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Permit C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00306 _'' 'n''.1 DEVELOPMENT H BMENg Tigard, -639 -4171 DATE ISSUED: 5/19/2006 PARCEL: 2S109DD - 09000 SITE ADDRESS: 12697 SW DA VINCI LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 020 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE' BV3017 STORIES' 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST. 137 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,463 sf GARAGE' 794 sf FRONT: 15 PARKING SPACES 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD 1,417 sf RIGHT: 5 VALUE 303908 20 OCCUPANCY GRP' R3 BDRM: 3 BATH. 3 TOTAL: 3,017 , 017 sf REAR 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS 1 . RAIN DRAIN. 100 TRAPS. LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES' 100 SF RAIN DRAINS' 1 CATCH BASINS: TUB/SHOWERS 3 GARBAGE DISP: I WATER HEATERS. 1 WATER LINES. 100 BCKFLW PREVNTR. GREASE TRAPS. OTHER FIXTURES. MECHANICAL FUEL TYPES FURN < 100K. BOIUCMP < 3HP' VENT FANS: 5 CLOTHES DRYER 1 GAS FURN > =100K: 1 UNIT HEATERS HOODS. 1 OTHER UNITS 1 MAX INP btu FLOOR FURNANCES: VENTS' 1 WOODSTOVES• GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION. PER INSPECTION. EA ADD'L 500SF: 6 201 - 400 amp 201 - 400 amp. 1st W/O SVC /FDR: SIGN /OUT LIN 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 -1000• MINOR LABEL. 1000+ amp /volt . PLAN REVIEW SECTION Reconnect only > 600 V NOMINAL' CLS AREA/SPC OCC: >=4 RES UNITS. SVC /FDR> =225 A.. 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 -ENCOM 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 RIVERSIDE HOMES INC. RIVERSIDE HOMES INC applicable laws All work will be done in accordance with approved 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY plans This permit will expire if work is not started within 180 days BEAVERTON, OR 97006 SUITE 200 of issuance, or if the work is suspended for more than 180 days BEAVERTON, OR 97006 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 Phone: 503 - 645 - 0986 Contact #: PRI 503 645 - 0986 of these rules or direct questions to OUNC by calling 503 - 246 -6699 FAX 503 690 - 2942 or 1-800-332-2344 Reg #: LIC 70065 TOTAL FEES: $ 10,761.35 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By: e L L 2 e_ Permittee Signature : j 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. Building Permit A li'Catmn V - E l(� VG LuJ Tigard Of T1 Cl �J ReceivedQ ��3� `J g Dale /By � �� // Permit No {�� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ,• S O _ LM5 � [ � m J / Phone 503.6394171 Fax 503.595 18601) � 2U0 Other Peri 5 ,1 k � I ;� Date /By e csG - �'• inspection Line. 503 639.4175` Ili, Date Ready /By b / ' Jam 8 See Attached Checklist for Internet' www.ci tigard.or us CITY OF TIGARD Notified/Method 1 ® Supplemental Information BUILDING DIV ISION „ FLT • �. rte,,; .; A � _� " ,.;� f.. = >�� ' D ,J U:QiE 'DATA:'1 �;AIVD = FA34III:Y WELL-INCN X ' : � �•c " '?`t:tai , ° �;, °`, -:, .- pits „; .c�^�,«r�aa�;;H• kip ,i�vn1.�.a.�?,e,�4��,: 8,,m rh .,,a�,�3s ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rou nded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equtpment, matenals, labor, overhead and th rofit for the fiEGORXaFGdfNSTR � work indicated on this application .a0 d:i�ION'�' °`s °'' „- ;':, :" Valuation: $ r}�-p [� 1- and 2- family dwelling ❑ Commercial/industrial Number of bedrooms: ❑ Accessory building ❑ Multi- family Number of bathrooms: J, ❑Master builder ❑Other: / t k' _ t Total number of floors. �,.> I ,,,, . „.:%T it; ' %i " �„ r �; -.' �UB�SITE��'> II! iFb121V1ATIUN ;AND;�L{)CATIOIy;..�x.. '�'-., ,';,, >''. Job site address: l Z L New dwelling area: 2 �1 square feet City/State /ZIP. i �( � j D £ 7 2 I4. Garage /carport area: � (i� L.l. square feet Suite/bldg. /apt. no.: J Project name:�� C,(,L V S Covered porch area: square feet 1 ,p Cross street/directions to job site: Deck area: 2O square feet Other structure area: .L) square feet IiEQrRED §DATA: COIV1IVIERCIAI�� °IJSE /CFTRGKL1(ST 3 �. ';.s - - Subdivision. I Lot no.: Zv Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and t he profit for th� work indicated on this application - Valuation: $ Existing building area: square feet New building area: square feet fir, _,,. Number of stones ®�PROEERTI'�iDWNEii' , -:� ...°-�O TENT > ^� Name: � 1 V -t%r�S i d L_.- U�'i't.Pr `� T �'i''!G • YP e of construction: Address: ' G 5 NW 0 Occupancy groups: J City/State /ZIP: El/,y-e fZ q) D i Existing Phone: (5� ) (B y, `� - Fax: ( ) i Cf U " 7 `Z u•(Z New: , =,�f ct : PLl. "tiIV1`,. �5f,. � '.'," -,,,�; � _'❑ "N'gd 4� �,, � i y 3 "; ', t , s, ,,,� v4i '��s�� ., �; �P_"�e..:_�� :- �,��_ ,,,�',�,��<: �_� >'_a'�'��+u��- r- "a "s Tea,- � " ��t';�'`� .. ... ... ..... . ._ _- _'_= �;.,>. ,m ,�:�x �rsl��.�_: Business name: I2 VC. Y -, i (j G fG i ', yam,. All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: A ( (� ` �. 1 /� under ORS 701 and may be required to be licensed in the Address: tii 7, / i jC�t J i 7 O , jurisdiction in which work is being performed If the J applicant is exempt from licensing, the following reasons City/State / ZIP: J j ?c v - 4-e 1-1 (.f I�- 7 G 0 (p apply. Phone: (63) (PLJ 5 ( Fax: ( ) (c D , 2 L.Z E -mail: (� {) )G { t �-t`2 J'1 ✓C'y5l;oLF Vlf'Yi4 E'er, (.Cl'l-t ) £i4VN A'1Ti1 x e `:�s,<;-:' 3'1i[,i!,,, V' R .`1,:,,2 :";'i;`.y', "�.,`r,:.:'?�;�'S ,. Business name: f) ! Le � -0' i S1 U iTVWt�..� - �"'I�1G < � '�� ;`BTIIL�ING. €PER•M�?:�:FEES* � �;,- ,:,:�, Address: 7' N ytj .A7')/1 j7,°iYI /, ' y a,/ PK.kjJ 'L/\ G Oi k 20 Please refer to fee schedule. City /State /ZIP: I J ccV �Y •yL, O i 7 Fees due upon application Phone, (o L( L . U C ( �, (F Fax: (7 5) 2 c 7 C{ Z Amount received CCB lie.: O Date received: Authorized signature: C:'�/1 GAT ( ` f ) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Lt name: L1. Date: j L - * Fee methodology set by Tr-County Building Industry C Service Board. p \Buildmg \Permrts\BUP- Perm1tAppdac 12/03 440- 4613T(I1 102 /C0M /WEB) 1114 Electrical Permit Application__ x ,0,. .. t4 .: ° , . ? "�fORtO �1GE USEaQNL ' , 1 d3 . #i } ' "1 i E `H L D 4 ' L: � , i' sitar tf - g , +_:.;:.`.:rAc H+z t,64:1�4d.0, .w.v,$4. ,' ,-.�"''•.l;,Jz .+fi''Y3:. $4 -,i a?Y ; .. a "' ir City of 1bal CI � Date /By Penn No T. —ra 30 , ' 13125 SW Hall Blvd , Tigard. OR 97223 Plan Review Phone 503 639.4171 Fax 503 598 1960 { /'''^ �"';! ` Date /By Othei Permit Line te 503 -639 4175 Nib 1 2IJU5 i ' , a " : l ila ' - Date Ready /By imss IZI See Page 2 for Internet www ci.tigard 01 us Notified /Method Supplemental Information ,^rry nP TI( ARD YP .O '`'SVOrtjc t .:i ": '' '' .. , 'PLAN '', , . El Nev, construction ❑ Addition /alteration /replacement Please check all that apply ['Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps - iawtg ❑Buildngover 10,000 sq ft , '':. '. .,,_°` 't A ATEGORYI;OF <CONSTR.UCTION s;`°> "t=,;, Jr=i; ` „ „ ° of 1- and 2- family dwellings 4 01 more new residential © 1 and 2 family dwelling 111 Commercial /industrial ['Accessory building ['System over 600 volts nominal wars in one structure ❑ Building over three stories E Feeders, 400 amps of more ❑ Multi family ❑ Master builder ❑ Other. ❑ ❑ Occupant load over 99 persons Manufactured structures or ` '''' :;: x;,(' ; JOB t SITE .INFORMATION:ANDz`7LOCATION' : k; ? � y r ° z : '`( , ❑Egress /lightmg RV park Job no.: Job site address. 2 1 7 v Dc,,✓ i et C . 1-#1, ❑ Health -care facility ❑Other Submit 2 sets of plans with any of the above City /State /ZIP: 1---; /}}� r 4 -2 z--2,L1 The above are not applicable to temporary construction service v l ,FEE * - SCHEDULE ": `' - -, . - Suite/bldg /apt. no.. Protect name: t/,t,_ V/3 : * r Description Q h Fee. Total Cross street /directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq ft. or less 145.15 I 4 Subdivision ] � j � l l,� v� �r� Lot no.:Z� Ea add'1 500 sq ft or portion 33 40 ] / `� Limited energy, residential 75 00 2 Tax map /parcel no. Limited energy, non -residential 75 00 2 ;_ g `t , , , - _ °" DESCRIPTIOIV,;OF:' WORK ' ?" 'F'" „ „ _ , , Each manufactured on modular dwelling, service and/or feeder 90 90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 I 2 :,,;; - 201 amps to 400 amps 106 85 2 '' - ®, PROPERTY OWNER ;',V,'.,, , - ❑ TENANT "' ?; w i� � r .. _ `= 401 amps to 600 amps 160.60 2 Name 12_ v ,, v,--_ (-, ( -;- -V11-t/ , ` .J — 601 amps to 1.000 amps 240 60 2 _ /,--;,,f_,,,, Over 1,000 amps or, volts 454 65 2 Address r-, - ,tj6�/ ��l y-.- frj?`)}�C�l L&—o- /, i L1� --Y 2_ {' Reconnect only 6685 1 2 O City /State /ZIP: /3,- ",f 1, "t y i - u Y . - , Cif% `} PI �L it Temporary services or feeders installation, alteration, and /or relocation Phone (S bt-(. L - ,rj 4 Y ' - Fax: (S ) i C. =` 1. 4 _ 200 amps or less 6685 1 ] Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 1 2 Intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps I 133 75 2 Owner signature: . Date: Branch circuits - new, alteration, or extension, per panel -; v - . - = ° !' "'" A Fee for branch circuits with ; s'f ' ` 4 ,• _ � El € .:Ar y l I ,. W '• �;1: , ' ,, .�: ' P ERSONi'� . .'s' =r .. ,.,.., -�1�= _ _ F _ , _ „�' : » - service or feeder fee, each "7 -t branch circuit 6 65 2 Business name' L , „,,,,`-=, t( - 1-1 ,- ,'S'1 , LL - 1 -'!`16 . B Fee for branch circuits Contact name. 4, / .t ,-,, ' without service or feeder fee, L 1 ! f 46 85 2 each branch circuit Address: c i , S ' fit'' 1 . a -- 2- G C. Each add'] branch circuit 6 65 2 City/State/ZIP t C��2 `17 r.) L `� Miscellaneous (service or feeder not included) ty t \ _--,r--1__L Pump or amgation circle 53 40 I 2 Phone: (a: (t Lt S —Oci ( f , Fax: . (Si' _)) (, `? -- ? q t_!_2 Sign or outline lighting 53 40 2 E -mail: (t�'}1coc. 1 .; r j v 1- 'i cam_ 4'1 , Cti'71- Signal circuit(s) or hinted- !•.. ,� energy panel, alteration, or �:�- .. ':�;:t4 °; = �` <t�x' ..:=�. "�:;;m�C'ONTI2ACT0It ='� <. >..� -. c�` ^ °.;_'>_`:''� -.H, ;.'s.; extension. Describe. Page 2 2 Business name s&r f L'' Each additional inspection over allowable in any of the above Address P O 6 0-24 - 3 g y Per inspection 62 50 Investigation per hour (1 tar mm) 62.50 City/State/ZIP: I'M a � 'L-Ct ( C� f . � r } O Industrial plant per how' 73 75 Phone: (S°D ) � 6 S —13 S s, I Pax: (�s,o 3) 6 2 8 -- l ), o S ` . "°�_ ;'z' ELEC TRIC 4ti:PERMIT;'rEE5 * +'c ; CCB Lic.: 2,s 17' Electrical Lic,: 2 yLic Suprv. Lic.: ;j J 6 Z S Subtotal Supry Electrician signature regttired: Q Plan review (25% of permit fee) r�o e .� State surcharge (8% of permit fee) Print name: r, ' Date: 4 �� t+ 4,0 ,,,/2/ 17s- TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: • Date * Fee methodology set by Tn- County Building industry Service Board --- - - -- *' Number of inspections per permit allowed 1 \Bmlding \P emits \ELC- PermitApp doe 12/03 440- 4615T(10 /02 /COM/VEB 'F 1 ',IF OEI EdIJSE ONLY r r ' , r' ' Mechanical Permit Application �, . . -_ O R ,.. � -... � � �r�} "'` City of Tigard Received Date /By Permit No S r 0.... —oD30 ,,— s 13125 'S'W Hall Blvd , Tigard, OR 97223 Plan Review Phone 503 639.4171 Fax 503.59$ Li960 I t Date /B Other Permit. Inspection Line 503 639.4175 i—1 1 pI �`. Date Ready /By. runs H See Page 2 for Internet www.ci tigard or.us Notified/Method Supplemental Information I o Inn <,.. , x ,,,., ..,�a`W .,t _ ;" ,��¢w .�uV�a. :;*: 'zt,. ,:� "- ;rt -,^ '3?x>C ; g<:-- - � � � , >z?� s '- ;r � ,� �?. 'a ` w .,, ` 1 k: z COMMERCIAL FEE* SCI E ,., . [ CHEGKT:IST ,: � � " "�'...� TY.P "OEWO' a '^ ,.,� -1 . > -ed.. ,r, w� ` .� . . ,._�, r „ ., _ . .- „,., , _ -,. , `� ` ' "�3vaz�,° _,_. -s.> ,x r ��? >; >,, . - . >�,�. .,k;�, �. �i,." , �,�•.,: '��, � , k,,, .. , <„ . > ,, , . 9 ,��: . „ _,- Y- . ,.�: � .� , w �, _,� s - -. - i„ .,_,�_,��_ r �. , i • t r I I titixt Mechanical pent fees* are based on the value of the work 11 New construction ❑ Addition/alteration/enlacement performed. Indicate the value (rounded to the nearest dollar) of all iii i 111Vt.a Ulvl ti ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit .t ,. A - 3 R , y Value $ `�;�'i.� �� TRUCTI=N ;� ::;; " - ; ':;� ° , „ rz = = ; ti , °� ,..�,. Y .OFD ONS O .a.�Hn' k, CATEGOR C " R r RESIDE N T1JI tEQUI$1Y.LENTI; F ® 1- and 2- family dwelling 111 Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other. Description Qty Ea. Total s.:„ OB SITE :'INFCII2MATIC7IV`=rYNI. „( Heating/cooling Air conditioning or heat pump Job site address: 12- LP q / 51/V NV/ Vi L, I /iVL (requires site plan showing placement) 14 00 • City/State /ZIP' -- Ft �, `Jr o 12., g - 1 2_1_4 Furnace 100,000 BTU (ducts /vents) 14 00 J "tt` / Furnace Furnace 100.000+ BTU (ducts/vents) 17 90 Suite/bldg. /apt. no.: Project name: ' "L l/� V i' S Gas heat pump 14 00 Cross street/directions to job site: Duct work 14 00 Hydronic hot water system 14 00 Residential boiler (radiator or hydromc) 14.00 Unit heaters (fuel -type, not electric), in -wall, m -duct, suspended, etc. 10 00 Flue /vent for any of above 10.00 Subdivision: Lot no.: © Z Other: 10 00 Tax map /parcel no.: Other fuel appliances Water heater 10.00 ; a . , :,;a x., te r;, r . - . ; -' . . ''- > ; ,: DESaRIE iON WORK , , , ' `. u �,� 5��q ag k� , -4 ', 5 i, r,. t..t ,,,- .5°J(4+£�e+t., „w.`� -,; ;, ; *1;,i3a'% Y om: -x,, k '8 ''', _ , - vY ix 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 /msert 10.00 - - �, ,>, :.- ,..-, -, e < Chimney/liner /flue /vent 10.00 t , , 2 .1 ,vi :' ® 1. I✓:NA NT , " °�� P.ROPFsfITY.Qt?VNEB� -�<� - -x�� "_ � � F•� 7000 Ja ,. . ; , _ ..- n��,,.. , -- __ . � � _ , , , .,- .. ,;_ . ,, u O t h Name: Ei yPii'5i cif1 140yvLe5 - 7 - 1G . Environmental exhaust and ventilation .. Range hood/other kitchen Address: V (2 S (/�J �' - ry) / ,r-g ) ,, l� pi /i/v . } # ZUO equipment 10 00 ij ( Gf - 7 U 0 t . Clothes dryer exhaust 10 00 City/State /ZIP' {GtV Y )7 Or Single -duct exhaust (bathrooms, Phone. (Gv ) (••(2 Li -5 - G` ( b,t, Fax: (96 ) (' 50 ` 2 ?' Z toilet compartments, utility rooms) 6.80 ,,� -, 3 .- . -,. "- " ° i-'°s °i °= + ' Attic /crawlspace fans 10.00 �: „., ;..,.. a - "Y :,- � ....__,,��..e.. . -.. Other. 1000 Business name: 'Zl ✓ eYS)�iLe _, =1� � - Fuel t in PP g Contact name: -Lu ` ---> 01 AA,, $5.40 for first four; $1.00 for each additional `- i -- Furnace, etc Address. j C 2 . AJvt/ P Ci v9 G D d Gas heat pump City/State /ZIP: V C ( 4' v y'7 0 0� J Wall /suspended/unit heater Phone (5 (e4 5 - 05 i (e Fax:: (CO) H0-2 I L4 Z Water heater Fireplace E -mail: a,r)rIcIV r i ✓P4 jo(k_howte. e c'Y►t. Range b ,..:. ,sf ,- ,, > ,. ' f ., : > ,a Barbecue F_, ,m. C`OlVRAL' TO �• ;:ff - �';�;r...:.,�,��.=a ., ...,, x' + . ? = -._.r 1 Clothes dryer (gas) Business name: .k 1 - ,,,,„_3(,,_., i EA ,a_a --h, n. s 1,r Other: 1 O / i t - � ANI T::P ,EhlYII FEES ag Address: � � � .> 47 M� � "Z 8 =r J t1e. � c � c � , �•i �. t i. tcs' ��: ° �, ...._,,,.� ' a.. " �, .:�,,«x=,��,. �;��`s3 ,.. City/State /ZIP: ( ' Subtotal ' r � K �` r �' 6 3 _ _ _ Minimum permit fee ($72.50) Phone: (s ) • 2 3 1 ._ sic. z . Fax: (7 ° 3 S ) q- a - 3 ` - l - S Plan review (25% of permit fee) CCB Ire.: j 7 ' 3R State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: '4 days after it has been accepted as complete. L Pnnt name: _ ...r Date: O"7. c °i b s' * Fee methodology set by Tn -County Building Industry Service Board I \Building\Permits\MEC- PermitApp doe 12/03 440 -4617T (11 /02 /COM/WEB) I,' : "� t Wt uFOR O FF�ICEOU SEkyO IY E Y i , �" ( " . -. IA Plumbing Permit Application - x „ fix . ,t, .,,,, r '.,r. 5 } }15- :,0 i ;}. 4 , h City of Tiard Received Penmt No b 6 Date/By r� -■■I SAN. I 3 R 13125 SW Hall Blvd., Tigard, O 97223 Plan Review Phone 503 639 4171 Fax. 503 598 1960 i)I� +� Date /By Other Permit No 24- Hour Inspection Line 503 639 5 19 2005 a ' ~J °) .. Ready /By ; Date Read /B Juns 0 See Page 2 for -Y Internet. www.ct.tigard.or.us Notified /Method Supplemental Information IP:�, °v�r =h;: _�,�:' •;;�. BGELEDULE- -:r -1� � ;'.2 - . „A,, , , , , , ,,,:04 , - , 40:0;, ,�,, �T1PE'OFWURKr: ; ?, -'• 3N= °ry �'�;.r� - . , . ,,, , , lb, A. . , gT. ,... ., ,:_. � „ -�, ...., ,, - =� "�'.- #vt„`� "( :°�r�;<i�"k�n -i„ .� ,�.ra.t;t,'s'i' !�a'c °_ °-:A�,?.� „' � , zitis >6 �'b= ?�� 1':• ,.,., . I�UILUIIV'a fl vi v "Q Demolition For special information use checklist. New construction Description ( Qty Ea Total ❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft for each utility connection) `` = «:` t > ": . CAT „OF>' � x� ^; ;'^� , .' S FR (1) bath 249.20 u 51 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 SFR (3) bath 399.00 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other. Fire sprinkler ( sq ft.) Page 2 �:",,u;.; . ,3,, .: 1; era ;:; R - „- ':1;; t,` : a � ' = JOB' SITE° 1 FORMi \TIONi,Ai!ID,:.00A1'TON`)g :.: , i4,,-": s,~ Site utilities << '�' � =:�. � ,m K` ,; -r. _ ,:.,,�°., .:��. �.: x ;•aau -a s_�.�. -,.,• _e.,t,,,,” ✓rid'', .1�.,. �. _.�c's�, n `x;.r, Job Site address: ) -- Gt ♦ 5 w L_ V i V( C •�• _ • Catch basin or area drain 1 6.60 City/State /ZIP. 1 1 C , ' ,'&44 O02/ q 7 2 2 � Dryw'ell, leach line, or trench dram 16.60 /j J 2 Lt . v I ti S L Footing drain (no. linear ft.. ) Page 2 '' Suite /bldg. /apt. no.: Protect name: �/ r v ` � Manufactured home utilities 110.00 Cross street/directions to job site Manholes 16.60 Ram drain connector 16 60 Sanitary sewer (no. linear ft.. ) Page 2 Storm sewer (no linear ft. ) Page 2 Water service (no. lmear ft. ) Page 2 Subdivision. 1 Lot no.: 26 Fixture or item Tax map /parcel no.: Absorption valve 16.60 ,,l : `=- ,; a° .DESCRIPTiQN 'O 'W ,: Page 2 s#�..- ;r°�, ;��'� , , w,. - .� - n4�,4,•d. , . «,,,,„^* �� <. .,�. s ,� Backflow preventer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16 60 ;; n, n v ate: ;�r ry -;y0; tea' 4,* u , = ' . ., 7 , _ 3 ;, _ Dnnkmg fountain 16.60 li ;: P1tQPERTY °OWNEI '`.'ii,�°`:'.; _ ;:: ",; -; i -M IN . K ' -' ° '-- . : . "" _ a:� ��,�.., � -..4.. -- tea;_ - < �,� �- � ,)�� .� � ';� =; Ejectors/sump 16 60 Name. E 1 ✓_, ,,,L - fl . j , ! . Expansion tank 16 60 • Address: VI -2, J /1,/UV 211 i7..& (.e,,, , ic j ii It C , n Fixture /sewer cap 16 60 City/S /ZIP: :1 l y“,V4,h'4vYl ri r_- '41°0 Floor dram/floor sink/hub 16 60 Phone (-jam ) L L i_ c - _ bCj te, Fax: (S'c`r- ti' 0 ° Z�l U Z Garbage disposal 16 60 .�, r :4u . , ��;,, ;,�,.: ;,;�P is �- < . " .x�.�..: ,,,;a•, ,��,'." .. -. , _ ...�, . 1 Hose bib 16 60 - °" , ❑ itid tN')rSti " "� �` " ; CONS;;A{'T PERSO1�'�. ; Ice maker 16 60 Business name: L 1t461,,1 c ,,L Hoyt,,, . , T Interceptor /grease trap 16 60 Contact name. ,AL/, C 3Oyz_ f Medical gas (value $ ) Page 2 Address. j "! 2 5 m/ A, r i / P/'(. t,uut -. Z o0 Primer 16.60 Roof dram (commercial) 16.60 City /State /ZIP: J Sink/basin /lavatory 16 60 • Phone ( ) Fax: ( ) Tub /shower /shower pan 16 60 E -mail: , Urinal 16.60 ;yam -_ - =, ° y::l ` (3{JLYTItt A TOE "„ r :-1, :: Water closet :: ix�r &,�- -�. -s...; "•�=��k,.;... �:FE„:. - �r3•s,, -�..,. .:a -_ - ��i` = `k �,;'. , ��i i- ��.r$„Ya "•;,$�'�a` �3� . .�. ",�` - 5 16 60 Business name: 3 v PaWi 1 1-N C 01 V vii if11 ✓15 Water heater 16 60 Address: S 05 S Lc, / /) 1 11 , L i - _ Other. Subtotal City /State /ZIP: 4 U q 012, c/ 7006 - Minimum permit fee $72 50 Phone: (553 ) d2.R - c 6s 7 Fax: (5 63 ) � t;' a ." 9c 4 1 3 Residential backflow minimum permit fee $36.25 CCB Lic.. I 1 1 2 (` ( Plumbing Lic. no.: 3 1 4 - 37D ?e, , Plan review (25% of per fee) �• � 60 mit State surcharge (8% of permit fee) Authorized signature TOTAL PERMIT FEE Print name: ‘ ,3 - 0)1, t 4A t^ 8 f l I I Date. - e _. 03 - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri - County Building Industry Service Board i \ Building \Pcrmas \PLM- PermltApp.doc 12/03 440 -4616T(10 /02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION / PERMIT #: MST200 &00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 MIll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 41 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -615 -0986 Inspection Request Scheduled For: Date: 6/2112007 Pour Time: I Code # Inspection Description Confirm # Contact # Message 299 Final inspection .. 050652-01 503-572-5278 N Corrections /Comments/ Instructions: 6-1- r / . V g �� r PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lie Date: (' -2 7 Phone #: (503) 718 - Air V CITY OF TIGARD BUILDING DIVISION ' PERMIT #: MST200S 00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51/9/2006 Phone: (503) 639 -4171 �/�z �1Plitt1 Inspection Requests (24 Hrs.): (503) 639 -4175 .L!J. __.. INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 33 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 6/20 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 05056B -01 503- 572.5278 V Corrections /Comments/ Instructions: AP �D� /Viol-- _5p7 % i.f14e4 c �A.J7 �y A42 e./ri To fFrr�,vD zao PG V. ic�ovE - ✓ A-7 / rf ✓ /fc to ,ems .d, sue. 9 ('' ; f / �r/ s � i Si0 rL de/2-7 &-e PO tJ - C c.L-T //c- C 7 S 77 Q 6 - : SEE 5 ov ,.l (,),Air--4_, 7 SO "e(-G f GG�G $ O< c. SO o' PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I-- fr Inspector: Date: 2O-c7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION t- PERMIT #: MST200 .00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006 Phone: (503) 639 -4171 Ad Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: 86 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 603 -646 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 6/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 05041101 503-572-5278 N Corrections /Comments /Instructions: E fZ)5/6.../ d"7Z C7 �/zEcT GE4 n PASS I PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7, 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-0030G 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006 Phone: (503) 639 -4171 / . k . stplii,t i l i c Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 6115/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 050303 -01 503. 6781355 N Corrections /Comments/ Instructions: X PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n C A L FOR INSPECTION n ADDITIONAL FEES ASSESSED f (S Inspector: , Date: // Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639- 4171�� I � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 60 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 / TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645. 0986 Inspection Request Scheduled For: Date: 6/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 'I99 Electrical final 050137 -07 971246 -1996 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ! CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7(9/ Phone #: (503) 718- CITY OF TIGARD + BUILDING DIVISION PERMIT #: MST2005.00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 / ird�ry�uyp" I , Inspection Requests (24 Hrs.): (503) 639 -4175 , L 'IL INSPECTION WORKSHEET FOR - -,,, DATE: 6/11 /2007 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. , OWNER: RIVERSIDE HOMES INC., PHONE #: 503645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645.0986 Inspection Request Scheduled For: Date: 6/11 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 049952 -04 971 - 246 -1996 N Corrections /Comments /Instructions: / i4 ^n b ! � 4 � ' �(J d • 1 N ft r IJASS [ I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL I I CA ,L FOR INSPECTION n ADDITION FEES ASSESSED I Inspector: V Date Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2006-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61/9/2006 Phone: (503) 639 -4171 A I I I r I � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/1812007 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645~0986 Inspection Request Scheduled For: Date: 4/18/2007 Pour•Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 046700 -01 971-246-1996 Y Corrections /Comments/ Instructions: DA I I WEL* IIMMIIMAN I I Flar 4 1 • 4 • Li PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED G Inspector: Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200P00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Edi912006 Phone: (503) 639-4171 400111. Inspection Requests (24 Hrs.): (503) 639 - 4175: .. INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description '. •• - Contact # Message 120 Electrical rough -in 046452 -02 503•678 -1355 N Corrections /Comments /IInstrr tions :: AV 1111Ikie. AIMM VI = , , , W - L, ,.._... 1 k ,_1 4/ ,, e (3� ... A PASS 1 i PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a Date: L A J / AO-) Phone #: (503) 718 - 'k _ . CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006 Phone: (503) 639 -4171 v IN�ii�ll'�I- Inspection Requests (24 Hrs.): (503) 639 -4175 `:_., INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645 -0936 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.6440986 - Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confirm • Contact # Message 115 Electrical service 046452 -01 503.678 - 1355 N Corrections /Comments /Instructions: • ■ PASS ❑ PARTIAL APPROVAL Ill CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G N 6 V LE - Date: °LI 13 or) Phone #: (503) 718- VILA CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1W2006 Phone: (503) 639 -4171 A hlittil# Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' . INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7.02AM PAGE: 30 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA ., LOT #: 020 TYPE OF USE: . PROJECT NAME: BELLA VISTA . DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503.645 -0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 6/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 050309.01 503 -572 -5278 N Corrections /Comments/ Instructions: Zef - FPGYeilif,5 ©f i/ t KPASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION I J ADDITIONAL FEES ASSESSED Inspector: Date: 4 —0 7 Phone #: (503) 718- CITY OF TIGARD ' __:, BUILDING DIVISION PERMIT #: MST2005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f119/2006 Phone: (503) 639 -4171 iilGll Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 6/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 050137 -08 971 -246 -1996 N Corrections/Comments/Instructions: • PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED / Inspector: Date: - /3 ^0 Phone #: (503) 718 - 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 4 r 4 � i r I Inspection Requests (24 Hrs.): (503) 639 -4175 1.1. INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 61 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Nome SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -&A5 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 °645.0986 Inspection Request Scheduled For: Date: 6/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 050137 -06 971 - 246 -1996 N Co -. ions /Comments /Instructions: / ,72- "e--1, 90-er' . - , ( ( 1 I PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 73 -0 7 Phone #: (503) 718- CITY OF TIGARD , - ' BUILDING DIVISION '! PERMIT #: MST200CL -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/'I912006 Phone: (503) 639 -4171 µ I� Inspection Requests (24 Hrs.): (503) 639 -4175 ��'� INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7 :00AM PAGE: 55 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Nc tro SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503.6455.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.0986 Inspection Request Scheduled For: Date: 6/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 050048 -01 971 - 246.1996 N Corrections /Comments /Instructions: 1%te'. 6 (Crpr c ._______ v ,,,,,,. - &.� 9 4/z -3 /o-) (2 , \, v" -, , , , ,...../ 0 , ,,, \ r 7 ._14Q4(,,, 0\ Cji,,,r4 ,(_ (_\, w 0( L - 11Po A,z_c2--- evy‘u, L.c,j,e,,,,_c s,--- -4.--„, -1,/.1-st w L7' 0 r 1/4\i- iL.«____-- --\---1) act...." r____ .use_ s , a± l k,'1(* / ,, / a n PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS ,FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: b c ' 1 ` yam Date: ` � / Phone #: (503) 718- -Z-L1-2-`1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200f.00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 �W Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: FELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC•, PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645.0986 Inspection Request Scheduled For: Date: 6/11/2007 Pour Time:' . Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 049952 -03 971 - 246 -1996 N Corrections /Comments/ Instructions: • P ASS PARTIAL APPROVAL I I CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: w Date:A a Phone #: (503) 718 - N CITY OFTIGARD BUILDING DIVISION PERMIT #: MS1 2005. 00:306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006 Phone: (503) 639 -4171 ".fl/fl' 11111 Inspection Requests (24 Hrs.): (503) 639 -4175 '' __.. INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLAYISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 046175.01 971 -246 -1996 N Corrections /Comments /Instructions: (p 13. a iOT . c) T 5 L5 e I A /0 3 — o L 0 \J' •---• X PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date. Phone #: (503) 718 AL./1Y_ -.. . _. CITY OF TIGARD A at BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _41, II INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0 • Inspection Request Scheduled For: Date: 6/512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 031101-09 503-572-4708 N Corrections /Comments/ Instructions: L- kk (Zak 0 1. -A-j - ( r r 1 ri , I PASS I I PARTIAL APPROVAL El CANCEL El NO ACCESS 1 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (I Date: Phone #: (503) 718- I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005•003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/191200e. Phone: (503) 639 -4171 av'"'""""o I�I 17 Inspection Requests (24 Hrs.): (503) 639 -4175 "__� INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 30 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: FELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 S!I5 -0 867 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50 3-CA 5 Inspection Request Scheduled For: Date: 5/3112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 030831 -07 503 - 572.4708 N Corrections /Com ents /Instructions: \(2.3 tAN l • n PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS k FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: .' JV Phone #: (503) 718- 2)'4* ; CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 201� i -C (.X306 i 13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 6419.0.00!::', Phone: (503) 639 -4171 Ai N��gpi�l I Inspection Requests (24 Hrs.): (503) 639 -4175 °'.. / INSPECTION WORKSHEET FOR DATE: 5/31/2003 TIME: 7:07AM PAGE: 29 SITE ADDRESS: 12897 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-G45-09;736 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-84f5-0906 Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # ' Contact # M- ‘ e p p 9 255 WIT proofing b sement walls W0831-08 503 672 -4708 Y Corrections/Comments/Instructions: 121 si l 1 b„AsL . • D V,' PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: 1 L� v p Date: q-7,-yo(ko Phone #: (503) 718 - 22 2)-f CITY OF TIGARD _ BUILDING DIVISION PERMIT #: IVIST2006-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/2006 Phone: (503) 639-4171 a„.. ittiiit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7: 07A1v1 PAGE: 34 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-646-0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 030831-03 503-.572-4708 N Corrections/Comments/Instructions: K1 o--tZ : V \,k) k p7/ (4 ( . ev \-)" e' IA 0 q- ---, er s \ fv\ej -e-r :- ir___Q • -56 \.7. ) Vi 6 't & 4 -r , 1 . 41„/„___ A --- y i --,4-„,_-• , fuo( 3- 1 c .) V.) cul.A C 5,(7 LYetsk --- fl PASS f PARTIAL APPROVAL El CANCEL fl NO ACCESS n FAIL • El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: \ 4 ( b it t. Date: _t_./ 3 6 (e) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00306 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5t19/200 Phone: (503) 639-4171 " Inspection Requests (24 Hrs.): (503) 639-4175 LL fr 7 INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 32 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: 3ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-G45-096G CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 030831-05 503.-5'72-4708 Corrections/Comments/Instructions: ft o->k ( - 3 03oi ( IL tr---( P7A0 4-7,1___c LI (I Lt'frt_t, Citruy5 (Ati ‘ 7 1 ) (S -.SS 4 - A RTIAL APPROVAL fl CANCEL fl NO ACCESS Li FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: \/) Date: 0 6 Phone #: (503) 718-7-2";1 CITY OF TIGARD BUILDING DIVISION PERMIT #: IV1ST,1005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/20M Phone: (503) 639-4171 A i ,..„... ' s Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/3112006 TIME: 7:07AM PAGE: 31 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-64E4986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 506 Sanitary sewer 030831-06 503-5724708 N Corrections/Com t ts/Instruction • •e___ r) p /v/-," \AA & 'Lb C--f,"--k-v1 36 34 r (\pw-i) \pro-,494 _y?(Apv.‘ swtz-t \4)w 62 PASS PARTIAL APPROVAL Li CANCEL fl NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED (9 Inspector: VA Ci Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 —Ai- 11. INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07A1V1 PAGE: 33 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0996 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/31r2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 33 Rain thin 030831-04 503-572-4706 N Corrections/Commentnstruc SS (/\ • PARTIAL APPROVAL El CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED \/ 3k A 4 ' Phone #: ; - Inspector: Date: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/2006 Phone: (503) 639 -4171 r��q��i"��I Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: 412312007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. 1 OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HONIFS INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 4/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 046961-01 971-246-1996 N Corrections /Comments /Instructions: ? ' ' PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- )0306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 / �Ipi1Il Inspection Requests (24 Hrs.): (503) 639 -4175 -�!� - INSPECTION WORKSHEET FOR DATE: 4/2312007 TIME: 7:00AM PAGE: 34 e SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF, OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645- 0996 Inspection Request Scheduled For: Date: 4/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 046961 -02 971- 246.1996 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS 7T FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I " / - ° 1 Phone #: (503) 718 - CITY OF TIGARD ' F BUILDING DIVISION ) �, PERMIT #: I ST200&0030$ , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 �i Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: • Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message , 275 Framing 046700 -03 971 - 246 -1996 Y tions /Comments/ Instructions: - G6 j ,q/ 6./ • i` --.., . ,..,. - A D d): 61/ /6 Ae - up L t/L -us z r" Ld4, t ..p..0...,..9-6-e ,. 7 ' A. tJ - ,el - - ;e j1 G- Li '.S - - 3 !>.s S PASS I 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector: ?"/--)//'---- Date: / 1 - 1(.9. •` I Phone #: (503) 718 L CITY OF TIGARD BUILDING DIVISION PERMIT #: MSI 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645-0886 Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 \\,) Interior shear walls 046700 -02 971-246-1996 Y Corrections /Comments/ Instructions: • P ASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / 7---/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC•, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 41'18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 046700.04 971- 246.1996 V Corrections /Comments /Instructions: ' f / e 0 ✓ G / „ / .0 /.4./ c�� / - i'/ ,rjr 1 2r9 (1/1/ 6x ��c L v i J 7 /-55c.-2.c. - Ov'' /a/S- ,�1?) . � � y sC is s PASS I 1 PARTIAL APPROVAL CANCEL NO ACCESS c g i FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: 1 Date: `T / C�' 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200fi -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 ///� i ��Ipilpl �i l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645 -0986 Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 046700-05 971 - 246 -1996 Y Corrections /Comments/ Instructions: • PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: /2 Date: I "' - 7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2008 Phone: (503) 639 -4171 /ivrdi�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4112/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-09N CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 4/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 046395 -01 871 - 245.1835 Y Corrections /Comments /Instructions: ( e rr1P - N-SL L ,,e4A P 2- tmiA---(--; Am." ) i 4 '--5 n PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL 1G CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector:' � Date: / / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/201)6 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645.0936 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603.645.0886 Inspection Request Scheduled For: Date: 4/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 046395 -02 971 -246 -1996 N Corrections /Comments /Instructions: • • • • PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL C k LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r, 4 Ins p ector: Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: I�ST2005I 0306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511912006 Phone: (503) 639 -4171 ! u � A ,,, A\ m��ii 'i Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 4/1212007 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 4/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Sher walls/anchors 046395-03 971-246-1996 N Corrections /Comments /Instructions: • J PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i , Inspector: Date: S Phone #: (503) 718- 4 L c CITY OF TIGARD BUILDING DIVISION PERMIT #: MIST200& 306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1312006 Phone: (503) 639 -4171 / a"yN° il Inspe Requests (24 Hrs.): (503) 639 -4175 2 INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -&15 -0986 Inspection Request Scheduled For: Date: 4/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 046325 -02 971-246-1996 N Corrections /Comments /Instructions: ? / / /11 k - . / / / a I - / ' i s / / � 1 - z41 ea, 1/14%- ni dele 1i-e , //e i7 46t '-G ,a l iaL /2 i f n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS rg FAIL N CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 14die - � Ins ector: Date: t ( Gk ' Phone #: (503) 718 -� ('° Inspector: • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005r00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1812006 Phone: (503) 639 -4171 u� mNPitl4��l'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: I3ELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 603 - 645.0886 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 4/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 2;f5 Shear wallslanchors 046325 -01 971-246-1996 N Corrections /Comments /Instructions: • ❑ PASS I PARTIAL APPROVAL )CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ` ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 11— ' Phone #: (503) 718- . -fr CITY OF TIGARD BUILDING DIVISION PERMIT #: MT S200&00306 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5119/2006 . Phone: (503) 639 -4171 4441,4 �)f Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 4/11 /2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 4/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Inferior shear walls 046325 -03 971-246-1996 N Corrections /Comments /Instructions: • • n PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p --- Inspector: Date: / /-a 7 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200 &00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645.0306 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-09136 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 045905.01 503-572-5278 N Corrections /Comments/ Instructions: t P,'.j , �rt- -y2 -A- - 7 64.-7 / /Jor.v ,,--5 nt- y .. • n PAS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: i c'7 Phone #: (503) 718 - 24- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00:306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006 Phone: (503) 639 -4171 /miN�m�igip� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 65 Inspection Request Scheduled For: Date: 4/3//2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 045905 -03 503.572 -5278 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL CANCEL U NO ACCESS ATCC. r - n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED / Inspector: Date: � 2 Phone. #: (503) 718-,_ 'ZY� t , , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500306 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006 Phone: (503) 639 -4171 A � o . • Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �.. INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12697 SW DA VINCI LN . CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 • Exterior sheathing 045905 -02 503 -572 -5278 N Corrections /Comments/ Instructions: € G ❑ PASS ❑ PARTIAL APPROVAL n CANCEL I l NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: �- g -- Phone #: (503) 718- �° CITY OF TIGARD BUILDING DIVISION PERMIT #: tai T200af?0306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 . /ter 0 iA Inspection Requests (24 Hrs.): (503) 639 -4175 �...._.. INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -045 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 044626-01 503-572-4708 Y Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 V Vi) Inspector: Date: - 5 I 'o l Phone #: (503) 718 -d hate CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 0030$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 Phone: (503) 639 -4171 !°i:tlpt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6V2212006 TIME: 7 :01AM PAGE: 70 SITE ADDRESS: 12697 SW DA VINCI LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 02 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - ?5.09[ # CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6.45"0915 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 032145 -01 503 --7559 -5821 N Corrections /Comments/ Instructions: ) ?) 5:e ../z/iet-L.-i-c: 4-.-1 iC2e-1 ,7; rAtzal 2 ) . Slr) .?c PP / - s) F",erve 4, /� 1 4_e,c,ti g' -6 / XI PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7 9 Date: 7s " '_/ Phone #: (503) 718 � CITY OF TIGARD BUILDING DIVISION V A '4\ PERMIT #: MST2005-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/2006 Phone: (503) 639-4171 "NV Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02Alvi PAGE: 28 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Nevii SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- Inspection Request Scheduled For: Date: 6/5/2006 Pour Time: ' • Code # Inspection Description Confirm # Contact # Message 255 IliStr proofing basement wails 031101-08 503-672-4708 Corrections/Comments/Instructions: !II 'ASS n PARTIAL APPROVAL fl CANCEL l NO ACCESS f I I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Date: tOK/ re0 ( 7 - 2, 2—• Inspector: Phone #: (503) 718- . 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200:3 06 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2M6 Phone: (503) 639 -4171 Ja pi t � l ' I Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 5/252006 TIME: 7:03A M PAGE: 51 SITE ADDRESS: 12697 SW DA VINCI LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 020 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC.' PHONE #: S03-645-0986 Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: 1700 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 030579 -01 503. 5724708 N Corrections /Comments /Instructions: pp11 I !! �Gis.[It -P q i� ►aii Rli� ----_-_-:--------- • 0 1 1 1 . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL El CA L FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: I Date: �; Phone #: (503) 718- p� STREET TREE CERTIFICATION _ . , Owner/Agent for \\o (PLEASE PRINT) (PERMIT HOLDER) • Do hereby certify that the 'following location meets City of Tigard and Washington County land use and development standards. for street tree installation. • ADDRESS: J ( -1 s w �U SUBDIVISION: f), A \1 ;<Ai . LOT: cc:. SIGNATURE: DATE: 42--)/-0 (OWNER/AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) I \ Bwlding\ Forms\ Street CreeCertificate 03/24/06