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10515 SW NAEVE STREET-1 IS 3A3VN MS SIM e f i F o. W� ? � d 3 a� c� J � 10515 SW NAEVE ST CITY OF T I G A R D -^ MASTER PERMIT PERMIT*: MST2004-00202 DEVELOPMENT SERVICES DATE ISSUED: 7/21/2004 13'125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171 SITE AMRIESS: 10515 SW NAEVE ST PARCEL: 2S110DA-02600 SUBDMSION: RENAISSANCE SUMMIT ZONING: R-3.5 BLOCK: LOT: 017 JURISDICTION: '11 ; REMARKS: 15 sq ft addition for shower. BUILDING REISSUE: 9tORIE3: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF V40AN: ADD , _ia"7: FIRST: 15 of BA.9EMFItT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: of FRONT: PARKING SPACES! TYPE OF CONST: DWELLING UNrrff: 11,11110, of 200 00 RIGHT- OCCUPANCY CX;CUPANCY GRP: R3 BDRM: BATH: TOTAL: 15 of VALUE9. REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWAS IERS• FLOOR DRAINS: SEWFK LINES: SF RAIN DRAINS: CATCH BASINS- TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES- BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES TURN<100K: +ROIUCMP<3HP: VENT FANS: C'OTHES DRYER: FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR rURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNrT__ SERVICE FEEDER TEMP SRVC/FEEDER9 BRANCH CIRCJrTS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR t ESS: 0 - 20t`amp: 0 200 amp: WISW OR FAR: PUMPIIRRIOATION: PER INSPECTION: EA ADD'L 500SF: 201 -400 Trp: 201 -400 amp: Lt VMO SVOFDR: SIGN/Our LIN LT: C HOUR: L IMITED ENERGY: 401 - 600 amo: 401 -600 amp: EA ADDL OR CIR- SIGNAL/PANEL: IN PLANT. MANU HWSVCIFDR: 001 - 1000 amp: W14ampa-1000e MINOR LABEL: 1000#amplvolt: PLAN REVIEW SECTION Reconnect onhl: --­4 RES UNITS: SVCIFDRa-2:S A.: F00 V NOMINAL: CLS APFA/9PC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE AI-ARM: INTERCOMMAGING: OUTDOOR LNUSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNI..: GARAGE OPEN'-R: CLOCK: INSTRUMENTATIOW MEDICAL: OTHR: HVAC: DATA/TFLE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 369.819 TERRY THOMAS DAVE BEAR SON This permit is subject to the regulations contained in the ERR SIM OMASNAEVST 1031 SE MILL Tigard Municipal Code,State of OR.Specialty Cod" 10515 S,OR 97224 PORTLAND, OR 97214 and all other applicable laws. All work will be done in TIGAaccordance with approved pians. This permit will expire if work i3 not started within 180 days of issuance,or if the CL work Is suspended for more than 180 days Phone: 503-598-8603 Phone: 233-6422 ATTENTION: Oregon law requires you to frNow rules 1— adopted by the Oregon Utility Notification Center Those Rea 0: LIC 00016541 rules are set forth in OAR 952-001-0010 through 952-001-0080. Yc,j may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS WUnderfloor insulation Electdcal Final .1 Plumb lop Out Plumb Final Electrical Rough In Final Inspection Framing Inst Insulation Irsp !asued By : ;,,� Permittee Signature Call (503)6394175 by 7:00 p.m. for an inspection needed the next business day E3uildin2 Permiti Applicatio wCnD City of Tigard Diu", Permt No DateQi 13125 SW Hall Blvd.,Tigard,OR 97223 to Plan Review Other Permit Phone: 503.639.4171 Fax: 503.598 1960 ` / pete/By 7 Inspection Line: 503.639.4175 !0 t Date Readyf8y. ru is See Attached Checklist for Internet: www.ci.tigard.or.us ,1G: Notined/Imelhod Supplemental Information ;q'q OF --- -- ---7i1 r _ r.. e,Edi ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 9,Additlon/alteration/replacement — ❑Other: equipment,materials,labor,overhead,and the profit for the ta, rfir` w work indicated on this application. I-and 2-family dwelling ❑Commercial/industrial Valuation: S 0�---- ❑Accessory building ❑Multi-farrtily Number of bedrwrns: ❑Master builder ❑Othcr: Number of bathrooms: '44" '` ' if kl)rTION Total number of floors. --- ,hu Job site address:r095 15 New dwelling area: square feet — City/StateJZIP: Oew ?714t Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: squa•!feet POth�smruc7tuwreates: square feet -418 CHECKLIST Sum.._ Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this applicatien. YXF&-' Valuation: S Existing building area: uare feet New building area: square feet Number of stories: Mc i Name: a Type of construction: Address, 0 J Occupancy groups: -- City/State/ZIP: orzp. 9 7.4-V- Existing: Phone:(493) S .—'560 Pax:( ) New: t , ;». Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board ----- under ORS 701 and may be required to be licensed in the (l Address_ _ jurisdiction in which work is being performed.If the F2 City/State/ZIP: applicant is exempt from licensing,the following reasons F- --- apply: _ — fn Phone: E-mail: ---- — (a Business name:l/e!IµC JAddress: SE i � — '• Meese refer.o fie schedule City/State/ZIP: 7Fees due upon application D Phd te:603) 23,3 — i 2� Fax:(�� ) 3 3`OTA/ - _OW Amountreceived CCB lic.: L �- Date received: Authorized signattt_o:01�)—" This permit application expires If a prrmit ie not obtained within 180 days after It has been accepted as complete. Print name:&fVE L, t3i6ij P,50 V Date: , �L— • Fee methodology set by Tri-County Building Industry Service Board i'.BuildingTerninlBUP-PmtitApr.;m IV03 440-4613T(IIWCOMMEB) One- and Two-Family Dwelling Building Permit AppTeation Checklist City of Tigard Received Perttut No 13125 SW Hall Blvd.,Tigard,OR 9-223 �au/Fl — – Phone: 503 639,4171 Fax: 503.598 1960 Associated perrrots 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other I Land use act;ons completed. See jurisdiction criteria for concurrent reviews. _ _2 ZonlnE Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verillcatlon of approved plattlot. i 4 Fire district approval required. Name of district: T 5 Septics stem permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. _ 8 Soils report. Must carry o:i inal Nplicable stamp and signature on file or with application. 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- basin protection,etc. 10 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state b '!ding codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size she attached to the plans with cn.,,s references between plan location and details. Plan review cannot be completed if ' ht violations exist. 1 I Site/pl plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El El El there is re than a 4-ft.elevation differential,plan must show contour lines at 2-R. intervals);location of easements and drive ;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;In re building coverage area;percentage of coverage; impervious area;existing structures on site;and surface drains 12 Foundation pla Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans. Show a dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation farilikplumbing fixtures,balconies and decks 30 inches above g7ade,Sic. 14 Cross section(s)and dell et s. Show all framing-member sizes and spacing such as flo r beams,headers,joists,sub- floor,wall construction,ro.� onstruction. More than one,cross section may be req ed to clearly portray construction. Show details ofwai and foundation, l and roof sheathing,roofing,roof slope,cc il" g height,siding material,footings e c stair,,firlace truction,thermal insulation,etc. _ 15 Elevation views. Provide elevations r new construction;minimum of twoel ations for addition and remodels. Exterior elevations must reflect the actu ode if the change in grade is great than four foot at building envelope. Full-size sheet addei,lums showingfounds n elevations with cross referen s are acceptable. i6 Wall bracing(prescriptive path)and/or late I analysis plans. Must in cote details and locations;for non- prescriptive path analysis provide s ecifications altAcalculations to engin ring standards._ 17 Floor/roof framing. Provide plans for all floors/roo semblies,indica ng member sizing,spacing,and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and ! 'Is st wing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using curve co sign values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform ad. 20 Manufactured floor/roof truss deslgu details. _ 21 Energy Code compliance. identify the prescriptive path provide calculations. A gas- ^sc_hematic is required Q, fot four or more appliances. a 22 Enpineer's calculations. When rP-,,rired or provided, .e.,shear wall,roof truss)shall be stamped by an eer or arciutect licensed in Oregon and shall be shown to b applicable to the project under review. 23 Five(S)site plans are required for Item 1 I abov Site plans must be 8-1/2"x 11"or l l"x 17". J 24 Two 2 sets each are required for items 16, 19/20 and 22 above, m 25^Builder plans shall not contain red lines ort -ons. "Mirrored"building plans will not he accepted. _ 26 "Reversed"buildingplans must meet criteri outlined in the Permit&System Development Fees document. LU J 27 "Drawn to scale"indicates standard archite or engineer scale. 28 Site plan to include tree size,type and loc ion per approved project street tree plan(if applicable),and City of Tigard Street Tree List. 29 Site plan to include tree protection measures as required by conditions ofapproval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i\ItuildingTermitsrOne-Two-FamilyChecklist.doc 12103 Building Fixtures �r Plumbine Permit A kation Cit Of Tigard �1- Receives g/ J Y g Permit No. DatdBy 13125 SW Hall Blvd.,Tigard,OR 97223 Al lV Plan Review Phone: 503.639.4171 Fax: 503.598.1969.1`-(nE'T1C UateB Other PemntNo. 24-Hour Inspection Line: 503.639.4175 111Lq r g1Vl` y -- —` lura 1�1 J Ready/By 0 See Page 2 for Internet: www.ci.til,ard.or.ua Date Notified/Mcthod. Supplemental lefurmadem New construction For special Information use check/!sc ❑ Demolition -�—f Description t . Ea. Total Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 R.for each utility connection) c SFR(1)bath 249.20 I-and 2-family dwelling ❑Commercialtindustrial SFR(2)bath 250.00 ❑Accessory building ❑Multi-family SFR(3)bath 399.00 ElMaster builder ElOther: Each additional bath/kitchen 45.00 r s Fire sprinkle(__sq.ft.) Pr ge 2 Site utilities Job site address: 105 15 Catch basin or area drain 16.60 City/StatdZiP: O/ro % 7��T Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name: Footing drain(no.linear ft.: ) Page 2 - - Manufactured horse utilities 11000 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary, sewer(no.linear ft.: Page 2 Storm sewer(no.linear ft.:_� Page 2 Subdivision: Lot tro.: Water service(no linear ft.:_) Page 2 Fixture or Item Tax map/parcel no Absorption valve 16.60 N) 0; `?It �k ;" Backflow preventer Page t Backwater valve 16.60 Clothes washer 16,60 Dishwasher 16.60 Drinking fountain 16.60 Ejectott/sum 16.60 Name: Expansion tank 16.60 Address: Q S _ Fixture/sewer cap 16.60 City/State/ZIP: 9 7 Floor drain/floor sink/hub 16.60 Phone:C503) S O Fax:( ) Garbage disposal 16.60 Hose bib 16.60 Icv maker 18.60 Business name: Interceptor/grease trap 16.60 IL Contact name: Medical gas(value:S ) Page 2 — Address: Primer 16.60 N City/State/ZIP: Roof drain(commercial) 16.60 Sink/b avatory 16.60 Phone:( ) _ Fax: :( ) Tu show /shower pan 16.60 J E-mail: Urinal 16.60 t4 9fl t �, Water closet _ 16.60 W P.usiness ice... : Water heater 16.60 J _ - - Address: Other: Subtotal City/StatdZiP. '-u/aoyof. 7F607 Minimum permit fee: 572.50 Phone:(MO) I{-—,5 Fax:( ) "7 Q 6 _ Residential backflow minimum permit fee: $36.25 CCB Licl8695 I g Lic.no.��Q PB Plan review (25%of permit fee) -� - �_� State surcharge(8%of permit fee) Authorized signature: Of TOTAL PERMIT FEE Print name DA I-.E E, ,5 J AA p 5O Al Date: 71 � Thit pet-ml'.application expires If a permit Is not obtalne within :'d days after It has been accepted as complete. 'Fee met,iodology set by Tri-County Building Industry Service Board. iMuildingToindutPl.MF-Permi1Appdoc 12/03 110-a616T(lo/02/f:OMNI'P.9) Plumbing iKrmit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Sup ession�stems: Footing drain- 1'100' 5500 0 to 2,000 $115.00 —_ Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 _ Sewer- 1 at 100' 55.00 7,201 and greater — 5309.00 Sewer-each additional 100' 46.40 Water Service- Iat 100' _ 55.00 Medical Gas S stems' Water Service-each additional 100' 46.40 Storrs&Rain Drain-I st 100' 55.00 6� $1.00 to$5,000-01) _ Minimum fee$72.50 Storm&Bain Drain-each additional 100' 46.40 $5,001.00 to SI0,000.00 572.50 for the first$5,000.00 and$1.52 for each �e 4 additional$100.00 or fraction thereof,to and `gip 1 _ including$10,000 00. Commercial Bak Flow Prevention Device 46.40 510,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1 54 for Residential Backflow Prevention Device each additional 5100.00 or fraction thereof,to (minimum permit fee$36.25) 27.55 and including 525600.00. Rain Drain,single family dwelling 6.5.25 $25,001.00 to 550,000.00 $379 50 for the first$25,000.00 and SI 45 for each additional 5100.00 or fraction thereof,to Inspec'on of existing plumbing or and including$50,000.00. s eciall rc uested inspections-Per hour 72.50 $50,001.00 and up S742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or traction thereof. Fixture Work: Are you capping,mo ng or replacing existing fixtures? If "yes",please Indicate rk performed by fixture. Failure to accurately re ort fixture. ould result in increased sewer fees*. ?& ,,w. (' ments regarding fixture work: Ba tis /Font _ —-- Bath -Tub/Shower -Jecuui/Whirl ool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator --- ---------- ---- — Dish-washer -Commercial -Domestic - — — -• — ---- Drinking Fountain -- — ---- Eye Wash Flnnr Thain/sink -2" .3" -- ------ -- ILCar Wash Drain _ Q, Garbage —-Domestic — l., Disposal -Co r�me r�i _ *Note: If th . ture work under this permit results in Ln U) -Ind a1 Increase of sewer s,a sewer permit will be issued and Ice Mach./Refri ins oils arato Siation fees assessed for the se crease must be paid before the Rec.vehicle Durm Station plumbing permit can be Issue?�_r OD Shower -Gang 0 -Stall IL Sink -Bar/Cnvatory _ OUantitY Total -Bradley — -Commercial Isometric or riser diagram is required if fixture quantity -Service -- total is Swimming Pool Filter Washer-Clothes Water Extractor _ Plan Review_ Water closet-Toilet _ Plan review Is required if fixture quantity total is_>9. Urinal Other Fixtures: i\6ui1din6\Permin\PLM-Per d1App dnc 3103 Electrical Permit Atfe��E�-,► City of Tigard Received 4emut No.: F ./� Date.By: s 13125 SW Hall Blvd.,Tigard,OR 97223 `- Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 PanR Inspection Line: 503.639.4175 jY o�TIGAI)C Date Ready/By: taro H See Page 2 for Intemet: www.ci.tigard.or.us T1�NV15"jn� Notified[Method: Supplemental Information 1' I — — t ,,4_ PLAN REVIIEW New construction E�Additin:,/a)teration/replacement Please check all that apply Cl Demolition ❑Other: ❑Service over 225 amps,comm'I ❑Hazardous location ❑Sernce over 329 amps-ratinb ❑Buildng over 10,000 sq.R., k':` ! r A'y���,(ya{(�))�� OII "` r(a.,, ✓� of I-and 2-family dwellings 4 or more new residential $9-1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Nysten,over 600 volts nominal units in one structure El Multi-family Master builder ❑Other: ❑Building ove-tnree stones ❑Feet:ers, 3s or mote ❑Occupant load over 99 persons ❑Mlinufac vetures or ❑Egress/lightingplan RVpill k S ❑Health-care facil:ty ❑Other: Job no.: lob site address: lows �,a,,r Submit_k sets of plans with any of the above. ' City/State/ZIP: O 7 / The above are not applicable to temporary construction service. Suite/bldg./apt.no.: Project name: Dnertption Qry. Fee. Teal Cross street/directions to job site: New residential single-or multi-family dwelling unit. — Includes attached garage. 1,000 sq.ft.or less 145.15 4 Subdivision: - Lot no.: Ea.add'I 500 sq.R.or portion 33.40 1 -— Limited energy,residential 75.00 2 Tax map/parcel no.: Limited energy,non-residential 75.00 2 Each manufactured or modular dwelling,service and/or feeder 90.90 2 Services or feeders Instnllalion,alteration,and/or relocation 200 amps or less 80.30 2 1ftAif n I r 201 as to 400 amps 106.85 2 _ 401 amps to 600 amps 160.60 2 Name: 7 601 amps to 1,000 amps 240.60 2 Address: 105'1 51'✓ !yOver 1,000 arrgrs or volts 454.65 2 Reconnect only 66.85 1 1 2 City/State/ZIP: �/rQ 97 Z Temporary services or feeders Installation,alteration,and/or relocation Phone:(503 ) J 9s'--4?603 Fax:( ) 200 amps or less L 66.85 1 Owner Installation:This installation is being made on property that 1 own which is not 201 amps to 400 snips 1 100.30_ _ 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps _ 133.75 2 Owner signature: _ Date: _ Branch circuits-new,alteration,or extension,per panel A,Fee for branch circuits with service or feeder fee,each 6.65 2 Business name: branch circuit ---` B.Fee for branch circuits Contact narne: without service or feeder fee, / each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 _ 2 City/State/ZIP: Miscellaneous(service or feeds;not Included) Phone:( ) Fax: ( _ ) Pump at irrigation circle _ 53.40 2_ n• Sign or outline lighting 53.40 2 E-mail: Signal circuit(s)or limited- energy pone],alteration,or extension.Describe: Page 2 2 Business name: J Address: P Each additional Inspection over allowable In any of the above �6$.5� W — - Per inspection 62.50 City/State/ZIP: Q/`� q7 Z Investigation per hour(t hr min) 62.50 lu-a Phone:(503) -z<'37— 2,g�a Fax:($p 3 )z53--S$3/ Industrial plant hour 73.75 CCB Lie.:13506-5 Electrical 1_ic.:2 /10/_dSuprv.Lie.: Subtotal Subtotal y Suprv. Electrician signa•ure,required: Plan review(25%of permit fee) Print name:JD E 5 _ Date: / �0 — State surcharge(8%of permit fee) SGL TOTAL PERMIT FEE t Authorized Signature: This permit application expires If a permit Is not obtsined w thin IgD days after It has been accepted as complete Print name: Date: • Fee methodology set by Tri-County Building'Austry Service Beard ••Number of inspections per permit allowed i\Building\Permiu\ELC-PennitApp dor: 17/03 410.4615T(IM2/COM/WEa Electrical Permit Application - City of Tigard Page 2 -Supplemental Information - LIMITED ENFRGY PERMIT FFES: Fee for all residential systlm/combined........ $75.00 Check Type of Work Involved: ❑ Audio and S-tereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* Heating,Ventilation and Air Conditioning System* ❑ Vacuum Sy tems* ❑ Other: Feefor each comm tial system....................... $75. (SEE OAR 918-2 -260) 00 Check Type of Wor Involved: El Audio and Ste o Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecomm ication Installation ❑ Fire Alarm Instal ation ❑ HVAC strumentation IL ❑ Intercom and Pagin Systems 11C ❑ Landscape Irrigation control* ❑ Medical m ❑ Nurse Calls J ❑ Outdoor Lane3cape Li hting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations +euneroeP....i TL47-e�App ea arol 07/12/2004 1,1; 31 5036588154 DAVE CORSE DESIGN PAGE 01 • •• •• •s • • s • •• • • •• •• • • • • • • 06 09 • • • • • • • • ••• . . h . ... . . . . •. x x W r uji I I � . O i I U r—=LIT- �='f n� 3i w fill 0 r, WIm arc _.�. AS � _ aes y qor W a p C c� 1 • ... .. .. ..rnopo�:ol 101101 sag © y C cJ R - —2 — ON 11WH3d +fes. cti Q > ..ul_ sQi»ssp es��o.M sy1 Aluo 1o� n 2 ............pinaaddy Alleuolupuoa " W OYrD11 AO A110 Q a rp O I cc 07/12/2004 14:31 5036588154 DAVE CORSe DESIGN PACS 02 • • • • • •so • • •• L 00 • • • +• . • • • e • • • • • • .� p V" J Q c� W J � z 0 W N t Q CITY OF TIGIARD 24-Hsur BUILDING in$PSctioLine: (503)639-4175 10 MST INSPECTION DIVISION Busilesp in®: (503)639-4171 p� BUP Roceived __ �_ Date Requested O (P _ AMPM BUP _— Location ._ -��� Q.��fi�-2� — S0e MEC Contact Person A-4d ---- Ph(_ ) �, g0 _(P 0`t— PLM _ Contractor —. Ph(_ ) SWR BUILDING Tenant/Owner —_ — --_ _— ELC _ Footing Foundation ELC _ Access. Fig Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post& Beam Shear Anchors '-- Ext Sheath/Shear ZL Int Sheath/Shear nu ation Drywall Nailing -- -- -- Firewall Fire Sprinkler - — ---- ------ — - Fire Alarm Susp'd Ceiling - — -_- — --- RuM Other: -- -- --- tFASW FART FAIL --- — PLUMBINQ Post&Beam Under Slab Rough-In Water Service — — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: -- PAS SPART FAIL — —� M PAS Post a Beam Rough-In Gas Line 9L Smoke Dampers — Final N PASS PART FAIL ELECTRICAL Service m Rough-In — (3 UG/Slab W Low Voltage Fire Alarm Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Nall Blvd. S _PART FAIL SIT - ❑ Please call for reinspection RE:__. .__.___ _ ___—__—. [] Unable to inspect_.no access W Fire Supply Line ADA �. 6 . �,. A 1 Approach/Sidewalk Deft Inr�p�ctAr-�� w ��� Other: Final DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL