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12280 SW HANCOCK COURT cu cs O 0 Q 12280 EM Hancock Court CITY OF T i��'A Q� MECHANICAL PERMIT DEVELOPMENT iS'E•7ViiC`�RES PERrAIT#: MEC2003-004213 Y 13125 SW Hall Blvd., Tigard, OR 97223 (503) G39-�171 DATE ISSUED: 7I24I7/24/03PARCEL: 2S103CC-11200 SITE ADDRESS: 12280 SW HANCOCK CT SUBDIVISION: WHISTLER'S WAL1, ZONING: R-4.5 BLOCK: LOT: 05:3 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE. SF UNIT HEATERS: VENT FADS' OCCUPANCY GRP: VENTS 00 AP"L: VENT SYSTEMS STORIES: BOILERS/COMPRESSORS HOODS: _ _FUEL TYPES_ _ 0 3YHP: DOMES. INC114: — 3 15 HP: COPAML. li!Cft MAX INPUT: BT(' ',5 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: W-)ODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS FURN < 100K B1U: AiR HANDLING UNITS 01 HER UNITS: 1 FURN >=100K BTU: <= 10009 Cfm: GAS OV;L-E1'S: > 10000 cfm. Remarks: Install exterior A/C unit. Do not place within the required setbacks Owner: — -- ---FEES _ — MI0HELLE DAILY Description Date Amount 12280 SW HANCOCK COURT I\11 ('l l l Permit Fee 7124103 $72,50 TIGARD, OR 9722.3 it \\; K"o SlateTnx 7%�14/03 $5.80 Total^ $78.30 Picone: Contractor: TR;-TECH HEATING 6603 NE 137TH AVE VANCOUVER, WA 98362 REQUIRED INSPECTIONS —^ Phone: 160-891-2002 Final Inspection Reg#: LIC 101873 This permit is issued SUbjeci to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work wail be done in accordance with approved plans. This permit will expire it work is not started within '180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follov roles adopted in the Oregon utility Notification Center, Those rules are set forth in OAR 952-001-00 Issued By: _ �� Permitte ,!Ie Signature: _ �/ I Call (903) 639-4175 by 7:00 P.M. for inspections needed the nett bfsiness day 00/28. 2002 10:59 FAX S0359SIA60 OF TI.GAPI) I��tpl Mer.. cal-Permit A pplieaitivn "r 0 mh 0--m P�ma City of ', prd M�eotla l.no. i3ttpitedafe --- - ray of nVard Mdress: 13115 JW Hall BlVrf.Tigard.OR 9722.3 Dow/armed: �i_ By- ipt txa. Phone: (503)630.4171 Fax:(503)m-1960 LAnd use approval: PJuildlng parmtt no.: 1 &2 family tivM11file U Cominmda APduWi.1 Q Multi•f3mliv Q Tanant,mpmvemon: C]Aicw"met uG4(1n Aclditiottlalterstian/n9pinenuten[ Q Othtat': -- --_� ! : lttdlc�te rytupc»ent quandtitz5+,brx�t helou Lu1i atonc�dollu nb,; Suite na.: _ value of all tnecauttic�al materials,rquipmeLL tabor umigad, - - profit.Yehte$ > oCk: 9ubdlviaion• #Sete checkli% fcrr important oFrpiicxu;nn information and Pro ectrarax jixiAdiorinn's fra achnclnln fir resiclerltial parrnit fee, Ciry/aonnty_:._rj�,L -- Z�' -� . TJeacripa'ott�erd tp�st of wm9c on mittoto: - �yV��9�•_ l�a{at.) )cant C,Z dwrn-f ccmr e0nuftwo6on: --- Res.nnt�blas, Truant imprvv�`xnt ur chATlgt of ase. �:C:' -� Air6audli raft 0611,..____ is eslstlrrR eparo fiaalyd c+r conrlitiartcct't[J Yat ON(, -tir co onln sKe ea r�equ�lr��is c,xfetln�apasx•inaulVft-d7 U Yer 0 No CoAof" 1VAC ryaann v _ oT sort Stift Ixmner permit nn.' Bminm name: 2- lip 'Tema BT1J11•1 Ad+iresrs: '1 1 %!]no�dianuCtarrn" totoro --- Cir- - 9 Z1P est pump(attr.��n Pb�ue. •'� � Pax. -( ��: lou rep aon acr er`- r."�Tlli Inch tag ducm*kfmf.Una U Ysr;Q l in CUB fib.: 1 ' nitald-1,r��'r�te �x. -rueprnckC, Cl 11c,no,: Wall,at flog[mourumd Nemo l t arras U—mm- an tataace Ahturptioe unlr�_,_�...__. _R'11.iRi Nemo: _ r h;llerx�- -- -_,_ __ f1P - -- -- ---- - ra net _ Ic Addfests: _ _ _ __ �.�l ienlr - City: - State _ _�� ilanoevcnt phpna 1`rA1t: 1Tmfd1: Dryer rs 3WR - .n,''lv�}iY�I'uT'�3SoTte�7n a�+ntt imod fire mppteaalnn rfmm 13xbmw ran with"0 dw(him fm) mist State: _ _ _Ra _ t ► N(3 (AlpppQo; � $-• � 1•uc n � 7-over 4 n�ur ets` lrCMetattr requr��1"» Number of malars Nam -.r --- — *1T1wix Applloent's sip Data: 7/a 051m. Na an pr�.aeM■bet�r aedt yM�,pte� ,•u1 OAO*� m a.NMI Lvhnww e. Pettttie he,.......__« .... _ metier./Rita permit Appllesf3oe Minimmn Ax,......«..._.9 Cl Viet Q b1MkA'-aed e*r"if t+"mit is sat obbdaed -64- N,*1.180 ftsv eftrr it M!!!Mem Sk t svkw(at X+)$ �r-�-- _ - seeeptre m Acle TO ff L..... (119b) .. _....,._..ca"mw'ax -..•-. .._..��sw� neo-e•;r t�amr�n JUL:-21-M3 9E:W FRpMITerrb Rasmussen MO-98:3-2487 TO:Tri Tech P;3-14 14 f f-twit� c!C414, +P� G � 1 ;kf,0 S 14a% Cf- 44 Mor i r . i 1 ' CITY O F T 1("`�'A R D ELECTRICAL PERMIT DEVELOPMENT MEN SERVICES DATE ISSUED: 7/28/0 PERMIT#: 7/28VA3-00458 13125 SW Hali Blvd.. Tmard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-11200 SITE ADDRESS: 12280 SW N,-.N.UCK CT SUBDIVISION: WHISTI.-R'S WALK ZONING: R-4.5 BLOCK: LOT 059 .JURISDICTION: TIG Project r escriptien: JOB 140.03-589 Circuits for A/C unit — -__ RESIDENTIAL UNIT T_EM_P_SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: Y PUMP/IRRIC:ATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FuR. 601+amp, - 1000 volts: MINJR LABEL- (10): SERVICE/FEEDER BRANCH CIRCUITS ADG'L INSPECTIONS i 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/0 SRVC OR FDR: 1 PER HOUR: 401 - 600 smp: EA ADD'L- BRNCH CIRC: IN PLANT: 601 - 1000 amp: —_ PLAN REVIEW SECTION > 1000+amp/volt: 4 RES UNITS: > 600 VOLT NOMINAL_ _ Reconnect only__— SVC/FDR—225 AMPS: CLASS AREAISPFC OCC:_ Owner: Contractor: — MICHELLE DAIL Y BOB'S ACTION ELECTRIC INC 12280 SW HANCOCK(:()'-)1;1 2700 NE BURTON ROAD TIGARD,OR 972111 STE A VANCOUVER,WA 98662 Phone: Phone: 360-254-7200 Reg M SUI 43225 FEES -----� LIC 53136 —_ F.LE 37-431( Description Date Amount Required Inspections [F..LPRM-T] ELC Permit 7/28/03 $53.50 -- —_. _._ [TAX R^-S State Tux 7,28/03 $4.28 Elect'I Final ---� -- Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Cade,State of OR.Speciaftl Codes and all other applicable laws. All work will be done In accordance with approved plans. This permit will expire if work Is notstarted within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies o!these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: — Lys ,�� -- _`-- Rnnnit Signattir-�: OWNER INSTALLATION ON_Y _ The installation is being made on property r own vihich is not intended for sale, .,ase, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR IN:�TALLA-TION ONLY SIGNATURE OF SUPR ELFC'N: _..----_ --.--------_------ __---- GA.TE:_—�-- _ LICENSE NO: Call 639-4175 by 7:00pm for an inspectfor the neat business day 011/27,i01 WED 14:44 FAX 503 598 19On CI'T'Y 01' TIGARD �If1n,' Dectricial PerujitApplication Uale le:cel red:- 7=777,�J! Pelmil nn. Cit of Tigard _� ��3.¢a.��$ ,1,,, y PrnlecJappl.11U•: _ OplicOle: C'ih'r;/T teed Address: 13125 SW 1101 rimi,'ripirll.C)It 9722.1 UAtclsnitd. _ -" Phone: (503) 631)•4171 — _ 11)' Receipt nn Fax: (503) 59R-1960 Case file no.: I fuyutenf Iypc: — Land use approval: Iyr' 6H I &r.2 fluidly dwelling or ncceti9ol•y U Comtnt reinl/bidustrial O Multi-family r„1 Tenant improvement 0 New construction U Adcliticn/ulteriliou/replacement U Other: U Pnilinl 1 11 Job nddress: 12280 SW Hancock Ct. Bldg.no.: jStiiie no.: f ax innp/tax lot/nccour 1 no•: Lot! � Block: Subdivision: Project nrrtne: Descl ll liou and location of work on premises: 2 altere c ecu ts__Tor AjC--- Esulnnled date of rrnn;let ioOil) colon: - — , t ,lob nu' UJ-5.89 rrc Mm ftu,iucssnitrne: Bob's Action Electric uescrlpunn (1111'. (en.) Tolal na.hls s �" "All --' Ne;Ed drntl2700 NE Burton Rd, �► dnnll.ICity: Vancouver State:W .II': 98662lclndPlwne360-254-7200 F�itx: 2 -8219 H mail: lo0n.Ul CCD no•: 53136 Elec.bus. Ile.no: 37-431C 0i'cillnna1t00aq.ft.orimrllatfiercoILhnnerry,residealial _C'it)'/ntcUo li . 1100003861 Umnetpy,timmesidcnt+nl•--�' -fir `1 -_Z/24 03 - [Trufnclurrdhnmc5lgnnhue of su crvlsin6 elccfriclnn(leq red) Oale Set "d/nr feeder 1 Kevin Rroselle II rnsrno: 4322SSrrarfcct llit 11WNER tv nrrelornllnu: 200 or less 2 PJanle(print): Michelle llaily 201 nmpslo4UUnnq,s -2-- Mn11ing address: 12280 SW Hancock Ct.— 40111m s in rna Amps — 2 fi01 nngn la IOOtt um1rs 2` City: Tigard _ Sinte: OR "'li': 97223 c)1er1oo0ru11psm,•n11�A — 2 Phone: 849-t, 136 �ax: E-n1ni�: itec - _ tntnca onl t Owner Tnsinllntion:The instnllntion is being mode on prt�pe+q' I uwll r- •1'empnt,sryserticvsorrecdrrs• Which is not Inlencled lot-sole, lease.Icnt,or exclutnfe.according lu lntinllntlnn,niternllnn,ortefocnllua: ORS,147,455,479,6170,701.- 200 am s III Ines 2 201 11mps 1a 400 amps - - -- OwIlel's ;ignaturr. U,Ite: 401 to600amps '"2`" nruncll eirrults•Acer,ahcnlllnn, Name: or enlendon per pntiel: - A, Per.fur I,rmich circ•uiut will,purchnsr of ^fldlCSS: _ scn•ico of let-der fre,each hrnnch circuit 2 l ty: r7(I'; n. rer Cor luanch circuhA, ilhuul purchnsr Phone: rl C mail of service or feetlet rer•first branch circuit: 1 6. 5 2 Each addilional btnnch circa l: ftl lie.(Service or feeder not(itelnded): t7 Service.over 223 wnps•enntmercial U Ilealth t ale bciliry finch pum oI htigntion chyle 2 0 Service over 110 ur.,ps•rnllnp or 1&,2 0 liazAldnus locau"ut hneh shin or outline hghuu - ramltytla•ell'mKs Unuildingover 10000squmef-,�uur(it clreuit(s)(it olindfedeneraspnncl, _ O System over W)vUhsnoinlnal aalreresidenuAl mhsintmesimmure dte,Atiml,ureklensiull' 2 0 Building liverfhtresturim 0 reeders.4WAmp-ormme •Urscri lion: '~ _� Cl Ckcupnnl lr,;ul avrt 541:crsons U Otnurncuucd suuewrcs rn(2V p°1k 0 Foch Addlifnnnt impecllm,oyer fhc nn„nnme lr nn)or the above; Ggress/tiphOngplArt U Other _ rel,nspeclimi 8116111111—_sets o(plAim villi nay of slut nlinve, y lovesti noon rer 1"le above tire not applicable to remporur•y construction service. Other Nut All huisilctiotu sceepl eredlt avdr,plelur cnnjur+tdicutn roe man Iu hrmAl7rn NnlTre:this petinil nllplirlllll111 1+'rtllll let ...... .. 53150 U VISA U hitmercard expires ira penult is nal nbtninerl Ilan review(a! - r_relnl cvd numhet:�_�_______ —.j-.p/ cvilhin 180 dnvs onef it fins been Slnlc suleh,nRe Rt; ) fi _ 4.28 -_ "' °`� accepted nit toniplete. TATA I, —}bAnle til ru 0 uer AS rit oo rret 1 t,�f V,1-' cudl,olderr�n:duty.— --'�" ' .AftOwn'- CITYOF T I G e R D --PLUMBING PERMIT__ \� DEVELOPMENTSERVICES PERMIT#: PLM2003-00283 �---' 13,125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/20/03 SITE ADDRESS: 12280 SW HANCOCK CT PARCEL: 2S1030C-1 ;200 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 059 JURISDICTION: TIG CLASS OF WORK: CTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRA;NS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: T SINKS: ! URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER l INE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. Owner: FEES _w�.--—�.—._ — — — -_ Description Date Amount DON MORISSE'ITE HOMES INC - 4230 GALEWOOD STE #100 IPLUMBI Permit Fec 6/20/03 $36.25 I-AAE OSWEGO,OR 97035 ITAXI 8"i,State"I.i\ 6/20/03 $290 Total $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON INC. 122.00 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer ` Final Inspection Reg#: PLM 7804 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 is 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 Issued By: 3r,,.�_�� . 1,, -. _ Permittee Signature: , 1 !YLL(�ro. T, Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next hrrsiness day Jtjn 18 03 Cil : l;lp dan edmonds 503-692-0768 p. 4 PIlnthing Permit .Application ' ' 0FfFI I CE USE ONLY_ Rcccived Plumbing DatrJB •� Permit No.0-A XV-3 QSt� City of Tigard Planning Approval Sewer g C)ate1By: Permit No.: 13125 SW Nall Blvd. Plan Re%iew Other Tigard,Oregon 97223 UatdB t Permit No.: Phone: 503-639-4171 Fax: 50.3-598-1960 Post-Review Land Use Internet Date/B Case No.:www.ci.tigard.or.ts Contact Sec Page 2 for 24-hour Inspection Request: 503-639-4175 NamrJMclhod: Supplemental iaformation. TYPE OF WORK FEE*SCHEDULE forctal Information use checklis'L_ EN,New construction demolition Description Qty. Fcc(ca.)�otal Addition/alteration/replacement Other: New I-&2-fancily dwellings CATEGORY OF.CONSTRUCTION Endudes 100 R.for each utility toauection SFR I bath 249.20 1 &2-Family dwellin Cornmercid4ndustrial SFR 2 bath 350.00 Accesso Building_ Multi-Family SFR 3 bath 399.00 e Master Builder Other: Each additional bath/kitchcii 4_5.00 - JOB SITE INFORMATION itnd LOCATION Fires rinkler-N.A.: _ Pu e2 Job site address: _V(:, UV 1424c:cCA:C C7- Site Utilities Suite#: I 131dgJA to Catch basin/arra drain 16.60 Project Name:Wl7 r.s7yez'S Wel e'.4 U)7- S7 Drywe:Vleach line/trench drain 16.60 Foutrng drain no.linear R Page 2 Cross street/Dimctionc to job site: Manufactured home utilities 110.00 .tic-) 1"d- Manholes 16.60 Rain drain connector 16.60 Sanit sewer no.linear ft. Page 2 Subdivision- (d.`h-i.0 t/a/'i ( Lot#: c Storm sewer no.linear ft. Page 2 Tax map/parcel#: Ce SS S Water service(no.linear ft.) Pae 2 •DE;SCR1PTION OF.WORK Mature dr Itetd Absorption valve 16.60 C cam, Ll- rI 6j eL 07-t- Backflow reventer EPa e 2 . SS B«C �LrLU G�.0 Ul f �, _ Backwater valve 16.60 Clothes washer 16.60 -"- Dishwasher 16.60 - Drinking fountain _ � 16.60 - OPERTY OVIrNER TENANT; EjectoWsump 16.60 Name: CY _/�y7C,•�-/a tc ,ce. f��.>',>wS Expansion tank 16.60 Address: SCU �-a 0t.ucC-CG 'yxA1,-` Hixturehiewcr cap_ 16.60 _ City/State/Zip: Lt 'c 6SLV< 0 0 k'9'7 t3y Floor drain/floor sink/hub 16.60 Garbage disal 16.60 _ Ph rie: Fax: Bose bib 16.60 PPLICANT CONTACT PF.R.96N Ice maker 16.60 Name:4!�-//erg ��cci'rC!-r C� _ -Interceptotgrease trap 16.60 Address: ,,iDOCG Z LU rn 45'/LM U 12�� Primer i av-value: S _ Page 2 Ci /State,/Zi " j �j - 16.60 _ 1ZLd-�.QA�`-7/1.. � ` 2 tea-' Raofdrain commercial 16.60 Phone:.S43 (o�la -59ry 5 I�a7C: 03 lo9r� - U72c Sink/businAsivato 16.60 _ E-mail: Tub/showedshowwpan _16.60 CONTRACTOR rhinal 16.60 - Business Name: -,(s_ _ctOrc an �ater closet - 16.60 Address: .�W "eh SIM-)• Rb Water heater 16.60 _ Other: _Ci /State/Zip.-,nL L.[a tart_ fO// -'9-70 4vJ--' Other. Phone503 CI;L - S-94 Fax:S-0 lag a -07(F Plumbing Pertnit Fees* CC13 Lic. #: 1j;0 - Plumb. Lie.#: Subtotal $ -- Minimum Permit Fee$72.50 S Authori�cd / Residential Sackrlow Minimum Fe�;� Ir Permit •r 5 Signatures- - Ge!! Due: I� %3 Plan Review(25%of PermFcS StateSumhara(S%ofPermitFee) $ e'1 L1 (Please print name) TOTAL PERMIT FEE S 39, i S i Notice: This permit application expires If a permit is not obtained within Ali new commercial huildinip require 2 sets of pram with isometric or IRO days after It has been accepted as complete riser diagram for plan review. *Fee:nethednloLv set by Tri County Building Industry Service Board, CITY OF T f G pH R D MASTER PERMIT PERMIT#: MST2003-00135 DEVELOPMENT SERVICES DATE ISSUED 4/28/03 13125 SW Hall Blvd'.. '[igard, OR 97223 (503) 639-4171 SITE ADDRESS: 12280 SW HANCOCK CT PARCEL: 2S103CC-11200 SUBDIVISION- WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 09 JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: f+fd145 STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: I.2w cl AASEMENT, sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,590 sl GARAGE: 450 of FRONT. 20 PARKING SPACES! TYPE OF CONST: 5N DWELLING UNITS: I THRO of RIGHT: 5 : OCCUPANCY ORP: R3 BDRM: 4 BVALUE28951800 FIAT + TOTAL: 2.990 ofREAR: 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS- I FLOOR DRAINS: SEWER LINES: 100 SF RAIN D tAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRE,,v,R: GREASE TRAPS: _ MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: BOIL/CMP c 7HP: VENT F1 Is: 3 CLOTHES LAYER: 1 GAS FURN 1-10OK: + UNIT HEATERS: HC )S: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL HmUENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS— MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -200 arnp: 0 200 amp: W/SVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: SAADD'L 5003:': 5 201 400 amp 201 400 arnp: tat W/O SVCIFOR SIGNIOUT LIN LT: PER 14OUR: LIMITED ENERGY. 401 - 000 amp. 401 000 vnp: EAADDL ON CIP: SIGNAL/PANEL: IN PI ANT, MANU HM/SVCIFDR: 001 1000 amp: Pni,,mps-100ov: MINOR LABEL: 1000+omp/volt Reconnect t, hPLAN REVIEW SECTION - �-4 RES UNITS: SVCIFDR»225 A. -600 V NOMINAL: CLS AREA/SPC OCC: ELF" TICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: H: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR, HVAC: DATAITELE COMM: NURSE CALLS- TOTAL a SYSTEMS: Owner: Ccntractor: TOTAL FEES: $ 5,419.25 This permit is subject to the regulations contained in the DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC 4230 GALEWOOD STE#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State of Specialty Codes and LAKE OSWEGO.OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws. All workk will be done accordance with approved plans. Thio llennit will expire H work is not started within 180 days of issuance,ur If the work is suspended for more than 180 days. ATTENTION: Oregon Idw requires you to follow rules adopted Oy the Phone: 502-387-7538 Phone: Oregon UtIlity Notification Center. Those rules are set 9p 357-7 forth in OAR 952.001-0010 through 952-001-0080. You Roo M: T l may obtain copies of these rules or direct questions tc OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8+ Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Roof Nailing Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam%Evctural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwik Insp I55t1P.Ct by �; c � �-�F�•1 Permittee Signature :.4 Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day \ CITY OF TIGARD SEW CITY PERMIT DEVE`C)PMENT SERVICES PERMIT#: SWR2003-00116 13125 SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/28/03 SITE ADDRESS; 12280 SW hIANCOCK CT PARCEL: 2S 103CC-11200 SUBDIVISION: VvHISTLI',R'S WALK ZONING: K-4.5 BLOCK: LOT: 059 .JURISDICTION: Tlri TENANT NAME: USA NO: FIXTURE UNITS CLASS OF WORK: NEW DWELLING UNITS. 1 TYPE OF USE: SF O. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE. Remarks: Sewer connection for new SF Owner: ------ ------- - _ __ _ __ FEES DON MORISSETTE HOMES INC Dascription vW Date Amount 4230 GAL.EWOOD STE #100 LAKE OSWEGO, OR 97035 [SWUSAI Swr(bnncct 4128/03 $2,300.00 [SWUSA]Swr Connect 4/28/03 $0.00 Phone: iii1-387-7538 [SWINSP] Swr Inspect 4/28/03 $35.00 [SWINSP] Swr Inspect 4/28/03 $0.00 Contractor: —_ —� Total *7,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The pennit 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 ,hall purchase a"Tap and Side Sewer" Perm Issu�d by: rC!ti /[l_J _ Permittee Signature: - Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Bd lding Permit,Appiicatian City Of Tigard Datereceiv�d: 3 Permit no.: ? Address: 13125 SW Hall Blvd,TAgatd, 1'Yojecdappl.•10.: _ pirr�ete: C rvol Tigard t Date issued: Y' eccit no.: B I Phone: (503) 639-4 71 ` \ P Fax: (303) 598-1960 Case file no.: Payment type: I&2famil Land use approval: Y�•Sim le p Complex: 0 I &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family >CNew construction 0 Demolition Q 0 Addition/alteration replacement ❑Tenant improvement O Fire sprinkler/alarm O Other: Job address: i r 1" bj! Bldg.no.: Suite no.: Got: _ Block: Subdivision: 1,b .0 Lr< t;) Tux map/tax lot/accouni no.: Project name: Description and location of work on premises/special conditions: Name: Y Y,r Mai I L4C,L'V, 1&2 family iwe0ing: City: I StateiLu ZIP: ) Valuation of work........................................ $ Phone:. Fax: 7 mail: No.of hedroom slbaths................................. Owner's representative: 1 t;'t✓t s Total number of floors................................. _ Phone: Fttx: 1 -mail: New dwelling area(sq.ft.) .......................... _ 7`- Cramge/carport area(sq, ft.)......................... _ Name: �Yy- 1 lac Covered porch area(sq. ft.) ................... ..... — - —-- Deck areas ft. Mailing address: i'Y1��• a. (,q. ) ........................................ --- • Other structure area(s . rt,)......................... City: Stste: ZiP: _ Phone: Fax: E-mail: _ CommercirUindustrial/multi-family: Valuation of work........................................ $_ Existing bldg.area(sq.f:.) ........ ................. Business name: vvvi Address: New bldg.area(so.ft.)................................ ab --- - - Number of stories........................................ City: stare: ZIP: - -- -- - Type of construction............. Ph^nc: Fax: Tail: ....................... -- Occupancy group(s): Existing: CCB no.: __ New: _ City/mew lic,no: NoNee:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: (, � � l L- [ provisions of ORS 701 and may be required to be licensed in the Address: t`�, jurisdiction where work is being performed. If the applicant is r_lty;-- _ State: J ZIP. exempt from licensing,the following reason applies: Contact person: _ Plan no.: --- Phony.: Fnx. — -- E-mail: -- — -- -- Name: Contact person: Fees due up,)n application ........................... $ _ Address: _ Date received: City: State: ZIP: Amount received ......................................... $ Phone: _ Fax: E-mail: _ Please refer to fee schedule. 1 hereby certify 1 have read mid examined this application and the Not all jurisdictions accept credit cards.please call jurisdiction fat room infom atlon. attached checklist, rovlsions of law` and o dinances governing this 0 Visa o Mastercard work will be comp) wu ,whether, cifferd�erei4i Credit card number -� ✓L?2Expires Authorized si atu t� : ��—✓• Nmne or car older as ihovrn on cro it card ._-- Print name. T-1 f 1"1' t_/ L — ------ $ l'�— Uudholder rlgrattre Amount Notice:This permit application expires if a permit is not obtained within I AO days after it has been accepted as complete. 440461.1(600,COMI A\ One-and TV--if)-Fainily Dwelling Building P ,.- snit Application Checklist Reference no _ —� .'-ssociated permits: City of Tigard U Eleetriea! U Plumbing '_1 Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 -- Fax: (501) 5(K 1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. � 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. _ 3 Verification_ofapprhvedplat/lot. 4 Fire district ,approval required. _ 5 Septic system 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 locati. if catch-basin protection,etc. 10 _ Complete sets of legible plans.Musa he lraw n to aIr.showing conformance to applicable local and state building codes.Lateral design details and connections mist be incorporated intim 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 t/ if copyright violations exist. J� _ 11 Site/plot pian drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if their,is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft intervals);location of easements and driveway;fiootprint of structure(including decks);location of wellsiseptic systems:utility locations;direction indicator,lot area;building coverage area;Eercentage of coverage;impervious area;existing structures on site;and surface d►mtinage. 12 Foundation plan.Show dimensio:s,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 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 a3 floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof stop--,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. _ 15 Elevation views.Provide elevations for new construction;minimum 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 am acceptable. 16 Wali bracing(prescriptive path)and/or latera)analysis plans.Must indicate details and locations;for —non—prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floom',00f assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and detail;showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all baams and multiple joists over 10 feet long and/or any beam joist carrying a non-uniform 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 for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,sh^ar wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicab,e to tree project under review. AIRISDICTIONAL 23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or I I"x 17_ X 24 Two(2)sets each are requia ed for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 _ Checklist must be completed before plan review start LAC. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only, 440,4614(60aroM) I Mechanical Permit Application Datereceived: 3 D Permit no.: 7 -- Fax: Ci of Ti and /gProject/appl.no.: Expire date: City ofr,gard Address: 13125 SW Hall Blvd,Tigard.OR 97223 Phone: (503) 639-4171 Date issued: — By Ro.: (503) 598-1960 Case file no.. Payment type: t.and use approval: _ Building permit no.: 1 Cl I &2 family dwelling or accessory 0 Commercial/indusuial 0 Multi-family ❑Tenant improvement XNew construction 0 Addition/alteratior/replacement ❑Other. _ 1 { 1 1IN COON1 — Job address: f M ((' Indicate enuipment quantities in boxes helow. Ind tate the dollar Bldg.no.: Suite;to.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: ! 'a f •See checklist for important ap-plication information and Project name: jurisdiction's fee schedule, for residential permit fee. City/county: ZIP: It x#11I A Description and location of work on premises: 1 a w;t�l t 41 _ I Fee(M. ) TotrJ Est.date of completion/inspection: _ Descripdon .'k . Res.only Res.only Tnnant improvement or change of use: rhanr han 4iduu^unit CET1 Is existing space heated or conditioned?Cl O No ' con conditioning(sits,plan required) Is existing space insulated?O Yes C3 No Alteration of existing MVAC system— oile�- r/compiessors State boiler permit no.: Business name: t I �_(�.� __ HP Tons BTUM Address: r trdsmo a dLmper uct smoke detectors Ci'y: - Ll% N rrState L(P eat pump(site plan required) Phone.-,-7—r-2--A, Fax: r7m a I I Instal Vreplice fumacelbumer - - Including ductwork/vent liner O Yes❑No CCP no.: _ _ Instalrepi ace—relocate•eatcr� s-suspended, City/metro lic. no.:N/A wall,or floor mounted Name(please print): ent ora lance o ertan furnace etirigerstlow Absorption units B7 UM Name: ) -EAT D-P. ` ELL, Chillers_ Hp AddressY_ �,� Gv, dL, Com ressors HP vironmental a tut and ventilation: City: - State. I LIP: Appliance vent Phone: Fax: E-mail: Dryere Crust loods,Type U Illres.lutchen/hazmat hood fire suppression system Name: ' Exhaust fan with_'.ngle duct(bath fans) Mailing address: -)-� .•� Naust systema art from heaung or C City: State ZIP ► are piping andistribution(up to 4 outlets) Type: LPC __ NG Oil Phone: 7' I;tt E mail: are utIr, each additional over 4 oute ta ng(schematic required) Name: umber of outlets Other appliance or equipment: Address: corative fireplace City pe Phone- -mail: eipelletstove -- Applicant's slgnoru" Date: Q'� trtrr Name(print): '._{ Y'/ t 11LiJ%`tri -� Nor all iurlsdicdons accept credit cards,please call iurodktion for nw a inromudon. Permit fee..................... Notices This permit application ❑Visa O MasterCard expires ifs pemtit is not obtained Minimum fee................$ Credit card numMr _ _ _ . within Igo days aver it has been Plan review(at _ %) $me __ _ Naof rardholdrr u shewo on credit State surcharge(8%)....$ dit card � accepted as complete._ = TOTAL .......................S Cardholderiiputurt — Amount 440-x617 r6W[bM) Plumbing Permit Application -- Date received: 3 Permit na. j -00 e City of Tigard Sewer permit no.: Building permit no.: Addre..s: 13125 SI` Hall Blvd,Tigard,OR 97223 praject/appl.no.: Expire date: CiryoJTigord Phone: (503) 639.4171 Fax: (503)598-1960 Date issued: by: Receipt no.: Land use approval: ______ C1-1-f Payment type: TYPE-OF PEK,1111111� 0 I &2 family dwelling or accessory U Commemiai/industrial O Multi-family U Tenant improvemera ew construction U Addition/alten tion/replacement U Foxxl service. U Other. _ to]:Vt 1 1 71 31110 A 39iirrfioh Job address: )1A1 _ Description Oty. Fee(ea.) Total Suite no.: New 1-and 2-family dwei;ings only: Bldg.no.:_ (1 nc1 ud4:stooft.foreachudUtyconnection) Tax msptuax lot/account rto.: SFR(1)bath Lot: Block: Subdivision: f SFR(2)bath Project name: (3)bath v-_- -- City/county: ZIP: _ Each additional bath/kitchen Dc.cription and locatior of work on pr-rises: ,_ SiteutWtfes: Catch basin/area drain Est-date of completiorvinspectiun: Dryweils/leach lineltrench drain Ftxlting drain(no.lin.ft.) Manufactured home utilities _ Business name: Manholes _ Address / Rain drain connector Citv �� 5tnte ZIP: aitary sewer(no. lin.ft.) E-mail; titorrn sewer(no.lin.f1Q Phone: - Fax: "'iter service(no.lin.ft.) CCB no.: Plumb.bus.reg. no - Future or item: City/metra lic. no.:NiA __ Absorption valve Contractor's representative signature ---- Back flow presenter Print name: u Backwater valve Basins/lavatory Clothes washer Name: 1{�� l ,� .�11•JF _ — Dishwasher _ Address: "�'1�YY`F'_ ItV Dnttkir.2 fountain(s) Cits State: y ?1P Ejectors/sump Phone: Fax: E-mail: Ex aitslon tank WN Fixture/sewer cap — z Floor drains/floor sinks/hltb Name (print): �-`- Garbage disposal I Mailing address: '3� Hose hibb Cite State ZIP: Ice maker Pone - Fa �"7o E"mail: Interceptor/grease trap Owner in.staUadordresidendaf maintenance only: The actual installation Primer(s) _ will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per QRS Chapter 447 Sink(s).basin(s),lays(s) 0-ner's signature: Date: Sump Tubs/shower/shower pan n MEN Unnal Name: Water closet Address: _ Water heater _ --- City State _: Z1F Other. Phone: Far,: _ I E mail: Total Minimum fee................$ . 'a dl;unviicuau accept credo cods.plew tail tun,ucuon ror nae oformsuon. Notice:This permit application Plan review(at __ %) $ --- 0 Visa 0 MasterCard expires'f a permit is not obtained Statc surcharge(8`"0) ....$ Credit card wnber apt ret within ISO days after it has been _ TOTAL .......................E accepted as complete. Nan�of cardhoidet as u,7.n m a,a it card - S �_�__ CwthoidertIrhalut Amwni 1J61A16(b(XL(UM) Flectrical Permit .!application — �Uatetved: 3 Pennitnv.: ')A10 / .5 city Of Tigard Project/appl.no.: Expire date: — v Ci,v fTigard Address: 1:3125 SW Hall Blvd,Tigard,OR 9723 Date issued: _ 13y: — Receipt no.. Phone: (5031 639-4171 — — Fax: (503)598-1960 Case fire no.: Payment type: Land use 1pproval: t 12,1.&2 family dwelling or accessory O Commercial/industrial U Multi fv,niv U Tenant improvement ew consnvedon U Addition/alteration/iepiacement U Other. U Partial 11 SUE INFORNUTION lob address: �" Bldg.no.: Suite no.: — Tax map/tax lot/account no.: Let Bloch: Subdivision: --,---__--- Project name: Description and location of work on premises: _— Estimated date of corn pletiott/'ins on: r 1 Fre WE Job no: Business name: L D-,: ri;n Qlv. (et) Tuul nu.III-;,I New residential-sbr or multi-family per Address: L ) dwelling unit tnclodesartachedgarage. City: MState: ZIP: serria:irrolardea Phone: 7j I� Fax: E-mail: 1000 sq.ft.or less 4 Each additional 500 sq R or portion thereof CCB no.: A4Q.4 1-a Elec. bus. lic. no: Urruted energy,residential 2 C: /� _ Urrutedenergy,non-residential Each manufactured home or moduli r dwelling afore o to trvltrn tlenrlelan(rtyulred)_ Datc Service and/or feeder Sup elect.name(print) 1 '�° A I.icenseno a Service or feeders alteration or relocation: 200 amps or less 201 amps to 400 amps _ 2� Name(print): 401 amps to 6W amps 2 Mailing address: J_ 601 amps to 1000 amps --�- —_ 2 _- Citi s v State ZIP: `L1� Over I000amps orvol ts 2 Phone: - Fax: -) -mail: Reconnect only I_ Owner Installation:The installation is being made on property I o«n remporary services or readers- which is not intended for sale, lease,rent,or exchange according to burfallatfon,alteration,orrelr istion: 200 amps or lest 2 ORS 447,455•.179,670,701. 201 amps to'Inn-^cps — _ 2 Owner's si nature: Date: dol to tion ams 2 i Branch circuits-new,alteration, or extension per rcnel: Nano'. A. Fee for branch circuits with purchase of Ad It es s: - -- - service or feeder fa,each branch circuit _ 2 City State: ZIP: B. Fee for branch circuits without purchase -:--- - -- of service or feeder fee,first branch circuit: _ 2 E-mall' Each additional branch circuit: Phone: (ax: _ PILAN REVIEW(Please cheik all that apply) Misc.(Senicr or feeder not Included): O Service over 225 amps-commercial O Ifealth-care facility Each pump m irrigation circle O Service uver 320 autps tatiug of 1&2 U Hazardous location Each sign or cuilt,:e lig`itinj family dwellings O Building over 10,000-quare feet four or Signal circuit(s)or a limited energy panel. •System over 600 volts nominal more residential units in one structure alteration,or extension• 2__ ❑Building over three stories ❑Feeders,400 amps or more *Description: •Occupant load over 99 persons O Manufactured structures or RV park Each.d?ilional Inspection over the allowable In an/of the a-b�ov—e:—7— a Egressilighungplan U Other. _- - Per ins•ccuonSubmit sets sets of plans with any of the above. Invesugation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call Jurisdiction for more infnrmauPermit fee...... .............. un Notice:This permit application Plan reVICW f.t � _ O Visa ❑MasterCard expires if a permit is not obtained —'—'-- Credit coni number -- —/ J." within 180 days after it has been State surr:large(8%) ....$ expires accepted as complete. TOTA:. .......................$ --- —Nuue d arditulder a sbowa on credit card t Cudhotder sigtature i- Amami__ 40-4615(6mcom) i l letDON • MORISSETTE E H O m 1 8 1 N C 0 N P 0 R A T E D 4 2 3 0 A A L 1 w 0 0 D 8 T R 1 IT 8 DIT 1 1 0 0 L A ! 1 0 8 11 L 0 0, 0 R s O 0 N 0 7 0 8 5 (803) 387 - 7858 DAY (803) 887 - 7815 OBE ; 2829 wT: 59 DATE: 04/'23/2003 i G PROPERTY: WKISTLER'S•-WALK CITY: TIGARD SCALE: 1"=20' ® PLAN :Jn.: 145 STANDARD ELEVATION 7.61, loe o lool g 3C^0 I WE 30' DMILWAY 3m6 .0 1 \ •a oORCN ., t� 460 ft. \ 2,9(30 oq. ft. 2 car gar. (J-) ' \ 4 bdrm. rF.E. 306' cv \ \ 2 Ir bath cA _I i 1 � LOT COVER, C LECGENO LOT AREA. &.164 50. FT w BUILDING AREA: 1,932 SQ, FT PERCENTAGE: 28.5x+ LOT SS 6,164 Eck, ft. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 _— �( BLIP - -- -- Received Ddte Requested—_�lLs—�_ AM PM—__ BUP I-oration ___ _ `/ '` X 1�'�=� yy� Suite— t/ c� MEC Contact Person r m-t'�� ( -�- Ph( ) a L i� ( PLM _-- Contractor_—__--- -- Ph( ) SWR BUILDING TenanVOwner - _ -_ -_ — __ _ ELC Footing Foundation ELC Acres:.;: Ftq Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anrhors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ----- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling ---- —---- -- --- - Roof Other. - ------ ----- Final -`------------ PASS PART FAIT. `-- --------._-.-- — -------- --- PLUMBING Post&Beam UnderSlabSlab -_--_.._- Rough-In Water Service ------ --- - Sanitary Sewer Rain Drains ----- Catch Basin/Manhole Storm Drain Shower Par Other - Final - --�-- ECNANICA-✓ - -- - - —-- - os eam Rough-In � - ------- - - --- - - ------ __ Gas Line Smoke Dampers — ----- - - --- - - TAIL -- - ---- - -- --- --- ------- ----------------- I. rQTRService -- Rough•In ---- _-.---- - - - -- - --- UG/Slab L ow Voltaop /Farm ----------- -- --- ----- -------- �� PARI FAIL Reinspection fee of$_.----- ---- required befoie next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinsp�clion RF:—__--_ __-- U Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Dater __/ �� Ineps toff W Other:---- Final DO NOT REMOVE this Inspection record from the Jo site. PASS PART FAIL i CITY OF TIGARD 24-Hour RUILDIN Inspection Line: ;583;639-4175 MS7 INSPcCTION DIVISION Business Line: (543) 639-4171 BUP PdcPived __- _._____. Date Requested :7-1 0 AM—.---- PM .________ BLIP Location ____ Z 3!i- SuiteMEC -_ Contact Person 4.3'11�� — Ph(.____.) �d � �F3 7. PLM ,ontract,.ir _ — Ph SWR BUILDING Tenant/Owner - __ _ - __ ELC Footing ELC Foundation Access: Ftg Drain ELR --_-_ -_ ------------- Crawl Drain _ _ -- Slab Inspection Notes: SIT --_ --.-__-_ Post& Beam Shear — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing ------- - - - -- - - - --------- - - Firewall Fi•e Sprinkler - ---- - - --- -- - --- ---- --------- Fire Alarm ..,usp Ceiling ----__ -- - Roof Other: -- ---- ---- -- ---- - -. ,A-92,"PART FAIL -- - ---- - ----- PLUMBING --- _ ------ ----------- — Post&Beam Under Slab ---- - -- -- -- - - - - -- Rough-In Water Service --- - -- ----- - - -- - - —- Sanitary Sewer Rain Drains --_--_---- — --.------- - - Catch Basin/Manhole Storm Drain -- ---- -- — ---------- _ -- - - -- Shi ver Pan Other: _ - ----- - -- Final PASS PART FAIL - ------- —`--- --� -.—.----__ --- -- MECHANICAL ,- -.�---------_—__-- _--- Post 8 Beam --- --- ------ ------ --- Rough-In --- --- - ------------- -- ---_ -- Gas Line Smoke Dampers --- ---- -- - Final PASS PART FAIL -- ELECTRICAL — Service Rough-In UG/Slab _ Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Ha I, 13125 SW Hall Blvd. PASS PART FAIL �- _ Unable to SITE �� Please call for reinspection RE:______ __- :1441--_ __- ---_ inspect- no access Fire Supply Line ADA Approach/Sidewalk Dates -!'G' -- hrspector ---Ext---- - Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)539-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 tAo -IBUP Received _ Date Requ sted___ —7 AM____ PM BUP —_— Location _ oZ� 1) - Suite_— / MEC Contact Person _ ___ — Ph( ) d �� `�` � PLM - Contractor __ -_ - - _— Ph( ) SWR -- BUILDING Tenant/ON,ner ...... ELC -- Footing -- — - ELC -- Foundation Access: Ftg Drain ELR Crawl Dain Slab Inspection Notes SIT Post&Beam -_ - - ------------ --- - Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Frsming - - - --- --_ Insulation Drywall Nailing —�A/t" Firewall Fire Sprinkler - — Fire Alarm X 3usp'd Ceiling Roof - - L�7�_xe.t'-7lea L)ther: ` � anal CF'AIL ASS P/4RT_PLUMBIVG - -------- — — — Post&Beam Under Slab - -- - Rough-In / Water Service Sanitary Sewer Rain Drains - - --- ----- --- — Catch Basin/Manhole Storm Drain — — -- - Shower Pan 17Z_ Other: hnal _ PART FAIL \ NiCAL Post&Beam Rough-In ---- \' - Gas Line Smoke Dampers - - - - - ------- - --- - — — — nal PART FAIL -- - - —_ 'CT CAL _ ScrJlce — Rough-In U G/Slab Low Voltage Fire F larm — '—u- --- — ----�--- --- I�Final Reinspection fee of$ required before next inspection. Pay at City Hall, 131'25 SW Hall Blvd. c_PAj_S_) PART FAIL LITE —_— ❑ Please call for reinspection RE: Unable to inspect-no access Fire Supply Line --� ADA Datb Inspector Approacl- 'Sidewalk Other:.-.---.- Final ther:_-._—__Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY CSF TIGARD 24-Hour BUILDING; Inspection Line: (50:3) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ _ BLIP --- - ---- - Received -Date Requr ted--A 1,5 J.l.,-�AM-_ PM-__ BLIP Location - _�ZZ' d � 2 _51i_ Sure MEC Contact PersonPh(- ) _-- PLM 3 Contractor _ Ph i __) — ____—_ SWR _ BUILDING Tenan/Owner _ - --- ELC - ------ Footing -� Foundation ELC _ ccess: Fig Drain AELF! Crawl Drain _-- Slab Inspection Notes: SIT _- Post R Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Firo Sprinkler Fire Alarm Susp'd Ceiling - -- Roof Other: - Final - PASS PARTFAIL ----- - -- PLUMBING - Post Beam UnderSlob Rough-In Water Service ------- Sanitary Sewer Rain Drains -- --- --- -__ -- Catch Basin/Manhole Storm Drain -- ----- ---- Shower Pan L I Op ------ ---- __e-PASS PART FAIL _.----_._---- - ✓ . _ANICAL Post&Beam------- � ------ - - - Rough-In ---------- --- - Gas Line Smoke Dampers ----- _ Final PASS PART FAIL - ------ - ELECTRICAL Service -_ _-__.--__-• _---- _ Rough-In UG/Slab �------ ----- - Low Voltage -_- Fire Alarm Final D Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SIT - 0 Please call for reinspection RE: _-._- -_ � Unable to inspect-nL access Fire Supply Line ADA Appmarh/Sidownik Date_ �5� Inspector Ext"� _--Other, Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL I►AAAAAAAAAAAAA _AAAA� AAAA&AAAAAA..AAAAAAAAAAAAAAF a rri G � ► ® n i C ► r� r, � � ► a r ? p- ► rD44 a G n � o � ► J r+ � •.,moi' I Q. ro ► ! ► rD ,,, o ► rjlq' ► ► a _ a ! ► a I � ► a ► i �► rvvvvvv�vv�v��v��vv��vvvvvivvvv�vvvvv�vv�vvv� J C i I t . i n N t 14 � g o• w 0 R rn c � N �n `y H � z a O S 5 j' �o I I I