13747 SW ESSEX DRIVE f.
co
fTt
13747 SW ESSEX DRIVE
[—A gym` I TV n P T I r.. A �, r
V 0 Il i 1100 ■ ■ 0 %OR --% MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-13239
13125 SV{ Hall Blvd., Tlgard,OR 97223 (503)639.4171 DATE ISSUED: iD'1/11/97
PARCEL: 2S104CC—H3153
SITE ADDRESS. . . : 13747 SW ESSEX DR
SUBDIVISION. . . . :HILLSHIRE ESTATES NO. :3 ZONING: R--7 FAD
dL0'FK. . . . . . . . . . LOT. . . . . . . . . . . . . : 153 JURISDICTION:
Remarks: Complete finishing of partially finished basement.
--------------—---—----- ---------------------- BUIL)ING -------------------------------------------------•--------
REISSU[: STORIES.......: I FLOOR AREAS---------- BHSEMENT...: 1716 if RFQUIRED SETBACKS---- REQUIRED----------
CLASS OF WORK.-ALT HEIGHT........: 0 FIRST....: 0 sf GARAGE...... 0 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOUR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: Z sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 1 BATH: 1 TOTAL------: 0 sf VALUE.A: 17160 REAR..........: 0
--------------------—--------------------------------------- PLUMBING ------------------------------------------------------ -
SINKS.........: 0 WATER CLOSETS.: I WASHING MACH_; 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 1 DISHWASHERS...: 0 FLOOR DRAINS.. : 0 SE4ER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 64TFR LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---- -------------------------- ------------------------------ MECHANICAL ------------------------------------------------------------
PLIEL TYPES----------- FURN t t08K ..; 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 1 CLOTHES DRYERS: 0
GAS FURN )=IW. ..: 0 UNIT HEATERS... 0 HOODS.........: 0 OTHER UNITS...: 1
MAX INP.: 190800 BTU FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVES....: 0 GAS OUTLETS...: 1
---- -.. --- -.. ----— ---------------------------------- ELECTRICAL -------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
4F4 SF OR LESS: 0 0 - 20P amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRR;GATiON: 0 PER INSPECTION: 0
FA ADD'l. 'AW.: 0 201 - 408 amp.. : 8 281 400 amp.. .- 0 1st W/O SVC/FDR: I SIGN/OUT LIN LT: 0 PER HOUR...... 0
_IMITH ENERGY.; 8 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL/PANEL...: 0 IN PLANT......: I?
MANE HM/SVC/FDR: 0 (A1 - 1088 amp.: 0 601+amps-,088 v: 0 MINOR LABEL -18: 0
10e)+ amp/volt.: 0 ------------------------------- PLAN REVIEW SECTION ---------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SJC/FDR)=6 A.: ) 680 V NOMINAL: CLS AREA/SPC OCC:
----------- —-------------------- - - FLECTRICAL - RESTRICTED ENERGY ----------------------------
q. SF RESIDENTIAL------------- -------- B. COMMERCIAL-------•----------------- ------------------------------ ------
AUDIO I STEREO.: VACLAM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.,: nTH: :: BOILER.........: HVAC...........: LANDSCAPE/1RRIG; PROTECTIVE 9IGNl.;
(RAGE OPENER..; CLOCK..........: INSTRUMENTATION: MEDICAL........; OTHR:
HVAC...........: DPTA/TELE COMM.: NURSE CALLS.... : TOTW_ t SYSTEMS: 0
9wner. --------_..----------------- —Contractor. --------------------------- TOTAL FEES:$ I,4.%
WILLARD F STRATTON (WER This permit is cuhject 1, the regulations contained in the
13747 SW ESSEX DR Tigard Municipal CoO,, State of Ore. Specialty Codes and all
TIGARD OR 972c; other applicable jaws. All work will be dene in accordance
with approved plans. This permit will expire if worN is
Ph;:ne A: 579-0697 Phone #: not started within 180 days of issuance, or if the worts i-
Reg L... suspended for more than 180 days. ATTENTION: Oregon law
---_...__---__-___ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0011, through OAR 952-001-8888. You may obtain copies of these rules or
direct questions to OX by calling (583)246-1987.
-------- ---------------- REQUIRED INSPECTIONS -------------—--------------------------------------
Mechanical Insp Gas Line Insp Pechanical Final
Plumb Top Out Gas Fireplace Plumb Final
Electri:al Servi Insulation Insp Building Final
Electrical Rough Gyp Board Insp
Framing Insp Electrical final
I ss1-red Ely. ! �-- permittee Signat 1.ir-e :/
+++++-F++++++++++;.++-1 }+ + 4 4-4 ?+++++++++-f+++++++++++++•r-+++ +++f++++++++++-+++�
Call 639--4175 by 6:02 p. m. for an inspection needed the next bi.rsiness day
Plan Check
a Residential Building Permit Application Recd By
.ALL BLVD. New Construction Additions or Alterations oaa Reed
J. OR 97223 Single Family Detached or Attached (Duplex) Data to Oaon to 0OST a 3T 4' 7
) 0
-.5-639-4171 ' 1
iO3-684-7297 Permit• /►15 T — C+ '3cj'
Print or Type Called
Incomplete or illegible applications will not be accepted s,1�� C!.•
Name of Protect I Name
Job
Address Site Address f Architect mailing Address
_ 0 I :, t,Y l.: Y City/state Zip rhor",
Nance
Owner Mad"Address Nuns
city'1" o i") Phone Engineer Mading Address
lstazip
Name CAyrslate Zito � Phone
General I Describe work New O Addrhon O Alteration 0' Repair O
.ontrac.or Dreading Address to t:a done:
Additional Descrip0m of Worts:
UyrState Zip Phone '! f Cf I I Y
Oregon Const Cont. Board Lic.M Exp.Dad y)I E'il
Attach Copy of
Current COT Busutess Ta:or Metro M Exp Dam PROJECT
Ucenses VALUATION $ -- �� I V
Marne NEW CONSTRUCTION ONLY:
Mechanical Sq. FL House: Sq. FL Garage
Sub- Ma�lrng Address / , A) k�N�r f
Contractor — Comer Lot YES NO Flag Lot YESNO
CitylState zip Phone (check one) (check one)
Oregon Cone cont Board LicN Exp- Dam Restricted Audio/Stereo Burglar
trach ropy of Energy System _ Alarm
Current COT 3usiness Tax or Metro M Exp. Dale� installation Garage Door HVAC
Licenses u Opener Systems
Name (check all that Other.
Plumbing apply)
Sub- Maung Address Will the electrical subcontractor wore for all YES NO
Contractor restricted energy installations? _
coiStare zip PhoneHas the Subdivision Plat recorded? WA YES NO
Oregon Const.Cont. eoara L,c.0 Exp Dam Reissue of MST#: Solar Compliance
Attach ropy of �I (Calculation Attached)
Current Plumomg I-ic.tt Exp.Date I hearty acknowledge that I have read this application,that the
Licensed -- information given is corned. that I am the owner or authorized
COT Business Tax or Metro K Exp.Date agent of the ower,and that plans submitted are in compliance
with C on State laps.,
Name -___ — ---•-
Sigrtature of Date
Electrical
Sub- Mailing A:dress Contact PefsOn Name I Phone A
Contractor — � -- �iq�/�
C tylState Zip hone FOR OFFICE USE ONLY:
Plat X-. Map/TL*
Oregon Const. Cont. Boom Lc.A Exv.Date _
utach Copy of _ Setbacks: Zone: Solar.
Current E!ectncat La s Exp- Date _-- _
Licenses Engineering Approval: I Planning Approval: I TT.
COT Fusrness Tax or Metro it I Exp.Date 7
I SFAPP DOC (DSI) "r"
_Permit 8 Acct. Doncritpion ! ( COT WACG Amount AmL Pd. 8aL Out,
q MST. Permit (BUILD) (UBUILD)
Plumb. Permit (PLUMB) (UPLUMB) 2
Mech. Permit (MECH) (UME:CH) ����
ELCIELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) (UTAX) �' u L ..'
SLOG:
LUMB:
lk4£CH: -- —rV
ELCII_LR: —
Plan Check
MST. (BUPPLN) (UBUPLN) �
Plumb: (PLUMB) (UPLUMB)
Mech:
(MECPLN) (UMEPLN) ,r ,���✓
CCG Review(BUILD) (CDCBLD) (UCDC)
CDC Review (PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA) _
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Residential T1F (Ti.:-R) (LMF-R)
Mass Transit 'TIF (TIF-MT) (UTIF-M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity ONQUANT) k'UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN)
Erosion Planck/COT (EROSN) (UEROSN) � z
Fire Life Safety (FLS) (UFLS)
TOTALS: — �� (� V
I SFAPP COC (DST) 4/97
Address
N 7- rI—��
Issued by:
Date.
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Dill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. 1 own, reside in, c-r will reside in the completed structure.
2. 1 understand that 1 must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
❑ 3 A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
R - I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, i will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certifv that the above information is correct and that I have read and do understand the Information
Notice to Property ers a , ut 'on�ru ion ponsibilifles on the reverse side of this form.
(Signature of permit -;.-ilicant) (Date)
(White cop- o issuing ageri, v permit file,
pink copy to applicant)
I ntormation Notice to Properly Owr.2rs
Abot.0 Construction Responsibilities
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art++II it!ll; (ifs"' 7'' 055(5
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EMPLOYER P •'SPG�iI�IIE3{LETIGS:
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ill, ;,tl 11,..1;1+. r.l,'1p, !`i i•,tlii FM?f`l �, 1' , I {; ,1,_ !
-??"1 JAI P . AND ARFAS OF C-0.4C ERN:
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t 1hiil 1l 111 .1111d 111rlj;, its 1 '40,,10 1L't!( 1;1!t'(' t1 yttit hilt C 'ICICCIIJiilt: 11C111'111Ct', lul
+ :.jt Ill �111 'tit �1'!il •II(.II 1. 1,.IIhlllr: (1`(t1•. i',il'i1 11'.C1.4)1lly. 1,`ril(C'f 11.t{Ytiip;C
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pt;' fr1't(IIf1E' 1-ti 11,1il-r, rt('il,'� lit 111(' tlflit'C l(t they t':Ift petforii the rvii .Ttit'(1 ifl¢(k'.'ttl'ns.
.Idditinwil ynl oi, ',.I t,, , ! 1,;11, (lie C olittactor'.BlI 01(-.) Li(!x 1.11 0, Sian,OR 1.117 10 50),-
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„t
CITY OF TIGARD
DEVELOF'MENT SERVICES
_ 13125 SW Half Blvd., Tigard,OR 97223 (503)639-4171
CE RT I FI CATF OF
OCCUPANT '
PERMIT #. . . . . . . : h1ST96 4+ ;
DATE" ISSUED: 011/09/9?
POIRCEI_ : 2S 104(.0--H s 15 s
SI'T'E_ ADDRESS. . . : 13747 SW CSSEX DR
SUBDIVIgION. . . . : PIl._LSHIRE ESTATES NO. 3 ZONING:R--7 PD
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . s153 .JURISDICTION:
CLASS OF WORK. s NEW
TYPE C'F USE. . . sSF"
TYPE OF CONST'Rs JN
OC[:UP1)NCv' GRP. s R3
nf-r11ISA4CY LOADS
Remark!r a PAIN I
owner:
SRYL.I G14T HOMES BUILDERS CO
P O SO ; 2311°:
LAKE OSWEGV 17035
'hone Ot 636-2994
Contractor: __._..,_.__.. .. ._... ....._ .__.._. _._ _ .. .. . _... ...
SKYL.IOIIT 00MC SUII_DERS CO
P O BOX 23)5
LAKE OSWEGO OR 970:35
Phone #: 503--636-2994
Ren #. . : 34086
This Certificate grants Occupancy of the ebove referenced huilding or Portion
thereof .end confirms that th building hasZN-84-
ec�ted for Lompliance with
the Statte of Oregon Srlecialty (:odes for thCu OTIC
p y, and use ander
which the referenreed permit was issued.ril. L� INSPECTOR ICUYC AL
r--n ;T' IN COWSP I CUOUS PLACE
5.
CITY O F TIGARD MECHPNICAL_
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC98--01.76
DATE ISSUED: 05/14/98
PARCEL: 2SI04CC-04500
SITE ADDRESS. . . : 13747 SW ESSEX DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 3 ZONING: R-7 PD
BI-OCK. . . . . . . . . . : LOT•.. . . . . . . . . . . . . . 153 JURISDICTION: TIG
CLASS OF WORV,. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USF. . . . :S F UNIT HFATE Rc,). . : 0 VENT FANS. . . : 0
OCCUPANCY GRF-I. . :R'-, VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BO I LF RS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-.J7
HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT . 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE. DAIYIPERS'). . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . - 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU- 0 10000 cfm: 2 GAS OUTLETS. : 0
F-URN > =100K BTU- 0 10000 cfm : 0
Remar,ks : Installation of two (2) exterior air conditioning units. Units cannot
be placed within the required setbacks.
Owner-: ----------------------------------------------------------- FEES
WILLARD STRATTON I. CHERYL. STRATTON type amount by date V-ecpt
13747 SW ESSEX PRM.T $ 25. 00 DI-_H 05/14/98 98-305764
T'IGARD OR 97223 5PCT $ 1. 25 DLH 05/14/98 98-305764
Phone #: 579-0897
Contractor : —-----------------------------
ABODE HEATING AND A/C
4180 SW 192ND AVENUE
$ 26. 25 TOTAL
ALOHA OR 97007
Phonp #: 972--8571
Reg #. . : 007611
REQUIRED INSPECTIONS
this permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp
applicable laws. All wor6 will b, done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within IPM days of issuance, or if work s suspended for more
than 180 days, ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 9i2-01-010 through OAR 952-99i-0080. Yon may
obtain copies of these rules or direct questions to W, by calling
(503)246-4187,
ISSI-le By ,, Permittee Signat�,tr-e-
ILL
.........................4-++4-+++-4....................4.......................
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
................. 4.................4......4•...........4..............4...........
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd By ^_
13125 SW HALL BLVD. Commercial and Residential nate Reed
TIGARD, OR 97223 Date to P E.
(503) 639.4171, x304 �`j� Date to DST
Print or Type I Permit#-111k,
Called
Incomplete or illegible applications will not be accepted _
Name of Devell pinent/Proled
— Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street Address SuileA A) Permit Fee
Address 7 t55e, _
[TIdW city/ ale Zip 1.) Furnace to 100,000 BTU G.00 I
including ducts&vents_
—^� Name(or name of business) 2.1 Furnace 100,000 BTU+ 7.50
Owner w Qrincluding ducts 8 vents
Mating Address 3) Floor Furnace 6.00 I
L i Y y j 1", incli din vent_
("ity/State Zip Phone 4.) Suspended heater,wall heater 6.00
cJ co, 7-2 2. or floor mounted heater
N4*
me(or name of business) 5) Vert not included in appliance permit 3.00
Occupant Mailing Address 5.' Boiler or comp,heat pump,air Gond. 6.00
to 3—HP.absorb unit to 100K BUT"
CitylState _ _ Zip Phone 7) Buller or comp,heat pump,air Gond. 11.00 _
3-15 HP;absorb unit to 500K BTU"
Contractor Name 8.) Boder or comp,heat pump,air Gond. 15.00
� I�ES� ��l R 15-30 HP,absorb unit 5-1 mil BTU"'
Prior to nermit Mailing Address ) t r 9.) Boiler or comp,heat pump,air Gond. 22.,50
I issuance,a copy (,Is, �, &L C- s• ,•'< 30-50 HP;absorb unit 1-1.75mil BTU"
of all licenses cityfstale Zip Ph me 10) Boiler or comp,heat pump,air Gond. 3750
are required if 50 HP,absorb unit 1 75 mil BTU'"
expired in COT Oregon Const Cont.Board Uc# et 11 ) Air handling unit to 10,000 CFM 450
database ,_ / 4 _
Architect Name 12.) Air handling unit 7 50
_ 10,000� 'M+ _
or Mating Address 13) Non-portable evaporate cooler 450
Engineer CitylState Zip Phone 14.) Vent fan connected to a single dud 300
Des,-nbe work Net.. , F,odition O Alteration 0 Repair 0 15) Ventilation system not included 450
to bri done Restdr, ?tial O Non-residential O in appliance permit
Additional Description J work 16.) Hood served by mechanical exhaust _ 450
i
r 17) Domestic incinerators 7.50
Existing use of — 18) Commercial or industrial 30.00
I bui!ding or property _— type incinerator –
19J Repair units 450
Proposed use of 20) Wood stove -- _ 4.5G
building or property `^
21.) Clothes dryer,etc. 450 j
Type of fuel-oil 0 natural gas O LPG 0 elec'iI-- 22.) Other units — 450
I hereby acknowledge that I have read this application,that the information. 23.) Gas piping one to four outlets 2 00
given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State laws 24) More than 4-per outlet(each) .50
Signature f er/A ent Date "SUBTOTAL
--5%SURCHAkGE ? F ft `t
ContaK Person Name Y Phone PLAN REVIEW 25%OF SUBTOTA,, ,
Required for all commercial Perm Ts only OTAL4 �.
'Minimum permit fee is S25+5%surcharge
"Residential IVC requires site plan showing placement of and
I Vnechprmt doc rev 4115198
`�JST7c, G1 / `� 3
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n
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CITY C F TI G A R ® MECHANICAL
E R M I
DEVELOPMENT SERVICES PERMIT #.P. . . . .T'
. . MEC970357
13125 SW Hail Blvd-, Tigard,OR 97223 (503)639-4171 DATE ISSUED: 09/24/97
PARCEL.: 2S104CC-04500
SITE ADDRESS. . . : 13747 SW ESSEX DR
SJBDIVISION. . . . : HILL-SHIRE ESTATES NO. 3 ZONING- R-7 PD
BI-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 153 JUR I SDI C1 ION: )V"(;_
-------------------
CLAC9 OF WORI-11. . :OTR FLOOR FURN. . . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSToVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 0 10000 cfm: I GAS OUTLETS. : 0
FURN ) =JOk'K 13TU: 0 > 10000 cfm : 0
Remarks : Add air conditioning unit to existing single fanily dwelling. Air
conditioning units cannot be placed inside the required setback areas.
Owner: FEES
WILLARD F STRATTON type amol-Int by date reept
13747 SW ESSEX DR PRMT $ 25. 00 GEO 09/24/97 97-299517
TIGARD OR 97223 5PCT $ 1. 25 GEO 09/24/97 97-299517
Phone #: 579-0897
Contractor:
ABODE HEATING AND A/C
4180 SW 192ND AVENUE
$ 26. 25 TOTAL
ALOHA OR 97007
Phone #: 972-8571
Reg #. . - 007611
REQUIRED INSPECTIONS
Thii persit is issued subject to the regulations contained in the Cool inq Unt Insp
Tigard Municipal Code, State of' C*te. Specialty Codes and all other Misc. nspection
applicable laws. All work w'11 be done in accordance with Final Inspection
approved plans. This perrt will expire if work is not started
within IPA day! of issuam:@, or if work is suspended for sore
than 180 days. ATTENT194: Oregon law requires you to follow rules
adopted by the Orevn, '-iliiy Notification Center. Those rules are
set forth in OAR 9, .1-88I8 through OAR 952-01-8868. You say
obtain copies of These rules or direct questions to OLINC by calling
(5831246-9197.
Issi.Ae By: Permittee Si gnat -ire:
4+++++++4•+++++++++++, +-++.......44-+++-+,4-4.+.+-++++-1-+4...................... . ++++++
Call 639-4175 by 6:00 p. m. for inspecticris needed the next bossiness day
4 4.............+.................4.......+++++++++++4........4.....................
Plan Check k
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL_ BLVD, Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
PermiPrint or Type Called M/f�� C, 5177
Called
Incomplete or illegible applications will not be accepted
Name of Development/Protect Desc"otton
Table to Mechanical Code CITY PRICE AMT
Job Street Address Sures A) Permit Fee -0- -0- 10.00
Address
eaga cifyrsIsto Zip 1.) Furnace to 100,000 BTU 6.00
including duds&vents
Name Torn o1 bumnessl 2) Furnace 100,000 BTU* 750
Owner �- including duct&vents
Mailing Address 3.) Floor Furnace 600
including vent _
Cdyislate Zip Phone 4) Suspended hooter,wall heater 6.00
or ttox mounted heater
Name ion name of business) 5) Vent not included in appliance per,nd 3.00
Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6 00
to 3 HP;absorb unit to 100K BUT" _
CrtyiSate Zip Phom Ti Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU" _
Contractor Name A 8) Boder or comp,heat pump,air Gond. 15.00
!Prior to l �_ �-� ��_ 15-30 HP;absorb und.5-1 mil BTU"
issuance Mailing Address 9.) Boiler or comp,heat pump,air Gond 22.50
applicant FA(_.' 7Lk) 1�� � 30-50 HP,absorb unit 1-1.75md BTU"
must provide all Ctl Sate Zip. Phone 10) Boiler or comp,heat pump,air Gond. 37 50
contractor Il " 1 � 'r~; t m >50 HP;absorb unit 1.75 mil BTU" _
license robot Const Cont.Bow Lic a Exp Date 11 ) Air handling unit to 10,000 CFM 4.50
information if
expired in
COT COT Busxmm Tax or Metro a Exp Date 12) Air handling and 10,000 CF►A 7 50
database)
vAmhitect NaR1e 13) Non-portable evaporate cooler 4.50
or Mailing Address 14; Vent fan connected to a single dud 300
EngineerCey/State Ln Phone ^� 15) Ventilation system not included in 4.50
_ appliance permit
Describe work New O Addition O ARerohon O Repair O 16) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O
Additional Description of work 17) Domestic incinerators 7.50
18) Commercial or industrial type 3000
Incinerator
Existing use of - - -�- - -19) Repair units -- — 450 ---
building or property
20) Wood stove 4 50
Proposed use of 21 ) Clothes dryer,etc 4.50
buik,mg or property
22) Other units 450
Type of fuel-oil O natural as O LPG C electric O 23) Gas piping one to four owlets 200
I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50
information given is correct.that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL -
laws
Signature of owner/A nt _ Date SUBTOTAL
_.i CA' _D l
59%SURCHARGE
Contact Person Phone PLAN REVIEW 25%OF SUBTOTAL
��---- TOTAL
i`dstlrnerhpmt doe (rev 9 'Minimum permit fee is S25+5?,surcharge
"Residential AiC requires site plan showing placement of unit.
i
CITY CSF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0534
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 I'1EaTE TrSLJED: 12'8/06/97
PARCEL: ;e'1;1V14CC•-H31,53
;,TTE: AD0Pf-5x:. . . : 17747 SSW U.S EX 1)P
SUBOTr.'ISTON, , . . .,'-ITL.L.!';IITRr' F-Tfi,'rF,0 740.z ZONING: R -7 PI)
3I_(7r:IS. . . . . . . . . . L'.7T. . . . . . . . . . . . . : 1.`,.., JUR I SO I CT ION:
1--T0,j ec:L DV E Cr 1.0', 071 : And two (2) brant_�h circuits.
RE',IDr'NTIAI_. UNIT_ - TEMP} oa'R4rc rr~Ct)rl� IhlSrf"l_I_ANF`fTUS-
1.000 5F OR LESS. . . . : 0 0 200 Amp. . . . . . . PUMP/TRRIGATIuN. . . . :
-'()CH nDD' L. 5005F. . . : 0 2-01 — 400 AMP. . . 0 STCjN/CJUT LINE I_Tr
'MITER ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL_.. . . . . . . : u'
tl`. HKI 5VC/FDR. . : 0 6014-amps •1O3c'0 volt s, : it! MI)Nf)11 L-A13E'L ( l0) . , . : 0
_- SFfit ICE/FE?MER------_ -----BRANCH CIRCUIT;.-._....._,.__ __._ADD' I INSPECTIONS--.
_. ?00 amp. . . . . . : t?r w.'r;r•RVICE nR r'F-t c'r- : c.. rrm INS1"ECTIlN. . . �
1 - 400 gimp. . . . . . : 0 1,;t. W/O SRVC OR FOR. : 1 r'E.R HOUR. . . . . . . . . . . ' ''
L GOO imp. . . . . . . 0 ,_ P ADD' I.. BRNC14 CIRC: .1 1 P 111-ANT. . . .. .
1 - 1000 amp. . . . . : 0 ________--•---_.PLAN RFVIEW SECTION—
M, ,ml,'v ,] 3. . . . . . . 4'r ..4 RETS IJNITS., ., . . . . . , . ) c.O►D VnLT h, ,•,INFII., . .
-unrieet, aril y. . . . . : 0 r"VC/FDR > 225 AMP'S. . CI. ASS AREA/ �'.0 OC'k.`„
-ger : _ _..,__.__. _.-. -.
TEES _
.LARD F STRATTON type AMC)UTI t by date recpt
747 'M r'^r;f7Y DR PRMT 4 401. 00 GE.0 O8106197 97
7ARD DI;. I",2 :? 12. 00 GE'O 04/06/97 '37-1—l"
:)ne # - •--,,, 0897
RTL ANP ttr. I?!! r I PF 4,-:. 0070 TOTAL.
'2310 SW I3EAV3''?TDN—EIILti.5DA!.E HWY
REOU I RED I NSPECT I ONL.
AVERTIN OR 97005 Rcrr.Ayh- i n E:I ec:t' 'I Se,
,)Tie #; Urider,®rnl.rnr1 Covk- rlectl I ri.0 d-
y #. . : O3200G. 12.2
s permit is issued subject to the regulations contained in the %gard Municipal Code, State of Oregon Specialty Codes and all othe
icable laws- All work will be done in accordance with ;pproved plans, This permit will expir, if work is not started within 18N
Of issuance, or if wore is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by
M Mor Utility Notification Center, Those rules art set fort" .n DAR 952-MI-NN1f. thro :.' "" ",1187, ou may obtain a rot,
"� ales or direct questions to OLK bv calling (;IM45-1987, 7 ��
OWNER IN5TALLAI ION ONLY _._._..._.. . _ _.._._
i ,r',a0!E= rrn p, operty I own wl:ir!i i. i rnol irtni.
r RACTOR I NSTAL_....AT ION f3Nl_Y
t
1 + 1 4- 1 r + V+++++++-4-+++4 f++•+++++++-1 ,-+++++4-1 4 4+4++ +I
Ti, -1.,.. ! . :i4 i.i. .T!, Fol ��.T'1 1: 'i f`pf. �. 1 'if? E')!t; I='L.l
CITY OF TIGARD Electrical Permit Application Pl3n Check a
13125 SW HALL BLVD. Recd By___ J`
TIGARD OR 97223 Date Recd
Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST
Insoection (503) 639-41* 5 Permit aFG
Fax (503) 684-7297 Incomplete or illegible will not be accepted called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development____ , r' Number of Inapectlons per permit allowed -
Name(or name of b�j ' ass) - -['_ Service Included: Items Cost Sum
13 IT
" (dress J 4a. Rasldentlal-pet unit
1000 sq.ft.or less $110.00 _
City/Stat�� 1, 1/•_ ok -` Lach additional 500 sq,ft.or 4
Commercial ❑ Residential portion thereof $25.00 1
Limited Energy $25.00
Each Manufd Home or Modular
Dwelling Service or Feeder $68.f»
2a. Contractor installation only: -�- _
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor _ G } Y t; Installation,alteration,or relocation
Addr@ S Ou r cv -. ) rlv�Jl 200 amps or less $60.00$80.00 2
-1---- - 201 amps to 400 amps _
City Stat@�Zlp, l% __ 401 amps to 600 amps - 2$120 00 2
Phone No. 6.1 d - LE IC611 amps to 1000 amps $180.00 2
Job N,). Over 1000 amps or volts $340.00 2
Elec Cont. lice. No.,31?- 06r ._Exp.Date J Q reconnect only $50.00 2
OR State CCB Reg. No. b 1�2- -7 Exp.Date '0- 4c.Temporary Services or Feeders
COT Business Tax or Metro No. 11 Exp.Date C' yl__. Installation,alteration,or relocation
200 amps or less $50-00 2
Signature of Supr. Elec'n ,�_ 201 amps to 400 amps $75.00 _ 2
--- 401 amps to 600 amps $100.00 2
3 r] Over 600 amps to 1000 volts,
License No.�-� Exp.batesee"b"above.
Phone No. Af.6 -- I`
--- - 4d.Branch Circuits
Now,alteralmn or extension per panel
2.b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name _ _ feeder gee.
AddressEach branch circuit $5.00 2
b)The leo for branch circuits
City - State_ _ '0p __-_____ without purchase of _
Phone No. service or feeder fee.
f irst branch cirrud $35.00 1,
The installation is being made on property I own which is not i.,oh addifinnal branch circuit $5.00 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or leader not Included)
Owner's Signature.- - Each pump or Irrigation circle $4000 _
Each sign or oulline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s)or a limited energy
panel,alteration or exter m $40.00 2
� "-�
Please check ar propriate item and enter fee in section 5B. Minor Labels(10) $100.00
4 or more,esidentml units in one structure 4f.Each additional inspection over
Service and feeder 225 amps or more the allowable In any of the above
_ System over 600 vnits nominal Per inspection -_ $35.00 -
Classified area or Oructure containing special occupancy Per hour $55.00
as described in N,E.0 Chapter 5 In Plant $55.00
*Submit 2 sets of pians with application where any of the above apply. 5. Fees:
Not required for temporary construction services. So.Enter total of above fees $ -1-"_ -
5%Surcharge(.05 X.total fees) $ -
NOTICE Subtotal $ --
Sb.Enter 25% of line So for
PERMITc BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r uired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION ON WORK Subtotal $ ----
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ('� Trust Account
k
TIME AFTER WORK IS COMMENCED. L 1
Total balance Due
i
i 1DSMELC9P APP Rev 919G
MASTER PEF M I T
CITY 4F TIGARD DATEIISSUED: . 05/29/96E-0193
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 251 N4CC—H3153
13125 SW Hall Blvd.Tigard,Ora on 07223*8199_(503)839-4171
Si I L ADDHi_-a5. . . : 1"- 741 SWL 1E:X DR
:SUBDIVISION. . . . s H I L-L.SH 1 f ESTATES N0. 3 ZONING: R-7 FID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s153
Remarkst PATH I
----- ----------------------------------------------------------- BUILDING ----------------------------------------------------------------
REISSUE: STORIES.......: FLOOR AREAS---------- BASEMENT...: 1164 sf REWIRED SETBACKS---- REQUIREC-------------
CLASS OF WORK.:NEW HEIGHT..,.....: 32 FIRST....: 2A42 of GARAGE.....: 747 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLODR LOAD....: 40 SECOND...: 2197 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.-5N DWELLING UNIT.: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 5 TOTAL------: 4239 sf VALUE..i- :.10603 REAR,.........: 47
--•---------------------------------------------------••--------- PLUMBING -------------------------•------------•-------••--------------------
SINKS.........: 1 WATER CLOSETS.: 5 WASHING MACH,.: 1 LAUNDRY IRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 7 DISHWASHERS...: t FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: t CATCH BASINS..: 0
TUB/SHOWE.RS...: 6 GARBAGE D1SP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------------------------------------------------- MECHANICAL
FUEL TYPES------------ FURN ( ION „s 0 BOIL/CMF ( 3HPi 0 VENT FANS.....: 8 CLOTHES DRYERS: I
/GAS/ ! / TURN >=100K ..t l UNIT FEATERS..t 0 HOODS.........: 1 OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOOD;TOVES....: 0 GAS OUTLETS...: 1
-------------------------------------------------------------- ELECTRICAL -----------------------------------
--RESIDENTIAL LIN17--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCF+.LANFOUS---- --AW L INSPECTIONS--
1000 SF OR LESS: 1 0 - f"00 alp..: 0 0 - 200 asap..: 0 W/SVC OR FDR..: N PUMP W 1614Tlf)N: 0 PER INSPECTION: 0
EA ADDI L 5005F.:11 201 - 400 amp..; 0 201 - 400 asp..: 0 1st W/0 SVC/FOR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY..- 0 401 600 asp..: 0 401 - 600 amp..: 0 EA ADDL BR CIH: 0 SIGNAL/PANEL...: 0 IN PLANT.....,: 0
MANF HM/SVC/FDR: 0 41 - 1000 asp.: 0 6014amps-1000 v: 0 MINOR LABEL -10: 0
'.000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS.. : SVC/FDR)=225 A.: 600 V NOMINAL: CLS AREA/SPC OCC:
---- - --------------------•----- ---------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------- ---
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO 8 STEREO.: FIRE ALA,IN.....: 1NTFRCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: ss X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER.,: CLUCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COW, NURSE CALLS....: TOTAL M SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------------------------- TOTAL FEES:$ 5514.76
SKYLIGHT HOMES BUILDERS CO SKYLIGHT HOME BUILDERS CO
P 0 BON 2315 P 0 BOX 2315
LAKE OSWEGO OR 97035 LAKE O%EGO OW 97035
Rhone m: 636-2994 Phone 0: 503-636-2994
Reg 111..: 34M
This permit is issued subject to the regulations contained in the Tigard Municipal Lode, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This perms+ will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
REQUIRED INSPECTIONS -- -- - -- --------- - - ------- - - -----...
Footing Insp PLM/Underfloor Shear Wall Insp insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical 1 p Low Voltage Gyp Board Insp Electrical Final
Post/Beam Strict Plueb Top 0 Fireplace Insp Rain drain Insp Mechanical Final
Post/Beam Mechan Electrical er i Gas Line Insp Water Lina Insp Plumb Final
Crawl Drain Framing I p i�as Fir Water Service in Building Final
i-'ermittee Signatr.ar^ _ ---. 15si-ted By :
Call for inspection — 639- 4175
CITY OF TIGARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR96-01841
13125 SW Hall Blvd.Tlgod,Oregon 07223.8190 (503)1139.4171 DATE ISSUED: 05/29/96
PARCEL: 2S104CC—H3153
SITE ADDRESS. . . : 13747 SW ESSEX DR
SUBDIVISION. . . . : HI1_LSHIRE ESTATES NO. 3 ZONING: R—I F11)
BLOCK.. . . . . . . . . . . 1_01 . . . . . . . . . . . . . : 15 3
TENANT NAME.. . . . . ..
USA NO. . . . . . . . : FIXTURE UNITS. . . : 0
CLASS O). . WORK. . . :IVF-W DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: i
INSTALL TYPE. . . . :BUSWR I MI'ERV SURFACE: 0 5 f-
Remarks : FIATH 1
OwnersFEES
SKYLIGHT HOMES BUI1.-DERE CO type amount by date recpt
P 0 BOX 2315 PRMT $ 2200. 00 JMH 05/::9/96 96-279946
INSP $ 5. 00 JMH 05/29/96 96-279946
LAKE OSWEGO OR 97035
Phone #: 636-2994
Contra-tor- :
SKYLIGHT HOME-_' BUILDERS CO
P 0 BOX 2:315
LAKE OSWE.GO OR 9703
Phone #k: 503--636-2994 t 2235 00 TOTAL
Req #. . : 34086
----- — REOU I RED INSPECTIONS
This Arplicant agrees to comply with all the rules and regnlat►ons !Newer Inspection
of the Unified Sewage Agency. The permit expires 190 days free
the date issued. The total amount paid will be forfeited if the _ _y
permit expires. The Agency does not guarante the accuracy of the
side sewer laterals. If the sewer is nofAo ted at the measurement
given, the installer shall prospect feet n all directions fromthe distance given. If not so lorate , th,/ installer shall purchase
a "Tap and Side Sewer" Permit and ncy will install a lateral.
Permittee Signati-o-e
Issued Bye
Call for inspection — 639-4175
Sesidentiai Building Permit &--plicatiQn
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
(503) 639-4171 r�
Jobsite Address:l�"7l f t`'" c� fZ A?
I1 ` � 3
Subdivision: n £ls,� Lot# 3 — (�fre Uwe Only
Valuation: Contac` Date / Initials-�-
Result
New Construction Only: (Square Footage)
Planck/Rec#
House _ y Garage: ___ 1 Permit#&bt9(,
-E 11"� [ rM� r�r ,N rN�� Reissue of ---
Corner Lot? Y � N- Flag Lot? Y N Map&T # ? (L -z 15�== -
Zone .
Owner: L��_SL�$'I=—}'i�11 Ks1�Co�ii11 ( o C` Plat#
Address 'Z S _ Aonrovals_Rec yirO
n/ (DR Planning Setbacks r'� _-_ Solarn_ I�Pf!,—' k h�
Engineering ----_--�_ .._.. 4=0- `t&
Phone (�.?��6� �4 ,T Other
Contractor: �_L bms Req"-d
Address Subcontractors
Truss Details --- ----__
Other -_.T --------- - —----
Phone: I �_ -_ Notes yof �'T —�—
Contractor's License# SSV __-
(attach copy of current Oregon license)
Contact Name. _5 RA Y S M%-I
Contact Phone
Subcontractors: Architect/Engineer:
Plumbina: rd C o T EE ►,� r'�' Address --
Mechanical: v04e- 111L
(attach copy of current OR Co tra tors License)
Electrical._.wM 1\ Y,vi T a I. Phone.
JOB DESCRIPTION !�4c-1Z
Applicant Signature Applicant Phone nur"ber
1
Received by: f f` .� Da[e Rec;�wed
'+loom asta rswoo
Permit/ Account Description Amount Amt. Pd. Bal. Due
> ,01 3 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) ;2&-j-,�a.ti'
Mech. Permit (MECH) .S 7 5 7.
T �
'Z� ✓YJ-, "
State Tax (TAX) 10 : u. r 1.
Bldg: (--7 Y-J 13
Plumb:
Mech:
Plan Check (PLANCK) 3.5'br '
Bldg:
Plumb:
Mech: , Z y/ 71
i
p
,5c��yV al' s Sewer Connection (SWUSA) t,Ll
?_Zut"'
Sewer inspection (SWINSP) X.
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) a -�o
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-k-)
Water Quality (WQUAL.) ' Z�
Water Quantity (WQUANT) _ r; Ll
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) / z // L
Erosion Planck/USA (ERPLAN) .3L
Erosion Planck/CO T (EROSN) .3 U _ X34 . 0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MSl'
BUP
Date Requested - � AM PM BLED _
Location Z37V.7 ,Gv _ Suite p� i'IGjEC/ Q �`
Contact Person ���2 vti Ph'f 9 7 SPI--M
Contractor / /� _ �' _ Ph vl,7 ) SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR _
Footing Access: -
rig Drain k, 7-j)eKiUr� .r-UG/ j I FPS _
rig Drain r`.-tk �v L/ ` _
Crawl Drain Inspection Notes: i� SGN
Cf OG
Slab _ SIl
Post& Beam
Ext Sheath/Shear ��
Int Sheath/Shear
Framing _.. n , . •�� _ 2.'�A" �.t _ ---
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 412 - -�,'yc e'- J 4-G_.L --
Fire Alarm
Susp'd Ceiling 5;7 7 , /J'},%zi ✓� __ —
Roof
Misc
Final ----PASS PART PART FAIL
PLUMBING
Post&Beam - — - --^_—�
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final ----�------ _ --- - ._--
FAIL ----- ---- ---- - .-�
MECHANICAL
osiearn �,- -- _- — _- ------
Rough In
Gas Line -�.___------ _ ------ -
lstligke Dampers
PART FAIL
ELECTRICAL ---_�_.__..---------_------------------ -- -�.-_ ___—._----
Service
RoughIn __---__. _.__.--_— --- - ------_ --.--- ----- ---- -�_
UGISIab
ow Voltage ----- ---__— __--- -------- — _—.
F ire Alarm __--
Final
PASS PART FAIL
SITE
Backfill/Grading - - --- - ------------ ---_ _-___-_
Sanitary Sewer
Storm Drain j ]Reinspection fee of$^� required hefore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line j )Please call for reinspection RE:_- — j j Unable to inspect no access
ADA
Approach/Sidewalk ec
Date p / Inspector /% Ext
Other _ - p _ L --__
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_._ gate Requested 10 ` " 1 1 AM�PM BLD
Location ( �� S _�� Suite _ MEC _
Contact Person W Ph -- ,-�'Cl. I^ PLM
Contractor Ph SWR
JLDI Tenant/Owner ELC `
Retaining Wall
Footing ELR
Access:
Foundation
FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN —
Slab
Post& Beam `— — SIT —
Ext Sheath/Shear
Int Sheath/Shear -`
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -
Misc: —
i
PART FAIL -------- — _-- --_-- —_
UM
ost& Beam ---
Under Slab
Top Out
Water Service
Sanitary Sewer —
Rain Drains
ART FAIL -
Post& e _
Rough In
Gas Line --
Smoke Dampers
PART FAIL
ELECTRICAL
IRough In
Uc'/Slab --- - __ — _—
I (iw Voltage
i ire Alarm
I mal
PASS PANT FAIL -- ------ --- -- — _-- —,
SITE
Backfill/Grad:119 --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call foi reinspection RF- _ [ ( Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date —)---______ Inspector _ Ext
Final
L PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
SEE 35MM
R." OLL# 22
FOR
LARGE
DOCUMENT