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Permit � 4 � CITY OF TI CARD MASTER PERMIT A PERMIT #: MST2004 -00167 ,jib, DEVELOPMENT SERVICES DATE ISSUED: 7/14/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15135 SW 93RD AVE PARCEL: 2S111 DB -KE013 SUBDIVISION: KESSLER ESTATES ZONING: R -4.5 BLOCK: LOT: 013 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: BVH3212 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,402 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,810 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 308,476.80 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,212 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,715.69 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES Tigard Municipal Code, State of OR. Specialty Codes 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C and all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 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: 503 443 - 6033 Phone: 503 443 - 6033 ATTENTION: Oregon law r you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 152235 rules are set 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins F Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage • Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Final inspection Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp / __,- Issued By : / 0 _�. A_�(_%f _ Permittee Signature : U Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next usiness day/ Buildia • Permit Ai 110;,. ioa t I. FOR OFFICE: USE ONLY __ .. ' - Dei 6D I M Building r ./ /„ I / ` ! i'° i ‘. ' Date/By: � � b �..�J Pcrmit No.: r l City of Tigard Planning Ai).rov.1 other 't Permit No.: n 1 �Oap 13125 SW Hall Bled. 0 1 Date/By: Plan ReVieW Other `� /6 5' Tigard, Oregon 97223 Date/By: ,✓lA V 7 —I —o Lf Permit No.: Phone: 503- 639 -4171 Fax: 503 �� -t 5191GA� A �w;f, 't r i Post- Review Land Use . _s Date/By: No. Case Internet: www.ci.tigard.or.us q � J Lp1 D IV . I I - Contact C e � See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: /j Supplemental Information TYPE OF WORK :.. ...: • © New construction El Demolition - : • . REQUIRED DATA: _- .� :::_ ::: ' : • -' _ • 1 & 2 FAMILY DWELLING, • • : -- • 11 Addition/alteration/replacement El Other: ' . CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. indicate © 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family ❑ Master Builder ❑ Other: Valuation S . JOB SITE INFORMATION and � LOCATION • No. of bedrooms: '9 a° g,f\baths:.D ,S.--- Job site address: ( 5/ 3S 4 3 t Total number of floors New dwelling area (sq. ft.)...3 /y Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) i7..Q Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) :- : REQUIRED DATA: '. - : - - .COMMERCIAL = USE CHECKLIST ' ; Subdivision: SS S 1 Lot #: 0 Tax map /parcel #: Note: Permit fees• are based on the total value of the work performed. Indicate • DESCRIPTION OF WORK • • - the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application. DEATACHED RESIDENCE Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories D3 PROPERTY OWNER -. i .0 TENANT Type of construction Name: Buena Vista Custom Homes Occupancy group(s): Existing: Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 97219 Phone: 503 Fax: 5 0 3 — 4 4 3 — 2 4 4 3 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under APPLICANT Q 0 C ONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: Eliabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: • • E -mail: : * : - . . - - : . ._ -_:.. : ._ « ch &:I .. . . ` CONTRACTOR - . Please -. .• . , ee s u e. ': Business Name: Buena V I s to Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 Authorized /) _ Signature: ( ,� Date: Notice: This permit application aspires if a permit is not obtained within 180 days after it has been accepted as complete. `Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Perrnit Forms \BldgPermitApp.doc 01 /03 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY 4 HENNA VISTA 21002/003 • s_,.'Jo F,,. Plumbing Permit Ap lic�tm FOR 4FT1t'(? 1'tit U�LI' Received Plumbing tS / � � Date/By: Permit Na.: fr -/ - � ' 1 / 1 7 City of Tigard Planning Approval seer Date/Sv: Permit No.: 13125 SW Hall Blvd. pp�� '� �.�� Plan Review - Other Tigard, Oregon 97223 .S\‘%‘ Date/By: Permit No.: Phone: 503 639 - 4111 Fax: 503 - 595 - 1960 .,� ., Post- Review L and Use ': Insetnet: www.ci.tigard,or.us .( O r F i1 . 11 Date/By: Case No.: Contact 1uris; -- (31 See Page 2 for 24 -hour Inspection Request: 503.639$4 __-• , Name /Method: Supplemental Information- --- . `- • .r • • - T PBOP WO�1111<r'�T., - '.p.-.,` 'r''''';' , FEI 'SCI D•.1f1I'I ( to Y C 9pe[;rSt IIIftt���0�'�IL�tC�"' "�' WX. New construction r Demolition Description ] Qtr. lreo(ea,) I Total Addition/alteration/replacement Other . N,,iw`li.: :z ui '"stit►.''elliugs• j;'-; ,�:� -„ •.. - • . -.: `'end'a'de liii: lie iaiibe'IIi eoiiiii ooy.a," 4 ;''. ::', ''••r : t,CATEGQ� R'Y P .. ON R 0fGI�1ON `I-' r ' ' � SFR (1) bath 249.20 1 & 2 - Family dwelling ❑ Commercialandus r al SFR (21 bath 350.00 ] Accessory Building U Mu l SFR (31 bath 399.00 LI Master Builder Other: Each additional bath/kitchen 41.00 . , . '.YOB SrrE 1NF. a - TIER%diodL'QG/IG 0 . ' Fire • lt;r - , ft.: Pa• e 2 Job site address � ��'' � ' . . Stte. VJt311ties t ; ',:. '': -," r''�: , .. , _ . Spite #: Bld :,./A • t, #: Catch basin /area drain 1 6.60 Project Name: Drywall/10th line/treneh drain 16.60 Footiudrsin (no. linear ft.) Page 2 Cr0ss street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page_ Subdivision: I Lot #: -I, Storm sewer (no. linear ft.) Pie 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: _ • DESCRIPTION OF WORK ' • "r'" Fixture or Item • .. ' � = 1 • , 16 .60, - SINGLE )FAMILY Rad: valve -j _ acldlow prevcntt r Page 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer _ 16.60 Dishwasher 16.60 . PROPERTY'OWNFi ..4t TEN T . , . Drinking fountain 16.60 °� : atorslaum - 16.60 Expansion tank 16.60 Address: 6 9 32 SW l+tacdam Ave . Sip C Fixture/sewer cap _ 16.60 City /State/Zip: Portland F OR 9 7 21 9 Floor drain/Door sinit /hub 16 _ Garbage disposal 16.60. Phone: 503 --443 - 6033 ' Fax:5030443 -2443 Hose bib • 16.60 .r APPLICANT • • -•' . acQNT�4.C'1r' 'ERSQN . • ' Ice maker 16,60 Name: Ray Mul lan interceptor /grease trap 16.60 Address: Medical gas • value: S Page 2 City /State/Zip: Prima 16.60 Roofdrain (commercial) 16.60 Phone: I Fax: sink/basil/lavatory 16.60 w -mail: Tub /shower /shower pan 16.60 CONTRACTOR ' • . ' Uncial 16.60 , Business Name: ED Mull Pliunbi.na Water closer 16.60 Water heater 16.60 Adthess: 24470 SW Rainbow Lane Other: w _ Ci /State /Zi.: , ' _ .. . • • • other Phone: 603 -628 -1632 Fax :903 -62R -4611 �•„ :Pluta0iatePrciste: i•.. •. Subtotal S CCB Lic. #: e • • : • Plumb. Lic. #: • - ' • 0 - � - Minimum Permit Fee S72.50 S Authorized % / Residential Sacidlow Minimum Fee $36.25 Signature: . A -41../ � / • c: Plan Review (5m6 of Permit Fee) S Ray u l en Srate Swell - e 8% of ecrmit Fee S (Please print name) TOTAL PERMIT FEE S Malec; Tblb permit application expires Ira permit is not obtained within • All now commercial buildings require 2 sets of plans with isometric 180 days after L has been accepted as complete. riser diagram t?br Plea review. `Fee methodology set by Tri -County Building Industry Serrtce Board. i :\Dsis\Permit Pornss\Ptm?erntitApp•doe 01/03 3/4/2@4 16:25 5032537693 SUN GLOW INC PAGE 02 • ; , 11 - 6 '... .. i.• t ' . V \E 'D • Mechanical Pernaitf' e c• 1 a 1 I on foR 0141( IE 1.SF t_iiNt.1 . Received \A 1 11"Ilt OatatB : - IiIi;1 • 5,157 City of Tigard Planning Approval FEE0111111111111ill Dai : 13125 SW' Hall Blvd. O - I . • A ° ; .., Plan Review Iiill111111111111111 Tigard, Oregon 97223 ,...A.-N LI i . ‘ , 1 \ s N eisita/13 . ''' .1G Phone: 503-639-4171 Fax 503 nit -598-41960.1-- , . : Post Land Use Case No.: : Internet: www,ci.tigard.or.us 1.4 DatetEt : A I comet hiriS.: 1....4 . 24-hour Inspection Request: 503-639-41,75 -- • --"' NanseAlethod: . ".. .1. ''• . !...," 1. . ;.. E OF WORK . i,•I f...;:,,: cOMIKERCIALTEEt SCR:roIII.E :i.estr,cacciamsr ''. ?...:1 111 New construction • Demolition Mechanical permit fees* arc based on the total value of the work 110 Addition/alteration/replacement 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all • , - ..'....CATEGOR ::0P.CONSTRVCTE 4 .1_,..i.`2: '....' m echanical materials, equipment, labor, overhead and profit. ii 1 & 2-Fsznil dwellm: II Commercial/Industrial value: S See Page 2 for Fee Schedule I Accesso Builditg 0 Multi-Famil ,...: REsthrtra . .xmlumerrisysrozzelm:spezirom2 ,. Deur'. don Mil Fe es- Teta! 10 Master Builder III Other: Bead.. Coedit ._ ...TO : SITE INFORMATION and LOCA:111 a , . ' .,. ' ... • furnace • adcl-on air eonditiouin • 11 * 14.00 Job site address: 01/4,11relMirritaAINPALMI Gas heat • •• MOM 1 EIMEIMMIONIM Bid! ./A.. t.#: Duct work Nip 14,00 1110/11111 Pro' ect Name: . Hydronic hot water system 14.00 1111 Residential boiler Cross street/Directions to job site: for radiator or h . tonic svatem 14.00 Unit heater (fuel, not electric) in wall, in.clue su • nded. etc.) Ill i 4.00 Flue/vent for an of above 10.00 Subdivision: Lot #: R .air units 12.15 I — Other Fuel A • Hama Tax .• • arcel it: Water heater 10.00 III . . ' ' . '. DES ai 8 LON * F WORK ,,' ' . i • - . • Cat fireplace W _ .00 NEW CONSTRU TION –SI GL' F. I ' Fl vent (water heiter/itas Vreolace) 10.00 DETACHED RESIDENCE Lo:. li. ter : - • 10.00 Wood/Pellet stove III 10.00 Wood. -.laze/insert 10.00 . Chirmetliner/flue/vent 10.00 NT,;IWOPERTY:OWNE:R. .,.:: '10 TENANT:fle44.'t:-;,....-,-.: ,......:::. Other: 10.00 — . Environmentaf Exhaust & ventiLtdotk Name: B _ = .t.,.. vis - . ." .."- Range hood/other kitchen equipment 10.00 Address: 67 2 Sig Macat.i. - 31 • v - C Clothes dryer exhaust 10.00 Ci /State/Zi .: P or t1 and OR 9721 9 Single duct exhaust Phone o _ . . _. a Fax: 1 ... 4 . _ , . (bathroom, toilet compartments, 111WEMMUMNIMIMINIP COM - ' PERSON .1.' will rooms . 6.80 Name: David Goloba Anielerawl space fans 10.00 11E Other; 10.00 Address: IM11111111111111•111111MINM:=11111.111111. CiVState/Zip: ., AO for first 4. 5140 each additional Phone: Fax: 11=721133MMEMMIN11111111;111•1111 Gas heat pump E-mail: WaWsuipeoded/unit heater f,,,, ' ,'.':!' : . ' ':-.... • CO ' - CTOR s.i :. • ;*. : : ' ' 7 ' .. •• • Water heater •• Business Name: s GL_ inc Fireplace .... •• AddreSS:2 4 28 SE 105th Ave. -ane__ 11c. BBQ Ci/State/Zip:Por t land , OR 97216 Clothes dryer (gas) ...- ■ • a Phone: 503-253-7789 Fax:503-25 -.... Total; CCB Lic. I*: 451 3 1 . Mechanical Permit Fees' _ Authorized / Signature: - -1. k.....L4= . , Datca).„42sag,4 Minirmun Parmit Fee S71.50 IMINIENIMIEM David Golob y Plan Review Fec(25% Of Pcmilt Fee) 5 ---- ._ State Surcharge (8% of Permit Fee) S (Please print name) TOTAL PERMIT FEE S Notice: Thls permit application expires If a permit is not Obtained within 'Fee methodology set by Tri-County Building industry Service Board. 180 dire after it has been aerepbtel As cumplete. *--Site ptan required for exterior A/C units. igasts\Pcrmit FerinsWeePerrnitApp.doe 0UO3 ` @3/e4/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 y \ I Electrical %N IS" FOR O1•:I•:1(f ( ONI.1 sr Pier i Application Received Else • �� Oats$ : meal / ' �0 Permit No,: // , City of Tigard \ Planning Approval Si 13125 SW Hall Blvd. , P Date/I3 : Plan Review Permit No.: G Other Tigard, Oregon 97223 OF'\ \ \l DateBy: Permit No.: Phone: 503 -639 -4171 Fax:Ob Post- Review land Use Internet: www.ci,tigard.or.us \ \� _\�' 60 ,. +. , g' Daffy: Case No,: Q, t Contact 24 -hour Inspection Request: 503 -639 -4175 - 1uris.: I Supplemental See ent l r Name/Methad: Supplemerttal (n formstian. YPE ;OF WORK ... ..;: ... • • : ' T " .: ' ' ; PWF)tiWOleasc' e5eek a71`'tl®t:aPtib'y New construction Demolition 0 Service over 225 amps- 0 Hcalih -care facility ❑ Additiorl/alteration / r lacement Other: commercial ❑ Hazardous location ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, ' ' ' ''CAT)E;GCYRYOF'CONS %.K'E 1CIFfOBf. 1 & 2 family dwellings four or more residential units in r & 2 -Famil dwelli.n. • Commercial/Industrial ❑ S over 600 volts nominal one structure • Accesso $uildin ■ Multi-Famil ❑ Building over three stories 0 Feeders, 400 amps or more ❑ Occupant toad over 99 persons 0 Manufactured structures or RV park __EI Master Builder IJ Other: 0 Egress/lighting plan 0 Other: .:. ' ` =• :. IOU. SITE INFORMATION ; t'EOCAI ON • 7 7 - 7 - Submit sets of plans with any of the above. Job site address: 3 The above are not applicable to temporary construction service. Suite site ■� , .. .. _, i''':! $ldg. /Apt. #: Number of inspections per permit t allowed .Project Name: Description r Qty Fee (ea.) Total Cross street/Directions to job site; New residential-single or multi-family per dwelling ante includes Attached garage. Service Included: 1000 sc ft. or less 145.15 4 Each additional 500 sq. ft or portion thereof 1 33,40 Subdivision: t' '. Lot #: I ?j Limited ems, residential j 75.00 2 Limited energy, non residential 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling • ' 'DE ON'OFWORK >. ::. `. service artdlor feeder 90.90 2 • ) r -- ) GG n S u (.51 — J//7:9/ G - Services or feeders - Installation, .___ �/7] f /� alteration or relocation: c..h C d o- ∎d -- 200 amp or less 80.30 2 201 amps to 400 amps 106.85 2 T 401 amps to 600 amps 160.60 2 F� ' BrDptER TY OOWNER }. in .TENANT • '.. : -. ..: . : - 601 amps to 1000 amps 240.60 2 t Name: 2II e a._ V 1 S ' ,, G Cl jam_ Over WOO am. or volts 454.65 2 C q , g.. SLf / 4,1 i c /o jj 4 y( 2 L Reconnect only 66.85 2 Address: r tl j L Temporary services or feeders - installation. City /State /Z per ^� (� 0 or relocation: / q PI C / 200 amps or less 66,135 1 . .PhonE ��03 2/113-- F'ax( . f1 1 ; " 'I !L 5 201 amps to400amps 100.30 2 C' 7 — an 1 to 600 amp 133,75 2 rrr CT: iE ON Name: , /j H extension circuits - new, alteration, or _ i/ . iZIo S crteos[nn per panel: Address: - A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of Phone: service or feeder (cc, first branch circuit 46.85 2 1 Fax: Each additional branch circuit 6.65 2 E-mail: Misc.(Scrvice or feeder not included): .. - • : CoNTRAc ok ' Each pwnp or irrigation circle _ 53.40 2 Job No: ` Each oroutlinc lighting 53.40 2 j � Signal circuit(s) or a limited energy panel, Business Name: I \ 056 E C - alteration. or extension _ Page 2 2 Address: 7 Q 3 5 k) av"2,1 g- lime 4*- (20 Description: - - City /State /zip: Hi it S 1 t OR T719 R Each additional ins ion over the alloable In an attic above: in Per trop hour min, 1 hour Phone: 62.50 5Q,3 Co to Z 2.800 Fax: 603 ,1 5- investigation fee: CCB Lic. #: Is---73q / tic. #: 34-6 other Supervising electrici Lf tiicahPekm ' ' `r,::...;, ;J :::.;;: X signature required. '- Subtotal $ Plan Review (25% of Permit Fee) 3 v' Print Name: Vt )2oSS L.a3..as State Surcharge (8% of Permit Fee) ` $ Authorized TOTAL PERMIT FEE S Notice: This permit application expires If a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. •Fee methodology set by Tri-County Building industry Service Board. (Please print name) i:\Dsts \Permit Fonns'.ElcPcrmitApp.doc 01/05 CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 MST a/o? 4 Ca 7 INSPECTION DIVISION Business Line: 3) 639 -4171 ' BUP Received Date Requ-sted_O — AM PM ✓ BUP Location / S/ �i�s!L /!lam = Suite MEC Contact Person Ph ) - 7/6 — Y t'ST PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain AcceSS: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ', ✓ .� ' ,' _ ,�� �, v C Framing -- din Insulation (oA� ILL ( Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: the — i 'ART FAIL PLUMBING_,_ Post & Beam Under Slab Water S Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole ' .. Storm Drain - Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers moke PART FAIL CTRICAL 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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA /2- � Approach/Sidewalk Date Inspector - Ext Other: Final DO NOT EMOVE this inspection recor ro, the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 503) 639 -4175 MST c ( Fa () INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — AM PM BUP Location -_ _ d Suite MEC Contact Person Ph ( ) - 7/D '-F'1/5 ..........i PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC A ccess: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ` t , p© I f • i Z , c V ,� El Framing ` l� Drywall Nailing G h" I��.— --- Dryll Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Other: Final PASS PART FAIL ;PLUMBING _ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL =. ` ' Post & Beam Rough -In Gas Line Smoke Dampers Final • PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage . Fire)..: m iii/ 0 Reinspection fee of $ required before ne inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA D ate / // 9 ' Ins aor - Al Ext Appach/Sidewalk p Other: Final DO NOT REMOVE this inspection record . m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ,70 q—devea 7 INSPECTION DIVISION Business Line: (503) 639 -4171 /BUP Received Date Requested 1 f AM PM _ BUP Location I s (� f :3 Suite MEC Contact Person Ph ( ) 7 / g 1(,S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / — A Framing La u i/d 6ita I4u L, i.iv (�I L61 " 1 d .v Li ' r't Insulation Drywall Nailing C �'`'� "" 1-13 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan Other: PART FAIL M ANICAL Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 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 ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA l Approach /Sidewalk Date Il /l 0 11oi1 Inspector D? Ext Other: Final DO NOT REMOVE this inspection record from the job .site. PASS PART FAIL 44 P- 44 00 -4 STREET TREE CERTIFICATION . ® I, r Gc. Y 9 , Ownertl4.gent for je-1-- t `L titriX,..t (PLEASE PRIM) (PERMIT HOLDER) . 14 kv, I s Oft- P. di Do hereb , ,• , : 41 4 ` i g locatio A , ,I:: ri .."; ' ' ' '''' i: , i ,, 4 4 b, meets trr rd� a = on ,ounty i� fvnr• L. r land use and development standards for street tree installation.` e I 44 ilio ADDRESS: 15 - c ,3 x ✓ ___ _ _ LOT: L6` f SUBDIVISION: K c,, s ilt, .} Tw /-�j..- ,ice _ i�� BY /'�As DATE: % / iY/ , 4 4 liffr 4 1 41111/ 0* RECEIVED BY: DATE: I Z 4 O (3 VVVVYVVVVVVVYVY Il k VVVVV.VVVVVYVVVVVVVVVVVVVVVVVVYVVVVVVVVVN