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Permit u CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00270 AA A I L „ DEVELOPMENT SERVICES DATE ISSUED: 7/17/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12265 SW WHISTLER'S LN PARCEL: 2S103CC -11000 SUBDIVISION: WHISTLER'S WALK ZONING: R -4.5 BLOCK: LOT: 057 JURISDICTION: TIG REMARKS: Construction of new SF detached residence. BUILDING REISSUE: DM194 STORIES' 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 23 FIRST- 1,700 sf BASEMENT' sf LEFT: 5 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD' 40 SECOND 1,720 sf GARAGE* 578 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS' 1 THIRD sf RIGHT: 5 VALUE: 330 OCCUPANCY GRP- R3 BDRM• 4 BATH' 3 TOTAL 3.420 sf REAR: 15 PLUMBING SINKS' 1 WATER CLOSETS. 3 WASHING MACH. 1 LAUNDRY TRAYS RAIN DRAIN. 100 TRAPS: LAVATORIES. 5 DISHWASHERS' 1 FLOOR DRAINS' SEWER LINES 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS' HOODS' 1 OTHER UNITS. 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: 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: 6 201 - 400 amp 201 - 400 amp 1st W/O SVC/F DR 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: $ 5,775.34 This permit is subject to the regulations contained in the DON MORRISETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes and 5000 SW MEADOWS RD 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done in SUITE 151 LAKE OSWEGO, OR 97035 accordance with approved plans This permit will expire if LAKE OSWEGO, OR 97035 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: Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg a: H- 387 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Appr /Sdwlk Insp Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Electrical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Post/Bea ral Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final Issu d By : ,& / A - - NA • ill_,JAJ j , Permittee Signature : ) Ll % _ AD 0 1! . : (/[- Call (503) •39 -4175 by 7:00 p.m. for an inspection needed the next business day TO Fr 7- 9-°3 ii, Building Permit Application 5(z) Zoo - Joao g e t pp cation Date receivedZ, -aG -03 Permit no.: I. - 003 —00 0 . 1t ., City of Tigard n s� is City o Ti and Address: 13125 SW Hall Blvd; Tigar 97223= Project/appl. no.: Expire date: ty f 8 Phone: (503) 639 -4171 Date issued: By:1 0 Receipt no.: Fax: (503) 598 -1960 JUN 2 6 2003 Case file no.: Payment type: c Land use approval: r'` 1TV (1G TIP,A ") 1&2 family: Simple Complex: l.1' .,,, rst•rtr•tnAt ,,. i 1' - ,.,�Y <h'>v.. -� ` a� `s° , , , Iy PI R %I f r , .';4, .r .- ht 4. Jn ,,f" _. - � .emu_. . ,r .,..�. . - . f. Y. .- 1 .:: . . �. .. � . ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family y 'New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other. '. ! , .; ,,, F '�� ∎V ,i=' r=.' < 4 ` O JII SI NfOl4\ l ION - `f ''ti l 0 "° ft { .,� ���`'" • 4 S �. 3. - s r ..i � .: .�� 1 ."fi`ek, � ���� ti- '"e ..^r •. "��=`� k fE r 1 _ >. l_t .df ,":1.^�syLtk�"}��1`t�s� .�7'�'�t:�~1'�r w � -•�_ Job address: t , W Vit'1.1. • '7 ,(- , Bldg. no.: Suite no.: Lot: r%) I Block: Subdivision: j \)ii -. k 1�2Q I Tax map /tax lot/account no.: F Project name: Description and location of work on premises/special conditions: + : - OW NER FOR SPECIAL INFORMATION, USG CHECKLIST Name: �� � ' �� ' . . . , ( Floodplain ,septiccapacit),solar,etc.) �1L1��r�n Mailing address: '�m� _/ R'm►a.!rt _ 1 & 2 family dwelling: City: . , 4 Statet' ZIP: 1 '2), Valuation of work $ Sias Phone:. -7- 7 Fax 7ji) -7 mail: No. of bedrooms/baths Owner's representative: yv j if Get (1 t_V-- Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) /� 4 .�, ,l, r . APPI.l( Nfr .. . -. , ,_ , ',',' Garage/carport area (sq. ft.) . )7� Name: ,A`&: , Covered porch area (sq. ft.) Mailing address: p 1 • Deck area (sq. ft.) City: , I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industriallmulti- family: CONTItACTOR • • - . Valuation of work $ Existing bldg. area (sq. ft.) Business name: _11, t -, =(d] A. New bldg. area (sq. ft.) Address: Number of stories City: State: ZIP: Phone: I Fax: I E -mail: Type of construction CCB no.: ?j 5 Gj?j Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be a`..r r 4Y N ARCHITECT /DFSIGNI It ; w , '-, licensed with the Oregon Construction Contractors Board under Name: C at t la� ‘11172‘ provisions of ORS 701 and may be required to be licensed in the Address:. _ C - C Jt._ '•t jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: (State: IZIP: Amount received $ Phone: IFax: I 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 mote information. • s attached checklist. • •rovisions of 1 ws and odinances gove •ng this ❑ visa ❑ MasterCard ' work will be compli • wi •• , whether ified here i t. Credit card number: / / a;-.: • Au thorized si y a tu •; i I I .Ce : UIV Expires „� � , ' n[ — �(' ]�/)_� Name of cardholder as shown on credit card $ 1 � .tr , (J 1 'k ' "z Pri name: r'�� T 1 ( .� Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4444613 (6N0/COM) • One - and Two - Family Dwelling s ue., i ► ' ' Permit Application Checklist :u: ►_►� • Building Permit Application Chkli Reference no.: Associated permits: City of Tigard City of Tigard 0 Electrical l] Plumbing l] Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 - THE`FOLLOWING - ITEMS ARE REQUIRED FOR PLAN REVIEW Yes -No 'N /A I 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 0 plan ❑ permit required. Include drainage -way protection, silt fence design and location of 1 / 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 t/ if copyright violations exist. J� 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property comer 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 x 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, X 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. 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 (6/00/COM) nla ii—il■ lr - fi°�1 ' Mechanical Permit Application 1t,L � Datereceived: Permit no.:/'j/j5/ aq Y — oD. 7 � ill � City of Tigard "� Ci i and N 6 "" P roject/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Cu � r I Ii "- Phone: (503) 639 -4171 ate,is l s L ue.4;, t y RR By: I Receipt _ BUIL ®I � u �,tv t....,.• Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family 0 Tenant improvement • New construction ❑ Addition/alteration/replacement ❑ Other: r` „ ° JOB: SITE INFORMATION } ;a. 4 ' Y- ,. . ;COMMERCIAL VALUATION SCHEDULE!" ,_N„ Job address: �:7 _,,d �L � � 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: Block: Subdivision: "' 'See checklist for important application information and Project name: Ai jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCIIIEDULE :,,'- Description and location of work on premises: AND COMMERICAIJINDUSTRLIL EQUIPI%IENTSCHE Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Ill • - Is existing space heated or conditioned? 0 Yes ❑ No Air handling unit CFM g P Air conditioning (site plan required) - Is existing space insulated? ❑ Yes 0 No Alteration of existing HVAC system ME y:,<,,, ; <.. , _ -- .:u +-, r _sir } �-'- Boiler/compressors oils II ■■ IECHANICAL. CON ',. State boiler permit no.: III_ rr HP Tons BTU/H Address: fnriptira /� Fi re/smoke dampers/duct smoke detectors — � H MEIONIA Heat pump (site plan required) 11111 Phone:_ u. . ' Fax: E -mail: Install/replacefurnace/burner BTU /H ■-- Including ductwork/vent liner ❑ Yes 0 No CCB no.: — • l nstall/replace/relocate heaters - suspended, ■-- City/metro lic. no.: N/A wall, or floor mounted Name (please print): ���j G' ��jV� Vent for appliance other than furnace : NM - N CONTACT . PERSO Refrigeration: Absorption units BTU/H ` Chillers .� HP El Address: Com.ressors HP � - �t Environmental exhaust and ventilation: ■ -- City: State: ZIP: Appliance vent Phone: Fax E Dryer exhaust IMI ` :is O \\` N l' R r.. , Hoods, Type U IUres. kitchen/hazmat ■__ • . • h ood fire suppression system _� _ ,. lir _jowl ea A Exhaust fan with single duct (bath fans) -__ Mailing address: ��'�� 1 / i /t�_ �� 7�� Faust p g system apart ( p heating or ,�.i Fuel pi in an d istribution from u to 4 outle ) ■ �N -- EM MA � Type: LPG NG Oil Phone: gam; Fax: E - mail: Fuel piping each additional over 4 outlets — ': ENGINEER • - Process piping (schematic required) - MN Name: Number of outlets Other listed appliance or equipment: II Address: Decorative fireplace City: State: ZIP: Insert - type Phone: E -mail: Woodstove/pellet stove - Other. Applicant's signatu �', r�' Date: / IJ1I Other. . Mil Name (print): ' " . / Not all iunsdtcuons accept credit cards, please call jurisdiction for more information. Permit fee $ 0 Visa 0 MasterCard Not Th permit application Minimum fee $ Credit card number- / / expires if a permit is not obtained Plan review (at _ %) $ Expires within 180 days after it has been State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440-4617 (6•001COM) • '• Plumbing Permit Applicat x (D•a Permitn•.17ilS74o - 00e)- j ► {i l; City of Tigard C� l � ' permit no.: Sewer Building permit no.: � �I Address: 13125 SW Hall Blvd. Tigard, OR 97223 City of Ti phone: (503) 639 -4171 I�p 2 6 2 ,p r o j ect/appl.no.: Expire date: JUN JVU Fax: (503) 598 -1960 Date issued: By: Receipt no.: CITY OF T I G, % Ca se file no.: Payment type: Land use approval: ©- iii.,..... HIV `°' r I � o �. �, k -- , i ter c , te ; :1 ; y . • . � r y} ;� = 3 : • ':OF PERIVITT ` M )- , _ , . . r .: t: , : ' O I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement New construction 0 Addition/alteration/replacement 0 Food service 0 Other - : -u JOB SITE INFORMATION : �� - i. F SCIIEDULE (for special information: use checklist) , Job address: a e WQ ,■ r r Description Qty. Fee(ea•) Total New 1- and 2- family dwellings only Bldg. no.: Suite no.: (includes 100 ft. for each utilitycoonection) Tax map /tax lot/account no.: SFR (1) bath Lot: r16' Block: Subdivision: i A jf�(' SFR (2) bath Project name: 'vt`r" r 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.) - ' . PLUM113ING _ CONTRACTOR Manufactured home utilities Business name: ` 7 L ' Manholes ill= Address: .��tai�i���. Rain drain connector ��•• State•C� ZIP: Sanitary sewer (no. lin. ft.) Phone � -v� Storm sewer (no. lin. ft.) Phone: yS.��� Fax: E-mail: .� Water service (no. lin. ft.) no.: �• - 2 l— Plumb. bus. reg. no: - ; � Ir Fixture or item: City/metro lic. no.. N/A �/ / Absorption valve Contractor's representative signature..- A/ Back Clow preventer V.' ZWfr IMMEME1110111WWITS14111111.Plill Backwater valve I CON l'AC 1 PI:R5O`, : , Basins/lavatory Clothes washer Name: �1 i\ . SN _1)1 E Dishwasher Address: dia • b . ,V Drinking fountain(s) City• State: Ejectors/sump Phone: Fax: Expansion tank _ + ; A . = ' -' :, 0 NVNI:R _� , . .,. , 4: Fixture/sewer Floor drains/floor sinks/hub Name (print): ;t■i k-1Cfe LS - E Garbage disposal Mailing address: • . v 3 ' - Hose bibb City: L._ -) • . ZIP: 0 Ice maker Phone: l`7 -' ? Fax: ,7-714 .E-mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Pnmeris) 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 si • nature: Date: Sump _ Tubs/shower /shower pan ENGINEER Urinal Name: Water closet Address: Water heater City State ZIP: Other. - Phone. Fax: E -mail: Total Minimum fee ................$ Not all iunsd=cuons accept credit cards. please all lunsd=cuon for more mformauon Notice: This permit application �_ 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ ) C.edtt card number / / within ISO days after it has been State surcharge (8 %) .... $ �— Expires TOTAL $ __---- accepted as complete Name of cardholder as shown on credit card S 440 -4616 (60000M) Cardholder signature A mount . ,. .. . Electrical Permit Application N E 1Date received: Permit no.: _Go • f j) 4vggII . City of Tigard Project/appl. no.. Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 e Date issued: By: Receipt no.: Phone: (503) 639 -4171 JUN 2 6 200', Fax: (503) 598 -1960 Case file no.: Payment type: CITY OF TIGARL; Land use approval: 811)1 rain nIVISION TYPE OF PERMIT - :: - . ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ►' New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial 9. " ' SITE INFORMATION s � �: . }•�� , .y . l�, a �r.�4�, ! c ar; ,e t � � 1.� $� ^ . . - - Job address: _ - 1,0j SN/V MAI B d:. no.: Suite no.: Tax map /tax lot/account no.: Lot: ,_ Block: Subdivision:_ Project name: Description and location of work on premises: Estimated date of completion/inspection: CON TRACTOR Al'll.ICA PION FEE SCHEDULE • .. Job no: Description Qty. ( Fee Max ea.) Total no. Imp --■ New residential-single or multi-family per Address: ' a" irrip `` ��` dwelling wliL Indudes attached garage. ___ ZWEM Service included Phone. 22 j `� Fax: E -mail: 1000 sq. ft. or less 4 J r Each additional 500 sq. ft or portion thereof __ no.: El bus. lic. no: J ti � ec. ..„ , mate Wall d date of completion/in ___ 2 C: Limited energy, non - residential ___ 2 , Each manufactured home or modular dwelling ■■ mature of supervrsrng electrician (required) Date " r Service and/or feeder 2 Sup elect name (print) 1 �'J'1 License no ) --∎ Services or feeders — installation, AIL , alteration ormlocation: `' l'ROPI RIMY O \bNI R L .'' 4 .. 200ampsorless 2 Name (print): p 110.011L-01111/ 201 201 amps to 400 amps _I__ 2 401 amps to 600 amps ___ Mailing address: f i. , Wil ��l EA e.g ' , 60 amps to 1000 amps ___ 2 City: . • s � e ZIP: , j Over 1000 amps or volts ___ 2 P h o n e : , - 1.,C-1517131210 MEP �rjr Reconnect only ___ 1 Owner installation: The installation is being made on p roperty I g wn Temporary services or feeders - II . 2 which is not intended for sale, lease, rent, or exchange according to installation, alteration 200 amps or less ORS 447, 455, 479, 670, 701. 201 amps to 400 amps ___ 2 Owner's signature: Date: 401 to 600 amps ___ 2 • E % 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: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee. first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: •_ PLAN REVIEW (Please check all that apply) - Misc. (Service or feeder not included): ■■ ❑ Service over 225 amps-commercial ❑ Health-care facility Each pump or irrigation circle 2 n i O Service over 320 amps - rating of 1&2 ❑ Busting over Each sign or outline lighting 2 g :. 2 family dwellings 0 Building over 10,000 square feet four or Signal circuits) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection __ Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all junsdreuo accept credit cards, please call jurisdiction for more information Notice: This permit application Permit fee $ ns ❑ Visa ❑ 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 4404615 (6/00/COM) r AA 5T - gzra3_ c� ♦IAsesAeAsmsAAAssAeeA > r • • r •1 .o • .1 STREET T CERTIFICATION s , Owner /Agent f or D r Nlc x�'i SSc= .� j ----ye. I , PLR- � c �6 f�rL (PERMIT HOLDER) I (PLEASE PRINT) • • • • • • • Do hereby ce • that the following location ■ • meets City of Tigard /Washington County ■ • land use and development standards for street tree installation. j • • • • ADDR /2Z6 S Si- t-' >) /si�i.r J . 4 -" -) ■ • • LOT: CI SUBDIVISION: /nllfisrz 021 W t- 0. P ■ • BY: DATE: / P._ 9.0 7 ■ • ■ A RECEIVED BY: / 4%,,, DATE: /0 - /Q- 0 3 ■ TTTTTTTTVVVVVVTTTTTTTTTTTYTTTTTT ®VVVVVVTTTTTTTTTTTTTTTTTTYl CITY OF TIGARD 24 -Hour BUILDING . Inspection Line: (503) 639 -4175 MST 3 _6 v a- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requeste d 1 0 —/ 0 AM PM BUP / Location _ / Z Z(e 5 LL) (1-.4► uite MEC Contact Person • 8_6,2 Ph ( )(l) 4 /R 3 7 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 00 / 2 21 Fire Sprinkler v e- Fire Alarm 1-e( Susp'd Ceiling c l 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 Ot t' na AS '• 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 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: (5 -175 MST 3 0 INSPECTION DIVISION Business Line: (- 7 cMr • -4171 Q' BUP Received Date Requested / " AM PM BUP Location 1 Z --(OS (.4J 1 1 Suite MEC Contact Person L Ph ( ) S/' — 40 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: Fi I - PART FAIL M HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 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 111 Please call for reinspection RE: Ell Unable to inspect — no access Fire Supply Line ADA $1 Vr1 3 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: (503) 639 -4175 MST 3-ooa INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP • Location / 0S 1-t� Q �J1� Suite MEC Contact Person Ph ( ) 6 9 — ea PLM ; Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT (Kist & Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F_ir- PART FAIL '''R" BING • st & Beam - Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi Cr PART FAIL M ICAL Rough -In Gas Line Smoke Dampers Final • PART FAIL CTRICAL 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: Ell Unable to inspect — no access Fire Supply Line ADA /� ` c' (J'yy. Approach/Sidewalk D v > � Inspector v �' \ 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 3 - To INSPECTION DIVISION • Business Line: (503) 639 -4171 'I BUP Received Date Requested - 7 a p � AM PM BUP Location 1 2 Z �0�5 4 FYI Suite MEC Contact Person Ph ( ) sl � f _6 's' z_ PLM Contractor. Ph ( ) SWR BUILDI — Tenant/Owner ELC noting Foundation ELC Re D .'� Access: ELR 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 `a Br. Catch Basin / Manhole Storm Drain Shower Pan Other: F' PART FAIL v CHANICAL 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: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk . Date '0 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 03 — C6270 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received q -2-44-0 - 3 Date Requested 5 AM PMK_ BUP Location i 2-2 5 W u)b Suite MEC Contact Person Ph ( ) 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 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 c:)04Y9 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: ❑ Unable to inspect — no access Fire Supply Line ADA -- y Approach /Sidewalk Date Inspector Ext Other: n DO NOT REMOVE this Inspection record from the job site. P SS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 0 C�7D INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Reyiuested AM PM BUP Location / �Z 4/J `- AkA771_,_A✓ Suite MEC Contact Person G Ph ( ) 42' ' V5� PLM Contra or Ph ( ) SWR UILD Tenant/Owner ELC ooting Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Fra ' i s rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Other: Fin. l PART FAIL =ING '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 D 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 / n 7_ "r (El? Aproach/Sidewalk ' Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 - Hour ' ' • • —7 BUILDING . Inspection Line: (503) 639 -4175 MST —OOH / O INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requ ted T g -c? AM PM BUP Location I D i i Suite MEC Contact Person cL/ l.4l7 Ph ( ) Sl' -6 � S . PLM Contractor // Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam She- ! • .. r l' K4 4S L ( 3c L x ;33 • Insulation on 2 L e 4/6 / Drywall Nailing • Firewall More= r1 LC- Al,L NAIL / /oLES -1-7N >orS I -1,-,C-irS Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Ei a r ASS PART FAIL c PL MBING - '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 -o II- o e Dampers Fin 7 A SS PART FAIL CTRICAL Service UG /Slate_ mow Voltage. Fire Alarm Fi ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line . � � /� ADA D ate 3 c Ext • Inspector Approach/Sidewalk 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 3 b - 'INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received Date Requested B - °' d AM PM BUP Location ( a(a S ► p- Suite MEC Contact Person 0--Azigt Ph ( ) 57 q -445 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 e s S h h e e a a t h/S ' - - h/ t 6 Framing \ -\ Insulation O N P L_ AL s � ' wLD a )4z N.5 Drywall Nailing Firewall 6 +-' 4\ ? 6E G IZ -(��( b ► Fire Sprinkler e v Fire Alarm Susp'd Ceiling Roof A 6 L: X1 l' 1 fbcz..., tkft' I in 1.)p :t Lit LS Other: `Post & Beam . Under Slab 1 1 Rough -In C / t c� T C'N 1— \\Ot-Ci It (J i. N 5 a , Water Service 1 Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • _ Shower Pan * 0 ' L_. \) E \ K - Y - K % O( J v l Other: Final 0 N s .) LA7 i ac,,, 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 El Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Zo V [`�� N3 " Ext Approach /Sidewalk 03 ✓ D ate Inspector 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 3 �O °:7 v INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 — ( 8 AM l PM BUP Location / Z -"1/45- • Suite Ai • MEC Contact Person � Ph (_ ) 5 ? —Co 4S 2— PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC fo otirig oundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: /D 3e) SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 7/f) G/ 0 3 CTF) F Framing l d Insulation Drywall Nailing Firewall / �., (5, Fire Sprinkler Fire Alarm _ Susp'd Ceiling Roof O er: naY1 PASS PART FAIL L ' 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 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: LI Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 7( t Inspector — t/ 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 oa INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received Date Requested / AM PM BUP Location / a 2 Cgs ' -t __ Suite MEC Contact Person � Ph ( ) o� v ! q� 4 f ? 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 . �-- ' ' Ai r:69 d /LiC - 4 /'JS T7' ALrr 7t CAL. T 's2 k4 Insulation Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _ O r: inal' S PART FA 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 ma PASS P AIL ELECTRIC 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: El Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 14 3 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 3 �z) 00-7 INSPECTION DIVISION • Business tine: (503) 639 -4171 I BUP Received Date Requested , / 0 AM PM BUP Location / 2-3 C 0 5 u/ Suite MEC Contact Person .Q Ph ( ) 0 9 ` 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 \ ma .\(\} .‘ G D ” - inThilln) \ `'147 rywall Nailing — Firewall Fire Sprinkler ` ^ \,\ Q , Fire Alarm V`R , �� QS � Mk M. U � ll�i7� 1 Roof 1 )0 5 �' Susp'd Ceiling I � Other: J Other:. _Final PASS PART FAIL PLUMBING 407_ 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 PART IL ❑ Reinspection fee of $ 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 _ i Approach/Sidewalk Date ( Inspecto - Ext Other: Final DO NOT REMOVE this inspection record f m the j s site. PASS PART FAIL • CITY OF TIGARD 24 -Hour , BUILDING Inspection Line: (503) 639 -4175 MST 3 'O 4P- b INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /d —/° AM PM BUP Location (p LC�rlc p Suite MEC Contact Person &ea AA Ph ( ) 7- X83 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 E a.Vu4...�, ��acS �wc�r�� /0 —/D 0 3 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Other: •AS PART FAIL BING • • • L& -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 mal 9� ART�.AIL - ° AL 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 Q Please call for reinspection RE. ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date it, fU — G 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGAR " . 24 -Hour BUILDING ' Inspection Line: (503) 639 -4175 MST - .c c.) INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re este• v 2) d AM PM BUP Location �� `c) /!/i, -- - Suite MEC Contact Person Ph ( ) 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 ccMeit s `\ ``�, Drywall Nailing �VI �' tt55'' 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 ART FAIL. 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. PART FAIL SIT Please call for r- 'nspection 'E: Unable to inspect — no access Fire Supply Line ADA C/ Dat / O Ins or Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record fr m the job ite. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 J? - O oZ d INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP �+ Received Date Requested / —' O AM PM BUP Location / ? -(2 Suite 57 MEC Contact Person (v{ Xo Ph ( ) 2 8 '— e/ .37 LM ) - - 'd Y f V 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 F � W e-- ater Servi Sanitary Sewe Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Othe A le- 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 111 Please call for reinspection RE: D Unable to inspect - no access Fire Supply Line / - Approach/Sidewalk Date / 6 f /075 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL