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11875 SW LYNN STREET-1 I I -- 145'-8„ 7/811 EVE LINE �— 19' —17 RIDGE LINE r —_ 2 6' NEW ION EXISTING -� / ADDITIT % HOUSE L'9 JPS. 37'-711 LJ z 28' ---� 1171—8" J 1 17'-8.. I l� o o) � I Cn N 0 j R -� �— 2'(TYP I CAL) H PLAT MAP 23-74 LOT 142/32 LERO N HEIGHTS -NewC 1TY t) ". ,AI'11875KiA S.W. LYNN STREET ING; PERM0 NO.: TIGARD, OREGON 97223PLANNIN6 DIVIS10N: q .57 Re+;uired set k,s '"Approved E3 Not Approx ied `'dc. .. Street Side: Front. .. .,. (iarame: _cam._ Rear: -.�..._ Visual C leara+ice: ; Ap awed ❑ Not Approved I! Maximum Building I11eight• � Meet CWS Service Provider Letter Required:cl .. 2-les (3No ; r Received II 145 -8 ENt�INEF: IN6 I)I::NAlt'TN 'N'I': Actual Slept:2 w,, Q` r«ved Site Nla 4 p ❑ Not A pprov�4,. Approvedt. N ,"1 r��� ,. S.W. LYNN STREET ,y+� """ " �' z 0 _ I r '� CITY OFTIGARG l Hadi and Marcia Alajmi ppr oved..............................................,.. 1 1875 S . W . L_y n n ,ortdition,--tily t'%pproved..............k"*$...L..� � or only tl ie wor"; a� doscribed tn: Tigard Oregon 97223 J .RtiiI-r NO. -x - coo -c_ _ - Spencer D Arave i`, Ci r-c h 2. 6 , 2003 'oe Lotter to- Fo!!c w............................. E.. G —�/ lU 1 of 14. KV -� JUL 22 `10U Arave Constl-uctlorl Company TIGARD 503 -- 590 —_7380 • j)iNG DIVISION Plot Plan NOTICE: IF THE PRINT OR TYPE ON ANY rlrf ► � � IItiIII 1111111 III I � 1 1 ( I III III I T -� f11 � I �� "r�1 11r 111 III 1 ► I ( I 111 111 III I ( I 111 111 I ! III III IMI ! ! ! � r r� 1 rlI I I III III I � II111 ' III rpt rlrllll 111 III IIIII I `"' IMAGE IS NOT AS CLEAR AS THIS NOTICE, �_ 1 2 _ _ _ _ _ 4 - 81 _ 9 11 12 C�Oc�� IT IS DUE TO THE QUALITY OF THE No.318 ORIGINAL DOCUMENT 7LT i1)IIiIIIIIII IIII Illi. ll 111 IIII II I IIII IIII IIII II6II .' �r V 1� W V1 00r z y I I i 1 { s { I i I i 11875 SW LYNN STREET CITYOF TIGARD MASTER PERMIT PERMIT PERMIT #: MST2003-00375 DEVELOPMENT SERVICES DATE ISSUED: 11/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 SITE ADDRESS: 11875 SW LYNN ST PARCEL: 2S103BA-00142 SUBDIVISION: LERON HEIGHTS NO, 2 ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: Addition of 1456sf (2) story plus modification of existing space. BUILDING REISSUE. CUSTOM STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT 21 FIRST: 728 of BASEMENT: of^ LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 4'.' SECOND. 728 of GARAGE: sl FRONT: 20 PARKING SPACES TYPE OF CANST: 5N DWELLING UNITS: I THIR0 of RIGHT: 5 OCCUPANCY GRP: R3 BDRM: 3 BATH: a TOTAL 1,456 of VALUE: 136,526 40 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 4 WASHING MACH: LAUNDRY TRAYS. RAW DRAIN. TRAPS LAVATORICS 5 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF PAIN DRAINS: CATCH BASINS TUB/SHOWER'.. 4 GARBAGE DISP: WATER HEATERS WATER LINES: BCKFI_W PREVNTR: GREASE TRAPS OTHER FIXTURES. MECHANICAL. FUEL TYPES FURN<100K: BOIL/CMP<3HP VENT FANS: .I CLOTHES DRYER: FURN>•100K: UNIT HEATERS: HOODS: GTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 -200 amp: `0 200 amp: 'W/SVC OR FDR: PUMPIIRRIGATION: PES INSPECTION: EA AnD'L 50CSF: 201 - 400 amp: 201 400 amp: lot W/O SVC IF OR: 00 SIGN/OUT 1 IN LT PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp. EAADDL BR CIR: SM SIGNAL/PANEL IN PLANT MANU HM/SVCIF7R: 601 1000 amp: 601+ampa-1000v: MINOR LABEL. 1000+amp/volt PLAN REVIEW SECTION "reconnect only: - -4 RES LINITS. SVC1FDR-225 A. >600 V NOMINAL. CLS AREA/SPC OCC. ELECTRICAL-RESTRICTED ENERGY _ A. F RESIDENTIAL B COMMERCIAL _ AUDIO&STEPEO: VACUUM SYSTEM: AUDIO R STEREO. FIRE ALARM INTERCOM/PAGING' OUTDOOR LNDSC LT! BURGLAR ALARM: OT14 BOILER: HVAC, LANDSCAPE/IRRIG PROTECTIVE Si,;!" GARAGE OPENER. CLOCK. INSTRUMENTATION MEDICAL: OTHR: HVAC. DATA/TELE COMM NURSE CALLS: TOTAL a SYSTEMS: TOTAL FEES: S 2,110.45 Owner: Contractor: This permit is suble(A to the regulations contained in the ALAJMI,ABDULHADI M+MARCIA M ARAVE CONSTRUCTION CO Tigard Municipal Code,State of OR. Specialty Codes and 11875 SW LYNN ST 12270 SW SUMMERCREST all other applicable laws. All work will be done in TIGARD.OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire If 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: 503-639-7380 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg 0: LIC 00202967 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor insulation Electrical Rough In Gas Fireplace Plumb Final Fuoting Insp Crawl Draln/Backwater Framing Insp Insulation Insp Building Final Foundation Insp PLM/Underfloor Shear Wall Insp Rain drain Insp Post/Beam Structural Mechanical Insp Exterior Sheathing Inst Electrical Final Post/Beam Mechanical Plumb Top Out Gag Line Insp Mechanical Final Issuer] RY �f�d;�� .t_ / �!� ��.—_— Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the it t business day i Building Permit Application OFFICE [ISE ONLY Received _r Building C tc/ny:,-� (,7i L' �� Permit No.: )': -Gt`7 yj City of Tigard Planning Approval Other 13125 SW Hall Blvd, (�eN EN Date/By: Permit No.: __ -- Tigard,Oregon 97223 Plan Review Other Date/By: ,0 V 10 Permit No.: Phone: 503-639-4171 Fax: 503-5984966)Q� Post-Review Land Use —`--- Internet: www.ci.tigard.or.us M '' Date/By: Case No. lSu 24-hour Inspection Request: 503-¢39.41♦7VO(, Contact Juris.: See Page z for _-`— N Name/Method. INC-,�w1S1O — Su Icntewal Informallon TYPE OF WORK Z5 New construction Demo;ition REQUIRED DATA: Addition/alteration/replacement _ Other: 1 &2 F'AMIL1' UWELLINC CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 & 2-Famil dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Acecssor Butldin overhead and profit for the work indicated on this application. Y-_B Multi-Family Master Builder _ l (�Othcr: Valuation.,........., ,( GL1 JOB SITE INFORMATION and LOCATION No.of bedtoom9:"`3 ere 0.of baths: Job site address: ,r, Total number of floors New dwelling arca(s ft. — Suite#: Bld ./A t.#: q. )... .......................... jy5 [Project NamGarage/carport area(sq.ft.)............................ _�• e: �«j,•Z•Z Covered porch arca(sq,ft,).......... ... .............. Cross street/Directions to job site: Deck arca(sq. ft.)............................................ t 1 ,',YA'IJ 57- •Z 13L el c K S cJ F s T n F W^ N T Other structure arca(sq.ft.)........................ ... .g oFF /.2/'T — REQUIRED DATA: Subdivision:/������ llr. COMMERCIAL-USE CHECKLIST -- �'`L Lot#: — Tax ma / areal #� "Id _ [the ote: Permit fees*are based on the total value of the work performed. Indicate - —�_ --✓ r( l�1 _ DESCRIPTION OF WORK value(rounded to the nearest dollar)ofall equipment,materials,labor, yoi?�r N %��"S it''C ,,�c v C.�r �_: verhead and profit for the work indicated on this application. ��►+t �', isT,,.)B- Styt�G Valuation......................... ................. Existing buk,ng area(sq ".).........•............... ^ New building area(sq.ft.)............................... !'ROPERTY OWNER Number of stories.......... ante: ..............•..•............... TENANT Type of construction.......•........• / 11 r/ Occupancy group(s):p y g p(s): Existing: � ti � ,, -- -- Address: / a 2 New: — City/State/Zip: !�G X 0__7� 7?1 Phone: Fax: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT pE!tSON licensed with the Oregon Construction Contractors Board under BUS1neS5 Name: provisions of ORS 701 and may be required to be licensed in the A�< <�'s% Co jurisdiction where work is being performed. If the applicant is exempt Contact Name: ����.>%E 2 from licensing,the following reason applies: Address: Cit /State/Zi Phone: 5'y0 73 8 e) Fax: E-mail: BUILDING PERMIT FEES* CONT'RAC'TOR Please refer to fee schedule. Business Name: S _ � � C �, �_ --Fees due upon application......................... .... S Address: City/State/Zip: Amount received. ............. . 5 Phone: Pax: Date received: CCB Lic. Authorized -,p -- - Signature: _ ry�_ Date: n�� 2, Natice: This permit application explres If a permit is not obtained,s irlitn IRO days after It has been accepted as complete. 'Fee methodology set b} Trl-('ounty Building Intimir% Service Hoard. (Please print name) is\Usts\Pcrmit Forms\BldgPermitApp.doc 01/03 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City figard Cityof Tigard g U Electrical CJ Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,Tipard,OR 97223 U Other: _ phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLOWING 1 I 1 Land use actions completed.See jurisdiction criteria for concurrent reviews, 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic diptrict,etc. 3 Verification of approved plat/lot. 4 Fire d!strict approval required. _ 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 fo(Is report.Must carry original applicable stamp and signature on file or with application. P Erosion control 0 plan ❑permit required.Include drainage-�vay protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complete sets of legible pians. Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on it separate fall-sire sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions:property corner elevations(if there is more than a 44 elevation differential,plan must show contour lines at 2--ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage, _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. _ 13 Floor plans.Show all dimensions,room identification,window sire,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross seetlonf:,)and details.Show all framing-metrib r sizes and spacing such as floor lvams,headers,joists,sub-floor, wall conFt,oction,roof constmction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs. firLplace construction, thermal insulation,etc, 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendurns showing foundation elevations with cross references are acceptable. 16 Wali bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for nun-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using cunent code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. _ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is requiied for four or more appliances. r22 Engineer's calculations.When required or provided,rise.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall he diown to be applicable to the proiect under ro Bien. IURISDI(j'IONAL SPECIFICS 23 Dive(5)site plans are required for Item I I above. Site plans must he 8 1/2" x I I"or I I" x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. ��- 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Sitc plan to include tree size.type&location per approved project Ftreet tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440.4614(60YC'OM) it@]tall Electrical Permit Applieation R,.-ceivcd Electrical -- Date/By; Permit No.: 1` - City of Tigard RECEIVE Planning Approval Sign Date/B : Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 1UL 2 2 Dale/B Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us ' I r ( 1 contact loris.: ',ec Page z for 24-hour Inspection Request: 503-639114411A,' Name/Method: _A �- -Sulplemental Information. TYPE OF WORK PLAN REYIEW Please check all that apply) New constructionDemolition Service over 225 amps- Health-care facility 0 Addition/alteration/replacement J ❑_Other: r^mmercial ❑Hazardous location ❑Set vice over 320 amps-rating of ❑Building over 10,000 square feet. CATEGZNRV OF CONSTRucrION _ I &2 family dwellings four or more residential units in 1 & 2-Family dwellilr,,� Commercial/Industrial ❑System over 600 volts nominal one structure /Accessory Building Multi-Family - ❑Building over three stories ❑Feeders,400 amps or more _ _- ❑Occupant load over 99 persons ❑Manufactured structures or RV park �] Master Builder _Other. ❑Egress/lighting plan ❑other: JOB SITE INi,ORMATiON and LOCATION Submit—sets of plans with any of the above. The above are not amicable to icmporary construction service. Job site address: �a �- A) AJ —_� - FEE-SEI—MiULR_ Suite At: $ldg./Apt.#: - _ - Number of inspections per permit allowed Project Name: /� -,g�`>1 r_ _ Descri tion Qty For(.a.) Total New residential-single or mulll-famlly per Cross street/Directions to job site: dwelling unit.Includes attached garage. 2 i3r~OC /< S W (F S j C-' F LJ L,`Nct 7- Service included: e) 1000 s .t1.or less 145.15 - 4 •� Each additional 500 sq.R.or portion thereof 3:.40 I Limited energy,residential 75.00 - _2_ Subdivision: _ _ I,Ot#: - Limited energy,non residential 75.00 2_ Tax neap/parcel #: Each manufactured ho-c or modular dwelling DESCRIPTION OF WORK service and/or feeder 9090 2 —�-� --- Services or feeders-lastallation, S C'/C *4 P' / Z/ A) _ alteration or relocation: S Tin' 200 amps or less A 80.30 -- 2- 201 amps to 400 amps _ _- 106.85 2 401 am s to 600 ams 160.602 PROPERTY OWNER TENANT 601 ams to 1000 am res- 240.60 __2 --�- - Over 1000 amps-,r volts 454.65 2 Name: 16/'1 ,7m L _ Reconnectonl _ 66.85 2 Address: // 7 S- S c J 1_Z u,,j S 'Temporary services or feeders-Installation, Cit /State/ZI : T-/6A,? - alteration, le relocation: _ p /� 7 12 3 _- 2W amts or less , 66.85 I Phone: Pax: 201 a-mrs to 400 amps _ -100.30 __--- z -- 401 to 600 ams 133.75 2 API'L - CONTACTPERSON —_ firanch circuits-new,alteration,or Name: 4,4 1;c <<-.0 s T. Cc, I extension per panel: A Fee for branch circuits with purchase of Address: /;2 2 7 c 5t-) X'q o"yr--pt K7 service or feeder fee,each branch circuit 6.65 2 City/State/Zip: 7/6 it,l Z) CA B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 4695 2 Phone: _S'C,35-VC' 2310 1 Fax:5d3 5 3'2 / Each additional branch circuit 51 665 - 2 r�_mail; Misc.(Servico or feeder not included) - �NTRACTO - - Each umLr irrigation circle 53.40 2 - Each sign or outline�htini-- 53.40 2 Job No: �C.Ld Z�i1�-2 L' Signal circuit(s)or a limited energy panel, Business Name: alteration,or extension _ Pa e 2 2 -_ Description: Address: F,ach additional inspection over the allowr,bie 1. an of the above:City /State/Zip: - Per inspection per hour(min. I hour) 62.50 Phone: _ - I FSx: - Other: CCB Lic. #:. Lic. #: 3 a --Electrical Permit FtU* Supervising electrician -- Subtotal $ signature required: Plan Review 25%of Permit Fee $ Print Name: — Lic. M �! 7015 Statc Surchar c R%of Permit Fee S _ - TOTAL PERMIT FEE $_ Authorize.l Notice: -his permit application expires If a perml- is not obtained wlthin Signature: Date: 180 day 'ter It has been accepted as complete. 'Fcc mclltodolop sel by I rid bunty Building Industry Service Board. (Please print name) is\Dsts\Permit Fortns\ElcPennitApp.doc 01103 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: I-cc for all systems............................................................ $75.00 Check't•ype of Work Involved: 1-1 Audio and Stereo Syslcros* 17 Burglar Alarm Garage Door Opener* I leating,Ventilation and Air Conditioning System* Vacuum Systems* Other-- .---- ---- --- ('OMMERCIAL WORK ONLY: _ Fee for each system.......................................................... $75.00 (SBE OAR 918-260-260) Check Type of Work Invjlved: UAudio and Stereo Systems Boiler Control. Clock Systems Data Telecommunication Installation Fire Alarm Installation HVA(' Instrumentation Intercom and Paging Systems _7 landscape Irrigation Control* L1 Medical DNurse Calls LlOutdoor landscape Lighting* n Protective Signaling —7 Other Number ut.ti�slenu * No licenses are required. Licenses are required for all other installations is\Dsts\Permit Forms\ElcPerrnitAppPg2.dcc 01/03 Bunning r fixtures Plumbing Permit Application 7,P)),-.,t.e, _ Plumbing PermitNo.l%� 610 ai val Sewer City of Tigard R EC E EP _ Permit No.: )3125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 I+j� bate y. _ Permit No.: Post-RevPhone: 503-639-4171 Fax: 503-598-1960 Date/By: land Use Date/ Case No Internet: www.ci.tigard.or.us Contact Juris.: N Sec Page 2 for 24-hour Inspectit.n Request: 503-639-4175 ; ,;i,,i� , ; �ivi;-,I!/i' Name/Meth<x1__ _pJ±.Su IementalInformation. _ TYPE OF WORK �� FEE*SCHEDULE forspecial Information use checklist tdZ construction _Demolition Descri ttinn Qb'• Fec(ca.) Total tion/alteration/replacement Other: New I-&2-family dwellings _ includes 100 ft.for cacti utili connection CATEGORY OF CONSTRUCTIONSFR(I)bath 249.20 ❑ I & 2-Family dwelling Commercial/Industrial_ SFR(2)bath 350.00 ❑Accessory Building__ Multi-Fa _j y SFS)bath _ 399.00 j] Master Builder Other: Each additional bath/kitchen^ 45.00 JOB SITE INFORMATION and LOCATION — Firc s rinkler-sq. fl.: Pag, 2 Job site address: j s , g e Y�'^ (___ Site Utilities Suite#:_ Bldg./Apt.#: Catrh basin/arca drain 16.60 Dr ell/leach line/trench drain 16.60 P�1)ject Name: /�C/�3 1x7/ _ Footing drain no, linear fl. Page 2 _ Cross street/Directions to job site: Manufactured home utilities_ 110.00 BL e)e-IC 5 D I� G'J A,(- i Manitcics 16.60 4F 5 f Rain drain connector 16.60 Sanitt,ry sewer(n-. linear fl;) Page 2 _Subdivision: Lot#_ Storm sewer(no. linear R.) _ _ iae 2 - - ------ Water service no. linear fl. Page 2 Tax ma /parcel #: _ — __ Fixture or Item DESCRIPTION OF WORK - Absorption vatic 10•60 ZE 010 u /-b co CATS 7 'ofC n/ 5 Backflow pieventer _ — Pae 2 /i/' `E 2 Backwater valve _`— 16.60 -- Clothes washer 16.60 —� - Dishwasher _ — 16.60 Drinking fountain 16.60 ROI' O TENANT _ Ejectors/sump _ _ WOO Name: ey,4 D C/A4 �����/ —__ Expansion tank 16.60 Address: 7/8 76SeJ /il/( S / _ Fixture/sewer cap 16.60 C/! , g 7 2 3 Floor drain/flox sink/hub __ 16.60 Cit�State/Zip: T/�4.�K(J, Uarbagc disposal 16.60 Phone: Fax: Ftose bib 16.60 PPLICANT CONTACT PERSON __— Ice rnakcr 161.60 — Name: /I(t v C �0/1� o Interco tor/grease trap 16.60 Medical gas-value: $ Pa e 2 Address: r 2 2 20 S't 224 Oy!i3 L c Primer _ 16.60 City/State/Zip: ( 72 Z _ Roof drain(commercial) 16.60 —_ Phone: 5i-16 7. ' C Fax: S J`t 3?/ Sink/basi24avatury _ 5 16.60 E-mail: /7. Tub�showcrishowcr an -161.(10 _ CONTRACTOR Urinal _ _—� 16.60 --- - Water closet _ _ 16.60 _Business Name: N 6 water heater 16.60 Address: Other: City/State/Zi : Other: G SZ �_ Ph mbing Permit Fees* Phone: ',T 3 Fax: ��..,, — Subtotal S CCB Lic. #: �. Plumb. Lic.#: 3 " ;;:�43 ---- — J1� >� Minimum Permit Fee$7 .50 $ Anthoriicd Residential Ba,kflow Minimum Fee$36.25 Signature: _ Date: _ Plan Review(25%of Permit Fcc) $ State Surcharge($%of Fgermit Fee --� (Please print norm) TOTAL.PER_MIT_F_EE _ Notice: This perodt application expires if a permit is not obtained wipthi All new commercial buiidings require 2,.h of plan sometric or 180 dans after It tins teen accepted as complete. \ riser dingram for plan revicss. z �1 *Fre filet hodolo{;v set by Tri-f bunk Building Industry Service Board. i.\Dsts\Permit Forms\PlmPermitApp.doc 01103 / .jl\,p`'� �0 v' � Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppre_ssion Systems: _ Site Utilities Qty. Fee(ea) Total `Square Foota_,ge_- Permit Fee: Fooling draut• I' Ilx)' 5S(H) 01(17,000 $115.00— Footing drain-each additional 100' 4o 40 2,001 to 3,600_-_ $160.00 3,601 to 7,200 _ $220.00 Sewer- 1st 100' - 55 00 _ 7,201 and grculcr —_- $309.00 _ Sewer-each additional 100' 4640 Water Service-Ist 100' _ 55.00 Medical Gas Systems' Water Service-each additional 100' 46.40 _ Valu9tion: Permit Fee: Storm&Rain Dram- I st 100' 55.00 $1,00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 4640 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof*,to and Fixture or Item Qty. Fee(ea) Total including$10,000.00. Commercial Luck Flow I'tevenuon Device 46.40 $10,001.00 to$25,0011.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $?79.50 for the first$25,000.00 and$1.45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof',to specially requested inspections-per hour 72.50 and including$50,000.00. Subtotal: [$36"d up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fix(ttre. Failure to accurately report fixtures could result in increased sewer fees*. uantlt b (Flit re)Work t>e•Dormed ('onttnents regarding fixture work: Fixture Tyr e: n°Pins New Moved Filating a d - - -- -- --Baptist tont Hath -1'ub/Shower - - -- -------_.--- -Jacuzzi/Whin oul --- Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator — _ - - - -"��-- ------ - Dishwasher -Commercial -Domestic _ Drinking Fountain - II --- -_ — —�--- - ---Eye Wash --i --- -- ---— Fltv.r Dram/sink 2" — 4" Car Wash Drain — *Note: If the fixture work under this permit results in an Garbage -Domestic — Disposal -Commercial increase of sewer EDI Is,a sewer permit rill be issued and -Industrialfees assessed for the sewer increase must he paid before the Mach./Refri .Drains — _- plumbing permit can he issued. O,i Separator Gas Station Rec.Vehicle Dum.Station _ Shower -Gang -Stall Sink -Bar/1-ovatory -Bradley -Commercial -Service Swimming Pool Filter Washer-Clothes _ Water Extractor Water Closet-Toilet I trinal Other Fixtures: 1ADsts\Permit Fm rv\PlmPermitAppPg2.doc 01/03 Mechanical Permit Application Received Mechanical Date/By: Permit No.: City of TigardiU\ Planning Approval Building Date/By:: Permit No.: _ 13125 SW Hall Blvd. 1 Plan Review Other ----!-- Tigard,Oregon 97223 Date/By: _ Permit No.: Phone: 503-639-4171 Fax: 503-598 1;460 Post-Review land Ilse Internet: www.ci.tigard.or.us �' Datc/By: _ Case No.. Contact Juris.: ED See Page 2 for 24-hour Inspection Request: 503-6394175 Nantc/Method: Supplemental Information. TYPE!1F WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST New construction I [ Demolition_ Mechanical permit Ices"are based on the total value of the work Addition/alteration/replacetnent I ❑Other- performed. Indicate the value(rounded to the nearest dollar)of all — - __ mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUCTION __ a1 & 2-Family dwelling ('ommercial/Industrial Value: S__. See Page 2 for Fee Schedule aAcces ouBuilding Multi-FamilyRESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE -"'-_ _---- Description __=Qty Fee ea. L Total ❑ Master Builder [] Other: — Heath coolln B SITE IN/I 'S ION a d LOCATION NO CATION Furnace-add-on air conditionin OItMAT Job site address: ,- ,;, ti Gas heat pump Suite#: Bld ./A t.#: Duct work 14.00 Pro'ect Name: &,.f TM_ ' H dronic hot water system 14.00 Cross street/Directions to job site: Residential boiler for radiator or h dronic system) 14.00 „Z ge oc- m S 4 J s i .^ /� c st e w e i Unit heaters(fuel,not electric) -9 f in wall in-duct suspended,etc. 14.00 Flue/vent for any of above 10.00 Subdivision: V Lot#: -Repair units Other Fuel A 12,15 ---__----- ---- r tllad rq Tax map/parcel #: Water heater 10.00 _ DESCRIP'T'ION OF WORK Gas fireplace 2 _10.00 %o k U / /CA-1 Loc s Flue vent(water heater/ as fin lace -/ _�� �— 2. 10.00 P �+�.r E €X/S i/�1 Cs__ Log l i hter as 10A0 �)� r Wood/Pellet stove 10.00 Fh 'N D c D C�:r Wood fireplace/insert_ 10,00 RIC r1c 5 ?e-,f S /sU c- t/6-A;7- lPn1N S Chimney/finer/flue/vent 10.00 ROPER VOWNE - TENANT Other: 10.00 4C/_'f3 Hyl r Environmental Exhaust&_V_entllatlon Address: (/ 75' 5'e-i C,?l ,t :51. Range hood/other kitchen cr;;, zt lent 10.00 Clothes dryer exhaust - -To.00 _---- �Cit /State/Zip: P6AR0 e-/e 2 2 3 Single duct exhaust �^ -- Phone: Fax: (bathrooms,toilet compartments, APPLICANT --4CONTACT PERSON utility rooms _ 6.80 Name:Add I,( ,,,,, S i, �., , Attic/crawl space fans 10.00 ---_ - 10.00Address: l;2 2'--e S-Li 5ee 7•1!c leE s Other: Ful alhY Cit /State/Zi : '7-16,11zr02 ? 2 3 ++t115.40 for first 4 31.00 each a lditio al Phone: 4z el J j Fax: 5�p .��� Furnace,etc. ++— Gas heat um • E-mail: Wall/suspended/unit heater -+ CONTRACTOR Water heater - •• Business Nanle: 1_;( Fireplace •• Address: Ran e - _ •• City/State/Zip: 13e9 Clothes dryer(gas) •• Pnone:�,t Fax: Other: _ __ «• CCB Lic. #: "7(r 11 i Total: Authorized - Mechanical Permit Fees" Signature: Date: -. _ Subtotal: S -� Minimum Permit Fee$72.50 $ Plan Review Fee 25%of Permit Fee) S (Please print name) State Surcharge(13%of Permit Fcc $ TufAt.PERMIT FFE $ Notice: This permit application expires If a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. 180 dais after It has been accepted■x complete. "Site pian requlrei for exterior A/C units. I\I)sts'J'ennrt I arms\MccPcrmitApp doc C 1103 Mechanical Permit Application - City of Tigard . Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: _ $1.110 to$5,000 00Minimum fec$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction _ thereof,to and including$10,000.00. $10,001.00:o$25,000.01 $149,50 for the first$10,000.00 and $1,54 for each additional$100.00 or fraction thereof,to and including $25.000.00. _ $25,001.00 to$50,000.00 $379.50 for the flrst$25,000.00 and $1 45 for each additional$100.00 or fraction thereof,to and including $50,000.00. S50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100 M or fraction thereof. Assumed Valuations Per Appliance: _ Value Dotal Description: t (Ea Furnace to 100,00)BTU,including 955 ducts&vents Fumace> 100,000 BTU including ducts 1.170 &vents Floor furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Rc air units _ 905 _ <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit,501k to I mil. 2,310 BTU 30-50 hp,absorb.unit, 3,400 1.1.75 rail.13FU _ >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air hai;dling unit to 10,000 cf_m 656 Air handl pLuni1 0/'0u c:m 1,170 Non-portablc eva rate cooler _ _656 Vent fan connected to a single duct _446 j _ Vent—ctem not included in appliance 656 _Lvrmit Hood served by mechanical ex:taust 456 _ Domestic incinerator l,l 10 _ Commercial or industrial ince.-rator 4,590 Other unit,including wood stoves, 656 inserts,etc. Gas piping 14 outlets 360 Bach additional outlet 63 TOTAL COMMERCIAL $ VALUATION: i\Drtic\Pemnt Forns\MccpemtitAppfg2.doc 01/03 CITYOF T I GA R D _ BUILDING PERMIT PERMIT#: BUP1999-00213 DEVELOPMENT SERVICES DATE ISSUED: 5/24/99 13125 SW Hall Blvd., Tioara, OR 97223 (503) 639-4171 PARCEL: 2S103BA-00142 SITE ADDRESS: 118/5 SW LYNN ST SUBDIVISION: LERON HEIGHTS NO. 2. ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: 312 sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 16,000.00 Remarks: in ground swimming pool. Owner: Contractor: ALAJMI, ABDULHADI M + MARCIA M AMAN ENTERPRISES INC 11875 SW LYNN ST PO BOX 230849 I l(-,ARD OR 97223 TIGARD, OR 97281 Phone: Phone: 968-7596 Reg #: uc 01011903 FEES REQUIRED INSPEC BIONS Type _ By Date Amount Receipt Misc. Inspection I'RMT BON 5/24/99 $116.50 99-315624 Final Inspection PICK BON 5/24/99 $75.73 99-315624 5PCT BON 5/24/99 $5.83 99-315624 ORIGINAL Total $198.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions lo OUNC by calling (503) 246-1987. Permitee � Signature: Issued By: 65 P"\ Call 639-4175 by 7 p.m. for an inspection the next business day rs CITY OF TIGARD Commercial Building Permit Application Re°'d By 3125 SW HALL BLVD. New Construction and Additions Date Recd — - TIGARD OR 97223 Date to P.E.L l r Date to D T (503) 639-4171 i, Permit s1(77 7)'i11 rj Print or Type Related SWR# .1 Incomplete or Illegible applications will not �j accepted Called ILL r, /, Name of Development/Project Job Existing Building ❑ New Building ❑ Address Street Address Suite L-;lJJ Building Bldg# City/Stale Zip Data (441W OR. gy2Z3 E);isting Use of Building or Property: Name Property "V.lt_OVI M ( eiX A&,AAk I _ LS Owner Mailing Address — Suite Proposed Use of Building or Property: IIg05 ZAO bfL)y IT, City/Stale Zip Phone '52,+_i 1-LITNo. Of Stories: Occupant Name i Sq. Ft. Of Project: pU +i Alvi k Atuf Ar A-AJ M l _ --- Name Occupancy Class(es) Contractor A�AA44 WT -tysS, i P or to permit Mailing Address Suite Type(s)of Construction issuance,a copy i i/�b� �W (-A�tqc- of all licenses are required If Clty/State Zip -- Phone Will this project have a Fire Suppression System? expired in C.O.T. ITC44M C9 I1Z,�3 Yes ❑_— No database --Oregon ConstContBoard L.ic Exp Americans with Disabilities Act(ADA) . . # .Date �i t3-0 3 Valuation X 25% =$ _Participation i ��zc'�o� Complete Accessibili Form Name Architect Project $ A" Valuation /4-�/ Mailing Address Sur, Plans Required: See Matrix for number of sets to submit Clty/State — Zip Phone on back �1 Engineer Name Ip' — 1 hereby acknowledge that I have read this application,that the Information QQiven is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite fh'af,pi0submitted are in compliance with Oregon State Laws i / ent Date City/State Zip PhoneContaName- Phone �C Indicate type of work New O Addition O Demolition O �— `za—�S f __� Accessory Sfnrcture O Foundation Only O Alteration O ( Repair O -` Other F 41, FOR OFFICE USE ONLY Description of work: Map/TL# Land Use: j Notes: Parks: Estimated N of Employees — TIF: If the above figure Is not supplied at the tltrib of application,the city will calculate the foe basad upon the numb@, of park1mg --- Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNEW DOC (DST) 5/9P. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a LOMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescuc) Total #of TYPE OF SUBMITTAL Plans KEY_: _ Submitted -§(Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System -m (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing -P (New, Add, or AltF 2 E = Eiectrical B & M & P (New or Add) 2 New = New Building F (New, Add, or Alt) 2 Add = Addition B & —F & M &—P & E T 3 Alt = Alternation to Existing (New , Add) Building *8 or B& M (Alt) 1 *B & M & t- (Alt) 3 *B & M & l' & E(Alt) � W 3� *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only.': I\dsls\forms\matrxcom dor 10/30/98 CITY OF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC199900302 13125 SW Ball Blvd.,Tigard, OR 97223 (503) 639- DATE ISSUED: 2510 9 `� PARCEL: 2S103BA-00147_ SITE ADDRESS: 11875 SW LYNN ST SUBDIVISION: LERON HEIGHTS NO. 2 ` ZONING: R-4.5 BLOCK: _ LOT: 03r*11 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILLRSICOMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: 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: 1 > 10000 cfm: Remarks: Installation of gas dine for pool heater. Owner: FEES ALAJMI, ABDULHADI M + MARCIA M Type By Date Amount Receipt 11875 SW LYNN S1 PRMT DEB 7/16/99 $50.00 99-316931 TIGARD, OR 97223 5PCT DEB 716/99 $3.50 99-316931 Total $53.50 Phone: — — Contractor: GAS CONCEPTS & CONSTRUCTION 4129 SE 63RD PORTLAND, OR 97206 REQUIRED INSPEC i IONS _ Gas Line Insp Phone:313-2975 Final Inspection Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in acc')rdance with approved plans. This permit will (-xpire if work is not started within 180 days of issuance, or if work is suspended for more than 3.80 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 952-001-0080. You may obtain copies f the, rules or direct questions to OUNC by calling (503)246-9189. Issbe By: % Permittee Signature: -- Call (503) 639-4175 by 7:00 P.M. for inspections ;seeded the next business day CITY OF TIGARD Mechanical Permit Application Plac a -c", 13125 SW HALL BLVD. Commercial and Residential Date Recd /� r TIGARD, OR 97223r � Date to P.E. (503) 639-4171, x304 ��'a�' Date to DST Print or Type Permit*_I' C rt l: Incomplete or illegible applications will not be accepted Called r---_- Name of LevelopmemPro)ect Description Table 1A Mechanical Code Uty Price Amt Job Street Address Sun ee A Permit Fee 16.00 � 1) Fumeoe to 100,000 BTU Address l t/ p,) I including ducts&vents see footnote 1,2 9.65 Bldg* I City/state Zip 2) Furnace 100,000 BTU+ r(nit 9 including ducts&vents see footnote 1,2 12.00 Name(o.name of business) 3) Floor Furnace Owner G� k tA� y� including vent _ see footnote 1,2 9.65 Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 9.65 KK 57 5 Vent not Included in appiiance ermit 4.75 City/State Zip Phone check all that apply: 'Boller Heat Air t i IA iL f (' Z� For Items 6-10,see or Pump Cond Ory Price Amt Name(or name of business) footnotes 1,2 Comp '• ��. 6)<3HP;absorb unit to 100K BTU 9.65 Occupant Meiling Address 7)3-15 HP;absorb unit 100k to 500k BTU _ 17.65 city/State Zip Phone 8)15-30 HP;absorb unit.5-1 mil RTU _ 24.15 _ Contractor Name - 9)30-50 HP absorb unit 1-1.75 mil BTU 36.00 i 10)>50HP;absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance,a copy q/2 I sj�- (, 3_ 11 Air handling unit to 10,000 CFM of all licenses Cityrstats Lip Phone 7.00 _ are required if r�� ,7� 313 297 12)Air handling unit 10,000 CFM+ expired In COT Oregon Const.Cont.Board Lic 0 Exp Dot 11 75 database /3 / // cel 13)Non-portable evaporate cooler Architect Name !! 1 __ 7.00 14)Vent fan connected to a sing a duct Or Melling Address _ 4.75 15) 'entilatlon system not Included in appliance permit 7.00 Stete IZI Phone Engineer CR) p 16)Hood served by--ohanical exhaust 7.00 nescribe work to be done: 17)Domestic incinerators 12.00 New 6 Repair O Replace with like kind: Yes O No O 18)Commercial or industrial type incinerator Residential& Commercial O _ 48.25 19)Repair units Additional information or description of work: 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only,Units over 400 lbs.require 21)Gas piping one to four outlets _ structural s celcs. See footnote 1 _ 3.75 7 Type of fuel oil O natural gas f. LPG O electric O 22)More than 4-per outlet(each) ?5 Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read tins application,that the information 7%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial ermlta oni TOTAL C� Signature of Owner/AgentDate -S.� / )_7_. l yyj;Ltivw.� -7 j'j Other Inspections and Fees: 1. Inspections outside of normal business hOL'-a(mininum charge-two Contaidt Person Name ^ Phone hours) $50 00 per hour nI fC l'le Ae C 3 1 2 _-�`� - > 2. Inspectior it for which no fee is speciflcally Indicated (minimum _ charge-half hour) $50.00 per hour rF,;onotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to Provide full schematic of existing and proposed gas line and pressure plans(mininium charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. _ _ 'State Contractor Boiler Certification required -Residential A/C requires site plan showing placement of unit I:bmechperm doe rev 02/4/99 CI T'Y OF T I G A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UI %ED: 7 9/9999 00436 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S 103BA-00142 SITE ADDRESS: 11875 SW LYNN ST SUBDIVISION: LERON HEIGHTS NO. 2 ZONING: R-4.5 BLOCK: LOT : 032 JURISDICTION: TIG Prosect Description: First branch circuit _—RESIDENTIAL UNIT — TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500S-: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI 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 BRNCII 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: A.LAJMI, ABDUI.HADI M + MARCIA M ABC ELECTRIC CORPORATION 11875 SW LYNN ST 135 NE 9TH TIGARD, OR 97223 PORTLAND, OR 97232 Phone: Phone: 233-7551 Reg M LIC 000002 SUP 1241S PLM "SEE"' ELE 26-2C FEES _ Required Inspectiomi _ Type By Date Amount Receipt Elect'I Service ^PRMT BON 7/19/99 $37.50 99-316965 Elect'I Final _5PCT BON 7!19!99 $2.63-99.316965 ORIGINAL Total $40.13 This Permit is issued subject to the regulations contained in the Tigard Munidpa'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 issriance'or if work is suspended for mon?than 180 days. ATTENTION Oregon law requires you to follow rule^-,dopted by the Oregon Utility Notification Center. Those rules are set fort i in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987. Permit Signature: ," ��/� Issued By: I OWNER INSTALLATION ONLY I he installation is being made on property I own which is not intended for sale, lea.�ie, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ ----- L.ICENSE NO: ._ Call 639-4175 by 7:00pm for an inspection the next business div Ju 1 - 16-99 12 : 34P P.02 CITY OF TIGARD Electrical Permit Application PlanChet!k 13125 SW HALL BLVD. Reed By I Date Recd-1-(41 l I TIGARD OR 97223 Date tc p E. Phone (503)639-4171, x304 Print or Type Dale to DS r_ Inspection (503) 639-4175 Permit 8j ( l (� Fax (F03) 684.7297 Incomplete or Illegible will not be accepted caller, 1. Job Address: 4. Complete Fee Schedule Below: Name of Developmont Number of Inspectlons per permit allowed Name(or name of business) ,/�'Y�L� r 1 r Se ice included: Items Cost Sum Address � / 4s. Residential-per unit p 1000 rsel.It.fit ie0s $1 1U 00 _ 4 City/Slate/Zip Each urldilinnal SOO sq It or Comn,errial ❑ "� Residential ® Limited thereol $25 70 1 mited Energy 325.00 _ i� C Each Manut'd Home or Modular } Uwollinq survica or FPedeP $69 n02 2s. Contractor installatio = ly: (Atlaeh copy of e ► Ill ) 1 InslalialUv+,alleratinn,�r reJaeauon jor 4b,Services or Foedere T� Electrical Contract — 200 amps or Imes SIX1,00 Addr / 2 2U1 amps to 400 amp.: $h0.U0 2 City State_ Zip 401 Anip�In 6U0 amp3 Sr"n.00 2 Phone No 601 Amps In ID(KJ amps S160 W _ 2 Job No. _ Over 100n amps or volts _—_ 5340 00 2 Fisc.Cont Lies No. ,7 Recnnnert only _.� $50.00 OR State CGf3 Exp.DatA � 4c.Temporary Services or Feeders ' Installuliur.dllerAtion,or relocation COT Busines' ax or tro o.�X 11r[)Exp.Date 4 �/ 20r)arnps or IPss $5000 2 201 arnps to 400 amps $75 no _ _ Sign L 4U1 amps It.,G00 amps 5100 Oct 2 Over two amps if) 1000 vane, License Na <2 / , _1 i pate �� ase„b„abovePhonn No . ed Branch Circuits New,alteration or oxlenbion per pane•I 2b. For oumer installations: a)The luu fur branch cironits with purcnass of service nr Print Owner's Name feeder toe. --- _—._--- _ Each hranrh rrrcult $500 2 Address — ---- h)Trq fee rh for brant rirojilb City_ — State____ Zip withour purchase of Phone NO_---�--� ,--- _-.- _ service or feeder Tae. First branch circuit 33S.n0 _ 2 T he Installahon f being ?�,r o property I cWr1 which is not Each Addirinnnl branch CC nurt 15,00 2 r tended for sal , leas or r�n1. 4e.Miscellaneous (Survlre or leedAr not included) C)WI1P.r t�Jlgrlat ! '�� _ Each pump i,r ungAtion clrrlr, _ $do 00 ? Each sign or oulline lighting $40.00 2 :1. Plan Review section(it requ d):* `•i9nal r.-trult(s)or a litnih d energy 4 panel alleratinn or externsum 0,00 Minor Labels(10) S10000 _ Please.h"ck appropriate Item and enter fee in section 58. -- _n or mnr-residential units in or+e stnu tore 4f,Each additlonal Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Por Inspeown .Clatitidipcl area or strurturo contalnluy,pern,nl orcuparxy Per hour � 355.00'IS dr+scrined in N E C Cnapler 5 In Plant I55,00 `Submit 2 sets of plans with application where any of the above apply. 5. Fees.' Not required for temporary construction services Se.Enter total of tthov trios 5'e surcharge(,NX sial fee;) NOTICE Subtotal 3 _ 5b.Enter PS',o of Enc 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AIITHORIZFD IS Plan aeview itgyircd(Sec.3) f NOT COMMENCED WI rNIN 1Af)DAYS.OR IF CONSTRUCTION OR WORK SubfON/ 3 -- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS COMMENCED 0 Tr.sl Arcouril p-..A?X Total lalance Due � Io 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � C BUP —_ Date Requested �,� - AM PM _ BLD Location Suite MEC _ q Contact Person , ��Ph '� �. PLM Contractor Ph SWR t JILDING Tenant/Owner ELC I 1 =' Retaining Wall ELR Footing Access: FPS Foundation _ Ftg Drain S3N Crawl Drain Inspection Notes: Slab — - -- - SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing ---- _ -- --- ---- ----- Insulation / / L Dr}-mall Nailing h0N, d w Y e (� (JI�1l / 1'f•� FkA M e . Firewall Fire Sprinkler ------- ---------- ------- ---- — -- Fire Alarm Susp'd Ceiling —_-.— Roof Misc: ---__-- Final PASS PART FAIL ---- - ----- -- - __. PLUMBING�-- . ---- Post& Beam - -- _ --- Ur-aei Slab Top Out _-- �- _ - - - - - - - - - - ------- -- - Water Service Sanitary Sewer Rain Drains Fiiial PASS PART FAIL MECHANICAL Post& Beam -- Rough In Gas Line -- -- Smoke Dampers Final - - — . - ----- - PASS PART F,"IL LECTRLC Service -'- Rough In UG/Slab Low Voltage Fire Akirm n— PARI FAIL �----------_-_--- -- _-- Backfill/Grading - — -- - -� Sanitary Sewer Storm Drain [ ]Reinspec,ion fee of$ _ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF [ ]Unable to inspect-no access ADA L� Q Approach/Sidewalk p;jte lnspectar_ - car �Q� Ext _ Other v - - Final PASS PART FAIL J D© NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-11our Inspection Line: 639-4175 Business Line: 639-4171 r BUP Date Requested ;� - ! ' < < AM PM _ BLD Location ( ( ��]C� L L I J^I Suite MEC CU r t' 2.- Contact Person ��'�� Ph ( (.,1 'A� PLM _ Contractor Ph SWR �'UILDWU> Tcna�it;Owner ELC Rem t15g Wall ELR Footing Foundation Access: �� FPS Ftg Drain /[ Crawl Drain Inspection Notes: SGN _ Slab �t�i �f ✓�1.• � 1 SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- Insulation ✓0�'��� T.'Uwy �'��.-� �Pr?'"/ r f)rywall NailingFirewall Fire Sprinkler -------._.__._ -- ----- --- ---------- Fire Alarm Susp'd Ceiling — Roof Misc -- — ,TASW PART FAIL ----------- --- — - -------- - - ------ GING Past R Beam _---- ----- --------------- -- -------- --- -- Undei Slab TopOut _--- ---..-------------- -- --__ _.___---------- ---- _— Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL. CHANIC — Post earn - ----- ------ -- - -- -- — Rough In Gas Line - ----- ---- - _. Smoke Dampers S PART FAIT_ ..TRICAL Service --_-- — — — ----- Rough In UG/Slab Low Voltage Fire Alarm ---- - - —— -- — -- -- — Final PASS PART FAILSITE Backfill/Grading -------------- — — Sanitary Sewer Storm Drain [ J Reinspection fee o1 $ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE [ J Unable to inspect no access ADA Approach/SidewalkDate i _ Inspector J �- _ --Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 11/05/03 11:54 FAX 501 83525 CLEAN WATER SERVICES 16001 AUG 0 12003 File Number ��59 CleanWater Services Our rnnrnmitment if tirar lay Pre-Screening Site Assessment Jurisdiction _ --,ql �j�1 S i O/�R(y0 -_1--1-3 Date j✓ Map 8. lax lot ;. O t;SA 00-(q Owner [ Site Address __ Contact '�� Q7—iy��/AZO, Proposed Activity LTad;r;oti ro ^,ZFAddress Phone Official use only below Phis line Y N NA Y N NA ❑ n Sensitive Area Composite Map F1 Xy Stormwater Infrastructure maps Map#----Z.s_1 WA _—_ � I i�1 �J QS# ❑ ❑ Locally adopted studies or maps rr r�1 t�tht�r Specify M._.---- - - L� ❑ L_J Spe:ify Based(in a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No.03-11: ❑ Sensitive areas potentially exit on site or within 200'off the Rite.THE APPLICANT MUST PERFORM A Si Cc CEF.IIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT.if Sensitive Areas exist on the site or within 200 feet on adjacent pronertles, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site or within 200'of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas H they are subsequently discovored on your property. NO FURTHER SITE ASSESSMENT OR SERVICE~PROVIDER LETTER IS REQUIRED. THIS FORM KILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ❑ The proposed activity does not meet the definition of develo )ment. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: oaoevt' oh /"T--2%d.-._.f�' atll 4sr1w1 i Tl�rtt+/� s emer y:ve �rtail t��.--Ii4RL--_0.GaM/ 1'2_. p�e,�i _f�Ga�4•�N_ .?Ceb f•�,j. �� rpt_—�•j�. Reviewed By: --l�i�a.-.� -,rte-__ --. Date: Post-N"Fax Note 7671 Dills It Returned to Applicant Mail Fax x Counter_ ca( evi Date B�N o 3 - Ky all Phono i Phone rA3- 9 yb-3S•f CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST --_ BUP —� Received Date Requested-�_�___—. AMPM— _ BUP Location Suite___._— MECI?3 Y `e& S c 11oritact Person -_---- an�.Q � ;t Ph(_ ) `--? PLM Contractor -- _ Ph( ) —___ SWR _ BUILDING _ _ Tenant/ ELC Footing ''� vZ-- ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes. SIT Post& Beam Shear Anchors ---- ------- -- Ext Sheath/Shear Int Sheath/Shear ti�Y� f Framing �C�_��t1— P _ Insulation fl r Drywall Nailing --- - --. ---.- Firewall j�O Fire Sprinkler - \ '[- 1. --7--- "� ��— ---- ------- Fire Alarm A ' U.II sN#_� ,�, '� �� �/i Susp'd CeilingRoof Other Final PASS PART FAIL PLUMBING --f--- —' _�j Post 8 Beam Under Slab �4 Wateh Rough-In Sanitary Sewer — J 8� �p I.��' (�'� �' ��Z r 1 �� I L�-A Rain DrainsCatch Basin Basin/Manhole hi C (� r{ i I ► �' �� Storm Drain Shower Pan Other: - — Final -- _-- PASS PART FAIL —� — --- - MANI6L Post a-m Rough-In _— Gas LHe Smok,i Dampersin ­PASS � — — PASS —— -- —— ELECTR Service - -- --- -- -- — -- ---- Rough-In -- — -- —_ -- Low Voltage Fire Alarm - --- -- �'- Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE L� Please call for�einspection RE' -- L_J Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date �"-- — Inspector Other: -_- Final DO NOT REMOVE this inspection record from the jo!>i site. PASS PART FAIL CITY OF TIGARD MECHAI IICAL PERMIT PERMIT#: MEC2004 00458 DEVELOPMENT SERVICES DATE ISSUED: 7/12/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103BA-00142 SITE ADDRESS: 11875 SW LYNN ST SUBDIVISION: LERON HEIGHTS NO. 2 ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG CLASS OF WORK: nTR FLOOR FURN: EVAP COOLERS: TYPE OF USE. SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: SYORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HN: 1 DOMES. INCIN: FLE 3 - 15 HP: COMML. INCIN: 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: V install Owner: _ _ FEES ALAJMI, ABDUL.HADI M + MARCIA M Description Date Amount 11875 SW LYNN ST 111 l'II Pcrmir I cc 7/12/200 $72.50 TIGARD, OR 97223 1,�� tit❑ic tiurrh,u! 7/12/2002 $5.80 Phone: 503-524-1129 Total $78.30 Contractor: -- OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 518-2953 Final Inspection Reg#: LIC 125815 1his,;ermit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all othe-applicable laws. All work will be done in accordance with approved plans. Thi3 permit will expire if work is nat started within 180 days of issuance, or if worm is suspended for more than 180 days. A7ENTION. Oregon law requires you to follow rules adop,ed in the Oregon Utility Notification Center Those rules are yet fcrt 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)246-6699. l / Issued By: / _L�Sd�c_ Permittee Signature: CT-ylL(°,�_r1�'d -- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Jul no 04 03: 04p Oregon Heating and Rir 503-537 x117%' P• � Mechanil,zal 11'ermit Application It c.n�v' I'c!nut IJu City illf Tigard I alcllly !� oY —_!!IlJ�G���� V��✓ 13125 ti W l lull 131%II..Tigard,OR 97223 Plan ItwIC - Phone: 503.639.4171 Fac' 503.549 1960 .« I'.suJiiy r)111cr Pc+md - - hulpection Line: 503.639 4175 bele kwlyIny. l n ® 2 G" InWn)el! www.ci.tigani.or.ue Nolifitld/Method I C>i Sr ppkrnenal Inforaatinti i i'hR by S?V01:TC - tH_IM,Lp; USH cIUWK IISccnluuau• U New constniction AditutJal(eratiott/r:plrrccwcnt Mcchaniwl permit f=0 _ are ha:a:d on he value lif the work pet rormod.Indicate the value(iuunde- to the nearest dollar)of all ❑ rk:niolitiott ❑Other- mechanical materinln,e�ul�/mt rlt lath_ovcthcad_andpmiU - t'AtyxioitY 0 <oNS FRI IC'l IQ1Y - - M.- V" e a __ RLSIDIdtt l'I hL 90utti 4 m f 11i1'ti'1 nlioss IiU:Lrl3•� Pr',-and 2-family dwelling ❑C•otnmercial/ijidustrial ❑Accessory building - ` Fora cial i nrmatla!use checkhsr�- P'�i11�_ []Multi-family �f Master builder ❑Other- Description— tray. Iia. I fowl .ioll %vry INirl AMA7`ION AND:UWATION lltating/crrolfng Air conditioning or heat pump Job site address. J�W- -_ --- (r etre,nilr Ian show! hLernMI) _ 14.00 CII /�tate/tii': f� Furnace IUMoo JITU(ducwventsl_ -. 14.00 Furnace 1100 0001-BTU WoLta/venna) 11.90_ Suite/bldg./apt.no.: i - Prnject name_ -- - - - - - - �srheat pum - 14.00 Cross street/directions to job site Duct work- 14.00 -^ - -`-- Hydronic hot water system-.,- 14.00 Rcsidemial boiler(radiator or 14.00 -- _". .- - -. _-•------ Unit heater;(fuel dype.not dtxlric), in-wall,in-dace,suspended,etc. 10.00 Flue/vent for env of above _ 10 00 Subdivision: Lot na.: -- - --— —-- - - - __ Other: Tax map/parcel no.: tMlwr Mel appliances - 6ThC'ItlIvfI0N (W WOktil Watahealer `.�_ 10.00 -- dl fu-pe lace 0.UU '/y'V /■ //1/• ° -_-- _ - lluc vrnt for water heater or RIM11V//"fff-••kkk -M��-- IR.4AL fM 100.0000 10.00 Wood/pellet stove _ -- t0.00 canna rirc Iacdinsert — _.__ 10.00 Chimne /liner/(lue/vent 11-RE- z_­ 1-R 1 ! PROI'h.RTY U��'NI;12 (� _� TI3NANT —�----___ - - f� 7� , 1 - �_ .�___..-.� (hhcr: Namc. �.j h/� a, 6 w F.nvtronmental exhaust and rcutl atter - -- Address Itat)ge h-ood%olhcr kitchen - ��7(e%,a`\' _ equipment 11t,0U Cita/State/IIP. 1- --- - �ZS Clothes dryercxlmusl_ 10.00 Single dud exhatcst(halhrnorns, Phnm6v3 t c:o� mt I 2A Fax ( ) toilenrtma,.utility rooms - 6.80 At ic/.-Iii ace teas 10.00 [] AppI.1C_ANT (� !-�ONTAC.'f'1`>h.1;IRQIV '; -- - 10.01 Other. Business name: _ -- - -, - -- - - --- gncl nlpinx- _- Contact name: $5.40 for 8ra1 Thur.$1.1 D fnr each additlons Address: - -- - - -- - - Furnace.etc ,- City/State/zIp: Wall!su cndecUenit heater - Yhone: rimplace —.-- — -- r•,-moil _- _ oNtlttArt7te Barbecue s cwler. Address: NIEC IANIC'ALI ERMIPFI?'rL4' City/slntelzih: I')�, - l tinhlulal -- ---xxx - - - - -Mrmmum pc m nx !pit Pht/nc: F - •� n ---- - - � _ Plan review(2 °rb orpernnt fix) CCB-tic.: I - -" - - - - - - --slat'!Surcharge :°roofpamit fuc) - --{�' TOTAL PJAMIT FRF. Autholirsxl ai nature: This permit appllcslMn;spires Ira prnnit Is not nhutne+l i. 1 tsn B - ��- - - - - days after It has b"n:rrrptrd■.r°rnplrrr Jul 08 04 03: 04p Oregon Heating and Rir 503-537-2172 p. 3 Site Plan: Alajmi 11675 SW Lynn St. Tigard, OR Back 45' I 21' SVV Lvnn street CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE IVO SKORA PLUMBING 1820 SW WYNWOOD PORTLAND, OR 97225 Plumbing Signature Form 't' 1ap4 Permit #: MST2003-00375 Date Issued: '1/10/2003 Parcel: 2S103BA-00142 Site Address: 11875 SW LYNN ST Subdivision: LERON HEIGHTS NO. 2 Block: Lot: 032 Jurisdiction: TIG Zoning: R-4.5 Remarks: Addition of 1456sf. (2) story plus modification of existing space. 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 Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: ALAJMI, ABDULHADI M + MARCIA M IVO SKORA PLUMBING 11875 SW LYNN ST 1820 SW WYNWOOD TIGARD, OR 97223 PORTLAND, OR 97225 Phone #: Phone #: 503-644-7373 Reg #: LIC 104845 PLM 34-297PB AN INK SIGNATURE IS REQUIRED ON THIS FORM I Signattre of A horized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 / IMPORTANT PERMIT NOTICE BOONES FERRY ELECTRIC INC PO BOX 628 WILSONVILLE, OR 97070 Electrical Signature Form Permit #: MST2003-00375 Dater;sued: 11110/03 Parcel. 2S103BA-00142 Site Ad Jress: 11875 SW LYNN ST Subdivision: LERON HEIGHTS NO. 2 Block: Lot: 032 Jurisdiction: TIG Zoning- R-4.5 Remarks: Addition of 1456sf. (2) story plus modification of existing space. Your company has been indicated as the electrical contractor for the ;)ennit indicated above. in order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the ,ippropriate 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: ALAJMI, ABDULHADI M + MARCIA M BOONES FERRY ELECTRIC INC 11875 SW LYNN ST PO BOX 628 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone #: Phone #: 682-4936 Req #: SIT k i los LIC 88482 ELE 3-2230 AN INK SIGNATURE IS REQUI;ii;gna ON THIS FORM ure of Supervi ng Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503 -4175 � S _ 00 3 7 INSPECTION DIVISION Business Line: (5()00171 ---� BUP Received _..— _—Dat Requested_. �_L__—_ AM. PM____ BUP -- Location _- _� `-_ �.r Suite —__ _— MEC — Contact f i;on —___--------------.----_------- Ph( ) - PLM Contractor .._ --------_ -- - —__.. -- Ph (-.---) — SWR -- BUILDING _ Ten 3nt/Owner _— ELC —_- Footing ELC Foundation Access: �- — — Ftg Drain ELR Crawl Drain --- " Slab Inspection Notes: t SIT Post& Beam — Shear Anchors -- Ext S'.eath/Shear Int Sheath/Shear -`�-`---�-- --- Framing Insulation Drywall Nailing -'-_'—--- � -�'`r ti— ==mac _ `v �1 l'�� Q'4 Firewall Fire Sprinkler -- —_—_— Fire Alarm _��� � � � S� • � Susp'd Ceiling — Root Other. -- Final _P _ RT FAIL �F'ost 8, Beam • Under Slab —_. — — _�__---- ------------_ — Hough-In Water Service .3anitary Sewer 'lain Drains ------------ — --- —. _.—. Catch Basin/Manhole Storm Drain ---- ------ -- --- — ---- - — Shower Pan Other: ------ ----- na PART_FAIL — — -- --- _ —__ F o earn — Rough-In A - ------- --- - - ---- -- Gas Line Smoke Dampers na 's PART FAIL _ ---- ---- - ------�_ __ — _ TRICAL _. 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 Please call for reinspection RE:__--_— -_ Ll Unable to inspect -no access Fire Supply Lino ADA Approach/Sidewalk Date-- -- Z (G - _-- Inspector .-_ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 91-Hour r^— BUILDING inspection Line: (50 Ap175 JO3 • (,�3 �.] INSPECTION DIVISION Business Line: (5 -4171 BLIP — — Received Date RequestedAM— PM BUP -- -- Location _�_� ^� �` ----._-- f— Suite ____ MEC _-- Contact Person __ _ — _ _ Ph( —) _ PLM �_-- Contract —_ _ _— __—__. Ph ( ) SWR Tenant Owner — B QI — . ELC Footing ELC --- --- Foundation Access: Ftg Drain ELR Crawl drain � SIT Slab Inspection Notes: — Post&Deam -- _ " ` ----- — - —— --- - Shear Anchors - Ext Sheath/Shear -- Int Sheath/Shear ---- --------- Framing ----- - ------- ----_ Insulation Drywall Nailing Fi-ewall Fire Sprinkler Fire Alarm Susp'd Ceilinq Root Othe SS 0.4RT FAIL /X t BiNG� - - - - — --- ---.- Post 11 Beam _ Under Slab ---- __----- --- --- -- ___..-. Rough-in Water Service ----�" Sanitary Sewer Rain Drains - - ------ --_--. Catch Basin;Manh-)le Storm Drain Shower Pan I Other - - --- -- Final PASS PARI FAIL --- - __�_-- ---- -----_CA L �---- -----�---- Post d Beam -- -- Rough-In - Gas Line SmokeDampers ----- --- _-_---_--- ---------_-__---------. _..,__ ---------------------- --- Final -- -- ----- - _PASS PART ELECTRICAL -Service — U �---- Rough-In UG/Slab __-- Low Voltaae -__------------------- Fire Alarm Q Final L-� Reinspection fee of required before next inbi,-lion. t'ay 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 71�16ALExt Approach/Sidewalk Date— — — Inspector--_— -- ----- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL