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Permit 4. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00261 j �; DEVELOPMENT SERVICES DATE ISSUED: 12/30/2004 13125 SW Ball Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14080 SW 89TH AVE PARCEL: 2S111AA -07900 SUBDIVISION: GREENSWARD PARK NO. 3 ZONING: R - 4.5 BLOCK: LOT: 063 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: PH2226D STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,345 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,414 sf GARAGE: 568 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TFftD: sf RIGHT: 5 VALUE: 271 280.40 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,759 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W /OSVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,764.63 FOUR D CONSTRUCTION FOUR D CONSTRUCTION This permit is subject to the regulations contained in the PO BOX 1577 PO BOX 1577 Tigard Municipal Code, State of OR. Specialty Codes BEAVERTON, OR 97075 BEAVERTON, OR 97075 and all other applicable laws. All 11 be done in This permit with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 590 - 0805 Phone: 503 - 590 - 0805 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 71037 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins l Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Line Insp Plumb Final Foundation lnsp PLM /Underfloor Framing lnsp Gas Fireplace Water Service lnsp Building Final Post/Beam Structural Mechanical Insp Shear Wall lnsp Insulation lnsp Appr /Sdwlk lnsp Issued By : f Permittee Signature : ��� ✓�, Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex usiness • ay . } V CITY OF TIGARD Credit No.: 20 04 - OCO •=1. Date Issued: Engineering AV ' il'�' Authorization -��� '!L Date: 3 -23 -04 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB2003 -00002 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Four D Construction developer) (name of . is entitled to $ 44.194 in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 -27 of the Greensward Park 3 Development. The use of TIF credits are subject to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Permit. crt„ ' P L D Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 44,194 5-1 ---64. Zon Y-0008z. 30 2.53 lo(o 5 -12 -0y 20 o y— Uo / /<, R3 z53 0 3 13 ■ - - i✓r - (7 4 ...(.7o Li -cols) S X5 7 • ., Jr.-, 7 -gl -o4 .2eoy -bol56 5.530 3 • 2 - 2 - ‘ic' . aaY / 71 ‘ x)3 31 -5 C 1 - 2- - 1)'1 ' t< 7 ,2)..7 b 9 014. `' 7-2 3" -e',-/ ? y n oz,; 2. 7 i ,-.7 6 9 _2_6 •s'2: 9- /7 -0` a ue,a -00188 S as A45 0 • A3, 631 23 7 " 9 -/7 -09 4t -Gb'89 gl, 2530J-4-9.6- _._±&1_ 1 1 26L-I ✓ /o/fAy man > - oi,f_5 76 X530 / 73/ xht- / e/e/c / X00 of e0/2 7.7 .,2s30 /4, ao 'y Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. login \viola \tif09.1 ThF}r L.-70i /1/410y MS1o9004 - 5 � 19 o.6o /3 51e1' 1 1 N( e oci-�3/7 00 �S �o� 1�9 o �ra 1, - cI ‘.3) } 2aav G12 ‘ ; 63 690, a .73-1/- 8 ' Vii: Build' 1 ' ' h 'cation (,v FOR OFFICE USE ONLY City o - : J�� Received / �' /) i Date/By. �iQe/ 101 Permit No. : ,- . Cr.� / 13125 SW Hall Blvd., Tigard, OR 97223 VVV Plan Review 6� 8.1960 �{ ' �� ����'M `���' Date/B : t'1a - b -13 o Other Permit: ,,,� ,,,�� ,>i Phone: 503. Inspection Line. 503.63.17 �_ „. ' Date Ready/By: P� ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TICiARD y 1 y t �w �. = '? d *-s ?'"�o-°'vP3.ct; s 'c.'F ty - d i 0,e a. -‘,.•,.:',:‘.,, t'S 8 st,1,4!:::' y i f... 'j111Ci 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: equipm materials, labor, overhead, and the profit for the " ;�� ' work i n d i cated on this application. itx, .: . -•,:! 1 cI.i :.-.:' A A,_. aYa :tz.. 1._ - :::. ra ., ,.,x . : s,. ' .az - .., tea i:. ._ - ,.... - 's: y I- and 2- family dwelling ❑ Commercial/industrial Valuation: $ x ❑ Accessory building ❑ Multi - family Number of bedrooms: �/ /,/�¢ Master builder ❑Other: Number of bathrooms: � � / � JOB SITE INFORATION AN L t 4 . I t M Total number of floors: ! Job site addres. /� J .0 S' L t�'-- 0,,,, New dwelling area: 27. ei square feet City /State/ZIP: "7-75d 4:),,e- Garage /carport area: S > square feet Suite/bldg. /apt. no.: (Project name: Covered porch area: / square feet Cross street/directions to job site: Deck area: __ square feet Other structure area: square feet Subdivision: „ _ _/ �� �J/ ? Lot nc Permit fees* are based on the value of the work performed. �Q„ Tax m no.: Indicate the value (rounded to the nearest dollar) of all map/parcel , � equipment, materials, labor, overhead, and the profit for the al , b t § j " , work indicated on this application. 4I.P�J oakI.s-i. Valuation: $ Existing building area: square feet New building area: square feet k 1 " . " , s� Y „ s 1 =I ' . ; 4 w ',. Number of stories: ^\ Name: W 0.. &2e _ G7 d -) C=um Type of construction: Address: p :Yr.- 1� 7 Occupancy groups: City/State/ZIP: n' / /13a..//a,,‘ f O/- j 26 7,5 Existing: Phone: ( ) ' Q — am. f a, Fax: ) 37'/75( New: s1 �* 2'::::''' > ,, - .._s ue ..> sK '. . -� .. _ _, .._... �� .. 6:., ._ .� �..'` a..,.� ,,- 7 � x'� , `'��$§' °`s 2s,. Business name: /4.1 00o Cl•QJ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax:: ( ) E -mail: Business name: J//„i ''lam ,42-,4 ' 4 ' :du s � % ' E I s Address: Please refer to fee schedul City/State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB hc.: 7/ V 3 7 / Date received: Authorized signature/ // ''� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: \���� d:! A ,���� . �a� Dater S. — ®5L * Fee methodology set by Tri- County Building Industry l / Service Board. is\ Building \Permits\BUP- PemitApp.doc 12J03 440- 4613T(11/02/COM/WBB) L One- and Two - Family Dwelling . . Building Permit Application Checklist FOR OFFICE USE ONLY Cit of Tigard Received Permit No.: Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 D/�mr aiNl����� ��?R I a� • 24- Flour Inspection Line: 503.639.4175 `f I ❑ Electrical 9 Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us — ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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- ❑ ❑ ❑ 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 Ore:on and shall be shown to be applicable to the .ro'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. ❑ ❑ ❑ 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 \One- Two - FamilyChecklist.doc 12/03 A Mechanical Permit ApptD FOR OFFICE USE ONLY V C Received City of Tigard R DateBy: Permit No.: lrNL{ '_ C ' i 13125 SW Hall Blvd., Tigard, OR g 223 Plan Review Phone: 503.639.4171 Fax: 503.59 �� 200 4 /ii•ilit; \ D ateB y : Inspection Line: 503.639.4175 Other Permit: . ig _ i ., Date Ready/13y: Juris: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TIGARD Iq t r` y . _ i, 9T " h : i ' 'OMMERCIA : °FEE *''SCHEDULE - USE CHECKLIST V 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. t C N .. .. I .. 4 -t �1F# .. Valu 1- and 2 -famil dwellin Commercial /industrial 1;ESIDENTIAL E Q U IPMENT / SYSTEMS FEES* For special information use checklist. y g ❑ ❑ Accessory building Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ., s g 3l.ka ._....� 44t, . ��< -: 9N . Heatin Job site ad / LV 076 J C3 *C.,- o-t..... Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: ---7--/5, 6 972 Fumace 100,000 BTU (ducts /vents) 14.00 T Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: ' ¢.e�L `/r� Cep 3 JJ Flue /vent for any of above 10.00 1a-� sf.� Lot no.: Q 3 Other: 10.00 Tax map /parcel no.: Other fuel appliances . c ` j , �, ° "� - Water heater 10.00 � Gas fireplace 10.00 .Q� ,' ' "- 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 : Chimney /liner /flue /vent 10.00 t `''"�- : "� 4. dK'' x 1, .« I ' �$ q � I W - .� � _ _ � � � , t �: ` � .,i �-r� Other: 10.00 Name: die (.. 0i6h ��C 47 a, Environmental exhaust and ventilation � Range hood /other kitchen Address: 0, 1 �� ! equipment 10.00 City/State/ZIP: z > / e___ 27 ( . 7 .. 5 .--- Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ) � V _ 4::: S Fax: (36) 5 0 / 7 toilet compartments, utility rooms) 6.80 ; s t l i J ' l m i e -, Attic /crawlspace fans 10.00 7 y� Other: 10.00 Business name: Jf17'J�. �' `jt'i-e. Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range 2 4 4 - 4 0 r ° Barbecue Business name: Q / � { , Clothes dryer (gas) !`�,,,C ) Other � , / ...c u ��� I / ` - ' Address: / � ' ' ` ' 4 ' E� i ANI4 Mtr :FEES City/State/ZIP: /(4 ,z..., e. L. 27/ Subtotal Phone: bid 3) 5 Fax: ( ) Minimum permit fee ($72.5 Plan review (25% of permit fee) ) CCB lic.: 6 ib 70? State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: ) /�QLls This permit application expires if a permit is not obtained within 180 ��/u �� !� � days after it has been accepted as complete. Print name:,, 40(� Date: Q _ y ' Fee methodology set by Tri- County Building Industry Service Board 1 6 , i: \Building \Permits \MEC- PermitApp.doc 12/03 4400- 4617T(1l /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: aLalao �e�r� s . $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. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 I Electrical Permit AMV ED FOR OFFICE USE ONLY City of Tigard SEP 0 7 2004 Date/B e at /Bea PermitNo.: sr — ev � / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ;i Date/B : Other Permit: Inspection Line: 503.639.4175 CITY OF TI GARD _. �. •' I Date Read Juris: H See Page 2 for Internet: www.ci.tigard.or.us _ I�O1NG D IVISIO - Notified/Method: Supplemental Information Po. Xj New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: EService over 225 amps, comm'l ['Hazardous location o- . ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., s _ 1 . q u ' • .1 ",, - -t,t, Se 1- and 2-famil dwellings 4 or more new residential (� 1- and 2- family dwelling ❑ Commercial/ ❑ Accessory building ❑ Syste m over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more r r ['Occupant over 99 persons ['Manufactured structures or �: t s s 10 ro x � , RV ark -`, g,.. r _' mo '� ,. - ' ". - .. ❑ Egess/lighting plan P Job no.J Job site address: Q�� f , -\ t �y ❑ Health -care facility ❑Other: t J c /O d t) 5 w ?5 �P \- Submit 2 sets of plans with any of the above. City/State /ZIP: / h 0 The above are not applicable to temporary construction service. Suite/bldg./apt. no.: 3 Project name: ' � ^4 1 ' a- ' �� Description I Qty. I Fee. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: ��! . > t,j wi t ' ?�inx 5 Lot no. 43 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: - Limited energy, residential 75.00 2 T o �� r Limited energy, non- residential 75.00 2 � u J� dwelling, service and /or feeder 90.90 2 / ,-,.......) A OLLSR -- Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 '' b W � , . 201 amps to 400 amps 106.85 2 17 i ' a° ` ' ` a s:a_ ' 401 amps to 600 amps 160.60 2 Name: �irxu (- 0 a 5 . 7 •, , c7a ,U ��� 601 amps to 1,000 amps 240.60 2 Address: c 0, 0"- j 7 � 7 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: 7 V ,l n 7 7 Temporary services or feeders installation, alteration, and/or Phone: (9) �7 . 6 pp f Fax: (.57-2.3) o —1 7 relocation action 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Branch circuits — new, alteration, or extension, per panel »,x , � t� a i � ... : e o ff £ w .. A. Fee for branch circuits with service or feeder fee, each 6.65 2 �" Business name: ` 29,."". ' �� / //�� 0 0.-.2.—.. branch circuit _ ��// �� B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 . 2 E -mail: Signal circuit(s) or limited - % of tip' w ,` '2'•ii 4 7 energy panel, alteration, or extens Describe: Page 2 2 �'b Business name: ? e 7-3 4i ___......2'11-: e- G Address: s7� g S. . 4/ •,e_, - Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: F a . ,_ V Investigation per hour (1 hr min) 62.50 Phone:(_ -72 Fa ( ) �� Industrial plant per hour 73.75 CCB Lic.: y Electrical Lic.: l�— - 3C Suprv. Lic? 30-c 3 (J) Subtotal Suprv. Electrician signature, required: --,74_‘ )_ _ _ Plan review (25% of permit fee) Print name: � ��7- /l /!C (!1, _ �, / Date: '-1`� State surcharge (8% of permit fee) SCU // TOTAL PERMIT FEE Authorized signaturei 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print namep,e - /0 a �-- Date: 57---3 " " Fee N methodology set by Terper p i- C ounty Building Industry Service Board /' ^ um b etnri t allowed. i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: -:Y i.....''4R'ry% ero`z�*it�3;':Gi Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El Other: *PA _°r r'g Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical El Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i: \ Building \Permits\ELC- PemdtApp.doc 04/03 Building, Fixture E��ED ' Plumbing Perm p 'lication FOR OFFICE USE ONLY City of Tigard S Q 204 DateB , (���o� ^ / / ��33 Permit No.: /� o 'vr 13125 SW Hall Blvd., Tigard, OR 22 y Plan Review Phone: 503.639.4171 Fax: 503.598.128 / /ti��r�i�, C�� Date/By: Other Permit No.: 24- Hour Inspection Line: 503.63 4175 "F TOGA RD N .' l L \ e J uris: G pIV1S1 � ,. Date Ready/By: !3 See Page 2 for Internet: www.ci.tigard.or.us BUILDIN Notified/Method: Supplemental Information s r v b 4. , ''; '' i SCH] DULE rg New 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) M 4 -_- „x dli" U. , a SFR (1) bath 249.20 liti 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: g � Fire sprinkler ( sq. ft.) Page 2 t.' - °&e ': _ l e 1 ° , . g . o 6 . - s . S ut Job site address: , 1 y yb 5 W R9 d _ Catch basin or area drain 16.60 City /State /ZIP: -7 -�9 p /),(.._ e y AI /9 722� Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: /, f Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Cdr.- e.O4se rp�� 3, l Lot no.: e - 6' ,.. 5 Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: * Absorption valve 16.60 ;1776 a a , s' . . .« Backflow preventer Page 2 /0.- /-/o a.Se-- Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 Ejectors /sump 16.60 Name: � ` 2 w ( s J2ez e7? 6 4) a Expansion tank 16.60 Address: ? (..), 9tp. / c 7 Fixture /sewer cap 16.60 City/State/ZIP: 2 2 �L i - ' , 2762S Floor drain/floor sink/hub 16.60 3 Garbage disposal 16.60 Phone: ( ) ) S y a 1 " j ✓� IU! ,.. Hose bib .,,` • fi Fax (, -b y tr 16.60 :, Ice maker 16.60 Business name: .. S , f /I p 42,,,,,,z....... Interceptor /grease trap 16.60 Contact name: ' Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/ State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 r ,1' ; _ 1 '' w -s � * 0 , ', Water closet 16.60 Business name: 6-71.1--• 2 )L(.../-1�� Water heater 16.60 Address: /3 ... C.: �l�.Z', .ems Other: city/state /ZIP: // /L b to � 6/- 5'7)9-3 Subtotal Minimum permit fee: $72.50 Phone: 2) 4 - 2g!/ Fax: ( ) _ Residential backflow minimum permit fee: $36.25 CCB Lic.: / 990 7 Plumbing Lic. no.:3 f�� - Plan review (25% of permit fee) State surcharge (8% of permit fee) , Authorized signature: )(/ / / &J `�� V TOTAL PERMIT FEE Print name: &1 / ✓ Date: -5 This permit application expires if a permit is not obtained within !` °�� 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Pemuts\PLMF- PermitApp.doc 12/03 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Ata1 if :4'ua c 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 Storm & Rain Drain - 1st 100' 55.00 J ua n „ F exmit Fee: $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 additional $100.00 or fraction thereof, to and m1S an :.w2. Fn DAIiy' including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . c 'uatd b ®3 e 4WWaar' rmrl '� , �$a Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an -Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach./Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar/Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: i:\ Building \Permits\PLM- PermitApp. doc 3/03 ill S r L ( —ao , : V ■ FI ATI O N • T EE CE TI C R STREET R • I, 1 1// _,/'-;; f'b! - r - , Owner/Agent for ? E uit J) � ,P■iS e7�aGrfp I. (PLEASE PRINT) (PERMIT HOLDER) ■ -I / • • • • ���s g� $ `^ � f f , ^ • A Do hereb q P iv d i 0 e fol location • k N 11 `f m eets ` ity of . ; rd /Wa ' on '. ounty 04. l and use and development standards for street tree installation. ► • • ADDRESS: /Y0 So ,s W . e? 7,-,,, , ► 44 10- LOT: 4 3 SUBDIVISION: 6 (sw/ / 4 /J /e-- ..,2 / ► / • BY:_ ..- DATE: 4/ - 9' •- Q_c ► / / • DATE: /)- 9 �� RECEIVED BY: ■ CITY OF TIGARD 1166 BUILDING DIVISION PERMIT #t (� ( c / r 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ■ ���,�a� °y�i't�;P��li I \ Inspection Requests (24 Hrs.): (503) 639 -4175 ..."+� U. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: C t.) C -1-— CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: —/V\ t\ k_A e--i - C-e ___- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS f FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t /------ Inspector: Date: 1 1-A © /one #: (503) 718- CITY OF TIGARD --14,(<1 , BUILDING DIVISION PERMIT #:ZQD4'- DO (0 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ir Phone: (503) 639 -4171 : ������� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 1 I A / < TIME: PAGE: SITE ADDRESS: l "l 6 i ` 1 ' * CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: "i► ‘istL `rh s. ' •' • Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message A lI flit-/i Corrections /Comments /Instructions: ` ( 1(6 b r( th Av - I \At CLIC__.i2.- 5e.-(2-AiN 6.-i2-s -171 4 1 - 1-TM-e, Cs2 2A Cat 1 * L i.. L -- J a 0 c --e e S,e.-.7\ f 72,--- ei24..., 4e� s c Cam) . . . • n PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A 91L ❑ CALL FOR INSPECTION ❑ . ADDITIONAL FEES ASSESSED Inspector: W,I Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #:0 t I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �i Phone: (503) 639 -4171 i°,iiypulll'l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / ? 9 9k) gl 4. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: L-{ p PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: C od # Inspection Confirm # Contact # Message ff/fr r I il t rrrctions /Comment /inst ructions: _ l 7 LZ(-- _ — r\. f 4-c P' S ZcicJ tjute-- (: (.v c---q p- /Al4 -c ,s - 4l Gf Pi/ UN / &) riA) - 1..■ TS // / � << �L) 6 t- 1�--.� ok/ 4-)1 Ai. b ,�r 4 ? I H 1G ��/'1/ P4 S d!'.= / C /\ ��� 2D'vsU - r _) y�� • A' - . - O eh PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r �. Inspec or: Date: l' ° S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639- 4171�bNN��ypi�ll7�l�''� Inspection Requests (24 Hrs.): (503) 639 -4175 " __.. INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 101 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503- 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 590 -0805 Inspection Request Scheduled For: Date: 11/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 020555302 603 /20 - 7445 Y Corrections /Comments/ Instructions: 13 ,4-((._ 1S /.4 K.__ Ald; T ry Z ...., ra i G . . ow. ■:gam__ Pee v. —( TV (L. 6 t'4 Lf UP c /e... O - NAM d . Nterri ❑ PASS IN -' RTIAL APPROVAL ❑ CANCEL II] NO ACCESS 7f . AIL - AFOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i'S Inspector: A ,_ — /l Date: g Phone #: (503) 718 - W — — i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/3012004 Phone: (503) 639 -4171 � 0 ' , 0 � � � 1 °'iP��p 111ii;��l Inspection Requests (24 Hrs.): (503) 639 - 4175+ __.. INSPECTION WORKSHEET FOR DATE: 9113/2005 TIME: 7:05AM PAGE: 2 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503_5%4)805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503. 590.0805 Inspection Request Scheduled For: Date: 9113/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 015537 -04 503-720-7445 N Corrections /Comments/ Instructions: \ i4P_ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: Date: Phone #: (503) 718- CITY OF TIGARIA 1 BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12130/2004 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 36 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 00670310 503 - 960.4631 N Corrections /Comments /Instructions: A _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / e Date: Phone #: (503) 718- 1 CITY OF TIGARD % 41/ II BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 � �� ° %i il\ Inspection Requests (24 Hrs.): (503) 639 -4175 —� INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:08AM PAGE: 40 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: Q63 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503-590-0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 006703 -06 503-969-4631 N P Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /° Inspector: /ir Date: L� ‘,4 Phone #: (503) 718 - CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 A H ���i Inspection Requests (24 Hrs.): (503) 639 -4175 . ' _ _.. INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 39 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO.3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503-590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 594.0805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 006703 -07 603 -969-4631 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / 2 - � < 1 �' Date: $(' " Phone #: (503) 718- CITY OF TIGARD ) , BUILDING DIVISION PERMIT #: MST200400261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 iitiltik IA Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 38 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503- 590.0605 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590.0805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 006703 -08 503-969-4631 N Corrections/Comments/Instructions: 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /� Date /-) Phone #: (503) 718- r CITY OF TIGARD 410 BUILDING DIVISION PERMIT #: MST2004-00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 Ai* ��,,,l�i��iifl Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 37 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 -690 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.59110805 Inspection Request Scheduled For: Date: 55/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 006703 -09 503 - 969-4631 N Corrections /Comments/ APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ki Date: /-�/ v Phone #: (503) 718 - r CITY OF TIGARC ' BUILDING DIVISION PERMIT #: MST2004- 00261 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 / b . ' tt ° 4 H�iilif j Inspection Requests (24 Hrs.): (503) 639 -4175 ._'!+� INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 44 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 -590 -0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 5Q3.590_0805 Inspection Request Scheduled For: Date: 6t12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 006601 503- 640 -2311 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / it i- 1 Date: /_ J t- Phone #: (503) 718- CITY OF TIGARD " BUILDING DIVISION PERMIT #: 2004-00261 02E 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12130/2004 Phone: (503) 639 -4171 � ,l� " ��i Inspection Requests (24 Hrs.): (503) 639 -4175 —.JAI- INSPECTION WORKSHEET FOR DATE: 11/812006 TIME: 7 :00AM PAGE: 102 SITE ADDRESS: 14080 SW 897H AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PAM <, NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR U CON ;TRUCTION, PHONE #: 603 590.0805 CONTRACTOR: FOUR D CONE;TRUCTION PHONE #: 503- 590 -0806 Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020559 -01 603 - 720 7446 N Corrections /Comments/ Instructions: A Fe--- 1 klcs- b Pe_ 4-7 til G-t cot' itc----e-7-1 %Z- X y. - B. L....7 n a , 1"ro/ /CJFvc --z r- e ,4-c -e _ �; S - - - � y /.10 m P�-∎14-'t? /V r I I PASS / - ARTIAL APPROVAL ❑ CANCEL ` NO ACCESS K FAIL . , I' FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED riollIIIIP Inspector: 4111■. Date: "5 °C— Phone #: (503) 718 - illftb, CITY F TI ARD C O G BUILDING DIVISION PERMIT #: MST2004-00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12130//004 Phone: (503) 639 -4171 ��'ll ai i t I � Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `'I '� .. INSPECTION WORKSHEET FOR DATE: 91/4/2005 TIME: 7:09AM PAGE: 26 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR 0 CONSTRUCTION, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 590 -0805 Inspection Request Scheduled For: Date: 9f14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage V 015663 -01 503 -720 -7445 N Corrections/Comments/Instructions: c fa,m,,c,4 - ' P -a/(m--‘,4„,„ - 1-eil.,a-0 laat(44,A )grPASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n C , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r4 q - " Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2004- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /713012004 Phone: (503) 639 -4171 A ,, � f 11 ft t llI �u�; tll l l '' � � Inspection Requests (24 Hrs.): (503) 639 -4175 . & !J ___ INSPECTION WORKSHEET FOR DATE: 9/612005 TIME: 7:06AM PAGE: 38 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503- 59Q-p805 CONTRACTOR: FOUR 0 CONSTRUCTION PHONE #: 503.590.0805 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: Code # Ins. - - ! - ri•tion Confirm # Contact # Message 120 : ectrical rough -in 01496602 503- 720.7445 N Corrections /Comments /Ins . •1 • P.E5 .tA.1-- U i, S P ccs 6. Z_ 4; 0 5 1 Nu- w' no b (c110.10.1.9 o r; e 1 oTo F Ko 4 N VA &s Not- 8 \ C..q % Lt ►N .44 n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / a` Date: f 6 �� Phone #: (503) 718 - 1-'4 CITY' OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/34/20114 Phone: (503) 639 -4171 a Inspection Requests (24 Hrs.): (503) 639 -4175 ��� INSPECTION WORKSHEET FOR DATE: 9/612005 TIME: 7.06AM PAGE: 40 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -590 -0805 Inspection Request Scheduled For: Date: 9/&2005 Pour Time: Code # Ins.- '•n Description Confirm # Contact # Message 115 lectrical service 0149€&•01 503- 720 -7445 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14 b v Date: C Phone #: (503) 718 - 121C_ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 . , Phone: (503) 639 -4171 - ,at,,, Inspection Requests (24 Hrs.): (503) 639 -4175 - __.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7.01AM PAGE: 72 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO, 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503-590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603 -590 -0805 Inspection Request Scheduled For: Date: 9/1612005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 015905 -01 503- 720 -7445 N Corrections /Comments /Instructions: 7 PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS FAIL ❑ C' 0 FOR ► P CTION ❑ ADDITIONAL FEES ASSESSED Inspector: �i _ Date: /� dT Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 00761 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 --# ii�Rlfl Inspection Requests (24 Hrs.): (503) 639 -4175 111., INSPECTION WORKSHEET FOR DATE: 8/13/2005 TIME: 7:06AM PAGE: 3 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 1 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 9/13/7005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 015537 -03 503 - 720-7446 N Corrections /Comments /Instructions: ASS % PARTIAL APPROVAL ❑ CANCEL U NO ACCESS (...t FAIL / ' r L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD I BUILDING DIVISION PERMIT #: ms-r2004-00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • 2/302g04 Phone: (503) 639 -4171 ���NH��ypu d il�' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/13/2006 TIME: 7:05AM PAGE: 4 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 - 590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE it 503 -690 -0805 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: I 1 Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 015537 -02 503 - 720 -7445 N Corrections /Comments /Instructions: F.C ► e .ig b 11 Q C ids VA PASS ❑ • . RTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ' V, C. L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ' - ., Phone #: (503) 718- \ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 �rbtN�y��J;��i�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 5 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO, 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503- 590 -0005 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590 -0805 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 015537 -01 503 - 720 -7445 N Corrections /Comments/ Instructions: PASS %/ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL a ALL FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED 3 C: Inspector: L ` ■ Date: / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 00.161 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/300004 Phone: (503) 639 -4171 / rir°dp�'NI 'ill Inspection Requests (24 Hrs.): (503) 639 -4175 -...., ?__.. INSPECTION WORKSHEET FOR DATE: 9/E/2005 TIME: 7:06AM PAGE: 38 SITE ADDRESS: 14000 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503.590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 59110805 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 014966.03 5503 -720 -7445 N Corrections /Comments/ Instructions: 6345 - i?i. S r--- T• - TG s ; s 17 "�S'. `r f5 2 / fS w11.. uT. C 7 5"742. 8,1 ASS [ I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9-6---.76 Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30n004 Phone: (503) 639 -4171 � "'���'�OiP��Niml;,l�'�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7 06AM PAGE: 34 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO, 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached OWNER: FOUR 0 CONSTRUCTION, PHONE #: 503.590.0805 CONTRACTOR: FOUR 0 CONSTRUCTION PHONE #: J03- 590 -0805 Inspection Request Scheduled For: Date: 8/1812006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors , 603. 720.7445 N Corrections /Comments /Instructions: /14?/14 6' /lam s 40814 Al,? a 6ttki.1 l7o4 51/0 ' 0 I) 71114r t ❑ PASS SrPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " � � Dat $ 1 g-- O Phone #: (503) 718 - CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12130/ 0CA Phone: (503) 639 -4171 A P y i , l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8//82005 TIME: TO6AM PAGE: 33 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 603 - 690..0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590 -p805 Inspection Request Scheduled For: Date: 8/1 13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing / 013826.10 503. 720.7445 N Corrections /Comments /Instructions: v PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ' ❑ FAIL ❑ C . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '' E 0 Date: 5--1 0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 :11144,'..‘ili_I Phone: ( 503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7: 06AM PAGE: 32 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR I) CONSTRUCTION, PHONE #: 503 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590 -0805 Inspection Request Scheduled For: Date: 8/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls j ! 01382611 503.720.7445 N Corrections /Comments /Instructions: �/ I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ' I g r 0 5 — Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 1 '� 4° 4���y�mp`�I�'�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7.08AM PAGE: 34 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: p63 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503. 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 006705 -02 503. 720.7445 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: 5 ---° Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION � �' PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 " I�� Inspection Requests (24 Hrs.): (503) 639 -4175 .� ' i � � _ .. INSPECTION WORKSHEET FOR DATE: 55/12/2005 TIME: 7: 08AM PAGE: 35 SITE ADDRESS: 14480 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503. Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 006705 -01 503 -720 -7445 N C. - ..ns /Comments /Instructi�,gs: Su '„F ZikL e- G� //CA/ t • L 4,4_, C\Ze t ,o0 ( 4.1(/ S. L L 4::,----",----7" 5 i "7- o� r - - , 1 0014... lel r/c K...-l(c � PASS 0 PARTIAL APPROVAL 0 CANCEL Ei NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / , Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00261 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 : Inspection Requests (24 Hrs.): (503) 639 -4175 _ .- INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME 7 PAGE: 26 1 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF detached. OWNER: FOUR 0 CONSTRUCTION, PHONE #: 503 - 590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503'590.0805 Inspection Request Scheduled For: Date: 6 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 005804 -02 503-720 -7445 N Corrections/Comments/Instructions: /M• - A •c1,4it 'Ars 5,26" 7 ,1f -�S AQ /4 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: 6 ---- - ieS — Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2004 -00261 I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J30/2004 �//,,, A* N� Phone: (503) 639 -4171 � �glild��l�I \ Inspection Requests (24 Hrs.): (503) 639 -4175 ... — /2/2005 INSPECTION WORKSHEET FOR DATE: 5 TIME: . /:10AM PAGE: 26 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 063 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO, 3 DESCRIPTION: New SF detached. OWNER: FOUR D CONSTRUCTION, PHONE #: 503-5900805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590-0B05 Inspection Request Scheduled For: Date: 5/2/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 005804 -01 503- 720 -7445 Y Corrections /Comments /Instructions: U7 —r2 1. C134 - E Pte" AS S Li PARTIAL APPROVAL 0 CANCEL El NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: "-- 2 ` ) Phone #: (503) 718-