11540 SW COLE LANE r
ti
4.� S
r
L f 7
• ) �tv �{,� �L P N G �S,$' �%1 v� C P C� �n� To�7 /�vM P j
CLE L E
L IE
r
I69 45 S 39 0'00 W -- FL Z 7S '2 oo✓may R C
U9 t
Pei
• I .
1� N
Rare IDra;�
I , - sf�,t,�q Cep f��� .r r_3
V / DO I c S' I 21.33' N I ��
.-� I o 12-00' '� S S 7- 8'cw
I
/� (n i GF I p0
S�ai O I 00 I _$ v; i Z S// �D /3,4 - P_"vx m7
11.00' 10
I
T I - 1.00
w 18.33' 1, i O
S,0 ( 19.87' I O
F
I , - C3
O
00
�iOA XjETL:3p
4e-4-1-.49 FL ids r-j
B Y.•
/ --} --HOUSE CENTERED
PUBLIC STORM DRAINAG EASEMENT 3/4/99, PDS.
T N89'1 '00'�E $7.'22' � --NEW HOUSE PER CLIENT
;5/4/99, PDS.
I
T
SCALE DRAWING LO � 7, EVERGREEN SPRINGS
N.W. 1 /4 SEC.10,T.2S.,R.1 W, W.M.
CITY OF TIGARD
F`�"Z WASHINGTON COUNTY, OREGON
--AN 8 FOOT WIDE PUBLIC UTILITY EASEMENT JANUARY 6, 1999
SHALL EXIST ALONG ALL STREET FRONTAGE. Centerline Can e p t s Inc .
DRAWN BY: PDS CHECKED BY: WGDIII
SCALE 1 "-20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027
M: \MLI\PLAT\EVERGS\L7EVERGS L 503 650-0188 fax 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY ITlli Ilillll illllll 1111111 IIIJill 1111111 Illllll I1-ri-I�T_ T ( II � 1 IIII I IIIII Jill ( I
S S NOTICE
II ( I lilli � l l ( III � I I ( Illil I ( II { ( I i ( III � lllll ` I I ( III ( I 111 � 1 ( I � lill ( I I ( I ( I ( I � I ( III ( I I ( I ( III _ � . r
IMAGE IS NOT AS CLEAR A THIS II 1 2 3 4 I I I
10
�► i -�i► . � lNo.38IT IS DUE TO THE QUALITY OF THE w-I I
ORIGINAL DOCUMENT 63 6 '1111111191
9 t Z
T
111111 111 Jill 111 IIIlli IIII IIII IIII IIII ili III( IIII IIII 1 ��ai3w
ill llll�1�k11 -
EL ZS'9.S"
EC i 199
F L 286
EL 190
EC Zgy El Zg3 . 75
EROSION CONTROL: Ever reed► S�oii' f L 7
f u
6.00 S 8910'00" 1. PROVIDE MAINTAIN 8'(min) TWICK Rem m.uct w � s 7 I r m A/0�►Pl
• GRAVEL PAD a DRIVE UNTIL PERMANENT
CONCRETE DRIVE IS IN PLACE.
� 1 / syl S}i✓ Gam% GH .
o 2. PROVIDE& MAINTAIN SOIL SEDIMENT
o FENCE AS INDICATED.
Un 'L7O
(,� S
5,0 c NOTE: CENTERUNE CONCEPTS,
S,� SURVEYORS, WILL PIN ALL EXTERIOR 2 S ,C3� _ E 1✓� m
0 FOUNDATION CORNERS AND PROVIDE
d I SUBSEQUENT MORTGAGE SURVEY. G oHf',qcIleopkf
O i CJS .�1 FeNc e
o
f*1 I b. Ra;h darn Sfh.f'�' EL 210—T
R — 1 6s�-
38.00'
OIwiA
!� 1.00' I
e1 �.gY.S FF 1.00' EL 190
12.00' -Z
I
I
L-----------� I
s
Q1 I J F i --A i (A
N EL zs4,s p
� � I
12.00' rj 9.33'
I
Lc .50' + I .17a
FL z?g
i .
N I *A
� PSE U�dt�'�o�,��►t� -r�/n.�N a
L=1 . 7
N 89 '00" E 54.28' R=20 .
GTE
L S, W. COLE LANE
�•-- /✓A P�•�rMy sr „ SCALE DRAWING LOT 4, EVERGREEN SPRINGS
E
R♦;w p,,,;N N.W. 1 /4 SEC.10,T.2S.,R.1 W., W.M.
L 279
.:
r:
CITY OF 11GARD
FL 193 . 79 l
F� 271
WASHINGTON COUNTY, OREGON
MARCH 1 , 1999 Cen terl in e Concepts Inc .
°`k DRAWN BY: PDS CHECKED BY: WGDiII
---AN 8 FOOT WIDE PUBLIC UTILITY EASEMENT SCALE 1 "=20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027
SHALL EXIST ALONG ALL STREET FRONTAGE. M: \MLI\PLAT\EVERGS\L.4EVEGS 503 650-0188 fax 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY T1-I� t � r IIIIII � IIIIIII I � II � II IIIIII � i � � li T .r1T��_.i r17_Fr�
2 4
i � i i � i � r�.r � � i � � � i i � i � r� -� ili � � � � ili � i � li � i � � � � ► li � i i � i � t � i i � ili � i i � i � i � i �}-�/ ,�
1 - 12
IMAGE S NOT AS CLEAR AS THIS NOTICE, _ _ � 6 i_ 7 $ 9 1O `� 1
IT IS DUE TO THE QUALITY OF THE N4.36 4_1 =
ORIGINAL DOCUMENT E 6Z SZ LZ 9Z � Z fiZ £Z Z TZ OZ 6T 8I + LT 9T 5I � T £ 1 ZT ii I 6 8 L 9
Illi ILII III1 ILII ���� ILII ���� Illl ���� ��ll Illi 1�l l �l 11� ll Ill II1111111111 Illl II!I IIIIIIlII (��� ���� ���) ���� ���� ���� Ilii ���� illl ���� ILII ILII llll llll l llll ll� �lll ���� Illi 11.L1 ll 11111l11�1�►�11 -
�I
a
Ob
0
y
0
O
r
m
z
m
11540 SW COLE LANE
CITY O F T I G A R D _ MASTER PERMIT
PERMIT : /14/9900123
DEVELOPMENT SERVICES
DATE ISSUED: 4/14/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ,ADDRESS: 11540 SW COLE LN PARCEL: 2S110BA-08200
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.026 of BASEMENT: 0.00 at LEFT: 16
SMOKE DETECTORS: Y
TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: 1,368 sf GARAGE: 512 sf FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N D,.VELLING UNITS: I FINBSMENT: 0 s1 RIGHT: 18
OCCUPANCY GRP. P'!. BDRM BATH: I VALUE: 5176.11300
TUTAL: 2,394 00 of REAR ;i5
- PLUMBING
SINKS WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100
TRAPS 0
LAVATORIES. 1 DISHWASHERS: I FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 1
CATCH BASINS o
TUB/SHOWERS: i GARBAGE DISP- I WATER HEATERS: I WATER LINES: 100 BCKFLW PRF.VNTR: 1
GREASE TRAPS: n
MECHANICAL OTHER FIXTURES 0
FUEL TYPES FURN<1LOK 0 BOIL/CMP c 314P: VENT FANS: 4 CLOTHES DRYER.
FURN 1-100K: I UNIT HEATERS 0 HOODS: 1
OTHER UNITS: I
MAX INP. ;btu FLOOR FURNANCES: VENTS. n WOODSTOVES: 0 GAS OUTLETS* I
--- ------ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER -TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 0 200 amp: 0 WISVC OR FDR: I PUMP/IRRIGATION: n PER INSPECTION: 0
EA ADDT 500SF 4 201 400 amp: 0 201 400 amp: 0 tat W/O SVC/FDR: 00 SIGNIOUT I-IN LT: 0
PER HOUR: 0
LIMITED ENERGY: i' 401 600 amp: 0 401 800 amp: 0 EA ADDL OR CIR: 0 SIGNALIPANEL: n
IN PLANT n
601 • 1000 amp: 0 601-amps-1000v: 0 MINOR LABEL: 0
1000+ampivolt: 0
Reconnect only: 0 PLAN REVIEW SECTION
1-4 RES UNITS: SVCIFDR> 225 A. >600 V NOMINAL. CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL -
•— B,COMMERCIAL
AUDIO&STFREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT
BURGLAR ALARM OTH. BOILER: HVAC. LANDSCAPFJIRRIG: PROTECTIVE SIGNL
GARAGE OPENER. CLOCK: INSTRUMENTATION MEDL:AL OTHR:
HVAC: DATA/TELE COMM. NURSE CALLS: TOTAL 0 SYSTEMS 0
Owner: Contractor: TOTAL FEES: $ 5,190.46
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
1672 SW WILLAMETTE FA_l S DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code, State of OR Specialty Codes and
WEST LINN OR 97068 all other applicable laws All work will be done in
WEST LINN OR 97068 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
1'I'°"° Phone ,,s.y, Oregon law requires you to foliow rules adopted by the
Oregon Utility Notification Center Those reales are set
forth In OAR 952-001-0010 through 952-001-0080 You
Rep a may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Mecha Electrical Service Gas Line Insp Electrical Final
Grading Inspectior Crawl DrainlBackv Electrical Rough Ir Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service Inst Building Final
Post!Beam Slru L Plumb Top Out Low Voltage Appr/Sdwlk Insp
L-3q- till
c U
'o-�r 7'-C,C.) 10 rti U
CITN'OF TIGARD Residential Building Permit Application Plan Check#
.13125 SW HALL BLVD. Additions or Alterations Recd By _
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
Date to P E.
V 503-639-4171 Date to DST3 '�/_1 /l f
F 503-684-7297 l
i. 1 Permit# $rITr?J
Print or Type Called
IncompletA or illegible applications will not be accepted /Err UArJ�l�ss .
Name of Project r Name
Jobf.. f,./
��i 1 �^ j '�- Architect Mailing Address
Address Site Ad rens 7/65'
J. Si✓ _ fry L..� -kt lam/
i S y 0 sG/ 4L--1e City/State Zip I Phone
Name
/ 7-,k,,Il, �R Q7zz 3 z4-SSS
It t",a/1jaAce �{a�T."7 /��MCl _ — -- N m� e
Owner Mailing Address
Z s 6 4, Engineer
General Name Mailing Address
City/State Zip Phone g
me „ 9.7068 SS7-$QOT
City/State 7.ip Phone
Contractor -5;,,"e Ate— Describe work Ne—w)IiiC Addition O Alteration O Repair O
Mailing Address to be done
Prior to permit Additional Description of Work
issuance, a copy City/State Zip Phone
of all licenses
are required if Oregon Const Cont Board Exp Date PROJECT
expued in GU I Lic# VALUATION
database tD Y 9 S s�/6�
Mechanical Name - NEW CONSTRUCTION ONLY:
Sub- — (�u I ��,f��l Sq. Ft. House: I
` Sq Ft. Garage
Contractor Mailing Addres, Z 3-7q
Prior to permit /3�S/ S f Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the following areas
of all licenses 0,1kA, C'501 OR 7,V/S 6S11-31/s Restricted Audio/Stereo
are required if Oregon Const Cont Board Exp.Dale Energy —� System Alarms
expired in COT Lic# Installations Vacuum Irrigation
database— tV 7 Z 6 Z 3 3A#)99 System System
Plumbing Name (check all that Other:
Sub- 6 1"/ .k Alt,^6;',r- apPl _
Contractor Mailing Address -- Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
736 St i /j/Nr
Prior to permit City/State Zip PhoPhone _— Has the Subdivision Plat recorded? N/A NO
J`
issuance,a copyrt-icl#
... � OR `�7,Va$ 5'24V-SV?0 — ——
of all hcr+r'sea are Oregon Const.Cont board Exp Date
,equired if
expired in COT 7�6C6 7 ���o/ I hearby at:knowledge that I have read this application,that the
database Plumbing Lic # Exp Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in comp)ante with
7 rd- 10cg Z�ZS f m l Oregon State laws.
Name Signage of Owner/ljgenl Date
Electrical 1- e'l,,L i _ �.,/��� 3/x/99
Sub- Wailinif Address ------ Contact Person Name Phone#
T-.r��r�
Contractor /yzy _ f� ale /r�__—�_ s 7- NwJ
City/State Zip phone
Prior to permit
issuance,a copy L oras, FOR_OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date Plat#. _ Ma fTL#:
required if Lic#
expired in COT to �y 91V ��� 071
Z I l 1_'(�A C Z��
database Electrical Lic # Exp Date backs: Zone /I Solar
�//- —
Electrical Supervisor Lic # Exp ate Engi ring Apr
p rova� Planning Approval TIF.
Offs so
i\dsts\forms\sfaddalt doc 11/20/98
1f
i
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGAR TDE
ERCONNECTION PERMIT
DEVELOPMENT SERVICE ORMIT#: swRss-oocsa
13125 SW Hall Blvd.,Tigard,OR 97223 (503 SUED: 4/14/99
SITE ADDRESS; 11540 SW COLE LN
PARCEL: 2S 110BA-08200
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
TENANT NAME: RENAISSANCE CUSTOM HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEVA/ DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE: 0
Remarks: Sewer connection for a new single family dwelling.
Owner: _ FEES
Ri NAISSANCE CUSTOM HOMES Type By Date Amouot Receipt
1677. SW WILLAMETTE FALLS DR
WEST LINN, OR 97068 PRMT DRA 4/14/99 $2,300.00 99-314495
INSP DRA 4/14/99 $35.00 99-314495
Phonp: Total $2,335.00
Contractor:
CRAFTWORK PLUMBING ING
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Phone: 644-8698
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expireF
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 feet in all directions from the distance given. If not so locates, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted
by the -Utility Notification Center. Those rules are yet forth in OAR 952-001-0010 through OAR 952-001-0080.
You ay obtain jes of the a rules or dire^t question; to OUNC by calling (503) 246-1987.
ISSU d by: �._ Permittee Signature:
Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT M PLM1999-00315
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/24/1999
SITE ADDRESS: 11540 SW COLE LN PARCEL: 2S1'10BA-08200
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: I
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: Residential backflow prevention device. _
FEES
Owner:
Type By Date Amount Receipt
RENAISSANCE CUSTOM HOMES
1b12 5VV VVILLAME I I E FALLS UR PRMT KJP 00/24/199£ $25.00 99-318009
WEST LINN, OR 97068 5PCT KJP 09/24/199 $1.75 99-318609
Total $26.75
Phone 1: 557-8000
Contractor:
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA, OR 97023 REQUIRED INSPECTIONS
Phone 1: 631-2918 RP/Backflow Preventer
Reg #: LIC 00005973 Final Inspection
PLM 11717
ORIGINAL
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 OUNC by calling (503) 246-1987.
Issued By: ; n_t !- >> ?_ _ Permittee Signature: OK- I cc+.tc�,� 7N�u.La41
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
TY OF TIGARD Plumbing Application Recd By
:125 SW HALL BLVD. Commercial and Residential
Oats Rec'a c L
3ARD, OR 97223 Det*to P E.
:03) 639-4171 Oate to OST
Print or Type Permit 1
Related SWR a
Incomplete or illegible applications will not be accepted called
Name of Devsi ipment/proted FIXTUR §jQndivlduaQ
Jobr-L/ e �� i , , `7 slnk 0.00
Address StreelAcIdniss. Suite Lavatory 9,00
/ aaairS ivr C 0 It: 4'A" Tub or Tub/Shower Comb. 9.00
y Bldg 0 'v'hlstats Shower only l 1 L) I Zi'! Z.Z 9.00
N Water Closet9.00
;r
Nell ,1 A/ 'G CL i01"t 11,fm er- Ofshwastw 0.00
Owner er e Scats Garbage Disposal 9.00
Weshhg Macess 9.00
Phone F
1S t* Zip Floor Drain 2• 0.00
t '�*0 970 s• -Yavo
Name 3 9.00
4• 9.00
Occupant maollr9 Address Suds Water Heater 9.00
Laundry Room Tray 0.00
Gty/State Zlp Phone Ur"
9.00
DOW FhRurse(Spay)
e 0.00
Cf r✓l f'it P ft/ / 9.00
Contractor Maltinga Suite 9.00!�
(Prior to Issuancey" / 9.00
appunnt mustST�i alrlA O 02-3 6J7 q l5 9.00
provide SO Oregon Const.cont.Board Licat�te0 9.00
d
cantraont (WAXI 9.00
Ocense bin
hnxnutlon9 tic s Exp. to Sewer-tat 100' 30.00
fur COTCOT Business Tax or Metros Oat Sewer-each 100 25.00
database). Water Service-1st 100' 30.00
Name Water Service-each additional 200' 25.00
Architect Storm a Ran Oram-tat tar 30.00
or Maran,t Address Suds Storm&Rain Drain-each addift 100' 25.00
Mod"Homs space 25.00
Engineer '-+h/stat. Zip Phone Flow Prevention Oevrce or Anti 25.00
Pollution Device
^surbe worn New 4V Add#lon U Alteration O Roper O Residential Baddlow Prevention Device• 15.00
)-be done: Residential 0r Non-residential O Any Trap Or Waste Not Connected to a Fixe re
-,ddnional desptm of work 9.00
ai
Catch Basin 9.00
SInsp.of Existing Plumbing 40.00
fl e t G d JA/ per/hr
,rshng use of Spa=lly Roquested Inspections 40.00
iiding or pmpeny Rain Dram.sing"family dwslImg pefft
30.00
oosed use or Grease Traps 9.00
4 ng Of property
QUANTITY TOTAL
you capping, me" or replacing any fixtures? Yes Ll No p Ixrrr>i is or mien d"gran is requied if Wanly Tour is ,9
Yws see beck of form)
'SUBTOTAL
•reoy acknowledge that I have read this application,that the information
•n is Coned that I am the owner or authorized agent of the owner,and 5%SURCHARGE
cans submitted are in comoliance with Oregon State Laws.
a of Agent Q -- Data PLAN REVIEW 25%OF SUBTOTAL r y
or»y if roma gly tours>'9
TOTAL
,,act Person Name Phone
_ /l j �,/� g 'Minimum permit fee is$25•S%surcharge.except Resrderhoal
64/ N e "I d 0� - G'3)•-19 I o Prevention Device.which is$1 S-5%surcharge Backflow
L\phapp.doc 12i% (dst)
CERTIFICATE OF OCCUPANCY
CITY OF TIGARD
PERMIT#: MST99-00123
DEVELOPMENT SERVICES DATE ISSUED: 04/14/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-08200
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 11540 SW COLE LN
SUBDIVISION: EVERGREEN SPRINGS FILE COPY
BLOCK: LOT:007
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling vi/attached garage.
Final Building Inspection and Certificate of Occupancy
Approved 1/21/00 by Rick Bolen, Bu Idling Inspector
Owner:
RENAISSANCE CUSTOM HUMES
1672 SW WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 557-8000
Contractor:
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone:
Reg#:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use ynder which the referenced permit was
issued. � JI/ /
-
BUILDING INSPECTOR BUILDI G OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested AM _PM _ BLD _
Location jl Shite MEC 7 (-
Contact Person �'�1� ✓`. Ph C JZ -Z7 70 PLM l"["t'1 –
Contractor Ph SWR
_UILDI— — Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam
Ext Sheath/Shear I _
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing T S —
Firewall —
Fire Sprinkler —_� _ _�� _��^^^ "-✓�^ ►� `�� U ,—_
Fire Alarm —
Susp'd Ceiling
Root
N&
ART FAIL -- --- --- --
MWeam
Under Slab
Top Out
Water Service
Sanitary wer
R Dra
ASS PART FAIL
MfegANICAL ---
Post& Beam - — - -- --- -- - ---
Rough In
Gas Line —- --- __------ ---- — ----
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm _
----------- ---- -- ----------
Final
S PART FAIL. -_
SIT
ackfill/Grading Q -
Sanitary Sewer v
Storm Drain `1'ti R(I ( ]Reinspection fee of$— required before next inspection. Pay at City Hall, 1312E SW Hail Blvd
FireCatch Basin (v y
Fire Supply Line Please call for reinspection RE: [ ]Unable to inspect-no access
ADA
ac Sidewalk
nth 1 Uate Z\ �� Inspector �\ `� Ext'
Fir
Ss PART - FAIL DO NOT REMOVE this inspection record from the job site.