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Permit _ 0-de g , eteCea -7 E ,, ,,...e — ./.4 L.K_Dic,.‘__ - IN II CITrOF TIGARD MASTER PERMIT T COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 5/2 - 8 00056 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110BA -09300 SITE ADDRESS: 14055 SW 116TH TERR ZONING: R -4.5 SUBDIVISION: EVERGREEN SPRINGS LOT: 018 JURISDICTION: TIG PROJECT: FRISIRAS Project Description: Add 700 sq ft bonus room over existing garage.6 /2/08 ADDED 217 sq. ft. storage to crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 700 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 700 sf 33,102.78 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS 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 ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 11' 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 & STEREO: VACUUM SYSTEM: AUDIO & 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 it 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 CHRIS FRISIRAS DANA LEE laws. All work will be done in accordance with approved plans. This 14055 SW 116TH TERR 21830 NW FAIRDALE RD permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 YAMHILL, OR 97148 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: 503 968 - 2730 Contact #: PRI 503 662 - 3812 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 78424 TOTAL FEES: $ 1,531.35 REQUIRED ITEMS AND REPORTS r _ IsLue B L / Permitte Si n re : �� /�/ J Y - � _ ate` I� �L � _ _ 9� __ • r / /r Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. / Building Per Application C.� i jfp ��et.62._ R es id ent i al FOR OFFICE U ONLY City of Tigard L ' E ® Received d �� P No.: � O- / `J g d g + Date/By: , 0 O 4 4 _ ° 13125 SW Hall Blvd., Ti ratuR.97223 Plan Review m r • Phone: 503.639.4171 Fax: 503.598.19W 2 ` 0 Date/B : • 5 • r r Other Permit: T 1 GA K D Inspection Line: 503.639.4175 VP 1 V Date Ready/By: `--� ® See Page 2 for Internet: www.tigard- or.gov P9 Notified/Method: /L/ •,4 Supplemental Information TV' \.\ '1W OFORK , t REQUIRED DATA: 1- • l 2- FAMILY DWELLING tY ' ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the \ CATEGORY OF CONSTRUCTION work indicated on this application. �/� 1 - and 2- family dwelling ❑ Commercial /industrial Valuation: $ .5 / Q� 0 ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / SS 3C--) I (C II( / New dwelling area: 760 square feet City /State /ZIP: r &ArLf) de__ ` (7 Lz Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: (•• Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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. 7f , 7001 5 /l Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: ,.S. Name: Z-i 5 F (5 re-A-' Type of construction: VS Address: 1 055 5(--) I (u e ar t ra _� Occupancy groups: City /State /ZIP: \ i t i fir/) D g- 9. .( ^ Existing: * W Phone: (5 e z 7 3 0 Fax: ( ( ) 400" L. ( 0 a- 8 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE 1 Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the \4 Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: �� I ( • 59 e Phone: ( ) Fax:: ( ) r3 0 a . E -mail: 3/ 3 CONTRACTOR Business name: BUILDING PERMIT FEES* \;,.... Address: 2 1 7 j v T � 2d N - L (Please refer to fee schedu S V Structural plan review fee (or deposit): � 5 t ,\I City /State /ZIP: 'U I t, O Y� ill l t-(-6- w Phone: , 60' j) (,'7 , - ; 1z_ Fax: ( ) FLS plan review fee (if applicable): �� r ��1 Total fees due upon application:` D `� , 5 CCB lyc�l dcp Li 1_1.-1 ` `'— L G =S2� a � ✓ 41-9-1 � / 1 Amount received: Authorized sign re _ This permit application expires if a permit is not obtained G within 180 days after it has been accepted as complete. Print name: bH A G,k > C ($ Date: LI - . yr * Fee methodology set by Tri- County Building Industry / Service Board. 1: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(l1/02 /COM/WEB) 4 Building Permit Application Checklist . One- and Two - Family Dwelling ,FOR OFFICE USE ONLY City of Tigard . Received Permit No . n 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Associated pennrts: 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑Mechanical TIGARD 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. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district 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 applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ • ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. . 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ • ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project 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 ". ❑ ❑ ❑ • 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. PABuilding \ Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB) Mechanical Permit Application . _ R Received FOR OFFICE USE ONLY ,� :-',o 7--' a ec eve Permit No.: !� G �yy� A City of Tigard L� A ''° � DateBy: g OS G 0 ' `c:05 III - ° 13 125 S W Hall Blvd., Tigard, OR 9i12g3r1 � ., �� t . Plan Review Phone: 503.639.4171 Fax: 503.598.1 §60 Q Other Permit: MA � 20 v I O Date /By: T I GA RD Inspection Line: 503.639.4175 ® Date Ready/By: Juris: See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information , rr Ur . .. re,�f x ,. f r 1 1 *' "u" TYPE OF WORK, ;, �, 3 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST V t4 - Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB. SITE INFORMATION AND LOCATION Heating/cooling SW 1 ` / 1,f Job site address: , Q S5 S W l7 • t 7111, Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: [ I GAC0 O2 o rya k i Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work ( 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 . Gas fireplace 10.00 • rn.n l v —Pe n esc-L 1 9 f/) Flue vent for water heater or gas "R fireplace 10.00 ! ih Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 PROPERTY OWNER ❑ TENANT Other 10.00 • Name: (! H R (S J S I R Environmental exhaust and ventilation Address: 14 OGs SUJ t ( ( N (, Range hood /other kitchen equipment 10.00 City /State /ZIP: \ ( (.,ACED O� 17 _ 224 Clothes dryer exhaust 10.00 I Single -duct exhaust (bathrooms, Phone: (5o3) al 6E' - a7 3 e, Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR- Barbecue l E /J Clothes dryer (gas) Business name: Oa) l�.J /� Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal 7. Minimum permit fee ($72.50) ( � Phone: ( ) Fax:( ) Plan review (25% of permit fee) Q CCB lic.: State surcharge (12% of permit fee) 0 . Ia c .. .• TOTAL PERMIT FEE Ok i ') Authorized signature: G This permit application expires if a permit is not obtained tl1in 180 Li . ^ fJ days after it has been accepted as complete. Print name: k i! a ICI 4-. Date: / ( es/ * Fee methodology set by Tri- County Building Industry Service Board I:\Building'.Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (1 I /02 /COM /WEB) . Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit 'Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • 1:\ Building \Permits\MEC - PermitApp.doc 01/19/07 2 Electrical Permit Application FOR OFFICE USE ONLY • q � Received 9 City of Tigard / 0 8 rip I ( y / & Date/By: No.: O;T5C 5 .11 - ° 13125 SW Hall Blvd., Tigard, OR 97223 �l Plan Review : ' Phone: 503.639.4171 Fax: 503.598.1960 i F,.� r/ Date/By: Other Permit: T I G A R D Ins Line: 503.639.4175 li, �1 Date Ready /By: Juris: BI See Page 2 for ? , _ ,.k Internet: www.tigard- or.gov \(� rn nn�a Notified/Method: Supplemental Information TYPE OF W ORKJ\ { H ' PLAN REVIEW ❑ New construction ❑ Addition / alteration /replacemetitc Please check all that apply (submit 2 sets of plans w /items checked below): a i 0 t .. t A,a O ' ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: rA `t _ C , '-,,1 where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. 7.040. ' ° less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: / t /o55 SW 674 'r � I Six or or more residential R occupancy. Recreational ❑ Six or more residential units. ❑ Receational vehicle parks. City /State /ZIP: ((6 2D oe g ❑ Health -care facilities. ❑ Supply voltage for more than ` ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75 00 2 DESCRIPTION OF WORK (with above sq. ft.) L energy, multi - family ,/� 1 1 1 t7 p f t ( G] ( - -� residential (with above sq. ft.) 75.00 2 �4 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: C,f e { s Fe (, s j OG(4' 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: ' (4oS5 SW j 16ti Tae- Over 1,000 amps or volts 454.65 2 City/State /ZIP: ( D 04 q7 -2-t., Temporary services or feeders installation, alteration, and /or relocation Phone: (503 ) Ofj'— a7 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. - , or excha <-, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 2 o Branch circuits — new, alteration, or extension, per panel 0' Owner signature: / . Date: 0 A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON 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'l branch circuit I 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR J Sign or outline lighting 53.40 2 / Business name: � j ) �( , E 'L Signal circuit(s) or limited- ` �L ! v energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: 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: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: r RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n 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 . . . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: mm 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639-4171 . 7 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9123/2008 TIME: 7:00AM PAGE: SITE ADDRESS: CLASS OF WORK: 14055 SW 116TH TERR SUBDIVISION: EVERGREEN SPRINGS LOT #: TYPE OF USE: 018 PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.612/08 ADDED 217 sq. ft. storage. to crawl. 6123/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 503-968-2730 CONTRACTOR: LEE, DANA PHONE #: 6(1,3- 662-3812 Inspection Request Scheduled For: Date: R/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076811-02 603-662-3812 N Corrections /Comments/ Instructions: PARTIAL APPROVAL 1 CANCEL I I NO ACCESS _..... n FAIL I l CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ZS Date: _(,73 SeeOrq Phone #: (503) 718- 2Y23 --- _ . . CITY OF TIGARD r BUILDING DIVISION 1- PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639-4171 /41111 i ii:Noptillit' Inspection Requests (24 Hrs.): (503) 639-4175 Art,-..-bfr ■=1.m.4 INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM PAGE: c 0 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.6/2/08 ADDED 217 sq. ft. storage to crawl. 6123/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 503-968.2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inyection Description Confirm # Contact # Message 275 Framing 072071-03 503-662-3812 N Corrections/ mments/Instructior • oNA cLkt (e/l6irt . 1,5e7v1/44.3 • I/ fl Lo--idc-iet---ct_ p a- - i" T li &_. • --e 5 4 . 4A-V/ Z-e 0 /-**--,------- b 19 \I 7 S. PASS PARTIAL APPROVAL 0 CANCEL l I NO ACCESS I l FAIL fl CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: , ci____ Date:-2/1 / #: (503) 718- 2- Y 2. Y CITY OF TIGARD BUILDING DIVISION PERMIT #:r1S1201i1 01)0,6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639 -4171 µ i ill Inspection Requests (24 Hrs.): (503) 639 -4175 =�� INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AIv1 PAGE: 4 SITE ADDRESS: 140555 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing /08 ADDED 217 sq. ft. storage to crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL. SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 503. 968.2730 CONTRACTOR: LEE, DANA PHONE #: 503 -662 -3812 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 072071 -04 503-662-3812 N Corrections /Comments /Instructions: k r1-8-10 ) -- 4 g 4 °`--e3 ) ■• Z--C. L.: V 1‘'‘I-414-4- et ....... pl/1/4-0 6 eetic, 6 / 4da, v .. / ti - `/It.._ ecA .7 ---- . 7 - )r PASS ARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: `� ) li !/ Date 1 Phone #: (503) 718 - '2 if CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B -000i6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: %/20/20023 Phone: (503) 639 -4171 N pu�pippf � hl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: /OOA PAGE: 6 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft. bonus room over existing garage.6 1 2/08 ADDED 217 sq. ft. storage to crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 503 - 968 CONTRACTOR: LEE, DANA PHONE #: 503-662 -3812 • Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # I ection Description Confirm # Contact # Message 615 Mechanical rough -in 072071 -02 503.662 -3812 N Corrections /Comments /Instructions: n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector: Dater Phone #: (503) 718 - , CITY OF TIGARD 6/7 / i i/o n �, BUILDING DIVISION PERMIT # : 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: e; Phone: (503) 639 -4171 7111 1 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. 1 c fi l :___________ : INSPECTION WORKSHEET FOR DATE: t / 'Z/0 I D V TIME: PAGE: `., SITE ADDRESS: ` it 6 � ' 1 La ' T li • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: n ,, CONTRACTOR: 1 J1L4"tL LA A �(/`� \s PHONE PHONE #: #: Inspection Request Scheduled For: Date: 1) ,n A' Pour Time: (`. �! S two' 1 Code # tit Inspection Description Confirm # Contact # Message Ca' D Cos L-a i'.W17 cot �or /Comme �.n t 6, 6 O 4' bonkitc e. V4 C Z -1-) cr 5'1 r4- -- D C1r4AS k ,-- ..... L ik Li 41- / )------ py, , s — 6 kfra,_5 CIZ 1 /)- -3 ' I n ' 1 - - - • ‘ i V i L \i ' . YThr\...Q_Ji— 6 . f (, _ jrsr 0 ) ‘C,-.--.6c.1._. cL ,fr- .)\\ c, ._,._st_s .._____ ,v,_ ,s2-7_,Q--- p 0 Wl. a -,,kik--7".-:-- \ /-i 6,,u2.6___Fc—ct, c__e__ - C ,--, A 9 t 4- ; , VA=S , ■ E'O 4X .6 �- S (0-- .D H a C ic - -r,likfi t A4 - 2 rti\-R3i Vii, - z l.,_,,. c Nr€Ai rt4AAAIANcs L. s n -� -- 1.-- : cA - c-e L.:. A 1 ►: ,' . SS $ ° e :TIAL APPROVAL CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSES .1 / 2-�l Inspector: Date: O / Phone #: (503) 718- . , CITY OF TIGARD , • BUILDING DIVISION Ak PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2000 Phone: (503) 639-4171 "Ni Nityllil Inspection Requests (24 Hrs.): (503) 639-4175 ,„1.11 -- 11. INSPECTION WORKSHEET FOR DATE: 6/20/20(18 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.6/2/08 ADDED 217 sq. ft. storage to crawl. OWNER: FRISIRAS, CHRIS PHONE #: 603-968-2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 6/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 071667-03 503-349-3997 N Corrections/Comments/Instructions: 0 P 17 -,.=-- eldi4-744 Cd —'- N,c&--- - t'ke,Szi LA- 5 ,/6647 , 9. , - - ,...--_ - 4..,,- - itrri c... 157 5_i_rl.—,_„____AAr_____e_, - . ..-- - - . ..e...- ::::: IL o 1.Z.., A_ ' ' Z 4 A. ■ --' .-,-' - I I PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS AIL 111 CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED /, Inspector: Date: — —0 Si Phone #: (503) 718- .. .. •. CITY OF TIGARD - BUILDING DIVISION PERMIT #: IVIST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 500/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6000008 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 14055 SW 116TH FERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing gaiage.60108 ADDED 217 sq. ft. storage to crawl. OWNER: FRISIRAS, CHRIS PHONE #: 503-968-2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-38'12 Inspection Request Scheduled For: Date: 6/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 071667-02 503-349-3997 Corrections/Comments/Instructions: -0/ / Zr ed _ • PAS n PARTIAL APPROVAL 0 CANCEL n NO ACCESS AIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: z Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A, PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EI20/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5130/2008 TIME: 7:01AM PAGE: 4 A 4h / 0 7 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage. OWNER: FRISIRAS, CHRIS PHONE #: 503.968-2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 5/3012008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 070608-01 503.349-3997 Corrections/Comments/Instructions: ?t) vt 0, or _eV41/1/ e ,;■,..eyn • • , 0../.0■4.2 M-1\)S4C-"--."XC-311Nd V>O 1 SY • ..... " PARTIAL APPROVAL 1=1 CANCEL n NO ACCESS • FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date 0 06 Phone #: (503) 718- • . CITY OF TIGARD '' BUILDING DIVISION A PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639-4171 ,.,Avitt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5129/2008 TIME: 7:00AM PAGE: 'I SITE ADDRESS: 14055 SW 116TH TE.RR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT it: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage. OWNER: FRISIRAS, CHRIS PHONE #: 503-968.2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 070533-01 503-349-3997 V Corrections/Comments/Instructions: lif % l .....-e....e • ..., . El PASS --- PARTIAL APPROVAL pi CANCEL fl NO ACCESS FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED . ., Inspector: Date: S 2-F.--- A Phone #: (503) 718- 2C.i.-4-AC ____ . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639-4171 A ), Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 512812008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage. OWNER: FRISIRAS, CHRIS PHONE #: 503-96B•2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 5/28/2008 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 070437-01 503-662-3812 Corrections /Comments/ Instructions: .„. PASS 0 PARTIAL APPROVAL 14110EL EI NO ACCESS I I FAIL I I CALL FOR INSPECTION L ADDITIONAL FEES ASSESSED • Inspector: Date: — & Phone #: (503) 718- „ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MSTOt}t QtliJci6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512012000 Phone: (503) 639- 4171� mv 1 +iii ii al Inspection Requests (24 Hrs.): (503) 639-4175 —_,1 - .1!.. INSPECTION WORKSHEET FOR DATE: TIME: TIME: :00AI�i PAGE: 9/2312008 SITE ADDRESS: 14f155 116TH TLf�R CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINC"S LOT #: 018 TYPE OF USE: PROJECT NAME: ' FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.6/2108 ADDED 217 sq. ft. storage to crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAW.. SPACE. OWNER: PHONE #: � FRISIRAS, CHRIS 503 -968 -2730 CONTRACTOR: LEE, DANA PHONE #: 503-66 Inspection Request Scheduled For: Date: Pour Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 075811 -03 503 -662 -3812 N Corrections /Comments /Instructions: e c.- eo e l k J i ) 7 - 1 - C 4 / . C r re c..k : Gam. v )` `c) r,..►/ c4 u .• e 5 e Pev a'ohc. C/ec-4 i c c.( V-,v1- ) 5.2 . mac.` &SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: %S . Date: _2 73 37900 Phone #: (503) 718- C /2 3 CITY OF TIGARD BUILDING DIVISION ,• . ._. PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5E02000 Phone: (503) 639-4171 a/40 A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/23/2008 7:00AIVI 4 SITE ADDRESS: - CLASS OF WORK: • 14055 SW116TH ERR SUBDIVISION: LOT #: TYPE OF USE: fEVIERGREEN SPRINGS 018 PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.6/2/08 ADDED 217 sq. ft. storage to crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 50:3-968-2730 CONTRACTOR: LEE, DANA PHONE #: 503-662.-3812 Inspection Request Scheduled For: Date: 9/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final • 075811-01 503-662-3812 N .------- Corrections/Comments/Instructions: • ilinkL 3 %AAA cil elks - `- PASS fl PARTIAL APPROVAL EI CANCEL Li NO ACCESS FAIL CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED — — Inspector: GTh N66 L-1' Date: 6 1 243 1 0 1) Phone #: (503) 718- 1- , . 7' CITY OF TIGARD " 141411.60 t- ® 06 rG BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 49011# Yl 1€� Inspection Requests (24 Hrs.): (503) 639 -4175 'III , r:� INSPECTION WORKSHEET FOR DATE: /�/ /�t TIME: PAGE: SITE ADDRESS: 11' ®7 11/6 Tit, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: (51) z Pour Time: 61• '38 1 Code # Inspection Description Confirm # Contact # Message 120 51 tiff re . RA" 4 54. -- %-vv Corrections /Comments /Instructions: e/ - r ®. q n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l -2 Phone #: (503) 718 - , - . ;- CITY OF TIGARD-, BUILDING DIVISION • _ - PERMIT #: MST2008-00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5120/2008 Phone: (503) 639-4171 Atft Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM . PAGE: 7 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 018 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft. bonus roorn.overexisting garage.612/08 ADDED 217 sq. ft. storage lo crawl. 6/23/08, ADDED (1) BRANCH CIRCUIT FOR CRAWL SPACE. OWNER: FRISIRAS, CHRIS PHONE #: 503-968-2730 CONTRACTOR: LEE, DANA PHONE #: 503-662-3812 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 072071-01 503-662-3812 N Corrections/Comments/ Instructions: 0 4 q P / 6 y cve a ce 0 Ice-t/ Ltp • 4 ti-;- c4- 1.c., -6: whce,-e- Pc-0-1,,,,.% co ifr.-- fveqs- --0 P it-0 kik 1k clk, e k s : r (•00 c-V4 ai-t •1-0. il hi , . A IP' ■■._ ■•111.. - . 111011 CI C ' 0 • , 1 11) Al A ll ent r e , L • , 4-1 64/ 1.4/(4_ eto 0---1" ° p QA1 i vel 0 gi d- 0 o oi 0-i■e_ 4c fp, 1 „2 lei- Do 11 a 4 co i"-Q-1 (ry e-4, 1%-tik 14 s pe4-744--4-t-- ; n PASS El PARTIAL APPROVAL 0 CANCEL NO ACCESS _ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED I Inspector: irLAitte—ag Date: 7 - / - 0 c?Phone #: (503) 718- i . A CITY OF TIGARD . BUILDING DIVISION ' ,� PERMIT #: MST200t3 -00056 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/20/2008 Phone: (503) 639 -4171 �, a ,� .,, , Inspection Requests (24 Hrs.): (503) 639 -4175 ,_' "_ INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7:02AM PAGE: 8 SITE ADDRESS: 14055 SW 116TH TERR CLASS OF WORK: SUBDIVISION: EVERGREEN SPRINGS LOT #: 01 TYPE OF USE: PROJECT NAME: FRISIRAS DESCRIPTION: Add 700 sq ft bonus room over existing garage.6/ 8 ADDED 217 sq. ft. storage to crawl. OWNER: FRISIRAS, CHRIS PHONE #: 503 - 2730 CONTRACTOR: LEE, DANA PHONE #: 503 - 662 - 3812 A A I Inspection est Scheduled For. n Date., 6/?0 /20Ot3 4, PourTime: 0 4 1/ Code # Inspection scription � �onfirm # Contact # Message p p V- 120 Electrical rough -in 071667-01 503 -349 -3997 N N 81 & H/ r' $ W i 4e0 40 u w 4 j 44 . Correction sJICFA nTs7mstructions. �� --1 tit )2-1/ 4; ‘2" .. 0 1 / 7, 1 \1 1- 1 0- " i t 0143) W° (/ . ,� .` 1, mac, - 1.4.1...., • aollro■ 4 . - •a_ • - m t '- _ • . fro � Glt r iGtl.4 " h- /A' —, La-b-Le 4 ko ,rte s _/ n i PJ ✓ - i z_t, VI L �a--. Gt>t �2c ; e z -✓% - �L� &_1 ►, . 1.vt ----- ele ' 7 ga frt4 I t ' 1 a-1 1 I , ...... o .0.il •. _ „_, • ' LL ,fir, 05 . / o t't (*a14.2._ S/a-W. WZ a - rut` ;1/;,,) , f r • l iA , ' 4 ' 1/1 ;.. j Ai- I.t. ISO ❑ PASS ❑ Pi RTIAL APPRO ' ❑ CANCEL ❑ NO ACCESS FAIL ■ AL, FO•' N • ' ON ADDITIONAL FEES ASSESSED • r Inspector: / ;LLB Date. Phone #: (503) 72