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Permit City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • • • T I GARD July 2, 2008 • Paul Krasausk 15070 SW Mallard Dr., #102 Beaverton, OR 97007 Re: Permit No. MST2007 -00141 Dear Mr. Krasausk: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 10086 SW Alyne Ln. Project Name: Krast Park Job No.: N/A Refund: ® Check #58049 in the amount of $240.00. ❑ Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund for overpayment of TIF -R fees due to calculation error. If you have any questions please contact me at 503.718.2430. Sincerely, • Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Paul Krasausk DATE: 6/12/08 15070 SW Mallard Dr #102 Beaverton, OR 97007 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -4527 Case #: MST2007 -00141 Date: 10/8/07 Address /Parcel: 10086 SW Alyne Ln Pay Method: Check Project Name: Krast Park EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $240.00 APPROVALS: If under $500 Professional Staff 1,P If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY ✓ Case Refund Processed: I Date: 1 Z S / U I By: I 1: \ Building \ Refunds \RefundRequest.doc 05/23/07 M I CITY OF TIGARD 6/11/2008 q 13125 SW Ilan Blvd. 12:25:32PM Tigard, OR 97223 5113.639.4171 TIGARD Receipt #: 27200700000000004527 Date: 10/08/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007- 00141 [CDCPLN] CDC Phi Rev 100- 0000 - 433060 46.00 MST2007 -0014 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00141 [BUILD] Bide Permit 245- 0000 - 432000 617.91 MST2007 -00141 [TAX] Build 8 %, State Surchrg 100- 0000 - 207020 104.43 MST2007 -00141 [METCET] Metro Const Excise Tx 245- 0000 - 229202 259.51 MST2007 -00141 [MECH] MEC Permit 245- 0000 - 431010 72.50 MST2007 -00141 [TAX] MEC 8% State Surcharge 100- 0000- 207020 5.80 MST2007 -00 1 4 1 [PLUMB] PLM Permit 245- 0000 - 431000 444.00 MST2007 -00141 [TAX] PLM 8 %, State Surcharge 100- 0000- 207020 35.52 MST2007 -00141 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2007 -00141 [TAX] ELC 8% State Surcharge 100 -0000 - 207020 22.30 MST2007 -00141 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00141 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00 1 4 1 [TIF -MT] TIF Mass Tr 2 1 0- 0000 - 448005 240.00 MST2007 -00141 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00141 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 28.60 MST2007 -00141 [EROSN] Erosn Pin Rv COT 245- 0000 - 433010 28.60 MST2007 -00141 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 Line Item Total: $10,564.92 Payments: . Method Payer User ID Acct. /Check No. Approval No. Ilow Received Amount Paid Check PAUL E KRASAUSK JR SLN 102 In Person 10,564.92 Payment Total: $10,564.92 eltrrripi.rl,l Page I or 1 C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00141 COMMUNITY DEVELOPMENT DATE ISSUED: 10/8/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135CC -04500 SITE ADDRESS: 10086 SW ALYNE LN ZONING: R -4.5 SUBDIVISION: KRAST PARK SUBDIVISION LOT: 005 JURISDICTION: TIG PROJECT: KRAST PARK Project Description: SF BUILDING REISSUE: ADAIR STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1,040 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,040 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BERM: 4 BATH: 4 TOTAL: 2,080 sf 216,260.22 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 2 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 ADO'L 500SF: 4 201 - 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 & 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 PAUL KRASAUSK ADAIR HOMES laws. All work will be done in accordance with approved plans. This 15070 SW MALLARD DR. #102 21510 NE BENTS CT permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97007 AURORA, OR 97002 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 -641 =9444 Contact #: PRI 503 -678 -5534 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 678 -5595 Reg #: LIC 593 TOTAL FEES: $ 11,314.92 REQUIRED ITEMS AND REPORTS . Ersn Cntrl 681 -4444 Issued B �, //,J JL / `� ' Permittee Signature : � , j I I .1 s] 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. Building Permit Applicatio FOR OFFICE USE ONLY . City of Tigard ed fl 7 Perron No.: /j1 Lj j ,,. 1-00/4 M ill 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie V Phone: 503.639.4171 Fax: 503.598.1960 AUG HUU O6' 2007 Date /B - • , � Other Permit: Q3 ®� Oa/ TIGARD Inspection Line: 503.639.4175 , _ Date Ready /By: 0 See Attached C ecklist for Internet: www.tigard- or.gov �NotiGed Method • Supplemental Information . �' 01.4 I !OA i - r °" .±^i'r�s:fr<a" . >,�d"r.;"m �x*. ,� "'� �± `-';�?u. -3a3s ai7�1 � a r�� �C a - - t � :�^��: '„c�, =t.�.;L ��'f�,.�.,�.�r. � �..� � ^^M.,,; :.,.�'.,r5�.z s��V,iT�;r'°�°s;- ,'w.; - ^ ='r _ � :; nc- . x c �a � 'TYP OF IY , x+ g x x t t ` , "_ � REQUIRED DATA: 16 .4., 2 FAMILY x DWE'LI ING,. §f-'-= ' . { . � i. 4 �� �m�ru�.:s. =` *Lai:. ,'�- �:x�,1',r.z °c?'�k�`=*?'k'rl�.. +;s !'�"sfin1.»#: �s.1"b' >. #�:�,.:. �� *.i „'{.�. ,E� :.t"a ._. ,tr ,�. �c..v ,... z�', «.:...z.� d 1�1 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 :Y.'x" 'ac's - �. = ,s -:„,,�. _' -z -: as'SJP.aj - .; r, -.d� .?._'�aa .�ai-'�,,'ia °:- e-r-- F . - ,; "�, -. "° r�;r:t*=s .` :� '��' „ " ,,;�gu. ) ��;��'��.':'`_� � work indicated on this application . :,'',. 4 . .L -, v;`' ;, Gr1TEGORY OE" �ONSTRItCTION _ '' °*' ".-'� ' r ,. .> r„ : �: �: �; �+ �' s,.' �"°. �z�'`,' �u=r m: m�l�-=« �, a. b: �,,: �- �,` uw'`. xC. s :�?,.�.' °..a..- .�;TM.�,<'i�W �,�u_z):.'�= "''`��,_i:`M 1- and 2- family dwelling El Commercial /industrial Valuation: $ 4 11] Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 3 5 4 4:::=, -'° " €n' : ;,++ '� , +;x -`� � - a: >.;.a;ay;_... >�:. 4. r ; : ..2=.trsa,m3 .r ai. -Qas -« to . : ° ,F F? ; € -1sF ° 'S "1 ;; -' 1 >� % SITE.:Ilkfoli IAt TIONWAND LOCATION 1 `V '" ` ' ; 1- Total number of floors: a Job site address: IOQ$( 30 A\ hA.n,L_ New dwelling area:,80 square feet City /State /ZIP: cA 0 Q-- q1,1.3....3 Garage/carport area: LND square feet Suite /bldg. /apt. no.: Project name: A. (3.7 Covered porch area: 72_ square feet Cross street/directions to job site: f Deck area: square feet Other structure area: square feet ,6P RED DATA:; #42, IAl V§, Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: S / _ Indicate the value (rounded to the nearest dollar) of all (�(�• equipment, materials, labor, overhead, and the profit for the ;;H <<i 4t z z `, 1 o o work indicated on this application. 4 e €.A c3 o �o-4 h 6F Iu' a-/-4-04e l � Valuation: $ -- . . Qa!'�c� e_ 1 o Existing building area: square feet New building area: square feet k�w. �. y , Ai= � � ^ - . .��Y��,r.�£;::t>:,<,r. kr�. r:.:: �;: EY;. x. e' ��` ._#'^ } �'. a.'. �r ��p y=• � - '�Yz�p.: fiap�a� l kz;� ,.. n_�.c': i'�.., ^,;. „c.� �. gym. -�' ,T$ 3 ❑ r PR6 Tk4Z ' � i F W u TENA T s , �; Number of stories: Name: ' J K ras ausI,_. Type of construction: Address: /573 76 6 /A1 W /Are/ DA. /0�, Occupancy groups: City /State /ZIP: 4_6.--.1c r (` d , 97 p 0 7 Existing: / Phone: 67)-3 ) &LH- 94 Fax: ( ) New: "`���at.��,ai "� '� `s'.4 � #� �," `' ' t za�.;. ,•; ;� a-rz ^e =.'r::��v ..t �” ,.. t P.t APP F 4 A° ,.,', CONTA PERSO ' °r. �;; 2 "r , :.rte ` . - e r ':. ru.: t � '# :.i, - , ' ..m. 4.. s .•c "rt', �cx�,, ;;Ad_tvvz.r. . �d , -r :4.. .,a . 4'.,4,,,,z --ie. w .: j4 ,:3;447:o', ,:-v l a 144...`.gs' ? &.:',. ;N: 'K ,C J '"..€1. 1 - 1, A - ' r .+ 'i W , Business name: Adair Homes, Inc. All contractors and subcontractors are required to be Contact name: Carla Williams licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 21510 Bents Court LIE jurisdiction in which work is being performed. If the City /State /Z.IP: applicant is exempt from licensing, the following reasons Aurora, OR 97002 apply: ___ Phone: (503) 678 - 5534 J Fax:: (503) 678 - 5595 E - mail: cjwilliams@adairhomes.com — ' « s $ ?. t `dam ,� .. �,; i � p °.�;'�€:. Y � � "�^,,_ � a- � au :� my - R : a , . rt s ,` .- 4h CONTRACTOR "V =` ` ` , '' v Business name: z Adair Homes, Inc. �; �; aa=. ���4 Fh, � �BULDI�V�G `P��RIVI�T�FEES * €�� ° b�" "��,���°` .y ^ . �.`3r.r I.. � mss. I -',� # �,,; *( .q�,� "� . * r ' ' : '' e: +..-.,:, , ":z yPleas'e iv6.ato'fe'neheihi "le) <0, , , ,=� `,;.. y` : ' Address: 21 51 0 NE Bents Court Structural plan review fee (or deposit): City/State/ZIP: Aurora, OR 97002 ) F ax: ( ) FLS plan review fee (if applicable): Phone: X 03 6 -5 534 503 678 -5595 CCB lie.: 593 Total fees due upon application: Amount received: Authorized signature t / A , Fi This permit application expires if a permit is not obtained f 1 within 180 days after it has been accepted as complete. Print name: ea l // 1 , . 4 „ 1/4.5 Date: g/ 6/0 V * Fee methodology set by Tri- County Building Industry ` Service Board. I:\ Building \Permits\BUP- PermitApp doe 03/21/06 440- 4613T(1 I /02 /COM/WEB) ol®o7-36A ? eV 7 i 11a • ,.. t i r. cEl,„ • . Electrical Permit Applicail ikt ` " - • .FOR OFFICE USE ONLY °` Received ilh I City of Tigard A G 0 6 2007 Date /By: Permit No.: pie x.0;7 DO y 13125 SW Hall Blvd., Tigard, OR 9 ['Ian Review Y Phone: 503.639.4171 Fax' 9g 9 0 Other Permit Ins ection L ine: 503.639.41 - v I � � � Date /By: Date Ready/By: Juris: H See Page 2 for TIGARD P y: Internet: www.tigard - o Ioufied Method: Supplemental Information � uI if�IV' '": ",�.�.• ^� -. � 7.,� H �k�_ ' . :' °+�,e 4'sS"».� �-1,±?�.^'r 's,?o. , � 4 ^�w 4� '- a:>� - ' "`p�yzr=: `� s°- "r"�.s :u"'�-.�•'�"� N.'�Fss �X.=' s ,�,.,r- �� ,� - :r�,�• �1:t ;� ' sFa .,.., ;` i .,, ;, TYPE : >OEAWORK w ,. H � s� i T I , �}( ��..::i*a, *�;r.st,� :.yz.h;�,- .:�.u�y z?�e: � _ � e ,�":''���°�?� to t- ��a�'� ;��'���� -�-`�, � �'� � s ,�t`�,, �;,* �PLAN�RE�„IEW�,iT � �}:-� 1�.�er• �,..,, K New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w/iteins checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. '"'I'''p: "� `e:�"Y = �,M';`+e°';"`''�t:.. f,: '�„�z�'�. arswiaas:.�.a�.E „`ec'E,' ��s:.;a - : �a:.ene ;�-:'. �. � � �;;e #:. - `#.M z� xu '2 ; 'ir*4 M y CATEGORY ,OF, CO �- '` . `, exceeds 10,000 amps at 150 volts or ❑ Floating buildings. a ._ '-" ''` � �: , . „'- :-. less to ground, or exceeds 14,000 ❑ Commercial -use AliC 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or p g q _ -,t+- u 2 � .,,, , ,w. ,.. ol , 5 ;.- ❑ Emergency system, larger separately derived system. x§. 6 ' ,. ; JOB . IN f FOR M ATIO1Vx AND„ , LOCA � R ,) ' p g ?e »,- �, > �,, ,t;'f`r ?�� �u�cwa,.:� .,a a .� � � �� � s= � sue- . .,stn' � � s �� � 0 Addition of new motor load of ❑ .•A "E .. l _2 "1.3 Job no.: Pr 1,31 Job site address: /0 p Sit) / _ I OOHP or more. occupancy. a U / �] � 7 { �/1 ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: /IP: n V ❑ Health -care facilities. ❑ Supply voltage for more than y �qa r� O ~ q\ a 3 ❑ Hazardous locations 600 volts nominal. Suite /bldg. /apt. no.: — Project name: ,4 1.CJs 7 ❑ Service or feeder 600 amps or more. ; ' ? V v - . `$ °t , FE;S_C1=TEDULE >u- , `asSt }t:, x, ,''"7 'L mss: -, '�-,�� •� -_ -E • - . - <����,���;w�`�; � �' Cross street/directions to job site: -6�-� Description Qt Fee. I Total �_ - J New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 5 Ea. add'I 500 sq. ft. or portion 33.40 1 Ss Tax map /parcel no.: / / j) (3 5 c_e L 9,900 Limited energy, residential ' _ :,.. ` Atir OS ' '” ' L DESCRIPTION OI . $TE > , r := E=• 75.00 2 Limited energy, multi - family "��„gF•°�'.:±`:�.fa�.� ��,•��- r- � -.���. . � t � _,�,� v� �' ca.� -� a� "MO (with above sq. ft.) �^ / 75 00 2 Li a g_d 3 (C -A� c t f Q ,, t / 6 1- "Fc/�L� / 1�� c - K, d residential (with above sq. fr ) ( r / /' (, J + Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 l 3 t� „- #PR©PERTfe6w ER rs, ss %T` ±° v w ; ?L n.t °(] T ENANT 201 amps to 400 amps 106.85 2 .az$ .:� 1-4tia ,;.. s, ti+ .h^a e r.. ... '"i+1,_ . ,,,, a r g_? - 0 *,e , Name: Pawl p ,i- a��usi� 401 amps to 600 amps 160.60 2 j� 601 amps to 1,000 amps 240.60 2 Address: /6 70 Sip inalia yri Y om. --f /O „a, Over 1,000 amps or volts 454.65 2 City /State /ZIP: 5.e �•A9, 0 €. 9 7007 Temporary services or feeders installation, alteration, and /or r relocation Phone: (5 -0 3) (iq _c /q / 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 eia -� r APPLICANT. } s S l CONTACT PERSON• � '` above service or feeder fee, .��` "'rt,�,x -�, G.,r_ r,ga�� 6.65 2 each branch circuit Business name: Adair Homes, Inc. B. Fee for branch circuits Contact name: without service or feeder fee 46.85 2 Carla Williams first branch circuit .Address: 21510 NE Bents Court Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Aurora, OR 97002 Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( 503) 678 -5534 Fax:: 1 503 ) 678 -5595 Reconnect only 66.85 2 E- mail:CJ @adairhomes. com Pump or irrigation circle 53.40 2 '� v" ` ` ^f'ti ' . - AKV ; t N-* r Sign or outline lighting ,, : °.�'m= ��'.^- E,R� ° °,�'��, ` �r.` �� "�'tft�;�;�;.,CONTR•ACTORtl`_�� � ?� sr�� °�.;: r�, .�.�Z',��. g g g 53.40 2 ('. Signal panel, er or t o limited- Business name:Interstate Electric TA energy panel, alteration, or Address: P.O. Box 7342 extension. Describe: Page 2 2 City/State/ZIP:S a .1 e f OR 97303 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 03 ) 393 -2223 Fax: l03 ) 393 -9722 Investigation per hour (1 hr min) 62.50 CCB Lie.: 117121 " /S/ Electrical Lie.: 24 -314C Suprv. Lie.: q s-‘( -S Industrial plant per hour 73.75 i /c* oh 110 --:" I *` M,- 6.iP_'RFICAl 01:740. KW2; , ; '? Suprv. Electrician signature, required: Subtotal: Print name: D Plan review (25% of permit fee)' [�1C.K. S � � � State surcharge (8% of permit fee): Authorized signature: c...---- -"-.-." TOTAL PERMIT FEE: v This permit application expires if a permit is not obtained within 180 Print name: j ' i' 7 , ., ;i...t Date: g I L I07 days after it has been accepted as complete. * Number of inspections allowed per permit. I\ BuildingWermits \ELC- PermitApp.doc 05/23/06 440 -45i 5T(I I /05 /COMIWEB ,......„ _:. . Mechanical Perm .. . . i .1; WO teqtion, tr. - . . ,.,,. FOR OFFICE USE ONLY . III Fiv.2 f C ',: ' Received 14 23 l'. . I l C 13 i l2 tY 5 S H Tigard, 0 Permit No Do / I = ;' Phone: 503.639.4171 Fax: 50%111gt.1006 2007 Date/By• Plan Review Date/By: .: in-r„ _ Other Permit: Inspection Line: 503.09/4i% Date Ready/By: lurk: 63 See Page 2 for TIGARD Internet: www.tigard I Ut4 1 1° Notified/Method: Supplemental Information B UTIZINQ AR ° '-: --- 'IA 4 k "ViSrAligt P 6 -, , 4316.4iiiMilieggvelatlf411) , 1A Vilikei&igiT :...,,. -, - ,- , .. :" , -,:;-- -- . , --v'''' ,-- ';'' New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work tgj 0 performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. ' '4 : Value: $ : rX 1 - and 2 dwelling D Commercial/industrial 0 Accessory building iKria For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Atr 'f 1,ft. -.... r...., --„ :tv..,s,4-....-m Heating/cooling Air conditioning or heat pump Job site address: / 00 gy c 5t, J 15,- G. kaiu____ (requires site plan showing placement) 14.00 City/State/ZIP: -7 . , q .- iraa3 Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. n (r Project name: 4. 6,3 7 Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 ....-n--,.c.-r. Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other. 10.00 Tax map/parcel no.: LE nt) 60 c. 3 1 7 1 00 Other fuel appliances C , c.:) : ' ::.4fnek....„w4itgi;':*1 Water heater 10.00 ,4.1:_&, OPVX.' ,'4 , ':e 1 , 4 6.., -,,>•,.., s .%., . - ',..-.0,.-tclVs-2. 3;„:',,, ' :: Gas fireplace 10.00 4 ea_ (3.5 8a4'11, cs I12 , .1,d1 ai yii A je_..... 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 rp-kb-- , 4,3m, - iiii, - ,p19( 13 w Chimney/liner/flue/vent 10.00 . - Y61:140A • ,,..t.ii.._,.,..%.. ,::,....,.,,. 4,,,,,,,,t k ,..tikAlAti,%A...... r,,.,,,,, ! Other 10.00 Name: f4...It/ ./ reiSa Li i k._ Environmental exhaust and ventilation Range hood/other kitchen Address: /6.--0 70 4 „) h a i , D 0 j&. equipment 10.00 City/State/ZIP: B eicu ) e _ r j. 0 , 1 0 q -7 7 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ) & t.// Cp,kiii Fax: ( ) toilet compartments, utility rooms) 6.80 aiiitiVA'ffri'lf:A*' WIVOitteliKFAVOifits'oNWMO Attic/crawlspace fans 10.00 ",,...-.;v.-...-...,4,..v,..ty.ir..'e fial*r . - - - ..42. '2 '' Other. 10.00 Business name: Adair Homes, Inc. Fuel piping Contact name: Carla Williams $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 21510 *Bents Court/46 Gas heat pump City/State/ZIP: Aurora, OR 97002 Wall/suspended/unit heater Phone: (503 ) 678-5534 Fax: : (503 ) 678-5595 Water heater Fireplace E cjwilliams@adairhomes.com Range f 'd-P"'Z''''s1;:67.4.44,,'W.--,gi,arft'Ve6-NireAyf"6'iiRWV3":,INZTIAA45 •c-a-rzw,i4-.:04.,:w.,:i.A.,i0i,i Barbecue Clothes dryer (gas) Business name: Adair Homes, Inc. , Other: _ , Address: 21510 NE Bents C , ? - '''""' ,- - ,,, W T '''YfrefaliaViEfiniiirVite§qkrc '.4 City/State/ZIP: Aurora, OR 97002 Subtotal Minimum permit fee ($72.50) Phone: (503 ) 678-5534 Fax: ( 503) 678-5595 Plan review (25% of permit fee) CCB lie.: 593 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: 046 Cti attalal This permit application expires if a permit is not obtained within 180 • days after it has been accepted as complete. Print name: Oar u3i((i'4414,-S Date: 87 . Fee methodology set by Tri-County Building Industry Service Board I. \BuildingTermitsWEC-PermitApp.doc 04/06/06 440-46I7T (11/02/COMAVEB) 03/27/2007 12:02 FAX 503 678 5595 ADAIR HOMES AURORA .- THREE T PLUMB VI 002 Dumbin• Permit �...! .lication (soil OFFICE, USE ONLa itaeoiiicE �� 1 / City of 'rig. R i Date/13 : is , 1 14 a 13125 SW Hall B d k� t . I "' `, t. I V E D Plan Renew 4 Phone 503,639.4171 raga 503.598.1960 Dawn" RtltsrIermitNo,: pcatian Lulc; 503.539,417 Da Rcid /g ]uriy: El See rage 2 for 1 runttD me - net www.tigard -or.ge, . U 0 20 7 Notiflad/Metboth - sarrtwleralutel � - p M1L tr l of it :I .;° ".;�i r I A p, I �yyyy on F I yr m ll I f IVIT' r ;re I [`lie 1 101 r op ,, . I �U fIrr- IIP` 1 . � i I I 01' (' 111' 111 � „I 1 dNIW'" ',, 11 *l '' '11 L^Jr o .V1 .�! I, u' ,,ii '' ' ill ll^ , dl ' w. ,.• YON. t. h ha r ` ,I L 4 . I . J I N r 1 A : i1d f . ll ual t , l MI VW For eel& i . rmaQaM use checklist 1•'/ ldeev construction • n er • tr Desert Lion ��� Bs. Total • A ddition/altnrationJrcplao A j' p �` r; $ r New 1- 2-Pandly dwelling (includes 100 IL for each utility connection) '1•1 '1•1 s •, al , Vw � �.r c hi ,,.lr� rlcu �.:1 u ` i . ,.'� III , p 'VI�U� p� , 4 " , :: Ma i Ill 24920 SFR (l) bads �� r k 1- and 2- family dwelling ❑ Commercial/industrial (2 ) bath 350.00 SFR (3) bath 399.00 E] Accessory building ❑ Mutt,- family finch additional bath/kitchen 45. 0 Master builder 0 Other: Fire sprinkler ( sq.11:) Page 2 r u i IP R ' �I,h, ,gA��,II' a:.'" " � 11uG� .. ��I' 4A'Y r11 �li'lir . tihP' II' Its ' e .nI' ,i lit I I�ww- 7 - dawaraiad' ��„ `i, .� o'' ,e III ��I V - •:P , Itt! I site utilities Job site Address: i QQ g ( c5 . f•.l . n v Catch basin or arca drui, 16.60 - . , • Drywell. teach line or conch drain 16.60 - Suite/bldg.apt no,: Project name: A t 7 Goofing drain (no, linear ft.: ___,.) page z Mm,ufaewred home utilities 110,00 Cross street/directions to job site: Manholes 16.60 _4_ _„... < .4 Rant drain eotulscter 16.60 Sanitmy sewer (no. linear tt_: ) Page 2 Stern! sewer (no. linear ft.: Page 2 Subdivisiou: Lot no.: Water service (no. linear (l.: _) PITe 2 Fixture or item Tux map /punt no.: r (3 00 nbsorpdon va[VC 16.60 77,113, � �� { .0. 77, A4 14'FIQC :Mr. L h' . II l� ,74 I u ,..„ r r.„ gil ,1,. 2 1 ,.711111L��Bedl` � , ..,1 1.',7. ! I.+ilin%.,,• , LI 1, ILA.. Ii eit h l . +a B2t1lCf10w prcventer LEI 8 / c SF/2 6 GF,t-GZ- backwater valve 16.60 IS A Chitties washer 16.60 Dishwasher 16,60 IT ti� a, I pµ4 -"S' , , Drinking fountain 16 -60 �' � ,,. 0 Ile.', a . I i C ,: „, IIII3 r ��ur ' 1 'C� ,, r u.. t E 16.60 Name: Cix.1l /./, / le r4s�,i_4 c Expansloln tank 16.60 Address: 5-0 70 /'Ylec..( /ar r • 14 oa Fbtturehewer cap 16.60 City /State/ZJP: 6i4�v ,- 4- I /, , • 70 0 7 Floor drain/floor sink/hub 16.60 Phone: (6Z3) (yci/ - 9' Fax; ( ) Garbage disposal 16.60 v, „� ,;''' � a p , ; ^ Hoe 16,60 � ',� i AlI� I ,,u is E t . r ll$ Fill 1 ''HIl N llifi, Ila� 14 (- ,', . A f� IL .r.,1 -0 lee maker 16 Husin name: 4 / y, h(p I /he. tsrtetceptor/ raas 16.60 Contact name: / t Ai_ Medical gas (value: $ ) Page 2 AdartiNSt • - 1 'rtI5 C. i‘i, Primer 16,60 Cit /State /Zfl ; Aurora 0, 17 (ea Roof drain (aornman;isl) 16.60 - / - 3y ! Fax' : ( 7�' S�� Slnklhasifl/ tor 16.60 Phone: (P f ) Tub/shower/shower pan 1111 16,60 &moil: /,..1 l /fr.'s-elf v G-eQyL‘ c o .44-4 C' rk` t 16.60 � Uri na ' 11. ,l -0l'�h; I���' , Ltl;��;K,�.�° �'Li•;' la,��, II' •, �:'.� � 1 1.I :;41��"u� tlll�ll':.11�i� "i 30.-',:i Watcr clasct 16.60 Ruslnnsy nattt¢; J v t', L' A Water heater 16.60 Address; , . n Other: --- City/Slate/ZIP: S,, k iN G j .t-30 3 subtotal Minimum permit fax y72.50 Phone: (S T 13 \. Fax: (--C ea) SR - 2233 RcRidantial backflow min lmam permit fi:c; $3625 CCB Lie.: 1 T r Q��^ Plumbing Lie. no.: _ 3 �^ Plan review (355' ot' permit fee) ' Stale surebat'ge (S% of permit fee) • Authorized signature' / TOTAL PERMIT FgE Print c'a'ne: 1 r r � - tnS4 Date; e / (e / ti 7 Th permit application) expires if a permit Ia Mil obtained within r L 180 disk after it has been accepted ns complete. 'Foe methodology set by TrI -County Building Industry Scrvioo l3ourd. t'1yull eepetraIi! t 1rmeneminteoe 06'16!06 4101diarOO/CE/COM/WE0) STREET TREE CERTIFICATION • • • . . � UG r A vL/��,�U,S I , O ent for / g (PLEASE PRINT) _ . (PERMIT HOLDER) Do hereby' certify that the 'following location meets I L _ City of Tigard 'land isg and ' standards .= for-street- =tree.insta . 1 ��; � ; �1 7 �� -� -� i L �' i I ADDRESS: i o ao s Co L y c 1v - T ��2D � 2 x'72 SUBDIVISION: 12%S e97Z.X. % LOT: • SIGNATURE: ' _ _ DATE: � F (OUJNER /AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) I:\ Building\ Forms \StreetTreeCcrtificate 01 /19/07 City of Tigard, Oregon • 13125 SW Hall Blvd. 0 Tigard, OR 97223 • • el • - E AR Di' July 2, 2008 Paul Krasausk 15070 SW Mallard Dr., #102 Beaverton, OR 97007 Re: Permit No. MST2007 -00141 Dear Mr. Krasausk: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 10086 SW Alyne Ln. Project Name: Krast Park Job No.: N/A Refund: ® Check #58049 in the amount of $240.00. n Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund for overpayment of TIF -R fees due to calculation error. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds \Administration \LtrRefund - Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Paul Krasausk DATE: 6/12/08 15070 SW Mallard Dr #102 Beaverton, OR 97007 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -4527 Case #: MST2007 -00141 Date: 10/8/07 Address /Parcel: 10086 SW Alyne Ln Pay Method: Check Project Name: Krast Park EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: • . Fee Description From Receipt Revenue Account No._ . • • Refund. Example: [BUILD] Permit Fee Example: 245 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $240.00 APPROVALS: 7 If under $500 Professional Staff ���j —j If under 7 500 Division Manager er g If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ON ✓ Case Refund Processed: I Date: 6, 72, /c7 By: I: \Building \Refunds \RefundRequest.doc 05/23/07 ,:',4.-40..,77-. CITY OF TIGARD 6/11/2008 ; 13125 SW Hell 131■d. 12:25:32 ;r <> -r' Tigard, OR 97223 503.639.4171 t1[GARD' Receipt #: 27200700000000004527 Date: 10/08/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00141 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007- 00141 [LRPF] LR Planning.Surcharge 100- 0000 - 438050 6.00 MST2007 -00141 [BUILD] Bldg Permit 245- 0000 - 432000 617.91 MST2007 -00141 [TAX] Build 8% State Surchrg 100- 0000 - 207020 104.43 MST2007 -00141 [METCET] Metro Const Excise Tx 245 - 0000 - 22920) 259.51 MST2007 -00 1 4 1 [MECH] MEC Permit 245- 0000 - 431010 72.50 MST2007 -00141 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 5.80 MST2007 -00141 [PLUMB] PLM Permit 2 45- 0000 - 431000 444.00 MST2007 -00141 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 35.52 MST2007 -00141 [ELPRMT] ELC Permit 220- 0000 - 431510 2 78.75 MST2007 -00141 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 22.30 MST2007 -00141 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00141 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00141 [TIF -lv1T] TIF Mass Tr 210-0000-448005 240.00 MST2007 -00141 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007- 00141 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 28.60 MST2007 -00141 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 MST2007 -00141 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 Line Item Total: $10,56 1.92 Payments: Method Payer User ID Acct. /Cliecl: No. Approval No. Flow Received Amount Paid Check PAUL E KRASAUSK JR SLN 102 In Person 10,56492 Payment Total: $10,564.92 citc•cc q,r.irr Paige I of I CITY OF TIGARD BUILDING DIVISION PERMIT #: AST2.007 -00 I4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 18. Phone: (503) 639 -4171 / SNipiell � ��� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 'U3020)8 TIME: 7'06AAM PAGE: 4 SITE ADDRESS: 1t ". SIN I YNE, CLASS OF WORK: SUBDIVISION: KRAS t PARK. SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL, KR ? is w = /';t;. PHONE #: .50',5 CONTRACTOR: ADAIR I!Oh a 7% PHONE #: ``.=0 3 Inspection Request Scheduled For: Date: 4130:7008 Pour Time: Code # Inspection Description Confirm # Contact # Message Final :fnTecticm-t 069100 -01 •503- i -94 $ Corrections /Comments /Instructions: • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL , CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , / Date: 4- -3e a 2. Phone #: (503) 718- 2_4411- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639-4171 Requests (24 Hrs.):. (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7:00AM PAGE: :1 "1 SITE ADDRESS: 10086 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 006 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503641 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 4/ Pour Time: Code # Inspection Description Confirm # Contact # Message 2=3:3 Final inspection 008691.-02 503678-5534 Y Corrections /Comments /Instructions: C�a's -r s r A- e /✓ 7 G ( °.e44 c:3 i'. �.r �y .e5 s o 62, 7724 � e04- P 'I ».u�.7 S c <- 7 - 7 c? u 4s9;7:5' n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: IT _d 6 Phone #: (503) 718- 2 - 6 CITY OF TIGARD BUILDING PERMIT #: MST2007 -00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 &!J INSPECTION WORKSHEET FOR DATE: 4/22./2008 TIME: 7 :00AM PAGE: 48 SITE ADDRESS: 1(75086 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 00? TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-641-9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 4/22/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 IvMechariical final 069604 -02 503 -678 -5534 Y Corrections /Comments / Instructions: PASS pi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: if Date: 1- 2- - gam Phone #: (503) 718- 'f 5 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/812007 41, Phone: (503) 639-4171 70011111' Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/2212008 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF. OWNER: PAUL KRASAUSK, PHONE #: 503-641-9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 4/2212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 068691-01 503-678-5534 Corrections/Comments/Instructions: • • ..ZA, PASS I PARTIAL APPROVAL fl CANCEL El NO ACCESS 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G" 6 Date: MI Z Ot phone #: (503) 718-144i0 . . CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/812007 Phone: (503) 639 -4171 AP ypNl� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7 :00AM PAGE: 49 SITE ADDRESS: 10088 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 006 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503 -641- 9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 4/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 068694 -01 503.678.5534 Y Corrections /Comments / Instructions: 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspector: <17A A Date: LI ( — �i —J 0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-12007-00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: X0/812007 Phone: (503) 639 -4171 a4 10u�ii� @'�� Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: X/i&2008 TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 10086 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503- 64 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503 - 6788.5534 Inspection Request Scheduled For: Date: 1/1€12008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 330 Water service 063325-02 503-641-9444 N Corrections /Comments /Instructions: PASS Ill PARTIAL APPROVAL n CANCEL fl NO ACCESS FAIL H CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 61 `' A Date: I / ) 6 I 0 Phone #: (503) 718- CITY OF TIGARD . , BUILDING DIVISION PERMIT #: M5T2007- 00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 / mi /+ ulp���I Inspection Requests (24 Hrs.): (503) 639 -4175 __� INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK. SUBDIVISION LOT #: 006 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF , i . OWNER: PAUL. KRASAUSK, P HONE #: 503-eA1-9.144 CONTRACTOR: ADAIR HOMES PIIpNE #: %03- 678 -5EM at 1 Inspection Request Scheduled For: Date: 111612008 Pour "Time: ; 1 Code # Inspection Description Confirm # Contact # Message p p 9 606 Sanitary sewer 063326 - 01 603 - 641 --444 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: o J % \ Vv"- Date: I 1 I L 1 Ocr Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Mti "120 )7 O0)4i'1 J 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101812007 ' Phone: (503) 639 -4171 *M AK Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/7f2008 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503 -641 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503 - 678 -6534 Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 062663 -01 503 -932 -2719 N Corrections /Comments/ Instructions: c, - c./A-z.4 Go ��,.� -�,i. S I iC , �.� g r.., i t r N01 0 to_e, Lic,b P L 'V.z_k r c V L, o K PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (Pik/14w) Date; t 1, - 1 1.07 Phone #: (503) 718- . , CITY OF TIGARD BUILDING DIVISION / 4 i,.:. PERMIT #: MST2007-00141 100 13125 SW Hall Blvd., Tigard, OR 9223 t' DATE ISSUED: 2007 Phone: (503) 639-4171 Jointi i l Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/1112007 TIME: 7 PAGE: 12 SITE ADDRESS: 100136 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KR ASAUSK, PHONE #: 503-641-9444 CONTRACTOR: ADA1R HOMES PHONE #: 503-670.5534 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postiboam plumbing 061291-01 603-932-2719 Y Corrections/Comments/Instructions: q tx.) a-i-c.,- ct,orcA--;- LA, 0 gLA,i t,ts 0.aal}-T,„Jszjavirt,et x PASS F1 PARTIAL APPROVAL El CANCEL fl NO ACCESS D FAIL E CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 1 Inspector: 67) 1 4 1 ■‘ si......4._____ Date: I 24 1 1 107 Phone #: (503) 718- . . . . CITY OF ' ' ��mm o n-�n TIGARD - . . BUILDING DIVISION PERMIT #: MS12007-00141 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 18/B/2007 Phone: (503) 639-4171 . Inspection Requests (24 Hrs.): (503) 639-4175 _4 * INSPECTION WORKSHEET FOR DATE: 12/412007 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 1OUB�� 6EALyNELM CLASS OF WORK: ' SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-G41'M44 CONTRACTOR: ADAIR HOMES PHONE #: 603-67B-6534 Inspection Request Scheduled For: Date: 12./4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 060720.01 971-222-4042 N Corrections/Comments/Instructions: PASS 7 PARTIAL APPROVAL �� L CANCEL U NO ACCESS r FAIL II] CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: 6 - P 4~-^.— Date: o24 (/ �'�� Phone #: (503) 718- In -` CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2007- 001.1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 �iiiylltf�l� Inspection Requests (24 Hrs.): (503) 639 -4175 111. INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL (BRA ,AU SK, PHONE #: 603-641-9444 CONTRACTOR: ADAIR HOMES PHONE #: 503. 678 -5534 Inspection Request Scheduled For: Date: 12/4/ 2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 060720-03 971 -222 -4412 N • Corrections /Comments /Instructions: " z c -r6 O PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CricVn'.n..A\I\A _ Date: t24 L 1.07? Phone #: (503) 718 - CITY OF TIGARD - , BUILDING DIVISION PERMIT #: MST2007 -00 1 11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 �Il i Inspection Requests (24 Hrs.): (503) 639 -4175 :_ -_.. ` -_ INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :01AM PAGE: 38 SITE ADDRESS: 10086 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRA SAU 'K, PHONE #: 503 -641 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 12/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 060720-02 971 -222 -4042 N Corrections /Comments /Instructions: IAPASS ❑ PARTIAL APPROVAL _ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (16 \---- Date: t2/\ 1U.1 0 Phone #: (503) 718- CITY OF TIGARD - .rd,T ' BUILDING DIVISION - ‘01/2 l7V PERMIT #: MST2007 001 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 /�i�gm� � ii p�l�i� l l Inspection Requests (24 Hrs.): (503) 639 -4175 F:_.. INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7:O1AM PAGE: 74 SITE ADDRESS: 10088 SW AL NE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-641-9444 CONTRACTOR: ADAIR HOMES S PHONE #: 503.6713 -5534 Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 083546-01 503-393-2223 Y 120 RavotA 14 ON r; 1.e ggAr✓e, 0 Mc- gh' Corrections /Comments /Instructs phASs fc,N�t 1 �� I 1 23 0t A9 0 : \ i L A � t� 1 j0 t (r I I 0 �1 C1/2.1/ i V16 j t - tNI49-1,2-1 pi PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED o 9 Da te: 11 Phone #: 503 Inspector: ( ) 718 - P CITY OF TIGARD . _ BUILDING DIVISION - PERMIT #: MSTm0074)0141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 .. 114N�ypiq'�j Inspection Requests (24 Hrs.): (503) 639 -4175 �i INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 4 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SI: OWNER: PAUL KRASAUSK, PHONE #: 603-641-9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description / /Confirm # Contact # Message 120 Electrical rough -in � 063447-01 503.393.2223 N. Y Corrections /Comments/ Instructions: h‘ 0J PICT J5a6)CE_ Z -N \ f. L% CA1 1 N V\ .1; f LAS 0 VsN. 3 E NI K\ C\-.0, sa (v\i4 A tA\ (k) 4 . ZIO. LJ ( \ ( 1% ' V3 N M n 'k IP Z'kZA N N ) 't• \-1\- %%C) IA J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,\FAIL 71 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - i 4 v K* Date: 1. • ` `'Q v Phone #: (503) 718- Itftg) CITY OF TIGARD A - -♦ BUILDING DIVISION - PERMIT #: MST2OOi -00I' I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002007 Phone: (503) 639-4171 IpoW Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/14/2003 TIME: 7 :04AM PAGE: 3 SITE ADDRESS: 10086 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-641-9444 CONTRACTOR: ADAIR HOMES PHONE #: 503-67B-6534 Inspection Request Scheduled For: Date: 1/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 063172 -01 50: -.383 -2223 Y Corrections/Comments/Instructions: ?At) IZAIN ERA - SHv`P q ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ►� FAIL '4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5--'. N 6Q5 L‘ Date: 1 " 14 '(1 i Phone #: (503) 718 -1- , . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101812007 Phone: (503) 639-4171 A tviefi, I Inspection Requests (24 Hrs.): (503) 639-4175 4.4 - =U. INSPECTION WORKSHEET FOR DATE: 2/27J2003 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 10006 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-641-9444 _ • CONTRACTOR: ADAIR HOMES PHONE #: 503-670-5534 Inspection Request Scheduled For: Date: 2/220008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 065459-01 503-625.9700 N . i' 2 I di" Allif bOA l friNe- trr 1 : --§ Corrections/Comments/Instructions: 1 PARTIAL APPROVAL D CANCEL 0 NO ACCESS fl FAIL CALL FOR INSPECTION [1 ADDITIONAL FEES ASSESSED :- Inspector: Date: 2_ —2_ ._--- g Phone #: (503) 718- , . . . CITY OF TIGARD m 57 BUILDING DIVISION PERMIT #: �bd7 —O /'/( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 u ��lp��piit Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /Obi A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: ' CONTRACTOR: PHONE #: Inspection Request Scheduled For: • Date: i 3 - g Pour Time: Code # Inspection Description Confirm # Contact # Message a -iS OCo3f7cLf o1 & -sss3 Corrections/Comments/Instructions: , =�/ ,<-040.414-1.- 619 z,.- , ,v • r �'' ' , I D ? .44 ... 7 . . • I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Date: / �3—G Phone #: (503) 718- -1 `Z / Inspector: ; ( ) • CITY OF TIGARD - BUILDING DIVISION PE #: k�€ST 007 017141 13125 SW Hall Blvd., Tigard, OR 97223 DATE IS ;8/ ;� ;, ?(�7 Phone: (503) 639 -4171 u Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 52 SITE ADDRESS: 11085 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #; 583 - 641- 9444 . CONTRACTOR: ADAIR HOMES PHONE #: 503 -670- 5534 \ Inspection Request Scheduled For: Date: 1/17/2008 Pour Ti Code # Inspection Description Confirm # Contact # Me `s`ge 27'5 Framing 063386115 503 -678 -5534 Y Corrections /Comments /Insstrruucttiio�ns:y� /2-a-- t- .:( h' ' PLQA a ft 1 t..` / /f 2-- - 77=uss 4--el--fr L-6(,,,L..,A /'Ii). r - e- 7- 2- -s- le ' - 41 / 4 .---• ' A/ r �/ e-__ , d — r `�..." V.-.. ' J��1/ � ! �./ �` b_e___ 11 1- " . l� ' 0..- - 6--CL. ba r - 7 -- s - - IQ 'et- h -� n PA'S 0 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS XFAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t / Date: t ?( Phone #: (503) 718- 2r CITY OF TIGARD ' BUILDING DIVISION - PERMIT #: MST2807 -00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2007 Phone: (503) 639-4171 ,,„„0 d Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: : AM PAGE: 63 i SITE ADDRESS: 10066 SW ALYNE LW CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME KRAST PARK DESCRIPTIONi: SF OWNER: PAUL KRASAUSK, PHONE #: 503 -641 -9444 CONTRACTOR: ADAIR HOMES 'PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: //112008 • Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 063396-04 603. 678.5634 N Correcti s /Com'me s /Instructions: . /x • / / i„..44. r re.- -' . , • • , I • E • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ei FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Vg.i (214.---------- (7„,,,-- Inspector: Date: / Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST'2007 00I�i'i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/0¢2007 Phone: (503) 639- 417.1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: 'if 14 /2tt00 7:04AM PAGE: 26 SITE ADDRESS: 10086 ; r1N ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 503-641 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503 -678 -5534 Inspection Request Scheduled For: Date: 1/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Iv'ochanical rough -in 063147 -02 503- 676 -5524 N Corrections /Comments/ Instructions: I "✓ it/O .QGe� 5 S I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: s Date: /— J 6 Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200 -O014 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1018/2007 Phone: (503) 639 -4171 44pylu j�i1I Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 111412008 TIME: 7 :04AM PAGE: 27 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 603 - 641 -9444 CONTRACTOR: ADAIR HOMES PHONE #: 503 -678 -5584 Inspection Request Scheduled For: Date: 1/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063147 -01 503.678 -5524 N Corrections/Comments/Instructions: n PASS n PARTIAL APPROVAL n CANCEL L • ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I— i 4—'0 P Phone #: (503) 718- CITY ��������������� ,. ��n n n OF m m���mnm�� BUILDING ea � � ���> ��� �UU ��K���� DIVISION � PERMIT #: MST2OO�D0M1 | 13125SVVHaUB|vd, Tigard, ORQ7223 DATE|SSUEO: 10y8/2007 Phone: (503) 639-4171 Inspection � ionRequeaku4Hm�:(6U3)G3Q'4175 .�J�� " �� � INSPECTION WORKSHEET FOR DATE: 12B11/2007 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 10086 SW A|J,WELN CLASS OF WORK: ^~ SUBDIVISION: h[RABTpARNSUBC)|\4S|gN LOT #: 0O5 TYPE OF USE: PROJECT NAME: KRAST PARK DESCRIPTION: SF OWNER: PAUL KRASAUSK, PHONE #: 583-641-9M4 CONTRACTOR: ADAIR HOMES PHONE #: 503.678-5534 Inspection Request Scheduled For: Date: 12/11 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 061291-02 503- 932-2719 Y Corrections/Comments/Instructions: ----- ' PASS APPROVAL rj CANCEL NO ACCESS FAIL -- CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: °�]�� ^ Inspector: Date: ^ /2...-//-^m 7 Phone #: /503> 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2007 Phone: (503) 639 -4171 .° u lPif I 1 Inspection Requests (24 Hrs.): (503) 639 -4175 .:� °'__.. INSPECTION WORKSHEET FOR DATE: 11/27/2007 E: 7 :01AM PAGE: 37 SITE ADDRESS: 10086 SW ALYNE LN CLASS OF WORK: SUBDIVISION: KRAST PARK SUBDIVISION A f OT #: 005 TYPE OF USE: PROJECT NAME: KRAST PARK r DESCRIPTION: SF VC) i OWNER: PAUL KRASAUSK, /c 1 PHONE #: 503 -Oz41 -9144 CONTRACTOR: ADAIR HOMES 1 PHONE #: 503- `'678 -5534 tPli P Inspection Request Scheduled For: Date: 11/27/2007 Afi Pour Time: 200 Code # Inspection Description Confirm # Contact # M- sage :no Foundation wall 060297-01 503-970-0863 Y 5 A I ' Corrections /Comments /Instr ctions: • Njdi'" C 5 r ,S,+ " . t 17 7 /xjlvf: 4 C7-5) b at"%n \Auvv6 ? 6 ( 1- 44 t 4---ds - Vetzi 1 / 4 -5 siAgcnet._ 0_, cf - A,,,3 c \r s 1, . Co u - € s t C ,v\ jr v -- N / A- k■ •.ev -Q) 41_______ ixf ->,..► -- zs 64z-w s — Ste = - i ,661 -*ti .I /EI 4.e `sue,.,: v. ' - s Sri NI"' C.C AA 1-AmC.42- inA.Q-e■-d# .; 7 x : 'Pt? 0 a -..-- vQckA-4.%1.- S { 2) ' Q,c am � C ; 7 7 f A l l / PASS f[ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VA Date: tt/ G l Phone #: (503) 718- a-V(2-