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10730 SW MARY PLACE i 0 w 0 10730 SW MARY PL CITY OF TIGARD BUILDING INSPECTION DIVISION ';b C' MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 I BUP l tJ 5 fate Requested - 1 AM —. PM B q �C _ LD -- Location ///u,-,A -7,F �__—_— Suite 7 ,/`T- MEC —_—�— Contact Persor. nv-c pit �� Ph _ [,F � J. PLM Contractor _. SX --- Ph ---� —, GWR BUILDING -- Ten~rnUUwrier . —-- — -- ELC ---__—_-- Retaining Wall E.LR Footing AccessOj 'n�) pw1 ,y� I PS Foundation 6 w caJJ 4t,&M' -t l.A✓J WI►v W --- _---- -.- - Ftg Drain �SGN Crawl Drain Inspection Notes. -- -�--- ---- Slab --- -- I: - - SIT ---- - Post& Beam Ext Sheath/Shear -r /^n" r-C iu l_r L FOC P14 int Sheath/Shear r�A ' r,,L fC 4_ Framing ( L/r 1 _ r I I\ 1"1 l.�_ 71 Insulation — - - Drywall Nailing Firewall Fire Sprinkler - -- - --- -,---- ---- -- - ----- -- Fire Alarm Susp'd Ceiling ------_._-- ----_-..___-. -___ _ _.�-----------__-_^_ R oof t.�..- Misc. __.- _ -_ --- - ---------- - -- ---- ----- Final - ---- - �, PASS PART FAIL. PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ---- ----- - - --- .-..-__ _ -- -- ---- - - -- Rough In GasLine ---- _ - --- -_ _ --------_------ ----_------------- ..---- Smoke DarnperF Final _ - . . ---- -_...- - _----- - __----------------- ----_----- --__.__----- -- p FAIL- EC Service Rough In UG/Slab _.-._—___�_------- ---- _.__.___ ----_� -------_._-------._ -___ Low Voltage F' lann - ----_- -- --- --- - - - - -- __- T-_ _.. ------ ASSY' PART FAIL _-___-._.__------_..___---------- ---.-._. ----------------- --�-.�_ Backfill/Grading ------.—____ -�.__�-----__-_ __ -_--- --_-_--.-.------ Sanitary Sewer Storm Drain ( J Reinspection fee of$-- _required before next inspection. fay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE [ J Unable to inspect-no access ADA Approach/Sidewalk Date v Ext Other -_- 1_/ ._ , _ Inspects! Final PASS PART FAIL DO NOT REMOVE this inspection record from the joh site. CITY OF Ti'IGARD BUILDING INSPECTION DIVISION � r -y MST � J 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP c� DateRequested I- " (� AM -- PM BLD —` Location_ /0730 �el��( Suit/er MEC Contact Person _ (�. P1t 314p- 7 )PLM Contractui Ph _ __ SWR _---._._�_----_—_— BUILDING � Tenant/Owner ELC Retaining Wall_ — ELR Footing Access , y,�' Foundation f)(�, CC� n v'� FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab --- �'L., SIT Post& Beam __-- Ext Sheath/Srv,ar - H (NJ kt� r? PM Irit Sheath/Shear I --- --- - - -- - --- Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc — - -- --- - - - Final - ---_ _ --------- - PAS _PAjj-! FAIL.- ---- --- -.,. LUMBING Post&Beam Under Slab fop Out Water Service Sanitary Sewer - -- ---- - R ' Drains Final -- ASS` PART FAIL WftHANICAL & Beam Rough In Gas Line -- . . - ------ — _ - - - - ---- Smoke Dampers Final -- --- — -- — ----- -- PASS PART FAIL ELECTRICAL - - Service Rough In UG/Slab Low Voltage Fire Alarm Final - PASS PART FAIL SITE Backfill/Grading -------- --- -- --_ ____—__-------.-.____---------_---__._ ------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$__---_-__ _ equired before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please rail for reinspection RF _- [ J Unable to inspect- no access Fire Supply Line '— ADA Approach/Sidewalk Date _ �r Inspector_ Ext Other ___ - - — ----- Final PAS3 PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST24-•Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �-/ AM M BLq -----_ - -- -- Location ( C-,1-730 �-cN _ f t� Suite MEC -- --_---- -- Contact Person — s 1 Ph r./"t 6�_4 - PLM — Contractor `�- -- — — Ph -- SWR UIL _ — _ — E _C Retaining Wall ELR Footing Access: C� FPS ----' --- ----- Foundation ; _/ (� Ftg Drain GN Slab Crawl Drain Inspection Notes. (,kJ � — rrte�, ------- Xc l0(� - PostBBeam -------�----_--- -- ------------ --------- IT ----------- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PASS PART FAIL PUMBING Post& Beam - - -Under Slab Top Out Water Service _ Sanitary Sewer _ Rain Drains Final - --- -- PA- -PJ1RI FAIL_MECHANICAL Post& Be-im Rough In GasLine ----._—_... —_ ---------- - -- --. Smoke Dampers Fll ) PART_ FAIL CAL Service --11 Rough I i ----_- -- UG/Slab Low Vo;tage -�--- _ -- Fire Alarm Final PASS PART FAIL --- ----- - - ---- -- ---- - - —SITE Back`lll/Grad-ng -- — - ---- ------- — ------ —_ -- --._------_ Sanitary Sewer Storm Drain ( ]Reinspection fee of$ —._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gated Basin I ] Please call for reinspection RE _— ) )Unable to inspect-no access Fire Supply Lrn ADA Approach/Sidewalk 2_��$ p i Other Date Inspector }-Y'1_ Ext Final PASS PART FAIL 00 NOY REMOVE this inspectiois record from the job site. CITY OF TIGARD IYIII::iII::.Iy 1I:"I;I`I.I. T DEVELOPMENT SERVICES T'T 14 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 :I.E')J.340( 03600 :1.0730 Bw 1110: y P"L. 1 113 1 Z0111143r, F�-4.,".5 V11) 141-0CK. L.0*1'. " . . . " . . .. " . .. " -00 'T'16 Remarks: Expansion of kitchen, laundry, and dining area. PATH I BUILDING REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REWIRED SETBACKS---- REOUIRED----------- CLASS OF WORK.:ADD HEIGHT........: 12 FIRST....: 336 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS- TYPE OF USE...:5F FLOOR LOAD....: 48 SECOND...: 8 sf FRON1 .......... 0 PARKING SPACES: h TYPE OF L'MT.:5N DWELLING LIMITS: I FINBSMENT- 0 sf RIGHT.........: 5 OCCUPANCY GRF.:R3 BDRM: 0 BATH: 0 TOTAL-----: 336 sf VAI U[.. 22478 REAR..........: 19 --------- PLUMBING _____—_._------..___-- SINKS.........: I WATER CLOSETS.- 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 8 RAIN DRAIN ft: 8 TRAPS.........: 0 LPATORIFS....: 0 DISHNIASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: I WATER WATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR- 0 GREASE TRAPS..: 0 OTHER FIXTURL,:- 0 ----------------------------- —-—--—----------------- MECHANICAL FUEL TYPES-------- rURM I 108K 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: I GAS FORM )=100K 9 LIMIT HEATERS..: 0 HOODS.........: I OTWR UNITS...: 0 MAX IMP. 0 BTU FLOOR FURNACES: 0 VENTS.........: 3 WOODSTOVES....- 0 GAS OUTLETS...: I ------------------------_--------------------------------------- ELECTRICAL -----------------------—-—--—------------------------—---- —RESIDENTIAL LIMIT— ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS— --BRANCH CIRCUITS--- ---- --ADDIL INSPECTIONS- IBM SF OR LESS: I @ - 288 amp..: 0 0 - 290 amp..: 0 W/SVC OR FDR..- 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADD'L 5085F'.: 0 201 - 480 asp..; 0 291 - 408 amp..: 0 1st W/O SVC/FDR: I SIGN/OUT LIN LT: 0 PER HOUR......: 0 [.IMITFr ENFRGY.: A 401 - 699 amp..: 8 481 - 699 amp..: 0 EA ADDL BR CIR: I SIGNAL/PANEL...: 0 IN PLANT......: 0 MW HM/SW/FDR: 0 661 - top amp.: a 601+amps-I999 v: 0 MINOR LABEL -10: 0 low up/volt.: 0 -----------------•----------------- PLAN REVIEW SECTION --------------------------- Reconnect ------------------------- Reconnect only.: 8 )=4 RES LIMITS..: SVC/FDR)=M A.: ) 688 V NOMINAL: CLS AREA/SPC OCC: --------------------—---------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------•----- A. ---------------------------------------------- A. SF RESIDENTIAL——------------------- B. COMMERCIAL---------------_------- ------------- — --- --__----------- AUDIO --------- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO A STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LHDSC LT: E%(;LflR ALARM..: 0TH: BOILER.........: HVAC............ L(WSCAPE/IRRIG: PROTECTIVE SIGHL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........:: OTHR: HVAC...........: DATA/TELE CONN.: HURSE CALLS—.: TOTAL N SYSTEMS: 0 Owner: ----------------------------- TOTAL FEES:$ 485.71 GENTRY, TODD & LAURA WiLl CONSTRUCTION This permit is subject to the regulations contained in the 18739 SW MARY PLACE 75" N OAK Tigaro Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 PORTLAND OR 97223 other applicable laws. All woi+ will be done in accordance with approved plans. This permit will expire if work is Phone 01: 968--1031 Phone N: 293-3276 not started within 180 days of issuance, or if the wori, is Reg #..: 8911191 suspended for more than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the "an Utility Notification Center. Those rules are set forth in OAR 952. 191-0819 through OAR 952-8814088. You may obtain copies of these rules or direct questions to OUNC by calling (583)246-1987. REDUIRED INSPECTIONS Erosion 844-8444 Crawl Drain/Back Electrical Rough Rain drain Insp Footing Insp PLM/Underfloor Framing Insp Electrical Final Foundation Insp Mechanical Insp Low Voltage Mechanical Final Post/Beas Struct Plumb Top Out Gas Line Insp Plumb Final Post/Den Meehan Electrical Servi Insulation Insp Building Final !:i!:"t.kecI Fly- a t;k.t-F,e I % ................ ...........................I......... #4 �++++A 4++ �+P"Ilex��i'�4 o4o�r+les:;s� (lay C"al.]. 6,394171,15 by 700 p.m. fc)-r i.tvi J.vispec.,tj.c-)1') ilcvclVcl t, Plan Check,# :41 Y IF TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Constructiorr, Additions or Alterations Date Recd 1-15" TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. V 503-639-4171 Date to DST -5 .13 1 F 503-684-7297 Permit# Print or ' rpe /(/ Called Incomplete or illegible applica', ons will riot be accepted Name of Project �- Name — Job r Arc, 'tett Mailing Address Address Site Address —---- - 'al ('n City/State Zip hone Name i. I r 6-c) "tvj.j - Owner Mailing Address Name l 1,Y1 Jj City/State Lip e Engineer Maillno Address Phon / Cit ylState Zip Phone General Name --- i ' S, 6"t'J' Contractor > ` Describe work New O Additiong Alteration 0 Repair O Marling Address to be done_ Prior to permit A additional Description of Work— issuance, a copy City/State t Phone .%« ' 1 �,LI'7 � `9 111 ItIA of all licenses are required if [Oregon Conllilit�OcM. Board Exp Dale PROJECT 'J expired in COT Lie# VALUATION L$ �; - o database — Mechanical Name— --T— - NEW CONSTRUCTION ONLY: _ Sub_ fSq Ft House Sq. Ft. Garage Contractor Mailing Address ! Prior to permit Corner Lot YES NO Flag Lot YE5 NO issuance. a copy City/State p Phone (check One) (check OI aL_— o}all licenser, _ ai/`, 111►►► _ Restricted Audio/Stereo Burglar are required if Oregon C st. C oard Exp. Date Energy System Alarm expired in COT Lie# --- - -- database Installatior Garage Door HVAC Plumbing -- Name --`--- —� _ Opener— _ Systems _ Sub- " ( (check all that Other Malin Address -� apply) Contractor g Will the electrical subcontractor wire for all YES NU restricted energy installations? Prior to permit City/State lip Phone Has the Subdivision Plat -ecorded? I N/A YES NO issuance, a copy of all licenses are Oregon Const.Cont. Board Exp. De'e -- ---- -- required if Lie# Reissue of MST# Solar Compliance expired in COT (Calculation Attached)_ _ database Plumbing Lie.# Exp Date I hearby acknowledge that I have read this application, Plat the information given is correct, that I am the owner or authorized Name _-� - agent of the owner, and that plans submitted are in compliance with Oregon State laws. Electrical _ i afore of 0 r0ent Gat 5Ub_ Marling Address '------.�.r--- C --_- C Contractor Co act Pers n N me Phon # Contractor _ ,_ CitylState p Phone � �' 12 -1'r � j �r� Prior to permit 1 FOR OFFICE U_ SE ONLY: — ssuance a copy Plat# Map/TL#: of all licenses are Oregon on Cont.B Exp. Data required if Lic.# ly Setbacks Zone: Solar: expired in Cr'jT L1� " databas? Electrical Lie # Exp Date Engineering, Approval. Planning Approval: TIF r I SFREM DOC (DST) 4/97 rear yard ADDITION y EXISTING HOUSE (two-story) SETBACK L INE 5' front yard 5' ?O' ____ PROPERTY LINE N S.W. Mary Placa JC.W C2,ti� LCL«rtt 6e nf'rf (C-5(D'+)1(0 -11:� I Liz Dexter Summers, Architect Gentry Residence Addition AO 7'40 0 MW t46P Mwr, Pa at 97702 I0730 SW Marr PI., T19wd, 01 97229 SITE PIAN MI 801"4.W4 tmt /0l.40tM47 Hart's Landing, Lot 7 W-AAJ� ,/W. .-r ontr I AM! MN CITY �� _ MASTER PERMIT PERMIT#: MST2002-00159 DEVELOPMENT SERVICES DATE ISSUED: 4/10/02 13125 SW Hall Blvd., Tigard, OR. 97223 (503) 639-4171 SITE ADDRr'�',S: 10730 SW MARY PL PARCEL: 1S134AC-03600 SUBDIVISION: HART'S LANDING ZONING: R-4.5 BLOCK: LOT: ( )7 JURISDICTION: TIG REMARKS: 916 s.f. addition 2 levels. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 0 of BAbEMENT: of LEFT 4 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: azo of GARAGE: 196 Sf FRONT "i PARKING SPACES: TYPE OF CONST: SN DWELLING UNITS: FINBSMENT: of RIGHT, VALUE: S41,12680 OCCUPANCY GRP: R3 BDRM: 2 BATH: 1 TOTAL. 424 hO or REAR: 11 PLUMBING SINKS: WATER CLOSETS, 1 WASHING MACH: LAUNDRY TRAYS. RAIN DRAM TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS SEWER LINES SF RAIN DRAINS I CATCH BASINS: TUSISHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: SCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOILICMP<3HP i VEN"T FANS: 1 CLOTHES DRYER: GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS. ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISC_LLANEOU9 ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 201 400 amp: 201 40U amp: Iof W/O SVCIFDR: SIGN/OUT LIN LT: PER HOUR LIMITED ENERGY: 4111 - e00 amp: 401 - 601'amp: EA ADDL BR CIR. SIGNALIPANEL: IN PLANT: MANU HMISVCIFDP.: 601 • 1000 amp: e01.amps•1000w MINOR LABEL: 1000.amp/volt PLAN REVIEW SECTION _ Reconnect only: >•4 RFS UNITS. 9VCIFDR>•225 A.: >000 V NOMINAL: CL9 A.REAISPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM sYsrEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSC 14PFJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: CATA(TELE COMM: NURSF CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,060.23 This permit is subject to the regulations contained in the GENTRY,TODD C+LAURA J OWNER Tigard Municipal Code,State of OR. Specialty Codes and 10730 SW MARY PLACE all other applicable laws. All work will be done in TIGARD,OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance,or if the work is suspenaed for more than 180 days. ATTENTION. Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Raga forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to UU: IC by calling(503)246-1937. REQUIRED INSPEC TIONS Footing Insp PLM/Underfloor Framing Insp Mechanical Final Foundatlon Insp Mechanical Insp Low Voltage Plumb Final Slab Insp Plumb Top Out Insulation Insp Final Inspection Underfloor insulation Electrical Service Rain drain Insp Footing/Founds lion Dn Electrical Rough In Electrical Final 1 Issued BY `�..1�t f �� f/ r! ( Permittee Signafure : , Call (503) 639-4175 by 7.00 p.m. for an inspection needed the next business day Building Permit Application —� --- -•------ bate reccrveJ:J'-'• I'ennu nu i)fes! ,fit ,L,y City of Tigard ,�' =, — Address: 13125 SW Hall Nl ,t(d �7�� D Date issued.no.: Expire date: ('ill „/Tigard Phone: (503) 639-4171 {,,•�,/1••• M Date Issued: By: ^ Receipt no Fax: (503) 595-1960 Case file no.. Payment type: Land USC approval,— 1&2 family: Simple Compecx: �``• I &2 family dwelling or accessory J Commercial/industrial J Nfidn-hiiii1v U New construction J Demolition OAddition/alteration/replacement J Tenant improvement J I r, ,piinkloi aiarn) J Other .lob address: Q !��/L� �' !c, _e C Bldg, no.: Suite no.: Lot. Block: Subdivision: 1;t\ Illap/tax lot/account no.: i_ U --- Project name:��•� Description and location of work on prcmises/special conditions: O%VNI-H FOR SPECIAL 1 Name: •yC 1/1 `1�1 t C (Floodplain,septic capilicift,solar,etc.) r—�_ Mailing address: U. JCS ', ,� , �r �'t'] r ! - 1 &2 family dwelling: City: -":,, Valu State: �}p 2 �j ation of work ................�"f.. .G.... S. Phone: Fax: E-mail:_ No.of bedrooms/baths...............................•.. Owner's repn-writativc: Total number of flours ................................. Phone: New dwelling arca(sq. ft.)............................ 4 Garage/carport arca(sq.R.) _ Name V�•+d Co%cred porch area(sq.ft.) ..............•........... -- -- -- M,uli Itltess: �f Deck area(sq. fl.) .......................... � ...,,._., State 17Other structure area(,,(I. I•t l._...... Phone I l'+ ` r+ 1:-mail C'ommerciallindustrlsllmulti-family: Valuation of work ............................ ........... 5 _ Existing hidg.area(s . n ).......... ........... . Business name: _(y j - - -- New bldg.arca(sq. fl.l. Address: -- - --- --- Number of stories ('its State: ZIP: ....,. . Fax: Email: Type of construction.:,:... . .............. I'hone: Occupancy grougJ0 f xisting s-- ('1'111 no.: ---------- ('ity nutro lu no Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to be licensed in the Address: jurisdiction where work is bcing performed. If the applicant is — ------ - -------- exempt from licensing,the following reason applies: City: Nalc Contact Person Plan no.: ---- -- - ...... Phone: i E mail Name: 1 nt;tet person: �' fees title upon application. .................... ... .c Address: I is — pate received - - - C—ity. V'J,,'. tarp zip Amount recci%cd ......... Phone. r4 Fax: wt CfzV' E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the �i ill w-,it,i,mw accept credit cards.please coil innwdicturn for more,oformanon attached checklist.All provisions of laws and ordinances governing this J�lilt J MasterCard work will be complied with,wh her spceifibd hcrein or not I t redo card number. are � •ptres Authorized sign. re: } """' � "�s_;,_•-"datC: _� ,__ Name of cardholder as shown on credit card �'ii"Yjfi . • / ) r S Printname: +�-�,- ,_�a'-jam' _max 1._�L.�t w�'w.•�T-.- __.— ��—l'a—'rrlho Uer sfpneture�----------- Amount Notice: This permit application expires if a 1wrinit is not obtained within 180 days after it has been accepted as complete. 440.4613 iti INI OM) I ,C.IV fry� d �•� `-�U Mechanical Permit Application Tigard - Date received: Permit no.: f ; i �✓ -; � � ^ City !Df l l�s`IICU Projer t/appl.no.; Expire date: City of Tigard Addret3: 13125 SW Hall Blvd,Tigard,OR 97223 -- Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use. approval: _ - Building permit no.: 01 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New consiniction i.J Addition/alteration/replacement J Other. Job address: _ Indicate equipment quantities in boxes hclow. Indicate the dollar Bldg.no.: rt _ Suite nc�� value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/au:ount no.: profit. Value$ _— —____�.---------------- Lot: Block: Subdivision: *See checklist for important application information and Project name: - -- jurisdiction's fee schedule lin residential permit fee. City/county: ZIP: — `-_- t Description and location of work on premises: _ I I$o I�ee(ea.)Est.date of complelion/inspection; I1eKriplinn Spy, Res.ordyR Tenant improvement or change of use: ' Is existing space heated or conditioned?U Yes U No Air handling unu Is existing space insulated'?U Yes Cl N� Air_conditioning(site plan requred) Alteration ofexisting C system61 Hot er compressors Business name: ? , State boiler permit no.: -- — HP Tons BTU/H Address: —_ Fire/smokedampers/duct smoke detectors City: _ State: 7.111. mat—pu—mp(si � — � Phone: nnsta reace crlc j— furnace urner -- - Including duetwork/vcni liner U Yes U No CCB no.: _ n tal Vreplacehe locate enters-suspen cr, City/metro lic.no.: wall,or flour mounted Name( lease print): eu�t u�r n f ante other than furnace e r gerat on: Ahmrptionunits� HIII/II - !— - Chillers— sor_s—_.__� fill Com ress:Ad City: '..mentexhaust an 7PAppliance 'o n: vent Phone. I n E-mail: )ryerex aunt no s. 'ype11 res. is en lazmat hood fire suppression system ____--- Nnme: _ Exhaust fan with single duct(bath fans) _ Mailing address: _ 1, costs sterna art from healing or AC City: _ State: ZIP:' ue p p ng lend distribution(up to out ets! y. - -- -- __ IyIV: PG �-- NG --_ Oil Phone: T17JIinalov67Judcts Proem piping(schematicregmred) NameNumiver of outlets _ _—�A—-- ---� terd'Tapp ance or equipment: Address: _ _ _ Uccorativefirep 1dce —_ City: -- Slate: Y.I_P nserl-typu Phone: 71--ax; mail: c stove,pe etstovc Ot er: Applicant's signature: _ Date:_ t r Namc(print): r _ - Not all iueisdaccept cept credit cents,please call)misdiclion earmr mcx infoilm Permit fee.....................$ U Visa U MasterCard Notice:This rmt i application Minimum fee................$ expires if a permit s not obtained _ Credit card number: .�_ ___ - within ISO days after it has beenPlan review(at _ 96) $ --Tv,me of cWholder asFD_wi ou c t—cdd accepted as complete. State surcharge(8%)....$ s TOTAL .......................$ -- ai _--- — Amount 44O-A617 rNW'ok!) r MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 8. 2 FAMILY DWELLING FEE SCHEDULE: TOTAL V_A_L_UATION: PERMIT FEE: Description: Price Total T TOT � Minimum fee$72.50__ Table 1A Mechanical Code city (LalAfnt $11-00to$6, LU 1) Furnace t $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and $1.52 for each additional$100.00 or Including ducts &dvents 0 BTU 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts&vents 17.40 $10,001,00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Includingvent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater _ $25,000.00. or fluor mounted heater 14.00 u $25,06 00 to_$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 1 5 $50,000.00. _ _ $50,001.00 and up $742.00 for the first$50,000,00 and Check all that apply Boner Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction_thereof. footnotes below. Comp - 1 Minimum Permit Fee$72.50 __ SUBTOTAL: to 100K BTU 7)<3HP;absorb unit _ 14.00 11 8'/•State Surcharge 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb _ unit.5-1 mil BTU 35.00 Required for ALL commercial permits_onl _ 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb __--- --- -- 87.20 unit>1.75 mil BTU ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+ Descxtption: _ Q Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Nan-portable evaporate cooler ducts&vents _ 10.00 _ Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents _ 6.80 Floor furnace including vent 955 16)Ventilation system not Included in Suspended heater,wall heater or e 955 appliance permit 10.00 floor mounted heater J'445 17)Hood served by mechanical exhaust 10.00 Vent not Included In applicance rmit 805 18)Domestic incinerators 17.40 Repair units <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 F22)More than 4-per outlet(each) 1.1.75 mil.BTU 1.00 >50 hp;absorb.unit 5,725 m Per Fee$72.5o SUBTOTAL $� >1.75 mil.BTU _ Air handling unit to 10,000cfm 656 8%State Surcharge A;r handy unit>10,000 cfm 1,170 _ Non- ortable eve orate cooler - 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included In 656 _gpp(lance permit Other Ins esti ne�lnd Feer: Hoodserved by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1 170 $62 50 per hour Commercial or Industrial incinerator. 4,590 _ _ 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 5o per hour inserts etc. 3 Additional pian review required by changes,additions or revisions to plans(minimum change-one-half hour)$62 50 per hour Gas Ipmg 1-4 outlets_ 360 Each additional outlet ___63 'State Contractor Boller Certification required for units>2001k BTU. �^ "Residential AJC requires site plan showing placement of unit. TOTAL COMMERCIAL S VALUATION: ! _ All Now Commercial Buildings require 2 sots of plans. I:klstslformslmerh-fees.doc 12/26/01 Electrical Permit Application Datercceived: Permit no. F�i City of Tigard Project/appl.no.: Expire date: (',rl„(7igard Addreft: 13125 SW Nall Blvd,'rigard,OR 97223 Date issued: By: Receiptoo.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ J I &2 family dwelling or accessory U Commercial/industrial U Multi-family l]'renant improvement U New construction U Addition/alteration/replacement U Other: _ U Partial Joh address: i Bldg.no.: Suite no.: ITax map/tax lot/account no.: (i Lot: Block: Suhdivision: r Project name: ].Description and location of work on premises: i 11. • + L'stimated date of completionhnspeclion: APPLICATIONCONIAACI OR Job no: _ 1lescriplion 777no.tnsp Business name: _ - ---- Newrssidatrtial-zhrglrormuht-familytrr•r Address: —__-� dwelling unit.lnchnksattachedgarage. City: State: IIP: Seniceim•Inded: q. Phone: F (xxlsft.oricss nx: C:-mail: ch a — ---- Ei additional 500 sq.ft,or onion thereof CCB no.: Elec.bus,lic,no: Lirtimlenergy,residential 2 City/metto lie.no.: I.irniledenergy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or feeder _2 ','n, elect.name( int): Iii,,.,, ,•,,,, Services or feeders-Installation, I p alteration or relocation: OWNER 2(x)amps or less 2 Name(print): 201 amps to 400 snips 2 ..--_ — -----� 401 amps t0 6(x)amps 2!_ Mailing address: bet amps to ioxx)amps 2 City: _ date: ZIP: -Over 10(x)amps or volt, 2 Phone: Pax, TGrnail: Reconnect only owner installation:The installation is being made on property 1 own Temporary services or feeder% installation,alteration,or relocation: which is not intended for sale,Irtsc rent,or exchange according to 2a1 amps or Iess _ ORS 447,455,479,670,701. 201 amps to 4(x1 snips Owner's si nature: Date: 4n l to bfxl amps 2 Branch circuits-new,alteration, or extension per panel: (Name: '—� A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: State: IIP: — N. Fee for brunch circuits without purchase 2 of service or feeder fee,first branch circuit: Phone: ! a� Email: "ch additional branchcircuiu U UAW" Mine.(Service or feeder not included): U Service over 225 amp:,nnnmeic,al U tlenhh-care facility tach pump or inigation cocic _ — 2 U Service over 320 amps-rating of I d 2 U Hazardous location Each signor outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circui(s)or a limited energy panel, O System over 6(x1 volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders.400 amps or more *Description.— _ ----- U occupant load over 99 persons U Manufactured structures or RV park Each addhional Insptretlon over the allowable in any of the above: U EgrciMightfngplan U Other —__ --- per inspection Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary:ond ructlon service. Other — Permit fee.....................$ - Nnt all juri-dictioru accept credit cardr,pleW call l,uiediction for more informetlon Notice:Tiris permit application plan review(at _ %) $ U visa U MasterCard expires if it permit is not obtained Credit card number, ____._ _—__—_—. within 190 days tiller it has been State surcharge(8%)....S _ "►"'°' accepted ar,complete. TOTAL .......................S Name of cardio r as on a it card _ s CardholheriiRnnure _ Amami = dui MSI s,r- nn fist, ELECTRICAL PERMIT FEES- LIMITED ENERGY PERMIT FEES: — `--– _ TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: — — Restricted Energy Foe...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145 15 4 17-1 Audio and Stereo Systems' Each additional 500 sq fl or portion thereof $3340 1 F] Burglar Alarm 1 Limited Frrergy $75.00 _ teach Manufd!-tome or Modular El Garage Door Opener' dwelling Service or F eeder J_ _ $9090 T Service. or Feeders Heating.Ventilation and Ai, Conditioning System' Installation,alteration,or relocation 200 amps or less $80,30 1 E Vacuum Systems' 201 amps to 400 amps $106.85 _ 401 amps to 600 amps $160.60 601 amps to 1000 amps T_ $240.60 ? _ Other Over 1000 amps or volts _ $454.65 2 Reconnect only $66.85 � 2 temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY .Fee for ac n system.................... ....................... ...... .... . $7500 Installation,alteration,or relonation 200 amps or less $66.85 _ 2 (SEE GAR 918-260-260) 201 amps to 400 amps _ $100.30_ 2 401 amps to 600 amps $13375 �. 2 Check Type of Work Involved: Over 600 amps to 1000 volts, no"b"above. Audio and Stereo Systeris ❑ s Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits wffh purchase of service or ❑ Clock Systr.ns feeder toe. Each branch circuit $6.65 ❑ Data Telecommunication Installation b)Ttie fee for branch circuits wlfhouf purchase of service ❑ Fire Alarm Installation or feeder foe. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or tender not included) Each pump or Irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension $75.00 _ ❑ Landscape irrigation Control' Minor I_e:jels(10) _ $125.00 _ Medical Each additional Inspection over �' ❑ the allowable in a,ry of tho above ❑ Nurse Calls Per inspection $62.50 Per hour $62.50^ _ In Flanl _ $13.75 __ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees .. ❑ Other All/.State Surcharge _ ___Number of Systems 25"/Plan Review Fee Nn hrenses are regimen Licenses are required for all other installations See"Plan Review"section on $ front of application Fees: Total Ba+ance Due $ (—� Enter total of above fees LJ 'Trust Account#_ 8%State Surcharge S_ ---- ------ ---- ----------- Total Balance Due : All New Commercial Buildings require 2 sets of plans. i 4lst5Vfomns\elc-fees doc 0813"MI Plumbing Permit Application Date received: Perrnitno.:�1�ilc�X`'a - � City Qf Tigard 'igard Sewer permit no.: �— building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Project/appl.no. — ^— F:xpircdate: Fax: (503) 598-1960 Dale issued If Receipt no.: Land use approval: Case fife no.: Payment type J I &2 family dwelling,or accessory U Commercial/industrial U Multi-family J Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: .1011 SITE INFORMA111ON 1 111-1 S( 11FDULE(f I or special Ififorrinullon use clieckil%o Job address: Uescriptfon (?t Y. Fee ea.) Will 7' Bldg.no.: Suite no.: New 1-and 2-family dwellings only: (includes 10011.for each utility connection) Tax map/tax lot/account no.: SF's (l1 bath Lot: 13lock: Subdivision: Y_ Sl I? i.)bath Project name: SFR(3)bath —_ City/county: —�--- ZIP: --_—, Each additional bath/kitchen Description and location of work on premises:_— ____._._ Site utilities: Catch basin/area drain EA.trate of completion/inspecti ttt: Drywells/leach line/trench drain _ Fooling drain(no.lin.ft.) _ Manufactured home utilities Business name: 'f i ! I ) I _/�' Manholes _- Address: Rain drain connector City: State: ZIP: Sanitary sewer(no.llin. ft.) Phone: I Fax: E-mail: Storm sewer(no. lin. ft.) - CCB no.: Plumb.bu:r.reg,no: Waver service(no. lin.1l.) City/metro lic.no.: Fixture or item: Absorption valve __— contractor's representative signature: Back flow preventer Print nano: Date: Eackwater valve Basins/lavatory NameClothes washer - - --- ishwasher Address: — -- — - --- Drinking fountain(s) - C"icy: _ —--- _—— State: Z111: Ejectors/sump -- Phone: Fax. E-mail: Expansion tank Fixture/sewer cap Moor drains/floor sinks hub Name(print): � .-- Garbage disposal Mailing address: _ Hose hihh City: _ �State: ZIP: -- Ice maker Phone: Fax: Email: Inter;eptorlgrease trap Owner installation/residential 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 ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Tubs/shower/shower pan — Urinal _ Name: —!_— _--_------_-----_--_- Water closet _ Address: _ Water heater City. _-- -State: 7.11': _ — Other: -- Phone: Fax: E-mail: Total --- - Min mum fee...... .........$ Not till jurhdicdom wept credit tarda.please call juridictirxr fia muxe infomu,1l-,n, Notice:This permit application visa ❑matercard PI„t review(at '3 O expires if a permit is not obtained .... e IB��) $ _ Credit cord number �________— —__-- _L�.— within 180 days after it has been Sate surcharg Fxpirer Naar.of cardholder as shown or credit card accepted as complete. TOTAL ....... ................ S _ Cwdholder dptnafure��-_ — — Amount 404h!r,0,W1 u%I PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY, ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the flrst100 ft. QTY (ea) AMOUNT 16.60 for each utilityconnection) __ ___ Lavatory OneS�bath -- $249.20_ Tub or Tub/Shower Comb 16.60 Two(2)bath _ $350.00 16.60 Three(3)bath $399.00 _ Shower Only - - Water Closer Urinal �^ 16.60 80/a STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 1660 -- —- ---- -�--- - -� Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" - 16.60 PLEASE COMPLETE: " 16.60 -16.60 — _Quantit rib Work Performed Wafer Healer O conversion—0like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped permit MFG Home New Water Sarvico 46.40 Sink MFG Home New San/Storm Tu Sewer 46.40 -� vato --__ — Tub or Tub/Shower _ Nose Bibs �— 16.60 _ Combination Root Drains 16.60 — Shower Only Drinking Fountain 16.60 Water Closet _ _ _- ---- Urinal -- Other Fixtures(Specify) 16.60 _ Dishwasher- Garbage ishwasherGarba a Disposal _ -- — -- -- Laundry Roorn Tr- —_-- Washing Machint. — — -- _ Floor Drain/Sink: 2" -- 3ewor-1 st 100' 55.00 - 3" _ ^ Sewer-each additional 100' 4640 4"- _- Water Service-1 st 100' 55.00 Water Heater — _—.- — --476- - - Other Fixtures Water—Service-each ion al 200' .40 -_ Specify) Storm B Rain Drain-1st 100 55.00 - —_— Storm&Rain Drain-each additional 100' 46.40 --� -— Commercial Back Flow Prevention Devico 46.40 - -- -- "-- Residential Backflow Prevention Device' - 2755 '- - Catch Basin --- -- 16.60 — _-_- -- — Inspection of Existing Plumbing or Specially 62,50 Requested Inspections perthr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease T raps �— -- 1660 — - -- — QUANTITY TOTAL -- Isometric or riser diagram Is required if Quantity Total Is >g `SUBTOTAL — — 8°/a STATE SURCHARGE - --�— — "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total Is`9 TOTAL `Minimum permit fee K$72 50+B%state sur-harge,except Residential Backflow Preventlon Device,which is$36 25+B%state surcharge "All New Commercial Buildings reoulre 2 sets of plans with Isometric or riser diagram for plan review. I:\dsts'sforms\plm-fees.doc 12/26/01 Permit f< �� tN nddres,,: 10730 to PA - �� O .. Issued by: Date: Statement: Information Notice to Property owners About Construction Responsibilities Nate: Oregon Law, ORS 701.05.5(4), requires residential c•onstruc•tion perrrtit appli- cants who are not registered with the Construction Contractors Board to sign lite following statement before a Building per►nit can be issued. This statement is required for residential Building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt front registration under ORS 701.010(7), need not submit this staletnew. This statement ►rill be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313: /1. I own, reside in, or will reside in the completed structure. A�v 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ❑ 3A. My general contractor is — (Name) Contractor regis. # i will instruct my general contractor that all subcontractors who work on the structure Must he registered with the Construction Contractors Board. OR ill he my own general contractor. 11 1 herr subcontractors, 1 will hire only subcontractors registered with the Construction Contractor; Board. if 1 change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. 1 hereby certil'y that/he above inti million is correct and that I have read and do understand the,Informal ion Notice to Property )wners abo Coit-4trurtion Responsibilities on the reverse side of this form. (Signature of permit applict i (Ditto) (White copy to issuing agency perrnit.tile, pink copy to applicant) Information Notice to Prop Arty Owners About Construction Responsibilities �. �� 1�,t1i� �/,i,Jni+,.0+!dt ;�'.�![,�, (;� ) r�,j,P.'rlti (.�}ii,ic'!"Y ed�lf;lr,r {.;1„'.l.''rt� ;1 •�i yi`, .,�,nll.i�./-'tltil� 1,:,.. ...11. Iz EMPLOYER RESPONSIBILITIL'.'o; 1j7"�!t,!1b1!�• `s 1il1�llllflllltrta',tatt't r�,-. ,t�,,p11�L:, � . ,,tills Ir1Il! (ti11111 1111i1t lot 1h; t,,w 1> , 'Wj)!. ,•t. ,i ),1 <!(,j, ; ��,Itlrllr�ln�;. '10 0,.. (!;'.1!Ilr1 1)r;lll 1 1'k, flf'1111t1,t,�t�It`I11 11."'glt,rr6{;• t t,�. u.+t"�,��1 �� ,t �.r, . ! � i i(II�;,nI�,��li' �11,11!I�- h.)1 yGi'1; '.11'�'yl�,'y"I,..�it �.�1K�ai;lrl,, ':i�. .. .�.1.,7t-llt�i_:Vri . , it i,'�'i��i th't •.) Ift ;1t 7 1VliIrkcl-4I-Iill11)i 1t 1l4,t11 a S.Intel Ila)Rk%v'Ilwt Sti"v: 11'1v for.thr tax Rlli' n4,I11 n s x-800 029 040. OTHER ITESr'OWABI'MIES AND .APFAq t'°IN ('ONrF N: YRiIl1`tllll(I1i:111t't` �Ilit' 1'.. '11:11 : 0-f1i`itili.11i(I�''„..,'c.}i1;ft '1( 'I';:II rI't:,1 I,t' t�f1HiL'11� I,t �t1111 :1!,:'111i�,il (iti:�(i!,`11 Itl`�i�i'�`Iit�fl`• 1iabillt- Alldj) 011Il'r111131MIgC11I%0rJIICI: ;htFi'.i 'yo-11 Ili A 11,J"4 Idkla tilt) `•II( I.,Iiling Il'id {"WI 1,lilt-, l IVIG(11 SOt)G P�'L�4'GIII(lI(l�'it4'9: j�l.S 1�t”ti611 c' 1l'll lhl`�'.' `4lil{iCls'fll. llirlG: lU ".I1171'ft 1 ti+' `'+1IIt 1 "'t l''1i' VNpertitte! N4Af '`!1rC v6iI111{`(''�h('!li<t°I";v I ry i'!11iTf"1 1 v('11t ril(witmoot,tocoor 1l'tlllf" i'II111vs,4 Itl'3d1, I'AtIt Mid to miti;v hiIIIdIlip rllfiri;iIc 11I IIID 1(lptotli"i"Ile Illlleg,Iw Ih(•V l;w j1t rfttt'llI Iht- tY ,IIrt'rl 1tl<n:'Cltrtr,�; 11 4ou 11L ve miditlt'110 Cl!.11' loll. tl tile` If (.U1) 9l1�,' t',:1i1�.lrIl lit'il 0.31 ?K-46.,1 1 1110 lit"Ir(I i,, 11)t.;11t it 11i "'I0 `,1iil1liwi `,I. Ni' 1111rt IIl(,!, tit '—,,do 11 "'rr[ti-utaq,t1i71'I 13 percent maximum. e. Uplift as specified In Uniform Building Code. 3. All bridging, bearing hardware, blocking, hangers, etc., that are required to most truss design criteria shall be Included In the truss shop drawings and shall be provided by truss manufacturer. 4. Contractor to call engineer for roof structure Inspection prior to roofing. ZO ids o) F-NEW CONCRETE -- - - _ WALK PER PLAN 22' _ � -ADDITION c (TWO— ORY)ii x; i y ST1N 4 USE ; "TOR ADDITION - 5 (SECOND FLOOR ONLY) 5 0 ---- - —- ----- ---- -- - --�— LINE OF ---- - - o SETBACK M 0 �. 0 ry PERTY LINE ..��PRO�.....�sa S.W. MARY PLACE 1 SITE PLAN SITE.dwg 1/16' 1 -0 CITY OF TIGARD 24-Haur BUILDING Inspection Line: (503)639-4175 _ a� INSPECTION DIVISION Business Line: (503)639-4171 MST / - / BUP _ Received __Date Requested _-- AM____ PM BUP Location Q D Zc. L�_Suite MEC -- Contact Person Ph(__-) �� U 3 i PLM Contractor .. ..____- Ph(_ ) _. SWR BUILD Tenant/Owner -- Footing - ----- � C Foundation ELC Ftg Drain Access: �C 2 ELR Crawl Drain -- -- - --- Slab Inspection Note SIT Post& Beam -------_--_ G�. ,_ Shear Anchors -- - Ext Sheath/Shear Int Sheath/Shear - - - - - -- Framing -- --- -- -- - -------------- _�_. Insulation Drywall Nailing - - - - - ---- - ---- -- - Firewall - - Fire Sprinkler - -- - -- Fire Alarm Susp'd Ceiling ----- -- - ------------ Roof -_----- _.-._. Other: - -- - - Final . RT FAIL NG 4 tram -- —---,_ ----- Under Slab Rough-In --- Water Service --__--_-. Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - - Shower Pan �- -- �--- - PASS PAST FAIL -- - MEC_HANICA Rough-In - - - Gas Line Smoke Dampers Fi - PA FAIL ---_ - - - - - - - Service - Hough-In I1G/Slab - - - --- --- . --- I_ow Voltage r ire Alarm *S]7r- Reinspection fee of$ _requiied before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 1 PART FAIL Please call for reinspection RF _ Unable to inspect-no access Fire Supply line "- ADA , J/ c X -1 /� ) Approach/Sidewalk Date .._ __/ / L Inspector Ext -__... - Other: Final - —� — DO NOT REMOVE this Inspection record from the,fob site. PASS PART FAIL