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11615 SW GALLO AVENUE X00 Q } I40 ti 4! to IVT lop . 30 j;: Ck. Cp VA"e *V\ , Nr ao � ` ~` � •moi � - '. f , � ••, C W cJ� , (Ct�CUf4Vd ` tog � /( � � \ �j ,!•rte,..•• rs�ri' .. . . ._. .. .•. ,- .... .._.•. ......►._ .... .,��...,.�.• Vii.,.. 1 Gary Peterson Construction ���. . end• • . ���... D_ :, 11615 S.W. Galla Ave. �-� Tigard, OR 97223 _ Gallo"s Vineyard Subdivision , Lot 1 Tax ID #2801 , 503-819-8114 503-614-0109 - - - - w�,.�+m+uuMsaw�mx••:-, ,,n�rrw, ,�;,,::r:161gi1w-0"v> r•M ,.. ,. NOTICE, THE PRINT OR TYPE ON ANY -r1-�-�� I r j I l i l i l l l l i l i l i IIII 1 1 1 I I I A ( 1 1 1 1 1 1-FT 11 TTT1TTrl I I Ll1 11711T 1.1.1 . !. _I I I I I I I r ' 1 ! 1 1 1 III f�l.'I I I i .T -r l i. ri ! !1 i. gyp_ .i,l r TJ.� i_I_r. r I III II 1 I j I I I l I i L1 f rl f�Ti I i l I I I 1 I I I I I II I I I I � 1 I 1 I I I .• ; INIAGE IS NOT AS CLEAR AS THIS NOTICE I 1 2 3 4 F� f L 8 10 11 12 IT IS DUE TO THE QUALITY OF THE _ _ _ No,36 ORIGINAL DOCUMENT 6Z gZ LZII I 61 II ^ 1T 31 TT � Z T 11111111IIJill i► . 11lli111 . 11.11IIILIIII 11IIIIIIIIII .111 IIIlIIIIIIIIIIIilImam_ IILI111 ��ri3w 1111 ll 1111 Illi 1111 �l l� lllllkll J cn YI d O D 11615 SW Gallo Avenue CITYOF TIGARD MASTER PERMIT PERMIT#: MST2002.00252 DEVELOPMENT SERVICES DATE ISSUED: 5/31/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11615 SW GALLO AVE PARCEL: 1S134DC-02801 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: New SF detached, Path 1. _ BUILDING REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK, IIIA HEIGHTFIRST. 9", sr BASEMENTsr LEFT: SMOKE DETECTORS: Y TYPE OF USE: sF FLOOR LOAD: SECOND 84' sl GARAGE sl FRONT: n5 PARKING SPACES TYPE OF CONST: 5N DWELLING UNIT& 1 FINBSMENT- sl RIGHT: 19 VALUE: 5 Ir,y 70;:7n OCCUPANCY GRP BORM 3 BATH: TOTAL: 121! ,p sl REAR PLUMBING _ SINKS. WATER CLOSETS 1 WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN, 100 TRAPS: LAVATORIES. DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 1SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS GARBAGE DISP: I WATER HEATERS. I WATER LINES BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES TURN�100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 -�S FURN—100W UNIT HEATERS. HOODS. I OTHER UNITS: 1 MAX INPbtu FLOOR FLIRNANCES, VENTS. 1 WOODSTOVES: OAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT _ _SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp 0 200 amp WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SFF: 1 201 400 amp: 201 400 amp' 1st WIO SVCIFDR: 00 SIGNIGUT LIN LT: PER HOUR: LIMITED ENERGY. 401 - 600 amp. 401 - 600 a•np EA ADDL BR CIR: SIONAL/PANEL: IN PLANT• MANII HMISVCIFDR. 601 • 1000 amu: 6014amp5-1000v-. MINOR LABEL: 1000.amp/volt PLAN REVIEW SECTION Roconnoct only. >-4 RES UNITS: SVCIFDR>-220 A.: >$00 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO S STEREO: VACUUM SYSTEM: AUDIO R STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER MVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA/TELE COMM NURSE CAI LS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,134.17 GARY PETERSON GARY PETERSON CONSTRUCTION This permit Is subject to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 5202 PO BOX 5202 all other applicable laws. All work will be done in ALOHA, OR 97006 ALOHA, OR 97006 accordance with approved plans. This permit will expire If work is not started wit111n 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregnn law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rego: LIC 0008411' forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Insp Crawl Draln/Backwater Electrical Service Low Voltage '.Vater Line Insp Final Inspection Foundation Insp Footing/Foundation Drl 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. for an inspection needed the next business day CITY OF TI GARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S 00167 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/331/021/02 SITE ADDRESS; 11615 SW GALLO AVE PARCEL: 15134DC-02801 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTiiON: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USF.: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: — FEES GARY PE FERSON Type By Date Amount Receipt PO BOX 5,-02 — ALOI-iA, OR 97006 PRMT CTR 5/31/02 $2.300.00 27200200000 INSP CTR 5/31/02 $35.00 27200200000 Phone: 503-819-8114 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The toUl amount paid will be forfeited if the permit expires. The Agency does riot guarantee 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 purchaAe a "Tap and Side Sewer" Perm L�� Permittee Signature: �^ Issued by: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day M01 Building Permit Application �t ;Datereceived:_I " Permit no.:/�!r�i�Y✓ City of Tigard Project/appl.no.: P date: _ CitygfTigard Address: 13125 SW Hall Blvd,'Figard,OR 97223 Recci p tno.: Phone: (503) 639-4171 Date issued: ftY Fax: (503)598-1960 Case file no.: Payment type: Land use approval: ,_________--_______ 1&2 family:Simple Complex: V' TYPE OF PERMIT I &2 family dwelling or accessory U t'rmunercia indw,uial J Multifamily U New construction U Demolition U Addition/alteration/replacen3ent Li Tenant improvement U Fire sprinkler/alarm U Other: — 1 : IN111-10111MATION Job address: 11(0 I 5 (�e.t_�.o - Bldg.no.: Suite no.: LciC I Block: Subdivision: Viue yrie,, 7Tax map/tux lotlaccount Project name: H 9 h] Description and location of work on premises/special conditions: NElJ eoN�TltuLT►yf,) � ti�CE. _ -- __ _ — 1 Name: C,A,>cy Mailing address: pp U a— I B 1 fandly duelling: G ?U City: State:O)Z LIP: <1-]<Jr7ln Makwtmmef work......... ........ $ Pham: Su3 I IV11 Fax I 13 li-mail: No.of bctlroams/baths................................. 3 Owner's representative: W,^K0,_ ,J �b t-'� Total number of floors...............�,.........,..., _. Phone.11 �rL�, icy I ax:L1 135 F mail:haevyNold�4+tb,• 'New dwelling area(sq.ft.) .......................... 171 Garage/carport area(sq.ft.).........................am SLD Covered parch area(sq.ft.) ......................... /S Name: G,vti ►�r<r�tesoiJ — Deck area(sq.ft.) Mailing address v �U 1 ...................... ... — -- City: /A Statc: :�rz 'LIP: q�cJGL OUur structure area(sq.ft.). cc�HA Comm r Phone:,SLS -ft di Srr1y Fux rery 4 i3 [; mail: Vail — Existi — Busincss name: ��T�ti J CU/.15 ZU VIJ a Neyi.i -- Address: P0 1 v 2.0 A_ ZU M l — City: o� State:OZ ZIP: oG YPe Phone: SBI Fax: GI y I E-mail: t)ecu — CCB — Cit}Intctrt7lir. Noll, t lion cr ptov, hr Name: 0 U t f° — VOjur Address: �— City: 5tatc:.%,- Lll': wexen 33, --- Contact person: Plan no.: Phone: oy r;Zy 3 o Fax: I?-mail• — Name: S4i,,o IVpKDt_We— lContact person: , OkJ FM,,,,,. ..r. .. -- Address: IL01 ZQ C0ik15trT Aig. . Date received: _ Cit Slatc:QR 7_I P: I Amount received ...... ........... ...................... $ y: toowrL_p 00 Phone: ;01 L24 7 Fax: 2i7 7 y E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Na all JuriadicNons rcept credit cards.please call iunariction for mon info attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will b e compliedp'�ith,whethethpecified herein or not. credit crd number: — — __LL_ ��, Expin, Authorized signature: ,Date: =._ Nuns of cardholder n shown on cmtN cud S Print name:__ >z��=��**`���C�r "sy Crdhorder i1pature Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404613(r>rl WOM) One-and Two-Familty Dwelling Building Permit Apt,lieation Checklist Reference no.: Associated permits: City gfTigard City of Tigard U Electrical U I'lutnhiny J Mechanical Address: 13125 SW Hall Blvd,'Tigard,OR 97223 UOther: Phone: (503) 639-4171 Fax: (503) 598-1960 11111011111111 1_01bTAUVE VIA I Land use actions completed.Seejurisdiction criteria lino concurrent reviews. 2 yoning.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.pe-rmit or authorization for remodel. Existing systern capacity . 6 Sewerpertult. - 7 Water district approval. 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 catch-basin protection,etc. _ I U 3 Complete sets of legible plans.Must he drawn to scale,sing conformance to applicable Ino:al and state how building codes. Lateral design details and connections must hr incorporated into the plans or on a separate full-size shat attached to the plans with cross references between plan logy align and details. flan review cannot he completed if copyright violations exist. I I Site/pint plan drawn to scale.'The pial"must show lot and building setback dimensions;property corner elevations(it (herr is morn than a 4 11.elevation diffcrential,plan must show contour line at 2 It intervals);location of casements and drhrsvay;footprint of suuciurr(including decks);Iv , r'wells/septic systems:utility locations direction indicator:W iron:intikli re+rerr► -n+�w:pereertrn � w Silc,4117d-m. , I , Foundation plan.Show dimensions,anchor bolts, '-downs and reinforcing pads,connection details,vent we and location. _ I t Moor 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. 13 Cross section(s)and details.Show all framing-men►fcr sizes and spacing ua h as floor teams.h,.ul,r to:rlI construction,roofconstruction. More than one cross section may he required uo clearly poiii t,ua uu.U,ui tib, „ details of all wall and roof sheathing.roofing,rnol'slope,ceiling height siding material,footings gill I-andLau,ni. A,urs, fireplace construction, thermal insulation,etc. _ 15 Elevation views. Provide elevations for new construction;uninimum of two elevations for additions and remodels. 1 \l,io, elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. I uli we sheet addendums showing foundation elevations with cross references are acceptahlc. I o Wall brac•fmg(»rescriptive path)andlor lateral analysis plans.Must indicate details and locations;for non preseripll\,6 path analysis provide specifications and calcul,tuon.to engineering standards. _ 17 hnorlroof frarAing.Provide plans for all floors/root'asscnuhlirs. indicating member sizing,spacing,and hearing locations.SI,,,,%%Jattic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for till beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/root 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(ir provided,I r.e.,shear wall.roof truss)shall he stamped 1)y an engineer or architect licensed in Oregon and shall he shoo n to be apphc;rble to the ra„lect under review. 23 Five(5)sitclplans are required I'm Item I I above. Site plans must he 8-1/2” x I I"or I I" x 17". 24 Two(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 he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit At System Development Fees document. 27 "Drawn to 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 Sireet'Tree List. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 440-4614 OADCont) z�:6 2 Building Permit Application_ Datereceived: Pcrmit no.: /'.,rA City of Tigard Project/appl.no.: Upim date: City of Tigard Address: 13125 SW Mall Blvd,Tigard,OR 97223 Phone: (503) 39-Q 171 Date issued; By Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:simple Complex: U I &2 family dwelling or accessory U Commerciailindustrial U Multifamily New constnictiot, U Demolition U Addition/alteration/replacement U Tenant improvement U Fin sprinkler/alarm U Other: INFORMATIONJOB SITE Joh address: I _ aaaaaaaaaaBldg.no.: Suite no.: Lot: I lock: Subdivision: �r,c�o� Tax map/tax lot/account no.: 2 U f Project name: Description and location of work on premises/special conditions: IJ5TXL)C-TI0Q )00- cc - -- -- FOR SPECIAL INFORMATION, USE ('111ECKLUST (Floodplain,sept •. pacliv.solir,etc.) �A7c Mailing address: Pc) -52-01-- 1 & 2 family d"elling: v City: AW I1,% State:oiZ 'LIP: el706t'o Uakmttmrc+l work....... ....... :........ $ Phone: Su3 1,7 iIl Fax: i3IE-mail: No.of bedrooms/baths................................. _ Owner's representative: Total number of floors...............4................ it..,Ix: I ef 135 113--wail:ho. sold�4+fbr NewAPPLIGANT dwelling area(sq.ft.) .......................... Garage/carport area(sq, ft.)......................... Name: Co,aR IU� icSoi, Covered parch area(sq.ft.) ......................... !S Mailing addres.�: � L- ----- Deck arca(sq.I't.) .............................. .. .. ... -- --------- c� Other structure area(.sq.ft.)......................... City: / wKA, State: JR ZIP: q-/w Phone:Sos qi� -Itc I y Fax; (6(y 9 13y E-mail: Valuation Valuation of work......................................• $ Existing bldg.arei! q. t.) ............... Business name: roAltY 1'��TEKSdiJ t-oNS ZUc V� tt �ypch,`ef areAddress: ► v LUL mr o to '.. .. ............. City: /�W States c�lZ ZIP: OG const ction.......... .......I'ax: B-mail: c Phone: Set I Y 1 `t16 Occupancy group(s): ExistinE: CCB no.: 31 g ',t 11 l tr` Nei Citvhnetro lie.ncr. Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: u�/� L�t:AWILK. l�0^i�r� f�T(f+ rO provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed. If the applicant is Address: k S exe CitStatc:G7_IP: Ev'S 3mpt from licensing,the following reason applies: Contact person: --Atk-t) Plan no.: - L Phone: Fax: E-nutfl: Name: :TS No Contact person: � o N� Fees due upon application ........................... S Address: 3(.a7 -:5i,) C0"ki3' r7 /'J Date received: $ Cit p state:G R ZIP: - I Amount received ......................................... _ Y� r OK'TC.Ar.�l� Phone: ;oj 1.4 771 t, I Fax: 2.L 7 'f i E-mail. Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not d1 Jurisdictions except credit cents,pleaw call iurisdtetinn for more inflmm6on attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be compiled ith,whethet:.— Date: cified herein or not. credit cera number . -- P .spires Authorized signature:Ahr l fL�,_ Name M cudhohVt a shown on credit card s Print name:— C�r>z 7' I CT L)2�Ca!-1 — Cardholder siputure Amount Notice:This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. 44046u(r>roarcoM) Mechanical Permit Application Date received: L Permito..• p 2, City of Tigard Prgiect/appl.no.: Expire date: City(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.; Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use. approval: _ Building Kermit no.: CSI I & 2 fitmily dwelling or accessory U('ununcrcial/indusui:al J Niulti-Gamily J Tenant improvement JNew construction U A(ldition/alteralion/replacement J(Owl.1011 SITE INFORNIA I ION COMMERCIAL VALUATION_ SUIEDULE Joh address: 1 I(,I j SIJ G/+LLO 1�4E Indicate equipment quantities in boxes hiclow. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: v I I profit.Value$ Lot. I Block: Subdivision: VliiyqR *See checklist for important application information and Project name: Re_t iL)E1JCC jurisdiction's fee schedule for residential permit Ice. City/county: („4KO ZIP: cf 7--13 _ Description and location of work on premises: ky—W GOrJ s JCt"Iv)-) Fee(ea.) Iolal Est.date of completion inspection: Description "y. Re%.only Res.oniy Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit __s_CFM Air conditioning(site plan requited) Is exi�iin)t space invulaie(I?U Yes U No Alteration of exisit—ing-WXV system of er compressors Slate boiler permit no.: Business name: /aKwn e_ '(7 U..-- IIP Tons BTU/H Address: 113 V L,I M I it smoke ampers/ uct sma c etectors City: p omrtl_.p."o State:OK I ZIP: (feat pump(site plan required) Phone: Z8 1075A-�h::x: E-mail: nsta hep acefurnace/ urner Including ductwork/vent liner U Yes U No I CCB no.: nsla I rep ace/relocatcheaters-suspended. Cily/melm lic.no.: _ wall,or floor mounted — Name(please print): ��- rm Girt t tllanceother than furnace Refrigeration: l ` Absorption units _ BTUA Name: C.,icR I Chillers_ _ _ _ _ HP Address: Compressors__---_ __ I I P �V 13n1( Environmental exhaust anti tent ial on: City: A H Stale:() ZIP: 7f7O6G Appliance vent Phone: 03 tI II Fax:Su{,ill 1 I E-mail:hnV. ct61d®a+f6 Drycrexlaust -Hoods,Type I/ res. itches har.mad hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: )1 ?X 1:11W systema art from testis or AC _ City: StatC:Orgy 7.IP: -41 p pTTR an distribution u (up tot out cts) Phune: I Iq Fax: i I Email: vero rocess piping(schematic re(iuire ) _ Ntimher of outlets Name: v aR .) _1 er-1Cstea appliance or equipment:— Address: qu pment:Address: 346 1,-) CUae = ,A✓E Decorative fireplace__-_- _ _City: {�ORT�,�p State:U ' I ZIP: -7ZOI Insert type - Phone:S_�j Lz7 77vrA JFax: - 7 E-mail:hhen a et oodstovelpe et stove �,���'� �� (h cr: Applicant's signature: i ='�'�rII1/6 1- ter: ----------------- Nnmc (Print): C„xye c�lJ Not all Jurisdictions accept credit cads,plena cnil jurisdiction for more infortrtatitm. Permit fee.....................$ Visa C3 Mastercard Notice:'this permit application Minimum fec................$ _ expires if a permit is not obtained Plan review(at _ %) $ Credit card number: -- within I g0 days seller it has been� Expires State surcharge(8%) ....$ _ Name of cud hol r as shown on credit cu $ accepted as complel TOTAL .......................$ Cadholder signsture--��^ Amount 440-1617(6In0/'OW MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,00100 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&_vents 1400 -- fraction thereof,to and including 2) Furnace 100,000 BTU+ 4,10,000.00. 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 t $$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 the first$50,000.00 and Check all that apply: Boiler Beat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Cond _ fraction thereof. footnotes below. Corp •' Minimum Permit Fee$72.50 SUBTOTAL: absorb unit $ to to 1100K00K BTU 14.00 - 8)3-15 HP;absorb 8%State Surcharge 25.60 unit 100k to 500k BTU 25%Plan Review Fee(of subtotal) $ 9) t.5-1 HP;absorb 35.00 Required for ALL commercial ermfts onl unit.5-1 mil BTU 9---�-- ---p---- -- 10)30-50 HP;absorb TOTAL r;OMMERCIAL PERMIT FEE: unit 1.1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU L I 8720 ASSUME_D VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17,20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.0C 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 system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood-erved by mechanical exhaust Vent not Included In alian ppce 445 10.00 permit 18)Domestic Incinerators _Repair units 805 17,40 t 3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU _� 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ L54 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mill.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Minimum Permit fee 572.50 SUBTOTAL: Air handling unit to 10,000 cfm 656 8Y.State Surcharge a Air handling unit>10,000 cfm 1,170 Non-portableev�orate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 445 Vent system not Included In 656 _ a liance ermit _____ Hood served by.mechanical exhaust 656 Other I Inspections ojir and Foe Domestic Incinerator 1,170 � � 1 Inspections outside of normal business hours(minimum charge-two hours) 562.50 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 piping 1-4 outlets 360 _ charge-one-half hour)$62 50 per hour Each additional outlet 63 - *State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL -Residential AIC requlres site plan showing placement of unit VALUATION: All New Commercial Buildings require 2 sets of plans. I:1431stfolmslmech-fees.doc 02/11/02 Plumbing Permit Application - "Datereceiveed: Permit no.:JhfBtO -69� City of TigardSewer permit no.: _ Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 pro ecUa 1 no.: Expire date: CirygfTigard Phone: (503) 639-4171 pp - Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: I &2 tamily dwelling or accessory U Commercial/industrial U Multi-fimily U Tenant improvement i�New construction U Addition/alteration/replacement J Food service U Other: MMIMMM1211NIZI ELM Job address: I l Descri tion Qty. Fee(ea.) Total Suite no.: New 1-and 2-family dwellings only: Bldg.no.: (includes 100 ft.for each utility connection) Tax n.,ap/tax lot/account no.: 2 10+ 1 _ SIR(1)bath Su LA: + Block: bdivision: �a,,,o� i>Jc A� SFR(2)bath Project name: „ t SFR(3)hath _ ZIP: `1721 Each additional bath/kitchen SiteuCity/county: l�i��t�� — Description and location of work on premises: Catch basin/ Catch basin arca drain Drywells/leach line/trench drain!` _ Est.date of completion/inspection: Footing drain(no.lin. ft.) 1 110 Manufactured home utilities _ Business name: -:�7 -t 3 c.v�� ' +Nc Manholes Address: P.0 ) !o Rain drain connector _ City�o� State: ZIP: 7�` Sanita►y sewer(no.lin.ft.) Phone: (e q 0: `( Fax: E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no.iin.ft,) Fixture or Item: City/metro tic.no.: Absorption valve Contractor's representative signature: _ _ ____� Back flow preventer _ Print name: - -^�-- I d'tr' Backwater valve CONI *I'A('f PERSON Basins/lavalory c �, Clothher es was _ _ Name: +aK -J �a Dishwasher Address: PL) X L _ Drinking fountajn(s) _ City: /� A State:UR ZIP: �OGL F.jectors/surn Phone:Soy ` r, Fax:S63`ly f+3-1 I E-mail:6crrya014S,206ofl {expansion tank _ MAW 111 toFixture/sewer cap Floor drains/tltxtr sinks hub Name(print): t—f 5 J — Garbage disposal Mailing address: X 610�1- Hose bibb _ — City: AI_. i.4 Statc:0i� ZIP: e1700(- cm Icaker — Phone:Sod -e+7sr I+ Fax: 9 t E-mail: Interceptorlgrcasc trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the props y I own as cr RS Chapter 447. Sin (s),—basin(s),lay. s) Owner's signature: �.,..---ate: � i �Z- Sump Tubs/shower/shower pan Urinal Name: w)4 rJ IJUIZyt_I>J� --- Water claset Address: 3Go' 3Q Ate.. Water heater _ City: rLgrsh State: � ZIP: ^ Other: Phone:5-r�� u7 -i7g Fax:1.,17_71y E-mail: Total Minimum fee................ NM alt judedicticros eccepr credit cards,plena call juriuticlion for mixe infumunon Notice:This permit application pian review(at ) $ — U Visa U MasterCard / expires if a permit is not obtained _- Credit caul numlxr;.._—.--.----.-.------- -- (_—� within i RO days atter it has been State surcharge(84h) ....$ -- Expires TOTAL .......................$ accepted as complete. — Name of cardholder ea shown nn credit cord S ------- Amaum 4.1f1-4616((dxl/CO ) Canlholder algnalure � ,_ PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24amlly dwellings only: FIXTURES individual QTY_ ea AMOUNT the plumbing flrst100 ft.ln QTY PRICE AMOU TOTAL T he dwelling Sink 16.60 each utl—glitir and theconnection) Lavatory 16.60 for_One(1)bath $249,20 —_ Tub or Tub/Shower Comb. 16.60 Two(2)bath $350.00 16.60 Three 3 bath $399.00 Shower Only -- Water Closet 16.60 — _ _SUBTOTAL Urinal 16.60 8%STATE SURCHARGE -- Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL 16.60 TOTAL Garbage Disposal Laundry Tray a 1660 Washing Machine 16,60 FIoorDrainlFloorSink 2" - 1660 PLEASE COMPLETE: 16.60 Water Heater _6_co_ O like kind Quantity b Work Performed Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical _ Capped permit. -----4640 — MFG Home New Water Service 46.40 L av3lor MFG Home Now SanlStorm Sewer Tub or Tub/Shower Hose Bibs 16.60 Combination — Roof Drains 1660 Shower Onl —_ — 16 60 Water Closet Drinking Fountain _ Urinal —— Other Fixtures(Specify) 1b.60 Dishwasher —! Garbage Dis osal _ --- — Laundry Room Tray -- _Washing Machine_ Floor Drain/Sink: 2" — Sewer-1 st 100' 55.00 3" Sewer-each additional 100' — 46.40 4„ — Water Service-1st 100' 55 00 Water Heater Other Fixtures Water Service-each additional 200' 46,40 — (Specify) Storm&Rain Drain 1st 100' 55.00 Storm 8 Rain Drain-each additional 100' _ 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16,60 _ Inspection of actPlumbing or Specially— — 50 — ---- Requested Inss pectioio pens rlly COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65_^5 Grease Traps J 16.60 --- __-- QUANTITY TOTAL — — — Isometric or riser diagram Is required If _—Quantity Total Total Is >9 --_----- "SUBTOTAL 8%STATE "PLAN REVIEW 25%OF SUBTOTAL. Required only lf fixture qty total Is>9 _ TOTAL S *Minimum permit fee is$72 50 4 B%stale surcharge,except Residential BackAew Prevention Device,which Is$36 25•B%state surcharge "All New Commercial Buildings require 2 rats of plans with Isometric or riser diagram for plan review. t:\dsts\forms\plm-fees.doc 12/26101 Electrical Permit Application tate received: Permit no.: City of Tigard Projecdappl.no.: Expire date: CiryoJTigard Address: 13125 SVS' I tall lilvd,Tigard.OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: TYPE OF j&2 family dwelling or accessory U Commercial/industrial U Multi-family J Tenant improvement 4dew construction U Addition/alteration/replacement U Other: -_ J Partial JOB SITE INFORMA-UMN .lob address: I Ili HL4/_jv,--� Bldg.no.: Suite no.: - Tax map/tax lot/account no. Z 7___ Lot'. I I Block: Subdivision: t.vAu_o'�� �I NEYA)LL] -- Project name: Cevun � I-Description and location of work on premises: �gN_s�_yCrrUrJ Estimated date of completion/inspection: c Job no: i Pru• Mns Business(lame: G -r G T Description Op►. (ca.) dotal uo.hrsp New residential-single or mulls-family prr Address: _ dwellingunh.includes allached garage City: IP: EjICOC Servlcelncluded: Phone: r Fn L Ile y q E-mail: I(xx)sq.ft.or less _ 4 1`Vl , CCB no.: liuch additional 50O sq.ft.or portion thereof 6 Elcc.bus,lie.no: - Limited energy,residential 2 V) City/metro lic.no.: Limited energy,non-residential 2 7 ,J Each manufactured home or modular dwelling Signature of su rvisin electrician(required) / 7 Dale Service and/or feeder 2 sup.elect.name(prinq; SN15 C-1-e-T1VL License no: Services or feeders-Installation, aherntion or relocation: 2(x)amps,:1r, 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: U :i- QQ601 amps to I WO amps - - City: ALOkA Islateop"IZIP: QUG- Over I(xl0 amps or volts - -- 2 Phone:fo3U fax:/e f / E-mail: Recc -clonl _ 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,orrelocation: ORS 447,455,479, ),701. 2(x1 amps or less 2 201 amps to 4(10 amps _ 1—er's si mature: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: )N,5 1J6lZL`/LG A Fee for hranch circuits with purchnse of Address: service or feeder fee,each branch circuit City: -ASlate:O)e ZIP' y LU I B. Fre forbr,mch cir-uits without purchase of service or feeder fee,first branch circuit: 2 Phone: ,z)j jr, j, Fax: 77 E-mail: Each additional branch circuit: Mlie.(Service or feeder not Included): U Service over 225 amps-commercial U Health-ciue facility Each pump or irrigation circle 2_ U Service over 320 amps-rating of I&2 U Hazardous location Fach sign or outline lighting _ _ 2 familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel U System over 600 volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more `Ih•scri tion t:l Occupant load over Q9 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U Egresti ightinEplan U Other: —__ Per inspection Submit sets of plans with any of the above. Investigation fee The aimve are not applicable to temporary cousilmdion service. Other Not all jurisdictions accept credit cards.please call Jurisdiction Ora nese informatlar Notice:This pertnil application Permit fee.....................$ U Visa U MasterCardexpires il'a permit is not obtained Plan review(at _ %) $ Credit cord number. - _—L_J within 180 days after it has been State surcharge(8%)....$ Expires accepted na complete. TOTAL .......................$ .� Name of cetdholdrr m shown nn a it card Cardholder signature Amount 4464611(6itl0ICOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: `--- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $7500 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Wcrk Involved: Residential-per unit $145 15 - 4 Audio and Stereo Systems' 1000 sq it or less _-- --- Each additional 500 sq ft or $33 40 1 portion thereof Burglar Alarm _ _-- Limited Energy $7500 _-_-- Each Manufd Home or Modular $rill 90 2 Garage Door Opener' Dwelling Service or Feeder Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or rdlocalion $80.30 - 2 200 amps or less $106 85 2 Vacuum Systems' 201 amps to 400 amps 401 amps to 600 amps _ $160.60 2 Outer 601 amps to 1000 amps _� $240.60 Over 1000 amps of volts $454 65 __� 2 Reconnect only $66 85 2 -- TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.......................................................... $15.00 Installation,alteration,or reloc Wil $66.85 2 (SEE OAR 918-260-260) 200 amps or less - $100 30 2 201 amps to 400 amps 2 Check Type of Work Involved: 401 amps to 600 amps $133 75 Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration of extension per panel a)The fee for branch circuits Clock Systems with purchase of service or leader lee. Each branch circuit $0 65_ Data Telecommunication Installation b)i he fee for branch circuits ❑ without purchase of service Fire Alarm Installation or feeder fee. $46.85 F first branch circuit _ --- F-1 HVAC Each additional branch circuit - $665- _- Miscellaneous F-1 Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53.40 _- Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy $75.00 Landscape Irrigation Conb.�l' panel,alteration or 3xtension - Minor labels(10) $125.00 _ O Medical Each additional Inspection over the allowable In any of the above $62.50 Nurse Calls Per inspection - $62 50 Per hour - $73 75 Outdoor Landscape Lighting' In Plant - - El Fees: Protective Signaling Enter total of above fees $ L� Other_�._-___-_-.---------- 8%State Surcharge $ ----Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See nstallat onsSee"Plan Review"section on front of application -- - -- Fees: Total Balance Due $— — LJ - �-1 Enter total of above fees Trust Account# -_- -_ -_ 8%State Surcharge $ _ _.-- —- ---- --- Total Balance Due All Now Commercial Buildings require 2 sets of plans. i\dsts\fnrms\elc-fees.doc 08/30/01 SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE .JUN - 5 2002 JIM'S PLUMBING l Y UN 1JUAW,-,, PO BOX 7160 BUILMNG rn-sirT,.T ALOHA, OR 97007 Plumbing Signatur p Form Permit #: MST2002-00252 Datc Issued: 5,31,02 Parcel: 1 S134DC-02801 Site Address: 11615 SW GALLO AVE Subdivision: Block: Lot: Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached, Path 1. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your cowpany sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER PLUMBING CONTRACTOR: GARY (PETERSON JIM'S PLUMBING PO BOX 5202 PO BOX 7160 ALOHA, OR 97006 ALOHA, OR 97007 Phone #: 50:3-819-8114 Phone #: 649-4034 Reg #: 1 IC 71860 PI M 34-186Db AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of AL f rizeq umber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE JUN 1 2 r NORMANDIN ELECTRIC INC C11"Y OF TIGARD 51086 NW CLAPSHAW HILL RD PLANNING/ENGINEERING FOREST GROVE, OR 97116 Electrical Signature Form Permit #: MST2002-00252 Date Issued: 5/31/02 Parcel: 1 S134DC-02801 Site Address: 11615 SW GALLO AVE Subdivision: Block: Lot: Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached, Path 1. Your company has been indicated as the electrical contractor for the electrician it indicated above. ease have the In for the electrical permit to be valid, the signature of the supervising appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN-. Building Dep No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: GARY PETERSON NORMANDIN ELECTRIC INC PO BOX 5202 51086 NW CLAPSHAW HILL RD ALOHA, OR 97006 FOREST GROVE, OR 9711E Phone #: 357-5380 Phone #: 503-819-8114 Req #' ELE 34-256C LIG 69008 SUP 3558S AN INK %r.GNATURE IS REQUIRED ON THIS FORM X /r��+�r S' ature of Supervising Electrician If you have any questions, please call (503) 639-4171 , ext. # 310 CITYOF TI GA R D ENGINEERING PERMIT 4 DEVELOPMENT SERVICESPERMIT#: ENG2002-00059 1AL #: MST200 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4RIM 171 P DATE EIS UIED: 6/27/200200252 SITE ADDRESS: 11615 SW GALLO AVE PARCEL: 1S134DC 02801 SUBDIVISION: BLOCK: ZONING: R-4.5 LOT: JURISDICTION: TIG PERMIT TYPE: SOP PUBLIC IMPRV QUANTITY LIN FT VALUE AGREEMENT DATE: - GRA/EROS: •••. ASSURANCE EXPIRATION STREET: of PERFORMANCE: SAN SEW: of MAINTENANCE: STM SEW: PATHWAYS: ALL OTHER: "" $7,400.00 TOTAL: $7,40000 Remarks: STREET OPENING; TO INSTALL A CONC S/W AND D/W APPROACH, A CAN SEW SERV TAP & LAT, A WATER SERV, AND, Al-SO, CURB WEEP DRAINS. Owner; ___FEES GARY PE1-ERSON CONSTR, INC Type By Date Amount Receipt PO BOX 5202 OPEN CTR 5/15/2002 ALOHA, OR 9700(1 $150.00 2720020000 DEPS CTR 6/27/2002 $1,050 00 272.002.0000 Phone: 503 E 19-8114 Total $1,200.00 -- Engineer. — Phone: REQUIRED !NSPECTIONS _ STM/SAN SEWER _ ___ STREET Permittee/Applicant: MH/CB/CO 12B LINE & GRADE= PIPE LN & GRD SUBGRADE BCKFLt_ & CMPCT BASE ROCK AIR & TV TEST LEVEL COURSE Phone- WEARING COURSE GRADING TRAFF & PED CONT CONTOURS MONUMENTATION Permittee/ DRAINAGE STREETLIGHTING Applicant �\ EROSION CNTL. WALK/APRON/RAMP Signature: , REPR'S/ADJ'S PATHWAYS Issued By FOR INSPECTIONS, CONTACT THE CITY OF TIGARD, SPECIAI. CONDITIONS: (SEE ATi ACHED) ENGINEERING DEPARTMENT, AT: (503) 639-4171 � z TJ ; , r I rt 7 r co 1 cr a 71 1 • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE a '� ?R"? NORMANDIN ELECTRIC INC Lii Y %jj' iIkJ tKo Ntnt,DTNG erns!©r' 51086 NW CLAPSHAW HILL RD FOREST GROVE, OR 97116 Electrical Signature Form Permit #: MST2002-00252 Date Issued: 5/31/02 Parcel: 1 S134DC-02801 Site Address: 11615 SW GALLO AVE Subdivision: GALLO'S VINEYARD Block: Lot: Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached, Path 1. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: GARY PETERSON NORMANDIN ELECTRIC INC PO BOX 5202 51086 NW CLAPSHAW HILL RD ALOHA, OR 97006 FOREST GROVE, OR 97116 Phone #: 503-819-8114 Phone #: 357-5380 Req #: ELE 34-256C LIC 69008 SUP 3558S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signaiure of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _Date Requ sted __ _� `� AM_ PM —_. BUP Location _ �� 1. __.______ ___-- Suite _ MEC Contact Person ___ �_ -__�� Ph(_.—) L t �� 1'' PLM Contractor _ Ph(—) --- SWR __-- BUILDING Tenant/Owner - -_ ELC -- ------------ Footing Foundation ELC Access: -r Ftg Drain G / 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 Susp'd Ceiling -_— Roof Other: - -- - -- PART FAIL _.- PL MGING Post& Beam Under Slab --- -_— Rough-In Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole 'corm Drain -- — Shower Pan Other: — -.-- --___— Final PASS PART FAIL. - —� --�— — MECHANICAL Post& Beam Rough-In _..---,—_-- -- Gas Line Smoke Dampers --- - ---- - Final PASS PART FAIL — ELECT_RICAL Service ---^- Rough-In UG/Slab Low Voltage _ Fire Alarm Final Reinspection tee of s._ -. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date��=, �Q_�_ Inspector Other Find DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL oot ell. ton p ,V rD C 0r 6 N N N D A Q n A ��1 3 V �0 o + 0 x io eAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAir s n d (� ► , ,� q ► 44 lip. 44 L ► 44 BID. d Un a rD o .4 / �,1 - ► rD44 ► 4 v ,� ► O rb °, ► 4 _- �:, 3 ► , kr ► a rb C loo. _ 0 44 '�' ► C� Poo _i rD ► 44 old -. 44 44 lot. , 4 � ► 44 ° ► ,44 b �� ► � I I k � ► rvvvv�vvvvvvvvvvvivvvvivvvvvvvvvvvvvvv�►��vvvv� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)6394171 BUP G' Received _ _..______ Date Requested AM _— PM BUP Location ___ / �' A-U-� _—__.__Suite MEC Contact Person _ __' _- Ph ( ) - PLM Contractor __ _-._- ______ Ph(_ —) _ — SWR BUILDINGTenant/Owner -_.—T -_________ ELC Footing - — -� ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post& Beam _. Shear Anchors - ---- - Ext Sheath/Shear Int Sheath/Shear Framing ---- -- - -- - Insulation Z� Drywall Nailing Firewall Fire Sprinkler - - - -- - --— --- Fire Alarm Susp'd Ceiling —— - -`- Roof Nu shUr.✓PrZ I-e,*, �'' —max (( Other: --- -- — Final _ T FAIL — LUMB ---- -- ---- - ------ ---- ------ — -- st 8 Beam Under Slab --- Rough-In Water Service -- ---- - - ---- --- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other. _ —_— - ---- PAS T FAIL ---------__ ._4fECHANICA am Rot - - -- -_ - _ _ - -- — Gas line Smoke Dampers - -- -- - - - — -------- -FI RT RT FAIL - - -- - - ----- -- E CTRICA UG/Slab - - Low Voltage Firth Alarm Fin ' AS PART FAIL Reinspection fee of$ _ _.. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SMY Please call for reinspection RE -- - ______._-- ___- �� Unable to inspect-no access Fire Supply Line / l ADA l L) I I /d fDa2- Approach/Sidewalk Onto Inspector v Ext Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL