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Permit C ITY O F TIGARD MASTER PERMIT MST2007 -00071 . COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 9/12/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CD - 01400 SITE ADDRESS: 13565 SW ASH AVE ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 016 JURISDICTION: TIG PROJECT: ADAMS Project Description: New SF replacing house that was burned. BUILDING REISSUE: ADAIR STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 15 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 441 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 159,862.10 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,610 sf REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN e 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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: 3 201 - 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 AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 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 ADAMS, VERNE E ADAIR HOMES laws All work will be done in accordance with approved plans This 13565 SW ASH 21510 NE BENTS CT permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 - 701 - 7200 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: $ 10,073.66 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 I / Issu d By : L / / A k 1../ ; Permittee Signature : - Le -44-L <j 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 C I` .. City of Tigard FOR, OFFICE USE ONLY .. , . Pl an R e v Ma / � 1 Permit No.t */ ^ o iii 13125 SW Hall Blvd., Tiga OR 97223 e_ _ODD 1` Tigard, .; n 7 Pl an Revie I 1 14 Phone: 503.639.4171 Fax: 503.598.190' �O I Other Permit. ta[X�7 - 0QQ g Date/B : - rt�� i TIGAR Inspection Line: 503 Date Read /B p4v 6? vim ® See Attached Checklist for ' Internet: www.tigard- or.gov CITY OF r�Ga�su Notified /Method: J Supplemental Information UiLDING DIVISION . P .w C404444..0 V to Casa -ei- • 'TYPE, OF WORK „"REQUIRED DATA: I „AND`2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. � Indicate the value (rounded to the nearest dollar) of all YN Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the y4-2 it for the ` CATEGORY `gOF CONgTRUCTION7, ' work indicated on this application. L5 . 10 1- and 2- family dwelling Valuation: • g ❑ Commercial /industrial ❑ Accessory building 111 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: • Number of bathrooms: - ` -' : JOB SITE INFORMATION °:AND LOCATION; , ”' ' " ' ' t otal number of floors: / Job site address: /3,0.16.- SW Ash IA New dwelling area: 1 7 square feet City/State/ZIP: _ -7 r l pA- 9%7 Garage /carport area: it y square feet Suite /bldg. /apt. no.: Project name: A. 58 f}0( , Covered porch area: — square feet Cross street/directions to job site: Deck area: — square feet _ ' r Other structure area: square feet REQUIRED °DATA :ICOMMEIkIAL -US_ ECI IST,, w Subdivision: Lot no.: /io Permit fees* are based on the value of the work performed. Tax map /parcel no.: 3 ' l �/oo Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the - DESCRIPTION OF WORK" _ work indicated on this application. 3 ead j c5r4, ti)/4-44-0.41 ti)/4-44-0.41 getixot.- Valuation: $ Existing building area: square feet New building area: square feet 'i r , - A]{ `PROPERTti OWNER 1 1' ' E TENANT < '' Number of stories: Name: Y et'e Adams Type of construction: Address: /3r /h n L h map / Occupancy groups: City /State /ZIP: / �,, p/c, 97aay Existing: Phone: ) "/)O / ., (578) ( 7-°2€i Fax: ( ) '- 'r I - /$4I APP LICA „` k `' k H ;CON1`ACT:PERSON'F w ' r 4. , „ NT- � � � '4, �^ e , . F NOTI 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 NE Bents Court jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons Aurora, OR 97002 apply: Phone: (503) 678 -5534 Fax:: (503) 678 -5595 E - mail: cjwilliams @adairhomes. corn - , `. 4 ' k B: CONTRACT OR 7 ' -. ' :4 .., Business name: Adair Homes, " i ome s , Inc. Inc . �;>,, � � ,'BIIILDINGkPE1 .� .� ° t, � , Address: - ' :,b - „,F'.. - '.. 1ea Vrejertto fee scheiule)< , - ' ` ” °',` 21 510 NE Bent s Court Structural plan review fee (or deposit): City /State /ZIP: Aurora, OR 97002 . Phone: ) Fax: (503 FLS plan review fee (if applicable): 03 678 -553 503 ) 678 -5595 Total fees due upon application: CCB lie.: 593 310(0 Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. L Print name: /q/I441 C1472 p y r Date: 3 * Fee methodology set by Tri- County Building Industry ` Service Board. I: \Building\Pei 'nits \BUP -Perm iApp.doc 03/21/06 J / � 7p 440- 4613T(I I /02 /COM/wEB) Electrical Permit Application _ • .` FOR OFFICE USE ONLY City of Tigard Received u �� Date /By. Permit No.: . , OD! { •1 13125 SW Hall Blvd., Tigard, OR *rte - 1M • f Plan Revie Other Permit Phone: 503.639.4171 Fax: 503. 8. Date/B TIGARD Inspection Line: 503.639.4175 Date Ready/By. luris H See Page 2 for Internet: www.tigard or.gov i (' o Notified/Method. Supplemental information ';'r�g.�"'� - .<",'�k�•s - < .:5�, y -Y; -> es, ^fie ,�:�^ ,_ _ �:..w «:;�s.,..�.e�s � :r ,� > s. , a� , � :. - - "°�4s� - ,'�'rr,� aa� tt.,; ,z ¢ , x _ � ; _ _ _ _ _ - _ - + . s= ' : ,-ir �Q 'f.ez .,k L- '. ` .` -`,t -4 ..;z " 45 , _ - "; ", °7 ,,7. -, f_� �.x :. ar: t'.=" ;,; .,,F` ,, : , g` „i4.2:y ? � -. s , e. a� g -, .. 'CYPE _ t . a,-' �. _ . r = °�EI . REVhEkY� --_.,. ,:, .� ; lr:, r,�t`_ +o,� . '; �` F; asa,,.: 2r•r.: Ya.,, �„ s., �"+ t,. a :.. x ��et.. ca.- 2...ai,- >�i..re�a..�- r <aYx s�x.� . ��r��$' 4��. Y�� ;,`+?F�'se:...., ?9"xi#;,ax::�� 4-,•.1,4,, � =....� - • "�"''w �- �.�a,.,.. -� , -_ - :... _...?x:,�:..�.:.��t� "; ❑ New construction Addition/ alter 1:I�,p�e,p�g s t Please check all that apply (submit 2 sets of plans w /items checked below) o !! LJl1'J'. U {S{0� ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: - where the available fault current ❑ Marinas and boatyards. ,t mV, d � ^, ,r[` A 'CATEGQalti GOl\ailtCTION` kill -fi � . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. :it ,-t , , , ... '*'S,a�.,aA"�rs�;x,u ".4.e. v.:c i' n ac+st- • -sn E. ;,-z k.' .- "-* �b $ ?sec .z, w ,.1�'Se less to ground, or exceeds 14,000 ❑ Commercial -use agricultural g i I- and 2- family dwelling ❑ Commerdial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or y,r, wzrc,. g °< €, y - n.. » y, • ❑ Emergency system. larger separately derived system 5 1-V _ '' ,t,�iVrili I r&A- 5R_ ANDiLOCAVTIO t _ , . e* - _, ,. r- . -'' .� s. i, ❑ Addition of new motor load of ❑ A "E" `1.2 I.3” Job no.: Job site address: /3�s cS L I00HP or more occupancy ❑ /C/ ��l • ❑ Six or more residential units. Recreational vehicle parks. City /State /ZIP: / - 4 . — c ©K. 9 7a a 3 ❑ Health -care facilities ❑ Supply voltage for more than / ❑Hazardous locations. Z /f/ 600 volts nominal. Suite /bldg. /apt. n Project name: A5—g �7 zz,.J '>Lf ❑ Service or feeder 600 amps or more. •s 4 c€ =t k .a - w r ,� te r, - Q-h,- o ~, F�EE 5GHED ULE a � . Cross street/directions to Job site: ofP� Description Qty. Fee. Total • New residential single - or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: :4t0 1,000 sq. ft. or less 145.15 4 Tax map/parcel . &. / /, L td ./ Li Limited n y, residential or portion 33.40 l ce n0 W Limited ener res IDES I energy, �-��' � � �'� �� a; __ CR PTIONOF'� -s� �� b ��` t ��'� (with above sq. ft.) 75.00 2 [, 6 02 60 -11-1 / / / 'jl Limited energy, multi -family 75.00 2 s '` + �l� f^ (,. � �C/ resi dential (with above ve sq sq. ft.) U Services or feeders installation, alteration, and /or relocation • z 200 amps or less 80.30 2 PROgERTY O t i 3 a tW n.i i € k I1 , T. �'" # �', 201 amps to 400 amps 106.85 2 . - <„_, m;�.�,ro�Ksa.:an1� ,.. , s�a>�. t�".'b tt. � » E,� _cr - �+sr_= �- a.^a��ca �a �.�"d.'+ t Name: Vern �/ /ate 401 amps to 600 amps 160.60 2 C� 601 amps to 1,000 amps 240.60 2 Address: /3,'o /IL, L .,2 / Over 1,000 amps or volts 454.65 2 City/State /ZIP � © — -7,9c23 Temporary services or feeders installation, alteration, and /or relocation Phone: (o&3) o/ — ,7 04) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with tit ' AP LICNT Y`7 ® ONTCTPERSON; - A T A above service or feeder fee, 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 1 2 Miscellaneous (service or feeder not included) City /State /ZIP: Aurora, OR 97002 Each manufactured or modular 90.90 Z dwelling, service and /or feeder Phone: ( 503) 678 -5534 Fax:: 603 ) 678 -5595 Reconnect only 66 85 2 E- mail @adairhomes.corn Pump or irrigation circle 53.40 2 ,?;;.s„i_:. �_3t..d" -'�, ,4 _4%: l ft "r r Ta�€Ya ' a, N C - a_ S r,, z&?:i5 � ' °°.-�- .3., ,, r��.•��r`� ,__ ,;::COIVTR:AGTbR'=.�` �.x -'`., �! h��'"' - •M Sign oruutlinelighting 5340 2 Signal circuit(s) or limited - Business name:Interstate Electric :T C. energy panel, alteration, or extension. Describe: Page 2 2 Address: P.O. Box 7342 ° City /State /ZIP:Sa.1 erg+ s OR 97303 Each additional inspection over allowable in any of the above Phone: Per inspection 62.50 ( 03 ) 393 -2223 Fax: � O3 ) 393 -9722 Investigation per hour (1 hr min) 62.50 CCB Lie.: 117121 Electrical Lic.: 24 - 3540 Suprv. Lic.: q r $ Industrial plant per hour 73.75 ' :' `t i °ELECTRICAL`"`PERMtl' EES ' Suprv. Electrician signature, required: — " Subtotal. Print name: isAL.IC ,� g2( S. Date: Plan review (25% of pemlit fee)• State surcharge (8% of permit fee): Authorized signature: `----- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO Print name: Date: '-� • C- { 7 t ll SL: days after it has been accepted as complete. * Number of inspections allowed per permit I:', Building \ Permits\ELC- PermitApp.doc 05/23/06 440- 46I5T(I I /os /CObt/WEB Mechanical Permit Applic . ' F OR OFFICE USE ONLY • • City of Tigard Date /Bya Permit No.. �/� Q 114 - " 13125 SW Hall Blvd. Tigard, OR 97223 �` I ! elf 'I7 t' "�� ! Blvd., , it V / Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: Juris 0 See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION? Notified /Method: Supplemental Information � ..� . +� _��?�' • 9�.'?R +.�5r. *. - .,. u .s = -�, °�, - . # „� „p. - h f _ - .,.. � -� � c +•s:cs,;.. ��. �.c,a:+- ,�,t - �a„u - ".. . t � { `e � t TYP QF W ORK 4 � y - W e ' C01 F N E ; CIIEdiii T ; :.? , . � .,., .� � ,- t � , , � . .>r_�. ,-tom - >, . ,: ,,..: _. -' '-q° ° '� SCHEDU,LE : =` >US t ❑ New construction [ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work ( u � performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. -'' ,, Fs u a;- ., .. .x_�v Value: $ ` � ` : �'�� ? C.A C NSTR � : t`' �, `°. <_t ,.- _ s i .:_ .- - �.,,,,,...,,,,,- r O ACTION'' ` - : k , . A x - _ . � �3 .. v i,_ and 2- family dwelling 4 ❑ Commercial /industrial 4'r RhESIDENT hIAL'EQUIPM' '' ; ❑ A ccessory building 111 Multi ❑ Master builder For special information use checklist. ❑ Ot her: Description Qty. Ea. Total , :�k' " � ' ” =.=?�S �: �s_sa,s..re.: a;- �. -. ., 4r _;a �aF�*s t r- ;awaax�: ,r �, ;Mal e r 3 .cam `* t3 `u 'OB SITETN ORMATI a A `' ' `" ;a. ...., r ,, ON ND�I OCATION,.�a§ a Heating /cooling Job site address: /3 57,5- c A • sJ ofnt �,� (requires site plan s Air conditioning ho heat pt cem showing placement) 14.00 City /State /ZIP: - �a r / (-)02_. 9 f7 �aa3 Furnace 100,000 BTU (ducts/vents) 14.00 Q Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no. Project name: , ins Gas heat pump 14.00 Cross street/directions to job site: ��, � Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Ato Flue /vent for any of above 10.00 / Other: 10.00 Tax map /parcel no.: a S /1 02a' /400 Other fuel appliances .,; '7 eC't3 ' azw: x i t .t 5`< . -_, ; ¢ ; _,. d , : A SDES ilffibiroViom!OR �r � a t: A Water heater 10.00 3 ��,,/ / / fez Gas fireplace 10.00 �l 1 o2 £ Ji) CSF�, LN/ - T7LtLhJ� ,Vq� Flue vent for water heater or gas `I O fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 rt;i,;s� b. s. - a _ �: A Chimney/liner/flue/vent /liner /flue /vent 10.00 "' y v ;`° �: IiC i ii ERTY OWREIR .; ' - ' ` x" : - . 4 Y t� .. _, x sy. ..... z -.. A . !,...� , r � r.:.A. .A - `t1�+ TEN AN, ; „..a � �,tTJA Other: 10.00 Name: 1/ e / f il e - /�d S Environmental exhaust and ventilation n � I- Range hood /other kitchen Address: 43 t8 O l� ►fr?I1 h . a0 equipment 10.00 City /State /ZIP: 7 I pot. 97 42-41 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (3,--43) 01 • '7Zp o Fax: ( ) toilet compartments, utility rooms) 6.80 ..-.`� '6Y': ;;b�azw:rvu=x..°,S°t ` . I' � , s ... >: -' =w_: -:a s :y .., t? : : _ A - " ,4 ;ALL `' _' 0_ t °' ' ,. Attic/crawlspace fans 10.00 _; ® .:APPI;ICANT m. ~ • ..o,® CONTACT Pl1ItSON.z.�° P .��.. �.,- , .,��Yaz -�.� • a,.. ��.. c�c.,. ��._ 4,xrv.�xa:- � =.:.r..r_= �- R_ ^o-��k ;�,..:,&� -4 P.x� . _ ';E,..,:- ..g�s�:+n...rt;��- a -,z. ,,-. _..n4•a -: - ^�3�.`7 Other: 10.00 Business name: Adair Homes, Inc. Fuel piping Contact name: Carla Williams $5.40 for first four; $1.00 for each additional Address: Furnace, etc. 21510 NE Bents Court 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 - mail: cjwilliams@adairhomes.com Range .mi ` "' :?ri4M', . " ` ` i C ,"OIVTRA,C"�TOR." ' %-z , axe' 3a , Barbecue Clothes dryer (gas) Business name: Adair Homes, Inc. Other: Address: '� � s a T URK. l ate., a r. 21510 NE Bents Court 1,. 1 - , ,, • _.E *§ � ; - MEC IiAlViICAL PERNII ate _ �'� s .� > .,,.ur, -u . ,,.s Y.fr;�. 4 . "u�sx.�d,�7.«i:. ^v�`vwia: -1 City /State /ZIP: Aurora, OR 97002 Subtotal Phone: (503 ) 678 -5534 Fax: ( 503) 678 -5595 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: 593 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: , � J /+ This permit application expires if a permit is not obtained within 180 V ° "I (�f(, . - days after it has been accepted as complete. Print name: re Al 6/41. Date: rj /a / * Fee methodology set by Tri- County Building Industry Service Board IABuildin g\Permits \MEC- PermitAppdoc 04/06/06 440- 46t7T(II /02 /CONtAVEB) R tRr1VE - Plumbing Permit Application OT FUR OFFICE USE ()NUN' pp P ., ;, . n . AP ii � f Racal i.J City of Tigard nmer8 - Perm it No: lei S 0 _ /00'! a 13125 SW Hall Blvd, Tigard, OR 97273 CITY OF f lGAFII P]anRe II f7 phone: 503.639.4171 Pal 503.59 �..l�' IL� NG D IUIdiI Otbsrpermit No,: �'�let�13'; lutill m $tt Inspection LifC: 503.639,4175 Date ReadyIBy: 0 S e Page 2 f orurmadon 1 1 l,. A RD lntenter. www.tigard -atgOV Aiotlflad/Metbod: K :: f„ t l r '' r; i II l',.:11 r' i mi � - d n`. li" , . Ai • 71,11.C... 1♦1 , ,1 I � ; f1 , , ir 'IFFE "�0^ i . 1 irli • I 1 C 1 ��1 ., Lf V _. I 11 : i'�.III •I. IF P 41 I ' 0 I . .6kik iii 1 410 �4��1M 11 rg Y I, a ilj ,.. 4 . G I ' ., I . 1 , , dl +. .�.u u. 1 �,IL .. ^ > I �mru For. wird l ° motion pse checklist ❑ riew construction 0 Demolition Description Qty. Ea. Total — p A. d .dition/alteratiou/replaneenent ❑ Other New 1.2fna►11y dwellings (includes 100 fl. for oath uritity connection) r M1rtr rr r ar �+ 1 v ill " 'i u "ty Ili 01 6 I II SrR ( 1) b 249.20 A q irl',�w, %tit If lgl °lst,r, t,u _ i r'I,' e ,.!,. �'I�.I e I 11 �,:I'I 350.00 ❑ Commereialfindustrial SFR (2) bath 1_ end 2_fomlly dwelling 399 -00 El Multi -1 S19 (3) bath Accessory building 0 Multi-family 61ich additional bath/kitnhetl 45.00 ❑ Master builder 0 Other: - FiEt sprinkler (,_ sq. ft.) Page 2 il' ,n'9"^ 4 r ' III ll� tl I ,I I '� I ' ill' II ' •�•�^• �,��I��i 'gip � � '' ��7urtlIVI i , 11%„ Onli2- 'L��I. � •�.II A mJ• �'^ ., II'' S 61 Site utilities Job site address: 3SIh' Su) PrSI-h ) enu...`e -- _Catch basin or area Bruin 16,60 Drywell, leach line,, or trench drain 16.60 C ;tY/statdzlP ,-- d ! n 2 aa3 ' I Footing drsy;e (no, linear ft.: _� Page 2 Suite/bldg./apt. no.: Project cups: $ S 7 Manufactured home utiln(cs 110,00 Cross street/directions to job site: n a16219 Manholes 111 16.60 Rain drdn coa caclmr 16,60 sanitary sewer (no. linear fL ) Page 2 Storni aewcr (no. linear ft.:_) Page 2 ut Subdivisio Lot no.: J /O Water service (no. linear fl.: ) I Page 2 Fixture or item Trsx /parsc]no.: p%5 (pCd e-0 16 _ Absdrpdon - �!r I1 .f: �� ,L96�1' liir'�i�u, l � III I� .,l rl� I ii� t t u,,^ II1 T Pace z 6d I ��' �� ,�1ii�f�� ',, "Illlli.�� ti � e� . .�, 1 11f r i �� •� ti l � L+d♦gl� i ,��d t� e a, . "r �GJI�ILUI11�14, �� M,M�:� ��, B441Q'low preveraer ■ L5 &S o2 604-k 3 —,Q G ; -> Backwater valve 16-60 di CIOt cs washer 16.60 Dishwasher 16.60 �l p � •I Drinking fountain 16 -60 I j, .. II�r.A I' - 4 % il 11., o I�.� , .., ^ , o e ^• ,�'' 11!� f ' I� 'u � II' yt• - 1 _,.. •r 1 ' .1, Jt . , i • 11 II; F jcmrs/sum 16,60 Name: .e (/1 >° rry S Expansion tank 16.60 Address; Q n °l fixture/sewer oap 16.60 City /State/ZIP: , _ Floor drain/floorsink/hub 16.60 ' , 2 a� t3atbage disposal 16 - 60 Phone: 5Z3 P 1" ( i ' ) , — � 111�''"�yn '1�" i 0 Fax ( ) �� ti F. qt r I' y • P , , r .,�.� ��, � } t ,i _ t{o9e bib 16,60 ' 1 .': ii�s�T ,'1� • ." , 4 :d ! ,I W°Il L P _ � � - .' III I. r . • lot maker 16.60 13usineas name: A de-, i- ri ', t //7 . interceptor/grease trap 16.60 , Contact name: O /4 (,J i ( /,' / Medical gas (value: $ ) Page 2 ,� / Addressl 02/ a /�•�� Qe-n Ci7� 1 • primer 16,60 /State /ZIP: A City/State/ZIP: Roof drain (ommtrcia() 1 16.60 0/R_ ' !L ,,.:•', 7 00 a � 51;,--,3(--/ 1 �� (,�i ,:;� 7� ��s� slnl�busiMavarory 16.60 Phone: (5V 3 ) (p�k - Tub /Shower /shower pan III ]6,60 E -moil: Urinal 16.60 ,,� � , ;.. a II U 1.: •' 16 60 ... , I „ tl ^.,1, i i s . l +� (7 , IL L' M Wat Cl oset I�" '� &�� • �R� -� ., r h„� I, ;��;� ' us f 111. ' 6 .Illi� Businnsa atwta; V l'+ L A Water heater Other: i Subtotal City/Suite/ZIP: S l-e 1N d It c ±30 3 Minimum permit fee $72.50 Phone: (S OS) 31 —LI Fax: (Sal) -Sg — '..1--1 Residential backnow minimum permit ; S30.25 w Plumbing 1,ic. no.: • 44/- , 'I CCS Lic.: Plan review 05% Of permit fee) EMI 3,1 State sombre (8% of porn;( fee) Authorized signature me , (D9 TOTAL PERMIT FgC Print name: • j- r I // Date; This permit apptientlon expires if a permit 1e- nut obtained within IRO dgyi sifter it ha been zaecri ed ns complete- 'Fop methodology set by Trl- County Building IndWitry Service 13onrd- 08/10/2007 14:19 5036247248 THE UPS STORE 798 PAGE 02/03 • r, I �r; s n� �,1�V RO CleanWater Services G ,11 1� Y N O D��« 10t Our couunilnluN is clear. �U�Ir� 0W5 FiteNumber Sensitive Area Pre - Screening f Q 7.. d o 3 L 7 1 Site Assessment f Jurisdiction: / i l 40 Property Information: (example 1523411301400) Owner Information: Taxlot ID(s):, Q sl Q t ^ of q N ame: V —i A-A2 x Company: Address: 0 It d +A fi - 'a6/ Site Address: (3.5-6. 5a) k it .< 7-r. ,, 4y - 9 "- 02_ /` Phone/Fax: So O � 7z e' / Nearest Cross Street: rP�[aiti(� E -mail: tk (pc(A j 'O 04Lr. G00* Development Activity: Check all that apply Applicant Information: Addition to Single Family Residence (moms, deck, garage) ❑ Name: -.( Lot Line Adjustment ❑ Minor Land Partition ❑ Company: Residential Condominium ❑ Commercial Condominium ❑ Address: Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone /Fax: / Other !'�" �.4et�/ I #tt/r 20 a rar ,5741 E-mail: G • rA , Will the project involve any off-site work: YES ❑ NO Il.1 Unknown ❑ Location and description of off-site work: Additional comments or information that may be needed to understand your project; This application dose NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEG 1200 -C Permit or other permits as leaned by the Department of Environmental Quality, Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges end agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I em familiar with the Information contained In this document, and to the best of my knowledge and belief, tills information is true, complete. and accurate. V Print/Type Name: .4.I11. E 41 � Print/Type Title: Signature: Date: 7 [Z" � FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUSTPERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE Of A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required, NI Sensitive areas do not appear to exist on site or within 200' of the site, This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07.20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. n Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered, This document will serve as your Service Provider letter as required by Resolution and Order 07 - 20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQ ,RED. Reviewed By: /,�. _ Date: _/ /s /Q 7Z 2550 SW Hillsboro Highway • HItlaWro. Oregon 57123 /44l ie Phone: (503) 581.5100. Fee (503) 6B1.4439 • zosor..sicanxeisalaimmi RaMSe5: Mww 1, 2007 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 � Phone: 503- 639 -4171 T I GARD FAx TEZANSMI'1 °IAL Date April 5, 2007 Number of pages including cover sheet 2 To: Carla Williams From: Barbara Butler Co: Co: City of Tigard Fax # : 503 - 678 - 5595 Fax # : 503 - 598 -1960 Ph # : 503 718 - 2449 SUBJECT: Verne Adams, 13565 SW Ash Ave. Tigard MESSAGE: Carla Here are a couple of things that we will need prior to issue. The property is on septic. If the septic is to be reconnected, we require verification from Washington County of the reconnect. Although sewer service is available and should the owner wish to connect, there are certain fees that pertain. Please call for this information. Also, a Clean Water Services provider letter is required prior to issue. I am sending their form for your convenience. I am not sure what information they will need. CWS telephone # is 503 - 681 -5100. Your site plan is being routed to Planning for review. If they have questions, they will contact you directly. Plan review is currently running about 4 - weeks. Please call if you have questions. Thanks, Barbara Butler Building Permit Tech I: \Building \Forms \FaxTransmittal -T.doc 1/18/07 CITY OF TIGARD BUILDING DIVISION Al lk . PERMIT #: IvI5T2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 i411 / 1 441ti VI' Inspection Requests (24 Hrs.): (503) 639-4175 Aill■ I—. INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7:02AM PAGE: 31 SITE ADDRESS: 13666 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 603-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-678_5534 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 064111-02 603-678-6534 Y Corrections/Comments/Instructions: ( I \ .." rki\ i I • ,...- PASS 7 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS r FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ( A_____ 11 ( 2(1 Inspector: Date: one #: (503) 718- 1 , CITY OF TIGARD . BUILDING DIVISION - PERMIT #: MST2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 A ' DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 ivy/limit Inspection Requests (24 Hrs.): (503) 639-4175 ..,:214 INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7:02AM PAGE: 33 SITE ADDRESS: •3666 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD1RACTS LOT #: 016 TYPE OF USE: I PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS. VERNE E, PHONE #: 603-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 1/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 064111-01 503-678-5534 Y Corrections/Comments/Instructions: PASS pi PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS fl FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 7 Inspector: \ u Date:I/A one #: (503) 718-'Zfj M g . •F , INC CIVIL, STRUCTURAL, & GEOTECHNICAL ENGINEERING PO Box 13346 Portland, OR 97213 (503) 284 -4445 phone (503) 287 -0933 fax SUMMARY LETTER January 24, 2008 Vern Adams RECEIVED 13880 SW Chinn Lane Apt. 201 Tigard, Oregon 97224 JAN QO8 Attention: Vern Adams CITY OF TIGARD BUILDING DIVISION SUBJECT: Summary of Geotechnical Consultation On -Site Storm Water Disposal System 13565 SW Ash Avenue Tigard, Oregon Permit No.: MST2007 -00071 At your request BCG Consulting is providing geotechnical consultation for the above mentioned project. Our scope of work consists of performing limited subsurface investigation and infiltration testing, engineering analysis, and preparation of an engineering report. Our services have been focused on evaluation of onsite soils with respect to disposal of storm water runoff from the proposed single family residence and garage. This letter has been prepared to provide a summary of our observations, comment on the suitability of the work, and meet Special Inspection requirements as required by the city of Tigard, Oregon. Our previous work at the site is summarized in our July 25, 2007 report entitled, "Geotechnical Consultation, On -Site Storm Water Disposal System, 13565 SW Ash Avenue, Tigard, Oregon." At your request, we also visited the site on October 10, 2007 to observe storm water infiltration system installation. Based on our observations at the site, it is our opinion that the above - referenced work was accomplished in substantial conformance with the project plans; the recommendations provided in geotechnical report for the project; and our recommendations provided during the course of construction. Please contact the undersigned with questions or comments regarding this letter. Submitted for BCG Consulting Inc., 1 FE ,\ t is \ a0 P sin ,,,m,,,,, Britton W. Gentry, P.E. Principal Engineer CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7: 00AIVI PAGE: 40 SITE ADDRESS: 13665 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWNGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: g33.678-6534 Inspection Request Scheduled For: Date: 1/2812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3'39 Plumbing final 064037-01 503-678-5534 Corrections/Comments/Instructions: P ecr../ k v o i F krt A-C:( e.,4/ 1 ) t- CS G■J 04L7 P ir V\ 0 vd-vA I I PASS n PARTIAL APPROVAL El CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED — Inspector: (11 Date: 1 2.2 Phone #: (503) 718- - - - - - - r CITY OF TIGARD " BUILDING DIVISION PERMIT #: MST2007-00071 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 931212007 Phone: (503) 639-4171 Ake 4%1 Inspection Requests (24 Hrs.): (503) 639-4175 1 INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRFWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503401-7200 CONTRACTOR: ADAIR HOMES - • PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 11/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message SOS Sanitary sewer 059823-01 971-222-4042 Corrections /Comments/ Instructions: B acA 0,<‘ (iotitv(, -- PASS LII PARTIAL APPROVAL LII CANCEL n NO ACCESS El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED (1 Inspector: - Date: ) lo 1 T Phone #: (503) 718- _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: IvI5T2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:01ANI PAGE: 33 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: Nev SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-676-5534 Inspection Request Scheduled For: Date: 11116/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 059821-01 501701-7200 Corrections/Comments/Instructions: PASS PARTIAL APPROVAL El CANCEL I NO ACCESS 7 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 01 Date: ) ) 1 U 0) Phone #: (503) 718- , • CITY OF TIGARD . BUILDING DIVISION PERMIT #: m8T2007_00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ail 212007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7: 00/kivi PAGE: 68 SITE ADDRESS: 13566 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRBVINGE ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-67534 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 059356-01 503-932.2719 Corrections/Comments/Instructions: penscr • Vsto VV cx 4,k.< ci U dA1/41t. ce A\A f)A,c.6 c-LLA„,„e,; Lo )t.) €jcwacAftV uv 641reivt "eav fsA g.‘ (A , J0 ,, 7 1-t),0, ) , PA3 e *at. L • i s (Cotk„pz,, • X 1/4 PASS PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: IcpAfvi\iwC Date: i) j c 7/0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 I t 1 Inspection Requests (24 Hrs.): (503) 639-4175 .-4.; 1 tifr '1.... / --.-- . INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRE:WINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503401_7200 CONTRACTOR: ADAIR HOMES PHONE #: 503.67B.5534 Inspection Request Scheduled For: Date: •0/1W2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 057827-01 503-932-2719 N . . Corr tions/Comments/Instructions: i s Corr • V I '' Uje VaJ- LAAC ,- c /.. L& 61." 1 _____ ■ PASS I I PARTIAL APPROVAL 7 CANCEL fl NO ACCESS FAIL 0 CALL FOR INSPECTION I ] ADDITIONAL FEES ASSESSED Inspector: 16 (1 Date:V/ l 't 6 1 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-12007-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639 -4171 /o j�� Inspection Requests (24 Hrs.): (503) 639 -4175 "L . INSPECTION WORKSHEET FOR DATE: 10/11/:1107 TIME: 7 :01AMMM PAGE: 26 SITE ADDRESS: 1356% SW ASH AVE CLASS OF WORK: SUBDIVISION: FREINOS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: +,:•03. 701 - 7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-67B.5534 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # . Inspection Description Confirm # Contact # Message 310 Crawl drain 057433,01 971 -222 -4042 N Corrections /Comments /Instructions: N, PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cb1'1M»'t\ \a.— Date: J Di I 1 .b7 Phone #: (503) 718- • 4 dry. 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 99/12/2007 Phone: (503) 639 -4171 /+ i ( Inspection Requests (24 Hrs.): (503) 639 -4175 _ llI ,� �.. INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01AM PAGE: 25 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRE\MNGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503- 678 -5534 Inspection Request Scheduled For: Date: 1011//2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 Rain drain 057433 -02 971-222-4042 N Corrections /Comments/ Instructions: ' J PASS PARTIAL APPROVAL n CANCEL n NO ACCESS 1 i FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ch Date: i'D, In t I 01 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639- 4171 � 4mul�� ( I I Inspection Requests (24 Hrs.): (503) 639 -4175 = � � ` :_., INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01AIVi PAGE: 24 SITE ADDRESS: 13505 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINCS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503- 670 -534 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 057433 -03 971 -222 -4042 N Corrections /Comments /Instructions: S cs e 14 a 'r I ° AL Li, 44 or- A oirav<.A. S D: I ei...1 1 i,g_e or Ice,„,,v -A . A r ,1 „ i ,W.„. Lii Xi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 ' 1 ' , "' 11/ '"'" p � Date: ) O 1 )// Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST.t007 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639 -4171 -- , 446 141114111- Inspection Requests (24 Hrs.): (503) 639 -4175 4J INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 :01AM PAGE: 2 SITE ADDRESS: 13%5 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503 -701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503 -G78 -5534 Inspection Request Scheduled For: Date: •l0f10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 0:7343 -01 971.222 -4042 Y Corrections /Comments /Instructions: r I PASS ❑ PARTIAL APPROVAL X CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q6 I lam— Date: 101 I Ol 0 7 Phone #: (50.3) 718 - (r CITY OF TIGARD BUILDING DIVISION 411 PERMIT #: MST2007-00071 13125 SW Hall Blvd., Tigard, OR 97223 A ' DATE ISSUED: 0/12/2007 Phone: (503) 639-4171 . 10 ,1 1 1i11 4 ‘ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00Al4 PAGE: 38 SITE ADDRESS: 13566 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRFWNGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-101-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503.670-5534 Inspection Request Request Scheduled. For: Date: 1/28/2008 Pour Ti • -: Code # Inspection Description Confirm # Contact # Mes-'; ge 299 Final inspection 061038-02 503-678-5534 Y Corr . tions/Comments/Instructions: 1 / ( Y) L. d'\6,, • 6( (;•__Cet_L-u1J t/24—/ocs- 3/o) ---e',„ 1 , 1 €-)Li - u%t jZ-- ,.,,1- AI, , --7.-ilv-fLe....ic k...4--v. \...._Q,,—A--; 1 ---V - N • 7 ' . ' fl -, 0 PARTIAL APPROVAL El CANCEL El NO ACCESS IV, FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: , ( Date: . or Phone #: (503) 718 '2, 241/41 . „ . . CITY OF TIGARD BUILDING DIVISION II ' PERMIT #: MST2007.00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 : - Inspection Requests (24 Hrs.): (503) 639-4175 - „ill' ' IL 1 INSPECTION WORKSHEET FOR DATE: •/28/2008 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 13%5 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREVANGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 603-701-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 1/28/2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 064038-01 503-678-5534 Y Corrections/Comments/Instructions: SS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS — Ej FAIL 0 CALL FOR INSPECTION " El ADDITIONAL FEES AS ESSED ‘ Inspector: Date: 7240 Phone #: (503) 718- ' . CITY OF ��mm n ��u TIGARD . BUILDING DIVISION ' PERMIT #: MST2087-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91'0207 Phone: (503) 639-4171 14 ‘43100 Inspection Requests (24Hroj:(5O3)G3A-4175 „88�~ « �J� INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AhA PAGE: 32 SITE ADDRESS: 135G5SW ASH AVE CLASS OF WORK: SUBDIVISION: FRLNGS ORCHARD TRACTS LOT #: 010 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 5034014200 CONTRACTOR: ADAIR HOMES PHONE #: 503-6mF6534 Inspection Request Scheduled For: Date: 1/2$2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical final 063861'01 603'393-2223 Y ~~il' u/1 ' v+' Corrections/Comments/Instructions: ^ . �j PASS ri PARTIAL APPROVAL 0CANCEL I NO ACCESS | | FAIL �� C, LL FOR �� R |NSPEC7|ON ADDITIONAL FEES ASSESSED . . // � / ' - �� / r� � ( (24fd Inspecto r: Oe�e� Ph�ng #� ��O3\ 718' V ` ` (503) '` ,. _. _' _� . <^ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7 :01AM PAGE: 66 SITE ADDRESS: 131 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRFWNGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 103701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 603- 678 -5534 Inspection Request Scheduled For: Date: 11116/2007 Pour Time: aV Code # Inspection Description Confirm # C ntact # Message 120 Electrical rough -in 059612 -01 503-393.2223 Y Corrections /Comments /Instructions: V eASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: ki(v Da te: " ` l Phone #: (503) 718- 1 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ,1°2t]07 0007'1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639 -4171 i ri t pl li Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: /2/2012007 TIME: 7:01AM PAGE: 52 SITE ADDRESS: 13565 SW A SH AVE CLASS OF WORK: SUBDIVISION: FRFWINC S ORCHARD TRACTS LOT #: 018 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503.701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 503 -670 -5534 Inspection Request Scheduled For: Date: /2/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 061900.01 503.625 -9700 N Corrections /Comments / /Instructions: / - P__LAZ. i‘ �!% " -`: %4 PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL �. CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED Inspector: Date Phone #: (503) 718- CITY OF TIGARD .y BUILDING DIVISION PERMIT #: MST2007 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91'12/2007 Phone: (503) 639 -4171 A l il Inspection Requests (24 Hrs.): (503) 639 -4175 p� {'I Lr INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 1356 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWING S ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. . OWNER: ADAMS, VERNE E, PHONE #: 503401 -7300 CONTRACTOR: ADAIR HOMES PHONE #: 503-6M-5534 Inspection Request Scheduled For: Date: 12/.9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 061839-02 503.678 -5534 N Corrections/Comments/Instructions: 4 - 5 3 p&__1 -p- 5 pa>,_fg_i_vc_ Fsy - ,,,; 0 ( C ,, � P' 1 AS A PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL / CALL FOR INSPECTION DI ADDITIONAL FEES ASSESSED 1 Z Inspector: Date: 1 11 Phone #: (503) 718- �� CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST: N07 -0007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639-4171 u� M ii Inspection Requests (24 Hrs.): (503) 639 -4175 `�' Aiit INSPECTION WORKSHEET FOR DATE: 12110/2007 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 13665 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINC S ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503 - 701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 5013.678 -5534 Inspection Request Scheduled For: Date: 12/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa• - 275 Framing 061839 -01 503-670 -55; eV Corrections /Comments /Instructions: PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITION' FEE ASSESSED / Inspector: Date: 1 ° Phone #: (503) 718- 2-61719 CITY OF TIGARD BUILDING DIVISION A PERMIT #: ivIST2007-00071 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/12/2007 Phone: (503) 639-4171 "tilt i Inspection Requests (24 Hrs.): (503) 639-4175 ,. .. _,.1.1k IL. L. INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 13666 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRFWNGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503101-7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-678-5534 Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message . 275 Framing 069944-01 503-678-5634 N Corrections/Comments/Instructions: , 'y 1 I : .44 1)24-4. a dey/ Wail o ffi2,, 1 CAI4 *1-,,a,1114.,Jtli) / e r I 14' t& :-i / ' e4 i - r - 1 , ' —e-- \ , , ( <-4,45 fA' , ' /%bilk-eel b pet4'4 a_324 A 1 19 /1;1/244 1 L.t.el it-e C --- i 4 0... A ii i ■ ,__!,, ii AZ-a , _.,... , )2/ 7 n PASS I PARTIAL APPROVAL 0 CANCEL NO ACCESS Fr FAIL ' 'CALL XOR INSPECTION III ADDITIONAL FE S ASSESSED •:ka Inspector: / Date: 11 7Phone #: (503) 718- 11 0 . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 007- 0007`i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 /12/2007 Phone: (503) 639 -4171 .��i1'�Ii Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 1366 SW ASH AVE . CLASS OF WORK: SUBDIVISION: FREWINCS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. . OWNER: ADAMS, VERNE E, PHONE #: 603- 701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 503 - 678 -5534 Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message S15 Mechanical rough -in 06994402 603 -671 -5534 N Corrections /Comments /Instructions: X ASS n PARTIAL APPROVAL I I CANCEL I I NO ACCESS n FAIL n CALL OR INSPECTION ❑ ADDITIO AL F ES ASSESSED -) 446 I , l 6) Inspector: i Date: 1 P hone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: lviST2007- 00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007 Phone: (503) 639 -4171 / n tg� I Inspection Requests (24 Hrs.): (503) 639 -4175 -11�i `'I .: INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 1356 5 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRFWWINGS ORCHARD TRACTS LOT #: 0 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503-701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 503 - 678 -5534 Inspection Request Scheduled For: Date: 10/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 067827 -02 503 -932 -2719 N Correction Comments /Instructions: , r\)t-. f'vo . 1 �I' c U2/Na. \%,.. ',,, (9 I . i' 2 A CArr,u.A3A cze_ce___5 c ( &L2 <, ofe.A.:,vis) , )44i.`; W 6 - v Ve me,c)--6-----4 e-4_,- .-yk_to-J . . „....__ . , , dt.yik( a l ) A4, • u_IA. \ ,_. _rivet:3 0,vts./0,(& IZ . v PASS PARTIAL APPROVAL U CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i " '-" Date: T v) �� r L Phone #: (503) 718- v0 ' CITY OF TIGARD _ - BUILDING DIVISION / PERMIT #: MST2007 -00071 A. 13125 SW Hall Blvd., Tigard, OR 97223 P 'TE ISSUED: 9/I2/7007 Phone: (503) 639 -4171 ilh ii i Inspection Requests (24 Hrs.): (503) 639 -4175 ..w. - I__.. INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7 : 02AM PAGE: 47 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FRLVVINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned, OWNER: ADAMS, VERNE E, PHONE #: 503- 701 -7200 CONTRACTOR: ADAI17 HOMES PHONE #: 503-678- 5534 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: 0, Code # Inspection Description Confirm # Contact # Messa•e 210 Foundation walls 056851.02 503.678-5537 deP Corrections /Comment structions: Cam -w-- :,,tr C. V2 A _ 1, t-1-- a - C , Lw ' --P 1.v--4 (�.,. \0 r--v 5 6✓ 1 LN C 6/1,2_ /1 i V PASS PARTIAL APPROVAL El CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED V ; A---- Inspector: Date: 1 1) Phone #: (503) 718 - •421 CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST?007- 0007'i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9I 1 7I200 Phone: (503) 639 -4171 9i11+it , Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 10/4/2007 IME: 7:02AM PAGE: 43 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: Q16 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: :03.701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 5Q3- 678.5534 Inspection Request Scheduled For: Date: 10/4/2007 /r1,-Pe 1, Pour Time: 2:t 0, Code # Inspection Description Confirm # Contact # Mies.. r 205 l=ooting 0669%01 503 - 678.5537 Corrections /Comments /Instructions: � � �l 0 / 3 / / / t , - 5 4 3'• ° 2 pi-- r V1 ( 4 V-- C ae-.$) 1 CtAevx \k i akic-e—g--- S'?--rlf I .- Lf.A.sr Q - t-L"-- - 1 3 -rd-4----.,- , . ( (2-(2g.c.--4—c 5- e,„ • vv , k. u t R 6 -s - 1/4 ---- / 6-4--6-0_,-c , ) j— c e t 4/4/) Z-.. - Ci PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `/ C/ Date: �; D © � Phone #: (503) 718- �� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 911212007 (,, Phone: (503) 639 -4171 /oimn a pliT i Inspection Requests (24 Hrs.): (503) 639 -4175 J __.. INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM PAGE: 53 SITE ADDRESS: 13666 SW ASH AVE CLASS OF WORK: SUBDIVISION: MEANINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503- 701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 503-67B-5534 Inspection Request Scheduled For: Date: 10/2/2007 Pour Time: 2 Code # Inspection Description Confirm # Contact # Me age 206 Footing 056767.01 503.5 32 -4155 Y `!� ✓'. g w!' C ��i' Corrections/Comments/Instructions: waii--c,e_5e..(2_,Lic, (5 (og 1- '4' In c,L,,,,,, — \ 'z__ , (A._ Ckiirt-- - ra, s c i tok ) li- • ay..* 0 LANd p 0 2-1,--L:1 Cvse,..,3 c'eik.---1/4-",„--, - \ ..,,,e u.psk-u- - Ng' i -- 10: C.,-e.40 - TIcA. . '7*(0 i' ' 7 e,• -' . 4 -p l C 60 � 4's J v6....) ,„,,...., e ue,1/4....c. t...v., --(04-- (-12-ic 1.47.,..;\ C l �lirt �.....- A. -Q 6 4 f ge ' ' ► 0 tALS 1 � � PAS PARTIAL APPROVAL I I CANCEL I I NO ACCESS V i FAIL n CALL FOR INSPECTION n A DDITIONAL FEES ASSESSED Inspector: Date: 1/6 /7-) .° 7 Phone #: (503) 718 - z #2(f CITY OF TIGARD BUILDING DIVISION PERMIT #: M ,- x-2007 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9,12/2007 Phone: (503) 639 -4171 470000 (t Inspection Requests (24 Hrs.): (503) 639 -4175 11. .. INSPECTION WORKSHEET FOR DATE: 10/2/2007 TI 04AM PAGE: 62 SITE ADDRESS: 13666 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWNCS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 603-701 -7200 CONTRACTOR: ADAIR HOMES PHONE #: 503- 678 -5534 Inspection Request Scheduled For: Date: 10/2/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 05676 -02 603-522 - 4155 N Corrections /Comments /Instructions: n ___A`Nt C)/1/0■2_ \d \ A" L& Cit_nel A.,A ! 00.,Ak` l . `. t SD . . AI 4 ,.-62- 7) )./..,' -4; -- 1 1 tAk .-- t. ,..--- ❑ PA' / PARTI L APPROVAL n CANCEL NO ACCESS • X . F , IL Y 1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: WC I L- - Date: ~0 ia6 ? Phone #: (503) 718 - 2 .' 4 2 c c C CITY OF TIGARD BUILDING DIVISION PERMIT #: MS1:007.00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ar12 /2 )7 Phone: (503) 639 -4171 N ill Inspection Requests (24 Hrs.): (503) 639 -4175 _JAL -IL INSPECTION WORKSHEET FOR DATE: 9/27/2007 - TIME: 7:00AM PAGE: 40 SITE ADDRESS: 13560 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREWNCS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: New SF replacing house that was burned. OWNER: ADAMS, VERNE E, PHONE #: 503401-7200 0 CONTRACTOR: ADAIR HOMES PHONE #: 03-678 -5534 Inspection Request Scheduled For: Date: 9/27/2007 Pour Time: 10:110 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 056469 -01 503. 970.0863 Y 2 +< 4iff - / -ma c Corrections /Comments /Instructions: , A1SEO 69.Sa.c_..) aw772o C ( r ) I PI P I I PARTIAL APPROVAL n CANCEL I I NO ACCESS • I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED -S Inspector: Date:r� - 2 —0 7 Phone #: (503) 718 - 4- r) A