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Permit `' MASTER PERMIT CITY T I G A R D PERMIT #: MST2004 -00033 I �i1 DEVELOPMENT SERVICES DATE ISSUED: 3/5/04 ��--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12068 SW WHISTLER'S LP PARCEL: 2S103CC - WW275 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 075 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM194C STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,625 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1,695 sf GARAGE: 578 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 5 VALUE: 321 60 OCCUPANCY GRP. R3 BDRM• 5 BATH' 3 TOTAL: 3,320 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: 2 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: 6 201 - 400 amp: 201 - 400 amp. 1st W/O SVC/F SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY' 401 - 600 0mp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HWSVC /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: $ 8,335.71 DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the Ti 4230 SW GALEWOOD ST 100 4230 GALEWOOD ST, STE 100 ca applicable l Code, State All worof OR. k will ill by done Specialty Codes and LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 all other Municipal oer appllica wone accordance with apprrovov ed 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• Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: aV87 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Appr /Sdwlk lnsp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Line Insp Plumb Final Post/Bea - • • - Mechanical Insp Shear Wall lnsp Insulation lnsp Water Service Insp Building Final if I � / / / =' I Permittee Signature : 1 --- Call (503) • • -4175 by 7:00 p.m. for an inspection needed the next business day soma -000 3 l� Building Permit Application - . . �'';, " City of Tigard RECEIVED Date received: —2 1. ::::;. clop Pjt/ppl. no.: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 ' JAN 46 2004, Date issued: By: Receiptno.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: CITY OF TIGARD l&2 family: Simple Complex: BUILDING DIV _ • ► I I PE OF P1 R:1lIT ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family XNew construction 0 Demolition ❑ Addition/alteration/replacement 0 Tenant improvement ❑ Fire sprinkler /alarm 0 Other. JOB SITE INFORMATION Job address: i siSWO Bldg. no.: Suite no.: Lot: r) . MII Block: Subdivision: ���Awf Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: • ` OWNER. FOR SPECIAL INFORMATION, USE CHECKLIST',': i,� 'f (I Ioodplain ,septiccapacity,solar,etc ) Mailing address: `e R 1 & 2 family dwelling: 11332ffillf EEP) ZIP: "'' Valuation of work $ r Phone:. w� No. of bedrooms/baths Owner's representative: Lri i _ Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) cv9 APPLICANT Garage/carport area (sq. ft.) J It J! s' Covered porch area (sq. ft.) Mailing address: ' g_i g n ,� Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial/multi-family: CONTRACTOR - Valuation of work.... $ it► „ >i I'_] m Existing bldg. area (sq. ft.) Address: .& v�r � _ New bldg. area (sq. ft.) City: Number of stories ity: State: ZIP; Phone: Fax: E -mail: Type of construction CCB no.: Occupancy group(s): Existing: r New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be • ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under I �T� J .• •, provisions of ORS 701 and may be required to be licensed in the Address: _ A _, • (- ��y 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 odin aces gove 'rig this Cl Visa O MasterCard work will be compl - • wt.' whether ifierd liereID t. Credit card number: / / 1� l l7 I Expires Authorized si a atu , ° / 1 A N ame of cardholder as shown on credit card Print name: f!! 71 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. 440-4613 (6/00/COM) One - and Two- Family Dwelling , Building Permit Application.,CI ecklist Reference no.: Associated permits: City of Tigard City of Tigard `J g ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ' ' ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 �.: TIIE FOLLOWING ITEMS ARE - REQUIRED FOR PLAN REVIEW Yes No — N /A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. Nr 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. • 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. �( 8 Soils report. Must carry original applicable stamp and signature on file or with application. )( 9 Erosion control ❑ plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. ,J� 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed r/ if copyright violations exist. J� 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot 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, `l fireplace construction, thermal insulation, etc. J� 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing • locations. Show attic ventilation. '�(\ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non 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 V 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 (6/00/COM) • , A Electrical Permit Application Date received: Permit nor d d .6 r te } {:)'�� City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: • TYPE OF PERMIT . ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ' ❑ Tenant improvement ■• New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION Job address: ,�� j, �� Bldg. no.: Suit.: Tax map /tax lot/account no.: Lot: -- ) - 3 Block: Subdivision: n � t W d Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR APPLICA I ION - • FEE SCHEDULE - . Job no: ` ( Fee Max Description Qty. (ea.) Total no. insp Business name: '� 1 New residential -single or multi-family per Address: ° rrip _ � � � � d un it. Ind u dn attachedgarage ■ Ell L M . 111111312M1251 - Serviceincluded: Phone: al 7j - I .41',:j Fax: E -mail: 1000 sq. ft. or less 4 ' e9' ^ Each additional 500 sq. ft or portion thereof 2 CCB no.: y Elec. bus. lie, no: (� t1nutedenergy, residential C: Limited energy, non- residential 2 Each manufactured home or modular dwelling JP r 2 nature of supervising electrician (required) Date - VP:" f' Service and/or feeder ��p q - f Services or feeders— installation, Sup elect name(print) ___,IL 1 , rF A 'J'j License no I ONS alteration or relocation: PROPERTY- OWNER 200 amps or less 2 201 amps to 400 amps 2 Name (print): ` «_ M�:ttlL.r� 401 amps to 600 amps 2 Mailing address: ' 0111 S ' i 601 amps to 1000 amps 2 City: .0, EMSI Z1P: 0 Over 1000 amps or volts 2 Phone: ,�fa iC : FEIV / T 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): O Service over 225 amps - comm Each pump or irrigation circle 2 amps - commercial 0 Health -care facility 2 O Service over 320 amps -rating of 1 &2 0 Hazardous location Each sign or 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 O 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 Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ Nix all lunsdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Plan review (a[ _ %) $ 0 Visa 0 MasterCard expires if a permit is not obtained Credit card number / / within 180 days after it has been State surcharge (8%) .... $ , Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6.00/COM) Mechanical Permit Application Date received: Permit no. j 57 of - md3 ' • �,l j, �.I_, City of Tigard Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 Date issued: By: Receipt no.: - Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT • 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement Iew construction 0 Addition/alteration/replacement 0 Other. JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE - Job address: ‘.:70710 - gpnv a , . Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ - Lot: 'j IBlock: - Subdivision: ��j e 'See checklist for important application information and Project name: \/a{,\r--r.)— 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 COMMERICAL/INDUSTRLAL EQUIPMENNTSCI ®E UL 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 Cl 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 CONTRACTO Boiler /compressors C�����}}�� State boiler permit no.: �!�f� �I.� HP Tons BTU/H Address: f.� Fire/smoke dampers/duct smoke detectors City: ti 4 ,IIINILEFAINII E emEi iii ffA Heat pump (site plan required) Phone: $ - ' Fax: E -mail: Install/replace furnace/burner BTU /H y � Including ductwork/vent liner O Yes 0 No CCB no.: »9 -1 -57 ) - install/replace/relocate heaters— suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): 6 . G i PJV" ELL. Vent for appliance other than furnace Refrigeration: �� : • CONTACT' ' PERSON Absorption units BTU/H 111EM i A� / Chillers HP Address: Com.ressors HP �. ♦ �t Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER: - - Hoods, Type 1/ lures. kitchen/hazmat hood fire suppression system 11221�. 4 >� �� L a Exhaust fan with single duct (bath fans) Mailing address: I fingliMIP / ��_ �1il Exhaust system apart from heating or AC y � Fuel piping and d (up to 4 outlets) ��� _ �� Type: LPG NG Oil Phone: . iia 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: [ZIP: Insert — type Phone: Fax: E - mail: VV``''� Woodstovelpelletstove Other: PP g u�i �� �t�' FA rim O her. Applicant's s si natu" Date: Name (print): .e.-.. , , Not all Junsdictions accept credit cards, please call funsdiction for more mm fouuon Permit fee $ Notice: This permit application Minimum fee $ 0 Visa 0 MasterCard expires if a permit is not obtained Credit card number / / 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. S TOTAL $ Cardholder signature Amount 440 -4617 (6/00/COM) Plumbing Permit Application • _ Datereceived: Permit no. (l1, pd ., opp3 a{:1; City of Tigard �,� r Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 Prolect/appl.no.: Expire date: City of Tigard Phone: (503) 639 -4171 Fax: (503) 598 -1960 Date issued. By: Receiptno.: Land use approval: Case file no.: Payment type: = TYPE OF PERMIT . 0 1 at 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement b= New construction 0 Addition/alteration/replacement 0 Food service 0 Other. - - - JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)- :- i� Job address: „ ) jJ AA 'N' # '-5 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: .1111 Block: Subdivision: VP I M' SFR (2) bath Project name: waA 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.) ...,' • °'-''' PLUNIIIING: .CON"IRACTOR Manufactured home utilities Business name: p, ` 7 L i Manholes Address: .i/1= ME ZnIIIIIIIIIIIIIIMIIII Rain drain connector MI �j ZIP: Sanitary sewer (no. lin. ft.) 11111 � — v� Storm sewer (no. lin. ft.) MI Phone: y ,...4" 'Fax: E _ whew Water service (no. lin. ft.) no.: ar - 71 re .. Plumb. bus. reg. no: Fixture or item: City/metro lie. no.: NiA / , Absorption valve Contractor's representative signature ✓f/ _ Back flow pre•:enter • i "� Backwater valve CONTACT PERSON- Basins/lavatory Clothes washer • • U Name: �e Dishwasher Address: _ AA / in , w — Drink ine fountatn(s) City: State: ZIP: Ejectors/sump Phone: Fax: E -mail: Expansion tank ' OW NI:It Fixture/sewer cap IIIII � :` �,� Floor drains/floor sinks/hub — Name (print): \ • ,j ' , _art - 6' - Garbage disposal all Mailing address: � _ • "it sta '1 • r Hose bibb ■ City: _ �� Ice maker �� E -mail: Interceptor/grease trap NE Phone: � , — 4 , Fax: � P � P Owner installation /residential maintenance only: The actual installation Primers) 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/showet /shower pan Urinal Name: Water closet Address: Water heater City I State: ZIP: Other. Phone. I Fax: 1E-mail: Total III Minimum fee $ Not all ac l jurisdictions cepr credit cards. please call junsdicuon for more information Notice: This permit application Plan review (at — %) 0 Visa c O titasterCard ard number / / expires if a permit is not obtained State surcharge (8 %) •• -• �— C.edit c within 180 days after tt has been $ Expires TOTAL --- accepted as complete Name of cardholder as shown oa creda cant S Amount 130-3616 (64:0tCOM) Cardholder signature � CITY OF TIGARD Credit No.: 2004 -0001 Date Issued: 01/28/04 Engineering *7 4 ' Authorization ti� :AL -- --• Date: 01/28/04 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB2003 -00004 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Venture Properties, Inc. developer) (name of is entitled to $ 50,606.07 in Traffic mp.act= Fee= Eredits -that can be applied to TIF charges for development on lot(s) 1 - 29 of a Whistler's Walk 2 Developm nt. The use of TIF credits are subject to the rules and I' itati s�of the TIF Ordinance 'ch are listed on the back of this voucher. WARNING: This voucher must - be resented at the time of issuance of the building p d g permit, or if deferral was granted, issuance of an Occupancy Permit. Directo Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 50,606.07 0/do 5/ )--i 06 33 /(,0-1 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. login\viola\tifO9 1 t .. 5i0 6 `f— 33 .._ L111A1AAAAAAAAAAAAAAAIAA nAAAAAAAAA ..AAA►AAAAAAAAA®®®A®®A®®®®A:AA • ® 41 10- p ' 1 STREET TREE CER ;/ _ Owned /Agent for /)per / --/7Z= . /447t- - -S (PLEASE PI? IN'17- (PERMIT HOLDER) I held)) cet l i( }y Iltiit the ((Mowing IOUat ion meets City of 'lipid/Washington County land t I Ise awl ClcvClU >IIIC1It staIIClarcls for si I CO FCC illstalL 1IO1l. 1 ADDRESS: /Z_O6 / SN b,hy LP -- - -. d ,i 11S1-)I VI - - ..0_\A S.i a. -/5. , -- _ — BY: il.... DAM: 6- /6 -0X q a d I - 1 A ' I ' I ;.: . - i7, - = . -- -- -- IrYNTYTITTYTYYTTYYTTTYVVYYVYTTIrVirTV/ITTYTYYTITYVYTYTTYTYTYVyy*Tili CITY OF TIG'ARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST d d q-,Dd0 3 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested —/ 7 - AM PM BUP Location (_ Co b (.c 4,4 �� i Suite MEC Contact Person 6e44-° , Ph ( ) d — 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: A PART FAIL j P RING 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 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: 0 Unable to inspect — no access Fire Supply Line ADA • Approach/Sidewalk Date l7 2 Inspector Ext Other: Final DO NOT REMOVE this inspection from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST ( 5 3 BUP Received Date Requested / 7/5 AM PM BUP Location / t)-®(28' Suite MEC Contact Person Ph ) PLM Contractor 46/f1.4.4.-Ph ( ) r?'OT 7 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 AJ ` Z- l 1q , I s Framing l� l 1 1 1 t� F. Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other:: Final pp PASS PART FAIL FC Under Slab , Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Ot PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL CTRI L Service Rough -In UG /Slab Low Voltage Fire • larm SS PART FAIL Reinspection fee of $ required before next inspection: Pay at City Hail, 13125 SW Hall Blvd. S Please l for reinspection RE: Unable to inspect — no access Fire Supply Line ADA ' 151.0 V v 6 Approach/Sidewalk Date Inspector � -' 6 `^' Ext Other: Final DO NOT R OVE this Inspection r ord from the Job site. PASS PART FAIL