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Permit 1 4111' CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00532 . fl y , L. DEV ELOPMENT SERVICES DAT ISSUED: 1/28/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 11765 SW 98TH AVE PARCEL: 1S135CD -KE216 SUBDIVISION: KALAMOIIKA NO.2 /SUB2003 -00003 ZONING: R -12 BLOCK: LOT: 016 JURISDICTION: TIG REMARKS: New SFR BUILDING REISSUE: PLANC STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 685 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 781 sf GARAGE: 264 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 142,869.60 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,466 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: 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: $ 6,738.49 S CONCRETE, INC. ECK CONSTRUCTION INC This permit is subject to the regulations contained in the J & J& BOX 516 EC BOX 204 Tigard Municipal Code, State of OR. Specialty Codes and DUNDEE, OR 97115 SHERWOOD, OR 97140 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 the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 307 - 0236 Phone: 625 - 1305 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 114755 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control lnsp 8 Post/Beam Mechanica' Plumb Top Out Exterior Sheathing Insf 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 lnsp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp / /' Issued By : I Permittee Signature • � iv l I � --c Call (503) 6 -4175 by 7:00 p.m. for an inspection needed the next business day -r 1� - / 5 U -- S 6 0 �3 - d d Building Permit Application FOR OFFICE USE ONLY Received Building Date/B : - -. - S,u Permit No tt a07 D7�S3o�. Ci of Tigard Planning Approval Other `J Date/B : Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/B : ) ` t<t7 "U 3 Permit No.: Phone: 503 -639 -4171 Fax: 503 -598 -1960 AI' Ni � Post - Review Land Use . 1 Date/B Case No. .or.us Internet: www.ci.tigard.or.us . �' g Contact Juris.: e See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Su . . lemental Information -.S .6.ta■O - TJdoe)3 I'/ New construction • Demolition • Addition/alteration/re • lacement ❑ Other: . Note: Permit fees* are based on the total value of the work performed. Indicate I 1 1 & 2 -Famil dwellin: I• Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Accesso Buildin: laiNGEM • Master Builder [V Other: Valuation s( $/ 2s - �7Z y No. of bedrooms: 3 No. ofbath �.J Job site address: 7. , J V Total number of floors Suite #: Bld:. /A • t. #: New dwelling area (sq. ft.) ...... /� Garage/carport area (sq. ft.) .411...5. Pro 'ect Name: Covered porch area (sq. ft.) -t9-- Cross street/Directions to job site: Deck area (sq. ft.) 45?"" Other structure area (sq. ft.) Subdivision: L �,, � Lot #: ,�� Tax ma./ • arcel #: Note: Permit fees* are based on the total value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Valuation Existing building area (sq. ft.) New building area (sq. ft.) Number of stories Type of construction s , Occupanc g rou p(s): Existing: Name: New: Address: 'I_ a Q INSEEMEMM � r -r1 ' / Phone - s Fax: NOTICE: All contractors and subcontractors are required to be r Y w licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: Ci /State /Zi Phone: Fax: E -mail: _. -., Business Name: G i Fees due upon application $ Address: - 12, it .0Z Ci /State /Zi.: 400 40 Amount received $ Phone: -- PS Fax:62 f — .21' Date received: CCB Lic. #: Authorized Notice: This permit application expires if a permit is not obtained within Signature: r C - "� / '� ' 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 Forms\BldgPermitApp.doc 01/03 FROM :TAURUS POWER FAX NO. :503 692 9273 Sep. 25 2003 05:40PM P2 .reN cu UJ Uot 13p ECK Construction Inc. 1 503] 625 - - c553 p. 2 ' Electrical Permit Application Acaived 1(114 t►1• 1. It i• t 3.1. ,►,, Ds v. Panne We.: City of Tigard Pluming Amon! Ntt/Bv: EMIIIIIIIIIIIIIIIII 13125 SW Hall Blvd . Hari leev,ew oehar Tigard, Oregon 07223 D.wo : Permit No.: Phone! 503- 639 -4171 Fax: 503.598 -1960 Pwc -Revaw Laad use Interact. w \w i.tigard.or.0a ( I . Dak/DY° Cass Mc. p,� t� t'cnlwt Jaw • =r Her Page 5 for 24.13our Inspection Request: 503- 639-4175 t x:uudhktllesl: S■ y +roam► (atormaripn IN New construction • Demolition i same* Mgr 225 ampt- • Health faolity it AddlhoD/alteracon/r • laeement Is Other i cartons well D Nearuuta location I 0 5erriar owe 32u snnpr rating at 0 Bu' oar 10.000 i$ rte ` "'; to rtii;: , r . ,t is t � 3 , i 0 i 1 6i 2 Carru]y dwellings tour use _eatdsadal w to • ■` 1 & Z family dwenin. ■. Comtunemial/industs sal i I 0 System ow, 600 walla mmieel one ctrecture I Baldin cm three stories ❑ Ponders, 400 amps or mere i1U AccesSQ • Build : • Multi- Fami1- ' . oxupant lead aux 9 ( ] Manufactured sQvatura9 or RV park F Mxattt Buildiar III Other: Eoetilliintisa p:wi [� Other: • l 21 r;: ti ■l:`•'"i. ,ka !. " .li t.,:iz ' t . !:'SL "t, :1"4:.;:00.1.4•; Sillydll•.. fa _ fe alphas vagh say e( the shwa Ma above are out a *seam , s tatty lades. lob site address. . vt C •,�- , Suite # • 131dgJApt.#-. Nuaobcr of Ins - • Oh/ • - permit allowed Project Name: . Deafr 05ms Qv/ Pee (cc) TON New reaideatial -,I or make -baati par Gross street/Directions to job site: dwcwoe gnu. Includes smashed garage. Sankt IactydM WOO ra. it or ;ass 145.13 tech additional 500 1.. ft, a• • • thereof 33.40 Subdiviscin: A Lot #: Unite eca , r r �� :. hauls rn.r t . nos rerdrmal —© Tax ma wort' ri., Each matuttbrhPed tams Of modular dwetAa, (rd at r; = t t .m , re entVtlrfeeler 9090 ® Cemlese or (++dart • iaatallaiinn, aktratka or rolocuiaa: 290 • oe lea III H0.30 ®11 20: M. :o 400 ....._ IIIIIS IIIIIIMIIIIIEII 401 snaps to d00 atpps MN 60.60 1•1111111•Q { 1 l i : t e • . ''i ;Z_ 601 , . • te QAt'1 a<rfr ' 60 — MEI r•.:- _ A eri000•atapsor volts - -- _ .1$46$ - -, � !p / /� i/ Reeoeaeca en1 - 66.85 / Address: / Q, A Q - " I TwnaOnny r nether: - iaaaaatfea - I /� ' / akuadoa races or rstocatio loa: I t _ : : / .. / :.i�` / / A 200 ap Yens 6,115 Phone* ir.2M Fax. s0: z0_ net amp M1 w A.m •. �axe mp as 1�.1'� �7 — E11 ` _ ` ; Drsach circuits - new alteredow, or ��r of /// A. N Of r per ra hniuch e adi 1 Address: Al! .% js _ A. NO .`w a eaiu with parch of amt. ur Ceadw toe each branch CtKait F ICS - // To IS oast y or fuelbrancha � RRi1L'iL1i�1� -J e - _ . , Bach sedition: unlash gleams: .. 6 65 X117 &mail: • - Mlin,(Ea-riu � .a or feodor pot included), 52.40 IN - -., — _ l0ia: ris,_ or,a,rtia. >�ee�_ . - 1-1,b - Job No; . Situal list ul"s) w a l;atitoll ttemay itTne). ab,i anise :n atomism i 2 Business Name: 6. . it z y . ..„,-„m. / , �i , I , . -- _ - -- -"� Address: ��'� t Lit% G + r � 0 Each afdidona I laf ;t atttion over the alloteabla m an artbt above: C11Y /StateJZip: - - -. , ?er uu, on .; hem: rih how i ho 67.5 Phane,: ;- ? r, i ll �% Fix: x: / / ( fnwuipa:oarag �� CCB Ltc # ', 1,11 1,11 : Lie #: 3 -$ L Odom r111�111r1fa�■1�1M a • Supervising.: ectric n . `` .subtotal , S Si :. nature • uired:, , • I s' r:t :t'n J _ - Plat Revtew (253'. of Peanut Peel 5 5 Print Nita» Ibt (t t 1 '7 ' ' t f #:3 _ Matz Suschatga 1% of Permit Pee) I S TOTAL PERMIT FEE i S Authorized Notice: 'T Wr psrmis application *spirts Ira peewit is nee ebtaload widlls Signature! Data: Ito deya alter It Las bas,► eceoptsd as cooplate. *Foe methodology at by Tr! -County Bulletin; Industry Service Board. (?:case prim name) • i 113nt\?ermit ForrokOcrerrnlwpp doe 01103 107/ 13/ L17t7.i 1ti: L4 71337t3LbLO4 KtIN I tl.. r,t14 I 11417 r't -cut ul Sep '25 03 051 08p ECK Construction Inc. (503) 625 - 25S3 p. Mechanical Permit AP licatiQ ljemelvea Meubonical paie/9y Permit No., i f Planning Approval 1 Building otty, f City of Tigard D Permit No.: Ian Review Other 13125 SW Hall Blvd. Dote/13 : Permit No.: Tigard. Oregon 97223 Post - Review Lund Use Phone: 503 - 63941 Fax: 503 - 598 -1960 y, A Rri „, teal Caac No.' .. Internet: www,ci.ttgerd,or . -�i , Contact Jun :: 1141 See [rite 2 tar 24 Inspection Request: 503 639 - 415 Name/Method: Sc. • mental Information. TYPE OF WORK ' ' MMERCtAL FEE' SCHEDULE - USE CAECK[JST , New construction all Demolition Mechanical permit fees' are based on the total value of the work Performed. Indicate the value (rounded to the neurat dollar) of all AdditioNaltetation / replacement Other: mechanical matcriale, equipment, labor, overhead and profit CATEGORY OF CONSTRUC Value: S Sea Page 2 for Fee Schedule l do 2- Family dwelling CommcrciaVLtdus RESIDENTIAL e� ST FEE, SCttEDULE Accessory Building Mu�Ci- Family Description LQty 7 tad a ■) 1 Total M aster Builder _Other. Health coelin JOB SIiTE INFORMATION and LOCATION Furnace - add air ennditionin '• 14.00 Job site address: ', '-- ,fCCJ C� bu tt heat . work t • 14.00 Suite #: 1 Bldg. /Apt. #: 14 00 _ -- Hydronic hot water system — Project Name: _ Residential holler Cross street/Directions to job site: for radiator or h • onie s -ter 14,00 Unit heaters (fuel, not electric) in wal in -duct sus nded etc. IIII 14.00 Flue/vent for an of above NM 10.00 Repair units 12.15 SutSttivis1on: / / A Lot #: / — Other Feel A. •linnets (ax imp /ereel !k: _ water hearer 10.00 _ DESCRIPTION OF WORK • • Gas fireplace , 10.00 , Flue vent wafer nectar: as Or •race) 10.00 Lo_ Li_hter :al 10 - Wood/Pellet stove M 10.00 Wood tirc.lace /inter - 10.00 -- - Uhimnc /liner/flue/vent 10.00 02 PROPERTY OWNS : . i1! 'FEP( . Other 10.00 Ec rtw vlronntal Lumen & Ventilation Name: C / Range hood/other kitchen equipment 10.00 Address:f Clothes dryer exhaust 10.00 City /State/Zip! // '4).,,:! to C"_3 g7/it Single duct exhaust Ph j -7&/f Fax: (bathrooms, toilet compartments, d,80 �APP�LICANT I 0 CONTACT PERSON utili rooms Name: . ,. C -d2'l _L. • A ttic /c rawl • ace fans 10•00 s� // � k ...2e9 '� 10,00 Address: f G' Fuo1 Non City/State/Zip: s -/ - ex —" D''97/- h .40 inr nett 4 ,0 , I , • i • Phonc _ • . A N Fax:,. i ' j=2. 75:2 Furnace etc. m _ Gas heat pump 4. E - tna Wa t {: Wallhus.cnded/unif heater " C U M ONTRAtCIO Water heater i 4.. Business Name (l1nwc*,'d�s!!t. Fireplace - Address: 1 r, ,o. �x a33 Run e BB* City /Statc!Zip:lrJnA u.Rr" Q , cr707 Clothes d r gas) 1)' 4* p� C p c ., Ili S '3`��'JO Fa x So3^ IGa�- { OP!]� Other Pho s, Total: r _ CCD Lle. . �1 (OO1 _ Me ch ankal permit Fees' Atxhonxed % 5 5 I mo .- 1 ( Subtotal: 5 Signature Dare: li t a! Minimum Permit fee 572.50 S Plan Review Fee (25% of Permit Fee) S - State S-orcharge (8% of Permit Fee) ,_S (Please print name) TOTAL PERMIT FEE S Notice. This permit appiltadn■ expires if a permit is not obtained within 'Ere rnethodoto0y set by Trl- County tluilding Iaduetry Service Qoara, Ira dap after It hat been accepted as complete, "5lar plan required For catcelar A/C units. i \Drts \Permit rorrri\MecPermitA00•dnc 01/03 1J`1f Lb/ .L Uj t7/ :17 G J 70L7470 1'11At 11 ,.�.r -u� i ��n i�..�.... — _ .-- ►ter tt:R t;onstruction Inc. (503) G25 -553 P - uuuaing r utures P1umbine Permit Annlication f OR t)t• }`li l: 1 , ,) : ()NIA _ City of Tigard naming Mauve' Sower Detoritc 13125 SW Hall Blvd. PMa Review other Tigard,. Oregon 97223 t ..p. Pans* No Phone: 503 - 639.4171 Fax: 503 -598 -1960 . • Amiev► Lead Use Iooanet .�.vaxitigard.a us Daffy" Ow No.: 24 -roux lnspcction R Oat 503-639 -4175 `{.�, �� -j., Cornea 7�ru.: i� s�. R.� a he ai NsrntlJ<4ethod: - hllafaraatlae: 1► i New constnictioll - ' 7 , - . . III Demolition >,; ','�lii k■ Addition/airman. 'lacenent IU Other IM i z-Fam l a ll • _ ( . . .; ' 1 249-20 ^ MINIM � ' . , Bull •'.,. - bad a 350.00 � Iii M ultigrannil SI% 3 bath MIN 399.00 li Master Builder 1111 h Other Se addition! bath/kitchen IIIII 45:00 r - „,u 'ee . _- , '-e, ' -:T' Fire it its 1� Job site address. .T .:__ �A _ - .', :,7a +';, ;t' Suite #: � ! ,Lr n a rea drain �� :.. 'NW I MI 1640 ! , Q. .4�"�1; • iinel a r drain MIN ' . 'an NS020: � •• � F. • .:. drain .,. liaiea!!. ' P ; 1 Cross street/Directions to job site: — Z Manufactured home utilities 11111 110.00 - - Manholes mg 16.60 Aei4 tfcain •, „ (♦ 16.60 Sena sower oo. linear ft + ,ilk Subdivision: ► : �+ Lott /11 5ononn icon= no. , R. M r . , _ , Water aerree no linear e. 1111111W111111111111111 A . . • :on v alve 1660 Back •nvarter X10” '� Backwater valve 16.60 IIIIIIIIIII E 16.60 MIMI + ' 16:60 Dr iokio : fountain r 16.60 EMI : ±;r C .. MI 16.60 Name: e(j C�i. �� i , i 16.60 Address. ' ( ' � 7 " ..o .eQ ��. c Pbec rairesver c 16.60 Ci ,., - 0 , eIl— /, Floor drain/floor sink/bob 1M 16.60 — FIX! Hoes 16.60 t Hoeeblb inn J6.60 MIN la main r 16.60 Name: hoer .. , • MI 16.60 MIMI Address: /1 e f Medical . as - value: S �� _ ✓ Framer 16.60 f... � D Roordrmo ., . _ . d stf.;ta MN 16.60.. IMES Phone: „ l - � -E� 4 Sinb'banainvato r 16.60 E -mail: Tlrbabm uesbow w • — 16.60 t '.., 3s v ..... t T - 4. 7 Melee; MI 1640 MOM Business Name: d l■P�� water Odd r 16 60 Water beaux NM 16.60 Addrcss: j q5 E otop1/4 Caber, NM MIMI Ci /State/ '1.: , y . 24 0 t 0 MIN ' . one: ' Sfii ;1Mi'� pax: he arer r: s 6 ;: �? _ _ .L•_: , .. • : _ ; • " •_.•_ 7 CCB Lie. : qif 1 Uc.# Su Th50 S Authorirpd / " x51 , Minimum Permit Fee 17ZS0 T Sigastvr , • an . s ty Plumb. Da _ __ Rexid4ntust Baelcl9 °w Meo+mt+m Fa 53615 eries t;}: liti=ignj s 'p e �)� - Stare 8X of Permit Foe (Please prl ) Sri i T Node- TM, smolt appiotiaa rapine If a pore* Is met sblsieed witbtu All sew tammerdai 6reWhnp riip he 2 wets of plans with bearettk sr ta94aya r/asr it has boos a eeprad as ennytteta. riser diagram for plea renew. 'Pm sambadalap se/ 4 tti Cewwty Rattail* Industry Ssrvkc Board- iAtistMortsaii Frxms lmPe mitApp.doc 01/03 ELEVATION CERTIFICATION ' PER SECTION 710.1 of the OSPSC CITY OF TIGARD 3510.1 of the OTFDSC OREGON THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMATION: LOT NUMBER ` (j� SUBDIVISION E C /< ADDRESS t < l0 PERMIT# MST ST Z- D ` 3 - 0 X X 3 2 A TRANSIT SHOT ON (DATE) Q y HAS VERIFIED THAT THE FIRST : UPSTREAM MANHOLE SPILLRIM IS ' -p 11 HIGHE OR LOWER (CIRCLE ONE) THAN THE LOWEST FINISH FLOOR ELEVATION. t j 4/ L & -G X- -t7 DATE UMBER DATE �y JOB SUPERINTENDANT ABOVE INFORMATION ACCEPTED AND APPROVED BY: INSPECTOR v 2 v`Z_ � � d DATE L1 / 6 1 0 i f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF- TIGARD ab 24 -Hour BUILDING Inspection Line: -4175 41111 MST a00) INSPECTION DIVISION Business Line: 9 - 4171 BUP Received / Date Requested g 3 AM PM BUP Location 6 /749 ,S '7E , Suite MEC Contact Person Ph ( ) 52 S"oe 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 VIZ �� �.:�\ L� _ �s Z`0 f (\ -3 S) - �. 5� -P Framing / �� Insulation �' ' Drywall Nailing • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL BING 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 Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE III Please call for reinspection RE: Unable to inspect — no access Fire ADASupply Line g r D ate Inspector � Ext Approach/Sidewalk P 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 - • INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 2 AM PM BUP Location 8 Suite MEC Contact Person _, Ph ( ) 5-2- 2 mod 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 Framing � psf /�1 5t)1A -ro v 7'4 -2T% Insulation Drywall Nailing - --Idl6 t/ d we �/ylG1�L� Fire Sprinkler 2 S t , Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: rna 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 1T T O PART FAIL " CTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspection RE: Li Unable to inspect — no access Fire Supply Line ADA -/'21 Approach/Sidewalk Date z O Inspector Ext 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 �ov3 - INSPECTION DIVISION Business Line: (503) 639 -4171 - BUP Received r' Date Requested 7 n L �, AM PM BUP Location _ 1 / 7 (0 7 g - / '� Suite MEC Contact Person Ph ( ) � a _ � 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain �� � +� �� � ELR Crawl Drain L � c lb Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall A Fed-- Fire Sprinkler T ` 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 -ln Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm in- Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. y PART FAIL S ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA y� Approach /Sidewalk Date 7 - 3o 0 I Inspector 'L A P L 6 i r ' Ext 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 0 4 " 0 ^3 .0) -- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / � AM PM BUP Location // 7'r ? , AP e_, Suite MEC Contact Person Ph (3) {�� . 5 O PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: If Ftg Drain Ayr ��� 7 ELR Crawl Drain V / Slab I nspecti • n Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler 074P1,,71111A5 "� /!� �/� , Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL ,.UMBING st Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other r:' PART FAIL ' HANICAL Post & 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 El Please call for reinspection RE Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL 44 T EE CE STREET R R .. .. 0. .. • .. ... • ► I, L $! t2 c Z--- , Owner /Agent for z �� 9 C e52-e,--7;X �� (PLEASE PRINT) (PERMIT HOLDER) ® ■ ® ■ 4 ■ 1 Do hereby certify that th following location ® „N meets City of Tigard /Washington County ® ► ® l and use and development standards for street tree installation. . _ ► - 11,- ADDRESS: / � c— ' y /r7 ���, `` ► • . ® � , a, LOT: , SUBDIVISION: :•7 /9jj,' l > ',.Gz_ ® ► 1 il- ' • BY: DATE: —� ► ® RECEIVED BY: DATE: g/ 3/ 7 Y 110. ,® ► ® VV VVVVVVVVVVVVVVVVVVVVVVVVVVVV♦®® YVVVVVye®rr VVVVVVVVVVVV \