The URL can be used to link to this page

Permit Er CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00081 COMMUNITY DEVELOPMENT DATE ISSUED: 6/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104AC -13900 SITE ADDRESS: 12892 SW 133RD AVE ZONING: R - 4.5 SUBDIVISION: HILLSIDE ESTATES LOT: 004 JURISDICTION: TIG PROJECT: HILLSIDE ESTATES Project Description: SF BUILDING REISSUE: MA2376B STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,489 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1 sf GARAGE: 844 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD' 1,200 sf RIGHT: 5 VALUE: 410,671.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 5 TOTAL: 4,211 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 5 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 7 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 1 00 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 5 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: 0 btu FLOOR FURNANCES: VENTS: 8 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: 8 201 - 400 amp: 201 - 400 amp: lst 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 REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable PHONG NGUYEN OWNER laws. All work will be done in accordance with approved plans. This 10418 NW MAYER CT. permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97229 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 - 807 - 3457 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 13,072.82 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils :\ sued By : At (1� Permittee Signature : - MILL, I _ 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. Construction Contractors Board Permit #: MSTZ - 0003J 700 Summer St NE Suite 300 Address: 2.$•97.. PUJ 133 R a Ave__ ' ,.�• • PO Box 14140 C r . "1 Salem OR 97309 -5052 Issued '. y: � �_ �%�� Date: 6 /6 � r '„ y Phone: 503 - 378 -4621 �r Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: j2 1. I own, reside in, or will reside in the completed structure. p ' 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ❑ 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR j 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (. ‘3. 0 ( S. t tore of p 7 ' t applicant) ate (White • • _s to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 - _ - . • • • Acting as Yo 0\ u General Contractiir? - INFORMATION NOTICE TO PROPERTY OWNERS . s . ABOUT CONSTRUCTION RESPONSIBILITIES . . NOTE; This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. E=11 Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction orimprovement of a residential structure. As the empioyer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488, The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor,state.or.us/formspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income "tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.gov. • Iher Responsibilities aid Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resoll;ing any failure to meet code requirements that may be brought to your attention through inspections. • Liability and Property Damage Insurance: Contact yOur insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. • Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 06-01-04 ■ h ,_ Bui Permit Applica A>RL . i I 4,,p;,,,41 i-` FOw H IC E USE 0 ,1 ; NL'1')- t i� A, I� •T . . t .,., ,trr a ,e, `, ,ra.. a o ,ti _,a •. ∎ i.r + . k i 6 Y `ro" Re ceived ! ' e t City of Tigard Daze/By La/ , Permit No, i.sr J aveg 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ,- '; Phone: 503.639.4171 Fax: 503.598.19t4RR 2 3 2007 Date/B . �] Othe ty. • ',7 -6100 ' st. ; ''t Inspection Line: 503.639.4175 Date Ready/By: ns ® See Attached Checklist for + P. 'r^ i °i4i Internet: www.tigard - or.gov CITY d t i e q � t p , Notified/Method: y o / P 5' ` Si Supplemental Information lilt . 10 h ,r.,' 4 - .ti,. 'a :: ,,,, , i r • Y ' ' ' a;;l I 1 n;- .41.1' 1 ` i " � n' � ' ° r " ,, .,,,,s''':",.' ''...4,,''''' ', . .G- .'i �,,, '';, , ; e: ',::'.TY I OF d �a ,, , y , ,. ° ° "' .' ... .,, > , P : R D: D ATA 1 1- AN D. 2 =FAM IL YDWELLIN ��....- ,.�1 ,'� „,... - >., .. . s:,... ,'�•s � : `,a..•.;a.. � m..,.e�6;_ P,'.', . -, s��cw•:.. >:, -._,. vti..,. -s., .. . -•.��. - ' ' ' , �� 'Vg. 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 ' '' �ti ;: .1 a� ry , , y . �� ti • 3 ..• , r y ' y >r work C on this :,;` t; z� ,,i;:,..r�,w ork indicat d ":e' „ ".r',' �;:'" 3, t� '�' JCA7' EGORY .OF ^'GON .�; �`�'�>� ?:�a'7� I f r x 'T�'�tr: r application. .,r. _ ,, • "'yiT't � ��. �' ., n.,, , F�J,> :r,. ,. ,- x•'.. : - rr -, ,..:,1` ��•� �'•'Ri�,. i� _ ��'�^o fib ",. Valuation: $ (r -- A 1 and 2- family dwelling ❑ Commercial /industrial �, �D �© ❑ Accessory building ❑ Multi- family Number of bedrooms: [t Master builder El Other: Number of bathrooms: - t,; •, •" , r y,.•,,, ,f K .,•,. - .. -• t .o.. r . . �, „a y: . ,sr; t` Total number � t'I• •'r :r.�'� ` "*' JOB } ITF.�`INFORMATI Si ; ! Ti; O �" h:'•.,,' '1 �� b of floors: __ ...( iI .. AT .79 .. . .. ._ .• ..., ..c S %.r .•. F.' _ 'C.,_ •. r _, k +f '� 1=._. t_ `�.'; i1i'';", �„ ____ Job site address: 1'2_89 2. ` t4 1-.,33 ( AvE- New dwelling area: square feet City /State /ZIP: •”- c AR. ) c 07.223 Garage /carport area: square feet ^ ^ • Suite/bldg. /apt. no.: Project name: 1-1‘t t' tei ES aj Covered porch area: square feet Cross street /directions to job site: --6w WA.L. t. r 4 i.- rd , Deck area: square feet Other structure area: square feet a;, REQUIRED D ATA: COMMERCIAL -USE CHECKLIST ,i' Subdivis ion: H-j ALL' (i:). E AI S Lot no.: 14 Permit fees* are based on the value of the work performed. � i ,� a 1 [ Indicate the value (rounded to the nearest dollar) of all '2_ Tax map /parcel no.: j 0 t (t1:54 equipment, materials, labor, overhead, and the profit for the ,.N', c . ;a.:.," ', .. ' �. r__.. ... y . , .. �,.:. ,..', �ve:l:• o'f':sf•' :�,s +*� ,..•�:�,: , := : on this application. �',G. . • ' ,e! .e;�'J�I ,,�' y:�'i�;� , DESCRIPTIOIY`.OF;,VVORK�� '• .�.k:y;;,r��l! ;� -: x work indicated n t �EW CON �,.�� '4 � Valuation: $ Existing building area: square feet New building area: square feet , : ';: ' 13 -'PR 0 P • , ., - .OWNER;,,,.,...1-:!;.,;,,,:;- ..,r5_, . t ., ," , * ; ,,�,:; _.. - - -- O . , _ 'y. ' ❑;:. {,, , ' � 7'I Number of t . F . �, _ _ " °� - ..� ..; xl��. _ ., `� b o stories: Name: P140I16- t\i( jEJ Type of construction: _ _ 1 Address: 1 1$ Kw MA'ER. C I Occupancy groups: City / State/ZIP: 'p�LAp.4) r Q C %7229 Existing: Phone: ( S j p� 801 ,,,�r, Fax: (St33) (dim _ 0 120 New: ';C +,' , „RAPPLICANTy 7 � '..A.. " ❑iCONTACT PERSON '' ; , .v ',�;r,`,, ; b ,. . - �'�' ` ; = i a re ?> ^`� "' Business name: All contractors and subcontractors are required to be — Contact name: Qi-}aO Cr ' KJGuqe-Ki licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ip4I b N 11 1 A- U _ , jurisdiction in which work is being performed. If the City /State/ZIP: f r (Z'j I_jB.,..�9 , R. 01722 applicant is exempt from licensing, the following reasons • apply: Phone: (So,) 66 — 451 Fax:: ( a '$S - Cf12.0 — E -mail: phon.3s, E wt- oa1...1 • ct. - - -- -, , <. f f -..f1,60 . °"' `CONTRACTOR , `, ,- .;t` t . . ,, Business name: - ' '' �'�' BUILDING- PERMIT FEES` ;'t ' ` '.'' Address: - , ' - ;' ,11. '' (Pleas iiferi fee= ichedo/el -' : - °r�- ... Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) ________ • CCB lic.: Total fees due upon application: Amount received: Authorized signature: n ! h�k This permit application expires if a permit is not obtained N\ \ within 180 days after it has been accepted as complete. Print name: Date: ( a s f t7 + Fee methodology set by Tri- County Building Industry Service Board. 1: \BuildingWern its \BLIP- RES- PermitApp.doc 03/21/06 440-4613T(I1 /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist , `` ,:''''''f,',,.410.--..:t " "2 N f x volt OF IC F USE \l l f e o: City of Tigard , • , - - • Received Permit No IN n 1 3125 SW Hall Blvd., Tigard, OR 97223 7 ' Associated Associated permits: a Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical TIG ARD. , r.x, Internet: www.tigard- or.gov ❑ Other i. ' ;. '- ' ' ,4, : TH El, EO L'L:OwV I \ i(, 11',E 1 l'S :' E REQ .I ill: DFU.It'TL r r , v , : ,,. .' 4 a , lw o °:4 A ' 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: _ . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 0 ❑ ❑ 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 shown to be .. slicable review. chitect licensed in Ore.on and shall be showable to the ,ro'ect under revi 1U1RISIlc i IQNA SP[CI I ► s , ,• ;r , �. .a. 23 Five (5) site plans arc 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 \Pemuts\BUP- RES- PermitApp doe 03/21/06 M echanical Permit Application .4 r•-•'•Y • •'' '•'• '`"r• .;' ,''''''''',;" N ' Follio VIC Ell-SC:ON V) ",. " `:,! • ,.. 1 ,.; ,,, '1 ,,". '4!,4 ' Received ED Permit mptisr Date/By. Phone: 503.639.4171 Fax: 503.598.1960 11114 Plan Review Date/By. Other Permit: 4-6 xl'4 Inspection Line: 503.639.4175 & OR 2, ''; 7t)01 Date Ready/By: Juris: HI See Page 2 for Internet: www.tigard-or.gov 1-‘1 ''' Notified/Method: Supplemental Information TY OF 11GXRD 0,0l '.f construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work 1RNew performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. t''''''' , ekiriciiiiic OFZCON ,.,-...7-,,,,-;,',=..c:Ir..;-xn..k.,,,,,,,- Value: $ :,, 4 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. El Multi-family 0 Master builder 1=1 Other: Description 1 Qty. I Ea. 1 Total 4os '' '''' ilmAiloi4'Asin"coefifiOsi '.'!"'.,''' -, ,,,siTEJNyo . _ ,.,.. ..,,. , ,,,,.., ,, ...., ,,,,...,, ., , Heating/cooling Air condoning or heat pump Job site address: i2i3Ct 2_ Suj j Phi e (requires site plan showing placement) 14.00 City/State/ZIP: 11 6 0 R °t7 2 . S Furnace 100,000 BTU (ducts/vents) 14.00 l - Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: l_ti t \sid E , Gas heat pump 14.00 "4 ' Cross street/directions to job site: c Wilt 1.,.j 1AT cu) i''? n 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: Iii LL.C.. i oc-.... i /\--1-E-ss Lot no.: 4 Flue/vent for any of above Other: 10.00 10.00 Tax map/parcel no.: 2 S 0 Ad- i 1 0 0 Other fuel appliances :: 1-1, • z (` .•-• 7.'• "-, '•••• -,,,, i ...- OF WORK' ..q.- • , ;•;;•,-,::>,,-.•;, ',4 , v.., •-• ,,, - .;. ,.. Water heater 10.00 Gas fireplace 10.00 Nrelh) C-0 . 1 - P-- 4 .1C-I I ONJ 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 , h. C imney/liner/flue/vent 10.00 - z :' , -' 4 ',= ,, :' - ' 4 ' . " '`;':'''- '.,...,:, .1./4....1,"' Name: fk--1-0,4( i\16.,-LA'1/4/EK\ Environmental exhaust and ventilation Range hood/other kitchen Address: I oLt. I il Quj IVk AIE72, (C.:1 . equipment . 10.00 City/State/ZIP: Pal b ) op., -'1.-72.29 \ Clothes dryer exhaust 10.00 _ Single-duct exhaust (bathrooms, Phone: (5 e 4S 1 Fax: (g)3) - („2, - 01 2-0 toilet compartments, utility rooms) 6.80 iii0LIdANT:.L'.; ':: „-'. :--:i,i; ,-:, ;],fii; ,'.: ..:::, la r:0141:4:cr,01SON':;_cr:‘44:'-:::ii": Attic/crawlspace fans 10.00 -----1 -, Other: 10.00 Business name: Fuel piping Contact name: p t\VAn-u\I a.) . $5.40 for first four; $1.00 for each additional Address: Furnace, etc. i,,L4.1g ok,,.) m hle 6: Gas heat pump 1 City/State/ZIP: i 2_1' LA-t-J1) i CR 'j 721 Wall/suspended/unit heater Phone: ( ) e,6-7 _ ,..fs Fax: : (9, W6c _ vl 10 Water heater Fireplace E-mail: *I Dna \ Q. 0A...eel-el , corn Range .: :',',' •.t ,,`,1,i,4?.''' . ' ..7 .... : '-' , .:`, 1 ,i, , . : :•,,,; , f - -•'. 1 , CONTRACTOR: ,,• :i•• ( S;..;:: ; ,'":";';''., : ' Barbecue C Clothes dryer (gas) Business name: K o4rEc.. i_t N36,. a NTRA- c . - 70 LIOS, / .T.1-1(._ ,.. .. Address: 1 ( 0 i4 A7 Ei-ltAT o t*-(0 g .:,..,:...'i , - . :,;". :- MECHANICAL PERMIT Foo.s. ..,‘ ,'--: City/State/ZIP: LJODD( 12i 0 g., ci r - 707 I Subtotal Minimum permit fee ($72.50) Phone: (,e)) 9 c 2 - 67o s 2- Fax: ( .I5tY 9g'2_ _ c1 2r7 Plan review (25% of permit fee) _ CCB lie.: › I . State surcharge (8°/0 of permit fee) TOTAL PERMIT FEE A Authorized signature: This permit application expires if a permit is not obtained within 180 k kA",._----- days after it has been accepted as complete. Print name: Ptio NI (..,..- ti -Eli Date: (f t 2_3/ 7 . Fee methodology set by Tri-County Building Industry Service Board e 1:\Buildinemins\MEC-PermitApp doe 04/06/06 440 617T (11 OVCOM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 1 iii. $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. 1:BuildingTermits\MEC-PermitApp.doc 12/30/05 2 • sl Plumbing Permit Application t � 1 . s" f ; t� FOR OFFICEf :USE 1 ON1 Y r ' City of Tigard C ��I® Received permit -.COO a III � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re ��I7 v Plan Review Pho ne: 503 639.4171 Fax: 503 598.1p 0 L' 7 Date/By: Other Permit N ,:" �i... • Inspection Line: 503.639.4175 N n 200 f Date Read /B 1uris Si See Page 2 for T[GAKD= Internet. wwwtigard- or.gov Ready /By: B e Supplemental Information CITY) JF, ; .�' . TYPE OF 'WORK m � . ,.: m;-. ," ti: 1 FEE * .SCHEDULE ` " p gf New construction ❑ Demolition For special information use checklist. Description Qty. 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 kl- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder El Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 . „ ; JOB SITE INFORMATION, AND LOCATION ,'.:, ' , _ Site utilities Job site address: a t. . e- Catch basin or area drain 16.60 City /State /ZIP: Ti 6.4\-eb t 0g. 17 22, Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: ik l S Ll ak... eS� a c Footing drain (no. linear ft.: ) Page 2 street/directions to job site: Manufactured home utilities 110.00 J W I . t.) CL� 4 J t -- -u �Yw Cross street/directions Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: til Ii .Si (D ESiA � I Lot no.: Water service (no. linear ft.: ) I Page 2 Fixture or item Tax map /parcel no.: 2 s i 04 Ac..LI '' 1 06 Absorption valve 16.60 DESCRIPTION_ "OFWORK;� Backflow preventer Page 2 00 CsKSTP Li C_ Ti DJ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 PROPERTY OWNER ,. ❑ TENANT .. , , Ejectors /sump 16.60 Name: PI icm\i(AnA Expansion tank 16.60 Address: l04 l C3 NU.l MAI ET_ Cr . Fixture /sewer cap 16.60 City /State /ZIP: (26 kt,A 6 ' e7 R., C7 _' Floor drain/floor sink/hub 16.60 `� Fax: Phone: ( 3) �"7_ Sy'S1 (gryS) Fat�S _, oCt Z..c.) Garbage disposal 16.60 ' -' .' a APPLICANT , ' ' ❑ CONTACT PERSON •• Hose bib 16.60 • Ice maker 16.60 Business name: - "- Interceptor /grease trap 16.60 Contact name: ( is6,-v.'/ C J Medical gas (value: $ ) Page 2 Address: 10 4.1 & i'Jl.,! vMA'E . er ,, Primer 16.60 City /State /ZIP: Ca R rav1Jp I 1 0R 9/7_2_1 Roof drain (commercial) 16.60 507- 3�I -s`l Fax:: (ty,3) 6'0 S ti �;9 Z � Sink/basin/lavatory 16.60 Phone: (9S) Tub /shower /shower pan 16.60 E -mail: pilann Q W'.c &E1 . (.,}v') Urinal 16.60 - CONTRACTOR - • ' • Water closet 16.60 Business name: NOlan S i R-12._ ft, 60, l m(6" Water heater 16.60 Address: Other City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: Plumbing Lie. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE � Print name: f ,. k r & , � -� { d Date: Z ij �) This permit application expires if a permit is not obtained within ` 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLM - PermitApp.doc 12/27/06 440- 4616T( I0 /02 /COM/WEB) . , Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities 1 Qty. Fee (Ca) Total Square Footage: Permit Fee: Footing drain - I 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 Valuation Perm it Fee Storm & Rain Drain - 1st 100 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and Fixture or Item ' !!e including $10,000.00. Commercial Back Flow Prevention Device 46 40 Y19 Total to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000 00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001 00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, adding or replacing fixtures? If "yes", Plan' RevieW for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees*. Please check all that apply. Quantity by (Fixture) Work Performed ii=1 Any new commercial building with water service 2" and Fixture Type: . . Replace greater, except systems designed and stamped by licensed . 4 • : Previous Capped .r' Adtied Existing engineer. Baptistry/Font 0 New exterior plumbing site utilities for any complex structure Bath - Tub/Shower as defined in OAR918-780-0040. -Jacuzzi/Whirlpool 0 Medical gas and vacuum systems for health care facilities. Car Wash Each Stall -D Thru 9 Any multipurpose fire sprinkler system. rive 0 Any complex structure as defined in OAR918-780-0040. Cuspidor/Water Aspirator Dishwasher -Commercial -Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash ,;" Isometric or Riser Diagram Floor Drain/sink • - 2" 9 Isometric or riser diagram is required for new buildings that meet the qualifications above. Car Wash Drain Garbage -Domestic Comments regarding fixture work: Disposal -Commercial -Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley *Note: If the fixture work under this permit results in an -Commercial increase of sewer EDUs, a sewer permit will be issued and -Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i \BuildingWermits\PLM-PermitApp doc 12/27/06 : V''' , X:• i !t•Z r •,it;:''' ' 1 ...' , •'.4. •' , .1 , .- •. - - '-' ', ' -, ' ' --' '. 'I A II t.:' I , .:' it ':;, ' Electrical Permit Application ,,[jjAkIs,.9.T.sjA !r! City of Tigard R EC E VE ite.eived , ...y. Pennit NI(1 1 67 --- . ...',2)--2 _00e, P1 .. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review - / • . 2 , Phone: 503.639.4171 Fax: 503.598.1960 APR 2 r.? 2007 D'at'• Other Permit: ''' 4 ■■"J' Inspection Line: 503.639.4175 ti Date Ready/By. Juris. Ii5 See Page 2 for UG•AR.17 ,:,:. , r' 1 ■',, r ',--• Internet: www.tigard-or.gov CITY OF TIGARn Non fi ed/Method: Supplemental Information ': ,,,-.. ''-'• .itp,,,:::" 1:41(PF:iiit,-*001,;DIN'oblvt ,'„ ; T: '.: A,, .r.,1,. 1!4N '10VIEWL,,.:Tii 17,. ' :: 71,..; KNew construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. • t ..."' • -, `,..' ,' - ..?''' CATEGORY OF CONSTRUCTION '',, .‘,,, ,'•.' - '':,--:-': -TA.. exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural r 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or larger separately derived system. 0 Addition of new motrS load of Job no.: Job site address: j25312_ . ,k) k 3.?, POE 1 00HP or more. occupancy. 0 Six or more residential units. 0 Recreational vehicle parks. • City/State/ZIP: ji 6-A-4 O C \73 0 Health-care facilities. 0 Supply voltage for more than t 0 Hazardous locations. 600 volts nominal. , . Suite/bldg./apt. no.: 0 Service feeder Project name: .0 I Rs t die irs..k-r ce o x -.Ves , 600 amps or more. , r:, ) H A_.),. ..- ';.::7",:l.4 :::'.•..'•'-. :,,, TEE 'S0 !;:t-!:::: Cross street/directions to job site: c NA CJ b n. Description I Qty. I Fee. I Total I " New residential single- or multi-family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 45.5 4 Subdivision: i-v, u_c,i0E c. Lot no.: i+ - Ea.-ad 1 1 II 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Z e-,10 4. AC15 0• 43 . Limited energy, residential 75.00 2 •,./.6E.SCFLIFTION ' OF AVoik : ,T. (with above sq. ft.) Limited energy, multi-family Me CON cl N3 residential (with above sq. ft.) 75.00 2 ... Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ...2-',1,g";iiiiiil'Eitt*:;#W1Ntil:' i'F'.14P-'sf''''!'Ii'::':';'-‘11:IIENiiIii..,4;;:*1:;'. 201 amps to 400 amps 106.85 2 Name: 1:1-1-6_. 06,-Lote,) 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: (04.1t) 1Axi mAiev... cl. Over 1,000 amps or volts 454.65 2 City/State/ZIP: g. Temporary services or feeders installation, alteration, and/or PcsiZTtkiklb t D 611-n relocation Phone: ( tp.■,) SC/ - '7 Fax: ( 9 5 ) 4::t - 09 j 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 i 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with 'f;•".J.: :.=•'., ',_' -;;;•::: IK APPLICANT ''''''':•:.. #°T;ket -;!;n!)",1:,‘:: above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: ps NI 60(1 EN] first branch circuit 46.85 2 Address: toy-1(6 NI W IN4 it 1 et Ci- Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) • City/State/ZIP: C DR. 112:Lai Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( 9) ) gcji ..„'";4. Fax: : (93 ) ( ,K _ cei 2_,-,D Reconnect only 66.85 2 E-mail: Finotifin 6 vii Gotei , (jaY1/1 Pump or irrigation circle 53.40 2 , i,'. r. ':'-'-; ''' •10 ''':;: !',..: CONTRACTOR ''?_- ,:` 1 ,,,.,i' .K,,',":";.; 7,,.:, , Sign or outline lighting 53.40 2 - Signal circuit(s) or limited Business name: ARLo 1._ a-Li-121' / e_ .1.3-1 c_. energy panel, alteration, or • Address: 5? - 70s 1,1■„) cu.\ f- t- LL p...D extension. Describe: Page 2 2 City/State/ZIP: F e-Esf C Z.•A2- ° I 7 ji(n Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: (56 ) '•57 - 2..'-' ---- Fax: ( ) Investigation per hour (l hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 -7- :;' . ' ;- 4 .' Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: State surcharge (8% of permit fee): Authorized signature: , TOTAL PERMIT FEE: Print name: Date: (-z (- Z( 7 This permit application expires if a permit is not obtained within 180 F1.- )14 1.1. 0 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\BuildingTerrnits\ELC-PermitApp doc 05/23/06 440-46I5T(I I/05/COWWEB Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: TONIWIEgarZTZTigf.W. 1712 Fee for all residential systems combined ... $75.00 Check Type of Work Involved: fl Audio and Stereo Systems* Burglar Alarm 111 Garage Door Opener* E1 Heating, Ventilation and Air Conditioning System* Vacuum Systems* 111 Other Fee for for each commercial $75.00 system (SEE OAR 918-260-260) Check Type of Work Involved: LI Audio and Stereo Systems 1=1 Boiler Controls Clock Systems 1=1 Data Telecommunication Installation 111 Fire Alarm Installation 111 HVAC 111 Instrumentation LI Intercom and Paging Systems LI Landscape Irrigation Control* El Medical 111 Nurse Calls LI Outdoor Landscape Lighting* LI Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IABuilding\PennitskELC-Perm0App.cloc 03/23/06 RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: MST2007 -00081 Site Address: 12892 SW 133rd Ave Subdivision: Hillside Estates Lot No.: 4 Contact Name: Phong Nguyen Business: Street: 10418 NW Mayer Ct. City: Portland State: OR Zip: 97229 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. ❑ The application is complete. • The application is incomplete for the following reason: The truss pack is not included for the trusses identified on the plan ❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. • The submitted plans cannot be reviewed until the above information has been submitted and /or approved. ❑ The plans are deemed "simple ". ▪ The plans are deemed "complex ". 4/23/07 Loraine Williams Date Plans Examiner 503.718.2708 loraine @tigard - or.gov I: \ Building\ Forms \RES- PermitAppRevw- LW -T.doc 1/18/07 06/08/2007 12:42 5033579159 ARLOELECTRIC PAGE 01/01 CITY OF TIGARD COMMUNITY DEVELOPMENT TTC 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE ARLO ELECTRIC INC 50705 NW CLAPSHAW HILL RD FOREST GROVE, OR 97116 Permit #: MST2007 -00081 Date Issued: 6/6/2007 Parcel: 2S1 04AC -13900 Site Address: 12892 SW 133RD AVE Subdivision: HILLSIDE ESTATES Lot: 004 Jurisdiction: TIC Zoning: R - 4.5 Project Name: HILLSIDE ESTATES Description: SF Your company has been indicated as the electrical contractor for the permit referenced 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 this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: PHONG NGUYEN ARLO ELECTRIC INC 10418 NW MAYER CT. 50705 NW CLAPSHAW HILL RD PORTLAND, OR 97229 FOREST GROVE, OR 97116 Phone #: 503 -807 -3457 Phone #: 357 -2350 Reg #: ELF 34 -I 18c LIC 35763 SUP 3321S AN INK SIGNATURE IS REQUIRED ON THIS FORM X d O 7 2 72 Q n) c - c -\ 1 ' r \\ er o� l Signature of Supervising Electrician Name (printed) SUP LIC # 06/11/2007 19:03 FAX 503 625 4567 NORTHSTAR PLUMBING el 001 CITY OF TIGARD COMMUNITY DEVELOPMENT TIGA RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET SHERWOOD, OR 97140 Permit #: MST2007 -00081 Date Issued: 6/6/2007 Parcel: 2S104AC -13900 Site Address: 12892 SW 133RD AVE Subdivision: HILLSIDE ESTATES Lot: 004 Jurisdiction: R Zoning: TIG Project Name: HILLSIDE ESTATES Description: SF Your company has been indicated as the plumbing contractor for the permit referenced 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. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING.CONTRACTOR: _ PHONG NGUYEN NORTH STAR PLUMBING 10418 NW MAYER CT. 1445 SE OREGON STREET PORTLAND, OR 97229 SHERWOOD, OR 97140 Phone #: 503 - 807.3457 Phone #: 625 -2679 Reg #: LIC 63621 LIC 35763 LIC 90697 PLM 34 -255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM me (printed) ign : re of Authorized Plumber Na ( p ) €70. sr.I 1_.SS "I FZ 1421,.i. _. W 1 ��Y 3 2007 — %117:7= I kij CITY OF TIGARD - SITE PLAN REVIEW � h BUILDING PERMIT NO.: PST s -e1-a )O ( '3ti ° � _ _ _ s 0 °43'19" W _ _ _ ' ' e..2.-, G� .. ( cc / 0 PLANNING DIVISION: 66 00' — Required Setbacks: [Approved ❑ Not Approved x X x x :x-x X - x X -x -x x =x pp I • -) '" ... x xxx.Xxx = -xxx i.-- ,C ?S � Gam` Side: 5 Street Side: ° Front. Garage: I I � • c iA � < ....2-‘,2,.., Rear: 1L _._ ` • -�' - ems l { Visual Clearance: Approved ❑ Not Approved 7 F � - - I � 1.' S �� Maximum Building Height• fir) feet Y � j CWS Service Provider Letter Required: ❑ Yes 4:3 �� ` LL� -- I ❑ Received W I ' W IA �G� o off= �Q j =o, B) : �Lc Date: 5 m I f l' 10,12.14 � o S ' I EPA I - XI 1 E L :-.3.4-0 DECK Afl 8 15' -0 ENGINEERING DEPARTMENT: °¢O Actual Slope:% Approved ❑ Not Approved ,11 -4 „ /� /i `C PP PP 1 o C/� 1/� N ew • Site Plan. ID-Approved ❑ N �t Approved 1 1 l..By: Date: 5 4 g s l � � ` �_> Cues: / �( ` _ il I ,.A.. X q< 5'- 3" MAIN FLOOR . a) * EL.= 341.0' 5'-0' N X , fcl - 0 h PC �ti�h LOWER FLOOR 0 , b ."J . . \ SITEPLAN NOTES EL .= 331..0' 1. EXCAVATION MATERIAL REMAINING x ON SITE IS TO BE CONTAINED BY • x APPROVED SEDIMENT BARRIER. Ix r (BUILDER TO VERIFY LOCATON). CITY OF TIGARD -SITE PLAN REVIEW o co I X I GARAGE I 2. GRAVEL DRIVEWA X . ' ' L= 340.0' N N 8° REO"D. MIN. 20' FT BUILDING PERMIT NO 'cL - r - ) - O V $I 3 30 " x . E I 3. VERIFY MAX DRIVEWAY SLOPE W/ x ! 5 — n p BUILDING DEPARTMENT PRIOR TO .. 'St' CONSTRUCTION Street Trees: ,� pproved 0 Not Approved I � �° 4 GRAVEL SIDE WALK AREAS WITH > < ` i I MIN OF 4" INCHES OF ROCK WHEN Protected Tre A pproved Not Approved '` i - 3� , CONC. 5 0" RED'D BY SITE CONDITIONS. Date`. • b 3 o /�� „�_ DRIVEWAY r ark l , 5 . Notes I� OG Y � - x I (3500 RS II PROTECT STOCKPLIES OCT 1- APR.30 PER EROSION CONTROL HANDBOOK, W x a ._ r I x �z - i ce / 6. NON- STABILIZED FILL MUST NOT lip -- ° > - - °� _ , � ^) EXCEED 2.1 SLOPE . \ i �\ / pK' 2 K 7. PROVIDE AND MAINTAIN POSITIVE IN °28'37" E I --- y 5 „ i 2 DRAINAGE AWAY FROM BUILDING 9.77 / 0' PUBLIC SIDEWALK ON ALL SIDES. ��h 5' SIDEWALK L2� ` 8 UTILITY EASEMENT O `° 8' P.U.E �� N I a X -X -X X- SILT FENCE �V , . )33R � S. P R cc G A CONC. NG r I D RUNNING A VENUE � � V � WALL z �V g O z STONE U U RETAINING 0 0 WALL O O v CM \ EXISTING CO F ._./) TREE TO KEEP W/ PROTECTIVE FENCING .4 o . W cn ri r PROPOSED c N i) i) 2' JAPANESE SNOWBELL Q j \; (STYRAX JAPONICUS) w 0 ..�• PROPOSED ° o O rti; 2” R4YWOOD ASH "' 05 x -i J (FRAXINUS OXYCARPA) o _ Q a 2 I 0 1 I ■ STREET TREE CERTIFICATION , - _ _ _ _ I, , Owner %hgent for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and; Washington County land use and development_standards for street tree installation. ADDRESS: 1 289 2 SL,U (-4 SUBDIVISION: 14I E s I TES LOT: /1 SIGNATURE: DATE: to 2Oka OWNE' . • GENT) RECEIVED BY: DATE: (CITY OF TIGARD) I:\ Building \Forms \StreetTreeCertificate 01/19/07 CITY OF TIGARD .. • i_ . „ BUILDING DIVISION A PERMIT #: MST2007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639-4.171 i'Mlli Inspection Requests.(24 Hrs.): (503) 639-4175 ..61- 1.11 INSPECTION WORKSHEET FOR DATE: 5112/2008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SP OWNER: NGUYEN, PHONG PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 069741-01 503.807-3469 Y Corrections/Comments/Instructions: WICA I 1 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS 0 FAIL I l CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: .9 Date: 5 -08 Phone #: (503) 718- . CITY ��U��"�� ' ., ,. ��nm w ��x nn�m��nm�� • . ,. ' BUILDING DIVISION ^ ~~~°."~~°."~~= ~°"°"~~"~~"~ PERMIT #: kAST2007-DO081 | 13125 8VVHaU8\vd.. Tigard, ORQ7223 DATE ISSUED: EK6/2007 Phone: (503) 639-4171 thieW Inspection Requests (24 Hrs.): (503) 639-4175 ac&�W� Ail. INSPECTION WORKSHEET FOR DATE: 419/20D8 TIME: 7:00AM PAGE: D SITE ADDRESS: 126$2BYV153RDAVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503'007-3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/912008 Pour Time: Code # Inspection Description Confirm # Contact # Message b% Mechanical final 0681O8-02 W3-807-34% Y Corrections/Comments/Instructions: IF" | t PARTIAL APPROVAL 0 CANCEL NO ACCESS ri FA|L CALL FOR INSPECTION [iADDITONAL FEES ASSESSED / �-� � 4 _ �, � Inspector: . /Date: v - °--e� w Phone #: (503) 718- 2-1-- 1 . . CITY OF TIGARD ' ,. . ... BUILDING DIVISION A PERMIT #: MST2007-00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61612007 Phone: (503) 639-4171 41040 i # Inspection Requests (24 Hrs.): (503) 639-4175 411 All. INSPECTION WORKSHEET FOR DATE: 0 TIME: 7:01AM PAGE: 2 4/71 SITE ADDRESS: 12092 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503-807-3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/7/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 067994-01 501807-3459 y Corrections/Comments/Instructions: 40 a/s0,--ec,-- exii4(..,- -------...,c,-- ( ---..e,,,,sti- iiie,c) ) ,--,-,e.._.-_,4_,..,5 4,,,, ,..-.-L-,,,,,,,,4t, 0 PASS I APPROVAL fl CANCEL I I NO ACCESS 7 FAIL 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: i Date: 4 - 7 — ° E) Phone #: (503) 718- CITY OF TIGARD . 1. BUILDING DIVISION PERMIT #:. MST2007- 000E31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €W6/2007 Phone: (503) 639- 4171 ��4N�iik�l'II � Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 00A TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message � 199 Eloct.iical final 067583 -01 503 -357 -2350 Y iZ�� Corrections /Comments/ Instructions: X PASS n PARTIAL APPROVAL n CANCEL fl NO ACCESS 1 I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: V :5 / / 0 Phone #: (503) 718 - • CITY OF TIGARD - . . BUILDING DIVISION PERMIT #: hlt7T2007- 013081 AA, , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6,160,007 Phone: (503) 639 -4171 -7 '�p��iii iil'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7:01Am PAGE: 21 SITE ADDRESS: '12F3G',�.� SW 133RD AVE AVE E _ \�V� J`" CLASS OF WORK: SUBDIVISION: HILLSIDE DE ESTAT S W ,/- LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES V " DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503- 07 - 3459 CONTRACTOR: OWNER PHONE #: 4 Inspection Request Scheduled For: Date: 12/14/2007 Pour Time: Code # Inspection Description Confirm # Co ct # Message 95 Misc. inspection ;;;038079 7 1 �� - orrections /Comments /Instruc ion 1 �, / ' / L /a /�� .��1/� r �� I r PASS P� ' ` IAL lip L n CANCEL ` NO ACCESS n FAIL A • L FO ,ECTION ADDI L FEE SSESSED All Inspector: / / Li / Dat� - P - hone #: (503) 71;ji, ..d__ CITY OF TIGARD BUILDING DIVISION PERMIT #: MSTtOi)7- 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2007 Phone: (503) 639 -4171 "Miff Inspection Requests (24 Hrs.): (503) 639 -4175 -..':W INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 : 00AM PAGE: 19 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF . OWNER: NGUYEN, PHONG PHONE #: 503.807.3469 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/22/2007 Pour Time: Code # Inspection Description _ _-:,- •. # Contact # Message 120 Electrical rough -in 058045 -01 503 -807 -3459 N Corrections /Comments /Instructions: I � '_ 1 I PARTIAL APPROVAL CANCEL I I NO ACCESS ' n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G N.vie a Date: 1 Phone #: (503) 718 - 1)4A . , • CITY OF TIGARD •, BUILDING DIVISION PERMIT #: MST2007- 0100131 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 516/2007 Phone: (503) 639 -4171 /msm "q,iI I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7 :01AM PAGE: 26 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603 - 807 - M68 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in ` f 0 057692 -02 503.807 -3459 N Corrections /Comments /Instructions: J R6 . lo o olisT cam' L firm-A. 14 CA8 LE LA) "t'X' 14 - 0?' `IN sTR.vartN 5 es.tJO espiAciNil __ 6 Paz N I 0 , '- - EUI c,43,Z 16" Ntc, I I. 'f o`i ti cz,e,v NuL R-eF-R- , c nn, F . ► l 5 tL, , S - ■1 1 0 ., NC I 1,1 <9 . a) INNIN ' �Z.e6 � en cAN 1� � ` (k� o� kW ZoY - N6Wk I I PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS ) XCALL FOR INSPECTION 1 l ADDITIONAL FEES ASSESSED. Inspector: Cr i Date: "I I bl ni Phone #: (503) 718- 1-11 . ... , . . , CITY OF TIGARD BUILDING DIVISION A , PERMIT #: MS11007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 602007 Phone: (503) 639-4171 1)40 1/144 Inspection Requests (24 Hrs.): (503) 639-4175 Alfiql IL INSPECTION WORKSHEET FOR DATE: 101116/2007 TIME: 7: 01A1v1 PAGE: 26 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503,007.3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/1612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical seivice 07692-01 03-807-3459 N Corrections/Comments/Instructions: \io --- -**: 1 .....- , PASS ri PARTIAL APPROVAL 0 CANCEL n NO ACCESS n FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ....— W l... Date: NO( I 6 tr.)1 Phone #: (503) 718- v441 ,.. ,. e (-" ( ( ,- I , / CITY OF TIGARD - BUILDING DIVISION PERMIT #: MsT:24707 OCl4fflf 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/6/2007 .Phone: (503) 639 -4171 , ��IN� " 1'`� Inspection Requests (24 Hrs.): (503) 639 -4175 {..' I INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7 :02AM PAGE: 29 SITE ADDRESS: 12002 SW 133RD AVE w 4L3\t CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 00.E TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 -807 -3457 CONTRACTOR: 't3'tAmtflt 4 E L'EC :c PHONE #: 5 3 . x35 0 Inspection Request Scheduled For: Date: 10/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in ! 055874 -01 503.357 -2350 N Corrections /Comments /Instructions: • 1 — i ^ C ' • ♦ � :. _ 1 S' fi' a , , ♦ V ' C S otter ur ■ d4 430 • : t O O 6‘i(1%) t , . "1i 1 C:P C rit.ViEj NI fit - [,-iNc, F r -- (346 , 44) w 4AY.. r 6 cz iv plrf N 0 ii\raeriEr-1 I 60:' - Is ,, ► otke,N1 Ito- To vc.14 N IA11)`piz 6F. pot.) zoturT1 P6 _,I, - -R gq , 5 - 2 '11\ 1--- PASS I I PARTIAL APPROVAL fI CANCEL I I NO ACCESS ` \AIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G'_",. • \ ())g u6 k Date: h M kliPhone #: (503) 718- PlWt CCTV 'FTDE f D . JDL®DNG DDVDSOMI PERMIT #: MST2007-Qc 1 13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED: C+at ;,f),j/ Phone: (503) 639 -4171 U �� i �� 4 i 11 Ins pection Requests (24 Hrs.): (503) 639 -4175 1A.'_I *; INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 : 01At j PAGE: 21 SITE ADDRESS: +° pt a 133RD ;■ l ,1.:�2. ,. ):'4 R A` E �vv J 4 W ti CLASS OF WORK: SUBDIVISION: HILL L SIDE ES I A . S , LOT #: 004 TYPE OF USE: PROJECT NAME: HI, LEIOE ESTATES ATE; v DESCRIPTION: sic: OWNER: Nt1UYEN, Pi HONG PHONE #: 603807-3469 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/14 /2007 Pour Time: Code # Inspection Description Confirm t # # • Message je,r `f"^'�i tYli�" . i f:po .4ion 06 (( i56 1'.0 1 I0J•I t,r /- ' .,.;.9 / orect mm ns /Coents /Instruc ion : ®v 603 �O f,a 1 3- 4 / / j .-g PASS 1 1 P' ' {' IAL A',` ' •_. L n CANCEL H NO ACCESS 1 1 FAIL � f A L . FO j� ECTION ADDI . ':L FEE ; £ SSESSED , . , Inspector: 1/: /LI Da e , Phone #: (503) 71 , L , . CITY OF TIGARD BUILDING DIVISION ,A PERMIT #: M5T2007-00091 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 6/6/2007 Phone: (503) 639-4171 Zilitilirl‘` Inspection Requests (24 Hrs.): (503) 639-4175 ,...,„ ..... INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603.807.3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 058305-02 503-807-3459 N Corrections/Co ents/Ins uctions: ri \ . '•6si- ' , . c frce L.."..A ...,4 ,. AP e (4 MiL--e - # Ale 4 t)-/ 7 VC . 4. . AI i ... PASS PARTIAL APPROVAL fl CANCEL El NO ACCESS FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED 1 Inspector: ,/ D 1(6 Da te: Phone #: (503) 718- 2}112-4 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MI-3T2007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 , . Phone: (503) 639 -4171 4 0 I pu l t � l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/292007 TIME: 7 :01AM PAGE: 48 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PliONC PHONE #: 603.807-3469 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/2512007 Pour Time: Code # Inspection Descriptio Confirm # Contact # Me-sage ti V 295 Misc. inspection 4 058306.03 603-807-3459 Y Corrections /Comments/ Instructions: aAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS � PAS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k. ,,,, Date: / Z' '.7c5 Phone #: (503) 718- Z`i i • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 007- 0f013'1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2007 Phone: (503) 639 -4171 � £ I+I Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7 :0•1AM PAGE: 50 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503.807 -3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: /0125/2007 Pour Time: f ( ,� Code # 4spection Description Confirm # Contact # Me- age �,t� 275 ! Framing 058305-01 503 - 807 -3453 Y Corrections /Comments /Instructions: 1 .., ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS [l FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: i Date: ,D(VS/D? Phone #: (503) 718- 2-:-1 Z` f CITY OF TIGARD Ir . BUILDING DIVISION PERMIT #: Pv1 12007..00Q 'i 13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 6/612007 Phone: (503) 639 -4171 !�p�i,� h r , Inspection Requests (24 Hrs.): (503) 639 -4175 ,44- .1 L INSPECTION WORKSHEET FOR DATE: 1W16/2007 IME: 7:01Am PAGE: 24 SITE ADDRESS: 12692 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES ES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503..807 CONTRACTOR: OWNER ------- PHONE #: _,/ '.(J, . Inspection Request Scheduled For: Date: 101/6/2007 Pour Time: . Code # Inspection Description Confirm # Contact # Me : • • - 275 Framing 057692 -03 5503-807 -3459 Corrections /Comme is /Instructions: '/' 17 6...-)---- - C', irkc 5 ,,, . <::::6. iiiT .\J S --1=-r c 5 @ Yes - _ . /2„....- ' `-- 4 - - e= == . 6 - 1( _6 ,' I ( k , , i tt ___ _ _ _ _ v v , 3 .- -. 5 . c . , _ k - - ), .._ _ " _ 7 I_ `- - r-u . l` �" �r . 5 'mac, _ ck c.. L.S2.\--" Uf\A_ ,--e-a___- +6).‘-‘) <6- (C(--c_ , 1A,6-(V ' @_ C S ' 6k5 k (76e-ray -). .7,9,--- .----= . q Etaii---c-4_5)--- C,,,„, 4.L6:- ' 2 . -----...„. I I PAS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL Il CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ‘,t\' Date: 6 / 1 ' / Phone #: (503) 718- 21 CITY OF TIGARD g, BUILDING DIVISION PERMIT #: ST2007.00w31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &6/2007 Phone: (503) 639 -4171 0 I Inspection Requests (24 Hrs.): (503) 639 -4175 : �' m •IL INSPECTION WORKSHEET FOR DATE: 10/12/20p7 TIME: 7 PAGE: 1i • SITE ADDRESS: 12092 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 057546.01 503 -807 -3459 Y e. L , . Corrections /Comments /Instructions: 97/5 — W (6 q q t il l ( a . ( PASS ❑ PARTIAL APPROVAL n CANCEL 1 I NO ACCESS n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I A Inspector: I} 0 ' Date: 1 Phone #: (503) 718- IP . \A . , . CITY OF TIGARD BUILDING DIVISION PERMIT #: IVI5T2007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639-4171 i v i tliti111 Inspection Requests (24 Hrs.): (503) 639-4175 _A- r.1.1.., INSPECTION WORKSHEET FOR DATE: 10/812007 TIME: 7:00AIVI PAGE: 32 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 03-807-3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 6'10 Gas line 057139-02 503-807-3459 N Corrections /Comments/ Instructions: ar7 1 41) 4 Q-- ..-• 0 1 t A i 1 LLA .i......"..i. WK. -----"` Two— ....eL -------- - .., il 4 I PASS I I PARTIAL APPROVAL [ CANCEL H NO ACCESS 1p AIL [ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: kfr,:vp A n Date: ut./(q C #: (503) 718 vz./6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6160007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 1 L. INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AN1 PAGE: 31 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG ' PHONE #: 503 807 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1011:007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 I lochanical rough -in 067139-03 503-807 -3459 N Corrections/Comments/Instructions: ri PARTIAL APPROVAL n CANCEL n NO ACCESS 1 i FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED , i i r ,... /Ye) Inspector: i ' Date: ( Phone #: (503) 718- k CITY OF TIGARD , III . . BUILDING DIVISION , PERMIT #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 1�u1� N��i ��l Inspection Requests (24 Hrs.): (503) 639 -4175 sag, 'IL INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 -807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/24/2007 Pour Time: Code # 1spection Description Confirm # Contact # Message 242 u . ' Interior shear walls 056176-03 503-807-3459 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - ' Date: g V 1 Phone #: (503) 718- , CITY OF TIGARD Al 'BUILDING DIVISION PERMIT #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 8/6/2007 Phone: (503) 639 -4171 A ll I� Inspection Requests (24 Hrs.): (503) 639 -4175 �'!L / INSPECTION WORKSHEET FOR DATE: 9124/2007 ME: 7 :00AM PAGE: 34 ' SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 457 CONTRACTOR: OWNER PHONE #: "A Inspection Request Scheduled For: Date: 9/24/2007 Pour Time: / , fe/ Code # r I nspection Description Confirm # Contact # M- sage 235 4.) Shear walls/anchors 056176-01 503-807-3459 Y Corrections /Comments /Instructions: A C - A - S - S ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION , n ADDITIONAL FEES ASSESSED Inspector: " '✓` v v Date: �� " ©7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00061 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &&2007 Phone: (503) 639 -4171 ud� uIP�II1t' Inspection Requests (24 Hrs.): (503) 639 -4175 '�f �.. INSPECTION WORKSHEET FOR DATE: 9/24/2007 TI* . ':' -idI PAGE: 33 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 - 807 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/24/2007 Pour Time: Code # spection Description Confirm # . Contact # Message 240 Exterior sheathing 056176 -02 503 -807 -3459 N Corrections /Comments /Instructions: • • • PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED o) // - Ins ector: Date: ( Phone #: (503) 718- P ) CITY OF TIGARD `' _ . BUILDING DIVISION ' .A PERMIT #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 � iii 1 ! Inspection Requests (24 Hrs.): (503) 639 -4175 li- AL INSPECTION WORKSHEET FOR DATE: 9/13/2f3U7 TIME: 7:01AM PAGE: 5 4' T. SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503. 807 -347 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/13 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 MV lisc.`inspection 055660 -04 503- 807.3459 Y Corrections /Comments /Instructions: • ( j2 .. 1 v ' - �. - A.,Q,A - � d 2� PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 Date: 9—/g 7 Phone #: (503) 718 - 7 CITY OF TIGARD r . BUILDING DIVISION PERMIT #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 17 / il Inspection Requests (24 Hrs.): (503) 639 -4175 5 W INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7 :01AM PAGE: 8 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 - 007 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 235 Shear walls /anchors 055660 -01 503 -807 -3459 N Corrections /Comments /Instructions: //,� 'A / ' P �. -t5 77Z72 - d -004.y S - v1G9Z./ c 'S CT, 1.--Y0 . 5-.- ) C1 7110 6V r_ n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /:, Date: g_ 7 Phone #: (503) 718 - ‘ . ---- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639-4171 Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 -�a+r 1I.. INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: . 6 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503.807 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 0515660 -03 503- 807 -3459 N Corrections /Comments /Instructions: / „Vi 'o der / c Aji - 4__S l ie e/_ 4- - cA/4j - .v7i/ e-r cyr 4 zb�Oou -ti �S� /1 — gST- (7%7 ( 7 k /A/5/ C1vn,- 7G 614: /' I I PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS IL / FOR INSPECTION I I ADDITIONAL FEES ASSESSED 1" i Inspector: Date: 9 7 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2007 Phone: (503) 639 - 4171x° �I Inspection Requests (24 Hrs.): (503) 639 -4175 ..' °IL. INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603 - 807 - 3457 CONTRACTOR: OWNER • PHONE #: Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 065660 -02 603-807-3469 N Corrections/Comments/Instructions: . !IM' t, -- ` - (P . S ✓z _ " �a�, c..Gcr� kiZel - . L9Wfs/l.G -� .06 A — g s � � I I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS AIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: � /'� —a > Phone #: (503) 718 - gam CITY OF TIGARD • BUILDING DIVISION . PERMIT #: MST7007- 04)08.1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 iuiip Inspection Requests (24 Hrs.): (503) 639 -4175 ..... ' INSPECTION WORKSHEET FOR DATE: 9/10/2007 1 E 7:00AM PAGE: 15 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503.817 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/10/2007 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 0555398 -03 503. 807 -3469 N Corrections /Comments/ Instructions: • • i• / r ` U I I PASS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED firskt._ IJ a-• ` r , Inspector: I� Date: d Phone #: (503) 718 - V ,. - - ,--, -- . . CITY OF TIGARD ` • . BUILDING DIVISION PERMIT #: tiST2007 00061 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 616f2007 Phone: (503) 639 -4171 ; ��gi J�� Inspection Requests (24 Hrs.): (503) 639 -4175 .. =. = __a& INSPECTION WORKSHEET FOR DATE: 9d1W2007 TIME: 7 :00AM PAGE: 17 1 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503. 607 - 3457 • CONTRACTOR: OWNER PHONE #: 1 Inspection Request Scheduled For: Date: 9/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 065398-02 503 -807 -3460 N Corrections /Comments /Instructions: A A i . '\, . , . f J 1 PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED V6-)2------ Zi( Z-2-( Inspector: Date: P4) - 7 Phone #: (503) 718 - '3/13 CITY OF TIGARD BUILDING DIVISION = PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 , BATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 Ai °tlUM6 Inspection Requests (24 Hrs.): (503) 639 -4175 ..:!. IL. ` INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: . `- '.' Y PAGE: 18 ' SITE ADDRESS: 1 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: _ NGUYEN, PHONG PHONE #: 503 - 8011 - 3467 • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear waIlsianchors 055398-01 503 -807 -3459 N • Corrections/ omments/ structions: c ( . 7)(u6. / --z ) ' 140 n PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS V FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED .. o t i / q 1 l' $ ill) Ihspector: \V Date: Phone #: (503) 718 - . CITY OF TIGARD /I,ST BUILDING DIVISION PERMIT #:a007--Q 13125 SW Hall Blvd., Tigard, OR 97223 °/ DATE ISSUED: &l4 Phone: (503) 639 -4171 a Ipu��l�i� Inspection Requests (24 Hrs.): (503) 639 -4175 -__.. INSPECTION WORKSHEET FOR DATE: 03 .1-14v CLASS OF WORK: q /�Jo'7 _ TI PAGE: SITE ADDRESS: xr al „v SUBDIVISION: a, 4 a LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: &a) ' ' i ' Ca OWNER: 4 AP 1 /j/' PHONE #:)3 327 3M CONTRACTOR: q PHONE #: Inspection Request Scheduled For: 1 Date: Pour Time: Code # Inspection Description ' Confirm # Contact # Message sitt-dig) 'A 1 l I — 5,3 gig 3V ' Corrections /Commen /Instructions: a One r7 m 5 71- P,, _$74 ' Y� I t4",...0 , 1 add, / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: (/�� Date: / t / Phone #: (503) 718- 2'y Z.-- CITY OF TIGARD .. . BUILDING DIVISION PERMIT #: MSI'2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/2007 Phone: (503) 639 -4171 Apigg0 l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 0/31/2007 TIME: 7:00AM PAGE: 39 • SITE ADDRESS: 128 92 SW 133RD AVE CLASS OF WORK: ,. - "SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES i DESCRIPTION: SF OWNER: NGUYEN, PHuNV PHONE #: 503 -807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message . 225 Post /beam structural 054961 -01 503- 807 -3459 N Corrections /Comments /Instructions: 4L/ 5- b — C-K,c e- 71-h 1 1 PA-K / ki cie i , No L - ', //a ti..( e G Adgie qp c`rI-6 q e 114 i- r!`'(. ' NI .ri" KOVE3 n PASS , PARTIAL APPROVAL n CANCEL NO ACCESS * s . 64 FAI ■ ' ❑ CALL FOR INSPECTION n ADDITIONAL TEES ASSESSED , C. - Aallr 6- Z 6 I nspector. 1 Date: g P Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639- 4171pu��` Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7 :06AM PAGE: 20 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603.807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 Wtr proofing basement walls 052526 -01 503. 807-3459 N Corrections /Comments /Instructions: • r PASS n PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector:. Date: 743 ` 07 Phone #: (503) 718 - CITY OF TIGARD /° "e BUILDING DIVISION PERMIT #: MST2007 00081 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/5.!2007 Phone: (503) 639 -4171 r �WP ° NIH ° fr Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 77 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503. 807 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request For: Date: 7/17/2007 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 052083 -01 503- 807 -3459 N • Corrections /Comments /Instructions: • • j PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7/ 7 Phone #: (503) 718- CITY OF TIGARD . moo BUILDING DIVISION PERMIT #: MST2007 -00081 j 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 l�, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7:03AM PAGE: 48 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF • OWNER: NGUYEN, PHONG PHONE #: 503- 807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/6/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 051462 -06 503.307 -0237 N ci / c Corrections /Comments /Instructions: aer ,.e5,i es i° • ce/f/sue , v,-/-f- L2z `It N- rA (/ /de--& - Pre - 0 ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS / I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ,40000 Date: 7:-.S. Phone #: (503) 718- f/. CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -000B1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ,_, ii INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7:03AM PAGE: 51 SITE ADDRESS: 12092 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 - 007 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/5/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 051462 -04 503- 307 -0237 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: .r"V 7 Phone #: (503) 718- CITY OF TIGARD - . . BUILDING DIVISION PERMIT #: MST2007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007 Phone: (503) 639- 4171gj�l + Inspection Requests (24 Hrs.): (503) 639 -4175 i„,(4.. '� INSPECTION WORKSHEET FOR DATE: 9/21/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF Fot4-9( OWNER: NGUYEN, PHONG PHONE #: 503.807 -3457 CONTRACTOR: OWNER PHONE #: : Inspection Request Scheduled For: Date: 9/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes: -ge 225 Post/beam structural 056083-01 503-807 -3459 Corrections /Comments /Instructions: 1.. ar ' I • I. /• NI /OA OMIL-ce-__ \if1.5 (J Opi L kL&v o 4' s ,e74,2,-„,\ T 7-y-A 1 ejr1:S PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED /i /� 7 ZPZ Inspector: D ate: Phone #: (503) 718- • CITY-OF TIGARD BUILDING DIVISION PERMIT #: WT2007.00031 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ei/9 20tl7 Phone: (503) 639 -4171 u�lmiigI�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 5039907 - 3459 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 389 Plumbing final - 068108 -01 503- 807 -3459 Y Corrections /Comments /Instructions: f. �j � �V � � v �. -L,�� u -I—A� ►�.✓�, -.S � I CJ t- f'`�► 2d a r_ � o l 2-� � .vim, e , .. Li �,, -e AI XPASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Wi'-- i[ Ina ti_._ Date: `t I ° L l-o Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 "'' DATE ISSUED: 616/2007 Phone: (503) 639 -4171 4 111�h Inspection Requests (24 Hrs.): (503) 639 -4175 sag INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 121892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 603 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 066890 -01 503-807-3469 Y Corrections /Comments /Instructions: Qei. Pt/ L.c P 9 o7'. s w ►��, R_QA/i o'r' tfAA,,c,, 0 v S �� ` \� M ILA _, A'lot (0 ale. G I 0 ((e-`t ,5v -c1 4T O F ;gyp , , - Pr kee- ,; N- , ,,,� , . ',re , 1 - PS.1 fioCto-a pt__ - r �lw�� a✓ A ' D i + (A c.i' lA a✓ CO ✓x.%) d, 6 a a1u ‘2Y.y Qzk ( o ci C orxlv K 3 4 3' t c ps \ \ Li-t S py.'' `', w.., Li PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 1AFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C" � \ Date: 31 I7 \ 'OW Phone #: (503) 718- . . . . CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MST2007-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &WON Phone: (503) 639-4171 A, ,,,._. Inspection Requests (24 Hrs.): (503) 639-4175 xi" 'LL 1 I INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 10 , SITE ADDRESS: 12092 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: Ow TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503-007-3469 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: ' 1 2 1 12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 061390-01 503-007-3469 N Corrections/Comments/Instructions: X PASS fl PARTIAL APPROVAL 0 CANCEL n NO ACCESS FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: fal\ivyv■---A Date: 121 1'7jt0.1 Phone #: (503) 718- . .. _ _. . CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST007 Otf031 13125 SW Hall Blvd., Tigard, OR 97223 D ,E ISSUED: 6/6/2007 Phone: (503) 639- 4171401�l 1 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7. rroAM PAGE: ¢,3 SITE ADDRESS: •12092 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 CONTRACTOR: OWNER NER PHONE #: Inspection Request Scheduled For: Date: 121/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 06 °123541 503.807 -3459 N Corrections /Comments /Instructions: 7b/i .7 \ yr. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1.EAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: vl; Date: V ,` 67 Phone #: (503) 718- 2 . .. • CITY 'OF TIGARD , • • .. BUILDING DIVISION . - PERMIT #: MS1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612007 Phone: (503) 639-4171 - 7, 0 00114. Inspection Requests (24 Hrs.): (503) 639-4175 .,.--.1-0- ..1 112.. INSPECTION WORKSHEET FOR DATE: 11/2E0007 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 060208-01 603,807-3459 N Corrections/Comments/Instructions: O A T Ce - ciz,.. I r÷v.i 4.- CO l.... 1 . J -e c4-...e( TO t.--) g PASS 0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS n FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED i Inspector:CV\A'NA-- 1 1 1 11----2 Date: I ) /2 (.. I ° 7 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2007 Phone: (503) 639 -4171 v��@r Inspection Requests (24 Hrs.): (503) 639 -4175 .t � INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7 :00AM PAGE: 33 SITE ADDRESS: 113892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, P1-4ONG PHONE #: +503_8Q7 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 057139-01 503807 -3459 N Corrections /Comments /Instructions: c a■,.- 4 h V `e--W (... v Le-iv ✓Y9'W W C eL 4--,-.4 11 PlA,.A. G. - ✓ W.. ` Le et .S_ c , u 'T4 S 1 , c t v it 1 12.0-■ 1--),I. 1, - ..- r ,A 1 64 4 1 _ A. I I t,j a -i-e/ eijo ;' (.....-0, c c --- j -c-cdt �. � ( - a ,.) (A (ee.l. ` 1 1 � 1i T A_,— I 4.,4-z '�.J f , ' t-,„ . • PASS n PARTIAL APPROVAL 1 I CANCEL I I NO ACCESS H FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED „Inspector: CT i \ Date: JOJj D - 2 Phone #: (503) 718 - I '�_ -t. CITY 'OF TIGARD BUILDING DIVISION #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 / iM4 �n�Ul l6 ��l Inspection Requests (24 Hrs.): (503) 639 -4175 =�� INSPECTION WORKSHEET FOR DATE: 7/26/2007 E: 7:03AM PAGE: 28 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE.' ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503-807-3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description Confirm # Contact_ # Message 330 Water service 052811 -01 503849 -6083 N Corrections /Comment Instructions: , /q U0 7. 4e_5 �� ni ❑ PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� C Inspector: Date: 7 l Phone # : (503) 718- . , 7- . .`/. v ' -/ ., ��U�~��~�� . ' • ��nn n ��n nm��u��* ' � BUILDING ��U��U��U��0� . ~�~~....~..~~� ~�.°.~~.~~." PERK�\T#: k85T2OO7'00081 I 13125SVVHaUB|vd, Tigard, OR07228 J/ DATE |SSUED� 6 /0�DO7 Phone: (5V3)G3S'4171 � Inspection Requests (24 Hrs.): (503 639-4175 ~�. � *- -� I Y INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT . * ' TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 803-807'3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7125/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 052715-01 503-849-6083 N Corrections/Comments/Instructions: 3 � ~ � ` � . �_� -�� ^� � J `� K �-'�',�v ^�` ` - -~ fc `~-~`~e^ '/ 1 L. �'�� A U �� U� � � UW - � L� ~ -- w ■ w - ' ~ - ' ^ PASS -- PARTIAL APPROVAL �� CANCEL I I NO ACCESS �� | -1 FAIL I | CALL FOR IN [l ADDITIONAL FEES ASSESSED /^ 7 -� \ Inspector: \JL ^� ~ ^� Date: � � ~ ' | � Phone #: (503) 718- CITY OF TIGARD 7 ) BUILDING DIVISION PERMIT #: MST2007 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 :volt I Inspection Requests (24 Hrs.): (503) 639 -4175 ,..:Alfr INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7 :00AM PAGE: 19 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503- 807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Footing drain 052606-03 503-849-6083 N Corrections /Commen s /Instructions: Lt_- t/ -4 ',■ s- - _ C c3Z- " L2 /d. • 6 It..j " .ze) - 7 1 1 A di d - , i a C 1 4 4 ie. -. S %t - ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS / FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: VD? ��? Phone #: (503) 718- �' 1 !y% i CITY OF TIGARD , , - , A BUILDING DIVISION ` PERMIT #: MST2007- 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 /� Phone: (503) 639 -4171 vtip i li Inspection Requests (24 Hrs.): (503) 639 -4175 ,`__ INSPECTION WORKSHEET FOR DATE: 7/24/2007 TI 7:IDAM PAGE: 21 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF - OWNER: NGUYEN, PHONG PHONE #: 503 - 807 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 052606-01 503 - 849-6083 N Corrections /Comments /Instructions: , 2 ( Z- 4 ., 0- IlLi a ? , t I -> i 1 /C-, PASS - n . PARTIAL APPROVAL n CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: 1 L' C�� L - _ 0 Date:/l/> Phone #: (503) 718 - 7 C/2-4 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 ' � l / Inspection Requests (24 Hrs.): (503) 639 -4175 J. '.__. INSPECTION WORKSHEET FOR DATE: / TIME: A P AGE: 7/24/2007 ' 7 .40 M 20 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE, ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503 - 807 - 3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 052606 -02 503 - 84136083 N Corrections /Comme is /Instructions: -( fie_ / ice; G ,/et.��..r I X PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "� l•' C C7 Date: 1 / 6 7 - 1 Phone #: (503) 718 - CITY OF TIGARD - _ - BUILDING DIVISION PERMIT #: MST2007- 000f11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007 Phone: (503) 639 -4171 4 N, N l I Inspection Requests (24 Hrs.): (503) 639 -4175 ....._�� INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 12892 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: SF OWNER: NGUYEN, PHONG PHONE #: 503.807 -3457 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/13/2007 Pour T -. Code # Inspection Description Confirm # Contact # M -sage 305 Plumbing underslab ,19 ' 01 503.807 -3459 Y 1 Corrections /Comments /Instructions: • ix PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS • A IL I I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: k ) _� Date: AO Phone #: (503) 718-