Permit CITY of TIGARD MASTER PERMIT
PERMIT #: MST2005 -00176
II r DEVELOPMENT SERVICES DATE ISSUED: 6/15/2005
r'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S125DA -08400
SITE ADDRESS: 09120 SW 70TH AVE . ZONING: R - 4.5
SUBDIVISION: KINGS VIEW LOT: 068 JURISDICTION: TIG
Project Description: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,292 sf BASEMENT: sf LEFT: 39 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,571 sf GARAGE: 590 sf FRONT: 29 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 78R 0. sf RIGHT: 25
VALUE: 281,368.20
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,863 sf REAR: 99
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: 160,000 btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/OSVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FOR: 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 # SYSTEMS:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes
CAREY CUSTOM HOMES,INC CAREY CUSTOM HOMES, INC and all other applicable laws. All work will be done in
14723 SW TEAL BLVD 14723 SW TEAL BLVD accordance with approved plans. This permit will expire
BEAVERTON, OR 97007 BEAVERTON, OR 97007 if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules
Phone: 503 778 - 0121 Phone: 503 778 - 0121 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
TOTAL FEES: $ 4,002.37 Reg #: LIC 97240 direct questions to OUNC by calling 503 -246 -6699 or
1- 800 - 332 -2344.
REQUIRED ITEMS AND REPORTS
7 /
Issued By : 1�� 44 a.ve J Permittee Signature : / iii --4./�
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.
C I TY O F T I GA R D SEWER CONNECTION PERMIT
�; DEVELOPMENT SERVICES PERMIT #: SWR2005 -00186
"' I " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/15/2005
PARCEL: 1 S 125DA -08400
SITE ADDRESS: 09120 SW 70TH AVE ZONING: R - 4.5
SUBDIVISION: KINGS VIEW LOT: 068 JURISDICTION: TIG
Project Description: DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
CAREY CUSTOM HOMES,INC Description Date Amount
14723 SW TEAL BLVD
BEAVERTON, OR 97007 [SWUSA] Swr Connection Fee 6/15/2005 $2,500.00
[SWINSP] Sewer Inspection Fee 6/15/2005 $35.00
Phone: 503- 778 -0121 [SWUSA] Swr Demo Credit 6/15/2005 - $2,500.00
Total $35.00
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg #:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. lithe sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral. 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 OAR 952 - 001 -0100. You
may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699. • 800 - 332 -2344.
Issued by Permittee Signature:
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the pr. • -
Approved plans are required on the job site at the time of each inspection.
1.4 ..2GQ ' 7
Building Permit Apprlicaf �` � \ V ED FOR OFFICE USE ONLY
City of Tigard v 1 1 Q u 2115. DateBy� % p 0 .-- ...7 �-{� . Permit No. 'ice ' "1d/ 7�
13125 SW Hall Blvd., Tigard, OR 97223 �p1 Plan Review ����++++
Phone: 503.639.4171 Fax: 503.598.1960 ts: / li Date/By: Q C O Permit)
S fj S1 Other ` �(�Go� o J t
Inspection Line: 503.639.4175 OF 71 i '. �!J� 6 'f I Date Ready/By: �Ju ' j ® See Attached Checklist for
Internet: www.ci.tigard.or.us B ut D %N G D`NS Notified/Method: 1 16 Supplemental Information
TYPE OF W REQUIRED DATA: 1- AND 2- FAMILY DWELLING
•
New construction l=1 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 application2 St 3 68•. Z 0
1 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ •
El Accessory building El Multi-family Number of bedrooms:
1:1 Master builder 11] Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9/ 5 iv t � New dwelling areas SW
-/) square feet
City/State /ZIP: fj6 ' & -o V / 7 /-3 Garage /carport area: . S 1-- " .. c - 4 square feet
Suite/bldg. /apt. no.: Pro ?ct name: Covered porch area: ....-.—• square feet
Cross street/directions to job site: C yyQ /-; Vi ! Deck area: s A square feet
S A1 7 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: /Z/A// i 21l Lot no.: Z Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,v, i11i / in ir Valuation: $
P �'� / S Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,5 ,'1 ‘ Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
%PPLICANT ❑ CONTACT PERSON NOTICE
Business name: 7X.,„69 Z.--/A5 7 ��� Z�y/� �/ 4 All contractors and subcontractors are required to be
Contact name: G���i licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /y7 .. s / / -/� G jurisdiction in which work is being performed. If the
IP: �y7i/ 49-.-- ��� applicant is exempt from licensing, the following reasons
City/State /Z
9 t 7 / apply:
Phone: () 77 f ., es / Z/ Fax: : (1'0:3) ,s--77.... 5 74
E -mail:
CONTRACTOR / �
Business name: 5 �/" v, �/ j y a f/ BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City/State/ZIP:
) 7 7 f .r , Fax: ( ) Fees due upon application
� A
Phone: !^+
CCB lic.: Y
99 63 , l Amount received
Date received:
Authorized signature: This m expires a pmit obtained
`� within per m 8 i days application after it has been if accepted er is as not complete.
Print name: U,'7 z.,,o,s, e -v / Date: * Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Permits\BUP- PermitApp.doc 12/03 440.4613T(11 /02/COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Pemut No.:
13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 Ui �4 ;i I e�
24- Hour Inspection Line: 503.639.4175 c .' I ❑Electrical 0 Plumbing 0 Mechanical
Internet: www.ci.tigard.or.us ❑ 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 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 comer 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 a .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 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\ Building \Permits\BUP- RES- PermitApp.doc 2
Building Fixtures ,
Plumbing Permit AppliK F ' V L EA FOR OFFICE USE ONLY '
City of Tigard L L l�� Received
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 (� Date/By Re
Phone: 503.639.4171 Fax: 503.598.1960 p ✓ a,+ 6' ! , Pa n n Review
�� l i + Other Permit No.:
24 Hour Inspection Line: 503.639.4175 eel I ( Juris:
Date Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF 1'6('a,:, ,i Notified/Method: Supplemental Information
TYPE S thVff3 • • FEE* SCHEDULE
t hew construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION - SFR (1) bath 249.20
01- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 3 7 1
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION :AND LOCATION . . Site utilities
Job site address: 942a 5i zariff Catch basin or area drain 16.60
City/ State/ZIP: 'Tie; hi/2,D 6 ie 9 7 Z Z3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft. Page 2 /D/ f/
Manufactured home utilities 110.00
Cross street/directions to job site: 7 , g v � 5 � � 1/ k�� Manholes 16.60
Y 70 ' S 7 _1 � V l 2 Rain drain connector 16.60
'
Sanitary sewer (no. linear ft.: 7a) Page 2 , LAG
Storm sewer (no. linear ft.: c Page 2 3 j s , 0Q
Subdivision: /'////443. i/ /49.--11-.1 Lot no.: g 67 Water service (no. linear ft.:94 ) Page 2 S'S' 00
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK - Backflow preventer Page 2
XL t) .ems /D f i' /,9 L icy_ v j7 / //1/4j Backwater valve 16.60
V S, / Clothes washer / 16.60 /4 ,6z)
Dishwasher / 16.60 /L
XPROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: s,11.,1te_F �s goo pti Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: (. ) Fax: ( ) Garbage disposal / 16.60 // r t0
APPLICANT • . a CONTACT PERSON Hose bib 16.60 � 3 0
Ice maker 16.60
Business name: j 9/2.. tz GU 5 7 , - F , /7 / /9&'S i .T,4 Interceptor /grease trap 16.60
Contact name: jig", l�f},e, a Medical gas (value: $ ) Page 2
Address: / 5/ _23 silk 7 7/ 4, zr L V Primer 16.60
City/ State/ZIP: B IJ6I7,„7" &f>o ,� 20,,:j 2 Roof drain (commercial) 16.60
Phone: 7 +�/ �l I Fax: : (503) 5 _ � pan a p 33 S� Sink/basin/lavatory 16.60
Tub /shower /shower 16.60 33
E -mail:
Urinal 16.60
' CONTRACTOR Water closet 3 16.60 if 9 W
Business name: Tg-g T� G ��� / pLL4v8/ Water heater / 16.60 /` , 4/5
Address: , 734 5 1 4 , / kid i p . 2... ` Other:
Subtotal
City/ State/ZIP: 5 EA2i62 did S 7. .4o 7
J Minimum permit fee: $72.50
Phone: VI?) 7 iQ ....,;,2, 9 9 Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 7',...5---'4 7G Plumbing Lic. no.: 3y- T�/ [/ Plan review (25% of permit fee)
1 State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print nam Z r . // / ,/ , 1 "Zep K Date: r/ 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.
is\ Building \Pemtiu\PLMF- PennitApp.doc 12/03 440.4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities. Qty. _Fee.(ea) Total • Square Footage: PermitFee :: •
Footing drain - 1" 100' 55.00 5-3 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 yl6 ,�� 2,001 to 3,600 $160.00
Sewer - 1st 100' 55.00 - 3,601 to 7,200 $220.00
/ s s M 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' J 55.00 .5--s-:LjO Medical Gas Systems:
Water Service - each additional 100' 46.40 • •
Valuation: Permit Fee:
Storm &Rain Drain - 1st 100' 55.00 �3 iZ $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
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.
•
•
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes ", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * .
Quantity by (Fixture• Work Performed
Fixture Type: Replace
New Moved Existing capped Comments regarding fixture work:
Baptistry/Font
Bath - Tub /Shower
- Jacuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor/Water Aspirator
Dishwasher - Commercial
- Domestic
Drinking Fountain
Eye Wash
Floor Drain/sink - 2"
- 3"
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial *Note: If the fixture work under this permit results in an
Industrial increase of sewer EDUs, a sewer permit will be issued and
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall
Sink - Bar/Lavatory
OuantitV Total
- Bradley
Commercial Isometric or riser diagram is required if fixture quantity
Service total is >9.
Swimming Pool Filter
Washer - Clothes
Water Extractor Plan Review
Water Closet - Toilet Plan review is required if fixture quantity total is >9.
Urinal
Other Fixtures:
i:\ Building \Pemtits\PLM- PennitApp.doc 3/03
Electrical Permit Application £ FOR OFFICE USE ONLY
City of Tigard � 1�u ( Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 PlaDate/By: eview
Phone: 503.639.4171 Fax: 503.598.1960 + 4''^ r Other Permit:
Z 11 ? t Yia . Date/B Y.
Inspection Line: 503.639.4175 i I . .. ! • 0 Date Ready/By: Juris: 65 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
_ - '' •'TYPE :OF .'6�1 � F .':: ''•'',; <= _ ' ",. .;_' PLAN. - •REVIEW
- - ew construction 41��.9 a � 2 ! em r P ' Please check all that apply:
❑ Additionaa era to repl
Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
: "CATEGORY OF CONSTRUCTION ,: ,. - l • -,.. - - of 1- and 2- family dwellings 4 or more new residential
1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Multi - family ❑Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
'4 . .,'; • .. .JOBSI<TE INiFORMATION LO CATION: : 2. _ , = ['Egress/lighting plan RV park
Job no.: Job site address: g J / /� ❑Health -care facility ❑Other:
/ /�� Svv ' L' T � Submit 2 sets of plans with any of the above.
City/State /ZIP: r/ G q24) ilfe 9 7 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt.no.: Project name: / ' ',' -1 +FEE *_:SCI[EDULE•..:.' •
Description I Qty. I Fee. I Total I *•
Cross street/directions to job site: r/97/2,04_5" j / �` if ') New residential single - or multi - family dwelling unit.
_ / Includes attached garage.
.-jam 5112 7,e T S J 1,000 sq. ft. or less / 145.15 /9(
Subdivision: kl,..//d,5' Vf e§-7-21 Lot no.:,4 e Ea. add'1 sq. ft. or portion 3 33.40 (OA 7e 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential
75.00 2
»'- • v5'- DESCRIPTION OF WORK° . -.., Each manufactured or modular
- dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amp or less / 80.30 9 � 2
yilif ROPE 201 a s to 400 a s 106.85 2
RTY OWNER j - .. - . _ I % - ''..0. T ENAN T: " 4 :.. `. amp amp
401 amps to 60 amps 160.60 2
Name: »w . lJ (,/ /f� . 7" ! j 1 ii‘f 0s 601 amps to 1,000 amps 240.60 2
Address: /5- 4- L o y,/ Over Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 arnps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
r ,APPLICM'IT' - '' : "' " ❑ -CONTACT PERSON . +:, A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: e, G v S T� yn finds branch circuit
B. Fee for branch circuits
Contact name: . p,,57,„/ - G / 9� e �f without service or feeder fee, 46.85 2
each branch circuit
Address: // 7
Z7 7- � 5 ,--------i,2„ , 5' v / K. Each add'l branch circuit 6.65 _ 2
Ci / State/ZIP Miscellaneous (service or feeder not included)
ty : ��� / U � � �� Pump or irrigation circle 53.40 2
Phone: 3 /,' ) 77 / Z ?) Fax: ( 5 9 - Ss Sign or outline lighting 53.40 2
E ?r Signal circuit(s) or limited -
k ` C `_, r - energy panel, alteration, or •
extension. Describe: Page 2 2
CONITRAGTOR
e O/ F4 7o,s ,/ � 1 ,
� Business name: � � T /�
! Address: /-� �, lye) S Each additional inspection over allowable in any of the above
Per inspection 62.50
S'F City/State/ZIP: po rL f9,,,,/,0 c ze 9 7,2 7 f. ,.. p Investigation per hour (1 hr min) 62.50
Phone: (3013) 1/ V _ QG c Fax: ( ) Industrial plant per hour 73.75
':: ELECTRICAL" PERMIT.' *''' •
(t.CCB Lic.:/ 5 I Electrical Lic.: Suprv. Lic.: Subtotal
•
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: U/fy/ v 75" i//� 9// Date: . . State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: % , o This permit application expires if a pe rmit is not obtained within 180
C -�! "' days after it has been acc epted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed
i:\ Bui iding\PermiulELC- PermitApp.doc 12/03 440.461ST(10 /02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial system $75.00
(SEE OAR 918 260 - 260)
Check Type of Work Involved:
❑ A udio and Stereo Systems
❑ Boiler Controls
❑ C lock 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
is\ Building \Pmniu\ELC- PennitApp.doc 04/03
Mechanical Permit Applic >< FOR OFFICE USE ONLY
City of Tigar Date Received Permit No.:
13125 SW Hall Blvd., Tigard, O 99 y
Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 i p ��5 Uaina7 r� Date/By:
Line: 503.639.4175 Zip O A I Date Ready/By: kris: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
C ITY OF Tl�t���
�,l)aT(i COMMERCIAL FEE *.SCHEDULE -USE CHECKLIST
• New construction ❑ Other:on/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
Demolition ❑ Othe: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Cif and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION . - Heating/cooling
Job site address: 9/�,0 ` 5 � 70 -1+ .
Air conditioning res i pl or heat placement) pump
/ (requires si plan showing 14.00
City/State/ZIP: r /G',47/4e;■ Q X ? 7 Fumace 100,000 BTU (ducts/vents) / 14.00 / y,A6
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:
yy�� �,,�� Gas heat pump 14.00
Cross street/directions to job site: 'n fG 0i2.5 / Ce/ .' D Duct work / 14.00 / 3 AO
Hydronic hot water system 14.00
-¢ 5 A L , d ' ; ‘ / ".‹ J Residential boiler (radiator or
hydronic) 14.00
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: /' //✓ s /E� Lot no.: G Flue/vent for any of above 10.00 /Q,
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK. - - . Water heater / 10.00 /Q. DD
v ,9 Gas fireplace / 10.00 /Q Qd
Flue vent for water heater or gas
fireplace oC 10.00 J
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
. PROPERTY OWNER . '❑ TENANT
Chimney/liner/flue/vent 10.00
,) Other: 10.00
Name: C / 9 / e , 6 v G U $ % D- /Y 0 � r s- Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment / 10.00 /A ,4
City/State/ZIP: Clothes dryer exhaust / 10.00 / e .Q/
Single -duct exhaust (bathrooms, rr,,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) / 6.80 4. d)
WAPPLICANT , ❑ CONTACT PERSON • Attic /crawlspace fans 10.00
/
c,. Other: 10.00
e Business namee 6/ its z) ,/..,,//3 1 j 6s. Fuel piping
Contact name: ',, c.„9,7.,G,y $5.40 for first four; $1.00 for each additional
Address: / f/7 _ .5 / J 7 / 7'G 8 - L� Furnace, etc. t'
,?
Gas heat pump
City/State/ZIP: ��w� 7 )/y U e 97p,e, 7 Wall/suspended/unit heater
Phone: 6253) 777_ 1 Z/ Fax: : (3) 5 S'� /‘ Water heater /
Fireplace
E -mail: Range
t\ CONTRACTOR . Barbecue
D Business name: S y 7 j` ,� ,9/�& Clothes dryer (gas)
(o Other: �Q
Address: / L ! � (G Sii� � � g /� s 7 . MECHANICAL PERMIT FEES*
City/State/ZIP: T/ T G �� � D� 9 77 Z� Subtotal
si Phone: ) Fax: ( ) Minimum permit fee ($72.50)
�� �� y... Plan review (25% of permit fee)
21/2 CCB lic.: a � State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized si ture: This permit application expires if a permit is not obtained within 180
1 �� ..- ;� jJys days after it has been accepted as complete.
✓6 ��
Print name: . 3 / LL 8/2 /// 7' Date: L (II/OVCOMB) 27 .4 Fee methodology set by Tri- County Building Industry Service Board
12/03
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.
is\ Building \Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST:MS-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/200f,
Phone: (503) 639 -4171 itr i�l l •Inspection Requests (24 Hrs.): (503) 639 -4175 ,...�� `__-
INSPECTION WORKSHEET FOR DATE: 2116/7006 TIME: 7:07AM PAGE: 67
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 000 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: Now SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503_770_012i
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 2/1612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 1 Final inspection 026992 -01 503 -778 -0121 Y
Corrections /Comments/ Instructions:
ift -- R: • • 1 rc s7 o- iv -'7A -r.- '2.-- / 3 -+o Co
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ AL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: a Date: —/6 - o6 Phone #: (503) 718- --2-4 -4-5--
CITY OF TIGARD
BUILDING DIVISION ' . A
PERMIT #: t�hE;T /O0 5-00i 76
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EV16 2005
Phone: (503) 639 -4171 itl I
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' ° 'I I..
INSPECTION WORKSHEET FOR DATE: 2/13/2006 TIME: 7 :03AM PAGE: 37
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005- 00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 -' /78-0121
CONTRACTOR: CAREY CUSTOM HOMES. INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 2/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Final in;.pection 026786 - 01 503 Y
• Corrections /Comments /Instructions: U pH
(30 I0.7bcrc.4., LET
�, i (1=>V__ CC-VA - cycce. t
❑ P S ❑ PARTIAL APPROVAL D CANCEL ❑ NO ACCESS
Fiz A8 Z
•"44/A FAIL ❑ CI L FOR INSPECTION ❑ ADDITI AL F S ASSESSED •"
Inspector: Attiltr ( Date: l Phone #: (503) 718- zTz
w
CITY OF TI:GARD
BUILDING DIVISION PERMIT #: MI3l2005 G01'76
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/200S
Phone: (503) 639 -4171 0%1
Inspection Requests (24 Hrs.): (503) 639 -4175 : _..
INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: ;34
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 060 TYPE OF USE:
PROJECT NAME: CARFY CUSTOM HOMES
DESCRIPTION: Now SF. DEMO CREDIT 5 FROM BUP2005.00367 APPI..IED TO THIS PERMIT.
OWNER: CARE -:Y CUSTOM HOMES,INC, PHONE #: 503- 77130121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778-0121
Inspection Request Scheduled For: Date: 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Mess- • -
299 Final inspection 026317 -01 W3-778-0121
Corrections/Comments/Instructions:
4 )CL( vt I,,be Gcz.. S Z \/( F- /A/ ` 7
6 )- -- riz_e=5e1 --- * , - . 7 ---
G)-- AiR ( /1 _.�?�Z'&i r r'
G) - a vC k/�4 -`' n� T4 ∎/ c��h &_= "7 �✓- --
C i 1-cI` PL4— /t///i 61 N 6 -1 -1 c �� r(
2CC () i(26:04e
O P ?M■ 1 N r A- C62 t j 4-Tr- . s C._._a P£ v r-7
A S roc ) C_--7 "•tc' ( ( / 7 z as- , , V/9-eb -- 4'0/ --
IZ (� Pd fZ� 7 .7. • O C _1` ca p. e Lac` DvV
kl 67 (7,4, ix& c c-c.- 4 /
___________________D
❑ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL C' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Z Z� 4 /
Inspecto _ Date: �/ hone #: (503) 718
CITY OF TIGARD
A -I- _.: 4 -el
A . .4
BUILDING DIVISION PERMIT #: MST 200S-0( 176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/20w)
Phone: (503) 639 -4171 aki � 1\
Inspection Requests (24 Hrs.): (503) 639 -4175 J.- ;111.
INSPECTION WORKSHEET FOR DATE: 2/2/2006 TIME: 7:02AM PAGE: ,0
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 060 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 603 -77t3 -012 i .
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503'/7(1 -0121
Inspection Request Scheduled For: Date: 7/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message --
299 Final inspection 026169 - 01 603 Y
(AAA ot t;,rt�d oa v
Fa /Al da f ( o--1 U-
Corrections /Comments /Instructions: L-Q4,+ 06 r Decor`
I
Cz "+ -Ikze V €h O t--c.611 Cs251/ 4 h el\ p h V ✓u-C
J om atml cm (-QA4- Al ? atAAA b -B tivi.4
o 6014 �
i) g2zQ d( AR 51,u &Q -1-e cbt cuA4 c&7 J2_ &W 6/26)''_-
2) p''v S-P S- , -A_Wf -- Mize Cyi 7zid/ e e r/`
c
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 6.1 9 o o / A.yL
Inspector: / /�'(/ Da Z% O Phone #: (503) 718- 2 7d 1°
CITY OF TIGARD •
BUILDING DIVISION A PERMIT #: MST2005 00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G/15/200;.,
Phone: (503) 639 -4171 +N1I�It
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 0613 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP200S -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778 -Oi21
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-7Th.0121
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 02426 8-02 503- 778 -0121 N
Corrections /Comments/ Instructions:
KCPo r ` Z/ v G o f Z ow _.
co k--(p (�� -�1�
10 PASS ❑ P' I n APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r C OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■Date: 01 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2005
Phone: (503) 639- 4171+N�d�i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 I_..
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 241
SITE ADDRESS: 09120 SW 70TH AVE. CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 060 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503778 -1121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 -778 -0121
Inspection Request Scheduled For: Date: 1/3/2Q06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 024288 -03 503778 -0121 Y
Corrections /Comments/ Instructions:
Go /' 1 4' C -e I. tZ
PASS II P' 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL - C ' R INSPECTION ❑ ADDITIONAL FEES ASSESSED
t
Inspector: _ Date: �
/ Phone #: (503) 718 -
CITY OF TIGARD 7 •
BUILDING DIVISION PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 vrd4 e j � l f' �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 66
r ayeS
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503. 778 -0121
Inspection Request Scheduled For: Date: 12/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 023825 -02 503-778-0121 Y
Corrections /Comments /Instructions:
I 1 — tP, PL�S e A --(& 0 - I\LL3L-
rO . tie. - ��L _s■ t) ::7
,-- / 1 / 410 /\-/ !�i S pi 4 —
o
GI i •
❑ PASS r ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,= FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector Date: /Z/ O 5 one #: (503) 718- Z6g, 7
CITY OFTIGARD ' -
BUILDING DIVISION PERMIT #: MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 pid l
Inspection Requests (24 Hrs.): (503) 639 -4175 �+� -:
INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7:10AM PAGE: 80
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP200S -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, • PHONE #: 503- 778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 822/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 013971 -01 503-778.0121 N
Corrections /Comments / Instructions:
•
•
14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cry ku•‘ \ \J ti Date: 2 . ) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 /° ���" 1,� 111\
Inspection Requests (24 Hrs.): (503) 639 -4175 —4- '-
INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:O6AM PAGE: 24
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 7/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 011238 -02 503- 720 -9938 N
Corrections /Comments / Instructions:
z Igl PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1� ,� ` �p �cc
Inspector: �� N CS Date: ' II 1 t( Q5 Phone #: (503) 718 -
eITy .OF TIGARD -
•
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 / " dr ��'4 �� Ili'i
Inspection Requests (24 Hrs.): (503) 639 -4175 �-
INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 23
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778.0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 7/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 011238 -03 503-720-9938 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 1 V O � Date: Z Phone #: (503) 718-
l OF TIGARD - , ', ,
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 /�mv,dyp�1i l Ifi,
Inspection Requests (24 Hrs.): (503) 639 -4175 -W `:_.
INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 22
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 603.778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 011238 -04 603- 720 -9938 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTtil N68 t Date: lij 0.5 Phone #: (503) 718 -
i
CITY OF TIGARC
A •
1 BUILDING DIVISION r PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 6 39 - 4171 ' °' .tlliI
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' U- °`
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 6 l
1
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE: I
PROJECT NAME: CAREY CUSTOM HOMES i
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778-0121 i t
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 - 778-0121
I
Inspection Request Scheduled For: Date: 7/8/2005 Pour Time: I
Code # Inspection Description Confirm # Contact # Message i
315 Post/beam plumbing 011052-03 503 -720 -9938 N
Corrections /Comments /Instructions: i
•
g, "ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .4 Date: g P Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171
A Inspection Requests (24 Hrs.): (503) 639 -4175 ...
INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 -778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 -778 -0121
Inspection Request Scheduled For: Date: 12/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023825 -01 503- 778 -0121 N
Corrections /Comments/ Instructions:
i) KA I`l( L A/o7 _ S7-7
t .. �r,� rZS
❑ PASS • 'A r IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL O" FOR INSPECTION El FEES ASSESSED
.-- G
Inspector: _ — — / 7
_ D- Phone #: (503) 718- C�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MsT2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 iti.111111\
_..
INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7:12AM PAGE: 58
SITE ADDRESS: CLASS OF WORK:
09120 SW 70TH AVE
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KINGS VIEW 068
DESCRIPTION: CAREY CUSTOM HOMES
New SF. DEMO CREDITS FROM BUP200S -00367 APPLIED TO THIS PERMIT.
OWNER: PHONE #:
CAREY CUSTOM HOMES,INC, 503-778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE # : 503- 778-0121
Inspection Request Scheduled For: Date: 9/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016609 -01 503.7780121 N
Corrections /Comments/ Instructions:
, �A-P.e) ` ----- ." —arc.- ' , a/Li2. U,t/ 4,54 -r' c--/----04
r / ----o4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: 9 — -0 J Phone #: (503) 718-
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: MsT2005 00176
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/15/2005
Phone: (503) 639- 4171 1ili`�
Inspection Requests (24 Hrs.): (503) 639 -4175 W ""9
INSPECTION WORKSHEET FOR DATE: 3/26/2005 TIME: 7:12AM PAGE: 57
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
09120 SW 70TH AVE LOT #: TYPE OF USE:
PROJECT NAME: KINGS VIEW 068
DESCRIPTION: CAREY CUSTOM HOMES
New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503778 0121
CONTRACTOR: PHONE #:
CAREY CUSTOM HOMES, INC 503-778 -0121
Inspection Request Scheduled For: Date: 3/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 016609-02 503-778 -0121 N
Corrections/Comments/Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ..r Date: V-26 - - 0S ----- Phone #: (503) 718-
'CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MsT2oo1?00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6115/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "I ��
INSPECTION WORKSHEET FOR DATE: 9/21/2001, TIME: 7 :03AM PAGE: 76
SITE ADDRESS: CLASS OF WORK:
09120 SW 70TH AVE
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KINGS VIEW 068
DESCRIPTION: CAREY CUSTOM HOMES
New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: PHONE #: 503-778-0121 CAREY CUSTOM HOMES,INC PHONE #:
CAREY CUSTOM HOMES, INC 503 - 778 -0121
Inspection Request Scheduled For: Date: 21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016237 -03 503-778-0121 Y
Corrections/Comments/Instructions:
KgPofT i- i - S • 0 .. " --- ' g::■.) c 4:54c,-- 5
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
N FAIL % C' /FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: / o Phone #: (503) 718 -
CITY OF TIGARD •
BUILDING DIVISION A PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6115/2005
Phone: (503) 639 -4171 A zl
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 9/2112005. TIME: 7 :03AM PAGE: 71
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW 068 #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE # : 503-778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE # : 503-778-0121
Inspection Request Scheduled For: Date: 9/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 016237 -02 503 - 778-0121 Y
Corrections /Comments /Instructions:
1
1
PASS 0 APPROVAL ❑ CANCEL ❑ NO ACCESS .
❑ FAIL ,// C: / /FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7z/ Cj
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION A PERMIT #: MST2005 00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 : lli ky(tl� l
Inspection Requests (24 Hrs.): (503) 639 -4175 —.11-- 11.
INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7:03AM PAGE: 78
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09120 SW 70TH AVE LOT #: TYPE OF USE:
PROJECT NAME: KINGS VIEW 068
DESCRIPTION: CAREY CUSTOM HOMES
New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503-778-0121
CONTRACTOR: PHONE #:
CAREY CUSTOM HOMES, INC 503 - 778-0121
Inspection Request Scheduled For: Date: 9/21!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 016237 -01 503 - 778-0121 Y
Corrections /Comments / Instructions:
IZLI5P 271 — 7 • i- • a .S ---- tZ c o ,e 2 LZ h! S
Cam.---c-L t
•
•
NCPASS IR • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C + FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ : _ ate: '727 (2 S Phone #: (503) 718-
CITY OF TIGARD .
•
BUILDING DIVISION PERMIT #:
I MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 t t�' 1 z�
Inspection Requests (24 Hrs.): (503) 639 -4175 .._' "'' I
INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 58
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 9/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016120.01 503-778-0121 N
Corrections /Comments /Instructions:
1) E L7 �i a i. - - /J' t ...- Q `rd p ,./DuT r A -E-,;,--
Li. (?4i.L . .-2 ,e LG. -,G -z 23S /25a ... . S __.
C ? S 7 Z 4 2 4 z • ( AvS - oS St `an, X24.2 --7-e
-7 .. ,_5 1 u Vero ,i-'
❑ PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Date: 9 � �� e•) Phone #: (503) 718-
f
CITY OF TIGARD • q .,.
-
BUILDING DIVISION PERMIT #: MST2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/13!2005 TIME: 7:05AM PAGE: 17
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 9/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 015525.02 503 - 778 -0121 N
C. rrecti s /Comments / Instructions:
ai (,,,...)-}--.) c„e"rr,„... .
(r �). S a mi P L A-e 6_P <;--ek Z' '
°SS
.. .. ....t - j c -. to c_. 0 ' `--
�
QX ♦ !. , ' II ._■l .- 1 Gkr
Ca LeA.S 3 0 t41 ■ CA s C CCGaX 2X 0 6
(c's• trC li Q2 ms's _ _ = f1/Vas
62-‘2"aA.
zi 9F' .
' ✓i_e___ 4-2, 1 A-SS -P S - 0.e w, ti- ACS
�''CA
da A 5S co4z - .1,J' 106-yvvi 3 t
. DO li"-^" \Ai-AA- fki--vt" 6 n C-.. N ,-, ciir---A
,, z /144 -- 4-1/‘ 7 t..41 ? •
N Ii---/A,,, . 1, , - .� �,
to ) �o -,� c^ .. -' ' e
❑ PAS PARTIAL APPROVAL r] CANCEL 111 NO ACCESS
i f,; FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
VZ.,.`� '� Date: 91 t 3/0 ■
Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #:
MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 a , ,
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�� "' I .. `�
INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7 :05AM PAGE: 18
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503.778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 5Q3-778 -0121 (_
Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: 4(a_ �L,`N. S
Code # Inspection Description . S Confirm # Contact # Messa e � ,
0 Shear walls/anchors \ litfi 015525 -01 503 - 778-0121 Y
Correcti ns /Comments /Instructions:
Cycle D-�a -.
I) - 5X YY\ V.. -, F I Cv , 14- �aik S
6W-4-S % vV O '& --e G� L- ° G�
vO S - V - 4 C�/v` S-.,.t.
- 74 / 1 ( \--eL.; \ I /J , t-t-r - e•vz
YV.,.. s v\ ck,- AoL:,,,__i s .
s -) (7‹ 1 z ( 1ek.et.<-->k A-3S `Qs-
6
1v6A W-&s '3'i 5'ILA Q\AOire IAkcbLid Atc 4__)_ W' c-J
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F;! FAIL ❑ CALL FOR INSPECT N' ❑ ADDITIONAL FEES ASSESSED
c
Inspector: Date: °1 /t 34 Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 Atb
. 11
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!� -' �..
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 33
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 50377 110121
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 015411 -01 503-778-0121 N
Corrections /Comments /Instructions: .
:' -.. /►
fr �-.
- � �i . , v I- `wt� i t Li /° ) ! Q hQ 4 1-- 71-4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: q -1 `L -o g Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 u�j�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 34
SITE ADDRESS: Q9120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 - 778-0121
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 015410 -01 503-778 -0121 N
Corrections /Comments /Instructions:
: cam- , 1 4- .. 4 - 66 .-1-,.-.-r s - - .a • rto ' L s a x s
❑ PASS " ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503).718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2006
Phone: (503) 639-4171 lit i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 1.1.
.
INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7 :07AM PAGE: 17
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 - 00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 - 778-0121
Inspection Request Scheduled For: Date: 9/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 015309 -01 503-778-0121 N
Corrections/Comments/Instructions:
1 1 - 1 - C . Fa L '-v &./ IN 6 . 37J P ' ca S Al c E - 1 e t ' .
s 1.✓AL -C. A A l&Flo e. S — a Z Cob Z ‘Lc
Si•Tr�i2 To _ S f ; - '1� vJ ' LL S ( ` Z L � Z
CGCC1A1.-- oL) Cn.14 -- ►i t Z a
N1 Zc: — /d 3F C iz ■ ( 771 T7 akl (�
II PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
2 AIL Ifi . FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: _ ` Date: I ? Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6115/2005
Phone: (503) 639 -4171 amovo m i l l i.
Inspection Requests (24 Hrs.): (503) 639 -4175 `__ .,
INSPECTION WORKSHEET FOR DATE: 9/812005 TIME: 7 :09AM PAGE: 66
/elde--/ f(— /
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 776-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503.776.0121
Inspection Request Scheduled For: Date: 9/6/2005 Pour Time:.
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 01515301 503 -77B -0121 Y 4 M
Corrections/Comments/Instructions: 0102 /
r
' ' .'y xl _ __ _ 1a"(S
k/07-- ;Q' 5h C /q _/ d1° -S f
J - 5 - e 1.,49 - z-t _v s en7 --
/Cc 1�� /Ally
l<ASS Er PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %� CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto Date: g' g ' CC—Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 drd II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/7 /2005 TIME: 7:08AM PAGE: 128
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIED/ LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 5037780121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503778 -0121
Inspection Request Scheduled For: Date: 8/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Mess -se
■
235 .Shear wallslanchors 015008 -01 503-7780121
Corrections /Comments/ Instructions:
SrEie t ( a tub C
— / Alt A-u_EFIEAP I i 0 1 1/4 r- tS ■ RF- s
Ilk I
' I C4 M C( 1 04!
X-DD ks STRet P
_A I
rar I
A 4111111 . --:
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO.ACCESS
O FAIL M C L FORJNSPECTION ❑ ADDITI NAL EES ASSESSED
ItA
Inspector: /
Date: 7 Phone #: (503) 718-
c
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 _' "'I �..
INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 125
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 9J712005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 015011 -02 503 - 7780121 Y
Corrections /Comments /Instructions:
lk_ Ale i (0 WI i
i
, \ I
,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • C ; LL FOR , SPECTION ❑ ADDITI • NAL F ES ASSESSED 1 7 .
110 /
Inspector: 40 Date: Phone #: (503) 718 -
P
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 ihrg otil
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7 :OBAM PAGE: 126
SITE ADDRESS: 19120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503. 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 9/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 015011 -01 503 - 778 -0121 N
Corrections /Comments/ Instructions:
11 1
IF ' z5-F 15RiuM O
17 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
c----
Inspector: Date: 7 Phone #: (503) 718-
CITY OF TIGARD 1- .
BUILDING DIVISION PERMIT #: MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 i, �u' "y�g�ili'`i�
Inspection Requests (24 Hrs.): (503) 639 -4175 -_ `:_.
INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 25
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 7/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 011238 -01 503- 720 -9938 N
Corrections /Comments/ Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 7�7---- Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION - PERMIT #: MST2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 aM
Inspection Requests (24 Hrs.): (503) 639 -4175 _ �' ,t:_—
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 8
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778.0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503778 -0121
Inspection Request Scheduled For: Date: 7/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 011052 -01 503720 -9938 N
Corrections /Comments/ Instructions:
*D Ce-r1Ner.o..-5 444-"isK-A--C. 0-47-05 4, ii)se ,4 cf
6 -6--- ) 1
L_-/
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 -'P Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION .. PERMIT #: MST2005.00176 A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1x5
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Phone: (503) 639 -4171 ` ° �
Inspection Requests (24 Hrs.): (503) 639 -4175 ,„.... - `:_..
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 7
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503 - 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503- 778 -0121
Inspection Request Scheduled For: Date: 7/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 011052 -02 503 - 720 -9938 N
Corrections /Comments/ Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ' . Date: ", g — aS Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MST2005 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 41
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778.0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503-778-0121
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 010216-01 603-778-0121 N
Corrections /Comments/ Instructions:
a/ 40-x- 7' c ')
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: to -Z7 -o5 Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: M f 200 0t) 1/6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6J16J20
Phone: (503) 639 -4171 /,wr +h
Inspection Requests (24 Hrs.): (503) 639 -4175 I_..
INSPECTION WORKSHEET FOR DATE: 21//2006 TIME: 7:02AM PAGE: 15
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 603- 7713 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503.778-0121
Inspection Request Scheduled For: Date: 2!1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - •e
199 Electrical finial 026107 -01 503 - 718.0121
Corrections /Comments /Instructions:
174 PASS III • ' AL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL C •LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto ' Date: (71 (::7' Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005-OO176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15J20(35
Phone: (503) 639 -4171 /yam p,� g �� l
Inspection Requests (24 Hrs.): (503) 639 -4175 ;-1.1!
INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 :O3AM PAGE: 47
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005-00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 603-T/8-012I
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 5O3 -7713 -012. i
Inspection Request Scheduled For: Date: 1/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - -
199 Electrical final 026761 -01 . 503 -778 -0121 dr
Corrections/Comments/Instructions:
r 1' - St .c:, c'c c c_1 r
4 -- z_ Ater, ca t-■ P ( 4,:._...)i--c_c
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❑ PASS ❑ ''ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
c gl FAIL % 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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\--4. Inspecto : Date: Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION - PERMIT #: MST200&00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6d1f,/20O
Phone: (503) 639 -4171 , pAoo i ii , 't\
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�-
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM 13UP2005- 00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503-778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503776 - 0121
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0242813 -01 a03 -778 -0121 Y
C /Comments / Instructions:
ID F(ZO f∎t — Irk J , tit- - 6 P 7746 CC r.ic -- 1,' S Tv
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g IL PASS AL APPROVAL ❑ CANCEL ❑ NO ACCESS
LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '..--5 Inspect Date: Phone #: (503) 718 -
a
-, YES/2 -en Y —5 70 71-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/155/2005
Phone: (503) 639 -4171 p u�� I C I \
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME 7 :08AM PAGE: 127
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005.00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503- 778 -0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503 -778 -0121
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 015010 -01 � 4 j c 503-778-0121 N
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Corrections /Comments /Instructions: 4
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' ASS . - AR IAL APPROV' L ❑ CANCEL ❑ NO ACCESS
i
111 FAIL / ❑ : L O :-r: - - ECTION II ADDITIONAL FEES ASSESSED
, ` T U hone #: 503 718
Inspector: Zi Date: P ( )
CITY OF TIGARD •
BUILDING DIVISION - PERMIT # : MST2005-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/155/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 "41111 —
INSPECTION WORKSHEET FOR DATE: 8/31 /2005 TIME: 7 :03AM PAGE: 37
SITE ADDRESS: 09120 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 068 TYPE OF USE:
PROJECT NAME: CAREY CUSTOM HOMES
DESCRIPTION: New SF. DEMO CREDITS FROM BUP2005 -00367 APPLIED TO THIS PERMIT.
OWNER: CAREY CUSTOM HOMES,INC, PHONE #: 503. 778-0121
CONTRACTOR: CAREY CUSTOM HOMES, INC PHONE #: 503. 778-0121
Inspection Request Scheduled For: Date: 8/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 014687 -01 503 - 778-0121 N
Corrections /Comments/ Instructions:
.- % C3-- e g L.
oic
_-,..- . SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 9-- t V 6 6 Date: R IO 19 Phone #: (503) 718 - 2-14L
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