Permit A•
i CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2005 -00078
Pv DEVELOPMENT SERVICES DATE ISSUED: 4/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD -RM004
SITE ADDRESS: 07946 SW CAROL ANN CT ZONING: R -12
SUBDIVISION: REBECCA MEADOWS LOT: 004 JURISDICTION: TIG
Project Description: New SF detached.
BUILDING
REISSUE: PH24 - 030 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 669 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,024 sf GARAGE: 231 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 4
VALUE: 162
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,693 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: I VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
+
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
KEYSTONE DEVELOPMENT INC KEYSTONE DEVELOPMENT INC. applicable laws. All work will be done in accordance with approved
PO BOX 476 PO BOX 476 plans. This permit will expire if work is not started within 180 days
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies
of these rules or direct questions to OUNC by calling 503 - 246 -6699
Phone: 503- 635 -4736 Phone: 503- 635 -4736 or 1- 800- 332 -2344.
TOTAL FEES: $ 8,826.12 Reg #: LIC 71135
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
...----
Issued By : )( y Permittee Signature : 41111111EL1lr ',MP' 6' I
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busi ss del.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Appli ti .
h � � � ��� �]� , • TOR USE-ONLY ,
City of Tigard Received Date/By: �), 0/e f � ,. Permit No.:nr tJ r - d - g
13125 SW Hall Blvd., Tigard, OR 97212.3A -i 1 Plan Revie t f
Phone: 503.639.4171 Fait: 503.598i'9308 Q 2005 rA Date/By: Other Permit�j, ' i
'000
Inspection Line: 503.639.4175 j n P' � a
Da te Ready /By: Jura: ® See Attached Checklist fm
(J �
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: y - ' ' ) T � G (j
t 7 /C.s Supplemental Information
BUILDING DIVISION SV ek-t, `-"V.) \ ,
_ TYPE OF:WORK : REQUIRED. DATA: 1- AND .2- FAMILY DWELLING
New construction Permit fees* are based on the value of the work performed.
❑Demolition
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF C ONSTRUCTION .
work indicated on this application.
jai- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms: 2- 2 k '
' `..JOB SITE INFORMATION AND; LOCATION Total number of floors:
Job site address: , 7q y 5ti.) GA POL, .AI` t C I ' New dwelling area: I t et square feet
City /State/ZIP: T(‘et fzP, O g720 Garage /carport area: 2'5 ( square feet
Suite/bldgJapt. no.: Project name: Covered porch area: 2 square feet
Cross street/directions to job site: C) (41.1..W.. a GjVO 141H ti (x) Plit Deck area: square feet
Other structure area: square feet
REQUIRED _DATA: COMMERCIAL - USE :CHECKLIST -
Subdivision: g pje.CCA lAf A ')J Lot no.: I. Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2b 1 i2GP 1" ['OT I i� equipment, Indicate the value (rounded labor, to the nearest an the dollar) of all
equipment, materials, labor, overhead, and the profit for the
- application.
DESCRIPTION OF WORK . work indicated on this appl
tca
N elk) S r WAC,:r{67 Valuation: $
f Existing building area: square feet
New building area: square feet
PROPERTY OWNER .❑ TENANT Number of stories:
Name: il. `1S'r0 jJ i✓ a�JrI Jf/I 1 , Type of construction:
Address: PO O)C 1 CL' Occupancy groups:
City/State/ZIP: - LA j OStfJ 6-O 0 - 11034- Existing:
Phone: (Ob3) 63 0 - A1Vp Fax: ( 5b3) (A - 1144 New:
APLICANT ®- CONTA P ER S ON:. .
' ,- ,: .:P. .... -.:_. CONTACT NOTICE
Business name: ii_p 1 DI3E pig ,,,, ,L,L, ( 1 NC, . All contractors and subcontractors are required to be
Contact name: Po 60°4 41(e -Was POLO- licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Or--s- zwebo I of- ct D 54- jurisdiction in which work is being performed. If the
City/State/ZIP: / State/ZIP: applicant is exempt from licensing, the following reasons
ty apply:
Phone: ( ) SAME- Fax: : ( ) S
E-mail: J foLAP3 cz 'Asis`r, NJ
CONTRA -
Business name: Kb0i✓ pt�'�l%I -OQM" t - „ B PERMIT, FEES*
Address: �-/Arke Ac A Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
1 i Amount received
CCB lic.:
Date received:
Authorized signature: „i1_ �_ This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
`
° 16Y
Print name: M N P01AY— Date: '3 [ 0 10t * Fee methodology set by Tri County Building Industry
Service Board.
•
Mechanical Permit Application FOR OFFICE _USE ONLY
City cf Tigard F4t tU II V E D Received
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 PlateJBy. MS a�D - (�(�U7
Plan Review
Phone: 503.639.4171 Fax: 503.598.1-960 Other Permit:.
MAR � Q rr f ti .�q' P� D
Inspection Line: 503.639.4175 AR 1 0 2005 � ,., I� F,fli Date Ready /By: Juris: l See Page 2 for
''tternet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD
- . BUfirglI DWOMN COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
/2 New construction ❑ Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- CATEGORY_ . OF CONSTRUCTION'
Value:
dwelling RESIDENTIAL.EQUIPMENT /SYSTEMS FEES*
l - and 2 g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description `Qty. I Ea. Total
_ ;, JOB SITE ^INFORMATION AND LOCATION Heating/cooling
Job site address: , 6 4't 1 L- PIN 1\ G') • Air conditioning or heat pump
• (requires site plan showing placement) 1 4.00
City/State/ZIP: .--14t.b - n&4 w 1 OF- 11 2.1"" Furnace 100,000 BTU (ducts/vents) 14,00
Suite/bldg.lapt. no.: Project name: Q �a... M PTIO 5 Furnace 100,000+ BTU (ducts /vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: - ,k)J pU P-O 1 ' I 0 Duct work 14.00
+ S _ Hydronic hot water system 14.00
00 �O . APO G I ` Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
r � /�� in -wall, in -duct, suspended, etc. 10.00
�
Subdivision: - gr ✓E.� V 4 A Oi S Lot no.: ' J Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIP T ION OF WORK Water heater 10.00
P Gas fireplace 10.00
N� S — P el' ACAA Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
_ Chimney/liner/flue/vent
... .. (}:'.PROPERTY' OWNER' ` _ °:' .: _,-
❑= TENANT.
Other: 10.00
Name: 1'STa(J E. j) ai,D i%�I ( N C Environmental exhaust and ventilation
Address: "( 1
P O 6 f L Range hood/other kitchen
r �r equipment 10.00
City /State/ZIP: L I f .€.. oS 'Jec� o i OF- � 4- Q Clothes dryer exhaust 10.00
Phone: ( ) b 5 -. I -ribto ,J Fax (516) 01 -1-1 4"t Single duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
'
❑ C
,-.,':::: - - CONTACT PERSON, •: ,- - Attic/crawlspace fans 10.00 •
Other: 10.00
Business name: K S1t) O Pi -'1 El im '1' ti c.. Fuel piping
Contact name: 'M5 V $5.40 for first four; $1.00 for each additional
Address: lL e, As , jDv F,-. Furnace, etc.
Gas heat pump
City/ State/ZIP: IN I I Wall /suspended /unit heater
Phone: ( ) (1 I 1 Fax: : ( ) Water heater
`
E -mail: J O r K3 a MGAS Fireplace
�lo. 7 N� Range
CONTRACTOR' Barbecue
Clothes dryer (gas)
��
Business name: 6 t, y A. j Q
Other:
Address: - MECHANICAL PERMIT FEES*
City/ State/ZIP: G ( a i2 Subtotal
''one' (S' /) .S-7 22' t0 Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
,
1 .;B lie.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized • a This permit application expires.if.a permit is not obtained within 180
days after it has been accepted as complete.
Print name. �• f I Date:, �� I " Fee methodology set by Tri- County Building industry Service Board
.
RECEOVED
Plumbing Permit Application .: FOR OFFICE USE ONLY ` -
MAR 1 1 1.1 (� ,
Cl „ d/1f1
of Tigard C °I 2005 Received '
iA Date/By: Na -:m5 T,(7 � J -C�V 07 �/
p
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 50'i';8f1ia0 TIGARD % '� Date/By: Other Permit No.:
24- Hour Inspection Line: 503 ?L DIVISION `* '_ e". Date Ready /By: luris: Ei See Page 2 fur
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
TYPE: OF WORK FEE* SCHEDULE
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
01- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
ire in e (
spr 1 r sq. f[.) Page 2
-. JOB ;SITE' INFORMATION AND:-LOCATION. Site utilities
Job site address: I''l» 5 t 3 CAT-01- A00 c r'. Catch basin or area drain 16.60
City/State/ZIP: ' t,, i a R \- 0,.23 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: l Project name: Footing drain (no. linear ft.: ) Page 2
Co~ i -r -` Manufactured home utilities 110.00
Cross street/directions to job site: S r'TII / ,�, vl _r Manholes 16.60
013 S A N0 CT. Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: �. �� M .l 5 Lot no.:(►Y Water service (no. linear f[.: ) Page 2
Fixture or item
Tax map /parcel no.: -
valve
Absorption 16.60
., . Q, " DESCRIPTION RIPIION OF WORK Backflow preventer Page 2 • NUJ 5f � -- Pl%FAC \ e) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY mg ountam 16.60
-; O, ONE B (�1i�6:4 PEE fi? T
Ejectors su 16.60
Name: Pf) Box 476 Expansion tank 16.60
Address: Lake Oswego, OR 97034 Fixture/sewer cap 16.60
City/State/ZZ1P: Floor drain/floor sink/hub 16.60
Phone: ( 53) 635 - ¶ - '13(o Fax: ( fig,) '91 - Li I Garbage disposal 16.60
'� • APPLICANT _ , ; ❑.CONTACT.. PERSON Hose bib 16.60
Ice maker 16.60
Business name: KEYSTONE DEVELOPMENT Interceptor /grease trap I 16.60
Contact name: P.O. Box 476
Oswego, _ Medical gas (value: $ ) Page 2
Address: Lake Oswego, OH 97034 Primer • 16.60
City/State/ZIP: Roof drain (commercial) - 16.60
Phone: ( ) friy■IL I Fax: : ( ) SPfw
Sink/basin /lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: j QOLA1-3 e cootscA T, Nel" Urinal 16.60
- " CONTRACTOR i Water closet 16.60
Business name: � 146i- �4t er /_ /i! f b! Water heater 16.60
Address: p L,X 0?3338 Other:
City/ State/ZIP: a ro q 7 � -� Subtotal
`J � q Minimum permit fee: $72.50
Phone: ( ) 3) e j „2 t _ 0 Fax: ( »3) b. «/ -0S g- Residential backflow minimum permit fee: $36.25
`CB Lic.: / 35 7 Plumbing Lic. no.: $ 3Wet? Plan review (25% of permit fee)
y � State surcharge (8% of permit fee)
Authorized signature:�/`� TOTAL PERMIT FEE
irs %v'
Print name: �! C j� / 71 # p mi Date: /� 5 This permit application expires if a permit is not obtained within
�t 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
I0,5/ t9 irLtrOb DeiJID:2b44bt L1 b1-1 IHDUSE ELECTRIC PAGE 01
FRCiri :1 5 l'ONE fEkiELOMENT MECE (I WA's, • o --, :503 699 7741 rla i17 2LACT. 39: 15k 1 P2
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u 0 2005 ,g....-:
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BUILDING DIVISIom
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Ait, i .••
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: peCittl 1 33. . • ,
fillirr 7 i UMW) mint. lxiclonti41_ (
_
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in; nr .resitirort141 75 V0
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; NCO-) f'i ''' Pe.JrA Gtit.0 ; Svoiess or tondern inn:Madan. Ititurniton. a ad/ relocArio ;I
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,-, . , :-.77 . ---T ---. . 777 [ :01 um to 400 inin • I iiti.X .....
- " 401 amps to 600 3M13 i 176e.6 1 .
,
P;:wte I L CI-A IS C. '52 601 atm 41 :,000 *No
A.,-,crrt1 Po Po 41 i:,- i over1,00C ATVS Of WU
' . ...... ' 1 43* 65 1 • '
- 1 Ftisr-Onnoct cesly • /
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......_..
. Phrv• ' gr$ , ‘ 3S - 4 1 J IM62 ........... 1Flec ( 1'W E7 -1,14-1 - 1 a__.-fiocAi ....4-,"..--4 - -„.., ..,......._.......
200 Gimps C. IC4(1 I 643: '
r7W ristalixtio' a: Tin.* Lr:stallitt:fin 4 benl rngs en prnscrty tha: 1 v.v7.1 eeticI-. is r.c% • 21.4 amps v..40 .177C4
r•tzidet foi onie. twat*, ran:, Or tx.shar,s4, acrordfx.y ro ORS 447, *49, 61q and 10) n01 sn 600 arrow : it122 ....„.....
' 0 sr..: s:stortnr. . ..___ Dile: ,_ _ - branch circlets - rwriw, 4114roli44. Or otenseari,
4........■...... „ ' , -••••--- --", " '
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• ArrUjerOrg. . •. . .-;',-...... . T.,,ASCHYrACE. raOgit. : ' • i 1 !I I
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1 I MAC& or faeder tor. .1a,:h ,
1 e•-:,...-.0,5 13rtte __Ke5(4/ 00).4 bnolch Citnlil / '
.•••••••'. 1"1:1 B. rift tor burch Qinintl ' - 1
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i -
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I
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1 c ::■..-3L4e..Z:P: • ! Pdfirae4Ilannom (uer.ies nr (gothic not included:
r _____L ' ..." - T7
1
-
.
r ____---- -- • - ---.. Fu eittit
FRC . ( I __•___._ _ outline F.shring . i 1 3 ‘01,..._
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• sCONnitAMM ':.' rroli Pa nel. Moroi CT
iat . . •
______„_,;.2.......--•-■.......--,....■.-.....:.--,-----....1 : ogfewitik. rkoCrit141: i I F.:at I I i .. .
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lt. f1.1:at• ague; , • 79 e LA,. C.„, ._.‘...;
-------'''--4-q--lt!!:22-AV-e7IA7-1 • - .
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. i • 31 toepactian altar sairnanbk in law el te e ..■ I.MyC •
, ,........ ..,....-....--,---..
- -- •.^- - J ! Nu invpeedor• 62.50 :
c.' lij ( 15,p hs p 1 e . ce.„. j Im.eitipt9n txr hou.- 0 ■te n■iW . az i3 --c' ..............-....-................----,-....., •
i , , : trAlustrta: Ow Pe rtiN:r
'
1
--; 16.171 , • • • fiLNCTIU CAL . A/NUM' tits
15 -y r 2 - 51.01. . 7 :61 1 2 VIT. IAC :3 I sv :
...
.J.146/ .
,
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• . .747: f 1 --riC .---- 7-...1---t•-•:-2-1:: Stele eeramtgt. OK a peiTio I feel .
.._j__
TOTAL FER'VIIT V
1 ,..:tre• it!'..1 ti.s131VM: . -- M. Perbal.prkAaies taai,at ti , pc i, .0 41):16%... - .40116 1.10 ---'
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STREET E
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I �� Owner /A for 4571/e /e 1/(Ulle'4adve /'vim..
(PLEASE PRINT) (PERMIT HOLDER)
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Do hereby ce t x th e ` follow location Ot
1 4 , : i :.,- g , ° °' y° a %
meets ; C%t r a / on Count
land use and development standards for street tree installation.
ADDRESS: - q 4 , s J Co .fr� A - /QA/ Cr P, ,e/n/ i : , ooh �c�78�
LOT: S UBDIVISION: / BEcCar //4e- 4 S
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BY: 74.--____ DATE: P as
RECEIVED BY: 2,Z 22,E DATE: y 'S 0 j
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CITY OFTIGARD
1.
1
BUILDING DIVISION PERMIT #: MST2005-00078
13125 SW Hall Blvd., Tigard, OR 97223 S DATE ISSUED: 4/7/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/15/2005 TIME: 7:05AM PAGE: 48
SITE ADDRESS: 07946 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 004 TYPE OF USE:
PROJECT NAME: REBECCA MEADOWS
DESCRIPTION: New SF detached. 819/05: Added A/C unit.
OWNER: KEYSTONE DEVELOPMENT INC, PHONE #: 503.635.4736
CONTRACTOR: KEYSTONE DEVELOPMENT INC. PHONE #: 503-635.4736
•
Inspection Request Scheduled For: Date: 8/15/2005 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013539-02 503-704-9505
Corrections/Comments/Instructions:
,•
•
•
•
[ PASS 111 PARTIAL APPROVAL Ej CANCEL fl NO ACCESS
FAIL 11 CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector: /11A Date: - c9—/§ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00078
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005
Phone: (503) 639 -4171 ik And , lin�y� , I
Inspection Requests (24 Hrs.): (503) 639 -4175 '..
INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7 :06AM PAGE: 30
SITE ADDRESS: 07946 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: DOq TYPE OF USE:
PROJECT NAME: REBECCA MEADOWS
DESCRIPTION: New SF detached.
OWNER: KEYSTONE DEVELOPMENT INC, PHONE #: 603.635 -4716
CONTRACTOR: KEYSTONE DEVELOPMENT INC. PHONE #: 543 - 635 -4736
Inspection Request Scheduled For: Date: 802005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012714 -01 503- 598 -9600 N
Corrections /Comments/ Instructions:
/2j
-7- 54 0 .4_ 00-' 1 1/4_0 7 i 4.1--e-1-, 1,4Le/4
6 f' S Gam -
At 7z . _ . 4- w c< %itir-te.
1 € o b45- ----- .1- . d-e____ f IA. i i 1917 ezzi% 1
• PASS ❑ PA'TIAL APPR• • . ❑ CANCEL _, NO ACCESS
❑ FAIL IP ALL FO r PE ION ❑ ADDITION , E ASSESSED
Inspector: / Date: ■ 5 o Phone #: (503) 71
CITY OF TIGARD .
BUILDING DIVISION PERMIT #:
MST`�00&.00078
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005
Phone: (503) 639 -4171 � i� IIIIpli (t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/15/2005 TIME: 7 :05AAM PAGE: 49
SITE ADDRESS: 07946 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 004 TYPE OF USE:
PROJECT NAME: REBECCA MEADOWS
DESCRIPTION: New SF detached. 8/9/05: Added NC unit.
OWNER: KEYSTONE DEVELOPMENT INC, PHONE #: 503.635 -4736
CONTRACTOR: KEYSTONE DEVELOPMENT INC. PHONE #: 503-635-4736
Inspection Request Scheduled For: Date: 8/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013539-01 503-704 -9505 V
Corrections /Comments /Instructions: •
';' / dor OV-Z. 04,1,taa-K- 44406 -he 5-2.45-6 .4,./c/Az
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: if -- /-S --- . Phone #: (503) 718-