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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00119 rilti DEVELOPMENT SERVICES DATE ISSUED: 5/26/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14560 SW 120TH PL PARCEL: 2S110BC -09700 SUBDIVISION: WALL PARTITION2 /MLP2003 -00001 ZONING: R -7 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE: M2855 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,350 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,575 sf GARAGE: 490 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 283,837.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.925 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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: BOILICMP < 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 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: 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 REVIEWSECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,547.47 MASTERPIECE CONSTRUCTION INC MASTERPIECE CONSTRUCTION INLThis permit is subject to the regulations contained in the 14225 SW 128TH PL. 14225 SW 128TH PLACE igard Municipal Code, State of OR. Specialty Codes TIGARD, OR 97224 TIGARD, OR 97224 and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 750 - 5549 Phone: 524 - 4371 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 69010 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins[ Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Pos am Struc - Mechanical Insp Shear Wall Insp Insulation Insp Water Service lnsp Building Final / 1 � Is ued By : , 4 ,, ,iia ' r Permittee Signature :_,Ic....__ ,66..... Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application - FOR,OFFICE USE ONLY City of Tigard • i g C E I V E D Rec y Y j� Permit No. SID I/ (9 /1 p 13125 SW Hall Blvd., Tigard, •R 2 3 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 � dx G 4''� I' Date /By: ,40,e • 5 - .2 V/ Ob Other Pern> , -Q, / Inspection Line: 503.639.4175 APR 14 2004 e' Date Ready /By: .��G/ 4i ( Jar \ � El See Attached Checklist for Internet: www.ci.tigard.or.us Notified/M�et 1� Supplemental Information CITY OF TIGARD c %'� "'e'," �t�k'ai:;�'�' °' ,`'�i` a E "�lfl.,a • ,j• ,t� > .,� >��I'=- � � �;' . ., RE UIRED`D?:TA::1' „AND �2' FAtVIIliY DWEL' LINC ,: ,. _ �., .1k. -- ..s Bl)'1LCT P. ;t:” a , ;; .., .A .' "' ,.'' Y;,1;;..,, Q.. ,,s `�, �'� ` �•, �` :���.�a� �'�;s��`t,�'S��:s;�"� ,. _ ems; a�r,�i�«•��� � ,r�� �,,,�,z �, �,i- � :1 � e. � -s'�` ;;�� � • . . .. :; _:� ,E_ ; -, .. „ , �, ,_ . 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 r , :; t :,,,�4.„ O F: ; ! �°: AA : 1': _'.; :. is„ I" k °I = [r� work indicated on this application. s:� ° =,�,�`,''�I: ` '`� � ` ,�' ` F�3 FONSTRU.C'CIOIV; , 6;,� , • ;��;.: , � £ ,��s�'r'° : ° j K , :tM t te$ 0 .•„_ ... CATEGO O C .,,. : , nv ,4, a,,,, ''i ,a 2''i" 'u_`- F ';` °.ae !:: tw ';n .a� '(4'?'..ava A�sra :nu St':x::2ri:, F?� , .,9t'eta ^r; s +x - !t m.. 'sL`ta}ata, Valuation: $ / f 7 00 0 1- and 2- family dwelling ❑ Commercial /industrial Number of bedrooms: c �a�{ • ❑ Accessory building ❑ Multi- family ❑ Master builder 0 Number of bathrooms: 2. y2, 3 },f, .•', ~.;,_nt „_ a t , 1 , , rz. - •3. rv. ;• ,,,:. number of floors: Z „- A , t r�” u s ,b `'JOB SITE, { INFORMATION AND �OCATION " t ~ 1 Total .w �'�a''!� >- 3 �` �.,�.e..a2�ac�3e . ,�� a . tP.w`� �.�.n �..r.. ;. �.a�:�„�r�,' sts ��€ - .� - � .Jra i:n. ,..fi _a� � �, r..,,�I c Job site address: 9 C. S - & k.J 0 7— d p 1 New dwelling area: Ses square feet City/State /ZIP: ""1. ‘0,41,4t. y" 0 R.— i- .L•1 1 --f 1/ Garage /carport area: l 0 square feet Suite/bldg. /apt. no.: Project name: I.A. p-1 L / p3 i 'l T i i ..i. Covered porch area: `(1) o square feet Cross street/directions to job site: OU l /k- T k I - Deck area: b square feet Other structure area: square feet ' ;t . it'x"t", uv, :..- ,-. "ti .� ,.., .; ,, .Y. .:.L, � n;+e:� a e' a . e ..�, ��, r,.: �,� -n r_.`.s- n 'F'r;y - `;: ,A EQUIRED DAT C OlVI1VIER , - v -= • •to- E CKLIST -` Subdivision: V-1 1P, \\ p 'r►..., 0 I "A' I Lot no.: I Permit fees* are based on the value of the work performed. ��� Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: t2 Tax / (9 r3� _0 equipment, materials, labor, overhead, and the profit for the F"k: erf1.'$e .n {'ly. `n'.l'.`::"z %t, k `,x E& : "- - Ri} {s _ :, i ��J." - R. }= - jti�h!'.�L' %i � ` it � }DESCRIPTIONr ariMRK' 4 VI work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ; '> :'•� : ; e ; e;,d,' ra"i, + -, ar,',a- ¢e,,: w :' h '. ; ', ^iP:,"' �._,t -'t7; „ a u,;. f a .- , - 4` r °i t * O PERTY1OWNER � '' ` � 3 � + 17 .ATE NANT ,4 I; Number of stories: �t,? ,1 t .,-, .-,am .w,. ..,� 4 -. ' s - ' s,�.bs =. � ,° :.>.«. rte .'. e&`,«,d Name: )' 6 ge e, � r ((c , Co t Type of construction: Address: / L ` 2 S •7__ Occupancy groups: City/State /ZIP: Existing: e� M Phone: (5 '7 ) V' S 5- L(1 Fax: ) J '-- - ((3 - New: . � ..�,' a... 1': < u.- ..'`. rte`" � = J ', ..;, avt�'' "x k>t<' e ..'�;. "� as^.b��:= a. sr�. _ - :•.�:'..., ° =!"' .. • :�, ,.N,: � �. ,w pO NTAC T;?P RSO N:��� , : � '. . �.�, AP r ,,.�.' s - � n, F r.. . _�;. ,.:. , ,, rte") ,.. -... - �3cr.�i.'4 - _. _.3°.:z,-- m.,<,:.,2i4 �`m..x�e.�= + .v„�.,�- �����,.A1 u.,.,. ,_ r�aS te., e: -��°'" ��',�.?# }��,,., , �„�����L •k aid y p�. , w.+�,:.'` -' i : ,n,,' . ,;.�EV�a'�s�t,.',��; rs� �..�,t x,o-Ht,�., ;. � � >k.. Business name: r y\ M 4,.._s\--z f_.10 t QC—AT C A\t., I 1 ilk. • All contractors and subcontractors are required to be Contact name: 44)„ 1 I ` kJ D A y`/ I K1- 1 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: i -( 'L"L S S ( --Er- t 7 ( ^I "-A./ jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: apply: Phone: (911) '1 5 1 Fax:: ( ) E -mail: • V - z�•. .si.:�;t: ��._ t�F Ax:, =. ; >x >:'.•;ar „sa�,r'a �:a�: , F r; �ff> P��; �, �r. �t��" ::;°�`;��� ":=it1»':�:""`�'h;;it r � , . ` z' `' * t , CONTRACTOR ,4 , r ,e - � . • 'r, l„t•t' . *, ��_+�3�vn.°s`s..,�:`�.,..�. �:,',,.n/1 [,d�`:�. _, ";�;�:.,',ra.,�"[ia l�. ,+,�"1Em,i, � _ . � �a6; E � r. ...r , 5�4 'k� - Business name: ST p l.� u y 4 �,a,. i a * ' r r•., -�._ _ . .. • S \ r I ' "" 'I " ',-I fr BUILDINGaPE a,i; = ",FEE Address: Please refer to fee schedule. r . City /State /ZIP: \ S ' l Fees due upon application ■ . Phone: ( ) Fax: ( ) Amount received CCB lie.: Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:61 \ Q. r'll 12)6 vJ ! r � Date: 4_1 q.- 11 * Fee methodology set by Tri - County Building Industry I Service Board. i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( 1 1 /02 /COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist , - FOR OFFICE USE ONLY ''T . City of Tigard Rec Permit No.: Y 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 DHatu " 'dtip!�I1 1 11 ❑ Electrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 . • • . 'f _ � 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 CI 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. ❑ 0 ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic system's; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. - 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A-gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be as •licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\Building\Permits \One - Two- FamilyChecklist.doc 12/03 0 Mechanical Permit Application FOR OFFICE USE ONLY City of'Tigard Date Permit No.: M5 a.0�/ —� 1/9 13125 SW Hall Blvd., Tigard, O; 3 Plan Review Phone: 503.639.4171 Fax: 50 $C,LQ� O �% //y�rodi� 1 \ DateBy: Other Permit: Inspection Line: 503.639.4175 - 6 41 Date Re Internet: www.ci.tigard.or.us �.. _ Notified/Method: funs S See Page 2 for Noti g APR 14 2 Notified/Method: SupplementalInformation �.': : .3.4 • �.' " {.� 's ties. r` x.T°fl 95 w�a� � » ":���n�'*";a�r -z. $� -- �.r,.c. -gym .'��a '��5; - s,,.. -. -.. ,.. ;> ' 4t ° O 1 �� E' C S =- l`)SE1.CPi{ECKT;IST s� � >s - - �.f" _.t .:, >S -,x�Y >�- x..� ' v »r A �a7 � p ��aa� . � .Z.,�._ rt" 9 w'�.n _.�.ra ,�- _���.M. zA�` �o�,^�^x� ,..: - ew construction $ Mt1e�ti't�it�t�-Ia�C1'Iplacement 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. rr a. °.`�, a m��� .� ?�_,�� -.�� �.,..�>,t.��:..::.� .:t„� "`'� -� d^ Value•$ �� ' CAVTFidiit O C®NSTR 3GTIOt r 54 - IR' RESIDENTTIAL EQUIPMENT/ SI'STEIYISTEES* ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building"` For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total �.�.�.�:,� t > �.,, .,n:,;�»,-„�€,, - �• �-° �;: �s�.< �:« �' a^. ��,:- a•. nms�... �`- �cae . = ^ :nrrat*^w�e�:. >tc.�a.^a#+sy 4=,r:r �rs.:�, >:.r.� _ -..:.� J �:'.z,+ ^:aw.r.., �::.�..,.,.,�.Y, Heatin �, ;�;�, 'xli. JpB SITE IDIfE :01TIOt�i TI LOGATTpN �° -' ::,i. ', coolin .':�.a�,"�" .- w��x:: ma:c« ,e�.: >..�i�'.§s -.> : kr�:?:>� ^.,. �. ,,..a °�-^� f z%'. � ';'.7`i+�°,t��ir5s�s%,:`i'�,a�9 � g Job site address: ( l c L 0 -' I2 �T p ( Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: 9 ` q A 12.A. ( Q___ 9,'1 2 ' L l� _ Furnace 100,000 BTU (ducts /vents) I 14.00 1 r Project name: Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: tk ® p . Tt Gas heat pump 14.00 Cross street/directions to job site: 6 `l TO r O t 91 l T" Duct work / 14.00 J 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: \N Lot no.: Flue /vent for any of above Q 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ? 1 �`� DESeRIPT OBI OF i " �' ,0; 4 55 �, t Water heater 10.00 q W r W ) Gas fireplace 10.00 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 a 1. lu; -,4,, ' :s- : F :zip. .,<, A- r ,,4 -i,:. , ,07.x: Chimney /liner /flue /vent 10.00 ; W 1 C (?P RTiNVAVZE - �,,Z4l: - ,- TP31�IA!' c zi ��.. ,- , y. � _ ���, � � --w Other: 10.00 Name: 16/V4 S t Ps. p i L c_. C.0 ok,c I I - r Environmental exhaust and ventilation w Range hood /other kitchen Address: 1 L (1...n c S ' equipment l 10.00 City/State/ZIP: 'i ` , e , a ' j • "1111 Clothes dryer exhaust 1 10.00 l Single -duct exhaust (bathrooms, Phone: .) 5k\_ J q I Fax: (b3 s ( 33 toilet compartments, utility rooms) i � 6.80 ,4449 "3, , ^ ,, ... _ ' ?'•i , 1Tr '°4" i f. Attic/crawlspace fans 10.00 . t tic /craws ®.., ` P.LIC'AN TA t : . SON p �`, rh 7a�::�.��.x ��`.�.: >�:a�.'gzs%srx,.,.�.. �x �r »,".�.�. ..�� r.,�' -m s:: -�_�S. `a�°.,v>: �_�, �..i.,- a�,�:.�,.4.?�» .:' .: Business name: � 4_ t,?-f.._ (l"'C# Other: 10.00 Fuel piping Contact name: p. 4 -1J L) p' ' - k� (q $5.40 for first four; $1.00 for each additional Address: 9 Furnace, etc. (^ „2 Gas heat pump City/State/ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater 4 Fireplace 1 E -mail: Range i " N. �°a - ,�,� ro s� xce Asa. ' _ ... .':' ° in . CONTRA'"ite l '� i _ ,, , Barbecue Z ^� Clothes dryer (gas) Business name: J 1 KJ Other: Address: , " , . , lt• ,ro. *i .,1 - R 8�3 GH'ANICPE �c� y� '��s �. _ 7i ...�a , ;3^»:,. ��;:�:,r+: = -tt;: ^ °.:.rya .. - . ! , ` City/State /ZIP: ' V �, 3 0 Subtotal Phone: (/^ �)O `> ' 610121N: ( ) Minimum permit fee permit ee) ll Plan review 25 /o of ermit fee CCB lie.: 3 V 4 State surcharge (8% of permit fee) � ��(���� TOTAL PERMIT FEE Authorized signature: �: This permit application expires if a permit is not obtained within 180 t days after it has been accepted as complete. Print name: \ %A.) .� (7-6(11...._ Date: *- �t u.� * Fee methodology set by Tri- County Building Industry Service Board c \ Building \Perrnits \MEC- PermitApp.doc 12/03 ���JJJ 440 -4617T (1 l /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 2ota1 V aluatron ti , µ ,Perm><tFee % $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or - fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 Electrical Permit Applicati0,)KI • FOR USE O ' `,7 g City of Tigard ���� AED R eceived Permit No.: Dan Re view Phone: 503.639.4171 Fax: 503.598.1960 �S j ��(7 mil/ 13125 SW Hall Blvd., Tigard, OR 97223 I � ,� Plan Re 1 t zr t: AP 4a'��y�' � I Date/B Other Permit: Inspection Line: 503.639.4175 0 See Page 2 for p � � v' I Date Ready/By: Iuris: Internet: www.ci.tigard.or.us CITY Or 1 i .IrNo "" Notified/Method Supplemental Information New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location 'ta ; " < C d- �;..4:.r >:: �. <:, ". >. F ;;;;, , hR a +. ,.;s= ; ;: III ❑Service over 320 amps — rating ❑Butldng over 10,000 sq. ft., ° Q' O TRU,C:.ION.. ..'.. w , „ „, 1`� 3 of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure 1:1 Multi - family ❑ Master builder ❑ Other: Building over three stories ❑Feeders, 400 amps or more #3 -, „ , $, r , ,„ IN >. , u . _ , „ z }3 ❑Occupant load over 99 persons ❑Manufactured structures or zt s �JOBTSTIE INIORMr1TO TACAT�ON ;° ' l RV l< 3�.SZ, �'. �,� � „,rs.�...� �.w_ �.a 3.a��r � � r,;.���,.�.- _ >.�.� �� ���F ❑E /li park Job no.: Job site address: / (4 43 b 0 U 11,6T\ ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: l \ A t ' b 12— q "1 . 'Z,4 The above are not applicable to temporary construction service. l P „� Suite/bldg. /apt. no.: Project name: :..- ,. a -0'_:'dFS'GHE1)L7LE ** Description Qty. Fee. Total Cross street/directions to job site: 6 V d k f \ �O 6 � � \-- New residential single- or multi - family citing unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: ( j IA \\ P 6 Q-r \ 'r ( d 14) Lot no.: ( , Ea. add'I 500 sq. ft. or portion Z 33.40 1 Limited energy, residential A '75.00 2 Tax map /parcel no ,z. n3 Limited energy, non - residential 75.00 2 R , iO '4 DES OF, W Q11 , 4 ,. t 3 > t Each manufactured or modular a ..a y , C', Qi dwelling, service and /or feeder 90.90 2 r Services or feeders installation, alterati , and /or relocatio 200 amps or less 80.30 2 r ::_ "� 201 a s to 400 am r ' W ..:.�. . !,; , PROPEItT OW "„' x . ,rT ; ; ENAI V T< '• ;i .: amps s 106.85 2 P °''�” "` " """��" t "� ` °``` "`'' � � 401 amps to 600 amps 160.60 2 Name: ) A- S T C e r- Q ( G � c...011/4,47. ( - C • 601 amps to 1,000 amps 240.60 2 Address: 1 l V, 9-� C S cf 1 � rt. to 1 Over 1,000 amps or volts 454.65 2 V Reconnect only 66.85 2 City /State /ZIP: T kek A ` U Q' L .'L 4 Temporary services or feeders installation, alteration, and /or Phone: c)) 7' ._ SS 1/4( � ) " 4 Fax: ( 1) 'S') _ cf '37 1 relocation ( 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 ' A) PI ICAIVT . ` 4r ° "a C GT PER 6, y ��''' � � A. Fee for branch circuits with asac - .1C4r. - n >�. r�e.tie: °_ - .,,4ws�.a�. �..;t _ �� . s,,.�... ,,. f`x..,,,...,:._ service or feeder fee, each 6.65 2 Business name: TV\ L- e D 1 C c "LAT t c • branch circuit \ ' p OKJ B. Fee for service circuits es Contact name: A.. \ \ Vl w 1 — without service or feeder fee, each branch circuit 46.85 2 Address: tr tZ Each add'I branch circuit 6.65 2 City /State /ZIP: A v v` � Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- ter, a` _ ` u:r ;_.3 '> a <tCOIVTItACTo r . .. =a a r energy panel, alteration, or Business name: c 6 � c Z ef t� , extension. Describe: Page 2 2 • Address: f .. 6 I C-1 ( 1 g\ Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: V k . lk,.._tit_IHA„04 U rw Investigation per hour (1 hr nun) 62.50 Phone: (Sled) koc ( S < �./ 4 Fax: ( ) Industrial plant per hour 73.75 Q _ �� ; �z4"�;�;�LE,CT RIC A _ LP EItti[� I T � �)vES <<„;:�.: ;�' CCB Lic (,� Electrical Lie.: 3_1 ( Suprv. Lie.: G e ® Subtotal M Suprv. Electrician signature, required: Plan review (25% of permit fee) � 9 State surcharge (8% of permit fee) Print name: �� � Date: 9 ^ �,� TOTAL PERMIT FEE Authorized signat o III This permit application expires if a permit is not obtained within 180 if , days after it has been accepted as complete Print name: V\ r ±. ,_ Date: C� * Fee methodology set by Tri- County Building Industry Service Board AO l ** Number of inspections per permit allowed. i:\ Building \Permits \ELC- PernutApp.doc 12/03 440- 4615T(10 /02/COM/WEB I - Electrical Permit, Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 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* n Vacuum Systems* ❑ Other: ;a „n 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 E Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations is \Building\Permits\ELC- PermItApp doc 04/03 Building Fixtures Plumbing Permitat iTh i,M FOR OFFICE USE ONLY , J 1 , ii II ��- - • Received City of Tigard Date/By: /y Permit N¢ Y) / - OD / /9 13125 SW Hall Blvd., Tigard, OR 9722)n A. 2p04 ,� 1 R L Plan Review Phone: 503.639.4171 Fax: 503.598.'1'960 0 4// pi i Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 „ t G r R� ' ll , Juris Date Ready/By: t See Page 2 for Internet: www.citigard.or.us t Jr W; Y Notified/Meth Notified/Method: g g od: Supplemental Information '" i '{., wfF F "..`.?."..�i. -.S' Irk' & � &;^i' '. •_ YPE WO , ° . : � w' =<ti R....� i TE E S HEDULE ° . PE ��.���A �` a " .� ���.�..,Z.a. as"ia' -s§ � _ �",�k�.'', ,x�a x�sZ, »�'_ �L�+��':,i» �" �,�re2:..e.,- r.°a...:._n�.z= a ^_.� ew construction ❑ Demolition For special information use checklist. Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) . CATEG®t O ; CONSTItCICTXONY " , ;. q 1z a SFR 1 bath 249.20 sal ._i . ? � .s. v.'. i.n... . ,,. s_. :.',v.&;°,,,w ...,v ,' �sc,.,« ' 7, ( ) ®'1 nd 2- family dwelling ❑ Commercial/industrial SFR (2) bath I 350.00 ❑ Accessory building ID Multi-family SFR (3) bath 399.00 1:1 Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 a ®BiSITE INFO TON igt iroI R a. *Z ;.: s S ut Job site address: ' C4 510 t. a ' Lt, J ( - ) . _ 0 1 - ‘ . . . P 9 Catch basin or area drain 16.60 City/State /ZIP: t e v24. ®�. 1 -i 1.-1,q Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: ` . J Project name: tA/ IA ! l P ,, i k Footing drain (no. linear ft.: ) Page 2 ( T , Manufactured home utilities 110.00 Cross street directions to job site: 60 t ` "'� . ! 0 /2 .0k_ Manholes 16.60 Rain drain connector / 16.60 Sanitary sewer (no. linear ft.: ) ( C Page 2 Storm sewer (no. linear ft.: ) s/ ) Page 2 Subdivision: L 4. (A I Lot no.: _ Water service (no. linear ft.: ) / j Page 2 - Fixture or item Tax map /parcel no.: .�, vr. �. ..�,�; ` 4.,a `, "`s,,°: "4�*'.�a.* "i, saxl.' ,trP§,' ., ,,s t c os - i ' Absorption valve 16.60 r D -9 F` -1't1? x �� . r � r�.��..•_r.�cF�- •� ��. � .,�. �,gaP,rrv,.. =% Backflow preventer /''' Page 2 i/'tti! M47 Backwater valve 16.60 • Clothes washer 16.60 Dishwasher 16.60 €.s £,r u :4. „ E,. •, � ;;:n;F . 'a uiro t OW n ,.. ' ' i ® *'' N 4 ' `� � Drinking fountain 16.60 . t is s€s , , ,, we!o vn,,Jw ; m a. ..5 i k,_*. t.., a..,,,, a4?s „t Ejectors /sump 16.60 Name: & '�'" �, P SU 11/4 47--- 1 w Expansion tank 16.60 Address: ' - f .� f d Fixture /sewer cap 16.60 City/State/ZIP: -1 e � V -p-t t „ 9-7 -2_,-z.,%4 ,%4 Floor drain/floor sink/hub 16.60 � PhoneS ) S U - ,s 41 Fax: (st 3- Z `'7 _ 4 3 -7 8 Garbage disposal 16.60 Ale' x` sue" r } � Hose bib ( 16.60 rhltICAIYT , �. " i Tel :4 [];.COlrt r1 1'�ERSON� - - � �. Z��,.;�s� �1���� ,�:�„_ �,� � , ��� ���. � Ice maker 16.60 Business name: / " d ` c .2... r ...,.. 1P t "T (' ,\ 1 ,� �` Interceptor /grease trap 16.60 Contact name: A \ \ 1 •, k..) j ¶ b fir' gas (value: $ ) Page 2 Address: /',� Primer 16.60 City/State/ZIP: e ' v ' Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 1 16.60 Tub /shower /shower pan 2� 16.60 E -mail: Urinal 16.60 ��• _ r � �.� �� .�•_ ��ff '111,_14,..6."' �- �~� ���, mot• Water closet '` ... . r t M• CO N 7 'RA C TO . ,, � �,.x.. � �, �� ���,`° � 4. 3 16.60 Business name: p�� a 1 f � t . v $4 , 1 Water heater t 16.60 Address: <0_ 3 " + Other: City/State/ZIP: \ v 12 I`- SST 4 (JC 61 4- Subtotal - Minimum permit tee: $72.50 Phone:SV 99 .. / q p 273 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: ! 4.2)"2_30 0 9 Plumbing Lic. no.: 3 4 _ _� 1 Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: A, 4k Lt -P 1 Date: ( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. is\ Building \ PemutsTLMF- PemiltApp.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: _Site Ui tulles r _Qty etiilew T661 AMA eFootage Pef mmit Fee.:; Footing drain - 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,:• °.r - «'� C?aluaho Permit' Fee Storm & Rain Dram - 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 t V Q ° F a f 1.- including additional $10,000.00. 1 fraction thereof, to and Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional,$100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000'.00. specially requested inspections - per hour 72.50 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 * . x x • • ,;�,„ � � �'�? � 3 � � � Quantify by,(Fix�ure)��'ark�Performetl Fixtu Pe 4,4* . alieplaoe t Moved x, nng 'c pp ` Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" • • - 3" 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 - Bradley Quantity Total -Commercial Isometric or riser diagram is required if fixture quantity Service tot 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: 1 } i.\Building''erm its\PLM- PemutApp.doc 3/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2004 -00119 Date Issued: 5/26/2004 Parcel: 2S110BC -09700 Site Address: 14560 SW 120TH PL Subdivision: WALL PARTITION2 /MLP2003 -00001 Block: Lot: 001 Jurisdiction: TIG Zoning: R -7 Remarks: New SF detached Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: MASTERPIECE CONSTRUCTION INC GAGE ENTERPRISES INC 14225 SW 128TH PL. PO BOX 1429 TIGARD, OR 97224 CLACKAMAS, OR 97015 - 1429 Phone #: 503 - 750 -5549 Phone #: 503 - 657 -0142 Reg #: SUP 618s LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X - Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PREFERRED PLUMBING 3254 SW BARNET ST FOREST GROVE, OR 97116 -8651 Plumbing Signature Form Permit #: MST2004 -00119 Date Issued: 5/26/2004 Parcel: 2S110BC -09700 Site Address: 14560 SW 120TH PL Subdivision: WALL PARTITION2 /MLP2003 -00001 Block: Lot: 001 Jurisdiction: TIG Zoning: R -7 Remarks: New SF detached Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: MASTERPIECE CONSTRUCTION INC PREFERRED PLUMBING 14225 SW 128TH PL. 3254 SW BARNET ST TIGARD, OR- 97224 - FOREST GROVE OR 97116 - 8651 Phone #: 503 - 750 -5549 Phone #: 503 - 359 -0560 Reg #: LIC 132604 PLM 34 -394PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X 41; - / /i��......d S - a - - 'f =Ilithori ed 'lumber If you have any questions, please call 503.718.2433. 1 .. .. T CERTIFICATION STREET .. ® - ® ' fi C K) I, L l! " t , wner / gen tf or M A- (CT C te- tc c c(5. Co 1A-47: °'. 441 (PLEASE PRINT) (PERMIT HOLDER) ,1 q • '�3i t . . ' Nis' 4 ,�sr�n" . La 2 .' k Do hereb dent %f.' ha =t the` folldowing location M .: µ:,p meets, tyxaTi'gard /Washington County 1 land use and development standards for street tree installation. 44 01> � � : 1 L(-) 5 _ i 2 0 p1 o. ADDRESS: l j LOT: rte IP CC C 1 SUBDIVISION: A-4 r a DATE: 3 _: -.2 _ , c 0 BY: � r !� IP ® '"RECEIVED BY: _ DATE: S'OS ' CD--- 0,- ®V®® VVVVVVVVVVVVVilvVVVVVVVVYVVVVVVVVVVVVVVVVVVVVVVVVVVVVN CITY OF TIGARD BUILDING DIVISION 'z PERMIT #: MST2004 -00119 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2612004 Phone: (503) 639 -4171 u \ Inspection Requests (24 Hrs.): (503) 639 -4175 . 4 / - INSPECTION WORKSHEET FOR DATE: 3/25/2006 TIME: 7:07AM PAGE: 44 SITE ADDRESS: 14560 SW 120TH PL CLASS OF WORK: SUBDIVISION: WALL PARTITION2/MLP2003 -00001 LOT #: 001 TYPE OF USE: PROJECT NAME: WALL PARTITION 2 DESCRIPTION: New SF detached OWNER: MASTERPIECE CONSTRUCTION INC, PHONE #: 503- 760 -6649 CONTRACTOR: MASTERPIECE CONSTRUCTION INC PHONE #: MBL 860-3298 —i. Inspection Request Scheduled For: Date: 25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 002853 -01 503 -750 -6549 Y Corr tions /Comments /Instructions: irlus c 6S1. o F4 Su L-4- - r.c. c.�.� .- 1411i, . Ili gliM -SS ❑ PARTIAL APPROVAL ❑ CANC ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTIO n ADDITIONAL FEES ASSESSED / iiik■ Inspector: ' I - Tam ' Z S - © Pone #: (503) 718- CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 MST ° ?l)D y (/ INSPECTION DIVISION Business Lin (503) 639 -4171 BUP Received Date Requested .= ✓ AM PM BUP Location a • Suite MEC Contact Person Ph ( ) '75 ' Ss1-1" ! c� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation V `` G ELC Ftg Drain Access: f 1 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 10V 5 -- Framing Insulation Drywall Nailing I C �=`7 • Firewall 4 1 i r � _ � R — � O �9 Fire Sprinkler • I v Fire Alarm Susp'd Ceiling 9 V Roof 1� Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab • Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final • PASS PART FAIL ELECTRIC Service Roug n UG /S = b Low V• .•e Fire iagro Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL SITE Please call for reinspection RE. D Unable to inspect - no access Fire Supply Line (� ADA D ate �� `-' Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record f • m th : Job site. PASS PART FAIL CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2004-00119 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2004 Phone: (503) 639 -4171 " / i tilll�l"� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 43 SITE ADDRESS: 14560 SW 120TH PL CLASS OF WORK: SUBDIVISION: WALL PARTITION2/MLP2003-00001 LOT #: 001 TYPE OF USE: PROJECT NAME: WALL PARTITION 2 DESCRIPTION: New SF detached OWNER: MASTERPIECE CONSTRUCTION INC, PHONE #: 503- 750 -5549 CONTRACTOR: MASTERPIECE CONSTRUCTION INC PHONE #: MBL 860 -3298 Inspection Request Scheduled For: ate: 3/25/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 002853 -02 503 - 750.5549 N Corrections /Comments/ Instructions: K ASS El PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL 0/ L FOR INSPECTION n ADDITIONAL FEES ASSESSED AddlOW •Z6.C.ZS----- Inspector: • Date: 3 Phone #: (503) ill ( 718 - CITY OF TIGP D '' BUILDING DIVISION PERMIT #: MST2004 -00119 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2004 Phone: (503) 639 -4171 /A r�l � ili � l r - Inspection Requests (24 Hrs.): (503) 639 -4175 s ag 11. INSPECTION WORKSHEET FOR DATE: 4/15/2006 TIME: 7 :08AM PAGE: 56 SITE ADDRESS: 14660 SW 120TH PL CLASS OF WORK: SUBDIVISION: WALL PARTITION2/MLP2003 -00001 LOT #: 001 TYPE OF USE: PROJECT NAME: WALL PARTITION 2 DESCRIPTION: New SF detached OWNER: MASTERPIECE CONSTRUCTION INC, PHONE #: 603 -760 -6649 CONTRACTOR: MASTERPIECE CONSTRUCTION INC PHONE #: MBL 860.3298 Inspection Request Scheduled For: Date: 4/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 004640 -01 603- 760 -5549 Y Corrections /Comments /Instructions: `A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - Inspector: 4 , Date: 6 Phone #: (503) 718-