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Permit
CT Y TIGARD PERMIT #: MST2005 00438 �y' �,. DEVELOPMENT SERVICES DATE ISSUED: 2/27/2006 - ti 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134DB-S0006 SITE ADDRESS: 11098 SW 113TH TERR ZONING: R -4.5 SUBDIVISION: STONECHASE LOT: 006 JURISDICTION: TIG Project Description: New SF • BUILDING REISSUE: MAS22151A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,216 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,390 sf GARAGE: 783 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 260 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,606 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 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: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v. MINOR LABEL: 1000+ amp/volt : PLAN REVIE W 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: ALL - ENCOMP 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 Owner: Contractor: Tigard Muniapal Code, State of OR. Specialty Codes GERRITZ BIGGI CUSTOM HOMES GERRITZ BIGGI CUSTOM HOMES and all other applicable laws. All work will be done in 9550 SW BEAVERTON HILLSDALE H`r 9550 SW BEAVERTON HILLSDALE HV accordance with approved plans. This permit will expire BEAVERTON, OR 97005 BEAVERTON, OR 97005 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 -619 -4668 Contact #: FAX 503 -526 -2084 adopted by the Oregon Utility Notification Center. Those PRI 503 -619 -4668 rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or Reg #: LIC 148831 direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 10,124.27 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued Permittee Signa '; 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. , Building Permit Applicati —. G / , k FOR OFFICE USE ONLY City of Tigard Received /IL 13125 SW Hall lvd., Tigard, OR 97223 Date/13 : _/ w ,i / / - 7 / ii g Plan Review t,r1 ,� Phone: 503.639.4171 Fax: 503.598.1960 ', Lkt¢� I DateB V / Other.Pennit: - - • ,r� �t, • Inspection Line: 503.639.4175 t`'I I Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us Y� h , I • Notified/Method: Supplemental Information ' TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 0 $. 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. 0 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S 7Z5 ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / /0 y 7 / 8 - - / 7 er ;� t New dwelling area:A (G'C& square feet l City /State /ZIP: t V L�-r� ll `,A' Garage /carport area: 3 square feet l l Suite /bldg. /apt. no.: Project name: { 7 - ne �s -- i Covered porch area: square feet F. Cross street/directions to job site: A /� t - /.2/S/- .5/ Deck area: 0 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: r / Nyi.e Q S ..e Lot no.: C l 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. new h0 6 e t - f Ce_i4 /0/7 Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: im Ikeitts Type of construction: Address: --- i 0 f t" o V'r7 # // (� / i� Occ upancy groups: City /State /ZIP: Qe Vey (2 (Q/ Q Existing: Phone: so &/Q- `4lo g Fax: ( 5:03 5� G -��W New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: Cil c� ��r eu.5 /n . 7"7Ci/I�,�S All contractors and subcontractors are required to be Contact name: - J�hn�� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 05 i ` S / jurisdiction in which work is being performed. lithe City /State /ZIP: r f ek Q7t� applicant is exempt from licensing, the following reasons �2 ) (c/q //�� _ i_4 // / & ? Fax:: ( /� p1� apply: Phone: 5O ` � � . - - /Z 0 � 1 E-mail: ] ®� n C t �ru� /)& ro es ern c! CONTRACTO I Business name e rr /f� % " i .,, to ionte,s BUILDING PERMIT FEES* Address: 1 A . G ' [�AIiG n „ i _ ..� i Please refer to fee schedule. City /State /ZIP: 9 '_ tier' f - 04 Q7 2�) (/ t _ L/6 , c 6 - .�-�`� d Fees due upon application Phone: p 7 Fax: � �Ad�l Amount received CCB lic.: r Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: :m Grri— Date: * Fee methodology set by Tri- County Building Industry Service Board. A i:\Building\Permits\BUP- PermitApp.doc 12/03 440- 4613 /02 /COM/WEB) /10 11757 . milliriier Application City ut Tigard 4111„„ Received Date/By: No.: Th.e5fe2CAS ./a) 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Permit Phone: 503.639.4171 Fax: 503.598.1960 /kW %IP Date/By: Other Permit: Inspection Line: 503 639.4175 -41. , i •'11 1 Date Ready/By: Juris: EZI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . , " '..,",;.:.. y :i ' 'i'.:;;.;';.,.i.'b.:+...ii4,i":.:'i,..:,Y.:4#051.^:#9.4.kiciti.:;:c2:142.1,4, .:-t,,, .f...?j■ry.',.!■1„'I'!J„ ii.:‘,0 ',..,::, ,,,, „ „4 , .,,,,,, ,,,,,„A" , ,s, cHE,CKLIST New construction 0 Addition/alteration/replacement 0 Other: Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Demolition mechanical materials, equipment, labor, overhead, and profit. . ; : ,, ,-:_. ,.. ;;;7' :f .:': + ■1.:t. , .. tAittfoiti, 0/4tit ;;-6jtititoN4,0;:,,c0„,, Value: $ - . '. ' : . ,- • : . , ' - ........`?'.. - . -..,-, .' .';.. ..-,',, ',. . .41'i:',', ''''./71 ' -, .' 1 , ' .'', - - 1-• 1 ' 1 1 1 • '. l'', ' `A ^ ,,, '1. • - I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building Multi-family 0 Master builder 0 Other: .` Ali';StlitNiliAtkeltlIi!10.14ft SYSTEMS :FEES* For special information use checklist Description I Qty. Ea. Total ..',• ';'.7.:-;" ;:,-;,:.::-;: , prowrp:0411,0 Heating/cooling Air conditioning or heat pump Job site address: 17 65 2 // P Ter/ate- (requires site plan showing placement) f 14.00 / `1. O City/State/ZIP: 771af er:Ie 97 zAy- Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,0.00+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: , i / 6 • Gas heat pump 14.00 Cross street/directions to job site: AZiArKrh cl- - , Duct work 14.00 - • Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. , 10.00 Flue/vent for any of above 10.00 Subdivision 0as e Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances . : '',..'',..,,: '':,.:,t,',',.,,,`,'.'-,,,•,1"'",-,,L..,,;..";it.,1` ■ , .. ,,..::: i1:.:','?„',,,;$,,,,08,,,,,:::,,,:,!,,,:10..,.4,',?./.,:i:4,.!,.,c,;q.: Water heater 10.00 Gas fireplace 10.00 „ _ . - __ - . . . . - -, I /..' ' - Flue vent for water heater or gas A-D 6 19 C, fireplace Log lighter (gas) 10.00 7 10 00 Wood/pellet stove 10 00 Wood fireplace/insert 10 00 . r.:. - Chimney/liner/flue/vent 10.00 ,'..., qlR:OP. ER.,.: ,:,,, ,,.., , „'„•`.'.,'''f Other: 10.00 Name: 610 -t, • o . . v it,‘ Environmental exhaust and ventilation glife~ . *sal_ 00 at e A a Range hood/other kitchen Address: 1ff rrif r ir ff equipment 10.00 1 //AA City/State/ p/ v •r 4/ ) 0 - / vw Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( ( Q/Q --- Li& Fax:4 4, ,,2 toilet compartments, utility rooms) 6.80 ,:,, ._ •-• : El ,--A-iifticoR,,,,_,,,,; ,,.p., ., Attic/crawlspace fans 10.00 Business name: ... g_rr 1-7 (. 6 7 o p 1 ,, „,,s Other: 10.00 if Fuel piping Contact name: 2 At I ' III $5.40 for first four; $1.00 for each additional Fumace, etc. Address: 04Wrifftlrflarge 57/hr . M Ay i t lim a. . Aplow _...._..,. Age Gas heat pump City/State/ZIP: ip I' ' 0 a 4 OP Wall/suspended/unit heater Phone 4 • / 46 6 g Fax: : (503 6 6._ ,,,„,og Water heater Fireplace E-mail: of /Oh nj 0.. ri,f4Volgr p4 Range -6 Con 44 - ,,-,5 ia Al die V .„ :r Barbecue ., : : .:', ,:, .. - ',:'-' 7 NT"?... , '' ',■, f .: 6 ; 4 11C'1•1 1 ::..,t;r:01' . 5 Business name ... 17.? kedoz? i en -e Le_e_, Clothes dryer (gas) Other: , Address: 0 O .----,,I.. ,. .10AffitiNiaitE p, , . , ...,...:,.,..„ .....:. Cit or _ki 0 ,-,,,e_ ek (7 gy I Subtotal Phonei5P3 703 , /003 Fax:60 A L/L-/ i 7, 9__ , Minimum p fee ($72,5 it fe Plan review 5 % of perme) CCB lic.: /(0 ( ri i / b n go / State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name ,. A Date: /0 - 020. - 047 • Fee methodology set by Tri Building Industry Service Board : 1 • M - 1 `BuildingWerrnits NEC-PermitApp doc 12/03 440-4617T (11/02/COM/WEB) 05/19/2006 12:53 5039814643 WHISKEY HILL ELECTRI PAGE 02/04 r ,, Electrical Permit , A,ppli A: j r-- k t A ' 1 Fon 01.— Icr, tisit °NIA City of Tigard Date/13.. '�J�rale%i Permit No /L r I . - 10 3 i 17125 SW Hail Blvd„ Tigard, OR, 97223 *9 , , Plan acv ow Phone: 503.639,4171 Fax: 503.598.1960 •• • • ' 21/''''.# �IC� + Olt Other Pamir. Inspection Line: 503.639.4175 „ �_ , ,,. D a t e R ea /By; lurk: See Pop fur Internet: www.ci.tigard.or.us L ' 1 Li, I J Notified/Method; Supplementallnformntinn •'• .P gJ�,� .�:i �,:ji �• ' >t .'aCi6 � `i) i; s'• t ?t; :v i .. "i'" . • u , - �. s; ..,,.. I ��: ,. i.. r {� 't! =i nt :i: ' `i 4•i;i ,y�� , 1 j •� �{,�1! *I c c I ,i•o e t .P t "� � s °: �,:•;:. t (. P 11 .. ..�� �..,...�.. .• ,,,. ,., .d.. n: L .,: . _ a , :•` r... !`81 "rf, ., , %; S'i ,..l ll � id'�Ic,•l +iisn. ,I �.,o,.,.�,lli; C 5 �,,, u t ,,: . , a .,f..1. t 1st New construction ❑ Addition /alteration /replacement Please check all that apply: 0 0 Other: c ... .. , Demolition :';' ... '•:,:,.,;,,. :' r,,,, �, �,;, �, I,.,,':: I,., .;;';ar,,,c�t),�;?1:,;i� I , :,, 1, 1 0A`1C '• `fps:EO`4�1 'thrill( ,,,,rrri,;,.lr., „ 1.,1 ;;,; �,...,....,- .,:...,.,.,.., , s.,;;�rl�.,h,:,';it ?'s1�: „'� ,i,i1: s3 - (;.? 1,!yii ❑of r[ - 1d2 t � crvc tltm ly dwells s. co g D � � mug over 0,00 ng A R. l I - and 2- family dwelling ❑ Commercial /industrial 0 Accessory building ❑System over 600 volts nominal Units in one strticture ❑Building over three stories ❑Feeders, 400 amps or more (] Multi - family ❑ Master builder ❑Other: ;,t,. ; k31 persons red stn ctures or ;,: ufa .; `iSl tl".+ r w`�1f1 l 'l'j' ":`, : ' : ii„ i ' li : i'S c /li RV .,,,,,...... . ..........:..�..,. �,:rls�i � ! ❑pit � ghting plan ark p e 1 — D B s - 1 / � L ❑ I4calth -care facility ❑Other _ Job no,: Job site address: tr Submit 2 sets of plans with any of the abovc, — City /State/ZIP: • a/L___f_212,3 The above are not applicable to construction construction service, n , rcl��il{bE,l'r,11 ii ii:,;i�j;l ;:�,° 1,`��� i IX,P"f.k�',��;9117.vt':�A;!� , � LJ�.i 1'2.': pl #Sll' I:'Il �ii;'; Suite/bldg./apt. nn.: Project name: ' Suirc /bldg. /ap • , �.,...- .,.- .,...- _ Description f Qij. i tee ToW " " ~ Cross street /directions to job site: New residential single- or multi - family dwelling unit • -- includes attached garage. 1,000 sq. fl, or less 145.15 4 Subdivision cs 0 1'% Lot no.: Ea. add'I 500 sq. R. or portion _ 33.40 _ 1 r-s 75, T 2 ux map /parcel no.: - t 2 . y.�1� - -- Limited energy, ,r.;':, `Gwtl"IOl�I ;it{i{Y I; Fim .......:::,..:.�, .. , +I : S;'� ,• � "I: ' chtmanufaatlucd reS'(1 �:.... .,,:;,;:•. °�::_.. �nV r „ ,,,,> °c;:••e�i ,at gal ,..,... 0 dui .. dwelling, service and /or feeder 90.90 2 EL. Er_fn.it:,r . S ti. ✓/C 462 24N6 ^ 1\14b0 $ FiZ Services or feeders instnllntion, alteration, and /or relocation 200 amps or less 80.30 2 );,;,I. : • ; !; ; :.1 ; y;. !;;� , p : ! " .. ,, 201 amps to 400 amps 100.85 2 ��- �� yy��..yyyy�,y �s, y yµµyy,yy�� ��yy y�.� I i "�ri; r' i� ,�!?. i e ljl�,;. ; :i� ,_.,., : : [ t ;;i) .. .•• . .; '...K, .' . t41'�';• ;;g l!.d.h; ' '' L ,,,.:. ' "f CJ,.�::�+, V.\ '.Y ' "' .. : ., , .... � „ , ., , , . 'ul . , , „ri , ,��:.. r• „,,, ;,: , .. , 401 amps to 600 amps i60.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address vv Over 1,000 amps or volts 454.65 2 • Reconnect only 66.85 2 City /State /ZiP: Temporary services or feeders lostallptton, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or loss 66.85. _ 1 Owner installation: This installation is being made on property that 1 own which i5 not 201 amps to 400 amps 100.30 7 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133,15 2 Owner signaturc: Date: Branch circuits– ncw, niteration, or extension, per panel -T �JppJu�pp1ri,�j",('r iii; f' I'y �:iiit " "' ;:;;',';: A, Fee for branch circuits wait ^'[. lU1l.W :iv .�I -:r ! :,,,1; ? .. /i::''�.i�'.K. .,). i, l: "... _ �r 4!� ^i: tl.. service or feeder fee, each 6.65 2 Business name: branch circuit ' B. Fcc for branch circuits Contnci nn.me: without service or feeder fee, 46.85 2 - . — first branch circuit _ Address: Each add'( branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53,40 2 Phone: ( ) �� .� 7 Fax: : ( ) Sign or outline lighting 53,40 2 E -mail: Signal circuit(s) or limited- :i{i::1 s },;; 4'.,; r•;,!:; energ panel, alteration, or • ,.:,'> ,: ,i ,:,,:'' aa,•t ^ ;Ai,!i;l is ;,''''.:' "t O be „,. , .•,.,.;, � . , cgcri Page 2 2 Business name: wit iK6 .�Li,L L �?! , 4 G ' - n Each additional inspection over allowable in any of the above � Address: 0 . 00x 2.04, . Per inspection 62.50 City/State /ZIP: 1 Uig/9/Zp v2 _ 920 2 investigation per hour (1 Iir min) 62.50 Industrial plant per hour 73.75 �� G ) 5o 3) 8i �G Phone: (s / ��� yG�� Fax: 96 ;f'i:?, 1;11-+:;,;j;i '; J; i, S? ii> UE, �i jX?l>r t)t?ICu1FSrwl;:;;i; ::;;( %`; ,). CCB 1,ic,: / G Z tea' Rlectrical Lic.: C 76, Suprv. Lic.: 44215 Subtotal Suprv, Electrician signature, required: )( Plan review (25% of permit fee) -- State surcharge (8% of permit fee) Print nnnic: cam' G/-t.ldciNS _ Date: 5,./ 9„._ty 60 TOTAL PERMIT FEE Authorized signature: This permit application espurrs if a permit La not obtained within 180 dnys after it has been accepted as complete Print name; - �� - Date: ” Fee methodology set by Tri- County Building Indirdry Service Bond 4" Number of inspections per permit nllnwed. 4An -0615T(101C1TICAM/WL•a is \BnUAnr \PermjreEL,C- Permit App.dnc 12/03 Mechanical Permit Application. FOR OFFICE USE ONLY City of Tigard Receiv Permit 3�' Date/By: M. �. 13125 SW Hall Blvd., Tigard, OR 97223.,. ,, �,� Plan Review Phone: 503.639.4171 Fax: 503.598.196 � . , 2 <>i: i � a* � � � ,R, Date/13y: Other Permit: Inspection Line: 503.639.4175 -J,1 Date Ready/By: luris: ® See Page 2 for Internet: www.ci.tigard.or.us J y •� y; Notified/Method: Supplemental Information k1 �'T PE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST New construction ❑ Add ition/alteration /replacement Mechanical permit fees* are based on the value of the 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: $ 1g RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial /industrial ❑ Acc essory building For special information use checklist. Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: // 7 g /� 7t( Y ( Air conditioning or heat (� (requires p uires site plan showin g placement) 14.00 City /State /ZIP: -77 ce 7�,,2 Furnace 100,000 BTU (ducts /vents) 14.00 � � Furnace 100,000+ BTU (ducts/vents) 17.90 Suite /bldg./apt. no.: Project name` ,,e masc. Gas heat pump 14.00 Cross street/directions to job site: Ai1IA a- 1.- 1,Z,15/- l Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), • in -wall, in -duct, suspended, et,.. : ;;.i.,',; Subdivision Clhc�� Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 /VA �1 / Gas fireplace 10.00 / ! & �� (t Q i Flue vent for water heater or gas fireplace _ 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER Chimney /liner /flue /vent 10.00 ❑ TENANT Other: 10.00 Name: .errr ., / 7I• 4102..t. Environmental exhaust and ventilation I �, // �` Range hood other kitchen Address: ' I t equipment 10.00 City /State /ZIP / j ✓er en 0 701 Clothes dryer exhaust 10.00 ( g— T� 6- 6 � �/ /!,L t ^ , J t Single-duct exhaust (bathrooms, rooms) Phone: (p! L' ? Fax: - toilet compartments, com comp artmrtments, unlit rooms ) 6.80 ❑ APPLICANT 1 ❑ CONTACT P RSON Attic /crawlspace fans 10.00 Business name: , R Other: 10.00 {rrr� / 7 C Fu el piping Contact name: �a n 47--- $5.40 for first four; 51.00 for each additional r `je_/0". Addre ss: q55 4f,) 1 ,1er - /O0 g Ai/ Gas heat etc. um / City /State /ZIP: ( , Q 1CL) £ / ®t�cJ P e v e n L Wall/suspended/unit heater Phone• if • if 6 • i Fax: : ( r 6- ,zog Water heater n � Fireplace E-mail: '0 / no rr . /,/ Ar „ ez Range CONTRAC OR Barbecue Busit Central Air LLC Clothes dryer (gas) PO Box 433 Other: Addr MECHANICAL PERMIT FEES* Clackamas OR 97015 City / Ph: 503 -803 -1303 Fax: 503- 244 -1702 Subtotal Minimum permit fee ($72.5.5 Phon CCB: 162677 Plan review (25% of permit fee) CCB lic.: / ll� (e r7 7 State surcharge (8% of permit fee) lY TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: ,� e days after it has been accepted as complete. Print name: .:Jo h.n / r j -' ... Date: * Fee methodology set by Tri- County Building Industry Service Board 445_4617T (1 I/n2 /COM/WPRt ' - `, i P C E t Plumbing Permit Application k FOR OFFICE USE ONLY City of Tigard Received e0 4 13125 SW Hall Blvd., Tigard, OR 97223 ^ 1, ' Date/By: PermttAt i ti 006 '' 3f� Phone: 503.639.4171 Fax: 503.598.1960 �. Pla Review Other Perntit No 24- Hour Inspection Line: 503.639.4175 ,ma `�J �� Date/By: s 6 � 1 orris: Dat Ready/By: ®See Page 2 for Y Internet: www.ci.tigard.or.us TTT,J j ) I ' 1 Notified/Method: Supplemental Information TYPE OF WOrRKG t -)!VISKy', FEE* SCHEDULE . tyiNew construction ❑ Demolition For special information use checklist. Description 1 Qty. Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORNIATION AND LOCATION Site utilities Job site address: / f ie pa.* 1 eti(ica ee' . � Catch basin or area drain 16.60 City /State /ZIP: I/ Ira' (Of 97 -,2V Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: ✓ Project name: /26 / Footing drain (no. linear ft.: ) Page 2 i� Air ` Manufactured home utilities 110.00 Cross street/directions to job site: Q � � -� Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: „5/04e eA 1 Lot no.: b Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 1 0 {,e,0 bole, C } C() Backwater valve 16.60 / ' Clothes washer 16.60 _ Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: ef c r /1 - 4_, 0 if J J / I / Expansion tank 16.60 Address: , ���/ 1 i , Fixture /sewer cap 16.60 City /State /ZIP: / v , / b'o Floor drain/floor sink/hub 16.60 Phone: ( :-LQ.g 6 /9_i & b? Fax: (50 0 ,v, Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: _ 0 :/ .J ./n Ni/ ' Interceptor /grease trap 16.60 • Contact name: © Medical gas (value: $ ) Page 2 Address: 9 tt �' `x ea ve c, ./h //3 Q f1Le) Primer 16.60 City /State /Z1P: ( ,,,,(e f n of g7ot 5 _ Roof drain (commercial) 16.60 G Q 6 �� � Sink/basin/lavatory 16.60 Phone: ! F �1 f /�� ' Tub /shower /shower pan 16.60 � E -mail: I 6 0 [ 'p ': j # >I !, es's C f Urinal 16.60 CONTRACTO ' Water closet 16.60 Business name: l�l4 binbtn( Water heater 16.60 - Address: � Q ` 4 Other: City/State/ZIP: v ¢� J ] L��j Subtotal y �i ' �/� ! (� f M inimum permit fee: $72.50 Phone: ( r) 65 , 1 7,,3 Fax: (S5 b� � /7 Residential backflow minimum permit fee: $36.25 CCB Lic.: F / '7 '/b Plumbing Lic. no.: J 9// Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: John 1 ri f� Date: This permit application expires if a permit is not obtained within John 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\PLM- PermitAppdoc 06/05 440- 46I6T(10 /02 /COMIWEB) Sep.29. 2005 4:53P BEAR ELECTRIC No.4319 ... P. 1 - Electrical Permit Ai no pp FOR OFFICE USE ONLY ' ' City of Tigard Received Permit No.: V T 1/3 't90 0 Date/Br 13125 SW Hall 131vd., Tigard, OR 97223., f:' • / „,, ° P1anReview :._ -... Phone: 503.639.4171 Fax: 503.598 1960 F' °'�y4 j1� Datc/BVt Other Permit: Inspection Line: 503.639.4175 � y gI • . D ate Ready/By: J l 3 See Rage 2 for Internet: vnvw.ci.tigard.or.us ' - a I Y1' A ,itj ii, r__ Notified/Method: S upplemental information i r r'° , r J i y5.l i) k i ter 9! a a ��. r:.. , 4 tr 1 k.: 1 i � ` . i , ,,, .:A 1 . f . , it i •lCr r....,, .. k a ., n ,1,.. " ,, + . ° ., . Y,: i r ti:. J :G'F V r m. ` ii:r. c � " t ,6 '� r v ‘ .. ..- ,, ' ; P LAI�` ,. I�' , • ' . T!.�_� .. N ew construction ❑ Addition/alteration/replacement Please check all that apply .. on over n' Hazardous Deiti amps,. .,:.,....,...,..:... .... .x , .:rc ,tA. amps rating ng o Cl ❑ Other: Service r 225 a comr HaZa S location Demolition tt ,,�� i -�.. •sS...1 �.. ,..�..- r...,�;::rc a •�: .,rrt v� ^,�n:l+:,; ..•e,::�z ^,; 'S :34: L.°: IfA ,.,:�.�1e:...r,,.a. , :iitt ' Y. - :...d,.., r” Tir �. % � f,l: ���}} 9 Service over 32Q a rati Build over 10,000 sq. ft.. r,:c::� - �:;:,s +� � .,z„�r T:,C,. -,... ��� l(�lJ,l!I$�1IG'T;EOI�' " ? =': � � ,��' �� of 1 -and 2-family dwellings 4 or more new residential [ .� K I : °.:'. M1�iV �� 1R, h.r...ua�. .: M: .: i.:..:.11:i, : v'•;.:e -i ,..v: and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure Multi family [] Master builder ❑ Other. EBuilding over three stories ❑Feeders, 400 amps or more V ,. g ❑Occupant load over 99 persons ❑Manufactured structures or P r r -'S c:: �• a ua rW laa Ayr'se =, .ea a ryri , i diiii r. I ,. T '^`J I� Ia iflt' ? ? ; J t Y a Y 1 r . II�Cn g RV park �,��.::F: +t:+ .,�a..:.}.it:, .r> , .:,.._F.t,t�'..n.,.�t•:: '�e _.. � I .�. :n.i:t�(j1r a , ❑Eg:'ess�liglltiug P Job no.: Job Site address: / /09Q / s J�/ / ©Health care facility DOther — / / C Submit 2 sets of plans with any of the above. Ci - - - - -- ; e : are construction sctvice. /State /ZIP: '� /�r -� �� �' y The�bov�at�e�ap l �l ica�b 1� ;o I, , • tY J ' �� P temporary 5uite/bldg. /apt no.: Project name: , j �� : / .d: J Description Qty, Foe- Total Total I' Cross street/directions to job site: ,'`,� . `� New residential single -or multi - family dwelling t it. Intludcs attached garage. //_ /� 1,000 sq. ft. or less i45.15 4 Subdivision: t_ -_ ( , a �e Lot no.: (0 Ea. add'I 500 sq. ft or portion — 33,40 1 Tax trap /parcel no.: Limited energy, recidcntial 75,00 2 ��GG L imited crier ,non - residential 75.00 2 ' ' a ' 0 ti 1'w : I . t 'h ` M 't, n I Fw•' E ' 4 Q M t} ' r x 1A J a ikt , ' 1 1Pri a, f1.,<. .V a ,. .eNw f.. , e.i „,.,,,. .i. .3= .,,4 Eachmanufacturedortnodular- " , n dwelling, service and /or feeder 90 2 I' �! 11 Services or feeders installation, alteration, and/o relocation' • 200 amps or less _ ` 80.30 2 'i '; :;ii"iril i :, .' _4• - " ;fk,` .:' I .';. >:.. ,;t13: g'..- j, { aa4 , dry w.r., .:, . v is , ,;ki 201 amps to 400 amps 106,85 2 6;-4.i!. dr1�i i;. I , A, F Tx'�C�e ., - ra ,,, n7 f. ,,'°,:,,,,46.V.,; 1.. t�. , :., .gi' 4..44; r fl:� 401 amps to 600 amps 160.60 . 2 Name: e • 00 Me L L 641 amps to 1,000 amps -'— ' 240.60 2 Address: � J, I Over 1,000 amps or volts 454.65 2 _ lid L�/ i/ - /t_' Reconnect only 66.85 2 Gity /StateeJZ1P: ( /�tr, ( / / 06/� Temporary services or feeders installation, alteration, and /or Phone: �"/// / 6 i q, T& 6? Fax: , 5 6 _ � 07Y relocation 200 amps or less 66.85 1 Owner installation: This installation is being rttade On property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,, lease rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2 Owner signature: �y� Date: Branch circuits- new alteration, or extension, per panel . s //i55° n..IlaR ; t a '. to ' [r 1 r'�51 ti . " � ! i K a 4 t y _ , : — . , . t ZI4e x with �.r, ,k� r C%, a i �O . t a r ,' ® M1 - ,j ., ri . rt_ 4 ,A, 11Gl ° rit 'r A. Fee for branch circuits with Ili: service or feeder fcc, each 6.65 2 j Business name: r 1 , ! )• 5 bnmeh circuit B. Fcc for branch circuits Contact name: �/ without service or feeder fee , A 46.85 2 , ' WPM", each branch circuit Address: , „. _. . ✓ �/ L� � . t Each add'l branch circuit 6.65 12 City/State/ZIP: 1 _6( o 0 / Q 7P0 6' / Miscellaneous (service or feeder not included) _ Phone: ( 5;A 619_4 t (g Fax f L.(l�.l 5A 6 .;�wg�f' Pump or imgation circle 53.40 2 I/ ✓ll / / vu / Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - • i C ",a hq t . . >F 1 , 4 1R' , f• , , y �. `� y - i t t a ''"' en alteration, or �Id2rz� '.,L'��ii7��,i'�,`,Jf {�t,I ����1..i tGEa;.I!.o, ��.�:.. -. .C.., �. e` a�irk�r[.-. J'; t l:: �: ���. p %:4�[:'d�f:,�[�,Y_ti I,i:rM`si. �p anel, alt extension. Describe: Page 2 2 Business name: eQa ,. l e c'f ; G.-. . Address: R. d G 3 $ Lj - Each additional inspection over allowable in any of the above -_. Per inspection 62.50 City /Statc/Z1P: Q t 0 (-e al ,-) Q v Investigation per hour (t hr min) 62.50 Phone: ( ,) G,,-7 s- . / Sr s' Fax: (5 ) ( 8_,_ / t Q .. Industr�a F i plant per hour 73 75 ` — . . ; JKJti n - �' 1 '�' '1 ';' '' 11 k�';trdi.. ' :`' rr"4. .• .1'Ib a)fl. i t! r; . COB Lic.:"j pi t c Electrical Lic.;2_tq.i 0 - 7 , Suprv. Lie : 3 t c,-2_, ,S' Subtotal Suprv. Electrician signature, requir r ge _� Plan review (25% of permit fee) Print name: �kU '" D� "' c. Date: � - L ` 4 � ` b State surcharge (8% of permit fee) v - TOTAL PERMIT FEE Authorized signature: • o Thi4 permit application expires if a permit i5 not obtained within IAO / days after it hal been accepted as complete Print name: h e ✓( l Date: • Fee methodology set by -ri- County Building Industry Service Board FROM 503 678 1108 TO Roundstone Construc 9/29/2005 4:56 PM Page 1 Mar 01 06 08:31a 503 -632 -5647 p.2 CITY OF TIGARD 11451 Ix) .: 004/3 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE E., El ED MIKE PATTERSON PLUMBING MAR 1 2006 15028 S MITCHELL LANE OREGON CITY, OR 97045 CITY Of. 111uA1a1 BUILDING DT1T!STOT\' Plumbing Signature Form Permit #: MST2005 -00438 Date Issued =--- 2/2712006 - _ . Parcel: 1 S 134D B -S0006 Site Address: 11098 SW 113TH TERR Subdivision: STONECHASE Block: Lot: 006 Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: '' � MBING CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES MI • TTERSON PLUMBING 9550 SW BEAVERTON HILLSDALE HY 15028 ` TCHELL LANE BEAVERTON, OR 97005 OREGON kN , OR 97045 Phone #: 503 - 619 -4668 Phone #: 503 -63 374 Reg #: LIC 81746 PLM 3 -359PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. r ikomvi CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit; Number: rjarTial Lot No. Subdivision Address , Contact_Name Busmess Street g , 5 , City FVFIIPMEMI1111.11. State' Zip As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. e application is complete. The application is incomplete for the following reason: 1 1 The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. 1 The submitted plans cannot be reviewed until the above information has been submitted and/or approved. 1 1 The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. ^t./ /-St -06 Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 ,1 ® SI N : . ?& E E C ?TIF i_ 1 I* ® I, - ( (PL S l R NS (� j'1 , ®► cane gent for ( Z -8) eaqvilt itirne- , (PLEASE PRINT) (PERM1HOLDER) 4 i \ ® R gt 1 " i - :" 1 Do hereby ' hi tv hie f`o o`wi e location ®- ® meets R _-XOfe rdiaii 2ton ounty ® land use and development standards for street tree installation. Pt- 1 ADDRESS: ) 10qg 1 1 3 1.. ik am i LOT: (, SUBDIVISION: _S Z)YQ- C11CQ,® -e- 4 1 i BY: - 1-e-re_ &, rbS ) DATE: it l5 ---O 1p 1 P> 1 1 RECEIVED BY: DATE: CITY OF.TIGARD BUILDING DIVISION PERMIT #: M0l 00431 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7127/2006 Phone: -(503) 639 -4171 '�� �����°� ?,; a� I ST2 Insp Requests (24 Hrs.): (503) 639 -4175 ,!.+�;P'flL INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:04Am PAGE: 2113 ; SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 004 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF 10/20/2006 Add AC unit OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503_6i9.4668 CONTRACTOR: CERRITZ BICGI CUSTOM HOMES PHONE #: 503 - 619.4€68 Inspection Request Scheduled For: Date: 10/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message HA 299 Final inspection 038645.02 503 -320 -2703 Y Corrections /Comments /Instructions: l Ulijk(C. i — PASS H PARTIAL APPROVAL fl CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ■� ! Inspector: Date: #: (503) 718 CITY OF ��mn m m.�m— wm�����m�� BUILDING DIVISION PERMIT #: IvIST2005-00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2086 Phone: (503)G3A'4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 A~' ��..: INSPECTION WORKSHEET FOR DATE: 10/2312006 TIME: 7:O4Alvl PAGE: 29 SITE SW EADDRESS� 11O98S113THTERR . CLASS OF WORK: SUBDIVISION: 3T0NECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF 1CV2O/2OOG Add ACunit OWNER: GERR|TZENQQ| CUSTOM HOMES, PHONE #: 503-019-4668 . CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 505'619'4668 lnspection Request Scheduled For: Date: 10y23y2006 Pour Time: ' Code # Inspection Description Confirm # Contact Message � 699 *Neuham(ua!Tina| 038846-01 ^ 603-320-2703 Y Corrections/Comments/Instructions: ��� ', , Al inirABIWARMU r .. F v -‘,.. . PASS n PARTIAL APPROVAL 1 1 CANCEL ri NO ACCESS | | FAIL �� CALL INSPECTION ( 1 AOODD*NALF ES ASSESSED . . �� . . `-`` ^�� ~�" J& Inspector: . Date: [-� �^/ • w ^p Phone #: (5O3)71 �-^~~ t 1 1 0 ' " CITY OF TIGARD BUILDING DIVISION > PERMIT #: MST2005 -OQ438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639- 4171'��;r1''il� Inspection Requests (24 Hrs.): (503) 639 -4175 s p °.. INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7 :01AM PAGE: 45 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE . DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 - 619-4658 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503 - 618.46681 Inspection Request Scheduled For: Date: 10/20/200, Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038573 -02 503-320-2703 N Corrections /Comm nts /Instructions, 6 C (s& __------- A1R _ _ i vii.L.„ - for--- ...41t • P ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I FAIL n CALL FOR INSPECTION I I ADDI IONA,L FEES ASSESSED i7, Inspector: „1t� Date : I 06 Phone #: (503) 718 -24 . • CITY OF -� ��nm n ��m— TIGARD BUILDING DIVISION ` ��f;|�<O5O0430 ~�~~"~~~°""~~° ~°"°"~~"~~"° PERMIT #: ur, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212772006 Phone: (503) 639-4171 Inspection Requests (24Hnuj:(5O3)83A'4175 a���`'� L- INSPECTION WORKSHEET FOR DATE: 8/23/2006 TIME: 7:03AM PAGE: 53 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 005 TYPE OF USE: PROJECT NAME: ST[)NECHASE DESCRIPTION: New SF OWNER: GERR|TZBIGG\ CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 505-619.4060 Inspection Request Scheduled For: Date: 6123/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 E3'mwovpan 036416-01 503-9397246 N Corrections/Comments/Instructions: *ASS El PARTIAL APPROVAL 7 CANCEL | | NO ACCESS | | FAIL ri CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: 6 \ - Date: ?"1 12 I 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2O(.)'.O0-1:38 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12 of 2f'0 Phone: (503) 639 -4171 41 , Inspection Requests (24 Hrs.): (503) 639 -4175 ' _.. INSPECTION WORKSHEET FOR DATE: 24 /2006 TIME: 7:12AMVt PAGE: ai0 SITE ADDRESS: 11038 SW TERR CLASS OF WORK: SUBDIVISION: STONECI LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASSE DESCRIPTION: New SF OWNER: Gt RRITL DlGt l CUSTOM HOMES, PHONE #: 5(3619 166B CONTRACTOR: GE.I RITZ I(.=,�GI CUSTOM HOMES PHONE #: 503 - 619.468 Inspection Request Scheduled For: Date: 5124/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Hun rough 030474 - 01 503 N Corrections /Comments /Instructions: ��� / 4 / ..4 _ � _ __ - 41 I li l ; 1'� 01) 6 ( V PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 FAI n CAL OR INSPECTION ❑ ADDITI. AL FEES ASSESSED te ■ Inspector: 4j/ ` ' Date: v Y 0 j Phone #: (503) 718 - t :2 /J BUILDING DIVISION PERMIT #:06 Gs QG (1J g, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: T Phone: (503) 639-4171 o Inspection Requests (24 Hrs.): (503) 639 - 4175.x,._1, INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: // l 67 g ` (3 72A4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 ---/6 v 4.. Pour Time: (3' ) ((2- (�. -) Code # Inspectio n Description Confirm # Contact # Message V . Correcti o tOn truc s: 4 It i MU It A I g 1 r W . ( , ( 2 ' ) ifil r / t 04 - , ' (Z OIJ/ 1, `\ i--3(4'‘ 1 v . ASS H PARTIAL APPROVAL CANCEL I NO ACCESS FAIL 1 I CALL FOR INSPECTION ADDITIINAL ES ASSESSED Inspector: re Date. I ' 6 Phone #: (503) 718- CITY OF TIGARD ill sr BUILDING DIVISION PERMIT #:2 0,05--- d o to f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ,,i; iii' Inspection Requests (24 Hrs.): (503) 639 -4175 �. &W: !. • INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / I Q ! f l / 3 c - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 —7-0 ( Pour Time: Code nspection D-_ '•n on • Contact # Message "� • 340 / orrectio - Comrents /Instruction • ASS [l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL - c' LL FOR I SPECTION n ADDITIO AL F' ES ASSESSED ���� / Inspector: '� Date: Phone #: (503) 718 - CITY OF TIGARD , . BUILDING DIVISION Ai PERMIT #: MST2005.00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2006 Phone: (503) 639-4171 ,..... Inspection Requests (24 Hrs.): (503) 639-4175 !Ali INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 76 SITE ADDRESS: 11098 SAN 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-6194668 CONTRACTOR: GERRITZ BIOGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10/1902006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038464-01 503-981-4640 Y Corrections/Comments/Instructions: v . • 3 c . ksot.) ID* 1 P C-- A,4c D V in F"E"6 . Nt 1060 . E - c, t'cv4 i6itt.Abl ..... ....... ........._______ ___ t N6 i • 1 I PASS PARTIAL APPROVAL 7 CANCEL I I NO ACCESS 7 FAIL n CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED • Inspector: 00:\e) t.... Date: % I ' 1,, ' $ . 4 Phone #: (503) 718- __ ________ . : • CITY OF TIGARD dp BUILDING DIVISION A PERMIT it: MST2005-00438 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/27/2006 Phone: (503) 639-4171 .Vit Inspection Requests (24 Hrs.): (503) 639-4175 ,,..._-_. . ...... . INSPECTION WORKSHEET FOR DATE: 6(8/2006 TIME: 70310/1 PAGE: 84 • SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHAF..-1E DESCRIPTION: New SF OWNER: GERRITZ. BIGGI CUSTOM HOMES, PHONE #: 503-619-4660 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4660 Inspection Request Scheduled For: Date: 618/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Eleitrical service 031360-01 503-981-4640 N Corrections/Comments/Instructions: ,PASS fl PARTIAL APPROVAL 0 CANCEL EI NO ACCESS n FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Noe L ' C 1 OC Phone #: (503) 718-244 CITY OF TIGARD BUILDING DIVISION PERMIT #: Nisi 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2712006 Phone: (503) 639-4171 -- 7' ' Inspection Requests (24 Hrs.): (503) 639-4175 . A4 'Ia. INSPECTION WORKSHEET FOR DATE: 6/8/2006 TIME: 7 : 03 Atvi PAGE: 83 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Novv SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ. BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6(8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 031360 02 503-981-4640 N Corrections/Comments/ Instructions: Foo.) Rol, Li\I , km , te-c-. yyvae, gb . 1 ) T.p(t..\) _._._._._..,........___ • •. PASS fl PARTIAL APPROVAL E CANCEL 0 NO ACCESS I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED — Inspector: N t Z.. LE Date: 6 . 4 8 r 04. Phone #: (503) 718- 144 Restr Energy 4 i!i Electrical Installer Log CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT # 11 s' ¢ Q,OO,s- - QO9 32 PLEASE PRINT ISSUED BY DATE TO BE COMPLETED BY INSPECTING JURISDICTION CHECK TYPE OF WORK INVOLVED: NUMBER OF SYSTEMS: 1 & 2 FAMILY COMMERCIAL O Audio and Stereo Systems* 0 Audio and Stereo Systems O Burglar Alarms 0 Boiler controls O Garage Door Openers* 0 Clock Systems 0/ HVAC* 0 Data Communication Systems Vacuum Systems* 0 Fire Alarms O Other 0 HVAC O Intercom and Paging systems THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE 0 Landscape Irrigation Controls* SERVICE PANEL. IF THERE IS NO SERVICE PANEL, POST ON OR D Medical NEAR THE INSTALLED PRODUCT. AN INSPECTION SHALL BE 0 Nurse Calls REQUESTED ONLY AFTER ALL OF THE ABOVE PERMITTED SYSTEMS HAVE BEEN INSTALLED, AND THIS LOG HAS BEEN 0 Outdoor Landscape Lighting* SIGNED BY THE SYSTEM CONTRACTOR(S). OAR 918 - 320 -450. 0 Protective signaling O Other * No licenses are required. Licenses are required for all other installations. O System - - -- 0 System Compan CENTRAL VAC INSTALL X105 0025 Company: Phone: Address: GARY'S VACUFLO, INC CCB # Address: Sig.: 9015 SE FLAVEL, 972 6�LE626Th$ - Sig: Lic. # 985 0 Sys, s fr_:- '1099LN1S &/OR JLE: 98 0 System Company ,-;.%,., '" !- . ,..l le. Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System IN 6 Die, .'? m e , bkl'R . S� L liv System Company: Q'2 Vlll,ls'0V Phone: C any: Phone: Address: CCB # Address: CCB # . Sig.: 'Q N � L/ Lic. # Sig: Lic. # 0 System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # *Construction Contractors Board License CITY , F �i AR® M s7 - c ® G BUILDING DIVISION PERMIT #: a S --66 413 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Alltb.144610 Inspection Requests (24 Hrs.): (503) 639 -4175 1 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / ' Q O / 1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: co —16 —0 < Pour Time: Code # Inspection Description Confirm # Contact # Message a -7 6 /v a d c S ( , 3 - 2 _ o - - 7 _ 7 0 3 l\ii-. ./ rrections /Commen s In ruc is: AI T. --' / I As y r p W v , n I Al" . ( 4,.. . ( ------ ; fr,..._..„ ),„ rol _...„ tiA LuL) vor,,, _1, .. P ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL f FO INSPECTION n ADDITIONAL FEES ASSESSED Inspector: • 1i i Date: C, t ( (CI Phone #: (503) 718- 2kt 75 CITY OF TIGARD - BUILDING DIVISION PERMIT #: M aT200fi- 0043f1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2212112006 Phone: (503) 639-4171 itz A, ,'� � 1 Inspection Requests (24 Hrs.): (503) 639 -4175 -. INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: /:00Ahrt PAGE: 80 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: S I ONECHASE DESCRIPTION: Now SF OWNER: GERRITY RIOGI CUSTOM HOMES, PHONE #: 503.61 CONTRACTOR: GL:RRITZ BiGGI CUSTOM HOMES PHONE #: 503.619- 660 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 200 iri„uial.ion 031798 -01 503 -320 -2703 N Corrections /Comments/ Instructions: gil op .s � 1 _1,.,, ,— _ -4, I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL N CALL FOR INSPECTION n ADDITI INAL ES ASSESSED i Inspector: IV ` Date: (r 6 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSI' 2005. 00430 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127120t)6 Phone: (503) 639 -4171 ICI. Inspection Requests (24 Hrs.): (503) 639 -4175 .._:'. _.. INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: Bid SITE ADDRESS: .H098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: S I ONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: Sl ONECI DESCRIPTION: 1" SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503. 613 4668 CONTRACTOR: GERRITZ. BIGGI CUSTOM HOMES PHONE #: 503 46 0 Inspection Request Scheduled For: Date: 6 / 1 3 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031604 -04 503320 -2703 N Corrections /Comments/ Instructions: . Ax._, ; I I.: , A / -- lagri.., ENO MI3 P `I [ ok 1 / sr /A sr , fur �. p in r- 1 ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL ri CALL ' OR INSPECTION ❑ ADDITI NAL FEES ASSESSED 1 Inspector: ar I / Date: C - Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20O5-00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21270006 Phone: (503) 639 -4171 IC Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 8/ SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: S I ONECHAS E LOT #: 006 TYPE OF USE: PROJECT NAME: S1 ONECHASE DESCRIPTION: Now SF OWNER: GERRITZ DIGGI CUSTOM HOMES, PHONE #: 503.619446613 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503.619- 4661:3 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gai line 031600 - 05 503-320-2703 N Corrections /Comments/ Instructions: ) 113 Li Y. A /1- PAS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED A ( (Phone Inspector: � Date: #: (503) 718 __ • ' - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006-00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 Phone: (503) 639-4171 Awl, el\ Inspection Requests (24 Hrs.): (503) 639-4175 .41; ....._,., -__.., . INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 91 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: SIONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: SlONECHASE DESCRIPTION: Now SF OWNER: GERRITZ BlGGI CUSTOM HOMES, PHONE #: 503-618466f3 CONTRACTOR: GERRITZ B1G6I CUSTOM HOMES PHONE #: 503-619.-4668 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anthem 031604-01 503-320-2703 N Corrections/Comments/Instructions: dr 0 ' , 1 i r fr 1 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS FAIL CALL Fla R INSPECTION ADDITIO AL FEES ASSESSED Inspector. 4 f Date: Phone #: (503) 718- Z4-2)3 CITY OF TIGARD " - BUILDING DIVISION PERMIT #: MST 2005 M 04313 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639 -4171 4 q 1�I Inspection Requests (24 Hrs.): (503) 639 - 41751,E I INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 90 SITE ADDRESS: 1109E3SW 113TH TEPR CLASS OF WORK: SUBDIVISION: S1 ONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: SFONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 "619 -4660 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503- 6194166F3 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 247 luteiior shear wells 031604 -02 503-320-2703 • N Corrections /Comments /Instructions: 21 ' 117: '' \ . i PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDI ONAL EES ASSESSED Inspector: fp j 1 . r ' Date: ` ® 60 Phone #: (503) 718 -2l" CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212712006 Phone: (503) 639-4171 ... Inspection Requests (24 Hrs.): (503) 639-4175 W.411 INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7 : 22 AM PAGE: 86 SITE ADDRESS: 11098 SW 113TH TERR CLASS OF WORK: SUBDIVISION: S1ONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: G1ERRITZ BIGGI CUS1OM HOMES, PHONE #: 503-6194668 CONTRACTOR: GERRITZ BIGG1 CUSTOM HOMES PHONE #: 503-619-4 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 616 Mechanical rough-in 03'1604-06 503-320-2703 N Corrections/Comments/InStructions: L , . 1 / IP' 4 1- fr ,IP - . l - .__ ' e MI.Wit If Z ASS 0 PARTIAL APPROVAL 7 CANCEL El NO ACCESS 0 FAIL ., LL FOR INSPECTION r7 ADDITI NAL F ES ASSESSED r, , • Inspector: i V 1 .. Phone #: (503) 718- Date: 1 3 IS 2kg7- CITY OF TIGARD BUILDING DIVISION PERMIT #: MIST200tiM043 €3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2110.006 Phone: (503) 639 -4171 j A, Inspection Requests (24 Hrs.): (503) 639 -4175 ...': "'fl INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 89 SITE ADDRESS: 1 SW 113TH TERR CLASS OF WORK: SUBDIVISION: S1 ONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: S I ONELIIASE DESCRIPTION: New SF OWNER: GE_RRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 50:1 - 6194660 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 031604-03 503 -320 -2703 N Corrections /Comments/ Instructions: • i � � .:� , J. 0 ". I II ►0 PASS ri PARTIAL APPROVAL n CANCEL NO ACCESS FAIL MI CALL FOR SPECTION Ti ADDITI NAL FEES ASSESSED I ttNilli ff Inspector: ' Date: - , Phone #: (503) 718 - 2--+Z.", CITY OF TIGARD BUILDING DIVISION PERMIT #: M312(M.00: 31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21270006 Phone: (503) 639 -4171 , . , . ,. Inspection Requests (24 Hrs.): (503) 639 -4175 ...... - __ 1 � INSPECTION WORKSHEET FOR DATE: 6/24/2006 TIME: 7:12AM PAGE: 1f, SITE ADDRESS: 11090 SW 113TH TERR CLASS OF WORK: SUBDIVISION: TONECFIAGE LOT #: 006 TYPE OF USE: PROJECT NAME: S' ONE.CHASE DESCRIPTION: New ¶3F OWNER: C ERRITZ B1GGI CUSTOM HOMES, PHONE #: 603-619-4668 CONTRACTOR: GERR1TZ 131(3(31 CUSTOM HOMES PHONE #: 603 3 Inspection Request Scheduled For: Date: 5/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterioe Q- :heati 030519 -03 603-320-2703 N Corrections /Comments / Instructions: ,_____ (5 k i f JQ_ PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C; LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /1 Air Date: J ''I 1 0 (p Phone #: (503) 718- ��` a3 CITY OF TIGARD BUILDING DIVISION PERMIT #: M;3 I .00!5.0013133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 2_/27/2001 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 44% INSPECTION WORKSHEET FOR DATE: ry; /24/2t306 TIME: 7 :12AM PAGE: 17 SITE ADDRESS: 110M SW 113TH TERR CLASS OF WORK: SUBDIVISION: S ONECHA 3E LOT #: 006 TYPE OF USE: PROJECT NAME: . rONECHASE. DESCRIPTION: New SF OWNER: GERRITZ MCA CUSTOM HOMES, PHONE #: W3 CONTRACTOR: GEF RITZ BIGG`i CUSTOM HOMES PHONE #: 503 Inspection Request Scheduled For: Date: 512412006 Pour Time: Code # Inspection Description Confirm # Contact # Message 23(1 Shear wally anchor 03051q.01 603-320-2703. N Corrections /Comments /Instructions: • I ASS • n PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS n FAIL • CA. FOR I ; SPECTION ❑ ADDITIONAL FEES ASSESSED A ■II �' i Inspector: Date: / v�` (� b � Phone #: (503) 718- ds. L 1 3 • CITY OF TIGARD BUILDING DIVISION PERMIT #: 00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639 -4171 �ba °'; ,,, i fi'I�il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AiMM PAGE: 16 SITE ADDRESS: 11090 SW 113TH TERR CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 006 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Now SF OWNER: GERI l fZ, E IGGI CUSTOM TOM HOMES, PHONE #: 503,,6 CONTRACTOR: PERRI ' f31GGl CUSTOM HOMES PHONE #: 503-619-460B Inspection Request Scheduled For: Date:. 5/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message ?42 Interior sheaf wails 030519 503-320-2703 N Corrections /Comments /Instructions: `` E I S c b�-h SrUL5 c) I'�1 "vi RoO/y) E 5In ecrr w� I ©ro. pI ! - r F 4J 4 1 L ( /1/ G-- 4 rA 1 I S-1- ,4 PS 1Aca 1 ? q. 1- & ' w a y Prn ✓: rJ'e b / o c k cA -L ,0 a . E . S 1 e r4 1 l L9) 1310 / C4 () A/ A 1 L I l 1 O o R 1Y\ c r e . S per y �1ci �S, • u P S pi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR . SPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: _ .5 / 6 b Phone #: (503) 718 - , ; L 1 , 3 CITY OF TIGARD in s' ( BUILDING DIVISION PERMIT #:apo od (8S 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 itroi A ;4k Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: -- TIME: PAGE: // SITE ADDRESS: Q g ` /3 TL-A4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -1 - d c Pour Time: ( 3 is) (2Z5� 405 ) Code # Inspection Description Confirm # Contact # Message St) Correcti o tss7� - • Mil I 111 IMETWIIIIM FMNIEWPAIW1 t ha L 11 I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ADDITI'iNAL ES ASSESSED Inspector: 4110; Date. I v Phone #: (503) 718 - CITY OF TIGARD n i s . BUILDING DIVISION PERMIT #: 2 5 - 0 0 3P 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUID: 1 - _ 00 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .- ° �.. �(' -�/� INSPECTION WORKSHEET FOR DATE: TIME: /I PAGE: / p' / / I `.e" /1 SITE ADDRESS: // 0 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - 7 - D c Pour Ti / : 2 D Code # Inspection Description Confirm # Contact # Message ©s 0/ 1 3o 7 - 0 x 37 Qth6omm7s r c •n G �.c -e 'A.0 0 - t " ,64a '_ 1 Ste' - ' ,bc� e. l.► 4 w' /' c44'7!( PA 3 -- .-7 et12/ C4-17 C, X 404 /f . ) ,,,z 6 4.1_,0 ).9,_q4 ) 114-.- C. 1/1.1 o- P,4 c reAid 20 -4 ^ 4Q,' a id -2( 0 :- /Wiaoe4 4 pAss n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4,1 44t/ Date: / 6 P h one #: (503) 718- 276