Permit CITY TIGARD MASTER PERMIT
"VIII ,,, DEVELOPMENT SERVICES DATE SSU 2/13/04 -00012
c- -- ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12076 SW WHISTLER'S LP PARCEL: 2S103CC - WW279
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 079 JURISDICTION: TIG
REMARKS: New SF detached. DEMO CREDITS FROM BUP2003 -00588 TO BE APPLIED TO THIS PERMIT.
BUILDING
REISSUE. DM139 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,500 sf BASEMENT. sf LEFT: 10 SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1,450 sf GARAGE: 460 sf FRONT' 15 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT. 5
VALUE: 285 00
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL 2.950 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: 4 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: 3 CLOTHES DRYER: 1
GAS FURN 5=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: 5 201 - 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: $ 3,645.61
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
Tigard h r l Code, State work k w Specialty Codes and
4240 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done i
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 t
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. 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: _,11 3 877558 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 Ins( 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 Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation Insp Water Service Insp Building Final
.
Issued By : �� _ - Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
,4.02 - f ii' r 1
Building Permit Application
Date received: / , Permit no.: ` ••■ - dco/2-,
iii City of Tigard
'' -- Project/appl. no.: Expire date:
City ojTrgard Address: 13125 SW Hall Blvd, d O • ��®
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960
JAN 2 U 2O Case file no.: Payment type:
Land use approval: U l &2 family: Simple Complex:
• _.
-11.11: OF PERii%l1
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ,'New construction 0 Demolition
❑ Addition/alteration/replacement 0 Tenant improvement ❑ Fire sprinlder /alarm 0 Other.
JOB SITE INFORMATION
Job address:Ian TIIAM. Bldg. no.: Suite no.:
Lot: ` )'- Block: Subdivision: �1/IirtniIi /.irJ Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOIL SPECIAL INFORMATION, USE CHECKLIST
pkt V ( Il oodplain ,scpticcapacity,solar,etc.)
Mailing address: Trs_wpjfiAma,rgl, 1 & 2 family dwelling:
IENXIIIMBII=11111111MIM'' ZIP: l�� Valuation of work $ -
Phone: .TVElfaliJ, No. of bedrooms/baths
Owner's representative: , „MM i _ Total number of floors ,
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT - Garage/carport area (sq. ft.) l'(ra
Covered porch area (sq. ft.)
Mailing address: L � t _ ,�� Deck area (sq. ft )
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
. CONTRACTOR Valuation of work..., $
Existing bldg. area (sq. ft.)
Business name: _ 16 > - r_ 2 (d New bldg. area (sq. ft.)
Address: AvL� DWI
City: . State: ZIP:
Number of stories
Phone: Fax: E-mail: Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECl/DESIGNER licensed with the Oregon Construction Contractors Board under
M ilT0M1- , provisions of ORS 701 and may be required to be licensed in the
Address: _ A • '� 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: 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 I ws and oldinances gove 'ng this 0 Visa O MasterCard
work will be compl - . wr .' whether ifred Hereln i t. Credit card number: / /
Expires
•±
Authorized sly atu .: • ' r !j �� i A ( VI e : Name of cardholder as shown on credit card $
Print name: 1 ti - • - `
�'�' 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 (6OOlCOM)
One - and Two - Family Dwelling
' ' Permit Application Checklist
Building Permit Application Chkli
Reference no.: •
City of Tigard City of Tigard Associated permits:
' • ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 , ` ° " ❑ Other:
Phone: (503) 639 -4171 , ,• ,. A , R i ,•
Fax: (503) 598 -1960 f : aJ J . 1 ,
THE 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. 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 ❑ plan ❑ 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.
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)
.
Mechanical Permit Application
A.
Date received: Permit no.: —ay/ 2.-
a 'IJ I . City of Tigard fi, Pro jecdappl. no.: Expire date:
r ess: Add 13125 SW Hall Blvd, .�' =`'' r 1MED
City ojTigard Date issued: By: I Receipt no.: _
Phone: (503) 639 -4171 AA � AA �� n
Fax: (503) 598 -1960 'JAN 20 200k Case file no.: Payment type:
Land use approval: Building permit no.:
WV OF TIGARD
TYPE it "IF PERMIT .
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi family ❑ Tenant improvement •
,Iew construction ❑ Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE - •'
Job address:Do V �--vo k �� 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: ' Block: Subdivision: A n 'J�1' *See checklist for important application information and
Project name: �; , 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/INDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use:
Air hart •
Is existing space heated or conditioned? ❑ Yes ❑ No Air condit unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system
MECHANICAL CONTRACTOR - Boiler /compressors
�, �� State boiler permit no.:
�.I���Ss� /_�i permit HP Tons BTU/H
Address: lr�t,� Fire/smoke dampers/duct smoke detectors
City: lis L State. 7figrarair 14,11 Heat pump (site plan required)
-
Phone: Fax: E -mail: InstalUreplacefurnace/burner BTU /H
a� ' Including ductwork/vent liner 0 Yes 0 No
CCB no.: '?--)r - Install/replace/relocate heaters - suspended, '
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): j gr G� �jVW IV NM I I I I Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: ° __ ' lb • Chillers HP
Address: Compressors HP
� - ♦ + Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
' Phone: Fax: E -mail: Dryer exhaust
Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system
_T .iu g qW_ Was* Exhaust fan with single duct (bath fans)
Mailing address: TAO Exhaust system apart from heaung or AC
City: , fp , State r4 ZIPq ) Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: 7 - _J( 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: [State: I ZIP: Insert - type
Phone: Fax: E -mail: ,
PP b' _0F> /.gm r ;�� V lr'J TIZ
Other her. '
Applicant's s si rta Date:
Name (print): -
Not all Junsdicuons crept credit cards. please call Jurisdicuon for more tnformauon. Permit fee $
Not Th permit application Mini Minimum fee $
❑ Visa 0 MasterCard i if it is not obid
Credit card number Ex i within exp 180 d a permit
after i h as been Plan review (at — %) $
p e en State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440-4617 (6iVWCOM)
r Plumbing Permit Application -
Date received: Permitno.:N5r -4
,1241111 City of Tigard .: „ - r- a Sewer permit no.: Building permit no.:
Address: 13125 SW Hall " it' NI
City Tigard Project/appl. no.: Expire date:
`) 1 8 Phone: (503) 639-4171 ,
Fax: (503) 598 -1960 "JAN 2 0 2QoI Date issued: By: Receipt no.:
Land use approval: Case file no.. Payment type:
CRY OF SIQAAD
- 'LIFE OF PERMIT
0 1 & 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 -
JOB SITEINFORMATION • FEE S ®ITLE (for special information use checklist).
Job address: 00 (f ] V ,�(_' I A • t 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: '71 "Block: J Subdivision: 44&4l. _ SFR (2) bath
I
Project name: 17 U I is 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.)
I'LLIMRINCr . GON t;lt \C'fOR" Manufactured home utilities
Business name: 1 ` 7 L i Manholes
Address:
� _ _ . Rain drain connector
r • State ZIP: _Sanitary sewer (no. lin. ft.)
Phone: `j •
Phone: y 1 I Fax: E-mail: - .,, Storm sewer (no. tin. ft.) Water service (no. lin. ft.)
CCB no.: "7 �-1 -] Plumb. bus. reg. no: - Fititure or item:
City/metro lie. no.: N/A l / IP — Absorption valve
Contractor's representative signature .11........ , — Back flow preventer
Print name: 1n� ` 0 rfait Backwater valve •
CON'I Pl RSO\ - ' - Basins/lavatory • f Clothes washer Name: -t ���t IE Dishwasher
Address: _ LA ' / i v l a ,Ni - .. Drinking fountain(s)
City- State: ZIP Ejectors/sump
Phone: Fax: E -mail: . Expansion tank
°^ r a - ( ) \C. \I:R - Fixture/sewer cap
, .�, . Floor drains/floor sinks/hub
Name (print): Id. , _ - _ea "( - Garbage disposal
•
Mailing address: a , _ . ' • �► 1 . ' Hose bibb
City _0 _ M1''r ZIP: / ' Ice maker
Phone. - !Fax: • -7-7k E -mail: 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 -
Tubs/shower /shower pan
. ENGINEER: - Urinal
Name Water closet
Address: Water heater
City- I State f ZIP. Other.
Phone. 'Fax: I E -mail. Total
Minimum fee $
Not all lunsd coons accept credit cards. please coil iunsdicuon for more information Notice: This permit application % $
Plan review (at _ )
Q visa MasterCard expires if a permit is not obtained State surcharge (8%) .... $
C.edtt card number / / within 180 days after it has been $
Expires TOTAL
accepted as complete
Name of cardholder as s
hown oa credit card
S
Cardholdu signature Amount 440 -1616 (60000CbM)
Electrical Permit Application
Datereceived: Permit no.: ) ,, Q p 64 2
+ft I'� Pro ect/a 1 no.: Ex
r1 ; j, .: I Ci of Tigard ; r J PP ire date:
P
Add 13125 SW Hall 81 E s - • . fe . • s. s 'i ` • 4.
City ojTigard - T,.. , + Date issued: By: Receipt no.:
Phone: (503) 639 -4171 .
Fax: (503) 598 -1960 I JAM 2 0 2n 1{ Case file no.: Payment type:
Land use approval: U
'I'VP ns PERMIT - .
: 6 0 .. -
❑ 1 & 2 family dwelling or accessory ❑ ommercial/industrial ❑ Multi - family ❑ Tenant improvement
v New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
JOB SITE INFORMATION
Job address: 0010.0 )111Pirr , 4. . Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 1� 'Block: I Subdivision: g ! L
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
•
,CON I RACTOIZ APPI.IC:A"l ION FEE SCHEDULE - - -
Job no: 1, j Fee Max
Business name: CA a E c r gA c, Description Qty. (ea.) Total no. hasp
New residential - single or multi- family per
Address: gap Iv � ` a t`` • c" — dwelling unitIncludes attached garage.
City: '•� (-sip I: ZIP: i Service included:
Phone:L -L .. , - l Fax: E -mail: 1000 sq. ft. or less 4
�ter-e92"1:1 n Ea ch additional 500 sq. ft or portion thereof
CCB no.: .� � Elec. bus. lie. no: (.. L imited energy, residentiat 2
f �__ Eah m nu energy, r d home or ml 2
Each manufactured home or modular dwelling
nature of electrician (required) Date Service and/or feeder 2
License no 9
Services or feeders— Installation,
Sup. elect name (print). 1 ! alteration or relocation:
(print):
/� 200 amps or less 2
Name
gp ) ��lll \ l� P �+ 201 amps to 400 amps 2
: 401 amps to 600 amps 2
Mailing address: �•11<S 601 amps to 1000 amps 2
City: i State ZIP:9 70 S Over 1000 amps or volts 2
Phone: 7 / Fax: - --76(5E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary servicesorfeeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocadon: 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):
❑ Service over 225 amps-commercial 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 0 Hazardous location Each signor outline lighting 2
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 stories 0 Feeders, 400 amps or more •Descnption:
❑ 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 $
Not all jurisdictions 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 Dumber: / / 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 440 -4615 (6100'COM)
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Do hereby certify th t the following location ■
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Liner (503) 639 -4175 MS Z �R - dV 2 / Z-
INSPECTION DIVISION Business Line: (503) 639 -4171 �`�
BUP
Received 4 - ` 4P Date Requested AM PM BUP
Location /20 7 Co Suite MEC
Contact Person / G%y -e. Ph (- ) o2-e 9 - 4"f3 7 PLM
Contractor Ph ( ) - G '/ ,AZ. 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 eL�c_;gil''a-L �.�, /4- L (A'� r") 5- s---
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
Fin
SS ART 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 S Inspector - Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD .; 24- Hour ? .
BUILDING Inspect o0 Lige: (503) 639 -4175 MST;ZV 07)0/2-
INSPECTION DIVISION Business Line: (503) 639 -4171
P BUP
Received 4 ` a/ Date Requested _5 — 5 "'M PM BUP
Location / 2 0 7 (./) LL t Suite p MEC
Contact Person /`� ea12 . Ph ( ) . ) 4d ,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
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
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 FA
ELECTRICAL!" �"
Service
Rough -In
UG /Slab
Low Voltage
Fi - - -
in. 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
`� ART FAIL
El Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line N (�
ADA Approach/Sidewalk Date 6 � ' ( Inspector 1 - iB cT Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site. -
PASS PART FAIL