Loading...
11455 SW ESAU PLACE a A (10, N m in D C .0 r D n m i I 11455 SW ESAU PLACE �F �TIGARU --------��IASTERPERMIT CI�� HERMIT#: MST2003-00203 DEVEL013MENT SERVICES DATE ISSUED: 6/17/03 13125 SW Fall Blvd., 1 i.lard,OR 97223 (503) 639-4171 SITE ADDRES:,'. 11455 SW ESAU PL PARCEL: 1S135CA-09000 SUBDIVISION: ESAU ESTATES ZONING: R-12 BLOCA: LOT: 006 JURISDICTION: TIC; REMARKS: New SF detached, !path 1. BUILDING REISSUE: 3.1562AFG STORIES: 2 FLOOR AREAS _ RE4UIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 FIRST: 769 sl BASEMENT of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 754 sf GARAGE. 280 of FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNIT'd: 1 TH11D at RIGHT: 5 . , OCCUPANCY ORP: R3 BDRM: 3 BATH: 2 TOTAL: 1,582 of VALUE111132 80 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASMS: TUSISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES: 100 BCKFLW PREVNI R: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES r FURII<100K BOIL/CMP<3HP VENT FANS: 2 CLOTHES DRYER: 1 ELL FURN>=100K. 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL _ RESIDENTIAL.UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 - 200 amp: WISVC OR FD R* PUMPIIRRIGATIOW PER INSPECTION: EAADD'L 500SF: 2 201 400 amp: 201 400 amp tat W/O S11CirDR: SIGNIOUT LIN LT: PEC HOUR. LIMITED ENERGY: 401 - 800 amp: 401 - 690 onp EAADDL OR CIR: SIGNAL/PANEL: IN PLANT MANU HMISVCIFDR: 501 1000 amp: 601.:vnps-1000v MINOR LABEL: 1000.amplvoll PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: 3VCIFDR•=225 A.• >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL RESTRICTED EN'AGY A.SF RESIDENTIAL _ - B.COMMERCIAL _ AUDIO&STEREO: VACUUM SYSTEM'. AUDIO&STrREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,831.30 This permit is subject to the regulations contained in the JIM CASTILE ADAIR HOMES Tigard Municipal Code,State of OR. Specialty Codes and 81nn SW DURHAM RD 1111 SW 170TH AVE all other applicable laws. All work will be done in fIGARD,OR 97224 BEAVERTON,OR 97006 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. ATTENTI^,N: Oregon law requires you to follow rules adopted by the Phone: 503-62U-7512 Phone: 503-645-1156 Ofegon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Reg N: LIC 593 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp$ Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins{ Water Line Insp Plumb Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Service Insp Building Final Footing Insp Crawl Drain/Backwater Electri;al'lough in Insulation Insp Appr/Sdwlk Insp Foundation Insp PLM/Underfloor Fran v1,4 4sp Rain drain Insp Electrical Final Post/Beam Structural Mechanical Insp Shear Wap Inst, Roof Nailing Mechanical Final Issued By Permittee Signatur -�'►�`'y ' ��/ Call (503) 639-4175 by 7:00 p.m. for an inspection needed It ext business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00168 13125 SW Hall B;vd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6, : ./03 PARCEL: 1 S 135CA-09000 SITE ADDRESS; 11455 SW ESAU P1 SUBDIVISION: ESAU ESTATES ZONING: BLOCK: LOT: uun _ JURISDICTION: ll(; _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection fur new SF. Owner: �___--- FEES JIM CASTILE Description Date Amount 8100 SW DURHAM RD — - ------ TIGARD. OR 97224 JSWUSA)Swr connect 6/17/03 $2,300.00 1SWUSAIS"rConnect 6/17/03 $0.00 Phone: 503-620-7512 1S\AINSPJ SNNr Inspect 6/17/03 $35.00 [SWINSPI Swr Inspect 6/17/03 $0.00 Contractor: — - - --- — Total $2,335.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The pennit expires 180 days from the date issued. The total amount paid wi;l be forfeited if the permit expires. The Agency does not juarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm Issued b i Permittee Signature:` y: r _ — _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the ext business day 17, -Building Permit Application City of Tigard Datereccived:j" �u G"j Permit no.: y City oJTigard Address: 13125 SW Ilall Bl!rl�{-.-Eld. WE Project/appl.no.: Expire date: � --- Phone: (503) 639-4171 Date issued: By: Receipt t, . Fax: (503) 598-1960 Case file no.. Payment type: MAY �u 1003 _ .—_-- Land use approval: I&2.family:Simple Complex: 1 &2 family dwelling or accessory 0 Commercial/industrial ❑ Multi-family 10 New construction O Demolition X[Addition/alteratiotJreplacement t7 Tenant improvenivni U Fire sprinkler/alarm O Other: JOB SITE r, Job address; 11455 SW Esau Place Ti and, ()K I Bldg.no.: Suite no.: r. 6Block: Subdivision: Esaue Estates Taxmap/taxiot/accountno.:1S1W351402-1403 Pfoject name: A-155 Castile - -� Description and location of work on premises/special conditions:-New 3 Br 2 Ba S.R W/ Att Gar. 1562 Sq Ft With a 280 sq ft Garage rvu SPECIAL INFORMATION, USE CIIIECKLIST Name: 1 (Floodplain,septic capacity,solar,etc.) Jim and Audrey Castile Mailing address: 8100 SW Durham Rd. l &l family dwelling: City: Tigard State:OR ZIP:97214 Valuation of work........................................ $ Phone620-7512 Fax: E-mail: No.of bedrooms!baths................................. 3 2 Owner's representative: _ Total number of floors Two Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... — 1562 Garagc/carport area(sq. ft.). ................... 280 Name; Jim Castile Covered porch area(sq.ft.) ......................... Mailing address: As Above Deck area(sq.ft.) ....................................... City: State: ZI!': Other structure area(sq. ft.)......................... PhoneEar: E-mail: Commercial/lndustrlalfnrultf-family: t valuation of work........................................ s Business basil: Adair HomesExisting bldg.area(sq.ft.) .......................... , inn New bldg.arca(sq.ft.)...............:: .. Address: 1111 SW 170th Number of stories City: Beaverton State:UR 711':97006 """""""""' ........... """" ' � ----- Type of construction Phonef�45-1156 Fax: 645-5986 E-mail: """"' """""""""""" CCB no.: — Occupancy group(s): Existing: --- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be r licensed with the Oregon Constriction Contractors Board under Name: Aidair Homes, Inc. Provisions of URS 701 and may be required to be licensed in the Address:Tom-SW 170th jurisdiction where work is being performed. If the applicant is Cit n State:OR ZIP: 97006 exempt from li::ensing.the following reason applies: Contact person, D. Roberts Plan no.:3-1562 AFGIC — - - Phone.: Fax: F-mail: ENG Name: Adair Homes, Inc Contact person: Fees due upon application ............ .............. $ _ Address: As Above Date received: _. 1 City: State; ZIP: Amount received ......................................... $-.- Phone• Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,plena call jurisdiction for more infomusNon. attached checklist. All provisions of laws and ordinances governing this U visa D Masrerfard work will he complied with, whether specified herein or not. Credit card number:_ / _ Expires�X Authorized signature:_ Date: �— Name of cr dholder a shown on credit card �( Print name/,E-wl, tDz' FDCe -Tim 01 L`G Tl L 1`_ - c r alStuattam S Amount— Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4+04613 MM170Mi One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: CityufTigarcf Cit of Ti Tigard g U Electrical O Plumbing U Mechanical Address: 13125 SW Hail Blvd,Tigard,OR 97223 UOther: Phone: (503) 639.4171 Fax: (503) 598-1960 TIIE FOLLOWING ' REQUIRED FOR PLAN REVIEW Ves No NIA 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Witter district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of cutch-basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with crass references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Sltelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation dit'i'crential,pl,in must show cuntour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescripthr path)and/or lateral analysis plans. ".gust indicate details and locations;for non-prescriptive path nnalyxis provide specifications and calculations to engineering standards. 17 Fluor/roof framing. Provide plans for all flours/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 llasement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,ser,item 22,"Engineer's calcul tions." 19 licatn calculations. Provide two sets of calculations using current code design values far all hearns and multiple joists over 10 feet long and/or any beatn/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL srETIFICS 23 Five(5)site plans are required loi Item I I above. Site plans mint he y-1/2" x I I-or 1 I" x 17", 24 T-.-r)(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Rever�od_building plans must meet criteria outlined in the Permit& System Development Fees document. 27 "Draw. scale" indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. W-.w14iNcxurosti Mechanical Permit application IL -- Date received: < c a �Perinito.:j ejr E'Cf0 5—cne"; City of Tigard Project/appl.no.: Expire date: Address: 13125.SW Hall Blvd,Tigard,OR 97223 C'irynfTrgard Date issued: By: Receipt no.: Phone: (503) 639-4171 --j Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ __ L Building permit no.: =New dwelling or accessory U Commerciallindustrial O Multi-family ]Tenant improvement i , -on U Additionlalteration/replacrn, i l J Other: { I YAIV t,311 Job address: 11455 SW Esau Place indlLMC Cquipmcnt quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.; value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: 1 S 1W351402-14 3 profit.Value$ Lot: 6 Block: Subdivision: Esau Estates `See checklist for important application information and Project name:A-155 Castile jurisdiction's fee schedule for residential permit fee. City/countyligard Wdshington ZIP; 97224 r ru al Description and location of work on premises: __ I r l 1 New 3 Br 2 Bath SFR w / Att 1 Car Garage Fee(ea.) Tot,l Est.date of completion/inspection: I)escr± tion _- Qtr. Rcs.onl Rei.only Tenant improvement or change of use: 1 Airhandi;ngunit CFM Is existing space heated or conditioned?Cl Yes U No Air conditioning(site plan required) Is existing space insulated?U Yes ❑No Alteration of exist ng HVAUsystem EM=11K91130 Boiler/compressors State boiler permit no.: Businessname: Adair Homes, Inc. HP Tons BTU/H Address: 711 SW 170th Fir smo cdampers/duct smoke detectors City: Beaverton State: ZIP: 7 catpump(sltep tnrequrc ) ti Phone645-].156 Fax: 645-5 E-mail: nste rep aacefu�iinc urner / Including ductwork/vent liner U Yes O No CCB no.: 593 nsta rep ncc/re ocate eaters-suspen ed, City/metro lic.no.: wall,or floor mounted Name(please print): Denise Roberts em ora lance of er than furnace e gest on: Absorptionimils— ,_ BTU/11 Name: Denise Roberts _ Chillers _ tip Com pressors HP Address: As Above ;nv ronmenta ex aust an vent ailon: State: ZIP: City: I Appliance vent Phone: ! .tT t. E-mail: I Dryer ex aunt t Hoods,Type res. ltc icn tazmat 1 hood fire suppression system Name; J im and Audrey Castile Exhaust fan with single duct(bath fans) Mailing address: 8100 SW Durham Rd. Ex aust system apart from hcnt:n or AC State: OR ZIP: 97224 ue p p ng andistribution(up to outlets) City: -TigardType: _ LPG NG Oil Phone:620-7512 Fax: L'-mail: Fuel pipin cache itionaI over 4 outlets lProcess piping(sc ematicrequire ) Number of outlets Name: Adair Humes, Inc. ter I ed appliance or equpment:Address: As Above Decorativefireplacc City: State: ZIP:_ 7nsert-type f- ma. : no stov pc Wove Phone: t rec Applicant's signatu b 01 cr: Permit fee........ ............$ Not all jurisdictions accept credit card,.pleue call jurisdiction for more information Notice:This permit application U visa 0 MasterCard Minimum fee................$ c�pircs if a permit is not obtained Plan review(at _ %) $ Credit cord number _.—___— Expires ithin 180 days alter it has been State surcharge(896) ....$ _ Name of cardholder as shown on credit cud s accepted as complete. TOTAL .......................$ Cardholder signature Amount "1-46171futXU(:OMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Tcfal $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanicai ,de ob' (Ea)-1 Amt $5,001.00 to$10,000.00 $72.50. r the first$5,000.00 and 1) Furnace to 100,000 BTU - $1.52 for each additional$100.00 or including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up^ $742.00 for thn first$50,000.00 and Check all that apply: Boiler HeatAir $1.20 for each additional$100.00 or For Items 7.11,see or Pump Gond Comp •• fraction thereof. footnotes below. • Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU 14.00 8%State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU 25.6_0 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb _Re u(red for ALL commercial permits only unit.5-1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 301absorb unit 1-1.7.7 5 mmit BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 87.20 APPLIANCE: 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER �_�---- 10.00 Value Total 13)Air handling unit 10,000 CFM+ Descrl tion: _ QtyEa Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation systr.m not Included in Suspended heater,wall heater or 955 appliance permit 10.00 (Icor mounted heater Vent not Included in appliance 445 17)Hood served by mechanical exhaust 10.00 ermil Re air units _ 805 18)Domestic incinerators '17.4 0 <3 hp;absorb.unit, 955 19)Commercial or Industrial a incinerator to 100k BTU h p 69.95 3-15 hp;absorb.unit, 1,700 20 Other units,Including wood stoves 101 k to 500k BTU ) 9 15-30 hp;absorb.unit,501k to 1 2,310 10.00 mil.BTU 21)Gas piping one to four outlets_ 30-50 hp;absorb.unit, 3,400 5.40 1-1.75 mil.BTU 22)More than 4-per outlet; ach) _ _ 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72 SULCTOT:L: >1.75 mil.BTU $ Air handling unit to 10,000 cfm _ 656 8/.State Surcharge Air handling unit>10 000 cfm 1,170 9 $ Non- ortabl,o.apordfc cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connee,:Qd to a single duct 446 - Vent system not incluued in 656 appliance permit Hood served b) mechanical exhaust 656 Other Inspections and Fees: Domestic incinerator 1.170 1 Inspections outsida of normal business hours(m nimum charge two hours) _ 582.50 per hour Commercial or industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 _ $62 50 per hour Inserts,etc. _ 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas fin t-4 outlets _ 360 charge-one-hall hour)$6250 per hour Each additional outlet N 63 *State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL a **Residential A/C requires site plan showing placement of unit. EVALUATION: 11 New Commercial Buildings require 2 sets of plans. i:\dsts\forms\mech-fees.doc 02/11/02 Plumbing Permit Application Date received: yo p Z' Permit no.:N,jalep5-qp;?c J City of Tigard Sewer permit no.: Building perms Address: 13125 SW Hall Blvd,Tigard,OR 97221 e: Cityn�Tigard Phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Dale issued: By RCCCIpI nu.:��— Land use approval: _ _ Case file no.: Payment type: 1 M1 &2 family dwelling or accessory U Commercial/industrial J Multi-family J Tenant improvement g New construction IJ Addition/alteration/replacement 'J Food service U Other: _ 1 . SITE INFORMATION Job address: 11455 SW Esau Place Description (v. F'ee(ea.) Totol Bldg. no.: Suite no.: - Ness I-and 2-family dwellings only: Tax map/tax lot/account no.: 1 S 1 W351402-1403 (includes 100 R.for each utility connection) SFR(1)bath Lot: 6 Subdivision: au Estates - —_-_-..- _SFR(2)hath_ Project name: A-145 CastileSFR (3)bath City/county: Tigard/wash in to LIP: 97224 -- -Fitch additional bath/kitchen -� �� Description and lorauon of work on premises:`• NPw I Ar �1 a Siteutililies; FRR rJj rhrh err- Catch basin/arca drain Est.dale of completion/inspection: — Diywells/leach line/trench drain 1 t Footingdrain(no. lin.ft.) Manufactured honbe utilities Business name: 3 T Plumbing Manholes Address: 1890 Lana Avenu _ Rain drain connector y City: Salem _ StateOR ZIP: 9730_3 _ Sanitary sewer;no.lin. ft.) Phone: 371-9360 1 Fax: I E-mail: _ Storm sewer,no. lin. ft.) CCB no.: 147077 Plumb. buj,reg. no: 24-379PB Nater service(no. lin, R.) City/metro lic.no.: Fixture or;tem: Contractor's representative sig — Absorption valve Print nanpc:�O rat pater Back flow reventer Backwater v,!— cONVACT PERSONBasins/lavatory _ Name: Tom Ferrando Clothes washer 1 As ove -" Dishwasher Address: Drinking fountain(s) City: State: ZIP: _ Ejectors/sump Phone: d . E-mail Expansion tank t x trllll 'ixture/sewer cap Floor drains/floor sinks/hub Name(print): Jim and Audrey Castile Garbage disposal Mailing address: 8100 Durham Rd, -- — ) Hose Bibb � City: Tigard _ StateOR 71:P 97224 ice maker Pholc:620-7512 Fax: E-mail: Interceptor/grease trap — I Ownvir installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made-by my regular Roor drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s), ays(s) Owner's signature: _ Date: _ Sump an 101 Tuhs/shower/shower pan Urinal Name: Adair RamQc0 Inc _ _ 'Nater closet — ► Addresi:l l i SW 170th Water eater City: Beaverton State:OR ZIP: 97006 Other: — Phon(645-1156 Fax: 645-598 E-mail: Totts Na all Jurisdictions accept credi,card!,please call Jun for more inform-400 Minimum fee................S Notice:•Phis permit application Pian review(at 9F) g Q Visa U MasterCard expires if a permit is not obtained Credit card number -1-1— within 190 days after it has been State surcharge(8%) .... Espires - Nae of cnrdhoider u shown on credit c accepted as complete. TOTAL .......................$ Name S _ Cudhotdet signature _ Amount aut 4h 16(MMI)N PLUMBING PERMIT FEES: ��- PRICE TOTAL I Mew 1 and 2-family dwellings only: FIXTURES individual) OTY ea AMOUNT I (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 _ the dwelling end the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection One 1 bath $249.20 Tub or Tub/Shower CJmb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three U bath $399.00 Water Closet 16.60 _ _ SUBTOTAL Urinal 16.60 i 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW OF SUBTOTAL _ Garbage Disposal 16.60 -T A Laundry Tray 16.60 Washing Machine 16.60 Floor grain/Floor Sink 2" 18.60 PLEASE COMPLETE: 16.60 4" 16.60 1 _ Water Heater O conversion O like kind 16.60 _Quantity b I Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ ermit Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Stonn Sewer 46.40 Lavato Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains y 16.60 Shower Only Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) 16.60 Urinal ^ Dishwasher ..Garbage Disposal _ Laundry Boom Tray__ Wash!ng Machine Floor Drain/Sink: 2" Sewer- 1 st 100' 55.00 3" -- Sewer-each additional 100' 46.40 4" _ Water Service-1 st 100' 55.00 Water Heater i Water Service-each additional 200'+ 46.40 Other Fixtures y_ S ecif Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 48.46 _ Commercial Back Flow Prevention Device 46.40 - - -- Residential Hack(low Prevention Device' - 2 .55 Catch Hasin 186.60 Inspection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr COMMENTS RFG.ARDING ABOVE: Rain Drain,single family dwelling 85.25 Grease Traps 16.60 -- QUANTITY TOTAL - isometric or riser diagram Is required if "- - Quantity Total Is >9 - "SU13TOTAL ---- - 8%STATE SURCHARGE _ -- "PLAN REVIEW 25%OF SUBTOTAL - Required only If fixture qty total is>9 f� TOTAL S J w "Minimum permit fee's$72 50*8%state surcharge.except Residential Backflow Prevention Device.which is$36 25•8%state surcharge ..All New commercial Buildings require 2 sets of plans with Isometric or riser diagram lot plan review. 1:\dststformslplm-fees.doc 12/26/01 Electrical Permit Application Gate received: S City of Tigard Project/app!.no.: Expire date: CifyajTigard Address: 13125 SW I lall Blvd,Tigard,OR 97223 Date issued: By: Itecerpt n.. i Phone: (503) 639-4171 — Case file no.: Payment type: Fax: (503) 598-1960 y Land use approval: TYPE OF 3 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family J Tenant improvement X[New construction U Addition/alteration/replaccivient U Other: LJ Partial .1011 SlIVIINFORMATION Job address: 11455 SW Esau Place Bldg.no.: I Suite no.: Tax map/tax lot/account no.:1S1W35140 Lot: 6 1 Block: Subdivision: Esau 1 Project name: A-155 Caste a Description and location of work on premise,: New r 2 ba SFR Estimated date of completion/ins ection: CONTRAC11'011t All"I'LICA1110N FEE SC i Job no: Interstate Electric A-155 Fee7noAnsp Business name: PO Box 7342 Descriplion Qty. (ea Total Address: Salem s OR. 97303 New residential-single ormuld-family per dwellingunit.includes attacher)Garage. City: State: ZIP: Service Included: Fax; E-mail: 1000 sq.ft,orless 1 a Phone: 393–=CCB no.: Elec.hug, tic.no: – � Each additional 500 sq.firar portion thereof Limited energy,residential 2 City/metro 'c.no.: _ l.imitedener non-residential- gs� Each manufactured home or modular dwelling F "-`— f e Sftignre o supervising eiectnctan(required? Un a and/or feeder Sup.elect.name(print' Lrccnsc nu Services orfeeders-installation, i Rol W 91 to 1111KIWAVI Ill I alteration or relocation: i 200 amps or less Name(print): Audrey and James Castile 201 amps to 400 amps __- 401 amps to 600 amps Mailing address: 8100 SW Durham Rd. 601 Wimps to 1000 amps City:Ti and I ZI1`97224 over 1()00 amps or volts Phone: 620-7512 Fax; E-mail: Reconnectonly — I Owner installation: The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation alteration, 2 lon,orrelarallan: ORS 447,455,479,670,701. 7.(N)amps or less _ — 201 amps to 400 amps Owners sl nature: Date: 401 to W)ams _ E'NGV1ZM Branch circuits-new,alteration. or extension per panel Name: Ho�ttes. Int`_ _ A. Fee for branch circuits with purchase of Address: 1111 SW 170th service or feeder fee,each branch circuit 2 1 City: Beaverton StaleUR ZIP:97006B. Fee for branch circuits without purchase - of sen ice or feeder fee,first branch circuit: Phone: 645-1156 1 Fax: 645-5981'T11-1-mail: Each additional branch circuit: PLAN REVIEW(Pleate check all that apply) Mlsc.(Service or feeder not Included): O Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle _ U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting familydwellings UBuilding over 10,000square feet fouror Signal circuit(s)oralimited energypancl, U System over 600 volts nominal more residential units in one structure alteration,orextenston• Cl Buitdingoverthree stories U Feeders.400 amps or more •Ihscrition: U occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of floe shove: U Fgress/lightingplan U othrr —— Per inspection Submit_sets of plans with any of the above. Invrstigmi It fee The above are not applicable to temporary construction service. other -- . $ Nor all)unwlicrn+ns accept credo card+,please call junalirriar for more mhm uennn. Notice:"17115 permit application Permit fee............. ..... . —'-—'—"'�--- U Viso U MasterCard expires il'a permit is not obtained Plan review(at ,— 14.1 $ Credo card number _ / within 190 days alter it has been State surcharge(80k.) ....$ Gxpires nccepteC as complete. TOTAI. .......................$ _ Name of to older to drown on crc N c — _ S Cvdhol r dtttrmtue Amoum 440.4615(611111VIM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: _ Number of Inspections per permit allowed Restricted Energy Fee... $75.00 (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145.15 _ 4 ❑ Audio and Stereo Systems' Each additional 500 sq.It.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' Y 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $24060 2 ❑ Other�__.___ __ _____ Over 1000 amps or volts $454.65 2 Reconnect only $66,85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL. ONLY Installation,alteration,or relocation Fee for each system....................... .... ...................... ...... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder foo. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ (Service or feeder not included) Instrumentation Each pump or Irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) $125.00_ Each additional Inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 __ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ ❑ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section on 4 ' No licenses are required. Licenses are required for all other Installations front of application. �- — Fees: Total Balance Due g �-- Enter total of above fees ❑ Trust Account t;' - 8%State Surcharge : All New Commercial Buildings require 2 sets of plana. Total Balance Due t i:kists\forms\ele-fees.doc 08/30/01 — u Properly Address I �.S J 5 — L.egol Descrlprlcn I R l�J SLc. 3S Q����a �o o+ TWcll� �T o6�\y tz.5" Cc THE MFORMA ION ON TMS PLOT PLAN HAS BEEN°ROMED AND REVIEWED BY THE PROPERTY OWNER WHO,BY SIGNING BELOW:L.) ACKNOWLEDGES AND ACCEPTS PULL RESPONSIBILITY FOR ITS ACCURACY AND COMPLETENESS:2.)IS RESPONSIBLE TO ENSURE THAI THE IMPROVEMENTS TO THE SITE TAKE PLACE IN CONFORMANCE WITH THIS PLAN:3.)WILL ESTABLISH ALL THE CORNER IRONS,LOT LINES AND CODE, REQUIRED SETBACKS REQUIRED OF THIS PROPERTY,ANY CHAGE(S)TO THIS PLAN MUST BE PRE-APPROVED By THE GOVERNMENTAL AGENCIES WITH JURISOi(.TION,THE WORT ELENDER AND THE CONTRACTOR AND �{iOF;�UdENTED. O—ATF StrG�l, � _ O',4rEo RECEIVED MAY 2 0 2003 �I f4l CITY OF TIGARD h+ yrn 3DILDING DIVISIOI\j 32 . 67 ' z r . / I I� 7 s� 141-1 /Com' ER i OWNER DATE RECEIVED Q mm `?4 1003 Mr1�� CITY OF TIGARD �+ 6UILDING DIVISION - C3 32 . 67 ' �~ / -I- 61 =- r. o � N co 10 co C 1 / O 1 J �4 u © / IIS �•c ' S i f;'�Y U, IGA•RD &I'1.'•E PLAN IR,EvrEW Bill Q PF:Rh11T NO.: _P 5T W..ANNING DIVISION: R I� Keyuired aC'i�,3rl . „�' 1r,�•-,�•.•,j ["] Not Approved y o i E:NGlNpI RING f.�;�F'AR7'�1CN'! : _. . Actual Slope.l. 70 _�rowed ❑ of Approved I Sik, Pian. F Approved r Not Approv I Date 5�•� G,/d tie, CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00209 13125 SW Hall Blvd., Tiqard, OR 97221 150311 639-4171 DATE ISSUED: 7/18/03 SITE ADDRESS: 11455 SW ESAU PL PARCEL: 1S135CA-09000 SUBDIVISION: ESAU ESTATES ZONING: R-12 BLOCK: LOT: 006 JURISDICTION: TIG Proiect Description: Installation of all encompassing low voltage for residential. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OFr-..ER: X CLOCK: MFDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: JIM CASTILE A J VENTURES OF OREGON LLC 8100 SW DURHAM RD 8100 SVJ DURHAM RD TIGARD, OR 97224 TIGARD, OR 97224 Phone: 503-620-7512 Phone: X03-639-1395 Reg#: HC 156242 r FEES Required Inspections Description Date Amount Low Voltage Inspection I I I I-RMT1 ELR Permit 7/16/03 $75.00 Eiect'I Final IAN I V'o State Tax 7 18/03 $600 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. AITENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc / Issued by ���_ �� .-j2 �- Permittee Sianatuf•e { __ OWNER INSTALLATION ONLY The installation is being made n property I owrLwhiph is n Intended for sale, lease, or rent. OWNER'S SIGNATURE` -��'���_`! td' �" DATE: CONTRACTOR INSTALLATION ONLY SIr,NATURE OF SUPR. El_EC'N t1ATE: L'CENSE NO: -- — —-- -_ Cali 639-4175 by 7:00 P.M. for an inspection needed the next business day ONLY - Electrical, Permit Application ' ' ' Received Electrical Date/Hy: /(">/� J Permit No.14_Ar Oct2.J �- City Of Tigard Planning Approval Sign y Date/By: _ Permit No. 13125 SW Hall 131vd. Plan Review Other Tigard,Oregon 97223 DateB : Pcrrm Ng_Post-Rev ___ Phone: 503-639-4171 Fax: 503-598-1960 Date/By: 1-:mal Ilse Internet: ,,/ww.ci.tigard.or.us Contact tuns.: -�Sec Page 2 Cor 24-hoar inspection Request: 503-639-4175 Neme/Method:— supplemental Information. TYPE OF WORK _ PLAN REVIEW Please check all that apply)�� New construction _ El Demolition El Service over 225 amps- Health-care facility commercial ❑Hazardous location ❑ Addition/alteration/replaeement ❑ Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, _ CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in _❑ 1 &2-Family dwelling Commercial/Industri_al ❑System over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more ❑ Accessory Buildin n Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park ❑ Master Builder I El Other: ❑Egressnighting plan ❑t)ther___ _ _ 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: //'%,SS 66c' 00/_ — FEE*SCHEDULE Suite M _ Bld ./Apt.#: _ Number of ins ections per permit allowed Project Name: ueserl non Qty I Fee(ea.) Total Cross street/Directions to job site: New rng unit.In l Includes or tackedmulti-umdly per J � dwelling unit.Inchrdcs attached I;aral;c. 1 dL Ji G�rr•�bcr� c�C� Service Included: 1000 sq ft.or less 145.15 4 Each additional 500 sq.0.or portion thereof 33.40 1 Subdivision: 1 Saco S { Lot#: Limited energy.,residential 75.00 -_ 2 _ "Z Limited energy,non residential 75.110 2 Tax map/parcel#: Each manufactured home or modular dwelling i.`ESCRIPTION OF WORK service and/or feeder _ 90.90 2 --- -- -------- Services or feeders-Installation, alteration or relocation: ---_ 200 amps or less_ _ 80.30 2_ 201 amps to 400 amps I06.85 2 401 amps to 600 amps _ 160.60 2 PROPERTY OWNER—=TENANT � 601 amps to 1000 amps 240.60 2 --- Over 1000 amps or volts _ 454.65 2 Nalne: a trr5 _C"Ks/i le Reconnect only 66.85 2 Address. Jam!"! Al e3/Q % 1 r lrur+ A. — Temora pry services or feeders-Installation, / �� ��r alteration,or relocation: City/State/Zi L32, e 200 amps or less 66.85 I Phone:c/,i- 6 -72 i Z_ Fax: y o i 7JI-'; .2 ysU 201 ams to 400 amps 100.30 _ 2 TT—APPLICANT ONTACT PERSON 401 to 600 ams 133.75 2 -. — Branch circuits-new,alteration,or Name: extension per panel: --`-- --- - - A-Fee for branch circuits with purchase of Address: -_ _ _service or feedet fe_e,each branch circuit 6.65 Crit /State/Zlp B Fee for branch circuits without purchase of - --- - - — service or feeder fee,first branch circuit _4685 2 Phone: 1'axJ Each additional branch circuit 6.65 2 1 -mail: Mtsc(Service or feeder not included): CONTRACTOR — Each pump or irrigation circle 53.40 1 -------- - Each sign or outline lighting $3.40 2 .lob No: Signal circuit(s)or a limited energy panel, - - - - alteration,or extension Pae 2 2 _Business Name l S t�Th� - -- - - -- _ _ 1)cscription Address: City/State/Zip: Each additional Inspection over the allowable In an of the above:_ _ _ Per inspection per hour min. 1 hour 62.50 Phone: Fax: Investi ation fee: CCB Lic. #: Lie.#: other: _ - Electrical Permit Fees* Supervising electrician -- _ subtotal _5 - - signature required: _ — _ Plan Review(25%of Pclmit Fee S Print Name: Lic.#: v State Surch_ar a 8%of Permit Fee) $ TOTAL PERMIT FEE_ S _ _J Authorize — - Notice: This permit application expires If a permit Is not obtained within Signature: l Date: ��Q 190 days after"has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Permit Forms\ElcPetmitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems............................ $75.00 Check Type of Work Involved: F1Audio and Stereo Systems* Burglar Alarm LJ garage Door Opener* Heating,Ventilation and Air Conditioning System* Vacuum Systems* Other COMMERCIAL WORK ONLY: Fee for each system......................................................... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems ❑ Data Telecommunication Installation Ej Fire Alarm Installation IIVAC nInstrumentation Intercom and Paging Systems lJ landscape Irrigation control* Medical LJ Nurse Calls 11 Outdoor landscape lighting* Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other Installations i:\Dsts\Permit Ftmns\ElcPermitAppPg2.doc 01103 CITY OF TIGARD 24-Hour BbILDING Inspection Line: (503)638-4175 -3 - QU ZR) INSPECTION DIVISION Business Line: (50; 1171 Bull Received _�__�_�_� Date Requested AM_. �L PM - BUP Location -. _—___-_ --Suite__ _— MEC Contact Person _ `TG1,�— Ph(--) -_�� _ PLM Contractor --------- ------- - -- Ph(-----) - -- SWR _ ---— — ILDI Tenant/Owner ____ _____-_ _____- _ _--__ ELC 0o rng ELC Foundation Access: 12 t Ftg Drain '�--e U C y� ELR �_------- ---___ Crawl Drain -.i Slab Inspection Notes: SIT _— Past& Beam 4-Q 8 � Shear Anchors Ext Sheath/Shear '- r _ _ Int Sheath/Shear Framing l_.Gv U� �` U `V -- — � -- -- Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Root Ceiling e- SS PART FAIL �— os earn Under Slab — --- -- Rough-In Water Service ---- — Sanitary Sewer Rain Drains ---- — Catch Basin/Manhole Storm Dram ------ -- - ----- ------ Shower Par. / Other: -- -rna aSS PART_FAIL AI I L C?seam j Rough-In -- — Gas Line f SmukeEC e Dampers �PART FAIL -- — - ! ERICAL Service Rough-In _ UG/Slab Low Voltage Fire Alarm --- - ----- - - ----- -- -- -- Final L� Reinspection fee of$______ required before next inspection. Pay at City Hall, 13125 SW 1-1111 Blvd PASS PART FAIL Please call for reinspection RE— -__ --_— _ _ Ll unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data d_3 Inspector ___ Ext Other:_ Final DO NOT REMOVE this Inspet.111on record frortr>t the Job site. PASS PART FAIL � n ^� x o p o n Vi 71 O O \ (17 } o c � � a Q s m I tri ) ► t ► �\ b 11� ► .a c• cGn C, ► � %� ► d v1 .d , ► rD ► � 44 lop. I, cro ► n a ti ° ► 44 ► 44 G) n ► �1 u _+ :- IT1 � ► n , ► 44 C.� ► '�rss�i�►����o�ev�, �s��►���T���i�sir /'I���`I�V��'�i4�'�� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST — �� BUP ------------- Received .-- Date Requested.— L__ AM____ -. PM __ BUP Location Suite-_ MEC Contact Person Contractor -_____.___ -_ _ Ph SWR BUILDING _ Tenant/Owner _,__- -_ ELC Footing^ - Foundalion ELC -- --.._ - --- _jp� Access: Cewl Drain G3�-' ELR ^_----------- Slab Inspection Notes: SIT Post& Beam Shear Anchors -- - - --- Ext Sheath/Shear Int Sheath/Shear Framing161 __.._.------------- Insulation Drywall Nailing - -------- Firewall Fire Sprinl(lur -- - -- Fire Alarm Susp'd Ceiling ---- Roof Other: - S PART FAIL T -� --- ------------ MBING_ Post& Beam ________.- — ----- ------- --- -- Under Slab - ----- __ _ -`�.--- -- —_—__-- Rough-In Water Service -- - ------ -- Sanitary Sewer --- Catch Basin/Manhole Storm Drain -- Shower Pan Other: Final 6AS ANICAL -- Post 8 ------ Hough-In - --- --- --- --- Gas Line Smoke Dampers - ----- --------- - - - t PART FAIL CTRICAL -- Service - -- -- — Rough-In UG/Slab -Low Voltage Fire Alarm Final Reinspection fee of$_. - required before neat inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please all for reinspection RE:-- _ _ Unable to inspect-no access Fire Supply Line y ADA Approach/Sidewalk Date-_, __ Inspector Ext _ Other: Final DO NOT REMOVE this Ilnspectioti record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour _ BUILDING Inspection Line: (503)639-4175 MS )`�? INSPECTION DIVISION Business Line: (503)639-4171 __ BLIP Received _'t _�� Date Requested 2 AMPM BLIP Location /1J _.-_ Suite_____—_ __ MEC Contact Person _ Ph( ) X32 PLM Contractor__._ _ —,-- Ph( ) _ _ SWR BUILDING Tenant/Owner _ �-�a-� _.-__ -__-- ELC Footing Foundation ELC _- Across: Fig DrainELR ------ -�---_-- Crawl Drain Slab Inspection Notes: SIT -_—__-- Post& Beam _____..___.. Shear Anchors - - ----- -- Ext Sheath/Shear Int Sheath/Shear Framing ------ -- -- - - - - - _ _ Insulation Drywall Nailing ---------- - - --- - - ------- ------ ---------- F' wall Fire Sprinkler -- Fire Alar Susp'd Ceiling --- ------- - --------- - --- --- ---- - - - -- Roof Other: ---- ----- -- -----------------___._.._.--- ------------ Final -- - -- PASS PART FAIL PLUMBING Post& Beam Under Slab ------ - -- - -- - Rough-In Water Service -- ---------- - -- - - ------ - --- - - - -- _-_ - Sanitary Sewer Rain Drains - -- - ---- --- --- Catch Basin/Manhole Storm Drain - - - ---- - Shower Pan Other: -- - - Final ------ PASS PART FAIL MECHANICAL Post&Beam Rough-In - -- - - ------- — Gas Line Smoke Dampers - - - - -- -- - Final PASS PART FAIL - -- ELECTRICAL Service _----- - - Rough-In UG/Slab - --- - Low Voltage m Fin _- i ! Reinspection fee of$___._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. CBp WI>PART FAIL $ ( ] Please call for reinspection RE:-. _ _ Unable to inspect-no access Fire Supply Line ADA / ^ Approach/Sidewalk Date PC-a ! Q-%-Z- Inspedor_ Ext Other:_ Final s DO NOT REMOVE this Inspection record from the Job site, PASS PART FAIL