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13769 SW LEAH TERRACE � 15-4e I dt cl � � t 1 ,( PATRICK SCHMITT, 1 (W� \ W- 5 �j 5. 00" designer Inc. 1 Q 5. 3�� Gue¢tm Momma DNI .Planning 6 GoniulWp 00s S126 SW Maii9ok! al PoNrnd Ufregon 9)219 Q �� ("'�� TEaAG \� �,\ 1 m. �I/I (M:(503)768.4573 ` V • - —-•_meM eCtrT111t{jlebport.min _--- r� —LINE -- / 77 _J 11� 2O Wrtller alf-01 na on Iheq a'arinq ehap onus ` — "al eden<e over aoied limen all entroc,of 1 -' -- 1 1 �� TRE j ends assume respo1?10 lo,, bA all d1menato-•s AT and condllw�na an Ins pG PATRICM SCHA411, \ 1 desv,ner me must De notdied and anseni to PER IDEV. PLAN5 517E FL AN, NOTES •awli�n from dM.,na,onl ,a, polo nrt5C — inns nw inc nl s lM 'n opetly o, PA~RICK iCNMIf• I (//'�� II — su+Qf~tlooctnaeenoua eelnr N only loreco• - • }I �j) I ✓ r/ I wed ��.vy�'. sap etc wralllen cons-t of PATRICo SCHMITlmix-ed w1foul 1ne LEGAL DEV�RI I ' ION aemgner Inc.. ? � / 1 / Lot 15 Darrodn Will ^ C 6, 485 S. F.-7" - ►Y-, �---- o� SITE a 00RESS � j %' - _ ^ 1369 BW Leah Tfprrau Tigard,Or"orl 91774 ol c> cto Li �-� OT co RAGE Q m ^ L N _ � 'f ', � , //�/ i/ •` c S. LO AREA 6.489 . . 847 S . F. T �.. BUILDING AREA 7,301 (INLUDINEAVES) _--- I N TOTAL LOT COVERAGE . 7.301 (v,Aft (100) .35516 N / / LOT EROSION CONTROL NOTES. I a� �""'� •,� MANUAL F-� o l/ /^� Q� / j- /// I1 REFER TO TWE CITY OF PORTLAND 'EROS oN CONTROL ' • � -- _ ( / ADDITICNA_ua rAIL6 AND EROSION CONTROL REQ'S I o 0 II � 71"OVER ALL D16TUR!l,ED GROUND AREA BETWEEN OGr, I TO Lr APRIL 30.COVER WI-W MULCH,GOD.GRASS,PLASTIC OR O OTWER APPROVED MATERIALS AS SPECIFIED IN TWE VllbJ61014 • ' / / j j CCNTMOL MANUAL' I 1 �// ,, / I� 3J SEDIMENT BARRIER TO DE IN61ALLED PRIOR TO EARTWWORK. i j;j/ jj' I K\- REMOVE ONLY AFTER GROUND COVER I$ ES ASL SHED. m I " �y 41 NO SOIL ALLOVIFiJ TO ERODE OR DE TRACKED OFF SITE. Z L.-616 r LEC*—ND �y (-�� GRAVEL CONSTRUCTION ENTRANCE - SEE , "``' M^ `/J \ ' J // j I �` •'o-'! f j �t �� ! � DETAIL 4.IA AT LEFT OR IN TWE CITY OF PORTLAND 'EROSION CONTROL.MANUAL' 11 _ 51 1 g M rl.v.w4w•rw•.: .fir.•,.yeV:r ,..,e•n.� ,�.+� . � ,, .vel.atr•v ak /�`•waxaw. j �,,, � � •// i / — COVEIFeD 6TOClCPILE6 IU • i•• . '4t h•. 9t;i-: r \ ,,,a'A* LLIORt STAGING TE RI4( /MA T AREAS Vit' Y •l1Mt "I.SMtr' ,s >. PiY�If ><,�~ Rf..O -_-- _. �� \`—JL STORAGE WOODEN CURB RAMP - SEE DETAIL . ,j •�M ((''�� •. .✓t� 1 LEFT OR IN TWE CITY OF r1 *ER pRTLAND *EROSION � .-�....•.��.. s,,•v8.'E'/k:t�'`•' L CONTROL MANUAL' I �� ^»rp lw> "; ( _ — _ I�___--------------- WRAP AND PROTECT :,_, CATCW BASIN$PER i'i,IT s "+" 't'" ^ `('� l \ DETAIL 42W IN TWE CITY Or PORTLAND _ ^' I , 'EROSION CONTROL MANUAL' DETAIL DRAWING 41A . GRAVEL CONr,,-wTION ENTRANCE 1 S . W . LEAH (�� I �\� �._ ` _ 1 1 Date: April St 2004---- `- � �' I 1 • - SEDIMENT FIL ER FENCING 1 - - --- -- TERRACE � I J n Plan: Site Plan **Mp (� N � I ( ��( J,} W . WATER LINE - Joh No.: PS-1:303-U4------- r dvw eMlt � '� ''mn• �� D (USE P PVC LINE =ROM METER TO WCUSE) __----- --_---__-_--,.__, A /w..r..........� . . nf6D . STORM SEWER LINE - Revision: R - I i (USE 3• ABB LINE FROM LATERAL TO WOU$EJ I \ '1\ I� 66 . SANITARY SEWER LINE • - 1 --- - ---- ''f PUE E PULL UNIT ,6EMEN�L TO WOUt3E) -Sheet Title: ^ - , O . WATER METER Lot 15 Sitc . misc. _. Plan4. ---_---- - W?*✓a. vow!E'f'rt',e,,'ti'16•?`I k 1•,!t>ae•l - I _ - -7 -- a' ys• ' '� J I) A 2@�o ADJUS MENT TO THE REAR :x _ �`�^�., �l_—+ �� WARD SETBACK NAS BEEN GRANTED �«rt•.Ir � `;,... �� — FOR TN15 SITE.�,, ; .r " ,, .,.,�,.,:. rb« « ''•s:;.s:w• �• n. J. 5 - �; "h. ST2� r,. t -SEE CASE No. vAR2002-00027 ..,,. - 1 A C.- 0 of 7 1 3 F. — DETAP_ DRAWING 41A - TEMPORARY 6EhIMENT FENCE IE)COPYRIGHT2002 - PATRICKSCHMM. deelgnerina — ruygf�N.vrcra ;r -;.•,:+,.8u3^"ttsi:yd.�n:fl;�aaam»t�M;Plae.r; , NOTICE: IF THE PRINT OR TYPE ON ANY ' I � � 1 ' 11I .r. 11 � I111 I � II ( 1 IIIIIII IIII11-T CTT1-11 f1TITfTr1 ; 11111 111I.T1Jill1111 11 11f III 1111 111I ( 1� 1-11111111111 111 I � 1 1111111 111 111 1111111l 111111111 [ 111111111111 l l I I IMAGE IS NOT AS CLEAR i-k5 THIS NOTICE, 1 3 4 6 $ - lU 11 Iz J ,-, �� ADD. -- c,srt tetra,car.... .,.,.e,.w.a�"s:W •,•Y„L»a�..,:,...c a�ii..:ea..._ ... .......,. IT IS DUE_ TO THE QUALITY OF THE No.36 - ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z SZ � Z EZ Z TZ OZ 1ST 8T LT 9T 4I ZT i1 £ �►II IIII IIII IIII IIII IIII IIII IIII illi 1111 11.11 1 � ll loll 1111. 11111.111. 11111111111111111 III11111111111111111 . 11111111111 .111111111111 i11111LI 1111 ll�l 1111 ll_l 1111 l .11 .�ll 11x.1. 11111411 I 'L I� da31 HV31 MS 69L£L w 4 SC CA r m a m r' E 13769 SW LEAH TERR CITY OF T I GA R D MASTER PERMIT PERMIT#: MST2004-00118 DEVELOPMENT SERVICES DATE ISSUED: 5/11/2004 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 13769 SW LEAH TERR PARCEL: 2S109BA-08900 SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 01 , JURISDICTION: I'I( REMARKS: New SF detached. 4/27/04, adding a/c unit. BUILDING REISSUE, PSCUSTOM STORIES: FLOOR AREAS REQUIRED SE'T'BACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 2H FIRST: 1 557 of BASEMENT: if LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SI FLOOR LOAD: SECOND: 1;F5 if GARAGE: 513 of FRONT. 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I THRD of RIGHT: ., OCCUPANCY GRP: Ir{ DORM: It L BATH 1 TOTAL 3,J3 if VALUE: 310,271.10 REAR 15 PLUMBING _ SIN.tS: 2 WATER CLOSETS: 3 WASHING MACH I LAUNDkY TRAYS: I RAIN DRAIN: log. TRAPS: LAVATORIES. ., DISHWASHERS- I FLOOR DRAINS. SEWER LINES. 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: _ MECHANICAL FULL TYPES FURN<100K: BOIL/CMP<3HP: 1 VENT FANS: CLOTHES DRYER: i PURN>-100K. 1 UNIT HEATERS: HOODS. OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES. VENTS: I WOODSTOVES GAS r JTLETS: 4 ELECTRICAL _ �..31DENTIAL UNIT SERVICE FEEDER TEMP SRVCIFE.EDERS BRANCH CIRCUI FS MISCELLANEOUS _ 4DD'L INSPECTIONS 1000 SF OR LESS: 1 0 260 omp: 0 - 200amp WISVC OR FOR: PUMP/IRRIGATION: PER INSPECTIO' EA ADD'L 500SF r,. 201 - 400 amp: 201 - 400 amp 1st WIOSVCIFDR. SIGN/OUT LIN LT. PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 -800 amp: EA ADDL SIR CIR, SIGNAL/PANEL. IN PLANT: MANU HMIsvcIr DR: 601 - 1000 amp: 601+ompa-1000v: MINOR LABEL. 1000-amolvort PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS. SVCIFDR>-225 A. >600 V NOMINAL. CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO B STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR:NDSC LT. BURGLAR ALARM: OTH: ALL-ENCOMP BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNIL GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATAITELE COMM: NUPSE CALLS: TOTAL N SYSTEMS: TOTAL FEES: $ 8,318.09 Owner: Contractor: This permit is subject to the regulations contained in the OODLET/MARSHALL GOOD LET/MARSHALL BLDG& DEVTigard Municipal Code. State of OR Specialty Codes PO ROX 91551 PO BOX 91551 and all other applicable laws All work will be done in PORTLAND, OR 97291 PORTLAND, OR 97291 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 Phone: S03-297-1881 Phone: 503-297-1650 ATTENTION Oregon law requires you to follow rules adopted by the Oreyc^ ILTI- , Notification Center Those Rep N: LIC 10088-) rule are set orth in OAR 952-001.0010 through 952-001-0080 You may obtain copies of these rules or direct questicis to OUNC by calling (503)246-1987 REQUIRED INSPECTIONS Ersn Cntrl 681-4444 Post/Beam MPchanica Plumb Top Out Exterior Sheathing Inst Storm drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Gas Line Insp Water Line Insp Plumb Final Footing Insp Crawl Drair'3ackwater Electrical Rough In Gas Fireplace Nater Service Insp Building Final Foundation Insp PLM/Underfloor Framing Insp Insulation Insp Appr/Sdwlk In POSt/BP,arn Structural Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Fi I Issued By : ��._XL� i Permittee Signature : 4tu -- \I Call (503) 639-4175 by 7:00 p.m. for an inspection needed the nrfessday CITYOF T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00121 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5111/2004 SITE ADDRESS; 13769 SW LEAH 1 ERR PARCEL: 2S109BA-08900 SUBDIVISION: I)AI1:001I. I;01 ZONING: R-7 BLOCK: LOT: 015 JURISDICTION: 'Ilei TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewe „innection for new SF detached dwelling. Owner: FEES GOODLET/MARS HALL Description Date Amount PO BOX 91551 PORTLAND, OR 97291 ISWUSAI Sw�Connect 5/11/2004 $2,400.00 JSWUSAJS�%rComicct 5/11/2004 $0.00 Phone: 503-297-1891 ISWINSI'l tier Inspect 5/11/2004 $35.00 1SWINSI11 tier Inspect 5/11/2.004 $0.00 Contractor: Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services The permit expires 180 days from the date issued. The total amount paid will be forfeited it 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 Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follo .rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug OAR 52-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699 issued by: k�• ,� 9 +' Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Buildink Permit Application City Of Tigard Received 14It, Permit No ,-- r //I ' 11125 SW Hall FFlvol-Tigard OR 97221 Plsn Review C� Pbcxrc: 50,1.639.4171 Fax: 503.598.1960 Uew /c'✓ � / onthorPemti4)•l/ Inspection Line: 503.639.4175 Date Reedy/By lune 0 see Attached Checldbt for Internet: www.ci.ligard.o r.us Nry ified/Method supplemental Information "ft 1Lt1►i6i& Fi QUI(RED DATA:1-AND 2-FAMILY DWELLING s New construction ❑Demolition t fees'arc based on the value of the work performed. te the value(rounded to the nearest dollar)ofall Additionialteration/replacement Other equpment,materials,labor,overhead,and the profit fix the CATEGORY ON CONSTRUCTION work indicated on this application. — ® 1-and 2-family dwelling ❑Commercial/industrial Valuation_— $275,000.00 ❑Accessory building — ❑Multi-family — Number of bedrooms: 4 ❑Master builder ❑Other: i- Number of bathrooms: 2 IR------- .DOH SITE INFORMATION AND LOCATION — Total number of floors: 2 h6 life amaatr. -Ma too!'fU111111111 _-___-- ---- — New dwelling area: 3,223 - square feet City/State/7.113: Portland,Oregon 97224 ---- Garagelcarport arca 513 square feet -- Suite/hidg./apt^no: - Project name Daffodil I1111 Covered porch area 0 square feet -----� Cross street/directions to job site: Deck area: 0 square feet Other stnrclure area: 0 square fat REQUIRED DATA:COMMERCLIL-USZ CHECKLI8T Subdivision P 11 - (� t�� Lot no 15 Permit fees*are based on the value of the work performed. Tax map/parcel no.: '�,� �� /,� .� - - Indicate the calve(rounded to the nearest dollar)of all _— —_--_ equipment,materials,labor,overhead,and the profit for the 1111SSC'Rt"ION OF WORK _work indicated on this application. -NewSFR --_—___�. -------___-- -----___--______ Valuation.— - $ --- -- -- - -- - — F,xisting building area. square feet New building area: square feet ® PROPERTY OWNER [I TENANT Number of stories: Name:QxWlet/Marshall Building&Dev.Co, Type ofconstruction: Address.PO Bo:91551 Occupancy groups: City/State//]P:Portland,Oregon 97291-0551- __ --. --_-----___._--_--_-- Existing — Phone:(503)297-1881 Fax:(503)297-1650 New --� -- ® APPLICA14T — ® CUNT!LT I'LRIION NOTICE Business name:Patrick 8chrnitt,Dealgrwr Inc. All crmtra0irs and subcontractors are requited to be Contact name:Patrick Schmitt licensed with the G.egon Construction Contractors Board --- ------------ - under ORS 701 and tiny he required to he licensed in the Address:2414 NW Stimpson Lane jurisdiction in which work is being performed.If the City/State/ZIP:Portland,Oregon 97229 applicant is exenim from licensing,the followintt reasons apply: _ Phone:(503)768-4573 1:ax: :(503)246-3559 — E-mail:echndttdesigrHa`comcast.net --- ------_----------'_-� - —� CONTRACTOR --- -- - -- -- - -- -------- ----- Business name:Coodlet/Marshel Building&Dev.Co. '--- -- --- - ------------------- __.__-..__..--._---. BMLDF 40 PERMIT FEES' Address:PO Bot 91551 — ---"--- -- __ IMease refer to jee schedule. City/9tate/7.IP:Portland,Oregon 97291-11551 --- - -- _- - — — ----- - Fees du.. n application Phone:(503)297-1881 Fax:(503)297-1650 -- ---— - ----- -------- Amo, it received CCB tic.:10882 — ---- _ - —-- ——_,...._— ---- ------- -- Date received. Authorized signature: This permit application expires If a permit b not obtained within 180 days after N has been accepted err complete. Print name:Patrick Schmitt Date:4/14/04 ' Fee mcthodologv set by Tri-County Building Industn — — --- ---------� Rrnvr R%Mrrl Electrical Permit Application Date roceived: Pr,mit no.: City of Tigard Project/appl. : Hxpiredate: GiyofFigard Address. 13125 SW Hall Blvd,Tigard,OR 97223 Date Issued: By: Rexxiptno.: Phone: (503) 6394171 Fax: (503) 598-1960 Can file no.: payment type: Land use approval: I &2 family dwelling or accessory 0 Commercialfendustrial 0 Multi-family U'tenant improvement PFNew oonstruc0on U Addition/alte ation/mplacement 0 Other: -__ U Partial Jab addrrsw 1 tc�1� tt/LA.c Bldg.no.: Suite no.: Tax ma tax lot/account no.: Lar: C Block: Subdivision: Do fVrfl,a%- k.4- Project name: Description and location of wxk on promises: Estimated date of completion/ins on: Job no: FIND INat Business l� n �• De+nfpiora ea) Trial w. Innis Add_:,:en: Ski / !Ve"'c,rLllaela fa�Yy ry /:7'�,� dneit.g ttrrtytlte- ity:zy, State:6v; M. r Set.iocladviled: Phone: q_ ftx:C &mail: 1000 sq.ft.or less --- r'CB no.: Blee.bus,lic.rad: _�additional 500 aq.ft.or portion thereof united ernergy,residential 2 City/metro 'C.no.: _ Umited energy,nm-residential 2 Foch manuf ctured home or modular dwelling - -- 3 of---tt�etris j electrician it+ed Dille Service and/or feeder _ -- ?_-- So .else name �, ---- uc ase no: Senlcas or feeders-IaataliaHoa, P (P�t):/ •�uw a i 7 y -} alteration or relocation: 200 amps or less Jame(print): MAO bNM+If+oeOl tiT ►�Qh k vG7 20i amps aro 400 amps 2 Mallin address: sot soups to 600 amps —-- - -- 2 tt��, 22 - _ _2 -_ g_addre 155 _ _ 7 ( 601 to 1000umpa -- -- 2 city-:. ,D __.. State:o"t-LZIP Ova 1000 armor volts 2 Phone: 717-115N Fax:21 7,14 Y O 1 E-mail- Owner installation:The installation is being made on property 1 own Tamporaryaarricworhedera- which is not intended for sale,lease,rem,or exchange according to frdfallaUaa,dtertrisr,orrrloc.Unn: ORS 447,455,479,670,701. 200""p`or leas -.-- --- 2 201.1 to 400 amps 2 Owner's 91 le: Date: 401 to;00 am -�-- -- 2 Brood:circeMa-sew,aheratlorr, or esilawles per Postel: Name. — --_ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Cit : Slate: 7.IP: B. Fee for brunch circuits without purchase --y-_—_-____ --.-----_-- -._ _. _--- _- - ----- _-. ----- _._---_.___- of service or feeder fee,first bnnchcircadt: 2 Phone: Fax: E-mail: -- - -- - Badh additional brunch circuit: Mise.(Servtee erfeader not incladed)i U Service ova 225 enps-corranecial 0 tteanh-care fdlity Each PUMP or irrigation circle 2 •Service over 320 humps-rating of I d•2 0 Haz idous location Each sign ter outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(a)or a limited energy panel, O System over 600 volts nominal more residential units in ane structure illeation,or extension' — —-- 2 •Building over three straits ❑Peede s.400 amps or more •p,ye d •on: 0 Oaatpeet toad over 99 persons 0 Nanafactued structures or RV part Cwe!a4�fiotral topeelM over etre allowalhltr IN sap of the dog 0 BgresaNghlingplan 0 Ocher.- —_-_-- - - 9&ffidt-_Bob art lbs vim my of the An I — Tim dhove are taut tot cottrttrwdm aconite. oene• .�---��—may _ Permit fee.... Not M jurisdictions wcW crest crdk Please all lml-dkdm Por nue hrthrrasdtrh Notim:This i hexmit application .. ... -------- O visa U MasterCard expires if a permit is not obtained Plan review(at ., 95) $ _- Cmdh card camber -- ---- _ - within ISO days after it has been State surcharge(895)....$ _ --" lTame r leer iZr •Y,credit caro-- r,hp'R' accepted as complete. TO'T'AL.......................$ f _--A 4404615(&VDICOndl . atlr� Building Fixtures Plumbing Perinit Application " City of Tigard .__ Date received: Permit no,: Address. 13125 SW Hell Blvd 'Ile ud, OR 972121Sewer pannit ao,: _ Budding p/rntit MO.. Cry o/7)l;nrd phonc: (503) 639-4171 Pro)ect'eppl ,o_ _ ^- Expire date _ Fax• (503) 598-1960 I Uau- 'tied 1 9y - Rat°t_pt _no., land use approval: _ _. cast AIS no.-- Paymcnt type l "famMy dwelling or accessory O Cotnmercial,'industrial O Multi-family D Tenant improvement lew eonsttwition ❑Add ition/allerai lott/replaceutt';u J Food service 00ther Job addruse; \'�1(CO� ';N-) 1*Ayr —M0^orc.E:_ Description i( t ,i Feelrut. Total eW 1•aL i Jlld to.-r-. - --- 15uuc no.. -- -'--� ' ydwe a1i3s only: Tax mapnert loU GeO_unt no.: > V5 `-- (Includes 100 ft.for each utility connection) SFR(I'r bath r Lal_ `- i0lock: —division: - -_ ___- tFR12"ail: .`-�--- '- __ �.-- Pro)ect name: U Nj� - - ... - �_. t iryrcounty _ _j Zip 1Zaddlnona( ,elh' ttc ien _ Descnption and 'ocation of work or,premises. -ZJ�ty SFt Siteatilities: - ____ C'ttch h;itim/area drain ast.dAte ofcom lehon/ins action:IIWRT M L_Fo._ot_rt_iaruni(no lin ft.) L�usineslname: �tmtufactutr hornrutililiac - ---•�` Address tta _ _ Rare dralri connector - ""'— City. _ Stara: ZCP r Saott+r cows _ ��Q13 r(nn. lin. r` Phone: b Fa,-�'P6 14 IL-I ];•cacti. Storm sewer cca no.: 1 Plumb.bus.reg. no- Water service iin. Ci mAetra lie.no.. Fixture orltemi _._. ....__._._ _L 00_.Q� f_ "'" ,�, Absorption valve l� onvactos's repr-sentetiae signature; -� ? Back clow re�'eo�er i Pant name: F ' r bate. P -- --- _ - Backwetnr vyYve C�Da�ins/lnvrnory - - btlles Washer , . _- - --- ••-- _ _ _ F---Address_ 1\ to gTtrs rJ� ) ishNeanc: Co .. r Q.t� v? StatcOR ZiP Z9 -- Drinking•o�n7~ n(sj ._-- - - — Eaci:rr,oumP -- 1 Frrtute'sc„cI cap ----+�. Floor dtatr,eifl0or�rnks%hub - `-` -"T Name(pnnt)uN1 i ( y �r r-•b . _ � Ma, tug address 1 �C ,f _ -- -- -r--- --- -- 4 _ _... ---- ----- rot, bibb - -� City. i'(�(Lfi L1M_ 75tater ZIP- V7151 Ice maker - 1 Photic. 2'(� lgQ Fat ?317 1�cSy Email. lntercep%aNlreese-trap Owner rnstallatioUrrcidoltJel rruiritettamce ortly: The actual malslletlan Primer( Will be made by me or the meimenanee and repair made b} y YY, t commerc in o alar ----__ Roo�i•va ;al employee on the property I own as per ORS Chapter 447 Owner's sc acute. Date- Sump -- Tubs�s'hoiv�It/aTiower pan Name: tlriu_el�7 ...... WHle'r aiwol - — -- -j Addrca{' Watct hcat r - - -- , 1 Cit- -- _._... _... _ Stats: Z1P c Phone: _» .lPal mail, Minimum fee.. ....... .... $ (WM all)w,advn.Io.»p mwf11 curb p1e1/a 1111)oriWltNon re,n+nr!Infn"noboi `conte. "13il3 Permit aPphpatien a I U vlu 11oU0 Macter;ud e>ockc if a peanut is nit obtained Plan review(At /e , ) (CrWltcVdnumtxr.T -,___-- �aP+a within 190-lays Oer at has been State surcharge(8%).... $ a as corn �_-- ced icre. TOTAL.................rrr,,.. > _ ... Name of es o' v u th wwe nn np tAearn ��P P ��irdla3dse`►1 rytYte�� M+ooM Mechanical Permit Application Receiv7(ed I'eamit Noo6r 1,.f 4 . Q�' City of Tigard �^ nate/Ity I . 1.4125 SW(tall Blvd..Tigard.OR 97223 k 0-' �1 flan Review Other Pertnu: Phone: 503.639.4171 Pax: 503.598.19110 bale/By Inspection Line. 503.639.4175 nate ReadyrBy hum 0 see Page 2 for ImLrnct: wwwxi.tigard.o vus Notified/Method supplemental information �n{r� of WORK (,()MM6RCIAL FEE* fIMDULE- USE CHECIU IST — ---- --— Mechanical pemlit fees'are based on the value of the work New construction 1]Add ition/niteration/rePlucernent Moored.Indicate the value(rounded to the nearest dollar)of al. Demolition []Other: mechanical materials,Clui.rLix tit,labor,overhead.and >fit. -- --- -- Value:$7,") CATEGORY OF CONSTRUCTION - -_�_. RESIDENTIAL,EQUIPMENT/BYSfEM5 FEES* (8 1-and 2-Iwnily dwelling n Corrunercial/industrial ❑Accessory building hbr special rrtformaric n use checklist _ ❑Multi-family C]Master builder ❑Other. Descriplioo ci"y. FAt Total JOB SITE INFORMATION AND LOCATION Beating/cootlng '--' Air conditioning or heat pump Job site address 13769 SW Leah'rerrace LrpTres site plan shewil Llacemrnt 14.00 city/State/Z11':Portland,Oregon 97224 J_T--_- - J-- - Furnace 100,000 11TU(ducts vmv 14.00 1'urrtace 100,0(01 13'111(ducWventa) 17.90 Suite/bldg.,apt no.: Project name:DaRndll 1111) (las heat pump 14.10 Crows street/directions to job site: Duct work 14.00 -- - --..--- I lydronic hot water em 14.00 Residential toiler(radiator tx - ---- --' ------_. -.--- �dronic 14.(0 -_----- --__..-------- -------- Unit heaters(Biel-tvpe,not electric), in-wall,in-duct,susimmoled.etc. _ I0.00 -- --- Flue/vent for any of above 10.00 Subdiviairm: Lot no..l." 10.00 Tax maplprcel no.: - Otter fltel appliances -- DESCRIPTION OF WORK Water heater - - _ 10.00 __-----_..------ ----. - Cies fireplea 10.00 New SFR Flue veru for water treater or gas - -- ...- - - - 10.00 �._ -_ -re lace _ ---- - -- l,) li r(o) 10.00 Wood/pellet stove I0.00 Wood fireplace/insert - 10.00 -- Chi (liner/flue/vent _ 10.00 - ® PROPERTY OWNER - ❑ TENANT (cher: — 10.00 Name:(kx)dIet/Marsha8 Building&Dev.!b. Env_iromnental exhaust and ventilation -- -- _ --- -- Range hlxxl/other kitchen Address:PO Box 91551 -_ e(Eipment --^-- 10.00 City/StateiZIP:Portland,Oregon 97291-0551 --- - - Clotho dryer exhaust 10.00 _.. _. ------ Single-dud exhaust(bathrooms, Phone:(503)297-1851 Pax:(503)297-1650 toile)amt erns,utility ro n 6.80 ® 151 PERSON Altiacxnwlspece fatw10.00 APPLICANT CONTACT PE i- ---- -- .. - - -.-.-__ - ----..----- Other _ _ _ _-_ 10.00 - Business name:Patrick Schmitt,Desipwr Inc ----'._---- -_ Fuel piping - Contact name:Patrick Schmitt �— _S5.40 for find font,$1.00 fnr each addlHnta) _ -.._ - - -------------_ ---- Fumece,eta _ Address:2414 NW Stimpson 1 Ane _ Oas heat pwnri City/State/ZIP:Portland,OR 97229 -_- _- Wall/suspntded/unit heats Phone:(503)768 4573 --- Fax' 15031246 3559 Water heater _ ------ - --- --- ---------------- Fireplace -_ -- -- E-mail:achmlttdesigilikcnmcast.net Range CONTRACTOR Barbecue-- - - -- -_-_ - - Clcrthes er -. Business name:Michael's mechanical - - �--- - --- -------- other: Address: 1241 NF.194th - -- MRCgAXV,AL PERMIT PEES* -_ City/8tate'7.I1"+Portland.OR 97230 Minimum permit fee($72.50) Phone:(503)661-6183 Fax:1503)661-4341 Plan review(25"0 of Permit fee) CCB lic.:35795 _--_-_-_State surcharge(rlbofpemnitfee) - _ --`-- _----.__---- - TOTAL PERMIT FEE 7hh permit appllcatlon expirer if a permit M not olrisined within 180 r Authorized signature. t'( day.atter n ha+been accepted as complete. I ..._... n-tee.. n_•-__.... � .. .,. . �. -_-_� • r.,.,...,..,1.•..1..1•-.. ..,.,.., 1'.,r.,,..,.11, 1.1�nn 1n,I.nn.C.,...,-.A..•..1 Mechanical Permit Application FOR.OFFICF,USE ONLY City of Tigard DateBY Permit No. `, /z 13125 SW liall Blvd,Tigard,OR 97223 Plan Review r Phone: 503 639.4171 Fax: 503.598.1960 Datc/By Other Permit: Inspection Line: 503.639.4175 Date Ready/By'. June ® See Page 2 for Internet: www.ci.tigard.or.us Notifled/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE-CHECKLIST ❑ New construction Mechanical permit fees*are based on the value of the work ❑ F.dditlon/alteratlonircplaccmcnt performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit CA'I EGORY OF CONSTRUCTION Value:S ❑ I-and 2•famlly dvsellln. RESIDENTIAL EQUIPMENT/SYSTEMS FEES"❑Cotntnercial industrial ❑ Accessory building For special information use checklist. ❑ 1111111-fannly ❑ Mastcr builder ❑Other Description Qty I Ea I Total Y�JOB SITE INFORMATION AND LOCATION Heating/cooling "1j7� �"i ` Air conditioning or heat Job site address: CIL (requires site plan showing lacem lacernent 14.00 Furnace 100,000 BTU(ducts/vents) 14.00 City/State/ZIP: �' � 1 Furnace 100,000+BTU ductstvents 17,90 Suite/bldg./apt.no.: IF Project name Gas heat pump 14.00 Cross street/directions to job site- Duct work 1400 H dronic hot waters stem 14.00 Residential boiler(radiator or h dronic 14.00 - Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc, 10.00 Subdivision Lot no.: Flue/vent for E!y of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances Water heater 10.00 - - -'-- Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 -- -- ---- -- ------ - Log lighter as 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 C3 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 ___-- -__ -._-._ Other 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen e ui me 1000 City/State/ZIP: Clothes dryer exhaust 10.00 - --- -- - -- -- - - ------ -- -- Single-duct exhaust(bathrooms, Phone:( ) Far i ) toilet compartments,utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawls ace fans 10.00 Other: 10.00 Business name -_----- ---- -. �_._.-___ .. ---- —--- ----...___. ------ Fuel piping Contact name: $5.40 for first four;$1.00 for each additional Address: Furnace,etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) e� Fax: :( ) Water heater Fireplace F,-mail: Range Barbecue - t. �-��I r t Q - — Clothes dryer(gas) Business name. .7 --- ---- - Other- Address: therAddress , ( � MECHANICAL PERMIT PIKES' Ciry/State/ZfP: r V`i,� -- --- Subtotal --�- Phone: r ' Fax;( ) - - - Minimum permit fee(572.50) � ) d Plan review(25%of permit fee) CCB he.: State surcharge(8%of permit fee) - - — TOTAL PERMIT FEE Authorized si ature- T This permit opplicannn expires If a permit is not obt::ned wlthP,180 days after It has been accepted as complete. Print name: ate: (a Fee methodology set by Tri-County Building Industry Service Board i',Bmldm9�PermarMEGPerrnnAppdoc 12/03 440.4617T(II102/C0bi/4B) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100,00 or fraction _ thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and $1.80 for each additional$100.00 or fraction thereof, to and including $10,000.00. $10.001.00 to$50,000.00 $231.50 for the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including _ $50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. i\AuildingTermits',MFC•PemiitApp doc 12/03 2 IV 1 i i i . 76 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00514 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/15/2004 PARCEL: 2S 109BA-08900 SITE ADDRESS: 1:3769 SW LEAH TERR SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 015 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: Irrigation backflow. FEES Owner: -- — Description Date Amount GOODLET/MARSHALL PO BOX 91551 il'LUMI�I I'crmit Frr 11/15/200z $36.25 PORTLAND, OR 97291 i I AXE R°i,State Surrharr 11/15/200z $2.90 Total $39.15 Phone : 5n3-2O7-1881 Contractor: CATANDELLA IRRIGATION + BACKFLOW 5334 SE DEL RIO CT REQUIRED INSPECTIONS HILLSBORO, OR 97123 — — — RP/Backflow Prevente.r Phone: 356-8022 Sprinkler Final Reg#: MET 5351 LIC 11499 PLM 7u» This permit is issued subject to the regulations contained in the Tigard Munic;pal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow ru'as adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by (ling (503) 246-6699. Issued By �_Q ti, _ Permittee Signature. < Call (503) 639-4175 by 7:00 P.M. for an inspection needed;C��e next business day Building Fixtures PIun, L,#Ln Permit Application City of Tigard Receive) �" permit Na: d IJ125SWHaill3lvd.,'1'igard,OR9722J Dete/B :�� 1,1011 Review Other permit Nu. Phone .503.63).4171 fax: 503.598.1)60 Date/By: 24-Hour Inspection Line: 503.639.4175 Dale Ready/By Juni 121 Sce Page 2 1'or Internet: www.ci.tigard.or.us Notified/Method: I Supplementallnrormullou TYPE OF WORK FEE* SCHEDULE XNew construction ❑ Demolition For spen',71 in oronnrion use checkli.sr. -_---_ _-_— ----_-- Description I Qty. La. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION -- SFR(1)bath 249,20 TillI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath _ 350.00 ❑Accessory building - ❑ Multi-family SFR(3)bath - 399.00 --- - - - -- Each additional batt;/kil6ien 45.00 ❑Master builder ❑Other: -- - -_ Fire sprinkler(__sq.it.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Joh site address: ` l.-� i C?j C Catch basin or area drain 16.60 City/State/"LIP: -1;-t �. Drywell,leach line,or trench drain 16,60 Suite/bldg./apt.no.: Project name: Footing drain(no,linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 `�-�� ►(`�� t'> Rain drain connector 16.60 Sanitary sewer(no.linear ft.:_) Page 7. Storm sewer(no.linear ft.: ) Page 2 Subdivision: L+ -- - Lot no.: Water service(no.linear ft.: ) Page 2 Fixture or Item Tax map/parcel no. -— _ -�..-- Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 T r•AJ h 4N Backwater valve - 16.60 Clothes washer 16.60 --''- -- Dishwasher 16.60 - Drinking fountain 16.60 ❑ PROPERTY OWNER ❑ TENANT ---- -__-___.-----� ------ - Ejectors/sump 16.60 Name: _ _ Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: -~- Floor drain/floor sink/hub 16.60 i— Phone: Fax:( ) r Garbage disposal 16.60 ( ) - — ❑ APPLICANT ElCONTACT PERSON Hose bib 16.60 -- -------_ — - , - Ice mr"r:. 16.60 Business name: � � �l C f r•� o n_ rf (C�w Intercep c g eii il t 1p 16.60 Contact name: ,JMeotcel Page 2 Address: S j�{ j ,tel K u �, Primer 16.60 City/State/7iP: Roof dr? %nmercial) 16.60 4 3� Q,�� J ( ) Sing avatory 16.60 Phone: 7 Fax: -- Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR _ Water closet 16.60 Business name: i"I _ -_ - Water heater_ 16.60 ` Address: Other. _�- "---- Subtotal City State/ZIP: - _- Minimum permit fee: $72.50 Phone:( ) Fax:1 1 Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic.no,: Plan review (25%of permit fee) J State surcharge(8%of permit fee) Authorized si azure: -_1 09 TOTAL PERMIT FEE Print name: Date: (yC This permit application expires if a permit is not obtained within 180 clays after It has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. I\nuilding\Permiu�PLMF-PermilAppdoc 12/03 4404616T(10/02IC0M/"8) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information t . Fee Schedule: Residential Fire Suppression Systems: Site Utilities city. Fee(ea) Total Square Footage_ Permit Fee: Footing drain-I" 100' 55.00 0 to 2,000 __- $1 15.00 --_- Footing drain-each additional 100* 46.40 2,0_01 to 3,600 $160.00 - 3,601 to 7,200 $220.(0 Sewer- I st 100' -' 55.110 7,201 and Kreuter -- $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: Strnm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72..10 _ Sturm&Rair, Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$L52 for each Qty. Fee(ea) Total additional$100,00 or fraction thereof,to and Fixture tar Item _ including$10,000.00. Commercial flack Flow Prevention Device 4640 $10,031.00 to$25,000.00 $,48.50 for,he first$10,000.00 and$1.54 lite Residential Backflow Prevention Device each additional$100.00 or fraction the'eof,to (minmoum permit fee$36.25) 27 55 and includun$25,000.00, 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 fractioi..nercol',to Inspection of existing plumbing or and including$50,000.00. s ecially requested inspections-per hour 1 72 511 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal; -�-- a-icli additional$100.00 or fraction thereof, Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. uantity b (Flit re)Work Performed Fliture Type: Replace Nets Moved Exlsting Capped Comments regarding fixture work: Baptistry/Font Bath -Tuh/Shower -Jacuzzi/Whirlpool Car Wash -Each Stall _ -Nve Thru _ _ ---- Cuspidor/Water Aspirator - -- Dishwasher -Commercial -Durncstic -� -- — --- --• -- Drinking Fountain - ---— - ` Eye Wash Floor Drain/sink -2" — — 3„ -� --- — ---_ -- 4" ------ C:ar Wash Drain _ Garbage -Domestic Disposal -Commercial *Note: If the fixture wt,rk under this permit results in an -Industrial — increase of sewer EDtls, . .._.ver permit will be issued and Ice Mash/Refrig.Drains — Gil Selrarator(Gas Stations fees assessed for the sewer increase must be paid before the Rcc.vehicle Dump Station _— _ _ plumbing permit can he issued. Shower -Gang _ -Stall _ Sink -Bar/lavatory _ _ uafltit ,Total -Bradley -- Isometric or riser diagram is required if fixture quantity -Commercial total is>9. -Service Swimming Pool Filter _ Washer-Clothes Water Extractor Plait Re iew Water Closet-Toilet_ _ _ Plan review is reouirod if fixture quantity total is A. lJrinol Other Fixtures: -�- -- --- i vnmIdmi;Pit WPLM-Pm tApp due Jot CITY OF TIGARD 24-Hour BUILDING Inspection Line: (SC4'639-4175 MST — INSPECTION DIVISION Business Line: (503)639-4171 1 BUP Received __ Date Requested— r AM PM— BUP - Location ___ 9—___t�� J �`- Suite --__- MEC Contact Person Ph(— ) 5�� -� PLM Coniractor__-- __ -- __—_-- - Ph(--) _ SWR BUILDING Tenant/Owner -- ELC Footing ELC - - Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: -- Post R Beam -----_----- " _ —_-- Shear Anchors Ext Sheath/Shear ------- ---- int Sheati,/Shear Framing --------- --- Insulation Drywall Nailing - --------- ----- - — - - Firewall Fire Sprinkler -- -- -- Fire Alarm Susp'd Ceiling - - --- - -- - -- / -. Roof -- _— Other: — Final -- PASS PART FAIL ---- Post&Beam Under Slab - ----- -- -- -- Rough-In Water Service - ----- --- _� -- - Sanitary Sewer Rain Drains - - — ---' Catch Basin/Manhole __- Storm Drain -� -- - -- Shower Pan P S PART FAIL - - CHANICAL _ _ ----_ . - ------ _------ ------ --_— — — Post& Beam Rough-in — - ------ - ----- ----- - --._— Gas Line Smoke Dampers ---------- -- ---- -- ------- - - ---_— -- Final PASS ?ART FAIL ------_---_--------.--._--------- ELECTRICAL ------ Service Rough-In _-- UGtSlab Low Voltage __ - ---- - - -------— - - --- Firp Alarm Final n Reinspection fee of S-____ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL SITE - L] Please call for reinspection Unable to inspect-no access Fire Supply Linq ADA / L Approach/Sidewalk Date /-Y/� Inspector Other / DO NOT REMOVE this Ins ectlo ecord from the job site. Final p PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ._ Date Requested.— � AM ---PM BUP Location Suite—_ MEC Contact Person _ Ph PLM Contractor —_ —_ Ph ( —) _ __ SWR BUILDING _ Tenant/Owner __ ELC Footing Foundation ELC . ACCHSo Ftg Drain ELR Crawl Drain Sl,,b Inspection Notes: SIT Post& Beam - --------------- -- ---- Shear Anchors -- E�! Sheath/Shear Int Shc)ath/Shear - Framing - - -- -- - Insulati m Drywall Nailing -----------_—.-.__—_ _ -_-- Firewall Fire Sprinkler ___.---_--__-_- ------ - F;re Alarm Susp'd Ceiling --_---- Roof Other: --- --- --- ---- ---- Final PASS PART_ FAIL_ PLUMBING Post& Beam ----- -- - ---- ----------------------- — --- UnderSlab --------- —._ __ -.._---- Rough.In Water Service - - - Satiitary Sewer linin Drains - -- - - - Catch Basin/Manhole Storm Drain - Shower Pan Other: Final --- - --- - PASS PART FAIL -- ------T------�--- ---------- M_EC_H_ANIC_AL -Past QBeam Rough-In ---- G.is Line - SmokeDampers -- ------------------------__.__-__-__..-----.-_.._-_._.__— --w.__ T_. Final PASS PART _FAIL -�-- - ---- -- - --- ELECTR_ICA_L. � _ ._Service —� ----- --- - - --- — - Rough-In - UG/Slab �Qto #�`--- ---- -- - ------- - -- - - FirqZrm ina C Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ASS PART FAIL__ SITE E1 Please call for reinspection RE: -- ____-_ Unable to inspect-no access Fire Supply Line ADA /,Z Inspector - �C / ��f Ext Approach/Sidewalk bats � � Other: ___ FinalD6 NOT REM OVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST �d INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested AM__—_ PM_ BUP Location — �' 7 6., Suite _— MEC Contact Person . _-- — — Ph( ) _ PLM Contractor ____— Ph(--) — SWR BUILDING Tenant/Owner —_________ — ELC —_ Footing ELC Foundation Access: Ftg Drain 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 -_---- ----- ---- --- _ Roof Other: --- ------- - - ------ ------ - Final PASS PART F;iL -- -- --�------ ---- PL_UMBING_ _ _�— ------- - - -- -- ---- Post& Beam - Under Slab - - - --------- - ---- Rough-In Water Service --- ----- -- -- ----- Sanitary Sewer Rain Drains ----- - - ---- — --- - Catch Basin/Manhole Storm Drain ----- ---- _ --- --- ------ --- --- Shower Pan ZAIPART FAIL CH_ANI_CA_L -- - -- ----- - -- - — Post&Beam Rough-In - --- --- - ---- -- -- - Gas Line Smoke Dampers - ----- _ ---- Final PASS PART FAIL ELECTRICAL — Service Rough-In UG/Slab -------- --_ -- -----------__ -- ------- Lok^Voltage — - - - -- - _._ ----.- - - Fire Alarm Final Reinspection fee of$_-. _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: --_- ___________-._.- Unable to inspect no access FireSupply LineADA Date ��__-." Inspector . I ..-_--1/ Ext-- - Approach/Sidewalk -_- -- - - --"_" Other Final DO NOT REMOVE this inspection record from the Job s1te. PASS PART FAIL .AAAAAAAAAAAAt AAAAAAAAAAAAAAA IAAAAAAAA AAAA/, ► ► � O u ► ► � � r x ► ► A a t4 J ► poll A 44 ° ° 4" .-4 oi. t v l ► ► A v b pop► .� ,o ► 10. OC X,. — tx .-� r ► -s C� -- -- — ► ► 10. tn t A Q �-+ ► / --- CITY OF TIGARD 24-Hour BUILDING Inspection Line: 503)639-4175 MST INSPECTION DIVISION BusinesyPh 03)639-4171 PUP Received _____-_-___.-�Date Requested Z, AM _ PM BUP Locatir n _-/� _L �� `Suite_ qq MEC Contact Person ___.__..__.__ �--e' '� -- ) '� �L PLMContractor _..T �__ _ � ) SWR BUILDING Tene tt/0wc,?r ELC Footing-- _.�-- Er C Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post& Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall __ w Fire Sprinkler /0-7— Fire Alarm Susp'd Ceiling - Roof Other: _ -r-FTn-a7 —LASS PART FAIL PLUMBING Post& Beam Under Slab ROL ;h-ln Wat,3r Service --- -- — — Sanitary Sewer Rain Drains — — -- Catch Basin/Manhole Storm Drain — Shower Pan Other: — -A--' Final _...-- ------- PASS PART_FAIL_ ---- _MECHANICAL ------------ ---- ------------- ---- Post& Beam Rough-In _�._-- —-- ._. .. --------------- ---- �� _ Gas Line Smoke Dampers -- — ----- -- -- Final P SS PART FAIL -- -- -- --- —--- --- ECT _�_-_.---- -- ------ --- - Service Rough-In ' lv>- - UG/Slab L. Low Voltage' ` Fire AlarmJ.f� f-nal LJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. —;_SS PART FAIL SITE n Please call for reinspection RF:_ ___— Ll Unable to inspect—no access ;7y Fire Supply Line ADA c� G ---- Approach/Sidewalk Date- __._t� _. Inspector —_ Ext Other: Final DO NOT REMOVE this Inspection record the Job site. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (5 39-4175 MSTG INSPECTION DIVISION Business Line: )639-4171 SUP Received Date Requested_ �� AM PM__ SUP Location 121 L, `j c- C-.-Q _ Z-' Suite MEC - — Contact Person �� '�'�� P _--) - �� PLM _ Contractor SWR BUILDING Tenant/Owner -___- _ ELC - Footing ELC - — Foundation Access: F tg Drain ELR _ Crawl Brain Slab Inspoction Notes: SIT _- Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -_, 7! ( _-� ' C Insulation Drywall Nailing - Firewall �— �• �� Fire Sprinkler -- -- Fire Alarm Susp'd Ceiling --� ----- Roof Other --- _—.__——�— %'-ASS\ PART_ FAIL -- ---- ---- - _ - ING_ -_-- Post&Beam - Under Slab - de- Rough-In Rough-In Water Service - - - SanitaryDrSewer Rv-��! s• Rain Drains - - -' Catch Basin/Manho Storm Drain ��-� --- --` -- -- Shower Pan Other: - ---- --- -- Final sowed _ PA_S_S_PART FAIL -- - MECHANICAL -------- - - ---- - -- ----- --- - Post& Beam Rough-In - .__------ _---- --- ------ --- - --- -- Gas Line Smoke Dampers -- Final PASS PART FAIL -.-- ------ -- -`-_�- -_----- ---» ELECT_RIrAL _ Service ._ - - --_-_--------- -----�.-- --- ------___.._ Rough-In _ - ------------- ---- -.�.__� UG/Siab Low Voltage FireAlarm __._-----..-_.__---- ----- ----------------- - Final Reinspection fee of$--_ __required before next inspertion. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAI_L_ SITE Please call for reinspection RE: j Unable to inspect-no access Fire Supply Line-- -_-- ADAL� Approach/Sidewalk Date -,_-- f- _ Inspee-tor Other: Final DO NOT REMOVE this Inspection record orn the Job s1te. PASS PART FAIL r D 1 O c x 0 C C c V y iv CL j V y U •� v N � N � N U C � 1•v N V. L J � h t y v o � a