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Permit
1 // d * h • V . /F ASTER PERMIT mi ® Ca PERMIT #: MST2007 -00012 COMMUNITY DEVELOPMENT DATE ISSUED: 11/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104AC -13700 SITE ADDRESS: 12856 SW 133RD AVE ZONING: R -4.5 SUBDIVISION: HILLSIDE ESTATES LOT: 002 JURISDICTION: TIG PROJECT: HILLSIDE ESTATES Project Description: New SF 11/07/2007 ADD: Low voltage, all encompassing. BUILDING REISSUE: MSAP STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,406 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,504 sf GARAGE: 672 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,665 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 4,575 sf 445,068.80 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 7 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: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 . CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 0 W00DSTOVES: 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: g 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 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 8 STEREO: X VACUUM SY • AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER' X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X 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 TATYANA DMITRIYEVNA GOLOVINA SEDOY CONSTRUCTION laws. All work will be done in accordance with approved plans. This 8015 SW LEISER LN 14809 NE 13TH CIRC. permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 PORTLAND, OR 97684 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: 503 639 - 9208 Contact #: PRI 503 572 - 7155 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 153746 TOTAL FEES: $ 13,830.14 REQUIRED ITEMS AND REPORTS Bolts in concrete Issued By : PAI . ) t i3 6 Permittee Signature : �� 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. /� ^. , x 9. r ) Permit A lication _ ,, . Q .-r; �. - foR oFl �cE.i s�: oil F ,_ , N Buildin tx t . 4_ : ' ity of Tigard l9 /p, Permit Nar /�-° \ 23 ., 13125 SW Hall Blvd., Tigard, OR REcrni,,,,fr-n '' P.evi . Phone: 503.639.4171 Fax 503.598.1960, 2007 Date/By. plan a a1• d other Petmi / x .2190 - 7- 15 TIG.ARD Inspection Line: 503.639.4175 JJ HH I I / Date Ready/By: 3 = Et See Attached Checklist for Internet: www.tigard Notified/Method _ Supplemental Information CITY OF TI - WARD St III neRlt'° rllt/ac..crthi - : °- : r; WORK.' ``;':, . : P:EQUMED DATA: t- AND2= FAM'ILYDWELLING - : -: New construction : 0 Demolition Permit fees'F.are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement 0 Other equipment, materials, labor, overhead, and the profit for the '' C ATEGORY'OF . CONSTRUCTION _ work indicated on this application. I -and 2 -family dwelling ❑ Commercial/industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms: 0 Master builder 0 Other - Number of bathrooms: ._'" Total number o .. .. _ = °- .,.701L: SITE_ INFORMATION.:1#l!ID _- LOCATION ';��r'� '•�t�, : - T tai trm f floors: Job site address: • l 2_) r � 3 New dwelling area: square feet City/State/ZIP: ./- I z'i 0 4, q . 22-Li Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: - Covered porch area: square feet Cross street/directions to job site: .- Deck area: square feet 5 co . ‘,06( Lk? (,, ' j - gtC4-4-- Other structure area: square feet UiRED DAT ii.001 .... , .:•• - •, E (BECKLLSl• Subdivision: 1 I t 5 IRK_ {,S }- -i-c,5 •1 Lot no.: 3. Permit fees' are based on the value of the work performed. map/parcel no.: Indicate the value (rounded to the nearest dollar) of all Tax ma p/p equipment, materials, labor, overhead, and the profit for the • -,� . work indicated on this application. .. - _ ... .- .. • _ - - pFSC.R]IA'1'1tON ` OF: =WORK ;::� : _- . . . . •:�' :... - ; s;,_ 1:‘,:,y, � :�: V a 7� (-011 S f -( Valuation: S / Existing building area: square feet New building area: square feet ,..-.:)Si PROPERTY: OWNER - I:1,y.�� � ' _ Number of stories: 'IfENTl#N'i' :`n _ - -_:: I Name: ' 'i1 Vd `j..( `) nn rjL oti Type of construction: Address: ` C)1, 9 ( 2- ( >€-P____ L- - . Occupancy groups: - City/State/ZIP: - -r , 0 r- 4 2 Z .. Existing: Phone: (. 6 3 - (" 'mil 2- 0 ' Fax: ( ) New: .: •.:,: -; <; ;APPLICANT :(::'.. :. •. :::U CONTACT PERSON. -- ... Business name: A- I ' ) 1 y1 e . ��5 A 1!v) f . 01 - vi . e s All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board J 1 %1? (iLVV/ ' under ORS 701 and may be required to be licensed in the Address: C. O 60X . / 3 55 - jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: ` C�Gc��l�( �yvcc5 (� � '7 le! 5" apply: Phone: (�3) 5/5-5/ .53 .. } . : ( ) Fax: 65 1_157 E -mail: Business name: o4f„,boy & 9r4 , t . `/Jc., _ BUILDING PERMIT FEES *.. - Address: l y go /J Cl21! L� (P nier tutee sekeduleJ Structural plan review fee (or deposit): City/State/ZIP: V,q u kjL. w 93103 ` Phone: (603 7 S F ) V FLS plan review fee (if applicable): 1 � "'Lite / Total fees due upon application: ! t CCB lic.: T - Amount received: Authorized sib" This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ( Date: i - - (D * Fee methodology set by Tri- County Building Industry -- _f Service Board. I: Building1Ptsmits \BUP- RES- PamitApp.doc 03/21/06 4404613TO1/02/COMIWEB) a-Q- _ . ..:.1, ay 01 a 133 E si . NED saceivse ftalii t42111 70-07 - ete Iriasifft Phew 503439.417 3 Pas,: 503.590.1960 Datialls: Oder Pensit bapeotionLare: 503.639.4175 , , \I late J r U 7 Duo RodyilIr kik 1 II SeePoge2 ear erst www.tiganikr.gov IA 11 V Z..' ti 14orroxildeded Sepplawmtal isfonstallea ' . - s ‘ 7 . -r r PLA.111) - . .., .. .v. ":4' t -t -,". - -',;:'..- -,'-'_ 'ibilisistamons,. ":scasOniAr=csigtgireekusi • *Ie. cansvwction 0 Ami A. ,-- 111:140:74 Mschaskid wool fere ye based on flievolvie anise Niro& performed. Indoor &pug= Onosodod to tie newest dolly) of et 0 Donsofition 0 Other: ingainical =midi 002411804 tabor. or about. sad profit '.' .../: I -' • 11 %; 7. !' •;:tAirlOCIRIrtb****110002074.1 : =3..;::: El 1- and 2-ranily &welling 0 Cocomorcialfintitalrird 0 Accesscry losalearg 1 ;f:- . 4 131311 4 11 ).Era.g 16 005 1 rS*10 1:1023i2J;;: : XI Muld-futerly 0 Master builder 0 Oho.= forgpraill Oproorrostor ow derfibs. Clasarissiimi FQIY.- 1 Ea. I Tall .11139,111= raicittEitiiiii460. 191eadagr000fora , Jab sae oddres= 1 24s-c, sco i 33 A ii‘exi (A. -e Air coadhioolog or Inore poop koodresskosolondowrin *moose) 14.00 Ciejla f (a4ri) c. R 4 22 Pospoos100.000181UOrosoorop 10.00 1 rumor .1441 100$1004411110smarrovesj , 17.90 Sesiteibldgfor. oa: fP1/4"2882/2C -4 . Coo heat woo 14.00 Cross streaktireetions to jab site: Dad sot • 14.00 S co Lc >cit,LintA_-i- c7 -wee-4- I %drank bat seater mewl Naddsatiatbater(radiator or 14.00 , . 10rooir0 14.00 1.10de borers (TooPoipto act dectzto). io-irolt, forelkset. sosponded. ca. WOO Subthvisitxr f--1; (I s' -- <-> I Lot no.: V___ Plichrom illreaYer 'bevy Oboe tom _ 10.00 Tax rospfgarcel us: Odor 11121aipairoors .. . • : • ....'' ; ---• -- -!=;! : :. - 1-i:.P:i . .ic: xi QV 4 "-"-';;F:.:;'::.:4:::: . .'. 1 5if • !'".c :Y. Witor hoar 1000 ' *as Smola= 10.00 . • A) e i A, Co'ihruvi--; on Floe vow far water Miser or gas drake* - 10.00 , Lors tkleer Ws) • 10.00 Wood4selkt slow ' 10.00 -Wood foreabeeefoorrt 10.00 • . s'•. : •,. - .-.11100191111iritOWNSL :, 4 t. - '. -: f:^. 4 :;. 'e: cymitiAr4f -...:iii.5.: abmws'AiwriAlicive'd • MOO Gaon IRO* Nam.Dm;-ori - 1-1 C-o/i9ui n lkookoomeotalesioast aad ttat0atlaa Adige 5W3 ,,S CO L-- e_;; 5 -eft Le? ' Rage boo■Vetber kW= 10.00 istaitxsoot 10.. CerfOrgeMP: 4,_ ; C-04.. 9 C9 r-- 412-k codas dm, oar= 10.00 1 Segisudlua ethane (bathrooms. P 6 iranc (903) 36i 71 0 Fart ( ) toast aernswerlods., Wits rooms) 6.10 O al . :' .. .. 1 .'' : ;.':' ' a CONTAiximiiitsot4::%? - 7,- - Athelveralsoace foes 10.00 ' Other 10.00 Busisess easse: A-1 Pi n .e .. ., c, (A3 1-0 f ig Ho KGe.5 -ftiitfts Coolact saw= C' ; 1--r.A.■_y p-tea Lvz at. (. kA5 S5.411 for find tiorr„,- SLOO for auk adrodosal Address: Q , 0 (3 0 K I 7 -D 5.5- Fornace,„ ate Gas bud sumo aryfasta/ZIP. CA Cuc KI or--- q -c Wallfasseodedlaag baser Masa: (503) 5' I 5 - S 1 - 5 3 1 Fec.:(s-o )65i.-1.2---7-6--- Water Lona Rreobsee Sena Range ... ■ Business asese: ... '- 12,.. (-11.4-17 0 I 1 Ckotbes ter (gas) . Address: - X410 1- 11A 4 t-t)t atyntaZIP: V pr 00..0 u.ti a- cA)01- . ct Reel subt„..1 wad...a s. CP250) I i Plea reflex (MG of permit fee) 1 OM .: , .1lf ff 7 i +t Fax:. tic o -7 „eint TOTAL , 19xl__________es( erouteureltar OS of ' fee) PEMAIIIT FEE Andsorieed stases= ,... , L-,_...--- 1„ Tab pen* spiiikstiss esfinsU a pus* kat* abodsed otesio No days Oka* Ruell bats accepted as compide. Pritd earns 1._; , ‘,,9 ii, . .., f Daze j 4 o p- • Foe mabodokra set by Tai-Coony memos loestry Savies Bawd NIAdieviselratahArs.to= IMAM* -17M uratanownos . ...__ -....._ . ...._. --- - ---- - - - - FROM :Reliant K Plumbing Inc. FAX NO. :5033713704 Jan. 02 2007 06:16PM P1 Jan 02 07 O6 +.30P Alpine Custom Homes t? Plumbing Permit ��DUeatiQ/� i u i; ! r r! t • "i r r, _. . _. City oTTlp +d ��, ;� ' ` t� ..1t . ..4 -....e/.2-- To 13 133 SW 1W 131vd.. Thar 1, OR 97223 WwrPe®iillo: phone: SO3.629.4171 Fax 503.59'3.1960 �' r Hspeetios Lbw 503.639.4173 011 Y O F ®6a t'eae :9. -i ,.s,= Ieuxraet; ,,,,,,,,..0044414. ■ D i v . r�r • ■e eserLr •,� -; - : T1fP �O , slral % a - y r ' ! . S !..t llLkj7.` ' •`..' - .. • - 1 � >�w construct -- El Dano litian For • - • Far • -•'err use theakt Decntpa9s gra Ea Total ❑ Additionklierati0ahlplacanc l l 3 Met: P i g , " 1.Nfaesay dwelllogi (includes 100 ft for oneb uillly eegmee4oe) ..,..,. y, .• : vc*1E1 tV B•.' ®.Ciip71 '[o •: % StR()bis* _ 24910 1. and 2 -W130y dwelling ❑ ComateretaUtoclustrial sFR (a) bail . 350.410 00 [] Accessory balding (3 Multi 4tra y 9FB p) kaffi 399.00 39.9 lv ter builder © Other: Seel asd'itici l baf titsn 4100 Pkevehicle'(- _ Pi. E.) pop1 • ;j .} ^JOB• x1116. 8MA3i3P 7100 :3:Yk. �•,�;' ... r''' : spt unities . tub sins address: r9:. g 5 ( S L l �� J Cam taco or a drain r 16.69 _ CSIy/Sm1 iP: �� . Z- Rey*Rfl, lead lint. at land drain 16.60 Suito/btdE,lbpi. no.: �5 :5 Protect tsar= Porte drain (.o tinny • R: _„_3 . Paso a • CTO1* s6'eevdireedoM to job sits: . Longs ui(itioa 110.00 5 (.(' , t.J <),.LfLtl - 5 fib`- ek -�,- 1Raia @ut0 '. • 16.60 (Wary saws (no linear ft: • _.1 Pogo 2 • 5 Sum Stara (as. Haws lt.: g „....) Pis 2 H Subdivision: i I t ' 1 S) & � ( ) - 1 - k, -t`e -. 5 ((.at 00.: Water service (co. Doc& a: __-J _ >'S,Pc 1 - Wasters or now Tax nop/trreel co.: tea* 1G60 :r .. . • fi r. gi °r. - : � 1 • y e. y �,,���� 1 6 ,��••� s tn.. r.:S'. •f; ♦•'i'�Y:���:.•�i:•`�• •�lp'.{JI! 1 µ4 'Y '..vs�. y JL,e?i' T n . '.'.• •,: • _ 'SY�r'!E54 �::F Sadttl0a prtwesoar Page 2 1k) i.,) a v1 5 i ' r'' &admits taha 1660 Clothes vaster • 16.60 Dialumaber - 16660 "; .. . • )d�YA • "!.::•• ._ :L'�: 111 isms .r -, Daiatcir� ihoata r 16 60 .. Nome rt., -rvi 1 y i irl dos tank 16.60 . Addtesc: n2 / S 5W L4,e_ e-g.... 1 -<,i - Fbci+r .rs m 16.6( Ci11/StatteZ11): ` ' ,.4. -0 Z Floor dr:corneor d 16.60 - Phu= (jam ) 1e 364 ' 4 Z p"1 Fait: ( ) Garbage ditiposal 16.641 't • © i ffefic lra . - •`F]• 0167 *tax* : ; IC=rtillIlIllIlMIIIIIIIIIII 15 . Ice tat** - 1660 I[ / #'��d /'��r� taeffie�tsdStweo'rap : 16.60 Contact mato -2 #'( 0 V4 Cfr' I Medici] a1 °(" 5. ) 1 Fego2 Addreso: ,_ C- Are .. r' ✓ I' / Frieslt 1 1640 . Ci(y/StatetXiP: i ce ( /J ' 7.34/P / . Roads ionnattecla0 ' 15.60 8imb/budanaeascry j 16.6G Phaac (• / ' ' . ' .9 ` .... - ✓ , Fax:: ( rs. . ) --' 1 TTb itowertsbot paw ' 16.60 F-n all; - Wool 16.60 : r -,:c •i * ...:.= coriaRACTO1i . .::. •;....i.:•-•:••..:,..: , Wsta ctetat 16.60 Business aauto: 'z /��f �� f /.� + w iser beater III 16.6o • Address: _ /P reAOX /7 .7 it Glow. C Gy/8wtofZO': �/syy G r' Minimum parsit lex 372.50 Phone: • - - Fate r • Raaid btcaltow abinimum amok i� 536.25 ^ ,�yy Ran reviow (5% of permit lea) CM) L'tc : /Ra ��� Pl�t�g fir: no.: P'i State etterhar;e (8941 of ; -- • 1 'be) Authorizedaignat : _ / / ' _. :1' - L ..; ...,..e.".......-., TOTAL FEE ft, a " A - t� I .Z»si � " 11 pate: This perms egpiksttoa wires Ira permit t9 not obtained Plait 154 doys a0te: •it bar bees moron as eatsptete. • Fro methodology sal by 114•Couad Sogdian (adaluy Service lord m teens rooisvaa.4t. ti oandoe eto.4oletteaonco v • • Electrical Permit Application � , ` ' ' `' ,FOR' USC O '` •q - : k, ' ' ± , ';Y Received ; City of Tigard Received N Pe111 rmit ermo. 13125 SW Hall Blvd., Tigard, OR 97223 _ M._ co O • ad1R it Phone: 503.639.4171 Fax: 503.598.1960 L Other Permit: 4 . I Inspection Line: 503.639.4175 Date Read Juris: GAKD- p Y B : Y ® See Page 2for 1.41. Internet: www.tigard - or.gov Notifed/M_ethod: Supplemental Information !{1 9 ; •..TYPE OF WORK . - .J... : . u � t PLAN REVIEW ❑ New construction ❑ Addition /alteration/replacement'. -Ty OF TIU�HD Please check all that apply (submit a sets of plans w /items checked below): LA 1 i i i ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: BUD DING D' V i where the available fault current ❑ Marinas and boatyards. CATEGORY CONSTRUCTION • _ exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or - - JOB SITE INFORMATION 'AND LOCATION ._ ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", `T ", "1 -2 ", "1 -3 ", Job no.: Job site address: In 5 . /. 0 i'3 ,e 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: \--I ( f of_ 9 4_ al t j ❑ Health -care facilities. ❑ Supply voltage for more than l ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. Cross street/directions to ob site: FEE° SCHEDUILE J Description I Qty, I Fee. I Total New residential single- or multi- family dwelling unit. • l Includes attached garage. Subdivision: I-1 t I ` S i D P - •� 5 Lot no.: 2_ 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: \ Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, td res ential DESCTIO OF :; R WOK , (with above sq. ft.) 75.00 2 RIP N Limited energy, multi - family 75.00 2 residential (with above sq. ft.) p V t�� Ca/2 C y , n `CCU Services or feeders installation, alteration, and /or relocation > 1 ��- ((')(/? 200 amps or less 80.30 2 PROPERTY;•OWNER . - '' :❑ :TENANT ',':',:;': 201 amps to 400 amps 106.85 2 Name: (' yn; . ( (' V t y--) 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 0 ( S c L . ;<,, t�� ,1 l2 Over 1,000 amps or volts 454.65 2 City/State /ZIP: _4. c",(' U C(- 2..z. L/ Temporary services or feeders installation, alteration, and /or relocation Phone: ( 9* , ?) CI G( 2_ Gg Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps . 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel • Owner signature: Date: A. Fee for branch circuits with a: ;,. pie:- fir•' APPLY T .•w' - above service or feeder f � 0 CAN ' ❑ CONTACT' PERSON<�; _,., ,.�_,.. ' ° T o ee er ee, 6.65 2 each branch circuit ,� Business name: ,4- I l� l 1/t C 01....5 +0 /s- 5 i (p y ,...5 B. Fee for branch circuits without service or feeder fee, Contact name: (, 41 PrZAJ4 cii(,(/r......_ first branch circuit 46.85 2 Address: f, c i 5:vc i . L - Each add'1 branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: C r o _c_ie a „.. a 5 cz j e 1-o, S� Each manufactured or modular 90.90 2 j) G--IS 5-I S') Fax: : (S"p 6S" Reconnect service and/or feeder Phone: (c '�' � Z- �S-� Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 ''" " • 'CONTRACTOR- :`" Sign or outline lighting 53.40 2 L `� 1 -,f 1/-€4.1-el . L JC Signal circuit(s) or limited - Business name: el(�t 1J _ energy panel, alteration, or Address: Dw 6 [.05it P'vt- K./ extension. Describe: Page 2 2 City /State/ZIP / 'p -SCoa iet W ft L g CJ�W I ' Each additional - inspection over allowable In any of the above g [�`► q Per inspection 62.50 Phone: Jim) k `779\.„ J g77 Fax: ( /3 f, i (N 979_5 Investigation per hour (1 hr min) 62.50 CCB Lic.: l '795LI t' Electrical Lic.: (! A3 Suprv. Lic.: 5 j 5 Industrial plant per hour 73.75 ELECTRICAL PERMIT .FEES ': . • Suprv. Electrician signatu ; equired: Subtotal: Print name: Date: Date: Plan review (25% of permit fee): t ) State surcharge (8% of permit fee): Authorized si �r TOTAL PERMIT FEE: \..., This permit application expires if a permit is not obtained within 180 name:/______— �� days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 0523/06 440 15T(1 t /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: • RESIDENTIAL VoRK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: . ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK,ONLY:. Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) • Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation • ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I :\BuildingTeimits\ELC- PertnitA, .doc 03/23/06 CITY OF TIGARD 111 COMMUNITY DEVELOPMENT TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639,4174 Electrical Signature Form IMPORTANT PERMIT NOTICE SUNLIGHT ELECTRIC INC 2800 NE 65TH AVE SUITE B VANCOUVER, WA 98661 Permit ##: MST2007 - 00012 Date Issued: 5/2/2007 Parcel: 2Si 04AC -13700 Site Address: 12856 SW 133RD AVE Subdivision: HILLSIDE ESTATES Lot: 002 Jurisdiction: TIG Zoning: R -4.5 Project Name: HILLSIDE ESTATES Description: New 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 91223, or you may fax the form to: 503.624.3651. 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: TATYANA DMITRIYEVNA GOLOVINA SUNLIGHT ELECTRIC INC 8015 SW LEISER LN 2800 NE 65TH AVE SUITE B TIGARD, OR 97224 VANCOUVER, WA 98661 Phone #: 503 - 639-9208 Phone #: 360- 772 -3877 Reg #: ELF. C230 L1C 172549 SUP 5243S INK SIGNATURE IS REQUIRED ON THIS FORM X 44,� Signature of 'use ng Electrician Name (pr inted ) SUP LAC # • Ed NUtI:80 LODE 170 'R : '0N Xdd : woeu RESIDENTIAL PERMIT APPLICATION REVIEW Permit Number MST2007 -00012 Lot No. 2 Subdivision Hillside Estates Address 12856 SW 133 Ave. . . Contact Name Dmitri Golovin Business Alpine Custom Homes Street PO Box 1355 City Clackamas I State 1 O I Zip 197015 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. x The application is incomplete for the following reason: The beam calculations are missing from the floor framing included with this submission. If manufactured floor framing will be used please revise the floor plans to reflect this. Provide a Roof Framing plan page that reflects the trusses that will be used on this house. Provide prescriptive bracing requirements or engineered lateral analysis reflected on the plan, and calculations. Beams on the floor plans of the plan and the manufactured floor framing provided do not match please revise plan to reflect the work being done. The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. x The submitted plans cannot be reviewed until the above information has been submitted and /or approved. The plans are deemed "simple ". x The plans are deemed "complex ". Loraine Williams Date Plans Examiner (503) 718 -2708 loraine@tigard-or.gov /Y l S' 6001 STREET TREE CERTIFICATION I, /a G - ,e2 ���2 �i �z�- Owner /Agent for 92 �-�-- (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: /4,g S SCJ /33p_el 1k- L C.�,e. 9 702 3 SUBDIVISION: �A.-/; LOT: L SIGNATURE: a- DATE: d/ ds'= off` (OWNER/AGENT) RECEIVED BY: DATE: o$ (CITY O TIGARD) i I: \Building\ Forms \StreetTrecCertificate 01 /19/07 CITY OF TIGARD BUILDING DIVISION Al PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7P007 Phone: (503) 639-4171 4&010Allf( Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7:02AM PAGE: 17 • SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATIYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: gEMOVII*401:%0M7MAITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 239 Final inspection 064126-01 503-840-2251 N Corrections/Comments/Instructions: -----■•..... Ay PASS • PARTIAL APPROVAL 0 CANCEL I I NO ACCESS • FAIL TA CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED / Inspector: Date: 1 2_1 08 Phone #: (503) 718- CITY OF TIGARD I / BUILDING DIVISION / , PERMIT #: MST2007-00012 I 13125 SW Hall Blvd., Tigard, OR 97223 IA DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 i h'f' 1 ,01101# Inspection Requests (24 Hrs.): (503) 639-4175 AN- III. INSPECTION WORKSHEET FOR DATE: 1/28L )08 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltago, a I I encompassing. OWNER: GOLOVINA, TATYANA DMITRIVEVNA PHONE #: 503-639.9208 CONTRACTOR: ectortieNEXINADMINAITRIY EVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 064058-02 503-840-2251 N Corrections/Comments/Instructions: ...-- Ill■ , C-e..) 1■Lrf C___e) , -- 0 l L •"" C-C> , & _ 0 1 1,1 /LI - • I L fl PI. I 'ARTIAL APPROVAL 0 CANCEL I I NO ACCESS - CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED / ___ ..> Inspector: Date: i t.--S Phone #: (503) 718- ZZ CITY OF TIGARD BUILDING DIVISION i - PERMIT #: MST2007- 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639 -4171 / o AI a pu�� Inspection Requests (24 Hrs.): (503) 639 -4175 .r n: INSPECTION WORKSHEET FOR DATE: //2812008 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DIviITRIYEVNA PHONE #: 603-639-9208 CO NTRACTOR: CEMOVI NONE4.0iitillA ITRIYEVNA PHONE #: 603 -572 -7155 Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 064050 -01 503 -W10 -2251 N Corrections /Comments/ Instructions: iZ-Cj\ ' Z 0 8 C - ca - - • ` � �/ , , 1 k 0 ' 2..._ '' �Z� C S� � Z . ° F �� : ' AS' n • , RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 41Ii. =rA // CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector: / _ _ �� Date: b Phone #: (503) 718- �h 97 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00017 007 -0 017 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1117/21)07 Phone: (503) 639 -4171 i N,�� ��I Inspection Requests (24 Hrs.): (503) 639 -4175 -- _:_.. INSPECTION WORKSHEET FOR DATE: 1/255/008 TIME: 7:00AM PAGE: 35 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 007 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF '11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TAlYANA DMITRIYEVNA PHONE #: 503 - 539- 9208 CONTRACTOR: eOYl tgeNDTRUMONAITRIYEVNA PHONE #: 503 -572 -7155 Inspection Request Scheduled For: Date: 1/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053925 -04 503-8402251 N Corrections/Comments/Instructions: i.1.4 r ' t cc?t s1 Z _L=14C- ' e=- - e. a- .., ,.t / c 4 M t. l 47 S i-I- c� •- ,/c��� TE ('S ov.;-(_:7 I Z. C, ° +- .. i ■ • P. - ' ' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS tic AIL la CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: W 1 _ , _ Date: Dar Phone #: (503) 718- CITY OF TIGARD ..zr . . BUILDING DIVISION A PERMIT #: MST2007-00012 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 1117/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A- -IL INSPECTION WORKSHEET FOR DATE: 1/250008 TIME: 7:00AM PAGE: 38 SITE ADDRESS: i20, SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: EfeboyIMINKRUMONA I TRIY EVN A PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 112512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Fine/ inspection 003925-01 503-840-2251 N Corrections /Comments/ Instructions: i -1-2:7 - . • e___ - - A.. [ • 1...i. i • i /.---, /4-7". P),4c1-.... is3 t --, -.; 141 ; • .• ,A, Ar .: eh.- - . idsit- -:::::,,' alwel-=■--,..1....4.;:n.lrlitAir Z 11 ' LA In. i ea 71 5.... .1E1 --- - ila ------ _ C" to 4 iSir No LA--k, 1 ■1 C--- (---4? I I PASS V 1 RTIAL APPROVAL CANCEL NO ACCESS qprigri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: y .4 ■IIII■ Date: / Z.S Phone #: (503) 718- Z`C %11111.- - 7 .. . CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 440 DATE ISSUED: 11/70007 Phone: (503) 639-4171 i lpittilifi Inspection Requests (24 Hrs.): (503) 639-4175 . ....—.3.r -- INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7 PAGE: 36 1 SITE ADDRESS: 120& SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: SEMOVINO NFKRUINKIiitilill TR I Y EVN A PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 1/2512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 063925-03 503-80.2251 N Corrections/Comments/Instructions: .01111.1■ '■, PAS ' Ir - PARTIAL APPROVAL I I CANCEL fl NO ACCESS FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: 746_ i Z Phone #: (503) 718- __________ CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 1/7/200f Phone: (503) 639 -4171 /mu , 1 i Inspection Requests (24 Hrs.): (503) 639 -4175 1!.. INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12056 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9M CONTRACTOR: III O 'I(V l Pab (TRIYEV{+,IA PHONE #: 503.572 -7155 Inspection Request Scheduled For: Date: 1/2502008 Pour Time: Code # Inspection Description Confirm # Contact # Message G99 Mechanical final 063925 -02 503.840-2251 N Corrections /Comments /Instructions: `!I PAS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ri CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Iv Date: �I'� Pho ne #: (503) 718- 2 L� CITY OF TIGARD BUILDING DIVISION - I, PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 A , DATE ISSUED: . 1.117/2(107 Phone: (503) 639-4171 :,_h Inspection Requests (24 Hrs.): (503) 639-4175 „JAI- 'IL INSPECTION WORKSHEET FOR DATE: 1/24/20(113 TIME: 7:02AM PAGE: 8 SITE ADDRESS: 13866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DtvilTRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: aaractifitgew PHONE #: 503572-7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 063869-02 503-840.2261 N Corrections/Comments/Instructions: / / (:lia l o'Cr&( -- ;',.--C . dAd -- 2/-)/0) , ,e oii--. -)A-vo)) 0,1-A,,d I rAy-- a_t; - 2/k/0-2 7-6,) r py- .&-0- -3,t.L.- ( / 91v) 1 7zc..,e (L1--1‘ Wz--/O --?) . C 1,P1 S Gt.,,,vu(o-t--1"-' & VaeA...‹L -,-.....' s...12_,S7 t V Ce / b --- ( ) — .(2tA (_,e 1."__ ' S-c WIe_ Ckj/) 11/ 7 PASS III PARTIAL APPROVAL CANCEL 7 NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES AS SSED Inspector: Vil Date: 0 )-4 / 6 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MSl °° 0t}7_0001`7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2( }07 Phone: (503) 639 -4171 Ah m �j - - Inspection Requests (24 Hrs.): (503) 639 -4175 .,, :_.. ' INSPECTION WORKSHEET FOR DATE: 1/24 /2008 TIME: 7:02AM PAGE: 16 SITE ADDRESS: 1285 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES ATES LOT #: 002 TYPE OF USE: PROJECT NAME: t SIDE ESTATES DESCRIPTION: New SF 11/0712007 ADD: Low voltage, all encompassing. OWNER: tOLOVINA, TATYANA DMITR1YEVNA PHONE #: 603.633.8208 CONTRACTOR: MO 'I# t l ( ilTl IYEVNA PHONE #: 503.•572 -7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 063864-01 503 -040 -2.251 N Corrections /Comments/ Instructions: 4/ r-a A_____- c5-e__,, 1 ( A A ) (1- o n I I PASS n PARTIAL APPROVAL IX CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: D ate: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . , PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 , I N A inviVifj- Phone: (503) 639-4171 , Inspection Requests (24 Hrs.): (503) 639-4175 —_,111- 'II:. INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:01Alvl PAGE: SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: • SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07n007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TAIYANA DivilTRIYEVNA PHONE #: 603.639.9208 CONTRACTOR: OEIDOYINWEATXADSMAITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 12/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 061760-01 603-5727155 Y Corrections/Comments/Instructions: at e . 2 " - _N rA--ehLec_e , r-va .___ --t- 0 F P ak..., PASS fl PARTIAL APPROVAL fl CANCEL fl NO ACCESS I FAIL 1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: (0 \ V\ Date: i 24) (11,0 Phone #: (503) 718- . ,. . ., . • CITY OF TIGARD BUILDING DIVISION PERMIT #: tVIST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 A 4..._. DATE ISSUED: - 512/2007 Phone: (503) 639-4171 440040 Inspection Requests (24 Hrs.): (503) 639-4175 -.44 AL INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 12856 SW 133RD AVE - CLASS OF WORK: SUBDIVISION: HILI,SIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES 4 ...-- ---, DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DivIITRIVEVNA PHONE #: 503 CONTRACTOR: SaatfItSVINEKROMORMITRIYEVNA PHONE #: 503 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: Code # "Ispection Description Confirm # Contact # Message 320 i(b Plumbing mugh-in .. 059102-01 503-572-7155 N Corrections/Comments/Instructions: V(k_9,,,e--VA - ' V ( C /n T -- •„ -,.ss EI PARTIAL APPROVAL 0 CANCEL fl NO ACCESS E FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 1 4; ( ' /6 ‘. ‘ k / ( Z C V/ Zj Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5,/2/2007 Phone: (503) 639 -4171 N � ii i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: I1j500 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New 3F OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: effItOVIMNETRULDIAMAITRIYEVNA PHONE #: 503 -672 -7155 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 059004 -02 503- 572 -7155 N Corrections /Comments/ Instructions: n P 3 O 66, 2 O 12 \c OKVAIN. rCrp - r T epsa) L - ) Ov 3 . 41 1, ,-r 8 n a r r; 14 �'� . )` r L T Two 2 P � � ► ` � ( � " a 1 y'vbV � i ,R --u t cl " t T LA.)-e..,„ 8 �' ( i �7 v : D ✓ c y ti & ye A:0, P 40 .S ; 2.�. 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I n e P Pe-. 1 P 2°1 0 2 f s' J 9 [ 1 hvvve LL +r, Co 1, d Ls) er tA Lc.,-1,'t_ 1 i ( 1k l a t/L-A.c - 4 / c- t.rr-tvi vts LA A- D M I■J Ree p- o E c, 2. l,Q l 1 13-e C ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � � �1n..a Date: H Phone #: (503) 718- CITY OF TIGARD j BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 A "IPulliikill� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: N ON SF OWNER: GOLDVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: >OYItletITRIYEVNA PHONE #: 503- 572- 7255 Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # /Inspection Description Confirm # Contact # Message 1 315 Posilbearn plumbing 053295 -02 503-572 -7155 N C rections /Commen s/ nstructions: 1 'S-1, la ‘‘,/}1- u e.-7_ A" 5 )A (2 uv 0.k \6Q-6 ' C , 6; L r : Lt to , , ,. 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(\ci n PASS P k v PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL IA CALL FOR INSPEC — ION n ADDITIONAL FEES ASSESSED e 7 Inspector: ( Date: V 1 " / 7) 7 Phone #: (503) 718 - LI • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 5 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503- 639 -9208 CONTRACTOR: Gabor t eNEKROV(ft tiITRIYEVNA PHONE #: 503 -572 -7256 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 . 5 Post/beam plumbing 053097 -02 503 - 572 -7155 N Corrections /Comments /Instructions: f f4t ,,,, I I S �. 1p N lJ� �- � 1 � � l� / W ✓ i 3 Co ! - v't Tb v 4O ;r -\J 14 '�C., '�0��'10✓ Iee, " - 2/ / of is 7 91,J f ) '' �o J c 0 r�n� 1� +� � \f Sri✓ -i ��e c.J �� Mia,,`1 -a a 1/l F' l rar.vv 4 c 'rv,-r, 04, 1 i i i 'b ✓ U1 y e Ali,.; • I;,1,, 4 R 13 "41-J a -t- 0 Rs c 1 ) • • n PASS PARTIAL APPROVAL n CANCEL I NO ACCESS K FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f r Jt )' Y Date: "7 1< Phone #: (503) 718 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 / , i�Npn�iF`�d Inspection Requests (24 Hrs.): (503) 639 - 4175±1 � INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 2 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 639.92013 CONTRACTOR: »011► F' 'llietR ITRIYEVNA PHONE #: 503 572 - 7255 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 052376 -02 503 -572 -7155 N Corrections /Comments/ Instructions: 4ff iv1 2 29 P U .S P , P Apen, -mil. - 2))-0 • \ py as' 01 � ra lve /�� � o r M..fir - e-^ ., I, ,se, \ , r• a . i. et/ o, yes c. 1) to`r1•4 v a- C�- l �o✓ a 4-i)0 L/. n PASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Qb � � Date: 7/l cr J07 Phone #: (503) 718- _ CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 r ublW� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ‘�' 'I �.. INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 5 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TAP/ANA DMITRIYEVNA PHONE #: 503 - 539 -3208 CONTRACTOR: to° OVI Ott NBEM p iITRIYEVN PHONE #: 503-572-7255 Inspection Request Scheduled For: Date: 1/17/2007 Pour Time: 61 t>" Code # Inspection Description Confirm # Contact # -ssage 330 Water service 05215U -01 503.572 -71555 Y Corrections /Comments /Instructions: 1 l S \4 / — )4•S Pt/Pr Li . s�- -- i I PASS I \ \ ARTIAL APPROVAL n CANCEL I NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Vbc I i p L 7 � ld Inspector: Date: ` Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 d yiw�l�° Inspection Requests (24 Hrs.): (503) 639 -4175 °-'L. INSPECTION WORKSHEET FOR DATE: 7117/2007 TIME 7:03AM PAGE: 6 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DM!TRIYEVNA PHONE #: 5503 - 639.920 CONTRACTOR: f3LaDOVIISANEICRUMIWITR IYEVNA PHONE #: 503-572 -7255 Inspection Request Scheduled For: Date: 1 /17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 05215 : -71 503 - 572 -7155 N Corrections/Comments/Instructions: Iv li V ^ • 01 . PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Vb\--A Date: ? ' Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: h/IST2007 1 70 i 131`25 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 512/2007 Phone: (503) 639 -4171 q � � i Inspection Requests (24 Hrs.): (503) 639 -4175 ' ='. _ � .. INSPECTION WORKSHEET FOR 'DATE: 7/17/2007 T ME: 7 :03AM PAGE: 7 SITE ADDRESS: 12856 SW 133RD AVE -_ CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: t 0 00VIMINIMMINOMITRIVEVNA PHONE #: 503-572-7255 Inspection Request Scheduled For: Date: 1/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 0521 : -02 503 -572 -7155 N Corrections /Coryiments /Instructions: j /ks• i lIA■t_A 5A. de - (A.sa->L--re--- UtAk-J A__,A____,..A.,_,„r, e „,-.., 49_ / , . ___., w is, , ., 4,_ , i I I PASS % PA = IAL APPROVAL n CANCEL NO ACCESS . 1 I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �� Dater - ` Phone #: 503 P ( ) 718 - CITY OF TIGARD BUILDING DIVISION --- PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 .„0- DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 o fill Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 4 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 CONTRACTOR: grattortgi§NBTRUMMAITRIYEVNA PHONE #: 503 572 - 7255 Inspection Request Scheduled For: Date: 7 /17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 05215U 02 503- 572 -7155 N Corrections /Comments /I tructions: 1 , " P--) s f .6. .<___ kr 3 b - o - o • • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED vu I l® Inspector: 1 Date: i Phone #: (503) 718- . i . CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007- 00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639- 4171��l "� Inspection Requests (24 Hrs.): (503) 639 -4175 tit INSPECTION WORKSHEET FOR DATE: 7117/2007 : 7:03AM PAGE: 2 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 -633 -9208 CONTRACTOR: t OVI t N$r RIMITRIYEVNA PHONE #: 503 - 572 -7255 Inspection Request Scheduled For: Date: 1/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 05215% 03 503-572-7155 N Corrections /Comments /Ins tions: X ,‘•( Lie/AZ\ ‘ r ti j / _ CGA1)2," 31 7 o P C z ) G\r-e_o-il la PASS I PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \Li AV Inspector: Date: 11 n 1 Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007- 00012 .. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 ir Phone: (503) 639 -4171 p, Inspection Requests (24 Hrs.): (503) 639 -4175 __I INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: : 3AM PAGE: 1 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 6399208 CONTRACTOR: -`i: - 110 l lg N "h' , t t ilTRIYEVNA PHONE #: 503. 572 -7255 Inspection Request Scheduled For: Date: 7/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 052156 -04 503- 572 -7156 N Correctio /Comme is /Instructions: ii 7- 'tic /d) In Colt 3 afti-Dv . ,0 • . . PASS n PARTIAL APPROVAL n CANCEL NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED . ,k4; v i t - -. Inspector: Date: 7 Phone #: (503) 718 - CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007-000.2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7f74)0 Phone: (503) 639 -4171 ,, %� tt �l�iijil Inspection Requests (24 Hrs.): (503) 639 -4175 �.. W' INSPECTION WORKSHEET FOR DATE: 1/24 /2008 TIME: 7 :02AM PAGE: 67 SITE ADDRESS: 12866 ;3 \/ 1 33RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: E.QOY'II OC iCADMIITRIYEVNA PHONE #: 503 -572 -7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 198 [lec-tiical final 063819-01 300.518-7583 Y Pt^ Corrections /Comments /Instructions: • . . T ‘ re , , ' i I I PASS _ PARTIAL APPROVAL CANCEL El NO ACCESS n FAIL n CALI FOR INSPECTION ❑ DDITIONAL FEES ASSESSED Inspector: D ate: �lb, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007 Phone: (503) 639-4171 4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ['STATES LOT #: 007 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11107/2007 ADD: Low voltage, all eneornimsing. OWNER: GOLOVINA, TATvANA DMITRIVEVNA PHONE #: 803.639-9208 CONTRACTOR: MOY1[961413MIZVAR4ITRIYEVNA PHONE #: W3-872-7155 Inspection Request Scheduled For: Date: 1/23/2008 Pour Time: Code # Inspection Description Confirfn7# Contact # Message 199 Electrical final 063724-01 360-518-7589 Corrections/Comments/Instructions: kiJLA■fr li 1'36 • Lv "Pc.c.N.1 Pitaa 16A C" N vv\ cAe ,Q(NraRT\It El PASS fl PARTIAL APPROVAL n CANCEL fl NO ACCESS ;FAIL 54VLL FOR INSPECTION LII ADDITIONAL FEES ASSESSED Inspector: Date: -1-- Phone #: (503) 718- DIA, CITY OF TIGARD '- BUILDING DIVISION Alk PERMIT #: WIST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 "till" i i f r Inspection Requests (24 Hrs.): (503) 639-4175 —JAI' ' n_. INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TA1YANA DMITRIYEVNA PHONE #: 503.639200 CONTRACTOR: Gai)OVICgt INOCRIVaiMMI TR I YEVN A PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 11/30/2007 Pour Time: Code # Inspection Description Colifirm # Contact # Message 115 Electrical sewice \ . 60585-01 503 572-7155 N Corrections/Comments/Instructions: - PARTIAL APPROVAL pi CANCEL NO ACCESS — — 0 FAIL - CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED — Inspector: Cr N 68 L‘ Date: WI 20(61 Phone #: (503) 718- 9-111-1A) CITY OF TIGARD BUILDING DIVISION PERMIT #: lvIST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7120107 Phone: (503) 639 -4171 A 4N�iiq� (� . Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 3 SITE ADDRESS: 12056 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HR1.I_SIDF I :STATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: ( LOVINA, TATYANA DMITRIYEVNA PHONE #: 503639 -9208 CONTRACTOR: fiallOVINeiNEXTWOVMAITRIYEVNA PHONE #: 603-572-7155 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 060500-05 503 -572- 7155 N Corrections /Comments /Instructions: ?ik.ov ot\ s o6rx' C.A iNel C . 4651)e..T 1 - 61 156 k)6 VC(Z‘iiZg S r n PASS H PARTIAL APPROVAL f l CANCEL n NO ACCESS FAIL F.4 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: IA 0 1 31-5 -- Date: __ VI a Phone #: (503) 718- _ 14410 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639- 4171a4N�uu � Inspection Requests (24 Hrs.): (503) 639 -4175 ��' ,''L. INSPECTION WORKSHEET FOR DATE: 11/02007 TIME: 7:O0AM PAGE: 67 SITE ADDRESS: 12856 SW 133RD AVE. CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11 /07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 639.9208 CONTRACTOR: QYI NBi "Rd W +IJTRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rotiuoh -in 059221 -01 360.51Q -7509 N Corrections /Comments /Instructions: • PASS? _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G `' uvGS L Date: '6 Phone #: (503) 718- 21146 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS1'2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:00Atvi PAGE: 66 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: Mar MNOTROMINAITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 11/812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 059221-02 360-518-7589 N Corrections/Comments/Instructions: /I .,- PASS fl PARTIAL APPROVAL El CANCEL 0 NO ACCESS fl FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G- • Acse31.-- a e: D t II ' 0 Phone #: (503) 718-141 _ • „ _ , . _ • . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST1007 -0€ 012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/0 2007 Phone: (503) 639 -4171 a� A. � i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:00AM PAGE: 79 SITE ADDRESS: 12866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILL SIDlw ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: EMOVIMNEKRMOVIITRIYEVNA PHONE #: 603••572 -7155 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Elecbicai rough-in 069017 -0 360.518 -7569 N Corrections /Comments /Instructions: 1 �f y � ,� r ' (�(k..0 S. o 41 (Z I L) (I it i wi !' y I Ck v`� ILL 6 W . 11 C. NL ►� ikc&Q1 ( pow N 04 - c`T V o . '1 243I61 ?xto\) a Q1 k u LV -- IW Gti<<-10 5 I.c.) e fri-itiP )C �' Ppo 3.26 . v Paii)N t\t/taJ 4 1 ' t et561E F•fg).___), ,1 ® pt� 4 o • S c i( t t F o2NPc . i1 se6f it 1 sticili No_fbi\N .4 _____ z ti ta. a“c/L4 B150016 vaic \ Q 1 VOL KINI S g - 1' V - -414 �, IL I F ' 6 L -f4:6) pizzliccc lauta &, i1,41321) ) rjbv , \A: f - AA it - It 0 ako 5 1 6 atc11 14,4 eux esoxis i A kVA. IIN 51&7 14 C,o/m ;(J CE d1, i I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL XCALL FOR INSPECTION _ADDITIONAL FEES ASSESSED Inspector: ■ 0 Date: it b 0 Phone #: (503) 718- li`fb CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2120;17 Phone: (503) 639 -4171 w Inspection Requests (24 Hrs.): (503) 639 -4175 :�! INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: 78 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: , PROJECT NAME: FIit.ISIDE ESTATES DESCRIPTION: New SF OWNER: COLOViNA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: MOVItsla N'SerairMavi I TRIYEVNA PHONE #: 503 -572- 7165 Inspection Request Scheduled For: Date: '1116/2007 Pour Time: Code # Inspection Description "nfir-m - # - - Contact # Message 135 Lew voltage / 059017 -02 360-518 -7589 N Corrections /Comments/ Instructions: V I ' wo Pakmil 1 4 s va0 6sit. 6a s &t ft y 6 (t Vir6 5 . i • is Ftist. b "N_ '0 ow-- e4 `P- 5`76, - N6► -_ ' : %. & Nt'O NkIWL 'Tv •. 6 \PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: GT% NO Date: 1 I • b • 01 Phone #: (503) 718- 2-000 CITY OF TIGARD 1 BUILDING DIVISION " PERMIT #: 1S12007-00012 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007 Phone: (503) 639-4171 Inspection Requests Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:07AM PAGE: 11 SITE ADDRESS: 1 SW 133RD AVE CLASS OF WORK: SUBDIVISION: F l i t LSI DE ESTATES LOT #: up TYPE OF USE: PROJECT NAME: tilitSIDE ESTATES DESCRIPTION: New SF 11107/2007 ADD: Low voltage, all encompassing. OWNER: GOLOV1NA, TATYANA DMITRIYEVNA PHONE #: 503-639-9:108 CONTRACTOR: MUM (NA NesmionowilTRIYEVNA PHONE #: 503.572-7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 209 Final inspection 063867-03 503-840.2251 N Corrections /Comments/ Instructions: 0 -1re, 0),i--4=, c--,A - i----, c c...4__A ■t,,, ?) e . I PASS El PARTIAL APPROVAL VCANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES A SESSED Inspector: df. Date: 1 Phone #: (503) 718- V—L--- I CITY OF TIGARD BUILDING DIVISION .. PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 AO , DATE ISSUED: 11/7(2007 Phone: (503) 639-4171 Ay IPROIi# Inspection Requests (24 Hrs.): (503) 639-4175 AO' 'ILL INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 9 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: N eiAt SF 11/07/2007 ADD: Low voltage, all encompassing. 5' OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 03-639-9208 CONTRACTOR: MOVINONKRUIVIIMMITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 063869-01 503-04(•2261 N Corrections/Comments/Instructions: e Nc))) n PASS 0 PARTIAL APPROVAL CANCEL NO ACCESS fl FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED V; IlL1' 6 , yziy Inspector: Date) / I( V Phone #: (503) 718- ... _ . „ • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ti7/2007 Phone: (503) 639-4171 A ,4:1101 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AlVi PAGE: 12 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DivilTRIYEVNA PHONE #: 503.63g-9208 CONTRACTOR: mar MtkigrROZNAAMMITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gus line 063867-02 603-840-2251 N Corrections/Comments/Instructions: i i //6 ? (Wj • • 0 I I PASS 0 PARTIAL APPROVAL ' CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED 11 ( 1 / Inspector: - Date: Phone #: (503) 718- -V t 24 CITY OF TIGARD • 1 1 BUILDING DIVISION . . PERMIT #: M5T2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: iirinow Phone: (503) 639-4171 „ ripl ii Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02A1Vi PAGE: 13 SITE ADDRESS: 12056 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage,, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639-9208 CONTRACTOR: MOVIMNEKRUMONWITRIYEVNA PHONE #: 503 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 063667-01 503-840-2251 N - Corrections/Comments/Instructions: , („2„ 7 — _Ito ce as s L R._ /6 V . c_o___e ,_,..e„ 4 4 / _ ...L.L__ _ 10 El PASS lij PARTIAL APPROVAL ifCANCEL fl NO ACCESS Ei FAIL El CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: ■• ate: D I / r Phone #: (503) 718- 2 Y • CITY OF TIGARD BUILDING DIVISION I PERMIT #: M5T2007-00012 II 13125 SW Hall Blvd., Tigard, OR 97223 A f _. DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 keA/PA I it Inspection Requests (24 Hrs.): (503) 639-4175 -WA 1— INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 12866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: t3OLOVINA, TATYANA DMITRIYEVNA PHONE #: 503-639,920a CONTRACTOR: %WY I Oft NBTROZA7MAI TR I Y EVN A PHONE #: 503-572-7165 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: 9:00 • Code # Inspection Description Confirm # Contact # Message 270 Reinforcing steel (rebar) 061079-01 503-572-7165 N Corrections/Cments/Instructions: v)\ Pcf•r ).)(9ii-tvic.9.1 r r- .., -- _,-------------. . ... / \ - I 6 1 / 4 s' vu..e.A a . .,,,,-<11 --'-------‘ G e-- Jr _ ----1 .. „---. 7 " 7---." I P ASS PARTIAL APPROVAL fl CANCEL fl NO ACCESS 0 FAIL CALL FOR INSPECTION , n ADDITIONAL FEES ASSESSED _ vtA: (it.........., Inspector: Date: Phone #: (503) 718- 2_ CITY OF TIGARD 4.,•..--, BUILDING DIVISION A PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 q DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 hopeo A / 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7: 00AIVI PAGE: 11 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: GMOYMINIMUMONAITRIYEVNA PHONE #: 503-572-7165 Inspection Request Scheduled For: Date: 11/26/2007 Pour Time: MCI Code # Inspection Description Confirm # Contact # Message no slab pri_ASt 060216-03 603-572-7155 N Corrections/Comments/Instructions: 6 • /ASS 7 PARTIAL APPROVAL pi CANCEL I l NO ACCESS pi FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED (11_. Date: ) eP hone Inspector: #: (503) 718- _ . CITY OF ' BUILDING DIVISION PERMIT #: MST2007- 00012 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: i'i /7f21 07 Phone: (503) 639 -4171 ,a ��lP i jlio , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AEr1 PAGE: 74 SITE ADDRESS: 12.856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE: ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: s3(LOVINA, TATYANA DPvMITRIYEVNA PHONE #: 503.539 -9208 CONTRACTOR: Otab yitsjf¢e '} j11 , ! #/iITRIYEVNA PHONE #: 603.572 -7155 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 069492 -01 503-672 -7155 N /Corrections /Co ments /Instructions: / 0 1 ( 1‹) . 4 AZ --Ss n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4; (/ l _/ Date: Phone #: (503). 718- CITY OF TIGARD . BUILDING DIVISION p PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639 -4171 :s u i , Inspection Requests (24 Hrs.): (503) 639 -4175 �' `:_ INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7 :00AI41 PAGE: 2 SITE ADDRESS: 121358 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF 11/07/2007 ADD: Low voltage, all encompassing. OWNER: GOLOVINA, TATYANA DMVilTRIYEVNA PHONE #: 603-639-9208 CONTRACTOR: movl(sieKKROZWINITRIVEVNA PHONE #: 603-572-7166 Inspection Request Scheduled For: Date: •11/8/ 2007 Pour Time: qp Code # Inspection Description Confirm # Contact # M age 275 Framing 059302 -01 503 -572 -7155 ; 2 Correcti ns /Comm s /Instructions: �/ t/tA. .c\,.,,r 7.1 • ' \ 6/ — / °i 0+ ) 1 b- I � ,-L - 0.-- _ � -- C4N f S , Lz,\CLx_J- 4 A.A. - Ill .ii. IIIP A # ' f 0 - D ) , rininat _ ,, 0 `IC , ,.. 6..._ 4‘ ,e---et--- ( (2A l • ek...--.-7-It, <AA --Lk_sLe,,,(---- ,- n PA.S q PI. PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: t. Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION ' f ' --- PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 t. DATE ISSUED: 5.`2/2007 Phone: (503) 639 -4171 ��j��� Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' i L INSPECTION WORKSHEET FOR DATE: 11/62007 TIME: 7 :00Am PAGE: 5 SITE ADDRESS: •12866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603"639 -9208 CONTRACTOR: Gabor k Qt tkr&TRUMIRMITRIYEVNA PHONE #: 503-572-7155 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: wt/ Code # Inspection Description Confirm # Contact # Me-. -ge 6 i5 Mechanical rough -in 069101 -02 503.672 -7155 Y Corrections/ o ents /Instructions: 'VIA CIA.-- . . _, .A/ (0/9 — 5k '_4--. 6__-,_1.- V //n, , — 7 1 v . --- 2--L ANN— c -- u OIP (AA-$ Ze__-c.)1 54....G,_9.....L._ It 31 , . • Q vvc. ■ , _ , 140 0 „, :\r \ A - I - r T-i --s5 e., -- oy L,,,,,5 -/ . 6-'")(-1--;;'1 0 C JA Z ASS s A PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED L4 Inspector: Date: ! Phone #: (503) 718- ,. • _ . CITY OF TIGARD BUILDING DIVISION n - E D # .: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 ' - - DATE PE IS R Phone: (503) 639-4171 i tcht lit Inspection Requests (24 Hrs.): (503) 639-4175 ,.,„„W INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 121156 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF(' OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 CONTRACTOR: SMOVIMINSTROWIP6,AITRIYEVNA PHONE #: 503 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 059004-01 5(33-572-7155 N ) Correctiins/ , y -nts/Instructions: IAA ( O / I A I . ) , . , . A---o- 0 , • tcs-c ,,i2J) ____,. ,,_ ., PP c 7t) -(---. cj L.....,- S 1x'N 51-4- Ae — W iti kA6-1/441_,1/4414 562.v.A_Q._ . A 1 s I# S2,,LsL .0 v_ki ,,,._. (— c c-- 42--- ( t 1 kcj 6 Locit___ 4 4,AA vc"..ci.aux.). Wi rcyc ,, c ...,...,.„ csiL ;--- . ) 7 sbaA CiTKvi-- 4.,(2--v4-__ A. • _ _ L ‘_ 1 C.) 1.-24` „1„. , A _--- - Cjio -- 62...re_A..)2._ S ,. - 3 / ---- 4 1 J, I k.... __?e_ ,i / . t AkAV—e_WL___. VIA-:1—qex. r , Vi,14-1AAre---v• 41 ,h,v-t-ic__ IrQ., ,X-5 4-0 E , k" 41i ...A. 1 ._ Amid k•4A-- . 1 7...Aiej a vy... ..A.., 0 letAAA.Q_ . 4_,_, PASS fl PARTIAL APPROVAL El CANCEL fl NO ACCESS FAIL ' I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (...-Zz. Date: k lAcIO? 7---)1 2 -51 Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION #: MST2pp7_00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 502007 Phone: (503) 639 -4171 ibo �� Inspection Requests (24 Hrs.): (503) 639 -4175 '__ INSPECTION WORKSHEET FOR DATE: 11!5/2007 TIME: 7 :01AM PAGE: 6 SITE ADDRESS: 12866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 / TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES / DESCRIPTION: New SF �. � OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603 - 639.92083 CONTRACTOR: MIMI fgel'•!EA"Rdd IITI2IYEVNA PHONE #: 503-572 -7156 Inspection Request Scheduled For: Date: 11/612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 059003.01 503 -672 -7156 N 4 Corrections /Comments /h_structions: ``-- i (0q - P ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED i / ( Inspector: Date: `' Is--"3 2)1M Phone #: (503) 718 - CITY ������0�������� ' ' ��m u n OF m n�m�mwm�� BUILDING DIVISION ` -/ pER/N|T#: h4EJ2DU7'ODO12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5y2/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A.0W� - 11., INSPECTION WORKSHEET FOR DATE: 10/3112007 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 12G5GEW133RDAVE CLASS OF WORK: . SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: M|LLSIQEFSTATES DESCRIPTION: New SF OWNER: GQLDV|NA.TATYAMA0M|TR|YEVNA PHONE #: 5O3 CONTRACTOR: MOVINeNBefRODWOMITRIYEVN A PHONE #: 603..577_7156 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: . Code # inspection Description Confirm # Contact Message 240 iii.' Extelior ahenthing 068749-01 503-672-7155 N Corrections/Comments/Instructions: • ' A I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS FAIL | | CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED _ y � / ��> Inspector: 1/�~� ^' ___--�'— Oate�/�� � �� ^^ Phone #� (5O3> 718' ' � ' .` (503) '' - ( (.�� � ' ' . r CITY OF TIGARD ' BUILDING DIVISION #: iT 007 -0 o1z 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 02007 Phone: (503) 639-4171 ' P��m Inspection Requests (24 Hrs.): (503) 639 -4175 __I INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00Am PAGE: 2 SITE ADDRESS: 12a56 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLEADE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503- G39-0208 CONTRACTOR: MUM MNEKRUMONAITRIVEVN A PHONE #: 503 -672 -7155 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # spection Description Confirm # Contact # Message 242 / Interior shear walls 068749-02 503.572 -7155 Y Corrections /Comments /Instructions: • • . ki PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS F AIL C ALL FOR INSPECTION ADDITIONAL FEES ❑ ❑ I ECTION ❑ ADDITIONA ASSESSED Inspector: - pector: � / Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS`T OI 7 00012 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: En /2007 Phone: (503) 639 -4171 " n � p���ii til Inspection Requests (24 Hrs.): (503) 639 -4175 en... -,,...' INSPECTION WORKSHEET FOR DATE: 1013//2007 TIME: 7:00AM PAGE: c r SITE ADDRESS: 12856 M 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603..639.gm CONTRACTOR: s t, r NEARM91416, ilTRIYEVNA PHONE #: 503„572.7155 Inspection Request Scheduled For: Date: /0131/2007 Pour Time: Code # )spection Description Confirm # Contact # Message 235 \V Shear wrallsi nchors 058747-04 503-572-7155 N Corrections /Comments /Instructions: 4 PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: V l/ Date: li ' 1 °f1 Phone #: (503) 718- -7--' ?A . ,\17.A'" CITY OF TIGARD BUILDING DIVISION #: M Ta007 0001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5,02/2007 Phone: (503) 639 -4171 /6 � 1 - Inspecti Requests (24 Hrs.): (503) 639 -4175 : . � INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 4 SITE ADDRESS: 12056 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, T ATYANA DMITRIYEVNA PHONE #: 6'03.G39.920t3 CONTRACTOR: geiDC7YItgehVCRR r9ITRIYEVNA PHONE #: 503- 577.7155 Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear walls/anchors 0586A3,01 503.572- 7155 N Corrections /Comments /Instructions: N6titt : i-e.e LAA5 e e vC -r-J- • t °M o ( v'2', / o-S r :1 .:__■ .. _ -Al ∎i —ee- 6 4 G ®cam C$�t 1 - 1 i I PASS r` PARTIAL APPROVAL n CANCEL n NO ACCESS if I I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C t/' d7, Date: l 6 l 6 7 Phone #: (503) 718- 2 ` CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/212007 Phone: (503) 639 -4171 Il till l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02Am PAGE: 2 SITE ADDRESS: 12866 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 00,E TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: N SF OWNER: COLOVINA, TATYANA DMITRIYEVNA PHONE #: 603.63g-9208 CONTRACTOR: SI I l 'Iis ' b1„A "Iv lTRIYEVNA PHONE #: 503.572.7155 Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 058643.02 503.572 -7155 N Correcti ns /Comments /Instructions: ( 0 )4 -l V k/LA --- 5 s,9 17,1,_,Lx,.. ,,,_____,- . ,P-L,-, fz:1„--- ...,,,,,,,re_____ P--t,,--,‹ ( t-)-es E ILA .. ■ - r---‘,L__± 71 --e - t/I - ) 0 ❑ PASS `' PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: \ b> ) D 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: • Iv1ST20Q7 -QO012 13125 SW Hall Blvd., Tigard, OR 97223 �/ ` DATE ISSUED: 6,.0 2(007 Phone: (503) 639 -4171 i lililli, t Inspection Requests (24 Hrs.): (503) 639 -4175 _.:� INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 60_639.920s CONTRACTOR: GettiOr(geNIDMADVIABA ITRI PHONE #: 503-572-7155 • Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 056643-03 503 -572 -7155 N Corrections /Comm nts /Instructions: ( -) 6 4 • 5 5 le (-__ e_______,atsr(,_ 0 ./cAr --- z - -, vvvet.A___ C- 6-0-(- 1,,__:_e, ( 1 /3 ,-./ c g - fe_,„.--v - i 6 J-- G., j e t _ k ,k, ) PASS ► 4 PARTIAL APPROVAL n CANCEL NO ACCESS ❑ FAIL Il CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ` ` L (/' Date: IA i3/7 Phone #: (503) 718- Z- 2-1 CITY OF TIGARD BUILDING DIVISION #: MIST 007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '='JJ007 Phone: (503) 639 -4171 /60 �ip Inspection Requests (24 Hrs.): (503) 639 -4175 = 11.. INSPECTION WORKSHEET FOR DATE: •10/21`007 TIME: 7:01A PAG 35 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILL c IDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 603.6;39.9208 CONTRACTOR: MetylciewazumaNAITRIVEVNA PHONE #: 603,672_7155 Inspection Request Scheduled For: Date: 10/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 22f' Pos►Jbearn structural 0 -01 503.572 -7155 Y ,s. /410^ Corrections /Comments /Instructions: �"' i r 7 ' • "4 �� I I t it'i ...A! i. . ' ,ice. + / .L.'.. _ .,. ° i . 1. V ' i' / � ' L 1 �� / ► . ' . 1.L4 ,_°,_/ / / / 4 1 i // / " V '44 .lB,I k- , ' , I 3 / X - 4 1 /ii 1 Sri /,J ('I ilk.' C I. _ / h4/1411) S .t..:// /3' r :.1 - , / .. :4. #. .�J/I I i f .t ✓:rte' 1 .; ,;, 4 i ,„ _ te T/D , --/o-/ 1 l /ti- fl PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS t il 'FAIL rig CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: Date: 0 Phone #: (503) 718- 2 Y CITY OF TIGARD BUILDING DIVISION #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 A. 4„ @ I iii I Requests (24 Hrs.): (503) 639 -4175 ....� ' _ 1 _.. INSPECTION WORKSHEET FOR DATE: 0/2/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 639-9200 CONTRACTOR: efEbOYINIttNEKRIUMIRMITRIYEVNA PHONE #: 503-572-7255 Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 053295 -01 503- 572 -7155 N M ( Corrections/ ommeents /Instructions: N '04 t ,- . :,24l, G-0-12-07----ka—J _ d 0 ( 'fie I _ D , .. . 0 l5 - 1 t 4__ C_Jt x 1 3 L.A.." cl &rz____ T 4 l , c f c--( 4, - &Z UL • s c,t f 6 - .@ -1--5,-37k . i.fr _ 6.. pi, lo P ‘- t id , ,) v,•v., . ., I I PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL r CALL FOR INSPECTIO n ADDITIONAL FEES ASSESSED e- 14 a //rr fj� /�t Inspector: Gr� Date: V y/ y Phone #: (503) 718 r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 *zeal/ m ( Inspection Requests (24 Hrs.): (503) 639 -4175 ` :_.. INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: C7 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE. ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 639.0208 CONTRACTOR: GEID.OVINONEKNANAMMITRIYEVN A PHONE #: 503.572 -7255 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 053097 -01 503- 572 - 71566 N Cor -ctions /Comments /Instructions: 4/, 5 mad. e n� AA!' Ji — AN • L t a / A I` T 4:- 4.5 A161- /"4-.,"");11-64.5- .. g" 1✓ L-S 4-1 S,LL. Z � `G �� n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: - 7— 3l �� Phone #: (503) 718- ? CITY OF TIGARD - BUILDING DIVISION #41 PERMIT #: 5.M192/720.000.77-00012 13125 SW Hall Blvd., Tigard, OR 97223 % DATE ISSUED: Phone: (503) 639 -4171 u �dNP�i�'iit Inspection Requests (24 Hrs.): (503) 639 -4175 �' __.. INSPECTION WORKSHEET FOR DATE: 700/2007 TIME: 7 :03Am PAGE: 2 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIVEVNA PHONE #: 503 - 639 -9200 CONTRACTOR: SEXCLOVINelliefiRkieVitCOMITRIVEVNA PHONE #: 503 -572 -7255 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 052465 -01 503- 572 - 7155 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 4) l Date: /1/ 1 Phone #: (503) 718- J / 67-0 i 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00012 l 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 hor ii o f ii Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503639-9208 CONTRACTOR: :: '041.OVINA T T 6 ITRIYEVNA PHONE #: 503-6 :1 Inspection Request Scheduled For: Date: 7/11/2007 Pour Time: 1 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 051815 -01 360. 772 -4021 Y rections /Comments /Instructions: Co 6 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED o Inspector: Date: 7/I/ Phone #: (503) 718- E CITY OF TIGARD dp • BUILDING DIVISION PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22007 Phone: (503) 639- 4171uI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7 :03AM PAGE: 39 SITE ADDRESS: 12856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503 - 639-9208 CONTRACTOR: .OVIt1etNf R 1 ,t MTRIYEVNA PHONE #: 503. 572 - 7255 • Inspection Request Scheduled For: Date: 7/5/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 051470 -01 360. 772 -4021 N Corrections/Comments/Instructions: 5',.15- Arrxerile vd ( .1 Q C-rt 0, n PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ; Date: 7- 3 Phone #: (503) 718 - • Jun 28 07 02:29p P.1 Hydmdieo Engineering 8611 SW 62• Avretue • Portland. OR 97219 • • Phnnc: 503. 8922000 • Fax:503,246,6021 vi a -mniL Itydrogao@comcaat.nct • • • • ••••• • . • May 9, 2007 Sedoy Construction Attn: Vladimir & David Re: Lot #2 @ 12856 SW 133 Ave., Hillside Estate, Tigard, OR Subject: Soil Inspection of Foundation Subgrnde (Final) • -Dear David : ' • In accordance with your authorization, we visited the above referenced site on June 22, 27, 2007 • • to observe existing foundation subgrade conditions. We have reviewed the site plan and • • • • drawings for the structure as submitted for the permit. The site preparation work consisted of stripping vegetation and Lupsoil, removal of roots, organic matter and other unsuitable soil and debris within the building footprint. The grading work • involved removal of surficial soil within the building pad and was performed in general • conformance with project requirements and current standard of the practice. Based on our observations and soil probing with a A" steel rod it is our opinion that native stiff silt soil exposed in excavation is suitable for footing construction. We appreciate the opportunity to assist you on this project. If you have any questions or would like additional information please feel free to contact the undersigned at 503 892 - 2000. G� TINeo.- Os � � � NJIQUt QOIBERG Mike Gol'` . fa 17 • Principal Engineering Geologist 9° ,F l P/2 7 • TOOIJ XVI TZ:90 6Z /90 LOOZ CITY OF TIGARD BUILDING DIVISION #: MST2007-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007 Phone: (503) 639 -4171 �° n1u_ A Inspection Requests (24 Hrs.): (503) 639 -4175 'f I.. INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 55 SITE ADDRESS: 1 2856 SW 133RD AVE CLASS OF WORK: SUBDIVISION: HILLSIDE ESTATES LOT #: 002 TYPE OF•USE: PROJECT NAME: HILLSIDE ESTATES DESCRIPTION: New SF OWNER: GOLOVINA, TATYANA DMITRIYEVNA PHONE #: 503.639- -9208 CONTRACTOR: DVIN6( I'R AL 7W MITRIYEVNA PHONE #: 503- 572 -7255 Inspection Request Scheduled For: Date: 7/3/2007 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 051351 -01 360-772-4021 Y Corrections /Comments /Instructions: . • r 1-s ./1/4.4-6 °? zr �, j;'v €a1F y L1. I P S n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ; Date: 7 -3 Ca ? Phone #: (503) 718 -