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8770 SW MAPLE COURT CD N c� 0 0 c 8770 SW Maple Court CITY OF TIGARD _. MASTER PERMIT PERMIT t MST2001-00072 DEVELOPMENT SERVICES DATE ISSUED: 3/9/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 539-4171 SITE ADDRESS: 08770 SW MAPLE CT PARCEL: 1S135AA-06400 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT: 019 JURISDICTION: TIG REMARKS: SF/A Path 1 BUILDING REISSUE: STORIES. I FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT-. 1; FIRST. v55 of BASEMENT: of LEFT: o SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD 4n SECOND: of GARAGE: 228 of FRONT: 10 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: t FINBSMENT. of RIGHT: 3 VALUE: E 97,57906 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: G',5sf REAR: PI-UMBING SINKS: 1 WATER CLOSETS: : WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: VJ) TRAPS. LAVATORIES DISHWASHERS: 1 FLOOR DRAINS, SEWER LINES10,1 SF RAIN DRAINS: 1 CATCH BASINS. TUBfSHOWERS: 1 GARBAGE OISP. 1 WATER HEATERS: I WATER LINES: tut BCKFLW PREVNTR. I GREASE TRAPS: OTHER FIXTURES. MECHANICAL _ FUEL TYPES FURN<100K. I BOILICMP<31-113: VENT FANS 3 CLOTHES DRYER I ranS FURN>-IOOK UNIT HEATERS, HOODS: I OTHER UNITS: o MAX INP, blu FLOOR FURNc YCES, VENTS: I WOODSTOVES. GAS OUTLETS I ELECTRICAL — — RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS Y BRANCH_CIRCUITS _MISCELLANEOUS _ ADO'L INSPECTIONS 1000 SF OR LESS' 1 n - 200 amp, 0 2CO amp: WiSVC OR FDR I PUMPIIRRIGATION. PER INSPECTION: EA ADD'L 50OGF: 1 201 400 amp: 201 41,0 amp: 1st WIO SVCIFUR SIGNIOUT LIN 1.1 PER HOUR. LIMITED ENERGY: 401 600 amp 401 600 amp, EA ADD[OR CIR. SIGNALIPANEL- IN PLANT - MANU HMISVCIFDR: 601 1n00 amo: 601-amps-1000v: MINOR LABEL.: 1000•ampivnll PIAN REVIEW SECTION Reconnect only: >=4 RES UNITS. SVC/FDR-225 A. >600 V NOMINAL CLS AREAISPC OCC: �. ELECTRICAL•RESTRICTED ENERGY BCOMMERCIAL A SF RESIDENTIAL_ .— — . AUDIO fl STEREO VACUUM SYSTEM AUDIO 6 STEREO FIRE ALARM: INTERCOM/PAGING' OUTDOOR LNDSC LT BURGLAR ALARM: OTH BOILER HVAC: LANDS,�APEIIRRIG PROTECTIVE SIGNL GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA/TELE COMM-. NURSE CALLS. TOTAL 0 SYSTEMS. TOTAL FEES: $ 5,603.28 Owner: Contractor: This permit is subject to the regulations contained In the WINDWOOD HOMES INC WINDWOOD HOMES INC Tigard Municipal Code,State of OR Specialty Codes and 12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws All work will be done in 1 IGARD,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 780-4375(M) Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg N: LIC 50196 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, PosUBeam Mechacica Mechanical Insp Shear Wall Insp Gyp Boald Insp Electrical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Firewall Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dn Electrical Rough in Gas Line Insp Water Line Insp Final inspection PosUBeam Structural PLM/Underfloor Framing Insp Insulation Insp Appr/Sdwlk Insp Building Final Issued By : _� t i .- C itPermittee Signature -A _ Call (503) 639-4175 by 7:00 p.m. fcr an Inspection needed the next business day CITYOF TIG ARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: /9/01 1-00039 3 13125 SW Hall Blvd., Tigard, OR 9727..3 (503) 639-4171 DATE ISSUED: 319/01 PARCEL: 1 S 135AA-06400 SITE ADDRESS; 08770 SW MAPLE CT SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT: 019 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: - _FEES -�-- _ WINDWOOD HOMES INC Type By Date Amount Receipt 12655 SW NORTH DAKOTA - --- TIGARD, OR 97223 PRMT CTR 3/9/01 $2,300.00 27200100000 INSP CTR 3/9/01 $35.00 27200100000 Phone: 503-625-6526 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections t This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the pen-nit expires The Agency dues not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all airections from the distance given If not so located the installer shall purchase a"Tap an,: Side Sewer" Permit and the Agency will install a lateral. ATT-ENTION 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 OAP 952-001 .0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: } tL Permittee Sign e "_ Call (503)839-4175 by 7:00 P.M. for an inspection needed the next business day 10/09/00 HUS 08:53 FAX 503 598 1960 CITI OF TIG:IRD y C � 0003 Building Permit Application Datcrecrivedr-'/=d Permitno.: City of 'Tigard — Cityn/Tigard .— Addre:;s: 13121 SW Hall Blvd.Tigard,OR 97223 Proirct/appl.no. Expire date: Phone: (503) 039-4171 Date issu A By:ztbc.eipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use zpproval: r_-- 1&2 family:simple Complex: z. ,01&2 family dwelling or accessory ❑CommcrciaUindustrial t_i LMvlti-family LYI lew construction U Demolition U Addition/aiteration/replacement U"Tenant improvement U Firt,sprinkler/alarm U Other._.. —_�- 111111111"1110 mom manna]a," Job address: e..1 /3.l-L' G• _ _ Bldg.no.: Suitt.no.: Int / Block: Subdivision J, Tax map/taa lot/accountno.: /S/ 3 �-- — Description and location of work onpremisWspecial conditions:-+�r 'r dz&j ZZ Mailing address: pal a;-,— /L% '_V 0A;`t y 1&2 family dndlhts: City: /+-2 — a State:.' /.IP _ �1 = Valuation of work_.................... $ i`• �_ E-retail: No.of bcdmo Vbaths....7,..........:`............. Z- Z- Owner's representative: ;r„. L/'^. focal number of floors............. Phone: c rh r° Wax:S c rmall: New dwelling area(sq,ft.) ..�'e .............. — (7arageJearport area(sq.8.).....�::Y.r......... Covered rch area fL Name: ,S-��1�i pu (sq. )....r l............... Mailing address: � ' � /- Deck area(sq.ft.).............._ _r:.: ............. City: r J'7%?L!3' State: ZIP: Other structutr area(sq.EL) '.......... Phone: /n(9 Fax: E-mail: CommercixVindustrial/m bi-fau ly: Valuation of work........................................ $ _ Business name: Existing bldg.area(sq.ft.) ............... ......... Addmas: - -- New bldg.arts(sq,ft. - ---s - ��G--_ ---__— Number N um of stories ._.............. .............. _ Phone: Type of cotatruction. Cax� �.E-mail• .......... ...... ........... CCB no.: Occupa'try grcwp(sl: Existing: -_ New: City/rnetnt lie.too.: -� --`— Notkc All contractors and subaininwton arc required to be licensed with the Oregon Construction Contractors Board under Name: C+i�Q�tIV�Yll /�c � provisions of OILS 701 and may be required to be licensed in the At,dress�3 �� r 1. C jurisdiction where work is being performed.If the applicant is Cit p — — Stat ZlP �7 exempt from licensing,the following reason applies: contact pettiort: W Luc' Plan no.: L-I_q ,, - --------- — Phone Fax E meso: —— -- — Name: 11�$ x Contact person: ' Fees due upnn application ...........................$ --- Address: /,5(J halt ttceiveii: City: qAmount mceived ........•................................S — Pfionee: '7S4/ 'ax:; �Z/)iE-mill: -- Please refer to fee schedule.- I I hereby certify 1 have ma6 and ex-mined this application and the toot ut rmiedicttan weep est arTh,piew cart i.utficttm for mire mra,ald.. attached-her-klist.All provisions of laws and ordirtartces governing this U visa ❑waiterr-" work will be complied with,whetherye-cihed hetero or not aedit end minber Authorized signature:�i'_�y' -- _— Da ft; !^ �C —Nawe c■enot>wr as atw.,o« ,eaut $ - �� r'rint name: �,dbtraer nrnmae ,___— Amu.d Notice:This permit application expires if a permit is not obtained within 180 days after it ha•i been accepted as complete. 44o4t:13(MCOM) 10 09 00 MON OS 55 F1.1' 50:5 598 1969 CITY OF TIGARD Zoo Mechanical Permit Application rDaLlereceived: _ Permit no.: City of Tigard Project/appl.no.: Expircdate: OryojTlgard Address: 13125 SW(tall Blvd.Tigard,OR 47223 --�- --- — Phone: (503) 639-4171 Uatcissucd, _ yy: Raeiptnu.: Fax.: (503)598-1960 Caw file no,: Payment type: Land use approval: _ Building per„ut no Crt R 2 family dwelling or accessory U Commercial/industrial U Multi-family O'l'enamt improvement -New ams(ruction U Addition/alteratioMtrplacement U OtJWr: mzzmmzz�- N KIM Ll in 111110 MAI Job address: _ _ Indicate equipment quantities in boxes below.Jndicate the dollar Bldg.no.: Strife ntr.: value.of all mechanical utak- als,eyuipmertt,labor,overhead, Tart man/tax lot/account no.: j,5/ 3 S� '� C �! . / r rout.Value$ LoL' _-- Block: Subdivision: �/y!; ALE'Zx t) " checklist for important application information and Projecttiame: l 44, ' ;� , c_- „5'''� tr5 sdictiuo's fee schedule for residential permit tee. City/county: Ucscri^limn and location of work on premises:.____ Fee(r&) Total F.at-dab,of completionfuulpection: D"W ipdoa tory. Ilea.oaf ReLenly Tenant improvement space change r use: Air handling unit_" : �� _CFM Is existing space heatrd or conditioned"? Yes �]IJo --di�--'- -- An co�n�tuuum ((sue an rettutte -- Ls existing space inaulatcd7 U Yes UNo A7tuMUM atiun-�euatin-g HVAC system -�" - o compreaaors -- State Wiler permit no.: Bt►ainexv name: Uj F t U '. r'U;J ,Ud�iS� pti . RP �_'fnms -BTIIM Address: .-�l G-5 a� S.� n'i1,^!><n_iit'JI } tmo13 a dImprsJducK smo a detectors - Clq: .9-2 r State:-;L ZIP: . meat Pump(site Tan Phone Fax:f,2 5' --trail: --`- - Tta rep ace furnace/burner BT - - Including ductworlr/vent liner U Yea U No CCB no.; _-_ 1 lnitalUeepPiacrl�ocatcTiea►est--auapen `-- - City/metro lic.no.: wall,or floor mounted Name(please print): ,J z z:r r'1 .� ( - - went for�iiance oilim than fumacr-. - ---- UWA Ahsorrionunity Name: / & i+ytf (?dllera------ lip -_ C<imprrssms lip .n ranseW1 a tat sad YQUAIM,km! Cit): ,5/r /n L state: ZIP; Ap lianc-vent Plrortr: ,5;fmr Fax: F stall: -r ILetcx Just --- of IGW rypr res.kite c azmat - hood fire suppression system _ 1Na� n!e l,!S v[� � /' `^ Ii i L- Exhaust fan with single duct(bath fans) Mallin address: _ + haust a stem �7rom heating or AT- - 8 stfad sand st o uptc outlets) City L �' ate; iJ_ ZIP: r� .� 1t�_ '1'vpe:r�-l.!'C; _ NG --_oil Phone: �iJ - Fax:�,�.Si i F mail 1ieI m end) t7rI"ittonaTTv`er-4out ets -- - istpilsiff(schematic required) r Number of outlets debar F te Decorativetireplace-- -- -�_ _tylx - - Phone: Fax: E-nu" atov ,-usto:�� ---- - Applic_artts signature:- --- _ Data: - Neme .__.._._.---._..- Pertnit fee.....................f Nat dl Nrlf�ctfoor tctpl tredir pada,plwe rail i�un,actam firr mvr'inhanwum. t`1,111[C. this permit appli WG,tt, OVisa 0maaa3Grrd Minimum fee................Sexpires if a permit is not otrtained Plat rr.vicw rndlr cad mndrrr.----- - --1.-1-- (at—. 9F) S -- N,p,R, within ISO days after it his been Swe surcharge(11%)....$ _ - ane -u Jroiro,�Ti�,r,f accepted w complete _ _ _ s TOTAL .......................$ ------- 10/09/00 MON 08:54 FAX 503 598 1980 CITY OF TIGARD 004 P1v=bing Permit Application Date received: Permit no.. City of Tigard -- --- --- `.7 .A�Lwak Address: 13125 SW Hall BIvd,1'igaSewer Permit no.: Building permitno.:rtf,OR 97223 --- ---------- City uj"I7gard phone: (503)6394171 Project/appl.no.: Expire date: _— Fax:(503) 598-1960 Date issurd: By: Receipt no.: Land use approval: Case rile no.. Pa7ment type _ ,r.t f 8c 2 family dwelling or accessory Cl Commercial/industrial U Kilti-family ❑Tenant impmvcment lclew construction U Addition/alteration/replacement U F(xxl scrvicc U Other Job address: _ .De' son Qt . 77 Tial Bldg.no.: =cite uo.: New>I-toad 2-f=WIT dvrellhip only: - (includrs 100 Q.for each ratillty cuataertlou) Tax roap/tax lot/account no.: ; ! 3 / ! 3 VO S nh r :C SHR l bath Loc �IBBlock: Subdivision: !) , b'2 :J SFR(2)bath -- --- -- - -- Project name: SFR(3)hath City/cotauy. Zip: )..z .3 Etch additional bath/kitchen-- -- Description and location of work on premises: sf1=, Siteutllltles: _ 7 Catch hasitdama drain Est,date of completionfinspection: -_- - _ Drywcllsilcach line/trench drain —� Footing drain(no.hu.ft.) Manufactured home utilities Business name: J'Am 5 iOL a --- �hol-Cs -Address: W/c'^ _ Rain drain connector �^ _ Ciry_-&14LA Statv�/(-TZIP: /,*fit: Sanitary sewer(no.lin.ft) _ E-mail: - Storm sewer(no.lin.ft) CCB rx;. 7 : % — Plumb.bus.reg.ao: /fir/f' atcr scrvicc �-�- - Future or item: City/rnetro lie no.: c� ,� o $,S' r n . ��-_- Abutt�rtiun valve _ Contractor's representative signature: // - back flaw preventer' Print name: / ,gy /L Date:/i / Da Backwater valve t Basins%lavata -�� - - Name: y;, r ,C/7G �e f IM4i1_ Clothes washer Address: Dishwasher- _-- - d� / Dnnking fountain(s)h.jectoCity: 1� /rf 14 Slate:, 7.[P. G _rsts__.Q Phone: / t3 ax: " --• F?-mail: --- Expansion tank - ixtutr/sewer ca'- - Nanx(print): 1A-'_J)tl d UoC1 A;n ,jC- floor diwo oorsinks/hub - Mailing address: / ,6S W Ax_ P1 -4,,11 Garb a __- Hese bibb City: G _ S ',_ !�. ice maker Phone: i S- .2v Fax:' ..;,rA5.z E-mail: Interee for/grease tragi ` Owner itotallatitm/residentia) m tinttstance only: The actual irtstalla inn Primetls)_ will be made by me or thrmaintriiance aux)repair made by my regular Roof drain(commercial) employee on tlw property I own as per ORS Chap'e r 447. Sinkts),basin(s),lays(s) --- Owner's Si nature: Date Sump Tubs/shower/shower pan - tinal Namr,:_, _ Water closrt - Address: - _----•� V icer heater Uty• 6&r - Phone: Fax: &mall: oral — Na en NwWkL a amept aaYt cards,tater:Ud Jrrudkdon for ntrxa howu twn Notice This permit appliutinn_ Minimum fee................$ - U Visa U MasterCard expires if a permit is not ohlained Plan review(at _ %) $ _ — Crtdd Cad wrnher- --—• -1— within 190 days after it has been State surcharge(8%)....$ pre. TOTAL .......................$ — Nene m�dbnWee u warm a c.,edrr and -�- accepted as complete. -- S (.aAbOtder slpmum —Annum 41U 16(VnMon 10!09'00 NON 08:56 FAX 503 5913 1960 CITY OF TIGARD j00H Electrical Per mit Application Ditert:celvul. _ Permit no.: City Of Tigard Project/appl.no _—___._ Expiredatc: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 9722+ asteissued: - By-�Rcceiptno - Phone: (503)639-4171 Fax: (503)599-1960 Case file no.. Payment type: Land use appmval: CalI&2 fancily dwelling or accevsory, U CommerciaUndustrial U Multi-family ❑Tenant improvement -Ct iVew construction C]Addidotc/ulteration/replaceinent U Cather:--__y U Partial Job_addmgs_:_ __ _ Bldg.no.: Suite no.: Tax map/tax lot/acoamt no.:IS/, /j [AX: i �BIuJt: Subdivision: j]/110%!-/L G 1�/� g:5 Paiect name_ TL-�`�.a`!<F`Cr :? riptiom and location of work on premises: Fstimated date of coal etion/i ngction_ -' Jeb oat f Fee 11fa: Business name: ;' ti. 5•r = !_^ Dese� _ es.► Iats] sa lase Address: 6i A, t.i / �,^ f:Z/7 - NowresL�aaW-alepkarsnll!ruNy per d"ollf g mut.tantalum mtbcaed pings. City: i� L4) ZIP: 4?7�-Zel5arireradaard Phone: / y Fax: E-mail: lac q.ft.or lest — 4 Each additional i00 sq.ft.or portian thereof CCB no.: Elm bus.tic.no: �3 linuecrlerrrgy,reside nual - 2 City/metrolfc.no.: Litnitc:IrnrRy,nnn-reairknual — -- 2— Fach tunufarurad home m modular dwelling 3 of sttpttrvisln ekctriciatc deed) -—� Dau A7 rT— Service and/or feeder 2 >+ Sets or leaden-lostallitutim _- - Sup.alreet-rtara(priut):j / �4� ls►t - Lirenaaooa� -`> aherationorreloeattoa.. 200 amps or lew 2 G 2A 1 un ,to 400 am Name(print): /1 r.'il t/`: ;-^c,rt � -�' C__ —L�. p' - --- 2 401 to 600 amps 2 Mailing address; /:?_ i �'�" N0 2 — `� '601��1000 ams -- _ p 2 City: At/&f State:-'' ZIP: Over 1000 ampswvolts - - -2 Pttcrne:�a. e-5-,L4 Fax:%?t; &rnail: -- Reconnect only I Owner installation:The installation is being made on property I own 7emporacyserNeesorferttera- which in trot intended for sale,lease,rent,or exchange according to 'akerntlbe,arrekxsdm: ORS 447,455,479,670,701 2M amps or terse -- _ -- _ 2 201 amps to 400 amts 2 OwneWes 9i ture: Date: 401 to 61x1 arnpq --- 2 eraraeheiresits New,atteratles, Namov a anmWe per pa"k ' A Fee for hmnch cmmits with purclusaa of A ---- service or feedri fee,tach br eeh Arendt 2 Ci tate: 73A; H Fee far bm h circuits without pturhase of service or Reeler fee,first beach circuit: 2 Phone: Fax: E-mail: -Fath addition)btsinch circuit - -- Misr.(Service or feeder no rrtsded): 0!vxvice over 223 amps-cnmmrmid O Health ire facility I:�ru or inti on circle -- _ 2 OSetvtrxovcr310enynrmringuff&1 0Hanurkn13lncs1'on Earitsign oroutilueli ting _ 2 (rattlydwellings UBuiWingaver10.Oi111ultimefeefouror Signalcircuits)malitrutedenergy parid,� 0Systemover 600vnittnnminsl cmteresirkntialemtannone swemra alteration.ofextnurion• 2 u Baiiding over throe pairs U Fnerlers,400 amps m room af)escrt mn —_ O Ckzupatnt load over 99 prrwns Cl MaandacturM strucmnes of RV pith Fmh addkbWAl -- O FFtrns/ligtringpian U t)ther _-- y_ s+er tYe a4ewshk to say of the shover l4rins dun 8n6wlr_ acts of phos witim my of tltr shave, Inve"notion ibe IU$hent we so applicable in tewpetay rons4rrtlms M I a. Otho __-- s ..... No as prehdietlm aoagt aerfin vomit,lassos alt Jadspreen rat sac MaMsutlna Notice-"Rtis�t It application Permit fee................ $ �+) � O Vlaa 0 MaumCrd expires ifs tis not obtainreview fu Ceadit cad sambas / / within 180 day,after it has been Start rutd*W($Ar)„..S -'—R.me of cm4rilivei rdin.n i r�ii aa�` � r w=pted as completr. TOTAL....................... __ ir.aarlhdmu uputme _ —Amami' 4404615(&W-W) .A' 2 o -�111ft�G�� 11k c1791�r WAN �J i l6Y /by,Gu6L r � � r r LA1y &L l5v CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2001-00072 Date Issued: 3/9/01 Parcel: 1 S135AA-06400 Site Address: 08770 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATES Block: Lot: 019 Jurisdiction- TIG Zoning: R-12 Remarks: SF/A Path 1 Y001' Company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: WINDWOOD HOMES INC JIM'S PLUMBING 12655 SW NORTH DAKOTA PO BOX 7160 TIGARD, OR 97223 ALOHA, OR 97007 Phone #. 503-625-6526 Phone #: 649-4034 Reg #: I Ir '71860 PI M 34-186rab AN INK SIGNATURE IS REQUIRED ON THIS FORM 1 Signature of Author' ed Plup6ber If you have any questions, please call (503) 639-4171, ext. # 310 H h ry C Cis • w E5 ^ (� J Q v ry Q4 � � n o n V CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 Zp0 p�j -7 Zr MST INSPECTION DIVISION L siness Line: (503)639-4171 BUP Received -_-- _-__-- Date Requested ____ __- _ __ AM PM -----_�_- BUP Location -S/ - .��- Suite. -.. MECContact Person ---- __-- -- _ .._ _--- Ph(- ) 7 PLM - Contractor _ Ph(- ) SWR BUILDING TenanrY(3wner __- ELC Footing ELC _--- -- _ Foundation Access: � Fig Drain ELR � �� t/ �.r-- Crawl Drain _ / -- Slab Inspection otes: SIT Post& Beam --- - -- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing - - - - - Firewall Fire Sprinkler - - - - - -- Fro Alarm Susp'd Ceiling - -- Roof Other. �S's ART FAIL G Post& Beam Under Slab P,ouoh In Water Service SanitarI Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other, - - u AS ART_ FAIL _ANICA_L_ Post&Beam Rough-In — Gas Line Smoke Dampersod -- rna ART FAIL1TEL -- -- --—_ CTRICAL Service Rough-In - UG/Slab Low Voltage - Fire Alarm Final ] Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSPART FAIT _ SITE - I ] Please call for reins action RE Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates -- -�- --_- Insp�ctar _' -- Ext--- Otl -":_._ -- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL C111 Y OF TIGARD Bi IILDING INSPECTION DIVISIC0", G��c? MST, Z 24-Hour Inspection Line: � -4175 Business Line: 639• . X71 BUP Date Requested. ---AM----pm --__ BLD Location f (-' Suite _ MEC ,)ntact Person _ �L'�, ' - Ph l`1 lS PLM Contractor _ Ph _ SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELFT -- ------------`-- Footing ccess: FPS Foundation --_ "- Ftg Drain SIGN Craw; Drain Inspection Notes: Slab -- ------- - — --- SIT Post& Beam Ext Sheath/Shear -- —..--_.-_—..._- -------.__-.._ Int Sheath/Shear Framing --- -- - - Insulation Drywall Nailing -- _- Firewall Fire Sprinkler --- --- Fire Alarm Susp'd Ceiling -- — Roof Misr. Final PASS PART FAIL PLUMBING Post& Ream Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL_ -- MECHANICAL [lost&t-iemrn _ Rough In Gas Line Smoke Damper:- Final PASS PAR1 FAIL ELEC,.TRICAL - - Service - Rough In UG/Slab - Low Voltage Fire Alarm - - - PAS PART FAIL _�. -- --- - -- - Backfill/Grading ---_�--�— �---r� ��- --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I r Please call for reinspection RE: _ [ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector—. ? Ext 2eaz�� Other - — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.