Permit CITY OF TIGARD MASTER PERMIT
AI,
PERMIT #: MST2004 -00321
1 Ti DEVELOPMENT SERVICES DATE ISSUED: 12/16/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08062 SW LEISER LN PARCEL: 2S112BC -13400
SUBDIVISION: LEISER PARK ZONING: R - 4.5,
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: New SF
BUILDING -
REISSUE: LP -003 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1,457 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 TKRD: sf RIGHT: 5
VALUE: 319,972.80
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,287 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 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: BOIUCMP < 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 W00DSTOVES: 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: SIGNAUPANEL: 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,536.79
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
12755 SW 69TH # 100 12755 SW 69TH AVE #100 Tigard Munidpal Code, State of OR. Specialty Codes
TIGARD, OR 97223 TIGARD, OR 97223 and all other applicable laws. All work will be done in
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: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 60563 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 Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service I sp Final inspection
Post/B Structu I\ Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Issue: Permittee Signature : t, U 1, A i
_,---- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Applicati l i EC IV " FOR'OFFICE'USE ONLY
City of Tigard Received , / /r f .t ,,, q /lh i 1
OCT Received D, --d(/ Permit No. �U !/CJ3
13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 8 `10' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 & y 'lll ` Date/By: To - ////1/0V Other Permit J L �Q(� - / D 5/.
Inspection Line: 503.639.4175 CITY OF '=;! = .'•'!� I Date Ready/By: ' fur' : ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: -T-1 (- Supplemental Information
TYPE OF WORK DIVISION REQUIRED DATA: t- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $319,076.40
® I- and 2- family dwelling ❑ Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms: 5
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 8062 SW Leiser Lane New dwelling area: 3287 square feet
�t
City/State/ZIP: Tigard, OR 97223 Garage /carport area: 632 square feet
Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
. Subdivision: Leiser Park Lot no.: 003 Permit fees* are based on the value of the work performed. t.,
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Legend Homes Type of construction:
Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups:
City/State /ZIP: Portland, OR 97223 Existing:
Phone: (503)620 -8080 Fax: (503)598 -8900 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Legend Homes All contractors and subcontractors are required to be
Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12 755 SW 69 Avenue jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply: -
Phone: -8080 Fax: : (503) 598-8900
E -mail: slucas @legendhomes.com
CONTRACTOR
Business name: Legend Homes
g BUILDING :PERMIT FEES*
Address: 12755 SW 69 Avenue, Suite #100
Please refer to fee schedule.
City/State/ZIP: Portland, OR 97223
Fees due upon application
Phone: (503) 620 -8080 Fax: (503) 598 -8900
. Amount received
CCB lie.: 060563 -
Date received:
Authorized signature: • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
h Ql
Print name: Steve L ucas • Date: 10/27/04 + Fee methodology set by Tn -County Building Industry
Service Board.
is \Building \Permits \BUP- PemtitApp.doc 12.103 440- 4613T(II /02/COM/WEB)
12/11/2002 04: 23 6427925 PAGE 01
. POT -27 -2004 WED OBi05 All Legend Noses FAX NO. 5035988900 P. 04
City of� , : •
13111 SW hall tva..1'lyvd. OR 97227 ; , • . • ouhorTatmh:
Phan: 503.539.4171 Fat 303•S98,1 ?40• f 2 8 Zook •�,� r''• i � i 1 - veg t
lnttpaedon Liner 50! X9.4175 JU Notiti. iw
J. ' t gvlo art isetetadea
Interne www ei d6Ordorat . - p I11
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ut U ��1 �.!i v. I' . ' " ", , �,ll ti4iti 4 1.
'r yL
A , i ' r T i it . 1,1 ..,I ,. im�t IN, �. -h .R -_ .A
gg Now 9. 1...3. i _ .,� Pao dwelt ell that spp y:
® Now cons/notion ' _ /' women Pluto
Simian duet 223 gues tatrlm'I lSaardoue location
�e� '► • l on rep
• Demolition ❑Oti:en G]Sarvlcoaver320 amps - roUng a
,u h III I� ON■� n1 , 'f i
r , ti ' "I' �v�,c) ^ P 1t , ' " ^f'1 - anti 2 tlntib' 4we111nla 4ormoro new residential
i{ g i�f?:li��Fit��..�u'. 4 • „.,f ,:,5 „L�,L�li , ,,. •� tiu, „Dual.i. v r,:_: O Bytom rntr600voltsvowing Who in au structure
...:t i nod Edhtnily dwelilttg • Cenrtnorc)olI • uairlel w Aecaseory building GHultetto oval' three swim ❑per, 400 toms of chow
■ MUlil •tSmil to + M y naeer builder • Other: • Dooaepmt toad over 99 Fangs I�Monu tactered ttruet iree m
r'. j 1 * ' uL1 1 '1 11, ^. � , .' 1 12,T l "1 i 1 14 ' -::., { ltr j i .,(.1. � i � tw k"4`1,1i i ^i � 1 „ .i Cosre►N1180.ih1s Aim RV parlr
e 1 _ �, �, . 11 1 � J` , �i u.vw:lu al ..,.i. u.vlln•u• . 4 � . , .r! - V 4! 1471'IJ! i pilallh- cue Aulliiy Coeur
1 Job no,. I lob site addve t 8013 SW Leber TAW Sateen „t sets ofIdens with any of the above.
1 A
ty 'Stttto/W T12411'0. OR 972j2 , 11te above are not 4 .' ' le to temporary catp w ruatlon s IC&
Ili 1ENIii `�iViM [ f.•'2 , , ....k�1{ `rlilMl ifiiili 4 ,
3aitalbld6Jept. era: Project mane: Lobar Ps* • . ' ' ' 10211 re. 111X911111
; r , ,, . ow roe r - • , ' 1 tree - or 7S e'• . , ly J+rain* a 1.
Cron! Itredtldir001itmr 10.10b site: Includes ntrsdtedjunle.
• • IAN so. ft. orlon ( 1 145.15 i 145.tc 4
SI/041 110M Loiter Perk - • , . I Lot no : 003 fa 'MI 500 eo. R. or portion , S 33.40 1fe1,oC I i
tfinitaa tterpr, ttet6mtdel 75.00 2
Ttuc �. • ire,: J Umiudeneray.non-rwidentlsl 7S40 ., 2 ,
'1”' � II i .,. 1 11 1 - "° I ' ' •r4 L ^li r. t 1 ! . f 2 j •F� "Olir3 Bach lTWtuAwaited anvil/VW
. ,,. , 1. - , ; . ,... dwenew, service oroYOr peer _ 90.90, , 2
Bervtees or fowlers laatatetnoa, ahoradsa, scarier rdenden
200 mu or lea 10.30 2
301 ntripe 22191 100.8s� 2
K i to ago
u.. . ... .. yi ' ' L '' a'"2., iv C ,,'1,,,;Y : '',” ' , J ` + !itii, ' '': ;%i •, 1 u 1 '�..-'' } '• .
jl i ? . . _.. -
s , } y _., I. _.,..L_� _ .. _, • ._ , _ —. 1 ,,. 401 wrest to 600 amps 160.60 , 2
Nettnol Laerad Homo • dot ants to .000 artl�t 240.60 2
over 1000 am or vole 454.65 2
Melrose: 12755 SW OP Anoint Suite 0100 Aoetn>mttsly 66.85 i
City/SUN/ZIP: Poland, OR 97233 . TMnpor•ary evokes or eeataro lestello n, alteration, sad r
Piton.: (503)120.8080 I Fax: (503)5984900 I 4000 r lam bars - 1
Oitaer fattolletloat Thia Instslletioo e b ing mtde on prop that t�vvn leh is not - 2o1 tarps to 400 imps — .100 30 2
; intendod >;br solo, loose, tent, or tubing., aootuding to ORS 447, 449, 670, and 701. 401 ono; to400 amps • • • •' 133.73 2
Owner dgfQAxe• DetO Smut* circuit*- sew, slteretloD, or aatarttoo, per panto
:7 µ: l , ,j r i 11,1 F' I : p l ' f i .r 1 ' I l 4 p! A. Fafprl�nc,h
°1{ 6! I. ,. ' ...,... e .. �... sdt+teoor9xder6x.traCll 6.63 2
• Harmers incmo Legend Homes Woman circuit
9. Fte IV otonel Oberlin
Contact rliulte: Steve Luau widow aervloe or feeder foe, 4635 2
Address: 112755 SW 69 Avenue, Salta 4100 , ' . • snot wench oicircuit re
F.adn odd i tvindn oirwlt 645 1 2
Citys'6ttaro/ZIP: Portte td. OR 97223 • ftetweltee.sas Davie. or radar not included)
V
Pomo or irrigation cire5e 33.40 2
Phone' (903)630 - Fox ( 5 03 ) - Sian or outline hitting 53,40 2
Fmwilt tl - eadhomor.tom . ... ' . . - • Sheol aroult(e) or Nmilod-
. -, i .! 1' ,1 . X1 r 11:ial!;a ° r 1 ri ru r I 1 I °{ 1 . 1;!
zll 1i P r I "MI y patlea alttratioD. or
:,1s :. :. , ; . 1 a1 � w i
Y �, Ir4� � i t;� �4 dda''�ilt��,riV� aWneionDescriba . par 2
Bushing name Wrasr Mai*
1
Addreao: 2920 SW 347 Arenas 0 A I n 31 tn os r attowalgo is say of the atom
----r o2 30 . City/State/TdP: HUlsbore.OR 97133 . inrotigation rm h ou r (I Id min) 63 0
(nduatr1el •last •orhour 73,15
Pho,lei (600) 1193 - 1126 Sax ) 6414924 1 ' !,, 1 e "x i "-r.L ' i r. C -d' d 1 ' 11111)� ' .
tt _- l�I n � 11 .
...�'� ilk.: il. � � ,,;Z7.,1_i ��J� ULJ'. ,I -.;li l•'�1.WJI.1 li �I
OCR Lit.: 121159 11317etricol u ' C r 1.1v, Lie.: 3707.9 Subtotal - 617_ As
Spry, Bleotrioion aignaearo, molted: • / , . ' Flat mica (25% of parade Pm)
s . . / ;.ra:r r.;: /� I - • • • smtaeaK 'lroT�u, o P8[iMIT 74/8 - 65 - 4- . 2
Authorized signature, . 'rhb p.rw>Jt appDeattw. offing. Ifs psnain In as ob nlasO Warn ro
new atter o au nets mead ■a toetplms
Prier Berra • 1 Date a Fee new dolor/ act * Tri -Comou Bt6tera 1160117 kr*/ eared
ew Mamba otimo edma opt ponds rlanna
kinuuthotannuic-ro'odNppdx I'Jer . *won r1t10escown s .1 .
•
1 . ll. •1. .. 1
It
" Mechanical Permit Apt
dElVED r oltOFHIC l US ONL
Cl of T i and Received
`J Tigard Permit No �, •� / 4 /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /�a f Date/By: Other Permit:
: I Inspection Line: 503.639.4175 � �' 2U n.7 I Date Ready/By: y: Juris: See Page 2 for
Internet: www.ci.tigard.or.us �l (v OF r lGA!,f�� II Notified/Method: Supplemental Information
TYPE UILD W O O MAION
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 8062 SW Leiser Lane Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Leiser Park
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) • • • 14.00
Unit heaters,(fuel- type, not electric),, ... . .
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Leiser Park Lot no.: 003 • Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
' Gas fireplace 10.00
Flue vent for ,water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
•
® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue Range hood/other kitchen
equipment 10.00
City/ State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas _ for first four; $1.00 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc.
. Gas heat pump • . . •
City/ State/ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater
- . _ Fireplace
E -mail: slucas @legendhomes.com Range
g
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 Clackamas River Drive . MECHANICAL PERMIT FEES*
City/State/ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557 -2220 Fax: (503) 557 -0919 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE -
Authorized signature y This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
Print name: Steve Lucas Date: 10/27/04 • Fee methodology set by Tri- County Building Industry Service Board
i:\Building\Permits\MEC- PermitApp.doc 12/03 440- 4617T(I1 /02/COM/WEB)
•
$ 'A .
Plumbing Permiwi;. 1 tl'c., D FOR OFFICE USE ONLY
City of Tigard Datea Permit No. ,- _ adi /
13125 SW Hall Blvd., Tigard, OR 9N OT r) 0 200 Plan Review 1
Phone: 503.639.4171 Fax: 503.59 Line: �J 0 4 . O ro � � t 11I DateBy: Other PermitNo.:
24- Hour Inspection 503.639 ® TeGAR® erl L.
Internet: www.ei.ti Line: !�i �.. Date Re fMeth e 6d See Page 2 for
g Nntified/Methe ' I V- Supplemental Information
5 444400 WP C* FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
e 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 8062 SW Leiser Lane Catch basin or area drain 16.60
City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Leiser Park Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: -
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Leiser Park I Lot no.: 003 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve • • ' • • . - • ' ' 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Legend Homes
Expansion tank 16.60
Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60
City/State/ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60
Phone: (503)620 -8080 Fax: (503)598 -8900 Garbage disposal 16.60
® APPLICANT Hose bib 16.60
❑ CONTACT PERSON
Ice maker 16.60
Business name: Legend Homes
Interceptor /grease trap 16.60
Contact name: Steve Lucas Medical gas (value: $ ) Page 2
Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60
City/State/ZIP: Portland, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 620 -8080 I Fax: : (503) 598 -8900 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: slucas @legendhomes.com
Urinal 16.60
CONTRACTOR Water closet 16.60
•
Rosiness name: Wolcott Plumbing Contractors Water heater 16.60
Address: 1075 W. Historic Columbia River Other:
' ' ' Subtotal
City/State/ZIP: Troutdale, OR 97060
Minimum permit fee: $72.50
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25
CCB Lic.i 23847 Plumbing Lic. no.: 26 -208PB - Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: • TOTAL PERMIT FEE
Print name: Steve Lucas Date: 10/27/04 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.
i:\ Building \Permits\PLM•PermitApp.doc 12/03 440-4616T( /02/COM/WEB)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 41 `l `
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / - — ° Z � AM PM BUP
Location 3 () (o �— - Suite MEC
Contact Person Ph ( ) d::_/.7 7 / PLM
Contractor Ph ( ) SWR
ING Tenant/Owner ELC
ootin
ELC
Foun ation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ; d� SIT
Post & Beam f
Shear Anchors
Ext Sheath/Shear
Ina Framing Shear
5E7" 4e S �_��2v�.y✓
ming
Insulation � U — 7 � c — ;
Drywall Nailing )
Firewall
-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: ,
Final
S 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 0 Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line �/� ,
ADA
Approach/Sidewalk Date — - —� Inspector l Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD , ( .
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 / m° '��lI1Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 `_ _ - .
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7:12AM PAGE: 59
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES. PHONE #: 503 - 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007307 -02 503-209 -3370 N
Corrections/Comments/Instructions:
PASS. —_. ❑__PARTIAL_APPROVAL — ❑_CANCEL _ —_ ❑ NO ACCESS
FAIL EI ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 5 / '�. Phone #: (503) 718-
.
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 � P�4 li
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7:12AM PAGE: 61
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP • PHONE #: 620-8080
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007307 -01 503-209 -3370 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL -- ❑- CANCEL_. __ ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5 // Phone #: (503) 718-
CITY OF TIGARL
BUILDING DIVISION PERMIT #: ' 63
13125 SW•Hall Blvd., Tigard, OR 97223 DATE ISSUED: / j/i
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °` . _..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: i ' '2 SW t/- g Pri- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
•
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # In3p tion D scriplon Confirm # Contact # Message
_3 f7
Corrections/Comments/Instructions:
PASS - ❑ PARTIAL APPROVAL ❑ CANCEL - ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /#97.7 Date: Phone #: (503) 718-
CITY OF TIGAR.
BUILDING DIVISION PERMIT #: MST2004 00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Ai,, p, 12
Inspection Requests (24 Hrs.): (503) 639 -4175 - `:_..
I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
5111/2005 7:12AM 4
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 08062 SW LEISER LN LOT #: TYPE OF USE:
PROJECT NAME: LEISER PARK 003
DESCRIPTION: LEISER PARK
New SF
OWNER: PHONE #:
LEGEND HOMES 503 - 6208080
CONTRACTOR: , PHONE #:
LEGEND HOMES CORP 620-8080
Inspection Request Scheduled For: Date: 5/11 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006614 -03 503 -209 -3370 N
Corrections /Comments /Instructions: I
el GOBS
❑ PASS cfEli PARTIAL APPROVAL ❑ _CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
S F
Inspector: n110 Date: l/ Phone #: (503) 718- f'
,1
F
CITY OF TIGAR®
BUILDING DIVISION VISION I s/' )
PERMIT #: MST2004 -00321
,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639-4171 . .Mil'
Inspection Requests (24 Hrs.): (503) 639 -4175 : -' `__
INSPECTION WORKSHEET FOR DATE: 5/5/2005 TIME: 7 :16AM PAGE: 90
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 503620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5!512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006128 -06 503-209-3370 N
Corrections/Comments/Instructions:
/
...... --,,,,-- 1 • '
. / ./"f
__1rIP 40 1 /1 • ■ '. /2'°
❑ PASS ___. ❑ PARTIAL APPROVAL __ _ ❑ CANCEL ❑ NO ACCESS
❑ FAIL ►; CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: !' r ' ( Date k Phone #: (503) 718-
CITY OF TIGARD 24 -Hour r�
BUILDING • Inspection Line: (503) 639 -4175 MST 7 - OQ3a (
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested Z AM PM BUP
Location g n c: v! Suite MEC
Contact Person - 1 Ph ( ) PLM
Contractor Ph ( ) 6 7 - / 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
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
1 CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final D 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 r � ,�-� � \ 1 � �
Approach/Sidewalk Date 2j $/ O 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
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested / AM PM BUP
Location - g° a ■• Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) 7 - ("7 r( SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation 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
s ea
nder�Slab
TIP " ' Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F•
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: ID Unable to inspect — no access
Fire Supply Line 1
ADA
Approach/Sidewalk Date f 0 v C 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 ,? O3D-/
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested / 3'e AM PM _ -_' _ BUP
Location 'o /o _ Suite MEC
Contact Person Ph ( ) 96 -;/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain - -- - ELR
D - •
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:
Fi
PAS PART FAIL
MBING
Post & Beam
Under Slab
Rough -In
Wativic
Catch Basin / Manhole
Statfai>
Shower Pan
Other:
Fin.
PART FAIL
CHANICAL
Post & Beam
Rough -ln
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 !/ f'
Approach/Sidewalk Date i7 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD '' .
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639- 4171 ° U�41i i ll I
Inspection Requests (24 Hrs.): (503) 639 -4175 -' 4- l_
INSPECTION WORKSHEET FOR DATE: 5/16/200 TIME: 7 :09AM PAGE: 9
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006962 -01 503-209-3370 N
Corrections /Comments/ Instructions:
l
/‘A-9 (1' ,
C-
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: itl° Date: l N 1 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 . �� i'lflh'�
Inspection Requests (24 Hrs.): (503) 639 -4175 � ' __..
INSPECTION WORKSHEET FOR DATE: 5/17/200 TIME: 7 :11AM PAGE: 2 c
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007057 -06 503 -209 -3370 N
Corrections/Comments/Instructions:
2 .(/6 7 /72,.z..,...6.,�5 .,..,(4-1.- (.4di�).
JUc:E:o c..../4 -L FrzAS,e' ' C
❑ PASS __ ❑ PARTIAL APPROVAL___ _ _ . _ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ; Date: 5 d" Phone #: (503) 718-
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 s N��o�y�j , h l
Inspection Requests (24 Hrs.): (503) 639 -4175 " __..
INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 3
•
SITE ADDRESS: Q8062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES. PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007057 -05 503 -209 -3370 N
Corrections /Comments /Instructions:
eD rer77=C ivF 6 L r
tit !/c„L ° ! -Y
�5 Z• 4.-... S / o ri47 C 1 " .7 "A Lc'' /[ >L
•
❑ PASS ❑ PARTIAL APPROVAL _ __ ❑_CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /e Date: 5 d s _ Phone #: (503) 718-
CITY OF TIGARD - - • •
BUILDING DIVISION i' PERMIT #: I
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: MST2004 -00321
Phone: (503) 639 -4171 U v�d�o t fi l I� 17!16/2004
Inspection Requests (24 Hrs.): (503) 639 -4175 Ail- °`:_..
INSPECTION WORKSHEET FOR DATE: PAGE:
5111!2005 TIME: 7.12AM 5
SITE ADDRESS: CLASS OF WORK:
08062 SW LEISER LN
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 6/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006614 -02 503 - 209 -3370 N
Co rections /Comments /Instructions:
11.1 C C l / o F C-aA-ie_4--1� L 5
h-T /Aeb . Q Ve- c 5 c.-
Rcp, e_T di_W s 0 ..c ...3 (Jr% )
A ss ❑ - „< L APPROVAL._ _EL CANCEL ❑ NO ACCESS
❑ F AIL E • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
S
Inspector: Date: Phone #: (503) 718-
,
CITY OF TIGARD - .
•
BUILDING DIVISION PERMIT #: MST2004 -00321
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 : m�4,�i
Inspection Requests (24 Hrs.): (503) 639 -4175 ...III- `-_..
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:16AM PAGE: 91
SITE ADDRESS: 08062 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 603- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 5/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006128 -05 503-203.3370 N
Corrections/Comments/Instructions:
3 / 0 ( /'S GE%.A "f
k •
ililAti- CANJGDW p librps , NIAAA.unizi_ii kv-i, -64a. L-y
❑ PASS ❑ PARTIAL APPROVAL. _ _ ❑_CANCEL _❑_NO_ACCESS
rA FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6''''-.0 Phone #: (503) 718-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 06 1 -( --O03?
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received / , Date Requ ted 7 AM PM BUP
Location 0W Suite MEC
Contact Person Ph ( ) ) 5- 33 7 PLM
Contractor Ph ( ) SWR
BUILDING . Tenant/Owner ELC
Footing ELC
Foundation 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
PASS PART FAIL
EL RICAL
UG/Slab FAQ v d7 F Lc/ D /,.//
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
■ 0 Please call for reinspection RE 0 Unable to inspect — no access
Fire Supply Line
c
ADA Z
Approach/Sidewalk Date / I� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record fro Job site.
PASS PART FAIL
CITY OF TIGARD - 24 -Hour �
BUILDING Inspection Line: (503) 639 -4175 MST o � ( c - 6 6 )3a
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / AM PM BUP
Location O Suite MEC
Contact Person Ph ( ) a-0' 3 3 7 a 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
Framing
su atio
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fina
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Lirie — __
ADA
Approach/Sidewalk Date 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site
PASS PART FAIL
CITY OF TIGARD ,- 24 -Hour 1
BUILDING Inspection Line: (503) 639 -4175 MST . v V
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Requested Z ✓z- AM PM BUP
Location (a ,' Suite MEC
Contact Person Ph ( ) a 0 � - I — 33 7' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain •
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framin. A
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART CEALL)---
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
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 a(:6 —0 d 3a-
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — AM PM BUP
O
Location o06v T— Suite MEC
Contact Person l '_,e%� i Ph ( ) 3 c Z - 337 d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ) J
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceili
Roof
Other:
Fin-
- 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
Gas Line
Smoke Dampers
Final
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: 111 Unable to inspect – no access
Fire Supply Line ADA Z — 3— 0 )�
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 (�— Q' 3 Z!
INSPECTION DIVISION Business Line: (503) 639 -4171 7
BUP
Received Received � 6 3 7 Date Requested 2 7 /2 ' Y jr— AM PM BUP
9 6 ? /—
Location C.,� -/ 5.-12_2, Suite MEC
Contact Person �- e� 7 Ph ( ) Z 337 PLM
Contractor Ph ( ) SWR
UILDIN Tenant/Owner ELC i
Tooting
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
E i eath/Shear
?1T1i li 7
Insulation / / < , c
Drywall Nailing
. d / / /l . ∎∎i AI /0' i/. _
Firewall - c A / �-
Fire Sprinkler ,� �� a slabs /_ i ./ //1/ , _! -�L� . 1...e: AP Fire Alarm - L Me / i 4:41,1
Susp'd Ceiling
Roof
Other:
Final Z lailL.4 /. • ■ i /ii ,J 4 .. - ..../- ,
PASS PAR FAIL -
PLUMBI
Post r Beam J! L/ / / _. A i _ / Under Slab
Rough -In
Water Service ,
Sanitary Sewer J L: _ `�,, ��
Rain Drains '� ' • - ��-
Catch Basin / Manhole
Storm Drain
Shower Pan j / / / /.. i . ' ..4 /J / i Iii S P i i !� ., L dAv�
Other:
Final .
PASS RT FAIL to �s
C HA NT AL V v( L:% IL/ aid ‘//,
Po m
- ough-
r
as i "s - 7 � i `l 1. . / 4 .� / t l' 0 AI
Smoke D. pers - i
is
Final
•
0 0 PART. 4,
TRICAL
Service
Rough -In : ' L i i tAN Q /0 L J LZ, -e
UG /Slab (fa Low Voltage P yY ''-i 7?
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
L
Approach/Sidewalk Date a21 7 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 DC) y =0 0
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested I AM PM BUP
Location g 6 Co Suite MEC
Contact Person 77. fib, Ph ( ) a 0 9 - 33 7 D PLM
Contractor O Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Sh ar Anchors
Sheath/ e o
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi I
ART 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 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �J
Approach/Sidewalk Date ` / t' 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 .geo �ao -3D-/
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received `` -- Date Requested / — 7 AM PM BUP
Location FU 62 r Suite MEC
Contact Person Ph ( ) O U — 3 3 d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
S ear nchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
2 1--1 S 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
- ost•& Bea •
Roug - n
Gas Line
Smoke Dampers
Fina
ASS PART FAIL
EEECTRICAL
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: El Unable to inspect - no access
Fire Supply Line - - ' "- — —
ADA
Date /— Inspector
Q S Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (5 3) 639 -4175 • MST y -003a ' l
INSPECTION DIVISION '' Business Line: ( 3) 639 -4171
BUP
Received Date Requested , — D 1 AM PM BUP
Location Suite MEC
Contact Person / Ph ) PLM
Contractor P ( ) SWR
BUILDING Tenant/Owner ELC
Footing
tf „:14 j. ELC
Access:
g 11 rain ELR
Crawl Drain
Slab Inspection Notes: / SIT
Post & Beam ! �{
Shear Anchors IJ
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
F'
(I `
PART FAIL
� - I MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain 1 1
Shower Pan / V o7LT; � ov l� - J a. -
Other: ��� \ V Cry -
Final 7 PKo./ i I 74- TG2 c, /-1 —T7z U e '1/sz t - l L-f zo r‘a
PASS PART FAIL r
MECHANICAL l i S 7 I-1 3 ��oM e, I V
Post & Beam C l �q) /r7
Rough -In
Ga
Smoke Dampers
Final
PASS PART FAIL /"/ 1 L � LO
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 fl Please call for reinspection RE: D Unable to inspect - no access
Fire Supply Line q
ADA Approach/Sidewalk Date I nspector . _ `� Ext
Other: _
Final DO NOT REMOVE this Inspection record m the job site.
PASS PART FAIL