Permit
CITY OF TIGARD MASTER PERMIT
PERMIT MST2006-10050
COMMUNITY DEVELOPMENT DATE ISSUED: 1/10/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133CA-02900
SITE ADDRESS: 13799 SW ANNA CT ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 008 JURISDICTION: TIG
Project Description: New SFA
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 691 at BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 877 at GARAGE: 241 sf FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: of RIGHT: 5
VALUE: 151,254.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,568 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: loo BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 3
MECHANICAL
FUEL TYPES FURN < 10OK: 1 BOIUCMP ~ 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN -100K: UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 1 0 - 200 amp: W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 1 201 - 400 amp: 201 400 amp: let W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC/FDR: 601 • 1000 amp: 601+amps-1000v: MINOR LABEL:
1000+ amp/volt : PLAN REVIEW SECTION
Reconnect only:
-4 RES UNITS: SVC/FDR>=225 A: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
JOE BAUSCHELT INTEX CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
4325 SW PRIMROSE ST 7235 SW BONITA DR permit will expire if work is not started within 180 days of issuance, or
PORTLAND, OR 97219 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010
through 952-001-0080. You may obtain copies of these rules or direct
Phone: 503-860-6001 Contact PRI 503-452-3780 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503-452-4325
TOTAL FEES: $ 9,118.98 Reg LIC 97543
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681-4444
r
Issued By : Permittee Signature
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
n CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT PERMIT SWR2006-00047
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1110/2007
PARCEL: 1 S 133CA-02900
SITE ADDRESS: 13799 SW ANNA CT ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 008 JURISDICTION: TIG
Project Description: New SFA sewer connection.
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
JOE BAUSCHELT
4325 SW PRIMROSE ST Description Date Amount
PORTLAND, OR 97219
[SWUSA] Sewer Connection Fee 1/10/2007 $2,600.00
[SWINSP] Sewer Inspection Fee 1/10/2007 $35.00
Phone: 503-860-6001 Total $2,635.00
Contractor:
REQUIRED ITEMS AND REPORTS
Contact
Reg
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" Permit and the Agency will install a lateral. ATTENTION: Oregon
law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through
OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1
Issued by: Permittee Signature:
~~T ZL~/~i1~1
Call 503.639.4175 by 7:00 a.m. for an inspection that busine , day.
This permit card shall be kept in a conspicuous place on the job site until o `pletion of the project.
Approved plans are required on the job site at the time of ea ' spection.
r
r Building Permit Apphicstion
City of Tigard oa;~ise~ -(J u Permit No.
W
13125 SW liall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
®See Attached Checklist for
Inspection Line: 503.639.4175 Date Read B . Juris
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
ES 1- and 2-family dwelling F-1 Commereiallindustrial
z
Accessory building ❑MuIti-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 2_1
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 13719 Awm New dwelling area: 1 fit:; square feet
City/State/ZIP: I ( f) o U ) f Z2 t . Garage/carport area: y square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: ' square feet /V "V I"f Other structure area: - - square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
'v r„ L4` t ('/✓~'~'•t t. % v ' f / t' t: ~ ~ r) . f j"' ~lr :
Existing building area: square feet
/r4[ LY (r!}1i' f }L S'A ~"2 New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: 44 Occupancy groups:
Existing:
City/State/ZIP:
Phone: C~ l Fax: c 5 New:
( APPLICANT CONTACT PERSON NOTICE
Business name: 4 ; C 2ti "a" i C f I C IN l t • e All contractors and subcontractors are required to be
Contact name:; L,_'L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7Z 3_5JAL' Ai`t, TI') jurisdiction in which work is being performed. If the
Cit /State/ZIP: j 1. applicant is exempt from licensing, the following reasons
y ! IC(
apply:
Phone: (i;t~ ~)C! C `~s.' Fax::
E-mail: 7
i
-r.W1 t
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: 7 Z35 j 61' Please refer to fee schedule
City/State/ZIP: i If, li'k y;i
Fees due upon application
Phone: (i '2 - z', t Fax: (~jd) y Amount received
CCB lie.: -t ti 7 3..
Date received: ~nj
Authorized signature: This permit application expires if a permit is not obtained
= within 180 days after it has been accepted as complete.
* Date: Fee methodology set by Tri-County Building Industry
Print name: C ! d ; Service Board.
i :\Building\Permits\BUP-PermitApp. doe 12/03 4404613T(I 1/02/COM/WEB)
Me' ehanical Permit Application o
Permit No.:
City of Tigard Date Bed
Y
13125 SWt Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
Inspection Line: 503.639.4175
A Date Ready/By: lu s: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE: OF WORK COMMERCIAL FEE- SCHEDULE - )SE10JECKLIST
[S New construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value ofthe work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION. Value: $
RESIDENTIALIEQUIPMENT / SYSTEMS: FEES*
1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
40 . B-SITE INFORMATION AND LOCATION Heating/cooling
t ` Air conditioning or heat pump
Job site address: 133'91 Amum G. (requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 j y . t7'
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: - Project name: Gas heat um 14.00
Cross street/directions to job site: .~bLi Duct work 14.00
11 H dronic hot waters stem 14.00
('Will" A-A;+1,`' U r Residential boiler (radiator or
h dronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any above 10.00
Subdivision: A-6lZic" L Ir4100,1) Lotno.:
Other: 10:00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 i
Gas fireplace I 10.00 r 0 u
"C 1V ` a i. C t'l o ti • I w o, ` Z 2 L Flue vent for water heater or gas
i fireplace 10.00
Lo li ter as10.00
1 V i • S f i`1( Wood/ pellet stove 10.00
Wood fire lace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER ❑':TENANT Other: 10.00
Environmental exhaust and ventilation
Name: J ~ ~ Pi Range hood other kitchen
{ C ?
Address: ' j L W (k, i l1") C.c?5 I rf:~Z( equipment
City/State/ZIP: rL) 97219 Clothes dryer exhaust i G 0 U
Single-duct exhaust (bathrooms,
k6.80
Phone: (j> j)~)- (✓t j Fax: (`j(>3) - i { 3 toilet compartments, utility rooms) APPLICANT CONTACT PER
SON
Attic/crawls ace fans Other: Business name: 1 )57&, C,(\! __L-
Fuel piping
Contact name: K ; $5.40 for first four; $1.00 for each additional
I LL r I Furnace, etc. i f) U
Address: '7Z `J V1! )[)fv 1'T T1 tY'~ Gas heat um
City/State/ZIP: n \ J' J&' Wall/suspended/unit heater
Phone: ( ) G' " Fax:: Water heater i
1
Fireplace
E-mail: r-~,,~rytii!(f> or)• 41 Range I
CONTRACTOR Barbecue
n
Business name: Clothes d er as
p- x'77 ' fl' I)D _i /a
Other:
14a MECIIANICAL PERMIT FEES#
Address: D P,,,- 2 S 99L) j AA) 3ci25o ti
City/State/ZIP: ~<< r~ 97~ ' ~j Subtotal
Minimum permit fee ($72.50)
Phone: (J 3) L7 1 7 1 ! Fax: Plan review (25% of permit fee)
CCB lie.: 0C. L-1 c . 41 l "10 0 ~ State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
1- 4 days after it has been accepted as complete.
Print name: Date: 3 I Q ' Fee methodology set by Tri-County Building Industry Service Board
_V, W ~Ccl k),7 V,
i:\Building\Permits\MEC-PermitApp.doc 12/03 440-4617T(II/02/COM/WEB)
ROSS ELECTRIC INC PAGE 01101
_ 03/0812006 15:27 5036425815
Electrical Permit Application
ltccciv~d pormit No.:
City of Tigard Date/ By:
13125 SW Hall Blvd., Tigard, OR 97223 plan Review Other Permit:
ine: t fax: 503.598.1960 pateDate/R :
Phones 503.639
.639.4175 Ready/By: zuris: 0 Seepage 2 for .417 ro net Line: 503 Notified/Method: Supplemental Information
Intte ernet: : tvww.ciaigardgard. orus us
. , Ails ` W. ;
T. PF - Please check an that apply:
New construction ❑ Addition/alteration/replacement ❑$ervice over 225 amps, comm'I ❑Hazardous location
F-1 Demolition E] Other: ❑Service over 320 amps -rating ❑13uildng over 10,000 sq. ft.,
s : n
dwellings more
dant at
F„
of l and 2-family
CONSTR 'ON
one structure
Q.... ova
r 600 volts nom nominal un is
❑5ystem
ere
1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building [:]Building over three stories Feeders, 400 amps or more
M"ter builder El Other: ❑Occupant load over 99 persons ❑ red structures o
plan R Vp rkto
❑ 1vlulti^family ' :1V' ;;Al~tC7 1 OCATIOI
❑~gress/Iightzng
~OI3 SkXE,° IlvkQ)E~1rI~ I<t? e
~.!:,:::::...c•, , . ❑Health-care facility ❑Orh r:
Job no.: Job site address: JA) IV A l~ t Submit 2 sets of plans with arty of the above.
J The above are not applicable to temporary construction service.
City/State/ZIP: ~1 12-0 ~ Z`( .
t., ; : , .:.;,:1C1E1~`: SCX3C1~CJ}v1F)`•i: ;i'::.,:...":....'...
Suite/bldg.lapt, no.: Project name: Description Qt'. Fee, Total
New resideotiai single- Or multi-family dwelling unit.
~~/Z~' 5 7 includes attached garage.
Cross street/directions to job site: So" l~,~i'"j?~..;Ze4i 5 /t~,;o' -
[i LLB 1,000 sq. ft, or less 145.15 4
Ea, add'i 500 sq. ft. or portion / 33.40 1
~ !~to f~ y Lot no.. g residcntial ~ 75.00 2
Subdivision: 5 0 ~j~'-~ Limited energy, Tax map/parcel no,: Limited energy, non-residential 75.00 2
U $C1f .,'I ON .OF 'WORK .
Each ma!tservice and/or f- dcr
dwell in 90.90 2
V , twi It Services or feeders Installation, alteration, and/or relocation
z . „ 200 amps or less 80.30 2
i 1. ' 201 amps to 400 amps 106.85 2
ifjlriy0,1?> 401 amps to 600 amps 160-60 2
601 amps to 1,000 amps 240.60 2
Name: t3g.. i >nSL`t4 t- r
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85
< W 1 /L~/i 2
,5
City/State/ZIP: Ti t,~o Temporary Services or feeders installation, alteration, and/or
relocation
Phone: (~ji L Ca - C(~ 1 Fax: (5& , ) i-i'`? Z' `i 3'L S 200 amps or less 66.85 1
2
Owner installation: This installation is being made on property that 1 own Which is not 201 amps to 400 amps 100.30
133.75 2
intended for sale, lease, rent, or exchange, according to C)RS 447, 449, 670, and 701. 401 attlps to 600 amps
ON : Branch per paud
Owner signature:
• erne tfor branch circuits or ex tension, or feeder fee. eachh t665 2
CON paCT; YEItS ;c.;
se
rv
ice
_ branch circuit
Business name: . j 11JE 5. Fee for branch circuits
Contact name without service or feeder fee, 46.85 2
rU~h each branch circuit
6.65
/ Each add'1 branch circui4
Z~~ 5'r1, 2
Address:
city/State/ZIP: 1 Hi5cellapeous (service or feeder not Included)
"Ti ~ 0- JZz~( Pump or irrigati )n circle 53.40 2
Phonc: (~5c3) 4;(p-'75 oz Fax:: (•`jv j ) Ll ' .3 Sign or outline lighting 53.40 2
1;-mail: iYi l (Zt' bar .F 0;11 . energy panel, VItUatiOD, Or Signal
extension. pcscribe: Paget 2
Business name: ( D 5S (Lk~~~G h C
Each additional inspection over allowable in any of the above
Address: 02 $ 70 S G ?12 2a3 Per inspection 62.50
ry/State/.ZIP: } 1 S~o7~ O Investigation per hour (I hr min) 62.50
Ci T- ~ -7 ~ 73
er hour
tax: (so3) et y 2 'SS rS Industrial plant .75
Phone: (5-03 ) (l t Z 2 `3 00 :..EEC)«A h :)?I 1 F, kS:::°:;;':•; r'
CC)3 Lic.: I S7 g g ( Electrical Lic.: 3 ~f - `7 3 (0 c Suprv- Lic.: 9Z 3,a 5 Subtotal
Plan review (25% of permit fee)
$uprv. Electrician sign at required:grate surcharge (8% of permit fee)
Print name: s f~ kky 0 S Date: TOTAL PERMIT FEE
This permit application explrea if a pormit ie not obtained within 180
Authorized signature: days after it has been accepted as complete
Date: Fee methodology set by Tr1-county lauoding industry service Board
Print name; Number of inspections per permit allowed.
440.4615T(101021COMAV E B
(:1Buitding\Pormits\bILG+'ermitApp.doc 11/03
Q3/16/2006 11:08 503-644-5989 CRAFTWORK PLUMBING PAGE 01
I '
• I ~4
Plumbi~ag Permit Application
Received Pcmut No.:
City of Tigard DatcBy:
13125 SW Hall Blvd.,, Tigard, OR 97223 Plan Revicw other Permh No.:
Phone: 503.639,4171. Fax; 503,598.1960 E%itpMY: 10 24-1-Iour lnspecticn Line.: 503-6139.4175 Date Ready/By: See Page 2 for
intemct: v a~ ci Si€r'..or.',rs Notified/Mcthod: Supplemental Information
~j~:'
❑ Demolition For special information use cbeckllst
MNcW constructior llcsctiption Qty. Fa. Tots
gddfrionatter ron red etr: r ❑ Other; New I. 2-family dwellings (includes 100 ft. for each utility connection:
'6k;'t~l,or''~~i:, ~Ii:I `d;: ~y:~i•:P ~j SFR(1)bath 249.20
sue.. ) bath 350.00
I. and 2-family IiOs 0 Commercial/industrial SFR SFR. ((2) bath I 399.00 - "
❑ Accessory building ❑ Multi-family Each additional bath/ldtchcn i 45.00 C
❑ Master builder ❑ Othcr; Fire sprinkler sq. ft.) Page 2 Own'
Slte utilities
Job site address; tA)A (i Catch basin or area drain 16.60
Drywell, Icach line, or trench drain 16.60
City/9tatc/ZIP: ~ 1 {t N K-6 ( I Pa 2
Footing drain (no, linear ft.:---) Be.
Suitwdg./apt, no.; Project name: Manufactured home utilities 110.00
Cross strceUdircctionsto job site: jl~ rlh~1'LrLC~~ l~("?t:) /Zip Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: 1 Page 2 5 o u
Storm sewer (no. linear ft.: Page 2 S Uc"
Water service (no, linear ft.: Page 2 -rj oo
Subdivision: Lot no.: L Fixturc or Item
Zl~ '~t°C1)
Tax map/parcel no,; Absorption valve. g6
,:,r•fwrT• ; b:7011; r,: [3ackIIow prcventcr I , Backwater valve f ((,I t Al tj."
~Clothes washer
777
1 if c G Sri ~;<< 16.60 I ✓J.4r'
Dishwasher I
rxinking fountain 16.60
16.60
t t Occtors/AUmp ! 1 i✓
Name: t Expansion tank 16.60
/y1 1 - 2 c 1 L 5 Fixturc/sewer cap 16.60
Address: ~
Floor drain/floor sink/hub 16.60
City/Statc/ZIP:
Garbage disposal 1 fi.60 !
Phone: Fax= ( ) ) ' i' Hose bib 16.60 5 j 1 L?
( q " i~~i9'~ Fi~ri}
f. '15 ; S !cc maker 16.60
MN W, 1IM19110NIEW ~LA
Business name: 1a `i. I( j'1 t C i I C" rvInterceptorlgrease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address; Primer 16.60
7 - Roof drain (commercial) 16.60
city/state/zIP: I I (I~ J712"
16.60 ~y~,~
Sink/basin/lavatory Nwi
Phone: 5 ~ t/ Fax:: L j'7 t Tub/shower/shower pan 16.60 t r
16.60
E7.wi i.z ; f (t, C . r1 f. Urinal
~rrulytlyyy r.,i !i ~~Nty o Water closet 16.60 1 .
Business name: 'ry Water heater 16-60
Other:
Address: >fIV St btatal
City/StateMp: (y 14 Minimum permit fcc. 572.50
Phone: (~"Q i G Pax: ) Residential backflow minimum permit fee: $36.25
n~ Plan review (25% of permit fee)
CC13 Lie.; Plumbing Lic, no., Q'A State surcharge (8%ofpermit fee)
Authorized signatuta TOTAL PERMIT FEE
Date: This perwIt application exp ref pmit Is not obtained within
Print name: 180 days after it has been accepted as complete.
*.Fee methodology set by Tri-County Building Industry Service Board.
i~t8vildia:\}nmlti~PLM-~emiNppdoc 12103 4t046f6T(10102/COM1WB6)
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: / 1Y4100-1 TIME: PAGE:
SITE ADDRESS: !':;7911 SW ANNA GI CLASS OF WORK:
SUBDIVISION: (;ABRIEl_ Wt;i(JU" LOT 1T)R TYPE OF USE:
PROJECT NAME: i ~."'31RII-L
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: IN 3 E';(, GC)?,4 I RU(" g ("ti" IN,'-,` PHONE ;
Inspection Request Scheduled For: Date: 'V 007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
I'IE?€.:IrB~:dl dM:3.,a,;. z
Corrections/Comments/ Instructions:
bA0
P[~(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-
CITY OF TIGARD I
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3t"13t` 1~;1/ TIME: k 0- / l';1 PAGE:
SITE ADDRESS: '137 9 wad" ANIN A I CLASS OF WORK:
SUBDIVISION: GABRIEL WOOC> LOT 09'` TYPE OF USE:
PROJECT NAME: CABRIEL WOOUI
DESCRIPTION: "wv SFA
OWNER: 'I= BAUSCHELT, PHONE cal S-d6ah'-="
CONTRACTOR: 1N F EX CONSTRUCTION INC PHONE 50 1-4!Y' 37b,0
Inspection Request Scheduled For: Date: V1312001 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/ Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT MS1-200&10450
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 I Lk
INSPECTION WORKSHEET FOR DATE: 311212007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 13799 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Now SFA
OWNER: JOE BAUSCHF_LT, PHONE 503.860-81101
CONTRACTOR: INTER CONSTRUCTION ING PHONE 503.452-3780
Inspection Request Scheduled For: Date: 311212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 044657-03 503-799-4863 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I&> A
7~4; ~
Date: Phone (503) 718-
Inspector:
CITY OF TIGARD # i
BUILDING DIVISION PERMIT f ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: li'"It:r
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2V f0 t.'!s` TIME: 1:01ko PAGE:
SITE ADDRESS: 13799 SW ANNA ' i CLASS OF WORK:
SUBDIVISION: i"3ABRIEL WOODS LOT OC=d TYPE OF USE:
PROJECT NAME: C;ASRIEL WOODS
DESCRIPTION: SFA
OWNER: ?E BAUSCHELT, PHONE s0~f L3(a0 :
CONTRACTOR: k4 ; EX C0NSTIR UCTI0N INC PHONE 5031*0. 370,0'
Inspection Request Scheduled For: Date: 19/200' Pour Time:
Code # Inspection Description Confirm # Contact # Message
17 IW I~''.C`tl9t gl 'E(, 3C"' {f,
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 31q 10~1 Phone (503) 718-1~q4
CITY OF TIGARD i
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: :eAURILL W( )oD LOT 'X4TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: k:;,tii ISF A
OWNER: J~•:`F- SAUSCHELT, PHONE
CONTRACTOR: ii i TEX CONSTRUCTION INCa PHONE 50't 452-37ml
Inspection Request Scheduled For: Date: V-V2001 Pour Time:
Code # Inspection Description Confirm # Contact # Message
`120 E1r~~9Ktrical aou tgh, ir; ~if?
Corrections/ Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ DDITIONAL FEES ASSESSED '6(VP Qjj Inspector: Date: Phone (503) 718-
CITY OF TIGARD 1* BUILDING DIVISION 0 1
PERMIT#:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 f s00
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2i20 is TIME: PAGE:
SITE ADDRESS:-`c K3 L-4 S W ANNA r..' 1 CLASS OF WORK:
SUBDIVISION: GAE3RI L WOOD`.) LOT TYPE OF USE:
PROJECT NAME: ,A.BP,?IFI_.'~ !C?~?f;z
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: %'i"?g0F Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/ Instructions:
i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - ?--~7 Phone (503) 718-G~S~
CITY OF TIGARD
BUILDING DIVISION PERMIT 11AST2006-10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11'10/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503).639-4175
INSPECTION WORKSHEET FOR DATE: 3/2012007 TIME: 7:OOAM PAGE: 16
SITE ADDRESS: 13795 SW ANNA CT CLASS OF WORK:
SUBDIVISION: CABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: CABRIEL WOODS
DESCRIPTION: Nets SFA
OWNER: JOE BAUSCHELT, PHONE 503-860.6001
CONTRACTOR: INTFX CONSTRUCTION INC PHONE 503.452-3780
Inspection Request Scheduled For: Date: 3/2012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
245 Firewall 045107-01 503.798^4813'3 Y
Corrections/Comments/Instructions:
S~
❑ PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: v Phone (503) 718- O
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: , _ifV?tlGf TIME: i:O i iVl PAGE:
SITE ADDRESS: 13-199 SW ANNA',-, I CLASS OF WORK:
SUBDIVISION: GABRIEL WC)Of)" LOT TYPE OF USE:
PROJECT NAME: d',ABRIEL WOOD
DESCRIPTION: of SFA
OWNER: BAUSGHFI. l , PHONE wia [ e(1 t
CONTRACTOR: Ii TF_)( CONSTRUCTION ING PHONE
Inspection Request Scheduled For: Date: 'q,IFvY' 07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
5? lnik~ of <I1e v~~;~Il s,
Corrections/Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA L FOR INSPECTION F-] ADDI ZONAL FEES ASSESSED
I
Inspector: Date: Phone (503) 718-
CITY OF TIGARD 0,
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: LOT TYPE OF USE:
PROJECT NAME: GABRIEL WUOU-".
DESCRIPTION: ki,. 4 SFA
OWNER: E BAUSCHELT, PHONE 0,,-
CONTRACTOR: iNI'EX C-ONSTRt.JG'T1(,)N 1144 PHONE 50 -4f')2.31a~,;
Inspection Request Scheduled For: Date: W') 'V'200 Pour Time:
Code # Inspection Description Confirm # Contact # Message
O
Corrections/ Comments/ Instructions:
&SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4V Date: 3// S e~i7 Phone (503) 718-~
CITY OFTIGARD I
BUILDING DIVISION PERMIT MST2006-10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/10/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3112/2007 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 13769 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT DDB TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 503-850-6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE 503.452-3780
Inspection Request Scheduled For: Date: 3/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 044667-02 503.7934883 Y
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
UP\
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT MST2006--10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/1212007 TIME: 7:01AM PAGE: a
SITE ADDRESS: 13799 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 503-86OL600'1
CONTRACTOR: INTER CONSTRUCTION INC PHONE 503-452-3780
Inspection Request Scheduled For: Date: 31/712007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
745 Firewall 044667-01 503-7M4883 Y
Corrections/Comments/Instructions:
lo,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT MST"200&10051)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 31812007 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 13790 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL !MOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHIELT, PHONE 503-850.604'1
CONTRACTOR: INTEX CONSTRUCTION INC PHONE 503-452-3700
Inspection Request Scheduled For: Date: 318/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Iiechanical rough-in 044521-07 503-799.4883 N
Corrections/Comments/Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - v,2 Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: (;AIj IC.L'v`v°OODLL LOT TYPE OF USE:
PROJECT NAME: !-)ABRIF_L WOOD
DESCRIPTION: err ~':iFA
OWNER: BAUSCHELT, PHONE
CONTRACTOR: [FX, CON',1" UCTION INC PHONE 50 1~~.?- 1ti+
Inspection Request Scheduled For: Date: '.1WW'-)007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
PA"'S S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
`Z`it J
Inspector: j1' Date: 3 f f'~ t=%7 Phone (503)718-
CITY OFTIGARD 0
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: :dI OUt TIME: r. s3 iAl,7 PAGE:
SITE ADDRESS: NNA (.'I CLASS OF WORK:
SUBDIVISION: LfI IIrL'`vO(), r`' LOT # TYPE OF USE:
PROJECT NAME: C-ABRIEL W(.)i
DESCRIPTION: '?N SFA
OWNER: F BAUSCHLLI , PHONE
CONTRACTOR: W4 IFA CONSTRUCTION INC PHONE ;03~i~, ' :
Inspection Request Scheduled For: Date: 3/812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL F-] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f < j Phone (503) 718- c_~~
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i•? yE.':;":'s
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: r ?t11+' TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: LOT TYPE OF USE:
PROJECT NAME: f:7 AI3RIE.L WOOC!~ "
DESCRIPTION: ',,v SI=A
OWNER: BAUSCHELT, PHONE
CONTRACTOR: Y CON ;TROCTION INC PHONE
Inspection Request Scheduled For: Date: 3/'10007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Mecl'amical row %?h :F'
Corrections/Comments/ Instructions:
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ~ - 2-e7 Phone (503) 718- s'~
CITY OF TIGARD 0
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I/1tt;'
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: UABWEL WOOU,, LOT TYPE OF USE:
PROJECT NAME: C;ABRIEL WOOD'-
DESCRIPTION: f0w FA
OWNER: JOE'- FA,U` (-.'HEIJ, PHONE
CONTRACTOR: INTEX CONSTRUCTION ING PHONE
Inspection Request Scheduled For: Date: 317/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
y
Corrections/ Comments/ Instructions:
!lam" ~r /L-~i %i/~ %~=lL ~--~YL c_
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718- 1 1
A)l
CITY OF TIGARD
BUILDING DIVISION PERMIT w3i~;t
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: - CLASS OF WORK:
SUBDIVISION: {:,r~,IItIEL VJUt~r~ LOT TYPE OF USE:
PROJECT NAME: GABRIEL WSJOU
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE
CONTRACTOR: INTER CONSTRUCTION INC PHONE 4!J-)..a180
Inspection Request Scheduled For: Date: 3/612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
la I::tiedfi E:W3&i 04 Flo '79k 1-4811'- Y'
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I'C74 Date: 3-o!!6- e'7 Phone (503) 718- 2-4-j
CITY OF TIGARD
BUILDING DIVISION PERMIT#:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1l1tt{~
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: C;AeFiE,L ~IyFFti~I;Y:~ LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: l!v i r, (i it I til i,;°y itJty I~ t PHONE 1150:3
Inspection Request Scheduled For: Date: ',,rr 001 Pour Time:
Code # Inspection Description Confirm # Contact # Message
e `sr°~N;.e I
Corrections Corn ments/IInstructions:
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: __11 Date: - ~ -ci 7 Phone (503) 718- Via}
CITY OFTIGARD S i
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'ttft}'
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 6ABIRIEL WC)(4), LOT TYPE OF USE:
PROJECT NAME: GARRIFI_ W{iOFT' .
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: III I'r t: E,?r Jo f i Uk- I IU11JIN" , PHONE f,U
Inspection Request Scheduled For: Date: ~V21200'1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
❑ PF-] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S Phone (503) 718- 75
CITY OF TIGARD 40 0 1
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i1 ? 3!"3
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: :.~3ix'9L. VVi~tai3 LOT TYPE OF USE:
PROJECT NAME: r r Fi_ WOt Dl -
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: ii ! t litkeL i 4 li~1C~d'tEt. PHONE
Inspection Request Scheduled For: Date: ij?007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
15 Sheaf wyali&/a
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -?--1 --0 7 Phone (503) 718- Q
CITY OF TIGARD i
BUILDING DIVISION PERMIT s j
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1d jt
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: bAUhIE-L WOOD: LOT 1TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: 1Iq i F/I C101,411,i 1 Kt_ C t ION INC PHONE
Inspection Request Scheduled For: Date: 3/10007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1t) El(-ol or sheathin; s
Corrections/Comments/Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I~A Date:- o Phone (503) 718- 2 44~s
CITY OF TIGARD
BUILDING DIVISION PERMIT ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: t.:7ABRILL W006, , LOT TYPE OF USE:
PROJECT NAME: t'.' R: r<°°d t`d LTM{?C~i_:
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
C//orrections/Commenntts• /Instructions:
❑ CAI ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z-- Z d Phone (503) 718- 24~ "
CITY OF TIGARD
" BUILDING DIVISION PERMIT MST2006-10060 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171 . ti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 212612007 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 13799 SW A14NA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 000 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Now SFA
OWNER: JOE BAUSCHELf, PHONE 503.BG&600,1
CONTRACTOR: 114TE.X CONSTRUCTION INC PHONE 503-45,2-3760
Inspection Request Scheduled For: Date: 212612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 043911-08 503-739.4683 N
Corrections/ Comments/ Instructions:
Q ~7/A1L ff d ~ 6";C'J
• ~✓..31c 5~ Ln S a
El PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ~G ~7 Phone (503) 718- Z4_4- ~
CITY OF TIGARD
BUILDING DIVISION PERMIT MlST2006-10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2J2J2007 TIME: 7:03AM PAGE: 50
SITE ADDRESS: '1379' SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 000 TYPE OF USE:
PROJECT NAME: CABRIEL WOODS
DESCRIPTION: New SEA
OWNER: JOE BAUSCHELT, PHONE 503.860-5001
CONTRACTOR: INTER CONSTRUCTION INC PHONE 503-•452-3780
Inspection Request Scheduled For: Date: 20200: Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 042901-07 503790-4883 N
Corrections/ Comments/ Instructions
n~
J~
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '
J,
Inspector: l1l _ Date-Li( ~~6 Phone (503) 718-mac'{ ,
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2 IA`?001 TIME: 7;0'IAM PAGE:
SITE ADDRESS: 'I; 7 x',19 W CANNA "el- CLASS OF WORK:
SUBDIVISION: t AIr KIEL WOODS LOT Q08 TYPE OF USE:
PROJECT NAME: '„"f3f'll-t y~/~7{~f?
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: '.ai! Ist.lc_ i I a$' PHONE (t.,
ti
Inspection Request Scheduled For: Date: Pour Time: I
Code # Inspection Description Confirm # Contact # rMsage
r ;ct ,fr:Etrr~ ,tauctur al ?I"s3"% G 6B T9!f 4803 e'
Corrections/ Comments/ Instructions: z; cA
P4
~M J71 1 Iv V 1 / C / ✓
ti✓~ ~
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCF
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V' c..~ Date: Phone (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT MST200&'10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111012607
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/112007 TIME: 7:01AM PAGE: 22
SITE ADDRESS: 13799 ISW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 503-$6116001
CONTRACTOR: INTER CONSTRUCTION INC PHONE 503,452-3780
Inspection Request Scheduled For: Date: 211/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 042832-15 50'3.799-4883 N
Corrections/Com ents/Instructions: t
-~G` ~'l•1 "'V`im' ..~J
6dPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V[~ Date: Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I110/:`
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATF TIME: PAGE:
SITE ADDRESS: 13199 SM! Ai'
SUBDIVISION: GABRIEL lWC
PROJFCT NAME
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: 11-2312007 Pour Time:
Code # Inspection Description Confirm # Contact # Messac
106
Corrections/Co ents/inst uctions:
Uyj 2 6 L--:~~ 4-t
~sS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCES:
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: t Z~ ~ Phone (503) 718- ~ ~
CITY OF TIGARD 16 BUILDING DIVISION 0 1
PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 0j
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: !l;?3l ttt)7 TIME: i 02AI PAGE:
SITE ADDRESS: e?99 SA F ANNA CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: _ PHONE
CONTRACTOR: iC s t s , ai I:y s a.l4~w i IS?I a l+. PHONE
Inspection Request Scheduled For: Date: -1/2,'2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
i Fo4.#ndatom 1Nail~
Corrections/Comments/Instructions:
v2e c `
+ t 4
,5plAS~Cj PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L
Inspector: Date: Z>/b 7 Z
Phone (503) 718-
CITY OF TIGARD ,
BUILDING DIVISION PERMIT f4t>l r~( I''r`;~`•
13125 SW Hall Blvd., Tigard, OR 97223 ) DATE ISSUED: '11101200.,
Phone: (503) 639-4171 4
Inspection Requests (24 Hrs.): (503) 639-4175
2i k
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM. PAGE:
SITE ADDRESS: J3199 1-W ANNA " CLASS OF WORK:
SUBDIVISION: GABRIEL WOOD'::' LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOOD;
DESCRIPTION: hl-w SFA
OWNER: JOE BAUSCHIELZ, PHONE 503-860-60)']
CONTRACTOR: IN I EX CONSTRUCTION INC PHONE 503-462-3760
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
r
699 Mechanical final 047577-01 501799-4883 N
Corrections/ Comments/ Instructions:
vz
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Date: a Phone (503) 718- Z
Inspector:
CITY OF TIGARD
BUILDING DIVISION PERMIT NIS1-2(ff: Ii&V '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111000.0
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/10007 TIME: 7'00WIA PAGE:
SITE ADDRESS: '13-199$ SAN ANNA C i' CLASS OF WORK:
SUBDIVISION: GABRIEL WOOD',", LOT 008 TYPE OF USE:
PROJECT NAME: CABWEl,.
DESCRIPTION: Nk:%v 1,31'7A
OWNER: ,i )F I=A(Jz 011ELT, PHONE 1;03-0(°,0-6Vr:d's
CONTRACTOR: INTEX CONSTRUCTION INC PHONE 503-41Q-3781
Inspection Request Scheduled For: Date: 511/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final t?47426- 01 603-7!)r~ 489'3 Id
jrre ions/Comments/Instructions:
,~~itl ~L" /1,rG' : C~"~Ca S L ns --T-l✓~ ~,I~C,~
l C Z! C' i~ /
3~`'.~1v y) /emu
❑ PAS ❑ PARTIAL APPROVAL F-1 CANCEL ❑ NO ACCESS
,,5~
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 Phone (503) 718-f
LA
CITY OF TIGARD
`BUILDING DIVISION PERMIT MSS*i'00fP100,` Q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111012001
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 413W2001 TIME: 'l:0(14 A PAGE: I
SITE ADDRESS: ^;e7~ 11 ,7t 04kI}"k l CLASS OF WORK:
SUBDIVISION: GABRIEL WOOD'S' LOT 006 TYPE OF USE:
PROJECT NAME: GABRIEL WOOD:
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 603-860-6U01
CONTRACTOR: INTEX CONSTRUCTION INC PHONE 503-452-310.0
Inspection Request Scheduled For: Date: -11-30/21W'7 Pour Time:
Code # `Inspection Description Confirm # Contact # Message
:3 tg Plun,obing final 04736a 01 503 799-4883 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: q1 37S/ b Phone (503) 718- 24
CITY OF TIGARD
BUILDING DIVISION PERMIT I yE l .c1t~ - lrjW-',0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1k,01g010/
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: r:OW%PA PAGE: 7A
SITE ADDRESS: 131119 t'W ANNA ? T CLASS OF WORK:
SUBDIVISION: GABRIEL WOOU131 LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Now SFA
OWNER: JOE BAUSCHEL.T, PHONE 503-8(:0-600 i
CONTRACTOR: IN rEX CONSTRUCT ON INC PHONE 503-452.3780
Inspection Request Scheduled For: Date: 412612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 04 71P1.01 x"903 799 QMA N
Corrections/ Comments/ Instructions:
,~.~1-~ tel. l ~ C, ~2Jn~~.vv.'~ ~ ~ ~^-~A W r~'~"t/ ~✓~+v l.G-+-4...,(,~„ ~o o w.,.
I~~l;, t,, ,ter 1.•3 L-j-r✓ 1-~ tii /V <z c~ yp ti . ` ~Y~ c. ~C f t,.~ 4k
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT MST200&10058
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: •1/10/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/50007 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 1,3799 SW ANNA C-T CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: CABRIEL WOODS
DESCRIPTION: New S1-A
OWNER: JOE DAUSCHELT, PHONE 503.660-6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE 5503.452-3780
Inspection Request Scheduled For: Date: 3/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 044332-05 503-799-1883 N
Corrections/ Comments/ Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date ~h~ 17 Phone (503) 718-
. I
CITY OF TIGARD
BUILDING DIVISION PERMIT MST200 10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 21112007 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 1,1799 SkA1 ANNA CT CLASS OF WORK:
SUBDIVISION: CABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GA13RIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 50:3--880-5001
CONTRACTOR: INTER CONSTRUCTION INC PHONE 503-452-3780
Inspection Request Scheduled For: Date: 21112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Po-W earn plumbing 042832-14 503-799-4883 N
Corrections/ Comments/ Instructions:
V(eASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718- 7,4 Z'
/
CITY OF TIGARD
BUILDING DIVISION PERMIT IdIST2008-10050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639-4171 o~
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 211/2007 TI 1AM PAGE: 24 .411, SITE ADDRESS: 13799 ANNA CT CLASS OF WORK:
SUBDIVISION: CABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 503-860-6001
CONTRACTOR: 114TEX CONSTRUCTION INC PHONE 503.452-3780
Inspection Request Scheduled For: Date: 21112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3110 Crawl drain 042832-13 503-79-9-4883 N
Corrections/C ments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Date: y~ I, ~
Phone (503) 718-
/
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: IJ t0it':
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE TIME. PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: GA RIIrL W00b. LOT TYPE OF USE:
PROJECT NAME: 4 APf?! t_ VVOOF):
DESCRIPTION: "
OWNER: ; CHtL i , PHONE
CONTRACTOR: N4 C'.()NSTRtAC°T10N IINC±. PHONE 503. Q-1, U
Inspection Request Scheduled For: Date: aL"r}/tC)l Pour Time:
Code # Inspection Description Confirm # Contact # Message
,~r~ ;`t^t??1C1? ti~fa:!!n i sl' v
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L Date. Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:/Et);
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: fi ;"a+g't TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: GALSRIE.L LOT TYPE OF USE:
PROJECT NAME: A.fr?,F1 }fit"'y~`f,
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: i11:<~ t :t Jd'a'us iitJw:: i di¢ il' PHONE
Inspection Request Scheduled For: Date: ~,!_;;Ot} Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
L~
f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L~ bf-N~, Date: / L~ ( 1 Phone (503) 718- 1.~
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(141f '
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: t TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: g3ABkIEL W() t.)4;r LOT TYPE OF USE:
PROJECT NAME: ARP -1 DESCRIPTION: F;
OWNER: PHONE
CONTRACTOR: 141 L X t't.)I'i`>18 4~t l i4..~1'1 ktvt PHONE t,0g € f' st3
Inspection Request Scheduled For: Date: Pour Time:
Codes # Inspection Description Confirm # Contact # Message
Corrections/ Comments/ Instructions:
I i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z L/t-- Date: Zit /6 Phone (50.,,
CITY OF TIGARD i
BUILDING DIVISION PERMIT it.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: If It?J 2,,.,
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: (:iAL;PJLP t~ ~:~>(>L~G LOT 00,' TYPE OF USE:
PROJECT NAME: ARR'IEL,'0400I?
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: 1~:+1tUT Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/ Comm e is/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: L " Phone (503)
CITY OF TIGARD
BUILDING DIVISION PERMIT fv7tirlrj(yg~ t{i=;",t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'U'l(k,,4 t`I
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4126112007 TIME: 1:00AM PAGE: 1t
SITE ADDRESS: i X789 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: M-w SFA
OWNER: JOE BAUSCHErLT, PHONE 603,860-601 1
lI
CONTRACTOR: IN I'EX CONSTRUCTION INC PHONE 503-4132.3'1610
I
Inspection Request Scheduled For: Date: 412612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrir:al final 047192 01 503-eA2.2800 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6~1- ` u`' dQ U~ Date: 1 ~6 Phone (503) 718--A
CITY OF TIGARD jo 0
BUILDING DIVISION PERMIT 610 1G;f0
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: ij"H'1i '1-, `7
Phone: (503) 639-4171 ~Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 51312007 TIME: 7.00AM PAGE: 3t3
SITE ADDRESS: 'I '1'799 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GA13RIEL WOODS LOT 000 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE 57031.6 103.6001
CONTRACTOR: INTFX CONSTRUCTION INC PHONE 50341;2-37'30
Inspection Request Scheduled For: Date: 513/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 047577.0'2 50:r 794-489-1 hE
Corrections/ Comments/ Instructions:
' u
I
a
y
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater Phone (503) 718- Z-- Y
STREET 'T'REE CERTIFICA'T'ION
I, Z A UO ((t ~ky- , Owner/Agent for (27 br c^e OJo a o~ L L. C.
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: 3 c( S1~vt r
SUBDIVISION: (-)-aV3 fCe (A ~,PQS LOT:
SIGNATURE: DATE: 5 - 3-(f)-7
(O R/WER/AGErrT)
RECEIVED BY: DATE:
(CITY OF TLGARD)
y_
L\Building\Fonns\Streefl'reeCertificate 01/19/07
may-