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Permit
' CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00049 � U, DEVELOPMENT SERVICES DATE ISSUED: 4/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134CA FS002 SITE ADDRESS: 11196 SW 117TH TERR ZONING: R -4.5 SUBDIVISION: FEHRENBACHER LOT: 002 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS2164J STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,091 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,502 sf GARAGE: 681 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 258,133.50 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,593 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 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: 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 ADDL INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: 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 PAYS CUSTOM HOMES INC PAYS CUSTOM HOMES INC and all other applicable laws. All work will be done in 17481 SW HOODOO CT 17481 SW HOODOO CT accordance with approved plans. This permit will expire BEAVERTON, OR 97007 BEAVERTON, OR 97007 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 TOTAL FEES: $ 9,949.96 Reg #: LIC 155849 direct questions to OUNC by calling 503- 246 -6699 or 1-800-332-2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : �,/D ,C� ".1.1.. Permittee Signature : 9CYt,d �p 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. T .a Buildingi?ermit Application FOR OFFICE USE ONLY City of Tigard Received _ / Permit No.� e / 13125 SW Hall'Blvd., Tigard, OR 97223 Pla R e ie Q � \ v���� 22&6 Y , g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 - & ( ' l l ( _ i1'ih Dates : A t/ I-/ - t4 — O S Other Permit::5 2� co 06 Q[// Inspection Line: 503.639.4175 t • ' Date Ready/13y: Juris IZI See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: 1 If Supplemental Information • 4:. «:�t�, `2 }a : <C��1:# ti .`,4"x w:..�`.� m: ['n '. ?5 �`. w - � �. xrv.�:= :�x,3 _ is .-iS g Y*;''L• i . .� .:+�.,^, ":'' ; - r , p_y'i'., : j '�;,: r; 4.:.. -°=a., a, ;.,�.. x`= :�.�',.C,f. ,3.,rfi:� 1 . : nab ;��°�' " - �:���. •:�''; =_ °, > °.r 1" �,.'3 " " � � g,,: z ..:...i e . . „, M rig '... as, :"TYPE' Ofe agifi sk-- • :: °, E `RE 'HIRED , r � : �.a . :�� .� .... �'; „t ���, . , :�' °� � � .� Q . ° ;sA1!�D;` � A IV IIIiY n DWE L I:ING , u E . - i� �Ts� _.a�..,,. .. .�r �r [n e� .,�`5� �' ., ?,, .�....�-;� ��,.ra��tt,> r_.",. ., r .� - `P 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 i ' ,:i Tim"^ - : . 3 an'uP,�, .,a " r"F i ,' ,:" s. ^+''_ , i�` , ..;.�'.a.v�•�s:?.<.'.°"•v ` x .:�L ` + a % - r .' :' ice= ...» a `i : : ;i . w s u � '��, � M � ° ° '' �",• �"�' � work indicated on this application. t CATEGORX OF CON <A1•- 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ` : ; ;!i ,., Total number of floors: �+":�? 'a``'' "° %•;c iar..r,• °��T: ,,;�ca'�.�s`�- -�'- a4�..;,. � �,.x, ...- VA ;" ,, F � , srz J MI TE =INFO QN AIYD, LO MWL;f ;;,, Job site address: \ t k, q ( ' jam , ) 1 I 1 '11, r, . New dwelling area: square feet City/State /ZIP: .--1 �A- p � ' j .'71t1,2.-3 Garage /carport area: square feet Suite/bldg. /apt. no.: J Project name: � � S 1 - U i //h3foil Covered porch area: square feet Cross street/directions to job site: l```` Of ©At C Deck area: square feet 1' ' c v 4 tArl(..ti �(rr I i te_ Other structure area: square feet • » Q1 1IR E1 ) bATAIyeO - i 1 3SE'' . ' i CRUST Subdivision: ,hr tin, b e,f.--• Lot no.: 2. Permit fees* are based on the value of the work performed. equipment, materials, labor, overhead, and the profit for the Indicate the value (rounded to the nearest dollar) of all Tax map parcel no.: ` 5 \ , c- A-- oo bl7 ,,F • ..p ` '3 ' ` 1 "4, : ,., `',a 1 "'Y.sty? ^S.;.::s.n«*yzsa : ,.:�tvx =.r Fai;•, %-<"�. - eil''tiss „ :'`, =+ �,s ' '` '�D SC TION OF g WORK 4'� ""` a ' 4 ; '';f ,xt work indicated on this application. -.v.�,,. �,�:: ..�a�. a�:�. ,:. �- ��- "�°�';w:' .:,�*'sa,, m °,..+:& 2ks x�� „'°,.. >. ����J .^``� :. =t:,�<�r =,; ���:#� .4 �2'.S4 , 1 e , ' 'i nci /. '` 5 , Q_ t , �+ Valuation: $ 1 ” C/lT ��"L I f ti ILJ/J Existing building area: square feet New building area: square feet r ggi { ,,,»* . •. i' 's ` ° '<;;s«a:i , ,y ' =•._ ,;`i t . ;i' Y "` tt: � ,� ;1„ ' , s: ^: ?a: - r.,. r' ` E" ,4 } ,, P ER I ZI O,� V4xNF R aM T E N T Number of stories: Name: S Cu S•LD M tr,i , C • Type of construction: Address: I '-') 4 , Fa / 5 cA f ) ' 4 CIO, C& Occupancy groups: City/State /ZIP: -5,,,,,..,,,,&„ (Q- el, 2ao 7 Existing: Phone: (5 '.f Fax: (24 4) g.JoD New: , - ,' .., 'tr> rw + v ..a. i � r r: ,*#�' ?;�•.i4'i °... ? `N ; 1,0, t u : a <v1+is�:x:u:.i - .,,,.�,°. ?,. re,1:Y.,. mil) l - ' �: 1 f . . . n > CANRI y , , 1 , «,o -- ® CONTACT .P i ,,, c s y w ,s : �: , x, 4 a , ' :: �, w,�r� _ �� ,.�°;,e�,� I �.;,,,,0 ' h , ��'� � ,A,. , , �,.,�., ,, ;.t ss 4s�t: >����a �� � �,' Q2'.IGE �. � � e' �l* :mss- :�`T�% `����.,.5� �a r v "E'�s`.4 �`�. . . „ Business name: — t 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: ( ,/ r' ) r - Q Fax: : ( ) E -mail: p-1 Ul'Ne/r- r C ceoen con-1' • Wei z f fr� r _ SON LRAC 3 rmr� x"'�a�a.,r�_ .a�Y�ars.�� ":. �.1k fi' �y3�r°.aY.. >�ar.:���.., asu -... ga.R > ,� �`�� Business name: 4ge i „ r,� `"_ ,€ t a 1,' �UILDI1v PERMITKxkE, -. ? . i `.i"z::s Address ti�� .� e�.u� <,.. °a•as; Please refer to fee schedule. City/State/Z1P: Fees due upon application , Phone: ( ) Fax: ( ) • CCB lie.: t e /s (i Amount receive 7 Date received: Authorized signature: 9. /9 P� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: *T aa /,, C Date: `) ( a 3/ U * Fee methodology set by Tri -County Building industry • 1 � 1 Service Board. I:\Building \Permits \BUP- PermitApp doc 12/03 440 -46I 3T(11/02 /COM/WEB) N. ,p V One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits. Phone: 503.639.4171 Fax: 503.598.1960 b I I °( I ± O Electrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 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. ❑ El ❑ 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 o'r oh 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. i. • 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 Ioad. , 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project 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 ❑ ❑ Cl 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 ' Electrical Permit Application FOR,OFFICE USE O City of Tigard Received o.:(� 13125 SW Hall Blvd., Tigard, OR 97223 Da : Permit N 1' \� d 575) g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 A l,i ���� i Date/D : Other Permit. Inspection Line: 503.639.4175 411. Date Ready/By: Juris: IRI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �` � � �,,. <u�- .v+ _ �.r�� tea. 4*,� �. x, •s ' ayw x i , .;�N,��<,cM .F ...�ci i 7`�aias e i�,= �' " ' �� ' >�: ;i:�.. ; . :��.. >� • 1'S , :d -`" . _ T P ' i5 w i� . :i �"'+ r a': T~Y:afa ci:s ?.:>`W.'"- : � ;':?: 41iiiilv;^�Ii _ ���. , • ' �'. 0 , 10-4 : , ±1^.. „.i4- „ ,.: �w& � _.. .- ? r E...,ztlz ..0 +.s_ -. -4 i, ,:?,° ':.,,,A,„na�2,3:z�,: .. .5 °, 1 F::, , .:.tee• - e,7 : •, n - New construction El Addition/alteration/replacement Please check all that apply: Demolition ❑ Other: EService over 225 amps, comm'I ❑Hazardous location ,: ^ - -- i mod x� ° ; ° .,s q ❑ Service over 320 amps – rating ❑Buildngover 10,000 sq. ft., ' ri y % 1 : . , , 1 +. 51 0 = a �RI TIOI�i , „ t - of 1- and 2- family dwellings 4 or more new residential 0 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure El Multi - family ❑ Master builder ❑ Other: ❑Building over three stories [Weeders, 400 amps or more � � WOW �:•�,, �,,� �„ ��, � , ❑ Occupant load over 99 persons [Manufactured structures or � •. ' t t - , 0 ,.., _..,U e1 . O1 - I J ❑ E gre s s/hg h tin g pl RV park Job no.: Job site address: t l `Q, b s W I I, Ter'a ❑ Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: - ti . clart k o1 e___ an 00 ...1 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: C t b� �'` r �`<�: ,» `.�.,,:,L.54'.'a >6 :."+.• ',;.. m.kh'.rit� aga .O .� .eft.. . Description Qty. Fee. Total Cross street/directions to job site: stdo ” ^ l -f L D , 4 New residential single - or multi - family dwelling unit. I Includes attached garage. D A 4-0,_ P I F'C 1,000 sq. ft. or less 145.15 4 Subdivision: k... 6,,,,i,-, I Lot no.: 1 Ea. add'I 500 sq, ft. or portion 33.40 • 1 l S 1 G� (��3D17 Limited energy, residential 75.00 2 Tax map/parcel no.. »s� ,;�w� j � � - � ,� �,^ ; .� ,$,�,��� Limited energy, non - residential 75.00 2 , ...,1.'.4:41 ,a• k' �SoRTPtIfl t, a a� £ in" `'fit' e Each manufactured or modular �' n (-0.,,,t;11 � t C � dwelling, service and /or feeder 90.90 2 „, 1 Y el i k S Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 c m „,.. ,. �, :�e .s a . - : �i;, 1"" f —rxg. r a , 201 amps to 400 amps 106.85 2 �. , s ° pRO k1RT ER ' ,: * ,TII�' -�s' ` iY P m P . zitt .... .ilai �.a, . .. Sa.Y,.! Lrr.4 . 1 11A.wMa;:i AR,..'; :trt ' r:'3 }°.,a 401 amps to 600 amps 160.60 2 Name: ( V c t s " )4 my , / .T.44..„. 601 amps to 1,000 amps 240.60 2 Address: ,) " - 7 y Q / 5 g oa d lJ Over 1,000 amps or volts 454.65 2 7 �i� Reconnect only 66.85 2 City/State /ZIP: "T>ea.U-P.rtibel 2 cri o0 Temporary services or feeders installation, alteration, and /or Phone: (503) 14-7 C.cO I Fax: (1 21 q - 850a 2 am ion 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits – new, alteration, or extension, per panel 1 ,0 , VO" R * A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: 5 AM,E_ branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Pump or irrigation circle 53.40 2 Fax: ; ( ) Sign or outline lighting 53.40 2 E - mail >s rG L ' -v 5 Go e G�$t .iv e Signal circuit(s) or limited - W .4,7 �0 ,:t *5 _ 01�E= ` OR09 --5 ; , 'i -'`-� , n energy panel, alteration, or "" "" �' "' °� extension. Describe: Page 2 2 Business name: ,-- L, e.5) ��- .ScA-n/Qe' /ec-1 Each additional inspection over allowable in any of the above Address: /O --"'v t >Y -7r i---/r Per inspection 62.50 City /State /ZIP q OC g7 72-3 Investigation per hour (1 hr min) 62.50 Phone: 7 J Industrial plant per hour 73.75 (��) �?! © F ax: l (S�3) Zl $t / C :'_ l > aff fis t s* :_. 7- .-;.�, CCB Lic.: Electrical Lic.: Suprv. Lic.: Z--/6" ���:.�m... '�, �,�� .�:�.^ �? ^: >S3 /p I 3L / � c I P Subtotal Suprv. Electrician signature, require Plan review (25% of permit fee) y �e - . ti� I Date: %/ u C State surcharge (8% of permit fee) Print name: ( U�O _ TOTAL PERMIT FEE Authorized signatur � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: � ,. .l ��fi Date: # v" ' Fee methodology set by Tri- County Building Industry Service Board °° Number of inspections per permit allowed. i:\ Building\'ermits\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: A...». �y^.. o.ar -.cam - - till W «S°,":�a'p��� gag °. 'i'a 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* ❑ Other: 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 ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ H ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ 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- PemutApp.doc 04/03 Mechanical Permit Application FOR OFFICE USE ONLY - City 'Tigard Received Permit No.: c/ 1312 Hall Blvd., Tigard, OR 97223 Date/By: �v�� b Phone: 503.639.4171 Fax: 503.598.1960 D w � Plan Review a �i I at Date/By: Other Permit: Line: 503.639.4175 z _�,i, j. , IL, Date Ready/By: kris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information «snF" <t „ � �:. �" �:.:oa . ,s��..:.a, �.- r, �s.;:s.�r ^r:�: 'rs 's�" °^,. - ° � d:'>' � �: r;. ;c�t� " "�< - _ - - - t ; ate ` t . ; , - m v= TYPE "....F VP®R: t , I?' : . . : ,_. € * � 5 . �,� '� � � 4 i '`O a, �� �,:- �;.::. , COMNIERCIAL��EE.- "S CAF ,- D < UL "' =i7SE?CHECKLIS T i. "d r�`.��`��,���:a; ate"- sf.,.. �eaz '�',r'a<g:�,��*'sa -. .:�.�..sxi<r < _ ''te ."�. _. .. - _.., , g 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. '.R', p° '•tii:. '- S - ,: <a3,`,:,TS.a�v'1�.�8�: < .=± �.: i:' ��rr� . *� ^;am >:a =a;,ap'^*,�„�."�• P,e st. ^«.ir,.y ._„,,, � s� Value • i ?a�. ,. i :.r.< . CATEGORY OFD., @ONSTRUC:tTI®N , ,s:, ° :�'" -''.. ,;" :., :s.1+'�. € z:t�,: ��a�.":Sx,: �.rr c' ... .�g� = ��.,: - .�:Y�, ;:.c�R�- ':s�r:,ar.�< :. >.... ...�A�.,;:`Sk.> ... , .,e...... . -. ,,. ..e :�" s. � � '^�r<a s..: � € u: - t yr '= <,ItESIDENTYAL'EQLIIRl IENT:/ SYST FE EMS ES* 1� I- and 2- family dwelling ❑ Commercial /industrial El Accessory building "` ' '' For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total lli* °ull . : * 4 X74 z .::�x :°r:;�:�. ;; a�a* a a; ; (n ^ t . s:"rsrm ..; ri <:: ss. - <:a;,; < :.:,5 : / ; JOB SITE INFORMATION AND LOCATION ie, =_ _ tr "" h :` ,e, .�F - z e' �. �. z��� ..�s..�c.��,�i°�.r. <s�»- �».`tt. - , r aw / .�.i��.� Heating/cooling Job site address: l 1 `01, 5 (*3 1 1 1 +k �c jr'o cj _, Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: e,( T L � c (j_ (( =I 1 z2.3 Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: rr� CejvccAQ/ Furnace 100,000+ BTU (ducts /vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: SA) 1' v t �-0-1 I A- i^ Duct work 14.00 t� € 1 G P A /P / Hydronic hot water system 14.00 w Resid boiler radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: � y �„ Lot no.: Flue /vent for any of above 10.00 � p � v ��� Other: 10.00 Tax map /parcel no.: i 5 t `2) L Cf — Da 3 a T Other fuel appliances R 'o 5 _ "`r ' ". s3; ,: ,a: .)� a , :i l- :,„z. -,. , z.., -a;, ,t,rz o a - St,.,.. . t' . g .` L ^ : ""` € t "3 ' M� n DESC J IO t tt Y.F WOR ,, G/ &, 1 V a "„,; :� � Water heater 10.00 <�, ^.��' /�...a :�. - ait:.a ��s s.».. ... .vim +z. ;... rFx;� . x �55..:��.. .,at:.ar.�..� , -. Gas fireplace 10.00 L ) 4 S 1 (- '7 1, �� F &( t �� 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 4,' , r T ��. ., V �, Chimney/liner /flue /vent 10.00 ; ' PRO,BERT1 :A ,.R .` , `TEN< �r l a � z_ � � �� -,�. _ . u s -_�' �- x � � � zT_,- _<,gs< Other: 10.00 Name: Pans GUS E6 r), 6AD,v s r c _ _ Environmental exhaust and ventilation Address: l fj l caw l G� Range hood /other kitchen ( C , O equipment 10.00 City/State/ZIP: k.)C V' 97007 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (5 ) t...(25 t...(25 4 / Fax: ( Sb3) `L( L( n - �T �� toilet compartments, utility rooms) 6.80 :.i¢., F.: _..,..:,,, Attic/crawlspace ` ; . ®(A A PPIJIC IN • > Tc k ®_ ®N 'ACT'.. A -=- ', sP ace fans 10.00 Business name: 5 - -- Other: Fuel uel i P�t P n >; 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: 4Q,CIIVV c ool e � . o v e Range V t_ * `,. ^ +- �'` < '`°' ^" �. ` t� °sw ';fi " . ,� � . " Al i ., I6: 4— NT RACT QR 4 __ E .i .-1,: w� ' Barbecue '_/ L M ��1^� Clothes dryer (gas) Business name: 1/ ( ,t ,� i (�./ / [ Other: Address: i V l ✓ fJ� � isa�:e" w ? . Vim' sra+..M, c zesi�w:<,-..--saaa::a ter= ar' *;, `s . �� �iIV1ECHP :PiI City/State /ZIP: )..) f 05hiet 6 Z. q 7f zq Subtotal Phone: O Minimum permit fee ($72.50) hone: ( 5 t 3 tp yU / S ( r Fax: ( ) Plan review (25% of permit fee) CCB lie.: 44 '>g e State surcharge (8% of permit fee) TOTAL PERMIT FEE to ' This permit application expires if a permit is not obtained within 180 Authorized signature: r _��q days after it has been accepted as complete. Print name: ��'' \��. ' t k L2 Date: * Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation _{ Perri 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. • i:\Buildin PermitApp.doc 12/03 2 Building Fixtures Plumbing Permit Application FOR OFFICE. USE ONLY • 1 s • ..•. City of Tigard A t. Received permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: �V � of dd a y Jn Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Oyat DateBy: Other Permit No.: �� 24- Hour Inspection Line: 503.639.4175 °I ' � rur s: Internet: www.ci.tigard.or.us � .. Date Ready /By: See Page 2 for g Notified/Method: Supplemental Information _ . �: ^, ,. - ; ._�',3' - °: .. �sxr �w��?c ,...r . - s.:x xvs �;ir''�% '� a :� x : �: �< �- �. ���v" �,=>-€-:.: rx< szg+ �;+ � :��;»;" -- Via° r t� sub XRO.Fs =WORK r , , 't` , t ``i, , .; ;FEE:• . SGHEDi3I;E �,,�,� `.a;e ` `�',�a= :si. �'fl's � .;;� +ter ^a:s:�,:� ,, . a,- at3; ^a� �r ;^� ` Mrsrs''� ^. ��; � .'�rf ::��,•.: +; .. .. . .. .. . '.�t+� n.� d � .v.�A �<ksn ar��ix �`E»sYx.0 n. r ?. : a,- .,.- ...,,.'aa53'.`..�i3.�t3.�, :&..'„ ...n :.�: C <.. .x.. For special information use checklist 0New construction ❑ Demolition Description Qty. I Ea. Total ❑ Addition/alteration/replacement El Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) i s . , <.. ' ' E ". ORY : t `i _, � � `' , �, '�= t, r G � `tx0 COIlrSTRCJG ���`° s - e�� ; , „1;?, SFR (1) bath 249.20 NO 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building CI Multi-family SFR (3) bath 399.00 - Each additional bath/kitchen 45.00 El Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 4 6 a s a � a . r,�. t, a NA ' n JOB SATE , <PO - N LAND L CA�T, ` ' �.: , �,�.r� -_. �� �� � ,a.r;,�:z.x �.,. .� '.� Site utilities Job site address: ` ` l t' Teri Catch basin or area drain 16.60 I. r Dr leach line, or trench drain 16.60 . ' Footing drain (no. linear ft., ) Page 2 i Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: reh ,,,,., Lot no.: Z \3(--( 3 � Fixture or item Tax map /parcel no.: P , , r Absorption valve 16.60 zl? ,' qq . ; ..... ris.. �.;.. ., . 4:. .� _ Wig. Backflow preventer Page 2 `.-1 0-4,- 51 /1-It rr-- -()_, , )) Q-e,S) _71-6j-- Backwater valve 16.60 Clothes washer 16.60 Dishwasher 1 6.60 a. a 1 Drinking fountain 16.60 01 "� r...; ` EROPk t I. ,,, , ,, . OWP t R 1 fix, TEN ° r1, w; g ;�: 3 � �,abr_a. -� _. � ,� �,,« : � - - �* � 1, ,`A Ejectors /sump 16.60 Name: (J ' 1 �^ 1" C‘,(/\, S CU S -�'° r''� 1 112 ()-1 , {/Z.---• Expansion tank 16.60 Address: I U 6z, 1 5 c- &) O le D C4 Fixture /sewer cap 16.60 City/State/ZIP: V,..... ..VO /' d 2 C) 7 00`7 Floor drain/floor sink/hub 16.60 Phone: ( 5 63 1 5 - $ Y 1 1 Fax (S 2 0 _ 8 t , Garbage disposal 16.60 SL Hose bib 16.60 �`' ,, , 'A E VI C saw .:<, '�: tit :: CrO E)2SON � � Ice maker 16.60 Business name: - $ 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 A Tub /shower /shower pan 16.60 E -mail: O./kW- S 0 , C - i C4 5 f /v' � Urinal 16.60 u . a l "' .t " tea s ,s r $ ?.i"'•3 5 .< .r. ` . -2, < , a -. ? ` u. � O1VTRA , ,,, y� tti , " . Water closet 16.60 Business name: � r , � j �- , C L• / �e Lr. t fv,)lL Water heater 16.60 w Address: 1 / 20 % Other: , / _ 3 d Subtotal City/State/ZIP: _ z - - Minimum permit tee: $72.50 Phone: ( )(3 73-57) Fax: ( ) _ Residential backflow minimum permit fee: $36.25 0 ZL/ �1 Plan review (25% of permit fee) �d` 7� CCB Lic.: / o Plumbing Lic. no.:�no.:)(/... / p�j ✓ / State surcharge (8% of permit fee) Authorized signatur . P TOTAL PERMIT FEE Print name: ./ / /%S' Date: �- Q ✓ dz y This permit application expires if a permit is not obtained within (� " /V I v """ / 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:\Building\Permits\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: g 1 S t = ' i � ;. Qty. = ; e ea) wig . f U "FOOta e el'mi F'ee,. r7,1 Lll 1 t :11 . .s:, .It iiffee r e ( : *v . ,.. :. xs Q _.. ., «2... .g. a ...... Footing drain - li 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 - s :. : , ° . -<• -, :, °N Valuation ' Permi<t Fee Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each a 1 fee ea _ ^> , 3 .. otal `, additional $100.00 or fraction thereof to and F1XtAre Or.lt�iT1 .::� t :. Q. Y .; k .,.fkov ,, including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 • $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1 45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to 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 * . - , Quantity 6 iitui e R orJMrform a Tory 'AO.J,OF a - Moved , k Comments regarding fixture work: - ais to Ca p ed "� Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Then 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 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: is 03uilding \Permits' PermitApp.doc 3/03 CITY F TIGARD o G 'c BUILDING DIVISION PERMIT #: MST2005"00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006 Phone: (503) 639-4171 ll X1411 /Il l Inspection Requests (24 Hrs.): (503) 639 -4175 A- INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 82 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -475 -5041 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 020055 -04 503- 475 -5041 Y 13 Corrections /Comments /Instructions: .4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / r, 'ALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: 2 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639-4171 / emu u pill Inspection Requests (24 Hrs.): (503) 639 -4175 AIL. INSPECTION WORKSHEET FOR DATE: 11/2/2006 TIME: 7:04AM PAGE: 01 SITE ADDRESS: 11195 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 476.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475 -5041 Inspection Request Scheduled For: Date: 11/212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020055 -05 603. 476 -6041 Y Corrections /Comments /Instructions: ' PASS / � 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL AL FOR INSPECTION I I ADDITIONAL FEES ASSESSED / pz-0,s. Inspecto — Date: Phone #: (503) 718- ` CITY OF TIGARD BUILDING DIVISION PERMIT #: •MST2005.00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41/4/2005 Phone: (503) 639 -4171 itti6 rl Inspection Requests (24 Hrs.): (503) 639 - 417 I .. INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 25 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC. PHONE #: 503.475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475 -5041 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message / 3 sq 199 Electrical final 019403 -03 503. 475 -5041 Y Corrections /Comments/ Instructions: • • i tXr PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED e I nspector: � Date: 6' 0 2-0 0 7 Phone #: (503) 718 • CITY OF TIGARD BUILDING DIVISION , _' PERMIT #: MST2005"00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 �� ° �u � At l��ypu� � lhl Inspection Requests (24 Hrs.): (503) 639 -4175 �... 1 INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7 :07AM PAGE: 65 i SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 -475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 4755041 Inspection Request Scheduled For: Date: 8/812005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 01304 -10 503- 475.5041 Y Corrections /Comments /Instructions: i � ` d - _ -P- r• c r • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ►i I Date: ;? (. one #: (503) 718 - OF TIGARC BUILDING DIVISION PERMIT #: MST2005 00043 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 : "' �yp jll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7:07AM PAGE: 107 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 7 /299/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 012390 -01 503 -504 -2755 N y � 5�2 t Va c ? ( ) " N, Corrections /Comments /Instructions: I I r `d- \Pt\ 51• 6 d1 oth- t oN 1Opp `�'V2 �cS - i j 1 ,k4• C1.2b C P A��L F•wL, ir \I NC. S S 1 ,ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT `'`h bB Date: Phone #: (503) 718- 2 - I4 1^ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20C?5.00040 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 4/14/2005 Phone: (503) 639 -4171 t r�°atli���N��l j Inspection Requests (24 Hrs.): (503) 639 -4175 .� _� °_ INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 47 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: I PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503- 4755041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 10/2B/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final I 019632 -01 503 309.5750 Y Corrections /Comments / Instructions: / I PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C P k- iI 1 % - Date: /a/28 7(M Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 27 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: NOW SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475-5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475-5041 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # M:: 399 Plumbing final 019403 -01 503. 475 Co rections /Comments /Instructions: \ 2--6 r S d _ H . 6 \ 0 9 . I • I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS P.EAIL__ I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: � — Date: /� / –' Phone #: (503) 718- CITY OF TIGARD 4 BUILDING DIVISION PERMIT #: MST2005.00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7 :07AM PAGE: 10 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, L� PHONE #: 503-475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC ��� %� PHONE #: 503475- 5041 Inspection Request Scheduled For: Date: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 011156-01 503 -309 -6750 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i° Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2005.00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: 7 :09AM PAGE: 25 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503.475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 5/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 007602-01 503-475-5041 N Corrections /Comments /Instructions: • al PASS 21 •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I/, •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` ■ ' ...41/1111W Date: 5 ---- Z 1 1 . O Phone #: (503) 718 - V CITY OF TIGARD - g - ., BUILDING DIVISION . -* PERMIT #: lviST200S-00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114!2005 Phone: (503) 639 -4171 � ���mma�gpi�ypi�ry1 it Inspection Requests (24 Hrs.): (503) 639 -4175 . ' s. -L. INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 58 SITE ADDRESS: 11196 SW 117TH TERR p CLASS OF WORK: SUBDIVISION: FEHRENE3ACHER ' LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENI3ACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503.475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 Inspection Request Scheduled For: Date: 5/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 007487 -03 503-476 -5041 N Corrections /Comments/ Instructions: • • 11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,�, / 3/� Inspector: Date: Phone #: (503) 718 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00049 13125 SW Hall Blvd., Tigard, OR 97223 440 DATE ISSUED: 4/14/2006 Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 ,„....10- ~__ / I CD INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7:08AM PAGE: 57 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503-476-6041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 Inspection Request Scheduled For: Date: 5/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 007487 -04 503-475.5041 N Corrections /Comments /Instructions: ) ) V i-eAJ P--IL. L4/\A-) e G :—N. 5k, ck — k-iu 0._A-cfc v 0-_-(A).__e . i. Ub ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ` /3/6 S � Inspector: Date: Phone #: (503) 718- i CITY OF TIGARD ,- , BUILDING DIVISION PERMIT #: MST2006 -00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 /214411'1'\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7 :08AM PAGE: 115 SITE ADDRESS: CLASS OF WORK: 11196 SW 117TH TERR SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM.HOMES INC, PHONE #: 503 - 475.6041 . CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 6/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 006624 -06 503475.6041 N C) rrections /Comments/ Instructions: \ ' ;r1.-.15 V.S) _,.._., OV - eJ.31 SZ6,1_,e, '0 l'o ri),e— Je 5 4-0-9---- A---- --e-,\-4)- . In . 1? I I PASS ARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: yi Date: t V/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION I PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2005 00049 Phone: (503) 639 -4171 /uirejlmyp��IlBI����,� 414/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `__.. INSPECTION WORKSHEET FOR DATE: PAGE: 5/11l2005 TIME: 7 :12AM SITE ADDRESS: CLASS OF WORK: 11196 SW 117TH TERR SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PHONE #: PAYS CUSTOM HOMES INC, 603- 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475 -5041 Inspection Request Scheduled For: Date: 5411/7005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 006611 -04 503-649-8117 N Corrections /Comments/ Instructions: 7 il '‘"-) G iiw R i � it -eic C J N K PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: S — Date: S/ Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2005 -00043 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 �o Phone: (503) 639 -4171 �i +° Inspection. Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: PAGE: 6/11/2005 TIME: 7 :12AM lic.1 SITE ADDRESS: 11196 Sao! 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503-476-5041 CONTRACTOR: PHONE #: PAYS CUSTOM HOMES INC 503 -475 -5041 Inspection Request Scheduled For: Date: Pour Time: 5/11/2005 Code # Inspection Description Confirm # Contact # Message 340 Storm drain 006611 -05 503. 649-8117 N Corrections /Comments /Instructions: 4' " +7 6 0" `-"' ` 4 `-x 1 All 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V ll Dater �/ Phone #: (503) 718- CITY OF TIGARD , , - BUILDING DIVISION PERMIT #: MST700�r0004g 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: PPP Phone: (503) 639 -4171 /piaavuy�y��Nl6f 'It 4/14/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 . � __.. INSPECTION WORKSHEET FOR DATE: PAGE: 5/11/2005 TIME: 7:12AM 14 SITE ADDRESS: 11196 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PHONE #: PAYS CUSTOM HOMES INC, 503-476 -6041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 5503 -476 -5041 Inspection Request Scheduled For: Date: 5/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 006611-06 503-649-8117 N 'W . vZ 7.--00 S C O D 5 Corrections /Comments /Instructions: • -ASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: `✓ Date: ( S - 7‘ ‘A Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 ���d�' �ipi�lti�l�� Inspection Requests (24 Hrs.): (503) 639 -4175 =�� INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 26 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503- 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5041 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # -s 699 Mechanical final 019403 -02 503- 475 -5041 Y Corrections /Comments /Instructions: J K .CO S V — 6 7 LAA, .Ac b-1 e-Q- G • -> Nil's. S - � • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 17b; - Date: I 6 / 24 0/ 0 #: (503) 718- CITY OF TIGARD BUILDING DIVISION '_ PERMIT #: MST2005 -00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 4 ' �i//J ��iigjl li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: i�112 7 :OfANi 29 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 8/12/2005 • Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 013470.01 503 -476 -5041 N Corrections /Comments /Instructions: • • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL r A LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , All11111■� = b . te: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-12005.00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 At Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7 :09AM PAGE: 67 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER - LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475 -5041 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 280 Insulation 013325 -01 503475 -5041 N Corrections /Comments /Instructions: 0,/ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ C, L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: Date: B / /--9' _ Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 /n niiinh Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2005 TIME: 7 :05AM PAGE: 78 • SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT . #: 002 TYPE OF USE: PROJECT NAME: FEHRENCACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES•INC, PHONE #: 503 - 475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 013223-01 603-475 -5041 N Corrections /Comments /Instructions: • r PF'" ASS PARTIAL APPROVAL CANCEL NO ACCESS n FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ef / --- Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 //,i iiimA(l'� Inspection Requests (24 Hrs.): (503) 639 -4175 '__.. INSPECTION WORKSHEET FOR DATE: $/10/2005 TIME: 7:05AM PAGE: 77 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 603- 4766041 CONTRACTOR: PAYS CUSTOM. HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 8t10/2005 Pour Time: Code # Inspection Description . Confirm # . Contact # Message 610 Gas line 013223 -02 ' 503 - 475.5041 • N Corrections /Comments /Instructions: • o ?. S I4z8/ 1 , E] ASS PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS / n FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 2- Date: . Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 -00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 _,,. INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 79 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -475 -6041 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 012781 -01 503 -936 -9506 N Corrections/Comments/Instructions: A P I « - ',/...,__, i at J/ZiJ ,. .ci/ Ss' Gl1e-- >,( .Cl/A n PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 3/( .---- Inspector: - Date: g 4 Phone #: (503) 718 - CITY OF TIGARD J BUILDING DIVISION PERMIT #: MST2005 00048 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 aii ° ttr i i i I t\ Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 0/1/2005 TIME: 7:05AM PAGE: 23 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACFIER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503- 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -475 -5041 Inspection Request Scheduled For: Date: 8/ 1/2005 Pour Time: Code # Inspection Description Confirm # • Contact # Message 615 Mechanical rough -in 012644 -02 503 - 475.5041 N Corrections /Comments /Instructions: • PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS ❑ FAIL IR CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED "te Inspector: Date: {- /-J e� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S-00G49 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 /J s oil1 � , 416� ii Inspection Requests (24 Hrs.): (503) 639 -4175 '-_... INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7 :05AM PAGE: 24 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503475 -5141 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475.5041 Inspection Request Scheduled For: Date: 8/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 012544 -01 503-475 -5041 N Corrections /Comments /Instructions: - 4 '6 Lv'U ,tea • ' 1..,. ®' ❑ PA ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: 2-- /!) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1412005 Phone: (503) 639 -4171 A nN� f �� Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7:05AM PAGE: 22 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 603-476-6041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5041 Inspection Request Scheduled For: Date: 8/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 012544 -03 503-4755041 N Corrections /Comments /Instructions: (0 tv 50 -- e2 /1/4-,/ . , -te C 57-&-/-75 -Y %A sd 'P \( 6, 7/4-1 s 6 /a rc!-hu 6r / >aJ wr - Asti - 1_ ( - � ' s ' r, - - • ab- '*`r`f!/` - ✓ ter: j t't, 11 -r7. .-C ULc_ 4 4 cI�S� 5u•A-y �i�s SGr. ssoti 7 �s I I PAS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: . Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 / � A �p �lh Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_.. INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 80 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: • PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503- 475.550A1 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475.5041 Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 011104 -01 503 - 313 -0300 N Corrections /Comments /Instructions: • SS ❑ PARTIAL APPROVAL ❑ CANCEL Ill NO ACCESS ❑ FAIL ❑, ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED /i Inspector: Date: -/r Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14 /2006 Phone: (503) 639 -4171 m�N- n�i�mypi�g1ii�� Inspection Requests (24 Hrs.): (503) 639 -4175 —_,W 11. INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE: 17 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503- 475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.6041 Inspection Request Scheduled For: Date: 7/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 010940 -02 503- 313 -0306 N Corrections /Comments /Instructions: • le PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (A Date: - 7 — - 7- - a> Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE: 19 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475-5041 Inspection Request Scheduled For: Date: 7/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 010940-01 503-313-8306 N Corrections/Comments/Instructions: ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO- ACCESS ❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ) Phone #: (503) 718- CITY TI OF CARD BUILDING DIVISION PERMIT #: MST200S -00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 . ��rn�Np���iiq ��ii� Inspection Requests (24 Hrs.): (503) 639 -4175 �_� `__.. INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7:12AW1 PAGE: 73 SITE ADDRESS: 1 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FF_HRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503..475 -5041 Inspection Request Scheduled For: Date: 5/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 t . Post/beam structural 007627 -01 503475.504'1 N Corrections/Comments/Instructions: • ,3 / 0 - 14A). 1 - t / � " 3 r tA, r . /U • / VI PASS It PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL Y CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ju 07,---- Date: Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION _ PERMIT #: MST2005-0004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 :nil " e�� Inspection Requests (24 Hrs.): (503) 639 -4175 .�' '. INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 60 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 476.5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 Inspection Request Scheduled For: Date: 5/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 007679 -01 503. 660.4416 N Corrections /Comments /Instructions: \AI \r e/ K,c- — Vz 6 , Ob PASS ❑ 'ARTIAL . ' PROVAL t��1 CANCEL NO A LESS I I IL '� CALL FOR NSPECTI■ '❑ ' DDITION' FEES ASS; SSED Inspect r: ■ Date: Phon- (503) 718- CITY OF TIGARD - �) BUILDING DIVISION l/ PERMIT #: MST2005 -00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006 Phone: (503) 639 -4171 ���ll,�4pu�ii��a((IihI - 1 1 CZ) Inspection Requests (24 Hrs.): (503) 639 -4175 .'W \ INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7 :08AM PAGE: 50 SITE ADDRESS: 11196 SW 11711H TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 475"5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041 Inspection Request Scheduled For: Date: 5/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Post/beam structural 007487 -01 503-475 -5041 N orrections /Comments /Instructions: - 0 ( • ,,r _ _ ____--\---4) ,_,- ..1----' , p , , S - - 06 �� Qair•-45 ... 7) I - l `,, k s 5-(A__sZ -v 6 ) 4 -- - 1/22_6e-1,v. s -- - A-4 \IL-Ny q . 7 ( c - Th Q(1,___r---4 S LA L� r 1,_ . 0 CS C , 0 6 S --- 1, C--1..\ 1-,.. - i__S - . - - v V 1 L L - v - , -r . t A) 6/J 5 4 1" i r.. Q . g ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS c ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: V -2)- 3 /one #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00049 - 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 �/ Ai,. uy��I�N�� Inspection Requests (24 Hrs.): (503) 639 -4175 : �� °- L. 1 1 C1) INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIM : 7:08AM PAGE: 59 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 -475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 Inspection Request Scheduled For: Date: 5/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message (Q5 Post/beam mechanical 007487 -02 503. 475.5041 N Corrections /Comments /Instructions: p 1 ' Cam- C — -s�� L. \ Q !� f t f _ _ r 3) - 13. 0 4-v--4 f -c (k j A V t g,--- . (1\ii ii ... y■Jr - i-v - -- . ( 4 Le/\rr -e-L) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` �� Inspector: Date: , Z3 U Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &.00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 ; � Inspection Requests (24 Hrs.): (503) 639 -4175 �� _ ...W __-. INSPECTION WORKSHEET FOR DATE: 5/4/2005 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 11196 SW 1 17TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503 - 4766 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475 -5041 Inspection Request Scheduled For: Date: 6/4,2005 Pour Time: 9 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 006103 -01 503-784-0632 N Corrections/Comments/Instructions: iia s 4 A . 4 a/Lc 6o Ars 5.7.E f 5 Axe.4.A,c c ,Q-S .54,11./ • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: r- ¢ — a Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00049 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2005 Phone: (503) 639 -4171 : �mu�uii il Inspection Requests (24 Hrs.): (503) 639 -4175 .Ai- INSPECTION WORKSHEET FOR DATE: 4/25/2005 • TIME: 7:10AM PAGE: 21 SITE ADDRESS: 11196 SW 117TH TERR CLASS OF WORK: SUBDIVISION: FEHRENBACHER LOT #: 002 TYPE OF USE: PROJECT NAME: FEHRENBACHER DESCRIPTION: New SF I OWNER: PAYS CUSTOM HOMES INC, PHONE #: 503"475 -5041 CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475-5041 Inspection Request Scheduled For: Date: 4/25/2005 Pour Time: 10 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 005279 -03 503.784 -0632 N Corrections /Comments /Instructions: lit Pr Pirb S -- z o�� '.r`'°� 'j lie--e-4-- — 4e.k.' &--J C,'LC 1 /< PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: ki ® Ph one #: (503) 718-