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Permit . , ‘. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00162 i DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09337 SW HOME ST PARCEL: 2S111 DB -KE008 SUBDIVISION: KESSLER ESTATES ZONING: R -4.5 BLOCK: LOT: 008 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: BVH3684 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,652 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,032 sf GARAGE: 782 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 361, 595.40 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,684 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: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 6 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: 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: 0 CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,038.46 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES, BUENA VISTA HOMES 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard Municipal Code, State of All work kwil b o ne i n PORTLAND, OR 97219 PORTLAND, OR 97219 and rd ra cer applicable ed laws. Al. This permit done in accordance with approved plans. This permi t 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 #: L1C 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 Insj Rain drain lnsp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp 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 /S Insp Issued By : P ermittee Signature : I , A i Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne . busine - s day • Building Permit lirati0.� FOR OFF'IC'E. USE ONLY i Received , Building /� Date/BY: ' l 6 j Permit No.: / /� '� /0 City of Tigard PaanB Approval Other n „ '6() 13125 SW Hall Blvd. 2 04 Date/By: Permit /2- Plan Review Other Tigard, Oregon 97223 Date/By:fAv &)5 - 4 PermitNo.: ITY OF TIGAR t . l , Phone: 503- 639 -4171 Fax: 5 igg11� NviS " tyy�'II� Post-Review Land Use ■ Case N . Internet: www.ci.tigard.or.us Contact Contact s. See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: .i ', Supplemental Information TYPE OF WORK . • ' 7 " • . REQUIRED DATA; .- ? ,. `::- © New construction emolition • ❑ Demolition 1 & 2 FAMILY DWELLING . ❑ Addition/alteration/replacement El Other: CATEGORY OF CONSTRUCTION . • Note: Permit fees' are based on the total value of the work performed. Indicate © 1 & 2- Family dwelling El 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 El Master Builder El Other: Valuation S . JOB SITE INFORMATION and CATION . No. of bedrooms :0f No. baths: Job site address: 933 7 sue Total number of oors .... New dwelling area (sq. ft.)......, Suite #: , Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) '. : ,., ..:REQUIRED DATA: ;": Subdivis _ reif. S= T S COMME RCIAL -USE CHECKLIST - 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 S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER .. • I .0 TENANT - • Type of construction Name: Buena Vista Custom Homes Occupancygroup(s): Existing: Address: 6932 SW Macadam Ave. Ste C New: City /State /Zip: Portland, OR 97219 Phone: 503 Fax: 5 0 3 — 4 4 3 — 2 4 4 3 NOTICE: All contractors and subcontractors are required to be 0 APPLICANT _ .( - CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: 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.FEFS* = . - • :: . :: P erto feidled I • ' tease re r.to ee s u e. � :: CONTRACTOR - - . ..� , - :,. � . • 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 Fax:503- 443 -2443 Date received: CCB Lic. #: 1 52235 Authorized /n� Signature: 1../. y - aP 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 Board. (Please print name) i:\Dsts\Permit Fomu \BldgPermitApp.doc 01/03 • 03/04/2004 16:21 FAX 50362846 ® 3 � 3 THE MULLEN COMPANY -' BUENNA VISTA Z 002/003 y' CE V ED Fop, (I t l tit ONLY Permit Application R,eeeirea . Plumbing JUI' 1 2110 ome a : Permit No.: ao o - C f - City of Tigard Planning Approval Sewer Tigard Permit No.: 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other Tigard, Oregon 97223 BUILDING DIVISION DateBv: Permit No.: Phone: 503- 639.4171 Fax: 503 -598 -1960 Post_Review Land Use P I Contact Case No.: Internet: www.ci.tigard.or.us all; Ail ` Cnntaet Jura.; _'i See Page 2 for 24 -hour Inspection Request: 503.639.4175 " ` Name /Method: Su . • lomearal Information. - •' - TYPE 7B.VitO1 '' ''' r ••111,'•SCEI D.EJLE• for'''' . - 'info sitreuroSC3'Y`var. ` New construction Demolition Descri • don Qty. Peo(ea.) Total Addition/alteration/replacement E other- ,,,, ', Y p, ,e ...t.Q(tp(p1�;[r¢,T� °r_ a• :; ,,' :.424-4 5 .;17 CAZEt`sQR '�F• - . ' •..r,' _ode1;�' far tt1'h :it . .coanectioo ._; �.; •,• , ,.. ' " ; SFR I bath 249.20 • CZ1 & 2- Family dwellin ❑ g CommerciaWIndustr'ial SFR (2) bath 350.00 NM Accessory Building Multi - Family _ SFR 3 bath 399.00 - 0 Master Builder Other: Each additional bath/kitchen 45.00 � . +30B SfIE INP e • - TIDE in .•141 • ''PION ' Fire • • • ler - - . ft,: Pa _e 2 - trr • ties ', „: +.:•, . ;'; a,fl'r''.1 ' Job site address: i����� �!..r�� • • •� • �• `,:� • • . Site-Utilities , .. _ , _ Suite #: Bid 1 ,/A. t, #: Catch basin/arca drain - 16.60 Project Name: a ell/leaeh linelttench drain 16,60 Footing drain (no. linear ft.) Kinn Cross street/Directions to Job site: Manufactured home utilities 110.00 • Manholes 16.60' Rain drain connector ■ 16.60 suit, sewer 71o. linear ft. Pare 2 Subdivision: Lot Storm sewer (no. linear ft.) Pie 2 Tax map /parcel #: Water service (no, linear ft) Page 2 t . m • Fixture or Item : '.4' ' . . DESCRIPTION OF WORK A valve valve 16.60 Ng - SINGLE FAMILY Ba�lowprevcnter _ _ Page FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 16.60 Drinking K t PROPER 'Q ' . . • , : 4 • , - ' T E N A N T ° _ . , : : : . . . : • • • • . . • . ! • ‘ : • E'eetors/a fain 16.60 Name: Buena Vista Custom Flames Expansion tank 16.60 Address: 6932 SW ngeadam Ave._ stP c Ftxture+'eewer 16.60 =I City /State/Zip: Portland ► OR 9721 J Floor draiNtloor sink /hub 16,60 Garbage disposal 16.60. Phone: 503 --443 -6033 Fax:5030443 -2443 Hose bib • 16.60 APPLICANT . . �..nCONTr ' sQN • • ' lee maker 16.60 ' Name: Ray Mu11_en interceptor /grease trap 16.60 Address: Medical : ea • value: S Pa • e 2 Primer ME 16.60 MEE Gt /5tate Roof (commercial) 16.60 Phone: Fax: Sink/basin/lavatory _ 16.60 E -mail: Tub /shower /shower •an 16.60 E O ? F . X R f.•C'L:OR : . • • Urinal 16.60 Business Name: ED 1•11111011 PlUnibin :_, Water heater 16.60 g - Water heater 16.60 Address: 24470 SW Rainbow Lane Other: City /State /Zip: Fa bar. ...SR? 9 7_1 Other. Phone: . 0 -628-1 . _ Fax: a - . :- , • Subtotal CCB Lic. #: s 2 6 E 9 Plumb. Lic. #: 3 4 - 6 0 . P ' Minimum Permit Fcc S72•50 S Authorized % Residential Backflow Minimum Fee336.25 Signature: i .....11 . A1.. ' C: - -� / Plan Review (2556 of Permit Fee) S Ray ul en State Stuck • a 8% of Permit Fee S (Please print name) TOTAL PERMIT FEE S Notices Tbls portals application expires Ir a permit is not obtained within • All nowcomnlerelal butldings require 2 sets of plots with isometric or 180 drys after ii has been accepted es complete. riser diagram (br plea review. 'Fee methodolery set by Tn-County Boltding industry Service Board. iADsts\Permit FortrOlnlerM14.410.4oc 01/03 • „ 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 R Mechanical Permit A licatIon FO Received rat F tc k: .•r r> a1. eehana �f �� 0aW)3 : • Permit No : I ?1 a” l i • Planning Approval Building City of Trg�lyd . � Fan Dtt : : Permit No.: 13125 SW Hall Blvd. P Review • Tigard, Oregon 97223 ` 'e faces • •" ' Phone: 503..6394171 Fax: 5+3- 598.1960 Post- Review Land Use lxlflelltct: wu/w.ci.tioard.or.u& U \� n, ; Ji : . Cottle Cane N! y- 1 i Contact Case El See Page 2 for 24 -hour Inspection Request; 503 -63 -4.175 `- .. ` --" Name/Method: Supplemental Inlbrenadon. G\ -° OF ON \S \ON _t. •.. T yrE oryi+ ; ... .;2.,:::.:...:-: , .?.:t.co> Ck+tr FEE.. sc> urz a c>'3lec> :,. , .. 11 New construction I Demolition Mechanical permit fees* are based on the total value of the work 1$ Addition /alteratiotl/replacement • Other: performed. Indicate the value (rounded to the nearest dollar) of all ' ..CATEGOR : .tW cONSTRUCTI 4 ;:: mechanical materials, equipment, labor, overhead and profit. a 1 & 2 -F =1 ►1 . •• t rd • Comlmercial/1nd11striai value. S See Page 2 for Fee Schedule 1111, Accesso Building IIIIMEPSMJMIIIIIIIII ; RESIDENT'.: .. e1 r • I A 5R1123 DI31.Z Des&•tion • Fe ea- Total • Master Builder ■ Other: , .,JO : SITE EVFORMATION and LOCATION • - : • , ■ " Job site address: i -j jkf-Pi~j MIII Gals heat • - 1111111 14.00 — Bld :. /A.• t.##: Duct work MI 14.00 Pro' ect Name: boiler Residential Cross street/Directions to job site: for radiator or 14.00 Unit heaters (fuel, not electric) (in wall, induct, suspended etc.) l 4.00 alli FIue/vent for an of above 10.00 Subdivision: Lo t #: R .air units o Fuel A.. tinned 12.15 Tax - - /.arcel #. Water heater iiii0.00 IIIIII . . • • • • - DES « s' LON • F WORK Gas fi • lace a a' NEW CONSTRU TION -SI GI.' F• I ' "' DETACHED RESIDENCE •M — . Wood/Pellet stove [0.00 — Wood 5reylace/ittsert MI 10.00 MEM Chirrn: fliner /lluelvent ■ 10.00 MIMI WS `>t'I PEit'3'SGOW/1"EIt. tt;PiT 1w c:w °r.. 1. .. Other, illill 10.00 Name: B_ _ Vis . •• n - •u hood /other ... Address: 6..932 SW Macada , • v- s - C Clothes dryer exhaust 10.00 Ci /State /Zi•: Portland OR 97219 Single duct exhaust Phone . _ - . e Fax: 1 - , • - , , (bathrporos, toilet compattmenrs, Name: David Golobay 0the _ l 10.00 Address: t?uelolth* Ci /State/Zi.: •4 AO for first 4. $1.00 tacit additional Phone: Fax: M - Gas heat 2 .4 12 . " E-mail: wall/sue • ended/unit heater - , • . CO • CTOR Water heater Business Name: Sub Glow inc Fir lace " Address :2428 SE 105th Ave. B Ci /State/Zi.:Portland, OR 97216 iREZINCEMIIIII=111 — Phone :503 -253 -7789 Fax :503 - 25 - "3 . CCB Lie. #: 451 3 1 - Signature: Date:__ Minirnum Permit Fee $72.50 MEI. David Golob Plan Review Fee 5% of Permit Fee) S (Please print name) iiiii . Notice: Tats permit application expires tr a permit is not obtained within 'Fee ,methodology set by Trl- County Building Industry Service Board. 180 dears after it Ism been accepted as axnplete. ***Site plan required for exterior A/C units. ir\Dsts\Permit Farms1Met:PermitApP•doc 01/03 - ,0.2/04/2004 15:11 .5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Permit, pl c anon OR 01 i1('p: l St: O \I.1 fi ` Received Electrical 0 OateB : PcrmitNo. :, f -x/e0 ,..9.-- City of Tigard I- Planning Approval sign 13125 SW Hall Blvd. 0 D Plan Review Oth No.: Other Tigard, Oregon 97223 O ; \ \1 S /i Da e/ By ew Permit No.: Phone: 503- 6394171 Fax: 503.V,§0.-1A„,0 Post•Review Land Use ,' ; Case No.: Internet: www.ci.tigard.or.us v1�-� C ntac t 8 � Contact Juri See page 2 for 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: Supplemental Information. •...' :'TYPE;OF WORK . ..... • • • •':.'• •:..;.. •.::..;'• :• : PJ , , W:(lt'ase tSe&Ycitlr:tIat?si Pub'} :'a . New construction Demolition ❑ Service over 225 amps. ❑ Health -care facility El Additionlalteration / r lacernent Other: . commercial ID Hazardous location ❑ Service over 320 amps- rating of ❑ Building over 10.000 square feet. . • `CATEGYOF'CONSIXEiCtION. 1 & 2 family dwellings four or more residential units in & 2 -Famil dwellin Commercial/Industrial ❑ System over 600 volts nominal one structure Accessory Building Multi- Family ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Occupant load over 99 persons ❑ Manufactured souctures or RV park Master Builder • ❑ Other: ❑ Egress/lighting plan ❑ Other .. '. JORS1T . INFO[tMATIO iinr 'OCA"CION • Submit sets of plans with any at the above. Job site address: ,Mn ! l- The above are not applicable to temporary construction service. Suite #: Bldg. /Apt. #: .''. FEW.:SCHEDDIF • .,.. :' ::: v `: :� ,�. . ' • Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total i Cross street/Directions to job Sitc: New resldentW!- single or maid-family per dwelling sat. includes attached garage. Servkeloeleded: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. B. or portion thereof 33,40 i Subdivision: Lot #' Canned ene residential 75.00 2 Limited ener}ty, non residential 75.00 2 Tax map /parcel _ #: Each manufactured home or modular dwelling service and/or feeder 90.90 2 ,� eA-Q Goa S ME • - 6 04/ C Services or feeders - Installation, �4i l aheratton or relocation: p.e- - CIA € c T....a.'51 d et) — 200 amps or leas 80.30 z 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 l;tt�PERTY OWAIER :, ._ BM TEN- ' � `.. ... `601 limn to 1000 amps 240.60 2 Name: al en a Vi S I w G S Over )000 amps or volts 454.65 2 Reconnect only 66.85 2 Address: (pq ,p... 51V U/l( " lf J4,ja 0 Aye, L L Temporary services - installation. City/State/Z- : Per - alteration, or relocation: � f 200 amps or less 66.85 t W Phon .. 1 143- (4o Fai ? ` 474 ye/ 3 201 amps to 400 amps 100.90 2 C 401 to 600 anTs 1 133,75 a • //�� ON. • Branch circuits - new, alteration, or Name: � ` . v E. If-055 extension per panel: Address: A. Fos for branch circuits with purchase of service or feeder fee. each branch circuit 6.65 2 City /State /Zip: a. Fee for branch circuits without purchase of - Phone: —' service or feeder fee, first branch circuit 46.85 2 Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included); Each .. . or isri•atien circle .:.:,.1:.'..',:'' •'� . _ . ' COPF1rXXA�'I' � - 53.40 2 Each s n or outline lighting 53.40 2 Job No: Signal circuits) or a limited energy panel, —' Business Name: 1 053 �� E�C . -#11 Duration, or extension Pap 2 • Q ! o s Lt3 Description: Address• $ ��,� ;� �e � City /State /Zip: iH'i It S b0 1 oft 4 171 a,3 Each additional inspection over the allowable In Jinx of the above: Per inspection per hour (min. 1 hour) 62.50 Phone:5 3 Coon Z3pO Fax :503 ( Z 1S' investigation fee! CCB Lie. #: IS-75g/ Lie. #: 3 34-6 Other: _ Supervising elcctricci Lfet lral Pelct 0..::,;,,•:;:;`..'. : ,',: X stgtbature required' Subtotal S Plan Revi 25 °h of Permit Fee 5 y' Print Name: Si ROSS Lic. #: x/23 State Surcharge (8% of Pent»t Fee) S , Authorized TOTAL PERMTC FEE S Notice: This permit application expires If a permit is not obtained within Signature; Date: 180 days after it has been accepted is complete. "Fee methodology set by Tri- County Building industry Service Board. (Please print name) - i:\Dsts \ Perm it Fos ns \ElcPcrmitApp.doc 01/03 i 2Uia if- de go 2_ STREET TREE CERTIFICATION .. .. . � f I, ek.V 1 24. //0 ,, , : Owner /Agent for f ,, e, ,�� -- f4 ( pm 7/Ctinr) (PLEASE PRINT) (PERMIT HOLDER) \, WSW ,; Do hereby�certi that th`e ,,t,:' ollowi location *ire ' ' - . ,t: d'b-A. _- p. ;`,,; meets ,City Qf Tigard %Washiri ' land use and development standards for street tree installation. 0. • ADDRESS: 9., 7 1/04te S / • LOT: 4/ SUBDIVISION: — • `71- ///r/r 0:- 0. 1 ..0 r BY ,%' _ DATE: • RECEIVED BY: DATE: //'- /' - C -2-- 2 / Al 0> L. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 6394175 MST 0 (C INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — 5 AM PM BUP Location T3 37 Suite MEC Contact Person Ph ( ) 6 1/.. — 6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation . ELC Ftg Drain ACC @SS: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1 Framing \ - � 1 i .9[l Now Insulation () /mil p 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: 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 -r F 4!'">. Reinspection fee of $ required before ne . inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL E E Please call for reinspection RE: r A 4 au Unable to inspect — no access Fire Supply Line arr ADA l Approach /Sidewalk D a t e 6' 1 0 Inspector .r t Other: Final DO NOT REMOVE this inspection record - the job site. PASS PART FAIL CITY OF TIGARD ,; 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST De 0 O ( INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested /d —/ Z AM PM BUP Location 73 - 3 7 Suite MEC Contact Person Ph ( ) 7/d ` 8 y /6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath /Shear - Int Sheath/Shear Framing Insulation � Drywall Nailing Firewall Are Sprinkler Fire Alarm /W i Susp'd Ceiling ;— Roof Other: Final PASS PART FAIL Ji PLUMBING;�`� - GW Post & Beam Under Slab Rough -In Water Service - Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PAS PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA f� Approach/Sidewalk Date 1 72/ l Zi Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour 4a BUILDING Inspection Line: (503 639 -4175 MST 61 ( 0 2— INSPECTION DIVISION Business Line: (50 639 -4171 BUP Received Date Requested 1 ' PM BUP Location T337 Suite MEC Contact Person 04 Ph ( ) 7/0 — ((L 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 //, //, ' c/ (/'6 e Framing gr0r l it (�d / Insulation Drywall Nailing C Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: IWO • i A PART FAIL PLUMBING ;;� °; � "�� � Fit.#4 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 S u oke Dampers 41101) • SS 'ART 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 r� /� © Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL