13595 SW NAHCOTTA DRIVE 13595 SW Naficotta Drive
J��D MASTER PERMIT
CITY
OF TIG
PERMIT#: MST2002-00461
DEVELOPMENT SERVICES DATE ISSUED: 2/12/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63911171
SITE ADDRESS: 13595 SW NAHCOTTA DR PARCEL: 2S105DD-03000
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 006 .JURISDICTION: I'IG
REMARKS: N
B'JILDING
REISSUE: STORIES 2 _ FLOOR AREASREQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,152 of BASEMENT_ of LEFT: 15 SMOKE DETECTORS: e
TYPE OF USE: SF FLOOR LOAD: 4 J SECOND: 1.590 of GARAGE: 756 of FRONT .'0 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I THAD of RIGHT:
049 60
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 7.142 of VALUE: 310, REAR: 377
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS.
TUBISHOWERS: 4 GARBAGE OISP I WATER HEATERS: 1 WATE^LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL 1 FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOT HES DRYER: 1
GAS FURN>n100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 2
MAX INF btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
^ESIUENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS— ADD'L INSPECTIONS -
1000 SF OR LESS: 1 0 -200 amp: 0 - 20J angi WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD%50031`: 6 2D1 - 400 amp: 201 - 400 amp, 1st WID SVCIFDR. SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 - x+00 amp. EAADDL BR CIR: SIGNALIPA.IEL; IN PLANI
MANU HMISVCIFDR: 601 - 1000 amp: 601+vnpx-1060v MINOR LABEL:
1000♦amp/volt:
PIAN REVIEW SECTION
Raconnectonly: v
>-4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL 'LS AREAISPC OCC
ELECTRICAL-RESTRICTED ENERGY
A SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: x VACUUM SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
oURGLAR ALARM: x OrH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL. UTHR:
HVAC: X DATA/TELE COMM: NURSE CALLS TOTAL I SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,271.78
D R HURTON HOMES D.R.HORTON INC This permit is subject to the regulations contained in the
5125 SW MACADAM AVE STE#145 4366 SW MACADAM AVE. Tigard Municipal Code,State o OR. Specialty Codes and
PORTLAND,OR 97201 SUITE#102 all other ce viable laws. All work will be done it
PORTLAND,OR 97239 acoordalTce wilts 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:
Oregon law requires you to follow rules adopted by the
Phone: 503-•222-4151 Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Rep"' LIC 1308$9
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSpFrTIONS
Erosion Control Insp 84 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrlc:l Rough In Gas Line Insp Appr/Sdwik Insp
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
Issued By : -FI _ .�t _ _ Permittee Signature : �---
Call (503) 639-4175 by 7:00 p.m. for an inspection needee+ tllo next business day
_ SEWER CONNECTION PERMIT
CITY OF A IGAR®
DEVELOPMENT SERVICES PERMIT#: S -00307
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/112/032/03
PARCEL: 2S 105DD-03000
SITE ADDR-SS; 13b95 SW NAHCOTTA DR
SUBDIVISION PACIFIC('REST ZONING: R-7
BLOCK: LOT: 00n JURISDICTION: TIG —
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: S
Owner: _ — r- - - �--- FEES
D R HORTON HOMES Description Date Amount
5125 SW MACADAM AVE STE#145
PORTLAND, OR 97201 1SWUSAI Swr Connect 2112/03 $2,300.00
1SWUSAJSwr Connect 2/12/03 $0.00
Phone: 503-222-4151 [SWINS111 Swr Inspect 2/12/03 $35.00
[SWINSPJ Swr Inspect 2/12/03 $0.00
Contractor:
— Total $2,335.00
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations r f;he!:levan Water Services. 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" Perm
Issuou by: _ Permittee Signature: /� r
Call (503)619-4175 by 7:00 P.M.for an Inspection needed the next business day
Building [ erinit Application
�V Date received: (� g Q� Permitno.:lyyf��-
City of Tigard � Q
Address: 13125 SW Hall Blv � 223 Project/appl.no,: Ex ire date:
Cir"f/tgonlPhone: (503) 639-4171 ^ ^ Date issued: �Y&ki Receipt no.: Q�
Fax: (503) 598-1960L�Oy Case file Payment type:
O
Land use approval:
NAV r SGP, 1&2 family.Simple Complex:
1 �
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family 'New constniction U Demolition
U Addition/alteration/replacenient U Tenant improvemc-it U Fire sprinkler/alarm U Other:
JOB SITE'INFORMATION
L.
Job address: 971ria.: Suite no.:
Lot: &IBlock: Subdivision: qG, T, Tax map/tax lot/account no.: 1
Project name: FAt kFilz LVCh-1'
Description and location of work on premises/special conditions:
OWN11t 1:014 SPECIAL INFORMATION411819
Name: ti C1-7
Mailing address: IZ5 •I w 1 & 2 family dwelling:
State: ZIP: Valuation of work
City: _ o ��Zo�_ .....:. :,* ,�Y. ............. � Lt
Phone: ( Fax: -bj :-mail: No.of bedrooms/baths........... ................. ...
Owner's representative: NaLL Total number of floors.................................
Phone: I Fax: E-mail: New dwelling area(sq.ft.) .......................... _ 31 y'_
Garage/carport area(sq.ft.)......................... __ 0 Name: Deck p• R t'tl�r t'0 In Covered porch arca(sq.ft.) .........................
Mailing address: Deck area(sq.ft.) ........................................
City: State 7.IP. other structure area(sq.ft.)............ ............
ComtnerclaVindustrial/multi-family:
Phone: Fax: F-mail:
Valuation of work........................................ $�—__-- .
Existing bldg.area(sq. ft.) .................
Business name: Y`tO h New bldg.area(sq.ft.)
---
Address: �a Number of stone
City: State:p ZIP:g yol Type of ruction............ ....... ..'..- -
- -T--
Phone: -Z •4N5 Fax: 3 E-mail: Occupancy group(s): Existing:
CCB no.: /�jpp5—�j New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
11111111111111W L1111 licensed with the Oregon Construction Contractors Board under
Nalve: f-p ki provisions of ORS 701 and may be required to be licensed in the
—�d = -� -- - — - --- jurisdiction where work is being performed. If the applicant is
Address: �jj�f7.r G �-S 3!�_ exempt from licensing,the following reason applies:
City: _ 1 State:
Contact person: yi Plan no.: � — -- — --
Pht,nc E-mail: — -- --
Name: /�rrkuntact person: Fees due upon application ........................... $
Address: L/ S� /y(p�h—�T--- _ Date received: ____
City State:0A ZIP 0/ _ .Amount received ........ ................................ $
Phone:5D3 Fax:l/�f /f�/ E-mail: Please refer to fee schedule.
I herebv certify I have read and examined this application and the Not all iunsdictions accept credit cards.please call funsdicaon for more tntomauton l
attached checi-list. All provisions of laws and ordinances governing this .3 Visa ]MasterCard
work will be complied wi ,whether specified herein or not. Credit cud number
I' i:apires
DatO: Name nl cardholder as shown on credit card
Authorized signature:
Print name:-�� / h ��_udholder signature Amoant
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete4404613urotucoW
FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 06:34AM P2
S'd da.Z-tro 30-7
Plumbing Permit Application
City of Tigard pate recaivetJ: Permit no.;rn�/o��a�4i5
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.; Pudding pemtit no,t -
City of TiKard phone: (503) 639-4171 Project/appi.no.: Expire date:
Fax- (503) 598-mn Date Issued: Ry: Reccfpt no.
Land use approval: Ca.o rile no.: payment typt:
O 1 &2 family dwelling or necessary U Commercial/industrial O Multifamily 0 Tenant imprnvelttont
New construction 0 Addition/alteration/replacement 0 Food dt:rvrce O Other:
Job address: lm�4- -, SG'l R C 6 f-tx d�- , Aeecri tinn Qty- Fre(en.) Tuutl
Bldg,no.: ��� Suite no.: New 1-and 2-frim y dwellings only:
Tax map/tax lovaccount no,: (Includes too A.for eeclt utility connection)
Lot; Block: SubtlivisSFR(1)bathP SFR inn: (2)both
Ihnject name _ s r R(,) atI
City/county.,
IF Each—additional both! ire ten
Description and location of Work on premises: Slteutilltlet:
Catch basin/area drnin
Est.dote of completinn/inspection: well0cuc 1 line/trench drain
assail Footing drain(no. Iiii. R)
Manufactured humc utilities
Business name Q w►r _ /j �-4 G Man to es
Adtlross: 4 Ski/ Nitt�7e;O�JR
r y�_ Rain drain connecter
(sty; + e StZI�joa Sanitary sewer(no. lin. ft,)
Pltonc (at' a' Fnx yy.,pgr T(.mail: + Stonnsewer(no. lin. ft.)
CCIi no.: & ('lamb. buc, reg.no�(,•/y Q' stet service ria. lin. tt,
City/metro lic.no,; am _ �— — Fixture nr Item:
Contractor's representative signature: Ahsotphon valve _
Print name: Back flow revcnter
/ I Daie: ac water—vLo
Basins/lavatory
Name: C Zi les washer
AddressbA — - Dishwasher
I]rinkingfountain(R)
Clity: 5tntc: _ 7.IP _ Gjectoro/sum
Phone Fax: Expansion tank
fixture/sewer cap
Name(print): (� Floor drains/nnor Rinks/hub
Mailing address, , Jose c FISP-0531
0531— w
Ilose hibb
City: State: ZIP: Ice make7- r
Phone: Cax: B-mail: Interceptor/gresso trap _
Owner instnlInt ion/res dentia' maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and rimpair made by my regular Roof drain commercin)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),T,ivs(s)
Owner's signature: Oale: Sump
Tubs/shower/showar pan
Name: _
Urinal
Addrr.Ns: — Waterclosct
Water heAter
City: State: ZII' Ot trr:
Plt tae: Fox; 8-moil: _ Total
Not All JurirdicGnna accept creelie eutn11,pleA"o Gell Jurinlretian for ronrc Infnrm"dnn• Minttllum fee ..............$
Notice: This permit 5pplication
O Viat O MtuterCanl Nnn review(al '%") S
expires If n pcnnil is nal obtained
Credit emM numEor. _.J within 180 days aRc-r it has been State surehar(;e(A"i")....S
pea Y
N"nx a tvr neer ai�Imwei un;rid rcord - neeepled at eompirte. TOTAL...................... S
"" ii15�,�tWr" - — 3�mes,d /1aM161M1(A/aa'coMi
Mechanival Permit Application
— Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
City ofTiRard Address: 13125 SW Hall Blvd,Tigard,OR 97223 --
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
❑ I &2 family dwelling or accessory U Commercial/u dir.1nal ❑Multi-family J 1'enant improvement
❑New construction ❑Addition/alteration/replacement Q Other:
.1011 SUFF,INFORMATION COMMERCIAL VALUATION t
Job address: Indicate equipment quanuues in boxes below. Indicate the dollar
Bldg. no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: P' et h�GYCS t" 'See checklist for important apr,lcation information and
Project name: 4V 11 jurisdiction's fee schedule f , residential rcrmit fee.
City/county: ZIP: - I & 2 FAMILY OWELLING PERMIT FEE SCIIEQ
Description and oration of work on premises:
Iee(ea.) total
Est.date of completiordinspection: Description I Qty. Res.only Res.only
'tenant impro-ement or change of use: IVAC.
Is ex is.ting space heated or conditioned?J Yes Ll No Air handling unit CFM
Is exlstln. space insulated?U Yes 0 No Air conditioning(site plan required)
P' Alteration o existing IVAC system _
Bot er compressors
Business name: i State boiler permit no.:
17. HP Tons___BTU/H
Address: Fire/smoke dampers/duct smoke detectors _
City: State: ZIP: nQ eat pump(site plan require -
Phone: Fax: E-mail: nstal replace umac urner__ 9TU71T
CCB no.: Including ductwork/vent liner U Yes O No
nsta Urep are/re orate eaters-suspended,
City/metro lic.no.: _ wall,or floor mounted
Name(please pnntl: ent fora liance outer an furnace
1 NTAUU 1 a gen on:
Absorption units _ BTU/H _
Name: NI e-DIt! j0 Chillers____________ HP
Address: 5 / �yr Com ressors _ HP
nr ronmental exhaust and ventilation:
City: H 'q State: IIP: 1 D Appliance vent _
Phone- y - / FaxE-mail: Dryer exhaust
1 nods,Type U 11/tes.kitchenihaLinat
hood fire suppression system _
Name: /yI(S Exhaust fan with single duct(bath fans)
Mailing address: y tr �i -Exhaust systema art roin heating or AC
City: Q State:,9$.. ZIP: Fuelpiping an distribution(up to outlets)
Type: LPG __ NG Oil
Phone: Fax: / E-mail: rue:pipingcar additional over 4 outlets
Process piping(schematicrequired)
M� � y _ Number of outlets
N:une: C � fl_ _____ ter lWed appilanceorequipment:
Address: — SE /;,tl _ _ Decorative fireplace
City: 6110 1,k d4, Slate: ZIP, -;;49 16- Insert-ty e _
Phone: Fax: Lgn4 E-mail: Woodstove/pe et stove
t)ther-
Applicant's signature: Date: Z- ter:
Name (print): _
Not all jurisdictions accept credit cards.please call jurisdiction for more information Permit fee.....................$ _
❑Visa J MasterCard Notice:This permit application Minimum fee ...............$
/ J expires if a permit is not obtained plan review(at ?o) S
Credit card number —_-- within 1 g0 days after it has been
L•xpres State surcharge(8%) ....$
Name of cardholder as shown on credit card s accepted as complete.
TOTAL .......................$
Cardholder signature �_ Amount 410.4617 AMC't7M
Electrical Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
City gfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: r
TYPE OFPERMIT
❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement
New construction ❑rkdditicm/alteration/replacernent U Other: U Partial
t : t
Job address: Bldg. nu.: Suue no,. Tax map/bite Ict/account no.:
Lot: Block: Subdivision:
Project name: PA location of work on remises:
Estimated date of com letionhn.tpection: /
ACTORCONTR I
Job no: Ire Max
Business name: (,-ry)y Description Qty Oa.) Total no.ins
New residential-single or multi-fondly per
Address: dwelling dnil.Includes attaclwd garage.
'ity: Slate:OF I ZIP: 2a Service included:
Phone: Fax: E-mail 1000 sq.ft.or less 4
Each uddiuonal 500 sq.ft.or portion thereof
f_CB no,: Elec.bus, lic.no: Linotedenergy,residential 2
City/metro lic.no.: 4z37c� Limitedenergy.non residential 2
Euch manufactured home or modular dwelling
Se natal!o( ervnsin /elecrri�equired) Date Service and/or feeder
rw 2
g — _ _ ---- ---_---- — Services or feeders—Installation,
Su elect.nattte(print) License no
alteration or relocation:
PROPERTY OWNER 200 amps ar less 2
-Name(print): �, R, r f�j i 2UI amps to 406-amps _ 2
401 amps to 600 amps 2
Mailing address:_ 601 amps to 1000 amps 2
City K State:&tiA I Z111:_���r _ Over 1000 amps or volts 2
Phone: - Fax: E-mail: Reconnectonl I
Owner installation:The installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
201 amps or less 2
ORS 447,455,479,670,701. —_
2UI amps to 400 amps L
"Name: r
' sit Date: 401 to 600 ams z
Branch circuits-new,attention,
or extension per panel:
S V1,b14 A. Fee for branch circuits with purchase of
Address' e14 el service or feeder fee,each branch circuit
Clly: State: ZIP: Q' B. Fee for branch circuits without purchase
of service or feeder fee,first branch circr it:
Phone: E-mail: Each additional branch circuit
PIAN REVIEW(I"lleaseoieck sill that apply) Mise.(Service or feeder not included):
❑Service over 225 aml LJ Health-care facility Each pump or imgauon caste T _
❑Service over 320 amps-rating of 1 Art ❑Hazardous location Each sign or outline lighting
family dwellings J Building over 10.000 square feet fouror Signal circums)or a limited energy panel.
❑System over 600 volts nominal mire residential uNis in ane structure aheration,or extension`
❑Budding over three stones ❑Feeders,400 amps or more 'Description
❑Occupant load over 99 persons ❑Manufactured swetures or RV park Each additional inspection user the allowable In any of the above:
❑Egressllighungplan ❑Other _ -- I Permspection --_-f_r__�—T— _
Submit__sets of plans with any of the above. Investigation fee _
_ The above are not applicable to temporary construction service. Outer
Not all jurisdictions accept credit calls.please call jurisdiction for more information. Notice:This permit application Permit fee.....................$ — —
❑Visa ]MasterCard expires if a permit is not obtained Plan review(at _ %) $
Credit card number _ / within 180 days after it has been State surcharge(8%) .. $
Expires accepted as complete. TOTAL .......................$
Name of cudhol r as shown on cieda card
Y
Cardholder signature Amount OMM%1,
1'AC11'IC CRES'l S1-1L31_:)IVI� IC)N
4...OT -- 6
cl-ry OC "I'lca ;� IZU
ALJ A/ ,#ee;9�9 THE APPROACH SHALL BE
A MINNMUM OF 8"xl2'x20�1` '
w?T� I OF CLEAN PIT G�� v
\\it LOG
1
Et•.See {r------ e,w to.
pF N
G1�y G 1510
rrYO
TE P.G EL b 2 1/2• TAT IA
r DRIVEWAY MAPLE \
GARAGE
SOFT. . IDD
FIN EL 5(pG'
i V)
NOTE:
PLAN 29i8C I.ROOF DRAINS TO STORM
SO FT. 3142 LAT. IN STREET.
FIN EL . 561' 2. FOUNDATION DRAINS TO
BACKYARD SOAKAGE TRENC"
SEE ATT >�WED DETAIL
[] 13 LANDSCAPING FL TWE ENTIRE LOT
T i'r/ 5HALL BE FINISNEJ OR THE LOT
SURROUNDED BY EROSION CONTRC'�
PRIOR TO BREAK OUT OF COMMUNIT'y'
' EROSION CONTROL. FINISHED 5L,-`PES
° SHALL BE LESS THAN 2 TO I
� n 1n/
S 0 'S 4' 0 " V V
�X SETBACK REQUIREMENTS
E S
S FRONT YARD TO GARAGE 20'
7 � 5 `J 6 SIDE YARD S'
;GALE r.20'—o' REAR YEARD 15'
C:. 'F.53 35y5 9u,'.:✓_G".`.`vK
D.R. Hoi�ton Homes-LAN 21180 i 3C6DC
SCALE 1' IC
DATE 1"102 5125 J.W. I"aCaoa- 4vereus
PuCNE }J3722.IDI PG'rt!6rd CP'? CI^ oa.
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (500)639-4175 _00 Y�
INSPECTION DIVISION Business Line: 63,9-4171 MST -.
BLIP
Received __ Date Requested__ �.^I___ — AM PM BUP
y
Location ___ /3 S 5S �1/ _ _ -- _ _ Suite MEC
Contact Person _ __ __.— Ph( ) - ✓�� PLM - —._-
Contractor_ _ - -- ___ Ph( _) _ SWR -
BUILDING Tenant/Owner _ -_ - _ ELC
Footing ELC _
Foundation Access:
Ftg Drain ELR —
Crawl Drain SIT
Slab Inspection Notes: - � - - ---------
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- - - -- -- -- ------
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler -- - - -- -------------
Fire Alarm
Susp'd Ceiling ——----- ---- -- - ---- --..- --- ------ - -- --- --
Roof -- �- -- --- --
O
ther: ----- -- ----- - -
PAT _FAIL -.. — -- - ----- -- — - --------
— _ ------- ------ - -- _
Post& Beam
Under Slab ------ -- - - ---- - -----
Rough-In
Water Service ------- ----- .. __ .___-- —
Sanitary Sewer
Rain Drains —.r.-- -
Catch Basin/Manhole
Storm Drain ------ -- - - -- ---- -
Shower Pan
Other: — -
Final ------------
PASS PART FAIL -
MECHANICAL _
Post& Beam
Rough-In
Gas Line
gS e ampers
n
PART FAIL_ -
CTRICAL
Service
Rough-In _ _ _—___--
UG/Slab
Low Voltage —_ _ — ---- —
Fire Alarm
Final Reinspection fee of$— —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART _FAIL
grrE _ Please call for reinspection RE: [] Unable to inspect-no access
Fire Supply Line
Approach/Sidewalk ADA Date --._ Itllsp�atOr___—_ " `�'_y '_--_--__—Ext _ -
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CITY OF 'GARD 24-Hour
BUIXi,. ' Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received Date Requested �O 3 AM - PM.___ BUP _
Location r 3 ��S —21 ��_ Suite MEC
Contact Person _ �� _ Ph( ) —25-L2 2—f.3&( PLM _
Contractor— Ph( ) SWR
BUILDING Tenant/Owner —_ ELC
Forting
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext She^th✓Shear
Int Shaath/Shear
Framing _.-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - ----- ----- -_
Fire Alarm
Susp'd Ceiling -- - - ------ -- -
Roof
Other. -------- - --- _ --
Final -----_- --
PASS PART FAIL ------- -- - - - - --- --- -
PLUMBING
Post&Beam -._-------- ------- - --- - - --- -�-
Under Slab --
Rough-In
Water Service
Sanitary Sewer
Rain Drains -- ------ ------- --- --
Catch Basin/Manhole
Storm Drain -- --- - --_ - _
Shower Pen
Other: -
Final -
PASS PART _FAIL ---- -- -"- ----- -- --
MECHANICAL
Post&Beam -------- -- ------- --- --- .
RGas ough-In
Line
Smoke Dampers
Finale )
PASS PART FAIL - - ----- - --- -- ---
ELECTRICAL
Service - - - ---� -`--T_ '-
Rough-In v
UG/Slab
o age-tfi''"r'°
'� fL L..�✓
FireW—arm --_-- --
PA -PART FAIL u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _�- Ll Please call f r reinsp�etion RE:--_-.-____ - n Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DaAt�yJ t� __-____ Ins Ext_ _ -
Other. _--.---- _ --
Final 0 NOT REMOVE this Inspection reco d hom the Job site.
PASS PART FAIL
1� � e.; 2
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST 22
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received _. _Date Requested -36)
3y A __— ____ PM__ _ BLIP
Location _
13 .SSI S _d'� Suite MEC
Contact Person __—__ — Ph( ) — 1- PLM
Contractor _._.- _- Ph( ) SWR
BUILDING Tenant/Owner - EL(; -
Footing
El_C _--
Foundation Access:
Ftg Drain ELN
Crawl Drain
Slab inspection Notes: — SIT _-- -
Post& Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing -- - ---
Firewall
Fire Sprinkler -- r -- ---
Fire Alarm
Susp'd Ceiling --
Roof
Other: t —
FinalPASS PART PART FAIL -- --- ---- - -
PLUMBING
Post&Beam
Under Slab -- ——
Rough-In
Water Service -- — - -
Sanitary Sewer
Rain Drains — - --- - -----
Catch Basin/Manhole
Storm Drain -- -- —
Shower Pan
Other:
A PART FAIL
CHANICAL
Post&Beam
Rough-In — -------- --
Gas Line
Smoke Dampers — ---- ----
Final
PASS PART FAIL ------ - ---- -- —_— —�
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
lPART FAIL Reinspection fee of$-,_____�—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASSSITE r— U Please call for reinspection RE: Unable to inspect- no access
Fire Supply Line
ADA of" L d hispector
Approach/Sidewalk - -- -
Other: _
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL