Loading...
Permit T CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00032 Ali DEVELOPMENT SERVICES DATE ISSUED: 4/22/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12072 SW WHISTLER'S LP PARCEL: 2S103CC -WW277 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 077 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM192C STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 2,130 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,630 sf GARAGE: 616 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 5 VALUE: 364 20 OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3,760 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 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: 5 CLOTHES DRYER: 1 GAS FURN > =10OK• '') UNIT HEATERS- HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: GAS OUTLETS: S ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp' W /SVC OR FOR' PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 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: $ 8,728.81 DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the Tigard other r applicable Municipal Code, State work k w Specialt Codes and 4230 SW GALEWOOD ST 100 4230 GALEWOOD ST, STE 100 all other applicable law All work will be done in LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 it accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or If the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: S 387 37 5 5 5 3 , 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 Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Storm drain lnsp Mechanical Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/ ructaral Mechanical Insp Shear Wall Insp Insulation lnsp Water Service Insp Building Final Is ued By : Permittee Signature : a Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • • Su) R zaO-9-000 35 A Building Permit Applicat :'' ° i City of Tigard R ECE iV E D Date received: -2g- D Permit no.411.5raoo y -ood 3 2. City of Tigard Address: 13125 SW Hall Blvd, Ti g& OR y 97 Project/appl. no.: Expire date: Phone: (503) 639 -4171 J „ '`1 V LU Date issued: By: Receipt no.: 9 s Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION l &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family , 'New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Othe • b JOB SITE INFORMATION Job address: �f �U _ � �u���t � ni E Bldg. no.: Suite no Lot: Block: Subdivision: MML .LMLY► / �IZIErap /tax lot/account no.: Ills Project name: Description and location of work on premises/special conditions: OWNER, FOR SPECIAL INFORMATION, USE CHECKLIST Name: '1 M R t gus ' (Floodplain, septic capacity, solar, etc.) Mailing address: 'e77rgu,j�!rt 1 & 2 family dwelling: City: A ZIP: � ' ,�) "”' . Valuation of work $ .j Phone:. r :all,filigalinrg, r No. of bedrooms/baths 4 I J a U, Owner's representative: , � � e _ Total number of floors i Phone: Fax: E -mail: New dwelling area (sq. ft.) 11? = APPLICANT Garage/carport area (sq. ft.) CL' Name: Jl�:� � �L� Covered porch area (sq. ft.) Mailing address: L� ♦ Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E - mail: Commercial/industriaUmulti family: . CONTRACTOR Valuation of work. $ Business name: f� Existing bldg. area (sq. ft.) Address: v` r �_ New bldg. area (sq. ft.) City: State: ZIP: Number of stories Phone: I Fax: I E -mail: Type of construction CCB no.: 3) 5 G --7D-3 Occupancy group(s): Existing: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ' , ARCHITECT /DLSIGNEIt licensed with the Oregon Construction Contractors Board under Name: ,R ,L . � : provisions of ORS 701 and may be required to be licensed in the Address: _ Ali 1 jurisdiction where work is being performed. If the applicant is C. _ '` exempt from licensing, the following reason applies: City: State: ZIP: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER ., Name: Contact person: Fees due upon application $ Address: Date received: City: 'State: IMP: Amount received $ Phone: I Fax: 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 more information. attached checklist. A •rovisions of 1 ws and o dinances gove 'ng this ❑ Visa CI MasterCard work will be compl - • w1 , whether cifred kiere�n riot. I Credit card number: / / Authorized Sl atu ' / /J /� J ` i Name of cardholder as shown on credit card $ Expires !>`"f L _ Print name: • 7 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 (6i00/COM) 1 , M One- and Two - Family Dwelling J. ,�.,A! �►, - Building Permit Application Checklist Reference no.: Associated permits: City of Tigard Cit of Tigard `J Cl Electrical ❑ Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 Cl Other Phone: (503) 639 -4171 Fax: (503) 598 -1960 TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 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 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, 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. J� 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 ". 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 (doo /COM) _ 41, Mechanical Permit Application Date received: Permit no.:IY1,S la0eq.... j'2., • City of Tigard ty g Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 - Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ CommerciaUindustrial ❑ Multi- family ❑ Tenant improvement XIew construction ❑ Addition/alteration/replacement ❑ Other JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE - Job address: ► 1 v j ' AP r 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_ 'Block: ' Subdivision: \A.M./1/!j ( jam 'See checklist for important application information and Project name: \A Li, o - 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 COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE Fee(ea.) Total Est. date of completion /inspection: Desaiption Qty. Res. only Res. only Tenant improvement or change of use: H r handling • Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No — Alteration of existing HVAC system MECHANICt1L CONTRACTOR Boller /compressors ,����}}�� �. CO State boiler permit no.: Business name: C �!/_f1 , .I.1 HP Tons BTU/H Address: AMMA Fire/smoke dampers/duct smoke detectors City : j� eargfllElialrib1ai Heat pump (site plan required) Phone:,. fj . Fax: E - mail: Install/replace furnace/bumer BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: '?),91. —j(1) - Install/replace/relocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): i , t 1 .1j (1Eu _ Vent for appliance other than furnace CONTACT ' PERSON Refrigeration: • Absorption units BTU/H Name: II EP---1 v(ZaEl.-L Chillers HP Address: .- A 0 - 1 CI - , v Compressors HP Environmental exhaust and ventilation: City: 'State: ZIP: Appliance vent I Phone: Fax: E -mail: Dryer exhaust . OWNER Hoods, Type If lures. kitchen/hazmat hood fire suppression system Name: t . �,L Exhaust fan with single duct (bath fans) Mailing address: W ji ) / v_�la Exhaust system apart from heating or AC City: , . , St I A ZIPC17)�j Fuel piping and distribution (up to 4 outlets) t Type: _LPG NG O Phone:. 7 - Fax: E - mail: Fuel piping each additional over 4 outlets Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City• ' State: ' ZIP: Insert - type Phone: / Fax: E -mail: r, Woodstove/pellet 7� PP g . 1 ,em tlaNri- I���� Other: Applicant's s si natu Date: Name (print): k_i.1 rr f ll!ii / i w - $ Not all jurisdictions accept credit cards. please call jurisdiction for more information Permit fee ❑ Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review (at %) $ Credit card number: Ex Expires 180 d after it has been een State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. S TOTAL $ • Cardholder signature Amount 440 -4617 (6AOrCOM) A Plumbing P ermit Application Date received: P ermit no. L gow '` City of Tigard Buildin permit no.: Sewer perm no Building P Address: 13125 SW Hall Blvd. Tigard, OR 97223 ire date: City ofTigar•d Phone: (503) 6394171 Project/appl.no.: �P Fax: (503) 598 -1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ►: New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other. JOB STTEINFORMATIOPI FEE SCHEDULE (for special information use check list) Job address: rA do Ai, Wit .l(iO j*, r 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: 1L ,11.,__V SFR (2) bath Project name: I • V I 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 completion/inspection: of completion/iection: — Drywells/leach line/trench drain _ Fooung drain (no. lin. ft.) PLUMBING . CON fR �C'fOIZ • Manufactured home utilities Business name: > ` 7 L i Manholes Address: I� -iT�. Rain drain connector City: Valk_ .v� =� ' State•M ZIP: Sanitary sewer (no. lin. ft.) E -mail: Storm sewer (no. lin. ft.) Phone: y -r A Fax: _�,� Water service (no. kin. ft.) CCB no.: [ (." - 7 �-( —] Plumb. bus. reg. no: - Fixture or item: City/metro lic. no.: N/A � /' Absorption valve Contractor's representative signature` r _..at Back Clow pre•:enter Print name: 1 ` ` i rfili Backwater valve • . - C ONI ACC PERSON Basins/lavatory , Clothes washer . • Name: X1 `'1 ���i 1,....1E Dishwasher Address: IAA 0 / le, ,V — Drinking fountain(s) City: I State: ZIP: Ejectors/sump Phone: 'Fax: E -mail: Expansion tank ' `'•�' .= ?`- -;::"„ • OWNER Fixture/sewer cap , ,}, �, Floor drains/floor sinks/hub Name (print): _a it `� ` Garbage disposal Mailing address: - L 7 PINT Hose btbb City L _O _ State , ZIP:q - 70. -, Ice maker Phone: "7—�j l TFax• 7-70 E -mail: Interceptor /grease trap 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 Tubs/shower /shower pan Urinal Name: ' Water closet Address. Water heater City I State: I ZIP Other. Phone. Fax: E -mail: Total . Minimum fee $ Not all jurisdictions accept credit cards, please call lunsdicuon for more mfomuuon Nonce• This permit application Plan review (at _ %) 0 Visa ❑MasterCard expires if a permit is not obtained C.ed State surcharge (8 %) .... $ n card number. w ithin I80 da%s after it has been $ Expires TOTAL accepted as complete. Name of cardholder as shown oa credit card • S Cardholder signature Amount , 440a616 (64XI2'OM) G `' Electrical Permit Application Date received: Permit no. U o,QO .,000 -2. Pro ccda I no.: Expire date: Ex r _,,74,% City of Tigard J PP p City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT . 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement I' New construction 0 Addition/alteration/replacement 0 Other. 0 Partial • JOB SITE INFORMATION Job address:.i a1OA[ •a i .'L Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: 111, Block: Subdivision: r jMTL � i Project name: Description and location of work on premises: Estimated date of completion/inspection: • CONTRACTOR APPLICATION - FEE SCHEDULE • . . Job no: - / Fee Max Business name: ' Description Qty. (ea.) Total no. Inv - N ew residential - single or multi- family per Address: ri � dw unit. Includes attached garage. � :�f3Lt n jeatzi Service included: 4 Phone:L.�J- , - l b •_ Fax: E -mail: 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof CCB no.: y Elec. bus. lic. no: .. • (� Limited energy, residential 2 �� Ea m nu act r d home or -residential 2 A , A r Each manufactured home or modular dwelling nature of supervising electrician (required) Date mom Service and/or feeder 2 _ 1' Services or feeders— installation, Sup. elect name (print) _ ...a _ 1 ef_ m pg :j License no o alteration or relocation: PROPERTY O \4'M :R 200ampsorless 2 ) l tit , tl1 ►l�.r�!• � 201 amps to 400 amps 2 (print): t int : �� 401 amps to 600 amps Mailing address: 1A M �A �. +v1 ' 601 amps to 1000 amps 2 Ci c . Ere. ZIP: d r 3 =1 Over 1000 amps or volts 2 '�y�� Phone: ,�j/ 4r Reconnect only 1 Owner installation: The installation is being made on property 1 own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: 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: IZIP: 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- commercial 0 Health -care facility Each pump or imgation circle 2 O Service over 320 amps- rating of 1 &2 0 Hazardous location Each sign or outline lighting 2 family dwellings O 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 stories 0 Feeders, 400 amps or more 'Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: Cl Egress/lighting plan 0 Other: Per inspection I I I I Submit _ sets of plans with any of the above. Invesugation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all Junsdicuons accept credit cards. please call Jurisdiction for more information. Notice: This permit application 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number / / within 180 days after it has been State surcharge (8%) .... $ Ex accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440 -4615 (6000/COM) E. CITY OF TIGARD Credit No.: 2004 -0001 Date Issued: 01/28/04 Engineering • _ ";'i / 11 - .��i Authorization - . 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 Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 - 29 of the Whistler's Walk 2 Development. The use of TIF credits are subject to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Permit. eri:3 P. 0,...,.._ Director Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 50,606.07 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. login \viola \Uf09.1 1-- At 5rg_00 Lf -cr 3 2 — LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA L A . STREET TREE CERTIFICATION H 1 H . [ , 0 v, /Agent ti Doi%) Mort-/s.se7Tr._ 4‘,, S (PI EASE liBlal) (PEP MIT 1101.1)ER) 1 1 1)0 het eby (-eft ify that the following location 11■- 1 1 meets City of Tigard/Washington (..:otinty 41 i A -4 land tise and development standards lot street tree installation. 1 ADDR ESS: i A ' 44 LOT: i st iiMi visiori: kvhsysri, rin-,S_____I [ AiligMEMM■■- DATII.: I-17-01 41 ) 4 l&ECiAvED j: _ , I)ATF• 8--//-04---- A 09 - *** 7 * --- ****TYT T 'V T*TT V TV TIF V 'V V TV V 7 V Yl T T VT VICYTT**TVTTV*Trri ' CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 � ap p INSPECTION DIVISION Business Line: (503) 639 -4171 MST ,==2°6' �� BUP Received Date Requested — 1 0 AM PM BUP Location / oZ " - c.(— Suite MEC Contact Person _ Ph ( )Ad ? _ tt3 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC . Ftg Drain Access: ELR = Crawl Drain /S /" Slab Inspection Notes: SIT Post & Beam liW Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ?astoji b& P v G %'V 1 Sv cs Drywall Nailing �, t� � Firewall — , v tt1 r 1 f N to D.) D J j- -r V N U�0` "- i yk Fire Sprinkler u l `� r"' Fire Alarm Susp'd Ceiling Roof Other: Final ..}., 11 �, p�LIM.� 1 1. LIZLDO - ® CZ - � � EC `:-SSW - v61�1' � PASS PART FAIL PCL4 O PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer I . V L P aw k)i . t �6 (5 V 'Two Rain Drains � Iv V Catch Basin / Manhole ` Storm Drain r Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final T FAIL /ELECTRICAL Servic Rough -In �`�,� UG /Slab V 6 Low Voltage ` �� Fire Alarm Y" Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line 1O c� cry (c�Q ADA Approach/Sidewalk Date 4` 6 I , ©- J Inspector `� t � - Ni vv �,� Ext Other: Final DO NOT REMOVE this inspection re rd from the job site. PASS PART FAIL r ' CITY OF TIGARD 24 -Hour BUILDING - Inspection' Line: (503) 639 -4175 MST gDO INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested AM PM BUP Location 0 7 Suite MEC Contact Person Ph ( ) 0 ?" 2 c ) c if 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 1 Insulation Drywall Nailing - 6(1 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 O PAS- 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 kO Approach/Sidewalk Date - ' 1 / . / 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 -1(175 MST a40 tr('ood3.— INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested g -- /I AM PM BUP Location / a o 7 a C c) Suite MEC Contact Person Ph ( ) 4837 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: in. PART FAIL - 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 ASS RT 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: 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 •