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Permit
'1 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 IR S I N • - . I ' 7 .: .. T I GARD June 25, 2008 Michal Kaszubowski 14534 SW 82n Ave. Tigard, OR 97224 Re: Permit No. MST2007 -00132 Dear Mr. Kaszubowski: The City of Tigard has processed a refund for overpayment of permit fees on the above . referenced permit for the following: Site Address: 14534 SW 82n Ave. Project Name: Kaszubowski Job No.: N/A Refund: ❑ Check # in the amount of $ . ® Credit card "return" receipt in the amount of $240.00. ❑ Trust account "deposit" receipt in the amount of $ . Notes: Refund overpayment of TIF- Resident fee. • If you have any questions please contact me at 503.718.2430. Sincerely, , i) . F . , 4 Dianna Howse Building Division Services Coordinator Enc. 4lgr1/08 4U0 7a- CuSTo'it/i G4z..66 Td s/ '1_,94,-e-----Al 7-44.9-7 E Cc �9-e u1 &- /1, 3o '7 ,'it 77/-e" f2ET-u • , 6 was c co r ebb. , -Z / E-12. OW - ✓/ a e,"7 7/1-E ean/F'i 6 77/4¢7 7 .7 s 70n/ Iv es sre771 6 il 4teeE-PrE-4 ay 771-8 de s /SC cc' i 199-N/c . .7 eon) 7 9-erE2) nesraMER, TD In1FoR./9 ,9 7. A A/6 Ea 7V 49.-C.K. /f1S CC de-A./k- 7 /LE7ir A/4 7 '10. - el. etcs77 CD-ii ,a "1E 71/7 r .94c 6iv -Li•,e I:\ Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07 .r7791 7 cf4 Zy0 . i5:7 Phone: 503.639.4171 • Fax: 503.684.7297 • www. gard o gov • TTY Relay: 503.684.2772 i U City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request forPermit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Michal Kaszubowski DATE: 6/12/08 14534 SW 82n Ave Tigard, OR 97224 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -3953 Case #: MST2007 -00132 Date: 8/28/07 Address /Parcel: 14534 SW 82 ^d Ave Pay Method: Credit Card Project Name: Kaszubowski EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: (BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [TIF -R] TIF Resident 210- 0000 - 448001 $240.00 TOTAL REFUND: $240.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager !% f t;=' If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I x/..23 /01 By: 1: \Building \Refunds \RefundRequest.doc 05/23/07 -_,. CITY OF TIGARD 6/24/2008 , irl 13125 SW flan Blvd. 4:22:10PM Tigard, OR 97223 5(13.639.4171 T-I GARD Refund Receipt #: 27200800000000002236 26. -1 . / Eies't Date: 06/24/2008 Line Items: • Case No Tran Code Description Revenue Account No Amount Paid MST2007 - 00132 Reversal - [TIF - R] TIF Residen 210 0000 - 448001 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal MICHAL 021333 In Person (240.00) KASZUBOWSKI- KOWSER LLC Refund Total: ($240.00) II ,,� Q N O 0 ai .,... . a+ O� • Q) tIc W y V i 4) .x uj • G O v O a v. • 0 Q x N 0 x 124 u F a V h % ' 2 o a % v o .k . � a y 1 I a orb �x O ( h N M w r U. W . 1 � 8 \.%4 Q+ *t y x V .d 9J 5 a °' N \ u u• Z-40 A a: o i . v i C la A H o hi a o w a; a cR,:cripi.rpt lie I of I rir CITY OF TIGARD 6/11/2008 ' 13125 SW Flail Blvd. 12:23:52PM .. Tigard, OR 97723 503.639.4171 TIGARD' Receipt #: 27200700000000003953 eie /(- ...,,1/..,.___ Date: 08/28/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00132 [CDCPLN] CDC Pln Rev 100 -0000- 433060 46.00 MST2007 -00132 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00132 [BUILD] Bldg Permit 245- 0000 - 432000 1,594.46 MST2007 -00 1 3 2 [METCET] Metro Const Excise Tx 245- 0000 - 229202 342.88 MST2007 -00132 [PKSDC] SF Park SDC 270 - 0000 - 450000 4,812.00 MST2007 -00132 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 — MST2007 -00132 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00132 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00132 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 28.60 MST2007 -00132 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 MST2007 -00132 [WQUAL] Water Quality 520- 0000 - 445002 225.00 MST2007-00 I 32 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 Line Item Total: $10,886.54 Payments: Method Payer User ID Acct. /Check No. Approval No. liow Received Amount Paid CreditCard MICHAL KASZUBOWSKI - DEB 021333 In Person 10,886.54 KOWSER LLC Payment Total: $10,886.54 • :Re 'ipi.rpl I'a_c 1 of 1 71 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DATE ED; 8/28/2007 - 00132 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BC -01400 SITE ADDRESS: 14534 SW 82ND AVE ZONING: R - 4.5 SUBDIVISION: DURHAM ACRES LOT: 070 JURISDICTION: TIG PROJECT: KASZUBOWSKI Project Description: New SF BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1,210 sf BASEMENT: of LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,566 sf GARAGE: 595 of FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 2,776 sf 285,730.25 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 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: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 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 MICHAL KASZUBOWSKI OWNER laws. All work will be done in accordance with approved plans. This 14534 SW 82ND AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 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 - 560 - 0700 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 12,997.28 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issue Cp y : ■Li l i' iL -./...A__' - i Permittee Signature :X !� 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. . �� Construction Contractors Board Permit #: K 1 49 l3a., ,� ,� 700 Summer St NE Suite 300 4ddt,e - . j I9 a� 5 PO Bog 14140 + r 09 Salem OR 973-5052 t7 7 �.,.,.•" Issu d by Date: Phone: 503- 378-4621 � 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: /[g' 1. I own, reside in, or will reside in the completed structure. 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 4 8 / 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 Propert ners about Construction Responsibilities on the reverse side of this form. ? (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) • Property_owner.doc 06 -01 -04 ; Acting as-You-rOwn General Contractor? • 7 } INFORMATION NOTICE TO PROPERTY OWNERS • ABOUT CONSTRUCTION RESPONSIBILITIES - . = • 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 incometaxes 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 purposes 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' Compensation 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 froth employees' wages 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.irs.gov. Othe 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 agentto 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 Building Permit Application ' Residential R ECFflE FOR OFFICE USE ONLY City of Tigard Permit No.: MS 00132 • 13125 SW Hall Blvd., Tigard, OR 97223 JUL 1 7 2007 Date/By: v Plan Revie C P P hone: 503.639.4171 Fax: 503.598.1960 Date/B : ■ • • � • / __ �. Other Permit � to — TI G A R D Inspection Line: 503.639.4175 CITY C. 'j' y D Date Ready :y: tuis� HI See Page 2 for Internet: www.tigard - or.gov BUILDIN1�'.". DIVISIO'' Notified/Method: / I 6-- Supplemental Information TYPE OF WORK tJ REQUIRED DATA: 1- AND 2- FAMILY DWELLING 14 New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. j ii 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ Li ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: / 1 453 L ( &Co 82,1 el f .I./v New dwelling area: 2,70 square feet City /State /ZIP: 7�7� CV Q 7&2JI Garage /carport area: 5 q 2 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Ana »Gz- a t Deck area: square feet Other structure area: A) 1m square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: &Ir ick_ it h6 S 1 Q /� . I Lot no.: /1/a Permit fees* are based on the value of the work performed. Tax map /parcel no.: d r Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the /) DESCRIPTION OF WORK work indicated on this application. ,/e64) sore . `n/+ , ton - $ 'sting building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT of stories: i iG /'QJ'2,t,�Qzc�S Name: Er ,\ Type of construction: _ Address: rt &( G,91/ , V' Occupancy groups: City/State/ZIP: TT q Ord , O e Ir 7 3s1 rk ` Existing: �7"� Phone: ( ) ,S , c,7 Fax: ( ) ` New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board /� ,Q under ORS 701 and may be required to be licensed in the Address: Saw' c f J v jurisdiction in which work is being performed. If the City/State /ZIP: �/" applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) VC43 ne. ' Q . 8C14-16(e-r— E -mail: v CONTRACTOR Business name: D conpjr — &/ do Y /730 BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained X within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits\BUP -RES PermitApp.doc 02/23/07 440- 613T(l 1/02 /COM/WEB) • Building Permit Application Checklist i , One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard R, i Received Permit No.: 1 1111 • 1 3125 SW Hall Blvd., Tigard,., 013_97223 • • Associated ' - • Ass ocia t k ociated permits: C Phone: 503.639.4171 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity _ . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the •roject under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BUP- RES- PermilApp.doc 03/21/06 440- 4613T(I1 /02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY ' CI of Ti and Received permit No.: �r g RcE ,9 , - r e i : y: �� • 13125 SW Hall Blvd., Tigard, OR 97223 Ad •t., -i' er ' 7. D ate/By: Review —'i' i, Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: TI C A It D Inspection Line: 503.639 JUL 1 7 200' Date Ready/By: JcnsTl /� Ill See Page 2 for Internet: www.tigard - or.gov Notified/Method: 11(7 Supplemental Information CI G _ i C ii:i4i i' TYPE OF WORK BUILUINe DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST -New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* %.1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling 3 cJ� nc � L Air conditioning or heat pump Job site address: / y3 (requires site plan showing placement) 14.00 City /State /ZIP: 7 cie Q7 zaq Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: s Gas heat pump 14.00 Cross street/directions to job site: --176;c4- Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), r / l `tO in -wall, in -duct, suspended, etc. 14.00 Subdivision: r� l c a �'` c 0 4 Lot no.: � Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 �P/ Gas fireplace 10.00 � Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 V.PROPERTY OWNER I ❑ TENANT Chimney /liner /Flue/vent 10.00 Other: 10.00 Name: Rid/20f X'asztAbactlicr Environmental exhaust and ventilation Address: /pc) 3 6 9/ Range hood/other kitchen v equipment 10.00 City /State /ZIP: 1 � 7 O Q' 72 / Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)5 0-70 Fax: ( ) toilet compartments, utility rooms) 6.80 �] APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 / Other: 10.00 Business name: ///��� Fuel piping Contact name: .S(�b" c i, , / � CAS c2 5.40 for first CJ /n - $ four; $1.00 for each additional Address: " (((,,,((( ✓ ✓ ✓ Furnace, etc. Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax :: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: O.c5 ._ b Ac. /780 Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) ( ) Minimum permit fee ($72.50) Fax: Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application after it h a s been accepted as complete. obtained within 180 Print name: r, �� " Date: 7 `1) * Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440- 4617T(I1/02/COM/WEB) • Mechanical Permit Application - City of Tigard , Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. l:\ Buildin \Permits\MEC- PermitApp.doc 01/19/07 2 Electrical Permit Application , FOR OFFICE USE ONLY • © N ` ! � . 2c ei /B ved :.� : ' City of Tigard IZ ' ` s . W .. a r� ate , Permit No.: r i, 13125 SW Hall Blvd., Tigard, OR 97223 JUL 1 7 Plan Review I I Phone: 503.639.4171 Fax: 503.598.1960 2007 Date/By: Other Permit: T I G A IZ D Inspection Line: 503.639 Date Ready Ju"i -16 ® See Page 2 for Internet: www.tigard - or.gov Cl r (i ... i.d, :A 1V Notified/Method: I Supplemental Information TYPE OF WORPU'W Nu DIVISION PLAN REVIEW "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 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: Job site address: IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • 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 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) i Q' , , SF/? Limited energy, multi-family 75.00 2 .e J 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: fike"hai Ce2.12.14, LW krkr 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: po I✓ti 2,369 1 / Over 1,000 amps or volts 454.65 2 City/State /ZIP: / (Lf^d i Q R Q 7 Z$ ( Temporary services or feeders installation, alteration, and/or relocation Phone: () reZ —076O Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or e ge, according to ORS 447, 449, 670, an 701. 401 amps to 599 amps 133.75 2 �/J -- 7 / 7 Branch circuits — new, alteration, or extension, per panel Owner signature: f�'/i C Date: G A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: 661-)e without service or feeder fee, 46.85 2 �S � first branch circuit Address: Each add'I branch circuit 6.65 2 (((��J Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: /n��' � (U //'' �t` /713/9 / Signal circuit(s) or limited - c� energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ' ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 4404615T(I1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential iyitems combined $75.00 • Check Type of Work Involved: ---{±Audio and Stereo Systems* 111 Burglar Alarm . • [Garage Door Opener* ' Heating, Ventilation and Air Conditioning System* --Ef• Vacimm Systems* • =• Other: CAT 5 c A e i 7 ;". C9MMERCIALWORK.ONLY: Fee for each commercial ' $75.00 system (SEE OAR 918-260-260) • . Check Type of Work Involved: 111 Audio and Stereo Systems Boiler Controls • • ▪ Clock Systems • f • Data Telecommunication Installation . • 111 Fire Alarm Installation • 111 HVAC 111 Instrumentation LI Intercom and Paging Systems • Landscape Irrigation Control* LI Medical 111 Nurse Calls , . • • Outdoor Landscape Lighting* LII Protective Signaling 111 Other • Total number of commercial systems *No licenses are required. Licenses are required for all other installations I \Building \Permits \ELC-PermitApp doc 03/23/06 . • , , Plumbing Permit Application Building Fixtures., F FOR OFFICE USE ONLY City of Tigard R Received Permit No.: L 3 NI • 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: / �/ ^��� C Phone: 503.639.4171 Fax: 503.598.19,4 i L 1 7 2007 Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Read B TIGARD .-. ^ .• 1) Ready /By: Iles ®S Internet: www.tigard- or.gov Lit: '_.' ' • " �, Notified/Method: Supplemental Information TYPE OF WO q; °FINN" Lis ° iv FEE* SCHEDULE czNew construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 $.I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AM) LOCATION Site utilities Job site address: �l j 5/ Ape. ` 12,a Catch basin or area drain 16.60 City/State /ZIP: 7 / , n e_ Q722)-{ Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: _ t. (�� Manholes 16.60 t / ( - f�-�-r • Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 � , Storm sewer (no. linear ft.: ) Page 2 Subdivision: , �-Q p �h t1 no c c .: I Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: 'U Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 2e f • S f,e. Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: ! r' f .. 0 * Expansion tank 16.60 Address: O ox a. 6,9 Fixture /sewer cap 16.60 City /State/ZIP: 7 OE 7 Z l Floor drain/floor sink/hub 16.60 Phone: (5V3) - 07j Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Q� Medical gas (value: $ ) Page 2 S ' apra 7 asocp e ..... _ Address: t��Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: J- - b d e /7�V Water heater 16.60 Address: 6 Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:�� r Date: T his 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. 1:\Building\Permits\PLMF- PermitApp.doc 12/27/06 440 -4616T(l0 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qtr. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is\ Building \Permits\PLM- PermitApp_doc 12/27/06 RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: MST2007 -00132 Site Address: 14534 SW 82nd Ave. Subdivision: Lot No.: Contact Name: Michal Kaszubowski Business: P.O. Box 23694 Street: City: Tigard State: OR Zip: 97281 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. ❑ The application is complete. ▪ The application is incomplete for the following reason: �^(le�h / Plu.rnbinc, and FIeC;� �c�1 G 1 CC'�� O� 5 n o 03� LQ �l-e l fill Poi OLt f. ® The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. ❑ The submitted plans cannot be reviewed until the above information has been submitted and /or approved. ❑ The plans are deemed "simple ". ® The plans are deemed "complex ". 7/18/07 Loraine Williams Date Plans Examiner 503.718.2708 loraine @tigard - or.gov I: \Buil ding\ Forms \RES- PermitAppRevw -LW -P.doc 1 /18/07 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8128/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/1 /2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL. PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 069187-01 503 -560 -0700 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CR > � � Date: Si I I o ri Phone #: (503) 718- CITY OF TIGARD .. A . BUILDING DIVISION . PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8128/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2912008 TIME: 1:00AM PAGE: 8 SITE ADDRESS: 14534 SW 82ND AVE_ CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KAS7_UC3OWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/29!2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 069025 -01 503 -660 -0700 Y Corrections /Comments /Instructions: C°`V1 o✓ PLij UN ti‘ r et1•- (1) va1u D r A o f N T Pr r to 2� 1...J-0,-- M ad - 4 {) ,rest 22Ivv,\ ++4 ; s pci PVe-isop ►Jo 4- i w M �., ,,1 ..--� P�, s J - Tu L 1 Vz-A s r le gOP 12.0 s�.cj,nc4_., . _SA", 1 S ip - "AA, IAv L' Tfl 1-a 1 Lam. L S e , t '1 c3., .91-- a,1 1. S42 ov j a-- �� I A- ► Co , , c- - Li ; c‘ t N. �>✓ �� l S % L✓ Co v e✓, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CrD AA — Date:qpP J 6 ? Phone #: (503) 718- CITY OF TIGARD . .. A . BUILDING DIVISION PERMIT #: MST2007 -001 32 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/28/2007 Phone: (503) 639 -4171 I m �i�'I Inspection Requests (24 Hrs.): (503) 639 -4175 _J __— INSPECTION WORKSHEET FOR DATE: 2/1/2000 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: U70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUE3OWSKI, MICHAI. PHONE #: 603 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064366-01 503- 560 -0700 N Corrections /Comments/ Instructions: [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: di\l/j.i1.,,.,:\ t--A—. Date: 1_\ \ \'Oq6 , Phone #: (503) 718 - A CITY OF TIGARD . , A BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639- 4171u � Inspection Requests (24 Hrs.): (503) 639 -4175 , :_EA INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7 : 42AM PAGE: 14 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUE3OWSKI DESCRIPTION: New SF OWNER: KASZUBOW3KI, MICHAL PHONE #: 5035501 - 07010 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3` �2 Shower pan 064129-02 503 -660 -0700 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ' ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:CZ - \\-N--"-- Date: l I Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVI PERMIT #: MST2007 -00 I;i2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/78/2007 Phone: (503) 639- 4171u�lll Inspection Requests (24 Hrs.): (503) 639 -4175 . �! +L INSPECTION WORKSHEET FOR DATE: 1l29/70Q8 TIME: 7 :02AM PAGE: 15 SITE ADDRESS: 14534 SW 02ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZ.UOOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: x503 560 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/2812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064129 -01 503-5640700 Y Corrections /Comments/ Instructions: 1 - 7 4 f - ' 1' 0 rDa \-/ l..1 c At" -jvt 4- U4.-47 4.) LAs L_ e_o0 r. Gt (c I e1 LvG Q Q`/, v VIvc s fifJv A &,•ac. , • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ‘13...A..) ,\ \-- Date: I )27 1 7 Phone #: (503) 718- 1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST 2007-00132 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 8/28/200( Phone: (503) 639 -4171 I vy lill Inspection Requests (24 Hrs.): (503) 639 -4175 _ -. INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASIUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAI. PHONE #: 503560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064063-01 503.560 0700 N Corrections/Comments/Instructions: IA • _ l., kg-6 F 1:2 .(-1-- UJ e, A-1..,, e-, -1 i- I c Gl 1 1 Cwt e ✓ _e-A-z.. v y,.,. a < ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: \A4--A-j1 `.,---- Date: (I 2-7 I Phone #: (503) 718- 1 I CITY OF TIGARD . • 1 BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/21)07 Phone: (503) 639 -4171 .�eru � Inspection Requests (24 Hrs.): (503) 639 -4175 _ .. INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 14f,34 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: Q70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 064063 -02 503- 5600700 N Corrections/Comments/Instructions: Y-\-1/11--A \ t v 0 ,..)./ L e cA,� S --ft, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS tA FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector "vnA--I Date: I j 2_,C 10 V Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/78/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: Q70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: Now SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503- 560 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 062685 -01 503.560 -0700 Y Corrections /Comments /Instructions: ■) 1 P Ik -I-ef 4\ 1e1 p�+� tiJ1TL I't E- ��•�� . F 7 a��1 ,4_ U4-Zr - ii °� 1 mac. g'" f: -e TO 1 V R/ / • \ OwiA.,c4Gria, - Se c,nn .��2�,��� -� Ho i-� 6� 1:1, i,C�fi 4 S t A 10 ( P 0Zr ° ‘ \\ � --e , l A- Q -)W tin VA- awe U -1 Al N\ Sc A uj fi S All 44,4 1-4?)../i, 47.-/ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: I 17/ b?% Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 808/2007 Phone: (503) 639- 4171I Inspection Requests (24 Hrs.): (503) 639 -4175 �_ 1 INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00AM PAGE: 28 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: [)(JRHAM ACRES LOT #: U70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 062685`02 503-560-0700 N Corrections/Comments/Instructions: i∎ / T 1 t1 -1, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS $ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6- "_ l W` —, Date: )) ) b I F' , Phone #: (503) 718- CITY OF TIGARD ..* BUILDING DIVISION PERMIT #: � ,z;;T7.007 Ot )132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: X3007 Phone: (503) 639 -4171 ll'l Inspection Requests (24 Hrs.): (503) 639 -4175 `_ INSPECTION WORKSHEET FOR DATE: 12/ 19/2007 TIME: 7: 00AM PAGE: 9 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURI JAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZ.UBOW3KI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 061856.01 503. 560.0700 Y Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ei CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \-��, \ \f _ Date: /21 101 in 7 Phone #: (503) 718- CITY OF TIGARD . BUILDING 'DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/20/200i Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 `- .. INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 501560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 05582404 503-560-0700 N Corrections/Comments/Instructions: X1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C7 1 ■ �i -, Date: ° 'l Ill 10 7 Phone #: (503) 718- 1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007 -00137 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/200i Phone: (503) 639 - 4171±° Inspection Requests (24 Hrs.): (503) 639 -4175 I L� INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 05582402 503-560 -0700 N Corrections /Comments/ Instructions: ,SU -,p 2ui karao,, C ki P�-r- r pouT v t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS INSPECTION ❑ FAIL ❑ CALL FOR I ADDITIONAL FEES ASSESSED ❑ Inspector: 1\(v).' -- r I1 11--e_ Date: 1) n )D7 Phone #: (503) 718- r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171° l f� Inspection Requests (24 Hrs.): (503) 639 -4175 �'I�� INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 055824 -03 503.560.0700 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e11P rM �;�� ( Date: 91 l Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST - 2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 ,, �', Inspection Requests (24 Hrs.): (503) 639 -4175 .....„ `:_.. INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: Now SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 055824 -01 503 -560 -0700 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ltd -J ∎ \ \ '.•.A- Date: Cl i i 1 ) D 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION / � PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/ 2812007 Phone: (503) 639 -4171 � ( � . Inspection Requests (24 Hrs.): (503) 639 -4175 s J At INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 25 SITE ADDRESS: 14534 SW (32ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New Si. OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 316 Post/beam plumbing 056657-01 503 - 560 0700 N Corrections /Comments /Instruction : ' 5 ,---.0e-/e ( o • d i Ajt---- - 4 71"o-- " . P ASS P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " Lam' Date: 9 ' Phone #: (503) 718 --2 a/ CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2007- 00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8128/200/ Phone: (503) 639 -4171 M Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 4/23/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New f.3F OWNER: KASZUUOWSKI, MICHAL PHONE #: 503 - 560 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 069024-01 503 -560 -0700 N Corrections/Comments/Instructions: il l r ..f. ,, — //Ale b` -- w447- /.s i' /N ,J 1Lc E,'- r - 7 - 1-1, 61. e>ed[eearc, PASS r ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: i..4 Date: 4- _ ZS -0 0 Phone #: (503) 718- 2...4-4-S/- . . CITY OF TIGARD . ' A i BUILDING DIVISION PERMIT #: MST2007- O01 :32 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 8128/2007 Phone: (503) 639 -4171 �i Inspection Requests (24 Hrs.): (503) 639 -4175 :... ° .. INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF . OWNER: KASZUBOWSKI, MICHAL PHONE #: 503. 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 065240 -01 503-560-0700 N Corrections /Comments /Instructions: 4-{- 4 I mJ D 4 1 5pLi I\1P()/ab►., 2 life ly '__-/ // vo n - 0 -a . Co U U v 4 See. S'• vn S. CiQ.vra W4.11 t VI siected P PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 13. 5. Date: D / Phone #: (503) 718- c 3 1 CITY OF TIGARD ► BUILDING DIVISION PERMIT #: MST2007.00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8i28/2410/ Phone: (503) 639 -4171 Asai� Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 202008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New :3F OWNER: KASZ.UBOWSKI, MICHAL PHONE #: 603-660-0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 218/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 6Th Mechanical rough - in 064751 -01 603560 -0700 N Corrections/Comments/Instructions: K. PA SS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Z '6 Phone #: (503) 718- Z� CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2007- 00 1 32 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8(78/2(X47 Phone: (503) 639 -4171 A si ., I r Inspection Requests (24 Hrs.): (503) 639 -4175 , -' `'' L INSPECTION WORKSHEET FOR DATE: 718/2006 TIME: 7 PAGE: 12 SITE ADDRESS: 14f)34 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 501.56(J- 0100 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 718/200£3 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 064751 -02 503.560-0700 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 Date: 2-- $ - a a Phone #: (503) 718 - 1_ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 001:42 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B tg120t7 Phone: (503) 639 -4171 :.� 1 1' Inspection Requests (24 Hrs.): (503) 639 -4175 ' ` �I INSPECTION WORKSHEET FOR DATE: 216112008 TIME: 7 :OOAM PAGE: 8 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUQOWSKI, MICtiAL. PHONE #: C)03 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 064624 -02 503 - 560.0700 N Corrections/Comments/Instructions: _ ' 422.11 — /tom' -% 9+ �i- r✓rI/ if / i \C If - s ( C Wr - /7 7 Cl- eL QJJA∎44 "-/ 4r■65 -../ 6A 7- r /Al ( ✓f-7 7 adj. L- (3�;4 Z S �4.7 X/D -D%j n- I '& '5 7 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: —� -� Phone #: (503) 718- 4- p ( ) CITY OF TIGARD . BUILDING DIVISION PERMIT #: h4ST2007 001: 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81!8//2(107 Phone: (503) 639 -4171 /ltruq r Inspection Requests (24 Hrs.): (503) 639 - 4175 r'I � � INSPECTION WORKSHEET FOR DATE: 2/1/2000 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUI3OWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 603560.0100 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: _ Date: 7/1/2008 Pour Time: Code # Inspection Description -' Confirm # Contact # Message 616 Mechanical rough -in 064366-02 503560.0700 N Corrections /Comments /Instructions: /� 0 - PeL/ 0 2 6212-5 - rf (7 kir L!7 t/a • ❑ PASS i`' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / . Inspector: Date: 2_ ,— /—ei Phone #: (503) 718- V 4--"----' CITY OF TIGARD ' BUILDING DIVISION ' PERMIT #: MST2007-00132 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/28/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "_ INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7:02AM PAGE: 11 v SITE ADDRESS: 34x,34 SW 32ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: Q70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 21112008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 275 Framing 064366 -04 503 - 560.0700 Y Corrections/Comments/Instructions: bJ /VGe✓ -- L =6772i e I't- n- (.4Pf9 91) P 2 a - , m A s - / 4 i 1.L - 4 -a , - S -- 7i9i2,c 44 /0 q.4-YeA -' AP - ti .. •�! n/ � • L - ,1..i •mod Aa r- ;•,, - AIIP /e,\C/ ' . / 4 )40. y, ___/• /S ✓ ❑ PASS °❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: le- -IA Date: —/— G Phone #: (503) 718 - '2. CITY OF TIGARD - BUILDING DIVISION PERMIT #: M ST:2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/7 z(�0/ Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ' I.. INSPECTION WORKSHEET FOR DATE: 1/79/2008 TIME: 7 : 02AM PAGE: 13 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 064129 -03 503.560-0/00 N Corrections/Comments/Instructions: K-C K --- t ----- j kR708 (C np ("es g ( 0 : - . . r.-7 i.. 1 9 G— et-I P C Cr 4 de, . -- . r✓l ' • : - ... . $ t ( ) S aJL _‘. U %-c-r S , s P c F c. s L/ sT — r b 0 LI A-/ . ❑ P.9SS� 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL, FA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 _ _ Date: / Z / 0 c 5 Phone #: (503) 718-Z-- V glith CITY OFTIGARD - e BUILDING DIVISION PERMIT #: MST20t)7 00 i i2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 A II�n Inspection Requests (24 Hrs.): (503) 639 -4175 _ .' "__.. INSPECTION WORKSHEET FOR DATE: 1/28/200 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: Now SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/28/2.008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6'15 Mechanical rough -in 044063.03 503 -560 -0700 N Corr' ctions /Comments /Instructions: A �_ � G 2 1-,l /i— z 4--r-4--7 r - (:_, - -- dg A (i 1 --A7ZK Al_.-(___ ?L_ � l•- W l e ■ 4 �_1 r a 4 it A a& / 1 if __ , 4 t r i icel: ---. r...._ . s... _ , 71 (_■ � P Q U C,� V.,16 e �� � - 4 Z L_ GGLq- -_ -mil r pg_o I t ( is1? ) O tic ,- r --0 r 5S j 6445 &III,/r -- o r Z ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS alti° ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` Date: I ff D g Phone #: (503) 718- 24 `7 • 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2007-00132 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 801I/200 if Phone: (503) 639 -4171 . ?IIII Inspection Requests (24 Hrs.): (503) 639 -4175 '_ INSPECTION WORKSHEET FOR DATE: 1/7/2000 TIME: 7 :00AM PAGE: 27 SITE ADDRESS: 1•1534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACPES LOT #: 070 TYPE OF USE: PROJECT NAME: KASIUHOWSKI DESCRIPTION: New SF OWNER: KASZU130WSKI, MICHHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 062685 -03 503.560.0700 N Corrections/Comments/Instructions: • �?► %/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED a Inspector: Date: I �Q Phone #: (503) 718- t‘ii?' a. CITY T � � C O IGARD -ol g07 BUILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 808/2007 Phone: (503) 639 -4171 �I Inspection Requests (24 Hrs.): (503) 639 -4175 �' " I I.. INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICI IAL PHONE #: 603.560 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 059002 -01 503. 560 -0700 N Corrections /Comments /Instructions: D A 0- g '; / 1(.4Wu/cf.ailittAlte - r5 PA 5 NJ 4k ; 42. p,,,kr,;ae 9/4zwitieteA 19-s 5 /VA // qiu.) iri- /tvii,4,1-41-1/4_` GLoot-t- al4,4.4, i toi, /$/ • 7 10 , vvv/V X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 154(f Date: 1 I S i 07 Phone #: (503) 718- CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2007 00 i i2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 �ru' I c Inspection Requests (24 Hrs.): (503) 639 -4175 r• I INSPECTION WORKSHEET FOR DATE: 11/2/20p7 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: Q70 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICIIAL " ! PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 058922 -01 503-560-0700 Y Corrections /Comments /Instructions: � 'i'e1.0 A. 0- 2f_...rl(f!V 4JCY�c ti 5 un.vi- - t2cCV1 ssO "Li __7_z <— c.-ems% 161. pT 12.o 4 t/� /-1.---b t, S779-t4.-6- ❑ PASS - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: //— °Z Phone #: (503) 718 - Z51-4 - CITY OF TIGARD BUILDING DIVISION PERMIT #: M��T2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 - K , , ; F,ill 11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7 :01AM PAGE: 12 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF I OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 -560 -0700 CONTRACTOR: OWNER PHONE #: - Inspection Request Scheduled For: Date: 11/7J 2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 240 Exterior sheathing 058922 -02 503-560-0700 N Corrections/Comments/Instructions: I 1 I l a i 5—li-i 3 0 40 /. - 0 -1‘--(---?" ' Sim' <73= :.: t > 41,41 - 6 : 7 - h/4 / (- / . _Z- 0 ,. ,*- • .Q !� /�of�1 S wit- '=1l1 1 vr I A ❑ PARTIAL APPROVAL ❑CANCEL El ACCESS . AIL i dl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. Date: / /--- —U7 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007- 00 1 32 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 Phone: (503) 639 -4171 i�� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 �.. l _ .. INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7 :01AM PAGE: 11 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New OF OWNER: KA&/UI.3OWSKI, MICHAL PHONE #: 503 - 660.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ?42 Interior shear walls 058922 -03 503-560 -0700 N Corrections/Comments/Instructions: CSC "t-T7 '- . /)/.5. 2 < 13. R 4'rr'Se./ 5 0,.- -L s, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: //- 2�-c77 Phone #: (503) 718- 2�Ed -SC r CITY OF TIGARD ' • BUILDING DIVISION PERMIT #: M T2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: a'28/2oo7 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ` .- L .. INSPECTION WORKSHEET FOR DATE: 10/2612007 TIME: 7:80AM PAGE: 28 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZU 3OWSKI, MICIiAL PHONE #: 603 -660 -0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 058445-02 503-560.0700 N Corrections/Comments/Instructions: y __;_d . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL [Ti CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /6 - 2c - 0'7 Phone #: (503) 718- 2.4-45 CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28!2007 Phone: (503) 639 -4171 � ' i l 6' Inspection Requests (24 Hrs.): (503) 639 -4175 j+� __.. INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 14f,34 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503-560-0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wailOanchors 058445 -01 503560 -0700 Y Corrections/Comments/Instructions: 'u f // c t/r1.u.n.c S / 42-, / ®d ct s i Al S LLB tj /AZSt e /-- r."',?7T 5 ❑ PASS , ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS [ n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date- 2.4, --G- Phone #: (503) 718- 1 CITY OF TIGARD - BUILDING DIVISION PERMIT #: M5T2007- 001:32 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/:)8/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s� `'�L. INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 27 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOItVSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 058446 -03 503-560-0700 N Corrections/Comments/Instructions: fal `7 .40GiL (1 • �5 /v4i l .4 ,- �Fe Eli/ , �E- c../rA -L .5L/i ,�� , . 2 ' -2� ti.A-i C. � - 2 . •_.1 "ZUi ,'''' 5 / 1 . 4 " -CG 'S e - . �J4 CJ / — / JOry l ; - T • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date V - 26 — Phone #: (503) 718- 25 CITY OF TIGARD BUILDING DIVISION = PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 l 4' Inspection Requests (24 Hrs.): (503) 639 -4175 �.. °•I I.. INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 14531 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 055657 -03 503.560 -0700 N / Corree tions/ omm�f is /Instructio s: ' ) Y 5 ! J Q "e7 (--- 1/14 - C . \ 2ZS . ` Ctt' Lfd P ` 1./. _ vim . Ch VV '-' a....A■I' k( U---e‘C)4'e ° 1/1 k k PT c 4, (P- 4 2.-- `-- L.-...--.-S- ,..66- C I - 0 27 .(,..-,9 Pik . , , - ..,..___ , 4 it.._• At .„„ _..r...... .6___. • , • v �� - SS [ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Y1,--Z9 Date: 9 / 1 1 4 Phone #: (503) 718- �, 1 t CITY OF TIGARD • .. BUILDING DIVISION PERMIT #: MST2007- 00132 - .13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 j � l Inspection Requests (24 Hrs.): (503) 639 -4175 ...' '`__., INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: • SUBDIVISION: DURHAM ACRES LOT #: 070. TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 560 - 0700 CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 055657 -02 503-560.0700 N Corrections /Comments /Instr , 'ins: \/) 3 k, ------ A". ,Pit.3 1 ,--ek_J ,e__, 7h Kz� 0 -4 e 1 d ,...._ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1i� e� �� Date: 9/ i ` 6 Phone #: (503) 718- 2)-/I J CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: W28/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ''I I 7 TIME: INSPECTION WORKSHEET FOR DATE: 9 /4/20 0 TIME. 7:01 AM PAGE: 29 ' SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: N MI SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/4/2007 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 055060 -01 503-560-0700 N Corrections/Comments'/Instructions: dt/ j 2 — T20 r F �< • • P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: — 4---d Phone #: (503) 718- 3_2g6441J CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W28'2007 Phone: (503) 639 -4171 - Inspection Requests (24 Hrs.): (503) 639 -4175 I � INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7:01AM PAGE: 28 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: • SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI , DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/4/2007 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 055060 -02 503 -560 -0700 Y • Corrections /Comments/ Instructions: •P n/ &/, 6 •••_ _._ ' i 0.G L w , S Z, dv�J • - CO 4 //LA P.1._52 ,� -�„ C? �n ✓5. ? - -)- i - 11' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 47-4- - Phone #: (503) 718- 7,4-4,&—r CITY OF TIGARD 1 B UILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 7^lfl Inspection Requests (24 Hrs.): (503) 639 -4175 �:_.. INSPECTION WORKSHEET FOR DATE: 5/1/2000 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 14534 SW 1 2ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICIIAL PHONE #: 503 - 560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/1/2008 Pour Time: Code # Inspection Description C • # Contact # Message 199 Electrical final 1 069187 -02 503-560-0700 Y Corrections /Comments /Instructions: ------) A PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C..7 0 C lQ li Date: 1161 Phone #: (503) 718- 1- CITY OF TIGARD - ., . BUILDING DIVISION • PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 ,,, i y 1 Inspection Requests (24 Hrs.): (503) 639 -4175 l �.. INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 14634 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503 - 560-0700 CONTRACTOR: OWNER i� \ PHONE #: Inspection Request Scheduled For: Date: 4/2912008 Pour Time: Code # Inspection Description / Conf rim #--, Contact # Message 199 Electrical final 06902 -02 503560 -0700 Y Corrections /Comments /Instructions: ft, ur.ri I wo c,e► 4 00 Fide'[ ula U 7 Y\ © rAo . V 1 ®a-6-\& , ® k Pr 1 N R t' clbqat.. 00 Pam- 1Q` 60-, o 7 M' ...; IA (8 A k11...‘ -f i rtaNcittg Gl-c-A Pot, T Qe) •4S twktPitt- 6in _ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: S Y,V L Date: l i ZI 0 Phone #: (503) 718 - Z I'1t CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 L DATE ISSUED: 8./78/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..' . �'I I INSPECTION WORKSHEET FOR DATE: 2/6/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 14631 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 50356Q - 070Q CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 061624 -01 503 560 -0700 N Corrections/Comments/Instructions: \6 P o L ( IAc\S O ),--ow - VOu N E CAB lx3 CZ' - �,.v rL 2Y' S 04 Al ; » • b ., '--6 iN\- *.\ R A I \ 1 Ll t 1 40k i Vtqt 4 cti I n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N6 6 Ls" Date: 2 ( Phone #: (503) 718- CITY OF TIGA►RD BUILDING DIVISION PERMIT #: MST2007 -00i32 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: e128/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 e7 I L. INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7 :02AM PAGE: 12 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 603 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2J1/2008 Pour Time: Code # Inspection Description - . 11 # Contact # Message 120 Electrical rough -in 06436E-03 503 - 560 -0700 N Corrections /Comments / Instructions: 12 fr (AL, LA kra Pag, 210 . N vp0& 'rep al A1R,6 `° gcQ 66A . Cg AT (iv. c V/ 6 c or L) );T- k tti� . 210. 2 ) P 0 V � i 5 g 0 L. 3 r ENa_ `To W i ci 'e 2a CAL_ co tfiC ∎ ea- 7 0 Csa Peel-E7 coat - �`71e .5 An1D God fr trg wi2➢n) ( lkov6ei a 711A5 1 61J LAi' LL e-60; N v • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 0 68 Date: 2- - 08 Phone #: (503) 718- 241110 ' CITY OF TIGARD . .A BUILDING DIVISION PERMIT #: MST2007- 001:12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 < Phone: (503) 639 - 4171 , 1 (+� Inspection Requests (24 Hrs.): (503) 639 -4175 �.':'+� °'f_I:. INSPECTION WORKSHEET FOR DATE: 1�53r�f SW 82ND AVE 4/99,-2006 PC � TIME: 7 PAGE: 11 . U SITE ADDRESS: '� %�� CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOM/S KI DESCRIPTION: New SF OWNER: KASZUE3OWSKI, MICHAL. PHONE #: 503 - 660 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message p 120 Eler.t rough -ire 064129.05 503 - 560.0700 Y to I , rY rp.4 /. Corrections /Comments /Instructions: � a" % 0 d vviZ /2.9 uo g gia-vco . f I (1. 4ide i A '4411. tier, G i/1 ` /4 I 0-1 /I A • 4t4 ( 10I■` ' 61 /L 14 1 // / !ter/ " e ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS irA FAIL Y,LCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l ko Inspector: J Date: P hone #: (503) 718 - 1 - CITY OF TIGARD BUILDING' DIVISION PERMIT #: MST2007 -00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8128/2007 Phone: (503) 639 - 41711., I Inspection Requests (24 Hrs.): (503) 639 -4175 `` � INSPECTION WORKSHEET FOR DATE: 4i.29/700tt TIME: 7:02AM PAGE: 12 SITE ADDRESS: 14534 SW 82ND AVE I (3VO CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: Now SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 5034560.0/00 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 064123-04 503. 560 -0700 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 11'30/K Inspector: Date: Phone #: (503) 718- CITY OF TIGARD -- ' _ ..: ._ BUILDING DIVISION PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B12812_007 Phone: (503) 639 -4171 � „+e,i�lel Inspection Requests (24 Hrs.): (503) 639 -4175 "_ INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME 7 :00AM PAGE: 6 SITE ADDRESS: 14E ;34 SW 82ND AVE_ CLASS OF WORK :. SUBDIVISION: DURHAM ACRES LOT #: . 070 TYPE -OF USE: PROJECT NAME KASZUI3OWSKI DESCRIPTION: New SF • OWNER KASZUBOWSKI, MICHAL PHONE #: 503 - 1560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For Date: 1/28/2008 Pour Time Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 064063.04: 503. 5600700 N Corrections /Comments /Instructions: 1 ) a4/1 >�z d Q, z c ,1" z 64-5 , iiLe ii.,,, de.,,,e ni,..42--11,2 i hicei ,a,,, II 1414 S 6:4-ty/t,14 Ad a /)44 ' 5 az-ye.. / i 10-9-el ejeldy I) 14 4/6 t - - s - t - - - - 11- 00 Nn l �t^ 1 ,oia ro) /JA ems 1110" f /�I ' y4--' 7//e-f lvati -tvi feez,wf` z, . . ii &ydfa,k44,,,,, ,i-il f .e, ) X i WW ezt1( ire "t/tr fiaHa - � / � - ;. �lw � te--r 1 LCQ S� O lvrJi G✓LowGG✓1 S 014 R - P ') 80A 0// Mt/ , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS K FAIL TAALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '4( Date: i Phone #: (503) 718- C O GA BUILDING DI RD PERMIT #: MST2007- 001:32 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7 :01AM PAGE: 9 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 603 - 0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/912008 Pour Time: Code # Inspection Description Co' • • Contact # Message 120 Electrical rough -in 1 2856-01 503 -560 -0700 Y Corrections /Comments /Instructions: `, A se. Cal• \ . . ka _ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL zi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - ' It k3 Date: I" C) ‘' d Phone #: (503) 718 - 1.-446 CITY OF TIGARD ` • BUILDING DIVJSION PERMIT #: MS12007- 001:2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/200/ Phone: (503) 639 -4171 lu. " ' ��� ` I Inspection Requests (24 Hrs.): (503) 639 -4175 r .. INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME: 7 :01AM PAGE: 21 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAI. PHONE #: 503560700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 0693513-01 503 - 560.0700 Y Corrections /Comments /Instructions: [/PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S S Phone #: (503) 718- 7 1 CITY OF TIGARD ' . BUILDING DIVISION , PERMIT #: MST2007- 00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007 Phone: (503) 639 -4171 �u Inspection Requests (24 Hrs.): (503) 639 -4175 ' IL INSPECTION WORKSHEET FOR DATE: 6/7]2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 14534 SW 82ND AVE CLASS OF WORK: SUBDIVISION: OURI IAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: KASZUBOWSKI DESCRIPTION: New SF OWNER: KASZUBOWSKI, MICHAL PHONE #: 503-560.0700 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection , 069284 -01 503 -560 -0700 Y Corrections/Comments/Instructions: 5 ,.Le S ` S ---71,4--i 9'' , kS 0,45E" G ,, s /q" ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL // FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5 -.—rte Phone #: (503) 718 - j • r 1 I • 14534 SW 82nd Ave Heights MOO • Michal Kaszubowski 261128C-1400 - RECEIVED 503.560.0700 JUL 1 7 2007 8.420. sf CITY Cis.' itiARDDOC. Na 2005 - 157968 BUILD6ne DIVISION � 4 / 4aa4-er . SW Bonita Rd. l . , sidew _____.,------- - ;jr ‹ .. Imeamo 'A ....,,,......,_...... ... --- •4 Pexlica.4 4 r) 1 . ...............wmauar.......,......e.vialm . 161reaAle"4 :.,...b.?- al CS TVA N ! b�vc t ;, WW sgvt,aq A � • 6 s lit b,vmggA, 1J y6 )svrs -� z'3: ri '•G• 19 - a 4wi A + ` w. • .A.. freyl)r.sw.-e >M4fM.rN .w'.W.- c,�.YY ! Irl F fee w !'/ Fli00 )y, ! t t" • . . • :, , t :, a w; .,,, X'�, - ,,, , u.'`,,,•,. z F c--- . .-.`Sal.!,. °Y . , 1 • 1.: , _ • • 1 th' milli i� ejC' �V.. 1.J•fell wi t, c i t 14,it. 1 i ,mi.• . • Yy JAI a "Pit r(.s. ':.0:414,11 .Jr i%, ,t, VD i', ' , :i4.7,..,.. fa : 6,-,- i , , oi - , . 1 , 01.(4 / :•: ' 1,,,, ..,,•• . .00 6.0 oo I ie) 3 0�.?f� /(P, ��l:;'� 4��;i b` J,slh- :. .a . , tilt- 1 1 CPI t t � • 7 � `PTO - - .•sl i...�gr• + �sa�. -jaw. ..e�y.J•va -� aT 1 ' f 1 - • 1 • �� PGA • 3� tv .1. 1 e1► '; * * 1p- • .� * P ' • . •. 'N • . . • .. ti • • 63.09' . .'i 0 cA)& .b Etasron ccx�ro( siraw GRAS STREET TREES MUST BE PER APPROVED DEVELOPMENT TREE PLAN • CITY OF TIGARD - SITE PLAN REVIEW' i t e BUILDING PERMIT NO •32004 — Qom) 3 2 S•L4 • Street Trees: Approved ❑Not Approved a Protected ted Trees: • - Approved (a Not Approved • By. �.f _ N M �dT ( ; fart c F Plt� (?� w� L t6i�ry i re I1� 6 c}�3) 3 - LiT Po- -� �i'h - ` 'f &C , I f i r N i t - 51A 4z? —1.442j2 �c o�ce� bLCcw.r r. CITY OF T • SITE PLAN REVIEW �a ,,. - �sh� Lod I � (, BUILDIN PERMIT NO:: � 2L�0�- — c 3Z- o re— oa�l . y �v� C'� :PLANNING DIVISION ate' P d.�� zF a tin�.-t ": Required Set ksc Dpproved ❑, Not Approved • de:a:l�'vr.. Side. S Street Side: _L� • Front. Garage: Rear: Pr • Visual Clearance: - [ Ap roved ,_0 Not Approved Maxim ►m Building Height• feet - ' • (" k'S Service Provider Letter Required: ❑ Yes ' . ❑ No � Received E : �1/►( 1.1 Date: 7/Lk/0.7 • ENGINEERIN :DEPARTMENT: Aotual•S ope % = -` Approved ❑ Not - Approved - , Site PI :: , Approved ❑ of proved By: � . Date: `1 l $ 7 Notes Lei-?-4 U -- • • • • • rum y 891IRT rs3nra o3VORTIA R3 R T43M9G