12885 SW BLUE HERON PLACE -12885 SW Blue Heron Place
CITYOF TIGARD MASTER PERMIT
a PERMIT#: MST2002-00369
DEVELOPMENT SERVICES
DATE ISSUED: 9/19/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: -i2885 SW BLUE HERON PL PARCEL: 2S103BC:-BHP14
SUBDIVISION: BLUE HERON PARK ZONING: R-4.5
BLOCK: LOT: 014 JURISDICTION: TIG
REMARKS: New S/F attached, Path 1.
___ BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS _
REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 739 of BASEMENT. of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND. 951 of GARAGE: 400 at FRONT: 20 PARKING SPACES: I
TYPE CF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT': 15
OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOTAL: 1,69000 at VALUE: S 185,878.00
REAR: 30
--- __ _PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH 1 LAUNDRY TRAPS:
RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: t
CATCH BASINS:
TUBISHOWE.RS: 3 GARBAGE OISP. 1 WA-,R HEATERS: 1 WATER LINES: ui) BCKFLW PREVNTR: I
GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYIeF_ FURN<10oK: I BOIUCMP<3HP: VENT FANS 5
CLOTHES 0 tYER: I
(;AS FURN>-.100K: UNIT HEATERS, HOODS: 1
OTHER UNITS: I
MAX INP: btu FLOOR FURNAI,CFS: VENTS: 1 WOODSTOVES! GAS OUTLETS:
--- — - ELECTRICAL
RESIDENTIAL UNIT _ SERVICE FFEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ AD INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION:
EA AOD'L 500SF: 3 201 400 amp: 201 400 amp: tat W/0 SVCIFDR 00 SIGN/OUT LIN LL
PER HOUR:
LIMITED ENERGY: 401 600 amu: 401 800 amp: EA ADDL SR CIR: SIGNALIP.ANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 801+ampe 1000v: MINOR LABEL:
1000+emplvoll
Reconnect only PLAN REVIEW SECTION
-4 RES UNITS: SVCIFDR>Q225 A. >600 V NOMINAL: CLS AREA/SPC OCC
--- — ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL i_ B.COMMERCIAL `
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMMAGING: OUTDOOR LNDSC L T.
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIRRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALL S TOTAL 0 SYSTEMS.
Owner: Contractor: TOTAL. FEES: $ 6,741.07
WINDWOOD CONSTRUCTION INC WINDWOOD HOMES INC This permit is sub;ect to the regulations contained in the
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA Tigard Municipal Code, State of OR Specialty Codes and
TIGARD,OR 97223 TIGARD,OR 97223 all other applicable!aws 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 the
work is Suspended for more than 180 days ATTENTION
Phone: Phone: 780-4375(M) Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rap N: LIC 50196 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
REQUIRE)INSPECTIONS
Erosion Conrrol Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Pain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundatlon Insp Footing/Foundation Dr, Electrical Rough In Gas Line Insp Appr1Sdwlk Insp
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
Issued By : C 11(1 Permittee Signature :y
I " c �c1-
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00246 —
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/19/02
SITE ADDRESS; 12885 SW BL.UE HERON PL PARCEL.: 2S103BC-BHP 14
SUBDIVISION: BLUE HERON PARK ZONING: R-4.5
BLOCK: LOT: 014 --- JURISDICTION: TIC
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: I_TPSWR IMPERV SURFACE:
Remarks: Sewer connection for new S/F
Owner:
WINDWOOD CONSTRUCTION INC i — __FEES
12655 SW NORTH DAKOTA Type By Date Amount Receipt
TIGARD, OR 97223 PRMT CTR 9/19/02 $2,300.00 2.7200200000
INSP CTR 9/19/02 $35.00 27200200000
Phone: 503.625-6526 — -
_ Total $2,335.00
Contractor: --
Phone:
Reg #:
__.___Required Inspections
This Applicant agwes to comply with all the rules a,rd regulations of the UnifieJ Sewage Agency. The permit expires
180 days from the date issued. The total arnount paid will be forfeited if the
permit expires The Agency does not
guarantee the accuracy of the side sewer lateral-;. 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: C i i , , , ' a
Call(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
i s co`"{�
Building Plermi Apphcatiol"
Dateru.eived: (r C Permit no
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: v Receiptno.: 1)
Phone: (503) 639-4171 Payment e
Case file no.: y type:
Fax: (503) 598-1960
l&2 family:Simple Complex:
Land use approval: ------
J
U Demolition
,2T&2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction
U Addition/alteration/ plat:eutent U Tenant improvement U Fire sprinkler/alarm U Other.
re \
l
k Bldg.no.: Suite no.:
Job address: Taut map/tax lot/account no /D�/ JCC 3 �
y
Lot: Block: Subdivision:
Project name:
Description and location of work on premiset/special conditions: --
__ _ \v
-------—
l 4
Name: L/ SIS 1 &2 family dwelling:
Mailing address
Stat ZIP Q7�3 Valuation of work........................................ $
City: (a No.of bedrooms/baths..........Z.................... —�
Phone: - G F r(, E-mail:
wn /
Total number of floors..........c�,,..................
Oers representative:
Fax: E-mail: New dwelling area(sq.ft.) .....It.(a.yQ.........
Phone:
Garage/carpurt area(sq. ft.).....� .V�••••••••••
Covered porch area(sq. ft.) ......r�............. _
Name: A't>! Deck area(sq.ft.) ........... ............................ _
Mailing address: Other structure area(s .ft.)......................... _
City: State: ZIP:
Commerciallindustrlal/multi-family:
Phone: Fax: I E-mail: Valuation of work........................................ -
Existing bldg.area(sq.ft.) .............. ..... ...
Business nttrrae: _--_—
_ iM New bldg.area(sq.ft.) ....................... . ....
-
Address: Number of stories.. ....................... ...........
State: Zff': —
City: _ Type of constnrction........................ .. ........
Phone: Fax_ _ E-mail: Occupancy group(s): Existing:
New: _
CCB no.: / —
Citylmetm lic.no.: Notice:All contractors and subcontractors arc:required to be
subc
licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and mzy be required to h
City: e licensed in the
Name: Let A jurisdiction where work is being performed. If the applicant is
Address: AfW N exempt from licensing,the following reason applies:
e Staten
Contact person: Q APlan no.:
phx.15' 4/(i/
Email:
one: Fax'
Fma
/ i Contact petaor _
Fees due ul-,in application ........................... $._
Name: �c, ^ Date received: _.__—•---
Address: = Amount n ceived ......................................... $
CiFax:ty:_ stat Zl ,—
- 1�Z 6T
E-mail: Please refer to fee schedule. �
Phone:
FNO paidictlan nadia�pt t eartL,a ult jutt.aiclion for mrne if%W(; tlOct.
I hereby certify I have read and examined this application and the u n MasterCardattached checklist.All provisions of laws and ordinances governing this c.ranumber v-work will be complied with,whether specified herein or not. a,f [raid
Authorized signPrint name: W-46r3 r r WC-Ma
Notice:This permit application expires if a permit is not obtr.ined within 190 days after it his been accepted as complete.
Plumbing-Permit Application
City Of Tigard "ed:Datereceiv
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.:
City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued:
By: I Receipt no.:
Land use approval: Case rile no.: Payment type:
7LI
&2.family dwelling or accessory 0 Commercial/industrial ❑Multi-family Ll Tenant improvement
ew construction ❑Addition/alteration/replacement U Food servico ❑Other
lob address: �a � Description QtY. Fee(ea.) Total
Bldg.no.: Suite no.: New I-and 2-family dwellings only:
Tax map/tax lot/account no.: / oy (. 3 O (includes 100 R.for each utility connection)
SFR(1)bath
Lot: Block: Subdivision: kr�.t44SFR(2)bath _ ---� - -
Project name:_ �. SFR(3)bad)
City/county: ,1P: Q 7� Each additional bathikitchen
Description and 1 tion o work on premises: Site utilities:
Catch basin/area drain
Est.date ofcom letioi✓inspection: Drywells/leach line/trench drain
Footing drain(no.lin.ft.)
Business name: Manufactured home utilities
Manholes
Address: P U / U Rain drain connector
City: State' /Z ZIP: 11) Sanitary sewer(no.lin.ft.)
t:'
Phone: oily IF u52 E-mail: Storm sewer(no. lin. ft.)
CCB no.: / p Plumb.bus.reg.no: ^ - b`,. Water service(no. lin.ft.)
City/metro lic.no.: Fixture m•Item,
Contractor's representative signature: — Abso tion valve
Print name: c Date: Back flow preventer
Backwater valve
Basins/lavatory
Name: Clothes washer
Address; Dishwasher
City: State: ZIP: -Drinking fountain(s) _
Ejecwrs/sump
Phone: � Fax: �ffm I E-mail;Lgill Expansion tank
Fixtute/sewer cap
Name(print): CU ry.,,,Qt.c wzi eC,f"r 177 Floor drains/floor sinks/hub
Mailing addre.s: 5�1 Aj r,,4, .` •lr Garbage disposal
Hose bibb
City: fIL,,, _ _ Stated ZIP:�1 z,a� Ice maker
Phone: 17=4;fT _ E-mail: ---
Inter a tor/grease trap
Owner instal latioturesidential maintenance only: The actual installation
Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on tho property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s)
Owner's si r ' Sump
Tubs/showerlsho_wer pan
7dress. Urinal
ater closet
ater heater_
City: tate: ZIP: CttJter.
Phone: Fax: _m
Na alt jwbdcd m accept aedrt c",pkme air JwWdktlw rm mae laroemria Minimum fee................$ —
OVisa 0MaswCwd Notice:This ermit i application Plan review(at __ %) $
expires a permit is not obtained
c�edtt`�anmba within 180 days after it has leen State surcharge(8%)....$
Mm m s
an aw accepted as complete. TOTAL .......................$ _
i
Anr>tat
4404616 l6OaR:0M)
i
Mechanical-Pe;rraitApplication
City Of iDate received: q, 91601 Permit no.:
T lga�d Projectlappl.no.: Expiredate:
City ofTiRard Addres3: 13125 SW Hail Blvd,Tiganl,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ �Building permit no.:
:UNew
=construction
elling or accessory U Commercial/industrial 0 Multi-family 0 Tenant improvement
0 Addition/alteration/replacement 0 Other:
Job address: 1.2 13�; — �sY��+ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment•labor,overhead,
Tax map/tax lot/account no.: `�-5y,(j G L 3 yo profit. Value$
Lot: Block: i Subdivision: p 'See checklist for important application information and
Project name: &P Erb,, t;� jurisdiction's fee schedule for residential permit f'ec.
City/count eW I ZIP:
Description and location,617 w orl on premises:_
Est.date of completion/inspection: DeKd Fes.oul Total
Qry. Res.onl Res.only
Tenant improvement or change of use: lAir Is existing space heated or conditioned?U Yes Ll No dling unit _ CFM
re ur
Is existing space insulated?0 Yes 0 No carr conditioning(site an Alteration o existing HVACp system
of er compressors
Business name: p State boiler permit no.:
HP Tons BTUM
Addrosa: /1 < it smo c P - uct smoke detectors
City: ,Y aM State: IP: 9*V X30 Heat pump(site plan required)
Phone: Fax: E-mail. nsta rep ace umac�Te/ urne�__ /
1 I"place/relocate
ldig ductwork/vent liner ❑Yes U No
CCB no.: eaters—suspen e .
City/metro hc.no.: oor mounted
Name(please print): A I e, k h $'d 4 Vent for appliance other than furnace
e on:
Absorption units BTUM
Name: --5ct ` Chillers HP
Address: Com ressors HP
Environmental exhaust vent oa:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: Dryerexhaust — -
Floods,Type res. tc a szmat
/I.. .. hood fire suppression system
J
Name: t ''w„o w� C64477 Exhaust fan with single duct(bath fans)
Mailing address: /e1j�p 2r t;r.J_jtyr I( 0k1r40171 Exhaust system a art from heatin or C
gelp on(up to outlets)
City _�2/0state:CJr` ZIP: T (,p() NO Oil
Type:Phone: —LS'•iG Fax: ( —/; E-mail: ruer in each additional over 4 ou ets
eaa p1pift( 'hematicrequite )
Name:
Number of outlets
Address: Other UdiQ appliance or equipment:
Decorative fi lace
Citi': State: ZIP' Insert-
Phone• Fax. E-mail: Woodstovelpellet stove
Applicant's signature: __ pate: Other:
Other
Name(print):
Na ail Judsdcdar SCOWaedH aids,play call JurisdWw for mase IafonnWoa Permit fee.....................$
O Wis O MastetCud Notice:This permit application Minimum fee................$
cmilli aid minter: expires if a permit is not obtained Plan review(at ._ %) $
W_ within 190 days atter it has been
— State surcharge(896)....$
Nm r an i accepted as complete. —
dpnras Amami 110-1617(WWOM)
Electrical Permit Application
Date received: Permit
City of Tigard Project/appl.no.: Expire date:
CitvofTigurd Address: 13125 SW Hill Blvd,T card,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
O 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family O Tenant Improvement
Z1 New construction OAddition/alteration/replacement O Other: __C3 Partial
Job address: Bldg.no.: Suite no: Tax map/tax lot/account no.:
Lot: Block: Subdivision:
Project name: Description and location of work on premises:
Estimated date of com letion/ins ection:
Job no:
Fee Max
Business name: Metz er Electric Inc. Descrl tion (n.) Total no.las
Address: 8780 SW Lehman reddaatW•sfaRleorwuld-fandlyper
dsrelUngunit.l ut hides attached prase.
City: T i and ___ State: OK ZIP:9 7 2 2 Servlcelncluded:
Phone:503244902 axIsame E-mail: �.�� I1s less 4
CCD no.: 9 6 8 0 5 1:1CC.bus.llc,no: �!t i tune S00 sq.0.or portion thereof
3 4–1 6 7 Lunited songs, rcsidcnliel
City/metro lie.no.: 1034 – —3
- Limited energy non-residential
_ �6 O 2 Lach manufactured home or modular dwellmi;
Si ramre of m ervisin ole c (reuned) Dote Service and/or feeder 2
Sup.elect,name(print); HO iS COUrt LiYuse no:31305 Servicesor seeders-Imtailtdion,
alteratim or location:
201."
nn.trips or lets 2
Name(print). 201 stripe to 4(N)amps — 2
Mailing address: 4nl am•L to 6'xt ams — 2
–City: 601 amps to II=amps 2
Y _ State: ZIP: Over 1000 amts or volts 2
Phone: Fax: �F.•mail: flecormvrhnl I —
Owner installation:The installation is being made on property I own Temporaryservice.orfeeders-
which is not intended for sale, lease,rent,or exchange according to Install+dun,alteration,orrelocation:
ORS 447,455,479,670, 701. 200 amps or I:ss 2
_L11-1-Ens 2o 600 ams
Owner's 81 atUfC: Date: 401 to 6110 on s
2
Branch circuits-new,alteration,
Name: or extension per panel:
Address:
—•— A. Fee for branch circuit%with purchase of
-- _ _ service o feeler fee,each branch circu;t 2
City: State: — 7.IP __: U Fre fur I•ranch circuits wihout purchase
Phone: FflX E-mail: of service or feeder fee,first branch circuit: 2
P.ach additional branch circuit:
Mlac.(Service or feeder not Included):
T.nilty
over225 ampsrormnercial U Hmltlt-care facilityperch pmnr or irtigaGnn circle 2
ever320 amps�atlng of Idt2 U lWardous location fl,h sign or outfote ligluing 2
dwellings U[Building over 10,000 squw-feet four or Signal cin:-ait(s)or a limited energy parcl.
U System over 600 volts nominal more residential units Its one soucture altetilic n, or extension` 2
O Budding over Uum stories U Fecders,400 cups or mom � --- —
U occupant load over 99 Ucss•2tioo:
fw perxtns UMymfacturedstruclutesorKVpark Each vildiflonalinspection over the allowable toany oftheabove:
U Egress/lighting plat U Other
— Psi dulen �_-�-
Submit_—sets st�r
of plans with any of the above. Invetioion fee
The above are not applicable to temporary construction service. Other
Na all Jurisdictions secxpt credit ants,please nil jurlsdktion fa m xe InfbnnatMa Notice: This xrr nt application Permit fee ......................$
r Visa U MaslaCard
Chd - _,within 180 iays niter it has been State surcharge(8%).....S _
Cspnrs
ame o ardho or ss s own on credit err accepted ,is cotnplrtc. TOTAL.......... .......,.......
N
_ 5 _
CaR War Ai`nstute .!mount
r_ 440.4613(&W coM!
i
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
PRestricted Energy Fee.. ................................................. $75.00
Number of Ins ectlons per permit allowed (FOR ALL SYSTEMS)
Service included: Itelrls Cost Total Check Type of Work Involved:
Residential•per unit
1000 sq.ft.or less $145.15_ 4 ❑ Audio and Stereo Systems'
Each additional 500 sq.fl.or
portion thereof $33.40 1 ❑ Burglar Alarm
Lirniled Energy $75.00
Each Manuf d Home or Modular ❑ Garage GDoor Opener'
Service Dwelling or Feeder $90.90_ 2 g P
Services or Feeders ❑ Heating,Ventilation and Air Condltioning System'
!nstallatlon,allerabon,or relocation
200 amps or less _ S8030 2 ❑
201 amps to 400 amps $106.05 2 Vacuum Syltems'
401 amps to 19500 amps $160.60 2
601 amps to 1000 amps $2,10.60 __ 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.65 � 2
TYPE ur WORK INVOLVEDCOMMERCIAL ONLY
Temporary Services or Feeders
Installation,alteration,or relocation Fee for each syr!enh....................•...,......................,,......... $75.00
200 amps or lesr, $66.05 _ 2 (SEE OAR 918.260.260)
201 amps to 400 amps _ $100.30 _ 2
401 amps to W0 amps $133.75_ _ 2 Clack Type of Work Involved:
Over 600 amps to 1000 volts, ❑
no"b"above, Audio and Stento Systema
Branch Circuits ❑ Boller Controls
New,alteration or extension per panel
a)The foe for branch circuits
with pushes•of service or ❑ Clock systems
feeder lee.
Each branch circuit $6 65 ❑ Data Telecommunication Installation
b)The foe for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $16.85_
Each additional brands dicuil $6.6.5_�__ ❑ MVAC
Miscellaneous ❑ Instrumentation
(&,wMos or feeder not included)
Eat9h pump or Irrigation circle 553,40 _ ❑ Intercom and Paging Systems
F•ach sign or outline lighting e _ $53.40
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 ❑ Landscape Irrigation Control
Mlncr Labals(10) _ $125.00
Medical
Each additional Inspection over ❑
the slllowable in any of the above ❑ Nurse Calls
Per Inspection $62.50_
Per hour $62.50_
in Plant r` $73.75 _ ❑ Outdoor Landscape Lighting'
Fees: [] Protective Signaling
Enter total of above fees $ ❑ Other
sZ Satte Surcharge $ , _ —.Number of Systems
25%Plan Review Fee ' No licenses are required. Licenses ars required for all other Installation
Sm'(Un Review"rw-tjoo on $
frond of appin'allm �_
Fees:
Total Ralance Oue $ _
r-1 Enter total of above teas 1
1__I Trust Account s ^� 8%Stats Surcharge 1
Totai Balance Dua
Ali Now Commercial Buildings requiro 2 sets of plans.
i.dsivlfunni rl, (c,s;lor l^;DSrU2
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 a --�03G �7
INSPECTION DIVISION MST �__
.�tasiness Line: (503) 039-4171
BLIP
Received Date Requested 4�-7 _-- AM___ __ PM BLIP _
Location f g gS 44-e-_ " L Suite_ MEC
Contact Person LZ)a,6d Ph f _) I `7 6 7 r7 PLM _-
Contractor _ �-� Ph
SWR
BUILDING Tenant/Owner �— ELC
Footing ELC
Foundation - --
Ftg Drain Access:
Crawl Drain ELR
Slab Inspection Notes: SIT
Post& Beam ___ _.-_-- ----.--_.-_ ----_- _ -
Shear Anchors - ------- -- -- - -
Ext Sheath/Shear
Int Sheath/Shear
Framing ._
Insulation
Drywall Nailing ----- -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ----
Roof
Other: -- ------ --- ----- - ---- ----- - ----- - ----- ---- _
AS ART FAIL - --- - ------ - -- - -
BI
- - -- -earn
Under Slab ----- ----_-----_---
Rough-in
Water Service -
FPQ�
Sanitary Sewer _
Rain Drains - -—- --- -- - -- -- --- -- --
Catch Basin/Manhole
Storm Drain
Shower Pan
i
S PART FAIL -
ANICAL
Post&Beam - - --- - --
Rough-In
-
Gas Line
Smoke Dampers -- - - _- - - -
n
S PART FAIL -- --- _._.� -------- - -- - -- — - ---- -
MeTWAL
Service
Rough-In
UG/Slab
UW Volta
Fire arm ---- -- -- -
P •SS, PART FAIL
El Relnepection fee of$__- requirod before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please cell for rein,F action RE: F-] Unable to inspect-no access
ADA �.�
Approach'Sidpwalk Date ��,. /-_ Inspector -� --Ext -
Other-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
Cl"OF TIOARD
Residential Certificate of Occupancy
Permit No.: Address: �e �-
I/ IV7
Owner/Contractor: �'�-``�0 ej — -
Date of Final Inspection: -V 6I-P Inspector: 7 1
This structure has been found to he in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling
'` S ecialty Code and is hereby approved for occupancy. �_.