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12264 SW MORNING HILL DR
CITYCITYOF TIGARD � ELECTRICAL PERMIT
PERMIT 0: ELC2005-00906
DEVELOPMENT SERVICES DATE ISSUED: 11/1812005
13125 SW Hall Blvd.,Tigard,OR 97223 503-639.4171 PARCEL: 2S104AB-02900
SITE AnDRESS: 12264 SW MORNING HILL DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO.2 LOT: 063 JURISDICTION: TIG
Project Description: (4)branch circuits for floor heat&misc.Job#305093-1.
RESIDENTIAL UIJI'( TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OP LESS: , 0 - 200 amp: PUMPIIRRI ATION:
EACH ADO'L 500SF: 201- 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 an., SI 2NAUPANEL:
MANF HMI SVCI FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: let W/O SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCM CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amplvolt: >n4 RES UNITE >8n0 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCG:
Owner: Contractor:
CLIFF WESTIN GREENWAY ELF.CTR C COMPANY
12264 SW MORNING HILL DR 9460 SW TIGARC STE. 104
TIGARD,OR 97223 TIGARD,ON 97223
Phone: 503-708-2212 Phone: 503-620-6020
FEES Reg 0: LIC 153421
Des:rlption Date Amount ELE 34-6170
SUP 5025S
TELPRM'I i 1.I c Permit I I/18/200' $66.80
1 I'AX)8%Statc 1,urchargc 11/19/200' $5.34 REQUIRED ITEMS AND REPORTS
Total $72.14
This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Special y Cedes and all other applicable laws. Ali
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 c ays 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 of these rules or direct questions to C�NC at 503-246-6699 or
1-800-332-2344.
Issued By: , 1.— . Permittee S-gnature: an
2
OWNER INSTALLATION ONLY
rhe installation is being made on property I own which is not intended for sale,tease,or rent.
OWNER'S SIGNATURE: DATE:
m
�
W CONTRACTOR INSTALLATION ONLY
-J
SIGNATURE OF SUPR.ELEC'N: DATE:
LICENSE NO:
Call 503-639-4175 by 7:00 a.m.for an inspection that business day.
This permit card shall he kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job rite at the time of each Inspection.
11/16/2005 11: 13 50362861.24 GREENWAY ELECTRIC CO PAGE 01/02
Electrical eelrmlt Arnli;atMh'v E
City of Tigard GWioe
13115 SW Hall Blvd..Ttprd,OR 97227 ( Psrrak No.:
"ben; $03.639.4171 Fu.. 305.3f6.19es0����� ! (� 20 5 ""^a
Impcction Linc. 503.639.4175 00"r►omit
Internet: www ci.tiltaM.orus i T Y OF (16A s RuAy76 d«Mlp a cw
rladn.anw.e�ua: s. r„t.11.w.�,�.
New construction IM AdditioWalteratiop/t W0j=t check■l that
epP
❑
Demolition rl Otttex Oowwlu over 225 amps,rwmm'1 QM-nbns location
05orvioe over 320 unpe-casino Mulldns Quos 10AM p R,
1-and 2-famil dwehi Of 1-and 2-flmiy dwellipp 4 of mac oew residemW
Y ttg Commarctalln�lustrfal Accessory btdldinp �SY'"M ovor 600 volts nornirW units In ant atnKtw,
Multi-frn l MO ter builder []Other: OBulh➢ing aver throe scoria Ol'oedas,400 amps a mom
Dow4wnt load over 99 pataotu ❑Mamtti,atttrod etrw w"of
Sub no.:3U:509a 1 yob alts:a�tcltrts; 12264 SW Morning Hill Dr �r1�'�'s Pry ❑R -
I]Hcwllheero flcill
City/9tatr MP: Tigard,OR 97223 Subtnit,1 sou or plus with any cf the above.
_ _ The above ora tet applicable to ter ponry ootmb,,ji n aerviom
Suita/bldgJapt.no.: project neuro:Westin Residence
Cross a ftVdirw1lons to job site: -- °~`rw'a ver. r.. I 'two
,�__ Nstr troddatW ala�le-err assdtl-Ilydl>.dwti 144 ruts
-- tnclst�se atbebaegWM&
or Im E145.15i
, 4
Subdivision: Lot no.: da.add'!300. .R.or 33.4000 1
Tax map/parcel txl no.: -` LmkoQ ctwt�_rea hJ 73.0000 2
Limitnd t .tttao-roddsetial- 13.00 Q.00 2
Esch nwdulw --
C"""for fluor treat ane}mist3affanelous electrical emu hoad er
awelltn q0 O,OU Z
'-- 3ervlcsa R lleden IeaWletfels,sllarslAao,aed/er rlacitloe
200 amps Or lea 6030 0.00 2
lUt amps to e00 amps
126
Nemo: t?•; �..` 401 m 600 160.60 0.00 Z
601 to 1,0110
Address: Over 1,000 a w of 4240.60 2
4.65 2
City/St it ZIP: - Woommat only 66.83 0. 2
Phone: 7 7 o Fax: TQ1Ap°r*rf tetvita er r"den IashllafMa.ahlntien.arNor
too
Owner laltalladowl This i lation a being made on property that I;evy which lana 300 or less 66.65 0.00 1
intcaxled for talc.leave,tent,nr Exchange,according to ORS 4.17,449.670,and 701. _IRL=to 400 140,30 2
Owner signature; �t a ,a to �" _�f 133.73 .00 2
Date: _ 9ramb drealb-sear alts er amttt
A.Foe circuits wNh � 'peir PnN
bwineta name: - service or fvdw fie.ash
b6.65 0.00 x
rsr.h cimh
Contact nww: Fm rot -
"hos►serviea er fboekm f*e,
Addre9/: - -- ^- I each branch eiLVllt 46.x5 6.02
6ec11 add'i French ei� ►wit 3 6.63 19 2
City/3tatc/ZIP. �wm(nrvke nr ta,tm eegf taKltdeQ
Fax.:( ) Pomp or it ,aim chole 53.40 0.00 w 2
E-snail; Sign or ov'Jim li m 53 40 0_QO 2
fatal dradt(a)rw
CL c'a t iY Pat I,shm"iun,or
btttitless namepresnway Electric Company e,�rior�•Describe: x 2 PW
co Addraw: 9460 S W Tigard St.,Ste. 104 Lois.
bed ere ever a-tlewebte In a"*ran above
City/State/ZIP: Tigard,Oregon 97223_- 62503x.30 0MOM (503)020-8020 Fut:'(503)620-6124
r+ae>r hosir 73.73 .00
W CC6 Lic.-153421 Meohical Lic.:34-817C Suprv.Lic.: 50265
4
-j Suprv.Electrician signature,required: P1.1 review`23lS wtpattat the)
Print name: James V. Rooney Rtate.trcnarge(bY,of pomp bre) $5.34
Authorized s:,-nature: -- T VrAL PcRM 1T.B $72.14
-%,"- Mato I Nna a N►.dt est epos rlMda
Printnamr• Jim Rooneypaw: eq+srta•kbe*ban @tq@ijj, INaagdev
_.__ •• -►P'lumber of Wpactia�w�pw remk i lana +�at vice nerd
+:�.+1eMs�nrm;a�tit.c.r+e,.rrarp.ex two +eo4stsnlaeoitoaera�
CITY OF TIGARD
BUILDING DIVISION PERMIT#: E1C2006-0M
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 11/18/M
Phone: (503) 639-4171
Inspection Requosts (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11121/2005 ?!ME: 7:13AM PAGE: 27
SITE ADDRESS: '12264 `+W MORNING HILL. DR CLASS OF WORK:
SUBDIVISION: MORWNG HILL NO 2 LOT#: 063 TYPE OF USE:
PROJECT NAME: WF:_%I IN
DESCRIPTION: (4)Imanch dmuits for floor hot&mist. Job WOWWXI.
OWNER: WF:.CTLN, CLIF=F PHONE #: 503.7(n2212
CONTRACTOR: GRE E:NWAY F-LEZTF�I�j�;OjQANY� ( �� PHONE #: 50362(16020
VV 11 �6 p
Inspection Request Scheduled For: nate: 11121/2005 Pour Time:
Code # Inspection Description Confirm # Contact # McFsage
111'1 4 Elertrir al linal C; 02 2038-0 1 '1,0:1 F% 11'MS X
Corrections/Comments/Instructions:
a.
a
J
W
r
. PASS ❑ PARTIAL APPROVAL_ ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J� �-�-- ��'-- Date: f l j 1 Phone M: (503) 718-
CITY OF TIOARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00750
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE 12004
PAARCRCEELL:: 22S 510 104AB-02900
SITE ADDRESS: 12264 SW MORNING HILL DR
SUBDIVISION: MORNING HILL NO. 2 ZONING: R-4.5
BLOCK: LOT:063 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FIIRN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VEI4T FANS:
OCCUPANCY GRP- R3 VENTS W,O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS _ HOODS:
FUEL,TYPES 0 - 3 HP: 1 DOMES. INCL,.
3 - 15 HP: COMML. INCiN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >4100K BTU: <= 10000 cfm:
GAS 014Tt.ET3:
> 10000 cfm:
Remarks: Installation of A/('& furnace.
Owner: FEES
WESTIP',CLIFTON& SUSAN Description Date Amount
12264 SW MORNING HILL DR [MECH] Permit Fee 11117/20t $72.50
TIGARD, OR 97223 [TAX]8°16 State "irchari 11/17/20( $5.80
Phone: 503-887-2993 Total $78.30– — --
Contractor: _
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS
PHeating Unt Insp
Phone: 538-2953
Cooling Unt Insp
Reg#: LIC 125815 Final Inspection
IL
ot:
m
m
t7
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6690.
Issued By: % - ri/ Permittee Signature: r
Call(503)639.4175 by 7:00 P.M.fur Inspections needed the next bu Ass day
Nov 15 04 02: 11p Oregon Heatine and Air 503-537-2172 p. 2
Mechanical Permit Aa >t `ti 4 ,` R t za� — Va IkttnnNn ,
city or'riRaf-a naten►y //� — ��
13125 SA'11411 lilvd..Tigard.OR 97223 Plan Review odwf PPermit - -�
Phone: 503.639.4111 Fax: 5U3.590.1960 I.A�w ;i 100 DatrTy. ter" y .tPant7for
LU /fly
atc Resdy , gel plemental Iebrmotkm
Instxeciinn Linc: 503.639.4173 C11 Y OP 71GA tNradied/Method
htlemel: wwwxi.tigard.orus
1+VoRK it fecxt are hawed ext U e valttc of Utc wrxtt
-Al it dollar)ofall
❑New construction Addition/ultcralion/repioc:clnent petfomnxt.indicate the:vatuc(rotn+ded Lothe e a.ai
tt tent.Islxtt werhoul�nd T++nl„.
❑011ter rltocltantcal matcnaL+ a2t_pr`__
Demolition - value S .___
Y +#,' >
and 2 family dwelling E3ColnMMial/industrial ❑Aceesscny building --r'or tial tnjarrrrortor,I'm chackhat
❑Multi-ra inily ❑Master builder ❑oih`x' —
IIt�Wr e
/►ir.,rtdilitxting or heat Pump i` 14.00
'I. ` — (. uie site ahowi!�rlacawteta)
Job site address: 14.00
_ - ^ ;umace I oo,ot”)A7y{dttn+tvae'Z
City/Staternp: T'1-3-_ -- Furnace 100,000+WM(ducw� _ 17.90
14.00
Suite/bldg./apt.no.: ( Project name_- _--� heal dun tom-__ r
�" 14,00
Duct work _ —.---
Cross street/directions to jo site: li toric htll water Kt sen, 14.00 _
-� Residenliwl boiler(radiator or 14.00
_ Unit heatem(fuel-typr. 10.00
-- __ in-wall,in-0tt ctc.
--- Flue/vent for u of atwve 10.00 _
�- - Lot no.: 10.U0
Subdivision' other: --__
Tax map/parcel no ��-, 00 -
OThcr Neta attcea
Water boater l0.
O �t;' a.i •b}yr f n . 10.00 —
(3as ruc�lacc
11ue vett for wrier healer or gds 10.00 _
ftreplux 10.00
tt tea,- J 10.00
--- -- Wood/1e11dAovt _ _
Woodf!m_!o/inaert _ 10.00
niner/nue/vwd 10.00
10.
Name-. VI S S _ Range hood/other kdtiten 10.00
at ttlxrtmt
Address,: V D
Clothes dimer exha-ust -_-___-_ 10.00
Cih'/Stetc/11Y -7 3 single-duct exhausl(bl1hrocUrk, -
-�-r - x.. -mar1m_erft utili roou 6.80_
tj Fax ( )
Phnnet ) O -►�� ----- --- -- -----.--- toilet
acefaaa - 10.00
C Ut 7TA 1� k 10.00
Other:
Business namo r: - - J - i+gel Ditch! -
SS40 for arm four;f l:Al for each a dditi nad
COfltaet name: .-- Fums!:n,dc.
Address: a(/� (las hat
f ity/Su1rJTir: v ` Water heater _ -
�-+- Fax::
is
mail-
clothes
ail - --- - -
m _Harness name - 1Cr. -
is 1 FLEt54
W
Address:: r tiSubtotal
r -
_j Cily/Smtc/%Il': t Minimum P:rrttit fcc(T72.50)
flan review('S%of Permit rre) --
Phone: Fa - State$a rr,?.% f Permit fee)
CCD tic.: _---- - - TO'1'AI.V i?H 11 FEE
' I � 7Tttt perms appaotwn eirptret if t rnn
pil'%net oldatn *4thln
uthrniycd signs 1 N O
1 1 day,after 11 htet atr
rpted wt complete f`
At •� � �tif�� -�' at It
Nov 15 04 02: 12p Oregon Heating and Air 503-537-2172 p. 3
Site plan for : Westin
beck
3`d
—Y
frord
12264 SW Morning Hill Dr.
7
u
dITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2004-00746
DEVELOPMENT StRVICES DATE ISSUED: '11/22/2004
13125 SW Hall Blvd.,Tioard, OR 97223 1503) 639-4171 PARCEL: 2S104A6-02900
SITE ADDRESS: 12264 SW MORNING HILL DR
ZONING: R-4.5
SUBDIVISION: MCKING HILL NO.2
f
BLOCK: LOT: 063 JURISDICTION: TIG
Project Description: (2)branch circuits
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps -100G volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOL i'NOMINAL:
Reconnect only: _ SVC/FDR>=225 AMPS: _ CLASS ARCA/SPEC OCC:
Owner: Contractor:
WESTIN,CLIFTON& SUSAN HILLSBORO ELECTRIC
12264 SWMORNING HILL DR 21185 NW EVERGREEN PARKWAY
TIGARD,OR 97223 HILLSBORO, OR 97124
Phone: 503-887-2993 Phone: 503-439-9666
Reg#: ELE 34-4399C
LIC 134481
FEES _ SUP 49415
Description Date Amount
Required Inspections
(1-1,PRM7'l ELC Permit 111221200, $53.50
(TAX]8%State Surcharge 11/22/2001 $4,28 Rough-in
F
Elect'l Final
Total $57.78
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 Ut;lity Notification Center Those
rules ire set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246-0699 or 1-800-332-2344 _
� �Issued By: &6L ,LL Permit Signature:�7'fl N � Lbn�-_ _
N
OWNER INSTALLATION ONLY
J The in3tallation is being made on property I own which is not intended for sale, lease, or rent.
t j OWNER'S SIGNATURE: _ — DATE:
W
'J CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ _ DATE:
LICENSE NO: z/gyr:
Call 639-4175 by 7:00pm for an Inspection the next business day
From:HILLSBORO ElFf'tt�1r1 0 5036013680 11/19/2004 15:32 #332 P.002
Electrical PermitARompliG� o* e���004
City of Tigard CII"y OF TIGARD DIWI d I1 19 Permit NO; � _ OD
131^5 SW Holl Blvd„Tigard,OR 9723MSI an avlew
Phone, 303.6)9,4171 Fac 503.598.ImILOING Da,vg Asher Pamh:
Inspection Line: 503.639.4175 Date Ready/Ry: ® 5aa tsa8e
Internet: www.ct.ttgsrd.or.us Ck I se plasma)(afbnaatlon
TYPE
or WORK PLAN RBvttW
_71Ncw constrvetlon Addition/alteration/replacetrtent �~ Please check all that apply?
Q Demolition Olher: ❑Service over 223 amps,eomm'I ❑Hazardout location
❑Service over 320 amps-rating CIBuildng over 10,000 sq.It.,
CATEGORY OF CONSTRUCTION ct'I-and 1-fl,mily dwellings 4 or more new residential
1-and 2-family dwelling Comm ucial/inAustriIII Accessory building ❑System over 600 volts nominal units in one stricture
❑Multi-f>antily ❑Master builder _ _[�Other; ❑building over three stories ❑Feodcn,400 amps or mon
❑Occu(mni load over 99 persons ❑MenuPoclured structures or
JOH SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
lob no.: lob site address:
[31 -care hcility []Other.
MIubmit L sets of plans with any of the above"
City/Stete/Z.1P: The above are not applicable to temporary construe3on tlNvift
-- � -FEE* ':"•• .:.
Suitc/bldglapt,no.: Prgjcct name: REE* B�CHBDl1L8 T •� .r
Cross stretrUdit'•ections w job site; New residential single-or multi-family dwelllttr unit.
Includes attached gara e.
1,000 ay.k or Ica 145.13 4
Subdivision: last no.: PA.add'I 300 sq rt,or portion 3340 1
Tax map/parcel no.: Limited energy.residential 75.00 2
Limited ener ,non-retidenllnl 73.00
DEW.RIPTION OF WORK ``.�d ".. ' Each manufactured ormadu ar
� i,. dwelling{ service randier • 90.90 2
v_m 'J Services or feedan inatalistion,alleritlon,andlor relocation _
200 amps or lea 80.30 2
PROPERTY OWNER I. '" Q'TBNANT', x201 amps to 400 snipe 116.83 2
_ �`A ----------- 40! am m600am 160.60 2
Nvnc: !!�►, � 601 amps to 1,000ampe 240.60 2
Address: C 91t�t n n , �� � �/�� N Over 1.000 am or volts 434.65 2
--��lF K`tea Reconnect o^!v _ 66.85 Z
City/State(ZIP: Tem p,rery ten It so-ir reeld art Installation,aIters tion,and/or
I sloe _
phana
Fax ( ) 200 amps or less _66.85 1
Owner Installation:This installation is being made on property that I own which It not 201 amps to 400 amps 100.30 _ 2
intended for sate, lease,rmt.or exchange,ace(trding to ORS 447,449,670,and'101. 401 amps to AM am _Q3,75F 2
Owner signature: , _ Date: Branch cireuita—new,alter tion,or estanaion. r panel
❑ APPLI ANTT ❑.CONnur PERSON- A.Pee for branch vireuits wlrh
I - service or Bader fee,each
Business name: b rcui 6 63 1
'— 0.Pee for bnanch circuih
Contact name: withtnn service or feeder he. 46 BS •� 1
Address' each n circuit
Each;:19 branch circuit 6.63 A/ 2
City/Stala2(P: MUcella,.:.as(service or feeder not Itlel_uded
a
Phone Pum or imiliadon circle 33.40 2
( ) Fax; ;( )
�
Sign or outline lighting 33.40 2
to E-mail: leu conuit(s)or limited-
. ; CONTRACTOR �. ::�.�"':;;.,'•; energy panel.altsrat on,or
extension,Describe' Pape 2 2
Business name:Hillmboro Elec rig L.L.C. _ _
Each additional ins tion over allowable In en of the above
W Address: 21 185 NW Ev•7Lgroen PKWY OtS #110 Per inspection _ 62.50
WCity/State/ZIP Hillsboro, OR. 97124 n Invati tion pet hour(I M miN 63.Su
_j �\ Industrial plain r hour 73.75
Phone;(5 0 3) 4 3 9-9 6 6 6 Fa"'(5 0 3 )6 01 -31580 0 ELECTRICAL PERMIT FZtS"
CCB L ic.:1 3 4 4 81 Electrical Lic.:3 4-4 9 9C Sopru. Lic.: 4 9 41 S gntrtotal
Suprv. Electrician signature,required: -1 Plan review(35%of patmit flee)
Print name:Joey V 1 t a r_G o Date: r! este surcharge(ESL of permit flee;
----- TOTAL PERMIT PER .'
l-]
4whorized Signature: We rwr met appllntloe nplres Ira Peru t y set o to sed wltble I"
-- ---- days after It Mar been seeepted as complete
Print name Date: Ree n,ethotbbtp ser ivy hi County Beildfny Indtnby S�rvins N red
•'Number of inmeetiona pa►permit snowed.
tee.itecert►ern,aFtQlr.va,,,t�nn.a� I]M wtu-uls•nuwz�cawwee
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (603)6394176 MST
INSPE-1CTION DIVISION business LTne: •` t03)639-4171
BUP
Received ____ �. Date Requested �J�' ��AMf. MM _ BUP
Location s 4 Lt) w LJr Suite �_ �OfJ `�'00 ?�`o
Contact Person _ Ph( ) �� PLM _
Contractor I-M5 Y YU Cc: Ph( ) __ SWR
BUILDING Tenant/Owner �_-
Footing ELC
Foundation Access:
Ftg Drain } (,?-Go 4 ' 6G 1L;o C 4 G ELR
Crawl Drain M K
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors -
Ext Sheath/Shear _
!nt Sheath/Shear — r•V O L � 7 `7
Framing �C.- /
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling —
Roof
Other:
Final
PASS PART FAIL
PLUMBING (l !x_ fNm r _?o
Post %Beam
Under Slab / _
Water1Service -� -C D/V"��T� �y�j
Sanitary Sewer
Rain Drains -
Catch(Basin/Manhole
Storm Drain - --
Shower Pan
Other:
Final
FAIL
!JECHANI
Rough-In
Q. Gas Line r
Smoke Damps
N F'
U) PA RT FAIL --- —
CTRIC
J Service
m Rough-In
FD UG/Slah
J Low Voltage •
F' Alarm
PART FAIL [] Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: q Unable to inspect-no access
Fire Supply Line L 1
Approach/Sidewalk Dates —� - Inspector- - --_
Other:
Final DO NOT RE OVE this InspeWen record th%� job oft.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: '(503)639-4171 MST
'`T 1 1 t� . � BUP
ReceivedZ—D to Requested ' _AM` p( M 1
I ��` BUP
Location - /1% _ Suite �- (1& O� 7. G
Contact Person Ph(� ) � PLM
Contractor
11 ��7
S 1�OY�'U f 1�.�— Ph( ) - — SWR
BUILDING Tenant/Owner �j 7'1
Footing
Foundation Access: ELC
Fig Crawlain �Kt.�� 't'�ZGCti� - �!0C� o CFL+• "�G L ELR
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors _
Ext Sheath/Shear
Int /Shear � �
Framing
� ;.114 d
�'`. 1. _ [7_ c5
Insulation
Drywall Nailing Col-14.-g- ZG-��i
Firewall
Fire Sprinkler
Fire Alarm 2
Susp'd Ceiling / C /?7`'L
Roof
Other:
Final M /1V A-1,.1 i�;' V
PASS PART FAIL
PLUMBING _ Ay. /_�_M r s c'
Post&Beam
Under Slab
Rough-In
Water Service t - _! )��c��`� /�'✓� f7 f'�-� L.�
Sanitary Sewer
Rain Drains —
Caich gRain/Manhc'
S,to•m Crain
Shower Pan
Other:
Final — ---�-
�FAIL
E
Pea m -
Rough-In
I, Gas Line Ir
C Smoke Dampe
F' _
PA RT FAIL _
CTRIC
Service — --
D Rough-In _
L
U UG/Slab (�
3 Low Voltage
F' term ---
i ❑ Reinspection fee of$—_ required before next Ins
t PART FAIL Inspection. Pay at City Hall, 13125 SW Hail Blvd.
❑ Please call for reinspection RE: ❑ Unable to inspect-no access
Fire Supply Line !" i
ADA I �-. r~ �--
Approach/Sidewalk Date 'M Inspectory1. _
Other: FM—
_ f
Final DO NOT REMOVE thls Inspection record from the fob oRo.
PASS PART FAIL