11682 SW NACIRA PLACE 11862 SW Nacira PISCO
CITY
OF
T I G A R® MASTER PERMIT
PERMIT #: MST2002-00247
DEVELOPMENT SERVICES DATE ISSUED: 6/3/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11682 SW NACIRA PL PARCEL: 1S135CD-NP007
SUBD;VISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
REMARKS: S/F Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED 5E r8ACK5 'tEO',tRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 402 of BASEMENT: or LEFT: 5 SMOKE riETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,600 of GARAGE: 482 of FRONT: 30 PARAING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5
VALUE: $285,082 80
OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL: 3.002.00 of REAR: 48
PLUMBING
SINKS, 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: i RAIN DRAIN: 100 TRAPS:
LAVATORIES r, DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS'
1"LIBISHOWERS 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES-
MECHANICAL
FUEL.TYPES FURN c 100K: BOILlCMP r 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN�-10014: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: blu 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: W�SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA AOD'L 500SF: 5 201 •400 amp: 201 400 amp: tot W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIONAUPANEL: IN PLANT:
MANU HIWSVCIFDP.: 601 1000 amp: 601•amna•1000W MINOR LABEL:
1000.amp/volt:
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCIGDR225 A.: 600 V NOMINAL: CLS AREAISPC OCC.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATArl ELE COMM: NURSE CALLS TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,532.80
INTERCOASTAL DEV GROUP LLC JLS CUSTOM HOMES This perrillt is subject to the regulations contained in the
Tigard Municipal Code,State of OR. Specialty Codes and
PO BOX 91185 17200 NW CORRIDOR CT #110
PORTLAND,OR 97291 BEAVERTON,OR 97006 all other nable laws. All work will be done
In
accordancece e��Ilth approved plans. This permit will expired
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 rules are set
Rev a: I W 139971) forth in OAR 952-001-0010 through 952.001-0080. You
may obtain copies of these rules or direct questions to
— iUNC by calling(503)248-1987.
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 Ins► Rain drain Insp Plumb Final
Footing Insp Crawl DraintBackwater Electrical Service Low Voltage Water Line Insp Final Inspection
Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Post/Beam Structural PLM/Underfl Framing Insp Gas Fireplace Electrical Final
Issu d By : t C Permittee Signature
-" Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2002-00163
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/3/02
SITE ADDRESS; 11682 SW NACIRA F'L
PARCEL: 1 S 135C D-N P007
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS-
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF (1'-F: SF NO. OF BJILDINGS:
INSTALL T , E: LTPSWR IMPERV SURFACE.:
Remarks: Sewer connection for new single family residence.
Owner: - -------- -------
_ _ __ FEES_ _
INTERCOASTAL DEV GROUP LLC
PO BOX 91185 Type By Date v Amount Receipt
—�—_
PORTLAND, OR 97291 PRMT CTR 6/3/02 $2,300.00 27200200000
INSP CTR 6/3/02 $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 `set in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm
11,
Iss ed by: ) Permittee Signature: �.
Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day
sw� 0
Building 11crinit Application
- -- ----_--- -- Dalcrecelvcd:_57/13y Permit no.y/( .2"-oe):2A/
Citi of Tigard
1'roject/appl.no.: Expire date:
Address: 13125 SW (tall Blvd,'flgard,OR 9722.1
(Ti�rtrl.' Phone: (503) 639-4171 Date issued: Ry: Receipt no.:
I ,Is. (503) 598-1960 � Case file no.: payment type:
Land use approval: � —
1&2 family:Simple Complex:
Y
TYPE OF PERMIT
U I &2 family dwelling or accessory 'J 'onun' Il dal/industrial U MkIlli 1.11111k XNew construction U Demolition
U Acid iIiott/alleration/t'eplacemeat J I rn,ull unl,rovrnu•nt U I Its• flint l,•I%•thrm U Other: ---
Bldg.no.: Suite,no.:
3-5
Job address: �'�� C J r-�`-.f` —
Lat: Bloc 5utxlivlsnrn,: - Tax mvi,ilax Iddaccount no.�s-�:y) -
ALI
I'mject name:
Description and location of work on premises/special conditions: _ ------ -- ----
N.l tW'.95M.9
r
ol•:Z Irl' r7�-r_r>. �T P ..�_t._11�C�.,?�h.1i. l y _
�1.ulutl•.atldtctiti:� ) .l' 2 I:nuil� d„clliu�:
State
Valuation of ,vw1 .. -�►
�l;t.iC , 1: nt;ul: No,of hrdruums/hath. ..
kI'lu,ne: �-
1 hvner's rrplru ntativc: y I• 1, --- Total nulnhrr ul fluor. _ d
I'hutu -K( (:(' 'tI;Itis -z LTuuul: NrdddwrllmrateafsgItI _
(iataile/carport arra(sq It.; .
Covewd porch;ora(sq Irl ..,. / 1
Name: - ---
._ -�• I)cck arra(sq. It.) .. . . . . .... -
Mailing address: ` --- Other structure area(sq. ft.)..._ _
-
-- ' --- �- ('onrmercial/indtrstrial/niulti-fanlll%:
Phone,: rax: I: mail:
Valuation of work................................ ..... S,--------
f xisting bldg.area(sq. ft.) .., ....... . -!........
C �
Business nan,c: New bldg.arca(sq. ft.) ............. .............. -- --
t •
Addre.sq: %L,:P -:- ----- Number of stories ...... —
titate h 7.11':C {�(1�
Cil ... V ��_-�. 7 vpr of ronsUucuon. .................. ... .. .• _ ..- -._..
rhone: rax.� ou , 3, _ ;_m:lil: _ —
�,.� 3C t t,l upanr�• hruupn`1 I:xistinc:
CCB no.: I U. - New: --- -
('ity/metro Iii nu. Notice: All contractors and subcontractors are required to he
licensed %filth the Oregon Construction Contractors Board undel
provisions of ORS 701 and may be required to he license-I in tilt:
Name: L�+`C� �'` _ �- t---- jutis fiction where work is being performed. If the applicant 1.
Address: 7"� fJ'It- �.? = - exempt from Ilcensing,the following reason applies:
Cilv: A state "l.li'.Contact ------ n Plan no.: `
- f null. - -ENGINEER -_------
( ontadt x•rsin: Pees dor upon apphi-;tioll $
/1tldress: ` f);trrc�rl rll
Cit y: �(,� Stale %II'. Amount nccuscd
I'hund rax -mail `- -- I'Ira,l refer-to Ice,`'hello r
lll•It•h` I ro lk I have real)and exalttllled(Ills application and tilt- Not all pulabcnnm accept ctrtd card, pleew l all 11111v6ctinn Inn
etlal hl'll chrchllsl All proVltii it lass:Ind Ihl5 '-1 VI .1 J Mnsp•r('ad
1 r„•I .11 I till 1111•'I /,, /
N111 I. ,•.III be complied will, elhet red herein or nil ,.
Date mil
It •..111,• ,II ,I,Ill,lt•�., II,IwII.,.I L,
Aulholimd sittnMrke 5
I'mit mole 11-1t. /If_ 130 - II,•,1,,•, .1,•1,11 I•
Noul c 1111-1 pcnnit apphcatunl e\1111cs II a t,ronll 1-,11,11 uhLunlvl,slllnn I Kn Ihn alum II h.t.II
�,�I.L„•htrll.I•cony,l,I,. ,:.. ,. ,.:,III,•t
Mechanical.Permit Applicatio><>I
Dale received: Pcnnu nu.
City of Tigard I'rojcct/appl.no.: Expire date
city 4Tir,ard Address: 13125 SW hall Blvd,Tigard,OR 97223
Dale issued: By: Receipt no.:
Phone: (503) 639-4171
I-ax: (503) 598-1960 Case file no.: Payment type_
Land use approval: — Building pcmdt no.:
11113 11�
U I R 2 family dwelling.tr accessory U Commercial/industrial U Multi-family U Tenant improvement
New construction U Addition/allcratioft/replacement U Other:
1 SIVEINFORMATION CONINIERCIAL
Job address: f Z A t✓'u. Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.; _ value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: 5 r! S-C j profit.Value$
Lot: Block: Subdivision: 'Sec checklist for important application information and
Project name: iuri;diclinn'•; fro schodulo for wsidential pennit fee.
City/count 7.1 p: t t
Description an ation of work on premises:
Fec(cn.) 'Iolal
list.dae of complettult/inspeclion: �t (( JI z Vic, e- - INscriptlon 00. Kec.unly Rec.onl)
111'.41:
Tenant improvement of change of use: n u h:Indhng unn _ C I•nt_ _--
is existing space heated or conditioned'?U Yes U No Au curi awning(site plan required)is existing space insulated'I U Y, U No Alterationot existing 11VAC'syslemMMIANICAL - -- --
CONMCTORloi cr/c/compressors
Slaw boibs pertttlt un.:
Ilusiness none: tJ( 4-e-e --- _ _ HP _ 'lolls BTU/11
Address: (' ` � . "4�- r irC/srnnkCdampers/ uclstno a etectora
�ddi f -� e Stated` 1'L11': C) hent pump(silC plan required)
Fax / T mail: nsta replace furnace/hurncr_^11117%11- -
����., -�` � Including ductwork/vent liner U Yes U No
CCB no.: 1�-�- — nsta(Drep ace/relocate seaters-suspenTC{-
City/metro lir.,no.: wall,or fluor mounted
Name(please print): I
Ven( a Ifance other than furnace
CONTACT PERSON Refrigeration:
Absorption units-__. BTU/H _
Name: Chillres_ ___ HP
----- - - - --- Com ressors___ HP
Address:
LitivirUn-m-ental exit I and ventilation:-----
City:
ent ation:City: ti1,11 I'l.l l� Appliance vent
Phone: 1 ax I: n1.ul )rycrex aust
ff
1 o Type ype / I/res.kitchenifhazurtai
Hood fire suppression system —
Name; _ _ I.xhaust fan with single duct(hath fa.s)
Mailing ad rens' } C" Txlmust s stem apart from zeatin or AC'
State:. 711 •ue p p ng and qtr ut on(up to 4 outlets
Cite __ _ Type: 1_I'G _ NG UII
I{-mail: �uc i in Cac iliuna over nut ets
Process piping(sc emaricrcquired)
Number of outlets
Nantr�� 1 er st W-appi lanceorequ patent: et
Address ` �, ` ` Uecorattveftreplace
n nsert-type _-
City_ ` StatgC}� Zlp: ^ 1 YP - _-
rx stovv_Ix et stove
I'hlm �7 +. Pax snail:
(Wei --
�•,Illic;utl's signature: Dille: ' Ul -
Name (print}+ !.-L,..- ( �� - -
_._---
N.0all pmahJunll,t Irpl.Irdu tubs.11lea'w i.111 Iml.kii'm flv Inlpe 1111witnallllll Notice 11111 tl'rlllll 1>1IIC:II IIIn
•I I 411nlnlum Ice
J vr.a U hta111,t JI'I expires 1f a perms 11 11411 uhlautctl
l n•dd ivd nwnlM•1I I I in rectos, 1.11 wilhht Iftll days afler II h I',hrcn -
tilalr 1urJtartrr (!t'i4► - 91 ----__-_-
Nome ul lanlhnl4.1 al ih.IM 111111 l lelhl(Jilt accepted;t'•c41nlplete
ti 10 l'AI.
ll;lcctrical Permit Application
City of Tigard
1h3µ"11/.11,1,1 no E,Ipurdalc.
,�
1'un1111,11uIf tlthess: 11125 S\\' 11,111 111,,1. 111:1ud•OR ')712 4 Palt.Issued-- - -- fly. - It11.1 lilt
I'Itune (50 1) f,19 41 11
Cas"I Ill-n1, I'aymcnt type.
Fas IS( {) 598 191110 -- — -
I.illld use tlpploval
1
U I ,C' ' I,untlt 11 ss"11101,•lu ,11,"gulp U C'onulrt,1,11ru111u"It1,11 U C\tulu lanuly U Tenant Implorcntenl
Nrsc ,1nr.11us 0011 U/1dd1uun1,111"rluun/Il-1u 2311(nl U Othe1: .. --_-,_ U I';Irllal
1 1 1
✓•Ci'- L� liltic 31111 tiull' I.Ir m;ll,/I;tx lot/;t�:ct,unl nl, :l��1��Iv
11,1 --1 11111,l Suhth,lslun: > - --'
I'lulrrl 1,01": Descllpilul and location of u,uV un pnIlllees
I.sunlalrtl Jule ul runtplrliun/ulcprrliun: f- L'(
Kilos E11-ml
I I I Pi
, I
1'rc Mas
lot►nu: Dest:rIpUO,t QI) lea.) 101131 n'.i.btsp
Ilusinrv, n,unc �Q `✓ ( C Nestnviden11lnl siuflrurmuhl fnmilyllrr
\111111"• �3��V Se,J ! LI dlvelliul;uulLlOcludtvn113t•Iuvlorage.
I II, 1� L ;1
IS bor0 I``;I:III'or 1 . '- 7 /13. 't,ilein1 h1111'd
�/ '1 tel'✓lE I I- 111,111 111.' I I. t
/ 4 3 L/-
1'li 111 I',I1'' Ill(, 1111'. 1111 111 LI 11 I 11,,1 I I III - I
I/u�7 l^ I n.---- II q1 1 ,1 1'nl-II
(•11\'/II1C111'II' 111, u / _
ur.0lufaclult'l hl,11" "I modular darlha{:
C•�'' �'IvirednJim Willies
`It•Il�llllle Ul ,nj, 1 I.r ,' 1„'I' II'I llr'I'. 111 tirl,i,P,nl 11",1121, IIIN JII'
Sul, rl'1�1 11 w
1 11 1 121'1'-.111 1111 /
V111 11L)l
..moi
0,11111 1111301 (. ..�7 1.,6111).11111”
1 7
--
1ver IIN1lt amps or vnhs --•— __ _ .._ ------ -- -
I I r
I ''sunurctnnly
1'11113:�<<�_`r ' r[,'t�L: �I u v' ' �S IetnhtlMn OM1{l'M tlr feellCl�
tt,slrr in Slid liltiol, 'lllc ins1a11aUlnt Is ficing nuulr oft property I own I1dn1131itla,ahcra11iun,urrchlc0linlc
lilt If i';lw, 1111"111"11 I'll '.,Ilio I' retll.lir accoldutt;lit
100'11111,%m less
-- -- -
(11' ; :Ill alnpsl,gllllamps— _- ------ --
Branch t ircuils•nets,alleMliou,
or eslentlun per panel:
"" •� l �''tt 11�1Ft
.1 I`Ir ij1i hiuiulilriulli 01111(,,aucilu1cu11
L. f•�(5� - - e 0I
sl I I fee. l cl - -- - - —
r 1 _
_ I`I;n l/I L -��� / H Fee G11 htanthulvults nithnul purchase
1 11 (.'j. _ -- - C� 111 vc1,Irr or fu.der fcc,lits)brooch cucull _ --
I'i11uu' 1 a.Ifaddil- il,lll,talnhursutt
, 1 Misc.(tics cent tied""not Included):
I ashpullq 11 a If.."11111 Lill
I 1 1 n lu•u,rl t u. l ach sleu 1,11 11,llm h1,hNnt .
ulgl I,uwp..l Ih2 J ILv,u b
culls d,s1 1n1q••, J I►uddulR 11,1.1 In INII)sy0alr Irr(flnu ,I. P.m I nunusl n 1 Innitcd rurrky p:u,cl. —
.II11'li111113 rnrstl u•,u 111' .__.
l ',. 1,.,,, ,. "'•1N1,1dknl+ual,.t1 nnncic:ub•nn.11uultsuunlesuuclun• ___---' -----.-.---- - -
'_1Il1,lllhnt'1,.rllh,rrMIMI-, IJIerdt•ts AlNlaulp,rnmull' _•{a ,snp11al
J I iuupam b,ad osrl'1'11 pr1s111r, U h1:u0dncuura'llutlure%ut Itv pall, 1 ach addil{0n31 inspecllnn liver lite allnaahle hl gill(11 lire nbnle:
_1 I pn'"III'Mlnl!plal, J 1,111.1
tiulnull .els ul pitulc 1011 tent til the allute, 111.1,111•.111,111',
i III•Shote all'Ilnl applfl:Ihll•IU It'ill)tl)f gf t t ollslllll'llotl Yel't re.
111111"'1
I" Incl 1'1•
'•" 1 .11 " 1. .1� 1. I Ia"1,3.11 111 Nulty I lu.I„0311(1yg11n.11133(
it pn1•I� 1 .1.1 n�i. ;•I " 121.111 11'`.11'\4' 1,11
/
n•I 1 •131 II 11'.ynnl t I
It '..Irn11 2,1.11 '.111 11.111'1' '
r �.\1111'11 I:j'1 I,I III I II II 1 11
11,1 111,•I 1 1,1111,1'1
•.311 I v�l...I.I.i � I. � I I
' 11 I
IIULi,-T-20,01 07:0911 FRCJrI:[DI.UIRD HIA-LFN PLUI.113I 503 62t3 1633 70:503533�I306 P: 1 1
iruy. u ur ea+r 1 FnX P. 2
Plumbing Permit App lication
urate recaivod: Nermit no.:
City of Tigard Sewer permit au.: Building pe mit no.:
Addreac: 13125 SW Hall Blvd,Tiptard.()l 97113 t'to)eet/appl•Itrs.: Qlplrodsk:
City ofrjrarar 11rcme: (303)679.4171
Fax: (50.1) 598-196U Dateluued, — By: Rae ptno.: v
Cue file no.: r'nymenttype:
I-.tt»d use approval: . --
U I &2 family dwelling or access(wY ❑Commercin indusulal 13 Multi-family 0 Tenant improvement
,*Pew constructi'"I U Addition/n11 .rtltionlseplacement U pond service U Other.
I / Q.7 Ilks A tion . Fee ea. 'Total
Job address 1_i�_in 1w �- -- Plea -aud 1- y n l rgleo111yI
Bldg.no.: Suite Ila: _ (lnchrdestoo ft.rbrPath uIllNycoseftilon)
l'aa map/hu IoVat cnlat ro,: S a — _�_ SM. (1)bath --
Lot: --�+tlock ,ubdiveelon_` 141di, 9�ath- --.
I —_ (3) a th
1t ct"tune: — ---
7.1 � =T nc tnia cillun`d a ktic un
-- Nlteatilltkat
Deacripliun nud Iveali(,i of woA on premiara:_—____ _ Catch basin/area drain
-- — Ur welltTeni;Ti j�itdttcnch drain - — — — —
Iist date oftvulpletiun'ingx-tion- CJ( - t:_ `'LNJ --o - — --
Fcwttn��d�n(nu. in. -
1Teiiuractured ironicut_fi( et7 --�
---
AddmsA: 2 u drain conowor
5t+e�tc-.a✓ 7J1' �' / anllary sewer(no. in.ll.)
I,Ilcme: �nrt;(p' Swan sewer(no.lin.I�.) _ .u_ •_—`�—_�___._
'^le r t'Ium�ur: ater scrvtco(no. it, .,
CCH no.: L(p(3� �- g__ 1- sad Fixture or steno
Citylutruv Ile.no.: 5_aAb.lo pion valve
ca;tractoe et:{trceentative aidnature: t t� ,��� 14 ac low water
Rini name: (trate o/ pac4waler rive
All Fteaia avatu
C16 T,—es-W-9-Arm r
Address: .— n n�oanuln —
_�- State: 1.I1' Teetor, -
r - —
I'Itone: I'nx f?-mail; �t�nsivinaiv�it twilk _
-natu�re sewer cep _
Name t(nl : ^^_
-Hum �eiu nl I
(P )
_Mailing address: -- s_ --- t»e b _
(its: r'_-11t lV St 71 P: j_ Ice m Mr -
i'tsone - L N °` B nlvl: nterce�llx grease eta
Owner ittataljail Wtrsidcntial mointe"Itnoe only:The Itch insrallrtkxt merle) _
will Ile ttude by me or the"utintent noc and repair made h) my regular -Tido( taln(commen 110
e"Vtoyea tat Ute pruimny I own as pet ORS(Impter 447. in sj,r(rale)•iave(n) -
Uwnet's Si lure: halt. Sam
u vwe vwer Pin
Uri" —
Nnrtte: —
Addreea: cJ sett let— _
Clt _ Sur 1
,. _
-- —_ nth imum fee ..... S _—
N,a an JIRII&Um wtt e,Ni ate.clear tau I.tvfrAln M nos IdM 1 Notice:11111 permit applloeuon plan review(al __ %) S
U 11a oMutercarQ I �~
expires if r permit it nM Obtained rflAlr sutcftarge(8'16)....S
Itimtu ewol mmen-—__ __ l� rae within 180 days after it bu bece TUTA I, .......... .-... S
--- itimn—Ta eri.A+�Mn r
&w ;;n ir—I scarpted u mmplete
t ---'-' ap a61a tuVtrtt1N11
�___..,. t�Ir47diiilsnrre e�
MAI'. -16' 02(THU) 1343 w'HITFORD/SCOTT TEL 503 533 2260 P. 002
�qo
5U elJ + 196
rig
�L PM.k•
I/1 Y
� `nn
?I�
1(J
t4] .w1
t'1
Main f iv-x
1
71F
ixyrrrl..,
0'Fuc
ly6N19.1
S1H Fenclriq SW Nodro PI (Tract A)
Private 91
pesld®ntlnl 7oniry
Scale 1 20' Applicant:
0682 SW Nacira Ply fLLC
Tigard, OR PO Box 91185
Lot 7 Nacira Park Sub(
Portland, OR
EN
CITY OF TIGARiD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Busin4ss Line: (503)639-4171
SUP
Received ._ Date Requested �' —_ AM—._. PM_ — BUP
p
Location —_ o Z L-- Suite — MEC —�
Contact Person Ph(. ) PLM
Contractor ---- Ph(--) ' Z ,7 �J SWR
%JILD G Tenant/Owner — ELC �-
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - - ---
Ext Sheath/Shear
Int Shealh/Shear -
Framing --- - -- - - -
Insulation
Drywall Nailing — -- - -- --- - - ----_---
Firewall
Fire Sprinkler --- -- - ----
Fire Alarm
Susp'd Ceiling — - - — - -
Roof
Other: --
Flnat T T
PASS___WIT FAIL --- ---- -----
P BIN - -
am
Under Slab ---�—- --
Rough-In
Water Service - - ---- -
Sanitary Sewer
Rain Drains -- — —
Catch Basin/Manhole
Storm Drain --_---
Shower Pan
Other: --- - - ----- -- -
Final -
PASS. PRT FAIL -- �--�-�- - — _----
Post&Beam
Rough-In _ ----- _ -- --
Gas Line
Smoke Dampers - ----- - --
FinaT.
PART_FAIL ----- - -- ------- -&�CTRICAL
Rough-in ---- -- ----.—. - -----
UG/Slab
Low Voltage
Fire Alarm
in PART FAIL Reinspection fee of$__-. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_g _ Fj Please call for reinspection NE:_ -_— � Unable to inspect-no access
Fire Supply Line `—'-
ADA
/ 1�
Approach/Sidewalk D 1 /----L-- 9rwspect `- - --- Ext -
Other: _-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Haar
BUILDING Inspection Line: (503) 639-4175 MST Zq '7
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received _ Date Requested �� - ___ AM PM_. BLIP
Location — L SW 1?RC;✓_ah, Suite MEC
Contact Person Ph PI.M —
Contractor . _ -_ Ph (- - - _—) ._- - SWR
BUILDING Tenant/Owner _. _ _ ELC
Footing -
Foundation ELC
Access:
Ftg Drain ELF!
Crawl Drain
Slab Inspection Notes: SIT - --
Post&Beem _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Final
PASS PART FAIL
- - - - - - --
Post&Beam --
Under Stab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: _ - - - --- -- ---
51 ;p;
u
A PART FAIL - ---- -
---
HANICAL
Post&Beam �-- --- - ----!' -
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL _
Service
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — �_J Please call for reinspection RE: __ F1 Unable to inspect-no access
Fire Supply Line G
ADA
Approach/Sidewalk p — � Inspector ,/' Ext
Other—
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
^' C 1 o
rD
T�
w
a
11
c
st
r, ley,
7 n
J+ 'Ift-W
o ^
rD
� O
7
I6
C-n O
C
N
c
a
r