Permit CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2001 -00062
DEVELOPMENT SERVICES DATE ISSUED: 3/28/01
° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12401 SW QUAIL CREEK LN PARCEL: 2S103CB -08500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 034 JURISDICTION: TIG
REMARKS: Construction of new single family detached residence, Path 1.
' BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,570 sf BASEMENT: 0.00 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 420 sf FRONT: • 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 10
VALUE: $ 286,381.00
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190.00 sf REAR: 25
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILICMP < 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: 1
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: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 00 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 /FDFt>=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: $ 4,736.57
DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the
4230 GALEWOOD ST 4230 GALEWOOD STREET all other Municipal Code, State work k w l b Specialty Codes and
done
STE 100 SUITE 100 all other applicable laws. All work will be done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 accordance with approved plans. Th is permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 35533 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
Erosion Control Insp 8g Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final
Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins l Rain drain Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final
.. ae AA ja......._
Issued By : 1 Permittee Signature C (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
•
V /ohz1 1 " S w • b
Buildin V-6'10 '
., A to received: 9.O/ Permit no.: ! J - r v_Z129&.2.,
` City of T
ject/appl. no.: Expire date:
City of Tigard Address: 13125
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
•
Land use approval: l &2 family: Simple Complex: tV
TYPE OF PERMIT `
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family .New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other.
JOB SITE INFORMATION
Job address: y Bldg. no.: Suite no.:
Lot: 'W- Block: Subdivision: nM=R 1; G Tax map /tax lot/account no.:, S/0 Ca ma, i ,
Project name: _ - ..7 3• S" `'0 V
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST, -
Ell i,si P, 1 . A, (Floodplain, septic capacity, solar, etc.)
Mailing address: 'ra�' I & 2 family dwelling: / 7 D I 0
City: .6 ' ti ' Valuation of work 9 V $ "ter
Phone: j� t e ar E- mail: No. of bedrooms/baths
Owner's representative: `MI Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.) -Of 9
APPLICANT Garage/carport area (sq. ft.) 4 1,P- - 7
I - red C�. Covered porch area (sq. ft.) 1
Mailing address: s .'
Deck area (sq. ft.) l O'
City: State: ZIP: Other structure area (sq. ft.) 1
Phone: Fax: E -mail: Commercial /industrial /multi- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: _� r / I I=T_AM Number of stories
City: State: ZIP:
Type of construction
Phone: • Fax: E-mail: Occupancy group(s): Existing:
no.: ���% New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT/DESIGNER • licensed with the Oregon Construction Contractors Board under
.`,� _� provisions of ORS 701 and may be required to be licensed in the
L ' ' I j ur i sdiction where work is being performed. If the applicant is
Address: ��i /�=,i,'
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: CUM-ie_ • Contact person: Fees due upon application $
Addre_: i L► Date received:
t+1& _ 9 ' ° ZIP: # Amount received $
Phone: Away gy Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be comp t - r ith, whether . pecifigd ere' or np ' Credit card number: Ex P ire
Authorized si •nature I../ ut /, /, i II ate: U 1 Name of cardholder as shown on cre car
- r� � S S.
_ Cti
Print name: \ l fe Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6/00/COM)
Mechanical Permit Application
A Date received: 2� /0i Permit no.: Mf l -049&
� � ' °r l ' ►� City of Ti
- ':_� ty and g Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.: -
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement -
iew construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: 1\-(s { ' 'VA • "/ • L 1.-■r Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ •
Lot: %-i I Block: [ Subdivision:( p '1 vvyl, vmy 'See checklist for important application information and
Project name:F./..i jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res.only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
-
MEC{IANICAL CONTRACTOR Boiler /compressors
Business name:�}� ` State boiler permit no.:
r g(o�i - e!�fi �LJ HP Tons BTU/H
Address: tirlat{• �` Fire/smoke dampers/duct smoke detectors
City: 42 ra allIMEEMOIElareian Heat pump (site plan required)
Phone: - -3 j Fax: E - mail: Install/replace furnace/burner BTU /H
e � Including ductwork/vent liner O Yes 0 No
CCB no.: '� ;�j�';� Install/replace/relocate heaters -suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): j .12 p ' ( Vent for appliance other than furnace
CONTACT PERSON Absorption Absorption units BTU/H
Name: # ; ice • Chillers HP
Address: Corn . ressors HP
�_ ♦ hl En vironmental exhaust and ventilation:
City: State: ZIP: Appliance vent
I Phone: Fax: E - mail: Dryer exhaust
OWN E R Hoods, Type U lures. kitchen/hazmat
hood fire suppression system
Name: i
�' Ri
i Exhaust fan with single duct (bath fans)
—
Mailing address: . �� 2 _q / / . _ zo�gre / a] Exhaust system apart from heating or AC
Cit St �� ZIP ) G Fuel piping and distribution (up to 4 outlets)
y � � Type: LPG NG Oil
Phone: V - .1,i Fax: E -mail: Fuel piping each additional over 4 outlets
EN G I N E ER Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace ,
City: I State: I ZIP: Insert - type _
Phone: Fax: E -mail: Woodstove/pelletstove _
PP g ir- Other.
Applicant's si mud � p � 7 / � Date i Other.
Name (print): ( Gil ?r t nam / 1
Na all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee .
Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number: Ex i / w 180 d after it has been Plan review (at %) $ •
Expires State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440 -4617 (6A000M)
Plumbing Permit Application
Date received: f // Permit no.:Nyf, / —,0e6a_
i:. {, City of Tigard
�,� � Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Ti phone: (503) 639-4171 Project/appl.no.: • Expire date:
Fax: (503) 598 -1960 Date issued: By: I Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
❑_ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
►. ew construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other.
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: t tom 1.- `O l i , Ad A ief / (,'i , Descri . lion Qty. Fee (ea.) Total
Bldg. no.: Suite no.: New 1- and 2- family dwellings only
(includes 100 ft. for each utility connection)
Tax map/tax lot/account no.: SFR (1) bath
Lot: \-'t Block: Subdivision: b,_, 4, t-1 i A SFR (2) bath
• Project name: ' is SFR (3) bath
City /county: I ZIP: Each additional bath/kitchen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
-- Footing drain (no. lin. ft.)
PLUMBING COM I RACTOR Manufactured home utilities I _ _ _ Busi name, (Lv\ N i Manholes Address: Rain drain connector
�� Sani sewer (no. lift. ft.) MEI
E - mail: ZIP: Storm sewer (no. lift. ft.)
Phone: ,� r Fax: E - Water service (no. lin. ft.) ()9) CCB no.: [ 7 l—( ] Plumb. bus. reg. no: Fixture or item:
City/metro lie. no.: N/A I ,Absorption valve
ll
Contractor's representative signature Back flow preventer
Print name: ' r 0 • ri�� Backwater valve CON I ACf PERSON Basins/lavatory
` Clothes washer
l Name: l � �N -D� E Dishwasher M c.
Address: Ap ALA 4_ ` .ry — Drinking fountain(s) .
I
City: State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
OW N I i It Fixture/sewer cap
III
Floor drains/
floor sinks/hub
Name (print): j ,l r :_t� r �� Garbage disposal
Mailing address: " ,y � 1 �� Hose Bibb
111 -
City: .-O , Stat $ � ZIP:( 70- =, Ice maker
. Phone: .?) Fax:/57-70 . E -mail: Interceptor /grease trap
• Owner instaiadon/residendal maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
ENGINEER Tubs/shower /shower pan
Urinal
Name: Water closet
Address: Water heater
City: I State: I ZIP: Other.
Phone: Fax: E -mail: Total
Not all jurisdictions accept redit cards, please call jurisdiction for more information. Minimum fee $
w Notice: This permit application Plan review (at _ 96) $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
accepted as complete.
Name of cardholder as shown oa credit card
S
Cardholder signature Amount 440.4616 (6/0Q OM)
•
Electrical Permit Application �`,,
. A Date received: 0 2 f W:906/ G� Permit no.: l ' Q �d �a
A i.. ..1 . 1 . � City of Tigard Project/appi. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
• Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
v New construction 0 Addition/alteration/replacement 0 Other. 0 Partial
JOB SITE INFORMATION
Job address: .. aM My Suite no.: Tax map/tax lot/account no.:
Lot: r Block: Subdivision: igmat,7, i, °1 4
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
CONI RAC I OR ANTIC :VI I ION FEE SCHEDULE
Job no: Fee Max
Business name: G-11 -. 1(. DesaiptiOO Qty (ea.) Total no. hasp
New residential - single or multi-family per
Address: ' - r1 . \ • 0` dr , • E A/ d, rcuiogunit. lndudes attached garage.
City: \ : t • _ _ Senia included:
Phone:1444.3 - l r •_ Fax: E -mail: 1000 sq. ft. or less • 4
�, J �{„ 9 it Each additional 500 sq. ft "Portion thereof
CCB no.: � � Elec. bus. lit. no: lP 11 - ` (� . Limited energy. residential 2
C: Limited energy, non- residential 2
Each manufactured home or modular dwelling
11 �atu re of supervising electrician ( required) Date Fj]ig12 Service and/or feeder 2
er Sup. elect name (print): 1 _ ' A '.�, License no: ,00.. �^� or feeders- installation,
t;L alteration or relocation:
PROPERTY OWNER 200 amps or less , 2
201 amps to 400 amps 2
Name (print): A r][ tlfti t.w 2
�- 401 amps to 600 amps
Mailing address: /Y: tt� . �( t1 i,� Cs ; _, 601 amps to 1000 amps 2
City: . . , State e ZIP: ' '70 Over 1000 amps or volts 2
Phone:F7 =j Fax: -**-7fp15E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary servicesor feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alterad°°,orrelocadoo 2
200 amps or less
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: _ 401 to 600 amps 2
ENGINEER Branch circuits -new, alteration,
or extension per panel:
Name: A Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: 'State: I ZIP: B. Fee for branch circuits without purchase 2
of service or feeder fee, first branch circuit:
Phone: Fax: E-mail: Each additional branch circuit:
. PLAN REVIE '.V (Please check all that apply) Misc. (Service or Feedernot included): •
O Service over 225 amps-commercial 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of I &2 O Hazardous location Each signor outline lighting _ 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders. 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other. Per inspection ) I
Submit _ sets of plans with any of the above. Investigation fee -
The above are not applicable to temporary construction service. Other
■ Not all jurisdictions accept credit cards, please call jurisdictioo ror more information. Notice: This permit application
Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8%) .... $
E accepted as complete. TOTAL $
Name of cardholder as shown on credit card
S
Cardholder signature Amount 440.4615 (6.V0/COM)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RECEIVED
IMPORTANT PERMIT NOTICE
APR 0 3 2001
CITY ELECTRIC + SUPPLY CO
8900 SW BURNHAM F -27 COMMUNED( DEVELOPMENT
TIGARD, OR 97223 eA/ 4 ,1. 1
/N e9t
Electrical Signature Form
Permit #: MST2001 -00062
Date Issued: 3/28/01
Parcel: 2S103CB -08500 •
Site Address: 12401 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW - EAST
Block: Lot: 034
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construction of new single family detached residence, Path 1.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the -
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMES CITY ELECTRIC_+ SUPPLY CO
4230 GALEWOOD ST 8900 SW BURNHAM F -27
• STE '100 • TIGARD, OR 97223
LAKE OSWEGO OR 97035
Phone 503 -387 -7538 Phone #: 641 -8012
Req #: SUP 3592s
LIC 42422
ELE 26 -289C
•
AN INK SIGNATURE IS REQUIRED ON HIS RI
X
Signature of Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
03/29/2001 20:05 15036302882 JARDINE PLUMBING PAGE 01
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JARDINE PLUMBING
PO BOX 186
ESTACADA, OR 97023
Plumbing Signature Form
Permit # :. MS -00062
Date Issued: 3/18%1 -- --�- _._._._ . -. .... . .. -..
Parcel: 2S103CB -08500
Site Address: 12401 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW - EAST
Block: Lot: 034
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construction of new single family detached residence, Path 1.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
!his Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing Inspections will be authorized until this completed form is received
OWNER: • PLUMBING CONTRACTOR:
•
DON MORISSETTE HOMES JARDINE PLUMBING
4230 GALEWOOD ST P 0 BOX 186 .
STE 100 ESTACADA, :OR 97023
LAKE OSWEGO OR 97035 •
Phone #: 503 -387 -7538 Phone #:
Reg #: LIC 108747
PAM 3 -320PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X .
Signature of Authorized rntre
f you have any questions, please call (503) 639 -4171, ext. # 31,0
04/12/2001 16: 5035210275
v lf « i wt 1a�• AO 50 ii 1"HA Bu., ,tl0 "mu QUAIL HOLLOW PAGE 01 l l'1'Y Ul' '1'1I.ANU tom
CITY OF TIGARD
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ENTERPRISE PLUMBING
13770 NE EUGENE ST
Plumbing Signature Form
Permit #: MST2001 -00082
Date Issued: 3/28101
Parcel: 28103CB -08500
Site Address: 12401 SW QUAIL CREEK LN e
Subdivision: QUAIL HOLLOW • EAST " /
Block: Lot: 034
Jurisdiction: TIG
•
Zoning: R.4.5
Remarks: Construction of new single family detached residence, Path 1.
Your company has been indicated as the ph. mbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please haw the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the shirt of the work to the address above, ATTN: Building Dept.
No plumbing Inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR;
DON MORISSETTE HOMES ENTERPRISE PLUMBING
4230 GALEWOOD ST 13770 NE EUGENE ST
STE 100
LAKE OSWEGO OR 97035
Phone #: 503.387-7538 Phone #: 503-2814559
Reg #: t.iC 141307
PLM 26486PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signatur= u oriz - • - urn • :r
•
If you have any questions, please call (503) 639 -4171, ext. # 310
•
STREET TREE CERTIFICATION
I, Asst& ko � rr`b , OWNER /AGENT FOR
ER
(PLEASE PRINT) (PERMIT HOLDER)
DO HEREBY CERTIFY THAT THE FOLLOWING LOCATION MEETS
WASHINGTON COUNTY LAND USE AND DEVELOPMENT STANDARDS FOR
STREET TREE INSTALLATION.
ADDRESS: (2.40( 3,G0 ' 0 r( .1/1
LOT: SUBDIVISION: Oc.)41,( 401Lock)
BY: • � DATE: r�
G N
RECEIVED BY: DATE:
SIGNATURE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST .PV 2/ -g 0 0 6 z-
• 24 -I4our Inspection Line: 639 -4175 Business Line: 639 -4171
_ BUP
Date Requested 7. AM PM BLD
Location / 2- VG/ s -' Qua ( j''2 Suite MEC
Contact Person Ph I - qf 7 PLM
Contractor Ph SWR
UIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler .
Fire Alarm
Susp'd Ceiling
Roof
Misc: ss
4:ItM PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS PART_ FAIL
A.HANICA.L.1 )
Post & Beam
Rough In
Gas Line
smoke Dampers
Final
JilFAS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate Inspector
Other �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY Of - TGARD BUILDING INSPECTION DIVISION p Msr U� Ga GC
- 2C Hour Inspection Line: 6394175 Business Line: 6394171
BUP
Date Requested 7 3 AM PM BLD
Location / Z y0/ $ w ' P ct 4 c cAeck Suite MEC
Contact Person Ph 5( - ((s Z PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain •
SGN
• Crawl Drain Inspection Notes: 1 3 rM
Slab SIT
Post & Beam
Ext Sheath/Shear 7 ` �j�f1—
Int Sheath /Shear bb
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P_ • R FAL
7 MI
• Post &Bea wr,
��
lig Top Out
• ""aerSe i V
• Sanitary S- -r ( e
. Rain Drains
11
P — S A PA Ai
EC AN AL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Otheoach /Sidewalk Date 7/)/ Inspector 1 Ext3 /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ��i� =GOG G
BUP
Date Requested 7 -3 AM PM BLD
Location / kio / s c,,, afar( CZe de Suite MEC
Contact Person Ph ..5 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ( € 5 zL (7Yn /--) 46 aY, - - r.,i,¢c ' ? 5 ALL
Insulation
Drywall Nailing .�. /sir �. . . ,, - c -
Firewall
Fire Sprinkler _ .-- - « "=' E i
Fire Alarm
Susp'd Ceiling Se r, Lam -
Roof
Misc: ® 0■,e - '7. /14it - ( C%,4-4c7L 57
• PASS PART FAIL S -t-f:e • (I L s� G
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
• NI�C� lilN�GAL-
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART AI
ELECTRICAL •
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 7- - 2 ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST a +r°. L
• -24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 3 AM PM BLD
Location / 240 ( Se-1 Qk G / ( P(.P /( Suite MEC
Contact Person Ph 5 /9 V s Z_— PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EL _ R
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm L
Susp'd Ceiling S eCLI rt I S>. $ 4 YI
Roof A 2 L ` DO zi-zt G S S
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service �
Sanitary Sewer V\
Rain Drains
Final 4AN
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
F' - Alarm
"ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �j
Inspec
Approach /Sidewalk
Date , - 2 /
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' 4f- .CITY OF TIGARD BUILDING INSPECTION DIVISION
- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
MST , - e) L
BUP
Date Requested 5- 30 AM PM BLD
• Location / Z it Q u 41 C• t w Suite MEC
Contact Person Ph 27- u j/ 37 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi
PASS PART FAIL
L(MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date (3 I n S I Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
s. - " CITY OF TIGARD BUILDING INSPECTION DIVISION • Msr 2. 1 –u 06
- 24 -Ho ur Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S Z 3 AM PM v BLD
Location / I 5w Q i e (7 C,t Suite MEC
Contact Person Ph Cie 3 7 PLM
Contractor Ph SWR
S WLDlN& Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath
Int Sheath/ _ ear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 1 'Jy"51 aLL. 1 \r \c/K-Nestrz.. Utz L
Fire Alarm
Susp'd Ceiling r1�bN1 _
Roof
Misc: 5::CZ,NI � ■ . V RL ?ST I
�
F PASS PART FAIL ) N10
" 1.0 6Oy] *'�i p I
PLUMBING J C5 I b X40 —MA :tsO752
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
� EGH4� N161Ebb
Post & Beam
as Line
Smoke Dampers
1112L) PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 2) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- Y - CITY OF TIGARD BUILDING INSPECTION DIVISION
T .-- Gca0G
.24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Z�
BUP
Date Requested .s z/ AM PMM'4-S BLD
Location / Z 5/o/ Sw Qk r7 C Suite MEC
Contact Person Ph 7- u F 3 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear 's Q,,
Int F aminath /Shear S - c � �/ /� 1 vc - 1 \
Insulation Q S 4
Drywall Nailing
Fire wall 0 ; 1?- U � g C - � W _
Fire Sprinkler JJ ` � � •
d
Fire Alarm D ' C U a
Susp'd Ceiling
Roof / 4 1 S 0 'l/N_AN Cvl./l. /k/,
Misc:
Final L, X712-( l"J �� S
PASS PART FAIL �• (/�( p L o
PLUMBING
Post & Beam (
Under Slab s V� I�tvl t`--e rQ -
Top Out \ I
Water Service \ 1/ �,� �/(,� u� - - �� U C �`-_
Sanitary Sewer (
Rain Drains
Final
PASS PART FAIL
._►
Post & Beam
Rough In
o e Dampers
PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Ext
Other Date /Z \/U Inspector l l
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
-CITY OF TIGARD BUILDING INSPECTION DIVISION MsT . _G & 4r Z
.24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 - /6 AM PM BLD
Location / 2 S/0 / Su- Qk r 7 C Suite MEC
Contact Person Ph fill- dr PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation � A-4 .:-.0 e____ 1 Z r S T , t ---
FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab T ° �.. R-i c e2e elL 2.--e A T SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
ost & Beam t
Under stag K 71 i I. 4/ it- I• 7 3 4-- /735 m < o H Li - 7 - c - 0 - 6--
(TopO
Water Service a( v c 7 IC-
Sanitary Sewer
Rain Drains
F'•
PASS PART FAIL
• IC'
:I: -am ,/
• g me M a- -e"G`� .' (e w- 1--- 1 D s S
Smoke Dampers
F.
ASS PART FAIL
CTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk �p L/ S
Other Date 4— ii Inspector G Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.a
, • " .CITY OF TIGARD BUILDING INSPECTION DIVISION
MST .24 -0 0 611°2
.24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5- / 7 AM PM v BLD
Location / 2 c/V / 5 Q i J C re rc r' Suite MEC
Contact Person Ph A4- ag 3 , PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation (-I:) ` L� ' N
Drywall Nailing �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P • L S P • RT FAIL
ACIRY I :I I ►` �
Post &Aam
Under ab K(iu f'E
Top • t ,, n�
Wat: r Se ice (�l�
Sa tary S; er
R- Drains
Final
PASS PART FAIL
�MEC�A�
Post & Beam
ou
Gas Line
Smoke Dampers
F'
PAS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk (� ��
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CG
I C�TY Or TIGARD BUILDING INSPECTION DIVISION •
MST Z.
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 G AM PM BLD
Location / Z yo r sw gua I / CAA-4-16 Suite MEC
Contact Person Ph 2 0 f 4 /k3 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling e
Roof / D c
Misc:
Final / D I/D
�� / /
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ou
•w To a•
Fire • -
F'
PASS ART FAIL
SI
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA (� /
Approach /Sidewalk D ate v ` I ��
Other / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
'CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /‘0 AM PM BLD
Location / 2 (lb/ Sw Q 4/1 0441 S uite MEC
Contact Person Ph yj3 7 PLM
•
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing i/ 'Z-`ea
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
•
PASS PART FAIL
MECHA
Post & Beam
Rough I
me
moke Dampers
Final
PASS PART FAI
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk /� _�
Other Date , � / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• e C MST
'CITY O1 TIGARD BUILDING INSPECTION DIVISION • • . Zeg%J % ' G
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G L.
BUP
Date Requested — f AM PM BLD
Location / Z 1 -10 / Qii 4i / C .k ', /( Suite - MEC
Contact Person Ph .2-O 7 '/ 37 PLM
Contractor Ph SWR
UILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
B
&
Post ea
Ext
Post & e rp M I �A�ff �N I
Int Sheath/ ear
Framing
Insulation `��G� �� G R
Drywall Nailing F� 16�+'�•
Fire wall
Fire Sprinkler 4216 LiaC.rNzsziA - NI 1`•116 k/V,Q n c
Fire Alarm �„
Susp'd Ceiling `Y'�
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab Z tl-d,) 4--trZZS2
Top Out
Water Service S L'V CT N C1-1 l
Sanitary Sewer �>
Rain Drains
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
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date I Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
5-- V3 : t •
' ° 'CITY OF TIGARD BUILDING INSPECTION DIVISION ' .
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested L/, z7 AM PM BLD
Location / Z it 0 / SW a G r / Suite MEC
Contact Person Ph ?L9 -cy37 PLM
Contractor Ph SWR
4:10101, re. Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation NI N jS FPS
Ftg Drain ) SGN
Crawl Drain Inspection Notes:
Slab SIT
Post - -
raming
Insulation r te\ ( �1� 1 �C --
Drywall Nailing \ J � �j 7J� � r
Fire wall Zvi Qty
Fire Sprinkler
Fire Alarm
Susp'd Ceiling C fl• 2 ' �-� •I• v JO. . ■
Roof L-a clslu iNl ) ' Ti L1 Th
Final 1
PASS PART IL _ - 1 • WO 41111kP 1
PLUMBING
Post & Beam
Under Slab �� Q.AZ7b tiPc
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 1 l 21 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,_
• • ° :CI* O.I='TIGARD BUILDING INSPECTION DIVISION
r Inspection 9-417 0� • G 2::::._ 1
- 24 -Hou Line: 63 5 Business Line: 639 1
� ` � BuP
Date Requested 4 /i - 1.3 AM PM BLD
Location / 24 / SA 4 "/ CA -e / Suite MEC
Contact Person Ph y– '1 3 7 PLM
Contractor Ph SWR
L1113 Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain /'
Crawl Drain Inspection Notes: c3 T A , SGN
Slab ..1 SIT
'-4,II e.,( d _ G — 6_ `(--
Sheat /Shear �/Y
Ina Framing )4 A _ • ( - _ I , r _ (, _I �� —
Framing G �JL� ' r �/ .�`
Insulation
Drywall Nailing e ( c .
Firewall
Fire Sprinkler �:9: \ V �- i`∎" Z 4
Fire Alarm -
Susp'd Ceiling .P v1/4....t ' S
Roof
Misc: .0 /L-R ' " c.._/ 'f ■...../L/ C "J — c� Q )G
Fin - -
FAIL
i V
Under
4 1 ✓��S
S�
Top Out
Water Service iil s-QJ ►.v ,�• G - L �
Sanitary Sewer
Rain Drains f 9 • ' S/_- (' -,,.Q,g .
F inal C
PART FAIL 0 7 e__ 0 ` 4- �` r. C�
Post &
ough In i -- 4-
Gas Line
Smoke Dampers Q , ::„._,/ 1 .... -1 C (Is - c - -r
F i
PAS PART FAIL G--,/,--t, v-,,,.„: S S 4_ S 7
ELECTRICAL l O 7 I �� 0r �`
Service �'�.� `t ` u
Rough In
UG /Slab l �•
t�T 5 ---t._ "_ � ,(' —.
Low Voltage ■-\
Fire Alarm -11
-
OIL T�) , (� Q (,? ok/. c_ c o r S
SITE PA Final SS PART FAIL tV/ //
Backfill/Grading
__ Co v Lt/� ' !� c.) l . S c e % )
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk - VZ
Other Date 3/ / Inspector C/' E xt� i�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,Siir
'.• OF TIGARD BUILDING INSPECTION DIVISION MST
24 - Hour Inspection Line: 639 -4175 Business Line: 639 1 •
BUP
Date Requested 3- 3 v AM PM BLD
Location / Z lo / $M' 0 id C i 1 0 /1 Suite MEC
Contact Person Ph a09 — tik 77 PLM
Contractor Ph SWR
DOS Tenant/Owner 1/ Av. /241-^ -- ELC
`Ret,'uing Wall ELR
•undati n Access: FPS
g cram SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing l— '�YCL_ r e5:5110 1`'( Q } JETZ
Firewall
Fire Sprinkler . \ _ - • . lsG.
Fire Alarm ..��
Susp'd Ceiling
Roof
Misc:
F iLTI
< PAs) PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D
Other ( Inspector 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection r cord from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��d /�
•24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / Z lit) / 5 w qt. a 11 C/7 • Suite MEC
Contact Person Ph — c e 7 3? PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation r f FPS
Ftg Drain tsC Cr I )/ h / lC,i T� SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear /� � i/ Q / O � l / Cs4y�4 (4
Framin i zs /`yi �.
Insulation
Drywall Nailing 2 ) /` e- C- " Ql'"o cc t.( t., cJvp
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMB
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Ra' . Drains
• • RT FAIL
9 T1". NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk ' Q` /1;1 l E- € other Date Inspect �
y Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
- • " ., CITY OF TIGARD BUILDING INSPECTION DIVISION • d : ' o Q ( • ,
.24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested VI I AM 6 / Z
Location co N6 / 0 I Ct Suite MEC
Contact Person Ph PLM
--
Contractor Ph SWR ,X0 / — 000 3.S
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 1 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
■
Int J 1 `
Framing
hath /Shear Ve___fr(4--- \ ,l, / � (Ve \, S sail S
Drywall \1\ ( C a - ! c -
Drywall Nailing v
Firewall
Fire Sprinkler -,
e l Alarm ^ '� ' , w 'Z , 4
Susp'd Ceiling (1
l e r
Misc: �C
Roof �� LQ
Final
PASS -; F • IL
OP ost & Beam
hintler-fide
(Top Ou$
64,0TaTer Service
OA-Sanitary Sewer
(Rain Drains
Final
PASS PART 0
MECHANICAL
Post & Beam
Rough In a Gas Line e
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service f
Rough In
UG /Slab
Low Voltage 1
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer ,�
Storm Drain [ f: Reinspection fee of $ 6 1 51> required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin L
Fire Supply Line
*lease P lease call for reinspe on : C — .. . `[ ] Unable to inspect - no access
ADA IIV// o
Approach /Sidewalk ) 1-1 6 1 ? A. Other Date 1 Inspector Z Ext 3 9
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY-OF TIGARD BUILDING INSPECTION DIVISION �� �_ U G.w� Z
'24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 II
BUP
Date Requested 5-- "-) AM //S PM BLD
Location / Z Y/ U l S Qu 4 (V Cam-- "< Suite MEC
Contact Person Ph ..20, Cif )7 PLM //,,
Contractor Ph SWR 2C91
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
tg Drain OR/Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear I ^ /I 5 f- �' 9, - 1 / •
Inlatio
Framing � Y t� �J V
Dsyuwalln Nailing 7 I \ , L Q C 5—v---- l' Q
D all � � (�JS `�,
Firewall
Sprinkler
Sprinkler 3 l t
Fire Alarm ],�
Susp'd Ceiling` � w �'v ` • G
Mi c V C / `^'" `�� � e
Final ILA) � _ C _ \)\--(2--43 - �N/l ---;. -
PASS PART FAIL �w`�
i • os & Beam \Q2-ej - � -5'1 4 ' G
Top OLii ervice "1 :9_, .Q, \
0 I
6)4/Sanitary n Drains Sewer 4l J ,,---- ��t/Ri �
Final /'� n �'�-
PASS PART FAIL t �f,��j �j�/ �..` ■
MECHANICAL v t ' ^ �- AA
Post & Beam ) °( ,/' // ��
Rough In CJ^ o �-' - _ Q �-
Gas Line � 1 v
Smoke Dampers _ A V Irv-1-P -
Final ��/L/ ` S \
PASS PART FAIL it fk a /l el < v 6_ e Q � '
ELECTRICAL l
Service s V l p V °
Ro In
UG /Slab l Q, U �-s�
Low Voltage I -
Fire Alarm d .1 j l� Gt/1 c 1 /1/•- ht, % liv`9 -er e--./'■
Final ,�
PASS PART FAIL I �l�Y �,
S
/
ITE 1) IAA ` 1 1-e 5 r kv■ 1 .‘ j 6. A-e--( '
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk /�
Other Date 5 ) 1 9 � Inspector l / Ci` EX 6
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
S,6 • •
•
• " OF 1IGARD BUILDING INSPECTION DIVISION • 0 • / G:c Z'
•24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
=UP
Date Requested � AM PM/
2Z6 BLD
Location / Z ¶1 .Sw 044 i 1 Ch-' -' < Suite MEC
Contact Person Ph vZ' — (/43 7 PLM
Contractor Ph �� 0 /' 0O.3S
SPUILDINa. Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Inspection Notes:
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 01116 i, 40 Framing i r . A 177
Insulation \rQ _ el>
Drywall Nailing j2, �/ I
Fire wall �Ct
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Misc:�/�
ig- 4 //
F
'�� PART - FAIL
4 "
Post & Beam
Under Slab
Top Out 1 11
' er Se • ` 1 � d'
Fina
SS PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilUGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk 1 I
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.