Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00043
dill DEVELOPMENT SERVICES DATE ISSUED: 3/8/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08397 SW DURHAM LN PARCEL: 2S112CC -D0014
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 014 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE BVH1675 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST. 635 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND' 1,040 sf GARAGE 305 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS. 1 THIRD sf RIGHT: 5
VALUE 163,06130
OCCUPANCY GRP: R3 BDRM. 3 BATH: 3 TOTAL. 1.675 sf REAR: 15
PLUMBING
SINKS 1 WATER CLOSETS. 3 WASHING MACH 1 LAUNDRY TRAYS' RAIN DRAIN. 100 TRAPS:
LAVATORIES 5 DISHWASHERS: 1 FLOOR DRAINS. SEWER LINES• 100 SF RAIN DRAINS. 1 CATCH BASINS:
TUB /SHOWERS 2 GARBAGE DISP• 1 WATER HEATERS- 1 WATER LINES. 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES -
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL /CMP < 3HP. VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS• HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS• 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR PUMP /IRRIGATION: PER INSPECTION -
EA ADD'L 500SF• 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR SIGN /OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp EAADDL BR CIR: SIGNAL /PANEL: IN PLANT'
MANU HM /SVC /FDR. 601 - 1000 amp: 601 +amps -1000v MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO* VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT•
BURGLAR ALARM. OTH: BOILER: HVAC LANDSCAPEJIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK* INSTRUMENTATION. MEDICAL: OTHR-
HVAC. DATA/TELE COMM• NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,264.61
This permit is subject to the regulations contained in the
BUENA VISTA HOMES BUENA VISTA HOMES
Tigard r applicable Municipal e law State work O Specialty Codes and
6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable law All work will be done i
PORTLAND, OR 97219 PORTLAND, OR 97219 t
accordance with approved plans. This permit expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503 443 - 6033 Phone: 503 443 - 6033 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Rey #: LIC 152235 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Storm drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing Insp Insulation lnsp Appr /Sdwlk Insp
Pos am Stru . al Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final
ued By : . ' ', fA I g- -( Permittee Signature : .../dze.WA/EeziQf
Call (503) .39 -4175 by 7:00 p.m. for an inspection needed the nexi business day
Ir
Building Permit Application FoR oFFIcE i s ONLY
Received Building //,,
®
Date/B • _ i/ Permit No . , VO0
Y
y g
CIt of Tigard Planning Approval
DateB • Other
Permit No OI ' „p � 'a009 ' t p `,
13125 SW Hall Blvd. G Plan Review Other
Tigard, Oregon 97223Q� 1 %\)t Date/By , — S — U ° I M/�)/ Permit No :
Phone: 503 -639 -4171 `` Pax: 5 � 1 0 ' ' r ' :i ' I'` Post - Review Land Use
QQ Q --4 Date/By Case No.
Internet: www.ci.tigard.or.us �O � j PQ ` - Contact tuns
�( �� ' ® See Page 2 for
24 -hour Inspection Request: GO \s Name/Method Supplemental Information
C09\ _c(,/,
TYPE OF WORK . _
REQUIRED DATA:-.:
New construction ❑ Demolition 1 & 2 FAMI ..Y DWELLING . '
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note Permit fees* are based on the total value of the work performed Indicate
y 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, matenals, labor, NV
overhead and profit for the work indicated on this application
❑ Accessory Building ❑ Multi - Family
❑ Master Builder ❑ Other: Valuation S
JOB SITE INFORMATION and LOCATION No. of bedrooms: " No. of baths: Z 5
Job site address: 03 ` f7 St.-) r if w, Gorve, Total number of floors.
New dwelling area (sq. ft) I .
Suite #: Bld• . /A•t. #: Garage /carport are (sq. ft.) ” . . ---,..N.
Project Name: *I�i�, h 1 i& /, Covered porch area (sq. ft )
Cross street/Directions to job site: Deck area (sq. ft.) ii
q o Other structure area (sq. ft.) Ii
' .. - REQUIRED DATA: -
' COl EViERCIAL = USE CHECKLIST ••• -
Subdivision: puy ham ock I <S Lot #: ) - ,/
Tax map /parcel #: Note Permit fees• are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, matenals, labor,
• C v „ 1 n Di c) (^ � i o-, Y ^ <,I Le overhead and profit for the work indicated on this application
t 1- , * I . I I , t Valuation S
- — ' Existing building area (sq ft.)
New building area (sq. ft.) ......
Number of stones
0 PROPERTY OWNER , I 0 TENANT - Type of construction
Name: R U 2 hfx� V Is a �Dmes Occupancy group(s): Existing'
Address: ►, " _ l 1.1 A C 1 A 4 II • New:
City /St.te / PDT-} • An ” R CI - 1-2 . 19
Phone: S t / „ Fax: 2, NOTICE: All contractors and subcontractors are required to be
CONTACT PERSON licensed with the Oregon Construction Contractors Board under
II APPLI
provisions of ORS 701 and may be required to be licensed in the
Business Name: Emr,R junsdiction where work is being performed. If the applicant is exempt
Contact Name: \f\\ jn mq eA,5 from licensing, the following reason applies:
Address: S e (, $ 1 we'
City /State /Zip:
Phone: l Fax: - - -
E -mail: �^ .:BU>ILDING.PERMIT FEES; . ..
J I ► rnm vu �s� 1 IvmC,.. it_� Pleease "r '.
CONTRACTOR
Business Name: r Mer V 1 _ `A #5 Fees due upon application S
Address: / — / J, / /, /. A_.j1 ii-c
Cit /State /Zi.: e hilji Amount received.... ....... ., . ................ S
Phone: 50 1443 Lop2, Fax: 5n 443 3 Date received:
CCB Lic. # : I ?? �
Authorized li
Signature: ( Notice: This permit application expires if a permit is not obtained within
g Date. �0'�� ` 180 days after it has been accepted as complete.
' ` ( ;0. *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i \Dsts\Perrnit Forms \BldgPermitApp doc 01/03
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
ix ® �1 CRtiUX! I:uROFFlt`t.1i,S 0 ''LY
I!/Xechanlcal Recei Mechanical ,
`\ Dstcf . Permit No.: 117T ••0 —000 'r
`
•1��� � Planning Approval _ -
.
City o T'igar �02 � P ip :
13125 SW Hall Blvd ` - ( \ G \pN Plan Review Other
Tigard, Phone: 03- 639 - 4 9 0 Dares , •
and' se
Pes cw Land Use
" , i. „, ' . Date/8 : Case No.:
Lnternet: www,ei.tigard. i1si / i l Contact =�
1' Q .r _... •�,
24-hour Inspection Request. 503- 639 -4175 Name/Method:
. OF WORK . • . , . _•CO I ; 'A • FIEF' SCIIED i1L 'x:>E1sE:.a:F#HC sT , g;. , .
# ►o New construction • Demolition Mechanical permit Ekes' are based on the total value of the work
MM Addition/alteration/re . Iacement • Other: pt rlhrmad- Indicate the value (rounded to the neatest dollar) of all
: S,rRUCTIQIQ• „ mechanical materials, equipment, labor, overhead and profit.
P. & 2- -arnil dwellin_ I. Commercial/Industrial Velue. S r See Page 2 for Fee Schedule
Di Accesso Building Deseri :on WZIWM1231111 Teem
la Master Builder ! Other: it Cool - an
' . JOB SITE IPIFORMATION mid VON •' Furnace - add ^on air conditioning *° 14.00
Job site address: `S3' 7 jw all:), L-1 Gas lint • ' - 14.00
Suite #: Bl . : JA • t. #: Duct work MI 14 00
�� J , , Hydi'onie hot water system 14.00
pro CCt Name: / / , Residential boiler
Cross street/Directions to job site: (tbr radiator or hydronic system) 14.00
DI,bvila/ro ^� 1/ �� 1 �� Unit all, (fuel, , suspended,
vb K V in wall, in uct, , no electric)
otc) 14.80
Flue/vent for an of above 10.00
Lot #: 12.15
Subdivi3it>tt Other knes Ap • wi nce.
Tax rata. / .: el #: Water hearer 10.00
r 1! d i .air; s ” I • Gas fire .lace 10,00
/
i Flue vent water hems/ .• fi • lace) 10.00
ad %_ -%� <I- .// A / /��� Log lighter (gag} 10.00
�� �� _ A LL
Wood/Pellet ight r stove 10.04
Ilifi IMMEIT i/ Wood fre•lace /insert 10.00
Chimney/liner/flue/vent 10.00
., m TEIV • ., ,
p c PIt#DPP.RI Y'OW1aiER = . ' Other: 10.00
Exhaust & ventilation
Name: T MITI ��'� ►�'l�.t�li i[�� R ange h00d/other kitchen equipment 10.00
Address: NBiI'ra °an� fi �r i► C lothes d ryer exhaust 10.00
• � _ i TSI J Single duct exhaust
Phone: 0 ►� sX:int1177B : (ba:111'0 s, tollct aomparrments
[u IILPPLIC `1T Ea :CONTACT utility rooms) I 6.80
Name: V �4 0 It Attic/crawl space fans { 10.80
Other:
_ AddresAddress: iAg .' �Ir► 0 �, .4o for fir 4 `S .0 n ett additio. al �
Furnace, etc,
Phon l ag Fax: Gill heat • • _ "
E-mail: t$ - ,R ir t l _5-VA\o ,ECICS .( .- l watt /sus• •ttdod/unit heater '"
Gl�F1fRi�CJfi3R , Water heater '" ME
).� ( a () T A Fireplace °°
Business Name: � ..
Address: L . 3 p -Lin .. -
III
Ci /State/Zi.: p . /, • tea. C Z io Clothes . _as
Phone*}3 - 2.5— 77 q Fax: -A, -155-7 Other .•
CCB Lie, #: ; f 3 Total: MIN
,. enamelled Panillt Ve40
Authorized ) Subtotal: 5
Signature: (1/1 rn!'�/ �1 Oate: 1 z(� 0'- Minimum Permit Fee S72.S0 S
. . J," MI II L. Plan Review Fee 25% of Permit Fee) $
g
(pima .. . e name) 'TOTAL PERMIT FEE S
Perms application *Fct: metbodolow set try Tri-County BuLTtbng Industry Service Board.
1'tCtice: This t a hef►tioa rspiroe Ka permit Is not obtained within "Site plan required list exterior A/C oaks-
ISO days atter it has been aAatjte4 as complete.
i:\ DstsV :'t+'eniIFnrnugMeePermltApp•doc 01/03
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY RI 002/002
E012Oi1If.Ll'SEONLY
P umbin Permit Application Received Pe " o.: .....- "COO 3
City of Tigard - ■■C)4 Mooning Approval Sewer
pate/8 Permit No.:
13125 SW Hall Blvd. V` Plan Review Other
Datef8 Permit No.:
Tigard. Oregon 97 �/ `� poet•tievlew
'
Phanc: 503 -63 ax: 5083.011.1.60 Date/18
InLertiet: wWW.a.trgard.o.r%s QQ\ _ •� I Correct Jail.: 1 C 1 See Page 2 for
24-hour Inspection Regike\a" 5 0 ¢ 9 - tYame/Method: Su ..lemeatal information.
O
GS . \\
New construction • Demolition Descliption _ QV.
Addition/alteration/reacement U Other:
:CA GORN;ipF';' CTION • • • . • ^ ,.i. .:�',. .
OW 1 & 2 -Famil dwellin: 350.00
�r Commercial/Industrial SFk 2) bath 350.00
Accessory Building • Multi- Family SFR _(3) bath 399.00
IN Master Builder Ul Other Each additional bath/kitchen 45.00
'SOB SITE INFOR 4TIOPi•aud•LOCATION Fire •rinkler - • . ft.: Pa • e 2
Job site address: t'3ci l 5••-) >71/4.AeL ■ Le4 :.,.. ;:.:;... . .•site Utilfttes ;,:.,:,';...4 :1•;:,. ..
Suite #: I Bldg./A. t. #: Catch basin/area drain 16.60
Drywell leach line/trench drain 16.60
Pro'ect Name: • . , A L IAA 4 Footing drain (no, linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110,00
/ U V1 rv .0k. 11 -al I B1 vA - Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: d A a 1hI RI . Lot #: I Storm sewer (no. linear ft.) Page 2
Tax mS • arCe1 #: Water service (no. linear ft Y Page 2
DESCRIPTION OF WO • • Fatureor ltcoi' ` ;
Absorption valve 16.60
/AL II . /g 0 - I . Backflow preventer • Page 2
irlai l.�radr ,u aditiV l MI , Backwater valve 16.60
Clot washer 16.60
Dishwasher 16.60
PROPTRT
?J Y'OWNER ;18a TENATITT - Ejectors/sump cking ump 16.60
fountain 16.60
' �• ' _ Ejectotslsump
Name: j j� w it' Expansion tank 1640
Address: / / ∎1 * h / NIU1 =� d Fixture/sewer cap 16.60
P t ig /I ii / „ ► Floor drain/floor sink/hub 16.60
�.ar �f�rr�
Garbage disposal 16,60
Phone: On 1 4 - LPO �r•_+� ie �j�!�1:�.� Hasebib 16.60
I F..1 i:3 CO ' EASOK • lee maker - 16.60
Name: TRIA SAUFAVAMMVAAWEIMIIMIM truerceptar /grease trap I 6.6Q
Address; i At! / / • al Medical gas - value: $ page 2
Cat City/State/Zip: Primer 16.60
Y p: Roof drain (commercial) 16.60 _
Phone:. • Th O 00 Fax: a 4 2 slnWaasiMavatory 16.60
raP/ 4 .A 1V a sin ". • 0 • Tub /shower /shower pan 16.60
E,OL�TR�It(�'Ct7R Urinal 16.60
Water closet 16.60
Business Name:
W� heater ,
Address: - / . r, .E _
• .� A Ocher r
Ci /State /Zi': Ai � �1 - . /_.' ,p Other
Ption- co • /?�:�.+//]U F F. . -5 , lNifr�!/ II L ., ;: ,....,.: 1 - w ,, ' /BL b etiiiit cs'
a Subtotal S
CCB Lic. #: " • ` l L'e. #: - ta Minimum Ptsrtnit Fee $72,50 $ T
Authorized "' - _ Lo �� Residential Backflow Minimum Fee 536.25
Signimart; / 4i 4 -- Date"- plan Review 2.5% of Permit Fee S
off / 1 . State Surslu�e (S% Of Permit Fee) S
(Pleas print name) TOTAL PERMIT ma v
Notice: This permit application aspires if a permit is riot obtained within All new commercial bttflQle 1 require 2 acts of ptaas with iso metric or
180 days after it bas been ,aeopled as complete. riser diagr m for plan r{w10w.
*Fee methodology set by Tri- County Building Industry Service ooard•
is \DstsWermit Fatms\P[mPermitApp.dee 01/03
01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01
• Electrical Permit A • k, •
Received Elcctncal I,/
City of Tigard ,�, .� %� Date/ s pproval C' t No.:l t �O� (} 3 gn
,\ Pl annm A
13125 SW Hall Blvd. CC-� V ihio Date/B y Oth o,:
G ��N Plan Rev cw t7ther — .
Tigard, Oregon 97223 o Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503- 598{Ib6 Post.Revicw Land Use
Internet: mvw,Ci.ti a rd.or.us \ " "" '''' ! Datdl3
S pw \\. ',J i - y' Case No.:
24 -hour Inspection Request
503-639- 4775 +� �-� Contact Juno "' I Su See Page 2 for -
Narnc/Method: ( SupplementallnEormation.
TYPE OF WORK PAN REVIEW 'else etietka7E
'• New construction �c
Demolition Service over 225 amps. Health�,t facility
U Additi /alteration/re�lacement [� commerc
t.-? Other: ❑ Building MCI location
CATECORYOPCONSTRTJCffON ❑ Service & 2 B
over 320 amps-rating of ❑ four o m 10.000 square feet,
l & 2 family wetlin
1 & 2-Fa it dwellin y oor r more residential units in
Y ❑ Ca II ] t . t ❑System ov er 600 volts nominal one structure
❑ Access° Buildin • 1Vlulti•Famil
❑ Building over three stories
❑ Occupant load over 49 persons El Feeders, 400 a or more
IA Master Builder • Other: pe 0 Manufactured structures or RV park
❑ Egress/lighting plan ❑ Other:
- rOBSITE ''N ' Submit sets of plans with any of the above.
Job site address: Ti (�tJ Dt The above are not applicable to temporary construction service.
Suite #: Bld • . /A. t. #: � --- '
Pro •ect Name: Number of ins . anions • er . emit allowed
♦ I �� il� re Desert , don Qty Foe (ea.) Total
Cross street/Directions to job site:
New residential-stogie lt. Includes or molt/- fatally per
DA n &voila' milt Includes attached garage.
/v Y\ R Ok -a-- I I V UOk , Semite included:
1000 sq. R. or less 145 15 4
Each additional 500 R, or •.rtion thereof mu 33,40 1
Subdivision: �]���� � JJ Lot #: Am Limited attar residential I� 75.00 — 2
Tax map /parcel #: Limited energy. non residential 75.00 2
Each manufactured home or modular dwelling
'DESCRDaTION OF WOITI( . service and/or feeder 90.90 MEM 2
i Services :to feeders - lastallation,
p ,'��� % �� g/ ■,i_` / alteratior res
L L , (� C � ' 200 am.s or less
II 80.30. 2
401 a to 600 a nps 106.85 2
t s l .PROPERTY OWNER , ' Ill/ '1E ENS' • ' , 601 am •: to 1000 2111" 160.60 2
Over 1000 am. or volts 454,65 2
I.�.g /� [/ [, 1! a54.65 2
Name: 66.85 2
Address:
PJ . [fir U / / / ja • Pj Temporary services or feeders - installation,
a •t i/1 ■ �L[ . /�,/ - alteration, or relocation:
1 200 am.s or less 66.85 1
Phone 1 M _ i_I Vff� 201 am to 400 am • 100,30 2
IN J d ` ll�i'CONT�1CT.PERSON 401 to 600am.s 13375 2
�• N v► ] extension n per circuits - new. alteration, or
eztenslon per panel:
Address: L A it; 101 I � A. Fee for branch circuits with purchase of
service or feeder fee each branch circuit III 6 65 2
City /State/zl r : B. Fee for branch circuit: without purchase of in
Phone: oi,, i p LIN, ► - g , r 2_4z4 service or feeder fee. first branch circuit a6.g5 2
Each additional branch circuit 6.65 2 5 - V I /l ♦ U ma r s. corn . Mtsc.(5ervicc or feeder not included), Ell ' ':• CONTRACTOR . Each •um.orim on circle 53.40 2
Job No: Hach tiRn or outline lighting 53,40 2
Signal n o r ex limited energy panel.
Business Name: ' 055 �- jL��t 116.. alteration, or extension • 2 2
Address: Q, 70 50 0,,1,1g- _ Ekstriptinn .. ■ ��
r
CI /State /Zi • : Hi S 601-•0 0 171 a.3 Each additional ins. • ion over the allowable In an of the above:
Phone :5b-3 Z 2$00 Fes; Per la alum , • hour min, t hour I_ 62.50
Z• Envesti .: elan (Cc- � ��
CCB Lic. #: is Lic. #: 6,G r: 5 3 Other
Supervising electrician :.• • ' Elictritsti'Petifitt eilif .. _, . .. .
Si ..4 atEue re. aired • .► '"lam'- Subtotal $
Plan Review 25% of Permit Fee $
Print Name: ' Cle. , OSS Lib, #: 112 8 State Surcharge (S% of Permit Fee) S
Authorized r + 2 j permit PERMIT FEE $ .
Signature; 1 I !( Notice: This permit application expires If* rm It is not obtained within
(late: 180 days agar it hoe been accepted as complete.
�^ �p („ / !� / � ' *Fee methodology set by TrI- County Building Industry Service Board.
/( (Please print name)
t:\bsu \Permit Forms \ElcPermitApp,doc 01/03
STREET T EE CERTIFICATION
..
h
I, /g/1<€1710/ , O wner /A ent f or � ,�n l ��
g .)
(PLEASE PRINT) (PERMIT HOLDER)
..'.
Do here ` <. ; , 9 ,
by ,; th ,, g
c ert i1 a t=tl e f ollowin location
meets,City of Tigard /Washi County
land use and development standards for street tree installation. 0.
ADDRESS: 5 ctv V,t, h ot-
LOT: 1 l SUBDIVISION: K � 644-5'
BY: 44,,,; DATE: S/I/ o -( 0.
RECEIVED BY: �� DATE: l /
0.
N
\ A-vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvN
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 9 -4175 ` MST �0Q �-6 Q
INSPECTION DIVISION Business Line: 3) 639 -4171
BUP
Received Date Requested ‘ AM PM BUP
- 'J
Location o i Suite MEC
Contact Person Ph ( ) - 2/o / ' ' 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
Ext Sheath/Shear
Ina Sheath/Shear USA 7 R QSD F A
Framing L/ C t�
Insulation . Q � I e`
Drywall Nailing
Firewall J LA-7 CE� .
Fire Sprinkler
Fire Alarm C ., - �- _ C P
Susp'd Ceiling
Roof
Other:
PART FAIL
I NG
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
S0110 moa Dampers
FAIL
RICAL
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: El Unable to inspect — no access
Fire Supply Line /
ADA
Approach /Sidewalk Date `t Inspector 1� �. Ext
Other:
Final DO NOT REMOVE this inspection recor : ,om the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 BAsTokk-osoott3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested C9 a� AM PM BUP
Location • i _ 1 0i %_4(... .ate Suite p MEC
Contact Person ' .r Ph ( ) 1�a` — —$6d 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
Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRIC A L
Service
Rough -In
UG /Slab
Low Voltage
e Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line 2 /� Q
ADA Approach /Sidewalk D " -6- , ' P Inspector IN r �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 a?C' 4 1` ?)6 d 13
INSPECTION DIVISION ' Business Line: (503) 639 -4171
BUP
Received Date Requested to AM PM BUP
Location 5 3 9 7 D J Y( Suite MEC
Contact Person Ph ( ) —7 /6 —( 40 7 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 U a%: } / j
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:
inno
PART FAIL
CHANICAL
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 • ADA Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL