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12398 SW MILLVIEW COURT n� w c,c as n O C 12398 SW Millview Court �ITY OF TIGARD -------- MASTER PERMIT PERMIT#: MST2001-00404 DEVELOPMENT SERVICES DATE ISSUED: 7/17;01 13125 SW Hall Blvd., Tigard, OR 47223 (503) 639-4171 SITE ADDRESS: 12398 SW MILLVIEW CT PARCEL: 1S134CB-13500 SUBDIVISION: MILLVIEW ZONING: R-4.5 E LOCK: LOT:035 JURISDICTION: TIG REMARKS: Addition of 216 sq. ft, to kitchen/nook, and interior alteration of bedroom and laundry roam. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACHS REQUIRED _ CLASS OF WORK: ADD HOGHT: FIRST: 216 of BASEMENT. of ?FT: i SMOKE DETECTORS, v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of C ARAGE: of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: F NSSMENT: al RIGHT: 12 VALUE: 5 40,000 OU OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 2le 00 of REAR: F 1 _ PLUMBING SINKS WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: D1914WASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES- MECHANICAL FUEL TYPES FURN c 10OK: BOIL/CMP c 3HP: VENT FANS: 1 CLOTHE6 DRYER: 1 GAS FURN>000K: UNIT HEATERS HOODS: 1 01hER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS WOODSTOVES: GAS OUTLETS: _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 JF OR LESS: 0 - 200 amp: 0 •200 amp WISVC OR FDR 1 PUMP!!RRIGATION. PER INSPECTION: EA ADD'L 500SF: 201 400 amp: 201 •400 amp: tat W/O SVC/FDR. SIGNIOUT LIN LT, PER HOUR: LIMITED ENERGY. 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: %,ANU HM/SVCIFDR: 601 - 1000 amp: 601 tampa•1000y: MINOR LABEL: 1000+omp!yolt PLAN REVIEW SECTION Reconnect only: — >=n RES UNITS: S'/CIFDR>•225 A.: >600 V 40MINAL: CLS AREA!5PC OC(7. ELECTRICAL•_RESTRICTED ENERGY _ A 3F RESIDENTIAL __ B.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM AUDIO 8 STEREO: LIRE ALARM: INTERCOM/PACING: OUTDOOR LNUBC LT: BURGLAR ALARM: r`TH BOILER- HVAC. LANDSCAPE/ptR10: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 902.93 This permit is subject to the regulations contained in the SMITH,ALAN C+DEBORAH B JLM SERVICES INC Tigard Municipal Code,Stata of OR Specialty Uodes and 12398 MILL VIEW CT 12220 SW WALNUT ST all other applicable laws All work will be done in TIGARD,OR 97223 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 suspended for more than 180 days ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center T!tose riles are set Rey N: LIC 70002 forth in U-.R 952.00'-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling 1503 246-1987, REQUIRED INSPECTIONS Fooling Insp Crawl Drain/Backwater EleclriL,al Service Low Voltage Plumb Final Foundation Insp Fooling/Foundation Do Electrical Rough In Insulation Insp Flnp;Inspection Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Post/Beam Mechanical Mechanical Insp Shear WRIT Insp Electrical F'r•c Underfloor insulation Plumb Top Out Exterior Sheathing Insr Mechanical Final 1.-_.ed By : ,_ � tf r�. _f _� l _ Permittee Signature Call (3n3) 639-4175 by 7:00 p.m. for an inspection needed the next business day I Building Permit Application �— City of Tigard Uate rest:wed: Permit -�—- Address: 13125 SW I;aII Blvd,Tigard,OR L23 project/appi.no.: Expire date: K, City njTigard phone: (503) 639-4171 Date issued: - _ By: Rt:.ctpt no.: Z Fax: (503) 5984960 Case file no.: payment type: t- Land use approval: 1&2 family:Simple Complex: U 1 &2 family dwelling or acr;essory U Commercial/industrial U Multi hinny U New t:umuucloll U Demolition )QAddition/alteratiortreplacelnent U Tenant improvement U Fire sprinkler/alarnt U Other: t Job address: '� 9 i' -5-11-0-10 't'1 Bldg.no.: Suite no.: l ut: Black: Subdivision: _ Tax m_ap/tax lot/account no.:/S/,-,'r/i^ -i Project name: _ � +— �•- Description and I(xatiun of work on pmmises/special conditions: Name: T (11.loodplain,sept Ic,capacity,solai,etc.) r Mailing address: _ i ?F, roti.. _ INolUf family dwelling: %l1 ,f7 7 City: ;: J" State: ) Z1P: c�7 7 7.5 tion of work / JC Phone: Fax E-mail: hedrooms/paths........ ........................ Owner's representative: Total number of floors................................. _ Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name• Covered porch area(sq. ft.) ......................... ----- '--"- Deck area(s ft.) Mailing address: q. .................. ..................... -- -� Other structure arca(sq. ft.)..... ................... City: State: ZIP — Phone: t;tx: F. mail• Commerciallindustriallmuiii-family: Valuation of work.......... ............................. $ Existing bldg.area(sq.ft.) .......... .............. _ Business name: 7- New bldg.area(sq. it.) Address: i Z 2 �'c c�) ('(-.41/n uT -- --- -- Number of stories........................................ --- r_ity• ,o state:r �' _alp: i7 , Type of construction ....... -- Phone: :, 2V5/IF X: Email v— - (kcupancy group(s): Existing: New: _ fit}/metro lie.no.: Notice:All contractors and subcontractors ac required to he — licensed with the Oregon Conntruction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: -- -- -- jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from acensinp„the following reason applies: Contact person: Plan no,:0 — - ---- Phune: Fax. email: — — p;;;iac:WE Contact person: Fees due upon application ........................... $_ 5 ' Address: ---- Date received: City: State: ZIP: Amount received . ........ .............................. $ Phone: Fax: I E-mail: _�- Please refer to fee schedule. hereby certify 1 have read and examined:his application and erre Nd as jundictiau accept credit cards,pl se call jundic(ia>r n nnae inrnamation attached checklist. All p visions of laws and ordinance a governing this U Visa J Maste,Card work will be compli w�h,wh,i--ther specified herein or not. Credit card numhet _.______—._ Expires Authorized Signa.0 '`� 7�r Date: `Name of cardtofcW &%shown on it card — — Print name:, i „ _��_ _--�cardheldet sipalum s Amount Notice:This peanit6pplication expires;f a permit is not obtained within 180 days after it has been accepted as complete. 440.1613 wRxvrx)M) One- avid l'wn-family Dwelling Building Permit Application Checklist Reference no. ---- ---- As,ociatedpermits: r 11gard City of Tigard U Electrical a.'Plumbing U Mechanical Address. 14125 SW Ball lilvd.Tigard,012 97223 U Other. Phone: (503) 639-4171 Fax: (503) 598-1960 I Land use aeiious completed. Nov jnrvdretron criwrca I,r concurrent reviews. - 2 Zoning.Flood plain 0.0 h,il,,iu pants,wv nm ~nils(ILsigna!i n,historic distnet,etc. 3 Verlflcatlon of apprnre•d phot/I,N. - 4 Fire district�_ approval required, 5 Septic system permit or authorization for remodel. i xisting system capacity`�e 6 Sewr-rpermit. 7 Water district approval.— ! _Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U liennit required. Include drainage-way protecti,n,silt fence design and location of _eatuh-basin protection,etc. —_ 10 3. Complete sell of legible plans. Must be drawn to scale,showing conformance to applicable local and state building axles. L,atetal design details and tonnec(ion"naaSt be incorporated into the plans or on a separate full-siie sheet attached to the plans with cross reletences bc(wcen plan location and details. flan review cannot he completed if copyright violations exist. I I Sitelplot plan drawn to scale.•I•hl-plan mast show lot and building setback din,.•isiun�;property comer elevations(it there:s more ahan a 4.11.elevaui m diticrential,Ilan 111(1%1 show contour lines at 2-1 intervals);location of easements and driveway looiprint of structure(including decks);Ir,Catlnn of wellvseplic systems; v laxations;direction indicator,lot arca;building coverage area;percentage of coverage;inapa•rvious area;existing structures un site;and surface drainage. 12 Foundation plan.Show dimensions,anchor halls,any hold-downs and reinforcing pads,connection details,vest size and location. 13 Floor plans.Shaw all dimensions,room ielrntifitafion,window site.location ol'smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,halcmucs and decks 41(inches above grade,etc. _ _ — 14 Cross section(s)and details.Show all framing-member sizes and spec nap such as floor beams,headers,joists,sub-Iloor, avall construction,rol'constrvction. More than one ct— a;ecuon nun oc nc,µnired to clearly portray construction.Show details of all wall and roul'sheathmg,roofing,rxrl dope,ee(hng height,siding imtenal,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addenda ns showing foundation elevations with cross references are acccptahle. _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and location, .or nun-prescriptive pa}'i analysis provide specifications and calculations to engineering standards, 17 Floorfroof framing;.Provide plans for all Iloors/roof assemblies,indicating member sung,Spacing,and louring I rations.Show attic ventil;i6on, 18 Basement and rMalning walls. Provide cross sections and details showing placement of rehar.For engineered systems see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and muhiple joists over Ill feet long and/or any beam/joist carrying it non-uniform load. 20 Manufactured floorlroof truss design details. 21 Energy Code compliance. wdcntify the prescriptive path or provide ca cul:wons. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculation%.When required or prnvidc l herr a:rll roof torso shall he stamped by an engineer or drehitect li:ensed in Oregon and shall he shown to h, t;,C, :I ! 110L uncia W%IM 1 23 Five(5)site plans are required for hem I I above. Site plans must m a-1/2"x I I"or I I" x I'l 24 Two(2)sets tach arc regnised fur Items 16, 19,20& 22 adxrve. 25 Building plans shall not contain reel lilies or tape-ons. _ 26 No rolled,reversed or mirrored building plans will he accepted. 27 28 _ Checklist nust he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or binck ink. Red ink is reserved for department use only. 4404614((varea'oM) Mechanical Permit Application Date received: Petmitno.A-ser / Q City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,•1•Bard,OR a l>> Date is Phone: (503) 639-4171 sued: By: Receipt no.: Fdx: (.503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: ;UNew &2 family dwelling or accessory U Commerciailindustnal U Multi-family U Tenant improvenlult construction U Addition/alteration/replacc..lcnr U Other:tdress: 1 � CU Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: *Sec checklist for in-portant dpplicati(,n information and Project name: jurisdiction's Ise schedule for asidestial permit fee. City/county: ZIP: Description and location of work on premises: I e 1 _ _ r eei".) "total Est.date of completion/inspection: _ I><Kcri Kill rrt (JI . ,4es.orilj Ites.onl Tenant improvemem or change of use: �' Air handling unit CPM Is existing space heated yr conditioned'?U Yes U No it con itiontng(site p ai n requireed)Is existing space insulated?U Yes U No Alteration of existing HVACays1em _ WKIA1141111LIS Kill of er compressors State boiler permit no.: Business name: Tons BTU/H eiAddress: - ire/smom tectors — City: I � y _— Stat.. ZIP: 7 Zcat pump(sue p an required) _ _ Phone: Fax: E mail: nstall rep ace urnar,ei urner Including ductwork/venl liner U Yes U No CCB no.: nst r ieplac re ovate heaters-sus end City/metro lic.no.: wall,or floor mounted Name( lease print): Vent for appliance other than furnace e emt , Absorption units _ BTU/H Name: j AA hitters _ HP Address: — Com ressors _ lip .,n menU cx aust an vend st oar City: State: ZIP. t,ppliancevent — Phone: ' ax: I E-mail: Dryer exhaust vig oo s,Type res, i(c er azmat hood fire suppression system —_ Name: Exhaust fan with single duct(bath fans) Mailing address:: _ i ?x tausl system a anTrom heating or AC ----- ---- State: Z11 — -- - e piping an distribution(up to outlets) City: IYix IPG NG Oil E-mail: uePhone: piping eachadditional over outlets Process piping(sc emntcrermire ) Number of outlets u Name: ter ed appliance or eq pment: dd Aress: _ decorative fireplace City- State: ZIP: _— nsert-type Phone: _ Fax: E-mail: oo stov pe et stove _ hr: Applicant's signature: _� amr _ Name (print): _ T_ Valt Jurisdictions accep credit cards.P1:86;"11)%jsd clfon rrn m xe inrornulian Permit fee al ns ................ Notice:'this permit application Minimum feeee $................ O visa U MasterCard expires if a permit is not obtained CmilitcardnumtKr _... ..___—�_ —_� _ Plan r :_:4 (at M %) —�- Ex; rrs within 180 days ager it has been State surcharge(891;) am r aor cat den n or cWii cr+ s accepted as complete. Cwdholder el`natute - M 4441617(6 MCOW MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FA'41LY DWELLING FEE SCHEDULE: Price Total TOTAL VALUATION: FEE: _ 7able 1A Mechanical Code Qty (Ea) Amt $1.00 to$5,000_,00 Minimum fee$72.50 1) Furnace to 100,000 BTU - $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents _ 14.00 _ $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including i,urnac ducts&vents 17.40 $10 000.00. 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 14.00 $1.54 for each additional$100.00 or 4 Suspended heater,wall heater $250nn thereof,to and including )r6) floor mounted heater 14.00 t25�000.00. Vent not included in appliance permit $25,001.00 to$50,000.00 $379.50 for the first.x25,000 00 and 6.80 $1.45 for eachthereof, additional$100.09 or Repair unitsfraction thereof,to and including12.15 $50,000.00. 550,001.JO snd up $742.00 for the first$50,000.00 and rTheck all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond Fraction thereof. footnotes below. comp* - _� 7)<3HP;absorb unit to 100K BTU 14.00 ASSUF-rtD VALUATION_ S PER APPLIANCE: _ g)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 , .II BTU _ 35.00 ducts&vents _ 10)30-:,U HP;absorb Fumice>100,1300 BTU Including 1,170 unit 1-1.75 mil BTU _ 52.20 ducts&vents --- 11)>50HP:absorb Floor fumace Including vent _ 955 unit>1.75 mil BTU I 1 87.20 Suspended heater,wall heater or 955 12)Xr handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM; permit _ 17.20 Repair units _805 _ 14)Non-portahle evaporate cooler <3 hp;absorb.unit, 955 10.00 - to 100k BTU 15)Vent fan connected to a single duct I 3-15 hp;absorb.unit, 1.700 _L 6.80 101k to 500k BTU ---- 16)Ventilation system not Inclur'-f In 1&30 hp;absorb.unit,501k to! 2.310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical e.<haust 30-50 hp;absorb.unit, 3,400 -,- 10.00 _ 1-1.75 roll.BTU g 725 18)Domestic Incinerators 17.40 >50 hp;absorb.unit, _ -_ >1.75 mil.BTU 19).'ommercial or Industrial type inrinerator Air hsndlingunit to 10,200 cfm 656 _ - _ 69.95 Air handlin ug nit,10,000 cfm - 11,170 --- 20)Other units,Including wood stove!. Non--portable eyaporate r.00ler 656 - i 10.00 Vent fan nnected to a single duct 446 21)Gas piping one to four outlets Vent system not iizuded In 656 _- 5.40 applience.perm 22)More than 4-per outlet(each) Hood served b mechanical exhcust 656 1.00 Domestic incinerator _ 1.170 _ Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator ___A.15_90 - _ Other unit,including wood stoves, 656 8%State Surchardv $ Inserts,etc. GasI i'p ng 1 4 outlets 360 - 25%Plan Review Fee(of subtotal) $ Each additional outlet _ 63 _ Required for ALL commercial permits o;dy TOTAL COMMERCIAL $ TUT4l_ RESIDENTIAL PERMIT FEE: 5 VALUATION: - Other Inspections and Fees: 1 Inspections outside e` formal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no foe:s specifically indicated (minimum chary e-n,df hour) $72 50 per hour 3 Additional plan review required by changes.addilioni or revlslo is to plans(minimum charge-o a-half hour)$72 50 per hour 'State Conn%tor Boller Cerfl^callon required for units>200k BTU. "Residential '1C requires site plan showing placement of unit. i:tdst`lfomislmech-fees.doc 1011100 Plumbing Permit Application City of Tigard nate received: Permit no. .S�Z�YI�-tit tfft , Address: 13125 SW Sewer permit no.: Building permit no,:Hall Blvd,Tigard,OR 97223 • .^. City of I iaard Phone: (503) 639-4171 ProJeci/appi.no.: Expire date: Fax: (503) 598-1960 hate issued: By: Receipt no.: Land use approval: _ case file no.: Payment type: t &2 family dwelling;or accessery U t' nnn,crct,il/in lutitrral U Multi-family U Tenant improvement U New construction IKAddition/alteration/replacemeni U Food service U Other: t 'MEarta=M I M Job address: 12,3 ?b 51J /lrrllflC Description Qty. Fee(ea-) Total Bldg.no.: Suite no.: — New I-and 2-family dwellings only: Tax map/tax lot/account no.. (includes 100 fl.for each utilityConnection) . - SFR(1)bath Lot: Block: Subdivision: ---- - —SFR(2)bath _ Project name: SFR(3)bath _ City/county: ZIP: '7Z Each additions,bath/kilchen scripti loe�tion of work p.emises: Siteudlitiep. / tYl t s• %' .4 12 arch ho:,in/arca drain Es'.(late of completion/insptxtioa: t,,,�/ rywells/leach line/trench drain 61 1 t t (ming drain(nc,.lin,ft.) _ Manufactured home utilities Business name: oiz we4; tg l F116. _ Manholes Address: 7.`I;Z0 ei-0 r Z- 15'•T Rain drain connector City: JA'' 1\ c,i� State:oj� =_S Sanitary sewer(no.lin.ft.)—_ Phone: Cry Z - Zr4, Fax: (p r SYn E-mail: Storm sewer(no.lin. ft.) _ CCB no.: Plumb,bus.re ro: g Water service(no.lin.ft.) g — '�_ Il Ixture or item: t rtyhnetro lie.no.: L�j(� 0- Absorption valve Contractor's representative signature: Back flow preventer Print name: J ,k, e' - ,.,, jhate Bact-water valve — — Basins/lavatory_ Name; t�"Yyl e Clothes washer — Address: -- --� -�--- Dishwasher Drinking fountain(s) City: --------- State: GIP: --- - - -- Ejectors/sump _ Phone: Expansion tank F;xture/sewer cap Name(print): _ za floor drains/floor sirks/hub— Mailing address. ,/ i(" .f�� ! �� , V Carhage dis sal i ' SLII' ..1 Hose hibb ty' Ci1// . /!t; tate:— - Ice maker Phone: _-.Fax: li-until: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maint(nmice and repair made by my regular `Roof drain(commercial) employee on the property 1 own as r)er ORS Chapter 447. Sink(s), asin(s),lays(s) _ — Owncr'� si nature: _ _ Date: Sump Tubs/shower/shower pan Name: Urinal - — Water closet Address. ,-- �-- Water eater --�- City: _ _ _ State: ZIP: Other: Phone: — — Fax:— TRAI Not all jurisdictions accept credit cards,pi-sw call Jurisdiction kx nwn Information. Minimum fee................S _ Notice:This permit application U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit rani numners. within IRO da atter it has been State surcharge(8%)....$ T C•xpires 5' — -- accepted as complete. TOTAL .......................$ _--Name of cudholMr i+shown on credit card P p ---------- S --� Ci aw—der slatuurr. — ——�— Amount '—' 441.'4616(to Yf 2 ' PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24amily dwellings only: FIXTURES (individual) QTY b.�j AMOUNT (inciLrdes all plumbing fixtures In 1 PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavato 16.60 for each utility connectio�_- ry _ One 1 bath_ $249.20 Tub or Tub/Shower Comb. 16.60 Two_f,?j bath -_ $350.00 Shower Only 1660 Three 3)bath $399.00 Water Closet 16.60 -- SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 1660 PLEASE COMPLETE: 3" 16.60 4" 16.60 uantic b Work Performed Water Heater U conversion O like kind 1660 Q New Moved Replaced Gas pipinil requires a separate mechanical Fixture Type: Re permit. Capped Removed/ MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs -�� 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbage Dis opal - -�� Laundry Room Tra -- ---- Washinj Machine Fluor Drain/Sink: 2" Sewer-1 st 100' 55 On - 3" Sewer-each addit.inal 100' 46.40 4" Water Service-1st 100' 55.00 (Nater Heater ---- Other Fixtures Water Service-each additional 200' 46.40 Stor,.i 8 Rain Drain- ist 100' 55.00 Storm 8 Rain Drain-each additional 100' 46.40 -- Commercial Bark Flow Prevention Device 46.40 - k sidentlal Backflow Prevention Device' 27.55 !� Catch Basin 16.60 - - Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - -- Grasso Traps 16.60 ----- - QUANTITY TOTAL Isometric or riser diagram is required If ---- -_ Quantity Total Is >9 "SUBTOTAL - 8%STATE SURCHARGE - - - "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture q1 total Is>0 TOTAL S 'Minimum permit fee is%72 50+8%state surcharge,except Residential BackBow Prevention Device,which Is$afi 25+8%state surcharge **Ali New Commercial Buildings require plans with Isrimetric or rise.diagram nod plan review. i:ldsts\forms\pim-fees.oL,: 10/10/00 Electrical Permit Application -- — --� - Datereceived: -- Permitno.:�S�2p0 - �c h4� 6 City of l Igard Projecdappl.no Expire date: CitynfTigard Address: 13125 SW hall Blvd,Tigard,OR 97223 Date issued By: Receipt no.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 1Case file no.: Payment type: Land use approval: TVPE t U I &2 family dwelling or accessory U Commercial/industnal J Multi-family U Tenant improvement U New construction U Addition/allerelion/replac•emenl U Other: U Partial i t ' Joh address: JBId n • Suite no•: I I 1, mals x lot/account no.: Lot: Block: Subdivision: Project name: I Description and location of wcrk on premises: _ Estimated date of cam iletion/inspec:tion if ONA it ItC 14 ill APPIACATION 1.1.111, SUIlEDULE, Job no: -'�,�—�-- Fee Max Business name: r/ / Z C'►� t/I[_ br�criprlon Qty. (ea.) 'Total no.ins Nev,residential-shine or multi-family per Address: 7b(I & • t1*Oft 5,-'- dwcllingunit.Includes attached garage. City: �� vd State:OA� ZIP: 9,7223 Service included: Phone: rax: E-mail: 1000 ay.ft.or less t Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus.lie.no: -/ i7C Limitedenergy,n•sidenlial 2 City/metro lic.no.: f r i Un itedenergy,non-residential 2 ',Oe_ /—ter Each manufuctured home or modular dwelling Signature of supervising elleecltrician(required) Ihfle Service and/or feeder '- Sup.elect.name(print). License no: Services or feeders-Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 strips to 400 amps _ 2 401 amps to 6(x)amps 2 Mailing address: 601 amps to 10(x1 amps _ _ 2 City; State: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: V.econnect 0 Ily Owner installation:The installation is being made on property I own 7empornry ^ktion,oes or rden which is not intended for sale,lease,rent,or exchange according to installation,amps or lessalteon,orrelora.iun: ORS 447,455,479,670,701. 200 amps to less _ 2 2(11 amps to 400 amps 2 Owner's sf nature: Dale: 401 In 6fxl am is 2 Branch circuitn-new,alteration, or extensicr.per panel: Name: _ A. free for branch circuits with purchase ul' Mdress: _ servi:a or feeder fee,each brunch circuit 2 City: State: i ZIP: H. Fee for branch circuits without purchase --r---- of service or feeder fee,first branch circuit: 2 Phone: F;IX: &mail: Each additional branch circuit Mlsc.(Serrlce or feeder not Included): O Service over 225 amps-commercial U Heal;h-care la. '.., Each ptonl .n arigatiun circle — 2 l7 Service over 320 amps-rating of 1k2 U Harardouslocuaou Each sign or outline lighting 2 fantilydwellings U Building civet 10dxx1 square feet four or Signal circuit(s)or a limned rnett!y panel, O System over 600 volLs nominal more residential units in one structure ahetntton•or•stensnnn•— _, _ 2 U Building over three stories U Feelers.400 amps or more *Description:_ _ — O Occupant load over 99 perwris U Manufactured structures or RV park Each addhional inspection over the allowable In any of the above: U Egress/lightineplan U Other: _--__—_— i'e :tlspvaio n Eii- --- Submit—sets of pians with any of the above. Invests ation fee _ The above are not applicable to temporrsry construction service. — Other `-_ --. Permit fee.............. ......$ _ Not all jurisdictions wcepl credit car&.please call jurisdiction foo more informtation. NOtiILThi:;permit application t U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) Credit card number: __ within I RO days afler it has been State surcharge(8%)....$ t:splres accepted as complete. TOTAL ..........$ Nemr— oolcudltoldrr u eSrown on cre�ir c�— f —i Cardholder siptuure —� Arntntni j 44:7.4615 r6MCOM, ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Com ►ete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY PRestricted Energy Fee...................................... ........ ..... $75.00 Number of Insperticns per pennit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check T ype of Work Involved: Residential-per unit 1000 sq.ft.or Icss _ $145.15— _ ❑ Audio and Stereo Systems' Each additional 500 sq.ft or portion thereof $33.40_ i ❑ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular Dwelling Service or Feeder $9090 ? ❑ Garage Door Opener' Services or Feeders ❑ Heating Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 El201 amps to 400 amps $106.85_^_ 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amns $240.60 2 Other Over 1000 amps or volts — $454.65 2 — Reconnect only _ $6685 2 Temporary Services orFeeoers TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system........................................................ $75 011 200 amps or less _ $66.85 2 (SEE JAR 916-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 T 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Bofier Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $665 Data Telecommunication Installatior b)the fee for branch circuits without purchase of service L� Fire Alarm Installation or feeder fee. First branch circuit _ _ $46.85 Foch additional branch circuit i $665 LJ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40_ Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal Crc uit(s)ora limited energy panel,alferatlon or extension _ $75.00_ El Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over v F-1 Medical the allowable In any of the above ❑ Per Inspection _ _ $6,250 __ Nurse Calls Por hour _ __ $1`2 50 _ In Plant $73 75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ -.- t—1 Other 8%State Surcharge _ L� ________Number of Systems 25%Plan Review Fee See'Too Review-seclinn or $ No licenses are required Licr rases are roquired for all other installations front of spplicatint i — Fees: Total Balance Due $ Enter total of above fees S El Trust Account# P%State Surcharge S Total Balance Due s iAdsts\fomrs\eic-fas.doc 06/07/01 Community/ Development ELECTRICAL_ PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # -_--_--- __ --- -------- .-.- _A._ Date Issued Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address I 4. Complete Fee Schedule Below: Name of Development��+_- M / /�-_ Number of Inspections per perrnit allowed Address z 3 �C' ✓ mlzj /( e� jc) C. ! -- Service included Items Cost(ea) Sunt City/State/Zip_ 4a. Residential -per unit 1000 sq. 3 or less $11000 - Name for name Of business) f�^ Each addltionai 500 sq if or $2500 ------� Each portion thereof $25 l>0 — --- Commercial El Residential 1K EacLimith Energy ----- - EManurd Home or Modular Dwelling Service or Feeder _ _ $6800 2a. Contractor Installation only: 4b. Services or Feeders Installation allerahon,or relocation 2 Electric Ai ^ontractor Me. tomer Electric Inc. 200 amps or less $6000 Addres s 8780 SW Lehman Street 201 amps to 400 amps $60 00 __ 2 _ 401 amps tr 600 amps $120 00 2 City , g��____ State_OR Zip 97223 601 amps 101000 amps $16000 2 PhoneNo._503-244-9025 Over ionoamps orvnite _ $$5000 2 Reconnect only $50 UO 2 Job NO. contractor's license NO.— 34-167C 4c. Temporary Services or FeederR Contractor's Board Reg. NO. Installation,alteration,or relocation 2 Signature of Sur lec'n_ ��J �tE 200 amps or less __ _ 2 1 OS Phone No.503-244-�Q') 201 amps to 400 amps $75$50 10 License No. _- 401 amps to 600 amps $76 n0 Over 600 amps to 1301n vo#.s $100)0 --- 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name--- _ New,sheratlon or extension per pr Address a)The lea for branch circuits with 2 purchase of service or feeder fee ' City _ __ Stat@ Zip Each branch circuit $500 _ Phone No. _ b)The ter for branch circuits without 2 The installation is being made on property I own which is purchase of service or feeder fee. 2 First branch circuit _. riot intended for sale, lease or rent. Each additional branch circuit Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review secticill (if required): Each pump or irrigation circle __ $�o 00 Each sign or outline lighting $40 00 '^— 2 Signal circuit(s)or a limited energy Please check appropriate item and enter fee In section 6B. panel,alteration or extension $4000 _ 4 or more residential units in one structure Minor Labels(10, S10000 Service and feeder 225 amps cr more 4f. Each additional inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure ror:talning special occupancy per insppchon ____ 35 00 as described !n N E C Chapter 5 ear hour $5500 In Plant $55 00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary con..iruction services. I 5, Fees: 5a. Enter total of above fees c _ NOTICE 5% Surcharge (C5 X total fees) ¢ _ Subtotal $ �! PERMITS BECOME VOID IF WORK OR CONSTRUCTION 15b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) 5 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal 5 _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. -«A��m� �_� Trust Account # Mm 4m Balance Due $ ,_ _ ,i 0398 Sw- MILL"IC-:\v GT- t T1en/xIZ17 ve _ c'1 `7ZZ3 LO-i- ?i b'` MI I�IvIG\v /�t7D1 'IdN I-Ax 1M Y �- � ii�� fV/S. hl (• .I iAN - - - - - - - ;�' PRpPo4�f7 ?17p1 V1,9 y.Ess l b hILG f.1 � �gl ••� r�wF�.-�,Y r�• 4 � y.\V, M ILLvi ESV, G% !1 I . CITY OF TIGARD BUII DING INSPECTION DIVISION MSI. 24-Hour Inspection Line: 63: 175 Business Line: 639-4. -- --- BDP _Date RequestedPM EI_D _-__-- Location _-2 �Y ` V` -y Suite VEc -- ---- Contact Person _— Phlam_U Zgp t't.M Contractor _ Ph _ SWR BUILDING Tenant/Owner ELC d'�-UO (-old Retaining Wall _ ELR _ Footing Access: FPS Foundation / �� S /� ,,k r 5 Ftg Drain SGN Crawl Crain Inspection Notes: Slab Post s,Beam Ext SI.eath/Shear --------- — Int Sheath/Shear Framing Insulation Drywall Nailing - — -Firewall Fire Sprinkler -- _ -_- _-- --- Firo Alarm Susp'd Ceiling -- Roof Nlisc Final `i PASS PART FAIL — PLUMBING Post&Beam --------------- � � - --___ Under Slab Top Out Water Service - Sanitary Sewer Rain Drains Final PASS PART FAIL_ MECHANICAL Post x Been, - ----- - -- _ Rough In Gas Line - -- - ------ ---- - - - - ---.. . - -- Smoke Dampers Final P'&86- -PAJIT FAIL ELECTRICAL`_ V1ce-- —- - -- Rough In UG/Slab - - - - Low Voltage Fire Alarrn -_ "PASS PART FAIL ---_ -__.-------�..----------__-- SITE [lackfill/Grading Sanitary Sewer Storm Crain ( )Reinspection fee of$ required before next inspection Pay at City Flail, 13125 SW Hall Blvd Catch Basin E Unable to ins Fire Supply Line [ ) Please call.or reinspection RE inspect-no access I ) P ADA Appr.)ach/Sidewalk Date (� L L�1�- --� - -- - Inspector _ C-� � Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. A CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2001-00478 .r DEVELOPMENT SERVICES DATE ISSUED: 9/26/01 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S134CB-13500 SITE ADDRESS: 12398 SW MILLVIEW CT SUBDIVISION: MILLVIEW ZONING: R-4.5 BLOCK: LOT : IJ35 JURISDICTION: TIG Proiect Description: Installation of(4) branch circuits. RESIDENTIAL UNIT _ _ TEMP SRVC/FFED_ERS MISCELLANEOUS _ 1000 SF OR LESS: �^ 0^200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENE14GY: 401 - 600 amp: SIGNAL./PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _—� _ _ADD'I_ INSPECTIONS_ 0 - 200 amp: YJ/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT- 601 - 1000 amp: PLAN REVIEW SECTION 1000• amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL.: Reconnect cn1r�— SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:__ Owner: Contractor: SMITH, ALAN C + DEBORAH B WILLAMEf-FE ELECTRIC INC 12398 MILL VIEW CT PO BOX 230547 TIGARD, OR 972.23 TIGARD, OR 97281 Phone: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections Type By Date v Amou.it Receipt Rough-in PRMT CTR 9/26/01 $66.80 27200100001 Wall Cover Elect] Final 5PCT CTR 9/26/01 $5.34 272c.• in( Total $72.14 4 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 K work is not starteo;vithin 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to permit Signature: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _____ —__ DATE.------ CONTRACTOR ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 1 C- ` iiidt a_rS_n, f,,-,g I ICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application —� I)ate received: , i Permit no.: L( / City of Tigard � I rojecVappl.no.: Expire date: Cityq Tigard Address: 13125 SW Hall Blvd,Ti ard,UR 972 [)ate issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: wd iii t W I & 2 family dwelling or accessory RCommercial/industrial U Multi-farnily J Tenant improvement U New construction U Addition/alteratiol>/replacenu w U Othi. JOB-SITE INFORMATION Job address: Bldg.no.; is, ax map/tax lot/account nu.: Lot; BI(x k: Subdivisian� - Project name: Description and location of work on premises: Estimated date of core letionh nspection: 0N I WWI 014 APPIM:ATION FEE SCHEDULE Job no: Qs'rr Mat Business name: 'V I M t,r t Q r r ,e. /w r_- Ik-scription QIV. (en.) Intal na.insp New nYir enlusl single or 1111,11(fandly p.-I — Address: F ,r z3� 44 7 dwellinhnnll.iit(ludt-%stint hi-dgot oke City: r IIIState:O I zip: I l !x niceinrlurled: _Phone: 4 71 I Fax: 624-ZS W I E-mail: I(Rx)sq.ft.orle;s a I'.nch additional 500 sq.fi.m portion thereof Cr8 no.: 7>7J4>r Elec.bus.lic.no: 9y - 28 I.imitedencrgy residential Z City/metra lic.no.: /y l,inriiedenergy,nnn-residential 2 _ �� — q_2 S-y t Each mmnofactu,ed home or modular dwelling 3lgnature of supery ting circa u l Dale Service anrVor feeder 2 sup I-Y(t name pnnun, Servlcesorfeeders-Installation, alterarlon or relocation: 200 aml+s or less _ 2 Name(print): 201 amp i to 400 amps 2 - - 401 arnp:to 600 amps 2 Mailing address: 601 amps ar 1000 amps 2 City: -V Stale: ZIP__ Over IO(X.amps or volts 2 Phone: I E-mail Reconnec,only I_ Owner installation:The installation is being made on property I own Temport y services or feeders- which is not intended for sale,lease,rent•or exchange according to Installa'ron.alteratlon,orrelocallon: 2(x)amps or less 2 0111447,455,479,670.701. 201 amps to 400 amps Owner's si nature: I ,�t 10 tn+600an,ps - 2 Vi 101 N Bi nnch cirri,..,-new,alteration, tit evtension per panel: Name: tit Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 -------- -- City: Stale ZIP: B. Fee for branch circuits without purchase 2 - - — - - - ----' of service ar feeder fee,first branch circuit: Phone: lax: I -mail - r Each additional branch circuit 1 rMite.(Service or feeder not included): U Service over 225 amps-commercial .J Health-care farih Each pump or irrigation circle _ 2 U Service over 320 amps-rating of I A 2 LJ Hazardous locafio i Each sign or outline lighting 2 familydwellings U Building over 10;Kx)square feet four or Signal circuil(s)or a limited e panel. U System over 600 volts nominal rrnire residential .nits in one stmcture alteration,or extension" _ 2 U Building over three stories U Feeders,4(X)sops or more •I iescri tion: U Occupant Ioid over 99 persons U Manufactured suvcturex or RV park I mch additional Inspe, o% the allowahlP In any of the above: U Egress/lightingplan U Other y_-__- peri n,pectiou Submit.._sets of plans with any of the above. Investigation fee The above are not applicable to tempomry construction service. other Permit fee ....................$ L4 180 Not all jurisdictions accept credit cants,please call jurisdiction for more inrnm-tion. Notice:This permit application U Visa U Mastrrcard expires if a permit is not obtait ed Plan review(at _ %) $ Credit card number: _ ____ __—L_L within 190 days atter it has been State surcharge(8%)....$ __ S Espiles accepted as complete. TOTAL .......................$ Z r/V Nerve n--1 cool r u�r—s i,7 awn on credit cum—� .............. S Cardholder signsit a ^Arnouut 440-4615(&MCOM) i ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY h S F Complete Fee Schedule Below: -............ $75.00 p Restricted Energy Fer,............... ........................ Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total uw,ck T ype of Work Involved: Residential per unit 1000 sq ft or less $145 15 4 Audio and Stereo Systems' Each additional 500 sq it or portion thereof $3340 _ W 1 Burglar Alarm Limited Energy _ $7500 Each Manufo Home or Modular Dwelling Service or Feeder $9090 2 _.� Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 Vacuum Systems' 401 amps to 600 amps _ _ $160.60 601 amps to 1000 amps ��_ $24060 2 F_ Other Over 1000 amps or volts _ $454.65 2 Reconnect only $66.85 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration.,or relocation Fee for each syMem.................................................... 7.x.00 200 amps or less $66.85_ 2 (SEE OAR 918-260-260) 291 amps to 400 amps $100.30 2 401 imps to 600 amps $133.15 2 Check Type of Work Involved: Over 600 ampe to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New.alteration or nxtenslon per panel Boller Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit $6.65 2 Data Telecommunication Installation b)The fae for branch circuits without purchase of service Fire Alarm Installation or feeder lee. First branch circuit $46.85 _ Each additional branch circuit $6.65 _ HVAC Miscellaneous Instrumentation (Service or feeder not Included) Each pump or irrigation circle $53.40 ❑ Each sign or outline lighting $5340 _ Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension $7500 _ _ Landscape Irrigation Control' Minor Labels(10) __—_ $:25 00 MedicalEach additional Inspection over the allowable in any of the above a Per Inspection _ $6250 _ Nurse Calls Per hour _ _ $62.50 _ In Plant — $7_j 75 __— Outdoor Landscape Lighting' FOE'S' Protective Signaling I Enter total of rbove fees $ _.. Other 8%State Surcharge _ —__Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application. --- Fees: Total Balanee Due $ Enter total of above fees S _ Trust Account# _ 8%State Surcharge $ Total Balance Due I d.,.\forrns\eIc-feeF.doc 06/07/01 CITY OF TIGARD BUILDING- MSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested_ I l �� AM PM _ _._ BLD Locatian_�I ' _� � l,�-y ,c C�'� Suite MEC _ Contact Person n- P t i Z, Li PLM Contrgctzr — Ph _.._ SWR --------- UILDING_,r-- Tenant/Owner ELC Rete tiny Wall _---- ��__------ EL.R - ------ noting Acca:ss Foundation 1 r^ I/1/� /( �� FPS Ftg Drain --- Crawl Drain Inspection Notes SGN Slat) - - -- r3-L •CC �1 IC't L mss'. SIT Post& Beam — --- Ext Sheath/Shear Z s ' 4�H+r, -k- _ Int Sheath/Shear Framing I y' / Insuiation - - - - - - DryNall Nailing Firewall _-- - Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof - - - - - - Misc�IF - ---- - --- AS&-- T FAIL ------- Post -Post& Beam - Under Slab / Top Out ---'-- --- �-- Water Service Sanitary Sewer -- Rain Drains s RT FAIL — ECH. NIC L Pos -riin ------ --- - _��-- - - - Rough In Gas Line -- - - -- - - oke Dampers PAR' FAIL U CAL r*e.— _ Rough In --_-- -------.�..- __ UG/Slab Low Voltage — Fire Alarm n ;ASS PART FAIL Backfill/Grading ----- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin i Please call for reinspection RE: _-_--_- __.__-_ Fire Supply Line ( J p - ( J Unable to inspect-no access ADA Approach/Sidewalk DateI Other - Inspector- -- �------__ _-___ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -----�- --- BUP _Date Requested AM_ _PM BLD Location_— _l 2j ,� � ��,�� -�_ Suite MEC Contact Person �..- _ Ph Y PLM Contractor ` Ph SWR _p BUILDING Tenant/ caner ELC ��d ly 7p Retaining Wall ELR Footing Access Foundation FPS Ftg Drain — SGN Crawl Drain Inspection Notes - - Slab - - - - -- - ___ SIT Post& Beam - -- Ext Sheath/Shear Int Sheath/Shear ,- / Framing - � E'�K7e3 F C Insulation Drywall Nailing __-__-- -- -----.- ---_--Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof .►. Misc Final F 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 Gas Line ----- -- -- --- -- -_. Smoke Dampers Final -- - - - - - PASS PART FAIL ELECTRICAL - - - Service Rough In -- ._ _---------- — U3/Slab Low Voltage Fire Alarm _ rna PASS PART -AIL SITE Backfill/Grading - - --� ------ ---- ----- Sanitary Sewer Storm Drain I ]Reinspection fee of$ required before next inspection Pay at City Hall 131.25 SW Hall Blvd Catch Basin ] ]Please call for reinspection RE _—_____ _ __� i ] unable to in,pect- no access Fire Supply Line ADA Approach/Sidewalky Other Date U ___ Inspector__- ~�--5 --Ext - Final PASS -PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - --- — --- _ BUP Date Requested �,-�L-� AM PM BLD Location �. / j? '_=.k _ �_. Suite _ MEC ._-- - Contact Person Ph - _ _ PLM _- ContractorGI�J�IAh?� E'_ /—/Pc-/�/C- _ Ph _ SWR BUILD!NG _ Tenant/Owner ELC Y 7Y Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes ------ -- -- Slab SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _--_�[ l-� UL Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling P.00f Misc: Final PASS PART FAIT- PLUMBING Post&Beam __ -- - --- -- ------ ---- --- Under Slab _ Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL _ Post& Beam - Rough In Gas Line 1 Smoke Dampers Final -- -- --- ---- --- . - - PASS PART FAIL ELECTRICAL -- -- ----_ Service _IrLJ UG/Slab Low Voltage Fire Alarm F' ASS RT FAIL -------- --- -- - ---- _ -._ Backfill/Grading __-_-- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE:_ ( ]Unable to inspect- no access ADA Approach/Sidewalk Date 1_ z Inspector Ext Other _ = - •�ZZ_ Final PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site.