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12760 SW CAFIELD COURT 00, 00l 7e o lI 'r p WCIVL M" ftm NOW _.� 1 4• www ' 1 1 4TuJ6. � 1 �' �•�� .� blTlIJ�CK v � 2 L j A ELEYAnCH D :. �j '•:• rrt • 1 tiheim ��./p ( `''V'• �,� . 7- -- ' •�r ,moi ';: � y ,t.'f!•� ��C , i tom- ,•,• coNc It — ' i 1 Q /2 7600*0 AS F400040v N _ IT PLAN 1 ec&g kAT'■r-a L4 ti �/L y / ,ice psi iewl LOT 012E 4M Ga FT _ . _ _ .__ _ __. _ �. N54•�4'�t�"E (�J LOT � WVEAYL 1311 bQ FT210COZ&mrlow�mm 25 bQ FT TOTAL LOT C AMAGE " bA FT LOT COVINRACIE 4M 6a PTA342 eQ � • M LOT 4 F NOTICE: IF THEIPRINTO�{ rY�EONANY ( rTIIIIII I1II ► II ICr II ► III � � ! 1JT" -(-fI� II-r-1-rrrTr- 1--r_(_f117 1 11"1�T i � l � � ( (.� ( I � ( I � iiTr ( x ( 1 I ! ll (-rjI1111112 I I II II I I II I IMAGE S NOT AS CLEAR AS THIS NOTICE, 3 4 J � $ 9 la 11 12 l 11' IS DUE TO THE QUALITY OF 1-FIE - _ -- ---- - a--- - -- - - No.36 6II LIIII-IIIII I-III--Il-ii I--III ---- - -------- -- -- -- -- ------- - - -•----T--1 --- -----.6-- II Ill111 IIII�IZ, IIII. IIII IIi I9I I fl IIIIIIIIITill IIIIIII IlZli �►Illl0RIGiNAL DOCUMENT F''g,' ', li E Ill , I - 1 Illif 111 I N V Q1 O cN C n p1 .1 �D a n 0 c 12760 SW Cafield Court li CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM5100 00442 13125 SW Hall Blvd.,Tigard, OR .)7223 (503) 639-4171 DATE ISSUED: 12/15/00 PARCEL: 2S 104DA-01800 SITE ADDRESS: 12760 SW CAFIELD CT SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R4.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: J URINALS: GREASE: TRAPS: LAVATORIES: OTHER FIXTURES: TLIB/SHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE: It DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention valve. Owner: FEES_ - Type By Date Amount Receipt J & S CONCRETE INC PRMT CTR 12/5/00 $36.25 27200000000 19600 S LELAND RD 5PCr CTR 12/5/00 $2.90 27200000000 OREGON CITY, OR 97045 - Total $39.15 Phone 1: 656-9992 Contractor: GROVER LP.NDSCAPE 5005 SW 1\9EADOWS RD LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: Final Inspection Reg #: LIC 7067 •=N,R" 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 peimit 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 adop!ed 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 +.o OUNC by calling j503) 246-1987. Issued By ' _�.., Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received:/a-�;-er Permit no.: i City of TigardSewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case filero.: Payment type: U I fi 2 family dwelling or acces, ,ry U Commercial/industrial U Multi-family U Truant improvement U New construction U Addition/alteration/replacement U Food service J()pier: Job address: 6e7 --1W3 lel Description "Y. Fee(ea.) I Total Bldg.no.: Suite no.: New I-and 2-family dwellings only: Tax map/tax lot/account no.: (includt-s 10011.for each utility connection) SFR(1)bath Lot: Block: Subdivision: S17R(2)br.th Project name: SFR(3)bath City/county: -^ ZIP: Each additional bath/kilchen Description and local n of work on premises:— _--- ._. Site utilities: Catch basrn/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no. lin ft.) _ anufactured home utilities _Business name: /r Manholes Address:_ Rain drain connector City: Slab✓'/' ZIP: Sanitary sewer(no.lin. ft.) Phone: 7FFftT E-mail: Storm sewer(no, lin.ft.) CCB no.: Plumh.hug.reg. no: 7C6 Water service(no.lin.ft.) -- _— - - City/metro tic.no.: f±ixmre or item:_ _ _ Absorption valve Contractor's represei ta_tive signature: Rack flow prcventer Print name: _ I elle Backwater valve _ Basins/lavalory _ Name: Clothes washer _ -- Dishwasher Adf rx ss: Drinking fountain(s) _ City: State: ZIP: Ejectors/sump Phone- E-mail: Expansion tank -- Fixture/sewer cap Name(print): Floc:drains/Iloor sinks/hub Mailing address: Garbage disposal Hose bibb City: _ — Str,te: ZIP: Ice maker e: Fa Phonx: I E-mail: Interceptor/grease trap - Owner instal lation/residential main:ennuice only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my repulat Roof drain(commercial) employee on the property I own as per ORS Chapter 417. Sink(s),basin(s),lays(s) -�— (hener's signature: _ Dale: ---- Sump Tubs/shower/shower pan Urinal Name: - _— Water closet Address: Water heater City: State: ZIP: Other: — - Phone: Fax: I E-mail: Total Nd all Jurisdiction%accept credit cards,please call Jurisdiction Fx mote informationMinimum fee................$ Notice:This permit application --""'---- U viae U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cent number:_ _ — .-�-1 within 180 days after it has leen State surcharge(8%) ....$ Expires TOTAL .......................$ —- Name of cardholder u shown on credit card-+_--- accepted as complete. S Cardholder signature _ -- Amount EXPIRED 440 41,16(6"WOM I PLUMBING PERMIT FEES: PRICE TOTAL New find 2-family dwellings only: FIXTURES (individual__ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection _ Lavatory One(1)bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath --___ $350.00 _--- Shower Only 1660 J Three 3 bath___--- — $399.00 '✓Vater Closer 16.60 — J` SUBTOTAL Urinal 16.60 — — 10%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL — Garbage Disposal 16.60 — Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2"— - 1660 _ PLEASE COMPLETE: 16.60 4' 16.60 _ --- _ Quantity b Work Performed Wafer Heater O conversion O like kind 1660 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Ce ed permit --- -- — MFG Fionre New Water Service 4640 Sink __— -- MFG Tub or Home New San/Storm Sewer 46.40 — — — - Tub or Tub/Shower Hose Bibs --Tr:-6-0 _ Combination Root Drains----- rains - —16.6C Shower Only Drinking Fountain 16.60 Water Closet _— Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbe Dis osal _ -- — - — Laund Rocm Tray _ _--�— -- Washina Machine _ Floor Drain/Sink: 2" Sewer" 1 sl T 00' 55.00 3^ Srwer-each additional 100' 46,40 --! 4" _ Water Service- 1st 100' 55.00 Water Heater --- Other Fixtures Waley Service-each additional 200' 4540 (Spec fy) Stomt 8 Rain C=ain-1st 100 55.00 Storm 8 Rain Drain-each additional 100 46.40 - Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 - — Inspection of Existing Plumbing or Specially 72.50 Requested inspections _— erlhr — COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 — Grease Traps 1660 ----- --- - — QUANTITY TOTAL -- Isornetric or riser diagram Is required If �,uanlity Total Is >9 'SUBTOTAL. 8%STATE SURCHARGE -- -- - "'PLAN REVIEW 25 OF SOF SUBTOTAL Required only it fixture qty total 13>9 — _— TOTAL 5 *Minimum permit tee is$72 50+8%state surcharge,except Residential BackOuw Prevention Device,which Is$36 25+8%state surcharge **AIL New Commercial Buildings require plans with Isometric or riser diagram and plan review I:\dsts\furans\plm-fees.doc 10/10/00 .,� � d O � y �^ � 0 ~ ~ \ , � a �- � "'I .. Q � r7 H �� � O � � n 1 ryy Gam,, D' GJ � Q w � �� v � � � n �' e.. �. y N � � o c � � N � ti � H �: N r �. � � � � �. a 7 � __ �. � . � .i r. -� 5� �., D N -� b •O � �� � � �� O a {- �e � n `�', n x a p Re � (� X � O O �e A' CITY ®F T I G A R D _ MASTER PERMIT PERMIT#: MST2000-00176 DEVELOPMENT SERVICES DATE ISSUED: 7/13/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12760 SW CAF;ELD CT PARCEL: 2S104DA-01800 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK LOT: 004 JURISDICTION: 'FIG REMARKS: Path 1, new single family detached residence. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST. 694 e1 BASEMENT. ^at LEFT: 3 SMOKE DETECTORS TYPE OF USE: SF FLOOR LOAD: SECOND: 987 at GARAGFF 4'd, at FRONT* 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: ar RIGHT: 10 VALUE- S 4 +> 50 OCCUPANCY GRP: R3 BDRM: 4 BATH: i TOTAL: 1,67700 at REAR: 35 PL UMBING SINKS: I WATER CLOSETS: WASHING MACH I LAUNDRY TRAYS. RAiN DRAIN: Ino TRAPS LAVATORIES: I DISHWASHERS i FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRA:NS: I CATCH BASINS TUBISHOWERS&. GARBAGE DISP: I WATER HEATERS. I WATER LINES: inn BCKFLW PREVNTR: I GREASE TRAPS. OTHER FIXTURES MECHANILAL _FUEL TYPES FURN�100K: BOIL/CMP<3HP. VENT FANS: 4 CLOTHES DRYER: I FURN>=100K: I UNIT HFATF.RS: HOODS: 1 OTHER UNITS I MAX INP. htu FLOOR FURNANCES. VENTS. I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIA: UNI7 SERVICE FEEDER TEMP SPVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 Amp. 0 200 amp- WISVC OR FOR: I PUMPIIRRIGATION- PER INSPECTION EA ADD'L 500SF. t 201 400 amp. 201 400 amp: let WIO SVC/FDR 00 SIGNIOUT LIN LT PER HOUR. LIMITED ENERGY. 401 600 amp- 401 600 amp: E/.ADD[.BR CIR: SIGNALIPANEL: IN PLANT. MANU HMISVCIFOR: 601 • 1000 amp. 6014ampP1000V: MINOR LABEL: 1000♦amp/volt: PLAN RE JIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFOR>•725 A.: >800 V NOMINAL: CLS AREAISPC OCC. F.LEC:IRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _. AUDIO&STEREO. VACUUM SYSTEM AUDIO R STEREO: FIRE ALARM INTERCOM/PAGING OUTDOOR LNDSC LT. BURGLAR ALARM: OTH. BOILER: HVAC LANDSCAPEARPIG PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION MEDICAL OTHR: HVAC: DATAJTELF COMM NURSE CALLS TOTAL 0 SYSTEMS. Owner: Contractor: TOTAL w•'�FS: $ 3,425.00 This perms'IS suble laqulations contained In the J&S CONCRETE INC ECK CONS1 RUCTION INC Tigard Murlcipal Cc,'e,State of OR Specialty Codes and 19600 S LELAND RD PO BOX 204 all other applicable Is vs All work will be done in OREGON CITY, OR 97045 SHERWOOD OR 97140 accordance with approval plans. This permit will expire if work is not started within 180 days of issuance,or If the work is suspended for more than 180 days ATTENTION Phone: �/, Phone. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg0 1 C 1 147s forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987, REQUIRED INSPECTIONS Erosion 844-8444 Underfloor Insulation Mechanical InsF Shear Wall Insp Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Water Line Insp Final Inspection Foundatlon Insp Footing/Foundation Drl Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final Post/Beam Structural PLM/Underfloor Electrical Rough in Gas Fireplace Electrical Final Post/Beam Mechanics Mechanical Insp Framing Insp Insulation Insp Mechanical Final Issued By . �` Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day i 1 1� CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SW3/00 00140 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7!113/00 PARCEL: 2S104DA-01800 SITE ADDRESS; 12760 SW CAFIELD CT SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS- 1 INSTALL TYPE: LTPSWR IMPERV SURFACE_: Remarks: Sewer connection permit for new single family residence. Owner: -- FEES__ `— .l & S CONCRETE INC Type By Date Amount Receipt 19600 S LELAND RD -- OREGON CITY, OR 97045 PRMT DEB 7/13/00 $2,300.00 0003696 INSP DEB 7/13/00 $35.00 0003696 Phone: i Total $2,33:5.00 Contractor: Phone: Req #: Required Inspections Sewer Inspection O� This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the pen-nit 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 located, 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 Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by:� -- — Permittee Signature:^Y' Call (503) 639-4175 by 7:00 P.M. for an inspPrtion needed the next business day ......r� .r•�rrr..■ a r•..r rr`� rid'.l IfV 6 _ �.r r yr wHnv rtCalu!~11'° TIOn Recd By '-✓.� 13125 SW HALL BLVD. / �� Date Recd TIGARD, OR 97223 Single F X) (IJ�� Date V 503-639-4171 r Date to DST G-?o - F 573-684-7297 1 Q°j L I l r Permit# r r n n yr r yNv Called_ Incomplete or illegible applications will not be accepted Ne a of Project/! Name Jobw � Architect Address���1�• Eri-ov _ Address Site Ad res ��� �S _sly �•�a r . ;4" C� ��{� C' /State ! Zip Phone Name �JS. C�'1�./'Zr�'�-+Ti's l,'d-iT�►►. 4 _ yy�� Name Owner Mailing Address f' Engineer Mailin Address City/State - Zip Phoned /,fr Or 6S-g- City/Statg Zip P nng Na O,'f//Ac�` � f"`7�f/ �b�_f8�v General Contractor �G` `fj cl�f��1 _�' Describe work NevQQ, Addition O Aker tion O Repair O Ma Addres —�� to be done_ Prior to permit , max-�O y Additional Description of Work: issuance,a copy C /State Zip of all licenses J are required If Oregon Const.Cont.Board Exp.Date PROJECT expired In COT uc.# 7- VALUATION $ database _ — Mechanical Name , NEW CCNSTRUCTION ON Sub- _' I`� `Y� ,(�_., Sq. Ft. �Hjous2- Sq. Ft.Garaoe Contractor Mailing Address �'b- Indicate the restricted energy installation by he electrical Prior to permit —_..-- subcontractor in the following areas issuance,a copy Cfty/State Zip Phony Restricted Audio/Stereo!_ of all licenses _ Alarms are required if Oregon Const.Cont. Board Exp.Date Energy System , rl expired In COT L�.N l Installations Vacuum Irriga!io _ —� System System database � el Plumbing Name, (check all that Other- Sub- therSub- - a f '-- �:. Corner Lot Contractor Marling Address YES NO Flag Lot YES NO �i check one _deck one _ Has the Subdivision Plat recorded? N/A ` NO Prior to permh City/State $ip Phone Issuance,a copy of all licenses are Oregon Const,Cont. Board Exp.Date required it Lick I hearby acknowledge that I have read this application,that the expired in COT _ _ database Plumbing Lic # Exp. information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with _Oregon State laws_ NameSignature of Ow er/Agent D to Electrical _ i� !V r It C Sub- Mailing Address ��a( Person NL Phone# Contractor City/State Zip Phone Prior to permit issuance, a copy _. FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont. Board Exp Date Plat#: Map/TL#: required ff Lic.ar ���/Q'7/nN expired In COT database Electrical Llc 8 Exp Date Setbacks: Zone: /1 Solar: J �� + Electrical Supervisor I_Ic.A' Exp Date Engine rtg Approval Planning Approval: TIF r i\dsts\forma\sfaddalt doc 12110!99 CITY OF TIGARD Credit No.: Date Issued: June 8, 2000 Engineering Authorization Date: June 8. 2000 TRAFFIC IMPACT FEE CREDIT VOUCHER Lanni Use Casefile No.: _ 97_-517-PD/S/DI1A In accordance with Ordinance 379 Cypress Ventures (gaff*o,d"ow) is entitled to $ 292.254.91 in Traffic Impact Fee Credits that can be applied to TIF ESI ANO charges for development on lot(s) all of the Quail HolloA WEST Developments. To use this credit, present this fore n at the time of issuance of the building permit. Q _ Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 292,254.91 Balance carried forward to TIF Credit No. -__— • Ordinance 379 provides for an expiration 7 years from authorization. Use Additional pages if necessary. �1 yl Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 7 years from authorization. 1 V-Vdcx�T IF IC SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. NAI I_ BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE Frv��1 WOLCOTT PLUMBING CONT. INC LJUL PO BOX 2007 22000GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2000-00176 Date Issued: 7113100 Parcel: 2S104DA-01800 Site Address: 12760 SW CAFIELD CT Subdivision: QUAIL HOLLOW - WEST Block: Lot: 004 Jurisdiction: TIG Zoning: R-4.5 Remarks: Path 1, new single family detached residence. Your company has been indicated as the piumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTW Building Dept No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: J & S CONCRETE INC WOLCOTT PLUMBING CONT. INC 19600 S LELAND RD PO BOX 2007 OREGON CITY, OR 97045 GRESHAM, OR 97030 Phone #: 656-9992 Phone #: 667-1781 Reg #: I IC 00023847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FURM X -&._ S gnatu4fulhorized Plumber If fou have any questions, please call (503) 639-4171, ext. # 310 Flectrical Innov. , Inc. 503-632-6564 p. 4 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD. OR 97223 IL. ORTANT PERMIT NOTICE. ELECTRICAL INNOVATIONS CgM' �FyF� 21.300 S LEWELLEN RD wl� -v BEAVERCREEK, OR 97004-8733 Electrical Signature Form Pcrmit -ft: MST2000.00176 Date Issued: 7/13100 Parcel. 2S104DA.-01800 Site Addresc' 12760 SW CAFIFLD CT Subdivision: QUAIL HOLLOW -WEST Block: Lot: 004 Jurisdiction: TIG Zoning: R-4.5 Remarks: Path 1, new single family detached residence. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to oe valid, the signature of the supervising electrician is required. Please have the approp�late individual from your company sign below and return this Electrical Signature Form prior to the �, of the work to the address above, AT-TN: Building Dept No electrical inspections will be authorized until this completed form is received OWNER El_LCTRICAL CONI RACTOR� ,ii & S CONCRETE INC ELECTRICAL INNOVATIONS 19600 5 LELAND RD 22300 S LEWELLEN RD OREGON CITY. OR 97045 BEP.VERCREEK, OR 97004 8733 Phone #: 656-9992 Phone N. Req #: E`E 26-899c l_Ic 00066412 SUP 36215 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signat f Supervising Electrician Qll have any questions, please call (503) 639-417 1, ext # 310 CITY OF T IGARD BUILDING INSPECTION DIVISION MST mac- /7C 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---� BUP — . Date Requested_1Z - Z Z------AM PM _ BLD _ Locationc-✓ --t _ Suite MEC Contact Person Ph !2i( re ��� 3 ALM Contractor _ _ Ph SWR BU — Tenant/Owner ELC ReTalning Wall ELR Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Notes: ------� Slab -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - -- - _ _ Roof Fi ;i9 PART FAIL PLUMBING Pas Under Slab Top Oui. Water Service Sanitary Sewer Rain Drains �. Final --PASS--PART FAIL MEgHAdICAL Post&Beam - -- - -- Rough In Gas Line - - - -- -- - - - - Sm ke Dampers 45ASS FART FAIL ELECTRICAL -- - - - - Service Rough In UG/Slab Low Voltage Fire Alarm -- ------ - - - -- - --- Final PASS PART FAIL ----- __-- _SITE Backfill/Grading �— --- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: [ ]Unable to inspect- no access ADA Approach/Sidewalk -, Other Date - < <�_ ` Inspector _1 _Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. ,1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST �iy-6u 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BUP Date Requested Z " Zri -AM_ _PM ` BLD — - LocationZ Z L' SGv Cis l��l _ Suite _. MEC _-_— Contact Person __— Ph % 4 G'3/� PLM Contractor _. Ph __._. __ SWR BUILDING Tenant/Owner ' —_ —_ ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes — Y4VY- Slab -.-- SIT Post& Beam — Ext Sheath/Shear --- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- ------ - - - ----------- ------------ Roof Misc: -- -- -- - —--- -- — _ Final PA RT FAIL -- -- ----- - — ---- - _ --- - - - -- P Post 8 Beam Under Slab Top Out Water Service Sanitary Sewer Drains Fii PART FAIL ECHANICAL Post R l"am - Rough In Gas I_inf, - - - - - - - --- - - -- - Smoke Dampers Final - - - -- -- ---- - - - - - - PASS PART FAIL ELECTRICAL - - - - - -- -- Service R01-gh In UG/Slab - - ---- ------ - - --- - Low Voltap Fire Alarm - — -- —- -- - - - Final PASS PART FAIL I -- - — — -- - --- - - -- -- -SITE Backfill/trading -- ---- —�-- - --- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please cal;for reinspection f�( _-____ _-___ [ J Unable to ins peel-no access ADA Approach/Sidewalk Date '� l / t� Inspectory�J Ext Other -r- Final - - --- - - --- Final — PASS PART FAIL DO NOT REMOVE this inspection record fromr the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 8UP Date Requested Z — ! AM PM —_ UIP ULD Location / 7 & w CCr �� _ Suite MEC Contact Person — _ Ph ��� — j/(� PLM _ Contractor _ _ Ph — SWR IU LDING — Tenant/Owner EL.0 Retaining Wall � - - --�— __— ----------------- Footing ELR -- - -- ------ Foundation Access FPS Ftg Drain -- - - — Crawl Drain Inspection s: SGN Slab — Post 8 Ream sit ---.__-----,-.._- Ext Sheath/Shear Int Sheath!Shear -- ---- -- ----- Framing _ Insulation -- Drywall Nailing --_--, Firewall -- Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof Misc: - T�. Final -- - - PASS PART FAIL ---- _ - PLUMBING Post& Beam - - - Under Slab Top Out ----- - -- — - — Water Service Sanitary Sewer -- - Rain Drains Final _ PASS PART FAIL MECHANICAL Post& Beam -- — Rough In Gas Line - - -- Smoke Dampers a — Final P S- RT FAIL Service Rough:n UG/Slab Low Voltage F larm Fi -- S )ART FAIL Backfill/Grading - Sanitary Sewer Storm Drain I ]Reinspection fee of$ _—required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE --_- _ 11__) 7 J Unable to inspect-no access ADA Approach/Sidewalk _ /�' �) Other Date Inspector _ Ext Final - PASS _ PART FAIL DO NOT REMOVE this inspection record from the job site.