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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00182 41 I DEVELOPMENT SERVICES DATE ISSUED: 7/14/2004 ' " '�I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09315 SW SATTLER ST PARCEL: 2S111 DB -KE015 SUBDIVISION: KESSLER ESTATES ZONING: R BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: BVH3465 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,455 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2.010 sf GARAGE: 655 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRB sf RIGHT: 5 VALUE: 337,410.50 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,465 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 400 amp: 201 • 400 amp: 1st W/O SVOFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & 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 6 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,908.64 This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES Tigard Municipal Code, State Aof ll l wo work wil b o ne i n 6932 SW MACADAM #C 6932 SW MACADAM SUITE C and all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 443 - 6033 Phone: 503 443 - 6033 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 152235 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing InsF Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Wat - • ervice Insp : ilding Final / Issued By : P ermittee Signature : 1 ♦ . l ..' Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne ! busi ess • ay Building Permit Application Received/ FOR OFFICE USE ONLY Dae/B i. DV Permit � l�� O ?/,- Permit No.: City g of Tigard Planning • ppro I Date/B Other Permit No 'C �(aOD - ?JD / '7 13125 SW Hall Blvd. RE I V Plan Review Other Tigard, Oregon 97223 Date/B : A, t/ 7- 7 —ot Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 ,, ' ''' `N t I ' Post - Review Land Use Internet: www.ci.tigard.or.us j I 1 Date/B : Case No. Contact � See Page 2 for 24 -hour Inspection Request: 503 -4 t4i1OF TIGAh 1 Name/Method: In Su ..lemental Information BUILDING DIVISION - ... REQUIRED DATA: .:•-..: ;'• . u New construction ❑ Demolition 1 & 2 FAM[LY : :, ': : ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION • Note: Permit fees* are based on the total value of the work performed. Indicate © 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, E overhead and profit for the work indicated on this application. Accessory Building ❑ Multi- Family E Master Builder ❑ Other: Valuation $ . JOB SITE INFORMATION andLgCATION No. of bedrooms: 5 No. of baths:Z`r Job site address: q3Js-' 914/ 5o%Wer s—k Total number of fr rs .. . Suite #: Bldg. /Apt. #: New dwelling area (sq. ft.)2.. . Garage/carport area (sq. ft.)... . Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: ' •CO MMERCIAL` -USE CHECKLIST :t Subdivision: (..if I I Lot #: /s . . . -.. Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate • DESCRIPTION OF WORK • the value (rounded to the nearest dollar) of all equipment, materials, labor, NEW CONSTRUCTION — SINGLE FAMILY RES , overhead and profit for the work indicated on this application. DEATACHED RESIDENCE Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories ® PROPERTY OWNER • 1 Q TENANT - . • Type of construction Name: Buena Vista Custom Homes Occupancy group(s): Existing: Address: 6932 SW Macadam Ave. Ste C New. - City /State /Zip: Portland, OR 97219 Phone: 503-443-6033 Fax: 5 0 3- 4 4 3 - 2 4 4 3 NOTICE: All contractors and subcontractors are required to be 0 APPLICANT �} CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: El iabeth Moore from licensing, the following reason applies: Address: City /State /Zip: Phone: I Fax: . .. .. ..... -.. . • E -mail: `BUILDINC.PERMITFEES +. - - CONTRACTOR Pleaserefer'to feeschedule. ': • Business Name: Buena VIsta Custom Homes Fees due upon application S Address: 6932 SW Macadam Ave. Ste C City /State /Zip: Portland, OR 97219 Amount received S Phone: 503- 443 -6033 I Fax:503- 443 -2443 Date received: CCB Lic. #: 152235 Authorized /� .. _ Signature: 3' t J' Date: Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. •Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \B1dgPermitApp.doc 01/03 • • One- and Two-Family Dwelling Building Permit Application Checklist Reference no.: City of Tigard City of Tigard Associated permits: Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Electrical O Plumbing 0 Mechanical Phone: (503) 639 -4171 O Other: Fax: (503) 598 -1960 1 FOLLOWING ITEMS ARE REQE 1RED FOR PLAN REVIEW 1'es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control 0 plan 0 permit required: Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot area; building coverage area; percentage of coverage; impervious area; existing :structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. , , 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing,such as floor beams, headers, joists, sub - floor, wall construction, roof construction.. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. .1l:RISDI("fION SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 11 0. 4 614 (6roo/COM1) 03/04/2004 16:26 5032537693 SUN GLOW INC PAGE 02 % t M echani c al Permi4) City tailfitnon Received Mechanical /. / �. ,�L 1 C/ of Tigard Planning Approved Building • V i- DatelSy: PeemitNo.: 13125 SW Hall Blvd. \ @'`: • �- " Plan Preview O uter Tigard, Oregon 97223 0 • MOST. PatnitNo.: Phone: 503 -639 -4171 Fax 503-598.190 6 Post- Review Land Use . Internet: www.ci.tigard.or.us \\,,\" _ t� p -• - Comet kris.: see Page 1 for 24 -hour Inspection Request: 503. 639 -4 I I ® S iplemeeal lolbrmatioe. • • . . 1' r ,.. 1 -; ..: • E OFWORIC• � 5 .2P`e•: 42. ;.:,.,a:.''p: •• .r•ei C01411636RC1 ,'1►EE±SCBEDIILE' ;••••.:,..• • If New construction ■ Demolition Mechanical permit fees' are based on the total value of the work •- performed. Indicate the value (rounded to the nearest dollar) of all �■ Addition/alteration/replacement .4. ,O • Other: mechanical materials, equipment, labor. overhead and profit r4 1 & 2-Family dwell :_ • Comenercia Value•. S See Page 2 for Fee Schedule � � � • . . B uildin Multi Famil R ES h... � _,� J : 1 ., . -14 1.• MP! : : � .1( � >� Acce890tY ��� _ Damien Qtr Feelea.) t dotal LM Master' Builder I 1 1 Other: Beata /Cooling - • ,JO : ME > 'ORMAT[ON and LOCATION ••- .. •: . • Furnace • add air condit nieg *' I4.0� Job site address: Gas heat • 14 14.01) r Suite #: f B1dR.lA.pt. #: Duct work 14.00 Hydronic hot water system PL0'ect Name: Residential boiler Cross street/Directions to job site: for radiator or h . tunic system) 14.00 Unit heaters (fuel, not electric) (in wall, induct, suspended etc.) 14.00 Flue/vent (for any of above) 10.00 Subdivision: Lot #: R • air units 12.15 Tax , - • arcel #: Water heater 10.00 . • ' • •• DES 0: I • (ON ' F • • • RK „ • . • Cat fireplace _ 10.00 NEW CONSTRU • - SI ' GL " F • I .., • Flue vent Niter heater/ fi • e) 10.00 Log lighter (Ran 10.00 DETACHED RESIDENCE Wood/Pellet stove 10.00 Wood • - • lace/insert 10.00 . Chirrnefiner /tlite/vent 1111 10.00 — �;'' : ; ;Y' Other. 10.00 - mr, ' - PER'i'Y'O' : ": 7 . ....14 1�3a : $NAIi6IF ara• . eatironmenta exhaust& VentilaCioa Name: B , ; ' s . , .. Range hood /other kitchen equipment 10.00 Address: 6 7 _ SW Mac . _ - . ++ _,_v - S - C Clothes dryer exhaust — 10.00 Ci /State /Zi•: Portland OR 9721 9 Single duct exhaust Phone . _ . • _ . e Fax: s - , • - (bathrooms, toilet compartments, 1 is •'•LICANT • ... .' IIC7•CONT . • ' x'. "N •''•• will rooms • 6.50 1•1010: 10.00 a�: David Golobay Other 1 to.o0 Address: Fad . City/State/Zip: ' *('SSAo for first 4.5'1.00 lath additional Fumes tc. � P* Phone: Fax: Gas heat iu,• r .. E -mail: walvsue • ended/unit heater NOMUUMMI CO CTOR • • . '..• .. Water heater Business Name: _ _ . .. t . Fireplace . WM Address:2428 SE 105th Ave . BSQ Ci State/Zi• :Port land , OR 97216 Clothes • er R1 we =I Fax:503 -25 - • d ". otter: " pholae:503 253 -7789 — Total CCB Lic. #: 481 3 1 Mabasica Permit Fees" _ Authorized ! • Subtotal: 5 Signature : �Ze�1 _ Date: 2 I.t Minimum Permit Fee 57150 S David Golo S (Please print name) TOTAl- omit •e E S NotIee: This permit application expires If a permit is not obtained within .. *Fee e t h o s olo y set r ' ea b A/C Building Industry Service Board. 180 datys after it has been meowed as =replete. iA l7stt \?crmitParmu%MecPecmitApp.doa 0143 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: TOTAL VALUATION: PERMIT FEE: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,001.00 and up $1,396.50 for the first 5100,000.000 and $1.10 for each additional $100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. I:tBulidingTermit Fomrs MecPermltAppPg2 09-01 -03.doc • 03/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY • BUENNA VISTA Z 002/003 i Plumbing Permit A �on Received eluretb,ttg ,/ Date/Ely: Perim! No T ao y- a /hi Sewer City of Tigard a.° , � cOOw �� ___ Approval Permit No.: 13125 SW Hall Blvd. '� - Plan Review Outer Tigard, Oregon 97223 \% -( % C 1 ' O Dete/By: Permlt Phone: 503- 639 -4171 Fax: 503 - 598 1.9 � (O • Post-Ravi ew lead Use "\ ` '` ' .. I 1 Date/Hy: die No.: Internet www.ci.tigard.or.us G \ t� \� i J. J 1 Contact luris; - ® See Page 2 for 24 -hour Inspection Request: 503439 -VW - • - Nsme/Methoe: Suvvlomaom infermatloa .. _TI EOB. � ' _ `°',• - � `" - .. , FT.VSCRI DIJLE• of fol -' •• in 'Toli�Me , ,..,. y, New construction Dem olition Desert • lion Qtr•7 Total he p r, Addition /elterationtacetnent [ Othe • • . •: 'r d y V f y �. ,it,felli T ' ; � r .' �'• � *. . " r,... '. ;. , �I�E�sO' R}YZ��".�_ ': , ' ' •'' ..... •. ,'i0eI0 • /me �r I�'Eb:bA�QtY�0pt�0eC�0�•w: 0,.. t .: '"'! SFR 1 bath 249.20 - 1 & 2 - Famil dwellin fl Commercial/Industrial SFR (2) bath 350.00 Accessory Building al Multi- FajnllY SFR 3 bath 399.00 Master Builder , Other: Each additional bath/kitchen 45.00 11OB SrrE At1 Ont&TIOP andFLowitrlON _' ^ . Fire sprinkler - so. ft.: PaKe 2 Job site address: •• ` - :. • • . A Site. Vtilltiee • • ,;'.w, ••;':.:,M..1: 7. . •_ . _ - Suite #: I Bldg./AWN: Catch basin/area drain 1...0 Project Name: — b ell/leaeh line trench drain 16.60 Footing drain (no. lines( ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 • Manholes 16.60 • Rain drain connector 16.60 sanitary sewer_(no. linear ft.) Page 2 Subdivision: I Lot #: Storm sewer (no. linear ft.) Poe 2 Tax map/parcel I±<: Water service (no. linear R.) Page 2 _ . , ' . . Fixture or Item R '' • h DESCRIPTION WORK • ' Absorption valve 16.60. NF.,K„ — SINGLE FAMILY ---- Backflowprevcnter _ Pane FAMILY DETACHED RESIDENCE Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 7 PROPERT VOWNFdt ,:Tf, MI • • Ain • .... _ :. - Electors/sump 16.60 Name: Buena Vista Custom How BxpansiFi tank 16.60 Address: 6 9 3 2 SW t(ata am _Aim - s t P _ c , Fixture/sewer cap 16.60 City/State/Zi . Portland , OR 9721 9 Floor drain/floor sittltlhub 16,60 • Garba dis • • sal 16.60 Phone: 503-443-6033 Fax: 5030443 -2443 Hose bib M 1640 APPLICANT :' CQE ACIV1 4N ' • ice maker 16.60 ' Name: Ra Mu llen Interceptor /tease ciao 16.60 Address: _Medical gas • value: S Page 2 Primer 16.60 Ci /State/Zl : Roof drain (commercial) 16.60 Phone: Fax: Sink/basin/lavatorY 16.60 E -mail: Tub /shower/ohower_patt 16.60 s; : •: EOI�I'1]EIACTOR _ Urinal 16.60 .. -- - Water closet ' 16 _ Business Name: ED Mullen Plumbi.na Water beam - 16.60 r Address: 24470 SW Rainbow Lane Other: City /State/Zip: Hi l pbers, g R Q 71 7 a, • Other. , Phone: 0 — 6 2 8 —1 I ax: _ _ - .. ., . Plurabtettecmle lei• ''': • Subtotal S CCB Lic. #: • 9 6 R 9 Plumb. Lio. #: - - 0 - : •' — Minimum Permit Fee S72.50 S I —' Authorized / Residential Back low Minimum F1036.25 Signature: ✓ A ....1./ ''` � � Plan Review9596 of Permit Fee) S Ray ul en State Surcharge (896 of Permit Fee) , S (Please print name) TOTAL PERMIT FEE S Moslem The permit application _ tion expires If a permit is not obtained within • act now commercial buildings require 2 sets of with isometric or ISO days atter it hat been accepted ss complete. riser diagram for plan review. , Fee methodology set by Tri County Building Industry Service Board. i :iDsts■Pertnit ForrtualmPermhApo.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: " Site Utilities Qty. Fee (ea) c.Total, Square Footage: Permit Fee: Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2.001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55 7.201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $ 10,000.00 $72.50 for the first $5,000.00 and $1.52 for each • Fl:titie ocltetn ': F ea , .Total ; additional $100.00 or fraction thereof, to and • - - • "' ee ( r including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to requested ins ctions - and including $50,000.00. specially inspections per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. . Quantity .by(Fixture),WorkPerfoimed -.: Comments regarding fixture work: Fixture Typei - Rep4 . New .. . Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial • - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" Car Wash Drain Garbage Domestic *Note: If the fixture work under this permit results in an Disposal - Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach. /Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial • - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:tDsts\Permit Forms\PlmPermitAppPg2.doc 01/03 03/04/2004 15:11 5036425815 ROSS ELECTRIC INC PAGE 02 u , • • Electrical Permit Ap ication Received Electrical DaouBY: Pennfc No.: fl b7 g 1) ' DO • �1 PIanning Approval Si gn City o Tigard G � Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 972 ti � z Q. O Date/By: Permit No.: Phone: 503- 639 -4171 ax: 0;598 -- V6' \ Post•Review land use Internet: www.ci.tigard.or.us' Os 'C ' I i l l onta t Case No.. 24 -hour Inspection Request: 503A:39-075 N Name/Method: 1uris.: I Su See Page r G O\ So�uptemeetal Information. jie . •.....:• ° .-. .:TYPE'OFWORK ••' • •..•_ • :• :..; .:• .•.• ,P NREVIEW:tPleaseehtikarthat;'.. New construction Demolition ❑ Service over 225 amps- 0 Health-cam facility 111 n Addition/alteration Other: COmmercial ❑ Haaardous location a �- ❑ Service over 320 amps-rating of ❑ Building over 10.000 square feet. . • •.• _ • CATEFsOBYoF 'COl'4S>FRI1G'EIO>tf. - 1 & 2 family dwellings foto. or more rr:aidcntial units in A' & 2- Family dwelling El Commercial/Industrial ❑ s over 600 volts nominal one strut tune • Accessory Buildint 8 Multi- Family ❑Building over three stories ❑Feeders, amps or 'nom CI load over 99 persons ❑ Manufactured d savctures or RV park ,J Master Builder Other: ❑ Egress/lighting plan ❑ Other: :: ;1OBSiTE INFORMAWION`iui LQCh"1'jON • • ` Submit seta of plans with any of the above. Job site to address: The above are not applicable to temporary construction service, Suite Bldg. /Apt.# .. 'F. .. r..al :;x, •: :.; , ::: f.,:..,. _- :.� :.. -•;•. Number of inspeceloas per permit allowed Project Name: Description Qty Fee (ea.) Total 1 Cross street/Directions to job site: New resideattal4htgle or mold-family per dwelling unit. includes attached prep. Service Incleded: 1000 sq. R. or less 145.15 4 Eaeh additional 500 sq. It or portion thereof 33,40 1 Subdivision: 1"0t #: Limited crier , residential 75.00 2 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling ..' • Services car feeders - tnstalltttlee, • • 1 . • ;DE • N•orwoRx t • ::. . • service and/or feeder 90.90 2 ' �ew GOl154Yt L' S S /1)/t-- r /)11 �I �. iv alteration orreIoeatbn- .* B tGhed '>i den c — - 200 amps or leas 80.30 2 201 amps to 400 amps 106.85 2 ante 240.60 2 401 amps to 600 amps 160.60 2 ;A RTY OWNER :: 1_, 'EE1 , . " 601 amos to 1000 Name: ,l en a - 1 S 1 cam Gu S 01'1 I • y1(I� J .— Reconnect MOO o nly or volts _ aso.6s 2 t Iteeonrtect only 66.85 2 Address: l 0 q 3.g.. 5 6/1 a(.._. ". J Ay(', 44.4 Temporary services or feeders - installation. /Zi' : pot -{-(� 0 ' 1g/9 alteration, le relocation: City /State 4:45', / 200 amps or teas 66.85 1 Phan, • 3- Fax ire ; 3 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 ' 2 • i l :: •. ' • C • '• . • .111 : 1 . s N' . • Branch circuits •sew, alteration, or Name: €k ✓Q- / • SS extension per panel: Address: A. Fos for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City / State/Zip: B. Fee for branch circuits without purchase of service or feeder fee, first breneh circuit 46.85 2 Phone: 7 Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included); 1. . • • :. Each ptmdp or irrigation circle 53.40 2 Each s or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: j ors alteration, or extension Page 2 2 7o 5 cJ Deaa;ptiem Address: S raT #��3 City /State/Zip: N'111 S 4,C tO D e3'' j 2.3 Each additional inspection over the allowable In an of the above: Per inspection per hour (min. 1 has) 62.50 Phone :. t.3 (o'/Z Z300 Fax :e5v3 (42_5-5,s- investigation fee. CCB Lie. #: t S7d9 / Lie. #: 3 3`e. . 0 ther Supervising electrici : `; :: - ;',._ : " X si& nature required' Plan Review (25% of Permit ✓' — mit Subtotal Pee) $ mi Fee) $ 1 Print Name: S j-Vic i ?OSSI Lic. #: yZ3as State Surcharge (sib of Permit Fee) MIT S Authorized TOTAL PER FEE �S Notice: This permit application expires If a permit is not obtained within Signature: Date: 180 days seer it has been accepted as complete. •Foe methodology set by Tri- County Building industry Service Board. (Please print name) — 1:1Dste \Permit FonnsiElcPermitApp.doc 01/03 //4 s7 - acro ii. -C7 2_ 1 kAA ALSOA AAA AAAAAAAAAAAAAAAA AA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA for ® ► 11 is. 1 ► T E �� TI�I�A'I`I 4N Al its S TREET ► F ' t. Is t, x ® I, Gt. , / d , a 6 ner/ for OA- t `I_ V tJ / /� A (PLEASE PRINT) (PERMIT HOLDER) , a A 'F r ® ,, ► !to- 1 1. s A Do hereb f "`' 1 '' .7 : '3( i location ® , 1 m eets C traf 7 a d/ : ' ; `' ' on ounty I .4�.-y' wewr s=,... y xY.�yrar vsv.- +or:Yt•.CVS, e' ±.r =- Fa�-��L .44 land use and development standards for street tree installation. It 41 v ® ► Ito ,...,I DRESS: I i ,, S ''hq 5/ ■P ® ■ ® LOT: �r" `� SUBDIVISION: 6 S G -e v�Cti ® 7' i i. 1 BY: DATE: I Z ---/ — 0 V 1 1 100. RECEIVED BY: DATE: ► ® ► ® r VYYYvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv ® CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 2--od '7'-)f8? - INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested r )-- - 16 AM PM z/ BUP Location -' /_ .'�, Suite MEC Contact Person J / s _4 Ph ( ) 7/ — 8 �t5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: / � SIT Post & Beam .1�� /114 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing 'A Firewall ) 1 ' h/ 1 � C J V I IT Fire Sprinkler Fire Alarm tr Susp'd Ceiling Roof Other: •ASS PART PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain + I Shower Pan � Y - � i dit " • PART FAIL MECHANICAL 7 ail / Post & Beam Rough -In Gas Line e Dampers ASS PART FAIL E RICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE E Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line / ADA / L Approach/Sidewalk Dat / 6 Inspector 6 Ext Other: Final DO NOT R MOVE this inspection record rom the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 03) 639 -4175 MST 7' i FZ INSPECTION DIVISION Business Line: (503) 639 -4171 /BUP Received Date Requ�sted / AM PM j BUP Location _diarP'/ Suite MEC Contact Person Ph ) _2/6 - ,f / PLM Contractor P ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear OF ,dos.. / / ��� / , / n * Q 74=1 Framing [ 4 Insulation Drywall Nailing -� f`1 P �� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm O/ ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date J Inspector Ext Other: Final DO NOT REMOVE this inspection record rom the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: .03) 639 -4175 MST • Jd d g, INSPECTION DIVISION Business Line: 503) 639 -4171 BUP Received Date Requested AM PM BUP Location � !� '� Suite MEC Contact Person L °•��J Ph ) yZ Z de) PLM Contractor P ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 111 / i► • • .L - �� Insulation r f GL d S 0 Ste! 7`c- -et !moo Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm SS PART FAIL Reinspection fee of $ required before ne inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date / 0 Inspector _ 4111k Ext Other: Final DO NOT REMOVE this inspection recur rom the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639-4175 MST, QU v0 /8 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested f-3 AM PM BUP Location Suite MEC Contact Person ( Ph ( ) ' y7 - 23°6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam AIM Ext Shear Sh ea Anchrs th /SSh ear =LW Ext eah/h Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Pos h Beam O `( 5 ,4 ),,C6 /2 Rough -In 1' Gas Line Smoke Dampers Final PASS PART FAIL ELRICgrL coug - ✓ ✓ U ab Low Voltage Fire Alarm F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL D Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line 3 y / s o � L ADA Approach/Sidewalk Date � / ' l Ins pe ctor l / firn- � ' ��L�^1"7 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST �� - 60/8 INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Re uested r — • AM PM BUP Location 93 (S Suite MEC Contact Person Ph ( ) T 7/ U — 8 '((. PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • ier: x O PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line � ADA P.--/ Approach/Sidewalk .?(0 Other: Dete Inspector Ext Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 6 75 MST .. y —do /�v INSPECTION DIVISION Business Line: (503 �� I BUP Received Date Requested / / _a 4 AM PM BUP Location 93 / Suite MEC Contact Person C-#‘-e".-4 Ph ( ) 7/0 _' 4'l .S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear \` N 7 -, 5� Framing 7/ ' Insulation l -- ( yG( a s P j t_.0- Drywall Nailing ��� Firewall Fire Sprinkler _ Fire Alarm ' a"" ��Q p ( r Susp'd Ceiling 3 1 ∎ = _ _ Roof r ■ `_ A_ 01� / C G t4-- Other: • Final I PASS PART FAIL N 1, i" 1 PLUMBING Post & Beam M Under Slab S 6 • 2 N D am. S Rough -In Water Service e•—• Sanitary Sewer ' 1 ^ 1 Rain Drains '' Catch Basin / Manhole Storm Drain Shows / f 0 2 , 51 5 .1 / \ & S S S t‘e L92 Other:' ., _ dr' PART ---�� ( \s‘ ss'� -�9� MECHANICAL `\CI -5 6 ' ` U 0 �'\ '* Post Beam Rough-In V � . M — — ■%� `/y 5 n L.-,-,,N. ^ (4-A„...;,--. c Gas Line \ ; t�� �, Smoke Dampers - Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Eij Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA , ,� V� Approach/Sidewalk Date 1 I a ` Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 75 MST ITX/ 8.)._ • INSPECTION DIVISION Business Line: (5 BUP Received Date Requested /1 _ / (P AM PM BUP Location 93 / ,S Suite MEC Contact Person 0 _/l . Ph ( ) , — gi St /i s---- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 5lAh2ji(30 4 .00 k —11 SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - ce _ ` _ Framing ��-t/� Insulation (.Ys� rp Drywall Nailing r 4 lC� . Firewall Fire Sprinkler Fire Alarm S t-yV Susp'd Ceiling l /� /� Roof 4":"/-2 S Other: Final / PASS PART FAIL G1 i d J /_ PLUMBING �/ / `�lJ Post & Beam Under Slab ` A) 6— 128-4ft Water Rough-In Water Service Sanitary Sewer 1/1 -5S� 6 g • S Rain Drains r J Catch Basin / Manhole Storm Drain Shower Pan Other: ma Q PASS PART AIL MECHANICAL � c�e lam` \ Post & Beam Rough -In Gas Line F inal Dampers e'la-v‘/' \ / 4—:-/r. � s f / Final �1 e J PASS PART FAIL ELECTRICAL Ai e '� ?�_ ,e�C�, G J' �� _ Service uh- In CM / U , Rough-In 5 / �" - e-�2 -� (�J UG/Slab p Low Voltage Fire Alarm ,"-- F PASS PART FAIL r ai Reinspection fee of $ 100)-. S� re. • •efore next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ • - ❑ Unable to inspect — no access Fire Supply Line n � ADA L \ Approach/Sidewalk Date /( /d / Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST , ( 4(J j) /E? INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received c� Date Requested Z v AM PM - BUP Location 3/5 J.d ti Suite MEC Contact Person riLei Ph ( ) 7(0 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab a er Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fin - PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date _2 6 / Inspector Ext Other: 0 ((( Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ' 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MST o c10/8 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested 7 - AM PM BUP Location 93 /S Suite MEC Contact Person Ph ( ) 7/ r 9(C PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC '/= Ftg Drain Access: ELR Crawl Drain ./ Slab Inspection Notes: SIT Post & Beam IMS7J1 Ext Shear Sheath/Shear th / Ext eah/ear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING st Be- Under Slab Rough -In Water Service Sanitary Sewe Rain Drains Catch Basi / Manhole Storm Dr- Shower 'an Other: - 42:20 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA (� f ' � j Approach/Sidewalk Date 1 V O I nspector ' v t W Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD . 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST p262) -O INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received S q Date Requested 7 2 AM PM BUP Location ! 3 p MEC Contact Person C/k—ct--4 Ph ( ) 7 /6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain C_O M 13.1 ELR a r sla Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi PART FAIL UMBING Post & Beam Under Slab Roue 4.11112=70. Catch Basin / Manhole . Shower Other: Final PART FAIL 717 ' ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 26.6q INSPECTION DIVISION Business Line: (503) 639 -4171 • BUP Received Date Requested 7 -D-"7 AM PM BUP Location Suite MEC Contact Person Ph ( ) 7 / D — FY /5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing "�1- Zo ��t��/ ��S Drywall Nailing � � (Po feln nca 9 ) , LI 1-14 1 1 lef - VS: / ��,� / � mac Firewall Fire Sprinkler Ni r. cr Scr Y� j r∎16" `-4' 1 771 Fire Alarm sstr o; �7 -1 Susp'd Ceiling Roof Other: Final PASS PART PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 9- 2 9 - CJ 4-- Inspector A/ 11.4 Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 3) 639 -4175 MST ADO el E)- INSPECTION DIVISION Business Lin (503) 639 -4171 BUP Received Date Requested AM PM BUP c� Location / 3 / S d Suite MEC Contact Person Ph ( ) - 7/0 — E I I S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear , . •7 / , u G� �afhi � -- ma, � L- n Drywall Nailing 17 liZ Firewall Fire Sprinkler Fire Alarm O IL ", =kJ/ Nu I Susp'd Ceiling Roof Other: Final PASS PART PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam �l 6) Gas Line b 4 a Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA • Approach/Sidewalk Date �� o,/ Inspector Ext Other: Final DO NOT REMOVE this Inspection recd rom the Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 MST Y`60/ RZ INSPECTION DIVISION Business Line: (503) 639 -4171 G� — BUP Received _ Date Requested ! d` t AM PM �� BUP Location 7 3 / 5 Suite MEC Contact Person Ph ( ) 7/ — PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / > ami -• #! ��Sr Cam'` S uv°l'c9 /�� QL A /4u/n 4Ar7/1 --c /n./ Insulation Drywall Nailing - AK- ` Firewall — Fire Sprinkler - - '�`� 1 ' 7i G yG'L Fire Alarm ^�> Susp'd Ceiling `f�:►� Ni /L- , ,<iS #u Roof w, +:r , Other: Final ` d •GI- a - ,- c:)04 S /24 " . off, u,4 i PASS PART PLUMBING r, e t' • - _ r — Post & Beam Under Slab ( r - ��� _ �o v /1//are. S 'Ay ,O-C/AU Rough -In Water Service (LsS �i.as-av�G Sanitary Sewer Rain Drains '= ' �`� /G �✓ i I s- s,S, Catch Basin / Manhole Storm Drain , ,_1 ,a s r -�� �� - LAS - �C Shower Pan GK I nr 775g" Other: -, Final 6P-714-3) . PASS PART FAIL MECHANICAL Post & Beam Rough -In [c1 II 1 Smoke Dampers Final SS ART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA 9- 2/- Inspector Ext Approach/Sidewalk Date p Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour . BUILDING Inspection Line: ) 639 -4175 MST a0a c( —dd /PZ INSPECTION DIVISION Business Li (503) 639 -4171 BUP Received Date Requested v AM PM BUP Location 9 3/5 s Suite _ MEC Contact Person Ph ( ) 7/v — g �f / s PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam //./se '' INU Ext Sheath/Shear F t Sheath/She. , � 01 I / ' 9 1s C�� Frame /�-{ Insulation (4--) `s U ( -r — /) Drywall Nailing (_ Fire Sprinkler q t .0 gg ( 2 F,y F€ '1t1 17 A) Fire Alarm Susp'd Ceiling Roof / Other: F'.. �'1T*' ' • FAIL Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In • Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service • Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA �f L.7 Approach/Sidewalk Date / / Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: = ) 639 -4175 $ Z INSPECTION DIVISION Business Li . (503) 639 -4171 MST �� BUP Received Date Requested AM PM BUP Location 3 ' Suite MEC Contact Person Ph ( ) 7/0 — Y ( t ! PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Sh:. xt Sheath/Shea .4 j " Sheath/She. q-7 ` vq Framing Insulation ►, Drywall Nailing ✓` S�ST7�'�L— f-F - �L FS / t"`/ t-L Firewall ="A! St4c7k/C- *&t;bvt�� Fire Sprinkler Fire Alarm •NAT-- e Ate Susp'd Ceiling Roof ac• CeM PC_L✓n /2 jk Other: Final g /tea P C..e.Friet PASS PART FAIL PLUMBING !. o T Go t•'‘ Post & Beam >i Under Slab /\167" / Rough -In Water Service Sanitary Sewer 4z -' G Z Rain Drains �� Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final IReinspection fee of $_ � � ' required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: / Unable to inspect - no access Fire Supply Line �/j ADA D /-": d Inspector Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this Inspection recor m the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ,026 c1 a [ Z- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7- / ' AM PM BUP Location I5 LA__' Suite MEC Contact Person Ph ( ) 7r6 — S ( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 9-4175 MST <= q Z INSPECTION DIVISION Business Line: ) 639 -4171 R BUP Received Date Requested AM PM BUP Location 5 3 Suite MEC Contact Person Ph ( ) 7/ /S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam S xt Sheath/Sh a Int Sheath/She -- // // • /'7. 7 � 04 / / S Framing Framing ! • ` Insulation Drywall Nailing Firewall oV.1N S 074 �.77V L� Fire Sprinkler Fire Alarm p Y Susp'd Ceiling (-5t_ �Rc�.�z Other: ° P�1Q_ rp) F PASS PART FAIL 4-'53 ?KO s G T f G - - , 7 V 8 -ii'l& PLUMBING Post & Beam Under Slab /446 - 7 "et Rough-In 3 �0 c Water Service / RaintDanswer a P AL_C /4 Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In "Vik\ Gas Line Smoke Dampers _ /� Final ideSS \ �Z S Fc lCe- 74 SPeZ. a` PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm PART FAIL �`R®mspection fee of $ 4-2- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA . 8 . QV Approach/Sidewalk Date Inspector ■ j0 Ext Other: Final DO NOT REMOVE this inspection record Com the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 39 -4175 MST c? ( / - . 0 . 0 / EZ INSPECTION DIVISION Business Line: ) 639 -4171 BUP Received C � Date Requested "f - 7 AM PM BUP Location / 3 /s :e■r Suite _ MEC �c Contact Person Ph ( ) 7/ v - r (S PLM • Contractor - Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam She xt Sheath/Shear Int Sheath/Sh OP Se4" - 45 t,t& A ei 1:.ZS/JE 3 (T Insulation Drywall Nailing ` Firewall ��M 'S (� 4 / �� �L_��� Fire Sprinkler - - Fire Alarm A. O R t Susp'd Ceiling :,.11A &f-e----I"7--Z--C,/l, IC Roof / !�', Off/ �. 4 #0- Other: I ' i - _, ►J I'L �� .� *, a. Final cGi U L,C i=0 ,e A- Fs/AS -e Q_S PASS PART PLUMBING fir _ e C c' = L) Z-1 � J ("I_ Post & Beam ►� r Under Slab 1 - PRO V C� 3 F ` ea. e- lb Rough -In s Water Service , > > maned_ . .r +► _ Sanitary Sewer Rain Drains ' -v 'Pig °V -' is C --ti f�l g N/ F0 2 N-17L La c.4- A Catch Basin / Manhole 'N12} - 6 . ‘ . i k S i . -- ` 1 , - , - T - �Yo .7, at Storm Drain Shower Pan /1--dS MI rz_sli, B 1. P. S o f -- Ls¢' S Other: ' e�� Final ItA Pea fib( L` 5 Pe © �-�_ 111. c F � 4I PASS PART FAIL MECHANICAL �, �Q /4 e M-rSs /6- A/i4ZZ_S Fo lC t h, S E_ Post & Beam Rough- '�`j�=! z B O& 6 S uti r-Nbe 2 CT iL° Smoke Dampers ! i)r 0 -N ! � x 5 ,� Fo �C 4ar !t 4 4 } � ri t. 'Vi Fi _ L S�%� t PART FAIL / �� • �� iL1iw/ v RICAL �� a arliV, �� I s P Satz v ceAiAte.,7- .' @. Service — ' . - - Rough -In _ A jA -> O _ Low olt g—Z4 -/D 9 Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date ` �" Inspector (.....q Ent Other: Final DO NOT REMOVE this inspectiofrom the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Lin 503) 639 -4175 MST A 0 40Y-onl g 2 - INSPECTION DIVISION Business L" - : (503) 639 -41 1 BUP Received Date Resuested o AM PM BUP Location 3 Suite MEC Contact Person Ph ( ) 7/0 —g (tS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Shear Anchors Ext Sheath/Shear Int Sheath/Shear , � .± � � Framing — r ...� I ' O s 1 Insulation Q Drywall Nailing ,_ �( Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 4210 PART FAIL • ' ' BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL .∎ AL Ror- Ga me V Smoke Dampers 9 . 2 Final v G� PASS PART FA ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA B. S- D Approach/Sidewalk Date Inspector _ L �f Ext Other: Final DO NOT REMOVE this Inspection recor : fro , the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 • - '-4175 MST 6 INSPECTION DIVISION Business Line: ) 639 -4171 BUP Received Date Requested 7-- AM t '"" PM BUP Location ( IS �� ... Suite MEC O -1 Contact Person Ph ( ) � PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ros eam Shear nchors Ext Sheath/Shear Int Sheath/Shear D Framing ! 6i O b V..� -lU Insulation Drywall Nailing Firewall Fire Sprinkler �A- 4. Fire Alarm ' r-- � Susp'd Ceiling ■ a*. a*. L � > � ( {� LTtL� Roof Other: Final MzFS 1 . - _ L O .f� N PASS PART AIL _ PLUMBING ' — 0� A� a a v A:dr /4 f . 6= (jti/ Post & Beam S Under Slab Rough -In � v - r ( I /0 a l A/i°t z S Fe R ES Water Service Sanitary Sewer S r Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MEC NICAL (post & Bea Rough -In Gas Line Smoke Dampers Fin PART FAIL RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA g `2 - C.7 ` ' ( Approach/Sidewalk Date / Inspector Ext Other: Final DO NOT REMOVE this inspection r ord from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: 3) 639 -4175 MST e i INSPECTION DIVISION Business Lin • (503) 639 -4171 BUP Received Date Requested - 7 — AM PM BUP Location 3 Suite MEC Contact Person C/A-et-4 Ph ( ) ?/D — (ft PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC mg ELC Foun Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam //- Shear Anchors Ext Sheath/Shear Int Sheath/Shear r��� _ Framing `�___� 4 t! � T– 0/Ni Dry a _ LA �b Drywall Nailing Firewall S — Fire Sprinkler Fire Alarm Susp'd Ceiling Roof (6 Other: i PASS PART FAIL BI NG Slop c;NR rD ca Post & Beam Under Slab Fe, 6/' =Al %C- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: J Unable to inspect — no access Fire Supply Line i P ADA 7. Approach/Sidewalk Date �� ® Inspector �_ Ext Other: Final DO NOT REMOVE this inspection reco e from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 0 2- 60 14- 6° 0% INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested l a\ 13 t AM PM BUP Location CT3 )S S L. Suite MEC Contact Person C\ 1 Ph ( ' ° 3 ) 71 b • PLM Contractor Ph ( ) SWR lTI x!1l ■It Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing p��� 1 ' Insulation / n - � J . ' s . ' \ o c h (� � �' _Oi �Drywall Nailing �\ f' Firewall �1 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: `nal) PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ��� -�� Inspect �� -/ . % Ext Other: Final DO NOT REMOVE this Inspection record from e Job site. PASS PART FAIL