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11365 SW IRONWOOD LOOP ; I _ Q u(2L ak Lri+va 1b SW .10-tNw t�Z Loop 30 � I I 1 1 .� .._w.-�--__.�... _�.rte-_�..r---.___......-...-..—•.....r-_...�.M��- _.l. «_ l � I 1 c,)L , t 1 s • I \ 1 �V NOTICE: IF THE PRINT OR TYPE ON ANY T�_i iIr rIi iIi iii iIi iIi t t iii t ( t� I I rI�T[T � ri T�f 1�T71� I ( t I III tII I ( I iII I ( I ISI I ( I I I ( I II ► I-� r �.f� � ( r � ( r Irr r � �1r I 1T1-1TT.1f-F 1T1 I ( rIIII III I ( I I ( III I 1 I i I I I T l I-IJ.. I I I I I I I I I I fl, �, 1 3 4 ;i 6 8 10 11 1 IMAGE. . NOT AS CLEAR AS THIS NOTICE, _ _ _ � J 4nM1�tl11M CCIC1.Mt .....: .�.,. - i IT IS DUE TO THE QUALITY OF THE No.38 �j . ..... ` ORIGINAL DOCUMENT S 6Z SZ LZ 9Z 4Z fiZ £Z Z TZ OZ 6 � 8T GT 9T 9T � i ET ZT it i 6 8 L 9 9 E Z T ���i3w I IIII. 111 llll.l_l.11l 11i IIII II II I II Ili) IIII Illi 1111 IIII IIII IIII il(1 .1111. lll( Llll Illll1111 �L�l 111 loll Illi 1111 IIII ilil�llll illi IIII IIII Iill IIII .�IIIIIIII Ilii .Ilii IIII Illllilll IIII 111 ll 1111. 1.111 1111 1.111. 1.11 lllll�k�l , S Ul Ci) Ln LO E-- 0 Z) E" 0 0 0 0 dOO'l c1(X-*INOHT MS q9CTT ENGINEERING PERMIT CITY OF TIGARD PERMIT#: ENG2002-90104 DEVELOPMENT SERVICES PRIM. PERMIT#: ENG2002-00104 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/17/02 SITE ADDRESS: 11365 SW IRONVVOOD L.P PARCEL: 1S134AD-02100 SUBDIVISION: ENGLEWOOD ZONING: R-4.5 BLOCK: LOT: G61 JURISDICTION: TIG PERMIT TYPE: SOP PUBLIC IMPRV QUANTITY LIN FT VALUE AGREEMENT DATE: GRA/EROS: ASSURANCE EXPIRATION STREET: " PERFORMANCE. SAN SEW: " STM SEW: MAINTENANCE: " PATHWAYS: " ALL OTHER: '"" $800.00 TOTAL: $800.00 Remarks: STREET OPENING; TO INSTALL A CONCRETE DRIVEWAY APPROACH. FEES Owner: — ----- --- - GRAETHER, BRUCE ROBERT Type By Date -_ Amount Receipt PO BOX 1958 OPEN CTR 9/6/02 $150.00 272002000C BEAVERTON, OR 97075 BOND CTR 9/17/02 $800.00 2720020000 Phone: Total $950.00 l - - Engineer: Phone: i_ REQUIRED INSPECTIONS —� _ STM/SAN SEWER _ _ STREET Permittee I Applicant: MH/CB/CO CRB LINE & GRADE PIPE LN & GRD SUBGRADE BCKFLL & CMPCT BASE ROCK AIR &TV TEST LEVEL COURSE WEARING, COURSE Phone: _ GRADING TRAFF & RED CONT � MONUMENTATION i CONTOURS STREETLIGHTING Permittee/ DRAINAGE EROSION CNTL. WALK/APRON/RAMP Applicant Signature: REPR'S/ADJ'S _ PATHWAYS Issued By� - - -- FOR INSPECTIONS, CONTACT THE CITY OF TIGARD, SPECIAL CONDITIONS: (SEE ATTACHED) ENGINEERING DEPARTMENT, AT: (503) 639-4171 i wl I P�*es%A CobAlas -o u ''16 3 5' 3f -7 o e sI � I I I �,[i�I�►J l� L�cx.a f.. 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U n M M L 8 0 y � � o E W ti y' N T Q d FL U LL LL c m W U LL LL LL Vr LL tl r r r lJ7 r O O O Lr)0 C!7 pp � p� 0 t") N N N to O CO N 0 O N a? d 01 O 0 N 0 N N T N Cv 0 0 0 o N N N N N N �. >_ a a a c a a a' a a m m a a a a a a a s I-. r F- F- F- F- F- H ►- ►- F- r F- 1 Q V) V) V) V) v) u! In W 0 0 0 0 0 V) 0 N 67 (n V? ®j) CL § \ f/ \§/ %\_§ \§/) [ a= a (\\ I/[\> 2� $/?/ k G I - - u ƒmo Xu2u 9 u § ©')@22ezz ~\d /°/2 j§ } R ; k?E �/I/§ k\/ 222%/ )2 « 12 4� - $oaz «u +°uu oau w Z $)� W::)0 wz §9)\-:D 0 0 a <0E �� i�® <oU) ziCLXn -1ol \ z 2 fl— « � >oz =LL0azkom Z ! ƒ 7 j 7 7 § § § § § 00 \ § $ 3 3 \ R 2m f I I 3 I 12 y 2 ƒ / » � o « 0 7 > { z co � _ o ( \ / < < < < I < < / / \ • 8 _ CL a_ CL m * & a m « o � M £ cn 0 co _ _ _ _ ' m = m ) o m X c R « « 0 2 I tr o I 2 ® &o % @ V) CN k § 01 7 / 2 2 8 a o m m CN N § f » 0 2 § § § 3 3 c S § & Q Q m I ■ 04 $ � � a � t 0 § \ « 0 § ct R cx CL - E k / / / E 0 & R \ & a m j \ 5 _ c J / a e E / _ \ { { E \ ` , /_ \ ) f § \ � § E E k ± 2 4 \ { R @ ° @ ( m E R \ 2 \ 2 4 » > 2 2 ( 2 « 2 2 2 « « 7 k e e e e e e e e e e w e G § § § m M. § § k § § § § MASTER PERMIT CITY OF TIGARD PERMIT #. . . . . . . : MST92--0136 COMMUNITY DEVELOPMENT DLeFfAIR'CMtkT DATE ISSUED: 12/20/93 13125 SW Hell Blvd,Tigard,Oregon 97223.8199 (503)8:!9.4171 PARCEL: 1 S 134AD-0 :100 SITE ADDRESS. . . : 11365 SW IRONWOOD LP ZONING: R-4. 5 SUBDIVISION. . . . : ENGLEWOOD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :61 BUILDING REISSUE: DWELLING UNITS:O BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :ADD BEDRMS:2 BATH:.S:O GARAGE. . . . . . . . . . -510 sf TYPE OF USE. . . :SF FLOOR AREAS—­­­­__ REQUIRED SETBACKS-­­­­­­­ TYPE TYPE OF CONST. :5N FIRST. . . . :0 sf LEFT. . :0 ft RIGHT. :5 ft OCCUPANCY GF2F'. :R3 SECOND. . . : 1190 sf �� aft20 ft REAF2. . : �1 ft 0 s f ------...--.- �'T'ORIES. . . . . . . :2 THIRD. . . . : _________ HEIGHT. . . . . . . . :26 ft TOTAL-­­­­:: 1 19t* s f SMOV E DCTECTORS. 9 Y FLOOR LOAD. . . . :40 psf VALUE. . . . . f : 669LO PIA RKING SPACE S. . :0 Remarks : addition to existing house garage and bonus room PATH I -------------------------------------- PLUMBING SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :0 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :0 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft ) - :0 OTHER FIXTURES. . . . . .0 GARBAGE DISP. . . 10 RAIN DRAIN (ft ) . :O WASHING MACH. . . :0 SF" RAIN DRA I NS. . :0 FEES MECHANICAL _....__..__.....___.... IUEL�TYPES-­­­­­­­ UNIT'—HTRS. . :lb —__type—� am0'Ant by date recpl GAS/ / / VENTS . . . . . .3 BP'RT f 334. 00 FILL 07/15/92 — MAX INPUT:O BTU VENT FANS. . :2 BPLC `6 2117. 1Q, JLI1 06/26/92 228C�7r I='URN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 16. 76 FILL. 07/15/92 __ FURN ) =1001; . . :0 WOODSTOVES. :0 MPR'T t 34. 00 JH 03/31/93 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 MPLC 4, B. 50 JH 0.3/31/93 — [%(ITL/CMF'' ( 3HP:0 OTHER UNITS:O M5PC $ 1. 70 JH 03/31/93 GAS OUTLETS:O PPRT t 5j,. 50 JH 12/20/93 . , _Iwner•: _.._.__..__. ___._.__.____.___.._ _.._.._._.___.__...._._._--P'5PIC $ 2. 63 JH 12/2:0/93 MICHAEL MUNTY ! 136; SW IRONWOOD LP I .113ARD UR 97223 Phone #: 684­1971 Contractor. OWNER phone #: Rey y #. . : 00000 $ 667. 19 TOTAL This perait :s issued subject to the regulations contained to the - -- REQUIRED INSPECTIONS --- --- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Insulation Insp applicable laws. All work wtil be done in accordance with approved Mechanical Insp Gyp Board Insp plans. This perait will expire if work is not started within IBP Mechanical Insp Ruin drain Insp days of issuance, or if work is suspended for tore than 180 days. Mechanical Insp Misc. Inspection Framing Insp Building Final 1 'er mittee Signature : _ Framing (REINSP') Erosion Control Framing (REINSP) Crawl Drain Issued By : Gas Line Insp -_— Call for inspection — 639-4175 i i I 1 �. r 3 6 ra)CP r , 17 3 v ---- � � 1 i l Residential Building PermitApplication City of Tigard 13125 SW Nall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: Il G S S►✓ :�o i OitIC Us OnIY Subdivision: Lot#—_____— piandc/Rec# valuation: y I' Permit # _!--[ 2:t.'" 2 Owner: 1 r ,J ►' nl a n iN Reissue of Address: ;!uG�- .3�./ Irr,•�,.,u�t� �- Approvals Required Planning — Engineering Contractor: — Other --- Address: - ----- - '� ltems Required Subcontractors, -- Phone: Truss Details ._..-.-------- Contractor's License # (attach copy of current Oregon license) Other --------- Subcontractors: Plumbing: — Mechanical: (attach copy of ccrrrent OR Contractor's License) ArchitectlEnglneer: _ --- -- Address: - Phone: COMMENTS: Applicant Signature & Phone number Received by:_ _ Date Received:— Permit # Account Description Amount Amt Pd. Bal. Due Bldg. Permit (BUILD) ; o Plumb. Permit (PLUMB) 2-5 D Mech. Permit (MECH) oo State 'Tax (TAX) 02/•U k ( Z. S-,, 3• y Bldg: . Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: V Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Pans Dev Charge (PKSDC) Stone Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) TOTALS: Permit No: �. Address: -- - ----- --- _.. - -- uhi�. . r -c Issued by:-- --- Date: „"` / --------- - -- FOR OFFICE USE ONLY - -- -_-- STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONS1131LITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is f,squirecl for residential building, electrical, mechanical, and plumbing permits Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313: 1 . F-D1�1 [=1 I own, reside in, or will reside in the completed structure. 2J I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A. ! My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board, OR 3. B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor I hereby certify that the above information is correct and that I have react and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. I� L �- Srgnature of Permit Applicant te CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBII_I1 iFS NOTE. This Information Notrcc, it) Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If YOU are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problpms by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES If you hire persons riot registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvemeant of a residential structure, you will, in most instances. be ruled to be an "ernployer and the, people you hire will be "e-niployees". As the employer, yorr rnust comply with the following Ore-)gon's Withholding. Tax Law: As an employer, you must withhold income taxes from employee wages at the tune employee' are paid. You will be liable for the tax payments even it you don't actually withhold the tar from your employees. For mores information, call the Oregon Department of Revenue at 378-3390. Unemployment Insurance '9u As an employer you are required to pay a tax for unemployment insurance pu;-poses on the wages of all employees. For more information, call the Oregon Employment Division DHR at :378-3224 Workers' CompHrtsation Insurance: As an employer, you art? subject to the Oregon Workers' Compensation Law, and must obtain workers' corrrpensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the jot). For more information, gall the, Workers' Cornpensation Division DIF at 373-74,34 U.S Internal Revenue_ Service. As an employer, you must withhold federal income tax from employees' wages. You will fir! iia ile for the tax paymeant even if you didn't actually withhold the tax I•or mores informntion. call the Internal Revenue Service a1 221-3960 OTHEra RESPONSIBILITIES AND AREAS OF CONCERN. Code Compliance: As the permit holder for this project, you are responsible tvr resolving any failure to meet code requirements that may 'D4 brought to your attention through inspections, Liability and Property Da..rrmgH,Irrsuranco Contact your insurance agent to srae if you have adequate insurance coverage for ,accidents and omissions such as falling tools, paint oversprAy, meter damage from pipe punc- tures, fire, or work that must be re-done. Time to Supervise, Employees Make sure you have sufficient time to supervise your employees. Expertise. Make sure you have the expertise to act as your own general contrar.tor. to coordinate the work of rough-in and finish trades. and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write to. Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24/89 MASTE CITY OF TIGARD PERMIT PERMIT a'i: MST2002-00354 DEVELOPMENT SERVICES DATE ISSUED: 9!5/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417,1 SITE ADDRESS: 11365 SW IRONWOOD LP PARCEL: 1S134AD-02100 SUBDIVISION: ENGLEWOID ZONING: R-4.5 BLOCK: LOT: 061 JURISDICTION: TIG REMARKS: Construction of new 440 Square foot shop/garage. BUILDING REISSUE: STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRFO CLASS OF WORK: ACS HEIGHT. IS FIRST: -_ of BASEMENT of LEFT: 11 SMOKE DETECTORS. TYPE OF USE: SF FLOOR LOAD: so SECOND, of GARAGE: .vri sl FRONT: ii PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT if RIGHT: VALUEF 11 er.1��u OCCUPANCY GRP: R3 BDRM. BATH: TOTAL: 'nor, of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH. LAUNDRY TRAYS: HART DRAIN. TRAPS. LAVATORIES: DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWFRS: GARBAGE DISP: WATER HEATERS: WATER LINES- BCKFLW PREVNTR: GREASE TRAPS OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP,3HP: VENT FANS: CLOTHES DRYER: FURN>=TOOK: UNIT HEATERS- HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS WOODSIOVES: GAS OUTLETS: ELECTRICAL _ RESIDENTIAL.UNIT _SERVICE FEEDER" TEMP SRVCIFEEDERS_ BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS. 0 200 amp. 0 200 amp WISVC OR FUR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF- 201 400 amp. 201 400 amp 1st W/O SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp. 401 060 amu'. EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: fiat 1000 amp: 601.amps•10011v. MINOR LABEL: 1000-amplvoll _ PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFOR>=225 A. 600 V NOMINAL. CLS AREA/SPC OCC _ FLECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL B COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO&STEREO- FIRE ALARM. INTERCOMMAGING. OUTFOOR LNDSC LT HURGLAR ALARM. OTH. BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL- GARAGE OPENER. CLOCK: INSTRUMENTATION MEDICAL.- OTHR: HVAC DATA/I ELF COMM: NURSE CALL5- TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 314.21 This permit is subject to the regulations contained in the GRAETHER,BRUCE ROBER'r 1 UFF SHED STORAGE Tigard Municipal Code,State of OR. Specially Codes and PO BOX 1958 6500 NE HALSEY ST all other applicable laws. All work will be done in BEAVERTON,OR 97075 A accordance with approved plans This permit will expire K PORTLAND,OR 97213 work is not started within 180 days of issuance,or if the work is suspended for more than 180 clays. ATTENTION Phone. Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rap# 1,c 11"q1`1 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 Control Insp 8, Plumb Final Footing Insp Final inspection Foundation Insp lJ Framing Insp Rain drain Insp Issued By1c� -f2. Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day FOR I�r>liidin� Permit .A licatit>,n Recei ed Building Date/I ) U PerrnitNo., Planning AOther City of Tigard 1,e st I��)f�-��� Uatc/Ij PennitNo.: 13125 SW Hall Blvd. Plan Review . ., Other No 'Tigard,Oregon 9722Post-Review Land Use Phone: 503-639-4171 Fax: 503-598-1960 Date/By: Case No. Internet: www.ci.tigard,or.us Contact Jurik- fire Pagr 2 fur 24-hour Inspection Request: 503-639-4175 Nome/Method _ _____ I - supplemental Information TYPE OF WORK REQUIRED DATA: New construction _ Demolition 1 &2 FAMILY DWELLING Addition/alteratiol>/replacement Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate ''Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, 1 & 2-1 anvil dwellin= Commercia. Industrial a� y 6 _ — overhead end profit for the work indicated on this application AecessorB uildin Multi-Family Other: Valuation.............................�I.G,`..�.t............ S`� - Master F3uilder No.of bedrooms: Na of baths: J013 SITE INFORM1IATION and LOCATION 'total number of doors..................................... �-- ���.-- Job site address: 10.1T l,�l„-�1-u l New dwelling area(sq.ft.).......................... ... Suite#: 13ldg./Apt.#: Garage/carport area(sq.ft.).............. . Project Name: __ Covered porch area(sq. ft.)........................... . ___— --- Deck area(sq.it.)............................................ Cross street/Directions to Job site: Other structure area(sq.1`14-.... .................... — REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: __ Lot#: — Tax ma / n: M. Note: Permit fees*arc based on the total value of the work performed. Inc'icate DESCRIrT10N OF WORK the value(rounded to the nearest dollar)of oil equipment,materials,labor, overhead and profit for the work indicated on this application. ,-A $ Valuation............................. ..... _-- ----- Cxisting building area(sq.ft.). .......... .......... - -.�-- New building area(sq. R.)............... ............ I.'� t-L ►f ► R f f r r-1 Number of stories......................... .... 1=ROI'ERTY OWNER TEN NT Type of construction................ ...... ............. Occupancy group(s): ting: _-- Name: 1������'S'-- — New: _ Address: V r — City/State/Zlp:�) (wt Ltl - NOTICE: All contractors and subcontractors are required to be Phone: -SYI Pax: licensed with the Oregon Construction Contractors Board under %PPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: -1-t jurisdiction where work is being performed. If the applicant is exempt Contact Name: K'6 from licensing,the following reason applies: C t.►I;E Address: L-sUC �► t _ City,/State/Zi bt?_ 1,14 A 0 t?. �— Phone:�b ' lj.' Pax:JV� - 'a a BUILDING PERMIT FEES* L''-mail: �IRN�I kLq Or Please refer to fee schedule._ ONTRACTOR `1G , 79 Business Name: Fees due upon application...... - Address: U SNO k1l ti �' c Amount received.................. ............... . Cit /State/Zi n G Phone: Fax: 6 — �— Date received:__._ — CCB Lic. _ 1 Notice: This permit application expires If a permit Is not obtained within Authorized Date: L 180 do%s after It has been accepted as complete. Signature: — LLL"' 1 f� •Frr methodology set by Tri-('ounty Building Industry Service Board. -` (Please rant name) .�^ U-)v C-L&t6 CIA.t,- I Commercial Plan Submittal Requirement Matrix Oily of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include, location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 I Eler,trical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). "For over-the-counter commercial tenant improvements, submit 2 sets of plans. ""New" fire protection systems require that Flans bear the original seal of nn Oregon licensed fire suppression engineer, or WCET level "3" technicians. i.\dsts\forms\COM-matrix doc 9124/01 SEE 35MM ROLL #20 FOR O�IERSIZED DOCUMENT CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST;� jq 7_&33_ -- INSPECTION DIVISION Business Line: (503) 639-4171 I i � BUP ------- --- Received ate Requested _! ��CM-_ _--- --- PM - -.._ ._ BU P Location ? - Suite - -- - _ MEC Contact Person __— _ __ Ph( ) PLIVI Contractor �_-- ___ —__ �____-_ Ph(_--) — --- .._ SWR .--------_-.. .--_ _ Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes SIT Post&Beam --- - _ - - ---- - - - --- --- Shear Anchors In Bath rear Fra_im ng� - - - -- - - _ - Insu aTTon -- - - - Drywall Nailing -- - -- - Firewall Fire Sprinkler -- - - - - - - — - - Fire Alarm Susp'd Ceiling - Roof Other. S PART FAIL P .UMBING Post 8 Beam Under Slab - - --- -- Rough-In Water Service - -_ - -- ---- --. Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - -- — Shower Pan -- 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 PASSPARTPART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Plvd SITE _ Please call for reinspection RE: -_ - _- -___ __ -_ _ Unable to inspect-no access Fire Supply Line / p ' ADA fate X_ ? `' Insector Approach/Sidewalk -- 7� Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL