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Permit
+ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00087 Ai. .� DEVELOPMENT SERVICES DATE ISSUED: 4/25/2005 �' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 AA -07800 SITE ADDRESS: 14060 SW 89TH AVE ZONING: R -4.5 SUBDIVISION: GREENSWARD PARK NO. 3 LOT: 062 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS22137 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,204 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,477 sf GARAGE: 535 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THROO sf RIGHT: 5 VALUE: 261 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,681 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: BOIUCMP < 3HP: f VENT FANS: 5 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 5 201 • 400 amp: 201 - 400 amp: 1st W /OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes FOUR D CONSTRUCTION CO FOUR D CONSTRUCTION and all other applicable laws. All work will be done in PO BOX 1577 PO BOX 1577 accordance with approved plans. This permit will expire BEAVERTON, OR 97075 BEAVERTON, OR 97075 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 Phone: 503 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 71037 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,043.09 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By :: ��-e' LF gar ' .��r- Permittee Signatur . _ /�r.7; Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Builc\inQ Permit APDuication' I �cr FOR OFFICE I' I I I \ I t C City of Tigard Received m Permit No. � -6 7 13125 SW Hall Blvd., Tigard, OR 97223 iii �L A an R ev i ew O ther Pe �•'t • Phone: 503.639.4171 Fax: 503.598.1960 • `� P 2005 Date/B . f ! / - 0S — l i s --060". Inspection Line: 503.639.4175 k.; i i y � ,l . l ' ) Date Ready/By: ® See Attached Checklist for OF TIGAF -- Notified/Method , Supplemental Information Internet: www.ci.tigard.or.us BUIL DIVISIOI\i .._�. TYPE OF WORK r R EQUIRED DATA: 1 AND 2 FAMILY DWELLING r 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. p0 1 - and 2- family dwelling ❑ Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi - family Number of bedrooms: j kl Master builder ❑ Other: Number of bathrooms: 3 Li ©b O JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: S, t.i_.J L /-t/ New dwelling area: 24 e square feet City /State/ZIP: 77 G (i 2 ,,(_ v,C_ 1722' Garage /carport area: S s— square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 60 square feet Cross street/directions to job site: Deck area: 7 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: e,,,,,af,�e,1/44,e.G Per" 3 Lot no.: i ✓p 2 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. g c -c..cl� A17-..o l�u -e.....- Valuation: S Existing building area: square feet New building area: square feet XPROPERTY OWNER ❑ TENANT Number of stories: Name: ie--- a) S',7 eQ a C7e')4 ao— Type of construction: Address: Or Vx / k S ? 7 Occupancy groups: City /State/ZIP: B l d Q' 2 ()7 S Existing: Phone: (L3 ).57 — D cPas Fax: (333 ) 5 o -/7s ( New: gr APPLICANT ❑ CONTACT PERSON NOTICE Business name: syyyt2 -S 16 d ii-e_ All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: apply: Phone:( ) Fax::( ) E-mail: CONTRACTOR Business name: _g As /r h 0 (J -e BUILDING PERMIT FEES* Address: Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) I Fax: ( ) CCB lic.: 7 / 0 3 7 Amount received Date received: Authorized signature: .//4....ell „.../0-,....c........,- .412 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ���x — Date: S — ” —d ' Fee methodology set by Tri -County Building Industry Service Board. is\ Building \Pennits\BUP- TI- PennitApp.doe 12/03 440-4613T(II /02/COM/WEB) a_ Building Division Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard _ Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is\ Building \Pennita\BUP- T1- PermitApp.doc 12/03 440-4613T(11/02/COM/WEB) Mechanical Permit Application D FOR OFFICE USE ONLY City g ✓, Received K y(o v 5 —cY • 7 CIt of Tigard • , , Y Date/By: Permit No.: / 13125 SW Hall Blvd., Tigard, OR 9722 . Plan Review Phone: 503.639.4171 Fax: 503.598.19 Other Permit: '' i '"rli : {{i, Date/By: Inspection Line: 503.639.4175 _41. *1 i i Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Xi New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. Multi family ArMaster builder 0 Other: Description Qty. Ea. Total N060 JOB SITE INFORMATION AND LOCATION Heating /cooling Air conditioning or heat pump Job site address: Saj c (requires site plan showing placement) 14.00 _ City/State /ZIP: • yiiidf a i c 97,22 ci Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 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: ", , ,,,/,z1 Flue /vent for any of above 10.00 W y Lot no.: { Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 3( - Gas ' r Gas vent fireplace 10.00 %c.c(!lC /(,j� jC.t�I?i 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 PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00 . Other: 10.00 Name: FO( G7 a,l) a Environmental exhaust and ventilation Address: E 7 7 Range hood/other kitchen q ^-� equipment 10.00 City/State /ZIP: (2j i L-�- 6/___ L l Q 75 Clothes dryer exhaust 10.00 Z Single -duct exhaust (bathrooms, Phone: (. b3) S7,_) — S Fax: (163) '(-1 /7 .S/ toilet compartments, utility rooms) 6.80 [APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 /��e �v ''i l Other: 10.00 Business name: �j —' 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: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: S Q ��/ „� !N / J Other: Address: // 6/ R i (f j - � �/2v(_ MECHANICAL PERMIT FEES* City/State /ZIP: 7 /LCS' cls 6 &S l 6 A— 2 7 /2 3 Subtotal Minimum permit fee ($72.50) Phone: (,Sb3) — 6. �-b 3 Fax: ( ) a " Plan review (25% of permit fee) CCB lic.: 4,..6 S State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized Signature: /�f /� 7 _ This permit application expires if a permit is not obtained within 180 �� "IBC <s-di days after it has been accepted as complete. Print name: YoR 9 m 1j� Date: __?....,:1--_6,..s- * Fee methodology set by Tri-County Building Industry Service Board Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: _ $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $ 50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. is\ Building \Permits\MEC- PermitApp.doc 12/03 2 Plumbing Permit RE-E'ER/ED FOR OFFICE USE ONLY +� City of Tigard Received Permit No.: 5 / 13125 SW Hall Blvd., Tigard, OR 97223 A Date/By: �•�444 1 �_ J 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 m / y � r�i N��;i iV Plan Re : Other Permit No.: 24- Hour Inspection Line: 503.639 .' I L A i Y OF TIGARL Date Ready/By: ]mrs FO See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF YORK 1 FEE* SCHEDULE '(New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) 0 ffi 4AfVt CATEGORY OF . CONSTRUCTION SFR (1) bath 249.20 x 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi-family SFR (3) bath 399.00 g Master builder Each additional bath/ kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JO SITE INFORMATION AND ION '`' � � � B L � OCAT _ Site utilities Job site address: % S, A .1. . -- ze l Catch basin or area drain 16.60 City/ State/ZIP: 77911. , l � 1 7? D_ y Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: '/ � 7 , Project n ame: 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: ,-,,' eta ?/,, Lot no.: ‘.., 2 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: Absorption valve 16.60 DESCRIPTION OF. WORK Backflow preventer Page 2 s c:i- ,c.E -C( /V„jc..) al--'------ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ( PROPERTY, OWNED TENANT Drinking fountain 16.60 16.60 ri « ,� R u.�,,,- Ejectorslsump Name: � i2- v• & - c'rcl ") Udv Expansion tank 16.60 Address: \T O (...Fir / 4 ----- 7 7 Fixture /sewer cap 16.60 City/ State/ZIP: d 4 2 . 767,5 --- 67,5--- Floor drain/floor sink/hub 16.60 Phone: (5b) 5 5- Fax: LSO ) S j"6 --l7.5---/ Garbage disposal 16.60 , a a 1.a k r .: , . , Hose bib 16.60 � �°°" ` q Ice maker 16.60 Business name: 7--0(.. 1 .;76,11 o - Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: & yyta- i4,6 6 1../• Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: . Z TL -,'1 -frjj Water heater 16.60 5 Address: 22 S' ` -/ ..C _ Other: Subtotal City/ State/ZIP: //6 - cr, , .. ■ jL 77 / Minimum permit fee: $7250 Phone: _563) , 4( � /1 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: / p 7 ' umbing Lic. no f� -7-re(f Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: • TOTAL PERMIT FEE Print name: / . ! b L.J -kr^ Date: - " - � - d 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. is\ Building \Pennits\PLM- PertnitApp.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: Sit � S are F , ataig = ' : q e 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 $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 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 and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: 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 * . ,, 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 Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and 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 Isometric or riser diagram is required if fixture quantity - Commercial 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 Electrical Permit Application FOR OFFICE USE ONLY Received City of Tigard I ` ` Date/By: Permit No.: ( S 0 09g 7 13'125 SW Hall Blvd., Tigard, OR 97223 PlanReview Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 n � »rr' p;`+ " D ate/By: '� Inspection Line: 503.639.4175 1 2005 " _!_ '' \ Date Ready/By: Juris: 63 See Page 2 for mama Internet: www.ci.tigard.or.us CITY OF TI - Notified/Method: Supplemental Information _ _ sa rs �ti ,k t 2 e.m rut,,.. <- 1 .1 New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l 0 Hazardous location i wt ,. CI Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., , 0:# ® A ' ® 'et s I 1; of 1- and 2- family dwellings 4 or more new residential i 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure Multi - family 1. Master builder 0 ❑Building over three stories 0 Feeders, 400 amps or more _ _ ,� 2 ❑Occupant load over 99 persons ['Manufactured structures or 1 d : P ; � t : .._ . , .� t i ❑ Egress /lightingplan RV park Job no.: Job 94,4360 , S ' s Gtt cp clz' u-._. ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: ` 79 .. 4 A A 7 2 2y The above are not applicable to temporary construction service. 7 l S . ' °' Suite/bldg. /apt. no.: I Project name: Description Qty. 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: C,e 949,e,e 3 I Lot no.: _ Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: r . a ,,,, r Limited energy, non - residential 75.00 2 � s 1 ale zJ n ` ' 6 = E f Each manufactured or modular ,(� dwelling, service and /or feeder 90.90 , 2 • / / " LI C.02-949--- Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 , ..k i-K. a -, r 201 amps to 400 amps 106.85 2 • s ue-_ Z . k ,, ,erg *';, v. ,. � /� 401 amps to 600 amps 160.60 2 Name: jc,,f/ ' I2 £ i i. 7zeyj ` n �1 _ 601 amps to 1,000 amps 240.60 2 Address: --P, 0, ; py 45---7 Over 1,000 amps or volts 454.65 2 /� ! 7 Reconnect only 66.85 2 City/State /ZIP: T t,L D L 7 6 75 Temporary services or feeders installation, alteration, and/or Phone: �.c� .-- relocation `��) � od I Fax: ) v L 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: Date: Branch circuits — new, alteration, or extension, per panel i 70 i _ ; "W i r e »v 1 7 A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: _S-3,01.,..42.- /4: "M U 0,.12--- branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - 700 , ° �� i. '.xW energy panel, alteration, or •.aw.,�'.,'�'L4..,_..`?�_ `� s„Nd...`,``x a ssa,..°u...., , .,. �c. e.. .k ^x ! i extension. Describe: Page 2 2 Business name: O ,6�de7 s `= - Z�- G .( C Address: 7: y S' l� <A -11-- Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: / d / C,.... , / C,.... , Investigation per hour (1 hr min) 62.50 i Phone: tze ) .22(...... 7 Fax: ( ) Industrial plant per hour 73.75 �> Electrical Lic9 2 Of Suprv. Lic`.`� ,S CCB Lic.:g3 Subtotal Suprv. Electrician signature, required: ifC a / Plan review (25% of permit fee) C State surcharge (8% of permit fee) Print name: t ) "' '" - / A `C ` )61 #i Date: 3 s TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 da ys after it has been accepted as complete Print name: �_ C7,�j�f — Date: ,f — �qS * Fee methodology set by Tri- County Building Industry Service Board ' ��7' ** Number of inspections per permit allowed. i:\ Building \Pennits\ELC- PennitApp.doe 12/03 440-4615T( I 0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: wpm -a ssxCraa � a2•Ta „s rs3. E q.,4" 1 "`ws Mii i Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: A to W 111 t i:gbiO >w .2; Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pertnits\ELC- PermitApp.doc 04/03 k k r> CE TREE TIFICATION R '''' I 1 i \ 0,- S I Owner ent for Nst-e a- c -Y' t , z) NJ ot- (PLEASE PRINT) (PERMIT HOLDER) 1 \ iile x Do hereb ge ir , y ; 01 wi • loca op 2005 meets City ofd rd /W . on , ounty N� b ft o 0. . , ..�. N l and use and development standards for street tree installation. ADDRESS: 1 Lt 0 (c) CD S. , C� - LOT: SUBDIVISION: 6� v (fig 0. BY: / :ice DATE: [ b - .0. O E '4 RECEIVE BY: e , / DATE: 0 � _ /. � CITY OF TIGARD BUILDING DIVISION PERMIT #: MSST2005.00087 13125 SW HaII Bivd., Tigard, OR 97223 D ATE ISSUED: 4/26/2005 � / Phone: (503) 639 -4171 ,,110yp�l�f� ,p' Inspection Requests (24 Hrs.): (503) 639 -4175 ...' "__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 15 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF. 10/28/05, ADDING NC OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 -690 -0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -590 -0805 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 299 Final inspection 019887 -01 603 - 720 - 7446 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /fl — 3 /-fir Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 x00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2,/200f; Phone: (503) 639-4171 639-4171 AohippAl l , l � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 13 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF. 10/28/05, ADDING A/C OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503590 -0805 CONTRACTOR: FOUR 0 CONSTRUCTION PHONE #: 503.590 -0805 Inspection Request Scheduled For: Date: 10/31/200 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 019887 -02 503-7204445 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: A) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -000[ 7 13125 SW Hall Blvd., Tigard, OR 97223 . 1 1 DATE ISSUED: 4/25/200., 1 I Phone: (503) 639-4171 Requests .. s (24 Hrs.): (503) 639 -4175 - 4— Inspection INSPECTION WORKSHEET FOR DATE: 10/2812005 TIME: 7.18AM PAGE: 203 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 50:5900805 CONTRACTOR: FOUR D CON STRUCTION PHONE #: 503- 590.0805 Inspection Request Scheduled For: Date: 10128/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 019714 03 503-720-7445 Y Corrections /Comments /Instructions: 1 C f GL_ a e r rl ge_ b> To/' AJ s / pe v Avkc sLe , —ri.4 b 1, C 1►:x,, Lll...� i --- .{- U ... c c.-,'c -t-' I- 1-u-4c --/ T i,-p.a 4-u- t, 1 0 Z 0 ed.- v --r.>- / /0/19.6 e ` ❑ PARTIAL APPROVAL ❑ CANCEL ` NO ACCESS [ I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6 D `vo v c Date: It Vift,‹ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: (yiST2005-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 41, 1 Ni�ii Inspection Requests (24 Hrs.): (503) 639 -4175 'I R J.. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 11 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 603 - 690.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 590.0805 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 019543-01 503- 720 -7445 Y Corrections /Comments /Instructions: t•Jc,k/ I �l�tA.K, N � C ce-r � U r•CT IL-, - GI I ✓ (Ave Cj� lti�zv. L \ PC0e t ,, e0 e+ F ✓o,ft d r S.e .v1 IA-or-4_ Q r L Lr » ri- Ow- \ 'AID 61 t t- Rc,. t24) ° d e 4. e; f © PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /a /27 /o S: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 rrr "'N�ii l �i��� , 3° Inspection Requests (24 Hrs.): (503) 639 -4175 ...,,,..t* � __.. INSPECTION WORKSHEET FOR DATE: 8/25/2005 TIME: 7:12AM PAGE: 4 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: N SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503.590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -59Q -0805 Inspection Request Scheduled For: Date: 8/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 014298 -04 503. 720.7445 \ Correction /Comments /Instructions: if l P\ev, _ t-r T1\ ij v a 4 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: vu Cm./ Date: t) Phone #: (503) 718 - CITY QF TIGARD BUILDING DIVISION PERMIT #: MST2003.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /aaNNu�lgll "���iI 4/2x12005 Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: PAGE: 5111/2006 TIME: 7 :12AM 60 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: GREENSWARD PARK NO. 3 062 PROJECT NAME: GREENSWARD PARK NO.3 DESCRIPTION: New SF OWNER: PHONE #: FOUR D CONSTRUCTION CO, 503 - 590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603- 590 -0806 Inspection Request Scheduled For: Date: 5/1112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 315 Post/beam plumbing 006582 -01 303 - 640.2311 N Corrections /Comments /Instructions: 1111--PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I P? Date:` Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2512005 Phone: (503) 639 -4171 , ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 29 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 50x.590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 6/17/2005 Pour Time: I Code # Inspection Description Confirm # Contact # Message 330 Water service 007046-01 503. 6401311 N Corrections /Comments /Instructions: at PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: im4 Date: / //7/Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2005 Phone: (503) 639 -4171 ��iglmH�ii6���h Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2006 TIME: 7:08AM PAGE: 44 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 ' DESCRIPTION: New SF I OWNER: PHONE #: 503. 690.0605 I FOUR C3 CONSTRUCTION CO, CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590.0805 Inspection Request Scheduled For: Date: 5!12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 006703 -02 503. 969.4631 N Corrections /Comments /Instructions: ,\; PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /71 Inspector: Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 I Phone: (503) 639 -4171 ����"����gp�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7 :08AM PAGE: 45 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO.3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO. PHONE #: 503590.0805 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 006703-01 503-969-4631 Y Corrections /Comments/ Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: & Phone #: (503) 718- CITY OF TIGARM I lli BUILDING DIVISION PERMIT #: MST2005- 00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2'/2005 Phone: (503) 639 -4171 / °��Nlmyp�lll��l�'�� Inspection Requests (24 Hrs.): (503) 639 -4175 '__.., INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 43 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 462 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503- 5910805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.59010805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 006703 -03 503 - 969 -4631 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: tri Date: . 5 Aioz/ Phone #: (503) 718 - • CITY OF TIGARL BUILDING DIVISION PERMIT #: MST2005.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 � 0mjn' I ypgJl Inspection Requests (24 Hrs.): (503) 639 -4175 `__., I INSPECTION WORKSHEET FOR DATE: 6/12/2005 TIME: 7:08AM PAGE: 42 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503.694.0805 1 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 5940805 1 Inspection Request Scheduled For: Date: 5/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 006703 -04 503 -969 -4631 N Corrections /Comments/ Instructions: `I 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Da te Phone #: 503 P � ( � ) 718 - CITY OF TIGARDS II 1 BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2006 Phone: (503) 639 -4171 imn������NN��ypui' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12f20Q5 TIME: 7:08AM PAGE: 41 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, 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 505 Sanitary sewer 006703 -05 503 - 969.4631 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: F Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 10 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO, 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590-0805 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019543.02 503 - 720 -7445 Y Corrections /Comments /Instructions: SS ❑ PARTIAL APPROVAL /// CANCEL ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0 - 2 F ` Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20066•00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 10/28/20115 TIME: r:18AM PAGE: 30 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 50:.690 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590 -0B05 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019/1401 60 120-7446 _ Y ti m.f i Corrections /Comments /Instructions: SS U PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .4 Date: /0 r 2t' -OS Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/255/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 :111:1111111 __.. INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08AM PAGE: 11 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO.3 LOT #: 002 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503- 590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 590.0805 Inspection Request Scheduled For: Date: W24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 014206-01 503. 720.7445 N Corrections /Comments /Instructions: \ ,. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ A ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 i / / Inspector: ' I� Date: " � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639- 4171 �� ' �tN�tpulpli" i � �' Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 'I .. INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7:10AM PAGE: 13 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503.59110805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 5503.590 -0805 Inspection Request Scheduled For: Date: 8/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in V 014022 -02 53. 720.7445 N Corrections /Comments /Instructions: / ! l i! _/ i I. / // /r i./ C2' 4 7) / - 0 I., • 0 ' ' ' i 4 k-/ ' ' lTizrit Ii: 0 LII ., I p . , Ail4 , ( , 7 11 60 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS DKFAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , ' ki) Date: Yzz Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 1)0087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2005 Phone: (503) 639 -4171 i .4pfli°gIP i 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ..' INSPECTION WORKSHEET FOR DATE: 8/2212005 TIME: 7 :10AM PAGE: 14 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR 0 CONSTRUCTION CO, PHONE #: 603..69i10805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590 -0805 Inspection Request Scheduled For: Date: 8/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 014022 -01 603 -720 -7446 N Corrections /Comments/ Instructions: `/:1 PASS ❑ PARTIAL APPROVAL _ CANCEL El NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9' v ^ &1 ne #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412 €12005 Phone: (503) 639 -4171 7 �r ° # NNit(lnlii 1'l1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:10AIN PAGE: 29 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 603.690 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -590 -0805 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 019714 - 603 720 - 7446 N Corrections /Comments /Instructions: - rey4 ■�.Aecrlu■s4 • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. Date: / Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2 €/2O1Y Phone: (503) 639 -4171 vury1mypupP� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 27 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR ID CONSTRUCTION CO, PHONE #: 503 - 590.0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -590 - 0805 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 01971404 603 720 -7445 Y Corrections/Comments/Instructions: 7 / /Y/; 57 .A.es ,1AA -fl it / 4. T Z._,) .515 .d12c7 v, ,, /ALL / 00,,-,,„.. 7 . 9 ..,, 4 , 77 e 4.s (-; a/412./14 ..-.. ' ,. , — 143 — 1 /n¢17 c1I J u -z t ----6 6149 a,v,4,Ec. I ti spy. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,ii, Date: /4 ZF--e,C Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2005 Phone: (503) 639 -4171 A001,011, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:07AM PAGE: 14 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 603.690.0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 014599 -01 503 - 720.7445 Y Corrections/Comments/Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL H NO ACCESS FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: g—yo —0s Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00067 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 /A+ Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:07AM PAGE: 13 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 -690.0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 50.590.0805 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 014599-02 503 -720 -7445 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ® -3C Phone #: (503) 718- CITY OF T.IGARD `r BUILDING DIVISION PERMIT #: M T2005 00087 Alik 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2±42005 Phone: (503) 639 -4171 / m"wlholGIiiii' Inspection Requests (24 Hrs.): (503) 639 -4175 ..' __.. INSPECTION WORKSHEET FOR DATE: 8/29/2005 TIME: 7 :13AM PAGE: 45 SITE ADDRESS: 14080 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503. 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590 -0805 Inspection Request Scheduled For: Date: 8/2912005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 014480 -01 503 - 720 -7445 Y Corrections/Comments/Instructions: FDASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I Date: ? ----2 - ei Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2'J2006 Phone: (503) 639 -4171 7�n �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/2&2005 TIME: 7:12AM PAGE: 2 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF PHONE #: C OWNER: FOUR D CONSTRUCTION CO, 503.580 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603.590.0805 Inspection Request Scheduled For: Date: 8/2512005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 014298 -06 603-720-7445 N Corrections /Comments /Instructions: . -- P cc) (A6e Acc.�,- Te Tv.sc f 1Iv -0,K. L LAT U A1 5 ek Keck../ Ova "Fjo 4, -c a ✓c ) I 1 Ck CA L- c2A (` ✓d M C7 -1 'Cr 4 TvtAs S :Liv o eS T 15kTil✓On.4 ._.._ C- 01 A4 eC- E ? la -•cTS 0 K _ ¶ -j U\ t 4T- ❑ PASS ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL ❑ CALL FO ' INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 4 Date: C3 ?5 ---0 5 —..- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200s00087 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2006 /u Phone: (503) 639 -4171 iv � � NVity��i �` j i Inspection Requests (24 Hrs.): (503) 639 -4175 'I J. INSPECTION WORKSHEET FOR DATE: 812512005 TIME: 7: i2AM PAGE: 3 SITE ADDRESS: 14060 SW B9TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503-590-0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 890 -0805 Inspection Request Scheduled For: Date: 8/2'V2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 014298 -06 603- 720-7445 N Corrections /Comments /Instructions: ' N f 5 7 Ai - 4 • .. "`si_.2 OV-- ------ I i a W ot6 11 Vi NW I ' 0 C42:11=-4g k PASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR I PECTION ❑ ADDITIONAL FEES ASSESSED 4 _ Inspector: Date: .C9 0 S - o,s- Phone #: (503) 718- CITY OF TIGARD i BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2&2005 Phone: (503) 639 -4171 /47 iN d ry�iN�li'� Inspection Requests (24 Hrs.): (503) 639 -4175 . ��� INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7 :08AM PAGE: 10 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503.590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590 - 0805 Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 610 Gas line 014208 -02 503- 720 -7445 N Corrections /Comments / Instructions: 4 )6 1- tIq CjOri (fl73 � [( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Date: pv ��Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4125/2005 Phone: (503) 639 -4171 i0� �� � �, Inspection Requests (24 Hrs.): (503) 639 -4175 -.J.4- INSPECTION WORKSHEET FOR DATE: 8t6/2005 TIME: 7:02AM PAGE: 38 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 - 590 -0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 8/50005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 012932 -01 503- 720 -7445 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: o Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST200S-00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 - 4171 °' i' / / 'uNU��N`'�I�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:03AM PAGE: 47 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 - 590.0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590 -Q805 Inspection Request Scheduled For: Date: 8/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 012617 -02 603 -720 -7446 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: y-2-----C2 S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2006 Phone: (503) 639 -4171 4 1, .q� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.. __V INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:03AM PAGE: 48 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 690 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503690.0805 Inspection Request Scheduled For: Date: 8/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 012617 -01 503-720-7445 N Corrections/Comments/Instructions: ( - r1. : : Lu A_ >) moo ,2 OA K S'� .. 9 Irry - --- 1 5 i Lr - ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: Date: e"�aS Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 imn ���� uy � °i I i h Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:O3AM PAGE: 4E SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 0f?. TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: �` ' FOUR D CONSTRUCTION CO, PHONE #: 503 - 590 - 0$05 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590.0805 Inspection Request Scheduled For: Date: 8/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 012617 -03 5503 -720 -7445 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -S— 2 ----- Phone #: (503) 718 - CITY OF TIGARD - 1 BUILDING DIVISION PERMIT #: MST200S -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 :� "' °N�'ylil %'llI Inspection Requests (24 Hrs.): (503) 639 -4175 ,.�.. INSPECTION WORKSHEET FOR DATE: 6/12/2005 TIME: 7:08AM PAGE: 32 SITE ADDRESS: 14060 SW 69TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503- 590 -0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503590.0805 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 006705 -04 503 - 720.7445 N Corrections /Comments /Instructions: 2 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: 3 ° � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2'2005 Phone: (503) 639 -4171 #040, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12'2005 TIME: 7 PAGE: 33 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 - 6900805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590 -0805 Inspection Request Scheduled For: Date: 5/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 006705 -03 503. 72(}7445 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5=/ — a Phone #: (503) 718- CITY OF TIGARD ILDIN DIVISION PERMIT #: MST200 &00087 BUG SION 13125 SW Hall Blvd. 9 , Ti and OR 97223 D ATE ISSUED: 4/2.d200., °" Phone: (503) 639 - 4171 .� 1'i Inspection Requests (24 Hrs.): (503) 639-4175 ±, INSPECTION WORKSHEET FOR DATE: 513/2005 TIME: 7: 14AM PAGE: 23 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503 - 590.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 -0805 Inspection Request Scheduled For: Date: W312005 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 005964 -02 503 - 720 -7445 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 44 Inspector: Date: -3 O5 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: - MST2005- 00087 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005 Phone: (503) 639 -4171 � am�n 4 *„ Uri Inspection Requests (24 Hrs.): (503) 639 -4175 �':� __.. INSPECTION WORKSHEET FOR DATE: 6/3/2006 TIME: 7 :14AM PAGE: 24 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 603-690-0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503. 590"0805 Inspection Request Scheduled For: Date: 5/3/2005 Pour Time: 9 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 005964 -01 503 - 720 -7445 N Corrections/Comments/Instructions: 4 I - c., r - > Cri' A ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ,f= .3— o Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: - MST2005 -00087 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2Fd2006 Phone: (503) 639 -4171 " " I lh Inspection Requests (24 Hrs.): (503) 639 -4175 ..' INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 23 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603590.0805 Inspection Request Scheduled For: Date: 512/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 00580404 503 - 720.7445 N Corrections /Comments /Instructions: 2 `� s > : S. (. /t / i % .) ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: • Date: 5 Z-- ' Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: . MST2005 -00087 i l 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2x/2005 Phone: (503) 639 -4171 d0 "" ,, " �P�gm u, ` ,, 11 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 24 SITE ADDRESS: 14060 SW 89TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 062 TYPE OF USE: PROJECT NAME: GREENSWARD PARK NO. 3 DESCRIPTION: New SF OWNER: FOUR 0 CONSTRUCTION CO, PHONE #: 503-590-0805 CONTRACTOR: FOUR 0 CONSTRUCTION PHONE #: 503 - 590-0805 Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 005804 -03 503 - 720-7445 N Corrections /Comments /Instructions: iJj / we PL t51€:. M. —2 .c• ,ercc 1 s A s 51 �1-; Ai ,-3 5 --2.; 6t: - i,4 1.7IC4TL -o o "-I - l/t. 4— i- s_ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S Z — 251 -S Phone #: (503) 718-