13658 SW LEAH TERRACE tj
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PATRICK SCHMITT,
1 ;
G ( � �� / _ designer Inc.
S . W . LEAH o _ — o
�� � � � Curtorn Itonts Design Plannln h Conruk
ing
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5, 748 S. F. ! Portland.Orson 97219
_ / / / Tal:(503)799 x573
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♦, JJ ( `� 10 LO Allton dimensions an these drorinq Shall halve ^
/'/ / /\ l � t` — precede,ce ow scaled dl„enslons. Contractor
an
alien, r.,pm.iClhle for oil K SCIASone
7 / anal enc:nl•Lme m the los PAi,:CK SCIIAU T,
/f// Qndq�anl nn rl amust d menbe s-■ sett ladh consent
51TE. i=L,4N NOTES ---
ibis danrmenl s tM property of pArPoCK SCnMlil,
deslgner Ile and Is /or the use only fly one
\ V rpeclflc proldcl as noted below No reuse or
/� ' ` / /• re o y a al!oeed .0hoO the
p I�— ) ))r // _(1 Pr ducl�an n nn /nrr�
N89 4 0 _ 65. 17 ={ r4 a■ /l LECs�4L DE3GRIPTION Lepra, .,tten a,pA,RI,K ,�ITT,
•• ,�� doll ner Inc
., > ,�• ,� �� r/, ;/ �'' / ,� /l „�.- CL.Nn_ I .secs
t�. � �....,, �` � /;i /: // ';/ .1'1JfSRK'S1'.4CxlNCsi ,'' ♦�.,;\\
\ � .^ • / �� (u '��/� �',� 'kY" , ',// i' ,Mo4TE,, 1AI, `v'TOR.' t �\, \`�` SITE ADDRESS
- - - --- A\ x /i /i� /, Ah �1: // �/ `�\\ \'. .`� I n lige Kw.t.ea+ TtRRACE
�J�\ !` ` S /�1J /"
/' / / /' i i \\♦ \\\'♦� TIGARD.OREG_1N S122A
J '
L,.� ' �; i \. • LOT COVERAGE
li �.�� = I 1/,/ i' i /'/ /:i ♦`�\\,� \ ` LOT AREA
BUILDING AREA 216(D
\ � '1 2 ! ,' • ,i .' �/ C'i�R, T B, NGLUQING EAVE9)
TOTAL LOT COVERAGE 2,1W i 9>W (100)■2r17t N
j.Z`1 I I 1 - 011
N
M !' ER,*0S10N GONTRDL NOTES- a� c
-- L-- ]NIFU. A
a�• t d e w 1)REFER TO TFC[CITY OF PORTLAN.7 'EROSION CONTROL MANIAL.
r j
3'.
�.� t r1 FOR ADDITIONAL DETAILS AND (:'IeOBION C0OM40L. REQ'B.
N _ 1 II ` �, \' ` \` i O ALL DISTURBED 6FiOUNIZ) AREA .e
Q — /4 \ \ ♦ \` 21 COVER I BETWEEN OCT.OGT.l TO 2..1
♦ \ ` APRIL 3m.COVER WITH MULCH,'300,GRASS,PLASTIC OR iiii■�lll O
I 11 OTHER APPROVED MATERIALS AS SPECIFIED IN THE 'EROSIGW
\ ♦ ♦ ♦ iI —
t Ke.rsaetwMseltg u'r.arora:•.rers.,.n \ \\ •.\•'�� �.. s r`� 14
CONTROL MAPUAL'
` \ •\ \ ♦ ♦ :)bE01MENT D.�RRIER TO BE INSSTALLED PR1OR TO EART1 IUORlC
� ^.r
�%` 'Y• 3. ' \♦��\�v4 ♦♦ \ `� ` \♦ ♦ ♦' �� REMOVE ONLY
C � ti, Mme( • PJ y.� r,• \ �♦ /' AFTER GRIXJYD COVER I$ESTABLISHED. 1
G. v� _ o ♦ AIN`FF r. 6 ` `l �— 5E TEJAl/K 4)NO SOIL ALLOWED TO ERODE OR f'!E TRACKED OFF SItE. � �+J
y ,v,se � \\\� LINE LEGEND
♦' y r"11TIC�ATION TFREE5
It
+' 'Ay •^ ♦♦\ \1 \ '•`\�!'•� pu.6K ORAVEL CONSTRUCTION ENTRANCE - BEE
795
7 \` , , PE fR DEV. F-L,4N5 ADETAIL �'EROSIIOON CCOOR NTTROOL MTA OF
tit .-�t>��� 6 / 9 5 S. F. °0 '', �'�';;, \' �
'b _sir e'rrl�nw."' ♦-,�...... ,- envrwrsP / r}_ - \`♦♦♦ \
W \1 i�xrrnw,r " LrikT R1"1,F.FFi� _
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r etsrr/rmIn+'.r�.�n-r, i GOv£RED BTOCJCPILEB
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t`Jf, CONSTIltUMION EMIRM f NpOD7V GLttB RHI' O YL....la a�...ris ! ) WW STAGING /MATERII+L STORAGE AREAS
9 Irk v ■...e.r __.,. .....,
_ NO RECORD
\ is iV , 1' WOGDEN CURB RAMP - 'SEE DETAIL 4JA AT
s ---� ,�• *> r APROX. 4 I P IG14 ,'ti\/f• .e�ba rt •even I 7 LEFT OR IN THE OF F`O}7TLA1V 'ER091ON
O �.- R-.._ . '.�vr•s••�+cxy.-, �, '�,, - . I' \ I"--- ) � CON:ROI.M
ESTCz. ROCK WALL I ;;",y� .; ♦; . ,.k,u 5/8 1. R. F. u ZAP AND PROTECT ALL CATCH ESAbWB PER
g — \� ♦ ! �'�/ �` "BURTON DETAIL 42W IN THE CITY OF PORTLAND ---_— —- --
N
'ERv810N CONTROL MOIUAL'
DETAIL DRAWNG 4.IA - GRuVEL CONBTRLCTION ENTRANCF- ` ' EN( E
c _— — �"`- .• _ __! 1 � — Date' August 19 2002
_ -—_-- -- E 5TCx. ROCK WALL - - C �,_ :L - c S- 0. 2 BEDIMEIJT FILTER F�MCINCa
_ _. _
4u!�arcc \\ nrnwty t( - 1 I /
Plan: Custom SFR
to `:.ZF '•t=P: sal.Z'?ili .., ... _ - - - ..-- - ---.._._ _.
, E— O. OD W(USE INVCLINE FROM METER TO HOUSE) -
� >' '1 / Job No.: PS-1 251-02
SD STORM SEWER LINE -- ---
(USE 3'ALAS LINE FROM LATERAL TO HOUSE)
Revision:
Aug.2T,2UU2 Add cot erect porch betMeet
BB •
SANITARY 9taLER LINE - gurugeR outin Auu■e
' `• / // (USE 4'PVC LINE FROM LATERAL TO HOUSE)
/ I _ PUF a PLnLIC UTILITY EASEMENT -
N ,' �+� ( _ Sheet Title:
A -_
C i L ,--. c' j - WATER METER
�lQ�{!Elhl Q E�CIL L Site
Plan
_- - --009198
-
7 0•x::t tT•rs a .zraP"tMrc i>:nt-r �• ,;m-r.; ..-__ --
EED
��•Yt/eY TAt/TrArAI>r s • I � , �� -D DOC.
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b - TION - - �- _.____� _ _____u - _ _
ED - - -
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C. • -, .,� 1 2 5TfREET TREES
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L J DETAIL ORAIUING 42A - TEMPORARY SEDIMENT FENCE ��-r�r
24 - . 2 1 _ - ------ _ ___ - - - — -- -- - -
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MIOTICE: IFTHE PRINT ORT`,' 'EONANY � lf Illlfll Ilillll illlllf Ilillli ilililT rjT IJI FITT[T TTFjII �T 1.1� 1f rT � -r�1 Ill . Il � Ill 111 Ill 1 � iii tai Ill r1� Ill 1r_ .r ,i r� r ��T � 1 ► ��Tr Ali rrr �-171111 Iltill IlilllII I I I 11111] I � f I
IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3 4 J 6 8 10 11 12
IT IS UE TO THE QUALITY OF THE _
No.38
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i3658 SW Leah Terrace
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2002-00373
DEVELOPMENT SERVICES DATE ISSUED: 10/16/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13658 SW LEAH TERR PARCEL: 2S109BA-08000
SUBDIVISION: p ,� 4-12-0— ZONING: R-7
BLOCK: LOT: Duct JURISDICTION: I 1(i
REMARKS: S/F PATH 1
BUILDING
REISSUESTORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NFW HEIGHT: ;0 FIRST: 1,397 If BASEMENT: If LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE 51- FLOOR LOAD: ao SECONU: 1,697 If GARAGE: 178 If FRONT: 21 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: If RIGHT: 8
OCCUPANCY GRP: R1 BDRM: 'I BATH: 3 TOTAL 7,044 If VALUE. 104.090 4f, REAR: ZI
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: I LAUNDRY TRAYS I RAIN DRAIN: 100 TRAPS:
LAVATORIES: DISHWASHERS: I FLOOR DRAINS: SEWER LINES: lo) SF RAIN DRAINS: I CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS,
OTHER FIXTURES:
MECHANICAL.
FUEL TYPES FURN c 10OK: BOILICMP�3HP. VENT FANS: CLOTHES DRYER: I
FURN—100K- I UNIT HEATERS. HOODS- I OTHER UNITS, i
MAX INP. btu FLOOR FURNANCFS: VENTS. I WOODSTOVEF GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER 1EMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AUD'L INSPECTIONS
1000 SF C.2 LESS: I 0 200 amp. 0 200 amp: W/SVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF'. 201 400 amp: 201 400 amp: 1st WIO SVC/FDR: un SIGNIOUT LIN LT: PER HOUR!
LIMITED ENERGY: 401 e00 amn: 401 - 600 amu' EA ADDL SR CIR. SIGNAL/PANEL: IN PLANT.
MANU HMISVCIFDR: 001 10n0 amn. 601+amps-1000v: MINOR LABEL:
1000.anlplvllt
PIAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC/r OR-225 A. >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B COMfOIERCIAL.
M AUDIO 9 STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAG,NG. OUTDOOR LNUSC LT:
BURGLAR ALARM, OTH: BOILER: HVAC: LA DSCAFtAR:RIG: PROTECTIVE SIGNL
GARAGE OPENER CLOCK. INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATA7TELE COMM NURSE CALLS. TOTAL N SYSTEMS
Owner: Contractor: TOTAL FEES: $ 7,898.32
This permit is subject to the regulations contained In the
GEORGE MARSHALL HEIGHTS CONSTRUCTION LLC Tigard Municipal Code,State of OR. Specialty Codes and
PO BOX 91249 PO BOX 91249 all other applicable law,. All vork will be done in
PORTLAND,OR 97291 PORTLAND,OR 97291 accordance with approved plans. This pemnit will expire If
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503-768-4573 Phone: 503-291-2550 Oregon Utility Notification Cent- Those Toles are set
forth in OAR 952-001-0010 through 952-001-0080. You
Reg N: I i�• 1 Z�"74C may obtain copies of these rules or direct questions to
01 INr by calling(503)246-1987.
REQUIRED INFPECTIONS
Erosion Control Insp 8, Underfloor Insulation Plumb Top Out Exterior Sheathing Ins; Rain drain Insp Plumb Final
Sewer Inspection Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line In--9 Appr/Sdwlk Insp
PosUBeam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
—PosUBeam Mechanica Mechanical Insp Shear Wall Insp —Insulation Insp Mecham Final
Issued By Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00250
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/16/02
SITE ADDRESS; 13658 SW LEAH TERR PARCEL: 2S109BA-08000
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
TENANT NAME:
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF residence.
Owner:
FEES
GEORGE MARSHALL Description Date Amount
PO BOX 91249
PORTLAND, OR 97291 [SWINSY] Swr Inspect 10/16/02 $3500
SWUSA S%N r Connect 10/16/02 $2,300.00
Phone: 503-708-4573
Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspection:,
1-his Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
clays from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
`;ide Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notitication 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) 246-66
Issued by: Permittee Signatike ^j - 4�� --- —
Call (503) 839-4175 by 7:00 P.M. for an inspection needed the plext business day
7? tis 1- q °z-
Building Permit Application mm SS
"Datereceived: J i PermlCit6lCitj of Tigard --
City njirgarJ Address: 13125 SW Hall Blvd,Tigard,OR 97223
Roject/appl.no.: Expire date:
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex: V'
1 &2 family dwelling or accessory U Commercial/industiial U Multi-family U New construction U Demolition
U Addition/alteration/repl iccTticnt U'fenant improvement U Fire sprinkler/alarm ❑Other.
IIIIIIIIII!1UH01 10110
Job address: ,�j , („�,Q. �[ Q�C�L _ Bldg.no.: _ Suite no.:
Lot:_ Block: Subdivisionrf p(�� Tax map/tax lot/account no.:
Project name:- PwFrADt1i ��1.1 i -_ ��' ..1_
Description and location of work on premises/special conditions:- � � S�l�h1 - iatr�IL _.ZLSI OENC. _
Mailing address: P,p 13 5 I Z 1 &2 family dwelling:
City: ?91��,V�I�D - State:6 ZIP:�� Valuation of work..... Q.L . .f..Q!.y. $
Phone: , -2°1 - o Fax:Z91, 7 E-mail: _ No.of bedrooms/baths.................................
Owner's representative_ T2\ ��t r.t Total number of floors................................. 7- A.
Phone:5u3,1 575 Fa A. 355q Email:5�ri-1TT t,13-4 P 1fg-fP- Wwd"'
welling area(sq.ft.) .......................... �bA.
UUNI Caragelcarport area(sq.ft.)......................... 375
Name: A ¢ _ Covered porch area(sq.ft.) ........................ -Z -
----- —_—` -r'�l rte_._-_ _ _��_--
Mailing address: 51Z(/ MA7,1C? ua 51. Deck area(sq. ft.) ........................................ 44
City: ref"rj, o V 1Stateb =P: Other structure area(sq. ft.)_......................
Phonc:'j -X15 7 3 Fax:v�,-3 5 E-mail: " Commercial/1ndriaUmultl-family:
CONTRACTOR Valuation of work.......... ................... ........ $-
Existing bldg.area(sq.ft.) ..... . ..............
Business name:
-- f%A'4l S! �►JFsSa—yr� - - New bldg.area(sq. ft.
Address: 40, I Number of stories
City: YpQrt State:p� ZIP cj72'1 I ............./
Ti� Fax: Z°��. E-mail:
Type of construction.,--, ...........................
Phone: �u50 ---
CCB no.: Tj7 ---- -�- Occupancy group(s): Existing: _--
l2t__ --- - New:
City/metro lie.no.: Notice:All contractors and subcontractors are required to he
thum licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he required to be licensed in the
Address: 51Z!/ g1� _MSD ,� ---- - jurisdiction where work is being performed. If the applicant is
City: p State; Zlp: -I t � - exempt from licensing,the following reason applies:
Contact person: ?4ltA(-V- Plan no.: - - -------- -- - —- - --- -
Phone: 7J Fax: -1 Email:Name: & Contact�y�&___9_
person: SO4tj N9,yAlJ Fees due upon application ........................... $ --__----
Address: SookjAF�}�11�(i1Q Date received: �—
City: VNO State:W 7.IP� � Amount received ......................................... $----`-
Phon�,( Fax_oe0' E-mail: _ Please refer to fee schedule.
hereby certify I have read and examined this application and the Nol all jurisdictions accept credit cards,please call jurisdiction for mom information.
attached checklist. All provision of laws and ordinances governing this U visa U MasterCard
work will he complied w' he s .cified herein or not Credit cud number -L
r cNres
---
Authorized signnhrre: _ _ _ Date: � Z Narne o<cmwxrhiu u shown on credit card �- _-
Pont nar►c: -_ --
S
1 Cardholder dpuwrc
Notice:11iis permit-pplication expires if a perntit is not obtained within 180 days after it has been accepted as complete.- A—440 4613(6 M1tCOM)
Mechanical-Permit Application
Date received: Permit no.:
City of Tigard Projecl/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissuca: By: Receipt no.
Phone: (503) 639-4171 --_
Fax: (503) .598-1960 Case file no.: Payment type:
Land use approval' -----.--_ Building permit no.
AA 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Add ition/alteration/replacement U Other:
SCHEDULE
Job address: fj- (} ��( ( Indicate equipment quantities in boxes below. Indicate(he dollar
Bldg.no.: Suite•no.: — value of all mechanical materials,equipment,labor,overhead,
'rax—map/tax lot/account no.: profit. Value$
Lot Block: Subdivision: _—� - 'See checklist lit important application information and
Project name: %X%KVP�IL jurisdiction's fee schedule Im residential permit fee.
City/county:
Description and location of work on rctniscs:_ 1 PIN
I -----=____-- --- r-ee(cm.) Tolal
Est.date of completion/inspection: DeKirlpillion (21 . Res.only
Res.only
tenant improvement or change of use: VAC:
Is existing space heated or conditioned•)U Yes U No Air handling unit CFM _
Is existin s tce insulated`!U'tcs U Nu Air con imomng(saeplan reywred)
g p` Alteration of existing IIVAC system_
MECHANICAL (TiNTRAVI"ORBo
B,
Business name. � r�,� State boiler permit no.:
--�(G�+ ._..7-- l��S ="O- HP Tons BTU/H
Address: 17A q�µ ,_- _ Fiidsmo�amp`er duct smoke-electors - _ ----
City: (n';i-o w State ZIP: 7Z o F1Tcai pump(site p anrequired)
Phone_ Fax:6A(A E-mail: - Tnstall/repacefurnace. urner
CCB no.: — �5 Including ductw(rk/vent liner U Yes U No
Install/rep ace re locate healers--suspended,
City/metro lic.no.: _ _ _ wall,or Floor mounted
Name•(please print): IAC. AS Vent�foraa Iimccother than furnace
Itefr germill A:
CONTACIF PERSON
Absorptior units_ _ BTU/14
Name: vqT G� Chillers_ -_— HP
�_—_�r�f`"l'e`i _
-, '—�--- Com ressors HP
Address: 1 ' (�. S1J MQ���v T --- r;;_
- - --
n rionmenla exhaust an we Illation:
City: '( State:d fy ZIP: l Appliance vent___
Phone. 73 Fix.Z 3 S E-snail: I Uryerexaunt -
t:�iods pelTff/res.kitchen azmat - -
L^ hood fire suppression system _
Name: 41 t/— Vii, -_ Exhaust fan with single duct(bath fans)
pb -
Mailing address: (�C77L 11 qrl L,if eit4<s stemas rart�rom heaun or AC
City: Qp((,'((,p 'o _- State: N ZIP: 17Zq ue piping a L�str ut on(tip to outs)
Type. —
Phone: 1 - d Pax:" E-mail: Fuer iping each additional over outlets
roceopiping(sc etnalicrequi ) _-
Name: Number of outlets
-- —_---- l iied appl aece of eq
Address: Decorativefireplace
City: State: ZIP: Insert-type - -
Phone: Email: - - - -- - oo stov pel et stove —
Applicant's signature: A
M I Date:
---- -
Name (print): <14 I
11-1visa
Nor dl juritdictim creeprr[dit cwds,pleme call jurisdiction rnr nw>te infamwimPermit fee.....................$
exiresi U MasterCard Notice fa permit applicationermit is not obtained Minimum fee................$
11'redif crcd number
expa pPlan review(at _- %) $
- - _ _-----------_.._.
Expi1- within Igo days ager it has been State surcharge(8%)....$
- ---NYne of carrFx,T e7�u�iuw`n«i c t-ard accepted as complete. TOTAL .......................$ ------
i
('srditotder sitrature Amount
___�— 440-4617(6iWR'OM)
-1
Electrical Permit Application
Datereceived: Permit no.:MST �]3
City of Tigar .� "ect/appl.no.: Expitcdate:
City gard Address: 13125 SW H �i�dr Ofd 9h1223 Date issued: By; Receipt no,:
Phone. (503) 639-4171 — -- -__
F.-Lx: (503) 598.1960 AUG cZ 9 20U Case fileTin.: Payment type:
Land use approval:
& 2 family dwelling or accessory U Commercial/indu,tnal O Multi-family ❑Tenant improvement
❑ New construction ❑Addition/alteratinn/replaccmcnt O Other. ❑Partial
JOB SITE INFOMATION
lob address'�j(,a `B _ CO-J�L— ]p✓ dv no_ Suite no,: Tait mar/ta,x lot/account no.'
[,ol Block' subdivision' _
Prnlect name: Description and location of work on premises: y�Q0r.>r_
Estirnate.J date of com letion/inspection:
CO.YMACYOR APPLICATION I-T-E SCHEDULE
Job no: -
y�7 _ _ Fes• Max
Business narrtc: p ,I F R fl M F E I F f' lleteription Qtv- (�) Total.-TRIC no,rasp
New rosidtatfitil-*Mk or mull-family per
P D 8 5
Address' dwellits6 ristik inehh m sulci d garage.
C4Y' HILLSBORO _ StatCR ZiP; 97123 1
sq.ft.
Phone: 648-5144 Fax:6 4 8-_9 7 2 �-mnil: 1000 sq,ft,or less 4
C_GB_no,9 6 0 51 1 Elec.bus.Lc.no: 3 4-119 C Each additional 500 sq.ft_ar portion thereat
City/metro lic. no.: 1.063
limitedener�y,rrsidenuol 2
Limited energy,non-retidential--~ 2
Each manufactured home or modular dwelling y
Date fee2
Signature of supervitin electrician ire lead) _ _ Service and/or_der -
Sup elect.name(print):DAVID A J E R O M E Llcerim no: 2 8 7 7 S Smites or feeden-Insta noon.
altemilinn or relocation:
200 amps or less 2
Name(print): _� _7 S C 201 amps ro 400 amps 2
Mailin&address: j 1 Z C 401 amps to 600 amps _- 2-
� — 601 amps to lust amps 2
City: tN� Io-K- _ Sta e: ZIP.q. y Over 1000 amps Or valLt
Phone_: j S�� Fa • c(i'U I 6 mall: J Reeynneer only i
Owner installation:The installation is being made on property 1 own Tempormryservicesorreerlm-
which is not intended for salt,lease,rent,or exchange according to instntlation,alteesttnn,orrdocsllon
ORS 447,455,479,670.701, W amps or less Z
Z01 amps to 400 unPs 2
Owner's signature' 401 to 600 amps — 2
Branch circuits-hen,alteration
Nameor e:tenslon per pancb
----- -- -- A- Fee for branch circuitt with purchase of Address—service or feeder fee,each branch circuit 2
City' Statc: ZIP; 13. Fee for branch circuitt without purchase
PhoneFa-x. --' of service or feeder fee,first branch circuit: 2
Email _—
Each additional branch circuit; --
14 1 All 1111 Misr.(Smite or feeder not included):
J Service over 225 ampe-mmnw:rcial a Health-care facility Ir+ch putap or irrigation circle Z
❑Service over320amps-ratingofl&2 UHa.?wdouslocetion Each tignoroutlinelighting �'— 2
family dwellings 0 Building over 10,(100 square feet fouror Signal circuit(s)or a linuted energy panel, _
*System cvrr600vnILsnaminal more residential unite in one structure niteration.o►extension• 2
Q BuilditiR river three stores UFeeAers,400 amps Or mom n:
•rkscti tio
O Occupant land over 99 persnnt O Manufactured structure.,or RV park p — - -
*Edrenerlighting plan p Other FJeh nddiilond Ineprction ever the Allowable in■ny of the above:
---- FerinspKtion
Submit ,gets of plans with any of the above. Investigation fee - ---
The above are nal applicable to tefnpnrary construction service_ other -
tiar all juriulluiam accept credit canb,pleats call jurisdiction or mar.infonwtian Notice:This permit application Permit fee.....................
visa U Matter-Car-1 expires if a permit is not obtained Plan revica (at _ oto) $
CRdil Calfl number:_ — _�.��_L-- within 180 days after it has been State surcharge(396) - $
Fxp reg accepted as complete TOTAL .........
Name or carahohkr u s
twwn an `-'
ctttlit card ..••..••.. ..
Cararoi0rr tirnnttrrc ^— Amnuni
4404615(1400/COM)
08/30/2002 07:22 5036429032 DIMS PLUMBING—_-- PAGE 01/01
Building Futures L OT- F Iq X
Plumbing Permit Application
," Date mew.d: _ Permit no
City Ul�i Tigard rr,s"r�uo:�-vp
t
Scver perndt Do.: bnUdlno permit no..
Addram. 1.1125 SW Han BjgWas-472211
-
Cav of and Phone: (501) 6391171 t !TjL i I.no: Bxpirt date:
pez (503) 598.19b0 �11r �] f� �nUl Date lennsd: - Hy. Receipt aro.:
1 and use approval: Ul7 ) `ice Care file no.: Payment type:
IAN
g I&#hmily dwellinit or aceeaeoty d CommetelsVindustrial 13 Multi-£emily O Tenant improvement
❑New stmetion O Addition/alttration/replacerneut D Food service O Othut:71
lob addr s. `7L(r��j (f.GFi .�_ Description Qty. Fee(ta) 'Total
Bldg, no. Suite nn.: P v 1.aro a y ne nee on yr
Tat lwfaocount no.. �- - (tlat.le41at 100 R.rnr eacb udlitr r+toneeHno)
_.. ._.0 _ - -- _---- SFR(t)bath
Lc�t Block: Subdivision: ---
_-, SM(2)
bath
I ProJecl n e:
Cit-/ce
ZIP
�'� _ &►ch a tion_e bathlkitc}ten —
_... l�t^1 - --
Deecripti h and location of work on prernisex: �}`Lp SY 1z Site Militias..
Catch basin/ares drain
Eat.date cam ktiun/inapectloo: --�- - --- �tywoll+/leach lineftnach drain ` _ _
1 ! Font' drain(tit,lin.ft.
Manu actured home utilities _
BuelneJs me. �'r.►-.� lv w+ J �� Mangy lea � �� - _
Address: F b `� t'
_- r Rain drain connector
State p ZI� M Senttatrsewer(no,lin.ft.)
(� Phonc:, N-y03/ F� (e _-rneit: 9tnmtRe------'-Tin.7l j
j� �15 watereervtce no.lin.tt.)
IYTi no,: 7 Q Plumb.bus.reg.no:__ �/` .------�•-
- l --- ---- Fiutau a or item:
Cityhn lie no: 'QQ - Abao ton valve
Coner. a re resentativo signature: -�--''-�
n - -- -"
, Beck}loaLreventer _
Printna t t -lor �- Date: ? Backwater valve
511611191 "'Wi
to
Clothes ILI war-Iter
Diahweaher
-Address: Lt -
City. 5tete4xv ZIP: 'L. E acro sttm�
Phone: 5T Fex:24G"3 S°I E-mail: AV-
!is mann t-o - _
Fixtnrr)s'wet cap —
Name Flour lr
t): p t�c,PD/,[~ eins/tluct•s, InTub
iosal
Malling a rets: Hone i
rCiry: N►�__-_ 3ute ti ZIP:017-i
Phone: S Fax:2 111 H•mail. ntt tot grease trap
Owner in 11 ation/residenatil maintenance only: 11►e actual installation Primer(e)
will be a by me or the rnainteusrwe and repair made by my regular ooT&ain eummerc,alL
empinvee the property I own ars per ORS(Maptet 447. S(nk�a),baain(a),
Owntn'a ature: Date- Sum _-
Tu s ower s awer"an _
Name:
Address: _ Water hcater _ y
City: -Mate ZIP:
Phonc: 1
-- Minimum fee S
taei en MWI asap�+r�h mn!%.pMat.ed iwtdwft far sure t—fhrm; Notice: nit permit ar,Iicallon r--
Plan review(at— %) S
❑Via C kwacsM expires+If a permit It uat nbaine,'.
State surrlmrge(8S6)....8 --
cTau-db«,� --------------`-.__._--- - wfthln IRO days after it has been -
rw TOTAL -... S
_ ...... _
S
tamo�nt 441,ul5(ao0!CeM)
/ CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
s DEVELOPMENT SERVICES PERMIT#: ELR2003-00043
13125 SW Hall Blvc.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/11/03
PARCEL: 2S 109BA-08000
SITE ADDRESS: 13658 SW LEAH TERR
SUBDIVISION: DAFFODIL HILL ZONING: R-7
BLOCK: LOT: 006 JURISDICTION: TIG
Proiect Description: A.L_ /_00)
A.RESIDENTIAL _ B.COMMERCIAL _
AUDIO &STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS:
Owner: Contractor:
GEORGE MARSHALL QUADRANT SYSTEMS
PO BOX 91249 PO BOX 14833
PORTLAND, OR 97291 PORTLAND, OR 97293
Phone: 503-768-4573 Phone: 234-5558
Reg#: MET 00002466
SUP 121IJL11.
LIC 96800
FEES ELI'. Ilbq�f illfnspections
Description Date Amount Low Voltage Inspection
IE:LPRM'I j ELR Permit 2/11/03 $75.00 Elect'I Final
(TAX] 9"i, State Tax 2/11/03 $6.00
Total $81.00
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
riot started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 tl- .igh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699
Issued by ,I Vii;i Permittee Signature d > 1 � !�
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 INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE: _
LICENSE NO: —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
2-10-2003 1 2:34PM FROM QUADRANT SYSTEPIS SBS 236 2322 P. 2
Electrical Permit A,ppliication
Datereceived: -ram Petrnitno.-,: -t'r'y
City of Tigard �(�, �\/ED Project/appl,no.: � Bxpiredate:. I�
City of Tigard Address: 13125 SW Hall Blvd, , 0 97223 Date issued By: '�71 Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 t LlJ i�� laieCilena W Payment type:
Land use approval. __ �F TIGAFIL1 j.
TYPE OF PERAIIT
'.0 18r 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
�0 New construction O Addition/alteration/replacement O Other: _ ,_ U Partial
It 1
v� -- lap/taxoUaccount no..address-. ! ?,( loll I
oz
Subdivision: _Lot: Fy Block' —,
(,
Project earn u s (�r�E:lc f►r�rn�t _ Description and laation of work on premises: {�A IYED1 n Q'
Estimated date of tom letionhns tion:
Job tto: F'e Milx
Businemname: H IDea ion ea Total no.l'
__. New asaide Ad-rtltgte or aniti.family per
Address:To {y drrellirtgttnN.trsctudmdtachcdgangc. I
City: St7 ?: 42 S Stmicminduded:
10005Q ft or less 4
Phone-�34- Fax;;1; E-mail _ ---j
F.eclr additional 500 sq.ft.er portion thermt
CCB no.: No C� _ Elee,bus lis,no (, - —_ Limited energy,residential -75
t�ty/ Olie.n ��,i1�1p i Limitrdurrgy,non-rrsldentlal — —
," kiarhmanufacturodhonteormodular dwelling
- uSvte4pate nd/arfteder
Si eturo of supervising electrician(
Sup.deet.etarrx(ptinl): ---- f �. Litxnaeno{�( Servieecsorfeeders—Intblllatlon.
dteralion or relocation:
200 amps
Name(print) ---- zot_ Rroaooamps -
401 amps to 600 amps _ T
Mailing address: _ --_-- _ 601 amps to 10001 amps 2.
City. -- ,c1tate: Over WDDO amp-or volts
Phone: Fax -----Ti mail: -- _ Remntl". onl
Owner installation:The installation is being made on propeny I own Terepotatyservices orfeeden i :c
I.
which is not intended fere sale,lease,rent,or exchange according to hetallatlon,alteration,or relocation:7W amps or teas 1
ORS 447,455,479,C,0,701. 201 amps to 4W amps
tamer's signature: _ Date: 40110600 ams - —
Brmch circuits-new,alteration, i
or extesdott per panel:
Name: �. A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 3
City - �— State: ZIP: • e for ebranch circuits without pa chase
of service or feeder fee,first brant h circuit. i
Phone: A Fisch additional branch circuit: _
MIse,(Service orfeed eraorInc laded): T
U Service cwtr225 amps aomrntrctal O Health<arrefacility Eatt1 pump or irrigation circle
O Service over 320 amp,,-rating of 16x2 U Huudous location Fath sign or outUe lighting
tamilydwrJlings 0 Ruilding over 10,000 square feet four or Signal circuit(s)or a limited energy pi
nel• S:
i
USvstemosrr600volt%nornmal more residential units in one structure eltention,orexteroion• ----_
U Building over three stories U Feeders.400 amps or more •Desch tion: _,—
O occupant load over 99 persons 0 Manufactured structutes or RV park Each additional inspection ever the allowable In any of the above:
A Bgrrsa ighungplan U Other. Perinapaxtiun E=
Sahmit sets of plans with any of the above. Investigation fee
The above are not appOcahle to lemportllry colt dructlon Itervice. other '
P('rmit fee
I,vru--- 0 MasterCard expires if a permit is not obtained Flan reviw •at.•' %) S �"•JU+�
Not a!1 ivrirdtctic s artepr rxruit cult+,ptwe call turirdutioa for mom idormation Notice:71us nr..it a lication
within ISO days offer it has been late Surcharge(8%) _ JI
papirce accepted as complete. TOTAL ......................
_ Nude of cutxrM r as s even on crtdlt card --- I �
GreJhelder elpralute 1 Amouet 440.4615(6'V 111C04)
�I
CITY OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00401
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/5/03
PARCEL: 2S 109BA-08000
SITE ADDRESS: 13658 SW LEAH TERR
SUBDIVISION: DAFFODIL HILL ZONING: R-7
BLOCK: LOT: 006 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install residential irrigation backflow preventer.
FEES
Owner: -
Description Date Amount
GEORGE MARSHALL
PO BOX 91249 I'I.l ih1lii I'crmi! I rr 8/5/03 $36.25
PORTLAND, OR 97291 ITAX 18111,Star I'ae 8/5!03 $2.90
Total $39.15
Phone : 513-7611-4573
Contrac`.or:
THOMAS CONSTRUCTION
P.O. BOX 91283
PORTLAND, OF 97291 REQUIRED !NSPECTIONS
RP/Backflow Preventer
Phone : 503-691;-4925 Final Inspection
Reg#: LIC 6361
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
fer more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By-.-/,�41 ( t6c 1( t 71 Permittee Signature: L .v
Call (503) 639-4175 b7 7:00 P.M. for an inspection needed the next business day
Building .Fixtures
Plumbing Permit Application Received _ Plumbing
Uateroy: t� � Permit No.:
Planning Approval Sewer
City of Tigard
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 bate/B - Permit No.:
I'hone: 503-639-4171 Fax: 503-598-1960 Post-Rcview band Use
Date/[3 _ __ Case No.: _
Ittterriet: www.ci.tigard.or.us Contact Juris.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Narne/Method: Supplemental Information.
TYPE OF WORK FEE'SCHEDULE(for special inrormation use checklist
[ New construction_ Demolition Description -- I Q(y�. I Fee(ea•) Total
- Addition/alteration/re lacement -= Other: New 1-& or each
2-family dwellings
co gs
_
CATEGORY OF CONSTRUCTION (includes 100 ft.for each utllit eonnectlon
SFR(I bath _ 749.20
❑ 1 &. 2-Family dwelliq� _ Commercial/Industrial SFR 2 bath _ 350.00
IjAccessory Building Multi-Family SFR 3 bats, 399.00
Master Builder ❑] Other: Each additional bath/kitchen 45.00
_ JOB SITE INFORMATION and LOCATION Fire sprinkl^r-sq. fl.: Page 2
.lob site address: /36-5-dr5��� L�u` ��r► Site Utilities
-L-"--- Catch b^sarca in/ drain _16.60
Suite #� Bld>./A t.#: --- --
- - - Drywell/leach line/trench drain 16.60 _
--Project Name: Footing drain(no. linear fl.) - _Page 2
Cross street/Directions to job site: Manufactured home utilities 1 10.00 -
/ .aeLirJP�w Tei Manholes 16.60
Rain drain connector 16.60
Sanitary er(no. linear ft.) Page 2
Subdivisions Lot#: Storm sewer(no linear fl.) _ Page 2
- --- Water service(no. linear R 1 Pae 2
Tax map/parcel #: _ - Fixture or Item
// DESCRIPTION(-,'WORK - Absorption valve y 16.60
,(4vblP !-4eck I�wP - Backflow prcventcr __- F Page 2
Backwater valve 16.60
-- - Clothes washer 16.60
- --- - - --- --- Dishwasher y---_ _ 16.60 -
__ _ -- Drinking fountain 16.60
,PROPERTY OWNER JTENANT E cctors/sunk_ 16.60
Name: S ( DSS ✓t rl/re-r Expansion tank 16.60 _
Address: Fixture/sewer cap 16.60 ---
- -_ -- - -State/7.i
CiFloor drain/Floor sink/hub 16.60
City/State/Zip:/ -----
--_._ -- - ---- - - Garbs c dis osal 16.60
Phone: ____ Fax: _ Bose bib _ 16.00
PL
APICANT CONTACTPERSON Ice maker _ _ 16.60
Name: �T !ntcrce tor/ tease trap 16.60
Address: Medical gas-value: $_ _ ['age
- --- - - - - - - Primer 16.60
Cit /State/Zi _ _
� ,- - -- Roof drain(commercial) 16.60
Phone: -- FaX: - Sink/basm/lavatory 16.60 -
F-mall: Tub/shower/shower pan _ 16.60
CONTRACTOR � Water
Urinal _ 16.60
Business Name: Water closet 16.60
s,'yrelciS e cw I?/1 1Y Water heater 16.60
Address:&), dgJ , 9/1 3 other: _City/State/Zip: � V ether
Phone:57)3 �9C-v511"" Fax: Plumbing Permit Fees"
Subtotal $ _
CCB Lic. #: /,- / Plumb. Lie.#:/1617 -- Minimum Permit Fee$72.50 $
Authorized �� � s 49.3
O� Residential Backflow Minimum Fee$36.25 _
Signature: e.9 I!r'�s __ Date: Plan Review(25%of Permit Fcc $
e State Surcharge 8%of Permit Fee) $
(Please prim name) TOTAL.PERMIT FEE $_ __
Notice: This permit application expires if a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or
Igo days after It has been accepted as complete. riser diagram for plan review.
`Fec methodology set by Tri-County Building Industry Service Board.
c\bsts\l'ctmit Forms`J'ImPernritApp dtw 01103
Plumbing Permit Application -City of Tigard „
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ca) Total Square Footage: _ Permit Fee: _
Footing drain-I" 100' 55.00 0 to 2,000 $115.00
Footing drain-each additional 100' 46.40 2,001 3,600 _ _ $160,00 —
3,601 to 7,200 __ $220.00 _
Sewer- Ist 100' 55.00 7,201 and realer $309.00
Sewer-each additional 100' 46,40
Water Service- Ist 100' 55.00 Medical Gas S stems:
Water Service-each additional 100' 46.40 Valuation: Permit Fee:
Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 _
Storm&Rain Dram-each adddionai 111(' 46,40 $5,001 )0 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each
additional$100.00 or fraction thereof,to and
Fixture or Item Qty. Fee(en) Total including$10,000.00.
Commercial[lack Flo" 1'revent on Device 46.40 1-00,i$25,000.00 $148.50 for the first$10,M).00 and$1.54 for
Residential Backflow Prevention Device each additional$IOC 00 or fraction thereof,to
minimum permit fee$36.25 27,55 and including$25,(100.00.
Rain Drain,single family dwelling 65 25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or and including$50,000.00.
Specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Subtotal: each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtur es? If
"Ves",please indicate work performed by fixture. Failure to
accurately r� eport fixtures could result in increased sewer fees*.
fLuantit b Fixture Work Performed Comments regarding fixture work:
Fixture Type: Replace
New Moved Existing Capped — — ---- --- ---
Ba tist /Font
Bath -Tub/Shower _
-Jacuzzi/Whirl of -� -- --
Car Wash -Each Stall
-Drive Thru _--
Cus idor/Water Aspirator --- --- ------
Dishwasher -Commercial
-Domestic — --- _
Drinking Fountain - -"— --- --Eye Wash
Floor Drain/sink -2"
3" --- -- — - _ — -------
4' —
Car wash Drain *Note: If the fixture work under this permit results in an
t iarhage -Domestic _ _
Disposal -Commercial increase of sewer EDI Is,a sewer permit will be issued and
-Industrial _ fees assessed for the sewer increase must be paid before file
Ice Mach./Refri .[rains _ _ plumbing permit can be issued.
Oil Separator Gas Station _
Rec.Vehicle Dump Statiun
Shower -(fang
_ -Stall
Smk -Bar/Lavatory _ -
-Bradley _-
-Commercial
-Service ^
Swimming Pool Filter _
Washer-Clothes _
Water Extractor
_Water Closet-Toilet
Urinal
Other Fixtures
i.\[)sl-s\permit l,omis\PlmPemiitAppPg2 da 01103
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP — --
Received _- _Date Requested— 1-1-22— _ AM—_ PM __ BUP - --
Location — _ �--- -a�`�'—�'e�l/y Suite MEC
Contact Person _.____— ____— Ph ( —_) — _ PLM --
Contractor - _. ------------ ---- Ph 179y SWR
-- --- --
BUILDING Tenant/Owner _.___ __ _ _ — ELC -------_---
Footing ELC -
Foundation Access:
Ftg Drain ELR -- -.-.----
Crawl Drain SIT ------ -
Slab Inspection Notes: ----
Post&Beam
,hear Anchors —�
Ext Sheath/Shear
Int Sheath/Shear
Framing �..___. �---- -------- ----------
Insulation
Drywall Nailing -----._--�-- --- ------- -------------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -
Roof
Ot r - --- -
PASS _0ART FAIL
Post& Beam
Under Slab --
Rough-In
Water Service - _ - -- - ------------------ --------------.._--.----
Sanitary Sewer
I Rain Drains - - ------Catch Basin Basin/Manhole
Storm Drain ._. ___ _---_-- ----------- ------
Shower Pan I
Other
Final
PASS PART rA1L
MECHANICAL _ — --
Post& Beam �-
Rough-in
Gas Line
Smoke Dampers ------ -- -- ----------- --------__
ASS ART FAIL - ---- - --- -- -- ------111MCTRI
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.
PASS PART FAIL
SITE I Please call for reinspection RE:.-__-_.___ Unable to inspect-no access
Fire Supply Line
ADA _ , . _ -------- -- -- Ext
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST -2040'2
INSPECTION DIVISION Business Line: (503)639-4171
u BUP
Received .—_____— Date Requested.__-�—_L-� � — AM-- PM— BUP
Location __--_�_�' �4 �.-Z�-ULA✓ SLite MEC _ --
Contact Person __ Ph PLM
Contractor_ - Ph (—.) SWR
BUILDING Tenant/Owner -__ _ _ __— ELC
Footing _ ELC
Foundation Access: � _ -
Fig Drain ��1 �� Uvv ELR
Crawl Drain '
Slab Inspection Notes: SIT
Pos�&Beim -------- -- --- ._...._-- ---
Shear Anchors ---
Ext Sheath/Shear
Int Sheath,Shear
Framing ---- - ---- ----- --- ---
Insulation
Drywall Nailing ----- --- --
Firewall
Fire Sprinkler --- ------ --- - ---.---- ---
Fire Alarm
Susp'd Ceiling ----- --- - ---- --
Roof
Other: -- - - - --- - ---_.-- ---- -
Final
PASS,-WkPT FAIL - - -- --- -- ---- —_.-___-.-..__--- _ --
- m-- - - -- -- - - - ------ ----- - ---- -- —
---
UnderSlab
Rough-In
Water Service ---- ---.... _ _ - - - --------- __---
Sanitary Sewer
Rain Drains -- - - -- --- - - --- ----- -
------------
Catch Basin/Manhole
Storm Drain --- - -- - — --- -- -- --_�
Shower Pan
Otheri -
ma
ART FAIL
MIMHAAICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers --- - - - ----- ---
Final
PASS PART FAIL ----- -- --- - - ---- --- _- _ _ --
ECTIKV
Service
Rough-In
UG/Slab
Low Voltage
F larm
in- Reinspection fee of$ _-required before next inspection. Pay at City Ha11 11125 SW Hall Blvd.
SS PART FAIL
g �� Please call for reinspection RE:__ _-__-_ —_____________ ____ Unable to inspect-no access
- ---- ----- -
Fire Supply Line
ADA -+'ft ''
Approach/Sidewalk Data _-`� V_ .-.____.__.__ Ins actor O` Le __ Ext ,______
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hours h
BUILDING Inspection Line: (503)639-4175 MST KZ)3—,-�
INSPECTION DIVISION Business Line: (503)639-4171
BUP — —
Received��__�'_ A9 Date Requested J 2 b — AM_. ___ PM--- BUP —_
Location _ _ � —Suite_— —�_/ MEC
Contact Parson ___.__ 1-��111_____ __?v m- �s -� l '" PLM
Contractor _. Ph (—___) -- -- SWR —
BUILDING Tenant/Owner _--_--_. _—_ _— —_ ELC
Fooling ELC -
Foundation Access:
Ftg Drain ELR -
Crawl Drain SIT
Slab Inspection Notes: -
Post& Bearn ----- - ---- _ --_ ---- - ---- -- -
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing - ----- -- �-} --_�_. - --
Insulation 6%-L-W
Drywall Nailing --
Firewall
Fire Sprinkler -- - --- ----- __ --_-.
Fire Alarm
Susp'd Ceiling
Roof
AV�ART FAIL - -- ----- ----- --- -----------------
PLUMBING - - -�-- -- --
Post 8 Beam
--
Under Slab --- - ------- —
Hough-In
Water Service -- -- -- - - --- -
Sanitary Sewer -
Rain Drains -- -- --- -
Catch Basin/Manhole
Storm Drain — ----------- - ----- ------_.-- _ -.- -
Shower Pan
Fin
--- --- -- ___- - - -- -------- ------_._..._-- --
PASS PAR FAIL
_ME_CHANICAL_ - — -- ------- -------- -------
Post& Beam
Rough-In __- - ---- -- - -
Gas Line
Smoke Dampers --'- -- -- --- - -
Final
PASS PART FAIL
LE - - -- ---- " ----- ---- ---- --
ECTRICAL --.. —_--- _— ----Service
Rough-In — --- -------
Rough-In - - _— _ __ - - ------ --- -
Low V�olfage``)
in J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
._kS PART FAIL
SI Please call for reinspection RE: __ - _ L] Unable to inspect-no access
Fire Supply Line
ADA Date Inspector Z -� " (0 -�--- -Ext - - --
Approach/Sidewalk -
Other:
Final DO NOT REMOVE this Inspoil n record from the job site.
PASS PART FAIL
C. TIGARD 24-Hour
)ING Inspection Line: (503)639-4175
INSPEL ' DIVISION Business Line: (503)639-4171 MST _
BUP
Received --- Dpae Reque d___—��` — AM PM BUP
Location �c •2- _ �"�� Suite MEC _ ---
Contact Person ----— _—_ Ph(----) _1�'Z-�J�GI t PLM Odd_
Contractor _ Ph (_ ) SWR
BUILDING _ Tenant/Owner —_ —. ELC _
Footing �—
Foundation ELC
Fig Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors _---' --- --
Ext Sheath/Shear
Int Sheath/Shear
Framing - - -- -- -- --- - -- - _- ---------- -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---- - - - ---- - _-_
Fire Alarm
Susp'd Ceiling ------ _----- -- — ----
Root
Other: -- -- - - - - — -----------
Finpi
PASS PART FAIL - — --- --------- -- — ---
NL_UMBING
Post&Beam
Under Slab
Rough-In � ^-
Water Service
Sanitary Sewer — -- --
Rain Drains --- --- - - __ _-_
Catch Basin/Manhole
Storm Drain ----- - -- -- --
ShowerPan
Other: -- '- - ------ -- - --- ------- - -
rn _
_
ASj., PART FAIL--
MECHANICAL
AIL
MEC_ HA_NICAL –
Post& Beam --
Rough-In _.�- - -- - -- ---- _ _-- ---- _ _ --
Gas Line
Smoke Dampers ---- - - -- ---- - --- -— -----
Final
PASS PART FAIL - ---- -- - _._._ ------------_-______ --- -__ ---
ELECTRICAL
Service _.--
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Final C7 Reinspection fee of$-_ -,- -_required before next inspection. Pay at City Hall. 13125 SW Hall Blvd.
PASS PART FAIL
Please call for reinspection RE:—.--_ -__ Unable to inspect--no access
Fire Supply Line
ADA
Appr-)ach/Sidewalk Date- I ) ')'�- - inspector�_��w`r III'. P--,* _ _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
Alf�-Ili
CITU OF TIOARD
Residential Certificate of Occupancy
Permit No. ;2 - Com' 7 Address: �3_4�, , l�� _rpt_•
Owner/Contractor: �/,rs ,L V— -
Date of Final Inspection: �--?:Z—D¢— Inspector:
This structure has been found to be in substantial compliance with the provisions of the State off Oregon One& Two h•amih,Owelling
S;ec•ialty Code and is hereby approved for occupancy.