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Permit
, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00357 1 ° 1111 DEVELO BMENT ORV 2CES 639 -4171 DATE ISSUED: 12/8/2005 I PARCEL: 2S115AA - 10400 SITE ADDRESS: 10988 SW BRETTON CT ZONING: R - 4.5 SUBDIVISION: BRETTON WOODS LOT: 009 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,533 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,141 sf GARAGE: 492 sf FRONT: 12 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 259,962.80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,674 sf REAR: 12 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS: TUB /SHOWERS: 4 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: 2 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: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 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: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X • CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the 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 10988 BRETTON CT. 28 BECKET accordance with approved plans. This permit will expire TIGARD, OR 97223 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: $ 10,409.76 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Issued By : a Permittee Signature : fAZ' 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. c• - Building Permit Al I lip t • e t � u t��� "i : :. 4 11s � ,ct .t �� , �,i ,,i.1 , .' . q ry /4,a„. j f ,.FOR OFFICE'�UE ONLY ,t � *,- #a. �.. s t.�`^ P r : S'! , o aS' , f , . 1 .. I , > 3 ' v s. r ? !. Received a City of Tigard a " Date /By. ' — ilt 410. Permit No\ : 64 _, _ "7.45 / r 13125 SW Hall Blvd., Tigard, OR 97223 r 1 q'•j Plan Review `� �'� t g Other Permit: t( /ya . +� Phone: 50 3.639.4171 Fax: 50 3.598.1960 0C ' ,t Date /B I — S i(/� _I w (/VV ,A, _ .i� Inspection Line: 503.639.4175 ao, Date Ready /By: � ® See Attached Checklist for Internet: www.ci.tigard.or.us o � rIG� NotiftedMethod:4 0 ' � Supplemental Information ' ;;T" ? QUIRED , DWELLING ,DATA:1, AND 2- FAMILY DW > �" - -� xt��.0 �Y�.�y;4, OF,. E XNew 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 , , x i.;i i a flit rbi s iiRgili ..,- - _N >.,. work indicated on this application. n ., : , 0 , ^ , ,0 , -, , ATEGORY GONS & X1- and 2 -famil dwellin 3 Valuation: $ sI 9 2 O C y g ❑ Commercial /industrial : ❑ Accessory building ❑ Multi - family Number of bedrooms , ❑ Master builder ❑ Other: Number of bathrooms: a I/ ,,.; „, x , ,,,,,,, s:' JOB¢'SITEINEORMATION,3AND rL • - Total number of floors: Job site address: 0 ard/ ri. New dwelling area: 26774' square feet City /State /ZIP: ` Garage /carport area: Z Z square feet Suite/bldg. /apt. no.: Project name: O/ 9) 4 f Covered porch area: square feet Cross street/directions to job site: " Deck area: square feet 1`3t r h .1 red , ,z.- /7X /-Av Other structure area: square feet ,.REQUIRED?DATA: COMIViERCIAL- USE,CHECKLIST Oj7 r2� it/0,15 GJ5 Lot no.: q Permit fees* are based on the value of the work performed. Tax map /parcel ❑o.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Y : = ' -{x° '.' DESCRIPTION =20FiWORK,, % ;. ” work indicated on this application. Valuation: S I Existing building area: square feet New building area: square feet k ` ='x ;,, 'PROPERTY,i':OWNER ? .: ` e . " 4 i " ° ,"TENAN ` • T ` Number of stones: e t .... : J //or Name: / t E...5 5 _ Type of construction: Address: .a € G /� f Occupancy groups: City /State /ZIP: Y L Q, [ OR 17U3f Existing: Phone: (,S-61,3) G, 3 6 /J? (- f 3 Fax: ( ) Oa-47 i- New: •PPLICANT• • :. , _. ' • • • ;_0 CONTACT PERSON NOTICE . Business name: L — LAto9 it-D� js All contractors and subcontractors are required to be Contact name: Rpd 6 L e c,' licensed with the Oregon Construction Contractors Board � � G `L � � $/ - j ORS 701 and may be bein required to be licensed in the Address: < / j urisdiction in which work is being performed. If the City /State /ZIP: L t • Q� ?L r applicant is exempt from licensing, the following reasons , apply: Phone: ( S'o7 6'35- /3 q3 Fax:: ( ) E -mail: t; ,^ F.:n" Business name: L g. ,. LAN) /1241JF5 , Address: 2 � � � 4 „,4t .5.1 ; BUILDING PERMIT- FEES* - Please refer to fee schedule. City /State /ZIP: e a (2,e ' ? i73 J r Fees due upon application Phone: (5 4.35-__ l3 L� ? Fax: ( ) c -1'1 Ii CCB lie.: L-1 /5"--33--- _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: /e ,„ 1, L..a _ Date: /0 „ JL/ * Fee methodology set by Tn- County Building Industry e r ! Service Board. 1 \ Budding \ Permits \BUP- PermitApp doc 12/03 440- 46I3T( II /02 /CONi /WE81 / One- and Two- Family Dwelling . z Building Permit Application Checklist `4, x r r " t.,, t . " '' , � F O R OFFICE USE' O NLI't t r City of Tigard Received Permit No 13125 SW Hall Blvd., Tigard, OR 97223 DateBy. Associated permits Phone: 503.639.4171 Fax: 503.598.1960 4/17410 I t 24- Hour Inspection Line: 503.639.4175 " A l i , ❑ Electrical ❑ Plumbing ❑ Mechanical � ' Internet: www.ci.hgard.or.us ❑ Other: : tTHE FOL IT :A gi FOR,P.LAN.REVIEW. ` ' `"R> Yes; No+ q N /A'S I Land use acti t t s completed. See jurisdiction criteria for concurrent reviews. I ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of a t 'roved plat/lot. ❑ ❑ ❑ 4 Fire district apprt al required. Name of district: . ❑ ❑ ❑ 5 Septic system perm- or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approva ❑ ❑ ❑ 8 Soils report. Must carry i iginal applicable stamp and signature on file or with applica ion. ❑ ❑ ❑ 9 Erosion control ❑ plan C permit required. Include drainage -way protection, silt fe ce design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible p , ns. Must be drawn to scale, showing conformance t applicable local and state ❑ ❑ ❑ building codes. Lateral design de .ils and connections must be incorporated into the lans or on a separate full -size sheet attached to the plans with cro references between plan location and details. lan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The pla must show lot and building setback di nsions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differe :al, plan must show contour lines at -ft. intervals); location of easements and driveway; footprint of structure (includi decks); location of wells /septic ystems; utility locations; direction indicator; lot area; building coverage area; pert tage of coverage; impervio area; existing structures on site; and surface drainage. . 12 Foundation plan. Show dimensions, anchor bolts, . y hold -downs and r: nforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, dow size, ication of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and d- ks 30 i. ches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes . id pacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross z, ion may be required to clearly portray construction. Show details of all wall and roof shea roof g, ros slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insula ' n, etc. 15 Elevation views. Provide elevations for new constructio minimum of two -- levations for additions and remodels. El ❑ Exterior elevations must reflect the actual grade if the c nge in grade is greate an four foot at building envelope. Full -size sheet addendums showing foundation elevat' ns with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral a plans. Must indicate detai ..nd locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications 4id calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floods /roof assemblies, indicating member sizing, spc.in \d bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide efoss sections and details showing placement of rebar. For engibteered ❑ ❑ ❑ systems, see item 22, "Engineer's calcula 19 Beam calculations. Provide two sggSof calculations using current code design values for all beams and multiple joists ❑ ❑ ' ❑ over 10 feet long and/or any beamf7joist carrying a non - uniform load. _ 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance: the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be as plicable to the ero ect under review. '' ` ; JURISDICTIONAL S PECIFICS .! ,,` •.x:; 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1: \Building \Permits \One - Two- FamilyChecklist.doc 12/03 . / • r x f d A N i ': t+ti ✓ + . n r , ' l t - 7 , N �,,,, Electrical Permit Application 1 W . '%, ' FOR O FFICE U - SE ON x ` � � h° ro t � City of Tigard Received DateB Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 y g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 *404 d A, DateB Other Permit: Inspection Line: 503.639.4175 i ^ ,� �J'. • - Date Ready /By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information >;ltr. ", x r l4 " f:?:' ` <>"c °':C', +:s`s?.:' ...Ir r�.. `i >x '-"xt> y : .� t .:,>a.; .':,r'^:. - .. ` - a. z',c`: :'.,r. �" 'i§ `Y �` �.m ���5 -�, .s. �. + #.. R;;4'=' .�o- t- �� ".;ac- , ; �i�i' `.'i�.'. - 'x,,. ,'�: <'`?'. >7't. ;., �� ;t�� �w��.�'s,, ms�'CYPrE OFWO � � '°'� �.`x � �t^ �. �,'- ;$ :Jt PL''i1N REVIEW.. a1x nil„ wr.�r.er -. m.� a �.��' a�.. -� £ - .�1 ` ^� iS^ 1 New construction ❑ Addition /alteration /replacement Please check all that apply ❑ Demolition El Other: ['Service over 225 amps, comm'l Hazardous location k. 4 - dv . Y ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., -' 9 s -t', . - -t`i',+sxx = s;. -t s � sY ax ". , enl - s% CATEGOR ,OF ` "' n � of 1- and 2- family dwellings 4 or more new residential 1 and 2 family dwelling ❑ Commercial /industrial El Accessory building ❑System'over 600 volts nominal units in one structure Multi family ❑ Master builder ❑ Other: ['Building over three stories El Feeders, 400 amps or more ['Occupant load over 99 persons ❑ Manufactured structures or ,; a; < ) RV ark =�s ` >. ; P -'4r` ;.f-" JOB'S'ITE'INFOR. A 10tNrAND.`10,:AT[ P . c`- ::. ° .».. f^t� '&! a w , ..- . _..., -� ..;,tea ^r� r- a�.��:A� -a T ;--s ; , __ �pr.°. - -... � `�� ' � > > '� .' , • ❑ E ess /lt htin plan Job no.: Job site address: / 0q /�/^,� a�• ❑Health -care facility ['Other: r / Submit 2 sets of plans with any of the above. • City /State /ZIP: / /� /�� a The above are not applicable to temporary construction service. J , ...:� .', -,t ? ; -;t; , ,,, .,;t4E4. SCH E DULE: Suite/bldg. /apt. no.: Project name: ��- � d� ltif�d�s Description Qty. Fee. Total `` ` ,. /� / Cross street/directions to job site: O ttrn4e -b4 2 j & New residential single- or multi - family dwelling unit. / 0 � •, 1-:—‘ A �� t Includes attached garage. (J 1 ,000 sq. ft. or less 145.15 4 Subdivision: / 3 /e /7� 9at ic Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: !/ Limited energy, residential 75.00 2 gt :, 3 }" _ N Limited energy, non- residential 75.00 2 �.r >� - > '.l - ;ti;DES` RP ION F'; WOR ` . ^ } • ° - , .� .,, _ ��i�� �� ' : _ -x � , I„.. , � � .- „r:.�.�._ -.�. .,���� z�;.n- ����-F ,. •.:� v,',;, 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 .� 201 amps to 400 amps 106.85 2 _. P RO PER TY. : i(MER ' s , ” " ``': % : f ;' ,..m.;,r� � s ; a - ..,. , ,..� * €*k �.v. ; 2 _ •- v? �.i'u'' ^a ..�,: ,; � , . - _, � r Name: 401 amps to 600 amps 160.60 2 L __ r �/Qr R /lS 601 amps to 1,000 amps 240 60 Z Address: ff L� G v/ Over 1 ,000 amps or volts 454.65 2 Reconnect only 66.85. 2 City /State /ZIP: � ,4l(.J Os . aIa 'T )0) Temporary services or feeders installation, alteration, and /or Phone: (["Q� 61 6 - 3 ((3 J Fax: ( ) / relocation ����1� 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 " '',1),:t."--:17.::,=1„:6~. "' +''AA�PELICANT `- '. ,. ;'s » w`:`.'it. I D A. Fee for branch circuits with ,, , . >" 'a„ 'COIYTACC °r PERSOIV` ;a ,r l r service or feeder fee, each Business name: z � � p ox is branch circuit 6.65 2 FF 11 B. Fee for branch circuits Contact name: J without service or feeder fee, each 46.8 2 Address: G o � /" 3 E a ech c branch circuit br add'1 branch circuit 6.65 2 City /State /ZIP: z . 0, e7 7 j Miscellaneous (service or feeder not included) Phone: (r©`) ff$ _ /it/3 Fax: : ( ) sv Pump or irrigation circle 53.40 2 c/ h� Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- , a ° :;:i-'`'�•: ;.,.. a r` M , -, energy panel, alteration, or ;,�. ':`• : v`s�: h'� ,, ,�� >r� .�°�;; t`..>.:. • :'.CONTRACTOR. ,, �. "_�:."''_' =�: > °- .::�`�..: ^ �. , - v, - Business name: Raftvie/ extens ion. Describe: Page 2 ) � F /eG1r.`e -„ Address: 80. are - 2 / 4/.2_, Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: c � � ` �� ` �� Investigation per hour (1 hr min) 62.50 Phone: (9? 5 ; 0 I7 Fax: ( ) Industrial plant per hour 73.75 L�� �� r EGECTRICAL PERMIT FEES* El CCB Lie.: Electrical Lie.: Suprv. Lic.: 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 ISO days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is \ Building \ Permits \ELC- PermitApp.doc 12/03 440- 461 5T( I 0 /02 /CO /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 07,4 ENf r \WORK# O.*, 4. . i k . Fee for all residential systems combined ... $75.00 Check Type of Work Involved: .\ Audio and Stereo Systems* ❑ , rglar Alarm ❑ Gara_e Door Opener* . ❑ Heating, entilation and Air Conditioning System* . ❑ Vacuum Syste , s* ❑ Other: !C01∎4:40 IAI R,0- 1W.ONL, ;_` .•; ," , Fee for each commercial system .75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication In 'allation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentatio Intercom, ❑ omz ag in g Systems / . ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls • ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: \ *No licenses are required. Licenses are required for all other installations is \Building \Permits \ELC- PermitApp doc 04/03 th. ,..,../:.,.,.;,. ' c., • ' - j ',' 1- , ',',' ••• ., 7 ''' '',‘ '','•';.''',' '"-' ,' e ";.■'''' ...' '.':';•`, . ' '' . • ',. ;f;e: '': • ' Plumbing Permit Application . - ' ,-. •. , , - -FOR`OFFICEA)S1 .ONL1 '", City of Tigard Received Permit No.: Date/By. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 A. ..7.,,,,,,,,,,,„ Date/By. Other Permit No.: 24 Hour Inspection Line: 503.639.4175 ..., .,. .., ..._ . - IL, Date Ready/By. Juriss El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information • ' ::: l ':'' • - - '''''.' .- '''`'' ' '''''' '.: . , :k : - -? •' 'TYPE OF , WoitiK:' ,- 1. ! '-''''''': I; . 4 '•:•''';$.•:'' .'..." !, '''•• ' ; -...' "i' ' '' ' -- FEi ■,: fiDi.il:E. ' " '- ;' , X New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection) 'CATEGORY- OF , CONSTRUCTION , 7 ''''''' . : e'•1.' SFR (1) bath 249.20 V I - and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00 0 Accessory building 0 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 "JOB SITEINFORMATION AND -,LOCATION-' -- - -z- ', ' ', ''' • • • • site utilities Job site address: a r 4;1:115ffiAglair Catch basin or area drain 16.60 _ City/State/ZIP: _,....r ( d, Drywell, leach line, or trench drain 16.60 - Suite/bldg./apt. no.: Project name: Bre ii r ,, 1,,,,,,,,4. Footing draM (no. linear ft: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 nu/4,4.4,1 az-- / O' tr A ‘76-_ Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Rred7 (i,./ 47 /IL' I Lot no.: (I Water service (no. linear ft.: ) Page 2 ' Fixture or item Tax map/parcel no.: Absorption valve 16.60 . . .. ..• - • • • - - - -:,-. Backflow preventer Page 2 Backwater valve . . 16.60 Clothes washer 16.60 Dishwasher 16.60 ■ ,. . . ' - • ‘, ' tt PROP, ERTY OVVNER. ` : .• - ' .. '' .-i.-,: '0 TENANT. ...: ,:e - Drinking fountain - 16.60 ' Ejectors/sump 16.60 Name: I-- g Z. / 4-vb I-1 t9M5 Expansion tank 16.60 Address: 2 F p g[i....tf S* Fixture/sewer cap 16.60 City/State/ZIP: Za C 0 t e 59 17 ' ?.5--- Floor drain/floor sink/hub 16.60 Phone: (ce)) '31. /3 ct3 '"Fax: ( ) c ca e - ki e___ Garbage disposal 16.60 _ Hose b 16.60 o . APPLICANT' i ' :-, '":- ''': - • -:' ... ' 0 CONTACT ib CT PERSON 4- 7 Ice maker 16.60 Business name: L r g - L //2/l'1 1._ Interceptor/grease trap 16.60 Contact name: te0,46 i /1 L i-.z-- Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) • , _ 16.60 Phone: (5--0,3) 6:3 c _ / 2 to Fax: : ( ) A i_ S - Sink/basin/lavatory 16.60 Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 . . Water closet 16.60 Business name: 61 0 Water heater 16.60 Address: fk p /2c of Other: City/State/ZIP: 1 / Xo ,V ok q7 l 23 - a" M inimum q Subtotal permit fee: $72.50 Phone: (02) 674{ _ 2.? /1 Fax: ( ) s c i z /yi I.- Residential backflow minimum permit fee: $36.25 CCB Lie.: i q q 07 Plumbing Lie. no.: 3q_qq p8 Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name' f ii L L e a--- Date: 0_11/._6/3-1 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. OBuilding, \ Perrnits \ PLM-PermitApp doc 06/05 44 0- 4616T( I 0/02/COM/W EB) @ ,. Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Scheduler Residential Fire Suppression Systems: - r-;y s r r - ' , y .y .#,^ a.', - z -r' _; 4.2 =. , .fix•. , r ` +ti •v?': ",:. - y yy'^r:'.. •..t a:' .'Sri s Site Utilities. � `" Qty. ° Fee.(Ca) _ v 4 .� uare Foota e r �Perm�t�Fee Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - each addition. 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 a�...'rNi -:r .n• ° -;; Valuatlton:' r t„ ;= Permit feB: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional I I I 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Future oihItelln " " ,; Qty >, '. ° *Total, r additional $100.00 or fraction thereof to and ' ' Fee,(ea) 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 ea additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 • ' d 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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Fixture Work: * •Plan`RewiewYfoi Coffiplex Sti Are you capping, adding or replacing fixtures? If "yes", "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees *. Please check all that apply. - QuantitY'by (Fixture) Work'Performed ❑ Any new commercial building. Fixture T _Y." Re ❑ Any new exterior plumbing site utilities. • •• • Previous 'Ca p pped `Added 'oq A commercial buildin g with installation, alteration or addition - i `� Baptistry/Font of. nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ 4 edical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool prs iding services to human beings. Car Wash -Each Stall ❑ Plum.' g installations, alterations or additions to food service -Drive Thru facilities here new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being in ailed for the food service area. Dishwasher - Commercial ❑ Any new resi.:atial building containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 -D mu urpose fire sprinkler system. Floor Drain /sink -2 Submit 2 sets of plans 'th any of the above. Car Wash Drain • -Isometnc'or-Riser • Garbage - Domestic ❑ Isometric or riser diagram is required orpew buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor *Note: If the fixture work under this permit results in an 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. is \Building \Permits \PLM- Pennitipp doc 07/06/05 ,� v i Wi!x- "' r q w s. r ",-r f ,3 -s I ' r e • Mechanical Permit Application > n ;'t 1, t' FOR O O ; ? ° . v - ' • City of.Tigard Received Permit No.: DateBy 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / Is Date/By: ther Permit: Inspection Line: 503.639.4175 , • y . :. : Date Ready/By: Juris El See Page 2 for Internet: www.ci.ttgard.or.us - Notified/Method: Supplemental Information ' °sa�•t��. ' "':: ° ??t'x �3.�F�i. "yth$?,. , ,.''y��' - "�?as = "" .I 't �;t.,?,�,w i - - ar:x*,,*, w, ,t: ,. a ' f.. F ., TYPE� a,;%" r,r; `' * — USE CHECKLIST v;, „,� x� v �;� � N �� ��� >� O �u ,� �,, ; #:� _, COM ;FEE SCHEDULE .ate; • "� m't�4 � � ,w "s �` : -�s�as �. ..�,ais; ��..� ..` ,..?� � ra, . - . ,« , .. New construction 11] 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. S t +z ""` " O1iM k re NSTRTI uE 3�'Air = + "zi ca. GTIO b N S A` "7 9,'+L^ . > $dnP@' tCATEG ' , , 1 , E u Value . � a. , ` -' " i`.RSID EQUI SYSTEMS`FEES ,I and 2-family dwelling C /industrial "' `• °' y g ❑ ❑ Accessory building Master builder For special information use checklist. M ulti -famil ❑ Multi-family ❑ ❑ Other: Description Qty. Ea. Total ,t J % .� •�£ ... �.ti, . _.. r� PK.s.4".. - B �, t .... .. •. ti ”? ' >,k "'g 4`- l �„ OB; SITE ",INFORMATIO1N4AND <'ILOC:ATI9 '-= Heating/cooling ���� Af� Air conditioning or heat pump Job site address: � r / e (requires site plan showing placement)` 14.00 City/State /ZIP: ( a-7 Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts /vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work . 14.00 Hydronic hot water system 14.00 /0 )I t , )-- thl /l1 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10 00 Subdivision: { 1'�4©� W0 Lot no.: Flue /vent for any of above 10.00 N Other: 10.00 Tax map /parcel no.: Other fuel appliances • ''"" ,i?a ''`' ;?` ""rri' DESCRIMIONOF ;`WORK- :- mc: , "r:',', 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 n y,f PROPERT.Y ; OWNER ', t; " TENTMANT Chimney /liner /flue /vent 10.00 ' " "` ' " Other: 10.00 Name: r LA (VI � 12� s Environmental exhaust and ventilation Address: /...... 2' _ - C54 Range hood /other kitchen „ / / equipment ment 10.00 City /State /ZIP: f /y (� 6 /"�� e ` (y '" 7 0 2 .5 --- Clothes dryer exhaust 10.00 ( ` ` � 3 ._ /3' ) �7 3� n Single-duct compartments, rt exhaust (uathro Phone: �) S 6 V Fax: ( ) Ys toilet compartments, utility rooms) 6.80 t:'=.;:1 , ;:- » `' =-, , m .;? 1'i,t av r ace fans 10.00 Attic/crawlspace `y �,��"dAPPLIGAlYT' .§ ,�`__� : ,� • � CONT;AGT'•PERSON' P f Other: 10.00 Business name: E - "' ��� �� Fuel piping i t Contact name: Rod ,rti 4,a P— $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: (I-03) g _ 0 y3 Fax: : ( ) St ,(..-- Water heater Fireplace E - mail: Range _ "'? ;. - A;, , %24,,-,'.,,-'4.' , 111 "€ A v ' r, ..r: '. CON' T RACTOR : "= ` ':•.^ ,, _ . .. - Barbecue Business name: � r ! Clothes dryer (gas) lOf - oz_ A /,^ Other: Address: t' i v g k /245- , 2 ! o( S )4 JL ,R RI t " S,' - - ',.z MECIIANICAL, PER MIT'FEES* City /State /ZIP: C 11.41 Z t 0R 7 Subtotal Phone: 03) 26t-'124/11 4� 11 Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: l L/ 0 ,g-- State surcharge (8% of permit fee) 1 ( 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: fe,64,e,, l L Li— Date: fa_ N—CJs * Fee methodology set by Tn County Building Industry Service Board i, \Building\ Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM /WEB) r Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 1tlXaluhtion Mcr11 , $1.00\co $2,000.00 Minimum fee $72.50 $2,001.10 to $5,000.00 $72.50 for the first $2,011.00 and $2.30 for each additional $101.00 or fraction thereof, to and includi g $5,000.00. $5,001.00 to '.10,000.00 $141.50 for the first $.,000.00 and $1.80 for each additil nal $100.00 or fraction thereof, to d including $10,000.00. $10,001.00 to $50,00. 00 $231.50 for the f st $10,000.00 and $1.35 for each a ditional $100.00 or fraction thereo r, to and including 50,000.00. $50,001.00 to $100,000.00 $ 1.50 for e first $50,000.00 and $1.2 .sr ; ach additional $100.00 or fraction • - eof, to and including $100,1 0.00. $100,000.01 and up ' $1,3•6.50 for the . st $100,000.00 and $1 0 for each additio : $100.00 or action thereof. Note: All new co ercial buildings require 2 sets of plans. • --,'? i:\l3uilding\Permits\MEC-PermitApp.doc 12/03 2 I CITY OF TIGARD BUILDING DIVISION PERMIT #: I iST2OCt- 00357 13125 SW fill Blvd., Tigard, OR 97223 DATE ISSUED: 1202005 Phone: (503) 639 -4171 /emu uo i Inspection Requests (24 Hrs.): (503) 639 -4175 AL INSPECTION WORKSHEET FOR DATE: 11/2812006 TIME: 7 :03AM PAGE: 15 SITE ADDRESS: 10988 SW SRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 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: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 040323.03 503 - 789.6795 Y Corrections /Comments /Instructions: PASS fl PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: , . Date: /!_- 78 - a 6, Phone #: (503) 718- Zq-4 -5- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211312005 Phone: (503) 639-4171 40 # 111 410■1# Inspection Requests (24 Hrs.): (503) 639-4175 4,. 112. INSPECTION WORKSHEET FOR DATE: 11128/2006 TIME: 7:03AM PAGE: 14 SITE ADDRESS: 10988 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 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: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 040328-04 503-789-6795 Corrections/Comments/Instructions: PARTIAL APPROVAL 0 CANCEL I NO ACCESS I l FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED inspector: , Date: I/ 29—e6 Phone #: (503) 718- . . CITY_OF TIGARD BUILDING DIVISION PERMIT #: MST200& 00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/t312006 Phone: (503) 639 -4171 /anMO Inspection Requests (24 Hrs.): (503) 639 - 4175 a INSPECTION WORKSHEET FOR DATE: 13/17/2006 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 10808 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: Now SF. OWNER: LEE -LAND HOMES, PHONE #: 503636 -1.43 CONTRACTOR: LEE -LAND HOMES PHONE #: 636.1343 Inspection Request Scheduled For: Date: 0/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 036170-02 503 - 789 -6795 Y Corrections /Comments/ Instructions: e • .,iv� _ s Adif 76 6 . 0 ....LA - -- . c-' 6 eAss n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 7 / k Date 0 % Phone #: (503) 718- CITY-OF ��� � ' ' m�mm�n�� BUILDING DIVISION PERMIT #: msT"20()6'00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503 ) 639-4175 ■•...• INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: '7:00/Wi PAGE: 83 SITE ADDRESS: i0t,)88 SWBHFTT0NCT CLASS OF WORK: SUBDIVISION: BRETTONVVOAD0 LOT #: OOg TYPE OF USE: PROJECT NAME: BRE[TONVVO()DS DESCRIPTION: Now SF. OWNER: LEE-LAND HOMES, PHONE #: GD.:1,1635'1343 CONTRACTOR: LEE.-LAND HOMES PHONE #: 836-1348 Inspection Request Scheduled For: Date: 1127/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 P|UrnbinBroUtJ''in 075871-01 603-789 N Corrections/Comments/Instructions: *PASS | | PARTIAL APPROVAL 7 CANCEL I I NO ACCESS 0 FAIL I | CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED � °�� Inspector: Date: - I ^ Phone #: (503) 718- CITY TIGARD . '. BUILDING DIVISION #: f"+�1ST tlt,; 00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812005 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 J "__... INSPECTION WORKSHEET FOR DATE: 12J28i2005 TIME: 7 :02AM PAGE: 40 SITE ADDRESS: 10988 SW 5RETTON CT CLASS OF WORK: 1 SUBDIVISION: BREITON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: 1BRE TON WOODS DESCRIPTION: Nev SF. OWNER: LEE -LAND HOMES, PHONE #: 503.635- 1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 -1343 I I Inspection Request Scheduled For: Date: 12J21312005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/bearn plumbing - 024080-01 533- 789.6795 N Corrections/Comments/Instructions: i .17 r r Ig • — _1.41.1 AP \ .,_ Ill IF gm O w -- W V ir" \ .., • 1. Z I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL — 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: tifilkw Date: (Z i phone #: (503) 718- CITY-OF TIGARD , BUILDING DIVISION PERMIT #: M5T2005.00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12f3mo5 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/23/2005 TIME: 7:02AM PAGE: 16 SITE ADDRESS: 10988 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRUTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETION WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503-05.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 12/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 023988-01 503-3802945 Corrections/Comments/Instructions: • PASS I] PARTIAL APPROVAL I] CANCEL fl NO ACCESS I FAIL pi CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED Inspectogy Date:egf- Phone #: (503) 718- CITY-OF TIGARD " .. BUILDING DIVISION PERMIT #: MS;'200&00357 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1218/21 ?t3 a Phone: (503) 639- 4171ai'�4jm������'� Inspection Requests (24 Hrs.): (503) 639 -4175 „.„.4.54. ...... INSPECTION WORKSHEET FOR DATE: 12/23/2005 TIME: 7:02AM PAGE: 20 SITE ADDRESS: 10988 SW BRECTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRl„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: 12..2''2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 023988 -01 503-380-2945 Ni Corrections /Comments /Instructions: 14 ic - 1 1 ,,pAss PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS FAIL H CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED by\ Inspector Date: 19)//211 ) /, Phone #: (503) 718- , �. . - - ����~��������7D�������� ,. ��w w m 'w°�u m m���mnu�� . � BUILDING DIVISION PERMIT #: k4[��2O0S'O0357 13125GVVHa||B|vd..Tigavd.OR07223 DATE ISSUED: 13,02UO5 Phone: (503) 639-4171 aawso inapeodonRequests (24Hraj:(5O3)63Q'4175 ,-,,-44- ^ � �� INSPECTION WORKSHEET FOR DATE: 12/2312006 TIME: 7:02AM PAGE: 19 SITE ADDRESS: 10980SVVBRE3TONCT CLASS OF WORK: SUBDIVISION: BRETTANWODDS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 608-635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 • Inspection Request Scheduled For: Date: 12023/2005 Pour Time: Code # In Description Confirm C�ontoot# Message v . . 605 Sanitary sewer 023986'02 503 N Corrections/Comments/Instructions: . StPASS . Ill PARTIAL APPROVAL El CANCEL I I NO ACCESS I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: / K �' / Date: ' ``�� Phone #: (503) � 18 ' pe � � / ��] � . / / �~ onm � ` ' / ` \� - ��N�~��.��������������� -� .. ��mn CITY . OF TIGARD - _ BUILDING K�U��U��U��N� PERMIT ��BT�UQ567 --'-'-^^~~^~ #: ' Q05 13125SVVHa||Bhd�.Tlgand.ORA7�23 DATE|SSUED� 1 �1���O� Phone: (503)63S-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ^l I � INSPECTION WORKSHEET FOR DATE: 12923/2005 TIME: 7:02Atvi PAGE: 10 SITE ADDRESS: 10908 5/4/ BREUOM CT CLASS OF WORK: • SUBDIVISION: BRETTON WOODS LOT #: OOg TYPE OF USE: PROJECT NAME: BRE[T{)N DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503-6351343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 Inspection Request Scheduled For: Date: 12/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 023986 503 Y Corrections/Comments/Instructions: ' / • / / / ri PARTIAL APPROVAL El CANCEL F NO ACCESS ri FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED | kr �/�� Oatm� � -]��' Phmne #� K�O3) 718' • `� ` . ' `- -' - / CITY OF TIGARD . BUILDING DIVISION PERMIT #: ISTciclx�i:57 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1218/200. Im Phone: (503) 639 -4171 0 1i � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1 223/2005 TIME: 7 :02AM PAGE: 17 SITE ADDRESS: "10980 SW BRUTON CT CLASS OF WORK: SUBDIVISION: I3REIi TON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS . DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503 --63; -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 12123/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 023886 -01 503-380-2945 N Corrections /Comments /Instructions: O ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: l n e l r Date: ?, / Phone #: (503) 718- • CITY. OF TIGARD BUILDING DIVISION PERMIT #: :MSF2005 -003b7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '17J8/2006 Phone: (503) 639 - 4171 4 4au�ii pj Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 10988 SW BRETTON CT CLASS OF WORK: SUBDIVISION: E3RE TON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LAND HOMES, PHONE #: 503- 635.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 636-1M3 Inspection Request Scheduled For: Date: 8/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 035170.01 603.789 -6795 Y Corrections /Comments /Instructions: PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 7/ Date: Phone #: (503) 718- • CITY. OF TIGARD BUILDING DIVISION PERMIT MS1-2005-00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 I L . INSPECTION WORKSHEET FOR DATE: 3J1/2006 TIME: 7:02AM PAGE: SITE ADDRESS: 10988 SW BRETToN T CLASS OF WORK: SUBDIVISION: BRET. TON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 603,635-1943 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026109-01 503-789 Corrections/Comments/Instructions: • A PASS 7 PARTIAL APPROVAL I I CANCEL 7 NO ACCESS FAIL 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: N S C?) 14 Date: 2-'1 ') Phone #: (503) 718- 2414 CITY- OF TIGARD . A BUILDING DIVISION Alli,„ 1, PERMIT #: IVIST2006.00'367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1022005 Phone: (503) 639-4171 -olll Inspection Requests (24 Hrs.): (503) 639-4175 salit-AL INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 7:02AM PAGE: 13 SITE ADDRESS: •a988 SW BRErrow a CLASS OF WORK: SUBDIVISION: I3RETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503-836.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 2/ Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 026109-02 50789-6795 N Corrections /Comments/ Instructions: &3 a 4 1 o p b QUA; Park. 6 PASS El PARTIAL APPROVAL El CANCEL 0 NO ACCESS I FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G1$_.. 14 t- ' Date: 2 - - 1 - 0 ( e• Phone #: (503) 718- 2.14 4 to CITY OF TIGARD �3 1 BUILDING DIVISION ' PERMIT #: 0 s-_ d 3 5 13125 SW Hall Blvd., Tigard, OR 97223 3/7-1 DATE ISSUED �/ Phone: (503) 639 -4171 , 0 0111l0��1 - Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: -3/ ��/ 0 TIME: PAGE: • SITE ADDRESS: / ) / f IV � CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: # CONTRACTOR: 4,,,,,. PHONE PHONE #: : ) O 5 '-- G 7 (� s Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message t ' " j� ' ")-- -I. S Corrections /Comments /Instructions: • -/ '-"----------- PASS ❑ P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL . CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / Date: 3 Z2 -dam Phone #: (503) 718 - Zr(�'5 CITY OF TIGARD r- • _ BUILDING DIVISION PERMIT #: �r CJ Ste- OCJ 3.S / 13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3 / Z� /0 -f TIME: PAGE: SITE ADDRESS: / 0 % Q 6,- C CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: / PHONE #: CONTRACTOR: 4 �� PHONE #: � ( _r Inspection Request Scheduled For: Date: Pour Time: dip Code # Inspection. Description Confirm # Contact # Messag Corrections /Comments/ Instructions: A . 0 ot OA' PASS I I PARTIAL APPROVAL I I CANCEL n NO ACCESS AIL )CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: S<A Date: 1-2/ —'4 Phone #: (503) 718 - 446 CITY TIGARD BUILDING DIVISION PERMIT #:02(505 0o3s 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Alpnviip�j�ll Inspection Requests (24 Hrs.): (503) 639 -4175 ° J.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: L I L SITE ADDRESS: / b 9 8 g V CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: -- f , -o Pour Time: /29, /r) Code # Inspection Descri tion Confirm # Contact # Message 2- SD or '7q - &7 Corrections /Comments /Instructions: \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ ' A LL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: 1— / Phone #: (503) 718- CITY TIGARD in 57 BUILDING DIVISION PERMIT #: a ODS DD 36 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 !A�l���iiiy' � Inspection Requests (24 Hrs.): (503) 639 -4175 •I �,. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / Q 8.8 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 ( - f —( �o Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions • PASS n PARTIAL APPROVAL E CANCEL 1 1 NO ACCESS n FAIL ALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ��-� Phone #: (503) 718- ¢ -- / . . .., . . ... • CITY OF TIGARD ‘ ., r BUILDING DIVISION PERMIT #: IASI-2005-00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1218/2005 Phone: (503) 639-4171 i Inspection Requests (24 Hrs.): (503) 639-4175 AA 6! ..-- .. INSPECTION WORKSHEET FOR DATE: 202006 TIME: 7:02Atvi PAGE: 20 SITE ADDRESS: 10988 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503.63,-3.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 2/7J2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 \ bi-- Shear walls/anchors 026181-01 503-789-6796 N Corrections/Comments/Instructions: i gf&C U\r- . 7-// 0 6 (OAS) I r u j i ,U . ..„.3 . . t 1 " 6 - A .:\- kAA Le pi PASS El PARTIAL APPROVAL pi CANCEL 0 NO ACCESS V AIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED VI 'i2 Inspector: Date: 27 0'49 Phone #: (503) 718- 2-Y21 . ,., .. , . CITTOF TIGARD - - A ._ BUILDING DIVISION " , PERMIT #: iViST2005.00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1201006 Phone: (503) 639-4171 boitivgi I I T\ ' ' Inspection, Requests (24 Hrs.): (503) 639-4175 ..,—S,Isl■ ti. INSPECTION WORKSHEET FOR DATE: 2i2/2006 TI : .7:02Alvi PAGE: 19 SITE ADDRESS: 109 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 603-636-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 2212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 / Exterior uheathing Ay 026181-02 - 603-79-679 N Corrections /Comments/ Instructions: \iee e\-- t _)rS - -2 / ( ( (?- Z) ' . • .. ,..' 0 PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS El FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED . Inspector: cA,..-• Date: y.2,/ 6 (4 Phone #: (503) 7143- . . • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1202005 Phone: (503) 639-4171 ilitti111- Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 211 / 2006 TIME: 703j PAGE: 9 SITE ADDRESS: 10988 SW BRETTON cr CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 503.635i343 CONTRACTOR: LEE-LAND HOMES PHONE #:. 635- QA3 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallsianchors • 026109-06 603-769 Corrections/Comments/Ins ctions: Cleo I S j;/■ S 44JI9 L4 C El PASS 0 PARTIAL APPROVAL n CANCEL NO ACCESS h' FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 1/44 A Inspector: Date: 94 / 6;Phone #: (503) 718- CITY TIGARD - . BUILDING DIVISION PERMIT #: MST2006-00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1207005 Phone: (503) 639-4171 /A im Inspection JIIIP• Requests (24 Hrs.): (503) 639-4175 112. INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 7:02A1v1 PAGE: 10 SITE ADDRESS: 10988 SW SRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: Netiv SF. OWNER: LEE-LAND HOMES, PHONE #: I.-m-16361343 • CONTRACTOR: LEE-LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 026109-05 503-769-6795 N orrections/Commere/I structions: .40 0 / 0 0\i CI 1 ' 1 • 5 7 17-- .- aJ 5 , ' 10 . // - 6 ...., A , -a-AL '----- . ' ' ' • L. - 2 \ / • ' t ■01/ Akt.41 S 1/4-,k, c( ii--N c..... 1_111 ^ c C - . 0 =-1/%. f LA) C...--tL.p---c-e... . 5' L) • . 4_ ii--Ls c.--ej . i - f ) C 7 W- 4---4 - e-- FY L. AzdLif N.. s to 5 fl. O5 0 to 4--ei (17"-d 0.C' i) p r &-- . . '''-' _.... 01 PA - n PARTIAL APPROVAL El CANCEL fl NO ACCESS Lf , IL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: OA, (7---- Date: V / ( i" . Phone #: (503) 718- ( 2,-y . . . CITY•OF TIGARD .. BUILDING DIVISION . A' . PERMIT #: Mt-72005-003U 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/200f Phone: (503) 639-4171 ivalling Inspection Requests (24 Hrs.): (503) 639-4175 A. - f --- , . IL INSPECTION WORKSHEET FOR DATE: 2J112006 TIME: 7:02AM PAGE: 12 SITE ADDRESS: 1098B SW EIREETON CT CLASS OF WORK: . SUBDIVISION: BRE, ION WOODS LOT #: 009 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: ry2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rouih 02610f 603-789 N Corrections/Com e•ts/Instruc ions: ■ e-- // 1. IlliiatGrl:afflIllIllgMjllIlPIAMIIIIaw — e• IMP' rik, 66(e Z-7 , - $ Mk.,i, _C, -ti (4 W7C- kA Irs ak-S -t-f • t t(go I J A) eti k) (I 6 4 1 ' 1 ___zz vo_ : t e-v--e . 0 PASS I PARTIAL APPROVAL El CANCEL L NO ACCESS ? FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: ___4. ___A ,' ,__ Date: #2//V4) Phone #: (503) 718- 2.-YLIC - . .CITY• OF TIGARD BUILDING DIVISION A PERMIT #: MST2005-00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12, Phone: (503) 639-4171 47 #11101# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 702A1v1 PAGE: 1 .1 " SITE ADDRESS: 10988 SW BRETT ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRED ION WOODS DESCRIPTION: New SF. OWNER: LEE-LAND HOMES, PHONE #: 603-635-13613 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 026109-04 503-789-6795 N Corrections/Comments/Instructi ns: t 3 / 7 1 4-- - / 6 e9 2___ I V PASS PARTIAL APPROVAL El CANCEL Ej NO ACCESS FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 1 4,4CIL__. , ._ Inspector: Date: Phone #: (503) 718- y CITY OF TIGARD ,• • BUILDING DIVISION PERMIT #: MST200;}.tg a�7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /218/2005 Phone: (503) 639 -4171 A � 1 i Inspection Requests (24 Hrs.): (503) 639 -4175 . L. INSPECTION WORKSHEET FOR DATE: 12/28/2(}05 TIME: 7 :02AM PAGE: 38 SITE ADDRESS: 101108 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF. OWNER: LEE -LANE) HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1M3 3 v Inspection Request Scheduled For: Date: 12I2B/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 22:5 PoWb €:ar structural 0240B0 - 03 503 N Corrections /Comments /Instructions: • • (---."-.) _,\ -- �f virpre yr VIIr ° a P ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � J. ` Inspector: • \ , Date: J Phone #: (503) 718- . • .. •, • CITY'OF TIGARD BUILDING DIVISION A . PERMIT #: MS12005-00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2005 Phone: (503) 639-4171 :NN Inspection Requests (24 Hrs ,.....W .): (503) 639-4175 ,_. '---. W INSPECTION WORKSHEET FOR DATE: 12/28/2005 TIME: 7:02Afv1 PAGE: 39 SITE ADDRESS: 10988 SW BRETON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 009 TYPE OF USE: PROJECT NAME: BRE; FON WOODS DESCRIPTION:, New SF. OWNER: LEE-LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 12128/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 024080-02 50:3-7896795 N Corrections/Comments/Instructions: .„._-----.. ( F r PASS 0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ,,----- . , Inspector: / : , Date: t2--/' 7- 8 el:L 511one #: (503) 718- . - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1218/2005 Phone: (503) 639 -4171 � Inspection, Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 81 SITE ADDRESS: 10988 SW 8RE=.I I ON CT CLASS OF WORK: SUBDIVISION: BRti I ON WOODS LOT #: 009 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: 12/15/2005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 023500 -01 603-789-6795 N Corrections /Comments /Instructions: 5; . 4.4 44.4 a4,14-( "Lex- (4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED LL I Inspector - 7 4 V t✓ Date: d Phone #: (503) 718- 7.2 7 04