Permit -I
4
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2005 -00077
A- 61 DEVELOPMENT SERVICES DATE ISSUED: 4/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD -RM003
SITE ADDRESS: 07934 SW CAROL ANN CT ZONING: R -12
SUBDIVISION: REBECCA MEADOWS LOT: 003 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:
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,693 sf 162,577.70 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 DISH: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOILJCMP < 3HP: 6 VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: • VENTS: 1 W00DSTOVES: 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: 2 201. 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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.
Reg #: LIC 71135
TOTAL FEES: $ $,$26.12
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : �f r.1..4e- Permittee Signature : ® / 4 d
i
Call 503- 639 -4175 by 7:00 a.m. for an inspection that busi ess day
This permit card shall be kept in a conspicuous place on the job site until c pl- on of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit A phcation . FOR °OFFICE USE ' '
CI of TI a '...
nd 1 U R Received Pemut No.:
`J g r DateBy:, / 0 1 0 t --- 6 rJ vi - ia (�� "() 00 � 7 7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
441111144A1# Other Permit R oc —a p "7a.
Inspection 5 Line: 5 71 9.417511% 1 I,Q6 LU J ij Date/By: Re
Ins ection Line: 503.639.4 7 1111 [[ UU +'• 1 Date Ready /By: tares 0 See Attached Checklist fin
www.ci.tigard.or.us Notified/Method: - ' ) 7 Supplemental Information
CITY OF TIGARD SQ 6'.1C-e., 1 -A6 \--
: BUILDING D•Vr'eVQ611: : REQUIRED DATA: 1- AND .2- FAMILY DWELLING
yj 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
.
CATEGORY OF CONSTRUCTION _ work indicated on this application.
g I- and 2- family dwelling ❑ Commercial /industrial Valuation: S
❑ Accessory building 0 Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: Z 2�
:.JOB :SITE INFORMATION AND LOCATION ' Total number of floors:
Job site address: 70131 5w CA RA.. ANN 6 I - New dwelling area: • I t / b square feet
City /State/ZIP: T(6pp i op- C 7223 Garage/carport area: 9' square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: /2 square feet
Cross street/directions to job site: ("',. (A )' . Of IjUU 141H li p RitA Deck area: square feet
Other structure area: square feet
�� ;:REQUIRED. COMMERCIAL- USE'CHECKLIST
Subdivision: Qje( t�
111EA11J9 Lot no.: ( "%S ) Permit fees* are based on the value of the work performed.
r !co �V JJ Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2.6 ( tacpiTitA equipment, materials, labor, overhead, and the profit for the
h t
DESCRIPTION OF WORK work indicate d on this application.
New �
srp WAC Valuation: $
Existing building area: square feet
New building area: • square feet
;PROPERTY OWNER 0 TENANT Number of stories:
Name: V.6i -(5foN Ni ! i" T , NG Type of construction:
Address: Po O< 11 CD Occupancy groups:
City/State/ZIP: - i Os1iJ 4i) 0?- 1I1034- Existing:
Phone: ( eb3 ) 63 g - Ai (p Fax: ( ) (Q --1-744. New:
CONTACT'PERSON`. N OT I CE
- t�1 APPLICANT;; ;;?,.! . _' ..; :_; ._ : ;.: _ , ;::;:; =: ,®-. Y _ -
Business name: K-p ' e ( 'D13 . pJ EL4(!Awl"
`• l l ' All contractors and subcontractors are required to be
Contact name: Po 60-4 416 — - 3PrAes PO)-0- licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1.1)Y. .- (} S vJ)e I V+ 91054' jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 44/V1-t. Fax: : ( ) Sj yY∎1t-
E -mail: J ?OIJ - ( C11 NAT
CONTRACTOR;
Business name: V... SR) IJE_. p vI=.A.OPM ` \NC BUILDING PERMIT FEES*
Address: •.Q, it 1'e'
Please refer to fee schedule.
City/ State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( ) '
i I Amount received
CCBlic.:
Date received:
Authorized signature: , ,. 4,... This permit application expires if a permit is not /Y obtained
,AM +� s Date: within 180 days after it has been accepted as complete.
J
Print name: "�c, ' PoLM - : 3 I l0 1O ' Fee methodology set by Tri- County Building Industry
Service Board.
Mechanical Permit Application .. FOR- OFFICE,:USE�ONLY :
City of Tigard !Ziew EC , Permit N � �� �\g E' T oo ll
OR 9 DateB y: Phone: 503.639.4171 Fax: 503.598.18.1 L� `t 960 !Gr +s Other Permit:
�'
Inspection Line: 503.639.4175 � (} J, _ '
Date Ready /By: Juris: p See Page 1 for
aternet www.ci.tigard.or.us MAR v 20
Notified/Method: Supplemental Information
• TYPE kaF � Ig1�l - COMMERCIAL TEE* SCHEDULE — USE CHECKLIST
i IiLCItVC Mechanical permit fees* are based on the value of the work
Y,New construction ❑ ts
Addition /alteration /replacement s
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- . .CATEGORY _ OF CONSTRUCTION - Value: $
dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
1 - and 2 g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE`INFORMATION LOCATION • : Heating/cooling
Job site address: 3 �� £. ( ANN\ C`T. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: r1&4 P9 1 ®f2_.. ti'V j Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: RESELCA- ne„6 j�b1.) Gj Furnace 100,000+ BTU (ducts /vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: 4, Us) DU (2-o 1 T 0 Duct work 14.00
S t).3 Hydronic hot water system 14.00
`-'� 1-O L /}N 0 GT` Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: R.g fr S Lot no.: Flue/vent for any of above 1 0.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
- - .. , _ IJESCRIP'TION::OF WORK r
- ": ater eate
,,•u) -` Gas fireplace 10.00
Neu 5 Q " {� I — 1-� etrA ep 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: K`.(S - E. 1 -r-fT; '( "3 G Environmental exhaust and ventilation
Address: ?O 6074 Lrl 6 Range hood /other kitchen
equipment 10.00
City/State/ZIP: LF` I I ' O j\k)e, G 0 1 OF. Lf ob L - Clothes dryer exhaust 10.00
Phone: (3j) bag- L T?j(, J Fax: (�) 01 l Li-I toilet compartments, exhaust (bathrooms, rooms) ,
toilet compartments, utility rooms) 6.80
APPLICANT: ,., r. ` ' ❑ ; CONTACT: PERSON ' Attic/crawlspace fans 10.00
Business name: K s 1 - 0 13 i. * o 1'- i N G Other: 10.00
1 Fuel piping
Contact name: `- PDI4 - $5.40 for first four; $1.00 for each additional
Address: � AS ,, Ov Gas h p
Gas heat pump
City/State/ZIP: I\ I I Wall /suspended/unit heater
Phone: ( ) IN I I Fax: : ( ) Water heater
Fireplace
i
E -mail: PoiA 3 , GQMCAS , (J Range
CONTR A CTOR `: Barbecue •
Business name: rt`-r �-PJ (..i yam -r- f) Clothes dryer (gas)
Other:
Address: ` - . MECHANICAL PER MIT FEES*
City/State/ZIP: (4P/ ` Q' Z Subtotal
' (Sa -) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
1 .:B lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized at This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name' `/ I Date:, 7/Q,, I ` Fee methodology set by Tri- County Building Industry Service Board
Plumbing Permit A a Gc tiElI V E ® ' FOR: OFFICE.' USE ONLY '
City Of Tigard pp pp 1 �ry Received Pem�it N
13125 SW Hall Blvd., Tigard, OR 97223M AR 1 0 2005 ,m
Date/By: s c,05 -00 O i
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 s a,v" �'A Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.417 .'
p CITY OF TIGARD .�._r - 4 F . ± Date Ready /By: fora, See Page 2 for www.ci.tigard.or.us R Q n nl I / QI(��I Notified/Method: Supplemental Information
UL I .G.h1I...._
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 O F CONSTRUCTION:,,, -- SFR (1) bath 249.20
01 and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
0 Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SIT INFOR A ND LOCATION- Site utilities
Job site addresq 3y 5 W ( - /^}CT. 0 C. Catch basin or area drain 16.60
City/State/ZIP: / .--n6A i O P- \ 17..23 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 4 Project name: Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: /, f! h t A P It ,'t Manufactured home utilities 110.00
� wr'TU1`i�l"� �) JVI _ Manholes 16.60
013 S U.) 4 /INN) Cr Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: 12 �i�� M �a.A.)5 Lot no.: �d Water service (no. linear ft.: ) Page 2
�d Fixture or item
Tax map /parcel no.: •
. - valve
:
Absorption 16 GO
:° DESCRIPTION OF WORK
- ...:. .. -, .... - - Backflow preventer P age 2
N Ot'\
PW 5fe- pF/j e-)] Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY F "'�.. • �q T Drinking fountain 16.60
ON DEVELOP . ,.:. Ejectors /sump 16.60
Name: P O. Box 476
Expansion tank 16.60
Address: Lake, Oswego, OR 97034 Fixture /sewer cap 16.60
City/ State/ZIP: Floor drain /floor sink/hub 16.60
Phone: ( 503) &35 - 1 - Ibl ea Fax: ( 51:B) (. -11 4 1 Garbage disposal 16.60
Hose bib 16.60
APPLICANT. :_ ,' ;, : (] „CONTACT PERSON
Ice maker 16.60
Business name: KEYSTONE DEVELOPMENT Interceptor /grease trap 16.60
Contact name: P.O. Box 476 Medical gas (value: $ ) Page 2
Address: Lake Oswego, OR 97034 Primer
16.60
City/State/ZIP: Roof drain (commercial) 16.60
Sink/basin/lavato 16.60
Phone: ( ) S f�yr Fax: : ( ) S`�' Tub /shower /shower pan 16.60
E -mail: j F 0 LAT-3 e co T, Ne1- Urinal 16.60
CONTRACTOR ,-- Water closet 16.60
Business name: a /0 .E f.C1 west A , er J-/!ll?? /3l T ( Water heater 16.60
Address: p( L x 0?333$- J Other:
City/ State/ZIP: j a q 7,29-1 Minimum /.� �� � Minimum permit fee: $72.50
Phone: ('3) &a /4 _ 0 2 Fax: (03) b /-0 Residential backflow minimum permit fee: $36.25
'CB Lie.: C- Plumbing Lic. no.: 3‘-/-35/6/28 Plan review (25% of permit fee)
State surcharge (8% of permit fee) i
Authorized signature:1 � �,� � '� /
TOTAL PERMIT FEE
Print name: M; c A p ill° flhj //' �� Date: $/6S This permit application expires if a permit is not obtained within
M [ 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
•
this' 10// ZUOn Ll'it Jr* bUdb4W71. L I U1-1 THUUSE ELECTRIC PAGE 91
Fi.'. :FE'l , ;, - i 1Ot-4E L'&ELalErfT I NC FP>: NO :5E13 699 7 741 ria t:t7 20£ 09: 15A1 P2
. , ■ --,
i- Electric 1 Per it ; i 1 C 6 ,./ E II\' .,-, ...., ..........,: ..,.„...-.<,* ,,;,,,,,,:1.1
I Roarrtn: ' i•cono Nc.m5 7 77
(..'ir■: qf Tigard 1,414/127:
Ha I Btre.. urt N.I D 1 0 2005 . : 1 p;b0.,..:-. _________t_____
'7 Act Ve.10:
:•,•,.:.; . I 7. 1 / fix 5:9. 4 4,1. Mfg
a .t. qi ,_., L _
„._..., ..,.,:. :,n.• 5.,i os ol7S '''' - - Jaw lit•tbriky. ---1-=----ritrirr;;---'----
i
ir ;cm,. •. c: 1;$3 LIN I _..■241241144,24411224: "Satur2
................--. .----. ., ........
----. """ m """" -7 -r alTi# 1 6 ' 4. -. .• 7 iv
....., .
• . Wi ttr ' -- - -
, 0 .., -,-, cr•••,rs ' L .,__-...................-.
lacc.nwot eirere ;heck ail tf: at emiy
i I
Litinn, lift ocet 7.25 rnset, et.torim'
•
J uktrick.o. . C 011ie ----I CSt" ii,: ul'CT 17ti arnprt - rano; 7. 60 NYS' um
c4.11GORY or colivraucrwN. " . • : of 1, std 2-1 I? ct we! i:tiki:, 4 cr i71424 nr rc,4:dr
OSy3irrri (AV 60r baits 'on*. unt.. Ir. if
• g i ,17, ii 2-:.y tn.tir.'ag :1 • A4oKrary % .,i;eitte,
Hyena esti lb's* etor.o4 t... 40:i eV,. i., :
. ..t • it in
`lt- rn Miy.cr- 6
;21--..„............._.....____ ---e-r.--;...-. ••••••••-■C °t11C i,:30 los:I OVItf =4/pq• !.
Ionv 0 vrk c.: re 1 l::• . ,...
ft' 2.
. . . ' JOB trrt lo.ortt.Aufri 4"10 111k4i ' ' : DEgrooiltivi.r.; p142,
--- ' LIS222:21r.e.att 14.211its t Doc!. ________ __
• .1,) sitc nad 3 v 1,..., 4441/474.. AT.; pi cckfri
S ../. stti a pii.A. Mgt tirr ;r: try a'r.:tvr
.,td 1P _ i ,ftetf.() , o f... tt 'I 1.4...b ' •CteEtth;VE1117 I4.4 149IIC.42b:L I.:7 ,c.-fiporar• :fro.i,.-4,,.: ' •-• 4er,.1..
___.....--.....--. ,---•-••••••
: • .. • -, ..EEr.SCULDUlit
S .tt"..'li:lii iaot, r,.... J Project rim -
e. reekcco pne~4: .---
: i....4,4 . . 1::II, ( .r.., i T.
______- • -
In.,,,t.-i.4ift."1,t1 tOC2.: let: 4 .,:,-) --14-10 r Km f44221422i242 &sniffer Or Mt isi-tarnt'y ;twat hi; 0,,
I
..-- ---...............---.-••••■•■.--.......---.- r ilAtlialca stf4,20tO 2Aratc.
--_. - - ..,___-_. ....i __,....--...-2.-,--..._..........
1 •cii - tb;:n r.LEA5c(A;i# (01711)A.J1 i
• Lirroz: _ 1 .....: _ ...... ;_______ t_L
' ;:i.x moo:Ferri/ AC- ......,-.......,-___J Uptitad enegy..u.r.ielet0141 ! i 7 5 ' - T :
, •-, - ....:-.......wsuarrtori •or , w,om:-: - •: ,,::- . ." " :..---- • .;a1 --
/4 7.1- " --
. - • i Sla frtI;14.00,40 IX . 4 . . ----..........
I TWII/r4,.. WV Kis Crtrirer feeder : I, 40.% : 1 -
Nev..) 'fl -__2erACtiti,
_ . -- . - ; Serulta9 Or feeders innalte don. al sur sawn, and/ ,:r. rolocatio*
....---- ----- ,..---........- ----.-......----,-----,--
200 limp% or Iou i SO 70 .
--....------....- .
- . 54.TxtorFsiile. -60i4ii • . r : ...• . . .
mANT . . , . . , 41 otos to 409 s - i - trrti7l1.17 ------7
- •
.....,......
401 amps to 61313:41: 1 - 1 - 1iF.A...fi
_____ ,. ........_----•
Nal iZeivio/dt,trate441 IN C. * 601 amps en t ,900 Wry* F 2.1 . -.
4
J: _ _., & _Pat 6 , ott, ism* of wis ; 45 :
• ■■■.......--......
..........”.. •••••.' •••••••••., .."'• •-•- n Ritaninfict On
- ,,i.c'zir. riocy-e- t 4 * 0:5‘.0:4 D , 1 "t tf
t • .....■••■•■■•■•.■••••■•.• • . a . hi% roparary T
ct e "--,- iostollatlicn. •zteraffoc . 2 4022
' Phon: t •,•71$ , iltt ,?,' 5 - 41-JIM0
-114-1 - I t relocation
t --..-o--. .
, 1 I 200 limp rr 'car :
17 .1n . r..i.tr nstrilintiort: This tlt
tr.$ttitort bet! tneSt. en imerty the: I wym ...ilia: m Let 1 161T3 tO WO aloe
; 1:ertzadec for sale. 1p
ea, reog, or exchent, ac in cord to ORS 447, 449, 6 find i 0) 41:11 to 00 amps '
, L_. -
1 ,..... .
. ..
t_t A:cif:: cfsficiRli V a._.... -s" .. _ _ Dm _ _ '
1 breach circuits - now, ottesti .1:12.12 j____44. Ps• vbil
r- 7" -.......- " -- 7 - Xiirirc 4. 47i:! 7- , . . . ... - ' . 7 , -....• :,:. :-.,‘: JArc rfi
. 7 7 • ; • .k. kr trancicircutt mg, , i 7
-1 twice or twos ter. tazh ! i
! Eh.r.::/srs num . 1_41(.4Antr., Der3ftl...12 brar.cit eirni: . I V , :5 I 1 "
,...., -----.- -.-.---- B. Nig /Or bunch ci nu. - 7 - 1 -------- .
c v at c etr.......t,
L r.. _ suiiiiew stervicc or lb:4c- roe ,
----
I____%,.1.6mcej.siuile__.
...-__________I 1 Raab gain firdat:?: Clist.it f ' 6.ef. 1 t .
_ .-- -.................--............-■..--moure■-•
1 C I.," SLA:e..Z.P . ' I Mri■e411214DAIA iterWig4 or feeder. eel intetudec
---.-------- - i"".•"* --
-- PuLzy ,..., irriptian circle 1 I .,
a,. I ---
Fax: . ( --- 4-
......--....,....„„„ i_ .. 1Ettflint Eght9i; t 9 69 4....... 1
!..rc....:I. j F&gnalremi?,1) at :Waled- ' + •
-
,
'CONT.*ACIVI( i pane C
'-. ' • .' '•••`• ''. 77; - • - • • ' . frPort . &Romeo!. Y
.- j o. ,...,... ,..____..,,,,,„...,.........2.4.........■.;..■■.-....:..--L.L.....1 . 4011 Docribi, 1 P:at 1 I I ..
tOntt: .c.....,4 a , r . hm 0 - 1..,4,....c__
..... i...--._.
i gaeits:f4 w cl r a t I 1 over slicros cit io coy of to # .,.1. ,
40 ...... 2 . 2 . 11ke ....... -- .
i ,. ..,t+.• !•.:12:;• iP; _ . 14/11 t. ce i ItNestigiwnxr kw. 0 Iv new . 62 V
....._._________,.... .._ . _ 51-fryhili ______-_...--_______-,
.: PIK.tte _ 9 ow ... ii,....L .... iNerd : trelustra: chici pci foci*
w , --4 , , • - ELECTRTC41.. PERMIT Mgr -.!
; ."; ::8 :,.. /5 • 51.1. , • . _la s M. :AC .3,0 i !---- - -
:itirity Eiontricran alrinrue•:., re.quircl. el...,..„91a jilea Kul =viz w
1 •;:5,.4 .1' 74r.-retf:r)
•
, . ,,c -_......._-_-
. • • HI II 1707.- 3 7-05" •
I Surf • orzkorsc Mc c; porenli (04...i I
--,--- ....A- ---.-
- "."--""'" -----.."-- TOTAL TERMIT rfLIT
4,:r,CIIt!'.1 641.111.:“■; j rel. cornea opokorias coif en it • po;;,,fi i• no stookr. •••■iilio In --2
--.,...--....--....-
1711l9. 4!.,i •flor II hi. ti.
?.: A OCCOInd 4.1C1161j).
it■; IAN:. • i For ' inetteatittp sot Dy t il;to'ls :flet-e' $' -v 5 t•I'`
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. h ,,,,,,,4`<•-r:4-.L.C.21,.... 42- .2,./: 40 wrq
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N LAAAAAAAA 1 STREET TREE C ..
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I, -� �"� ve- / ,Owner /Agent for k:75
(PLEASE PRINT) x., (PERMIT HOLDER)
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Do hereb t lfy ti the` following location
meets Ctyrof: Tigard /*44t y
as ri o n Count
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l and use and development standards for street tree installation.
ADDRESS: 7 '15 54/ C•4ieoL ,q -,/ry 6-77 ���,eynr -i` ,//57To24o5 -ow
LOT: 3 SUBDIVISION: Wir:,ggoc,q / & „+.-0o“.) 5
A _ BY: DATE: y 5
I
RECEIVED BY: ,, � DATE: - 5 0,1”
4 `.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005.00077
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 812/2005 TIME: 7 :06AM PAGE: 76
SITE ADDRESS: 07934 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 003 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. 6354736
Inspection Request Scheduled For: Date: 8/1212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013395-02 503 - 704 -9605 N
Corrections /Comments /Instructio :
•
•
•
•
•
PASS ❑/PARTIAL • :0V. ❑ CANCEL I ( NO ACCESS
n FAIL • d FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: 503
P � ) 718 -
•
•
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2005-00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005
Phone: (503) 639-4171 ,41
.4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/12/2005 TIME: 7:06AM PAGE: 76
SITE ADDRESS: 07934 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 003 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: 8112/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013395-01 503-704-9505
Corrections/Comments/Instructions:
•
C242ASS
/ PARTIAL APPROVAL El CANCEL 0 NO ACCESS
111 FAIL /01,. LL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspecto : Date: #: (503) 718-
411i.
CITY OF TIGARD
•
BUILDING DIVISION ''' PERMIT #: MST2005-00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005
Phone: (503) 639-4171 ii reili
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/5/2005 TIME: 7:02AM PAGE: 69
■
•\
SITE ADDRESS: 07934 SW CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 003 TYPE OF USE:
PROJECT NAME: REBECCA MEADOWS
DESCRIPTION: New SF detached
\\ •
OWNER: KEYSTONE DEVELOPMENT INC., PHONE #: 503-635-4736
CONTRACTOR: KEYSTONE DEVELOPMENT INC. PHONE #: 503-635-4736\
\ ,
Inspection Request Scheduled For: Date: 8/5/2005 Pour Time: \\
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 012861-03 503.704-9505 N
)
Corrections /Comments / Instructions:
— •
4 •'
. 'i..-
d--__ PASS D PARTIAL APPROVAL EI CANCEL 0 NO ACCESS
D FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 127 Date: L IP/4— i Phone #: (503) 718-
CITY OF TIGARD s '
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2005
iA
Phone: (503) 639 -4171 v�mlm�li�p�f�
' Ai 4/7/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 ANIL 1 :1.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7/27/2005 7:15AM 40
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: Q7934 SW CAROL ANN CT s - LOT #: TYPE OF USE:
PROJECT NAME: REBECCA MEADOWS 003
DESCRIPTION: REBECCA MEADOWS
New SF detached
OWNER: PHONE #:
CONTRACTOR: KEYSTONE DEVELOPMENT INC., PHONE #: 503 - 635 -4736
KEYSTONE DEVELOPMENT INC. 503 6361736
Inspection Request Scheduled For: Date: Pour Time:
7/27/2005
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012233.03 503 - 582 -9600 N
Corrections /Comments /Instructions:
K PASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I'I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -'7 Inspector:
AI � � 7-- �� e #: (503) 718 -
p Phone ( )