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13165 SW FALCON RISE DRIVE i H W H a, Ln z 8 7 H LTJ H G h7 I 13165 SW FALCON RISE DRIVL 0 CITY OF TIGARD BUILDIN(, INSPECTION DIVISION 24-Hour Inspection Linc. 6394175 Business Phone: 6394171 Date Requested: 4 A.M� P.M. _ MST: '.,ocation: S __ B,'P: Tenant: /' y Suitee. Q/Bi MEC: _ Contractor: C• �L�.� C D Q 3 `� / 7 x (/ ,� PI,M: (honer: C / � �'`j _Phone: 0 3 Z EI.R: SIT: _ BUILDING BLDG(con't) _ PLUMBING - MECHANICAL _ LECTWSITE Site Post/Hcam Post/Beari Post/Heam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Linc Slab I-raming Top Out Cas i.ine Rough-In UG Sprinkler Foundation f-'sulation Sewer Ifood/Duct Reconnect Vault Bsmt Damp Drywah Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C Ute Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved approve Approved Appy/Sdxvlk Not Approved Not Approval Not Approved oved Not Approved FINAL FINALFINAL IN.+I.' FINAL - - -3 ° - X14 - 1 o A- Dom - Ln ,��44Q 1 ---- - -- - -._ - s.0 D Call for reinspectirniReinspection fee of S required before nest inspection rA t lnable d•i^aped ' / - Inspector: Z- I Spic � ""Z �� I'akc - of -_ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: ' _�_ /�M• �.� 1'M. _ MST: Location: I ��1 j �� 1''� ------- BUP: / Tenant: 11 Suite: 2 Blddg: MEC. LL Contractor J�AL� one: -2 J` p/q / X P1.M: - "hone: _72 _' 0 G' ELC:— — --- �_ - --- -- L-�--��0— - ELR:— --- _ _ Srr: BUILDING BLDG(con't) PLUMBING (MECHANIC ELECTRICAL SITE Site 1'ost/Beam Post/Braun Pos eam Cover/Service Sewer/Stonn Farting Roof UndFUSlab Rough-In Ceiling Water bine Slab Fnur ing Top Out (gas Line Rough-In I IG Sprinkler Foundation Insulation Sewer Ilmd/Duct Rmoanect Vault l3snrt Damp 1)"all Stomi Lumlice 'temp Servi- MISC. Masonry Ceiling Rain Drain A/C 1)(.Slab Shear/Sheath Fire Spklr/Alm Crawl/Found 1.4 cat Pimp l.ow Volt Appr)ved Approved Approved Approved Appr/Sdwlk Not Approved NO Approved Not Asim ved Not Approved Not Approved FINAL FINAL FINAL FINAL �. 6'4:rrni cry-6r-,,��.�t�v s= 7m_5;0 - ---- ---- -— O Call for mnli D Reinspection fee of S ___required before next inspection 0 Unable to inspect �k Inspector: Datr__-�- Z ' !�_ Page _of _ CITY OF TIGARD ELECTRICAL P7RMIT' DEVELOPMENT SERVICES PERMIT #: ELC98-0244 DATE ISSUED: 05/11/98 '125 SW Hall Blvd., Tigaro,OR 97223 (503)6394171 F'ARCE.L: 1 S 133DC--01400 SITE ADDRESS. . . : 1'316 5 SW FALCON RISE DR SUBDIVISION. . . . :MORNING HILL.. NO. 1 ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . .. . . . :042 JURISDICTION: TIL; Project Description : Installing first branch circuit ___._RF_SIDt�NTIAL. UNIT.-_._.-. ----- 1EMPI SRVC/FEEDERS---•-- ------11ISCELLANEOU3----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 FIUMFI/I RR I GAT I ON. . . . : 0 EACH ADD' L 500SF. . . : 0 c'01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. Hlrl/ SVC/FDR. . : 0 601.+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERV ICE/FEEDER ---•--- ----BRANCH CIRCUITS----- -•-••-ADD' L INSPECTIONS—— 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 -- 400 amp. . . . . . : 0 1st W/O ERVC OR F"DR. : 1 PER HOUR. . . . . . . . . . . : 0 401 -- 600 Limp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -•------------------FLAN REVIEW SECTION----------- ------ 10004- ---- ------ __-_.-1000+ a,*p/v o 1 t. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL— : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: ---______._________......__.__._.______.____________-_---._.____-_-__-.-- FEES PAT WILL?AMS type amoLint by date recpt 13165 SW FALCON RISE DR F'RMT f 35. 00 B 05/11/ 38 98-305630 T I GARD OR 97223 SPCT f 1. '75 B 05/11,'98 98-305630 Phone #: Cont Tact or: GRF EL-ECTItIC $ 36. 75 TOTAL 05460 SE FARAD T SE I.N REQUIRED INSPECTIONS - -- - M1_fL INO JR 9704;' Roy-tgh-in Elect' 1 Final Phone #: 503-829- t4F, Elect' ] Service Reg #. . : 001015 — -�— - This pers:t is issued subject to +�,e regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will he done in accvdanr� with approved plans. This pewit will expire if Mork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Lregon law requires you to follow the rules adopted by the Oregon Utility Notifieption Center. Those rules are set forth in OAR 952-WI-0010 through OAR 952-001-1987. you eav obtain a ccpy of these rules or direct questions to OLK by calling (503)246-1987. F ermit+ ee Gignat itr•n : � _ 1�� - Issv-ied _ --- __ - _ -- --- -- ----- ----OWNEr� INSTALLATION ONL.Y----.-----------•-----•-- --- - The install,ition is being made on property I own which is riot intended for- sale, 111ase, or- rent. OWNER' S S I GNATLIRE. DATE: -._--__-._------CONTRACTOR Ik4STArLATION U 1 brM 1 URE OF SUPR. E:LEC' N: "I\ CtS((ty1 DATE: LICENSE NO: +++++++++++a ++++++++++++++++++++++++++++++•+•+.+•+++++++i++++•4++++++++i+++++++t•+4++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day ++++++++++4•++++++++++++++++++++*++++++++1++++4++++++++++++i 4-+++++++44++++4+4++4 05/10/1998 15:55 5038295747 -IPF ELEi-,TPI,-'. F -4E 1-11 Cr" OF 11GARD Electrical Permit Appllcatlon Pian Check 13125 SW HALL BLVD. Recd Bylf- — TIGARD OR 97223 Dale Redd Date to P.E. Phone (503)639.4171, x304 Dete to DST Inspection (503) 838.4175 Print or Type ne►retM� �-�-� Fax (503)684.7297 Incomplete or Illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Nwros of Development Number of Iftsp*dkm per ptr mh of wood Name(or name of business) � f f �1 92s..+S Service Included: Items Cost Sum Address__1 � 1 Gt) 4e. RoeldentlN-p«unit C iSMle/Il r 2.Z ? 14x10 p.n or lase 8110.00 KY p .) Each Portion Ir d 500•q.h,or Commercial 0 Realdentlal� rnited t ortity _� 1 urnAt.d En.reY sae.fxl Fwh ManuPd Home or Modular OwsMlhg 6srvloa or Fasdar Sea.00 __._ 2 2e. :ontractor installation only: tAltach copy of all c Reit Noon eM 4b.11111"oee or Foodne Electrical Contractor Installation,aheratkr,or relocation 400 tongs or Iso is0.00 2 Address 1201 amps City Statr.. �p_5:2e 401 Brq 10 OM amp $ s $120.00 _ 2 Phone No 901 amps M 1000 Brno$ siw.00 2 Joh No, - Over IOW amW amps or vohs & .00 2 Elec.Cont. Lice. No- _Fxp.Dets _ Reconnect only $80.00 2 OR State^r B Rep. No lot"'% *� 4e,Temporary 8ervlosr or Fewer* COT Burt, ass Tax or Metro No .:tp.DateInstallation,slurstln,,or ralooatlor, 200 amps ur less — M.00 2 _ 201 amps to am amps $75.$100.0 2 Signature of Supr. Elec'n 401 amp•to 900 amps � 1100.00 _ 2 Over 600 amps to 1000 vola. Ucense No 'S Exp.Dots -4y— swe"s"above. Phone No._ _ ail,Branch Circutt* Now,*Rotation or sxtension per panel 2b. For owner Installations: a) rhe lee for branch clrcvtut wfin purchase or eerwor or Print Owner's Namo— meteor tie. AddressEach branch clrcurl $6.00 2 b)The fop tot branch clrruhs c,1ty �_ rip _ UMNW pureft"of Phone No _ serwoa or food a Me. - — First branch nlrouh I E1'+.00 � 2 The Inmallabon is being made on props,rr I own which Is nr.,t Each addltlonal branch circuit 716.00 2 Intandwd for tale,lo"s or rent. w.Mlaoollaner. (Service or IOWA-not kCluded) thmer's Signature _ Each pump or Ire"flon circle $40010 2 Each sips or oumm 110ttlnp 4 "0'00 -- - Y 3. Plan Review section (If required):' Mpol dmM@)or a"n'"'d jferg` panel,allemllon or extension _ W0.00 2 Please check approprenter fee ir.section 50. MInM libels(10) $10000 _ a or mors residential unto In one strut*,,t St.Each addMlonal Inapeotlon nvot _ Service and fewer 276 amp$ry morA e+a allowable In any of lets above System over WV vt f0 nominal Per Insprim"Im - - 51II&G0 Cl-wi llted arse rr ehurture contninInp special omupan y Per hour $65.00 + Be deeatbnd In N.E C.Ch VM S In Ptent 1"00 • SubmR 2 am of pI*n*wRh appllcaJon whets any of the above apply. 5. Fess- Not npulted tot Iemporwy onitaftution aarvloes, 1111a.Enter tol al of oNve sen 5 ,M SutzevugB 106 x IMA)tea%I NOTICE 8u1re4/ s - Bb.Enter 21%of line 6a for VEFJMIT&BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review LEIQLtm1^ 1) 5 NOT COMMENCED WITHIN 100 DAYS,nR IF CONSTRUCTION OR WORK $Ubfvbl IS SUSPENDED OR ABANDONED FOR A PERIOD OF 11110 nAVS AT ANY rWl AOOotent M TIMC AFT!-'M WONK IJ COMrv1CNGCD -- — E ��P rOON belt enc$Due CITY ® F TIGARD MECHANICAI_. DEVELOPMENT SERVICESPERMIT PERMIT #. . . . . . . : MEC98-0171 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/12/98 PARCEL: 1S133DC-01400 ci I TE ADDRE=SS. . . : 1310,`, SW FALCON RISE' DR S'JBDIVISTON. . . . : MORNING HILL IVU. 1 ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :042 JURISDICTION: TIG --------------------------------- CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF• UNIT HEATERS. . : 0 VENT FAKE;. . . : 0 OCCUPANCY GRP. . : R3 VENTS !•!,!'l Ar-*'1-'I_: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BAILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES----_______.__ 0_3 H," , , , 0 DOMES. I NC I N: 0 :GAS ;-1`; HP. . . . 0 COMMI_. I NC I N: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30 -50 HP. . . . : C, WOODSTOVES. . : 0 GAS PRESSURE. . . : 50r HP. . . . : 0 UL.C.I DRYERS. . : 0 NO. OF UNITS------ ---- AIR HANDLING UN I T S I]THE R UNITS. : 0 FURN ( 100K BTU: 0 (= 10000 c f m : 1 GAS OUTLETS. : 0 TURN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Williams install a/c unit Owner: ___ FEES --_..______._._._.._._ 1='Af WIL_LIAME'-•---------_.__-__._._._--_--.--------tYF1e amount by date r•ecpt 13165 SW FALCON RISE DR PRM7 $ 25. 00 JSD 05/1;7-./98 98-305676 TIGARD OR 97223 5PCT f 1. 25 ,JSD 05/ 12/98 98.-.305676 Phone #: 524-80.32 Contractor: -- --------- ------ -----_____-- FIRST CALL MCCALL HEATING R. COOLING 1650 NE LOMBARD f .-6. 25 TOTAL PORTLAND OR 137211-4798 Phone #: 231- 3311. Reg #. . : 1020:30 REQUIRED INSPECTIONS -----.-_ this permit is issued subject t3 the regulations contained in the Cooling Unt Insp Tigard N,micipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with -- approved plays. This permit will expire if work is not started - within IN days of issuance, or if work is suspended for morethan IN days. ATTENTION: Oregon law requires you to follow rules -- adopted by the Oregon Utility Notification Center. Those rules are Set forth in DAR 952-01-4010 through OAR 952-MI-ON. Yo,, may -- obtain copies of these rules or direct questions to fvJ C by calling -- (503)246-9187. - —� ee I S S 1.1 a By : �_ - F'e r m i t t e e S i g n a t i-1 r .++++++++++++++++++++++++++++++++++++F+++++++•4••4•++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next bi_lsiness day ++++++++++++++++++++•4+.++++++++++++++++++++++++.0•+4++++++•1`+++++++++++++++++++++++ Plan Check N CITY OF TIGARD Mechanical Permit Application Rec'd8yt:�t (--, 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. (503) 639-4171, X304 Date to DST Print or Type Permit#,dl J 7? Incomplete or illegible applicaL'r,ns will not be accepted Called Name of Deveiopmen-/Project Descrintlon Table 1A Mechanical Code CITY PRICE AMT Job Strew Addresssudeo A) Permit Fee -0- -0 10.00 Address I ', t«l cc, IT, _ U _ Gaga Cityrsnte Z1p 1 ) Furnace to 100,000 BTU 6.00 J 1 ycc "1-12-2 _11 including darts 3 vents Nie(or name of business) 2.) Furnace 100,000 BTU+ -- 7 50 Owner � w ,\\ n''l 5 including ducts&vents Mailing Addren 3.) Floor Furnace 6.00 including vont _ C ryrsl,te Zip Phone 4.) Suspended heater,wall heater 6.00 5?--bc'_> _or floor mour'ed heater Name(or name of business) L5.) Vent not included in appliance pemirt 3.00 Occupant Mailing Address 6.) Boder or comp,heat pump,air cond. 600 to 3 HP: absorb unit to 100K BUT- 7.)Phone 7.) Boder or comp,heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" Contractor Name 8) B^der or romp,heat pump,air Gond. 1500 F t(' *- C`ca. 1 Y ti� c C r ? 15-30 HP;absorb unit.5.1 mil BTU" Prior to permit Mailing Address 9.) Boder or comp,heat pump,air rend. 1 22.50 issuance.a copy so (v C: �CJ��. �' 30-50 HP:absorb unit 1-1 75md BTU" of all licenses (qMylstate Zlp Phone e,j_t iL4l.,l 10.) Boder or comp,heat pump,air Gond A 3750 are required if ii,,i,I -� \CL t ck c I ( 2-';3- >50 HP;absorb unit 1.75 mil BTU" expired in COT Oregon Const Cont.Board l is K Exp.Dan 11.) Air handling unit to 10,000 CFM 450 database )c., 2 "• ,-X 9 -1 , q2i _ L! Architect Naf1e 13) Non-portable evpporate cooler 450 or Mailing Address 14) Vent fan connected to a single duct 300 Engineer c tristate Zip Pho Is 15) Ventilation system not included in 4.50 _ appliance permit Describe work New O Adaition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50 to be done _Residential O Non-residential O Additional Description of work: 17) Domestic incinerators 750 18.) Commer aal or industrial type 30.00 l _ Indnr,.tor Existing use of 19.) ."- .a:r units ----— 450 budding or property 20) Wood stove 4 50 Proposed use of 21 ) Clothes dyer,etc. 450 budding or property 22) Other units i 450 Type of fuel-oil O natural gas 0 LPG O electric.O 23.) Gas piping one to four outlets2-00 I hereby acknowledge that I have read this application that the 24 1 More than 4-per outlets(each) 50 information givens;Orrect.ti at I am the owner or authorized agent of the owner,that plans submif ed ary in compliance with Oregon State CITY.SUBTOTAL laws ,4c i 1 _J e' -I c ,, 5. SignaNF4 df Owner/Agent Date 'SUBTOTAL ll d�J :;%SURCHARGE Contact Person Name Phots ,(-y PIAN REVILIN 25%OF SUBTOTAL TOTAL i Vnechpmt.doc (rev 9 'Minimum permit fee is S25+5%surcharge —Residential A/C requires site plan showing placement of unit 1 Job Site Plan LZ 0 -� I L U. a Additional Instructions: Refrigeration line size Condensate Pump ❑ Yes ❑ No ( Box New Registers Vibration Pads New Grills Add Return Duct Add Supply Duct - Speci il Needs I .................................................................................................................................... CITYOF T I G A R D MECHANICAL_ PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00553 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/10/03 PARCEL: 1 S 133DC-01400 SITE ADDRESS: 13 165 SW FALCON RISE DR SUBDIVISION: MORNING HILL NO.1 ZONING: R-7 BLOCK: LO1: 042 JURISDICTION: TIC, CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BUILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DUME3. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 5(1 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: I:chlacc h11.1icc. Owner: _ _ FEES SUSAN COUVEAU Description Date �Am,-unt 13165 SW FALCON RISE DR MECII] Permit I cc 9/10103 $72_.50 TIGARU, OR 97223 TAX] 81!;,Statc'ki\ 9 10/03 $5.80 Total $76.30 Phone: 503-235-9083 ---- _ Contractor: SKY HEATING +AIR CONDITIONING 1637 SE NEHALEM PORTLAND,OR 97202 REQUIRED INSPECTIONS _ Mechanical Insp Phone: 235-9083 Final Inspection Reg #: I_IC 50244 This per nit is issued subiect to the regulations .ontained in the Tigard Municipal Code, State of Ore. Specialty Codes and all c ther appli„able laws All work will be done in accordance with approved plans. This permit will expire if work is not starte.' within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: i( �' Ferm':!ee Signature: i to r"/ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Sep 06 03 11 : 36a P. 1 Mechanical Picatioln Itew•re Mechanical DEW/BY' 4 '_ City of Tigard �Q ll l�u'1 Ptannine Aporo•ial euitdiaE Datday: Pe-11, o 13125 SW Hall Blvd ' Plan Review -.- other Tigard,Oregon 97223 ABY T1GPS`0 Pote/By:ie.. Plermit No -�-- Phonc. 503-639-4171 Fax: X11 Internet: WWW.ci.tigard.or V,iOI LDate/By ___-- aseNo.. Contxt Jurie.: Ser Pase 2 f.r 24-hour Inspection Request: 03-639-4175 I NurrlMcthod tnfurnuti.•. T... _I t. h7p PEE-4�Ccr> I, ll'{� ti •.!:�,... i•ts 'd �� ' 1 L,'. • i• , New construction I _LJ Demolition Mechanical perttit fees•ve based m the total value of the work AdditioWaltcrationArc lacelnent Other: performed Indicate the value(rounded to the OGiQest dollar)of:ill CATWiSE-�4 NM mechanical materials,equipment,labor,overhead anti profit. dwcllin C_omr=ciaVlndustrral value: s See P 2 for Fee Schedule 1 &2-Farrul Accessory Building ivlulti-Fane ly — � tloa Master Builder_ Other; _ Fee a. T�w,l _ Heath o11ri -_�- Furnace-add-on air aonditionio •_ _ 14.00 Job site addrgr. 11 n y ! Uas heat pump _ 1400 Suitc At. _ Bid ./A t* Duct work 14.00 PrO ect Name: Hydronic hot water a atcm - -14.00 - titre Directions t0 Ob site: Residential bolltt Cross 1 - (for radiator or bYdronio system) __ 14,00 Uuit heaters(fuel,nor electric) in wall,in-ducrtuTended,etc. 14.00 Flue/vent for an of above 10.00 _ Subdivimon: Lot#, Repair units areal Tax aria / >k t7tLer Fbd A laahr F p - Watty hcatct 10.00 VESC'. Ns4F Gas Aro leee 10.00 ci, Jnu x Flue vent water Itsater/ e r lata _ 10.00 -_ LaX lighter eek_ 10.00 -- - ---- - - Wood/Pe11et stove 0,00 _. Wood fireplacelinsen 10,00 Churmc /lino/flue/vent 10,00 4Y OVeR E�_ "! , 1 f ORlet: 10.00 L) �EoMrotu±esul Eebetett•VwetlLllen Unfit:nee hood/othcr kitchen equipment 10.00 Addiess: 1�r/F.. __RMVI r i Clothes dryer exhaustt ---- - 1000 l CI /State/Zl _ 2 Single duct eAheust - --- Phone-15q6,j ti-ax: (bathtooins,toiler companrrents, i UAMM, -- Q111 _, utih looms) T-- 6.80 Name. `/ Atticicrawl space fans _ 10.00 1 Address- Utha: _ _ _ 10.00 -_-• ----.. � Feiel Piawoe City/Stale/ZipCity/Stale/Zip SS.49 for riret 4 11.00 arch additi'.ael _ Phone: Fax: Furnace etc .. .... '• I - --- - Gas heat putnp _ •• r E-mail: Wall/eu nded/u tit heater — •• - ----- "i Ater beater � - BUS1IIC56 Name:, Fire lace __ •• Address cit%State/Zi ,f1 - � - cgs_ -— •• _ Cltnhea -- Pbone• 7 Fait: aha: •• _._ CCB Lic 0: ' -- Total /� _ M aaae7i Ieat►.emit F _ Signaturkuthonze d -- 7 �r. Date�F�� Subtotal: i — G Minimum Permit •ewe 572.50 S _J M_MH -- - Plan Review fee(25%of t,emur Fee) i _- (Please print narete) Stale Surcharge(8•/r of Pct_nvt Fee S _ TOTAL tf PUMIT FE6 S � - Notice. This permit application capires Its permit Is net ebtaleed wlthis •Pea rnetbudeleV ut by Trtreunh auildi.R ladvstry servlet Bond. use days after It has been act epead as complete, **Site plan reiptlred rut,starter NC unlit. Dit0errrat Fotm%Wer.P"m,utpp doe 01M) CITY OF TIGARD 24.-Hour BUILDING Inspection Lire: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP ---___---.__-- Received —_ _Date Re uested ___. _ AM PM —_ _ BUP ��l rOS- _ 2 Location .�c:A1�t� _ Suite _ ____—_ MEC Contact Person Ph ( -.Z�� PLM _ _ --- Contractor _ _ — Ph(--) SWR BUILDING Tenant/0 r _.____—...--- ___ ---- — ELC Footing ELC Foundation Access Ftg Drain V/ V1��.�✓1. 4YZ ?�/�. ELR - -- — - — Crawl Drain Slab Inspection Notes: SIT Post& Bearn --.-- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Wi1tN o k �.v�_d Framing - -- Insulation rn �,ZH YL nQ��ly rC x —Aat rL�SJGv / / Drywall Nailing Firewall '30 Fire Sprinkler D/ --------------_-�- Firs Alarm Susp'd Ceiling - ---- --- - Roof Other: — Final _ PASS PART FAIL 01 — — PLUMBING- - -- Post&Beam Under Slab Rough-Ir. Water Service - Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain --_- Shower Pen Other: - --- --- _ Final PASS PART FAIL ME_:HANIC_AL - - Post& Beam Rough-In -- - --- - - - -- - - -- -. Gas Line 3 ropers - — ------- Fi PART_ FAIL ----�--- — - ___CTRICAL Service - — — --�- - -- Rough-In — UG/Slab Low Voltage -. Fire Alarm Final Reinspection fee of required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL_ SITE Please call for rein action RE - Unable to inspect-no access Fire Supply Line ADA Pproach/Sidewelk Date Inspector _-_ ---__ - _ - ___ - -- Ext Other: Final DO I4orT REMOVE this Inspecdion record from the job site. PASS PART FAIL