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CITY OF TIGARD
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Gondctionatiu Approved ........
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For only
Nf�wr_�-k dedCribed in-
PERMIT ...... ( ):
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Address ............. ( );
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IN
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LIABILITY
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required prior to occupancy,
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12297 SW CHANDLER DR
UMBING
Li
CITY OF T I GARD PERMITPL ##. . . . .
PERMIT. . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/09/96
13125 SW Hall Blvd.Tigard,Oregon 97223o81 DO (503)839.4171 PARCEL: 2SI1088-04800
�Dj 1"1:. (�I1)L)JJV:Sb. . . : I -�j ! vJW LIAANDLER I-+
SUBDIVISION. . . . : ARLINGTON RIDGE ZONING- R-3. 5
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . :025
---------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . : to TRAPS. . LA
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . ! 0
SINKS. . : 0 URINALS. 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . :
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . 0
WATER CLOSETS. . : o WATER LINE (ft ) . . . V1
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . s 0
Remarks: Residential back-flow device, contractor will advise location beim e
ar at the time of inspection.
Owner: FEES
TOM KREMIDAS type amal-Int by date recpt
12297 SW CHANDLER DRIVE PRMT f 15. 00 J*H 08/09/96 96-282734
5PCT 11 0. 75 J*H 08/09/96 96-282'734
TIGARD OR 97224
Phone #i
Contractor: -----------------__.---_-.-_---__
FULLMAN COMPANY
5805 SW HOOD
POR1LAND OR 97201
Phone #: 224-5221 $ 15. 75 TOTAL
Reg #_ 00445 ---- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev
applicable laws. All work will be done in accordance with Final Inspection
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.
1 ,ermittee Signature : v
loe
issLted By-
cal I for inspection — 639-4175
CITY OF TIGARD Plumbing Application Recd By
Date Recd
13125 SW HALL BLVD. Commercial and Residential Data to P.E.
TIGARD, OR 97223 Date io DST
(503) 639-4171 Permit!
Print or Type Related SWR S
Incomplete or illegible applications will not be accepted called
Name of Devlopmenbprolect� y
ME
Job (' I, , �Ar��l (,, ,.,= �r`�
Address Street Address Suite TH HOUSE SE'i19,5.00
eA �Ii�lsa.� -
�s•�tsinitiiys�we'• `utd.�atomi -•.•.
Bldg>t City/State Zip 1 alef �.
_ 1 I (- L
Name yy FIXTURES(individual) QTY PRICE AMT
Sink 9.00
Owner Mailing Address Suite n- Lavatory 9.00
(ht ` 2 Tub or Tub/Shower Comb. 9.00
City/State Zip Phone
T U!� t� ? . L t� Shower Only 9.00
L[2 vC� T —
Name �j Water Closet 9.00
`_& Dishwater 9.00
Occupant Mailing Address — Suite Garbage Disposal ?AO
Washing Machine 9.01.1
C tylStale Zip Phone Floor Drain 2' 9.00
- -- X 9.00
Name
i L 4' 9.00
Contractor Mailing Address' Suite Water Heater 9.00
� Laundry Room Tray 9.00
Cily� tale ZIP Phone lJnnal 900
Oregon Cpnst.Cont.Board Lic.f Exp.Date Other Fixtures(Speufy) 9.00
Attach Copy of I r `T ) 9.00
Current Plumbir'/ L Lic.0 Ex at 900
License � /_ ' —'---- -
_ (� lJ`i� t Sewer-1st 100' 9.00
LCNa
OT Business Tax or Metro ax x . Date —
r Sewer-each additional 100' 30.00
me — Water Service- 1st 100' - 25.00
Water Service-each additional 200' 30.00
Malin Address Suite Storm&Rain Drain-1 st 100' 2500
Architect g --
Storm 3 Rain Drain-each additional 100' 30.00
Of _ —
City/Slate Zip Phone Mobile Home Space 25.00
Engineer — —
Commercial Back Flow Prevention Device or Anti- 25,00
Descnbe work New O Addition O Alteration O Repair O Pollution Device —
to be done. Residential O Non-residential O Residential Backflow Prevention Device' 15.00
Additional description of work -V -- Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp.of Existing Plumbing 4000
per hr
Existing use of T Specially Requested Inspections 4000
building or property — .� per hr
Pain Drain,single family dwelling — 3000
Proposed use of
building or property--- Grease Traps 9.00
QUANTITY TOTAL.
Are you capping any fixtures? Yes p No❑ L ^
Isomeric or riser diagram is required d Ouandy Total ts >9
I hereby acknowledge that I have read this application,that the information 'SUBTOTAL ' !!►+}
given is correct.that I am the owner or authorized agent of the owner,and
that olans submitted are in compliance with Oreyon State Laws. a i r:+ec�see
Slnnature of Owner/A e c _ — Date — 5/.SURCHARGE ��iNR{Qr
9 1
/ TII3i@
PLAN REVIEW 25% OF SUBTOTAL
Renured onty if fixture qty total is>9
ontact Person on i TOTAL
L�A
- 'Minimum permit fee is$25+5*4 surcharge.except Residential Backflow
i.\dsts\pimapp.doo i Prevention Device,which is$15+5%surcharge
110 ft-�. (Mcc.
CERTIFICATE OF
CITY OF T I GARD OCCUPANCY
PEKMIT #. . . . . . . : MS195 -030,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISqUED: 03/05/96
13125 SIN Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2110D-04600
,ITE ADDRESS. . . a 12297 SW CHANDLER DR
iIJBI)I V I S I ON. . . . t (ARLINGTON RIDGE 7ON ING R -3. 5
Bl-OCCK. . . . . . . . . . a L-01.. . . . . . . . . . . . . 025
,LA935 OF WORK. :NEW
S
OF USE. . : ;GF
)CCuPA1,4C;y (;Rp 7'5mF'3
)C G.U PA N C.',Y L(.1 A D e2
Remprks: P01-14
1n?3tall permArient street raciriv,ess
Owner:
IDM KREMIDAG
1 :3454.3 T2W GENNES LP
ItBARD OR 97223
'hone #s 6c'10-2391
ICDANIEL CONSTRUCTION CO
11913P98 !-1W MAVILEWOOD VP
' 16ARD OR 972'23
'hong #: 639-.6959
:his Certificate grants occu pane y of the above referenced btii Idinq or portion
0iereof and ronfirms that the building has been inspected for- c.,ompjiarj(-@ i-jiti,
the State of Oregon gpec:jEtity codes for the Wroup, / r.,c.,,,paljcy, and '.Ise '..Intler
which the reforpnc-ed pet-mit was issi.1pti.
BUILDIZ FF M-1 L
�3 ECTOP
N G
POST IN CONSPICUOUS PL.ACE
i
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1 I I .I It 11'11,1 F 14 1 IA
t
CI”! Y CIF T I GARD FrF CE:IP OF PAYMENT F1 r:F IF'7 (`•It"1. :9�i F.*iQ1Dr,'
C.Hl"C1, AMfJ(,.)N r
iMF 11CIDi-44TI-1. 1FD V rncil-1 0M01.INT 171. 00
I 1 I F�if.+ `:r�►r'1� !.,41 MF fllI 1N1SP0rW LN PAYMENT DATF y 08/10/95
�,ITI::PWf)r:►D hr� URD I V 19 I ON
971 wN--
1 '1..11�!•'CI iE I.IF POYME NT F1MfDUNT PAID I''URPOSU OF PAYMENT AMOUNT PAIIl
r'I FI;•1 I hIF. L.I< FF. f.1 -.•V1Ft .. .''=�17►, pIf11
i
1
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7 SW 1.HANDI.F R IN
I�•i1 71'lh.l P I DV4 LOT
t�
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CI1Y OF TI,GARD - AEL.-'KIPT OF N'AYMkN"( RIwl:k:IG'l NO.
CHECK AMOUNT T s t.5. y'�
NAMIE o F'UI..I.MAN SERVICE CASH AMUUN r : 0. of f
ADDRESS t "5711 BW WAH) P(4YMFN'I" I)AI* : r 1,4t3/014l9t,
SUB r
PORTLAND, OR 97PlAl-- i
I
Wl lRl-"0Bh'. (IF M YMENT AMUUNT PAID PUFICr'USE. UF PAYMk.N I Amulinl l 14M) I
I l 1 11'1B I Nl3 F`F:KM —115. 00 bl. BUILD {-'k* _ _..�_. . ..._....._ .W..:.
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Pt-I.,MDINU PERM.( I FOR BACKFLOW tlEevll:F PAT
1 4:11 Fll_ AMI.ILIN'm' PAID 15. 75
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1
Mc. DANIEL CONTRUCTION Co. =
25420 SW. Mctndowbroo}c Ln.
ShELtccrisc
:rwOod,Or.07 1 40
Tcl. (503) (325 - 5264 BC-11 d #
-3/55/- ,G'.
/-Crt-,o,, ez) .-�s .',v /me, a,0'A
i
PLUMBING PERMIT
CITY OF TIGARD DATEIISSUED: . 10/12/995-030f
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)630.4171 PARCEL: 2S 1 l OBB-04800
SITE PE-DRF"'.. . . 11 97 CW CHANDLER EIR
:IUBDIVISl ��!. . . . : ARLINGTON RIDGE ZONING: R-3. 5
1AL_0CK. . . . . . . . . . . LOT. . . . . . . . . . . . . :025
CLASSOFWORK. . cNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : l
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--------- ----- LAUNDRY TRAYS. . . . . . . 1 GF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: ---.___.________--•--..____..____._.____ -----.-._---------_FEES---_.________.__..
TOM KREMIDAS TIF $ 1590. 00 JSD 09/08/95 95-27030r."
13455 SW GENNES LP SWM t 180. 00 JSD 09/08/95 95-270302
SWM $ 100. 00 JSD 09/08/95 95-2703021
TIGARD OR 97223 BPRT $ 708. 00 JSD 09/08/95 95-270302
Phone ##s 620-2391 FPLC $ 460. 20 JD 08/10/95 95-269082
B5PC $ 35. 40 JSD 09/08/95 95-270302
V.,111mbing Contractor: _.._...._.---_____..__.__.._- PARK $ 500. 00 JSD 09/08/95 93--270302
i MPRT i 51. 00 JSD 09/08/95 95-270..10,E
Name s. v�t1.L�_. (If i-. MPLC 6 12. 75 JSD 09/08/95 95--270302
Addresse l _ �,N��, a. MbPC $ 2. 55 JSD 09/08/95 95-270302
_St Y. 3BTH $ 225. 00 JSD 09/08/95 95--270302
zip: Z._ F' o e#: _.,�� _ �. F'5PC t 11 . 25 JSD 09/08/95 95--270302^
_ _
Reg #; y[ + ,✓ Addition fees not shown here. . . . . . . . .
REQUIRED INSPECTIONS ---- - --
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post/Beam atruct Rain drain In=_p
in accordance with approved plans. This Post/Beam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or if work is Plm/undslab Insp Appr^iSdwlk Insp
suspe ,ded for mare than 180 days. PLM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
�? Framing Insp Frosion Control.
Fireplace Insp
X__ Gas Line Insp
A orize 'lambing Contractor Signature
Call far^ inspection - 639--4175
Contractor N o t e s :
CITY O F T I GARD PErMTT MASTER PER',ft. MST�15- 03-.00
COMMUNITY DEVELOPMENT DEPARTMENT DATEISSUED: 09/08/95
13125 SIN Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
PARCEL-
TE ADDRESS. SW CHANDLER T)F
'LADIVTSION. . . . ARLINGTON RIDGE ZONING: R---3. TS
0C14. . . . . . . . . . LOT. . . . . . . . . . . . .
BUILDING ------
D W F_-L L I NG UN T Tr t I BASEMENT. . . . . . . . .0 f
ASS Or WORK. :NF SEDRMS:3 PATHS:3 GARAGE. . . . . . . . . . ;802 s
Pr-- 0 F I j I":)E. . . :GF rLoon AREAS—, - .--- - P177.0.UIRED 7)ETBnC[,'NG-- --- -
PE' Or CONST. :5N FIRST. . . . .-2256 S f LEFT. . : 10 ft RIGHT. -24 ft
CUPANC,Y GRP. -R3 GEC"OND. . . :707 f rRONT. 20 f f REAR. . :20 ft
DRIES. . . . . . . :O FINDSMCNT:0 s REDUT RED--
I G1 I T. . . . . . . . :25 ft TOTAL -0113 f SMOVE 0r::.'TrCTOR5. :Y
c
DOR LOAD. . . . -40 p ri f VAI..-UF. . . . . '09809 PARKING SPACES. . : I
m'm I
PLUMPING., --
FI-OOR DPAING. . . . :0 BAt'Vr_7j._(3W PREVNTRG. . : 1
iVATORIE'S. . . . . :5 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . 30
TA/SHOWEPS3. - . . s3 LnLJNDPY TRAYS,. . , : 1. CATC14 BASINS. . . . . . . :0
,TER CLOSETS. . :3 !;r-W[-"R LINE (ft ) . -.0 GREASE TRAP'S. . . . . . . :0
- -3 -
I WOTI P LINE (ft " . : 10 n
0 nicp riXTLJRI 7. . . . . .0
,PRAGE Dlr)r". . . I RAIN DRAIN (ft ) . :0
!7il I I Nr3 11nCH. - 1 Sr RAIN DRAINS. . : 1
MEr FEES
!EL UNIT HTRSS. . -0 type a In 0 1.1 T)I!, hay nate t-ec-pt
AS/ VENTt.) . . . . . :0 TIr 159121. 012A JSD 09/08/95 95- `70 0
X INPUT :O T3T[J YrNT PnNS. . :E• G14m I 1(321. 01 JSr 09/0131111 1)'---
RN ( 100K -0 Hnot)T). . . . . . .. I CjWm 4. 100. 00 isr) 09/018./95 9G ;'7030r
:PN > =100K 1 W01")r)"3T0VrS. - 0 F'-•F''�T t 701. 00 .T >D 09/0A/'35 T.7
OOR FURN. . . . -0 CLO DRYERS.. . I ULC 1- 461271. Zola JD 08/10/95 9`
'I /rmr., ( 111P.0 nTHEP UNITS-. 1 Br-:PC 1, 35. 40 JOD 01/00/17, 9"-j
GAS OUTLETS! I r A R K s 500. 00 isr 09/08195 95 -
$ 51. (110, JSD 09/08/95 15 27 7
,M KREMIDAS MPL(', t 1;='. 7x; JSD 1219/1218/9" 95--2-71-
'114 (rr_1\1NC!7, m5pc t ;7_ 55 J n 1) 0 1)/Or-_�/r)5 ')r 1
2DTH I--
00 JSD 09/08/95 9 5�-7 0.-
't,
0r' ')7_,-." t 11. .JSD r�.l r?
one #." 620-2391 E RIDS $ 88. 00 JSD 09/08/95
n t I-a C t a 1- 17 R P r_ $ C`6. S';,� JSD 1219/00/9'`'
r)ANIEL CONSTRUCTION CO E R�'C $ 20. 60 is[) 09/1216119 95__E_,
A 1"W MAPIXWOOD T)P
�:iARD 09 97223
j 4J,I
t 4 Q�I--I. 3,5 T 0 T n L
�s persit is issued subject to the regulations contained ir the RF.'0L)TRFD INSPECTIONS
.vd Municipal Code, State of OM Specialty Codes and all other Footing Insp P11-mb Top Oot
licable laws. All were' will be done in ac:ordance with approved Fol.mdation Irisp Fr-aming
ns. This perait will expire if wank is rct started within Iff Post/Seam Sti-i-ict rit-pplace Insp
Err —co, or If wo4 is 5mvdve f,r ?i:e than days. st /Seam Meehan Gas Line Insp
1-awl Dv--4 i n ITISUlAII tiQ111SP
Tt�5p r3yp Poai,,J Tos-p
F
PL M/Undet-f 1 oat- Rain dtr•
Trisp 6VIAol- t
639-4175
_3EW1 P. CONNECT 101\1
F-IrRml,r
CITY OF TIGARD
GEF2MI1" 4t. . . . . . . : SWR95--0358
COMMUNITY DEVELOPMENT DEPARTMENT DATE IraMJ170z 00/08/95
13126 SW Hall Blvd.Tigard,Oregon 972230199 (503)639.4171 r.,ARCEL. 2S 11 0BF.%04800
- I i:`r)7 � .q)NDi_rn rr2
7�w c.i
SUBDIVISION. . . . ARLINGTON RIDGE ZONING: R-3. 5,
. . . . . . . . . L.M. . . . „ . . . . . . . . :045
rNIONT NAMrE. . . . . .
'LY7A NO. . . . . . . . . . ; FTXTUPE UNITC,. . . :
CLAGM Or WORK. . . :NEW DWELLING UN I TO. . : I
TYF2P Or USE. . . . . :5F NO. Or BUILDTNGS: l
TNGTALL TWE. . . . :LAUGWR IWERV SURFACE. f
PIATH I
F-EES)
TrIm KRrMIDAS type am o,.tnt by date re,-1)t
1.,^,4 ;5 SW GENNES LP PIRMT $ 2200. 00 JSD 09/08/95 95-2703'
T NeSP, 4 3`;. 00 15D 09/08/975 '35 E703
rTGnPD OR 1)7023
r,hone #: 620-2391
ntrac.torc
INTRACTOR NOT ON FILr.
.`L-211. 00 TOTAL
cJ C
REQUIRED I NOPECT I ONS
:s Applicant agrees to temply with all the rules and regulations Sewer Ins;pection
the Unified Sewage Agency. The permit expires 180 days from
e date issued. The total amount paid will be forfeited if the
-sit expires, 'rhe Agency does not guarantee the accuracy of the
4 sewer laterals. If the sewer, is not located at the measurement
;.Yen, the installer shall prospect 3 feet in all directions from
1ip distance giver. If not so located, the installet, shall
T&V and Side Sewer' Permit and the AE- w i-
Call i i n s F,e t t i 6 1--4175
(1, r
co
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 Planck/Rec. #
Permit # - c c 1
Phone (503) 639-4171 Date Issued
CITY OF T1�3ARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development /��'�C�' fCY� / Number of Inspections per permit allowed
Address /�' 1`/ ,� Sic , (' �litn 1 /�< < it Service included Items Cost(ea) Sum
IF
City/State/Zip_ ,c r4-/pCJ e'►r, 2Z -2 -3 4s. Residential- per unit 4
1000 eq II or lose / $11000
Name (or name of business) 1VV 0r1�.),0_ l r$`+r��"� Each Addeionel 500 art ft or
portion Inereol z.. $2500
Commercial❑ Residential Limit Ea-
Energy $2500 _
Manul d Homo or Modular 2
Dwelling Sarvix or Feeder W 00
2a. Contractor Installation only:
4b.Services or Feeders ,
-i Irniallalion,allmalion or relocation
Electrical Contractor f�;''iy /� �` < 200 amps or loss $6000 2
Address ,�� 1'�'r CS,41, 201 Amps to 400 amps $8000 2
Tr 401 amp*to 600 ampe $12000 2
city��/'r; }(�_-, State_".A_ Zip`�11� 601 amps io 1000 amts $1e000 _ 2
Phone No. +`,,♦"' e//S�/ OVA
r 1000 amps or vows S34000 2
Contractor's License No. 3y 3; Reconnect only -- $5000
Contractor's Board Reg. No.
— 4c. Temporary Services or Feeders
Irrslallalion alteration or relocation 2
Signature of Supr. Elec'n r f , 200 amps or lea* S5000 2
License No._L,;r' i ` Phone No. 4.,`V 201 Amps to 400 Amps $7500 2
401 Amps to 600 Amps Von on
Over 600 amps to 1000 volls
2b. For owner installations: ase-b-Above
4d. Branch Circuits
Print Owner's Name New afteration or extension per panel
Addressal The fee for branch crrruds wlfh
City � State _ zip__ � purcham of asrvke,or 4*&r W. 2
Phone N0. --- Ea&branch want $500
_ b)The fee for branch circuits wffhouf
The installation is being made on property I own which is purchase of aarvks or foodar Asa. 2
not intended for sale, lease Of rent First branch circuit $3500 2Each Additional branch cvcuil $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it required): Each primp or irrigation mrcle $4000 2
Each sign or outline lighting $4000
Signal cucuit s)or a limited energy 2
Please check appropriate item and enter fee in section SB. panel arferahon or extension $4000 _
4 or more residential units in one structure Minor Labels(10) $10000 _
Service and feeder 225 amps or more
^_System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C Chap'-or 5 f'"+'rispecho, $3500
Pw hour $5500 _
Submit 2 sets of plans with application where any of the above Plant $5S 00
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $ /
5%Surcharge(05 X total fees) $
PERMITS BECOME VOI[L rF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRPCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ Trust Account If $
Balance Due
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. Q
Tigard,OR 97223 PERMIT# _ L �� C.,
Phone(503)639-4171 DATE ISSUED
FAX(503)684-7297
TDD No. (503)684-2772
CITY OF TIG D Inspection (503)639-4175 ISSUED BY �^
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . .
�`�,� 9p,QQ
0 D r J�_ (FOR ALL SYSTEMS)
City State �-Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORKAudio and Stereo Systems'
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. 0 Burglar Alarm
2. CONTRACTOR APPLICATION -6 Garage Door Opener*
-9 Heating,Ventilation and Air Conditioning System`
Contractor ype___ -81 Vacuum Systems*
Address�.3 '�0 �'1 l�C_(,Q�L9 0 Other_
Date 7 COMMERCIAL--Fee for each system . . . . . . . . . 140+00
t- 7 (SEE OAR 918-260-260)
Property Owner—7-;FAt 4C wi)po+S___ _- Check Tyne of Work Involved:
Contractor's Board Reg. No. 26/ ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone # _____ _jam -�,g __ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ fire Alarm Installation
❑ I I VAC
Print Owner's Name Phone No ❑ Instrumentation
Address
- -- - ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State lip ❑ Medical
This permit is Issued under OAR 918.320.370.This applicant agree%to make only ❑ Nurse Calls
restricted energy Installations(100 volt amps or less)under this permit and In do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required (Certain
Protective Signaling
residential and other transaction%are exempt Gore licensing.1 hev.have ❑ Other
asterisks(').All others need licensing).
2 Call for an inspection when all of the installations under this permit are ready
fur inspection at 503.639-4175.
❑ Number of Systems
i. Purchase seputrate permits for all installations that am not rt.tdy for inspection
when the inspector is out to Inspect under this permit. No licenses are required. Licenses are required for all other installations.
4 Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final Inspection when all of the corrections 5. FEES
are completed.
fhe person signing for this permit must he the applicant n a. Enter Fees $
authorized to bind the applicant.
b. 5% Sltrcharge(.05 x total above) $ C
Si nature `7
TOTAL
Authority if other than applicant
FNERGAP.CHP
Residential Building Perrnii Application 1 ,
City of Tigard
13125 SW Hall Blvd. -rb M
Tigard, OR 97223
(503) 639-4171
Jobsite Address: t
Office Use Onlv
Subdivision' Z.
►� ems _ Lot # d.
�) Contact Date I I Initials
Valuation: /rOC ', — /��'��- ux . Result
New Construction Only: (Square Footage) Planck/Rec # ``> --50 (�
p Permit # MSL1>" X73 u
House: i"'`1•2 Garage: �_ Reissue of
Map & TL # C I c LSt�
Corner Lot? Y Flag Lot? Y Zone _ �•��
Plat # / 3 -5 :3
Owner: I D0-L L.rZ�'i•���
Address: l3`15 Approvals Required
(L --)Z Z 3 Planning Setbacks
`% kN C — Engineering
Phone ( 51'/ ) �Lr ":13`t/ -- Other
Contractor: kl Z)ftK) A-� (!'r," , C Iteins Required
Address: C `ice ,'Scv l'L�.x� � (>rt Subcontractors _
Truss Details
OtherNotes
,
Phone
Contractor's License # —
(attach cpgy of current Oregon license)
Contact Naine: - :�� ILl( u. N. l .
Contact Phone t `�i' ! l (� S`r - t<-�i ` — T�.i, JY1 1. .0 ttiyC.t/ f�-t-ui►yU c/
Subcontractors: / �� �( w ' - < � � Architect/Enginez::
Plumbing t�-ZIQ 15 _ 't'wv�. k� �AMdress _7010 /Li h-uc S4•
Mechanical
(attach copy of current OR Contractor's License)
/ Phone:
JOB DESCRIPTION '�
Applicant Signature — 1 Applicant Phone number
Received by �i Date Received: _
Permit i! Account Descriptlon Amount Amt. Pd. Bal. Duo
/;Is > a 3c Bldg. Permit (BUILD) u�•uv_ ���
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) Zo
Bldg:
Plumb: ! Z
Mech:
Plan Check (PLANCK)
Bldg: ?2;
Plumb:
Mech:
�SwRGi.o35Y Sewer Connection (SWUSA) ��, � �' .1 2 (i✓
Sewer Inspection (SWINSP) 3 ��.--
Parks Dev Charge (PKSDC) d
Residential TIF (TIF-R) 70
Mass Transit TIF (TIF-MT) ��?t� _ /Zt,
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) —
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life SeFety (FLS)
Erosion Cntrl Permit (ERPRMT) _ Y,
Erosion Planck/USA (ERPLAN)
Erosion Planck/CUT (EROSN) • _� �,,
TOTALS: .G�.�?.,. �G^,
.r. ....r...Y.Y1Y.� r....+u.•..+r al.I•..i.ewr r.ilr ...+r..- a JrM1...+a i.. �
�f
to 7-itle Insurance Company of Oregon
as name of TfTLE INSURANCE COMPANY OF OREGON
1SHINGTON COUNTY OFFICES
JUDITH K. LYNN LINCOLN TOWER TANAS80URNE
DITH Manager I.V 10260 S W Greenbury Rd.,Sults 170 2515 N.W.Town Canter Drive
Srn Branch M n�ager Portland,OR 91 o"veRon.OR 97006
503 64&0'20
First American Tide Insurance Company of Oregon FAX(5W)2448377 FAX(5W)61&6351
751.5 N W TOWN UNTFR DRIVE • BFAVFRTON.OREGON 970M
15031615-0370 • FAXFA543351
JERREE GAYNOR
CITY OF TIGARD
13125 SW HALL BLVD.
TIGARD, OR 97223
Re: Arlington Ridege Sudivision / Z Z y 7 S, w' C hR Nuc
Escrow # 94060807
Dear Jerree:
This is to virify that Bull Mountain Land and Development Company has paid
the required $1,424.25 cost contribution for the extension of S.W. Garde
for Lots 3, 9, 12, 19, 21, & 25. Funds have been deposited into the above
referenced escrow with First American Title.
1 If you have any questions, please do not hesitate to contact the
undersigned.
Sincerely,
First American Title Insurance
Company Gf Oregon
Tanavbourne
Judy I.y�'r
Escrow Officer
Solar Balance Point Standard
Box A North-South dimension for the lot Box B. Shade point height from your structure:
meas" perpendicular to the midpoint of the Change in elevation from front property line to
north line the finished floor elevation added to the height
r• r of the building from finished floor elevation to
the affected peak/eave. If the roof line runs
feet NIS, subtract 3 feet from the figure. Subtract
one foot for each foot of difference in elevation
from the front property line to the rear property
line. /
feet
Box C. Distance to the shade reduction line
Distance from North property line to
foundation added to the distance from the
foundation to the Acted roof peak/eave.
I� Feet
The following helps explain the graph below:
The horizontal axis (rows) represents box "C" figures.
The vertical ,axis (columns) represents box "A" figures.
It is most useful to draw a vertical line to represent the appropriate figure
found in box "A" and a hori-ental line to represent the appropriate figure found
in box "C" . The intersection of the vertical and horizontal lines determines the
value found in box "D" . The value in box "D" should be compared to the value in
bcx "B" ; if the value in box "B" is less than or equal to the value found in box
"D" , the building is in compliance with the solar balance code .
Distance /to,
shade l 10 + 95 90 95 90 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 0 40 40 41 42 43 44
65 8 38 36 39 40 41 42 43
60 6 36 36 37 38 39 40 41. 42
55 4 34 34 35 36 37 39 39 40 41
50 2 32 32 33 34 35 36 37 38 39 40 41 42
45 0 30 30 31 32 33 34 35 3_6 37 39 39 40
40 8 28 28 29 30 31 32 33 34 35 36 37 38
35 6 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 29 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 29
10 1 16 16 1.7 18 19 20 21 22 23 24 25 26
5 1 14 14 15 16 17 18 19 20 21 22 23 24
Box "D" Maximum allowed shade point_ height feet
cAddrSolar Balance Worksheet -cel-
Address
ess %
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing an
intersecting line perpendicular to that point. Measure the distance from the midpoint of the y
North lot line to the South lot line along the described line. ( ft
Box B calculations: Shade point height from your structure. Box B:
1. Determine whether measurements will be based on the peak or eave of your
structure. The orientation of the ridge is also important. Which describes
your lot?
1 a: If the roof line runs rlorth-South, measurements will be based on the peak of the (Circle one)
roof.
1a lb(ic
1b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements
will be based on the eave.
1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements
viill be based on the peak.
ft
Measure change in ele,.3tion from front property line to finished floor elevation.
3. MeasurE distance from finished floor elevation to the affected peak eave.
ft
1. If the roof line runs North-Sollth, deduct three feet. If the roof line runs East-West,
deduct nothing.
5. Subtract one foo' for each foot of difference in elevation from the front property ft
line to the rear property line, if the lot slopes up from the front to the rear. !f the
lot has no slope or slopes up from the rear to the front, deduct nothing.
6. 1 otal figure for box B: ft
Box C. Distance to the shade reduction line. Box C:
1 . Measure the distance from the North property line to the foundation. ft
I
2. Measure the distance from the foundation to the affected peak or eave. + ft
:
3, Total figure for box C: __ ft
3: o71nt-"1 sc :ar-! --
K
SCC 96714
S ✓ `tr k l
U �
O WAINI
O
CV
IA
. �L �_a ti. � . ✓r d
KI GTO N
AFI Fc ct�M
Lo Cf
(JA S F S b G t=
4
CITYOF T I G A R D BUILDING PERMIT
PERMIT#: BUP2003-00289
DEVELOPMENT SERVICES DATE ISSUED: 6/19/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SI;E ADDRESS: 12297 SW CHANDLER LR PARCEL: 2S11UBB-04800
SUBDIVISION: ARLINGTON RIDGE ZONING: R-3.5
BLOCK: LOT: 025 JURISDICTION: TIG
REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: A0001*\ FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY '_OAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED
_EF
FLOOR LOAD: psf LT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SI,RFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: Patio roof overhang.
Owner: Contractor:
KREMIDAS,THOMAS G + LETITIA J RENOVATE INC
12297 SW CHANDLER DR 8425 SW CHARLOTTE DR
TIGARD, OR 97224 BEAVERTON, OR 97007
Phone:
Phone: 503-502-0323
Reg #: LIC 120000
_ FEES REQUIRED INSPECTIONS_
Description Date Amount Footing Insp
1311YP1.N1 I'ln k% 5/22/03 $90.55 Framing Insp
1131JILb] I'ernut fee 6119/03 $139.30 Final Inspection
11 AX] R ~tate Tax 6/19/03 $11.14
JCDCBLD]CDC 1314 Re 6/19/03 $20.00
(additional fees not listed here)
Total $280.99
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in Off-R
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By: �,JlllaL4LW, ?
Permittee /
Signature: X`_ vvL�/��''�r����E�
Call 639-4175 by 7 p.m. for P,n inspection the next business day
FOR OFFICE I ISE ONLY
Building Permit Applicatle Received _ Building
Date/By: '��03 Permit No.: 1 Pacy,%
Cit of"ri prd �ir J' liing Approval Other
y g ` [ tdB Permit No.:
13125 SW Ball Blvd. ) Plan Review Other
Tigard,Oregon 97223 /r/� Date/By; 6�i-o 3 Permit No.: _
Phone; 503-639-4171 rax: 503-598-1960�i Ua Post-Review Land UseDate/D : Case No
Internet: www.ci.tigard.ar.us aft/ Contact J s see Page 2 fel.— --
24-hour Inspection Request: 503-639-4175 ' IO Mamc/Method: /( / supplemental Information
TYPE OF WORK REQUIRED DATA:
eW COnstructlon I F1 Demolition 1 & 2 FAMILY DWELLING
Addition/alteration/re lacement Other - --
CATEGORY OF CONSTRUCTION Note Permit Ices*are based on the total value of the work performed. Indicate 1�
the value(rounded to the nearest dollar)of all equipment,materials,labor, 1`
1 &2-Famil dwellin Commercial/Industrial overhead and profit for the work indicated on this application. -J
Accessory Building Multi-Family ~�-
Master Builder Other: Valuation..............•......•...•.•.. .......................... $ 10 d
JOB SITE INFORMATION and LOC TION No.of bedrooms: No.of baths:
Job site address: L Total number of floors.....................................
New dwelling area(sq.ft.)..............••..•.......•...
Suite#: Bld ./A t.#: _
Oarage/carport area(sq. ft.)............................
Project Name: Covered porch area(sq. R.)........••...................
Cross street/Directions to job site: Deck area(sq.ft.)..............•............................
Other structure area(sq. A.)................ ...........
REQUIRED DATA-.
COMMERCIAL-USE CIIECKLIS'r
Subdivision:,A 'f3 Lot#: --
Tax map/parcel #: _ Note: Permit fees'are based on the total value of the work performed. Indicate
ESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor.
y— — overhead and profit for the work indicated on this application.
4� ) �- Valuation .................•.......•.........•................... $
Existing building area(sq.ft.).........................
-- New building area(sq,ft.)...............................
Number of stories.......................................... . --
PROPER L'Y OWNER TENANT Type of construction.......................................
Name: a M -Y- 1 ?' Occupancy group(s): Existing:
Address: L Z 3- C New:
Cit /State/Z.i 6► e P dqq ?,Z-
Phone:
_
Phone: ax: NOTICE: All contractors and subcontractors are required to be
APPLICANTI Lir-CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed 'n the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name_: M I r, from licensing,the following reason applies:
Address: - --City/State/Zip: -- —---
Phone o3 .5D ---
__ BUILDING PERn11T FEES"
E-mail: Please refer to fee schedule.
CONTRACTOR
Business Name: "o U P&Tj'
Fees due upon application......_. ...... _. $
Address: PC+ 14, 5 0 ---
-City/State/Zip: F4aV tNj p Amount received_...... .. ... ............... . .. $
Phone:,443 ' 0 2 -613Z Faxt�n3 -31F& ' 233 P Date received
CCB Lic. #: " o —_
Authorized 141V11
�.i LJ Z Z �� Notice: 7'hls permit application expires If a permit k not obtained%Nithla
Signatu e: Date:
— — IHO da}s after It has been accepted as complete.
G
*Fee methodology set by Trl-Count Itullding Induur� Serc{cr. Board.
(Please print name)
i:\Dsts\PetmitFonns\BldgPertnitAppdoc 01103
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City
City Cit of Tl Tigard g ❑Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U other:
Phone: (503) 639-4171 --- - --
Fax: (503) 598-1960
I IIE' FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed.See jurisdiction criteria for 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 U permit required.Include drainage-way protection,silt fence design and location of
catch-hasin 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 he 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 completed
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if'
[there is more than a 4-11.elevation differential,plan must show contour lines at 24 intervals);location of casements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
area:building coverage area,percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,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 seetlon(s)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 be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,rool'slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references tare acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.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 siring,spacing,and hearing
locations.Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rcbnr. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any ho°am/joist carrying a non-uniform load. _
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in Oregon and shall he shown to be applicable to the project under review.
23 Five(5)site plans arc required for hem 11 above. Site plans tnust he 8-1/2"x 1 I"nr I I" \ 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, "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
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. 440-4614 WIXWorr)
SEE 35MM
ROLL nl'4- 22
FOR
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DOCUMENT
CITY OF TIGARD 24-Hour
BUIL LING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received _._ Date Requested _$.-oZ ( AM PM BLIP
Location a a'�� ��1�- �� Suite - - --- MEC --
Contact Person — !► -� Ph (—) 5-
6d,�03Q 3 PLM
Contractor - -- _-- --_-- ----._-- Ph ( ) 3L-F_=�'� — SWR
BYJL91NG — Tenant/Owner _ ELS,
0gjumf -
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain _ - -
31ab Inspection Nates: c SIT
rr —
Post& Beam - ----- __-- A�i�..z44�tl (1 -
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear -
am'
Insulation -
Drywall"Jailing --
Firewall
Fire Sprinkler - ----
Fire Alarm _
Susp'd Ceing - ---- -
Roof
-PASS PART FAIL ----� -
----------FAIL --
PL GING
Post& Beam ---- —__
Under Slab
Rough-In
Water Service --- - ---
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ----- --
Shower Pan
Other - -- -- -- -
Final
PASS PART FAIL ----
MECHANICAL
Post& Beam ---- - - ---- ( - �—
Rough-In --- - ,
Cas Line
`moke Dampers - - --- � -- - ------ --
F mal
PASS PART FAIL --- - - --
ELECTRICAL
Service -- - ---- ----_._-------
Rough-In _
UG/Slab -
Low Voltage
--------- -
Fire Alarm
Final Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinspection RE__ --_ n Unable to inspect-no access
Fire Supply Line
ADA
Date � •J Inspector v ' ` l
Approach/Sidewalk _ P - _- � y��-�----,- -- Ext -------__
Other
Final DO NOS' REMOVE this Inspection recor from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Flour
BLII' OING Inspection Hne: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received // --- Date Requested --- 7—AM __ - PM_ BUP
Location ___-1__ . A Quite _ MEC _--_-
Contact Person —_ _- ��C�n.�,._ Ph(----) PLM __--
Contractor -----___.__-- -- _ -- Ph(--____—) -_—_--- -- SWR --_--_--
BUILDING Tenant/Owner
ELC
oi
ELC
oundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam -
Shear Anchors ---- -� -
Ext Sheath/Shear
Int Sheath/Shear
nsulation
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 - -------- - - —i- ----
Shower Pan
Other: --,---------- - ---------- --- ----
Final
PASS PART FAIL _
MECHANICAL
Post& Beam
Rough-In - - --- ------
Gas Line
Smoke Dampers ---- -
Final
PASS PART FAIL --�-
ELECTRICAL
Service
Rough-In
UG/Slab -
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:_-_ --- Unable to inspect-no access
Fire Supply Line
ADA .3�) -z/l3
Approach/Sidewalk Date 7 Inspector - -_--._ _ Ext -_-
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
— ~ CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171
Footing Rain Drain
Cover/Service FIN
Foundation Water Line
Ceiling um
ech'
Post/Beam Mech. Sheat/Sheath -Elect.
PIbg.Und/FIrlSlab Plbg. Top Out InsulationId
PosUBeam Struct. Mech. Rough-in Gyp. Bd
San. Sewer
Gas Line Appr;Sdwlk
Other. ___-1j
Date _ _`�_5�- -- A.M. P.M.X Entry:
� —
Address �._�i z'—� 7
Ste:- MST:
Tenant: _--- BUP _--
MEC
ConlUwn -
---- - --
- - - --- PLM -
ELC THE FOLLOWING CORRECTIONS ARE REQUIRED: EI-R:
Date:
Inspector.
k'-A-PPROVED _ -DISAPPROVED/CALL FOR REINSP. CF