Case File own
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11600 SW
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BULL
f=iTY OF TIGARD BUILDING INSPECTION DIVISION MST �i�U it�O 24
24-Hour Ins�ecti--i l :ne: 639-4175 Business Line: 639-4171
BUP
Date Req•iested AM PM BLD
Location /�G„u S�✓ �+/� h'1 Suite _ MEC
Contact Person Ph Zo (G y 1� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _
Fig 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 _L�Q
Susp'd Ceiling
Roof
Misc: — -
Final
PASS PART F#4 IL — — —
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
Final --- — -- --f --- _
PASS PART FAIL
L
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
F
SS PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin ( ]Please call for reinspe,tion RE: ( j Unable to inspect-no access
Fire Supply Line
ADA ['
Approach/Sidewalk Date `7 - — �� Inspector f �1'LE/�._ Ext
�Other _ r
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job Rite.
CITY OF TIGARD BUILDING INSPECTION DIVISIONGG
MST
2$-Hour Inspection Line: 639-4175 Business Line: 639-4171
� UP
Date Requested �� " o AM _PM BLD _
Location Suite MEC _
Contact Person Ph `(U S _ PLM
Contractor Ph SWR
BUILDING Tenant;Owner ELC _
Retaining Wall ELR _
Footing Acce3s: SPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _—_ — _ SIT
Post&Beam
Ext Shaath/Shear
Int` Heath/Shear Q ,
Framing y / ) V --
Insulation
Drywall Nailing j� u—�
Firewall
Fire Sprinkler 1 /
Fire Alarm
Susp'd Ceiling
Roof � Lt
— /
Final
PASS PART FAIL —
Post& Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rilia.prains _
Fin
RT FAIL
L
Post&Bea —
Roug n
Gas Line -
Smoke Dampers
WA
— --
PART FAIL
K-eCTRICA �—
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
B ackfili/urading - -
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before rext inspection. Pay at City Hall, 13125 SW Hall Blvd
Catcii Basin
Fire Supply Line I ]Please call for reinspection RE: I ]Unshle to inspect-no ai:cwss
ADA (�
Approach/Sidewalk Date Q 1 Inspector L/L\y Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISIONS/�
24-Hour Inspection Line: '639-4175 Business Line: 639-4171 MST e,o
SUP
_Date RegUested C'� -z-- AM PM BLD
Location—,
U 54C [� �n oma- Suite MEC
Contact Person 6kurq'p Ph eC O � PLM
Contractor _ Ph _ SWR
BU - Tenant/towner2,0l, e na& ELC
Retaining Wall ELR
Footing
Foundation P.CCeSS:
Ftg Drain c�r�(,��n (Q',. 5 FPS
Crawl Drain Inspection Notes: _ e SGN
Slab
Pos SIT
xt */ShearInt. /� ,, ,F m [ - r Do T-Ca� 1`✓C "�A�d4c X02 A),0
nsulation
- u
Drywall Nailing _
Firewall — —
Fire Sprinkler _
Fire Alarm - —
Susp'd Ceiling
Roof -
Misc
S PART —
BWM BING
ii'ost& Beam — - - - --_
Under Slab
Top Out -- ---- _
Water Service
Sanitary Sewer - -- - ----
Rain Drains
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
PASS PART FAIL
SITE \
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$12� _required before next inspection. Pey at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date C _Inspector �A Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GB PLUMBING
PO BOX 12691 /.-A<< `1
HILLSBORO, OR 97123
Plumbing Signature Form
Permit #: MST2000-00211
Date Issued: 7/18100
Parcel: 2S1101313-08400
Site Address: 11600 SW BULL MOUNTAIN RD
Subdivision. MLP97-0014 WALL PARTITION
Block: L.ot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: S/F PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing pe,mit 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, ATTN Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER. Pl-UMBING CONTRACTOR:
WALL, GEORGE GB PLUMBING
11620 SW BULL MOUNTAIN RD PO BOX. 12691 1 ,
TIGARD, CR 9722.4 1I,L' S301;0, Of: 97123
Phone #: 670-7814 Phone #:
Reg #: PI PA 34-44PB
AN INK SIGNATURE IS REQUIRED ON 'PHIS FGRM
x && r _
X
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
CITYO F 1 I G A R D MASTER PERMIT
PERMIT M MST2000-00211
DEVELOPMENT SERVICES rATE ISSUED: 7/18/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11600 SW BULL MOUNTAIN RD PARCEL: 2S110BD-08400
SUBDIVISION: MLP97-0014 WALL_ PARTITION ZONING: R-4.5
BLOCK- LOT: 002 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 2.144 of BASEMENT: of LEFT: 99 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 909 s. GARAGE: 1,532 of FRONT: 93 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 15
VALUI'.: $260.956 71
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.13300 of REAR: 25
PLUMBING
SINKS I WATER CLOSETS: 3 WASHING MACH. I LAUNDRY TRAYS, 1 RAIN DRAIN: 1r,, TRAPS:
LAVATORIES: 5 DISIIWAEHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WA1 ER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN-100K: BOIUCN,°<3HP: VENT FANS: 5 CLOTHES DRYER: 1
FURN>-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVEb. GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SEFVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _MISCELLANEOUS ADD'L INSPECTIONS
1000 SI OR LESS: 1 '1 200 amp: 0 200 amp: WISVC OR FDR 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: B 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGfIAUPANEL: IN PLANT:
MANU HM/SV^IFDR: 601 • 1000 amp: 601-amps-1000v: MINOR LABEL:
1000-amplvolt:
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVCIFDR>+226 A. >600 V NOMINAL: CLS ARFAISPC OCC
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO d STEREO: X VACUUM SYSTEM: X, AUDIO B STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM, OTH: IRRIGATION BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER, CLOCK: INSTRUMENTATION: MEDICALS OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,692.17
This permit is subject to the regulations contained in the
WALL,GEORGE GEORGE WALL Tigard Municipal Code,State of OR Specialty Codes ano
1167.0 SW BULL MOUNTAIN RD 8555 SW TURQUOISE LP
TIGARD.OR 97224 BEAVERTON,OR 97007 all other applicable laws. All wort;will be done in
accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work is Fusperded for more than 180 days. ATTENTION
Phone: Phone: Oregor.Iaw requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg#: uc 000526,2 forth 1n 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 Wtr Proofing Bsn•',VY.: Footing/Foundation Dr; Plumb Top Out Exterior Sheathing Insf Rain drain Insp
Grading Inspection Post/Beam Structural OLM/Underfloor Electrical Service Low Voltage Water Line Insp
Footing Insp Post/Beam Mechanical F'ng Drain Bsm't Walls Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Foundation Insp_ Underfloor insulation M�chanical Insp Framing Insp Gas Fireplace Electrical Final
Slab IlIW-f Crawl Drain/Backwater MEchanical Insp Shear Wall Insp Insulation Insp Mechanical Final
►� 1 r
Issu d By : Permittee Signature
Call (503) 639-4175 by 7:00 p.m, for an inspection needed the next busin'.*ss day
CITYOF TIGARD - SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00171
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/18/00
SITE ADDRESS; 11600 SW BULL MOUNTAIN RD PARCEL: 2S110BD-08400
SUBDIVISION: MLP97-0014 WALL PARTITION ZONING: R-4.5
BLOCK: LOT: 002 _ 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: New SFR
Owner. ---------- —_
WALL, GEORGE _ - FEES —
11620 SW BULL MOUNTAIN RD Type By Date Amount Receipt
TIGARD, OR 97224 PRMT DEB 7/18/00 $2,300.00 0003796
INSP DEB 7/18/00 $35.00 0003796
Phone:
Total $2,335.00
Contractor:
Phone:
Reg #:
Requ:red !nspectlons
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If nct so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow, rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987.
Issu$d by: yy / � . //II
1��s - CL L1 f Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Ch �-
13125 SW KALL BLVD. New Construction Recd B
Date Recd_ -
TIGARD, OR 97223 Single Family Detached Date to P.E.
V 503••639-4171 Date to DST (& ' G u
F 503-1384-7297 Permit# zo
Lehr cv- z/i
Print or Type Called - '-/•0d c:
Incomplete or illegible applications will not be accepted 17(11)7- zzb-b04
y M L
Name of Project e E �
Job > 3, -Na7W �l
Architect Mailing Ad ress
C ddress site caress O orn , �n
Name City/State Zip Phon
r1 - ---- ---- - - �7
Owner Mailing Ad ess Name
/ /
Engineer Mailing Address
Cky/State Zip Phone g /S P Iq
City/State Zip PhoneCJb
General N e
Contractor l 1 f r7" Describe work Newp Addition O Alteration O Repair 0
Mailing Address to be done:
Prior to permit 0 a Additional Description of Work:
issuance,a copy City/State Zip Phone
of all licenses Ys.•
are required if OFdgon Const.Cont.Board Exp.Date PROJECT
expired In COT Lic.# y, VALUATION $
database 7 -3 cf z- 0 \ to 4 0
Mechanical Name _ NEW CONSTRUCTION ONLY:
Sub- 19e,11f Sq. Ft. Flouse: Sq. Ft.Garage
Contractor Mailing Address -1, 3-j 1 J.S3w
Prior to permit ;s ,F- Ao-r /,e. Indicate the restricted energy inr tallation by the electrical
Issuance,a copy City/State ZIP
Phone subcontractor in the followin areas
of all licenses r ��, n . g J / S �� Restricted 1� Audio/Stereo
are required If Oregon Cons Cont. Board Exp Date Energy \ System
Alarms
expired in COT Uc.# ( l \/Q ^ . Installations Vacuum Irrigation
database / Q f����+�1 h S stem System
Plumbing Name (check all that Other:
Sub- ,(j r,fy, apply)
_
Cortractor Mailing Address Number of Units in Building Unit Number Designation
ll�o
v(, Zip Phone�)67Prio to permit City/State Has the Subdivision Plat recorded? N/A YES NC
issuance,a copy // -.3 , r,r (2 --of all licenses are Oregon Const.Cont. Board Exp.Date
reqs•red if Lln.# r
expire in COT 1� y l^ / / .;/nr
dot )ase Plumbing Lic.# Exp.Date I nearby a-.knowledge that I have read this application,that the
_ information given Is correct,that I ars.the owner or authorized agent
111 of the owner,and that plans submitted are in compliance with
Name _Oregon State laws.
1=1� arlcal t'� Sign tur Owner ge V Date
.Utj Mailing Address o
n Person Name hone#
Contractor 1 , :�; o_ 7
City/State Zip Phone
Prior to permit
issuance,a copyIt. , �� ,
of all licenses are Oregon Const Cont Board Exp Date l'OR OFFICE USE ONLY:
plat
#:'if Lic.# ##: H� q-7-W' r
expired.' DT 7.>l C"/,f 7 ' Ml/OrJa'r��`f0�
database Electrics Lic # Exp. Odle Setbacks:r) / Zone: �^
AJ a/� .%' ' ,./ 7
Ell-ertrigal Supervritur Li 'Exo.Date Engineering Approval: Planning Approval: TIF:
-- e*— P O i.
i.\dsts\forms\sfd-new doc 11/20/98
CffV OF TIGARD
OREGON
11N w"ENT TO HAUL EXCAVATION
(LOTS STEEPER THAN 20%)
4�1 print name), herebycertify that ALL excavation
fY
material on the subject property will be removed from the site and not be planed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand
that failure to remove the excavation material will result in tl,Q requirement to remove
the material or obtain a grading permit b\ submitting grading plans prepared by a
licensed engineer accompanied by a geo-technical report regarding the placement of
the excavation material as ,.,I.
I further understand that my footing inspection will be denied if that inspection
reveals that excavated material his not been hauled, and that work will be
stopped and no further inspections conducied until the City has received and
approved a plan and report from a geo-technicai er*.gineer regarding placement of
the fill material.
Sign ure Date Z 3
Permit #:
Job Address:_.
�z or
SubdIVISIOn: J 2 (/ Lot
I haul.doc(DST)7/98
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 l FD71
IMPORTANT PERMIT NOTICE ` �� 2
DAVID JEROME ELEC (SEE 36051)
PO BOX 751
HILLSBORO, OR 97123
Electrical Signature Form
Permit #: MST2000-00211
Date Issued: 7/18/00
Parcel: 2S110613-08400
Site Address: 11600 SW BULL MOUNTAIN RD
Subdivision: MLP97-0014 WALL PARTITION
Bloc: Lot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: S/F PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Elect0cal Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR
WALL, GEORGE DAVID JEROME ELEC (SEE 36051)
11620 SW BULL MOUNTAIN RD PO BOX 751
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone #: 670-7814 Phone #: 648-5144
Req #: l-IC 000360
SUP 2e77s
ELE 34-119C
AN INK iIGNATURE IS REQUIRED ON THIS FORM
_X
Sigr,aturc; of Supervising Ke�ian
If you have any questions, please call (503) 639.4171, ext. # 310