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Permit . 'irate -- • • ' B uilding Permit t l" FOR OFFICE USE ONLY s -_.:_ ��. S / =4I Received g _ i ..` Building / Date/By: '�r G 7/. �2 `: f „ Permit No.l%S Q� 5 City of Tigard Date/ v: Approval Other f/,f JUN 2 7 2003 Daffy' Permit No.;.a.zool `5 13125 SW Hall Blvd. Plan Revie Other Tigard, Oregon 97223 CITY OF TIGA - Date/By: et -00" / C Permit No.: - Phone: 503 -639 -4171 Fax: I49IVI . t „ Post - Review Land Use �l�� Date/Bv Case No. Internet www.ci.tigard.or.us Contact luris.: ® See Page 2 for 24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: 7%9 Supplemental Information TYPE OF WORK • _ .REQUIRED DATA:' : aNew construction I ❑ Demolition . • . I &2 FAMILY DWELLING ❑ Addition/alteration/replacement I ❑ Other: -' •••".-- CATEGORY OF CONSTRUCTION .. - . - Note: Permit fees' are based on the total value of the work performed. Indicate T 1 & 2- Family dwelling I 0 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- Family 1 ❑ Master Builder ❑ Other: Valuation S q 5 , 2' 6 .' - - :'- :.JOB SITE INFORMATION and LOCATION :.:.• No. of bedrooms: No. of baths: Z T2 Job site address: /C)Fi SU) 1-40nr/Z..l(rtt. A1J()uC Total number of floors New dwelling area (sq. ft.) 1 q ((p Suite #: I Bldg. /Apt.#: Garage/carport area (sq. ft.) 5 Ot{ Project Name: N4W KS 'P)E.4RI 1 LMt ;MtES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) SW 1 i tvegue 4 SW.. J4t1-4Kr BEA Other structure area (sq. ft.) ' REQUIRED DATA; - `��� '• . COMMERCIAL: - :USE CBECKLIST :- S PkWKS RsfA4 TatAJOgowe I Lot #: 43 . Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate ' ; .:.7 - - '`• . i-•, - DESCRIPTION' OF' WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. CdkiSr IGI OF •F.iJ 3 sro2 Taal NUw ?ezAELA--' Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories — 3 PROPERTY:OWNER -- - .: •17.:0 'TENANT 7 :::::''' .__ --.. -- Type of construction V N Name: AlJ T"Orn rJ Pi K "7"Nl �l�94vI.FS L .L.G . Occupancy group(s): F.�xrsnng: -3 Address: gSoo 5 We Rule gall) Su 0 Z2.6 City /State /Zip: "PoerLh7J`b , o e q-i 219 Phone: So3 692431Sb Fax :6a) PA2 -41 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ErAPPLICANT;: :: :` : :.-Q- CONTACT. PERSON..:• provisions of ORS 701 and may be required to be licensed in the Business Name: F.,eEK L . 3l2Ota4 6 Acscomic / (4 , jurisdiction where work is being performed. lithe applicant is exempt Contact Name: Mike K (44n1SW G2 etc!~ PeAtiz from licensing, the following reason applies: Address: gstb SK1 & J Sal i?Yt: 22.0 City /State /Zip: kt2T7 Oil Qi 219 _ Phone:(3)542 -8158 1 Fax:(So3je°t2-6e4( = . BUILDINGPERMIT E -mail: r+ a-m(a_ j i b r owil RSSOG , C:Dirl ,..: i Please'refer to :fee schedule.' - -. -� :•: .-::::::: •CONTRACTOR` .. _ _ ... Business Name: sbeeCt L" ( wt.) 4 Acsabore, vet , Fees due upon application S Address: 95x) Sv.J BAleeme. gLVD Shure[ ZZO City /State /Zip: Fb¢ - J ,.) 02 9 Z 9 Amount received. s Phone: 03\ 892-8'7' ( Fax: (5o3) e)' 2- &94 ( Date received: CCB Lic / Authorized - J �/J ` `1- 2 o _ 3 Notice: This permit application expires if a permit is not obtained within Signature: (�C ' �- Date: — t "r/� 180 days after it has been accepted as complete. r " ' N IC y �/ 14ac/ *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts\Permit Forms\BldgPernutApp.doc 01/03 . . ' .Elec4rical Permit Application FOR OFFICE USE ONLY Date/By: Permit N ./Y57 26- 83 - 0D33. 2, City of Tigard R EC E V E I Planning Approval sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 rq Date/BY: Permit No.: JU ( 2003 Alk Post - Review Land Use Phone: 503 - 639 -4171 Fax: 503 -598 -1960 D atrJBv: Case No.: Internet: www.ci.tigar CITY OF TIGA - ' ;f I I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: B(1� 13IVI _ -J Name/Method: Supplemental Information. TYPE OF WORK -' PLAN REVIEW (Please check all that apply) AtNew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: pg 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 .r1 & 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: /0096 51,0 44u,. rt4. 4231 / 46Jue FEE* SCHEDULE Suite #: � Blcle. /Apt.#: �� I , Number of inspections per permit allowed Project Name: ,J- �A /�Y.J-iI� lrMS I,I '� TQW/"t4vsig S Description I Qtv I Fee (ea.) ( Total New residential - single or multi - family per + Cross street/Directions 5 eet 0 nS iJ ObL6 �d1 e: \ ' L (j(" dwelling unit. Includes attached garage. t J Av'n_ht� s � /'r N-) Service Included: d ' 6 1000 so. ft. or less 145.15 11 15,. I 5 C 4 Each Each additional 500 so. ft. or portion thereof ` I 33.40 0 �3,- �D 1 i ' r ,� 7 n' Limited energy. residential I I 75.00 '15 .42 2 Subdivision: 1 L}"/tUJ ' LOt r : Limited energy, non residential 1 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OFWORK - . service and/or feeder I 90.90 2 �� Services or feeders - installation, Cr N'E .) 3 .Sr alteration or relocation: - r7)GJ&•Z )10/14E P 200 amps or less I. 80.30 &) .50 2 201 amps to 400 amos 106.85 2 401 amos to 600 amps 160.60 2 PROPERTYO.. R :::. ,.....1 , -El TENANT:: ;_ .. - -• _ - 601 amos to 1000 amps 240.60 2 LL- Over 1000 amts or volts 454.65 2 tame: 4 -r .4 f K lbw; 314 f S C., Reconnect only I 66.85 2 Address: DI SA) gl� guh co '17.(c. 220 Temporary services or feeders - installation, alteration, or relocation: City /Statte/Zip: POIZXl r� O€ 91249 c � r m 200 amps or less 66.85 1 Phone � 40 , S - 42 -g Fax:�5 S) 2-08 ` t l 201 aps to 400 amps 100.30 2 401 to 600 amps 133.75 2 .XAPPANT':, :"" =_ • _D•CONT CT PERSON - Branch circuits - new, alteration, or Name: l'(LF K L. 1T' e E4S c)QA75 / /,, extension per panel: Address: FSCO - \ Ul Z2.0 A. Fee for branch circuits with purchase of W f� service or feeder fee. each branch circuit 6.65 2 City /State /Zip: 9)eruh.11 , C' . c)'-"( 219 B. Fee for branch circuits without purchase of . service or feeder fee. first branch circuit 46.85 2 Phone: (:-. 3-) N 2 -$15S Fax: (S°3) 6 2. -EE4 / Each additional branch circuit 6.65 2 Misc.(Service or feeder not included): E -mail: Y�1l� !` 4. d l tro uJ.Ja SSoe , co ---' Le h pump or irrigation circle 53.40 2 ''':';'''':::17''''',,,• ;:'..: CONTRACTOR - - • Each sign or outline lighting 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 any of the above: 503- 361 -1256 ?er inspection per hour (min. I hour) 62.50 nvestigation fee: - CCB: 116453 ELC: 24-353C SUP: 2919S Other CCB Lic. #: I Lic. #: ..... . :.Electrieal.PermlCEeee';. - .- `• --. Supervising electrician Subtotal $ z 3 ,e) 5 signature required: Plan Review (25% of Permit Fee) S r53 . `'KA Print Nam- . Lic. #: State Surcharge (8% of Permit Fee) $ 2- h + 7 / � TOTAL PERMIT FEE $ 444, 0 %.- Authorized d L� /// l Notice: This permit application expires if a permit is not obtained within Signature: (/ ( Date: L€ 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. (Ple a print name) • is \Dsts\Permit Forms \ElcPermitApp.doc 01/03 FOR OFFICE USE ONLY / ' Mechanical hanical Perm Application Received Mech� ,a RECEVEri DatdBy Pemut No. anical . 1 D 33 Planning Approval Building ' City of Tigard Date/By.. Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard, Oregon 97223 JUN 2 7 2 i Date/By: Permit No.: Phone: 503 - 639 -4171 Fax: 503 -;;��qqp,.�,(� Post - Review Land Use CJ11 Y l7 - Ti c , i,,00 t� Date/By: Case No.: Internet www.ci.tigard.or.us B IA , - t - el 11 Contact Juris.: ® See Page 2 for 24 - hour Inspection Request: 503 - Name/Method: Supplemental Information. _ - •-•`. :. COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �_. ��.__ ..... ...::: � � :. :TYPE OF WORK. •� : >....... . , .._... . ,New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work ❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead and profit. •:; -:. CATEGORY OF CONSTRUCTION. '1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE * Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning" 1 ( 1 14.00 i4{ .t Job site address: /Q Sal f/UN7/VC7)J..) 4VE___ Gas heat pump I 14.00 Suite #: Bldg. /Apt. #: Duct work I 14.00 IS&.O ig � TZ J kl GWtcS Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 SW {30 !` vE J 4/4-vies. Unit heaters (fuel, not electric) -'o -I sN2ei (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 1 10.00 to • w m S f Lot #: 4_5 Repair units 12.15 Subdivision: ( A/,r ��ir Other Fuel Appliances Tax map /parcel #: Water heater I ( I 10.00 I lo . " . • • DESCRIPTIONOF WORK • Gas fireplace '1 I 10.00 I 10. to Co . / G�� QF A( .LAJ 3 5.1- (,IE,-,/ Flue vent (water heater /gas fireplace) 7 10.00 I 20.' �W� krylc, P�JF- (j4ilo SQr Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER. -- .• • 1 ❑ !TENANT ..''....'.:.._ -. , Other: 10.00 I Name: f}t./TUm K -To Wu Now ES az. Environmental Exhaust & Ventilation her kitchen equipment l 10.00 10 . Address: aJ SW ` faue /1.1 / SJ i7 2 . Z w Clothes dryer exhaust i 10.00 10 . y City /State /Zip: Par2"rl A d2 Q12 i Single duct exhaust Phone:(5,A)8 I Fax:(Sri5 j 892- a 84( (bathrooms, toilet compartments, • (APPLICANT • •• '❑ CONTACT PERSON utility rooms) 4 6.80 11. L Name: 1>Cera( L.. &2oc4)AJ fi A-SS>:Cafri`Cs /At • Attic/crawl space fans . 10.00 Other. 10.00 Address: Qo vegiattL (.i?D vat 220 Fuel Piping City /State /Zip: '02Tt,4r. ) 6 ,.Olt 72-L' "($s.40 for first 4. $1.00 each additional) . Phone:(So3) Pt?2 -8'15 Fax: 3'>%A2 - e 4( g � pump p "" Gas heat E -mail: rrup2 C `'' d 1 bedcJSA0.Ss'UC , C.2f' - \ Wall/suspended/unit heater "" -. .. CONTRACTOR •. Water heater I "' Fireplace . 1 "" FORECAST HEATING & AIR CONDITIONING Range "" 17135 NE GLISAN ST BBQ "" PORTLAND OR 97230 Clothes dryer (gas) "" 503- 253 -7020 Other. "" CCB: 152194 Total: 1 5.4 Mechanical Permit Fees' Authorized t �'� t � �� � /_ / / Subtotal: $ l 3 ( C2 . O Signature: : C� /v - Date: tY Minimum Permit Fee $72.50 $ 7 HU eaNE.-- Plan Review Fee (25% of Permit Fee) $ 3 2 • (0 5 (Please print name) State Surcharge (8% of Permit Fee) $ 11) • i fS TOTAL PERMIT FEE $ I S. 70 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 Forms1MecPermitApp.doc 01/03 ISunuilib r !2(,LU1 CJ FOR OFFICE USE ONLY ' • • `. 'luthbing Per ii: a • 7 l n Received Plumbing - . - .5 i0 - .4833'. . .. . , Date/B Permit No. City of Tigard Planning Approval Sewer JUN 2 7 2003 Date/B . Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/B : Permit No.: Post - Review Land Use Phone: 503 - 639 - 4171 F g/ISIO? 1? Date/B : Case No.: Internet: www.ci.tigard.or.us _iii, A Ij Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 - 6394175 "" Name/Method: Su. lemental Information. • 'TYPE O F WORK FEE* SCHEDULE (for special information use checklist) - (r New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total I ❑ Addition/alteration/replacement ❑ Other: New 1 - & 2 - family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 249.20 N 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath , 350.00 ,; O 'I Accessory Building ❑ Multi- Family I SFR (3) bath -C"" 399.00 3 .q ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2 I Job site address: Jos /C St) /..JG - T &) ,4U�. Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: I��}'IAJ kS 3F L� -ray.] � lk lvtg S Footing (no. linear rench drain 16.60 Footing drain (no. l ft.) Page 2 Cross street/Directions to job s t Manufactured home utilities 110.00 SLJ l ;c� S. W. �' Manholes 16.60 3671,t. S? ! Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: 1 4-1116/4s- t�RD I Lot #: 43 Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: • ... - Fixture or Item - • DESCRIPTION OF WORK Absorption valve 16.60 C o ksl 2tnc. nct0 of 'I EIA) 3 S 1 C7' Backflow preventer Page 2 - ri-m ►J tkmvf. P(2M c,T (11{1 LQ Ste. -Q-A' ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 .E'PROPERTY'OWNER ... ;.0 TENANT .. - -.-- Ejectors/sumo 16.60 Name: rl) WI ,J PAR. K T oiN F!oriIES, Li-c. Expansion tank 16.60 Address: q Sc o SUl EA.e.gve 60/6, SIItN Z25 Fixture/sewer cap 16.60 City /State /Zip: Poe 02 q-7219 Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone• 5o3j S32- 57 5P 1 Fax: �S(13) S' 2- SO4 I Hose bib 16.60 •ErAPPLICANT' ',.:3. ` =CJ PERSON- Ice maker 16.60 Name: bEl! L. 620u/) i ASSOCIA-t'�S, I /J Interceptor /grease trap 16.60 Address: g5`0 S> J R,f€gJi - gL11A, Su crt 22.0 Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: F}Jei .?S , C . �f` L 1 9 Roof drain (commercial) 16.60 Phone:( &2- 5758 Fax Sink/basin/lavatory 16.60 E -mail: mi411,1c.d. di tairifJrracCe9 G• Ca r- Tub /shower /shower pan 16.60 ' . c . ... - . 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.Fees* ...-'•� " I CCB: 149035 PLM: 34 -391 PB Subtotal $ - _ Minimum Permit Fee $72.50 $ .?f /�i S Authorized /) Residen Backflow Minimum Fee $36.25 PVitti(el ignature: .ate: 1� ' Plan Review (25% of Permit Fee) $ 1 i� 7'1QU& GP n/E State Surchar•e (8% of Permit Fee) S , . - (Please print name) TOTAL PERMIT FEE S = - jai Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric v� v 0 180 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 IMPORTANT PERMIT NOTICE ELECTRUM INC DBA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit #: MST2003 -00332 Date Issued: 8/5/2004 Parcel: 1 S133AC -12500 Site Address: 10890 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 043 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 Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. RECEIVED E® TIGARD, OR 97223 AUG 10 2004 IMPORTANT PERMIT NOTICE CITYOFTIGARD BUILDING DIVISION PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00332 Date Issued: 8/5/2004 Parcel: 1 S133AC -12500 Site Address: 10890 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 043 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 X :// Signature of Authorized Plumber If you have any questions, please call 503.718.2433. A/1 5 T�o - crZD 33Z LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAILLAAAAAAAAAAAAAAAA • • • • • • • • STREET T EE E R C TIFI R A TI N O • • • • • • 1 lit. • • 1 I, Jg Cu c.,� Co N. � Owner/Agent fo E� g /7� L . 1 Sw�1 A s.�o� • • (PLEASE PRINT) (PERMIT HOLDER) ► 1 • • I f • • , • Do hereby certify that the following location • • • • meets ,Citys_of Tigard /Washington County ■ ► ® land use and development standards for street tree installation. • • ■ • • • • • • • ADDRESS: / ©rf 0 S. (). AI UNT /N G Toni AVE. • ® ► • • ® LOT: 43 SUBDIVISION: AMitJieS 1Ag-• • ® ■ • BY: f DATE: c./7/0s t 0( ® RECEIVED BY: - 3/ / DATE: 11 A ilk, CITY OF TIGARD 24 -Hour BUILDING Inspection Line: • 0 (9 -4175 INSPECTION DIVISION Business Line: � .- 1 MST .20a -3 3 �, � ' BUP Received Date Re . nested D- J LL AM 1 BUP Location D ■-i ,. L_d. Suite g ai MEC • Contact Person / Ph ( ) Y-- 7 PLM Contract Ph ( ) SWR B I G Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear , Ina Sheath/Shear > jie___,,c_ _ 1 2 (, f ( l �-� , Framing r D / C �` - Insulation o �� • Drywall Nailing "" Fire wall Fire Sprinkler Fire Alarm I \ 1 Susp'd Ceiling Roof /,, / at f,„,. , A , , Other: V a1171- PART FAIL P • , - ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer r Rain Drains , c ow,. I ; ..) Catch Basin / Manhole • Storm Drain { C Q* Shower Pan Other: ._ Final NEVA NEMBNII ti : PAS AR FAIL CHANIC - Post &Beam :_/ —�, al / Rough -In Gas Line Smoke D et / 55' PART FAIL - RICAL 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 El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date 712)4/0 ` 45-- 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-to INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received c? Date Requested a - AM PM BUP Location D /5 9 - . 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 Drywall Nailing / j Firewall ���j� � �� — Fire Sprinkler Fire Alarm Susp'd Ceiling ("P Roof Other: Final PASS FAIL LU G ost & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Othe 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 reins ection RE: 1=I Unable to inspect — no access Fire Supply Line Approach/Sidewalk Date d � 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 n2.6d 3 e63 INSPECTION DIVISION Business Line: (503) 639 -4171 3� BUP Received Date Requested 2 AM PM BUP Location D Mr A ,`. _ Suite `� MEC Contact Person / Ph ( ) �4 to ¥ - 9'7 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 7 q.' ,� r l / Drywall Nailing 7 / 1 v 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 Service Rough -In UG/Slab Low Voltage Fire Alarm _ __ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S Please call for reinspection RE: � Unable to inspect — no access Fire Suppl AD PP roach /y Line D " l� ✓ 0 ,- (6iii / waxy Ext A roach/Sidewalk I nspector ` Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL