11685 SW NACIRA PLACE ar
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11685 SW Nacira place
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _-'
INSPECTION DIVISION Business Line: (503)639-4171 — —
BLIP _
Received —-- Date Requested �= AM ----PM — BUP —
Location ____ � I �/- '� - - Suite _ — MEC
Contact Person ____— '`- Ph( } _ � '�����— PLM
Contractor__ __—_-- Ph( ) —-- SWR _-- — —
BUILDING _ Tenant/Owner — ELC ,—
Footing ELC
Foundation Access:
Ftg Drain ELR _.—
Crawl Drain
Slab Inspection Notes: SIT _—
Post&Bea,,i
Shear Anchors
Ext Sheatn/Shear
Int Sheath/Shear
Framing ---— ---- ---- ---
Insulation
Drywall Nailing -- --- --L � .
Firewall —1✓ _ s 'T
Fire Sprinkler
Fire Alarm v
Susp'd Ceiling — -- —
Roof
Other: / D
Final —
PASS PART FAIL
PLUMBING —
Post& Beam
Under Slab --- ------------- ---- —
Rough-In
Water Service — --- -----— ----
Sanitary Se ver
Rain Drains --- ----- ------ —'"
Catch Basin/Manhole
Storm Drain — -- -------- ---- --
Shower Pan
Other: ---------_..._---__— -- - -- - - -- --.. _- ---
.PASS P_A T FAIL_
MECHA _AL
Post&Beam —
Rough-in
Gas Line
Smoke..h-npers — ----- ---- - - ----
Fi-::
PASS PART FAIL -
ELECTRICAL
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 Please call for reinspection RE: _- -� Unahle to inspect- no access
Fire Supply Line
ADA ,
Approach/Sidewalk Data 4 iq4L�—_ Inspsetor, p" Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
�
CITY OF
T I G A R D ______� MASTER PERMIT
C�
T PERMIT#: MST2UO2-00242
DEVELOPMENT SERVICES DATE ISSUED: 5/24/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11685 SW NACIRA PI PARCEL: 1S135CD-NP005
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT:005 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence. Path 1
BUILDING
REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 14W At BASEMENT: at LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.6n^ of GARAGE: 482 at FRONT: 30 PARKING apACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMFNT: at RIGHT: 5
VALUE: S 285,082 80
OCCL17ANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL. 300.100 at REAR: 42
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP• 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K BOIL/CMP<3FiP: VENT FANS: 5 CLOTHES DRYER, 1
GAS FURN—100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS 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: -AVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADn't 500SF: 5 201 400 amp: 201 •400 amp: 19t VV—-/CIFDR: 00 SIGNIOUT LIN LT: PER HOUR,
LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADOL OR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMIR�CIFDR: 601 1000 amp: 1101+8mpe•1000v: MINOR LABEL.
1000+amplvolt
PLAN REVIEW SECTION _
Reconnect only >•4 RES UNITS: SVC/FDR>•225 A.: >500 V NOMINAL: CLS AREA/SPc nr,,:
ELECTRICAL_•_RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK' INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS'. TOTAL a SYSTEMS:
TOTAL FEES: $ 7,532.80
Owner: Contractor: This permit is subject to the regulations contained in the
WHITFORD/SCOTT LLC. JLS CUSTOM HOMES Tigard Municipal Code,State of OR Specialty Codes and
4888 NW BETHANY K5#381 17200 NW CORRIDOR CT.#110 all other applicable laws All work will F in
PORTLAND,OR 97229 BEAVERTON.OR 97006 accordance with approved plans 7 will expire 0
work is not started within 180 days c or If the
work is suspended for more than 18! TENTION
Phone: Phone: Oregon law requires you to follow rules ul..opted by the
Oregon Utility Notification Center. Those rules are set
Reg N: LIC 139 am 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 Underfic,a Insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electricayfinal
Issued By : __ Permittee Signature >,
Call (50A 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGAR® _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES E ISSUERMIT D:
S24/02 -00159
13125 SW Hall Blvd., Tigard, OR 0722:3 (503) 639 A171
DATE ISSUED: 5/24/02
PARCEL: 1 S135CD-NP005
SITE ADDR SS; 11685 SW NACIRA PL
SUBDIVISION: NACIRA PARK ZONING: R-4.5
BLOCK: LOT: 005 T_JURISDICTION: TIG__
TENANT NAME:
USA NO: FIXTURE. UNITS.
CLASS OF WORK: NEW DWELL INGUNI TS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE.
Remar ks: Sewer connection permit fur new SF residence.
Owner: _ FEES
WHITFORD/SCOTT LLC. Type By Date Amount Receipt
4888 NW BETHANY K5 #381 --- —
PORTLAND, OR 97229 PRM T CTR 5/24/02 $2,300.00 27200200000
INSP CTR 5/24/02 $35.00 27200200000
Phone: 503-533-2255 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 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 installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAP 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 248-1987,
f�
Issued by: Permittee Signature:
Call (50h)(5 ) 639-4175 by 7:00 P.M. for an inspectio;i needed the next business day
Building PermitApplicntion
-- Date received: Permit no./r,,
(pity of Tigard Project/appl.no.: Expire dat •
Alltlw• 11125 SW Hall Blvd,Tigard,OR 97223
('In'1('I it and Phone (503) 639-4171 Date issued. By:
litx: (501) 598-1960 j I Ca,efileno. Payr nttype:
y ..,
Land use approval: ' � 1&2 family:Simple Complex: f✓
TVPE
OF PERMIT
J I ,l 2 I,unilq olvt Alin} or arrrssory U Comntcrt rllhndu a ull U Mulli-falnll} 'ONrw constniction U Demolition
J Ad•lulon/altrraUun/nplarentent U Tenant uupn,vrnrt•nl U Fire sprrIlk ICl/al anu U Other:
L — Bldg.no.` Suite no.:
�1 r --
I k S (division: Tax map/tax lot/account no.:
I'tujcct
Description and location of work on premises/special conditions:
c F� 1 & 1 fantil, d,t'c11ing: �+
85
CIt,T� LC:_�1LLL
p0`�,
:S
I'll,Wilt. F 3-tt'•C I? trail N,, Ill fwd roortic/h.11h• -
O,rnrtl. nlaU�r .(_1 _ fo(II
w1m, rnorther ul I1 „
- -_i - , mail: Nraa d,arllm, arr•1(�y It.l . UV +
I'h nl C• t C l I 1 C
G,It.ltri;•IrI,,,It ❑era(tit) It.).. �8 Q►
� l` t ('oarn•,I put.h;m•a(�y Il.i � '
\1.111111,
---- - - other stricture arra l`t ':. ).............
('uy: title: 1.1 P: 1 ------j
— —
-._ �—_--' ('ononercfallindustrfallnnrlti-farnil):
I'hunc: fax f-mai
Valuation of work...................... ................ :b ..
1 '
fixisting bldg.arca(sq. f(.) ........... _-- .
1 ' fir^ 1 l '.�
Business nnntc:_�"l._`j _ New bldg.arca(sq f�''.......... .. ................
Addrrsr �tno—.� ��( Number of atorie% . .....
----- L�L_'`1�l - -
c�n>`� Stall
�(:_i E 1,'1E�L..` "''*uL_— - Type ulcl,nsuucunn... .�... _ r "•,....... .. -- -- �
E-mail _�— — (Irrul,.nl, a vtoup(s): lixtsun).
CCB no. 1 .-� - - New
-- --
Cov/mruo)lie. no.: — - Notice: All contractors and subcontractors are required to hr
ARGIffECUDESIGNERII n 11.111 the Oregon Construction('ontractors Board under
pr, %1tiun1,of ORS 701 and ntay he required to hr Icrnsetl in the
11111 �. Jurisdiction where work is being performed. If the ul,plicnnt is
Addlt.•• - -� r
ClL�.�.• �� �-t exempt from licensing,the folluwins reason applies:
City. t -\ 1 Slit I /II'
Ilan tut. ��C-)( _..
t'unru t prnun.- �' _
Phone.-- - I a. � � 1. nuul _—.._-- ---•---- ------
I mom
4�� I� 4
ti t r•�ul I rr•,dor upon appltcluon
,,�c 1_
Ad Ii t L�
('Uv '� ' t _ %IP .- 1nl nnu n ern .I 4
c >1 ��S_ -
I'It
Sia 1 n I r 1 , Irt .c htdulr
I hrn•h, ,� Itlla I Ila�r read and rx:unlncd thl•.app(,.loon ami Ihr __ _ til..n r,�l .l.u�,n,auetN�-,.•a..,�,I ;i �i ,,, -���•,�1
utachrd tile,klnt All ol lawv:unl l,Itlln,ln,r, r , .'Inuli•dw, Uvl.., Jhia'I"A'an( /
aalnf. ,VIII In•rnrndurrphrd Hltl n•Ihc1 1(1. I hn i• I I 1 1 and
,u•L,:.ul ua,ul.�,
r � i
Authol 33rd •;ip.n; ' _ I),1 l.�/((��•�/L% < . .� �,u ,�t,�..I�,�.,� „ , i
Nu1n r I lu,I,•nnit:yq,llnl(I n, .lnr, II,1(„nnll n m,t„I,t, m.I o.,tlun I xn.I 1..,,IIrI a h,I,In,:n aucplr l.I , niil l,.l
Mechanical Permit Application
pDatcreccived:< /J�' Permit no.: IY a
City of Tigard PIoject/appl.no.: Expire date:
t'iryo./7igurd Address: 13125 SW Ilall Blvd,Tigard,OR 97221
Phone: (503) 639-4171 We issued: By: Receipt no.:
Rax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ nodding permit no.:
TYPE r
U.1 & 2 fancily dwelling or accessory U Conunercial/induNIIIAl U Muhi-family U Tenant improvement
New construction U Addition/alteratiur>/replaccnlent iJ()Ill(.[
J0111115117MINFORMATION COM51EIWIAL VALUATION SCHEDULE'
Job address: \ Indlcalc equipment quantarles in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,ovenccali,
Tax map/tax lot/account no.: ) profit.Value
cj _
[,of: -" Blctck Subdivision: _ , •Sec checklist for important application information and
Project Warne: jurisdiction's fee schedule for re;idontial permit f le
City/county": ZIP:
IIJOA
Description and Ic tion of work on premises: 1 l 1Y)-� l ( I M I DI 1
_ Fcc(im.) iblul
list.(late of contpletion/inspecliun: - -- _ Ihxriptiou OI). 11rti.onit RcY.onh
fenunl irnprnNemrnl ul Chvlge of use _ Air handling unit
Is ext•un) !,lMLC heated or conditioned?U Yes U No
Air conditioning(sitep anrcyuucJ) -
Is exlsling space inullawd U Ycs !J No Alteration of exist-i-ngAC system -
CONTRAC1170111 Ito iler compressors
State boiler permit no:
Business n;lnle._(" 1 - {?1 t _ —� Ill' —_Tuns_--- It*[1 1/11
P1rc/smokc cr: ucisn •etoetccrurs
City: i Sul l 3_,L
. ��^�_ eat pump(site plan requires- _ - --'- - --
1i-(nail: nstall/rep acefurn lcePourner li I/Il
Phone' 1 - Includingductwork/vent liner U Yes No _-
1 I,li no_: -Insta replace/r-elocateheaters-suspended, —
City/metro lic.no.: 1 a - wall,or floor mounted — —
Nantc(please print) �� 1 1 } cnt or u r lance other an furnace
cf gerat on:
s Absorption units
Nance: Chillers_._---
--- --- Contrressors_
Address: -1, _ nv ronmenla e.x►autt an vent lint
Cily: SGC: zif�---Y Appliancevcnt -
Phune. hax:11111111111KIIIIIIN KH fi-nutil; )rycrexhnust _ -
�oo s, /res •itchen/ azmat
hood Fire suppression system - —
' �lC - Exhaust fan with single duct(hath fans)
Nance: _ _ - in - —
Mailing address: C � - <�- � Exhaust system a ta,1 from eaun or AC
ueff piping and sir ton(up to outlets)
----- ,�.
ity: 1 r t<till __--.--- State. [; 7,11': _f.• Z__t` T ---Lt'G NG thl
Type]
Z L1. Para, i ntniL (�uelpi to each additionalover 4outlets
roceispiping(schematic required)
Number of outlets —.
Name: )t er listed appligrice or equipment:
Address: L
-L �1- lkarrauve firrplacc _-
f.ity. _. nserl- typeUTT
— --
ni,u l _Vuo( e/ftcllet st
stnvove —
.c)l tcr. ---
Iglu,nil's siE.n:Wnr ----- I tuly� L►//C ' )1 er:
I'efnlil feeb
NnI.Jl inn-aL.u,a„Jrrpl uuln,anl.,pb.ra gall luno ,n�ai l.n mon mrunmalwn r,,,Ilnr I Ills perntll appllGllnnl
Minlrnunt lee
U ma,tt-Wald nr,If a Cnnit is nut ubt•nnl, I
1 n•d,l(aid nunll.•1 / / ( p Plan leview I'll 'K I
IIhmIRI1J„gsafter-llwl liven Siatesurchml 111 OTA 1,
Name nl,anlhoL4•I a,down,u,,Irdd .ud dc�cplCd a,untlplCle
i mAlinb4. JI•IW,nn.
Electrical Permit Application
City of Tigard hop•c1/;.,,Jill lo..1 l Jmc:
CIII' IK,1111 Address. 1.1125 SW I Ia[I III Q,]'Igald,()I: 11722.1 1 aur Issued----- _ i1
Iicccyn na
I'hunr; (5111) 6`19-41171 -- ----------
1';It: (5111) 598 11)(10 Itiefile m _ I'aytntnllype.
I.an(I Ilse. alll,r(1v.11
TYPE OF PERMIT
lalllll)'dWCIIlllL�lll ,tiiessnry U C'nnutlrliutlhn(hlsltl,ll U N1uIII l;unll), U Irn loll Intl l .10)10)
U New cuns(iti tion U Addtnnn/;theraUunhrpla.rntrlll U O(hel U Patual
JOB SITE INFORMATION
Inh addle,' c ` Ina 1 fildl. nn tiuur nu.: fax /lax lut/arl,mm nn t
- '-------- � _:LSI
I uI �,� ' Illlx•F, tiuhdivisiO11' �LG�I'_h. �_llLlC— ----- ------_-
i'I a
Ilnu.11r1dtd;fie til Cnlll 1)1))00,1.1. u'cIIt111: 1)LSl'rl 11)01)and location ill (if J. nn premises:
1 1 t M �1
1,11)no: Fm Milt,
II' in IIA111 9015 t � -C Uescripliuu 0q.1 (m) fatal 11w help
I. -c - -- �'I - - - -- --- Neil witidcufud-tingle or nnda rnnlil)lw•r --
�iV _t7 (A) a.__ 1/'I`t__-f,.h - tine))0lt;uuh.luc•Iudesaloacllydgmage.
i
SluleQr �7.I1',Cf7j� _ Se,Iilrluc•ludrd: '
. JJJ
t'('li nl, ►l_g�a/_ I:Irc. nl hi nl' meL --
I
'•u,n.11 ulr ulslgrrl�r,uly,el :nlccm IleyulleJl I)alc -
SrI,i,I.urI,III IN I I L I.I I I.I I I��I I.
son.uuel, eIv,l 1puull I.icrnsr nn
31hrl nliuu of rrlucutium `
' 2fi11 Illllp'III lt•s' / 2
I.inc(lu2111 amps til 41111 amps - -- - -- - - - -2 -
-- 401 aulp'111600 aulp' - 2-
L\i,Iilintt a(Idlcti tJ1 _ -- —,---- -- ---
i �.-_ Gill atop'to IINNlanys 2
(II) - Sialt _ II� { tivrr 101N1 amps fir vuhc - - -- - - 1-
I'hut ',An;lil: Recnancclunly - - I
Owner insiallatiun:The in",clll ill n is heirs); made un pruperty I 01,P6111 Temporary crrliees or feeders
wh ell IS 11111 IIIICIIded Int Sill• ;15e,will.fit t'xihange accortllilg to indallnllau,allrralian,nrrrlaculitin:
(WS 111,455.47').(,711, "'I uq -1 -
'n l ling,'Iv 4011 aryls 2
Otsncl's signalurc. / I);ul• o ��Ll .oil to6t10amps -- --- --- --- 2
Ilranch circulfs-fie",alleril inn,
t or rticrwiuu per panel:
NAHIL' . "1 1 A I cc 6n branch circuit's qh puu lrwr vl
- - ---
\tllltl �1/ __ C� I 'rralceor feeder fee.rechblanchtncun - - -- --- 2—
(•11' Ja i A..�!•
ILL Sllllr•�') ,�JT•-I I I (`��"_?te t I- n Fee for branch eirculh ccllhnul purchAcr
.L- --FFVL Ir•' F + rdsrtrlccorfer-det(cc,liIithrnnchcireui1 2
I'llunr `' 7 .•„ ?� II, .' , ----
I.a_h uJJuiunal branch urcwl _
PLAN ' Misc.(Service or feeder nut rucluded):
12!5 any,., J I6.Illh can I,,.IIu, I.I h puny,ur nngahun ulclr 2
J '��I•.I�� � .r1121)ampsI.Ilule .I1A .) I1,vvJuu'lilt aulIII IacllslgnuroutllllrllghunE-.----- ---- 2-..
umly dwcllulg' J llurl,hng mer 111.100 milmle fret Inur ur Cllalal rueunlslur a hnnr 11 rmvpy I,.rtcli
U Sv+Irnruvetb1111vuh'unnim.11 III-PIC rt'sidrollAluunslit onesuuclulr ald•tatlon.nrrau•u'rn1• 2
J Itaddulg uerr lhrrr sbuu+ U rrrdcr'.4Ilrl amp'(u mme
J 1 h1 up:uu lural met UV l •r'fir. lJ Manufacmuul'u uclulrs of RV park t At it adtlilitinal iv'peclian tiler file■lltinable ill 31111 of fire abat e:
J I t:u•�a/hlalluq�t�Lul 1,1�1, r I'�I ur l�•.u,nl _ ---- l I I. -)_ _-
5111111111 vel'of plAII%111111111 lilt) Ill file'A1N11le. lu: tq-.III I I.."
I Ile above Are loot appht ably UI Ientpnfurs t onsilucliou sertice. I nh.•I
.lil n..o .i,� �. L � i i � .n i���:.I. �� ��b..�. ,� ���I.�u�.rnni PJuln c I lu`111 nnll apl,ln 31)11)))
1'111011 II e.
.. :I I,i 1 11111 I'.III,I I,l gallll'J
i I'Lu1 n•va'w ilii ': I ,
Ixil 431, eller 11 h.r,IIIrll SLlir Stilt Inllp. f}5'.8.1 't
I ,I,,, . nIIIItr,I.,.I ii11bl, IflIA1.
10:5035334306 P: 1'1
i)Uu-7-2001 07:098 FROM:F_DI•IARD HLLLEN PLUME3I 503 629 '1633 FAX r'. 2
,ivy. d vJ( e1Ll: ►r
1'luer><bing Perinit Apt iication b
-- - Datercceivod: / Oi t�brmlt
City of Tigard ���; Sewer permlt__no•! _ Bullding pump no:
Address: 13125 SW Nail Blvd,Tig.•trd.0 Rtojecvapp1.m: t3aplredate:
Clryq(Tidard pie; (3113)6394171
Fax: (3(13) SYS-1960
Data laurel By: Rxelpt na.:
Cue file no.: Payment ry(K
Land use approval: _- _
r=
& 1 family dwelling or necesa(xy 0 Commeml indusuln(
O Multi-family 0 Tenant improvement
New croslrtrcptm l l Addil1un11ti1.r711i(In/re1/18C1'IOLN U rail atrvicr U 01her:
TN
le,Krf- tion (Zt . tee est. total
auliy dwr(tkrja oniytDid .no.' Suitt 110•' rbrNrl,dllby�aK"'ttoo)Tax nrallARA IuVa(:cmitil nu. - _ - -- ---l ot; � Block:_ Sulxllvieion: I L l '_ _pto�ect nnrne: at kttc en
CYlylcuunl t' - L 7.IN -`.--
N1leatlll(lost
ik ar:ripliuit alnl location r w(f on plrmiaer Catc-h--•b�rasin/eren drain -_ _----
__
112
i we sheaciI iineltrettc 1 rant _ --- -- --
fiat.date of curnplcuun/inaprctlon: - -� - 12ti� rain(nu
-ieriufacwre_dhume utliiues
Businaar name: (s Lx'J_1 'P(UML 1-Y1P anTr en
Jr_a(n cunncctur
AdtSrcea: 2 Y���UAJ�x`- r�-r��7antiin.fl) -
City�1�(�xtcll_� -- State:a✓ 7J1 r r•o— a-�-----
C math �tortu sewn(no.lin ff.)
phone: - Fant iear se�rvlco no. In.
CCU no.:�L -.��--_- Plumb.bus.reg. _-s?��
(p Ylalrtre or Iteen
Cit /mew lie.no.: tion valve
(bntractot's mpremitAllve elgrtature: __ Iac low venter _
Pr1nl ottme:
Dal c: 0 Backwater valve _
Baal avalu --
ci es wasltar
Nun, e_ _ __- - Iia was er
Address: A --- ng ountnin(e)
Ci Ste. til' _ -
1^ f eeUortl/aump_�
-- ------ Fax I' apanar(m e t(k
Phone:
_I�•atur�r iewar cap _
.e fiva rain cxx ei(- r�iu r _._ -
Namc(print) LL� Tito c sposat____
Mailing addr�cas: } u9c b�— - —
C)t ClnteC_, 7JP: � ce maker
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-Owner InauillatinrJresidential mai tenance only: The aclu installati(xt mer(s)
will Ile made by me or the mai since and tepoir made b) my regular Rao0fCrain comme�l) -
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N a dr►alraodaa stop ;i ead'•idcrr vel la a'res Notice 711111 perndt epplleatlnn plan review(al A 1 3
Me„rrcud expires if a remit is nM obtAlned Slab surrilarse
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60
5-
Main Floor
-C
Garage
•
Concrete a
aroevrd-
SW Nacira PL (Tract A)
Private ST
Scala V _ 20'
11685 SW Nacira Pi, Applicant.
Whitford/Scott
Tigard, OR 1888 NW Bethany Blvd K5 381
Lot 5 Nacira Park Subdivision Portland, OR 97229
CITY OF TIGARD 24-14our
BUILDING Inspection Lina: (503) 639-4'.75 MST -�' -2-
IOSPECTION DIVISION Business Line: (503) 639-4171 -
BLIP
Received ___ _ Date Requested—_ _ 2 AM PM _ ___ BI1P
Locationx----, Suite MFC
Contact Person __ Ph( ) _ -_ _ PLM
Contractor -_ - -_------ --_ Ph(_ . ) _ SWR
BUILDING Tenant/Owner - ELC
Footing----
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing X�� -inwtdi�r= "y ' ar 1!C
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling -
Root
Other: -----
SS PART_FAIL
-ftUMBING
Post& Beam
Under Slat)
Dough-In
Water Service
Sanitary Sewer
Rain Drains — —
Catch Basin/Manhole
Storm Drain ----
Shower Pan
Other: --
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In -- ------------- ----------�__ _�
Gas Line
Smoke Dampers - -- - -- - --- ------ ------ ---_._._�.
2=In'
SB>PART FAIL ------_.__._-_---------_—__T--
# CTRICAL
Service --- --- --_---- ----
Rough-ln
Low Voltage
Fire Alarm
Find Ij Reinspection fee of$_ 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 ��_�_-4o
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL J
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP
Received __- _.__.. Date Requested_Z____1_-__ _ .AM _ PM BLIP
Location 4�--k2 ; -,11. 4�!� '�.� _. _. __Suite MEC --- - --
Contact Person _ _ Ph(-) S/ Z _ PLM
Contractor -_ Ph(--) _ SWR
BUILDING Tenant/Owner __ _ ELC
Footing FLC
Foundation Access: Q hu„�,_ CI �* 4-
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors T---
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - - --
Insulation CCi a�/� /?L/Jn►+� CJ U r��T' 2 rr��t`�fir,ct�' �Ji£
Drywall Nailing
Firewall
Fire
Fire Sprinkler -- - - -
Fire Alarm
Susp'd Ceiling - --- - -
Roof
Other: -
Final
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab _-
Rough-In
Water Service --
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -
Final
_PASS PART FAIL --� -'- --
MECHANICAL
Post&Beam
Rough-In ------._.--_- -- -
Gas Line
Smoke Dampers - - -- --- --
Final
ASS PART FAIL --- ---- - --
ELEC
Service --- ---- - _ - -'
Rough-In -- -- - -�- - - _ -
UG/Slab
Low Voltage
Fire Alarm
(0-P E Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL_
Please call for reinspection RE:. El Unable to inspect-no access
Fire Supply Line _ �"' A
�
_
"'7
ADA Date /i`) /*'0 C_ InuRectar
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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