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13115 SW ST JAMES LANE 7 I � "Agi ISTO 01% 7o f - C L Ai eO � I LoT i i L C-n)Vri-r r I + , v U , I � 1 1 (Vllt�� �•��l��l i � I c ' i y �'cTr�r'`c►c5 )VCW f 1 114 LtW\ f ' C1'�y WAL�. Q�AVb. �ll��►tl � : y��Zri.l int. 27 T(;1 k 5' G „ t t 1, '' '•4' p •�Alla�. V �� i LWFf. ► d s I � 0 r I � I ��l; '� ► I \ ,� ( ••oa a d�} 1 r I O y Q' I I ' ZSL, r _ kn , 3 I T fly Ll W-I T �LI ►-1 i 1J TE •�L I F, 2cP�Acx t � I ZOWI� • J y CSAP-AGE 1 F.F 29 a' lJ i l -0 t S 4"Ani � v 120 I ►��1v�w+�w I I f► E.� ..h���.,�rJ �. �is �i. � � ., 7 ' , � El �7 tv , 'fes 0 L EN.warv NOTICE: IF THE PRINT OR TYPE ON ANY 1 l I ! l r[ rI1 I r 1 _71TUTII 1111 II1 I1 I I1 ! ,I 1 � .� I , ► f I I I l I I1 I ► ' i I I 1I 1I 1 I I I 1 � I II I II I1 I I �IMAGE IS NOT A� CLEAR AS THIS NOTICE, , ITIS DUE TQUALITY Q TH E O F THE ------- -- ------------ ----- ------ ___ f ...-- ORIGINAL DOCUMENT ------ -----_ -- _-- _ N10 o 3 .�.. w E 6Z 82 LZ 9Z � Z � Z FZ ZZ TZ OZ 6C 8�I iiliL11111,9 iil91 v ET ZT -iTii Ui IIlI ILII IIII IIII lllllllll Illlfllll IIIIIIIII IIII ILLI ILII LIII IIII ILII IIII I I � � to IILIIIL �IIIIIIIIIIIIIIIIIIiIIlliliiilll � liillllllllliillllllllllllllllllllililll�lll llllllllllllllllllllllll�l llll_l � 1 Ill Illllf�ll. r E 13115 SW fit James Lane CITY OF TIGARD MASTER PERMITP PERMIT #: MST2001-00532 DEVELOPMENT SERVICES DATE ISSUED: 11/6/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6:39-4171 SITE ADDRESS: 13115 SW ST JAMES LN PARCEL: 2S109AB-07200 SUBDIVISION: PAVEN RIDGE ZONING: R-7 BLOCK: LOT- 001 JURISDICTION. TIG REMARKS: SN PAI H 1 BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: :7 FIRST: 1,317 of BASEMENT: 937.00 of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF 110014 LOAD: 40 SECOND: 1,146 at GARAGE, 500 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N OWETIINGUNIIS I FINBSMENT: at RIGHT: 5 VALUE $'73 Pl0 OG OCCUPANCY GRP: R3 BURM BATH 4 TOTAL: 2.48300 of REAR: ,t PLUMBING SINKS1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS. LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS. TUBISHOWERS: 4 GARBAGE DISP 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP=3HP: VENT FANS: 5 CLOTHES DRYER: 1 r,AS FURN>•100K: I UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP btu FLOOR rURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: 1 WISVC OR FDR' I PUMPIIRRIGATION. PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: 1st W/O SVCIFDR: WI SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 80148n1pa•1000v: MINOR LABEL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: -_. >•4 RES UNITS: SVCIFDR>=725 A.: >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: X VACUUM SYSTEM: X AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: X DATA/TELF COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,737.71 This permit Is subject to the regulations contained in the FIRST CHOICE HEATING 3 COOLINC TIM WALKER Tigard Municipal Code,State of OR. Specialty Codes and 10305 SW CLYDESDALE TERR 10305 SW CLYDESDALE TERR all other applicable laws. All work will be done in BEAVERTON,OR 97008 BEAVERTON,OR 97008 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. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rag 0: I IC I IRI;I 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. 4ly(6 -$4(4y REQUIRED INSPECTIONS Erosion Control Insp 8& Wtr Proofing Bsm't We Fooling/Foundation Dr; Electrical Service Low Voltage Rain drain Insp Grading Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Special Insp.required Water Line Insp Sewer Inspection Post/Beam Mechanica Ftng Drain Bsm't Walls Framing Insp Gas Line Insp Sprinkler Rough-In Footing Insp Underfloor insulation Mechanical Insp Shear Wall Insp Gas Fireplace Sprinkler Final Foundatlon Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins{ Insulation Insp Appr/Sdwlk Insp Issued By —>�vr. �G t� _ 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#: SWR2001-00289 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/6101 SITE ADDRESS; 13115 SW ST. JAMES LN PARCEL: 2S 109A6-07200 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 001 _ 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 TIM WALKER Type By Date Amount Receipt 10305 SW CLYDESDALE TE RR _— — f3EAVERTON, OR 97008 PRMT CTR 11;6/(11 $2,300.00 27200100000 INSP CTR 11/6/01 $35.00 27200100000 Phone: 503-579-3538 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" Perm Issued by: ' 1� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �j rls� Io- z 2.0 Building Perinit Application ~ Itj' Of I�aI'(I `+ Date received:h`��/ "Di Permlt'no��iOr-!'�-' Adhoject/appl.no.i Expircdale: City uJ7'ixurd olress: I.tl2ti SW hall Blvd.'flgard,OR 9722 - Phone: (503) 639-4171 hate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payinent type: ro I&21'amil Simple Com ✓ Land use approval: _—� y"' lex:f • p h4 1 &2 farnily dwelling or accessory U Conunerc:iel/industrial J Mulu-laillily New construction U Demolition U Addition/alteration/replaccmcnt J"tenant irnprttcrnlrnl J Fire ,twinkler/:Mann U Other: _ t` JOB SIVE I NFORM ATION i Job address: -�� 1-ity' t. f �r Ito- n, . I suite no.: Lot: I Block: Subdivision: — _ - Tax—map/tax lot/account no.: --- --- Project name: ----- -- --- �' /�-- - — Description and location of work on prenlises/special conditions: �j�`=� r IrtJf-,S T L t Name: z /r' Lk` Aft Mailing address: ir n w M c d .C.-ra E r C.Ut(. I ar 2 family dwelling: C'i(y: "EXF f' ,, ,-J, State: Cry 7_II': 7�! Valuation of work........................................ $3131.10u, Phone: - - 3 l Fax: � 'f A£'4Fti Gmuul: No. --drooms/haths................................. S A�— Owner's representative: - I NIt WAk ic i! Tota, mher of flexors................................. 3 Phone: , Fax: New dwelling area(sq.Il.) .......................... 2400 taarage/carportarea(sq.ft.)......................... Soo — Name: I/, Covered porch area(sq. ft.) ......................... u Mailing address: Deck area r L. (sq.ft.)........................................ (.'I(Y: ,, Slate:"V 7I P: 01her In arca(sq. Sl.)......................... Phone: �� Fax: E-mail:u _-- ('crmmcrrialllnduvtrlal/multi-family: valuation of work........................................ $ -- 1'"xisting bldg.area(sq. ft.) .......................... Business name: Ie r(•Holtr- Mr CC.� we- New bldg.area(sq. ft.) ................................ Address: r. OS 5 SDAc! orm.C� City 731i N v)R 7C:n,- State pr ZIP 7 rJ Number of stories........................................ -- • krl i1 'Type of construction.................................... Phone:_ Fax: Email Occupancy group(s): Existing: CCB no.: 13 13 3� New: City/metro lic.no. '. " Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: i provisions of OILS 701 and may be required to he licensed in the —c-j- ' o f,! 'fl Ijurisdiction where work is being performed. If the applicant is ('it > State:Ti. ZIP: exempt from licensing,the following reason applies: Contact person:(,,. I flan no.: 'J T D --- Phone: , I ax: I:-Ionil: - -- Name: Contact person:al j11W e eftes due upon application ........................... Address: �/ - — Dale received: _— City: r , _ State:74 ZIP: 71,ii . Amount received ......................................... $— Phone: .�� Frlx: - F [:-plait: Please refer to Iee schedule. hereby certify I have read and examined this application and the NM all Jurisdictions nvrpt credo conk,please call iurisdictltm lot ntrer inrofnimitm attached checklist. All provisions of laws and ordinances governing this U visa U MasteWard work will be complied with, whet let specified herein err not. tlydn crod numtrt ____ __ - _ _/_- i1,ne, Authorized signaturl• �,., �_��f'� Dale' � Natttr of cauthoLtet a,shown on credit cord Pont name: k ✓ �- — — _ ('nulhohkt stFnature - ---� $ AmaunlV- Notice This permit application expires if o permit is not obtained within 190 daN s after it has been accepted as complete 4( 111116n)A'oM) )Ile- mid '1'wo-l"191mily Dwelling Building Permit Application Checklist Itcfemliceno.. -- — -- Associated permits: Ciryt,lTigard Cit of Tigard is1rd City �., U Electrical U 1 Iumhing U Mechanical Address: 1 1125 SW Hall Blvd,Tigard.OR 97223 U Other- Phone: (503) 639-4171 I n o (901) 599 1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW I es No N/A I land au-at lions completed.Sec jurisdiction criteria lot concuncnr rr,if•,� 2 Zoniug. I I , d phin.solar balance points.seismic soils dc,wn,ii i,m hi i-i i- dh o i, i 3 Verification of approved plat/lot. 4 Fire district_— approval required. S Septic system permit or authorization for remodel. EXlslint-,system Capacity _ 6 Newer permit. _ 7 Water district approval. S Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control ®plan U permit required.Include drainage-way protection,silt fence design and location of catch-hasm protection,etc. 10 1 Complete seta of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-si/e v/ sheet attached w the plans with cross references between plan location and details.Plan review cannot lie completed if copyllphl vholalloos exist. I I sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;properly corner elevations(it — - therc is more than it 1 li.elevation dill'erential,plan must show contour lines at 2-11.intervals);location of easements and driveway,foilptint of 4mcune(including decks);location of wells/Septic systenn;utility locations;direction indicator.lot arra;huilding coverage area;percentage of coverage;impervious arra;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolls,any hold-downs and reinforcing pacts,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location ol'smoke detectors,water heater, r/ furnace, ventilation funs,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show till framing-mcmher sizes and spacing such as floor beams,headers. I,nqs,sub-floor, wall constriction,roof construction.More than one cro,s section may he required to clearly portray c,ar oorcuon.Show v� details of all wall and rool•sheathing,tooling,roof slope.coiling height,siding material,footings anal 1 amd•anar.stairs, fireplace constrlrctron, thermal imuLil it.etc. _ 15 Elevation views. Provide elevation.for new const rcUon. nlininounr of two elevations for additi(un mid remodels. Exterior elevations Hurst reflect till*at wal grade if the c hanpe in grade is greater than four foot ;rr hrnl link envcfo,c. Tull ,iiv sheet addendum,showing inundation elcwwons l.s till cross references are accepfithlr _ 16 Well Irrac•ing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non prescripuve path analysis pro,ide specifications and calculations to engineering standards. — 17 Floor/roof framing.Provide plans for till floors/roof assemblies,indicating member sizing,spacing,and hearing �s locations.Show attic ventilation. IS Basement and retaining walls.Provide cross sections and details showing placement of rehar.For engineered � systems,sec item 22."ingineer's calculations." 19 Beam calculations. I'rovide two Sets of calculations using current code design values for all hymn and multiple joi V s over 10 Ieet long and/or any beam/joist carrying a non-uniform load. ---- `�- 20 Manufactured floor/root truss design details. 21 Energy Code compliance.Identify lhr preseriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When requnrd or provided.it r .shear wall,roof nor h;rll he damped I,v an rmwineer or ✓ architect licensed in I hreon and Irnll hr 1,110,%fl to hr apphc AMC In the 1111, 23 rive(5)site plans are required tot-Item I 1 .0, c. Site plans must he 5 I/2" 24 Two(2)sets each ate required for Items 16, 11l*,20&22 above. 25 Building plans shall nut contain red lines or talo•-ons. 26 No rolled,reversed or mim)trd building plans will lx accepted. 27 29 Checklist must he completed hefiore plan review start date. Minor changes or notes on submitted plans nr,q he in little or black ink. Red ink is reserved for department use orals. 14016140n01111enx6 6(' ll,'lectrical Permit Applicatioii Date received: Permit no.: City of Tigard I'roject/appl.no. Expiredate: ('ir)tl/7'i)urtf Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Dale issued: — Hy; Receipt no.: Phone: (503) 639-4171 — Fax: (503)598-1960 Case file no.: Payment type: Land use approval: 4 1 &2 family dwelling or accessory U Conunercial/industrial U Multi-family U Tenant improvement New construction U Ad(lition!alteration/ro+placcnlcnt U Other: U Partial Job address: /,7;r / t jflii t , LN. Hldg,no.: Suilc no.: ITax map/tax lot/account no.: Lot: 1Hlock: Subdivision: ' Pn)jecl name: __ Description and location of work on premises: V&gj rAZW5j eU T f?slim:Ucd date ofcomplrtiun/in:;pecti nl -- CONTRACTOR APPLU %I ION 111 11 Job no: Fee Max Businessname: _ .�.�, r - Iliescriplion 0(i (ea.) total mo_insp New rrsidentiml sinple or multi family per _Address: --- dwellin�nnit.Inrhtdtsauarlatl(anye. (lily: sn(_r StltWe ZIP: Servicein(lutled: SO-3 Phone: 't,Gf�-8'1 Fax: E-mail: -- 1000"l It "t I,, t Fach additionnl S l l .r portion thereof CCH no.: H&gC' Elec.bus.lie.no: - --- - - - Limited energy,residential 2 City/metro lie.no.: 5 DLimited energy,non-residential _ 2 Fach manufactured home or modular dwelling Signature of supervising a ectrllian(required) Dale !Q / Service andlor feeder 2 Sol, elect 11:111n,(1111110 ', ' / F ;;> 1 kmseno:3 574r niervicesorfeeders-Installation, alteration or relocation: 200 amps or less 2 Name(print): //M /lyF'/ uIN1� F 2t)Iampslo4tNl,uup — 2 401 amps to 6(N)amps 2 Mailing address: l �'( / ia/JC I f7- Phone: 6nI n1I1psI0I(NN)alnps _ 2 City: /I ' )!V Slate:e' _ ZIP:9" over 1000 amps or volts _ 2 ;/; t Fax:"'' rj • E-inai�447 ' /k- v/t,,r Reconnect only I owner installation:The installation is being mnde on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200amps(11 less 2 201 amps to 400 amps _ 2 Owner's signature: _ I�IIr: 401 to ON)ams 2 Branch circuits-new,alteration, or eltenaion per panel: 7city: { A I-ee for branch circuits with purchase of service or feeder fee,each branch circuit 2 - �. It Fee for hranch cut uns without purchase tilalc: "1.11. - Phone: nrtil of service or feeder fee•first branch circuit. 2 I;t�: I Fach additional branch circuit MIw.(Service or feeder not Included): U Service over 22,.cops conuncicial J I1VAth can•IA11 v Fach pump or irrigation circle U Service over 120 amps-rating of 1&2 U Ilaaardous location Fach sign or outline lighting 2 family dwellings U Building over I00N)square feet four or Signal circuit(s)or a limited energy panel. U System over 601 volts nominal more residential units in one structure alteration,or extension* I 1 1 2 U Buildingoverthreestories U Feeders,4(X)antpstit incite 'Ikscn lion: U(kcupmu load over 99 persona U Manufactured stna•utres or RV park t'Ach additional Inspection over the allowable In any of the drove: U Egms%flightingpinn U(tier: -. Per inspection Submit sets of plans vvilh any of the above. Investigation fee 7'lle alcove are not applicable to tempotmr)construction tery ice. other Not all Jurisdictions accept credit cards,phase call inomliction for owa r infnnnntioa Notice:This permit application Permit fee.....................$ U Visa U MnsteWnrd etpires if it permit is not obtained Plan review(a( — %) $ , (ledit,nd nunde•i isiihin 180 days alter it has beell State surcharge(819.) ....$ __,--- I --- ,t,ccpled as complete. 1'O'i'AL .......................$ Name of cerdhnkkr as shown on credit clod ' S r'mdholJrr signal, Anunun 440 4615(M)(11COMI Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: ---- /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit all (FOR ALL SYSTEMS) Service included: items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq FI or less I 5145.15r4s '1 Audio and Stereo Systems Each additional 500 sq It or portion thereof 6_ $33.40 %DU. 1 Burglar Alarm Limited Energy _1 $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder _ $9090 _�_. 2 Services or Feeders Heating,Ventilation and Air Conditioning S,rstem' Installation,alteration,or relocation 200 amps or less _�_ $8030 2 201 amps to 400 amps _�_ $106.85 y Vacuum Systems 401 amps to 600 amps r $160.60 2 601 amps to 1000 amps $240.60 _ 2 Other _ Over 1000 amps or vols $454.65 2 Reconnect only 566.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system........................................................ $75.00 200 amps or less _f__ $68.85 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 401 amps to 600 amps $133.75 Check Type of Work Involved: Over 600 amps to 1000 volts, O see"b"above. Audio and Stereo Systems Branch Circuits Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or Clock Systems feeder tee. Each branch circuit $665 — ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder tee. First branch circuit $46.85 ❑ HVAC Each additional branch circuit $6.55 Miscellaneous Instrumentation (Service of feeder not included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy irrigation Control' panel,alteration or extension $75.00 ❑ Landscape Irrl g Minor Labels(10) __ .__ $125.00 _ ❑ Medical Each additional inspection over the allowable in any of the above Nurse Calls Per Inspection $62.50 Per hour $62.50 ❑ In Plant $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ n Other 8%State Surcharge $ --Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are recwred for all other installations See"Plan Review"section on $ front of application --- -- — Fees: Total Balance Due $ — Enter total of above fees $ _ ❑ Trust Account p 8%State Surcharge $ Total Balance Due $ I 4lsts\fonns\cic4ccs.doc MAN= Mechanical Permit Application Uatereceived. Permit no.: CityCit of Tigard - b I'rojecUappl.no.: Expire date: City of Tigard Address: 13125 SW hall Blvd,Tigard,OR 97221 -- Phone: (503) 639-4171 Dale issued: By: Receipt nu Fax: (503) 598-1960 Case file no.: Payment type: Larld use appmal: Building permit nrr.: _ TVPE OF M I !k 2 family dwelling or accessory U Conunercial/industrial U Multi-family J Tenant improvement W New construction U Addition/alteration/replacement U Other: _ ,.__ __ JOB-41-E INFORMAJ ION COMMFRCIAL VALUATION SCHEDULE Job address: I, 1 ST• S YI `• Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: 1 1 Subdivision: pk.l ) _lQ)( ` 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit Ice. City/county: Tw,Ad ZIP: 9 17- f7escription and location ot work on pwriuses: t e f l5 C„) 11U" �Y-,Tri `► Fee(".) 'Intal Est.dateofcompletion/inspection: L� LO(1 Ik.cri,tiun_ Qtv. RM.only Res.only Tenant improvement or change of use: 4b � Is existing space heated or conditioned?U Yes U No Air handling unit _L--CpM Z�b 7 _ Is existing space insulated?U Yes U No Ircon itioning(silep an rcywre g P A aeration of existing �V C'system MUCHANICAL 1 e om .r compress�tx Business name: /IzS7 ClJt'J/Lt- /l7r L CL l_ %`i( State boiler permit no.: HI' Tons BTU/H Address: /030S L-..? C L. Ute(.I' rl k� ire/smoke amper, uct smoke Mectors City: r i iw r m T Slate: ZIP:q7006 Heal pump(site plan required) Phone:- -;, ; MECHANICAL PERMIT FEES \� J(11 V Q' tiJ COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents 1400 fraction thereof,to and including 2) Furnar:-100,000 BTU+ �� $10,000.00. including ducts&vents 17.40 -] $10,001.00 to$25,000.00 _ $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or incluring vent 14.00 fraction thereof,to and Including 4) '?u,spended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heal Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Com2* 7)<3HP;absorb unit Y ASSUMED VALUATIONS PER APPLIANCE- `� l0 100K BTU /� 14.00 -_-. - 8)3.15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: Ot Ea At -5-1--- . moun9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 3500 ducts&vents __-- 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1.1.75 mil BTU i 52.20 ducts 6 vents 11)>50HP:absorb Floor furnace Includingvent ^ 955 - unit>1.75 mil BTU I 1 87.20 Suspended heater,wall heater or 955 floor mounted healer 12)Air handling unit l0 10,000 CFM -_ 10.00 Vent not included In applicance 445 13)Air handling unit 10,000 CFM+ permit _ _ 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 5 6.80 3 101k to 500k BTU -- 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit _ 10.00 _-- mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 ( 10.00 101, 1-1.75 mil.BTU - >50 hp;absorb.unit, 5,725 _ 18)Domestic incinerators 17,40 -- >1.75 mil.BTU 19)Commercial or Industrial type incinerator Air handling unit to 10,000 cfm 656 69.95 Air handling unit>10,000 cfm 1,170 20)Other units,Including wood stoves Non- rtable evaporate cooler 656 1000 Vent fan connected to a single duct 446 21)Gas piping one to four outlets i Vent system not included In 656 5 5.40 appliance Perin _ -- 22)More than 4-per outlet(each) i Hood served by mechanical exhaust 656 ' 1,00 Domestic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4,590 Other unit,including wood stoves, 656 --- 8%State Surcharge $ 2 Inserts,etc. �" Gas piping 14 outlets 360 - 25%Plan Review Fee(of subtotal) $ Each additional outlet! 83 __ _ Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ p� VALUATION: III), Other Inspections and Fee}: 1 Inspections outside of normal business hours(minimum charge-two hours; $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-hall hour)$72 50 per hour Slate Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit 1:\dsts\forms\mech-fees.doc 10111/00 Plumbing 11'crmit Application / Date received: Permit no.: City of Tigard Address: 13125 SW IEdI Ill%d. I tti std,a 111 Sewerpermilno.: Huildmgpermitno.: Citye�ffi and Phone: (503) 639-4171 ProjccUappl.no.: Expire date: Fax: (503) 598-1960 hate issued: Hy: Receipt no.: Land use approval: _- a file no.: Payment type: V� - &2 family dwelling or accessory J Commercial/industrial U Multi-family U Tenant improvement (V\ J New construction U Pond serviceJOB SITE INFORMATION FEE SCHEDULE(for special J(11hrr: Inrormatilon use checklist) Job address: I_.0 I a I �T. $4dt14 L 1.-' rr`Y Description O(V. Fee(ea.) Total Bldg.no.: Suite no.: Ne" I-and 2-family dNeifinRs ooh: Tax map/tax lot/account no.; �_ ( -- (includes 100It.for each utilil conliculion) S111 (1)hath Lot: I Block: Subdivision: KAVCS -- - -- - SFR(2)bath Project name: SFR(3)hath -- - - - City/county: (A r ZIP: 'J Fach additional bath/kitchen 1 - Description and location of work on premises: Siteutifitles: X11!—__ , o. _,7 V t r T?bn Catch basin/area drain p Est.date of completion/inspection: — - — Drywells/leach line/trench drain p Footing drain(no.lin.ft.) Manufactured home utilities p Business name: k'bi /5(n�•' Y ci1l/8t,At< �1.���Tll fold_ Manholes p — Address: OS AIS V... 7D V Rain drain connector City: k TL qK, statc:Q ZIP:9 7,2 a Sanitary sewer(no.lin,ft.) Phone:ae Fax: Sr-n,ij I E-mail Storm sewer(no.lin. ft.) CCB no.:x-39 01_ %; n3 Plumb,bus.reg.no:. -(°I��l� water service(no.lin.ft.) Cit y `' valve �O I/metro lic.no.: `7 �� Absorption val Fixture or Item: � � ` � Contractor's representative signature: Back flow pvalve Prins reventer Backwater valve Basins/lavatory Name: I L�j_4, Clothes washer I Address: SL) c.LY ALPt Fz to - Dishwasher I City: ''j' [ fL7'O c ti? Statoe ZIP:r%)t'0 tri Drinking fountains) p Ejectors/sum I'hone: 35x13 Fax: G6418 E-mail: --- Expansion tank Fixture/sewer cap Name(print): 7-jVi I t L•D(L.l LA.) /.I'CF (L floor drains/floor sinks/huh Mailing address: 10.30 S S Garbage disposal I Ilose bibh 2 City_ s '�f�. Slate:[) ZIP: 13 — Ice maker I Phone:. _ > Fax: E-mail: Interceptor/grease trap O Owner installation/residential maintenance onh: The actual installation Primers) Q will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I pwn as per ORS Chapter 447. Sink(s),basin(s),lays(s) (h%ner's si mature: Dale: _ Sump O Tubs/shower/shower pan 3 NaUrinal _ Name: i — Water closet Address: Tater heater � l Cit State: ZIP. — �— y• __ Other: — ------ er: Phone: Fax: E-mail: Tolal Not all jurisdictions accetn credit cards,please call iuriwlictlon for none info.mati,m Minimum fee................$ Notice:This permit application U Visa U MasterCard expires if n permit is not obtained Plan review(at — %I) $ Credit card nurnhec L_/ - within 180 days aner it has heen State surcharge(8%)....$ _ --Expire, TOTAL . $ S S9 4P V Name of canRtolder as shown nn credit cud accepted as complete. ••••••••••••••••••••• ' S Cardholder signature Amount 441)4h 16 PLUMBING PERMIT FEES: _ PRICE TOTAL New 1 and 2-family dwellings only: _ FIXTURES Qndividual _ 01 ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 �� the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory ^ r 16.60 3 - for each utility connections __ _ Tub or Tub/Shower Comb. 16.60 ZP - One 1 bath � ---- — $249.20 Two 2 bath _ _ _ _ $350.00 Shower Only 16,60 (e�? Three(3)bath .-____ $399.00 Water Closet hr 16.60 - �' SUBTOTAL Urinal 16.60 8%STATE SURCHARGE _ Dishwasher I 16.60 (y PLAN REVIEW 25%OF SUBTOTAL i Garbage Disposal 16,60 _ _ _ TOTAL Laundry Tray 16.60 (� Washing Machine ( 16.60 ((v Floor Drain/Floor Sink 2" O 16.60 0 3" 16.60 U - PLEASE COMPLETE: 4" p 16.60 L7 ------ -,.- Water Heater O conversion O like kind 16.60 _ Ouantit b ir Work Performed Gas piping requires a separate mechanicalI ('42Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Hume New Water Service v 46.40 Sink MFG Home New San/Storm Sewer © 46.40 v Lavatory 16.60 r n Tub or Tub/Shower Hose Bibs 3 3 3 Combination _ Roof Drains 16.60 0 Shower Only _ Drinking Fountain O 16.60 5 Water Closet Urinal Other Fixtures(Specify) 16.60 _( Dishwasher Garbage Disposal _ Laundry R om Tray -Washing Machine Sewer-1st 100' 55.00 Floor Drain/Sink: 2" 5 5 3„ Sewer-each additional 100' 4640 U 4" Water Service-1st 100' 55.00rS"S Water Heater Water Service-each additional 200' 46.40 Q 011ier Fixtures (Specify) Storm$Raln Drain-1st 100' 5500 (� Storm 8 Rain Drain-each additional 100' 46.40 (� Commercial Back Flow Prevention Device Q 4640 Residential Backflow Prevention Device' 27.55 Catch Basin 1660 (� _ Inspection of Existing Plumbing or Specially 72.50 Reuq esled Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Cos Grease Traps 16.60 QUANTITY TOTAL Isometric,or riser diagram Is required it Ouenlily Tofal Is?N -7 G_� SUBTOTAL ---- - ------ - 8°/a STATE SURCHARGE — ------- -- - � 4� **PLAN REVIEW 25%OF SUBTOTAL Required only It fixture qty total Is>8 YZ` T0TALj__[_ $559 *Minimum permit fee Is$72 50+8%stale surcharge,except Residential BackBrnv Prevention Device,which is$36 25•8%state surcharge **All New Commercial Buildings require pians with Isometric or riser diagram and plan review is\dsls\forms\plm-fees.doc 10/10/00 SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PRECISION PLUMBING CO GARY DEAN HARPER 10569 NW LOST PARK DR PORTLAND, OR 97229 Plumbing Signature Form Permit #: MST2001-00532 Dzaic ls3ued: 1110101 Parcel: 2S109A13-07200 Site Address: 13115 SW ST. JAMES LN Subdivision: RAVEN RIDGE Block: Lot. 001 Jurisdiction: TIG Zoning. R-7 Remarks: SIF PATH 1 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 this 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: TIM WALKER PRECISION PLUMBING CO 10305 SW CLYDESDALE TERR GARY DEAN HARPER SEAVEPTON, nP Q'70nR 1n5F;q NW I.nST PARK DR PORTLAND, OR 97229 Phone #: 503-579-3538 Phone #: 503-641-7105 Reg #: 1 Ir 53982 PI M 34-193PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X ���- �� ----' Signature of Authorized PlJnber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF t I G A R D ___PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: FLM2002-00037 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/7/02 SITE ADDRESS: 13115 SW ST JAMES LN PARCEL: 2 S 109AB-07200 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK.: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS- URINALS: GREASE TRAPS: LAVATORIES. OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: It WA1 ER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential fire suppression system foi 2463 square foot residence. FEES Owner: - Type By Date Amount Receipt TIM WALKER PRMT CTR 2/7/02 $120.00 27200200000 10305 SW CLYDESDALE TER^ BEAVE RTON, OR 97008 SPOT CTR 217/02 $9.60 27200200000 Total $129.60 Phone 1: 503-579-35:38 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone 1: 3;1-0234 Sprinkler Rough-in Reg#: LIC 40981 Sp- ikler Final PLM 37-22PB This F, .mit 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 fort;l 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:�_ Ge;_ L( t7 2r_L . _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day Sent by: JetFax M5 6026; 02/06/02 12:36PM;,JgtfdX 1174; Page 2/2 necoiveds 2/ O/ 2 19 ;26AM; 80069111196o -> Jstrax Mat Mayr e 02/09/2002 12:21 FAX 5035981890 CITY OF TIGARD IM002 11mbfng Per / PDateronrivoit: A� - - - _ City of Tigard Sowerpttmitno.: Iluae;r�gyam_,tmrWWv Qo- Addnss: 1+l'25 SW Hill! Rlvd�T�l art1.OR 9723 p" p1.n0.: Exudate' N r:',q oJT •.,.-1 Nom- (801) 6:19-41"J1 i.11l�Y Ulf 1�JIM10 -- - - Fax! (509 5916-19(0 ° BSA.. lyateitcued: ay: Remiptaa l:au Ale n<,.. paymenttyrr.• '. and use u��proval� _,� _— -- 01 .Ir ?fain fly tiwellutr M :n.�.csu•iy -. C,,rnmettyallndurNel _lMulti lurnily aTenWILImpnivement ONew runsiGllCt)r"n U Addtuontwiemorvreplarrwrnt J loud:�tvtct J llthrr. --- w_- ^ �� _Ucvetti (iota __ _ Otv. Fee(ea. Trout �\ job Mudie"! l 'd r+ ��i J �t. +�1 N�.� - ---- ern I-end I-bra y Rcllinp qtly: Sllltf f10: V` (4tehadeu 100it.lbreach wili,tyoonnvucfioo) Tax napitax lot/account no.: SFR(1)bath Lot' 8Lork - j5ubdiyiston: __ SI'R- )bath tart none: - SIS)bail! -� _�� ash addit oval bol ! emch tz 'Ict-iption and location of wOrk un pterrl •s:. Sitr.rttllitie+t: Catch basWarea drain wcllslletitili tttcl4bnc lM rain — r,&IC or cct 1m1Qr in':Kx-tion' f u Mumu(IIo, ln.(4) ,_ hal UN fnctu,red home utilities wl _- - _ -- -- llucn illiai;nAM& C•-�-n�r�l/slCL9C d r - M - -- - - u drain connector � State � 7d1,- 7 r Sanitm!sewer(n ) C � _ o.an.ft 1-Or1I 1 a>: 6-mails olocrn sewer(nt> Ian• I'itt)Ite' •33 VVa1er netviu�(uu.Ila. ft.) _ CCB no.�0 9�_--, itttrth.bus.cr ,n t �7'i� _ VLXtare or iteral; City/melts Iic.Ow -- Abtlorixicm valve ConttttCtot's to l"tive signature Kaci tinw ptevonlcr Ihint name, ;S t��r•-r:L. I7atcc oZ ro L lu:kwattr v:tve 9aMsiriaJiaratllr� .,_ _-- Ciratltt� Addre r. _ Drinking, T -- Salta' Z,-P NAont: �R nil: ExPM •hm xtlltdsewl•]t� - - onr dtaitwJ-flM>nr uttl lupi Milne (y6nr)':f/ j14 �t1 2- {� Cm di6pnnal Matltn tldMite�rs• Gay• s�T+^.� 5lata Lu'' p70t9 lee mailer Irhorlc -'f • 534ax: 177-!!7311: Incetu Ptorlgrease t� - _ rywneT in�tMtllntio rwidattitil tuaintenance nniy: Tneacnull inwlllatinn Prilnerts _-. *JU Ix•tnrde by ntie Or tha maintcerence 1110 mpair made by my regular Roo drain(twenrietei_A - erinpk,vtw on the IlmpeM I Own as prr ORS Chaptrr441. St t s ,bamn s ,lays(�_ _ Ov<uet'c signature - _ -- _ LhUe UMT) - 11tt>tJ tower/' L)e_pan tie — ---• -'- Nanw• ,. -- --- ateM-cloael -- Addmss � VJtttet hratct _ rPtlone -_. Part_-_ -- ` lidtnnn Mtntmttm foe. „a dl IrbJltluas�cc,<tir ut.1x"b.pirar call Jud m Mor vpe,dmo,un-a Notice:nits permit r" I h til mvtcw(rt S --- t]Yw ra W"K;" �. -� d� has CKptreg if a pwmh is not obudimi Sthte%lirchantfr )'.• cot vembe, ,-_ -._ P� within 180 atter It been Ttrl�. ...... . ....... 0 y � Q ` w o � >71 �+ � n � o O E o � T a' I I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BUP BUP Received _ _--__ -- Date ReL uested � a�' AM___ -_ PM __ BUP -_ Location —D 1- 53 ` '1 ;?Z-vv\�k S suite . - MEC Contact Person - ---- - Ph (, - - ) ------ PLM -- ---- Contractor Ph SWR BUILDING Tenant/Owner ELC - Footing E L C Foundation Access: Fig Drai ELR Inspection Notes: - SIT PA!EhorsZ S Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - --- Firewall Fire Sprinkler -- -- --- - - -- -- - .-- - -- Fire Alarm Susp'd Ceiling Roof ZBFN PAPT FAILG_ - _.. Post&Beam Under Slab - - — - Rough-In Water Service -- — r" Tf -" 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 Fire Alarm Finalr Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE Please call for reinspection RE:_ Unable to inspect•-no access I ire Supply Line Approach/Sidewalk V( 1 Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour Inspection Line: (503)639-4175 BUILDING MST � � 0Z 3,�- INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Fi9quested AM—_..______ PM BUP Location Suite MEC - Contact Person -_ Ph( ) 19:51-3 - oZa PI-M Contractor - Ph(_ ) _-- SWR BUILDING TenanIJOwner _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes- 0 SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - --- Insulation Drywall Nailing - - - 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: _ Final PASS PART_ FAIL MECHANICAL _.. Post&Beam Rough-In --- Gas Line Smoke Dampers Final PASS PART FALL ELECTRICAL Service Rough-In UG/Slab Low Voltage J. Fire Alarm 11 PASS ART FAIL --1 Reinspection;ae of$- ---_____.��required berore next inspection. Pay at City Hall, 13125 SW Hall Blvd. v L7 Please call for reinspection RF..:_ —____ L Unable to inspect no access Fire Supply Line ADA Dab U /�. C� 1nsp4lctor //f ; Approach/Sidewalk t' -- __ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received _.____._.-____ Date Reqwpsted AM PM BLIP - Location -___ _�_ ' ! j } " -� _ Suite MEC Contact Person Ph(_ _�) ���_ C' PLM Contractor _ Ph ( ) SWR BUILDING Tenant/Owner _ ELC Footing --- _ - - - Foundation ELC Ftg Drain Access: / ���-7� ELR - Crawl Drain ` Slab InspecfiaTN4oh* ---_____--- ---- SIT Post&Beam Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear Framing -- Insulation Drywall Nailing - Firewall Fire Sprinkler -- - ---- Fire Alarm Susp'd Ceiling - - - - - - Roof Other: Final PASS PART FAIL PLUMBING_ Post& Beam Under Slab - - - Rough-In Water Service --- Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain Shower Pan Other: - SS PART FAIL'MMMu ANICAL Post&Beam Rough-In — _ --- - - -- Gas Line Smoke Dampers _ _------- - - --- -- -------- - ------------ - -- Final PASS PART FAIL -- -- --- - - - -- ELECTRICAL_ Service �� - — ------- -- - - Rough-In - - _— --------- - - --- - UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Fj Please call for reinspection RE: E] Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date Inspector C_ :::;h Elft _ 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 BUP Received `Date Req ested_._ ' �J AM � ._� P�JI��" — BUP - _ Location [ ✓ / 1t� MEC Contact Person . ----- - "t yy' - Ph(- ) C')f PLM - Contractor - Ph(- ) -- SWR - BUILDING Tenant/Owner _ -_- ELC Footing ELC Foundation Access Ftg Drain ELR -_ Crawl Drain -- — Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing �. Insulation Drywall Nailing --- —' Firewall Fire Sprinkler - — Fire Alarm Susp'd Ceiling Root Other: Final PASS PART FAIL ---._.... ------------------------------- -- PLUMBING ---- Post& Beam Under Slab �- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Other: - Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - Cas Line Smoke Dampers - - - -- _ - - --- FfrtR S� PART FAIL - -- --- -- --- -- - EL CTRICAL ----------- Service Rough-In UG/Slab Low Voltage _ Fire Alarm — Final Reinspection tee 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 �f G ADA Data ( �-{ Q c...� I� Spector �_ EXY 1 l - Approach/Sidewalk — Other; Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL