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Permit , 4 •31 � I i . CITY OF TIGARD MASTER PERMIT 71 . PERMIT #: MST2008 -00145 COMMUNITY DEVELOPMENT DATE ISSUED: 9/17//2008 TIGARD 13125 SW .Hal I Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB-13400 SITE ADDRESS: 12394 SW MILLVIEW CT ZONING: R SUBDIVISION: MILLVIEW LOT: 034 JURISDICTION: TIG PROJECT: POLLOCK Project Description: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 13 FIRST: 256 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: M GARAGE: at FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 256 sf 75,000.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: NAT FURN >o100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADDL 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 1 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: I SIGNAIJPANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601*amps-1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >o4 RES UNITS: SVC/FDR> 225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 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 R 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 JAN MARIE POLLOCK SLS CUSTOM HOMES INC laws. All work will be done in accordance with approved plans. This 12394 SW MILLVIEW CT PO BOX 1093 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: Contact 4: PRI 503 - 691 - 9878 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 692 -7983 Reg #: LIC 91577 TOTAL FEES: $ 1,727.18 REQUIRED ITEMS AND REPORTS - 40/0 ] Issued By : // Permittee Signature • _24 /- Call 503. . 175 by 7:00 a.m. for an inspection that business ■ ay This permit card shall be kept in a conspicuous place on the job site until co' plea n of the project. Approved plans are required on the job site at the time of each inspe Lion. • Buitding'Permit Application Residential �� i � �' r,�r i ' f,IL hoR OFFICE USE ONLY 71 City of Tigard Dat ived q r/ 6 V Permit No.: H o �S�06 / ° 13125 SW Hall Blvd., Tigard,OR 972�Y P 1 '.:. Plan Review q ' C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: �� MARL)) y y y: n l - OSf Other Permit: T I G A R D Inspection Line: 503.639.4175 �? o �° Dat Ready/By: : : ' Juris: H See Page 2 for p / Internet: www.tigard or.gov �� No ' d/Meth „a. O 0 Supplemental Information t:L e_ w/ o.� c.P., TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value ( romded 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. i m - and 2- family dwelling ❑ Comercial/industrial Valuation: $ „ 0/c ❑ Accessory building ❑ Multi - family y.F Number of bedrooms: 3 ❑ Master builder ❑ Other: 9 , 7 6 Number of bathrooms: , . 't i JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / i,3 5 c f go 01,0 iJ / C New dwelling area: A 5 6 square feet City /State/ZIP: '7). f..e4.46 0 ..pC Garage /carport area: t/ f p square feet Suite/bldg. /apt. no.: Project name: P D t D Le, A-JL J.h■— Covered porch area cf square feet Cross street/directions to job site: Deck area: `r square feet ( Other structure area: ' square feet l0 5 — S 3 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: 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 DESCRIPTION OF WORK work indicated on this application. 0 ,fir. -- PJr -rwo t‘-- ! Valuation: $ owes Existing building area square feet New building area: square feet 6 PROPERTY OWNER ❑ TENANT Number of stories: Name: PO l k. Gt.-V._ • a 1- _ 2 ( Type of construction: t Address: cc p Occupancy groups: City/State /ZIP: 1 ' h Existing: Phone: ( ) Fax: ( ) New: [-.APPLICANT ❑ CONTACT PERSON NOTICE Business name: LS (U.S1 HO1Y■ J / N� All contractors and subcontractors are required to be Contact name: S A S4c k).,_ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be Ibensed in the Address: JP• ti Q C1 7 jurisdiction in which work is being performed. If the City/State /ZIP: ;� • �� (I � � b applicant is exempt from licensing, the following reasons f v_ -'� apply: Phone: (50)) ( t - c g 2K Fax: :(So) ) (q ). 7 9 6 , 3 E -mail: SI-c t1e- &LS 000,4-0 , !so>,,-.._ 519 -5,135 CONTRACTOR -I Business name: ,� t_LJe ;ivt 40 ..i I /off-- BUILDING PERMIT FEES* Address: (Please refer to fee schedule) rr Structural plan review fee (or deposit): City /State /ZIP: r �il..C. Phone: ( ) I p er: ( ) FLS plan review fee (if applicable): CCB 1ic.: O l s 11 G I Ito Total fees due upon application: £� ✓ 2.C/ I GA y a. Amount received: 7 S1'7 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S > e Date: q ( 2 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits'BUP -RES PermitApp.doc 11/6/07 440- 4613T(I I /02/COM/WEB) • . , 20 �2p. 08 3:22PM , RedssE� No, 6668 P. 1 Elec ricai Permit ADpIic ii I �•• de �. Full. (Jrt:ICE USE ONLY City of Tigard �1i�� Received , e a I ' Permit No.: kitj j I II ° 13125 SW Hall Blvd., Tigard, OR 9722r, C p ! R Phut Review �� r-� � S 1t • Phone: 503.639.4171 Fax: 503.598.1960 (p spy: Other Permit: T J G AH U Inspection Line: 503.639 OF TIG Date Ready/By: saris: 0 See Page 2 for Internet: www.tlgard- or.gov otified/Method. pi mental Information o e . P7tP in New construction , Addition /alte}ation/replacenscnt Phase check all that apply (submit has of plans wincing checked below): 0 Service or fucks 400 mops or more ❑ tluildin6 over three varies. • ❑ Demolition ❑ Other: _ whale the available fault current ❑ Mar oat and boatyards. ..:' .. .',,':, or t - C �R �CrONSTRU � �IOhI "�` y�: f.��• = exceeds lo.000,tmp >:a t50 volts t4 unlingbuilJini :::. ::.:...., ,:- :' :... • ; ....' .. .. 'tQ ., .. • :: .:... • „. i ! .,..:r',: r. .; : .: :: .•v: : lees to ground, of exceeds 14.000 Co mmuc I-ure grs ultural 0 is a - c WI . and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. blriklinps. ❑ Multi - family ❑ Master builder ❑ Other: Mire pump Installation of 75 KVA or "'r.': �� . ....: : . . - : .�.,� - r r:,- - erp ey sys trite sap r sly de sys em. .. � n l am at derived t�,s ,:�J ° U RN ' 1 e� 3' I Q1• L A�IYD� � � A J rC61V ; .� :;• ;.= ...': < ::;::;:i : " : ' , , ...: - ' . ......: = dJihiott of new nooses load of D ", Job no.: .lob site address: / IYI.' HP S ix o mare. oew ur more retideatal units. 0 Recreaottnal vehicle parks. City /State /ZIP: 1 a A ['Health facilities. 11aLVtlutrs locnt (3 Supply voltage for more than CI 600 voles nominal. Suite /bldg. /opt. no.: I Project name: 0 Service or feeder 600 amps or more. r - : : � Cross street/directions to job site: Description - T Qty I sea ] � Total L,..:- New residential single- or 'mild-family dwelling unit. Includes attached garage. Subdivision: 1 1.ot no.: • l ,nn0 sq. ft or le ss 145.15 4 Fe. odd'I 500 sa. It. or ponion 33.40 1 lax map /parcel no.: Limited energy, residential 75.00 a•, .. ry; r •.t• :;er r;:; > • ,•;. , : � �:; ;: :. (with above all. n.) 2 Limited energy. muhi family 75.00 1 residential (with above 9. R.) Services or feeders initnllntiol4 altera and/or relocation 200 amps or less 80.30 _ 2 ;�... : P N :C:` "w'. In • ,�,r t - Nxia:y s3N Q '�;�i.P$ • i ;v.o. Ri 7t ' tc T' A 201 amps to 400 am ;' IIQF)uR Bit' fs :ss :iO'`'I1SIsUV r? >N amps ii' �" F..� •.f.'.tµ•1 :�'r ..a�:r...tN T 3a� 5 .. J.. aet:/! Vii. �`t�,d 106.85 2 Name: Po \j`O Uri 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 _ 2 Address; S I. -Ai. Over 1,000 amps or volts 454.65 2 City/State/21P: Temporary services sir feeders installation, alteration. and /or relocation ('hone: ( ) . I Fax: ( ) 200 amps or less 66.85 1 I 1 • Owner installation: 'finis 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 circtsib - new. alteration, or extensiou. per panel Owner signature! Date: S ..... --.. A. Fee for branch circuits with :3,r r : �r. . .. �; .,: l q r,:, n :,,, 4*;;4 .S ::; f . >. };e r i til 4 T 5 . Ff ' " a ft " service or feeder fee ,. :..� ' • r4. v• , -..rn ; . t., : . - .....A.. 1 6.65 2 . > a ..s..., „mss .�.:, _ , _ ,r {rt_.;,x , �,,.:.. '�� . r c� � ;••- -� . fit above se, each branch circuit Business name; S VS C.11. 4:7 vv` ICp / v¢.,1 I t.1 c - B. Fee for branch circuits Contact name: wfrf,orrr service our feeder fee, 46.85 2 S- k -e,v -t S'� ( fern branch circuit _ Address: pp (U 3 Each add'I branch circuit 6.65 , 2 Miscellaneous (service or feeder not included) • City /Stale /ZIP; eR� pa 5`r 01- Ct'1 O Le Each manufactured or modular 90.90 1 dwelling, service and /or feeder Phone: (5o t , ) C. c. t_ \y l.. ? I Fax:: (S03 ) (,9 •a_ l e i T 3 Reconnect only 66.85 1 E-mail: 5-}-C. - (5 S C.S t c s • �^'� Pump or irrigation circle 53.40 1 t � s:1' a F ! - ;il ,`.' -' 4 ,FPa ' A�' ) , 5z . . .. •a ',- R}` 'AVf Sin Or outline htin 53.40 2 .- /' '• %�•1,•T�i:�'r�': ��' +'Sl ' %e I "��.�Tfi�� `� 0 ��,, �K„'�r(!! t /e-�.rde°64 ^ �:r �i' �cCF::� 8 li g g . �,;t:' .ti: 'r•.. � .: : rn%•.�i..• , 'Y'n.�. ,.,,., uu�a:�:ff^!r. - J''U.a.kt rl:• - Busini � Signal circuit(s) or limited. .. energy panel, alteration, or RED'S ELECTRIC CO. INC. extension. Describe: Page 2 2 Addre 6336 SE 107TH AVE - City/i. . PORTLAND, OR 97266 Each additional inspection over allowable in an of the above 503.233 -6487 FAX 503 -233 -1281 Per inspection 62.50 Phone CCB# 4443 ELECRICAL LIC 26 -152C SUPRV LIC 5010S Investigation per hour (I hr min) 62.50 CCB ` Industrial plant per hour [ 73.75 .. yy��. ..... ley. I • l �,•�.: v' Y': Y 4Y; tx' irflr� .U.Jt1R1•:'i:P.'F+RNII�:.tf_:f. �::6': '.:.:• 1 ::,": , % A Suprv. Electrician signature, requivcd: r C10 Subtotal: Platt review (25 %opernlit tee): IPrint name; Date: _ State surcharge (12%a of permit fec): ~ Authorized signature: TOTAL. PERMIT FEE: • Print name: l Date: This permit application expires if a permit is not obtained within 1 fn days after it hit bees accepted as complete. • Number of inspections allowed per permit. i audios \Permu,\0LC•Pereni p_duc 65/2a /66 tout ITr(I /COM/W5B i • SEPYD5 /2008 /FRI 09:53 AM THERMAL FLO • • FAX No. 5036709064 P. 002 Mechanical Permit A l icat ECEI v ti E l OFFICE USE OTSLV PP . �S Ci r of Tigard 0'6" 9% 0 g A• , penult No.: N , '5' / g anRe � / , - GA / 13125 SW/ Hell Blvd_, Tigard, OR 97223 S SEP j P. P ° Phone: 503.639.4171 Fax: 503.598" 1960 Plan Review Other Permit. OF TIGAR Date /Ry !' i 1 nit 17 Inspection Line: 503.639.4175 CITY 0 Dale Ready/Ay: tugs, ®See Page 2 for Internet; Www.tigard- or.gov 3UILDING DIVISI gotifiedMlelhod: SuDnle4,entsl .... °....: Aifa"+:.'n.Fp 'li �iw _'r . ....,,r„ . ��;.; • :. enn ;l:; • + . _ ? �. �r - .' ' 'ry •YV1's M.. r4lif1�'itgga g �Y 1 i. „ 4m1 q lrl --.� .... Z ��t f ��.��e,�t�t,.,, 7 �£f , , ... �)�;� "K._,,. : "+t ��,ri..,;.rr �:�... _�..� .. - _,.: . '... :.11_ _t El New construction Addition /alteration /replacement Mechanical permit fees* are based on the value of the wort: performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. a;a: •::w, • Va • ww+:..w. ,{� .L'CR.o,v¢!.i.. r'�. r 1/ , y �� `� ,.. . .. T ^ , y iYtl � • . • n - 7. 411 *w- - .F�..- wt.nc's 10 T[(%0.j *4.6M ,91.1Rt� /t?- Ni a.141.•Nianp 1- and 2- farnil dwelling _ ��..: >.,,,.•,N;7!I?4 ... , ;.;N • y g ❑ Commercial/industrial ❑ A ccessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total i"Y, r.•,` ..t ,. 't' , gli j ;" 11 l1; 7 ti' tl' R �O�li' � •Vn�rt�':1!:;;?n:: • Heating/cooling Job site address: r 0 ' /7. ~ / `e a Air conditioning or (rest pump Inquires site plan showing placement) 14.00 City /State /ZIP: I �, OR.. Q7 Z� Fumace 100.000 BTU (duets/vents) 14.00 Furnace 100,000+ BTU (duets /yenta) 17.90 . Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 • Cross streetldircalions to job site: . Duct work / 10.00 • • Hvdronic hot water system 14.00 _A oma tamale/ i> bb -D / . Residential boiler (radiator or hydronie) 14.00 Unit heaters (fuel -type, not electric), • in -wall in -due eus.cnded etc. 14.00 • Subtlivisioo: 1 Lot no.: Flue/vent for any of above 6.80 • • Other: 10.00 Tax map /parcel no.: Other fUel appliances ' - - s�. ,a k ;yy - sr::.9lu'1tgari, -2 i� ;) � Water heater 10.00 • �t��t� ��r�` ; rA �Y; �: .�`1 1•' �?! f�t1��0 ..�,�..��:�27;.»7.::.' .t4.^`:'- �1'�. -�. `� • Gas fireplace . 10.00 a Flue vent for water heater or gas • lie y� 25 y ��g 'fireplace 10.00 ��(t (/ r1r(� �l a 4 ' aiige Log lighter (Ras) Silo v-4. 10.00 Wood /pellet Stove 10.00 Wood fireplace/inSerl 10.00 ^'.A xx .., :a „ • ,�. ter : R ry ,,,.,�� .. ;,�� ___ .... Chimney /liner /flueNent 10.00 i �" :9I t e Pltl1 ? .: ~t + t 71 ': ... ' . 'w�»_ *, "` t y Other: 10.00 Name: f / o e F ' tt f i el tLe••••• Environmental exhaust and ventilation . • Ad i ea/V&A etntr s.4.5" Cu &1'o Hook.. ' Range hood /olber kitchen I 10.00 equipment City /State/ZIP: Clothes dryer exhaust 10.00 00 eg4 /' V,( i 9 Ag Fax: ( ) Single - duct exhaust (bathrooms,. phon toilet compartments, utility rooms) 6.80 K tt ;; ,;,� i0 - s, a �a 2saki :i , • y e( . ;; Attic%rewlspece fans 10.00 EG,`� was' fro. r eG�1! slar°' 1��r6i. ..;>� +A l! �t , 7f1 ' DRSrLlf1 7 ::F� , , i-; Other. _ 10.00 • Business name: F piping • Contact name: $5.40 for first four; 51.00 for each additional Address: So /) lO Furnace; etc. - (A� Gas heat pump • Cit /State/ZIP: . Wall /suspended /unit heater • Y . • • Water heater Phone: ( ) Fax: : ( . ) Fireplace E mail: :yi araeof Tho .'oa/74O //ZG.e Coft-- . Rangq ^5;i ° , .. : J t1� -40,1? 4..4 i�IR H.x ;' > 7 r. ( ti p •d.. ' •� r% -Mi. y in , : u ! ..: n' • - .M'.f .F M'.. .... l; r :l� ^ci.:: :r:....).. -T.r: -a .. Barbecue .it - Business name; ' m p� ` �j Clothes dryer (ass) Other. Addreae: 1 i. , 100 . , , :: ; =iv; a > �i c i �><z i • . • • ..:t. . city/state/zIP: "orr /t ,„, # 4 -Q7 or- Subtotal _ a7/� f /O �� Minimum permit fee ($72.5 Phone: e) Fax• Q )b O' 00 Plan review (25 ° /a of pemtit fee) CCB lie : IR a47 State surcharge (12% of permit fee) I/ TOTAL PERM F EE This permit application ealtires it o perroil is nol Obtainetl within 180 Authorized slgnawr A days otter it has been accepted as complete. I Print namc " /7'', C /` I Date: I Fee methodology set by 1ri•C01nr Building lndottr' Service Board -503 691`2328 /. Rayborns Plumbing • 06:47:08 a.m. 09 -05 -2008 1 /11...= cElv ED Plumbing Permit Applicati n 1 t I It r 11 l It I. I' O.I 1 City of Tigard S E P 1 1 2008 Received 13125 SW Hall Blvd., Tigard, OR 97223 Date/B : 9 7 7 ell l.� ; r . :. ..� IIIII II ° ° O F TI GARD Date /B view Phone: 503.639.4171 Fax: 5 Other Permit No.: line: 503.639.4175 DueA3y. �' Internet www.tigardor.gav i3!JI1DIMG DIVISION � ed 'Dad: lurid 1 Ill Supplemental �phraafiop TYPE OF WORK FEE" SCHEDULE ❑ New construction • H ❑ Demolition For special infonnatlon tire chec•Rl& , y New w ri I- 2-G R Addition/alteration/replacement ❑ Other. Ne � - f . En Total 2-family dwellings 11. loge (includes 100 R for each utility connection) CATEGORY OF CONSTRUCITON SFR (1) bath 24920 61 1- and 2- family dwelling ❑ Commercial industrial SFR (2) bath 350.00 0 Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder ❑Other Each additional bathAritchen 45.00 Fire sprinkler (_,_ sq. ft) Page 2 JOB SITE INFORMATION AND LOCATION ,�, Site utilities site address: /el 3 / J S ) M i / I / ///P�l0 a Catch basin or area drain 16.60 City/State ZIP: 74414. L t Da Q2 q 3 Drywell, leach line, or trench drain 16.60 • Suite/bldg. /apt. no.: ', I Project name: Po £1 Dae Footing drain (no. linear d: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 � Rain drain connector 16.60 6 ,S 3 (3 3 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _J Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ____) J Page 2 Tax map/parcel Fixture or item p /parcel no.: Absorption valve 16.60 n - . DESCRIPTION OF WORK Backilow preventer Page 2 e it f P� yu,D a aril 4.5-, 1 Clothes washer 16.60 — Dishwasher 1 16.60 ) PROPERTY OWNER ❑TENANT ' Ejectors/sump 16.60 Name: E / j L�s! Address: I Z 3 y y S i.' n i ; l / vii4) �I Fixture/sewer cap 16.60 City/State/ZIP: TL OA ?2l3 F! ] Phone: (sr* ) .- 9,13." Fax: ( ) Hose bib i 16.60 b t APPLICANT ❑ CONTACT PERSON , • 1 i 6 6v Business name: 51.5 C a.I ro ✓r• 7J 10 ‘-.." Interceptor/grease trap .I Contact name: Ske u S-k ( Address: 4) `p q '3 Primer 16.60 Roof drain (commercial) 16.60 City/State/ZIP: RA ) 4 C L , — _Phone: (. oj) ( 1 _ 4 $1jj I Fax:: (5c,3) GA .1. 1 ti8S I 164 1 E S t 0 S C-5 rl o✓+-e.f . CA n-. Urinal I f ' 1 CONTRACTOR Water closet 16.60 Business name: j,� �)•, pj ,i �L ' Address: r+ a 6 Other: Subtotal `; City/State Ti .,( ;,,✓ AL g7Dx,..1 Phone: (fn3) 69� "'?L3'' Fax: S'b3 6f1 ; 1 �� Minimum permit fee: $ 36 2 5 ( ( ) s Residential Dacldlow minimum permit fee: 53625 - • CCB Lie.: 97 8s-. 414 / • Plumbing rc. no.: 3 L fii AT Plan review (25% of permit foe) Authorized signature: ,�l L State surcharge (12% of permit fee) ' - i l k TOTAL PERMIT FEE ' Print name: I 1 / A _ Date: ' A p$ This permit application expires if a permit is not obtalae • within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1 :1&ttdilg1Pm6ila1P1.M- PermaApp doe 06/26/06 4464616T(10/02/COM#WE5) s_ p pu � I• c u U un a M SLSUCONS I OND I NC 503692798 /U1 I I'. 1 p. I . 'rfflilOWH.E1 �. , RECEIVEE S 1 200$ • , . , 1'4 .' : gkiili Wive • • I Ole NUMMI! By Screening O $ - d 0 ITV OF TIG Sensitive Area Pre 306 ��IL�IIV ARd • Slte Assessment G DIVISION Jurisdiction: 'fir li rMcf • Propdrty information: (example 182344801400) Owner lnformatlon: • • Taxlot ID(s):. 1 Woo S X 4 1 tq Name: 3 ter.) . Pot I oc. lc.. • t S l_34 C45 IV}4, Company; - - Address: �� • - Site Address: , I 43 9J S tej A7•e ll ill Atta ( nj,,y Phone /Fax: / , Nedrest Cross Street; S y ,'h me a C..n Ir &mall; • • Development Activity' Check all that apply • Applloapt information: Addillon to Single Family Residence (morns, deck garage) al f ' N ame; �,St - C•w�� ' C - �• I'J �- Lot Line Adjustment ❑ Minor Lend PartHlon CI `8ompany: SA IA..\ Le Resldentiel Condominium 0 Comrnerdal Condominium ❑ Address: e '. vo.iv Rebldential Subdivision ❑ Commercial Subdivision . ❑ •P.a,-,e u1 , q'toto •t..- Singh, Lot Commerdal ❑ Multi Lot Commercial ❑ Phone/Pex 1...-.s, c 1 q t?"► / 4�`t . 2-- 1 '18 J ' . Other , - E-mail: ,1 -4...,e • • �L S 1.4.Orn•t.t , e: Y rh • Will the project Involve any off -elte work: YES ❑ NO KJ Unknown. 0 . Location and description of offelte work; Additional comments or information that may be needed to understand your project. , • ITa P 'o flou.w To 4•42 by /o ' . Title eppucaaoh sues the need for Grading slid Erosion Control Pstmlte. Connection Perrone, Building Permits, Site Development Perils, DEQ 12004 Permit or other permits as leaned by the Department of Environmental Quality, Deportment or State Len as and /or Department of the Mary COL All required permit' and approvals must be obtained end oempteted under applicable local, sla and federal taw, By elgning live form, the Owner of Owner's authorised mentor repeeenlellver acknowledges and spume gnat employes of Clean Water Swims have outwit/ to enter the project ale II all re9eenabla %nee for the purpose of Inspecting ergot alto cannon end gathering Informolkn related to Ihe project ele. I certify Mall l am familia with the inlormalbn.obnlelned In this document end to the beef of my knowledge end belief, thle Inb►meetbn Is %re, complelet.and eoCUrete. Pent/Type Na a: ( K ' l N. : Print/iype Title; P......-1 1 signature: _ A * I. ' ' • Date: 9 - 4- 1J Y . III FOR DISTRICT USE ONLY I • 0 Sensitive areas pc eMlelly exist on site or within 200' of the site. 1NE APPLICANT MUST PERFORM A SITE ASSESSMENT pRIOR TO IR1f10E OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the alto or within 200 feet on adjacent properties, a Natural Resources Assessment Report May also be required. • [] Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area pre - Screening Site Aseesement does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently disoovered. Thle document will serve ea. your SeMoe Provider letter se required by Resolution and Odor 07.20. Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, Slate, and federal law. • Ft Based on review of the submitted materials end-best available Infoimetlon the above referen'oed project will not slpnlficantly . . Impact the existing or potentially sensitive area(e) found near the tile. This Sensitive Area Pre-Screening Site Assessment • dome No eliminate the need to evaluate and protect eddlUonat water quality sensitive ereaslif they are subeequenlly • discovered. This document will serve as your Service Provider letter as required by Resolution and Order Section 3.02:1. All required permits and approvals must be obtained and completed under applicable ideal, slate, and federal law. ❑ This 8ervlce Provider Latter le not valid unless CWS approved 'slte plan(e) era Attached. ❑ The propbsed activity does not meat the definition of development. NO SITE ASSESSMENT. OR SERVICE PROVIDER . LETTER IS REQUIR D. • Reviewed Bin ' Oats: Vhici �9 • 2650 eWtlubbere highway . Hillsboro, Oregon 97123 . Phone: pep ea14' 100. Fee (Sit) 501445' •www,da.grerea,ntwr.orit a.emk wrr,aror . • - • . r . :• 411-- P.O. BOX 1093 TUALATIIV OR 970® . o •.. : .- • . , ,• i - A.. p.o.Box1093 8, ''EIVED 6.4si __ , TuALA-TiNoR97° e 1 2008 CIT , OF TIG ' 17 s AN REVIEW , . f 0 TIGARD BUILDING ' RMIT NO.: Ha - , T - Anng - 00/L/S - "11 DIVISION PLANNING l !VISION: Required Set. ..s: Er Approvek, ff. '. ot Approved Side: • Street Side: I ■ From ...( Garage: .2 \ Rear: ( Visual Clearani : C"Approved 1:3\ ot Approved Maximum Built ing Height. _ feet 1 - I. • I CWS Service P I vider Letter Required: ,f5 es 0 No eceived 90/(Itah , 13) • 4 I ' J./I-cat Date: --- 9 /f//12g:' • lir ENGINEERING .. EPARTMENT: • 1..... ,.• . -4 . -..-- Actual Slope- % 43 Appioved 'CI $.t Approved • Site P an: 2I-Approved 13 AI • pproved B: _ Date: th ClE3 Notes: ,,,,,_ 6(4:4444, ' • , t r - - • 1 . L. . . . 1 . ‘ - 0 cr tr . „,F4 'Al . . FrO *4 - e. & # A.Dr;ITI° '# 1+ .. -h-::::■-•-•-4” _ a-, I . M 6IMI4. , o° c 1 • • : q Il- i 6 < < s l e iii_Droev4/4 ZA • E■ 2 - . 'a ad w gri .c IL I 40.2.2:1 - 1 Po (..5 '• E • 11,62 . MIMI fij z 1 i- s . 1. `ki x / coU RT. = 1 - k LLV 0 02 A al z , CITY OF TIGARD 0 B 0 UILDING DIVISION PERMIT #: MST2000-00')A5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �"`°I 9f 17/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 __ ` — INSPECTION WORKSHEET FOR DATE: 10/9/20013 TIME 7:01AM PAGE: 24 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12394 SW MI CT LOT #: TYPE OF USE: PROJECT NAME: A�II..LVIEW 034 DESCRIPTION: POLLOCK 256 sq ft addition. Other mechanical is ducat work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CU HOMES INC PHONE # 503-691 -9878 Inspection Request Scheduled For: Date: 101917008 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear wallsdanchors 076469 -01 503-519-9235 Y Corrections /Comments /Instructions: 4O 2 arar4 ■ e �G� 2F So 4141 z--- -c/ S' i . .20 - -� - w� d ' = •<�_z is -�... • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A Inspector: Date: 0 - Qi '4 3 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00 i15 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/20(8 Phone: (503) 639 -4171 �oi�. � it Inspection Requests (24 Hrs.): (503) 639 -4175 _ F: _.. INSPECTION WORKSHEET FOR DATE: 11/ , •2008 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 12394 SW MILL VIEW CT CLASS OF WORK: SUBDIVISION: MIL LVIEW LOT #: 034 TYPE OF USE: PROJECT NAME: POLL OCK DESCRIPTION: 2EG cif ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SI_S CUST HOMES INC PHONE #: 503691 -9878 Inspection Request Scheduled For: Date: 11/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0/8484.01 503.519-9235 q :30 '1 0'00 C ns /Co In� tions: Z 7 F(A/4-6, r c- oI T 1 2K /o8 (KS Go iU_- c>>L c N5 e_ID vk /°C--01 _... ‘AVI P' U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V II FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ _ Date: zS vg Phone #: (503) 718- Zg 1 // .. < 7 r ' f l CITY OF TIGA . BUILDING DIVISION PERMIT #: MS T200f# T2008-00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10 /20/2008 TIME: 7:00AM PAGE: 70 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12394 SW MILLVIEIN CT MILLVIEW LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct wqrk, Other plumbing is ire maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 5 Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: Code # Inspection Dpscription Confirm # Contact # Message 120 Electrical Tough-in 076901 -02 971-563-9156 triP 1 frec Corrections /Comments /Instructions: -. � e • r • • t „ z a K V rs le PASS) (1 PARTIAL APPROVAL ❑ CANCEL ❑ NO AQCE$S FAIL ® CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ( • e .� Inspector: Date: /0 OA Phone #: (503) 71' - 7s 1 ir CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/17/2(108 Phone: (503) 639 -4171 ' ,u1� m lh$ ill Inspection Requests (24 Hrs.): (503) 639 -4175 .��..!�- INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7 :02AM PAGE: 13 SITE ADDRESS: 12394 SW MILl..VIEIN CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK n DESCRIPTION: 25(; sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503-691 -9878 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 078429 -01 503519 -9235 Y Corrections /Comments/ Instructions: i .v EL�c t 6 1 •e" a-74 / 5-5'("4- S rtd ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: L1 Phone #: (503) 718- Z CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2008 Phone: (503) 639 - 4171,141 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:02AM PAGE: 12 SITE ADDRESS: 12394 SW MILL VIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 -691 -9878 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 078429-02 503 - 519.9235 Y Corrections /Comments /Instructions: - r P ,14Ca PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: X Date: 11-- � 4 4 -- - "°g Phone #: (503) 718 - '14- • CITY OF TIGARD BUILDING DIVISION ! PERMIT #: MST2008 001 5 13125 SW Hall Blvd., Tigard, OR 97223 D' E ISSUED: 9/17/2008 Phone: (503) 639 -4171 - "' t t+Ill I Inspection Requests (24 Hrs.): (503) 639 -4175 ". / j INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 12394 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MIL LVIEW LOT #: 031 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503- 691 -9878 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: - / Code # Inspection Description Confirm # Contact # Mes g e 399 Plumbing final 078429 -03 503 - 519 -9235 Y Corrections /Comments /Instructions: I' V 0 i ■ f 4k \\ .- 11J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED , /(,(- 1 Inspector: Date: I AV Phone #: (503) 718- 2, 2,c-f CITY OF TIGARD • • BUILDING DIVISION PERMIT #: MST1008 og1!J5 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9f17f2000 Phone: (503) 639 -4171 p ilo t i Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' IL INSPECTION WORKSHEET FOR DATE: 10/15/2008 TIME: 7:00AM PAGE 24 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12394 SW CT LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq It addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLL OCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 691 -9878 Inspection Request Scheduled For: Date: 10/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 076735 -01 503-510.9235 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V .,A \).\ \\ * --- " J— Date: )b\ 1 , 'OM Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2Qa8 QU145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/17/2008 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 �_ .. INSPECTION WORKSHEET FOR DATE: 10/1/2008 TIME: 7:02AM PAGE 21 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12394 SW MILLYIF_1W CT LOT #: TYPE OF USE: PROJECT NAME: MILLVIEW 034 POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503691 -9878 Inspection Request Scheduled For: Date: 10/112QQ9 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 076151 -02 503519 -9235 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V `D L''"' L A V-'2- Date: 10 11 ` Dq . Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2008.00145 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/17/2008 Phone: (503) 639 -4171 toy "' I Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 1011/'Z008 TIME: 7:02AM PAGE SITE ADDRESS: 12394 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEIM LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC, PHONE #: 503-691-9878 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 076151 -01 503-519 -9235 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J\ \ \S p Date: I� 1 ) 'D'71 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: M ST2008 -00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2008 Phone: (503) 639 -4171 A oiK Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7 :00AM PAGE: 26 SITE ADDRESS: 12394 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MILLVIEW LOT #: 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503- 691 -9878 Inspection Request Scheduled For: Date: 10/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 076971 -01 971- 563 -9'156 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: ld " Z-1_G Phone #: (503) 718- 2—.44-4b CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2008 00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91170009 Phone: (503) 639- 4171� Inspection Requests (24 Hrs.): (503) 639 -4175 __ ! INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 12394 SW MILLVIEW CT CLASS OF WORK: SUBDIVISION: MII.LVIEW LOT #: Q34 TYPE OF USE: PROJECT NAME: POLLOcK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 501691 -9878 Inspection Request Scheduled For: Date: 1012012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 076901 -01 971 - 5639156 Y Corrections/Comments/Instructions: l .---- _ i ...r.:,-- ../..... ' --Ay. ' • -'i i ° Lei i / PASS ❑ PARTIAL APPROVAL NOEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: / Zo — o d Phone #: (503) 718- 2-5r4-c-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2008-001 Opi45 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2008 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 F'I I.. INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7 :00AM PAGE: 18 SITE ADDRESS: 12394 SW MILI_VIFW CT OF WORK: SUBDIVISION: MII_LVIEW LOT #: 03� TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503-691-9878 Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 076901 -03 971.56: -9156 Y Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL F - EL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: id 20 O 6 Phone #: (503) 718- 7 S"---- CITY OF TIGARD . BUILDING DIVISION #: mm008.0 _ 13125 SW Hall Blvd., Tigard, OR 97223 - - 5 DATE ISSUED: 91170008 Phone: (503) 639-4171 A .t Inspection Requests (24 Hrs.): (503) 639-4175 ,_.., l --- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/1/2008 7:02AM 18 SITE ADDRESS: CLASS OF WORK: 12394 SW IVIILLVIEW CT SUBDIVISION: LOT #: 034 TYPE OF USE: MI LLVIEVV PROJECT NAME: POLLOCK DESCRIPTION: 2r.fi sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: PHONE #: POLLOCK, JAN MARIE CONTRACTOR: PHONE #. r F31.13 CUSTOM HOMES INC • .103691-9878 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/bearn mechanical 076156-02 971-663-9156 Y Corrections/Comments/Instructions: . . • PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS 1 1 FAIL D CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ,----- Inspector: elA Date: id 3 0 Phone #: (503) 718- 24.4-4 , ,: CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200800145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2002 Phone: (503) 639 -4171 Vu Inspection Requests (24 Hrs.): (503) 639 -4175 . '.r �''_I... INSPECTION WORKSHEET FOR DATE: 10/1/2008 TIME: 7:02AM PAGE: 19 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12391 MILLVIEW CT L OT #: PSI LLVI EW 034 TYPE OF USE: PROJECT NAME: POLLOCK DESCRIPTION: 256 sq ft addition. Other mechanical is dud work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARE PHONE #: CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 691 -6878 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Confirm' # Contact # Message 225 Post/bearn structural 076156 -01 971- 563 -9156 Y pia qa5 Q,,==,,.4,5 Corrections /Comments /Instructions: PASS D PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS 1 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .// Date: ,V l —G 4 Phone #: (503) 718 - / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B -001 '15 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2001:1 Phone: (503) 639 -4171 fJl Inspection Requests (24 Hrs.): (503) 639 -4175 �..': INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:0OAM PAGE: 25 SITE ADDRESS: CLASS OF WORK: CT SUBDIVISION: 1239e1 SW MIL LOT #: TYPE OF USE: 034 PROJECT NAME: h411.LVIC1/►! DESCRIPTION: POLLOCK 25( sq ft addition. Other mechanical is duct work, Other plumbing is ice maker and hose bib. OWNER: POLLOCK, JAN MARIE PHONE #: CONTRACTOR: Sli, CUSTOM HOMES INC PHONE #: 503. 691 -9178 Inspection Request Scheduled For: Date: 9/25/2008 • Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message . 210 Foundation walls 075927 -01 503 -781 -0576 N Corrections/Comments/Instructions: A&cjov- . 4, J- ,k d `` c 11 Ow..1 4.3 f bP i Peck ‘ 5 1.c) c.5 eep' 0' 90 dr -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS fl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: s Date: 2.5 Sgoo8' Phone #: (503) 718- ) -2 3