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CITYOF TIGARD MASTER PERMIT
PERMIT#: MST2003-00442
DEVELOPMENT SERVICES DATE ISSUED: 10/9/03
13125 SW Will Blvd., Tigard, OR 97223 (503) 639-41'71
SITE ADDRESS: 06970 SW LOCUST ST PARCEL: 1S136AA-09900
SUBDIV131ON. VENTURA ESTATES ZONING: K-4.5
BLOCK: LOT: 021 JURISDICTION: TRI'
REMARKS: New construction of SF detacned, Path 1.
_ BUILDING
REISSUE: MAS22141 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS __ REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,490 of BASEMENT: if LEFT: 5 SMO,:E DETECTORS' Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: t.5nt sf GARAGE: 662 of FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I TNRO at RIGHT: 5
OCCUPANCY GRP: R3 BDRM: 7 BATH: 3 TOTAL: <991 at VALUE 29245500 REAR. 15
PLUMBING _
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS:
IUB/SHOWERS: 4 GARBAGE DISP 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c t00K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: I
GAS FURN»100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 5
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 200 amp 0 201 amp: W/SVC OR FDR: PUMP/IRRIGATION: PEn INSPECTION:
EA AOD'L 500SF: 6 201 400 amp 201 400 amp. 1 ct WC SVC/FDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 4(11 - 600 amp: EAADDL BR CIR: SIGNAUPANEL: IN PANT:
MANU HM/SVC/FDR: 601 1000 amp: 601.amps-100ov: MINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Reconnect only:
)•4 RES UNITS: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO a STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIO: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE.CALLS: TOTAL N SYSTEMS:
Owner: Contractor:
TOTAL FEES: $ 8,194.36
This permit is subject to the regulations contained In the
WINGATE CORPORATION WINGATE CORPORATION Tigard Municipal Code,State of OR. Specialty Codes and
15840 S POPE LANE 15840 S POPE LANE all other applicable laws. All work will be done in
OREGON CITY, OR 97045 OREGON CITY, OR 97045 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: 503-793-8895 Phone 503-793-8895 Oregon Utility Notification Center Those rules are sot
forth In OAR 952-001-0010 through 952-001-0080. You
Reg M: LIC' 94680 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwik Insp
Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins► Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM/Underfloor framing Insp Gas Fireplace Water Service Insp Building Final
Issued By :,.�1 t, _ ,,fir��,(+,`� Permittee SignatureR—
Call (503) 639-41'5 by 7:00 p.m. for an inspection needed the no"�I es day
IT,i OF
�`I(�' /1� R(� – SEWER CONNECTION PERMIT v
DEVELOPMENT SERVICES PERMIT D: S 9/03 00330
13125 SW Hell Blvd., Tigard, OR 97223 (503) 6:)9-4171DATE ISSUED: 10//9/03
SITE ADDRESS; U6970 SW LOCUST ST PARCEL: 1S136AA-09900
SUBDIVISION: VENTURA ESTATES ZONING: R-4.5
BLOCK: LOT: o-11 . .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
Owner: –� ^-- FEES --�— --
WINGATE CORPORATION Description — Date Amount
15840 S POPE LANE -- —
OREGON CITY, OR 97045 [SWUSAJ Swr Connect 10/9/03 $2,400.00
[SWUSA] Swr Connect 10!9/03 $0.00
Phone: 503-793-8895 [SWINSP] Swr Inspect 10/9/03 $35.00
[SWINSPI Swr Inspect 10/9/03 $0.00
Contractor:
--- Total $2,435.00
Ph ii•e:
Reg #:
Rec,olred Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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" Perin
Issued by: Lj L G. lc L A�r. c� �'t t_'_` Permittee Signature:'/
Call (503)639-4175 by 7:00 P.M. for an inspection needed the next bllisines day
7u r 9-.;,V-o3 (.-)
Building Permit Application
Datereceived:
City of Tigard Permit no./t ^rn -�161
F'�EOEPO Projecdappl.no.: Expire date:
CitynjTigard Address: 13125 SW Hall Blvd, 1
Phone: (503) 6394171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 1 ,, Case file no.: Payment type:
AUG )�D a
Land use approval: I&2 family:Simple Complex:
U 1 &2 family dwelling or accessory U Commercial/industrial U Muki-tamily '�l NI o\+ r )II,(I i lw1I _l I)rnt liti ui
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm .1()111(.[
NVORININTION
Job address: ro 4V3 L-cl w T _ I31dg.no.: Suite nc.: V\
Lot: Bhxk Subdivision: jry(ZA C-_51Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: `S R 11446W__-_ -_ r
y
01'li Nlr it FOR SPECIAL INN,'O.RMA'l.lON, USE CHECKLIST
(Floodplaiii,septic capacity,solar,ellei)
Mailing address: 0 I &2 family dwelling:
City: CD 0 4 GI StateO ZIP: q 7FZ L— Valuation of work.......................................
Phone: G51'3300 Fax: E-mail: No.of bedrooms/baths................................. _
Owner's re resentativr:
_ p Sc.o rr _.�Esg�,NS Total number of floors.................................
New dwelling area(sq.ft.) `
Phone: �- Fax: E-mail: ..........................
Garage/carport area(sq. ft.)
Name: _ Covered porch area(so,.ft.) .........I...............
Mailing address.�- Deck area(sq. fl.) ........................................
City: State: ZIP: Other structure area(sq.ft.).........................
Phone: Fax: E-mail: Commereial/IndustrinUmulti-family:
Valuation of work........................................ $
Business name: .
Existing bldg.area(sq.ft.) ..........................
Address: New bldg.area(sq.ft.) ...............................
City: State: �IP: Number of stories....................................... _ 4,
Phone: Fax: E-mail:
Type of construction.................................... ---
CCB no.: Occupancy group(s): Existing: _ \
New:
City/metro lie.no.: Notice:All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: — jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.:
Phone: Fax: E-mail:
Name: _ Contact person: Fees due upon application ........................... $—
Address: Date received:
City: State: ZIP: Amount received ................................... $
Phone: I E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all Jurisdictions accept credit cards,please call Jurisdiction for mare Information.
attached checklist.All provisions of laws and ordinances this U Visa U MasterCard
work will be complied with,whether specified herein or not. Credit card number:
Expires
Authorized signatu Date: , Name of cardholder u shown one t card
Print name:s. ,g l�„!S _ c of r sipature Amount
Notice:This permit application expires if u penni►is not obtained within 190 days after ft hes b^en accepted as c miplcte. 4404613(60MCOM)
Mechanical Permit Application
"Datereceived: Permit no.:N7r&d •�e
City of Tigard Project/appl,no.: Expire date:
Ciryofnsard Address: 13125 SW Hall Blvd, igar , 7 2 Date issued: By: Receipt no.:
Phone: (503) 639-4171 AUG(503) 598-1960 1 )00'. Case file no.: Payment type:
Land use approval: _ Buildingpermitno.:
❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
XNew construction U Add ition/al eration/replace•nwIII U Other:
JOB SITE INFORMATION
Job address: i �, ; Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Qlock: Subdivision: trtJ t1J F,S See checklist for important application information and
Project Warne: jurisdiction's fee schedule for residential permit fee.
City/county. t A ZIP: ZZ t r
Description and locaticiff of work on premises:
Pcc(ea.) Total
Est.date of completion/inspection: 1)Muription spy. Rts.onl Itt .uulp
Tenant improvement or change of use: Air handling unit CPM
Is existing space heated or conditioned?U Yes U NoAir conditioning(site plan regwre )
Is existing space.insulated?U Yes ❑No Alteration of existing HVAC system _
o er compressors
Stole boiler permit no.:
Business name: - t T�h P I r l "� QFC�-I fel HP Tons BTU/H
Address: (ppbp SLQ41E_L. it smo a amper uctamo a detectors
City: C_,6_AC-V-A"1A5 State:d(Z Z!P: t eat pump(site plan required)
Phone:65C,-50114 1 Fax: E-mail: nsta rep ace urnac urner r
Including ductwork/vent liner U Yes U Nu _
CCB no,: nsta rep ac relocate eaters-Tu—spend-ed,--
City/metro
uspende ,City/metro lic.no.: wall,or floor mounted _
Name(pleaseprint): E12-t K-(k S , �(Z E,p(Z l L Vent fora )lance of er than furnace
1 e geral on:
Absorption units—_ _ BTU/H
Name: Chillers.___.__ HP
Compressors HP
Address_ _ 'nv ronmeata exhaust and vent Inflow
City: Stale: ZIP: -_ Appliance vent
Phone: Fo+ E-mail: ryerex gust
[foods,Type f res. ,tc et azmat
hood fire suppression system
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: Exhaust system a art nom heath or C
City: State: ZIP: _Fu_ p p ng andistribution up to outlets)'
Tyre LPC; Na Oil
Phone: 11 ax: E-mail: 1~u vivinin each additional over 4 outlets
Process piping(sc remade rcqutrc )
Number of outlets _
Name: t e�app once or equipment:
Address: Decorative firepla.x
City: ,-- State: 7..IP: - Insert-type _ —
Phone: Fax: E-mail: oo stov pe I I et stove
ther:
Applicant's signature: < Date: 1;:A p"
Name (print):
Not all Jurisdicllacc
u accept credit cards,planes toll Jurisdiction fur rrwrc luronnatinn. Permit fee.....................$
Ovisu UMastercard Nolice:'ihis permit application Minimum fee................$
—�—L expires if a permit is not obtained Plan review(at — %) $ _
Credit card number. -- Fix ices within 180 days after it has been
__ p State surcharge(896)....$ _
ems or car l u u shown on credit card s accepted as complete.
TOTAL .......................$
Cardholder ailpatum Amouni 440•/617(6i0 MM)
Plumbing Permit Application -/
_ Datereceived: Permit no.:�-f,if�j� -OOY y
City of Tigard RECEIVED Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
City of Tigard phone: (503) 639-4171I /003Project/appl.no.: Expire date:
Fax: (503) 598-1960 AUGU �" Date issued: By: Receipt no.:
Land use approval: GFTY OF TIGARD Case rile no.: Payment type:
ni
„ tet r
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
1KNew construction ❑Addition/after ition{replaccmcnt U Food service U(hhcr:
JOB SI-ff,I NFORNIM ION FEF. SCHEDULE(for special.Information iise checkfist)
Job address: C &,J L.o c ws i ST __ Ucscrilrtioo __ tjly. hcc(ca.) 'Total
Bldg,no.: Suite no.: —— Nen I -wort 2-fsuni1y tbiellhigs only:
(includes toil it.format tit iiity connection)
Tax map/tax lot/account no.: __. S1,R(1)bath
Lot: Block: Subdivision: l'J— _ -
FR(2)bath _
Project name: _ _ SFR(3)hath
City/county: p Z1P: '} 'aeh additional bath/kitchen
s.
Description and location o work on premises .<F"R— bjg Catchsheu
bas d
_ Catch hasir>/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain
Footing drain(no. lin. t.)
Manufactured home utilities
Business name' 1 Q,,�y rYL Ni N Manholes
Address: V-1" — Rain drain connector
City: J °tate. A Z1P:9$�,61 Sanitary sewer(no.lin. ft.)
Phone: :(,j
Fax: I E-mail- Storm sewer(no.lin. t.)
CCB no.: I Plumb.bus.reg.no:.3"� tri Water service(no.lin.ft.)
Fixture or item:
City/metro tic.no,.
Absorption valve
Contractor's representative signature: Back flow revente_r
Print name: I Date: 2 ackwater valve
PFR,%ON Basins/lavatory
Name: Clothes washer^
-- - ----
Dishwasher
Address: Drinking fountain(s) _
City: State: LIP: _ E ectors/sum
Phone: Fax: I F-mail: Expansion tank
'Fixture sewer cap _
Name(print): floor dra-rin oor sinks/hub
- — - Garbage disposal
Mailing address: Hose bibb
City: State: ZIP: ice maker
Phone: Fax: E-mail: nte-rceptor/grease trap
Owner 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), asin(s),lays(s)
Owner's signature: _ Date: Sum
Tubs/shower/shower pan
Urinal
Name: ------- _ atcr closet
Address: _ Water heater
City: State: ZIP: Other:
Phone: —L: E-mail: Total
Not all jurisdictions accept credit cards,please call juritdir-tlon for mote infnrmation. Minimum fee................
Notice:This permit application plan review(at _ 96) $
U Visa U MasterCard expires if a permit is not obtained
credit card number: within I SO days after it has been State surcharge(8%)....$
Expires
une of cardholder as shown on credit card
accepted as complete. TOTAL .......................
t
Cerdho:dcr aidnattue Aorount 44DAIG(6Il1GK.'bM)
Electrical ['ermitAl>tplication
Date received; Perinilno.: rM')'f D Cf'.
im Cllly Of Tigard ED Project/appl.no.: Expire date:
CirynjTigard Address: 131. .,W flail Blvd, QR��$ Date issued: Dy-IReceiptno.:
Phone: (503) 639-4171 A3E -
Fax: (503)598-1960QUO ) ) 2003 Case file no.: Payment type:
Land use approval: O
111W OF PERMIT'
O 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 Tenant improvement
XNew construction U Addition/alteration/replacetnent U Other: l U Pmt .d
INFORMATIONTE JOillbll
Job address: .+O S,,j nv.: I Suite no.: 101tax map/tax lot/account no.:
Lot: 2,1 1 Block: Subdivision:
Project name: I Description and location of work on premises: Ste- NE3/y
Estimated date of completion/inspection:
1 1 1 tFEL'
IIEPULE
Job no: Fee Max
Business name: E 1 fY1 , I)escri dlun (JIy. (ea) Total no.insp
�b 1 �` Newrnsidential-sr
ingieomultifamilyper
Address:
_sem P� dwelling unit.Include%attaclied garage.
City: r,4V,) 5latc:v ZIP: 9ZZZ Service included:
Phone: -fl Fax: E-mail: Iax)sq.ft.orless 4
CCB no.: S Elec.bus. tic.no. ,Z+ Each additional 500 sq.ft.or portion thereof
43q 3 fit+ Limited energy,residential 2
City/metro lic.no.: Limited energy,non-residential
Each manufactured home or modular dwelling
Signature of sU ryi g electrician(required) _ Date Service and/or feeder 2
Sup.elect.name(print) DtWc. I>" 4r—,t IvtG License no: Services or feeders–Installation,
alteration or relocation:
200 amps or less _ 2
Name(print): 201 am s to 400 amps _ 2
Mailing address: — 401 amps to 61w amps 2
6U 1 amps to 10(N)amps 2
City: Slate: ZIP: Over 1000 amps or volts 2
Phonc: IE-mail: Reconnectonly I
Owner installation:'1'he installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
ORS 447,455,479,670,701. 200 amps or less — 2
201 amps to 4W amps 2
Owner's signature. Dale: 1 401 to 600 ams 2
ENGINEER Branch circuits-new,aheratlon,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service it feeder fee,each branch circuit 2
City: SlatC: ZIP: B. Fee for branch circuits without purchase
phone: _ I ,tE mall: of service or feeder fee,first branch circuit: _ 2
Bach additional blanch circuit:
PIAN REVIEW.(Pleasie check sill that nppl)) MIse.(Service or feeder not Included)-
*Service over 225 amps-conuneicial U Healdreare ractlity Each pump or irrigation circle 2
U Service over 320mnps-rating of 1&2 U Hazardous location Each signor outiinelighting _ _ 2
fandlydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,
U system over 600 volts nominal more residential units in one structure alteration,orextension• 2
U Building over three stories U Feeders,400 amps or mote +lk%cri,tion:
U Occupant load over 99 persons U Manufactured structures or RV park "ch additional Inspection ever fire allowable In any of the above:
U CgressQightingplan U Other Perinspection
Submit__sets of plans with any of the afore. I Investigation fee—
Vie
e —'fire above are not applicable to temporary construction service. I Other v -
ra p ) Permit fet .....................$
Nut all jurisdictions ecce credit cards, lease call uriuifclitm for more Infonnatirnn. Notice:'Phis pet7rtll application
7 Visa U Mastercard expires if a permit is not obtained Plan trvtt.�(at — %) $
Credit card number: within 180 days after it has been State surcharge(8%) ....$
xpher
u s own on crn�1 crud accepted as complete. TOTAL . $
None or cu ollkr —
_ _S
Cardholder signature Amount 44046115(MUCOM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST, DZt 3 -)G -2
INSPECTION DIVISION Business Line: (503)639-4171 ---
BUP
Received Date Requested S -1-3 AM__ PM 8UP
I-ocation _� C'1 :7,0 %Q --suite MEC _
Contact Person �.-C_d -f-t — Ph(. ) _ l7_'� 29 F_�Z5Z_ PLM
Contractor _ Ph( -_) SWR
BUILDING Tenant/Owner _ ELC
Footing ELC
Foundation Access:
Fig Drain ELR
Crawi Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear C
Int Sheath/Shearuu�iw� y 111Z•Lo
Framing
Insulation
Drywall Nailing
Firewall [, s VOL .
Fire Sprinkler ---- - _=-�v}
Fire Alarm
Susp'd Ceiling — ---- — ----- _
Roof
Other:---- (�,, � --- _
Final --- U��4yi 'ti �� 1�A'
�VAFw
P PART FAIL
LIMBI G -
Post Beam ` - )Q I� I =_` ^ �� �O ����
Under Slab yL_ �;�7 1.K�7�la-(`C� 1•a Utj7T —
Rough-In P`1 �K to A
Water Service ------.- —_
Sanitary Sewer �6�i
Rain Drains — —
Catch Basin/Manhole
Storm Drain -- — —
Shower Pan '
Other:
ASS PART FAIL -
M ANICAL
Post&Beam ��A
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
'ELECTRICAL
Service --
Rough-In
UG/Slab -- — -- -- ---__ �_
Low Voltage
V
Reinspection fee of$_�. required b9fore next Inspection. Pay at City Hall, 13125 SW Nall Blvd
PART FAIL-- ❑ Please call for reinspection RE:— ❑ Unable to inspect-no access
Fire Supply Line �)
ADA aut � _ �1 l V "
Approach/Sidewalk Ds 1 1. `J 1 Insdpofttor _—___ Ext__
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171
Received —_ —Date Requested. - AM _— -_. PM—_— BUP
Location - -_�L �' Suite W_
Contact Person �[,,�. "" - Ph(------) ��t3 PLM --
Contractor _ Ph( ) — SWR
BUILDING Tenant/OwnerELC
Footing _
— _ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain -- -T-" -- -
Stab Irtbpeclion Notes: SIT
Post&Beam
Shear Anchors - — - --
Ext Sheath/Shear
IntSheath/Shear -
Framing --------
Insulation 9
Drywall Nailing �Y��'{L1 lIPk !Al 2nL-=1,1 L_ 12 !gA tL 4 S-r!t•1 t-S
Firewall
Fire Sprinkler ry 4 A GL>,F��v7-A.,^4 V[,�l�.c,r1Ci�
Fire Alarm
Susp'd Ceiling
Roof
Other. ---
ma -_ - ---_
ASS PAR_T AIL -
PLUMBING
Post&Beam - —
Under Slab ---
Rough-In
Water Service - - -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other: -- - --
Final
ASS _P_AR_T_ FAIL
MECHANICAL —! _
Post& Beam —
Rough-In - - --_. - -- —
Gas Line
Smoke Dampers _--
rn
PART FAIL ---
ELECTRICAL -
----------
Service
Rough-In
UG/Slab ----- -- —-- ------ -- -
Low Voltaga — —�
Fire Alarm
Final F-1 Reinspection fea of$"_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:—, —� Unablq to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Data - �c`� Ir,$vector _—ut
Other:
Final DO NOT REMOVE this I114poctlon record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 T, ��•_L/0 C/ q
INSPECTION DIVISION Z
--_'- --
--
Business Line: (503) 639-4171 -----
BLIP -- - ---
Received _ Date Requested AM PM _ -- _ BLIP
Location r Z- L 1 C z.• J — Suite__—__-- -_ MEC
Contact Person Ph( ) __ -_ PLM
Contras or_ -_ - -- _ Ph( ) _ - - SNR --
_ G Terlant/Owner _ _ _ ELC
Footing ��--- -
Foundation Access: ------ ELC
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -- --
Ext Sheath/Shear
Int Sheath/Shear -
Framing --- -- --- - -
Insulation
Drywall Nailing ---- _ -_ -- -Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -- - - - ---------
Roof
In
S ' PART FAIL - - - -- - - ----- ---- —— - --
POs Boam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Oth ---
AECHAPART FAIL AL
Post& Beam
Rough-In
Gas Line
S ke Dampers — - - -
IIal-'
111114—SS-7 PART FAIL ---—
ELECTRICAL
Service
Rough-In
UG/Slab v—
Low Voltage
Fire Alarm --
Final Reinspection fee of$___ 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 Line
ADA
Approach/Sidewalk Date � = G Inspector Ext
Other
Final DA NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD- SITF PLAN REVIEW
BUILDING PERMH No..
PLANNING DIVISION. -
Required Setbacks M App,ovedC3 Not Approved
Side
Frimi oho_ (-,orag. .-Us R.!Pr: I.L—
visupf Cli:nrauclv: Appfw t:. f:) \1411 %ppruved
Maximum 81 itainu tit -32 11,,!, Q
Iq q ('WS selvice P(m i(lo. Imier Rvillsirvd: ❑ yvs vePo i
C 0 R �:i
j%- -- I
MjINLFRING DEPA,14-IMENT
Actual S}npe LO—% Approved ❑ Not Approved
Site I'll Approved Not Approved
0)1 Ry: Date: 17;V-?,
m
C3
>
*10
>:
Fri
m >
Fr
CA)
r
0 0
CD
NIV80 NIV8
—
AHVIINVS X
H91Vm .0ite
CITY OF TIOARD
Residential Certificate Of Occupancy
Permit No.: C;�(}}Q' –Oj _Y{ L- Address:
Owner/Contractor:
Date of Final Inspection: �I Inspector: — —
This structure has been found to he in substantial compliance with the provisions of the State of Oregon One& Two Family Owelling
51)ecialty Code and is hereby approved for occupancy.