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14595 SW KLIPSAN LANE 1 14595 SW Klipsan lane t �� ������ MASTER PERMIT CIT" `� PERMIT ft: MIT2002-00494 DEVELOPMENT SERVICES DATE ISSUED: 1/22/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 1459.5 SW KLIPSAN LN PARCEL: 2S105DA-16300 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 051 JURISDICTION: "TIC; REMARKS: Construction of new SF Detached residence. BUILDING REISSUE: STC S. l FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NF-W HL 11T ;A FIRST: 059 sf BASEMENT s1 LEFT SMOKE D5rECTOR3: TYPE OF USE: SF FLOOR LOAD: 41, SECOND: 1,3E5 of GARAGE. 645 sf FRONT. PARKING SPACES TYPE OF CONS7: 5N DWELLING LNITS I Tran 1,734 s1 RIGHT: VALUE 387,380 00 OCCUPANCY GRP: 123 BDRM. 4 BATH. TOTAL: 3,991 of REAR. PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN um TRAPS. LAVATORIES: 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS. TUB/SHOWERS: GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNI'R: GREASE-TRAPS 0tH:r FIXTURES: MECHANICAL FUEL.TYPES �^ FURN c 100K: BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER: I PC; FURN-100K: I UNIT HEATERS. HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES. GAS OUTLETS ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDEK _ TEMP SRVCIFEEDFRS _BRANCH CIRCUITS_ MISCELLANEOUS_ ADD'L INSPECTIONS I000 SF OR LESS: 1 0 200 amp: 1 0 20a amp: WISVC 041 FD',. PUMPIIRRIGATIQN: PPR INSPECTION: EA.NDD'L 500SF: n 201 400 Amp. 201 40n amp: tat W10 SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY 401 600 amp: 401 000 amp: EAADDL OR CIR: SIGNAL!'ANEL: IN PLANT MANU HWSV:IFDR: 601 1000 amp: But+Nnpd.l Doov: MINOR LABEL: loon+amplvolt PIJW REVIEW SECTION Reconnect nniv: >'boo V NOMINAL, CLS AREAISPC OCC: »4 RES UNITS: 9VGFDR>=225 A.: ELECTRICAL•RESTRICTED ENERGY _ A SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: —! AUDIO&STI REO: FIRE ALARM: INTERCOWPAGINO: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: All BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAQL OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA/TELE COMM: NURSE CALLS: 1OTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,839.08 This permit is subject to the regulations contained in the D.R.HORTON D.R.HORTON IH: Tigard Municipal Code,State of OR Specialty Odes and 5152 SW MACADAM 4386 SW MACADAi0 AVE. all other applicable laws. All work will be done in SUITE 145 SUITE#102 accordance with approved plans. This permit will expire If PORTLAND,OR 972(1 PORTLAND,OR 97239 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: ;p;_222 4151 Phone 503-222-4151 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg"' LIC 130859 may obtain copies of these ruler or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins; Water Line Insp Plumb Final Sever Inspection Underfloor Insulation Electrmal Service Low Voltage Water Service Insp Building Final Footing Insp Crawl Drain/Backwater Electrimil Rough In Gas Line Insp ApprlSdWk Insp Foundation hasp PLM/Underfloor Framing Insp Insulation Insp Electrical Final Posl/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Mechanical Final Issued By : �Z;s'.��1G� lig/��� Permittee Signature 7 Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TI GAR V _ SEWER CONNECTIONPERMIT — DEVELOPMENT SERVICES PERMIT#: SWR2002-60339 13125 SW Hall Wvd., 7igard, 62 97223 (503) 639-4171 DATE ISSUED: 1/22/03 SITE ADDRESS; 14595 SW KLIPSAN LN PARCEL: 2S105DA-16300 SUBDIVISION: PACIFIC CREST ZONING: Il-7 BLOCK: LOT: tt�� _ JURISDICTION: I I(, TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL''YPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. Owner: FEES D.R. HORTON Description —� Date Amount 5152 SJV MACADAM _ - SUITE 145 [SWUSA]Swr Conneci 1/22/03 $2,300.00 PORTLAND, OR 97201 [SWUSA] Swr Connect 1/22/03 $0.00 Phone: 503-222-4151 [SWINSP]Swr Inspect 1/22/03 $35.00 '-;WINSI'I tier Inspect 1/22/03 $0.00 Contractor: - -- Total $7.,335.00 Phr,ie: Rug#: ------ Required Inspections_y This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires t80 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not 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 instalier shall purchase a"Tap and Side Sewer" Perm Issued by: � � �'�- Permittee Signature:k Call (503)639-4175 by 7.00 P.M. for an inspection needed the next business day Building Permit Application City of TigardDatereceived: Pcrmitno.: >y Address: 13125 SW Hall Blvd,Tigard,OR 97 -3 Projecdappl.na: Expire date: Cityu/Tigard Phone: (5j Date issued: eyf i Rect:iptno.: Fax; AWEIVED /I G�/ Case file no.: Payment type �~ Land use appV t-u1: 1&2 family:Simple Complex: "&2 y dwelling o &WGaL Cal/industrial ❑ Multi-family *New constniction J Demolition onteration/replacement ❑Tenant improvement J Fire sprinkler/alann ❑Other: _ JOB SITE INFORMA110N Joh address: Bldg.no.: I Suite no.: l.ot: Block: ,iSubdivision: Tax map/tax lot/account no.: Project name: A I "I- l Description and location of work on premises/special conditions: 1 INFORMATION, Name: P.V-. Hlyr- C(i t Inin,stplic capacity,War,etc.) Mailing address: 451Z5 .�G jr:1 AW _ 1 do 2 family dwelling: /L City: -�' .. .. State:0 ZIP: Valuation of work..................................... Phone: -y I 5 Fax: ' mail: No.of bedrooms/baths................................. Owner's representative: -( _ Total number of floors................................. Phone: 1 ax: E-mail: New dwelling area(sq.ft.) .......................... 2— Garage/carport area(sq.ft.)......................... Name: p• >F_ Y t"o 1n Covered porch area(sq.ft.) ......................... Mailing address: �2yt c As A k o V-G- Deck area(sq. ft.) ........................................ - City: I I I State: E7 If Other structure area(sq.ft.)......................... / Phone: Fax: E-mail: CommerelaUindustriaUmultl-family: CONTRACTORValuation of work........................................ Existing bldg.area(sq.ft.) ........................',.-. Business name: ��i Y t7, h ................................ S' - — New bldg.area(sq.ft.)...........},..c.: Address: Number of stories City: State:p ...^,..�-/ Obl -- Type of con !on.............................I...... Phone: - /sFax_ Z •3 Email Occu cy group(s). Existing: _ CCB no.: 1 p _ New: City/metro lie.no.: Notice-All contractors and subcontractors are required to be I-ECTIDESIGN ER licensed with the Oregon Construction Contractors Board under Nan,e. provisions of ORS 701 and may be requirer'to be licensed in the jurisdiction where work is being performed. If the applicant is Adriress: yyr�_G/S _ City; _ State: ZIP: exempt from licensing,the following reason applies: Concoct person: el 1,1 kl F byl�l, Plan no,: Phone—/,g/,A •1 Fax: E-mail: --- — --�— , . � Name: � 64:ontact person: /btui'�— Fees due upon application ........................... $— Address: -4 SE1 /'h _ Date received: -- City: State:Q)e_ IZIP: ( Amount received ......................................... $ Phone:61�3­&qf-2,�ITFax:&oAf .4q Email: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all iunsdictiom accept credit cards.please call jurisdiction for more mfortmiton attached checklist. All provisions of laws and ordinances govemir!g this U visa 0 MasterCard work will be complied wit4,whether specified herein or not. credo card number. pire Authorized signature: Date: 0�__/ -0� Name m:ardholder u shown on credit card Print name: ALP Cardholder sip ature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 441)-A 13 i6Wr'OMI Electrical Perndt Application —""—'— Date received: Permit no.; � J City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223) Date issued: By: Receipt no.: Case file no.: Y City gFigard Phorie: (503) 639-4171 Pa menttype: Flu.: (503) 593-1960 Land use approval: ❑Multi-family U Tenant improvement ❑ 1 &:2 family dwelling or accessory U Commercial/industrial ❑partial New construction ❑Addition/alteration/replacement ❑Other: 1 I 1 71'ot: ss: Bldg. no.: Suite no.: Tae o ap/tax loUaccounl no.: / [31ork: rSubdnivision: �/Iame: scription andlocation of work on premises: _ f Estimated date of completion/inspection: t 1 1 Fee Max Job no: / _—�j!___ - - Description (JtY. (ea.) Total no.insp Business na;'IC; :iCL--�I�L � _— yewrngunit.InclidesAllorle or nwlti-family -. Address: ) dwelling unit.Includes annclKtl Rar�ge. Slate: ZIP: - Service included: / CIIY• 1000 sq It r�r less_ 4 Phone: - Fux: E-mail: Each additional 500 s .ft.or ortion thereof Elec.bus. lic.no: ID Limited energy,residential 2 CCB no.: - 2 City/nietro lit:.no.; 2Qj Limited energy,non-residential _— Each manufactured home or modular uv. 2 �c-�- D01L Service and/or feeder _ _. Si$narure'o ru ervirin electrician(required) Services or feeders-Inslnllallon, Sup.elect.name(print). Licemr n°' alteration or relocation: 2 pROPERTY g 200 amps or less 201 amps to 400 amps 2 Name(print): 401 amps to 600 amps — 2 Q601 amps to 1000 amps 2 Mailing address: 2 City: Slate: ZIP: Over 1000 amps or volts E-mail: Reconnect on[ Phone: - Fax - Temporary services or feeders- Owner installation:Th, installation is being made on property I own Insta!istlor..,alteration,orrelocation: which is not intended f2' or sale,lease,rent,or exchange according to 200 amps or lefts 2 ORS 447,455,479,670,701. 201 amps to 400 amps — — Owner's signature: _ _ —_ Date: 401 to 600 am s Branch circuits•new,altrra(ion, or extension per panel: Name: ('Oh��� _ A. Fee for branch circuits with purchase Lf 2 1' service or feeder fee,each branch circuit _ Address: L[� 8 Fee for t ranch circuits without purchase City: 6 State: 7.I1': �f�' of sorvicc�r feeder fee,first branch circuit-. 2 Phone: Fax V F- mad. Foch additional branch cucuit: Mlsc.(Service or feeder not included): Each amp or im2 gation circle 2 0 Service over 225 amps-cununen tui U Health .are lacillly Each sign or outline lighting ©Service over 320 amps rating of 1&2 ❑Harxudnus location signal circuiu s)or a urnord energy panel, family dwellings O Building over 10.000 square feet four or g ? more residential units in one structure alteration,or extension* ©System gov rth volts nominal O Feeders,400 amps or more •I)rscti tion, _ O occupngt load over 99 stories Cl Ot:Cllpalll load UYef�persons C]Manufactured structures or RV park Each additional Inspection over the allowable in an[ yofabove: _,��,.. ❑Egresslhghtingplan O other Perinspecuon 1 �—�-- Submit____tell of plans with any of the Above. Investigation Fee — �� ------ The above are not applicableOther to temporary construction service. _ -- Permit fee.........I...........$ _ Nor all Jurisdictinru accept credit cords,pierce call tunutictwn fnr more mtomwuon Notice:This permit application plan review(at — `po) $ - O Visa r)Mastercard expires if a permit is not ob'oined State surcharge(8%) ....$ — 1�_ within 180 days after it has been Credit card number: -- Expires TOTAL .......................$ _--- _ accepted as complete. Nome or cardholder as shown nn credit cord 440-111s �-Cardholder signature Amoum Ndechanical Permit Application - - Date received: I Pormnno.iiE�i City of Tigard Ptoject/appl.no.: ! Expire date: �iryofTigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Cask,file no.: Paymenttype: Land use approval: Building permit no.: TYPE OF PERMIT O I &2 family dwelling or accessory O Commercialhadustrial ❑Multi-family Q Tenant improvement O New construction 0 Add ition/al teratiort/replaceme it U nther: .___�.� I SITE INFORMATION1 1S'CIIEDULE Job address: Indicate equipment quantities in boxes below. Indicate the dollar Bldg, no.: Suite no: value of all mechanical materials,equipment,labor,overhead. Tax snap/tax lot/account no.: profit. Value$ Lot: Block: Subdivi "See checklist for important application information and Project name: jurisdiction's fee schedule for residenti, ,•nrnitt tee. City/county: ZIP; --� I &2 FAMILY DWELLING P IT FEE SCREDULK Description and ovation of work on premises: I Ij- I -- Fee(ea.) Total Est.date of completion/inspection: Description Qty, Res.only Res.only Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?rJ Yes ❑No Air conditioning(site plan required) Is existing space insulated'?0 Yes L7 No A teration of existing HVAC system - oi er/compressors Business name: State boiler permit no.: — HP Tons BTU/H Address: = h� dampers/duct smoke detectors City: -- State:( ZIP: eat pump(site p un regwre ) -- Phone: Fax: E-mail: Instaivreplace urnac umer CCB no Including ductwork/vent liner Q Yes O No -�-- nsta rep ac re ovate heaters-suspende , City/metro lic.no.: _ _ wall,or floor mounted Name(please print): v eat forappliance other than furnace -- 1Refrigeration: Absorption units __ BTU/H Nanlc: Nl 6 D(G so Chillers HP Address: ej/ ~--- Com ressors ____ HP nr onmenta ex t,st an vent at on: City: � State: ZIP:. D/ Appliance vent _ Phone 22i [// / Fax: jr- - Hyl E rnail: Dryerexhaust 1 16_ods,Types res, t0en/ aamat hood fire suppression system Name � r1 /I1C� Exhaust fan with single duct(bath fans) Mailing address: y v x gust system aEaart from heating or A City: f f_�Ialld State:Q,( I Zip: ftpj_ Fuel piping annd distiibut'on(up to 4 outlets) Type: __LPC NO Oil Phone: 15-j 1 Fax: ' / E-mail: -Fuel piping each additional over4l outlets rocess piping(schematicrequired) am e: �Ie`. 0� r Number of outlets Address: � ------ ter st appliance or equipment: y'S�/ .� /L/i -e _ Decorative fireplace City: m md4 1 State: ert-type _ Phone: Fax: f I Email: ocistove/pe I�etstavvee 'applicant's signature: Date: f� , — ter: Vame sprint): Cot all Jurisdictions kepi credit cards.please call jurisdiction for more w'smumn. Permit fee.....................$ I Visa U MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained «dit card number. _ —_, / / Plan review(at _. 96) $ Expires within 180 days after it has been State surcharge(8%) ....$ c Name of cardholder as shown on credit card aepted as complete, — Cardholder si`nature Amount 440a617(6MIICOM) Plumbing Permit Application Date received: Permit no.:, City Of Tigard Sewerermit no.: Building Address: 13125 SW Hall Blvd,Tigard,OR 97'2 3 p gpermit no.: iry ,f rlgu.d phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use appro'ral: Case file no.: Payment type: TYPE OF 11 J I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement O Food service U Other: _ Info atiol )baddress: ,(15*5- 50 �/ - Des—M—tion _ Qtv, Fee(ea.) Total Idg. no.: �J^ Suite no.: New 1-and 2-family dwellings onl,,: Id map/tax lot/account no.: (includes 100 it.for each utility connection) SFR(I)bath _ ofh Block: Subdivision: �� Cli-f" SFR(2)bath roject name: e1iG/U /yam} _ SFR(3)bath ity/county: �r- ZIP: Each additional bath/kitchen escription and lilcation of work on premises:_ _. Site utilities: Catch basin/area drain st.date of-completion/inspection: Drywells/leach line/trench drainPLUMAING CONTRACTOR Footing drain(no. lin. ft.) Manufactured home utilities usiness name: Manholes ddress: ( $Z 6yj 4MV4T-- Rain drain connector ity: AlW& Statc: ZIP Db Sanitary sewer(no. lin. ft.) — -- - hone: - p Fax: t /y�T E-mail: Storm sewer(no. lin.ft.) i- CB no.: 1$app Plumb.bus.reg, no:-3 -j j Water service(no. lin.ft.) ity/metro lic.no.: Fixture or item: ontrartor's representative signature: Absorption valve Back Ilo v preventer riot Hume: •/ Date: Backwater valve _ B 1� asins/Iavatory aunt" l L P le, �! W S U17 C other washer ddress: 5-/Z5-��w " bishwasher —� Drinkingfountain(s) _ ity: ��JAR State Dv( I ZIP:jMj Ejectors/sum hone: - 711- / Fax: E-mail: Expansion tank i Fixture/sewer cap _V ame(print): p. vtyrI -rk) &7wes Floor drains/floor sinks/hub Garbage disposal lalling r J 67Z,5- S� CGLL'CZ :o Hose bibb ity: L� State qQ]Z'LIPIP:y�yQy Ice maker h,me: 2L2- c/ SL I Fax: 14;1-51111 E-mail: Interceptor/grease trap __— iwner instal lation/residantial maintenance only: The actual installation Primer(s) ,ill he made by me or d,e maintenance and repair made by my regular Roof drain(commercial) mployee on the property I own as per ORS Chapter 447. Sink(s),basin(.), lays(s) iwner's si nature: __ _ hate: _ Sump Tubs/shower/shower pan Lj GG`/ {fly Urinal fame: _ _— atercloset ddress: � _ 1Lr e: _ � Water heater T StatZIP:!7'7,6/j- Other: — -- hone: p Fax:(.rf Email: Total It all prisdichons accept credit card&,pleue call jurisdiction for mac information. Notice:This permit Minimum fee................$ application/ plan review(at — %) $ Visa O MasterCard ' expires if a permit is not obt•,ined Wk card number __ (/ within 180 days after it has peen State surcharge(8%) ....$ [s&pues Name of cudholder u shown on credit card accepted as complete. TOTAL .......................$ S Cardholder signature Amount QAC-4616(6011COM) PACIFIC CREST' SUBDI V ISI"N LUT - 51 CI'T-Y OF= 'I'IGARU LANDSCAPING FOR THE ENTIRE LOT SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL THE APPROACH SHALL BE PRIOR TO BREAK OUT OF COMMUNITY A MINNMUM OF 6"x12'x2O' EROSION CONTROL. FINISHED SLOPES OF CLEAN PIT GRAVEL SHALL BE LESS THAN 2 TO I LL_,\,_l6� 115 00' N0� °54'00"E_ , EL.5 . ---- -\o = rn Ln TEM . GRA (-Q 110-LIf GA AGE DRI EWAY �-- % SQ. T. ��645954�l4t SFIN (•µ " lL_ ---- C30 =1J L= 0. 66' ` P AN : 3 2A S FT. 5 \ \ FIN L 5 I WAIL�-- RIA ` v 2J 1 \ EL-OW� L= 31 . 58' 1 B.6 EL-,BO' A NOTE: I.ROOF DRAINS TO STORM 0���, , I LAT IN STREET. 2. FOUNDATION DRAINS TO EFS i►IF 'T BACKYARD SOAKAGE TRENCu SEE ATTACHED DETAIL SETBACK REaUIRF IENTS -7 FRONT YARD TO GARA3E 15' VEL( I••7a'-a• � � � / 2 SIDE YARD 5' REAR YEARD 15' I [ADVW-55LAN145135 3567A 5LL1KLil'bANI.N PLAN D.R . f-loilon H &--ALE I' •70 ;TATE 12/10/07 51LE- S.W. rlacadam Avereue PI+ONE 303I77.NbI F-c'rt lard Creoon F4Y 5c3]7731" ( GeoPacif ic �rMMM- 7312 SW Durham Road Portland,Oregon 97224 Tel(503)598-8445 • Fax(503)598.8705 NI-vember 15, 2002 Project No. 99-2791 D.R. Horton 5125 SW Macadam AA, Ste 145 Portland, OR 97201 Fax No. (503)579-600 Attent on: Ernery Smith GEOTECHNICAL REV EW OF FOUNDATION EXCAVATIONS Pacific Crest — Lots 5 through 52 City of Tigard, Oregon At your request, GeoP ific Engineer, Jim Inrbrie• arrived on site on November 'i 2"', 20(11 to review the foundation excavati n subgrade on the above-referenced lots. The lots exposed mostly medium stiff to stiff native soils nd were excavated through most of the roadway embankment slope, which was less compact for ff e first three to four feet deep. In our opinion, the ex sed subgrades are suitable for spread foundation support to an allowable bearing pressure of 1,500 psf. The rear footing-to-slope setbacks should be more than adequate due to the gentle slope grad .,nt for at least 30 feet beyond the rear footing. The interior steps appeared to be appropriately placed so as not to influence footings located above such steps with the exception of the west portion of l-vi JO. At this location the footing may need to be deepened to the level of the base of the step or a n w wall constructed and structurally backfilled at the base. The subgrade on Lot 50 was also cut a w inches shallow in some areas above vertical steps, but we anticipate that mucking will be require prior to pour on all of the Icts; this mucking should extend � rough the rain softened soils and is rix ected to be less than on inch in most areas, but up '-► three ii- our inches in isolated locations This review was perfored to the local standards of practice for geote0nical engineering. If you have any questions, please rill. Sincerely, GeoPacific Engineerlir g, Inc. O PRo� ISE (, 2002 RE_.._.,� FS � 1743 "r James D IrTlbrie, P.E Geotechnical Engineer /� ()RErC)N CITY OF TIGAR© 24-Hour / BUILDING Inspection Lint.: (503)639-4175 MST `'�_ �G�'y _L— INSPECTION DIVISION Business Lina: (503) 639-4171 BLIP — Received _ Date Requested _ AM_ PM BLIP Locat-oi _--_-- I S �s � Suite_-_ — MEC Contact Person _ _.__ ___ Ph( ) _.�`� 7�.�L__ PLF'A Contractor ---___ -- _.---------_-- Ph (- ) SWR BUILDING Tenant/Owner ELC -_ --_-_-- Footing Et C Foundation Access: Ftg Drain ELN Crawl Drain Slab Inspection Nates: r 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.R - final y_ 5- TART FAIL PLUMBING - Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin J Manhole Storm Drain -- Shower Pan Other: _ PASS PART FAIL —� MECHANICAL - - Post&Beam Rough-In ---.___._.. - -- ------- - --.._ Gas Line Smoke Dampers — — Final PASS PART FAIL _-- ---- — -- --- -- - - ELECTRICAL Service - - - Rough-In - UG/Slab Low Voltage -_- Fire Alarm Final f ii Reins tion fee of$- -__ required before next inspection. Pa at Cit r Hall, 13125 SW Hall Blvd PASS PART FAIL L-_I �- _. � p y SITE — [ ] Please call for reinspection R' :—. - __.__— _ Unable to inspect-no access Fire Supply Line _ ADA ��+. Approach/Sidewalk Date __.'_-- tt__ __ _____ Inspector Other: Final _ — DO NOT REMOVE this Inspection record from the Job site. ' PASS PART _FAIL ♦♦AAAAA®AAAAAAAAAAe♦A.\%AAAAAAAAAAAAAAAAAAAA.4 w o e i rTl . e \. . ► 4 ► 4 ryl 4 �n ►may d ► 4 ► 4 V) �- :07' ► d 1 (D ► r_ 4 O 1,14 rD +, 4 � 7 ~' ! h 4 r ► , . (� � U� ► ` - n - � .�.. Cil � G � � � ► 44 is I� ► r., 44 Ill. b y ► ► 4 ► r O - n '?7S. G O W �e ? p cr rD u T} D f� � O ^ n G pM lr� P' n .. s o rt 1-5 O o lel 61 0 'n 13 P. r c V 0 I� A n O I� 1 CITY OF TIGlARD '-Hour l� WILDING —tion Line: (503)639-4175 MST INSPECTION DIVISION _,w-ass Line: (503)639-4171 BLIP Received __ _-_________.__. gate Requste 60 - AM. _ _.-e___ PM _ _ BLIP Location __ S v i- _ Suite _ _ MEC Cuntact Person _—_—___c Ph(� ) - -__�..� PLM Contractor-_____ _- ._ ___ __ Ph 1 ) - SWR BUILDING Tenant/Owner ELC - Footing --- ,. ELC Foundation Accese Ftg Drain ELR Crawl Drain Slab Inspection Notes SIT --- Post&Ream Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - — Firewall Fire Sprinkler _- --- — Fire Alarm Susp'd Ceiling - - -- - Root Other: _.- Final PASS PART FAIL - -_� - --- --- N'LU ------- Posf 1�"Eeam Under Slab —-- — — Rough-In -� Water Service - -- Sanitary Sewer Rain Drains - -- --- ----- Catch Basin/Manhole Storm Drain - — --- Shower Pan Otter; - ------- ---— Fhi - _ S T FAIL ------ ANIC _ _ ------ - -- - --- -- -- -- am Rough-In — -- - - - -- -- ------ Gas Line Smoke D mpers -- ---- ._.---------- -- ---- - Final IZI �ICAL PART FAIL -- -- - - �- Service Rough-In -- ---- --- - - UG/Slab1_0w Voltaga 0 �" Firs Alium Fih � �`r_ -t ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS', PAR! FAIL - j Please call for reinspection RE: __- — t J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _-�/v -S Inspector_ -._._ __ ut Other: Final DCS NOT REMOVE this Inspection record from the Joh site. PASS PART FAIL •