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Permit
R CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00160 .ii _ 4 **Wilij DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09303 SW HOME ST PARCEL: 2S111 DB -KE005 SUBDIVISION: KESSLER ESTATES ZONING: R - 4.5 BLOCK: LOT: 005 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: 10 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 TWO: 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: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 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: 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. ampNolt : 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 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard Municipal Code, State of Al work k wil Specialty o ne i n PORTLAND, OR 97219 PORTLAND, OR 97219 and all ra cer applicable laws. s . 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 #: 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 Insl Gyp Board lnsp Appr /Sdwlk lnsp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Storm drain lnsp Mechanical Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Line lnsp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp Water - -rv'ce In -p Building Final • !X / Issued By : P ermittee Signature : f 1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex t usi es . ay Building Perm. Zion FOR OFFICE: USE: O\LY Received , /AK' Building Date/B : �/ d Permit No. 0// —(�66 J UN Planning A• roval Other 5 City of Tigard 1 2 004 Pl i g p ► Date/B Permit No.: i ' ,•!•19, '�/ 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/B : • U , - 3o - 0 Permit No.: Phone: 503 -639 -4171 F IIN1Su 3 41 0 -- i rr , ' I ' ` Post - Revie Land Use � Internet: www.ci.tigard.or.us 1. - Date/B ` G� MI ' • C . / e „ e See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method•,, ' • i `� Su . . lemental Information TYPE OF WORK © New construction ❑ Demolition : • REA L D DATA. 1 & � 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 INFORMATION and L No. of bedrooms: 4 No. of athsA& Job site address: ci c f 1,4 New Total number of floors New dwelling area (sq. ft.)..3. 0.7 Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) �C..?.6 Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) • REQUIRED DATA:: . • COMMERCIAL USE CHECKLIST ,' Subdivision: y? 1 of t _ f 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 _ 1 ❑ TENANT • Type of construction Name: Buena Vista Custom Homes Occupancy group(s): Existing: Address: 6932 SW Macadam Ave. Ste C New City /State /Zip: Portland, OR 9T219 Phone: 503-443-6033 Fax: 5 0 3- 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be ❑ 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: El iabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: - E -mail: _'BUILDINGPERMITFE = Pl ease refer to fee scbeduIe. 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 I Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 Autho rize Authd //) _ A thorize Ll• y � 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 TO-County Building industry Service Board. (Please print name) i:\Dsts\Permit Forms \BldgPcrmitApp.doc 01/03 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY 4 BUENNA VISTA 2002/003 Plumbing Permit, a.Dlicatian Received Martin 1 DateB : Permit No.: -- City b of Tigard Planning Approval Sewer JUN �� J MN Permit Na.: 13125 SW Hall Blvd. J`/ Plan Review Qther Tigard, Oregon 97223 DeteBy: Permit No. 503- 639 -4171 Fax; 5031ZY3 1tARD - Post - Review land Use Internet www.ci.tigard,or.tas 3UILDING DIVISI'1 - '''-,Alp ce,�t: lcas�No.: --..a gr Sex Page 2 for � 24 -hour Inspection Request: 503.639.4175 - - ` Narnc /Method: Supptomeatai Information. - - _ ' r'' .. _ $ ___•D>fIL]& foe_ info_'__ �t 3 , x. lel New construction IU Demolition Description Q tr. Foo(en.) Total • Addition /llteration/replacerent • Other: - . .." ^:,, 1d' fa s '; , 7.;:°'''J• S^:•! ?:•^ '. " CATECif)1�' OP . ` ... ;14delea)l!'686 It r : 6iii o`oaaectioo t . ^': -'`� ; • •: ! . K7 to Y 1 7 1 {_ ; b1Y11[Y ,. " SFR (1) bath 249.20 Pi 1 & 2 -Famil dwelling • CommerctaUIltdustrial SFR 2) bath 350.00 in Accessory Building U Multi - Family SFR (3) bath 399.00 [r Master Builder 0 Other: Each additional bath/kitchen 41,00 OB STFE INPCI 4TIOI sin . '.1:0CAGTIOK ' ' . Fire sprinkler - sq. f r.: ■1y[�y� es : Page 2 �I y . V tukt �.4.t .,∎ ,.I L\ .,..1 ' Job site address: _AI �. - r.• . - Catch basW • Stte. atza drain 16.60 � .. .. _ Suite #: Bldg. /Apt. #: Project Name: Drywcll/leath line/trench drain 16.60 Foots jdrein (me. linear ft.) Paee 2 CrOSS StI'eer.DireCtiOrls to job site: Manufactured home utilities 110.00 • Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (To. linear ft.) Page 2 Subdivision: Lot #; Storm sewer (no, linear ft,) Page 2 Tax map/parcel #: Water service (no, linear ft.) Page 2 DESCRIPTION OF WORK 1 ' e Fixture or item N�� CONSTRUC TION — SINGLE, FAMILY B &fl valve 162 . , prevcntt:r Page 2 FAMILX DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16_60 Dishwasher I6.60 Drinking fountain 16.60 IPROPERTY'OWNIKR '.- -..:,_ RI TENANT Ejectors/Jump 16.60 , Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6932 SW Macadam Ave _ sty c Fixturersewer cap 16.60 City /State/Zip: Portland ,• OR 9 7219 Floor draiNtloor sink/hub _ 16 60 Garbaee dis. • sal 16.60. Phone: 503 -- 443 -6033 I Fax: 5030i443-2443 Hose bib • 16.60 611 APPLICANT • . ' f CONTACE1'KRSON • ' ' Ice maker X6.60 Interceptor/grease trap .60 Name: Ray Mullen is _ Address: Medical gas • value; S Page 2 Primer 16.60 Ci /State/Zi • : , Roofdrain (commccctal} 16 -b0 . Phone: Fax: Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower part 16.60 . COLVI.ERACF'OR . ' • - . Urinal _ - 16.60 _ — Wattx closer ` 16.60 Business Name; ED mull en pl.ult $ Water heater 16.60 Address: 24470 SW Rainbow Lane Other: — Ci /State /Zi • : , ' _ .. . • Other. - ' ., ..,... : „.: :Plambiax'P*cmk :Vets• - - .. .. ' ' phone: 0 — 628-1 . _ a c . . Subtotal S CCB Lic. #: • 2 6 • . Plumb. Lic. #: 3 4 0 P n • • Minimum Permit Fee 572.50 S Authorized . i.._.e (...fr Residential Bacidlow Minimum Fee 536.25 Signature: 2 .4.41 4 y � ' c:. Plan Reviaw (25Y. of Permit Fee) , S — Ray ul en StateSurcharge(8 %of Permit Feel S (Please print no.m) TOTAL PERMIT FEE S Noticei TbI. permit appllc s:ion expires Ira permit is not obtained within All now commercial buU4lnits raqulre 2 seta of p lans with isometric or 180 days After ti hit bees zeeepted u complete. rlser diagram fbr plan review. `Fee methodology set by Tri-Counry Bonding Industry Service Board. it\Dstt\Permil Forms\PlrnPermltr,pp.doc 01/03 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 Meclaarticaligt A p p l i c a t i o n f • O R 0 1 , 1 - 1 ( t. I •I. tank - Received City of Tigard alyd Planning Approval 1312$ SW Hall Blvd. �� _ • 2� p Review • Tigard, Oregon 97223 A i y 0o da ' ` Phone: 503- 639 -4171 Fav d#343f 60 _ Post - Review Land Use interact: w ct: w,ci.tigard.or,u>�ING nl \/1SION _114:',..111. ' km: : Contact � 6214 24 -hour Inspection Request: 503- 639 -4175 -='" -" Name/Method: •'" ' E aF WORK ; ;a 1:''' -. , .' ' COMMERCIAL BEEV".SCH 1D a - -.EFS C ECI Sf'' , ;:‘,. Iii New construction MN Demolition Mechanical pertrdt fees" are based on the total value of the work II Addition/alteration/replacement • Other: performed. Indicate the value (rounded to the nearest dollar) of all f :, : _; •••... mechanical materials, equipment, labor, overhead and profit. - . � �:;CATE[;OR : C}F:E41tISTB'fTCTT • L: �; '.� L 1 & 2 Fasnil dwellint • Commercial/Indu.sttial value: S See Page 2 for Fee Schedule . Accessory Building Q Multi - Parnil RESIDENTIALa MENTAITSTEMS: EB B T3 Description 1 Qty T Fee(e� j Total up Master Builder fl Other: I3atieglCooliag JOB SITE INTORMAT[ON and LOCATION . ` • ': :. • Furnace • add air eonditionin •" 14.0 Job site address: 4 i 1 i Gas hest • •- w 14.00 Suite #: 81d ,/Apt.#: Duct work 14.00 Project Name: 1( dronic bot water a tem 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydroole system) 14100 Unit heaters (fuel, not electric) in wall, in•duc su . • nded. etc.) 14.00 Flue/vent for an of above 10.00 Subdivision: _ Lot #: 9 Repair units , 12.15 1 • • Fuel A> • tlstacts Tax - - I•arcel #: Water heater mi. 70.00 DES u - s• COIN * F WORK : ' ' I • - • Gas fi •lace 10.00 NEW CONSTRUCTION -SI GL.'. k' • I'' Flue vent (v'atehealer/pas fireplace) 10.00 [o • li.hter 10.00 DETACiiEn Y2ESI DENCE Wood/Pellet st 10.00 — _ Wood 5replao /ittsert 1 10. Chitral /liner /flue/vent MN 10.00 MIMI 6.r•' • ' OPER TVOWNER' , •..- ' IA 1l'ENAFQ>Z':;it"•44. Other. 10.00 — Environmental Exhaust & Veatatat•on Name: B _ - .0 a . V 1 S - + • to - • ti ' Range hoodlother kitchatl equipment 1 J 10.00 Address: €,9,32 SW Maea .- It v- 5 . - C Clothes dryer exhaust 10.00 Ci /State/Zip: Portland OR 97219 Single duct exhaust Phone- . _ .. _ . I Fax: 1 ._ .. _ . ■ (bathrooms, toilet compartments, el APPLICANT - .1r7 can: PERSON •' urili rooms 6.80 Attidcrawl space fans I I 10.00 1`lazll�: David Goloba Other: 1 _ 10 Address: Fact ;L.111.? Ci /State/Zi : R *(SSA° for first 4, 51.00 Bich additional) Furnace, etc. " Phone: Fax: eras hest ParaP 1 • • E -mail: W all/sui. ended/un it heater •" CONTRACTOR . . - ..; . •• Business Name: GI, If�c _ .. Address:2428 SE 105th Ave. BS* ■• Ci /State1Zi•:Port:1and, OR 97216 Clothes. er •as 1111.11 Phone: 503 253 - 7759 1 Fax:503- 253 - :-3 omen •• Total; CCB Lie. #: 45131 Mec Permit Fen+ Authorized =mo „ l,, (_ Subtotal: S I Signature: Date:- -�_}pril-k Minimum Parmit Fee S72.50 S David Goloba y Pia:' Review Fee 5%ofPermit Fee) S (Please print name ) State Surcharge (8% of Permit Fee) S I TOTAL PER.'4$I' FEE S Notice: Tall permit application expires if a permit is not obtained i' ithln • Fee methodology set by Tri -County Building Industry Service Board. l80 dny. Kites it bas been aece7t¢d as complete. ••Site plan required for exterior A/C units. iN;) su \Perrnit Farms tMeGPerrnilApP.doc 0UO3 • - 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 RECE , Electrical Permit Application Received Electrical nn -- / �1 -j ' ° ' DatoBy: Permit No.: tl.2 J � tOO City of Tigard Planning Approval Sign 13125 SW Hall Blvd. CITY OF TIGARG Date/By: Permit No.: Other Tigard., Oregon 97223 BUILDING DIVISION Date/B ew Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post- Review Land use Internet: www.ci.tigard_or.us D Case No.. Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: I ® Supplemental Information. .... • , ,. :.TYPE.-OF WORK , .. . , . ,.._� .. ....... .: • P I: AAFREVIEW:( Plettdt 'eliecTi•r7i that:aPbb'y °r: . Now construction Demolition ❑ Service over 225 amps- ❑ Health-care facility ❑ Addition/alteration / replacement Other: commercial ❑ Hazardous location ❑ Service over 320 amps - rating of ❑ Building over 10.000 square feet, ' 1 TEGORYOF'CON1516t4IJCEIONf. 1 & 2 Family dwellings four or more residential units in & 2- Family dwelling Q Commerclal/Industtja1 ❑S 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 structures or RV park Master Builder l] Other: 0 Egress/lighting plan ❑ Other: ' ?. '. JOR ;SITE IINFORMATION`afllt L CA'noil submit set. of plans with any of the above. Job site address: , { *I S _ The above are not applicable to temporary construction service. Suite #: $ldg. /Apt. #: .. FET�"!:St,>t11 ° :. • ;::L, �F; Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total i Cross street/Directions to ,Job? site: New residential-single or mett6fimily per + dwelling unit. Includes attached garage. Service lacleded: 1000 sq. tt. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: lj7 z —Q I Lo t # Limited enemy, residential �S.00 2 Limited energy, non residential 75,00 2 Tax map /parcel #: Each manufactured home or modular dwelling •. `DE , ' t' ON OF > :: • `,: service and/or feeder 90.90 2 ` Services or feeders .. installatsoo, �+ __ti_ cons ^� � •• ' i49 C 1 i I / alteration or relocation: — c% at t~ L t ._u., ' ] cl e J'f �..i2— 200 amps or less 80.30 201 amps to 400 amps 2 lo6.a5 2 401 amps to 600 amps _ 160.60 2 _ OP.ERTY O W1rF ER TEN - 601 amps to 1000 amts 240.60 2 Name: �i.! e a- a s m �� over 1000 amps or volts 454.65 2 ,/ I Reconnect only 66.85 Address: �, . 5u' 4.1 a[. e Siz.& Temporary services or feeders - installation. 2 Ciyy /State /Zl : PerF(0 0 200 amps or lea. 66.85 1 9`7A/9 alteration,or _! Phone{.70 2 /0 - (��3 Fa ' 4 f9 3 20_ amps 40o amps 100.30 z _Ct C , � 40I to 600 amps 133,75 2 ON Branch circuits - new, alteration, or Name: S V 'C., 4--o55 _ crteosion per panel: Address: A. Fee for branch circuits with purchase of City/ State/Zip: service or feeder fee, each branch circuit 6.65 2 ty /SCAM /Z1p: B Fee for branch circuits without purchase of Phone: service or feeder fee, first branch circuit 46.85 2 Fes: Each additional branch circuit 6.65 ' 2 E -mail: Misc.(Scrvice or feeder not included): ..1..1...'';:' - 15, coisr C ' {,cricer' Each pump or irrigation circle 53.40 2 Job No: Each si oroutiine li htin 53.4 2 Signal circuir(s) or a limited energy pastel. Business Name: IR 0S5 C al tet�at i G� ort, or extension Page 2 2 Address: .:2370 S tJ r�o�L! ##` (963 Description: City /State /,ZiE)'. if1 RS b01-6 f OI2 /7/P3 Each addit ins 'on over the allowable In anV of the above: Phone :,$c2 -3 Co ytfz 7800 ]Fax: &J3 (44z e 1 S Investigation Investigation fee! hour mi „.thorn 62.so CCB Lic. #: I 7 Omer: Supervising electrici Zf �itCCtlttY)I �E�IR g "ry ;: . s`'�. y:: X suture required' Subtotal s Plan Review (25% of Permit Fee) $ .✓ Print Name: � }-'QC ROSS Lic. #: ,/ 342,c State Surcharge (8% of Permit Foe) S "� Authorized TOTAL PERMIT FEE $ Notice: This permit application expires If a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. "Fee methodology set by Tri County Building industry Service Board. (Please print name) - t :\Dsts \Permit Forn \ElcPermitApp.doe 01/01 /14 , aco 0ol coo 1 6 .AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAALAAAAAAAAA Fr ► A IP- A O- A • STREET TREE C IA- A • A Oi- ► • A I 7"h _ ,( ` Owner /A ent for L4 7 1- y� AI 2444 ic--3 1114* ® (PLEASE PRINT) (PERMIT HOLDER) A I ® >, ,: ® Do hereby 0„ ',4 f win location 0. A meets City of Ti : rd Wad i gton ;Cou ■ ► A land use and development standards for street tree installation. ► A ► A ► ® o ADDRESS: 3 d S W 6%f r • _1 Y ► / ► A LOT: * c SUBDIVISION: s `.. . ► A ► ® BY: / / �i DATE: ® / a // y ► RECEIVED BY: _ DATE: / '� 6 ` ► ► 4 yy VVV77VVVVVY YYYVVYYVY YY YYYY®®7VVV7VVVVVVVV®®®®®®VVVVV1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST —Dc /Od INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re nested AM PM BUP Location q 3o 3 Suite MEC Contact Person O_A\Jl.r p Ph ( ) CP Z - ZEDD PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT 7 Post & Beam Shear Anchors Ext Sheath/Shear `M Int Sheath/Shear Framing Insulation 4 FD!_ Fw 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 Obiatutyliv MECHANICAL Key _ _ u&Hr fix-r l Dl�l'6- izAd) Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm ri Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4/± PART FAIL Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line © f/ / /(1,14 Aypt6eg/2 ADA Il(`LYl Approach/Sidewalk Date Inspecto 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 Requested AM PM BUP Location � 4� /' -eYYLQ Suite l / MEC Contact Person ^ ( ) 7/ — F /� PLM Contractor h ( ) 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 2 E�o G p 0 10 Z O (C,a Framing Insulation � �. Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: G1 PASS PART 40 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 A PART FAIL ECTRICAL 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 /,7 . ZGj Approach/Sidewalk Date [ [J / © 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 G'e m INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date R quested /� _ �— AM PM BUP Location c i.3 0 --3 Suite MEC Contact Person C-.- Ph ( ) — 7 /6 — 1 iS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain ACC2SS: 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 PA FAIL Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 v Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour Line: 503 MST ' Q7 BUILDING Inspection ( ) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 1/ — Z AM PM BUP Location 9 • Suite MEC Contact Person - �/ Ph ( ) 7/0 — S 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 Int Sheath/Shear Framing Rc F KT did /0.2 6- 09 /O • a, - O Y G� Insulation =SS V G Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: i 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 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 r~ ADA /! Z E Ext Approach/Sidewalk Date Inspector _ Other: Final DO NOT REMOVE this inspection recor from the job site. PASS PART FAIL