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13962 SW HILLSHIRE DRIVE r I w �O N r CO) m v rn ' ti l i 13962 SW HILLSHIRE DRIVE Page No. 1 CASE HISTORY FOR CASE NO,: MST97-0182 KOZAK ENTERPRISES INC 13962 SW HILLSHIRE DR 12/28/96 Act4on Description Req/ Schd/ End/ Action Notes Disp By Update .'pd Code Sent Done Done Date: By MSTA�O'. Application received / / i / 05/14/97 RF,CD JH 05/22/97 BON N.iTA008 Permit Created / / / / 05/22/97 PASS T. 05/22/97 BON MSTA010 Check for prcl. restrict. / / / / 05/22/97 PASS B 05/22/97 BON MSTA012 Pl,na routed to Plans Examiner / / / / 05/22/97 PASS B 05/22/97 BOh MSTA026 Plane approved by Pln Examiner / / / / 05/27/91 PASS RT 05/27/97 BT2 MSTA030 Reviewed plane routed to DSTS / / / / 05/27/97 PASS RT 05/27/97 BT2 MSTA032 DST POOL-Review Completed / / / / 06/03/97 PASS 9 06/03/97 BON MSTA055 Hold Relear, / / / / 10/27/97 Inspector can visually inspect fireplace PASS RB 10/27/97 J*H straps within attic at final inspection. MSTA080 (F) Ready to issue / / / / 06/03/97 Need all contractor info before issuing MEMO B 06/03/97 BON permit. MSTA092 (F) Issue combination permit / / / / 06/06/97 .3S DRA 06/06/97 CMC MSTA095 Issue plumbing signature form / / / / 06/0^/:7 PASS DRA 06/06/97 CMC MSTA095 Iss,ie plumbing signature form / / / / 03/18/98 change in plumbers RECD JT 03/19/98 JT MSTA097 Issue electric signature form / / / / 06/18/97 RECD SW 06/18/97 MRS MSTA700 Erosion Cuntol / / / / ! / 05/22/97 BON MSTA703 t1rading Inspection / / / / 02/19/98 Grading pars as Apendix 33. Note: PASS PI 02/26/98 J*H Access road on south property not installed by developer. MSTA704 Sewer Inspection / / / / 06/26/97 PASS RAS 06/26/97 J•H MSTA705 Footing Insp / / / / 06/18/97 ufer approved APP RC 06/19/97 J•H MSTA7un Foundation Inap / i / / 06/18/97 mono p,wr, ufer approved APP PC 06/19/97 J•H v MSTA710 Poet/Seam Structural / / / / 06/30/97 1. Support metal duct w/ either 12 gauge FAIL RB C7/01/97 J•H wire or 1" metal straps. 2. Mud sill does not have a seal between foundation stem wall and pressure t:c_1.ed plate. 3. Submit floor joist change to TJI's for city approval. 4. Insulate metal ducts where bate. 5. Insulate Y's of flex where needed. 6. Double floor joists (TJI's) whtre required. 7. Allow for high points to flow to low point drain, add pier blocking chis drainage. S. Bring up seismic to floor level. 9. In accordancw w/TJI spec.'s nail TJV9 and hanger support where required. Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0162 KOZAK ENTERPRISES INC 13962 SW HILLSHIRE DR 12/7.6/9R Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd ^ode Sent Done Done Date By MSTA710 Poit/Beam Structural / / / / 07/02/97 Issues from previous report .acomplute. FAIL RB 07/07/97 J•H Make all corrections and re-call. Pay $15.00 rc.nspection Zee. QST ADDRFSS. MSTA710 Post/Beam Structural / / / / 10/30/97 PASS RB 06/15/98 RB MSTA711 Post/Beam Mechanical / / / / 07/02/97 Issues from previous report incomplete. FAIL RB 67/07/97 J•H Make all corrections and re-call. Pay $15 reinspention fee. MSTA711 Post/Beam Mechanical / / / / 10/16/97 PASS RB 10/17/97 J•H MSTA713 ^yawl Drain / / / / 06/26/97 NOTE: FOOTING DRAINS WILL BE RE,)UIRED. APP RAS 06/26/97 J*11 CALL FOR INSPECTION WHEN INSTALLED. MSTA717 PLM/Underfloor / / / 06/30/97 Footing drains Shall be required. PAC- RAB 07/01/97 J•11 MSTA720 Mechanical insp / / / / 08/29/97 NO STREET ADDRESS, NOTICE POSTED. FAIL RC 09/01/97 J•H MSTA720 Meenanical Insp / / / / 09/04/97 1. Provide proof of rebar in chimney. FAIL RC 09/08/97 J•H 2. All duct tape must be listed and identified. 3. Plans call for 4-in. cor.--ete slab under firebox with 03 bare 9-in. o.c. each way and four N4 bals vertical with horizontal lies 18-in, o.c. 4. Brick veneer and siding placed over shear wall before inspcctinn. 5. Nails over driven in interiors shear wall. 6. rias test approved. Page No. 3 CASE HISTORY FOR CASE NO.: MST97-0182 KO:.AK ENTERPRISES INC 13962 SW HILLSHIRE' DR 12/28/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Bent Done Done Date By -- -------- -- --- --- MSTA720 Mechanical Insp / / / / 09/23/97 Notes for framing/mech inspection this FAIL RB 09/23/97 J•H date: 1. No record of approved plumbing top-out. Unable to perform framing inspection. 2. No record of approved fireplace inspection - ple.,se respond to previous inspection request. dated 090497 (RC). 3. Cas test approved by RC 090497. 4. Furnace b-vent disconnectpJ in at,i, A) Provide sleeve to protect against insulation. B) Correct alignment of b-vent to cesase heat transfer to heat duct. C) seal (entirely) heat duct joints. D) Insulate (entirely) heat duct within attic. E) Nail plat protection in at base plate. REINSPECTION FEE OF $15.00 ASSESSED. CALL FOR REINSPECTION. I MSTA720 Mechanical Insp / / / / 09/26/97 see fireplace insp this date FAIL RB 09/28/97 ,;+H MSTA120 Mechanical Inep / ! / / 10/17/97 Continue with gas line for flue-less FAIL RB 10/17/91 J•H fireplace in faeily room. Install flue-lees fireplace. MSTA720 Mechanical Insp / / / / 10/24/97 See gyp inspection this date. FAIL RB 10/26/97 J•H MSTA720 Mechanical Inep / / / / 10/30/97 PASS RB 10/31/97 RB MSTA'722 Plumb Top Out / / / / 09/25/97 PASS MS 09/26/91 J•H MSTA72: Electrical Service / / / / 08/29/97 PASS BRP 09/02/9/ J-H MSTA724 Electrical Rough In / / / / 08/29/97 PASS BRP 09/02/97 J•H MSTA725 Framing insp / / / / 09/23/97 Unable to perform - not ready. FAIL RB 09/23/97 ,J•H MSTA125 Framing Insp / / / / U9/25/97 see fireplace inspection. FAIL RP 09/28/97 J•H tl Page No. 4 CASE HISTORY FOR CASE NO.: MOT97-0182 KOZAK ENTERPR.SES INC 1"962 SW HILLSHIRE DR 12/28/98 Action Description Req/ Schd/ End/ Acton Notes Disp By Update Upd Code Sent Done Done Date By MSTA725 Framing Inep / / ! / 10/07/97 Report dated 092397 And J92597 Still FAIL RB 10/09/97 RB incomplete. Plenre nr,ce all issues in case history, including remarks by Jeanne on 09r,897. :also, please check your record i for a-n approval for Post 6 Beam structural ani mechanical. $30.00 charged for incompleted issues, structural and mechanical. waived fee 10 09.97 as per phone call w/ kyle MSTA77.5 Framing Insp 10/15/97 / / 10/14/97 Reinspection fee of $15.00 charged as FAIL RB 10/15/97 ,)•H incomplete issues from 1, 6 6 8 report of 092597. (1. fireplace, 6, notch in TJI, 6, window stickers w/ u-value). 1. Report dated 0904; 0923; 10/07 regarding fireplace requirements as per seismic straps and rebar within chimney have NOT been addressed. $15.00 reinspection fee charged for a total of $30.00 this date (101497) . ALL, REINSPECTION FEES MUST BE PAID BEFORE ANY FURTHER INSPECTIONS. 2. Insulation inspection not checked this date due to #1 issue above. 3. Mechanical fireplace below stairs not installed. Other than this issue all previous mechanical rough in completed. 4. POB Mechanical and Structural must be approved. MSTA725 Framing Insp / / / / 10/16/97 2. Submit engineering fisc for PART RB 06/15/98 RB cut/notched TJI-engineering does not reflect actual. 8. Open roof vents. MSTA725 Framing Insp / / / / 10/30/97 PASS RB 06;15/9A RS MSTA726 Shear Wail Inep / / / / 08/06/97 exterior shear hold-downs misplaced into FAIL RB 08/07/97 RB position as per engineering Engineer Fix11I interior shear - CSMSTI2 X 48" straps missed nail shetahing as marked add stud where face of ply d_stroyed (at landing of garage stairs to bonus room 4 t a i +� Page No. 5 CASE HISTORY FOR CASE NO.: MST97-0182 KOZAK ENTERPRISES INC 13962 SW HILLSHIRE DR 12/28/98 Action Deacription Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date Ay MSTA726 bhear Wall Insp / / / / 09/04/97 see mech insp this date FAIL RC 03/09/97 J•H MSTA726 Shear Wall Itep / / / / 09/10/97 Approved, see file for note from lisp APPD RC 09/13/97 J•H regarding equivalents. MSTA721 Low Voltage / / / / 08/29/97 PASS BRP 09/02/97 J*H MSTA730 Fireplace Insp / / / / 09/04/97 See Mech insp this date FAIL RC 09/08/97 J•H Page No. 6 CASE HISTORY FOR CASE NO.: MST97-0182 i(OZAK ENTERPRISES INC 13962 SW HILLBHIRE DR 12/28/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Dane Date By MSTA730 Fireplcce Insp / / / / 09/25/97 An per our conversation on 092497, FAIL RB 09/28/97 J•H please view CABO table 1003.1 REQUIREMENTS FOR MASONRY FIREPLACES AND CHIMNEYS. Also, Section 113.1.3, FRAME AND MASONRY INSPECTIONS. I:i reference to the above, please submit to the City Records/Building Department, a letter from the manory contractor to verify compliance to section 1003.1 above, section 116 is in regard to inspection record card to remain on job site. 1. Fireplace (masonry) inspection: a) table 3003.1(s) fasten to 4 joists blocking required at both levels. 2, Shear ND's are either not secured dawn or not enough catch by nut. Please re-chec,c, i.e NE wall, etc. 3. Aft. dormer of bonus room 6x needs to be secured to wall each side. Cut felt out of roof vent, also noted elsewhere. 4. Cripple wall at fwd, location adjacent to ply shear wall tie plate to shear wall. 5. Strap plata across glulam within 2nd stairwell. 5 TJI notched top flange needs to be fixed by engineer located at kitchen. 7• Adequate w/o altering joist hanger, support TJI supporting secondary stiars at poet keep in mind the box out support of cr fireplace chase. S. W.ease nate that window stickers thru-out are missing, all glazing units must be in accordance with .40 or less u value ref Ore. State Energy Code. Please have window rep/installer verify. 9. Mechanical issues regaruing chased duct/vents etc. in bonus room not yet resolved. 5-items. 10. Olulam beams in garage need to be secured to ext. wall plates. MSTA730 Fireplace Insp 10/1!/97 / / 10/14/97 See framing inspection notes, $15.00 FAIL RB 10/15/97 J•H reinspection fee charged for corrections not yet made to tie in. i i Page No. 7 CASE HISTORY FOR CAFE NO.: MST97-0182 KOZAi( ENTERPRISES INC 13962 SW HILLSHIRE DR 12/28/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA730 Fireplace Insp / / / / 10/17/97 3. Tie 4-ft. inward for masonry FAIL RB 10/17/97 J*H fireplace a 'amic strapping. MSTA730 Fireplace Insp / / / / 10/30/97 PASS RB 10/31/97 RB MSTA735 Gas Line Insp / / / / 09/08/97 see mech rgh in insp this date PASS RC 04/07/98 DOW MSTA740 Insulation Insp / / / / 10/16/97 1. Submit verification as to the FAIL RB 10/17/97 J•H U-values for the window/door package. 5. Insulate fireplace chase to a R-21 value. 6. Firestop all thru-hole penetra,ions; i.e., interwall connections, chases, top/bottom plates, understairs, eLc. MSTA740 Insulation Insp / / / / 10/30/97 !SASS RB 05!15/98 RB NSTA745 Ovp Board Inap / / / / 10/24/97 Mechanical rough in & drywall inspection FAIL RB 10/26/97 J*H notes: 1. Missed nailing throughout. 2. How are you going to make gas connection to family room fireplace? 3. Remove drywall at location of family room fireplace and ceiling in front of masonry fireplace. Gyp 77 fo• upstairs okay. Inspector can visually inspect fireplace straps within attic at final. 4. Gas line for family room fireplace needed to be in (Ion) the outside of drywall within garage. 5. Pruvide for crawl access. MSTA745 Gyp Board Insp / / / / 10/30/97 PASS RB 10/31/97 RB MSTA755 Rain drain Insp / / / / 06/24/97 FOOTING DRAINS ARE REQUIRED, CALL FOR PASS RAB 06/26/97 J•H REINSPECTION. MSTA760 Water Line Insp / / / / 06/26/97 PASS RAH 06/26/97 J•H MSTA76I Water Service Insp / / / / 06/24/9'1 1-IN COPPP.R TUB W/SLEEVE UNDER DRIVP.WAY. PASS RAB 06/26/97 T*H MSTA765 Appr/Sdwlk Insp / / / / 10/30/97 ok to pour PASS MW 10/31/9? J•H Page No. 8 CASZ HIS,ORY FOR CASE NO.: MST97-0182 KO W. ENTERPRISES INC 13962 SW HILLSHIRE DR 12/28/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA770 Mise. Inspection 09/08/97 / / 09/08/97 contractor brought me a carlson testing NOTE JT 09/08/11 JT report. type of inspection; epoxy. contractor said the report was posted on site. however in examining the report, carlaon stated tont lot 142 was inspected. 13962 hillehire is lot 141, not lot 142. lot 142 is at 13958 hillehire. I pointed this out to Kyle, Kozak enter. and suggested that if there is an error in the rmport (Iot # inspected) that he should get carlson to correct it and fax it to me. Jeanne t. MSTA780 <cREII.SPECTIUN» / / / / 07/02/97 $15.00 P/B Structurdl waived per RB WVD RB 09/24/97 J-H 092497 $15.00 P/B Mechanical - waived per RB 092497 POST ADDRESS MSTA780 c<REINSPECII0N>> / / / / 09/23/97 MECH INSP ON 092397, 3RD INSP W/ERRORS. WVD RB 09/24/97 J•H ASI;ESSED $15.00 fee waived 092497/RB MSTA780 <<RhINSPECTION>> / / / / 10/07/97 Building 6 mechanical e n ors, see CANC RB 10/15/97 J•H reinspection notes 100797. $30.00 assessed. 100997 fee waived, as per phone conversation w/ kyle this date MSTA780 c<REINSPECTION» / / / 10/14/97 Framing an.' .nasonry eriors not PAID RB 10/20/-7 DST corrected. $15.00 each inspection r?n 101497. $15.00 waived for framing issue: $15.00 due for mechanical/fireplace issue: Paid 10/20/97 #97-300187 Bon MSTA790 Electrical Final / / / / 02/18/98 1. Condensate pump must be 18-inches FAIL BRP 02/18/98 J•H above floor. Class 1 - Div. 2 area. 2. Of-�i trip test all normal. 3. No access to jet tub outlet -- couli no. test. 4. Box extenders noted. 5 so signing form at panel. 6. Need safe steps at garage door. Page No. 9 CASE HISTORY FOR CASE NO.: MST97-0182 / KOZAK ENTERPRISES INC 13962 SW HILLSHIRE DR 12/28/98 x-, Action Deer_:ipt;on Req/ Schd/ Ord/ Action Notes /�1 T* Upd Code Sent Done Do/,B C� OF ■��� ------- --------------- ---------- ------- ------ - ------•- ------ ------ -------------- --- ��j OREGON MSTA790 Electrical Final / / / / 03/18/98 This is a good job. Final and lowPASS BRF03/23 ,' J'if voltage approved. MSTA795 Mechanical Final 10/26/97 / / 03/18/98 1. Air conditioner not wired in. FAIL OS 03/23/98 J"H 2 Fireplace mantle does not fall within clearances specified by mfg. 3. Provide documentation of flex connector approved for use within firebox. MSTA795 Mechanical Final i ! / / 04/29/98 hot-water clearance to et.nbustibles- 1" NOTE RB 04/30/98 kB note the structural (2X4) against Appliance in rear MSTA795 Mechanical Final ! / / 06/15/98 PASS RB 06/15/98 PR 14STA797 Plumb Final / / / / 03;20/98 Where is newer cieanout7 House locked. FAIL RB 03/23/98 ,1•H No combo given for lock box. Exterior checked only. 3/18/98 held inspection request, have not received signature form. 3/19/98 received signature form. MSTA797 Plumb Final / / / / 03/25/98 1. Extend sAnitary sewer cleanout above FAIL RB 04/30/98 RB grade. Provide approved cleanout fitting with threaded plub at upper terminal of cleanout. 2. Provide documentation of crawl space drain inspection and approval or install and request inspection. 3. Hot-water heater rear clearance- 1" regId. 4/1/98 Kyle at COT, rLquested Hap to call him regarding this "vague" inspection. Hap called at 3:45, but there was no answer. MSTA797 Plumb Final / / / / C4/29/90 hot water heater clearance to the rear= PASS RB 04/30/98 4B 1" to combustibles req'd MSTA798 Final inspection / / / / 06/15/98 PASS RB 06/15/98 RB MSTA799 Building Final i / / / / / 101/07/97 J•ti MSTA799 Building Final / / / / 06/15/98 PASS RB 06/15/98 RB MST9700 Erosion Control Inep 844-8444 / / / / 06/12/98 SASS USA 06/15/98 R£ 13125 3'N Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 CITY OF TIGARD t+IASTCR FSE=RMI T DEVELOPMENT SERVICES F,ERMIT #. . . . . . . : MST97--0182 AnIUMM 13125 SW Hall Blvd,, Tigard,OH 97223 (503)639.4171 DATE ISSUED: 06/06/97 FDARCEL: 9104CC-0 ,500 S I TE ADDRESS. . . : 13962 SW H I LI-SH I RE. DR SIJBD I V I S I ON. . . . :HILA-SHIRE E STATES NO. ` ZON T N(3: R--7 F,1) BL_.00K. . . . . . . . . . L01 . . . . . . . . . . . . . : 141 JLJRISDICT:ON: TIC; Remarks: SF - Path 1 ----------------------------------------------------------------- BUILDING --------------------------------------------------------------- REISSUE: STORIES........ 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 27 FIRLT....: 1575 sf GARAGE.....: 988 sf LEFT..........: 14 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 2204 sf FRONT.........: 30 PARKING SPACES: TYPE OF CONST.:5N DWELLING UNITS: I FINbSMENT. f 81GHT......... : 14 OCCUPANCY GRP,:R3 BDRM: h BATH: 3 TOTAL------: 3719 s VALUE..S: iM515 REAR............ 51 ----------------------------------------------------------------- PLUMBING --------------------------------------------- ----- -------- SINI(S.........: 1 NATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.... ....: 0 LAVATORIES....: 5 DISHWASHERS..,: I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --- -- ------------------------------------------------------------ MEDA41CAL ------- - --- --- --- ------------------------------------- FV1 IYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOCHES DRYERS: 1 GAS FURN )=100K ..: I UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODST9VES....: 0 GAS OUTLETS...: 1 -----------------------------•--------------------------------- ELECTRICAL -------------------------------•------------------------------ - --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SPVC/FEEDERS-- ---BRAWN CiRCU175- ----MISCELLANEOUS---- --ADD'L INSPEC1IONS-- 1iW SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 CA ADD'L 500SF.: B 201 - 400 amp..: 0 201 - ':06 amp..: 0 1st W/O SVC/FDR: 0 SIGN/O(JT LIN LT: 0 PER HOUR ...... 0 LIMITER ENERGY.: 1 401 - 600 amp..: 0 401, - 600 amp..: 0 EA ADDL. BR CIR: 0 SIGNAL/PANEL....: 0 IN PLANT......! 0 MAW HM/SVC/FDP,: 0 60' - 1000 alp.: 0 681+amps-1000 v: 0 MINOP LABEL -10: 0 1000+ amp/volt.: 0 ----------------------------._------ PLAN REVIEW SECTION -----__..__....-------------.------_-- keconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY --------------------------------------- --- - A. SF 3ESIWNTI4t.--------------------------- R. COMMERCIAL------------------ --------.------------------------------------------- ------ AUDIO I SFEREO,: VACUUM SYSTEM..: AUDIG I STEREO.: FIRE AL.ARM.....; INTERCOM/Pk)G1NG: OUTDOOR LND9C LT: BURGLAR ALARM_: 0TH: :: X BOILER.........: HVAC...........; LAMDSCAPE/IRRI6: PROTECTTVE SIGNL: GARAGE OPEVEP...: CLOCK..........: INSTRUMENTATION; MEDICAL........: OTHR: HVAC...........: DATA/TELE LOW. NURSE CALLS.. . : TOTAL ! SYSTEMS: P Owner: ------------------------------------Contractor: ----------------------------- TOTAL FEES.S 5141.81 KOZAK ENTERPRISES INC KOZAK ENTERPRISES INC. 711 N MOLALLA AVE 711 N MOLLALA AVE MOLALLA OR 97638 MOIALL.A OR 97058 Phone A: 631-4558 Phone A: 631-4`,,38 Reg C.- 077219 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Soecralty Codes and all other applicable laws. All work will be done in accordance K th approv,i plans. This permit will expire if work is not started withii 180 days of issuance, or ii wort: is suspen,Ipd for more tnan IN days. - ------------- ------------------------ -------------- REQUIRED INSPECTIONS —-------------------------------- ------------------- - Erosion Contol Post/Beam Meehan Electrical Servi Gas Line Insp Water Service In Building Final Grading Inspectr Crawl Drain Electrical Rough Gas Fireplace Appr/Sdwik Insp _--_ Footing lnip PLM/Underf)orr Framing Insp Insulation Insp Electrical Final Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final _ Post/Beam Struct Plumb Top Out _ Low Voltage Rain drain Lisp Final F,e r m i t.t;P e S i g n at�.ir e :� � I s s Li e d N L` Call for inspection - 639--41 CITY GF TIGARD DEVELOPMENT SERVICES SEWER FRMTTCTIDN f='F RMT T 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SW R97 0181 DATE ISSUED: 06/06/97 PARCEL: 2S104CC--03500 SITE ADDRESS. . . : 139.,2 SW HILLSHIRE DR SUBDIVISION. . . . iHI'._LSHIRE ESTATES NO. 2 ZONING: R-7 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 141 JURISDICTION: TIG TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORT;. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . .SF NO. OF BUT'_DINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 ,f Remet-'(s : SF — Path 1 Owner.: _._______.__.___________------______------_______._—_.__-- FEES KOZAK ENTERPRISES INC type amol_int by date rrarpt 711 N MOLALLA AVE PRMT f 22.00. 00 DRA 06/06/97 97--295581 MOLALL_A OR 97038 INSP $ 35. 00 DRA 06/06/97 97-295581 Phone #: Cort Tactor; •---___-- OWNER 2235. 00 TOTAL Reg #. . : -------- REOU I RED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspect ion _ of the Unified Stwage Agency. The permit expires 14 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 tt.2 sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If nct so located, the installer shal? purchase a 'Tap and Side Sewer' Permit and t Agency will install a lateral. Permittee Si riatisre : Call for inspection — 63'5-4175 Plan Check M' OF TIGARD Residential Building Permit Application Recd By '_Icoln-) :5 SW HALM- 6,LVD. New Construction Additions or Alterations Date Recd S- l ARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 7-Z j'7 03-639-4171 Date to OST Q3-684-7297 Permit a FVVITIT vL or— Print or Type called_ to 3 �� 7-' IV Incomplete or illegible applications will not be accepted Name of Protect I 1 Name —" Job Hi154;r, r .� r(irN5c ZU -- Address Site d ss Architect Mailing Address v c r ? S ft1 w �5 ti< - Name �` tylState Zip Phone 2C tir Owner Mailing Actdross Name pity/st to Z Phone Engineer Mailing Address Rime -_ ,u i,. c rt. y f.o DyitY/tate } Zip Phone Generalh • ' q . � -..' 7 �; � ' ;•ftw�, c �.• �/�: � G Z y r L Describe work New• Adddw O Alteration O Repair O Contractor MarYng Address to be done: Additional Description of Work: city/state Zip Phone . & � tfs� I Oregon Const Cont.%ard Lic.N Exp.Date//i' A, l ��� l• laeh Copy of 1 7 Z . t e. "5- Current COT Business Tax or IAetro 0 Exp.Date PROJECT . - Licenses VALUATION Name rlecharical TOO i p NEIN CONSTRUCTION ONLY: Sub- Mailing.Aclaress Sq. Ft. House: ) 7y Sq. Ft. Gaarye t' Contractor GtviState Liv Phgrne Comer Lot YES NO Flag Lot YEST NO (check one) l( (check one) r Oregon Const. Cont. 94oard Lic.M Exp.Date RestrictedV' Audio/Stereo V Burglar Attach Copy of Energy System_ Alarm _ Current COT Business Tax or Metro M Exp. Date — Installation Garage Door HVAC Licenses � ! V Name _ V Opener _ ____ Systems (check all that Other. Plumbing 1' //r r.;I yli, 1 ;, apply) Sub- Mailing Address Will the electrical subcontractor wire for all YES NO '.ontractor restricted energy installations? C.ty/state Zip Phone Has the Subdivision Plat recorded? N/A YV NO i.,cn Cray or Oregon Const Cont. t t. Board L c. Exp Date Reissue of MSTX- Solar Compliance _ _ — (Calcuiabon Attached) Cumene Plumping Lic s Exp Date Licensor I hearby acknowledge that I have read This aoplication, that the information gwen is correct, that I am the owner or authorized COT Business Tax or Metro x— Exp Dace agent of the owner, and that plans submitted are in compliance Name with Oregon Stale laws. Electrical i(30 V Sign�!Jure of Owner/ a Date Sub- Mailing Address Con -Ciioh Narn4 Phone 4 C,ty!Sta�e Z.pPhone _ FO OFF-1 C USE ONLY: I _ P!at x: MaplT #: Oregon Const Cont. Board L.c 0 Exp DateL' h 1 7 Z Z`j tittach copy of Setbalrks: Zottg ola Currant Eiec.,lcal L c. x I Exp. Date Licenses -- -�1-�-..L-1-- CCT B.,srness Tax or Metro a I Exp Date Engineering App oval: Planning Approval: TIF: i �, ill. -- — t .0 p.doc(dst) 1197 Permit# Account Descrilptoon Amoun Amt. d. gal. Due '1 I NrVIVIST. Permit (BUILD) Plumb. Permit (PLUMB) z 2 5. Mech. Permit (MECH) 4,5. ELC/ELR Permit (ELPRMT) 3.50. 3�c State Tax (TAX) 9 f 73 �Y Bldg: Z. - Plumb: Mech: Z. - E'LC/ELR: Plan Check MST: (BUPPLN) SS�>, y i7 Plumb: (PLMPLN) Mech: (MECPLN) z.b CDC Review (LANDUS) _ amu. �'tl Sewer Connection (SWI,SA) 2,20 ? Z u o - Reimbursement District ( ) Sewer Inspection (SWINSP) 35' :3.5 Parks Dev Charge (PKSDC) _/65c' &' Sv ' Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) 12L, Water Quality (WQUAL) Water Quantity (WQUANT) /6/(,) Erosion Control Permit (ERPRM;► _ r Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) 2- Fire Fire Life Safety (FLS) TOTALS: h2tappAm (dst) 1/9 w Solar Balance Point Standard Worksheet ,address Box A calculations: North-South dimcrision for the lot. Box A. This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting lire perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smailest angie from a line drawn east-west and intersecting the northern most point of the lot. 1 � N No! -.-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. b O S feet N C��as.ao�m o.r� Box B calculations: Shade point height for Your residence. Box B: t. Determine wFetaher 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 mot line rur i North-South, measurements will (circle one) be based on the peak of the roof. a o 4 a 0. mom-1. 1A � 1 b: If tf a roof line runs East-West and the roof pitch is 1 less ;.pan 3i12, measurements will be bases' on :!-.e e3vp. s..0 IC"w 1c- If tl-e rcof line runs East-Nest, and the roof pitch is 3i12 or steeper, measurements will be based on the le .Teak. ' 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 smailest angle from a line drawn east-west and intersecting the norther most point of the lot. d5J t w...n I "one" �IN w N UX w North-South Dimension for Lot: Measure time distance from the midpoint of the North lot line to the South lot line along d-,e described line. + feet 1 N !moi�ras.+uuM o�ord+ Box B calculations: Shade point height for your residence. Box 6: 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. 1a: If the roof line runs North-South, measurements will (ciNl- !one) be based on the peak of the roof. a o-0-0 a CM-10. 1 A \ 1 1 b: If the roof line runs East-West and the roof pitch is less :.'man 30 2, measurements will be eased on *, .e eave. 1 c. If the roof line runs East--Fest and the roof pitch is 5i12 or steeper, measurements will be based on the ^eak. G----C OCMI.a. Box S. continued Box B: 2. 'Weasure change in elevation from front property fine to finished floor elevation. If the lot slopzs up from the front lot line to the foundation, the figure is positive. If r- It the lot slopes down from the front lot line to the foundation, the figure is negative. 3. Measure dismme from finished floor elevation to the affected peaWeave. + •32 ft 4, If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ft deduct nothing. S. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot s.opes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. It 6. Total figure for box 8: z Z ft Box G Distance to the shade reduction line. Box C- 1. Measure the distance from the North property line to the foundation near the ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. 3_ It 3. Total figure for box C. - ft Itis moot useful to draw a vertical fine to repem t the appopdm Rpm fourW in bee'A'and a horizontal One to repent the appropriate rw"found in bet-C-.The in�,n of the ve W"and Mrizw"One determines the vada found in box'D'.The value in oox 'O'should be mmpared to the value in boat'8';if the value in box 18'is kgs than or equal to the value found in box'O', dun the building is in compaance with the solar balance mde. It you have any questiom please contaa us at 639-4171,x304 or at the Community Oevebpr+ent Counorr. MAXIMUM PERMITTED SHADE POUR HEIGHT (In feet) 0isonce to Muth-south lot dtmen*m On feet! shade 100+ 95 90 45 80 7S 70 65 S3 50 45 40 reduction One from northern let Fine lin re#0 70 40 43 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 4 35 34 34 34 35 36 37 38 39 41 32 32 32 33 34 3S 36 37413 43 30 10 30 31 32 33 34 35 3 37 38 39 .0 28 23 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 3,�. 33 34 35 36 70 24 24 24 25 26 27 28 29 3P 31 32 33 34 S 2-1 22 22 23 24 25 26 27 29 30 31 32 20 20 20 20 21 ?2 23 24 25 27 28 29 30 13 18 18 18 19 20 21 2-1 23 25 26 27 28 1Q 16 16 16 17 18 19 =0 21 2 23 24 25 1_6 14 14 14 15 16 17 18 19 21 2.2. 23 24 aox D. ,Maximum allowed shade point height+ - feet i h-`dc Nunc„rvenara\ldar&o Re"sed 2.12S?5 r.` .G 'o UIL KOZAK ENTERPRISES INC. i III N. M013113 Ave. T-,4,< C` f # 3'-0 c M01311a, OR 97038 -71 ro J ^J Jolla 6-7q I _ � I 3 � -- ------- - 676 I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE FRONTIER ELECTRIC: uO PO BOX 1578 GRESHAM OR 97030-0513 Electrical Signature Form Permit # • . . . : MST97-0182 Date Issued. : 06/06/07 Parcel . . . . . . : 2S104CC-03500 Site Address : 13962 SW HILLSHIRE DR Subdivision. : HILLSHIRE ESTATES NO. 2 Block. . . . . . . • Lot : 141 Jurisdiction: TIG Zoning. . . . . . • R-7 PD Remarks : SF - Path 1 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 work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: KOZAK ENTERPRISES INC FRONTIER ELECTRIC CO 711 N MOLALLA AVE PO BOX 1578 MOLALLA OR 97038 GRESHAM OR 97030-0513 Phc)ne 4 : Phone # Reg # . . : 000052 Si aw 0�;upervi nis g lectrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 1'1HF'-1'= -40 THI1 "7 :21 RM PMS PL_I-IMR I NG I NC 360 244539 P. "I CITY Or TIGARD 13125 S.W. HALL BLVD. TIGARD. OR 97223 IMPORTANT PERMIT NOTICE DMa PLUMBING INC 12602 NE 28TH STREXT V jkNCOUPBR w1:. 98682 Plumbing Signature Form Permit f! . . : NST'97-0182 Date! Tssupd. : 03/18/98 Parcel. . . . . . : 2131G4CC-03500 Site Address : 13962 SW BTI,,t,SHIRE OR Subdivision. : HILLS211" ESTATES NO. 2 BIOCk. . . . . . . : Lot: 141 'Lolling . . . R-'/ PD Remarks -, a? - Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In ordor for the plumbing Kermit to be valid, please have the appropriate individual from your company sign below arid return this Plumbing Signature Form prior to the start of work. No plumbing inspectiuns will to authorized u(l,t.il this completed form is rcccived. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMHIt1c3 CONTRACTOR: XO?.AR ENTERPRISES INC D95 PLUMBING INC 711 N MDLA.LL.% AVE 12603 NS 28TH STREET MI)LALLA OR 97038 VANCOUVER WA 98682 Phone 0 : 631-4558 Phone 4 : req tR 000807 S,4nature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. It you have ary questions, please call 639.4171 . ext. #310 T,lil Tnn4t CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 I`ale Re yuested: /( ` XM. P.M. MST: Location: ��-- -� �. _ BUP:i Tenant _ Suite: Bldg: MEC: _ Contract,, PLM: Phone: —--- r n - Phone: �'— G� ELC: b--lz" _ Srr: �tTI ZING BLDG(con't) PLUMBING J MECHANICAL tr SITE Site Post/Hum) Post/Be)an Post/Beam COVer/Service Sewer/Stonn Footing Roof 1 IndFl/Sh:b Rough-)n Ceiling Water Line Slab Framing Top Out Gas Line Rough-In U(i Sprinkler Foundation Insulation Sewer If(od/I)uct Reconnect Vault Hsmt Damp I)ryw!ill Stom) Furnace Temp Service MISC'. Masonry Ceiling Rain Drain AW 1)(j Slab Shear/Sheat)) Dire SpkF/Ahn Crawl/Found I I leaf 1'1111111 Low Volt _ Approved Approved Approved Approval Approved a_ Appr/Sdwlk Not Approved Not Approved Not Approved oved Not Approved FINAL FINAL FINAL crtfq FINAL (7 Call lin reurspechon Clilem�pcdlon Ice of S retluireu before next Inspection ❑(ina`.,Ie to inspectInspector:_ �J —_-- Date 3,1 C ['age-- of CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . : PLM98-0316 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/09/9P, PARCEL: 2SI04CC-03500 SITE ADDRESS. . . : 13962 SW HILLS''HIRE DR SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD BLOCK. . . . . . . .. . . , LOT. . . . . . . . . . . . . : 1.41 JURISDICTION: T'I(':s CLASS OF WORK. . :nLT GARBAGE DISPOSALS. : 1Z MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY BRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES__.___.—_—_...._._...._ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUR/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : Q) WATER CLOSETS. : 0 WATER LINE (ft) . ,. . : 0 DISHWASv ZRS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Residential backflow prvention device. Owner: FEES ABBEY, DON & LAURA type amount by date recpt 13962 SW HILLSHIRE DR PRMT $ 15. 00 GEE 09/09/98 98-308967 TIGARD OR 97223 71 P C T $ 0. 751 GE0 09/09/98 913--308967 Phone #1 524-6933 .JOHN DARBY LANDSCAPE MAINTENANCE 131.52 SW CLEARVIEW TIGARD OR 97223 ------------------------- Phone #- 579-52'�A f 15. 75 TOTAL Reg #. . - 000069 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the RF'/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will he 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 Utility Notification Center. Those rules are set forth in DAR W-000I-0010 through DAR 95?-0001 -0@80. You may obtain copies of these rules or direct questions to ODIC by calling (503)246-1987. WT Permittee Signatut-e :—ov ,+-+4.4+ +++4-•r++++++++Ago+++4.4.++++++++++++++.4+...........................4+4.+++ Call 639-4175 by 7*00 p. m. for an inspection needed the next business day 4-+++++-+-+++-* +4..............4-+4.............. ............................. CITY jF TIGARD Plumbing Permit Application Plan Check 0 13125 SW HALL BLVD. Commercial and Residential Rec'dBy_.__ TIGARD, OR 97223 Date Recd _ (503) 639-4171 Date to P.E. _ Print or Type Dale to DST Incomplete or illegible ,applications will not be accepted Permit 3/E Related SWR x Called _ Name of DevelopmenUProject FIXTURES (Individual) QTY.; PRICE AMT Job 0,1 I l lrj�. !Q �_��ct• Sink _ 9.00 Address Street Address'' ll Suite Lavatory 9.00 13% Z r r 1151,, � Tub or Tub/Shower Comb. 9.00 Bldg S City/State Zip Shower Only 9.00 ©rte iC-7-,M3 -- — Water Closet — 9.00 Name LX r-,A- Later f t_t Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 1396Washing Machine 9.00 Cit /State Zi Phone --� Floor Drain/Floor Sink 2" 9.00 Na 3" �— 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 _ Gas pil in requires a separate mechanical permit. City/Slate Zip Phone— Laundry Room Tray 9.00 _ Urinal 9.OU --- Name -- �� 9.00 y� —�S.� �t Other Fixtures(Specify) Contractor Mailing Address Suite 9.00 I-�15 Z- 3 t`1Q I e _ _ 9.00 Prior to permit City/StateZip Phone C Sewer-1st 100' 30.00 Issuance,a copy `T-,r 2 Z $7/ – Sewer-each additional 100' 25.00 of all licenses are Orn Const Con oard Lic.# Exp. ale -- -- required if _ 1 /Q /� Water Service-1st 100' — 30.00 expired in COT Plumbing Llc 0 Exp.Date Water Service-each additional 200' 25.00 — database Storm&Rain Drain-1st 100' 30.00 Name Storm B Rain Drain-each additional 100' 25.00 Architect Mobile Home Space — 25.00 e Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device _ Engineer City/State Z_ip Phone Residential Backflow Prevention Device' 15.00 (irrigation timing devices require a separate I)ecr:ribe work to be done: restricted energy permit.) _ New O Repair O Replace with like kind. Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O Catch Basin 900 Additional description of workInsp of Existing Plumbing 40.00 erRx Specially Requested Inspections 40.00 erthr _ Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? — Grease Traps 900 Yes O No If yes,see back of form to indicate work performed by — QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required If Quantity Total is >9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL I hereby acknowledge that I have read this application,that the information —_ given is correct,that I on,the owner or authorized agent of the owner.and 5%SURCHARGE _that plans submitted are in compliance with Ore on Slate Laws, _ Signature of Ownnr/Agent Dat **PLAN REVIEW 25%OF SUBTOTAL Required onty M fixture qty total is>9 TOTAL Contact Person Name Phone �—'Minimum permit fee Is$25+5%surcharge,except Residential Backflow -- -- -- ---- — _._s Prevention Device,whit:,is$15+5%surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review I WsWplumapp dpc;r7/TJa PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory_ Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher Garbage Disposal _ Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171 CERTIFICATE OF OCCUPANCY PE RM1 T it. . . . . . . : MST9,'_01 F1.. DATI7- ISSUED: 06/15/98 PARCEL a 2S104CC--03500 : .l.E ADDRESS. . . m 13962 5W HILLSHIRE DR JBVIVISION. . . . : HILLSHIRE E'ST'ATES NO. 2 ZONINS:R--.-7 FSU I-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 141 ,JURISDICT.LuNiTTO 1;_,a OF WORK. :NEW r v,E OF USE. . . :SF r'PE OF CON ST R m 5N (XC;UPANCY GRP. :R3 0(.'(.;UPANCY L.OAU m e' No-mark u: 9F - Path 1 KOZAK ENTERPRISES INC 711 N MOLALLA AVE htl]I_ALLA OR 97030 Phomp #: 631 -455b I..;ontr-act or- m _...__.__ - ..__..... . _. _ ... K07AK ENTE RPR I f3('r; INC 711 N MOLLAL.A AVE MOLAI_LA OR 97055 Phone #m 631--4558 Pegg #. . 1 077219 This Certificate grants. oc:cupanr_v of the Above reeforenced building or portaon thereof and confirms that the building has been inspected for compli.ance will, the State of l91regon Specialty Cosies for- the group, ourupancy, and use onidvi which that rfair enceci per•nli.t was i sS1..ied. 43C1ILDINf3 INWP;' CTORL/INSf--ff I SLIPEJ( v 1 ;OR POST IN c_ONS-,P I CUOUS PLACE 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 QST — Date Requested J` ----- SUP q F�d � AM BLD Location i '' 9�`�� ? �1 C(/� ; Suite MEC Contact Person _ Ph PLM Contractor Ph c''y_ �� v SWR BUILDING Tenant/Owner ELC Retaining Wall Footing AELR Foundation Access: FPS Ftg Drain 51 bawl Drain Inspection Notes: , v � SGN Post&Beam SIT _ Fxt Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof c Final '----------.4---- PASS PART FAIL Post& Beam —— Under Slab Top Out — Water Service / % -/fir l� •+.�•��f J r Sanitary Sewer Rain Drains PART FAIL MECHANICAL Post&Beam —_ Rough In Gas Line Smoke Darnpers Final PASS PARI FAIL ELECTRICAL. � - -- Service _ Rough In T — UG/Slab Low Voltage Fire Alarm ___•__— Final — PASS PART FAIL I SITE __-- Backfill/Grading Sanitary Sewer Storm Drain i J Reinspection fee of$ required before next in.pection PRY at City I-;all, 13125 SW Nall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: ( ) Unable to inspect no ac.refis ADA Approach/Sidti:vaik ; x ��� ;7) Other Date U Inspector // Ext Final ---� -- PASS PART FAIL. DO MOT REMOVE this inspection record from the joky site.