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Permit • MASTER PERMIT CITY T I G A R D PERMIT #: MST2004 -00051 4 i DEVELOPMENT SERVICES DATE ISSUED: 3/29/04 gll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15860 SW AVON PL PARCEL: 2S112CC -16500 SUBDIVISION: DURHAM OAKS ZONING: R - 12 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: New SF Detached. DEMO CREDITS FROM BUP2003 -00509 APPLIED TO THIS PERMIT. BUILDING REISSUE: BVH1605 -1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 616 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 989 sf GARAGE: 307 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 156,293.30 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,605 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FD R: PUMPIIRRIGATION: PER INSPECTION: EAADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY . A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,571.18 BUENA VISTA HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the 6932 SW MACADAM #C 6932 SW MACADAM HOMES Ti Municipal Code, State OR. Specialty Codes and all l other er r applicable laws. All work d rk will be done e in PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 443 - 6033 Phone: 503 443 - 6033 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 1 52235 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Electrical Service Low Voltage Storm drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final Footing Insp Crawl Drain /Backwater Framing lnsp Gas Fireplace Water Service Insp Building Final Foundation Insp PLM /Underfloor Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp Post/Beam Structural Plumb Top Out Exterior Sheathing Insf Rain drain lnsp Electrical Final Issued By Permittee Signature :A / 64.4 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day /3 ,Bu, /din • P eru ° i. ,, ;.on FOR OFFICE I SE: o t.� ', ,. — , j . Received Z„� 6 (,,_ Building �O D Permit No. % 7 00 Li . 0 86 /j ° City of Tigard G I A Planning Approval Oth ow Q Ztrov ' coo / Other SW JA 2 2 � Date/By: Permit N 13125 SW Hall Blvd. � % % Plan Review Other Tigard, Oregon 97223 n 6 Date/By: MR-J 3 2 _ V Permit No.: Phone: 503- 639 -4171 FPTAP-D9 6b `'""'Slilil . - Date /By Land Use ateB Internet: www.ci.tigard.o�, DING ' y '' 10 AIL' : . 10 H : Contact Jur No. is.: S Page 2 for • 24 -hour Inspection Res t: 503- 639 -4175 01. Supplemental Name/Method: Supplemental Information ..TYPE OF WORK .. ' REQUIRED DATA ' ; ;;; :`. -.: - .13:1 New construction El & Demolition 1 Z FAMILY D WELLING.'.;: -.--: "= _ ❑ Addition/alteration/replacement ❑ Other: - CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate E.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. ❑ Accessory Building ❑ Multi - Family ❑ Master Builder ❑ Other: Valuation S . JOB SITE INFORMATION and LOCATION No. of bedrooms: 2j No. of baths: 2` 5j Job site address: (5 .5c...) Aver)... p Total number of floors Bld /A�t. #: New dwelling area ` (sq. ft.) l�7 SF Suite #: g Garage /carport area (sq. ft.) 7 a/-- SF Project Name: n (l5 _ Covered porch area (sq. ft.) 2-4 S l� Cross street/Directions to job site: Deck area (sq. ft.) 0 `Db'\I - c l \ , \va 4 N DIM/ h 6L1' i qo O ther structure area (sq. ft.) (fj . :REQUIRED DATA :. . Subdivision: COMMERCIAL' =USE CHECKLIST . DV \la, m OCk 1 <S 1 Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate • DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, ew l' n , D , ^ � ^ (� �' . U r ^ I C1 i _ „ overhead and profit for the work indicated on this application. IA ` A . i 4 j ( , Valuation S - - ' Existing building area (sq. ft.) New building area (sq. ft.) H - I d. Number of stories VI PROPERTY OWNER 1 ❑ TENANT • - Type of construction �/� Name: f ' \ j \ C R \D 5 Occupancy group(s): Existing: New: Address: t P' jL 5 M CO n l1. m 4-c Cit /St to /Zi Y - : km �. �2t i - Phone:(50.5 4ta-•� Le F ax: (' ) 443 Z4 NOTICE: All contractors and subcontractors are required to be l w the Oregon Construction Contractors Board under APPLICA ❑ 2 CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: t f (', jurisdiction where work is being performed. If the applicant is exempt Contact Name: M\ f m\i Pi/S from licensing, the following reason applies: Address: o(Y\P ct. (Cbo - ve City /State /Zip: • Phone: I Fax: • 'B�INC - ' E- mail: al m r 1/1`P.Y10 Ws Yl ��Y1e 5.t.b Ai -s= .- e ,.. CONTRACTOR P[ea •• . "e ec§chedule: Business Name: fr FAA V i ' , Fees due upon application S Address: GJ i j /. /, 1, 1_,I/ 11-6.... • Cit /State /Zi.: rrl'(% efir - Amount received S Phone: J. ' • Date received: CCB Lic. #: 5 Authorized Signature: Date: Notice: This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03 • 01/20/2004 16:22 5032537693 SUN GLOW INC \ PAGE 02 ED Mechanical Pr- v"ci �ecanc± 1 - �J Received Mechanical lr� � � 11Cation f 6 2004. Date/Bx permit NG.: N 'AZ 'A/ FEB Planning Approval Building Cl O TACO Y: Permit No.: 13125 SW Hall Blvd. OF TIGARD Plan Review Other Tigard, Oregon 97223 G � l � t1w DIVISION DareBr _ P +tt No.: Phone: 503 - 639 -4171 FaP`�`3 =59 r960 Pest•Re+1 Land 1./sc �. ' � . pate/Sy: ew Casa No.: Internet: www•t:i,itgard.or.us — Ail I ' - J,� roamer Jurts.: See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: V Be..tetnrntat Info rotation. , ' • OF WORK :... .. - : CO t, tit • FEE°, 7 -t1118E',CERI ST'_ '., t,..+. PO New construction N Demolition Mechanical permit fees' are based on the total value of the work 11.1 Addit:ion/alteratio&re • lane/pent MI Other: pt rfbrened• Indicate the value (rounded to the nearest dollar) of all ti e ; ; mechanical materials, equipment, labor, overhead and profit. ''fR value: S _ See Pstge 2 for Fee Schedule Ell 1& 2- Family dwelling 1 I Commetcialandustrial yt � � 1 ' d m Access) Buildin III Multi-Faaut - Descri • : on ■: Total NR Master Builder E Other. >3 Coortig ' • JOBSITE ENFORMATION.and'L a . .;.TtON '' Furnace - add-on air conditioning' 14.00 Job site address : / . (>.o e. 4•L1 / Gas heat . ' 14,00 Suite #: IDEIMMIIIIMIE Duct wont 1.1111 14.00 MEWL Pro'ect Name: alENIMMIIIIONINIMMIN [iydtotlic hot water system Ia.00 Residential boiler Cross street/Directions to job site: (fbr radiator or hrironic system) _ 14 -00 1/ 1 l ' Unit he(fuel, n ric) heaters (t elect 0 1VVh � Pa V �( in watt, err ( u e s not etc 1 4.00 Flue/ vent for an of above MN 10.00 Re shit units 12.15 Subdir�isioru Lot #: Other Fact Ap liaaceS Tax to . / .: el #: Water heater 10.00 V s ESCRIIPTIQN OF WO " • ' Gas fireplace 10,00 4 4 2 .4- ,44 AMMO Flue vent (water better/gas fireplace) 10.00 Log Wet (gas) (gas) 10.00 Wood/Pellet (a stove 10.00 — #J Fi'''/r I wood fire -lace /insert 10.00 IOIIMIMIIIIIMMIIIIMIIIIIIIIIIM Gllimnoy/llner/fuc/vent 10.00 P 74.PROPJE:WriVUWl'iER ° •:';•..- r 119 TOT - . '1.,..1.! „ .. ', Other: i 10.00 Environmental Exhaust; tfentilatioa Name: , ',� ��r ►� � II.��� Rangehood/orherkitchen equipment 10.00 Address: ►, /OWITA /• _ /• /• 1� �� ' Clothes dryer exhaust 10.00 �1 Ci /St . te/Zi•: a ia WI I�� : Single duct exhaust Phone. 0 11 1s�s:�s �1/ I 1 ; (bathrooms. toilet enntpammoots. in APPL1C • NT 11F-1: . 'w � • - .:. - e • utility rain's) 6.80 Name: V /�/. / �� �� 7�1 D ill MN Attic/crawl • • e fans 1 10.00 Other 0.00 Address: . 111.' MiImo) %J ' - Fueti9Piraz ° •1;,i.40 for first 4, Si•O each additingD Furnace, etc. sa >?hon i� �� Fax: Gat treat ,,sty• MN : E la - ,R ! , 'J /. T. a r]��, _ !il wall/s . dcd/u, it heater 0. � .., ,. CONTRACTOR , • Water heater Business Name: Ina I • . ._ A , Fireplace _ '° tia�ress: L r �h I� .• BB -- .• Ci /State/Zi • : 0 . e L c Z b Clothes dyer (gals) " Phonek3 - 2.56- 77' ' Fax: ",1 -153-7 Ocher. Total: 1 as CCB Lie, #: b f3 pt�anai eat Pero* Vetts° , Authorized _ ) ( ` , I zU l of Subtotal: $ S Signaa ture; Ohl bate: ` V Minimum post Fee S72,50 S ,�„ • Plan Review Fee (25% of Permit Fee) $ /: /! MI �.�• • State Surch - • Z% of Permit Fee S (Please • • e nee) TOTAL PERMIT FEE S 'Fee methodology set by Tri-County Sulidlag tndestry Service Board. Notice: Z This permit application s:tpiree WA [Jennie is not obtained within FA 57te ptIn required tar exterior A/C milts. ISO days aRcr it has been apnapted as complete. i \Dsts\Fc t Pemu\MecPermitApi.doc 0I/03 01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY Iih 002/002 s. � PLulallbing Per li i ltece F1:01-I 1:01-I I►i h'1C'E: I. ONLY i ve ' Date/13 : w' L ._ O 9 ' and FEB 200r PIannln8 Approval Sewer ' e i `7 7 asre/9 : Permit No.: 13125 SW H418114. CITY Plan Review Other Tigard, Oregon 97223 BU OF T1 ARD Date/H :' Permit No.: Phan: 503 - 639.4171 Fax: r.104tioN ,,,,., . post-Review Data/13 ard.or.us g Internet: wWw,ei.d _ ! ■ ; . � 1� Conta JuNl. �. See Page 2 [or 24-hour Inspection Request: 503- 639 -4175 -- Name/Method: Sit , dements! Information. '' 1CYr E OF. WORK • r::'''',''' " ' FEE ":SCuEnULlE abr'spect 'ta[o m tae lts A- d New construction • Demolition Description _i Q Tgcc(c) ital i t „ •.... r q'a i.,6.r: ; . y -a. t •. lacement I III Other; ' : � a :.' e�+f'11- :if , . ;v c , • Addition/aiteration/r ' „ZAT1GOP� ' ON , -, :: da5� bo fa +iloh �ln s ' •. I• s r`.r � "`" SFR (l) bath[ 2 49.20 WI & 2 -Famil dwellin: In Commercia1/Lndustna1 SFR (2) bath 350.00 IIII Accessory Building ■ Multi - Family _ $FR (3) bath 399,00 ■ Master Builder +ad Other: Each additional bath/kitchen 45,00 'ZO$SITE INFORMi TIONand•LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: / Clb d S w A. vc, to P 1 •••-•:: .. . - ..Site Vtilftie. _ •'" '' Suite #' Bing• /A. drain t. #: Catch basin/area dra 16.60 1'ro'ect Name: • , j /� �1� 4 Thywell/leach line/trench drain 16.60 Footing drain (no, linear ft.) Page 2 Cross street/Directions t0 Manufactured job site: M d home utilities 110,00 / I) GUM lM Za. -1' �` I B I v /� 1• Manholes 16.60 t I Rain drain connector 16.60 Sanitary sewer (no. linear ft_) Pss2 • Subdivision: P2Nili / haiN Lot #: IM Storm sower (no. linear ft.) Page 2 Tax map/parCt:l # Water service (no. linear ft.) I Y Page 2 DESCRIPTION OF WO • F"utttreor Item ^:' Absorption valve _ I 16.60 /dfi 1t . Ai I - L fi _ Bacidlow preventer Page 2 WIlli �Jadr u �il�j' Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ 16.60 ?3 •PROPERTlir'OWK ' - 1R9' TENANT Lhinkin$ fountain j 16,60 , E jectors/sump 16.60 Name: %j T ER ( 11[7 a n "' _ Expansion tank 16.60 ' Address: I , V * h / NM1I =t a Fixture/sewer cap - 16.60 P a nI I� o i/ /1.' mm s . Floor drain/floor sink/hub 16.60 Garbage dismal 16.60 Phone: 4 - LPO, EigialEEMMI Hose bib 16.60 , Lw �_� l c e t ai -, . • 1'RSO1'I . lee maker 16.60 9►] /�I� ul�' Name: l S \ Interceptor /grease ta.p I6.6Q AddresS: /l 1 A , • PiDA Medical gas - valuc; $ ) Page 2 Primer 16.60 City/State/Zip: - Roof [brain (commercial) 16.60 Phone:. • 9 --110 ' 02 Fax: a 4 2 SInkibasinnavatory 16.60 '•rlau /t I sue '. • C Tab /shower /shower pan 16.60 Col`F><P CTOR , • , Urinal 16.60 Business Name: ._ Water closet 16.60 G - .4 Ai Water heater _ 16.60 Address: _ / � r • .,t _ s ' . Other. - - EMEM:11 KM r / Other r non_ 5 ' �/ i r. F . . SO I .�r� , : " . .^:..,.Pl It eriiiltre ' CCB Lie. #: " . 1 4 ' • ` lumb. 9c.#: 3i1-Z Q , - sttb s �l � Minimum tmum Permit Fea 5722,.50 50 s A o _ L p� f Raidentia! Backflow Minimum+ Fee 536.25 Signanare: ; - �- Date:/ _ plan Review 25% ofPermit Fee S �4 ' �I S State _ urcha:ye (6% of Perm Fee) S (Pleas - print name) TOTAL PERhIIT FER S Notice: This permit application aspires if a permit is not obtained within ' MI new commercial buildlage require 2 sets of pb.es with isometric or 180 days after it has been aooepted as complete. riser diagram for plan revtcw. •Fee methodology set by Tri- County Sultding Industry Service board. i; \Osts \Permit ForrnsWtmPermitApp.doe 01/03 01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01 • Y Electrical Permit A Iicatiom FOl (11:1-101:: USE. ONLY Received Electrical Date/B : ?emit No.: .j r.0i .' . 170 City of Tigard Planning Approval sign - 13125 SW Hall Blvd. Plan Rev Permit No.: ew Tigard, Oregon 97223 Date/By: : Other Permit No.: Phone: 503- 639 -417I Fax: 503- 5R_SF/ s Et', ; DPost•Review Land Use Internet: www,ci.tigard.or.us �Jl • Date/Ely: ions .: 24 -hour Inspection Request: 503- 639 -4M '1'`1 Contact turn. Su pee Pe a for o I Name/Method: Supplemental Information. O r •T YpE w. `'i'r Q ..: TfC tA RD . 77, . ,.:. ... , ! • ` •.: .,• . ., ,.. $ .. _- , . ..,....,. •., . EW lirYse'clieCiGa7i t11ta . `. •I New construction galii aa��� . iii Service over 225 amps- Health -care facility M Addition /alteration/r- .lacement • Other: commercial 13 Hazardous location ❑ Service over 324 amps -rating of ❑ Building over 10,000 square feet, ' : CA'TECORYaFCONSTRUCTrON.' . 1 & 2 family dwellings four or more residential units in a1 & 2- Family dwelling . ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories III Access° Bulldirl_ • Mlllti -Famit 1:1 Occupant load over 99 persons El Feeders, 400 amps or more 10 Master Builder der: ❑ Manufactured structures or RV park , ❑ E gr ess/lighting plan ❑ Other: ' `. 1013:SITE INFORI TION'`fa tdLOCtl`TION . Submit sets of plans with any of the above. Job site address: /SfS(, p St..,) .�v. .� The above are not applicable to temQoraty construction service. Suite #: BIth./A.t.#: . IrEWSCSED LE.: .i • . �a.. " ' ,... Pro act Name: Number of inspections p p ermit allowed allow ♦ ii a� �f Description Qty Foe (ea.) Total Cross street/Directions to job site: New residential-single or multi-family per �n� \� _I {� dwelling unit. Includes attached garage. • `k/V V' 1 I Rol 4 - �(j] \ I Y'�1vc , Servlccinclude: vV l` v V tICCC// v 10009, Q or lesds 145.15 4 Each additional 500 a9. ft. or portion thereof 33.49 1 Subdivision: ���Ul�n(s/�►rr'P Lot #: Limited energy, residential 75.00 2 Tax map /parcel #: Limited energy, non residential 7500 Z Each manufactured home or modular dwelling DESCRIPTION Og • • • • ;: .. .. •• service and/or feeder 90.90 2 IMMTAMMMIV a 3 Services or feeders - inliatioo, ��� alteration Or rel ata Il.,�ii ,r () 200am.sorless / � / 80.30 2 201 a m to 400 am 106.85 2 E's'I - PIiEIPER•[Y OWNER.... 401 amps to 600 amps 1 60,60 .. 5 . .TEN‘ . , ::.. 601 am to 1000 an 2 Name: ��. + � . Over 1000 amps or volts 4 , 65 2 Reconnect only, Address: da u i ,,, A t' Temporary se rvices or feeders • installation, fi6.85 ■ 1 MA R�.� j ► °. 41 alteration, or relocation: �_ _ � � 200 amps less 1 Phone i Z1�1y,Ji� � M _ 201 am , to 400 a pe 50 0,30 2 i� I�� <:.C•ONTACT.PERSON.: . ; 404 to 600 amps 133.75 2 �1�� u j e - A^ ext nensi a n e pe r p- An e ew. alteration. or L/► J eztslo r pel: Address: . v iLr / 5 a , • O Fee for branch circuits with purchase of C/ service or feeder fee each branch circuit 6.65 2 Ci /State/Zj .: B. Fee for branch circuits without purchase of Phone: i p . f� 1 L ) - service or reader fee. first branch circuit 46.85 _ 2 iifra Z, 't Each additional branch circuit 6.65 2 E-mail: r�P)b @ b/tein V I rl ma , S • coin • Misc.(Service or feeder not included): . ;`:.:•:- ' CTOR.':. • Each pump or irrietion circle 53.40 2 Job No: - Each sign or outline lighting 53.40 2 Signal circuit(s) or a limited energy panel. ' Business Name: IR 055 E � � • • - alteration, or extension 2 2 Address: c2 S 70 .5 k) I , � e. X 3 Description: I City /State /Zip: y-i )(S 420 -0 , OR-17i Each additional inspection over the allowable in any the above: Pcr ;n, ;p hour (min. t hou Phone :533 �'/Z 2800 ( Fax :�U} 6,q2. n($- , invest; tion fe 2.so CCB Lic. #: 1$"7139/ Lic. #: 3 ucr: -- Supervising electrician : •> c 1 If _ • Subtotal :;1/2 r c,;r signature re•uired r�P/►� Stota $ Plan Review 25% of Permit Fee $ Print Name: ' ue ) OSS Li #: t,/2 State Surcharge (8% of Permit Fee) S Authorized TOTAL PERMIT FEE S S ;gna[rize Notice: This permit application expire; {f a permit is not obtained within Date: 180 days after it has been accepted as complete. *Fee methodology set by TrI- County Building Industry Service Board. (Please print name) i :lDsts \ Permit Forms \EtcPermitApp,doc 01/03 , S TREET. TREE C.. .. ,„t. �� 0. n , O wner / ent f for -(Qa u W " 5�4 61 S'oM 0o M �r I, e' ' A. /S-f , Aug o f (P E ASE PRINT) E N (PERMIT HOLDER) 04 t a w i 1 ' \ 0> Do hereb, �cer %iy K a t ,01 =b — wing location 4 `' I meets v ; of ' �gard /Washington County ^Pa✓nfJ .F!'x 6C'k:; k`,k :"6 i."F ,,.„ .,... .........�RY:II$d .,... land use and development standards for street tree installation. -14 Do- ADDRESS: 5 ` ' 6,0 5 '� At/cm - ) LOT: 1 SUBDIVISION: Vcz r !n A M og BY: - DATE: U 51° 1 . . 1 l o. ® RECEIVED BY: DATE: .c ' S -7- °2/7 0> rVVVV VV Y V YVY ® ® ® ® ® ®® CITY OP TIGARD 24 -Hour BUILDING 110 Inspection Line: (503) 639 -4175 MST..- O 4 --°C;d i INSPECTION DIVISION Business Line: (503) 639 -4171 p' BUP Received Date Requested ?� o AM BUP Location I s glad Suite MEC Contact Person Ph ( ) — /((47 PLM Contractor Ph ( SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL �. P U BING .111 A - 411:11MM Post & Beam Under Slab Rough -In Water Service luipipir NEN/ 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 41111C • PART FAIL - ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El] Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date �� "� Inspector Ext Other: Final DO NOT REMOVE this inspection re from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 •39 -4175 MST c Y-106 U ,S—( INSPECTION DIVISION Business Line: ) 639 -4171 F BUP Received Date Requested o ' AM PM BUP Location ga > • Suite MEC Contact Person Ph ( ) 7/ — I' (P Co 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear �0 �2�_ Framing / Insulation eo �l Drywall Nailing Fi reveal l ECCQ t J /�l �'� 1 g o o ei Fire Sprinkler Fire Alarm F© Susp'd Ceiling Roof Other: P AS S PART PLUMBING \ � �_' �� Post & Beam e 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 r'= PART FAIL CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: E Unable to inspect — no access Fire Supply Line ADA 5- Approach /Sidewalk Date 2- O Inspector i ■ L/0111■ Ext Other: Final DO NOT REMOVE this inspection reco - m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 0 C(v0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested �' AM PM BUP Location / 5 8Qv Suite MEC Contact Person Ph ( ) - 7/a — 76 67 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Or ` Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling � ,� / Roof Other: Final PASS PART FAIL • PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: S OART 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 LI Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA �j Approach /Sidewalk Date (/ 1 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Ho BUILDING Ins e: (503) 639 -4175 MST/MY 6 57 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested AM PM BUP Location / s F(.0 c.) Suite MEC Contact Person ( A A Ph ( ) 6 (Z - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing — — ELC .Foundation � re s s ) Ftg Drain - ELR Crawl Drain Slab Inspection Notbs SIT Post & Beam Shear Anchors t. n � _ Ext Sheath /Shear /� /6 lQ J Int Sheath /Shear - -- - -- �/ Framing __ Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling /' Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab / • Volt.. -, / 1/ • 61_6, Fire • . i E� PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE fl Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA )./ Approach /Sidewalk Date 0/ Inspector Ext Other: Final DO NOT REMOVE this inspection record tom the site. PASS PART FAIL