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Permit A i CITY OF TIGARD MASTER PERMIT PERMIT #: MST2001 -00128 111; DEVELOPMENT SERVICES DATE ISSUED: 4/6/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12930 SW 113TH PL PARCEL: 2S103AC -07600 SUBDIVISION: FONNER WOODS ZONING: R -4.5 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,396 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 986 sf GARAGE: 468 sf FRONT: 35 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 8 VALUE: $ 217,431.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,382.00 sf REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 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: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 • 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL 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: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,638.05 This permit is subject to the regulations contained in the PINE VALLEY BUILDERS INC PINE VALLEY CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and 1052 TROON ROAD 1052 TROON ROAD all other applicable laws. All work will be done in LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 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: 358 -7667 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 118581 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You 4'/ y y may obtain copies of these rules or direct questions to �/�� OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp Post/Beam Mechanical Mechanical Insp Shear Wall lnsp Insulation lnsp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing /Foundation Dr: Electrical Rough In Gas Line Insp Appr /Sdwlk lnsp Building Final Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : l � i w /;l_ Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next 4neald y 5W(Z 7 , 0o( - 00 07 7 Building Permit Application Date received: _3/ D Permit no.05-7-a0/ -Z �,Ti � City of Tigard / / i ' � g' ' = Project/appl. no.: Expire date: r�1 CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 y� Phone: (503) 639 - 4171 Date issued: By: I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: 0 TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family New construction ❑ Demolition i ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /al ❑ Other: R t44.3 JOB SITE INFORMATION Job address: \ ,)_,- 3 Q V---- • . Bldg. no.: Suite no.: Lot: - N __ Block: Subdivision: -- . -e- % f Tax map /tax lot/account no.: 2.05 p(j i3 Project name: . ti • 1 - Description and location of work on premises/special conditions: t - -C - . : • -.. ' - r _ OWNER FOR SPECIAL INFORMATION, USE CHECKLIST IMEMMIEMMIEIMENEIPIENE (Floodplain, septic capacity, solar, etc.) Mailing address: 1 & 2 family dwelling: City: State: ZIP: Valuation of work a /.7 3 $ Phone: Fax: E -mail: No. of bedrooms/baths — \ 1, ..'7 Owner's representative: Total number of floors 2 Phone: Fax: E -mail: New dwelling area (sq. ft.) 27k $ )-- APPLICANT Garage /carport area (sq. ft.) 4 ‘o ' Covered porch area (sq. ft.) $ 0 Mailing address: • 4 Deck area (sq. ft.) IIEMIIIIIIMIM State: ZIP: Other structure area (sq. ft.) Phone: . Fax: E -mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work $ Business name: Existing bldg. area (sq. ft.) Address: \ a-- --- „ „ • New bldg. area (sq. ft.) Number of stories t1 .. EME�t ZIP: S 0 Phone: Type of construction 03- �: - .., rt s CCB no.: �� ! g i / io ■ • V Occupancy group(s): Exists : • - New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be AR('I MITT/DESIGN I' :R licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Address: ..‘ 1 a — . .'. j u ri sdiction where work is being performed. If the applicant is I f ZIP: - Z w exempt from licensing, the following reason applies: Contact person: -, c Plan no.: Phone: Sol. a q - E -mail: ENGINEER Contact person: Fees due upon application $ Address: - •Merv o y Date received: IngliblFEENIEMEIMI ZIP: - 1 Amount received $ Phone: S o , - ; ; _ Fax: 0_ 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 law . d ordinances governing this ❑ Visa ❑ MasterCard work will be complied wi • , whe er s I : fled herein or not. Credit card Hamner:. / / Expires Authorized signature: . .� _ • Date: \ Name of cardholder as shown on credit card Print name: di L d Q '.( \\ ; C $ U Cardholder signature Amount Notice: This permit applic • on expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6ro0/COM) ' ' Permit Application ' s :,y One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City f Tigard Y g ❑ 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. r l , ( -a — Zonin g . Flood plain, solar balance points, seismic soils designation, historic district, etc. e D 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 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. c /' J 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 4_,./ 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);Tocatron of well s/septic systems; utility orations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 41), ° 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, rePplac - cnns suction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. xtenor e evations 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 c/, 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. 1 ��SS 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A s- pipin schematic is required for four or more appliances. v 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 (Mnoo.COM) Mar- 14 01 05:1lp Plugs & Switches 503 -025 - 0450 p. FRc7M : P1NEUliLLE BUILDERS INC FAX ND. : 50136363531 Mar. 14 2001 05 :137PM P1 Electrical Permit Application i)aturaceiv4d: Fe'Rrit 110 e ` � , City of f T T igard Prujeet/rppl. no.: Expire Cate. Address: 13125 Sw Hal: Blvd. Tigard, OR 97223 By: Receipt nn.' Citr rr(Tigard lla:e issued, Phone (503', 639 - Fax: (503) 596 -1960 Casefieno Pzytneltttypc: J Land use approval: 11 PL OF PLK:'111 0 1 & 2 family dwelling or accessory J Commercial/industrial D Multi - family ❑ Tenant improvement ►' New Construction 0 Addition/altere0on/rcPlaccmcnl Q O htr _ O Partial .JOB SITE INFORii 1 I ION Job address: '). Q • v.-- • \ . Bldg. no.: Suite no.: Tat map /tax lot/account no.: Lot: - 2. Block: Subdivision: - .., ...,_.r Ad.) o . >> _ S• O e l O 0 --3 Project naalc; i Description and location of work on premises: Estimated data of completion/inspection: • cO:NIR.aCTOR APPLICATION ILL SCHEDULE Job no: Mtuc I1octiptioo a ,'. ttv, imam Business name: U.1'�S - = t t7 cm. t k New taident •d eg{earalold- familyPar Address: F. c. 2 L 1 1 • dtreyirgwit Indadsardtcfmdprase. City: S '1}EQt,1)6 2 • 1. State: • • ZIP: c17 i Li 0 10W r s I Mill Phone'. cf. ` -` r —0 Carman: Each s . f boast S00 tq, ft. or porn= the mE CCB no.: 14) O Nl. h l l ad, ca. , reedeattal 11•11•111 iitilll t City/metrolic. a r - , - i~ toil Limited trier 4'. moa -r id`ntist 111111•11110111 2 ttfamucdhame or m�dnlard*eiliag Ilan' Si �� .( / Da . 1- ! , (. Each m Service and/or feeder 2 nature 0 a• • t i g electri. (maim) f L , Licarn4 n0- • 5 , s a lte e eeders- t0atxlladoe. Pft(PI nil ott ,Lll 200 airw or iels + 2 201 amps to Oa stops 1.1111111111 2 Name (peat): a. 41. r . \ 401 anvil w 600 amps 1111.11111.11111 2 _ • . • 601 amps to 1000 raps Ell 2 City: L G`r a— , S ..a • O Stare.: • dm • 1.0 Over I OOD amps or tofu 2 Phone:: _ Fax: , _ . � 1 E -mail. Reoonncet b 1 por ation, Owner insrat411ion: The installation is being made on property 1 overt ?em errao(ee _ 11111 imst taa, wr altrratio arr alosio tatlOa which is not intended for sale, lease, rent, or exchange acwrding to 2GJ naps or less 2 ORS 447, 435, 479, 670, 701. 201 oat • s to 400 amps IMMEIMIM® Owner signature: _ Date: dot to 600 • • 1111. 2 1 \ i .l Ai 1.R. >traaeb earned* - oen, alteration, ar aleetiea per panel: 1 Fee for httmce drains with pa or Addrece: .. ,-- O s.r.,+rt foster foe, each branch circuit Stag ) ZLP: • Z, B. p roe bruins malts whhoutp i:these et canine. or Feder fm first branch drCait . Phone: A. + ; ; , Fax: E 2aeisiddidocsibland meow ]__iiii PLAN 1117t"1l in ( 1'teaw cheti. 411 tlr..t api R) M:ec (Starrier o."' ear laehtdttd ❑ Scrvw± over 22.1 am s.waatrrcial Cl Health-are feility Each pump or irrigation circle 2 2 Er Sew= ewer 320 amps-flare of 1P2 0ltaaedoeslocation Each aseor oudiatrtlshtina Z hmiiythwttinga LI Btoldeva ver10,000nluale feet four or Sigm1dreuii 0oral'miiadvoorP ■ Z O Sys=i o•e600 nominal Mott rtsidmrid untltirr vac 61111410C oa rc aiiorli, or extension Cl Building ora' three storira 0 Fewhir„40n amp ormatt •Deseriptian' p Occupant badorei99peenas QM,mntacrutod sanctum caBypark Eadh :`1•fT Sb iwote r the allowable In any er the shore d Eress/iitithe tlaa 0 O> Paiaapoation SaMR __ sets erplans wlah soy 'Atlas abort Lnvestisarioa fee The shove sat mt a • • icsbte to tomalley castration service- Otte - Pewit ice S y C) Q =----- Not idjwistiat_ arart„ me& cm& rime can nri+anm re m.. icifcraurron. Notice: This permit application Plan review {at �) b 0. Via 0 MasterCard expires if a permit is not obtained car ctrl camy1e / within l g0 days atter it has bens Stare surcharge ($9b) .... $ P.m* accepted as complete. TOTAL .... .......... ._._.... S Nara of euilbotdcr as lw , ire *twat ewe s • _ etnlhaffi strr>Re Asonsog 4404AtS (601COM) • Mar -1& 9 01 092 .... Pac_West Plumbing ...._ 693 2577 P.01 jk PiumbingPerrnitA.pplication IIIMIIIIIIIIIIIIIIIIIIIIIIIII balercceiecd: Permit rev.: City of Tigard °- Sewer permit na.: Building permit no-: Address: 13125 SW Hall Blvd. 'figs] d, OR 97723 CiryvfThard Phone: (503) 6394171 Prolee/awl.no.: ti1.pire Fan: (503) 5911-1960 Date issued: By l Reeeiprnu.: - Lantl u. a approval: , L sae ti lerah Payment type: Cl 1 It 2 family dwelling or accexiury CI Comm :rtitd/industrial Cl Multi - family U Tenant improvement CI New txnatnatliun LI JUJU it kW:literate in(repl:uetnent J Ftu34 earmice CI l7t}tet: ",,, .11111 L`1(11111,CI IU' 111 tit lit rill I lttn y,rcinl iulnrurtiism woe rilvvitlisi ■ kg! address: De settNae Qty. Fee(er.) Total Bldg. nn.: }Suite no,: — - -- New 11- aril •fie/r dwell ouly: Tax mtgsltan loda,cctxurl nn. - ( Ms: Irde tltel.foreadierdlycotlraellor) SFR (I) bath lot: 7'1 Bloc — 1 Subdivision: SFR. (2) bath .. __ • ______ Project name f 3IrR (3) bath lirc‘ City /county: 7. __.. Each additional bath/kitchen -- .. — D scriptirus and location of work on premises: Sleet thktee Catch basin/area drabs Est. date of cnmpit:sion/ln,gtection: Dry'wellslleach line/trench drain _ eooi hom rut isutlst. I ON 111 1.( I 1)11 �� ]i7anll a fcni dho tin' f l t irtCs Business name: 1 ' • _ • + e _ - Address: • �, Manholes ' �� *7'� sin drain connector _ City_ ! ' , , State'C _ i:IPr j- 7 / �Lf Sanitary sewer (no. lit. tt.) Phone: ' Irax:69 -2S E.mail: Storni sewer (tttr. lift- tt) CCB no „ lemming Plnmb. hus. tog. n o : 1 atcr service (no, lin- ft,) City /metro tic. no.: 3 -- 6i) '- __.. . If r ." ,. _/„✓ Fixture sr item ..-�� �r Alsscxpgou valve Contra :toes representative sagau : tu . ` ; � ; �� m. _ -_ Keck flow c Print name: • /j21 �1�� G etc: r t , t � 7ackwatcr ;Vie ve III t 011 \(t pi l<�(lti Basins/lavatory - - - Name: S hr vn 2x 4a 4,4 �� - Clothes washer Address: — Dishwasher - _ + -- - y Drinkinp tounraln(s) City: •••vT.,,••• State: i..(P, Ti l o r s/sum 1� P Phone: Fax: &snail: 13xpunsion hulk t Av.' li 1111.11111111111 P Iutelsewer cap __ Name (pint): • tws�raansl[lixir 6iukn/hub Marion • ttdctresai. - - Garbage dismosal - Hose bibb MIll City: - x Ssa e;. 7, ;IP: Ice maker = Phone ts rl'a t•mail: —__ _ - core grease. trap _ - � - Owner installation/residential maintenance only: The. acival installation me sr y will be made by the tx the maintc,:urnx. end repair male by my tx gtrlar Roof drain (commercial) - _ „„.____, employee on the prrrpetty I own as per (?RS Chapter .41. Sink(s), basin(s). Invs(x) O w n e r ' s s - nature: U; re: _.. Swop ..- 1_\GI\i l It Tubs/ r/ahnwcr p ' — Urinal Name: - -- --- - ------/ closet _ Address: _� ateV� er heater — , � City: Stare: :lr: -.,,., other. Phone. Pax: Errnail: 'Colo! __.._ r-- -, .Rt.. 'ma Ill it."dkyrrM WI* cr' In rxcell. proses call j .., ulrtA.a>•m mop rnt mf•.tmeim Notice: This permit applicatw Min imwn n U Visa O Mstte:Card expires ifs permit is set obtained tCV i cw fee (:e[ ........... , ) . . .1., State Credit card rester_ _... -- --. — -. a wiJiin 1110 day aft er it has beeie TOTAL Pc (1196) ..._ $ _� - _-- -` Noun of eatdnoider a+ dawn cm credit card laccepted a) complete, _ emrabnldai tianaa,ee ....— $ Anll Wit 4.10-40t. r. (iJOWCOMI 4. _ -.. Plumbing Permit Application Date received: Permit no.: t� . City of Tigard . 1 .. Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 - 1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ?;( New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: 1 1_ 9 --A (D %,_,,, \ \ 3 kc �'■ Q \ • Description Qty. Fee (ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: Tax map /tax lot/account no.: Q 2 ©c\ ©O 13 (includes 100 ft. for each utility connection) SFR (1) bath Lot: =Ix \1 'Block: Subdivision: c \tioo c\ 1 SFR (2) bath Project name: SFR (3) bath , 11 3 c City /county: c q cn � u..)„,.... I ZIP: 9 ). 1. I Each additional bath/kitchen Description and 1 ation work on premises: , J Z , S.s. \\ Site utilities: Catch basin/area drain Est. date of completion/inspection: 0 Drywells / leach line/trench drain PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: ......c 'J..% 'r \----\31---- Manholes Address: > f7 _ (k. J C , \\ R_U Rain drain connector City: \...-..\,\, ` \ a I S tate .1 ZIP: q •N Z Sanitary sewer (no. lin. ft.) Phone: S 03- �v - I Fax: bSi I 1 I E -mail: Storm sewer (no. lin. ft.) CCB no.: g' 9 o Z_ I Plumb. bus. reg. no: Water service (no. lin. ft.) City /metro lic. no.: Fixture or item: Absorption valve Contractor's representative signature: Back flow preventer t Print name: Date: Backwater valve CONTACT PERSON Basins/lavatory Name: Clothes washer t Address: Dishwasher 1 Drinking fountain(s) City: 1 State: I ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank OWNER Fixture/sewer cap Name (print): Floor drains/floor sinks/hub Garbage disposal I Mailing address: ‘ e, r y,_ — c - x - C v Hose bibb City: l „\t o I State: 0 c , I ZIP: c1 l0 3� 2 Ice maker Phone: So)- 3 rie` l bbd I Fa x. ?,4 J E - mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: Date: Sump Tubs/shower /shower pan Name: S �.0 pct . Urinal ° "` Water closet Address: ? y b S€ •M ® 'Cf ; s a'' Water heater City: Ro< \\,, I State:C ZIP: G \'\ Other: Phone: ,. 30 _5/Vit Fax: I E -mail: Total Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application ❑ Visa ❑ MasterCard Plan review (at %) $ Credit card number: / / wit hin if a permit is not a Me t h obtained State surcharge 8% a Expires within 180 days after it has been g ( ) $ accepted complete. TOTAL $ as com Name of cardholder as shown on credit card P p $ Cardholder signature Amount 440-4616 (6/00 /COM) i PLUMBING PERMIT FEES: - . , . PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory ` 16.60 for each utility connection) 1 One (1) bath $249.20 Tub or Tub /Shower Comb. Z 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 - G1 Water Closet .2._ 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher , 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 1 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 2" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. \ Capped MFG Home New Water Service 46.40 Sink 1 MFG Home New San /Storm Sewer 46.40 Lavatory y Hose Bibs 16 Tub or Tub /Shower 2_ Combination .t--- Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet 3, . S Other Fixtures (Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine N Floor Drain /Sink: 2" Sewer - 1st 100' 55.00 3 .. Sewer - each additional 100' 46.40 4" Water Service - 1st 100' 0 55.00 Water Heater 1 Water Service - each additional 200' 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' \ 55.00 \-.0 i �c b , Storm & Rain Drain - each additional 100' 46.40 acs ....y2.4 l Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* , 27.55 - Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total is > 9 *SUBTOTAL 8% STATE SURCHARGE * *PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require plans with isometric or riser diagram and plan review. i:\dsts\forms\plm-fees.doc 10/10/00 Mechanical Permit Application . 4 . • A .r Date received: Permit no.: .A4-�L ,.•� City of Tigard Project/appl. no.: Expire date: City ofTigard 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 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement n New construction 0 Addition/alteration/replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 1).. ct 3 Q s ,...-) ` 3 �%, Q 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.: Lo ci o o Z3 profit. Value $ . Lot: \> 'Block: I Subdivision: F'„ \,0 *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: ; c ,,,, �)�GIZIP: d �ZZ3 I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and loca ' n of wo on premises: N ¢c.�- S v� M . AND COMMERICAL /INDUSTRIAL EQUIPENTSCHEDULE Q Fee(ea.) Total Est. date of completion/inspection: ‘ I I Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors State boiler permit no.: Business name: nN\3�� \� Q ` Y -; C HP Tons BTU /H Address: t c S (\ qQ cz \ r Fire/smoke dampers/duct smoke detectors City: o < \-\ �� I State: ZIP: 9n z3 \ Heat pump (site plan required) Phone: 5 3 Fax' Install/replace furnace/burner t\t 14BTU /H L 9 6 : I Including ductwork/vent liner y Yes 0 No CCB no.: �Z I S y Install/replace/relocate heaters —suspended, City /metro lic. no.: wall, or floor mounted Name (please print): c■ •••• \ • o \IL' Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: V A �', ,,.,� \ , O \<,,.\e,,__ Chillers HP Address: Compressors HP 6, Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type I/ II/res. kitchen/hazmat hood fire suppression system Name: (:) '\/ a. \\ t_ ( y is , \� il S ,, c , Exhaust fan with single duct (bath fans) 1 Mailing address: \ A s -- —\--- , o ... (, Exhaust system apart from heating or AC I Fuel piping and distribution (up to 4 outlets) City: 9 ©S State: ('� r 1 ZIP: g� 3 Type: LPG X NG Oil Phone: - Ns; Fax: — ,S' E - mail: Fuel piping each addit'onal over 4 outlets Process piping (schematic required) Number of outlets Name: e , ... S\..22r'..‘ o.,� Address: � \ Other listed appliance or equipment: 3 \., SE o-r .S O ` --- Decorative fire lace City: 1'o�C \.\ v .;. to :V, r:1 y, \A Insert - type �,,rQ r ✓t - .* - Phone: • — . ' . Fax: E -mail: Woodstove/pellet stove Applicant's signature: A1.111.111/11M Date: 1NR - Other: Other: Name (print): 4 ( r Q S o . c ;c\,,s _ 'Not all jurisdictions accept credit cards, rm ds, please call jurisdiction for more information. Permit fee $ U Visa 0 MasterCard Notice: This permit ap Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $ Expires within 180 days after it has been Name of cardholder as shown on credit card accepted as complete. State surcharge (8 %) .... $ $ TOTAL $ Cardholder signature Amount 440 -4617 ((,n)p /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+ �i0 $10,000.00. including ducts & vents \ 17.40 ‘R, $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 $120 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 Furnace to 100,000 BTU, including unit t . . 5-1 955 u) ducts & vents .5-1 mil BTU 35.00 i absorb n Furnace > 100,000 BTU including 1,170 30-50 HP; absorb ducts & vents unit 1-1.75 mil BTU 52.20 Floor furnace including vent 955 unit >r1. .75 absorb mil BTU 87.20 Suspended heater, wall heater or 955 12) ) Air handling 10,000 CFM B dlng unit to 10 floor mounted heater 1, 10.00 Vent not included in applicance 445 13) Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 < 3 hp; absorb. unit, 955 14) Non - portable evaporate cooler 10.00 to 100k BTU 3-15 hp; absorb. unit, 1,700 15) Vent fan connected to a single duct \V") 101 k to 500k BTU 3 6.80 (5 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 ha Air handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 20) Other units, including wood stoves 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. i:\dsts\forms\mech-fees.doc 10/11/00 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PAC WEST PLUMBING INC 2110 NE CORNELL ROAD HILLSBORO, OR 97124 Plumbing Signature Form Permit #: MST2001 -00128 Date Issued: 4/6/01 P r 2S1 09 /1 C 07600 i C.11 vv 1. L � v I'� V ° i v v v Site Address: 12930 SW 113TH PL Subdivision: FONNER WOODS Block: Lot: 012 Jurisdiction: TIG Zoning: R -4.5 Remarks: S/F Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: PINE VALLEY BUILDERS INC PAC WEST PLUMBING INC 1052 TROON ROAD 2110 NE CORNELL ROAD, sr x. F LAKE OSWEGO, OR 97034 HILLSBORO, OR 97124 - n Phone #: 503 - 358 -7667 Phone #: 5&3 Reg #: LIC 81902 PI M 34 -181 PB AN INK SIGNATURE IS REQUIRE ON THIS FORM • atur= if orized P If you have any questions, please call (503) 639 -4171, ext. # 10 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PANDA PLUMBING CO ROBERT G GRAY 2817 NE 129TH AVE VANCOUVER, WA 98682 Plumbing Signature Form Permit #: MST2001 -00128 Date Issued: 4/6/01 Parcel: 2S103AC -07600 Site Address: 12930 SW 113TH PL Subdivision: FONNER WOODS Block: Lot: 012 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: PINE VALLEY BUILDERS INC PANDA PLUMBING CO 1052 TROON ROAD ROBERT G GRAY LAKE OSWEGO, OR 97034 2817 NE 129TH AVE VANCOUVER, WA 98682 Phone #: 503 - 358 -7667 Phone #: 360- 604 -7960 Reg #: LIC 107788 PI_M 37 -492PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X. y ,t A- thorized PI m Signature of Au u be r If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUGS & SWITCHES P.O. BOX 111 SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2001 -00128 Date Issued: 4/6/01 f dic.el. 25103I"1V -0I JJV Site Address: 12930 SW 113TH PL Subdivision: FONNER WOODS Block: Lot: 012 Jurisdiction: TIG Zoning: R - 4.5 Remarks: S/F Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: PINE VALLEY BUILDERS INC PLUGS & SWITCHES 1052 TROON ROAD P.O. BOX 111 LAKE OSWEGO, OR 97034 SHERWOOD, OR 97140 Phone #: 503 - 358 -7667 Phone #: 503 - 925 -8450 Reg #: LIC 141529 ELE 34 -527C SUP 4546S AN INK SIGNATURE IS REQUIRED ON THI - 14 X Signature of Supe•• sing Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 FROM : PINEURLLEY BUILDERS INC FAX NO. : 5036363531 May. 16 2001 11:08RM P1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DMS ELECTRIC INC 2820 NW 8TH WAY RECEIVED CAMAS, WA 98607 110 G 2S111.' Electrical Signature Form totAtOATI OkVFLUpMEN` Permit #: MST2001 -00128 Date Issued: 4/6101 Parcel: 2S103AC -07600 Site Address: 12930 SW 113TH PL Subdivision: FONNER WOODS Block: Lot: 012 Jurisdiction: TIG Zoning: R Remarks: S/F Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: PINE VALLEY BUILDERS INC DMS ELECTRIC INC 1052 TROON ROAD 2820 NW 8TH WAY LAKE OSWEGO, OR 97034 CAMAS, WA 98607 Phone #: 503 -358 -7667 Phone #: 360 Reg #: LIG 8073 SUP 45 ELE 31 -742C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 - CITY OF TIGARD BUIOING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 5 Business Line: 639-4 BUP Date Requested 7 AM PM BLD Location )2_51 \X3 Pt Suite MEC Contact Person Ph PLM Contractor Ph SWR (tUILDIN 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 II c: 4fflr - ASS PART FAIL P1#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 Date C Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . CITY OF TIGARD P' IILDING INSPECTION DIVISION MST Ze))—>- 61 ZS 24 7Hour Inspection Line: —A-4175 Business Line: 63 171 BUP ate Requested AM PM BLD Location Sw 1(3 6 -< Suite MEC Contact Person/ 1 11 Ph 35f 766 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: n4/ o ar . Foundation Q' 1-► FPS Ftg Drain L L� BfLJ�/ T pc ' Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear i Int Sheath /Shear �1� Framing ..i. �� �e � ��2 cs \'OUc_,, ��, Insulation Drywall Nailing A/l �yc Q to 4 -ea / Q �� S Fire wall /�� -t h Fire Sprinkler � ri �? � `-•� �i Fire Alarm Susp'd Ceiling S /14 1` rvt Roof final: Final 63/ PASS PART FAIL Under Slab Top Out �/ C Water Service Sanitary Sewer Rain Drains ma ASS PART AIL 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 � d / Other Date Ins 7S/ / / 1 / E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD P' IILDING INSPECTION DIVISION MST (' 1 /o?e • 24 -Hour Inspection Line: . -4175 Business Line: 63. 171 BUP 17-)ctk (07/ Date Requested 4 / AM PM BLD Location S60 / f--34A Suite MEC Contact Person JL Ph j cr - 7&6 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Ins cazi , Slab -a d- !k' ►� SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final Q/C _ � /'v, v � ( � PA RT FAIL C Est & Beam Under lab Under a er Service Sanitary Sewer Rain Drains Final PASS FAIL MECH :iL /� Post & Beam C ' 4,s2ck ��� [ G a�„ "l 4A Rough In C u .-8e c � � el f s '� .h Z Chi Gas Line Smoke Dampers // if c;i C 1 - W - -c ( j' Final PASS PART FAIL / �- ELECTRICAL A' u�- y , , of 1 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 �j Approach /Sidewalk Date 6-/v—o/ Ext Inspector / O` i / E x Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD P' IILDING INSPECTION DIVISION 24-Hour Inspection Line: , A-4175 Business Line: 63. 171 • BUP Date Requested _ AM PM BLD Location / 2 ? 5G 5 W //3 L" Suite MEC Contact Per Gr ' ' Ph .3)T 7G Gi 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall C A (t — //s '° ELR Footing Access: 01 4 Foundation �� --c.- -» FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Q Q Framing � � - / � � ( V I G"''` X L ? /' `v r- e_ / (67 '►..e - Insulation �C Drywall Nailing q C L f /:0 � L 1< uv-e r�C1✓ 14-e— Firewall fn C r� - 4144 4 G k C Fire Sprinkler T � � / J`r S� i� -y� � �.ca.. Fire Alarm !r2) rr O V ( "Q q L i/' v' cJ / < Susp'd Ceiling ` C Roof Misc: Final PASS PART FAIL ‘1R Post & Beam Under Slab .9 �,' 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 '1/ `'e . Ext Other a t e 0/ In t f — spec Xr Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /6, u Yom^ : , 'y TIGARD PI JILDING INSPECTION DIVISION . MST 2.04) .0a)' o G f .Z 24 -Hour Inspection Line: 3-4175 Business Line: 63 171 UP Date Requested ti' Z 7 AM / /k3 PM BLD Location / 2 9 3v 5 It (/ 3 6 ii.e Suite MEC Contact Person Ph 3 i 7G ' 7 PLM Contractor t Ph 793 _ / 9 7 7 SWR ¶U(LD1NG ) — Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain i, Inspection Notes: SGN •ost & : l _:axia SIT heath /Shear Int Sheath /Shear 1 r � Framing Ar�M.J \ — 4 0.C2 - 1L.) Insulation \r � , Ck • S �� AM ^ �` ` Drywall Nailing 1 � Firewall ' �Q r `� - Fire Sprinkler allei 1A o/" rte` - d Fire Alarm k �� _ f d 1 A &-'r R^ k S t Susp'd Ceiling + - d w-c Roof 5i `f �o k co s . . Misc: Final T v k-f-- PASS PART ( 4011I, i,re r '1/4 . Under Slab l -..f CN, ..k _ . • - pa 4- Lr ■..S,.e.._ 1 anitary Se n(�► I a ain Drai s (lj�°r T?N W\ LAA... 'Q S' J2 g .41. Final � c V ' /1 Q c n [) � D O 10S 10S ��r FAIL � >� ., r V � �. '���:. e----- •_. tv, a • - 4e.--et-)Z ' U �=�1 n r kO 0A . -°U n �oSt/ - e , - --- O C/ Gas Line Smoke Dampers ( —• t.ie_e--r -A- `....t�.✓•— ` = , A S PART FAIL / n E CTRICAL Service v S L-3/■ i) Rough In Q UG /Slab 4 '� C Low Voltage 1 ,� CS 1 e \ I ` Fire Alarm ry t'C�•! .ML-.-9 �.>C 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 �J Approach /Sidewalk Date 21/ b l Inspector v A'C---- Ex ( 5 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L • CITY OF TIGARD BUII DING INSPECTION DIVISION MST �� Oe 73 24 -Hour Inspection Line: 61 ,75 Business Line: 639 -4. , BUP Date Requested — 2' AM PM BLD Location /2 7 /t 3 Suite MEC Contact Person � Ph 3s 764 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall -01,14 ,/ - d: -L- ELR Footing Access: dYl FPS Foundation r' n V (n, � Ftg Drain � / Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam / Ext Sheath /Shear �,�s. �� /C �n �- �,-yyJ Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall �� 0 t bye IT( C✓ 1) U t-'- (i� CE l Fire Sprinkler C A`f� Fire Alarm Susp'd Ceiling Roof triaal) PASS PART AIL 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 ( 2b inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. MP CITY OF TIGARD BUILDING INSPECTION DIVISIr'N a MST U � / 'Q O/ 24 -Hour Inspection Line: 3 -4175 Business Line: 63. 071 BUP Date Requested f - Z CD AM PM BLD Location /e;--- 36 // 3 Suite MEC Contact Person � Ph 35 76,7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foudation Access: r v G 4- 9 °1 aJ ......r '� SGN Crawl Drain Inspection s: Slab < < � ��. b,61 Post & Beam G „ r SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - L'� 3� . �� TQ. ' l �+ .VAIP 1C"' Fire Alarm Susp'd Ceiling C -"�-�� B OO t o A 1 N - 50 LAMA Roof Misc. l c e h • in 'z.'j2 D'S )-FAN C - N ire a ar ASS PART CHI4( ) ot-30-v2 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 9 ?sO Inspector 3- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD P' IILDING INSPECTION DIVISIr'N T MST 2vv( l , 24 -Hour Inspection Line: , A-4175 Business Line: 63. .171 BUP Date Requested � AM PM BLD Location f � 30 //3c7 P/-- Suite MEC Contact Person 1 Ph 33 16(e (e 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation V l ' # 1�) ( _ b�( p I V c_ FPS Ftg Drain / / Crawl Drain Insp:! tion Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear /� Framing > /_�1 GLrld u�N C Insulation Drywall Nailing Gx //ito Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 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 D I mo — d� Ins Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD P' IILDING INSPECTION DIVISI ^N � �, li MST ,/ x-15 _24 -Hour Inspection Line: _.9 -4175 Business Line: 63. (171 BUP Date Requested <— l AM PM BLD Location / 2-9' 3 ,% / 1 3 9 P4- Suite MEC Contact Person Ph 35 7(-6 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall -P0.( A (M ELR Footing AC_ ' `! (A-1 � •--� — L L Foundation ) (4) o �1 @ FPS Ftg Drain O-` 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 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 acip � rrc1 PART FAIL RICAL 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 c' + � » ,A \ Other Date Inspector Ext Final PASS PART FAIL DO NOT REM VE this inspection record from the job site. • CITY OF TIGARD P' GILDING INSPECTION DIVISIr'N • • MST ,000/ • 6. Z 2' -Hour Inspection Line: ..9 -4175 Business Line: 63:. .171 BUP ` Date Requested AM PM BLD Location I '2,9 3 / 13 Suite MEC Contact Person Ph — 3 $ X 7(,i', -7 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 O T / _ a P Misc: Final PASS 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 _ "-✓L4-�i~ Ext Othe r c / ewalk Date C `�� _ ° � Inspector di /G P PART FAIL DO NOT REMOVE this inspection record from the job site. - ' CITY OF TIGARD P' IILDING INSPECTION DIVISIr`N MST ui'�o.- ' 24 - Inspection Line: ._J -4175 Business Line: 63:. .171 BUP Date Requested (O li/ AM PM BLD Location / 1—f 3 .5"4, (/ 3 Suite MEC Contact Person Ph 7r, 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/ hear ae so Wri!1YS '� Drywall Nailin! Firewall Fire Sprinkle Fire Alarm Susp'd Ceili g Roof Misc: Fina r SS PART FAIL PL u : ING 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 - Inspector Date ' 2/ Itor EXt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD P' IILDING INSPECTION DIVISION MsT 61O�vr?� 24 -Hour Inspection Line: .3-4175 Business Line: 63 171 BUP • 71 Q Date Requested CO/KS AM P BLD t Location 6 30 ` Loki 1Suite MEC Contact Person Ph . 3 - 76 67 PLM Contractor Ph SWR 4E10. 'ii 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 ..61110-T! ) )‘ /I G(,LI 14,n 135-nv / Aim 2t o v, r7-__ nsu anon _j_, ` � ! L ll � � I� Drywall Nailing l94 14-1 1 J IJ�fG�[CnJ E N-i SIDS �t o P'`s4)6''' 11.A=L-L:06e Fire wall /'m� o , fix /© rs Fire Sprinkler 2 )• �! DCx F C� I N /A1 Lf ✓/ i✓e, !163/), Fire Alarm 41 ) Le < »»F i``_, .* /C� Susp'd Ceiling /� �G1 AA��" Misc: 47 4 - u 1 >Q/� ‘3 1 /�Ih Final al PASS PAR FAIL PLUM :IN A ,,L /f�� /,� Post & Under Slab �C -- (,/C.�ILSC � 4y - ,i 'f'1L Oa- 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 1 yy �� Date I/, Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I • •CIT f OF TIGARD F 'ILDING INSPECTION DIVISIr N MST e ZOk „ at ^ j44 24 7Hour Inspection Line: bs9 -4175 Business Line: 63b. -.171 BUP (Ole Date Requested �F' AM PM BLD Location f / / Suite MEC Contact Person Ph 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 �� . _ 1 Z- Iii - Insulation Drywall Nailing 6 7 7), S) +Z c4-3 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS T FAIL t�iECHA Post : : -am - ou•. • ke Dampers Fir &- PART FAIL CT RICAL 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 - !¢ — o / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD Ez' IILDING INSPECTION DIVISION MST 2 4 -Hour Inspection Line: . !-4175 Business Line: 63. 471 BUP Date Requested v'" AM PM BLD Location / 1-93G S' " //,3 - Suite MEC Contact Person Ph 3S ,r 7'7 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 2 ���"l kt�Ql •'�� �o �4 [\,v6 666 Fire Sprinkler Ca M . Fire Alarm Susp'd Ceiling Misc: _ � `�1 A� N�A1 M 1 M. 3 C L J $b.C1� L ratou' 1 AN b Final V 1� fl'GCZ �y UM �0�2 eo�Gi2£IFs �vt�2pr�+� P ASS PART FAIL PLUMBING 7J0 14. r' e. Post & Beam Under Slab 1,4 tA '3 r i Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL EGH Post & Beam - ou•1 Gas Line Smoke Dampers Final PASS PART FAIL ELECTRI AL 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 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. „ >. CITY OF TIGARD F '1LDING INSPECTION DIVISIr' N MST 0e,clz`v( t-- ' . 24 -Hour Inspection Line: b69 -4175 Business Line: 635 -•171 BUP Date Requested AM PM BLD • Location / 7 9• // 7 "Ae Suite MEC Contact Person Ph &i -76 7 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 sL C`CYc1 C , j l 5 ! 1- S 1 • CC n.yracr� wi C •••% - !" C ) A- /2i1 Insulation Drywall Nailing Firewall Fire Sprinkler /�3,1 r9' C.« �'' G2�.�/ %dc�� 'ice. (•7 Fire Alarm Susp'd Ceiling i,.1 r i .���= �1✓t�� A. .n Roof Misc: C Jci e'er' r - s L ; !7v c Final PASS PART . 1 PLUMBING � Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL 0111E06 Post & Beam 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 [ I 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 -4— C' f' Ins ctor ' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . CITY OF TIGARD P' 'ILDING INSPECTION DIVISIC'N MST 0 /- 0 / G11 24 - Hour Inspection Line: *._J - 4175 Business Line: 63: 171 / BUP Date Requested 4' " ( AM PM BLD Location /2 9 w // 3 0/ Suite MEC Contact Person Ph 3 7 PLM Contractor Ph CSI &5 Z ' SWR Tenant/Owner ELC aining Wall ELR Footing Access: Foundation FPS Ftg Drain SG Crawl Drain Inspection Notes: Slab SIT Post & Beam / t eath Sh /Shea nt Sheath /Shear Framing rM /' ) L I A 7 10 /v / S 4 7 5 S Insulation � Drywall Nailing ` // C- > Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PART FAIL PL 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 Date — Other � �/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. :CF4 OF TIGARD PVILDING INSPECTION DIVISInN c/. c'! P 24 -Hour Inspection Line: ,9 -4175 Business Line: 6:. 4171 • MST 201) 0 2-Y - • BUP Date Requested -s "2 AM PM BLD Location / Z y',3 5 w /7 7 ' Suite MEC Contact Person Ph 3.57r- 7 7 PLM Contractor Ph SWR UILDI Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab �r`i/��, i r2Gw••'1 SIT Post & Beam / Ext Sheat 'a'+ /' 4 ' er e Int Sheath/ ear Framing Insulation Drywall Nailing A/.4, 4 j f 1 .T Firewall Fire Sprinkler /VA Sa JRT- Fire Alarm / Susp'd Ceiling tom ^/c- 5,4 ,c -7sY✓ &L Roof Miser -f �En�� w.. 62 ( i(t 4/ ' _;i- 40 V" Final PASS 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 [ I 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 Inspector 2 � / I Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • eiT O'1 TIGARD F "'ILDING INSPECTION DIVISIr`N G / ( MST idj / Y Z(, 24 -Hour Inspection Line: x.29 -4175 Business Line: 63. All BUP Date Requested 44 - 3 AM PM BLD Location / Z ' 5 4i 1/3 rX Suite MEC Contact Person Ph 337-27 PLM Contractor Ph SWR ILDI Tenant/Owner ELC R etaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab 1P SIT - os Bea eath /Shear Int Sheath /Shear �'� Framing C�/1 (729444_4 ETS ( /nrrirvic,wL) 6.SivL Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ Final PASS ART) FAIL PLUMB Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL st &Beam �v Rough In Gas Line Smoke Dampers Fin - ART FAIL ICAL 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 D 4/ °34 -'/ Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CI TIGARD r 'ILDING INSPECTION DIVISI MST / -(b % 24 -Hour Inspection Line: 049 -4175 Business Line: 63:.. X171 / BUP Date Requested AM PM BLD Location /2.'i 50 fw (1 3 &r"AC Suite MEC Contact Person P4147 Ph 5 7- PLM Contractor Ph SWR Tenant/Owner 2/-71 'sit..., 7 ELC Retaining Wall ELR Footin Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing crJ e " /3" - 5 2' c tc. - /L/ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd. Ceiling Roof Misc: Fi al S 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Y /c c / Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. l _ • r 'ILDING INSPECTION DIVISIV'N •Ao,/44f MST ' 24 -Hour Inspection Line: 409 -4175 Business Line: 63_ A71 BUP Date Date Requested --/ ' AM PM BLD Location / 2 4 V ,4t) a3 bl Suite MEC Contact Person Ph 5 6 W PLM Contractor Ph 5 G SWR .PWg> Tenant/Owner /,WV T 2;3a /7N+ ELC R- -'s'ng Wall ELR Access: FPS tg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 1 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi 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 y_/ 3 _ o j Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD PI JILDING INSPECTION DIVISInN MST � li'i- d - Z� ' 24 -Hour Inspection Line: 3-4175 Business Line: 61 171 _ BUP Date Requested 9-5" AM PM BLD Location /Z7 wil Suite MEC Contact Person Ph 33 C' 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation PD 1 / FPS Ftg Drain CJ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 1 Insulation Drywall Nailing Fire wall / / e G l r / Fire Sprinkler j� Q' Fire Alarm � / Susp'd Ceiling / l / rQ ive_c/ Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam �-~ f /• Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRI Serve Rough In UG /Slab Low Voltage - Alarm •, r PART FAIL r 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 o Inspector r � / _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • ' • CITY OF TIGARD P' IILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: . 4 -4175 Business Line: 63, 171 BUP • Date Requested — , AM PM BLD Location / 2 y,$ ' // Suite MEC Contact Person Ph 33 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 P r t" c t Roof D ) I pot Misc: h / Final �✓ / / PASS PART FAIL � s� `� � vie L�� /lll 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 • .. • UG /Slab Low Voltage Fire Alarm ' PART FAIL 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 '- ��� Inspe E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , MST — Master Permit Z ooko /2 . ‘, • Inspection Description Date Passed By Notes Grading Footing /Setback Foundation walls Slab Footing drain Waterproof basement walls Plumbing underslab [— Crawl drain Post/beam plumbing Post/beam mechanical I f n71/4 r v2 Underfloor insulation Post/beam structural 4 - o- o V. Shear. walls /anchors L ( ( Exterior sheathing 6 -/- Di Plumbing top -out k g Gas line & test (E,- 14-- 0 1 K Mechanical rough -in 4 _ o t �( Electrical rough -in ; - - 1 V e Electrical service s -a i (gee Low voltage 5 - F -u t Bee Sprinkler rough -in - Backflow preventer Roof nailing Firewall _ - Framing (--[ •z 1( 1 MFG -Home set -up Insulation Drywall nailing, — Masonry /Reinforcement Rain drain 4 (2 76) ' 4.4 - u Sanitary sewer 4 /1-2/0 , �3 Water service y,,� - p !f-- Pump /fill septic tank Approach /sidewalk Grading final Mechanical f i n a l I I . t� Plumbing fmal Electrical final 1 IM/R i %lam r" Final inspection I p 1 _ Special Reports -- SWR - Sewer Permit _ Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD — MST (MASTER) PERMITS CITY OF TIGARD MASTER PERMIT PERMIT #: MST20C1 -00128 • ilii. DEVELOPMENT SERVICES DATE ISSUED: 4/6/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12930 SW 113TH PL PARCEL: 2S103AC -07600 SUBDIVISION: FONNER WOODS ZONING: R -4.5 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,396 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 986 sf GARAGE: 468 sf FRONT: 35 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 8 VALUE: $ 217,431.00 OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL: 2,382.00 sf REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUr.: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL 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: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,638.05 This permit is subject to the regulations contained in the PINE VALLEY BUILDERS INC PINE VALLEY CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and 1052 TROON ROAD 1052 TROON ROAD. all other applicable laws. All work will be done in LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 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: 358 -7667 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 118581 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You i may obtain copies of these rules or direct questions to /���d i OUNC by calling (503) 246 -1987. d REQUIRED INSPECTIONS ` Erosion Control lnsp 7 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final ' Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins[ Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line lnsp Final inspection Foundation Insp Footing /Foundation Dr; Electrical Rough In Gas Line lnsp Appr /Sdwlk Insp Building Final 8 Post/Beam Structural PLM /Underfloor Framing lnsp Gas Fireplace Electrical Final N. Issued By : il11 Permittee Signature : ..,_. \ k....„. N Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next ys�nday (... Ili