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Permit CITY TIGARD MASTER PERMIT PERMIT #: MST2008 -00014 COMMUNITY DEVELOPMENT DATE ISSUED: 8/19/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DC -05500 SITE ADDRESS: 13858 SW HALCYON TER ZONING: R -4.5 SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT: 005 JURISDICTION: TIG PROJECT: GERTZ HOMES AT EDGEWOOD Project Description: New SF. 1/14/09, (1) tub /shower changed to shower stall, (1) laundry tray and (1) lay removed. BUILDING REISSUE: 633 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,516 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,622 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,136 sf 318,197 99 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 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: 4 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =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 LNOSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable GERTZ CONSTRUCTION COMPANY, INC. GERTZ CONSTRUCTION CO INC laws. All work will be done in accordance with approved plans. This 19200 SW 46TH AVE 19200 SW 46TH AVE permit will expire if work is not started within 180 days of issuance, or TUALATIN, OR 97062 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: 503 692 - 3390 Contact #: PRI 503 692 - 3390 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 692 -5433 Reg #: LIC 34350 TOTAL FEES: $ 13,106.88 REQUIRED ITEMS AND REPORTS Issue By : 0 # t,// . . 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. ,' d CITY ®F 1 ® _ MASTER PERMIT DATE E ISSUE : MS /2008 00014 COMMUNITY DEVELOPMENT DATE ISSUED: 8/19/2008 7lGART/ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 """ PARCEL: 2S102DC -05500 SITE ADDRESS: 13858 SW HALCYON TER ZONING: R -4.5 SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT: 005 JURISDICTION: TIG PROJECT: GERTZ HOMES AT EDGEWOOD Project Description: New SF. BUILDING REISSUE: 633 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK; NEW HEIGHT: 24 FIRST' 1,516 sl BASEMENT: 51 LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,622 sl GARAGE: 440 sl FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sl RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM 5 BATH: 3 TOTAL; 3.138 sr 318,197.99 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: 4 CLOTHES DRYER: 1 NAT FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 • ELECTRICAL . RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR. LIMITED ENERGY: I 401 • 600 amp: 401 - 600 amp: EA ADM BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601'amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS. TOTAL 6 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 GERTZ CONSTRUCTION COMPANY, INC. GERTZ CONSTRUCTION CO INC laws. All work will be done in accordance with approved plans. This 19200 SW 46TH AVE 19200 SW 46TH AVE permit will expire if work is not started within 180 days of issuance, or TUALATIN. OR 97062 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- 692 -3390 Contact #: PRI 503- 692 -3390 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 692 -5433 Reg #: LIC 34350 TOTAL FEES: $ 13,106.88 REQUIRED ITEMS AND REPORTS Issued By[`�� -a %� "` Permittee Signature : by Call 503.639.4T 7 :00 a.m. for an inspection that b iness 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. •CITY OF TIGARD BUILDING DIVISION - ,- PERMIT #: M.ST1000-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639-4171 .,, Inspection Requests (24 Hrs.): (503) 639-4175 .......„,.. ,, .... t . INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 now PAGE: 12 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION • New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 60692,3390 CONTRACTOR: GFRTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: Pour Time: 10/31/2008 Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 077482-01 503-780-7793 N Corrections/Comments/Instructions: • ASS PARTIAL APPROVAL D CANCEL 0 NO ACCESS _ 7 FAIL fl CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Crnikft(AA-J '\) \\ 1 ,,,, - 4 - Date: 10 VII i DTI Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2989-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 - - INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 13958 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 8/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 074808-01 503-760-7793 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 7 FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 76 1/11-A-J V\ Date: 7127 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008•00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/2812008 TIME: 7:OOAM PAGE: 10 • SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF, OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 074808-02 503-780-7793 Corrections /Comments/ Instructions: PASS fl PARTIAL APPROVAL 111 CANCEL NO ACCESS FAIL fl CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: Cr6\44-4---A\i Date: 712-71,091 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-000121 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8ri3/2008 Phone: (503) 639-4171 41141410 Inspection Requests (24 Hrs.): (503) 639-4175 01148fr INSPECTION WORKSHEET FOR DATE: 8128/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-6913390 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 074808-03 503-780-7793 Corrections/Comments/ Instructions: LK PASS [11 PARTIAL APPROVAL CANCEL Lil NO ACCESS fl FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Wri..d Date: 71271 DT) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIM E: 7:00AM PAGE: • SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 074808.04 503- ma 7793 Corrections/Comments/ Instructions: g PASS El PARTIAL APPROVAL 0 CANCEL El NO ACCESS n FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: crokfl-m—A Date: 7 1(2 t I) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -8/19/2001 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: .8/28/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 -692 -3390 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 Storm drain 074808 -05 503.700 -7793 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CR f 1 1f—'°- Date: 71254107") Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:OOAM PAGE: 6 SITE ADDRESS: 131358 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: • PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 -692 -3390 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 506 Sanitary sewer 074808 -06 503-780-7793 N Corrections /Comments /Instructions: 14 — PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 3 I/ViA- A Date: g'"I2 W Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639 -4171 s - A Inspection Requests (24 Hrs.): (503) 639 -4175 s =ill INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 29 SITE ADDRESS: ' 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION GERTZ HOMES Al EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 -692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date 10/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 077233-02 503. 780.7793 N 191 Ei0 �L Corrections /Comments Instructions: (1)(46■ 4.1 -O Cray NQLi • E iiL_ 1 9 4. - .f %A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL p, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 . ...,,, ,,,, Inspector: Al ■ __ Date: Phone #: (503) 718- Y / \ ` CITY OF TIGARD BUILDING DIVISION • PERMIT #: M I'2008 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171,, A11 8/19/ t,tJi3 t Inspection Requests (24 Hrs.): (503) 639 -4175 . &W' 1L INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 13868 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDCEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGE WOOD DESCRIPTION: Neyy SF OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 -691-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 - 692.3390 Inspection Request Scheduled For: Date: 10/28/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 077233-01 603- 7807793 N Corrections /Comments /Instructions: • Af riT* %/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL /r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / C MEW Inspector: ■ Date: to Z� b 8 Phone #: (503) 718- Z___C_IW CITY OF TIGAR BUILDING DIVISION PERMIT #: msr7008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639-4171 4*41451(t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10128/2008 TIME: 7:mm1 PAGE: 28 SITE ADDRESS: 13050 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDSEWOOD • DESCRIPTION: New SF. , OWNER: GERTZ Cs-ONSTRUCTI ON COMPANY. INC., PHONE #: 503 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 663-6973390 Inspection Request Scheduled For: Date: 10/280 Pour Time: • Code # Inspection Description Confirm # Contact # Message 135 Loyv voltage 077233-03 503.780-7793 Corrections/Comments/Instructions: • & WI ° L IAL. I 4 ') PAS 14 PARTIAL APPROVAL CANCEL fl NO ACCESS El FAIL V: FOR INSPECTION • ADDITIONAL FEES ASSESSED Inspector: A Date: t R Phone #: (503) 718- . CITY OF ��mw m m.�n� mmw�|�m�m�� BUILDING ^ PERMIT ~°~~"~~~°""`~� DIVISION #: hX8T2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 8/19n(w Phone: (503) 639-4171 . Inspection Reque�e(24Hm.):(503)630'4175 .�J�+ ^ INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:O0AKA PAGE: 15 SITE ADDRESS: 158S8SVV HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES ATEDGE LOT #: ow, TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: 0ERlZ C0Ns[RUCT|()N COMPANY, |NC.. PHONE #: 603-G92-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 11/C1/2O08 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 077755-01 503.780-7793 N Corrections/Comments/Instructions: • , O tk �- �- �~�� K��fre PASS PARTIAL APPROVAL El CANCEL E NO ACCESS ~ 0 FAIL ri CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED CITY OF TIGARD BUILDING DIVISION - PERMIT ft. hli• ST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: (503) 639-4171 1:051111 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE 11/3/2008 TIME: 7 PAGE: 13 SITE ADDRESS • - CLASS OF WORK: SUBDIVISION: 13858 SW FIALCYON TER 005 GERTZ HOMES AF EDGEWOOD LOT #: TYPE OF USE: PROJECT NAME: GERTZ IIOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GER FZ CONSTRUCTION COMPANY, INC., PHONE #: 503_692..3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-G92.-3390 Inspection Request Scheduled For: Date 111312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 077557-02 50378(17793 N Corrections/Comments/ Instructions: • PARTIAL APPROVAL D CANCEL 0 NO ACCESS fl FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 735 Date: 34/no 0 V) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: iiiST2000 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8f1g1 X008 Phone: (503) 639 -4171 IIII+� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_• ._.. INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME: 7:00AM PAGE: 1 4 SITE ADDRESS: 13058 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 006 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: Nevis SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603.692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 - 692-3390 Inspection Request Scheduled For: Date: 11/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message � ir es �4:? IIw 077657 -01 503.780.7793 N Corrections /Comments /Instructions: ) 01<- OK. 1ti 0 k- 5 0 r 6. V - ,47✓,SeeC�r O Veer: .. 5014.4 zv ` 5 o K q 0K /D) , 21...pAst ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 23S Date: 3/1'ou 0 8 Phone #: (503) 718- )1 /0?: CITY OF TIGARD BUILDING DIVISION PERMIT #: M T Ot33 00014 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/19/2008 Phone: (503) 639 -4171 �a 1' Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �;. INSPECTION WORKSHEET FOR DATE: 10/2412008 TIME: 7:01Aivi PAGE: 19 SITE ADDRESS: , l31).50 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #• 006 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF OWNER: C3ERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 -692- 3380 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 -092- 34390 Inspection Request Scheduled For: Date 10/2412008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 077138-02 503-78117793 N Corrections /Comments /Instructions: i N04s IAA e) C1w• 4 2cose, Z A -35" '� .-anier d i .e S' l s s i vx Se_ e... ed U l e -Pp r 1 2 , ;cc i .6r 1 a c, n c. u 3 �.t ll� v l ss t, ,S�c,c) Nock , Sf-, c� o r , 'W\ i SSe J 9 S;.5\-e A- \k (2 iloM aourk 16 6 " o(- 5 El r i c) ti f 6 (ler `t-1 r �ia Q M ; S S i trk C Ser . Q lc 4 n � h . 1 Cie ; U t1 we l OO `c- 1 a— 12•, c,hk &()c. J cep'. cJn - :.i} vc) /la', \ i %A.p IY1 i ss ea 7 6r► d I i ixe Z O f ftr 1T-Iw A tAAl/ � -I-ea f'h'1,"ssi►� • � Oarx> 1Z � c h 4 S► d o o C �•� l )o t S ...1--hs,(...7\-:0o \( vic.„-.\-40 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL - ®-BALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,(S Date: 7 /&TO3 Phone #: (503) 718- 2V23 CITY OF TIGARD - BUILDING DIVISION PERMIT #: • MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19 Phone: (503) 639-4171 ,%lt Inspection Requests (24 Hrs.): (503) 639-4175 ,_•11 INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 32 SITE ADDRESS: 1305t) SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEYVOOD LOT #: 0 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: N etv SF OWNER: GE CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 1012812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 077227-02 503-780-7793 Y Corr:ctions/Comments/Instructions: 6 Nio _ : _.-.. 0 ,A10 I1/41.4 e_e, i , ( (( 14 411111 11 .40 IN __ .„,, 5 :7 5,E : ,-, - ,s,.. < F/-/ — Ent - U • ..-- __. c..) – ' ___ 7 •_ „pt f_i_, 0 PASS • PARTIAL APPROVAL [7 CANCEL 7 NO ACCESS e z CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED & /7 Inspector: Date:///O 4 Z Phone #: (503) 718-2‘ 41■11.... CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639-4171 "Itillitli Inspection Requests (24 Hrs.): (503) 639-4175 ...„._._. - - -... INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 PAGE: 11 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: ma TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC„ PHONE #: 503 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 Inspection Request Scheduled For: Date: 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 077483-01 603-780-7793 N Corrections/Comments/Instructions: ,See- 20,i# 1"..4 e. 44/4,/, CC 73) ) 5 11 - tie, 4- e 2 '`) 7 dA — PASS 1 PARTIAL APPROVAL D CANCEL El NO ACCESS fl FAIL D CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: /...S Date: 5/OCTO & Phone #: (503) 718- ...2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/200f1 Phone: (503) 639-4171 irel P Inspection Requests (24 Hrs.): (503) 639-4175 ...,_., --... INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 PAGE: 10 SITE ADDRESS: 13058 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603,693,,3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-69,-3390 Inspection Request Scheduled For: Date: 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 077483-02 503-780-7793 N Corrections/Comments/Instructions: 512.e, v... 0.,..k .e_d ( Aya y I/ . 2g lo Es (3-- ) (C V , 1 ee) — ie_e_ C6 I) h e ./? 3 .5 SA €4 r//4,1 cter3 PASS . fl PARTIAL APPROVAL 0 CANCEL fl NO ACCESS Ir FAIL j-C71IFOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - Z3.3 Date: 3/Ce7 Og Phone #: (503) 718- 2'723 CITY OF TIGARD BUILDING DIVISION. ., PERMIT #: MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: al i 912008 Phone: (503) 639-4171 T Inspection Requests (24 Hrs.): (503) 639-4175 _ IL. INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 13868 SW HALCYON TER CLASS OF WORK: SUBDIVISION: LOT #: 005 TYPE OF USE: GERTZ HOMES Al EDGEWOOD PROJECT NAME: GERT7 HOMES AT EDGE DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-692-3390 • CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 603-692-3390 Inspection Request Scheduled For: Date 10/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough4 077233-04 503-780-7793 N C. rrections/ Comments/ Instructions: i ,,S 0 W 0 .---- & --Valli ° A..0 ----- 0 0 K. -, - r -19 c v c e, A) C_ -(2 __.-0 1117(_7(......- .."*). I I PASS rtj - k :TIAL APP:• , 0 CANCEL 0 NO ACCESS 0 FAIL t CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED qr Inspector: Date: )t , -1 "- 7 -' - ' 71 2'/ Phone #: (503) 718- .. .., . CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639-4171 „,.0. Inspection Requests (24 Hrs.): (503) 639-4175 1p, INSPECTION WORKSHEET FOR DATE: 10/28/200B TIME: 7:01AM PAGE: 33 SITE ADDRESS: 1 3850 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGBVOOD LOT #: 006 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 077227-01 503-780-7793 N Corrections/Comments/ Instructions: '401='' - /1 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL Ey CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED I Inspector: A■______ 4111111111* Date: lit) 2 4 g Phone #: (503) 718- 7 r - \ k , , * CITY...OF TIGARD BUILDING DIVISION PERMIT #: M`y- 12008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/200 Phone: (503) 639 -4171 u Inspection Requests (24 Hrs.): (503) 639 -4175 'f I'I INSPECTION WORKSHEET FOR DATE: 10/24/2008 TIME: 7:01AM PAGE: 20 SITE ADDRESS: 13850 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 00s TYPE OF USE: PROJECT NAME: GERTZ HOMES AT F_DCEWOOD DESCRIPTION: N SF OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 50-692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 603.6913390 Inspection Request Scheduled For: Date: 10/24/20108 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 0771313 -01 503-780.7793 N Corrections /Comments/ Instructions: Se 2e o r-V als SheA r /A Kco rS • n PASS (;) PA IAL APPROVAL CANCEL ❑ NO ACCESS AIL AP FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 733 Date: a4'cr' r?8 Phone #: (503) 718- 2'723 CITY OF TIGARD - BUILDING DIVISION PERMIT #: IV'S-F2003-06014 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: t3i19i200t1 Phone: (503) 639-4171 *Milt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/24/2008 TIME: 7:01Atvi PAGE: 18 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: N sF . OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503.692-3390 Inspection Request Scheduled For: Date: 1004/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interim shear walls 077138-03 503780-7793 N Corrections/Comments/Instructions: ))04 lat. tpi r-eJ — /lb e 'ri t'.' 1( /ti. 1 Z v..13 40w AVC■ S ?er YYk ■ k PASS Eli PARTIAL APPROVAL CANCEL 0 NO ACCESS El FAIL Ei CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 'S Date: 2%'X7 ' Phone #: (503) 718- 2Y2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS, ?000-000 i4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: 503 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 --- INSPECTION WORKSHEET FOR DATE: 1 0/2412008 TIME: , :01AM PAGE: 17 SITE ADDRESS: 13050 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT FDCEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 5035913390 CONTRACTOR: CERTZ_ CONSTRUCTION CO INC PHONE #: 692 -3390 Inspection Request Scheduled For: Date /0/2412008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 077138304 503-780-7793 N Corrections /Comments /Instructions: er e SS4 • e a■ P si loo r ( 5 - vn PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2Y OCR) 0 Phone #: (503) 718- 25%2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20093 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8119/200ts Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/5/2000 TIME: 7:OOAM PAGE: 10 SITE ADDRESS: 13850 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGElVOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 9/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam sirucl.ural 0751144 -01 503.780 7793 Y Corrections /Comments/ Instructions: Pl✓ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: Date: 9 — i — a S Phone #: (503) 718 - 2.4 — CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:O2AM PAGE: 14 SITE ADDRESS: 13958 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503- 692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 9/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /barn structural 075072-02 503 - 780.7793 N Corrections /Comments / Instructions: ,_ - 1111 2 4. 4. - 5`5/G - ci'♦e-A - W ' S' - - '//0i4- G v l� ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: q Phone #: (503) 4/ , ( ) 718 - CITY ��N�� um N OF TIGARD BUILDING DIVISION ` PERMIT #: h8ST2008'000i4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/19/2000 Phone: (503) 639-4171 Inspection Requests �4Hmj:(583)G3Q'4175 ~ ^�� INSPECTION WORKSHEET FOR DATE: 9/4/2000 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 13858SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES ATEQGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ. HOMES ATEQGEVVO0Q • DESCRIPTION: New SF. OWNER: GEFTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-082-3390 CONTRACTOR: GERTZ CONSTRUOTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: E/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 805 Post /beam mechanical 076072'01 508'780-7793 W Corrections/Comments/Instructions: rarl‹ PARTIAL APPROVAL El CANCEL 0 NO ACCESS 0 FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED -�� | ' \ Date: 9 -z Phone #: U503\ 718- -2.44/ CITY OF TIGARD BUILDING DIVISION PERMIT #: hAST2008•00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W19/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/22/2008 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 8/22/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 76 Footing 074552-01 603-780-7793 1\1 Corrections/Comments/Instructions: b rig - S - S LI PARTIAL APPROVAL 0 CANCEL E NO ACCESS n FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: ZA," Phone #: (503) 718- i2-`t23 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/2000 Phone: (503) 639-4171 A Inspection Requests (24 Hrs.): (503) 639-4175 .14111ii -4.—isfr. ''11.... INSPECTION WORKSHEET FOR DATE: 8/22/2008 TIME: 7:01AIVI PAGE: 1 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGE.WOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEVVOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 Inspection Request Scheduled For: Date: 8/22/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 V Foundation walls , 074552-02 503-780-7793 N Corrections/Comments/Instructions: J40 1c) down 6 d AAA° rs -i-o be_ '..x.sic/4.,) as rev-- A S ‘SS 0 PARTIAL APPROVAL r CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: V3 Date: X24 Phone #: (503) 718- .2w3 • CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2008•00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19/200I3 Phone: (503) 639-4171 A .,,„„t Inspection Requests (24 Hrs.): (503) 639-4175 — -- INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7•02AM PAGE: 28 SITE ADDRESS: 13858 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GFRTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., . PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 0/21/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 074452-02 503-780-7793 N Corrections /Comments/ Instructions: .1 ®4/ NV - G3 , ei '1C;k1(\. S ,-, 0 PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS _ FAIL ,eli-C Irr INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: --S Date: /4 4)8 Phone #: (503) 718- 2/23 --- CITY OF TIGARD BUILDING DIVISION AO PERMIT #: MST2008-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: atimoaa Phone: (503) 639-4171 .. 1 . L . Inspection Requests (24 Hrs.): (503) 639-4175 „ INSPECTION WORKSHEET FOR DATE: W21/2008 TIME: 7:02AM PAGE: 29 SITE ADDRESS: 13058 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 005 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF, OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-G92-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message 205 Footing 074452-01 503-780-7793 N Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL 0 CANCEL fl NO ACCESS ....... ...Erl,4L--- ---- G:=E - C7CCETER ' INSPECTION 11] ADDITIONAL FEES ASSESSED Inspector: 73 Date: #2/.4, affl Phone #: (503) 718- Electrical Permit Application FOR OFFICE .USE ONLY City of Tigard CrW Date/By: (c) � G6 Permit No.: NW0613 .- --aZl u 13125 SW Hall Blvd., Tigard, OR '.72` Plan Review - Phone: 503.639.4171 Fax: 503.598.1960 T 4 1 3 2. 0 Date/By: Other Permit: T I G A R D, Inspection Line: 503.639.4175 l ' 1 �ry Date eady/By. lurir ® See Page 2 for Internet: www.tigard or.gov �� ! `�� Votified/Me 4 . Supplemental Information ,-I y . 6 ISO .t .. - ' :, ' PLAN' REVIEW -- . I % New construction ❑ Addition/alte acement Please check all that apply (submit 2 sets of plans w /items checked below): T ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 141- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ' J S INFORMATION .AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: S / l , 100145 or more. occupancy. /.5 V Q 6 U Q (�iC J 1 (V ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name:a T / �S ❑ Service or feeder 600 amps or more. ` FEE ,SCHEDULE, ' Cross street/directions to job site: Description p I Qty. I Fee. I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: S 1,000 sq. ft. or less 1 145.15 4 Ea. add'l 500 sq. ft. or portion 3 33.40 1 Tax map /parcel no.: Limited energy, residential 7500 2 .. .DESCRIPTION OF ,WORK` - (with above sq. ft.) Limited energy, multi- family 75.00 2 1 , rj residential (with above sq. R.) II/ F „ ' ' I i Ii i ” r 0 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 - - PROPERTY OER WN ; `ro 0 . TENANT " ' - 201 amps to 400 amps 106.85 2 Name: I/ ki Cr r 1 401 amps to 600 amps 160.60 2 � 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: TA A. Fee for branch circuits with ; - ,0. APPLICANT ' - ' ' • ❑ CONCT PERSON ' • ' a b o ve service or i feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 ' , CONTRACTOR.. - ; Sign or outline lighting 53.40 2 � Signal circuit(s) or limited - Business name: ��h �BG ✓/ t ' C L G G energy panel, alteration, or Address: LI k q o s I'.V JMGS 5 extension. Describe: Page 2 2 City/State /ZIP: r0( ` 0K °I / q Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 5 S'Z G0 Z Fax: ( LI 50)) S Z — CJ i 2 1 /'� Investigation per O ' r �; H t , ,, Investi ation er hour ( 1 hr min ) 62.50 CCB Lic.: I l O 341 Electrical Lic.: — 9( Suprv. Lie.: ' 61606 5 Industri plant per hour 73.75 �,l�f ELECTRICAL PERMIT FEES" Suprv. Elec cl an signature, required: Subtotal: go kitty/ // t/ Plan review (25% of permit fee): Print name: 6 ( Date: / G ` 2 3 —o b State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: / This permit application expires if a permit is not obtained within 180 Print name: l t n `. p S'TA 01 f G PI Date: to - ? 3 _ pd' days after it has been accepted as complete. e 7 • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB e 3g"S- (. 5c,A..) Hot l cj c C� e-tc ' '' r Building Permit Application '., & .. „ + . �d et i a i FOR orcicE USE ONLY • City of Tigard a , @� - Received ;. 9,,� /� `� g ~: DateB : O '/ 0 l� • �� Permit No.: Awe, • . ® 13125 SW Hall Blvd., Tigard, OR !,7.r+ Plan Review f/ r • ..--c44.4 Phone: 503.639.4171 Fax: 503.598.19�9EB �UV d �, Other Permit: Ca ,� ,� 1 1r 2j Date/By: I 13 , S . ;24 6 6 TLGARD Inspection Line: 503.639.4175 Date Ready /By: . _ _- _ Internet: www.tigard - or.gov CAIY 0- ' � t � e ,1 Notified/Method: S £ j Juris: / RI See Page 2 for j91 Supplemental Information } p h ' ; 4 'T$ ° yz ' Cs : vx &' : rw r O R 1 , t t is si i* .` ' �v �� . � / rc 1 e r � . r ik cx'1 -r .. ; +'. r .r:r� f t � g : ;i.. so l:` r, w 3 ? .� " spa. -- — ifi - t-- l may . ; p�, :rn 4 , ;. <w.- c 4 :,. ~ �" 1, 4G::k'4g . y igFA;ma s,, i l a ° k.'r, O . ® ®� l " tt ` L'V f kV '^ .: : ' "i-1 lff - g m z ",, ff , AIg a1 a :. ; I ° °t li 1 p tl �rti . ` , s. .. ,__ . � �.lh z,,,.>.c�:�M. , §asap.` '.. :xzs3s .c?_...�.., k„�.�iz,gj*� -. 5 � �".�7sa2 an#t � .- o.. ;,..;Al' q� � � 1 � .�.„ ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all -� S ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit forte tar - •�x*z' 5 „ 7w * :: ^z<'.;z +ar,- dcc ^., : °t °:,�::ts:� a.t:a.� ,e�R° tee' s a .r Y, ^'G";c a 3 ' * '� ,. `pcA "� � CA E a it Cd1�t ` i , r ="' ; �"rgai tl n work indicated on this application. aig f 9 7 , 9 9 ® 1 - and 2- family dwelling ❑ Commercial/industrial Valuation: $ --3—}• ❑ Accessory building ❑ Multi- family Number of bedrooms: S ❑ Master builder ❑ Other: Number of bathrooms: -- Z- '3 � E�B (� T y � oe , o ` O Total number of floors: 2.--. ,. � �i��a s`'EK?�^i d s� , . �s� �-" � p a�,, w..� /[ «;. z / 1rs5 k�,. ,.. ..:�,u�a ,. ' s ar c •,• .:., � -,., �� „ � �, ' Job site address: 1 ” t S 8 5 j ,4 `, 0 'T�gizqc.e, New dwelling area: square feet 313S City/State /ZIP: '� 6 qQ ,1 04 � G QA( 1'722 3 Garage /carport area: square feet 4 /C/ C) Suite/bldg. /apt. no.: V Project name: 1 Covered porch area: 9 3 square feet Cross street/directions to job site: /, // S we • e - QN Deck area: s- square feet Cl /4 4.,t. lb E4 / � cd &a G( / Other structure area: square feet / (/ / � REQUIRED D At, CC} 9 � t 1 i1SE 0410 Subdivision: G eR ICI r s t f Cd { cod d e Lot no.: Permit fees* are based on the value of the work performed. 2 S / 6 Z D O.� Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: ) ,: j equipment, materials, labor, overhead, and the profit for the ;r ' w ,u,� § a s `sv i-M v v c r °ai a t� ,� p �� ,,,,.S"� , d 3 -a . i � € w� `o g work indicated on this application. 44 . �, ,.!'.�'?�i,.�'..�_. � .x�„�zeta.�.�, ^..e.+,. s.rw�.�t �,..,.,. .r�"c��_ �dtilr ti as / din G Valuation: $ Existing building area: square feet New building area: square feet " "rx , s �aS ,, S ta ti s k z a x �r t a ' u Ac , s:: a s s=; .. 44 4 ' X 4 , o�� .� t „... 4. ®. ' ,c . a..: xrr` 4 r � ^ Number of stories: Name: G eac h_ Cep si<R k cft ON Cs a Arr (4, Type of construction: Address: / 7 2 6, 0 Su-) 4/ 4 ,� ` Ay G. Occupancy groups: City /State/ZIP: "rc A ( 4,- OA 7 704 Z- 8? 2 t Existing: Phone: (5'03)G? ? L - 3 3 ? 6 Fax: (5 3) C ?Z — $ 3 3 q4 ,,u�7 4 - ,. �rs.� �;�� . � �,,, 7 ,� a„ New: , .�� rdSS�.�' r ,� '�� r N { ��J � �, �i`�.r�. ' ti^ u� x "��iz K , .�£ � ��P.%� a/9,�v�,a�x+:��fz`�:i «.c��1�i v <�ti�. ,'5��., �� , *8 ` #" ... `�'c' " '{ §� *V rl ":.A 'l +R,,I..V . s t j,` . f ,e +,.. 4 1, :t,= i 4..w,r4ir•S- „v;,c, , �0 „„ „i 3s`:'kA- �:ro .e, x40.4 �».. �'� `-. v..,. n, . , f,. ` s.�'... ,4?4z' x4,,011 -&A .' e' ,: ,u. �,, -, c ..b �.R „ ; ' l i �.s r , y�e says w; , n� r rt” 'fi,e1n. c ,a sns � ,u � w .y� >. >.,s �.z�s ?.c , m.:�; �� µ, a � / ,, � t � sd � l� ®� ,� � v , r t 6`tta` r_ °.t ., . ;�nba,. ��h xxrra� �,�s.�.._se :4 '- ..-.,. �, v�'+�a e., -, Btsiness name: G C/Zf'Z C s1 fe a l a ,y a !r G 3 All contractors and subcontractors are required to be Contact name: ��,E, q g ,� -�� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the q Address: I . Z O O s t✓J 44 A jurisdiction in which work is being performed. If the City/State /ZIP: 1 4 �, v applicant is exempt from licensing, the following reasons q nr 0/Z T 7 0G2-87 7D apply: Phone: (5 C, 1 1. - 3 � 3 7 0 Fax: : (5 64 ? Z - s L ✓5 3� _ • Email: `< e �a a c e 7 z e p ` G ( ® , ra ;t 114- ',,, tM.,. stt tk"..wau,v..,.xtz . u, ..., &A., ' �,� c k� ,, ,%,,.x ,mss -&* '1' 54 * ki'4 4 4''444 Business name. /� 7 j p A z� ,� $ „ . (��OLf _ CAA fi 7 7 ,(� Co � ��Y L' J d ` �. ,�a€ �� ,t ' "F � <: ; a �Snl� �° � G7$ � t`d.� T� 19 �� :F�9 � ' ;tA+�,� °" .' Address: /? 3W q/4_ A. (e e _. x�x t i .. , -, n Structural plan review fee or deposit): City/State /ZIP: 77.1 4. 1st, le ;, d" I e) 6 Z - g 7 7 Z) 7 FLS plan review fee (if applicable): Phone: ( sn3) 7 z _ -3`3 9 0 Fax: (S b,3) G 2 ? - r' 'Y 3 3 CCB lic.: 3 Y 3 Total fees due upon application: Amount received: Authorized signature: �...r.�� This permit application expires.if.a permit is not-obtained /! • within 180 days'after�it has•been accepted.as complete. Print name: ``ems . ex, fz- Date: 2 =Z p_o g` Fee methodology set by Tri -County Building Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB) w , Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY ill City of Tigard • Received q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Permit No.: 0 , ' Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: • TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov , ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Firedistrict approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ _ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state . ' ' ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. - Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ / and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke'detectors, water heater, p ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. --- 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. z 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. / 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore • on and shall be shown to be a. I licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS / 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". .❑ ❑ ❑ 7 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer - scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ BuildingWermita \BUP- RES- PermitApp.doc 03/21/06 4404613T(I1 /02/COM/WEB) , Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received 711 g Date/B Permit No.: /� y er7t (t� q 13125 SW Hall Blvd., Tigard, OR 97 y ' / I r/V v 6 d : Phone: 503.639.4171 Fax: 503.598.19 Other Permit: Inspection Line: 503.639.4175 TIGARD. s , a.1 Ready/13y: Awis: la Se Internet: www.tigard- or.gov I mo '` ge l for # s t`." ' r u ._ a ?:u FEB 2 ` 008 ottfi d/Method. Supplemental Information U . ' �t �� ^�' ..� � �� •„ �.w ,t.:�`S�w� �,fi>r..°�.��,'R'�Y�� ,.� rt � �.�'��- " ; >t••� �COlYIMMERGI�I�':p��*�` ` 09'- S �'.�� e _T w UT New construction ❑ Addition/alteratio tilt l:h� }c Mechanical permit fees* are based on the value of the work ' t, DIVISION performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and p �r'� .6 ,y;a�- °a,.',�;� �, • +�� ' 'r. z: ;pr.'*• xsc� �zr_au :w,rrrs��r. :,t»+,'.,�,w.sr�� Q , d rOtli t" Yy .at 5 d "w+ x, wv5,,•. kyTJf.S'1 M✓kC?� $ ` fr " °' 43 ? tf rA E (3I + r B O gllikT +<. C,' ?vw . .£ Y4 "'A h` ¢ .. •k xtr' Value: ea- ii:..a.. , ,, ,, ,,,... „ A. .- .. iv..4,ve,,, . 1. . 4-k a o' .��".' .. .r. t rr eF::a:c-• "x.:F` ?: ii 2 '+ R'. Q4P it y , g , ; Aa?n ^r,- °�u3zR;, ` n rEr 1 and 2-family dwelling 1: R '.,:I�.. >t ,,,, y g ❑ Commercial/industrial ❑ Accessory building �� fi� _ For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qt � .� '°' � �� .�» �, �� w� a�-� - P Ea. Total 4 , .4+ ' . 0h k i> ,),._UW '�Q- 7+,*! ." 1011 Heating/cooling Job site address: 13 t f 14.) ?Q ! T Air conditioning or heat pump YI�sC• t (requires site plan showing placement) 14.00 City/State /ZIP: ` Q� GI 2- I2 2 Furnace 100,000 BTU (ducts/vents) J 14.00 i t Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: `/ Gas heat pump 14.00 Cross street/directions to job site: ,4 4 if S'!G (, J e S 7r- 0 A7 Duct work 10.00 O ific 4 eel / Hydronic hot water system 14.00 G eL Q s �C Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: R Flue /vent for any of above 1 6.80 e /Aim e S O/r .. e L at tren ( Lot n o.: ,S f Other: 10.00 Tax map /parcel no.: Other fuel appliances r � nsr rwu c � a � � 10.00 .7 �, jt 1 _ "`� ,2 t Water heater ; '�; �. �'� ��t�.�,`��,�i. ^sta:�;vhr ..� -y p ��put,�� p�„` •�' kt. �'s t r� � 4�a,�' � •� i AI /C� Gas fireplace 1` 10.00 ,...s " o� Flue vent for water heater or gas fireplace 10.00 - Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 �� Chimney/liner/flue/vent :' 1 Il d� x Q " a 1 a��i Y 10.00 •,a,,,,, _ : < t� 14 _ . , : r � ,. e -41,' t , r -a , -7W • : � .1 ' i other: 10.00 • Name: G e 2tz. 4, K s tkee - e ¢fa.4) a la+ C. Environmental exhaust and ventilation Address: / Range in 0 5 w .4/ G 4 -4 - Range hood/other kitchen ` ` v r equipment r 10.00 City/State /ZIP: II 0 , ern le dy o1Z 1764. Z - a 7 76 Clothes dryer exhaust ( 10.00 • Single -duct exhaust (bathrooms, Phone: (5 6 g 2...- 3 3 ? O Fax: ( Sa3) G ? 2. - 5-5/3 3 toilet compartments, utility rooms) 14 6.80 "M.: �b'',l - lr j�e .n Fr � �. ` ttetrT G PER " + }`` .l. - ,44 ,&._T.4 _, 4.44 ,,..,,,�,; ; V E" Attic /crawlspacefans 10.00 name: ,o Other: 10.00 Business 4 eat Ce Rlf f t t � /&i . • Fuel piping Contact name: `{,e,„ G to x. [ L $5.40 for first four; $1.00 for each additional Address: 11 Z p p S C43 Y G or_ Furnace, etc. - 1 Gas heat pump City /State /ZIP: "'r-.14 @ C4 I olt 2 70 - g 7 70 Wall /suspended/unit heater Phone: (S' C. IF Z -7 3f C 1 Fax: : ( S0 4, P L- 5-i,3 3 Water.beater 1 Fireplace l E-mail: /Ce'Ae t& e^2 C e a Co /47 Range AymecItgle', -4 r4 _ L a e - . u...- , Si k Barbecue Business name: Q t� l [ Clothes dryer (gas) h b 0r' ,- Other: Address: P / 0 k r ,7r: -� � " 0 x � �7 v ��=a... _°V °? ,'Q „fl? „t� PI:: 3t• is_ / s , , City/State/ZIP: E . L e COQ e k 6 fi 4 7 6 2 2. Subtotal Phone: $a ) ` ('y_ Fax: L Minimum permit fee ($72.50) " ( 3 Z.� ($�3 `'S Z .�'4 Plan review (25% of permit fee) CCB lie.: 4 5-7•?:' State surcharge (12% of permit fee) /� TOTAL PERMIT FEE Authorized signature: C // This permit application expires if a•permit is•not obtained within 480 �+� days after it has been.accepted as complete. Print name: ra 1 4 ,L 5 Date: z..--.2:?-4 * Fee methodology set by Tri- County Building Industry Service Board I:\Building\Permita lEC- PermitApp. oc 01/19/07 4404617T(I1 /02/COM/WEB) ' Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 w Plumbing Permit Application Building Fixtures I D �� w� FOR OFFICE USE ONLY ' City of Tigard t- tB B 9 .60' Received /., Q d /�-- DateB J �� P N m g 1 7 � � 1 a 13 12 5 S W Hall Blvd., Tigard, OR 97223 y' � �r 0`i I , e vi 11111 Phone: 503.639.4171 Fax: 503.598.1960 � ,T� ® p • � ; y , Other Permit No.: TI GARD Inspection Line: 503.639.4175 B g �° �' � �� ' � ; sa te ' lan R Ready/By : ew J uris: H See Page 2 for Internet: www.tigard- or.gov &a g Notified/Method: Supplemental Information y +",3 q =_ �; ar��rx`�, ,;�«„e;c�;yxaa,:gr1.�.,� '' - .`':� �. . � �l S� } &z',4l''��'„'�r�n•' „ r�.j�*:H�,x ��.". : •• 414.': s I4;.'5111? 7.. �S T F4"1ikbC�. .u.'7k'"e^a'.Y r7 y��1pc, t RYA 3 ", 'T `T`�, 2 � j b SMg, ,t �{.. t , -"7E a t ,i G 1` r'fk. if&fx�.2'24"s&%d� X � r?TxC.w"�.s�v'��3'.�°s;�'w+`�� _. �.z,,,an,. •0 �7' � ",�tin.tPir$a ' ' - •Y:t�. � ..'; .. t�i�"� . { - O 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) e • . m o "I t t Hg.pkv + O n Uk7 ,w„ '� = .rAl k il '?V tA t ` C AfiC�© R kvos �, Vitta; ', R . " SFR (1) bath 24920 L t, 3 � ",a e :�,, �..,�.� re E� .3 +� , �,��..±�a.�s�...�..N,..rr� .. a�.�.,:.,+i �. .�t;��a �:�.. �,i -.ate ;"� f.,.`�4 1,21 and 2- family dwelling ❑ Commercial /industrial SFR (2) bath I 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder 0 Other: Fire sprinkler ( sq. ft) Page 2 , W )Q S IIt' INFO - k lr 3G"ATI N , t�" i - �.,k'�� .��a1.n�°aca�aN�x,+;�u�.,.s�,� M�ns �.. : k � ,u e,a�, �"�:.., _ o-. ' "t <,04i'.,it Site utilities Job site address: / 3 f5 S Li , /e, o T xte cie a Catch basin or area drain 16.60 tir City/State /ZIP: - il l , a ti ®A. ? 7 22 3 Drywell, leach line, or trench drain 16.60 - Suite/bldg. /apt. no.: J I Project name: Footing drain (no. linear ft.: ) Page 2 /// Manufactured home utilities 110.00 ,44 Cross street/directions to job site: , f St kJ e $ t o f Manholes 16.60 D A% 4 ti 4 *0 �� ..e. w0 0 d Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 4 eiz, f� #0,„,.., S , E4 e , 3 c Lot no.: Water service (no. linear ft.: ) Page 2 2 5l b Z, C. O 5-5-0Z) Fixture or item Tax map/parcel no � J f "� � �o-�, w y "�l Absorption valve 16.60 zi,tw . 'sS-?. �. 411... 3+W,�tdd 14,,, �":, sa• .Ji. i "'. train +' ' Backflow preventer Page 2 `F [ two !'f O fit C Z f c , Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 "'" "`` =1 , v �" = P , r c Drinking ountain is 1 ' S„ �,� N I' ®' � s �i n s " t x t ';" ` *� '' ? g 16.60 �� ssnn.hg s.� �� .,a'� _ ' Ejectors /sump 16.60 Name: G 0.12 a.a s. 7 - ' - 1 ( t 6 t e4 441 - Expansion tank 16.60 Address: '/ 9 z O 0 S w 4i c ,4j r_ Fixture /sewer cap 16.60 City/State /ZIP: -r Q /g 24,-,,, 6eZ 12 e''O Z - 23 7 J a Floor drain/floor sink/hub 16.60 Phone (s 4p L_ 3 96 Fax ( 5-63) 6 Z 3-Y 33 Garbage disposal 16.60 t � ��t° . �, ,�� 7 it r k, 1� - � Hose bib 16.60 1 ".4, ` . ` s . .M. x j� , CO IA`CT E O t ,,:t .� � _x�Jt�»sw.�t;t«a._.bxa b�, �ri'�✓, .+�u - ;zr��, .�� '�4, �s�..kr._ �....wt Ice maker 16.60 Business name: a .e,e.42..._ C a 4 /,...c. Interceptor /grease trap 16.60 Contact name: k c N Y.Q. f Medical gas (value: $ ) Page 2 Address: 1 2. v Se"1 14 5 A u r Primer . 16.60 City/State/ZIP: li 4 /4.. -64% A l 0 A f Pe C L- g 2 2 0 Roof drain (commercial) 16.60 3631 iv Z d Fax: ( 6 r'33 S1nk/basin / lavatory j 16.60 Phone: ( 2 3 3 g S 3) G? 2 Tub /shower/shower pan 16.60 E-mail: /‹.04- 41 G eoft.f 2 co , C s-• k°" s`1 >`"`t'x(i'�7wap.;7k5},c1'yt .� e� sry y w�S c g rt �, •,wz _e�� Urinal 16.60 t s; ., A £r rri � P l%1Ji !l '3l.$�g .5�"+`�` i f 2'�i Lam' 474 `s'=�fi: a-r :,,,1::',,,,°41, z+,«. #'rte, n agar,: .s':' •c,', ' �` ks`.s� #:'L,. ?; 1 Water closet 1 16.60 Business name: 1-4,1_,,,e..- {*emu f ,V/ 4.1/ Water heater 16.60 Address: / 0 i3 0 x 'I- 2 y Other: City/State /ZIP: ` ' AA 7 �p • Subtotal �eJ f i NK O, ` ` O ` O Minimum permit fee: $72,50 Phone: (s'03) 73 7 - 4 3 g(J Fax: ( 3) (.,3" . � � Z / Residential backflow minimum permit fee: $36.25 CCB Lic.: / D 3 7'9'z ( Plumbing Lic. no.: 3-25-7,05, Plan review (25% of permit fee) r� State surcharge (12% of permit fee) Ag Authorized signature: ri". / .�� /� // TOTAL PERMIT FEE � Print name: / l 4As; 4,([ - fsA,,,,6;), / Date: Z - f D• 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. I:\ Building1Permits \PLMF- PennitApp.doc I2/27/06 440- 4616T(10 /02/COM,WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: ' Residential Fire Suppression Systems: i'u.; -x.. 3.:......: �� . :% d ., -.; ';+ «4'`� '. � ' . .`,' , e , a'° E` "'rte:, i "*b ',s#` ��^°"",�."w: =v l y w ... ., . �� _.vmTt OOta ; <P>rnt Footing drain - 1' 100' 55.00 • ' 0.to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 /_ , Water Service - 1st 100' f , ;( w .- - 4-5 00 . - to Ac "if" /'y Medical Water Service - each additional 100' 46.40 Gas Systems: Storm & Rain Drain - 1st 100' w}; IIki1I1_ .1,m wit �, w o " 55 1 1 =�t �y . $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 � � , "" e(eh � "tl E additional $100.00 or fraction thereof, to and rw. 1 � ., .S & N� &V "3� � `. :tram including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first$10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to - (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: k Ia u I2 „4,,L, f „202. lumliim r =I s alla>k ens � Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and �_ 4.1 A x " greater, except systems designed �, ®� >� �•� � s x air b �' P Y and stamped by licensed engineer. •• -." A, f v1 t A ed ;lion %' ❑ 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 . +..,, .yn.ni nr, k£• � J , Drinking Fountain + ow triegoT � � 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 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: 1:\Building\Permits\PLM- PermitApp.doc 12/27/06 . ` , Electrical Permit Application FOR OFFICE USE ONLY I'll City of Tigard I J8- 1 Permit No.: 13125 SW Hall Blvd, Tigard, OR 9722 E° ` s 0 - , Phone: 503.639.4171 Fax: 503.598.19 0 •LO DateB : Other Permit: T A R D Inspection Line: 503.639.4175 ..3 Date Ready/By: luris: ®See Page 2 for Internet: www tigard- or.gov 'J O . Notified/Method , 4 ,µ (+ " Supplemental Information iiii =ll I *«��.. �lr ,`" 0 [J �,i'• � S * ..5 te, 's ., Rt#� el H.u. rk 4, d fl s 1,, s t ; «:,;. ,a. a� -^,,6 a aws+a 4 l . l a, � : ;^ e i drt -a "�,. ",ice . i "' . Do New construction ❑ Addition/alteratio rep Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other. ❑ Service or feeder 400 amps or more ❑ Building over.three stories. where the available fault current ❑ Marinas and boatyards. ,�"M.� n � g�" , ;��,b��'� •2ssocae -r�� s �.. n�p^r , s�ptrc,�mna z�Saxzr ns¢`�' ro n�, u�, ..,I�.a,�a,l+d;r „ =d� ,ir. M��C;,��CS,�Q !„'a��C,`� r n ,� �� x �� exceeds 10,000 amps at 150 volts or ❑Floating buildings. dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1 -and 2-family g ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: pump. Installation of 75 KVA or ❑ Fire 6 `q"�ja. a i,u'x l zK VP n r 8 r ;++� �y �' '' ; ,)i,•,;, ; � I� "" -,. � ,,�a) �• ; ��+�r tr ❑Emergency system. larger se separately derived stem. Z44 s a ,i��" 1 .'ArfarI UB, S Y�MWM. F. 1 r ! ..., lJ � ®' m ' •' .'?;xl< P Y Y .crrc'a�xr. �.,r c:^ ".u� �: •s, », .x..� � :mks �::�. _�, ,� . �k,,... ,.c6�;'�?,'„� ❑Addition of new motor load of ❑ "p" "E" "I.2' "1.3^ Job no.: Job site address: Q tool>P or more occupancy. �S (� 5 74. 47 �� 72. ❑Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: T J - Q 0 ( c / g 2 2 Z. Z. ❑ Health -care facilities. - ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more. '. :�A.F„" - .'^- y }$ a?is » ) " t 0 i r ' ' k„ i Cross street/directions to job site: / ,., rN . �4,`` � 4 to s- f el/ I _ toy' Description Qty. Fee. I Total Z 4 ' / New residential single- or multi- family dwelling unit. L At t• -e 6 r e+i er 0 C ( Includes attached garage. �a0,,� 0 0 ,t re( e d I Lot no.: 1,000 sq. ft. or less 145.15 4 Subdivision: 6r44 Tax map /parcel no.: `? ,$ / c Z a C. 6,5 az � Ea. add'I 500 sq. ft. or portion 33.4 1 Limited energy, residential i ". v a` w f% a 1 75.00 2 IX ,', D . , � 0�QW 1" }a.tt ': -111 Liid • J� (with above sq. ft.) 1 AAte ,(= a � -e. Limited energy, multi - family ` residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation . °'( at a raxr. 200 amps or less 80.30 2 , .. R1 1. s�) 2 next I' I t , . s,� �Os ' �, �,� �� ,i�°�� ! �� '�`�� _c�*isl?�ir�l�� a 201 amps to 400 amps 106.85 2 ! 401 amps to 600 amps 160.60 2 Name: G ex -fi._ COKJ24R u e 1(e`diy �c 601 amps to 1,000 amps 240.60 2 Address: / 9 z b C) 5 w L,/ G Over 1,000 amps or volts 454.65 2 City/State /ZIP: 7:4 4 lei. lir OR ? 7Q CP 2 _ 82 2 O Temporary services or feeders installation, alteration, and /or / relocation Phone: (5 6 ? 2 -- 3 3 9 6 I Fax: (3-03) (.. g z - 5 - Y 3 3 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with sac t . 1 F , .1- 2u ` ,� : t ,too ' ®fs w .% s , a s .' above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) _ Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 153 �l Sign or outline lighting _ 53.40 2 Business name: Nix ft ,�� Fheef5« %ic Signal circuit(s) er or limited- . energy panel, alteration, or Address: / `, 3 7 S E /* 11 /A ,Q4( , extension. Describe: Page 2 2 City/State /ZIP: ,PL/' 4 HZ o X ? 2,.2 2 Z Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( S3') "? 8 Co - 0 8 $C. Fax: (.7 i'0. Investigation per hour (1 hr min) 62.50 CCB Lic.: 413 ?3s Electrical Lie.: 2` 3 2 (c Suprv. Lie.: 25 / vs- Industrial plant per hour 73.75 a. R? A #�` g.' rT<rT3LC ' i 5 I t� t k , t Y 'fig Suprv. Electrician signature, required: I Subtotal: Print name: Q G Date: ,z - Plan review (25% of permit fee): • 4 v � /0( � � X r� ` 8 State surcharge (12% of permit fee): Authorized signature: Ll� TOTAL PERMIT FEE: Print name: /C eit? e - ?ems Date: z - Z�= D S. This permit application expires if a permit is not.obtained within 180 /� days after it has been accepted as complete. • . Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doe 05/23/06 440- 4615T(I1/05 /COM/WEB Electrical Permit Application - City of Tigard - Page 2 - Supplemental Information . LIMITED ENERGY PERMIT FEES: s1 t ? - r T ® • Pa . °. : �,..ry IN Fee for all residential systems combined .. $75.00 Check T e of Work Involved: Audio and Stereo Systems* Q Burglar Alarm • 2---Gara Door Opener* EI-leating, Ventilation and Air Conditioning System* Er Vacuum Systems* / [a At•1 ) ds-L e'l , y Fee for each commercial $75.00 system _ (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required . for-all other installations. I.\ Building 'Permits\ELC- PermitApp.doc 03/23/06 Elev 210 5; s • 0 T.,.._ j_.„, - 1 ‘ :; �— Elev 210 i Iv a • 5.00 5.00 Elev 212 ,--L ---- LOT 5 \ 0 7,39 SO LO CO co - I. �1'' `'- Elev 212 I TREE PLANTING SCHEDULE __ (n ....4 N .b.., a..- r w t* .srr pah11 ►:r - -- — N " matador b. �vd at le a r 1 I 14, e s.. lev 214.5 "'" Elev 214 , FAMILY RM aer.a 21/04,52 Mop Ovas Maw FALCON 3 • 1000411m 11444•7 44 Wm Jecepsoms0 BM. r ilr n ' 1011001.41 Inelmd lb X J4 40 Inaba � ii X1 1 ) ION t o ,• Maid � be en t � bye Inbetke t ow ,�� \.+i IIIia1 C ,I �� DEN S ` _ . N m1 n . c I DINING • all r_, N 1 1 1012,-7 II . = --- I s mi I Elev 214 ' 5.03 I Elev 214 , "r , f . ft `+ / 4 LIVING RM. I GARAGE N I 13/C4--77j0 41 5.00 r .. L ` Gravel Drive WARNING: for Erosion • '� OBTAIN LOCATES PRIOR TO ANY A -EXCAVATION (►` r U A P UE MA ki ti • `SCI 30.43 " Elev 215 SW HALCY ®N�TERRAC E CONSTRUCTION HOME SQUARE FOOTAGE ' Tz COMPANY INC. MAIN FLOOR = 1505 SQ.FT. BUILDING 41'rilik UPPER FLOOR = 1622.SQ. FT. CUSTOM HOMES SINCE 1977 /I TOTAL = 3127 SQ. FT. (503) 692 -3390 l GARAGE = 422 SQ.FT. i 13858 SW Halcyon Terrace Lot 5 Gertz Homes at Edgewood SCALE 1" = 20' GERTZ CONSTRUCTION COMPANY INC. PLOT PLAN 4/8/08 r6 8 68 SW 1-1 c v( Tervcce , . • [ .._ CITY M.S OF TIGARD - S TE PLAN REVIEW • BUILDING PERMIT NO.: T8 - Ocioy f PLANNING DIVISION: Required Set*ks: EY ,. 0 Not Approved Side: ° Street Side: 6 h/ From. 22 Garave: DD Rear: 1 .> Visual C:learauce: 13 Approved E] Not Approved maximum BuilJing Height : feet 7 ' S 'iervice Provider Letter Required: 0 Yes E3 No : jALt Date: tuaut El Received ;•-.. ./1\. 4 /4 e-C10.( ........._____. _ ENGINEE.RIN ' DEPARTMENT: Actual Slope:% 8 Approved 0 Not Approved Site Play( / 83- Approved E ot pproved By: XL, Zi./. Date: 4- ei-E3 Notes aeinzifr lu x_ o ti..-”Le.,,v3.4.6-x,. wei.,..... CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: Street Trees: lit' Approved 0 Not Approved Protected Trigs:. , 1 a Approved 0 7 No Approved B : . /0 '41 A- Date Notes: t • RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: VS / a ot.g-- Co() /C/ Site Address: /3 3 SCi.J H4 1 64 7�erc Subdivision: (� ar I/ofn€ c 1 c (3e c.a.. Lot No.: Contact Name: , 6ede I Business: 1: (awl s fr 0,-1 (0 e . Street: / T,vO SL 'l4 "' Svc. City: 7;4%44 State: 6 e Zip: 9?-01(„7- 6-j'3 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. n The application is complete. .®" The application is incomplete for the following reason: Ott .e 5j f l a,nr• (ct dr . ff c/<c f i S wl : s S. is - - ever y viler �5 ❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. n The submitted plans cannot be reviewed until the above information has been submitted and /or approved. F7 The plans are deemed "simple ". jj The plans are deemed "complex ". Signature: Name: Brandon Shaw Date Title: Plans Examiner Phone: 503 - 718 -2425 E -Mail: BrandonS @tigard- or.gov • 1:\ Building \ Forms \RES- PemitAppRevw- Blank.doc 1 /18/07