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Permit ,, CITY OF T I G A F� MASTER PERMIT D PERMIT #: MST2005 -00409 �l SW DEVELOPMENT Tigard, SERVICES 3 639 -4171 CES DATE ISSUED: 1/23/2006 X31 A PARCEL: 2 S 103 B D - 11100 SITE ADDRESS: 11737 SW ERROL ST ZONING: R - 4 5 SUBDIVISION: CAPPOEN ESTATES LOT: 002 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE MAS1228B STORIES 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK NEW HEIGHT 16 FIRST 2200 of BASEMENT of LEFT 5 SMOKE DETECTORS Y TYPE OF USE SF FLOOR LOAD 50 SECOND sf GARAGE 773 sf FRONT 15 PARKING SPACES 2 TYPE OF CONST 5N DWELLING UNITS I TWO sf RIGHT 5 VALUE 226 645 50 OCCUPANCY GRP R3 BDRM 3 BATH 3 TOTAL 2.200 of 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 I CATCH BASINS TUB /SHOWERS 3 GARBAGE DISP 1 WATER HEATERS I WATER LINES 100 BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES MECHANICAL FUEL TYPES FURN < 100K 1 BOIL/CMP < 3HP VENT FANS 4 CLOTHES DRYER 1 NAT FURN >=100K UNIT HEATERS HOODS 1 OTHER UNITS 1 MAX NP btu FLOOR FURNANCES VENTS 1 WOODSTOVES GAS OUTLETS 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS 1 0 • 200 amp 0 - 200 amp W/SVC OR FDR PUMP /IRRIGATION PER INSPECTION EAADD'L 5005F 4 201 - 400 amp 201 • 400 amp 1st W/OSVC/P R 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 >o4 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 PROTECTIVESIGNL GARAGE OPENER CLOCK INSTRUMENTATION MEDICAL OTHR HVAC DATAITELE COMM NURSE CALLS TOTAL #SYSTEMS This permit Is subject to the regulations contained in the Owner Contractor Tigard Municipal Code, State of OR Specialty Codes FOUR D CONSTRUCTION FOUR D CONSTRUCTION and all other applicable laws All work will be done in PO BOX 1577 PO BOX 1577 accordance with approved plans This permit will expire BEAVERTON, OR 97075 BEAVERTON, OR 97075 if work is not started within 180 days of issuance, or rf the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules Phone' 503 -590 -0805 Contact #: PRI 503 -590 -0805 adopted by the Oregon Utility Notification Center Those FAX 503 -590 -1751 rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080 You may obtain copies of these rules or Reg #• LIC 71037 direct questions to OUNC by calling 503 246 - 5699 or TOTAL FEES: $ 9,848.21 1 -800- 332 -2344 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : 6„__41. 12 —� - - . . . Permittee Signature . _ t �� / , /« 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 - Application _ rSi FOR OFFICE - USE ONLY «of City of Tigard Received Date/B , 7 /5 156 _ r_r,. u 13125 SW Hall Blvd Tigard,OR,972231r• Plan Review Phone 503 639 417' U rax 503'598 X60 4'c +R x ' • Date/B n -or D Pen y - Il I l y "✓ la 3n 411c5 -oo39q Inspection Lme .5 639 4175 ,• Date Ready/By i / C 1 Id See Attk Internet w 7� w $ w T CUi a 1: 111 oi :d/Mclhod 7 / ( trick Su pp lemental lnached fo r C hmecanun list for ,' G _ L - OF; WORK_ 4 ,- l..` 1, REQUIRED DA7 A: -1 -AND 2- FAMILY DWELLING g 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 S f .r,;;r.-, - 5 .., �...:` °.nS •"s work indicated on tins application CATEGORY OF CONSYRUCI'ION' •9 s 4 EXI I- and 2- family dwelling ❑ Commercial /industrial Valuation S m ❑ Accessory building ❑ Multi - family Number of bedrooms V I Master budder ❑ Other Number of bathrooms c • - - - •JOB SITE INFORMATION ANU LOCATION -`•, - �%£°...'. lT Total number of floors �` Job site address /1 .-s 7 £ D. G CR .z s T New dwelling area square feet City /State/ZIP (i :AL Cp l(._ 9'7223 Garage /carport area square feet (\ ' Suite/bldg /apt no Project name Covered porch area square feet `�\ Cross street /directions to job site Deck area square feel (,0,9LN't t cf7 Other structure area square feet f y; REQUIRED DATA: COMMERCIAL- USE'CHECKLIS Subdivision CA?'" Oasis `C &-7,.;I Lot no 2 Permit fees* are based on the value of the work performed e ti Tax map /parcel no Indicate the value (rounded to the nearest dollar) of all _ „ _ equipment, materials, labor, overhead, and the profit for the ` _ 1,:- ? ' _DESCRIPTION WORK' . a . 2 - 4 , ::: ' ' ' f ( - C ' . - - work indicated on this application 7i u �G� r/ 2 / Valuation $ S /1LeL,) f"p Existing building area square feet New buildmg area square feet 'pi PROPERTY ”' ' ' 1,7 ; ; D TENANT. -•'� s' n ries OWNER. - ).," S '•t;r'F " "�k i r.. Number of stones s Name � 0 CL aSh. ST, /LGW� C — Type of construction Address �. 2 cat /.S 7 7 Occupancy groups City/State/ZIP apjsy.4.•t,„ 4, - * 77457.0 Existing Phone ,663) .S'90 .. p S Fax ,SC5 .3) ,__C-9 0._ 1 7..$ i New . r '- X;APPLICAN EI: .,, • 1 } Yi0` i ONTACT'•PERSON ',,�' _ _ -• .S 'NOTICE, _ • - Business name A0--n �4.1? a ~ ' • - ' - �.d 0 (>� All contractors and subcontractors are required to be Contact name licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address jurisdiction in which work is being performed If the City/State/ZIP applicant is exempt from licensing, the following reasons apply Phone ( ) fax ( ) E-mail • «:,_CONTRActoR:xt'Ase li;'?ii,Lr -t., ' 'a # f, {• - r - Business name Riervi ,e in rY- ,46 U-0—. ss .- - ; 'BUILDING PERMIT . FEES! _ _ , . Address Please refer to fee schedule. City/ State/ZIP Phone ( ) Fax Fees due upon application ( ) 7/ p37 Amount received CCB lie 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 ?4/ r�Z P o ar Date /0 —23— e 5 • Fee methodology set by TB County Building Industry Service Board i lFiuildin1U'ennns BUP- ll- Penn,Npp doe 12103 440-4613T(I I /o1/COMIWEn) 140/ . Electrical Permit ARnlicationt p� _ 1 FOR OFFICE USE ONLY � ' ' , City of Tigard if �' ' � f`° p y P ermi t N o ye s _ , , 9 13125 SW Flail Blvd, Tigard, OR 97223 Plan Review 2 Phone 503 639 4171 Fax 503 598119y ry A " ' "q+y r f'"\ Date/B Other Permit Inspection Line 503 639 4175 U [(, O I 20 05 „ _r_ - � e'I_� Date Ready/By "anr ® See Page 2 for Internet www ci tigard or us Notified/Method Supplemental Information Lyn In ir a TYPV OnWORIkii PLAN REVIEW ❑ New construction --.. LJ- AbHition/alteraiibn/replac Please check all that apply 'tit ❑Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: ❑Service over 320 amps — rating ['Bulldog over 10,000 sq R, CATEGORY OF CONSTRUCTION of I - and 2 -family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ❑ Building over three stories ❑ Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB ,SITE INFORMATION AND LOCATION ❑Egressdighting plan RV park Job no.: Job site address. ❑Health -care facility ❑Other Submit 2 sets of plans with any of the above City /State/ZIP: The above are not applicable to temporary construction service Suite/bldg. /apt. no Project name FEE* SCHEDULE Description I Qty- I Fee. I Tutal I — Cross street/directions to job site: New residential single -or multi- family dwelling unit. Includes attached garage. 1,000 sq R or less 145 15 4 Subdivision: Lot no . Ea add'l 500 sq ft or portion 33 40 I Tax map /parcel no.: Limited energy, residential 75 00 2 Limited energy, non - residential 75 00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90 90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 401 amps to 600 amps 160 60 2 Name 601 amps to 1,000 amps 240 60 2 Address Over 1,000 amps or volts 454 65 2 Reconnect only 66 85 2 City /State/ZIP Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) _ 200 amps or less 66 85 1 Owner installation: This installation is being made 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: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with service or feeder fee, each 6 65 2 Business name: branch circuit Contact name: B Fee for branch circuits without service or feeder fee, 46 85 2 Address each branch circuit Each add'I branch circuit 6 65 2 City/State/ZIP: - Miscellaneous (service or feeder not included) Phone ( ) Fax . ( ) Pump or irrigation circle 53 40 2 Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe Page 2 2 Business name: 1� ob eer_s geGe.crtic: Address: 5 75 ! .Q, to c dell �L.ei Each additional inspection over allowable in any of the above Per inspection 62 50 City /State/ZIP. C? K-71_0¢/Vet z e Q, 17:7.9 / Investigation per hour (I hr min) 62 50 Phone ,(g)3),2.4@— 7 7,5 C Fax ( ) Industrial plant per hour 73 75 ELECTRICAL PERMIT FEES* Cf CCB Lic.: `J�d? Elcetneal Lie :2a 23 a Suprv. Lic..39 S Subtotal Supry Electncian signature, required. "' "ink Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name /. ea - ) c0.44 Date `D 2 -23— is S TOTAL PERMIT FEE Authorized signature / This permit application expires if a permit is not obtained within 180 p �� days after it has been accepted as complete � Print name ` - 4F� ie /1J r F • Fee methodology set by Tn- County Building Industry Service Board �` e Number of inspections per permit allowed I \Building \ Permits 3EEC /PennMop doe 12/03 440-4615T(I0ro2/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other 1 COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Budding\Pttmiu\ELC- PenmNpp d« 04/03 t�^^ p . Mechanical Permit Applicati�onq �/ J FOIL O(•.ricf: pis ,vlNL' poi City of Tigard Received ^ 13125 SW Hall Blvd , Tigard, OR 97223 t Date/By i -.�lli / IA f Phone 503 6394171 Fax 503 598 1960 0 ` 2005 A 1 y Plan Review wi )q r:r fi e, Date/By Other Permit Inspection Line 503 639 4175 _ i4. 1 1 . _ Daic Ready/By Juns RI See Page 2 for Internet www ci tigard or us Gj I Y OF TIGA J - Notified/Method Supplemental Information miff ! lE n r1T\ 7TO Trx TYPE OF WORK _). - q " COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Z i New construction ❑ Addition /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 $ i � RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Ksd I- and 2 - family dwelling ❑ Commercial /Industrial ❑ Accessory budding ❑ Multi family V Master builder 0 Other. For special information use checklist F Description Qty Ea Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address // 737 s AJ yy Air conditioning plan or heat pump �h t�(')( s7--: (requires site plan showing placement) 14 00 City /State /ZIP T/9 02099 DrtJ 9722_3 Furnace 100,000 BTU (duets) 14 00 Suite / bldg /apt no Project name Furnace 100,000+ BTU (ducts/vents) 17 90 Gas heat pump 14 00 Cross street /directions mph s ite Duct work 14 00 Ngt�' Hydronic hot water system 14 00 b t/ AZ 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 / o p 0 , 4 ",„ fat-Ar Lot no . 2._ Other _ 1000 Tax map /parcel no' Other fuel appliances DESCRIPTION OF WORK • Water heater 1000 ^ p / y �f Gas fireplace 10 00 c li? (wad fC ff)7[.C Flue gas vent for water heater or as fireplace 10 00 Log lighter (gas) 10 00 Wood/pellet stove 10 00 Wood fireplacehnsert 10 00 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10 00 Other 10 00 Name r'''" '2 arch e4-0.7au a. Environmental exhaust and ventilation Range Address Z 0 2 6X /5 77 equipment kitchen egmpmem 10 00 City /State/ZIP 73.04 th e),../ f7615— Clothes dryer exhaust 10 00 � t� Single -duct exhaust (bathrooms, Phone (,S3) 3 90 - Dtf�OS Fax os3 ). /o -e 7 ,S•/ toilet compartments, utility rooms) 6 80 g APPLICANT ❑ CONTACT PERSON Attidcrawlspace fans 10 00 4 / Other 1000 Business name u n b D p.a/ Fuel piping Contact name $5.40 for first four; $1.00 for each additional Address Furnace, etc Gas heat pump City /State /ZIP Wall /suspended/unit heater Phone ( ) Fax ( ) Water heater Fireplace E-mail Range CONTRACTOR Barbecue Business name i Clothes dryer (gas) ■ _ Other Address /y t7( s L ° MECHANICAL PERMIT FEES* city /state /ZIP 1/4/ c-4.6 nth A ' ?7 Subtotal Phone (Sig) 6 .0 .54 «g Fax ( ) Minimum permit fee ($72 ) Plan review (25% of permit feeee) CCB he 4, g S7c State surcharge (8% of permit tee) TOTAL PERMIT FEE Authorized signature p A ,t._ This permit a pplication expires if a permit is not obtained within ISO days after It has been accepted as complete Print name ,/ . ,•t M� `, _."�'/ Date / c , _0_2 _ ets 2 s • Fee methodology set by Tn- County Building Industry Service Board B i \uilding \Perml6 RtEC PamnApp doe _ 12/03 � 410-4617T( I I/o]/COM /WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1 00 to $2,000.00 Minimum fee $72.50 $2,001 00 to $5,000.00 $72 50 for the first $2,000 00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000 00. $5,001.00 to $10,000.00 $141 50 for the first $5,000 00 and $1.80 for each additional $100 00 or fraction thereof, to and including $10,000 00 $10,001 00 to $50,000.00 $231.50 for the first $10,000 00 and $1.35 for each additional $100.00 or fraction thereof, to and including - - $50,000 00. - _' . $50,001.00 to $100,000 00 $771 50 for the first $50,000 00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000 01 and up $1,396 50 for the first $100,000 00 and $1.10 for each additional $100 00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I \i3udding \ Permits \MEC- PermlApp doc 12/03 2 Building Fixtures %do / • Plumbing Permi Plti ` oii ¢'t r . FOR OFFICE USE ONLY City of Tigard Received No n62:4, C 13125 SW Hall Blvd , Tigard, OR 9723 Date/By ]�j �j / — �QyV / Plan Phone 503 639 4171 Fax 503 598)190 0 tj 2005 ^ /,,,,, o I i Date/By Review a `i Other Permit No 24- Hour Inspection Line 503 639 4175 v .al I I '\ D Permit Daz "s e Ready/By lu El See Page 2 for Internet www ci tigard or use)" Tv imp, •h ?r ; Notified/Method Supplemental Information Rrn T O W FEE* SCHEDULE L�y A M New construction I. ,1-41 dbmohhon For special information use checklist. Description 1 Qty I Ea I Total ❑ Addition /alteration/replacement ❑ Other New 1- 2 -family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 24920 [4 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 r Master budder 0 Other Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address / / 2 2 7 2 A.& ERR. oz S T. Catch basin or area drain 16 60 City/State /ZIP - 7 - 1 . 9702.0C, PA, f 7 e 223 Drywell, leach line, or trench drain 1660 Suite bldg /apt no I Project name Footing drain (no linear ft ) Page 2 Cross street /directions to job site Manufactured home utilities 110 00 / � ,t Manholes 16 60 W /?L s t. <S7 Rain drain connector 16 60 Sanitary sewer (no linear ft ) Page 2 Storm sewer (no linear ft ) Page 2 Subdrvis ion I Lot no Water service (no linear ft ) Page 2 Fixture or item Tax map /parcel no Absorption valve 16 60 •DESCRIPTION OF WORK / Back flow preventer Page 2 g ( ) mete— Backwater valve 1660 Clothes washer 16 60 Dishwasher 16 60 PROPERTY OWNER I ❑TENANT Drinking fountain 16 60 � � � ^ Ejectors/sump 16 60 Name svf„ (7 .P77 !!k- Expansion tank 1660 Address C '2Q /377 Fixture/sewer cap 16 60 City /State /ZIP P0,2l L L Ore C - G 7 C 7r Floor drain/floor sink/hub 16 60 Phone CI. 3) .j Fe— tP0g Fax (3153) &-y6_/ ?5/ Garbage disposal 1660 f'" APPLICANT ❑ CONTACT PERSON Hose bib 1660 `gam--^ n dam/ Ice maker 1660 Business name -, �^-" �T Interceptor /grease trap 16 60 Contact name Medical gas (value $ ) Page 2 Address Primer 16 60 City /State /ZIP Roof drain (commercial) 16 60 Phone ( ) Fax ( ) Sink/basin/lavatory 16 60 Tub /shower /shower pan 16 60 E-mail Urinal 16 60 CONTRACTOR Water closet 16 60 Business name G , f-0 c,H,n.1) Z N V Water heater 16 60 Address /S 9 C E S/ SC lr A -4 d Other City /State /ZIP /LLJ40i oiL 9 Z 7/23 Subtotal L Minimum permit fee $72 50 Phone 663 ) C2 6.--2_,.? / / Fax ( ) Residential backflow minimum permit fee $36 25 CCB Lic 199o7 Plumbing Lie no 3e,g- wpb Plan review (25% of permit fee) State surcharge (S% of permit fee) Authorized signature TOTAL PERMIT FEE Print name Date This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Trl -County Building Industry Service Board 1 \ Building \Penmis\PLMF- PennMpp doe 06/05 44046I6T(10/02/COM/W EB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain -I ° 100' 5500 0 to 2,000 $11500 Footing drain - each additional 100' 4640 2,001 to 3,600 $16000 3,601 to 7,200 $22000 Sewer - 1st 100' 55 00 7,201 and greater $309 00 Sewer - each additional 100' 46 40 Water Service- 1st 100' 5500 Medical Gas Systems: Water Service - each additional 100' 46 40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55 00 $ 100 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for each Fixture or Item Qty. Fee (ea) Total additional $10000 or fraction thereof, to and including $10,000 00 Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148 50 for the first $10,000 00 and $1 54 for Residential Backflow Prevention Device each additional $100 00 or fraction thereof, to (minimum permit fee $36 25) 27 55 and including $25,000 00 Rain Drain, single family dwelling 65 25 $25,001 00 to $50,000 00 - $379 50 for the first $25,000 00 and $1 45 for Inspection of existing plumbing or « each additional $100 00 or fraction thereof, to specially requested inspections - per hour 72 50 and including $50,000 00 Subtotal: $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for each additional $100 00 or fraction thereof Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry /Font of nine (9) or more new or relocated plumbing fixtures Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi /Whirlpool providing services to human beings Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors. c uspidor /water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic _ dwelling units. Drinking Fountain ❑ Any NFPA I3 -D multipurpose fire sprinkler system. Eye Wash Floor Drain/sink - 2° Submit 2 sets of plans with any of the above. -3" Car Wash Drain Isometric or Riser Diagram _ Garbage - Domestic U Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height - Industrial Ice Mach /Refrig Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service , Swimming Pool Filter - Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - toilet - ' increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures plumbing permit can be issued. ■ \Buadmg\Peom19PLM- PermnApp doc 07/06/05 1 lb 1 lb lb . I STREET TREE CERTIFICATION E. i. 1 A lilb ® F.at lb 1 lb 41 I DAVt Z` 17J�63 s Owner /Agent for /liyL U � v57T l ® (PLEASE PRINT) o' (PERMIT HOLDER) fr ® 1 , ® ° ® Do hereby,,,certify t he following location Is '® as 1 a k'n n ,t' fl ® meets Cityof itiiga County ® l and use and development standards for street tree installation. lb ® 1V731 lb 1 ADDRESS: 5 tA_i C 5�2c- '7 lb . ® LOT: 2 SUBDIVISION: - "i c Eo - n- ) 1( ® lb 49 lb ® BY: e� DATE 7 lb l' RECEIVED BY: DATE: lb A - V VYVVV VVV VV VVV VVV VVVVYVVITY®®®®vVVVVVVVVVVVv®v® TTVVYT®®®®v®® CITY OF TIGARD .. BUILDING DIVISION PERMIT # 11/19T2006-00109 ST200P -00109 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/23'i2006 � Phone. (503) 639 -4171 1 ° Inspection Requests (24 Hit) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE. 7/1312006 TIME 7.02AM PAGE. 10 SITE ADDRESS 11737 SW ERROL SI CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # p TYPE OF USE. PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION. PHONE # 503-590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503. 590.0003 Inspection Request Scheduled For: Date: 7/133/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 033064 -01 503-720-0012 N Corrections /Comments /Instructions• • PASS 7 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED A I I Inspector. :1; Date: 7-/.5-0.6 Phone #: (503) 718 - 2. +c— t. CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S -00409 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED 1/2312006 Phone (503) 639 -4171 �iuv,Il Inspection Requests (24 Hrs ) (503) 639 -4175 .'.4 INSPECTION WORKSHEET FOR DATE 7/13/2006 TIME 7:02AM PAGE B SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF FOUR D CONSTRUCTION, 503 - 590 CONTRACTOR PHONE # OWNER FOUR D CONSTRUCTION PHONE #. 503 -590 -0805 Inspection Request Scheduled For: Date 7/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 033064-03 503-720-0012 N Corrections/Comments/Instructions: PASS PARTIAL APPROVAL El CANCEL - ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: 7—J 2.-- Phone #• (503) 718 - 2s1 -cer CITY OF TIGARD . BUILDING DIVISION PERMIT # MSI'2005 -00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/2312006 Phone. (503) 639 -4171 :i �i Inspection Requests (24 Hrs) (503) 639 -4175 ° IL A . INSPECTION WORKSHEET FOR DATE 7113/2006 TIME. 7:02AM PAGE 9 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 002 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE #. 503590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 603-590-0805 Inspection Request Scheduled For: Date 7/13/2006 Pour Time: Code # Inspection Description orrfrr Contact # Message 199 Electrical final 033064 -02 503- 720.0012 N Corrections /Comments /Instructions: ?KO vI ;D-a FAcs iLATc & O'ffLET uNN -TEI v - IQ a it.) Y■A S T R, 3 rzT k Room- . El NAB— 'EN 1- 1 iQ? ZT 'Tf s 6147. T S.JfASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: er` (Z A_ %a Date Ill 3I0.( Phone #: (503) 718_29413i CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005 0U409 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. 1/23/200(; Phone (503) 639 -4171 ii Inspection Requests (24 Hrs) (503) 639 -4175 ,._- INSPECTION WORKSHEET FOR DATE 4/25/200G TIME. 7:00AM PAGE 16 SITE ADDRESS: 11737 SW F.RROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 002 TYPE OF USE PROJECT NAME- CAPPOEN ESTATES DESCRIPTION. New SF OWNER FOUR D CONSTRUCTION, PHONE #. 503-590-080G CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590 -0805 Inspection Request Scheduled For. Date. 4/25/2006 Pour Time: Code # Inspection Description / Confirm # Contact # Message 120 Decimal rough -in C/ 02865B -03 503-720 N Corrections /Comments /Instructions: 5— 0 Fz) 6 6 • K ASS I I PARTIAL APPROVAL CANCEL n NO ACCESS H FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED [� ij r 2 5 )[o L o Inspector: ► t , Date. Phone # (503) 71 a3 ` CITY OF TIGARD ' BUILDING DIVISION PERMIT #. MST200S -00909 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 1/2312006 Phone (503) 639 - 4171 ill. Inspection Requests (24 Hrs ). (503) 639 - 4175 . INSPECTION WORKSHEET FOR DATE 4/26/2006 TIME 7:00AM PAGE 17 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER 1-OUR C) CONSTRUCTION, PHONE # 603- 590.08% CONTRACTOR f OUR D CONSTRUCTION PHONE # 503. 590.0805 Inspection Request Scheduled For. Date: 4/25/2006 Pour Time: Code # Inspection Description V Confirm # Contact # Message 135 Low voltage 028658 -02 503.720.7445 N Corrections /Comments /Instructions. X PASS [ I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: E l 2 `�� Phone #. (503) 71 - 3 4 CITY OF TIGARD ` BUILDING DIVISION PERMIT # MST 2006•00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 112312006 Phone (503) 639 - 4171 , 1 I �I Inspection Requests (24 Hrs) (503) 639 -4175 . "' INSPECTION WORKSHEET FOR DATE. 417112006 TIME 7:02AM PAGE 18 SITE ADDRESS. 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION: New SF OWNER FOUR D CONSTRUCTION, PHONE # 603 - 690-)905 CONTRACTOR FOUR D CONSTRUCTION PHONE # 603-690 -0805 Inspection Request Scheduled For Date 4/2112006 Pour Ti Code # Inspection Description Confirm # Contact # Ssage 120 EIertric:al rough -in 028479 -02 503720 -0012 N Corrections/Comments/Instructions tar , 04455r-47/7 4--ti 4 5 / £Yr 3 34 l 1 / o (OPe e — /Ss - PASS PARTI L APPROVAL ❑ CANCEL I NO ACCESS AIL C / FOR I SPEC ION ADDITIONA FEES SSESSED Inspector w //LS _ �� Date e' #: (503) 718 tic CITY OF TIGARD ' . - BUILDING DIVISION PERMIT # MsTJoOS -00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/23/2000 Phone: (503) 639 - 4171 . 1 i'�I Inspection Requests (24 Hrs )• (503) 639 -4175 u - INSPECTION WORKSHEET FOR DATE 4/21/2006 TIME 7 PAGE 19 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR 0 CONSTRUCTION, PHONE # 503.590.0805 CONTRACTOR FOUR 0 CONSTRUCTION PHONE # 503-590 -0805 Inspection Request Scheduled For Date: 4/2112006 Pour Time Code # Inspection Description Confirm # Contact # Message 115 Electrical seivic:e 028479 -01 503-720-0012 N Corrections/Comments/Instructions. Allk i 1 -.0.— .0 St 0.274 c 14th' S 1 7n AS S I PA ' IAL APPROVAL n CANCEL NO ACCESS FAIL • / LL FOR INSPECTION n ADDITIONA EES A •SESSED Inspecto Date — #' hone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2005.00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1 /23/2006 Phone (503) 639 -4171 I�I� Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 4/21/2006 TIME: 7'12AM PAGE 17 SITE ADDRESS. 1'1737 SW ERROL ST CLASS OF WORK - SUBDIVISION CAPPOEN ESTATES LOT #. 002 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, ONE # 503-590 -0805 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503590.0805 Inspection Request Scheduled For Date: 4/21/2006 Pour Time Code # Inspection Description Confirm # ' Contact # Message 135 Low voltage 028479 -03 503720 -0012 N Corrections /Comments /Instructions PASS P' `TIAL APPROVAL III CANCEL I I NO ACCESS ❑ FAIL J /CALL FOR INSPECTION ❑ ADDITION FEE ASSESSED Inspector: I Date: 2 /1 Phone # (503) 7 CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2005-00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED- 1/23/2006 Phone. (503) 639 -4171 ., 1 illK Inspection Requests (24 Hrs.) (503) 639 -4175 !� INSPECTION WORKSHEET FOR DATE. 7/11/2006 TIME. 7-00AM PAGE 3 A SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. Now SF OWNER. FOUR D CONSTRUCTION, PHONE #. 603. 590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 5904)805 Inspection Request Scheduled For: Date 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032921 -01 503. 7200012 Y Corrections /Comments/ Instructions: .A _PASS Il PARTIAL APPROVAL ' n CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. v J 2 ( Alf) J) / Date: '7 I H i 0 1p Phone #: (503) 718 - � CITY OF TIGARD ' BUILDING DIVISION S PERMIT #. MST2005.00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 112312006 Phone (503) 639 -4171 ,1 r,�'ll� Inspection Requests (24 Hrs) (503) 639 -4175 . ... INSPECTION WORKSHEET FOR DATE 7//0/2006 TIME 7.05AM PAGE 9 SITE ADDRESS: 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # Q TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE #. 503-590-01305 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 5900805 Inspection Request Scheduled For: Date: 7/10/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032869-03 503-720-0012 N Corrections/Comments/Instructions: 1 f // " � E'as. C �„ 1 i .a... _ S 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS )2 ili / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector' r1/4 e i Date 77/IP7 Phone #: (503) 718- .7 1.37 CITY OF TIGARD BUILDING DIVISION 411‘ PERMIT# MST2i)ft�•00409 13125 SW Hall Blvd , Tigard, OR 97223 BATE ISSUED: 1/2 /2003 Phone• (503) 639 -4171 I�I�* Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE. 4125/2006 TIME: 7•00AM PAGE 18 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE # 503-590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 690-0805 Inspection Request Scheduled For. Date: 4/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -In 028658 -01 503. 720.7445 N Corrections /Comments / Instructions' 4 1pASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 1 FAIL �1 ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: 1 V v Date: / y Phone 4: (503) 718- �� / I CITY OF TIGARD BUILDING DIVISION / PERMIT # MST2005 M0409 13125 SW Hall Blvd., Tigard, OR 97223 Y DATE ISSUED 1/23/2000 Phone (503) 639 - 4171 , 1 III Inspection Requests (24 Hrs )• (503) 639 -4175 ,.I INSPECTION WORKSHEET FOR DATE 4/21 /2006 TIME 7:02AM PAGE 16 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK: SUBDIVISION. CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME' CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE # 503-590-1805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 690.0805 Inspection Request Scheduled For Date 4/21/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 320 Pluming rough -in 028480 -0'I 503-720-0012 N Corrections /Comments /Instructions. f/ Nei � e..Er A 0 - 4/ e`„w, v, S 5'c,.,`c-k-sc G-n L (61.2-) F g g l 2 fgZSd 9 Y 1 N 6 sI— pw✓ ___S W l 1\ ( I 9 1, -e r n-■.•._S •1,,-45 Qo -A 1:9_,c tA7.6_1 I a ' C (cni 1 I PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS V FAIL "CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -C Date' t fI 2 :"1/4 6 Phone #: (503) 718- 2-Y 2--Y CITY OF TIGARD BUILDING DIVISION PERMIT # MST200i 400409 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 1 /2312008 Phone. (503) 639 -4171 ., 1 'lIt Inspection Requests (24 Hrs.) (503) 639 -4175 .,, :_: INSPECTION WORKSHEET FOR DATE 2/1412006 TIME 2 22PM PAGE. 7 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESI Al ES LOT #- 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION Now SF OWNER FOUR 0 CONS+I-RUC11ON, PHONE # 5QS- 590 -f 05 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.530.0805 Inspection Request Scheduled For: Date: 2/14n006 Pour Time: Code # Inspection Description Confirm # Contact # Message 3i5 PoWbearn plumbing 026873-03 503-720.7445 N Corrections /Comments /Instructions (L F ( 9,01-' -2 / AI �L ; ( 4 l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL F. R INSPECTION ❑ ADDITI""NAL EES ASSESSED Inspector 44 l Date � *4 Phone #: (503) 718- i CITY OF TIGARD - BUILDING DIVISION PERMIT# Msr00,o0409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/231)006 Phone (503) 639 -4171 I � I Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 5/8/2006 TIME 7.O7AM PAGE. 36 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION. New SF OWNER FOUR 0 CONSTRUCTION, PHONE # 503-590-0805 CONTRACTOR FOUR 0 CONSTRUCTION PHONE # 603-590-01305 Inspection Request Scheduled For: Date 5/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 029464 -01 503 - 720 -7445 N Corrections /Comments/ Instructions Iti as &3Ur- k (1 a t, 4 1 VIM `SWF ASS H PARTIAL APPROVAL CANCEL I NO ACCESS l FAIL \ : LL FOR INSPECTION I ADDITIO AL F ES ASSESSED �j , j Inspector: V I Date: ✓ C- Phone it: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT # M5T2005.00109 13125 SW Hall Blvd, Tigard, OR 97223 D ATE ISSUED 1/2312006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs )i (503) 639 -4175 .�' '! I INSPECTION WORKSHEET FOR DATE 405/2006 TIME 7:00AM PAGE 9 SITE ADDRESS. 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE # 503590 0005 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503- 590 -0805 Inspection Request Scheduled For: Date: 412S/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 275 Framing 028650 -06 503.720.7445 N Corrections /Comments /Instructions ✓ l4 PASS I PARTIAL APPROVAL n CANCEL NO ACCESS FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date. l t 2 0 L Phone #- (503) 718 -of WO CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005-00109 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/23/200a Phone: (503) 639 -4171 iti Inspection Requests (24 Hrs ) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 4/25/2006 TIME 7:00AM PAGE 11 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES - DESCRIPTION New SF OWNER FOUR U CONSTRUCTION, PHONE # 503. 590 -0805 CONTRACTOR, FOUR D CONSTRUCTION PHONE # 503-590.0805 Inspection Request Scheduled For: Date 4/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in / 0273668.06 503-720 -7446 N Corrections /Comments /Instructions: `/ PASS n PARTIAL APPROVAL CANCEL n NO ACCESS I \ I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 94 Date: g r a 5 "--6.42 Phone #. (503) 718 - A V '' �-- I /lo n^r (=f - CITY OF TIGARD BUDDING DIVISION PERMIT # MST2005.0(3409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/23/2005 Phone (503) 639 - 4171 ;Vitt Inspection Requests (24 Hrs) (503) 639 -4175 y . INSPECTION WORKSHEET FOR DATE 4125/2006 TIME 7:00AM PAGE 13 SITE ADDRESS 117:4? SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF OWNER FOUR D CONSTRUCTION, PHONE # 503 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503 - 590 - 0BLJ5 Inspection Request Scheduled For. Date. 4/25/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 610 Gas line ✓ 020658 -04 503- 720.7445 N Corrections /Comments /Instructions: (C • t PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector' " / Date l i r d-- c`` Phone #: (503) 718)A/14 CITY OF TIGARD BUILDING DIVISION PERMIT# MST)OO500409 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 1/2312005 Phone. (503) 639 -4171 +� i Inspection Requests (24 Hrs) (503) 639 -4175 .,, G' INSPECTION WORKSHEET FOR DATE 4113/2006 TIME 7 :00AM PAGE 44 SITE ADDRESS 11737 SW ERROL sr CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION Now SF OWNER FOUR D CONSTRUCTION, PHONE #. 503. 590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 Inspection Request Scheduled For Date. 4/13/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 027943 -01 503 -720 744L. N Corrections /Comments /Instructions. I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL �CBALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector Q�if7 "/ ' Date' ¢ - /3 —aCo Phone #: (503) 718- �L �/ CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00409 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/23/2006 Phone (503) 639- 4171 ,1 u ;6�j� , � Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 4/13/2006 TIME 7:00AM PAGE. 4 i SITE ADDRESS 117:31 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF • OWNER FOUR D CONSTRUCTION, PHONE # 503,590 -0005 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590 -0805 Inspection Request Scheduled For: Date 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Inferior shear walls 027943.03 503 - 720 -7445 N Corrections /Comments /Instructions: PASS I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector d} Date' 4--- / 1- 00 Phone #- (503) 718- 7_4-45-- CITY OF TIGARD - . BUILDING DIVISION PERMIT #. MST2005.00409 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 1/73f2OQu Phone (503) 639 -4171 AN4pAlt l Inspection Requests (24 Hrs) (503) 639 -4175 Ii. INSPECTION WORKSHEET FOR DATE 4/1312006 TIME 7:00AM PAGE 43 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION Ncsa SF OWNER: FOUR D CONSTRUCTION, PHONE # 503590 - 01305 CONTRACTOR: FOUR D CONSTRUCTION PHONE # 503 Inspection Request Scheduled For Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 027943-02 503-720.7445 N Corrections /Comments /Instructions !/PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector Date 4-- /3—dCa Phone #: (503) 718 - " J CITY OF TIGARD • BUILDING DIVISION A PERMIT # MST2005-Ot iO3 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 11231200$ Phone. (503) 639 -4171 . t i y Inspection Requests (24 Hrs) (503) 639 -4175 £- INSPECTION WORKSHEET FOR DATE. 2/14/2006 TIME. 2:22PM PAGE 8 SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION, PHONE • 60:1-550.0806 CONTRACTOR FOUR D CONSTRUCTION PHONE # 603-S90 -0805 Inspection Request Scheduled For: Date. 2/14/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 605 Postlbeam mechanical 026873402 603-720.744c N Corrections /Comments /Instructions A /1 AI I 11 il di .,47 i PASS in PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL • •R INSPECTION n ADDIT •NA FEES ASSESSED Inspector �`i�� Date: P hone # ( 503) 718 - CITY OF TIGARD' ' BUILDING DIVISION PERMIT #: MST2 05.00409 13125 SW Hail Blvd , Tigard, OR 97223 D ATE ISSUED. 1/23/2006 Phone: (503) 639 -4171 it ;AY Inspection Requests (24 Hrs.). (503) 639 -4175 -S INSPECTION WORKSHEET FOR DATE. 7/14/2006 TIME 2 22PM PAGE q SITE ADDRESS 11787 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION N SF OWNER FOUR D CONSTRUCTION, PHONE # 603_690.0806 CONTRACTOR' FOUR D CONSTRUCTION PHONE # 503 500O6O' Inspection Request Scheduled For Date. 2//4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 026873 -01 503- 720 7445 N Corrections /Comments / Instructions. l 7) 44 •A i, PASS ❑ PARTIAL APPROVAL fI CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITISNAL ' EES ASSESSED Inspector: ti Date j7 CI phone #: (503) 718- //' CITY OF TIGARD , . BUILDING DIVISION PERMIT # MST2t)0S -0W)9 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 1/23/2006 Phone. (503) 639 -4171 'l Inspection Requests (24 Hrs ): (503) 639 -4175 4 INSPECTION WORKSHEET FOR DATE 1/31/200 TIME 7 QIAM PAGE 25 SITE ADDRESS 1173/ SW ERROL S CLASS OF WORK: SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION. PHONE # 603.590.0005 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503.590.0t3O;; Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: 1 i 00 Code # Inspection Description Confirm # Contact # Message 205 Footing 026025 -02 603-720-7445 N Corrections /Comments /Instructions: 0,0____ _ = , r] C___ SP ` -- " LK-0 - i - » " ' Tv , c _ - • O,C 4,...1( e PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector /d Date / ——e Phone #. (503) 718- 7.4-4 -C CITY OF TIGARD - • - BUILDING DIVISION PERMIT # MST2005.00409 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED (/23/2006 Phone (503) 639 -4171 t Inspection Requests (24 Hrs.)• (503) 639 -4175 L. x.!J! INSPECTION WORKSHEET FOR DATE 1/31/2006 TIME 7:01AM PAGE. 24 • SITE ADDRESS 11737 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 002 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR 0 CONSTRUCTION, PHONE # 503-590 -0805 I CONTRACTOR FOUR D CONSTRUCTION PHONE # 50.3.690-8805 Inspection Request Scheduled For: Date 1/31/2006 Pour Time 1 I Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 026025-03 503 720-7446 N Corrections/Comments/Instructions: C MI--S - it z A-- c c 11 ,.L 4 i.t r - s> 7 stt s An 5Ze t% I P� ASS I I PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ❑ FAIL ,. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector• (/ 1 Date /— ,/- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #:;sr2(_,(tr:,,00.;(y9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/20% Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 20200 TIME: 7:02AM PAGE: SITE ADDRESS: '11737 SW ERROL 'S T CLASS OF WORK: SUBDIVISION: CAPPOEN E ?TATFS LOT #: 007 TYPE OF USE: PROJECT NAME: CAPPOE:,_N ESTATES DESCRIPTION: New SF OWNER: F°OUP L COI4S RUCTION, PHONE #: fS0' 'AO -W CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.690.( };,(); Inspection Request Scheduled For: Date: 2/6i2006 Pour Time: Code # Inspection Description Confirm # Contact # Message r�7r; Sanil;:4ryr rder 026323-10 603-9 69.4631 N Corrections /Comments /Instructions: j� 'ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /7- 1 Date: - / , Phone #: (503) 718 - CITY OF TIGARD • • BUILDING DIVISION PERMIT #: I"; (t0 00/1)9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/)3f2O0 ; Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/(ii ;)()06 TIME: 02AM PAGE: ;I..S SITE ADDRESS: 11 - E37 ;:SIN ERROL ST CLASS OF WORK: SUBDIVISION: (APPOF N ESTATES LOT #: 00; TYPE OF USE PROJECT NAME: r .APPOEN ESTATES DESCRIPTION: New SF • OWNER: FOUR I.) #: ON 3TRI,J4:;TON, PHONE #: 503 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-90-0806 6 Inspection Request Scheduled For: Date: 21612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Storni drain 0266323 -09 giO3- 963AAEi3 d N Corrections /Comments /Instructions: • t RASS ❑ PARTIAL APPROVAL 1 CANCEL 1 1 NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: � 6 /- 177-V - Phone #: (503) 718-3/W CITY OF TIGARD . BUILDING DIVISION PERMIT #: IA i 2005.00409 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 103/2uOn Phone: (503) 639 -4171 Ai& Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 'I I INSPECTION WORKSHEET FOR DATE: 4 TIME: 7 :0 AM PAGE: ;} 9 SITE ADDRESS: 11 SW 4',E1 R OL ST CLASS OF WORK: SUBDIVISION: ( pPOEN (_:STATES LOT #: 002 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: Net " F OWNER: FOUR I) CONSTRUCTION, PHONE #: 3- 90.()if;') CONTRACTOR: FOUR ID CONSTRUCTION PHONE #: %()3.°Y9l). • Inspection Request Scheduled For: Date: 2/(42006 Pour Time: Code # Inspection Description Confirm # Contact # Message 3M Rain drain 02(;323 08 503 -969 -4631 N Corrections /Comments/ Instructions: - PASS n PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS i l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED �I Inspector: / �/' �-� j ��c -e% Dater . #: (503) 718 -1 l CITY OF TIGARD BUILDING DIVISI ®N PERMIT #: �JI15 `,) { 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10,30006 Phone: (503) 639- 4171,r Inspection Requests (24 Hrs.): (503) 639 -4175 Alak A INSPECTION WORKSHEET FOR DATE: . 2f6 /20( TIME: 7 02AM PAGE: 26 SITE ADDRESS: 1173? ;'WV EF ROL. ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION, PHONE #: ':A1-690-00.)(:i CONTRACTOR: FOUR 0 CONSTRUCTION PHONE #: 50::!'.;90 i • Inspection Request Scheduled For: Date: 2/61200t Pour Time: Code # Inspection Description Confirm # Contact # Message 330 KAN d.:aetvi co 026323-07 503 N Corrections /Comments/ Instructions: `{1 PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION — ADDITIONAL FEES ASSESSED Inspector:( � o 6" /722/ G X/- Date: f ./ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I '�;i 06.00.1()9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/20m; Phone: (503) 639 -4171 ��,i��1 Inspection Requests (24 Hrs.): (503) 639 -4175 I ;__.. INSPECTION WORKSHEET FOR DATE: 216/2006 TIME: 7 : 02Aim PAGE: .26 SITE ADDRESS: t 1 37 SW ERF ot, sT CLASS OF WORK: SUBDIVISION: f;'N P(')E:. N ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: CAPE' FN ESTATE S DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION PHONE #: {,03- 590.0WW of CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603.690 . Inspection Request Scheduled For: Date: :' /6J2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 026323 E00 503 !� Corrections /Comments/ Instructions: PASS 1 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 1 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - lam/ Date: I Phone #: (503) 718 - / L