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8820 SW PIPPEN LANE :r -r_ iJ l r 8820 SW 1'ippen Ln CITY OF TIGAR D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00162 1'125 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 DATE ISSUED: 5/1:/02 PA?CEL: 2S1'I IDA-14900 SITE ADDRESS: 08820 SW PIPPEN LN SUBDIVISION: A?PLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 142 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: 1>r WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIx1 URES LAUNDRY TRAYS: SF RAIN DRAINS: INKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHJWERS SEWER LINE: ft WATER CLOSETS WATER LINE: ft UISHWASFir-RS: RAIN DRAIIJ: ft Rennai ks: Installation of back flow preventer _ FEES Owner: Type B/ Date Amount Receipt MICHAEL SCHAEFFER PRMT GTR 5/13/02 $36.25 27200200000 8820 SW PIPPEN 5PCT CTR 5i iIV,/r2 $2.90 27200200000 TIGARD, OR 97 - Total $39.15 Phone 1: 503-443-4937 Con__tractor REQUIRE/ 'NSPECTIONS RP/Backflow Preventer Phone 1: Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work i; not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: -�- ' ' Permittee Signature: Call (5. ) 639-4175 by 7:00 P.M for an inspection needed the n"t business day Plumbing Permit Application — Date receivi S'/ 7 Permit _ City of Tigard Sewer permitnu.: 6uildingp;rmitno.: Address: 13125 SW Hall Blvd,Ti}yard,OP '172:.1 --- ('ty"//'A°"/ Phone: (503) 639-4171 ProjecUappl.no.: Expire dote: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use a-; roval: Case file no. Payment type: ' 1 I =famillyg or accessory ❑Commercial/industrial UMulti-family U Tenant improvement U Nl_IA(l-lition/aheration/rcplaccmcnt U Food service U Other: 1w]I 131 WI Vj 313 rily I 14UTZ=1 j w �� ) z ( r _ Description Job address: Total Site no_ L z Ne" t-and 2-family dweliilm's 010 Bldg.no.: (includes t(Ill fl.for each utility conn�rlion) Tax map/tax lot/account no,: _ SFR (1)bath_ Lot: Block: i Subdivisio+:• __ SFR(2)bath - -- -- --- Project name: SFR(3)bath City/county: 1661g 1t LIP: Each additional bath/kitchen _ ascription and location f worJc on premises:�iLSTA-rLr- Siteutilities: 4r.�c ' Catch basin/area drain Est.date of completion/inspection: � L� a z� Drywclls/leuch line/trench drain Footing drain(no.lin.ft.)Mimi 11100111011 I&IJU _ Manufactured home utilities _ 7Add 7name:0/jor— % < < «T• /Sc Manholes t'ra 2� Rain drain connector� Stat ZIP: T?0 So Sanitary sc.wer(no,lin.it.) =GSE rax: 1e-1(-ET41 E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no. in.ft.) Fixture or Item: City/metro lie.no.: "-- Absorption valve _ Contractor's representative signature: - sac flow revel .cr — Print name: , c L G/ ' 4-� Date:S"" n �-- � Backwater valve Basins lavatory Name: Clothes washer -- - Dishwaslier _ Address: Drinking fountain(s) City; State: ZIP: Ejectors/sw� Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): / 'r./(Xc.z SC/�f� C7?-, Floor drains/Iloor sinks/hub .� Garbage disposal Mailing address: N-b(2-C.) Hose bibb City:' / Statl y ZIP: c L -1—cc maker Phone:y -LOKI ►'ax: E-mail: Interceptor/grease trap Owner installation/rcsidential maintenance only: The actual installation Primcr(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) tAddress: ner's si nature: Date: Sump Tubs/shower/shower an Urinal Water closet Water heater City: _ State:_ ZIP: Other: Phone: Fax: E-mail: Total Nut all udatictiom ecce cmdlt cable,please coil udedicdon for more InfotmNion. Minimum fee...,........ ) $ 1 P+ 1 Notice-This hermit application ❑Visa ❑MasterCard expires if a nnit is not obtained Plan review(at _ 9... $ p � State surcharge(8°°0) ....$ Credit cera numl+er ___ __ _ - within 180 do is aper it has been --�_ --- p accepted as complete. TOTAL .......................$ Name of cardholders shown on cult ckW _ S -J� Cudholder siamure Amount 440.1616(6AQICOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) _ Q ea AMOU NT (includes all plumbing fixtures in ?RICE TOTAL Sink 16.60 the dwelling and the first100 ft QTY (ea) AMOUNT - ---- - Lavatory 16.60 for each utility connection)... - --- -- ----- _ One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three 3)bath__ _ $399.00 Water Closet 16.60 ----- SUBTOTAL _ Urinal 16.b0 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL - Garbage Disposal 16.60 _ __ _ TOTAL Lau..dry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2." 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 :"nater Heater O conversion O like kind 16.60 �- Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit, _ Capered MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain - 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Draln/Sink: 2" Sewer-1 st 100' 55.00 3" - Sewer-each additional 100' 46.40 4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures (specify) Storm&'laln Drain-1st 100' 55,00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - - Residential Backflow Prevention Device" 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 _ Requested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single fa.Aly dwelling 65.25 Grease Traps i 16.60 ---- - --- QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total is >9 - 'SUBTOTAL. - 8%STATE SURCHAQUE -- -- ""PLAN R1:VIEW 25%OF SUBTOTAL Required only i,fixture qty total is>e TOTAL *Minimum permit tee Is$12.50•8%state suichE rge,except Rnridnntial Backeow Prevention Device,which is$38 25•8%state surcharge ` All New Commercial Buildings require 2 sets or plans with Isomrtrl,,or riser diagram for plan review. 1:\dsts\forms\plm-fees.doc 12/26/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 SUP Received _ -Date Requested_ AM _--PM SUP Location ZU �- _Suite_ MFC — Contact Person — __ Ph( ) �' S il� PLM Contractor ___.—_ Ph(__—) SWR BUILDING _ Tenant/0-wrier _ -- ELC Footing ELC __- Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam -- -- - - - __ Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing - -- - - — - -- _-------- - Insulation Drywall Nailing -- ----�-- ----- -- -_--�— Firewall Fire Sprinkler _,___- ------- ----- --_d -�---- Fire Alarm Susp'd Ceiling - - '-- -- — ---- Roof Other.----.._ _ ---- -- ----- -------.._..__------- Final - PASS PART FAIL PLUMBING — --- Post&Beam — Under Slab - - ---- --- -- - Rough-In Water Service - -- - "- Sanitary Sewer Rain Drains --- — Catch Basin/Manhole Storm Drain -- --- Shower Pan Other: ------ ------_— _--- ina - S PART FAIL ��---l- - --- - _ ANICAL - ---- -- - - - - -- -- —- - Post& Beam Rough-In -- __ - — ----� Gas Line Smoke Dampers -- Final PASS PART_ FAIL -----_- -- - - --- --- -- --- ----- ELECTRICAL Service Rough-in -_-_ --- -- - --- UG/Slab Low Voltage --- Fire Alarm Final Reinspection fee of$_-_ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE _ Fj Please call for reinspection RE: E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dani Ext �� Iissp�atOf.l�L'—_ _LIQ Other:__— Final -- DO NOT REMOVE this Inspoctlon record from the job sato. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD TIGARD, OR 97223 IMPORTANT PERN11T NOTICE CT',IV� WOLCOTT PLUMBING CONT. INC MAY 2 5 2000 PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST20 0, 00133 Date Issued: 05/25/2000 Parcel: 25111 DA-14900 Site Address: 08820 SW PIPPEN LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot 142 Jurisdiction: TIG Zoning: R-7 Remarks: S/F PATH I Yc,ur 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, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received (-)VV N I F, PLUMBING CONTRACTOR: MATRIX DEVELOPMENT CORP WOLCOTT PLUMBING CONT. INC 6900 SW HAINES ST STE 200 PO BOX 2007 TIGARD, OR 97224 GRESHAM, OR 97030 f'honr ti Phone #: 667-1781 Reg #: I Ir. 00023847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Vhorized Plumber If you have any questions, pl ease call (503) 639-4171, ext. # 310 /\ CITY ITY ®F T I G A R D __ MASTER PERMIT PERMIT#: MST2000-00133 DEVELOPMENT SERVICES DATE ISSUED: 05/25/2000 13125 SW Hall Blvd,, Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08820 SW PiPPEN LN PARCEL: 2S111DA-14900 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 142 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE, STORIES: 7 FLOOR AREAS REQUIRED SETBACKS REQUIRED T CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,005 at BASEMENT: atLEFT: 16 SMOKE DETECTORS: r TYPE OF USE: St FLOOR LOAD: 40 SECOND: 824 at GARAGE: 520 at FRONT: 20 PARKING SPACES. 2 TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: at RIGHT. 4 OCCUPANCY GRP: R3 BDRM: 3 BAfH: 7 TOTAL: 1.829 UO of VALUE: S 139,517 73 REAR: 14 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: :00 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL T!PES FURN<10OK: 1 BOILICMP<;HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>-100K: UNIT HEATERS. HOODS: I OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES. VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL. RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRAN•.m CIRCUITS MISCELLANEOUS A001 INSPECTIONS 10.10 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OP.FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 -400 amp: 201 -400 amp: tat W/O SVCIFDR: 00 SIONIOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 500 amp: 401 800 amp: EA ADDL BR CIW SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR. 501 • 1000 amp: 501+amps-t000v: MINOR LABEL: 1000+amplvoll PLAN REVIEW SECTION Reconnect only: — ---- >=4 RES UNITS: SVCIFDR--225 A.. >500 V NOMINAL. CLS AREAISPC OCC, ELECTRICAL-RESTRICTED ENERGI A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALAkW INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: 01 HR HVAC: DATAITEI E COMM. NURSE CALLS TOTAL 4 SYSTEMS Owner: Contractor: TOTAL FEES: $ 3,495.54 This permit is subject to the regulations contained in the MATRIX DEVELOPMENT CORP LEGEND HOMES CURD Tl,ard Municipal Code,State of OR Specialty Codes and 69DU SW HAINES ST ST E 200 11130 SW BARBUR BLVD all other applicable laws All work will be done in TIGARD,OR 97224 PORTLAND,OR 97219 accordance with approved plans This permit will expired work Is not started within 1,30 days of Issuance,or if the suspendedwork is follow r 180 days adopted TyNh ION Phone: hone: Oregon lawreques yu to rues O R C-41 N A LP Oregon Utility Notification Center Tho-e rules are set Reg Iy LIC 00060553 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 844-8444 Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspe:tion Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Post/Ueam Mechanical Mechanical p Shear Wall Insp Insulation Insp Mechanical Final Issued By : Permittee Signature Z•t L ��Git Call (503)639 75 by 7:00 p.m. for an inspection need he ext business day CITE' OF TIGARD SEWER CONNECTION PERMIT _ DEVELOPMENT SERVICES PERMIT#: SWR2000-00095 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/25/2000 SITE ADDRESS; 08820 SW PIPPEN LN PARCEL: 2S111DA-14900 SUBDIVISION: APPLE'NOOD PARK NO. 3 ZONING: R-7 _BLOCK: _ LOT: 142 _ JURISDICTiO N: TIG _ TENANT NAME: USA NO: FIXTURE UNI-S: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 Ii,j STALL TYPE. LTPSWR IMPERV SUI: 47 CITE' OF TIGARD Residential Building Permit Application Plan c 1312 SW HALL BLVD. New Construction Date Recd 1 B 315 , q y ' Date toP.E. -A!5 72 TivARD, OR 97223 Single Family Detached � „� _ V 503-639-4171 Dale to DST 5• /_ c � _ F 503-684-7297 Permit#'C�yr1� ut; Print or Type Called Incomplete or .,reg ble applications will not be accepted car Name of Proje.t Name, Job �� IAddress ' Sit ss Architect Mailing Address f_ r� _ � ` — Na a City�State Zip Phone Owner MaiIfi57Address ` �1 Name cI tate 7.1 Phone Engineer M�Ilin Address ' General Name City/State, ZI Phone --- r"rr,;u,o' �a , 6,7 Contractor (� ,r�f 7i.n i�� Describe work New 0\ Addition O Alteration O Repair O Mailin�dress to be done Prior to permit /.r 7 5 5 •J-e-& G `f�� '4G� Additional Description of Work: issuance,a copy Mate Zip Phoneof all licenses are required if Oregon Const.Cont. Board Exp Date PROJECT r expired in COT Lic.# VALUATION _� database �(D Mechanical Name NEW CONSTRUCTION C NLY:' _ Sub- _-r Sq. Ft. House: Sq. Ft.Garage Contractor Mailing Ad e s Prior to permit of I A r J'C / �'� /� Indicate the restricted energy installation by the electrical issuance,a copy ClyIsla a Zip Phone subcontractor in the followin areas__ of all licenses ( ). t ��-�,, S" �- 77 Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation _ database �� !/1r�r� `S r'3 Civ System System _ Plumbing Nam9 (check all that Other: Sub- C) 4( �//�"l� i a I ) Contractor Mailing Address Number of Units in Building Unit Number Designation PC) -e' Has the Subdivision Plat recorded? N/A Y S NO Prior to permit //Cit /State Zip Ppope7 Issuance,a copy `/1 W --- of all licenses are Oregon Const.Cont.Board Exp.Date required , Lia# expired in C,mT ---- database Plumbing Lic.# Ex •Date I hearby acknowledge that I have read this application,that the _ L� i �,�► �} 31 _�, information given is correct,that I am the owner or authorized agent _ _l� of the owner,and that plans submitted are in compliance with Name Oregon State laws. _ Signature f Ow r ge � Date Electrical Ctr'1 ltri'-1 -�c __yam Sub- Milling Address -- CantaaPerion m / Phone Contractor -7 S .iJ 1rZ" hl" /'�'� �� c�► G '�'Qixa� ">cZ� ""X,->'q,11) City/State Zip Phone Prior to permit /,) ' Issuance,a copy C-9yl- FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont.Board Exp.Date --- --- - required If Lic.# Plat#: Map/TL#: expired in COT /A //-�-Y — -;-/-�-r-)/ c1 )'/' . i: �-- C / database Electrical Lic.# Exp.Date Setbacks: Zone: 3 '/- 3C75 C lei -/ -Cry Electrical Supervisor Lic # Ex .Date Engineering Approval: Planning Approval: TIF: I\dsts\forms\sfd-new doc 11120!96 FLOT FLAN LOQ` 1*142 , AFFLEWOOD FAR< R-125111 D/- TAX LOT 0141300 a02O 5UJ f=lf=f=EN LANE 5,E, 1/4 OF SECTION 11, T.2, R.1 UJ, W.M. CITY OF TIGARD W,45�4 INGTON COUNTY, OREGON LEGENDHOMES 127:511 511 AM AVENUE, 7rl(;ARD. ,r1ITE 100 OFFICE, (50;1) 820-•8080OR. 97223 WATER METER FAX (509) 598-8900 rr-©R oo583 Ul ------ WATER LINE S -- - — SANITARY SEWER SD— - - -- STORM DRAIN 4�- --- it OF STREET 5U) f=lf~PEN LANE • MANHOLE ® CATCH5ASIN - - .- - e. — -- - -- --- - -- - i -- - -- - - - �- - �-- r PP.OPOSED STREET TREES - - - - - -- -- ------� - I ---- STREET LIGHT - - FIRE HYDRANT cu�3 r I SIDEWALKNl�9'5d' I 1 '.d8.5@0'D' UTILITY I EASEMENT 2©©.S',' I I 201-4' 10 -' p @I 5' 10 S, I 147; 428 SQ. FT— EXETER' t. EXE TER11A 9 / FIH. FLR. - 20"'9' / F' z GARACsE FLR. s 201.13' 4.0' PROVIDE EROSION 1 ----( --��- CONTROL FENCE PER COMMUNITYEROSION PLAN PLAN 07 Ir✓ I LOT 1-5h -tee CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD. OR 97223 IMPORTANT PERMITNOTICE JUN 0 2000 GARNER ELECTRIC 21785 SW TUAI-ATIN VALLEY HWY S ALOHA, OR 97006-1248 ' Electrica! Signature Form Permit #: MST2000-00133 Date Issued: 05/25/200C, Parcel: 2 S111 DA-14900 Site Address: 08820 SW PIPPEN LN Subdivision: APPL_.EWOOD PARK NO. 3 Block: LOt: 142 Jurisdiction: TIG Zoning: R-7 Remarks: S/F PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required, Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATIN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNL-P ELECTRICAL CONTRACTOR: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HAINES ST STE 200 21785 SW TUA�.ATIN VALLEY HWY S T!GA-D, OP 972.24 ALOHA, OR 97006-1248 Phone #: Phone #: 591-1320 Reel #: LIC 121159 SUP 3707S FILE 34-305C AN INK SIGNATURE IS REQUIRED 0N,,T11IS,.FORM _X Signature of Supervis ng Electrician If you have any questions, please call (503) 639-4171, ext. # 310 C'.TY OF TIGARD BUILDING INSPECTION DIVISION .F e - Business Line: 639.4171 4 your Inspection Line: 639 4175 Bus es q BUP Date Requested / I AM /U PM BLD Location _(� �'�^�L ''� --___— Suite MEC __— Contact Person Ph PLM Contractor --- — --- - Ph _ SWR _aigL— -Tenant/OwnerEL.0 e airing Wall -- --`--�—_ ELR Footing Access: CPS Foundation _-4- Ftg Drain SGN Crawl Drain Inspection Notes: ----__ ✓ --_-- Slab — __— _.__.___--_ __ _.-_____ SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Sheaf Framing Insulation Drywall Nailing Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling _ _ _ _..___-- -.--- -------------.----- ---- - Roof - PART FAIL -- - ---- -- -- SING Post& Beam Under Slab _ 1 op Out Water Sprvice Sanitary Sewor Rnin Drains _-- -- - - -- Final PASS RI FAIL METHANIC!,L2, os .earn Rough In Gas Line e Darnpers Fina S PART FAIL. CTRICAL Service Rough In UG/Slab _-- - _. _-____-- .-___. - Low Voltage Fire Alarm _._ -- ----- --------- - - Final PASS PART FAIL. _- 31TE _ Backfill/Grading � - --� --- -- --v----.- ----- Sanitary Sewer (} Storm Drain �IZ� 6 ( I Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin , Unable to inspect-no P,-.cess Supply Line ( )Please call for reinspection RE ( ) ADA Appioach/Sidewalk C. Other Date _ / `�— -- Inspector_-- -___ —" _-_-._ Ext -_l Final PASS PART —FAIT_ 00 NOT REMOVE this inspection record frons the job site. t CITY OF TIGARD Residential. Certi f is ate Of Occupancy Perrnit No.: Akl�,`T 2 000-- Address: Owner/Contractor: LDate of Final Inspection: A �-', U r, Inspector: � ✓ �,�.-----�-"' -- Phis structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling -S,er1 Code and is hereby approved for occu anc . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _ Date Requested__ _ 0 AM_ _PM _ BLD Location_ S ) Suite `-__ ----- — --. MEC Contact Parson Ph — PLM Contrartor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall i` ELR Footing Access — - --- - Foundation FPS Ftg Drain - -------------- Crawl Drain Inspection Notes. SGN Slab SIT Post&Beam --- — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ' Fire Alarm Susp'd Ceiling --- -- --- __- Rcof Misc: ----- -_ - Final PASS PART FAIL - -- - -- -- - - PLUMBING Post&Beam Under Slah Top Out - Water Service Sanitary Sewer Rain Drains Final - _.. - ---- -- ----- -_ PASS PAR i FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers i Final PASS PART FAIL LEC;TRI Rough In UG/Slab - Low Voltage - --------- - _ Fire Alarm ART FAIL SITE _ Backfill/Grading ----� -- -� Sanitary Sewer Storm Drain I J Reinraection fee of$ __ required before next Inspection. Pay at City Hall, 13125 SW Hall blvd Catch Basin Fire Supply Line [ ]Please calf for r nspection RF _ _ [ J Unable to inspect no access ADA Approach/Sidewalk I Date _ 9 Other / Zi: __ Inspector Ext Final � � PASS PART FA►L 00 NOT REMOVE this inspection record from the job site. Cl FY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour InRpectiun Line: 639-4175 Business Line: 639.4171 BLIP _ Date Requested," �_. ^_AM PM BLD —— Location c,✓ �i � L��_____— _ Suite _ — MEC Contact Person Ph PLM Contractor Ph SWR BUILDING — Tenant/Owner ELC Retaining Wall ELR Footing Access: -- ----- _-------- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — ---------- Slab — — - -- - -- ----- ---- SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - -------------- ------- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ _-_______. Roof Misc: -- - - - - Final PASS PART FAIL - - - C I last& Beam Under Slab 'Top Out ----- Water Service Sanitary Sewer Drains Fin SPART FAIL CI-IANICAL I ust& Beam - ------._ - - - Rough In Gas Line --__ — --- - ---. Smoke Dampers Final - --- - - __ PASS PART FAIL ELECT RIGAL - ---- -----__ Service Rough In UG/Slab - Low Voltage Fire Alarm _------------__.... - ---- Final PASS PART FAIL _— -- 9ITE _- Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF: — [ j Unable to inspect no access ADA Approach/Sidewalk Date -- _- _ ._-- _ ,Inspector \�� _--_ . .__._Ext Other Final PASS PART FAIL I DO NOT REMOVE this insperctiore record from the job site.