Permit ' ; i
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00059
ail DEVELOPMENT SERVICES DATE ISSUED: 3/29/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15890 SW AVON PL PARCEL: 2S112CC -17300
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
REMARKS: New SF detached. DEMO CREDITS FROM BUP2003 -00511 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: 1 BOIL /CMP < 3HP: I VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2' 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 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 a l l o Municipal Code, State OR. Specialty Codes and
PORTLAND, OR 97219 PORTLAND, OR 97219 all other applicable laws. All work will be done i
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 152235 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 Plumb Top Out Exterior Sheathing Ins t Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
•
Is ued By : , / 4. 2 .4,, _ Permittee Signature : `- C!�
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed t next b in C�' ess day
/3
Bu l�ding Permit Application - ..FOR O E M t se ONLY
Received Building _� '
Date/B : 0 4lI Permit No, 3 - Ai/
City of Tigard RECEIVED Planning Approval Other � ,"
13125 SW Hall Blvd. Date/ e yv Permit No.o elJ
Plan Review a
• Tigard, Oregon 97223 C 6 3l3 / °' Date/By: Mn - 3 - ' q ' 1 Permit No.:
Phone: 503- 639 -4171 1F � ) 503 -59 -1960 "%'' �; .11 pas�y iew Lan Noe
Internet: www.ct.tigard.or.us RD Name/Method: Contact 1u See Page 2 for
24 -hour Inspection RequgtT\ 11 Name/ Suppl emental Information
_
TYPE OF WORK
RQU .. DTA: _.._,... _:. . , ,
-gj New construction ❑ Demolition 1 & 2 FAMILY DWELLING - ' --:'::
❑ Addition/alteration/replacement ❑ Other: —
CATEGORY OF CONSTRUCTION Note: Permit fees• are based on the total value of the work performed. Indicate
0 & 2- Family dwelling n 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: No. of baths: 7 i 5 j
Job site address: i 5 40 SW Avon 8 Total number of floors
New dwelling area (sq. ft.) O S
Suite #: Bldg. /A t. #: Garage /carport area (sq. ft.) `� F
Project Name: Roma j Covered porch area (sq. ft.) 7 2-4 S
Cross street/Directions to job site: Deck area (sq. ft.)
`Dv Hall 7Ivck 4 w D,t'V how Other structure area (sq. ft.) /'
REQUIRED DATAc
- COMMERCIAL. USE CHECKLIST, '
Subdivision: \DUX am Oo «S I 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,
Po e, y , � ) `c VI C t' F l ^ +1 n C>i 1(1 � Q�p �/� � overhead and profit for the work indicated on this application.
t 1 1 . i l ) ' { a' C t 1 , (� t 1 ` \ 1.' u . , Y 1 � . Valuation S
y V1 Existing build area (sq. ft.)
I New building area (sq. ft.)
Number of stories
Zi PROPERTY OWNER { ❑ TENANT - Type of construction
Name: g1Afxy V \S C'k V"Om ,5 Occupancy group(s): Existing:
New:
Address: tPji S mac° . 11Yl
Cit /St to /Zi : PP
Phone: ejf7� L}1� � �� a x: (5--)D5) '44'3 Z14 42 NOTICE: All contractors and subcontractors are required to be
❑ APPLICA CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: iw(', jurisdiction where work is being performed. If the applicant is exempt
Contact Name: I \ W) "i\Aq e14'S from licensing, the following reason applies:
Address: ,ik■fy as cubDve,
City /State /Zip:
Phone: MIT ES *. �,} t [ Fax:
m 1V t/l r � r1L `' 3UELDING':PER FE ` si j it i4 . . -
, ... ,-,-...
E -mail:
�� � �+-1 J' G l � � l• �: = .Ptexse refe-r feehe"duld . `- .;...
. "_::; .
CONTRACTOR .
Business Name: r FAA V 5f 4- Fees due upon application S
Address: 4,/ t. J i £ . .,fl il-L
Cit /State /Zit : f wipmera J�n Amount received S
Phone: .. r. , 1 11!AiM Date received: -
CCB Lic. #: ] R77
Authorized /
Signature: l Date: Z �" °'/ Notic: 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\Pcrmit Forms \BldgPermitApp.doc 01/03
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
r r
Mechanical Permit A hcation rUk (11 r1'C t: t is 01.,\ ��vcd Mechanical
Date/8 - Permit No.: & / —z 22 aF
City of TigardREC ' Planning Approval
Dates
13125 SW Hall Blvd. p 6 7. Plan Review Other
Tigard, Oregon 97223 c nateB . permit No.:
Phone: 503- 6394171 ax: 503 - 598 -19 ' p°s " ew Use
AR ON �,, Ontar Case Na
Internet; www.ei,tigard.ar. "f IG Q1 _La; _ - 1 i °.
p :
ats�e
t arts.: see Page Z for
24 - hour Inspection Rectue ( ervin NameNcthod. Supplemental taro mutton.
s ot
• .. • • OF WORK : • • . .. . cciMMERCI. *. .lmsaE:+cl c aisr. •.. AP.
' ►0 New construction • Demolition Mechanical permit &es" are based on the total value of the work
Pi AddiTiOin/alteration/re ■ lacement • Other: perfhrmed. Indicate the value (rounded to the nearest dollar) of all
_ mechanical materials, equipment, labor, overhead and profit.
a , COMMIX/MN 'l'RIX/MN s
E 1 & Z -Famil dwellirl_ ■ Corr nercialllrtdustrial Value: $ See Page 2 for Fes Scbodule
In Mces • ' a. IN AM♦1 Multi -Famil .__ '' . • , '.+ 1'n MS SCREDULE .
Demi . :on
IN Master Builder • Other; la :.: Cooru •
JOB SITE I FORMplTEON.esd:LO tiVON '' Pomace - add.on air conditioning *" - 14.00 _
Job site address: S , 't) :. • P/ Gas beat ' ' 14,00
Suite #: Bl • • JA. • t.#: Duct work 14.00
Pro Nature: .21EIRMINEWSRMIll HYdronic hot water system 14.00
Residential boiler
Cross street/Directions to job site: (fe. radiator or hydronic s , =m) t 14.00
D vo K Q /� ^� 11 ` 1 vd u u b (fuel, not electric)
in wall, in duct, s tided ct t:tc 14.00
Flue/vent form of above =I 10.00
R u nits 12.1 5
Subdivision Lot #: Other Fuss AP • limas
Tax map /parcel #: Water heater 10.00
• • ESCRIPTTON OF WO . Gas fireplace 10,00
Nalri .44 A N MIII Flue vent (water ttcnttrips fireplace) 10.00
FA 9i AA d o_ li: .1e :a8 10.00
�,���� Wood/Feltet stove 10.00 =I
�j i�1I lira' Wood fire•t stove
10.00
Chime /ltaen'flucivent 10.00 MEIN
• Other: 10.00
Name: , '.a rainli( EIN[/l Environmental Exhaust& Veatamino
gran
w
Range hood/other kitchen equipment 1 0.00
Address: I i �� " . Clothes dryer' exhaust 10 -00
Ci /St. te/Zi• : IF U,_ /WOISG Single duct exhaust
Phone: D t1 'fR1.�Enir. (bathrooms, toilet cormparanents,
Ci :CONTACT PERSON utility rooms) 6.80
Name: V /i I
�� - l�alii:M, NS I!A D ' Attic/crawl •. e fans 10.00
i�7�1 10.00
Address: . AIL' AL0 %J ' Fuel ' _
Ci IS . tedZi • : ' .40 Ear first • $ .00 net PALO. 21
Plum t f) lr [n Fax: — Gas hea etc. • _ :" Nur.
Gas heat
E 11 '.R ! . 'J 1. ,r /. a �]ea: _ .6.1 Wall/suspended/unit heater =''„ ... :; . •. CONTRACTOR Water heater
Business Name: VIM ,/ MINNIVIIIIIIIM Fireplace
Address: 1 , 3 r -t-'6) tram_
Z BBQ 1M
Ci /StatelZi•: • . A it .b Cl oches - : as NM " MIMI
Phone5)3 - 255-- 77 Fax: ^,, - 253=7 Other
Total:
CCB Lie, #: i t3 ut asuits
Total:
.. tee
Authorized 7 Subtotal: 5
Signature:: h�t�'lJ i0 bate: I Zv D Minimum Permit Fee $72.SO S
• 11! [ /1S , L. Platt Review Fee (25% of Permit Fee) $
t name) State Surch . = 8% of Permit Fee S
(Please TOTAL PERMIT FEE S
�� *Fee ruettwdotoJ set by Tri•Couaty Buildrng industry Service Board.
ptotice: This t application expired era permit is not obtal std within "Ste pian required for exterior A/C antes
ISO days alter it has beep aeseapted as complete.
i:\Dsts\Perm; t Fe ass btecPermitAuo.doc 01/03
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY [I 002 /002
. ,: ` P l u mbing Permit Application l>,11'IE`E: i'SE: ONLY
Received
C®
Dates .1 f .1 ,•'• -
City of Tigard CEIv {.► Planning Approval
Sewer .
Date/B : Permit No.:
13125 SW Hall Blvd. Nan Review Other
Tigard, Oregon 97223 200 Date/13 : • Permit No.:
Phone: 503 - 6394171 Pax: 503 � 196b' Poet gevlow
harrier: www.ei.rigartl.or.tls i . .- •ill Contact Juri1.. ..T..% See Page 2 for
24-hour Inspection Request: 5038 D D vs' Name/Method: Su . • lemental faroreaation.
TYPE OF. WORK. : x ' ' °' FEE°.SCHEDULE (tbr'$pecfaM'iafo a chigast • -
t New construction t Demolition Description Q! acc(w) Total
■ Addition/alteration/r lacement ■ Other; ''' ''' ' -,, �4., r '•. :: � '_
ON , - ., .,.: ; :kieea4a��QDli liu _ i , „ ; ` ,, . "�
', :eA11401 ff;�EF, r;.. u: •I a SFR (l) badt 2 49,20
Il 1 & 2 -Famil dwellin: I. Commercial/Industrial SFR (2) bath 1 350.00
• Accessory Building ■ Multi - Family SFR (3) bath 399.00
• Master Builder Qther: Each additional bath/kitchen 45.00
.JOR SITE INFOR'M1♦NIONandLOC4 TION Fire sprinkler- sq. f.: Page 2
Job site address: 1 SIro sw over, e1 • :- - . -Siite Utairttes. _ , , ,;,; .:; ;.„,:dr:,.i . • . . .
suite #: ' Bldg./A. t. #: Catch basin/area drain 16.60
DrywelVleech line/trench drain 16.60
1 Name: • . A A h /if1 /. Footing drain (no, linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110.00
IJ U�/ r l U V t I l ' 1/k. + 1 J 1 I E1 vC - Manholes 16.60
Rain brain connector 160
. Sanitary sewer (no. linear ft.), Page 2
Subdivision: lk a/ fA Alba 9 6 - Lot #: Storm_ sewer (no. linear ft.) • Page 2
Tax ma • • arGel #: Water service (no. linear ft.) Pace Z
DESCRIPTION OF WO • F uture o It em'
I � Absorption valve 16.60
�jrl l 1. la I ' I l 1, .0 Bacicflow •reventer P :e 2
Utilli bJaff "u a1 1�V i l3ack�r 1 6.60
Clothes washer 16.60 _
Dishwasher 16.60
all PROPERTTf'OW1 $ ' 'I as' TENAI T • Drinking fountain 16.60
Ejectors/sump 16.60
Name: iJ I 4 � j l ( l ,�iA) 11 ANN/ Expansion tank 1640
Address: i /� G i, h / l. R 11 len Fixture/sewer cap 16.60
City /State /Zip: Y jl�'f� " ir . IE�1,_� /� , Floor drain/tlocr sink/hub 16.60 '
Garbage disposal 16,60
Phone: 11 44 -1.2 li� M M Hose bib 16.60
.4 11K4 CO _ . ' £ SON lee maker 16.60
Name: 9r� it.�a 1'r" Interceptor /grease trap I 6.5Q
Address; �' ! / / .Iva P� Medicalgas - value: 5 Page
Primer 16.60
CiL l5tate/Zi
Roof drain (commercial) 16.60
Phone:. • - i - 10 # s2 Fax: i 4 74 sinldhasin/lavatoty 16.60
'rC'avA g/ • slit '. . C Tub /shower /shower pan l6.60
• ,S_ONTRACTOR ' • ' Urinal 16.60
Bu' Name: r u ,o (' , water closet t6.b0
B
�� Water heater 16.60
Address: / r. • . ." _ other:
- • ar � r / Other: -
P o b' ��,�' � ��� • SD .:;,•:;...r....‘,: . t : ,.al frta l�eaoi>1'tirees* -'
n" /rT�d1i/ //1F F . � Subtotal 5
CCB Lic. #: " "- -M 21// f� • ` lumb. L'e. #: -X0 ;14 Minimum Permit Fee 572.50 ' $
Authorized • ��� - Residential Backflow Minimum Fee 536.25
mire; , 1--- Date-" ZQ ` p`* Platt Review (25% of Permit Fee) . $
Pf4 , f/ • State Similar" (I% of Permit Fee) S
(Picas print name) TOTAL PERMIT FEE 5 _
Notice: This permit applleatlon sspirm if a permit is not obtained Within ' All new commercial balldlege require 2 acts of plans with isometric or
180 days after it has bees eco plod u complete. riser ditigraii (or plan revlew.
*Fee methodology set by Tri- County Butidleg Industry Service Board.
i;l t) sts 1 Permit Forms\P[mPermitApp.doe 01/03
01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01
Electrical Permit Application .. 011 F I CF_ . L iSE ON
Received Electrical
C � Date/B : Permit No.:1 ,•,Q �i
City of Tigard cCEtyG P lanningApproval Sign
13125 SW Hall Blvd. Plate/By: Permit No,:
•
Tigard, Oregon 97223 Plan Review Other
1 ! Date/By:
Permit No.:
Phone: 503-639-4171 Fax: 503 -560 6 Post - Review [and Use
Internet: www.ci.tigard.or.us ; " • J 1 y iuri .' .:
c.„„ ct — J�a
24 -hour Inspection Request: 503 - �
lrt a F °='y
.....11 I 181 See Page 2 for
iN G OI�J ethio Name/Method: i Supplemental information.
TYPE Off'
. WORK
a New construction D■ Demolition ❑ Service over 225 amps- ❑ Health-cue facility
• Addition /alteration/replacement [1pther: Hazardous location
commercial C1 Hazardo
❑ Service over 320 amps -rating of ❑ Building over 10,000
CATECOR'Jt OF CONSTRTICTrON ' '. 1 & 2 family dwellings square feet,
a1 & 2- Family dwellin y o r more residential units in
g ❑ Commercial/Industrial El over 601) volts nominal one structure
❑ Accesso Buildin ■Multi -Famil ❑ Building over three stories ❑ Feeders, 400 amps or more
1 111 Master Builder El Occupant load over 99 persons ❑ Manufactured structures or RV parse
,■ Other: ❑ Egressllighting plan ❑ Other:
• tuns TE QFFOP ATION' ttit•LOCeikTION• � Submit sets of plans with a ny of the above.
Job site address: ? o 5.j /0.4cn p(- The above are not a Ilcable to tam ra construction service.
Suite 4: BId . /A•t. #: � ULE.:.:. • - i,... ;: <. "'? ,,
Pro act Name: fa Number of ins . actions . er a ermlt allowed
of D eacrl .110n Qty Fee (ea.) Total
Cross / s st treet //D job site: /� New residential-stogie or multi-family per
D " ' ' Y\ " "' ' Rol �V e I I ( N Uol • de vice unit. Includes attached garage.
Service Included:
1000 sq. ft. or less 145.15 4
Each additional 500 R, or • •rtion thereof 33.40 1
Subdivision: Ii �it� �;{� Lot 4: Limited env." , residential ■ 75.00 2
Tax map /parcel #: Each manufactured red homnon resi or entiaml MI 75 .00 2
Each mctue or modular dwelling ■
DESCRIPTION OIt'WOR,K, .• : :.... •• :' service and/or feeder 90.90 - 2
j V /iT�?rR t Services or feeders - Installation,
1/� alteratlnq ar rel amp3 80.30
Ca;
�I� -,�� � C � 00 ani less 2
2 amps .s or. m 400 amps
401 a ... to 600 a .s 16 2
160,60 2
's'.4 , PROPERTY QWNER.r •1N1 TENiS • . ..: . ;:. ;. .. .: 601 ern.: to 1000am.. ■ 240•60 � 2
Name: �.� /� i J �• .. Over loon am. or volts ■ 2
Reconnect on r 66.85 2
Address: a ,. ulEVAT # .11 PJ Temporary services or feeders - installation,
�t I /L . r e orteration, or retotgtion:
J 200 am•s or less 66.85 1
Phone 1 tw v IZ ra'D MN J I y 201 am •. to 400 am - 100,30 111111i 2
1111 : * i.: ONTACr ao1 to 60o am.s
�. PSON: 11= 133.75 2
�Tir V a A^ Branch n circuits a - el: alteration. or
�/r 1 extension per panel:
Address: . vgt,' / a • o e. A Fee for branch circuits with purchase of
service or feeder fee each branch circuit III 6.65 2
Ci /State/ZI + : B. Fee for branch circuits without purchase of
Phone: A#1 ) D Fax: . 1 , 2. t 24 1 service or feeder fee, first branch circuit ■ 6.65 2
/ `J t n • Mi s c.( ,Servicc Each additional branch circuit MN 2
m
E- mail: V IS MIS tu r nrfee dern of included);
• III :- ,':. -:. .CONTRA_ TOR::. Each •urn . or an: on circle 53.40 - 2 •
Job No: Each sign or outline lighting Ill 53.40 2
1 D55 G _ Signal ircrts) or a limited energy panel.
Business Name: alteratioo o
n, r extension • 2
Description: 2
Address: QS7p S43 .l .- ,+`, III
Cl /State /Zi • : iii S 601-65 D ; "? • Each additional ins. • ion over the allowable in an of the above:
Phone :53 (v Z 2 80 0 i T Per s coon .er hour min. l bola 62.50
Z• Invest
fee: ME �`
CCB Lic. # : .� 6,G 789/ Lie. 4: Other:
Supervising electrician -- El ;x r::;':.r ;,.M, _:' .7,'.:....
;+ attire re +uired , � �zP/fQ S $
C Plan Review 25% of Permit Fee S
Print Name: • ' O dS s State Surc _e 8% of Permit Fee S
Authorized / TOTAL PERMIT FEE $
Signature; ` . l / N o tice: This permit application expires If a permit is not obtained within
Date: 180 days after it has been accepted as complete.
/ e� 46/4 N/ *Fee methodology set by TM-County Building Industry Service Board.
(Please print name)
•
i:lbsts \Permit FormslElcPermitApp,doc 01 /03
6
RECEIVED
AUG 18 1004
CITY OF TIGARD
BU LDING DIVISION
III
AA
S LL) /4 v o L .
JC�
iat.fi--74-a---• ) 7
,,,3 r.2_geiv--/ - 0'0 0 ,) 0 -
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 6 75 MST a °� 7 J° °45-1 INSPECTION DIVISION Business Line: 639 -4171
BUP
Received Date Requested I AM PM t./ BUP
Location / S 3 96 4-(1 Suite MEC
Contact Person n\--L-4z—e- Ph ( ) 7/0 /Ca (a7 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 J � _— O / dr
F 0 ir - at - • ` a r f
Insulation CF ASS v S Ys
Drywall Nailing l
Firewall • C0(„L Pc_ s
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
'
PART FAIL
• MBINGu •
Post & Beam ilM117 4:
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
PART FAIL
Id ie
•
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 ❑ Please call for reinspection RE: / El Unable to inspect — no access
Fire Supply Line
ADA g. i- Q
Approach /Sidewalk Date Inspector = Ext
Other:
Final DO NOT REMOVE this inspection reco,'d om the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST2D,c) `7 U - 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 — 2 AM PM BUP
o�
Location l e o l0 j 'J7,14 Suite MEC
Contact Person Ph ( ) -a- - Lg 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
Fi rewal I
Fire Sprinkler
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
Low Voltage
Frt. larm
F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SITE n Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA C
Approach/Sidewalk Date (fA N Ext
Other:
Final DO NOT REMOVE this Inspection cord from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 ' - MST 03() q - 00 °L5
INSPECTION DIVISION Business Line: (503) 639 -4171
p c� BUP
Received Date Requested o — P AM PM BUP
/
Location / 5 F ! q Suite MEC
Contact Person nAR i Ph ( ) 7/ — ( 6 e 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
Framing d
Insulation / / -- --- 0
Drywall Nailing fJ / �(
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling j
Roof �, /'�/ ��I'' /< I i , 4..�/�i , — 4-41. Other: -
Final f -
PASS PART FAIL ,
PLUMBING z AO
Post & Beam
Under Slab /
Rough -In
Water Service ' i
�✓ /� �.�_/ �/1� Ir�si i _ . / �L -
Sanitary Sewer
Rain Drains
Catch Basin / Manhole .der'i/
Storm Drain
Shower Pan
ther:
4 - : PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for rein_ section RE: fr114,--- 0 Una ble to inspect - no access
Fire Supply Line � ADA Jb y Approach /Sidewalk Date I nspecto Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL