Permit > : * ` - r r � T I MASTER PERMIT
,, PERMIT #: MST2008 -00046
COMMUNITY DEVELOPMENT DATE ISSUED: 9/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135CC -04800
SITE ADDRESS: 11642 SW TIEDEMAN AVE ZONING: R -4.5
SUBDIVISION: PAYS PARTITION LOT: 002 JURISDICTION: TIG
'PROJECT: PAYS PARTITION
Project Description: New SF.
BUILDING
REISSUE: MA21103 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 19 FIRST: 1,514 sf BASEMENT: at LEFT: SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 476 sf GARAGE: 609 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,990 sf 217,054.91 REAR:
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: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 4
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5
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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 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 REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
TODD PAYS PAYS CUSTOM HOMES INC laws. All work will be done in accordance with approved plans. This
20097 SW CORRINE ST 17278 SW SONNET WAY permit will expire if work is not started within 180 days of issuance, or
BEAVERTON, OR 97007 KING CITY, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 952- 001 -0080. You may obtain copies of these rules or direct
Phone: 503 475 - 5041 Contact #: PRI 503- 475 -5041 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 -214 -8500
Reg #: LIC 155849
TOTAL FEES: $ 14,633.87
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
/ Issued By : Li it s =�� Permittee Signature : ./ _ _
I1
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.
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Building Permit Application * ; `l Olz , .cal I ICE.us -rON,I`� . t 4,' p a --
F_,,. Recei
City of Tigard � Daze /By. L � t '� U Permit No.: T 0 �--( J .
+ a 13125 SW Hall Blvd., Tigard, OR 97228 ^ i�' - �a Plan Review ry
� p .` s s r_ ter ermit: # . a
i k Phone: 503.639.4171 Fax 503. � -I `� �, � Daze /B . , • Q i �. J Other P _ � - i, _ ; (J
�-! Inspection Line: 503.639.4175 t.,,t ,,,,!! Date Ready/By: r June See Attached Checklist for
a 11 �ttt Internet: www.tigard- or.gov Y c.,1. -.' \ ,eki." Notified/Method: (� d I� Supplemental Information
t�" ` ��E,.a 1. P 1 4v ,if'(
- ' TYPE OF Wg�t. ,:REQUIRED DATA: t- AND 2-FAMILY DWELLING
V ew 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. L 1 ,
and 2- family dwelling ❑ Commercial /industrial Valuation: 2.17 0 5y . c tl
❑ Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder El Other:
Number of bathrooms: -
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 , 5
Job site address: II 142 s t..� 7w � New dwelling area: / square feet l et Q 0
City /State /ZIP: --1', e r�t 0 2 1,11 Garage /carport area: , 6 , / square feet g 4
Suite/bldg. /apt. no.: JJ"" Project name: Covered porch area: square feet t gB
Cross street /directions to job site: Deck area: square feet
T . ,6yr'■t Aubflt tom_ 'i acv- 5 - f 7(, Other structure area: square feet
!� REQUIRED DATA: COMMERCIAL -USE CHECKLIST •
Subdivision: pQ - 4 1 Lot no.: Z Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• - DESC OF WORK work indicated on this application.
N- 1 S' k E )) n-„ ems Valuation: S
Q�li✓ 7 J �LLf I
Existing building area: square feet
New building area: square feet
• ❑ PROPERTY OWNER . • '• ❑ TENANT. • Number of stories:
Name: l 0! S Type of construction:
Address: 2..0 O ti p,) 5 ) Go C -r 1-[,Q„ 5— /te Occupancy groups:
City /State /ZIP: ' .5t.Ovn/`Jr'4tle\__ 0 2 41. PO Existing:
Phone: (5 3 I 1 y.._564 i Fax: (n3 2 I LE- r p � S New:
❑ APPLICANT,.: ❑ CONTACT PERSON
. NOTICE - -
Business name: •\GEC I L , All contractors and subcontractors are required to be
Contact name: _ �� '' CAI �` licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �r•-rfY"\F jurisdiction in which work is being performed. if the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax: : :( —'f �j )
E -mail: �` ff"... C b S- Me
'CONTRACTOR • ' - .
Business name: 1" CO .5-f p s . 1 Pr ry � ` 1Y2t.., BUILDING PERMIT FEES*
Address: 1 (Please refer to fee schedule • .
Structural plan review fee (or deposit):
City /State /ZIP: fir"
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: 15.)-41?) 't'\ Total fees due upon application: 7cr �-
�� Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Q within 180 days after it has been accepted as complete.
Print name: T, jot � - 9 • Pals Date: 1 6 6 051 1 D • Fee methodology set by Tri- County Building Industry
f Service Board.
1: \Building \ Permits \BLIP- RES- PermitApp.doc 03/21/06 440-4613T(II /02/COM/WEB)
One- and Two- Family Dwelling t
Building Permit App licati on Checklist q L c c ol 1 icI i,S'1 .N.74-w-- ` }'` s
City of Tigard Received Permit No
11 Daze /By
v 13125 SW Hall Blvd., Tigard, OR 97223 ' Date/
azed permits
0 a,. Phone: 503.639.4171 Fax: 503.598.1960
''+0 ` 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑Mechanical
` ° f 1'C 'A R•I)
„qc Internet: www.tigard or.gov ❑ Other.
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1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ 0
3 Verification of approved plat/lot. ❑ ❑ ❑
4 . Fire district approvat required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ' - ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area building coverage area percentage of coverage; impervious area existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be . . . licable to the .ro'ect under review.
4
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23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1: \ Building \ Permits \BUP- RES- PermitApp.doc 03/21/06
t r, , r1Pr yg�Ef i .
E1eftrical Permit Application 6 ; ? ; ^ v , a ° ( >I r , l 11rl e 'N ►' i . , '� , f � -
Mr �, '�- City of Tigard D B f S f gam- Permit No.: m3r' j 8 —(, )
• +p '' a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
lj. * E- ,, * : Date/By.
r=� Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
T1 G'AIl lT Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
ti FWAade70 Internet: www.tigard- or.gov Notified/Method: Supplemental Information
.. TYPE OF WORK ' PLAN REVIEW
X i New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION • exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
jEr and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
. . JOB SITE INFORMATION AND LOCATION ' ' ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: f qW ! ` Qo'( 1G/1 4 / ix or or more. occupancy.
6 `�Z 5 ❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: — T l A D 2 (11 ZZ3 ❑ Health -care facilities. ❑ Supply voltage for more than
,
J ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE .
Cross street/directions to job site: -- , a ot,,vr�. ,f poi . • Description 1 Qty. 1 Fee. 1 Total 1 •
l � p , ( New residential single- or multi-family dwelling unit.
If Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
' DESCRIPTION OF WORK .. . (with above sq. ft.) 75.00 2
�
` n t Limited energy, multi - family 75.00 2
1 v Qom) S L n.0 I, c(� M 1 �,L1 r[ 2 �i residential (with above sq. ft) -
lf J Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ❑ - PROPERTY OWNER , . I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: L �9 S 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 0 2,04AI t..d> -tom 7- r 1 5 e ,"F Over 1,000 amps or volts 454.65 2
City/State/ZIP: 3t,ctl 'e --tor‘, Q a„ 0 c 7 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (50, la,' 9S h ' ( Fax: ( rl3) 1.1 Le -.2,13 D 200 amps or less 66.85 I
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 599 amps 133.75 2
• Branch circuits — new, alteration, or extension, per panel _
Owner signature: Date: A. Fee for branch circuits with
' ❑ . APPLICANT Cu � ❑ 1 CONTACT PERSON above service or feeder fee, 6.65 2
� C -jp - � t`—� s Fee branch b branch circuit
�
Business name: ,�, B. Fee for branch circuits
/
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
. Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
. Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: ,(/
( ,4',S t. to el, a / L , N Pump or irrigation circle 53.40 2
. ' CONTRACTOR" . . ' Sign or outline lighting 53.40 2
V V Signal circuit(s) or limited -
Business name:
�� CiAsCil4 .t.. 61 4. . ) , energy panel, alteration, or
Address: ? 6 . Pp A 23 f ZL( extension. Describe: Page 2 2
City /State/ZIP: . j j pt � - 02- � ( Each additional inspection over allowable in any of the above
JJ Per inspection 62.50
Phone: ( 5 5 '2.I — 0 , 0 p Fax: (S)1) SZl — S' U t Investigation per hour (1 hr min) 62.50
CCB Lic.: 34 - 1 6 6 Electrical Lic.: Suprv. Lic.: 15- 3 Li I k Industrial plant per hour 73.75 .
ELECTRICAL PERMIT FEES'
Suprv. Electrician signature, required: . • �� Subtotal:
Print name: c / r Date: v p Plan review (25% of permit fee):
J {,� L� V a'I — S ! / i� ?i State surcharge (8% of permit fee):
Authorized signature: /Al �` - /Al TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
. Print name: , . th4 pf -J Date: vii $i t days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Pennits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WFB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL_WORIC ONLY: •
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems* •
❑ Other
COMMERCIAL WORK 'ONLY:
Fee for each commercial $75.00
system
(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*
❑ Protective Signaling
•
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations •
I:\ Building \Permits\ELC- PexmitApp.doc 03/23/06
Mechanical Permit Application ' : .,1 4,4":3i''''' - 7. - ' i i (' i ci i'-� " `' . a
t Received
Reive Permit No.: /7 cC NL� �uN , b
^ '= City of Tigard Re eive v
13125 SW Hall Blvd., Tigard, OR 97223
,� �, Plan Review
7:,.✓ ) e 1 Phone: 503.639.4171 Fax: 503.598.1960 D Other Permit:
may" ..-?;4Z, Ins ection Line: 503.639.4175 taxi ®Se Pa e 2 for
;T I G li'1) p Date Ready/By: g
i`e ti a!ail41'ra ii Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE =' USE CHECKLIST
A r■ew 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: $
1 - and 2 dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. Total
. JOB SITE INFORMATION AND LOCATION ` Heating /cooling
Job site address: `l (4 L S t9 3 -i t Q ArqArx Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: --v, c o 2 1 ZZ3 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
Hydronic hot water system 14.00
„ ''t^ auktr),ti.. a ( t41 S 6e4.., 1 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: Lot no.:
Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
N - .5 ', n1�, . -r/Y i ii [�/ ,t,{�. Flue vent for water heater or gas
�J fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER -- I :❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: "rods- Environmental exhaust and ventilation
Address: o o l - St.J [ 0�f" (+
- Range hood other kitchen
�� S� �--E equipment 10.00
City /State /ZIP: 134...,o.i V lAr- ^ O 410 O Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (73 4 $ .5-6‘-t' Fax: ( s-Qs Z CP - P 0 toilet compartments, utility rooms) 6.80
- ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: p I 5 G tb fl' 40 M . 1 (, 10.00
l -'- Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: — sr, Furnace, etc.
. Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Fax: ( ) Water heater
Phone: ( ) Fireplace
E -mail: Range
' CONTRACTOR Barbecue
Business name: W 1 r 51-, -P f nt - , L t geoctirt) , ,((' LT,,. ClothOther:
es dryer (gas)
w "�►
Address: 1..1 3 D N i,,.‘ 2 3 AV ex t�- MECHANICAL PERMIT FEES*
City /State /ZIP: 14. 1 1 k be, I?., 0 R. 4'4i I Subtotal
1 Minimum permit fee ($72.50)
Phone: (�* 6 `f g . 5 b I Fax: (SO a S /l 3 2-6) Plan review (25% of permit fee)
CCB lic.: 4 s' State surcharge (8% of permit fee)
��S Date: �' ! A TOTAL PERMIT FEE
Authorized signature: 9 19 4 ha This permit application eires i a prmit is sct obtained within 180
/ / .O � 4 days after it has bees n acceepted as complete.
Print name: r • Fee methodology set by Tri- County Building Industry Service Board
/ D 8
1 \Building\Permits \NEC- PennitApp.doc 04 /06/06 4404617T(111 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:, : : 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:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
Plumbing Permit Application
• Building Fixtures i
r g o , - .a? 1.()R I I {4 4
C[ ' ;, O! \'I 1 , A .
.� "*:"-k,'• il § ..4
"rift R eceived
City of T igard Permit No.:
Dale/By: r -_:, t_ / 51 C CAA) 41 (a
4 ( ' - n 13 125 SW Hall Blvd., Tigard, OR 97223
'• Plan Review
k 5, C A Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit No.:
s': a Inspection Line: 503.639.4175
r G `Nit Di Date Ready/By: tuns: ® See Page 2 for
7
1 Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
ENew construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 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
,l- 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 INFORMATION AND LOCATION ' Site utilities
Job site address: 1 1 L q 2.. 5 T ( to t et/y on Catch basin or area drain 16.60
City /State/ZIP: '�',.,,,�,.� 0 2 0, 2Z3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street /directions to job site:
A Manholes 16.60
�.• a AYen It(- t T11,p�p1r1^� 5'{( ..1 Rain drain connector 16.60
�J Sanitary sewer (no. linear ft.: _) Page 2
• Storm sewer (no. linear ft.: _) Page 2
Subdivision: 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
I Y t i d S l it p� � l 1 !_ c Lt . Backwater valve 16.60
J Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER - • I ❑ TENANT .: Drinking fountain 16.60
Ejectors/sump 16.60
Name: Toctd■ 45 _ Expansion tank 16.60
Address: 0 " L I s,....) C 0 r Ittil, S-` .4- Fixture /sewer cap 16.60
City /State/ZIP: l3 p , i y 0 (L.._ 0 Z 0 0 -1 Floor drain/floor sink/hub 16.60
( ! 3 4 1$ S 4 ($ 3 pp
Phone: ,�� d Fax: V 2.4 U trD Garbage disposal 16.60
Hose bib 16.60
' ❑ APPLICANT-., ❑ CONTACT. PERSON
I maker 16.60
Business name: .pa ii 5 Cu S'£ b 'b." 148 r r1 i5 �2 G� Interceptor /grease trap I 16.60
Contact name: "" ` Medical gas (value: $ ) Page 2
Address: ql4-""t 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: --cm" V_, I' 1 Q f'-7 even ir i t c - Water heater 16.60
Address:
F.0 _ v4) l FS Other:
City /State /ZIP: \ J 0 (+h ?/q I I JS b . 1 3� Subtotal
Minimum permit fee: $72.50
Phone: (5 3) 3 7S 6 Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: //( 51,1. 0 Plumbing Lic. no.: 94 - /i j PE Plan review (25%ofpermit fee)
�� State surcharge R fee)
Authorized signature:
TOTAL AL PERMIT FEE
Print name: T V A A , 4 S Date: //B/( 3 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\ Building \Pennits1PLMF- PemUtApp.doc 04/06/06 440 .4616T(10 /02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire. Suppression Systems:
:'Site Utilities Qty. Fee Total Square Footage: ., Permit Fee:
Footing drain - 1 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40 Valuation: Permit Fee:
• Storm &Rain Drain - 1st 100' 55.00 $1.00 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 $100.00 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 Back flow 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 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 Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
• accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: - � • Replace engineer.
. Previous' Capped Added Existing- ❑ Any new exterior plumbing site utilities.
Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities.
Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system.
- Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918- 780 -0040.
Car Wash - Each Stall
- Drive Thru Submit 2 sets of plans with any of the above.
Cuspidor/Water Aspirator
Dishwasher -Commercial Isomet or R D
- Domestic
Drinking Fountain ❑ Isometric or riser diagram is required for new buildings
Eye Wash that meet the qualifications above.
Floor Drain /sink - 2"
•
-4"
Car Wash Drain Comments regarding fixture work:
Garbage - Domestic
Disposal -Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory • . *Note: If the-fixture work under this permit results in an
- Bradley increase of sewer EDUs, a -sewer permit will be issued and
- Commercial fees assessed for the sewer increase must be paid before the
- Service plumbing permit can be issued.
. Swimming Pool Filter
Washer - Clothes
Water Extractor •
Water Closet - Toilet
Urinal
• Other Fixtures:
•
i:\ Building \Pennits\PLM- PermitApp.doc 09/22/06
RESIDENTIAL PERMIT APPLICATION REVIEW
Permit No.: MST2008 -00046
Site Address: 11642 SW Tiedemann Ave.
Subdivision:
Lot No.:
Contact Name: Todd Pays
Business: Pays Custom Homes, Inc.
Street: 20097 SW Corrine St.
City: Beaverton State: OR Zip: 97007
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.
The application is complete.
❑ The application is incomplete for the following reason:
❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above
information is reviewed and /or approved.
❑ The submitted plans cannot be reviewed until the above information has been submitted
and /or approved.
❑ The plans are deemed "simple ".
11 The plans are deemed "complex ".
Signature: 2341, / Og
Name: Brandon Shaw Date V
Tide: Plans Examiner
Phone: 503 - 718 -2425
E -Mail: BrandonS @tigard - or.gov
I: \Buil ding\ Forms \RES- PermitAppRcvw- Blank.doc 1 /18/07
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 67 R- 0Ud 4ra
PLANNING DIVISION:
Required Setbacks: - Approved__ ❑ Not f.,-;::roved
Side: -' '';t ' it': _! —
Front. 3 <<: aJ !'c'nr: . f�
V;stud l-lC1tr :::nc :. ;. :: '�` ?`' . Not Approved
H:-.?!..: ,. 3
i-- Yes s ❑ N o
ff . Zeceiveci
E G INE �G D :PARTNIENT:
Actual Slope : 3 % 15 Approved ❑ Not Approved
Site PIa El-Approved 0 of A proved
By: D ate: /t c� F
��� 2 s
Notes: 6 V-I-d k a-C- Gil-ncG4(4) ccmc
CITY OF TIGARD - SITE PLAN REVIEW
t3UILONG PERMIT NO: /n-St g_v�...11
Street Trees: [Approved ❑ Not Approved
Prpt±e tted Tree 7( approved ❑ t ed
(10 i - v y - f Date` ' p �
"Nvocs: I 111
CITY OF TIGARD
BUILDING DIVISION
i
PERMIT #: MST2008-00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/e
Phone: (503) 639-4171 .trIt
Inspection Requests (24 Hrs.): (503) 639-4175 .. ..,„ ---
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 11
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION .
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 603,475.641
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 603-47a-6041
Inspection Request Scheduled For: Date: •1/1912008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 070255-01 503-303.5760 N
Corrections/Co ments/Ins ructions:
iki f , 1LM NN/j
Gers6 k. cr-c- c
b ,,O - C,\A ci-e,ik +1) LVA•u_ AiWN^Je •
ria -ASS 0 PARTIAL APPROVAL 0 CANCEL (11 NO ACCESS
1 1 FAIL 111 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
./ " / 6'S( '2_kif 2 >i
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST20()8 00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9116/20013
Phone: (503) 639 -4171 4 pi�-itir /r
Inspection Requests (24 Hrs.): (503) 639 -4175 :� .
INSPECTION WORKSHEET FOR DATE: 1019/2008 TIME: 7:01APJi PAGE: 10
SITE ADDRESS: 116✓1l TIEIFMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION frlf)N LOT #: 002
OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION:
New SF.
OWNER: PAYS, TODD PHONE #: 503.475 -5041
CONTRACTOR: (PAYS Ct HOMES INC PHONE #: 503.4745041
Inspection Request Scheduled For: Date: 10/912008
Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 076483-01 5,0347a -5041 N
Corrections /Comments / Instructions:
V--), Q S f Nr�� Caw .--J
, 1/4) . .,z_J\ LA,/ 64 — v`.t -r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
v
Inspector: ` Date: 't / 4/ r Phone #:: (503) 718 - � "`� Z I
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MST 2008-00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16,2008
Phone: (503) 639 - 4.171
Inspection Requests (24 Hrs.): (503) 639 -4175 revolt
-_..
INSPECTION WORKSHEET FOR DATE: 10/9/2008 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 1' 642 SW fIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION 002 #: ��� TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION:
New SF
OWNER: PAYS, TODD PHONE #: 503 - 4/5 - 5014'1
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE # : 503-475-5041
Inspection Request Scheduled For: Date: 10/c3J 30C1S Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 076463 -03 503.475 -5041 N
Corrections /Comments /Instructions:
tr ...
•
ASS ' ❑ PARTIAL APPROVAL ❑ CANCEL Ii NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSE SED
Inspector: /� G/ �... Da te: 1 6 / / Phone #: (503) 718- 2"-lalf
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIST2008 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8116/7008
Phone: (503) 639-4171 4401 s� .
Inspection Requests (24 Hrs.): (503) 639 -4175 II
INSPECTION WORKSHEET FOR DATE: 1019/2008 7:i11AM PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 11647 SWfIEDfMAIV AVE LOT #: TYPE OF USE:
PAYS PARTITION 002
PROJECT NAME: PAYS PARTITION
DESCRIPTION: Neav SF.
OWNER: PAYS, TODD PHONE #: 503475.5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5041
Inspection Request Scheduled For: Date: 10/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 . Storm drain 07E483 04 503-4755041 hl
Corrections /Comments /Instructions:
3 `f 5
(A1/..„
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
tZl ` Date: t b /.4 ; ne #: 503 718 - Inspector: Dat e. Pho ( )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: T200 &oocia6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2000
Phone: (503) 639 -4171
A ta1
Inspection Requests (24 Hrs.): (503) 639 -4175 • I,j= :r� l
INSPECTION WORKSHEET FOR DATE: 10/9/2008 • 7:01AM PAGE: 6
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 11642 SW `TI1 DFMAN AVE LOT #: TYPE OF USE:
PROJECT NAME:
PAYS PARTITION 002
PAYS PARTITION
DESCRIPTION:
New SF.
OWNER: PAYS, TODD PHONE #: 503 - X175 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5011
Inspection Request Scheduled For: Date: 10/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Eat; Sanitary sewer 076483 -05 503 - 475 -5041 N
Corrections /Comments /Instructions: , ��
(5 7/0 g- 0 O k \S) w-c .
/• a/ oi
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED D/1'
Inspector: (/' Date: Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: (VIr ° QQn
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9116/2008
Phone: (503) 639 -4171 r � i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1018/200f3 TIME: 7 :O1AM PAGE: 9
SITE ADDRESS: 11f 12 SW 1'l0'DEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF
OWNER: PAYS, TODD 503-475-601 #: 603- 475 -60i11
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503,475 -5041
Inspection Request Scheduled For: Date: 10/912008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes ge
330 Water service 076483-02 503-475-5041 Y
Corrections /Comments /Instructions:
//
/ A.) i .---s- h 0
- y —A ke___. i-cs- ‹,1 7...0J-
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL E] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �1 Date: /q/ Phone #: (503) 718-
V TIGARD
R
CIT ■ OF ■ IGA lD
BUILDING DIVISION 1 PERMIT #: 2008 -0 �, s
13125 SW Hall Blvd., Tigard, OR 97223 l DATE ISSUED: 9116/70011
Phone: (503) 639 -4171 irtrotostiA
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/8/2008 TIME: 7:00A1+� PAGE: 11
SITE ADDRESS: 11C:? TIEDF tdiAN AVE CLASS OF WORK:
SUBDIVISION: HAYS PARTITION 002 #: 0a � TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE # 603 -475 -6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 603,4755041
Inspection Request Scheduled For: Date: 10/812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Pot >t /beam plumbing 076421 -01 503 - 303.5750 N
Corrections /Comments /Instructions:
•
•
•
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j1 \ ii -∎\ �titi■■• Date: 1 C k T i•O Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
20a•OOp9 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: }
Phone: (503) 639 -4171 As,uadi 1114/08
Inspection Requests (24 Hrs.): (503) 639 -4175 °_..
INSPECTION WORKSHEET FOR DATE: 44 30(00 TIME: PAGE:
SITE ADDRESS: I I b '42 °rlebm aV • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 41 3 01 o1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
bZo i 6 C.C,S N N.E
FJItNIt\ . Ac�i. 22.3 Z.
• .N.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'FAIL KCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &—■ N 011 Date: j 'OJ O 1 Phone #: (503) 718- 2)4i ir
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200e- 00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2008
Phone: (503) 639 -4171 A �A
Inspection Requests (24 Hrs.): (503) 639 -4175 .� - �:.
INSPECTION WORKSHEET FOR DATE: /2111/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 1164: SW TIE.DEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: ,()3
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503^475.5041
Inspection Request Scheduled For: Date: 12/11/20013 Pour Time:
Code # Inspection Description -Confirm # Contact # Message
115 Electrical service 1 0789613 01 503- 475.5041 N
Corrections /Comments /Instructions:
•
•
`K1, PASS 1 1 PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. V , (1\) (SICJ Date: 1 1. 1 �'i 1 Phone #: (503) 718- Nit, . . . . . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2O00.000446
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/16/2001i
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 - ... & . - -,
INSPECTION WORKSHEET FOR DATE: •12110/2008 TIME: 7 :O1AM PAGE: 11
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION • LOT #: 00:2 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 50347E-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: M3-4756041
Inspection Request Scheduled For: Date: 12/10/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 0789115-03 503-475-5041 r / N
Corrections /Comments /Instructor ns: 6 a 76. 5
........„,
_..._.
.. , _. .
'J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ - CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . iV Ge Date: 1 e� e O Phone #: (503) 718- *IA%
J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200t3.00046
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9 /1F;/2 Ot3
Phone: (503) 639 -4171 m �i`l
Inspection Requests (24 Hrs.): (503) 639 -4175 `'' I..
INSPECTION WORKSHEET FOR DATE: 1210/2008 TIME: 7 :OOAM PAGE: 17
SITE ADDRESS: 11642 W 11EDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF
OWNER: PAYS, TODD PHONE #: 503 '175 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 476.5041
Inspection Request Scheduled For: Date: 1218/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 07885307 503. 475.5041 N
Corrections /Comments /Instructions:
4 PC g i i L g l r r k ' 6 1 » t A3a G*t q€
�ci.4 '`l . 2.10 . (A)(1)
0
p (ktv lti *2) "two G-et:3.)NO R AT 6wii >�
mac, 160 - Act . 2-b N SO -
a . crit t oo v 6'b T f k 1■1 Iv■ 043 L._ LftAAL
0 d itvi c_1,,, EN 51/4.) mWlku- g LigiK),
` \ ■..)S ICJ \h.3 1J .
►tS ( 101 « . WM .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: S'"` • 1 06 lac Date: ' 2A- A Phone #: (503) 718- 11'1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST20Q8 Ot O46
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: ! X16/20013
Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..:
INSPECTION WORKSHEET FOR DATE: 12/82008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: N SF.
OWNER: PAYS, TODD PHONE #: 503-475-504i
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5041
Inspection Request Scheduled For: Date: 12/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 078853-06 503-475-5041 N
Corrections /Comments / Instructions:
sue. g-t, %II\ 65t 1 bN ; ,.
•
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 0%.L Date: 1 Phone #: (503) 718- I-1M
�y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2008-00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9,11612008
Phone: (503) 639 -4171 ail
Inspection Requests (24 Hrs.): (503) 639 -4175 •`
INSPECTION WORKSHEET FOR DATE: 12/8/2008 TIME: 7 : 00AM PAGE: 16
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PAR I•I
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 503475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 12/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 078853-08 503. 475 -5041 hI
Corrections /Comments/ Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• Inspector: 3' ,v A Date: II; D'' Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 911612000
Phone: (503) 639- 4171Ai �li`
Inspection Requests (24 Hrs.): (503) 639 -4175 , ' F:_.
INSPECTION WORKSHEET FOR DATE: 12/31/2008 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SE
OWNER: PAYS, TODD PHONE #: 503-476.5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 6O3.47E 041
Inspection Request Scheduled For: Date: 12/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 insulation 079301 -01 503-475-5041 N
Corrections /Comments/ Instructions:
Et.:_ibiCi la/ lil Og tZ6 ,-.,,,-e,et-.
PKov1 C=: f TZ by 1 ry -
&,.:,)_g„Ar____LOg.. iO4/ e_t__ 7 iz-y 1,..//efre.,L__
. ; _ ... _, ,-v _ x Sem
PASS i %� "� 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL - ' - • • NSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: 0 Phone #: (503) 718 - 7-.6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M`aT'2()0t.1.00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2008
08
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:...� -
INSPECTION WORKSHEET FOR DATE: 12/30/2001 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS. Too :)D PHONE #: 5()3..476.E,041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475 -5041
Inspection Request Scheduled For: Date: 12/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 079283 -01 503 - 475 -5041 N
Corrections /Comments /Instructions:
dl ■ a / / . 00 Z .> rr I
. c> 1 662 _ - 41i,l iql.
• S • " ARTIAL APPROVAL ❑ CANCEL P1 NO ACCESS
"4 VI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l u O Phone #: (503) 718 - z.,,6z-f-/
..„,
CITY OF TIGARD s .
BUILDING DIVISION PERMIT #: 9< k
MST200B 00046
13125 SW Hall Blvd., Tigard, OR 97223 � � DATE ISSUED: 16/200;
Phone: (503) 639 -4171 ri l� a `' I
Inspection Requests (24 Hrs.): (503) 639 -4175 "I - v
INSPECTION WORKSHEET FOR DATE: 2J11/2008 TIME: 7 PAGE: 19
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 603 - 4756041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475.504'I
Inspection Request Scheduled For: Date: 12/11/2008 Pour Time;
Code # Inspection Description Confirm # Contact # Message
276 Framing 078969-02 503- 475 -5041 N
Corrections /Comment /Instructions: (342F arS sT(2.c.J2. '1., ici6AA-e
da 1
d/es_e 0-61-euz- c - Q-
6 2 c 7 ' -
t D V(321i- .
( 479 � A xiy
-1---164-vt-c e-ro--4-ci vvv-k-42—.--az„e _
(0-e._)
s u0-7 , d 5 -- , tafiAa.
Ili Gur, - / A.-6 1?..r'e -," c—
0 C_An -,.t_5 6-0_0. .
..
0 ' ASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L C(.� 1 I 718- Inspector: Date: � Phone #: (503) 718
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ivisT200B.00046
13125 SW Hall Blvd., Tigard, OR 97223 DAT I SUED: 9/1 &2008
Phone: (503) 639 -4171 ICI.
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 11642 SWTIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 0U2 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 603-475.50 41
i
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475 -5041
Inspection Request Scheduled For: Date: 12/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior her walls 078945 -02 503 - 47&•5041
Corrections/Comments/Instructions.
Vf42 N-2,/qc,
•
SS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: " Date:( 1. Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2OOF3-0006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1612000
Phone: (503) 639 -4171 ,fNp'i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ':!+�_ :_..
INSPECTION WORKSHEET FOR DATE: 12110/2008 TIME: 7.01Am PAGE: 13
SITE ADDRESS: I1Citi7 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 503-476-W41
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-4755041
Inspection Request Scheduled For: Date: 1 Pour Time:
Code # I4spection Description Confirm # Contact # Message
235 Shear walls/anchors 07894501 503-475.5041 N
Corrections /Co ents /Instructions: L____,L4
\ Oi GOk - \ .\/ - 2>0) 0 _
0 . _ ... ,,, \ , r •
•
P ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k ti . . Date: Phone #: (503) 718
2(7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2O08 -00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9f16/7(1QF3
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,'... ` _-
INSPECTION WORKSHEET FOR DATE: 12/8/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 116442 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: N SF
OWNER: PAYS, TODD PHONE #: 503-475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503475 -5041
Inspection Request Scheduled For: Date: 1202008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 078853.03 503475.5041 N
C -erections /Comments /Instructions:
i *- /5S
r
iv --- 1 7/ c e, .44z..,„:s
�L 1 oisio
z v A. K NI 01-, t `1� Ten r) -}- $1/4/1 11 J (J . G ` ° ,
. �i'`�
p_A . N A-, r._.i go IA m 1 4..,c, fve,-N (.9 ..si 43) —
NA,/,4y
-- i- - ' (e' si 144 ._ At - z �4-
(l P 5, J . 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ' . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector.: _ _.__ Date: l Z t� Pho ne #: (503) 718 -y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: msT2008 00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9//8/2008
Phone: (503) 639 -4171 ,j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ._;
INSPECTION WORKSHEET FOR DATE: 1218/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 00 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF
OWNER: PAYS, TODD PHONE #: 503475 5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041
Inspection Request Scheduled For: , Date: 12/8/70018 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
236 Shear walls/anchors 078853 -01 503.475 -5041 N
Corrections /Comments /In• s:
- C)/C-- - 1 f _9 G 5 c_ : `---Z
Jt r - GC Al P L.c� - �t'
❑ PAS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i / 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: iZ16 /Ci
w Date: Phone #: (503) 718 - G, 4/
N .
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ivtu,l003 00tkI6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 911 €/2008
Phone: (503) 639 -4171 1111 �I 0
Inspection Requests (24 Hrs.): (503) 639 -4175 .. &Wr ° .L
INSPECTION WORKSHEET FOR . DATE: 12/8/2008 TIME: 7 :00AM PAGE: 15
SITE ADDRESS: 11 SW iIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #:• 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 503. 475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 603475 -50411
Inspection Request Scheduled For: Date: 12/817008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 078853 -09 503 - 4755041 N
Corrections /Comments /Instructions:
•
. KI err ''i
ki 0 4-L x_ ,�z' P� c'f 4- .
1 4 tt, ^ it+ - z....._ A-Pf le a v 4.--
_14-4-1/4/ L°" r c_. --K 6 vim-
•
n PASS ' r P ° RTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
4 j FA It ' ' L FOR INSPECTION El ADDITIONAL FEES ASSESSED
. Inspector Date: Phone #: (503) 718- _Z
y
,,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSTe)000 OOOi i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2000
Phone: (503) 639 -4171
Ai
Inspection Requests (24 Hrs.): (503) 639 -4175 .-'.: "eV
Inspection
INSPECTION WORKSHEET FOR DATE: 1202008 TIME: 7 :OOAM PAGE: 22
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 603475.5011
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-504i
Inspection Request Scheduled For: Date: 1202008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 078853-02 503 476- 5041 N
Corrections /Comments/ Instructions:
1:1 [j PARTIAL APPROVAL _ CANC _ NO ACCESS
• FAIL // CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
..... _--- :4 --- ) Inspector: _ Date: Z Phone #: (503) 718- C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST20O8- 00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/200h
Phone: (503) 639 -4171 • I � I + I
Inspection Requests (24 Hrs.): (503) 639 -4175 ._..
INSPECTION WORKSHEET FOR. DATE: 1218/2008 TIME: 7 :0OAM PAGE: 20
SITE ADDRESS: 11642 SW11EDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION •
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 503.475.6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.476.5041
Inspection Request Scheduled For: Date: 12/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line • 078853 -04 503-4765041 N
Corrections /Co�m�meent /Instructions:
s
4- 'moo i_. ; e4/ .
i 1� ' /y PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL 44 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:
d e
■— Date: 1 Z CJ ® 6Phone #: (503) 718 -Z-& 4- 7 Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2009.00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8//600013
Phone: (503) 639-4171 �6�
Inspection Requests (24 Hrs.): (503) 639 -4175 ma
INSPECTION WORKSHEET FOR DATE: 12/8/2008 TIME: 7:O0AM PAGE: 19
SITE ADDRESS: 11042 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF,
OWNER: PAYS, TODD PHONE #: 503-475 -50411
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 I
Inspection Request Scheduled For: Date: 12/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
515 Mechanical rough -in 078853 -05 50a- 475 -5C 11 N
Corrections /Comments/ Instructions:
•
•
1
f7� • f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`I I FAIL f ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . � . ..� ,I► Date: i�, t.75 Phone #: (503) 718- / G •
CITY OFTIGARD -
SUBL ®ING DIVISION PERMIT #: MS1200B -00048
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a /•i6/7U0tt
Phone: (503) 639-4171 ! °�pu�'
Inspection Requests (24 Hrs.): (503) 639 -4175 J_W °-.a
INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7 :02AM PAGE: 14
SITE ADDRESS: - 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PAI- J1TION
DESCRIPTION: New SF.
OWNER: PAYS, TODD PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -4751 5041
Inspection Request Scheduled For: Date: 11/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Sheai w Ils/ anchors 078427 -01 503-4755041 N
orr: tions /Comments /Instructions:
i A4.'7-5 Ca L.4./ 7 GA/ 44_4_ C
Li PASS - (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /'V Date: //— l`.¢ --- g Phone #: (503) 718- S 4-3
_r
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2008 000n6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1612008
Phone: (503) 639 -4171 ;r�'l
Inspection Requests (24 Hrs.): (503) 639 -4175 -�!�i
•
INSPECTION WORKSHEET FOR DATE: 1W 2008 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 11642 SW IIEDFMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New 5F.
OWNER: PAYS , TODD PHONE #: 503475 -50,11
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 50:3 -4175 -5091
Inspection Request Scheduled For: Date: 10/1E42008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2.26 Post /beam structural 076794-01 503 -.17b -5041 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL El CANCEL n NO ACCESS
El FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4, f —a& Phone #: (503) 718 - � ,4= �
CITY OF TIGARD
BUILDING DIVISION • PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16 /2 ( }Of 00t t
Oi1O46
Phone: (503) 639 -4171 I i I �
,31'! 6
Inspection Requests (24 Hrs.): (503) 639 -4175 �.. " :—
INSPECTION WORKSHEET FOR DATE: 10115! ?008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 11842 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PAR I IOh! LOT # 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: N ero SF.
OWNER: PAYS , TODD PHONE #: 503 - 475.6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041
Inspection Request Scheduled For: Date: 10/15/2008 Pour Time:
Code # Inspection Description Confirm #' Contact # Message
605 Post/beam mechanical 076737-01 503-4755041 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: A —/r - Phone #: (503) 718- - 2 4S—
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS1200f3 0P016
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:l1f/:yf103
Phone: (503) 639 -4171 f�l+�
Inspection Requests (24 Hrs.): (503) 639 -4175 '": _..
INSPECTION WORKSHEET FOR DATE: 1011ra12QO8 TIME: 7•QOAlM PAGE: 22
SITE ADDRESS: 11642 `�1N"IiC.DFA4AEV AVE
OF WORK:
SUBDIVISION: F PAFt i iTIOiV LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION:
Now SF.
OWNER: PAYS TODD PHONE #: 60 4Th -x,041
CONTRACTOR: PAYS , HOMES INC PHONE #: 603475 -6041
Inspection Request Scheduled For: Date: 1O/1&2000 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
225 Post/beam structural 076737 -02 603 - 475.5041 N
Corrections /Comments / Instructions:
� ,D1!e 62° ties i N; 6� - Zoe. Fs iiw:.41E .iJ If ✓C i & Xrs� -iwt �=�L' -
AliSTO � D S ' , - - - G r ■/ i i ' - i L E 4../07t7/6/2 .� / Y . v � . C i x . . - ,647 • ( -
- 1 2 ' 4 t 1 — -5 DG 57-
❑ P S [I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 10 — / T=-d Phone #: (503) 718- 2447
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M�,T'� {1C1f3 0l1t116
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9115/200B
Phone: (503) 639 -4171 . , ir (,'
Inspection Requests (24 Hrs.): (503) 639 -4175. �'I �..
INSPECTION WORKSHEET FOR DATE: 9/30/2008 TIME 7:0(lAM PAGE 10
SITE ADDRESS: CLASS OF WORK:
11642 SW TI EDEMAN AVE
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS, 'i oDD PHONE #: 503'1 75 -6041
CONTRACTOR: PAYS CU HOMES INC PHONE # : 603-475 -x,041
Inspection Request Scheduled For: Date: 9/30/2008 Pour Time: 10 :00
Code # Inspection Description Confirm # Contact # Message
10 Foundation walls 076104-01 503.71 1.0632_ N
Corrections /Comments /Instructions:
[ 'SASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r - --0 Phone #: (503) 718- Z-Y.--
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2flOt3 Oi)04c
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ... '- -,
INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 11642 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: PAYS PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: PAYS PARTITION
DESCRIPTION: New SF.
OWNER: PAYS , TODD PHONE #: 5034755044
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 :J.5w l
Inspection Request Scheduled For: Date 9/26/2008 Pour Time 11:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 075355.01 503 - 7840632 N
Corrections /Comments /Instructions:
U c' e' : cAvzv 5 1-lo ►c) do:v,- s 4-o %2Q., 5;4, e. 9 S Q�cot J e- 5 ,76
P 1.-. 1
nk_ .-k---e, c )0 4 4 ---
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .L- -S Date: aG S -efd8 Phone #: (503) 718 -, %23