Loading...
Permit , i. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00208 ,.� DEVELOPMENT SERVICES DATE ISSUED: 8/18/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09397 SW HOME ST PARCEL: 2S111 DB - KE220 SUBDIVISION: KESSLER ESTATES NO. 2 ZONING: R -4.5 BLOCK: LOT: 020 JURISDICTION: TIG REMARKS: New SF detached. - BUILDING REISSUE: BVH3070 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,398 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,672 sf GARAGE: 658 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TURD: sf RIGHT: 5 VALUE: 302,545.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,070 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: BOIL/CMP < 3HP: a VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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: 6 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/FOR: 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: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: ° HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,844.23 This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES Tigard Municipal Code, State of OR. Specialty Codes 6932 SW MACADAM #C 6932 SW MACADAM SUITE C and all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 443 - 6033 Phone: 503 443 - 6033 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those - Reg #: LIC 152235 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 Insi Gyp Board lnsp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Storm drain Insp Mechanical Final Foundation lnsp PLM /Underfloor Framing lnsp Gas Fireplace Water Line lnsp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp Water Service Insp Building Final Issued By : Permittee Signature : iJ /� l"d r zl, 1,, , ,.,,,,, _____, r ,,d,_ ,____ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 1 Building Permit Application Received Building �� I C U b U V E® Date/B : r7 i I Permit No.: � AA ,_!,/,_, •00 City of Tigard Planning • ppr.val other a101 ,^ Date/By: PertnitNo.: OQ 13125 SW Hall Blvd. i �; 1 Plan Review Other Tigard, Oregon 97223 Date/By: /won) - V / Permit No.: .Phone: 503- 639 -4171 Fax: 503 - 598- 1960Y /: ^*"Ry i A t6) �ae/ L an d Us e Internet: www.ci.tigard.or.us BUILDI�. Inspection Request: 503 639 -4175 Contact Ju0s.) Su See Page 2 for 24 -hour Ins P q Name/Method: i /G' Supplemental Information . TYPE OF WORK - .....- -:..: ;...r.... © New construction ❑ Demolition 1 & 2 FAMILY DWELLING . ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION - . Note: Permit fees" are based on the total value of the work performed. Indicate © 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation S . JOB SITE I ORMATION and LOCATIO . No. of bedrooms: No. of baths: Z'9 Job site address: ar IMJ�l E i Total number of floors ��" New dwelling area (sq. ft.) G Suite #: Bid' . /Apt. #: Garage /carport area (sq. ft.) ._ Project Name:.. Covered porch area (sq. ft.) ill. Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA:: .' COMMERCIAL • H CECKLISC 3r Subdivision: Lot #: • • Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate • 'DESCRIPTION OF WORK . the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application. DEATACHED RESIDENCE Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER - 1 ❑ TENANT - .-- - - : . - - - - T y p e of construction Name: Buena Vista Custom Homes Occupancy group(s): Existing: _ Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 97219 Phone: 503-443-6033 Fax: 5 0 3- 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under APPLICANT ❑ CONTACT PERSON provisions of ORS 701 and may beiequired to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: Eliabeth Moore from licensing, the following reason applies: Address: City/State /Zip: Phone: Fax: . . . E -mail: • _ BUILDING PERMIT .FEES * - ::,, CONTRACTOR Pieiase refer to f . ... iu`le . Business Name: Buena VIsta Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 I Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 Authorized /n� Signature: U. ki Date: - Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Boa rd. • (Please print name) i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03 • 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 \ . . . t. , . • Mechanical Permit Application Wit. MI- I( IL% 1St OM Received Meehanical LALL;LUVILU Datal3 : - Permit 1•10,:/ Va. -0 City of Tigard Planning Approvat RE11111111.11111 • De ; : 13125 SW Hall Blvd. • IL _. i: 2E4 Plan Review tit Oregon 97223 Deism . Phone: 503-639-4171 Fax: 503-198-4960 Tje..■,r?n Poet-gcview • . Internet: www.ci.tigard.or.us BUILDING DP,,4_1.1. I it Contset Juris.: o'.:4 See Page 2 for 24-hour Inspection Request; 503-639-4175 --' --- Narne/Mothod: Setpplententet Infbrrnatioe. • • . 7 • ... ' • . '.: c • '1'..„ ;-:. : E OP sili - ••• ..;:li:*.i..••.:: '..,- . !x.slaticireattasr z-. V_ New construction • Demolition Mechanical permit fees* are based on the total value of the work IS AdditionialteratiOn/re 411Cemerlt • Other: performed. Indicate the value (rounded to the nearest dollar) of all • , • •_. ' •••'',CATIEGOR : OP.CONSTRIrCiI A.,',i:-,..,*;-•:,,,,....1.• mechanical materials, equipment, labor. overhead end profit. L 1 & 2-Famil dwellin: il C o mxnerc ialfin dust:6 al Value.: $ See Page 2 for Fee Schedule I Accessory Building ID Multi-Farnil .- RE.STORPThIkEqUIP ,1 : •• ' A MUM ::. ' : A P 1311 %. Dew • don o Fe es. Teta! 1 1. Master Builder ID Other: nestboniCootiog • JO : srrE INPOPMATION aid/ LOCATION • - .: .: . - Furnace • add-on air conditioning** 14.iiir Job site address: • 3 4 7 aw0e12 Gas heat • .. • 1400 Suite #: Bld,./A.t.#: Duct work MINI POD 111111111 Project Name: . - Hydronic hot water system 14.00 . Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 • Unit heaters (fuel, not electric) (in wall, in•duc su • nded, etc.) ill [4.00 1.1111 Flue/vent for an of above 10.00 MIMI R • air units 12.15 Subdivision: _______ Lot #: 2.0 _____ 1*.er Fuel Ap. Manes Tax map/parcel *A: . Water heatet 10.00 • • • '" • •• DES . I* LON * F WORK ,.' ' ... • - '• • Gas fireplace 10.00 11111 NEW CONSTRU TION-SI GI.1 r .• I' • Flue vent (water heater/tra lireP(ace) 10.00 DETACHED RESIDENCE S Lo • h. ter : - - 10.00 Wood/Pellet stove III 10.00 , Wood. - • lar.e/insert 10.00 Chimney/liner/flue/vent 10,00 IIIIII • OPERIVO' N. 7 .TENAFC1r.7 •.•.•:. :•.;,• Other: 10.00 gavironmatta robust & Veadhidett . 1 - : - _ = .9. f_ ViS W.L.1 ° A -ei/IIIMIIIIIIII Range hood/other kitchen equipment 10.00 Address: 6 7 SW MaCa --.11 ' VI S 7 ' C Clothes dryer exhaust 10.00 CiVState/Zi.: Portland OR 9721 9 Single duct exhaust Phone • _ . . _ .4 Fax: 1 _ . . _ , . (bathrooms, toilet carnpattmcrits, 111' APFLICAN1 • ••_ • • NP. •CONT ' PERSOlg • : . ' will moms) • 6.80 Attic/crawl space fens 10.00 Name: David Goloba Other; 10.00 Address: Pad -4._atm.,________, Ci /State/Zi.: **(WA° for first 0140 teen additional) Furnace, etc. ..i. Phone: Fax: • •• - Gas heat Ii_ly E-mail: WalVstuipended/unit heater 1 •. ' ' • :',:.': .'•''' : . - ' '.... ,. . CONTRACTOR ,.■ :. • :*„ : 7 • . .• .S. Water heater •., - Business Mane: A G • W o Fireplace .... Ill• Address:2428 SE 105th Ave . • gam: BBQ 1111 Ci /StaterZi.:Portland, OR 97216 Clothes . er as PhOttet 5 D 3 - 2 5 3 - 7 7 B9 Fa.X :5 0 3 -2 5 --; b -: .; omen idEIMI CCB Lic. #: 45 1 3 1 . Total: --- Malleable! Permit Pees* Authorized G e..k o J . • u. total: S Signature; Datc:SW2goii Minimum Permit Fe 150 S David Golo4 MOGEMEETZErallIMM:01 s State u - .-% of Permit Pee S (P e pr riThilt isCrTA.L. PE- .• - -E S Notice: Thls permit application expires V a permit is not obtained within 'Fee inettiodotop set by Trl-Coutuy Bending tatletstry Service Board. • 'Site p1311 required for exterior A/C units. 180 dtos after it has beet accepted at complete. i:VstaVermit ForrnateSPerrnitApp.doe 0143 • 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 n • Electrical Permit Application F012 0111(1.l' a ONI.1 �C f (( L� II `` // Received fl ItEU I- u V I� J Date/By: PermitN0,:/rrtrg_em y -�2G6 City of Tigard Planing Approval Sign 13125 SW Hall Blvd. 7 ,ff. Plan Review Permit No.: Tigard, Oregon 97223 ,_ � Lr U`t Dateie : Ot Phone: 503-639-4171 her No.: . r y Permit se t Fax: 503- 598;1t T! r n r3 r. Post - Review land use • D atc/ B Internet: www,ci.tigard.or.us BM! DING 1 uis.: Contact Juris.: see page Information. for 24 -hour Inspection Request: 503- 639 -4175 - Name/ Melhad: Supplemental nfbrmatian. . T Y P E ; O F W O R K. ' ANREVIEW:(Plesls>;• chtiCkiilY;tleit ?ii - `~ New construction +3 Demolition ❑Serv iceovcr225 amps- 121 Health cam+c facility ❑ Addition/alteration/replacement Other: commercial CI Hazardous location C ATF YQF'CONS?,•.R JCET�1'. ❑ Service over 320 amps-rating of ID Building over 10.000 square feet, 1 A• & 2 -Fami1 dwellin . C Co ' _ 1 & 2 family dwellings four r or r more residential units in . ndustE1al ❑ S over 60o volts nominal one structure ■ Accesses Buildin ❑ Building o ver three stories Mu lti - Family g ❑ Feeders, ure amps or more ❑ Oc cu p ant l oa d ov er 99 p erso ns 0 Manufactured structures or RV park J] Master Builder Pa . . Diller: 0 plan ❑ Other: .• ... JOBSITE INFORMATION. iiultl • Submit seta of plans with any of the shove. Job site address: 97 Om� The above are not applicable to temporary construction service. Suite #: $ldg. /Apt. #: '.:.. .:•.•.. ;;2,'-�:..:.;:. -:•: • Number of inspections per permit allowed -- Project Name: Description Qty Fee (ee.) Toed I Cross street/Directions to job site: New resldeettal_single or mold-family per dwelling matt Includes attached garage. Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 31,40 I Subdivision: Lot #: ( Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling • ' .. ;DE . o oFWORK : ' : ` ' : service and/or feeder 90.90 2 Alm Golf s t ((� S ��' C Services or feeders - Installation, . - �� Gh f L� ��'I alteration or relocation! � � i d en C - -- 200 amps or leas 80.30 2 201 amps to 400 amps 106.85 a 401 amps to 600 amps 160.60 2 FA. • ' ROP.IFRTX OWNER :: • • :':. I� '$EISP . ' . ...: . - 601 amps to 1000 amps 240.60 2 Name: ,t en a_ / S-�, � � � �~ Over 1000 only or volts 454.65 2 Reoormect only 66.85 2 Address: G cm. 51,t/ 1 a(. a c/o / n //t', 5f4_,,,_ i Temporary services or feeders - installation. City /State /Zl : 'PQH -t o 0 q '-7 a 19 alteration, or relocation: 200 am • • or less 66,85 1 .. Phone{. .7d� 1 143' - (a Fax ( y4 C 1 201 am to d00 am �PII 100.30 401 to 60 stn C ' NT CC Pp '.• ON° : 133.75 2 Name: ' V / 5 S Branch circuits - new, alteration. or extension per panel: Address: A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 3. 6.65 2 City /State/Zip: B. Fee for branch circuits without purchase of Phone: service or feeder fee, first branch circuit .85 2 Fax: run Each additional branch circuit 46 6.65 2 E -mail: Misc.(Service or feeder not included): 7N'1CIi (.1 Each Pump or irrigation circle 53.40 2 Job No: — Each2ign or outline lighting 53.40 2 Signal circuit(s) or a limited energy panel, Business Name: l os j e c iow s alteration, or extcnsion Pa: 2 2 Address: a 870 S � OW _ F A e , ,3 Description: - Cl /State%Zi n 93 Each additional inspection over the allowable In any_of the above: Per inspection per hour (min. I has Phone :$d.3 (d 'IZ 2800 Fax: b3 i investigation fee: ) 62.50 CCB Lic. #: 15 .Lic. #: 7e�3 . Other. E Supervising electrici 1:Pdrml .;: ,:;,`;J ;: X mature required' Subtotal 3 - - Plan Review (25% of Permit Fee) S Print Name: S)--ewe RROSSI Lic. #: 4 /23 1 2,S State Surchai cj % of Permit Fee) S TOTAL Authorize TOTAL PERMiT FEE S Auth rize Notice: This permit application expires lr a permit is not obtained within _ Date: 180 days after it has been accepted as complete. •Fee methodology set by Tn- County Building fnduatry Service Board. (Please print name) i :\Dsta \Perrrmit Fnnne.E1cPerrnitApp.doc 01/03 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY + HENNA VISTA /2002 /003 Plumbing Permit Application FOR OFF(CI•: I'St ONLY Received Plumbing D2rE �VED Dew/ lily_: Permit No. :/1/�j /o7 Gvii-u - 0020 , 1 , City Cit of Tigard �C planning Approval Sewer `J s Datentvr Permit No.: 13125 SW Hall Blvd. < /, 2KJ4 Plan Review Other ' Tigard, Oregon 97223 . f ; ' .. OauBy: Permit No.: Phone: 503- 639 -4171 Pax; 503- 598 -1960 ' n.. Post- Review Land Use V I 1' U F T I ( ' I' oats/By: Cue No.: Internet: www.ci.tigard,or.us ,, e j J I n� ill �t0 r. : .4$" �_ Contact Saris.: El See Page 2 for 24 -hour Inspection Request: 503.639.4 - Name /Method: Supplameocas Intbrmatioo. " "ITYPEOIB_VBO '' ,,; = •• • '• It88tSCE ED.UXl&ifotspearaTinfokn atFall' ate' •x'' New construction Demolition Descri don Qty. Pee(ea.) Total Addition /a1teration/replacernent E Otter "�` •� T .. . ,•• -.. � ���• a .,-�, t - s:', ; �•;r' :•r � •�� "; :, . •'.� • „��� P"+� �et �. _i,� J! , � f . •, AT�i ]l '' 1 • • .L" O ra <$ Sb �Ib: .COlit oii . a'" '.'• :' "t'.: y SFR (1) bath 249.20• 1 & 2-Fatuity dwelling El Commercial/Lndustrial SFR (2) bath 350.00 ]Accessory Building — Multi-F SFR f3) bath 399.00 ID Master Builder _ Other: Each additional bath/kitchen 45.00 'iOB SrI'E INPO1904`A:TIOrl - an &LOCATION ' ' Fire prinkler - sq. ft.: _ Pag�e 2 Job site address: 9 7 rn.e ,_ ' • • ,:, • - . ..., s a t UJtilties' 'a :k,_ :' :,:,5)1<!'at _'•;' . _ ` _ • . Catch basin/atra drain 16.60 Suite #: � Bldg, /Apt. # - • Project Name: - Drywcll/leaeh line/trench drain _ 16.60 Footii[dreitt (no. linear ft.) Page 2 Cross street/Directiorls to job site: Manufactured home utilities 110.00 Manholes 16.60' Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Paste 2 Subdivision: I Lot # ' Storn sewer (no. linear ft.) Pipe 2 Tax map/parcel #: Water service (no. linear R) Page 2 DESCRIPTION OF WORK ' • valve . ' ' Flout or Item . Absorption va 16.60. NF „CONSTRUCTION - SINGLE FAMILY Sacknowprevcntc - Page FAMILY DETACHED RESIDENCE ,— Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 'FE1rFAZV F , ^. • _ PROPERTY'O :t Bieoteer/sump 16.60 Name: Buena Vista Custom Homers Expansion tank 16.60 Address: 6 9 3 2 SW Mae dam Avs, _ r1e _ C Fixture/sewer cap 16.60 _ Floor dreiNtloor s init/hub 16,60 C i t y / S t a t e . / Z : Portland , OR 97219 Garbs a dis.. sal 16.60 Phone: 503 --443 -6033 ' Fax: 503.443-2443 Host bib • 16.60 APPLICANT "' ' , fl CoNr "P SQN ' • ' lee maker 16.60 _ ' Name: Ray Mullen lnterceptor /grease trap _ 16.60 Address: Medical gad • value: S Page 2 : Primer _ , 16.60 Ci /$tate /zi Roof drain (cornmecclal) 16.60 i Phone: Fax: Sink/basis/lavatory 16.60 E -mail: Tub /ahowerishower_pan 16.60 -1 .1-.• •• • , CONTRACTOR : ' • • ' • .. Uriru►1 16.60 Business Name; ED Mud, plum}ai,n Water closet 16.60 _�_ L _ _. ____ 6�r} g Water heater 16.60 Address: 24470 SW Rainbow Lane • Other: City /State/Zip: Hi ],bars) . 013 471 21 Other. - PhOne: 0..- 628- 1 _ Fax: e - . . - .' .' ' : Plusn6latL fiiactmJe :l s• • .. CCB tic. #: Plum Li # : . • - _ _ subrotai.1----- ? F A 4 ' . 0 - Minimum Permit Fcc 572.50 S Authorized . (4 Residential Bacldlaw Minimum Fee $36.25 Signature: .� 1 li e- / Plan Review (Z5%al Permit Fee) S Ray ul en State Surcharge (8% of Permit Fee) S --^ (Please print name) TOTAL PERMIT FEE S Notices Ills permit application wires If a perrek is not obtained within ' All new coesmeralat buildings require 2 sets ofpls -ns with isometric or ISO days after ti hat bees accepted u complete. I diagram Ibr plan review. • Fea methodelegy set by 'Tri - County Banding Industry Service Beard. roost \Petcrut Forme‘PlmPermisApv.doc 01/03 AL / \ AAA AA AAAAAAAAAAAAAA AAA - tAAAAAAAAAAAAAAAAAAAAAAAVAAA IF 4 STREET TREE CERTIFICATION A 1 I, .._ ^ ` ® C- -? , 9 ner ?Agent for O t V /..)1�t. Dit A (ALFASE PRIG ' (PERMIT HOLDER) 111-4 1 te, i _`; I �`'' I r Z. Do hereb � ;�f � � .4. q''''-‘41‘ fi . , � t -ling location 0. meets ¢g H dl i . ''' on coun � .be..; .x -=..R= - Rsv °aua.ai- - .a.�,-war�zf: 1 I.e.nri ttc,a nt,1,-i idAV,..1. -, .„,..t .+1 -,-,4 wrin i-_, -. ..sF. a - _ii_a._� lb. ® aaa.n se.. ra %YS. v elopmeni s taa.ndar. d s foz-sti eet t l ee insta tlitlio n l . c ADDRESS: ' cf°3 9' 7 z.„7/_ 041 1 s r LOT: � ® L'I`: SUBDIVIS ®N: ��5� -r /� t -G 1 BY c...x..„72 -At '7 DATE: 1 /. =0/ 4 4 Olt' RECEIVED BY: Ar , �� DATE: /2— z / C� ® -v VV7VVVvy v y®7 - ,: yVy VVVVVVy yy® yy® VVVVVYVVVVVY® yy 751 24 -Hour BUILDING , , 9 Inspection Line: (503) 639 -4175 C. t v - a INSPECTION DIVISION Business Line: (503) 6 -4171 1441 1,t),,,- BUP Received Date Requested �a/� " AM PM BUP Location 9 39 1 - u 4'LQ- SI ' °r_ c9.0 MEC Contact Person (_,k'- el HD ( 1a Ph (S) ) I I 0 — g 41 S PLM Contractor Ph ( ) SWR B ILD Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Framing /Shear l / � - a ' I � —� l �� Framing �� _ V Insulation Drywall Nailing C__e., / t Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot 1,-.. : / 4 PART FAIL PLUMBING _ - , Post & Beam C --, Under Slab Rough-In Water Service Sanitary Sewer Wig 1 Rain Drains . immppr Catch Basin / Manhole Storm Drain Shower Pan Other: Final P RT FAIL M CHA r AL, Post & Beam Rough -In Gas Line Dampers Fin S PART FAIL ELECTRICAL, 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 - 0 Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line - #11" t ADA /j Approach/Sidewalk Date / I nspector _ — .,, Ext Other: Final DO NOT REMOVE this inspection record , the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING v Inspection Line: (503) 639 -4175 MST a4 �7 0d 0 y INSPECTION DIVISION Business Line: (503) 639 -4171 // BUP Received Date Re uested " 'I 4° AM PM BUP Location ' 391 Suite MEC Contact Person -(7 Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain A ccess: 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: nay 447 PART FAIL I... - 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: 0 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 ° 41-6 °2-0 INSPECTION DIVISION " ' Business Line: ( .• 3) 639 -4171 . ` BUP Received Date Requested ,3 --- — I ' AM PM BUP Location G '1,...g4/L! . Suite MEC Contact Person C - .t Ph ( ) 7/0 cF ( /(.' PLM Contractor Ph ) SWR ILDIN Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear hit Sheath/Shear ( cA C.;� - o S/o � / � j Framing � J • Insulation � J am. 'r Drywall Nailing ', �% Firewall Fire Sprinkler t ► ± V Fire Alarm P` /o.I S U C -I�j - � u C 6� 6 ------ d le-e� � ' >J Susp'd Ceiling _ i ��, !� �a / i�T�� Roof Other: A —i e ST /6K 1 4-(_c__ 1 1 zu " C' /'C/1! /� � 5 Cc" /fiq • ,v / c " " - sV A'i e � ASS PART FAIL P LUMBING �A -, 5 C UPS 4./4 -t o- M e-� f. - ) ts1 Post & Beam " , Al ,— £ S—• / e, / Under Slab WatehService ta .. , " , 1 0 Ai < - o✓ 0 Sanitary Sewer Rain Drains 7 41 ,c �7A/7e Catch Basin / Manhole ; ` „p / 6, C £- , ..4 . 4 ../6..F - • Z._..5 Storm Drain Shower Pan 7 it .47. :: * " '°� _ Other: • //'' Final '� _ �t k-- / o fr- �' (i� • ©/� vi"7� (76 C rho PASS PART FAIL c C_- L <i Pe 0 V /1:24.:: A (ziL U /4--I �t-/-r! o n_ ` Post & Beam -- Rough-In Gas Line Smoke Dampers Ana RT AI AL° Service Rough -In UG /Slab Low Voltage Fire Alarm ktrriab ;7. PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ , _- 0 Please call for reinspection RE: / / .. 0 Unable to inspect — no access �,/ Fire Supply Line ADA / Approach /Sidewalk Date /�- / C} Inspector Ext Other: Final DO NOT REMOVE this inspection record ft the Job site. PASS PART FAIL