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11673 SW Narira Place
CITYOF TIGAR® ____ MASTER PERMIT
PERMIT#: MST2002-00241
DEVELOPMENT SERVICES DATE ISSUED: 5/24/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE. ADDRESS: 11673 SW NACIRA PL PARCEL: 1S135CD-NC003
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT:003 JUWSDICTION: TIG
REMARKS: Const. of new SF detached residence. Path 1
BUILDING
PEISSUE: STORIES: FLOOR AREAS_ REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: NE1 HEIGHT. 25 FIRST: 1,402 at BASEMENT: of LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD. 4e SECOND: 1,000 of GARAGE: 482 sf FRONT: 30 PAPKING SPACES: ,
TYPE Or CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 5
OCCUPANCY GRP: R3 BDRM: 5 BATH: A 0L: 7,002.00 at VALUE: S 285.082 Bu REAR: 41
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS
LAVATORIES, 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 1P0 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS:
MECHANICAL.
OTHER FIXTURES:
FUEL TYPES FURN c 100K: BOIL/CMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1
rr.s FURN—100K: 1 UNIT HEATERS. HOODS: 1 OTHER UNITS:
MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 5003F: 5 201 400 amp: 201 •400 amp: tat W/O SVCIFDR: 00 SIGNIOUT LIN L1 PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 000 amp: EA ADDL BR CIR: SIGNAL/PANEL IN PLANT:
MANU HMISVCIFDR: Bot • 1000 amp: 1101+amps-1000v: MINOR LABEL:
1000+limp/volt:
P
Reconnect only: — LAN REVIEW SECTION'— —
>-4 RES UNITS: SVC/FDR)--225 A.: s 1100 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT-
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGN[
GARAGE CPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATAr7ELE COMM: NURSE CAL LS: TOTAL_0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,532.80
INTERCOASTAL DEV GROUP LLC ,ILS CUSTOM HOMES This permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR Specialty Codes and
PO BOX 91185 17200 NW CORRIDOR CT p110 all other applicable laws. All work will be done In
PORTLAND,OR 97291 BEAVERTON,OF'. 97006
accordance with approved plans This permit will expire H
work is not started within 180 days of issuance,or If the
work is suspended for more than 180 days ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rule3 are set
Reg O: LIC 139970 forth In OAK 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUf IC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8- Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
PosUBeam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical FAhal
i
Issued By : _ ivy\, _ Permittee Signature
Call (503) 6N9-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SFS:nr ES PERMIT#: SWR2002-00158
1::125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 5124/02
PARCEL: 1 S 135CD-NC003
SITE ADDRESS; 11673 SW NACIRA PI_
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT: 003 _ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUII_DINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new SF detached residence
Owner: —_-___— —
FEES
INTERCOASTAL DF-.V GROUP LLC Type By Date Amount Receipt
PO BOX 91185
PORTLAND, OR 97291 PRMT CTR 5/24/02 $2,300.00 27200200000
INSP CTR 5/24/02 $35.00 27200200000
Phone: 503-209-8940 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 10 throu�gb OAR 952-001 0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-198
Issued by: rt�!]LY�„ Permittee Signature:
Call (503) 639 175 by 7:00 P M. for an inspection needed the next business day
""
Building Permit Application ^�
------ I)ale rcreived:�Z,v (,v Permit no.:
city of r 1g'ard I'rojecl/appl.no.: Expire date:
Address: 13125 SW 11,111 blvd,Tigard,OR 97223 3
(lryr,(ligrull 1
[).lie issued: By: Receipt no,: �
Phone: (503) 63)-4171
Fax: (503) 598-196(1 � ✓ Case filc no.: Payment type: S
IA•?family:Simple Complex: 10
Land use approval:
rr�� iV
U I fi 2I'amihdwelling orarrrssury UConuncrcialhndustli;l, U Mill',
New construction U Demolition
U Ad�hulxt/altr r:luon/rcltLtrcm.nt LI Tenant improvement U I IIr ,, nnlJrt/,Il:trm O Other: _ --
Os rO'
jot)addlcss: bldg.no.:
Suite nu
fit_ —_ 1311x r:: Subdivision: Tax map/taK U
l'mject name: --- --
Description and hlcation of work on premises/special conditions — - _
ME
Nnn,c:Tn '�r_Lf, T
--- • _ I .S 2 I:Iltiil, rlr, Ilia;•:
City +�►L-R r-
Still 7 7.11': _1 No. of hall _. .. _
c�15 0�7
------ Total nunthrl of I 'll `
I'axt [i mail: uul„
{bunt; .
I ',,,
Ownrr's n pn.,rntati,-��- � , A-•-- �y�-�_ - _ --- ->
I'I•nnr.- C t l ��( 1. 't I:tx!-,. '�1 !` mail Nc,s d,velhnt•arra 1.,,
—Co
aragr/rarpull arra Itis,
Coveled polill arca Itis-, II 1 :--
N,nnr: - - ---- -
Deck arca(sq h.1 -
�1;uling address:
- , -----� oilier structure arra(sy. lt.) -
- _ I,tx• -- F mail: Commercial/industrial/nnrlti-family:
Thune: Valuation of work...... ... R
Existing bldg.area(sq. It I ............ _
Business nanrc: New bldg.arca(sy. fl ) ........ ..... ................ -_
Address: ( 471
V� ( t•t` _ - Numlxr n(storics ...................
C'itY- L� 7.11':0_� 'i Vpc ofcottstrvction(boric: � i;'x �. snail: ,
' Occupancy group(s): Is sling.
CC II no.: ,} New: _—. ---
City/metro tic.all Notice:All contractors and subcontractors are required to he
y 1 licensed with the Oregon Construction Contractors board under
provisions of ORS 701 and may he required to h:licensed in Ilw
N,unc: �V�C. t V` —` jurisdiction where work is bring lxrfonncd If the applicant 1s
Address "~,, °e L_ �l.Z .1 exempt from licensing,the following reason applies:
Cil --
Contact person:Vl,l;�C.�._ flan no.: - �`t%�=— ----------- -- — ------
�-- I;I�7- �Z •� i�ltad
Person.PlioneZ Z
mia(t
(' aon. Fees due upon application
Nam , L_ .���\'1tt -
Addre`►-�Z�� i1�_V -� �
City: —��. stale-:.'
late '1.11' '�-••� Anluunt r(•rrvrd _...
- - - - L
- � 1'Il
hax(y. .Ise els-lu Ice chr.dllc--- ----
{ I ,r y
I herebyce111fN I have lead an 'f•:IIl111'ed this appllcaltrlll 81111 llle Nm all lunvl-,unm rapt crr•du,ard. ple.lv,all puivinlir,n ho roll.ul,nnrm
U v„a J Maslrlt'anl
lilts
att:p:hcd rhrcl.hst. All pluvl. � �ws and oldul:ul(cs 1!ovt rnu,f l r.,,„1„..un nnrol.•r / /
work will hr 4,1111111110d \A'It I clhrl i II lit
Autholiicd signaluIrm ill not I •I
rc .
/ t.1. �` I):Itl' �(. '.alit nl,anlhnl,4r�,down un.n•dd .rd S
1'11111 nano t--
Nonce I hr,permit appli(alioll cvplr, ,it a prnnll is nut r,ht:uurll,kIlhu1 1X11 days:lltct 11 h;r,hrcn aucplyd e,iranpl Ir
Mechanical Permit Application
-- -- - -- Date received: Permit no.: " t
Oty of Tigard Project/appl.no.: Expiredatc -
CiryufTignrd X111 llcss: 13125 aW liall Blvd, Ilgittd,OR 97223 Date issued: By: Receiptno.:
I'Inalr: (503) 639-4171
Case file no.: Payment type:
I,1% (503) 598-1960
Building permit no.:
Land use approval: -------
1 '
1V7,NcW
y(dwelling or accessory U Co111file IClal/industrial U Multi-family 0 Tenant improvement
nlctir,ll U Addition/alteration/replacement U Other.
t : t LIM ILI I J!"N F.1 W11 A IYA i Cr
Joh address: 1(�— �,llP4,4 944 (_ Indicate equipment quantities In buxcs b low. Indicate die dollar
Suite no.: value of all mechanical materials•equipment,labor,overhead,
Bldg,no.: profit. Value$
Tax map/tax lot/account no.: 5 i:5.-C
Block: Sulxlivision: � - *See checklist for important application information and
Lot -- - jurisdiction's fee schedule for residential permit fee.
Project name: 1 t
City/count . 'LIP:
+ ' 1 1 � � 11mill,1111
rksscription an ati�ofwmrk'on premises:_- ..- ---- Pce(ca.) Total
- Z t�C -L _ Ikscripliarl (JI y. Ita.only Res.onit
Est.date of conlplrlion/inspection: — ��i L.��._— ------
fcnantintplu�inn•ntoi.changeofuso: — Airhandlingunit
I\rxl�tlntt space heated or condi"one,17 U Yes U No Aoni
ircon Iting( iit"I an nuired) --
I>erl:Llnt spair nl\ulatrd"'U 1'v, U No Alterationofcxisting ACsyslcnt
1 1 -Rol er compressors
Stair M,ilcr permit no'
Business
i"111F.
�(J(r (l Lr c'�t .._ yr - bons RTU/I I- -
�• � r Ivrdsrnokc antpers ucl smo e3etectnre _ _ ____
Address: - _:( 1 ]lam �_L,� !`dZ J // Ilret um (site an re(uired)
Sullen., - ( 4
city: f .,l << jLtt r r r I
_ fv a Vrep ace furnncehurner___ I Urf
Phone:` Ci Faxes - ? nrul• Includingductwork/ventliner UYes UNo
CCIJ nu.: �"' nsta replac re ocateheaters-suspenrTe3-
City/n_ etro lic rto:
wall,or floor mounted
_ Ven ora fiance of er t tan urnace
Name(please print): 1 - e r gest on:
Absorptionunits__ __ BTUAI
Chillers_ -- fill -
Natnc: —__ Com ressors _ 111'
Address: _—_ n rorltnenln ex east rrn vent at nn:
--- -
City: Stale: 'I_II'• Appliance vent
;tx L' mail: lrycrex hast —
t hone: 7hood
Type I/ /res. uc to taamat
1 a e suppression systemt fan with single duct(bath fans)Nantr t systema art from�licatin orr C
_Mailing ad reser t 71P. Tae �nn�g,
n str ton(up to outins)
1.116 NG O11
�pi
c�t a�C 3itionaover 4 out ets
roe espiping(schematic rFquirc!d)
_
Numb;.r of outicls -
t er st �pp6once or equ pmenl:attic: �t
Address' _ —Ikl'(1ra11VCfIICplacr —
nserl type _
_City:
Fax rnait: it er —
Applicant's si6nalurr _
Name -
_
iN all pnla6cu,>,1�ru•pl lu•du cauh.plraw call lun.ae n•m Int nice. ��d�mnatuul t.Jnl l�c I hr,t rnnit apph Calil,n "11111tIlUlll It.,.
_ _...-
J VI.a U M.ntrl('anl / / r+.1nn•.it.I flan review 1:11 ' I
I u•dticallll„pdw'1 1 ,I��,+ NIII1111 1Rn'LIN S alter It ILISI;IIe\lltill:Il�C (K',%
14'lectrical IlernutApplication
• __-_.___— --�'� - I+alrlrlrnrll {'cnnttnu.'
City of Tigard I'l1,IrrU•Ihhl - lixpnr(lalc:
;�t1511c,s: 1 1125 5\V 11x11 Blvd,'1'Iy,artl,Olt 97221 Dale Issued Ity I(ccclpl nu
pill nIt. 15111) (114•d 171 Cast,fele[it, I'ayn$cnt tYpe
I'1I\ (501) 508-11)(10
Land u.sr ,ll)Illuval:
U Plulll I.uull5 U'frn,uu InII,InSrnlrnt
J I ,� 1luulll 1155,'IhIII1 of accessmy U(lnunu n'L11/uulusu111 J I'1u11,11
1r5v r1l,nIlilk, ill U Alhhuun/alirrtunnhrpl.15rn11111 U )JI It-[
1 ' 1
Bldg. nu. tial)) n„ 1'•15 limphax hula, (lllllt 111,
11.11,1 aJJll ,•. (p ljW �_ I_a
— _ _
(35 IU1,1) tiulnln'i '►r1
l)cscri+tion alid I0cafioll of work on prcnusc>. - -__- - --
I(;um•IIrJ J.ul' ul t 111111,1.uunhn'•I,irtnul
1 1 1
Fee Mall
Job tw: _-- , �-p---------- ----- — Desk ipNun It (ca.) Total no.lnep
Ilu'.u1",• nanle rrSldrullal•rin�lrminultl-famihlrr
is Lj
{/,__— r�__v� "'11111 111111.h11'hllh{all:ll'INYl�arat(r.
I I
til;llrhnll•a
Ifs 6lS bOrD C pl' (r.I1_�17tA3 "1I,1�mI I
' 1'Ilullt, S r'4'1'Vlti (I'. In III. -- � �. I U '•I p•nhon Ihrl cl,l _
ci y� AgorJ -
('l'll V.•k Ims Ili, III, 3.7 d _ -
�� unlulio I,, nm Itslaulual `
('ll /Illl'lIU Ili 111, -
------ ---------
lun•.I hnnu•111 u111Julel tl%%Vlllllg I
Il:ur
utn,unlr :u;l•n l•nlr 1 I:,ul ,.ln 11 pile ll -------- — kites tit h•edel5 -In51a11,1tinn.
G
ti0 I r rn.r na /"'11, rice, u.lnl, l 11;11� allentliun(itn'llu:uiun
r 1 1 �I111 tulips Iif Ir.s -
'n amps b,1114,atl,l' .—__--.--- - --- ---
till lilt). � _
N.ullc _. _ ... - lu 11111,5 io�ail nnq, _ p -
_ _ 6111 llul s In II)INI a1u1,5
Mailing addle Over l(islamx)
} +r. /
LAC3��LSS Recunncctunl
'1'empors"rer$Icm or rerilm-
r)5•ner inslall;Itinn I Ie' muall)Ulm rr hci11p nl;oc tnl property I own pldallacloll,aIlet atloll,t+rtclocotloo:
55'llll'll 1':II!,I Illll'llllrll I�,I SfIIC, I" .
fl-111, ,I l•,\CII:III,L',C according 111 )00,11111'su1less _�.—_._,------ ----- —j--
- -_
l
WS It 17• .155,47 1 ,�' �� �Z, lnl atupsll -
Iulc'' ----- All I I 161 amps
O55ncr's signaluir - - (lranchcircuits-lie",aheraliou,
Th 1 or eslensintl per panel:
A I t I -.c sr.
K'(4-
, •1•I'l Ill Illi 111 illi ,51111 Inll('ll'1' 1,
N,Intr. f7�—.. — — -- __ -- - --
- '1 SI'I vitt'of Irr11e1 Icl',Caiil l,I allCh Ic'"s I
• II I'(•C Maki hr--�Ilt�11�15 X1115 51'llltnlll pll rC ltase
ills' 1—.._. ufarnlcrurlcrJrlfi lilslhranch(ucuit _ ---- ---- __
1 2
.;r7/ l V� I ---- — - ----
I'lwilt'L'�i - �I I �- fI.a hndluiuu;111,1an(hurunl
�lifc.(Service ur rredrr nut IucludrJ):
uchpmuplitungauouunlu-
7"Y"IcIllowl
,'-?', J I11'.d1h 1. I.I,IluS -- - -aulhnc hl;hunr 1 j11M2 `ICII:II 011In9NYllul J Hlllllhnll .11 IU,IN III s 1n:ur•IPrI fuW oI ;Ilalwllnl(AN)511115 it m 1IlAI Illntr lt'•:Illrll11 x1111111511,1111[411 U11111C _ - _
IJ I11u11hngov•I llul,•51ruu•5
U Irrarls.4lNtampsnrllnnu •I+t'�In,IIu _ _ __. .-_. .. -----'—'
J I+crup;ull lrlaa u5rl 9'I pl"•'nl J s1.,rlf.n bu•J•nuliitles(1114V pall, rAt'I1 atl/lilinllal illsloc)111111 n1Pt the allo$tablr in an$II Ihr x),111.:
t -. I'rl In.pl uul i 1
U I pn••.Jlgthluq,lll.ul lu5r•.h Iunnlrl'
tiubttlil 51.15 r11 111:1115$still ani, (11(114.ahu$e. f`
nhrl
he abn+e;u a 1111)aplllit alIIc lit lrlupot al 5
tonsil u1)inn Ser$it r, I'1'unl
ud ....im.l fJ1,l It l' illi.I,I:11lilt 8111,111.11)•III HallIl',n 1JI
c,1111$,If n I,cnlnl c,mil r11 faun 11 1,
J vr.n U la•.L II .u•I / / 1.11,' '•utl Il 111'1'
55111uu 131111.15..11lrl 11 h.1 I n I("Al.
I 1.rill,�11 I,ll lr i!•i I ,Ilii �Il l l'l llt',I 1.1 Ill11p11'll'
if;.1111r 11 11111r111�� I,. .1, 11 11�111 il I ..
i1�i Il
I.I.. \1i11i III
TO:503533r13OG P: 1
ITUa-i-�'l]tJl 07:L1911 ("f2Uhl:i=Ol•hlf?l) I9Ull_EN PLUhIBI 5(93 628 X1633 FnX
,ivy. cr est etr, r i
1'11111,bing Permit Application
Date received: f'brmll no.:
City of Tigardse wepernrtt nu.: Bu11dInQ permh no
Addrem: 11125 SW Hell Blvd•TOM. 97123 Itn)cct/npp—�.M' Hxpltedaw:
City ofrldard I'Irtntc: (503)639.4171
Fax: (SW) 598-1960 VA -d� By: Recalptnn.
C Payment type
Land use nlilttovnl ----�— . . - - -- —
U I Bc 2 fnrnily dwelling to aecese(wy Cl Commeco: irulustrinl
❑Muld-hrolly O Tenant improvement
jrew conittucUlm U Addition/ntt.rationlreplacernew U Pow service U Other:
�-ts__.z- ts
Total
lob addreu: �� _ Ntm A-nod 1-Grotty d�cllkr�onlyr
Old .no: ui 11Ioncladeelog ft."rrr,erhoil llrytoaeecllon)
Tax ton lax Ivt/eta:rrunt raw:- 5 7j 1 5f R(I)both ---
Irat: Hlock:- 5utxfivlelon: lat±s _
..1-__- _ 5f'�K(' 3) ra
jm ct"tune: _
Cit (count -•-�-7.11: � t:h diiIun�l'Tn-kuc reii
y _y:��.f��-- 1_- — -- IVI(eatllltieeet
Ucecriplinn and lut:athxt of w•ertk on pre�niete:
_
dlelu
'—•'�----- _—� Utywe�ls/lcacb tL trcttch
W.date of cvntPletiunrinspectltrn C)E L' ''L c,crtJn�(nu,lift.ft)
gliallithmsrJ -FTA�wfec- lured llonu utliiuef
durinoee nem : ( lucivC�_Lt1�11.+4i4 . .'1 �VLt9�l Y)L`--
An
Addreax: c, Ntt7n Jttun connMor -
��- Stole:a�! 7JI' � �`nnilar sewer(nu.Tin 111
city: 111 lam,t1 .�V_.—_. 'Sltinit sewer(oo.lhi.R.)
Pat! ti mail:
hie
ecrvtco no. In
CCB no.: c 1'lumh.bus_teg_nv: j, - Mlxtare or(lenu
Zia,-
flit /utelro lies nu.: ��Sp Abxo tion valve
Contracloes refteeealtative flipatum: ec low venter ___•
Print none: c. Urate: ackwater valve _
tqi M I
CiciMW I waeer
Names -
AddIm-sc iTn-2 fcwntain a) -
fJty: _ Store: .II' pec-tora/eum-p _---
PIra11e: l:ax I mail: xranatuntat
t��---~ --
'ixtu newer cap
•tx-��t�cn afuksAruh _
-Name 1_ ar�a�e �o— d aT+ `_
Mnilin addttss:—� �ineibibb
CJty. It-I i r�rV seal 71 r: eve inaltct
rone• I' "" B until: ntera�lor reaee trap
Owner installeti(tr,/rceidentinl mairitmance only: She actualir► re)
�lallatirm me -
will be Horde by me or the meintellance and repair made by my regular Roof rain(comrrktr R
ertrl,loyce tx,Oweprt4letty 1 awn n.4lmr ORS(7,epier 441. -
Uwnet a sI aWre: [rate SunIMM iat
u owe ower nn
U nes
-
Addttsee• --
Cll : Stx Y� ZIP l)lhet:
Ph � ,t,. b .-.; ..mall: as
_. _
- Minimum fee .. ... ._... S ____---
N'A so)MUamlmr Wrap„Ka, ,b,.pros wt I.W**m ee III—k.A."ark I Nudre�11,1s permit eppllceuon plan review(at %) 1j _—.----
U Nse 0 Stiuerceud twpi.es if a permit is nM obtained Smic surehtlrge(8%)...•f(""111 104 rad numb".. ._.__ _� - ` within 190 deye after it hu beam .'MAI
eceeptal ee mnrplete
- uo t61�IWlYLe1M)
51 .5
o�
r
II
-001
C Main Floor
y 4
CDi RC1
19L ° ,>
conciefo
12.37 DrNs arid )
oppoocn
SW Nacira PL (Tract A)
Private ST
38.2
11073 SNV Macir.-�i 1'1, Scale 1 " 20'
Tigard, OR Applicant:
Lot 3 Nacira Park Subdivision iac LLC
PO Box 91 185
Cl a Y t3., 1 Portland, OR Q 729
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CITY OF TIGARD 24-Hour l
BUILDING Inspection Line: (503)639-4175 MST „2 0 '"7
INSPECTION DIVISION Bush ess Line: (503)639-4171
BLIP
Received .___ Dare Requested_ —, > AM----PM _____— BLIP
Location 3 Suite MEC
Contact Person Ph( —) PLM
Contractor �_ _ __ _— Ph( ) c-1L SWR _ �—
B Tenant/Owner __—___._.__ _ __ ELC
Footing ELC --
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT —�__—
Post&Beam ---- _
Shear Anchors —
Ext Sheath/Shear — --
Int Sheath/Shear
Framing ----- ----- -- _ — -
Insulation
Drywall Nailing — ----- --- ----- —`
Firewall
Fire Sprinkler — -- — — — �—
Fire Alarm _
Susp'd Ceiling ----- -- —
Roof
Other.------------ -- ----- — _
Final'
_ SS PART FAIL -- �— — -
_11
_PLUMBING
Post—& Beam
Under Slab --
Rough-In
Water Service — - —
Sanitary Sewer
Rain Drains — --- --�- — —
Catch Basin/Manhole
Storm Drain --------- -- ---
Shower Pan
Other: —
Final _
PASS PART FAIL_ --� — ---- - — --
!MECHAb1IVAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
t Final.'
S PART_ FAIL -- - - - -- -- ---
eLE-GTRICAL
Service--_-- ---- f-----
Rough-In -- — —�
UG/Slab
Low Voltage —
Fir Alarm
n [� Reinspection fee of$ __ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
S3 ART FAIL
g -- F� Please call for reinspection RE: Ej Unable to inspect-no access
Fire Supply Line L1__
ADA
Approach/Sidewalk
Other:
Final — DO NOT REMOVE this Inspection record from the Job site,
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST aa(_ Z—& U L Y
INSPECTION DIVISION Business Line: (503)639-4171 '
BUP _ _—
Received _ Date Requested 1 _ AM..—_ PM BUP
Location /1 Lr 73 Ste' 4a<1#e _ Suite_— _ MEC
Contact Person PLM
Contractor. _— —_ ___ Ph(-- ) —____._ SWR
BUILDING_ TenanVOwner _ _ —__—_ — _— ELC —
Footing
Foundation ELC
Access:
Fig Drain ELF!
Crawl Drain
Slab Inspection Notes SIT
Post& Beam
Shear Anchors -`-------_----
Ext Sheath/Shear
Int Sheath/Shear
Framing - ---------. - ----- -------- ---- ----- -------- -
Insulation
Drywall Nailing - --------- -- ---- �- _ --- ----
Firewall
Fire Sprinkler - -- ------- -------------- - ------- -- --------
Fire Alarm
Susp'd Ceiling -- --- -- -- ---- - -- - ----- --
Roof
Other: - ----- ----- — --- - - -- -
Final ------------
PASS PART FAIL
Post& Beam - - --- --- --- - -
Under Slab ---- -
Rough-In
Water Service
Sanitary Sewer
Rain Drains ------- - -----
Catch Basin/Manhole
Storm Drain - ---- --- - -
Shower Pan
Other:
Fi
P S _PART_ FAIL
------ ---- - _ -- - ---- -._. --- -- - - --- - - --- ------ --
ANICAL— _._.. _ _ -- — -- --------------- ----------
Post& Benm -
Rough-In
Gas Line
Smoke Dampers ----
Final
PASS PART FAIL - - --_--_-_. ____ ___.. _-._-__—_ ___...------.-_---
ELECTRICAL -
Service
Rough-In - ----- ------- - --- - -------
UG/Slab
Low Voltage
Fire Alarm
Final U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART _FAIL
SITE Please call for reinspection RE: _--___- -- Unable to inspect-no access
Fire Supply Line
ADA �,
Approach/Sidewalk Inspector /.� Ext --_.-
Other:
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL