10856 SW KABLE STREET r4�
� . F
�\ F
/ SO.
18.01
Od b�
coV 441y
Q
ELE
a°bz %0
5'of •0o
< N >ca
Z N
a
/
MAKE HOUSE MORE PARALLEL WITH ROAD AND SCALE 1" = 20'
/ HOLD 5' ON RIGHT (REAR) PER CLIENT, 8/18/00 MSG. ! �.s -f--
00 / �^Ld
L /
/ SCALE DRAWING LOT 2 ERICKSON HEIGHTS
S.E. -1/4 SEC. 10, T.2S, R.1 W, W.M.
CITY OF TIGARD z;
60,00' N / WASHINGTON COUNTY, OREGON
-- A 2.5' WIDE LANDSCAPE EASEMENT SHALL 6�23w W UGUST 17V 2000
�•
CenterlineEXIST ALONG ALL STREET FRONTAGE AND A DRAWN BY: MSG CHECKED BY: WGDIII L. on cep is Inc .
307
7.5' WIDE UTILITY EASEMENT SHALL EXIST SCALE 1 "=20' ACCOUNT 115
BEHIND THAT. , 640 82nd Drive Gladstone, Oregon 97027
M: \MLI\L2ERICK 503 650-0188 fax 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY IT1-I�i ( � ► Illil ' II � I � I � � , � � 1�T � � � I �.� �_ I � III �T �r��.T� �. �_1..�.�T� .1_�..r_L�IT t � � ltlt t � tlt � t t � llt � t I � tltit . t � tlt t ililtltlt � tlt �� tit r � r ► fir t i tit tit i � tlt � t tint► tjt � tlt tit tit iltlt � t , �. ��
. ,.. I I I I I . �
IMAGE .IS NOT AS CLEAR AS THIS NOTICE 1 2 3 4 5 6
� ._— - _ 8 10 11 12
IT IS DUE TO THE QUALITY OF THE
No.3e
� Z EZ Z TZ OZ 6t St GZ 81 9t fi� I ET ZT ti
iw
i 8 4 ORIGINAL DOCUMENT
It 8Z Z
1
11 �
11IIIIIIIII111111111111111LI �ll� ILII �IIIII �IItIIIIIIIIIIIIIIIII)Ililllllllllllilllllllllllllllllll .�Illllllillllllllllllililillllllli
llllll 1111111 l lllllll! 11111.11 11. Ul 1lJllIICi�11
0
co
0
N
X
ra
Q
F
cn
1
10856 SW Kable Street
(A N rA to r N rp V)
H -+
a a a a a a a a a a A e
� c
�
cn w o 0 ON t� O 00 v.
-n to n 00 rn 7o m V m 'o rn "
no 5 (IQ � c � a � ?,
eD
p <
S a.
n
a
iJ
00 00 00 00 o n
r: p� vii
w
`0 h
° o 7
rorDUt
r y C
O r"'
vNi
� y
rrl
C 0,
,Ob p3
.. 00 00 00 00 00 00
tC W -- G7 - 00 �. p A G7 w tr �C
� c � $ '= i� g CmCg po po Dc
S a 0 0 o c c c
S'
hJ IJ
'� tJ
a o
3
chit t/�i c7n vii cin v, vii v. coil � � �
IJ IJ N N tJ
m (n -n m m o o G M
r9
cr
a00 .�
c O
PC
A
r
v
A
N
N N N N
PD
pgg
CI tj IJ t� '- - 1J i9 rn gg $ w � A
o a o
0 0
r•, O o 0 0 0 0 0
o p o a o o ❑ o O n a O '!r
ti ID rti rD n M n rG n rc 0
_ v c Lf)
a > > Y > Y > _ a
b
LA v� N � n CA to In✓ LA v) cn (Al �Q
o�
v
V
IC
n
�• 7 =
00
Ch
5• l r1'1 a C C` Vi
00
_w cr
CDO
L .� to Veil
v
Q
v
a
N
W
W w
pW
� � o
z z z 7 y
u rrooft
ft
a O
tn
cn n V) a n O
(n LO) CA IZ 7 W
rT7 � QQ•
A
O�
to
w
ro �
w w �, oo _
V J IJ N IJ C
S $ •-� J
o r $ Lno
O
C.
O
a
i�
a
a
V) v n 0 cn CA to
a a a a a > a app a a y
IJ J J O ••• � O •O 00 O d 'C ��
J a, O, J lh J 'Ir tJ O N ,C o v
ml V( (A
Tj ti ry r9 Q.
all
O •rJ fn �4 �D ry � N G. .�•r y r(� '4
O•
O
v
a
d
m
N
r D
0 0 0 20.
.++ ee � •u ry �o ro n rn .ou ren ry a C •�
C~
(A UP) d O M M m
a
Vf
Vf
ft
Q
a > �p�Tr1J p p T oe o
-n -M -gyp rC ttA ^) CA �W tz p
�c r,, C
° °°V
-o o b c b o 'ti o to c q Q v S2 W g m V'
S $ 25 z5
p 4
Y ry G.
v 'l-
-- IJ
� Q
� � W
h_
a a ;-
0
r m m v v v n p
P, c I�nvv am
O
z
0
v
d
N
N -'
C O �
R O
r
O y
ren r CA
c do'
0
v
o 0 0 m
., wti IJ iJ tJ C
IJ Q IJ Q r- rri
C ;� IJ t.J
O O C o O O
' O C
vN G
O -5 Q
oJooa �
0 �
a � s
� o
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2000-00384
* 'r DEVELOPMENT SERVICES DATE ISSUED: 9/12/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10856 SW KABLE ST PARCEL: 2S110DA-04100
SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5
BLOCK: LOT:002 JURISDICTION: TIG
REMARKS- Construct new single family residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORKNEW HEIGHT: 27 FIRST: '.,673 of BASEMENT: at LEFT: 14 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,725 of GARAGE. 766 of FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT:
VALUE: E 255.502 30
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,39800 of REAR:
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: i LAUNDRY TRAYS I RAIN DRAIN: 100 TRAPS
LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINE':. I00 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWF.RS: 3 GARBAGE DISP: I WATER HEATERS 1 WATER LINES: BCKFLW PREVNTR- I GREASE TRAPS.
OTHER FIXTURES,
MECHANICAL
FUEL TYPES _ FURN<100K: BOILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: I
FURN—100K: UNIT HEATERS. HOODS: 1 OTHER UNITS I
MAXINP hh1 FLOORFURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1
ELEGIRICAL.
_RF.SIDFNTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS. + 0 200 ant: 0 200 amp: W15VC OR FDR: 1 PUMPIIRRIGATION. PER INSPECTION:
FA ADD'L 5005F: 201 - 400 amp: 201 400 amp: 1st W/O SVCIFDR. Ian SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY, 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 801 - 1000 amp: 801.amns•1000V: MINOR LAB'
1000♦amp/volt
PLAN REVIEW SECTION
Reconnect only
—4 RES UNITS SVC/FDR-125 A.: y 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL _ B.COMMERCIAL
AUDIO A S i EREO: X VACUUM SYSTEM: X AUDIO B STEREO: FIRE ALARM. INTERCOMIPAGING. OUTDOOR OIDSC LT.
BURGLAR ALARM: X. OTH BOILER: HVAC. LANDSCAPEARRIG PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK INSTRUMENTATION MEDICAL. OTHR.
HVAC. DATAITELE COMM NURSE CALLS. TOTAL.0 SYSTEMS.
Ownsr: Contractor: TOTAL FEES: $ 6,590.72
RENAISSANCE CUSTOM HOMES INC RENAISSANCE CUSTOM HOMES
This Hermit is subject to the regulations contained in the
TiSard Municipal Code. State o OR Specialty Codes and
1672 SW WILLAMET7 E FALLS DR 1672 WILLAMETTE FALLS DR
WEST LINN,OR 97068 WEST LINN,OR 97068 all other applicable taws All work will be done
accordance with approved plans This permit will expire rf
work Is not started with in 180 days of issuance,or If the
work Is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law regi,-:Cs you to followrules adopted by the
Oregon Utility Notification Center Thosa rules are set
Rea M: I lc 04995', forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules of direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8' Post/Beam Structural Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Footing Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp Final inspection
Foundalign kmp----- PLM/Underfloor E,ectrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final
—7.�
/In, �
Issued By : t� / Permittee Signature : i l_
Call (50'1) 639-4175 by 7.00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00265
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/12/00
SITE ADDRESS; 10856 SW KABLE ST PARCEL: 2S110DA-04100
SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME:
USA NO. FIXTURE UNITS:
CLASS OF WORK: t4EW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new single family
Owner: FEES -- _
RENAISSANCE CUSTOM HOMES INC I Type B u Date Amount Receipt
1672 SW WILLAMETTE FALLS DR yP y p
WEST LINN, OR 97068 PRN1 T CTR 9/12/00 $2,300.00 27200000000
INSP CTR 9112/00 $35.00 2.7200000000
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Re%7uired Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules end regulations of the Unified Sewage Agency The permit expires
180 days from the date issued The total amount paid wdl 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 not so located. the installer shall purchase a "Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTEN TION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR c s2-001-0010 through OAR 952-001-0080
You may obtain copies of these riles or direct questions to OUNC by calling (503) 246-1987.
Issued b h _<t 4. Permittee ;ii nature:
y� _ ,. � _ g l Z
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF ARD Residential Building Permit Application Pla" �=ck
r' 0
tl 1 ,,�r•1�
13125 Soley HALL BLVD. New Construction Rec' By. .,
Date Recd
TIGARD, OR 97223 Single Family Detached Date to P.E. ..
V 503-639-4171 Date to DS`T. = / v ,.
F 503-684-7297 Permit#
Print or Type Car edT
Incomplete or illegible applications will not be accepted
►
Name of Project / Name n
Job F_ "'e/,,,... //Pi /,;1, L., ! c��C• C/ �oSI'�p✓
Site Address Architect Mailing Address
Address S.� 7/I� s;✓ f
City/State Zip Phone
Name '7, f1""/ 7?X3 67y_ 9Zf!
P(eo i Name
Owner Mailing Address L d'-,
/
(!p,1� '
City/State Zip Phone Engineer Mailing Address //
_ t✓r,� (,, ,, /72L6 557- 817100 357 /3c.iNsi�It
p
City/State Zip Ph('re
General Name */�, ?72/11 _ Z3Y- V633
Contractor S,;,,,. Describe work New)5 Addition 0 Alteration O Repair O
Mailing Address to be done-
Prior
one Prior to permit Additional Description of Work.
issuance,a copy City/State Zip Phone
of all licenses
are required if Oregon Const.Cont. Poard Exp Date PROJECT
expired in COT Lic.#
_ 9 ti``"15' T/z y ,n, VALUATION $ �- _
database —_
Mechanical- Name NEW CONSTRUCTIONONLY:
Sub- L •._ J' , Sq. Ft. House: Sq, Ft. Garage
Contractor Mailing Address _ y, t 7C?
Prior to permit _ -Z 7 j e S,`. 3 9 ra z,, Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phona subcontractor in the following areas
of all licenses �J.//s;�� 7/2 3 G Z 7- •P"_7: Restricted A� udio/Stereo
are required if Oregon Const Cont. Board Exp.Date Energy System —_ k Alarms
expired in COT Lic.# Installations vacuum Irrigation
database C', 2 Z �+y� ,iy 2 7��y ? System_ System
Plumbing Name (check all that Other: -
apply)
Sub- C',�<1�•.,.-a 110/w,*
-- -- ---
Contractor Mailing Address Number of Units in Building—_, Unit Number Desigration
__7/30 _o,- �'�'.N ° �� Has the Subdivision Plat recorded? N!A YES_ NO
Prior to permit City/State Zip Phone x
issuance, a copy ;,,,, �,1,•, j7
of all licenses are Oregon Const Cont Board Exp.Date
required if Lic#
expired in COT7 yam% . _ 7
database Plumbing Lic # — Exp.Date I hearby acknowledge that I have read this application,t 3t the
information given is correct, that I am the owner or authc -ed agent
7/2 trl.nl of the owner, and that plans submitted are in compliance illi
Name Oregon State laws.
Electrical (-,;yr �/,�,[y<< —
Signature of_Ow erg �f�t gate
r�L � 22/9
Sub- Mailing Address
Contact Person Name Phr ne
Contractor /'o J:')ar sy7- 9272
City/State Zip Phone
Prior tc,permit
issuance, a copy 4-S 7 FOR OFFICE USE ONLY:
of all licenses are Oregon Const, Cont.Board Exp Date -
PI
required if Lic# It,-#: ti1a�)~#
expired in COT (3 .Syy I)A, /o'-, _�- �/ ��-'/��`�✓f1 ' �(J
database Electrical Lic.# Exp Date Setbacks: / Zone: f- ?, S- `'
Electrical Supervisor Lic # Exp.Date Engineering Aproyal: Plannino Approval _TTTIF:
I n//lell
i Asts\forms\.sfd-i w doc 11/20198
SEE 35MM
ROLL #20
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS, OR 97015-1429
Electrical Signature Form
Permit #- MST2000-00384
Date Issued: 9112100
Parcel: 2S110DA-04100
Site Address: 10856 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-3.5
Remarks: Construct new single family residence. Path 1
Your company has been indica ed 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 Electrical 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:
RENAISSANCE CUSTOM HOMES INC GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429
Phone #: Phone #: 503-657-0142
Reg #' LIC 34544
ELE 3-128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: PAST2000-00384
Date Issued: 9112/00
Parcel: 2S110DA-04100
Site Address: 10856 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-3.5
Remarks: Construct new single family residence. Fath 1
Your company has been indicated as the plumbing 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, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OVVNER: PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES INC CRAFTWORK PLUMBING' INC
1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE
WEST LINN, OR 97068 BEAVERTON, OR 97008
Phone #: Phone #: 644-8698
Reg #: I IC: 79666
PI M 20-148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please cell (503) 639-4171, ext. # 310
CITY OF T I G A►R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00337
13,125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001
SITE ADDRESS: 10856 SW KABLE ST PARCEL: 2S110DA--04100
SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT 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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Irrigation backflow prevention device.
FEES
Owner: --- — — ---
— Type By Date Amount Receipt
RENAISSANCE CUSTOM HOMES INC PPMT CTR 08/15/2001 $36.25 2.7200100000
1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2.90 27200100000
WEST LINN, OR 97068
Total $39.15
Phone 1:
Contractor:
MOODY ENTERPRISES INC
PO BO;K 713
ESTACADA, OR 97023 REQUIRED INSPECTIONS
Phone 'i: 503-630-5532 Final Inspection
Reg #: LIC 5973
PLM 11717
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 apprcred 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 ATTEN-f-ION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 thrcugh OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: iii: ` _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
City of Tigard Date received: 2 Permit no.: �rno�9o�^7
A(ldress: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Bailding permit no.:
Cit YofTipard phone: (503) 639-4171
Prujcccappl.no.. Expire date:
Fax: (503) 598-1960
Date issued: - ByY-� Receipt no.:
Land use approval: _. Case file no.: Payment type:
Uu & ? family dwelling or accessory U Commercial/industrial
►�New construction U Multi-family D Tenant improvement
U Addition/alteration/repla(�,mcnt U hood service ❑(Whet:
Description
dg.no.: - New 1-and 2-famlly dwellings only: Fee ea. Ibtal
Suite.no.:
Tax map/lax lot/account nu.: (Includes 100 It.for each utility connection)
Lot: �_ Block: Subdivision: SFR(I)bath
Pmiect name: SFR(2)hath- _---- -- -------.
----�-�-�-�F .`"'` �f, �-1. � SFR(3)hath
City/county: c� ZIP: j Z ' SFR additional bath/kitchen
Description and location of work on premises:�a its _ Slteutiiilies:
-�-- _-_ Catch basin/urea drain
Est date of completionlinspection: D wells/leachTine%trench drain—
WREJ I If 101FKKQMX1 Fill M Footing drain(no. lin. ft.) ---
Business name:, V r Manufnetured home utilities
Address:7 - ! Manholes — --
Rain drain connector
city:CY .i state:0 , 7_IP: � 7C' - -- --..
z,3 Sanitary sewerr(no. lin, ft.)
Phone: ,',t,A) S j J z Fax:ty.II,- E-mail: Storm sewer(no. lin, ft.)
CCU no.: 1/7 7 tr �IVIt,uA �'lumb. bus.reg,no: 5 Water service(no. lin. fl.)
City/metro lic.no.: I.Afr;' V
/,a.+;�,rr�/'f �� Fixture or Item:
Contractor's representative signature: i / ! Absorption valve
Print name: i /a ,.t. .-7, - Uate: •� �. Back flow preventer
Uackwater valve
Basins/lavatory --'----
Name: �� ,,C, 1 f; , .�y Clot es washer
c c-
Address: ,e �'r 7�� I',!twosher ---
City: =S> Yyc�r� SlatclC-�� 7.IP: 2�� Unnking fountains) -
Phone: Fax; r-i>/,< &mail: Ejectors/sum -
Expansion tank
Fixture sewer cap
Name(print): , ] Floor drains/floor sinks/hub _
Mailing aJdtrss: _ � `� Garbage disposal —
City: ,. • hose bibh - --
,. State: : . Ice maker —�
f'ftone. Fax: [✓-mnil: - ----_._._-�
Owner installation/residential maintenance only: The actual installation Intercepto0grcase trap -
will he rnade by me o u intrnanrc and repair made h m re alar Pnmer(s)
p Y Y R Roof drain(commercial)
employee on the p ert. I w as per ORS CI apter 447.
Sir,ic
' �'
Owner's si rnaturc: (s), asin(s), lays(s)
Date: Sump
l ubs/shower/shower pan -
Name: Urinal
Address: Water closet --
City: i _-._t-
State: ZIP_
_
Phone: Fax: v- E-mail: Total
Not ell Tori wdictioru accept credit,.erda•Moore call jut dictkm for more inrommlfon. ^
(.'Visa U MasterCard Notice:'Ibis permit application Mortmain fee................
Crecilt car?, �� expires if a permit is not obtained clan review(at — 9Et) $
F parer within 180 days after it has been State surcharge(R�4) ....$
AWore or cardholder n mown on ere It c at cepted as complete.
TOTAL .......................$ ,
L__ Cudholder ilpnaurrr s Amour
410.1616(6h1"M)
7 2 o fD
S ~ `
1 J
C
L' (v
LA
fi V ti
n
G.
o
Fi
O
24
lJ, n
LAN l�
y
CITY OF TIGARD BUILDING INSPECTION DIVISION Q(MS �?6? % -G�� 5��ev
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_ Date Requested 3113161 Pm _ BLD
�C�- i -����/:� "JT Suite MEC
Location
Contact Person _ Ph PLM
Contractor _ /V ce
Mt, 01 f Ph SWR
UILDING Tenant/Owner cLC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SIGN
Crawl Drain Inspection Notes: -�
Slab SIT _
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Flaming
Insulation
Drywall Nailing — — -------__._-----.___.-.-- ------- .___,-.----.-
Firewall
Fire Sprinkler - ___-- -- -----------_—_..._.__---_---
Fire Alarm
Susp'd Ceiling -�-- -- ----- -- ----
Roof
PART FAIL - �_�—nal-Lh5� _ l,L L —_
PrMBING
Post& Beam -_---
Under Slab r
Top Out
Water Service
Sanitary Sewer -----__..__ -- ._— �------ --- -- �
Rain Drains —
Final
PASS PART FAIL ---_--.__� ----._.___-- ---._---_-- -
MECHANICAL
Post& Beam
Rough In
GasLine _-_ — -------._. --- -.._..___------ -- ------
Smoke Dampers
Final _..__ --.__ ___.-_._.---- ------------_---- ----
PASS PART FAIL
ELECTRICAL - --- ---------- --.___— _... -----_ -- -
Service
Rough In
UG/Slab _--
Low Voltage
FireAlarm _-_---------- — —_ -_ ___--______-----_.----_--
Final
PASS PART FAIL.
SITE
Backfill/Grading ^—
Sanitary Sewer
Storm Drain ( J Reinspection fee of$.,_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Flasin ( J Please call for reinspection RE. ( J Unable to inspect- no access
Fire Supply Line ---- - -- —`
ADA
Approach/Sidewalk Date _Inspector_j L' f"�''Z Ext _—
Other -----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •- �c?�b�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_, BUP _
—Date Requested `fZ_ AM_ Pm . BL
Location /LAI !� `;xt! ;� � c'— Suite _
// MEC
Cor tact Person _ — PI{i�CD,�-" ]_/� PLM _ —
Con'ractor Ph �—�- SWR
6UI1.DIN Tenant/Owner —_ ELC --
Relaii ng Wall ELR
ooting Access: �— --�
Foundation FPS
Ftg Drain -v- -
Crawl Drain Inspection Notes: SGN —
Slab
Post& Beam 51T---
Ext Sheath/Shear
Int Sheath/Shear -----
F raming -
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling IeL
_-
Roof
Misc:
�8 f.'T t nAl
PLUMBM
I-ost&Beam -- �� --_--- --- �--• -
Under Slab
Top Out -_ -- --- ---��� ---
Water Service
Sanitary Sewer
Rai Drains
'CASI PART FAIL
M CHANICAL -- - —�
Post$Beam ----- -- - -- ----- - - - — - - -
Rough In
Gas Line - -- -------- __._..�--- ------ —_
Smoke Dampers
Final ---.-_ ---- --- --------
PASS
----PASS PART FAIL-
ELECTRICAL ----- -- - -------- - - — --R- —
Service
Rough In
UG/Slab
Low Voltage
Fire Xarm
Fil 11
PASS PART FAILSITE _
Backfill/(trading -- - -- —- ..-. - - -
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ) Ple2,se call for reinspection RE' ( j Unable to inspect- no access
ADA --�
Approach/Sidewalk S (,I
Other Date LT�,1---- Inspector`---- -- Ext
Final — — ----
PASS PART FAIL VO NOT REM13VE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 0C-1 '
BUP
Date Requested_ 2 _ _AM �PM
Location BLD
L' f-'>L� S c� Vic.�-1, fes` _-- Suite MEC r—
Contact Person _ Ph _ �� �G / PLM
Contractor Ph SWR
_ Tenant/owner ELC _
etaining Wall _ ELR —
Footing Access: -
Foundation FPS
Ftg Drain ----- ---
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam --._--- -------_ _____----______ __-.�_�__�_--- SIT
Ext Sheath/Shear
Int Sheath/Shear ��-
Framing -
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler1-'�
Fire Alarm —-------
Susp'd Ceiling 'e.,. ti.i,� •C- �.' r%l cr ✓6C- 3`
Roof ------ n
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
rias Line ---
Smoke Dampers
Fina! ----- __
PASS PART FAIL
ELECTRICAL - ------ - -----
Service
Rough Ir. - -
UG/Slab
Low Voltage -----------�_— —_ —__-- -
Fire Alarm
Final ------------- __—___—_ - - - _ _. .
PASS PART FAIL
SITE - ---- - ------- — —
Backfill/Grading
Snnitary Sewer
Storm Drain [ J Reinspection fee of$A— required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE — _ [ J Unable to inspect- no access
ADA 1
Approach/Sidewalk /M
Other Date _ �•�1�-�- � / __— Inspector _Ext
Final ——
PASS PA'?T-- FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST24-Hour Inspection Inspection Line: 639-4175 Business Line: 639-4171
BUP
_ —Date Requested ,� ? AM _,PM _ BLD
Location )5'S'6 51 16t{v'� — Suite MEC
"'c:itact Person — _ _ Ph �� z" PLM
iontr-ctor _ ����_ __ — Ph _ SWR
BUILDING e Tenant/Owner �— _ ELC _ _ —
Retaining Wall ELR
Fooling Access FPS
Foundation --------�--
Fig Drain SGN
Crawl Dram Inspectior Notes.
Slab —.. - ___—- ----- -- ------- SIT ------- —
Post R Beam
Ext Sheath/Shear - ----- --w-
Int Sheath/Shear
Framing _...---- - --------- _ ..,_-
Insulation
Drywall Nailing ---..���--- J .---- --
Firewall
Fire Sprinkler -- - - - -_— ----- ---- -
F ire Alarm
Susp'd Ceiling - -- ----- - - -
Roof
Misc:_ - -- ------------- -- —
Final _ -
PASS PART FAIL -
PLUMBING
Post& Beam - -------_-_._
Under Slab -- -
Water Service -- ---- -
Sanitary Sewer
Rain Drains - -
Final
PASS PART FAIL ---
MECHANICAL
[lost& Beam -- ----- - -- ----
Rough In -� -- - ---- --._
c,asLine _.___—__ ------- ----__.
Smoke Dampers ------_-- -.-
Filial
PASS PART FA;'_
_.�
Service - - -`
Rough In ----------------
UG/Slab ------ -__------_—___—.-� _ _ _—� ----
Low Voltage
Fire Alarm -- - - --- - -- -- - _�-._. --
i
( AS +AR1 FAIL - ---- - ---- _ - - --._ --- -
S E -
8ackfilUGi ading ----
Saniiary Sewer
Storm Drain [ ] 4einspection fee of$__- _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE ]Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Date -311 Inspector _ -GGA Ext
Other _ - -T _ -
Final
PASS PART FAIL D(O NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_ GDattel Requested _ L AM PM BLD
Location z� � ¢�� _ Suite MEC
Contact Person —_ _ �, Ph PLM
Contractor _— Ph — SWR
BUILDING _—� Tenant/Owner _ FLC —
Retaining Wall ELR
Footing Access: FPS
Foundation
Fig Drain SGN
Crawl Drain Inspection Notes: -
Slab -__._—.___-- - --- -- SIT
Post&Beam
Fxl Sheath/Shear -- -
Int Sheath/Shear
F raming __-
Insulation
Drywall Nailing r- _e - 7-' /
Firewall
Fire Sprinkler
Fire Alarm
susp'd Ceiling
Roof
Misr;
-
PASS PART F 41L --PLUMBING
[lost
_.----
Post& Beam
Under Slab -
Top Out '
Water Service ------
`Sanitary Sewer
Rain Drains -.- __-_--�-_-
Final
PASS PART FAIL
MECHANICAL
Post & Hearri _.----------
Rough In
Gas Line ___--
Smoke Dampers
Final — ----� --
p -X2T FAIL ------ -- - — _
LECT L
"wtvice ---
Rouhh In
UG/Slab -__-- ----- ---------._ - - --
Low Voltage
Fire-Alarm
PX'SS PART -�—
SITE
Backfill/Grading --^-- --�
Sanitary Sewer
Storm Drain I I Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch BasinUnable to inspect - no access
Fire Supply Line ( I Please call for reinspection RE: , I
ADA
Approach/Sidewalk Date 1� cl Inspector __. Ext __-
Other
Final
PASA PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISiON Z }� F,
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
n
BUP '
_U,:to Requested_ –� AM _PM BLD _
Location G' � ) G _ Suite/ MEC
Contact Person Ph �Y 31> 1 PLM
Contractor Ph SWR
Tenant/OwnerELC —
etaining Wall -- _ ELR
Footing Access:
Foundation FPS -
Fig Drain SGN
Crawl Drain Inspection Notes-
Slab
otes Slab _ __-_---_-_--_.__--- --- -__-- SIT _
Post& Beam
Ext Sheath/Shear --_-_--_---_�_
Int Sheath/Shear
Framing
'nsulation
Drywall Nailing
-- ------_---------
Firewall
--------
Fire Sprinkler
Fire Alarm
S u sp'd Ceiling
-----� _.. _-_------------- -_-_--------— ------ -- ._..___.._.-.
Roof
'RC�r.
PART FAIL _._..__.-- -----_._-- __..-._.-._
ost& Beam
Under Slab
1 op Out
Water Service
Sahitary Sewer
rains
S PART FAIL
ECHANI
os Bean) --
Rough In
Gas Li•.e - - - - ----- - -- - - -------- ..._..-----------
S oke Dampers
Fina ----- ------
FAIL
ELM
MAKI
ery _ ------- _ --- -- --- -- ---- - ----- - - -
ow
'I
I b ---------- --- ---- -
Lo Voltage
Fire Alarm --- _- _- --__-_-__-- _-- -----------
r �
PAS PART FAIL
sITE M
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE -_ ___-- [ J Unable to inspect-no access
ADA ' .._-_
Approach/Sidewalk ,
Other DateInspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record fr the job site.
c..
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _ - -
_ _ Date Requested. / AM PM BLD
Location �� =' L 5 A� �� '' _ _ Suite _ MEC _
Contact Person _ Ph j �X' � PLM
Contractor �=3��t%� _— Ph SWR
[BUILDING 7 Tenant/Owner _ ELC
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes - -- ---
Slah
- ------..---.__-._-____________.___.------._---._.----_.___.--------------_-- SIT
Post ti, Beam - ---�--`
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 4-05
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --
Roof
Misr...
Final
PASS PART FAILPLUMBING
44-t
44-t�
Past&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Iain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam - -- -
Rough In l/ t' SC f -,✓uJs
Gas Line -------
Smoke Dampers C
Final -----.---
PASS PART FAIL
Service
Rough In
UG/Slab -------- ------ --
Low Voltage
Fire Alarm
F Tna•
rt' S PART FAIL _ _
SITE
Backfill/Grading — ---- —�
Sanitary Sewer
Storm Drain [ ] 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 I ]Unable to inspect no access
ADA
Approach/Sidewalk Date �' Inspector ��C� Ext
Other _ -- --- 1- _--1 -�. ------ - -.
Other
— �-
PASS PART FAIL [DO NOT REMOVE this inspection record from the job site,
' CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour In.,%pection Line: 639-4175 Business Line: 639-4171
"A BLIP
_Date Requested_ �c' � —AM--PM _ — BLD
Location � �� 'L t�' �-�(.�� ,quite — MEC
Contact Person i Ph PLM
Contractor — _ Ph SWR
BUILDING ' Tenant/Owner Y _ ELC —
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drair Inspection Notes: -- —
Slab - - - - ------
SIT
Post&Beal n ---
Ext Sheath/Shear --- --
Int Sheath/Shear
Framing - ------ -- ------ .. ---
Insulation -
Drywall Nailing - ------_..._-- - ------ _— ------- _-_�-- ------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -- _ ---- -- ---------_ -------_-_ --__ ----
Roof
Misc._ -- _--- - - - ----------- _..-..- ------ ----- --
Final
PASS ART FAIL
JM
-----.._.. -- -----.----------------------
----- ------ -
Post& Beam
und�csiab L I' t
- -
ted Service 1 _
Sanitary Sewer
Rain Drains
�. PART FAIL'WeW -- -
ANICAL
Post&Beam _. _.._-_---- -------_._—�_.. -------------------- ------
Rough In
GasLine --___.__- ----------------------------- ---
Smoke Dampers --
Final ---------------_.._..---- - _ ---
PASS PART FAIL.
ELECTRICAL
Service - ---- —------ - ---.-a----
Rough In -- --- ------..._---
UG/Slab _- ---- ----- ----- _ .. _... ---- -...�
Low Voltage
Fire Alarm
Final
PASS PART FAIL -----._..._--- ---�- ----- --_ _�-- ------SITE — --- ---- -----
Backfill,Grading — -_-�--�-___--.__--�-- --
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: —_ [ ] Unable to inspect- no access
Fire Supply Line
ADA 7,,., /
Approach/Sidewalk Date �oG-- C)/ Inspector_.. --
__.Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
Dec- 19-00 08:38A POLLARD HOtiMAR DESIGNERS (503) 6?4-V400
011ARD # H0 MAR
• A S S O C I A T E S •
H 0 M E D E S I G N E R S I N C
FAX TRANS MITT L
TO: Emery
Renalssarce Development
F-ROM: Brad Posmor
DATE: 12/19/00
PROJECT- Holddown locations wlth 12) 2x studs vs. '3) 2x studs
PROSECT
NUMBER Lot 2 Erickson Heights
,oi:K.: ..le .r " i.:.. " %+-1.'Y6aW,'E-.1,Ptl,•.''r r. i.,•. - .QW
COMMENTS: we have reviewed with CSA Consult:ng engineers the
hoiddown details on your EdgeclM plan or lot 2 Erickson
Heigh•s Slnce this horns was lateral'y enginefired by CSA
their de*ail is'he governing cord Ion on this arojec•.
It should be noted that in fiture projects CSA P11U
chonge thei,corner holddown detail to include (3j studs.
This wl4 be determined by the uplift oad,orchor bolt
capac-ty, and offset distance from corner--rot the
framing requirements for V e hciddown.
1f you have cry owes ions please do not hesitate t< c:aL
tiUMBER OF PAGES tNC UCING COVER
711C S F R LOOP • 5u TE 2 0 • T , 9ARC . OR 9 ; 113
503 624 9251 www poho cC FAx 503 624 9466
s
r �
obi '
�c
c1 m o
n N -�s
N » 7 i) 0 vv
o Z (A
p o .T
\ �a
N
l
m v : X
m m o
A.
m
x
0
A
N
O
1D �
ro
n
o W
d
ro O
IJ
rJD
w o N O
c p
m
s
n N O
n O p
o o O
z c O
0 O
0 o O
7 O
O
z y
O 00
1
0
A
r
D
3
O
C
z
v
D
v
3 3
0 0
c c
a `r
�f
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639.4171 —
BUP
Date Requested 2 AM _ PM BLD _
Location /U j�i -�4��u /�/ Suite MEC _
Contact Person _ _ Ph 2'1 35 1 z-- PLM _—
Contractor _ Ph SWR — —
Tenant/Owner — _- A— ELC --
t'falning Wall
Footing ELR
Foundation Access:
FPS
Ftg Drain '--
Crawl Drain Inspection Notes SGN �—
Slab
Post 8 Beam -_----- ----------------�-__.� ---- - SIT ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
rywall Nailing
Firewa!I --- _-. -------.__
Fire Sprinkler
Fire Alarm -- --- -- _..-_ ---- -- --
Susp'd Ceiling - — ----- ------ -- -------- -- -- - _ - - -- . _
Roof -
Misc:Fin—, -
ASS ART FAIL --------____._._-.- -----------.___-.
PtMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -- --- _. . --------_ . -
Rain Drains
Final _.-_ .. �. ---- - ----------- �.
PASS PART FAIL
MECHANICAL
Post& Bearn -------
Rough
---------------.____..___------Rough In
GasLine -----__....__ -.------- ---___--___-_
Smoke Dampers
Final --- -
PASS PART FAIL
ELECTRICAL --- -- ----- ---- -. —_--
::',ervice
RoughIn ------- ---_._.N.- ---_-_-.____-------------- -
UG/Slab
Low Voltage --- --- -- -------- ------------ - --------------------
Fire Alarm
Final
PASS PART FAIL
SITE .-
133ckfill/Grading - - -- ---- --._.- _ __-
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Nall, 13125 SW Nall Blvd
Catch Basin
Fire Supply Line [ Please call for reinspection RE: --- -_ [ )Unable to inspect-no access
ADA
Approach/Sidewalk -
Other Datr3l / �/ Inspector — Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hnur Inspection Line: 639-4175 Business Line: 639-4171 ------
BUP
_— Date Requested Z- ' —AM—_ -PM BLD '
I-ocatlon �o S�� /<<1 L��-c -- Suite MEC _
Contact Person _ — Ph f��/ 17�1i PLM - ---
Contractor Ph SWR
UILDI _ Tenant/Owner _ ELC
Retaining Wall — ELR
Footing n rceSS
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes'
Slab
P 8 Bea --------___.—_____. ,IT -
F ea
�Int Sheath. .ar
rami
n a ion —
Drywa!1 Nailing —
Firewall r �"
Fire SprinKler
Fire Alarm r
Susp'd Ceiling _--�C /`ZC ~7 f�-'��— �� _�•tD `c
Roof
Mise. _ -- -------_ -- -- -----
fi
A ' PART FAIL ------ --_____----__— _
PM
&Beam.) —_--
n er a
Top Out ----------- — - —
Water Service
Sanitary Sewer
Rain Drains
f-anal -----------___---_ -- ----
PAn PART FAIL
'Post 8 — - ------ -- —
Smoke Dampers
P T FAIL
UG/Slab
Low Voltage
Fire Alarm _-__ --
Final
SS'> PART FAIL.
Backfill/Grading -----.--- __ - - -- _---- --
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ ^required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: ( j Unable to inspect- no access
F„'e Supply Line --�---�--
ADA
Approach/Sidewalk
Other ` Date / �19 Inspector _.___�_ _.—Ext _
Final
PASS PART FAIL 00 NOT REMOVE this Inspection reccArd from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0e)3e'r'Y'
24-Hour Inspection Line- -19-4175 Business Line: 639-4171 —
BIUP _
Date Requested Z '> AM PM
/ _— _ BLD
S _
Location Cl �� `°' /�`�Z /�i Suite MEC
Contact Person Ph tel_ _ � PLM
Contractor i _ Ph _ SWR _
Tenant/Owner ELC _
Retaining Wall ELR
Footing --- -�---�-
Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection �4otes -
Slab -------_..— -- ------ ---- -- SIT
Post&Eeam
-raminy �"
Insulation _
Drywall Nailing - )��� L�_.. ����_.�`.�_��. l�yl _ -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -�
Mise ------
F ` 2 45—t
PART �� All- �---- - -- -- ------ -- _ ___..----- --
MBING
Post& Beam -----�— �- -
Under Slab
TopUut
Water Service _
Sanitary Sewer -- --
Rain Drains
Final --_--_-_---
PASS PART FAIL
MECHANICAL
----
[lost& 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 ___.d........___.-----_------_-------__-�--
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [�1 Reinspection fee A�72� � required before next inspection Pay at City Halt, 13125 SW Hall Blvd
Catch Basin [ ]
Fire Supply Line Please call for reinspection RC _ _ _ [ ] Unable to inspect-no access
-
ADA
Approach/Sidewalk
Other Date Ins ect _ a
� —i _ Ext —
-- --
.......... p
F inai
PASS PART FAIL DO NOT REMOVE thio Inspecti n record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP
Date Requested_L Z - a H -__ AM--PM BLD
Location An L 5w Ouite _ MEC _
Contact Person Ph PLM
7�C�' ��` �"— _
Contractor Ph SWR
BUILDING Tenant/O,Nner ELC
Retaining Wall _ ELR
FootingAcresS: FPS
Foundation
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
Susp'd Ceiling —�- -
Roof
Misc
Final _
PASS PART FAIL
LU - -
Post& Beam
Under Slab
op Out
a er Service
Sanitary Sewer
Rain Drains --
F'
P PART FAIL -
HANICAL --
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$ - - required before next inspection Pay at City Nall, 13125 SW Hell Blvd
Catch Basin Unable to inspect no access
Fire Supply Line
[ j Please call for reinspection RI
ADA
Approach/Sidewalk Date i ' _ �___1.G__ Inspector _ -- _� — �__Ext
Other
Final
100PASS PART FAIL n NOT REMOVE this inspection record fra►tr the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_Date Requested Z-- AM PM BLD
Location LCA �j(v Scv,C<, /� _ Suite MEC
Contact Person _ Ph G 7 l 2 PLM
Contractor Ph SWR
UILDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation f'PS
Fig Drain
SGN
Crawl Drain Inspection Notes' — -
Slab - -------- --- -.-�— _._� —._._ SIT
Post& Beam --
Ext Sheath hear
Int Sheath/S r 1,
Framing ----
Insulation
Drywall Nailing A
_
Firewall
Fire Sprinkler )
Fire Alarm
Susp'd Ceiling
Roof
Misc. -
Final �'`/uf �' /:C GSC
PASS PART FAIL - —
PLUMBING
Post&Beamv-
Under Slab _ '�� ' ��C'(
Top Out
Water Service
Sanitary Sewer y/
Rain Drains ��'//a ,� "� L?'LZ"y ` � 'ma
'.�--.. cy Z•"'c`J—
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line — --
Smoke Dampers
Final p
PASS PART FAIL •—
ELECTRICAL -- — --
Servire
Rough In
I-ow Voltage
Fire Alarm
Final ----------__----- -._. _�T- --
PASS PART FAIL
SITE
Backfill/Grading --- -..-_ — - --._
Sanitary Sewer
Storm Drain I i Re;-,spection fee of$ — __ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE _ , I Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Datp ' ,r� �— !=�l Inspector / ✓7 Ext
Other _ �- ----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
l BUN
Date Requested—/— - S� -AM __PM BLD
Location O S6 S w leu G�� _ Suite MEC
Contact Person _ _ __ Ph 9- 35`G Z' _ PLM _ --
Contractor _ __� Ph - SWR
$G!LGIN Tenant'Owner _ __ ELC —�—
Retaining Wall ELR
Footing Ac,,ess FPS
Foundation ----
Ftg Drain SGN --- _.-----
Cmwl Drain Inspection Notes
SlabSIT
Pos s —v_
n each
min
Insulation
Drywall Nailing --- - - --
Firewall
Fire Sprinkler - -- - - ---- --
Fire Alarm
Susp'd Ceiling
Roof
Misc ---. _
Final
PASS PARI FAIL-I --- -
000MBING
Post& Beam
Under Slab ---— -
Top Out
Water Service --- -
Sanitary Sewer
Rain Drains -- --
Final
PASS PART FAIL
MECHANICAL
Post&B:arn
Rough In
Gas Line
Smoke Pampers
Final
PASS PART FAIL
ELECTRICAL
Service - - - - - -
Rough In
UG/Slab - - - --- ---
Low Voltage
Fire Alarm
Final _
PASS PART FAIL —�
SITE
Backfill/Grading --�--� -------.-- -- ---
Sanitary Sewer
Storm Drain ( J Reinspection fee of$_ -�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: _ _� ( ]Unabls to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Z2 -E —ec Inspector �. Ext
Other
Final
LPASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CIT" OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST �t'vv -��i% -7
BUP __
Date Requested ��! /3 AM PM BLD
Locations Suite MEC
Contact Person Ph �� G z- PLM _
Contractor Ph w _ SWR
ILDI ~ Tenant/Owner ELC
Retaining Wall --- —
Footing ELR
Foundation ACC@SS: ��-~-------
F Ig Drain FPS
C;r Drap / Inspection Notes SGN
la C
------ -- -- - --- SIT
ost& Beam - _--- -- ----�.
"I Sheath/Shear
Int Sheath/Shear
Framing
Insulation --- - - - -- --- ------ _-- _ _
Drywall Nailing
Firewall
_Fire Sprinkler
Sprinkler _
Fire Alarm - -
Susp'd Ceiling
Roc f - - -
Mir
rUndeer
ART FAIT_
ND - - -
am - --
- -
bice _
Sanitary Sewer
Rain Drains
Final - - -- - --- - - -
PASS PART FAIL
MECHANICAL - - ---
Post R Beam
Rough In - T
Gas Line -----.
Smoke Dampen
r=inal
PASS PAR r FAIL
ELECTRICAL - - -
Service
Rough in
UG/Slab
Low Voltage - --- - - ---._
Fire Alarm
Final -
PASS PART FAIL
SITE - --
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 I I Pease call for reinspection RE: _ [ ]Unable to inspect-no access
ADA
Anproach/Sidewalk / ���L�._`r��o..
Other nate -_( S► ! Inspector - Ext
Final --
PASS _PART FAIL] DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDIN3 INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-41'i 1 --
BUP
Date Requested 1U t Z� AM_ PM BLD
Location / S w Suite — MEC
Contact Person — — Ph y- .3> 2- PLM _
Contractor Ph SWR
t'_Yairflng
-ILDING Tenant/Owner ELC
Wall ELR
10
ng Access:
oun,stion FPS ----_--
F(q Dr?rrr I 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
Misc:_
Final
PASS PART FAIL -
�7QLt.
Post K earn -
nd
Water Service
Sanitary Sewf,r
Rai rains
a
PAl S PART FAIL _— r
CHANICAL��
Post& Beam - -- -- --------___
Rough In
Gas Line -
Smoke Dampers
Final ---- - -
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm I - ----------_--_
Final
PASS PART FAIL - — �.-
SITE
Backfiil!Grading ------_..—.__—�--
Sanitary Sewer
Storm Drain [ J Heinspecdon fee of$s required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ► )Please call for reireuection RE' _--__ [ J Unable to inspect no access
ADA
Approach/Sidewalk Date �a Inspector
Other -—^�142
—Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2,<'&e/ e,
24-Hour Inspection Line: 6394175 Business Line: 639-4171
BUP _
—� Date Requested-_ h') —e: AM� PM _ BLD _
LocationSuite �— MEC _
Contact Person Ph _ -3� L PLM - -
Contractor —_ Ph SWR _ —
( BUILDI _ Tenant/Owner ELC
etaining Wall ELR
I-ootinq Access: ------
Foundation FPS
SGN
C�rawl Dra�.la) Inspection Notes: ----
. IaS b — _._ SIT
[lost& Beam ----
I xt Sheath/Shear _
Int Sheath/Shear
Flaming ----- - _ _
Insulation
Drywall Nailing
I firewall
Fire Sprinkler
Fire Alarm ,
Susp'd Ceiling --
Roof11.1
Isc: -- _
Final
PA ZART AIL
PLUMB
ost 8 BPm — ----
UndPr Slab
TorSanjtatj - --_ - ----- _
cr ' "}
ca-11,77
--------___ �_._.----.
'fr
rn )r7)
6i
A PAP.T FAIL.
HANICAL
Post& Beam _r
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
[ti—(. 'RICAL ------
Service
----Service
Rough In
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
Backfill/Grading --- - --- —_---- - --
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE:____ ,_ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other nate Inspector �� Ext _ r
Final
PASS PART -FAIL DO NOT REMOVE this inspection record from the job site.
CIT`( OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Pusiness Line: 639-4171
. + ' BUP
Date Requested JU— Z- —AM_ PM BLD _
Location--&Y> s w ������, Suite MEC
Contact Person Ph PLM — _ —
Contractor Ph SWR
UILD-� Tenant/Owner _ ELC _
Retaining Wall ELR
Footing Access: -
FPS
- g rain `''t L`"'yi SGN
Crawl Drain Inspection Notes: -- -
Slab -------____- ....... SIT
Post 8 Beam
Ext Sheath/Shear
Int Sheath/Shear -T
Framing
Insulation
Drywall Nailing -- ---- - --- - --- ----
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
---------------------
Roof
Misc - ---- -
Fln _
-PART FAIL. - - .- - - - - -
PtWBING
Post 8 Beam
Under
- -- - - -- ---
Under Slab
Top Out ----- - -
Water Service
Sanitary Sewer -_
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post B Beat!) - -- - - -
Rough In
Gas Line - -
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL -- -- - --- - -
Service
Rough In __-__-_--
UG/Slab
Low Voltage
Five Alarm
Final
PASS PART FAIL _- ------------_--------- --_--
SITE
Backfill/Grading - _-. -_--._---_--------_ -_—_
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Fay at .;ity Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE' _ __-.-®- [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Date z. — Inspector _ _Ext
Other _ � -------_._-. _-.
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
t _
MASTER pEFtMI-T
CITYI T Y O T I G A R D PERMI•r#: MST2 00 0-00384
DEVELOPMENT SERVICES DATE ISSUED: 9/12/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10856 SW KABLE ST PARCEL: 2S110DA-0J> )0
SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 a
BLOCK: LOT:002. JURISDICTION: TIG
REMARKS: Construct new single family residence. Path 1
BUILDING
REISSUE: STORIES 2 __ OOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,673 st BASEMENT: sf LEFT: 14 SMOItE DETECTORS: Y
TYPE OF USE: Sr FLCOR LOAD: 40 SECOND. 1.725 sf GARAGE: 768 sf FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS* 1 FINUSMENT: of VALUE: S 255.502 30 RIGHT: 5
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,398 00 of
REAR:
PLUMBING
-----• RAIN DRAIN: 100 TRAPS:
SINKS: 1 WATER CL09E1S: 3 WASHING MACH. I LAUNDRY TRAYS.
LAVATORIES. 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 sr RAIN DRAINS: I CATCH BASINS:
TUR/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKrLW PREVNTR 1 GREASE TRAPS
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FUPN,100K BOIE1CMP r AHP: VENT FANS: 5 CLOTHCS DRYER: 1
GAS
FURN>=100K: 1 UNIT HEATERS: HOODS: 1 OTHLR UNITS: 1
MAX IN
M. btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
FLFCTRICAL
MISCELLANEOUS ADD'L INSPECTIONS
IONS
UNIT _ SERVICE.FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS_ ._
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PFR INSPECTION:
LA ADD'L 5009F: 7 201 400 amp: 201 400 amp:
1st WIO sVCIrDR: 00 SIGN/OUT LIN LT- PER HCUR:
LIMITED ENERGY: 401 600 amu401 60o amp; EA ADDL BR CIR: SIGNALIPANEL: IN PLANT'
MANU HMISVCIFOR:
601 • 100081"p. 601.amps•1000c MINOR LABEL.
1000+amolvoll. Pi.AN REVIEW SECTION
Reconnect only: >=4 RES UNITS: SVCIFUR>--225 A.: >600 V NOMINAL: GLS ARFAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY --
B.COMMCRCIAL.
A.Sr RESIDENTIAL.
FIRE ALARMINTERCOMIPAGING: UUl'DOOR LNOSC IT
AUDIO 6 STEREO: X VACUUM SYSTEM: X AUDIO 6 STEREO:
:
BURGLAR ALARM: X OTH, BOILER: HVAC: LANDSC MEDICAL: PROTECTIVE;ili,Hl
GARAGE OPENER:
CLOCK: IN9TRCMENTAIION: MEDICAL: OTHR:
DATA/TELE COMM. NURSE CALLS: TOTAL M SYSTEMS:
HVAC:
TOTAL FEES: $ 6,590.72
Owner: Contractor: This permit Is subject to the regulations contained in the
RENAISSANCE CUSTOM HOMES INC RENAISSANCE CUSTOM HOMES Tigard Municipal Code,State of OR Specialty Codes and
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws All work will be done in
',,,VEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans 'This permit will expire if
work is not started within 180 days of issuance,or if the
work isuspended for more than 160 days ATTENTION.
Phone: Oregon la' 'requires you to follow rules adopted by the
Phouv: Oregon Utility Notification Center Those rules are set
Rep M: LIC 049955 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 81 Post/Beam Structural Mechanical Insp Framing Insp Gas Fireplace Electrical Final ,
Grading Inspection POSt/Bealm Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Fir al O
Sewer Inspection Crawl Orain!Backwater
Plumb Top Out Exterior Sheathing Insi Rain drain Insp Plumb Final
Footing Insp Footing/Foundation Dr; FIPctrlcal Service Low Voltage Water Line Insp nal inspection,
Fourdati PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Budding Final
l_
Issue By :
-�� Permittee Sign?tune
Call(503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
MST L Masier'Permit
..Inspection Description Date Passed By Notes
Grading
Footi n(i/Setback C'f a
Toundationwalls
Slab vil
-Folo-ting, drain
Waterproof basement walls
n, underslab
Crawl drain
PosUbeam pluinbina&
Post/beam mechanical
Underfloor insulation
Post/beam structural -14f-0 L)
Shear walls/anchors
Exterior sheathing 7 -z cf—
Plumbing top-out
-2-
Gas line & test
Mechanical rough-in -
r7�<Electrical rough-in 4o o 0
Electrical service .00
Low voltage
Sprinkler rough-in
Backflow preventer
Roof nailing
Firewall
Framing
MFG-Home set-up
Insulation -Coto/
Drywall nailing
Masonry/Reinforcement f
Rain drain 41Y?a , e
Sanitary sewer 121?1-01
Water service
4401
Pum /fill septic tank
/sidewalk
Grading final
Mechanical final -Z /7/0 /
Plumbing final 72 // 2, 6
Electrical fnal Ah 2!:�1�e/
Final inspe-tion 11 /61
Special Reports
SWR - Sewer Permit
Inspection Description Date Passed ey Notes
Sanitary sewer
Final inspection
INSPECTION RECORD - MST (MASTER) PERMITS