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9720 SW Nacira Lane 9720 SW NACIRA LN FILMED 2006 Ni V2113VN MS OZL6 1 a � I 0 V 9720 SW NACIRA LN A CITY Of TIGARD Residential Ce rtii cuie of Occupancy Permit No.: Mgr Zce S- cc, 415-40 Address: 1'7ZO / A14C /cert 1-A4 -- Owner/Contractor. Date of Final Inspection: i& ' dY Inspector: "6s structure has been found to be in substantial compliance with the provisions of • tate of Oregon One di Two Family Dwelling ijprcialty Code and is hereby approved for occupancy. CITY OF T I G A R D PLUMBING PERMIT .1", DEVELOPMENT SERVICES PERMIT 1: PLM2004-00362 Ai- 4i. 13125 SW Hall Blvd., Tigard. OR 97223 (503)639-4171 DATE ISSUED: 8/9/2004 SITE ADDRESS: 09720 SW NACIRA LN PARCEL: 1S135CD-13500 SUBDIVISION: GREENBURG PINES ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS. URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device. FEES Owner: Description Date Amount VISTA NORTHWEST INC [PLUMB[ Permit Fee 8/9/2004 $36.25 PORTLANDD,, 97291 PO BOX 91459 [TAX]8%State Surcharl 819/2004 $2.90 OR Total $39.15 Phone: 503-531-0505 Contractor: SELBY PLUMBING INC. 20565 SW TV HWY#373 ALOHA, OR 97008 REQUIRED INSPECTIONS Phone: 503-730-3437 RP/Backflow Preventer Final Inspection Reg 9: LIC 150252 PLM 34-397PB 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 952-0001-0010 through OAR 952-0 - 100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 699. \ / -- Issu B. � ; ' / p' i Permittee Signature: ' t. Call( 1 • 939-4175 by 7:00 P.M. for an Inspection needed the next business day , Building Fixtures Plumbing Permit Application i()It til 1 It 1 t sI tl\l City of Tigard Recto-°° . In Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 Phu, eviaw Phone 503 639 4171 Fax 503 598.1960 W�ty. Other Perrot Na an F 24-Hour inspection Line 503.639.4175 !1J. 4i1.. Internet. www www ci ti or us Nass ied/Meth: EINS Sea Pipe 2 for iWd Notified/Method: Supplemental Information c, ,4,,,,„ . 1,»` Zy •' ' • ,^ , :11 ❑New construction ❑Demolition For special iforma ion sue checklist ----- Desscri.non ] Qty 1 Ea 1 Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft for each utility connection) ,. . k,,sift a /iy t "n i SFR(1)bath 249.20 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath +00 ❑Accessory building 0 Multi-family SFR(3)bath 399++ Each additional batn'►ntchen 45++ ❑Master builder 0 Other: — Fire sprinkler(_____sq ft.) Page 2 `u.'= Site utilities Job site address: 7707,09_ 5',"2...,y/y5; :"/.."_05).../....4/aCatch basin or arra drain 16.60 ~ Drywell,leach line,or trench drain 16.60 City SatdZlp: r,��'l� -Suite/bldg./apt.no.: Project name:�r� ,r�,� Footin _ in(no linear ft ) Page I J i '..1".ctured home utilities 11000 Cross street/directions to job site: -- ` - Manholes _ 16.60 i. Rain drain connector 16.60 Sanitary sewer(no linear IL:_) Page 2 ~ Storm sewer(no linear ft.:,__,J Page 2 Subdivision: I Lot no.: Water service(no linear ft.: Page 2 1M:tare er lienTax map/parcel no.: Absorption valve 1660 . W" `'+:, :+tt Backflow preventer / Page 2 Backwater valve 1660 Clothes washer 1660 Dishwasher 16.60 Drinking fountain 1660 ' Ejectors/sump 16.60 Name: 1 /.S, '1 1/00.-, Expression tank 16,60 Address: '. 71/4-2/5‘5-lit Fixture/sewer cap 16.60 City/State/ZiP: 97 . Floor drain/f oor sink/hub 16.60 — Phone: -) /t..7,--2.27- — Fax:( ) Garbage disposal 16.60 • Hae bib _ 16.60 ' Ice maker 16.60 Business name: r Interceptor/grease trap _ Contact name: Medical gas(value:f ) Page 2 Address: Primer 16.60 City/Sate/ZiP: Roof drain(commercial) 1660 Sink/basin/lavatory 16.60 Phone:( ) Pax::( ) — ` Tub/shower/shower pan 16.60_ E-mail: Urinal 1660 •(;4 ,'. !,1.,.,. ,, . t t ;(,..1 . .,'� 7"."`,‘ a..s I ., ,ji w. . Wafer dont 16.60 a--^- Business tame: Wttlsr hater 16.60 .,51��3 y� �11Y1� - Address: Other City/State/ZIP: _ Subtotal Minimum permit tee $72 50 dTs• Phone:( ) Fax:( ) Residential backflow minimum permit fee. $36 25 • Plan review (25%of permit fee) / CCB Lic.: / ! Plumbing Lie.no.: State surcharge(8%of permit fee) Authorized signature:I %� - �� TOTAL FEE 3�. / S r Print name: As.00' f 46'411,-..6.0 'Date: - This permit application expires if a permit Is net obtained within — 180 days aft.r It has been accepted as complete. •Fee methodology set by Tri County Building Industry Service Board i\NndinePor,it\PIMP Permit App dec I Ln) 440 4456171ebM'OM RI Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Su ression S stems: ';:'�+.- !'"' 51*.'IMt.i.IG. { r h 'r! .1,:;..:-.:! 'i4 ec Footing drain- 1.100' IlMil 5500 0 to 2,000 _ $115.00 — Footing drain-each additional Iii' 46 40 _2,001 to 3,600 $160 00 3,601 to 7,200 $220.00 Sewer- 1st 100' SS 00 —r 7,201 andireater $309.00 Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 Medical Gas S tems: Water Service-each additional 100' 46.40 n ' Storm&Rain Drain-1st 100' '5.00 '+SI 00 to$5,000.00 Minimum fee$72 50 Storm&Rain Drain-each additional 100 46.40 $5,001 00 to S10+r i 00 $72.50 for the first$5,000 00 and$1.52 for each ,1 " ;PAi� ��. additional$100 00 or fraction thereof,to and r:a. 43ittMr ". • 't+. '�aigii.•:p including SI0,000 00 Commercial Back Flow Prevention Device 46.40 $10,001.00 $25,000.00 SI4R`0 for the first$10,000 00 and SI 54 for Residential Backflow Prevention Device each additional$100 00 or fraction thereof,to 1minimum permit fee$36.25) 27.55 and including$25,000.00 Rain Drain,single family dwelling 65.25 $25,00 i i to$50,000 00 $379 50 for the first$25,000.00 and SI 45 for Inspection of existing plumbing or ■ each additional S100.00 or fraction thereof,to and including S50,000 00 specially requested inspections-per hour 72.50 r $ I 1100 and up $742 00 for the first$50,000(X)and$ Øfor Subtotal: each additional$100.00 or fraction thereof Fixture Work: Are you capping,moving or replacing existing fixtures. "yes",please indicate work performed by fixture. Failur o accurate' re. .rt fixtures could result in Increased sew f *. i . -; . • x,'� r',, "` Comments regarding fixture work: Baptistry/Font Bath -Tub/Shower hi V - -- -- — -Jacuzzi/Nniirl++i I _____, Car Wash -Each Stall , Drive Tltn, - --- — Cuspidor/Water Aspirator - —___. --- Dishwasher -Commercial -Domestic — ---— -Drinking Fountain - — - _Eye Wuh Floor Drain/sink -2" -- i a — Car Wash Drs.,()wimple -Domestic Disposal -COM. - ial 1ndy.trial Note: If the fixture work under this permit results In an Increase of sewer EDlfs, a sewer permit will be issued and Ice Mach/Refrig Drains Oil Separator tOts Station) fees assessed for the sewer increase must he paid before the R e Vehicle Dump station plumping permit can he issued. CI Shower -(sang U' -Stall Sink -BarRivat .� °ry ouaoaryTota Bradley cul isometric or riser diagram is required if fixture quantity Service total is>9. Swimming Pool Filter = Washer-Clothes � -H Water Extractor flan Review rWatci Closet-Toilet . Plan review is required if fixture quantity total Is Q. Urinal Other Fixtures - I Suiki eirmit vtl4 PwriAA enc vos • C TY OF TIGARD _ MASTER PERMIT PERMIT 0:.41116r, DEVELOPMENT SERVICES DATE ISSUED: 0/15033 ooa5o "'AX I-�.' 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 09720 SW NACIRA LN PARCEL: 1S135CD-GP006 SUBDIVISION: GREENBURG PINES ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: BUILDING REISSUE: 1795 STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK. NEW HEIGHT: 21 FIRST 1 044 if BASEMENT if LEFT: 5 SMOKE DETECTORS. Y . TYPE Of USE. SF FLOOR LOAD: 40 SECOND 971 •f GARAGE 420 of FRONT: 20 PARKING!PAC!. . TYPE OF CONST: SN DWELLING UNITS: I TRIO 41 RIGHT: S VALUE: 201,145 00 OCCUPANCY GRP: R3 SIAM I BATH: 4 TOTAI 2.095 •I REM: 15 PLUMBING SINKS 1 WATER CLOSETS WASHING MACH: I LAUNDRY TRAYS: I RAN DRAIN. 100 TRAPS LAVATORIES 5 DISHWASHERS I FLOOR DRAINS: SEWER LINES. 100 SF RAN DRAINS 1 CATCH BASINS TUSISHOWERS 4 3ARBAOE DISP• + WATER HEATER!: 1 WATER LINES 100BCKFL W PREVNTR GSEASF TRAPS OTHER FIXTURES MECFIMNICAL FUEL TYPES FURN<100K BOIVCMP<DIP. VENT FANS 4 CLOTHES DRYER: 1 --- ,As FURN>-100K I UNIT HEATERS HOODS 1 OTHER UNITS: 1 MAX INP• btu FLOOR FURNANCES VENTS. 1 WOOOSTOVES OAS OUTLETS: 4 _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MIICELLANEOU$ ADM INSPECTIONS 1000 SF OR LUSS: 1 0 700 4n, 0 700■mpW/evc OR FOR. PUMP/IRRIGATION- PER INSPECTION: EA AMY 50013F.F. 1 701 400 np 701 - 400 rnp Is W70SVCF DR• 51O117OJT LIN I.T PER HOUR: LIMITED ENERGY. 401 - 100 if i, 401 • 000 rnp EAADDLBR CIR: MIONAJPANEI IN PLANT: MANU HN/SVC/FDR. en 1000 WHO 001•rnp•-100ov MINOR LABEL 1000••mn/voll PLAN REVIEW SECTIUN R•ronn•ct only •.4 RES UNITS SVCIFDR'.S7S A •ISO V 4OMINAL CLI AREA/IPC OCC _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO S STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOMIPACING OUTDOOR LNOSC LT MMus ALARM: OTH BOILER: HVAC LANDSCAPEIRMO PROTECTIVE MGM GARAGE OPENER. CLOCK• INSTRUMENTATION MEDICA- OTFNI: HVAC DATNTELE COMM NURSE CAUL!' TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,280.28 INC NORTHWEST INC This perma Is subject to the regulations contained in the VISTAVISTA BOX NORTHWEST BOX NORTHWEST VTigard Municipal ode.State of OR Specialty Codes and V PORTLAND,OR 97291 PORTLAND„OR 97291 al other ce with laws. plans work h be permit it accordance with appioved This will expire N work is not started within 180 days of issllanoe,or if the 4. work Is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the N PNons 503-331-0505 PSbOn 503-531-0505 Oregon Utley Notification Center Those rules are set forth In OAR 952-001-0010 through 952-001-0090. You } Ra B' LIC 75507 may obtain copies of these rules or direct questions to OUNC by calling(503)248-1987 a REQUIRED INSPECTIONS 0 UI J Issued By : Psrmlttee Signature : -._ Call(S 3) 639.4175 by 7:00 p.m. for an Inspection needed the next business day CITY OF TIGARD _ SEWERCCNNECTION PERMIT DEVELOPMENT SERVICES PERMIT N: SWR2063-00338 " DATE ISSUED: 10/15/03 13125 SW Hall Blvd., Tigard,OR 97223 (503) 639-4171 SITE ADDRESS; 09720 SW NACIRA LN PARCEL: 1S135CD GP006 SUBDIVISION: GREENBURG PINES ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG - TENANT NAME: USA NO• FIXTURE UNITS: CLASS OF WORK: DWELLING UNITS: 1 TYPE OF USE: NO. OP BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Owner: FEES VISTA NORTHWEST INC PO BOX 91459 Description Date Amount PORTLAND, OR 97291 (SWUSAJ WI-Connect 10/15/03 $2,400 00 [SWUSA]Swr Connect 10/15/03 $0 00 Phone: 503-531-0505 (SWINSP]Swr Inspect 10/15/03 $35 00 [SWINSP]Swr Inspect 10/15/03 $0 00 • Contractor: Total $2,435.00 Phone Reg # Required inspections a rx t— a� 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 quare itee 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" Perrn Issued by: 77Permitter Signature ' ./�.. Call(503 d39-4175 by 7:00 P.M. for an Inspection needed the next huslness day . -�0'r1 /0-9 ns 14W" swR a.00- - ou 338 Building Permit ApplicationI t►I2 t►1 1 It 1 I 1 1\1 1 Received Building Date/By: q 1; 03 Permit No•I 7 _'• -CO C. City Of TigardA �:M, • Planning Approval Other Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: 8/ 1V'+; Permit No.: Post-Review land Use Phone: 503-639-4171 Fax: 503-598-1960 t 'I Internet: www.ci.tigard.or.us t� 'IL- --� Date/By: Case No.Contact Juni ®See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method _ -_Supplemental Information TYPE OF WORK_ RLQUIEED DATA: Zre;construction _,–im Demolition 1&2 FAMI!V DWELLING ,_Addition/alteration/replacement _Other: CATEGORY OF CONSTRUCTION Note Permit feu'are based on the torr I value of the work performed. Indicate 2-Family dwelling Other: cial/Industrial the value(rounded to the nearest dollar) )f all eouipment,materials,labor, .iCoverhead and profit for the work indicate I on this application Accessory Building rMulti-Family Master Builder _Other: Valuation S SDI,70i JOB SITE t ORMATION and LOCATION No.of bedrooms: ___ No.of baths•_ y Job site address: l - -- . . ,... Total number of floors L New dwelling area(sq.R.) ZDS4– Suite#: Bldg./Apt.#: Garage/carport area(sq.ft.) JI 24'—_ Project Name: Covered porch area(p.R.) /v U Cross street/Directions to job site: Deck area(sq fl.) — Other structure area(sq.R.) DD _.r COhIMER., At-USE CKL15 �iCl_�r/.t: c jr,/,re:�— 6 -. Subdrvtslon Lot#: —� -- - .. __..-- ----- Taj map/parcel #: Note Permit fees*are based on the mud value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded a the nearest dollar)of 1 equipment,materials,labor. __ _.-._--- _ _- --. — - ---� overhead and profit for the w indicat on this application ~ Valuation S__ - -- Existing building area(sq. . .. New building area(sq.R. Number of stories ________ J-OPERTX OWNER • TENANT .... --- Type of construction Occupancy group(s): Existing: Name: L�1j.,,,,-,0:__44_--A-7-."4- r.,:3.4 ',fief- -- Now: Address: l ' 2/0t5-7 __ _ city/state/Zip: pr—�,, 77z}/ Phone' r -�,�' Fax: NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under APPLIC ❑ CONTACT'PERSCTIV It provisions of ORS 701 and may be required to be licensed in the Business Name: 4,445 _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: — City/State/Zip: -- — Phone: Fax: E-mail: " i• .7'^ ., a Business NamC: Fees due upon application f__ Address: City/State/Zip: Amount received (— Phone: I Fax: Date received CCB Lic. #: �'" - — -- - Authorized Notice: This permit applleaAlln aspires If a permit h mmol obtained within Signature: Date: 100 days after It has been accepted es complete. (cy-�' .4.V /Jnilrl •Pee methodology set by 1-ri-Css.ty Building Industry Service Board. (Please print risme) I\tsstt\Permit Forms\RldgPennilApp.doc Jlro3 • One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: City" Tigard Cit of Ti' : rd AssociatedIxrml's City U Electrical U Plumbing U Mechanical Address: 13125 SW Ifall Blvd,Tigard,OR 97223 UOther: Phone: (503) 619 71 Fax: (503) 598-19' t 111E FOLLOWING ITEMS ARS' RI'QI 1111 1) 1 OR 1'1 e\ Itl \ II N les No \I1 '. Land use actions completed. Sec jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar ha Ince points,seismic soils designation,historic district,etc. 3 Verification of approved pia ot. 4 Fire district_ appr al required. 5 Septic system permit or auth in ation for remodel. Existing system capacity _ 6 Sewer permit. 7 Water district approval. _ _ 8 Soils report. Must carry origi al applicable stamp and signature on file or with application 9 Erosion control U plan U •rmit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legibl• plans.Must he drawn to scale,showing conformance to applicable local and stats. building codes. Lateral design etails and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans wit cross references between plan location and details. Plan review cannot be completed if copyright violations exist. __f I I Site/plot plan drawn to scale. r plan must show lot and building setback dimensions;property corner elevations(if there is more than a 4.ft.elevatio , differential,plan must show contour lines at 2-fl.intervals);location of easements and driveway;footprint of structure(i,eluding decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage arra;pe ntage of coverage;impervious area;existing structures on site;and surface drainage_ 12 Foundation plan.Show dimcns ins,anchor bolts,any hold-downs and reinforcing pads,connection details,vett size and location. 13 Floor plans.Show all dimension ,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbin fixtures,balconies and decks 30 inches above grade,etc. 14 (Voss section(s)and details.Sho all framing-member sizes and spacing such as floor beams,headers,joists,Fuh-floor, wall construction.roof construction More than one cross section may he required to clearly portray constriction.Shoo details of all wall and roof sheathin' roofing,roof slope,ceiling height,siding material,footings and fou , ,. airs, fireplace construction, thermal insul tion,etc. 15 Elevation views.Provide elevations or new construction;mini is . ations for additions and remodels. Exterior elevations must reflect the a,tual grade if . .c in grade is greater than four foot at building envelope. Full-size sheet addendums showin f( i e evations with cross references are acceptable. 16 Wall bracing(prescriptive or lateral analysis plans.Must indicate details and locations;for non•prescriptive path . 'sic rovide. ciflcations and calculations to enfineering standards. 17 Floor/roof f .Provide plans for I foors/ro of assemblies,indicating member sizing.spacing,and hearing Iocah ow attic ventilation. _ 18 Basement and retaining walls. Provide c oss sections and details showing placement of rehar. For engineered �^ systems see item 22."Engineer's calculate Ins." 19 Beam calculations. Provide two sets of cal. lations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist ca ng a non-uniform load. 20 Manufactured floor/roof trims design detal . 21 Energy('ode compliance.Identify the presc alive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or pro 'ded,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown t' be applicable to the project under revi . II ItlSl)l( I ION 11.tiro-:(II It S 23 Five(5)site plans are required for Item 11 above. •ite plans must he 8.1/2"x I I"or II" 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 plana 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 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must he completed before plan review start date. Miner changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614(MIw'oM) I Electrical Permit Application 1 f►1(OI 1 lC 1 1 U f),I 1' - Received Electrical Date/By: Permit No_ CieJ of Tg i and Planning Approval Sign A` Date/By Pernv No 13125 SW Ilall Blvd. Plan Review Dthet Tigard,Oregon 97223 Date/By: Permit No. - Phone: 503-639-4171 Fax: 503-598-1960 Pnct-Review land Use `• Date/By:ontact - ('ase No Internet: www.ct.tigard.or.us xa 41' !7attact Luria ® See lige 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. TYPE OF WORK _ ''', `'. ; ,t!�. l' �� 1. i. that'_' .led E■.New construction Demolition ■ Service over 225 amps- • Ilealth-care facility I. Addition/alteration/replacement Other: commercial ov 0 Hazardous over 0on ❑Service ova 320 snips-rating of ❑Building 10,000 square feet, .,,TEGORY OF F CONSTRUCTION I&2 family dwellings four or more residential units in 'CI- & 2-Famil dwelling Commercial/Industrial 0 System over 600 volts nominal one structure 0 Building over three stories 0 Feeder:.400 amps or more '■ Accesso Building Multi-Family Occupant load over 99 persons Manufactured structures or RV park �■ Master Builder Other: Egress/lighting pins Other. JOBS E INFORMATION and LOCATION Submit sets of pienswith any of the above. The shove are not ap1nlic.:,le to temporary construction service. Job site address: - ' -"Z;61-.6l,/ - FEE! Suite#: _ Bldg./Apt.#: Number of Iorp'xtona per permit allowed Project Name: - Description Qty Foe(ea.) Total T Cross street/Directions to job site: New reddentlat-single or mala family per 1 dwelling sell.Includes attached Raregr. Service Inclsded: 1000 sq.R.or less 145.15 4 Each additional 500 N.fl.Of portion thereof 33.40 1 .% Lot#: Limited energy,residential 75.00 2 Subdivisio - -r _. Limited energy,iron rasidemial- - 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling . DESCRIPTION.OF WORK service and/or feeder 90.90 2 - —" - Services or feeders-installation, alteretlon or relocation: - 200 amps or less 110.30 2 201 amps so 400 amps 10615 2 401 amps to 600 amps - 160.60 2 Allinirifi VV j ❑TENANT _ __ :: 601 amp to 1000 amp 240.60 2 Over 1000 amps or volts 434.63 2 Name:;j,jf-/t/ ., I -- Reconnect only 66.05 2 Address: /y,/i / Temporary services or feeders-installation, Q alteration,or recation: City/State/Zip: 972 1 -maylo200 amps a lea 66.05 -- 1 Phone:5- -r�� ,S— ] Fax: 201 amp a;00 amps _ 100.30 2 —.... 401 to 600 a133.75 2 ' -[,�X"ONTALT 'IEt'0i! '- amps circuits-new,alteration.or Name: exteod.n per peel: Address: — A.Fee for branch circuits with purchase of _-_- service 0,feeder feed ach branch circuit 6.65 2 City/State/Zip: B.Fee rot branch circuits without purchase of service or feederfee that branch circuit 46.15 2 Phone: Fax: Eirh additbrrl branch circuit 6.63 2 E-mail' Ih..c.(Service or feeder not included). a ro , s ,r d Each ptanp or irription circk -- 33.40 2 '.. '. - Each s or outline lighting - 33.40 _ 2 i- Job No: _� 6". Signal circuit(,)or a limited energy panel, fn alteration,or extension Pyx 2 2 Business Name: ,v,.1,5 AFtG , Description Address: 7-_,. S f f? ./14. Clt /$t9tC/Zl r: D p Lath additional!sweeties over the allowable ton of the above: m Y 1 h 1e_7? /712 3 i jar hour(mid.I hour) — t7 Phone:tsJ _'s.-� Fax: _ fie: Mil CCB Lic.#: �� Lic. #: op 45j other: ice` Supervising electricia , �. .... Subtotal $ signature aired: • _ Plan Review(25%of Permit Fad S Print Name let- - ti Lic. #:1,23 Z3 47. State Surcharge(8%of Permit Peel_ $ _ TOTAL PERMIT!'Et f Authorized 'i Notice: This Is teat permit application*spires If a permit at obtained within Signature: -/i(// _—, �e�� 110 days ager It has been accepted as v ample,.. •Fre methodeloo set by Tri-('sooty Building Industry tervir.Board. (Please print name) i 1Dsts\Permit Fairs\EkPermitApp doe 01/03 Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: _ Fee for tl!systems $75.00 Cheek Type of Work Involved: ElAudio and Stereo S terns* Burglar Alarm c iaragc I hxtt Opener El Ileatmg,Ventilation• All Conditioning System* 7– E1Vacuum Systema* Other —— -- — — COMMERCIAL WORK ONL Fee for tad system S/7 (SE!'OAR 915-260-260) ('heck Type of Work Involved: 0 Audio and Stereo Systems 0 Roller Controls nClock Systems 0 Data Telecommunication Installation 0 Fire Alarm Inatallation IIVA( ElInstrumentation EiIntercom and Paging Sys 0 landscape Irrigation 'ontrol* 0 Medical nNurse('ails Outdoor I dscape lighting* Protecti Signaling a of Number of Systems * No licenses are required. Licenses are required for all other installations i\INtr\Permit Forms\FkPemetAppPg2 doe 01/01 isuilciing r fixtures I (m 11"'" I.u ' n' `)" Plumbing Permit Application Received Plumbing Date/Hy: Permit No.: City of Tigard a y.g Approval _ ;t No. 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Da : • : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review lend Use , 1 Date/B : Case No.: Internet: www.ci.tigard.or.us .P4 •i�' Contact Juni.: See Page 2 for 24-hour Inspection Request: 503-639-4175 J Name/Method: - Supplemental Information. TYPE OF WORKcial FEE*SCHEDULE(for speorMitt),.. - C_ 1ty. ew construction Demolition Description t . Fee(ea.) Total"- • Addition/alteration/re lacement Other: New 1-&2-family dweelllq�il • CATEGORY OF r s ,, ,. :R • (Indad�100 R.fora ntl eoKIactiIJh._ . ,_ 1 &2-Family dwell in MN Commercial/lndustrial - SFR(I)bath _ __ 249.20 .011 SFR(2)bath 350.00 •Accessory Building__ PI Multi-FamilySFR(3)bath 399.00 • Master Builder 1111 Other: Each additional bath/kitchen 45.00 ITE INFORMA ,.- Fire sprinkler•sq Il P e 2 Job site address: .2 11?//4/45, c.2": � s' Suite#: Bldg./Art.#: Catch basin/area drain 16.60 - Project Name: _ DrywelUleach line/trench drain 16.E Footing drain(no.linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no linear ft.) Page 2 SubdivisiofeeZ� Lot#: Storm sewer(no.liner R.) , _ Page 2 Tax ma 'parcel #: Water service no.liner R. P 2 ,?` DES (MON OF WORK �__.--_----_-.--�- _--'. Absorption valve 16.60 _ Backflow preventer - Page 2 4 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 P''" .r•' , 't.1aTi• aumunfe 1 _ _-- Ejectors/sump 16.60 liE=PIr , 4 Expansion tank 16.60 Address: ,, MY Fixture/sewer cap 16.60 Cit /State/Zit: 40 • - Floor drain/floor sink/hub _ 16.60 Garbage disposal 16.60 Phone' X. 1. ax: Hose bib 16.60 li' 'r.' r ''It r` Ice maker 16.60 Name: Interceptor/grease trap 16.60 Address: Medical ps-value: S Page 2 City/State/Zip: Primer 0..--• 16.60 Roof drain(commercial) 16.60 Phone: I Fax: -_ Sink/basin/lavatory 16.60 E-mail: Tub/shower/shower pan 16.60 CONTRACT _ ;`'� Urinal 16.60 • Business Name: -� �Af/ • Water closet 16.60 i Water heater 16.60 Address: _ other: city/State/Zip: Other: L53�_ Phone Fax: LCCB Lic. # 2 Plumb. Lic.a� Subtotal _ $ z '�5�� Minimum Permit Fee 572.30 S I Authorized Residential Backflow Minimum Fee$36.25 Signature: __ Date Plan Review(25%of Permit Fee) S State Surcharge(8%of Permit Fee) S (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within All new commercial b.Ndlep require 2 sets of plans with Isomeric or IRO days after It has been accepted as complete. riser diagram for plea review. 'Fee methodology set by tri-(nunti RnIIdine Indn,try Service Bard. i\I)sts\Permit Fru ns\PlmPennitApp doe 01/01 • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: tllities ,(?'. F`" . ,,,. Square Footsie: Permit Fee: looting drain II 100' -.. 55.00 0 to 2 )00 S115.00 -- Footing drain- • h additional 100' 46.40 2,001 to 3,600 $160.00 - 3,601 to 7,200 S220.00 Sewer- 1st 100' 55.00 7,201 and greater S309.00 _ Sewer-each addni,nal 100' 46.40 Water Service- 1st t t' 55.00 Medical Gas Systems: Water Service each ,ditional 100' 46 40Veluatlop: Permit Fee: Storm&Rain Drain- t 100' 55.00 SI.00 to$5,000 00 Minimum fee S72.50 Storm& Rain Drain-ea i additional I0 o' 46.40 S5,001 00 to S10,000.00 S72 50 for the first$5,000 00 and S1.52 for each additional$100 00 or fraction thereof,to and Flxtuieor Qty. including S10,000.00. Commercial Hack Flow Pre noon I)vice 46.40 S10,001 00 to$25,000 00 5148.50 for the first 510,000.00 and S1.54 foe Residential Rackflow Prevent Device each additional$100.00 or fraction thereof,to 1mimmumpermit fee 536.25) 27.55and includin $25000.00 Rain Drain,single family dwellin 65.25 S25,001.00 to 550,000.00 5379 5' or the first 525,000.00 and SI.45 for Inspection of existing plumbing or eac dditional 5100.00 or fraction thereof,to specially requested inspections-per ur 72.50 includin $50 000.00_ 550,001 00 and up 12.00 for the first 550,000.00 and S I.20 for Sub ,1al: each additional S100.00 a fraction thereof. Fixture Work: Are you capping,moving or replacing e3.1. ng fixtures? If "yes",please indicate work performed by fi ure. Failure to accurately report fixtures could result in finer sewer fees*. I mann b i .'omments regarding fixture work: I su. NeM , Ba.tit /Font Hath -Tub/Shower —� -Jacuzzi/Whirlpool Car Wash Wash -Each Stall -Drive Thru Cua.idor/Water Aspirator Dishwasher -'ommercial -Domestic Drinkin• Fountain E e Wash Floor Drain/sink -2" - 3" 1" Car Wuh Drain 'Note: If the ure work under this permit results in an Garbage -Domestic Disposal commercial increase of sewer , a,a sewer permit will be Issued and -Industrial fees assessed for the sew create must be paid before the Ice Mach./Refrig.Drains - plumbing permit ran bv issued. Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower -Gang -Stall _ Sink -Rat/lavatory -Bradley -'nrrmterrial -Service Swinmtinj Pool Filter ` - Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixtures. i\D)ata\Permit Forms\PlmPermitAppPg2 doe 01/01 Mechanical Permit .Application1 I11t I►1 1 It 1 1 `,1 11\1 1 Received Mechanical D.witly: Permit No.: Planning Approval Building City of Tigard Date/By Permit No: ____ 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 DswBY:_ Permit No.: __ _ Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use i Date/By. Cue No.: �,, Internet: www.ci.tigard.or.us •� ®Contact Jung: See wage 2 fir 24-hour Inspection Request: 503-639-4175 • 1 Name/Method: _ , Supplemental Information. _ TYPE OF WORK COMMERCIAL FEE`SCHEDULE 0 �i�'f ew construction Demolition Mechanical permit fees•arc based on the total value of the work Addition/alteration/replacement Other: perfoi ed Indicate the value(rounded to the nearest dollar)of all —Asomechanical materials,equipment,labor,overhead an I. ofit. CATEGORY OF CONSTRUCTION 113 & 2-Family dwelling ('ommercial/Industrial Vrlue: S____ _________ ____ See Page 2 for Fee Schedule • Accessory Building ta■ Multi-Family __ _~ RESIDEN'I'(AL EtrIPMENTB ITo lescription Fee(ea.) Thal • Master Builder Other: _-- iiI MINIM 4,l t , Meld LOCATION Furnace-add-on air conditioning'• 14.00 Job site address: - 72. /1/�.,6,1- .4� Gas heat pump 14.00 Suite#: Bldg./Apt.#: Duct work 14.00 Project Name: Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters(fuel,not electric) (in wall,in-duct,su ed etc.) 14.00 Flue/vent(for any of ve) 10.00 Subdivisio f fig.)' ,Vj ' Lot#:6 ,,Repair units _ 12.15 Other lre) Imes Tax map/parcel#: Water heater 10.00 --— ——DESCRIPTION OF WOW Ou fireplace 10.00 Flue vent water heater/. ti lace 10.00 Log lighter WV 10.00 , Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 1l• EChimney/liner/flue/vent 10.00 ____ at 1 fl LL `Other: 10.00 Name: O SlX .27Asia lA/f' t Esban &v -.._ Range hood/other kitchen equipment 10.00 Address: /'�� ) / Clothes dryer exhaust 10.00 - City/State/Zip: 1Z�1 Single duct exhaust Phone: -c:-,6- _.,.5` Fax: (bathrooms,toilet comp.rtments, __ utility rooms) 6.80 Name: Attic/crawl)ace fans _ 10.00 Address: _-- --- Other: 10.00 City/State/Zip; ••tss.N for first 4,51.00 each a Furnace etc •• Phone: Fax: �Gas heat heat pump •• _ E-mail: Wall/suspended/unit heater •• ` •1 Water heater •• ._.. .t kw-tee . Business Name: / Fireplace •• Address: /7,. ,7 v Range Cit /State/ZiBBQ •• Y P�1 1�iJ _ �' 7Z G clothes dryer Ws) � •• Phone: -3 /7 , Fax: Other: ___._ .. -- CCB Lic. #: / Teal` , Authorized / /, Date",,______ -- l Su. ';..:'_$` Signature: IV - _* __ Minimum Permit Fee 572.50 i Plan Review Fee(25%of?emelt Feet, $ (Please print name) _State Surcharge(8%of Permit Feet_S TOTAL PERMIT PEE $ Notice: This permit appliatM.expires If a permit is not obtained within "Tee oatbi uigy sal by TTI-ea.ty BMWs.Industry Unice Board. ISO days after It has bees accepted as complete. "the pMo required for titular AR'snits. i Osts\Permit Forms\MecPermnitApp doe 01/03 Mechanical_Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: 51.00 to$5,000.00 Minimum fee$72 50 $5,001.00 to$10,000.00 $72 50 for the first 55,000 00 and SI 52 for each additional 5100 00 or fraction thereof,to and mcludm$510,0(X).00. $10,001.00 to$25,000.00 ' $145.50 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 first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and SI.20 for each additional SI 00.00 or t fraction thereof. `— Assumed Valuations Per ' ;,lance: Value Total fkscnption: it (E:a) Amount_ Furnace to 100,000 BTU,including 955 ducts&vent Furnace>100,000 BTU including ducts 1,170 &vent Floor furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 5 Repair unit <3 hp;absorb.unit, 95 to 100k BTU 3-15 hp;absorb.unit, 1,700 101 k to 500k BTU 15-30 hp;absorb.unit,501k to I mil 2,310 BTU 30-50 hp,absorb unit, 3, I-1.73 mil.BTU >5011p;absorb.unit, ,723 >1.73 mil.BTU Air handling unit to 10,000 cfln -_ 636 _ Air handling unit>10,000 cfln 1170 Non-portable evaporate cooler 636 Vent fan connected to a single duct 446 Vent system not included in appliance 636 hermit Hood served by mechanical eaha 636 Domestic incinerator 1,170 al or industrial inti for - 4,590 Other unit,including wood yes. 656 inserts,etc. (las piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL S VALUATION: i\Pets\Pemtit Forms\MecPermitAppPg2 dor 01/(11 oi II / 4 H .44011.-41-190. - II6 - oliale-P/5/)/e6 PPZIES% -- ?12z'1�.5L) � 1 R /9- LA/ .6 .2 73 SO it • . . . . . , .. , ,.,,,„, . , ,•., I , ) ,,,, , . . c-7er 1 .7, ••---•-• , .. .,r. .larati.,.,. ;so-. ' -4-*Ole.sa. _,4.fi , ,,,litqA 0 e, ,i,, - '4, iv 54014/ 1 . i,..,,✓I •• l..! ,owto D Pt' , ,. . rya _ 11M` - --.... .... . ,0 'DR Its (40)------- ,t 114 ` i7Q.�(t��j , I N (4,-4 I - rs) I ,,,,,..6.L -----t, (n/sp,) 6.-.-) ..... Ikeintriewit*--pki----r-- 1 1 LAii ig9 diel) I rim-----r---t-- - - 1 1 i Oti. (i0 mr-----_,--e- 7-/cdrA•c,E )___L ---____________--- 464;4/. ...............„..,.........;/- /47 V) ✓L . - NkJ .9--nC S3 /— a5—os— CITY()F TIGARD- SITEPLAN REVIEW BUILDING PERMIT NO.: - PLANNING DIVISION: Required Seth ks: TX Approved 0 Not Apurmed Side: Street Side: I� Frunl. A'`) Garage: .� Rear: /5— Clearance: 5Clearance: al Approved 0 Not Approved Maximum Building Height- ..J. feel CWS Service Provider Letter Required: ❑ Yes al No ❑ Received/� Date: OA/ ENGINCERINC M PAR WENT: Actual Slops: 't.3 % arAppro ed 0 Not Approved Site Plan: GApprweil Not Approved By: /f #1• 1/ Doc: ,0 Nuts. Oct 30 2003 11 t 31 AM OeoPaciric Engineering, 1 503-5'SH-W/US p. 1 00 fill unar rano IDr. Real-World Osotachnlcai Solutions Investigation•Design•Construction Support October 30, 2003 RECEIVED Project No. 02-8072 Vista Northwest NOV 3 ?(w4 P.O. Box 91459 Portland, OR 97291 CITY OF TIGARC (Fax 503-64C-2714) BUILDING Div' h• Subject: GEOTECHNICAL ENGINEER'S FOUNDATION EXCAVA PION REVIEW GREENBUUU0 POWs LOTS 2,6,7,8, AND 9 CITY OF'DURO,OREGON GeoPnclfic Engineer, Jim Imbrie, has visited the above-referenced lot on October 24"and 301'. The purpose of our visit was primarily to review the foundation excavation subgracle. The native subgrade soils consist of medium stiff silt that is prone to softening In wet weather. We recommended overexcevatlon beneath footings and placement of 4 to 6 Inches of oompacted crushed rock to prevent softening In wet weather. The thin layer of gravel need not be tested for compaction,but should be visbty comped. The current subgrade is oansidered adequate for spread foundation support. Based on our observations, the foundation subgrade and excavation setbacks should be acceptable for support of the proposed single-family home to a maximum allowable bearing pressure of 1,500 psi. No patio, sidewalk or deck footing subgrades we observed. The minimum steel reinforcement should be Incorporated(two no. 4 bars In the footing and one in the stem wall.) If foundation oreckkp is desired to be Inhibited. Our work scope for this phase of geotechnical review pertains to foundation bearing conditions only and is limited to the conditions existing an-.1 exposed at the time of our sits visits. If you have any further questions, please call. Sincerely, GEOPACIRC ENOINEERslO,INC. 40.0 17 2. 0 7;4745 .' 46 0 -71 r 4 James D. Imbrte, P.E. OREGON Principal Engineer ;2: 13 01 e75 o. 7312 SW Darlene Read Th(!tl)M4441 Portland.Oregon (7224 Pas( 8l11417115 Ibl'♦AAAAAAAAA••••AA•AAAAAAAAAAA•••••AAAAAAAAAAAAAAAAAAA•AAAAAA rA . ► . ► 1 CERTIFICATIONT ET TREE S RE A I, l — l�i z_5,- 1..5. 7 agent for 1/i ss-h- ,</i., ► A (PLEASE PRINT) / N (PERMIT HOLDER) / \ p ► A \ e``�e A ��G . 10 ► A Do hereb . 11 . , .f l ,wing location ��r,�`oM ► A meets . Of ' • on . ounty G u ► A I land use and development standards for street tree installation. ► A A 11 A ADDRESS: 7,7-e ,,. ./ifZ 'a 1' /_ ► A A ► 1 LOT: 6 SUBDIVISION: ► BY: DATE: �s�� 1 0 ,-� r g L/f ► cf ► 1 RECE . .Y: _:!;. .,it Lk d-ti 4 DATE: ► A/TVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV•VVVVVVV•VVVVVV\ CITY OF TIGARD 24-Hour BUILDING I! lip Inspection Line: (503)63 175 MST — �- •INSPECTION DIVISION Business Line: (503)6 171 BUP --- Received DaterRequested 8 . J 6 PM — BUP Location /P.) N 4 Cf-Z A Suite MEC Contact Person __ —. Ph ) PIM --Contractor .. - ( -) SWR - - BUILDING Tenant/Owner _ ELC _ Footing ELC FoundationAccess: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear USA :-DC,s j t FJA1_ Framing USA L_IC (moi r Insulation C-r-mr1rrT c r Drywall Nailing Firewall ---- -------- ---------- 5U(.-/4 mi-c"1,_ 7 ler-- Fire Sprinkler Fire Alarm R Por r u 5•lZ.04/ cc S l P�1CGf/ L-�C' ' Q61 Susp'd C fling Root Negigj) e-IPPA — c .• PART FAIL PLUMBING -- Post&Beam hirr- ,[ Iic Ate/ /41i'� - 'TZL� 1Fo/e 1 Under Slab —• �., id RougWater Se . L, RODOP� (-4A SS t F pt ��•i\i Water Service i►�� Sanitary Sewer - r/. + L r Rain Drains - Catch Basin/Manhole 7.. 00 _ •• 1 A.-_r1,.'` _- Storm Drain c/ Shower Pan .. ____1412.104-71: � S •/� ' 0 V Other: Final __ PASS PART FAIL MECHANICAL 41111 ------ Post& Beam ariff• �� Rough-In ,as Line • : Dampers • ~, PART FAIL ------ TRICAL ------------ Service Rough-In .4 _ UG/Slab Low Voltage — - Fire Alarm Final Ell Reinspection fee of$ required Wore nest inspection. Pay at City Hall, 13125 SW Hall Blvd. PARS PART FAIL S [1] Pieties call for reinspection RE:__ r acmes Unable to inspect-no acse Fire Supply Line 0/ ADA - Approach/Sidewalk ate 8 .19 - (2Iws'oeto. _. tin-.—_ Other. Final DO NOT REMOVE this I..p•otlon eco . f thw lob .it.. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING • Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _— Received ___ ___ _____ _. __ Date R:•uested_L74 AM __ PM _ BUP I ocation _ T-_ 1_ A S . I Suite MEC Contact Person .- __ Ph( _) O — PLM Contractor Ph( ) SWR BUILDING 1 Tenant/Owner _—___-- ELC __— Footing -1I Foundation Access: ELC Ftg Drain Y�r ELR Crawl Drain l� 7 V Slab Inspection Notes: SIT Post&Beam Mgr Shear Anchors - -- Extt Sheath/Shear int Sheath/Shear Framing _ -------- -- Insulation Qrak/' Drywall Nailing Q -- — _---- 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 -_Shower Pan Other. Final PASS PART FAIL - JMECHANICAL Post& Beam ----- --- -- -- -- ----- - Rough-In _ Gas Line Smoke Dampers -.. Final PASS PART FAIL HELECTRICAL Service Rough-In UG/Slab Low Voltage Fi = •larm efrlip r i Reinspection fee of$ required before next inspection Pay at City Halt, 13125 SW Hell Blvd. P � PART _FAIL 1 I I Please call for reinspection RE: D Unable to inspect-- no•oe m Fire Supply Line ADA '9!— --odv ,�) Approach/Sidewalk pate--- -- Impostor -- L-6 ---EXt. Other: Final DO NOT REMOVE this Insp.atlon record from th•fob sits. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING 41111 Inspection Line: .9-4175 , MST d 423-°o 43-13 INSPECTION DIVISION Business Lino: i • .39-4171 _ BUP Received Date Requested_ _ /0 AM._ PM _ BUP Location __ ! 7 a 0 i'• a,� La-Z_ _Suite— MEC Contact Person l/� X Ph ( _) /.3 0 3 q PLM ---- - Contractor _ Ph ( _ ) _ SWR _ BUILDING Tenant/Owner - ELC Footing - J Foundation ELC Ftg Drain Access: a ZQ O`f ' 45 0-' (42 Y ELR -.----_----- Crawl Drain N Slab Inspection Notes: SIT __- Post A Beam Shear Anchors ---- - Ext Sheath/Shear Int Sheath/Shear ^ ,� _ t . ._.Framing -, Drywall Nailing �__ �c1cJr ..- _ Firewall — .V A<mnl _ k jk L-1Fire Sprinkler Fire Alarm SC4-;12"•A •ILDC1 -L (�Susp'd Ceiling Roof fk Other - Final ._ PASS RT FAIL tCUMBI _- - - -- — — — Post&Beam Under Slab - Rough-In Water Service - -- - Sanitary Sewer Rain Drains ----- - CStormatch Basin/Manhole r in / - Shower a Other PART FAIL HANICAL Post A Beam Rough-In Gas Line Smoke Dampers -- --- --- Final PASS PART FAIL - _-__- - ---- - -- — ELECTRICAL -- Service - ------. - ---- - Rough-In 110/Slab Low Voltage --- - — Fire Alarm Final CJ Reinspection fee of$ - required before next inspection. Pay at City Het, 13125 SW Hall Blvd PASS PART FAIL SITE L 1 Please call for reinspection RE'_ __ C7 Unable to inspect--no access Fore Supply Line ADA /// /�(O/4 ,/1 7 Approach/Sidewalk atm or Id ----- Other final DO NOT REMOVE this inspection resod from the job site. PASS PART FAIL