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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00116 r DEVELOPMENT SERVICES DATE ISSUED: 5/12/2004 :�, -,, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09021 SW BLACKOAKS LN PARCEL: 2S111AB -GP383 SUBDIVISION: GREENSWARD PARK NO. 3 ZONING: R -4.5 BLOCK: LOT: 083 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: PH2206GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,566 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 910 sf GARAGE: 462 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 240 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,476 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: BOIUCMP < 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W /OSVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,716.88 D CONSTRUCTION CO This permit is subject to the regulations contained in the FOUR O R BOX CON Tigard Municipal Code, State of OR. Specialty Codes F AVER TON, OR 97075 and all other applicable laws. All work will be done in P 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: 503 - 590 - 0805 Phone: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: 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 Insl 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 lnsp Plumb Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Issued By : Permittee Signature : /�i Call (5 3) 639 -4175 by 7 :00 p.m. for an inspection needed the ne busines ay Building Permit Ap licat'pi 1�; FOR.OFFICE -USE ONLY City of Tigard REU u DateBy ®D Permit No.: l 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.4'960 - Oth er Permit: K 2 00 �a,�,dl� 'I��I Date /B Nlq�/• .5 �' � i o� �/�O �+�1� i . ' Jur ® See Attached Checklist for Inspection Line: 503.639.4175 �r W D ate Ready/By: Internet: www.ci.tigard.or.us OF TIG�R Notified/Method: /- Supplemental Information C � T �lN� DIVISION ; ::c _ I .,, ,IL ,., a 45.e:+ i�. .,11:m ,'F•,"'"w.r'ifl'.YS'} :'!r, ck.:" .`.T:} ( , I r�l%'li -A ../� "' I . , v. - - - :.�.; z. s�.. , �,��_.. _ � 1�. : ; ' C'i' s "Y'�1..1 t §`i ., .:F �kvi , '��; 1, °�l'" 3. "'��{ m':3 •'I _:'� " a.;"�i ter.. , � a';: �'t� , , � ` 3���„ , o , : ,rct,l<,; � , 1 -S 2 = ` FAMI'' DWELLING �_,. t`�i�. -r ' a, 1 >'�!`�GF .,f...:a�tr;it =s.�.,`: +r . ' , � .�t ��, " >�r. ; '. RE -P a ,,. ..: , ,,; nc .. i' ,,ts :1i,4 ;PE:-.OF; �' .ORK ,. °.: ::;x ' ] .. • k.'� 'ir• ti:��iJ ,'F� i'�, ..�: z .i�3., .. �. �i �•$ i. �s' S'. t.'C:f1:,`.Pa,s NN.i <:3ir.,, .n.�Y..-:.: 'JI'.�`t:i�, ^:. � �.'�,:�. , �. ,, �� �. � ��,,';: +�� :; ���Permu fees ,, lt� .�i�w+�u�.�.�s::�i�n� "v;..�`�.. � ".:.� -} .. : ;u�•- iy�.. =; - . ,,,. -r., .,, e New construction 111 Demolition fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the :, k�= �., gp ,-�"�,_ >.; , V F;;�'., ;ij ;` ;'; ; 1, 1 1r;; yz work indicated on this application. ��F:, .,.'���,,,�` , �t�' . �°, , � " + "�'�t.'�'x °`�'- ^�\ a u .`�.• , i "�" �A "h "' �.'�. �, 1:� n,� : �s�`� .;;• _ " �,, : �.° _ '' &CATEGORX OF C©NSTRIJCTION� -, 4 p f • „ Pa eaxb �.,.,,,r 7, - �� w �w.�:�:r:�» X ?wr�'ae. n.a.:sza �; 5, :;,, ... EauTZt , -? .e a,..,..,< -s ..fias Valuation $ cit 1- and 2- family dwelling ❑ Commercial /industrial Number of bedrooms: `f' ❑ Accessory building ❑ Multi - family ❑ Master builder ❑Other: Number of bathrooms: 2 /2._ ” , �,,; • + ` „ � :4_t° u,:� _..,, : ; r n...: k r . ,i ,r,w r of ` * v0 ` 5 1 , il OB I T E 4 INF URM ATI O WANI M AMPLT I OIV I > ,," '° ., � Total numbe o `�'�,✓v Job site address: Si(A). glX2L /e..d L // //R.._.- New dwelling area: 2 ("7(, square feet City/State /ZIP: -779 6 ,e_. e ?722(4 Garage /carport area: 4 ( square feet Suite/bldg. /apt. no.: d (Project name: Covered porch area: 4/ square feet Cross street/directions to job site: Ci v ".... v ".... a,, /m ,,� / , vG 2) Deck area: square feet o 'Q Other structure area: square feet ,REQUIRED,iDATA /COMMERGI•AL=USEt.CHECKLIST+ . » ,,A,..v.. v': ..v..:,N.' .wz.a -ve ,.r. ' -xr :�;� a.... -_.» .,. , l Subdivision: = j�G.h4L PmQ� .3 Lot no.: 3 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the 'n41,4 1 •, ' ' N a , DESCRIPTION4sOF , .,),,,,, , 4,s. ,, ,,:. , •4, 4. --' , aN ` 4 , ! , „ work indicated on this application. 2 � � 4).42.4,0 , ,./ Valuation: $ 64-di Existing building area: square feet New building area: square feet , j . ;t ,� : , ��., �,.;�,,,� •�., _•r;.4 +t:�ae�j� ' "_ ' a�a'' � ,,� I ® TE NANR, , , ,, ,..6 , , ,, ...- , . , ;414 Number of stories: ' i �?�PROEE,RTY OWNER 3 An�.., -� �,7�e =t;- • :u�: ?,. .�°..:a - ,� -�T^3� �� ,�„�€ s,:� ' ;zzu�i`� , . - • Name: t).64 . `2) al � S e.c G7lV 4) (te Type of construction: Address: ! v. 04 / 7 Occupancy groups: City/State /ZIP: .” eix - 2' 7a 7S ---- Existing: Phone: (563) 590--6c6 Fax: (3 57,4)—/ ; New: pry ..:. a . - , . -v. -, >.::.- ", = , wr ';v:, 'sa .: , nil .- N �; a ., :�"'a 7 's* '; "'' - - .'r i , `F; _�c ,.,,..z...s,. �•�, � p`�� ".;'g ,. ,s,` +` _ a. M�: c, "o-:� tt -`, . . �.5 Y ,. e • 9 a7€;:3 "4 . + r -Y.". • »k a w� "t y ^ ref., ' x .104 " : 0 r AP P- :; A 4 , a g-V ltir0, ; CIA ❑ ' C ONT AC Y r". ` ,t,v -s;h '";:_„ NOT =IC ' - 4:44 ,r. s d Tu. " -" , : F'> :xa„aa'., ^ „•", >` ;•�'s. Gz; ,::: ^,:r,`cl -, .:. :.. ¢,:, c, ..na.,.�:p, .:.�... - - '''' '' ' ' ' ' ''''' ;,; , :61=14,' :* R511 4 t " k f. :.. _ ._. . • Business name: ' _ 4 he) o e.- All contractors and subcontractors are required to be - licensed with the Oregon Construction Contractors Board Contact name: - under ORS 701 and maybe 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: gy ..: =.sa;:4.6- . e : r =..,star;.^ f, , ,f”:4` °-Aig. ; , c iattekW4Vil L...,t. '4 v , p; A,g cy�r, ... t.liftA.:4 -.,A. . - .- ., V. , Business name: S ' m .e ° ya v Ill" I ; ii , ,.�.: , ., . . i ..... * , v .. ., , . C BUTT DING:iEERMITFEES Address: Please refer to fee schedule. City/State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB ]ic.: ' l p 3 Date received: Authorized signature : * r4_. r7 This permit application expires if a permit is not obtained _ // within 180 days after it has been accepted as complete. Print name: /1�� Date: - 2�Soy�- * Fee methodology set by Tri - County Building Industry "Z Service Board. i:\Building \Permits \BIJP - PermitApp doc 12/03 440- 4613T(1 I /02 /COM /WEB) One- and Two - Family Dwelling BuildinE Permit Application Checklist FOR OFFICE USE ONLY • City Of Tigard De Y ' 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Permit No.: Phone: 503.639.4171 Fax: 503.598.1960 h pi I 24- Hour Inspection Line: 503.639.4175I�I� ❑ Electrical ❑Plumbing ❑Mechanical Internet: www.ci.tigard.or.us " ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N /A; I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ • 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. . 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size, sheet attachedtto 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 ''t 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 II ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. . 20 Manufactured floor /roof truss design details. ❑ ❑ . ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be applicable to the .ro 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 Building Fixtures, (y \v" \ r \ Plumbing Permit Application2,1 FO R O FFICE USE ONLY . '> i " y o • City of Tigard \ G Eew Pest t No.: p�a011) 13125 SW Hall Blvd., Tigard, OR 97223 '� OF Phone: 503.639.4171 Fax: 503.598.196' L 0 �I � 1 N I +" Date/By: Other Permit No.: 24 Hour Inspection Line: 503.639.417503 e!LI Date Ready/By: Iuris: p See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information .% .. �.« . . ;. & ;� ' .avtes�E.hA�F'c. e$ "31::, % %'� 1N; ^ «" ` ��;# ` "":6' - : .} 2-, � i' it i+.e' 3 ° pm3. ..: :'- .-:,�:5'S£::`.ij,;;v'xrk� �' «.a�..' ,,, .". " "., s. t '�` P) ;tO F�'ORK . 6 < :" . A �; ;FEE* ;SCII II,,, L't4 ����`�,'� d. .." ;;��'�4ax'.�x'.�, .:,::,�...� .F.u, ^�;.�'� .��.- ^�;':.w �£�.`.. %. �� ' s• .� a:�,,,,. .�.:�'�s.x;�`:, "x; v��:.u.�xa...ne.-�r,;...a+. x.. ., ,. . X New construction ❑ Demolition For special information use checklist. Description Qty. Ea. j Total tg Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) r �o- :;' ."s`k � :, e;. r� vt;.�io:,.. .:: ^ - ^sr N, . . ^az b „j,g.. -:n >. ray.:... a•�:. .s: ,..s� <,.� W1 , : * iii. CAT„ OF t)"Fi fb, N . a _ W1$ SFR (1) bath 249.20 1 `Ta 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 II] Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft) Page 2 �. >~ S I INF'ORMATIQ, A ls p ak0 � C A- T i m ,} Site utilities � a�3� t" i,� � .�_;��.� ..� .�.. � �;tt. � '��.,. � .�, %., s >� .��> Job site address: ?c,....9 p S'. t'J 22, U 4.,e _ L9 - Catch basin or area drain 16.60 City/State /ZIP: `j %,4, 9 7224' Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: /?6 44. -yt Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 . Storm sewer (no, linear ft.: ) Page 2 Subdivision:C a ( z,sq-. [PgAt 3 ` Lot no.: ,z5)3 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: VI' c. t.wrs ��K> i, ,; tea 3.> * .. t Absorption valve 16.60 bESGRIPT ON OF WORK ,`° _ :d0AMi %,tt ga Al!' . �.., a v 9 � .w Backflow preventer Page 2 �-d � ti.J �a�S t Backwater valve 16.60 Clothes washer 16.60 Dishwasher 1 6.60 ;n: H , ; ; r•f 16.60 , - ,�,� �., ,:- ��,t��aE, - x .�.. 6. a� ��; °.,� a - Drinking fountain l ,l% M PROPERTY' OWNER .. , ' fi. # 4 ..,, 1 r 1. s �� .. � _ ^� - - '' " , -- , Ejectors /sump 16.60 Name: -5,zC4 cS774cG �7t D N Expansion tank 16.60 Address: C-7 P, C. g /5-7 7 Fixture /sewer cap 16.60 City/State /ZIP: . &, OA .2 7 C.'7L- Floor drain /floor sink/hub 16.60 Phone: (56g) 53 - apa5 Fax: ($6 3) 3-7110--/7„7-/ Garbage disposal 16.60 . y t APPLNCANT 1u ' n. . {I ON iCT�PEI 01;P jai Hose bib 16.60 Q Ice maker 16.60 Business name: g e_iaeQ %6 0 cm, 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 L , ..y ._ 1 r:"EON ; TRACTOR.•._; , "" a �:'2w', °;,,>< ^ 3 M . n re.,...0 = ;- sixF•.az� , Water closet 1660 Business name: � � 3 �� �,w b ,/,Z/y Water heater 16.60 Address: / ,,S g S1 S � Other: Subtotal City/State /ZIP: L 2 / e `�6C. O� 9 2L Minimum permit fee: $72.50 Phone: (53) 4 VV6 -23 /1 Fax: ( ) Residential backflow minimum permit fee: $36.25 - CCB Lie.: / 9 ? 7 Plumbing Lic. no.;44-14/a, Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: J- TOTAL PERMIT FEE Print name: )) ix• 2^ L,� S-- Date: 3 4Z 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 doc 12/03 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: g • lee ea Totals _ p g Site t1<.401:es -g t , Q < �), g S Foota a Perm2t Fee , . _ .�„ - �a `� - _�x, � .��.� >,... ,... .._ !� � .....d: �s£ � � : ` . _ y _ ° , 5 :.. ,. _ _ - Footing drain - 1' 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 <�, . >;:,.,> a . ;,,- : „.:z� .._..,: t ::F >;;....... , . . Storm & Rain Drain - 1st 100' 55.00 $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 Fixture O3 Item I �..1, " Qty eet - ea- �ti 1 additional $100.00 or fraction thereof, to and y IM 1 1 . l __ _ , it. 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,Q00.00. Rain Drain, single family dwelling 65.25 '$25,001:00 to $50,000.00 $379.50 for the firstti$25,000.00 and $1.45 for Inspection of existing plumbing or • each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. 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 Fix �e ° r = Quantit 'b ; ttiType M� 4Replaeetii x i t aitiar: 1 P a , ; Comments regarding fixture work: 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" -4" 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 • Bradley Quantity Total 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: 1:\ Building \Permits\PLM- PernutApp.doc 3/03 Mechanical Permit Application FOR OFFICE USE ONLY \ City. of Tigard \ ® � y, Permit No.: QD I f W 13125 SW Hall Blvd., Tigard, OR 9 'O Plan Review Phone: 503.639.4171 Fax: 503.5 l 9 \ \ &W 11 1 Received Date/By: t � • i Date/By: Other Permit: Inspection Line: 503.639.4175 O ` i:� I Date Ready/By: Jaris. B See Page 2 for Internet: www.ci.tigard.or.us s � Ro 2 Notified/Method: Supplemental Information C —c.. T \ G i' NA Y a : is A: w,, ''v. lF , - - - il ` t rw ,,r ° ` -, z „ * 7 SGH EDtil, . ' f . tti Mechanical permit fees* are based on the value of the work NiNew construction ❑ Adat n/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. a +" e; t ' r .F�„� A ` ;f�?' • �ro:,h.: .:.a= .,::: a�� #.�; - y;'s ` =.a ��, ._.. � :- �,r r,��. T q.,�Y,, 7 V - , i -, ; CA TEGO RI£ ,O C ® STR,UCT O U •`. ' :, ; a0 ,,,_ c., , =� P .,_ „, .�. „ -<.., Value: /. ` -.'' - RESID , = ENT�I'A L . EQUIP M EN T, / SYS FEES cgj 1- and 2- family dwelling ❑ Commercial /industal ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty Ea. Total '�; y�y. - ¢zs �,� ���`. �` ';ti '<�? . � '� -:^ : ��.;� ,:;.�4.se�. -�xE:m �:,�;:� - sr -,.: <a•; �: st; s��p .:::- �t:�.v<',; "co.:- r. .; :` # �.�: �. = , � A te , JpSITEizIN�FORMATIONAND LOCA , � Heating/cooling Job site address: 9�)2 S � j r� �/ /��� Air (requires site plan conditioning or heat pump S. �C6 �y (requires site plan showing placement) 14.00 City/State /ZIP: --7-1 q/7 � J A . 972 Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: J Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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 a � ?c` 3 cp � Flue /vent for any of above 10.00 Subdivision: Lj C^ „� - Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances v 1 *Ak 3 IIESC�R=IPTIQ / .l O.F�WO ,, ., a ',, :V 4 Water heater 10.00 ® Gas fireplace 10.00 ge_c_e_ d � � t t.gW /-' «.L— Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ,,; a e 4,_ ,T =r »,; z °„ w r r t i Chimney /liner /flue /vent 10.00 . .. x`i i",,,i -o TY O iIER ". , ' .:f'aK i r t ❑" 4 , T s4 '� . � . ` ��, �� �?. � .�� -�� :,ra* � u "��. � ;�. � Other: 10.00 Name: 'Z'.1:40...- l e e” L ,au,G76.N a Environmental exhaust and ventilation Address: - V• b, Lpc // 2 7 equipment Range hood /other kitchen � equipment 10.00 City/State/ZIP: g U A . 2 Q 7 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( 679C.)--6 "6 Fax: (so) sjc — /2ts,' toilet compartments, utility rooms) 6.80 ''"sa ''�; +- ' r'�v` - ;;'”- . „ .. »..:�.:. :e,.- „;se'.� - nea�; •,; i Attic/crawlspace fans 10.00 At PPI I CANT �, s i i-t � �`. �� CO1V ;: GP,,,s RS01 , .,.i4 t- S.�3a:�'k �;, 'm s wA �.a,m sa.« � < ,h' :.:�1 .. . � .'iP a �.x6 �� n J Other: 10.00 Business name: J /0 o 6—e—, Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range wr �''” ":E' �ta„",:.'� ". :�g,;,M. �x � r.�a... =.mac; >,e: =s.�: � .y^> as..�. '"` , �'�, n �;,,� „t�� i ggF ” W t e ' aiir T ,©R t " W Barbecue Business name: S' - , //��,y�� Clothes dryer (gas) 5 f f Other: Address: " • ��"� *�=-: ' , . _ IVIECHAN G PER1VIITwFEES, City/State /ZIP: 7/LG.S v/ 2 7/2,3 Subtotal Phone: (563) L2 V .��(ci 5 Fax: ( ) Minimum (25% fee permit f ) Plan review (25% of permit fee) CCB lie.: t, 6s7lfi' State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature .24i ze _ This permit application expires if a permit is not obtained within 180 'v[�C �(! days after it has been accepted as complete. Print name: x/ ����� Date3 2S�(,� * Fee methodology set by Tr - County Building Industry Service Board Lei \ Permits 12/03 440 -46 I 7T (11 /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total val Pe . r , _ °N $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\Permits'IvIEC- PermitApp.doc 12/03 2 • Electrical Permit Application, � � � FOR OFFICE USE ONLY City of Tigard �, 'eG D e/Bed Permit No.: ; - boil , 13125 SW Hall Blvd., Tigard, OR 9722 y Plan R eview Phone: 503.639.4171 Fax: 503.598.1960 t� �O I A jp l' +h Date/B \ P Other Permit: Inspection Line: 503.639.4175 p r A Date Ready/By: Jurir 0 See Page 2 for Internet: www.ci.tigard.or.us F 1 \� O\V Notified/Method: Supp In 1 O I`s\ formation < i'` ... : , N;.;�:+x:..�� * .: : : _f., : :: ,,:.�. :zE;a' s.;,. - .4 r.. d =�; ° .F,. .> _ ; t.,.,_�z x., :.�. PLAN :.:1,,,,,,,,,,,,'.,- :REIE rx ..., ,. ' �re ;r .:, YV � , -!. a� t�c r: �� .a�:;.a:�;. >a�:'���.asas,:u�<. 1..:x <c +.. ;�d.x?� r;`u� :"?,�.> ::�i ^ie 'sy. .�,,.. .. � :, . [x New construction ❑ Please check all that apply: ❑ Demolition ❑ Other: over m' ['Hazardous ,.v,: , .;;.5:,,,;.; >t«= = y.. ,n.>�:,a <..:4.r: ;. "Qv, ;. a rating ft., ['Service r 225 amps, corn azar s location _ ` 4, GAiT.EGORY OE'"GONSTRiJCT:ION "a:��: �� t " ['Service over 320 amps rati EBuildng over 10 000 sq. ft. M �, of 1 -and 2-family dwellings 4 or more new residential ��,��a�: w .._ �� ���.. r:. �,. �= �: r��a-; � :c�r�s.�rc.�..ra�.,�'.�:�z =�%ti� �,, aa.: Y g in 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more Sj .....r F :, :.t" I ::. „ ;:_- persons red structures or ['Occupant load over 99 e Manufactured el '» ZT :SPE , FOR A`IVD &OCATIO A .-:::;" i ` " RV ark . -._A. 4 :k.`.,, �.... ,„ ,.,-s, -U� ''..a4 ❑Egress/lightingplan P Job no.: Job site address: 721, ,- W, L2LAei.,644' 24 ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: `-`� (,N�/y� ! O 4, 9 7 2 . 2 V The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: r� Project name: F :SR; „- EE*SCHEDPLE` " "'''' Description Qty. Fee. Total Cross street/directions to job site: (:). bL ink..-bes- New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 ' 4 Subdivision:4 5 &Jcp,4,e/( `J Lot no.: a 3 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 i .: any_ :E:x3 i,:` :'.,, am .;, 3.. - _� . -. .. 1 ..," P`= ° . Limited energy, non - residential 75.00 2 " . . _ i igs a. fi 'w.. SCRIPTIOI�I OF `ORK - .1 1 � i ' ~ ° ` Each manufactured or modular ��J r dwelling, service 90.90 2 e-��/�' N �� �� Services or feeders rs installation, on, alteration, and /or relocation 200 amps or less 80.30 2 WS" ' -. �t.-ae v > .i W ; il, ..., =s , =3�°s.: « «; �. ; - 201 amps to 400 amps 106.85 2 P s A A A x s:, . i ". ` a- - „,: a c: P P ' "O., �; �'`'��; „ . ®- `T' ' ce g: _ ..,, . »r,. . ,_. .T> _ ,. a *� e.,: ' . ,.,.:ve 401 amps to 600 amps 160.60 2 Name: C J�Yk 7 c 5' GL 77 (% �1 �-ic-- 601 amps to 1,000 amps 240.60 2 Address: (a). s / c-v7 7 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: OA — 9 7 4 7 S”' Temporary services or feeders installation, alteration, and /or Phone: ( j9Q„ Oa C Fax: ( 200 amps O - � 7C� � 200 amps 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 - , .i�� . ,::,az:i; , �; :.xz �ra = �..t�,��u : . » �.� 5 � ; . �.,� .. . : as . ..w <,�eu.��.,��� �a.::.�s�?t -:s i " t LK APPLICA F § W 4 I "" ' l"eC1lV;'[ 4 ) A. Fee for branch circuits with �� ` °'. s °. service or feeder fee, each Business name: 5 . / 44 vU „Q■ branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I 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- .;. _ ` . IE,, ; =_GON RAGT'OR ti *.,. :I . ` energy panel, alteration, or L ,, � .,..� s / extension. Describe: Page 2 2 Business name: T Y✓ ,�L. 'G Address: _. 5 -2 S !�J �d' r=te Each additional inspection over allowable in any of the above �, Per inspection 62.50 City /State /ZIP: v /e TG,Q_ ,./ d t 9 7 / 2 3 Investigation per hour (1 hr min) 62.50 Phone: 563 ),„2w-.7 Fax: ( ) Industrial plant per hour 73.75 DITis ; EI VTigTCA fi'EERNI FEES ; <. ;...�,....., .. CCB Lie.: ?3,6"? Electrical Lic.3C. -3C Suprv. Lic.3cPa S Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name:�J6 .� /yylt_ 61424/6 Date: 3 —,2s- J <14 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized si ature:2)4, This permit application has on t s been a permit is not obtained within 180 days after it has been accceppte ed as complete Print nameQ) i 2 i /11 2pi2D T Date: 3 . =a 44 * Fee methodology set by Tri- County Building Industry Service Board �f'! l7 ** 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: (00, ROWTNA.1 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 n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* - • ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations i\Building\Perntits\ELC- PetmitApp doc 04/03 Y.. q 'CITY OF TIGARD Credit No.: 20 &el - O • O . • Date Issued: Engineering / *stl. I Authorization - ' 1 Date: 3 -23 -04 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB2003 -00002 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Four D Construction developer) (name of is entitled to $ 44,194 in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 -27 of the Greensward Park 3 Development. The use of TIF credits are subject to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Permit. .Q P. Director Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 44,194 • Balance carried forward to TIF Credit No. . • Ordinance 379 provides for an expiration 10 years from authorization. • login \viola \tif09.1 Li-ooff0 AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ! j I 4 0t- r CFRTIFICAT1ON STREETTREE .. ... ® \ I, TD I 'D .1 D '�1 i , :Owner / gent for F- D 6 i,' -'S'� ligi (PLEASE PRINT) t (PERMIT HOLDER) 0> � £ �, ° RECEIVED 0. -4 s - _ _ _ . t MAR 14 2005 hatt3 0 lowin location TIC i I �ce etfy l�" � tFie � 1�: � Do hereby .. -4 AIM gh d ems. # , u _ CITY OF 1 meets ;ity f ' -grd /W sh°i gton County UILDING DIVIS ,: � B l and use and development standards for street tree installation. ADDRESS: 9O2 I Sc. , 13 o .K-_ Li.), US 6g_.-----EN,s(4_.)---futp I ® LOT: SUB DIVISI � ?} _ BY � DATE: l V ^ C) S 0. e I. ® RECEIVED BY( DATE: 3//I y L. A VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVN CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2004- 00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12)2004 Phone: (503) 639 -4171 tm ���4dgi��'Ilig i f i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7 :11AM PAGE: 11 SITE ADDRESS: 09021 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 083 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached OWNER: FOUR D CONSTRUCTION CO, PHONE #: 603-590-0805 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003648-01 503 - 720.7445 Y Corrections /Comments /Instructions: • • • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- - 0 \-' Phone #: (503) 718- l._ CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004 -00116 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1:12004 Phone: (503) 639 -4171 AbtayitilAi Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7 :11AM PAGE: 10 SITE ADDRESS: 09021 SW BLACKOAKS LN CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 083 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503.590 -0805 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 - Mechanical final - 003648 -02 503- 7207445 N Corrections /Comments/ Instructions: • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4-- 4- — 3 Phone #: (503) 718- CITY OF TIGARD 24 -Hour • (� BUILDING Inspection Line: (503) 639 -4175 MST , -? 6 4 INSPECTION DIVISION Business Line:. (503) 639 - 4171 BUP Received Date Requested oZ AM PM BUP Location 70 L .4_ �' ��' ��� Suite MEC Contact Person Ph ( ) �o� 7� / ' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: �^ Ftg Drain 66 K ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear r7E / i/2 Ce9, �- D/e--rD A SV Framing Insulation 1A15719'4,4--- , >�� 1 -/ L Drywall Nailing /f - � C Firewall ' %-��� Ca— Fire Sprinkler Fire Alarm P1- A- L - Susp'd Ceiling . Roof Other: PA S PART FAI 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 PASS RT FAIL E TRICAL 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 �� 2-4- — OS Inspector A 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 ' / // INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re nested t �- —/ AM PM BUP Location 9 f a (- CA Suite MEC Contact Person £ ,O Ph ( )1 —7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC • Footing ELC Foundation Ftg Drain Access: 66X 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 Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 Anal 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 7.)"‘":" ADA k /6/a 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 Lined (503) 639 -4175 MST ° `�' —w / f° INSPECTION DIVISION - Business Line: (503) 639 - 4171 BUP Received Date Requested /D- AM PM BUP Location MEC Contact Person it-2— Ph ( ) 79 /3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain �( 3 g 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 • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan q► 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 Fir- farm I PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date / /cc/ Inspector Ext Other: Final DO NOT REMOVE this inspection record fro the Jo site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line:, 03) 639 -4175 MSTVi' / INSPECTION DIVISION Business Line: 503) 639 -4171 BUP Received Date Requested AM PM BUP Location LA.r_ —r .od Suite MEC Contact Person Lam_ h ( )7? 7 PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner ELC Footing ELC Foundation Access:. �/ k Ftg Drain -. ELR Crawl Drain !� Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear °■/ L /`' /� r F / LS ��� Ro ©`� �` Framing Insulation Ci4C51— Drywall Nailing Fire Sprinkler Z) PRO - Fire Alarm c� "�— � LL `0 L{ (N) Susp'd Ceiling / � �_� -��� Roof �/el ` T j L i4-L L_� F- �a�`� t [ ETC: 1 o p Other: .�-- Final ©t`` / 6� C� ��'I / 7711 j RI/ 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 PASS PAR Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Q Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date I nspector Ext Other: Final DO NOT RE OVE this inspection record fro it6 site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line:, (503) 639 -4175 doo _� INSPECTION DIVISION Business Line: (503) 639 - 4171 Q BUP Received _ 5 '"'bate Regquu ted l -3 A PM BUP Location �)� S azz_c___LAdite MEC Contact Person .O-( Ph ( ) 7 — PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain VJ lA ( ‹A S Slab Inspection Notes•�r Post & Beam (- /TC EV \ �/ Shear Anchors J "� Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler • 1/491,0 Fire Alarm . 1 Susp'd Ceiling Roof Other: ) �� /'� Final giA I PASS PART FAIL PLUMBING . I ] a Post & Beam alimmirems on" Under Slab _ _ Rough -In I 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 RT FAIL L • =.u. - a• Low Voltage Fire Alarm Fi 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 'PASS` PART FAIL 0 Please call for reinspection E: _ ❑ Unable to inspect — no access Fire Supply Line ®�I I / ADA Approach /Sidewalk Date ( 0 Inspector 1�� Ext PP Other: V Final DO NOT REMOVE this inspectio record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection,Line: 639 -4175 MST c96 4 0 0 INSPECTION DIVISION Business Line: (503) 639 -4171 c� BUP Received Date Recuested / �� AM PM BUP Location a ( MEC Contact Person ig_e ° Ph ( ) 711- OFIg 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 4 5n 7) 144W C2 uft i l,f 1 1 /2 073 Drywall Nailing Firewall /lf 5C.— / (0 � 3 (5) 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 e& Beam Rough -In Gas Line Smoke Dampers Final PASS PART F ELECTRICAL Servi e `ough -In 1 .. jj,,,, Low Voltage 6vo 5eg p e/..2- Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ( � Inspector l ✓ ` lj+ G�V 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 6 / - 06/ INSPECTION INSPECTION DIVISION Business Line: (503) 639 -4171 p BUP Received Date Requested ` � A i M PM BUP Location 9 a C - Suite MEC Contact Person Ara Ph ( ) — 7/1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR /I!7 Crawl Drain ,TMI Slab Inspection Notes: SIT __ OR, ._- Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Ten /4/1'N w? / S w Pi)//2-EAR) Drywall Nailing ,, / Firewall Fire Sprinkler • Off'7- cam. Lg to ire /4 Fire Alarm 4"177 ��� � Cooly F Susp'd Ceiling r�� n p , Roof ( r7 j Ic-5 Mill- �eg� /�- <-67 J Other: Final 5 PASS PART FAIL LL D PLUMBING 7 c � Aif govi-A - / UST CLOS (17l/U5 ? Post & Beam 1 Under Slab HaZ €5 B'7F' & ( 24 N'6` Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan i -K - i gam(- )147 6-7t .510777 Other: Final ce—E51 J>a�/L 7'p \ J AC. ZZJ 1 -l i 2 PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL _ (N F Zj hr V X UG /Slab Low Voltage Fire Alarm F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAR FAIL S 0 Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA /6 At I % /t tqW D Inspector Approach /Sidewalk 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 aa0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — c° AM PM BUP Q Location -/ 0 2 1 ` le4 Suite MEC Contact Person 'D 1. -e Ph ( ) D - 7 L O S 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 Tul ion Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin PAS PART FAIL MBING 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 D Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date / ) ��� Inspector ' - Ext Approach /Sidewalk 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 Gvr UD // INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested L t � r S AM PM BUP Location 9b a- ( p v ( Suite MEC Contact Person Ph ( ) 10-0 — 7 yS 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 _ Insulation Drywall Nailing Firewall AW A M ._.._ �. Fire Sprinkler w Fire Alarm �♦ Susp'd Ceilin. Roof Other: Fi • PART FAIL - MBING 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 C 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: Unable to inspect — no access Fire Supply Line ADA 9 -� � 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 ,l BUILDING Inspection Line: (503) 639 -4175 ST 00 /dvll INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re sted 9 /� M PM BUP Location ' dr —/ 64 e/ oe s (v Suite MEC Contact Person , D2 t fP <. Ph ( ) _ Y9S PLM Contractor Ph ( ) SWR LDIN Tenant/Owner ELC Foo g Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear f Int Sheath/Shear 44410 (i 6C6a - gt d%I Cr Ins'. •n Drywall Nailing S u /� d � r Firewall Fire Sprinkler yrceJ i d • '7t Fire Alarm Ceiling Roof s - r12r/.; S 7 /4/I cS'. v Other: Final 'a '� ° . PASS PART 41421, PLUMBING Post & Beam Under Slab °J `�7' 1� ih A. Ae Rough -In Water Service � �° r�`'� r mi l' -v.�; 1 4G Stit.07IU. S- 104, Sanitary Sewer Rain Drainsy, 1�19/1i�frrLii� G�2<�fr Catch Basin /Manhole 4A-5 � � - 30 r?S' Storm Drain ' . 1/ Shower Pan C- 2, 4 -�¢3 Other: • Final PASS PART FAIL AL Post earn .:. . Smo e Dampers Final • PART FAIL TRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line i) 4 ADA G Approach /Sidewalk Date 7 �i — 4 4 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 MST -60 51-dai/k INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 5 AM PM BUP Location ?CO) / k _ a244, f' Suite MEC Contact Person Ph ( ) _ 6 SOS PLM Contractor Ph ( -O) gds O gig SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection I Post Beam —4 Shear Anchors Ext Sheath /Shear Int Sheath /Shear �l/� / (0° LI Insu ation '1 Drywall Nailing � �- • 3 cJ � rii Firewall Fire Sprinkler l � n Fire Alarm Susp'd Ceiling Roof / 6r)1 Other: _‘..0e U ^ _ e_ t Final Ll� 6-� PASS PART FAIL MAAjt.0 - PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan ! i Pel � Other: Final PASS PART FAIL MECHANICAL Post & Beam oug Gas ine 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 I I 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 record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503).639-4175 MST ° ° 1 1 - ° ( - ) ( ( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested p,� /yA�M PM BUP Location 9 v ( ��C� �'(t L M Suite `` MEC Contact Person -04) Ph ( ) 7a U - 7 (NC PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam t Sheath/ � Sheath/', r - ming Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: FinaL PAS 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 Anal ❑ 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 S'— 2 7 — v �-- 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 Li , (503) 639 -4175 MST, P—Z �J`� INSPECTION DIVISION Business L' : (503) 639 -4171 _ BUP Received L_3 . Z D ate Requested -2 . � � AM PM BUP Location '9 2 / 23,a 61 C--7 Suite MEC Contact Person ,67�'Gr -2 Ph ( ) 2 20 V <t - 3 -- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ost &Beam Shear nc ors Ext Sheath /Shear Int Sheath/Shear 2 Framing z- 0474 ��ijv� Insulation /' Drywall Nailing ` / ' L--( Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi PART FAIL BING 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 & Be mj t e e F3augn -m Gas Line Smoke Dampers • PART FAIL - TRICAL Service Rough -In UG /Slab _ Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at C Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspection RE: Unab to inspect - no access Fire Supply Line 0 9 ADA Approach /Sidewalk Date � Inspector w LL Other: Final DO NOT REMOVE this inspection re ord from the job site.. PASS PART FAIL CITY OF TIGARD 24 -Hour .. BUILDING Inspection e: (503) -4175 MSTc OIJ 1 j - DU // INSPECTION DIVISION • Busines . -` ine: (503) 639 -4171 BUP Received D � ► a te Requested °� AM PM BUP Location `� %- .r 0. - Suite MEC Contact Person i+ . _ Ph ( ) 7� � U-7� - - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ear . nchors Ext Sheath/Shear Ina Sheath/Shear 1) CO Li c V s �c u L-, T ? A--e_ _. - , ^ r Framing ' v Insulation f/ --S V t)C F. /2 l ? -6) Drywall Nailing Firewall . Z UN'pL� R-ClO (Z E bVC -1 N/L-T V\-/ 6 1 Fire Sprinkler Fire Alarm O�7 & Susp'd Ceiling Roof C a p Roof t44 l� �LG'7I-I ‹ f�j Vl .i✓ FL =(.. Final 0 is:), .e.-e- PASS PART ild r PLUMBING 1.1. Ab■ i L rGo CeAl Li Post d e r S lab Un ��1. lGc Under lab 5{4 Mii' ✓6 A' FL�� -'S - j- 1VLp Water Service tVv -1- 6.,ie G - rZ-�12 N 2'S' S 0 t2 c - rL�VeLvI°c Water Service Sanitary Sewer /( cr K Aio - r C. cry ri S ( CLi . 3t. 1' Rain Drains Catch Basin / Manhole Pi j & / , Z / Storm Drain Shower Pan Cl et See oAJ jki /4 /, r i •C.t l Other: Final C� L -04-Ar S ° ,'-&(--- \.\p-t /s/mS �- - u v S yg? S 51-9A-C/— PASS PART FAIL M .0 L TS a --- SE7'6. 1 /'l e S - #v5 /CLAr& QI & Beam Rough -In / ee o &_ S L j - 4f - 7 -- � C'vA"SY k/ c' I-- ' 61141 < Gas Line - PAeCA/ LL 5 u1 Cr S s Smoke Dampers Final Z C" Se -z o[ M 1 461 , 1 -3/4k-Z- P re'il -milcp, P ASS PART FAIL 'Y ' ELECTRICAL 6 �7`1 If e lam[ 7 R K o aiN t 'V c--Z - S 1t1 /4 Service � -% — Rough -In 1 f� i / 4 1 -- LG ' ® E , 6 I /i t ¶Th4G4-- aZ V 0 N1 UG /Slab y,p Low Voltage FA- STZ7 / l frt e \ -itI S OE /4- I L-e ) 7/ /� eZ% Fire Alarm S# .-- -[._ .CRi S' .o . j 6= &CZf&,/C,c y '5. 7A Final ❑ Reinspection fee of $ required before next inspection. Pay at Ci H 5_SW -Hall• Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: Unable to inspect - no access Fire Supply Line L PP ADA Da Inspector _ i Ext Other: Final _ DO NOT REMOVE this inspection record from the job site. / PASS PART FAIL , I-Ci6.S 1D LA: b ti ( Si 4I/ - 'J _ M i 6 c- � A-A ' 1 e "¢ ( •y S I EwED oc_ ` /`A-ty✓ A-i\1 L, S -L--Zc - �Lt1 R CITY OF TIGARD 24 -Hour BUILDING Inspectio Li : (503),639 -4175 INSPECTION DIVISION Business ine: (503) 639 -4171 MST C BUP Received // 23/4 Date Re � / AM PM BUP Location q0 2 / /ct / Sig / c 4- Suite MEC Contact Person / T a2-P Ph ( ) _7 20— ?WS PLM Contractor Ph ( ) SWR BUILDING . Tenant/Owner ELC M6A!® ELC o n� i. undatio Access: m wwt - g ELR urain Crawl Drain Slab Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath /Shear Int Sheath /Shear /f /s ue Framing fit U' �) Insulation�,�� Drywall Nailing Firewall Sew � AC �L)‹ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ^ ` Other: PASS PART FAIL PLUMBING' -1 , Post & Beam I. i ,, 1, Under Slab ��= - ��■ UL .(- Rough -In Water Service ' i l 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. Pa • 1,13125 Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA rf Approach /Sidewalk Date ` ` / 1 ` Inspecto �' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL