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Permit
R .. 4, Ai CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2005 -00186 I DEVELOPMENT SERVICES DATE ISSUED: 7/1/2005 6= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 115AA -10500 SITE ADDRESS: 10996 SW BRETTON CT ZONING: R - 4.5 SUBDIVISION: BRETTON WOODS LOT: 010 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: SSN3412 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,484 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,956 sf GARAGE: 545 sf FRONT: 12 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: 5 VALUE: 333 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,440 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: 1 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: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: 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 Phone: 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: $ 10,719.17 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : . �_Ch% Permittee Signature : 1 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. • l . , Building Permit Application ioi OFFICE USE-ONLY eft C of Tigard ill ECEiv Received D. • Permit No ^ , 2 4 /0-- -- - 40 0,2 ` 13125 SW Hall Blvd., Tigard, OR 97223 E.- Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 //mn mr ''' , D� �-� _ p, �r —" Other PennitAwAR�5'—d0 /7 Inspection Line: 503.639.4175 L / T 0 0 / � � Date 'e..y :y: Iii See Attached Checklist for Internet: www.ci.tigard.or.us C�T 1 o (/J � Notified/Method: " 5" - -' Supplemental Information euiL I OC T .G ARn _ 1 . - $mod\ --A SSC VO� \1\ri\�,• TYP C8�dilE - REQUIRED DATA: 1- AND.2= FAMILYDWELLING' gi New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the Oa . CATEGORY .OF CONSTRUCTION work indicated on this application. NI 1- and 2- family dwelling El Commercial /industrial Valuation: $ 3 © Q� 2 ❑ Accessory building ❑ Multi- family Number of bedrooms: 4/ ❑ Master builder Number of bathrooms: '7 / /� ❑O ther: .O` " " JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /© q q6 New 6_,_ 13,E . 0 , 7 G`/ New dwelling area: 3z../ O square feet City /State /ZIP: -lc ca/)-- 99f.. Garage /carport area: ✓ 00 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: ������,,., PI �� /1,2,t-LS. 9 Deck area: square feet ' J Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 0/g 7 lei G s Lot no.: / 6 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 OF WORK - work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ' ❑,PROPERTY OWNER ❑ TENANT . - Number of stories: Name: 16 e- ‘ A /ii C_I O,4 tE S Type of construction: 2 Address: 8 1, c `G..G - Occupancy groups: City /State /ZIP: Ca-/CZ- 05 O dA ',7035' Existing: / Phone: (5 (J3) 63 S _ 1,34/-3 Fax: ( ) i iN .L New: ❑ APPLICANT , . - ❑ CONTACT PERSON NOTICE , Business name: L E _ £Ait/ ic,ifn mss- MI contractors and subcontractors are required to be Contact name: � r L� �s licensed with the Oregon Construction Contractors Board (7• b� , t . under ORS 701 and may be required to be licensed in the Address: 2 ? 1 r k „ '/ ' 6 -7 �f jurisdiction in which work is being performed. If the City /State /ZIP: O ��(C;Q„ 0.5 et, a 3J '' applicant is exempt applicant licensing, the following reasons apply: Phone: (S 23) ( 3 5 - .... J 3 7. F ax:: ( ) E -mail: , CONTRACTOR .. • ' . ' Business name: L r _ / � _ L A w e / / 5 BUILDING PERMIT FEES* . > Address: 28 &c c. 14.-{ _St j Please re er to fee schedule. City /State /ZIP: k._t_ Cis a OA _ f Fees due upon application Phone: ( )) 635.13 Z73 Fax: ( ) S Q" CCB lic.: L4/ S 3 Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: H r , / L, t% .e,e_ Date: , 2 U -- 05 • Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Pennits\BUP- 11- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB) Building Division *AO Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard °° Type of Submittal :# of Plans (Includes' new, additions and alterations) . .Required' at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Permits\BUP- T1- PermitApp.dce 12/03 440- 4613T(I 1 /02/COM/WEB) Electrical Permit Appll atiwlE0vEE- D FOR oi icl US o,NLY City of Tigard pp'� Received Permit No.. 13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 3 2005 Plan Review ..240 vt� i Phone: 503.639.4171 Fax: 503.598.1960 Ga ". iAl� � - Date/13 . Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARU Notified/Method: Supplemental Information SUILCI3 '_ r., 7ICIO A lYW fJ, Y1V7v E N ' 'TYPE - OF WORK - PLAN`REVIEW , . ill New construction ❑ Addition /alteration/replacement Please check all that apply: El Demolition El Other: ['Service ['Hazardous over 225 amps, com'l Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ` 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi - family ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE• INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: /0/ q6 5 ( igiQ as DHealth-care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: J � '� ') C� O/' The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE / 1 / // (( - Description I Qty. I Fee. I Total I -- Cross street/directions to job site: n f ! o / 0._� New residential single- or multi-family dwelling unit. ^' G / Includes attached garage. 1,000 sq. ft. or less 145.15 4 a � e i t / !�/, / , 717 /,(J`'S /0 E a. add'I 500 sq. ft. or portion 33.40 1 Subdivision: /r l / " Lot no.: Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 •• .DESCRIPTION OF WOR 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 '❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 / 401 amps to 600 amps 160.60 2 L Name: E i' — 0i/.2 j-)c27t`5 601 amps to 1,000 amps 240.60 2 Address: g g /C 4,- sf Over 1,000 amps or volts 454.65 2 Z Reconnect only 66.85 2 L City/State/ZIP: ��1 /ci 0,5 G (Q (Yi' q 70 -- Temporary services or feeders installation, alteration, and/or �7 relocation Phone: (S'(? 3) 0 if Fax: ( ) J(Liy L/ 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 ❑ , APPLICANT ' • I ❑ CONTACT PERSON A. Fee for branch circuits with rr service or feeder fee, each 6.65 2 Contact name: � Business name: 6 / - �� ,/ g,„,,,, E S branch circuit / / B. Fee for branch circuits without e without service or feeder fee, 46.85 2 Address: 2 L t ! `ti 1 51 each branch circuit Each add'I branch circuit 6.65 2 City /State/ZIP: - it (95 4, Miscellaneous (service or feeder not included) J Pump or irrigation circle 53.40 2 Phone: (5a6) 63 )3e/ j Fax: : ( ) �U °1t .� Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- ' ' . -', • C ONTRACTOR • . , _ _ energy panel, alteration, or extension. Describe: Page 2 2 / Business name: 110 j-w ,r•v if /c .it• rz- Address: �, a /3U K 2 / L/ Z Each additional inspection over allowable in any of the above Per inspection 62.50 City / State/ZIP: Ni / / L /`7 a? O 7 h2 Investigation per hour (I hr min) 62.50 f Industrial plant per hour 73.75 Phone: (5 (��) 5-22 _ l� /7 Fax. ( v ) pie-64„/_3 " . . ELECTRICAL PERMIT FEES* . CCB Lic.: / v L. _2_ Electrical Lic.: 3 61--y q t Suprv. Lic.: yw 7 S Subtotal Suprv. Electrician signature, required: / l( Plan review (25% of permit fee) Print name: 0 F fu / / J rs Date: State surcharge (8% of permit fee) , J b TOTAL PERMIT FEE Authorized signature: 26_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: /r2 S ' . C r 6 : ,L Date: 5 0-07 '" ' Fee methodology set by Tri- County Building industry Service Board ** Number of inspections per permit allowed. i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT: FEES: , RESIDENTIAL,WORK ONLYi Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System * ❑ Vacuum Systems* • ❑ Other: C - AINIERCIAL WORK ONLY:. ( 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 Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 Mechanical Permit Applications r FOR.OFFICE USE ONI:Y ' ,, ' I City of Tigard O 1� DateB Permit No. 2 °5 - v 6 l j d y: v 13125 SW Hall Blvd., Tigard, OR 97223 U Ip� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 3 2 //y :Nl f DateB Other Permit: ection Line: 503.639.4175 p - I Inspection _ f- I y Date Ready/By: Iuris: D See Page 2 for as Internet: www.ci.tigard.or.us g CITY OF TIGARD Notified/Method: Supplemental Information BUIt f)INr, rinrnn, - ., i , :; , „,,x k ' TYPE OF; =W;ORK --? t *t ''t ',GOYI`MERCIALA: REE, *'<SCIIED,UL/E *USE±,CIIECKLIST' "' 11 New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. t : °;�':3 a. �'.:, rc °a rs- °-°; Wi t:,- .c* .6. = "�:�....;,. ", :, , �. i F, Value: . i , iit , � C iTEGO O G ONST U CTIOIV"� f . n[I 1- and 2-family dwelling 4 , RES ID EIV,FIAL EQUIPME / SYST S* Y � y g ❑ Com merc ial /industrial ❑ Accessory building . ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total 2 4 x � .��- � arsr�a•"a„�s .t � -?sue a s ce ,�� r � t - � - " � JOBt F INFORMATI®N A0I1 hO ATION _�” Heating/cooling Job site address: /a q c l �h Air conditioning or heat pump ✓ ' Qre� I t (requires site plan showing placement) 14.00 City/State /ZIP: ! I (4-: 0 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: B e-///2 4/t9df Gas heat pump 14.00 Cross street/directions to job site: OeL rn it irj 40 /074 444:- 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: I rm Flue /vent for any of above 10.00 o ,, _ � /4.5. Lot no.: / Other: 10.00 Tax map /parcel no.: Other fuel appliances k . s r ''' gi`''' " ' s '' '' ' Water heater 10.00 A r t . 1 '' k `' "4 6F,,NV V b ?.. . 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 $ t ®. I .6fifi O ' W11ER ` +1. ° u ''T NAND , , Chimney /liner /flue /vent 10.00 Other: 10.00 Name: L e 4A4/,, 6 / amg s Environmental exhaust and ventilation ( Range hood /other kitchen Address: 2 g ye .. t. equipment 10.00 City/State /ZIP: /A- / G/S we • 9/ q 717 3 y Clothes dryer exhaust 10.00 Phone: ( 73 C 3 /3 to l Fax ( ) _ Single-duct exhaust (bathrooms, roo ms) 6.80 , �s 'L—� toilet compartments, utility rooms) " `T `, " 4 „ ,',A Attic /crawlspace fans 10.00 >,t tt;s. ;1 A PPIICANT : 0 ' 4 ,,. , . :i <Q COIY A(T EERSt? „, . �,� a c�,� •� _. �.> m �.:...�,. � ,- c <.,,�ti -, �,.m � � ' � ,�f:. � � �.,.'+e >:,:d..,�.,.��a. a. , �r��.;°, >, , Business name: L e , _ L 4/Lie # S d k, G F ue l r: �P� g 1 io 10.00 P Contact name: po b ` J / r . .O.1- $5.40 for first four; $1.00 for each additional Address: 2 V e j t/ t'. S/- Furnace, etc. � y Gas heat pump /State Ci /ZIP: (, p, "! 7 City/State/ZIP: LA- k. �l y P O © . 7 X Wall /suspended /unit heater Phone: (C - ( 37 /31( 3 /f Fax: : ( ) $1 e- Water heater Fireplace E -mail: Range s,T - -,1 23"4:411."." rr .` ,a, , 6 Barbecue f `V.;,—. U,. Q 5 „i � � OR :in , ., t.k,Ra i,t 41t., _ .„.x -' / A eo f/ S Clothes dryer (gas) Business name: Other: Address: �/� ��j , / / ` O ' her: S ., .... .....: *: ', .; �/ i/ C /�F /l st � . , [ G ; 1YT G�3ANICv PE1tNIT City /State /ZIP: Ca , 4 dg 4 ?(.7 /3 Subtotal Phone: (SO)) 2C a ti l %, Fax: ( ) Minimum permit fee ($72.5 NO � � Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �/� - Date: 3 �� Fee methodology set by Tr - County Building Industry Service Board \ '.M i:\ Building PermitsEC- PermitApp.doc 12/03 � 4400 -4617T (11 /02 /COM/WBB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: Total k alnaton �,.- ., : ,. $1.00,,to $2,000.00 Minimum fee $72.50 : $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000:00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50;001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $1 00.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. a i:\Building\Permits\MEC- PermitApp.doc 12/03 2 Plumbing Permit Applic EINE FOR OFFICE USE ONLY © / City of Tigard Received JUN O Date/By Permit No. S aI3 0 13125 SW Hall Blvd., Tigard, OR 97223 3 20 O r Plan Review o R9 Phone: 503.639.4171 Fax: 503.598.1960 / /e�ra y �, Dazy. Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ` DateReadyBy: Jane: 13 See Page 2 for C ITY O FTIG ' Internet: www.ci.tigard.or.us _ Notified/Method Supplemental Information %�i.iil_.17Oi+i z DiviSiOi�i TYPE OF WOR1�C FEES SCHEDULE AO New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 lit I- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / O y tt/ 56/ / /e;71/�,) 6 / 7 i , Catch basin or area drain 16.60 City /State /ZIP: `� h�/ OA Dry � Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: / Project name Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: , 7 7 9i, 4./a0 GI 5 I Lot no.: /0 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 L i 6� L /Az" 14 0� i $ Ejectors/sump tank 16.60 Name: Expansion tank 16.60 Address: 2 x p i G k. t L5/ • Fixture /sewer cap 16.60 City /State /ZIP: a � cL (,7 e „ 0 �„ q7(..22 ' Floor drain /floor sink/hub 16.60 Phone: (5" p)) (� .7 5 -... /3 iii / Fax: ( ) S.4.-) ,� Garbage disposal 16.60 - ❑ APPLICANT . ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: - L /tie") // 1 Interceptor /grease trap 16.60 Contact name: 1 J 0 r ! L J Medical gas (value: $ ) Page 2 Address: 2 g / Cec. S1 , Primer 16.60 City /State /ZIP: La_ IC t.. as (ve)' Of .g)025--- Roof drain (commercial) 16.60 - Phone: ( c o . ) 6_75- , . 04/..) Fax:: ( ) Sink /basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: 6,2- 8 f /rim A, en) Water heater 16.60 Address: / e . , a x 12 Other: t Subtotal City /State /ZIP: a / 11,4 0 ,,,,, o f , t � 12 3 -_ /2 b / 1 . tCJs Minimum permit fee: $72.50 Phone: (5'0) G L/(7 23 / / Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: l q q 07 Plumbing Lic. no.: 3 1/- L 9- P3 Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: 74.4 Date: 51 - ,2 - f 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. is Building \Permits\PLM- PermitApp.doc 12/03 4404616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: "Site`Utilities Qty. Fee (ea) ' Total. Square Footage: `Permit Fee: Footing drain - 1 100' 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 ValuatlOn • Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each ; additional $100.00 or fraction thereof to and Fixture Or "Item Q ty. Fee ( ea) Total including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by (Fixture) Work Performed Fixture Type: Replace New Moved Existing Capped Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" • -3" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: i.\ Building \Permits\PLM- PennitApp.doc 3/03 N4 V T EET T C S R A I, PoZZ:e) Z_ Q Q, , Owner /Agent for Zit'- /ii A /og- 5 (PLEASE PRINT) 1 , (PERMIT HOLDER) , s`. Sc *1 , ,, 4, ::: O' Do ereb &.c f .- th5""ats the followin location -1 itg meets :City =, :Tigar /Was County „ , °.:1 l and use and development standards for street tree installation. ADDRESS: /6 qq 3 /- ag 0 . / SUBDIVISION: �77 41G96215 i l L 0. OT /- � 0. 1 0,. BY: L Cv / /„ DATE: /- 2 / DC 0. ,0 ,2Z ,.. 0> 44 , RECEIVED B : /Z-- DATE: �� i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639-4171 .:fiellvt Inspection Requests (24 Hrs.): (503) 639-4175 J.W _ INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:59AM PAGE: 9 SITE ADDRESS: 10996 SW BREFT0t CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEELAND HOMES, PHONE #: 503-636-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 • Inspection Request Scheduled For: Date: 1/24/201)6 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 025612-01 503-799-6795 Corrections/Comments/Instructions: l°74/4 47( X PASS 0 A 0 CANCEL fl NO ACCESS FAIL ALL4OR INSPECTION 0 ADDITIONAL FEES ASSESSED lnspec sr: /0 11111 ./AI/111111Mill 0(7 :1phone #: (503) 718- Date: Alb CITY OF TIGARD BUILDING DIVISION PERMIT #: WI TZ OO/86 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �n4ypi�8liil Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: !. Zo. co G TIME: PAGE: SITE ADDRESS: !Coll S a7re iJ CLASS OF WORK: SUBDIVISION: LOT #: /4:7 TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: �•- L,q�/�/ � PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # I Inspection Description Confirm # Contact # Message S1 hi 1 PLUM t3 t #44 F-m/4LS Corrections /Comments /Instructions: 4 4/0 r PASS • "TIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL % 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A _ -411111 11111111111111■ Dat i (../4 one #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: t 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2'005 Phone: (503) 639-4171 Alelki u ivatil ll t Inspection Requests (24 Hrs.): (503) 639-4175 ....„, - -4... INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 27 SITE ADDRESS: 10996 SW BRE.] FON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. • OWNER: LEE-LAND HOMES, PHONE #: 603-636-13 CONTRACTOR: LEE-LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 1/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 198 Electrical final 026283-06 503-789-679 N C. rrections/Comments/Instructions: t _ IPP• nn■ b..— ' 0 v / c..% Ar" ( a) V% 6 ICC 77/71 t 78 C--- fie0 ' li ) Po IA 1TY el-r Abu , k6 7Th PASS PAR ' APPROVAL El CANCEL El NO ACCESS _d IA AIL rA C FOR INSPECTION 111 ADDITIO7JAL FEES ASSESSED Inspector: A Date: I 1 --4thone #: (503) 718- Wr I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 AT � ii � @° Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 71 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BREI I ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BREI [ON WOODS DESCRIPTION: New SF, • OWNER: LEE -LAND HOMES, PHONE #: 503 -635 -1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115\1 Electrical service 018587 -02 503-789-6795 N Corrections /Comments /Instructions: PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: /c) /' � Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 33 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRE I ION' WOODS DESCRIPTION: New SF. OWNER: LEE - LAND HOMES, PHONE #: 503 - 635 - 1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635 - 1343 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 017977 -04 503.789 -6795 N Corrections/Comments/Instructions: Q ---- • r - Cam' `� _.. 62 .; )h 147 5 F7 e_,_ biv gt PASS n -_ APPROVAL n CANCEL ❑ NO ACCESS FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� Date: / // Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION 4,14 PERMIT #: MST2OW 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639-4171 --. 14,4 01410\ Inspection Requests (24 Hrs.): (503) 639-4175 AA- 111. INSPECTION WORKSHEET FOR DATE: 1i19/2006 TIME: 7:03AM PAGE: 29 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: I3RE I I ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRUTON WOODS DESCRIPTION: New SF, OWNER: LEE-LAND HOMES, PHONE #: 603.6364343 CONTRACTOR: LEE-LAND HOMES PHONE #: 631S13 Inspection Request Scheduled For: Date: 1/19/2006 Pour Time: 4, c... 4 Code # Inspection Description Confirm # Contact # , Message .t. ( 399 Plumbing final 025283-03 503-789-6795 N V1 Cirrections/Comments/Instructions: /"-- PZ90/. %grin_ liN- a r 4 1 7 0 PASS • A ' AL APPROVAL El CANCEL 0 NO ACCESS FAIL r CA L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ Date: Phone #: (503) 718- 111prel , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005OO105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 41111h1, Im�y�ii� @���� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 10996 SW BREI I ON CT CLASS OF WORK: SUBDIVISION: BSRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRE I ION WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503- 635.1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 017633 -01 50::3 - 786.6705 N Corrections /Comments /Instructions: /,,J a il/06 / 101 0 / 1 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL /717 ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i �� Date: . 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00186 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/201)5 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7 : 09AM PAGE: 13 SITE ADDRESS: 10996 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BREI ION WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503.635 -1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 7/2212005 Pour Time: Code # Inspection Description Confirm # • Contact # Message 315 Post/beam plumbing 011980 -06 503 - 789-6795 N Corrections /Comments /Instructions: • • $SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: '7/2 Phone #: (503) 718 - CITY OF TIGARC BUILDING DIVISION PERMIT #: MST2005.001a6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 Ae Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:08AM PAGE: 91 SITE ADDRESS:. 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON.WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BR .i I WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503.635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 011635 -01 503. 300 -2945 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - 2 ( Phone #: (503) 718 - CITY OF TIGARD _ BUILDING DIVISION PERMIT #: M ST200S -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 b � � u '��N n uNU�411 l I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2005 TIME: 7:07AM PAGE: 80 SITE ADDRESS: 10996 SW BRETTON OT CLASS OF WORK: SUBDIVISION: BRE I i ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503 - 635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 011570.03 503- 380 -2945 N • Corrections /Comments /Instructions: • / g'7/ e , ..,--71-7 . ..., 0; 1 • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i fi Date: 7/ / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 503 Phone: i i A,d ( ) 639 -4171 11 li���l Inspection Requests (24 Hrs.): (503) 639 -4175 :. ' - :_-. INSPECTION WORKSHEET FOR DATE: 7/18/2005 TIME: 7:07AM PAGE: 81 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I ION WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BREITON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 603.635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 7/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 011570-02 503-380-2945 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A71 ✓ f Date: I _ i Phone #: (503) 718- . , CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2005-00186 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 -4 1 A:intlitlit INSPECTION WORKSHEET FOR DATE: 7/18/2005 TIME: 7:07AM PAGE: 82 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE' i ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRE ■ ION WOODS DESCRIPTION: New SF, OWNER: LEE-LAND HOMES, PHONE #: 503.635,1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 7/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 011570.01 503-380-2945 ' N Corrections/Comments/Instructions: . • 11 'ASS 0 PARTIAL APPROVAL El CANCEL El NO ACCESS El FAIL Ell CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: . Date: ./..) Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION Amt,, PERMIT #: 15 i 86 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639-4171 A vivitilil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/1912006 TIME: 7 PAGE: 20 SITE ADDRESS: 10996 SW BRETrON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503-631,-;1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 Inspection Request Scheduled For: Date: 1/19f2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0262133-04 503-709-6796 N Corrections /Comments/ Instructions: . ,71 PASS I PA: 'AL APPROVAL n CANCEL 0 NO ACCESS f . FAIL ■ L FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date:// '°. Phone #: (503) 718- ---71C---=--- CITY OF TIGARD I BUILDING DIVISION PERMIT #: MST200.00186 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 h��µ�4@� nib i � Inspection Requests (24 Hrs.): (503) 639 -4175 �i�''f L.. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 2 SITE ADDRESS: 10996 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BREI I ON WOODS DESCRIPTION: New SF. • OWNER: LEE-LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 019697 -01 603-789-6795 N Corrections/Comments/Instructions: 1-- CS� t/ L--f .1 LI i ) /& PASS 7 • ' RTIAL APPROVAL n CANCEL n NO ACCESS n FAIL 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0-Z8-0 . Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00196 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2006 Phone: (503) 639 -4171 w i ll l Inspection Requests (24 Hrs.): (503) 639 -4175 J NI- IL INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:09AM PAGE: 100 SITE ADDRESS: 10996 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: 1 PROJECT NAME: BRE I ION WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 603 - 635- -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280. Insulation 018779 -01 503- 789 -6795 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ��y� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639- 4171�H� "'tll�i����'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10A PAGE: 72 SITE ADDRESS: 10996 SW BRE.I ION CT CLASS OF WORK: SUBDIVISION: BREI I ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRI=I I ON WOODS DESCRIPTION: New SF. • OWNER: LEE -LAND HOMES, PHONE #: 503 - 635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 018587 -01 503. 789.6795 N Corrections/Comments/Instructions: fZC P CT / o ff • 0 (;) r PASS � °ART IAL APPROVAL ❑ CANCEL NO ACCESS FAIL ' ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED !a' /, off Inspecto " Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711/2006 Phone: (503) 639 -4171 /sp offl " I t' Inspection Requests (24 Hrs.): (503) 639 -4175 _' � INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 70 SITE ADDRESS: 10996 SW BREI I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BREITON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503- 635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 018587 -03 503:789.6795 N Corrections/Comments/Instructions: l� ) cfrlf `r PASS 11 PARTIAL APPROVAL CANCEL ❑ NO ACCESS I I FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ad ■.. Date: / a !v hone #: (503) 718 - UP CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 �i tj Inspection Requests (24 Hrs.): (503) 639 -4175 J .,' 1_-. INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 32 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 017977 -05 503. 789 -6795 N Corrections /Comments /Instructions: tip;DASS S PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL /� L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 4� ` Date: !'lam `// Phone #: (503) 718 - 4 . , ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00166 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 y n m�ulN l � Inspection Requests (24 Hrs.): (503) 639 -4175 �_ W INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 34 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BREI I ON WOODS • LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: Nevv SF. OWNER: LEE -LAND HOMES, PHONE #: 503. 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 017977 -03 503.769 -6795 N Corrections /Com ents /Instructions: i' R 12C S .� `.� . op PL`I�. 1� ©0 , (f.: -ii- C" ?:« :t_ io _ 4' 1 4 w F �� S ______r__6" . 4 i/ _. Key/ b 6 r } - - P S . a. o. v : ' i/ A S Go,- -\ rye,. Ft K tji -1 F02( - & P,_ a vac ---• — LL 1 ti . /"/ 61 ( P ZZ 75 4: e ,q-?'I - 1 Pe_49-,,/ lc) & P s /7-i i/ C Ca,,iAI -7 F -- P P 4 > o hc:›;-7-7 N es 3 c z_c) i,-,/ • 'saki. -- /\lo ni ( 3 s. N -i ce r� rk ) 1 I PASS • - ARTIAL APPROVAL n CANCEL n NO ACCESS IFAIL E -ALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector: -.11.-- L _ - 4"1111.1.1° Date: /fit c25---- Phone #: (503) 718- 111110 CITY OF TIGARD BUILDING DIVISION PERMIT #: IviST200 00186 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 / aeullvi uil� j 1 Inspection Requests (24 Hrs.): (503) 639 -4175 _..E. INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 36 SITE ADDRESS: 10996 SW BREI I ON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRLJ I ON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 6351343 Inspection Request Scheduled For: Date: 10/11/2005. • Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 017977 -02 503 - 789.6795 N Corrections /Comments /Instructions: 4,15 , I- . e, I-A-0- - ( ev<, 'bX-Y f z -C-- , I I PASS ✓ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL = IL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspecto . Date: /0 `(. G Oc Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 , Phone: (503) 639 -4171 1i i � Nl �Inspection Requests (24 Hrs.): (503) 639 -4175 Jit __.. INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 36 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 10/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls /anchors 017977 -01 503-789-6795 N Corrections/Comments/Instructions: 0 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I FAIL n • 4' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MP/ i -■101111■ Date: / /w Phone #: (503) 718- • 0 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 0018G 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 711/2005 Phone: (503) 639 -4171 k Wlht Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 9,27/2005 TIME: 7 :05AM PAGE: 1 SITE ADDRESS: f099i . 13RF !ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE PROJECT NAME: BRE.i ION WOODS DESCRIPTION: New SF OWNER: PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: LEE -LAND HOMES 635 -1343 Inspection Request Scheduled For: Date: q/27,2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 016762 -01 506.789 -6795 N Corrections /Comments /Instructions: 1 Jr PASS ;PP; -TIAL APPROVAL n C ANCEL ❑ NO ACCESS n FAIL j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �'� -_ Date: /' CI 2 7 ' Phone #: (503) 718 - N. , i . , CITY OF TIGARD BUILDING DIVISION PERMIT #: M T2Qa apes 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 / � A „,1 01111 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/26/2005 TIME: 7 :07AM PAGE: 77 SITE ADDRESS: 10996 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: q10 TYPE OF USE: PROJECT NAME: BRE t I'ON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503 - 635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Past/beam structural 012087 -01 503 -789 -6796 N Corrections /Comments /Instructions: • I r , \ C ill „ _ ,,, _,, Tiffniiintr' _ .,,, - - • L_1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT,*NAL FEES ASSESSED . ►1// 1 Inspector: / Date: Phone #: (503) 718 - I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST Q05 00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 � � r ��� i 1/ 11 �l fll�� ,� ' \ Inspection Requests (24 Hrs.): (503) 639 -4175 ,:,. INSPECTION WORKSHEET FOR DATE: 7122)2005 TIME: 7 :09AM PAGE: 14 SITE ADDRESS: 10996 SW BRE ( I ON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRL.I I ON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503- 635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 7/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 011980-05 503- 789 -6795 Y Corrections /Comments/ Instructions: • PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑i FAIL y ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: _ Al_ `r ■ Date: ZZ Jv Rt e #: (503) 718- 1 \ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 00S -00186 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2005 Phone: (503) 639 -4171 ! ° . , ,�A,,, NV ���, Inspection Requests (24 Hrs.): (503) 639 - 4175 .._ ��. -- INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7:09AM PAGE: 15 SITE ADDRESS: 10996 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 603 -635 -1343 CONTRACTOR:. LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 011980-04 503 -789 -6795 N Corrections /Comments /Instructions: + 1 ? k a t/ D c: . `7 ✓ pi-T-c_"" S i UJ 5 4 e ZD f 7u ov c;1 NI 0 - 7'c. r/L 5 i S C.K pP - 4r" kJ/qt-4- S — 7t P C-UT S Z) . k' ov ibc= Pa rVU 'Tv z--/X /0 e k bcZ /f3 ,tore D m ,./ Pt / S F isc, IS ca`A-CC/A.l° ) PRO,/ ii Pd Si- g go /- x 30 -' x ► a" r>�`- i G.7 of S?vIC 71/ 7 -i) Pt; 0 %) i Otr /91> 4:571, L/1-76 /1/41E-- / Ai Al 1 1 r e / ` 'D, ST 6 ° Ci I 7 Ih/% . S 6c- n PASS SI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL 7 . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � D ate: 1 c'2 ®S Phone # : 503 p (503) 718 - CITY OF TIGARD BUILDING DIVISION #: MST 005 001136 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:' 7/1/2005 Phone: (503) 639 -4171 /�i�iir i ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 67 SITE ADDRESS: 10996 SW BREI I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 010 TYPE OF USE: PROJECT NAME: BRE.TTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503.635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/12/2005 Pour Time: 10 :I0 Code # Inspection Description Confirm # Contact # - Message 210 Foundation walls 0111 i �.. - ettti Y Corrections /Comments /Instructions: 1 t-O Iol -i tr5 Maty0' pc, v( L7 1 ---: C. ,--- —, s �� 11T C-1( S c .'�r�� �a.,e -7tr Q JIB S / l : °° A- OK P - e Mui.- b i 5 S`J - GA-LGCL- el Pt —d- G'ONT A[osrr - T ' V1b6 /4'J1 , ( ) P& .S / -6-A -K s GJ9"��vLc• 1Ca„e , i L ,4-1 , .. ,4 - 1 - � t K � 2 E-- n to V(-2./ / -L L - A--7 b iV 6 V i 1 o ik1 Go RN C1�2S ° 2 5 AS i t I L- I - 0 / 7 . 1 1 ' "--- g- e ' N t/e- 7 N 07 z '. Po it c ki F=N 6 , -, - /' r`L r, 64 sT1= " w /4-1--4-- .\/ L --X i 2- /)4 6 " r , i»461 e — e - rih 'r $,mac. c.> ro2cit 3 . r i°2a "i I 4 o= X11, r __pi PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ll ' • FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto : . Date: Phone #: (503) 718 -