Permit CITY OF TIGARD MASTER PERMIT
PERMIT #:
iii? DEVELOPMENT SERVICES DATE ISSUED: 0S/ /0303 - 00422
= - ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12385 SW THORNWOOD DR PARCEL: 2S110BC - 04700
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 018 JURISDICTION: TIG
REMARKS: Construction new SF detached residence.
BUILDING
REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,600 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,670 sf GARAGE: 458 sf FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 315
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,270 sf REAR: 15
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: 3 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: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 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 FOR: 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: $ 5,950.43
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 lca ble laws. Code, State All w OR. Spec
work will be done in e
STE 100 LAKE OSWEGO, OR 97035 all other applicaapproved 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 5 set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: L� 387 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control lnsp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins l Gyp Board Insp Sprinkler Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Appr /Sdwlk Insp
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Electrical Final
Foundation lnsp PLM /Underfloor Framing lnsp Gas Fireplace Water Line Insp Mechanical Final
Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation Insp Water Service Insp Plumb Final
Issued By :5Z4;c Permittee Signature : C/ ( 2 \
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Pr 7 A6-03 5 u x>zacto-3 -030
Building Permit Ap lic,w.. ,:, 4
, A
• R L_ C L ; Date received: 7 -L", t' i? Permit no.: 1 t J _ s Re
x ;,� , , , Cit of Ti i 'v L Y.
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projectlappl. no.: Expire date: p
City of Tigard Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 5984960 Case file no.: Payment type: qsh
Land use approval: l &2 family: Simple Complex: n
TYPE OF PERMIT )
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family XNew construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION. r ,,,„ ,;r: ,t
Job address: / l f�t11 Bldg. no Suite no.:
Lot: %MI Block: Subdivision: , &' ���I�m Tax map/tax lot/account no.: ', - -
Project name: ' 1„tl i tn %'
,
Description and location of work on premises/special conditions: Q
OWNER FOR SPECIAL INFORMATION, USE IESIVEN2731' (Floodplain, septic capacity, solar, etc.)
Mailing address: leraftWAREIRMIL.. 1 & 2 family dwelling:
ZIP: ' ; . 7 ' Valuation of work $
Phone:. , � awy EfigaillE No. of bedrooms/baths G -D 19-
Owner's representative: , ;WNW if Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) � � ► r
APPLICANT Garage /carport area (sq. ft.) 11��
���
1�!�J•J11 �i1( Covered porch area (sq. ft.)
Mailing address: a _ irawinm Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
M 1- ILd 4k � 1 New bldg. area (sq. ft.)
Address: ./1.v`i &_a digrraillINIM
City: Number of stories
ity: State: ZIP:
Phone: Fax: E -mail:
Type of construction
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
1 ,. provisions of ORS 701 and may be required to be licensed in the
Address: • '� jurisdiction where work is being performed. If the applicant is
'& C( ` 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 cards, please call jurisdiction for more information.
attached checklist. A r rovisions of 1 ws and o din aces governing this ❑ Visa 1:1 MasterCard
work will be complt - . wi r' , whether ified i1ereif Credit card number: / /
( t. ,/ � ') to Expires
Authorized si y atu i 1 a �1CC Name of cardholder as shown on credit card $
Print name: r>_11air 7 Z-Fet r_ Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (Mootrom)
One- and Two-Family Dwelling 4.
Building Permit Application Checklist Reference no.: •
Associated permits:
City ofTigard City of Tigard CI Electrical p Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 6394171
Fax: (503) 598 -1960
TILE 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. 4
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 ❑ plan D 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 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. n
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 Y
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.
JURISDICTIONAL SPECIFICS ��rr
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.
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 (6ro0icoM)
Mechanical Permit A li
� � R "� IV '� B Date received: Permit no.; .. e7) • , r '; ;9
A li City Tigard and
��,�„ �: Tia Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, O;I 72 7 200
Phone: (503) 639 -4171 fA'►luJ l7 Date issued: By: t r Receipt no.:
Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type:
Land use approval: BUILDING DIVISIO Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
,New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION. - - - COMMERCIAL VALUATION SCHEDULE - • -
. Job address: yri - . J (\ AJ 5 1 ) • 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: `e) (Block: I Subdivision: •See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENTSCHEDIJLE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC: •
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No _ Alteration of existing HVAC system
(MECHANI CONTRACTOR Boiler /compressors
� � . State boiler permit no.:
Business name:
I,f1, _r J HP Tons BTU/H
Address:rIIM Fire/smoke dampers/duct smoke detectors
City: Li �
State: a ZIP: Air gm Heat pump (site plan required)
ty � Install/replace furnace/burner BTU /H
Phone: w _. ' Fax: E - mail: p
Including ductwork /vent liner 0 Yes 0 No
CCB no.: '? ) Install/replace/relocate heaters - suspended,
City/metro lic. no.: N/A wall, or floor mounted
(please print): • , ,–z.� ,� i '
Name lease l -t I■lEU_--
Vent for appliance other than furnace
Refrigeration:
CONTACT PERSON
Absorption units BTU/H
Name: I A A lb . Chillers HP
Address: Compressors HP
V_ 46 �t Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
I Phone: Fax: E -mail: Dryer exhaust
O WN E R Hoods, Type 1/ litres. kitchen/hazmat
hood fire suppression system
Name: I ,M ti ,� Exhaust fan with single duct (bath fans)
Mailing address: W 'i / g'– 'L�.T�� Exhaust system apart from heating or AC
. � Fuel piping and distribution (up to 4 outlets)
WIMP State ZIPR"x)jrj Type: LPG NG Oil
Phone: gitlWir 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: I State: [ ZIP: Insert – type
Phone: Fax: E -mail: Woodstove/pelletstove
' � '/za Other: —
Applicants signatu Date: 4 0 '� Othe
Name (print):
$
Na all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee
Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number: Expires / wi thin 180 da ys after it has been Plan review (at %) $ •
p State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
5 TOTAL $
Cardholder signature Amount 440 -4617 (600ICOM)
• Plumbing Permit Application ° ; -,x ; * . F �a . 4 , ,
- Date received: Permit no.: tizt _ Di73 _ co
;4114...)11/r City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd.
Cuy ofTigard ®■ L� "® Project/appl. no.: Expo dam:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 P Date issued: By: Receiptno.:
AUG 07 20 0 J Case file no.: Payment type:
Land use approval: , • IGAtitf
T TiFY. kf /1 ii`iF =tai it
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi family 0 Tenant improvement
b. ew construction 0 Addition/alteration/replacement 0 Food service 0 Other.
JOB SIIEINFORMATION FEE SCHEDULE (for special information use checklist)
Job address: ,,, m r Description Qty. Fee(ea.) Total
�� New 1- and 2- family dwellings only
Bldg. no.: Suite no.. �� : (indudes 100 ft. [or each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot. °/' Block: Subdivision: G IJ�� �Tir SFR (2) bath
Project name: SFR (3) bath
City /county: 1 ZIP: Each additional bath/kitchen ,
_ Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: _ Drywellsileach line/trench drain
_ Footing drain (no. lin. ft.)
PLUMBING CONTRACTOR Manufactured home utilities
Business name: ` 71 L i Manholes
Address: 7 . ) ' INIIIIMMINIMMIE Rain drain connector
City: `1 • Ave ■ OWL ZIP: Sanitary sewer (no. lin. ft.)
Storm sewer (no. tin. ft.) Phone: y 1 -� Fax: E-mail: y Water service (no. lin. ft.)
: no.: Kr -7 L Plumb. bus. reg. no: — MP '
- Fixture or item:
City/metro lie. no.: N/A � ,, Absorption valve
• Contractor's representative signature ``✓t/ _ Back flow preventer
Print name: •- • U Backwater valve
CONTACT PERSON Basins/lavatory
Clothes washer
Name: 1 {\�-i , SPr��i Dishwasher
Address: _ • a . i • 0 k ' v Drinking fountains)
City: I State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
OWNER Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print): lg. . , Att "t Garbage disposal
Mailing address: .k 1 H ose bibb
•
City: - CEErgariZareiZ� Ice maker
. Phone: f . — Ai r Fax: #4 ZIETA E-mail: Interceptor /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 as per ORS Chapter 447. Sink(s). basin(s). lays(s) .
Owner's signature: Date: Sump •
ENGINEER Tubs/shower /shower pan
Urinal
Name: Water closet
Address: Water heater
City: State: ZIP: Other.
Phone: I Fax: E -mail: Total
. Minimum fee ................ $
Noe all jurisdictions accept credit cards, please call jurisdicuon for more informatio Notice: This permit application % $ ��_
Plan review (at _ )
C visa MasterCard / / expires if a permit is not obtained State surcharge (8 %) .... $ _�—
C.edit card number
w ithin 1 80 d ays after i h as been $
Expires accepted as complete. TOTAL
Name of cardholder as shown on credit card
S
440 -4616 (6430C OM)
Cardholder signature Amount
Electrical ' " " , .' `.:.:.
D Permitno.: r
RECEIVED ""
f ��'� I �� City of Tigard Project/appl. no.: Exp date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171 AUG 0 7 2003
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: BUILDINC DIVISION
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family O Tenant improvement
►' New construction 0 Addition/alteration /replacement 0 Other. 0 Partial
. JOB SITE INFORMATION •
•
Job address: 4 , IlikTaM5 T
Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 1 ) Block: Subdivision: Drn_\A 51 Cj
Project name: I Description and location of work on premises:
Estimated date of completion/inspection: .
CONTRACTOR APPLICATION FEE SCHEDULE - -
Job no: Zlir Fee • Max
_ Business name: CA' F1 Ecx-r, c , Description Qty. (ea.) Total no. hasp
New residential -single or multi- family per
Address: gi _ • �%,_ a (-, • c" " if dwelling tmit Includes attached garage.
City: : lka ' State:At! ZIP: i ,,. Service included
Phone:L L , - 1 '''_ Fax: E -mail: 1000 sq. ft. or less 4
0../.4::r-,9 it Each additional 500 sq. ft. or portion thereof
CCB no.: Elec. bus. lie. no: C.
Limited energy, residential 2
C` Limited energy, non - residential 2
Each manufactured home or modular dwelling fil �1 r� 2
nature ojsupenrsing electrician (r equired) Date Service and/or feeder
Sup. elect. name (print): 9 wD License no: 9 a Servncesorfeeders — installation,
�Il T r- alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): 1 ,p , '[���.!� 201 amps to 400 amps 2
401 amps to 600 amps (` hL� 2
y �
Mailing address: . � , • _ � �. L �IJ 601 amps to 1000 amps 2
City: c •, State to v7 ZIP: ' 9 Over 1000 amps or volts 2
Phone: ,-",r r - 2L7<.•r4'1_Tr -mail: Reconnect only 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, 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 branch circuit: 2
Phone: Fax: E 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 facility Each pump or irrigation circle 2
0 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 four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extensions 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 1
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $
Not all jurisdictions accept credit cards, please call jurisdiction 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
s
Cardholder signature Amount 440 -4615 (6, i.COM)
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Do hereb ceiy tf tlat the following location t• t y �� . ', meets City of Tigard /Washington County ■
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. land use and development standards for street tree installation. . . ■
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CITY OF TIGARD 24 -Hour d
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Dat- Re•uested / Z0 AM PM BUP
Location • : Suite MEC
Contact Person Ph ( ) c c j'"i i i6'3 7 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:
dal
/ �; PART FAIL
• . ,.r- ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
in
PASS. PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
nal
ASS PART FAIL
•
ICAL
Rough -In
UG /Slab
Low Voltage
Fire = - rm
Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• ART FAIL
- Please call for reinspection RE: 0 Unable to inspect — no access
Fire Sup. .Line
ADA
Approach /Sidewalk Date 0 r Inspector A Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL