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Permit
"a, . ,, o CITY _ MASTER PERMIT PERMIT #: MST2007 -00015 COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2007 t TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 . PARCEL: 2S110CB - 08600 SITE ADDRESS: 12492 SW ST ANDREWS LN ZONING: R - SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 011 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 .FIRST: 1.187 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1.700 sf GARAGE: 744 sf FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: 1.834 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BORM: 4 BATH: 4 TOTAL 4 sf 466.102.20 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER UNES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOOOSTOVES: 2 GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADM INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: W/SVC OR FDR PUMP/IRRIGATION: PER INSPECTION: ����Y�Y ■■ ■■�AAAAA ■■■ EA ADM 500SF: 9 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN/OUT LIN LT: PER HOUR: • LIMITED ENERGY: 1 401 • 600 amp: 401 - 600 amp: EA ADOL BR CIR SIGNAL/ PANEL: IN PLANT: MANU HWSVC/FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: la 1000. amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC/FOR> =225 A: > 600 V NOMINALL. CLS ARENSPC OCC: ELECTRICAL - RESTRICTED ENERGY A SF RESIDENTIAL B. COMMERCIAL I AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATNTELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS: l ` This permit is subject to the regulations contained in the Tigard V S Owner: Contractor: Municipal Code. State of OR. Specialty Codes and all other applicable ACCENT RESIDENTIAL HOMES ACCENT RESIDENTIAL HOMES INC laws. All work will be done in accordance with approved plans. This 12583 SW AUTUMNVIEW ST 12583 SW AUTUMNVIEW ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97224 if the work is suspended for more than 130 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 -670 -4939 Contact #: PRI 503-670-4939 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 670 -4938 Reg #: LIC 102624 TOTAL FEES: $ 14,179.10 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : 1 3--r...-A.e.4--‘--...._ Permittee Signature : ....... / Call 503.639.4175 by7:00 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. „' ”' � /a /2 a MASTER PERMIT Ili 4 I Y OF TIGARD PERMIT #: K COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110CB -08600 SITE ADDRESS: 12492 SW ST ANDREWS LN ZONING: R -7 SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 011 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,187 sl BASEMENT: sl LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,700 at GARAGE: 744 of FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,917 of RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 4,804 sf 473,986.37 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: NAT FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: 2 GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADDL NSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 10 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : • PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL U 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 ACCENT RESIDENTIAL HOMES ACCENT RESIDENTIAL HOMES INC laws. All work will be done in accordance with approved plans. This 12583 SW AUTUMNVIEW ST 18676 SW BOONES FERRY RD. permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TUALATIN, OR 97062 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: 503 670 - 4939 Contact #: PRI 503 - 691 - 1428 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 691 -1454 Reg #: LIC 102624 TOTAL FEES: $ 14,277.63 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By . �` = ., _, __ __ - /�s ' � Permittee Signature : ,' r4 1 a 1'f\a7 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. 761e/9a ,e-t) . C,t• • This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. i : BUILDING DIVISION . TIGARD TRANSMITTAL LETTER TO:..) DATE RECEIVED: DEPT: BUI ING DIVISION RECEOVED // /FROM: t(CC.P/I+ /�/) // i FEB 13 2008 D1YCj2S /00at 7 CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: q) — 3` - /353 (-41- RE: /All 7a a cv .- CGti44L o` 000I E (Site Address) (Permit/Care m er +. v; lot // (Project name or subdivision name an number ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other e • • . I . REMARKS: Mb ,_. _ / FOR OFFICE USE ONLY Routed to Permit Technician: Date: D. a a . (), Initials: q.__J Fees D ., ❑ No Fee Description: Amount Due: 1 6. r 1 I Oft A7 $ k Con J \ QL) $ �•,�')C, $ $ Q. $ Special ( .�7)6, 1 85 Instructions: to A. \ : _Reprint Permit p (per PE) Ye� 11] No ❑ Done Applicant Notified: ate: a / �,A /D A411 w /' ' p - Initials: ,( I: \Building \Forms\Transmittal Letter - Revisions.doc 4/4/07 Plumbing Permit Application / Oc ° - ' ' 66/14(4-4-- k_/ c Building Fixtures FOR OFFICE USE ONLY RE IVED D aceived Date/By: y: City of Tigard Permit Nosf po7_ OGJ /.S 13125 SW Hall Blvd., Tigard, OR 9 y Plan Review Date/By: Ph one: 503.639.4171 Fax: 5098r19�) 0 Other Permit No.: 2001 Inspection Line: 503.639.4175 TlcnitD y D ate Read /B Juris: 0 See Page 2 for Internet: www.tigard-or.gov TYPE a lli f jri9 m Notified/Method: Supplemental Information D �ON FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I 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 249.20 ❑ 1- and 2- family dwelling ❑ CommerciaUindustrial 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: Catch basin or area drain 16.60 City /State/ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 t Subdivision: I Lot no.: Water service (no. linear _ ft.: ) I I Page 2 Fixture or item Tax map /parcel no.: Absorption valve I 16.60 DESCRIPTIO OF WORK Backflow preventer Page 2 . Backwater valve . 16.60 I Clothes washer a 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER TENANT Drinking fountain 16.60 Ejectors /sump 16.60 • Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) F : ( ) Garbage disposal 16.60 ❑ APPLICANT CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: 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: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: 69,.1 ley j( k f✓ / g o/f/ 4 Water heater 16.60 Address: g ►0 - '- �C f� ya Other: Subtotal City /State /ZIP: G 0 i Minimum permit fee: $72.50 Phone: ( 3i 0 1...-,2',9 ct ) Fax:V3 ) 0 244 - )9 e/ Residential backflow minimum permit fee: $36.25 CCB Lic.: 93„5" 2 Z Plumbing Lic. no.: 3_7/A Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: /4 , ` - / ad- - TOTAL PERMIT FEE Print name: fl e-- ',1,-, . g,L/ if f Date:le A 7 e9 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\Permits\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10 /02/COM/WE13) 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' 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 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 and including $50,000.00. specially requested inspections - per hour 72.50 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 futures? 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 futures 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 ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. • -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial -Domestic Isometric or Riser Diagram Drinking Fountain Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" - 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor • Water Closet - Toilet Urinal Other Fixtures: • i1Building\Permits\PLM- PermitApp.doc 12/27/06 ITY OF TIGARD MASTER PERMIT "� PERMIT #: MST2007 -00015 ,•.. COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 10 C B -08 600 SITE ADDRESS: 12492 SW ST ANDREWS LN ZONING: R -7 SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 011 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. BUILDING ' REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,187 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,700 sf GARAGE: 744 st FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,834 sf RIGHT: 5 VALUE: 466,102.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 4,721 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: NAT FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: 2 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: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADM_ 500SF: 9 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT UN 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: r _ 1000+ amp/volt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL , AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL fi 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 ACCENT RESIDENTIAL HOMES ACCENT RESIDENTIAL HOMES INC laws. All work will be done in accordance with approved plans. This 12583 SW AUTUMNVIEW ST 12583 SW AUTUMNVIEW ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 670 - 4939 Contact #: pRI 503 670 - 4939 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 670 - 4938 Reg #: LIC 102624 TOTAL FEES: $ 14,179.10 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : Permittee Signature Call 503.639.4175 by 7:00 a.m. for an inspection that business day This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. n uiN'line Permit Application Fo12 oFFIc L 1 SI-: o\L\ • I C ity of Tigard . Received _ -419 t Permit Ni V � '/ (/ (0l 13125 SW Hall Blvd., Tigard, OR 972 t" e 4 4 a '; Pim Review Other Petmi . n L' • . Phone: 503.639.4171 Fax: 503.598. ' # . ) • DatelB • of ' t - �� - 1L_G 'ON - Inspection Line: 503.639.4175 . 7 Date Ready/By. ruie� ® See Page 2 for -r I A 2 0 ' Internet: www.tigard- or.gov 1V l i \ O 1 2 °Q t NotiSod/Method. Supplemeatat Information TYPE OF WOI�IC' ° 't ' '' - '` ' • ^ ._ RE DATA: 1- AND 2- FAMILY DWELLING , . .:, New construction ❑4. molition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: ' equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 46CD 1 102, . .1- and 2 -family dwelling ❑ Commercial /industrial Number of bedrooms: ❑ Accessory building ❑ Multi-family ❑Master builder ❑ Other: Number of bathrooms: 3 5 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: ‘0,.4 Q 2, tW st , A QAS 1 ,0ur.x New dwelling area: 1 0 ,,I square feet City / State/ZIP: 171 �� O �) -1 Garage /carport area: '-) is square feet Suite/bldg. /apt. no.: Project name: vyyi , \I \e• se, ten Covered porch area: I ', Q square feet Cross street /directions to job site: tJ �, , 1 1 vv% . 0_6, /" P a vi tea ' Deck area: '7 311 square feet S U �+ Vif..4.0 J Other structure area: square feet • .,,s -- : ,• I ' REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: \k , V ^3 ` c, � /f � I Lot no.: i � � Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: (. 14 / equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF, WORK • work indicated on this application. - Valuation: $ OW) n S ' $ c3-. V '- ` Existing building area: square feet ' New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: PCC t tfA.So1/4 t Type of construction: Address: `fig 3 st,-...„v, ,'M'�� s+ . Occupancy groups: City /State/ZIP: 1( oi l__ 1 a-a Existing: Phone: ( ) (0��OM t'[431 Fax: (333) ( )5 - OWcIIP New: •APPLICANT ❑ .CONTACT PERSON NOTICE Business name:C_C•P t !,p�A All contractors and subcontractors are required to be ""' C licensed with the Oregon Construction Contractors Board Contact name: �t !►f under ORS 701 and may be required to be licensed in the Address: t > ' r -& `. df - jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: iQ+(2. - q, Qa `1 apply: Phone: ( 5b3 (p1'- get Q 3 - 1 I Fax :: (5b3) tq" • En AA* E -mail: S ( ) /t, cf`PI � /- c.mt �- v ' CONTRACTOR Business name: INC Q n c , 6 0 y „; k.k, ,JD BUILDING PERMIT FEES* Address: W ft1AWIn (Pfwserelaroleeschedafe) ��$ 5 Y ��� "� • St ruc t ura l plan review fee (or deposit): ����-, b City / State/ZIP: r, (112"444 FLS plan review fee (if applicable): Phone: (rte )b.l,, 4 .7e) Fax: (S3) kl5". b1 to Total fees due upon application: CCB lic.: t t.l \� a (� Amount received: 0 .Z . 5-A GU Authorized signature: .) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: )" �ia�5 e e_ I Date: `a (`a. l p(0 * Fee methodology set by Tri - County Building Industry Service Board. I:\ Building \Permits\BUP- TI- PerrnitApp.doc 03/23/06 440 - 4613T(I1 /02 /COM/WEB) 'I r• !NI o R Ill Building Division Plan Submittal Requirement Matrix TI G n R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) • Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ Building \Permits \BUP- TI- PermitApp.doc 03/23/06 raI l DEC a 12 x 200 2 yp lication FOR Order: N . 1813 P. 4/6 ill Pg City of Tigard D „ Permit NO. 5 1 7— vac! 13125 SW Hall Blvd., Tigard, OR 97223 Pion Review Phone; 503.639.4171 Fax: 503.598.1960 1»eBy. Caber Permit T i C ARE) U Inspection Line 503.639.4175 Date Ready/Br rte: 0 See Page 2 for Internet www.tigard.or.gov e . Notified/Method: - . Supplcmeulal rnformadon zit14' �tw , l �i,R° r ' �`1.,.• �4 .�•'•' "�SeW— c�°��7\ �tr r 5.1q'N' ' • !_b 6,�y5ar�Y'r ,r,,gtCL�pt ° w � +,iq�r9� i ��� ' s�,.�vw,s�.�. ,.�? ti M 0 ; "s.,.`•. v.IM•; i' ;;r. ; ?kr+.v } i. ..�r�•• '• ?. ., ..) '� -.v. I:•,PPd;n °T�a � P'� e'yai`P'n .P + yT'y�fQ _, New construction ❑ Addition/alteration/replacement Hesse all apply ( t 2 sets of pleas *hot ti tedced below); ❑ Savior or feeder 400 amps or mom 0 Building oter threeatories. Demolition ❑ Other: what the available fault correct ❑ Marinas aa1 lanyards. .. ;.(:, 4R ;:: `rS •.c, „',�r; . y ,.” V ° 11, r t l' :sic J,,,y Tr, . "" , °+ , :,':/�•"E exceeds 10.000 amps at 150 volts or 0 Floating bu _ding. 4 ° n.." r " may, .' n' .::a E. a tK!4.- crzC'.r1�a ` :r. ' , ' "' " , , i k .. • leas t0 ground, t1r exceeds 14,00Q Q COtamerlJB l • 140 agricultural : - and 2- family dwelling ❑ Commercialimdustrial [I Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other. O vin pump, D Iirstallatian e.'75 KVA err t � p�rPrr. �F a?py 4m �, ... � "��jµti7;' ' . (.. { �' a&MCCAW system, lawseparalefyderivedsystem. 4:7"..;31'4'.::' Y,• '°„" r l , • t J 1; t Y - . } 11 y . _ .�f.vr b y ^ -, ,• �, u 11 ` Vt, r l" "1 '' �:� a'4' ,- %.�' C, D Addition of new mater lo9dof ❑ ° A ; "ps °, °l�• ^ /� 100HP or more. o�rp ®e5 • y Job no.: G �� Job site address: �a�"1�- S D Six a room residential units ❑ Roaeationul vehicle parks - City /$teIe/ZIP: �� , ^ Ii OH lit ❑ Supply volt r e for mom than 1\ ' 1 a ❑ Hazardous tocatin>8. 600 volts milliard. Suite/bldg. /apt. no.: Project name: 0 Service or feeds 600 amps or mem. Cross street/directions to job site: � } .vleLJ C 1 S r :, ` ; `a t, . y! 737-,W._4; s ' �;,5W;+:, , ; b h/t,F / Teji�rla4.. f nererlonaa der Pea. • Taal f • New residential single or multi-family dwelling unit. 1 J � .,py��y s„e,. -? Includes attached garage. Subdivision: `Q j }s �C (Lot no.: t " , — 1,000 sq. it or less 500 sq. ft. or portion 1 1 33.4 0 1 Tax map/parcel no.: - R ,,�_ Limited energy, residential '.s:•',' y ' °�'t'a:.'';ti:.9',r ,r ; "yeti c, n i, tr",.,y V "6In•tw 7 75.0( 2 ,.rc �m ,. � x ,�: _ " �,�"QM�,4c.. '..iE •i:,,• ^g�i','L:,"'d'iaa�t� wi8►above .1L ° / n � n Limited eatrgy, multi-6=0y 2 _„0Q xs.J C.Jr$ 4-► or— 5 Y Q_ residential (with above sq. ft.) 75.0( „ y . Services or feeder's Installation, alteration, andia r relocation r f 200 amps or leas 80.3( 2 ..,,,''..1 ' ": ' " ,,; , • ` ", . ,. , ' . . " ' : 41"r~ ` " { ' rJ t ; ^ • , . ' , *Pr' ' ° i( 14 : :, 3 201 amps to 400 amps 106.8: 2 Name' P CQ .. ,4 s , 1� Pr „ „ 401 amps to 600 amps 160.6( 2 yV G11'V *"'�� 601 amps to 1,000 amps 240.6( 2 Address; + tps83 sio. A - . Over 1,000 amps or volts 454.6! 2 y/S /Z1P: \ � q , . i Temporary services or feeders installation, altet� :tC Ci on, and/or 01 "1 relocation Phone: 41 ) , . ' 1 Fax: ( 5) (s1 S • 0 \ 6 1 to 200 amps or less 66.8 • k ,, 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.3( 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.7. 2 Owner signature: Date' Branch circuits - new, Iteration or extension, per panel A. Fee for branch circuits with 't; fa iQi i i i ( _ C • s�,iffii .e�, � �"^ a , f a bove seta or feeder r ; f , / nth�i� �''*�'' ',, J<.1 %.P ,,` r.�`+°m , > �+ K, l�U!'n';'�i7 1d>`1i'4� cc , 6.65 2 each branch circuit Business name: � * ttli a� �4) B. Fcc for branch circuits Contact name: 1 � ov‘ost without service or feeds fee. 46.8: 2 �� 5rstbrannnccircuit , Address: 1 e�,� S�� cL - ^ Each add'I branch r�wit 6.65 2 O �T miseellaneouda servi or feed not iocloded) City/State/ZIP: 1 - 1 a,.1 Each mannfactared or modular 90.9( 2 dwelling, service and/or feeds Phone: (i ) ( _ t- tq Fax:: (54 ) 5 • es VA co Reconnect only - - 66.8f 2 E -mail: f. O. (t, f , ^ _� _ t ..s, 1 Pump or irrigation circle 531( 2 ., „fir : ' n;� *.'..�€ ':1 +'.4 :xr y %i• F.,... n`b ,.1r,':�'. Cy�IJ •t ' .. T ''1, ` . " }y:, '+1 Sign or outlinelighling 53.40 2 gib, . , _ .;1 i :�!f• f+ , s.' • '�S �+ ,' �.:5• Business name: � � Signal circuits) or limited- 1 ^ V C + n C `cjry _C-., energy panel, alteration, or Address: ' 3VI a:tension. Describe: Page 2 2 City /State/ZIP: 'T _ 1 1 19... 011 0a4) Each additional inspection over allowable in any ot'the above one. (S.49 1 'J +� $ . . ► - t 5SS' V F' 1 FOX: �) � - Per inspection 62.50 ph Q (� �) � i Q Investigation par hour (l hr mm) 62.5( GCB Lic.: a e s q/ q Electrical Lic.:a LJ q 1/ - Jo 7c, Suprv. Lie.: £ , 2 Indusbral plant per hour 73.75 " Suprv. Electrician signature, .-'� D `r M �iws _ 41 , I t : :,s7 r �pk� «•N,g ;'ii gnat required: eerway", / Subtotal: - - Print name: • se : 2 . - -OV Plan review (25% of ptamlt free): Sbtc surcharge (8% of permit fee): ALrthOrized signature: / / TOTAL PERMIT FEE: ... Prim name: I L Date'. This permit applcatioo expires if a permit is not obiaiaed within 180 days merit has beta accepted ss comp ::c. L1Bwldeswer,nia _PamitApp. 05123/06 M0- t61li(1t/o5/COM/WEB • NtmmbcrofimpectioneaRowedperpermiL ! UtC" 1 7006 1,3 /PM ?4. c111a licfl).1 Porn*tt Annlicatioo III City of Tigard ' vad PemhNo: • 13125 SW Hall Blvd, Tigard, OR 97233 DoWBt• /Lf SToZ4y 7- �� l5 Iii 1 Y Phone: 503.639.4171 Pax: 503,598.I960 all= Other Permit; lnapodlon Lira 503.639 .4173 : r ,, . y mu. RI Bee - no 1 for Internet www.tiwrd- er.gev isagnayldo117et tlspplmtad to I Information ISBEZ r }}, �� l �S.rc'(l: ,:r 1. �I ;r s t. .�Ircyrf�,S r f►.'F *, I,y ' ` 4 j , � 5 rc 1 - * kd w 3r,�',`.Y �t,�• 0, �i4,,:F(rvri?Vy3ltYi� • i�` v'AtfrgYr = + `tuCl,ic .r'llvrrh'r:�i r... t7 J ti : �.• II u ki:11'rfr•71 11:.1 eve construction [] Addition/alteration/replacement P. Mad permit fCos ate : • on the valur ofthe work • at tedtoafe the value (rounded to tho n moot dollar) of all ❑ Demolition ❑ Other: eel mat tale, Meiptpeat. Iebo , oval end, sod profit I. " �TIT'!' y����2^ +• ,uvt7rtnV.r.,r. � . 4 c - • .7r JN }I .? f '1-i^ , fir , r..' Sit D r, T : '::!v� l 'M , •T•7: '."inl ii it�Yi., k : :: •SiiL , .L I � �i it eil C:41i r hfn Vahl."1 •- and 2 - family dwelling GI CommerolalMduatrlal ❑ Accessory building r =�' s'�* %+� � m'/' •Yu�"' r t ;Y k Abu special rmolion thecidia4 ❑ Multi-family ❑ Master builder ❑ Other: ° � an �j . , �T! nu r..r „:a�"l:•a i ' aa{y Sw , Y �.i t•r��.:.51{r . . Oa I Qty.l Bil. I Total c:vi�l•. ,� ��cpi�Hr:�i�'1ft,� �me901111Q Job siw address: • , eoaditloning or heat pomp "'•” - • ■ • r ' • • . dto elm 11tet K olaeement) 14.00 City /StatefL P: . C i. a •• ace 100,000 BTU kinotahasm) 14.00 Suite/bldg /apt no.: 1, oe 100,000+ BTU (du W nu) 1 19.90 ■ h RIM - 14.00 Crow street/directions to job site: a ` rvodt 14.00 • l lr;J . •dc hot wow aratom _ 14.00 dentld boiler (radiator or r o 14.00 I t ] l L 1, .' 4 1 i 1 a r heaters Mel-type, not elecaie), j . - .. 11. m•duclonspended, etc. ; 10.00 11:=MMI ,a te. Lot no.: ear feu any of above 10.00 Tax map/parool no.: � ' 10.00 . t •u • ' ��,/ 1 ��y�P�1µp1L )!S19t�1r s c. uMr , . 0 • er fhel appliances • • t`* i44, i �' D1'•■i'1 S� Cl r i rti r ' ' .11 '� ". � ,p ��tj'i� � ii ... ...,� li l 1 L ,.)L'Jrr.�. � Nl�l :JI�TN ��C)Lig7 We 1 IO.00 Q owns 2 ., 10,00 h ► mot+.. - ■ - Pia vent for water beater or Bas f ` Ina -10.00 liter(s) 10.00 ` • dlbellet save . • 10.0 • �5,.=r�tac�e -.-�{�J ayy T r .� "d 6 ' coil ' - l0_00 1 .' i a r > p y y n � Q ��� r.j:t� / u.. 1, `r),a E(E ac r 6 Wil /dtteMa2 Jt ..Li l,l. �_Y.lil'w 1 i �y�i��I: ����/ i!. �. Y.lfe.P�S�� \b'.�4i'..F��� , 1 , � JO.00 Name; 10.00 'A - e ' _-_- •- •. . - 11.\,......4.4._..-e toolos /oth 1 a hsoo t mad vepghdou • . �, �'�;. h00dC .... � eat 0. I t 00 City /Stag: , • d � ,r - - E, =Want Phone (� ' ( O' Pax: (�,3� • `! , ` MT . '' et eahaustNeuowns, — 10.00 1���am���y��, j4i •f'L"`.ior,. �7! v .�� +v . O comp/comma, utility rooms) 41 Q80 '1:ilrrl.f. �1 ;;%ircii.tiri.L:l�+41i(il:11i'Sj '.'i: l : i �. ;;) I p . r 1 � - Cb r','�i awing= {L�� �lil r 7 tii.�[ll.L -U, :i,,tiia.�'„4,..,� i. apace .QILa_______ 10.00 �.. L a ' . _ •.. t __ �► ‘ ... 10.00 • Dill P �%.a. ;. 5'JI,40 ter Brit hall 51.00 eeehs•btition Gt. eta City/State/ZIP ~ r ' n • o� n , ° n< r.-. end • . i 1 ; ter Phone: ,1 MM. Fax :: (9b$)ke . p • , W:.. bus,. ' E mall: a • • . C evy'- Pk ass ' .,r MelfitI A Trit`gud {Z;�4j y�l ;1:il�r'i�f�j�,� h�rf -t �'S ri Buaia tc Lt. : ` , a • .l.. :�t�i''r/ e i , tt AMC (fl ' -.2 r _ r `f� SwWtZW. N hl�l1 ' / ='1 .�1 ,1 I.rl/,�71 • ",. ..:.* :.? r In i... trall 1 t +-{ t7'CY�IYY�:.•'- 1�LI�ru�ralvr. �•iV' Il:.w..�• GI :ALA Sabre Al if Phone: ( --• Mlolmum it Plan review (25% ofpennit fir) Mato embargo (8% of permit ft r, l tlto TOTAL PERMIT F p: Authorized sisnatore �-� i 4' This ,, � _ � vppde+da• aeptrielra pormlf 11 pd olu :bad within ISO den after it ban be accepted as eautra t► " ' / +•7 _T / _pat /Z /I3 DA,/ ' F-'melbnatllo6'Y Set bYTrivaitmry Wring Indu.- Sei'tmseard Ed Wti6T :60 900E 2T 'oaa 8SE6 £T8 20S: 'ON Xt/d ONI1ti8H SSOOtif : WOi•Id Page 4 DEC 32,2006 18:54 'ErC. 12. 2006 2; 32PM NO. 1E i 1 ?. 4 .,.; . , 1 trliml_Airpernolication 1•t.iN 1)1i II F I SI • I') \I 1 aty of Tigard DIM/I3 . Permit No.: A457--a tie 7_ ovo /5 ,11‘ ,--- 13125 SW Hall glad, Tigard, UR 92223 Phan-view MOW 503.639.4171 Fat 103.598.196o Downy; Other Promit No.: i 11 ,, „ InfPeCtion Lint: 501.639.4175 maw peeiety: " ' Er See Pare; for Internet www,tigatar.gov Notirmemetm llapplemental Worming, IMIIIMINEfa• '' : ,'' '. 3 , . g.' ..A. %.44.{:ci . ,z1),.-c..1.4,„ l'.. - ..77,r-ti'l........,..S....1/.000:ii.:.ad!, ..,-..7,A0V:kil ■ ) . ' ...• , . , . , '., , s .. „, .7. Ek ss' ;1 . ',:= k • 0 " • 4.. .;' . gq• 1,•••••::•• , : • -1: " 6 .. ' 7 ' 1'4 •■ i...2:1 pi-Netv construction 0 Domolition For epedfd 11,_.!firrealfen use theektbiL .---...... ....... . . . ..atE I cey. .il Tai 0 AdditiawhhoratiMinephteurreal 0 °Mal Now 1.• 2-family dualism (inoludca 100 0. 6: or cadtinility eannearion) r . ."-.:"-•:::::',-••••••-.--:. 7. . ..,„: .. ' -....' "'. . '-'..- ,.. ‘,''.• •.• • :VATECCattaiXtRidagrielkeZ.P...:Zn:•!'":';.7 SFR ( bath 2.' /.20 _,'- ' " • . - ' '. =1.,•- - .. - 71.,A. 4./.12:.4A.M.. ' • -a • 01 and 2-family dwelling 0 Commtockalliodusniel RR (2) bath I D Accessary buediog n Multi-family SFR (3) natb 1 V.) on Emil additional batlutitchen 2 d,3,00 . 0 P4Mter buZdcr 0 Other: . f,102 ' • . ..'../. II .1 i • 10 1 szAN' :■ . • ; ' ' ' . 4 . . Firc Winkle' (---- 4 ..— — .. , .,- . • ,• s. - • . . • •_,,^r, • lefq .'";', • 7 :: o' 1 74- • ••• Mc Enda lab silo Wan. , ' zsosukr_vixtAlalaxl Cold Ruin our dial !ii.60 - CITP/S1alerall, ,___qa2aq DIresil. teach line, or nod, 'bin 1:460 Suitt-614/ot. no.: Project !Mole; ,kg t r .n , actin drain Om linear It: ) Fite 2 Monufeetured boom Willa 1 •.%I . . . .. • .U0 Cross Maud/directions MA site I : _______,_ • ' ■ • gritTIMI Won*, .••,60 Rain drain connector • V..613 _ — -.. Sanitary mwor -- (no, Mum (1.: .) 1 2 • • • • , . .... Storm o own. (oo. Bann fl.. _J PI:s2 — Subdivirion• Wota aartitt (no. hoar FL; I I . . .. • . Lot no.: 1 i .—._- From or item lax rosptpartel no.: — — • • 7 ----- Aboorrion %Olio 1 ::•. . :... • '' " • : ' "..;''' .7 i.':::"ti :.:41 i. t:',e.;'2 ,! ...:::.: . ...—.''....—. . Phie2 • Ili \ ■ 11,. a . . 1. Backwater volve -.1 15 60 ..-- ClOtbes Wallhef 11 1:. 60 ----. Dishoosher 1 --.„___ 1 GO . ..,. .: , ' ' • : iiktiklapir■:.„'"'• ..::: r:"..?!••:tdre.1-q4„ Drmking fourdom 1660 . . ....„."...„-- air ff.= ,I , ... -. ..:: , . - .P - 1• ,-, .T.3.:.:.... - .7 • . .; ....` Name Fjeamisomp le 60 : ■ - -••••■■•• A _ _ • 1 2 . .. Reptilian tank l' . GU —_-_-_ Mdregs: .. , ..AaSlap_10 f rittl4%.2-VVVW14 1 ......N 9, Fianna/sewer cap — • City/SogolZIP: Floor drain/floor irinkillub 1'. SO 1.1' ' , Phone:- ( •••'■ ) .. • Cti Pm: ( ., ) , . • A C‘ , Garbage dismal 1 1 7 4 2. 1. 60 ... • • . §tAtiliOrr• ' :•;•' , ',•':! . .:.; . ;:.:7.• V a'. !A 4 0. 11. 0,104: . ' . ., --tv::;. .... . . • • - Ica maker I , 111 50 Bush= name: Aczzt.s.SILASLI.04detTrald...... lutereeptor tra .... — — It 60 Conrad, name; . --11: . lime 2 --- Addrc.u. k ,a.51 0€4 • .... . _ gas (liable 1 _ WO — City/State/ZI9: „ . 0 0E .... 531__. 1 2. 4 Roof drain (rommereill) IMO .. .._ ..._ ' - — Sinklbarin/Latitnry CA 1tb nO none: 1Sb ) , 1 ,. . , 1 I plm. ) • ' . • • Tubh&wahhOWCE Pfto 1 r If•I>0 &mall: g ;• ti,,Cp 9%..i1r- . °•• - / N A- — Waal ll 60 ' ... ,...' ' :. "::. : .":• • e.' ' :: w , , • . . .. __.....;„....,=_,..,...,.... • ; • •■• ., -Ma wows q I( '.0 1511912M93 name: ' sic _ emer - -- -- - 1 --- li - ■ Vit -. — . _1 AdtlreS6: .. Other ._-_. .. . • 1 • • , - . t.... "' e City/SamiZIP: • A Nabtat il •a".■.. •. -ft. *I ' ' "I . DA Minimum pamit Etc S72.'i 0 Phone: ( I ' ' Fag: ( 1, ) 5 . ■ . , 1 • Renidenda1 harkeow minimum permit fee: $36 13 . d . CO Lie • 5 , . c Auth d t ..) . ..._ .1 I orize signabne: ii . Prim .... r • 1 ,4,.. a tjolir ...wt.,/ iik PlurntalLie. rt0.; 61+ -193 , - Plan reolew (21% of permil 1::,:) _ State aurelorgo (V% urpormit 1.4) TOTAL PERMIT F:'. E - !IP • - AMAMI" Date: 2 2 , c, Tab penult appilsatiOn eapIr ea if a permit la not o •a eked within 110 Ann after it hat bean accepted ma conriicee. i 'Fee methodology it by Tri-County 13nOdlog [Adam Iiervice Board, rtinamayonmanaw-PartairApp doe ovaimi 44O461c7 uciocomven IIIIIMMMEMMEMEINEMME■■■■■■—_ City o f T Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 I1 0 al '' 1 TIG:ARi . RESIDENTIAL PERMIT APPLICATION REVIEW r Pcrimi \umltcr ,� - ` ` I ..1 \ 0. sII )Lliv i >icut V o j �� (.nnr to \amc � l 11 (/ Irn n ..trcct (:in I State I I Zip I 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. r _ The application is complete. The application is incomplete for the following reason: I The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. I I The submitted plans cannot be reviewed until the above information has been submitted and /or approved. I I The plans are deemed "simple ". [The plans are deemed "complex ". If you have any questions please call Loraine Williams at (503) 718 -2708. Name of ans Reviewer Date Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 07 -20 -2007 16:11 From - GRI 503- 644 -8034 s T -784 P.002/003 F-037 <,t`r >lw•.hnical ti F.nvironntonlil Consultants 44_ _l 9725 SW Bt.rvertrrn Ili II>dalr I-Iwy St ;• 140 Rc.tv;rton, Orpgurt 37Q05.3364 PHONE ?03/641/3478 1AX 503/o 4 July 20, 2007 4366 LOT 11 ADDITIONAL C.O. SERVICES LTR Accent Residential Homes 12583 SW Autumnview Street Tigard, OR 97224 Attention: Sean Foushee SUBJECT; Additional Construction Observation Services Lot 11, Mountain View Estates Subdivision 12492 SW St Andrews Lane Tigard, Oregon City of Tigard Building Permit No. MST 2007 -00015 At your request, on June 7, 2007, GRI visited the above - referenced lot in the Mountain View Estates subdivision to observe the exposed foundation subgrade of the house under construction. At the time of the first visit, the foundation excavation was not complete. A second visit was made on July 18, 2007, to observe the completed foundation prior to placement of concrete in the completed forms. This letter summarizes our observations and provides our conclusions and recommendations regarding the suitability of the work performed. As you know, GRI completed a geotechnical..investigation for this project. The findings of our studies and our conclusions and recommendations for design and construction of the project are summarized in our November 30, 2004, report to LanPacific, Inc. entitled, "Geotechnical Investigation, Mountain View Estates, Tigard, Oregon." Additional design recommendations regarding foundations and retaining wall design were provided to Accent Homes in the following memoranda by GRI: "Retaining Wall Design, Mountain View Estates, Tigard, Oregon;" dated December 30, 2005. "Global Stability, Proposed Retaining Walls and Fill Slopes, Mountain View Estates, Tigard, Oregon;" dated February 17, 2006. "House Foundation Design, Mountain View Estates, Tigard, Oregon;" dated March 20, 2006. "Retaining Wall #4, Mountain View Estates, Tigard, Oregon;" dated June 29, 2006. Our construction -phase services during site development included evaluating - the installation of subdrainage systems north and south of SW Autumnview Drive and placement and compaction of structural fill during general grading for Lots 5 through 14. Our observations during construction were documented in daily Site Visit Reports and are summarized in our letter to you dated January 19, 2007. A copy of each daily SVR report was also provided to you as the work was accomplished. At the time of our site visit on July 18, 2007, the foundation excavation was complete, and the forms and reinforcing steel were in place on Lot 11. The exposed subgrade consisted of hard, intact basalt on the 07 - 20 - 2007 16:11 From-GRI 503-644 -8034 T-784 P.003/003 F -037 uphill foundation line and stiff to hard, clayey silt and stiff to hard, clayey silt fill with scattered gravel -size pieces of concrete and angular rock at other locations. The subgrade was moist on the surface from recent light rainfall and was lightly desiccated below a depth of about 4 in. At the time of our visit on July 18, 2007, the forms for the second row of foundations from the south were on the edge of a vertical cut and will require backfilling with relatively clean crushed rock such as 3m—in.-minus placed and compacted as structural fill to 95% of the maximum dry density as determined by ASTM D 698. The slope of the structural backfill should be 2H:1V or flatter. You indicated that following placement and curing of the concrete in the foundation walls, footing drains would be installed, black asphaltic waterproofing would be applied to the embedded portions of the walls, and the walls would be backfilled with compacted granular material to about 3 ft above the drains, and compacted native silt backfill would be placed above that granular material to grade. Based on our observations at the site and assuming the structural fill will be placed to support the second row of footing from the south, it is our opinion that preparation of the footing subgrades was accomplished in substantial conformance with the plans and specifications and our recommendations for this project, and the subgrades are suitable for support of the proposed building loads. Please contact the undersigned if you have any questions regarding this correspondence. Submitted for GRI, .4DPRore 5 - atHg� 82 0 'yi '' °E 2 0 y v , , _,_ c , , Pe- O DRIS Exp. 12 /07 David D. Driscoll, PE Matthew S. Shanahan, PE Principal Project Engineer cc: Eric Esparza / LanPacific Inc. (emeelanpacific.com) R 8 E.," , •,, 0 Case # Number 'Street flame Suffix Unit # Description Active Task Opened Balance ,i12ii ' 1 if _ a ii) i Inspection Detail Conditions (0) Documents (0) Inspection Type Address Case # -- ..:t , ! 1 i 199 Electrical final 12492 SW ST ANDR.EWS LN MST2007 — Request Date Request Time Requestor's Phone Number — : '' ; Inspection Date Inspection Time Result Department Inspector ........--.... : 03127;2009 9:15 PASS Building Gary Noble ,=_. =-.._....... ��� ��� ___ '��� r " ---- � ' ' CAP Type Internal Use Ony -- :...~== Bui|ding/Res/MasterPennitINA MSTO8'0OCO0'O62O4 �=. `==`_``'� ' =� ��== ='===—= ' ��� . r -- �_ F� ! Q0�� -___-_'__________� __________�--__________ ___________�____._____ ___ _ ______ ____________ j|~ 1Vg CITY OF TIGARD - 4:P BUILDING DIVISION #: MS 00Y 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6161 007 Phone: (503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 — . '-I INSPECTION WORKSHEET FOR DATE: 1/7/200t TIME: 7:01AM PAGE: 20 SITE ADDRESS: 1249' SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 01.1 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 603.670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC • PHONE #: 503 - 6744939 Inspection Request Scheduled For: Date: 1/7/2009 . Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 079457 -01 503.1819 -3711 N Corrections /Comments/ Instructions: I Z c4, V / 1 7 6 &% F % R7 r 9'c --C.-. C a S • ❑ P- - - ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS Wi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ! 1 7%7 Phone #: (503) 718 - qV r CITY OF TIGARD BUILDING DIVISION PERMIT #: tvIST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/&:)o07 Phone: (503) 639-4171 Astro/44 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9tt43fj ... TIME: 7:02AM PAGE: r J SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIE.W ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES. PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 064132-02 503-330-9910 N ? 07' t , AM. Corrections/Comments/Instructions: t'zi'4''vA7 A 1 IV if ‘i tt , ' / 1 : 1 0 ' i e , ti /i-'6 e-. kef—t-ti 61 A / t 16 (14 tte-‘7 -t4 /FY et bfil kfrie,Ae-e- . 1 1 e I 4 1 - - f kj ( „ii1), 437.... 0 1111/(114/1 ••■■• -4e eki4 fr- 16 / 6-vovo ri euv t --44- Ce- 4 (k kie.1 ) ) , . , ) , I ( 1 ( _ 1 MilA dial_ '1 1 41 - 1 , 40 i 0 b V i ldtd Pe, la itl • ,, . 1 1AW 4 - ilf eS• 4--Lod' 14 I/ /;ZP 1: rPASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS El FAIL El CALL FOR INSPECTION r_i ADDITIONAL FEES ASSESSED Inspector: 1741P Date: 1 ( ") 6 « Phone #: (503) 718- 94/0 CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST:2007-00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &wow Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: .4.2,9i9e3e-, TIME: 7:02AIVI PAGE: 7 ty01, SITE ADDRESS: 12492 SW ST ANDRE LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL I-10IvIES, PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 603-67Q.4939 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Eleci:rical service 064132-01 503-330-9910 Corrections/Comments/Instructions: PASS LIJ PARTIAL APPROVAL E CANCEL NO ACCESS FAIL El CALL FOR INSPECTION Lil ADDITIONAL FEES ASSESSED 1 Inspector: 41f Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 20p7 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C:j°.i/700.7 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 `'i L INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 35 SITE ADDRESS: 12492 SW ST ANDREWS L.N / CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 -670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 -670- 4939 Inspection Request Scheduled For: Date: 1 , /2D09 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 063849 -01 503-227-7200 N Corrections /Comments/ Instructions: ❑ ASS El PAR IAL APPRO ❑ CANCEL ❑ NO ACCESS FAIL ❑ !'' PPE' ION ADDITIONAL FE ASSESSED 000 r i /2.- Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 a�' Inspection Requests (24 Hrs.): (503) 639 -4175 `'I — INSPECTION WORKSHEET FOR DATE: 117/2009 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 12492 SW ST ANDREWS LIB CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES S LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: NOW SF OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 603.670 -4339 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 1/7/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 079457 -0'1 503- 819.3711 l` Corrections /Comments /Instructions: �S i agge 2 C_--v r 10 L -- i N 4 mi._ aiir r• V II 1 n PASS "PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1► L r/, 'ALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED Inspector: "-- Date: / 0 / Phone #: (503) 718 - ___ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST ff07 40015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: wi,2007 Phone: (503) 639-4171 "� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 J . `''L, INSPECTION WORKSHEET FOR DATE: 1/7/2009 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 12492 SW ST ANDREWS IN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503. CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 -671) -4839 Inspection Request Scheduled For: Date: 1/7/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 079457 -03 503 - 819 -3711 N Corrections /Comments /Instructions: I I I �-� �- A / IARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C. Inspector: Date: 7 Phone #: (503) 718- 2‘1.-/e/ P ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: NGW SF. OWNER: ACCENT RESIDEN'rtAL HOMES, PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 - 670 -4939 Inspection Request Scheduled For: Date: 3/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Insulation 066140-01 503 - 810.0534 N Corrections /Comments/ Instructions: ❑ PASS 1,g _ R AL APPROV ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector. Date: Phone #: (503) 718 - / CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €/W2007 Phone: (503) 639 -4171 i l( Inspection Requests (24 Hrs.): (503) 639 -4175 1.L INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:0OAM PAGE: 10 SITE ADDRESS: 12492 SW ST ANDREWS L.N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL. HOMES, PHONE #: 503 - 670.4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 2/25 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 065581-01 503,810-0534 N C orrections /Comments/ Instructions: 0,s 1.0.s L___<. e_cr6 ei g 9/s c/01-7 ac .5 .) e---e C_Ie cze-- A- 5 • • 1 = - - _.., • PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL / ❑ CALL FOR INSPECTION El ADDITIONAL FEE ASSESSED 4'Z Z-‘97' Inspector: Date: a Phone #: (503) 718 - OOP CITY OF TIGARD 7 BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/512007 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 4 - - INSPECTION WORKSHEET FOR DATE: 2125/2008 TIME: 7: :00AM PAGE: 9 SITE ADDRESS: 12492 SW ST ANDREWS t.N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW Ea Ede TES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 603- 670 -4939 Inspection Request Scheduled For: Date: 212512008 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Mes � 220 Slab 065581 -02 503-810 -0534 Pte' ` Corrections /Comments/ Instructions: • ( � 1 ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED Inspector: Date: Z r ° Phone #: (503) 718- Z‘g CITY OF TIGARD • BUILDING DIVISION PERMIT #: M 3T 007 00016 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 603007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ._ ! _ . INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 12492 SW ST ANDREWS IN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: N SF OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503.570.4039 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503.570 - 4939 Inspection Request Scheduled For: Date: 1/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 054215 -08 503.810 -0534 N Corrections /Comments/ Instructions: C F - c, -_. g( ) 61 C-f-. C A ( a c 2 V W C .- Z�t --"g-t. C r e - - - S e v/ c-E'7 pKo `G/— M 1. C- _ Leo v Cv.. G# 1 NQ A't'P2o v D'"o5 N o->r P'j2o Gee wl `' rata R ' ' u --- , 77-1-25 it it ; 14 ize- ❑ PASS / P ARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED IIIIIIIP Inspector: Date: / ,30 pr$ Phone #: (503) 718- Z_4q/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61 5/2007 Phone: (503) 639 -4171 �l Inspection Requests (24 Hrs.): (503) 639 -4175 : �VlF INSPECTION WORKSHEET FOR DATE: 1/3g02008 TIME: 7:0 tAM PAGE: 7 SITE ADDRESS: 12402 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 01 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: N SF OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503670-4939 4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: //3012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 0M215 -06 503 810.0534 N Corrections /Comments /Instructions: f e..__..6„.„ n P' S I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CI ° ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I o 08 Phone #: (503) 718- 2C y CITY OFTIGARD BUILDING DIVISION PERMIT #: MST2007 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Cd5/7I7e77 Phone: (503) 639 -4171 :klit ,���I , Inspection Requests (24 Hrs.): (503) 639 - 4175 "__ INSPECTION WORKSHEET FOR DATE: 1/3W2008 TIME: 7:02AM PAGE: 8 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: p11 TYPE OF USE: PROJECT NAME: It4OUWTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 603- 670 -4939 Inspection Request Scheduled For: Date: 1/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Moc:hanic.ai rough -in 064216-05 603- 810 -0634 N Corrections/Comments/Instructions: K. f T i / /a c �-tZ��—z e' of c..., ( -.41 (g.t, ■ 4' . j ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / ate: Phone #: (503) 718- L Inspector Date: ( ) CITY OF TIGARD BUILDING DIVISION - PERMIT #: M 572007 - 0001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: mom Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�& c--,.. INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7:02AM PAGE: 4 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: N SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503- 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 1/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shen wails/an rhoors 064215.09 503.810 -0534 N Corrections /Comments/ Instructions: PASS II t----7 0 0 4 P 1 (PASS PARTIAL APPROVAL a CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I �S7 /0.6 Phone #: (503) 718 - j CITY OF TIGARD BUILDING DIVISION " PERMIT #: MST2007-00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/512007 Phone: (503) 639-4171 A A, ,..._, . Inspection Requests (24 Hrs.): (503) 639-4175 .47 INSPECTION WORKSHEET FOR DATE: 1/3W2008 TIME: 7: 02Alvl PAGE: 6 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: oti TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF, OWNER: ACCEN RESIDENTIAL HOMES, PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 1/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 0&121b-07 503-810.0534 N Corrections/Comments/Instructions: tA . c (- 11 /Z— r i / 1 szpAsS PARTIAL APPROVAL CANCEL pi NO ACCESS n FAIL II CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - i.,■■ .._ 41111111k, Date: / SO 0 e' Phone #: (503) 718- 7_61/ CITY OF TIGARD ' BUILDING DIVISION - PERMIT #: MST2007 00015 ' A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 60 2007 Phone: (503) 639- 4171it 0 / Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 74 � SITE ADDRESS: 17492 SW ST ANDREWS I..N j' , CLASS OF WORK:. SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES + DESCRIPTION: New SF, OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 -670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670 -4939 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 063334_Q4 503-810.0534 N Corrections /Comments /Instructions: •® VtA beic( n P-J _ CtGAL.u..re-- 11,1,9,14-.)... n (rvl ()VI \AA" s :1'. I -r-4-fri.,-;( t..00,. e,A,... , . .. rt.- ,„ , , , ..._AL r. i 1 . Uot.„...Lf- V 24 0� L )p'er ' I -1d ,o - 1 4,re , -.0 ....Y....4-aiLA ate'( L_ d-a v `i .e.....) — c)-4.--e,... 7 k.,,c_,(...4.-s-s A . , lizA)s - A-z--- U5(\'‘ik' 5...k.. 4---A.J c,f l ThA/14■/ et- UtAr 4 4 p% k's/• S e ..„Let--- --t-L."---) s /V V � . \),\ L1/41...„e_ \.\ v PASS PARTIAL APPROVAL I C J CANCEL ❑ NO ACCESS l► FAIL ❑ CALL FOR INSPECTION ! ❑ ADDITIONAL FEES ASSESSED Inspector: Date: `v l ° Phone #: (503) 718 -1/ CITY OF TIGARD BUILDING DIVISION A i PERMIT #: IvIST2007-00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612007 Phone: (503) 639-4171 .4111 Inspection Requests (24 Hrs.): (503) 639-4175 ...,.. INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME. :OOAM PAGE: 75 SITE ADDRESS: 12492 SW ST ANDREW.; LW CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 06333403 503-810-0534 N Corrections/Comments/InstrucAns: 7 f , iteg 13 v --- ----7 _ I \4 v PASS PARTIAL APPROVAL CANCEL El NO ACCESS — I I FAIL D CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ciptut. Date: I/ (br Phone #: (503) 718- 742V41/ , _ CITY OF TIGARD 4 BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..'.'` INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7:01AM PAGE: 14 • SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES . LOT #: 011 TYPE OF USE: • PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #:' 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 -670 -4939 Inspection Request Scheduled For: • Date: 11/27/2007 Pour Time: .Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 06031? -08 603 -810 -0634 N Corrections /Comments /Instructions: [,PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t‘al Ins ector: Date: 1 1 D7 p Phone #: (503) 718 - CITY OFTIGARD -. BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639- 4171 Inspection Requests '(24 Hrs.): (503) 639 -4175 _:� ";_.. INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES S LOT #: 011 TYPE OF USE: . PROJECT NAME: MOUNTAIN VIEW ESTATE'S DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503- 670.4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 11/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 06031 .07 503•$140534 N Corrections /Comments /Instructions: a,kk, n '2 I L 9 - OW PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l I 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i - Inspector: 11 Date: i Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ` PERMIT #: M: T1007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 i „ �I ' Inspection Requests (24 Hrs.): (503) 639 -4175 ,:._W -mal INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 12492 SW ST ANDREWS IN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW! ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES ES • , DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670.4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503..570 -4939 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 64 250 Roof nailing 057432 -06 503-810-0534 Y 0 1 d Corrections /Comments /Instructions: / 1 Ir. ad II • fr C i t 4?) a ' )1) I ' Akilfi-cod - , aif■d-a ■11116.■ i _ A4)--(A4 PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED g5) Inspector: Date: 1 0 /'/ 0 ?Phone #: (503) 718- CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2007 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/51)007 Phone: (503) 639 -4171 A II, Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.. INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:OOAM PAGE: 7 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHON #: 50d- 670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC qqq PHONE # : 503 -670 -4939 Inspection Request Scheduled For: Date: 9/11/2007 ,4: (' Pour Time Code # Inspection Description Confirm # Contact # Mes- - ge 225 Post/beam structural 055491 -01 503 - 830 -77134 Y Corrections /Comments/ Instructions: PASS - PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL pp CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 Inspector: / Date: ? / / —G Phone #: (503) 718 - ' Z - I CITY OF TIGARD Of ' L '� BUILDING DIVISION - I % `ffi n,0 ' 444) PERMIT #: MSi"2007 -000'6 13125 SW Hall Blvd., Tigard, OR 97223 - G �" ` DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 2 -ar. A„ 6, Inspection Requests (24 Hrs.): (503) 639 -4175 „_•111,4111 INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7 :01AM PAGE: 19 • SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670.4939 CONTRACTOR: ` ACCENT RESIDENTIAL HOMES INC • PHONE #: 503.670 -4939 . Inspection Request Scheduled For: Date: 97412007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 055073-01 603-810.0534 Y Corrections /Comments / Instructions: / 111.,_. di A. / /y./! i ' .. i 4,,.4.„.; ,,,,,,,,,,, ,.." // / ❑ PASS . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED i Inspector: 7 r Date: 0 Phone #: (503) 718- V1?) , /I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 615 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/31/2007 TIME: 7:00AM PAGE: a SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: Neer SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503-670-4939 • CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 6/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Postlbeam structural 054990-01 503-810-0534 Corrections/Comments/ Instructions: 6 A:5 ,c,. Aff • / • • PA PARTIAL APPROVAL CANCEL fj NO ACCESS — FAIL • CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: g 3/ Phone #: (503) 718- – 25 2 r/ „ . CITY OF TIGARD . BUILDING DIVISION PERMIT #: 6/5/ 007 00x11 6/5/7007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i�L Inspection Requests (24 Hrs.): (503) 639 -4175 ...;,! "__.. a; 8/30/2007 7:00AM 6 ' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: ' 12492 SW ST ANDREWS LN SITE ADDRESS: MOUNTAIN VIEW ESTATES 011 CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE: PROJECT NAME: New SF DESCRIPTION: ACCENT RESIDENTIAL HOMES, 503-670-4939 OWNER: ACCENT RESIDENTIAL HOMES INC PHONE #: 503. 670.4939 CONTRACTOR: PHONE #: 8/30/2007 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # ' Message ' 225 Post/beam structural 054915.01 503-810-0534 N Correct' A ns /Comments / Instructions: • 410 - AL" . A / • / LI .a.! — 'cg ' . "---4,i ..' �i • ' L / c.r 4 iv 4 l L c c'14 Sk o-., —7-1, i kr - CD a-Ade 4 ,i-PLL I ,Voc /- (2/ ' S — 72LT -- 100 _Ai,19 i L —i k-A - 620Ck i,.,- � . J :. 1 ,..% / i 1 El : SS n PARTIAL APPROVAL n CANCEL .. I NO ACCESS 1 J FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ai Inspector: Date: g -g©— 0 ? Phone #: (503) 718 -. -7 Z.J-1 IA • CITY OF TIGARD 4 BUILDING DIVISION PERMIT #: MS12007- 00015 6/5/2.007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 8/30/2007 7:OOAM 5 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 12492 SW ST ANDREWS LN SITE ADDRESS: MOUNTAIN VIEW ESTATES 011 CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE: PROJECT NAME: New SF. DESCRIPTION: ACCENT RESIDENTIAL HOMES, 503-670-4939 OWNER: ACCENT. RESIDENTIAL HOMES INC PHONE #: 503- 67(14939 CONTRACTOR: PHONE #: 8/30/2007 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 054915 -02 503 - 810 -0534 N Corrections /Comments / Instructions: • • P ASS ' P LAPPROVAL CANCEL NO ACCESS n n FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ' Inspector: Date: S - 30 - O ? Phone #: (503) 718 - Z �;� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .IJ.. 1 1 INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503.670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 -670 -4939 Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 062588 -01 503. 270 -8424 Y Corrections /Comments /Instructions: -- • X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL Fa INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - ! Date: ~ �� Phone #: (503) 718- • CITY OF TIGARD .� BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/512007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:OOAM PAGE: 43 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIES/ ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503- 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 - 670.4939 Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: 9: 00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 052588 -02 503-270 -8424 N Corrections /Comments /Instructions: %f/ • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 71- 2 &7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION _._ PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 ( ) I Phone: O q Reuests 7 24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7:O6AM PAGE: 21 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: 7/23/2007 Pour Time: 10 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 052522 -02 503. 839 -9305 N Corrections /Comments /Instructions: Q UU - �- `K • ❑ PASS n PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS AIL ❑ CALL FOR INSPECTION ❑, ADDITIONAL FEES ASSESSED Inspector: A Date: 7 -7,? 6s Phone #: (503) 718- ? g-V-- CITY OF TIGARD BUILDING DIVISION PERMIT ' #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . `'I� INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7:06AM PAGE: 22 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503- 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503-670-4939 Inspection Request Scheduled For: Date: 7/2312007 Pour Time: wag Code # Inspection Description Confirm # Contact # Message — -- 205 Footing 052522 -01 503-839-9305 N Corrections /Comments/ Instructions: 6 490; --r244 -ma PASS _ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7-2 ?- n] Phone #: (503) 718- Z 9-4-Sr ,, ' CITY OF TIGARD z0 ��rc_', BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 li#, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 48 SITE ADDRESS: 12492 SW ST ANDREWS Lk! CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. .3) OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 -670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 052228 -01 503- 839 -9305 N -, tions/Comments/lnstructions: Co 0 ,or/0 os /dam eA/ L . j i l -0 .- V 5 119 Ala -577 ',V 4i,t/6S /Vor /eir.9./ n PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS AIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED . e Inspector: i fr Date: 7 07 Phone #: (503) 718- 2 9Z) CITY OFTIGARD BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 '` P'��i INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503- 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 052228 -02 503-839-9305 N Corrections /Comments / Instructions: I Eli v.t) 7'L 6 , h S /G AO7 9 J 5i /0"�s 4.54' dir, A" s' Gig/ S • • AL) ie,5 1 PASS„ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 FAILSO CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 /d 1)7 Phone #: (503) 718 - ?5'Z3 HEATH 24646 INC. - ,b ,b NE • y 'EXISTING - BACKFLOW ASSEMBLY TEST REPORT ❑ REMOVED PROPERTY _ ❑ REPLACEMENT. OWNER: - % 1/,� /J j� s� / -P C PHONE: MAILING ADDRESS: / - - 2 61,✓ 57. 7 7 r �*,d/ % %`-Gv` 5 Z /i. ' CITY 7 r2/ STATE (--C zip 9 7 _ ( (/ ASSEMBLY ADDRESS: j STREET ❑R.P.B.A.,D D.C.V..A. ❑ R.P.D..A❑D.C.D.A. ❑ P.V.B.A ❑ S.V.B.A. ❑AV_B. ❑ AIR GAP SIZE: 1 1 1.1 /1 >1 MAKE: w / i/A4/tip MODEL: r r �X L G 7 • WATER ,.,, _ o NUMBER: 7 D L� C PURVEYOR: //''7 C;i - CiC ASSEMBLY y LOCATION: r r 7 -- Cr/ 4 !" ��N /�`�() f� r" • REDUCED PRESSURE ASSEMBLY P.V.B.A. / S.V.B.A INITIAL TEST MI CHECK I DOUBLE CHECK AIR CHECK PASSED PRESS DROP (A) CHECK #I INLET FAILED ❑ INITIAL RELIEF VALVE �y TEST OPENED AT MIN 2 PSID (B)ITIGHT {[r OPENED AT: PRESS DROP / DATE: PSID RESULTS BUFFER ( LEAKED ❑ PSID PSID � A - B = I CHECK #2 MIN 3 P51 RELIEF VALVE 'TIGHT 12 2 "DID NOT FAILED SYSTEM PASS ❑ FAIL ❑ 'LEAKEt'U P D OPEN ❑ ❑ PSI COMMENTS REPAIRS AND /OR • PARTS . REDUCED PRESSURE ASSEMBLY P.V.B.A. /S.V.B.A. AFTER REPAIRS MI CHECK D.C.V. A. TEST PRESS DROP (A) CHECK Ni DATE: RELIEF I OPENED AT PRESS DROP / AFTER OPENED (B) TIGHT ❑ PSID REPAIRS BUFFER '� "� ( CHECK #2 w -'8= ,ra ITIGHT ❑ PSID PSID PSID PASSED ❑• � IN COMPLETING AND SUBMITTING HIS TEST REPORT, THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WTITI ALL APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM, AND STATE REGULATIONS GAUGE CALIBRATION DATE -'I // / / DETEC OR METER READING ,'�,'.' t '.[i ` --- — 3275 TESTER SIGNATURE David B Heath CE T ft 20039 TESTERS NAME PRINTED PO Box 1565 Sherwood OR 97140 (503 6 2 E 8 5 53 TESTERS ADDRESS PHONE a Heath Backflow Inc. COMPANY NAME P f SERVICE RESTORED REPORT RECEIVED BY: (REPRESENTATIVE OF OWNER) WHITE - Water System Copy PINK • Customer Copy YELLOW - Tester Copy CITY OF TIGARD BUILDING DIVISION PERMIT #: IST7007 OU015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/a /2067 Phone: (503) 639- 4171 r J1 �I Inspection Requests (24 Hrs.): (503) 639 -4175 '. Alit INSPECTION WORKSHEET FOR DATE: 1/7/2009 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 5n670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 - 670.4939 Inspection Request Scheduled For: Date: 1/7/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 079457 -02 603 -813 -3711 N Corrections /Comments/ Instructions: > n i../t4 --rt=e NIei P---& y ,._ 1-■ • . SS ' , PARTIAL APPROVAL Ti CANCEL n NO ACCESS 0 FAIL 1 WA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A —) Date: ( 7 D Phone #: (503) 718 - �► r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6!!12007 " Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 " ;_.. INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02AM PAGE: 2 2 SITE ADDRESS: 12192 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOOMES PHONE #: 503 - 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503. 670.4939 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 32.2 Shower pan 073079 -01 503-810-0534 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J \VV 4 --r..... Date: ) I23) 0 6\ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST1007 00015 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6,/a12007 Phone: (503) 639 -4171 r��. Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 1!. INSPECTION WORKSHEET FOR DATE: 1/1712008 TIME: 7 :00AM PAGE: 11 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503-670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 - 670 -4939 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 063442-01 503.26E -2091 N Corrections/Comments/Instructions: A Avie ✓r- J Vt t c, -vv.✓r2 -Z.____ c c;:, \ k i . :.5 r`C.) l I�q. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( `i Date: 1) l ) 1 0 ; Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MSS' o0r 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6E:i(;IU(l7 Phone: (503) 639 -4171 �� I� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ INSPECTION WORKSHEET FOR DATE: 8/29,7007 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 12 SW Sr ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: Q11 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670.4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503. 67(}4939 Inspection Request Scheduled For: Date: 8/7912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 316 Post /beam plumbing 051828 -01 503-810-0534 N Corrections /Comments/ Instructions: LJ L. (.J,4, -41/ c.z ✓,, l cc i r 7 r 1 1. -p4. 7 (L 1 SI ,„t, . lo.t./ 1 P 2 1o.Q a R C X PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL _ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector:CM k -) s I IYI —d— Date: 7 1211 D Phone #: (503) 718- t i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 -4171 At, 9 Inspection Requests (24 Hrs.): (503) 639 -4175 ' :0 I L INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7 :00AM PAGE: 7 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. - OWNER: ACCENT RESIDENTIAL HOMES ;: PHONE #: 503 -670-4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC, PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: -- 8/10/2007 : Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 053807 -01 503= 810.0534 N Corrections /Comments /Instructions: [t PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS Ti FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 07 \9 Date: / 0 41 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • 6/512007 Phone: (503) 639 - 4171 „ �i���� Inspection Requests (24 Hrs.): (503) 639 -4175 s � INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:OOAM PAGE: 6 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES, PHONE #: 503 - 670 -4939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503 - 670.4939 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 053807 -02 503. 810.0534 N Corrections /Comments /Instructions: • Nt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 011 Date: 81 to r•0 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 12492 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIE::VV ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: ACCENT RESIDENTIAL HOMES. PHONE #: 503. 6704939 CONTRACTOR: ACCENT RESIDENTIAL HOMES INC PHONE #: 503- 670 -4939 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 053807 -03 503- 810-0534 N Corrections /Comments /Instructions: tV • XPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cri Lv i�,'ls rates_ Date: 31 to Phone #: (503) 718- PERMIT NO. 0 e " //, CleanWater Services Our commitment is clear. ill/ttir EROSION CONTROL INSPECTION REPORT DATE // % 9 INSPECTOR jf ' / /30,e SUBDIVISION �� 1 //�.,t J / OWNER/PERMITEE 77, ,� , a / e , SITE ADDRESS APPROVED FINAL INSPECTION THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THANK YOU FO YOUR COOPERATION! INSPECTOR PHONE . � 6g/" .3‘,,c‘ - 7 r STREET TREE CERTIFICATION I, /2,Ar, Z �..� , Owner /Agent for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington C unty land use and development standards. for street tree installation. ADDRESS: / 'Z y 9 z S cLi A,,, t- s ti /4 5 i z00 7 - 00 0 /S . SUBDIVISION: pi � ✓ns v 13 LOT: 1 SIGNATURE: � DATE: 3/2 - (OWNER/AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) 1:\ Building \ Forms \StreetTrecCertificate 01/19/07