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11312 SW 84TH AVENUE 1. PROVIDE A I✓INIMUM Pte' DEEP C7RAVEL BASE FOR ALL DRIVEWAY AREAS. 2. t-1AXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED WITH THE BUILDING: DEPARTMENT PRIOR TO CONSTRUCTION. o 3. PROVIDE A MINIMUM 4' DEEP GRAVEL 54,5E FOR ALL SIDEWALK AND PATIO AREAS. o 4. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A _ DISPOSAL POINT APPROVED BY THE BUILDING U DEPARTMENT. 1rri11!; a poll, 5. PROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY' ..__.� Z FROM BUILDING ON ALL 51DE5. I9'-0' WIDEr: e, "rHE BOUNDARY AND TOPOGRAPHY INFORMATIONco tit' THICK rn F,A5 BEEN PROVIDED TO POLLARD - H05MAR CONC. DRIVE DESIGNERS, INC. BY THE CONTRACTOR, OWNER OR (3�4 SQ. FT.) N ENGINEERING CONSULTANT. POLLARD - HOSMAR �' 20 -0 DESIGNERS, INC. WILL NOT BE HELD LIABLE FOR THE ,S 1 PVC WATER LIN _ N 89'41'49' W �� o ACCURACY O{:� THIS INFC�RMATICN. IT IS THE SOLE � RESPONSIBILITY OF THE CONTRACTOR TO VERIF'' � 1162co LiJ 5c ALL SITE CONDITIONS INCLUDING ANY FILL PLACED w ON THE SITE. THE CONTRACTOR M-!5T INFORM THIS r - ....:. ..:.::....:.. . OFFICE OF AN l i�CiTcNTIAL FIELD MODIFICATIONS $� ::1.:....... ::..:.:••:•: .:•.: •::•:•:. ::::. .::::.: NOT SPECIFIED ON THE PLANS. - ; l�. .. ..... :.. .:.:.:.. :.:..:...:...... 3�0'- I Pero' rn NON-STABILIZED FILL MUST NOT EXCEED 2.1 SLOPEi �. .. . u1 .d- -� - --- A--- --}� 1 GARAGE .:... I N EXCAVATION MATERIAL REMAINING ON SITE IS TO W m ,I 2155m Q ^ SEDIMENT BARIYI E R --'•.. D ; -.-=:-:= - J - I $ C) BE CONTAINED BY AN �r�t=rZOYED : �'- o � o (FILTER FABRIC TENSILE, STRAW BALE SEDIMENT B�.ARRiER -{-� 0 --------�-- - (�1 OR EROSION BLANKET 111TH ANCHORS) THE CONTRACTOR 1i I :...:.... :.. . • MUST VERIFY LOCATION WITH AFPROPRI kTE BUILDING 4 -0 WIDE �'�► ` .I I i :. *. z f C r� OFFICIAL. � GONG. WALK � - t1 ::: PLA l�ljP,�1T I Q � W (2S SCS. FT.) • II r 1 .E-:= :2i6I0`. ::: : ... .........PROTECT STOCG PILES FROM OCTOBER 1st THRU : APRIL 30th PER THE EROSIvh CONTROL HANDBOOK. L - - - O NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN • _ -� II_h.26' _ _ _ _ _ THE DRIP LINE OF AN EXISTING TREE UNLESS THE89'41'49' W ExCEPtION IS APPROVED BY THE BUILDING DEPT. 3' ABS STORMLINE \fie 8, • ti CONNECT TO AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR 4' ABS SANITARY CITY APPROVED a MUST EITHER LANDSCAPE THE SOILS, MULCH THE SOIL OR SEWE12 CONNECT TO STORM DRAINLLJ N CITY APPROVED SEWER SILT cn FENCE ! c' it CD EROSION GONTRQL PLAN z I. SILT FENCE TO BE INSTALLED AT LOW SIDE OF LOT 2. DRIVEWAYS AND SIDEWALKS TO BE GRAVELED. cn 00 N T E L A N LOT 2 ASH CREEK MEADOWS LOT 2 CITY OF TIGARD, OREGON 5,x00 SQ. FT. MAP t TAX LOT ZONE R-1 BUILDING FOOTPRINT .= 1,152 SQ. FT. __ 239, COVER.ACrE CONTRACTOR AREA OF LOT = 5,000 60. FT. E5LING; E I� 5UIL [DEFft.,.5 , PH21-052 ROOF AREA = 1,420 SQ. FT. 11515 SW PACIFIC HWY. PMB 160 TIGARD, OR- 9/h/®1 KAK . .- .. ........_. .`,. .... "'.... tlik61',+1•�. ..��Y:+eR.4.'4 W�...Is.,.....M....Ja.:.1`;e.+: �nom. HE PRINT OR TYPE ON ANY -9- i t T' I � , ! III I I I 1111 I I I I I 1 I I I I I I c-[T TIT rvTjTr7r_1 IfTT 1.�1. .1�`.1..1 I I .I f I I I 1 i..l.i.. I � f � I I I f I i VI-1-14,11 I I , I 1 1 I.�_1.I_11I j l �jTJ T 11_f r1 T- r� r .S_111vjI .�.rr. rj I I IT11 I I t � � I I I I I I I I I 1 � - , �--�/�NOTICE: IF ?' I I � � � � . I � I I � �-rjj I _ -��:.�C/ IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 _ 2 _ 3 _ 4 5 _ 6 _ _ _ 8 _ 91 - 10 _ 11 12 IT IS DUE TO THE QUALITY OF THE _ _ No.36 ORIGINAL DOCUMENT 6 i 8 T L T 9 T s i fi T E T Z I T T ^ i 6 8 I IIII IIII illi►!III 1111 III{ ILII Illilllll 1111 llil 1111. I11I LIII IIII IIII 1111 1111 IIl IIII llil 1111 IIII 11111111 II1111111111 IIII alll 1111 1111 IIII 1111 Illi 1111 1111 illl 1111 l 1111 1111 111.1 VIII 1111 �IIt ll �� IIIIIII w a N cn co A fD 3 C fD 11312 SW 84" Avenue CITYOF TIGARD ___ MASTER PERMIT PERMIT#: MST2001-00501 DEVELOPMENT SERVICES DATE ISSUED: 10/5/01 13125 SW Hall Blvd., 1 igard, OR 97223 (503) 639-4171 SITE ADDRESS: 11312 SW 841'H AVE MODEL HOME PARCEL: !S136CB-ACM02 SUBDIVISION: ASH CREEK MEADOWS ZONING: R-7 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF residence (Model Home) Path 1 BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: :'5 FIRST: 1.047 sr BASEMENT sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 749 sf GARAGE: 4(3 of FRONT: 20 PARKING SPACES TYPE OF CONST: SN DWELLING UN!TS: I FINBSMENT: sf RIGHT. 5 VALUE: $173,613.00 OCCUPANCY GRP: R3 BDRW a BATH: 3 TOTAL: 1,790.00 at REAR: 50 PLUMBING SINKS 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN: 100 TRAPS: LAVATORIES: a DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 1s/0 SF RAIN DRAINS: 1 CATCH BASINS,. TUB/SHOWERS: 2 GARBAGE DISP: ! WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE 1-RAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: I BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 ,AS FURN—100K: UNIT HEATERS: HOODS: i OTHER UMTS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES. GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDCR TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: I%t WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 900 amp: 401 600 ,rip. EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 601*amps�000v: MINOR LABEL: 1000.amp/volt: PLAN REVIEW SECTION Recomlacr only: >e4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SY;iTEM. AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArtELE COMM: NURSE CALLS. TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,618.49 This permit is subject to the regulations contained in the ESLINGER BUILDERS ESLINGER BUILDERS INC Tigard Municipal Code,State of OR Specialty Codes and 11575 SW PACIFIC HWY 11575 SW PACIFIC HWY all other applicable laws. All work will be done in PMB160 TIGARD OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rey N: L • 62363 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 Mechanical Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Water Line Insp Final Inspection Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Appr/Sdwlk Insp Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insr Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final Issued By : 11 —fix- �_. Permittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD _SEWER CONNECTION PERMIT � DEVELOPMENT SERVICES PERMIT#: SWR2001 00267 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 105/01 SITE ADDRESS; 11312 SW 84TH AVE MODEL HOME PARCEL: 1S13611-B-ACM02 SUBDIVISION: ASH CREEK MEADOWS ZONING: R-7 BLOCK_ LOT: 002 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO, OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. Owner: ESLINGER BUILDERS FEES 11575 SW PACIFIC HWY. Type By Date Amount Receipt PMB 160 PRMT CTR 10/5/01 $2,300.00 27200100000 TIGARD, OR 972.23 INSP CTR 10/5/01 $35.00 27200100000 Phone: 503-620-9515 Total $2,335.00 J Contractor: Phone: Reg M rRequired Inspections I 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 OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 6-1987. Issued by: _ Permittee Signature: (w + Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day - �iiiaiwn Building Permit Application Date received: t'eoun no.: / C4SD! city of 'Tigard - I 13125 SW f1a11 Blvd T' rd,OR 97223 Project/appl.no. Fxpiredate: -- Date Issued- s �'I��.n• (503) 639-4171 � Y: Receipt no.: I •. 1) 598-1960Case case file no — Payment type: Land use approval: ii 1&2 fainny:Simple complex: v TI'PE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multi•tani lyNew construction U Demolition U Add ition/alteralion/replacement U Tenant improvement U Fire spnnklei/alarm U Other: .1011 SITEINIFORMATION Joh address: � � Bldg.no.: Suite no.: Lou I Blo:k: Sulxlivision: ---- pw f, 7'ax map/tax Iot/account no.: IS j3d r-5 Project name: e _ -Ac-ry i D&. \ Description and location of work on premises/special conditions. 'J� r►'l t1l�ll SYN 1 ' SPECIAL INFORMATION, tr�. d o' solar, Mailing address: a 1 & 2 family dnelliitpe/' // a,. City: Stale: LIP: Valuation of work.. ......(...�3.�l.3c.... $ _. Phone: Fax• mail: No.of'hedrooms/baths................................. iTL' Owner's representative: walaellpo P►" 'Total number of floors................I................ - Phone: Fax: f-mail: V New dwelling area(sq. fl.) .......................... UUNF Garage/carport area(sq. ft.). ........................ Name: i� r U .. Covered porch area(sq. ft.) ......................... t) � Mailing address: yh tJ� Deck arca(sq. ft.) ......... .............................. City: tilate: ZIP! Other structure arca(sq. fl.)........................ KIIA 1'htmr: -- I aK E-mail: ('onnnercial/induxtriallmulti-family: 1 1 Valuation III work.......... . .................. ........ $ ---- Business name: 7,77777-- Existing hldg.area(sq. ft.) ...... .................. Address: ✓ �tC. New hidg.area(sq.ft.)...........I.................... ---— Number of stories City: _ Sl:ttc: 7.IP: ............... ........................ F-mail Photic: 1 ax: Type of construction........................ ....... ... __-_-- -- --- Occupancy group(s): I'.xisun►:. UX no.: 6 134:3 - ----- New: City/ taro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board undo, Name: r [>•� Il tC!Y �� C,c_ provisions of ORS 701 and may be required to he licensed fn the Address: 2, - -- jurisdiction where work is being performed. If the applicant is Cit I St6 e.OIL I 7.11': Z� exempt from licensing,the following reason applies: Contact per.on: flan no. I Phone: Fax Name: — Contact pelsun: t+r"A Fccs due upon application ...........................$_- _---- - Address:-��vv1 �., Q'S _�. Date received: __.— City: Starr: l.IP: — Amount received .............................. Phone: -- Fax: EAnail: I'lease retrr tit Ire schedule. herehy certify I have read and examined thus applicalion and the No all Jurisdictions r•reht reedit raids,please all ptnsdictinn tot nnae mrrnmno"m attached checklist. All provisions o ,,sand ordinances governing this U Via U MasterCard work Authorized will lie csignature: •d 1 u• s d herein or l s e: I)ate: ©1 Nnrie of rardlusldri ns slniun on credit cad Hill natne: - �•Y1 r C f— __ -- -._--. _ r ,_r _� .$ ---- �--�-- �s-�----- _-- ('rnTlwlsla si.native Aronum i Notice:'Phis pennit application expires if a penn". not obtained ssithin 180Jays atter it has hien accepted as complete. 441)u.t r 4 AVI'l WI One-and Two-Family Dwelling Building Permit Application ChecklistRefercnceno. 1 ,nciatedpernuts. --- -- c;fY„rr;g,.d City of Tigard g _�I�Irclrical U F lumbar U AL, Address: 13125 SW Ifall Blvd.Tigard,(7R 97223 _j 4 Wier: .__ Phone: (503) 639-4171 – --- lax: (501) S'ix IWO THE FOLLOWING 1 1 1 ' PLAN REVIEW Yes-.�No N/A I Land use actions completed.See jurisdiction criteria firr concurrcni rrviews. 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platllot. _ 4 Fire district_ approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Wafer district approval. 8 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 hoation of protection,etc. b,,--gatch-basin Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state ding codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plan`.Willi c1 ",ti references between plan location and details. Plan review cannot he completed if copyright violations cxlsa. .11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(i; 1'1`1iem is more Ulan a 4 It elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and i.° . driveway;footprint(t ,uncture(including decks):location of wells/septic systems;utility locations;direction indicator;lot area;building coverage arca;percentage of coverage;impervious area;existing structures on site;anti surface.drainage_ 1 Foundntlnn plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent sire and hgcatioll. 13 Floor plans.Sh1)w itII dam nsnnls, room ideniiIi ,urea,window size,Iocation of smokee detectors,water heater. furnace,ventilation fans,plumbing fixtures,kik noes and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing member sixes and spacing such as floor beams,headers,joists,sub floor, wall constrnction,roof consinlction.More than one cross section may be required to clearly Ilinli av L OWAna 111111.Show details of all wall and rool'sheathing,roofing,roof slope,ceiling height,siding material,fol)nngs and Itnullauon,stairs, fireplace construction, themlal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. lull-size sheet addendurns showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescri live path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans lot all floors/riot'assemblies,indicating member sizing,spacing.and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. Por engineered systems,we tem 22,"Higineer's calculations.,' 19 Beam calculations.Provide two sets of calculations using current erode design values for all heams and multiple joists over 10 feet long and/or any hearn/joist carrying a non-uniform load. ^_ — 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for fouroi nn1reapplian.rs. 22 Engineer's calculations. When required or provided,(i.c . .hear wall,roof truss)shall he stamped by an engineer or 111eh11e1.1 licensed In U1elt011 aad shall he shown to le apph .ihlc In the project under tevieay. .11HUSDICYIONAI,SPECIFICS z I ase(5)site plans are required for Item I I shove Situ (dans must be 8-1/2" x I I"(it 11"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. 26 "Reversed"building plans must nice(criteria outlined in the Pennit & System Development I"ees document. 27 No"mirrored"building plans will Ix accepted. _ 28 "prawn to scale" indicates standard ar:hitecl or engineer scale. Checklist must he completed before plan reviews start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved liar department use only 44114h14(00XWuMi Electrical Permit Application Date received: PermitnYf / 05U City Of Tigard Project/appl.no Expire date: Citi,ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recciptno.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 U I &2 family dwelling or accessory U Commercial/industrial v Multi-family U'fenant improvement New construction U Addition/alterauon/replaccntemt U Other: Job address: i __[Bldg.no.: Suiten : Tax►nap/lax lot/account no.: Lot: Z 13lock: Su ivision: G do — Project Warne: r`o 1 Inscription and location of work on premises: 1 5 f Estimated date of completion/inspection: ? 1SCHEDULE Job no: I'M Malt Business name: TA, Description (hy. (ea.) Total no.incl) / New rx•silkytlial-tingle or mufti-family per Address: P. dwelling unit.Inch(Ms anached garage. City: r I State: ZIP: servicelnclolh4l: Phone: 64A--Sl 441 Fax: E-mail: I0W.Sg 1t Ili less _ 4 Each additional 500 sq.ft.or portion rt•wof CCB no.: Elec.bus,lic.no: 3 _ Limited energy,residential 2 City/metro lic.no.:/4)b 3 Looked energy,non-residential 2 Fach manufactured home or at.dular dwelling Signature of supervising electrician(required) bate Service and/or feeder 2 Sup.elect.name(print). I ,..,t,. ,, -iervicesorfeeders-installation, alteration or relocation: PROPERTYOWNER 2tx)amps or Icsx 2 Name(pritil):— eV— E (I I��. � ��� ,G EW 1 mops to 400 amps _ 2 Mailing addirss: S - 1 amps to 600 ams 2 r (-t — �� 1 amps to IO(10 amps 2 City: %CSlate ZIP: erIOWamp%orvoits 2 Phone: -4 Fax .q :-mail: Reconnect ol, Owner installation:The installation is being made on property I own 'remporary services orfeeder% which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 2W alllps or less 2 1111 amps In 4W amps 2 Owner's signature: Vale: 401 to 61x1 and lc 2 Branch circuits-nen,alteration, or extension per panel: Name_ WA A Fee fur branch circuits with purchase of Address: _ _ service or feeder fee•each branch citcwl 2 City: ,hale: ZIP:Y 13 Fee far hranch circuits without purchase Phone: Fax: I:-mail: til servrc•e or feeder fee,first brach circuit: 2 - - liarh adJlunnal branch circuit: Misc.(service or feeder not Included): U Service over 225 amps conunctcral U Ilralrh-gale I&IIIIy Pinch pump mr irrigation cit(le 2 U Service over 320 amps-rating of 1&2 U I Iararcious Axatiom Bach sign or outline lighu_ng- ---_ - 2 Lanilydwellings U pudding liver 10010 squar feet four or Signal ci cum(s l or it hnuted rocrgy panel, U System over oW volis nominal na)re residential units in one structure allegation,or extension' 2 U Building over three stones U Pceders.4W snips or more •Description. ---- U Occupant load over e)y Iu•rsuns U Manulactured structures or Rev park Fich additional inspecthon over the allonable in ave absl U Egrrss/lightingpinn l 111,I _._---�_---T—.-.—.,. - Per tnspeololl any of the T j -T 1W %11I1I1111 sets OI 1)I211%wilt)ary of ille almove. Investigation fee - Ihe abote are nal alp Ili(able to I(,iniN)ran cunslruclion service. Other Nor all pun,ln nuns.lupi emhi emth,ptaav call iun.d❑I".1,I.a nunr I'll nnahnu Notice: phis permit application l`rnllt fee..................... �_. U Visa U MastelVard expires if a pennil is not obtained Plan review(at Credit cud number . __._____—--- _ / / of Olin 180 days after it has been State surcharge(8%) ....$ _ _ accepted as complete. TOTAL ....................... Name of cludltul&i a shown one erie�---, — - --- nn _ r.ul a),I ir,nNMI C)NI I ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -R_E_SIDENTIAL ONLY Number of Inspections r ermit allowed Restricted Energy Fee....... �— (FOR ALL SYSTEMS) $75.00 Service included: Items Cost Total Residential-per unit Check Type of Work Involved: 1000 sq itor less $145 15 4 ❑ Each additional 500 sq if or -— _- Audio and Stereo Systems' portion thereof $3340 1 Limited Energy $7500 ❑ Burglar Alarm Each Manuf'd Home or Modular - - Dwelling Service or Feeder $90,90 — ❑ Garage Door Opener' Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454,65_ _ 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or r„location Fee for each system.......................................................... 200 amps or less $66 85 __ $75.00 201 amps to 400 amps $100.30 2 (SEE OAR 918-260-260) 401 amps to 600 amps2 _, 5133.75 Over 600 amps l0 1000 volts, T 2 Check Type of Work Involved: see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel E] Boller Controls a)1 he lee for branch circuits with purchase of service or feeder lee. ❑ Clock Systems Each hranch circuit $665 6)The fee for branch circuity -- ❑ Data Telecommunication Installation without purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $4685 Each additional branch circuit $6.65 [:] HVAC Miscellaneous (Service or feeder not included) l J Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy _ panel,alteration or extension _ $75.00 ❑ Minor Labels(1o) T $12500 Landscape Irrigation Control' Each additional inspection over ❑ Medical the allowable in any of the above Per inspection _ $62.50 ❑ Nurse Calls Per hour _ $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: E] Protective Signaling Enver total of above fees $ l J Other 8%State Surcharge $ ------ —_ 25°i Plan Review Fee -- —-_Number of Systems See"I'Lm Review`Sry 6 m nn $ ' No licensee are required Licenses are required for all other Installations Iront nl nhphr:�linn Total Balance Due $ Fees: — ❑ "frust Account Enter total of above fees $ p " ' State Surcharge $ All Now Commercial Buildings require 2 sets of plans. Total Balance Due $ r\dsts\fnrniS\CIc•fecs doc t1R/JQ!01 Mechanical Permit Applicatioei --�_._- I)ate recelccd _ — Pcrmu no.: 2iCit of Tigard City Project/appl.no.. Expire dare: Cityoj;igard Address: 11125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: Ily: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: ___ TYPE OF PERMIT 1 8t 2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U()thee .1011 SITIE INFORMATION 1 1SCHEDULE Job address: 11,0/9 L ' l Indicate equipment quanuUf..,ul boxes below. IIIdICale the dollar Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax ntap/tux lot/account no.: < — profit. Value$ _•__ - Lot: Block; fl�Subdivision• f e IL *S"" checklist for important application information and Project name: r iIII I ,hctinn's Ire schedule for residential permit fee. city/coumy: re( 17►P: 3SCHEDULE bcsc{iption and Ic tition c work o premjscs: t 1 1 1 1 Est.date of completion inspection: Z Description 00. Res.oi6 Rr%.onit Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit r Air conditioning(siteplanicquirc ) I exi.tin}rspaceinsulated'. UYes UNo teral�CiT ling11VA('system MECHANICAL CONTRACTOR toiler/compressors - - Business State holler permit no.: �] - ice 1 Ir1C` _ III' _ Torts Bl'U/H Address:TZ, ��_ `.. _ hire/smoke dampers/ uct smo c detectors City:tlanb I Slate; ZIP:C17013 Beat pump(site pan required) —" Phone: lax: E-mail: nsta I/rep ace urnac urns r-- i" 0 9 - Including ductwork vent liner U Yes U No CCB no.: _ lista /rcp ac rC ocilte seaters--suspended, Cily/metro lic.no.: 3 wall,nr floor mounted Name( lease prim): �� �± p-� -- -- ent for appliance other than furnace 1 c r feral on: - Aliwiptionunits Name: � G Chillers Cont pressors_...� _ Address: V IIP - Environmental exhaust and vent at on: City: Slate.: I 7.,1f Appliance vent Phonc: Fax: I? mail: 1)ryerex oust — t -i oo s,Type res, itc ten azmat hood fire suppression system '8 �%„�`S Exhaust fan with single duct(hath fans) Mailing address (� , ���— ' �' ' ix taust system a art from�eut�t' Cily: Slate: 7�. 1'; 'err p 1►nR an st ul on(up to outlets) 3yP'' _ - -1,111 ---- NGOil 1 hone: � I�axf� ��' ; mail. 4ivrl ii tin cacti ads-iil'iimnl over nut ets - --- rocesv piping(se ematic require ) Name: - Number of outlets - ' — - (-3Ober listedappliance or equipment: - Address: Decorative Iireplare CItd -- St:w l'l.II' insert--ty e Phone: 1' I. mail: oodstoy pe I let stove Applicant's si nature � Date: Tt ter: Nam Nnl all judaliclldats arrrpl urdd coifs,please call)uiWirlim[nl uui rot ^— — 1'd't nal h•c .. . ...... UVsa UMastcrt•alrt Notice Ihis permitapplication NInunnnnlCe -.......... .. c%pires it a permit is not ohtained Man , d'reda card numlr•I 1. _L___ 11 111 1rd u'd�. I,II I%pin dduhln IRU days aller It Irl,been - -- Stair sul.li.nlT Name of cu h dd I ac show a„i,,u do ralJ accepled as complete s "1401(MOWONI) .'anlhuldri sirnutwr Anunuu MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 K 2 FAMILY DWELLING FEE SCHEDULE: Description: - L14. Total TOTAL VALUATION: PERMIT FEE: Table 1A Mechanical Code _ Oty Amt $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $7'2.50 for the first$5,000.00 and includingducts&vents$1.52 for each additional$100.00 or2) Furnace 100,000 BTU+fraction thereof,to and Including includin ducts&vents $10000.00. 3) Floor Furnace $10,001.00 to$25.000.00 $148.50 for the first$10,000.u��and including vent 14.00 $1.54 for each additional$100..; or 4 Sus ended heater,wall heater fraction thereof,to and Including ) ur s;oor mounted heater 14.00 $25,000.00. 525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Venl not included in appliance permit 6.8u $1.45 for each additional$100.00 or 6) Repair units fraction thereof,to and including 12.15 _ $50,000.00. Boller Heat Air S50,001.0 nand up $742.00 for the first$50,000.00 and Check all that apply: $1.20 for each additional$100.00 or For items 7-11,see or Pump Co�nd fraction thereof. __ footnotes below. - Com ' -- -- __ 7)<3HP;absurb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU - _ _ 8)3-15 HP;absorb 25.60 _ 8%State Surcharge $ unit 100k to 500k BTU 9)15-30 HP;absorb 35.00 -_ 25'/•Plan Review Fee(of subtotal) $ unit.5-1 mil BTU _ Required for ALL commercial permits only __- 10)30.50 HP;absorb 52.20 TOTAL COMMERCIAL PERMIT FEE: S unit 1.1.75 mil BTU - _I___ 11)>5 P:absorb 87.20 unit>1.75 mil BTU _ 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: --- Value Total 13)Air handling unit 10,000 CFM+ 17.20 Uescri 1p ion: -�- at tEa�- _ Amount -_ Furnace to 100,000 t3 U,Including 955 14)Non•portable evaporate ccwler 10.00 ducts&vents1 170 - 15)Venl fan connected to a single duct Furnace>100,000 BTU including 6.80 ducts&vents - - ---- Floor furnace inducting vent 955 16)Ventilation system not Included in 10.00 Susp©nded heater,wall healer or 955 T appliance permit floor mounted heater 17)Hood served by mechanical exhaust 10.00 _ Vent not Included In applicance 445 permit 16)Domestic incinerators17.40 Repair units 805 __ <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator 6995 to 100k BTU_ - -- 3-15 hp;absorb.unit, 1,700 20)Other wets,Including wood stoves 1000 101k to 500k BTU -- 15-30 hp;absorb.unit,501 It to 1 2,310 21)Lias piping one to four outlets 5.40 mil.BTU -- - - 30.50 hp;absorb.unit, 3,400 22)More than 4-per outlet(ea h) 100 1-1.75 mil.BTU _ >50 hp;absorb.!snit, 5,725 Minimum Permit Fee$72.50 SUBThTAL: >1.75 mil.BTU _ ------ Air handling unit to 10,000 c1m _ 658 8'/.State Surcharge $ Air tandlin unit>10,000 cfm -__ _ 1,170 --- - Non-poNabie e� rate 656 TOTAL RESIDENTIAL PERMIT FEE: Vent tan connected to a single duct _-- Vent system not includr±d in 656 a liance ermil _. -- - Other Insnectlone end fees: - --�- `� 656 1 Inspections outside of normal business hours(minimum charge-two hours) Hood served by mechanical exhaust 1 170 $7z 5o per Hour Donestic incinerator __ --- -- 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Commercial or Industrial inclnerafor 4 590 ___._ $12 50 per hour Other unit,Including wood stoves,, 658 3 Additional plan review rtNuired by changes,additions or revisions to plans(minimus Inserts,etc. ___ _ �0. charge one-hall hour)$72 50 per hour Gas f In 1 4 outlets 36 Each additional outlet 63 'Stals Contractor Boller Certification required for units 400k BTU. ----� "Residential A1C requires site plan showing placement of unit. TOTAL"COMMERCIAL f VALUATION: -- _- i\dsts\Inrms\mech•fre.s.doc 08/06/01 Plumbing Permit Application r City of Tigard Date received: -- Penmtnu.: x_00,- ' Address: 131:5 SW Hall Blvd,Tigard,OR 97223 Sewer permit no _ Building permitno.: ( rrsof7igard — Phone: (503) 639-4171 ProjeeUappl.no.. Expire date. Pax: (503) 598.196(1 Date issued: By: kcs:cipl nu.: Land use approval: fast IT." Payment type: t XU I &2 family dwelling or accessory U Commercial/industrial U Multi-family U'Tenant improvement New constnlction U Add ition/a!Ieralion/replacr[Ile fit U!-oo d '•twice �U Olh'.r if r , job alb Icsti. -i I ri ttim, ;1 " __ I (1ty. P(n•(ea.) Total Bldg.no.: Suite no.: Neil I and l.-family dvrellhll;�oil}: Tax man/tax l"Is (�► (insjudss tno n.for e. whit}corms(tion) til It t l l haul Lot: bdivision: --- h �' SFR(2)balli -- Project name: --�_ -- City/county: Z P: 7�- Each additional bath/kitche I Desai tion and I lion of work o remds s: She les: �t 146,4RE Catch hasill/area drain Est.date of completion sprction: Drywells/leach line trench drain 114A N11111ING t Fooling drnin(no. lin. ft.) - -, Manufactured home utilities - Business name: -� vV'-�`fManholesUAddress: � in drain connectorCity: S ate: LIP: nitary sewer(nu.lin. It.)Email: rnl sewer(no,lin. ft.) Plumb.bus.reg.no: �r�� Water wrvice(no. lin.ft.) City/metro lie.no.: Z fixture or Item: Contractor's representative signature Absorltion valve --------_- a - •��_�,- w�Q-� Backflow preventer Pnnl n:UIU' ' I ~y r r I);IIr: O -- t Backwater valve t Basins/lavatory Name: ' Clothes washe ��YY7 Address: S[t; ��.�e_._.�/1s� � _ DishwasEfoun(ra�in(,) City: _ Estate: ZI�- 'jectorUsun Donkin _ f ax (i-mail: Expansion tank 'ixturelsewer cap Name(print): . For drZis/Ilrxx sinks/hu Mailing address: I lose hl bis xlsal Cit C C State: 7.1 7Q l lase Bibb Ice maker Phone: " Fax: _ E-mail: Interce tor/ rease tra Owner installation/residential maintenance only: The actual installation Pritner s) g p will be made by me or the maintenance and repair made by illy regular Roo rain(commercial) employee on file property I own as Vol ()RN Chaplrr 447. Sin (s),basin(s),lays(s) I���n i':• ,yuiliu� _ Dale: Sum Tubs/shower/shower van-- Urinal anUrinal Address: — Water closet Water eater — i".ray: _ — -- _ _ Stale: "1.11': Olhrl — Phone: Fax: E maU. Total -_ Na all iurissticaons accept cnshl cards•please call ludsdlclion hw nxwe inrnmunm Mltlilnuill Irl•... ............ U Visa U Masa•rt'aid Notice: Illis permit npplicatioo expires if a permit is nol obtained flan review tat $ (redo caro number d8 180 Slate surcharge e ' fee ---- 11'ithlwithin (I }'9 altl'r It has been �) ••• a Nwn`r F'rifs�lnfis�uih�n nn cjatii _`— accepted as complete 'TOTA1, .......................� _..._. ,_ t'ud�nhirr N(rnuuae Amount `— J-414616(MIIV(l�Isl l PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24amily dwellings only: FIXTURES (individual) QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection _ � _ One bath $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath i� _ $350.00 Shower Only 16.60 Three 3 bath — $399.00 Water Closet 16.60 -----. SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 _PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray y - 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 1660 Water Healer O conversion O like kind 1660 Quantity b i Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 4640 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Hose Bibs 16.60 Tub or Tub/Shower Combination Roof Drains 16.60 Shower Only Drinking Founlaln 16.60 Water Closet _ 3 Other Fixtures(Specify) 1660 Urinal _�- Dishwasher Garbage Disposal Laund Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 5:.00 3" Sewer-each additional 100' 46.40 4• Water service-1 st 100' 5500 Water Heater Water Service-each additional 200' 4640 Other Fixtures (specify) Stdrm d Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4640 — ---- Residential Backflow Prevention Device- 27 55 - Catch Basin 1660 -- Inspection of Existing Plumbing or Specially 7250 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 16 60 QUANTITY TOTAL ---- Isometric or riser diagram Is required If -�---��— —" Ouantfty Total is >g *SUBTOTAL -- - — -- 8%STATE SURCHARGE — "PLAN REVIEW 25%OF SUBTOTAL Re ulmd only It Hxture qty total is>g TOTAL f *Minimum permit fee is$72 50•81i,stato surcharge,escepi Residential Backflow Prevention Device,which is 136 25♦B%stste surcharge "All New Commercial Buildings require 2 sets of plans whh Isometric or riser diagram for plan review. imststforms\plm-fees doc 08/29/01 Legal Description for Lot 2 Lot 2 of the proposed Ash Creek Meadows subdivision located in the Southwest 14 of Section 36, Township 1 South, Range 1 West, Willamette Meridian, City of Tigard, Washington County, Oregon, being more particularly described as follows: Beginning at a 2"galvanized iron pipe located on the northerly right-of-way line of S.W. Pfaffle Street, said point being the southwest corner of Lot 1 of Steve& I lughie's Place; thence N001 11'00"E 42.21 feet to a 5/8"iron rod being the true point of beginning; thence N89°47'49"W 116.26 feet to a 5/8"iron rod located on the easterly right-of-way line of S.W. 84"' Avenue; thence along said right-of-way line N00°11'00M 43.01 feet to a 5/8"iron rod; thence departing said right-of-way S89°47'49"C 116.26 feet to a 5/8"iron rod; thence S00°11'00"W 43.01 feet to the true point of beginning. The above described tract of land contains 5000 square feet, more:or less. The basis of bearings for this description is from Survey Number 28457, recorded with the Washington County Surveyor's Office. SEE 35MM ROLL #21 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2001-00501 Date issued: 1015101 Parcel: 1 S136CB-ACM02 Site Address: 11312 SW 84TH AVE MODEL HOME Subdivision: ASH CREEK MEADOWS Block: Lot: 002 Jurisdiction: TIG Zoning: R-7 Remarks: New SF residence (Model Home) Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to oe 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, ATT4 Building Dept. No electrical inspections will be authorized Lentil this completed form is received OWNER: ELECTRICAL CONTRACTOR: ESLINGER BUILDERS DAVID JEROME ELECTRIC 11575 SW PACIFIC HWY. PO BOX 751 PMB160 HILLSBORO, OR 97123 jIGARD, OR 9722 F one #: 503-620-9 15 Phone #: 648-5144 Req #: LIC 36051 SUP 2077s ELE 34-119C AN INK SIGNATURE IS REQUIRED ON THIS FORM X a; Signature of Supery sing Electrician If you have any questions, please call (503) 639-4171, ext. # 310 n Z � � o o v 7 y n � Ca. y °' r � `' R � a � Q co� Sr N � n n � a ^ a o IS 3' x CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received . Date Requested J _- AM___ PM BLIP Location __ l Z - 1 Tt'L-"'L --Suite MEC Contact Person ._ -._ Ph -_ �'{ ( ) — PLM ------- Contractor - - - - - -- -- - Ph(-- —) — SWR -- BUILDING Tenant/Owner - -_ _-_ ELC Footing -- -- Found3tion Access: ELC_ Ftg Drain Crawl Drain ELR !.) - -- --- Slab Inspection Notes.- — SIT _ _- Post&Beam ---- - - - Shear Anchors - ---- Ext Sheath/Shear Int Sheath/0 hear Framing --- - - -- --- Insulation -- - - - - - Drywall Nailing --- -- _ Firewall Fire Sprinkler --- - - --- __ — Fire Alarm Susp'd Ceiling Roof Other: ASS RT FAIL Pos!& B e-a N `- Under Slab -_ Rough-In 4_ Water Service _ Sanitary Sewer Rain Crams ---� Catjh Basin/Manhole Storm Drain — -- --- Shower Pan Other: ---- Final PASS_ PART FAIL ------1--� _MECHANICA_L Post& Beam Hough-In _ Gas Line Smoke Dampers --- _ Final ..__ . 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 Hail Blvd. PASS PART FAIL SITE L�] Please call for rein7,ection RE: Unable to inspect-no access Fire Supply Line -ZADA Approach/Sidewalk Date Inspector � " \ Kx{ _ Other: Final _ - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 SUP Received Date Requested � �~1`��, � __ AM PM� BLIP Location __ ! f 31 Z J 'll Suite_ MEC Contact Person r! _ Ph( ) 3 q '% �' PL1,I Contractor - -- -- ----- Ph ( ) - --- ---- SVvR ----- BUILDING TenantJOwner - ELC Footing FoundationEL Ftg Drain A cess: Crawl Drain a�fJ1 , - ELR ----- -- - - ---- Slab inspection Not:�s. SIT - Post& Beam _ Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation 'j1 Drywall Nailing Q// ��G e�i/�G �S��< .e — Firewall 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:-- -.- --- - - --- -_-- --- -- - - ^-._ ___ SS ART FAIL _ANICAL_— Post& Beam Rough-In --- -- - -- - - _ . ------- -- -- Gas Line Smoke Dampers --�._..----- - - - .-__--- ------ -- Final 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 Hali Blvd. PASS PART FAIL_ SITE Please call for reinspection RE: Unable to inspect-no access ly Li Fire Suppne _ ADA Z _ / — C' f Approach/Sidewalk Date - Inspector Other: _ Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST dG� SDl INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received -- f)ateRequested ,l�' AM PM— BUP Location __ -_�=-__- -_------:--fir—'� I't'L'� Suite MEC Contact Person _ — _ Ph(—) _ PLM Co„t:3ctor - Ph( ) q SWR BUILDING Tenant/Owner ELC Footing Foundation cress: C _. Ftg Drain s�__ 1 ��/ �� �? _ ELR Crawl Drain C - Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �� Framing _F___1___..-_- insulation Drywall Nailing Firewall �^ Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof Other. Final - PASS PART FAIL PLUMBING - Post& Beam Under Slab Rough-In Waver Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain 3nower Pan Other:_ Final -_— - PASS PART FAIL MECHANICAL _ Post&Beam Rough-In Gas Line Smoke Dampers - -- __- Final _PASS PART _FAIL -- - ELECTRICAL Service Rough-In UG/Slab Low VoltageFire Alarm Alarm Final, Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL, 51T LJ Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date .�. _ " �j Ins�1�0t _'_ Ext Other: Final DO NOT REMOVE this Inspection record from the 16b site. PASS t=ART FAIL