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Permit 1 , } ' : MASTER PERMIT CITY OF TIGARD PERMIT #: MST2008 -00115 COMMUNITY DEVELOPMENT DATE ISSUED: 1/20/2009 =TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC - 21600 SITE ADDRESS: 15629 SW 81ST AVE ZONING: R -12 SUBDIVISION: GAGE FOREST LOT: 023 JURISDICTION: TIG PROJECT: GAGE FOREST Project Description: New SF. BUILDING REISSUE: MS5BGR STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 974 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1 sf GARAGE: 431 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 2,376 sf 243,975.70 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL 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 A. STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC: • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # 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 TIMBERLAND HOMES INC TIMBERLAND HOMES INC laws. All work will be done in accordance with approved plans. This 12670 SW 68TH AVE 12670 SW 68TH AVE STE 300 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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- 620 -8860 Contact #: PRI 503 -620 -8860 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: L IC 141715 TOTAL FEES: $ 14,927.18 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 t t Issued By : Q� ���,� Per mittee Signature Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I -E i Building Permit Ap icate011 . f. < � a FO OFFICE I SEf01Ll r< "'"' i , e Cit of Tigard Received 2 P j l �� >t f +1 5� t • fall Blv!• i aru 1 i - < } a , ' 1! d Plan Review t �]� } J 71 - Phr)nc , tl, t39 Fax ' ; ��C'. 1 9 {,(1 J �� � ® r , r - (,'7 ,0Q I t )li I ra, "n^i� ('J01/(p ,E m'I'er I 1CC l I ' Il 1: • 9 ` T I GAtR Q' CI NI W Caki (A , / p i 11 tl — — TYPE OF WO — REt�1 IRED DATA: 1 -AND FAMILY DWELLING I ErNew construction ❑ Demolition Permit fees* are based on the value of the work performed 1 I Indicate the value (rounded to the nearest dollar) of all 1 ❑ Addition/alteration /replacement ❑ Other: equipment. materials, labor, overhead. and the profit for the work indi:;atted on this application. I CATEGORY OF CONSTRUCTION -- - -- -- Valuation: S 1- and 2- family dwelling ❑ Commercial /industrial • ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder CI Other: Number of bathrooms: ' 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 0 Job site address: L 5 t,,ae S ,) 61 e — New dwelling area: . 2? ) - - ) L square feet City /State /ZIP: Tic, p ('.) CYO-- 1722-4 Garage /carport area: H 3 I square feet Suite/bldg. /apt. no.: 1 Project name: G vt_C ( Covered porch area: f square feet Cross street/directions to job site: Deck area: — square feet Other structure area: — square feet I , REQUIRED DATA: COMMERCLYL -USE CHECKLIST Subdivision: C-)tl. q f i J - Lot no.: `: Permit fees* are based on the value of the work performed. � Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment. materials. labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. H Valuation: S H 5( LpL� t=erm f� . e cL -L ( (,) , cb �' n o I ! Existing building area: square feet I +�� r New building are:,: ----- . _ - - - -- square feet -- -- Er OWNER ❑ TENANT Number of stories: Name: Ti MA elk c) S ( &CC , Type of construction: Address: ( 2. 61c, Sc„) ( fs-vE Occupancy groups: City /State /ZIP: T t C, " 0 i a R. ' ? 223 Existing: Phone: ( )113 ) 1.20 • S6$ G. Q Fax: ( 3) 1$ . 1 ( New: E -APPLICANT ❑ CONTACT PERSON NOTICE Business name: • All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: CONTRACTOR Business name: t ^ BUILDING PERMIT FEES* Address: L' (Please refer to fee schedule Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): • CCB lic.: l4 ( Z k_r Total fees due upon application Amount received: Authorized signature[ C am/ 1J I This permit application expires if a permit is not obtained 1 Print name: ` ' �.. 5 D .. as_py I * within 180 days after it has been accepted as complete. V14� Fee methodology set by Tri- County Building Industry Service Board, IA Building V Permits \BUP- PermitApp.doc 03/ 440- 46/3T/ I I /02 / /COM /WEB) 1 'S ' - i • Electrical Permit Application s I 4 P - �ls' ai` r� ti F0124)FI '' .AAx .v#� 2 . s � � 41 5T I ' ? c S � ' NI.7} ; ; FC N r o ,ya - 4, Wite- Received >• :fir---,w14,--,,51 r T `J City Of Received Permit No.: d"O ,tom cv0 / . a DateDate/By: �W 1 lir "',q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: u ,. Phone: 503.639.4171 Fax: 503.598.1960 Date/B : 7 x'. �-- Inspection Line: 503.639.4175 Date Ready /By: luris: El See Page 2 for t sI „nc_r- �ttitt. tt;.�� Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 3 New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. �/ less to ground, or exceeds 14,000 ❑ Commercial -use agricultural L=J 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 ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 - ", � 100HP or more occupancy. Job no.: Job site address: ' �2 .SW si d1 ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: T ( ��� G . -� `•, -� o / CI Health-care facilities. ❑ Supply voltage for more than 7 " ! ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: (-t Pc C( -C '?-0 t ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I " . New residential single- or multi - family dwelling unit. Includes attached garage. / F _ J . _ 'r 1,000 sq. ft. or less 145.15 • 4 \ Subdivision: PC � ' � Lot no.: a� Ea. add'1 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK' (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) S (IV Cc ct, . C./k Services or feeders installation, alteration, and/or relocation ' . rr ( V • CO TA --( 200 amps or less 80.30 2 G - PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: T1/1/0)Cj -4j:.--/k2` I0 jtC I /4 C , 601 amps to 1,000 amps • 240.60 2 Address: l . o Z () 'ii (., p-v, ..r-F c0 Over 1,000 amps or volts 454.65 2 1-f7 ? Temporary services or feeders installation, alteration, and /or City /State /ZIP: (..1 , ci .7Z relocation Phone: ( ) (eZO _ 6 ( Fax: (5 ) 3 (G 8 I 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 • first branch circuit Address: ,...5-(A Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( 3 ) ( ‘2,(.1 - : 1 , ,k) Fax: : 073 ) S • n C ' 7 1 Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: `sE C� c. Signal panel, or limited - (iC l C C�Z'fZj i l f�� L energy panel, alteration, or Address: `1`] "7 ST) } 45 f} vC t c,1 extension. Describe: Paget 2 City/State /ZIP: (,,,J i j,56 vi LL,t T i ,� `n« V Each additional inspection over allowable in any of the above ( Per inspection 62.50 Phone: (5E7 ) 5 %(372) Fax (57)3 ) s j G - e'.(4 Investigation per hour (1 hr min) 62.50 CCB Lic.: tSit et Electrical Lic.: 3 Z-'-C. Suprv. Lic.:3C..S - 1 S' Industrial plant per hour 73.75 J ELECTRICAL PERMIT FEES Suprv. Electrician signature, required. . ;,/-u``� Subtotal: ( 0 Plan review (25% of permit fee): Print name: 9_,„,,, `01 '. ` Date: State surcharge (8% of permit fee): Authorized signature: , ) lntlN„ - �u/6 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: -ba21y t) v Date: '1 ^ days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615TO 1 /0S /COM/WEB I 1 . t , ' . ■ . ...I ' . Plumbing Permit Application -,P1;!=A 01(q0FEWIEWSU ONIA:',:' RN‘3:4i'l.V.l'AVUak pr,5 city of Tigard Received Penni t N iiin 5.72 c x) r / t k--r - 7. .; 'tall kiwi.. I igara. OR 0 t4 • `j'a -'': 03 . 630. 4171 tax : 5 (15.508 19:-.1 ; 1111 Date/B Phone: 5 v Plan Rei,itiv.i Other Pennii No .f.• '"' ..i A: : %ate/I ;fli: 7 i . . ., , , . ._ iii tiee Piii 4 t . ' N 1 fied:Mvti supplenietital ■ TYPE OF WORK I FEE' SCHEDULE 1 - - - --------- - : 1 New construction Li Demolition 1 r For special information use checklist - -1 i _i Description I ( -2D'. I La • r Tot . I 0 Addition/alteration/replacement CI Other: 1 I New 1- 2-family dwellings (includes 100 ft. for each utility connection I -I __. CATEGORY OF CONSTRUCTION 1 1 SFR ( 1 ) bath I 249 20J ---1 1 t_• . __________ -- E and 2-farnil dwelling 0 Commercial/industrial : 1 SFR (2) bath I 350.00 I 1- .1 • i SFR (3) bath : 399.00 C.1 Accessory building 0 Multi-family I Each additional bath/kitchen 45 00 1 D Master builder LI Other: . 1 - Fire sprinkler ( sq. ft.) i Page 2 I - -- JOB SITE INFORMATION AND LOCATION Site utilities I '- _ Job site address: Is- -.....) irtst Catch basin or area drain 1 16.60 I City/State/ZIP: -- i 1 CA ..A / Cr 1 17_24 Drywell leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: Project name: Manufactured home utilities 110 00 Cross street/directions to job site: • Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 • Storm sewer (no linear ft: ) Page 2 1 I 1 - ---, Water service (no linear ft.: . _ ) Page 2 I Subdivision: C A Lot no.: ( 3% Fixture or item I Tax map/parcel no.: --,--- .)-- ---I, Absorption valve c:1 16 60 I i 1 DESCRIPTION OF WORK 1 Backflow preventer T1 Page 2 1 1 Backwater valve 16.60 I H I i Clothes washer /\,( EUC) 3( tt Ct L f- FtYk c (-- r r •e C ,.., - ---t&IS, _ - ‘-. t _ 16.60 I -1--- _1 I Dishwasher i 6.60j I i 1 Drinking fountain 16.60 PROPERTY OWNER 0 TENANT Ejectors/sump 16.60 Name: --- t rvl.i6EL-Acic D t/�'C-'E S ( 1\-C C ' Expansion tank 16.60 Address: fl J, - i (3 S'(_ G. 8 T Ok 0,-,/e Fixture/sewer cap 16.60 City/State/ZIP: 7 Lc , p, i C.) K. 9. 223 Floor drain/floor sink/hub . 16.60 Phone: ( ) GRC) . ln G,C) F a x : ( 5 ) cl - C t C)c i Garbage disposal 16.60 Hose bib 16.60 a 1:1 CONTACT PERSON Ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: (• S ' A ) Medical gas (value: $ ) Page 2 Address: f • Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax: : ( ) Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR . Water closet 16.60 Business name: -1.,\,,_\_.vL,AN,b6-, - Water heater 16.60 ' Address: Other: . _ Subtotal City/State/ZIP: • Minimum permit fee: $72.50 Phone: (S ) q c --1 .... eD k Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lie no.: Plan review (25% of permit fee) . ' State surcharge (8% of permit fee) Wil 1 - Authorized signature:. l ap, 41 , TOTAL PERMIT FEE Print name: 3 '6FM• WI) Date:1 41---0% This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. I BuildingTelmits\PLM-PermitApp doc 0617006 440-4616T( I 0/02/COMJWF.B1 T i , ' . ■ I , , ri Mechanical Permit Application . r .g. 4.Neemac,,,, , luraR.Ractril s tl z s,,,,,Emmu.."4,4. 1 , .. 4 i,-,avaysi ow Mi City of Tigard i Received Permit No /97 d „,, (-2.,. Tigar. OR Cl722.=, ---: LI.D77_._ PO Plan Rev, e i .4' Phone: 503.630.417 I Fa..i. 503 5Q8 l R60 oili,i Peimi l Dater13. i- i ltc;'* - 461 Inspection I .i Ile 503.6:19 4 I 7.--', r Date Ready/By S e r', e1 i' ii Mo.'i Internet' ,,■, WW II L-1.ard-0 gi',v 1 l'1otiriedm•-..it 1 -iiiriplernehi-el lol'ormaiion - . WORX : • f‘f,:i1N1 ERCiAl. i- ill' SfHISOl.i..i-1 f-r___,..-- --------- . -I I- 1 i .vle:shanical pertnit fec-s* are bt or. tit-:: valti:.= li New construction lri Add it ion/alteration/replacement 1 . performed. Indicate the value (rounded to the nearest dollar) of all Ej Demolition [-_-,] Other: mechanical materials, equipment, labor, overhead, and profit $ CATEGORY OF CONSTRUCTION Value: RESIDENTIAL EQUIPMENT !SYSTEMS FEES" 31- and 2-family dwelling [1] Commercial/industrial ri Accessory building ---- i For spec-tat information use checklist. E] Multi-family Lj Master builder Li Other: • Description Qty. I Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling — Job site address: I c(s ?- .1.3 zri isr Air conditioning or heat pump 1 (requires site plan showing placement) 1 I 14.00 City/State/ZIP: 7 t c ,A-At.._0 ‘ 0- 0..._ 1 1 2_ 7._of . Furnace 100,000 BTU (ducts/vents) I 1 14.00 1 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Ct pr.c...E. F A-tri Gas heat pump 14.00 • I Cross street/directions to job site: Duct work L 4.00 • 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 1 - . 10 00 Subdivision: • ______ ' Flue/vent for any of above 1 Lot no.: (9 - , , , i_ , Other: . 1 1 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater I i 10.00 Gas fireplace . 10.00 --t • i Flue vent for water heater or gas I fire. lace I 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 Er OWNER ri TENANT Other , 10.00 Name: •T t EQ.L.A.i.CP ti (eLEC-- • Environmental exhaust and ventilation Range hood/other kitchen Address: ( - I 9 S (._,_) Gc6 MA et-ki E- equipment 10.00 — - City/State/ZIP: T(C A.4)....i) t e /1._ 41 1,,1 la- 3 Clothes dryer exhaust 10.00 — Single-duct exhaust (bathrooms, Phone: (S63 ) C, 2-0 . 43 SC. 0 Fax: (P i ) 5 • toilet compartments, utility rooms) 6.80 0 0 CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 • Business name: Fuel piping Contact name: -: -'' Furnace, S5.40 for first four; 51.00 for each additional Address: etc Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E-mail: Range • _ CONTRACTOR . Barbecue Clothes dryer (gas) Business name: C Prt 2._ tx.k......--- Other: Address: ? 0 stAK 4 MECHANICAL PERMIT FEES* City/State/ZIP: C...4_,A-U,L.I.crenA% I Subtotal Minimum permit fee ($72.50) Phone: ( SZ'3) ( • LI Oi Fax: ( ) Plan review (25% of permit fee) 1.....-_ CCB lie.: Lie..70,4-3-1-- / /e//oA 7 State surcharge (8% of permit fee) e i TOTAL PERMIT FEE Authorized signature • • This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Pr name: C i.1.0 - 4-1114■1 Vda-4-3 Date: -,-...,,_ . Fee methodology set by To -County Building industry Service Board I , Builciin , Permits\N■IEC-PermilApp.doc 04/06,06 . -140-0617T ( i 1.472/CONlitiVTB) I ... Building Division One & Two - Family Dwelling TIGARD Fees Checklist ;; PERIVII"!' INFO . Permit #: ch('2_00Q,. Vn(j ` i 5 Plan #: n) , Be, q Date: $ • I • C% Site Address: j s6, 9 SL. pi �-+ • Parcel #: Subdivision: o ��-,} Lot #: 2- Zoning: Jurisdiction:� Setbacks: Front: Rear: Left: Right: Class of Work: n J e. c.J Stories: 2 First Floor: Q 7 Type of Use: N": Height: 23 Second Floor: 1W Z Construction: G'J?> Floor Load: 50 Third Floor: Occupancy Group: 2 Dwelling Units: 1 Total Floors: 237 ( Valuation: 243)Cf5.70 Bedrooms: Basement:: ; e j ' Beaverton CET: Bathrooms: Garage: 3 4 Tig -Tual CET: ?371„. CDC) Decks: - eT Other: TVFR: /V Porches: Geo /Grading: FEES Descnption. Fee. Amount Amount.Paid . Balance Du e t Plan Check: Building: 92z.46 7) - 00 1 40 Extra Set: Permit: Building: . 4 L-f [ 8 Tax: V70 • � 9 Metro CET: 297 .77 School CET: 2 2, 7 ( . CJC Mechanical q() Tax: IO, B . Plumbing: 39 a • cad Tax: LET SR Electrical: 27 E. -- 7 S Tax: 33 • t45 Low Voltage: e Tax: Q CDC: CDC Ping. Rev.: ( d G CDC LRP Fee: 4G-00 SDC: Parks: b245 . (DO TIF Res.: 0.00 TIF MT: 50- ,• Erosion Permit: tot CG Erosion CWS: 2 P . ( O Erosion COT: 2.8 • (D b Water Quality: Z Water Quantity: SUB TOTAL: 14, g3 . (W _ ) 693 , 1e Sewer: Permit: Inspection: SUB- TOTAL: • TOTAL MST & SWR: I:\ Building \Forms \ResPlanCheckFees.doc 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) 1 17.90 SFR (3) bath J _ 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 - 1st 100' 55.00 Water heater q 10.00 Gas fireplace J 10.00 Footing drain each additional 100' 46.40 Flue vent (water heater /gas fireplace) 10.00 Manufactured home utilities . 110.00 Log lighter (gas) 10.00 Manholes 16.60 • 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' 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 10.00 Water service - each additional 100' 46.40 Future or Item :. Single duct exhaust Absorption valve 16.60 (bathrooms, toilet compartments, 9 Backflow preventer 27.55 utility rooms) 6.80 p Backwater valve 1 16.60 Attic /crawl space fans 10.00 Clothes washer 16.60 Other: 10.00 • Dishwasher 16.60 Fuel Piping. Drinking fountain 16.60 **($5.40 for first 4, $1.00 each additional) Furnace, etc. 1 ** 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 I ** Garbage disposal 1 16.60 Range 1 ** Hose bib 'D., 16.60 BBQ ** Ice maker l 16.60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other: ** Primer 16.60 Total: Roof drain (commercial) 16.60 Mechanical P.ermit.Fees. . Sink/basin /lavatory w / ll / L! ( 16.60 Subtotal: $ 9b SO Tub /shower /shower pan it 4 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) $ ( Water heater i 16.60 TOTAL PERMIT FEE $ Other: • Other: - - new residential ELECTRICAL FEES Plumbing Permit Fees residential) Subtotal $ 319 . cx--) Description . Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less 145.15 4 Plan Review (25% of Permit Fee) $ Ea. add'1 500 sq. ft. or portion L4 ' 33.40 1 State Surcharge (12% of Permit Fee) $ Limited energy, residential 1 75.00 2 TOTAL PERMIT FEE $ L Each manufactured or modular dwelling, service and /or feeder 90.90 2 Electrical Permit, ' Subtotal: $ 278. Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ 3?- . 45 TOTAL PERMIT FEE $ I: \ Buil ding \Forms \ResPlanCheckpees.doc 01 /19/07 Page 2 CITY OF TIGARD . BUILDING DIVISION PERMIT # 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: x.2,0 .01 Phone: (503) 639 -4171 " ,, i Inspection Requests (24 Hrs.): (503) 639 -4175 At INSPECTION WORKSHEET FOR DATE: LI' 3 ol oef TIME: PAGE: SITE ADDRESS: 15 62.4 51!3 $ 1 IAY • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 413010' Pour Time: Code # Inspection Description Confirm # Contact # Message 13S Vow voL1 Ay Corrections /Comments /Instructions: •i e 10% t\ F �— c3 - N66i 144,. o� ■ PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G.-• N ()ES l Date: ' ZO Phone #: (503) 718 MO • / `, y " Au 'rl1 r_Jjrj`J f 'i'/ i jrJj;/J J11 / � _Dig/ 1- , . .. r�'t��:� {:l i t C'C' C r .. „._, 4 --- „, 0 https:// ay.accela.com;•jetspeedr'portal 1 File Edit View Favorites Tools Help - ❑ L J - i Page ■ k Tools ■ ()■ iD, - CAP ID: ElS T2008 -00115 :-=:-.L1 [D? Menu 0 New !Cancel E Help FA Reschedule ' i +' Go To J (0) Documents (0) Fee (22) GIS (1) Hearings Inspections (25) MST Organization Owner (1) F.: (1 - ❑ Inspection Type Scheduled Scheduled Inspector Inspection Result Result Comment l; c < Date Time Date 11 ❑ 2:0 Fcurdati - ..a•:': 01/29/2009 12:00 Gary Noble 01./29/2009 FAIL 080095 -02 M 503... �1 l II ❑ I ii 2 Fcrti;'q 01129,/2009 12:00 Gary Noble 01/29/2009 FAIL 080095 01 503... i i ! • ❑ 2 : Fcui'dat!c;-. ,..v. 01/30/2009 12:00 Chip Barnett 01/30/2009 PASS 080154 -04 N '1 !I 503... :i . ❑ 11 rcc:;rq 01/30/2009 12:00 Chip Earnett 01/30/2009 PASS 080154 Q3 503... ii ❑ -- -- , ar',ta "r 02/02/2009 Rick Eclen 02/02/2009 PASS 080155 05 503... 1 ❑ 3 -0 _`c: d - a. 02/02/2009 Rick Bolen 02/02/2009 PASS 080165 -05 ' 503... i - iq ❑ - -- , 3' �a;r Ya + 02/02/2009 Rick Bolen 02/02/2009 PASS 080165 04 503... ❑ i ',.',.ace �_ 02/03/2009 Rick Bolen 02/03/2009 PART 030220 -04 — 503... , ! it ❑ 3 :0 _ �� - a., ==- 02/03/2009 Rick Bolen 02/03/2009 PASS 080220 -03 — 503... ;i _-' li ❑ 6.3 - :ean, met: ' - a;':ca 02/18/2009 Chip Earnett 02/18/2009 FAIL 080600 -03 ", 503... i? ❑ 315 ='e_t'i bean- clu.m_,;: 02.18/2009 Rick Bolen 02/18/2009 PASS 080578 -02 — 503... — ❑ 225 =cst`beam st - ai 02/18/2009 Chip Earnett 02/18/2009 FAIL 080600 -04 N 503... ❑ c_t'bearn r .,_ = _,_ r n ca 02/19/2009 Chip Earnett 02/19/2009 PASS 030639 -04 503... ❑ ;:_ =cst.' ear? =ciumb :z 02/19/2009 Rick Bolen 02/19/2009 PASS 080638 -02 -, 503... ❑ 22: =e:t:j_ram _..c_. -ai 02/19/2009 Chip Earnett 02/19/2009 PASS 030639 -03 N 503... ❑ 233 rhea '.•.al;_'a cr °: 03/10/2009 12:00 Chip Earnett 03/10/2009 FAIL 25 No approved ... 0 ❑ 2 -G E>: e- c' she.;?..- .•4 03/11/2009 12:00 Chip Barnett 03/11/2009 PASS 0 ❑ 235 rhea- al. :'a: -: 03/11/2009 12:00 Chip Barnett 03/11/2009 PASS As Per approved... 0 ❑ 2=2 Interior s-=a .,a': 03/11/2009 12:00 Chip Earnett 03/11/2009 PASS Note: cdx used .,. 0 ❑ 320 : :lu ntir'q - c3uq' -lr. 03/12/2009 12:00 Rick Bolen 03/12/2009 FAIL NOTE: No elect... 0 : ( ) T 6) Intern ` +:100% j 4 +Y' Inbox Microsoft .. � -___ .._ _�_ €�i a 12:01 PM ( •L'Irt'ti i LI i. i ti tif6 - 7111dt '; .ifi *5 :ri ,._. :i , ` - ±-:•_; ,. . Th proia,.- - f° _ .,. 1,, IL:21-1 Aft https://ay.accela.corn.ljetspeed.i portal X , :::! - P : - , --------- - ----- File Edit View Favorites Tools Help 'dk - 0 cRfn - ai Page ■ ,. .0. Tools ■ O■ L .3 — CAP ID: NI ST2008-00115 . _ -7,... PM' i Menu 0 J a Cancel al-) I Reschedule -) Help , ..E.-.= 1 4.: Go To . 2j (0) Documents (0) Fee (22) GIS (1) Hearings Inspections (25) MST Organization Owner (1) Parcel (1) ' Pe E - I= ..= E4— 01 4 1 2 ii frt.1 --2, = =.... ,-::- u , Inspection Tvoe Scheduled Scheduled Inspector Inspection Result Result Comment F -i - . Date Time Date - 72 .....=_ _—_-_ ' 0 32i: l'iumbirq rc u - !r 03117/2009 12:00 Rick Bolen 03/17/2009 PASS 0 -_-_-----=. - --. 11 L2 cv • -- cuc41 - -in 04/17/2009 12:00 Gary Noble 0/17/2009 PASS 0 04/17/2009 12:00 Gary Ncble 04/17/2009 PASS 0 Gas Lire. 04/24/2009 12:00 Rick Bolen 04/24/2009 PASS 0 0 12:00 Gary Ncble 0 PASS 0 ot . . „, L.. , . . 1 . . . Reports ---.---_------.; !: ).- mv Reports - ..... - ... - - --- 1 I. It-Case Specific Permits -- -----1 - ' )Cashier Po-Export IAFS Payment ... P. - Permit Activity .1,i >-Inspections To Po-Standard Repots - i , i -=..-.=-. -__-- L ...;: ---, _.-=. --=_,-, =-..- = Done it ) i la) ' i ., e Internet (+: 100% - .. _ '....;,,,- - ,a i - • ::::5 1 ,',- In box - Microsoft ... [ 1 6 0-, r (Amato... - (1 V tilt 0 WCif" 1201 PM ,:. _ -----. -1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2008 OOi`i5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/.20/2009 Phone: (503) 639 -4171 , � F :�I�It Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7 :01AM PAGE: 17 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: on 3 TYPE OF USE: PROJECT NAME: ()AGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC., PHONE #: 503-620-8860 CONTRACTOR: TIMF3ERI.AND HOMES INC PHONE #: f;03- 620 -8660 Inspection Request Scheduled For: Date: 2/191 2009 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 225 Post/beam structural 080639-03 603- 620 -8860 11. Corrections /Comments/ Instructions: b P AS / PA RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL M/ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 Inspector: Date: Z v Phone #: (503) 718 - Z-C CITY OF TIGARD BUILDING DIVISION PERMIT #: M' T2(l0'� 00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2009 Phone: (503) 639 -4171 A r 'f( I Il,, Inspection Requests (24 Hrs.): (503) 639 -4175 �- INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7 :01AM PAGE: 16 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: (3A(3F FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -8860 Inspection Request Scheduled For: Date: 2119/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post /beam mechanical 080639-04 503.620 -8860 N Corrections /Comments /Instructions: /� PA %� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL � FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , 7 Inspector: -` — Date: 447_ Phone #: (503) 718- ZC 7 Ir CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2005 Phone: (503) 639 -4171 ,, 11� I�I Inspection Requests (24 Hrs.): (503) 639 -4175 ...._..!+� �__.. INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7 :0OAM PAGE: 14 SITE ADDRESS: 156.2.9 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 013 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. • OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 - 8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 620 - 8060 Inspection Request Scheduled For: Date: 2.118/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 080600 -04 503-620-01360 N Corrections /Comments/ Instructions: 4 0 — 1 ----- g-t-i — i_ -/ . ❑ PASS /j PA RTIAL APPROVAL El CANCEL ❑ NO ACCESS O k j J r ALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED .,.._____ Inspector: Date: f p Phone #: (503) 718 - Z'/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST'70f)?� 001'15 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2009 Phone: (503) 639 -4171 A ' 1' Inspection Requests (24 Hrs.): (503) 639 -4175 ' !+� "�I _ I ,. INSPECTION WORKSHEET FOR DATE: 2/02009 TIME: 7 :0OAM PAGE: 15 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: ()AGE FOREST DESCRIPTION: New SF OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 5036 20-8860 Inspection Request Scheduled For: Date: 21/812009 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Pow:t/bearn mechanical 080600.03 603- 620.8860 N Corrections /Comments/ Instructions: I\16 R. c t, Y ❑ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ott* • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J uir . Date: r 3 0 7 Phone #: (503) 718- 2C `' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200e -00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/20()9 Phone: (503) 639 -4171 emu •G Inspection Requests (24 Hrs.): (503) 639 -4175 s' ^'I L. INSPECTION WORKSHEET FOR DATE: 1/30/7009 TIME: 7 :06Am PAGE: 7 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FORF_ ST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE: FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620 -0860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503620 - 8860 Inspection Request Scheduled For: Date: 1/30/2009 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 080154 -04 503.620 -8860 N Corrections /Comments /Instruction : Al: 1.-Z / _.:1 /P 1 ( c (T t-t )'/ ..L._, 7- ri PAS T1 PARTIAL APPROVAL 1:1 CANCEL 111 NO ACCESS • WI" // C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 ` Phone #: (503) 718 - 1-1 V In p S ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 200&OOt t5 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/20/2009 Phone: (503) 639 -4171 /emu A � 1 Inspection Requests (24 Hrs.): (503) 639 -4175 4 71 1. INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7 :06AM PAGE: 8 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LO ,: • TYPE OF USE: PROJECT NAME: (AGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620- 13860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620-8860 Inspection Request Scheduled For: Date: 1/30/2009 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 080154••03 503 -620 -8850 N Corrections /Comments /Instruction • , 4 1 z U t r - -'.. 03 C -6 /AA /1-- o9Z i • w, PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: - g."7 9 / 19 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: Mmrz008- 00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20'1009 Phone: (503) 639 - 4171 A � Inspection Requests (24 Hrs.): (503) 639 -4175 �' 1 !. INSPECTION WORKSHEET FOR DATE: 1/29/2009 TIME: 7:O1AM PAGE: 29 SITE ADDRESS: 15629 SW 31ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FORE ST DESCRIPTION: Now t3F. OWNER: TIMBERLAND HOMES INC, PHONE #: 5n620-9860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603.620 Inspection Request Scheduled For: Date: 1/29/2009 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing / \ 009 1 0 \ 1 503-620-8860 ALT op.%5 Corrections /Comments /Instructions: N----i I 1 1 Wb UM C,6a♦ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V i FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • N68 8 Date: 1 ` 2-fl — 1 Phone #: (503) 718- 1 l CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00116 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2M Phone: (503) 639-4171 A ,_.rl Inspection Requests (24 Hrs.): (503) 639-4175 "LL INSPECTION WORKSHEET FOR DATE: •/29/2009 TIME: 7:01AM PAGE: 28 I SITE ADDRESS: 16629 SW 81ST AVE CLASS OF WORK: . SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: N erd sF . OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603-620-8860 Inspection Request Scheduled For: Date: 1/29/2009 Pour Time: 12 Code # Inspection Description C onfirm # Contact # Message 210 Foundation walls 1 503-620-88160 N \ j Corrections/Comments/Instructions: \ Nto 21.0 cAya I ,ill -ASS fl PARTIAL APPROVAL EI CANCEL 0 NO ACCESS 47 FAI , CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED I Inspector: 5r N Date: 1-li1- 7 Phone #: (503) 718- l i i ,, . CITY OF TIGARD -- cl BUILDING DIVISION / PERMIT #: Mme 720011, -001 i5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1i20 /:) L Phone: (503) 639 - 4171 ViliCt' 0 In spection Requests (24 Hrs.): (503) 639 -4175 .._.. INSPECTION WORKSHEET FOR DATE: 2!19!2009 TIME: 7 :01AM PAGE: 20 SITE ADDRESS: 16629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: CAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. i OWNER: TIMBERLAND HOMES INC, PHONE #: )3- 620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.8860 Inspection Request Scheduled For: Date: 7/19/2008 Pour Time: P i i 7 ii �S4Y Code # Inspection Description Confirm # Contact # Mes b b l 1 316 Post /beam plumbing 080638-02 603-620-8860 Y (,fit tom' W( Corrections /Comments/ Instructions: 11 ■1 PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1�� (�' �_ Date /' �/� Phone #: (503) 718- °� 1 CITY OF TIGARD • < / 410,. BUILDING DIVISION on PERMIT #: MST2008 -00 15 13125 SW Hall Blvd., Tigard, OR 97223 Q / ,/ ATE ISSUED: ') 2(109 Phone: (503) 639 -4171 /l � Inspection Requests (24 Hrs.): (503) 639 -4175 s� °'I� © %` Q mo d INSPECTION WORKSHEET FOR DATE: 2}1(302009 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: (123 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF OWNER: TIMBERLAND HOMES INC, PHONE #: 503. 620 -0860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -8860 Inspection Request Scheduled For: Date: 311807009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post /beam plumbing 0805713.02 503- 620.8860 N Corrections /Comments/ Instructions: *LILO -- 1 1 I 7J\ c-/J p /AA s- . 6 4 .,_4,' ,i AL-__Q ( A-/ 0 , • PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` " Date: =/I0 Phone #: (503) 718 - -1 LI CITY OF TIGARD _� BUILDING DIVISION f) P ERMIT # MST7008. 00115 13125 SW Hall Blvd., Tigard, OR 97223 /3 1 DATE ISSUED: 1) 0) .— Phone: (503) 639 - 4171 ,, 11 v e a Inspection Requests (24 Hrs.): (503) 639 -4175 "'_I I �� 1 INSPECTION WORKSHEET FOR DATE: 2/3t2009 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 15829 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 6O3-G20 -0860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 2/3/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 080220 -04 503.620 -8860 N Corrections /Comments/ Instructions: //) b()i ili e( -' A/Q 7 ie-S f r_. Ie �s - I if-t-LJ--.. / lid X 5 . j_1(J tAAT .s ? 7 Z`1/ r P a c-e- - ( ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p �' 3 � 6 c ) Inspector: �� Date: Ph on e #: 503 718- 4 CITY OF TIGARD f; BUILDING DIVISION #: M T200R•05 13125 SW Hall Blvd., Tigard, OR 97223 D DATE 'UED: 1/20/243 rY f311 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.%2111V �� I INSPECTION WORKSHEET FOR DATE: 22/3/2009 TIME: 7:OOAM PAGE: 15 SITE ADDRESS: 15623 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: C3AGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620 -3860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620 -88613 Inspection Request Scheduled For: Date: 2/3 /2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 000220 -03 503- 62.0 -8860 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ✓ Date 6 1 Phone #: (503) / p � ) 718 - CITY OF TIGARD BUILDING DIVISION yi PERMIT #: MS'T2pq(.0 {al 13125 SW Hall Blvd., Tigard, OR 97223 ) 7 3, DATE ISSUE 1/Of200 Phone: (503) 639 - 4171 hodm ....41,1 A. Inspection Requests (24 Hrs.): (503) 639 -4175 — 1J, INSPECTION WORKSHEET FOR DATE: 2.12/2009 TIME: 7:00Am PAGE: 13 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF, OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620.8660 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 2/2/ ?009 Pour Time: Code # Inspection Description Confirm # Contact # Me . - ge ( t Of/ f,05 Sanitary sewer 080165.06 503 620-8860 Y Ul Corrections /Com ents /Instructions: h Lam' A--s ea-rta-le. b 3 1 7" v. - 1-to PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ZA■ Date:V Phone #: (503) 718- W7'41 CITY OF TIGARD - c BUILDING DIVISION vi P ER MIT ISSUED: #: MS 13125 SW Hall Blvd., Tigard, OR 97223 1 /� DATE 1/2 209 Phone: (503) 639 -4171 A '■ . ,.�I . I �N7 Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 2/2/2009 TIME: 7 :00AM PAGE: 14 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 620 - 8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.13860 Inspection Request Scheduled For: Date: 2/2/200.9 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storrs drain 000165 05 503-620-8860 Y Corrections /Co ments/Instructions• -4-, u...L.-k. –s a 3 4 — at__ 1 1 1 1 !' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I 14:v(,,___ I Inspector: Date: V Phone #: (503) 718- �( CITY OF TIGARD • BUILDING DIVISION / PERMIT #: M ST2008 -001 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2t/2(10 Phone: (503) 639 -4171 • l�l Inspection Requests (24 Hrs.): (503) 639 -4175 '` ' / INSPECTION WORKSHEET FOR DATE: 212/2009 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 15629 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 023 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: Now SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 71712009 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 080165-04 503 -6 20 -8860 Y Corrections /Comments /Instructions: `mil C4 ---- A----. ES " A • Loo n ,i,i4% 4 ki--a:-6/.- s a 3 44 -- al(if PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "t/ (, `, Date:V / Phone #: (503) 718- CITY OF TIGARD ry16 I r oo _ 3O t i BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 i re jm� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1 /1 /Qg TIME: PAGE: SITE ADDRESS: ) 5 1, W Is 6 - . CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: � CONTRACTOR: PHONE #: � U o I (.(7 / / 0 Inspection Request Scheduled For: Date: Pour Time: V{ ® 0 A0A' Code # Inspection Description Confirm # Contact # Message 24 PIP 1661 6 / <-; cl-Q.0 IL 003g07 — 6 2 Corrections /Comments /Instructions: Ai lf,/ PASS n PARTIAL APPROVAL Li CANCEL n NO ACCESS /n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 - /_- — - Date: 7 Phone #: (503) 718- , Z 01 - oo I l5 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Si P.{/ e 1 vutim 111A46,1d, contractor or the owner- builder J at the following address: Site Address: s� City: � i , 1 a ,,K6 Permit #: /45r e2 CO ' .00/ S te ' . Subdivision/Lot #: ✓e dr qe-2-94 and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by d r eight of dry .-.1 ,'ng members. Signature: Date: )1' 0 0 q Genera, ' tra •, 0' er- Builder l:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: at S � vL00 Fl -0 / / S Jurisdiction: �! 4,Y1-- 9 Site Address: � a- 9 Se-c.) 8 Subdivision/Lot #: VG s - i - a"-j and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent s r a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Reside' . 1 Specialty N1107.2)' Signature: Date: 11 • (1 O General Toni 7 tor/Authorized Agent Print Name: j i D,e, %tOt P vh t < v� c . ' ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I: \ Building\ Forms \RES- HighEfciencyLighting.doc 07/01/08 STREET TREE CERTIFICATION Q 1, Bypiao,r, Owner/Agent i I wt (fey 1 d T�rn.e� for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation. ADDRESS: / S' 9 S SUBDIVISION: 0 ' 6 LOT: ,23 SIGNATURE: A. • ` DATE: 01- I • o 9 7 \JER /AGE1\T) RECEIVED BY: DATE: (CITY OF TIGARD) I: \Building \Forms \StreetTreeCertificate 01/19/07