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Permit II CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00384 A DEVELOPMENT SERVICES DATE ISSUED: 12/23/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA 10300 SITE ADDRESS: 10978 SW BRETTON CT ZONING: R - 4.5 SUBDIVISION: BRETTON WOODS LOT: 008 JURISDICTION: TIG Project Description: New SF detached BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,482 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,688 sf GARAGE: 679 sf FRONT: 12 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 316 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,170 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes LEE -LAND HOMES LEE -LAND HOMES and all other applicable laws. All work will be done in 28 BECKET ST. 28 BECKET accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 - 635 -1343 Contact #: PRI 635 -1343 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 Reg #: LIC 41535 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,854.28 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS h# a Issue By : ` _ .0 . _ i L1. ►.tL Permittee Signature : 13. �� 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. 1 Building Permit App:11� y � E D z „ ;? ` ^ FOR OFFICE USE ONLY i ' a , � ea '� :� r .� tk .s';.,.s t . ,vs.� 4 wf ..'.i 4 ,:'._•, 3 ., s'r•,. , ,5. r } v,sa,:,,, City of Tigar DateBy 1 114 O �� Permit No.: Stao -e3 13125 SW Hall Blvd., Tigard, OR 97223� e r 1 `il}l Plan Review) A O�V Phone: 503.639.4171 Fax: 503.598.1960 u �{ 1 — ( `. Date/By: the) oS ' (j A) Ocher Per Q �� r> . .360 Inspection Line: 503.639.4175 ,.. - II '' . Date Ready /By: +��// 1 ris See Attached Checklist for Internet: www.ci.tigard.or.us CIT OF TIGARG Notifiedilvlethod:1�}I �Cr, qv Supplemental Information cx t ni WING DIVISION / : _ , J #: ' _ , - ,,�, T .TYPE OF; WORK REQU RED DATA 1- AND 2- FAMILY DWELLING \KNew 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 • :,',• • .— "CATEGORY .OF: CONSTRUCTION ._ ' work indicated on this application. Valuation: $ 21 Yi i el 130 y .,1_ and 2- family dwelling ❑ Commercial /industrial / ❑ Accessory building ❑ Multi - family Number of bedrooms: g ❑ Master builder ❑ Other: Number of bathrooms: 2 1 / .- . : _J O B SI q TE: I WAND LOCATION : ' . Total number of floors: 2_ , Job site address: ' df Cr e• 10 New dwelling area: - 3 /' 0 square feet City/State /ZIP: ---1/ 7 ., Garage /carport area: 7 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: anti /? a,r) i ?" 40 Deck area: square feet /0 '1 / ,46,/ Other structure area: square feet REQUIRED. DATA: COMMERCIAL;.USE CHECKLIST Subdivision: (3/6. . ' , - s l /, f9,1 < I Lot no.: g Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the - ':: DESCRIPTION F W OORK" , - work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER .,_ .. s.: .... � ' � � Number of stones y � � ��t y • .;! ❑;_TENANT,::' = Name: C /1 !— 4 A p9 HOPI 5 Type of construction: Address: 2 7 nv t ,,L..1- 54- .. Occupancy groups: . City/State/ZIP: L it_ /C._- f S • . �, � 9g 4 it... f Existing: Phone: (5 ) fs // .JS /3 ) Fax: ( ) ...5 L. New: 'APPLICANT .. ,. oz :CONTACT PERSON NOTICE Business name: L r F v L4 09 14 GAF 5 All contractors and subcontractors are required to be Contact name: `�t L � l licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 27 f3 a t, z -( 5/ . jurisdiction in which work is being performed. If the City/State /ZIP: L,, k, a. " /� 0 q 7r0 3J- applicant is exempt from licensing,. the following reasons / apply: Phone: ( f'7) 6 / J - /J £,f Fax:: ( ) Socn -i.. E -mail: /C CONTRA Business name: L / � 4 A 1 ,(, N ofr F . f ` � BUILDING PERMIT FEES* Address: ,2'9 j3 L_ . 1 $ 1- , Please refer to fee schedule. City /State /ZIP: 04 q }�a l s — L �� { i �S f [y Fees due upon application Phone: (5Q3) C3 1-:,_, 13 1/ Fax: ( ) ,_$ - „�- CCB lic.: Amount received �/ 15 - 3 5 ' y Date received: Authorized signature: „. 4.,..„ , This permit application expires if a permit is not obtained J �j {. r) within 180 days after it has been accepted as complete. Print name: /7 J,IG, Lr Le _e- Date: i0 - JS &).— * Fee methodology set by Tri- County Building Industry Service Board. i\ Building \Permus \BUP- PermitApp.doc 12/03 440 4613T( I Ii02 /CONUWEB) r , ,.s s t ., ," F O USE ON LY k � + ; , �� Mechanical Permit Application .� i Y ; '�� , Received City of Tigard Permit No.: Date /B}': 13125 SW Hall Blvd., Tigard, OR pp7223 ff` t1 u — ' Plan Review Other Permit: Phone: 503.639.4171 Fax: 503. ❑ n �f lit Da te/B y: Inspection Line: 503.639.4175 1tV L ® ' I � . n_ rC . . r ' °, Dat Ready /By: 1unr. E] See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 15 2nnc R4'y�'4.. jg ' -� x'".> �x #�"Y`,,s'3� :" �..�.:�, std+ *vY+� •.fi" 'l'�i - A'k �l'^ .* i, " , `.;. 1.f.. i " ;r i,,i YPE dF: g � , <, *a:' ' ,<; . " = =r, , � _,4 C FEE SCHEDULE - USE CHECKLIST `" t r (11- Tf(�6Rn Mechanical permit fees* are based on the value of the work kNew construction 8Lm Addition /alteration /replacement u11VU DIVISION performed. indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ? ` . t� YTP p 4 �, -'-.�, * . . .. ..- _. a <uc,' - :4ee..u." fx•" f3"'� Value . $ , y . r ' ., _ CATEGO 11 OFn COIOSTRUGTION ° °„: ,l it . , ' „ .�su� �'"i.'k'...�+w .., �s'P�,>e. ��.'' �Sa.::.�x.nzx;;n�.,- c�+4:,..r f'��ra�:: .:,Ua.° a.�,c- - r.sr:,�. tea: �- �' ..,,�s�.....ar.k��. ^'�?'.. !,Z- F��'- t.'.-�'�s;aoa ?.��x;r - -a * . x � .: w� �,.�'�n..r'.r4e :.a -�. '- �a.,„, 'c =- � >.r,��. Al- and 2 dwelling RESIDENTIAL '.EQUIPMENT`, /,1SYSTEMS'FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total -5 4 - JOBS SITE.IiVFORMAT IOIV 4i∎il ' L OCATIO1V i : -'1 " Heating/cooling Job site address: Air conditioning or heat pump �� ��� J'c G ��QoI _ (requires site plan showing placement) 14.00 City /State /ZIP: � 3 u � >L o Furnace 100,000 BTU (ducts /vents) _ 14.00 l Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Oar lia,,9 , 0I- •--) 12 Duct work 14.00 /O d {� A j /� Hydronic hot water system 14.00 (� Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: 131't7 /rcl tillaf Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances is 4 / ' , rt 0 ' = / ". ' ` e ° t • � <DE SG R I P:TION�:OE ;, WO - ` Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) • 10.00 • Wood /pellet stove 10.00 Wood fireplace /insert 10.00 • <- - Chimney /liner /flue /vent 10.00 `: PROPERTY. OWNER ,, . N . ; ", •.;.;, • ..., ,D T Other: 10.00 Name: LE, _ L- /(w, H /( ©Ii1 L . ' Environmental exhaust and ventilation Address: 2 T7 c _ /y ,,, / ..1 - s1 b Range hood /other kitchen 0 equipment 10.00 City /State /ZIP: 4 n� € ,) 272 '17 f Clothes dryer exhaust 10.00 f/ C� Single -duct exhaust (bathrooms, Phone: ()O)) �.' ' — /3 ( ('3 Fax: ( ) � toilet compartments, utility rooms) 6.80 '',APPLICANT `' :"`° ' `❑ `CON PERSON Attic /crawlspace fans 10.00 JJ , °• ; / :; ry Other: 10.00 Business name: L F e. - `7i"V , < / IO/ /2 = .5 Fuel piping Contact name: P l'. L t L a „ _.. $5.40 for first four; $1.00 for each additional Address: 2 7 L Z - , Furnace, etc. Gas heat pump City /State /ZIP: Cd� 9 q, g j y Q,, 7a. ?f Wall /suspended /unit heater Phone: (So ?) 35--,.. 134(3 Fax: : ( ) Water heater Fireplace E -mail: Range is '' -'•- T _-,H.b • ~ , ••1 1 ..• , . . > W '''.'..;.,0,':, _'. '° r , , 4 , ' 't ° 7 CO ' R'': . : 1' , : " . , . Barbecue Business name: iev-t4 `. f tie_ � 0 X ' 6 e 4 J . Clothes dryer (gas) f J 0, DaK / / 2 6r 6. t� _ ✓7 , gi / Other: Address: r r �,. „����� m M E CfIANICAI. PERMITxFEES* City /State /ZIP: fir/ 6� u 19A 6 r?t/ ! 2 Subtotal Phone: (S--9) 26 /2 -I T Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: / q o0 r State surcharge (8% of permit fee) ` TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within IRO flilk ( days after it has been accepted as complete. Print name: L ,. 4r.�i Date: // - /5 i * Fee methodology set by Tri- County Building Industry Service Board is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM / \VEB) Mechanical Per • it Application - City of Tigard Page 2 - Suppleme ; tal Information Commercial Fee S edule: T,otal?alu , t , Fee,�z $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.'10 and $2.30 for each additional $100.11 or fraction thereof, to and including „5,000.00. $5,001.00 to $10,000.00 141.50 for the first $5,400.00 and $ 80 for each additio - .1$100.00 or fra 'ion thereof, to a 4 including $10,1 10.00. $10,001.00 to $50,000.00 $231. for the f .t $10,000.00 and $1.35 fo -ach a %ditional$100.00 or fraction th- .e• , to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 fP the . st $50,000.00 and $1.25 f• • each ad. ional $100.00 or fracti' thereof, to a + including $10'4,000.00. $100,000.01 and up $ ,396.50 for the first $101,100.00 and $1.10 for each additional $101.10 or fraction thereof. d Note: All new/commercial buildings require 2 sets of plans. i:\ Building \Permits \MEC- PermitApp.doc 12/03 2 a u, y i 'a "'Na • Plum Permit-° . � -. ; : 1- Fpll O CA: US O rl �,�,� Et City of Tigard q 7 o ` g ' i LOUJ Received Date/By.. PerrnitNo.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 :a;M -1 '., �• f Date/By. Other Permit No.: 24- Hour Inspection Line: 503.638f-1:7,50F i D a t e Ready/By ® See Page 2 for Internet: www.ci.ti ard.or.us T IGARD L1: �I _I {' ^ ;; tvas: g RI In DING DIVISION Notified/Method Supplemental Information =' ;TYPE OF WORK . :' ''4.- .... ,, r _:• ;. �. FEE* SCHEDULE. .•' ,5, X New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New I - 2 - family dwellings (includes 100 ft. for each utility connection) . - CATEGORY OF CONSTRUCTION ` 4' SFR (1) bath 249.20 • I- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 El Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 . .1 ,,; JOB SITE:` INFORMATION_' AND `LOCATION„ F ;. Site utilities . Job site address: i 4 t0 / e, Catch basin or area drain 16.60 City /State/ZIP: ; �� p� Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: � I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site:f� ! Manholes 16.60 P ik/ A 6 / � � l (2 (©� a / (O , to Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 13,74, Ifs oat] Lot no.: t Water service (no. linear ft.: ) Page 2 UUUU Fixture or item Tax map /parcel no.: Absorption valve 16.60 .DESCRIPTION OF- WOR ,. • � - . , Back flow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 .. Drinking fountain 16.60 • ' PROPERTY •OWNER `'' . - . ❑ TENANT / � / /D � Ejectors/sump 16.60 Name: k LA fy f s Expansion tank 16.60 Address: pe - ,5i . Fixture /sewer cap 16.60 City /State /ZIP: _1 (` t 5�,,,e) t� tJ ' t ' 22j Floor drain/floor sink/hub 16.60 Phone: C ((_ (���) � l ��l � Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 • g APPLICANT : ❑ CONTACT :PERSON , / .� c / t/ Ice maker 16.60 d f r Business name: J /_ G / A ` l L t ! �� Interceptor /grease trap 16.60 Contact name: n � / Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: ` / f 14_ n ,„,,, m . 17,22 5 ' Roof drain (commercial) 16.60 Phone: `to3) G/j _ / L /� I ax:: ( ) Sink/basin/lavatory 16.60 J Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 Water closet 16.60 Business name: G Plw� . t , Water heater 16.60 Address: 2 L d y J4 Lp Other: • � City /State /ZIP: F // /,J O rd 9j p q / /2 6 f Subtotal r`1 Minimum permit fee: $72.50 Phone: (�(,)) 6 f L v - 2 3 1 / Fax: ( ) Residential backflow minimum permit fee: $36.25 6666 CCB Lic.: 6 d Plumbing Lic. no.:3�/ 4.11/ Plan review (25% of permit fee) � j /.........._. � State surcharge (8% of permit fee) Authorized signature: / l / TOTAL PERMIT FEE Print name: fio il L i � c. i.e- Date: / l _ / -6,9A This permit application expires if a permit is not obtained within / 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i \Building \Permits\PLM- PermitApp doe 06/05 440- 4616T(10/02 /COM /WEB) • Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: , F . �. ,�:...c• �Ae.�- �..�.� r� -� � , _ ,� ..�.... a::w, -Site �Jtilities. " • . , Q , ._ - teal.= Total %� Square'_Footage .. Per>miit =Fee 1 r a ._ . ,... Footing drain - I" 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater _ $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 _ >:.Pern it Fee :.: p; ;s„ ` f* : > = 3: H :,;: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 101' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each �Flxture OI'.)(tenl `r� ` , ` .� ': Qty._ b F ee ea o: ttal ; additional $100.00 or fraction thereof to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,1;0.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 o $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof to s. -ciall r -. uested ins.ections - .er hour 72.50 and including $50,000.00. Subtotal -__ $x,001.00 and up $742.00 for the first $50,000.00 and for each additional $100.00 or fraction thereof • Fixture Work: '`rg Plan 'Reviiew foir'CotaiiplexStriact * r "es Are you capping, adding or replacing fixtures? f "y • . , A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failu • o system that meets any of the following criteria accurately report fixtures could result in increase• wer fees *. Please check all that apply. 1 oantity b Fixture Wo . ed ` ❑ Any new commercial building. Fixture ❑ Any new exterior plumbing site utilities. • Previous ❑ A commercial building with installation, alteration or addition Baptistry/Font - V of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower .4 ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool ippr providing services to human beings. Car Wash -Each Stall 0 Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator , are being installed for the food service area Dishwasher - Commercial • ■ Any new residential building containing three (3) or more - Domestic r Drinking Fountain dwelling units.' • Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink -2" . Submit 2 sets of plans with any of the above. 4" — • Car ash Drain SOmeti1C or RiSer Diagram Garbage - ►omestic Ti Isometric riser diagram is required for new buildings Disposal - Commercial three (3) or -ore stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regard' • fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Pennits\PLM- Pertnil \pp.doc 07/06/05 yr 7 , t. , , ',t, H v r , c"` ,K f si 16fi j `t1 Ele Permit Application , r . '''. t 7 = �rr� FOR O FFICEUSE ONLY , t„ `� � - City of ' � � � � � 11.— © ' Received Permit No.; 13125 SW Hall Blvd., Ti $ ard, OR 97223 Plan Review : r Plan Re Phone: 503.639.4171 Fax: 503.598.1960 O 1 5 200 +'� Date /B Other Permit: Inspection Line: 503.639.4175 6 ''II, Date Ready /By: Duns, 0 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information ',z "i a t .,' #;'` ".s• - ; ;Z- 4, ;',, �t;.z`ft s, tk - . a ; d,. �[�. = ,m'; ..Et,,r s - ,. 4,,,,,? New i; , .,; , ,, ,,, 6 , —, ..C .. K �,S';I f A0 ,. ; ; �, ta —m , .?J ,F- ,','"W,',..,--,. ,;P :'�'� .a ear".._. ._: �.,,,a� _. _..� nvx n. �.... 3- - ._�,a.. ., ��.� � u. -_.,, 3.v,, . �*�. , - �- a >.. ...e .� a - , .w, r ,: e ' . , :. ANew construction ❑ Addition /alteration /replacement Please check all that apply: /❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ❑Hazardous location . = ,rms.. : 4. � 3,' „R -, y x,r ," TE sA .., 4g , z , <, ,: ��, mm ., EService over 320 amps — rating ❑ Butldng over 10,000 sq. ft., ` ',,a E m ' r7. ' " ' — Ft',CAGORY,%OF5CONSTRUCTION: , of I- and 2-family dwellings 4 or more new residential K 1 - and 2 family dwelling y ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ['Building over three stories ['feeders, 400 amps or more _ ['Occupant load over 99 persons ['Manufactured structures or " "? li. : !: • 'JOB SITEnINFORlVIA1'IOIY AlVD; L�'OCAT,IOIi V �t.. -�. - o- �:. ., J ,, �. <...� ,� �� .. , -��. � . �� F - _ .:�,,� .. ❑E /li plan RV park Job no.: Job address: o ��� ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: -773 , OR The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: > Project name: r' i5i :1 `a : :M w- F.EE * .'°:` : '' SCHED.ULE ` `. Description Qty. J Fee. Total Cross street/directions to job site: New residential single - or multi - family dwelling unit. ar 4a, r, /, Includes attached garage. fi a O // /( 0" 1,000 sq. ft. or less 145.15 4 Subdivision: er r �� (�J� (�s Lot no.: t Ea. add'I 500 sq. ft. or portion 33.40 1 ` ' Limited energy, residential 75.00 2 Tax map /parcel no.: .,� ",`'" ` ODE �j{, { r i, ,. Limited energy, non- residential 75.00 2 SCRIPTION�, r`r X �` ,� �. �;,�,,�.«� �, �� t ,� t �,�- ,." ,;',�'�„ r _'OFD WQ a �� � „��� � � t ,,i;. € k Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 : ,; - �' - -'ti.: ;t, ,' ' °. t, ,.. „ §„ `, :. `` 201 amps to 400 amps 106.85 2 y,, - » ROEERTY, NYN R - :;'. .. E : ” I'E1VAN�, v • Name: kg- ( , LA J/'/2 fff ��/ � Q /nrS 601 amps to 1,000 amps 240.60 2 :” Address: (� �� p a / l A ei l s 7 Over 1,000 amps or volts 45=}.65 2 • Reconnect only 66.85 2 City /State /ZIP: D g a t I 0 � 81625 -- Temporary services or feeders installation, alteration, and /or � Phone: �/ -� /^/ 5'..- /26 J 10/ F ax: ( ) relocation 7 t � / ` C.--- 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 . intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits— new, alteration, or extension, per panel :a. ' . k xi "` r : i°,r; ° ' - A. Fee for branch circuits with ; ',,s'. '- , i; +. - . ,- 2 AUL" '' IG ANT .;0'g . " ,, t' �;' .N T_ A C_ T `P , service or feeder fee, each Business name: W._ .. L� , ` /1041 F 5 branch circuit 6.65 2 Contact name: < r f �e �j B Fee for branch circuits without service or feeder fee, 46.85 2 r each branch circuit Address: LAP t �� �� Each add'l branch circuit 6.65 2 City /State /ZIP: x,,,_ a 64,1.--- 42 on, 17) E Rs Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (c0)) 3,- 0 3 Fax: : ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- ° .' ° 'v ; 3'' (° ',; ° energy panel, alteration, or �:� .: ;, =,~:';<.��. _ ,,. � _ -: _` ° - �. "w :t =� « ', ,, r ' y -. -, � <. gY P extension. Describe: Page 2 2 Business name: L /`f� ,.,' ,„ - , r ' Address: /, i2 0 2. / £(2 Each additional inspection over allowable in any of the above ' Per inspection 62.50 City /State /ZIP: g i /C Z G , og q7 12_ _ Investigation per hour (1 hr min) 62.50 Phone: (-� 2 ) 72 „ p /7 Fax: ( >r /6 _ /G 77 Industrial plant per hour 73.75 ��� � . 'ELECTRICAL PERMIT FEES* CCB Lie.: / Electrical Lie.: Suprv. Lie.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: / This permit application expires if a permit is not obtained within 180 15-1_0,-- days after it has been accepted as complete Print name: ? �S 1 i7 Li / Date: j _ ' Fee methodology set by Tn- County Building Industry See ice Beard v " Number of inspections per permit allowed. t. \Building \Permits \ELC- PennitApp.doc 12103 440- 4615T( I 0 /022 /COM /WEB Electrical Permit Application - City of Tigard Page '2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Op ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: 'tEO =, "O -RCIAI :WORKxONLY.. r °'f`. 'q r ,: kaxs:, Fee for each commercial system .... $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunicati•- Installation ❑ Fire Alarm Installa .n ❑ HVAC ❑ Instrume tion ❑ Inter om and Paging Systems ❑ andscape Irrigation Control* If Medical Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling Other Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations \ Building \ Permits \ELC- PermitApp.doc 04/03 REC ENE® Culp 15 2005 CITY OF TIGARD CITY OF TIGARD BUILDING DIVISION RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number g aogs' —„ Lot No. Subdivision ,E7"f0/1/ I.✓OOr% Address 4 ,' 13' D I, Contact Name IN efiAgiN L Business LEk— t 1L14/ha Street o�[1 9 afz41uc7 sr City Z-vE oswa Coo I State pQ, Zip I riom -- As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as deemed in ORS 455.467 and 455.469. X. The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. The submitted plans cannot be reviewed until the above information has been submitted and/or approved. x The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions lease call Chad Williams at (503) 718 -2708. Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HOTWIRE ELECTRIC INC. PO BOX 2142 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2005 -00384 Date issued: 12/23/2005 Parcel: 2S115AA -10300 Site Address: 10978 SW BRETTON CT Subdivision: BRETTON WOODS Block: Lot: 008 Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF detached Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: LEE -LAND HOMES HOTWIRE ELECTRIC INC. 28 BECKET ST. PO BOX 2142 LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone #: 503 - 635 -1343 Phone #: 503 - 848 -6823 Reg #: LIC 146276 ELE 34 -549C SUP 4487S AN INK SIGNATURE IS REQUIRED ON THIS FORM X r v l. Signature of Supervising Electrician If you have any questions, please call 503.718.2433. I TREE ER TIFICATIN .. C R STREET g $ , r I, R0,0 Z, (.0_,e, wner /Agent for != �= . 4 b 7 //O4-/ A c , tt. (PLEASE PRINT) _, .O . (PERMIT HOLDER) Do hereby rt i�fy t ats t tf he f location ,}`e �aad 8 U�.� §�K %"a. meets City s. of T:ixgard /Washin=gton C ounty l and use and development standards for street tree installation. 0. /7q 7 3 J 4L 0/ �/ ADDRESS: 7� , LOT: F SUBDIVISION: Ptai o of 5 0. II r/ B Y: / � DATE: e 9 ? . ® RECEIVED BY: DATE: L. ® VVVVVVV `-VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV CITY OF TIGARD BUILDING DIVISION AtiA PERMIT #: pvisT2005-00384 13125 SW Hall 13 Tigard, OR 97223 DATE ISSUED: 1212312005 Phone: (503) 639-4171 4 711 0 400ii if Inspection Requests (24 Hrs.): (503) 639-4175 ,A11,491 INSPECTION WORKSHEET FOR DATE: 215/2006 TIME: 7:00AM PAGE: SITE ADDRESS: 10978 SW BRE I ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: Now SF detached OWNER: LEE HOMES, PHONE #: 603-636.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 12/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 040671-01 503-789-6795 Corrections/Comments/Instructions: PASS PARTIAL APPROVAL pi CANCEL El NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ,, Date: /2--5 C., Phone #: (503) 718- _ _ CITY OF TIGARD , , .,.. • , BUILDING DIVISION PERMIT #: MST2005-00384 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 12/23/200s Phone: (503) 639-4171 Am i u ivliti l l i Inspection Requests (24 Hrs.): (503) 639-4175 ,,,_..W •--- INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 79 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETON WOODS DESCRIPTION: New SF detached OWNER: LEE-LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 636-1343 Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 025157-03 503-380-2945 N Corrections/Comment /Instructions: fV \ G . •-z. Aiv\ ck u e • j j-,) - 6.._ • (1 .- ±ii (- • _ A i f \ / ! ■ $ ? ;6 3 Le U D31 j I PASS i ig: "4RTIAL APPROVAL fl CANCEL 0 NO ACCESS I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED c \ZZJ (jq. Inspector: Date: V ( 7 4 ' 4 Phone #: (503) 718 .. _ 6 (Ok t ;f CITY OF TIGARD . BUILDING DIVISION PERMIT #: MS12005 -003114 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 '212300 Phone: (503) 639 -4171 A llit s @�u "l/h Inspection Requests (24 Hrs.): (503) 639 -4175 : � ' INSPECTION WORKSHEET FOR DATE: 1/1012006 TIME: 7:01AiVI PAGE: 81 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I ON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: EIRE TON WOODS • DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 503.835 -1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 1118/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Sanitary sewer 025157 -01 503-380-2945 N Corrections /Comments /Instructions: V kg 1 . L t 1(A/1 A/6 Lt- -1- 0 7 Ltj..-) U.N Vl 0.--LA k-4.,-..^ is)) Try,,, c1,-- k__ - d- f Pro tC a "C 0 frv\ V) ,er j ..iv■ \-,, - /-rLA C ` a ("4-') 44■.-12-,/k.., Ef L6 UN -AnC • 1 00 Y Lejs—&(2-.0CJL ( P t 3 a 3` - t e c___ , s 0 ,\, ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED e . Inspector: Date: V / Phone #: (503) 718- Z .r r 110 f V l • ', CITY OF TIGARD . ,. . BUILDING DIVISION A . PERMIT #: WIST2005-00384 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/23/2006 • Phone: (503) 639-4171 —. reillti Inspection Requests (24 Hrs.): (503) 639-4175 ■ li., INSPECTION WORKSHEET FOR DATE: 1/1817006 TIME: 7:01AM PAGE: 78 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: ()Q 8 TYPE OF USE: PROJECT NAME: BREI 10N WOODS • DESCRIPTION: New SF detached . OWNER: LEE-LAND HOMES, PHONE #: 603,.636-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 636-1343 Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 025157-04 50'3-380-2945 N Corrections/Comments/Instructions: ()LH C.,43---icap.i fi....c . -6 7 ciauco.5 ) (eq 146 UYWYg717, ---- W---et.--:,.• ' . _.,-------- ---,,, _,---- . # O' 171 6// ' e / / i tr Cl/ / /1, / f _,, _ • - " .----- -'----------'--- . - " 7---: '.' ,7 - - - 7-- - ------ . ---- . . . . 0 PASS PARTIAL APPROVAL El CANCEL El NO ACCESS Of( ' IL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED , Inspector: vt 0 4... ) Date: Ph one Vr hone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2312005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 =! INSPECTION WORKSHEET FOR DATE: 121512006 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 10078 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRk_ I ION WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE LAND HOMES, PHONE #: 503 -635" 1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: /2/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 699 Mechanical final 040671 -02 503 - 788.6795 N • Corrections /Comments /Instructions: ASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / S - c fo Phone #: (503) 718 - Z— CITY OF TIGARD 1 BUILDING DIVISION l PERM #: MST `t ,. �O�c�OM 13125 SW Hall BIVd., Tigard, OR 97223 DATE ISSUED: 12/23/2005 Phone: (503) 639- 4171 �l�i" Inspection Requests (24 Hrs.): (503) 639 -4175 , ' £'' I1 INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 16 SIT ADDRESS: 10978 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRITON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BREI I ON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 503 -635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 636.1343 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 040320 -02 503-78%6795 N Corrections /Comments /Instructions: n PASS PARTIAL APPROVAL . ❑ CANCEL I I NO ACCESS I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: . jA Dater! – 26— o6... Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION /- PERMIT #: MST2005 01331 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/23/2005 Phone: (503) 639 -4171 . a ' upo Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2812006 TIME: 7 :03AM PAGE: 17 SITE ADDRESS: '10878 SW BRE.I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 503.635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 040328 -01 503- 788-6795 Y Corrections /Comments /Instructions: ; t el. c-i1 i CAL. r-7.- /1 t, (. A to) 9 z / o-6 GJi/t-ia c'!37 sT 1,t.,svkp110 ( -rte P ASS PARTIAL APPROVAL CANCEL n n NO ACCESS 1 I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED 1 Inspector: ,/ Date: 1/- — Phone #: (503) 718 - 24 ' CITY OF •TIGARD v BUILDING DIVISION PERMIT #: i�fiS12005 0031 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 1 / /200 Phone: (503) 639 -4171 -, 4p��aii/ Inspection Requests (24 Hrs.): (503) 639 -4175 saiW __- INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :07Alvt PAGE: 15 1 u 24 ) SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: OW TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 503.635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 636.1343 Inspection Request Scheduled For: Date: 92// Pour Time: Code # Inspection Description Confirm # Contact # sag: / 399 Plumbing final 036978 -02 503-789-6795 ¥ 10 - 3 Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL I I CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r f/i>f Date: 1'.m / off, Phone #: (503) 718- Z CITY OF TIGARD ` _ p BUILDING DIVISION PERMIT #:�1 O� S r °° 3 a 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 :1 ll, ulpigl 6�� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 C i l I NSPECTION WORKSHEET FOR DATE: TIME: PAGE: . SITE ADDRESS: (o7 7 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: • CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 / 6°- - 6)( Pour Tim..: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: • • • • • V . U. PASS ❑ PARTIAL APPROVAL I CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Cli ‘A - -- Date: /1G/ D( Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20 16.003:14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12123/2005 Phone: (503) 639 -4171 t�:�m'Iht Inspection Requests (24 Hrs.): (503) 639 -4175 ' tl4 INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7 :03AM PAGE: :;r0 SITE ADDRESS: 10978 SW BRE T i ON CT CLASS OF WORK: SUBDIVISION: SR1-1 rON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: SRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE LAND HOMES. PHONE #: 503-63'54343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 1/19/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water c :mice 025283-02 603. 789-6795 N Corrections /Comments/ Instructions: P A SS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: / 1 ` Date: I Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . . PERMIT #: MST2005•00384 A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /23/3()5 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 10978 SW BRE1TON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE-LAND HOMES, PHONE #: 603 635- 1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-13 Inspection Request Scheduled For: Date: 1/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postibeam plumbing 025283.01 503-789-6795 Corrections/Comments/Instructions: -ASS I I PARTIAL APPROVAL El CANCEL fl NO ACCESS [ FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: "Th Date: t cl(a Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: iViS;r200 -00334 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: X1 2123/2005 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 :01AM PAGE: 80 SITE ADDRESS: 10370 SW BRETON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRE1TTON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 603,836-m3 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 1/18006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 025'157-02 503.380 -2955 V Corrections /Comments /Instructions: t A. - - i • PAS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED V Wa Inspector: Date: t /� Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION - PERMIT #: MST005 friO3! 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1213/2005 Phone: (503) 639 -4171 -- ekplivial Inspection Requests (24 Hrs.): (503) 639 -4175 ____- INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 : 02AM PAGE: 16 SITE ADDRESS: 10978 SW BRL.I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 503- 635.1343 . CONTRACTOR: LEE-LAND HOMES PHONE #: 635.1i43 Inspection Request Scheduled For: Date: 9/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036978-01 503 - 789-6795 V . Corrections /Comments/ Instructions: I ►j PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: & Date: /' 0 / . o 4 Phone #: (503) 718- Z6 y,/- CITY OF TIGARD BUILDING DIVISION PERMIT # : S 3 ( 6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 0 9 o 7 . CLASS OF WORK: SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: } s` d e J e At PHONE #: Inspection Request Scheduled For: Date: - 3 — ( L i — ° � Pour Time: Code # Inspection Description Confirm # Contact # Message 3 z6 / 2- 1 . 1 Descri Correction s Comments /Instruction : k)t'#)1i t � 6 4zavLAc v c 2,0 csa. %ov tz-m 1 e PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �j R1y I6 tD Date: 31 bid oh Phone #: (503) 718- 214146 • CITY OF TIGARD • •01ST BUILDING DIVISION PERMIT #: a 043 00 3 e . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: / Phone: (503) 639- 4171 viii ( Inspection Requests (24 Hrs.): (503) 639 -4175 � ud II .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /0 9 7y Chit CLASS OF WORK: SUBDIVISION: U LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For Date: - 0(o Pour Time • ` �} Code # Inspection Description Confirm # Contact # Message 2 5 ��. '7 81 - 6 7 9S Corrections /Comments /Instructions: • PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L Date: Phone #: (503) 718- 1S CITY OF TIGARD • m BUILDING DIVISION PERMIT #;�7005 M 3p 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / O u 9 �7 , (7"" CLASS OF WORK: SUBDIVISION: 9 v LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: L — -O Pour Ti /I- . Code # ( nspecion Description Confirm # Contact # Message orre s/C rim t /Instructions: v - /MP 6 ?- 0, 1/40 Clq gc•) -� p 6-/-42,e1 W4.4•4 Zrite t � 1 - /r7 7 A ,/)16t. ( 4e& 3 54-1z yJ.Qc i a/k7 - � G el 1 Aa< % - , 1 27 r' - z , 47 / ., is i c1 . -1 Az-f •7 A zad k P 1/ / C 7 - //e `14 .t7 ' u A 2 5 - /..ri/,44.1 L/6 / e1 I PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 14 el Phone #: (503) 718 - 2.1 " CITY OF TIGARD - (1 ST BUILDING DIVISION . PERMIT #: ,W•00,5 -- 603 81. 13125 SW Hall Blvd., Tigard, OR 97223 1) ISSUED: Phone: (503) 639 -4171 a n yry Inspection Requests (24 Hrs.): (503) 639 -4175 P`; INSPECTION WORKSHEET FOR DATE: � L TIME: PAGE: SITE ADDRESS: 1 15q7 F g"'rie , 1 (t1A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: --- 2 .k- 0 (0 Pour Time: Code # Inspecti n Description Confirm # Contact # Message VU/ e �f 1 73 67gC �1 Corr - ctions /Comments /In tructions: , L.-..s./ l'Ar , 72., .i, ' . 0 L cks -- - ___\__.5 \ ,&o___ V • • ' PASS — PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL .. ° n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: V 4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: �,T �0O lif) E 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 12/2�20t Phone: (503) 639 -4171 /�w ill Inspection Requests (24 Hrs.).: (503) 639 -4175 __. 1 INSPECTION WORKSHEET FOR DATE: 2123/2006 TIME: 7:0.1Am PAGE: 26 SITE ADDRESS: 10 978 DREITOt■) CT CLASS OF WORK:. SUBDIVISION BREn WOODS LOT #: TYPE OF USE: PROJECT NAME: BRE! # ON WOODS DESCRIPTION: New SF detached OWNER: LEE=-LAND HOMES, PHONE #: m3.63.6%1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 3123/2006 Pour Time: Code # . Inspection Description Confirm # Contact # Message 240 Exterior sheathing 027426 -01 603- 789- 6796 N C rrections /Comments /Instructions: I Pg-o tit c c Tl" ` � . s i P 'v ' �. / NL� �-7 I L.. 7 /z_y i 622., 1( Z> N14-14__ : (r S it I Pc:,`1Z i. /AL z`7Qt'/U C \ " /A/e•f( . ar Se--1 - '. t>L ti A ("ML.z.i✓ S • t -T-t-/ 7 / AZ et 1/ / C�v /�. l / 1,‘./ , L L C) L� / W / c/c____ . di k- - - —S L-r7P I / / k- '' b 1,./ 42-t_ f( II // .1 7 S C L... i /C. _j Fc" FL002 i � /it � _. ❑ PASS r/, PARTIAL APPROVAL fI CANCEL _ NO ACCESS [FAIL '`CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspecto - --•■∎■ Date: �`' Phone #: (503) 71 I6 9q P CITY OF TIGARD . BUILDING DIVISION PERMIT #: lviST2005.00384 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/230006 Phone: (503) 639-4171 -4 ',1 4 1 1 ,iii Inspection Requests (24 Hrs.): (503) 639-4175 AA+ 61 ...... . INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:68AM PAGE: 8 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 888 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE-LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE-LAND HOMES • PHONE #: 635-1343 Inspection Request Scheduled For: Date: 1/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 025612-02 503-70.4.67% N Corrections/Comments/Instructions: • 4 . PASS /1 APPROVAL 11 CANCEL FAIL NII 'ALL FOR INSPECTION El _ El ADDITIONAL FEES ASSESSED El NO ACCESS Inspector: Alit /6....-...---- _- 7 Z,/ ° 4 " Phone #: (503) 718- y I I.- • • 7 - CITY OF TIGARD ,. BUILDING DIVISION -PERMIT #: MST2005-00384 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12n3/2005 Phone: (503) 639-4171 Ailh A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6: 50A1vI PAGE: 7 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BUTTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRL1 ION WOODS DESCRIPTION: Now SF detached OWNER: LEE-LAND HOMES, PHONE #:503-65-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 1/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 025612-03 503-7096795 Corrections/Comments/Instructions: Z- CPO '10 0 (/<2 ACP .(e ee) • p6 fASS i l / DART / IAL APPROVAL n CANCEL El NO ACCESS 0 FAIL 4 iL FOR INSPECTION fl ADDITIONAL FEES ASSESSED I nspector: /Z.-‘ Y.(26" Phone #: (503) 718- CITY OF TIGARD . • • BUILDING DIVISION PERMIT #: MST2(05•003 f4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12123 /200 Phone: (503) 639- 4171p4puypi� f ��l Inspection Requests (24 Hrs.): (503) 639 -4175 A INSPECTION WORKSHEET FOR DATE: 1/20/200(; TIME: 7 :00AM PAGE: 19 SITE ADDRESS: 10976 SW BREFI ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRFITON WOODS DESCRIPTION: New SF detached OWNER: LEE -LAND HOMES, PHONE #: 603 -53E1 -1343 CONTRACTOR: LICE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 2 Pour Time: P q i!._ill...t�QS Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 025313 -01 503 - 7189- 6795 N Corrections /Comments /Instructions: c• rn' o /n, a3.,rrsn.cr wry . ,.r A/40,-5 -' 4,0 - -.20�, e 7 r 1 �• s =S97., r, <. 4-c-AL s, x7C c 4..s a -mac - A/W-, 4-- . 2. 2..-11 o . v .---A. - , , c M'� <_ _ _ , _:,-.1..-- o .4, ..zss e .S.� A - fp Vic.-. - An I A Itj »/ 4.- Tvgi t� e ic . // , !MP.' : S i , f.-,,o411 j /J . I O ' .!! S f ca _ - P I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: if? Date: /--- Z -" c' Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION At, PERMIT #: MST2005.003114 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12/23/2006 Phone: (503) 639-4171 11011 01MItilii Inspection Requests (24 Hrs.): (503) 639-4175 IJ2. INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BIRETION WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRE! ION WOODS DESCRIPTION: New SF detached OWNER: LEE-LAND HOMES, PHONE #: 603-635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 024669-02 603-789-6796 Corrections/Comments/Instructions: ■ - ex/ • • PASS 7 PARTIAL APPROVAL 7 CANCEL El NO ACCESS FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: ' Date: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005.00384 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/23/2005 Phone: (503) 639-4171 i4,01 Inspection Requests (24 Hrs.): (503) 639-4175 „_.191■ IL INSPECTION WORKSHEET FOR DATE: , 1/10/2006 TIME: 700A1v1 PAGE: 29 • SITE ADDRESS: 10978 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF detached OWNER: LEE-LAND HOMES, PHONE #: 503.635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: 12:00 Code # Inspection Description Confirm # . Contact # Message 205 Footing 024669.01 503-789.6795 Corrections/Comments/Instructions: S 6'17 ) C A • Eb PASS I PARTIAL APPROVAL LI CANCEL El NO ACCESS I I FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: /—/ Phone #: (503) 718-