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15249 SW ALDERBROOK PLACE
ICI 7 Y OF TIGARD BUILDING INSP�DTION DIVISION MST y$ - �f0 Z
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
CC7 BUP
�ZZ -Date Requested ) Z e)-'`J J -AM PM — BLD
Location__ —� F J GLi ( 0'/ Suite -. MEC --
Contact Person _ Ur�AA- Ph PLM
Contractor Ph SWR _�
E -3 3' ELC
Tenant/Owner -_�/,�y��1�.. ��;�� �� _
Retaining Wall ELR
Footing Ar',-.ess: ----- --
Foundation FPS _
Ftg Drain ^ -- —
Crawl Drain Inspection Notes: / f 2 > 'CN --------
Stab C /=7L- SIT
Post&Beam - -
Ext Sheath/Shear
Int Sheath/Shear —
Frami'nng
I VI
Drywall Nailing
Firewall - ^--- --- - --
Fire Sprinkler
----- ------
Fire Alarm
Susp'd Ceiling
------------
ASS PART FAI!_ ------ - - -- ----- -------- - ----- -- -
PLUM—NG
Post& Beam - - --_.------ —_-_
Under Slab
Top Out
Water Service
Sanitary Sewer
'-.ain Drains
Final
PASS PARI FAIL
MECHANICAL
Post& Beam ---- -- --- - -----
Rough In
Gas line - --
� Dampers
PAS PART FAIL
ELECTRICAL - - --- ---- --. -.----- -------- --— -
Service
Rough In � --- ---- --- ---.--------__----
UG/Slab
Low Voltage - ---_- - ----------__--
Fire Alarm
Final -- ----------- - ------
PASS PART FAIL -.
SITE
Backfill/GradinG
Sanitary Sewer
Storm Dr^n ( )Reinspection fee of$ requ,red before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch BF sin
Fire Supply Line I ]Please call for reinspection RE:_____--_ _ -_- _- [ ]Unable'-;inspect-no access
ADA
Approach/Sidewalk Date C�
Other — 2 / Inspector � . '.y� _Ext
Final
PASS PART -FAIL DO NOT REMOVE this inspection record from the job site.
ELECTRICAL
CITY OF TIGARD
PERMIT#: 0 x1999-00322
DEVELOPMENT SERVICES DATE ISSUED: 5/27!99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111D13-05100
SITE. ADDRESS: 15249 SW ALDERBROOK PL
SUBDIVISION: SUMMERFIEI_D NO.7 ZONING: R-7
BLOCK: LOT : 409 JURISDICTION TIG
Proiect Descr,ntion: Firs' b,arch circuit
_
RESIDENTIAL UNIT TEMP SRVCIFLEDERS MISCELLANEOUa
1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINGR LABEL (10):
Y, SERVICEIFEEDER _ BRANCH_CIRCUITS ADD'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st`410 SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION ___
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _._ SVCIFDR?
�IWO.Ylr1Y.Y.. W41Yi11 yii....++r vnR+..Y-. .,
CITY 09:,TIGARD Electrical Permit App5cation Plan Check# _
13125 SW HALL BLVD. Recd By t'�l
TIGARD OR 97223 Date Reed_4-10 7F1-
Data to P.E.
Phone (503)6-'3-4171, x304 Date to DST
Print or Type
InspEution (503)639-4175 Permit
Incomplote or illegible will not be accepted
Fax (503) 598-1960 �-r' l� � — _ _ Called
1. glob Address: 4. Complete Fee Schedule Below:
Name of Development U��r��` f''^ 1( �j Number of Inspections per permit allowed —
Name(or name of business) _ Service included: Items Cost Sum
S
Address / q .S L 4a. Residential-per unit � —
1000 sq fl.or Irsr; _- $110.00 — 4
City/State/Zip WAX, - Each additional.500 sq.ft or
�� T701 purtion thereof $2500 _ 1
Commercial ❑ Residential ip- Limited Energy a $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 _ 2
2a. Contractor installation. only:
(Attach copy of all .ti ertses) db.Services or Feeders
Electrical ntracto r /i !, Installation,alteration,or relocation
}J��r�--� 200 amps or less $6000 - - 2
Address . n� 201 amps to 400 amps $8000 2
City. '� (�� State " Z.—�� __ 401 amps to 600 amps $120 00 _, 2
p.t
Phone No. r �y/ __ 601 amps to 1000 amps $18000 _______� 2
�1 Over 1000 amps or volts _ $340.00 2
Job No. Reconnect only $5000 2
EIec. C 0. �_Exp,Date /c?-
OR State^C 3 lteg. No. --Exp.Date/ =�� 4c,Temporary Services or Feeders
COT Busiress Tax or Metro No.— _Exp.Date___ Installation,alteration,or relocation
- 200 amps or less $50.00 7
201 amps to 400 amps $75 00 _
Signature of Supr. `+ ---- 401 amps to 600 amps _- $10000 ----
C_. Over 600 amps to 1000 volts.
License No. Exp,Date- see"b"above.
Phone Na S/ —. __. 4d,Branch Circuits
New,alteration or extension per panel
2b. For owner installations: I a)The fee for branch circuits with
-•rnchuse of service or
P-int Owner's Narrle —----- feeder fee.
Each branch circuit $5.00 _ 2
Address__-- _-- b)The fee for branch circuits
City__ State Zip without put-chose of
Phone No. _ _ _ service or feeder fee. p
First branch circuit $3500 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature__—_______..�_.T Each pump or Irrigation circle $4000 2
Each sign or outline lighting $4000 2
3. Plan Review section (if le1juired):*
Please check appropriate item and enter fee in section 58 4f.Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service.and feeder 225 amps or more Per inspection $35.00
System over 600 volts nominal Per hour $5500
�i Classified area or structure containing special occupancy In Planl $5500
as described in 1.11 C Chapter 5
5. Fees.
*Submit 2 sets of plans with application where any of the above apply. So.Enter total of above fees $
Not required for temporary constnrction services. 5%Surcharge(05 X total fees) $
Subtotal $
NOTICE 5b.Enter 251%of line 5a for
Plan Review if required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTIE:11!AUTHORIZED IS Subtotal $
NOT COMMENCED WITHIN 180 DAYS,OR IF uui io(RUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY ❑ Trust Account# _ $ / 7s
TIME.AFTER WORK IS COMMENCED Total balance Due �L
I:\D5I'\ELr'.C98.D0C REV 4%96
CITY OF TIGARD ELECTRICAL. P1-_RMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0545
13125 SW Hall&vd., Tigard,OR 97223(503)639-4171 DrITE ISSUED: 9.19/14/98
PARCEL: 2911. 11)B-05100
SITE ADDRESS. . . : 15249 SW ALDERBRonK F11-.
SURD I V I S I ON. . . . :SUMMERF I EL.D N0. 7 Z ON I NG:R--7
BL.00K. . . . . . . . . LOT. . . . . . . . . . . . . :4919 JURISDICTION: TIG
r'ro•j ect De ser i pt i on.- Addition of electrica'4 service/feeder and branch circuits
_----RESIDENTIAI_ IJNIIT----- -----TEMP SRVC/FEEDERS----- _.._ ..._._.--MTSCELLANEOUS-----
1000 Sr OR LESS,. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
C-.ACH ADD' L- '-fliTOSF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OLJT LINE LTC-. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAI._/PANEL. . . . . . . : 0
MgNF. HM/ :1)C/FDR. . : 0 60 1.+a.m p s - 1000 �,olts. : 0 11INOR LABEL ( 10) . . . : 0
-_ -SF_RV T CE./FEEDER-- - -------8 RANCH CIRCUITS--------- -------ALD' L I NSPErT I rNS -.--._.
?� 200 amp. . . . . . ; 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
'0t - 400 ,imp. . . . . . : 0 l,t; W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 0
(77.01. 1000 amp. . . . . . 0 --- -- --_- ------FLAN REVIEW
1000+ amp/volt . . . . . : 0 : -4 RFS UNITS. .. . . . . . . . ) 600 VOLT NOMTNAL. . .
'lecnnnecrt only. . . . . : 0 SVC.'FDR > _ c.25 AMPS. . : CLASS AREA/SPEC Our. :
7wner-e - _.___,__._._._..___._..__. ._.._.._..__...__._.__.... .__.._......_.___.._..._....._... __..._.____ ......
FEES
'„tETRO ELECTRIC type amot.tnt by elate reept
'_809 SE MYRTI._E'WOOD WAY PRIIT 3 75. 00 .JDA 09/1.4/98 98��,091. 19
9RESHAM OR 97080 SPCT $ 3. 75 JDA e.19/14/98 98309119
Phone #:
:ontracaor;
,METRO EI-ECT13IC INC g 78. 75 TOTAL..
;-,80S GE MYRTLEWOOD WAY
____....._.-- RFOU I PED I NSPECT I ONS
(-�RESHnM OR 97080 Ro .rgh i n Elect' 1 F sial
hone #: F,6F,--21'59 Elect' 1 Service
?e u #. . : 000781.
'his permit is issued subject to the regulation, contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be don? in accordance with appr•wed plans. This permit will expire if work is not started within 180
:aye �! i'suance, or if work is suspended for more than 180 days. PT7[W!3N: Oregon lar requires you to follow the rules adopted by
4hr Oregon 'ttility Notification Center. Those rales arp set forth in DAR 952-001-0010 through DAR 952-001-1981. You may obtain a copy
if these rules ar direct questions to OJ/N,/^A,C� by:CAV
(503)246-1987.
,_r. rittee Signa} ”! !' :C� Tssunrl Cx•:
_ f]WNER TNSTALLOTION
The instal l.ation i _ tieing made on property I own whir..h i.s not intended for
.ale, lease, or rent..
IWNER' S SIGNATURE: DATE:
INSTALI_ATION nNI_Y- -
S I GNATURF OF SUPP. ELF-_:' N: DATE:
I CENSE NO:
++++++++++++++++++++•+4 N.+++.+++•++++++++ y++++++
Cal 1 639-14175 b-, 7:010 pr. m. f'or, an in aper..t i on needed the next: btrs i.ness day
4 ++++4-4-++++++4.....+•++•+i•+-f-++•+++-F+++++-I-++++-F+++-++++++++++++++•+-++-+4•+•+++++++++•"-+
------------
,i98 TlIF 09:58 FA\ 503 598 19{ 1 - CITE' OF 71GAItU 1
� 411 h(I
RECEIVED
CITY OF TIGARD Electrical Permit Application Plan Chat*4-
1.1125 SW HALL BLVD. SEP 1 ' 1998 Ftp`'By� *�-�-�—
TIGARD OR 57223 Data Pec'
Phone(503)F139.4171, x304
COhi aiIJNI _.TY DEVELOPMEN, Date to P.E. A
N•h
Inspection (503) 629-4175 Print or Type Datr,to DST
hermit#--f!r:a 9
Fax (503) 684-7297 incomplete or illegible will not t 2 accepted Called ly�y
1. Job Address: �! o 14. Complete Fee Schedule Below:
Name of DevelopmentN WKiEL 'mow Number of Ins er
P pefr permit allowed
Name(or carne ofb`usi-ness;_-_ ___ __-_ .__,_ Servi^e included: a Cost Sum
Address ? ga-vok PLs
4a. Residential-per unit
_ 1000 sq.It.or loss $110.00
City/State/ZIp-__rl _ -_- ax _fes. Each additional 500 sq.ft.or
Commercial 0 LLiTTT Residential 1_J portion thereof $2500
Limited Energy $25.00
Each Manul'd Home or Modular
Qwelling Service or Feeder $68.00
2a. Contractor installation only: ---
(Attach copy of all crent I enses) f` 4b.Services or Feeders
Electrical Contractor _�-"L% C, Installation,alteration,or relocation
200 amps or loss 2
Address s C .. Wt . ti G3 sso.00
-- 201 amps to 400 amps $80.00 _
city� State Qt _ Zip Q 0401 amps to 600 amps $120.00
Phorlg No. 601 amps to 1000 am1 2
_..._��.--- p Ps $�-. 110.00 —. z
Job No. Over 1000 nmps or volts $340.00 2
y Reconnect onlElec. Cont. Lice, No. Exp.
$50.00 -- 2
OR State CCE Reg.No -7fl"1 __Exp Date, [L- 6v__ 4c.Temporary Services or Feeders '
COT Business Tax or Metro No �Q_'S Exp.L)ate LZ- 41. Installation.alteration,or relocation
200 amps r, -.5 $50 00 2
Signature of Supr. Elec'n_AA�[ _ I 201 amps to 400 amps $15.00 2
401 amps to 100 amps $100.00 2
I Over 600 amps is 10(10 cii,
License No. --240 f S Exp.Date -Q- �q___ I see"b"above.
Phone No.
4d.drench ClrruPis
New,alteration cr extension per I,a,iel
2b. For owner inStallatlonS: a)The fee tot branch circuits with
Pdnt Owner's Name__ _—
purchase
teet service or
Address Each branch circuit $5.00
�_. _�_ r _ b)The fee for branch circuits
City- .. State------. _ - Zip without purchase of
Phone No.__- _ service or feeder fee.
— First branch circuit $35.00 ;
The installation is being made on property I own which is not Each addltlone!branch rirru,t $5.00 z
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
g -- - — Each pump r-Irrigation circ:�� __ 00 _ 2
Each sign.or outllne Ilghfi,• _ 00 �
3. Plan Review section (if required):' Signal circult(s)ora iimd qy
panel,altoratton or exipr, 10.00
Please check appropriate item and enter fee in section 513Minor Labels!10) $100.00, - -- -
4 or more residential units In one structure 4f E acpi edo tional Inspection over
Service and feeder 225 amps or more I the avowable in any of thr,abc,.e
System over 600 volts nominal Por irispection $35
Classified area or structure containing special o,. ,ri�ancv Per hour $51
;
as described in N.E.C.Chapter 5 In Plant s"
*Submit 2 sets of plans with application where any of the above apply, 5. Fees:
Not required for temporary construction services. Ea.Enter total of above fees 5
5%Surcharge 1 05 X total fees) 5 -7
NOTE Subtotal
Sb.Enter 25%of line Sa for
PERMITS BECOME VOID IF WORK OR CONSTRUCTI()N AUTr-iGRIZED IS Plan Review II re4ured i Sec 3) i NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ -
IE SUSPENDED OR ABANDONED FOP A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Q Trust ArCOUn}
f� r'
..�.�
Total balencm nal I'D r dY
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0402
h 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED, 09,117/98
PARCEL.: C S 1 1 1 DB-05100
'-SITE ArDRESS. . . 05249 13W ALDEtRBR00K PI_.
LI
ID IV,!7,113N. . . . :a1JMMERI=IFI.-11 110. 7 ZCINIIVG: R--7
131.-CICK. . . . . . . . . . L-CT. . . . . . . . . . . . . .4VJ9 _r1JR11-))DTc'rT0N1- Tin,
Remarks: Alteration tc res r ice to repair fire damage.
- BUILDING -------- -----------------_-__�_�---__---_------------
REISSUE: STORIES.......: 0 FLOOR AREAS---------- BACE1ENT...: 0 sf REQUIRED SETW95---- RE0'JIRED----------
LRSS OF WORK.:RE I;fGHT........ 0 FIRST.... 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PLRKING SPACES: 0
TYPE OF CJNNST,:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 s' VALUE..1: 12000 REAR..........: 0
----- - ----------------------------------------- -_ -- PLUMBING --------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVA.TORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SE►IER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BAFINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE °t: 0 BCKFLW rREVNTR: 0 GREASE TRAPS..: 0
OTHER FI%TURES: 0
_-___-_-------------_�-___--___--_----------------------- MECHANICAL _____ _----------.._»_...---..-------------------------------
FUEL TYPES----------- FURN ( 10011 ..: 0 BOIL/CNP ( 34)- 0 VENT FANS.....: 3 CLOT)ES DRYERS: 0
3AS FURN ):-IW, ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 8 BTU FLOOR FURNACES: a VENTS.......... 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
------_�_--___----------------------- --------- ---- ----- ELECTRICAL -------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER--• - --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- —MISCELLANEOUS---- --ADD'L IOVECTIONS--
1000 SF OR LESS: 0 0 - 200 aep..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP!IRRIGATION: 0 PER INSPFCTION: 0
EA ADD'L 9009F.: 0 201 - 400 amp..: 0 211 - 400 amp..: 0 1st W/0 SVCirDR: 0 SIGN/OUT LIN LT: 0 PER HOUR... 0
LIMITED ENERGY. : 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIP• 0 SIGNAL/PANEL...: 0 IN PLANT..,...: 0
MANE HM/SVC/FDR: 0 601 - 1080 amp,: 0 601+amps-1000 v: 0 MINOR LABEL -10: 1
1608+ alp/volt.: 0 _______..__..-----.._.---------------- PLAN REVIEW SECTION
Reconnect only.: 0 )-4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL. CLS AREA/SPC OCC:
ELECTPICAL - RESTRICTED ENERGY
�. SF RESIDE;.TIAL----.-------------------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO t STEREO.: VACUUM SYSTEM_: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR INDEC L1:
BURGLAR ALARM..: OTH: :: BOILER.....,... : HVAC............ IANDSCAPE/IRRI9 PROTECTIVE SISNL:
-:ARAGE OPENER..: CLOCK........... INSTRUMENTATION: MED.i:AL........: OTHR:
,VAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Cwnzr: -------------- or: ------------------------__-- - TOTAL FEES:t 215.01
4LBERT Mp?THES PACIFIC FIRE CONSTRl1C?ION This permit is subject to the regulations contained in the
15249 SW ALDERBROOA PL PC BCX 25696 Tigard Municipal Code, State of O-e. Specialty Codes and all
'IGARD OR 97224 PORTLAND OR 97298 other applicable laws. All work :ill be done in accordance
with approved plans. This pet-sit +ill expire if
warts is
!"'hone 11: Phone A: 297-5683 not startrd within 180 days of issuance, or 9f the work i�
Reg 11..: 080418 suspended for more than 180 days. ATTENTION: Oregon law
_---_-_---__.__-________-_..._-__ __.._--------------------______-- requi-es you to follow rules adopted by the Oregon Utility
Notification Center. Those rules art set forth in DAR 952-001-0010 through OAR 952-001-N84). You map rbtain copies of these rules or
'irect questions to OUNC by calling (583)246-1987.
------------------------------------------- REOUIRED INSPECTION5 ---- - - - --------- ---------------------- �
'"echaniral Insp Mechanical Final _
naming Insp Plutb Final
as Line Insp Building Final
Insulation. I►Isp
n,�r drain Insp - — - -- __ ---- -
L
ssl.Ied By ^ � Permittee Signatlar `* � ``L
h•f•+-4 IF 4...+.�..+ { .{ ., ., 1 -1 • I 1 t I. I ., ,. 1. +-+++.r..+ + .�_.r..F.++ + f..+i++-+4.4 4- + 1 1- 1 r l- .i-+.+
Call F-71-11 175 by 7;V0 p. m. for an inspectionnPpde r? next ti1.asineG rIa r
x 3 P
C;iTY OF TIGARD Residential Building Permit Application Plan Check*
13125 SW HALL BLVD. Alteration - Interior Remodel Only Recd By -Z—' 4h�
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd i 9
[late to P E. 9 A; 9 P
V 503-639-4171 date to DST
!
F 503-684-7297 F/tF" �C�' / ..��� - -�
,_�T" r'6�:7r' L;t(../1��,.'Y.fi Permit#. �/S;
Print or Type � Called_.�'lJ�I7yr/F /�G/9a.aL/
Incomplete or illegible applications will not be accepted
Name of Project
Job _ __
Address Site Address Architect Mailing Address
-�-----
Na ��t�"���� � City/State 7_ip Phone
Ilin Ad —-
Owner d ss Name`�
WState Ph9
Engineer Mailing Address
ip
I[en@raI v Na „ity/State Zip Phone
Contractor -- —
/��� Describe work New O addition O Alteration O R,fair 66
Ili Aqqress to be done
Prior to permit , I'sct< )!L' __ additional Description of W - -
issuance,a copy /S ate Ph o e _�_�'�C- `,i
oI all licenses %� � �are required if Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT LIc#
database /-/,/ - VA_LUATIOty
Mechanical N7at1e___V_
NEW CONSTRUCTION ONLY:
Sub- = 1(� Sq. Ft. House: Sq.Ft.Garage
Contractor Mailing Address ,
Prior to permit �1�''�*' Indicate the restricted energy installation by the electrical
issuance,a copy subcontractor in the following areas
/s ate
of all licenses d Restricted Audio/Stereo
are required If Oregon Const Cont. Board Exp.Date Energy ----System _ Alarms
expired in COT Lic.#J Installations Vacuum Irrigation
abase / l�c� r7�c ^
- System _ System
Plumbing N/q�r,ei (check all that Otter: —
Sub- b AIGSR/ a pl
Contractor Nailing Address Corner Lot YES NO Flag Lot YES NO
ll check one
/3 Jgt''r � �'����f<< , Has the Subdivision Plat recorded? N/A YES NO
Prior to permit , tate h e —
issuance,a copy *" .Nd
of all licenses are Oregon Const.Cont Board Exp.Date Solar Compliance
required if Lic.9 _/ Calculation Attached)
expired in COT 73` -- �`�/d l' 1 hearby acknowledge that I have read this application,that the
database Plumbing LIc.# ,s_3j3 Exp.Date Information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Ore on State laws.
Si ore Own lA t D t
Electrical
Sub- Mailing Address ConIIIG jPerson me I Phone#
Contractor t c rt14
FOR OFFICE USE ONLY:
City/State Phcne Plat#:
Prior to permit � MaplTL�� _
issuance,a copy
of all licenses are Oregon CO Cont.Board EoI spate Setbacks: Zone: Solar:
required if Lic A � _ �J
expired In COTAe
_ Engineering Approval: PlanninTApproval: IF:
database E rical Lic.# Exp. Date
I:SF;7M2.DOC(DST)8/11/98
I
O �
� � I
I
II
pro
I
o
APPROVED FOP CONSTRUCTION �I
r•�TY O YID I, r�D
PERMIT
I`It?hhl'�t o46 z '31� ADDRESS./f�SW l4:t
_ _ 1 .
BY-- 1 _ UA�I E�--
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ^-� -------
BUP
_�— ►aie Requested lrn - 7- �� _ ANI-- PM BLD
I_.ocation & Suite _ MEC
Contact Person — Ph — PLM —
Contractor. UGC. Ph � _; SWR
BUILDING ?-enant/Owner — _ ELS--Z k— 5�
Retaining Wall ELR
F voting Access: --
Foundation FPS
Ftg Drain _ -- —
Crawl Dram inspection Notes: SGN — _ _—
Slab
Post 8 Beam --_ __..------.__- ---- SIT — ,---
Ext Sheath/Shear
Int Sheaih/Shear — — -- --
Framing --
Insulation ---- ------- -- -�—-------
Drywall Nailing
Firewall -- ---- - — -------.--_
Fire Sprinkler -- - — - -= "_-� — ----- - . ------------------
Fire Alarm _
Susp'd Ceiling -- —-- ---- — _ --- --—
Roof
Misc:_ ---
Final
PASS PART FAIL __-----_- -- _ _—._.-- ---_- --
PLUMBING
Post&Beam ---- ---—— �— _-- __ �. ---— ---- -_
Under Slab
Top Out ------ ------------ _—._. —__—__._ ----- --
Water Service
Sanitary Sewer —�. - ---_-- - ----- ---- _--
Rain Drains
Final -
PASS PART FAIL
MECHANICAL
PostB Beam — ----
Rough In
GasI_in, -. - -------_. -_-------- -- — ------ ——_ _
Smoke Dampers
Final ----------------------------- ---.._.
PASS FAIL
TRICAL
Pough In
UG/Slab
Low Voltage
Fire Alarm
S PART FAIL.
SITE ------ - - ---- ---- --_ -- __
Backfill/Gradina - ------ ----- ----.___ — ---------_—.--
Sanitary Sewer
Storm Drain ( )Reinspection fee of$—_ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RE. _--_ --_ ,_ ( )Unable to inspect-oo access
AUA
Other Approach/Sidewalk Date �Q ? z0f Inspector— -cGc�s!LExt —_
Other - _
Final
PASS—PART FAIL DO NOT REMOVE this inspection record from the job site..
I
CITY OF TIGARD BUILDING INSPECTION DIVISION NIST
24-Hour Inspection Line: 639-4175. .j9 siness Line: 639-4171 - ---------
7 BLIP
-- _Date Requested AnM _PM __-- BLD
Location 1 � 2, '1 G � 4' Suite MEC
Contact Person �
Ph �.� -��-�115���_/ _ PLM ---- _.--
Contractor Ph 22�- - 2-Baf SWR
BUILDING � � Tenant/Owner ELC
Retaining`Nall
ELR
Footing
Access:
Foundation FPS
Fig Drain 0 �' � ` 3-��7 —
Crawl Dr in Inspection Notes- SGN —
Slab / - SIT
Post&Beam ------
Ex Sheath/Shear
Int Sheath/Shear --- --
Framing _ -------- - --- -—-- —
Insulation
Drywall Nailing —____ •_-1.d�iL'j _
Firewall
Fire Sprinkler --
Fire Alarm
SuspA Ceiling —_-- -- -_ _ -- -- --
Roof
Final ---------_---
PASS PART FAIL _.--
PLUMBING
Post&Beam --- --�
Under Slab
Top Out -- —. _ - ----- - —
Water Service
Sanitary Sewer ----- - —_- -^ ---
Rain Grains
Final --
PASS PART FAIL _
MECHANICAL -
Post R Berm ------------ - - --- --- - -
Rough In
Gas Line -
Smoke Dampers
Final -- -
PASS PART FAIL
CTRIC
Service
Rough In /
UG/Slab
Low Voltage
Fire Alarm
nw-
S PART' FAIL - --------------- ---- --
Backfill/Grading --- --
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$_ -__—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please gall for reinspection RF: —— —_ __ ( j linable to inspect- no access
ADA
Approach:Sidewalk
Other Hate —�- ,� Q��Irspector lam_ Ext
Final -
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
I