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Permit CI OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00314 it DEVELOPMENT SERVICES 503-639-4171 DATE ISSUED: 11/2/2005 13125 SW i PARCEL: 2S109DD -BV010 SITE ADDRESS: 12876 SW DA VINCI ST ZONING: R - SUBDIVISION: BELLA VISTA LOT: 010 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: YES STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 936 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,212 sf GARAGE: 500 sf FRONT: 28 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 1,243 sf RIGHT: 5 VALUE: 329,296.40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,391 sf REAR: 49 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 2 BOIL/CMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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: SIGNALJPANEL: IN PLANT: MANU HMISVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: - 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Munidpal Code, State of OR. Specialty Codes RIVERSIDE HOMES INC. RIVERSIDE HOMES INC and all other applicable laws. All work wilt be done in 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY accordance with approved plans. This permit will expire BEAVERTON, OR 97006 SUITE 200 if work is not started within 180 days of issuance, or if the BEAVERTON, OR 97006 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503-645-0986 Phone: 503-645-0986 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 70065 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,468.26 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Permittee Signature : :�_ i Issued By : ---- 074 �� g _ __ Call 503- 639 -4175 by 7:00 a.m. for an inspection • u 's ess day. This permit card shall be kept in a conspicuous place on the jofslte until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application t \} \y/ /] h ¢ a ;i. s t 'FoR OFJ IoE:'•USE ONL"�' f - , }� s r r E � C7 � ® } . - r 1K a w �' dY..1� l� REEd;Z / y1 �{ /� Permit No. �y �7 �J (% City of Tigard l EC D / v l p ��[6o _C[�;L /I 13125 SW Hall Blvd., Tigard, OR 97223 i�W d ..' /SOS �S • Other Pennit:5 / / / Phone: 503.639.4171 Fax: 503.598.1960 r Inspection Line: 503.639.4175 AUG 2 9 200 O L9 x `' I *- Date Date/By. Read /B 121 See Attached Checklist for Internet: www.ci.ligard.or.us Notified /Method: /O ,_ i � � Supplemental Information CITY OF TIGARD I / 1 -... .,a,, : �. _ . A; 5t,t=td�< at t t t � lr �- i {�- p� .yy�t(��, � T ; -"'f fe '�� D fA 1 - �'A. 2 F. AMIL _ YuD�4!.E "L'L ��1�` � ;4 �� . . �, 04 -, k:- t .t ^- t -<� f +.- fl:.. l;l;ltl'1"°' 1,— 014 .,, � � ' _ " - wr, .. _- _..._. <._ .... Ak' _ x t , ` i , �� �`�H ,. ��� .:. �'�" .,,f�, tee_ .. , �` ,.:� -`- ''. "�s >�Q �`:.��Rd . ...tr... -,� . �� of � t,�{:. -. � �:.t- ..t„sA� , - - , , �.. ti .� ��., «ti �; K �,:,��� ��. Permit fees* are based on the value of the work performed. © New construction ❑Demolition ` ' Indicate the value (rou nded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ;i .,_ ,,;. , .- ,, „, .. , s - ° ,., work indicated on this application. . . ' E 'il -, 'i 0 - � 1 , .1 CA �L G O R1 s OE CONSZRUCTION z' } - ,A.1 - -- ,gi 1 .� `0 ,, � ` " t : Valuation: $ 32 C, ( 1- and 2- family dwelling ❑ Commercial /industrial , Number of bedrooms: ❑ Accessory building ❑ Multi- family Number of bathrooms: ❑ ❑ Other: Master builder , , � >,. _. ..- .: :,�.`� ... �._: r�:: ti: �-.�';,�.- >b �;�,;,.ss'�r;s = : = r y' `:�' =i�'' - = " - 'e,." 1 number of floors: �, , V Total 3 s _i . B $I `'`3N .,:.,. A F ORM?IIOI�T AND-TA CATI ON - J �. Er , ._x i . , ,.,`_ �t ism:. .3 e . 1 Job site address: I2 g , (, 'w -Da.. V i A New dwelling area: 339 ) square feet City /State /ZIP: 7, y -k , C- 61121,1-1 Garage /carport area: --(_) square feet Suite /bldg. /apt. no.: Project name: U Covered porch area:D square feet Cross street/directions to job site: Deck area: 7 D O square feet Other structure area: -- e r square feet =e; , , a *��:r,s:v� ac: - a:aYsr- .'- x°alr4�... ^ . REQUltEDtDATA•1'CO1VIi�iERelAI; -TUBE CIIECKEIST '# ,r� .._ __ ,-, _P. ma _ ....,,,.. I r. r asp;- . _ Subdivision: t)f l•A.- v teyk. Lot no.: 10 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 the 0_ 14t- _DESCRIPTION4F WORK,: work indicated on this application. Valuation: $ • Existing building area: square feet New building area: square feet n t 1< - 0: ®`PROPERTY OR'iYER _ 4 . f I ,- D T .ri , T - t . � .. . ` Number of stories: Name: P S V VrY I i (1's't l(' S 1-t7G - Type of construction: • Address: I C' 7 5 A m i Q 1 t,e,I �Y ? a 0 Occupancy groups: City /State /ZIP: I :),-V..eiY Y1. Q►Z 4 7 �0 0 (.P Existing: Phone: ( h 0 ) (f y 5 - o c r bie ( 5 7 , 2 L( 2- New: 3' x ,-� - lal� f , 9 4 . Y - K / �f 4 vY S.- .1. ,§ t'11 ; ! L�,'W' . •i�";i ; - .411ktz,k Y �i ii;, v - k 4S - ., .: ?.` ry .:tit \li - `�, _ <f �ii Q . - _ i Q Ad r P RS QIY 5 _ S I 1 pf ,:: ,zf . 1, ;Kg'I; k k O� i11 1 I �4 4 ::` i. Z:i: �',= .'. fti ,3 :hat ,. :41 4, >. `a.:..; ,,, :.4 •> .. �-. r-.; - -s:.. x.., 1, - 64.4 " t - ,l - 4.. m.. 1 0aq £ 3- � . ""�} y � ' � ., � a§ ��11 <,:.�t:,Y. �:4,. _<.,, 6�"r ,� :,. .�rB,. ' �r" kv�'Y - . _L m �:���£ � �i�I'J�:'k'`c„xi', Business name: 1L, v. - f i CLc' N-o- .1 i< `- .., J ---x • All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: i`t ( (: 7('V J c „,, under ORS 701 and may be required to be licensed in the Address: 7 � r )- . jurisdiction in which work is being performed. If the 5 AV w tO t? h ' t Y � "� `t, tir ? applicant is exempt from licensing, the following reasons City /State /ZIP: h f. c✓ •PiY �-c Ca ( 7 D C.1 (i-' apply: P h o n e : ( ) u 4 S - U q e , G ,, Fax:: ( i j) ( e 0 - G` 4 2 E - mail: CC,FO'lC {, -. - r Y.E t7LX 11014' (..0 ')-K_ .J roxrat t i Pit :4 & a 1 I a - CONTR#GkTOR � -R � � Jo-., - * tt r • Business name: �1 d �l!SI U�e - �`��< -., v 1!� x �� `3r xr* .�, � T �� .� ',Y � Y� any! t:�.m .,� - ��':.3s- .*��- 'I �e✓ i 1, a-.- i s$... ��x'� s '�A 5�.' "tea_. ,,._9"ei A.�.i (e'i`ni..o- .-<. �� , - t . ; . `1:,„..ti � -,, ",fi z,3: ,i ?M5r:M,, M 34 1, ET,,, yiO !'£3ra; �.l :.r � (��i( • � 3: ,' i ' `-^ _ BUIEDINGMERAII'P l , � ' qq a .. , -1_. ,,..nos, , : :_:I r f �a . . , <k _ : m .w WS?, Address: ,. /I 2 5 N vv I fin') )::)_e,),-/,‘ 1,,,„..1,1_,,, �� U v �'1 200 Please refer to fee schedule. City /State /ZIP: rJ G�V e 1 - en- 0 '1"7 L' 0 Fees due upon application Phone: ( '7) (e. L S — G cc .a ( Fax: (97)) `1 7:)-- Z c Amount received CCB lic.: ( n Date received: Authorized signature: 01,( G= -,•�/� � ,C �' -t _A� ( Pc) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Print name: (.f C'YL .L( [ Date: (4, - J0 - O Li * Fee methodology set by Tri- County Building Industry . Service Board. - i:Building Permks\BUP- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB) \ \ 1 _ " :t� ri by i, k � ` s f b �r-t "t t s�, ..,I s1 e a. a Electr Permit Application t 2 ; PC V r ` f *OW . c 0 Fa c , ISErowLy a � 2 = �� 4.4.r `!:.''f,..' t - ,i 1 .,'4,2 .n . t .feliii. ti I i i. ..'.N-i City of Tibald E C � °® EE'Ie PNo\ 1 2� ��yJ�) JY , �(/V O � �/ OR 97223 J w Phone: 503.639.4 ] 71 Fax: 503.598.1960 " I Date /By: Othet Permit: Inspection Line: 503.639.4175 AUG , Date Ready /By tors: 0 See Page 2 for • Internet. www.ci.tigard.orus K, , Notified /Method: Supplemental information ��•«,�' ', :,� , _,, �a s�k � � mss TYPE Wt,O, C ���&��_ _ . v ����� ..._ . � _.._ . , - � a ,.. . ' �i� �. t „- � 1 ' a �`• ?H .2 ❑Sse check k all that apply: a pp l s, colmn'1 ❑Hazardous location w u t i t' ; nt its., Please ck l] th t Q New construction - ❑ Addition /alt`�erafilon�r�placem�ntv;Q� Pleas ❑ Demolition ❑ Other: p ❑ Service over 320 amps rating ❑Building over 10,000 sq. ft t al , z ; 4; iCATEGORY OF; CONSTRUCT]QN ar ra'' . j `, M of 1- and 2- family dwellings 4 of more new residential © 1- and 2 family dwelling El Commercial /industrial (11 Accessory building .D System over 600 volts nominal units in one structure ❑Building over three stories ❑ Feeders, 400 amps or more ❑ Multi - family ❑ Other: ❑ Master bu ilder ❑ Occupaztt load over 99 persons ❑ Manufactured structures or , > , v u ., „JOB SITE INFOR IYIATION :O64 y;�l iN D ftIATON • , T, . -, ❑ E g ess /lig r}ltutg plan RV park Job no.: Job site address: 1i- 71 t)J s pa VW( � ❑ Health - care facility ❑ Other: • � /�y)) Submit 2 sets of plans with any of the above. - City/State /ZIP: T 1 t ” 2_ "l /� / �7 Z7-4 The above are not applicable to temporary construction service. / v('1 "� ,:: FEE *''SCHE l.; x ` x :: Suite /bldg. /apt. no.: Project name: ' Descnpii°n Qtt. Fec e. 1 Total ** Cross street /directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. J 1,000 sq. ft. or less 145.15 4 94a Subdivision: _A. (J j Lo no.: �D Ea. add'I 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 P .. -_ t. 33' I: DESCRIPTION TOFz WORI>_ ` : - 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 „,,,-,;;;],;•,,,,..]: ,- „ s�+a:c „z:ac, F�, ex;� 201 • mps o 4 amps ,if' .;, ❑ :P OtvVNER £ t F/A111 -' ;1 ;, ! ❑ TEN7 a ; `'� ” ` 401 amps to 600 amps 160.60 2 Name: ; r 1 .4 601 amps to 1.000 amps . 240.60 2 Address: , -,-L--; �� /4. i, �, `. C Over 1,000 amps or volts 454.65 2 l ` 1 1. %'T't �,i _ 1 1 �,t ( ,..,L,;___ Reconnect only 66.85 2 City/State /ZIP: 1 � ✓ " k ,-'., s r - ( J � � 7 J � (' v Temporary services or feeders installation, alteration, and /or relocation Phone: (5P ) (9(-+' - (, ` 1 c! _(;, Fax: (Sj l L/-- ? ,=/ Lt a 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel x , , . APPC LIAN']E r . _>,gi; a V i }"i - y,, ❑ O CN'l;ACT , P,ERSOLV - A Fee for branch circuits with _,.. 5 _ - �,_„,t , - -- ,,._ ,..,,_ � .,y.. . , > .�_,_- ..._ ._ -_qt,. service or feeder fee, each 6.65 2 Business name: T branch circuit v B. Fee for branch circuits Contact name: 11- t • c . , �, ` without service or feeder fee, ( i Vi ii l a 46.85 2 each branch circuit Address: (I 3 � �� • 4�,� 4 f� + L fit ? � 1 ' i Each add'] branch circuit 6.65 2 City/State /ZIP: I; . 0`1, � 7UC) ( ,,`) Miscellaneous (service or feeder not included) t `v�1 Pump or irrigation circle 53.40 2 Phone: (e;7 Cc (i- S -O ci 5. Fax: : (Se` _ 2) & 9L — 7 — c17 (4_a S ign or outline lighting 53.40 2 E - mail: ( r3'1 .c.,1 6: r I v''¢ay.51 ci k' '- C c`y - t* igna circuit(s) o S l circui or muted - r t� I M DIMA ll CONTRALTO 3.t. a.,,,.. `. ffiM . `44144 P energy panel alteration, or ...ny._�,� .� extension. Describe: Page 2 2 Business name: r� �l� t�7�� ems,,, G . Each additional inspection over allowable in any of the above — Address 014 3 g3 f Per inspection 62.50 Investigation per hour (1 hr min) 62.50 City/State/ZIP: O �� r•: /� O 7 Industrial plant per how' 73.75 Phone: (S7,7 ) 6 7 $ -1 3 S . , Fax: (.06 3) 6 Z $ " 11 $ ` : 7SELECTRIC PERMIT: FEES"~: m , . :g : a. L GCB Lit.: 2,i9 eril Electrical Lic,: te r?, f jti jpp Suprv. L e. :'3) ‘, Z 6 Subtotal Supry Electrician signature, reigtrired:�� - � B e . /� Plan review (25% of perniit fee) Pilot name f('�� 1� /� ��V`— KG b6.t.0 State surcharge (8% of permit fee) Q2' a('; 6 g.P.•ro cr a Date: 2 /) / U s- 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 Tri- County Building lndushy Service Board *' Number of inspections per permit allowed. i, \Bmldmg \ Permits \ELC- PenmitApp.doc 1 440- 4615T(I0/02 /COMMIES Mechanical Permit Application t , ; 'FOR OFFICE U ' + - a City of Tigard T � Date /By: Permit No .`• 13125 SW Hall Blvd., Tigard, OR 97223 ( '�J) `�` t/ Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Y V'' • k' \1 ' E Date /B Other Permit • Inspection Line: 503.639.4175 E «o!I•I Date Ready/By: .luris 0 See Page 2 for Internet: www.ci.tigard.or.us AUG 2 9 2005 Notified /Method: Supplemental Information ni-rk, . � „ ,,, ,,,,,;,,,,, ,,,,. , , r.,._,.,., .,,.;,,.;, - „.,,,oa ,n.,- ,.;,.acv.. =;,,: ,;.a „n ,a,w .rtr, ,rrsos'e ' -w.-' , ., _,. f ,,...z,. ;, R t - . .,, ,., ,., ., VO R, _ � ' ' � =: f°4> : }:,. C q*:IER_CIA L FE . S . :04. . F .' HT� ,�,,..:.,., � t ��,�.��',#� <��� - �' � "�"•'�� ,�. EC CICIiIST y vi �'xn E s w Mechanical permit fees* , -,�a . bas :,.A�> � > <_- he 'u S >< _ -a o•.F,:,��,., .,s�' -� _ Eg u Li/ 1 are based on the value of the work New construction El Addition/alterat /rep } aeement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ,:: "z,,: -:t r,; _:.- :< CATE6O ,,; -T;: , r';,':.:; s.:;_ ;.;.'' '' Value �., � ���' � � CATEGOR3Y;,0 CONSTRiJCTIQN�x' . -! �_ 1 . {«'E�s„�t'e ..x tx,... - r�� ,.��, .�,;.,,,,. ENT 1�7E1V'T` S� S z: RE SID ya,,,>,r W!- *9OTP:., : STE 'ItM ,,.'R3 E 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description t z� +- s;._,:,.....ri :a >,.r,,- _., -- ; a�a- ; H,r.�as'•r. ne >; .r::��,:.,...a�, Qty. Ea. Total P r _ " a ry . .; IQB S4TE INFORM?iT1.45W,A LOCATION ' - » r s H eating/cooling Job site address: 1 W 'A_.- V M14 V-- Air conditioning or heat pump (requires she plan showing placement) 14.00 City/State /ZIP: F ii 0/9--. 61/21A-1 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: VI 1 'v � 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 Flue/vent for any of above 10.00 Subdivision: U� 1/)117t-- Lot no.: /0 Other: 10.00 Tax map /parcel no.: Other fuel appliances - 1`, - ',,. 1. DESCRIIPTTON OF WO " - ' ' � � � Water heater 10.00 '. - u, c!' '';�.i3 • 1n w' ., , _ ,�, , �,,., ._;, rzsa, sa �em;z»� _ ✓,:., ,., _ r rx. _,., �-: �. - s - ' _ ^ . Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 _ Log lighter (gas) 10.00 . Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ,., _,.. w a -,. ;.,• - l ' �' "y =i3r' .: Chimney/liner /flue /vent 10.00 e ® ROP OWNER , ., ' - Ili4A : C;ENAN " 10.00 ,« ,_. , , „�a.,.,a, H . ,„ _, , :`,,,,A,,,:,,,,,„ _ nw 4' � �� ,.,s=� .., Other: Name: I j eA . Environmental exhaust and ventilation /� Range hood/other kitchen Address: 0 G (2 5 J Ad kJ -,473,-) d -Y D� t (.J✓� . Z0 U equipment 10.00 1 t JJ City/State /ZIP: { a , e , Y'1r y') CA- ' -7 U 0 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (SPr) (p 1..1.5 - 0 '7 8t, Fax: (l )J ` ) Co 5'0 - 2_9 4 /2._ toilet compartments,' utility rooms) 6.80 "': ? ' , . e: u ; ' � , ,I = P - i . ; a. . :i- -� : : CO . � - iCT. PE ILS ON =`: ;,, : Atticicrawlspace fans 10.00 0 �. E� �, E.�._� < T�� _mss.¢ . �:� ,, �..:..,.: _.__. Other: 10.00 Business name: )11 ✓ (iL, t Kam' ✓t-x 5 , �Y-nC . Fuel tin P g Contact name: j t-( <,Cl'1/l ✓Vt Le--,( $5.40 for first -four; $1.00 for each additional Furnace, etc. Address: 1 Cj 2 5 Nv1/ . TC _ ., 0 y` ex.) IA -. z 0 Q Gas heat pump City/State /ZIP: 15 e(ti 6"a`. q 0 ( Wall/suspended/unit heater Phone: ( L Li 5 - C5 Sc, Fax:: (4,7_ ) &,q(2-211-4-2._ Water heater Fireplace E - mail: OJ)1 td r l✓ 5lrit.QJ' L c , i_,_ Range r . g :,av' :e-s';- f,' N z;=7:n a �:'.. F:r , : z :. q:i'R': . ::k,.,:. ^ �v �`.' jr'ta'.s- ::;, >v-4, ,L =air :- a Barbecue . -, t , ,i,.CO1V ?RACTOR o m,„. : ::, a r». ;t . tl�a:m- ,c�.:: _:...�<<:>s,:�. « ate;,:.;...' «��`. � : u =,, ... � �'.' ��i. �� :x��. l H Clothes dryer (gas) Business name: - M,St. rm ,tr- t S 1 r L '' Other: • Address: � / �:�a.ml:. �. >..,z ,Y.�y- .., ;�:, - ,,. ,;:.: �rx »r:' „� ",,� _: M� l Z m Z 8 7 i - n . C k t. t , Fe ci , i t 1- &.- ' % , ;`1`'; �,�,'�.: ; '1.. CA PER1tiI1 T'`FEES*i , N •. ` ": ;r City/State /ZIP: (,., r„,.., t L_ 5, 6 (E r=1 'V 6Th p Subtotal I Minimum permit fee ($72.50) Phone: (5�3) '223 1- y5 s q_ Fax: ( cc. ;) Sq-a- 32.4 Plan review (25% of permit fee) CCB lie.: / 7 2 es 3 State (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: r days after it has been accepted as complete. [print name: 3 . � ,� _ •siJ" ( �' J r Z j Date: O o't b * Fee methodology set by Tri County Building htdustry Service Board �j r\ Bui lding \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (I 1/02 /COM/WEB) • Plumbing Permit AppIicationC q\ E® ; t. ` ' .1 ' 4. , A. FOR OFFICE USE ONLY City Received Tigard Date /By: Permit No\ j j 776 7 / r / 13125 SW W Hall Blvd., Tigard, OR 97223 !, r n t Plan Review V / Phone: 503.639.4171 Fax: 503.598.1960 AtUG 2 20� . ,j ' I i Date By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ..,n, `I•'I I D ate Ready B -lulls: 0 See Page 2 for OF TIG ' Lam.. > : Internet: www.ci.tigard.or.us CITY Notified /Method: Supplemental Information ..... .... �.....�. H., -... .F .. -,.- .,.,.c- ..,,...- ,a «. „ �- ,:��.. .:.�!�:.=?s.qr %r`. -= K,= aE3.::" k_,- ,:; =�s ;.:� °.;.. �rx�,� s�re?;� - ,..k�, . -,- .. ��,, t� > . , �...,r. <��:.....�.,�: -: , ., .. ,,. -., ..F,:, ,`>�`: ����;- ,,.FE - ;SGHEDUIE"� ;w A. 8;$ � - � . 3 MW�wa4a �a�:s " -v r�<,'.r.�- TYPEOI�` ��� � ,� - ged „ `' a'' �`- i%- ,:i�i'�": •-�'� ' �� s r � '�_� �� ����`=�'".` „ ' .:. >n+r.�,. � `�:'»a .. + >� ' ,z« '�' �`, .. : �"`"" e�=>M -�•: a?� - .�. - ,.. ., ,��t; -_ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) �_`�,';;r'_:; +-- �,::.u.�, i - : sp.y . ^ ,�z �.. ::�zx:,s',a , .-.>° ��.° �: a; l?�r; �rf ::&;�i3Pr:.rw�',.i ^7"� "7 ,7^ "' +"P�, `:° .` " <. �:i,' 0 t �� a CATEGORY OF OOAS7I�RII �CT,> QN r SFR (1) bath 249.20 . Ei 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 e ( sq. ft.) Page 2 C:;, : ,: , 1^°• , .'_- i ='�* , ''s " >-. , _;,_. ar. ".;.,s,zm tG;, r :"�'x - . ;.;, ' z '.: x.,4:x., P,s ir,,, j5 ?:: r.. ,,:,„,;:,.;,;; ;,,,., r ;; , 7 . s ` . JOB SIT IIYFOR I ON ilN _ 3 r _ i ^3'' S t s a e Job site address: 1 Z el CI - 7 )4 „, t/( s ( Catch basin or area drain 16.60 City/State /ZIP: ri . 61-77,7,1-1 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: U J Project name: Tit tt V (pp S,, Footing drain (no. linear ft.i ) 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.: ) Page 2 Subdivision: Vc I Lot no.: I O Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no r, aam ,,,,,%1-, i Absorption valve 16.60 I 3 „ , .14,� DESCT2IPT dN& O 1WO a .. .. .: _ ,, . :: , - . 'f „t riafI Backflow preventer Page 2 6 � >a, � ..,fly:, Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ;;�, >;;�,: -. � - �; - ....- �.,,��,� «y- _. > ;r;, +� �� �; ��;. ;�� ., f�> r. . 16.60 : Drinking fountain D ri i . » f ., ; _ P R OPERT VO dil , 'A5 _ . 'a TEN g _.,. . ('i` - � » ,, wo , " ° Ejectors /sump 16.60 _ Name: � 17 -,_%K i (5L t17'Yl't,P 7 ' t -r- • • Expansion tank 16.60 Address: t1j Z 5 / l tv „rvi 6.84-4 Le,., pit"L'LiL 7 6 (.- Fixture/sewer cap 16.60 City /State /ZIP: ; f �.� I CJ -i (70 C - Floor drain/floor sink/hub 16.60 Phone: ( 5P )[0 D�7cb fp ax:(S?)t - 2 4Z ar disposal F Garbage 16 60 k;I tf Q4 AP ICANT Ag " k ®CONTACT irtig N > .4 H bib s o 16.60 Ice maker 16.60 Business name: I2 vs€,yr a / 1 1' y ttf ? S i Tri(.....,. . Interceptor /grease trap 16.60 Contact name: .Er; ( ' �c�2_ C.4..,\_A Medical gas (value: $ ) Page 2 Address: j CI 7. A /0/ ;k 11 Gl � pJ jy T ZO(,) Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) I Fax:: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 ,„+, xh - e ';.....,. ;.;P; ;* M+SC. <,", ,,. ,�.., .�N,: :.'.€- •ca,P,3 :Ai x' :^<,x.: b;'i- ir;;�- ==Y - , " gar .. l�% i T.. R , .»3tr` � � } - `3?> , 91 i,1; : ' , .. " "- „«� yw, >�, „„e, ' ,, 4 ,,,. is • `� :. #,y - -aip,t 4t �a,= - "" -tf GONTRA - . Rtr 3 '- =- 1.� .. Water closet 16.60 � ,.��: �� �._,.. - : _,ice � >�IR =_ »..... ,. _- , „�.� �. ,uva� Business name: Ji"l I II/ I Vvt7bt i5 Water heater 16.60 / /1 Address: .Z S DS - S % Lei y - 0 Ii- 4- - UI " Other: b 02 . 9 7D0 Subtotal City/State /ZIP: Vt Minimum permit fee: $72.50 Phone: (3 ) OW - (, 65 7 Fax: (5"03 ) � 2, 957-13 Residential backflow minimum permit fee: $36.25 CCB Lic.: j I t 2 (I i Plumbing Lic. no.: 3 q - 370 1 B . Plan review (25% of permit fee) G "" - fi State sur of permit fee) Authorized signatures TOTAL PERMIT FEE Print name: 3Qn R 4 h 8 f I I I Date: 2 - e__ 0 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. is \Building\Permits\PLM- PermitApp. doc 12/03 440 -4616T(10 /02 /COM/WEB) ®®®®®AAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA tr:AAAAAAAAA® r - r REE �CE�t, I AT O 41 11 1 / \ ifi■ Q besi Ho.Nr , wne / gent for pt t ,s 1ris'., ® I, ® (PLEASE PRINT) / (PERMIT HOLDER) lb ® ). �� \ I 1 ` �a. it ® 5� p w I %.lf. a , + I Do hereb .4 yy t om^ ` t - 01 'e f 5l1..owing location meets,�,C y f i, and a i h ton ounty 0 . ® • land use and development standards for street tree installation. 1 ti ® s r�e ® • ADDRESS: � v� g 7 w S w +� a, Ury,c_r It- 11 fl ® LOT: � 0 SUBDIVISION B'e-i-L o� Vii ti 1 10 ® BY: /e0 6c'7 /�av DATE: ,572-2/0 (47 1st- 1 1 RECEIVED BY: DATE: ® FVVVVVVVV Irr ®v® "4roa'�. V ey. VVVVV �/ ' ,# YVYY YVVVVYVV ♦ VVVVVVY ♦ YVYYV VVVV CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 :ii�IpN�0u� '1I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM PAGE: 21 SITE ADDRESS: 12076 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 01 0 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Neer SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -615 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6 -0986 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031101 -15 503-572 -4708 N Corrections /Comments /Instructions: 41114P 9IPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C- 1:P Date: £ J -OCc9 Phone #: (503) 718- Z.A / �� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639- 4171 urd��u ii r Inspection Requests (24 Hrs.): (503) 639 -4175 : .' L I ■ INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 20 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Neva SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 646.0965 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 615 0986 Inspection Request Scheduled For: Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 031101 -16 503- 572 -4708 N Corrections /Comments /Instructions: 1.1 rt7( ,may r i Pct - z-� A SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS H FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 61 Date: 6' Phone #: (503) 718 - 61-i-7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST :2005-00314 5r00°Fort 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 Al* Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 130/2006 TIME: 7:15AM PAGE: 52 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503615.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-A645-09% Inspection Request Scheduled For: Date: 5130/200 ; Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0307388 -01 503 - 678.1355 N Corrections/Comments/Instructions r- • C` S C id ea ce FA PASS I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: . d ‘ Phone #: (503) 718 -' ' " ����~�� OF ' - ' CITY ��w TIGARD BUILDING DIVISION ` ��~°"~~~°."~~" ~~"°"~°"~~"° PERMIT #: ��ST�UO6-O0314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone:(503) 639'4171 • Inspection Roquo�e(24Hm.):(G03)G30-4175 ~ ��n�� «�-� INSPECTION WORKSHEET FOR DATE: 5Y11/2006 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 12n6[wQA ST CLASS OF WORK: SUBDIVISION: BELLAV|STA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLAVlSTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-845-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503'646°()986 Inspection Request Scheduled For: Date: 5/11/2006 Pour Time: {}ode # Inspection Description Confirm # Contact # Message 399 Plumbing final 029707-02 503-572-4708 N Corrections/Comments/Instructions: i ut L�,� � L ��_ � i / 1 '~ � �_� / �,� ~ ��' ` --- / - � -_~~, � � �RAS8 | 1 PARTIAL APPROVAL El CANCEL I NO ACCESS FAIL _ ' | CALL F[�B INSPECTION | | ADDITIONAL FEES ASSESSED kit I » . . / � � 'lb � '� |napec��Inspector: ` Date: �� / �� 6 T Phone �K}3\718- 1 �� � 41/ ' CITY OFTIGARD ' `r �0s BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 0 . , y�� 6� Inspection Request's (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/3/D ( TIME: PAGE: SITE ADDRESS: /c7 7f 7 (Q 4-1, (IL. c....; L - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: 4: . . . . . . 2 i\,1), Code # Inspection Description Confirm # Contact # Message 32-0 31S f i fiter4t/b (--14 A orrectio s) C niments /In st ions: 6 • X PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 04 "A Date: 3/310.4 Phone #: (503) 718- -1 CITY OF TIGARD r r . BUILDING DIVISION I ' PERMIT #:MS CAC DO 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A � Inspection Requests (24 Hrs.): (503) 639 -4175 / • INSPECTION WORKSHEET FOR DATE: /2/ l/ ( ,4 TIM. 1\ 4 PAGE: L. SISUBDIVISION: D I €7' b,„ Cl �� LOT #: CLASS OF TYPE OF WORK: PROJECT NAME: DESCRIPTION: OWNER: ky-0 PHONE #: CONTRACTOR: / e/ p PHONE #: Inspection Request Scheduled For: Date: 3 - —0 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 ? - 17 e C TO 6 -0-- 1/4 5 - 72.- 4.7e0 Corrections/Comments/Instructions: f. .e_et1 )/k/eLS ' - ' - i --. e''C-S-Q-464 . .94■_It S CJ-k) . ( b. O , W1A------■ --A-- 41- - g . ,c..5,- lk.)-- Q_,Ofv-v\vv\ L--,-\ . z . c------ s , \ 2) - k- AA--( C.:A('CLAs3 ( 6', . . P2- / 3 - l)A-6 k iLl - - - ___■ ,/O o � _- / 12. c 1 f PASS fl PARTIAL APPROVAL n CANCEL E NO ACCESS IL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 ' (. Date: /�/ ° w Phone #: (503) 718- �'Y L7 CITY OF TIGARD - BUILDING DIVISION PERMIT #: M TZC 0 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 /r��pm °j rl Inspection Requests (24 Hrs.): (503) 6394175 „�' I . INSPECTION WORKSHEET FOR DATE: 11/30/2005 TIME: 7:09AM PAGE: 50 SITE ADDRESS: 12076 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/3012005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing undersiab 022667 -03 503 - 572 -4708 N Corrections /Comments /Instructions: 4 4 PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS J U FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1704 Date: o I) Phone #: (503) 718- CITY OF TIGARD (- BUILDING DIVISION PERMIT #:OS%Gob 34) 3/9* 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171���ig1 "� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FZ: Lei e /-hs DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message t 1 7 1 _0 f ^i i �t nJ G ^� v nl b CR. 5 Corrections /Comments/ Instructions: n PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ul - ''LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: Date: ()/ Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005. 110314 J 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2212005 TIME: 7:02AM PAGE: 54 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 022241 -04 503-572-4708 N Corrections /Comments /Instructions: Y j--PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ) — Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1102005 Phone: (503) 639 -4171 40_ Ih1 11 Inspection Requests (24 Hrs.): (503) 639 -4175 111. INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7 :02AM PAGE: 53 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/2212005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 022241 -05 503- 572 -4708 N Corrections /Comments /Instructions: • P PASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /1) Date: ) 1 / -5 - Phone #: (503) 718- CITY 'OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/ 212005 Phone: (503) 639 -4171 / ir� i lpaB1�i9���l1 Inspection Requests (24 Hrs.): (503) 639 -4175 _�� INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7 :02AM PAGE: 56 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 022241 -03 503. 572 -4708 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED I 2 `' b Inspector: 4 Date: � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 00314 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 !0� b1�"Npi �11'I Inspection Requests (24 Hrs.): (503) 639 -4175 '� INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 60 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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 -0386 Inspection Request Scheduled For: Date: 11/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 022241 -01 503. 572 -4708 N Corrections/Comments/Instructions: PASS I PARTIAL APPROVAL P CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: / _ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 m „ mryilii�f�I I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 58 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 022241 -02 503 -572 -1708 N Corrections/Comments/Instructions: I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: ' 11 / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200L 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/200S Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 5/15/2006 TIME: 7 :04 "AM PAGE: 8 SITE ADDRESS: 1:2376 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: I3 LLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 5a645-0986 i CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-615.0986 Inspection Request Scheduled For: Date: 5/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029866-01 1 503-678.1355 N Corrections /Comments /Instructions: 1 i t> 6 0 B4-tA (ZAst(\> NV. , (P1 . 1-4cskeLL s AU - 3 Et 'a n PASS f l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS K FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t`\ 6B l.G Date: 5 I & Phone #: (503) 718 - 141 -#j CITY OF TIGARD _ y BUILDING DIVISION PERMIT #: ; ,�- 0t 13125 SW Hall Blvd., Tigard, OR 97223 ; DATE ISSUED: d • Phone: (503) 639 -4171 44 A iN u�iiiyll� I i 1 �I10., Inspection Requests (24 Hrs.): (503) 639 -4175 f'f 1. INSPECTION WORKSHEET FOR DATE: 207/2006 TIME: 7:01AM PAGE: SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: EBELLA VISTA LOT #: oio TYPE OF USE: PROJECT NAME: FEI LA VISTA DESCRIPTION: N SF OWNER: RIVERSIDE HOMES INC., PHONE #: 503 4,45,0986, CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 2/27/2006 Pour Time: Code # Inspection Description C. a -: -.0 : Contact # Message 120 Electrical rough -in R • 027587 -01 603- 67I3•'I3,55 N Corrections /Comments /Instructions: 1• ( 1v c c s TO G-14.a.A ti -‘ .! 1 iv b A c, t --15 ‘ F, i. - CboQLi 1 I PASS S ri PARTIAL APPROVAL n CANCEL ,\NO ACCESS ,FAIL 1/4 ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED --f\ Inspector: v ►" to 8 Date: n 0 V Phone #: (503) 718-2-`1 `1 i) . CITY OF TIGARD /}') 57 1 BUILDING DIVISION PERMIT #: 7-00 3 / cl 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 - 4171 4lnmiigi6N1'� Inspection Requests (24 Hrs.): (503) 639 -4175 ,. �f I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / a 8'7 (P /lam / L 2 4/,C(, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - 7 - 06 Pour Time: Code # // Inspection Description Confirm # Contact # Message z o (e`, .57A - g70 8' Corrections/Comments/Instructions: ki-Z-41/`e-j" t Kc.P0 ./. a h 6 1 3.s 6 A) 1 • 4 PASS I P A T %L APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL IN CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED - ( 7 06 Inspector: 'LD-' Date: Phone #: (503) 718- CITY OF TIGARD ni s r - BUILDING DIVISION PERMIT #:...2010 — (S 0 3/Y 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 *0411 � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: ' PAGE: r r CLASS OF WORK: SITE ADDRESS: f 2_ 8 ---- (p /��„C.- SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - 3 - Q : , Pour Time: Code # Inspection Description Confirm # Contact # Message , I S --I- ‘ 7-8 / 3 a S Corrections /Comments /Instructions: A , aJ 1 ? CAI— . "Ek Vi C cx9A✓n7 > ere _, / / 411111P' ft. viz- _P/gss ..___ (10 ,i, - -e-- -,,,/ All/ *737 4i- /4---- ar~fr e ---- PROp MY (! , 04 -- ie be____-i ,_.%›/_334-/ ni 4e_,41/ #4 0 .� let: /5/14.2-e___ / / -./ . - , r P ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS _� n FAO* %'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • 0 � 3 / Phone #: (503) 718 Inspector: ' Date: � P ( ) CITY OF TIGARD - msr BUILDING DIVISION PERMIT #: �C�S— 00 3/ f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 n 4U yp i�1 ( I\ Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /2 g 7 �P // � f�� CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -1 - D c Pour Time: Code # Inspection Description Confirm # Contact # Message OS, /3 a 6 7s 1,3s5 oc ions /Comments Instr.uAtions: GAA) c. 1 4 (� ( S .g CN N . a14 - T®t 6C' ,nns N E 3 6 p 3 6® ►b� 6 : e ('%( wi V - ‘` 6 �+�'��•. Low vot"Fpa ittv. vp. J5 1 � • ❑ PASS ❑ PARTIAL APPROVAL n CANCEL El NO ACCESS el FAIL A CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G A v v!J`E Date: 3',"0 Phone #: (503) 718 -21A4( CITY OF TIGARD BUILDING DIVISION PERMIT #: IVi T �[tlt 00314 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/21200,5 Phone: (503) 639 -4171 �a ���mlNnlpi�l ' Inspection Requests (24 Hrs.): (503) 639 -4175 4 INSPECTION WORKSHEET FOR DATE: 2/23!2006 TIME: 7:01AM PAGE: EA SITE ADDRESS: .12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New S.F. OWNER: RIVERSIDE HOMES INC., PHONE #: 503. t#G CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603.645d03; 6 Inspection Request Scheduled For: Date: 2123/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 0274/202 603 - 678 -1366 N Corrections /Comme is /Instructions: j wy re, -� SS k` 6) ( n PASS I I PARTIAL APPROVAL ANCEL ❑ NO ACCESS 1 I FAIL 1 I LL FOR INSPEC 1 III ADDITIONAL FEES , SESSED // /..', Q Inspector: // r `� /� Dat 02 hone #: (503) 71 >3 I ' CITY OF TIGARD BUILDING DIVISION i, PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 inp00.5 Phone: (503) 639-4171 g olltNi lir Inspection Requests (24 Hrs.): (503) 639-4175 A. - 1-.. INSPECTION WORKSHEET FOR DATE: 2/ 23/20 0 6 TIME: 7 PAGE: 66 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: ow TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 603 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 2)23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough 027412-01 603-678-1356 V Corrections/Comments/I ructions: 1 PASS El PARTIAL APPROVAL rile ANCEL 0 NO ACCESS fl FAIL 0 C , FOR INS El ADDITION ' ES - .ESSED - Al yr A K., At e Inspector: 4/ • Date: ---=;:-.,—_,■ _,..., Phone #: (503) 718- / / girFr'dwi". CITY OF TIGARD pm / BUILDING DIVISION . PERMIT #: IVIST2005.003'14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639-4171 „wi Inspection Requests (24 Hrs.): (503) 639-4175 lt INSPECTION WORKSHEET FOR DATE: 5/2512006 TIME: 7:03AM PAGE: 56 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 603 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-646-0986 Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 030577-06 603-512-4708 Corrections/Comments/Instructions: 1/Y et-ce et.. / 6W-4'av"ezt e9,/. - aA i3 - 5'<9 ( n PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS [X1 FAIL MI CALL FOR INSPECTION ADDITIONAL FEES ASSESSED — Inspector: 91144. Date: V 4-- 66 Phone #: (503) 718- 2 7/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/212005 Phone: (503) 639-4171 , Inspection Requests Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 512512006 TIME: 7:03AM PAGE: 55 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: MO TYPE OF USE: PROJECT NAME: BELLA 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: 5125/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 030577-07 503-572-4708 N Corrections/Comments/Instructions: ) P4a -- 7 -e- C-.' 6-- 5 S -1 7 -- '"6 — ee4 / eairn7 .0..e ‘4,--/p. c -4, GL -2 4/... - El____ -) ?<- 17z/o-0 /7(voc /9. e) ? -i2-1 a.,1,--e -- rt 1 arl 'NM ill n PASS I I PARTIAL APPROVAL fl CANCEL E NO ACCESS N FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Of,A4 5L Date: *----- .46 Phone #: (503) 718- 6 CITY OF TIGARD n'l S f BUILDING DIVISION PERMIT #: ZO O 5 C 6 3 / 4/ 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: Phone: (503) 639 -4171 ^'b�q �ii� l \ Inspection Requests (24 Hrs.): (503) 639 -4175 =_� F__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 8 7 6 U Z -C-14-C_c _ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- 8 - D co Pour Time: Code # , Inspection Description Confirm # Contact # Message 2 O s / ) SF -5e,)_- Corrections /Comments /Instructions: ASS I f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL R INSPECTION El ADDITIONAL FEES ASSESSED Inspector: -..i/li Date: �' o� Phone #: (503) 718- -`t--_____-( I _ _ CITY OF TIGARD BUILDING DIVISION PERMIT #:2005-0 0 3 / 41 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4:1144#111\ Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / Z. g 7 4' 10--•(J t 4' - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 6 — Q 4' Pour Time: Code # Inspection Description Confirm # Contact # Message ' a. 7S' .0 701—ii70� C r�'ecfio / Com en s>Tn structiont - b ra c rs -v`4" Fizz k7 0 PkS5 be sr-bc c.to-s p ASS m PA'TIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ril L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■_ Date: ( Phone #: (503) 718 - CITY OF TIGARD in sr BUILDING DIVISION PERMIT #:,D.063—___ dd 3( y • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 41110 m� " Inspection Requests (24 Hrs.): (503) 639 -4175 �_' '��L., /e1141() INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / ' 7( f_ (4. 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OWNER: RIVERSIDE HOMES INC., PHONE #: 603-E6-0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603..646. gme, Inspection Request Scheduled For: Date: 21212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior her tivalls 026176-03 503-572-4700 N 1 /../ Cor k recti ns/Comments/Instructions: 7 , A-7— o lc— ,, IS PY 6 61111/(-57-F7 e I-7Q ci ue (.- -- ■ ("1/9-t_t_____ 4 - F1 PASS . 11 PARTIAL APPROVAL ' ID CANCEL 0 NO ACCESS - Ag FAIL / FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • / Inspector: ■■._______ Date: 06 Phone #: (503) 718- 411, CITY OF TIGARD 1 - - 1 BUILDING DIVISION PERMIT #: m5T2005_00314 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 ii2/200f, Phone: (503) 639-4171 Ai ; . Inspection Requests (24 Hrs.): (503) 639-4175 ...„.....W mmsa INSPECTION WORKSHEET FOR DATE: 21212006 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC.. PHONE #: 503-64&0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503..645.0986 Inspection Request Scheduled For: Date: 3J2/2(06 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 026176-02 F.43-572-4708 N / vections/Comments/Instructions: . as , _-_-- Acs Ai e_A/ P 6 z, L__ 0 ,/4-7 'vE AMILift/ Al i s,s/A) &-1 e- 6 4 41-4./r& t & ----- 1,hpur&-,_ W',i--tt _3 / r eg._ be 1- /(_ - / — -- f '' z(:=77ii i R__/ i Pie. 47 1/ 140 . 17! , Pk 0 V / c F / 1 c,07 frA/ ("7 41 pkirf7?7 r: 67-41. 7T L/c K• I77:c 0 PASS il PARTIAL APPROVAL El CANCEL 0 NO ACCESS Fro' FAIL AP CA L FOR INSPECTION 0 ADDITIONAL FEES ASSESSED N Z og Inspect in/ r: -. A.— ___,.. Z ■••....— Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-12006-00'314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: v2/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639- 4175 - R INSPECTION WORKSHEET FOR DATE: 2J2J2006 TIME: 7 :02AM PAGE: 26 SITE ADDRESS: I ` CLASS OF WORK: s�t�76 DA V Nt.�i ST SUBDIVISION: E3ELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BFI - VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-6464R16 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: . 03-E ?;-() #E3(a Inspection Request Scheduled For: Date: 2/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear walls/anchors 026176 - 01 503 - 672.4708 V Corrections/Comments/Instructions: v 771 IA/Se et--- z 4) i 2 -' l K K C5P0q e_ (% ass- 6 PASS M 'ART L APPROVAL n CANCEL ❑ NO ACCESS FAIL VA CALL/FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date:Z Z 62 6 Phone #: (503) 718 - I , • • CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2006•00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111212006 Phone: (503) 639-4171 /A 1 i i Inspection Requests (24 Hrs.): (503) 639-4175 , .. „ _ . 'LL INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 12076 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 603645.0086 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603-6460006 Inspection Request Scheduled For: Date: 1/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exteriow sheathing 026081-06 603-672-4700 V RI Corrections/Comments/Instructions: I I PASS PAFi ■ 0 1 r L APPROVAL CANCEL NO ACCESS FAIL li gnimer A FOR INSPECTION Ei ADDITIONAL FEES ASSESSED / Inspector: Date: Phone #: (503) 718-Z-6 MP CITY OF 'r ��mw n �"�m� TIGARD BUILDING DIVISION + ~�~°"~~~°""°~" .~"°"~°"~~"° PERMIT #: 4 13125SVV Hall Bhd.. Tigard, DR07O23 [ATEISSUED: 11/2/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: 7;00/0vi PAGE: 45 SITE ADDRESS: 12876 6WCAVlW[1ST CLASS OF WORK: SUBDIVISION: BELLAV\STA LOT #: TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503-646'0986 CONTRACTOR: R|VER��QEHQb4ES|M{� PHONE #: 503-645-0,986 Inspection Request Scheduled For: Date: 1/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 8hemrwa8i|s/anChnvo 02688i-04 503-5724708 Y Corrections/Comments/Instructions: /. . / si PARTIAL APPROVAL | | CANCEL ri NO ACCESS 1p: FAIL TA ' • ' LL FOR INSPECTION U ADDITIONAL FEES ASSESSED / Inspector: __ ~��� Date: / ~�-- 7— ~--~ Phone #: K503\ 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Al1/20006 Phone: (503) 639-4171 Jayi Ii Inspection Requests (24 Hrs.): (503) 639-4175 ' INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: 7:00AM PAGE: 43 SITE ADDRESS: 12t376 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BFLLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503,645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5034Z-0986 Inspection Request Scheduled For: Date: 112712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Intorior shear walls 025881-06 603- 572 N Corrections /Comments/ Instructions: (.911 1 . fl PASS a 'A RT IAL APPROVAL Ej CANCEL n NO ACCESS V FAIL IN C L FOR INSPECTION El ADDITIONAL FEES ASSESSED ' Inspector: ' A./111111■_ - 4111•113• Date: / Z7-‘x Phone #: (503) 718- S / , 466. 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 003'i4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /11 /212005 Phone: (503) 639 -4171 iReliv l iii Inspection Requests (24 Hrs.): (503) 639 -4175 L INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 65 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 12/21/2005 • Pour Time: Code # Inspection Description Confirm # Contact # Message . 226 Post/beam structural 023827-01 503.572 -4708 N Corrections/Comments/Instructions: � , ttC /-c,9 ,- -y-L C- iv, l' / crzc kt_t -r q rr r / 2— / 9__6 &.-- ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4,--- ---04 Phone #: (503) 718- CITY OF TIGARD` BUILDING DIVISION PERMIT #: MST2005.00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 ,Ai IP�Vll Inspection Requests (24 Hrs.): (503) 639 -4175 . �� ' '� INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 33 • SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 646-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 12/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 023681 -01 503 -572 -4708 N Corrections /Comments /Instruuc�tiion ss: p Y - ' L_ / ' t Ti // G. _ 0,47,....K - .. _iii , '‘J' TN F- 4 fi-v Ai / i.. ' , �J v4 'f>01, j? o'2.e o l - 5 , , b) . G 3 hi � b h , A Q c/4-rZ S v2 Po L 0 ......ww• it) Z-__) P20 v I 11- Z "(y Set v4---)-(-- _J /.1c � sypo 0 V/( 4 .--le / P Tn004 Al/'97 Z--/ YU C--s ASS P° IAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL r 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /1 e / #: (503) 718- I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 A � � IlIi i Inspection Requests (24 Hrs.): (503) 639 -4175 .�' n:_.. INSPECTION WORKSHEET FOR DATE: 12116/2005 TIME: 7:06AM PAGE: 85 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC PHONE #: 503 -675 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Postibsam structural 023578-01 503- 572 -4708 N Corrections /Comments /'Instructions: Pg-o i Th � fi? � R ., S < < 'T 0 j L ,4 --&> j c. A2 S i . 146tiir—e5 PASS j' PARTIAL APPROVAL ❑ CANCEL n NO ACCESS A IL . i LL FOR INSPECTION El ADDITIONAL FEES ASSESSED • Inspecto _ Date: Phone #: (503) 718 - I lift" CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200tT 01:14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 � Phone: (503) 639 -4171 i lli li Inspection Requests (24 Hrs.): (503) 639 -4175 ,_._.. s INSPECTION WORKSHEET FOR DATE: 12/5/2005 TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 12076 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -08B6 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50 645 -09B6 Inspection Request Scheduled For: Date: 12/512005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 022937-01 503. 572.4706 N Corrections /Comments/ Instructions: — ot Z Z v 1C ., -_ - watitave ") ¢ c2-- - -i C_ v-'"r — Z> ,/ 1 PASS , RTIAL APPROVAL n CANCEL ❑ NO ACCESS - pm C , IJL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: v ° Phone #: (503) 718 - I CITY OF TIGARD r BUILDING DIVISION PERMIT #: M5T200600314 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 / 2 / 2 005 Phone: (503) 639 -4171 �4�Iypuy��I + Inspection Requests (24 Hrs.): (503) 639 -4175 �' __.. INSPECTION WORKSHEET FOR DATE: 12/2/2005 TIME: 7:19AIMi PAGE: 3 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA . DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC•, PHONE #: 503 - 645 -0086 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0886 Inspection Request Scheduled For: Date: 12/2/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 3Itab 022860 -01 503- 572 -4700 N Corrections /Comments /Instructions: f ' NO< - A i 5' a —oo 0 s ivcr ------ ire '14e –C I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - -- 2--- Date: / L� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639- 4171u4nfpl�' � ; P Inspection Requests (24 Hrs.): (503) 639 - 4175 I INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 72 SITE ADDRESS: 121376 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 64%0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 64&0986 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 022536 -01 503 -572 -4708 N Corrections /Comments/ Instructions: /i-./ t i L..- __ 5 - /A4 v -g P catoAJ I I PAS n PARTIAL APPROVAL n CANCEL Ill NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: f Date: ii- ZS' -v'S Phone #: (503) 718 - CITY OF ��mm m v��m mnm�|��nm�� BUILDING DIVISION ~°~~"~~~�""°~� ~~"°"~~"~~"° PERN1|T#: M6T2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2y2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639'4175 ^ ]i INSPECTION WORKSHEET FOR DATE: 11/18/2006 TIME: 7:17AM PAGE: 38 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/1Ey2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 Wtrpronfing basement walls 021870-01 503-672-4708 N Corrections/Comments/Instructions: El PARTIAL APPROVAL ri CANCEL E NO ACCESS | | FAIL CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: ���� it j I CITY OF TIGARD � BUILDING DIVISION PERMIT #: MST2005.00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 ��NM�ii�ll�i�� Inspection Requests (24 Hrs.): (503) 639 -4175 �_' INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03Alvi PAGE: 62 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/16/2005 Pour Time: id_ Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 021424 -02 503-572-4708 N Corrections /Comments / Instructions: lz L — // s . /S CD ° �_ _ - 0 tiS h4 PASS PARTIAL APPROVAL ❑ CANCEL El NO ACCESS �❑ \ FAIL . . ALL FOR INSPECTION ❑ ADDITIONAL FEES ASS SSED Inspector: l r r r (503) p ` Date: Phone #: (503 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/2/2006 Phone: (503) 639 -4171 1 l a841 1 11( 1 Inspection Requests (24 Hrs.): (503) 639 -4175 j INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 63 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/16/2005 Pour Time: a --- # Inspection Description Confirm # Contact # Message 205 Footing 021424 -01 503 - 572 -4708 N Corrections/Comments/Instructions: ■411iii •:" 1- "O. �". L ,&__D__ X PASS ri PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL M a LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: & Date: / ' /' e $Phone #: (503) 718- lop- iron, j u. Luna i , aJrf No. 0628 P. 1 4 1 4_ • Vic /I/ tl: iii in('. �/ Read -World Gbot*ctnica1 Solutions . investigation " Design • Construction Support November 10, 2006 Prefect No. 02 -7801 (,a mention: Rob Ware 1 iVSreide Hanes, Z on. 3 1925 SW AmbetGlen Parkway, Ste 200 Overton, OR 97006 Fax 803 -968 -8188 RE: SOIL ENGINEER'S REVIEW OF FOUNDAflON EXCAVATION SUBGRADE LOT MO, AND 33 BELLA yam • TIGARD, OREGON ftelbenente r. GeoPacifiC Etoraerins ino„ Geolethnicid Report, 5fAa Vela, Tort o,gon, dated der 5, 2002. . GeoPaelfic engineering Inc-. Soil and Wall Crrq 's S Jninary at Conettolan of EmItsocalt, Bat Mohr, Turd, Oren. .Arne 15, 2005. • GeoPecific Engineer, Jim tmorie Visitet_the slte to review the foundation excavation subgradea, On Lot 3 and 10. the na a soil is stiff stit= Some o�l h ilnes are present on Lot 101 however, they to not appear to conflict with footings for more than the width oF_the trench, therefore, the footings should not be adversely impacted from the bearing standpoint. Some (mucking/may be required If the subgrade le left exposed to wet weather for a long duration, however the current subgrade is considered adequate with only % inch of muck, Based on Our observations, it is our opinion that the current foundation subgrade is :makable for spread foundation support to a maximum atlOOttbte bearing pressure of 1,500 psf, Minimum reinforcement has been recanmeroted in the above Reference a, On Lot 33, the subgrade exposed is basalt rock that is adequate to a 5,000 pet allowable balm pressure. Our work scope pertains to a geotechnical engineer's foundation excavation review only and the conditions existing and exposed at the time of our site visit, No deck footing, patio, or other appurtenant structure twbgr'"ades were observed. Our work was performed to the current local standards of prect1oe_ No other warranty is herein expressed or k if you have any questions, please call_ Sincerely, GeoPacifie Engtnsering, Inc. ey s,,e PRO 4' 4 748 • OREGON James D. Imbrie, P.IE C ; E.G./ G thnical Engines( / v 4 �' � ,1 �, r $� $ O. t1A 70 30bd ONI S3WOH 3QIS83AId 5976896605 L7 57 900Z/97/77 „.. . CITY OF TIGARD . / BUILDING DIVISION / PERMIT #: MST2005-00314 13125 SW Hall Blvd., Tigard, OR 97223 A til P ----- DATE ISSUED: 11/2/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 „ a it INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 96 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/15/2005 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 021214-02 503-572-4011 N Corrections! ommlnts/Instructions: t W ” - 6_,6'■/ A..6, (__i , Nyvii_3,-..it -- -17 1 -044 .------ s -- eta__ /\ e- SL—,:_tiC 1 — /lA --.VZ Ct.__ vv\ 2) 1A-AiN, CJ2-Xc — Is er-K7 0.0_, 4--) 6-L A L4 1 . 0 1 ilAtvo-Jr) Le -- H 6 11W-41---")--e ULf 0 G.42_0) - _ _ e ll."."........"..........7 ' e L, b) g 4 \ 12 - P ' I - k. \e-e aU ‘Ze Pi) . 0■Yc ) /7 Do Hoi ftc,K- ) I.L 1,cn 1 60 51/)ST t (TFP Lo-e) AtZELEY4-5 EP (y - eN 6 f /- PARTIAL APPROVAL CANCEL 1$ . 11_ 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: V(A ( I ( '' Date: V I / 1 L I 6 -\ Phone #: (503) 718- 1 • I - . CITY OF TIGARD ;. BUILDING DIVISION __. PERMIT #: MST2005.00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639-4171 i le IllitiV Inspection Requests (24 Hrs.): (503) 639-4175 Ja INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 98 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 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: 11/15/2005 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 206 Footing . 021214-01 603-572-4011 N ' Corre tions/Comments/Instructions: i C-L A e_• F V<S) — \ 00 Ntrt ea c.n.K.- - \ ‘2_-Jr\ l emW - ' 1 A - k-&vo _ fi.v)-r Iv eiai6E, — -_4 CP& 5 ,___!_reik- 6 7;4 1/k P,_K_-__ • • U \i•I c :----- CAr s OL/L/0 \ C-\ >e,6-\ .1 olL, -rL i 1 k n A ) 0 ,e, A-7) tt - T -.).a w/b • / _..../ Te_e.A...„ . / , 6--e,T ---- 0 PA I PARTIAL APPROVAL El CANCEL ri NO ACCESS FAILc \X I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 1 VZ;lNj4_-■ 1 Inspector: Date: t- t A / 0 Crphone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: IvMST200 -00314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 k Altb NN�iirp�i Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:12AM PAGE: 57 SITE ADDRESS: 12876 SW DA VINCI ST CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 010 TYPE OF USE: • PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 646 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 021143-01 503 - 672 -4700 N Corrections /Comments/ Instructions: ❑ PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 1 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: l/— Phone #: (503) 718-