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Permit Allit CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2004 -00161 liii DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09329 SW HOME ST PARCEL: 2S111 DB -KE007 SUBDIVISION: KESSLER ESTATES ZONING: R - 4.5 BLOCK: LOT: 007 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 THRD 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: 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: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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: $ 7,683.23 This permit is subject to the regulations contained in the BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES Tigard all o e iapal Code, State of All w kwil b Codes n 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C and all other applicable laws. All workwill 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 Insl Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing lnsp 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 P umb Final Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation Insp Water ' ervice I sp Building Final Issued By :d2 Permittee Signature : Ai Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne / bu - iness • :y orl FOR OF'F'1('F: USE ONLY Permit Appl Received Building Date/B : e I �� Permit No.: l( /j / City of Tigard .1U ‘ ���� Planning A••roval Other � �^� —�/ Date/By: Permit No.: LOUV 13125 SW Hall Blvd. A Rp Plan Review Other Tigard, Oregon 97223 Y of T1G Date/By`- 3o - c M t/ PermitNo.: C,11 r9kb0 ON /k,* i1 Post - Review Land Use Phone: 503 - 639 -4171 Fax:� � 0 �I`1� \ lI " Date/B : �� Case I. IIILLL��� Internet: www.ci.tigard.or.us Contact . 's.: 0 See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Methodr oh . / Su Information TYPE OF WORK . ' •.... :_ © New construction ❑ Demolition & i 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 INFORMATION and ()CATION No. of bedrooms: No. of ba hs: 2i ,r Job site address: � �/ / Total number of fl rs �,� �, , New dwelling area (sq. ft.)... 0 Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) (Q,, Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) . - REQUIRED DATA:: ..: K. • COMMERCIAL USE CHECKLIST 7 - k Subdivision: S � -e.b 1 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 S. 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 [3 PROPERTY OWNER 1 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: 503-443-6033 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: Eliabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: . E - mail: ' = CONTRACTOR Please irefei to fee sc }dole. 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. #: 152235 Authorized //) Signature: !A• ( Date: Notice: This permit application aspires 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 03/04/20 -.04 16:21 FAX 5036284633 THE MULLEN COMPANY + BUENNA VISTA Z 002/003 rout c►l Trt h. 1'tit ONLY Plumbing Permit Application Recelved Plumbing Date Ely Perrnit Na. : Ai ""01,4, Planning Approval Sewer City of Tigard DateBv: Permit No.: 13125 SW Hall Blvd. P lan Review Other Tigard, Oregon 97223 , DateBy: Permit No. Phone: 503 639 - 4171 Fax; 503 -59g -1960 A Pnst.RRview Lind Use IrttCInternet: wvvw,C1.[lgafa.rJt.ILS �; t s r U t i l+ I I Due/By: Cue No.: -r.. •JI Contact luris.; Page 2 for I r o � _ �� __ " ' � See Pa 24 -hour Inspection Request: 50 •O5Y•�1 IS Name/Method: Suvvlomeon! Information. - TYPE OP_ VOR7C , :.'r'':.":: . 7 TEEt $CI .ULE (for•'ipecCal•inioFmiatIb7drt ee r�x'.• ti7 New construction _ • Addition/alteration/replacement I Qa• I F'oc(a•) Total m do ep c mn n E Demolition - Desc O th er ",., :, *,, .; a nlr �a e e t :. • �, ^ �� Y1,''�w` `� &: �,- fuii�g Sliive]Liugs ° ; . _ ,,,; .:, :,•, -ii Bel:l'of lisir 6E1i: I , ..:11~ :4 :'.=t ti I ..':,' '', CA�T1C' CeO `� : ! ti I ' a t . 1.'t ; ��. , ' SFR 1 bath 249.20 E 1 & 2 -Fami1 dweain_ • CommerciallIndustrial SFR (2) bath 350.00 ■ Accesso Buildin: IISIMECEMMII SFR (3) bath 399.00 Kr Master Builder • Other: Each additional bath/kitchen 45.00 OB STFE INP e • • TLOtI dlad a TIOK ' ' Fire sgrinklcr • sq. it: ?ag 2 _ Job site address: i� • , _ ' .. • • . - Stte.>f1tintles ,; ';.,,'':. : t t: 7... _ . _ • . Suite #: Bid:. /A•t. #: Catch besin/atra drain 1 6.60 Project Name: Drywall/Leath line/troth drain 16.60 Foot{t�_drsin (no. linear ft.) Page 2 Cross street/Directions 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 #; Storm sewer (no. linear ft.) Pie 2 Tax map /parcel #: Water service (no. linear ft.) Page 2 Fixture or Item !ASCRIPTION OF WORK Absorption valve 16.60 NFL( ,CONSTRUCT ION —SINGLE FAMILY Balow prcvcntcr Page 2 FAMILY DETACHED RESIDENCE , Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ 16.60 Drinking fountain 16.60 aka'EPROPERTY'OWNF '...'!..':'..:1- Si TENANT ,.: :.. •-•' • :. • _Ejectors/sump 1.6.60 Name: Buena Vista Custom Homes Expansion tank 16.60 Address: 6932 SW Mar-:ariam ATP S te. C Ftxture/eewerea- 16.60 City/State/Zip: Portland, OR 9 7 21 9 Floor draiNtloar sink/hub 16,60 Garba e dis sa 16 60 • - Phone: 503 Fax: 5030443 -2443 ' Host kM==MMMME 16.60 DI APPLICANT . il C . ACCT'P A: • N . . " Ice maker 16.60 Name: Ray mullein Interceptor /grease trap 16.60 Address: Medical gas • value: S Page 2 Primer 16.60 City /State./Zip: , Roof drain (cammcrclal} 16.60 Phone: 1Fax: _ Sinkfbasinllavatory 16.60 E -mail: Tub /shower/shower pan 16 "60 . CONTRACTOR : • • . urinal 16.60 Water Closet 16,60 Business Name: ED mullen P1u • .. n• Water heater 16.60 _ Address: 24470 SW Rainbow Lane Other: _ City /State /Zip: Hi lj bar. , C113 9 71 2. a Other. . PluovblilIePrrmtlt:;Rei s *.: , -. Phone :503 628 - 632 Fax:501— h ?.R -4F i Subtotal s CCB Lic. #; e . • ; • Plumb. Lie.#: • — - 0 n Minimum Permit Fee S72.50 S Authorized ' / ! 9 4 Residential Back low Minimum Fee 536.25 Signature: ✓ L .v e e:....." / Plan Review (ZS% of Permit Fee) S Ray u 1 en State Surcharge (8% of Permit Fee) S (Please print name) TOTAL PERMIT FEE S Notices Tbls permit application expires Ira permit is not obtained within AU new commercial buildings require 2 sets or plans with isometric or !80 days s[ter L has been accepted u complete. ' m e methodology r plan ut b e Tri -Coup Bonding SarrICQ Beard. C1' Y h R i :\Dsts\Perrnil ,i PtmPermlcApa.doc 01 /03 ,03/0412004 16 :26 5032537693 SUN GLOW INC PAGE 02 Mechanical r,i,rniti 5ifpiication Received Mechanical t 1,,f– ,/ Date./15 - Penult No,: 7 -i 1 ( / • Planning Approval Building City of Tigard i N Datc/By, Permit Na.: 13125 SW Hall Blvd. Pbt Review '.—_, Tigard, Oregon 97223 Y OF TIGAFiU Dandily, _ Permit No.: Phone: 503 - 639 -411 } ����j tl� ®1 60 ,y. Post Land use f pa�ul_ Case No,: ko rrtett www,ci - tiger .onus . : •I it Contact Juris -: El See Pagel for 24 - hour Inspection Request; 503 639 - 4175 Natnc/4tethod; _ 9�plettteetsl Inlbrrttatioo. • ,. ' . ..' :. nrrE __1_K' s", i ,.... ,i .`,:.:'..: _n' '.'•r:. is'.:e_•COMMERCIAL EE". EIMED• - , :.0511S4:1331CI . ',. ti. 1$! New constructiou I Demolition Mechanical permit fees* arc based on the total value of the work 1S Addition /alteration/replacement • Other: performed. Indicate the value (rounded to the nearest dollar) of all `;CATEGf3R _ "OP.CO1`ISTRITCTI 1 , mechanical materials, equipment, labor, overhead and profit. r 1 & 2- Farnil dwellin: a Comlmercialllndustrial vitur. S See Page 2 for Fee Schedule gm, Accessory Building • Multi - Farnil . >ICE.sLim QziP;Y ENTfin{S2EM5l[ Bsso7ED> Destr't� don 1 Qty 1 Fee(ea.) I 'Total III Master Builder Other: Bead • Cocain: ••JOt its too., • ■ - T[ONN and' • WON f urnace - add -on air conditioning ** a .lob site address: .i teL'+Itr/i•.•tt� Gee heat .uena Suite #: _ _ Bl4 . /A2t. #: Duct WOrk 14.00 Project Name: boiler Residential Cross street/Directions to job site: far radiator or 14.00 Unit heaters (fuel, not electric) (in wall, induct, su . • nded- ctc.) 111 14.80 Flue/vent for an of above 10.00 Subdivision; Lot #: in R.airungn _ • Tax map /parcel P. Water 1 0. . . • DES u- I. tor; *F WORK • - l t NEW CONSTRUCTION -SI GL:.. F• I" ' DETACHED RESIDENCE Wood/Pellet 10 10.00 MIMI Chimsi- /liner/flue/vein =11 MOO EMI NV • OPEW'IT:OWN R •:. gV 'I`.EN Ca::'" Other 10.00 – A1VTti Name: B ..-_ vi . . .. .n .w,n hood/other . ... Address: 6 SW Maca _ I , • v- S . - C clothes dryer ... Ci /State /Zi.: Portland OR 97219 Single duct exhaust Phone- , _ . _ . I Fax: 1 -j . _ , (b •" . i l k APPLICANT . NM COMA PERSON . 1 ' • •r ' .: • Atncitrawl •acc fans 10 Name: David Golobay Other; 10.00 Address: Furl ping City /State/Zip: , to , .40 for first 4. 51.00 nth additional) Furnace etc. Phone: Fax: eras heat n„tt• Mil " E -mail: _ Wa1Vsus. eudedlunitheater '" CONTRACTOR Water heater • • Business Name: -,- G .w : MIN— Address :2428 SE 105th Ave. _ w •• I Ci /State/Zi.:Portland, OR 97216 Clothes. er _as MI e " Phone: 503 -253 -7789 Fax :503 --25 b 73 Otter: Total: CCB Ltc. #: 4 51 3 1 • Mechanical Peratit Fees' _ Authorized . Subtotal: S Signature: —_ '--t• C.=-k..3° • Datc:_,*12KIDLA Minimum Parmit Fee 572.50 WEEMINIMEMIE David Golobay 'ft 5 (Please print name) Sate Sure !e (8% of Permit Fee) S TOTAL PE It FEE $ Notice: This permit application expires if a permit is not obtained within • Fec methodology set by Tr{ - County Building Industry Service Board. 18a dale after it has been accepted as emmtplete. "'Site pill required for exterior A/C units. i:'Psts\Perrnit Forms\Met•PetmitApP•doc 01J03 '03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 s • , Electrical Permit Applica0DA Received Electrical V Dams : Permit No.: // -60 1 (' Q City of Tigard Planning Approval Sign 13125 SW Hall Blvd. JLI 2004 Plan Review O No.: Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax; 503 -598 -1960 Post Review Land use A - Datc/ C ase No,: Internet: www.ci.tigard_or.us +� Contact 24 -hour Inspection Request: 503- 639 -4175 1uri s.: pee page for Nam/Method: Supplemental information. .... • ,...... •:•'TYPE OF WOR .. , . (PIeAS's CSeiYi it1C:'thsit:ipPb'y: ,: r: • . New construction Demolition 0 Service over 225 amps- 0 Health -care facility ❑ Addition/alteration/replacement ether; commercial 0 Hazardous location over 320 amps - rating of 0 Building over 10,000 square feet. •. • ''CATEOORYOF'CONS 1'.R[JctrON. ... ❑ 1 & 2 family dwellings four or more residential unite in & 2- Family dwelling 0 Comrnercial/Industtial ❑ System over 600 volts nominal one structure 7s7 /_____ Accessory Building ] Multi- Family _ID over three stones 0 Feeders, 400 amps or more [] Occupant load over 99 persons 0 Manufactured structures or RV park JJ Master Builder ta•e< Other: 0 Egresc/lightingplan 0 Other: ' :, '. JORSITE LNFORMAcT1, ON Atli[ IF;(1CA1'YOPF Submit sets of plans with any of the above. Job site address: The above are not applicable to temporary construction service. i,' at / tic Suite #: Bld_. /A•t.# r . ..... F>E;r:SCEISII :lp.. - ° :�s ; ; ;ii.7 :.;.. Number of inspections per permit allowed Project Name: D escr i p ti on Qty Fee (ea.) Total Cross street/Directions to job site: New residential-single or multi-family per dwelling unit. Includes attached garage. Service Included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. et. or portion thereof 35,40 Subdivision: Lot #: / Canned energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling • BE . • t' ON.OF - WORK t' .. `: service and/or feeder 90.90 2 • � Services or feeders - installation, � �'" Cons u (✓ 61 — S /%j , C • m i 1 L_ iteration or relocation: *t 1 Lh C T., d en cam— 200 am .... or less 80.30 2 20 t amps to 40 a mps 106.85 2 ' 401 amps to 600 amps 160.60 2 ROPERTY OWNER :. 1 a 60mps to 1000 amps 240.60 2 at ']EEISP ., . Name: u,t e a– ' - a S Over tenor) o nly or volts 466. 2 � Rewmuct only 66.85 2 Address: . ul1 `/ G Temporary / (�, [ G , Tem Po ry acrvices or feeders - installation. Ci State /Zia ' re . G - a alteration, or relocation: 200 amps or tcs 66, 85 1 Phon -.5o 5 1 /43 - (�a3 Fax ` 4, -/G/ 5 201 amps to 400 amps ' 100.30 ; 2 C a 401 to 60d amps I._ a 1 ,75 2 -` ' ' . El 1�1'T CT Pl0 oN �/ Branch circuit •new, alteration, or Name: E ✓ IZ-OSS extension per panel: Address: — A. Feu for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuity 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,(Scrvice or feeder not included): - .:. Cdlii • - Each , . or irri:ation circle 53.40 2 Job No: Each at or outline li_ htin: 53.40 2 Business Name: Signal nt limited energy panel, O j �� aalteration, oe, or or extension si on Page 2 2 J. Description: Address: QS70 5 Oat,) -' e #' 06.3 City/State/Zip: N it S (.►-d , DR 4 j 93 Each additional ins on over the allowable In ran of the above: Per ins�eetion per hour {min. I horn) 6 2.50 Phone :523 Co Y{Z Z&)d Fax: J3 4 7..._ 1 S Invest ton ter CO3 Lic. #: tS Lic. #: 3 434G Other: Supervising electrici /' p ... , .EiteitttittILPe mubt $,,: , . ' +'�J.: X signature required; ! Subtotal a Plan Review (2 of Permit Fee) S Print Name: S - e.ijc ROSS Lic. #: y23 State Surcharge 8% of Perttiit Fee S Authorized TOTAL PERMIT FEE S Signature: Date: Notice: This permit applleation expires If a permit is not obtained within ISO days after it has been accepted as complete. "Fee methodology set by Tri-County Building industry Service Board. (Please print name) - i:lDsts \Permit Forms \ElcPcrmitApp.doc 01/03 A ®,A AAAAA AAAAAAAAAAAAAAAAA,ail►AAAAAAAAA ►Aj►I,AAAAAAAAAAA►AAAA, / A /I ST V - ez3 /Co / ► 1 to- STREET TREE C ► le- 1 to- il 1 I, Gt.. ©/� , OwnertAgent for A- t s-1_, (/ iJ AA_ IOW 11•- 1 (PLEASE PRINT) (PERMIT HOLDER) ► AI 1 1P1* 44 .. Do hereby�b y the l wi g location l x ► 44 m eet s City of gar fi on County ►► 44 - land 1 1CP ']nc! de s tnnr/ ards for s t r e,.�s r......, ,,t a.t.o �...aav uv.. aa.ai ,.r µ,r �.LV y11ib.J.1V Jt.G....i. C11 �.LJ few J(,l k-L . (.1 4c - t11J t.Q11Ql LULL• ► A 1 1 ► 1 ADDRESS: ! 2 2,4,,, , c, _ 0 1 0. Al S t : ,- ,) i - ..- 74--e---c- 1 � BY: � ` � DATE: // /., :, `l /Tr O• ® ► li L___ V IP. lit* ® RECEIVED BY: DATE: l 1 r , '77V777VV77V777VV VYYV YYVYYYYYVYVVVVVV7VVVVyr » yyy7VVVVVy! 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Li : (503) 639 -4175 MST © // INSPECTION DIVISION Business Lin (503) 639 -4171 i BUP Received V � Date Requeste• AM PM BUP Location AB. '..4 � � i r • Suite MEC Contact Person ' • h -0Y 3) PLM Contractor ehh 5 Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ( C P � ��� //, /Z • D (4 7>) Framing I� ' ► 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 PASS PART FAIL EL CTR L Se • Rough -In UG/Slab Low Voltage larm 40 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE Unable to inspect — no access Fire Supply Line /// ADA c Air Approach/Sidewalk D a d e U Inspecto = Ext Other: Final DO NOT REM VE this Inspection record ro the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST . BUP Received Date Re uested / / —/ 7 AM PM BUP Location / 3 - ° 7 � , f� Suite MEC Contact Person C_J`OLe Ph ( ) 7/ — �/ /S 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 Framing Sheath/Shear ` .� f � K � � n Framin lw�� 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: PART FAIL M ANICAL 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 i i 1 1110 ( -I Inspector zar► 1 11 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING 0 Inspection Line: (503) 639 - 4175 MST /(4p/ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / ( — / AM PM BUP Location ci 3D1 d Y 1 o ite MEC Contact Person Ph ( — 7/0 $ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ( USA- QS l ®/f t%</\i/4-� Framing l� C-C �_ c� Insulation d �' � ��� 1 . Drywall Nailing Firewall 7\/ i L ,q--7---:3::), f C. Fire Sprinkler Fire Alarm Susp'd Ceiling l - I _ _ _ Roof i G / W 7k LL.- Y∎[ C� (_ Z �" l �� Other— e /itTh( 'nr'- t ul\rl( l •ART FAIL • I BING c F Al'bt::: QUAT "IA /ti (- Pei\ Post & Beam O /I�� Under Slab J ��t1� s Alb t— 01 � l /"[ Rough -In I• l�_D ki� L- �G if Water Service �" ©� Z Sanitary Sewer sio• _ O • • n —4, =�- Rain Drains Catch Basin / Manhole 'p� •e" Dr �-� ,i_s l ! /- 1 ( Storm Drain Shower Pan 6/VT iktC e P[✓/4 e--, /TY Other: // __ Final PASS ECH PA FAIL b L v � C ) / ✓ to/' -jL MECHANICAL Post & Beam /� / TG.�7 �l. Rough -In t'`l , ` �� r L Smok = ; pars / 1� 1 S U °� L_ p /e0 l 0 /' A 1" / / =7 / I = PART FAIL .------ LECTRICAL „• _ L - P..S /L-C___, ',+►��l►l& Service Rough -In UG/Slab Low Voltage AIIMIIIIR Fire Alarm Ara 1' Final ❑ Reinspection fee of $ required • • - n = ins on. ' ay .1 City Hall, 13125 SW . I Blvd. PASS PART FAIL SITE Please ca I for reinspection RE: .../ L\ Un- • • - - no access Fire Supply Line 4Ipr, ADA Approach/Sidewalk Date ''/' v Inspector Ext Other: Final DO NOT REMOVE this Inspection record 4i the Job site. PASS PART FAIL