Permit R
1, CITY OF TIGARD PERMIT
l PERMIT #: MST2006 00282
COMMUNITY DEVELOPMENT DATE ISSUED: 1/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134CA -FB007
SITE ADDRESS: 11136 SW 118TH TERR ZONING: R -4.5
SUBDIVISION: FEHRENBACHER NO. 2 LOT: 007 JURISDICTION: TIG
Project Description: New SF.
BUILDING
REISSUE: MAS22137A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,269 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,489 sf GARAGE: 537 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,758 sf 269,747.50 REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: 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 -ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL A SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
PAY CUSTOM HOMES INC. PAYS CUSTOM HOMES INC laws. All work will be done in accordance with approved plans. This
17278 SW SONNET WAY 11278 SW SONNET WAY permit will expire if work is not started within 180 days of issuance, or
KING CITY, OR 97224 KING CITY, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 503 - 475 - 5041 Contact #: PR! 503 475 - 5041 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 -517 -6786
Reg #: LIC 155849
TOTAL FEES: $ 10,949.92
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : 6,4..4., Permittee Signature : ,)'( azdz)--,
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.
VA
r.
• Building Permit Application '.. FOR OFFICE USE ONLY ; " .
Ci of TI and ��� Recei ( ` `
III `J g j�1i `(` Date /BY . � . . Permit No 1►_J +� _1 Cam! _�
0 ?, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �. �-
Phone: 503.639.4171 Fax: 503.598.1960 \I a � 2�d6 DateB . ,° • V Other Permit: jt �/ v(/6
TI : G A R`D Inspection Line: 503.639.4175 W3 Date Ready/By: � See Attached Checklist for
Internet: www.tigard- or.gov .-� ARD Notified/Method: J') OW 7 J� �� ® Supplemental Information
Cl v( �- q a �'y� rIt\IISdO R
- .ar:, • 5 t0`(.--<, I' / 1 dd. -d./
. TYPE OF WORK '. REQUIRED•DATA:,I- .AND :2 - FAMILY DWELLING
K 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
C ATEGORY OF C__ONSTRUCTION, .. work indicated on this application.
- and 2- family dwelling ❑ Commercial /industrial Valuation: $ L 19, 6 1 l 0 fl C)
11 Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms: 7i ( l Z
• • JOB SITE. INFORMATION AND LOCATION • - Total number of floors:
Job site address: I I ( 3c , SI,.,.) Ll 9 • i,rrt New dwelling area: 21 Sj square feet
City /State /ZIP: "" rt_Dy. Y"1°l V . ,1 ZZ "3 Garage /carport area: S3 '1 square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: 300 square feet
Cross street /directions to job site: Nxr 4,0 It 1 Z \S-e Avg Deck area: square feet
Other structure area: square feet
„REQUIRED. DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ,Ft k "44y1, b Ate j le4e , 2 Lot no.: " Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
• IN Q/.,--) 5 L n 1 La,. m I C i m / a � Valuation: $
1 Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT" • • Number of stories:
Name: -- 5 .per ^ Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
'APPLICANT ❑ CONTACT PERSON NOTICE,
Business name: {0v/35 fs_b 14 0 ,4 ,5 X All contractors and subcontractors are required to be
Contact name: '7-0 fib � s licensed with the Oregon Construction Contractors Board
"__ J under ORS 701 and may be required to be licensed in the
Address: 1 - 12,1g 5 c - 3 5J ft ELA , - f 440 jurisdiction in which work is being performed. If the
City /State /ZIP: ) C , $1 D/L_ 011 u f applicant is exempt from licensing, the following reasons
apply:
Phone: (5 4-75-..- 5 6 L. Fax: : (co'N Z 14 cf, 5—b D
E -mail: `l r1Jk 4 - r p_ (.O to C Yi' ./11t_—
. CONTRACTOR
Business name: sAiv1FE__ 'BUILDING PERMIT FEES* " "
Address: '(Please refer to fee schedule) . '
Structural plan review fee (or deposit):
City/State /ZIP:
FLS plan review fee (if applicable):
Phone:( ) Fax:( )
CCB tic.: Total fees due upon application:
Amount received:
• Authorized signature: L �
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
. Print name: �3 d a_ p.. I2 N s Date: lit 1 /b * Fee methodology set by Tri- County Building Industry
J Service Board.
C \ Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(II /02 /COM /WEB) Adill
,
One- and Two - Family Dwelling ''
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
II I4 ' I 13125 SW Hall Blvd., Tigard, OR 97223 Associated
12 ,: • Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24 Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
T I G A RD Internet: www.tigard or.gov ❑ Other.
•
T FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑, ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
• sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
1 1 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 ❑ Cl ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ .
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore'on and shall be shown to be . s ilicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings .
on a lot of record approved prior to September 9, 1995.
1 :\ Building 1 Permits \BUP -RES -Perm itApp.doc 03/21/06
Ilk
Electrllcal Permit Application FOR OFFICE ICE USE ONLY
ity of Tigard - 4 '� 1 Received Permt[ No. 'I
' 1 " 13125 SW Hall Blvd., Tigard, OR 97223 C Plan Review
0 ' :. Phone: 503.639.4171 Fax: 503.598.1960 .. "- 3 2006 Date /B . Other Permit:
• T I :G A itD Inspection Line: 503.639.4175 _ t ' Date Ready/By: tins: El See Page 2 for
Internet: www.tigard- or.gov 1. ;II .19- t i 3A'RD Notified/Method: Supplemental Information
▪ - - sKtrt tInfICI • rh11
TYPE OF WORK , PLAN REVIEW '
14 New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
• ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
• " ,. , CATEGORY OF CONSTRUCTION ,, exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
:16121 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
.JOB SITE INFORMATION AND LOCATION. , , ❑Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: i 1 `,� ` �n , r �- 1001-113 or more. occupancy.
1 I I �� 5 l 1 V �1 `t'/t+ r , 1 u�—
0 Six or more residential units. ❑ Recreational vehicle parks.
• City/State/ZIP: l (� / s ,�/ (i� ❑ Health-care a dolocations. ❑ Supply voltage for more than
Jam+ vt v ZZ 3 ❑ Hazardus locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
' FEE SCHEDULE,
Cross street/directions to job site: Nov 'Vh g tt. 1 Zt 54# Description I Qty. I Fee. I Total I "
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: .V tir Z -- Lot no.: '7 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
. • DESCRIPTION OF WORK • . . ' (with above sq. ft.)
_y Limited energy, multi - family
ivep ,� s L A /+'v i t I fi t d orl(I` residential (with above sq. ft.)
75.00 2 Services or feeders installation, alteration, and /or relocation
• 200 amps or less 80.30 2
• • PROPERTY OWNER 0 TENANT , • " 201 amps to 400 amps 106.85 2
Name: ,...-- � f.tr}-1.. 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
' Address: Over 1,000 amps or volts • 454:65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
• relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
APPLICANT I 0 CONTACT PERSON above service or feeder fee,
.-}- each branch circuit 6.65 2
Business name: ,V),,,,,,, Cu SA 0-1 Lit M pi% 1
L - B. Fee for branch circuits
without service or feeder fee,
Contact name:
— rc>cI - d . Pa- first branch circuit 46.85 2
. Address: I"? 2-2 3 Std <0 ft -e tA) C`-' ) Each add'I branch circuit 6.65 2
® � c m
c an t (service or feeder not included
City / State/ZIP: Cl � - �' "� 2 Z Each a manufafa ctured or modular 90.90 2
� dwelling, service and/or feeder
• Phone: (�) LV 7 S - SUl.e1 Fax: : (�31 7_44- E Reconnect only 66.85 2
E -mail: °Jr ibe' SP C-4 el -t C /k5 f• . iv a, 4- Pump or irrigation circle 53.40 2
CONTRACTOR , . , Sign or outline lighting 53.40 2
`¢� /. may, - Signal circuit(s) or limited -
Business name:
WV7L n (�4 j "y�t/f L energy panel, alteration, or
Address: .e O. 3 v>,, 23 t 2t„` extension. Describe: Page 2 2 • City /State/ZIP: coairpt O Q CI ' 2,-1_3 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (933) S 2 1 — i ,. D Fax: (513) 12, 1 — 5 1. Investigation per hour (I hr min) 62.50
• CCB Lie.: ) 5 9 16 Electrical • .:38 t./ i C. Suprv. Lie.: 4 6 2.5--s— Industrial plant per hour 73.75
��,�� ` ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1 _ ) Subtotal:
Print name: �t C f �n Date: 1 / / r' �� ` Plan review (25% of permit fee):
/ // /// State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: \ Building \Pennits\ELC- PermitApp.doc 05/23 /06 440- 4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard ,.
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK. ONLY:' _
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:
COMMERCIAL `WORK ONLY:
Fee for each commercial $75.00
• . system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ 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
11Building \Permits\ELC- PermitApp.doc 03/23/06
•Mech nical Permit Application FOR OEEICE US ONL Y '
City of Tigard ' + j' \i i� : J Received _ ! Permit No. -
v 13125 SW Hall Blvd., Tigard, OR 97223 ' -. I Date/By. f 1 /t/ t.
• Plan Review
' - , 2006 ' Phone: 503.639.4171 Fax: 503.598.1960 - 3 200 Date/By: Other Permit:
T I G AR'D Inspection Line: 503.639.4175 Date Ready/By: INE El See Page 2 for
• Internet: www.tigard- or.gov . Notified/Method Supplemental Information
r
. r ` . Jr- 7 - iGARD
r,. , - -ow- r. :‘,/: S!ONI
. TY PE OF WORK COMMERCIAL FEE* SCHEDULE — USE,CHECKLIST
' 0 New construction CI 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 *`
0 1- and 2- family dwelling ID Commercial /industrial ❑ Accessory building '
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. 1 Ea. Total
" JOB SITE INFORMATION AND LOCATION' , , , , ., . Heating /cooling
Job site address: r J' Air conditioning or heat pump
[ I ��0 ((' ? 4Jk —[,�� (requires site plan showing placement) 14.00
City /State /ZIP: '-j ( )Av l D 1 i i15 Furnace 100,000 BTU (ducts/vents) 14.00
l 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: N o(L,'1 h 1c,—,v -�... it t{ Z l S.^f 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: F ,hQ� 2 Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' DESCRIPTION OF WORK Water heater 10.00
�"� { �� '' _ Gas fireplace 10.00
N 1 5 t n-51,— c ► l, t Ws citi / .-- Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
ROPERTY OWNER . I ■ 'TENANT
Other: 10.00
Name: — 5 ( K Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
,APPLICANT ❑ CONTACT PERSON ' Attic/crawlspace fans 10.00
/� L I �1-- _ Other: 10.00
Business name: ?0 S (, (J $ T6 `• r) m� S Xi L. Fuel t m
PP g
Contact name: 'b ...L /A- yl S $5.40 for first four; $1.00 for each additional
Address: l 27S �. sKJn�i W Fas heaheatpu
Gas heat pump
City /State /ZIP: !"; ^ (. DI_ _ S 7 2 � L( Wall /suspended/unit heater
Phone: ( 93) w,5- I J - ltj oq r Fax:: (0,3 2 1 -3 o c} Water heater
/ Fireplace
E-mail: av l./I— . - / e C 6 An- t A.V i• t—f Range
.r " CONTRACTOR ' Barbecue
Business name: I ►14 r 4 s/ ,, + & ( � ,�,(A 1 (�, Othehes dryer (gas)
Address:' 43o t. -3 t AU-``— u ` MECHANICAL L PERMIT FEES*
City/State/ZIP: 114 1, .6 J s 2 Subtotal
•
ull.� � CI
Phone: ( C3 y ? cis) ��6 1Fax: ( 3) S4 r 32� Minimum permit fee ($72.50)
/ j t Plan review (25% of permit fee)
CCB tic.: (4 3 c,3 O State surcharge (8% of permit fee)
Cj
TOT AL PERMIT FEE
Authorized Signature: This permit application expires if a permit is not obtained within 180
/1 days after it has been accepted as complete.
Print name: _ (I+ r C - V `J l \4 ,y -1 Date: . ti , 1 1/0 t * Fee methodology set by Tri- County Building Industry Service Board
\
1: Building\ Perm \ M
it EC- PemiitApp.doc 04 /06/06 440.4617T(11/02/CCOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
`Total Valuation:. Permit Fee:,
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
. 'Plu Permit Application
Building Fixtures - , nF 1O1 O l Icr u o L�
t t I 0 ;.- ` � R eceived [1
City of Tigard Permit No C t f" /� - ��
q 13125 SW Hall Blvd. Tigard OR 97223 i • Plan Review
l 1o, J( �� * ��
' ' C • • Phone: 503.639.4171 Fax: 503.598.1960 ' ' l 2006 DateBy. Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By: lu gs: ®See Pa e 2 for
T i G 'A RI r lai i e g.aHA� Y Y g
Internet: www.tigard - or.gov ri : ,,.glair_ P•t "16tC`troji Notified/Method: Supplemental Information
TYPE OF WORK • • FEE* S(IIEDULE
K New construction ❑ Demolition For special information use checklist.
Description I Qty. 4 Ea. I Total
❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
,CATEGORY 'OF, CONSTRUCTION ' • SFR(1)bath 249.20
Igt 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
.. ' JOB • SITE INFORMATION AND LOCATION • • . Site utilities
Job site address: )113c,_ 5,,...1 U UQ, kL ��r Catch basin or area drain 16.60
City /State /ZIP: li "` a O 2 ''1.22. 3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: � I Project name: Footing drain (no. linear ft.: ) Page 2
Cross street /directions to job site: fJ( L ���-6� i S� 1 s_(, Manufactured home utilities 110.00
T Manholes 16.60
•
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: tom
(_ , rj".. b1 I Lot no.: 1 Water service (no. linear ft.: ) Page 2
- Yti(it/
Fixture or item
Tax map /parcel no.:
, Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
• W S (, Cll L l'-an., l I 3 , g i o(A Backwater valve 16.60
Clothes washer 16,60
Dishwasher 16.60
Drinking fountain 16.60
. PROPERTY "OWNER ' ❑ TENANT
' "' Ejectors/sump 16.60
Name: _ rouE-._ Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
' p(APPLICANT • ' -. El PERSON Hose bib 16.60
f � Ice maker 16.60
Business name: CVS p "-t5 i `-c. Interceptor /grease trap 16.60
Contact name: --1--,, a £1., 47 S Medical gas (value: $ ) Page 2
Address: f '7 ci St-) , )✓1 a -t r - ' kittl Primer 16.60
• City /State /ZIP: / n C ( Q 1 ' '? Z Roof drain (commercial) 16.60
/ � _ Sink/basin / lavatory 16.60
Phone: (�D 4 / 5 �� �(I Fax: (sp� c� � �17
_ w ^ Tub /shower /shower pan 16.60
E -mail: Y'-^ t f cjV W Ir _ 5 at . n e Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: 12-014\ g �t ---H- eta ry - v 6i no / L- Water heater 16.60
Address: P 0 0 � 6, �u Other.
N Subtotal
City /State /ZIP: B ( �,+ I /4 !� s Min imum permit fee: $72.50
• Phone: (53) FO a) -5 f o Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lie.: 1 S 2..1 3 p Plumbing Lic. no.: 3 t q 0 Z pa Plan review (25% of permit fee)
n State surcharge (8% of permit fee)
' Authorized signature: .
/ TOTAL PERMIT FEE
Print name: �,1.0� II r t, +1- Date: `/ fie) Ia,( This permit application expires if a permit is not obtained within
1 ( 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
I:\ Building \Permits\PLMF- PennitApp doc 04 /06/06 440- 4616T(10/02 /COM/WEB)
•
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
'Site Utilities Qty: ' Fee (ea) Total - Square Footage: Permit. Fee:' •• 7",
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 Valuation: Permit Fee:
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item . Qty. • Fee (ea) Total additional $100.00 or fraction thereof to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first .$ 10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof to
• 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: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ Any new exterior plumbing site utilities.
Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities.
Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system.
- Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918 780 - 0040.
Car Wash - Each Stall
- Drive Thru Submit 2 sets of plans with any of the above.
Cuspidor/Water Aspirator
Dishwasher - Commercial
Domestic Isometric or Riser Diagram,
Drinking Fountain ❑ Isometric or riser diagram is required for new buildings
Eye Wash that meet the qualifications above.
Floor Drain /sink - 2"
• 3»
-4"
Car Wash Drain Comments regarding fixture work:
Garbage - Domestic
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory *Note: If the fixture work under this permit results in an
- Bradley increase of sewer EDUs, a sewer permit will be issued and
- Commercial fees assessed for the sewer increase must be, paid before the
- Service plumbing permit can be issued.
Swimming Pool Filter
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
i:\ Building\Perrnits\PLM- PermitApp doe 09/22/06
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2006- 00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1)1712007
Phone: (503) 639 -4171 ' l
Inspection Requests (24 Hrs.): (503) 639 -4175 . 'LL
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENI3ACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475 -5041
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 054752 -02 503 - 840.7332 N
Corrections /Comments /Instructions: y
�; 1 t�L:StJG - rE <" -. 50-,2, j ,L(.4_,, P u p& - s g
PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Si - Phone #: (503) 718- Z.4,-4.6--
r r .
CITY OF TIGARD .. .
1 BUILDING DIVISION PERMIT #: MST200&_ -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171
A 4li @ llir
Inspection Requests (24 Hrs.): (503) 639 -4175 4 11.
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503.475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 50
Inspection Request Scheduled For: Date: 8/2812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054752-01 503-840-7332 N
Corrections /Comments /Instructions:
PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: A Date: g -2A-0'7 Phone #: (503) 718- 2.4-4 - ,
CITY OF TIGARD
BUILDING DIVISION " PERMIT #: MST2006 -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007
Phone: (503) 639 -4171
oraii II�0I�
Inspection Requests (24 Hrs.): (503) 639 -4175 J L__..
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 -475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final - e545-3-7-99. 503 - 910 -7332 N
GtvI To G41,10y
Corrections /Comments/ Instructions:
SS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector,: • Date: c7 "Z- y Phone #: (503) 718-
CITY OF TI,GARD .•
BUILDING DIVISION
A PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/1/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENE3ACHER NO. 2
DESCRIPTION: New SF,
OWNER: PAY CUSTOM HOMES INC., PHONE #: 603-475-6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 6/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 047423-04 503-840•332
Corrections/Comments/Instructions:
\-\
n PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL El CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2006-00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1712007
Phone: (503) 639-4171
#zelopt i
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 511/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 11136 SW 1113TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: Nere SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503475-041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: • Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 047423-03 503-B40.7332
Corrections /Comments/ Instructions:
•
I I PASS I I PARTIAL APPROVAL fl CANCEL 1 I NO ACCESS
I I FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
: s • - A r . A A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005.00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639- 4171�ij��
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 51//2007 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO.2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 -475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 047423-05 503 -t34t 7332 h!
Corrections /Comments/ Instructions:
a_v_
❑ PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: MST2006-00282
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/17/2007
Phone: (503) 639-4171 Atli 'AL
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENF3ACHER NO. 2
DESCRIPTION: Now SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 603-475-50411
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 603-475-5041
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 046899-05 503-840-7332 N
Corrections /Comments/ Instructions:
PASS 1 1 PARTIAL APPROVAL fl CANCEL S El NO ACCESS
fl FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C 7-1 (% Le Date: 1 O Phone #: (503) 718 ilfit
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS`r 200600282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007
Phone: (503) 639- 4171ugV�iiI�fJI
Inspection Requests (24 Hrs.): (503) 639 -4175 • J man
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503- 475 -6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
•
135 Low voltage 046899-06 503-840-7332 N
Corrections /Comments/ Instructions:
•
PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G _• ,V vg Date: L I 1 -4q Phone #: (503) 718- iff
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST200G.00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 . 104 1 1 1 ill"
Inspection Requests (24 Hrs.): (503) 639 -4175 ...._..
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503- 475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -475 -5041
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 ' El ectrical service 046668 -01 :' v.1 7332
Corr- - s Comments /Instructions:
C
I / / / /
1
7
r 521 r
r` 1
°L / f . / 4 / r :___/
0 7
4 . i , , A . I t Rd '
I I PASS I I PARTIAL APPROVAL k CANCEL ! ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ AMDITIONAL FEES ASSESSED
ideY Inspector: ; Date: Phone #: (503) 718-
CITY OF TIGARD .,
BUILDING DIVISION PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 ::11011
Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 �J�1
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503- 475 -5041
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 046668-03 503. 1340.7332 N
Corrections /Comments /Instructions:
•
•
•
i t 'LA ,L if ' j /L L.A. ► . C—e
El PASS PASS ❑ PARTIAL APPROVAL ANCEL / ( '❑ NO ACCESS - --
.
FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED 1--/ Inspector: Date: Phone #: (503) 718-
. . 154CLO , t„.
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST 00S -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 ! I� uypilp ��i
Inspection Requests (24 Hrs.): (503) 639 -4175 ::�
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK: .
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503.475.6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 046668 -02 503-840-7332 N
Corrections /Comments /Instructions:
. / # _ g jitA
- 1 ° )4.14,,te — (p44---/19- Li(n'y�
❑ PASS ❑ PARTIAL APPROVAL KANCEL in NO ACCESS
FAIL CA'_ L FOR INSPECTION in ADDITIONAL FEES ASSESSED
7.
1 /( 1 /IV a
Inspector: Date: Phone #: (503) 718-
,
CITY OF TIGARD ,
BUILDING DIVISION #: MST2006.00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 ! 4 @�pi�I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK: .
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO.2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 - 475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475 -5041
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 046523 -02 503 - 840.7332 N
Corrections /Comments /Instructions:
(1-15 iFoczik if, LL t41 AA X81, w l71-
(3 F ------ P - 6E- Kiii Ntiti teiNkNii .
4W � a w G-c `r. 4 z Fory
iNt\Q a 41.ua Pst Rice 0071.Z.,
1\14\11, PIAIS M tv r PAN � J
c.--ok cboc-- R� %�st,1*.:v\Ni (c QNRK,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL . U NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C3 NU) L Date: 41 Phone #: (503) 718 - *It
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503. 475.6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 5034755011
Inspection Request Scheduled For: Date: 4/1612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 0485523 -01 503-840-7332 N
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �, N ()Q) lam, Date: 4 tol Phone #: (503) 718 - 144__
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 - 4171' "'�gp'iu���Il +i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' mama
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503.4755 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 046523 -03 503.840 -7332 N
Corrections /Comments/ Instructions:
r . 0.6 k4 t e t . . v ► tI 6- Q 7 bL•
# -At,g, 1 0 g` cL cLt6 r
•
•
n PASS H PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
►A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . Date: 1 Phone #: (503) 718- SA
CITY OF TIGARD
, BUILDING DIVISION PERMIT #: MST2006.00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 � ii��' � l
Inspection Requests (24 Hrs.): (503) 639 -4175 °`
INSPECTION WORKSHEET FOR DATE: 8/2412007 TI : 7:00AM PAGE: 14
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
I CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
I
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # ispection Description Confirm # . Contact # Message
699 iii_, Mechanical final 054619-01 ' "•,... 503 - 840.7332 .. N
Corrections /Com /Instruc •
tion
& 6,2
• \Le&kA 1,44
. .1,_..Fp. -uti„-L) .17"` s6Lx g_____ kri.-
tf/v•-ir\- &S7ise. ,
0 _
n PASS I I PARTIAL APPROVAL n CANCEL — NO ACCESS
17,4 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' 1 4 " ✓ Date: v ,/ Phone #: (503) 718 -2 2y
L 4'
CITY OF TIGARD .. . . .
, BUILDING DIVISION .
PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 K
DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 aro I k
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Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/2412007 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # /Inspection Description Confirm # Contact # Message
399 Plumbing final 064619-02 503-840-7332 N
Correctio s/Comments/lnstructions:
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Inspector: kZ.4. Date: C Phone #: (503) 718- 2
, . _
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST'20gGQ0282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 f A
Inspection Requests (24 Hrs.): (503) 639 -4175 J .. I ;.
INSPECTION WORKSHEET FOR DATE: 8123/2007 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503475- 5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 054537 -02 503-840-7332 N
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Corrections /Comments / Instructions:
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I 1 PASS ❑ PARTIAL APPROVAL ,_ CANCEL NO ACCESS
4 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C77 ki.4.--/ 1/1,,...,_ Date: 712347 Phone #: (503) 718-
.
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006-00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639- 4171nYelm��i9��la
Inspection Requests (24 Hrs.): (503) 639 -4175 �_' ! '`-_..
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 37
SITE ADDRESS: '11136 SW 1113TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-476-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 045160-01 503-519-7503 N
Corrections /Comments /Instructions:
I— /
, x 6 - l; ' - M 1 ' "I' 1 I '/74 . - - - 1.
1
'T PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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]l�} 1 6 'I Phone #: (503) 718 -
Inspector: I 1 1�' f Date: _
CITY OF TIGARD .. .
• BUILDING DIVISION PERMIT #: MST2006 -00282
13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 1/ 17/2007
Phone: (503) 639- 4171 n'dypulp l l l r l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_-_, �
INSPECTION WORKSHEET FOR DATE: 2/8/2007 TIME: 7:03AM PAGE: 34
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENI3ACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 -475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3.0 Crawl drain 043099-04 503-840-7332 7332 N
Corrections /Comments /Instruction,
A'1 V;, , -/2./0 (4/75)
0
,
• PASS PARTI ■ , ' ' ROVAL LO, CANCE 011 ' • • ACCESS
• ' L. ALL FOR INSPE - ` ADDITIONAL FEES ASSESSED
Inspector: V/. - Date: - 7 6 � Phone #: (503) 718- 2q 1
•
CITY OF TIGARD '' . . t . •
BUILDING DIVISION PERMIT #: MS
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 aosgiv• i & 77
Inspection Requests (24 Hrs.): (503) 639-4175 4 --.L.
INSPECTION WORKSHEET FOR DATE: 2/&2007 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
,
SUBDIVISION: FEHRENBACHER NO, 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 .
Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 043033-02 503-840-7332 N
Corrections/Comments/Instructions:
•
•
PASS 7 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS
7 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Vt■ (ic." 4 (eI7
Inspector: Date: Phone #: (503) 718-
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CITY OF TIGARD
• . ..
BUILDING DIVISION ti y
- ' PERMIT #: NIST2006-00282
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13125 SW Hall Blvd., Tigard, OR 97223 I . DATE ISSUED: 1/17/2007 ,
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Phone: (503) 639-4171 „4./.11411lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7:05AM PAGE: le
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF. .
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041 .
Inspection Request Scheduled For: Date: 2/5/2007 Pour Time: 1 , ,
Code # Inspection Description Confirm # Contact # • M ,.: -sage V•
505 Sanitary sewer 042970-04 503-64948117 Y , 1
Corrections/Comments/Instructions:
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674/ PASS fl PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: VCVL VA — V
Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 a
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/5/2007 TIME: 7:05AM PAGE: 19 6,
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
•
Inspection Request Scheduled For: Date: 21512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 • Water service 042970-03 503-649-8117
Corrections/Comments/Instructions:
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•
•
1N- PASS PARTIAL APPROVAL CANCEL 1E1 NO ACCESS
I FAIL n CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: Date.:4W Phone #: (503) 718- y
. ._ .
CITY OF TIGARD ''. .. . .
BUILDING DIVISION C PERMIT #: MST2006-00282
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13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007
1 1 Phone: (503) 639-4171 4 ', 0 4/Nottiiii
Inspection Requests (24 Hrs.): (503) 639-4175 4- 1 L
INSPECTION WORKSHEET FOR DATE: 2/2/2007 TIME: 7:03AM PAGE: 9 .
- .
SITE ADDRESS: •1136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENI3ACHER NO. 2 LOT #: 007 TYPE OF USE:
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PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5011
Inspection Request Scheduled For: Date: 2/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
,
335 Rain drain 042928-05 503-649-8117 N
Corrections/Comments/I ( structions:
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" PA I I PARTIAL APPROVAL ri CANCEL NO ACCESS
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I FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
\ l,t1 '. CA— Date: –2 '7 1 / 6
Inspector: 7 Phone #: (503) 718-
, .
CITY OF TIGARD ' . _ • .
BUILDING DIVISION PERMIT #: MST2006-002B2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 ,_ :40Api t t i t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/2/2007 TIME: 7:03AM PAGE: B
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 2/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 042928-06 503-649-8117 N H
Corrections/Comments/In tructions:
3" Ote —w ois_ ) - -H i --\-) , ir'cLe714 6 3 (f.'
ASS pi PARTIAL APPROVAL 7 CANCEL n NO ACCESS
7 FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: z c
Date: V -L(67
Phone #: (503) 718- 2)7(V
l -
CITY OF TIGARD . . .
•
BUILDING DIVISION PERMIT #: tv1ST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223
A 0 ....._ DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 011tili` 0
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 202007 TIME: 7:03AM PAGE: - 6
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 2/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M sage ? vkA.-
330 Water service 042928-08 503-649-8117 Y
Corrections/Comments/Instructi ns:
1
KJ D tAA jii ./4
•
I I PASS 0 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
'''AIL l] CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: VIA S Date: 1,1 /b 7 Phone #: (503) 718- 2,4 ztil '
CITY OF TIGARD . .
, . BUILDING DIVISION
PERMIT #: IviST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (50ection 3Requ) 639-4171 ..i?. illIllitl
Inspests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/2/2007 TIME: 7:03AM PAGE: 7
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK: 1; '
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO, 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 603-475-5041 •
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 2/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
,. .
505 Sanitary sewer 042928-07 603649-8117 N
Corrections/Comments/Instructions: '
1/4 p3012_. km 1-J25i- ,
•
PASS 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
t , FAIL fl CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
4 1 ,.
Inspector: Date: Phone #: (503) 718-
. . .. ,
_ _
. _ .
CITY OF TIGARD
BUILDING DIVISION
A .
PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 4 . 04 014111
Inspection Requests (24 Hrs.): (503) 639-4175 ,.,—.41. ■ IL.
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054537-01 503-840-7332 N
Corrections/Comments/Instructions:
0 iuerr"
0 I,S. n PARTIAL APPROVAL fl CANCEL n NO ACCESS
WAIL • CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
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Inspector: /•-■ Date:a- Phone #: (503) 718-
1
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.
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: MST200G -00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 4 h �� i tiiii
Inspection Requests (24 Hrs.): (503) 639 -4175 , -__..
INSPECTION WORKSHEET FOR DATE: 5/4/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: Now SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 -475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 5/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 047659 -03 503-840-7332 N
Corrections /Comments /Instructions:
/
%PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
1 1 FAIL ❑ ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ,/ Date: � --(07 Phone #: (503) 718-
CITY OF TIGARD . .. . .
' .
BUILDING DIVISION - PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 A
aiiit
Inspection Requests (24 Hrs.): (503) 639-4175 J l
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 603-476-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-4755041
. Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 047423-06 503-B40-7332 N
Corrections/Comments/Instructions:
/ .
4 1 6 : - --itIgE-- ...<7i7, 1/0;6L. 70/ 0 P
/
z PASS 7 PARTIAL APPROVAL [ CANCEL I I NO ACCESS
I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
-37 .
Inspector: e /?A - Z Date: Phone #: (503) 718-
- .
CITY OF TIGARD "'
BUILDING DIVISION PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 A
,,p
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC.. PHONE #: 503475
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 047423-02 503-840-7332 N
Corrections/Comments/Instructions:
13 PASS El PARTIAL APPROVAL 1 CANCEL El NO ACCESS
0 FAIL Ti CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - Date: 5 —z q Phone #: (503) 718-
' & '
., _ .
CITY OF TIGARD . . .
BUILDING DIVISION -r PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223
Aos DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 ,.91111ti
Inspection Requests (24 Hrs.): (503) 639-4175 .7
INSPECTION WORKSHEET FOR DATE: 511/2007 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENE3ACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENI3ACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503•475-6041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5011
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 047423-01 503-840-7332 N
Corrections/Comments/Instructions:
ASS 0 PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: c rif Date: - r i -1 7 Phone #: (503) 718-
, , t
CITY OF TIGARD ' • .
BUILDING DIVISION PERMIT #: MST200B -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 i 1
Inspection Requests (24 Hrs.): (503) 639 -4175 _ __..
INSP ECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503- 4755041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 -475 - 5041
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 046598 -02 503. 640.7332 N
Corrections /Comments /Instructions:
_. 2 - 0 (tiitt l / ,L L4c- G de / - 5;46 k
‘ .5 ?i PZ #V2 " c _. a 7
A .
•
I I PASS H PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
X FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 9 7 7 Phone #: (503) 718-
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 Jail iii•
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
615 Mechanical rough-in 046598-01 503-840-7332 N
Corrections/Comments/Instructions: p
y • (.-• e_Od-ire)b
,
•
...
'PASS fl i PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
Ill FAIL I I CALL FOR INSPECTION r i ADDITIONAL FEES ASSESSED
Inspector: ,
i ff Date: 74 / 7-07
Phone #: (503) 718-
, - .
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: iS1200r00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
(503) 639- 4171 u A llo , ypi j
Inspection Requests (24 Hrs.): (503) 639 -4175 'LL
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: .7:01AM PAGE: 64
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER N.O. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 - 476-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: ° 3/812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 044490 -02 503 -840 -7332 N
Corrections /Comments /Instructions:
•
NI, PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CA L FOR INSPECTION ( I ADDITIONAL FEES ASSESSED
1 ,
J 5 1 ( ° 7 o Inspector: ! t r Date: 45 l Phone #: 503 , ( ) 718-
I
•
CITY OF TIGARD • •
BUILDING DIVISION
PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 65
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE .#: 503475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503.475-5041
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 044490-01 503840-7332 ¥ c-24i
Corrections/Comments/Instructions:
nir
;my 1 . ' Lq S
a.4-0
PT/ 1.4
PASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
I I FAIL n CALL OR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 3 ..17 Phone #: (503) 718-
CITY OF TIGARD -
A BUILDING DIVISION PERMIT #: MS-12006-00282 l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f17/2007
Phone: (503) 639 -4171 , u,�l�� j ii� @Ii�l
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 2./9/2007 TIME: 7 :04AM PAGE: 53
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503.475 - 5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 475 - 5041
Inspection Request Scheduled For: Date: 2/912007 Pour Time: . :,
Code # /Inspection Description Confirm # Contact # Message
225 Pastibearn structural 043178-01 603-840-7332 N
Corrections /Comments/ Instruction
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SS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL . 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: / Date: 4 7 ° 7 Phone #: (503) 718 -2--'f
CITY OF TIGARD
i/ BU ILDING DIVISION 'di PERMIT #: MST2006 -00282
131 25 SW Hall Blvd. , OR 97223 �, / DATE ISSUED: 1/17/2007
Phone: (503) 639 -4171 / 4Pu11i `
. Inspection Requests (24 Hrs.): (503) 639 -4175 -_'
INSPECTION WORKSHEET FOR DATE: 2/8/2007 TIME: 7 :03AM PAGE: 32 '
SITE ADDRESS: 1 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503 - 175 - 5041 •
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503 - 475.5041
Inspection Request Scheduled For: Date: 2/812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Postibeam structural 043063.06 503 - 840.7332 N
Corrections / ments /Instructions:
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.,PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
j FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: O 67 Date: "l/kto 2 Phone #: (503) 718- `ZyGZ... y
, •
CITY OF TIGARD
BUILDING DIVISION „ ,
PERMIT #: mST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223
A 414 DATE ISSUED: 111712007
Phone: (503) 639-4171 11.140 if
Inspection Requests (24 Hrs.): (503) 639-4175 - 11.
INSPECTION WORKSHEET FOR DATE: 2113/2007 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK: .
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENI3ACHER NO. 2
DESCRIPTION: New SF. .
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475.5041
•
Inspection Request Scheduled For: Date: 2/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
606 Postibeam mechanical 043099-06 503-840-7332 N
Corrections/Co ments/Instructions:
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ft --Ss CA PARTIAL APPROVAL 1 CANCEL I I NO ACCESS
• FAIL CALL FOR INSPECTION - fl ADDITIONAL FEES ASSESSED
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Date: /141/ cn
Inspector: Phone #: (503) 718- 2 --- -- ___t4; _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2006.0D282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2001
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 AIL
INSPECTION WORKSHEET FOR DATE: 1/2312007 TIME: 7 :05AM PAGE: 10
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
_ SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHREN8ACHER NO. 2
DESCRIPTION: New SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 5Q3.475 -5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 1/2812007 Pour Time: 2 :00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 042648 513 784 - 0632 I
Corrections /Comments /Instructions: 11
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- P,�S'�� n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / — 7 Phone #: (503) 718- VI-1;5'
. .
. .
CITY OF TIGARD
BUILDING DIVISION
.
PERMIT #: MST2006-00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
Phone: (503) 639-4171 "NW
Inspection Requests (24 Hrs.): (503) 639-4175 AO ■ 1.1.
INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7:02AM PAGE: 54
SITE ADDRESS: 11136 SW 118TH TERR CLASS OF WORK:
SUBDIVISION: FEHRENBACHER NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: FEHRENBACHER NO. 2
DESCRIPTION: Nevv SF.
OWNER: PAY CUSTOM HOMES INC., PHONE #: 503-475-5041
CONTRACTOR: PAYS CUSTOM HOMES INC PHONE #: 503-475-5041
Inspection Request Scheduled For: Date: 1/23/2007 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 042392-02 503-7'84-0632 N
Corrections/Comments/Instructions:
1 0 c. --r f7
,,,,-----'
IV
PASS I PARTIAL APPROVAL I I CANCEL n NO ACCESS
n FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: 1- 2 7--e Phone #: (503) 718- `2. 4--4-N
•
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