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Permit
. 1 . ~ CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2008 -00035 Date Issued: 04/01/2009 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639.4171 Parcel: 2S104BB13100 Jurisdiction: TIG Site address: 14162 SW WALNUT CREEK WAY Subdivision: Lot: Project: WALNUT CREEK Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 3 First 946 sf Basement sf Left 5 Parking Spaces Height 27 Bathrooms 3 Second 1293 sf Garage 432 sf Front 20 Smoke Dwelling Units: 1 Third sf Right 5 Detectors Yes Total sf Value $0 00 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays Rain Drain 10 0 Catch Basins Lavatories 4 Dishwashers' 1 Floor Drains' Sewer Lines 100 SF Rain Drains: 1 Other Fixtures 4 Tubs /Showers 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Bckflw Prevntr MECHANICAL Fuel Types Air Conditioning Vent Fans 5 Clothes Dryers 1 NAT Heat Pump Hoods 1 Other Units 3 Furn <100K Vents Woodstoves Gas Outlets 4 Furn > =100K 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less 1 0 -200 amp 0 -200 amp W/ Svc or Fdr Ea add'I 500 sf 4 20 1 -400 amp 201 -400 amp 1st W/O Svc/Fdr Limited Energy 401 -600 amp 401 -600 amp Ea add'I Br Cir 601 -1000 amp 601 +amp -1000v 1000 +amp /volt ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo HVAC Security Alarm. Vaccuum System Garage Opener All. Other N Other Description Ecompasing BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) LEGEND HOMES WOLCOTT PLUMBING 12755 SW 69TH AVE, SUITE 100 1075 W COLUMBIA RIVER HWY PORTLAND, OR 97223 TROUTDALE, OR 97060 PHONE 503 - 620 -8080 PHONE' 503 - 667 -1781 FAX 503 - 667 -9891 Total Fees: $11,426.65 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire rf work is not started within 180 days of issuance, or rf work is suspended for more the 180 • _ • 5 • TION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -001 0010 through O • ' 952 -.; 1100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 32 2344 Issued By: `0 .d Permittee Signature: k' I -" -- - II i i; ►I - - i -cam - WCrO% -0t2.-- ' Building Permit a', tv G\ 10 . FOR OFFICE USE ONLY City of Tigard r - e /7 6 i Permit No je ` 'i ° 13125 SW Hall Blvd , Tigard, OR 97223 :• "^ view ' Phone 503 639 4171 Fax 503 598.1960 Sl t - " Other Permit / l TIGARD Inspection Line 503.639 t ®� ` �} ta! dy /By / / mns Fd See Attached Checklist for Internet. www tigard-or gov �o�q 0� Wb nfied/Method [ ! Jtk / , up Inforation 0 i. \ C / . 5 9/48 i? "c TYPE OF WORK REQUIRED DATA: I- A D 2- FAMIL1�6gJC'�� ® 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 ifs, 49�ort 1 os" ® I- and 2- family dwelling ❑ Commercial /industrial Valuation: -42.204}4,4, 33:9/Y. irk El Accessory building ❑ Multi- family Number of bedrooms: 3 ® Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:- ee } Li i co- U A (iv* (J U . ti, .4 dwelling area. 2,204 square feet City/State/ZIP Tigard, OR 97223 y Garage /carport area. 435 square feet Suite /bldg. /apt. no : Project name: Walnut Creek Covered porch area: square feet Cross street/directions to job site: Barrows and Walnut Deck area 150 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Walnut Creek 1 Lot no., .M42" L8 Permit fees* are based on the value of the work perfornied Tax map /parcel no.: 2S104BB 9500 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 Valuation $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Legend Homes Type of construction Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing. Phone. (503)620 -8080 Fax: (503)598 -8900 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Legend Homes L , [, u , f t • ' II contractors and subcontractors are required to be iv licensed with the Oregon Construction Contractors Board Contact name. Steve Lucas VV j ( t;..l S..ht under ORS 701 and may be required to be licensed in the Address: 12755 SW 69"' Avenue, Suite #100 '•7 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97223 Qj) (' /,O L ye , fv , , •pplicant is e mgl from Vet ing, the following reasons l� ! ` apply: I t 'I Phone. (503) 620 - 8080 x211 Fax: : (503) 598 -8900 rti cvdr^ f ✓ 1/5.5' ' L 00 5 1 7505CD'rv- ... L : 1 E -mail slucas @legendhomes.com 5. /f u- I Co (� • :2.5 / t]�JJ `�L J CONTRACTOR /5T &NI:\ I RI X I)h. \' Iml ,OI',M11 -.N I (_(_)KI'(-)K;1 I ION BUILDING PERMIT FEES* A 12755 SW 69 AVE STE 100 (Please refer to fee schedule T POR 1 LAND OR 97223 Structural plan review fee (or deposit): — PI 1 -1:503 -620 -8081) 1 A_X:5O3- 598 -8900 FLS plan review fee (if applicable): PI — C(,R #55151 Total fees due upon application: ��\ �� Amount received: LJ Authorized signature: This permit application expires if a permit is not obtain Print name: Steve Lucas Date: 4/08/08 within ISO days after it has been accepted as complet * Fee methodology set by Tr- County Building Industr• Service Board I \BuddingWermits\BUP- PermitApp doc 03/21/06 440- 4613T(I I /02 /COM/WEB) • .• Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Date /By / l / Q k /37r Permit No /31ST �,_ - - ° 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review / •t/` Phone: 503 639 4171 Fax 503 598 1960 Date/By Other Permit T I GARD Inspection Line 503 639 4175 Date Ready /By tuns ® See Page 2 for Internet• www tigard - gov Nottfied/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit tees* 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* ® I- 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 Job site address. or p Q 7 t >,` wt ( Air re site plan conditioning show in placem ent) 14 00 City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 14 00 14 00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite /bldg. /apt. no.: Project name: Walnut Creek Gas heat pump 14 00 Cross street/directions to job site: Barrows and Walnut Duct work 14 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 10 00 � Flue /vent for any of above I 10 00 10 00 Subdivision: Walnut Creek Lot no • L{ Other 10 00 Tax map /parcel no.• 2S104BB 9500 Other fuel appliances DESCRIPTION OF WORK Water heater 1 10 00 10 00 Gas fireplace I 10 00 10 00 Flue vent for water heater or gas fireplace 2 10 00 20 00 Log lighter (gas) 10 00 Wood /pellet stove 10 00 Wood fireplace /insert 10 00 ® PROPERTY OWNER Chimney/liner/flue/vent 10.00 ❑ TENANT Other: 10 00 Name Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69th Avenue, Suite #100 Range hood /other kitchen equipment 1 10 00 10 00 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust I 10 00 10 00 Single -duct exhaust (bathrooms, Phone: (503)620 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 5 6 80 34 00 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address 12755 SW 69th Avenue, Suite #100 Furnace, etc 1 Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 - 8080 x211 Fax: : (503) 598 -8900 Water heater 1 Fireplace 1 E - mail: slucas @legendhomes.com Range 1 5.40 CONTRACTOR Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State /ZIP. Oregon City, OR 97045 Subtotal 123 40 Minimum permit fee ($72 50) Phone: (503) 557 - 2220 Fax: (503) 557 - 0919 Plan review (25% of permit fee) CCB lic.: 72623 State surcharge (8% of permit fee) 9 87 TOTAL PERMIT FEE 133.27 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 4/08/08 * Fee methodology set by Tn- County Building Industry Service Board I\ Budding \Permits\MEC- PermitApp doc 04/06/06 440-4617T (I 1 /02 /COMJWEB) ' ' 09126/2007 09:55 5036679891 WOLCOTT PLUMBING I 112/02 ' FAX N0. :503681869 Sep. 26 2007 09:58RM P2 FROM Plumbine Permit)' Application ` i ' l u , +1 t i i t i I o`', . 1 ' Ph ,...A. of Tigati d Received • ` ' Na: /77 J Y Daum . 131 9W Hal Blvd., Tigard, OR 97223 , • �` I ,.F . Phone: 503.639,4171 time 50339L1960 n /p ; OW�VenmtN *.: I I t +.. , , Inspection Line; 503.639.4175 to See Pagel tar imam: tvw ligard -ot g0Y So ,, Mal Informing!' � ; 1 , f - 1 :il ` / , (, � I ,'.,; I, :. _ 1 , 1, - -, ,, .,1: I. � .j 11 f l i r . "'tl A SI ∎ 1 ':il ® Now construction 0 Demolition For .mralva nos rheoltltec - D..'. • io its. NOM Total 0 Addition /alteradonh'epllteement Cl other, New I- 2- family dwellings (Includes 100 I1. for oath utility connection) o1cT ■u ' . 1 .1,n" . I I $FR ( bath 249.20 ® 1- and 2- thmily dwelling ❑ Co umcrcixl/indtrsirial SFR (2) bath 350.00 ❑ Accessory building 0 Multi-lbinily SFIL (3) both 399.00 399.00 :.,,. t ,.,d „, , b o) , . 45.00 ® Master builder Q Other: Fire sprinkler L..._ sq. ft_) Pitge 2 '' I I;Iy v t ; ,t ( i!':1-1'- is o f I 'l't l ij , 1 ._,`, .,.,. _., i i'I _, _ ,.,,,1.. _.., ., ,.0 i t 4! +, ,.�. , .. _ ,,{ Si 0E utilities Job sits nddrean _ 1L 1(oZ k, k ,nt l } Catch hash or area drain 16.60 City/State/ZIP: Tigard, OR 97'223 � U �, DTywell, leach line, or trench drain. 16.60 I Footing rein (nu. linear ft.: ,,,.) Page 2 suite/bldg. /apt co.: J Project name; Wahmt Creek Manufactured home utilities 110.00 Cross Flreet/directions to job site: narrows and Walnut oleR 16.60 Ruin drrtin cementer 16,60 Sanitary sower (nu. Uncle ft.: -.- J IIII Pape 3 Storm sower (no linear ft.: ) Page 2 __ Subdivision: Walnut Creek J Lot M' -: Wotan service (no. lint:ar R.: ) Yoga 2 .• Fixture or item Tax map /parcel no 241041111 R S O - Absorption venue 16.60 u; I e• i n r l i,, i t j, I'� ',: i_ 6ockflew (nevnntcr .. PA 2 Backwater valve 16,611 • _ Clothes washer 16.60 Dishwasher 1640 Drinking lbunlala 1 6,60 r 1...,,. 1., Ejeattts/stlmp 16.611 Name: Legend Homes -.- Iby,ancion 16.60 Address: 12755 SW 69th Avenue, Suite Nina Fixtaro/sowor cap 16.60 City/State/ZIP: Portland, OR 97223 FloOr drfdnitloor sink/hub 16.60 Phone: (503)6204000 Fax (503)590-9900 I Hose bib disposal 16.60 MEI II I 16.60 ill . .... , ka maker 14.60 Business name: Legend Wows Tt,lereeptnr /grease trap 16.611 Contact name: Steve Lucas Medics) gm (value; $ _,,,,,,) Page 2 Address 11755 9W Prime 69th Monde, Suite #100 Pri w 16.60 MIMI CiW/State/ZiP: Portland, Qtr ±r1 3 - Roof drain (cmnmereisl) 16.60 Phone: (503) 620- 8080x211 Fax:: (503) 598.8900 Sink/basin/lavatory 16.60 - - Tub/shower/shower pan 16.60 Frmall: slucnar liepndholncaeotn U 16.60 i _ - Water aloeex 16.00 Business time: Wolcott Plumbing Water heater 16,60 Addrimal i p W, 11";5 C C Q ( u NA) 'wk._ PS l Other: 11111111111 City /State/ZIP: o �-t-cl., - © & of -7666 _ Subtotal 399.00 ^.. Minimum permit fee: 572.50 Phone: (053) 667 - 1781 Fax: (503) 667 Residential bnatdlow minimum permit (bc: 836.25 CCIS Lie.: 112220 Phtntblatg Liu. on.: 2b.824F8 Plan review (2595 of Went km) State surcharge (5% of permit fec) 3192 Authorized signature � 'r , ` ,( f - k , i 0 - TOTAL, PERMIT PRk 430.92 I Print name: Gloria Hawes I Date: 4 - Q i This permit application aspires If a permit Is not obtained within 180 days after it h ew been accepted OR complete. "Fee methodology set by Tr4County Building Industry Service Hoard, n -Po nhApp. 06/2sae 440.16l6rp0roVVCOMAVas) Plumbing Permit Application - City of Tigard Page' 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: . 4 .. a:;a_S .,eH .� --'." o �, . r+-t f - xGa `n.'::'_:r !x7 z - "' . ' C.w ' ,�`:?_. } ' : i �.r hct;':. Wir.eii.9 v ,7 f ? e : ea Total}' 4 Vic? a ` r c E_-., es.4 +_ ( a...;P ) "'r °'.t'" e �._,�.,,_____ i` CJ' -... ....•..: ,,`�. •';iv'�'' hd ' �Sitg�Ttilrt>tes a -- �.s� i � � � �quaresFootage:, � Pe >Fee•� : � Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55 00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 �1riZr - i r. �* k _ tat! Vkaluahon �: _ -�,_!, , grinit Fge: .`'. Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000 00 and $1.52 for each 1 t r ; .• a additional $100.00 or fraction thereof, to and x ;FiztureiorAItp '' ; . ' 50K Nye ea ! 1 - �- � j �• �� �.u. : �w•.,. =."-� 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 each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 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: Plan Re i'ew for„Ptumb><ngi stallat Warn Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and i,`,t =t�� , MQuan`tit IMF.iffi efiVarki FrforroeM greater, except systems designed and stamped by licensed lsiu Fr Type 't i ac: epla T engineer. `' 4sfta'�a • ' `,iF+ r �Yievi cappe d .maaea4 isNnR. ❑ Any new exterior plumbing site utilities. Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities. Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system. - Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918- 780 -0040. Car Wash -Each Stall -Drive Thm Submit 2 sets of plans with any of the above. Cuspidor/Water Aspirator Dishwasher - Commercial $w€ ti iIsome t�caco_riserDag ., m I FS : - Domestic Drinking Fountain ❑ Isometric or riser diagram is required for new buildings Eye Wash that meet the qualifications above. Floor Drain/sink - 2" Comments regarding fixture work: Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower - Gang *Note: If the fixture work under this permit results in an - Stall increase of sewer EDUs, a sewer permit will be issued and Sink - Bar/Lavatory fees assessed for the sewer increase must be paid before the - Bradley plumbing permit can be issued. - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet . Urinal Other Fixtures: ,• \Building\Permits\PLM- PermitApp doc 09/22/06 s. ,'FROM :GARNER ELECTRIC FAX NO. :5036427925 Sep. 26 2007 11:17AM P1 a i FROM FAX NO. :5036618649 Sep. 26 2007 10 :O6AM P2 i i Electrical Permit Application ; I i« 1 ; i • City of Tigard ' , 13125 3W Han Blvd,. Tigard, Old 97223 ?km Raviavt event Pamir • V' ' Phones 503.639,4171 Pax: 1043,398:I960 • ,:: u� • r, • Inapc11M Line: 503.639.4175 DamRoady/ey. Intermit; www.tigard-or.gov 1 1 Wa® an Amt apply (aabmn 1 sole moo 7 ® Neon cflnstruction Addition/alteration/replacement 120orviaa or feeder 400 amps or mum 0 emlaing over throe Kiwi... ❑ Demolition ❑ Other: ,where ds iniiinbly *at carat Cl Madam and boatyard. ,. 1 ' a coo amps at ISO oohs or 13 ptoaAai buildings. .....: taw to eroaad, to crowds 14,000 0 Co m oroial-um aggwulturel %i 1. and 2- liimlly dwelling i Commerdiallindustrlal ❑ Accessory building .saps for all other igt,anettona. building.. 0 Multi-Rani ■ ® Master bgieaet rIe� D teat IWlon of 75 KVA or ■ Othct wawa. 1 r s 1. i Q >'y �� larger saparalely t M Q Mditloeof m�w mW o d [] "A ", "n " "1• ,• �• , , ��� 100HP or mmo. fey. Job no.: Job site address; 1 *QW Ws1Ru.: ee1E - is ' C sa or more residentlat u dw, 0 Reoraational vehicle parka. OitlealtA -once ibeilitNi• O Supply "old' for lorn. `hen Clly/ o/ZIP: Tigard, OR 97233 41 1p . �9 a 1 . . p 11awrdnim locations, non wits nominal, � tefh Project `,,. Walnut Crock :tiRvfoe or *odor 600 mops osm ee .,. .. .,. �iW�V/ „I . /a�. nn.: c, \,' ,MY.'.. —� _ Cross atraot/dirootions to job site. Barrows and Walnut ■ F�i�'1 11 ” Now redden • el ogle- or multi -rawly dwelling unit. • - ltacladee attached garage. Lot no.: 1,900 eq. It. or lean I ` 145,15 145,15 4 Subdivision: Walnut Creek : MI add'1500 t . B. w portion 33.40 • ►33.40 l Tax map/puma no„ 2191041111 ° So o • Lim red anarey, " ) and I 75,00 , 75.00 2 Limited energy, multi family 75.0 2 • 1 . ires t stew aq Il ) Services or tbeders installation, alteratltm, and/or relocation 200 amps or loss 80.30 2 , 1:: 201 amps to 400 amen ,- i oa as 2 .::_ ...,.. �. . , .... luau. 401 amps to 600 amps 160,60 Z Name: Legend Homes t 641 amps to 1.000 amps 240.60 2 Address; 12155 SW 69th Avenue, Spite 01100 Ora 1.000 snips or volts . 454.65 2 Temporary services or feeders inataliatlon, alteration. and/or City/Stilt/ZIP: (/ZIP: Portland, OR 97223 rel."".aaon 1 1 1 Fax: 503 98 - 8900 I 200 amps or lase 66.85 Phone! (503)620 -8080 1 . 0 2 atnpa to 400 a 100.3 2 - Owner installation: This installation 19 being made on property (I I own which is net t 4 01 anus l0 599 amps a-- 133. 2 intended for sale, loose, rent, or exchange, according to ORS 447, 449, 670, and 701. i net cl , - new a lteratlml, a 13 3OA 5 per_panel , _ ... Owner signature. . , tom: Inch kr branch circuits with .,: !above aowioa or feeder fee, 4,65 2 b rand b caeca Business name: Legend Homes - B_ Fee for branch circuits • ,wlahoa service or leader fits, 46.85 Z Contact name: Stove 141041 ! - -� first branch circuit add" branch circuit 6.65 2 Address: 12755 SW 69th Avenue, Suite #lb0 • -- kosegoneous (service or Feeder not included) , City/State/ZIP: Portland, OR 97223 B.Ch mamtlhenarod or modular 90.90 2 1 d IN serviog na(Su..(dt}r Phone: (503) 6208080 x211 I Per :: (503) 598.8500 tl Imact only _ 6649 z I _ Pomp or irrigation circle 53.40 2 E-mail; sine r' •odltomes.eom :. i , : ,, • , I Sic or outline lighting • - • •�•• 5340 2 ' Signal tdreuit(s) or limited. Business nasne: Garner Electric . enbtgy Cana{, niterarirnt, or 1 - extension. Describe: Page 2 2 Addte88; 3920 SW 247 Avenue #A : . • City/State/ZIP: Illlisbore, OR 97123 1 jll ch additional insitection over allowable in any of the above r Par Invention 6250 Phone: (503) 648 - 4552 1 Fax: (. 1 . 647 - 7926 .. {n�patf gases per hour (r hr min) 62 40 OCR Lie.: 121159 Electrical Lio.1 , Ai Su , , Lie,: 3707 -S Ie l 141 lean „ hoar 73.75 Super'• Electrician signature. required: AV�f: j �n1v1: X153 lir ,, /1 .. 1 I Plant review (2554 of E rerayIL fee): Print name: Chuck Garner usitL _.... . . I Sere surabmga (8% of permit fee): 2.8 -1e) Authorized signet:we: i L TOTAL PERMIT PEE: 3t3 2 roc - ibis percale appaeatlen aspires If a permit le one obtained within Ito [!rent name: . Date: days atter Ir au bees accrptra ae p,ntptete. um6r of inspections showed per permit. Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIOST .a WO4__-_ =OMIT:= i ,. ' ' gay' ,W _N 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: VC ®. ERCIAL<s1WOKK,ONLY: ,. ,:r .41` c+ Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermiApp doc 03/23/06 RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: MST2008 -00035 Site Address: 14175 SW Walnut Creek Way Subdivision: Walnut Creek Lot No.: Contact Name: Steve Lucas Business: Legend Homes Street: 12755 SW 69th Ave., Suite #100 City: Portland State: OR Zip: 97223 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. • The application is complete. ❑ The application is incomplete for the following reason: ❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. ❑ The submitted plans cannot be reviewed until the above information has been submitted and /or approved. ❑ The plans are deemed "simple ". ❑ The plans are deemed "complex ". Signature: ,, _ J/ 6,/ O e Name: Brandon Shaw Dat Title: Plans Examiner Phone: 503 - 718 -2425 E -Mail: BrandonS @tigard - or.gov I:\ Building\ Forms \RF_S- PermitAppRcvw- Blank.doc 1 /18/07 FIXTURE UNIT WORKSHEET - WATER METER Contractor Name Legend Homes Billing Address 12755 SW 69 Avenue #100, Portland, OR 97223 Address of New Meter 14175 SW Walnut Creek Way Lot # 12 Subdivision Walnut Creek Please fill in the number of each fixture as detailed on the plans, then multiply quantity by the point value given to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar Sink 0 X 1 = 0 Bidet 0 X 1 = 0 Clotheswasher 1 X 4 = 4 Dishwasher 1 X 1.5 = 1.5 Hose Bib 1 X 2.5 = 2.5 Hose Bib, each Adt'l . 1 X 1 = 1 Kitchen Sink 1 X 1.5 = 1.5 Laundry Sink 0 X 1.5 = 0 Lavatories 4 X 1 = 4 Water Closet, 1.6 GPF 3 X 2.5 = 7.5 ' Bathtub /Whirlpool 1 X 4 = 4 Shower Stalls 1 X 2 = 2 Bath/Shower Combo 1 X 4 = 4 Under 34= Over 34 = 1" Total Fixture Points 32.0 Meter Size 3/4" Meter Cost ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FOR OFFICE USE ONLY Fixture Count Verified with Plumbing Permit Meter # Receipt # Emp. Name Revised 10/09/2007 . PLOT FLAN REVISED 4/I4/08 LOT #012 WALNUT CREEK = 141 SW WALNUT CREEK WAY _ NE '�a SECTION 4, T.25, R.IW, W.M. � V E D 1• • 20 ' 0" CITY OF TIGARD APR 0 2008 WASHINGTON COUNTY, OREGON CrifYF TGARD I ARBORIST NOTES ESUILLbNCC%d`t;SICN , 1) For Walnut Creek Subdivision, the standard tree protection area is 15 -feet from the back of each lot to the property . line fence (highlighted in purple). kL P\Qn, 2) Just prior to deck construction, the tree protection fencing should be adjusted to allow for deck construction within , l �d the standard tree protection area (red line illustrates V adjustment). � Q 3) Fence adjustments should be made under the supervision -! l - 8 ' l of the project arborist, and placement of protection °1 a fencing should be verified by the arborist prior to deck' I- p construction. 6 1) Deck construction should be conducted by hand and no 6) u equipment is allowed within the tree protection area. • - 0 r 0 ) • D will be built on pier blocks and concrete footings W ` 1 `"4 measuring approximately 18 "x18 "x18" are needed to hold 88.19'16" E the pier blocks in place; excavation for footings should be I a0.0o' .f er . conducted by hand - digging. The location of concrete •r footings will be adjusted to avoid root impact as feasible. 1 ' 15 x 10i Wh root impact is unavoidable, roots less than 2- inches D c 1c 1 C4'. In diameter may be cut clean to the edge of excavation 3:��' Ir �� �, __ 4, with a pruning saw or pruning shears; if the roots are •/ larger than 2- inches in diameter, work should temporarily \ - 1 230 .1 stop so that the project arborist may be contacted for 239-• _ ,•'`7 - r" , , • ,, , - -- -231 additional recommendations. No storage or stockpiling of 240_ r materials within the protection area; concrete for footings ,. , 23 should be mixed in a wheel barrow on site WI \ ' ` un Q LOT II ; \ :'' LOT 12\ a1 (EAHole. (• 4 /22/08 4 JUNIPER A � d LOT 13 Mo; n - _ \ , ' . F FLR.2412'•) t 0 G R FLR 239. Certifrborist, ISA PN -6145A 71 \ Q 7_I Forest Biologist, PBS Environmental I A 0% W — — WATER LINE 1 \ i/r/ I 55 SANITARY SEWER ti / ■ 1 4.00' • SD STOa`1 DRAIN 5.00' ‘2139.S" . p390' - --- -0 -- EROSION FENCE _ '7"/ -- 4 OF STREET 10 •• •..(f I Q Q WATER METER I Q / 0• - ;j+►' 0 I in . O MANHOLE / • / . 8' PUE ® STREET T , i == • I9'2- _ - • CATCH BASIN CHANTICLEER PEAR 0 .�0 2 " Caliper •. � ,. SIDEWALK PROPOSED 1 1 / STREET X] STREET LIGHT IGTREES 2404-1) �, .T N O ■• CURB FIRE HYDRANT \ \ \ N I ' I ' 238 ■ yY PROVIDE EROSION S (,��p,L NU I -� C E K I LliA Y CONTROL FENCE --- �____._,- T PER COMMUNITY / / 1 I I EROSION PLAN - -/ 'SD- - - / / _ 238 �� -- W-- - - vr — __._I_ , `4 SETBACKS : 0 o) N FRONT YARD • 15 FEET , t $'► lv ,-. . GARAGE • 20 FEET 1 REAR YARD • 15 FEET SIDE YARD • 4 FEET STREET SIDE YARD • 10 FEET CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: / CA-r-535— PLANNING DIVISION: roved ❑ Not Arpro� r:! Required Setbacks: �App� Side: `h Street Side• ID Front. l Ga •ape .. R 1( \1 ;: isa' Clearance: 0"Apitjved ❑ Not Appro is Mti ihttini` 'l Vcn Height.. .I! feet t -'.s't:rvli:� =l r;� ,ti Eder Leger Required: ❑ Yes �j No / ❑ Received iz-1' , : _ 1 ... _._ ,1tA -61- Date: 4- a�lor ENGi„,,,, l:i tt____ EPAR TMENT: Actual SIo9e 4 Approved ❑ Not Approved Site in-Approved • Not ' proved B _ Date: y O Nettlte crib 19.1.4-- , i • N,- CITY OF TIGARD • SITE PLAN REVIEW BUILDING PERMIT NO: / ., . — Street Trees: Approved ❑ Not Approved Approved ❑ Not • pp� Protected T q 2 5 o. B : o � 1,4 1/4,e- Date`. Notes: N REv19ED L OT FL AN 4/14!0$ L *012 WALNUT CREEK F -, i 1 4115 SW WALNUT CREEK WAY NE 1 /4 SECTION 4, T.25, R.IW, W.M. . ... . • ,,, • 10' •0" CITY OF TIGARD WASHINGTON COUNTY, OREGON ARBORIST NOTES , • 1) For Walnut Creek Subdivision, the standard tree protection - area is 15 -feet from the back of each lot to the property l\ � line fence (highlighted in purple). `� 2) Just prior to deck construction, the tree protection fencing 0 \) ( cy should be adjusted to allow for deck construction within V �C` (' Z� U�l the standard tree protection area (red line illustrates � ; ` . \ p adjustment). t 3) Fence adjustments should be made under the supervision jy IIIIIIIIIIIIII of the project arborist, and placement of protection a ' fencing should be verified by the arborist prior to deck 1- p construction. 6 1= a) Deck construction should be conducted by hand and no Ca u equipment is allowed within the tree protection area. . i- p ; ,, Decks will be built on pier blocks and concrete footings '' l'l a. measuring approximately 18 "x18 "x18" are needed to hold � � 1 8 8 . 1976" E I the pier blocks in place; excavation for footings should be 1 400 (ri conducted by hand - digging. The location of concrete footings will be adjusted to avoid root impact as feasible. I 11 I9 x 10/0 -..--' When root impact is unavoidable, roots less than 2- inches . 2 31b' DPCK !_ I � ?;03 in diameter may be cut clean to the edge of excavation . 44'' P.- . _ ,\ with a pruning saw or pruning shears; if the roots are 4 2 p -Q Y larger than 2- inches in diameter, work should temporarily _ 1 0 stop so that the project arborist may be contacted for 239 -, - _ - - -_ J_ _ , 1 additional recommendations. No storage or stockpiling of 240- 1 -- —•• • - s � materials within the protection area; concrete for footings \ should be mixed in a wheel barrow on site; un \ 1,11 Q I.. OT II `t'_ \ . LOT 12\ ( 4/22/08 � \ JU R LOT 1 3 FIN. FLR• 2417' %W MO1 E. Holen (- GAR FLR• 2391' \ %/� =I� Co/tifier Arborist, ISA PN -6145A 7I \ /, AI Forest Biologist, PBS Environmental \ / . . / 71 W • - - •• • - WATER LINE I \ , • SS SANITARY SEWER 2s0_1_ /-i: 1 4_00' SD STORM DRAIN 5.00'_ � , 9s' O -- EROSION FENCE / "'. ci - - - - -- 1, OF STREET 1 0 _ /,: 0 • ® WATER METER 1 Q / 0 • • • 1 0 O MANINOLE / - 1•. e' PUE ® STREET TREE: -;.�2 %. %1976" : • • ' . ' CATCH BASIN CHANTICLEER FEAR ' • .o u � _- _'. • 2" Caliper / % 0 L / ' A SIDEWALK PROPOSED STREET TREES ' •NZ: . I • A STREET LIGHT 2 !O (1 2:3e. FIRE HYDRANT \ \ \ N I CURB lir r $ .5 � '�8 PROVIDE EROSION S th4L U I f C EEK CONTROL FENCE ___i____________ _ _ _� ��,I, PER COMMUNITY / EROSION PLAN / SD / SETBACKS : O ,1) ,, FRONT YARD • 15 FEET 1 -, 1'1 1 GARAGE • 20 FEET REAR YARD • 15 FEET SIDE YARD • 4 FEET 5TREE SIDE YARD • 10 FEET . . , • • . ., •■ , . , CITY OF TIGARD - SITE PLAN REVIIM/ -?..------ BUILDING PERMIT NO.: PLANNING DIVISION: Required Setbacks: ErApproved 0 Not Art'! Side: 4; Street Side• _ ID ...... Front. (C (3 e ._ a.. V ; 7 nal Clearance: r7 Approved 0 Not Appro.'-.'. „,_, N•;a:ilfilum - B1,;:id'Nif,.:, 1-teOtt• /`?--- feet 'N.I.i•.: S.:r Prv.Ader Let:.er Required: 0 Yes 0 No 0 Received , Date: t-t- 0510( . i DEPARTMENT: , Actual Sio e: _ % ;13, Approved 0 Not Approved Site Plan: .. 8-Approved OP Not / proved ,,, Date: k -- By: •=i- Dat 7 ° 15 ._ . . . . _ CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: /713 ... Street Trees: a Approved 0 Not Approved Protected Isses „ . _ 3 aff Approved 0 Not . pproved B: ,Decl I /•... we-- Date! Notes: ill _ Building Division One & Two - Family Dwelling T I G A R D Fees Checklist PERMIT INFORMATION: Permit #: W.57 - 60 30 Plan #: e s .,,, rpe f •3 Date: 2 F> A 08 Site Address: a - - - A ll0Z L3Q le'a l :' �r't; Subdivision: 14.1a/,,o¢ Greer Lot #: / 2 Zoning: Jurisdiction: '�� Setbacks: Front: gyp` Rear: jS Left: • j ' Right: c,' Class of Work: A,1e Lt.) Stories: a First Floor: 5/6 P` Type of Use: 6F Height: A ?' Second Floor: /Z , 3 ,'?;` Construction: - 13 Floor Load: ,56 e S Third Floor: `$ Occupancy Group: /2_3 Dwelling Units: / Bonus Room: -.G. Valuation: 1, 1235, 9/ Y, 2 Bedrooms: 3 Total Floors: ? 35 9 Bathrooms: 3 Basement: - f> Decks: / 9j 94 Garage: '7 Porches: 3-9 9 Other: C FEES: Description: Fee 'Amount: Amount Paid: Balance, Due: Plan Check: Building: IS` f3 e j 5. 0 V Se - 750 . or-) .0 /'75 61 Extra Set: AAA 4•,¢ C/A- Permit: Building: /3 —iC, `j8 f Tax: /6.5.2`.-/ Metro CET: . aS3 . O9 School CET: A239 ` Mechanical /20, 20 Tax: /'-/ 4/2 li Plumbing: 3W • 00 Tax: Y7.80 Electrical: 6276. 75 Tax: 33. `/$ Low Voltage: ?5. 00 Tax: 1. 00 CDC: CDC Ping. Rev.: ' /t, 60 CDC LRP Fee: 6. do )7 SDC: Parks: 52/5 00 TIF Res.: '3XC0. TIF MT: 24 /0 .CXj Erosion Permit: gS . np Erosion CWS: ak 60 Erosion COT: "28'. CO Water Quality: - Water Quantity: - SUB TOTAL:j /5, 539. 25 , /S', X89, 2.5" Sewer: Permit: Inspection: SUB - TOTAL: TOTAL MST & SWR: I \ Building \ Forms \ResPlanCheckFcesdoc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) ' Description I Qty. I Fee(ea.) I Total Description Qty Fee(ea.) Total New 1- & 2- family dwellings Heating/Cooling (includes 100 ft. for each utility connection) Air conditioning or heat pump* 14.00 SFR (1) bath 249 20 Furnace 100,000 BTU (ducts /vents) / 14 00 SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) 17.90 SFR (3) bath 1 399 00 Gas heat pump 14.00 Each additional bath /kitchen 45.00 Duct work 10.00 Rain Drain, single family dwelling 65.25 Hydronic hot water system 14.00 Fire sprinkler - sq. ft 0 to 2,000 115.00 Residential boiler Fire sprinkler - sq ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler - sq. ft. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - sq ft. 7,200 and greater 309.00 (in wall, in -duct, suspended, etc.) 14 00 Site Utilities Flue /vent (for any of above) / 6.80 Catch basin /area drain 16.60 Repair units 12.15 Drywell /leach line /trench drain 16.60 Other Fuel Appliances Footing drain - 1 100' 55.00 Water heater / 10.00 Footing drain - each additional 100' 46.40 Gas fireplace / 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 2 10.00 Manholes 16.60 Log lighter (gas) 10.00 Wood/Pellet stove 10 00 Rain drain connector 16 60 Wood fireplace /insert 10.00 Sanitary sewer - 1 100' ( 55.00 Chimney /liner /flue /vent 10 00 Sanitary sewer - each additional 100' 46 40 Other: 10.00 Storm sewer - 1 100' 1 55.00 Environmental Exhaust & Ventilation Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment ) 10 00 Water service 1 100' / 55.00 Clothes dryer exhaust I 10.00 Water service - each additional 100' 46.40 Fixture or Item Single duct exhaust Absorption valve _ 16.60 (bathrooms, toilet compartments, -- Backflow preventer 27.55 utility rooms) 6 80 Backwater valve / 16.60 Attic /crawl space fans 10.00 Clothes washer / 16.60 Other 10.00 Fuel Piping Dishwasher / 16.60 first Drinking fountain 16.60 * *($5.40 for rst 4, $1.00 each additional) g Furnace, etc. ) ** Ejectors /sump 16.60 Gas heat pump ** Expansion tank 16.60 Wall /suspended /unit heater ** Fixture /sewer cap 16 60 Water heater 1 ** Floor drain /floor sink/hub 16.60 Fireplace J ** Garbage disposal / 16.60 Range / ** Hose bib .2 16.60 BBQ ** Ice maker J 16.60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other. ** Primer 16 60 Total: Roof drain (commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory / / b fi/ _5 16.60 Subtotal: $ /20. ,- Tub /shower /shower pan 3 16.60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet .3 16 60 State Surcharge (12% of Permit Fee) $ /`/, /2 Water heater / 16.60 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees- ELECTRICAL FEES (residential single- or multi - family) Description Qty. Fee Total Insp Subtotal $ 3 /.C1C) 1,000 sq. ft. or less 1 145 15 4 Minimum Permit Fee $72.50 $ Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion 4 / 33.40 I Limited energy, residential / 75.00 2 State Surcharge (12% of Permit Fee) $ '/7. c+ i.i Each manufactured or modular TOTAL PERMIT FEE $ dwelling, service and /or feeder 90 90 2 Electrical Permit Fees Subtotal: $ '35 3. '75 Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ TOTAL PERMIT FEE $ 4 72 . `/5 I \Building \Forms \ResPlanCheckFees doc 01/19/07 Page 2 PLOT PL AN 1/22/08 LOT *04S WALNUT CREEK 14162 SW WALNUT CREEK WAY NE I SECTION 4, T. 2 S, R.1 W, W.M. RECEWE 1- = 20'-0° CITY OF TIGARD WASHINGTON COUNTY, OREGON , JAN 2-8.200 7 .1 LE G E ND • �,r"_'''��: 12755 :I HOMES S B - •' " ul. ] 88 60th LYE. OFFICE 620 -0080 � , Ef I ..m010 80178 100 FAX ( ) 608 -8000 • . - PO879AIm. 08. 87223 OM/ 55151 _ 1 t9 a W '. 1 239'_W _ *41LNU'1' CRE _e STREET TREE: � �II CHANTICLEER PEAR "` - _ -• - 2 "Caliper at •'1 - I fir Uc1 23 �■ / !p-1 C RB q.. . 1 _ 231.5' to 0 8' PUE — — .. 0 ` 0 4 • - I di — IA - I A' a 4 .04' I I : : 2: i ! ` '' / 231.6' • 239.2' 1 ip I Fr I LOT 240 \ , / / .1 41 LQT;48 /Im LOT 3316 SOFT / f lan ,,..,:v JUN B/ r' P 49 Z I \ , FIN. FL 240.8' 91 • I \ / � R FL - :238.1' \ Z I / W — ---- -- WATER LINE \ I \ SS — — — — SANITARY SEWER / SD - - — STORM DRAIN I I I o EROSION FENCE 6. A ' G / 1 6 . 0 0' 8 - q OF STREET ® WATER METER 2 IN 1 24m 3 ' O MANHOLE A Lti — — -- — - I - 239 ® CATCH BASIN E, , f24PJ,', =.,a . a) PROPOSED 43 v , • STREET TREES t * ' ` .1 - ' , I i' ' TRACT 'E" E T1 STREET LIGHT i • • `r LOT , N I FIRE HYDRANT v `� ]� 3 PROVIDE EROSION �v �Y� I `�-Q. _ f CONTROL FENCE lC2• t t 11 PER COMMUNITY l O L �g EROSION PLAN SETBACKS : FRONT YARD = 15 FEET C 4RACsE = 20 FEET REAR YARD = 15 FEET SIDE YARD = 4 FEET STREET SIDE YARD = 10 FEET . • CITY.OP'TIGARD - SITE PLAN REVIEW BUILDING.PERMtT NO:: fl'l ^ • •- " 'eh ' 1 PLANNING'DIVISION: Not Approved Required Setbacks: D Approved ❑ Side: Street Side: _�..- Front. Garage: Rear: S .— Visual Clearance: Approved ❑ Not Approved Maximum Building Height feet CWS Service Provider Letter Required: 0 0 No Received B % Date: / a . 6 ENGINEERIN D PARTMENT: Actual ope: % gApproved ❑ Not Approved Site PI • Not • pproved i j� : Approved B / Date: ° Notes: r'''e' ' �� • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: (I/1. c, • c S Street Trees: Approved - ❑ Not Approved Protected Trees: Approved 4 30/01 of Aproved By: oect ikr( Date: q Not Notes: " 0 k s 4n41 coo4stik °' O'"cwi CITY OF TIGARD BUILDING DIVISION PERMIT #: MSL ZddB— eAob 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 —,00 �l Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 `/ Z S 14 4,4L / (i C-h-05 7< CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: • PHONE #: •-°3 - Z 8Z b CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6 . /zj Pour Time: a 1 4 0 4 Code # Inspection Description Confirm # Contact # Message / Al.' Corrections /Comments/ Instructions: Wi . it -. a? � /! � " '� i - 1. - A _ , t a: �l�.° Ji +I, ja / e i ( x r ; , F4r, PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS • AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: !"9 Phone #: (503) 718 - 7/Z7z.