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Permit , A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00207 �j 11 DEVELOPMENT SERVICES DATE ISSUED: 7/28/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12365 SW THORNWOOD DR PARCEL: 2S110BC -04800 SUBDIVISION: THORNWOOD ZONING: R - BLOCK: LOT: 019 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: DM181 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED , CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,990 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,812 sf GARAGE: 660 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 368 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,802 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: 1 VENT FANS: 4 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /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: TOTAL FEES: $ 6,446.52 Owner: Contractor: This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes 4230 GALEWOOD STE 100 4230 GALEWOOD ST, STE 100 and all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 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. Phone: 503 387 - 7538 Phone: ATTENTION: Oregon law requires you to follow rules S n y 387 75 R adopted by the Oregon Utility Notification Center. Those Rag #: Ll 355-3 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 Structural Mechanical Insp Shear Wall lnsp Insulation Insp Appr /Sdwlk lnsp Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final Foundaf. • • - • PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Iss . ed By : ■ / /_ ALL‘.A. 1- Permittee Signature 2 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Appliis� �nElVED FOR OFFICE USE ONLY City of Tigard Received DaDate/By:-., 0 Permit No.W �i/,.. 13125 SW Hall Blvd., Tigard, OR 97223 JUL 1 2 Plan Review Phon: 503.639.4171 Fax: 503.598.1960 / /�4rudl j� ) Date/By: Other Permit: ALA (�eWAG& Inspection Line: 503.639.4175 5 tel I Date Ready/By: J�ar ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGAR '- _, Notified/Method: / BUILDING DIVISION / Su pp Information ,: TYPE OF WORK • : _ _ _ , :REQUIRED,:DATA:1 `A 2? FAMILY,' DWELLING �Q New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the -CATEGORY,'OF 'CONSTRUCTION( " " : -'• • ' work indicated on this application. dwelling Valuation: $ . ❑ 1- and 2-family g ❑Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: Li ❑Master builder 0 Other: Number of bathrooms: 2) (Z. .•'-:'''' JOB SITE - IINNFO^R,M� ' - AI IOIY,AND''LOCATION:• Total number of floors: Job site address: i� `i ,`Y ' ✓ V v " ' (�'�A jea. or, New dwelling area: g _' `y square feet spo City/State/ZIP: ' Tj� ,6 i V Garage /carport area: AO square feet Suite/bldg. /apt. no.: t Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet p� y� • REQUIRED DATA: COMMERCIAL,USE(CHECKLIST --s Subdivision) t V�,(�''L�(a Lot no.: t al Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the - ' 'DESCRIPTION OF WORK work indicated on this application. . Valuation: $ Existing building area: square feet New building area: square feet • ';:' ^ . PROPERTY OWNER, ' ` •" 0, TENANT, Number of stories: • Name: 4 .4 la J Type of construction: Address: L�,. 1.1 (1 G ) s1 . ' j ( �^i , lop Occupancy groups: 6 City /State /ZIP: L � Cy /`_,vll�0 + 0,e,... ' -20 / 35 Existing: Phone: (P`5) -70 lj7.- 5� Fax: ( 13 3 d . 7C ) 7• ! /5 New: •,, 1 IIIPLAT'�� , ®• CONTACT• PERSON; - . . • ° �, ' APICN .. � ., �: _ , NOTI C E . w ' ,''- :. ,,.. . ";: < ' ' .4 " Business name: SP\0, E f- �e All contractors and subcontractors are required to be Contact Warne: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: Business name Pcr7D . . BUI PERMIT .FEES* , . Address: - Please refer to fee schedule. City /State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie.: 5� - Amount received . Date received: Authorized signature: This permit application expires if a permit is not obtained a I �� ,� / within 180 days after it has been accepted as complete. Print name: i pe Vt ill rle y - Date: / * Fee methodology set by Tri -County Building Industry Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM /WEB) Plumbing Permit al FOR OFFICE USE ONLY City f Tigard t� Received y 1 1 �3 20o DDate/B : �� I �f Permit No. �O Po 13125 SW Han Blvd., Tigard, OR 9 '2' Plan Review � Phone: 503.639.4171 Fax: 503.598.1960 /4,0,74„„10,1,1\ Date Other Permit No.: r 24- Hour Inspection Line: 503.639.4 7 T I GARD � lo l t F 6 --- nfo tio Date Ready/By: y: Jug El See Page 2 for Internet: www.ci.tigard.or.us N Notitled/Method: / (' Supplemental Information ni iii D ING DIVISIO TYPE,:OF' ° WORK ' i FEE CHEDULE I New construction ❑ Demolition For special information use checklist. Description Qty, Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) ' • 'CATEGORY ;OF_`CONSTRUCTION. •.' c ' . SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 1:1 Accessory building ❑ Multi- family SFR (3) bath / 399.00 Each additional bath/kitchen / 45.00 ❑ Master builder ❑ Other: . . Fire sprinkler ( sq. ft.) Page 2 ' ' • a i`''' JOB SITE INFORMATION AND LOCATION' - • ' , ` `i Site utilities Job site address: l (11\ii J I ' 1 \ I , t Catch basin or area drain 16.60 City /State/ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: • Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 1 I Lot no.: iq Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 A ,_ th; 5 , DESCRIPTION; _OF. - .WORK ," .. Backflow preventer Page 2 Backwater valve ' 16.60 Clothes washer / 16.60 Dishwasher / 16.60 PROPERTY. QWNER' ' Drinking fountain 16.60 -` : ❑ ",TENANT Ejectors /sump 16.60 Name Expansion tank 16.60 Address: ,Le" / tr.0 5?„, I 7 2 Fixture /sewer cap 16.60 City/State /ZIP: J t 3 .... _G 2 Floor drain /floor sink /hub 16.60 Phone: 1-1P7) .c.-6-7 ._. 7 ' 5 Fax: (j)7y U -2�No� Garbage disposal 16.60 / '" ;;® ;APPLICANT ®, CONTACT„ Ice ma b 16.60 h PERSON'' Ice maker • 16.60 Business name: • . Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory if 16.60 Tub /shower /shower pan V 16.60 E -mail: Urinal 16.60 N TRACTOR '' >I'.;i' ``"' •' , " �;' • :•'� "''.._',. ;•� -�' �" "`�� CO ':•���� �'''"_ W a t er c 16.60 Business name: ? �; Water heater '/ 16.60 Address: f � 11/4, Other: City /State /ZIP:., C Subtotal ( Minim permit fee: $72.50 Phone: 5 'C.. Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: ' Ogy - 7 ^tnmbing Lic. no.: ?_7 .72g0& Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature t. TOTAL PERMIT FEE -- 7 - b - ,. - 104 - 1 Print name: J Pst..--1 3 N1�, 1 : Date: 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. 1:\ Building \ Permits \PLM- PermilApp.doc 12/03 440 -4616T(10 /02 /COM/WEB) Mechanical Perm l i0 46n FOR OFFICE USE ONLY Clty of Tigard l� Eew Other Permt No.:Permit: �sfy *TT 7 13125 SW Hall Blvd. Tigard, OR 97223 1' �� �r Phone: 503.639.4171 Fax: $,98:196b 100°4 0 / /ean�[�NG'I h' Date/By: Inspection Line: 503.639.417y5 Ai. r. Date Ready /By: luris El See Page 2 for Internet: www.ci.tigard.or.us O V TIGARD Notified/Method: Supplemental Information nt t't(a DIVISIO r _ YPE \WORK : , ?, .. -i : f . E *•.•SC .:. � • , , ., _ , . gal , ,. ....__ USE�CHECKLIST Es �.,/�+ - T " CUIVIMERGIAI; •FE •HEDULE I�SI New construction El Addition/alteration/replacement Mechanical permit fees* are based on the value of the work TTT��� performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. `' "CATEGORY OF . /CONSTRUCTION,' `' :' " Value: $ RESIDENTIAL `EQUIPMENT; /'SYST•EMS.FEES* !,«' ❑ 1- and 2- family dwelling El Commercial/industrial 1=I Accessory building - - . . • CI Multi-family CI Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total ±, ■JOB: SITE eINFORMATION:'ANDS,;LOCATION'. ; • j Heating/cooling Job site address: 9,N., 111 Air conditioning or heat pump I (requires site plan showing placement) 14.00 City / State/ZIP: – ��� � I Of — Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) / 17.90 / 7s go Suite/bldg. /apt. no.: 1 Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work / 14.00 / t./ Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), 1.1110NACOa„, . i n -wall, in -duct, suspended, etc. 10.00 SubdivisioLot no.: 1 Flue /vent for any of above / 10.00 / () Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIP.TIN O WO RK, • l s , Water heater / /D . _ ... ,. ,... ', : er 10.00 Gas fireplace / 10.00 / 0 • Flue vent for water heater or gas fireplace ° 10.00 mil) Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 . ;PROPERTY'OWNER• } ''� '' 1 ® : - TENANT'.'- . Chimney /liner /fl /vent 10.00 ��•, �' , , `.r:�' ���� '���.,,' 1000 Other: Name: � J y r Z '" tk -t Environmental exhaust and ventilation • J Range hood /other kitchen Address: z �, �- , equipment / 10.00 / b City /State/ZIP: ' C) • Clothes dryer exhaust / 10.00 / 0 Single -duct exhaust (bathrooms, Phone: � , — ..7&."-6' Fax: (€022,0 ( toilet compartments, utility rooms) 6 6 .80 /-/ 0 ,g O '1.:,':-' .r, 1 ' Atti /crawls ace fan ❑',APPL °ICANT: ti, , s • ® CONTACT.PERS©N`, : P s 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. / Gas heat pump City/State/ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater / • Fireplace I E - mail: Range / ,: - .1 " CONTRA :_ . Barbecue Business name: r � ' 1 d � j , � (� Clothes dryer (gas) Other: 54/ U Address: 0 1.1L-1 � - IYIH �E CANICAJ„�PERMIT.FEE S ` " City /State/ZIP: j �h� ` (:)g. q -- Subtotal / (./y./ t) � 5 g Minimum permit fee ($72.50) Phone: 1) Fax: ( ) Pl an review (25% of permit fee) CCB lic.: '''j )�) e� State surcharge (8% of permit fee) / /, '5� � TOTAL PERMIT FEE Authorized signature: : +'r� This permit application expires if a permit is not obtained within 180 J I days after it has been accepted as complete. Pr int name: , Date: 7 1 �/(� * Fee methodology set by Tri- County Building Industry Service Board i :\ Building \Permits \ MEC- PermitApp.doc 12/03 440- 4 Electrical Permit Application FOR OFFICE USE ONLY City Of Tigard Received Date/By: Permit No.: � ev go 7 g 13125 SW Hall Blvd., Tigard, OR 97223 ' CI ` Plan Review Phone: 503.639.4171 Fax: 503.598.1960( V ri / � "t' ,I DateBy: Other Permit: Inspection Line: 503.639.4175 -\, • P` ' I Date Ready/By: \ Jur' ® See Page 2 for Internet: www.ci.tigard.or.us 71N Notified/Method: ( Cam' Supplemental Information 9' nt TYPE O F WORK • PLAN REVIEW New construction ❑ Addition /alt ra a 1ic�tnent Please check all that apply: ❑ Demolition ❑ Other: ��� D EService over 225 amps, comm'l ['Hazardous location "°° Di G EService over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION RV park r � ❑Egress - care f plan P 1 'Thara,ti /5� DHealth-care facility ❑Other: Job no.: Job site address: �,�r V� l��(�,l s Submit 2 sets of plans with any of the above. City /State /ZIP: '1 1; 6 /' U, Di ' The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: 1 Project name: Description P Qty. I Fee. I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less / 145.15 4 Subdivision: r\li Lot no.: H Ea. add'I 500 sq. ft. or portion 7 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: OY ��, \� 601 amps to 1,000 amps 240.60 2 Address: AID. 2. - C VAA� lb' , l/77� Over 1,000 amps or volts 454.65 2 � /J �� t/ , / - Reconnect only 66.85 2 City /State /ZIP: La /� U V G '7V Temporary services or feeders installation, alteration, and /or Phone: ) —? I Fax: 7,) — ° S relocation v 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: C �,� Address: ?pica 1 / ! ca S V 1 1 ` 1 ' � 64 , 7 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: ` ^r- an(..,, ( 5 1'- - q ")(7d-3 Investigation per hour (1 hr min) 62.50 Phone: 0. 1- 1 .- I V t t D._ / Fax: ( ) Industrial plant per hour 73.75 �� ELECTRICAL PERMIT FEES* CCB Lic.: /-4_)1-0,D_ Electrical Lic. Xl Suprv. Lie.: -5qr'5 Subtotal Suprv. Electrician signature, required: — / Plan review (25% of permit fee) Print name: �� �� �� I Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board "" Number of inspections per permit allowed. i:\ Building \Permits \ELC- PermilApp.doc 12/03 440- 4615T(10 /02/COM/WEB 57 - 0 d 7 .._ LIAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 4 )•- . 1 ■ _ ■ , STREET TREE CEItT_IF_ 'CATION • 1 A I 1 ! • 1 1-14-IGC 4 1 ■ 4 1 -7'e ___, (Nmer/Agent I'm D'' lilpAtreE,77.E (PLEA St 1 la!) AA.FeS (PERMIT 1101.0E10 1 l)o lierehy certify kit the ((Mowing location 1 1 meets CUy of Ti 0),Ilit A I . A hind use tiicl development standards for street tree installation. ,hiias.1 '.. ADDRESS: . I .2 %., IP (,•-) Ti4.0A.1.1 WO 0 DR - • I A LOT: )1 st,,,,,,,,,,,,,, .7 . DATE: A ) . BECEIVET) By: HAAT.: / I — -- VZ Oy [ I *ThT V 'V TT Y l' I' "I VT V V V TV Y if l'l VI, V IV Ii*V1 V TT TT V Y V Y Y V V V' V T T V T T T Irl UO'U0/4UU4 14 :0( kAA bu:s513si9StiU CITY OF TIGARD 01001 CITY OF TIGARD Credit No: 2003 -00001 Date Issued: 3/25/03 Engineering ' i'r;' r r F ifit Authorization Date: 3/28/03 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use ..�. Casefile No•: SUB 2000 -00006 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Don Marinette Hom Inc. ��A (name or is entitled to $ 168;151.00 in raffic Impact Fee Credits that can be applied to TIF charges for development on lots ail of the Thorn Subdivision ()�f� � _ and Development. The use of TIF credits are subject to the rule and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Pei it. AO / l 1 1 , ---CA : 3 1 : -P . , \......... AIVAI 7 40 cl Fte-- Alau‘ Lt. P Due,..1At, , l Da = 'ermit Numbe Lot Numbers Credit Used Balance Beginning Balance $ 168,151.00 N -- g ~ 03 0,5 ace, • o otaa 9.2 F1..13f JL X1 o a _ Ms�..�o3 -ao !33 /0 a 390 15i§ ! 69 / 5 JO O5 _ ✓ns's'Aoo*,- 0010 4.3q0 15 SO 51 5faG,tpts P151 o-, - roC� 3Go.06 /53,SiI S6 6 05 0 n r 73. o018o 1/4/ <93 So,co /,v/ I I.00 .68 !a fno - N , o3- eiatl9 A Aelo " pi4, a31 ° ,94) /0 '3 _ j r f "Of) 1 11 aL1 _ x.9 D -~ _ /4 60 - ( , /I .&x _z_1114 ,, ms7,-o7; .901 Sr d 3 y'4- - /S -- `� J 4 — fiSr`aq at -a)A.3 r7,390 ______±______ ± ( __ Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. loginWiotalt09.1 CITY OF TIGARD 24 -Hour BUIL * Inspection Line: (503) 639 -4175 0 ,� ?CO O ( '_ oO),7 7 IN ECTION DIVISION Business Line: (503) 639 -4171 uu�t77 77 / BUP Received / V/ sea Re ested �� `� AM PM BUP Location /? 36 S AJ bu ) Suite MEC Contact Person /S/G/k -€. Ph ( ) Z,— 14 3, PLM Contracto Ph ( ) SWR - - ---- - - - - -- - - - - - -- ---------- - - - - -- - - - -- - - - -- -- - - - - - -- ILDIN 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 / /. 2 - O Framing �CQ ® t` t .�L� r I 1�! -•- s u E S Insulation CO l`'� 1' L 1 ..�� Drywall Nailing ,, ` 4 Firewall - L ‹/ / \! 6 1 / A t_LPL C.7 / _ d Fire Sprinkler -�/ Fire Alarm / i S ip e: C 7-6 i . 6111 - 1,C -S fi ®K `f`p Susp'd Ceiling Roof .F1-A7/4 -cJ , L / f / 9 . .,„ 4 „, F y ,i 0' - ART FAIL �- e BING - —�. Post & Beam . Under Slab _ .- Rough -In i goo , . Water Service -- — ,.._ Sanitary Sewer % . 1� Rain Drains - - -'" -T— i,.._. , Catch Basin / Manhole _ Storm Drain Shower Pan �r� - Other: .__ Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS RT FAIL C AL Service Rough -In UG /Slab Low Voltage Fi ► la +IiS El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE El Please call for reinspection RE: Unable to inspect - no access Fire Supply Line r ADA 6 / ‘ 0 Approach/Sidewalk Date /, Inspect -- -a Other: Final DO NOT REMOVE this inspection record fr tfi the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MST 0 -- 0 6 ae 7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / /— /6 AM PM BUP Location / 2 360 ss" .I4411 -c)Z Suite MEC Contact Person " Ph ( ) 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 /19 Susp'd Ceiling , Lam/ /1 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: • 4 S 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 , { 17 ADA Approach/Sidewalk Date 17 1 (� �l Inspector Ext Other: C Final DO NOT REMOVE this Inspe on record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING ( Inspection Line: (503) 639 -4175 07a0 V-`CA0 7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received i 3 V I? Date Requested - /-'/ = AM PM BUP Location - s - , �� ai_ _ , :., - Suite MEC Contact Person G (' _, P ; ( ) '2 9 4 PLM Contractor Ph ( ) SWR LDWG Tenant/Owner ELC Footing Foundation ELC Access: �.���� Ftg 0 Drain al D Crawl Drain O Sll ab Inspection Notes: ,002..... SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation . V l 666��� v 1. -,/ ! i) / 2 ��']� Drywall Nailing l J Firewall I `` Fire Sprinkler , Fire Alarm Susp'd Ceiling Roof Other: P A PASS PART I A L' 9 ^, - PLUMBING I / / ��� �C r ems ' "� -3 �sL— Post & Beam 4 ki/� .) Under Slab Rough -In Water Service Sanitary Sewer t� Rain Drains i ,. �v gm bo , eA k - 'l �' f%/ j i � � ) Catch Basin / Manhole At ll. Gi e � ,z/ /j � "" / , i eyl i Storm Drain 4e/ Shower Pan lid a, 7ftbK -- � Other: �C 1 Final 5-p r..� PASS PART FAIL . HANIC�►L �jiiil '5 /Z -i- l 1 -5 - b 5 1 / , V9/ Post & Beam Rough -In / -- ` Gas Line 64- +7‘6t-1 n , (W1-- !" Smoke Dampers I / ma 3, ��,, � _.s •, RT FAIL e 'CO1 � ' / a ' C RI , _ 4r/4i cJf �/ Service Rough -In UG/Slab ono agee 12 ' I � J,r7 fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART • SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ,�j ; ADA (I Approach/Sidewalk Date ® Inspector Ext Other: Final • DO NOT REMOVE this inspection record from the job site. PASS PART FAIL