Permit A . CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2001 -00100
11 DEVELOPMENT SERVICES DATE ISSUED: 3/21/01
_.11,1- '�I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15233 SW REGENT TERR PARCEL: 2S111 DA -10500
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 098 JURISDICTION: TIG
REMARKS: S/F Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 726 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 990 sf GARAGE: 431 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 11
VALUE: $ 157,875.00
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,716.00 sf REAR: 17
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: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 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: 3 201 - 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: SIGNAUPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ ampNolt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 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: $ 3,676.21
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP
all other Municipal Code, State work k w Specialty Codes and
12755 SW 69TH AVE #100 12755 SW 69TH AVE #100
TIGARD, OR 97224 • TIGARD, OR 97223 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. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 60563 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 84 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins 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
Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final
Issued By : Permittee Signatur:: -- w
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next bu • mess day
• E- 2 S/ 5"w 82,001 -ocO -
Buil& ,s,/,_--
. A . date received: 31 I I 01 Permit no.:m, 5T.•�DO i—
• City of _ Project/appl.no.: Expire date: �O /oc
CiryofTigard Address: 13125 S Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued : By: 1 Receiptno.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I&2 family: Simple Complex:
TYPE OF PERMIT
eirl & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi -family erNew construction 0 Demolition
Cl Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkledalarm 0 Other:
JOB SITE INFORMATION
Job address: i •■ Bldg. no.: Suite no.:
Lot 6 , Block: Subdivision: ' 4) g,,,L7 WO P • . Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: (. 3 a Z Z q 3 0 ) �Z,
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST'
O /� ( Floodplain ,septiccapacity',solar,etc.)
„ : _ - • 1 & 2 family dwelling:
• State:b ZIP: f7 Valuation of work • $ (5 7c"
Phone: .4.2,0-,•oJb WM.. j Gr) E-mail: No. of bedrooms/baths ÷ 3
Owner's representative: PE& k OLEDhJLI Total number of floors
• Phone: WAD - 'ax: S ,- 00 E -mail: . New dwelling area (sq. ft.) 17l (o
APPLICANT Garage/carport area (sq. ft.) 43 I
Name: . � � • I my, • . Covered porch area (sq. ft.)
Mailing a d, Ga. , —_ � Deck area (sq. ft.)
�tm� tw S � Q - ZIP: - _ r Other structure area ( .. ft.)
CommerciaUlndustrial/multi family:
Phone: ;. 0 c, 'as ' a1' E-mail:
CONTRACTOR Valuation of work $
Business name: Z 10 % �� �L
N Existin bldg. area (sq. ft.)
Address:1,2.7�' ' ew g. area (sq. ft.)
bld
City: a .. - . Stated ' ZIP: T 7aoi. Type
Phone. ; O .'��,'L� ',' j�; i E -mail: of construction
r ya Occupancy group(s): New:
CCB •.. .+
City /metro lie. no.: 7 -_ Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: • , •• . p ,F provisions of ORS 701 and may be required to be licensed in the
j urisdiction where work is being performed. If the applicant is
Address: • exempt from licensing, the following reason applies:
City: d , f • 0 _ State& ZIP: g)_ .
Contact person: A . ,• , 3t ' Plan no.:
Phone:4, 20 %O - d , ,�,� E -mail:
ENGINEER
Name: r i. Contact person: Fees due upon application $
Address: ' • . a • • d /�' o, • Date received:
• �r ' ZIP: 1 74-2 Amount received $
Phone: • .. d,, Fax: E -mail: • Please refer to fee schedule.
I hereby certify I have read and examined this application and the • Not ill judsdKdam map credit ends. please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this o Visa Cl MasterCard
work will be complied•with, whether s • ified he • or not. tit card number: _ pl y
Authorized re: • - l/i /- i ,_.,,,. ii If : a ♦ I Name of cardholder as shown on credit card
Print name: Ad / / Cardholder dime $
Amount
Notice: This permit applicati6n expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (s •aoitOM)
Plumbing Permit Application �,
• . Datereceived: 3) D I 1 0 / Permit no � � OVi
�y° City of Tigard
. .414-1-.! , Sewer permit no.: Building permit no.:
City of Tc a nd Address: 1312 SW Hall Blvd, Tigard, OR 97223
C
Cry ! 8 Phone: (503) 639 -4171 Project/appLno.: Expire date:
Fax: (503) 598 -1960 Date issued: By: I Receiptno.:
•
•
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
1 & 2 family dwelling or accessory 0 Commerciallmdustrial Cl Multi - family ❑ Tenant improvement
blew construction O Addition/alteration/replacement ,.O Food service Cl Other. _
. JOB SITE INFORMATION FEE SCII EDULE (for special information use checklist)
Job address: 16233 S P,f( T" Description Qty. Fee(ea.) Total
Bldg. no.: Suite no.: New 1- and 2 -family dwellings only:
Tax map/tax lot/account no.: (� 1008. formula utility connection)
SFR (1) bath
Lot: ets (Block: I Subdivision: SFR (2) bath
Project name: A i,.. -t .3 Cap Pn0P---- i.- . SFR (3) bath
- City/county: 7 i. q/,rd I Z1P: 71 071.2.4 Each additional bath/kitchen
Description and 14ation work on premises: SlteutWties:. •
Catch basin/atea drain
•
Est. date of completion/mspection: Drywells/leach line/trench drain
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Manufactured home utilities
Business name: Oaf ca .7 Pair. JA Manholes .
Address: p O /3 o A. a DD 7 / _ Rain drain connector
CitY:a)/ ASA0//01 I State:p/ I ZIP: .9 70,.3.) Sanitary sewer (no. lin. ft.)
Phone: GG 7 - / 7 / I Fax: 66 7-V1/ I E -mail: Storm sewer (no. lin. ft.) .
CCB n o . : _ a l , 3 y 7 I Plumb. bus. reg. no: .46.2pyte Water service (no. lin. ft.)
City/metro lie, no.:
Fixture or item:
. Contractor's representative signature: /P #- cn Absorption valve
• Back flow preventer
Print name: e - /)2e o/I Date: • / Backwater valve
CONTACT PERSON Basins/lavatory,
Name: 6 /o t p Clothes washer
Address: pd Bo - 7 Dishwasher
Drinking City: ...t.‘11 State'` • ZIP: . . 35 Ejectors/ (s,
Phone: „ - ; - Fax: E -mail: Expansion tank • .
OWNER Fix • sewer -. ,
Name (print): Le e n al I/6 / LaS Floor drains /floor sinks/hub
Mailing address: / 73 cfL G "1 Garbage disposal
Cit Pa,./- o/1a/ • State: e 41 w. 97.2 cep •
Phone: 4,10 . - m e fe3 I Fax: x! . 78 -A I E- mail: Intercepton'grease trap
Owner installation/residential 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 ORS Cha y 447.
Per Sink(s), basin(s), lays(s) •
Owner's signature: • , e- _ y" -. +-:.. 0 1 . Sump
. ENGINEER Tubs/showedshower pan
Name:
.r , - ; Urinal
Water closet
Address: / 9d 9. t•Ltd #O7/1/1 , water heater .
City: -71. /'„/ I Stater,( I ZIP:T2,2 Other. •
•
Phone: 4i 4 p )Q.1. j {Fax: I E-mail: Total • .
• Na all Jurisdictions accept credit mod+. *MO Call 1 for mere teratmazlerZ Minimum fee $
Notice: This permit application
°V O MasterCard expires if a Plan review (at _ 96) $
Credit card number. t Permit is not obtained State surcharge (8%) .... $
Expires within 180 days after it has be TOTAL $
Nemo of cardholder as town on =Et card accepted as complete.
S
Cardholder signature Amount
440-4616 (6ro01COM)
•
•
PLEASE COMPLETE:
FIXTURES (individual) %; = :; 3 kRty 4 ;Toil
Fixture Type Quantity by Work Performed
Sink 16.60 New Moved Replaced Remov/mm.14 pei
Lavatory 16.60 Sink
Lavatory
Tub or Tub/Shower Comb. 16.60 Tub or Tub/Shower Combination
Shower Only • 16.60 Shower Only
Water Closet . .16.60 Water Closet
- Urinal
Urinal 16.60 Dishwasher
Dishwasher 16.60 Garbage Disposal
Laundry Room Tray
Garbage Disposal 16.60 Washing Machine
Laundry Tray 16.60 Floor Drain/Floor Sink 2'
3 '
Washing Machine 16.60 4•
Floor Drain/Floor Sink 2' 16.60 Water Heater
3' 16.60 Other Fixtures (Specify)
4' 16.60
Water Heater 0 conversion 0 like kind 1 6.60
Gas piping requires a separate mechanical permit.
MFG Home New Water Service 46.40
MFG Home New San/Storm Sewer • 46.40 COMMENTS REGARDING ABOVE:
• Hose Bibs 16.60
Roof Drains 16.60
Drinking Fountain 1 6.60
Other Fixtures (Specify) • 21.75
Sewer -1st 100' • 5 5.00
Sewer - each additional 100' • 46.40 •
Water Service - 1st 100' 55.00
Water Service - each additional 200' 4 6.40 •
Storm & Rain Drain -1st 100' 55.00 •
Storm & Rain Drain - each additional 100' 46.40
•
Commerdal Back Flow Prevention Device • 46.40
•
Residential Beddow Prevention Device' 27.55
Catch Basin 18.60
Insp. of Existing Plumbing or Spedally Requested 72.50 •
Inspections pedhr •
Rain Drain, single family dwelling 65.25
Grease Traps • 16.60
QUANTITY TOTAL
Isometric or riser diagram b required If Quantity Total Is > 9
*SUBTOTAL
8% SURCHARGE
"PLAN REVIEW 25% OF SUBTOTAL , j .1 •
Required only i<fbdure qty. total Is 9 w " ri , .,;n , - :41'=
TOTAL 4.
'Minimum penult fee in 672.50 + 6% surcharge, except Residential BacIdlow Prevention
Device, which in $36.25 + 6% surcharge. •
"Ali New Commercial Buildings require plans w6h Isometric or riser diagram and plan review.
•
Mechanical Permit Application
A Date r eceived: Permit no4A,TJ / - f
,, '4;1yr City of Tigard Project/appl.no.: Expire date:
City o�gard 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: Building permit no.:
TYPE OF PERMIT
1 & 2 family dwelling or accessory 0 Commercial/mdustrial 0 Multi - family 0 Tenant improvement
New construction 0 Addition/alteration /replacement O Other.
.1011 SI I E INFOI1i1A CO1111I:RCI:1L VALUATION SCIIEDULE
. Job address: r 5233 6 Iu - i -- Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.:
Suite no.- value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ •
Lot C (Block: ISubdivisionA a 1A, : *See checklist for important application information and
Project name• Ai , , I jurisdiction's fee schedule for residential permit fee.
City/county: . ,' ZIP: / . 1 & 2 FAMILY DWELLING I'ER\IC[' FII: SCHEDULE
Descriptionandla , �onof work onpremuses: ND COMMERICAL/INDUSTRIAL EQUIPAIEN'fSCIIEDULE
Fee(ea.) Total
Est. date of completion/ inspection: Description Qty. Res.only Res.only
Tenant improveme a r change of use: Air handling Air handling unit CFM .
Is exis' I : space heated or conditioned? 0 Yes 0 No — Air conditioning (site plan required)
Is e ' 1 g space insulated? 0 Yes 0 No Alteration of existing HVAC system
\I[ CIIANICAl. CON I I(.tCFOR Boiler/compressors
State boiler permit no.:
Business name• •
fir'' 1B� HP Tons BTU/H
Address: „7y , r e JOS 1.1) ' Fire/smoke dampers/duct smoke detectors
City: 7a• ao.71 I StenW,P I ZIP: 9721 Heat pump (site plan required)
Phone: 7 .1 Fax: 3 - 769. I E - mail: -1nstalUreplace furnace/burner BTU/H
• o � - 7 Including ductwork/vent liner O Yes 0 No
CCB no.: y/ / 3] Install/replace/relocate heaters -suspended,
City/metro lic. no.: 0 2 7 Ie. - wall, or floor mounted
Name (please print): Dpn CL, . Vent for Hance other than furnace
on:
CONTACT PERSON Absorption units BTU/H
Name: rC . hers HP
HP
Address
• i ,2 ,./.24/7 cr i �Qf r Fa ta exhaust and ventilation:
City: 'Poi' ejvit of • [State:OQ (ZIP: 17.1 Appliance vent _
Phone' -7 Fart 2 E -mail: Dryer exhaust
ms. e
hood fire suppression system
Name: /,.,Q .p 4 ,/ a t Exhaust fan with single duct (bath fans)
• Mailing address: 2 J ' - , ' ft- - Exhaust system appartfrom heating or AC
Fuel piping and di4hibution (up to 4 outlets)
City: AffAggiPAII.MI SUMO ' ZIP: - - - Type: LP(3 ' NG Oil
Phone :.. ,, - -' a rjlm gr gragny2ni E -mail: Fuel . • . ing each additional over 4 outlets
ENGINEEIt . p1 1 ,. .ematicrequired)
Number of outlets
•
. Name: ,. - /r Other listed appliance or equipment:
Address: " - Decorativefireplace
City: • p•7 I
State: ZIP: nsert -
Phone: /off .t p•-r„
I Fax: 1E - mail Woodstove/pelletstove _
—Mier•.
Applicant's signature: l / J , _ , „ - -_ s ' • Lg 01 - R u m
Name (print): peg m„,6 1 - - .
"Not as joriadiedom accept credit cards, .. - cell Jurisdiction tor more Information' Permit fee $
Notice: This permit application Minimum 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
tad 180
late. State surcharge (8%) .... $
Nam of cardholder as shown on credit card $ accepted complete.
TOTAL $
Cardholder signature Amount 440-4617 (6/00/C0M)
Commercial Schedule
1&2 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
Furnace to 100,000 BTU . 1A Mechanical Code
• Cry Price Total
including ducts & vents 955 1 ) Furnace to 100.000 BTU
Including duds & vents 14.00
Furnace > 100,000 BTU 2) Furnace 103,003 BTU+ - •
Including ducts induding duds & vents 1,170 3) Flo Fur & 17.40
including vent • 14.00
floor furnace 4) Suspended heater. wall heater
including vent 955 or floor mounted heater 14.00
suspended heater, wall heater. 5 ) Vent not inducted in appliance permit 6.80
or floor mounted heater 955 6) Repair units 12.15
Check all Vent not induded in appliance permit 445 kerns 'Bomar Air Puumm p Coed My Price Total
Repair units 805 fOOtnotes 1,2 • Com -
7) CHP; absorb unit to
< 3 hp; absort.unit 1001( BTU 14.00
. to 100k BTU 95 5 i 500k absorb unit
3-15 hp; absorb.unit 9)15-30 HP; absorb
• unit .5-1 mil BTU ' 35.00
101k to 500k BTU 1700 10) 3050 HP; absorb
unit 1 -1.75 mil BTU 5220
15-30 hp; absorb.unit 11) 2.50l•IP, abamb unit >1.75 mil BTU
• 501k to 1 mil. BTU 2310 87
12) AB handling unit to 10,000 CFM
30-50 hp; absorb.unit 10.00
1 -1.75 mil. BTU 3400 13) At handling unit 10,000 CM. 1720
> 50 hp; absorb.unit 14) Non-pottaw° eva cooler
10.00
> 1.75 mil. BTU 5725 15) Vent fan connected to a single dud
6.ao
Air handling unit to 10,000 dm 656 16) Veawatlon system not inducted in
appliance Air handling unit > 10,000 dm 1170 1 n Hood serv��thedhanlcal e>d,aust 10.00
•
•
Non-portable evaporate colter 656 10'00
tor) Domestic incinerators
vent fan connected to a single duct 446 17.4o
19) Cortanerdal or Industrial type khdnerator
Vent syst. not Included in appliance permit 656 69.95
Hood served by mechanical exhaust 656 20) Other units. Inducting wood stoves 10.00
Domestic indnerator 1170 21 ) Gas piping one to bra outlets
5.40
Commercial or industral Indnerator 4590 22) More than 4-per outlet (each)
wood stoves, Inserts, etc. 656 t o0
Other unit, Inducting Minimum Permit nee tis2b0 SUBTOTAL i sag'
Gas piping 1-4 outlets 360 • as SURCHARGE Migi
,Each additional outlet 63 PLAN REVIEW 25% OF SUBTOTAL
Re tdred for ALL commercial permits only
TOTAL Maal
. Otlrr wuactlone and Fear:
1. aupedwa outside or ie and coolness hours (mcobasa dome-tan hours)
$7250 per Mrs
2. Inspections for Mich ro lee bepadaogrkdated (minkrean dune-had hour)
$72.50 par Total Valuation Fee 2 w MAW «a+ed try chimes. additions er r *bate((Man=
. duepaane4 Mue) $7250 per aux
'Stab Contractor Bober c eledon mpohed
$ 1 .00 to $5,000.00 Minimum $72.50 •Iteddendel NC inquires iieplan showing praoenuddwit
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
each additional $100.00 or fraction thereoC
to and including $10,000.00
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54
for each additional $100.00 or fraction
thereof to and including $25,000.00 .
•
$25,001.00 to $50,000.00' $379.50 for the first $25,000.00 and $1.45 •
for each additional $100.00 or fraction
thereof; to and including $50,000.00
$50,000.00 and up a $742.00 for the first $50,000.00 and $1.20
•
for each additional $100.00 or fraction
' thereof
•
•
Electrical Permit Application
. A •
Date received: Permit ricA Qd/
"I `.°'► ( City of Tigard
Projtxt/appl. no.: Expire date:
City ofTigard 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
1 & 2 family dwelling or accessory 0 Commercial/ industrial 0 Multi - family 0 Tenant improvement
'New construction 0 Addition/alteration/replacement . 0 Other. 0 Partial
JOB SITE INFORMATION
Job address: 1 52 3 sW R r "TeR.R Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot a ft I Block: I Subdivision: .A 'P CE .) P AIZ 1 C •
Project name: I Description and location of work on premises:
Estimated date of completion/ 'on: •
Job no: Fee Max
Business name: 6 o , e e 17 p e _ Description or Qty. (ea.) Total no. trip
New residential -single Address: .2 ! 7 4 JAG(/ T'P dwelling unit. rocs,
City:,4 to) I Stateo,? 1 ZIP: 9 6 Serviceindadetb
Phone•-/ �j) Fax: �: 1000sq.Rorless • _
i / 4 Each addidonal 500 sq. ft. C , o.: / t.S� fa 1 Elec. bus. lie. no: .:31-30,5"-C Limited energy. residential or portion thereof 2
ity a; , A' • 6'i • , 3 70 Limited energy, non- residential 2
WI'AI�//�' M 0 I Each manufactured home or modular dwelling
- .' supervts ,713 el •eim (required) Data Service and/or feeder 2
Sup. elect name (print): L 4 License no: 3 3-70 S Services or feeders— Installation,
alteration orrelacadom
200 amps or less 2
�,/ {�B fi 201 amps to 400 amps
„p S
Name (print): L 401 amps to 600 amps 2 2
Mailing address: 7 A 7s - s r, f1 w 69 # 4 {01 amps to 1000 amps 2
City: Po04 q.i,/ I State64 ZIP: r"f J�.3 Over 1000 amps or volts 2
Phone: LaO,'da I Fax:s•ja -,Pjed I E -mail: Reconnectonly 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to Installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. 200 or less 2
/� ��/1 O� 201 amps to 400 am 2
Owner's signature: Pe , O 1 401 to 600 s 2
Branch elralta- new, alteration, .
/ C or extension per panel:
Name: /' ,r A L i f e - A. Fee for branch circuits with purchase of
Address: Gy #0.7)30 104 service or feeder fee, each branch circuit 2
C tY ''w• y p f _ / 7r I State I ZIP 9'7 ? B. Fee for branch circuits without purchase
. GG�� of service or feeder fee, first branch circuit 2
Phone: . p7 Fax: E -mail: Each additional branch circuit
PLAN REVIEW (Please check all that apple) Mlle , (Service or feeder not included):
O Service over 225 amps-commercial 0 Health-clue facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&•2 O Hazardous location Each signor outline lighting 2
family dwellings 0 Building over 10,000 square feet fouror Signal circuits) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteradon. or extension* - 2
O Building over three stories 0 Feeders. 400 amps or more so
O Occupant load over 99 persons 0 Manufactured strucwtes or RV part Each additional inspection over the allowable In any of die ahove:
O Egressili8htinillgan O Other: Periospeedon .. I I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other .
Not jurisdictions cc
lons accept credit ends, please all Jmt�edao for more Information. Notice: This permit application Permit fee $
all jurisdictions
O VIsa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
credit card amaber. / / within 180 days after it has been State surcharge (8%) .... $
Expires accepted as complete. - TOTAL $
Name of cardholder as shown oo credit and .
$
Cardholder steams Amamt 440 -4615 (6/00/COM)
•
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
4. Complete Fee Schedule Below: -
Number of inspections per permit allowed Restricted Energy Fee.... „........, „. ...... .............„. $75.00
Service included: Items Cost Total 4' OR ALL SYSTEMS)
4a. Residential - per unit . Check Type of Work Involved:
1000 sq. tL or less $ 147.15 4
Each additional 500 sq. ft. or 0 Audio and Stereo Systems
portion thereof $33.40 1
Lamed Energy $75.00 0 Burglar Alarm
Each Man ifd Home or Modular
Dwelling Service or Feeder _ $90.90 . 2 ❑ Garage Door Opener'
4b. Services or Feeders
Installation, alteration, or relocation 0 Heating, Ventilation and Air Conditioning System'
200 amps or less • $80.30 2
201 amps to 400 amps $106.85 2 0 Vacuum Systems'
401 amps to 600 amps $160.60 . 2
601 amps to 1000 amps $240.60 2 El Other
Over 1000 amps or volts $454.65 2
Reconnect only • $66.85 2 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
4c. Temporary Services or Feeders • '
Installation, alteration, or relocation Fee for each system............................................- $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 .2 Check Type of Work Involved:
Over 600 amps to 1000 volts, • •
•
see 1 '13" above. • El Audio and Stereo Systems
4d. Branch Circuits - •
New. alteration or extension per panel . 0 Boiler Controls
a) The fee for branch circuits
•
with purchase of service or ❑ Clock Systems
• feeder fee.
Each branch drcult $6.65 2 [J Data Telecommunication Installation
b) The fee for branch circuits '
without purchase of service
or feeder fee. E . ' Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit $6.65 0 HVAC
4e' NRseel(aneous 0 Instrumentation •
(Service or feeder not included) - •
Each pump or irrigation circle $53.40
Each sign or outline fighting • $53.40 • D Intercom and Paging Systems
Signal dreuit(s) or a limited energy
panel, alteration or extension $75.00 0 Landscape Irrigation Control'
Minor Labels (10) $125.00 •
• 4f. Each additional inspection over ; Medical
the allowable in any of the above
Per inspection $62.50 0 Nurse Calls -
Per hour $62.50
In Ptant $73.75 0 Outdoor Landscape Lighting' -
5. Fees: D Protective Signaling
5a. Enter total of above fees $ -
8% Surcharge (.08 X total fees) $ 0 Other
Subtotal $
Sb. Enter 25% of One 5a for Number of Systems
Plan Review if required (Sec. 3) $
Subtotal $ • • No licenses are required. licenses are required for all other installation
❑ Trust Account it FEES:
1 Total b alance Due $ ENTER FEES $
8% SURCHARGE (.08 X TOTAL ABOVE) $
TOTAL - . $
•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC •
21785 SW TUALATIN VLY HWY #C
ALOHA, OR 97006 -1249
Electrical Signature Form
Permit #: MST2001 -00100
Date Issued: 3/21/01
Parcel: 25111 DA- 10500. •
Site Address: 15233 SW REGENT TERR
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot: 098
Jurisdiction: TIG
Zoning: R -7
• Remarks: S/F 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:
LEGEND HOMES GARNER ELECTRIC
12755 SW 69TH AVE #100 21785 SW TUALATIN VLY HWY #C
TIGARD, OR 97224 ALOHA, OR 97006-1249
Phone #: Phone #: 503 - 648 -4552
Req #: uC 121159
sup 37075
ELE 34 -305C
AN INK SIGNATURE IS REQUIRED ON THIS FO
Signature of Supervising Electrician. _
•
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY. OF TIGARD BUILDING INSPECTION DIVISION MST 2Z j ' ad jb d
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested - 3 / AM PM BLD
Location / ,SZ 3 F �� MEC
Contact Person Ph 209- 3 ;7 () PLM
Contractor _ �e��?.v��f 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
Roof
Misc:
m
ASS> PART FAIL
1:11 BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Damp: PAF AIL
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 7 �/— O inspector
Other nspecor Ext
x
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
; .CITY OF TIGARD BUILDING INSPECTION DIVISION
MST vZ oU 1- --OV l D
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 - 30 AM PM BLD
Location / S Z 3 3 Tri/VISuite MEC
Contact Person Ph J` 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
Int Sheath /Shear
Framing mod/ XIF�/J 7)4 G-L A
Insulation
Drywall Nailing Ji°/°A'zr 14-7 ( GPteR
Firewall
Fire Sprinkler �' 3 5u PFb R•r 1.4 Q ( auJ
Fire Alarm
Susp'd Ceiling . C/ g �t7:4 S c3' AWL /S.LS
Roof
Misc: ����%� \IAdazt._ /7 !44 h I�t��l 0
istri
PASS PART AIL
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
- ASS PART i _
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 7— Inspector Ext
��
Other ns p ecor x
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
(, _ClTY.OF TIGARD BUILDING INSPECTION DIVISION
MST �_pD0 -0If) U
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7- u AM PM BLD
Location (5 Z 3 > S• .r y Suite MEC
Contact Person Ph 2?--.13 70 PLM
Contractor Ph SWR
UILDI Tenant/Owner ELC
Retain' Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: r
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing '�� . • I 7
Insulation ^
Drywall Nailing `�- p A ca VA -"4 C� liAe�3,•.: /Z)
Firewall
Fire Sprinkler fty +C. nerriq
Fire Alarm
Susp'd Ceiling S u,ol✓aa r / - 1 E x 1 - 7 — .crs @ C:jz J L .
Roof
u het5 rS.e YA ✓aA i-
Final
ASS PART 1AP A/.517 : =C�
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
� S PART
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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.
3.37,
„_.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST o AO u
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
-7 BUP
Date Requested 7-2- AM PM BLD
Location /r 3 2 564) .1 Suite MEC
Contact Person // Ph S09- 337v 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 / • , ? ' ,' .n . f 7 Q J �/ Via u S•Q.- - 7 - ea. I ... re. J `�
Insulation � X77 +/77-2,
) / /^
Drywall Nailing / l S '2�- <<► q � J l Or ,n Qom,
Firewall — Cu i f-Q �U
Fire Sprinkler P /LA
Fire Alarm T
Susp'd Ceiling �,,,��� 41y C'.,0(p , L h S °"c, f —' 15 3 3 6 '4L
Roof C,"7.
Misc: /7'N
Final
PASS PART FAIL e � l /�r"`L* Gt �►'�'� G 7 �rr��,, � O
d rag? h k e - t / in o Aft ss°-- Qe-wr p 1/2 Q S -
Post & Beam
Under Slab
Top Out
Water Service G/
Sanitary Sewer
Rain Drags
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
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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
Other oach /Sidewalk Date 2� / Inspector 7// / l f;7
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
. / /,5fP-
•. Y CIT OF TIGARD BUILDING INSPECTION DIVISION MST �i� /- � U /�•d
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested I AM PM BLD
Location / S Z- 3 3 5 avv- Suite MEC
Contact Person Ph .fr � Z� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain 'a ( -10d SGN
Crawl Drain Trispettion Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear / nn �7
Framing (` T-avi,. C.-T n d - f- 014 µ S -e
Drywall on g :-� 'Rd y h i 1 -./- c i ��,
D all Nailin /`
Firewall
Fire Sprinkler 4 2) 72,e. TS G �� v e— -eu K q
Fire Alarm 1�
Susp'd Ceiling Up s f 'a`I"S /�.� /
Roof
Misc: �,
Final
PASS PART FAIL Gut'etc. la" A/a "" `�.--e-
LUMIBI
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
n Drains
Fin
ASS PART AIL
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 Dat ��42� Inspector /' / � ` � A • Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.,,. GIST( OF TIGARD BUILDING INSPECTION DIVISION MST ?P/_o/G v
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
7—i BUP
Date Requested i 2 AM PM BLD
Location /) 2. 33 Sw A TGrV Suite MEC 5
Contact Person Ph ' —0 f Z,) 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
Roof ���� / ,1 r,
Misc: / �� lJ \
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
ile
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
EL E L
Service
Rough In
UG /Slab
Low Voltage
..F e • - 1 u
�� • ' • T FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pa at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: AP Unable to inspect - no access
ADA
Approach /Sidewalk O ,, /
Other Date 7 Insp ec t or iii _ //� _ ._ E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,CITY. OF TIGARD BUILDING INSPECTION DIVISION • " Mss /-:GO /DU
■ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 7 ' AM PM BLD
Location /5Z 33 5 i✓ ,Riy Al" , ✓ Suite MEC
Contact Person �/ Ph Sr, aft.) PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ? I- ebtinnol
Crawl Drain IndOction Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear /' � � f^ Oilvfi t,.r �4 i
Framing .-��' 44 i � !�I f �/�' � d�
Insulation /�
Drywall Nailing ! �°?� ( �� C Or H r ''tom
Firewall j� C ./
Fire Sprinkler ear 14.
Fire Alarm „,(' J(� �(
Susp'd Ceiling ���� V 11-Q- NQ !'l �`-e / Y�l `e l c/ C
Roof
Misc: t G t .Q S / r 1 4 -e / l / C c, ✓ r90 .t /.
1
Final �� / ??3 � �D I oY t � S c cc/ C
PASS PART F �L 1�-�1
Post & Beam �� D 1 ” e l! �r �� e t J cc, S S/l 4 c Under Slab
Top Out /4i JAe :I; /
Water Service � i�o 1/! i ^t_ s P-
Sanitary Sewer
Rain Drains Sv_rz 1'1077,
ray
SASS PART AIL
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 /
Other oach /Sidewalk Date / 2,- e / Inspector / Z.e7;7 ' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
f -e -
WOF TIG ARD BUILDING INSPECTION DIVISION MST 2 / - "
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested $ 3a AM PM BLD
Location / 5-1 33 J&. e J Suite MEC
Contact Person / <',✓• Ph 5 Z O q Z 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
Roof
Misc:
Final
PASS PART FAIL MICA � PLUMBING =NEW@
Post & Beam , v
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
SIT
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 ''� aa
ppro ch /Sidewal c Date 5- 7 ).10 A4 M t'< - k) Ext " t 7
PAS . PART FAIL DO NOT REMOVE this inspection record from the job site.
• •
i'N bF TIGARD BUILDING INSPECTION DIVISION MST ,e2o/ ° %U •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ` if AM PM BLD
Location /S - 3 3 S .67 - r... y ✓ Suite MEC
Contact Person / Ph Zo ?- 3 7 7 v PLM
Contractor Ph SWR
HBO D P Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
1 Int Sheath /Shear
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
RT FAIL
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 D ate S =/ - 9/ Inspector Other P Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• V
—€ITYtOF TIGARD BUILDING INSPECTION DIVISION MST 5 /—G6 ?6
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / )2325 Sw 72-et 7 v - Suite MEC
Contact Person Ph Z.1 -- 3 7 70 PLM
Contractor Ph SWR
GailLathia 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
r n -6 //44L CE.4cl/ Si /<< Jo lc r AWi Cc
Insulation
Drywall Nailing ( A./4 471i.0 ( ' Lv / Z/11A/1 ( (: A l/.a -S�
Firewall
Fire Sprinkler 't 3 , � = 4 ; - { I c= 64c
Fire Alarm
Susp'd Ceiling dge - _i • - �� �. = ••�
Roof
Misc: cLe■/ZA wi C
Final
PASS PART `) CAS •" P /A-z r �7
PLUMBING
At ,, ! ---rx 59 .7 4!7 D
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
ou
Smoke Dampers
Final
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 5 Inspector /f Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L
y � • •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST _ v)e;g.
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5- 'I ) AM v PM BLD
Location R-f e, T Suite MEC
Contact Person / Ph .207 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 A l° Y L-') C e
Roof
Misc: '� �� •
Final 1--A / / /
PASS PART FAIL -C J 1/) c
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
- oug
• a.
ow o a
Fire Alarm
F
• _ 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 L _
Approach/Sidewalk Date (/ �/ ,1) / Inspector E
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L
•
•
`,,,,a1TI(OF TIGARD BUILDING INSPECTION DIVISION MST � i •
-� '��v
• ' 24 -Hotir Inspection Line: 639 -4175 Business Line: 639 -4171
BUP '
Date Requested 5 AM PM BLD
Location / Z 33 5 /27 Suite MEC
Contact Person Ph 6O /79/ 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
Roof
Misc:
Final
PASS
�'�PART FAIL
c
Post & Beam
Under er Slab - 0 [ U (
Weser Service
Sanitary Sewer
Rain Drains
F' I -
PASS PART FAIL
M CHANICAL
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 �' 0011 S-/- Oth /Sidewalk Date ,' rf " Inspector 94F EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• .CLTY• OF TIGARD BUILDING INSPECTION DIVISION MST . 070/ ; 2 /O
24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
Date Requested 5.-7 AM PM BLD
Location I Z 3 3 5 ' ra t R-e / ✓✓ Suite MEC
Contact Person Ph 7_ / 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: 4 & Cal u
Foundation FPS
Ftg Drain - S 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:
Final
PASS PART FAIL
API LIM B�I£
Post & Beam
Under Slab /�
Water /VG S C..r v// f /f 'f� .4
Sanitary Sewer
Rain Drains
Final e tl i fffi N
PASS //ajar (FAIL
MECHA 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 DO Z e
Approach/Sidewalk - t.0 --o/
Other Date . � . Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
: OILY OF TrGARD BUILDING INSPECTION DIVISION
• MST --.1d0/' -'bU/ G •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP _
Date Requested 5 AM v PM BLD
Location / I2 3 3 540 R.40, 44,1 T-.t' Suite MEC
Contact Person / Ph Z.7- 3 3 70 PLM
Contractor Ph SWR
UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
/2
Int Sheath /Shear
Framing /Atirjf7Li cdepa Gv44-4.. n a 0,4sdA.c .= PA-Z-6 e uc
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMB1N%
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
Other Date /--o, Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
TrGARD BUILDING INSPECTION DIVISION MST - - G { ;,
24 -H Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1 7 1 - Z-7 AM PM BLD
location / .> 2 — 3' S 4/ Raja, t y ' -�-,�✓ Suite MEC
Contact Person Ph . 3 3 7!J 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
Int Sheath /Shear
Framing t2 a)/4.47 5',46471_ c-'4 e"1 e v/Z
Insulation
Drywall Nailing d2 /vri -!L, . 5VE z ScA ' tiLc.s -
Firewall
Fire Sprinkler . 3 // cam
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART
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
Other Date 7 —4/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE .this inspection record from the job site.
I
... TIGARD BUILDING INSPECTION DIVISION 1c.)
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP •
Date Requested 11-- '( AM r PM BLD
Location /3 3 2P f Qw J J- ' Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
D Tenant/Owner ELC
II ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
ost & Be
Bath /Shear
Int She /Shear �
Framing & 'f2o r�b - w, 71.1
Insulation
Drywall Nailing `Z A44/ g— — w lid -ra Gfd /7 Se u • l 1/ s)
Firewall
Fire Sprinkler ka . "p -
Fire Alarm
Susp'd Ceiling r Ao/? i ";cam
Roof
Misc: 1'—r2 - '- Clri,Z
Final
PART FAIL •
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
A�SPART FAIL
Rough In
Gas Line
Smoke pampers
�P►S 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 Z_/, L — d
Other Date / / I nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CIT TeGARD BUILDING INSPECTION DIVISION •err /�G p f p
24 -Hour Inspection Line: 639 -4175 Business Line: 639 17 S
Date Requested q. 3 AM PM BLD
Location Li -1 - 3 3 g`-' Suite MEC
Contact Person Ph 2 / 7 S/ 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
Roof \(
Misc:
Final
PASS PART FAIL • ` 6
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fin
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
Otheoach /Sidewalk Date k/ 7 � \ Inspector C- xt k
E 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.3-77
.CITV.OF T��GARD BUILDING INSPECTION DIVISION M ,/ /a�• • • 24- F i b u ST r'inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1' -3 AM PM BLD r.
Location /,-Z 73 514. f e f 1' '' ' ' Suite MEC
Contact Person Ph 2 /7 .0 r 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
Roof
Misc:
Final
PASS PART FAIL_
o . er Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
F'
PART FAIL
� .-/. ICAL
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 �, U
Approach /Sidewalk / 1
Other Date I nspec I tor E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
TIGARD BUILDING INSPECTION DIVISION �G�_G /ov
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3- 2 -y AM PM BLD
Location /5 3 3 ,.Sw /�- e>'�.•.� 7" ✓✓ Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
�UIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
ost &
eath /Shear
Int Sheath /Shear
Framing ( iveUp c- A- 10%,e- r
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART (AZ.
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ANIC
st & Beam
oug In
Gas Line
Smoke Dampers
Final
PASS PART
ELECTRICAL 110
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 A ADA
Approach /Sidewalk 2-1— D/
Other Date 7 — Inspector Ex
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.
. Ca-C2 • . .
•
• • CI •UP TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• Date Requested 3 ' Z� AM I- PM ' BL
P
Location /57 )3 Suite ME
Contact Person Ph PLM
Contractor Ph SWR
CBUI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Inspection Notes: SGN
ab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
A PART FAIL
MBING
Post & Beam
Under Slab
Top Ou
.ni .. . -r
Fi�
PART FAIL
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: _`) [ I Unable to inspect - no access
ADA
Approach/Sidewalk •
1 ,,
r E
Other Date I� (, J 1 \ Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
' ` CItY9F TIGARD BUILDING INSPECTION DIVISION •
MST Ze 1/ !i
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested 3- Z G AM PM BLD
Location 15 - 33 S w Ae Suite MEC
Contact Person Ph 7'b /Z 7 / PLM
Contractor Ph SWR
Tenant/Owner Gw�- � - /;,3 0 ELC
Retaining Wall ELR
Footing Access:
aounclatets 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:
Fin
fiASY 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 el/ ns ec
Date — !' � Inspector E
Other P
Final
PASS PART FAIL- DO NOT REMOVE this inspection record from the job site.
'CITY'OF TIGARD BUILDING INSPECTION DIVISION •MST / -aujot)
24 -Hour Inspection Line: 4 39 -4175 Business Line: 639 -4171
BUP
Date Requested cY Z 3 AM PM BLD
Location / s Z 3 3 .54/ / y..1 Suite MEC
Contact Person Ph /t 2/ PLM
Contractor Ph SWR
Tenant/Owner %6'— t '''� f ;'3 U ELC
Retaining Wall ELR
dation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing o
Drywall on
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Ro
Mis .
al
PA PART FAIL
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 [ I 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 1//'/e Inspector / ` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.