8729 SW REILING STREET 3729 SW Reiling Street
CITY OF24-Hour
BUILDING Inspection Line: (503)639-417sMST %'
INSPE(:TION DIVISION Business Line: (503)639-4171 1
BLIP
Recrjived _-- --_- _ Date Requested _ _A`vi_ PM BLIP -
Location Location —_ _ -_ -�_`� ��Y� .�_ Su�� MEC
Cor tact Person -�_�
Ph(—) --_ --'-/-`-/ PLM
Contractor ------ - - a------. Ph(--) 6 -Si SWR
BUILDING Tenant/Owner - - - _ - _ _ _ -_-_ ELC
Footing _
Foundation ELC
Ftg Drain Access*/,` a 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 -----------..-
PASS PART FAIL
PLUMBING
Post
__-
------ ------
Post&Beam
Under Slab _�-- -- ------ — - —
Rough-In —
Water Service ------------------._�—___ _. --
Sanitary Sewer
Rain Drains — —--—---- -- — -- -- — —
Catch Basin/Manhole
Storm Drain ---
Shower Pan - - -
Other:_—.--_--------- _— - _ -------
Final ----Final
PASS PART FAIL
MECHANICAL �—
Post& Beam _
Rough-In
Gas Line
Smoke Dampers ---- - -------— ��
Final
P _ T FAIL --- — _.----- _
LECTRICAL
ough-In
UG/Slab
Low Vollaqe
Fire Alarm
?LA,S
Reinspection tee of$--_-_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'' PAiiT FAIL
SITE _ _�� Please call for reinspection RE:—.._ Unable to inspect-no icress
Fire Supply Line
ADA
/ ..
Approach/Sidewalk Dia._! /` �Z .. Inspector --- - -- _-ut _.._---
Other:
Finr,l — OO NOT REMOVE this Inspection record from t:ie Joky site.
PASS PART FAIL
CITY OF TIGIo RD 24-1-Iour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received - ___Date Reques ed _l�- '- AM_ - PM BLIP
Location _ 7 —Suite—_-_ _ MEC
Contact Person - ._ Ph( —) __ PLM
Contractor__. _-- -- Ph(----) SWR
BUILDING Tenant/Owner �--.-- - -- -- _ � ELC
Footing ELC
Foundation ccesS: -
Ftg Drain -73
ELR _
Crawl Dain
Slab Inspection Notes: SIT
Post&Beam --
Shear Anchors
Ex;Sheath/Shear
Int Sheath/Shear
Framing --- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL_
PLUMBING
Post&Beam -
Under Slab
Rough-in
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
MECHA_NICAL _
Post& Beam —
Rough-In _ _ .----------------.___._.�
Gas Line
Smoke Dampers --- - - -- -- ---- -
Final
PASS PART FAIL
ELECTRICAL
Service __---
Rough-In - -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$�e _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 t
p� 2 /�� _ Inspector — Ext
Approach/Sidewalk - Ef - .�
Other.
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
C I 1 � O� �I��R® MASTER PERMIT
PERMIT#: MST20r e-00294
DEVELOPMENT SERVICES DATE ISSUED: 7/8/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08729 SVI REILING ST PARCEL: 2S111AD-17500
SUBDIVISION: MLP2000-00009 (WINTER'S) ZON:NG: R-4.5
BI.00K: LOT: 002 JURISD!,.;TION: TIG
REMARKS: New SF detached dwelling.
BUILDING
REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: t.196 of BASEMENT. of LEFT: 6 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD! 40 SECOND: 1,138 of GARAGE: 612 of FRON": 25 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS. 1 FINBSMENT: at RIGHT: 10
VALUE: S 228.275.40
OCCUPANCY GRP: R3 BDRM: 4 BATH: 1 TOTAL: 2 334 00 at REAR: 50
PLUMBING
SINKS: t WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: t WATER LINES: 100 BCKFLW PREVNTR: t GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<TOOK: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: I
GAS FURN 1•100W I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 200 amp: 0 200 amp: WISVC OR FOR: t PUMP/IRRIGATION: PER INSPECTION:
EA ADO'L 500SF: 4 201 400 amp 201 •400 amp: lel WIO SVCIFOR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 -600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVC/FUR: 601 • 1000 amp: 601+ampo•1000V: MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
�•4 RES UNITS: SVCIFDR>-226 A.: >000 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL _ B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNUSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL OTHR.
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,615.26
ES RLR HOMES This permit is subject to the regulations contained in the
RLR HOMES
P.O BOX ES RICHARD L BOBBINS Tigard Municipal Code,State of OR Specialty Codes and
all other applicable laws All work will be done in
SHERWOOD.OR 97140 PO BOX 730 accordance with approved plans. This permit will expire If
SHERWOOD,OR 97140 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
Reg N: LIC 16985 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 8, Post/Bearn Mechanica Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Final Inspection
Foundation Insp Footing/Foundation Dri Framing Insp Gas Fireplace Appr/Sdwlk Insp
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp rical Final i
Issued By : _ Permittee Signaturiii
Call (563) 639-4175 by 7:00 p.m. for an inspection needed the next business day
/� �� _ SEWERCONNECTION PERMIT
CITY OF TIG
ARD PERMIT#: SWR2002-00199
DEVELOPMENT SERVICES DATE ISSUED: 7/8/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111AD-17500
SITE ADDRESS; 08729 SW REILING ST ZONING: R-4.5
SUBDIVISION: MLP2000-00009 (WINTER'S) JURISDICTION: TIG
BLOCK: LOT: 002
TENANT NAME: FIXTURE UNITS:
USA NO:
GLASS OF WORK: NEW DWELLING UNITS: 1
NO. OF BUILDINGS:
TYPE OF USE: SF 1
INSTALL TYPE: LTPSWR IMPFRV SURFACE:
Remarks: Sewer connection for new SF detached dwelling.
Owner. FEES
RLR HOMES Type By Date Amount Receipt
P.O. BOX 730 PRMT CTR 7/8102 $2,300.00 27200200000
SHERWOOD, OR 97140 INSP CTR 7/8/02 $35.00 27200200000
Phone: 503-709-7211 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 952-001-0010 through OAR 952-001;0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 4 1987.
�- Permittee Signatur T'
Issued by: lid— -
Call (503) 39-4175 by 7.00 P.M. for an inspection needed the next business day
Building Permit Application
-_
CityCity
of Tigard I)atereceived:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projec t/appl.no.. Expire date:
Phone: (503) 639-4171 Date issued: By:_ 'J Receiptno..
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ 1&2 family:Simple Complex:
U 1 &;family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
�Adteration/replacement U Tenant irnprovernent U Fire sprinkler/alarm U Other:
Job ad7 Z`l %- w F,11 Bldg. no.: Suite no.:
Lot: 4' Block: Subdivision: C I r� [ ,?,� Tax mapitax lot/account no.:
Project name:
Description and location of work on premises/special conditions: —_ N�L c� � ' 'y 'J 7
Name: T L I
Mailing address: `7 S& c i x /, I &2 family dwelling: 7 ,�
City: e'f�wuc; 7 State: U17 ZIP: � Valuation of work........................................ f Z� G• I�
Phone: 7v' I7 Fax: E-mail: No.of bedroorns/baths................................. 2 `
Owner's representative: T 1 Total number of floors.................................
Phone: L i f' 3.3 Fax: E-mail: New dwelling area(sq.ft.) _`z 7,J 4
JGra c"
Name: - ve ed panch area(sq.n).........Mailingaddress: -� ck area(sq.ft.)......................................City: State: ZIP: er structure area ft.).........................
Phone: Fax: E-mail: mmerelaUindtutd&Umultl-family:
it uation of work........................................ $
Business name: ___
Existing bldg.area(sq.ft.) ...........,�............. —
Address: New bldg.area(sq.ft.)........................�,. .
Number of stories
City: _ State: ZIP: --
Phone: Fax. E-mail: Type of construction.......... ...................
CCB no.: `J - _ Occupancy group(s): Existing:
-- New:
City/metro lie.no.: Nodee:All contractors and subcontractors are required to be
^ licensed with the Oregon Construction Contractors Board under
Name: /Cu t? t'�r t provisions of ORS 701 and may be required to be licensed in the
Address: c,��, u,7 ,�c. 1� jurisdiction where work is being performed.If the applicant is
City: ,6.A(I C State:t, I ZIP: -1 2 Z exempt from licensing,the following reason applies:
Contact person: '�i1Ap - St ec r Plan no.: ',LI`)C, — -
Phone: I';' I Fax: E-mail:
Name: Contact person: Fees due upon application ........................... S
Address: Date received:
State: ZIP: Amount received $ _
Phone: I Fax: I E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jodadkttoas•cep end i raids,pirim call jurisdiction for more informrianr
attached checklist. All"s ons of lawsandordinances governing this U Visa U Mastercam
work will be complied Wha�ff (,' d herein or not), Cr"t card number:--- --- —1—,1—
Expires
Authorized signatume as (- (-____ Date: V IQ ° Name or earn cr u slaan on craW rrd
Print name: C'31 42j4 , �+ _---- Cardholder,i .e s Amormi
Notice.This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4e0.613(&WO OM)
Plumbing Permit Application
Uate received: Permit no. p0^-QQ 't
cit of Tigard y g Sewu permit no.: Building permit no.:
Address: 13125 SW Hall Bled,"Tigard,OR 97223
Ciry of Tigard Prolect/appl.no.: � Expire date:
Phone: (503)639-4171
Fax: (503)598-1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
U I Ps:2 family dwelling or accessary U C.oi metcial/indusirial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U FoW service U Other:
Job address: 2,17'1 5 / 2 .1 ��G- `�► . Dace tion Qt Fee(ea.) Total
ew II-and 2-f ly dweUingy only:
Bldg.no.: Suite n0.: (Includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: SFR(1)bath
Lot: Z IBlock:___ Subdivision: Vh cc I(I rN 1=;r . SFR(2)bath
Pmject name: SFR(3)bath
City/county: -T 16 Each additional bath/kitchen
Description and location of work on premises: _ 5liteutilitles:
Catch basin/area drain
Est.date of completion/inspection: D wells/Ieach line/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: I v,ty� ►� r Manholes
Address: _ Rain drain connector
City: State: ZIP: Sanitary sewer(no.lin.ft.)
Phone: c z 31 Fax: E-mail: Storm sewer(no,lin. ft.)
CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.)
Fixture or item:
City/metro lic.no.: Absorption valve _
Contractor's representative signature: Back flow preventer
Print name: I ate: Backwater valve
Basins/lavatory_
Clothes washer
Name Dishwasher
Address: - _ .. Drinkingfountain(s) ---
City: !_ State: I LIP: Ejectors/sump
Phone: [E-mail: I Expansion tank
Fixture/sewer ca
Floor drains/floor sinks/hub
Name(print): Lir, )�: I. — Garbage disposal
Mailing address: r ')U '$ctiHose Bibb
City: dal,e{zW c. ;7 State: p�-1 ZIP: y-1 140 Ice maker
Phone: ' p - 17 11 Fax: I E-mail: Interco tor/ tease trap
Owner installation/residential maintenance only: The actual installation Primers)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property l own as per ORS Chapter 447. Sink(s),bmin(s),lays(s)
owner's si nature: Date: um
u s/shower/s ower pan
Urinal
Name: _ Water closet
Address: _ Water he2ter
City: State: ZIP: Other:
Phone: Fax: E-mail: Total
Not dl luriadkdoru accep naafi c",please call iwirdictin for rrxe Inrarmrloa Minimum fee............ ) $
N
Notice:This permit application Plan review(at _ 96) S
U Visa U MasterCard expires if a permit is not obtained
Credit crd numbs _�____ — __ within 180 days after it has been State surcharge(896) ....$
w ra
--.._--- TOTAL .......................$
accepted as complete. �_.
Name at crdhoMer u rhown on nedh crd
_ f
Crdholder raanrurs m- 4/0.4616(6Mme.oM)
Jan 07 02 12: 24p Gi esel+! Sahagon (503) 557-0919 P• 1
Mechanical Permit Application
` Dwe, vcd: - Permit no..
Gq of ` 1gard Projcet/tgrpl.oo.: 1-sspiretlart —
GryofTie n.d Address: 13125 SW Hall Blvd.Tigard,OR 977-23 Datetrsued: By: Receiptao_
Pham (503)639.4171
Fsx• (503) 599-i96() r xx f)We no.: Paynaeot type:
Land usr.approvaL _ Buildin`pumitne_:
/
U 14c 2 firmly dwelling or accessory n Crxurnercial/iodustrial 0 Multifamily 0 Tenant unpravunent
214tw eornuuction O Addltiod/alteradochcplacemau 0 Other.Lill
-- ---
/ / 1
Joh addrrss Sln/ ,j - S r indicate equipma�t gwautiel in boxes below.tndi=du:elollm
Bldg.no.: Suite no.: slue of all mechanical materials,epurpmmL latxjr,nverhrad.
Tax mapitax lutheeouat no.: I II' j { K) profit,Value S
Loc $lacfC Subdivision: t, c ; 10r CA 'stt chvCl:lin for insporaw..t applicanan inlotmahon and
PICO=aamc jurisdiction's fee schedule fru residentiai permit fcc
(aty/county ,I,i t
Dega*000 and loc2bon of wotk ort pcemiscs:
From) ToW
Esc date of campletioulinspoetion ladcripKast1. Acs.oefy Res.oaly
Tcaant imptavtment oa change of use: -~ J� ��..
is existing space heawd at conditioned?O Yes U No Air haadlln wait GT!•1_
n.,r coni G= site p awn mq ---
Is existing apace•.inad"r•.d?0 Yes 0 NoAlicnnan o(exislg JJ V AC vysumNIECHANICAt M
CONTRACTOR �aTakauprearors r"
BltsiDCisnamG Tri Count Tem Control----snrsboilerptrnut__
County Temp HP �_- root Bttl/tt – -
- 1 ,� ?'---Clackamas_R i ver Dr. a� .e,n,�y�crpnnTe=tong
• Oregon Cxt` State-OR 7 45 r�tpotnatatmPaT—.«iuuc _--'-
Phoe1C 5 - 2 0 Fa:,S 5 7-0 91 E local lmtarep)ace N"mom---
---- — Indudina duawatitNent liner 0 Yes 0 No
CCB two: 72623
ns Uteptaee7rt7thhratas-suipen
city/memo tic.no.: 1 1 26 wall.or floor mounted R_
Ntmse(Prem pdt): G l g I e l e S h a O n Vent�� otTtrr`nm ,tract
attsoa
Ahsorpdon urnts ATU!)1
Name: Giesele Sahagon _ )rr_ ----- H
Address: 13150 S. Clackamas River D r -
( fl`
-dr. O r eclo n City SUM
.OR R 73P: 97045 t Dance vat
r:ta�.nr ttatr�.o.asacwr.
PWw.. 557-2220 IF= 557-•09 Sna a: a �,t
1Hoodl,Type 17 iji=L kivItzibamat
hnad fire c.gprauloa xrwro --
N-- l Z L\,-E 6ahaust to with vingte duct(bads fm)_- -
MLli>! ttddttst l! l L'r
Bibaust rrcraaa aput herrn hboot—��o.-r AZ
(sty: �i r(1 k�..() _ $tflR p il. ZIP: j�I 1 L• PaP,� l�4 t°4 out W
r LPG
Mme; _71 1 Fx Eeoa: ppta_h �iao Over
4_ou_u
(w-ternanrequired)Aber "
t
it
of audeu
NamC ��1�_ Ouaer Iia e K er+ro�wsan: - -
Addmir.. _ -�-,—,�,, ----- Docontivtfe�lxt
Serle Tmp: .tart-typee—
P11tu>c y >✓rtuil: ---
A icnatfs siplaatrt_ Due:
Nr M ir.+o.r aaM aJ.Nr,ra eaa jwai✓� «/an tr.,,.... Permit fc a._.
am= Q � Noutt-This Pernut application Minitnarn fee_....__.___S
capita if a Pe+snit is not obtained Flan ntvity(at
t'wlara+�..aa: _ � — wldtio lto days aRu n -a has be _
+..?.a wrec•as r... cvwr.>.e
acaytrn as aocrpictc. stare nurharge(1176)....S _
s TOTAL ......_ _...S .
Cara.aarr �..� as.an#GaKI w1
JAN-07-2002 11:45 JEROME ELECTRIC 5036489723 P-01
Plectrical Permit Application °ermitno.:
r Date mceived:
City of Tigard Pro)ccUappLnoF� Fspiredut:
Address: !3125 SW Hall Blvd.Tigard,OR 97223 pate issued. By: Receipt no.:
ciryi,f7igard Phone: (503) 6394171 Pa mcnuype
Case file no.: Y
Fax. (503) 598-1960 _
Land use approval'
1
Q Multifamily O Tcnant improvement
L7 do 7 family dwelling or accessary O CommerriaUtndustnal C.)Other. 0 Panial
ew collMuction 0 Addit:urJalterannn/replacemcnl
f111=I III Flit I I 1 kq
Jobddrcs�: ;,` `fit n� C�_J.1.�! --_�i -� Bldg no.: Suite no.: Tax map/lax IoUaccount no
Lot. Black. Subdivision:
Project name: .,>t 1,l:=r Ic l�L 1'^ IDescri tion and location or wotk on premises:
Esd atcd dam of completiuNms tion: �I
Fee ht> �I
Job1n-- o: —. IYscrintinn QT [em) I Total no.insp
Business name: _.D_ AJFpI1tlE E_1��.I�Ir--•----__ Nepr ;e«rts, .dngkortrorld-family per
address: P 0 B Qom _ dwelGogrwk Includes,rtw4hod cuaec.
City HILLSBORO Statt�R P. 9712 5i00iq 1`I of le
I00_0 sq ft.ar hys -
d
Phune: 6 A 8-51.4�! Fax:6 4 8- T 2 -mail: — - _
__ Each add;tional 500 Il tar on thereof 2
CCB no.3 5 0 51 Elec.bus. Iic.nu: 34-119C Um{ted encr�y,re,idenual I_
City/merry tic.no.:
Urn.ted enema,nen-residenu,l 2
E.xh manufacrurcd home m modular dwcllinR 2
part -_ Sor,cs and/or(ceder _ -
Si nature o c- u�rr I In a ecuicien re l all ytrvicesorfoatry-ituU Inion,
Sup.plod name(pdntk D V 0 A ,J E Fi O M E L iur„e^° 2 8 7 7 S alteration or relocarlon: 2
f f 200 amps or less _
201amps to X00 amps 1
2
Na a(print): - �, Via---- -- 401 amps to 600
hfanin addtess: Sh �C t' _ 601 am ata 1000 amp,
—----- 2
State: ZIP: `� ) 1 ' Over 1000 ata s or volts--- I
Fax: E-mail: Retannectonl
Phgnc:`7 o i- Teeporsq urZos er feeder+-
pwner instatlldion:The ins, sWiatiun is Ming made on property I own k,rtaairion,dteratdon,o►nloc�tion:
which Is not intended jot laic,leacr.,rent_of exchange according to 122.!!1Y1 or leis
OILS 447,455,479,670,701. 201 ams to IOO�s — 2
O ds si rc: Date:
401 a 600-J 2
I iltanch clrivita--new,alteration,
or exteaslon par panty'
N e) _ -- -- A. Fee for branch circuits with purchase of 2
serviu or feeder fee,each bronth eircu{t _
Address: A Fa for Maaeh Nrcui4 without purchase
City: _- _,.-___---_. She' xI of awice ur feeder lee nrnbrtnch c;rruit 2
Phone: F=ax. E-mail: ch addiuontd ranch circuit — f
misc.(Service or fretler not Included): 2
Exh pump a irri�arion circle 2
ti$twice ovs,W impecortsrnercial 0 Heolth-tare facl;ry Each sl n or outline 11 hiin —
Q5ervi4overl2oamps•rstingnrlde2 C1Hanrdouslocatton —
uary feet four or Signal circuitio or a 1,matd energy panel, 2
finiklydwelllnas 0 9uiW;11A over 10.0wS4 alit —
0 system over 600 vola norninal more residential un;u in one siructur. —
O Bu{Idingoverthtcr,norim 0 Feeders400ampsnrmm. •Descriplioo:
0(median over
neer 79 rift n, U Manufxtuntd structures or aV park Each additional Inspecrlon over the allewabl■U any of the above:
OCCUP
0 FrrexxnithtidAver ll other-, _- - pains a!t nn
Submit�_-seta of plana with any of the above. Invutip`auon -
Ile above are not eppliuble to lelnponry cotultuction strike. Other
Nnlict ires Ira perrrttt not obtionain Plan review(at %) S
Na>!1)urisditlitne accept'rrdit r>.'s.Crease call)url,dtcJon fa mese Infnnnwor. expires Ira ptrmit is not obtained
0vt94k ❑Mastercard State surcharge 0%) „ .$
_ with;!180 days aider it hm been ---�
C,edha".h., —4
accepted as complete. TOTAL ............... .......f -
--� •tact r s. c n cx
JUN 2002
0
No
c�
0
LT_t?LA j _ LoT Z o
L-R 1-k M E s _7o9-2 Z -
l4oNsG
L i N G- 5 T. CV °I�
14.0
00d-
Ei..5&
Slo P4
ra 03
-4�
�p
i
6L• r - _ EL Ci'
H2O 2'CrRu�
5riti P
CITY O► TIGARD
13125 S.W. HALL BLVD.
TIGARD., OR 97223
IMPORTANT PERMIT NOTICE
G & B PLUMBING
PO BOX 1269
HILLSBORO, OR 97123-1269
Plumbing Signature Form
Permit rl. M-0`12002-60294
Date Issued: 718102
Parcel: 25111 AD-17500
Site Address: 08729 SW REILING ST
Subdivision: MLP2000-00009 (WINTER'S)
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached dwelling.
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, ATT-N: Building Dept.
No plumbing inspections will be authorized until this completed form is received
RLR HOMES G & B PLUMBING
P.O. BOX 730 PO BOX 1269
SHERWOOD, OR 97140 HILLSBORO, OR 97123-1269
Phone # 503-709-7211 Phone #: 503-640-2311
Reg #: I Ir. 19907
PI M 34-44PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
It you have any c;uestions, please tail (50.3) 6,39-4,17 1 , ert. # 310
E_ _ __ - - -
CITY OF T11GARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 - -
/ BUP ---- - -
Received __.___—_Date Reque d _�' 1 ____ AM— / PM BUP
Location ___ � �_Suite_ MEC
Contact Person —. Ph ( � PLM
Contractor___ _ Ph(-- _) _ SWR
BUILDING Tenant/Owner _ _ ELC
Footing
Foundation ELC
Access: l
Ftg Drain [ Q =�3Q ELR ---_-------
Crawl Drain CJ
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. ------_ _-_--__----
-------
ina
PAS PART FAIL ----__._---
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
MECHANICAL
Post&Beam -- -- -_- --- - -
Rough-In _--
Gas Line
Smoke Dampers -
rASS') PART FAIL - ---
TRICAL
..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 - - �� Please call for reinspection RE:___ Unable to Inspect-no access
Fire Supply Line
ADA t _
Approach/Sidewalk Date =-' " -� -- Inspector
Other:
Final - OO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
14 AAA.AAAAAAAAAASAAAAAAAAAAAALAAAAAAAAAAAAAAAAA
4 o d loo.
V
4 r
-4 C a � ►
CI- ►
rD
rb
Z poll
tOn
►-� ►
. >
° p ►.
rTj
u ►
\ h CD414
y ►
N p old ►
A Ilk,
a o ►
►
i � ►
a o J
o'
b
n
� a a
� v Q
o � n
O � +
e
o
71
ev
Coll
a
M
t� n
b
x
�o
a'
A