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11530 SW GALLO AVENUE w w 0 G) a 0 D m a c �D 11530 SW Gallo Avenue � CITY ®F' TIGAR® MASTER PERMIT PERMIT#: MST2003-00051 DEVELOPMENT SERVICES DATE ISSUED: 3/14/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 11530 SW GALLO AVE. PARCEL: 1S134DC-11300 SUBDIVISION: CASCADIAN PLACE ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: 1 I(i REMARKS: Construction of new SF detached dwelling, BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 26 FIRST: 1,340 s1 BASEMENT: sl LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 49 SECOND: 1,110 of GARAGE: 662 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THAD: of 2qRIGHT: 6 VALUE: �,066.60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.500 of REAR: 27 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH SA^INS. TIJBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS. I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS. OTHER FIXTURES: MECHANICAL _FUEL TYPES FURN c 100K: P.OIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: I OAS FURN>•100K: I UNIT HEATERS, HOODS: 1 OTHER UNITS: I MAX INP: btu FLOOR FURNANCES. VENTS: I WOODSTOVES: GAS OUTLETS. 1 _ ELECTRICAL _ _RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 200 amp: W;SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 701 400 snip: 191 W/O SVCIFDR: SIGNIOUT LIN LT PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp. EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601+amps-1000v: MINOR LABEL. 1000•amplvoll PLAN REVIEW SECTION Reconnect only >•4 RES UNITS: SVCIFDR>•225 A.' >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE.ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: 901LER: HVAC, LANDSCAPEARRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,469.73 KEYSTONE DEVEOPMENT INC KEYSTONE DEVELOPMENT This permit IS to the regulations contained in the PO BOX 476 PO BOX 476 Tigard Municipalal Code,State of OR Specialty Codes and LAKE OSWEGO,UR 97034 LAKE OSWEGO.OR 97034 all other applicable laws. All work will be done i accordance with approved plans. This permit will expire ff work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Phone: 503-635-4736 Phone 503-635-4736 Oregon Utility Notificatioi Center, Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You Rea N: LIC 71115 may obtain copies of these rules or direct questions to OUNC by.-Iling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical. Inal Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing';foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : _ Permittee Signature Call (503'(639-4175 by 7:00 p.m. s.,r an inspection needed th�eXt usiness day CITYOF I IGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S 14/03 03049 DATE ISSUED 3/14/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL.: 1 S134DC-11300 SITE ADDRESS; 11530 SW GAI_LO AVE SUBDIVISION: CASCADIAN PLACEZONING: I? 3 BLOCK: LOT: 002 JURISDICTION: 1 I(, TENAN'i NAME: NO: FIXTURE UNITS: USA CLASS OUSA NO: NEW DWELLING UNITS: TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: I_TPSWR IMPERV `.iURFACE: Remw KS: Sewer connection for new SF dwelling. Owner: _ _ _ FEES _ KEYSTONE DEVEOPMENT INC. pescription Date Amount PO BOX 476 —-- _ LAKE OSWEGO, OR 97034 SWUSA]SwrConncct 3/14/03 $2,300.00 [SWUSA)Swr Connect 3/14/03 $0.00 Phone: 503-635-4736 1SWINSP)Swr Inspect 3/14/03 $35.00 1SWINS111 Swr Inspect 3/14/03 $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 permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy o' :he side sewer laterals If the sewer is riot located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If nat so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon lava requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued by: -�- Permittee Signature: Cal! (503) 619-4175 by 7:00 P.M. for an inspection rieeded the nhxt business day alf Building Permit Application \ - �� —_ — Uall.'reCCIVI'd' Permit tut.:/) f �;i City of I>Igarfl�- E P��Y E[1 Addrew, 13125 SW Hal 11"I%A, tgar ,U 97223 ProjecUappl.no.: Expircdatc: r irau/7'igard -- _ - Phone: (503)639-4171rpD Date issued: By: Receipt no.: Fax: (503) 598-1960 FB C1 0 5 200.1 Case file no.: Payment type: Lund use approval: _.ITY OF TIGAHIJ 1&2 family:Simple Complex: i-.- &2 family dwelling or accessory U ConunerciWinduslrial U Multi-family ew construction U Demolition U AtJdition/altexatior>/replacement U Tenant improvement U Hi sprinkler/alarm U Other: _ 401111 1 Job address: 115'30 5W &AL1,p _ Bldg. no,: Suite no.: Lot: 2 BIock: Subdivision: GA564171AN I,AGti Tax map/tax lot/account no,: Project name: - f _ Description and locution of work on premises/special conditions: 011 NI It FOR SPECIAL INFORMATION, Nwme: 5 OeJ P, INcsolar, Mailing address: Q 5 1 &2 family dwelling: City 0 slate: ZIP: C1Valuation of work................... .......... . ra Phone: b�� �3 Fax: W-1141 C-mail'1&,001E AW. No.of bedrooms/baths.........4.'.. ......... _ - Owncr's representative: ,)A MI:.S �Cx/1K- Total number of floors...................... _ 21 Phone: (;R-yy'L - I'ax: SAW- —11 Mml_ New dwelling arca(sq.ft.) .......................... 'Z U Garage/carport area(sq. ft.)................ ........ 7N,auncn: �� >at�_ Covered porch area(sq. ft.) ......................... __ ress: Deck area(sq. ft.)........................................ — State: ZIP: Other structure areas .ft.)......................... I- CommerclaUlndustrlal/multi-famll Phone: I ,�. - - _i tii,ul: y: CONTRACTOR Valuation of work..................................... . $_ -- Business Hume: Cxistingbldg.area(sq. ft.) ........... ..... ...... __--__-`-- Address: — New bldg.area(sq.ft.)..........I....... . ......... City: Stilts ZIP: Number of stories...................... .......... ..... Type of construction........................ ....... ---_----- Phone: Fax, I mail _ CCB no.: Occupancy group(s): Existing: 11135 _ - - - -- New: City/lnetro lic.no.: Notice:All contractors and subcontractors are required to be ARCHITECUIDESIGNER licensed with the Oregon Construction Contractors Board under Name: OA5Cpf'-O provisions of OILS 701 and may he required to be licensed in the Address: ►?)(s Nu.1 le5N i jurisdiction where work is being performed. If the applicant is City: oR— state: i.u'. CI-7W exempt from licensing,the following reason applies: Contact person: AtAW W;C4HD flan no.: '22t >bc- iFax:I'hunc: JQ - 1 1 )ZS-C'q?0 E-mail' Name: VJQ.LI. Contact person: Fees due up in application ........................... $- - Address: e V-00 Date received- City: VORMAKIP i State: Amount received ......................................... $ Phone Fax: 44-6161 B-mail: - u_ Please refer to fee schedule. - I hereby certify I have read and examined this application and the Not all Juridictloru accept credit cards,please call jurisdiction for mare inforrnarinn. attached checklist. All provisions of Iass'.�a ordinances governing this U Visa U MasterCard work will be complied wid cuter sp,tAi� herein or not Credit cud nundwt r lixplrea Authorized signature: )all': I Narne of cwthiotdet as shown on credit ccud Print nanic: —_-4 —� - --- Cadholdcr signature _s An.,unt^— Notice:Phis permit applfctniot,expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.461.1 tryrx>r asst, Mechanical Permit Application Date received: _ Permit no.. _ - City Of Tigard Project/appl,no.: Expire date: 1 CitvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.. Phone: (503) 639-4171 Fax: (503) 599-1960 Case file no.: Payment type: Land use approval: _ Huildingpermitno.: TYPE OVVERMIT 1/X2 family dwelling or accessory C)Commercial/industrial U Multi-family U Tenant improvement l8'New construction fU Adclition/alteration/replacement ❑Other INFORMAT1116N COMMERCIAL1SCHEDULE Jon address: Ii 53o SW &A Indicate equipment quantities in boxes below. Indicate the dollar Bldg,no.: � I Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit. Vnluc$ _ Lot: ?j Block: I Subdivision: 6A9N •lice checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: +v,;Ae H . ZIP: TT L. 1 Descrption and location of work on premises: _ I!! 1 1 I Est.date ofcompletion/inspection: 7, G2 -TO -tl0', _ Ikvcliptlon Rr.one Ites,onh Tenant improvement or change of use: Air handling unit _ CFM Is existing space heated or conditioned?U Yes U No r conditioning(site plan require ) ---—11 Is existing space insulaird?U Yes U Nnterationo exls nig system n er compressors 11, Cthr = V State boiler permit no.: Business name: =1'CAv;�+ _ HP Tons_ HTU/H Address: ' ( CI.A N1r1 F-t irc/smo ecampers uctsmo ceetectors City: 6 12 t6t I State:6r-1 ZIP: 110 " -Hent pump(site plan rcquirc�) Phone: itj -.12'iC ax: ~oq1E-Ionil: nsta /repacc urnac urnerHH CCB no.: �'l.ti - Including ductwork/vent liner U Yea Q No T— nsta I Wept ac re locate heaters-suspen e City/metro lie.no.: 121-1 __ wnll,or Noor mounted Name(please rint): .1 sAN� i 1► vent forappliancc other than furnace c germ on: Absorption units HTUtli Name: C- 'S CNS Df`� NL Chillers HP Address: c, ,,0* W'� — c'nm ressors HP .nv ronmenta ex east an .,ntl in: City: L-1 K_e' V_ V•;ri6rt State:e -- 7.IP: C"'t Applinnccvent Phone: ?,t; -i �� Fax: E-mail: 1)rverexhaust Hoods,Type I/I res.kitcheRFRI.Mat hood fie suppression system — Name: :��f1 fie, Exhaust i an with single duct(bath fans) _ Mailing address: _ — -i oust system n artrom eatin or AC Cil State: ZIP: tie ,!ping andistribution(up to out cts) Y — Type: LPG NO Oil Phone: Fax: E-mail: Fuelin eacha itiona "overoutlets 114 rocesspping isc It emnticrequire ) Number of outlets _ Name: —__-- _ Other Ned appliance or—equipment: Address: _ Decorative fireplace City: State: ZIP: Insert-type Phone: E-mail oo stov pe et stove -- E-mail: cr. Applicant's signature:. j,yw• ' Date: It '1 0 ter: Name (print):. No all Jurisdictions accept credit carib,please emit lurbdiction for more Inf"xmi inn Permit fee.....................$ Notice:This permit application Minimum fee.. ' $ Q Viso Q MaslcrCard expires if a permit is not obtained Plan review(at — %) $ _ Credit cud nurritxr: -- within IRO da after it has been_spires s v'• State surcharge(89F) ....$ Rome of c r�io1 rr nom— s accepted as complete. TOTAL ...... ................$ —ca-rib-n-Idet 11pature Amount 440461711D4a'COMt 11/07/2002 07; 134 5033310581 ASSOC PLBG PAGE 01 TEL NC 6354736 'May 10.<0 6:45 P.01 Phrmbing Permit Application Cky of Tlgarfi� r'"f°'�`t'"0'' fhtne•, 1'vy6f a Addmec M"9w flail Blvd,rIRtN.01% 97223 %Wff Ian'.: euuele►pnm,nno,; Perone.(361)m4171 t4nleeVI.no: arptredeta: Fix:(503)SIM rwrIMUM! _ by� Reoeipene.. _ L.attd uae apprevel: Came fill no.: Fir" Ih 2 family dwelllny rw nooereory 0 ComnxrtlWlndu►Wn) Q Mu1H-rtmll EFNew mrutnxtlon O Add1dan/dleretlon/replaetrnent t7 PoM eervlce r]Tenan:Iml,rtix•etrem C](kher. T Jobatldrear. G90 Ikaert int Per �. 'total Bldg,no.: suits nn,! — New 1•a y 1 T41"W Sart IoHMoouttt no,: pnelndrt info.Rrr"Rb sAUt r dearrre►r) 1 Block: 9ubdlvUlon; SPR(1)bath r5oject ntma - (itr/nounrr�. �-2�-rrp-j--g� , wcF1 ikon a lkerrlrrinn/rvi Mc-t!I ervg ton pmm rlN :— Catnh bult✓uek drain ' cem IrtluNtru. doo: eci cao 1 a n Pc+otln run to, M. , Betlnene tome: IU ue.��„ tnu tctu Men ut et 70M t r-J L�� L_ nn o 01 IJ in ra n aonne or CIty1 San! 7. SAI eewn Pbortai I o Fix;' B-null: w s�o�mecwer no, n. CCBeo.: t--r�' Plumb,bm.ro .: ata se cc no, n, CI /metro Ilo,no,: fFf!dir"at ke1�t Cir tt*cta n_ �Mntttive of ntnl ,rte. A on wive tt: oe ow v tet to water v �ti Nome: Bulnu na amb—er— A dmea _ r,wre _ CI _ – 7Stato: 2 P n von n 1 — — r1u ae I c _ None Intl: Q, 1NG Floor nUnvere u leilin�a• real, t ,a G ll !irate: :ZIP! e — Charo: Ur_., mall; «mdwr karmalnttrrA"only acro to litinn rimee o wl11 bo made by me or the Minton tnoc and r made me t employoe oe 94 per r M mY te(Rdnt n oommerc pterxty i nwr u ORS t7 epta 447, um 1 a nfa, M owner's boot _ 1 owe 01`r�tt1__L Name! Unnal dfen; welarclogAt catty: State: ZIP: tiler realer ones dmall`� n f 0s �M,sNw rrrriles a K eK..1�. ..i„ Minimum N,.,............. OHw pM,M.rewd„d Notld•TAI."mit applieat70n als:lwo Ma1Mc le"Ira permit I.not ehfaIRM Plan m`4ow(at_�)j ,lfj'IFt within 110 dtye 06,h hu h"" state IYirChltrla f89f),...} '"" v i1ilFil�— aooep!edrota+rnplelt• TOTAL 1 • .� un+cltARthOpt� RECEIVE© 0 ATF-ECr -UCLA 2-2"eAt,jP. FLZW, ,A, fl FEB U 5 200:3 TF-Eel) > 12d ( CITY OF TIGARD 1-0 0 66PIA1►� BUILDING DIVISIONu)4 2 Z Zo[o•O qo� � 2 •o5I .L� (n5•h3 L0rAwA; s► -201 N f ' 2�roRY �lous>✓ r1 41ci ,t i n-rt 1 �� t KEYSTONE DEVELOPMENT - �' (, O 'T` _ '' i, A P.O. Box 476A�E Lake Oswego, OR � � 153 0 � ua `••'.A 1.L h �V I 05/29/2003 08:49 5035254455 LIGHTHOUSE ELECTRIC! PAGE 02 Electrical Permit Application _ 1 � 0� Received ElrmitN Planning Approval Sip City of Tigard Darc/13y permit No.: ^____ _•, 13125 SW Hall Blvd. Flan Rrvicw Other Tigard,Oregon 972'23 PoPattt/B Permit No._ sl•krvtew Land Use Phone 503-639.4171 Fax: 503-598-I96O D11f�y are No.: _ Internet; www.ci,tigard,or.us eon.cr duns.! M See Page:.for 24-hour Inspection Request' 503-639-4175 Name/Method: I mental Informstlon. . VIEW' rlt47 cbrck.all r YPE�t7F 1 1�CIn011UJf1 Lj service over 225 amps- Health-caro facility New construction __ _ _ — commercial Hazardous loretion Add ition/altetation/re�lacement O er' 0 Service over 320 rasps-rating of Q Building over 10,000 Square lest, EGOR I &2 family dwellings four or mote residential asitias in ❑System over 600 volts nominal Otis structure 1 &2 Family dwellin Commerei 1/IndUstCial n guilding over three stories []Feeders,400 amps or more Acc sso Buildin Multi-Earn 1 CJ Occupant load over 99 persons ❑Manufactured structures or RV perk Other' []F.gress/lighting plan LlOther:_ Master Builder Submit sets of plans with any of the above. o1 0 IAT.SITE t i -- �— Ttte above Ire not aRpIlcable to tem orary const tion serrlcaT. Job site_address: �- ' �+ ,n�' I ' F Suite 1i: B1d ���Pt #. Number of Inspections per permit allowed Descrl tion I wy IFee(ea.) Total Protect Name; __. Nctr resWeNlal-drgte or multi-family per Cross 9tleet/Direchons to job site: dwelling unit.Includes aitarbed garag*. Service included: ( r IASL_ 146.16 4 Each Itio S or etion thereof 33.40 _ ---- Limited energy,rai emhl 16.00 subdivision of Lilrkindorewt �ronresident�— 76.00 _ ach manufactured home or m lulu dwelling Tax ma / arcel ti: , 90.90 2 lervlc!and til(rrttnf v _jr ' it y .-_ ' 1'•Ti ill Servkas or feeders-Inrtallalk t alte►dlon or relucatlon;- 90 70 or less___ �— -- 101 amps to 400 strips IU6 IS Uri �w 16U 60 2 s 601 amp I Ita70 1" 2 60 2 _ ' L" 1 u Over ID00 am or robs 460 65 2 Name:7 Reconnect onl 6ti8s a -- — Temporary servleei or feeders-installaticn, Address: alteration, or relocation: I - — 200 amol Of leu66 85 _ C1t�StateilZt ____t--- -- — — — IW,3U 2 201 amps to 400 amoa Phone: F3K: dot to 600 am 1 3.76 2 :APPL'I T 4;' ® - Branch circuits-now,alteration,or extension per panel: Name: -- A.Fee fnr branch circuits with purchase of 2 e or feeder foe,each branch circuit b.b! Address; —�— — wir ;ut rhuso ---- B,Fee for bral,eh circuits h pw S i C1tV/State/zip: — _ ice or fesAer fee,flat btamh circuit Phone ___�_^•_— — Fax Each it iuonai b►snnh circuit s 2 Mlse(Service o:fader no(included) 53.40 2 E-mail: nee+ EaehI fail Allo a le '.;t _J i � ,Yi(L:.�11 t, 0 1 of outline li heist 33 do — Job No: ,- __ igrul eirtuitls)or a limited energy panel, — _ alteration er eslension Business Name: G ! Description• Address: Eich rddlllonal Inspection over the allowable In an of the above: _Cit /State/Zip: r _ __ Per fns tion hour 1m n 1_hour3 SO Fax: Invesrl stien for — -- -- Phom of. _CCB Lic. p: Lic, : Supe V19111g elecrrIe%n r' _ Subrotel S S�etufe CegUl ed —Flan Review 15S•e of Ptrrntt Fee S State Surcharge LBvee p(Permit Fac S Print Name: Lic' }�' TOTAL PERMIT FEE I AuttlnnreA' Netlre; Thls perms application eaplres If a permit Authorized not obtained within _ ISO days after It has been accepted a complete. Signature Dalk *Fee methodology let b)Tri-Counh Building industry Service Board, �Dsts',Permit FerTrmElcPormktApp"doc OW13 I n v, fD 7 41. o � n CA d o CA rr V Q � J � O O Pb N O ao 'C:I-TY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 836-4175 INSPECTION DIVISION Business Line: (503).639-4171 BUP Received —_ - Gate Requested AM ._._ _ PM ---__-_ BLIP -_ Location �11__- _. _Q__. Suite _ MEC -- -- Contact Person _f1VJ�1��- - Ph( ) 1Q 3 5 �.36, PLM - _--- ContractorS�-V — Ph(-- '-7 7 � SWR --- BUILDI_N_C. _ _ nanUOwner --_-_ ELC - Footing Foundation Access: -� ELC Ftp Drain 1 / i /^ ELR Crawl Drain lI� Slab Inspection Notes. I /u { ,p SlY Post&Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing ----_ �i T TW��'` �✓� ___ Firewall v Fire Sprinkler - ... --- --- - --- ---- - - - ---- - Fire Alarm Susp'd Ceiling - --- Roof ----------- Fin - PART FAIL ING Post&Beam - - - Under Slab Rough-In - Water Service Sanitery Sewer , Rain Drains —__-- Catch Basin/Manhole Storm Drain —-— - Shower Pan Other: - -� --- ----- Final --- - sC- FAIL MECHANICAL _ Post oam - Rough-In - Gas Line Smoke Dampers ---- ----- ina PART FAILtftC'T_41_CA_C_ Service Rough-In UG/Slab - -- -- --- - Low Voltage Fire Alarm --- - Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART_ FAIL. SITE L �] Please call for reinspection RE:__ ❑ Unable to inspect-no access ----- - Fire Supply Line ADAi ? Approach/Sidewalk Date yZ��`tiJ - __ Inspeear i 4?r� Ext Other: Final DID NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TICARD 24-Hour 1503)639-4175 BUILDING Inspection Ljn� MST INSPECTION DIVISION Business LI(t»_--(503)639-4171 �� BLIP -- Received Date Requested 49_0� AM- , ._ PM ___--_ BUP Location �IS � ��L/ ----Suite MEC --- -- --- -- Contact Person Ph( --! - - - - - -- -- PI-M - -- - ---- Contractor-__._ — _-- Ph 41 SWR BUILDING 1 TenanUOwner -_-- ------_ ---_— _-- — ELC _-_-- - -_-- Footing CLC - - - Foundation Access: �\,�- � Ftg Drain b� DVI 12[ ? ��yv�/ Y. ? ELR --- -----. Crawl Drain Slab Inspection Notes: SIT — Post&Beam -- -- - --- -- __ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - -- - ---- Insulation Drywall Nailing - -- ---- - --- -- - Firewall Fire Sprinkler --—Fire Alarm Alarm Susp'd Ceiling -— Roof _ Other: ---- Final PASS PART FAIL PLUMBING Post& Beam — Under Slab --- - -- ---!-_ - Rough-In Water Service -- _ - --- — Sanitary Sewer Rain Drain:. Catch Basin/Manhole Storm Drain Shower Pan Other. ----- Final PASS PAST FAIL_ MECHANIC0. _ Post& Beam Rough-In - - --- - Gas Line Smoke Dampers -- - - Final PASS PART FAIL --- -- --- --- ELECTRICAL Service Rough-In UG/Slab Low Voltage — -- — — Fire Alarm - - AT FAIL 1-1 Reinspection fee of$ _- require,Jefore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PleasZcallfo einspe ion RE: _ Unable to inspect-no access Fire Supply LineADADoti � Inspertefr Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)634175 MST INSPECTION DIVISION Business Line: (503)63DA4171 BUP Received _—Date Requested_ "� AM_"_ PM__ BUP Location - -��J �-e-- Suite - MEC _ Contoct Person _ Ph( ) PLM Contractor�— Ph( _) 3 / -a.��•� SWR BUILDING To iant/Owner — ELC Footing - Foundation i cress: ELC Ftg Drain nn u Crawl Drain L.. 3 o r -7 �J ELR Slab Inspection (Votes: SIT Post& Beam _ �— Shear Anchors --- -- Ext Sheath/Shear Int Sheath/Shear ---- Framing _ — Insulation l ; Drywall Nailing Lau 10 6 b Tu ,L, �,•1uv cAo 'oke�,�A., o K' -- Firewall Fire Sprinkler — - Fire Alarm Susp'd Ceiling "- ------ -__--_ ----- Roof Other: --- - ---- - ---- - — - Final - -- ---� PASS_ PART FAIL -- --"� ----- — -- ----- PLUIVIBING Post& Beam --- ---- ---- --• ---- ----------._-� Under Slab Rough-In -- --- Water Service Sanitary Sewer - -- Rain Drains -- ------- ------_-__. �_ _ Catch Basin/Manhole Storm Drain ----- --- - -- — Shower Pan - Other: -- --- -- - - --- ----- 9CHANICAL PART FAIL Post&Beam - - Rmigh-In --- - - ----- Gas Line - -—---- Smoke Dampers ----—_-- — _-_ Final -- — ----_ PASS PART FAIL --- ELECTRICAL Service - -- —------ -- ---__- ------ — — -- Rough-In UG/Slab -- -- -- ------ — Low Voltage _ Fire Alarm _—----- ----- - ---- --- Final tJ Reinspection toe of$-_ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSPART FAIL SITE _ �� Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pato $�� - -_ Inspector �n�er►`•1\�w�• - ut__— Other: Final - — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL