Permit 41.0 MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2006 -00100
1�� DEVELOPMENT SERVICES DATE ISSUED: 5/22/2006
°= -° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CB - 06100
SITE ADDRESS: 15412 SW 82ND PL ZONING: R -
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 075 JURISDICTION: TIG
Project Description: Remodel /addition.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 22 FIRST: 1g5 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 633 sf GARAGE: sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 76,507.20
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 828 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER:
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 2
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 2 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC/FDR> =225 A: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TEL E 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
DALE & CAR STUTEVOSS SLS CUSTOM HOMES INC applicable laws. All work will be done in accordance with approved
15412 SW 82ND PL PO BOX 1093 plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97224 TUALATIN, OR 97062 of issuance, or 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
Phone: Contact #: PRI 503 691 - 9878 of -these rules or direct questions to OUNC by calling 503 - 246 -6699
FAX 503 692 - 7983 or 1- 800 - 332 -2344.
Reg #: LIC 91577
TOTAL FEES: $ 1,340.55
REQUIRED ITEMS AND REPORTS
Issued By : _� i0,14..[�� Permittee Signature :
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that usiness day.
This permit card shall be kept in a conspicuous place on the job site until completion , e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application FOR OFFICE USE ONLY
City of Tigar ®� " eB� '' — -- 0 li l./ L Permit No. 4 t � /e 0
13125 SW Hall Blvd., Tigard, OR 97223 Wan Review
Phone: 503.639.4171 Fax: 503.598.1960 nPiLaV . a /ie l I .'', DateB . M , 5'_ . _ 0 6 Other Penmt: '
spection Line: 503.639.4175 ` Date ReadyBy: 'j
� 6, ® See Attached Checldist for
Bernet: www.ci.tigard.or.us Notified/Method: 7 7 f Supplemental Information ,
CITY OF TIGARD 1 �,, _
BUELDINC D!VID:CN e.. '
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El 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.
/ Valuation, $ 8o /L—
Et 1- and 2- family dwelling v ❑ Commercial /industrial •
❑ Accessory building v ❑ Multi - family s ' X Number of bedrooms: .
❑ Master builder ❑ Other: . ,, el , Number of bathrooms: .2 y,... .
JOB SITE INFORMATION AND LOCATION of Total number of floors:
• 'Job site address:' 1.i I g t ,,) 8 01) p ` New dwelling area: 8 square feet.
City /State/ZIP: — rt &44.0 9' 7 �..Zy - . erGa rage /carport area: • .,yt( d. s q u are feet
Suite/bldg. /apt. no.: . , I Project name: _ .i t/ Covered porch area: square feet
Cross street /directions to job site:.' 41 /-mod 8a. pL -)r,.J L Deck area: . squ are feet
i
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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. ' .
Q -A ; +- _ I Valuation: - ' , $
Existing building area: square feet
New building area square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: A Le d.... C#44.491.4,4‹ ,d ot Type of construction:. '
Address: .4434,..k,_ Occupancy groups:
City /State /ZIP: ' Existing: .
Phone :,( ) Fax: ( ) New:
'"APPLICANT CONTACT PERSON NOTICE
Business name: S L.! CGLJ7 1 .1 /wJ t All contractors and subcontractors are required to be
Contact name: Z f-GV� -'"1-11:11/Zg" licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 40 lc, 93 jurisdiction in which work is being performed. If the
City /State /ZIP: 9,2.- Cj'10 (� 1-- applicant is exempt from licensing, the following reasons
, apply.
Phone: (.So3) ( 4 — 47 7 P . I Fax:: (So }) C s f 1 1 4 ') ,
•
E- mail:.. 6 4 i- o,ml' A.A... Q, o L C....0 M .
CONTRACTOR
Business name:
ai*S C.v J ter„ tio//NtJ /^J c.' • BUILDING PERMIT FEES*
Address: . ,
' Please refer to fee schedule.
City/State/ZIP: Fees due upon application �'
Phone: ( ) Fax: ( ) • C ��
Amount received ,3'a_ 66
Date received: S ' ' : 6 ,
Authorized signature: " • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J 6►. cS j. z,. e . I Date: .5•) ,O V • Fee methodology set by Tri-County Building Industry
Service Board. '
ilBuilding \Perrnits\BUP- PermitApp.doc 12/03 440- 4613T(11 /OJJCOM/WEB)'
One- and Two- Family Dwelling
Building Permit Application Checklist i FOR OFFICE USE ONLY
City of Tigard Received
Date/By. Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
❑ Electrical ❑ Plumbing 24- Hour Inspection Line: 503.639.4175 - � � •.• � I B ❑ Mechanical
Internet: www.ci.tigard.or.us '" ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW I ' es No N/A
• 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: - . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property 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- ❑. ❑ 0
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 ❑ 0 ❑
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 0 ❑ ❑
architect licensed in Ore on and shall be shown to be ...licable to the • o'ect under review.
JURISDICTIONAL SPECIFICS •
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ' ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 0 ❑ 0
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ 0
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, ❑ 0 ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\ Building \Permits\BUP- RES- PermitApp.doc 2
May 03 06 07:56a MS Rentals, Inc. 503 -537 -2172 p.'
, 1. t
Mechanical Permit Application FOR OFFICE USE ONLY
Received Permit No.. ,
City of Tigal Receive /' 1 ���
13125 SW Hall Blvd, Tigard, OR 97223 plan Review
Other Permit
Phone: 503.639,4171 Fax: 503.598.1950 4'rO' + Drtc•'By.
Inspection Line: 503.639.4175 ,,,J,� _ � Date RcadpBy: ]uris: El See Page 2 far
Internet: www.d.tigard.or.us Notified ?(cthod: SupplemcatalIntormahoo
TY'Y OF. Y RK I 'CO i�1ELtCL4L FEES S USE C AECiZ IS I
• Mechanical pe mit fees• are based on the value of the work
❑ New construction Additionialterationireplacemmit performed. indicate the value (rotmded to the nearest dollar) of all
❑ Demoliti on ❑ Other mechanicalmatera s, overhead, profit.
' i equipment, labor, ov ad and o
r
Value: $
CATEGOR] Of CONSTJtUCTION _
RESIDEi1TIAL EQU1PMENi' L S1l STEMS•J�_ ES`
�- and 2-family dwelling ❑ CommerciaVinoustria] ❑ Accessory building For special information use checklist
❑ Mul ti- family ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total
' = : 'JOB SXTE INFORMATION LAND .LOCATIOA Heating/cooling i
� I oc ` �� Air conditioning or hen: placement) Job site address. � C IIOL (requires site pi showing hen placement) ' 14.00
� I414.00 ll
City /State /ZIP: JAN T 0 7 1 1 7;i4-4 Furnace 100,000 BTU (ducts/venu) —
(` 1 Furnace 100,0004- BTU (ductslveots) 1 17.90 I 11
Suitelbldg. /apt. no.: 1 Project name. Gas heat pump 14.00 u
Cross street/directions to job site: Duct work /7 14.00 1 -!
Hydronic bot water system 14.00 ,
Residential boiler (radiator or
hydronic) _ 14.00
Unit heaters (fuel -type, not electric),
_in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lotno.: Other. I I 10.00 ,
Tax map /parcel no
Otber fuel appliances
ii : ' t S ,, D ESC �OF WORK., j _ { t• .4 L' _Water beater 10.00
" .... , - Gas fireplace / 10.00 j lO
1 j , p vn/3t & Flue vent for water heater or gas
1 �C r� /�� : �,� / fireplace 10.00
1 QA A pik { v j 111 u f Y t ( f `%t , f I' g /1� j Lo lighter (gas) 10.00 ,
V �w 9�/ J � 4 LL Wood/pellet stove 1 10.00 -
!I� Wood fireplace/insert 1 10.00
_ Cltimneyr1inerflue/rtmt . 10.00
I t ` - PROPERTY- OWNER- S ll`t:'/=irt.A-'t ~ ,fl, a ... . -. , Other. i I 10.00 1
Name: a t..(_
� ,{ I .j -Q- I -- 5 SS Environmental exhaust and ventilation
� I 1 kitchen I �� L. � Range hood/other equipment 10.00
/) 1 ^yL1 Clothes dryer exhaust j 1000
City/State/ZIP: In J1�f� "( 1 O — Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, unlit' moms) 6.80
,2/Ii v t .r - ;❑ COIYr FEItSOA `' Atticicrawlspace Sans 10.00 _
P3 L CPNT . . • ` . , . _ 10.00
/� 4— U Other.
Business name U l�,l1 / � � �i�,�) Fuel piping
Contact name: L• C V ..'111, �, • $5.40 for first four; $1.00 for each additional
1t � Furnace, etc. 1
Address: r .�, f e I Gas beat pump
City/State /ZIP: J' ( \ , • / n, 1 L S Walllsuspe:tded'unit heater 1
gb3) �-` a I r 3 - 7 � 1 -- Water heater '�
Phone. S Ft'' - ` S r ^J ) -� / l 1 Z 1 Fireplace 7
E -mail: Mtge
,' :. 4G"tOR n ' 1 Ba.rbeaue
�I
�j �n 0_,,u--/. � `� n Other s dryer (gas) l' f,
VI/ L t ji ✓ � U►'((r r � V
1 Other i
Business name
Address: NTECJI41vICAL P ERa'C FEES°
I � oil ��
City/State/ZIP: Subtotal V1 1 i , 1 I �
r i 7 'aim - um perout fee (572.50) , 12, S' 0 •
Phone: , �� L F IT lJ l Plan review (25 % of penr.it fee)
CCB lic.: �� permit State surcharge (8% of fee) SAS 0
TOTAL PERMIT FEE
i Thu permit application expires it a permit is not obrained within 180
Authorized s Jature. . ` 1 / days after it Cu been accepted as complete. •
�, ,ln 1/1 i, I l J • , n Date: i "! ` Fe methodology sex by Tri- County Building Industry Service 9eard
Ynnt name: 1_t [ � D 1 L�
. ...... ..n I417tr11 n,,r+M, FRI
May. 2. 2006 11:45AM No. 4838 P. 1
Electrical Yermit Application I'(►1ZOI., I( V I .ti I':t)\1.1
City of Tigard Received
Da PePermit N Gal ii
13125 SW Hell Blvd., Tigard, OR 97223 Plan n F Review
Phone: 503.639 4171 Fax: 503.598.1960 , D /By. Other Permit:
Inspection Line: 503.639.4175 .-�_.4.. ` 'L I., Data Ready/By: mN: See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method l to See
`i. . `.¢r
. �. ..a <:,:: ';l .,.;d {i 'f :'; ^:l�,..�•, ,., ?Y.. J.i,p< , - :.v:, ..; —�
;n `
r:!�1.. �. .,, 'i'.4,; �5 ✓1t'.... '•P�fi.' *r. r . S(!;•, a T /.; : a. • "r .;�.;
ems.._„ �,,.fpi?;�W,., �::,.,,.:.,:.,:,. ,.., ... `.; .. �5� <i� i•q';:�a� � . ai n(ij�jg �:t a V.,:'�.k
❑ New construction akidili on/alteration/replacement Please check all that apply;
[]Service over 225 amps, connn'l ❑Hazardous location
❑ Demolition ❑ Other:
':, ,:r s * ,; .t�: v,,, "w. M,� .,, ❑Service over 320 am – rating
<)���; • :,:�,k,�j :�i(i2.,..s�1•,' .};, ti .• ... ,a;;,; ° ;;,R .,�., ..;,,, ; ,� ,�;.:::, y Ps a ng ❑ Buildng Over 10,000 sq. ft.,
. :1 :0: is ., ,> t? /) t ,a „G"i1`f , _ "• 1040.771v ,:.. ,
�, � � •, N; ", �c�dil�...�,�` . �. + !:ar?"... >r., ;!,,, >',:, oft- end Z- thmily dwellings 4 or more new residential
[3 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 17/System over 600 volts nominal units in one sttvc
❑ Multi - family ❑Master Mulder ['Building over three stories [Weeders, 400 amps or more
Other:
`„ " 'r' -.PS, *'s, . ? ' >. . 1. +,. . ., yI • W; n e . OFF.: ;. ['Occupant toed over 99 persons ❑MenufacNred structures or
,/ l , ..Y,: ,9� t ...:,k,> 1 !,Q,M.:A 1A7'i0�,1,� 'N ”, Jl: ' :,? ❑E plan RV park
Job no.: +r lob site address: �1 ❑HceUh• care facility Malec a f° s w J — P e." Submit 2 sds of plans with any of the above,
City /State/ZIP: , r ? V p The above are not applicable to temporary construction service. .
Suite/bldg./apt. no.: l Pr j 1 0 1.:11;*40 ..N.:. :s�;'V, #?' : ∎• 4 ' �':
Project name: r; e..�. , `;; ;, ; y','.
neeerldlon 1 Qty, I ter. Tad 1 ••
Cross street/directions to job site: 1,-) pifa✓t19 0 i1'° New residential stogie - or multi-family dwelling unit.
includes attached garage.
1,000 sq. It or less 145.15 4
Subdivision: Lot no.: Ea. edd'I 500 sq. ft. or portion 33.40 1
Tax ma Limited energy, residential 75.0D ` 2
p/parcel no.:
tid Limited energy, non - residential 75,00 2
: . r it i! off} .taft. �y;, Each manufactured
or modular
dwelling, tesvice nd/m f cder` "" ° "'90.90' - 2
Services or feeders lnstxllanoa, alteration, and/or relocation
200 amps or. less 80.30 2
4 i1' � ry: �r:a+ ; +;.�y / ,, r ��vi t ,,,, ,w�r `a ` r� , , L n • , l � y r r . 4 201 amps to 400 amps 106.85 2
Mai W- .. _ 6 v!'.'ht .., ., • uFo..:4%, I ,,,,L ..f al is "�: ilt ; %f
401 amps to 600 amps 160.60 2
Name: ,e1 U ;V t oe., �s ,Sa►.L. 4.eroy 601 amps to 1,000 amps 240.60 2
Address: (_A • . Over 1,000 amps or volts 454.65 2
��' r _ ` Reconnect only 66.85 2
Ciry/Sretc/Z)P: Temporary services or feedera Iastalletisa, alteration, and/or
Phone: ( ) 1 F ax: ( ) relocation
200 amps or less 66.85 t
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 600 amps 133.15 2
Owner signature: Date: Branch circuit+ – ne alteration, or estenaioo
dri{k w + , E ger panel
� ' �' ^.: f :W V .t: •.. ,. Fn1 '
,, r� i l J lr.' a !,.... ( ; �_ A Fee for i >1�3'Ya'��� ei9 a �Y Q ,`, �',�: , ��aii!`�V�.:.:� °�"e r ®- dws .. 'vt L ry ,• , .;.'_a:d��',� fo branch circuits w6lh
' / service or feeder fee, each
Business name: S (--s c l '�+^ f'4svir ..o /0.4.– branch eireuil 6.65 2
Contact name: r- r B. Pee for branch circuits
s 7'�tri J"b / 2,, without service or feeder fee,
Address! •=' /01..3 each branch circuit 46.85 2
Each add'! branch circuit _ 6.65 2
City/State/ZIP: , - c)YL 4` ? 42 t, L. Miscellaneous (service or feeder not included)
Phone: ( ) (A ), i 1 f Z ? Fax: : (5u)) `S 1 15 73 Pump or irrigation circle 33.40 2
Sip or outline lighting 53.40 2
E - mail: Signal docents) or limited -
kge qgt f l k git$V! 1 R'_t� t M ;g i i` . i !iN energy Pand> alteration, or
extension. Describe: Paget 2
Bushiest Red's Electric Company
Address 2002 SE Clinton Each additional inspection over allowable In any of the above
Portland, OR 97202 Per inspection 62.50 '
City /Sta: (503)233 - 6467 Fax (503)233 - 1281 Investigation per hour (I br min) 62.50
Phone: (. CCB# 4443 Elec. Lid, 28-152C Supry LIc.# 5010-S Industrial plant hour 7 nt pe 3.75
• CCB Lie :! `� , /,; ''' Boot i '-'kti, � *". _ ±u:'- .1?. t 4 el'
Subtotal
Suprv. Electrician signature, required: -∎ Plan review (25% of permit fee)
Print name: I Date: State surcharge (8% of permit foe)
TOTAL PERMIT PEE
Authorized Signature: This permit tipit is m° obie 190
– ` ``�
days appllea after oa It as here lree If a b accepted as compl btained wlt c►e
Print name: I Date: • Pee methodology set by Tri County Building Indwtry Service Board
' s• Number of inspections per permit allowed
i:\ tuildingtPeimiiTI .C•PamliApy.doe 12/03 140I61fT(I0/e]/COM/wca
,
May. 2. 2006 3:27PM Rayborns Plumbing No. 2175 P. 1
Plumbini Permit Application FOR O1(11Ct USE ONLY
e. � 7�G/�V C% �1
City of Tigard Dat ei y: P ric ` ` 7 / /, --e C! /r / D a
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
, \ 1,1
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit Ne•'
24 - Hour Inspection Line: 503.639.4175 c .4.1"t04111 : Date/By: Dale Ready/By tar's` 63 See Page 2 for
Internet: www.cl.tigard.or.us Notilied/Merhod: Supplemcohd Informotioa
rF i rllr ' p, '�� » ' ��lr a- . " !t i 1 u ) I.• •∎ •.. 1r177 � ; .7:777.7,,,!7577; , v 2: 6 ...: ti - c i 1 i
ti
r 1 R,n� r' { F .vd I 1 .. t 1 t {IILI - 1 I ,
. Lieati ri:4s.'yi.9 �LL''-t..-tihe,�',l(wY {. ,- . „ , Tgif r�4. v,:ar. -, 4 =1a ! I: .,.�1.L• • - ' I_ ., 1.. `T r , l .... - n
❑ New construction 0 Demolition Fes special b ornration inc checklist
Description I Qty. I Ea. I Total
rA Addition/alteration/replacement ❑Other: New 1- 2- fatally dwellings (includes 100 ft. for each utility connection)
l" r61T1 ' � I , r , �1,,� a7.1 1 I tt , 1 an.r1rF'
tr : r � i -� -:4, ,., 9i) ` ` � r ? .. dn tr,ern) �t r .: C r- I � '{� . SFR(I)bath 249.2 •
5-�i ).'=t,),�id�I. vt '••w,,. y !'. ll.o-1 tF'. u .t + .f .: I . i P �._ �_:., I
't 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
ID Accessory building 0 Multi- family SFR (3) bath 399.00
D Master builder Each additional bath/lcitchen 45.00
❑ Other:
r rv* "rr ° Ti °Y mttY r 1 t , , , Fire sprinkler (_ sq. ft.) Page 2
a 1• i 1 ✓. •, q di , y 1 i' r �. t jj ! .'•
Ill y / f L &t1� `. 3 aQ 1 3 l i, 9 i{ r�Tt,.ill7 i. 1.44 i tir �.'�' h 7 :: � i ..�.. .. }., {t � n
C -'t;� k�J Site utilities
lob site address: ( / Z .S f) �, .-rte Catch basin or area drain 16.60
City /State /ZIP: e77 1.4,40 o - Drywcll, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name:. ft tr60,) 4 J 4,002 Footing drain (no. linear ft.. _) Page 2
Cross street/directions to job site: p g/J (et 8 y / C.
Manufactured home utilities 110.00
Manholes 16 60
Rain drain connector 16,60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.. ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no Fixture or item
,. s [ r Tr 7 o-i i -t ++irk e 1 t1 Absorption valve 16.60
r
�_ '?r,�w\�.1r4 17 f ∎l'f�r Rj 1 76 1 irt"'I r: t i E t ,'7-�i�
s ,err . ,l ! e...i. .e1,.,., .t,: -:t . _. ,_,_�r , .gi a , i 1., .:: 1;; Baekflow preventer Page 2
Backwater valve 16.60
•
Clothes washer 16.60
Dishwasher 16.60
(j ii - .'T�rYr' �3lae�f.45 rir� `•T] - ,7,7, 7 fi 77. -1.. ■'f� Drinking fountain 16.60
'): J , ti i l.�IJ„�it��r� - 4.- -9^t'y E .k r�Ilif: 11,1. 'f � �1 `:13 �jN4.l I ..: �i 1. - !'i l • ; :f;n'il t �rJM:
Ejectors /sump 16.60
Name: .. 'TLt7rbrao j J Expansion tank 16.60
Address: r Fixture /sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax; ( ) Garbage disposal 16.60
M • 1 Az3 �c „ J1, � •m :1 - .rr rr� w .., : Hose bib 16.60
,, al 4 (t it rt r t ! � , ! jP I4 a jr 11 1r ,1 t .,
.' . i � Itnu ..? T1 L.� , ' 3 11 ••'I I' --4 .: _' . tla:. ' L ... ; ! lee maker 16.60 •
Business name: , L 3 Cal J 7.,on. n.LJ J*+4r
Interceptor /grease trap 16.60
Contact name: J 'f- .4,4.. S dip / .1.4 Medical gas (value: S � ) Page 2
Address: /1 /of Primer 16.60
City /State /ZIP: .►ye, . wt_. q'lo. •a•- Roof drain (commercial) 16.60
Phone: (.D)) (D9 I . 4 r ? P 1 Fax: : (MS ) ( 4 0 "2 C d73 Sink/basin/lavatory 1 6.60
Tub /shower /shower pan 16.60
E -mail: (� 1 Urinal 16.60
t( ' i&1 l't l a '' .. . ill i' t�l , v ct- -57,1:31;q i ! g i _ v � t F 1 i , i1 , l i 1 ' I i ''� iJJ ] W ater closet 16.60
w.d - r.;.e! mtr ,t� e._,ars�. :!.s t ,1)n . . t -fr 4
Business name; (� , M V . Water heater - 16.60
Address: II e D 4 of
Other:
,, 1n Subtotal
City / 5tate/ZIP: T i 1 A) 04 7 b n
Minimum permit fee: 572.50
Phone: (5 , 6 74 _Li/ '? Fax: (5N) 6i'/ _ (43.2 .8 Residential back(low minimum permit fee: $36.25
CCB Lic,; � ' Al r Plumb'ng Lic. no.: - Plan iew (23% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: � � � y TOTAL PERMIT FEE
1 , , '
Print name: `, , A , _ Date: p. This permit application expires If a permit Is not obtained within
160 days after it has been accepted as complete.
'Fee methodology set by Tri•County Building Industry Service Board.
is tBuildinaiPermiis , PLM- PermiiAp°.doc 06/05 040.46I6T(I0 /07/COMIWEB)
MaY. U. ZUUb IU :RJAM I,L LAN WAItIt J[I(VII,CJ JUJ U014400 i' •cvcI
x Ma y 03 'r.'UUli 4:09PM SLS CONSTRUCTION 503 6927983 P • 1
Ir k -T 1ve s . 0, t,
I -
I I:MAY 0 3 006
-, B ..----__--..
le umber
06 QQ N 3
Clem Services C ° ` --
Out commitment is Clear. Sensitive Area Pre - Screening Site Assessment
Jurisdiction CoL1 .s \' �. Date S —
Map & Tax Lot • a C II 1.. �-d 0 lot oL Owner S - run cl,l
Applicant 3 • i -a 44 .s wit' s{ol
Slte Address 1 A ql:,� 1..3 � f a. '22 t Company -. s c ucvnit„ 1-1...„-o
- FL N,4.49 L.)'t n -3- 2.1 Address 1°a t 0 s 3 _
Proposed Activity _- (1,,, City State Zip _„,.n -.y ( 2 c p..r
(, ), o gam t Phone • so.s K i- A 8
•
Fax ■ �°�).. P - -3 . —
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean Water Services have authority to enter the project site et ell
reasonable times for the purpose of Inspecting project site conditions and gathering information
related to the project site. '
Official use only below ml, line
Official nob only below Inl. IIne Official use only below lnla line
Y N NA Y N NA
r t Sensltive.Area Composite Map �1 Stormwater Infrastructure maps
® !. 0 Map # 25/4/.1 • ❑ ❑ ] OS X Y6zI
❑ Locally adopted studies or maps a El /
Specify Specify d!` eiptfi r
Based on a review of the above information and the requirements of Clean Water Services
Design and Construction Standards Resolution and Order No. 04 -9:
0 Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST
PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If
Senslllve:Areas exist on the site or within 200 feet on adjacent properties, a Natural
Resources Assessment Report may also be required. •
54 Sensitive areas do not appear to exist on site or within 200' of the site. This pre - screening
site assessment does NOT eliminate the need to evaluate and protect water quality
sensitive areas It they are subsequently discovered. This document will serve as your
' Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All
required permits end approvals must be obtained and completed under applicable local,
state, end federal law,
D The proposed activity does not meet the definition of development. NO SITE ASSESSMENT
OR SERVICE PROVIDER LETTER IS REQUIRED. •
•
Reviewermments:
o rc,riq.//` se44,4 a _arr. — e-iy rs/ to ;peel.
Reviewed By: Date: .. /D /Q
• Official use only
Post - it"' Fax Note 7671 D " She 04 Wes
/ / Returned to Applicant
To From 4 giaae4y Mail _Fax _« Counter _
CoJDepl.5X5 1 t 6r01.9 /44 o. c%)5 I Date _.._...T//0/0(.... By .
6
Phone # Phone no/. 68 1 , 5200 - —
Fax 0 5•3, 6 12. r p m FAr II
CITY OF TIGARD a
BUILDING DIVISION PERMIT #: MST 06-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2006
Phone: (503) 639 -4171 .
Inspection Requests (24 Hrs.): (503) 639 -4175 ...„—÷ `__..
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6:58AM PAGE: 60
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: S1UTEVOSS
DESCRIPTION: Remodel /addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503.691.9878
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 035262 -03 503-519-9235 Y
Corrections /Comments /Instructions: ( H-OVj
/1C qD t 0 U t A - T - 1
4 i,/
WrE 11 V
•
PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED
Inspector: Date C..0 t Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2(K1fa- 0010(3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/200 +;
Phone: (503) 639 -4171 °' ( A,
' Inspection Requests (24 Hrs.): (503) 639 -4175 ''II�
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6 :58AM PAGE: 61
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STU f EVOSS
DESCRIPTION: Remodel/addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503-691 -98713
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
699 Mechanical final 035262 -02 503 -519 -9235 Y
•
Corrections /Comments /Instructions: ( FECF°P
1
1 i IF i Mir- .. ____,.
‘ ■ .
•
❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL w CALL FO' INSPECTION ❑ ADDITI NA , EES ASSESSED
4 • v,
Inspector: 1/41 Date: (mot Phone #: (503) 718 - 2i6t2.77
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2212006
Phone: (503) 639 -4171 I � I ' i
Inspection Requests (24 Hrs.): (503) 639 -4175 , ': _..
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6 :58AM PAGE: 62
SITE ADDRESS: 15412 SW 82ND PL. CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: S UT"EVOSS
DESCRIPTION: Remodel /addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 50:3- 691.98713
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 035262 -01 503.519.9235 Y
Corrections /Comments/ Instructions:
W -- -- l
r
_ _,i , , I ,
/I lilir II f-er W4 J
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l� 6 4) Phone #: (503) 718-
. . Z13-----
C ITY OF TIGARD
BUILDING. DIVISION PERMIT #: MST200S 00100
13125 SW Hall Blvd., - Tigard, OR 97223 DATE ISSUED: 5102/2006
Phone: (503) 639 -4171 %,v >rq
Inspection Requests (24 Hrs.): (503) 639 -4175 .�', � '' 'L.
INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7 :22AM PAGE: 2
SITE ADDRESS: 15412 S1N 62ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Remodel/addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 691 - 9078
Inspection Request Scheduled For: Date: 6 /13/ 2 Q 06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 031654 -01 503-519-9235 N
Corrections /Comments / )V?/PASS ❑ PARTIAL APPROVAL ❑ CANCEL 0 N ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 •& Date: , / Phone #: (503) 718 -
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MST2OC&00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ed22B2C10i:;
Phone: (503) 639 -4171 At:
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7:15AM PAGE: 73
SITE ADDRESS: 15112 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Rs:model /; ddition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 691 -9878
Inspection Request Scheduled For: Date: 5/30/2006 Pour Time:
Code # Inspection Description Confirm # , Contact # Message
315 Post/beam plumbing 030693-03 503- 601 - 9878 N
Corrections /Comments /Instructions:
•
•
•
W SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
° '\ 718- Inspector: v V ` Date: V v Phone #: (503) 718 �/`I � I
CITY OF TIGARD • .
BUILDING DIVISION PERMIT #: MST2006-0()100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/200E.
Phone: (503) 639 -4171 i ° d ypyl��l
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 6/3012006 TIME: 7:15AM PAGE: 72
SITE ADDRESS: 15412 SW 02ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Remodelfacddition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC • PHONE #: 503 691 - 9878
Inspection Request Scheduled For: Date: 5/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 030693-04 503- 691 -98Th IV
Corrections /Comments /Instructions:
•
) .N \ A k:' \\ 6 te)1 UNJ Ctr CtAii
, L �. y
tw; • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
II FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 8/ 6 b Ph one #: 503 2
p ( ) 718 - 27(
CITY F TI G ARD
O G ,
BUILDING DIVISION PERMIT #: MST700G -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 55/22/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 J! F'!
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7 :04AM PAGE:,
SITE ADDRESS: 16412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 076 TYPE OF USE:
PROJECT NAME: SIUTEVOSS
DESCRIPTION: Remodel/addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503-6919978
Inspection Request Scheduled For: Date: 8110/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034729 -01 603 - 233 -6487 N
Correction , emments /Instructions:
- ,. 44. £?- q
lid PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (( O( - Phone #: (503) 718 -
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/200(3
Phone: (503) 639 -4171 0,111
Inspection Requests (24 Hrs.): (503) 639 -4175 "_..
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 34
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: Q75 TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Remodel /addition.
OWNER: STIJTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 691.9070
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # AO
120 Electrical rough -in 032265 -01 503~233 -61467
•
Corrections /Comments /Instructions:
FAIL •
•
y5 }c — a •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G(-� ll Date: Z5 °6 Phone #: (503) 718- Z-6-1-/Y
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST?0U€ 00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:05AM PAGE: 53
SITE ADDRESS: 15412 SW 02ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: S I UTEVOSS
DESCRIPTION: Remodel/addition.
OWNER: Sl U'I EVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 -601- 9870
Inspection Request Scheduled For: bate: 6/26/2006 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
200 insulation 032322 -02 503 - 519-9235 Y
-5 9'Z S
Corrections /Comments /Instructions: S ::r%
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C Phone #: (503) 718 - –2 - -J
CITY OF TIGARD .
BUILDING DIVISION • PERMIT #: MST200 &00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2006
_Phone: (503) 639 -4171 ' M il
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 7A yl ' ---
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:05AM PAGE: 54
SITE ADDRESS: 15412 SW 62ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Remodel /addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 6131 -967
Inspection Request Scheduled For: Date: 6/26/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
275 Framing 032322 -01 503-519-9235 Y
Corrections /Comments /Instructions:
•
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION . El ADDITIONAL FEES ASSESSED
Inspector:! Date: - Phone #: (503) 718- 2---e-1--4-5-.
CITY OF TIGARD -
BUILDING DIVISION . PERMIT #: MST2006 -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51.22/2006
Phone: (503) 639 - 4171
Inspection'Requests (24 Hrs.): (503) 639 -4175 Rrf
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE:. 62
SITE ADDRESS: 15412 SIN 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: STUTEVOSS
•
DESCRIPTION: Remodel /addition. •
OWNER: STUTEVOSS, DALE & CAROLINE. PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503.691 ' 9878
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 032205-02 503 - 519 -9235 '(
Corrections /Comments /Instructions: p
I /
/ ! -1 � 6f" l i2t�CS� � P(��i
PLA-k S ®&_ 5>42. V i 2 c 7VtS2_o C\
ak
•
❑ PASS
RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 ' 2- ° - Phone #: (503) 718- Z6.1741/
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST200S.00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/27/2006
Phone: (503) 639- 4171u�
Inspection Requests (24 Hrs.): (503) 639 -4175 - -. IL.
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7 :16AM PAGE: 67
SITE ADDRESS: 1&112 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: S TUTEVOSS
DESCRIPTION: Remodel /addition.
OWNER: STUTEVOSS, DALE & CAROLINE . PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503 - 691 -9870
Inspection Request Scheduled For: • Date: - 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 032201 -01 503-519-9235 Y
' Corrections /Comments /Instructions:
i3 P i o\!ib s.: lue. - - rt. g ,0 v -
7 g 6.0z_
a te` r— �'pC,- € k o a lam. iLto � =�1�►S c-c-P,
S T7 ■f.-, 1-s// 4-4-- iAi'a p ---- e______ -,,,,,,,--e___,
1
1
❑ PASS 14 PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS 1
n FAIL g CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cl/IP Date: 6.Z: Phone #: (503) 718- Z-C "47 1
1
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006•00100
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/22/2006
Phone: (503) 639 - 4171 , Awquit
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 63
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: S1 UTEVO SS
DESCRIPTION: Remodel /addition.
OWNER: S UTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SL•S CUSTOM HOMES INC PHONE #: 503- 691"9078
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # . • -
235 Shear walls/anchors 032205 -01 503-519-9235
Corrections /Comments /Instructions:
oS S In) STAI—(.._ cAD <
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED.
Inspector: C.-d Date: 4 0- 6 Phone #: (503) 718- 7 4 yy
CITY OF TIGARD A BUILDING DIVISION PERMIT #: MST2008 )01011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/2006
Phone: (503) 639- 41714pI�l
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 611312006 TIME: 7:22AM PAGE: 1
SITE ADDRESS: 15412 SW 62ND PL CLASS OF WORK:
SUBDIVISION:_ ASHFORD OAKS NO. 2 LOT #: 075 TYPE OF USE:
PROJECT NAME: 'STUTEVOSS
DESCRIPTION: - Remodel/addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503-691
•
Inspection Request Scheduled For: Date: 6/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
line 610 Gay ne
031654 -02 503- 519 -9235 N
Corrections /Comments / Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: it Phone #: (503) 718 - a ��
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: Idi�,T 2006.00100
13125 SW Hall Blvd., Tigard, OR 97223 = DATE ISSUED: 1 6/121200(
Phone: (503) 639- 4171u�y j � l l
Inspection Requests (24 Hrs.): (503) 639 -4175 ! e.
INSPECTION WORKSHEET FOR DATE: 6130/2006 TIME: 7:16AM PAGE: • 75 .
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 076 TYPE OF USE:
PROJECT NAME: 5IUTEVOSS
DESCRIPTION: Ren►odelfaddition.
OWNER: • STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 503- 691 -9378
Inspection Request Scheduled For: Date: 530/2006 5 60 € Pour Time: /gm.
Code,# Inspection Description Confirm # Contact # essage
225 PoWbe trn structural - 030693 -01 503-691-9870 Y
O � a / --- i s /S— q 2-35 -°
Corrections /Com ,ents /Instructions: ,� �,
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•
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❑ PASS 0' -A RT I A L APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
It< •
.4 ( 718- ' 0 ' 0
Inspector: Date: T Phone #: (503) 718
CITY OF TIGARD • -
BUILDIIVG DIVISION PERMIT #: MST200€.00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f/22/20OCi
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �!�_ ar�_�_,
INSPECTION WORKSHEET FOR DATE: 5/30 /2006 TIME: 7:15AM PAGE: 74
SITE ADDRESS: 15412 SW B2ND PL CLASS OF WORK:
SUBDIVISION: ASI•IFORD OAKS NO. 2 LOT #: 075 • TYPE OF USE:
PROJECT NAME: STUTEVOSS
DESCRIPTION: Remodel /addition.
OWNER: STUTEVOSS, DALE & CAROLINE PHONE #:
CONTRACTOR: St CUSTOM HOMES INC PHONE #: 503 - 691 - 9676
Inspection Request Scheduled For: Date: 5/30 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Posit /beam mechanical 030693-02 603••691- 9876 N
Corrections /Comments /Instructions:
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V V1I
Date: Phone #: (503) 718 - 2 / 4 vci
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MST2006 -001
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/2212005
Phone: (503).639 -4171 i,,11�
Inspection' Requests (24 Hrs.): (503) 639 -4175 '!�i "I �..
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AM PAGE: 42
SITE ADDRESS: 15412 SW 82ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2. • LOT #: 075 TYPE OF USE:
PROJECT NAME: SFUTEVOSS
DESCRIPTION: Remodel/addition.
OWNER: STUTEVOSS, DALE & CAROLINE • PHONE #:
CONTRACTOR: SLS CUSTOM HOMES INC PHONE #: 603-691-9878
Inspection Request Scheduled For: Date: 5124/2008 Pour Time:. 12:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 030604 -01 503-781-0576 N
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Corrections /Comments / Instructions:
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lieivGl� =� g ar >i12.5arz -u. 19- .4e0L1oA. 601,•r - 5 5/Ze If Sperm, ,Cue 544.4.n/
LA PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5 24- - der , Phone #: (503) 718- -2 - 4 - 4 - 5 —