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13725 SW SANDRIDGE DRIVE a 1 v 13725 SW Sandridge Drive Ci1TY OF TIGARD 24-Hour BUILDING Inspecticn Line: (503) 639-4175 MS11 -- INSPECTION DIVISION Business Line: (503)639-4171 BUP - Received Date Requested�. �` -- ___ AM PM BUP Location ) ? ?'AS S.W S A TIb W 0 611E Suite MEC Contact Person — Ph( ) _ - PLM �� \10�Z_'b_ — __. Ph(_. b - D SWR Contractor.; � - �'�-�F-�-�-- BUILD_ING Tenant/Owner _ ELC Footing E,C Foundation Access: ELR O 0 Q r77 Ftg Drain 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 - Roof Other: Final _ PASS PART FAIL PLUMBINGt -.w -- - -- Post&Beam Under Slab - -- -- ------ - ------- _- Rough-In Water Service - ---- - -- - — - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain ------ - Shower Pen _- Other'--- - ---- - ---- Final PASS PART FAIL MECHANICAL _ Post&Beam Rough-In Gas Line Smoke Dampers - - Final eS PART FAIL TRI Rough-In UG/Slab w o ta rkee ------- -.a_ - --- arta Reinspection fee of$ _-�_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. c PART FAIL SITE Please call for reinspection RE: F-1Unable to inspect-no access Fire Supply Line ADA Dote s zot Approach/Sidewalk s --�- - Other: / Final DO NOT REMOVE this Inspectic 1 record frbrn the jda 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 Requested — AM ---PM _ BUP Location —_ 7a ,S- -Suite MEC Contact Person - --- ---- Ph PLM --- -- Contractor____-- —_-- ------_ _---- Ph( ) -- -- SWR ---__-- BUILDING Tenant/Owner ,__ _--- __ __—__ ELC _- Footing ----- ELC Foundation Access: Fig 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 Roo, lnfy� h, � _ ��a O U "b � �_ n 7 Other:- --__--T- -_- r 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 Post& Beam — Rough-In -- - - - --- -- ------- Gas Line I Smoke Dampers — _ --- -- -----..— - ---- ---- Final PASS PART FAIL ----___ --------- ELECTRICAL - - -- ------ — ----- ----- ----------- Service Rough-In — ------- - —-- -- — - UG/Sla Fire Alarm n G PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S - -- Please call for reinspection RE: -- El Unable to inspect-no access Fire Supply Line x7� ADA -- Approach/Sidewalk Date � Ext Other: - ---- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGaARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST. INSPECTION DIVISION lousiness Line: (503) 639-4171 BLIP Received ^7 �Dattee'Requested �— AM PM BLIP _ Location _.f J /cam _ C�_� 4 Suite—_______ MEC ---_ Contact Person _ -___ ____. �q — _ h(— ) —�J�q �/3t'o� PLM Convactor- ---- - Ph SWR BUILDING Tenant/Owner _ ELC Footing E L.0 - Foundation Access: Ftg Drain EL.R Crawl Drain _ Slab Inspection Notes: 51T - 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 r - Other: n PART FAIL MECHANICAL - -- Post& Beam Rough-In -- --- — Gas Lane Smoke Dampers -- -- — Final PASS PART FAIL - ELECTRICAL Service Rough-In UG/Slab Low Voltage -- Fire Alarm Final F-1 Reinspection fee of$--_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - - ❑ Please call for reinspection RE:_— _—_--—.. [] Unable to inspect-no access Fire Supply LireI�� ADA Approach/Sidewalk Date lns,pecto► Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL a � ► A-• M kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA rri r ► 4 �� cn P-- � o � ► ! ,.., Un b ► aI O b rD ► > ► ,Q ► C ► ► 44 rl tTi ►t O " e lrl+ p CrQ44 0' n 0-. o 490 poll a ► 44 • ,.AM )( Q ► � ► t414 ! ! ! CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST " INSPECTION DIVISION Business Line: (503) 639-4171 - -� BLIP - -- -- - -- Received Date Requested �+ __ AM _ PM BLIP - Location /.3Sw .S�.nid - —- - ---Suite_- ---- MEC — Contact Person - -- -- - - Ph l-- ----) �/�l- X1.3 � (__ PLM Contractor Ph( _ ____ SWR Tenant/Owner - -- - - - ELC - - -- -- -- - ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Nole,, SIT - - - Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler ---- - Fire Alarm Susp'd Ceiling --_— Roof Final^ -- '� PART FAIL - ----------- -- -- PLBING P�3-sf&Beam Under Slab - Rough-In Water Service - - --- — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — - Shower Pan Other: _ ------ --- --- Final PASS _PART FAIL - MECHANICAL Post&Beam Rough-In ---- -- - - --- ---- Gas Line Smoke Dampers -- — Final PASS PART FAIL -- -- - _ ELECTRICAL Service -- Rough-In --- - --- -- — -�- --_ --- -- UG/Slab Low Voltage — Fire Alarm Find Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 61ft- _-�- Please call for reinspection RE:-__-_ _- _-__--_ n Unable to inspect-no access Fire Supply Line _ ADA Approach/Sidewalk Date ,_ / /O . Inspector-- Ext _ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL i o ► a ► a - W a ,r- ► i ! i a M � No. i Cr N b � y i a r ► a z s ► ► d d o rD 0 ► t?i tr1 p p• ► n . ! 44 1 ► ti a O � n r c fi F �1 Q 3 v F es,a� CITY OF TIGARD _ MASTER PERMIT PERMIT #: MST2002-00063 DEVELOPMENT SERVICES DATE ISSUED: 2/20/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SIT E ADDRESS: 13725 SW SANDRIDGE DR PARCEL: 2S105DD-PC031 SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7 BLOCK: LOT:031 JURISDICTION: TIG REMARKS: SF dwelling. Model home. Path '1 Receive TIF credit for demo of an existing residence. No credit for Parks SDC as parcel was BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS tEQUIRED CLASS OF WORK: NLV4 HEIGHT: 31 FIRST: 1,552 of BASEMENT: 924 00 of LEFT 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.425 sf GARAGE: 725 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST. 5N DWELLING UNITS: 1 FINBSMENI: of RIGHT: 5 VALUE: E 382.202.50 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TUTAL: 2 978 DO of REAR: 43 PLUMBING SINKS: I WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: Fi DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: V?NT FANS: 5 CLOTHES DRYER: I 13.A5 FURN>•100K: I UNIT HEATERS: h'1r17S: I OTHER UNITS: 2. MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 200 amp: WrSVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 500SF: 0 201 400 amp: 201 400 amp: 1 s1 WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR. I.IMITED ENERGY: 401 600 amp: 401 900 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 901 1000 amp: 901�amps•11000v: MINOR LABEL. 1000•omplvott: PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >900 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO IL STEREO: FIRE ALARM- INTERCONVPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 6,583.82 Owner: Contractor: This permit Is subject to the regulat+ons rontained in the D.R.HORTON HOMES D R HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and 5125 SW MACADAM AVE STE 149 5125 SW MACADAM all other applicable laws. All work will be done in PORTLAND,OR 97201 #145 accordance with approved plans. This permit will expire If PORTLAND,OR 97201 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 rule,adopted by the Oregon Utility Notification Center. Those rules are set Rep N: LIC 130959 forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these rules Or direct questions to DUNG by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Wtr Proofing Bsm't Wa Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Sewer Inspection Post/Beim Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Footing Insp Underfloor Insulation Plumb Top Out Exterior ShFathing Insf Gyp Board Insp Mechanical Final Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final 11N LI.EN1l�I Issued By : _ __ Pel mittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TI CARD SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR2002-00095 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/20/02 SITE ADDRESS; 13725 SW SANDRIDGE DR PARCEL: 2S105DD-PC031 SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7 BLOCK: LOT: 031 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: -- FEES U R. NORTON HOMES Type By Date Amount Receipt 5125 SW MACADAM AVE STE 149 — PORTLAND, OR 97201 PRMT CTR 2120/02 $2,300.00 27200200000 INSP CTR 2120102 $35.00 27200200000 Phone: 503-222-4151 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. T Permittee Signature: -j LM.��1 bkVtittt►+1rwti Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day" –T— Building Permit Application City of Ti � Date received: Q n2 Permit no.: o -D 3 City of Tigard Address: 11125S a I�d,qLY(EQ13 ProjecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By:jj Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use apprc � OF 11� �_ I&2famny:simple Complex: GDTNO U I &2 family dwelling or accessory U Commercial/industrial U Multi-family *'New construction U Demolition U Addition/alteration/replacement U'fenant improvement J Fn, sprinkler/alarm U Other: JORSITE INFORMATION Job address: 0-72,051 56 40A -iBldg. no.: Suite no.: Lot: Block: Su division: /� 'Tax map/tax lot account no,: ,SS I h�"D Project name: I Description and location of work an premises/special conditions: OWNER 'ORrSPE :'AL e 1 Name: �I'i D C h (Floodplai*,septic capacity,War,etc.) Mailing address: ias 11 &2 family d"elling: Z ? ?? s City: �' State:p ]ZIP: Valuation of'work..........,r?..............�'.....'.... $� ' Phone: • 5Faz: p ? mail: No.of bedrooms/baths................................. _.-7 Owner's representative: �1; 'Total number of floors................................. Phone: jajjFaxJmail: New dwelling area(sq. ft.) .................. ....... G APPLICANT Garage/carport area(sq. ft.)......................... _ — Name: Y v-1 Covered porch area(sq. ft.) ......................... Mailing address: 6&wf A5 A�10V L Deck area(sq. ft.) ........................................ <' City: I I State: I ZIP: Other structure area(sq.ft.)......................... _ Phone: Fax; E-mail: CommerclaUlndustrial/multi-family: Valuation of work........................................ $---- Existing bldg.area(sq, ft.) .................. Business name: Y'i"s h New bldg.area(sq.ft.)...............I.. ........... Address: (� S ------ City: State:p ZIP: ZDI Number of stories.................... ...... .......... Phone- - �S Fax: �• E-mail: Type of construction..........,.:�..,.....,.,.. ...... CCB no: Occupancy group(s): Fxisti ---.� /�JOr;'�iO� -- - - - _ New: City/metro lie.no. Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: 00S A W 1, junsdiction where work is being performed. If the applicant is Cit State; IZIP exempt from licensing,the following reason applies: Contact person: Iq kj EgX IL Plan no.: -- — — Phone: 1'ax: F-mall: Moro Name: ��U/� :untact person: �,( t L- Fees due upon application ........................... _— Address: 1"f h. __ Date received: City: Stute:QR ZIP: p/'� Amount received ......................................... $ Phone: Fax: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all juri bcoons accept credit cards,please call junsdiction tot more tntomrauon attached checklist. All provisions of laws and ordinances governing this u visa J MasterCard work will he complied witl , whether specified herein or not. 'resit card nambet -- rr t _ r es Authorized signature: Date: �� New of cardholder as shown on credit card - s Print name: Cardholder signalurc Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ")-01 3(~'OM) Electrical Permit Application ME 1?atereceived: Permit no.: -T eQI-_,2,04 City of 'Fig Project/appl•no Expire date: r 7tt of l :�:nf Address: 13125 SW Hall Blvd,Tigard, ()R "7223 Date iEsued: By: Receipt no Phone: (503) 639-4171 �.�_Pl "I Fax: (503) 598 1960 Case file no Paynirni t%PC Ci 1-Y UF L I(jAKD Land use approv*tgj raw_ MIg0_ _ TYPE 6F PEkMIT U 1 &2 family dwelling or accessory U Commercial/industrial 0 Multi-family U Tenant improvement New construction U Add ition/alteration/replace ntenl U Other: 0 Partial XIIIIIiSITL INFORMATION Joh address: Bldg. nu.: Suite no.: Tax snap/tax lot/account no.: Lot: Block: Subdivision: ( CG — Gb31 Project name: �(G � t� Description and location of work on piciiii Estimated date of cont letion/inspection: 1 Job no: t r�• Mat G -- Ik%cription Qty. (ea.) Total no.lns F3usiness flame: New residential•tinkle ormulti-farnI4 Per Address: SW VR rt I,IA dwelUnkunit.Includes attached garage. City: Slate: ZIP: Service included: Phone: - Fax: Email: 1000 sq it (Ir less 4 Each additional 500 sq.ft.or portion thereof CCD no.: Elec.bus. tic. no: 10 Limited energy,residential 2 Oily/metro tic.no.: LimitedP^ergy,non•residendal 2 homeormodulardwelling S••�n, amllut Lr• •r _ 5lgnafuRo sit erviringdeetrklan(required) Ila1i Serrleranrfeederc••:�stollation, Sup,elect.name(pnot) PROPERTY I in nsr she•salon or relocatlnu: OWNER 200 auras or less 2 L!Lrn 201 amps to 400,:mps — 2 Name(print): 401 amps to„r amps 2 Mailing address: _ Q 601 amps to I(xx)amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone; Fax- E-mail: Reconnect oniv I Owner installation:The installation is being made on property I own Temporary services or reeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 21x1 amps or less 2 ORS 447,455,479,670,701. -tot amps to 400 amps _ 2 Owner's si mature: Date: 401 m 600 ams _ 2 Branch circuits-new,alteration• or extension per panel: Name 5 VkIM A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City; h///AGS — StAte ZIP: Q B. Fee for branch circuits without purchase Jd��n of service or feeder fee,first branch circuit: 2 Phone: I X410fl, E-mail: Each additional branch circuit: Misc.(Service or feeder not included): U Service over 225 amps commercial U licalth cote tacdnv Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Htvantouslocation Fach sign or outlme lighting 2 family dwellings U Building over 10•(x)(1 square feet four or "ignal cncwt(s)or a limited energy panel, U System over tsm votes nominal more residential units in one structure alteration,or extension* — 2 U Building over three stories U Feeders,400 amps or more •Uescn tion — U Mcupant load over 99 persons U Manufactured structures or RV park FAch additional lmpecNon over the allowable in any of the above: G EgressAightingplan U Other. Per inspection submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other - $ Not all jurisdictions accept credit cards,please call jurisdiction for mrma ore infotion. Notice:This permit application Permit fee..................... U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit card number -- within 180 days after it has been State surcharge(8%) ..•.$ Expires accepted as complete. TOTAL .......................$ Name of cardholder as shown on c tic _ E Cardholder signature Amount 416.4615(&WICOM) Mechanical Permit Application Date received. Permit no.// .2 pm City of TigaraILL; Project/appl.no.: Expire date: CirynjTigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: pt no.: Phone: (503) 639-4171 i , Fax: (503) 598••1960 C'11 Uf I IUAKU tease file no.: Payment type: Land use approval:$UILDING DMSIC?I` ___ Building permit no,: 7❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement ❑New construction U Addition/alteration/replacement U Other: It 1 1 Job address: Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite r ,: value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/tax lot/account no.: I,ot: Block: Subdivision: I(Gf *See checklist for important application information and Project name: ,jurisdiction's fee schedule for residential permit fee r City/county: ZIP: Description and ocation of work on premises: __ Fee(ea) Total Est.date of completion/inspection: —_ Description Res.only Res.only AC: Tcnant improvement or change of use: Air handling unit _CFM Is existing space heated or conditioned'?U Yes U No t Air conditioning(site p an require ) Is existing space insulated?❑Yes ❑No A teration oexisting A_system _ CONTRACTOR Boiler/co pressors State botler permit no.: Business name: HP Tons__BTUM Address: it smo a amper uct smo a etectors City: State: ZIP: p0 eat pump(sue p an require ) nstn rep ace fumac urner Phone: Fax: E-mail' —_—_-- Including ductwork/vent liner U Yes O No CCB no.: Install/replace/re_ ocateeaters-suspende , City/metro lic.no.: wall,or floor mounted - -— ens fora lizince other than furnace Name(please print): of ge•rat on: 1 Absorption units_ BTU/H Chillers. __ _ HP — Name: N1 L 01 C V SO _ Com ressors _ HP Address: 5 `7 y�,� nv onmenta ex ust an rent at on: City: y State: ZIP: : D Appliance vent Phone Z- / Fax: fA- 1-39i Email ryerex aunt 533s, ype / res. ttc a azmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) _ Exhaust system o nrt rom eattn or AC Mailing address: 0 t/ ue piping an st u1 on(up to outlets) City: a state:OlC ZIP: fy 7C l.Pf, Na Oil Phone: 27, 7hax: / E-mail: Fue i ing each ad ttional over out cis rocessp p ng(schcmaticrequired) G Number of outlets -- Name: ter listed appliance or equipment: Address: C� Decorative Fireplace City: _ State: ZIP: 1,01 nsert-t e 0o stov pe et stove Phone: FaK; 1--snail: othet: Applican"s signature: Date: ter: Name (print): Permit fee _..................$ _Not all Jurtsdictlons accept credit calla,pietim can tunurktiun for more information. Notice:This permit application Minimum fee................$ ❑visa ❑MasterCard / / expires if a permit is not obtained plan review(at _ %) $ — Credil cord number __, -- Gxptres within 180 days after it has been Slate surcharge(8%) ....$ _ -- ---— accepted as complete. TOTAL . Name of cardhot r as shown on credit card s .....•.•••...••• $ --------- Cardholder uputute Amount — 4404617(6MCOMI Plumbing Permit Application ,-1 =CEI` / bate received: Permit no.: �t�,n City Of I 1 '•fru... V Sewer permit no.: Building permit no.: r Address: 13125 SW Hall Blvd,"Tigard,OR 9722. Cirvu(Tignrd phone: (503) 639-4171 Projecdappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Teceipt no.: cu Y Ut l 10AlK% ,,e rile no Payment type: Land use appruV .-6P4GTAV4F1C1:_ OF PE!tMIT U I &2 family dwelling or accessory U Commercial/indust lal U Ivlultl-tanuly U Tenant improvement New construction U Addition/al teration/rr-place ment U Fond servict- U Other: _. 10 ILU 717MM, 1"02 M1011171 ��j Description (Xv. Fee(ea.) Total Jud address: —�L1�_ — Ne-A I-and 2-family d"ellings only: Bldg.no.:: Suite It .. (Includes Itlntt.fureachutifihcunnection) Tax map/tax lot/account no.: S1-`R(1)bath Lot: Block: Subdivision: (� , CY1044' 5FR(2)bath Project n c: 4 "$�" SFR(1)bath City/county: � (i� ZIP: Each additional hattt/kitchen SitDescription and I Catcchh basin /alion of work on premises:r b Catch drain _ Est.date of completion/inspectioltPLUMBING Urywells/leuch lineftrench drain Footing drain(nu. lin.ft.) t Manufactured home utilities Business name. J4me, Y�v�ml�►� — Manholes Address: ( $2 yVj 1110AVJ Rain drain connector Cil State: ZIP: n Sanitary sewer(no.lin. ft.) city: sewer(no.lin.ft.) Phone: - C' hax: E-mail: CCB no.: Plumb.bus.reg.no:'3 -( Water service lin.ft.) Fixture or Item: City/metro lic.no.: Absorption valve Contractor's representative signature: - �_ Back now preventer Print name: L Date Backwater valve Basins/lavatory — Name: AJf L D/G_�A Clothes washer Dishwasher Address: /2ZA 6W Drinking fountain(s) State, ZIP: Ejectors/sump -- Phone: -?LZ I'ax: E-mail Expansion tank Fixture/sewer cap v _ floor drains/floor sinks/hub Name(print): Q, �'�DI 4Th N�H7rS Garbage disposal Mailing address: Hose bibb City: state: ZIP: 1 lee maker Phone: I Fax 177-41 P71Email: Interco tor! rease ten u%ener instal lation/residential maintenance only: 'The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s), lays(s) Owner's si nature: Date: Sum 011021111111111 Tubs/shower/shower pan rinal Name: ater closet Address: Water heater _ City: l State: ZIP: Other: Phone: Fax:`dj 7 E-mail: Total Minimum fee................$ Na ell jurisdiction accept ued0 cards,please call ptriMlicuun for more mfommuoa NntlCe:Y Iti9 perTrllt application J Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ 96) $ Credit card nunthet within 180 days after it has been State surcharge(8%) ....$ _ Expires _ accepted asrnmplete. 'TOTAL ....................... Natne nl mdholder as shuwn nn credit cud _ S t:erdholder stgnmure ---i Amount 44OA016(M)DWOMI PA,C:IFIC CKES"I" SUBDiV1SlON LO"I' 31 Cl`ry OF •1 IGARD THE APPROACH SHALL BE A MINNMUM OF 8"xl2'x2O' OF CLEAN PIT GRAVEL ST LME SHALL BE LESS THAN 2 TO s4► W. EL-579' LANDSCAPING FOR THE ENTIRE LOT SW IS LETOE DRIVE SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL Ei l a EROSION CONTROL. FINISHED SLOPES TREE RECEIVED DRIVEWAY 5 2y ______ ``— �IIY OF I l(JA?JJ I3UILDINO DMSION SQFT. a 146-_ i Ln / 1 I 1 PLAN : 3902C r-- LIVING 3902 SQ !Z I � i NOTE 2. FOUNDATION DRAINS TO 1 ACKYYARD SOAKAGE TRENCH SEE ATTACHED DETAIL _ I,ROOF DRAINS TO STORM LAT. IN STREET. ------------------------------------------- --- CITY IT . OF TIGARD --'— ELECTRICAL PERMIT- (V_ � Y RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00077 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5/6/02 SITE ADDRESS: 13725 SW SANDRIDGE DR PARCEL: 2S105DD-PC031 SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7 BLOCK: LOT: 031 JURISDICTION: TIG Proiect Description: All encompassing low voltage. 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: 114STRUMENTATION: OTHER: TOTAL # OF SYSTEMS:____,_ Owner: Contractor: D.R. NORTON HOMES U.R. NORTON 5125 SW MACADAM AVE STE 149 4386 SW MACADAM AVE. PORTLAND, OR 972.01 PORTLAND, OR 97202 Phone: 503-222-4151 Phone: 503-590-0206 Reg #: LIC 130859 _ FEES _ Required Inspections Type By Date_ Amount Receipt Low Voltage Inspection PRMT CTR 5/6/02 $75.00 272002.0000 Elect'I Final 5PCT CTR 5/6/02 $6.00 2720020000 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 ' ct questions to OUNC at (503) 246-1987. Permittee Si nature Issued by � �� r � '�� c�- _ G_ _- g OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: LICENSE NO: �_�-------- ---------- - -- -- - -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application ---- _— –� "Dateeived– -"PermnitG.c�, a _ t ,., j City of Tigard Pro)ect/appl.no 5xpiredate: City of Ti zard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: i Receipt no. Thane: (503) 639-4171 — _ Fax- (503) 598-1960 Case file no.: Payment type: Land use approval: 0 I &2 fainily dwelling or acceasoty J Commerciallindustt ,.i J 'Multi-family J Tenant improvemem U New construction J Addition/alteration/replacenteIII a Ocher: — _. O Partial Inb address: - R.„i nti . iSui:e nn.: Tax t iapitex_InNaccouut no Lot; BloL.k 5uhifivision: PmJect name: csu_iptinu and location of work on premises: Estimated date of coin letion/ins cutin: Job no: I ee Max ea) rola/ no.ins Business nwyw: . Dncri tion t?f,. - v :Veru rsysldentlal•singk ur muitl-frmIls per Address: { tal-V __4Ajj1 dwellingunit.includes stlaritedqurage. City:- �, State: 1 Z(f - Servlcelncluded � i'hn'1e� r. 100(1 y (Lfr�less F-mail —_ :(3 -- Focl SW sr h additionait nr pnnto•t�bere•+' CCB no.: l: l lec bus.lic, no: lArnitedener v,residentia, l 2 C icy/melro 11C.)t,,.. - Urnitedenergy.non-c!o(lenrtal — f-” l �^ Fach manuractumd hame or modulat dwelling 5ignatutt of supervising electttclan(requlredi Bate Service and/or feeder Z !Gen Ices or feeders-Installation, Sup.elect mmne(print) l-,react nx alitratltnt or relocation: 2VU aro s or icss Name(print): --T� _ 201 amps to VK)arms ? 401 ata•s In 600 amps Mallin address: ___ F)!amps to iocxl atni, Cit : State: ZIP. 0%er 1000 amps or volts 2 Phone: Fax: I E-mail: Temporary eenlca+or reedem Owner installation:The.installation is being made on property 1 own Installation,alterition,orrelocation: which is not intended for sale,lease,rent,or exchange according to zoo amps or Iasi 2 ORS 447.455.479,6 hl )I am is tr dOQ ams 2 Owner's si+tlaturc; ranch circuits•new,alteration• or extenslon per panel: Name: _ _ A Vice for stanch cirmi,widt purcha+e 4 service or� feeder fee,each branch citron — tn Pee far branch circuits withoutpurchwe Cil!]: Sate _ t,f service or fecdcr fee.rirst bnuich circuit 2 F inn l Eachaaditirnatlirenchsrcut Isc.(3erviceot feeder not inrlu ): Each um orini ationtirt.;e 2 03ervtsosei2:5amps.cowinerciai jtieawi.corebJltty ---- not outlineltghting U Sen is over 320 anter-rat ng Of IFC? O Hazstdous locanon ti, nal cncult(s nr n limited ener ty panel. ImnilldwellinKs �BuBdinguver10.000ayuarefeetfouror �,Irtentnores,tnslon• 2 O System neer f x)volth nommsi more residential units in one structure -- �— — a Suildbtu overthrce storteit J Fetders,400 amps or mtott •L�ecrn non J occupant Iond over 99;tenao J Manufactured struclutmor Itv perk Fick additlona Inspeellon over the%howahie In any of the above, -1 Lpreg"A plan >Other _ — -- — perms ecu m __ j IJT Subndt sets of plant nith.nv of the above. Investig.uen fee _ The above are not applicable to Icmptrrar}construction service. Other Permit fee... ...... .......... -- �, vrtulicdnra iti:rept mat c lis,mese call)unal orlon tot rrwte I'* t1r 1 Notice:Ira rttmlt application plan review(at , %) g :.t visa O MestcrCnnd e�cpires If a pernut is not obta�ned within 190 days&Per it has heerl State surchatee(R7(•) ....S Credit reed n,anhe' --— --- --- _. 10T�AL ........ ..... .. .. $ ." 'n` accepted as cotnpletc. --------- -!Vane of t a h c t ac Chown an ctedtt torr-- _S C hMdtr d tare trwunt 441146I11NC0lMM) /^ CIT_Y I OF TIGARD ELECTRICAL PERMIT \ PERMIT#: ELC2003-00399 DEVELOPMENT SERVICES DATE ISSUED: 6130103 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S105DD-05500 SITE ADDRESS: 13725 SW SANDRIDGE DR ZONING: R-7 SUBDIVISION: PACIFIC CREST BLOCK: LOT : 031 JURISDICTION: TIG Project Description: 1 branch circuit to hot tub. RESIDENTIAL_UNIT_— _TEMP SRVCIFEEDERS — v MISCELLANEOUS 1000 SF OR LESS: _ v _ 0 200 amp: PUMP/IRRIGATION: EACH ADD'I_ 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL. (10): _ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: — W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only_ _ SVC/FDR —225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MIKOLOJ PHILLIP MICHAEL RAFFAELL CONSTR 13725 SW SANDRIDGE 15170 SW KIRK RD TIGARD,OR 97224 OREGON CITY,OR 97045 Phone: Phone: 632-6720 Reg #: LIC unn�S 12'_ SUP - _ FEES Description Date v Amount Required Inspections 11-11'RMTl L{L.('Pcrnnt n 11)01 $46.85 -- ITAxj M'o siate'lax r tic t $3.75 Elect'I Final Total $50.60 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 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246.6699 or 1-000-33 4344 ' Issued By• ��1 �� l'"C� Permit Signature: L /l 1/(/ �_ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DArE:__ -- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — .__ __ —_— DATE: ----- 1.WENSE ATE ---LICENSE NO: -- t Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application FORONLY Glcctrical s DatclB : i' -U -� '� Permit No.L- -� Cit of Tigard �-' (' Planning Approval Sign City —Date/By: Permit No: 13125 SW Hall Blvd, Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: _ Case No. Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: mental Information. TYPE OF WORK _ PLAN REVIEW(I'lease check all that apply___ New constructionEl Demolition Service over 225 amps- I Icalth-care facility commercial ❑Hazardous location E]Add ition/alteration/replacement ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, _ CATEGORY OF CONSTRUCTION I &2 family dwellings four or more residential units in i & 2-hamily dwelling__ Commercial/Industrial ❑System over 600 volts nominal one structure 171Building over three stories ❑Feeders,400 amps or more Access0 $Uildlri Multi-Tamil -. ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress lighting plan ❑Other._ JOB SITE INFORMATION and LOCATION Submit_sets of pians with any of the above. The above are not applicable to temporary construction service. Job site address 1 J�t_�— t _ FEE*SCHEDULE Suite#: !_ Bldg./Alit_#_ _ _ Number of Ins ections per ermit allowed Project Name: Description Qty Fee teat Total ------------ New residential-single or mulll-family per Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Included: I(XX)sq.ft.or less 145.15 4 Each additional 500 sq.0.or portion thereof _ 33.40 1 Subdivision: _ _ -— Lot M _-_ Limited ener residential 75. 0 2 - Limited end non residential 75.000 2 IIax map/parcel M Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 '- — Services or feeders-Installation, aIteration or relncatlon: 200 amps or less 80.30 2 - ------- ---- -- --_. 201 amps to 400 amps 106.85 2 401 ams to 600 amps 160.60 2 PROPERTY OWNER -- TENANT 601 ams to 1000 amps 240.60 2 Over I(W amps or volts 454.65 2 Name:_ (_ 1 { /(' >`" J __—_-- Reconnect only - --- 66.85 2 AddreSS: Temporary services or feeders-installation, - --- - - ---- alteration,or relocation: Cit /State/Li I 1 2f R)am s or less 66.85 1 Phone: Pax: 201 Amps to 400 ams _ 100.30 2 APPLICANT CONTACT PERSON 401 to 600 ams 133.75 2 Branch circuits-new,alteration,or Name; extension per panel: --�---- - A.Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 6.65 2 City/State/Zip: _ - n.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: Tax: — Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each pump ui inillation circle 53.40 2 ------ - Each sin or outline lighting 53.40 1 2 Job NO: Signal circuit(s)or a limited energy panel. / i alteration or extension Pae 2 _ 2 Business Name: - t __ Description Address: K _ ,- . Each additional Inspection mer the allowable In an of the above: Cit /State/Zi l ' ' 1 ` G'-%�5 Per±!pcctionper hour Lmin I hm w t — 62.50 Phone; Fax: Investi ation fee: -1-- - _ Other: - - CCB Lic. M Lic. #: ; - � — — "' Electrical Permit Fees" Supervising electrician _ Subtotal S �v r Signature required:_ Plan Review 25%of Permit Fee) S Print Name: Lic,#: L- 5 State Surcharge(8%of Permit Fee) S -- TOTAL PERMIT FEE S Authorized t Notice: This permit application expires Ira permit Is not obtained within Signature _-,�_ r-f-, U�*1 �41.� tt: _ 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. --(Please print namc) --+- i:U)sts\Permit Forms\ElcPermitApp.doc 0F03 Electrical Permit Application - City of Tigard Page 2 - Supplemental ls: LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systcros* Burglar Alarm (iarage Door Opener* LJ Heating,Ventilation and Air Conditioning System* El Vacuum Systems* E] Other —_ —_—_.--_-- COMMERCIAL WORK ONLY: Fee for g rh system.. ...................................................... S75.00 (SPE OAR 918.260-260) Check Type of Work Involved: Audio and stereo systems Boiler Controls Clock Systems Date Telecommunication Installation Eire Alarm Installation IIVAC El Instrumentation Intercom and Paging Systems ElLandscape Irrigation Control* Medical E] Nurse Calls n Outdoor Landscape Lighting* lJ Protective Signaling Other----- -- -- ----- Number of Systems No licenses are required. I.icemes are required tot. all other installations i:\Dsts\permitPomis\ElcPemiiiAppPg2.doe 01/03 C"OF HARD Electrical Permit Application p1�,I� 4 u a 00;S 13125 SW HALL BLVD. Recd ny Gats Red TIGARD OR 97223 Date to P.E. I'honet(503)839-4171,x304 Print or Type rfttw to DST Inspection (503)639-4175tar y Far.(503)684-7297 Incomplete or illegible will not be accepted 1. Job Address:-- -� 4. Co"Wiete ree Schedule Below: Name of Development _ _ Number of Inspections per Pon,It ellmwed Nnrrm(or name of txisiness) l --17'.- r, 5 iJ Service included! Item's Coat Sum AddiesS._,, "3_7 r - 4e. Reeidsntlal-Par Unit St1p.00 _ • 1000 q R-or fess Gicy/Statea/Zlp.__.._ r,!G R Each ioitoonat Soo su.R or portion thwouf 325 00 t Curnmerm al❑ RewdeMlal giri I rnitnd Lrwgy -- Fw:h Marlin"Dome of Modular DwnUM Service at r larder 500.00 --- 7 2a. Contractor installation only: 4b SwvlL*s or Feede s (Atdch copy of all currant licenses), D w , A e�r�l tnsta4ailm,alteration,r»rak"tkm Elm-Irir:al Contractor _ '4 if 200 artgs or loss 12.4 ?of- w loo amps fa0.00 2 CrtYa (1 State fj e r'... _gyp - 401 runts to 000 amp• $120.00 Plrone No02C amps w lnoo ants __ $w,00 G-3.�=f-� �"� c.«IooO amps or v(>Alb __. 5340.00 7 � Jut)N0._---- r- __._�. 7 rtar.rrnmrt only _ fS0.00 _ 2 F!ec.Cont.lJoe.No ,3 Exp.Date-1 OR State CCB Rag.No..�_f`-t l�Exp.nxte. 4c.Twrr�pora+y Awk*s or FeaMns COT Business Tax or Metro No _L72�Fxp.Date - rnctarlatilif alteranerl,rx rekaehrm 200 anrpt car rasa — fs0.w 2 ( 201 warps In 4'10 WMM STSM 2 Siynatilre of Supr. Eler'n_ 'I A-r � C-�'+� 401 amps to so0 at" sloo 00 r ---- 2 Lhor ow amps to IDOW vias. License No. `_ Exp Dale 1_� eas a`wqe. Ilhorle Nn J.L1.3 cad-BrwreM Clmitfa New.aftwatlon M eMerxror!por(&rW 2b. For owner installations: a)The tae for wanrh clnnrrts wren purchase or oerrloe or fta Print 0wnet's Narne f'4 11h-p—�'t/ �o L �" v- drarfr — Fach teener Si.br) -- � 1 d� b)The I"Ire branch utcwts State zip-. _ ---. nlfDyaf purchase or Phon,a No. -- ee►vkw or Mader he. First branch drruh � .iafetat _7 -- Foch arldtlonal t mmh nftufl 55 00 2 the installabnn m being mane on property I own which is not ✓ `.�j _ intended for silo,lease or runt. 4e.Mascellanerrus (, r? ,�1 .3 isarvrxr or feedw fret+rduded) Owners Siyriwtura .—•----.-- -- E.mh PMV of rrngatlon chem M)OU = '1 rar:h dye or rxnlrte Ilyhdmy Situ 00 l ;iprlal Q(CU4(L)of at"It"energy 3. Plan Review sec,-tion(if required): t,r,a,,exefarlart a astmnskr, _-_ $40.00 _ 2 Mtfxx Ixtob(101 StooOo _ Please check appropriate ttem and enter fee in section 58. 4 or more rovideirtOaf units In(xtn stnrctr irp 4f.Each able in Inapectftrn over — Servlr'c and feeder 275 xnlp9(x mule the a SPIKAirn In ally of et.above00 System over 800 vnit,rxsnlnsl Per In�pe(4orl U0 Cloesilled area or eWX.turo containin s lal u u% rMr hour !_ t'S(xt -_ 9 fes= '�^� in Plenr — as drrsc tb.a in N F r, ctmoor S -- Slrrtmh 2 siert+of plans with application mime arty of etre above apply. 5. Fees. L fr l Not required for tnrr►ponry corlstrltetlon services. 6a('nblr$orad of ahnw less 5 144 Opt SuMharne(.115 x total toes) t 0 5 �— NU 1 fc, s+,aoht - 5b.Enter?.5%of lime be for PERMITS BECOME:VOID IF WORK UR CONSI'MUCTION AUT"OMI7fs[)IS Plan Ravrew If rowNg(Sec:t) 5 NOT COMMFNGED WrTTiiN 190 DAYS.0A IF CONSTRUCTION OR WORK Subrosr S - IS SUSPENDED OR AtT WDONFt)FOR A PERIOD OF 190 DAYS Al ANY ^ < <� TINA AFTER WOW IS COMMEr'K=f:O IJ Tnrsl Acz�r><+1 I_ Tufa!bfTrrnee Due .^a.Yi�(yp�w •.w•.V CITY 4F TIGARD 24-Hour 4 L� BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 ST BLIP Received _ Date Reques ed__ •" _''(ASM'' PM_ ______ BUP Location - 2- ice.Suite__ MEC Contact Person -- Ph( ) 6.3 Z' 4,7a- PLM _ Contractor-- ____-- - _-- -- Ph(e ) -7 SWR _ BUILDING _ – Tenant/Owner __-_ —.-- ELC Footing Foundation ELC Access: Ftg Drain ELIR 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 -- — 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 - - --- ----Final PASS PART FAIL MECHANICAL Post&Beam - Rough-In Gas Line Smoke Dampers -- --- Final PASS PART FAIL ELECTRICAL- _ Service Rough-In -- UG/Slab Low Volt e - Fire Alarm F S PART FAIL Reinspection fee of$___ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. A SITE _- u Please call for reinspection RE: ❑ Unable to inspect-no access Fire Supply line ADA Approach/Sidewalk Date Inspector-,14 Lam`? Ext - - Other:_ Final -- DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL NERC CONSTRUCTION ELECTRICAL CONTRACTOR 15170SKIRK PLD OREGON CITY OR 97045 503-672-6720 FAX 503-6)2.67)2 DATE 7�;//'.d-� To � �,�, 5'o 3 - C 3 � l =ROM: Iyi1Kr AFFAF,1, CC7��MENI-5 ..J WOL ! .. ' Qq p rt-•f� r of_4 (i i '� 2EL92E9 COS iae4jeN iae401W egE :LO EO 9i inC