Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
. t� CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00189 i DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004 " �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09022 SW BLACKOAKS LN PARCEL: 2S111AA -10200 SUBDIVISION: GREENSWARD PARK NO. 3 ZONING: R - 4.5 BLOCK: LOT: 086 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: MAS22140 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,171 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 993 sf GARAGE: 635 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 217 674.90 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,164 sf REAR: 15 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: 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: 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: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVGFDR: 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: INTERCOWPAGING: 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: $ 7,570.04 FOUR D CONSTRUCTION FOUR D CONSTRUCTION This permit is subject to the regulations contained in the PO BOX 1577 PO BOX 1577 Tigard Municipal Code, State of OR Specialty Codes BEAVERTON, OR 97075 BEAVERTON, OR 97075 and all other applicable laws. All work will be done in 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. Phone: Phone: 720 - 7445 MOBL ATTENTION: Oregon law requires you to follow rules I adopted by the Oregon Utility Notification Center. Those Reg #:u� � 080 j 037 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. • REQUIRED INSPECTIONS Ersn Cntrl 681 - 4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins[ Storm drain lnsp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Service Insp Building Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Appr /Sdwlk Insp Po . Seam Struc . -I Mechanical lnsp Shear Wall Insp Rain drain lnsp Electrical Final Is ued By : \ _ , 1 \ \AMPi /l / ..I _I_ ! Permittee Signat ` Call (50 r 9 -4175 by 7:00 p.m. for an inspection needed the next business day Building PermitrAnnlicati'on" ED FOR OFFIC USE O -. . U n t u U City of Tigard Received DateB • CP A 11 Permit No.:j g ., : 00 6 , 13125 SW Hall Blvd., Tigard, OR 97,223, ' Plan Revie L n � I Other Perm : p v ,., .. Phone: 5 Fax: 503.598:1960'' '' N4 � l� Date /B : `— -�U - ® , t� 1 Inspection Line: 503.639.4175 ► � 1 Date Ready /By: See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: IM Supplemental Information BUILDING DIVISION V f ,'cSnti.il . n.; ., „y; - , °),� .,,j'4r'i;..t.^ 4'i: " : .., , > „�yy.�, " " L :' .x. :»'�'^�.:d'. .5Y il..i'. ;scr _ , 4 ) `? �., E , ��s�:z t� i ��Y�;��;,� u,,., <,k'" ARE iJIREDDATA, :' . . AND �2= ` <FA] n�: 3' ; ..n:, a . }r; }} „ „ > x ?TXP ' E; ;OF'WORK.t , , 6;:, Q . • � � , �iP'^JJiI';ry _�•.+ t„ a' ;'I, ., ,, 1. x =`F.'N !'1 #.:e!. � :.es... • �,.'.'' � ' .. .- -. . , < ., . �.. .� N New construction ; �,. nt+}.�!�.a +aue��'K�: < ?.�'$: _,....'�asv �hr� r : • n �: assi ,�. %�,: ,.,.:� _�"?."S _'. . ' :. .. .:.. .... .. .::.. N ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the „ 1,. �: �, c ;<�.,.v..a tw, o ... +�;:,a ^,,t: ,�; N.:_ ,:. �,i ,; .<; � ,.�.t� Ak work indicated on this application. <<i�.;,��' = ^�5'�:' � . 'hG�; " hT,:,1� �`= „6.C,�r e:, .�G c, :. ,.. , �.a(; �.�:''' ?;��'.s;�l „s . s. i , 44 . I .",g�f.<. :'.CATEGO - ••44 - ..CONSTRUCTIOIYl1 =a :;: �� , rub" : >t,.A '1'ti;k. ilik °'°'' �tx3° 3":*. e;` re` �a5s z : 2: e° ri-, �x� �++: w ' ' .; .u�s+lcac?.ra:_ax:t55H�tsa �,t.�:F:..,,,,, i'%s..�hx ,.,i.. „r.ra,c.. Valuation: $ g 1- and 2- family dwelling ❑ Commercial /industrial Number of bedrooms: El building ❑ Multi - family ❑ Master builder ❑ Other: Number of bathrooms: 7 //2„,,, _ °�. .° s� _ �..; ;; .' �::, ,:�., v „ se,e .: ,tee �,cas: ; sn: - F ",n', : „ «: : +e ,`�;',� number of floors: d c I b '' ` t l r J iiig i INF®Z AND ?LOCATIO ,r, ,, ' g:i A '` Total numb 2 Job site address: G New dwelling area: 2/6 /( square feet City/State /ZIP: / - �j b ,C '7Z722 Garage /carport area: .6 jr square feet cJ /7 `9 � Suite/bldg. /apt. no.: Project name: Covered porch area: 9 3 square feet f Cross street/directions to job site: Deck area: square feet Other structure area: _— square feet _ ,, ., ..�.. 4 :4+-' ,'a�''F,F E g,,...,,,, n"r . ,, ,, ::, , ,...,,,. r r:. l s .<,,. .• , .. .. . =+"s3 RE QUIIREDDATA71,COMMERCI : AL USE�CHEC , ST .', lJl Subdivision: dr , ,, /C Lot no.: b Permit fees* are based on the value of the work performed. q Indicate the value (rounded to the nearest dollar) of all • Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the `:Y +'+ :.SaF;F��i`i'" }.” WS' Z$ a: '„�9 :.•€"'s'":t :•o:1';'§?,ivi 3: '3.'" :4 '': ` ti< < x I� iF' 'F2: '.:f,s.' ::.�x.; 7 i A DESCRIP OFtWORK =r ' _ f a N"1 work indicated on this application. ' _ 1 Valuation: $ Existing building area: square feet New building area: square feet <. a va�`:',�^,a > =- n�;.> �..v t.,nat„S- �N"Y i „c ;r:'i :'� •::u : az ' �,m {.�e' 't; f.,�„ _- „nx +rt ?q,�:;ucr,,;� �, Number of stories: a� - ' <; OWN i TENANT ', * w u"e?, - " 4°:E:,° �-. ��+ asa :�:':4:- °`�.d_ „s;;+- �3ma�°... � ,� §� ��` � � �. � .�ra.,,..�ea,���,�:P � '�F >....a„^k�i -' Name: / w /t � C i�Zr...A - 7 - g C.L c/ w11 Type of construction: Address: j Occupancy groups: City/State/ZIP: , ` / D / 9 2 0 -7s - Existing: Phone: ( 3) S9'©- ® ,.. ,( / O— / -� New: Fax � N L'.. „„ „`e';k'. = <.. t. ;Y.�. �. .,r .���F. 3 Mn,•,;,,y. �„t;e;�, ° ,a,� =:= u,�R.�,.,.�z .i i. f 't. A l4 .i. - w . lr< ®GONTACT1 PERS• Al r;:�_:,..,«,' • N ',,<. = , . 't .. r= '*'` ;. APPIICANT :t , a :,.. >,�,.,<<,. , :q.;4 Ait. -.,. . .. .. ,. - ,�`�� ...- �,� .x.,�a.: � :.,;�:`�t`m " -r,� � :�� �.,...�r.t..u.�, �aa�� ,. , , ��� >7a n;, � „_..•;.. ,',y,,. I _. �"e+- ,x�;� ? „�S� °�” `� ^..''�,,, •it'• . Business name: yy , All contractors and subcontractors are required to be �'/ licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: apply: Phone: ( ) Fax:: ( ) E -mail: ar =;7` -=^ ;�^., .a ==°' +, �ia€nx..�.. :lv x+'1 „_ s Y'3tc`.t; n `I >".'Str - ``. z) ;;. �.,; ,: ct,.,` ;�:+itaS',:.7 ”` nEi. r A ,tki z t �sa � a m X CON ::, OR $ S r i '' ° i ° ' ,u.� �- �t- ;�:,�`� .aa,.;r„�.er. �'t�a _ ..z��ssC�n� �:� K -_ x,x�,. ,�”' s „+. «>. -� . _ _.,,tai` aW Business name: 9,/,-,/,_ .t. ,o.,4 11 //-t./ , i r z :x;, ...�e ti . ''' = :BiJIIDIG PERMIT ,FEES* Address: Please refer to fee schedule. City/ State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lie.: --- e.) 3 7 Date received: • Authorized signature<- ' `- J � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �7 n ,p Date: 6c- _ /t! [0 * Fee methodology set by Tri- County Building Industry /`f Service Board. i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I I /02 /COM /WEB) One- and Two - Family Dwelling Building Permit Application Checklist „ FOR OFFICE USE ONLY City of Tigard R ed Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 A ssociated permits: Phone: 503.639.4171 Fax: 503.598.1960 6,0 4 0 10111 1 ❑ Electrical ❑ Plumbing ❑ Mechanical 24- Hour Inspection Line: 503.639.4175 Ail' E!f_.. Internet: www.ci.tigard.or.us ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR- PLAN REVIEW Yes No • N/A . 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ U S 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ■ ■ ■ 3 Verification of approved plat /lot. E I U 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity _ . ■ ■ ■ 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 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. 0 0 0 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 Ore:on and shall be shown to be a• • licable to the •ro'ect 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 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be 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 and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. . i:\Building\Permits \One- Two- FamilyChecklist.doc 12/03 : ; Electrical Perm t - App cation FOR OFFICE USE ONLY - ` City of Tigard ION `11'.; [N4 Received Permit No.: i � � 60 `r 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: I I - Phone: 503.639.4171 Fax: 503"598.1960 Plan Review TIGARD /��paNI� \ DateB : Other Permit: Inspection Line: 503.639.4175 i I IO `/ I Date Ready/By: Surfs El See Page 2 for LDING DIVISION v. Internet: www.ci.tigard.or.u Notified/Method: Supplemental Information 5UI «; :'..� w.- ".' � ..4- :c�'.Jik �' v:?i:i�vt,- e'.{�' ':yA;:^: R >L� .�:: <� - . 4 _� .. .. ,1E.. -.fi`mb 5 1 : 4. x F ::,:7�. ..r' °'� is q . y + t , �1,g.. ,f. i' Umk2 <is� :_.3'. ='= . r �, .�,.µ n, xr ; q , . TfrYB O "t ! �r�' qtr : s PLAN I V _ -_ .�'.» ...� „�- �.'�,._ _ ,_- ��� �:,e... sr^ � *;'�4��s,,. w -�� ��ia ._siT -,., a i ,��d °.r y .ems:# � _ - .. ,. . . _ - _ xf New construction ❑ Addition/alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'1 ❑Hazardous location ❑ Demolition ❑ Other: „„ -,. , ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., g . ^M F . ,l ,,C,iTEGORY� OF C01�`STRIICTION £ n tz l �, � , , of 1 -and 2- family dwellings 4 or more new residential f e zr 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family El Master builder ❑Other: ❑Building over three stones ❑Feeders, 400 amps or more s V .y , 1i : .< „�. E Y .;. y . f gty T , ; ," g - A •s - , to { ❑Occupant load over 99 persons ❑Manufactured structures or N ;, : , , JOB S I T INF RIVIATION AND LOGj1TIOlY'n ` �,_ " E ess /li htin ��� ��� �� � � �,. d . �? �� - ❑ gt g g lan RV park P Job no.: Job site address: 7022 2�. Imo,' ) , Z f'S ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: r 7 / ,I g b A . , 9 7 2 4/ The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: f ti y . „ : ,: EE x :;SCW- I KPli ..... . . , . . Description Qty. I Fee. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. ' 1,000 sq. ft. or less I 145.15 / /,r/; 4 Subdivision: 6-g,, sGjA , ort_. Lot no.: e6 Ea. add'l 500 sq. ft. or portion .4 33.40 /33.60 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ,' v; >A�, _ _ +„ _. Limited energy, non - residential 75.00 2 1 `' . . y , ; tmais D,ESGRIP tONR Ok' S W * ORTK� n A : 4 ': ; a Each manufactured or modular dwelling, service and /or feeder 90.90 2 ZA.AAJ / 2% "e' Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 :, 'r. *Pig- e.z,:n�.: >:iii >•;a,. s.. _ * `"•-i t ,'... .'4' - `,'r.a �„..,,,z :;,.,,, t'a P,VIk '�� � R.OIxER�TY� `� � � � � ' � � � �" � � 201 amps to 400 amps 1 5 - '.. • , -: - .; ,:,, .... , 2- R P , ,, . i ,, ® :TE .ice .. , 5 - 1 °' "' 401 amps to 600 amps 160.60 2 Name: / V� �L> 0_,.t--01. <S772e- e-C-7j vii/ 601 amps to 1,000 amps 240.60 2 Address: TO - /s--r-7 7 Over 1,000 amps or volts 454.65 2 -7 Reconnect only 66.85 2 ��C) City /State /ZIP: Z ,, ! l U C� 7 � /'L Temporary services or feeders installation, alteration, and /or Phone: `7� S/ 0. _ Odc, S Fax: 3) , .c---- 7 , 0,, / 7 , .. - / 200 amps n s or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: _ Date: Branch circuits - new, alteration, or extension, per panel ,*. P 16 ' "FiS `" APPLrCAN " I m a ifttr :"VtON 'rd:faERSd fi 4 3 y A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Si a a U , 4 , branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - -. 'x a COP, tTRAC1 IiB mt 'Asmati-torm energy panel, alteration, or extension. Describe: Page 2 2 Business name: yo) 7 5C7:s �, ! G Address: ,S 6- 9 J //� 9 41. Each additional inspection over allowable in any of the above `'f / Per inspection 62.50 City/State /ZIP /� jAd 6� , ? .... 22 . _/ Investigation per hour (1 hr min) 62.50 Phone: _ 24 - 7 Fax: ( ) Industrial plant per hour 73.75 �;��,:. ��ETECT �FEES �`';�_ ` - CCB Lic.: 93 8 g Electrical Lic </' C Suprv. Lic.: 3 �`�Cs Subtotal Suprv. Electrici an signature, required: , 1 ...c. _ Plan review (25% of permit fee) Print name: ^ ' �(/ t) ) „C ( � ']� 7- un.i� �� Date: / ,�i! State surcharge (8% of permit fee) eee��� IJ�K TOTAL PERMIT FEE Authorized signature:27 ../ This permit application expires if a permit is not obtained within ]30 days after it has been accepted as complete Print name: eve Date: ‘-/O......0 v * Fee methodology set by Tri- County Building Industry Service Board "�f ** Number of inspections per permit allowed. i:\Building\Permits\ELC- PermitApp.doc 12/03 440- 4615T(10/02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: r0:07, 6 1 GIRL WORK O TVgijV Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i \Buddmg\Perm ts\ELC- PetmitApp.doc 04/03 Mechanical Permit Application FOR OFFICE U ()NIX City of Tigard Date/By: No.: -� - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review --cal , Phone: 503.639.4171 Fax: 503.598.1960 Dq B 1' Date/By: Other Permit Inspection Line: 503.639.4175 � I Y Ur 1 t l V SI °d P �� ® pl�p� �6�H�°� =� Date e d/ et o: Juris: Supplemental See Page 2 for Internet: www.ci.tigard.or.us tS UUtl Not fied/Method: Supplemental Information WRIMa. ter+- ��rx°' �- ...._,. ..� :..:. .: � - ' �.' "r "�: x"', „° ys "* .x <:� e "'"' - ; :fir �� s, =:rJ,;.� r..,,•.rr: ,Y,� -- t 1,:, . ,, : Y;P WOI .` ,-t � .., k1 lx.,, Pk C ;,..,- E 2 -..... F,E SGHEDU TJSE3CHECKI IST' New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work j il performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. , z „ �n: , (i ":` -:aro+ z- .- sr..,- <svazrN a�z#'5.:.». °m,:*'s.?,sst ";R'i >< r: re^5,,�.�, :",„,.Ati Value• S l , . ' �gCATEGORY OF�G6WM --af0- ..,� ..,:'" j �` ., ' v - t .. , , A M a RE SIDENTIALEQUIPMENT / SYSTiEMSrF<EES* (X 1 - ,and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total r° * u : ° J O itgff E $TO 01�t a ; ,��;'.� °g== '.-`:i ; , g 1 .. .k , :. --- , ,r aP'TT ,e - .ND "LOC,ATI, „, ; , a.li `, Heatin coolin Job site address: yo, 22 S% 'XZ X h IQ. .4/-,1,0-e.- Ai heat pump C.-v"l (requires site plan showing placement) 14.00 City/State /ZIP: "7" /i (.3,4 5 7� Fumace 100,000 BTU (ducts /vents) 14.00 l / Furnace 100,000+ BTU (ducts /vents) I 17.90 17, Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work I 14.00 )iJ . ot2 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 / Lot no.: Flue /vent for any of above I 10.00 • i' 0 .� Subdivision: �s��`�/� Other: 10.00 Tax map /parcel no.: Other fuel appliances ` ;. ; .. ,r, ; ; . ;�: � ...sa' �:gs: �• .:- ^ '�-; -::. <z "�?!r+.i ='mu, f kr`,.,.3 k,. in 1°.(4 ' i 4 . ' ' 'DE'SCRIP , O WO t i , a . ;' ° Water heater 10 .00 Gas fireplace I 10.00 /0. 69 A : Z-_..i ../.4, Ge.Q./ Flue vent for water heater or gas fireplace a-- 10.00 gi2'b1) Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 1S4 r, -,9 s <�, , - ' o , e r ; Chimney /liner /flue /vent 10.00 -R'ROP R ETY O % ;f : o i 1 A0 ` AMI . ��.. �� - r Other: 10.00 Name: ct/t. h „� z c ox ) Environmental exhaust and ventilation ��� Range hood /other kitchen Address: cp, O, 2? � -' " 7 equipment 1 10.00 I0 -v11 City/State /ZIP: J , _ n, � S 9 7 � Clothes dryer exhaust 1 10.00 IO'cA) / Single -duct exhaust (bathrooms, Phone: X3.3 S90y I��v, ' Fax: L*53 )...5-79 - / 9. / toilet compartments, utility rooms) 4 6.80 )1 .2. O „v'��= . ``''ap: 2 " °sa�: S,Wban �'�" 3`€ :,',.,i•.;Ta .: : rx.p �;::,'-: W , g.,A ANT� iti CONTA 1``PERSOIV alTe; Attic /crawlspace fans 10.00 Other: 10.00 Business name: ��n 14 _ „ Ad ph O U- Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc.- 1 Gas heat pump City/State /ZIP: Wall/suspended /unit heater Phone: ( ) Fax: : ( ) Water heater / Fireplace E -mail: Range I .�..�„ Barbecue li 4v,, -. `` 1f �C �, mL, ::07 �� .. _3 _ . . . -lam ,,, Business name: ����� �f/ J� Clothes dryer (gas) ` j' 1� %l ` Other: Address: ) ° 74. V e ... s� •= � � :.� :. : , -- n O � C' � CJs' �., �MECH -AN3TC�A'��.��,E�RMTI'.�EES*�� � N O City/State /ZIP: �iGZ_s", 0.Gc1/ , 9 7/2-- Subtotal / // Minimum permit fee ($72.50) Phone: � 6-�S(e �� Fax: ( ) Plan review (25% of permit fee) CCB lie.: 4 - 7� State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: ,s r , 1 - y �� /y� , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: )h, i gA f ii--7;'�a Date: ...._/ Q_ .04/ * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \IvtEC- PermitApp.doc 12/03 440 -4617T (11/02 /CO M/WEB) Mechanical Permit Application - City of Tigard Page 2 -. Supplemental Information Commercial Fee Schedule: 'Total)Valnatton" Permi> ee 1 , ,3 ' $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • i:\ Building \Pernrits\MEC- PermitApp.doc 12/03 2 wilding Fixtures H i L �° t� ►�) Plumbing Permit Applioation 0 1004 FOR OFFICE USE ONLY ""' 1 _ ` s@ City of Tigard Gel Received Od- � IliAtiLJ Date/By: y: Perm t No.' ` 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598 4 NG W1810/404 r tiKl �� I, Plan Review Other Permit No.: � � Date/By: Hour Inspection Line: 503.639.4175 �lf I t\ Dace Ready /By: Juris' El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information m x,� "25%' : 'K�.s, i +.,.. ,,�. »....; :;.. _...: r %'. e ' :e. ^,z- % "A.g " - '°' - ::s i A` : ^T#,�' e . .�.$`..YS"F�;fl =.'. ' _ ':+''.uv", ` „ ": Rqz i .. '^s.,,-� . , < ,, ; , x s, [ » ^S,4 - _ :, , - §' °:' 4,a- "" : T,°..'" .r ;��xy. <.;a'€' - . . - r , P `; �, _ �.., � �TYPR>OF� WOR tD � t.� � ,� : � � . �� >F' C3HEDilLE �•.r,... 'i`�'s s'�.��".;�s�"''%��T�`� "� °�, ..;.r.,.. .. ;��,�`, ti';_ e,: •ys.� "�" �� ..,t;^n��.�Ze:x�n,s'a� tic': . „- k...,x'sr.;:::zcz...:: ,a=;;r>sx.,,�.� <,.., , te... � �s`.'��' a"��a.�s� -.�,� :.�"6'", -."�., `g New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) , S; �:�t�'-. � �- ` ,, SFR 1 bath 9. G �ATEGO 4 . 6 C -ONS RUCTIO:1- e ,- r r . ;.. ( ) 24 20 t 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 / ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 i'Z 1%," Mlits TE iI F'ORMATIQ A llit A TION ;; I : ;' g . ,�' " , 3 r..? a , _r, : .r :o- _ ;, _ - 6 , . , &., At, - . Site utilities Job site address: ! 2 wG� l G�� id ! /A�� Catch basin or area drain 16.60 City/State /ZIP: -779 4 � J f v it 9 �,_ 2 // Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: ,f Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: e Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no �� , s � s t i Absorption valve 16.60 � , ;° , LL = D g ESCRIPTION O WORK k"` " = ` rk ke_ �3. 7 T , - Backflow preventer Page 2 F -rou�A Backwater valve 16.60 ;V..."..".,..3 Clothes washer 16.60 Dishwasher 16.60 ir��..x�� uf�°�� <'��,, ter :,. WWII: °�°-a rv�, �_ -, -.:: , f ,,�s. M , Drinking fountain 16.60 <,p, , PI2©PEtRAT WN ! ]" ` ` ,; T k . t ., r k z s ��•i ,r z , <. i., ',n, Ejectors /sump 16.60 Name: �OLI- ie, S T- ass✓ Expansion tank 16.60 Address: c. `� z fY J S y 7 Fixture /sewer cap 16.60 City/ State/ZIP: iL 3 j v A _ 9 7 0 ,7 E �J l 1 Floor drain /floor sink/hub 16.60 Phone: (5 t5 ) 57a . - O ' j c) ,s Fax: (t'Tj3)�� ®_ - ,,��� ^ Garbage disposal 16.60 ..mq!; r m ^ ` ` ; tvi regt , : , .:::c< �=v, ¢ ._ s.r Hose bib 16.60 ' s: r W W 4i iCAN . I ' ;v t ` " ,T T P r Ice maker I k 16.60 Business name: S422,44._ Q.Q /T Z, n ,� d Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 z ., - z : ' .0 . i ONTRACTOR' . RS g:gu - : 09, A . ,: n t �,.�_ �' : �` ' .�.-t^??s�.1�� =�%�. <€�:t'��- ;� „r,:a�r .:r�;r S,:ss:t� .r» „:. ��;,'�s�� °„�ftt,W Water closet 16.60 Business name: g QL L,ss,,b i Water heater 16.60 Address: / Sq2 -C-- / 4 -'-'- R v Other: City/ State/ZIP: /ZG9 L use o� 9' 7/ 2 3 Subtotal ,d Minimum permit fee: $72.50 5 Phone: 3) 6 `Jj6_. 2.3 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: / ?yo 7 Plumbing Lic. no.:'34I- z(Lpb Plan review (25% of permit fee) L,,- 7 State surcharge (8% of permit fee) Authorized signature: /i�� ;, D TOTAL PERMIT FEE Print name: 7//, �o L.Jj,At Date: 4,,---jQ -V 5! 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. i:\ Building \Permits\PLMF- PermitApp.doe 12/03 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: S><te ITt>< ><t><es O QtY Pe e,(ea) To ai., S ware Foota e Perm><t `F.ee Footing drain - l' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 = -'F: z . " = "' ' =={ . "'t. Storm & Rain Drain - 1st 100' 55.00 sVaIU-at on tea,= :, , Perm t FeC n , $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each t M . Pee ea gTotar`t additional $100.00 or fraction thereof, to and 18'1 Xtlir O1' „Item� Q y _ .._3 k... t.', including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) • 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . f by' (Ftxt ne) WorkPetfori edli � r 'x t u r e sT e � � e.. Replace Comments regarding fixture work: r P a vip4 o d v E hs ng. Cappea Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial • - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" - 3" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: • i:\Building\Permits\PLM- PermitApp doc 3/03 V sT S TREET TREE C .. .. .2. s I, , D A Y I D T. DG- 1-1 N‘z-i> Po9-.7 ,Owner / Agent for pbuca. D C©nI r Lt ct ►o0•l (PLEASE PRINT) (PERMIT HOLDER) x ° k ECB VE" 0. ._ AS''' '''''' ; : F EB 1 `i 2005 ii Do hereb ` rt f th t h ' c �" OF TIGARD Yl ..,, y f N':-A, ' _` g location CITY O BUILDING DIVISION �q, t meets of ti and /Washiri on County land use and development standards for street tree installation. ADDRESS: c1 0 2 S; \, B Lf L o XS La_ o LOT: 8 (o SUBDIVISION: &RE � SW 'PbV--D ' P N?-- =1: BY: 4 DA , � - 17 - Q S I RECEIVE B Y: _ /. 1 1 DATE: / oS A VVVVVVVVVVVVY VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVN CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST da6 6 6 INSPECTION DIVISION Business Line: (503) 639 -4171 . BUP Received Date Requested 4 6M PM BUP Location -7 ;\D-- uite MEC Contact Person Ph ( ) 1 1;`e ) — `7� PLM • Contract Ph ( ) SWR 0112I Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: �X lcv it6 ELR Crawl Drain C� Slab Inspection Notes: I SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear OSA 42 D � /.1" . 71-V Framing l (`� Insulation 2 i �S0 / CCU Drywall Nailing Firewall e Fire Sprinkler Fire Alarm Susp'd Ceiling Roof �� 2 ,,C� •a Gr Other: �( f £ &S u �S '• PART FAIL • PLUMBING . Cr._ P ��[Z 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 iNAtAt Rough -In - _ Gas Line S ��! . -Dampers PART FAIL - e i AL Rough -In UG/Slab Low Voltage Fir- Alarm SS PART FAIL 11] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -41 SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date / ® Inspector Ext Other: Final DO NOT REMOVE this inspection recor ' o he job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 hh INSPECTION DIVISION Business Li e: (503) 639 -4171 MST ot U Y5 ✓ BUP Received Date Re•uested ) - AM PM BUP Location ..� L� 1: a Suite MEC Contact Person - Gt�''�— P ( ) 0 -d 7 L-/ PLM Contractor ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: j� Ftg Drain < 82,6_ ELR Crawl Drain tJ l Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing 0■1 L 1-= 1.4 U e Insulation ' ' fl ✓� ! A/ 5TG C. C� w � t� ' Drywall Nailing Firewall R �� `C �� _ Fire Sprinkler / I Fire Alarm /\/0 Susp'd Ceiling r�� IJ A - 3o xr:�� [ 2 otli 1�C,= �� � 5 L. Roof D F 1 � ( � j v X4-1 — z - 1 - v ZO DC Other: Final f o v c ' i- w �/ Z L o Li<_ co -,-- d i� /ei4'r�f fi PASS PART FAIL PLUMBING n Post & Under Slab 1'. I —( — r"1 6 C 7-7- ) 1t.) Rough-In )` o /CC= t� L -� 7-r7 (Q F� ' `f' Water Service Sl�lS'C1L1 A7 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 ina ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 2z/6 C Ext Other: Final DO NOT REMOVE this inspection record fro Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 MST o?,66 87 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ( 1 — ( AM PM BUP Location 9 oZ 2 1 Suite MEC Contact Person Ph ( 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer 41p1 L ©'NN) % } Co'I) v IR- co b Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line fi \ N to)0 5 Smoke Dampers V Final PASS PART FAIL ELECTRICAL UG /Slab ow ly • Fi PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �JJ SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat ' Inspector • ' . . - Ext Other: • Final DO NOT REMOVE this inspection record from the j , site. • PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 - 4171 ��� BUP Received Date Requested '—/ AM PM BUP Location Z -�� Suite MEC Contact Person - O - _ Ph ( ) 1 . P - 0 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain • ELR Crawl Drain (� Slab Inspection Noes: 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: 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: • cif?' = 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: fl Unable to inspect — no access Fire Supply Line ADA Date / (f Approach/Sidewalk a 5 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: (503) 639 -4175 o.-dd y._ O6 /e `J INSPECTION DIVISION Business Line: (503) 639 -4171 G BUP Received ` Date Requested t 2 ' PM BUP Location - /e c(3)- 6l 4 d-c co-Q. S Suite MEC Contact Person -- Y2 -e Ph ( ) ' YO -)-3// PLM Contractor Ph ( ) SWR BUILDING 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 Framing C c c7 v�� v�� � --� 0 F •"� L c,./af S4-", a{ ""=-A e.r7f"d✓ Drywall Pe.) B r t Dywall Nailing �� � �'' v i' � , 1 .5 0 r � Firewall Fire Sprinkler C.:2 "k t') Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PGMG . . Post & Beam Under Slab • ervice Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: ' PAS 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 111 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date I i 1 Z /Ut-i Inspector l Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST oZeq INSPECTION DIVISION Business Line: (503) 639 - 4171 .60 BUP Received Date Requested a ? AM PM BUP Location Suite MEC Contact Person Ph ( ) ' Lip -d.3 I ( PLM Contractor Ph ( ) SWR BUILDING _ Tenant/Owner ELC Footing Foundation ELC 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 I /i Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING s Beap>] Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi -- 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line / Approach/Sidewalk Date / i Inspector kW Ext Other: Final DO NOT R MOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour . - / BUILDING Inspection Line: (503) 639 -4175 MST (7 `"06 /6y INSPECTION DIVISION Business Line: (503) 639 -4171 - BUP Received Date Requested AM PM BUP Location d a �� Suite MEC Contact Person -ems Ph ( ) 96 9-1(0 3/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR ra 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In S e astala Catch Basin / Manhole m an • Shower Pan Other: F i I ASS PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Anal 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: Unable to inspect – no access Fire Supply Line ADA �l Approach/Sidewalk Date ( v _ Inspector WA Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 MBf.0 1/ - -66/ ?? INSPECTION DIVISION Business Line: (503) 639 -4171 i , BUP Received Date Requeste A- AM PM 7— BUP Location �___ _ % /� _ iL Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR UILD Tenant/Owner ELC Footing Foundation Access: ELC ELR 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: 'ART FAIL MBING •ost & Beam Under Slab Rough -In .ter Service =„ •�h. er Catch Basin / Manhole Storm Drain Shower Pan • Other: Final • 110 PART FAIL ANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm . Final 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: ri 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: 03) 639 -4175 INSPECTION DIVISION Business Line,', (503) 639 -4171 MST a 706(--- / — DOf BUP Received Date Requested l � AM PM BUP Location 0 a`� >C t c. j/� . �. Suite MEC Contact Person ' ( ) 7,;1 U - 79 /c 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 ,,h Fram mi in-gg Drywall rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F. ASS P RT FAIL 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: .or El Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date 2- 0 Inspect° Ext Other: Final DO NOT REMOVE this inspection record - om the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST �6D ( 1 - - oeig � INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location 9 � Z Suite MEC Contact Person J)j1(/__ Ph ( ) 7 a-.0 ` 7 (AC PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear M y � / ) / ' � � �� 62n5-c_r7(9 kJ Insu ation / Drywall Nailing Fi rewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 6, /A4SULA –T= Other: Final PASS ART FAIL ING 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 & Bean Gas Line Smoke Dampers Fi PAS P, RT FAIL ICA L 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: ❑ Unable to inspect – no access Fire Supply Line • ADA Approach/Sidewalk Date /2---F Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. . PASS PART FAIL CITY OF TIGARD - 24 -Hour -r BUILDING Inspection Line: (503 ' 75 f INSPECTION DIVISION Business Line: ( •< r ' MST l BUP Received Date Requested / °' —( AM PM BUP Z Location q b 2 - -1 o _ ) & Suite �, � � ' MEC Contact Person ,YL.(�-� ,- Ph ( ) 7 ?O - 4 -`-t ` S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab I nspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear , Int Sheath/,Shear 1 � 4,p (� Y� 5-Akte--e--- ' , n /�,,) v\i-k5 `'‘A ft , ') Insulation J� fv'` VLX / � Drywall Nailing C 6J-A l/ V:>0 -- � r ` V� � \ Ce/V'�Q,- • Firewall j') 1 1 /2#/ '- ( V Q, O cv C b • ProA/1 M "1 i Fire Sprinkler Fire Alarm 0 \ \ 5 J L * �� /N c \ �n ) ° Susp'd Ceiling ` 'C .� , Roof e\ �P V - -(2t' f 2,q". Other: ° 9 Final v l ' A„.ALi l/\,\ LC ° PASS PART (' FAIL PLUMBING - C, 7, , i_ -(� Gt 2 " � Post & Beam / ^ ^J r .) Under Slab (A= . N)-- - V.1�`/ _ V 1 0 %\i) 1sT (6 Rough -In L° 7 Ki C 1 V‘..C5 V\ \S.S 9--, Water Service (� /� + 1- I L /� Sanitary Sewer , `:, Acdva rSS `r- \ is ;�S Ca. , 1` 9/ DZ/V . Rain Drains Catch Basin /Manhole 3) �x.,'N G 5 . L.,/1 Storm Drain \ !�,'t �Z C ' t `` � _ , Shower Pan 41 .) v \/" L-4 - `� Cyr ,� 5. C .S (ZX 11) " A8S.. Other: JJ ` 1 ,t / '"/ 1 (� - . Final .i • 1 :5 S L l� -�,,'2 5 A.:- L c...„.3.- c...„.3.- - C� it .Ili , ... 4- PASS PART FAIL II -- / (, MECHANICAL VJ a S �t u 6-1. Q S x'1,2 r.? S, -e �\ . Post& Beam ' ' ' GMT ` tki � J J2 )C - W cOU • Smoke Dampers Final \ t ^ \ PASS PART �' G`-^ ( ` \ rJ� ►'mac• ' �-C S (L' ELECTRICAL 14.A - 1 C/vv\ C \ L � / 1 i--1 r r'_-3 c ) • Service 1 Rough -In 1-) i ) �� ./. -P 5 C (2 -e.,< d ( CVwt L 1,--, UG/Slab '7 L. Low Voltage Li) Cam` b C,/\1-- - Z... Lb: � - v � - 1 0 ` . L Q . Fire Alarm \ F PASS PART FAIL Reinspection f r f � • . , ed befo ext inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 111 Please call for i e cti n RE: ❑ Unable to inspect - no access Fire Supply Line Z/1 / ZS Cl Ins " 4 1 Approach/Sidewalk Date p actor Ext [ Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL - - ., _ _ ra - � � Lam,- ��,�___�f` - -- 1 ��c— v�'�- v�r, -C--� CITY OF TIGARD . 24 -Hour •. BUILDING Inspection Line: (503) 639 -4175 MST AO t i — b° 7 b°7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 '1 Z— AM PM . BUP Location /� / ���� -G� 7 Suite MEC Contact Person Y�y)eLU -e Ph ( ) 7 ap ' 7 Li'. S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC A ccess: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear � _ m l Z) f TCt?�i/,.� /A 1./0 ) /),/}/-/ S Insulation 41:3 Drywall Nailing Fireveal I T�ziJ� �)cII�4 v S ? 'CJG Tt' - ear= 1 Ac lC Fire Sprinkler Fire Alarm /2-1.5 Susp'd Ceiling Roof _ Other: Final 010 GLi / Al r OTS �7ib � 74 - 4 ° 7S-74 -9 PASS PART ( 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 as i Smoke D:mpers Final 4 4 y PART AIL EL RIC Service Rough -In UG/Slab Low Voltage Fire Alarm Final J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date //° 2 2 — d4- 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: (503) 639 -4175 MST "D -00 /c INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received • Date Requested / ! ( AM PM BUP • Location �. Vii_ . -r' . 0�= - Suite MEC Contact Person Ph ( ) - 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors heath /:121 Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F' 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. Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA �_ Approach/Sidewalk Date 1/ ` � 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: (503) 639 -4175 MST Ob INSPECTION DIVISION Business Line: (503) 639 -4171 s� —�dl�� BUP Received Date Requested / 0 — Z -2 —AM PM BUP Location Z �-�'� Suite MEC Contact Person Ph ( ) d 7 ` —6 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 Sheath/ heath/' Mr Framing 'T� - lLe 33 CO qQ g E eAJA Insulation e n14 L Drywall Nailing Firewall Sprinkler � 6 U � �/i/� - �� r `„' `r Fire Alarm /,,.. u.C. Susp'd Ceiling J'�l Roof J , 5', °35 Other: Final PASS PARTCFAI __.. PLUMBING " __ e L • 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: 0 Unable to inspect — no access Fire Supply Line ADA ,Q_ � �� O lg Approach/Sidewalk Date Inspector E7ct Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / AM PM BUP Location / o Z Z 4 Suite MEC Contact Person Ph ( ) 3 D PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT SIOP Shear nchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: AZP . Fin- PART FAIL N UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL IM2t Rough -In Gas Line Smoke Dampers Final ASS__APART 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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ��3d � Inspector • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour o BUILDING Inspection Line: (503) 639 -4175 MST /X4 ° 187 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received _� Received Date Requested / AM . C PM BUP Location Suite MEC Contact Person Ph ( ) - 7 '/'S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC aUO ELC Access: g rain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing '40 Insulation Drywall Nailing 6 1, tile. 4; Firewall Fire Sprinkler �� W'v Fire Alarm Susp'd Ceiling Roof Other: Final • AR FAIL LUMBING 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: ❑ Unable to inspect — no access Fire Supply Line / 4 \ ADA Approach/Sidewalk Date ���-- d Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • — r.