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Permit r I TY OF TIGARD MASTER PERMIT PERMIT #: MST2001 -00244 ` DEVELOPMENT Tigard, ) 639 -4171 DATE ISSUED: 5/10/01 SITE ADDRESS: 16571 SW 103RD AVE PARCEL: 2S114BB -20100 SUBDIVISION: RIVERVIEW ESTATES NO. 2 ZONING: R -7 BLOCK: LOT: 045 JURISDICTION: TIG REMARKS: Addition of 238 sq ft family room. Path 1 BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 238 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 20,539.40 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 238.00 sf REAR: 27 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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: 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: $ 670.88 This permit is subject to the regulations contained in the JONES, WILLIAM D + SANDRA ANN THOMPSON CONSTRUCTION, MARK- Municipal Code, State of OR. Specialty Codes and 16571 SW 103RD AVE 8730 SW PINEBROOK all other applicable laws. All work will be done in TIGARD, OR 97224 TIGARD, OR 97224 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 96435 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8& Underfloor insulation Electrical Rough In Gas Line Insp Footing lnsp Crawl Drain /Backwater Framing Insp Insulation Insp Foundation Insp Footing /Foundation Dr: Shear Wall Insp Rain drain lnsp Post/Beam Structural Mechanical Insp Exterior Sheathing Ins[ Plumb Final Post/Beam Mechanical Electrical Service Low Voltage Building Final Issued By : Permittee Signature - /I 7 Call (5 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business ay r Building I • :ived: 5 /� /d / Permit no.: /7 �`D 2 4,, ; City of Tiga. id / i ' - Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 �/� Date issued: By` / Receipt no.: Fax: (503) 598 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ® Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: • ,. 1 ,, ,. 3 -. 11011111.11111111.1M Bldg. no.: Suite no.: Lot: .. Block: Subdivision: 2p'g e ' s 44) ILiga .a:1n1 gar t rmatcui f j QQ - a (9/0 0 Project name: _ ,1_ I 1 Mr //-7 1 (P(o -o Description and location of woo on premises/special cond Z3& . t.i/WL --)✓` 485 7' Litr lt-- 0 - .Q mac; f1 20D OW NER FOR SPECIAL INFORMATION, LSE CHECKLIST Name: i Ayt: - - 54,,47ii - • - (Floodplain, septic capacity, solar, etc.) Mailing address: S' ( / 1 & 2 family dwelling: IL'4 ZIP: . 2Z Valuation of work $ /� .`'00 Phone: 4 - 0$ - 0 Fax: E -mail: No. of bedrooms/baths Owners representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: CommerciallindustriaUmulti- family: ('ON "IR;1('7'OR Valuation of work $ Business name: j it f ,,,j u • , CoA.67. Existing bldg. area (sq. ft.) �� New bldg. area (sq. ft.) t Address: 4 O 5 k s L zolic.- Number of stories City: (7 ZIP: �1 Type of construction Phone: c- , ,A," to E -mail: yl� CCB no.: g( S Occupancy group(s): Existing: New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: - Tz provisions of ORS 701 and may be required to be licensed in the Address: / 0 - •,,r n4e.: A imwrimm. Aim/ ,mm. jurisdiction where work is being performed. If the applicant is INBRENVIIIMEMEMZEI ZIP: , / ._ exempt from licensing, the following reason applies: Contact person: 4 Plan no.: Phone: , -(0 , Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ / 7 9 Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with, whether specified herein or not. Credit card number: / / Expires Authorized signature: 7 Cr -- Date: .S1/4 .S1/4 t Name of cardholder as shown on credit card Print name: 44 42.JL 714 oia-Ps Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: • Associated permits: City of Tigard City f Ti y b ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 • Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6/0OICOM) • Electrical Permit Application • Date received: Permit no.: "“ 1 City of Tigard g Projecdappl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family ❑ Tenant improvement 0 New construction '111 Addition/alteration /replacement 0 Other: 0 Partial JOB SITE INFORMATION Job address: /659 i 5i,. 103'H .-, Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: 'Subdivision: Project name: jo,,ji,3 I Description and location of work on premises: Estimated date of completion/inspection: —r 41 ('ONTRACTOR APPLIC'A1ION FEE SCHEDULE Job no: Fee Max Business name: ()60,1,., , Description Qty. (ea.) Total no. insp Address: • New residential - single or multi - family per dwelling unit Includes attached garage. City: I State: I ZIP: Service included Phone: I Fax: I E -mail: 1000 sq. ft. or less 4 CCB no.: I Elec. bus. lic. no: Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro lic. no.: Limited energy, non- residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders — installation, PROPERTY OWNER 200 or relocation: 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E- mail: Reconnect only 1 ' Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apph) Misc. (Service or feeder not included): ❑ Service over 225 amps - commercial ❑ Health -care facility • Each pump or irrigation circle 2 ❑ Service over 320 amps- rating of 1 &2 0 Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: Cl Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other . Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6/00 /COM) Electrical Permit Fees: Limited Energy Fees: • Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 n Garage Door Opener* Services or Feeders ❑ Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 2 n 201 amps to 400 amps $106.85 2 Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918-260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler Controls a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 n Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: ❑ Protective Signaling Enter total of above fees $ n Other • 8% State Surcharge $ Number of Systems 25% "Plan Review" See "Plan R section on $ Plan Reeee * No licenses are required. Licenses are required for all other installations S front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 I Mechanical Permit Application "l A Date received: Permit no.: ye A City of Tigard _ -.. � g Project/appl. no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi family ❑ Tenant improvement ❑ New construction H Addition/alteration /replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: f (,.s7 5 t ..3 /03 L0 7, Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: (Block: I Subdivision: *See checklist for important application information and Project name: S ,4. 6. ,.. jurisdiction's fee schedule for residential permit fee. City /county: jrG4iv3 j J4c j, ZIP: 722 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: 2.3 c , AND COMMERICAL /INDUSTRIAL EQUIPMEN'TSCIIEDULE A-D01:-TA. -/ 7 3,4e .C- nF . mauve Fee(ea.) Total Est. date of completion/inspection: S' f /o/ Description Qty. Res. only Res. only Tenant improvement or change of use: / HVAC: Air handling unit CFM Is existing space heated or conditioned? a Yes ❑ No Air conditioning (site plan required) Is existing space insulated? al Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: /4 '� , 4 _,-. 4 . 46 ,. �, 7 L , 6 State boile permit no.: HP Tons BTU /H Address: Z7/ - ' Aft w L,, Q . Fire/smoke dampers/duct smoke detectors City: 41. 2.4 State L- ZIP: 9 Vi- Heat pump (site plan required) Phone: ay 2473 I Fax: E -mail: Install/replace furnace/burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: 00022Z Install/replace/relocate heaters - suspended, Citg lic. no.: 4/63 wall, or floor mounted Name (please print): Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Name: Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U II/res. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets ENG INEER Process piping (schematic required) Name: Number of outlets Address: Other listed appliance or equipment: Decorative fireplace City: I State: I ZIP: Insert - type Phone: I Fax: I E -mail: Woodstove/pellet stove Other: Applicant's signature: I Date: Other: Name (print): I Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑ MasterCard Notice: This permit applicati Minimum fee $ expires if a permit is not obtained Credit card number: EXpi / wi 180 days after it has been Plan review (at %) $ Name of cardholder as shown on credit card accepted as complete. State surcharge (8 %) .... $ $ TOTAL $ Cardholder signature Amount 440-4617 (6/00 /COM) MECHANICAL PERMIT FEES • COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond fraction thereof. footnotes below. Comp* "** 7) <3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to BTU 14.00 3-15 Value Total 8) 3 -15 HP; absorb unit 100k to 500k BTU 25.60 Description: Qty (Ea) Amount 9) 15 -30 HP, absorb Furnace to 100,000 BTU, including • 955 ducts & vents unit .5-1 mil BTU 35.00 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents Floor furnace including vent 955 11) >50HP: absorb unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 floor mounted heater 12) Air handling unit to 10,000 CFM 10.00 Vent not included in applicance 445 permit 13) Air handling unit 10,000 CFM+ 17.20 Repair units 805 14) Non - portable evaporate cooler < 3 hp; absorb. unit, 955 10.00 to 100k BTU 15) Vent fan connected to a single duct 3 -15 hp; absorb. unit, 1,700 6.80 101k to 500k BTU 15-30 hp; absorb. unit, 501k to 1 2,310 16) Ventilation system not included in mil. BTU appliance permit 10.00 30-50 hp; absorb. unit, 3,400 17) Hood served by mechanical exhaust 1 -1.75 mil. BTU 10.00 >50 hp; absorb. unit, 5,725 18) Domestic incinerators 17.40 mil. BTU 19) Commercial or industrial type incinerator Air handling handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves Non - portable evaporate porate cooler 656 10.00 Vent fan connected to a single duct 446 21) Gas piping one to four outlets Vent system not included in 656 5.40 appliance permit Hood served by mechanical exhaust 656 22) More than 4 -per outlet (each) 1.00 Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: $ Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 8% State Surcharge $ inserts, etc. Gas piping 1.4 outlets 360 25% Plan Review Fee (of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (minimum charge-one-half hour) $72.50 per hour * State Contractor Boiler Certification required for units >200k BTU. ** Residential A/C requires site plan showing placement of unit. is \dsts \forms\mech - fees.doc 10/11/00 • Permit #: /YJ5/ a00 f-- 0 1 C ) - - Address: /6 7/ --S /•-3 Issued by: Date: , S1/D1 6 1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: — X 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ' 3A. My general contractor is T ewpsoiv/ Q.tlr3--L % ry C Cr/1/.S7.e i 'T/cv✓ % 2 ,S (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 5,4a(---e" (Sign re of permit applicant) ( (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities Note: This hUbrtnation Notice to Pr c lv ()H•ncrs about Constn,cho,, Responsibilities was developed br the Construction Contractors Board /n accordance with ORS 70/.0jj(5). I f you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSkBtLYTIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the conslruction or improvement ota resdentiaI structure, von ' ill, in most instances, be ruled to he an employer and the people you hire ill he employees. As the employer, \OU must comply with the following: Oregon's withholding tax law: Asan employer, you niustwithhotd incometaxes taxes from employee wages at the time employees are paid. You will be liable thr the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091 Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages ofall employees. For more information, call the Oregon Eniplovrnent Department at 378'3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. lfyou fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable loyal! claim costs if one ofyour employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. 0.S.Kmocrna)Revunuo5urvixu: As an employer, von must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at !'800'829'}04U. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: /\s the permit holder for this project, }ooxncosponaih|cfbrrcmo|vingunytai|urc("mectoodercquircmonts that ma' be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if y011 have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray water damage from pipe punctures. fire, or work that must he re-done. Time to supervise employees: Make sure VOU have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (P0 Box 14140, Salem, OR9730V'5O52, 503/378-4621>. The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 |/94 w a aac a. uua an„a I / �� I Sensitive Area Pre - Screening Site Assessment P k 50 3 ufA4 S.w.rag. A gency � or Washington county d 0 2 Jurisdiction Ti a . ' d Date 4- 1 24101 7' 03 - Map & Tax Lot ?.. 51 a p) -.2010c) Owner .- .S � , - 3 lo I S5 Site Address J(o57 1 SW IO3 a..of , Contact • V , i -Nfl1 ,, Proposed Activity e i . _ _b', Address ' 1 a .029122:1 SF 2 � Phone c0 3 5l - 5% A:5°3- 519 - Y N 1 NA Y N NA l R ❑ x i -- 1 USA C posilt ❑ i ❑ Storm ater n #rastructure maps U Map QS #r'_ ~ 1 l ci ❑ ❑ t'( Locall adopted studies or maps ❑ Li tsr Other - �J � ecify Specify Based on a review of the above information and the requirements of USA Design and Construction Standards Resolution and Order 00-7: ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site or within 200' of the site. This pre- ' \ screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. NO FURTHER SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: Reviewed By: `- ` 1d.,, , 1'Y1,I, a1 ^ Date: . ' d1tJ Returned to licant Mail F Counter Date 5 i By J CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested — 2 ° 3 ( ,9 AM PM BLD Location ` to S 7 I /0 3 ✓1.G�" Suite MEC Contact Person f -77 Ph 3 ( 2.- Sj PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Foun dation Access: FPS Ftg Drain ' ` Crawl Drain Inspection Notes: Y SGN Slab �- SIT Post & Beam Ext Sheath /Shear s7L.1 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ∎(,. l/ Mi r m v ASS )PART FAIL NG Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date '7 - "3/ O / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,7_00 / — 7 (/ 24 - HGur Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 - 3 / AM PM BLD Location ( Co,S7 ( / 0 3.4 Suite MEC Contact Person KY ate ` , 1 . Ph 3 / Z -$ 7/S PLM Contractor ©Gc.dv2 e Y — Ph SWR BUILDING Tenant/Owner JO v1 S — &/ l ( ,c 04,c? ELC Retaining Wall ELR Footing Access: ' Foundation ��PS Ftg Drain Crawl Drain Inspection Notes: d % � K-(' / - ` /' - SGN Slab _!�l/1 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING / l n /— v • - • - S Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 F' PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 7-3/-0/ Other Date Inspector �( , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ,CITY OF TIGARD BUILDING INSPECTION DIVISION v 2 24 -Hoy. Inspection Line: 639 -4175 Business Line: 639 -4171 • MST C��� -� Date Requested ! AM PM BLD Location / 6 '5 -1 / 5 cid (0 30a /' Suite MEC Contact Person Ph 3/z 5 (S PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear u'. • ' \e• c r'E _oTL= =CTt , 6 4 24 . `��rr i ear Drywall Nai n K C3IA -7i n, r' 3.5e 1G ` 4 6V F 1rioe / 7 C/-1 eJ. Firewall Fire Sprin er C /kcie Fire Alarm Susp'd C: ling Roof Misc: Fin. PAR FAIL P MBI Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA 4 Approach /Sidewalk D ate — — �J/ Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 7.2 . 1 J . CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -em f inspection Line: 639 -4175 Business Line: 639 -4171 MST v l—+riU y,�� BUP Date Requested 7 Z AM PM BLD Location f , S 5 i.✓ (o 3 Pp° 4,4/ Suite MEC Contact Person Ph 3iz 5 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING A,A /, W S Post & Beam Under Slab Top Out // Water Service you/ l/ ,( aS.S' Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PA FAIL E Service Slab Low Voltage Fire Alarm F' P S PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 7— z ' ( � , / Other Date Inspector . 11L J Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION • D 1 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST /— / /^ `J BUP Date Requested (� - Z d AM PM BLD Location � 5 7/ 5A/c7 hi Suite MEC Contact Person Ph 3rz- c7/ S PLM Contractor Ph SWR Tenant/Owner ELC - - taming Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Insu ation / Drywall Nailing <VIZ/ S — l� 7��c rther, l Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART ! PLUMBING < Alf Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 6 _ � Other Date Inspector _ E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 37, ,CITY OF TIGARD BUILDING INSPECTION DIVISION . .24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST �vl� / - G4Z BUP Date Requested o- 2 2 - AM PM BLD Location 2/ Sw /03 Suite MEC Contact Person Ph 3/ Z- 7/ J PLM Contractor �� �� SWR ( BUILDIN_, Tenant/Own 7(eC k C ca ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam xt Sheath /Shear nt ea ear fu ; raming / / Drywall 1) f n s T4 // / / TT ) 1 Drywall Nailing � w` � 900 Iry hp Jr ' Fire wall de4 - , vn J"» /fit / /14-t G. 4 , Fire Sprinkler u� � / Fire Alarm Susp'd Ceiling Misc: f je7t Of? 2'7 et l" 1 L, Fi k 7 ( // / f2 AS PART AILS PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfrll /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 6 -22-0 , Ext __ Other Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT OF TIGARD BUILDING INSPECTION DIVISION MST 7 - e. oI—UV ZqY 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested G ` L� AM PM BLD Location / ..5 ter' /0 3 At y Suite MEC Contact Person Ph 3/ Z— S 7 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear is uiraiff t6 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAI PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date C - / �/ Inspector �, Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 'CITY OF TIGARD BUILDING INSPECTION DIVISION - 24 -Hour Inspection Line: 639 -4175 Business Line: 63 ,4171 MST ��'l� (.✓' • �l I /' BUP Date Requested (' �—/ AM PM , BLD Location /6S 7/ 5e4o 4 3 / ` Suite MEC Contact Person Ph 3/ Z-5 5 PLM Contractor Ph SWR �INr; Tenant/Owner 7 Sc C4 ( ELC Retaining Wall ELR Footing Foundation Access: FPS C Dr SGN ravel Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing nsula i (4-el ,/moo„ D Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PART FAIL P MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat /,�"o/ Inspecto E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • : ` •CIT1f TIG�'ARD BUILDING INSPECTION DIVISI • ` 4,)2.. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 J BUP Date Requested 3 / `0 - / AM / 1 0 PM BLD Location / t' S 7/ 5 w //, 3 rd Alv✓ Suite MEC Contact Person Ph jt2',5 S PLM Contractor Ph SWR U D , ► ,.� Tenant/Owner / ?G Sc C 11 ELC - tainin% Wall ELR F. oting Access: j-1,-cLAA — v..X Lo..,"". _ - 03 r" F•_ • . - ion FPS M SGN Cr- TDrain y___, Inspection Notes: Sla.' SIT PosA: Beam Ext eath /Shear Int . -ath /Shear Ext a q rywall ailing irewall Fire Spri ler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL vn rjost & Beam Under Slab Top Out Water Service Sa • Sewer Rain Drains Final • PART FAIL ANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk E� Z Other Date - L ` 1 Inspector Ext / ( i Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • : OF TIGARD BUILDING INSPECTION DIVISION • O YV 24 -Wour Inspection Line: 639 -4175 Business Line: 639 -4171 � =30 - �� BUP Date Requested AM PM BLD Location /6 ' -C / / D3 r� Suite MEC Contact Person Ph 3 ))--- S71 S PLM Contractor Ph (BDILD1519 Tenant/Owner ELC eta ning Wall ELR Footing Access: Foundation FPS etrWerD SGN Crawl Drain Inspection Notes: Slab SIT cfrartnn'ani Ext Sheath /Shear Int Sheath /Shear Framing S u - A'b2T - 4z 7 tii}GC = Insulation Drywall Nailing hiked Nec5---0 AC._ ZSzGY Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �� r �u v� z E s s4 - t iti Roof Misc: S�240c2 _ Final A PA RT FAIL P ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL re-"f7 Ei" s Be - Rough In Gas Line Smoke Dampers F 'ART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 0-- 07 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 7, G wp : •CITY OF TIGARD BUILDING INSPECTION DIVISION • MS7 '24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5- 3U AM PM BLD Location l .S 7 l Sw /0 3I lIC Suite MEC Contact Person Ph 3/ 1 - -5-7 ' S PLM Contractor Ph SWR illte Tenant/Owner ELC et = ' ELR Footing Foundatio 1 v '1 D' Access: Tj■ (�G — X 0 j FPS yawl Drain Inspection Notes: SGN lab SIT eath /Shear t Sheath /Shear � � L Framing /•> 7r'a✓ N- r#',.vli'� Q(( SJ P4cA '}J _ Insulation Drywall Nailing l{ l�� c -1 /d o Pr y4/0 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 1 Misc: Final PASS PART FAIL � � ''" rS' 5' L,} /1 Le_ 4' CL's' 'd/ PLUMBING 7 S fu. — � /r�s 1 Post & Beam Under Slab Top Out Water Service Sanitary Sewer W rai ti t P ' R ' Ro .h In as Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk �- Q t / Inspector � L a Ext Other Date p -ter ✓`e Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 2 :''CITY O F TIGARD BUILDING INSPECTION DIVISION • . 'MST 7--eiU /) z•y 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 5 Z Date Requested � Y AM PM 3� / BLD Location / G 5 / Y -' /0 3 ✓'J- '( Suite MEC Contact Person Ph 3/ Z-- S`7 I J PLM Contractor Ph SWR ILOI S; Tenant/Owner ELC Re aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: J ab SIT Post & B a Ext ea Shear Ina Sheath /Shear C _C - 9 , Q c�k c-k9,iti_ig Framing [O•/ � ��( Insulation 1,-1 Drywall Nailing �_,_ \ � ' p 0 S T Fire wall ,(7 ��NV t� e c Q \ \ Fire Sprinkler ��} Fire Alarm Susp'd Ceiling Roof ri:Laa..A--■/• ` Misc: Final -) ��N Q -- k -- k - "L--...-•_ \ * - 1/._..--?q -- -c—c P9CS�P RT AIL JJ �` Yom - '.1)L. V) - - Z3 c) .•r c_t__...>1 I —C—c-e_ Post & Beam �^ Under Slab S G c_c-c. - u1/4.1 Top Out Water Service v C CQS S Sanitary Sewer ( • ain Drain '"'�� ( t � w Final q d \..�/+ S V L,v e `- �.J4� -. PA PART GP, 40 .f'T�� �/� MECH• - Post & Beam C � Rough In \ Gas Line N1 1L1111.t�v,�,,,a u 6t,����v `� l�l/ Smoke Dampers ' ro ,l i� Q _ Final - �� - PASS PART FAIL c ELECTRICAL N , 0 ` ��`� Nom > / � ✓ � Service 0 _. 5'4V" 11 . WOO r T Rough In - ► �►/f a 4T►'7 ,, WW UG /Slab W.-Akre / � " -7 Q-e.Q, T.& Low Voltage °e. .4 _� W Fire Alarm ` /,,,. � ' Final PART FAIL ! ! XtS P�►G J 02 /1}-? Q,-t % , se#.. �': 9 4 SITE o Backfill /Grading t- 4C 6 / AA Sanitary Sewer ,/t Storm Drain [ ] Reinspection fee of $ `for�rfext i ion. Pay G � t Cy Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 2)v Q Other Date �� I nspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /0-0/ . i IT (t F TIGARD BUILDING INSPECTION DIVISION . MST 6 6 -4ra- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � ' �, 2�' I J BUP Date Requested `S_ / D AM I/ PM BLD Location / C 0 . 5 - 7 / .54. /63rd t - ' Suite MEC - Contact Person Ph 3/ Z $ 7 / PLM Contractor Ph SWR G Tenant/Owner 9?- Aki" -- ELC Retaining Wall ELR Foc a Access: atio FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing '�r'w �< �� - 4_i S - • - w Insulation Drywall Nailing > 0,c. , c c czs c Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi PASS _PART FAIL LUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date = / F= 4/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. z • ;` TIGARD BUILDING INSPECTION DIVISION • MST S.--ct� cF (i( 24 -Hour Inspection Line: 639 -4175 Business Line: 6 -4171 BUP Date Requested S— / s AM PM BLD Location / Ci 7 7 ( St.✓ /0 3 yd Suite MEC Contact Person Ph P Z C7 /5 PLM Contractor Ph SWR c�U L>ZII� Tenant/Owner fo u ✓ 474-Y17 411 ELC Retaining Wall ELR Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing • vi w • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin ASS�PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date = /C ='/ Inspector 4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. MST - Master Permit Inspection Description Date Passed By Notes Grading Footing /Setback T- l'- e ,}� Foundation walls 5- i g- o i Slab Footing drain Waterproof basement walls Plumbing underslab Crawl drain 67y Post/beam plumbing Post/beam mechanical Underfloor insulation IMINNI 11 . 11111111 . 1 - /_d Post/beam structural Shear walls /anchors Exterior sheathing G -22 - j , Plumbing top -out f Gas line & test Mechanical rough -in Electrical rough -in 7 AgrAtie Electrical service Low voltage 7 -02-O/ .&44 Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing MFG -Home set -up 11111■11 11111111111 . 111 Insulation Drywall nailing �1n Masonry/Reinforcement Rain drain S -c , V1 t C Sanitary sewer Water service Pump /fill septic tank Approach /sidewalk Grading fmal Mechanical final Plumbing fmal S 30 - c' Electrical final 7 -3/-0 / Final inspection 7- / _01 K• , Special Reports SWR - Sewer Permit Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD — MST (MASTER) PERMITS