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14117 SW FANNO CREEK PLACE J y 1 n s r i I 14117 SW FANNO CRELK PL _ j CITY OF TIGARD MASTER PERMIT PERMIT#: MST2003-00557 DEVELOPMENT SERVICES DATE ISSUED: 3/8!04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 14117 SW FANNO CREEK PL PARCEL: 2S1121313-11700 SUBDIVISION: COLONY CREEK ESTATES NOA ZONING: R-7 BLOCK: LOT: u'17 JURISDICTION: TIG REMARKS: 132tt. loft. BUILDING REISSUE: CUSTOM STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT FIRST: of BASEMENT st� LEFT: SMOKE DETECTORS. r TYPE.OF USE: SF FLOOR LOAD. 40 SECOND: 120 of GARAGE: st FRONT. PARIUNG SPACES TYPE OF CONST: 5.1HR DWELLING UNITS: 1 1HRD of RIGHT: OCCUPANCY GRP: RJ BDRM. BATH: TOTAL: 120 wt VAL'JE: 6.00000 REAR: _ PLUMB NO SINKS: WATER Cl OSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DP:,M TRAPS: LAVATORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES. SF RAIN GRAINS CATCH BASINS: TUe/S TOWERS: GARBAGE DISP WATER HEATFRb WATER LINES: BCKFLW PRE.VNTW GREASE TRAPS: OTHER FIXTURES: MECHANICAL- _ r-UEI 'TYPES FURN 100K BOIL/CMP.3HP` VENT FANS: CLOTHES DRYER: FURN>=100K- UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEErjER TEMP SRVCIF,:EDERS BRANCH CIRCUITS MISCELLANEOUS ADD'I.INSPECTIONS 1000 Sr OR t ESS. 0 200 amp 0 - 200 amp W/SVr.OR FOR PUMMIRRIGATION- PER INSPECTION: EA ADDA 5005F 201 - 400 anp 201 400 amp 1 at WK]SVC/F nR SIGNIOUT LIN LT PER HOUR LIMITED ENERGY 401 - 600 amp: 401 E00 mp CAADDL BR CIR SIGNAL/PANEL. IN PLANT. MANU HMISVCIFDR 601 1000 amp: E01+mps-1000,. MINOR LABEL 1000•amplvult PLAN REVIEW SECTION Reconne-t only: >-4 RES UNITS: SVCIFDR>x225 A.: >600 V NOMCIAL CLS AREAISPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARM OTH. BOILER: HVAC: I ANDSCAPEIIRRIG. PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL. OTHR. HVAC. DATArTELE COMM: NURSE CALLS. TOTAL a SYSTEMS. Owner: Contractor: TOTAL FEES: $ 232.34 MURRAY,THOMAS J +AMY J ACCOUNI.�BLE REMODELERS 'his permit is subject to the regulations contained in the 14117 SW FANNO CREEK PL PO BOX Tigard Municipal Code,State OR. Specialty Codes and TIGARD,OR 97224 NEWBERG,OR 97132 all other applicable laws. All woo rk will be done i accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone- Phone: 501_518-9971 Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through 952-001 0080. You Ren N I Il 1•t th„ may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Footing Insp Electrical Rough In Framing insp Elec ' ,Pfnal inspection \Issued By : _ , _ Permittee Signature Call (503)1(39-4175 by 7:00 p.m. for an inspection needed the rext business day Building- arm t AiDiDlicationReceived : Building Date/B CPermit No. City of Tigard Planning Ap royal Other7 -- Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No: Phone: 503-639-A171 Fax: 503-598-1960 Post-Revie`� / �,Q� Land Use Date/By: o'4Z(F'_� J��b Case No. _ Iniciliet: wWw.ci.tigard.or.us Contact ld J See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method SuJihlemental I,Ifortnation TYPE OF WORK REQUIRED DATA: New construction I Demolition I &2 FAMILY DWELLING Addition/alteration/replacement I Other: ---- CATEGORY OF CONSTRUCTION Note Permit Ices•are based on the total value of the Hork performed. Indicate I & 2-Family dwelling, (Iommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accesso Building Multi-Famil Master Builder _ Other: valuation........................................................ $ �1 JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address:141117 � F4_ nn ,� Total number of floors.........:..::.....::.ai11.,;..... New dwelling area(sq.ft.) Suite#: Bldg./Apt.#: Garage/carport area(sq. ft,) .......... Project Name: L,� `f -_ Covered porch area(sq. ft.)............................ Cross street/Directions to job site: Deck area(sq.A.)............................................ --- — Other structure area(sq.fl 1 ....................... REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: _ Lot#: — Tax map/parcel #: Note: Permit fees'are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit fir the work indicated on th!s application. 13 C Valuation................................ ........................ s_- - — Existing building area(sq.ft.)..................... ... New building area(sq.ft.)....................I....... ... _ Number of stories............................................ ROPERTY OWNER TENANT Type of construction............I.......................... Nalne ©yn k4e2g Occupancy group(s): Existing:New. y/L Address: 'O 4;' --�� / 7 City/State/Zip: �' 2D 2 C92 1A q __ Phone: Fax; NOTICE: All contractors and subcontractors are required to be PPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: CCptt► f Hta f l�' S jurisdiction where work is being perfomed. If the applicant is exempt Contact Name: IL —_ from licensing,the following reason applies Address: -- Ci— ty/State/Zi : .,y ---- Phone: ;5 319 -y9 t* Fax- 5}4 rJH t E-mail: 9` 1 `! BUILDING PERMIT FEES* Please refer to fee schedule. _ CONTRACTOR — ----- -- ---- Business Name: ISo4oY1 1: pq Fees due upon application ....... Address: _ Cit /State/Zi —� Amount received............................................. Phone: - ax: — Dute tecei%cd -- - - -- CCB Lic. #: y 6a ___..__-.--- ------ - ---- --- - - Authorized Notice: rni.pernitt apphcntinn e�pirca it a per„lit is not ohtainrd..ithin Signature: _ Date 180(1a>•after it Ila%heed accepted a%runlptete. f IL til •Fec•mcthodnlog; wt b) Tri-('ourlh Iluildinp Indu,tr% Scrlice Itoard. (Please print name) 1\DstsTermit Fornu\BldgPetmnApp.doc 01/03 Plan Submittal Requirement Matrix Commercial & Multi-Family Cin'of Tigard New, Additions or Alterations s TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal i Site Woik 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing • Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of glans for distribution purposes (for Contractor, City of l igard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET ievel "3" technicians. i:\Building\Forms\PlansubMatrlx doc 04/03 Electrical Perm;t Application -- — -- Received Electrical .17 Date/By: Permit No. ,4")-j -4561 Cit ' Oil Tigard Planning Approval Sign Date/8y: Permit No: — 13125 SW Nall Blvd. Plan Review Other ---- 1I Tigard,Oregon 97223 —Date/By: Permit No Phone: 503-639-4171 Fax: 503-593-1960 Post-Review land use - _ Internet: www.ci.tigard.or.us Date/By: Case No contact Juris' Sec Nage 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. j _ r TYPE OF WORK PLAN REVIEW Please check all that apply) _ New construction Dc'f110I111Un Service over 225 amps- Health-care facility ddition/alteration/ commercial C3 I lazardous location replacement Other: ❑Service over 32U amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings tour or more residential units in 1 &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure r ❑Building over three stories ❑Feeders,400 amps or more Accessory Buildi ti_ ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other ❑Egressnignung plan ❑o!her:__ JOB SiTE INFORMATION and LOCATION Submit __sets of plans with any of the above. The above are not applicable to temporary construction service, Job site address 7 r _�� FEE'SCHEDULE - Suite #: Bldg•/Apt.#: Number of Inspect ons per permit allowed Project Name: /�J `�_ Desch tion Qry I Fee(ea.) Total Cross street/Directions to job site: New reddeatiai-%Ingle m multi-family per D dwelling unk.Include%altarlled garage. Service included: t\\ 1000 sq.n or less 145.15 4 Each additional SW—sq.0.or portion th_creol'__ _ 33.40 — I_ Subdivision: Lot#: Limited energy,residential 75.00 _ 2 ---- -- Limited energy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and or feeder 1lo 90 2 i / T Services or feeders-Installation, alteration or relocation: 100 amps or less 80.30 2 - — — 201 am2s to 400 ams -- — 106.85 _ 2 _ 401 amps to 600 amps 160.60 2 JZgROPERTV OWNER TENANT601 ams to 1000 amps — 240.60 2 Name: �Trv\ rV}l Over 1000 amps or volts 45465 2 2 z►* 7� _ Reconnectanly 66.85 2 Address: /4/11 ? �.aG�!'1tdl n o CA !"/ y Temporary services or feeders-Installation, alteration,or relocation: City/State/Zi p 7 0;;Z (4--_ 200 ams or less 66.e5 1 Phone: R t{ Fax: 201 am to 000 amps 100.30 2 — � 4(11 to 6110 ams _ 13 75 2 CONTACT PERSON Branch circuits-new,alteration.or Name: 1))AVY extension per panel: Address_ r t ��)C S35 A.Fee for branch circuits with purchase of service or feeder fee,each branch cocuit _ _ _ 6.65 2 City/State/Zip: bj,(2a 6>Q 49 7/ B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 _ Phone: 913-j7(p y X: A Each additional branch circuit E-mail: Misc.(Service or feeder not included) CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline ItAhting 53.40 _ 2 Job No: Signa!circuit(s)or a limited energy panel, alteration,or extension Pae 2 2 Business Name: �rp_I C,4 /2i 'fir �acription. Address: p 6o ��Z Cit /State/Zi 0-b d 71 0 F.ach additional Inspection over the allowable In anv of the above: Per inspection r hour(min. I hour) _ 52.50 Phone:5M-.-104-9r6u C: Investigation fee: CCB Lic. #: Lic. #: .5 �~ Other: _- Electrical Permit Fees• Supervising electrician Subtotal i S si ature re ulred: _ � Plan Review(25%of Permit Feel S Print Name: Licf0�5 Stat;_Surcharge(8°-0 of Permit Fee S TOTAL PERMIT FEE I S Authirized Notice: This permit application expires If a permit is not obtained within Signature: — Date: I80 days after It has been accepted as complete. *Fee merhodoingp set by Tri County Building industry Service Board. (Please print name) i.,Dsts\Permtt FutmsTIcPermitApp.doc 01103 Electrical Permit Application - City of Tigard 1 Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems............................................................ $75.00 Check Type of Nork Involved: A.-dio and Stereo Systems* Burglar Alarm Garage Door Opener* F1 Heating,Ventilation and Air Conditioning System* Vacuum Systems* L� Other_ COMMERCIAL WORK ONLY: Fee for each system.......................................................... S75.00 ISI+OAR 918-260-2601 Check Type of Work Involved: Audio and Stereo Systems 7 Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation IIVAC ElInstrumentation 0 Intercom and Paging Systems FILandscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling Other Number of Systems • No licensers are required. Licenses are required for all tither installations i Itsts\Permit Forms`ElcPermitAppPg2 doc 01'03 CITY OF TIGARD 13125 S.W. HALL BLVD. i TIGARD, OR 97223 IMPORTANT PERMIT NOTICE AMERICAN ELECTRICAL SERVICE PO BOX 1057 SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2003-00557 Date Issued: 318104 Parcel: 2S112BB-11700 Site Address: 14117 SW FANNO CREEK PI_ Subdivision: COI ONY CRFFK FRTATFR NO.4 Block: Lot: 097 ,Jurisdiction: TIG Zoning: R-7 Remarks: 132ft. loft. 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 Division. No electrical inspections will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR: MURRAY, THOMAS J + AMY J AMERICAN ELECTRICAL SERVICE 14117 SW FANNO CREEK PL PO BOX 1057 TIGARD, OR 97224 SHERWOOD, OR 97140 Phone #. Phone #: 204-9864 PAGE Req #: LIC 1r►15s7 ELE 30-5'►c AN INFO SIGNATURE IS REQUIRED ON THIS FORM X Signature of Su q rvisfng Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)619-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BUP BUP -� _ ILO t?ccet:'ed _:� _Date Requested__�!LAM _PM -- BUP -- Location --/4/0 —LL -L.0- 1aJ - _� Suite_�- - — MEC O - --- Contact Person — -- - - Ph (-.-- -) -- -------- PLM Contractor - ----- _ Ph(---_--) --- --- SWR BUILDING Tenant/Owner — —_____- __. _ __. ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain - — SIT Slab Inspection Notes: Post&Beam -- ------ -- - — ...- Shear Anchors Ext Sheath/Shear ---- -- -- - - - Int Sheath/Shear / Framing /w.L�..ed .,j4_�� s.-_dam_ C 7- 70 to -- Insulation Drywall Nailing --- F i rewal l _ Fire Sprinkler — Fire Alarm Susp'd Ceiling -- Roof Other. Final PASS PART FAIL PLUMBING__ — Post& Beam Under Slab — Rough-In Water Service -- -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - -- Shower Pan Other: Final --- ----- -- PA T FAIL Post&Beam Rouc' 'n -- Ga- e S, OkDamperq �_— - - ---- -- ---- ' �a PART FAIL -- -- ELECTRICAL Service Rough-In - - - ---- - - UG/Slab ------ T Low Voltage --___ -- -- -- Fire Alarm Final UReinspection fee of$ _— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE �] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA _out Approach/Sidewalk ��� �-- - Inspector _ Other t final DO NOT REMOVE this InsPsction record from the job site. PASS PART FAIL CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICESPERMIT#: MEC2003-00586 DATE ISSUED: 10/2/03 13125 SW Hall Blvd.,Tigard, OR 97223 (1503) 639-4171 PARCEL: 2S112BB-11700 SITE ADDRESS: 14117 SW FANNO CREEK PL ZONING: R 7 SUBDIVISION: COLONS CREEK ESTATES NO 4 BLOCK: LOT: 097 JURISDICTION:_TIG CLASS OF WORK: OTR J FLOOR FURN: cV4P COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORSHOODS: FUEL TYPES 0 3 HP: 1 _ DOMES. INCIN: "- — i-- 3 15 HP: COMML. INCIN: ELE MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS. FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 ' HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K. BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: lii,,tallation of AC unit _ Owner: __� __ FEES _ Description Date Amount MURRAY, THOMAS J + AMY J _ p 14117 SW FANNO CREEK PL �11i('tl� I'rrmit I cr 10/2/03 $72.50 TIGARD, OR 97224 1'AXI 8%,StateTax 10/2/03 $5.80 Total $78.30 Phone: Contractor: — SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503-640-3607 Final Inspection Reg #: LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Odes and al! other applicable laws. All work will be done in accordance with approved plans. This perniit will exp,re if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952--001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669cli. / .�� 'E �l, , Permittee Signature: ` ,� 1.` �"f —� Issued By: i�— � —. Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day IN NOM mom INZec han ca, Permit Application ' _._ Received / / Mechanical Dat0 : lo_ Pcrtnrt No: Ci4 Ti and PianningApproval Building �' g Date/Ry: Pearn No.; _ 13125 E W Ball Bivd. Plan Review 0thcr Tigard, ')rcgon 97223 Date/$y� Pemut No ^� Ph.)ne: 503-639-4171 Fax: 503-598-1960 Post-Review Lane U3c Doto/9x: Case No: �-�� Internet vnvw.cr tigard.ur.ua Contact �� Ju�is, a re Page 2 for 24 hour inspection Request: S03-639+4fM11 );. Name/Method: _'�i l St"plcmental lntormation, C0_MA1 ERCIAL•FEEf'-SCHED0L.E-USE CHECKLJST-.,4''tat New construction _ Demolition I Mechanical permit fees*are based on the total value of the work Addtion/a'teraliunh taeement Other: _ pertormed. Indicate the value(rounded to the nearest dollar)of all r kr ;,,• mechanic-ql matenals,equipment,labor,overhead wid profit. 1 & ?-Family dwelling Commercial/Industrial value; 5_ Set Page z for Fee Schedule _ct SSOry BU11difig _ Multi-Faanly RESIDEN�TaTX2PT2ENT/SY=MS FEE"'SCIIEDUI�4 '?` Description Fee ea. Total Mas er Builder Other: Heath Coolie $I1!1 !Ptt1FSA 1(�TY'1lti`� QC TXQ 1?'nth' Furnaoc add on air contlitiunin 14.00 - Jobsltbaddress: I _Ccty-J'.0 Get-f- 101 Gas heat purrip 14.00 Sul to# Bldg./ Duct work 14,00 Pr0�ctldame: - H dronic hotWaternrtnm 14.00 Residential boiler Cross sh eet/Directions to job site: (for radiator or hytironic system) 14,00 Unit heaters(fuel,not electric) to wall,iu•duct,suspended,ctc j y 14,00 _ Flue/vcntEtcfor an of above 10.00 SAdivis ion: Lot#; Pair units 12,15 Tax alae' xrep l#: Watsheater —U[ns Fuel A tlance. Water !0.00 qlDES' IL Gas fireplace 10.00 FIUC vent(waiter hrnter/gas fire�.loce) _ 10.00 Lo li hter as _ — 10,00 Wood/Pellet stove _ _ 10,00 Wood fireplace/insert 10.00 _ Chirrune inct/flue/vent 10,00 P.� R 'OWPQII1l;::: .r 1 'yy,: t.yltt, Other: -- 10.00 NEnvironmental Exhaust&Ventilation -- Range huutl/Vther kitchen equipment .00 Addrms r t e _ Cl �.ritlll C%Zl Clothes dryer exhaust _ 10.00 Single duct exhaust �^ Pholml. (bathrooms,toilet comptvtnients, 1�?PLII:R;l+isP c'C' AA(3tIDR54�+t+si', utilityroom — 6.80 Niarte: _ Attic/crawl spate farts ` - 10.00 Address: Other. -- 10-00 I - —--- _ fruel Pining _ Cit .+Stat_/�:___ ••(53.40 far Qrst 1,5Lt10 each additional Phone: =Fax: Furnace,etc. •" - E-mail: teat urn _ tililll_� Wall/sus�ended/unit heater •+ _ CONTRACTOR '? Water heater _ •• Business Name. ��� A t c-h "'.1 Fireplace _ ++ Address_J21 �;`�' f . Range _ BBQ_C1 /S —: V2- •• •j Clothes d er na)' •• --� Phone��uj C • C Fax: ^ 'I— O l' 1.J Other: •• CCB Lic. #: _ _ _�� Total: Authorized _ Mechanical permit—t"• Signature: lh- �— o`1 Date, ` Minimum Pet7tut Fee Si2,50 S ao Plan Review Fee`225'/so_of Permit Fee S —� _ (Pleaprint nutty) State Surchar a of Permit Fee S . h U� TOTAL PERMITFEE S Notice: This 1-ermit application expires if a permit is not oh(ained within "Fee methodoloRY set byTri-County Building Industry Service Board. I"days after It hu been■ccrpted mm complete. **Slit plan ragt+irrd for etterior Ate units. t',DstnVcrmit 'tnttrstMecrerrntuxppeoc ovoi d H I G0 B6S h_tj ' 9u t leaH Rz i e l Q0JS d2q :ED EO in lot) r SITE PLAN'' PL, to PL. PL PI. STREET cre�,�alt� Heating & Cooling, Inc 9528 SW Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503 .598.0718 Ifillsboro Phone 503 .640.3607 Fax 503 .681 .07 '-3 E d B i LC7 86S EOS 9u t zeaH Rz 1 e t vadg 42S s ED co to ��O CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST '; &L 3 INSPECTION DIVISION Business Line: (503) 639-4171 BLIP _ Received _--___ __.__ Date_Requested— (Z' �_� AM__._____ PM ------.- BLIP �— Location _Z _ jge,� Suite .____— MEC Contact Person —_ Q'�—� ----- Ph(-.—) 1 � _ - 7 _ PLM ---_----- --- Contractor_ -- __.-- ---.__-__ Ph (_—___-) -- -___.__._ SWR _—-- �- BUILDING Tenant/Owner .___.—. --.�_.— —______ --_ .�_- ELC — Footing ---- - ELC --------- _— Foundation Access: Ftg Drain �1Q,�r `�G'Ty ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors ----- - ---- --- Ext Sheath/Shear - Int Sheath/Shoat Framing � Insulation Drywall Nailing - - 1 Sar _._(��,,,� �� _ --__.___ ------------- Firewall ►'� l.l�z—._�_� - ----- ----- Fir© Sprinkler -- - --� -------- - Fire Alarm Susp'd Ceiling -------- ---- ----- ------- --— - Roof Other: PA PART FAIL PLUMING �1. (Lti — Post& Beam , -�p L Under Slab --- ��'--�N v 1 U -Wj Rcu h-In - g c » - Water Service ------------ Sanitary Sewer Rain Drains _— _. ._�- -- --------- -------- -- ------_-- Catch Basin/Manhole Storm Drain - -- ------ -- -- ---- -— Shower Pan Other: - - -- - -------- — --- -- Final _PASS PART FAIL MECHANICAL ---------------- Post& Beam Rough-In -- ---- _ Gas Line Smoke Dampers - - -- - - ------ - Final PASS PART FAIL ---- ---- ----- - --- - ELECTRICAL Service Rough-In UG/Slab Low Voltage Fir Alarm � Reinspection fee of$- -- required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd S P SI D Please call for reinspection RF _ -_ __-- -_— �� Unable to inspect-no access ART FAIL -- - - Fire Supply Line ADA �1 1� < Approach/Sidewalk Date _ _I Inspector__ _ .. _._!_'�l4_ ._" __ Ext Other:- Final DO NOT REMOVE this Inspection res rd from the Job site. PASS PART FAIL