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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00436 4i. j DEVELOPMENT SERVICES DATE ISSUED: 2/27/2006 �` - � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134DB -S0011 SITE ADDRESS: 11197 SW ELLSON LN ZONING: R -4.5 SUBDIVISION: STONECHASE LOT: 011 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS22133 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,701 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,002 sf GARAGE: 655 sf FRONT: 15 PARKING SPACES : 3 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 266 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,703 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: ' SEWER LINES: 100 SF RAIN DRAINS: 4 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: BOIL/CMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 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: 5 201 - 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: 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 Municipal Code, State of OR. Specialty Codes GERRITZ BIGGI CUSTOM HOMES GERRITZ BIGGI CUSTOM HOMES and all other applicable laws. All work will be done in 9550 SW BEAVERTON HILLSDALE HV 9550 SW BEAVERTON HILLSDALE HV accordance with approved plans. This permit will expire BEAVERTON, OR 97005 BEAVERTON, OR 97005 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 619 -4668 • Contact #: FAX 503 -526 -2084 adopted by the Oregon Utility Notification Center. Those PRI 503 - 619 -4668 rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or Reg #: LIC 148831 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,179.36 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 By : �Izi Issue B � /L 1__ Permittee Sig _ '_ - Call 503 - 639-4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Appl ° " 9, FOR OFFICE USE ONLY • , d City of Tigard Received •Permit No • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ? ( 3O � O � Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 9 2Q,„ 1 �' Date/By: �� tQ J � Other � /0 — Inspection Line: 503.639.4175 Date Ready/By: .... Jug H See Attached Checklist for Internet: www.ci.tigard.or.us j11y Of f'1 (JJ Notified/Method;©� - 01�L, Supplemental Information 1 TS r . F WORK, -- .. -- r,.:-:. "..,_� .. „ F aro. ,r r , <�_,; : . '�: "_,., : , . ,.. 4::.':t:'.! ; -. ,..- '7='''!, +. ? •,- -. `REQITIRED'Dr1TA A IY :,,,:,>, . . New construction . ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,,b. ,r h <; i :,: 4° . . ;'mF work indicated on this application. ' :''4 `, A;TEG�RY?;OFt :CON 'I RUC ON .. i g,', ��s.:s < <,:�,:'�` ..... . , s,I-„Y�,:;;. � s..' = - -:. •... ; <. »�; ss;,�F;t �_'�?����io€.�,�,.�7X >'r�„ x,�� €;. €;;s:;s'ni;,: 7 10- and 2- family dwelling El Commercial /industrial Valuation: $ - (1704‘0 ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: :�,��"-: =rir :�u; , �?�,,:,:. ^. a: . � , .. „ >.� �:�,.',r,..r. � �,., �'>��`_,- ;.; t:.a, 5. , °.: Total number of floors: •. ":::e -f ;,', ` v ,;.;:33 9sr' ���,._ SAO ,,.SITE, #,, FQRMAT ON.• 3;LOCATI ;; ,. �-« ` ” ` ;... , I ,e�D,' -,. ,�. " =a.�3;,,,; ., ,_;,, -,., ,:` �P ^'�.'x;- 'Sikdls ^ ^t `l,'u2a� ^n -_,;�c,a, �,:,. ^-� ., .,�(. �.. BJ. F =vr- ate- " a:F*� ". J � � Job site address: / ! / 9 e /! st e New dwelling area: `d �� .70 square feet City /State /ZIP: l t f ( S ) Garage /carport area: ?55 square feet Suite /bldg. /apt. no.: Project name: 5 -{-4,ne chC(s e_ Covered porch area: l ic square feet Cross street/directions to job site: Aka _ i � L i t - /S I Deck area: 0 square feet Other structure area: square feet .REQU1RED DATA: CO141MERc1:4L 410:1 >I L"IST '%:. Subdivision: v / co C !Q S .-� Lot no.: /> Permit fees* are based on the value of the work performed. Tax map /parcel no.: / ` Indicate the value (rounded to the nearest dollar) of all ' > °;�:�);;r ;:: . -. ?: :- >a " " >- equipment, materials, labor, overhead, and the profit for the €;r '�`' ; � _ , ; �;.- _ `DESC "ON ®T ,fORt� �; , ''''k�' € ' jr €;� „'��'`� �°� = ^�' � n work indicated on this application. eu) � om 6 e 0 /2 ���� cr) � t Valuation: $ / Existing building area: square feet New building area: square feet �r_., .,.,..; `v ,k,.: i�.e'kro$'%�H'��,i.':: `:1`f?.` ".`f =r, i , a,. ; , f,, n -: ,,;- ,, � ._,�, ". .: =., z. x,.�, ,a : ❑;.PROI'ERT:Y O - E, ;:wA' ;_ ®: TE A,1\T'W € : Number of stories: Name: r�_ ,4 . , L /n /1S Type of construction: Address: i5.. 0 ( J .e il %r7bo # /LC�� L- /IL/ Occupancy groups: • City /State /ZIP: J 6 h 0 Q7(06 Existing: Phone: so 6 i 1 , L 4 - � j j ( Fax: ( �,3 5 - ,zoW ew: ,, N , ..,# r q : a� � ,.' . LIC : A > NT :1 �, - _,.,;-. ..._......., C . TA TE .E _: _; s �. , .- .�- _s_ . -..,, a� .r. <.. < ft.. ,; t t � "��a,�,,,�.,.�r� ,. �, .,,, � . _ . �.�n . _ ..., _4 ,...� .. €a..x , ^.,.. ,,.,, , .- , �iVOTT � Business name: @ e,(()� t�r+i - c , 4 s All contractors and subcontractors are required to be i Contact name: f�hn licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: QSn ,,(6!, - - / / h. „ 4 jurisdiction in which work is being performed. If the City /State /ZIP: ei 4 7l� i2/ Q71n 5 j applicant is exempt from licensing, the following reasons / � j / p apply: Phone: O 6 l t' 7 & g I Fax:: ( � G „ h i E-mail: f I (l�'(.� �/ � ( /��} ciao €¢�r;as;.� . � , r? ,f { " ^; �s� °= �i,7YY ± "a>QV' �° :,i•- :�:;; "•- „;'.'�v'x�,; . ,- aet;-- "}'�,,:i'; :a. f' �," -a” -,.'b !� 13RA O € 3 sY, �.. c :6;c, »�w ,a,.,, „.r...,., ; >, ;�`� = :�>`,.. "rs�",'�" ��.,.&,,,."3' =' . ,,- ,L ".;:,,., +oral; ,x_ . ...,..> Business name / ; <i°t :_:w _;ti:',�;;;; /� L_ i „; a, . w ,,m, LD.IN ^,1',RMtT; ; , a 11 3 t , Address: a l - A ifi , Please refer to fee schedule. City /State /ZIP: IeQ,l CK. t 0 tal Q7OOr Phone: 60 (p / _ .C/(& F ) / p Fees due upon application Fax:,( / r% p2�6 CCB lie.: i 3 / Amount received - Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JP/DO �6(r /• f Date: * Fee methodology set by Tri- County Building Industry Service Board. i:' Building \Permits\BUP- Perm4App.doc 12/03 440- 4613T(I I /02 /COM/WEB) 05/11/2006 07:24 5039814643 WHISKEY HILL ELECTRI PAGE 02/04 Electrical P ermit Application Fog °P rick; usr:, ONL ,/! Tigard Received /� / Permit N91157 Ci oA l i and Dntc /13y: �f ' (1 lP 017 -Yi 13125 SW Hall Blvd, Tigard. OR 97223 • Plan Review Othcr Pcrtttit . Phone: 503.639,4171 Fax: 503.598,196(1 M _ dp„qJ 1)ntc/B _ — Inspection Line: 503.639.4175 ! , 1 Date Rondy /By; runs: ® Sec Page 2 for Internet: www.ci.tigafd,Or,us Noliticd/Mctliud: S upplomcntnl tnformntion ��.�' ' � .,... ,... , � . . ; n.. n , -r�, , ,. � ,.. , y. 1�,�'. 1 , `.; 6�rri!',�i � 1� V.1. ':i: ; ,r. � � .... ..... . ...�.� f.�� .. , . {y , r� , ,. . I � . ... n' Va i r,'f,. . .�) itii; ' "i ,,,� f'.' ' ... ���i,. ��. 't, ,:��� ,•i'" : } ?;' ; i . ..�� �.. ,�,.,f�� •.. . :,, ' 1'.. '. +1 ' l l : .�l�" 'f' ,r1�' 1! „1. " ,'.�l 1 :3, A ; ' : , f'.. . :'r1fl,,tnnv , /,..., ,, ",f I� 'l.. f, 'l i: ,�)�. ': f :l r .1.� 1�.�`,� . ": 4 -f ..r "j "' ^: (,; " 'll'�JI: ` `I-if.,'fi' r: .,,r.. ;.: ;: is � ..�....r` �.i: +'.i ,.'I' .... „'�'.:.�. .. t, �, .':' i:'I'. ,., , .... •ems • ,., , , , , r..:... , .. Please check all that apply: New c onstruction ❑ addition /rtltcration /replaccmcnt ['Service over 225 amps, comm Ell- lazardous location ❑ Demolition 0 Other: El Service over 320 amps •- rating ❑ Buildng ovcr 10,000 sq. ft., 1 ,; i ' +i' '.'i :,Sii �1:iil��""IiC;Jf i;� lril Jr>' of - and dwellings 4 or more new residential A�' �; �r��' �' ��! :�.�w;Cl���''� ii; >i;;;. , l� . ,l . ,tfl;'I. , aN; �" ., Commercial/industrial ... .... .........:;,' .. ' ',�:_,.: o r ll ... ,. .L ti l d 2fil dllin units in one structure • - n.nd 2-family dwelling °'N +•'� ['System over 600 volts nominal ❑ ❑ Accessory building ❑ Tuilding over three stories ❑Feeders, 400 amps or more O r builder ❑ Other: El Manufactured structures or Multi- family ❑ Master ['Occupant load over 99 p ersons ,.:.' ••: !'.:! :: :,:,': �ty�y�� y.�y�t ����x ier i ❑1 =gress /lighting plan „' ,, l ;r[41��'�i!A�'1.�' /��';�';Y``i ;;i ?�;I l'';, t ti +i� - pork ❑Health- care'facility nOth -- .- ,lob no.: Job site address: ® t I? S 1� Submit 1 sets of plans wit), any of the above, city /Sta.ra7n The shove are not applicable to temporary construction service, - �iC � OR � �3 l i jiii;l;i;ii0 �yyy1V ", tl ; ,, ; :i 6ili'�1 Jriq M/11. it. nlliii'iii'i')lie,fli; q; i.ji .i. Suite /bldg. /apt. no.: Project name: L ,'i ��ir1/66 i,rArrtpdon _ Qty, rte. Tofa! ', Cross street /directions to job site: New residential single- or multi - family dwelling unit. _ _ , , Includes attached garage. 1,000 sq, ft, or Icss 145,15 4 .. Subdivision; �� ii- `i I Lot no -: Ea, add'' 500 sq. n. or portion 33,40 1 ,• 5 ��:V'�.�}1LL'S Limited energy. residcnrial 75.00 2 Tax map /parcel no.. Limited energy, non -res d 75.00 2 i cntiai '' ' "''r 0*t 1 ., ,;ir i ii::1; ;.,i,:+.,:,.i "1 Each manufactured �ir'���StYXi�"�.�1'�.;:�{ 1'. ir, i Is,':r.;i!,�;:;;: i'l. °' f or modular .,,,'..,'"'r ,.W y f,f,�, ..1, �hlv I, ,, .�;1,i' t , �•' --' " ""' "f " "' -" "'-' dwelling, service and /or feeder 90,90 2 EL c4 _ va. 6414661J- 1/ � . Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 f ,, ; l; a :' ,' : n; 201 amps to 400 amps 106.85 2 . 1'r .ati ::1. ,:1`� ,, ;;; ':Ii; j'If' . : ; ;Il;l /' *'1 "f, , :.;;; ;; ;if.l.' _ _ 0 , ("T„ °jR' f1� 'fY:,.C• 1V1 .,;1� r ?,ii; ,,f.�. - 1,.`..I - _ .':,,.1: „'� .. ,� - .n;. � 401 amps to 600 amps 160 -60 Name: 601 amps to 1,000 amps .... 240,60 2 Over 1,000 amps or volts 454.65 2 Address: Reconnect only 66,85 2 City /State /71P: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fox: ( ) 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. Branrh circuits- new, alteration, or extension, per panel ,... i:'I. , Jt q �✓lry� ' „y4 giiN; „ f 1 A. Fee for branch circuits with i.!'I. 'li rh;i il. % ,. FJG ` .,, (i'1• � 'r. , �i; i i !; . .... . '' .r(J, ''' � - feeder fee, each ��'�l'�'�iC' ; sl ° 6.65 „._. service or eec c 2 Business name: branch circuit - • B. F cc fo b ranc h c Contact name: without service or feeder fee, 46.85 2 .... - first branch circuit Address: _, Each add'1 branch circuit 6.65 2 City /State /ZIP; Miscellaneous (service or feeder not included) • • ”- - Pump or irrigation circle 53`40 2 Phone: ( ) Fax: _ ( ) Sign or outline lighting 53.40 �_ 2 E- mail: Signal circuit(s) or limited- ,.' 't"'(yTVi1GX7�'�` "' ;'�' .,,,i,r yin''. suer panel' a cfR'10o or extension D :... „, . ' ?',..r, r.' ii tr,r i ' nhc :T,;Ci"f~f "'.; " 'i'; :. ,iii Page 2 2 Business name: (AjK45I . gad,- E s_(,�.�...ssniG- f Each additional inspection over allowable in any of the above Address; t7_ g.,x Per Inspection 62.30 City /Sta.te /ZIP: t! ge1 s f_ R 7D _ _ Investigation per hour (I hr min) 62.50 Industrial plant per hour 73,75 Fax: ( ) f, .' Phone: ( ) �a l j� °� - �! �fL� f ,l "Yi1hICTYCA�i�sil'1[ZNCX•�' ::)ri5 ,.:'; "J.:;.i.l Su rv. Lie,: Subtotal C'C1.3 l.,ic.: f( Electrical Lic.: p il, I:ntal ov — Suprv, Electrician signature, required; X / f Plan review (25% of permit fee) .` � State surcharge (8% of permit'fcc) Print name; // t.-14 � _4A ft � ' _ ' l late: tt. / C.5 L_ TOTAL PERMIT PEE • Authorized Sig_ na.lhre: This permit nppticatinn expires if n permit Is not obtained within ISO days after it has been accepted as complete Print Date; * l4_e methodology set by'frl- County Building Industry Service 1301rd I name: — ,- " Number of inspections per permit ntlowed. I u \nt,C- rcrrdtnondee 1 2rn:c 445 4615T(1n /n2 /COM/WP.H Plumbing Permit App , t ` FOR OFFICE. USE ONLY - . . City of Tigard (� DateBy Permit N �g0�j .60 13125 SW Hall Blvd., Tigard, OR 97223 DEC (1 20 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �mrt ��,�' Date/By. Other Penult No.' 24- Hour Inspection Line: 503.639.4175 e. Date Ready/By: luris 0 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIijh Notified/Method: Supplemental Information .,. -, ,- .. -...- n... ..?,xs_ . , �. , ..,x.t"i,., ,m -, .,.x. .^:•r..;.>. '"ax3,d.n:.?Cx. ttv� ,w,-q::. . F.e -�. ... ;-n'"'. ,. ,.,. �P Y <t�•a.. - +.v> .Nn..'Z .r..... .sz' , • , i ?ii r'? %- S. a, aj. ;FEE;.: =.S`CITEDUT. �:� _ ;.�•.. = a� =" S ,..... ,. .., x.,., -.. ' .-'- '. <r <,.�...- .,,,.. , < � � �� a ,,...�' -, , .,.. .�,«r:,�ts,- .;,'�;�u':.;_.. .....,,.<.: ,�.�c3i`: �:xx.r -'�... -..,� New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition/alteration / replacement ❑Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) :�.... �- :ems .r, r ..., F .., r- •. ,< - , , (14:i 6 F`- ",00:* 0„ 1#7,1.. ; ?: '' _., ,ii.,;-!sr- bath 1 �<�»xx �q�M�.,�»WT,� �'�; • , . .,. ` ; :a ". .-.:: ' m •�; : -. .. :#afi3G. i*4'ltah.�,' '�'t�3',��,'S�i`,.� �. �..�':.....��R:�� ;,nt.�.,5' ,_ , r SFR h ' 'Ig, 1- and 2- family dwelling ❑Commercial /industrial SFR (2) bath 1 11 Accessory building Ill Multi- family SFR (3) bath " 11 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: a s a a : a :F t _ Fire sprinkler ( sq. ft.) Page 2 � ,.,,-,.:: A . : .tJO_ B SITE- 'IN ; AND I�OCA'T ,,, ,. ' `" :.;�;' ,.. .., . ...,.._,_�., <,: _' ��:�.,e .�''A:.... "fin:- Site utilities ' . Job site address: / J J (77 el t t //� (_/-) .. • a drain 16.60 . City /State /ZIP: 77 ��' ► � . 16.60 Suite /bldg. /apt. no.: Project name: fie / ei • • • • . Page 2 I ���� • - 110.00 Cross street/directions to job site: itig I ly it R___O s Manholes 16.60 connector Rain drain 16.60 Sanitary sewer • Page 2 . Storm • • Page 2 Water service • Page 2 Fixture or item Tax map/parcel no.: 1 ® 0 9' Clothes washer 16.60 . Dishwasher 16.60 .., r; ® -, 1'= R • l'EI2mY: =O�i' : � t • r `' ;'0 ;e , � ;, ' ,, ' . .`rENA'N i .E_ ��- �:, pp . �, � �� », -_ : a;�' -z,� . , _ �-� „l���c� Expansion 16.60 , Drinking fountain 16.60 -- ;:h �.- <- �'_��a�:..,_ 3 °�.�- �� �» Ejectors /sump 16 60 „,Name:l:<,.' l. /7 (6 / 7 i , f Address: C, _, Il 7 P. lli • / C f i �L_ 16.60 City /State /ZIP: /ea tier •• drain/floor 16. i ,I ." 70 Phone: (` ' 61 Fax: �� �4j �"j - . . . 1660 • ::.�.: -', ,:,,, -:;; -,.. n. . ":r rya" , ;�, � °� , .� ,,, �a..; , o.�tia .xr„� to > AI'PT I+C NT :'._ -, . , ; , '.C''OI ' A @ 7'; kE 'S (?N. , • R ls d � ., • . . ��?„r..__..__ air ti,. �3 1660 ice Business name: - 10 ..J ./0 NA. i4 / Interceptor/grease , ' 16.60 Contact name: ©,' . Page 2 Address: r 'v w f� i :i9 :�slii 16.60' City /State /ZIP: ( ' V , j � 0 A q '7D� • • drain ' 16.60 1 I Sink/basin/lavatory 16.6 0 Phone: / _ / : V; I Fax: 60 • ` ` l7 - • • „ !1 p /� � • • .. 16.60 • E - ;..,��„ r• -'_ @° mail J . ® L )I"2 ro /ff�1' �� T,� �5, l E/ 16.60' , `-Y.se ,R t%33' ,;,'-, P ,s,''ri. t?;t: ., rsc,,, � , -�',t .S k�!" =�s,z _ t. t: �<. .._ { -, , €x7.,:�:( %:,: ,3te,'; �.:�;' �. ?,>f� m � $ �4` € >;i�• -.,. • 6.60 Business name: r id , ,5er2o i» <, t' < J' , I J'` . Water heater 16.60 Address: ' , i � �;� el/ _ Other: n Subtotal City /State /ZIP: d �� Q' 5 / Minimum permit fee: $72.50 7 Phone: (503 a 73 Fax: ( 3 h�� - e� 7 Residential backflow minimum permit fee: $36.25 CCB Lie.: d /' 7 Plumbing Lic. no.: ,.-,,..,59P Plan review (25% of permit fee) " � State surcharge (8% of permit fee) • Authorized signature: TOTAL PERMIT FEE Print name: ,TO/ r f \ -„ f „ Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\B Iding\Permits\PLM- PermitApp doc 06/05 440- 4616T(I0 /02 /COM/WEB) f , Mechanical Permit Ap_ l ti =nr FOR OFFICE USE ONLY I Rece ived City of Tigard Date /By: Permit N t, 1 I aW 6 , C01,34, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.59X.1960 4:11 Date/By: Other Pennit: DEC 2 9 10 Inspection Line: 503.639.4175 0 _ e l I Date Ready/13y: Juris Ei See Page 2 for Internet: www.ci.tigard.or.us . l Notified/Method: Supplemental Information - x ��OF'T - fk . f% . , :.f . »� -vz,,, .., �., u .. .:. . . ..... . ... .r.; rt .�3 p ,,., . .- : - �,3! 3 :�8: �Y l r... -. . � ->. � . a.. ..�e.. ,,,: v3. , . : .."<" ..e:uf'., �,y .;.;°;. rs � k ., `^Y , , i n , w ",< ;.� ''` . 3:x�:: .; , , _ . � rt e9 : � _ ,, „f„ 's.Gt?14t1Y1EItCIA�7 �REFi< SCHEDiJIUE � :USE°CI�TrCkL u ;,, rn , -a.:.. •,,.� ., ,. j,, ��¢�) �(y{� {�fp�+> 5�+4y fig `,,,t.. Y , 23 � � , IIJT'� rcA" �; f'!+;*��Sn.9��� a. ;..... _..&::.fp�: . .:fr: :'� "'? ;n - ... 3 .. ,:95„::'•:.r.l.,...rA. 'Ke:.z. . »..-. .n,� .. »,. :. ..<. New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work. performed. Indicate the value (rounded to the nearest dollar) of all Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit. ,at :.�- ,. :, = „ uxiwa:,, • , ..ww, y.. a vi Av 5° t,,,,AN Value: $ �3 cATE�:oRY..o� ;corrsrRt � ,. � �;� ,l ,..., �n. �<.r _..�.. a�� .x =...:....,. : c,•: ..........: ... ._ ..•� ;,,� n roumr.e, >,r;,,, c ...�.�zr.� , ,.,.k;�:se,�,: „s• • �w�-� :w R IDE ; ..E...,:. .. 4. ‘16 1- and 2- family dwelling ❑ Commercial /industrial El Accessory building NTIA)✓.E UEBMENT, /S itZSFEES *, Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total ;,;,t,/ � �, � , � <r,nul� <a "�: ;.as,:��o-; :.�� „ •• „1 �ltt. z,71,�' r,:i'v; %� ��5, c,,, t4 ,, . -�a, JOB1'SITrE? INF'OR1y1A'BION SAN, D „' O G!A_ l ONE , Heating/cooling .. . t: r rt, .. �� . .._ // Job site address: 8197 Fitz() - Air conditioning or heat pump e / ms/ / ) (requires site plan showing placement) 14.00 -- City /State /ZIP: � oe / Furnace 100,000 BTU (ducts /vents) 14.00 �' "` Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: / Project name. , nee/56.45e.„ Gas heat pump 14.00 Cross street/directions to job site: A6r )tA , /a- ci- Al /- 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 : - - Subdivision6dli Pi Lot no.: .! / Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances g ,: 4 ; _ii ` >_�,, ;;;1: , Water heater 10.00 .'=_ r AESCRLP7IQN OZi W,O12K,., p <s,� >, ; (7 4,n rt.,'. a n Gas fireplace 10.00 / ( 0/17 , 0 f') 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 u' a o-: ;:; _, y s =s' <. l ,- , -r- T , ^ „ ° may _:: Chimney /liner /flue /vent 1 0.00 10.00 '! ° , PROffierV °.QN'NERt3, : .,.: ?s II R N1 . ;; ,. ,, >,m ~;; , 1 ' u _ . ®,,.i Other: Name: ` err -z, _ 7I• P /'z Environmental exhaust and ventilation �'� '���`��i� Range hood /other kitchen Address: L / ,� / / equipment 10.00 ,�u � ) Clothes dryer exhaust , 10.00 L I e o n `V e 70,0 Single -duct exhaust (bathrooms, Phone: ( j / Q_ '-1-b 6 8 Fax:4500A 6 , s7 � compartments, utility rooms) . .;i,..;:.,, -, _ . Attic/crawlspace fans toilet com art ents u t r ms °('.. � n ,,'' ”' �;�'�',��;':�; s?,%,�;gzzw<" spa t�', ” =3' Attic/ I 10.00 3 ....., .::: ;:,_.., oii:aCANT:.: M ti ; : ;, - °n 0,1%,14 -e TiS : , -. ;. tea. ; ( /tea( Other: , Business name: � / pr'�-i �'i i L e. in Fuel piping Contact name: 3ph ) $5.40 for first four; $1.00 for each additional 'lt I f� � Address: t7 „) W,i -66� T/ l C Ldt �� Fumace, etc. • Gas heat pump City /State /ZIP: ( ezt x/1'_0) k Q7® .— Wall /suspended /unit heater Phone ��J_ !i � Fax: : (505 6 e - �g Water heater 1 / Fireplace E-mail j A.n (� r0o nd3 rQ er c Se, eon Range .. E � =" C®NTRAC l Barbecue 0 >R.i °:sue - _.�r ‘,���,.,_. .. _ �.. ��, .en ._ . ,.,.�, _ »., . -.� �,r Clothes dryer (gas) Busii Central Air LLC Other: Add! PO Box 433 ;. , .. . R j I FE i E .= 'r�MEGII"AN;( = CA•L PE 1iM I ' f ° ..„ . � "�� %�' Cit Clackamas OR 97015 subtotal Ph: 503 -803 -1303 Fax: 503- 244 -1702 • Minimum permit fee ($72.50) Phoi Plan review (25% of permit fee) 1 CCB: 162677 CCB .... / (f) /..„....., State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: `.J l ( �r `j gerrr-/-____ Date: * Fee methodology set by Tri- County Building Industry Service Board 445.4617.T (11 /(1J /r'r1M/WFR1 Mar 01 06 08:31a 503 - 632 -5647 p.1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE �■ MIKE PATTERSON PLUMBING � EGEIVED 15028 S MITCHELL LANE OREGON CITY, OR 97045 MAR 1 2006 CITY OF TIGARD Plumbing Signature Form BUILDING D Permit #: MST2005 -00436 Date Issued: 2/27/2006 Parcel: 1 S134DB -S0011 Site Address: 11197 SW ELLSON LN Subdivision: STONECHASE Block: Lot: 011 Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES MIK RSON PLUMBING 9550 SW BEAVERTON HILLSDALE HW 15028 S M LL LANE BEAVERTON, OR 97005 OREGON CITY, ;..97045 Phone #: 503 -619 -4668 Phone #: 503 - 632 -737' ' Reg #: LIC 81746 PLM 3 -359PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number f+j 061436 Lot No if Subdivision 5Tt,N4. cto4t Address my 7 Su, ELL sa.0 Lam! Contact Name sroHa G coo , Z Business 6E44s7s.. Ax cosr 1.1.6....15 Street fs•ro ‹_, av r'+v N=L Ls putt Nw . City jjc .gvsA -rem; State I pig_ I Zip I 1 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. e application is complete. The application is incomplete for the following reason: I The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. I The submitted plans cannot be reviewed until the above information has been submitted and/or approved. The plans are deemed "simple ". 1;51 .- The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. MA1/ I — / -o6 Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 ,, AAAAAAAAAAAAAAAAAAAAA®® ®®A ® ®®® A® A A A, AAA /y5 0. ® E TI FI CATI O N ... T EET TREE C R S R I, ETeVe..� g-; b &C)�1 , Gcaner gent for G�rri+ 16i'C{,9 j Cl 1. Y I- s ® (PLEASE PRINT) - (PERMJ- HOLDER) ® \ r!„0, I ,- 4 ® i. ;`' ® A ' ® Do hereb -M ,,= ila -$ fal ©wing l ocation = s.- . meets Y< '� xof : o rd /Was i on ount 4 land use and development standards for street tree installation. ® - • ADDRESS: 1 1 % C 1 - 1 �\. \W'� \- - ( _ 4 LOT: \ \ SUBDIVISION: S in- . he t - I BY: 5 -..e__,v-e__ G4 b S 0 1 '1 DATE /v '- ( -0 Ce 1 RECEIVED BY: DATE: :'1 11 _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 L_' '��.. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 63 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: O3 -619- 4668 , CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503- 619.4668 Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 038482 -04 503-320-2703 Y Corrections /Comments /Instructions: • _A X 11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED Inspector: ism Date: Phone #: (503) 718 - 7--- . , CITY OF TIGARD BUILDING DIVISION AiA . PERMIT #: NIST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639-4171 "Aintli14 Inspection Requests (24 Hrs.): (503) 639-4175 „.,3,11 IL. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 64 SITE ADDRESS: 11197 SW ELLSON LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038482-03 503-320-2703 Y Corrections/Comments/Instructions: -4 -----• 4ralw y \ ykr it A jr ----, r _ ■ ■ . 1. I 1 , PASS PARTIAL APPROVAL El CANCEL NO ACCESS FAIL 0 CALL FOR INSPECTION fl ADDITI NAL EES ASSESSED Ins ector: Date: 2/A:AL____ 0 ( Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: mST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2712006 Phone: (503) 639-4171 A .. Inspection Requests (24 Hrs.): (503) 639-4175 .F...._- ........ INSPECTION WORKSHEET FOR DATE: 10/1812006 TIME: 7:06AM PAGE: 61 . SITE ADDRESS: 11197 SW ELLSON LIAI CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: • PROJECT NAME: STONECHASE , DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-6194668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10118/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038403-01 503-320-2703 V To B Corrections/Comments/Instructions: --- 0 0 '' Hrir ( 1). 1. Lii. lair to _ - v - E176 7 PARTIAL APPROVAL CANCEL El NO ACCESS 1 --- FAIL 7 CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED Inspector: -- Ze Date: O ( Phone #: (503) 718AZ ‘.) ... . CITY OF TIGARD BUILDING DIVISION PERMIT #: M ST2005- 00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/ 2006 Phone: (503) 639 -4171 tidltiiAl ,il Inspection Requests (24 Hrs.): (503) 639 -4175 „ ' _ INSPECTION WORKSHEET FOR DATE: 0/15/2006 TIME: 7:05AM PAGE: 17 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: S3 ONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: S I ONECHASE DESCRIPTION: New SF • OWNER: GERR!TZ E3IGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRI IL RIGGI CUSTOM HOMES PHONE #: 603-619-4 Inspection Request Scheduled For: Date: 0/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 034981 -01 503 - 939.7245 N Corrections /Comments /Instructions: d Ale / ,♦ M ir . � w —. - W PASS n PARTIAL APPROVAL [ I CANCEL NO ACCESS ❑ FAI NI CALL FOR INSPECTION n ADDITI•'' AL FE. S ASSESSED et r Inspector:4 ( 0k Date: 0 Phone #: (503) 718 ( CITY OF TIGARD BUILDING DIVISION A4,1 PERMIT #: MST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/200E; Phone: (503) 639-4171 .itirli1141111\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/4/2006 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Now SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 5 Inspection Request Scheduled For: Date: 5/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough•in 029292-02 6(13-320.2703 Corrections/Comments/Instructions: / . 7/ • • ,,- • • rt/i/UA fl PARTIAL APPROVAL n CANCEL NO ACCESS FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: (4 Date: / Phone #: (503) 718- CITY OF TIGARD ` :: m S. BUILDING DIVISION PERMIT #: '' 0 ^ 4 13125 SW Hall Blvd., Tigard, OR 97223 ° ` : " DATE ISSUED: Phone: (503) 639 -4171 yi����l���� Inspection Requests (24 Hrs.): (503) 639 -4175 -. -r o ®p L23/ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / / / 9 a\ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ` DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: —/ (0 — o C Pour it�eS Code # Inspection Description Confirm # Contact # Message , ) 3 L 330 22S 6 o Sao -X7 { �� 6 ` , Corre /C mments /Instructions: "1-- sit4- PZe__et c_e / w/ C.eree 1.) , facs,e_S. t 33°) _ crue.„ u toc-) 41-Ae_. .e 7c,„___,,i, Ev. u.rL >"■fti 73 ( 22) — -s G ..PASS V PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1/V Date: 3( i' Lel 4 6 Phone #: (503) 718 -'27( CITY OF TI m ST-- BUILDING DIVISION PERMIT #: a 0c5 b 6 e iz3, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 b 111, piidj( Inspection Requests (24 Hrs.): (503) 639 -4175 =.� INSPECTION WORKSHEET FOR DATE: • TIME: PAGE: SITE ADDRESS: (/ / f 4 r 1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: --. ) Inspection Request Scheduled For: Date: 3 -7 - 0 (P Pour Time: M C. _ - , Inspection Des ris on Confirm # Contact # Message �, 3 S 39 /Q f 386 - a - 9 orrectio • omment I ' fruct'on \\. *f-2 , i fir ... /',. it 4 4.41.,,, 9 \f„.. • H PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL , ® CALL FOR INSPEC ION ❑ ADDITIONAL FEES ASSESSED Nji Inspector: die ~ ' Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 /4%,,, DATE ISSUED: 2/27/2006 Phone (503) 639-4171 ...r, Inspection Requests (24 Hrs.): (503) 639-4175 „_.. INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 52 - SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: ' SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE , , DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-466 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10/1812006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection , 038403-03 503-320 V Corrections /Comments/ Instructions: "----- , la. r 1111.0111. I -I I PARTIAL APPROVAL rI CANCEL 7 NO ACCESS [AIL n CALL FOR INSPECTION [ I ADDIT N FEES ASSESSED a t m A Inspector: Awskti Date: 0 6 Phone #: (503) 718- jr ' Nii ir „ CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST200&00436 13125 SW Hall Blvd., Tigard, OR 97223 A . DATE ISSUED: 2127/2006 Phone: (503) 639-4171 i N/00011# Inspection Requests (24 Hrs.): (503) 639-4175 4■ 12. . INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 56 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE , DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503.61-4568 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10118/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038403-02 503 Y 4() Corrections /Comments/ Instructions: ( 1 ' . e................■. A -r-t--(-(-----(-"i--r--- i t, ,„ • --/PA fl PARTIAL APPROVAL pi CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL EES ASSESSED Inspector: 0 71 Date: ° 6 40) Phone #: (503) 718-2k°3 CITY OF TIGARD BUILDING DIVISION ako,i, .. PERMIT #: MST2005,00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2P7/2006 Phone: (503) 639-4171 : Inspection Requests (24 Hrs.): (503) 639-4175 ...,..111■ INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7 PAGE: 63 . SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: Oil TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: N SF OWNER: GERRITZ BIGGI CUSTOM HOMES. PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036293-01 503-981-4640 N . Corrections/Comments/Instructions: R:4-ASS I I PARTIAL APPROVAL I CANCEL fl NO ACCESS fl FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: N'oe LE Date: 9 ii 0 Phone #: (503) 718-2i//6 CITY OF ~ ' ��mm m n�rn mn�m�mum�p BUILDING DIVISION ~°~°�~~~�""~~" ~�"~"~°"~°"° PERM|T kAST2005-00436 13125SVV Hall 8|vd.. Tigard, OR07223 DATE ISSUED: Z/27/2U0G Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7MAIVI PAGE: 10 SITE ADDRESS: 111g7 SIN ELLSONLM CLASS OF WORK SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: O/|ONECMA8E DESCRIPTION: New SF OWNER: 8ERR|TZLNSG| CUSTOM HOMES, PHONE #: 5O3-619-4661i CONTRACTOR: GERRITZ B|GG| CUSTOM HOMES PHONE #: 503-619-4568 Inspection Request Scheduled For: Date: 5/2512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 090610-06 603-320-2703 N Corrections/Comments/Instructions: , ~^SS El PARTIAL APPROVAL El CANCEL I NO ACCESS F� �� �� FAIL / / CALL FOR INSPECTION �� ADDITIONAL FEES ASSESSED -- � Inspector: Date: Phone #: (503) 718- Z‘Cif/ r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005•00�136 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J27/2006 Phone: (503) 639- 4171 "�I�90iI? Inspection Requests (24 Hrs.): (503) 639 -4175 JAM INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7 :01Albt PAGE: 45 1 �- ta 4,Ko71 -- SITE ADDRESS: 1.197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 ' CONTRACTOR: GERRITZ €31001 CUSTOM HOMES PHONE #: 503- 618.4456e Inspection Request Scheduled For: • Date: 5!19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 030179 -02 503 -991 -4610 1 Corrections /Comments /Instructions: Gr�L� L—c1,/ vo V flt(6 SfC -z-7 I Des: 'IA f t/" / 1/) 1 : v im' 4 Ir PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL F I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (J1? I Date: \ S -7 1 c 2 • 045 Phone #: (503) 718- Z6 e-/ CITY OF TIGARD BUILDING DIVISION A PERMIT #: IVIST2005-0(1436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2008 Phone: (503) 639-4171 L.7,4001 - Inspection.Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: • 46 SITE ADDRESS: 11197 SW BISON LN CLASS OF WORK: SUBDIVISION: STONEGHASE LOT #: Oil TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ. BIGGI CUSTOM HOMES, PHONE #: 50819-4660 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 5/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message iTh Electrical seivice 030179-01 503-981-4640 Corrections/Comments/Instructions: 7 -ASS n PARTIAL APPROVAL E CANCEL fl NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: elf Date:(S • 0, 4 Phone #: (503) 718- ZC4'q CITY OF TIGARD BUILDING DIVISION PERMIT #:Af 7 O_ Q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Aktb Inspection Requests (24 Hrs.): (503) 639 -4175 ��!�±i►:_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: J , j,7 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE 503— el 35, 7.24s CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: -- ,j ' 0 C Pour Time: Code # Inspection Description Confirm # Contact # Message Co ection /Instructions: ® I i C 4� N t r� — -r m l/7> ' Ti 's'� ys�J/�'� 46 • 2 ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ‘7 Date: _icy Phone' #: (503) 718- 7115"6-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AIVI PAGE: 9 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4661) CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 50-619-466B Inspection Request Scheduled For: Date: 6/1212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 031578-01 503-320-2703 Corrections/Comments/Instructions: \ r r I PASS EI PARTIAL APPROVAL LI CANCEL EI NO ACCESS pi FAIL CA FOR INSPECTION ADDITIONAL FEES ASSESSED 111F ( Inspector: 4,1 ti Date: ( Phone #: (503) 7182 .0 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 61912006 TIME: 7:02AM PAGE: 44 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHABE LOT #: Oil TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: NW SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 619/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 031461-01 503-320-2703 Corrections/Comments/Instructions: n PARTIAL APPROVAL CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: /‘ Date: Phone #: (503) 718- _ , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2006 Phone: (503) 639-4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/25/2006 TIME: 7:03AM PAGE:, 9 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: sToNECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: SIONI DESCRIPTION: New SF • OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603-619-4668 . CONTRACTOR: GERRIT?. BIGGI CUSTOM HOMES PHONE #: 603-619-4668 Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 030616-06 503-320-2703 /-" Corrections/Comments/Instructions: .41P . 4-- • 7 CA 2L. 4 c5," _ • I PASS 141 APPROVAL CANCEL pi NO ACCESS FAIL n CALL FOR INSPECTION 1] ADDITIONAL FEES ASSESSED Inspector: ; 7 4 Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: T; 005-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/77/21)06 Phone: (503) 639 -4171 /d M Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/25!2006 TIME: 7:03AIY1 PAGE: C1 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Nets SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503.619.4€ CONTRACTOR: GERRITZ 61001 CUSTOM HOMES PHONE #: 563-619-4668 Inspection Request Scheduled For: Date: 5!25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 030516 -07 503 - 3202703 N Corrections /Comments /Instructions: - 0 5 ?' PeG' A- A,A-(2/42. 4 etgfA.G ✓ 1 6.2 4.1 4/t/ ! - : • PASS MARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: in, 'Date: ='� = 6�o Phone #: (503) 718- " J—' CITY OF TIGARD BUILDING DIVISION A,4 PERMIT #: MST2005.00436 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2127/2006 Phone: (503) 639-4171 : Inspection Requests (24 Hrs.): (503) 639-4175 L. INSPECTION WORKSHEET FOR DATE: 5/2512006 TIME: 7:03AM PAGE: 7 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: Oil TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4660 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 5/2512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 030616 503 Corrections/Comments/Instructions: 1 1 PARTIAL APPROVAL fl CANCEL n NO ACCESS I I FAIL C LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector' 5 -- 25 ----7 -Z Phone #: (503) 718- 1.514-rr • CITY OF TIGARD 'r , BUILDING DIVISION A PERMIT #: tvIST2005-0136 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/27/2006 Phone: (503) 639-4171 41 _ .v I # Inspection Requests (24 Hrs.): (503) 639-4175 .4.14- 111. INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 98 SITE ADDRESS: 11197 SW ELLSON L,N CLASS OF WORK: SUBDIVISION: 'SIONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: SIONECHASE DESCRIPTION: New SF OWNER: GERP,ITZ BIGGI CUSTOM HOMES, PHONE #: 50619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 603-619.466B Inspection Request Scheduled For: Date: 4/28/2086 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear wails 02890&03 603-320-2703 N Corrections/Comments/Instructions: — ( (0S - _ 35 kr okii iKlitzt-4-( k eckie64-E---k ...... _ 01s..._ PARTIAL APPROVAL n CANCEL * NO ACCESS , _ FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: V • g,, Date:' w YI Phone #: (503) 718-2-k w CITY OF TIGARD • BUILDING DIVISION PERMIT #: M.51200-50(1436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J271200c, Phone: (503) 639-4171 4A t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4120/2006 TIME: 7:02AM PAGE: 139 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECF1ASE LOT #: Oil TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-466B CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: !'.;03-619-46611 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 028906•02 503-320-2703 N Corrections/Comments/Instructions: - AP _ ivimralimisly .,„. W • t"K -.---- I ASS PARTIAL APPROVAL El CANCEL n NO ACCESS 0 FAIL , CALL FOR INSPECTION n ADDITIO AL F S ASSESSED C A A - , • , A I nspector: Of V Date: . 0 IF AO Phone #: (503) 718:27 . „ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00436 13125 SW Hall Blvd., Tigard, OR 97223 A A A DATE ISSUED: 2/27/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 „_411■ - INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 90 SITE ADDRESS: 11197 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 011 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERR1TZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 4/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 028906-01 603-320-2703 Corrections /Comments/ Instructions: • • • I PARTIAL APPROVAL El CANCEL ' I I NO ACCESS I FAIL CALL FOR INSPECTION fl ADDITI• AL FE S ASSESSED Inspector: tit Date: / .4 Phone #: (503) 718- CITY OF TIGARD ' J m BUILDING DIVISION PERMIT #4. f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 0 401 l�l Inspection Requests (24 Hrs.): (503) 639-4175 % 2JcJ5 ©o L' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / , 9 d CLASS OF WORK: SUBDIVISION: . LOT #: TYPE OF USE: PROJECT NAME: ' DESCRIPTION: ` - OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3--1 -0 _..- -Pour Time: "�, Code # Inspection Description Confirm # 2- . Con # Message \� • 3 ' 3 3 ° S— 6 °P 3ao—X7 � 0 3 Corrections /Qomment Instructions: 0 A • - _ ._ ___•._ _ -- 'sg- P6._cf_c__e L -51.4:) .__ 0-(-/_____ -ea. S t 3 3 0) -- oA-� (6O) ovv. � 1 ..j /W. c- . 1 C225) — £S/ j 2,..A (FA PASS V PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/V ` Date: �"/ �( Phone #: (503) 718 - i CITY OF TIGARD , r s BUILDING DIVISION / 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: j° Phone: (503) 639 -4171 /Am 1 1 1 PERMIT #:x66 _, ao �3 Inspection Requests (24 Hrs.): (503) 639 - 4175 __ .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ( / Ci- 7 E124-641 A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: /� j . 3 Inspection Request Scheduled For: Date: 3 3 -- 6 C� 6 Pour ime: a � Code # Inspection Description Confirm # Contact # Message 2_ S ---- 2 v orrecti.i. /Commen s /Ins ruc ion C ‘( 1 FO f D I ' ir MIIIMMID — 1 IW C ® 7 Ill b I N , ,,_ , ft AI ., __, . _ levir A ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL- .EES ASSESSED - 1A, ,5 Inspector: 7\ Date: 3 3 , Phone #: (503) 718 - .�