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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00164 ,_� DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09332 SW HOME ST PARCEL: 25111 DB - KE010 SUBDIVISION: KESSLER ESTATES ZONING: R - 4.5 BLOCK: LOT: 010 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: I THRD: sf RIGHT: 5 VALUE: 302 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: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,683.23 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES Tigard other Code, State of All work k wil b o ne i n 6932 SW MACADAM AVE STE 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 Ins Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water ervice Insp Building Final //' j Issued By : Permittee Signature : ( L Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne bu iness y11ay f • Building Permit A P g. n ® FOR OFFICE: USE ONLY Received Building // JUN Date/By: � ) Permit No.: �J d t JUN � 2��4 Date/B 0 � �� 17� �� � O &./ City of Tigard Planning Ap rov:l Omer / /a) - Date/By: Permit No.: a a Cf 13125 SW Hall Blvd. CITY OF TIGA Plan Review Other Tigard, Oregon 97223 ��1jILDINGDIV .ION ■ Date/By: P'I( I 6 30 - v`/ PermitNo.: Phone: 503 -639 -4171 Fax: 503-98-1960 t/ Post - Review � Land Use 1 � Date/By: 1W /A /∎01 ab Case No. Internet: www.ci.tiga[d.0[.us ' - --� Contact Juc' ..' J See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Metho f 1 (5, i /lu' Supplemental Information TYPE OF WORK - ..: •.- El New construction ❑ Demolition . : 1 & Z FAMILY •DWELLING . : :. ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Pen 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 INFORMATION anid , No. of bedrooms: 7 No. of aths: 2e Job site address: 933a l Sr Total number of floors , •� New dwelling area (sq. ft.).. Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) 4 P.? CI . Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) - REQUIRED DATA: • . Subdivision: 1 '� ' Lot #: CO ... .. . AIF; =USE 'CHECKLIST 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 G 3 PROPERTY OWNER . { ❑ TENANT. ....... .; . .. Type of construction Name: Buena Vista Custom Homes Occupancygroup(s): Existing: _ . Address: 6 9 3 2 SW Macadam Ave. Ste C New: City /State /Zip: Portland, OR 9 T2 1 9 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 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: El iabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: . E -mail: BUILDING PERMITFEES* = -• • - - • . ;... . ••..- Pl ease e fer to_feesehedule: CONTRACTOR .. •. Business Name: Buena Vlsta 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. #: 152235 Authorized / � / Signature: ��G �Lf' 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 Forms \BldgPermitApp.doc 01/03 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY i BUENNA VISTA 1ij002 /003 , Plumbing Permit Application • FOR C►FF1C1. I'tit ONLY Received RECEIVED Data: ,.. -- Planning Approval Sewer City of Tigard Date/Bv. Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 'JUN 1 2 04 DateBv: permit No.: Phone: 503- 639 -4111 Fax: So3 -598 -1960 PoaP saview land Use Internet www.ci.tigard.or.us CITY OF T' Ail Date/13 : Cie No.: .G Contact Juris: See Page 2 for 24 - hour Inspection Request: 503. 4M. NG i i Name /Method: Su • • i maanl tnformatioa. .. _ , • - TYPE ow_Vitavac. , . •; , ., - - • IT -TPIC XD. JL.E- foe' . .. • infol'ma trolrA'ses , . •• '.7.471 IPA New construction De�m�o�lition Desert . than Qty. Pee(es.) Total ■ Addition/alteration/replacement E Other • MR r ` :11 ^ •y1:• ."' " ''~ CAT Gsl1Ii'YO c�' . `•..; i( du l ieis irlrh>`b: .e: onnectron ' :t" k• 'y:;' FA 1 & 2-Family dwelling ■ Commercial/Industrial SF (1) bath 249.00 • � SFR (2) bath 330.00 , • Accesso Buildin_ ■ Multi SFR (3) bath 399.00 Kr Master Builder N Other: Each additional bath/kitchen 45.00 • OB SrirE INFOR ATIQI� and 'OC*TION ' • Fire sprinkler - sq. ft.: Page 2 _ .. Site. Utilities ', ,; + :.,; .� :. :44 +..: 1 • • :, Job site addre9s: _ ..- GO ....0., ....0., •. ••, ;"' .. _. _ . , Spite #: B /Apt. #: Catch basin/arca. drain 16.60 Project Name: - , Drywall/1=h line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross st eeVDirections to job site: Manufactured home utilities 110.00 • Manholes 16.60 • Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: Lot #: /0 Sterna sewer (no. linear ft.) Pee 2 Water service (no, linear ft.) Page 2 Tax map /parcel #: Bb ceure or It '� • DESCRIPTION OF WORK Absorption valve 16,60. NgN, ,CON'STRUCTION - SINGLE FAMILY Backflow pre /enter Page 2 FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PRQp, rOWNER ', :,-' : , TENA�N'F _.. _ Drinking fountain 16.60 Eiectors/rfump Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6 932 SW t(acAdam Ave: Ztp C • Fixture/sewer cap 16.60 , _ _ City /State/Zip: Port land, OR 972 • FloordraiNflocr /hub 16.60 Garbage disposal 16.60 Phone: 503-443-6033 Fax:5030443 - 2443 Hose bib 16.60 SI APPLICANT • • , • . CONTTACT2ERSCN ' Ice maker 16.60 Name: Ray Mullen Interceptor /grease trap 16.60 Address: Medical :as • value: S Pa • e 2 - Ci /State/Zi • : R 16.60 Root drain (camrttcrolalL 16.60 Phone: F aX: Sink/basinhlavatory 16.60 E -mail: Tub /shower /shower pan 16.60 . CONTRACTOR : ' ' • • . 'f . Urinal 16.60 + BusinessName: ED Mullen P1umbinQ _ 'wat�rclosec 16.60 _ Water heater 16.60 Adthess: 24470 SW Rainbow Lane Other: [ 1- City /State /Zip: Hi l Rbar .. , q' 071 7, Other. Phone: 503 - 628 -1632 Fax:501 -6713 -46'33 Subtotal S CCB Lic. #: t a 6 8 9 Plumb. Lic. #: 3 4 -L6 O Pp ' • Minimum Permit Fcc S72.50 S Authorized i / 4 Residential Backflow Minimum Fee $36.25 Signature: A . II, c: 3' Plan Rev ...Permit Pcrmu Fee) S Ray ul en State Surcharge (8% of Permit Fee) S ��_ ( Please print name) _ TOTAL PERMIT FEE S Notice, Tbis permit applladen expires If a permit is not obtained within All mewcominerelet bulldlap require 2 sets of plans with isometric or 180 days after ti has been aeeepted as complete. riser diagram for plan review. 'Fee methodology set by Tri- County Building Industry Service Board. i :WSti\Permil p Olro3 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 Mech m FOR C.IFIF ICI.: Received 111EREM -Ce 1 City of Tigard Planning Approval iiiinill1111111111 131.23 SW Hall Blvd. ' " Dot ; : ii ECEN ' - ' Pian Review HEMIIII.111111 Tigard, Otegon 97223 • 'L Datell . Phone: 503-639-4171 Fax.: 503-598-1960 . ‘,1 . Post-Review land Use I Case No,: nternet: www.ci.tigard.or.ug WM 1 ? Datr/S : -n ,,A,, it Contart AMs.: IARREEIIII . 24-hour Inspection Request; 5039-4175 --'" ---^ -: Name/Method: CITY OF TIGARD . NI MIL . .." • .. ' • , : : : ..... Tyr E 0 c're , F.,:r.:....,.. .e.,.., .,.. SCEEEPIZIZe01111t.CSZCICELSV- ;--;:‘,.. 111! New construction • Demolition Mechanical permit fees* arc based on the total value of the work 1ff Addition/alteration/re2lacernent • Other: performed. Indicate the value (rounded to the nearest dollar) of 1111 •0 . ' ' - .CATEGOR : ':OP.CONSTRUCTION,,.... mechanical materials, equipment, labor, overhead and profit. L I & 2-Faxnil dwellin:. • Commercial/Industrial value: S. See Page 2 for Fee Schedule urn Accessory BuilditiL I Multi-Famil ,.:: aEsumariatKozemENINTSIEM5PgRisommula ,' Des er*. don l' Fe ea. Total 11_ MaSter Builder Other: Heatsg(Coonag • „JO : SITE 12 snit ' s VON .' ' .: ' . • furnace • add-on air conditioning" 14.00 i Job site address: 40M111111PIEVIMMErallill Gas heat . - 14.00 033.1111111111111111111 a -d,./A.t.#: Duct work NMI 14 Min project Name: Hydronic hot water system 14.00 — Residential boiler - Cross street/Directions to job site: fbr radiator or h . roe mitten-1 14.00 Unit heaters (fuel, not electric) in wall, in-duc su . oded. etc.) ill 1 11111 Flue/vent for an of above 10.00 Subdivision: I Lot #.g) iMinill.11111.1.111111M 12.15 _ IINgill Tax map/parcel #: En t 0.00 . . • ' • . ' DESCREPUON OF WO,AK ,.. ' • . • " • . EMEM111111111111101.1111.1 10.00 NEW CONSTRLTOTON—SINGL FAMILY Fl vent (water herer/stas fireplace) 10.00 all _ DETACHED R _ 'ESIDENCE Log lighter (I) . 10.00 Wood/Pellet stove IIII 10.00 11.111 Wood . - •Iar.e/insert Chit= - fliner/fiue/mt /1.11 10 MIMI ....01POPERITOWNInt.':.''.': - it RI TENANT:: ::...:•::,! Others 10.00 . Environmental exhaust & VeardlolSou Nat" B _ = ., Lt . V i s - .. • n - • IA - Range hoOd/other kitchen equipment 1 10.0o Address: 6932 SW Macao— Al 'v -: S C Clothes dryer exhaust 10.00 Ci /State/Zip: Portland OR 9721 9 Single duct exhaust _ . Phone- il _ . . _ . a I Fax: 1 _ . . _ , . (bathrooms, toilet compartments, . APPLICANT ... • . an cormscT PERSON • , .. mill morns . 6.80 Nom David Goloba Attieicrawl space fans J 10.00 Other; 1_ 1 10.00 AddresS: Ftte1,10111g . City/State/Zip: ** Au for first 4, 51-00 IMO adtutiol Furnace etc. Phone: Fax: Gas heat uj.u. Mi 0 l " MM. E-mail: WaWsuspeoded/unit heater 1._•,. — '...'" : : '...... • CONTRACTOR .. i :. . ;'., : : ' 7 . •. -... Water heater •• Business Name: ..,. G .w , . Fireplace •• •• AddreSS:2 4 28 SE 105th Ave. Fail: Er gaimm •,. Ci /State/Zi.:Portland, OR 97216 Clothes . er 111111111111•11 .. Phone:503-253-7789 Fax:503-25 -'1 &73 Ostler. CCB Lie. #it: 48131 M111111111.11M121 MININII ' Methanleal Permit Fees" Authorized . Subtotal: S . Date*23;01.1 Mittirrtum Permit Fee S72.50 IM111.1.01.11I David Golob y MIIMECIMIMIEra2CE1=1U5/1113111.111.11111111.1 (Please print name) MINCEMMEMF163==51WMNIIIIIIIMMI TOTAL PE - IT FEE 11111./11111.11111111 Notice: This permit application expires If a permit is not obtained within °tee methodology set by Trl Building Industry Service Board. 180 days after it has been accepted st complete. • 'She plan required for exterior A/C units. iaaitS\PCrrilit FalltUNMe4Pecn-LitApp.cloc 01/03 0:04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 Electrical Permit ' - . o'hj FOR 01'1' \CF: USE ()NIA t, Received Electrical 1 2� ®'T OatcB : Permit No.: I /L' �l i City of Tigard J3�� 1 Planning Approval Sign Date/9y: Permit No.: 13125 SW Hall Blvd. C1 OF D V c' A Date/By: Review Permit No.: -- Tigard, Oregon 97223 - 1`f t N Des Phone: 503- 639 -4171 Fax; 50300 Post - Review Land Use Internet: www.ei.tigard'.or.t2s ° Case No.: .- Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: I Supplemental Information. : :TYPE :OF WOI (•' ... .• ;. . .. .: h>asi CBecTtitll' #' _ ,,. New construction Demolition Service over n5 amps. Health -care facility ❑ Addition /alteration /replacement Other: commercial ❑ Hazardous location ❑ Service over 320 amps - rating of ❑ Building over 10.000 square feet, CATEGORYOF'CONS RrTCTJ 1 Rc 2 family dwellings four or more residential units in & 2 -Famil dwellin Commerclal/Industtial ❑ System over 600 volts nominal one structure Accessory $uildin� ❑ Multi- Family ❑ Building over three stories ❑ Feeders, 400 amps or more El Master Builder ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Other: © Egress/lighting plan ❑ Other: ' '.: ? : JOR_SITE INFORMATION ` .d. rI OC ON Submit sets of plans with any of the above. Job site address: 1 � Vii, L T -s The above are not applicable to tempor�a construction service. Suite #: _ Bldg./Apt.#: r� Number of inspections per permit allowed - - Project Name: Description Qty Fee fee.) Toter j Cross street/Directions to job site: New residential-single or maid-family per dwelling unit includes attached garage. Service iaeleded: 1000 sq. f. or less 145.15 4 ` Eac h additional 500 sq. (k or portion thereof 33,40 1 Subdivision: x. /Yj I tv i_re � of #: i� Limited eidcr't;al 75 00 2 f Limited Cnerly, non residential 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling DE f' ON.'OFWQ1 ( >. • ::: t service and/or feeder 90.90 2 Services or feeders - Installation, _lie- 1 'V . CO') S t.. . w Sin ' t - • /i 1 /� alteration or retacat on: +c at € (. ..4.,• i d et/ C-42-7— 200 amps or less 80.30 2 201 amps to 400 amps 106.85 401 amps to 600 amps 160.60 2 1F:A • .$FlR1F,RTY OWNER 11! .'FEItiP ' . ' 601 am.. to 1000: . 240,60 2 Name: l e Q U S (J1 a ar Over 1000 amps or volts 454.65 2 / ` 3 Reconnect only 66.85 2 Address: ,-)9... 5U , 1 ja(Jjc ..., 7 ' (.2, L Temporary services or feeders - installation. Ci /State /Zia : ,r,�u) L alteration or relocation: on: � 0 i 0 (2- 9 -7 ' - / 200 amps or less 66.85 1 O - - Phon 1 /43 - (4:553 3 F x1 1474 fe f 3 201 ames ro don amps Ioo.30' 2 C • • NT CT; P1� N < ' a0iro 600®n�a 133,75 2 /} . JJ Branch circuits • new, alteration. or Name: S Te i - /w55. extension per panel: Address: A. Fee for branch circuits wills purchase of City /State /Zip: service or feeder fee, each branch circuit 6 -65 2 H. Fee for branch circuits without purchase of Phone: Fax: -- service or feeder fee, first branch circuit 46 -85 2 Each additional branch circuit 6.65 2 E -mail: Misc.(Scrvice or feeder not included), :.(O711ZaR' .. 53.40 2 - . or irritation circle • Job No: Each sin or outline lightii 5140 2 Signal circuit(s) or a limited energy panel, Business Name: 0 5 CU- ...fit, alteration, or extension parts2 2 Q 3 /0 5 0 a m $e r " 3 Description: Address: , - Cit /State /Zip: I+1 o/2 4171a3 Each additional inspection over the allowable In any of the above: Per inspection per hour (min. 1 has) 62.50 Phone:523 C iitZ, 2300 Pax: 6b_3 fQ Z_ i investigation fee: _ CCB Lic. #: t79/ Lie. #: 34.G Other: • Supervising elecd ston �` raw E t�I Pelrml Subtotal :�r., f';. X sisnature require ,�„x '7^- - 1 C.ri'v Subtotal 3 Plan Review (25% of Permit Feel_ $ Print Name: i ROSS Lic. #: tl/2 i State Surcharge (8% of Permit Fee) S Authorized TOTAL PERMTI' FEE S Authorized Date: Notiee: This permit appllcaeion expires If a permit is not abteined 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 \Pamir Foni '.E1cPcrmitApp.doc 01/03 ,/4 To2o - o - 0 I Co i STREET TREE CERTIFICATION p• .. 1 OD- P I, e / ct 4 , MlTh , Owner /Agent for 1 _ a ....,_ s l. , (PLEASE PRINT) (PERMIT HOLDER) Al ( µ . R ' ,,' . ` : &. Do hereby e rtix y e f all ow in g l ocat "Or meets qty of :Tigard/ 7:ash Couo ,, y l and use and development standards for S treet t° ±ri l ': 5 ADDRESS: '9 3, L U 1 /p 0 ,4, 57 LOT: /1 SUBDIVISION: c S s l -e BY: ; DATE: '' /iC� ��� ! f� V RECEIVED BY: HATE: -- t 0 / c A V VVVVVVVVVVVVVVVVVVVVVVVVVVVVVYVVVVVVVVVVVTVVVVVVVVVTVVVVVV1 CITY OF TIGARD 24 -Hour BUILDING Inspectio ;503) 639 -4175 MST 51-'-e,°/6 7" INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date equ sted `o AM PM BUP Location �0' cD /. Azz., Suite MEC Contact Person • C Ph ( ) 6 9 — e () PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 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 P SS PART FAIL LECTRI6AL Service Rough -In UG /Slab . Vo -.- A Ws pre-Narm Fin ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ AS8 PART FAIL SITE - Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date / ;' Inspecto — • •� Ext Other: Final DO NOT REMOVE this inspection record fr m the )o ' site. PASS PART FAIL • CITY OF TIGARD • 24 -Hour BUILDING `' Inspection Line: (503) 639 -4175 MST ' 4 1'6 6 1 Co INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received q Date Requested to — 7 AM PM BUP Location / 3 3 Suite MEC Contact Person Ph ( ) 7/ — /5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: , 6C.D / �L � � ELR Crawl Drain t' /NM'LS 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: /7(6 Final fi t(/ �J PASS PART FAIL / PLUMBING 75 Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: � a PA 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 Approach/Sidewalk Date . Inspector Oct Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 6 4175 Is MST 0107)q INSPECTION DIVISION Business Line: 503 9 - 4171 Line: ( 503) BUP Received G' Date Requested / -" A PM BUP Location / 3 .3 Suite MEC Contact Person Ph ( ) 7/0 1/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ti Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing • 41010 .01fr . v ) Insulation /i 1 p Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL CASE PLUMBING Post & Beam Under Slab Rough -In _ &11111, Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain w Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers in • PART FAIL CTRICAL 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 E Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA �� . g , 05/ Approach/Sidewalk Dat Inspector - . ` - ∎_ Ext Other: Final DO NOT REMOVE this inspection reco ' from the job site. PASS PART FAIL