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Permit MASTER PERMIT CITY OF TIG TIGARD' PERMIT #: MST2003 -00242 . ti',� DEVELOPMENT SERVICES DATE ISSUED: 7/21/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 12160 SW 127TH AVE PARCEL: 2S104AA - 08800 SUBDIVISION: BELLWOOD NO. 2 ZONING: R -4.5 BLOCK: LOT: 097 JURISDICTION: TIG REMARKS: Addition of solarium. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 10 FIRST: 220 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5 VALUE: 18,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 220 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 0 - 200 amp: W/SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 464.46 SMITH, DONALD A BRIGHTOUCH ENTERPRISES This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 12160 SW 127TH AVE 9513 NE 81ST ST all other applicable laws. All work will be done in TIGARD, OR 97223 VANCOUVER, WA 98662 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: Phone: 1 - 360 - 828 - 5464 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 153407 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Footing Insp Final inspection Foundation Insp Electrical Rough In Framing Insp Electrical Final Issued By : Permittee Signature : • _ ,‘ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex business day Electrical Permit Application FOR OFFICE USE ONLY Rece / Electrical Date/By: V 4� Permit No.: /7r/{G✓'.6(1,Q City f Tigard Planning Approval Sign y g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post-Review Land Use G A „ ip ,Nl 1111 11 , ( t / Date/By: Case No.: Internet: www.ci.tigard.or.us El Contact J ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. <' a ; , L . e » ° 3^- Vi i ' 4x, ,.4 ! . �, �� ,,;- TYPE OF WORK��� . : � .�, . .,� � � '' � 1 „ .: 'lease check all that a" , , ❑ New construction ❑ Demolition • Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location 4 1 Addition/alteration /replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, `" ' CATEGORY OF CONSTRUCTION r e:--PY''''Ilt 1 & 2 family dwellings four or more residential units in ® 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stones ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: JOB SITE INFORMATI V I • 1,,,e-'-”2V:;,-/gia Submit _ sets of plans with any of the above. The above are not al 1 licable to tem . ora construction service. Job site address: / / 6 o 1: tAy /z 7 7- 0,4 v : ; - 1,, Suite #: I Bldg. /Apt. #: Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total Cross street/Directions to job site: New residential-single or multi-family per 1 � dwelling unit. Includes attached garage. Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: I Lot #• Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK , service and/or feeder 90.90 2 S ervices or feeders - installation, .Q �, /-)--g t um alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 4 r ' .. am ' t r .1 g 3 601 a to 1000 amps 240.60 2 `� -, = h " ° Ove 100 amps or volts 454.65 2 Name: bp A74. (� A • _S /y.7 / 71 Reconnect only 66.85 2 Address: / / 4 o 5. t. t . / z > ry L// s Temporary services or feeders - installation, alteration, or relocation: / [ City /State /Zip: CC{- -a 9 ,94 P ? Z Z 200 amps or less 66.85 1 Phone: ^o 3 • ) y • 9 77 i Fax: 201 amps to 400 amps 100.30 2 r'1'1: r .. r6 t 401 to 600 amps 133.75 2 � .: � ` - �I • • " Branch circuits - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of / service or feeder fee, first branch circuit / 46.85 2 Phone: I Fax: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 > . - ,, COMA 0 °- °'� _n Each sign or outline lighting 53.40 2 Job No: A e-i..-e__ Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 2 Business Name: c7 ., 6 3 s 51.0 to 11\ Description: Address: CitCity/ State/Zip: �7 9 Each additional inspection over the allowable in any of the above: y p / Per inspection per hour (min. 1 hour) 62.50 Phone:a, { 7 ' Fax: Investigation fee: Other: CCB Lic. #: Lic. #: 7 (0 LSD � ' — Q.-- { ' y e y� �' O ,...w.£ix .. 3X � ' „ .s, � ..ev. w � ..., a . ..,a Supervising electrician / - 1 "3 /b– 1 — Q 3 Subtotal $ signature required: , Plan Review (25% of Permit Fee) $ Print Name: Lic. #: 55 7 S State Surcharge (8% of Permit Fee) $ / 0 _ _ TOTAL PERMIT FEE $ Authorized Notice: This permit application expires if a permit is not obtained within Signature: / (13 1 .0.14/i44 Dater' D 3 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 7)04/k 4A Ste %/ (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: Audio and Stereo Systems F - 7 Burglar Alarm n Garage Door Opener • Heating, Ventilation and Air Conditioning System n Vacuum Systems n Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: E Audio and Stereo Systems n Boiler Controls E Clock Systems n Data Telecommunication Installation Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control D Medical n Nurse Calls n Outdoor Landscape Lighting n Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 o f7 `s 7 (,S'oT5 Building Permit Application FOR OFFICE USE ONLY _ R ece i ve d a Building �EC�` I � r Date/B :!'3 V� Permit No. •= ,.rte" ' '_i _ __ City of Tigard c 1� Planning Approval Other Permit No.: A, _ / ! �/ Date/B - 4 13125 SW Hall Blvd. . Plan Review Other MVO Tigard, Oregon 97223 lI !t\.1 0 5 200 J Date/B : Permit No.: , 'i' , Phone: 503 -639 -4171 Fax: S SA 1� (9Ati 1/';' M pry;' Post- Riew Land Use — 6 1 ' ./11'‘/'\ Date/B : Case No. Internet: www.ci.tigard.or.us v ^ = ' - g fn1V1 C ® See Page 2 for 24-hour Inspection equest: 9. 1 6'39 4 1 /5 Name /Method: Sul • lemental Information 74 �c� co-Di-Si-1 I C{.- 2 ! ���✓ '� cctJie / 324 Ai L. ❑ New construction ❑ Demolition ' , t I o tx` N Addition/alteration /replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ..! 1 & 2- Family dwelling El Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, {\ overhead and profit for the work indicated on this application. 1•.\d Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation S / 11,, o 0 0 JOB SITE INFORMATION and LOCATION No of bedrooms: No of baths: Job site address: /.Z f 6 O $ c} 1,2 7 rig A t' Total number of floors New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: r rp Covered porch area (sq. ft.) _ Cross street/Dir ctions to job site: Deck area (sq. ft.) 412- 0 r Other structure area (sq. ft.). r.Q 2 1 14 - PIC‘�,/ k ill f '1 2,6)' a,� . II` " I F d . . w Subdivision: Lot #: CA..,,ea Tax ma •/ I arcel #: Note: Permit fees* are based on the total value of the work performed. Indicate -* : r 9 :, - DESCRIPTION OF WORK;'' -- the value (rounded to the nearest dollar) of all equipment, materials, labor, / overhead and profit for the work indicated on this application. 4 ..�J x c�U cvl /.!/ 0,, , , 0 , Valuation $_ /� f f �P� "'r Existing building area (sq. ft.) New building area (sq. ft.) Number of stories IN PROPERTY'OWNER F . ,,„ ',,,,±1';V- Type of construction Name 420. D J , Occupancy group(s): Existing: Address: /; t - ) L -7 / j/ New: City /State /Zip D 4 ' - X 79-2- 5 NOTICE: All contractors and subcontractors are required to be Phone: � aX � :� , licensed w the Oregon Construction Contractors Board under ❑ APPLICANT CONTACT PERS provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: G PE (a A' i-LA" 0 _ from licensing, the following reason applies: Address: 3[1p ,A3 qlo Ail -- City /State /Zip_ L..D O 2 97A 2. L Phone: 563 -7 9 -2831 j Fax: �A c Itt I i , A ;' E-mail: � : � S , (%-',- 3,; ', F, ° . 4 Y3 € Business Name: i _ '\ t (p E{-rD u -C W Eijilit I ! SES Fees due upon application s P/6 • 7/ Address: 9515 $ 1 , " -^ ^pmt received $ City /State /Zip: A. l,l CaJ �2 4*' Q 6 (r? l� 0 _ -- Phone tp- $a8 -5ylo4 'J _ Fax: Date received: CCB Lip. #: 1 Authorized �� GL ' � �i�►fuL� Date: , ! 3 - --e Notice: This permit application expires if a permit is not obtained within Signature: 180 days after it has been accepted as complete. 0 1 I - / *Fee methodology set by Tri- County Building Industry Service Board. ('lease print name) Bane in) a - 23023 is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 • • ' Application • �a„rd One- and Two - Family Dwelling b,,,:a Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City f Tigard 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 revi• . JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 1 1" 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. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. 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 (6/00/COM) Permit #:M5IQQ M'"0 t Address: j a D\ \ '� [ J Y v ��(' Issued by: C \ 0 lit A 0. *,;hp ate: ? J3,(0 /93 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: H 7------- 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 136 (( /" O5 ✓ c962 /5-3 4"o (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 I I 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 0 ers about Construction Responsibilities on the reverse side of this form. / / / _ , Ir a !_ . -�as� /_ I 2 6 - 0 3 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) �c• '.4. • � Information Notice to Property Owners About Construction Responsibilities Note: This Information Nu/br to Property Chillers about Construction Responsibilities was developed br the Construction Contractors Board /oaccordance with ORS 7010Jj(5). If you are acting as your own contractor to consiruct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being avare of the following responsibilities and areas ofconcern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement @fa residential structure, you will. in most instances, be ruled to be an employer and the people you hire will he employees As the employer, son must comply with the following: Oregon's withholding tax law: Asxo employer, you must withhold income taxes from employee wages an the time employees are paid. You will be liable for the tax payments even if you don't actually w ithhold the tax from your employees. For more inlormation, 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 xngeso[a|l employees. For more information, call the Oregon Employm mnt Department at 378-3524. Workevs' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must ohiain workers' compensation insurance for your employees. llvou fail to obtain workers compen insurance, you may be subject to penalties and will be liable forall claim costs i Ione ofyour employees is i 'urcdonrhojoh.Fonnnre information, call the WorkerS' Compensation Division at the Department ofConsumer and Business Services at 945-7888. U.S. Internal Revenue Service: As an employer, von musts ithhold fderai income tax trom employees' wages. You will be liable for the tax payment even ifvou didn't actually withhold the tax. For more information. call the Internal Revenue Service at 1'800'829'1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Codecompiiance: As the penn it holder lortliis project, youmeuspooyih|eKorreynWuguny[uUurctomeetcodcrcqoircmeo\s that may be brought to your attention through inspections. Liability and property damage insurance: ('ontaci your insurance agent to see ifyou haveadequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, tire, or work that must be re-done. Time to su employees: Make sure you 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 of rough-in and . finish trades, and tO notify building officials at the appropriate times so they can perform the required inspections. If you have additional ques iuns,vritcorcoU the Construc ionCou(rncnnsBoord(P0Doxl4\40,8n|eno`(}Kq7]OV'6852, 50/378'4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 • - CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3- od a Li_a_ INSPECTION DIVISION Business Line: • (503) 639 -4171 /- BUP Received Date Requested AM PM BUP Location / a 1 6o Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing _ a Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing I �� n Drywall { N ailing ! (� 1 \ G �rr} ) (� „ l ,�f �-� Drywall N l � �V �--�/ Firewall Fire Sprinkler Fire Alarm ( )1Q o �l Susp'd Ceiling `,� f Roof Other: • ' ►. �'t 1 Y " ( 2 \ Final PASS PART FAIL A 101\4%. y PLUMBING �1 d- /Q H p I �Y �t 1 , `� Tvc t Post & Beam k— Under Slab � Rough -In 3 J W sTnL1 ) P 3 a G.,t\iroNck s t..si& 11 S 1► V i� Water Service Sanitary Sewer 1-19 Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS P -T FAIL ,, LECTRIC - Rough -In UG/Slab ri/ Low Voltage p I ti 1 C E L 1. O - G c 7/ Fire Alarm Final _..._ PASS PART AI Reinspection fee of $ required before next inspection. P a y at i all, 13125 SW Hall Blvd. SITE 111 Please call f•r reinsp= tion RE: j Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk •••• Inspecto � - _AIMINNIP"" Ext Other: Final D • NOT REMOVE this Inspection record f m the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ` * ' , BUILDING Inspection Line: (503) 639 -4175 MST 3 a CT- INSPECTION DIVISION • Business Line:. (503) 639 -4171 BUP Received Date Requested - Z AM PM BUP Location I a (a O / a 7 1 i--e- Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 5 1 7 'D--d ELC Foundation Access: �// Ftg Drain cL d ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation f el D � m �,,) Coy 1 6 Drywall Nailing V) ," o / /1/�G Firewall Fire Sprinkler Fire Alarm ♦ oac ► ►� Susp'd Ceiling V �, . • C Other: "V 1 111 (C Z) . •+c S� l Final PASS PART FAIL \ - � ```` (� PLUMBING -1 N , V. . . _ °'� �1J `I . c W i N. Post & Beam ` d l � � � ` ` I � (� y� �-fi�/ Under Slab N > -0 �1 V i( Rough -In ' P \ -- V\O ® 0 Water Service / Sanitary Sewer 1 �. (, .F S El( _ '' 4 �--\A6? S �j \� 0 • Rain Drains V° Catch Basin / Manhole > 01 ' 1V� G 1 O \ Storm Drain Shower Pan /� Other: 4) ` \ \ 0- \ G \-■1\1___ - ) i PASS PART FAIL 1 /' � ` L1 / w \ ^ �� \, ( a MECHANICAL ly ,� (�1Z 1 \�. ' Post & Beam Rough -In Gas Line Smoke Dampers Final P. -' -,_ - FAIL Se - . J• UG/Slab , 6 Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspecti , n RE: El Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date ■ � - Inspector Ext Other: Final DO OT REMOVE this inspection record f o nl the ob site. PASS PART FAIL CITY OF TIGARD 24 -Hour ' - BUILDING i Inspection Line: (503) 639 -4175 MST 3 _ ov °2 INSPECTION DIVISION Business Line: • (503) 639 -4171 BUP Received Date Requested 0 - AM PM BUP Location I \ (Q D 1 a- 7 & ' L Suite MEC Contact Person Ph ( ) J 9# L) : PLM Contractor / el - 1 J ' _, Ph ( 5C33) 412-7- c' 78 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: -� �= SIT Post & Beam Abp 1 fit ` 8 t'° d 5 d �A R 1 W m Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam L Under Slab vin P /0 Q G2 Rough -In 0'14 « ✓ / ! � / �, Water Service D Sanitary Sewer Rain Drains Catch Basin / Manhole 52'n no 4- r O , f Storm Drain Shower Pan Other: 2 Final F,` it 1-O /2r e /Cc 1 koc �c ) PASS PART FAIL MECHANICAL Post & Beam � a /^ Rough -In {�h C 6 / � Y �� , /a s ` e - e $' ? ? Gas Line Smoke Dampers Final PASS PART FAIL s - .. % h/o J� /G UG /Slab Low Voltage I 2 L2 Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART ell SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line �^ ADA Date - 2 f ©3 Inspector ki — Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour 9 >— BUILDING Inspection Line: (503) 639 -4175 MST 3 —6 O - 1 1 - y� INSPECTION DIVISION Business Dine: - (503) 639 -4171 BUP Received Date Requested 0�5 AM PM BUP Location / to 1 ( / a 7 /k'-_Q_ Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: � ? ELR Crawl Drain � Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear , ] /0660 S C ���� Framing �/ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other k w� -• final FAIL PLUM Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA �� Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: * 9 -4175 AI 3-00a INSPECTION DIVISION Business Line: • -9-4171 BUP Received Date Requested 0 AM f y PM BUP Location / a 16 0 Suite MEC Contact Person Ph ( ) la-(0-4= ?a f -` /IPLM Contr.: • Ph ( ) SWR • LDI ∎ Tenant/Owner ELC °• g ELC Foundation Access: IQ6 L Ftg Drain ' ELR Crawl Drain Slab Inspection Notes: � ,- — SIT Post & Beam Shear Anchors Ext Sheath/Shear Int S ath/Shear ` L I f t `` , ` c (L . J� - Insulation lJ " ` ( � ( \ Gr" / ,e_g Drywall Nailing J 0 `... Firewall Fire Sprinkler Alarm e\„-4-0 � 5 Susp'd Ceiling 11 Roof • Otherla.lu �^ J �</o✓�� : Final PASS PART 410 PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date C q O 3 Inspector Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (501) 639 -4175 3 _oo a �� INSPECTION DIVISION Business Line: • (503) 639 -4171 BUP Received Date Requested — if AM PM BUP Location I ( a /aZ 7 Suite MEC Contact Person OThr■--- Ph ( ) PLM Contractor Ph ( ) SWR � BUILDING Tenant/Owner ELC 0 0 .a j I Footing ELC Foundation } Ftg Drain Access: ( b � C4 Immortint ELR Crawl Drain • Slab Inspection Notes: a c SIT Post & Beam `- T Shear Anchors S ■ v'"— Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing ' - Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling pp Roof O Fi PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm 1 Reinspection fee of $ required before next inspection. 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