Loading...
Permit r ,.1 CITY TIGARD MASTER PERMIT PERMIT #: _la- F ,�i11 DEVELOPMENT SERVICES DATE ISSUED: 3/11/0404 00071 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12330 SW THORNWOOD DR PARCEL: 2S110BC - 05900 SUBDIVISION: THORNWOOD ZONING: R -7 BLOCK: LOT: 030 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM139 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,605 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,720 sf GARAGE: 442 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 321, 622.60, OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,325 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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 FD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,102.74 This permit DON MORISSETTE HOMES DON MORISSETTE HOMES INC Municipal is subject to the regulations contained Co i ode s and the 4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 all other applicable Code, State OR. Spec cable l . All wo rk will be done Codes STE 100 LAKE OSWEGO, OR 97035 all applic approved it LAKE OSWEGO, OR 97035 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: Oregon law requires you to follow rules adopted by the Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You Reg #: 4 387 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins[ Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Issued By : ,,,r.Yi/,,/,.,.,r 4. Permittee Signature :z\ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ' lb Pr 3 -5 - ° y ga i ' •WC* —tom' 4 ii . Buildiaig Permit Application = - Date received j : Q Permit no .:015> , _0 p ' • i!i r City of Tigard - r V Project/appl. o.: . . Expire date: City of Tigard Phone:. 13125 SW Fil ! 2 3 Phone:' (503) 639-41 Date issued: arm Receipt no.: Fax: (503) 598 -1960 4 [ g 2 6 2° Case file no.: Payment type: Land use approval: L Ti ARD 1 &2 family: Simple Complex: U1TY of • ■ TYPE OF PERMIT 'O 1 & 2 family dwelling or accessory CI Commercial/industrial ❑ Multi- family . j 'New construction ❑ Demolition ' ❑ Addition/alteration/replacement . ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: PW— Sil=1 17r0N_L-r _ Bldg. no.: Suite no.: . Lot: '71M Block: Subdivision: W A'fAIMIE Tax map /tax lot/account no.: . Project name: , Description and location of work on premises/special conditions: . OWNER FOR SPECIAL INFORMt1TION, USE CHECKLIST1 Env unit <� (Floodplain, septic capacity, solar, etc.) Mailing address: 'min ram i/ i im ;��' 1 & 2 family dwelling: 13321111D IZEM'� ZIP: '2)- Valuation of work $ Phone:. r` �J M, o No. of bedrooms/baths Owner's representative: , L r _ Total number of floors ' Phone: Fax: E-mail: New dwelling area (sq. ft.) � _ APPLICANT Garage/carport area (sq. ft.), -- I JJ• ��^ 1 = Covered porch area (sq. ft.) Mailing address: L ! Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commerciallindustrial/multi- family: CONTRACTOR Valuation of work.... $ Existing bldg. area (sq. ft.) 1 Ul rlrl%� New bldg: area (sq. ft.) Address: .Ave ,11 Number of stories City: State: ZIP: Type of construction Phone: Fax: E -mail: CCB no.: Occupancy group(s): Existing: New: City/metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under ' ir� ,. provisions of ORS 701 and may be required to be licensed in the �� jurisdiction where work is being performed. If the applicant is Address: , j C r7 �1. exempt from licensing, the following reason applies: . City: State: ZIP: • • ' Contact person: Plan no.: Phone: Fax: ' . E -mail: . ENGINEER . Name:: - Contact person: Fees due upon application • $ Address: Date received: . City: State: ZIP: - Amount received $ Phone: • Fax: E -mail: - Please refer to fee schedule. • I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cam, please call jurisdiction for more information. attached checklist. A ' . rovisions of I ws and o din aces governing this ❑ Visa ❑ MasterCard , . work will be comp - • wr •, whether cified lierei t. Credit card number: / / l _ • Authorized si a . /1 1 e: / Name of cardholder as shown on credit card Expires Print name: 1 leiffair . f 1 ( ,e. Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within days after it has been accepted as complete. • -" " "' "4 (6.oacoM) - - • • ' - 1 • One- and Two - Family Dwelling � � Checklist s _ Building Permit Application Chkli Reference no.: l,L . Associated permits: City of Tigard City of Ti and �J g 0 Electrical O Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 • O Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. V 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. J 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 r/ if copyright violations exist. J` 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. / X ` •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. K 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, `l fireplace construction, thermal insulation, etc. J� 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. x 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. JURISDICTIONAL 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 ". X( 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. 26 No rolled, reversed or mirrored building plans will be accepted. ' • 27 28 • • 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. 440 -4614 (eroOICOM) • • • . ., ,.:. • - Mechanical Permit Application � � RECEIVE ate received: Permit no. 37 ,4 J )� �dMl'�i City of Tigard �E , : ty g Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,'Tigard, pgp9722A I Phone: (503) 639 -4171 �t LLUU 2004 Date issued: By: Receipt no.: Fax: (503) 598 -1960 • Case file no.: Payment type: CITY OF TIGARD Land use approval: MI WING DIVISION Building permit no.: TYPE OF PERMIT • a 1 & family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement • few construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION • • • COMMERCIAL VALUATION SCHEDULE - • Job address: 0 j�/. �ilni ra r 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: 1.' Block: Subdivision: nv er' 'See checklist for important application information and Project name: - jurisdiction's fee schedule for residential Permit fee. . City/county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FIE SCHEDULE Description and location of work on premises: AND CO1 EQUIPI.4IENTSCHEDULE . Fee (ea.) Total - Est. date of completion/inspection: , Description • Qty. Res. only Res. only Tenant improvement or change of use: • HVAC: • Is existing space heated or conditioned? 0 Yes 0 No Air handling i unit CFM g P Air conditioning (site plan required) Is exi space insulated? 0 Yes 0 No _ Alteration of existing HVAC system - ' MECHANICAL CONTRACTOR Boiler /compressors • Business name:��}� � . State boiler permit no.: 40M1711 _ a& _ HP To ns BTU/H Address: ��[l• Fire/smoke dampers/duct smoke detectors City: \Nit L r State' "i ZIP: °li ra Heat pump (site plan required) Phone . --j Fax: E -mail: Install/replacefurnace/burner BTU /H Including ductwork/vent 0 Yes 0 No CCB no.: F- l - InstalUreplace/relocateheaters- suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): j p e 7 - 1 -- 1 .PjV'' (�EZ.� Vent for appliance other than furnace . Refrigeration: CONTACT PERSON - - Absorption units BTU/fl . Name: o ,1 (`N i__, Chillers HP • Address: Compressors HP Y..-l1 C ' C Environmental exhaust and ventilation: City: State: ZIP: Appliance vent , Phone: Fax: E -mail: Dryer exhaust Hoods, Type I/ lUres. kitchen/hazmat . hood fire suppression system Name: ti 41 Exhaust fan with single duct (bath fans) _ . Mailing address: � yy s 1 Exhaust system apart from heating or AC ry Fuel piping and distribution (up to 4 outlets) . City: , ,.dp ; State ZIPR)j ype: • T LPG NG Oil ' Phone: 27 - ,ice Fax: E - mail: Fuel piping each additional over 4 outlets . - : - .- , ENGINEER ' • - Process piping (schematic required) Name: Number of outlets • , Other listed appliance or equipment: Address: Decorative fireplace , City: [ State: I ZIP: Insert - type Phone: Fax: E -mail: • Woodstove/pelletstove '�� � Other: Applicant's signatu" ,p, Date: � / i f Other. Name (print): (( -s rir f 11/.ii'ni' / / - $ Not all jurisdictions accept &edit cards, please call jurisdiction for more information. Permit fee Notice: This permit application Minimum fee $ 0 Visa ❑ MasterCard expires if a permit is not obtained Credit card number: Es Expires wi thin 180 days after it has been Plan review (at _ %) $ • p State surcharge (8 %) .... $ Name of cardholder as drown on credit card s accepted as complete. TOTAL $ • Cardholder signature Amount 440 -4617 (600/COM) Plumbing Permit Application . . . pplication . Datereceived: Permit no.: /I' ea, •—UDo i is c ' City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall B R OR 97223 City ofTigard CD Project/appI.no.: Expire date: Phone: (503) 639 -4171 I VC Fax: (503) 598 -1960 FEB Date issued: By: Receipt no.: D 2 6 Land use approval: 2001 Case file no.: Payment type: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 aomgt 1p tria1 0 Multi- family 0 Tenant improvement ►- ew construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: �V J I I) (1 Y 7 I r , �_ Description Qty Fee(ea.) Total ' New 1- and 2- family dwellings only: Bldg. no.: I Suite no.: - (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: %� , SFR (1) bath Lot: Block: Subdivision: T T � SFR (2) bath Project name: SFR (3) bath City /county: I ZIP: Each additional bath/kitchen _ Description and location of work on premises: Site utilities: Catch basin/area drain Est_ date of completion/inspection: _ Drywells/leach line/trench drain Footing drain (no. lin. ft.) PLUMR • I ING CONTRACTOR Manufactured home utilities Business named ) R) L ' II-16 , Manholes Rain drain connector ' T r Address: ,i�j_ I IL, Rain sewer (no. lin. ft.) City: `j • _kip ■ State•• .. ZIP: Sanitary E -mail: Storm sewer (no. lin. ft.) Phone: y r - Fax: - Water service (no. lin. ft.) CCB no.: E i - 7 . Plumb. bus. reg. no: Fixture or item: City/metro lic. no.: N/A ' — Absorption valve Contractor's representative signature Back flow preventer Print name: , '` ' , • . ID. jrM�1 Backwater valve CONTACT PERSON Basins/lavatory Clothes washer . -• Name: c l i\N--1 , S�f_DI ,....le Dishwasher Address: _ 4k` 0 0 1 e, Al Drinking fountain(s) City: State: ZIP: Ejectors sump Phone: Fax: E -mail: Expansion tank T'= x OWNER Fixture/sewer cap } , Floor drains /floor sinks/hub — Name (print): 1 _��� ti Garbage disposal g ` -2 C. ' • — Mailing address: It 1 • Hose bibb ,-- City: L ..( . �1ggNi 70 5 Ice maker Phone: l , - Air 1 1I. E-mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Pnmer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) M employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) 1 Owner's signature: Date: Sump Tubs/shower /shower pan ENGINEER Urinal Name: Water closet _ Address: Water heater City: State: 1 ZIP: Other. . Phone: Fax: E -mail: Total Minimum fee $ Na all jurisdicuoru accept coedit cads, please call jurisdiction for more informa Notice: This permit app % $ Plan review (at __ %) 0 Visa 0 MasterCard expires if a permit is not obtained / / State surcharge (8 %) •••• $ w ithin 180 days after it has been C.edit card number. Es piles TOTAL $ accepted as complete. Name of cardholder as shown oa credit card S ■ 30-4616 (6 U6R OM) Cardholder signature Amount J • Electrical Permit Application A Date received: Permit no.: /1 r eg .0 I llvIiir City of TigartR EC E I V E D Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: l Receipt no.: Phone: (503) 639 -4171 FEB 2 6 2004 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: CITY OF TIGARD BUILDING DIVISI• TYPE OF PERMIT • ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ►' New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION • Job address: 'lmin _a.��j, IP Bid:. no.: Suite no.: Tax map /tax lot/account no.: Lot: .' Block: Subdivision: UM jae r Project name: Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR APPLlCA PION FEE SCHEDULE • • - - Job no: II C;) Fee Max Description Qty. (ea.) Total no.lnsp B usiness name: — '� New residential - single ormulti- fatnilyper Address: #` �, , f, ` del • Ai dwelling uuit Includes attached garage. City: t Wit ' ECM ZIP: • Service included: Phone: ! ..3-- l _ d Fax: E -mail: 1000 sq. ft. or less 4 , �' i t Each additional 500 sq. ft. or portion thereof 2 CCB no.: Elec. bus. lic. n (� Limited energy, residential _ C Limited energy, non - residential 2 Each manufactured home or modular dwelling - � Service and/or feeder 2 �alure of supervising electrician (required) Date �;IL F � Services or eders - installation, Sup. elect. name (print): ....a... r9-- 9 A 2.j License no: I O� alteration or relocation: PROPERTY OWNER 200ampsorless 2 Name (print): %.t. �` '� '[►At�� 201 amps to 400 amps 2 401 amps to 600 amps Mailing addres �f'V dpi, :S • 601 amps to 1000 amps 2 City: L___,.0, S tate 1 - ZIP:9 7()3c, Over 1000 amps or volts 2 Phone: ? 7J Fax: --7f 61;E-maiL: Reconnect only 1 Owner installation: The installation is being made on property l own ' Temporaryservicesorfeeders - - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first brunch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: . PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps-commercial 0 Health-care Each pump or irrigation circle 2 are facility - 2 O Service over 320 amps -rating of 1 &2 0 Hazardous location Each signor outline lighting - family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O Building over three stories 0 Feeders, 400 amps or more • Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lighting plan 0 Other Per inspection 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 Permit fee $ Not jurisdictions all jurisdictio accept credit cards, please call jwisdicuoa for more information. Notice: This permit application O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _____ %) $ Credit card number / / within 180 days after it has been State surcharge (8%) .... $ , Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440 - 4615 (6n00ICOM) AA s - J 2D -vr5-67 ( 6 , ■ t. , ► • TI ON ► • IFICA E RT THE EC ST REET .. . . . . . . . . . . . I , g c p(fe T i_ , Ow ner /Agent for Do h) Ovi ;nnf� Pr 5 ■ (PERMIT HOLDER) (PLEASE PRINT) • • • ► 1 O• • • • Do hereby .certify that the following location ► • r • meets City of Tigard /Washington County t• . , • land use and development standards for street tree installation. ■ ■ ■ • • ■ • ■ • ■ 4 ADDR / Z 3 a Sw r acz , ■ ' ■ • ■ ! • S UBDIVISION: �y�i�N`v0o,0 ■ • LOT: � � t ■ 1 BY G DATE: 6 -2 , a' ■ I. ■ A RECEIVED BY: Alliati,., _ DATE: (- -4 - ► • A ITTVITVIVVVV•v®yyv ' vvvY V VYVVV*VVVVVVVVVVVVVVVYVVVYYY!YY CITY OF TIGARD 24 -Hour BUILDING Inspection,Line: (503) 639 -4175 MST � � INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received r Date R quested I AM PM BUP Location � "-1-3Q V811 Suite MEC Contact Person Ph ( ) 909 -(437 PLM Contract Ph ( ) SWR UILDI Tenant/Owner ELC ing 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 Cei ing Roof z s_).pAR T 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 Dampers 4 1 - - RT 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 6 _ A _ v 4- Approach/Sidewalk Dat 5'' Inspector Est 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 ez,26,0 q`-d2:0-7 / INSPECTION DIVISION Business Line: (503) 639 -4171 // BUP Received Date Requested to — 3 AM PM BUP Location - • 4 _ %1 46I _ . ii■■.. / L Suite MEC Contact Person Ph ( ) 090 Q 37 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 C,Labs�� _ A,p I9 fI H `2 3 ,3 o F Drywall Nailing Y Firewall V< 5k41›.i .. zpJ- In iA Or' Fire Sprinkler Fire Alarm 'n (C- l j 4kW 1 Cn ikoO F Susp'd Ceiling u 1 ,n Roof � U I l 51 VW � lJ . � I o 5-0 v---. Other: Final PAS *ART FAIL Under Slab Rough -In Water Service Sanitary Sewer `"'� Nov F0 2 N G-C - g, vo N Rain Drains ii ! Catch Basin / Manhole 1. LS N $W( S • Storm Drain Shower Pan Ot c-Filig: 1 .-E V=4. 1 11(L \ c1V RQ 1.kVI\ SS PART FAIL — �- 1 I C1 MECHANICAL , 0 1 - NLL c is t N Ro Beam i t k L V �� ( Rough-In � �7 Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm AS ART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S) Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA * � Approach/Sidewalk Date L — 3- Inspect �w Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL