Permit MASTER PERMIT
CITY OF TIGARD PERMIT #: MST2006 -10008
y, ` I1 I � DEVELOPMENT gr S O R 9 I CES DATE ISSUED: 5/19/2006
-639 -4171
PARCEL: 2 S 109 D D -09100
SITE ADDRESS: 12689 SW DA VINCI LN ZONING: R -
SUBDIVISION: BELLA VISTA LOT: 021 JURISDICTION: TIG
Project Description: New SF.
BUILDING
REISSUE: RH3380 STORIES. 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK. NEW HEIGHT. 33 FIRST 128 sf BASEMENT. sf LEFT. 5 SMOKE DETECTORS y
TYPE OF USE SF FLOOR LOAD. 50 SECOND: 1,700 sf GARAGE: 630 sf FRONT: 15 PARKING SPACES . 2
TYPE OF CONST. 5N DWELLING UNITS 1 THIRD. 1 sf RIGHT: 5
VALUE: 316 60
OCCUPANCY GRP: R3 BDRM: 5 BATH. 3 TOTAL: 3,236 sf REAR 15
PLUMBING
SINKS. 2 WATER CLOSETS: 3 WASHING MACH. 1 LAUNDRY TRAYS. 1 RAIN DRAIN 100 TRAPS:
LAVATORIES. 5 DISHWASHERS' 1 FLOOR DRAINS SEWER LINES 100 SF RAIN DRAINS 1 CATCH BASINS
TUB/SHOWERS 3 GARBAGE DISP: 1 WATER HEATERS 1 WATER LINES: 100 BCKFLW PREVNTR. GREASE TRAPS'
OTHER FIXTURES
MECHANICAL
FUEL TYPES FURN < 100K. BOILJCMP < 3HP: VENT FANS. 4 CLOTHES DRYER 1
NAT 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: 1 401 - 600 amp: 401 - 600 amp' EA ADDL BR CIR SIGNAL/PANEL. IN PLANT.
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v. MINOR LABEL:
1000+ amp /volt •
PLAN REVIEW SECTION
Reconnect only.
> =4 RES UNITS SVC /FDR> =225 A.. > 600 V NOMINAL. CLS AREA/SPC OCC'
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO. 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 DATAITELE COMM. NURSE CALLS TOTAL 6 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: $ 11,110.59
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : � �, ; �, „ Permittee Signature : a_ J f' ., , /
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.
i
<, Building Permit Application FOR OFFICE USE ONLY
�
� { Received ••7 -.r /t _io .--- ∎ _ l _ p� 1
C ity of Tigard �� � °s , Date/By. „� ,, � (/ / %� %u Pen-rat N „,, r `e,2,U 7 tl d o
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1 r _
Other Pe /' �g
Phone 503.639.4171 Fax 503.598 1960 c ' Date /By / lry 0 3 ? 7 — ciG S � ad b JQ(� .CA�
Inspection Line: 503.639.4175 100F .15.7"1 W ' Date ReadyBy Y J aJ At tached Checklist for
Internet. www.ci.tigard.or us Noufied Method 2 �(r Supplemental Information
CITY OF TIGARD lid \ Qk '' t \-lS .O�
oa a 'sa” .;�; ;� .x '' . *'< ' `�z- 'e�� -5 ;;x, 5; ; , =_,.;rx •«q:.,. ux: -„ 'c 4 ... ,'i ..w <3.,�;:5:✓
�'a�' - `'1. °: ice'• '
s < , � �� -. ^ >s' RE UIRED.:A AND "FA:MII� A VF'EI:I;�ING:;� ".;
r '' . 4 , u v,';a, r'. `.',; ' -'35 ` °''' '_z, -4' , r . , °,„ a�.y.5 !. � � � �'' '' 's :. -_ :. •4R ,. >,� ; ,^az: l n � ?'" :th ' x . .. a'
�� � ,mod 3 „_,.ty. .. �� ' � � , ”. - ___,. � :::N: r �+ �.�: .
® 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: equipment, materials, labor, overhead, and the profit for the
K " , ,.: .,._ . �,« . - .,> r Py q :,_ ,_ f -. work indicated on this application.
WO; x -ifi,' ' 3 :d l eA eZ ti bill NSTI2iJ&16.' :=`_ ". £ ` 3 ,'`_ , -.,
?,- xRs =:= ,i'x`:� 1,;0000,0 , 00-, ` '':`: „r ;. ...,...',aOz,d'rs a� >'•.0. „� „ :b , Y;: ._ ,.
N 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
1:1 Master builder ❑ Other: Number of bathrooms:
; P:, :, :3�"Y h %:,= ;<�',4.%;:��s,y8:#x '�'S' ��i§�'r ,,, ';yam -,"'g
' T, IN :o* Ol .r 4 . 5: Total number of floors:
_';. _� -: ,J(QB :St�i <��:y, f �. OCA"T�OI�{��, - � � 2
' ..y:. s,'s •.. A: 1 y> i # E, x: x ,. ' �'.. ,l.' .. .Nt =i,... ,.,,
Job site address: 1A01 t JW Da M Y C\ GXY1e_, New dwelling area: " square feet
City/State /ZIP: I ` ®C CjJ , a ' L Garage /carport area: •/ • square feet
Suite/bldg. /apt. no.: Project name: ,\l Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1t (:'�TI1Tt) r/4tl, € drIV 5i5. 3.'ISECIii+'CI
. a� ✓,s�'.s" , ..m z: � c, : , » w z,',, , .- .,,; 3 �0,; ;;p, ,, ,,;, r., ', 0-'
Subdivision: 6e.Aa. \r,5-1/40, Lot no.: a1 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.:
,; e ; , , >;. .,,E' -,'cn„ _.. ,;, , 4 _, equipment, materials, labor, overhead, and t he profit for the
i�,s�` -_ Sys,' ^' '. u ; . ' 3 `;, work indicated on this application.
�'" "�:_� � ;= ,,�1'S'f�_',s: i, `,g,DESRIP�I�iV r(3r+:'= 'UV43W� ;y' ;,�', �; _. ;' PP
_... : al .. . .. .. ... .j� ra .,.f ".�•a� »r� � -; " , :i�r'� -_�: � '' �;1�''�I�,:. , _ _..
17 t 5 U {-," 7 t/ 1 3 Li Valuation: $
NI C) i-�-1 Existing building area: square feet
t New building area: square feet
= 'm ;' .3: ;:❑: P t v1: T - x ; ` ,"" " `i'; :: Number of stones:
Name: 1` 1 v x , � ..1 d oL I-TL,, �� . Type of construction:
Address: I CI 7 5 NW ,'yo b`e/Y q Le,,v1 [1 rLW t.t',, -- # 2._0 0 Occupancy groups:
City/State /ZIP: R tv y 4.cvt- Cl2- q7 C 0 (Q Existing:
Phone: (5 ) (e - 0 9 b Ce Fax: (rj) lac C/) _ q /4 2. New:
'E'^,'', ,:7'y��r; ��',' xm�;`;.; : ° "�'` i „ °. f,R�; rv��,Y -, =' - '�,1v�
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£_ .� ���, � ,,y; _
w )'$�nr# ✓_.;, .nta$s' „, "rs3n �.vi,., .s, „ _?�:, s > :+>£"n s'�'�':'� -;
Business name: 17 V-. r 5, H t l Q 5 J —1—)- All contractors and subcontractors are required to be
Contact name: icensed with the Oregon Construction Contractors Board
L.L (t wl'1 ��, under ORS 701 and may be required to be licensed in the
Address: t (( 2-5 Ai ('v -Aryl 1 )(CAC e-1 t P Y(.W i- ; jC,/ i - s - e- J Cr C., jurisdiction in which work is being performed. If the
t *'Y_ (1 applicant is exempt from licensing, the following reasons
City/State /ZIP: h' kV -e.4,- --1 `� 7 0 0 (p apply:
PP Y:
Phone: (5 ( S - O c t Ei 4% Fax:: (Xv ) t - O ' ..:,-1 2
E -mail: (01YIC.i r 1 1/�'X t i3Or14 .F' . (r' I'1'( /
. .,`',e4,`�r,%T%?'95��'?: tt '.�, :;;�;v., 6 ,�„�;k.., " .s;x ;,bsa�`"�:y ,�: �r -s .Y �,. ,.
Business name: �;. ,,
44 l Il�/V t<t�� f 1 ,,. f,:: ARV I I >u , 1_
:� IUD ,.,. P y �: . �..
. " ; ��r «�r�b,. - .r�==>"r� �.:- ,<�- �,,,..: ,,.�z��. -° .. ':�:.
Address:
1 �( 2 5 1V 1 � { h°�y' �'s -yi... Pik' ✓t � `a of k 2 o 0 Please refer to fee schedule.
City/State /ZIP: 10.e cV 4. 0 1 C' (,l L
Fees due upon application
P h o n e : ( ) ( l � — G e l v ( F ' Fax: (92j) t / j- 2-`7 Amount received
CCB lie.:
- Date received:
Authorized signature: /� (/ / y ��� r { ( PC This permit application expires if a permit is not obtained
�v _ within 180 days after it has been accepted as complete.
Print name: 1 ( - t,J UYL /” Date: 12, - 2-I - 0 1 - 1 - * Fee methodology set by Tri -County Building Industry
Service Board
/Ili \ Building \ Permits \BUP- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB)
. .
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By. Permit No
c,
13125 SW 1 Blvd., Tigard, OR 97223
Plan Review
Phone 503.639 4171 Fax 503.598 1960 Atiotioug ' 1:e& Date/By- Other Permit
Inspection Line: 503.639 4175 .,_.0.1.-‘ Ati Date Ready/By Juns E1 See Page 2 for
Internet: www.ci.tigard.or us Notified/Method Supplemental Information
4 - it-ItiVi.;: . ;„Tit1,1**-0:0‹. - :M . ,,,„ 1079:*Yt:*wZf*tlO4E: ti4 #E„.:.„:T4
Mechanical permit fees* are based on the value of the work
5 construction 0 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value $
qint'::: ZirbiMiii' Yiefio,I All ,::Iff;N:':iftif:;‘ : , „, „ ,.„,„„ „, ..
RI 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
0 Multi 0 Master builder 0 Other:
Description Qty Ea Total
t itliren:Z:: 1 141.ANSW, *,:rttiff71Pii, i*,070,:i41.,;i4:00.:M.: 't , , -- ,i';,;„'' . Heating/cooling
Air conditioning or heat pump
Job site address: ‘AL lei SW DA Vi n c . L.,00A..e. (requires site plan showing placement) 1 , 14.00
City/State/ZIP: -- , 0 , e _. a -7 4 ,224 Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: T„ k 0 , \A.s-k- 0, 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
hydronic) 14.00
Unit heaters (fuel-type, not electric), '
in-wall, in-duct, suspended, etc 10.00
Lot no.: O
e-1 I a Vi s-k-44- 4: 9 ‘ Flue/vent for any of above
Other 1. 10.00
Subdivision:
10 00
Tax map/parcel no.: Other fuel appliances
littAi - „ 4..
Water heater 1 10 00
Gas fireplace I 10 oo ,
Flue vent for water heater or gas
fireplace 2,. 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10 00
Wood fireplace/msert 10 00
P4 tliikiritiM;16ar '''-‘i,:),Vi ow- 4-0.: if itivkii - "'" , 7, ',
- Chimney/liner/flue/vent 10 00
Other: 10 00
Name: b ye, c i 0 Hoyvi e 5 , -4- , Environmental exhaust and ventilation
Range hood/other kitchen
Address: lq 7 5 A/kJ, 1I131'1 L„,,,,,.. p k - A , c)ti # 2_0 6
, I 10
equipment
City/State/ZIP: 13.c a v , -toy Oa_ ct .- 7 0 & e... ' Clothes dryer exhaust lt 10 00
Single-duct exhaust (bathrooms, e*
Phone: (GP} ) Lp 1-4-'5 - 0 ot Fax: Ig ) to C i 0 - 2-q 2_ toilet compartments, utility rooms) .a 6 80
Itt?7 1 JSA'I'MV;:RiO3Aikp Attic/crawlspace fans 10 00
Other: 10 00
Business name: 12/ p/..e,r5)cte I Ifs) i -I, -u 5 , 3 _ Fuel piping
_
Contact name: A L,L; 0y1. AA LL-`1"---.
Furnace, $ for first four; $1.00 for each additiona l
Address: i, 2 5 A i p rju ...) LA -i, z 65 6
Gas heat pump
J
City/State/ZIP: 0 c ttver-i----1-‘. 9-12- q 7 0 0 (/' Wall/suspended/unit heater
Phone: (Sib ) 14 1 . - I 5 - 05 Z(..e Fax: : (03) VW - 214 2- Water heater 1 ,
I
E ain1(1 r i ve-vioCeilrYiAe_ c t..,-1_,., , _ , , , Range I
!tiftirlitelifiOMVII:40:00fittilic:,- : :3111,Writillirtait Barbecue
Clothes dryer (gas)
P -Business name: k 0, - /A a...-
,p_A--r - I A a_ \ r , , rs. ' k (-- 4
C D , Other. ,
./
,...,
City/State/ZIP: (1 ., J ... 1_,, _,,. , A, re. q A 6 Subtotal ,
Minimum permit fee ($72 50)
Phone: ( (; ) - 2 - ‘ _ q5- 1, : Fax: ( cr, --; ) 6 - ' - 1 - ‘,/ - 3 2- :r c
Plan review (25% of permit fee)
CCB lie.: j 5 7. 'I 3 State surcharge (8% of permit fee)
-
TOTAL PERMIT FEE
.....-___ This permit application expires if a permit is not obtained within 180
Authonzed signature: --- 2! .,. .,.....--
days after it has been accepted as complete.
Pnnt name: "?.. ,_ < ..., Date: o j 0 c-', / b r * Fee methodology set by Tn-County Building Industry Service Board
I IluildIng \Perrmts\MEC-PemutApp doc 12/03 440-4617T (11/02/COM/WEB)
....
A
.3
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Dan Review
y
Phone: 503.639.4171 Fax: 503.598 1960 • .ti, gy p ,'+ Date B
n r Other Permit No.
24 Hour Inspection Line: 503 639 4175 t' I 11 Date Ready/By Juns El See Page 2 for
Internet: www.ci.tigard.or.us Notfied/Method• Supplemental Information
, ,, w� 4,: :„- , r,:,, h 't , .. , 3}�. Ste. f ,•"3 >
M, sin-;•, x ,. -: f -, . x . �:,
Y 1F, WU.� T�yEE :S�F1F,E, �'=
fit; _.. �' - . ����Y ^`'
' � ,, ,,. .'r'1.° .. -.. ,.. .- •vs, s,,.,,•x"�^�': .. .s:�zstff:•:: : � , `" ; A; S , <•�• _ .. mN 7•� `- '5�:� = �
'
1 New construct Li Demolit 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)
, n t: n; "s3` " 'S'. , 3.��;' �. ;- . ;; �. �i,. , ..,�,_ ,:;, ;.,,, . ,�h,�c8s•,,s�r��, . , :w�l . �',�'�,�' >�..A ^ {s
rA r . ' " , ii �= = r, e- kfi6i (3F CONS2�1aj TsI(71'I�' 41 - ;iP.s. SFR (1) bath 249.20
a 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
C] Accessory building ❑ Multi - family SFR (3) bath ' 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
-
„w.: >;- - ;_ . . • ..: . ., r ,. „z.,, ire e ( sq. ft.) Page 2
-. F sprinkler s Pa e
� . it ;, a 1OB ,Si.1'lit`,oI I O1�1 W.. : OCATIC11V1 , i
a��.�:�,�:� �_-- _:-,�w'� ," �: , - -. ;��:� _. r..r .� ��r>�.:,... �:. 1 > "�, _,��.._ :a > , site utilities
Job site address: ( Q ($p svI T),,` Vi vI C ■ \ La v-14... Catch basin or area dram 16.60
City/State /ZIP: 71 p ar a i Dr _ o, pi..` Drywell, leach line, or trench dram 16.60
Suite/bldg. /apt. no.: J Project name: \\ V Sk--0... Footing drain (no linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: -) Page 2
Storm sewer (no linear ft. Sl'J ) Page 2
Subdivision: G .
Q ,`\ � 1 ` + 1 I Lot no.. ) Water service (no linear ft.: 5O ) Page 2
`
Fixture or item
Tax map /parcel no.:
f ,a•, - -tr xl Absorption valve 16 60
' !' : ' > ' ' ;r r i - :1)IuS("1i1P T1pN `OF' ` yo1u j € `' -
i,,. ' .,, ,. ` _: ;wil � ;.. - a , z > a. - ,� I , i s Page =;,� a�,�- �%,- ��; �`` "' <� �? Backflow preventer P e 2 g
Backwater valve 16 60
Clothes washer _J 16.60
Dishwasher ( 16.60
: pit" jri '1;;;;#-!,f- _•,: Drinking fountain 16.60
RU1'ER: F,i>1,�'F'NE12= ' "';�' :�...:..` -' _� , � �lAil" -1's
,., . '', 41 ,444, % �� -- � �� s�: � °:�� =w�a.. ! , � } E �,. , .. , : ,..�:..::: . -;:� :� T, ,. - '4, Ejectors /sump 16 60
Name: E v- i C T1 p?'1'L P , , -F77 . Expansion tank 16 60
Address: )G1 i t/vv A, 6_84-,e3t.,..„, pi `,I It --, �} f1 Fixture /sewer cap 16.60
City/State /ZIP: U vim' ( . p q 300 L J Floor drain/floor srnk/hub 16.60
Phone: (75) t ,(4_ _ (� ( Fax: (g - t4:) 67/0 - 2_q Li Z Garbage disposal 16.60
�?�� , ° '•, �, ,:, °� -�', mo d_....; .� „>,;;,,�.v;, =tip• 1 �3 Hose bib Z 16 60
s `❑= 'P7.� G;?1N ` , ` .`. �, : Go3�.T` ,' C :PERSUN; ':':
" " "" �, ° ' Ice maker 1 16.60
Business name: V ,, �� f (� t rt ' r k ' , ; ,•1'7'-►6-. Interceptor /grease trap 16.60
Contact name: A--t, C.41 3C .1 C . t Medical gas (value: $ ) Page 2
Address: j "t 2 j Ai of 1 1, / PkL.wN1 Pt 700 Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basrn/lavatory 5 16.60
Phone: ( ) Fes ' ( ) Tub /shower /shower pan 3 16.60
E -mail: Urinal 16.60
Y i �.r..; ;.4 14 O. 'ok;: ;;. „'
a' H .. `€ , W ater closet 16.60
Business name: �j`�V l i C V) c i,10,4,16; roi5 Water heater f 16.60
Address: Z S OS . S • LA/ . A v 1 , z _ b f - Other:
Subtotal
City/State /ZIP: 410\A ti 0 t 9 7006 Minimum permit fee. $72 50
Phone: (5 ) gg8 - 6S 7 Fax. (503 ) 2 j7 Z. - 95 3 Residential backflow minimum permit fee: $36.25
CCB Lic.: ( "i 2 (I I Plumbing Ltc. no.: O 1- ( - 370 ? 6 Plan review (25% of permit fee)
i/ L State surcharge (8% of permit fee)
Authorized signature- � TOTAL PERMIT FEE
Print name: ‘ 3o?1 ,t4A, v 8 f di Date: 2 - g-- 05 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1 \BuildmgWermns\PLM- PermitApp doc 12/03 4404616T(10 /02 /COM/WEB)
Electrical Permit Application FOR OFFICE USEONLY
City of Tigard Received
Permit No.
1;1125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone 503 639 4171 Fax: 503 598 1960 ' i 4l ' Date/By Othet Permit
Inspection Line 503.639.4175
Line ► 61, Date Ready /By June E See Page 2 for
Internet www ci tigard or us Notified /Method Supplemental Information
Q New construction ❑ Addition /alteration /replacement Please check all that apply
❑ Demolition ❑ Other ❑Service over 225 amps, cornm'l EHazaidous location
,,�,�,� '_ �.k, rT" " >i r : ❑ Service over 320 amps - rating EBuildng over 10.000 sq ft ,
' _ I ; `-CATEGORY ,*'6ON T.RUCTI ON ' " ; F ` ; v
iK ' S ^ ��, of ] -and - fanuly dwellings 4 of mole new residential
0 , 1 and 2 dwelling ❑ Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑Master builder ❑ Other
❑Occupant load over 99 persons EManufactured structures or
❑ E
x0 # _ "'l ;INFORM'IATIONt":AND LOGATIONi. =1s,- '.:'"' ` < 4 ,� Egress/lighting plan RV park
. •l, .�; s. i ' _ . t' . . • 5 3 .N3 b' b P
Job no.: Job site address:la (0'$q SW Da Vt h �` ❑Health -care facility ❑Other.
Ln• Submit 2 sets of plans with any of the above
City/State /ZIP: I q D 1 L.f The above are not applicable to temporary construction service
1,,,i ; ° r 's ', ' .;� ,. FEE °' SCHEDULE " : _ : ,,• rs
�� .
no.: Project J it Suite/bldg./apt. Pro t name: a Qh� Fee Total ' Total ' ' ° ;y
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 4
Subdivision: 'ea I , Lot no.:02\ Ea add'l 500 sq ft or portion 33.40 1
Limited energy, residential 75 00 2
Tax map /parcel no.:
a - r Limited energy, non - residential 75 00 2
s 9 , DESC:RIPTIOI�T:l *:..1#:0RK k P 0 , Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
.
11.P 20PETtTY "OV t, ' z'. : ° -. [) TE :
. _ � �'3...y( ' 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160 60 2
Name: J7 v ,, l ' n ) t,- `t. }--f c' ,„ ' `, _7.7,."}F_. 601 amps to 1.000 amps 240 60 2
Address: ! ++ L AA 41,-y) f IT (`2 L t Over 1,000 amps or volts 454 65 2
Reconnect only 66 85 2
City/State /ZIP: i .�� c t „ ' ii - ,�� Cie- �(. " / Y Temporary services or feeders installation, alteration, and/or
t �. i Gl F ax. G ? rs ' relocation
Phone:
(5' .) 1 -{ - 0 ! t : f (S '" ) 6 -/ C ' = / �t 200 amps or less 66 85 t 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 I 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
'; �"'i'' 4 ';"q:` `k ";;; yis "3s'' ",,e.,' att ,,. r? �,
� ;W�< • �, ,��,�x ❑' ,. ::, „y�` :- '`�`•� °,GOiVTi
A <PERSON »i���'r• A Fee for branch circuits with
service or feeder fee, each
Business name: FL i , ? , 21 ,_� 4 t.,, 1 Lti -y.L, 7,:i, . branch circuit 6 65 2
g � / B. Fee for branch circuits
r_ r
Contact name: ✓ bi ,\ t A .,4 (.-t I A without service or feeder fee, 46.85 2
4 each branch circuit
Address: ) 'i 2 '7 Al RI A, yki , %1 tc -,7 , . t ,, ); 1 ? Ci (, Each add'] branch circwt 6 65 2
City/State /ZIP: -13e_ 6l.b, fi r- OY l 012- --,24-)C-'c';') Miscellaneous (service or feeder not included)
or t
Phone: ( �j) (,E 5- — (jc- L( Fax:: (S �;- 7 S ign r irrigation circle 53 40 Z
5340 2
� j
" �' L� J 7- t-�- �-- Sigh or outline lighting
E -mail: r:L.ol'Icte.l 6) r 1 , e , a Y i riles y c'' —,w , C c`Yi'( Signal crrcuit(s) or limited -
; ,, ,., ,-1 _� J:�. 1IAI'4x 1 i'• ,. It ,,.4 ;,1l.t 3;;. , ;i;,.. •>; energy n,
; ,i� ��.�<�., _ �'�ON'I'RA bIi ii" `:�'�I n=om: r '��" g7' P anel alteration
extension. Describe. Page 2 2
Business name- ' t. � l e• �r L.C.L. '
Each additional inspection over allowable in any of the above
Address: p _ O v � , P Per inspection 62.50
-
City/State/ZrP: f, O,.2.,/i / r _ Q � Z Investigation per how (1 hr mm) 62 50
G / lndustnal plant per hour 73 75
prone: ( i ) 6 7 $ —I 3 5.5"— Fax: (.3) 6 2 g —11 0 $ t :, f, : ,' x- :: °'KEI;ECTRIC.AI, sPERMIT,- F ES- - , >>x,, /41
GCB Lic.: 2,0 fir Electrical Lie.: 2 lQAc. Suprv. Lic.: 3 Z s Subtotal
Supry Electrician signature, reguired: (� t p Plan review (25% of pennit fee)
State surcharge (8% of pennit fee)
Print name: - !4 //�� � P.�rs? y Date: �/7 oS
" 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
Pmt name: Date: * Fee methodology set by Tn - County Building Industry Service Board
** Number of inspections per permit allowed
i \Building \Permits \ELC- PennitApp doe 12/03 440-4615T( t 0/02/COM/WEB
Electrical Permit Application FOR OFFICE USE ONIS
A
Received
City of Tigard
Date/B Permit No •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone 503.639.4171 Fax: 503 598 1960 460 414lA Date/B : Other Permit:
Inspection Line: 503.639.4175 _jig, 1 1 1
Date Ready/By: , Juns RI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method. Supplemental Information
:2;:tlif,*
Dw construction 0 Addition/alteration/replacement Please check all that apply:
0 Service over 225 amps, comm'l 0 Ha7nrdous location
E] Demolition 0 Other:
, 0Service over 320 amps - rating 0 Buildng over 10,000 sq ft.,
41,00:*;:e9N$0 -5C15 , ,: --:i1-',12W of 1- and 2-family dwellings 4 or more new residential
1- and 2-family dwelling E Commercial/industrial 0 Accessory building 0 System over 600 volts nominal units in one structure
cjBuildin over three stories OFeeders, 400 amps or more
0 Multi-family rj Master builder CI Other:
DOccupant load over 99 persons DManufactured structures or
- .zitiofi; iiofi'igiiiiii4iiititioi4:.,i li.1;ii.6X:iiiii :' ,- Li .-ii p Egress/lighting plan RV park
,-, , , ,,,N• 'Fl4 . =, i gt =7: ,,, e, , ,..14,,, , . , ,- 4,.4 , Z1 , TP , , 4'; ' = ';;;IZ ',"
Job no.: Job site address: ) SW p \i, CL 3- . t V1 oHealth-care facility ['Other:
ttA • Submit 2 sets of plans with any of the above.
City/State/ZIP: / 'C ,I tt ■ I 1 -- -7 Li ' The above are not applicable to temporary construction service.
i I 1 A i I .. Frv
.
Project name: ,,, \ IL _, V 1 , :.. ) --/A ...... )
6
Suite/bldg/apt. no.: f Description I Qty. 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 4
Subdivision:
Nj (ti V 1 S----(J Lot no.: \ Ea. add'l 500 sq. ft. or portion 33 40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
,,,,, Limited energy, non-residential 75.00 2
0**TION*4 la:4 t, ''' 7-11'all Each manufactured or modular
L -CAvu VO ) +tap at(- i cit. dwelling, service and/or feeder 90.90
Services or feeders installation, alteration, and/or relocation 2
200 amps or less 80.30 2 201 ampsto400amps 106.85 2
' 1)R9PR:1:"111"" i ' ' ' X" -1411:N Ant4: 1k46'''''':!'" ' 401 amps to 600 amps 160.60 2
Name: - • VOW /1-e, ft S i I k')1. 7 0 b 601 amps to 1,000 amps 240.60 2
Address: 2 _ A mi A--wih pii:,,
V ...)
Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: eyi Vey----01/1 dt 6 / - 7 0 0 (e.. Temporary services or feeders installation, alteration, and/or
relocation
Phone: (517) 'ey,,,, I Fax: ( g ) /P 2-'1 2._ 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
r4 :02740146i47 iiA,, Oli:O44074#00114;i' , A. Fee for branch circuits with
service or feeder fee, each
Business name: / l ■
y -1-1 7" ' .
_ ,, . branch circuit 6.65 2
;`--- B. Fee for branch circuits
Contact name: , l 11_Zta,.A..4 tivc ) zeo without service or feeder fee,
46.85 2
each branch circuit
Address: ri ? 5 H ("") /.• 1 )KV(./ 14 l' Each addl branch circuit 6.65 2
City/State/ZIP: w e i e/ K-117,--) - 0 / q - 7 0 0 (42 Miscellaneous (service or feeder not included)
Pump or inigation circle 53.40 2
Phone: (S?)) (2/ P Fax: : (5p Wk - 29 4 2,
1 J Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
kgwaglimoitsi'rg ; - oktiik:„ otAarr,; ikerv,-:', energy panel, alteration, or
- extension. Describe: Page 2 2
Business name: 12) i/ (AL - ; / i 1 '
Address: /o/ 15 MIA/ A214 01 avi P14/ 2 Each additional inspection over allowable in any of the above
e/ i Per inspection 62.50
City/State/ZIP: ,7 lief)/ - ini , 02/ -4 170 0 4t 1 Investigation per hour (1 hr min) 62.50
Phone: (02) --- ; ' Fax: (c(7 .0—z.14.2_; Industrial plant per hour 73.75
A , Iactiii`cAL TtliViti OIEFr,,i
CCB Lic.: Electrical Lie.: Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: Date:
TOTAL PERMIT FEE
Authorized signature: a ,./ .Arip 0, ) This permit application after it h
n i expires f as isn not obtained within 180
days
Print name: A i, i /14,1 3 Mal
i Date: i , d .3 , 1 .\--,-s -- * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed
1 \ Buddlog0 \ELC-Eerrnr(App doe 12/03 440-4615T(10/02/COM/WEB
A,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M: T 006 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 ONO I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6122/2007 TIME: 7:03AM PAGE: 52
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0886
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050757 -01 503- 572-5278 N
Corrections /Comments /Instructions:
X022 r adtl,S ■v/-9A
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I FAIL n C' II FOR INSPECTION ADDITIONAL FEES ASSESSED
Ins ector: AO Date: �r2 Z 7 Phone #: (503) 718 -
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2QUs- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 28
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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 060668 -06 603-672 -5278 V
,04Actions /Comments /Instructions: `
0 ,/$
// / 1 ,e;id ( 1 e.G9 -/1/d C�i�l'?9 7" LcTi�ir lc�� q� ag /L,
. 7/ .s7 P �R/'- (�� ,/e4-/Art, R Je '-s: ?cam
ai.✓ r�.e- sum ®� , � s'�r2 e4,$T
$0 damp A441, I t4d - g,e7s..< @
/ <yv 'J RAIL
/ , 9L6',O �� r� -hp— "7/1 unP6,e_ e r o,z . WitA aen // . �s4 /OS /e6 9 72
•
6-ie0s,d,t/ C-i/
AzAfg
I I PASS I PARTIAL APPROVAL I CANCEL n NO ACCESS
d iK FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: – 71 , - 0 7 Phone #: (503) 718 -
,0
CITY OF TIGARD -'
BUILDING DIVISION ' PERMIT #: MST 00 'i0001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006 �
Phone: (503) 639 -4171 i l� uy mi l lij
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 45
SITE ADDRESS: 12699 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'199 Electrical final 0550304 -01 503 - 678 -1356 N
Corrections /Comments/ Instructions:
,PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Al 5 1 718-
• Inspector: V Date: Phone #: (503) 718
fr
. CITY OF TIGARD
• BUILDING DIVISION PERMIT #: MST2006- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 pi ps° Inspection Requests (24 Hrs.): (503) 639 -417
I � ..
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 050137 -10 971 - 248.1996 N
Corrections/Comments/Instructions:
PASS I I PARTIAL APPROVAL IX CANCEL I I NO ACCESS
I I FAIL KCALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 9 Date: W/5/67 6 Phone #: (503) 718-
or
CITY OF TIGARD .
BUILDING DIVISION #: M ST200& -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006
Phone: (503) 639 -4171 m 11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7 :00AM PAGE: 54
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.098E
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 050048 -02 971- •246.1996 N
Corrections /Comments/ Instructions:
A/9 f 1 y 1
(„
1
I I PASS I I PARTIAL APPROVAL C ANCEL I I NO ACCESS
FAIL ❑ C LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: (503) (/ d hone #: 503 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 / N�u�ml[��I
Inspection Requests (24 Hrs.): (503) 639 -4175 .. '__..
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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
135 Low voltage 049952-06 971 -246 -1996 N
Corrections /Comments /Instructions:
7a 6,0 dii.,_
X PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CA 'L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 60 Phone #: (503) 718-
CITY OF TIGARD ''
BUILDING DIVISION #: MST2006-10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/2006
Phone: (503) 639 -4171 4! 1141l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 30
A SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/23/2007 Pour Time:
Code • Inspec ' escription Confirm # Contact # Message
135 Lim votage 046961••06 971- 246 -1996 N
1
Corre ='i' nUrl, ments /Instructs s: � -/
/
■ PASS _ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 'V Ns Date: I A 2311 Phone #: (503) 718 - 2iiti b
,.
, . .- . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST: 006-100013
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/1/2005
Phone: (503) 639 -4171 mu I��ii ll" , I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ° -11..
INSPECTION WORKSHEET FOR DATE: 4/2012007 TIME: 7 :00AM PAGE: 48
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 0468T7 -01 503 - 678 -135; N
Corrections /Comments /Instructions:
X PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
`l
Inspector:
46
. 7
Date: ( //z70/6 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200610008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 ,, A,,,, ✓I'n1
Inspection Requests (24 Hrs.): (503) 639 -4175 A "I__..
INSPECTION WORKSHEET FOR DATE: 4/2012007 TIME: 7:00AM PAGE: 47 .
SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603- 645.0986
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 046877 -02 503 - 678 -1356 N
Corrections /Comments / Instructions:
Jd PASS ❑ PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS
�I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Y /
Inspector: Date: . 247 Phone #: (503) 718 - •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639- 4171 niN �udlipVlj � l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/1912007 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 12609 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 046777 -03 971-246-1996 N
Corrections /Comments/ Instructions:
A M/ V / piterb4k lieu )1/
t(4L,k Fin/tte.livri4-\
kyt„ vv.
Lurviel
11-Y4 110U &/'
14,1 C.4
I I PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
,Inspector: : Date: 1/ // f 0- 7 Phone #: (503) 718 - ofd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 1000
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: 4/19/2007 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Now SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0986
Inspection Request Scheduled For: Date: 4119/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 046777 -02 971-246-1996 Y
/1zM
Corrections /Comments /Instructions:
1114 CI- etZt 4 AceW 444/--
i
PASS I l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
O. FAIL X CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:
�
Date: Phone #: (503) 71- q /q/ Pi
CITY OF TIGARD ; •
BUILDING DIVISION A .4.- ---- PERMIT #: MST2006- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639- 4171� 111 1 / 9
Inspection Requests (24 Hrs.): (503) 639 -4175 4. ■
INSPECTION WORKSHEET FOR DATE: 6/1312007 TIME: 7 :01AM PAGE: 48
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF,
OWNER: RIVERSIDE HOMES INC, PHONE #: 503645 -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
399
kb1,,, Plumbing fin! 050137-09 971-246-1996 N
Corrections /Comments /Instructions:
\ ------ ',5e, W-tk.4 TZ,,,,p. Z._ 1,
1 ?I' P l E I/D 6 (e. -- 6 O 2/ 6 2 , 7 C . 6ruch. — fk44,-) 1 ),e , vc -- e-k- )
PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: �... Date: 10 I ( Phone #: (503) 718-
.
CITY TIGARD
BUILDING DIVISION \ PERMIT #: MST20CI6 1011013 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171
i ,,,„ :# 1,9, v Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060048 -03 971 - 246.1996 N
Corrections /Comments /Instructions:
. 1 I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL 1><CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: V1 7e - ----- Date: I AO, Phone #: (503) 718 -
r ' c6_._._._____: .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: £JI19l2006
Phone: (503) 639 -4171 jjn °hl ii �"
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I��
INSPECTION WORKSHEET FOR DATE: 4/12/2007 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 046395 -04 971 -246 -1996 N
Corrections /Comments /Instructions:
1 ) I-4,r\K @ 9hn vo'ki @ Ch t 1 i. irA.•
< NV- 0K.
Wota, 7_:(1 ,
m PASS 1 I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 Inspector: o, Date: ��� �� Phone #: (503) 718- 42—
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 4171 " pm � f4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/12/2007 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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
3'15 Post/beam plumbing 046395 -05 971 -246 -1996 N
Corrections/Comments/Instructions:
t) avoLizA.
I n PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ` Date: / / Phone #: (503) 718- �� Z�
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IMMST2006 -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51119/2006
Phone: (503) 639 -4171 'Ih�u jl#
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 6 TIME: 7:02AM PAGE: 44
SITE ADDRESS: 12669 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: I3ELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 0406
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 65.0986
• Inspection Request Scheduled For: Date: 61612006 Pour Time:
Code # Inspection Description Confirm # Co ntact # Message
340 Storm drain 031166 -04 503 -756 -5821 N
Corrections /Comments /Instructions:
•
J IZASS U PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 4/ 1 Date: . 171 Phone #: (503) 718 -.. i -.7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&10000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5//812006
Phone: (503) 639 -4171 jj °/i4pu�iiq��
Inspection Requests (24 Hrs.): (503) 639 -417 •
INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 45
SITE ADDRESS: 12688 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELL.A VISTA
DESCRIPTION: NOW SF.
OWNER: RIVERSIDE HOMES INC. PHONE #: 50 3 - 645
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -515 -0835
Inspection Request Scheduled For: Date: 6/612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 031168 -03 503-758-6821 N
Corrections /Comments/ Instructions:
PASS PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: M Date: a i o Phone #: (503) 718 -
V
CITY OF
��mm n n�"u TIGARD
BUILDING DIVISION PERMIT #: MSF200610006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19V2006
Phone: (503) 639-4171
Inspection Request (24 Hrs.): (503) 639-4175
n� ��
INSPECTION WORKSHEET FOR DATE: 6J6/2005 TIME: '7:02AM PAGE: 46
SITE ADDRESS: 13669 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA\/|BT/\ LOT #: 021 TYPE OF USE:
PROJECT NAME: BELL~A VISTA
DESCRIPTION: New SF-
OWNER: RIVERSIDE HOMES INC, PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 6/6B2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 0311611-02 603-758-6821 N
Corrections/Comments/Instructions:
•
c f_ZPASS | | PARTIAL APPROVAL El CANCEL 1 - 7 NOACCESS
Vl
FAIL | CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED
Inspector: fri/\ j clay Oa1e: Phone #: (503) 718-
.- —-
CITY OF ' '
��mu n ��m TIGARD
BUILDING DIVISION
'
~~~°.~~~~...~~ ~~"°"~°.~,.~ PERMIT #: MST2006'10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1E/2006
Phone: (503) 639-4171 4 21/114,11 lit\
Inspection Requests (24 Hrs.): (503) 639-4175 AA- 11�
INSPECTION WORKSHEET FOR DATE: 6V12/2007 TIME: 7:00A1Vi PAGE: 62
SITE ADDRESS: 12689EWQANNCILN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: 0ELLANBTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC. PHONE #: 503'645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 6K12M2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 hAmuhonicm|finm} 050048'04 971'246-1996 N
Corrections/Comments/Instructions:
v ,
.
' I I PARTIAL APPROVAL CANCEL NO ACCESS
| I FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 0y | � � \yw�~� Date: Phone /503\718'
' V' / / `�x ' #: ` '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200&10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 - 4171 Ip i 1
Inspection Requests (24 Hrs.): (503) 639 -4175 '':_..
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00A1vM PAGE: 4e
SITE ADDRESS: 12669 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Nett SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0966
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
260 Insulation 047116 -01 971- 246.1996 Y
Corrections /Comments /Instructions:
al c,.wr -. -
Z. (c 4C /t.• <vj, /Az.S02 /4
I PASS PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL I CA L FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: - Date: - 2-5 - C 2 7 Phone #: (503) 718 -9-13Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS'1200G '10008
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 blitligit .
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7 :01AM PAGE: 32
SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 047037 -01 971 -246 -1996 N
Corrections /Comments/ Instructions:
R i.eASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL I I CALL - a INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: - Date: ��� 7 Phone #: (503) 718-
.
.. 4
=— -
CITY OF
��w n n n��n TIGARD '( '^
BUILDING DIVISION �� ^
` ~~~°.~-~~.=~~= ~~"°"~°.~~.~ PERMIT #: MST2006-10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19V2006
Phone: (503) 639-4171 A,
l;
Inspection Requests (24 Hrs.) �
�00)63Q'4175 „al
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00Ak4 PAGE: 33
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503-646-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-846'0986
`
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 — Framing O���G1'�� S�1-��G-1�8G Y V �
Corrections/Comments/Instructions:
R�S 0 PARTIAL APPROVAL El CANCEL I | NO ACCESS
` | | FAIL I CALL FO' ''SPECT|ON ADDITIONAL FEES ASSESSED
Inspector: Date: 0 ^07 Phone #: (503) 718-
� �
. � ��
CITY OF TIGARD ' .,
BUILDING DIVISION #: MST20C1a 10f11�13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 ANdititiA I -
Inspection Requests (24 Hrs.): (503) 639 -4175 -�..g∎
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 12669 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-646-0936
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 046961 -04 971- 246 -1996 N
Corrections/Comments/Instructions:
f "`
PASS I PARTIAL APPROVAL 7(CANCEL I I NO ACCESS
❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f' e 3 7 Phone #: (503) 718-
. j ,.
CITY OF TIGARD
- BUILDING DIVISION PERMIT #: MSI "200G- 10t)08
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639- 4171��n>�i
Inspection Requests (24 Hrs.): (503) 639 - 4175 !+ ' L
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 12669 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/:3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 046961 -05 971 -246 -1996 N
Corrections /Comments /Instructions:
7 1I 'PASS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL I I CALLyR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:' `Z� Phone #: (503) 718 -
CITY OF TIGARD - ,
BUILDING DIVISION PERMIT #: MST2006 -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 v+1m�BI�iGti(II
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.._,W
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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 /20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 046890-04 971 -246 -1996 N
C. ections /Comments /Instructions:
e . ... a - '7' - -' . . 1 /- t./r/' - e- de."-_, .?-, 4-_„,," .-,
� ��� 1 - ,2.e.._- , - - 7 3_- ./_:,-_ s,-&-- 0,- 1.�9Gjvo� /A 4) "V .
t
t e ea if e7 s5 >.--e2.■ /3;fcs'5: .
r� P 666/L /,emu 5 /.mss
,ii
I PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.�7
Inspector: Date: �)� Phone #: (503) 718-
• CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST200610008
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: 4/20/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 12689 SW [)A VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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 -0906
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 046890 -02 971 - 246•'19% N
Corrections /Comments/ Instructions:
►C( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: •1 Date: 7 — 20 — . 0 7
Phone #: (503) 718 -
-�- .
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST200E -10006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 ak�h11l1.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 12669 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: I3ELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 64&0986
Inspection Request Scheduled For: Date: 412012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 046890 -01 971.246 - 1996 N
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL (CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Lie-d7 Inspector: / Date: / Phone #: (503) 718-
1," f !(i3•�i= 8c:✓.
CITY OF TIGARD R G., --, ,, rte
BUILDING DIVISION PERMIT #: MST2006 -1000B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1`/2006
Phone: (503) 639 -4171 70 Al f l�1��ii�p �)
Inspection Requests (24 Hrs.): (503) 639 -4175 J.:� `_(_..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 12609 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0488733 -01 503 - 572-5278 N
Corrections /Comments/ Instructions:
7 [ PASS _ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7 Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/ 2006
Phone: (503) 639- 4171� aa7��i,ypll�l ,
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 646 -0986
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 046890 -03 971 -246 -1996 N
0 -ctions /Comments /Instructions:
0 6 114,1 ' - '7 -. ' A? r/ -,-'7 ilViK, FO tea, rte, ,;��7-2; ,3
Li PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Li, 2,D-
Inspector: ® Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 100013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 .1 AL: q1���ii
Inspection Requests (24 Hrs.): (503) 639- 4175r- 'fL.
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7 :0'1AM PAGE: 45
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 615 - 0986
CONTRACTOR: - RIVERSIDE HOMES INC PHONE #: 5503 645 - 0986
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 046777 -01 971 -246 -1996 V
Corrections /Comments /Instructions:
Pn wL
PASS I PARTIAL APPROVAL CANCEL ❑ NO ACCESS
ICI FAIL I! CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector; Date: (61 /6 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 10t1I}8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 - 4171 " Np�pi��j�h l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/6/2007 TIME: 7:04AiVi PAGE: 19
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: I3ELI..A VISTA LOT #: 021 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: 4/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 046/1403 971- 246 -1996 N
Corrections /Comments /Instructions:
0 et. -re % 4 0
ot el}-7""a !-1 rte. >( - A .
I I PASS e APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL I ] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /1 Date: 4 — — a7 Phone #: (503) 718 - Z¢4
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSI 006-100 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 / al l i r Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 4/6/2007 TIME: 7:04AM PAGE: 20
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: DELL.A VISTA LOT #: 021 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: 4/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 046114 -02 971- 246 -1996 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ¢= G d 7 Phone #: (503) 718- 2_4
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 �4Un�i�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/6/2007 TIME: 7:04AM PAGE: 21
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 04611401 971 - 246.1996 Y
Corrections/Comments/Instructions:
- - j
PASS PARTIAL APPROVAL (l CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:q—� O"7 Phone #: (503) 718-
p � )
CITY OF TIGARD '.
BUILDING DIVISION
A PERMIT #: MS1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639-4171 a 'oimpitii#
Inspection Requests (24 Hrs.): (503) 639-4175 441,.. 1L.
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 21
SITE ADDRESS: 12689 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC. PHONE #: 503-615.0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # : Contact # Message
235 Shear walls/anchors 046041-02 971-246-1996 N
Corrections/Comments/Instructions:
MO — A.i‘...-__Z‘ 1 .0e,..,4.,__-____
i.-. c-- Li_c - 57 - 4,295" (-• 44,9 ,i 1&) d ( --V
I PA El PARTIAL APPROVAL EI CANCEL NO ACCESS
Ii 7 FAIL pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: le
Date: .5*---- Phone #: (503) 718- 214
. . . „ .
_ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 /oe mr N ���l�l'�II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7 :03AM PAGE: 22
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 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: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 046041 -01 971 - 246.1996 N
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 7 Date: - 5°—a7 Phone #: (503) 718- 7 51-1,sr—/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10008
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 ! ��+�Il iigglbijc
Inspection Requests (24 Hrs.): (503) 639-4175 _
INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 12€89 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 5Q3- 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 31'14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beann structural 044806 -01 503.672 -4708 V
Corrections/Comments/Instructions:
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Fit PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
64 Date: 3 // Li/,7 Phone #: (503) 718 - WO
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CITY �����7��������� '
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BUILDING DIVISION ' PERMIT #: M5T2006'10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912006
Phone: (503) 639-4171
Inspection Request (24Hrnj: (503) 639-4175
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INSPECTION WORKSHEET FOR DATE: 311312007 TIME: 7:02AM PAGE: 24
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: SEl VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC. PHONE #: 503-845-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 3/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 044735'01 503-672-4708 N
Corrections/Comments/Instructions:
.� �� x �� ����» . 6 ^-i �� 0
I I PASS | | PARTIAL APPROVAL ri CANCEL ri NO ACCESS
^~1FAjL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: v°) 7 " Date: 3 -v/1--d Phone #: (503} 718'
C�
CITY • OF TIGARD
BUILDING DIVISION - PERMIT #: IVIST2006 -10008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 845.0986
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 Postfbearn structural 044626-02 503 -572 -4709 Y
Corrections/Comments/Instructions:
1 ) CTIVI
PASS ❑ PARTIAL APPROVAL CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
;eh) Inspector: Date: ` / /D7 Phone #: (503) 718 -
CITY OF TIGARD ' ,
BUILDING DIVISION PERMIT #: MST2006 -10001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 A v oiri���iil i i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 78
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-6
Inspection Request Scheduled For: Date: 6122/2006 Pour Time: 2 :00
Code # Inspection Description Confirm # Contact # Message
220 • Slab 032146-02 503- 758 -5821 N
Corrections/Comments/Instructions:
/i) f..;',.., ,,,.,e2., az& 4 & Atope 14-6 ga Ce-Act...4.44 -0
6 ) 6 / ,
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vi PASS El PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I l FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (t.-1-- G 6 Phone #: (503) 718- 7-1 i 6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200€00006
13125 SW Hall Blvd., Tigard, OR 97223 111H\ • DATE ISSUED: 511912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/512006 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
•
OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50214A5-0986
Inspection Request Scheduled For: Date: 6/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
255 VVtr proofing basement walls 031101-13 503-572-1708
Corrections/Comments/Instructions:
N/•#'
•
I I PASS fl PARTIAL APPROVAL CANCEL pi NO ACCESS
0 FAIL I I CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED
Inspector: (It Date: W IC 7 /11 ( 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: Msuo06-1oo38
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511912006
Phone: (503) 639-4171 /
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5131/2006 TIME: 7:07Aivi PAGE: 12
SITE ADDRESS: 12689 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: 10.00
Code # Inspection Description Confirm # Contact # Message
205 Footing 030859-02 503-572-4708
Corrections/Comments/Instructions:
CI 11111
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ASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL CALL FOR INSPECTION ADDITHP AL FEES ASSESSED
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Inspector: Date: 1 ?( a
_ Phone #: (503) 718- 2.-4(
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2005.100C)8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/200(
Phone: (503) 639 -4171 uuNN�ii�l'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 _��
INSPECTION WORKSHEET FOR DATE: 53//2006 TIME: 7:07AIv1 PAGE: 13
SITE ADDRESS: 126t 9 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 021 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC, PHONE #: 503.G45- 09"a6
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-64!.i-0996
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
210 (Foundation wails 030859, 01 503 -572- 4708 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITI •NAL F= ES ASSESSED
Inspector:,` ` Date: - ` �j /: hone #: (503) 718- v�
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Owner /gent for 7Z;vcr�c \1w v
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(PLEASE PRINT) „, (PERMIT )
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- Do hereby ertify t nat°�th ° e fol owing location
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meet C rtyA.of'3Tigard /Washi�rigton County
land use and development standards for street tree installation.
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ADDRESS: 1 U7B
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1 LOT: Q SUBDIVISION: Gel \A) 1.a
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BY: '
DATE: 4- I / - 01
RECEIVED BY: DATE: