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Permit CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2004 00039 �,�41 DEVELOPMENT SERVICES DATE ISSUED: 2/12/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12070 SW WHISTLER'S LP PARCEL: 2S103CC -WW276 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 076 JURISDICTION: TIG REMARKS: New SF detached. DEMO CREDITS FROM BUP2003 -00587 TO BE APPLIED TO THIS PERMIT. BUILDING REISSUE' DM190001 STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 25 FIRST' 1,710 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD' 40 SECOND 1,790 sf GARAGE: 679 sf FRONT: 15 PARKING SPACES • 2 TYPE OF CONST: 5N DWELLING UNITS. 1 THIRD sf RIGHT' 5 VALUE: 342 70 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL. 3,500 sf REAR' 15 PLUMBING SINKS: 1 WATER CLOSETS' 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS' 1 FLOOR DRAINS: SEWER LINES' 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR• GREASE TRAPS. OTHER FIXTURES' 0 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 0 MAX INP. btu FLOOR FURNANCES VENTS: 1 WOODSTOVES: GAS OUTLETS: 3 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. 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: $ 4,126.01 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the Tigard h r applicable c al a Code, State work OR. Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 all other applicable law All work will be done i STE 100 LAKE OSWEGO, OR 97035 t 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' 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #. 5 $ may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 PosUBeam Mechanical Plumb Top Out Exterior Sheathing Insf Storm drain lnsp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line lnsp Plumb Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service lnsp Building Final Foundation lnsp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk Insp Post/Beam Structural Mechanical lnsp Shear Wall Insp Rain drain lnsp Electrical Final \ f �� �- Is e�y : Q � Permittee Signature : x- Call (5 639 -4175 by 7:00 p.m. for an inspection needed the next business day City of Tigard RECEIVED Permit Application / 2 A Date received:/ Permitno.: 1 0/-/ // i L I - Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvi, r13r f oe Phone: (503) 639 -4171 JMI �' v Lu Date issued: • CM Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: CITY OF TIGARD Land use approval: BU1LDINr DIVISION 1&2 family: Simple Complex: .. TYPE OF PERMIT , ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family y 'New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement CI Fire sprinkler /alarm ❑ Other: J013 SITE INFORMATION t . - Job address: „,jr Arm ♦ Bldg. no.: Suite no.: Lot: FA Block: Subdivision:\NJ WP7 rg Tax map /tax lot/account no'0 - uLo 0 74, Project name: , r Description and location of work on premises/special conditions: - OWNER - - FOR SPECIAL INFORMATION, USE CHECKLIST •.L imige ;,,,. ( Iloodplain ,scpticcapacity,solar,etc.) Mailing address: 'e,meE : / 'rtl 1 & 2 family dwelling: Egatirif ram'� ZIP: 'x), 3"'' Valuation of work $ Phone:. r alb - W=g15MalErg, No. of bedrooms/baths . 3 I Owner's representative: , `' L i f _ Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) WO APPLICANT- - -. -:: _ t area (sq. ft.) i IMENT 1 Laing Covered porch area (sq. ft.) Mailing address: a m Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) r . Phone: Fax: E -mail: Commercial/industrial /multi- family: CONTRA CFOR Valuation of work.... $ Existing bldg. area (sq. ft.) IMEEMMID.1-. - fddv "� New bldg. area (sq. ft.) Address: ��'�j�i Number of stories City: State: ZIP: Type of construction Phone: Fax: E -mail: Occupancy group(s): Existing: CCB no.: ._ New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be _ 'ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under c J; - provisions of ORS 701 and may be required to be licensed in the Address: _ ,ai , & c- P4 ." 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: 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. • . rovisions of 1 ws and finances gove 'rig this 0 Visa 0 MasterCard work will be compl • wt •, whether ifie 1 derern t. '/ Credit Data number: / / /n/ y Expires Authorized sly atu , ' /1 A ( i � !/ O / Name of cardholder as shown on credit card $ Print name: 1! L ( ( 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 (600/COM) One- and Two - Family Dwelling • 41. Associated Building Permit Application Checklist Reference no.: Associated permits: City of Tigard Cl of Ti and `.7 Tigard Electrical 0 Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 • TIIE FOLLOWING - ITEMS ARE - REQUIRED - FOR - PLAN - REVIEW -- -- YesNo N /A I Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. X 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/ if copyright violations exist. J� 1 1 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 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, 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." `,X • • 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 ". 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 (6JOOICOM) • 411,„„ Mechanical Permit Application Date received: Permit no.: S , ,,,,c(--090 4 y..•I ► City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall o iwb Date issued: By: Receipt no.: _ Phone: (503) 639 - 4171 /�� Fax: (503) 598 -1960 'j Case file no.: Payment type: Land use approval: 'JAN 3 0 2004. Building permit no.: '771•E OF PERMIT • 0 1 & 2 family dwelling or accessory itirtlxil 0 Multi- family 0 Tenant improvement • Iew construction 0 Addition/alteration /replacement 0 Other. - JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE - • Job address: ko. /7) , - ‘A 1r ir, I . 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 Li' Block: f Subdivision: *See checklist for important application information and Project name: 40610 jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE' -:. Description and location of work on premises: AND COMMERICAIJINDUSTRIAL EQUIPMENI'SCHEDULE 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 • MECHANICAL CONTRACTOR Boiler /compressors State boiler permit no.: Business name: p 1 a \ ��, / HP Tons BTU/H Address:M Fire/smoke dampers/duct smoke detectors City: ik ezrksiEzar,1m Heat pump (site plan required) Phone:, jG, . V Fax: E -mail: lnstall/replace furnace/burner BTU /H Including ductwork/vent liner 0 Yes 0 No CCB no.: •? =-3(f) - Install/replace/relocate heaters—suspended, City/metro lic. no.: N/A wall, or floor mounted (please print): , ( .��i Name lease rint : � C Ma.(_ Vent for appliance other than furnace . Refrigeration: CONTACT PERSON .: - Absorption units BTU/H Name: a � , . Chillers HP Address: Compressors HP VV•4% C (' f Environmental exhaust and ventilation: , City: f State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust , O t1` N E R. Hoods, Type U II/res. kitchen/hazmat hood fire suppression system Name: Ili/ gal _,a i M .R 0- Exhaust fan with single duct (bath fans) , Mailing address: w� / Aam "�l aild Exhaust system apart from heating or AC City: ., i, , State ZIPC/ - 2e) Fuel piping and distribu up to 4 outlets) Type: LPG NG Oil Phone:. 7— jI Fax: E -mail: Fuel piping each additional over 4 outlets . _ ' • ENGINEER Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace • City: I State: I ZIP: Insert - type Phone: / Fax: gi E -mail: Woodstove/pelletstove Other: yk PP g _ rx� rd O her. A Applicant's si natu" = Da te: Name(print): (.(l f 11)I Not all junsdictions accept credit cards, please can jurisdiction for more information. Permit fee $ 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Credit card number: Ex ir� wi thin 180 days after it has been Plan review (at %) $ p State surcharge ( % .... $ Name of cardholder as shown on credit card accepted as complete. S TOTAL $ Cardholder signature Amount 440-4617 (6AWCOM) , Plumbing Permit Application IV ED Date received: Permit no.: 4 J ''00039 � {. City of TlgaC Sewer permit no.: Building permit no.: Address: 13125 SW Haklalgl• �ib`lti 97223 Ciry ojTigard Phone: (503) 639 -4171 �JAA►n�I Project/appl. no.: Expire date: Fax: (503) 598 -1960 Date issued: By: I Receipt no.: CITY OF TIGARDN Case file no.: Payment type: Land use approval DAMMING DI TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 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: ono rj I TAM Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only: Bldg. no.: Suite no.: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot Block: Subdivision: ' SFR (2) bath Project name: V ; SFR (3) bath City /county: I ZIP: Each additional bath/lutchen _ Descripuon and location of work on premises: Site utilities: Catch basin/area drain Est- date of completion/inspection: — Drywells/leach line/trench drain _ -- etionnspec Footing drain (no. lin. ft.) •- —,.:' " l'LL'MIRING .. CONTRACTOR Manufactured home utilities - Business name: cS, ,I, L i Manholes Address: ��aralira • Rain drain connector -V � �� /� Sanitary sewer (no. tin. ft.) � Storm sewer (no. lin. ft) Phone: y 1 I Fax: , ax: ,� Water service (no. lin. ft) C : no.: e — "I k_. _ ;. � IPl. .. • I V Fixture or item: City/metro lac. no.. NiA � Absorption valve • Contractor's representative signature ✓L/ _ Back flow pre•enter Print name: Ina • _i Backwater valve ' . . C'ONTr1C'1 PERSON , Basins/lavatory Clothes washer Name: l� ��D) 1.....1E Dishwasher Address: d p i if / .V Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: I Fax: E -mail: Expansion tank `�..:.. = s,, OWN F.R . Fixture/sewer cap Floor drains/floor sinks/hub _ Name (print): - _att ` Garbage disposal • = Mailing address: -'-t,} _ • ' • El► t 21 Hose btbb City: L .. , E,i� .g____ Ice maker Phone: r — Ai r Fax: E-mail: FSe��. 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) 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 Unnal Name Water closet , Address: Water heater , City: State• ZIP: Other _ Phone: Fax: E -mail: Total Minimum fee $ Noe information l unsdscuons accept credit cards. please call dunsdtcuon for more infonTUon Notice: This permit application Plan review (at _- %) $ C Visa u MasterCard expires if a permit is not obtained State surcharge (8%) •••• $ C.cdit card numlxr / w ithin 130 days after it has been Expires TOTAL $ ---- accepted as complete. Name of cardholder as shown on credit card S Cardholder signature Amount 470 4616 (640c0M) i Electrical Permit Application EV ��(''� EIV EL Date received: Permit no.: jifooN- E29031 ... , {IIII City of Tigard" Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall BI tygigndv0V4I84223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: GUY OF TIGARD Land use approval: a WING D1vISIO" • • TYPE OF PERMIT . ❑ 1 & 2 family dwelling or accessory Cl Commercial/industrial ❑ Multi- family ❑ Tenant improvement V. New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION Job address: 1 , 670 1 W 7. 71 , / . Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: '? Block: 'Subdivision: i / ➢U e. Project name: I Description and location of work on premises: Estimated date of completion/inspection: _ _ ._ CONTRACTOR AI'N.ICA I ION .. FEE SCHEDULE Job no: Fee Max Description Qty. (ea.) Total no. Imp Business name: ' � 1 New residential - single or multi-family per Address: ir, _ Iv �` Id tat dwelling unit. Includes attached garage. c . '4 ?t' Service included: Phone:24L) j - j -,:j Fax: E -mail: 1000 sq. ft. or less 4 (f e is Each additional 500 sq. ft. or portion thereof CCB no.: Elec. bus. liC. no: 0 Limited energy, residential 2 C' ( -- Limited energy, non- residential 2 ,/ ' Each manufactured home or modular dwelling nature of supervising electrician (required) Date /e p Service and/or feeder 2 Sup. elect name (print) 1 _. CF A ,'� j License no � Serrtcesorfeeders— installation, AIL alteration or relocation: . PROPERTY OWNER 200 amps or less 2 201 amps to 400 amps 2 Name (print): , , tl(�0t -rte 401 amps to 600 amps 2 Mailing address: '� �1 i , S A 601 amps to 1000 amps 2 . . - _A ZIP: a �i =j Over 1000 amps or volts 2 Phone: , % I� �r 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: 2 200 amps or less ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 . 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-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) . Misc. (Service or feeder not included): imgation circle 2 i h pump or mg O Service over 225 amps - commercial 0 Health -care facility Each 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 stones 0 Feeders, 400 amps or more *Description. O Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 Other. Per inspecuon 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 all lunsdicuons accept credit cards. please call jurisdiction for more information Notice: This permit application O Visa O 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 40 -4615 (60CVCOM) '4" S Ic2c - vLf—c 3 ... �,,��►�► ® ®leeleeeleelee��e���� ► illAAAAAAeseeeeeeAAAA AAA,��►,�eeAA,,�►,�A� r ■ , ► A ■ , ► • CERTIFICATION TR EE► Owner/Agent for ,. I'la�. .s O' I, te�4 ��t4T‘- (PERMIT ' (PLEASE PRINT) I - 4 1 ► ! . , A D hereby certify that the following location ■ I I meets City of 'Tigard/Washington County ► , ► land use and development standards for street tree installation. ■ I ADDRESS: I Zo7o S,•,) iw / /4news LaoF • L OT: 7Q, . SUBDIVISION: _ I &$r1e2s nut -z_id. j1 ■ ■ ' 1 BY: . 7— ■ ■ r / / RECEIVED BY: !y / %���, D11'1'I� • 4-- �7 e> /TIVITTTTTTTYT TTSTgTTTTYVT*T ®TTTTTTTVTTTTTTTTTTTTTTT'i CITY OF TIGARD 24 -Hour / BUILDING Inspection Line: (503) 639 -4175 MST � ` '0( 6 3 INSPECTION DIVISION Business Line: (503) 639 -4171 / J �,� BUP Received '� %��f Date Requested 7 — 7 — ( AM PM BUP Location '20 � — 4 Suite MEC Contact Person deelize Ph ( ) Z-0 4"f3' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Other: - Final PASS PART FAIL PLUMBING d ee . Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • . re) PART FAIL ' � ANICAL Post & Beam ' Rough -In Gas Line • Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE V - El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA �/� J Approach/Sidewalk Dated/ D / Inspector Ext • Other: [[[ Final DO NOT REMOVE this Inspection ecord from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 MST 9 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received «: / d Date Requested �� "" y �.,a 2 -? � i2 (AM PM BUP Location / Z27 (D �J /l ul c _L4A ' --fO Suite MEC Contact Person Ph ( ) O — 4'P3 ? 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 fnt Sheath/Shear l j y .� /�� ` "; Framing 1 C 11 ,,zi■ 1= ` •.( ri L J P) 4- - � � : e 1 Insulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: aleIT PART FAIL r` 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 Rough -In Gas Line Ste• . - I - mpers PART FAIL RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date — Z 7-- 4' 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 INSPECTION DIVISION Business Line: (503) 639 -4171 / �� BUP Received 3 O Date Requested �� -Z -3 .6 AM PM BUP Location /Z d 76 ( 1t1, ) cU LO Suite MEC iee Contact Person ` P Ph ( )0269 -- �37 PLM Contractor Ph ( ) SWR j3UILDING Tenant/Owner ELC Footing ELC Foundation Access: z kp eAecT"1 Ftg Drain / ELR Crawl Drain Slab Inspection Notes: / t� , K 4- l -- I . _ , CGC r SIT Post & Beam cot i' e P�7'vi , I Shear Anchors faded — E G / Ext Sheath/Shear /�? / �L ✓� Int Sheath/Shear r 0 /� Framing / Insulation 5 ' /'✓ (%,,,, 4 • Drywall Nailing �/ Firewall �/'/�— /� 0/ f Fire Sprinkler •� ' Fire Alarm Susp'd Ceiling Roof 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 < Pot& Rough -In Gas Line Smoke Dampers �nal� PASS PART FAIL ELECTRICAL Service • Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date —�� > o Inspector G 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 L/ - c7Q 5 q • INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received 3 2 Z Date Requested « 2 & - SL AM PM BUP Location l 2 -0 UJ k6t21 thA4J Suite MEC Contact Person Ph ( ) ZQ 9 — F3 ?PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR • Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �a V �; Framing s, ) 61k W'A 6Ata b(Zi?a N l n V NbEQ•S L-e Insulation ,/ `� �- �- I � 5 - 10 V Drywall Nailing t`• l�— Firewall CAf J 1,A) ® bAW Fire Sprinkler Fire Alarm e p LD m b - TO - 10 (t,N tAiisZPa. Susp'd Ceiling Roof t_pJ N b ( yrL) �� p C L � $Y Other: s. Final N a w $%%AIL It 4 ► N 1 0061~ PASS PART FAIL BI • Pos Beam - Under Slab .-. Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage w arm ,�'♦ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. `ASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA L i �1o� Date Inspector Approach/Sidewalk P C-7 N � - Ext Other: - Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL