11500 SW FONNER STREET n
0
0
0
0
0
11 1111 till' Fonncr Street
1
�Y OFT I V i�R® �— MASTER PERMIT
PERMIT#: MST2000-00511
DEVELOPMENT SERVICES DATE= ISSUED: 11i22100
13125 S!'V Hall Bivd., Tigard, OR 97223 (503) 639-4,171
SITE ADDRESS: 11500 SW FONNER ST PARCEL: 2S103AC-02400
SUBDIVISION: ZONING. R-4.5
BLOCK. LOT: JURISDICTION: TIG
REMARKS: Construct a _4'by 56'addition to an existing s;nrle family residence
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK, ADD HEIGHT: 18 FIRST: a1 BASEMENT: at� LEFT: SMOKE DETECTORS:
TYPE OF USE: Sr FLOOR LOAD: 50 SECOND: a1 GARAGE: 1.344 at FRONT: S2 PANKING SPACES:
TYPE.OF CONST: 5N DWELLING UNITS: FINBSMENT: at RIGHT 5
VALUE: E 30 881 On
OCCUPI,N','ORP: R3 BDRM: BATH: TOTAL: 000 at REAR. 43
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN. TRAI'R:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CAI CH BASINS:
TUBISHOWERS: GARBARE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL ICM'<3HP: VENT FANS: CLOTHES DRYER:
FUSIN>000K: UNIT H, >TERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: vSNTS: WOODSTOVES: GkS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS_ AUL•'L INSPECTIONS
1000 SF OR LESS. 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMPIIRRIGArION PER INSPECTION
EA ADD'L 500SF: 1 201 400 amp: 201 400 amp: tat WIO SVCIFDR: '310NIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 - 000 amp: EA ADDL BR CIR: SIGNAL./PANEL: IN PLANT:
MANU HMISVCIFDR: 001 • 1000 amp: 6014ampa•1000V: MINOR LABEL:
10004 emplyolt
PLAN REVIEI'!SECTION
Reconn.ct nnly:
>•4 RES UNITS: SVCIF1^ •225 A.: >000 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERC IAL--
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BUROL AR ALARM: 0TH: BOILER: HVAC: LAN 35CAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR:
HVAC: DATAfTELE':ON M: NURSE CALLS TOTAL N SYSTEMS,
Contractor: TOTAL FEES: $ 921.69
Owner: This permit is subject to the regulations contained in the
FILLER, DAVID E +MARY^. JOHN AARNESS Tigard Municipal Code,State of OR Specialty Codes and
11500 SW FONNER ST 18030 CHICKARE E DR all other applk:able laws. All work will be done in
PORTLAND,OR 97223 OREGON CITY, OR 97045 accordance v'Ith approved plans. This permit w1';expire if
work is not started within 180 days of issusno:,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 44725 forth in OAR 952-001-0010 through 952-001-0080. You
may jbtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
RE=QUIRED INSPECTIONS
Erosion Control Insp 8, Electrical Rough In Plumb Final
Footing Insp Framing Insp Building Flnai
Foundatlon Insp Shear Wall Insp
Footing/Foundation Dr; Rain drain Insp
Electrical Service Electrical Final
�}�-� E F
Issued B Permittee Signature : �` J.�a
Y - -- _ --- _— —
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
s.�
' Building Permit Application
— ►Jatereceived: //-/y -00 Permit nr,;/`/yr• ��
City of Tigard
Address: 13125 SW Ilall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expiredme:
City q/I igurJ phone: (503) 639-4171 Date issued: By: Receipt no.: t
Fax: (503) 598-1960 Case file no.: Paymenttype:
,i
Land use approval: I&2 family:Simple Complex:
TVPUOF,PERM117
U 1 &2 family dwelling or accessory U Commercial/indusinal J multi lanuly U New construction U Demolition
,WAddition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:L JOB SITE
1 '
Job address: r C f.N•e 7 77( Bldg.no.: Suite nr,.
-- - —
I,ot ' i Block: __ Sulxlivision: _ JTax map/tax Iot,'account no.:
Project uante: --
Description and location of work on premises/special condlAW, (Floo
'
Mailing address: \k576() 5 ,Fl 1 do 2 farml) d"eilhtg:
State: �'
City: —�T C� LIP: r� Valuation of work............................•........... I ,3O SUB,
Phone: = 6 X f-jjjFax: E-mail: No.of hedrooms/baths....................
Owner's representative: - NisC.b1 V ICYJ Total number of floors................................
llllrrnvc S 537,- 5i:Q Fax: 1 - S ett`E-mail: I New dwelling area(sq.ftJ ..........................
LAUA
Oarage/carport area(sq. ft.)
7� ,1
Name: Covered porch area(sq. ft.) ........,
�-� � c;N ��-�( l�f�(C nJr<i S
Mailing address: 1, UU . '( . Deck arca(sq. f.)..................... ..................
---
City: ,Q e:.01 (Y k State:C� ZIP:7 S L457 Other structure area(sq. ft.)... ..... ...............
Phonc:6 - 'r` rr I':,•, r F-mail: CommorcinUindustrlal/multi-family:
[LIMIRACtORValuation of work........................................ I. —
BUsineAsVlA>R: 't-__ k' ��>NSfYLXA "0f
Existing bldg.area(sq.ft.). ..........................
--- New bldg.area(sq.ft.) —
AdC.
« .1� Stale ZIP: Cj Number of stories........................................ —_—_--
Phone: 5 Fax:�y hoc r E-mail: _ Type of construction....................................
5^ JZxY ---3 Occupancy group(s): Existing:
_CCB no.: yU j•,� New: --
City/metro lie.no.: Notice:All contractors and subcontractors are re-:)uired to he
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
Address: jurisdi.,tion where work is being performed.If the applicant is
Cit _ tit;itc: T ZIP:
exempt from 1=censing,the following reason applies:
Contact person: — flan no.: --
Phone: — Fax: E-mail:
I
Nante: Contact person: Fees due,-upon application .......................... $_f__5�11_
Address: Date received: —
City: State: ZIP: Amou,'.received ... .. .. . ........................... $--_---
Phone: Fax: Email: - ` Pleaie refer to fee schedule.
I hereby certify I have read and examined this application and the Nor ali iuriaticUana.c A credit cards,please can ludadicil m for more infonwuxt.
attached checklist.All provisions of laws and ordinances governing this U viva U MasterCnru
work will he compliedith,whe her specified herein or not. Credir raid numhet:_____ _
F.xpites
Autherized signifture__ 1.Date: `1 ,�; _ Name nr card!mlder as shown on cmilt cig_
Print name:�~�L�'_(1�, _�,�.1 d --------. dhohkr signature a Amount -
Notice:This permit application e!}iires if a permit is not obtained within 180 days after it has hren accepted as complete. Lu,—1 4 0.1)( oMr
One- and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
CttynjTrgard City of Tigard O Electrical U Plumbing U Mechanical
Address: 13125 SW HalI Blvd,Tigard,OR 97223 U f�ti,er.
Phone: (503) 639-4171
Fax: (503) 599-1960
'I[IF FOLLOWING ITFINIS ARE, 11IFIQUIRED FOR PLAN I(ENUAV I es No N/A
I Land use actions completed.Sec jurisdiction criteria for concurrent reviews.
2 'Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plotilot. —
4 Fire district_._._approval requirel.
5 Septic systent permit or authorization for remodel. Existing system capacity
6 Sewer permit._
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan U permit required.Include drainage way protection,silt fence design and location of
catch-basin protection,etc.
i o ,J: Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
I I Slte/plot plan drawn to scale.The plan must show lot and building setback dimensions;fmperty corner elevatio (if
there is more than a 44t.elevation differential,plan must show contour lines at 24 interva s , on ffeii ement.,and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;loi
area;building coverage area;percentage of coverage;impervious area;existing structures on site;avid surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and heation.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
_ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,suh-floor,
wall construction,roof construction.More than one cross section may he required to clearly portray co,struction.Show
details of all wall and roof sheathing,rooting,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 F levation views.Provide elevations for new coustruction;minimuat of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptiv�.L,tth analysLprovide specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/rool assenikies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
19 Basement and retaining walls.Provide cross sections and details showing placement of rchar.For engineered
systems,sa item 22,"Engineer's calculations." _
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple Joists
over 10 feet long alid/or any heam/joist carrying a non-uni,otm load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required
f"arlitect
for more appliances.
calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
ensed in Oregon andshall he shown to be applicable to the project under review.
23 Five(5)site plans arc required for Item 11 above.
24
25 _
26
27
28
Checklist must he completed before plan review start date. h nor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440.4614 tuaaroMI
1) �
Electrical Permit;application
' Datereceived: Permit no.:
——
AiN&
City of Tigard Projccdappt.no.: Expire date:
CityofTigard Address: 13)25 SIN Mall Blvd,Tigard,OR 9722.1 Date issued: _ By: I Receipt no.: _
Phone: (503) 639-4171
Fa c (503) 598-1960 Case file no.: Payment type:
Land use approval:
t
❑ I &2 family dwelling or accessory U Comnrc-cial/industrial U Multi-family U Tenant improvement
U New construction Adclition/alteration/replacement U Other: U Partial
'JOB SITE INFORMATION'
Joh address: SZb > U tr 5+ 1 , Isl,lr n" _ Suite no.: Tax map/tax lot/account no.:
Lot: 00 Block: 9� Subdivision: T--T—
Project name: �{� �� Description and location of work on premises:-AJ UPJ LYz X 51 __*
Estimated date of com Ietion/ins ction: _
1
Fey Ma%
Job n0:
,p Description Qty. (ea.) lutrl no.insp
Business name: ��F/\ — Newrtstdential-sinRkormulli-family lwf
Address: 'E E ,Q dwelling unit.Includes attar hed garage.
City: State: ZIP: Service included;
Phone: Fax: I E-mail: IWO sq.ft.or less 4
Each additional 500 s .ft.of portion thercol
CCB no.: EICC.bus.tic.no: Limited energy,residential 2
City/metro lic.no.: Limited energy,non-residential 2
Each manufactured home or modular dwelling
signature or supervising electrician(required) Date. Service and/or feeder 2
Services or leaden-Instal lallon,
Sup.elect.name(print) License no: alteration or relocallon:
W ILIKI 11101;1! 200 amps or less 2
201 amps to 4tX)amps 2
Name(print):���.r� `L��e C _ 2
401 amps to 600 amps
Mailing address,. S— J Cr•- � 601 amps to 1000 amps 2
Clay: - Slate: ZIP: Over I(XX)amps or volts 2
Phone: f Fax: — E-mail: Reconnect only
Owner installation:The installation is being made on property I own 'Icmporaryservicmorfrederv-
Installation,alteration,or relocation:
which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2
URS 447,455,479,670,701. 201 amps to 41X1 amps
Owner's si)nature: Date: 401 to 6(X)ams 2
Branch elrcults nr»,ahrrstlon,
or extension per panel:
Name: _ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch nircuit _ 2
City: State: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
Phone: Fa►x' E-mail Fach additional branch circuit:
Misc.(Service or feeder not Ine:uded):
O Service over 225 strips-commercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of l&2 U Hai.ardousloc:adon Each si nor outline lightin 2
family dwell Ings U Building over 10,W)square feel four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nornir,,: more residential units in one structure alteration,or extension'
U Building over three stories U Feeders,400 amps or more *Description:
—
U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspection over the allowable M any of the above:
U Egressllighlingplan J Other: Per inspection
Submit..seta of plans with any of the above. Investigation fee
The above are not applicable to temiwrrry_construction service. other-
- — Permit fee.....................$�
Not all jaisdicnom acceptse credit cards,pleacell jurisdiction for mese infortrution. igotice:This permit application
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ r _�
Credit card number: ___ �1_ L—._ within 180 days after it tins been State surcharge(8%)....$
Expires accepted as comnlete. TOTAL .................. ....$
Nmm of cartaio r u g ovm n— n c card s
r——Cardholder sl afore Amount 4404615(6WCOM)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: --R ---_-- - --estricted Energy Fee...................................................... $75.0000
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total l Check Type of Work Involved:
Residential-per unit ❑
1000 sq it or less $145 15 _ .3 Audio and Stereo Systems
Each additional 500 sq fl or
portion thereof $3340 _ _ 1 L� Burglar Alarm
Limited Energy _ $7500
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $9090 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30 2 Vacuum Systems'
201 amps to 400 amps _ $106.85 2
401 amps to 600 amps _ _ $16060 2
601 amps to 1000 amps $740.60 v 2 Other
Over 1000 amps or volts $454.65 2
Reconnect or.1y $66.85 � 2
Temporary Servl:os or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Fee for each system......................................... .. . . .... . $75.00
Installation,alteration,or relocation
200 amps )r less $66.85 2 (SEE OAR 918-260-260)
201 amp,to 400 amps $100,30 2 Chick Type of Work Involved:
401 amps to 600 amps $133,75 2
Over 600 amps to 1000 volts, r—,
see"b"above. u Audio and Stereo Systems
Branch Circuits ❑ Boller Controls
New,alteration or extension per panel
a)The fee for branch circuits ❑
with purchase of service or Clock Systems
feeder fee.
Each branch circuit $6 65 ❑ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $4685 _ ❑ HVAC
Foch additional branch circuit $6.65
Miscellaneous ❑ Instrumentation
(Service or feeder not Included)
Each pump or Irrigation circle $53.40 _ ❑ Intercom and Paging Systems
Each sign or outline lighting _ $53.40_
Signal circuits)or a limited energy El Landscape Irrigation Control'
panel,alleralion or extension $7500 _,
Plinor Labels(10) _ $12500 ❑
Medical
Each additional Inspection over
the allowable in any of the above ❑ Nurse Calls
Pet Inspectian _ $62.50_
Per hour $62.50___ ❑
In Plant $73.75 _ _ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter tat.I of above fees $ - ❑ Other
n%state surcharge $ --------Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations
See"Plan Review"section cn $
front of application -
Fees:
Total Balance Due
-- Enter total of above fees $_
❑ Trust Account q.,_ _ __.- 8%State Surcharge $
—- �— -- - - - J Total Balance Due $ --_---
0dsts\fauns\cic4ees.doc 10/09/00
Loll : 2400/2500 see( 3 T.S. 2S R i 1
Owner: Dave& Mary Diller
Phone # (503)620-1912
Address: 11500 SW. Donner st.
Tigard, Or. 97223
pooh
�Xt arc l�ddl�i4f1��is
Par6v Are-
4d
Doug loug Fit,Lree
Way Doug fir{ret
nc� _
��. �:onner st
4
Permit#: r -t
of o _
Address: ,/�O :5-cy IZ -
�, I`�ucd by: w� Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Nate: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign �ltg
fallowing statement before a building permit can be issued. his statement is required
for residential building, electrical, mechanical, and plumbing permitsf Licenses
architect and engineer applicants, exempt•from reg istrahoa � 701.010(7),
need riot submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
Tr1. 1 own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is-lioW.t.1 A2 AJ 1�-f `� �_ `a
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If 1 hire subcontractors, 1 will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby c_+rtify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
`�y7— Ems✓J��_--- - — ��/'2 j� ° ----
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink cop),to applicant)
Information Notice to Property Owners
Abau,t Construction Responsibilities
5
I it i., II' � ,II :'I�I ,.. III ,Q1: ''I III' _ :l•. ���
l,l1.1:1.-ufey 1jT11 l'. ." :,', ..Ift,.,X i ., i��sJv1.'lllj. 14,�ilry]L1f'IitliC. .alt{ JJ '.I• u,�,LC"Ift.Cl'll.
EMPLOYER RESPONSIBIU,rICS;
It i 'I Ilt. 1111 i til I!. , 1 �'li1(ti'
. .tll � 1;. .. �'1 (11• t'I�1;'11 t6 i,G.1, - 'il.. ,lt`I,,',, ,II li� il :II'.
d i .f,t ,laF .. �'�a�tr'E!\If11r1!�fa.'ti �[ .I ..1 .'11111. ..,, J.. .X1.1'. i , ,. Ir,ill', `I1 1'Itt �' ..•r'
0 ,,n'i 1 0:111' " .'Irl, ir1 tlt:•lit` I•!ttrh ,��t'I'rl"�I, i
„(1.1
i
't 171f 1
' •1:1. r In, ��. 111 t
I t ,tpf l+ t t11Ii 1,th1114,
1iubilil.j mid jprop.•Ittidi1im.i.•. Iimti i..m vu. .l ,I , Ilr,�tI1.111�� .Ip,t!�I1'.� ,t i w�ttllldlC:ILI,,(llli311' tll?,II11)1t , ,
l
SII tJt�11 C•;,1,L� Ill!I; dull`. `.11t'i, t ,..:f i:i I' ..i �111i .I' I ,..111 I,u It,I ;t' ,
a II fi11%L, p,Illllt,llC`.. (ll't'
:Iltltc.
1tri31` 1u411OPI'r�+.t'r'1)1p.11tr1f+ '11;i� � 11 ' rr�: i ' I1n11 I 1111 1.11 t"1111'"1±rvt,..,.
Ir.Crll`1`NL(': hi1'11�1'Clll`l`Cull h''t 1'I'• \I f"1' I ,tt 1 It 1 1 i'"It,`i,.I 1 i,Illf:t;'!f tf.h ('"lrlr(Ilrllllt'Ihl'wt Irk(-, l'1V11'II 111 mid 11111 1'
lfntll'`. ,Intl N'1 ral+thv 1Nsti1dillf• I,rt'1r•1;i1.' 11 0'.- 1.1�I�'Irr'ali l ,lt,., (•t r'71' 1' t';'I! 1�.'''(•nt't'1 tllt•rr(1UItt`f1 irl�(�l'l'110114.
i
II ykm h;r+'c nilditiClntl) cllri'�1e;�11 ��I�I�"irl , .rll �Ilr I „1 ,n 1 "hill t',rlltl,lyit-, 131,.nd (110 Box 14140,Salem,Ok ')i'(ln
l)Z/�7ti. 1f'I i Thi Hclrlr,l l 11., .It. , .a i1t1 `uln nt i tit \I tiuilr lflfi, ul I;alum.
I'l rtr.I Iwfl.111114
V'04
i
CITY OF TIGARD 24-Hour O
BUILDING Inspection Line: (503)639-4175 S�
INSPECTION DIVISION Business Line: (503)639-4171 ,x." -�--� P
Received 1 03 —Date Requested—� Z b - AM-- `P �— SUP -------
Location /S�Od vt�� — _—Suite —__ MEC
Contact Person . Ph( __._) ' Z PLM _---_
Contractor Ph ( -) -- SWR
ILDI Tenant/Owner _ _ — ELC —
Footing ELC -
Foundation Access: ELR
Ftg Drain ,Q �4, ---
Crawl Drain , / SIT
Slab Inspection Notes ------
Post&Beam _ __
Shear Anchors ♦�,�\
Ext Sheath/Shear _ — —
Int Sheath/Shear /
Framing J CX
Insulation y� � ,.
Drywall Nailing Sr�
Firewall
Fire Sprinkler -
Fire Alarm C�
Susp'd Ceiling
Roof ,� I L f- y'�-v✓i —_
v
Otn ac;
SS PART FAIL
AL / p
Post&Beam /`I 4) 1.S`r t,14 -JA-4—f'-�Y
Under SlabTim`
Rough-In - -�,�,� C . lGo��7 Li, F)
Water Service -
Sanitary Sewer
Rain Drains 7T
Catch Basin/Manhole
Storm Drain - 2
Shower Pan � .Q_e./��'► C- _
Other:
Final � f s2,.
• _ —
PASS PART FAIL •-
MECHANICAL --
Post&Beam — � /v � 2
Rough-In ! -�-- --
Gas Line
Smoke Dampers ---
Final
PASS PART FAIL --
ELECTRICAL
Service
Rough-In - —
UG/Slab
Low Voltage -- - — -- — ---- — — ---
Fire Alarm
Final ❑ Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ll Please call for reinspection RE: Unable to inspect-no access
D apply Line
ADA pia_ b �_ Inspector^—�'�-���-�— Ext_
Approach/Sidewalk ,
Other:__--
Final - DO NOT REMOVE this inspection record from the fob site.
PASS PART FAIL
CITY OF TIGARD PI IILDING INSPECTION DIVISIr N MST��G G�i ��
24 Hour inspection Line: .9-4175 Elusir.ess Lirie: 63, .171
7 BUP
Date Re nested
w , n � Suite - —
Locations�Z a 5 � ,, � MEC
Contact Person _ Ph Z& /9 Z- _ PLM
Contractor 10&LJY1 Y — Ph - SWR
BUILDING Teiiant/Owner _ ELC
Retaining Wall ELR
Footing
Foundation I ?CCGSS:
'PS
Ftg Drain
Crawl Drain Inspection Notes: SGN _
Slab .�..-- -------
Post 8 Beam SIT
Ext Sheath/Shear
Int Sheath/Shear - -------- --
Framing
Insulation - - - -
Dry vall Nailing
Firewall --
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
Roof
Misc: _
Final --
PASS PART FAIL
PLUMBING
Post& Ceam -
Under Slab
Top Out —
Water Ser vice
Sanitary Sewer
Rain Drains
Final - --
PASS PART FAIT_
MECHANICAL
Post& Beam _
Rough In -
Gas Line
Smoke Dampers
Final
PASS -PART FAIL
ELE� RICAL- ----
NICE: ---
Rough In ---
UG/Slab _
Low Voltage
Fire Alun
ASS IPART FAIL
Backfill/Grading - - -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: ( J Unable to inspect-no access
ADA
Approach/Sidewalk �y
Other Datetl Inspector„ Ext
Final
PASS PART FAIL OG NOT REMOVE this inspection record from the job site.