Permit ' p I ,
C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00328
A111'44 DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10935 SW BRIARWOOD PL PARCEL: 1S133AC-10900
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 027 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TRIM: 728 sf RIGHT:
VALUE: 145
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,416 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 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: 3 201 - 400 amp: 201 - 400 amp: 1st W/o SVC/FOR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amp6- 1000x. 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: $ 6,199.57
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I This permit is subject to the regulations contained in the
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 l of iapal Code, of ill be e y doo bne ne i n
n
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and d a al ll Othheer applicable laws. All l work k will
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.
Phone: 503 233 - 0075 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 58699 rules are set forth in OAR 952 -001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Plm /undslb lnsp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insr Water Line Insp Mechanical Final
Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service Insp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain lnsp Electrical Final
�7
Issued By : A) f./..//1
JJ . 1 1A Permittee Signature : _f.- C's \p.c
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
„ rrci ®c FOR OFFICE USE ONLY
3uiidin Permit Received . / Building
. Date/Br , `� i ' Permit No. �1e4/ 'iMS —A
City of Tigard Planning Approval Other
Date/By: Permit No. 11./K /A3 . . c,t
13125 SW Hall Blvd. JUN 27 2003 Plan Review / Other
Tigard, Oregon 97223 Date/Bv: if 3p -�o'f 13 58 Permit No.:
Phone: 503- 639 -4171 Fax: Y9)_9T ; �. � „ Post - Review Land Use
Internet vra,w.ci.tigard or.ttsRUILDING D VI C l c! Date/Br Case No. Contact Juris.: ® See Page 2 for
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: /76 Supplemental Information
•• TYPE OF WORK .
REQUIRED DATA: ::.. . •
New construction ❑ Demolition . • 1 &-2 FAMILY DWELLING ='• .
❑ Addition/alteration/replacement ❑ Other:
"''. •• 'CATEGORY. OF CONSTRUCTION - . • Note: Permit fees' are based on the total value of the work performed. Indicate
2[1 & 2- Family dwelling I ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Multi- Famil
❑ Master Builder ❑ Other: Valuation s q 5 1 29 6 • `a'
.- : -: •:JOB SITE INFORMATION and LOCATION .-•. No. of bedrooms: 2- No. of baths: Z T2
Job site address: (O33 S (te...w .1 RA-CL Total number of floors
New dwelling area (sq. ft) I 4 ((p
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 5 Ot{•
Project Name: HAW VS 'BFA41 "r04011414VM,ES Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
51.6-1 I '&2 AviWe ,b Sit'. g Qt4 Other structure area (sq. ft.)
_ •: :;,.,• -:•REQUIRED DATA:. .:,, .. :._;' :::= _,. ,;, ::
COMMERCIAL- USE CHECKLIST = - :'
Subdivision: I4Aw(CS & T Ann Lot #: Z`7
Tax map /parcel r'#: Note: Permit fees' are based on the total value of the work performed. Indicate
.. DESCRIPTION OFWORK . - • : = -- the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Ce,kiSir eTIGt Cr NELJ 3 srote.1 Tagil
-Pe3_\Etr; Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
• PROPERTY:OWNER -I•.❑ -TENANT: •:' ._. :.. .. Type of construction V1.4
Name: A tin” rJ PAg K 161.4 L.L. Occupancy group(s): Existing:
R
Address: 9500 Sl) 1 gu(e gall) Su 0..e Z7
City /State /Zip: T'ogrt , o e q-7 / l'
Phone: 601) o3) 612 -$1SS Fax : PAZ-6341 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
APPLICANT :-::' =` •% _: : :: ` :. ; ==CONTACT PERSON :: ::= provisions of ORS 701 and may be required to be licensed in the
Business Name: bEe-EK I... - 3(2004 cAgaiNtiS / (-. , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mme K (444Sn) _t- et PAZ from licensing, the following reason applies:
Address: 9So S ..1 f itte- &Itts i Sal ( 21C
City /State /Zip: kg_Tz/}7.4 Olt 9 - i 2_1c1
Phone :(S93)912 -ThSe Fax:lieoi2-604( BUILDIvG.PERMITFEES * " -
E -mail: et�ar Kg- cl1 b bean,aSSe)e , fGain - Tlease'rcfe :to Tee sc'bedt & _ -.`.:,•:,,, ' ` -
-•.. .._..._....... , .. „CONTRACTOR:... _
Business Name: 'Wit L. ei& JN 4 Asia , 1 Fees due upon application S
Address: 9 x) SW 6 M.& fie gLVD Z
City /State /Zip: FbtzrU.7 02 9 141 Amount received. S
Phone :3\ 897,-811 f Fax: (603] SQ2- 594i Date received:
CCB Lic. - 5 :169 9 .,
Authorized I Nodce This permit application expires if s permit is not obtained within
Signature: A Date: �1 r ?' �� 180 days after it has been accepted as complete.
J i /V ' f /th1Si *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :'Dsts\Permit Forms\BldgPermitApp.doc 01/03
' • Electrical Per l FOR OFFICE USE ONLY
n Received Electrical � r . ,
• Date/By: Permit No.! rregra - ® ,0501
Cl of Ti and Planning Approval Sign
City b JUN 7 2003 Date./By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.:
Phone: 503- 639 -4171 Faif i 1atVISIO" Post - Review [and Use
t Date/ 3v: Case No.:
Internet: www.ci.tigard.or.us Ail Contact Juris.: (8 See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information.
TYPE OF WORK PLAN REVIEW lease check all that apply) •
XNew construction ❑ Demolition - 0 Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: ig Service over 320 amps - rating of ❑ Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in
01 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building ❑ Multi - Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other:
JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: t (yq 3 S Be ( cd� itY*E FEE * SCHEDULE
Suite #: Bld.g. /Apt. #: l , Number of inspections per permit allowed
Project Name: 4-1,41A/KS 6l fi0140 - SOME S Description I Qty I Fee (ea.) I Total 1
New residential - single or multi - family per j
Cross street/Directions to job site: dwelling unit. Includes attached garage.
SW 1 - N A VE/ JU,6 S 14) 7 Service included: Each ad . ft or less 145.15 (d
Each additional l 500 so. ft 1 or portion thereof 33.40 0 _g3. I _�3t.�fl I I
1 ' ,� . n I � , tt n Limited energy, residential I I 75.00 1C ,co 2
Subdivision: ` l,} ° NU) 'lM'�'+�'�� Lot #: L Limited energy, non residential I 75.00 2
Tax map /parcel r#: Each manufactured home or modular dwelling
- DESCRIPTION. OFWORK service and/or feeder I 90.90 I 2
Services or feeders - installation,
e o tar'r'lu-CT 1 CAJ c N'EJ 3 sr alteration or relocation: QQ,
// /� �� �y� ` i 200 amps or less 80.30 C� 2
�W � ^� �iU"'u— f''� 201 amps to 400 amps 106.85 2
401 amps to 600 amos 160.60 2
R.:.,; .•;- ❑ TENA 601 amps to 1000 amos 240.60 2
PROPERTY OWN NT:: -- ..: _ Over 1000 amps or volts 454.65 2
lame: ACrijoi4 fArzK 1- OWN)PowrfS LLC Reconnect only 66.85 2
Address: ci ( 2.$Ue_ gt- su INc 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: (-%.fzrr/ ) 012. 91 212 200 amps or less 66.85 1
Phone (Sc) 8 92 -PZSS Fax :(S Sgg9Z -S8,-{I 201 amps to 400 amps , 100.30 2
133.75 I 2
APPL ANT'.,: •- "': _: - - ❑.CONY CT'PERSOL�Tc := 401 to 600 amps
Branch circuits - new, alteration, or
Name: sl eregiC. Lp
. r e EtS -TeS, I /JC , extension per panel: of
Address: gSED &4,914he f L\?b SUI?•E ZZO
A. Fee for branch feeder fee. each purchase circuit 6.65 2
service or feeder fee. each branch circui
City /State /Zip: qpe u q,1'1� , O ., 9-7 219 B. Fee for branch circuits without purchase of
p� �� service or feeder fee, first branch circuit 46.85 2
Phone: 60-0) N2_8158 Fax: (So3 ) S92 -E&4 / Each additional branch circuit 6.65 2
E -mail: roar K a.. d 1 trot; r.J..)0.cSOC , Coil--1 Misc.(Service or feeder not included):
CONTRACTOR Each pump or irrigation circle 53.40 2
-'r' " ;:2::,-; ` Each sign or outl l 53.40 2
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration. or extension Page 2 2
DBA Spectrum Electric Description:
2050 Vista Ave #100
Salem OR 97302 Each additional inspection over the allowable in an of the above:
503- 361 -1256 Per inspection per hour (min. 1 hour) 62.50
CCB: 116453 ELC: 24 -353C SUP: 2919S Investigation fee:
Other.
CCB Lic. #: I Lic. #: ..,--:--:;:..•:.. - _.....: , Electrical ..Pe ' n - .2 . _.. - -..-
Supervising electrician Subtotal S 7 -13,b5
signature required: Plan Review (25% of Permit Fee) S 5,40
�
Print Name: Lic. #: State Surcharge (8% of Permit Fee) S 2
TOTAL PERMIT FEE S . O L-
Authorized )44/1( r ( Notice: This permit application expires if a permit is not obtained within
Signature: Date: 4` \ 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
r/tr2 /kJ . A40 Sefr3
(Pleaie print name) •
i : \Dsts\Permit Forms \ElcPermitApp.doc 01/03
. • /
,. / edLa . • • FOR OFFICE USE ONLY
Received Mechanical
Date/Br Permit No.:/1,.froWq -041 AR
Planning Approval Building
City of Tigard JUN 7 2003 Date/Br Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.:
Phone: 503 B02010.01§ii$ON Post-Review Land Use
Date/By: Case No.:
Internet: www.ci.tigard.or.us :4■746
e
Contact
Juns.: (83 See Page 2 for
24-hour Inspection Request: 503-639-4175 ''-------' Namelviethod: Supplemental Information.
- ': - • ,:".. - 1 : :',:. TYPE OF WORK. ,:‘...' ": • 7...::: COMMERCIAL FEE* SCHEDULE - USE CHECKLIST . .:
New construction 0 Demolition Mechanical permit fees* are based on the total value of the work
0 Addition/alteration/replacement 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF CONSTRUCTION. --;;:•••• -
H1 & 2-Family dwelling 0 Commercial/Industrial Value: $ See Page 2 for Fee Schedule
0 Accessory Building 0 Multi-Family • RESIDENTIAL EQUIPMENT/SYSTEMS FEE* SCHEDULE. •
Description Qty I Fee(ea.) I Total
0 Master Builder 0 Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION - Furnace - add-on air conditioning** I [ I 14.00 01. CP
Job site address: Loyl_s f _.( g 7. A- g te 00 p pc., , Gas heat pump I 14.00 I
Suite #: Bldg./Apt.#: Duct work i 14.00 lii..°
Project Name: 441.41<S 4.eb TOWI".. 401AA-fS Hydronic hot water system 14.00
Residential boiler
Cross street/Directions to job site:, (for radiator or hvdronic system) 14.00
SL o - 130Nv1 .51,0 4/4-1,ieS' Unit heaters (fuel, not electric)
- .se-raar (in wall, in-duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10. "
Subdivision: k14 0.),,C aneirg 17 Lot #: Z-7 Repair units 12.15
Other Fuel Appliances
Tax map/parcel #: Water heater I 10.00 Iv. '
. . - • ,-. : • DESCRIPTION WORK • - I Gas fireplace 1 10.00 10. w
CO34 OR iittE LA) 3 s-r-oeti Flue vent (water heater/gas fireplace) 7 10.00 2o. ‘b
-- rawiJ krY1C. Pepica Nilo SaFT Log lighter (gas) 10.00
Wood/Pellet stove 10.00
• Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
ePROPERTY-OWNER.' - - - .. • I 0 TENANT" •-•-:.: -- • - Other: 10.00
Name: /1//1 0.4K - wi. i 1-owi g C. L.1-C Environmental Exhaust & Ventilation
Address: OO S
/ Range hood/other kitchen equipment 1 10.00 I 0 ."'
CK Sii) 1,4,2Ade goir, l i 7.i 7 U)
/ 1 c Clothes dryer exhaust i 10.00 to ,"
City/State/Zip: Aar/AA de 9-12 i 9 Single duct exhaust
Phone:[) 5o3)8P12._81s8 I Fax: (5)S J 89 2..- 884( (bathrooms, toilet compartments,
Eg : • • . • • • - - ID CONTACT PERSON utility rooms) 4 6.80 2.1.2-
Name: i>aia< i.... rgaciApJ i+scr,c1,44-ccNc. Attic/crawl space fans 10.00
Other: 10.00
Address: 9..)0 6 0 3 ,4f al n e , 6_4 v 220 Fuel Piping
City/State/Zip: Toe1tdf, 1 02 9/ 2-19 **M5.40 for first 4. $1.00 each additional)
PhOIle:(50Zi 2R2. Fax: (5Ajekir-084( . Furnace, etc. t ••
Gas heat pump ••
E-mail: ryvkez- c a d 1 becuusta_svoc , c Wall/suspended/unit heater .4.
-• : ' .- -:::• -,. ' • • • --. CONTRACTOR ,. . ' 1 ••
_ - .. •
• Water heater
Fireplace 1 ' ••
FORECAST HEATING & AIR CONDITIONING Range ••
17135 NE GLISAN ST BBQ ••
PORTLAND OR 97230 Clothes dryer (gas) . •*
1 CCB: 152194 Other ••
i . Total:
6,40
Mechanical Permit Fees*
Authorized 17.-- _ ( Date: 4/(769/ Subtotal: $ 1 - 50 , 66
Signature: •
'‘'........./.1%':----- Minimum Permit Fee $72.50 $
1)7Euc6 Coik.) Plan Review Fee (25% of Permit Fee) $ _i Z • (05
_
(Please print name) State Surcharge (8% of Permit Fee) $ ill • L tc
TOTAL PERMIT FEE $ I I
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
180 days after it has been accepted as complete. **Site plan required for exterior A/C units.
i:\Dsts\Permit Fomis\MecPermitApp.doc 01/03
• 'tsuuaillg r 1ALu1 C
l �. _ FOR OFFICE USE ONLY
Plumbing Per � Received Plumbing N B
Date/By: Permit No.J /1 To20.� 3a �
City of Tigard Planning Approval Sewer
JUN 2 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax:90(1„1111B40pgVISI l►!► Post - Review Land Use
+ t':
Contact Case No.:
Internet: www.ci.tigard.or.us u e .' II Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 '"-"• Name/Method: Supplemental Information.
'TYPE OF WORK FEE* SCHEDULE (for special information use checklist) -
Ei New construction ❑ Demolition Description I Qty. I Fee(ea.) Total
❑ Addition/alteration/replacement ❑ Other: • New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
M I & 2- Family dwelling ❑ Commercial Industrial SFR (2) bath ‘ ......
['Accessory Building El Multi-Family SFR (3) bath 399.00 W.`v
❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00
• : JOB SITE INFORMATION and LOCATION I Fire sprinkler - sa. ft.: Page 2
Job site address: /0 `U_S f7/AR tleOP p (- , Site Utilities •
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: HAW) k� 3E Z'i' "rov l t4 110 WlG S Footing l/leach line. trench drain 16.60
Footing drain (no. linear ft.) Pace 2
Cross street/Directions to job sit Manufactured home utilities 110.00
SL) l �(� S. �' Manholes 16.60
3ER1t S ( Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /-1,46V 4C C TAD Lot #: 2-7 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: • • .. _. Fixture or Item ... .... -_ . -•••
DESCRIPTION OF WORK I Absorption valve 16.60
C. 6 ri S7'72, tAk. nc1 OF E1A) 3 S r C7ia.1 Backflow preventer Page 2
-- rc igllh P EC,r ((4l co S1 J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
.- E'PROPERTICOWNER . -- . :'I TENANT - - .- • _ - Ejectors/sumo 16.60
Name: .14o P�4fL K no.' F!oeVIES I L LC Expansion tank 16.60
Address: ci SCO SW EAlegVe gt..kibi &3t Suat Z Za Fixture/sewer cap 16.60
City /State /Zip: Pog.T2J6 Z 02 C1 2, 9 Floor drain/floor sink/hub 16.60
r G 1 Garbage disposal 16.60
PhonekSo31DS2- rj7 So Fax: (S(S) 92- S 11 I Hose bib 16.60
- ;APPLICANT '• -. =. . ❑ CONTACT PERSON,- - • Ice maker 16.60
Name: 1):6,-/V L. 6QOv/i■) S,4SSoClkt'`a, j1✓L Interceptor /grease trap 16.60
Address: cis`) Std ghe Bile- gl.tibt Su It 2z6 Medical gas - value: $ Page 2
Primer 16.60
City /State /Zip: F 1TL. , C _ qi Z l 9 Roof drain (commercial) 16.60
Phone :(3)E2 - 8758 Fax (S03) 6641 Sink/basin/lavatory 16.60
E -mail: rnA+t.le. d, (1. i t erk.)r - 1 .ece9 C . CO r■ Tub /shower /shower pan 16.60
- -- . ' CONTRACTOR . • - • • ' Urinal 16.60
Water closet 16.60
PLUMBING EXPERTS INC Water heater 16.60
11925 SW PARKWAY Other.
PORTLAND OR 97225 -5413 Other.
503 - 469 -0443 - •` ."':.:.: .;:."� Plumbing Permit ..,:'.
CCB: 149035 PLM: 34 -391 - 34-391PB Subtotal S .4 k
Minimum Permit Fee $72.50 S 3,
Authorized / ' / ., �,. Residential Backflow Minimum Fee $36.25
Signature: � (.� / Date: ! - Plan Review (25% of Permit Fee) $
- RC/GE CEPA/� State Surcharge (8% of Permit Fee) S fi r4-..-4-2-
(Please print name) TOTAL PERMIT FEE S _ \
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with ison r of 1
180 days after it has been accepted as complete. riser diagram for plan review.
•Fee methodology set by Tri- County Building Industry Service Board.
i :\Dsts\Permit Forms\PlmPermitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RECEIVED
IMPORTANT PERMIT NOTICE 'AUG 1 v % Inlq
PLUMBING EXPERTS INC CITY OF TIGARD
11925 SW PARKWAY BUILDING DIVISION
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00328
Date Issued: 8/5/2004
Parcel: 1 S133AC -10900
Site Address: 10935 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 027
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC
4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY
LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413
Phone #: 503 - 233 -0075 Phone #: 503 -469 -0443
Reg #: LIC 149035
PLM 34 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRUM INC
DBA SPECTRUM ELECTRIC
2050 VISTA AVE #100
SALEM, OR 97302
Electrical Signature Form
Permit #: MST2003 -00328
Date Issued: 8/5/2004
Parcel: 1 S133AC -10900
Site Address: 10935 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 027
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the electrical contractor for the permit indicated above. I n order for
the electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC
4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC
LAKE OSWEGO, OR 97035 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256
Reg #: LIC 116453
SUP 2919S
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
ea. 4. '1141.
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
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® STREET TREE CERTIFICATION
® •
• •
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• I, 13,ucE CAS , Owner /Agent for PE - L - 1ft.S)OK\ ij ASSOC. ►
® (PLEASE PRINT) (PERMIT HOLDER) •
® ►
•
® •
•
® Do hereby certify that ' the following location
■ ►
• meets ,City >. of .Tigard /Washington _Coun i
® land use and development standards for street tree installation. ►
® ► ■
• •
•
•
® ADDRESS: loci 3 S . 0 . 13 121ev
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® LOT: Z 7 SUBDIVISION: E K 13E .1 ►
® BY: l / D ATE: 3 / °3
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® RECEIVED BY DATE: _3 /3/0 \ I%
IFVVVVVVVVVVVVVVVIYVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVNL
CITY OF TIGARD _ 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 MST -CO . Y" 1
INSPECTION DIVISION - Business Line: (503) 639 -4171
/ �/ 7 BUP
Received Date Requested 3 — 3 AM BUP
Location / 0 3 5 4Z '6.4- Suite We MEC
Contact Person Ph ( ) • • • PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ‘
Insulation
Drywall Nailing
Firewall / 7 .
Fire Sprinkler
r
Fire Alarm
i
Susp'd Ceiling / ,.,
Roof :
Other "" -
le PART FAIL / •
/
t.
• * BING _
Post & Beam ( •. •
Under Slab P
Rough -In f
Water Service
Sanitary Sewer �%
Rain Drains
Catch Basin / Manhole / '
Storm Drain '
Shower Pan
Other:
Final -
PASS PART FAIL
7 .' MECHANICAL
Post & Beam
Rough -In
Gas Line 17":
Smoke i - ' pers
e„ PART FAIL
E - TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line A /. ADA Approach/Sidewalk Date 3/ I nspector " v Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2&) 3 2 -g'
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested AM PM BUP
Location 0 - - %.r.' Suite MEC
Contact Person Ph ( ) F66 - PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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
Date Inspector I ns ector v ��" ---° Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �1 _v3 -063
� Z'
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ` 3 AM PM BUP
Location 0 3 Aro1. Suite MEC
Contact Person 52111-(Q LI-(Q — Ph ( ) n4 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 10. - _ _
Drywall Nailing
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:
xa�
PASS PART 91
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date ) Inspector 7 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 ;-603 -p6 % 3 Z�
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 1 — AM PM BUP
Location / 0 935" Suite MEC
Contact Person .Gc-C� Ph ( ) '36' 6 -4? 97 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reins ection RE: Unable to inspect — no access
Fire Supply Line a L
ADA a oU {
Approach/Sidewalk Date ' Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST - 2..C-)•O 3—'663;2_8
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested g AM ✓ PM BUP
Location / D 93 — Suite MEC
Contact Person 1 Ph ( ) F66 n7 PLM
Contractor Op-1'6w Gad P t 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
Under Sla.
- oug -In
Rain Drains
Catch Basin / Manhole
orm Drai
Shower Pan
Other:
Final
ASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7 - I 3 \ D 9 Inspector Crb\I II IS Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection i Lne: (503) 639 -4175 MST a
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 2 - AM PM BUP
Location l - Suite MEC
Contact Person 6/1/1 Ph ( ) r6 - 4 8' ? 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 ( Plt�5� V 'Q; 1 1. d � r- �l � C� 1 CI 0 1(N\
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm \,20 •
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
/A V.—)
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
ASS PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT Li Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line ADA Ext
Approach/Sidewalk Date _ 6 Inspector Other:
Final DO NOT REMOVE this Inspection record m the ite.
PASS PART FAIL
fP
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST an6 3 2.
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re • uested � AM PM BUP
•
Location /Li Suite MEC
Contact Person &)4[,fe _ Ph ( ) 5?66 -(1-e??/ 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam AWE
Shear Anchors �a
Ext Sheath/Shear W''
Int Sheath/Shear rV
Framing 11 -teat i
Drywall V u r O - '5.!Nk N'cr LArr12"/ /U
Drywall Nailing
Firewall If /I/Q -G,t J/I/ &7 / /bl/7 M /SS /4 A XULA � Co
Fire Sprinkler
Fire Alarm 3 1 kJ-i Ii_ /V 7 urn-A-164 A/ ,-
Susp'd Ceiling
Roof el A/ C /5(..11/N /!/fsT .0
611 pLT
Other:
Final e /D g J-E T19�Lt�"
��� 73U�8L � �����
PASS PART FAIL
(rv'c 1/ob.8 (B))
Pos
Under Slab
Rough -In
Water Service
Sanitary Sewer
6Y0 Oi - (s' U ES)
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Othe :
`1C►
•ASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS RT FAIL
�Et"�CTR L
Service
Rough -In
UG /Slab ll �
Low Voltage 1v0
Fire Alarm
ASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
/C/A/ ' ADA 22 ,_
Approach/Sidewalk Date I nspector 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 MSTL 3 —6 2 -8 )
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested "a _30 AM PM BUP
Location Suite MEC
Contact Person Ph ( ) e '' ' (1 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
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 . Y'( � � , . k�"
PASS PART FAIL , `/
EL RICAL WM- 10 _ h 1 ` L
UG/Slab
� e
I 'Csw 51
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
SITE 0 Please call for reinspects n RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA D 6 Ins ector u" � /. Ext
Approach/Sidewalk P
Other:
Final DO OT R MOVE this inspection recor : from t ob site.
PASS PART FAIL
CITY OE TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 3 2-4?
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 - 3h-6 AM PM BUP
Location • . •�. � Suite Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation � G 1.1 `�� (� �_,� ��
Drywall Nailing ` 1"� J ° ' , � \�
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 FAIL
ELECTRICAL
rvic
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Fie Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
' PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 06/0 7 Insp or Ext
Other:
Final DO NOT REMOVE this Inspection record from the b site.
PASS PART FAIL
CITY OF TIGARD 24- Hour
BUILDING Inspection Line: 39 -4175 MST 2 d 3 — 66 33 2 -g
INSPECTION DIVISION ! Business Line 71
BUP
Received Date Requested / ( ( AM z/ PM BUP
Location 093,5 /.l 2-C-c t– Z ` _ Suite MEC
Contact Person Ph ( ) 6 -44'97 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
She. r Anchors Gro_e/v\ / ,
I 'ulation ( G l e°V
a • in.
_ •, .rinkler
Fire Alarm
Susp'd Ceiling
Roof
Other
PAS 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 •
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line \
ADA )
Approach/Sidewalk Date 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: (503:75 MST ;ova -6632
INSPECTION DIVISION Business Line: (5 r,
BUP
Received Date Requested — AM PM BUP
Location / 0 ?3 Suite MEC
Contact Person f 3'LL4- Ph ( ) W,6 —(/ b p l 1 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
Framing
Insular•
111111271 k
ire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final 1110
PASS PART Bp 7
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 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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
v
Approach/Sidewalk Date �6( 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: ( 639 -4175 MST g 3"063Zg
INSPECTION DIVISION • Business Line. 39 -4171
BUP
Received Date Requested / J JAM BUP
Location / 9 _ C1�� 0-7:4 Suite War MEC
Contact Person Ph ( ) 26 6 —' R 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing I 2../2"S
Foundation ELC
Access:
Ft Drain 'i,, ,I� _ /
Crawl Drain 12/7 D - 5 > - �S ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
In h/Shear
c anrir
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceili
Roof
Ot
PAS PART FAIL
P 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
rp...eam
t ne
Smoke Dampers
Fin
PART FAIL
E CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ei Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line /f
ADA t J "1 /° c ( r �✓ (./ ��
Approach/Sidewalk Date / Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour MST �'��
BUILDING Ins Inspection Llne: ( 175
INSPECTION DIVISION - Business Line:
BUP
Received Date Requested t - AM
l'to BUP
Location / 93 5 Suite MEC
Contact Person P %CSZ-- Ph ( ) + ' - - • PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Sh
t$h ear / a C v�` C - 1 v3/6 c ( i iS kAQ r
nsu ation l Q
Drywall Nailing / �'t' t w� ��^ "��
Firewall
Fire Sprinkler
Fire Alarm I 0--,(‘ C. d +A
Susp'd Ceiling l /
Roof Other: S /^
Final -- s •
PASS FAIL ' 4---V‘...1"(-- [ .
PLUMBI LO U S r
Po & Slab /).i� -Ch/� C l �� l k G� %IJ`�a .
Under Slab � P 1
Rough -In
Water Service
Sanitary Sewer --- r---� e ` �. `k�J� , ( �,∎ - S c--(L--1.-
Rain Drains "'
Catch Basin / Manhole �-t-- -a.
Storm Drain
Shower Pan
Other:
Final
PASS- --PART FAIL
I�ECWAAN+� Cam\ e_•
Post & Beam .....----- 1
* ■g r h, /� .�_ Y�"-G�- -a- -S
ine
S L " — . 4 1 "" ' - - : - - ■ _ t "\ "C
Smoke Dampers
Final
PASS FAIL S `��(
ELECTRICAL 0
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line ` `
ADA / \./� '
�-"
Approach/Sidewalk Date ( d F_ 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) - 175 _3-
INSPECTION DIVISION - Business Line: MST
BUP t
Received Date Requested / 3' AM Pi - - BUP
Location / 9 a. 6-- Suite nil MEC
Contact Person Ph ( ) a I / _ , g9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab S l y Inspection Notes: SIT
Post & Beam 06.
E ar An chors
A n h/S e
heath/ 0 J Imo► y •' - . - C 6 \ ' V .( - / k Wk
Insulation , Insulation N (
Drywall Nailin& �,M 4
ire Spri ler /' 4 i - a s \L L. .
Fire Ala ■tiJ p 4 L-c t .
Susp'd ailing C . .,k Roof T\ 0 CL"C ` \r-A/ \ . j c21 ,� \ ,J j
Other y �� n
Fi PART f 4:
- Vv'-� 1 1--Q- �lti--v ►- -" c‘:
l. S
. 1
RING _ k �`
Post & Beam
Under Slab V ' , ^/f , r r 1 ( G cc- e 1
Water ` ^�
Water Service 1 /N .
Sanitary Drains / 1 AL_ %
Rain Dra ∎ 1 e �\ c.� 4t c
ins 9 ,
Catch Basin/ Manhole 1/2242 �11n� ' WSJ` - Le 5
Storm Draih �
Shower Pan 0___)-A--C-2.--
dl (rIA. �-4 -P I n1� O ; S - s -
Other
sz' - G e--1 GYU
Final ��, 'tV
PAS FAIL ^
� �
oO tni G I ( � "
Post & Beam ` 14 - -.�. ki. f Ei �..ij ` • Rough -In ` t ..Q ,
Gas Line f I A..-8,6_, Q�
Smoke Dampers �� �` �-e _ ` �`�, S �U' C' Q '°
Final r
PASS AR FAIL
ELECTRICAL
a
Service .
Rough -In Pa 2 2� . - PM
)
UG/Slab 1
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk
Date �, Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour d �
BUILDING Inspection Line: (503) 639 -4175 MST .p. 3 d� /J
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /Z J 2- AM PM BUP
Location l D 9 3 Suite MEC
Contact Person /1 ,1.{/.P/ Ph ( ) QCe (o ?'q I 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 SIS�
Susp'd Ceiling
Roof
Other:
Othe
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 pi
Gas Line
S , Dampers
PART FAIL
EL 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 El Please cal for reinsp , ction RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 , fG 3 - C a l 2?
INSPECTION DIVISION ' ' Business Line: (503) 639 -4171 4 �
4A BUP
Received Requested \ Z ? AM / BUP
t C w "obat [ Z7
Location t 01 3 �`^��� Suite ` MEC
Contact Person Ph ( ) 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
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 - ART FAIL
;/r" I AL
•os -am
Gas Line
Smoke Dampers
Final
PASS` ART FAIL
ELECT
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� / 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 U3°0 a
INSPECTION DIVISION Business Line:. (503) 639 -4171
BUP
Received / Date Requested, 3 AM PM BUP
Location j 0 , 3 S Suite p MEC
Contact Person -/# // � Ph ( ) 7C ' — s ? 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear �� ' /
Framing / �i/1,� Siz) /� !?��/frGl�/ 6 . 4 1 /4 -S--5".
Insulation /.s.cr4 cT ��clOUS
Drywall Nailing —
Firewall
Fire Sprinkler i/� ittS�Gci� (0.714S
Fire Alarm ( ) OAS' ; �nzS' Z Z �"
Susp'd Ceiling
Roof / /4 / A-/e./ -r C C7 5 Z c�
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
. in:
mo e Da pens
Fi .-
ART . FAIL
- ICAL
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 Ej Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA /2 —� ...-----9 --
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 63 5
INSPECTION DIVISION • Business Line: (503) 1 MST 3�
BUP
Received FA Date Res uested AM PM BUP
Location k S _ Suite MEC
Contact Person Ph ( ) PLM
Con Ph ( ) SWR
ILDING Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam ��
S - _ • _ 0,-
xt Sheath/Shear / Cr?-
6o Sheath/Shea
093S— /J 7 '-� l. Zy Q. d C Z -� 1 - -) �V o 3 - QD 3 ) r '
Framing J ��! �-v
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: C� /
.-x -
Final �� % r /'-/ Get�'t17� ( 0 k 'T d-6 S - 00 3 a?
PASS er FAIL
PLUMBIN
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains \
Catch Basin / Manh (� 9 � C LiC) i 1 2i O? O 2 33 kf
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line /Q 30 / t. <y6) 1 63 _ G 3 3 S°
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 yn/
ADA Date P1 ' l�
Approach/Sidewalk 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 2003
INSPECTION DIVISION Business Line: (503) 639 -4171
r BUP
Received Date Requested /2 — co AM P BUP
Location • s•• • - Suite MEC
Contact Person Ph ( ) 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
F (t) a/ S;(
Sheath/ She tilt
Framing
Insulation
Drywall
Firewall
F
\ (21
ire Sprinkler
Fire Alarm YlA \, C � i
Susp'd Ceiling
Roof
Other:
Final / 6
�
PASS PART ��
PLUMBING � f
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line 7 /
ADA Approach/Sidewalk Date ZI" d Ins pector \ \ Ext
1
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 175 03 Z
INSPECTION DIVISION Business Line: (5 171 MST
BUP
Received Date Re•uested 1 t (7 AM PM BUP
Location D fir Suite ! MEC
Contact Person Ph ( ) 8 (// 0 (d — `I' r ffe 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ?"--e L ^ C /�
Framing ` T �`/
Insulation
r�p�'all Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS FAIL
PLUMB!
Post & Be. m
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /L I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING 0 Inspection Line: (503) 6 175 0
INSPECTION DIVISION Business Line: (503 171 MST
BUP
Received Date Requested ` k \ AM BUP
Location �'�7�...� =� `7-� Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
:115 Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab /. Inspection Notes: SIT
Post & Beam
Shear Anchors 0,./' Ext Sheath/Shear
Int Sheath/Shear
Framing / (f
3
9 .c ,-/ G� I � � GC #05- r - 0 3 2-15
Insulation
4.4'a - 2_--x
irew prinkler ' C `' 2.-)"
Fire Alarm _ U . // U 06 3
Susp'd Ceiling �/
Roof '� ISO 2'7 Zx y
Other:
Final a ` � •
PASS FAIL - , w�
PLUMBI 0q 7-0 ` /�Yl if>j d 3 ' 3 cr
Post r Slab Beam
Under tia_e_7Lai t . r r`rr - -��JJJ
Rough -In ‘ „t�� r/
Water Service / Q
Sanitary Sewer ( o 9 7 3 6) ,0.0 3 3 C
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan A e t ' ��� 7 2 7 Z�c
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA t
Date ` \ G Inspector " v' Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
/
CITY OF TIGARD 24 -Hour
BUILDING . Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
l k\ 1; BUP
Received Date Re nested i
Location > Suite � MEC
Contact Person C.-Q.- Ph ( ) - PLM
Contror Ph ( ) SWR
ILDIN Tenant/Owner ELC
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain 1 f
Slab ), Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear � 0 T
Int J Q > 9 6 ,, - -, DoC/e M4�T03'Q0 31e
'raming r
Insulation 1 /� '- & 2 _ /.
Drywall Nailing C•� T"
Fire a nkler Q 1' Gc - -. Li . Z
Fire Alarm / Q g 1`e-.7 c,1 ago I r' S r e ' U 3 U v 3 2 7
Susp'd Ceiling
Roof di ‘ a C�¢..l 't 7 � 7 'Z 1 -
Other:
Final 4 di & c_A-"-, 7 T ")--X
PASS . 0, F:
PLUMB! '� Ir) / 0 9 �-^ ( / 11 � m4Sr 33
Post & Slab
Rough -In - -' ,1 -- 2� • - --
Water Service � l �-�
Sanitary Sewer - ii,) l �� `� () ' / t/k ( - -- 141 O� 03-0033,c
Rain Drains ` J
Catch Basin / Man le 4'_ C..f - Z —yL y
Storm Drain
Shower Pan 4 N' ` �- ' 7— 2- ? r2---)C
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line w
Approach/Sidewalk Date V\ / C / 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: (50 4175 MST 3-603z31
INSPECTION DIVISION Business Line: 03) -4171
BUP
Received Date Requested / / — / 6 AM BUP
Location /0 935 ,e .r_2 il, Suite MEC I
Contact Person Ph ( ) $ &6 -" [c l 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/She. r
Int Sheath/
Framing
Insulation `�yt�
Drywall Nailinga
Fire wall 3 A
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: A IL
Final
PASS � - FAIL
PLUMBI
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA ` \�
Approach/Sidewalk Date /� o /0 Inspector v l� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
� CO /� ^^ 4307023
~ ' fft C,I 0 `
TO 0 Q A ` l 0 0
�
TO CALL MODES BUSINESS FOR e884
CITY OF TIGARD 24 -Hour
BUILDING 0 Inspection Line: (503) 639 -4175 (;)
MST
IN WO DIVISION I Business Line: (503) 639 -4171
BUP
Received Date Requested 4 /3/6 (I 4 PM BUP
Location Suite MEC
Contact Person bcr7' C--C-- Ph ( ) 206 - Vcfc7 PLM
Contracto Ph ( ) SWR
: il DIN e. Tenant/Owner ELC
• ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam 1.
Shear Anchors p:1„.
Ext Sheath/Shear �7 �� _ / 'nn �
IntSh_tial ► / v 9 �J i' / Jd ( a"7) fI5 - )o3-003
Framing c� r ,,
Insulation 2'1
_ f , \ � C c��) ` �� >— Y r &
4 -0 - D AL all Nailing �' f / v,..eP
Z
— e Sprinkler r ^ (-) d 3 v �1
Fire Alarm / O l�'G I ic r - 1 (�
G- � C.JC/o � �' /27c7_ - a 3)-"
Susp'd Ceiling , ?(
Roof r C 7 Z ( - 1 0 ( -)) 4 - C `t S)� ( �c2, 4 (_
Other:
Final , /I
PASS PLUMB
FAIL 1 V 9 -� f.�) �I Sr 3 - G o 33
Post & Beam t , l s ( V6) <4- ( }-- c X � ,
Under Slab ` / '� f / �"�
Rough -In
Water Service
Sanitary Sewer / V /t 9 3 �) A a. ( C��� a/ Sr � d ? 7 0j d 3 3S Rain Drains � / � / ^/ Catch Basin /Manhole �( 7� Ce -dS (qS) `t`-- (-2.7)- N'
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL (�, \ t S , �
MECHANICAL ../t c" "1"._.-6.--, _ _ . _ . _f 2 Q
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
1 Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE I I Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA _.. n..... ` l 3 / 6 57 In :nester v` EXC..
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: 9 -4175 MSTo Q.3 — 'dd 3
INSPECTION DIVISION Business Line: ;i• 71
BUP
Received Date Requested /6 — 0 c 7 AM PM BUP
Location / 935- /l�wgl MEC
Contact Person Ph ( ) 47S 4- kot-IA 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 /S ear
of Sheet r She. &NO. f /
Framm;
Insulation
Drywall Nailing
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS ,.;0AIL
PLUM :
Post & :earn
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA 1 ' 7
/ v � / 6
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour - r�,
BUILDING Inspection Line: (5 MST /1W 3 d
INSPECTION DIVISION Business Line: ( -4171
BUP
Received Date Requested2-g � �PM BUP
Location / 0 3C ..�:��:. �%' ., A w e�"" 2 MEC
Contact Person 6.0. . Ph ( ) 7 C 4
PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear l� 1
Framing �1 l.. s `" \ J l� -c.... \ k . A, vv...._, S S'`
Insulation
ryw Nailing / r /
irew fl/�, Q (:‘�✓ L -- — L
ire Sprinkler jjJT'
Fire Alarm j (\10
ci
Susp'd Ceiling 'Qv` I
Other:
Final
PASS ep FAIL
PLUMB
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL •
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA ) \ /\ ` �
Approach/Sidewalk Date Inspector �� V _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 5 MST A0 ?3
INSPECTION DIVISION Business Line: (5 -4171
BUP
Received Date Re uested / ' °' AM PM BUP
Location ID 93 ) Suite MEC
Contact Person / e_ Ph ( ) (4 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
� I
nramrng t Sheath/S a S ■ / ° -1/ rI c- � ` - -(
j
Insulation
, �/ L, t/\./"`�� p •
Drywall Nailing f
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 1 FAIL
PLUMBIN
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 1 ❑ Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date 1 � L 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) 6 -4175 ir MST 2003-6632 g
INSPECTION DIVISION Business Line: (50 171
BUP
Received Date Requested 9 Z I AM P BUP
Location _/_‘1.9_a s Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear �r I
Int Sheath/Shear 4 % �1 S A_
Framing /
Insulation
D
Drywall Nailing
Firewall
Fire Sprinkler f l
Fire Alarm � �' !�2 �1 (9-- t e
Susp'd Ceiling
Roof
Other: g t, 6 Ij W>
Fi
/ow PART 415
• BI NG
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line 9/)\ /G Y
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
dt Y OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171
ST OZ )3 'Od.3 LX
p ,L BUP
Received Date Requested 0 - '1 AM PM BUP
Location t 0 9 3s Suite MEC
Contact Person Ph ( ) 724 I q. PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Coots
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / : O SIT
Post & Beam
Shear Anchors `'\ R''
Ext Sheath/Shear
Int Sheath/Shear /. ! i y - „ n
Framing l/v `Y' , v�-�.
Insulation / . ,,
Drywall Nailing ( a L)
Firewall
Fire Sprinkler
Fire Alarm T�
_g---S •
Susp'd Ceiling
Roof
Othe •
PART FAIL
PL I BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Date Approach/Sidewalk Inspector Ext
Other:
Final DO NOT EMOVE this inspection record from the job site.
PASS PART FAIL
3 R M I T NO.mST 2 0 0 3 0032y C '5, 00326,00321 003'68
• • 0032..ct ' OV .'ae, O033
EROSION CONTROL INSPEeTION REPORT
DATE t? - 3
.a-
INSPECTOR ?Pfl 9k lTle. 3
'
CleanWater Services OWNER/PERMITEE P V Ltf \ ( LOT
Our commitment is clear. SUBDIVISION *AW 2.42-
SITE ADDRESS I0915 j 109.(16 . , VMS- I (5 35 4 O 7,5'
to°05 , logb5
' ' 1' I - -
. _. . _ .
: , ... ,... , e` -
FOR THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN
WATER SERVICES EXISTING RESOLUTION AND ORDER FOR
DURATION OF CONSTRUCTION, THE OWNER/PERMITEE MUST:
• MAINTAIN CT FAN STREET (S) - FREE OF ANY VISIBLE OR MEASURABLE AMOUNT OF DIRT,
GRAVEL OR DEBRIS. GRAVEL ACCESS RAMPS STRICTLY PROHIBITED.
• TO PREVENT TRACKING. RESTRICT ALL CONSTRUCTION VEHICLE TRAFFIC TO GRAVEL
CONSTRUCTION ENTRANCE OR STREET ONLY.
• MAINTAIN ALL EROSION CONTROL MEASURES TO CLEAN WATER SERVICES INSTALLATION
STANDARDS.
• PROVIDE MAINTENANCE OF ANY SEDIMENTATION BARRIERS/FILTERS AT STORM DRAIN
STRUCTURES OR DRAINAGE AREAS WHICH ARE SITE SPECIFIC.
• PROVIDE ADDITIONAL EROSION CONTROL MEASURES AT ANY TIME DURING CONSTRUCTION
WHEN SITE CONDITIONS CHANGE.
• OTHER
NOTE: FAILURE OF THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN WATER
'SERVICES RESOLUTION AND ORDER CAN RESULT IN THE ISSUANCE OF A CIVIL
CITATION, STOP WORK, OR SUSPENSION OF PERMITS AS DEFINED IN CLEAN WATER
SERVICES RESOLUTION AND ORDER 90-63 AS AMENDED.
INSPECTOR g PHONE 69(3461
w <. -∎
• Harem Office
Bend Office
P.O. Box 23814
4060 Hudson Ave., NE P.O. Box 791
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 977c
Carlson Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541)330
lson Te sting, Y Fax (503) 6840954 Fax (503) 589 -1309 Fax (541) 330-9
Special Inspection Pa ( of
DAILY FIELD REPORT SI
Project: 0/9c/I( 510 e, I - (o,,r A,,Ast S
Date: (5 l 3/U y
Job Address: S t! 1 3°11^ •, N-, LL. 513°' 1 - 7 , ` -
Permit No.: V J i v , . is S t.z. Type of Inspection: pection: > r� S w b .. ,,,,4
Field 0 or Fab Shop Weather. 0 5 ( (, .
Inspection I*otes (include location, testing data, substitutions/deviations, materials and methods of construction, non-conforming items
acceptance criteria, corrected non - conforming items, etc.): Off /'
C c /)So.n Gent t►✓1l l t . / ( L . 6 7 ) O f f n c k ' Lv /l,,u e.i,-( 6_ s. l
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G0T3 Z) -3o ct *3—
P„)/ t., (./.- — C ° / I WV_ us- l C ,/�, roy , •1 • f-L to - S . , 717 , ,Z S
CHECK ONE BOX ONLY *" 1. This is a preliminary inspection only. — OR
2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are YES NO
non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which 8. 0
are not preliminary in nature, are to be considered as conforming.
Inspector: ri /,.,
r Certification No.:
Us e containe of the
hereed in this report constitutes acceptance of all terns on the reverse of this form and Carlson Testing, Inc.'s General Conditions. in is reproduced, except in full, without prior authorization from this office.
','RMIT NO.m51 Zoo3— oo3Zy C 'S, 0032‘,0o321 On32$
oo3Zc ok, _ so, 0033
EROSION CONTROL INSPECTION REPORT
DATE - 3 ._owl
a-
INSPECTORPn I 30.
�` OWNER/ PERMITEE PV V U.t � PF\Q.�L
CleanWater S ervi ce s LOT
Our commitment is clear. SUBDIVISION *KW 8O'2)
SITE ADDRESS 10915 I IA65. , v9 :45',16936 409 7,5'
1015 ,101b5
. APPIZOVED
•
FOR THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN
WATER SERVICES EXISTING RESOLUTION AND ORDER FOR
DURATION OF CONSTRUCTION, THE OWNER/PERNIITEE MUST:
• MAINTAIN CLEAN STREET (S) - FREE OF ANY VISIBLE OR MEASURABLE AMOUNT OF DIRT,
GRAVEL OR DEBRIS. GRAVEL ACCESS RAMPS STRICTLY PROHIBITED.
• TO PREVENT TRACKING, RESTRICT ALL CONSTRUCTION VEHICLE TRAFFIC TO GRAVEL
CONSTRUCTION ENTRANCE OR STREET ONLY.
• MAINTAIN ALL EROSION CONTROL MEASURES TO CLEAN WATER SERVICES INSTALLATION
STANDARDS.
• PROVIDE MAINTENANCE OF ANY SEDIMENTATION BARRIERS/FILTERS AT STORM DRAIN
STRUCTURES OR DRAINAGE AREAS WHICH ARE SITE SPECIFIC.
• PROVIDE ADDITIONAL EROSION CONTROL MEASURES AT ANY TIME DURING CONSTRUCTION
WHEN SITE CONDITIONS CHANGE:
OTHER
NOTE: FAILURE OF THIS SITE TO REMAIN IN COMPLIANCE WITH CLEAN WATER
SERVICES. RESOLUTION AND ORDER CAN RESULT IN THE ISSUANCE OF A CIVIL
CITATION, STOP WORK, OR SUSPENSION OF PERMITS AS DEFINED IN CLEAN WATER
SERVICES RESOLUTION AND ORDER 90-63 AS AMENDED.
NSPECTOR g i 71:4 PHONE (PK—ft...67
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 0a 3 32-8'
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested o AM PM BUP
Location /0 9 3 S Suite MEC
Contact Person Ph ( ) 7 S -/ (Pic
PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footin
oun • : ' • • ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ` l ) SIT
Post & Beam v - pag
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation /
Drywall Nailing � ��
Firewall Fire Sprinkler oW7��� t er ������•��ri1
Fire Alarm
Susp'd Ceiling
Roof ;rte
Other:
Final
PASS PART FAIL
P L U M B I N G_ .,
Post & Beam ��. _ _ �������. � /• 17/ Undnder Slab
wir Rou -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Weir' ��� Final —L A ` � `
PASS PART FAIL �' '�
MECHANICAL ,`
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL