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15156 SW 107TH TERRACE NOTE: t;ml SURVEYORS,IMLL PIN ALL EXTER1 10P �--OUNDATION CORNERS AND PROVIDL SUBMENTMINMAGE 1IEY. Tn N 89047154" E "10 5.22 4 1. PIROW A MAINTAIN d"(min)THICK �1, o GRAM.PAD&DRIVE UNTIL.PE r, EW 29.00' !-AWPETE DRIVE IS IN PUKE. NP q n '0 P 16.00' 2 PROVIDE&WIPVTAIN SOIL SOM ENT V , i =EWE AS INDUTED. Z I1O O EMISSIONS 0 O O I I Lyl O — J © ' 5.00, oo' ----- 0 -7 zD G V_ - 85.3' 14 O r 4.00' O O 7.00' N C _ � 5 ' Cn27.00�-�-.— � 0 �r Tn S 89047'54" W 149.43' � w 0 z SCALE DRAWING LOT 30, ERICKSON HEIGHTS S.E. 1 4 SEC. 10, T.2S., R.1 W., W.M. � r�ir� � �.� CITY OF TIGARD --A 2.5 FOOT LANDSCAPE EASEMENT SHALL WASHINGTON COUNTY, OREGON .s.: EXIST ALONG ALL STRET FRONTAGE. ;N. --A 7.5 FOOT PUBLIC UTILITY EASEMENT NOVEMBER 16, 2000 Centerline Concepts Inc . SHALL EXIST ALONG LANDSCAPE. EASEMENT DRAWN BY: MPW CHECKED BY: WGDIII SCALE 1 "=20' ACCOUNT 115 EMAIL WWW.CCIEMAILCHE\IANET.COM 640 82nd Drive Gladstone, Oregon 97027 M: \MLI\L30ERICK 503 650-0188 fax 503 6550-0189 NOTICE: IF THE PRINT OR TYPE ON /ANY I I I f I I r I ( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I r Ir ._I.L�_�-I I �. �_1.� � LIT. L.�.1_ i 1=r I I I I � I 11 t 11 I I I c III II I I.�L.�_.I Lf. .f I I III III I L I I �1 � r 71 I I I I ' I I I III t �1 I JI��I T� I �1— 7�T1 I I I III III 1 1 1 1 1 1 1 1 I I .�. � IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 I I 8 9 1U IT IS DUE TO THEQUALITY _ - --- -- �--- -- __ _____ __ 11 12 � OFTHE _ No.36 Olai]w ORIGINAL DOCUMENT � - -- --� -- -- - -- - -- - -- I ,, E { 6Z SZ LZ 8Z 5Z i� Z EZ ZZ TZ OZ 6i 8I LI 9T 9T � I ET ZT ii I 6 8 III. flllllllllLIILIIIILIIILIIILIIILIIIIiIILII111111.1, 11116►IIILILIII Illl.,1111.1111 .1111ILIIILII. ILIIILIIILIIilll1111ILII .:1111II11 ILIIIIiIILIIILIIILIIiIIiILIIIIIi llli� Lll LiII. LLIIllllllll I� IIIII�11 ! CTI U) M Sn O S m 1 1 n m 15156 SW 107'x' Terrace ELECTRICAL - CITY OF TIGARD rRE TRI TEDPEN ENERGY DEVELOPMENTDEVELOPMENT SERVICES PERMIT#: ELR2001-00078 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 15156 SW 107TH TERR PARCEL: 2S110DA-06900 SUBDIVISION: ERICK.SON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 030 JURISDICTION: TIG Proiect Description: A. RESIDENTIAL_ B.COMMERCIAL_ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP . X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: RENAISSANCE CUSTOM HOMES GREENLINE INC 16,'2 SW WILLAMETTE FALLS DR PO BOX 230755 WEST LINN, OR 97068 TIGARD, OR 97223 Phone: 503-557-8000 Phone: 968-1978 Reg #: LIC 103033 ELE 34-397CL FEES — Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection PRMT CTR 3/27/01 $75.00 2720010n00 Elect'I Final 5PCT CTR 3/27/01 $6.00 2.7200'10000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by r — Permittee Signature_ 3 Z'TJ ---al ------ -- OWNER INSTALLATION ONLY The installation is being ma on roperty I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: 1_I C E N S E N O --_---.— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: ;L1 b( Permit no.: / dot) MRS City Of Tigard Project/appl.no.: Expire date: 75 Ciryn(Tigard Address: 13125 SW Hall Blvd,"Tigard,OR 97221 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacemeni U Other: U Partial JOB SITE INFORMATIoN , Job address: Wtj ) 'p'� �, g.no.: 131dSuite no.: Tax map/tax Inl/account no.: LaC 30 Block: _ Subdivision: _$OBJ HTS _ -- Project name: Description and location of work on premises: Estimated date of com lesion/ins ction: - - -—SCIIEDULE Job no: I er Max Business arms: L I N Description Qty. (ea.) Total no.insp --- New residential single or multi famih per AW.twddress: — _ dwrllingunit.Includes attached garage. City: State: Z11,111 Senicrinclurkrl: Phone. Fa, . mail: 1000,1 It.cries. 4 Each additional.50() 0(t sy li or portion Iherrol CCD no.: Q',�� Glee, has. tic.no: �+ Limited energy,residcnual 2 City elect Ile,no.: I.iniitedenergy,non-residential 2 ___ Fach manufactured home or modular dwelling i n Sature ol'su rvising eleclNcian(required) bmr &WVService and/orfrvder 2 Sup elect name(pin) I,ccnsr . Sen ices or feeders-Installation, PROPERTY OWNER alteration(it relocation: 200 amps or less 1 2 Name(print): jA�N(, V 201 mnps to 411(1 amps 2 401 amps to 600 amps _ - 2 Mailing address: ful mnpslo 1000 amps - 2 City:YA% L Shue /�,� ZI I' t)vel I OOU amps fir vohs 2 Phone: Fax: I: mail: R , tttnrctnnly --- 1 (Avner installation:The installation is being made on property I own '11 ernporary services or feeders- which is not intended for sale,lease,rent,or exchange according to lastallatlon,allernflon.orrelocation: ORS 447.455,479, 0 I. 201r amps at less _ 2 r+ 201 maps to 40)neap. 2 Owner's signature: Date: 3 401 to 600 nui . ---- 2 Branch carrots.-ora,allrrntion. Name: or estrnsion per panel: ----- — A It v ba hran0h,ircuhs with purchase of Address: _ tees ice or feeder fee,each branch circuit 2 City: _ TStale: AW. n. Fee for branch circuits without purchase Phone: Fax: C-mail: — of service or feeder fee,first branch circuit 2 Fach additional branch circuit Mlsr.(Service or feeder not Inc hide•): U Service over 225 snips-commer:ial U Health care facility Each pump or irrigation circle 2 U Service over 320 amps rating of I&2 U Haaardnris location Fach sign or outline lighting 2 fnndlydwellings IJ Building over 10,(1(10 square feel four or Signal circuits)or n limited energy panel, USystem over o00volt%nominal nnreresidential units inone stmcmre altriation,orexlenslon• 2 U Building over three stones U herders,40(1 amps or snore clkscri lion U t lrcupani load over uu persons U Manufactured%ituctures or NV park Fitch additlonvl Inspection liter the allowable In any of lire above: U ligierts/lightingplan U tither: .submit__sell of plans with any of the above. Invcstiga0nn Oce The above are not applicable to temporary construction service. OtherAla — ---- . Nal all Jurlsdlctlons srcepl credal cards,plrax call Jurisdiction Orn m.m Inftxtnautat NoIICC:11mIS permit application Penni)fee............. ... ..b --- -- U visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $ Crrdit card numher _ L_�_ within I NO dnys after It has been State surcharge(81x) ....$ rsplres accepted as complete. TOTAL, $ Name c o r as w own on ere IIS __ $ C older d/,rwure Amounl Woa.ls(6MICOs11) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit 0- MST2001-00076 Date Issued: 3/12101 Parcel: 2S11 ODA-06900 Site Address: 15156 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 030 Jurisdiction, TIG Zoning: R-3.5 Remarks: New SF detached. 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 company sign below and return 1his 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. RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97068 BEAVERTON, OR 97008 Phone #: 503-557-8000 Phone #: 644-8698 Reg #. I Ir 79666 PI IUB 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X ff40 Signature of Authorized Plu ber If you have any questions, please call (503) 639-4171 , ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #f: MST2001-0007s Date Issued: 3112101 Parcel: 2S110DA-06900 Site Address: 15156 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 030 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. 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: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 503-5�7-8000 Phone #: 503-657-0142 Req #. SUP 6185 LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising EI ctrician If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2001-00349 DATE ISSUED: 08/15/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-06900 SITE ADDRESS: 15156 SW 107TH TERR SUBDIVISION: ERICKSON HEIGHTS ZONING: IG BLOCK: LOT: 030 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PRETRAPS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. — _ FEES _ Owner: Type By Date Amount _Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 08/15/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2..90 27200100000 WEST LINN, OR 97068 — Total $39.15 Phone 1: 503-557-8000 Contractor: — MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED INSPECTIONS Final Inspection Phone 1: 503••630-5532 Reg #: LIC 5973 PLM 11717 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952_-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: --_� �< -- ---- P'rmittee Signature Call (503) 639-4175 by 7:00 P M. for an inspection needed the next business day Plumbing Permit Application Datereceived: e/.:7/0/ Permit no.P�/ ,o City of Tigard • Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 G'iry of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503)598-1960 Date issued: — Byj��-,?61 Receipt no.: Land use approval: Case file no.: Payment type: '11 VPF OF PERMIT U '&2 family dwelling or accessory U Commercial/inclustrial U Mull] lanuly U"fenaw improvement New construction U Addition/alteratioNreplacemem U Food service U Other: Job address: Description Q(Y. heti(ea.) Total Bldg.no.: Suite no.: New I-and 2-family dwellings only: Tax map/tax lot/account no.: (includes 100 ft.for each utility connection) SFR(1)bath Lot: I C• Block: Subdivision: SFR(2)bath -- Project name: L iT, . /r', c C,y SFR(3)bath City/county:" , ,IP: J)") Each additional bath/kitchen --- Descripdon and location of work on premises: SSrr.,,_tif' e[I Siteutilities: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench Footing drain(no.lin, ft.) { r Manufactured home utilities Business name: c: Manholes Address: .L, 7/Y ' Rain drain connector City:Ey ,r.fr.' ZIP: 770 Z 3 Sanitary sewer(no.lin. ft.) i Fax:s'q.11e E-mail Storm sewer(no.lin, ft.) CCB no.:11717 Plumb.bus,reg.no: 5' '73 Water service no. lin. ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve PBack flow rcvcntcr rint name: i !, �• �!,• 1, f);tte 7 ^i v/ Backwater valve UUNTAcr PFRSONBasins/lavatory Name: G ,4,e 717,e,I fLy Clothes wns er Address: ,C ' 7 ? Dishwasher — City: __ yr c StatemC•/� ZIP:a Fez>-� Drinkingfountain(s) -- ---- Ejectorsh,-um Expansion tank Fixture/sewer cap Name(pent): Floor drains/floor sinks/hub ----- Garbage disposal Mailing address �jr & • Hose bib City W T"FFax-, — Stntr. ZIP: - Ph. E-mail: — Ice maker - — Interce tor/ rease trap Owner installutiunhesidential maintenance only: The actual installation Primer(s) -- wilt be made by m601c ,ntenance and repair made by my regular Roof rain(commercia) employee on the pI w m pe'r ORS Chapter 447. Sin (s), asin(s), ays(s) Owner's si sutureDate: r� Sump Tubs/shower/shower pan Name: urinal ----- Water closet Address: Wntcr heater City: Stuw: LIP: - Other: Phone: Fax. rnail: Tote Nd all luriubcdonr accept credit canis,please call Juridfeuan roe mart Infewmnlon. Minimum fee................$ _r t Ll Vivo C]MasteMasterCardterd Notice:This permit application plan review(at — %) $ Credit card number: ' / expires if a permit is not obtained — — e� within 180 days atter it has been State surcharge(819) ....$ --Nsmeofc,r n ater rshuwnoncfrcar TOTAL accepted ascomplele. • •••••••••••••••••• •• - Cardholder el Mute -- — -- Amarum - 440J616(60YCOM) CITY OF T I G A R D _ MASTER PERMIT PERMIT#: MST2001-00076 DEVELOPMENT SERVICES DATE ISSUED: 3/12/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15156 SW 107'TH TERR PARCEL: 2S110DA-06900 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:030 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,450 of BASEMENT: 99500 at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,427 of GARAGE: 774 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: of RIGHT: 5 VALUE: $751.724 00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 2,87700 of REAR: 85 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: too SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: too BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN-100K: BOIL/CMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN>-100K: 1 UNIT HEATERS: HOODS 1 OTHER UNITS: I MAX INP: blu FLOOR FURNANCE&. VENTS. 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 9F OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 5009F: 8 201 400 amp: 201 400 amp: ISI WIO SVC/FDR: 00 51GNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 900 amp: 401 600 amp: EA ADDL OR CIR: SIGNAL.IPANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 801-amps-1000v: MINOR LABEL: 1000♦amplvolt: PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVC/F'DR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•REST RIOTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SY91 EM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMiPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,849.61 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit Is subject to the regulations contained in the 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code, State o k w Specialty Codes and WEST LINN,OR 97068 WEST LINN,OR 97068 all other applicable laws All work will be done it accordance with approved plans. This permit will expired 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 Rag N: LIC 049955 forth in OAR 952-001-0010 through 952001-0080 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 Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Incl Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Fireplace Insp Water Line Insp Final inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Line Insp Appr/Sdwlk Insp Building Final Issued By : -��'__ - Permittee Signature -------- Call (503) 39-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00042 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/12/01 SITE ADDRESS; 15156 SW 107TH TERR PARCEL: 2S110DA-06900 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3 5 _--_ BLOCK: LOT: 03 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 for new SF detached dwelling Owner: -- _ -- --- FEES RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR Type By Date Amount Receipt WEST LINN, OR 97068 PRMT CTR 3/12/01 $2,300.00 27200100000 INSP CTR 3/12/01 $35 00 27200100000 Phone: 503-557-8000 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 OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issued by: Permittee Signature: _""-- Call (503)1639-4175 by 7:00 P.M. for an inspection needed the next business day J Ills Building Permit Application City Of Tigard Uatereceived: � ,�. �►/ Permit no.: 72 _Q 0 G � CiryojTigurJ Address: 13125 SW 1 fall Blvd,Tigard,OR 97223 Projecdapf.l.no.: Expire date: aQ� Phone:(tone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598-1960 Case file no.: - Paymenttype: Land use approval: 1&2 family:Simple Complex: TYPE OF I &2 family dwelling or accessory U Commercial/industhal U Multi-family )<New construction U Demolition U Add itiun/alteration/replacement U'fenant improvement U Fire sprinkler/alarm U Other. JOB SITE INFORMATION Job address: / 5W 10 1 Bldg,no.: Suite no.-. LOL' Q !!hick: Suhdivision: Kof f-M WANTS __]Tax maphax loUaccount no.�,2S//6)09 �Y�v Description and location of work on ply nr,es/special conditions: GD�6 11e�—`.�jtal•�i.� �_ - Natne: 99NA1*AW41mGi1s E 11 1 Mailing addres�, W11 {.v0 1 &2 fondly dwelling: --- II CityL titate: ZIP: IVVuluatiun of workT. .... A...7.` ....�......... 1 __ 1'hunc: lax f -m nil: No.of hedrooms/baths......... ......... Owner's representative: — _ + p Total number of doors................ Z Thune: F i{ nsril: New dwelling area(sq,ft.) ....... Z • Garage/carport area(sq.ft.)........7.7.1.... Name: Covered porch area(sq.ft.) ......................... Deck area(s Mailing address: y.ft.).................. ..................... City: r State: 7_I P: _-�--- Other structure area(sq. ft.). _-- -_._—_ Phone - -- I:Yx -- F.-mail: ('outtnereial/ludustrial/multi fmi its: Valuation of,work _ _tt ) _ Business sans•: Existing bldg.urea t,,ll i .......•.. . . ---- -- —Address: A New bldg.area tsq.ft.) - - - --- Number of sll(ries.............. ..... ........ .. IMCity: tiuue: 7.11': 'Type ofconstruction.............. CCB no.: F lwu►e: Fax: F mall Occupancy group(s); Existing: _ --- --- — — New: _ Cityhntau Iii a Notice:All contractors and subcontractors are required to be r licensed with die Oregon Construction Contractors Board under Nunnr U.Air U 1+95MArf provisions of ORS 701 and may be required to be licensed In the 1 Address: Q tilir -- jurisdiction where work is being performed. It the applicant is exempt from licensing,the following reason applies: Contact person: flan no -- ---- -- ------ — Phone- 1 Fax; 11,1d will .40110a� _—.—_--- — Nance: 05 _ Contact pc•r:,,nI- � �/ Fees due ulton application ........................... $ Address: 1,1 ;6w 4X Date received: City: 'FWD State /.II' 4120 Amount received ......................................... $ _ Phone , j �_- haaQ'l,6a li-m1u1 �- - Please refer to fee schedule. - I hereby certify I have read and exanuued this applicauun and the Not all juitodu-lions.aep ctedit cards,plasm call Jurisdiction for mote inlornu ion. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied w' i, nether specified herein or not I� Ctedtl raid number. _--_.-_ -- f/ O' t'.XtlYr e9 Authorirrd til'nahlrC Date: _Nurse of e&—,dholder u shown on credit card Print Warne: - I -- Cudholder dgnalure - -.. $ Amount _ Notice:'Phis permit application expires it a pemtir is not obtained ssithin I HU days atter it has been accepted as complete. 440143 t~'OM) k McchanicaI Ycr.mitApplication City of Tigard Datereceived: Pennitno.:/ySn�G,_ Address: 13125 SW Nall Blvd,Tigard,OR 97223 Prglect/appl.no.: f:xpiredate: City of Tigard g _ Phone: (503) 639-4171 Date issued: tiy: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval' -- -__- - -- - y-- Building permit no. — -- t �I do 2 family dwelling or accessory 0 Commercial/tndusiriid 0 Multi-fancily U Tenant improvement XNew construction U Addition/all-ration/replacement U Other: -1101111 SITE,INFORMATION' k II Job address: /$/ j(p d 5 1O1 _ 15L Indicate equipment quantities in boxes belu�%. Indicate tJrc dollar Bldg.no.: Suite no.: e value of all mechanical materials,equipment,labor,overhead, Tux map/tax lot/account no.: profit. Value$ L.ut: 3 0 —TBlock: Subdivision� +See checklist for important application information and Project name: jurisdiction's fee schedule for residential hrrnlil fee•. City/county ZIP: '� t Description and location of work on premises: ve(ea.) "lural Est.date ol'contpletiutt/inspection: Dr.criptiun i Tenant improvement or change of use: AC: Is existing space heated or conditioned'?U Yes U No -Air handlin g uint CPM Is exfstint N11&-c• insulated?0 Yes U No kircon it oning(site1)an require )MECHANICAL (11INTRWIFOR — --- 4lteratiou o exlsting H AC system [ioi er compressors -- Husincss name LLaL�n.1� State boiler permit no.: Addrr.v,: 21 5,rG �1��1�L,- HP ____-Tons_.-___HTU/H - -- — -ir smoke 1111:11111'1 uctsmu ece�ectors City:�}) State: Z1P�� Z, eat pump(s to p an required)-- — _-- PhollZ Z I"ax: E-mail: nstu repacefuriac burner--BTUIIT — CCB 111 10 -- Including ductworkhent liner U Yes U No City/metro lic.no,: lista I/replace/relocuteheate)s-suspen e , — wall,lir flour mounted Nance(please print): clic fur u,)liancc lit)cr th;uiYurnace e geral on: Absorption unite___ BTU/H Nurse: �E(�-- Chillers Address: Cnmncssors City: — State: ZIN: ar ronucenta exhausl and senlilation: Appliance vent Myerex aunt — Hoods,Type /res.kltchet hn�mat -- !_y.� hood fire suppression system Name: �1� I:""au'l f an with single duct(hull)fans) :x taust s stem apart from heatin,or city: N/ — �, N _ titatc l.II': _ d ue piping act sir ut on(up to outlets T'ypc ---,._ITU ___ NO Oil I bun !a I ni.til — 'I ue it,ui•r• ac)ad inulin over out els r I y 'rocess Piping(sc ollatic required) Nat le: G Numhertic uullets -- a _Address: 2, �?W _ -- t er Istee pp anee or rqu ptneat Uea:rativr fireplace City: - p State nnserl--type _ Thune I.t I. 1114111. on slave/pe el slave Applicant's signature hate: '�,. Z I Uther: O •_x, - ------ I ter ` Name (print): Not all)urisdicuunt accept credo cnida, Irate call utiadl Wn In lar Haar Infunrwtiuu P ) PCrlllll fee.....................$ U Visa U kfastet('ard Notice. I his permit application -- �lnurevie fee................$ ----- -- e redlt cmd number. _ expires if a pcnnit is not nhtnined _ ---- _1 within 180 Jays litter it has been Hall review(at _— 76) $ _ — aNwue uC caitlliulJrr u►hewn on creTii chi accepted as complete. State surcharge(8%)....$ --------- __ TOTAL ....................... r'udhuWrr tt'goaiurr --Amount- $ —� 440 4017(bllU('oAt) e. ti Plumbing Permit Application Datereceived: '7 �2 d / Per--- Address: 7200 Q City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cityof'l'igard phone: (503) 639-4171 Pr'oject/appl.no.: Expire date: Fax: (503) 59$-1960 Date issued - _ By: Receipt no.: Land use approval: - Ca., illc illno — Paymern type:-- &2 family dwelling or accessory U Cununeicial/indusuial -1 Multi-family C3Tenant improvement ew construction U Addition/alteration/replacement U Food servic, U Other; Job address: $15,;, SW (p_L 7 Description Ql fee(ea.) Total Bldg.no.: Suite no.: — New I-and 2-family dwellings only: Tax nmap/tax lot/accuunt no.: - --- (includes 100 ft.foreachutifftyconnection) SFR(1)bath l V [� Block: Subdivision: SFR(2)bath - - Project name: F. VISAJSFR(3)bath City/county: _QZIP: Z - Each additional batlm/kitchen Description and location of work un premises:. sheutilities: r`GNS�'� 51N1 'I L �(�Y _ Catch basin/area drain Est.date of cumpletionlinspection: Drywells/leach line/trench drain— PLUMBING 1 111 Footing drain(no.lin.ft.) G Manufactured home utilities -- Business name: ` FTwa' _- Manholes — Address: kain drain connector City _State: ZIP: 41 � Sanitary sewer(no.lin.ft.) — Phone: - - fax E-mail: Stumm sewer(no,lin.ft.) CCB no.: ft,) - �(�(�(O Plumb.bus.reg.no: �„Q.•�4— b Water service(no.lin. City/metro lic.no.: - fixture or Item Contractor's representative signature: - Absorption valve Print natne: Buck Iluw preventer Backwater valve. 1 1 Basins/lavatory Narne: P��• E rLl U Clothes washer "— Address: - _Dishwasher fuurnain(s) City: _ ---�State: I ZIP: — DrinkinE'ectors/su up -- Phone: I . E-mail: Expansion tank -- 1 Fixture/sewer cap Name(print): _ Floor drains/floor sinks/hub -- Mailing address: (�L� H w ose y > hr H Garbage disposal M _- Hose bibb ` aty.wmyWfV_ _ State: Zll'_ Q Ice maker —_— - - -- — Phone: Fa _ E-mail: 1nierceptor/-grease trap Owner insunllatiul>'residential maintenance only: The actual installation _Pnmrr(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) - employee on the pro own as per ORS Chapter 447. —,Sink(s), lays(s) owner's signature. Dale: i&471 _ Suin. - Tubs/shower/shower pan Name: 46A Urinal — - ,lddress: Water closet �- 1 �_— --- - Water healer _- t'n5: - Stale: _ ZIP: — - -- G�� O 01 I'hun ha L-mail: Total No all jurislidions accept credit coda,please call jurisdiction for nate information Noticr.:'1'hds permit appldcauun Mlnlmunl fee................$ U visa U MusteK'ud expires if a permit is not obtained Plan review(at __ %) $ --.. t'redit cud nmmrber State surcharge 8% within IR0 days atter it h as been ( )••••$ --- xp+1°0 UOTAL . --'_ accepted Idr. ••••••••••••••••••••••$ N°rne of cumlholder u°howu on etedil entad p p -- _._ $ CuAholdet°ianerure Around 410I616(MKYCOM) Electrical Permit Application .+. _------�--�-- City Of Tigard Date received: _ permit no,: I'roject/appl.no.: Expire date: City oj7'jburd Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 ET 17"m .(l &2 family dwelling or accessory U Cummercial1industrial U Multi-family U Tenant improvement ,�lew construction U AtlditiutJalteraliun/replace nu'rtt U Other- U Partied t t 1 Jobaddress: /to � SWI -�"'I_ ��� Bldg, no.: Su,t,_• nn.: f,tx map/tax lot/account no.: Lot: BSubdivision: `-- — _ - _-�t�_. I- 0.lGk�. ►J1�J� - Project name: - Description and location of work on premises: �J� FhyH 1 L1/ Estimated date of compleuon/mspection: ---r-�-- -- MME Job nu: �Ji�.ry Mux Business numC Fee _ --syC Y11E�G Desert rtion Q1 . ea. Iwal It().imp Address: New n-sideolial-single ur oadti darrdly I;r ��-- 41"ellnrng unit.Includes attached gurage. City: GLAW--_ State:QK LII':- 10145" 5enkehlcluded: Phone: Z 1 tax •503 F-mail: 1000 sq.fl.or less _ 4 CCB no.: 0 Elec,bus. lie.no: &I Fach additional 500 sq.ft.or Portion thereof -- City/metro lic.no.: limitedenergy,residential 2 - Limitedenergy,00n residcntiul 2 Such manufactured home or nodular dwelling Signature of su ervisin electrician re.un,di "- -' - B P C �-t _1 _-_-- _ l)_atc Service and/or fcuder I Sup.elect.mourn(print) I.iccnsc cur. Servlcesorfeeden-hutallalion, 1PERTV OWNER alteration or relocation: 'J 200 amps or less 2 Name(print): RNA ls� A E S 201 amps to 400 amps 2 Mailing address 40l amps to boo amps 2 - AY.11. 001 amps to I0(x1 art s 2 City: W66T Slate:AM ZIP Q quer I000m�psurv�ils 2 Pleuro. I�u• li-mail: fteronnecrcnl �----- -- I Owren installation:The installation is being made on property I own 7•empuraryservicesorfeedem- which is not intended for sale, lease,rent,or exchange according to Inslallwuun,alterrtiuu,urrclucatlou: ORS 447,455,479, 7H 1. 20o urnps or less — -- 201 urnps lo 400 urnps 2 (hvnrr'r, siEltahu, �-�._.---- I�tnZ �r �� ---- - -- 2 _- 401 it)600 all u -2 — Branch clrcuhs-oen,aheralion, Name: ur extension per panel: -� A 1•ee lin brunch cucuits with purchase of %'22S., service or feeder fee,each branch circuit 2 ole�.- ZIP: . Fee for hrench circuits without purehase 1 mad: of service or feeder fee,lust branch circuit: 2 Each additional branch circuit: PLAN REVIEW(fleasie check all flint appisi) Mbc.(Service or feeder not Included): U Service oven::S U Health care t'ucnloy h.uch amu un irrigation circle 2 U Service over 320 amps-raiing of 1&2 U Harardouslocauun tiurh sign ur uutlimr h bring 2 fundly dwellings U Building over 10,()01)s(Iu:ue feet four or Signal circuil(s)or it limited energy panel, U System overmX)volts nominal more residential outs in(site structure alteration,or extension* 2 U Buildinguverthreestories U Feeders.400 amps or more •1)esrn tiau U Egrass/lightin(pion U tkc d neer 4U persons O Manufactured-structures or kV pork Emelt addillunal hispeellun U Other: over the allowable In eery of etre drove: vs/li loa - - I•erinspection tiubmir %els of plans Willi any orthe above. Investigatiunfee The above are not applicable to temporary construe lion service. Other -— Nun VI jmirdlcnonr acerin eredin cards,pleau call juor llcilun 1'ur roue intunnmiun. Notice:This pennit application Permit fee...... ..............$ _ U Visa U Maslerc'urd expires if u permit is not obtained Plan review(at _ %) credit card number: _-_ _ A ihL within I Ho days alter it has been Slate surcharge(8%) ....$ _ ~� one o car older As r own on cre it card accepted as cougdete. 1'U'I'AI. .......................$ _ _S l'ardhkruldslgnaturt --'�' Amuum-- 4Jnl4hl>(611MICOM) SEE- 35MM ROLL # 21 FOR RSIZE - OVr--� DOCUMENT COPY �r��,► tit. AFTER RECORDING RETURN TO: Erickson Heights LLC 1672 Willamette Falls Drive West Linn, OR 97068 DECLARATION OF PRIVATE STORM DRAINAGE EASEMENT Recitals A. "Declarant" means: Erickson Heights LLC, an Oregon limited liability company B Properties (collectively referred to as the"Properties"). (i) Declarant is owner of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEIGHTS, in the City of Tigard, Washington County, Oregon. C. Easement (collectively referred to as" the Easements") (i) "Easement" means a private storm drainage easement over, under and across that portion of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEIGHTS, in the City of Tigard, Washington County, Oregon, as described on Exhibit"A" attached, for the benefit of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEIGHTS. D Purpose The purpose of this Declaration is to provide for the installation, use and maintenance of a private storm drainage easement over, under and across that portion of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEI(;HTS, in the City of Tigard, Washington County, Oregon, as described on Exhibit "A" attached, for the benefit of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEIGHTS, DECLARATION I Grant and Declaration of Easement Declarant as c,wner of the properties, grants and declares that the Properties are, and shall be, held and conveyed together with and subject to the Easement and the previsions ofthis Declaration. 2. Duration of Easements Tile Easement is and shall be a permanent, private storm drainage easement over, under and across that portion of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 31, ERICKSON HEIGHTS, in the City of Tigard, Washington County, Oregon, as described on Exhibit "A" attached, for the benefit of Lots 20, 21, 22, 23, 25, 26, 27, 28, 29, 30 & 3l, ERICKSON HEIGHTS. 3. Maintenance. The individual owners of each lot that this Easement affects, their successors, heirs or assigns, shall be responsible for the maintenance of those portions of the storm drainage facilities that are situated upon their lot. 4. Additional Provisions. Any person who enjoys the benefits of the Easement is responsible for damage to the servient parcel arising from negligence or abnormal use of the Easement and shall repair such damage and restore the affected property at the responsible person's sole expense. 5. Future Ownership. This Declaration shall run with, benefit and burden the properties and shall benefit and bind the owners of the Properties and their respective successors in interest. 6 Attorney's Fees. In the event of action, arbitration, litigation or appeal to enforce any provision of this Agreement, the prevailing party shall be entitled to reasonable attorney fees and court cost. Dated this (a -4 day of -5� X4_2001. Erickson Heights LLC regon limited liability company By: andal S. 5e astian, member STATE OF OREGON, County of _ _)ss. The foregoing instrument was acknowledged before me this day of , 2001, By Randal S. Sebastian, member, Erickson Heights LI.C, an Oregon limited liability company, on behalf of the limited liability company. Notary Public for Oregon My Conuttission Expires: EXHIBIT "A" LEGAL DESCRIPTION FOR PRIVATE STORM DRAINAGE EASEMENT AFFECTING LOTS 2.0 THROUGH 2.3, AND 25 THROUGH 32, ERICKSON HEIGHTS, IN THE CITY OF TIGARD, WASHINGTON COUNTY, OREGON January 2, 2001 The purpose of this eisement is to provide for the installation, use and maintenance of private storm drainage facilities for the common benefit of Lots 2.0 through 23, and 25 through 31 , of the duly recorded "ERICKSON HEIGHTS" subdivision. The individual owners of each lot, their successors, heirs or assigns shall be responsible for the maintenance of those portions of the storm drainage facilities that are situated upon their lot. The specific location of the easement is described as follows: LOT 20, THE WEST 7 50' FEET LOT 21, THE WEST 7.50' FEET. LOT 22, THE WEST 7.50' FEET LOT 23, THE WEST 7 50' FEET LOT 25, THE WEST 7.50' FEET LOT 26, THE EAST 7.50' FEET. LOT 27, THE EAST 7 50' FEET LOT 28, THE EAST 7.50' FEET LOT 29, THE EAST 7 50' FEET LOT 30, THE EAST 7 50' FEET LOT 31 , THE EAST 7 50' FEET A&MS—McMONAGLE ASSOCIATES, INC. N ���—�lB� 'A' ENC.NEE.RS--SURVEYORS 12555 S.W. HALL BLVD. nGARD. OR 97223-6287 DECEMBER 29, 2000 PHONE. (503) E-39-3453 W E SCALE FAY: (503) 639-1232 1"=50' c 32 — — -- — —� 34 s 35 19 I EXISTING 10' PRIVATE STORM g I DRAINAGE EASEMENT PER PLAT �( I o NOTE 7 FOR THE BENEFIT OF LOT 34. ADDITIONAL USE ADDED FOR LOTS 32 do 33 r EXISTING 1O' PRIVATE STORM 31 15' I DRAINAGE EASEMENT PER PLAT l —1 I- NOTE 7 FOR THE BENEFIT OF LOT 35 20 --1 �7.50' 30 —}- --7.50' I I 21 -- I -- - ---- -_.� Z E In W" Ixw(J) 29 I�`r'o � 7 rl-,n o a �— — 22 W G �� w 0 "cn Imo— Q `� 28 I aC) -- ---------------- -------��- 7.50' 23 I F- f=- 15' PRIVATE STORM -- DRAINAGE EASEMENT 15'--1 O I-- W 27 so• T----- i Q 12.50' PRIVATE STORM -��y 2 uj DRAINAGE EASEMENT 12.50' PRIVATE STORM �S DRAINAGE EASEMENT �� 1 25 24 26 �so� I ---s.oo' I 12.50t-- - -- -- S.W. KABLE, ST. - k.AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAA 7 OF .4 Dill I► C CL m rn ` �� i. tA b-. I m > > ° a ► ► 11-1111 r» 04 Poo. � b 44 1 4 ► 4 n N O _ � g o• I � � a N 7i W� Er Zz � O J c A 3 CITY OF TIGARD BUILDING INSPECTION DIVISION �, 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST `� ��� 0.7 BUP --Date Requested AM _PM _ -- BLD Location / �' / -��, Suite MEC Contact Person t Ph V44 �r 3/n Z pLM Contractor _ Ph _ _- _ _ SWR BUILDING , Tenant/Owner ELC Retaining Wall - Footing ELR Foundation Access: ---- Ftg Drain FPS _ Crawl Drain Inspection Notes. SGN Slab Post& Beam SIT Ext Sheath/Shear -- Int Sheath/Shear Framing ----- Insulation Drywall Nailing T` Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PASS P ART FAIL - ---- -- PLUMBING Post 8 Beam - - Under Slab Top Out Water Service - - Sanitary Sewer - - Rain Drains Final ------ PASS PART FAIL MECHANICAL _ — Post & Beam Rough In Gas Line Smoke Dampers na Sq� PART FAIL L TRICAL Service Rough In - UG/Slab l_ow Voltage - Fire Alarm Final -- PASS PART FAIL SITE --- - - Backfill/Urading -- _ Sanitary Sewer Storm Drain I ]Reinspection fee of$ —required before next inspection, Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line I ]Please call for reinspection RE: ADA - [ ]Unable to inspect no access Approach/Sidewalk Other Date //— �- C/ InspectorFin __ _ Ext PASS PARI rArt DO NOT REMOVE this inspection record from the Job site. I CITY OF TIGARD BIIILDING INSPECTION DIVISION MST --60070 24-Hour Inspection Line: b_ .-41 Business Line: 639 71 BLIP Date Requested 17 j _AM PM BLD / ':- ( ` .G�L L- Suite MEC Location "G _ T - Contact Person �C c_'�.1��' _ Ph �l �' �I —Z S'11 PLM Contractor _ Ph SWR BUILDING Tenant/Owner _- ELC Retaining Wall ELR Footing A.cess: Foundation FPS Ftg Drain _ SGN Crawl Drain Inspection Notes: --� Stab SIT Post& Beam Ext Sheath/Shear —_.-_-�_ Int Sheath/Shear Framing _-- Insulation Drywall Nailing Firewall Fire Sprinkler - ----- --- ---- —- - ------ Fire Alarm Susp'd Ceiling ___-- -----------�__..____-- Roof Misc:__ — - --- -- - Final - -_— PASS PART FAIL _ PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Ral►1_ rains - - - _- -- ma rASS PART FAIT_ MECHANICAL Post 8 Ncani - -- __--- --- _ - - -- ----_..-- Rough In Gas Line -- -- --- Smoke Dampei Final - -- - - - 1C53-"MR[ FAIL ELECTRICAL - - Service Rough In UG/Slab Low Voltage DL96A,Iarm -- --- - ---- F' SS ART FAIL - - - - - Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ [Please call for reinspection RE: e3 [ [Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date / _ Inspector e-41,::PLL /C47 Ext Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILC"'r INSPECTION DIVISION 24-Hour Inspection Line: 639-411 a Business Line: 639-4171 MST Zz)T/ —er)6 BIiP Date Requested c, ! AM PM _ BLD I-ocation 7t �, F.Z Suite — MEC _ Contact Person - Ph PLM —� — Contractor_ Ph f SWR BUILnING Tenant/Owner ELC Retaining Wall --- Footing A ss. �_. ELR __—_---- ----- Foundation FPS Fig Drain r^/ C/r ticti N -eJs (1fC . ----- — Crawl Drain Inspection Notes -' SGN Slab — _---- -- -- Post& Beam -- —�---- --- SIT Ext Sheath/Shear _---_ _---_----^- Int Sheath/Shear - -- Framing ­7Insulation - , r✓,�-� � � �� Drywall Nailing Firewall - — -_ Fire Sprinkler Fire Alarm - --- -- Susp'd Ceiling Roof - -- Misc: Final - _— ------- - - PASS PART FAIL -----._.,..-- PLUMBIN_G - Post& Beam --- ---- __ Under Slab Top Out --- ---- ---- --- Water Service - - Sanitary Sewer --- - Rain Drains PPAS > PART FAIL HANICAL --- ------ -- - - Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL — ELECTRICAL _ Service Rough In — UG/Slab Low Voltage -- Fire Alarm Final - PASS PART FAIL SITE Backfill/Grading -- --- _ Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Sidewalk 17 _ Other Date _ _Il"_.Q L. Inspector /� r` rG p �� ��----�'v Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.