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14130 SW FERN STREET
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00631
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 12/22/03
PARCEL: 2S 104BC-02000
SITE ADDRESS: 14130 SW FERN ST
SUBDIVISION: HANDY ACRES ZONING: R-7
BLOCK: LOT: 021 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 1,660 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of 1,660' of private water service for new subdivision. Access to project is from Oxalis Terrace.
_ FEES
Owner: Description Date Amount
RIDGECREST HOMES II'LUMBI I'crniii Pcc 12/2.2/03 $797.40
66 0 SW 92ND SUITE 210 I''LMPLNI I'lan Ito icy\ 12/22/03 $199.35
PORTLAND, OR 97223
i n\I ti",,State tiurrhar) 12122/03 $63.80
Phone : 503-246-8808503-246-8808Total $1,060.55
Contractor:
CRAFTWORK PLUMBING INC:
7742 SW NIMBUS AVE
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Water Service Insp
Phone : 644-8698 Water Service Insp
Reg#: LIC 79666 Final Inspection
I'LM
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State c' .'R.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 11 80 days of issuance, or if work is s,ispended
for more than 180 days. ATTENTION: Oregon law requires you to fcllow rules adopted by the Oregon
Permittee Signature:
Issued By: _ �� � tri
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next buslnes ay
Building Fixtures
Plumbing Permit A *ci inn Received ^- Plumbing
Date/H / 9�! l► r+h Permit No.: W&W zr&.�
City of Tigard � � Planning Approval Sewer
Date'B : Permit No.:
13125 SW flail Blvd. �� Plan Review — Other
'Tigard,Oregon 97223 nJ Date'By: Permit No.
Phone: 503-639-4171 Fa7t�ff"-M-[Q6PAV4'D Post-Rcview Land Use
Interltt'.t' wwW.ci.tigard.or �� to pIVISI Date,By. Case No.:
Contact Ju t" See Page.'for
t1
24-hour Inspection Reques . 9-4175 NarneAlethod /Cv' Supplemental Information.
TYPE OF WORK FEE"SCHEDULE(for sReclal In_formation use checklist
New construction Demolition Descrl tion City. Feefea.► Total `
Addition/alteration/replacement Other: New I-&2-family dwellings
ncludes 100 ft.for each utllt connection
CATEGORY OF CONSTRUCTION SFR 1 i bath 249.20
I & 2-Family dwelling Commercial/Industrial SFR(2)bath _ _ 350.00
�Accessog Building Multi-Family SFR 3 bath _ 399.00 _
❑ Master Builder Other: Each additional bath/kitchen _ 45 on
JCR SITE INFORMATION and LOCATION Firesprinkler-sq. ft.:
Job site address: </j f,[.A) .I Site Utilities
Suite #: Bld ./A t.#: Catch basin,'area drain 1060
r.
Project Name: '• _ Dr ell/leach line/trench drain _ 1000
—
S��'rr" C t`SJ-- Footing drain no. linear ft.) _ P.Ige 2 r
Cross street/Directions to job site: Manufactured home utilities 110.00
t^G`f�J 77' Fl�'Jtc'T is �/lv/`1 Ol✓ACIS Manholes _— — \
_ I G.60
Rain drain connector _ 16.60
��A a Sanitary sewer no. linear ft. _ Page 2
—T-- Storm sewer no. linear ft. Page 2
Subdivision: _ , Lot#: ____ ( _ r_
Tax map/parcel #: Water service(nu, linear ft.) Pae 2
DESCRIPTION OF WORK Fixture fir i+em
---- ,46scrption vale _ 16.60
_LJ A a ��Dv r r�L--_. Backflow pieventer Pae 2
Backwater valve 1660
Clothes washer _ 10.60 U
— -- Dishwasher 16.60
PROPERTY OWNER TENANT9 L. --
Drinking fountain IG.6o
I -- Ecctors/sum 16.60
Name: w f�c C} --- Fx ansion tank 16.60
Address: Sal '22 ,WC Fixture/sewer cap 16.60
CitState/Zip: n 1n CQ Q2. Floor drain,'floor sink/hub 16.60
Garbage disposal 16.60
Phone: SO 3 24
Fax: Hose bib 16.60
APPLICANT CONTACT PERSON Ice maker 16.60
Name: _ Interce tor' rease trap 16.60
Address: _ Medical gas-value: S Pae 2
City/State/Zip: Primer 16.60
Roof drain(commercial) 16.60
Phone: — j Fax: _—_ Sink,'basinilavatory 16.60
E-mail: Tub,,shower sho%%er pan 16.60
_ CONTRACTOR Urinal 16.60
Business Name: Water closet — 16.60
Address: 7 7 y' Water heater 16.60
o[.t. i 11F�i� y Other
City/State/Zip: 6`'',A ,''f 177ee9 1 Other.
Phone: Fax: _ r Plumbing Permit Fees*
sul'iutal S
CCB LIC. #: i GG — Pltt b. Lie.#: p- I yi4 /�
AuthoriAuthorizedMininwn Permit Fee S72 50 S
Signature: Date: �z �y-1�J7 Residential Hackilow Minimum Fee S36 25 /
Plan Review(25°a of Permit Fee) S S'
State Surcharge W.of Permit Feel $
i Ple-iseiiKrtni names TOTAL PERMIT FEE S
Notice: 111 new commercial buildings require 2 sets of plans with isometric or
180 days after it has been accepted a.comp lett. riser diagram for plan reslew.
•Fev methadolog� set hs Fri-(ounq Building Industn Sersice litrard.
i Dsts\PermitFormsTImPermnAppdoc 01'03
Plumbing Permit Application -City of Tigard
Page 2 - Supplemental Information
Fee Schedule: ResidentialFireSu pression Systems:
Site Utilities Qty. Fa(ea) Total Square Footage: 1 Permit Fee:
Footing drain-I"100' 55.00 0 to 209) _ SI 15 011
Footing drain-each additional 100 46.40 2,001 to 3,600 $160.00 _
3,601 to 7,200 5220.00
Sewer• I st 100' 55.00 7,201 and greater 5309.00
Sewer-each additional 100' 46.40
Water Service-Ist 100' 55.00 Medical Gas S stems•
Water Service-each additional 100' o�/ 46.40 Valuation: Permit Fee:
Storm&Rain Drain- Ist I00' 55.00 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 572.50 for the first$5,000.00 and 51.52 for each
Fixture or Item Qty. Cee(q) Total including
S100.00 or fraction thereof',to and
includin SIOSM.00.
Commercial Back Flow Prevention Device 46,40 $10,001.00 to 525,000.(N) 5148.50 for the first$10,000.00 and 51.54 for
Residential Backflow Prevention Device each additional$100,00 or fraction thereof,to
(minimum permit fee$36.25 _ 27.55 and including$25,000.00.
Rain Drain,single family dwelling 65.25 525011.00 to 550,000.00 5379.50 for the first S25,O00.00 and 51.45 for
Inspection of existing plumbing or each additional SI00.00 or fraction thereof,to
speciallyipecially requested inspections-per hour 72.50 and including$50,000.00.
Subtotal: $50,001 00 and up 5742.00 for the first 550,000.00 and 51.20 for
each additional$100.00 or fraction thereof.
Fixture N ork:
kre Jou capping, moving or reulacing existing fixtures? If
'Yes", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity b (Flit re)Work Performed Comments regarding fixture work:
Fixture Type: Replace
New Moved Existing Capped — --
Ba ust ,Font _
Bath -Tub/Shower
-Jacuzzi/Whirlpool —
Cor Wash -Each Stall
-[hive T.ru — -Cuspidor,Water Aspirator —
Dishwasher -Commercial
-Domestic — — -- ---
Drinking Fountain
Eye Wash
Floor Dramisink -2"
_Y — -
-4"
Car Wash Drain *Note: If the fixture work under thiF permit resul s in an
Garbage -Domestic
Disposal -Commercial increase of sewer EDPs,a sewer permit will he issued and
-Industrial fees assessed for the sewer increase must be paid before the
Ice Mach Refrig Drains _ plumbing permit can be issued.
Oil Se arator Lias Station
Rec.Vehicle DuniStation
Shower -Gang
-Stall
Sink -Bar I a%atom
-Bradley
-Commercial
-Scrvice _
SIAlrotning Pool Filter
Washer-Clothes
Water Fxtractor
Water Closet-Toilet
Unnal
Other Fixtures.
i Dsts',Permit Forms'PlmPcrnntAppPg.'.dux M „t
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _ Date Requested— ��12yy3 AM __ PM_ BUP —Location ----- _ � __!5� Suite--__ MEC -- -__—�
31
Contact person oR 0 �—--/� �- -J---— Ph( ---) – ----
Contractor _____— ____________.. . Ph(--) SWR _
BUILDING Tenant/Owner _______ —_____— —_ _ ELC
Footing — ELC __-
Foondation Access: -
Fig Drain ELR _-
Craw. Dain
Slab Inspection Notes: SIT —
Post&Beam
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- -- - -- --- ------ -_- - -
Firewall
Fire Sprinkler -- --- --W- - ------ --
Fire Alarm
Susp'd Ceiling - --
Hoof
Other -- -� -----
Final
PAS'3 PART FAIL -
PLUMBING
Post& Beam ^'
Under Slab — ---- -- --
Rough-In
0MVITTe'rvice - -- — —
"rn er
Rain Drains - --- ----- —
Catch Basin/Manhole i
Storm Drain -- ----J--- --
Shower Pan
Other,,_
zo
PASS PAR'r FAIL ,
MECHANICAL
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 Please call for reinspection RE: __ _-- _-__ Unable to inspect-no access
SITE - -
Fire Supply LineADA Date � 6)
i InsPcto� Fxt
Approach/Sidewalk j
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
4 j�� �'•t� . ll-r
August 3, 1998
Mr. Nick Clift FILE COPY
Mr. Build, Inc. CITY OF TIGARD
8001 SE King Road
Milwaukic,OR 97222 OREGON
VIA EA X. 7 9 c.,5-1 -1 V-)'l
RE: 14130 SW FERN STREET REMODEL 7
SW OXALIS TERRACE TEMPORARY CONSTRUCTION ENTRANCE
Dear Mr. Clift:
received your faxed letter, dated July 30, 1998, concerning your and the property owner's(Mr. Eric Johnson)
request for a temporal,,construction driveway off the end of SW Oxalis Terrace, which is a stub street from the
lillshire Woods subdivision. At present, the street is terminated until further development occurs to the north
necessitating an extension.
As I indicated to;ou on the telephone, I am in favor of granting a temporary construction entrance. I stress the
word "temporary"because we will NOT approve of a permanent use of this entrance by the property owner. We
are allowing the temporary entrance in an effort to work with you and Mr. Johnson in getting construction
equipment into the site for the remodel work. Once the remodel work is completed, I will expect one of the
following to occur at the owner's expense:
I. Replace the private fence and the earthen berm that existed at the end of the paved improvements
of Oxalis "1 errace. I he City will then direct Sierra Pacific Development to install a proper barricade
(Sierra is obligated to do so as a condition of the I lillshire Woods project), or
2. In the event the owner and"tuai.�tin Valley Fire and Rescue(TVFR) feel that a locking gate
should he placed at the end of Oxalis"terrace for emergency access by fire department personnel, the
owner shall pay for the cost of installing the necessary gate and Knox bock system specified by TVFR. 11'
this gate is to be installed, a plan shall be submitted to the Engineering Department (Brian Rager)
i,idicating gate and lock type, and proposed gate location. The owner or contractor shall install the City's
temporary roadway sign (indicating further extNnsion of the street �%ith future development)on the gate.
Prior to ;)egimmig work on the temporary driveway, I would like to meet \�ith you, Mr. Johnson, and the neighbor
Mio currenll\ li es at the end of Oxalis'terrace(Mr. Barry Carle y)to discuss the pr(Iject and concerns that we
and Mr. Carley have with respect to erosion prevention and clean.up. Please notify me at your earliest
convenience whv_n we could set such a meeting up.
Please call me at 639-41',1, ext 3I S to discuss this letter and the mcelill�
Sincerely,
Brian 1). l0ger, PF
Development Review Engineer
C Hain l arlcy. 13058 SW oxalis Icrracc. I igard.OR 07221
Mikc While,City of Tigard
13��FF0�a�lva, Tigard, OR 97223 (503)639-4171 TDD (503)684-2772
CITY a TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MSTSB 0493
r 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE: ISSUED: 08/2:4/9A
PARCEL: 2SI04SC-02000
SITE ADDRESS. . . : 14130 SW FE.RIU ST
SUBDIVISION. . . . :HANDY ACRESN*40*
ZONING: R-7
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . .. .. :ir _1 JURISDICTION: TIG
Remarks: Addition to an existing single family dwelling.
BUILDING --------------- -------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED--••-----------
CLASS OF WORK.:ADD HEIGHT........: 18 FIRST....: 144 sf GARAGE.....; 0 sf LEFT........... 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 46 SECOND...: 663 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 'TOTAL------: 807 sf VALUE..1: 53988 REAR..........: 0
------------------------------- PLUMBING -----------------------
SINKS.........
---------------------SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWA5HERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------- MECHANICAL -------------------------------..-------------------------------
FUEl_ TYPES----------- FURN t 100K ..: 0 BOIL/CMP { 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
GAS FURN f=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 GAS OUTLETS...: 0
------------------------------- ELECTRICAL ---------------------------------_-----------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OP :.ESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PIN)/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 400 amp..: 0 1st W/O '"IC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL./PANEL-...: 0 IN PLANT......: to
MANE• HM/SUC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10001 amp/volt.: 0 -•---- PLAN REVIEW SECTION —--- - ---- ----- --- -
Reconnect only.: 0 1=4 RES UNITS.. : SVC/FDr'=225 A.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
- -- ------------------------;----------- ELECTRICAL - RESTRICTED 04ERGY ------------------------------------------------
A SF RESIDENTIAL--------------------------- B. COMMERCIAL___ ---- -------------------------------___..-----------G--- ----
(�'DIO I STEREO.: VACUUM SYSTEM... AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR, LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER... CLOCK........... INSTRIMENTAT1nN: MFDICAL......... OTHR: :.
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: ------------------------------------Contractor: ---------------------------- TOTAL FEES:$ 674.75
JOHNSON, ERIC L d SHERRY MR BUILD INC This permit is subject to the regulations contained in the
14130 SW FERN 8001 SE KING RD Tigard Municipal Code, State of ere. Specialty Codes and all
TIGARD OR 97224 MILWAt1KIE OR 9722.22-1147 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
P"one A: Phone N: 777-8110 not started within 180 days of issuance, or if the work is
Reg C.: 000975 :uspended 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 DAR 952-001-0010 through DAR 952-001-0080. You may obtain copies of these rules nr
direct questions to OK by calling 1503)246-1987.
REQUIRED INSPECTIONS -----------------------------------------'----_--_----..
Footing Insp Framing Insp Electrical Final -
Foundation Insp Shear Wall Insp Mechanical Final
Mechanical Insp Low Voltage Plumb Final _
Electrical Servi Insulation Insp Building Final
Electrical Rough R ' rain Insp —
Ir>s1-ied By : _ Permittee Signat-are ;
++++++++++ + f ++4 4++•++ +•4 t++ +++ +! ++++++++++ : +++++++ +++ i + ++++ + + + ► 1 ++ i
Call 639--4175 by 7:00 p. m. for- an inspect ion needed the next bus i ess day
Plan CheckA
CITY OF TIGARD Residential Building Permit Application Recd By _ �-
13 i25 SW HALL. BLVD. New Construction Additions or Alterations Date Recd
TiGAkD, OR 97 223 Single Family Detached or Attached (Duplex) Date to F.E. 41
V 503-639-4171 Date to DST
F 503-684-7297 Permit#
Print or Type Called
Incomplete or illegible applications will not be accepted
mray 4o au
t-- Name of`Jr_o�a y� ( Name
Job 1 X "rte S(P I',
I , Architect Mailing Address �—
Address Site Address
_—_ sty/ tate Zip Phone
Nae �
t Name
- �r2 r r
Owner Mailing Address'
_
- 1 C _2A Engineer Mailing Address
City/$tate Zip Phone
`�� r Cn
City/State Zip Phone
General Name
Contractor C, Describe work New O Addition ,T Alteration 4--- Repair O
Mailing Address to be done:
Prior to perms! Z< < 01. Additional De r'pt'on of Work-
issuance,
ork
issuance, a copy Gi State Zip Phone
of all licenses 1r , V, 7 r ole)
are required if Oregon Const Cont. Board Exa.P& PROJECT t ,�
expired in COT Lic.# C^�'. 3 �l� VALUATION $
database
Mechanical Name NEW CONSTRU-CION ONLY:
Sub- Sq. Ft. House: �. Sq. Ft. Garage
Contractor Mailing Address
Prior to permitCorner Lot YES NO Flag Lot YES NO
issuance. a copy City/State Zip Phone — (check one) (check one) _
of all licenses Restricted Audio/Stereo Burglar
are required if Oregon Const.Cont Board Exp Date Energy System Alai m
expired in COT Lic# --
database Installation Garage Door HVAC
Plumbing Name Opener — Systems
Sub- (check all that Other:
apply)
Mailing Address
Contractor Will the electrical subcontractor wire for all YES NO
restricted energy installations? _
Prior to uermit C tylState Zip Phone Has the Subdivision Plat recorded? N/A YES NO
ssuance. a copy
of all licenses are Oregon Const.Cont. Board Exp. Date
required if Lic# Reissue of MST* Solar Compliance
expired in CO (Calculation Attached)
database Plumbing Lic # i Exp Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
I .me �— agent of the owner, and thet plans submitted are in compliance
with Oregon State laws.
Electrical I ', j _ SignDate
Sub- Madiug Address _ -/
Contractor C ac P n arae Phone#
City/State Zip Phone S
Prior to permit FOR OFF CE USE ONLY:
ssuanre. a copy __ Plat#: Map/TL#- ,.
of all licenses are Oregon Const Cont Board Exp Date d.' Cir
required if Lic# Setbacks Zone. �; '
erpned in COT _ J Sola/
database Electrical Lic # Exp Dat' —
Engineering Approval: Planning Approval: TIF:
�>rlrR0 kA /.IiCdf!"' kk.01 "XAL1�, T-feZ
�� k. (ea)' lA_. I SFREM DOC (DST) 4197
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
45°
t Uf*
N \7� North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
7�1 . � feet
N
Noam sounA cnne+soN
L. �
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence;
1 a: If the roof line runs North-South, measurements will
(circle one)
be based on the peak of the roof. ❑❑❑❑
WOTM—► 1A 1B 1C
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eave..
1:�
4"ADE"NT EAIf
1c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the ,�y'=t
peak.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST _
24-Hour Inspection line: 639-4175 Business Line: 639-4171
,�/ BLIP
--Date Requested �' z l AM PM _ BLD
Location /(/ /3 U ,5�✓�t��'` Suite MEC
l
Contact Person Ph 2—>f G `� _ PLM
Contractor —_ _ Ph Z09 6(l a Y SWR
BUI Tenant/Owner —_ ELC
Retaining Wall ELR
Footing Access.
Foundation FPS _---
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ -- _— — SIT
Post& Beam
Ext Sheath/Shear I
--
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler ___ -- --f-_ --------- ----
Fire Alarm /
Susp'd Ceiling ------
Roof
Idlisc: _�-
m
PART FAIL ---
PLUMBING
Post& Beam
Under Slab
Fop out — ---
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL.
Rough In
(:gas Line _ --
Smoke Dampers
PART FAIL
ELECTRICAL --
Service _ - - -- --------- -- — -
Rough In
UG/Slab ----
Low Voltage
Fire Alarm --
Final
PASS PART FAIL ---
SITE
Backfill/Grading -------�-- -� �---,^- - ------�
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _ required b*nespe' ion. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for re' spection RE — [ J Unable to inspect-no access
ADA
ApproachlSidewalkpate _J Inspector' Ext
C)ther - -Final
PASS PART FAIL D NOT REMOVE this inspefrom the job site.
CITY OF TIOARD
Residential Certificate of Occupancy
Permit No.: Address: 14 1'so '5,.:) �—Ajxt,4
Owner/Contractor:
Date of Final Inspection: p 1 Inspector:
This structure has been found to be in substantial compliance with the provisions of the State o(Oregon One& Two Family Dwelling
S yecialt,Code and is hereby approved for occupancy.
r
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST r1� �L) �y 3
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
? ' Bi.:P
Date Requested A) 3 G AM/Q J PM BLD —
Location-& /� t -5-6, Suite MEC
Contact Person Ph ,x'03 vG PLM _
Contractor _ _ Ph SWR _
BUILDING Tenant/Owner — ELC
Retaining Wall ELR
Footing Access:I n3- L � a ,k FPS
Foundation [/- --
Ftg Drain w�
Crawl Drain Inspection Notes: SGN
Slab SIT
Post&Beam ""Z —
Ext Sheath/Shear
Int Sheath/Shear
Framing — _�---
Insulation J
Drywall Nailing L-�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - ---
R oot
Misc: ---- ------
Final
PASS PART FAIL - --- - ---
LUM _
PoTa Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
rains _ _
Fin
rASS'j PART FAIL
JJFEANICAL
Post& Beam - -
Rough In
Gas Line - -- -- --
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL --_ ---- _ .. - -------- _ ---
Service —
Rough In
UG/Slab --- - — -- +
Low Voltage f
Fire Alarm
Final
PASS PARI FAIL -_ -- ---------SITE
Backfill/Grading -- -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ —_required before next Inspection. Pay at City Nall, 13125 SW hall Blvd I
Catch Basin
Fire Supply line [ ]Please call for reinspectlon RE [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Date
Other �__ Inspector Ext
-� !- -
Final
PASS PART FAIL DO NOT REMOVE this inEpection record from the job site.
CITE' OF TIGARD BUI!DING INSPECTION DIVISIO'J MST �e GQ2>j
24-Hour inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM_ PM BLD
I-ocationr/_f 3G S d--, Suite MEC _
Contact Person Ph 3753 CSI 06q.V 4PLM _
Contractor, Ph ,'� CSWR _ y
BUILDING Tenant/Owner ELC —
Retaining Wall ELR _
Footing Access:
Foundation FPS
Ftq Drain —-
Crawl Drain Inspection Notes: SGN
Slab _ _
Post& Beam `- — SIT -
Ext Sheath/Shear
Int Sheath/Shear -- --
Framing
Insulation ----^ -� `- —
Drywall Nailing
Firewall �---
------ --------
Fire Sprinkler --------- � - -- - 4-�-�- ------ -_-�_ ----- ----- -- ---
Fire Alarm
Susp'd Ceiling _—
Roof
Misc: -- - - --- -
Final
PASS PART FA!L
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -- -
Rain Drains
Final -
PASS PART FAIL
MECHANICAL.
Post& Beam --- --- ---
Rough In
Gas Line - --
Smoke Dampers
Final
PASS PART FAIL '
ELECTRIC —
SBNI
Rough In -
UG/Slab _
Low Voltage t7
FnASSART
At
I
FAIL
SIT
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 [ [Please call for reinspection RE __ [ )Unable to inspect-no access
ADA
Approach/Sidewalk Date
Other 16-7-367-0-.__. Inspector ^_— Ext
Final
PASS PART FAIL j 00 NOT' REMOVE this inspectiofi record from the job site.