Permit MASTER PERMIT
.,, • CITY OF TIGARD
PERMIT #: MST2007 00025
COMMUNITY DEVELOPMENT DATE ISSUED: 3/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CA -03200
SITE ADDRESS: 11255 SW 79TH AVE ZONING: R - 4.5
SUBDIVISION: FRIENDLY ACRES LOT: 017 JURISDICTION: TIG
PROJECT: AURELIA - CIMPAN 1
Project Description: Addition.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 14 FIRST: 3,130 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 415 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 300,176.30
OCCUPANCY GRP: R3 BDRM: g BATH: 10 TOTAL: 3,130 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 10 WASHING MACH: 2 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 10 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: , GREASE TRAPS:
OTHER FIXTURES: 3
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 2
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3
MAX INP: btu FLOOR FURNANCES: VENTS: 8 WOODSTOVES: GAS OUTLETS: 5
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 3 0 - 200 amp: WISVC OR FOR: Cl �„t PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: r 201 - 400 amp: 1st W/O SVC /FDR: 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 /FDR: 601 - 1000 amp: 601+amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: }- R AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL EN G V rn P BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
JOHN AURELIA - CIMPAN OWNER laws. All work will be done in accordance with approved plans. This
11255 SW 79TH AVE permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 503- 670 -7553 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 3,385.36
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issue. By : i 0 /� , /`:�, Permittee Signature : t .
-- I
_- 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.
�._
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Building Permit Applj � � FQRUFMICI tSEUSI.I" w ,
�� Deceived / 6 7' J Perm" N `�?/f 7 --
O D6 0,2,37'
City of Tigard 1'�a Dale/131 — � 7 f�"�
13125 S�'.' Mall Blvd.. Tigard. OR 97223 1 Q 2007 Plan Rc eK 1 Ch her Penni1
Phone 503 1239 11 7 I Fax 503 598 1960 JAN C 7 °` I ii , Datd13 ' R�„� ' �� '� .
�� Daze Readv/13} ns ' ® See Attached ChecVdist for
InSpCCIiOn Line 503.639 gr 4 us ^Lw OF - � 'IU` " -- '� NoirPed'Method , , / � � u � Supplemental Information t
Interne' wsysv et. tigard or us BUILDING DIVISION
TYPE OF WORK IUIRED DATA: 1- AND 2-FAMILY DWELLING •
❑ Demolition Pe IF fees' are based on the value of the work performed.
❑New construction Indicate the value (rounded to the nearest dollar) of all
t - ' Add ttion /alteration /repiacc.n;cni ❑ Other• equipment, materials, labor, overhead, and the profit t the .
Cork indicated on this application Alf t. i b, `2
CATEGORY OF CONSTRUCTION � 1
Valuation _ ° �i -Lt
❑ 1- and .'.- d ` .'.- dimity dwelling 1 ❑ Commercial /industrial --
Number of bedrooms• 1
❑ Aecessor■ building ❑ Multi - family
Number of
❑ Master builder ❑ Other'.
JOB SITE - Total number of floors. INFORMATION AND LOCATION 6 `-'��
i
r)-5---S / n t / New dwelling area are feet
t
Job site address C= `l C
, Tl az t (2 -0 1
Cit) /.aate. Garage /carport area square feet
e� 2
Suine;hldg apt no I Project name: Covered porch area square feet
- -—
mss street/directions to job site j• Deck area: square feet
—
Other structure area square feel
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Suhtiieis;on Lot no Permit Ices' are based on the value of the work performed
-- Indicate the value (rounded to the nearest dollar) of all
fax man /parcel no • equipment, materials, labor. overhead, and the prolnt for the
DESCRIPTION OF WORK work indicated on this application.
Valuation a 5
- -' Existing building arca square feet I
— — — j New building area square lee(
ROPERTY OWNER ❑TENANT Number of stories
n
Name J4 .(PC - L'J f ._ C / fV7 PA-- t- Type of construction -- -
Address /1 .j t .Yf /9- 16-::: j Occupancy groups.
Citsi5tatc /1P Fi ,-p, t� �� '7 T _ �� E.viSun _ — —
ph„,,, �-
ne 'S -c, -) i c7 -0 -7 5�3 Fax (6j`03) . 6 7 -- 7 7 _ 3 New
❑ APPLICANT t K CONT PERSON NOTICE.
13usutess name All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Boa( Contact name !T�� l ` - )NE L- - (. � P �� under ORS 701 and may be required to be licensed in the
\ddress I (,.-7 ` -� ( - V E __ l jurisdiction in which work is being per lithe
applicant a exempt prom Itcens u7 g, the Iolli�ss in t; icanons'
Cit ❑IC.Z.!P-�-/ F— ��1� 0 `r — a pp ly —
_ `LliCr
Phone k )> i FE, I Fax: ----- 1 - -: .
I' -mail:
■ CONTRACTOR
Business Il :f;lle _ 1 BUILDING •PERMIT FEES* • I
Address — _ __— I — Please refer to fee schedule'.
CityiStalerZli 7
-- —. 1 L
- - -r Pecs due upon application 1 1 — J
— Phone i Fax ( I —
Amount rcccrvcd
— Date received:
\ulitorvcd signature 4 .- \A aur1 This permit application expires if a permit is not obtained
� . -� within 180 days after it has been accepted as complete.
n
y
Print nane (� FL' �
I'u See methodology set h■ 7 'n Count) Building Industr:.
_ —
Service Boxed.
.•IW■la :nc'.Pcrt,,t.d3UP•PcmulApp d« ,-.n: 4.40-4o1 l •'; I I :;2''('t) .1.'W f ,,
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p 1 urn bine Permit Appkisetion *.. :.:'. . .. .... .......
City, Of iigarti
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1312S SW Hill Blvd , 1 it,trti, OR 97'in Prmit A AI 7-606 ,2,5
phon.: 5E/L6)9.41 FAX' 503.5P1.1960
Osier PC1174114.2.! i .
Disaday_
24. Hour I nixcnon I .Ir e: S01.639.4175 .A Cho.11.4.07417-.
fee rate 2 tal
Internet w..., ...i■prd-ot tov
., 1 140613td4.4,11...t
bv
-.: .. ..-. ,.-. : ...,,- .. 0 0 iy0 itic ',,:,...1.•.::.rtti..1"..1.C.:,',77..1!17.T.ill'.. *? ..i.4 7 ;. ),; 1 . N .4 4'.': 1 :'•*.,,:.'r,r4 , :.ijcv, , ' • . -* ., ' ' . '
-- l i . iip . . 4 g,e1 2 %,. .... ,,,•-rt$7,\'..
! .D Ncy..!ccAsim.,etit,,, Demolition _ Far sperld lotlinnedian Kt f rtair.
Desert. 'cm I 0 0 . EA. i Total
•: 04 Add sionroJteratiorvreplacoment 0 Other:
NSW 1- 244.11) ds•thins (includes i 00 ft, for each uallry corner:00o)
I
i ' • c PFr C°P/sli.RucTIPN ',...:::. -. . --.. $FR (1)blith . 249_20
( 2.raniOy dtveilifts 0 Commercialrildustna1 SFR (2) bath 111111 if 0.00
i 0 Accessor! building 0 Multi. (amit - SFR (3)b6. all 199.00
•
Each additions! bativiitchen
0 Massoi bs.0der (..: Other:
1 Page 2
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giti V i kiiiitAiiiii 4- 'Xtiiekitcii( . "':4='' . • ' .7 ' :.'..:S:7%.. * -
sift •tuitA,
Cit riS lot eal P• 17 6 ., r t„. „. . Drysvell. leads line, or 'mod% drain /6.60
F ).4...ficnd h "Ij oistrog drain now ti tt es : ) -.
no
SAttelsIdgelapt. Projecl nuns: (no Page 2
ot: i
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110.00
I Cross streetidttettions lo )00 SiLe:
'
totantolas 16.60
Rain al in GOrtNettOt • 16.60
1
1.. So sewer (no. littear St.:,) i Para 2
i
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Storrs. fr.= (no, limey ft.: ' 1 f Px$e 2
1
Subdivls :cm:
I Lot no.: wady serried (no. linear I. : _ ) ) i Pa,se 2
rts lam or iiiirn
Tax rnopiporcel no. •
-1 Absorption v
I I - 16.60 -
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Mei wiser ralve . 16.60
Clothes wisher ,
16.60 .
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N..,/....,..Att 16.60
16.60
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N :. .:. _L ro.uttim
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. • al./sump 16.60
I Narr 6uP8Li4 -cf M1
E.ParniOrt tasli 16.60 1
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Address: I 1 A i. v .::?, i
Fiim.irelsows: cap 16.60
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CitxrStatelZ1p: 'If 61; QR • ci9-,.--,3 Floor draierlloor ainichisb
, 16.60 : 1
--
16.60 1 i
LPhorc ( ) ‘.... tt.') - 75-3 FLX: (993 ) „ 6 - F19.... -r 3 , . Giji dh '
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i 60 f r .
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0 -•AppocANT • • • • " . . Itil CONTACT rrstsort '... : 610
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lot raker i
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Business name:
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Insaceptrrigream trap ' 16.60
Contact name: (dfsd, p4.. 1.4 , ..me1 gas 011ie. S ,,) Pau 2 ,
1
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CityrState/ZIP: 77 p..4) 542- 073._ ).__D,...„3 ,_ Roorttroin . er
(commcial)
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SirtkiltsioAavtiorf ' ;6.60
_ Tub/showa/Stowet pan 16.60 4
. _
E-mail;
A Urinal I 16.60
1 l corcritncroa Hie • !,,,j1 : Deli f - p ar
4 & m.o.°
,__ err~4,11111.4grAIMIlr-TWArtrIVAII■ W err h ea I a 1 640 1
I 9usirs:31 nuns ,. 1. Ae...411WING M.1 , iirililards
• Ostia:
Acldreis ,AM IF
Sabots
CO yr Stat en. IP: Ail ;AmErasran.411111611PNEV
Min1rnurn permit tow 172.30 !
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Phone: ark, 2 - 4 ' ; Z. 11111MMEMISINI Rcsidanual hskhow minimum pant foe: .136.25 ' .
cc FI Lic.: C- jii'(/ y /ft to t.,7 i !numbing Lic. no.: . - r -:.• iC1/5 stag re,iiew ad% o r pcsrni I km:, .
Sbte su (04 or pi:mil let)
.s.utheraed sigr 71..7 Cr" d:: ./... 71,06: C /7 1 7/ , (612 TOTAL PER.MIT
Prins I nnInr: o 17 c..r_ l'hi, permit applies h6o esaires lf a permit ia not obtaltsea 'Atlas
,
ill* days trier it a aa lite, accessed as coisplesa
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1, 123 sw Hail 11145/. TVS/0. OR MU
Pitont: 501.4.1141,1 Par $03,341.1960 Me Mak
Inionatia, Ilse 50.1.1130.4171 .. t•-tt X Ika NO itt
Intent owat.iipird.w.ai asyniumenaa 660444610
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perteano4. inalzata Oa Woo (=mood be to Nome dol Ir.) of 4.0
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. ILA U. J .4.4014444 WC .P sr. 14APP 11110 I lli i •
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Construction Contractors Board Permit #: )156900 7 -D00 5 (rJ600 -oQO
700 Summer St NE Suite 300 Address: / ��e) 7 Ir
/j v
PO Box 14140 �-�j � � �/ �' y �
cZ afio ,,, k 1/
C ���`�`:' %'� � Salem OR 97309 -5052 Issued b • Date:'
r ,. Phone: 503- 378 -4621
∎4 >/ Web Address: www.ccb.state.or.us
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
c, fl,
1. I own, reside in, or will reside in the completed structure.
• C, Er 2. I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
❑ 3A. My general contractor is
(Name) (CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
C, 12 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
,6(\ ?47
(Signatur f permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06 -01 -04
• . .
•
Act as Your Own General Contractor?;,
INFORMATION 'NOTICE TO PROPERTY OWNERS
. . ABOUT CONSTRUCTION RESPONSIBILITIES .
_ .
• 1/4.
•
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
„ . .
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and-concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure. As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you muSt withhold income taxes from employee wages at the time
employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call the Department of Revenue at 503-378-4988.
Unemployment Insurance Tax: As an employer, you are required to. pay a tax for unemployment insurance purpose-:
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488.
• •
The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be - liable for all claim costs if one of your employees is injured on the
job. For more information, call the Workers' Compe Division at the Department of Consumer and Business
Services at 503-947-7815.
•
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax - frorn employees' wages:N
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the
IRS at 1-800-829-4933 or visit their web site at www.irsAlov.
Other Responsibilities and Areas of Concerns -
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
• •
. .
Liability and Property Damage Insurance: Contact your insurance agent to . see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone. ,
• . •
. _ . .
Time: Make sure you have sufficient time to supervise your employeeS.:
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
. •
Property_owner.doc 06-01-04
. - f _..
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-
CS' cb ,N, oo ® , MAR 1 ' 2'1 O6
T �� ' File umber
Ae„.. ti ,,MreanV� ate S Service - 'TZ/
Q . At <5 Our commitment is clear, Sensitive ■ rea Pre- Screening Site Assessment
> 0.9 Jurisdiction Date — — c)6
4R, Map & Tax Lot Owner
/I (1 R A- - - I Pt 1 phi
Applicant Itq 1.-, GJ KPH
Site Address f/Q55 , .9',c j,.., Company •
- n6A�Q cf,R ..xaa.3 Address i /i " ' 51 7. 9 4
Proposed Activity t'o /¢ j o City State Zip r� d R _ 3
_g fl, ).5170, Phone 5 3 — 6 7-0 --7--5 3
Fax ',1. JVLG • ,
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean Water Services have authority to enter the project site at all
reasonable times for the purpose of Inspecting project site conditions and gathering information
related to the project site.
Official use only below this line .
Official u:e only below this line Official u:e only below this Ilne
Y N NA Y N NA
®� l r -, Sensi Composite Map Stormwater Infrastructure maps
Map ti I l L)O !►.� QS # '-12A. /
I Locally adopted studies or maps Other
I I { l Specify l• l Specify tlooq 4.e,./
_ Based on a review of the above information and the requirements of Clean Water Services
(Design and Construction Standards Resolution and Order No. 04 -9:.
— Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST
PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If
Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural
Resources Assessment Report may also be required.
U] Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening
site assessment does NOT eliminate the need to evaluate and protect water quality
sensitive areas if they are subsequently discovered. This document will serve as your
• Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1, All
required permits and approvals must be obtained and completed under applicable local,
state, and federal law.
The proposed activity does not meet the definition of development. NO SITE ASSESSMENT
OR SERVICE PROVIDER LETTER 1S REQUIRED.
•
Reviewer Comments: '
51.sel oh r eviet o 2.-00y, a.er;a.l tor ektric1 p ly / 5 eys:r ;re ayets
a/o rr0T a $7egj- j - O e.x ,Sr - '; •', X-00 )t / cer o l 7e s _
Reviewed By: Date: . "//90er
• Official use only
Post -it® Fax Note 7671 Date 3//6/0‘ Ipages ►/ Returned to Applicant
• To 4map! - C, ; � i yiby �5
(� ?ii-15 From ,43. L 3 i // Mali Fax q( Cnurlter
Co./Dept. Co. Ii �✓ �! Date 3 / /6 /O,S By
Phone # Phone # Sol . 68/ • 5100 , _
•
Fax# 50 3. 67o'7SS 3 _
Fax #
Z d WtiOb : Ze 9(�I7 OE .- 4 zss sL92JS : ' ON XIJ. d� I �i W 0
II
Electrical Permit Application FoR OFFICE U SE ONL
MI City of Tigard DateBed Y
REVE
Permit No.:$fr 7 �
• • 13125 SW Hall Blvd., . art Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /Bv: Other Permit:
TIGARD Inspection Line: 503.639 A' 1 1 2 00 1 Date Ready /By: luris: ® See Page 2 for
Internet: www.tigard- or.gov JU Notified/Method: Supplemental Information
iTYPli /V .. �'UA '' • . ' -. PLAN • REYIEW; ;a ; ,.- ❑ New construction : . : ;
Pl ease •
check all that apply (submit 2 sets of plans w /items checked below):
Ottitetkite6IVIBION ❑ ❑ ❑ Service or feeder 400 amps or more ❑Building over three stones.
Demolition 1 where the available fault current ❑ Marinas and boatyards.
• CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family . ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
. JOB SITE INFORMATION AND LOCATION • 0 o('new motor load of ❑ "A ", "E", "I- 2 ","I -3 ",
• '. / (� .— 79 �� 100HP or more. occupancy.
Job no.: Job site address: f J
❑ Six or more residential units. Recreational vehicle parks.
City/State/ZIP: T j . �� t J
ty OR cp9.4A ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Deaeription 1 Qty. I Fee. 1 Total J •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less / 145.15 4
Ea. add'I 500 sq. ft. or portion / 33.40 1
Tax map /parcel no.: Limited energy, residential
s 75.00 2
DESCRIP'T'ION OF WORK .. • ( with above 9 )
ft.
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑' PROPERTY OWNER • ❑ TENANT 201 amps to 400 amps . / 106.85 2
Name: 401 amps to 600 amps 160.60 2
uQEL — 601 amps to 1.000 amps 240.60 2
Address: (X255 S i ' t i4VE Over 1.000 amps or volts 454.65 2
City/State /ZIP: l `64 (2,0 0k , ! ?-)-D3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 563) 6 Q - '.-s5 3 Fax: ( 503) ' 70 - 7(.3-53 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT: PERSON above service or feeder fee, 9 6.65 2
each branch circuit
Business name: B, Fee for branch circuits
,'1 without service or feeder fee, / 46.85 2
Contact name: Iij'EL_ - G ll'7 j N first branch circuit
Address: -7 Each add'l branch circuit 6.65 • 2
- _ r f 0 / � ' Miscellaneous (service or feeder not included)
City /State /ZIP: 7 D to Wa Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( - --14 2 (, Fax: : ( ) Reconnect only 66.85 )
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
-�. Signal circuit(s) or limited -
Business name: S 'q j / / L _
( ,c/ (. //7 energy panel, alteration, or
Address: P. d. 1 dlC /6 : - extension. Describe: Page 2 2
City /State /ZIP: Ej, / ej t//r / C'/Z 9 36), Each additional inspection over allowable in any of the above
_ Per inspection 62.50
Phone: (t5 y0) e--- )3A5-3 L / D Fax: ( ) ' Investigation per hour (1 hr min) 62.50
1 r
CCB Lic.: l � ��"C Electrical Lic.:� � ? Suprv. Lic.: 12_35 Industrial plant per hour 73.75
� t�e J 7/f 61 / Ol' D 7 ELECTRICAL PERMIT FEES •
Suprv. Electrician e, e q uired: �/J '°� Subtotal:
/ Plan review (25% of permit fee):
Print name: 47
Ai c /j (J/1�14Z : Date: ,5 2 ¢- z 9
1 ��� State surcharge (8% of permit fee):
Authorized signature: 7 ----- TOTAL PERMIT FEE:
� _ i This permit application expires if a permit is not obtained within 180
Print name: /l 477 1 i_>7)) AO ''7 -c / Date: J days after it has been accepted as complete.
•` Number of inspections allowed per permit.
I:\ Building \Permits\ELC- Permi 05/23/06 440- 4615T(1 I/05 /COM/WEB
Electrical Permit Application - City of Tigard
• Page 2 - Supplemental Information •
LIMITED ENERGY PERMIT FEES:
•
Y RESIDENTIAL,WORKONLY:
Fee for all residential systems combined .. $75.00 . . •
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
F l Garage Door Opener*
Fl Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:. ` .
Fee for each commercial $75.00
system
(SEE OAR 918 260 - 260)
Check Type of Work Involved:
n Audio and Stereo Systems •
n Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
• HVAC
❑ Instrumentation
n I • ntercom and Paging Systems
n Landscape Irrigation Control*
• Medical
❑ Nurse Calls •
❑ Outdoor Landscape Lighting*
•
❑ P rotective Signaling •
❑ O ther •
•
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC- PermitApp.doc 03/23106
f ' '
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171
PI 11
Inspection Requests (24 Hrs.): (503) 639-4175 –.....40■ —
■,
INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:QQAM PAGE: 8
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6112/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/26108, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/11/2008 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
289 Approach/sidewalk 071228-01 503-670-7653 N
Corrections /Comments/ Instructions:
A . 0 0 ' ' ii ....
-/-1 AP,41/ ■f
//
,I1 4 ,, -
0 PASS r7 PARTIAL APPROVAL - E CANCEL El NO ACCESS
0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: t / ' '' ..ij
.,_-_, .... - Date: /4"---./Ag Phone #: (503) 718-
''''.
| ``
CITY ����~�� ������8��J����� ` _ '
��m� �m����nm�� .
BUILDING DIVISION PERMIT #: MBT3007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171
/nop��ionRoque�a(24Hm.):(503)G3A'4175 ,„...„..W ^--..
1
1 INSPECTION WORKSHEET FOR DATE: 7Y23/2008 TIME: 7 :O 2 Ah 0 PAGE: 0
-
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AUREL}A-C|kAPAN
' DESCRIPTION: 30OO+ Addition and Interior alteration bm existing rmodencm6/1%Y07.ADD|M0ALLENC0h8PUOVV
VOLTAGE. 1/25/08, ADDING (7) branch circuits U1/39/2OO8 ADD dishwasher. 2111100 Added 8
OWNER: AUREL|A- CM/PAN, JOHN PHONE #: 503-670'7553
CONTRACTOR: PHONE #:
.
Inspection Request Scheduled For: Date: 7/23/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 073085-01 503-870-7563 `/
Corrections/Comments/Instructions:
0 C y ,' 42- • 1 _ t--- - TV { ^ ^�oe4{ , " - -e' ' ( Ow �- al i•ildi 1`
-5 2 --~ "�W.C.*r u�-P .,-7 4.... G.4.
•
ri PASS E PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
Li FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Date: 7-- 2,..? 8 Phone #: /503\ 71 L-
CITY OF TIGARD - ? :
BUILDING DIVISION �` PERMIT #: MST2007- 0t1025
13125 SW Hall Blvd., Tigard, OR 97223 ? DATE ISSUED: 3/2912007
Phone: (503) 639 -4171 � d NN� u���'i
Inspection Requests (24 Hrs.): (503) 639 -4175 s '
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:OOAM PAGE: 44
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/O7, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01129/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description von i • Contact # Message
120 Electrical rough -in 065479 -01 603 670 -7553 Y "Al
Corrections /Comments /Instructions:
PIN ii slew G-grta T (*-z) 34 6 R c, DTs L Pot. B P7\ Gv c-1
VaoEL_ � p R vvobcL Elw J 2G u2c.v rr6 .
C ) � 0 •T3 Al i Rbm \ , pl - ic FoCL cM4 J %.() W S
4 N 5' );V:-. G2C�vil _
a.) \i,o1Q - r\fr Uki\ oN) ()MI 1- k-- \r(/ VO:C
wl ,„
pI\ V - ts a._ FAA "1(\t , 2S R RAKA e,z - S ,
a) -2 P`..S-
t 400 NT.
in -ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
L A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `.J" - V3 t_..
Date: Z j Phone #: (503) 718- 2L't�
CITY OF TIGARD
A , . .
,:
' 1
1 . BUILDING DIVISION . PERMIT #:
MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2007
Phone: (503) 639-4171 ' •
Inspection Requests (24 Hrs.): (503) 639-4175 ....by ..-... •
INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition. 6112107, ADDING ALL ENCOMP L.OW VOLTAGE. Addition. 1/26108, (7) branch circuits
01/2912008 ADD dishwasher.2111108 Added 8 branch circuits (2) fixtures, and one bath fan
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: s . e .. . e .-- . ,E . PHONE #:
I
Inspection Request Scheduled For: Date: 7J20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 065287-01 503-670-7553 7Y
.--------______,
Corrections/Comments/Instructions:
. c
d) biD tkOI n ()Qv A 061 W TA
— V' - +No■L T 0 G 7 i — w -- \ -- i . f q\_.c, si
7‘Ak ma Do MT' 1 o aNbE 1 kl
. \)
PacutAT i 4 6 6 v C. 1. V ()Lb \i'VV SE
EI PASS PI PARTIAL APPROVAL 0 CANCEL 1 NO ACCESS
)FAIL pi CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: C.T — 't N te lia Date: 2- 'LO 2 :`,$t Phone #: (503) 718- 9-4440
CITY OF TIGARD O .
BUILDING DIVISION PERMIT #: MST2007 -0c026
13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED: 3/; %V2007
Phone: (503) 639 -4171 �v��a91mypiN@ it
Inspection Requests (24 Hrs.): (503) 639 -4175 M'
INSPECTION WORKSHEET FOR DATE: 2/15/2008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 11255 SW 7911 AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 0.7 TYPE OF USE:
PROJECT NAME: AURE=LIA- CIMPAN
DESCRIPTION: Addition. 0!12/07, ADDING ALL ENCOMP LOW VOLTAGE, Addition. 1/25/08, (7) branch circuits
01/29/2008 ADD dishes: sher.?J11 /08 Added 8 branch circuits (2) fixtures, and one bath fan
OWNER: AURELIA.. CIMPAN, JOHN PHONE #: F03 -670 -7553
CONTRACTOR: s l ) r t E L F � � k► S 0$' -1 q 9 o f% 3 2 PHONE #:
Inspection Request Scheduled For: Date: 2/•15m00 Pour Time:
Code # Inspection Description Contact # Message
120 Electrical rough ire 066113 -03 503.670 -7553 (01
Corrections /Comments/ Instructions:
N U PpP kt- . ,% RAM'
)(\) CiT2•
Q pivRz p1AN 7,0
c -6 t l 0 i p 6 p i 6 G'1
n PASS 11 PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: rA 66 t Date: /2 i 6 Phone #: (503) 718- yq Lit
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MS -00025
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29 /2007
Phone: (503) 639 -4171 4 _0140
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 3/3/2006 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 11255 SW 79TH AVE if p €''IN t LE . CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 603 670 - 7553
CONTRACTOR: S p �� .e. Lt -1 c. ; tJ C PHONE #:
•
Inspection Request Scheduled For: Date: 3/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 066007 -02 503-670.7553 Y
e
Corrections /Comments /Instructions: .
E.L..C> 20b @) " o fl 1 1 0 t s s o 2 -1 2=61 0% `Pe
fl - oV S 1..E c---`i 2► C. C r<3 R v cE G c-AA rn bERS�(2.2 5 )
.., N4Agtthodikt
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: N 66 Date: 3' 3 • l ) D Phone #: (503) 718- LT
CITY OF TIGARD
BUILDING DIVISION • PERMIT #:. MS12007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 YI llip l�
Inspection Requests (24 Hrs.): (503) 639 -4175 �.��
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:O4AM PAGE: 19
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCAMP LOW VOLTAGE.
OWNER: AURELIA - C!MPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 050398 -01 503-670-7553 Y
Corrections /Comments /Instructions:
I
PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
11
Inspector: 4 Date:� Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639- 4171 -
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:O4AM PAGE: 18
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 050338 -02 503. 670 -7553 Y
Corrections /Comments/ Instructions:
•
ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ftij Date: 6 `k Phone #: (503) 718 -
.
CITY W������H��J����� '
��m� n OF m n����nm�� • d ' .
��UKU8 ��KN��� �����k��K��0�
~°~,,~~~�,,°~° DIVISION PERMIT #: MST2O07-00025
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3029/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
~��W� °� �
INSPECTION WORKSHEET FOR DATE: 6018/2007 TIME: 7:04AM PAGE: 17
SITE ADDRESS: 112558W CLASS OF WORK: .
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AUREL|A-CIhNPAN
DESCRIPTION: Addition. 6/12/07. ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELA'CIhAPAN.JOHN PHONE #: 503-67G-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/10/2007 Pour Time: �
Code # Inspection Description Confirm # Contact # Message
135 Low voltage (��r °~p/ ~- 050398-03 503'670'7553 ~f
Corrections/Comments/Instructions:
� '
. /
1
/
|
/
/
.
/
M RAS8 ) |9ART}ALAP CANCEL �� NOACC�ES8 '
I � . . . .
| 1 FAIL 1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
-
�
/nap�Inspector:
r Da�a� ��-'/ / -le -- 7°~ Phone it: /503\ 718_
- '. '
i
CITY OF TIGARD
A ,
BUILDING DIVISION PERMIT #: . MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171 Jar l
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 48
SITE ADDRESS: 11256 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: ALIRELI A-CIMPAN
DESCRIPTION: 3000+ Addition and interior alteration to existing residence. 6/12107, ADDING ALL ENCOMP LOW
VOLTAGE. 1/26/08, ADDING (7) branch circuits 0112912008 ADD dishwasher. 2/11108 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 603-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 065860-01 503-670-7553 Y
.,
Corrections/Comment Instructions:
1-f 0`-fi : " te■ft Cb - —2 -7 k • \ -- /O C C ( —
K i Jk.. .1 tek 6-k. LIO--3 6 O --t.-v\-A
tiy - 4 -- rp_. (if -t--tr„ei„,- .
-,- ,--j14 - -6 • . C---Q.0 kircijc-
------- IMO' ‘• . , _______
i
-e-e-; 6 J- 6t.L_A Cec.,,C-ic
,---,_
d "..._ak 1.•(-Q.....4-r-LQ. .
••,'-,
47, • k S El PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL 0 CALL FOR INSPECTION • fl ADDITIONAL FEES ASSESSED
Inspector: Date: W one #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223
irA ''
/- DATE ISSUED: N29/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 e
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:O3AM PAGE: 47
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence_ 6/12107, ADDING ALL ENCOMP LOW
VOLTAGE. 1/26/08, ADDING (7) branch circuits 0112912008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
. CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
610 Gas line 065860-02 603-670-7663 Y
Corrections/Comments/Instructions:
• Cc76tS LC--"/-S (;,/t ckA - 2 Ev_z9
...
- +
_ —
PASS PARTIAL APPROVAL fl CANCEL NO ACCESS
FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
i 4S
Inspector: Date:1"7-7 c 6 Phone #: (503) 718-
.. _ .
CITY OF TIGARD ' -_ , .
� BUILDING DIVISION
PERMIT #: ms
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2007
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/15/2008 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE. Addition. 112CI , , . • -t circuits
01/29/2008 ADD dishwasher.2/11/08 Added 8 branch circuits (2) fixtures, ai one b h hi
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: ,_ 2/15/2008 Pour Time:
Code # Inspection Description 4_ rl Confirm # Contact # Message
4 0 iti
6116 Mechanical rough-in 065113-02 503-670-7553
Corrections/Comments/ Instructions:
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1 PASS V4 '' RTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL • CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 4 0 " Phone #: (503) 718-
1 ,
CITY OF TIGARD '
BUILDING DIVISION #:T.(7_5
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 # A,,, N��y l �
'
Inspection Requests (24 Hrs.): (503) 639 -4175 1 ' L
INSPECTION WORKSHEET FOR DATE: TI 1 P AGE:
7.01 AM 1 .
10t�9/2007
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition. 5/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503.670- 7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
1 Code # Inspection Description Confirm # Contact # Message
•
236 Shear wall: /anchors 058537 -01 50a-670-7553 -75553 Y
Corrections /Co ( m / ments /Instr ctions: /�
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PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
1 4" v Date: f / M('' Phone #: (503) 718- Z
1 .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 007- 000:25
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29.0007
Phone: (503) 639 -4171 Atki
�H� j��
Inspection Requests (24 Hrs.): (503) 639 -4175 L
/ -
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 11265 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA • CIMPAN, JOHN PHONE #: 50:3_57) -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 10/29,2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 058537 -02 503 -570 -7553 Y
Corrections /Co ment /Instruc ons:
/36./ t om, ,,
4e6,--
r'
e S ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 4" C7/4 2.-- .
Date: /0 ( #: (503) 718 -2T` -1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 007 -Q0025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2(107
Phone: (503) 639 -4171 u�N�il
Inspection Requests (24 Hrs.): (503) 639 -4175 �.±i `:_..
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TI : 7 :O1AM PAGE: 17
SITE ADDRESS: 11255 Sid 79TH AVE CLASS OF WORK:
SUBDIVISION: FR1ENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition. 6/12107, ADDING ALL ENCOIMIP LOW VOLTAGE.
OWNER: AURELIA- CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 10129/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me .age Alitikj
242 Interior sheaf walls 058537 -03 503 - 670.7553 Y
Corrections /C me is /Instr ions:
4,., _ -,,, . e'
f
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4 y1A)„..„ 1
4 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I nspector: ` - Da O 2-4 / 6 P hone #: (503) 718- Z L
CITY OF TIGARD - .
BUILDING DIVISION #: MST2007- 00025 _,.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 I l l i\ Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:OOAM PAGE: 59
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition. 6/1207, ADDING ALL ENCAMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 670 - 7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 053224 -01 503-209-1486 Y
Corrections /Comments /Instructions: .
e UAi o G1. ' Al<5c ul, a-�r7 -T0 ---A Z5- X42 u
ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
I Inspector: , Date: 6 2----- Z - a7 Phone #: (503) 718 - 'fit ---
t , A , .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00026
13125 SW Hall Blvd., Tigard, OR 97223 41111111 DATE ISSUED: 3/2912007
Phone: (503) 639 -4171 /4°m /di /pml'(I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA- CIMPAN, JOHN PHONE #: 503- 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 072936 -01 503-670 -7653 Y
Corrections /Comments/ Instructions:
IYIOWt1-7` 44 - i"Gr S Ctler'' � — / MA-. -e / s/¢y/il :
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PASS n PARTIAL APPROVAL U CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- '2i-4A—
,,.
CITY OF TIGARD ....
BUILDING DIVISION. ,t, - • $.!•! , PERMIT #: MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171
I ADovili i
Inspection Requests (24 Hrs Jal
.): (503) 639-4175 ..,■ f 1
....
INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:OOAM PAGE: 18
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CI MPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
389 Plumbing final 072871-01 603-670-7553 Y
Corrections/Comments/Instructions:
ac ,k to k..., a c...e._ 1.-44..+1--• j ct --Vc , o,,,, ,...c r 17.e ,,,-1--e-d. .c'e e. A-i-tri (.1-u...A (ee
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0 PASS El PARTIAL APPROVAL 0 CANCEL n NO ACCESS
E FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 0 '0,,,...2._ Date: '21/111/6 Phone #: (503) 718-
CITY OF TIGARD • '
•
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2912007 '
Phone: (503) 639 -4171 Ji
�� Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/1 TIME: 7 :00AM PAGE: 11
SITE ADDRESS: 11255 SW 79TH AVE_ CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE: '
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6112J07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/2012008 ADD dishwasher. 2/11/06 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7/1512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 072651 -02 503 - 670 -7553 Y
Corrections /Comments/ Instructions:
T:t-ig-A-o., 1 1 C D p (At. (.Q C 1. c cAt WA Q-c. , ►r 4 4- to..., ,..c a- 4-c-y. 4-
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I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ft,—.4, Date: r a 4) Phone #: (503) 718 -
p X81 �. X 711 C)
CITY OF TIGARD .
BUILDING DIVISION - PERMIT #: MST20 07 000 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31291 007
Phone: (503) 639 -4171 i� '0
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7 :01AM PAGE: 10
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-CIMPAN.
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6112/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6113/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 071370.01 503-670-7553 Y
Corrections /Comments /Instructions: • .
L{" A 6 ,C -r o Cu 6
1
KPASS n PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
n. FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( ,)\ A – _ Date: 6 1'61 —tip Phone #: (503) 718-
t.
CITY OF TIGARD t
BUILDING DIVISION PERMIT #: MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312912007
Phone: (503) 639 -4171 p k ri i`I
Inspection Requests (24 Hrs.): (503) 639 -4175 J `__..
INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:O2AM PAGE: 24
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503. 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 052982-01 603. 6707553 Y
•
Corrections /Comments /Instructions:
/
/
i
K PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACC! /'
I 1 FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED /
Inspector: QrOn•--'- -/ + 1 'k--`- Date: 7 / ?6/ d 7 Phone #: (503) 718-
1
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: MST2007 -00025 . ______
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31 912007
Phone: (503) 639 -4171 / va i�� llhk,
Inspection Requests (24 Hrs.): (503) 639 -4175 . "
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 55
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA- CIIVMPAN
' DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503.670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/2212007 Pour Time: , A
Code # Inspection Description Confirm # Contact # Me: ..- r
330 Water service 050750 -01 503 -670 -7553
Correc tions /Comm /Instruction ,, O ,,p
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Fl FAIL 777 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1 Inspector: %° Date: (.012-76 Phone #: (503) 718- ' Zy
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2912007
Phone: (503) 639 -4171 At/41A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 68
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
' SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503- 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 050625 -02 503 -670 -7553 Y
Corrections /Comments/ Instructions:
AK ,. 7
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i
SS n PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
1 N AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
—
Inspector: ` Date: Phone #: (503) 718 -
i
CITY OF TIGARD
BUILDING DIVISION / PERMIT #: M ST2007.00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 ad� 1pu�ii�g�j� -
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 8
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
I
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 -670 -7563
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M =. sage ?ilkik
320 Plumbing rough -in 050321 -01 603- 670-7553 Y
Corrections /Comme /Instructions:
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Inspector: �� D ate: . 4 j ( � / Phone #: (503) 718- �`I
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ' 5/7/2007 TIME: 7:OOAM PAGE: 47
SITE ADDRESS: 11256 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE: •
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503. 670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M: -. -
316 Postlbeam plumbing 047731 -01 503- 670 -7553
Corrections/Co ments /Instructions:
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PASS v P = L APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: v' Date: b
Phone #: (503) 718- Y '7 i
CITY OF TIGARD ``
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 i sm � p
Inspection Requests (24 Hrs.): (503) 639 -4175 :-' ='IL.
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 81
1
SITE ADDRESS: 11266 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AUREUA- CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 5707553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
33 5 Rain drain 047477 -01 503 - 670 -7553 N
Corrections /Comments /Instructions:
I
KPASS U PARTIAL APPROVAL 1 1 CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: eb 'Y -1 -` Date: ' 1 1- ' k Phone #: (503) 718-
1, _
, • ,
CITY OF TIGARD ' . • . • .• -
BUILDING DIVISION
PERMIT #: MST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171 At . L
:f
Inspection Requests (24 Hrs.): (503) 639-4175 f ' - I..
INSPECTION WORKSHEET FOR DATE: 4/3/2000 TIME: 7:O2AM PAGE: 31
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-ClIvIPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence 6112707, ADDING ALL ENCOMP LOW
VOLTAGE. 1/26/08, ADDING (7) branch circuit s 01/2912008 ADD dishwasher. 2111/00 Added 0
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 603-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 067833-01 503-670-7653 Y
Corrections/Comments/Instructions:
X PASS 0 PARTIAL APPROVAL 0 CANCEL . 7 NO ACCESS
fl FAIL E CALL FOR INSPECTION . ADDITIONAL FEES ASSESSED
atArva.A_J\VV-
Inspector: Date: 14 0 i 6 ' Phone #: (503) 718-
�\ CITY OF TIGARD
BUILDING DIVISION PERMIT #:. MST2007- 00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3./2912007
Phone: (503) 639 -4171 "11141111Iii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/3/2000 TIME: 7:O2AM PAGE: 30
SITE ADDRESS: 11255 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADC.) dishwasher. 2111/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 50670 -7563
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 067833 -02 503-M17553
Corrections /Co w om mments /Instructions:
Y`1J ' 12 cr� (O c. k v (-A p O w L k C �. mac% - \ L'L J i 'v J as - tJ
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: q1(.3)-o Phone #: (503) 718-
l\ CITY OF TIGARD ' .
BUILDING DIVISION • PERMIT #:' MST2007- 00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3124/2007
Phone: (503) 639 -4171 �/�ym��iipin '1L�
Inspection Requests (24 Hrs.): (503) 639 - 4175±+1
INSPECTION WORKSHEET FOR DATE: 4/3/2008 TIME: 7:02AIVt PAGE: 38
SITE ADDRESS: 11265 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOM P LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuit: 01/29/`2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
3
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 067826 -01 503 6707553 Y
Corrections /Comments/ Instructions:
X PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CA \►'+A- -A 0 Date: Ci t.3 j/0V Phone #: (503) 718-
CITY OF TIGARD ' -
BUILDING DIVISION PERMIT #: MST2007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 in�ilti • ICI
Inspection Requests (24 Hrs.): (503) 639-4175 v:_
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:O0AM PAGE: 3
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12107, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 066746=01 503-670-7553 N
Corrections /Comments /Instructions:
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FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Phone #: (503) 718 -
v v,,,,, 1 \ r' .� ..�� Date: '1 ,J Li/0z
Inspector: ,
CITY OF TIGARD .' .
BUILDING DIVISION A. PERMIT #: • ivMST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 '4 4‘,,, vi ICI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/1112008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: 30001- Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01129/2008 ADD dishwasher. 2/11/83 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 6707553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plurnnhing rough -in 066493-01 503 - 670 -7553 Y
Corrections /Comments/ Instructions:
j o – �(-'c - 14kAiN-) pJou,yt C, - 4- - � Of -r 5 „,,,-t Cra c-r Co,,,j ,.. -,;.}
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❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
;-mil FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: O.yv„__, \4 — Date: 3 J HIP?? Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ' MST2007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 244ii�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 3/4/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE'OF USE:
PROJECT NAME: AURELIA- CIIVIPAN
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/294 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA CIMPAN, JOHN PHONE #: 503 -670- 7653
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/4 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066066-01 503.670.7553 Y
Corrections /Comments /Instructions: p �`
1 jC 1 ��'( In c� S � ✓v► cr�'tn fZ WO1 1ge, - A� t j r✓a't g S 1) i 12 awo� L r✓.�J
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❑ PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
KFAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cl/An,i.�,� Date: 3) q 1 6 8': Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION _•
PERMIT #: IvIST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/4/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 11256 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000• Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1/25/08, ADDING (7) branch circuits 01/29/2008 ADD diE,hwasher. 2/11/08 Added 8
OWNER: AURELIA (,.;;IlvIPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 066066-02 503-670-7653 - Y
Corrections/Comments/Instructions:
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7 PASS PARTIAL APPROVAL l] CANCEL 7 NO ACCESS
FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: di tevLA-i Date: Phone #: (503) 718-
CITY OF TIGARD -' • . . __ ,
.
4....„_,
BUILDING DIVISION
4111,, PERMIT #: . MST2007-00025
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 3/29/2007
Phone: (503) 639-4171 10 04
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11# '-
Inspection Requests (24 Hrs.): (503) 639-4175 -.Ar 1. 4
INSPECTION WORKSHEET FOR DATE: 2/29/2008 IME: 7:03AM PAGE: 49
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE. 1125/08, ADDING (7) branch circuits 01/29/2008 ADD dishwasher. 2111/08 Added 8
OWNER: AURELIA - ClIvIPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Ild
Code # Inspection Description Confirm # Contact # Mess -0- p
320 ' Plumbing rough-in 0668513-01 503-670-7553
Correctiqns/Comments/Instructions: , A t,--6 •
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Inspector: Date:
27 /zA/ 6 . t r
Phone #: (503) 718- Y1 q 4
•
CITY OF TIGARD -
PERMIT #: • MST2007-00025
BUILDING DIVISION 1 s"'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2116/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE, Addition. 112E108, (7) branch circuits
01/29/2008 ADD dishwasher.2/11108 Added 6 branch circuits (2) fixtures, and one bath an
OWNER: AURELIA CIMPAN, JOHN PHONE #: 503-670.7553
CONTRACTOR: • PHONE #:
Inspection Request Scheduled For: Date: 2/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
320 Plumbing rough-in 065113,01 503-670-7553 Pi
Corrections/Comments/Instructions:
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- 4 FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Cpc\(11-A--)‘; Date: .9/1441/0T) Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION -- PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: rf +2oo7
Phone: (503) 639 -4171 nUIVj�
Inspection Requests (24 Hrs.): (503) 639 -4175 -IA-
INSPECTION WORKSHEET FOR DATE: 1 0/11/7-007 TIME: 7:01AM PAGE: 8
I
SITE ADDRESS: 11255 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AUPELIA CIMPAN
DESCRIPTION: P VOLTAGE.
Addition. 6/12/07, ADDING ALL ENCtJM LtJl�!
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
1
p q 10/1112007
Code # Inspection Description Confirm # Contact # Message
315 Po t/be: m plumbing 057447 -01 503- 670-7553 N
Corrections /Comments /Instructions:
w 0V 4- L -. Tv R is L L �(-4. , � e,o,,-"-o E ". 1►-A
1 PASS PARTIAL APPROVAL III CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Mti'Vhnw\ Date: 10 )1/1 6 Phone #: (503) 718 -
CITY OF TIGARD -
/, ,•.„
A
BUILDING DIVISION ,
PERMIT #.' WIST2007-00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312912007
Phone: (503) 639-4171 Oka A
/0/41011
Inspection Requests (24 Hrs.): (503) 639-4175 A. - -t J-
INSPECTION WORKSHEET FOR DATE: 3/3/2008 T E 7:00AIVI PAGE: 6
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: 3000+ Addition and Interior alteration to existing residence. 6/12/07, ADDING ALL ENCOMP LOW
VOLTAGE.. 1125/08, ADDING (7) blanch circuits 01/29/2008 ADD dishwasher. 2/11/08 Added 8
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: _ Date: 3/3/2008 Pour Ti -.
Code # "nspection Description - Confirm #
4 Contact # Me 11 ge
699 Mechanical final 066007-01 603-670-7553 Y
Corrections/ e p *i n '' / il ru - i ion ,
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j .. 1....1 • s:
41 i
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1 i ?k5 1 ' Syo '
' PASS fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL El CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
/1
Inspector: VI _/--- Date: 3/3/ r fP' - Phone #: (503) 718- VIL-f /
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: • MST 2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2007
Phone: (503) 639 -4171
A 411 lit .�F //B -O
Inspection Requests (24 Hrs.): (503) 639 -4175 ++■
INSPECTION WORKSHEET FOR DATE: 6/27 /2007 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition. 6112/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation _ 051042 -01 503-670 -7553 Y
Corrections /Comments /Instructions:
,PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n • OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �^ Date: 2 7 ' 7 Phone #: (503) 718-
/
CITY OF TIGARD ' - -
BUILDING DIVISION PERMIT #: - MST2007 -00025
13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 3/29/2007 •
Phone: (503) 639 -4171 p tlbN� y pi�@i II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:OOAM PAGE: 11
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition. 6/12107, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503- 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/2612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
200 Insulation 050962 -01 603. 670.7553 N
Corrections /Comments /Instructions:
64V6 jp P" - S_
/oi5U vb�000/ ✓�' fs�G.4T� - �� .*�z 'GC--
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (sue -- 4= 5 `7 Phone #: (503) 718- Z1-4,5-/
CITY OF TIGARD ,_ .
BUILDING DIVISION PERMIT #: , MST2007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 ! Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/21 /2007 TIME: 7:03AM PAGE: 69
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/21 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 060625.01 503- 670 -7553 Y
Corrections /Comments/ Instructions:
--.7
, PASS n PARTIAL APPROVAL ❑ CANCEL 1 l NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: Phone #: (503) 718- <
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: . MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 � ,1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2007 'TIME: 7:01AM PAGE: 7
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCAMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 670.7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 050490.01 503- 670 -7553 Y
C /Comments /Instructions:
�� . -�i-[r �iA-z� SPGeI�� -mac -$ ._, S'
N/-IL- -7--a c., y r
4C 2.s.: $ e� �� 0 ' ‚-
1 PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Date: ' 7 Phone #: (503) 718- ?-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/16/2007 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition. 6112/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN,.JOHN PHONE #: 503 - 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # ' Contact # Message
616 Mechanical rough -in 050321 -02 503- 670 -7563 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL 1 NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater- lS --- e? Phone #: (503) 718 - �`8�
CITY OF TIGARD ` .
BUILDING DIVISION PERMIT #: - MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171 iii ' �� I
Inspection Requests (24 Hrs.): (503) 639 -4175 _W
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA- CIMPAN '
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503- 670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 050208 -01 503. 670.7553 Y
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: . , Date: 6- /4-o7 Phone #: (503) 718- Z4.4
CITY OF TIGARD
A . ,
BUILDING DIVISION - PERMIT #: . MST2007 -00025
1 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 -, M
Inspection Requests (24 Hrs.): (503) 639 -4175 A-
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURt=LIA- ClMPAN
DESCRIPTION: Addition. 6/12/07, ADDING ALL ENCOMP LOW VOLTAGE.
OWNER:. .AURELIA - CIMPAN, JOHN PHONE #: 503-670 - 7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 tViechariical rough -in 050209 -01 503- 670 -7553 Y
Corrections /Comments /Instructions:
4e/ _ Z. ' l/tA3cAi,,, -a
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n PASS ❑ PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
AIL LJ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector Date: 6 — 14- 0 > Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #:. MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2912007
Phone: (503) 639 -4171 I d ��ii�6 ' +
Inspection Requests (24 Hrs.): (503) 639 -4175 . W ° . L. 1
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:Q0AM PAGE: 90
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA- CIMPAN
DESCRIPTION: Addition. _
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 -670 -7553 •-,
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 049995 -01 503 - 209.1486 Y
Corrections /Comments/ Instructions:
/A/- sWL4.- 4 - &Z ,'s a��- -7 . f' z- (
•
- i
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' - Date: �o /� --�37 Phone #: (503) 718 -
CITY OF TIGARD -:' ...,
1 BUILDING DIVISION PERMIT #:. MST 200700025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2007
Phone: (503) 639 -4171 uv,
Inspection Requests (24 Hrs.): (503) 639-4175 ' __..
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 11256 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA- CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503.670.76553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 049517 -01 6 603.209 -1466 Y
Corrections/Comments/Instructions:
.P rCtr ' .I' = _L . ' ! ..- .,/0/V. 4/O,! -4, -- G Z, a-4.,-
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n PASS ❑ PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
AIL ' 1 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: o Date: 4 — 4---v - 7 Phone #: (503) 718 - Z4- <Ps—'
CITY OF TIGARD ''
BUILDING DIVISION PERMIT #:. MST2007 -00025
j i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 � i /
Inspection Requests (24 Hrs.): (503) 639 -4175 ! L �:_..
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Descrip .• Cc . 4 Confirm # Contact # i -ss. ge
242 Interior shear wall 048828-02 503- 670 -7553 Y
Corrections /Comments /Instruct ' 4 •
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Inspector: 1/L1/(4-----"._
Date: 5 /2 2.-/o'i Phone #: (503) 718- 7.--Y
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CITY OF TIGARD -
BUILDING DIVISION PERMIT #: , MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 � � "��j101 Of
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/22/2007 , . 701AM PAGE: 10
SITE ADDRESS: 11265 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN. JOHN PHONE #: 503 - 670 - 755
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/22 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 048828 -01 503 -670 -7553 Y
Corrections /Comments /Instructio
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FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1 .4 ,,,,, Inspector: Date: / v Phone #: (503) 718 -
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CITY OF TIGARD
P ERMIT #: M ST20 7 -0 025
BUILDING DIVISION q 0 .�
M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 3/29/2007
I Phone: (503) 639 - 4171
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Inspection Requests (24 'Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7 :02AM PAGE: 9
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - C(MPAN, JOHN PHONE #: 503 570 - 7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 048724 -01 503-209-1486 N
(1 orrections /Comments /Instructions: L
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FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1f /� Date: V O Phone #: (503) 718 - 2 ' 7 2_10
''ITY OF TIGARD
BUILDING DIVISION PERMIT #: . MST 007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
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Phone: (503) 639 -4171 v' °�41u��� it . : :
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..
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INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For Date: 5/7/2007 Pour Time:
h n
Code # Inspection Description Confirm # Contact # Message
• 225 Post/be rn structural 047731 -02 503-670-7553 Y
Corrections /Comments /Instructions: ,
•
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1 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Date: 5 Phone #: (503) 718 -
l
r ') ;ITY OF TIGARD `
BUILDINCa DIVISION PERMIT #: - MST2007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 �N�I : Inspection Requests (24 Hrs.): (503) 639 -4175 Jz
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INSPECTION WORKSHEET FOR DATE: 6/112007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11265 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503.670 -7553
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 04742401 503 - 209.1486 N
Corrections /Comments /Instructions: •
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1 PASS n PARTIAL APPROVAL n CANCEL 11 NO ACCESS
FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector:' Date: /--� Phone #: (503) 718-
1
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MST2007.00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639- 4171va
Inspection Requests (24 Hrs.): (503) 639 -4175 s__..
INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 11256 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN. JOHN PHONE #: 503 670 - 7553
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 047045 -01 603-670 -7553 N
Corrections/Comments/Instructions: E /
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PASS PARTIAL APPROVAL ❑ CANCEL .❑ NO ACCESS
FAIL / n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: f Date: d-�o > Phone #: (503) 718- -2-41,8
. -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2007
' Phone: (503) 639 -4171 �dhYlt� ,ILL
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:0OAM PAGE: 29
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 - 670.7553
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 046963 -01 503 - 209 -1486 Y
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z3 —off Phone #: (503) 718- 7-945
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2007
Phone: (503) 639 -4171 4 p1i�Wl)i�i
• Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 11255 SW 78TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA- CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503 -670 -7553
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 046454 -01 503-734-8185 N
Corrections /Comments/ Instructions:
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El PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: it Date: —! 3 7 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 Ga
Inspection Requests (24 Hrs.): (503) 639 -4175 __IL "L .
INSPECTION WORKSHEET FOR DATE: 4/12/2007 TIME: 7:OOAM PAGE: 43
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA - CIMPAN
DESCRIPTION: Addition.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/12/2007 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 046380 -01 503 - 734 -8185 N
Corrections /Comments /Instructions: / )1
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n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'A Date:4 6'--- Ph #: (503) 718-
Inspector: o ? ( ) �