hour
BUF Inspection Line: (503)639-4175 "
INSPECTION D ISION Business Line: (503)639-4171 `---
BUP _
� ` 5 v / S O ---
Received 2 t z Date Requeste�d;- ` 0 _-2AM_____-,_ PM _ _ BUP
Location Suite MEC
Contact Person ' Ph �lf 3 7 PLM _ --
Contractor ' 2 __ Ph( ) -_.___ SWR
BUILDING Tenant/Owner �- ELC
Footing ELC _
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ...... _
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -- ---- ------ ---- ..-_.
Insulation
Drywall Nailing _._. ----- --- --------
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 ---------
--
F+nal
PASS PART FAIL
ELECTRICAL
Service - -- ---- --------- --- --.--___— - --- ------- --
Rough-In
UG/Slab
Low Voltage -
Fife AtaaR
_bat R Reinspection fee of$ —_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
ZPART FAIL_
011TEI-11 F1 Please call for reinspection RE:____-__ _-------_.__. __ Unable to inspect-no access
Fire Supply Line
ADA 5 Ct- 'tom �( r—__c. <.1j
Approach/Sidewalk p�•/ �_ Inspector __ -�_�.. �---Ext
()ther
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
i
BUILDING Inspection Line: (503j 639-4175 'T
INSPECTION DIVISION Business Line: (503) 639-4171
_ BUP
Received ` ` 17 4.% Date Requested �� G —°13--- AM ---- PM --- BUP
Location _ ( 7 �� S r�1_�LG�r Gl r Suite MEC ------_.-.�__._.__-_
Contact Person __. "_. -,— Ph (—)' � ���1 PLM
Contractor ----------- - _ .. - Ph(- ) SWR _
BUILDINQ Tenanvowner _ -_- ___- ---._._ _— _ _—
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 - -- ----- - _
Root
Final
S PRT FAIL
_PL 81
PostBe m
Unde SI b
Roug I
Water ervic ��L
Sa! to Sew V
Rain ins - - ._--
VSher
sin/Manhole
ain - --- "
an
�_ 3 PART FAIL - -
MECHANICAL
Post& Beam
Rough-In
Gas Line
Srnoke Dampers -- - - ---
Final
tPA55 PART FAIL
ELECTRICAL
---------------
Service -- ----- ---.-
Rough-in - ----- ----- ----- --— ---- -------- —
UG/Slab
Low Voltage
Fire Alarm .-----_- --
Final Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE _ - ❑ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Date /2- r/G~ a -- Iinspector
Other: _
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FA
_ I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171
BUP
received _- —7 Dae Requested ._ 1 21-11 Q10 _ AM PM BUP
Location _ h�0�? �`�-�� �"'� __Suite— _ MEC
Contact Person ----- a GV" Ph(. —) �__� � PLM —_------
Contractor ----- --__-- Ph (—__-) __-- SWR
BUILDING Tenant/Owner - _.__—.— —______ ELC
Footing----- -- — ELC
Foundation -- ---
ACCBSS:
Fig Drain ELF! _..
Crawl Drain
Slab Inspectian Notes: SIT
Post& Beam ----___-- -----
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - -- --
Insulation
Drywall Nailing --- - - - - -----
Firewall
Fire Sprinkler --- ---
Fire Alarm
Susp'd Ceiling - -- - -- -
Roof
Other - - -- -
Final
PASS RT FAIL-
MBIbIG_ ___—^-----_-_-- _
Under Slab - -------
Rough•In
Water Service -- - - - -- -
Sanitary Sewer
Rain Drains - - --- -
Catch Basin/Manhole
Storm Drain - - -- --- -- --
Shower Pan
Other:
PART FAIL - -- - -- --- - - - - ---__.
ECHANICAL
Post& Ream
Rough-In -- --- --
Gas Line
Smoke Dampers -- - -----
Final
PASS PART FAIL
ELF CTRICAL
Sery ce
Rough-in -
UG/Slab — - - --
Low Voltage
Fire Alarm
Final L-J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE Please call for reinsp�'tion RF:_ �— _ Unable to inspect-no access
Fire Supply Line j
ADA Date _�- ! � —_
Approach/Sidewalk � e Inspector — Ext
Other. _
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
- _ l
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP -__-- --
Received -_—____ --- Date Requested ) � ___ AM ___ PM...-____._.. BUP
Location _--1_2o s Suite — __ M r'
tspe
I ' 2s - D_.7
Contact Person -__ - -- /`t{ H__�_-.__.__-__ Ph( ) 1p_�7-5`L �__ PLM �� __—oca�_ _.. _
Contractor _. _ .__ _._---- -- -__--- -_- _ -_ -- - Ph SWR __...__---_--_- _--
BUILDING Tenant;"Owner - __-. _ ELC
Fcoting
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam �_ � �`� C�-
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulafion
Drywall Nailing - -- -- - ----- -----
Firewall
Fire Sprinkler -- ------ - - --
Fire Alarm .-J
Susp'd Ceiling - - - --- - ----__—____.—.--__-
Roof
Other: ----
Final /
PAS RT FAIL
UMBING ------- l
oam
Under Slab ---------
Rough-In
Water Service - -- - - - - ------ - --
Sanitary Sewer
Rain Drains - - -- -- - - - —---------
Catch Basin/Manhole
Storm Drain — ---------
rherShh �Pan
------�
AS PART FAIL_
ANICAL .__--
Post&Beam -
Pough-In -- ---- - -- -------
Gas Line
Smoke Dampers --
Final
PASS PART_ FAIL -- --- ---- ----- - -- ----
Et.ECTRICAL
Service ------ ---- — - —
Rough-In --
UG/Slab
Low Voltage
Fire Alarm --------- ---------.----------- ____-T
Final L ] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Fj Please call for reinspection RE:_._ __ -� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date r, Inspector ✓ _ ---- Ext .------
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL