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Permit
m OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00416 e1111 . DEVELOPMENT SERVICES DATE ISSUED: 1/25/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134DB-S0015 SITE ADDRESS: 11240 SW ELLSON LN ZONING: R -4.5 SUBDIVISION: STONECHASE LOT: 015 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS22926B STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,298 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,591 sf GARAGE: 848 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 292 347.40 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,889 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: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: 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: $ 10,337.41 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS • Ersn Cntrl 681 -4444 Issued By : A/5: Permittee Signature : _ /61/Q�,� I 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 Analication FOR:OFFICEUSE ONLY" -x ,, y . COVE) � • City of Tigard R e c:we a / /�/ I Permit No. L fA915� ✓ r / 7 DatefB 13125 SW Hall Blvd., Tigard, OR 9722. , 2 Plan Review ' Phone: 503.639.4171 Fax: 503.598 1960 1 2, 2005 /�M// '�I+ Date/B : l/ /— .7 S -F(j Other Penni: i • Inspection Line: 503.639.4175 i Date Ready/By: See Attached Checklist or Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: � H i Supplemental Information I , _ . . ,�"Y9f w , x {` ., ,y 6 =�'.. ;oa ,:.... , < {l�• �+ • , >>v .p �3 -�5 � m - a F " p �.- ; �..;. • >TYP _ WO$K , '3 „�,. ,;. > DATA AI�II1= °2- F AMII:Y ° "D -�. o � •<,�ra„x ,- ... _ •a,,. --,.. , - �: . . _- -_�; ., ,�<,<<.,'�-s� . . �..w_;`,r :`;_ e€ �- :•�m`5'r::= _ =;Wt4�:,,':�''�a -- tip. =- �,- �'a"'�s'`e '�'�,�:= �'� -'s � .� �.•,.,i`"�:�_`" $. 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 ro !t the '' „ > ; ' ` .t m _ , -' ' '' work indi on this application. 7'7 �( ' , ;. CATEG OE.3 -< - - J C TRUGT'IO1V� ' ��; Valuation: $ � �� / ` 7,1- and 2- family dwelling ❑ Commercial /industrial I. CI Accessory building ❑ Multi - family Number of bedrooms: i. ❑ Master builder ❑ Other: Number of bathrooms: ::0!'.'-:'St' ..;, . _, ; ,< -.,, :: ; ` .'•< ; ;: ,;;" '., �.;,5, Total number of floors: F z° ,.� _,,.., .,,,, , , JOB SITE ,INF,ORMATION A `LOGATIO , `' Job site address: J / / of ZY New dwelling area: f f / square feet I. City /State /ZIP: 'ear 69 7 ,/ Garage /carport area: V square feet C ` r Suite /bldg- /apt. no.: - Project name: + ne c t (le,(_s e_ Covered porch area: square feet Cross street/directions to job site: N9h � C L a -.2-1.5-1- 5/ Deck area: _ A 7 _ square feet ■ Other structure area: square feet • -Y$ I IRLI) D, AT ' A:GOIYI =II C �.HE C. K f TS T ' /� -�' - .�a;r'&. - �:�; � N>' ,d..ff3v�yi., &�F�2=�s�,: �.• ���,. y� zrsa .,- „;^ta, +:.�;.�ts���n; 4;a Subdivision: �,1 Q Lot no.: fu 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 f ., ..- ., -: :: _;, ". < :' ::. •, and the profit for the equipment, materials, labor, overhead, a e o r ', :: >• 5- , „-- ,",: �IHZ� a�. :°, <r *°a s,, , ;33f• = ' 3 .. \k; 'a- :':'" `r -"'�”. ! .v„i' ?° ,: , �_. ° :Wf1itK " = :,$ ; ,. = ,: , :Z ; work indicated on this application. > ,, ..: - -rte „ . �_ .- n, _, .,> ,�... ��,.�,�.,, � «r m_ ...._ /WO h 0� e 00/25 7r�C 4 (f) Valuation: $ • Existing building.area: square feet New building area: square feet ".i3;� "•t i nn ,. ,��ii�. :,i�:' z;?ir�. "� � ` =P'RORE <RT O VF'NER' A V.:., '', : : - ® ElV' ,, Number of stories: ,,:-...1,I .- .- ; >i"�: , ��::;�N','.,4ii - P,+;..; � � E;a` .. ,, :� Sv,�..,._' 'v�;J ��i � ., - _ . Name: .[(f_ .. / ( , / , • .yin 4 s Type of construction: Address: I fi / /L /wY Occupancy groups: City /State /ZIP: eG vei i7 ( Q, (170 �7 / / Existing: • Phone:so�) 6'1 (� _ ` 41 Fax: (dti3 ✓\ -ozo W . New: • ` ' <�3 l ,":L'` -. t +.er- r- ,r;:.;r. '�;.;i: ".,,; 4'S•�" '.k� =4F'd _ A .., _ ' .x „ :.; -. - �< " L < ,.. .1 ;,3 , , u ,._ �� � C TA �;T ONE,• <� ' �y'�� ='� ,,.: __�: , � ;�: - .>� >; APP, ]CA NT. v.,i = ONl C RS , � , � � � � �, _�' ' ' ,, r (� /� �r,L /lp�t 9� ". t. =� : , ,' ,,, �:, ..:- .,;3t�;'r °:�� „�,� ��' . e,:j:tHf -�:- ��: -:� EF Business name: (�eir7� (A/rr • l , �TF�/n flits All contractors and subcontractors are required to be Contact name: _fo/tn licensed with the Oregon Construction Contractors Board ', under ORS 701 and may be required to be licensed in the Address: Q5 (� -W(6 ,v6 4/A Gia. &.. V jurisdiction in which work is being performed. If the City /State /ZIP: - / Jf'a� V h f -Q, C Q7 0 / applicant is exempt from licensing, the following reasons apply: Phone: 03 6 /q'7 6 ( g I Fax:: ( b' E-mail: / ®h n 0 � e s ern rx', := iu'%: , w��'° » ;:,'R, -, +r > 3. ��! „�; �: � �,r�r�*��F � % j r�',.i;>:a,. ,,;� � �e�.,, :, ;' '; ^ ; t ,4 4 i T q ; 4 3 =, °,, ==; 00 0 01: ,,, ;'r � = fry, .:�'':�.;..`.'�- ��a;;�...- . :.�r;, ,?ate; / :� .,� >,.., ;'��: .r� =a �� rl����:� X33:.: =: °,?,.=xa':,.,`'�: =� �:�,.�' .3 �.: ,�' ;r >-= _ N..;:; ,._ :- _ �,sf,:r ”- :&:..,�`ti••, ;z,:;;:a'.a.:mi`.�..':o..�_:.. : r, -,a,r Business name errf '4 . .1124- t 7/ i '', - 0:000_ _.. .zBC1i nINGPRMITFEES a,:...:. :, � ,,,,- "- �.Y•; ° •3� .,'� +_ >':,:' ^_,:; Address i ,� �� / Please refer to fee schedule. City /State /ZIP: j l/er f .0 0 Q7905 Phone: 603, ( C% _ L/ & G' Fax: ,(5 `(-1Q) (� i7yZ Fees due upon application w [ Amount received /47 CCB lic.: A ` Date received: Authorized signature: ,/�„ _ , This permit application expires if a permit is not obtained {'y( ' • within 180 days after it has been accepted as complete. Print name: 1/7") 16rr � D `� ` � �,� * Fee methodology set by Tri- County Building Industry J Service Board. i.\ Bui lding\Pern,its\BUP- PenwtApp.doc 12/03 440- 4613T(I I /02 /COM/WEB) H Mechanical Pe € GMili�ca= =i on - - - FOR OFFICE USE ONLY - _. City 'of Tigard P Received qqyy, _SII v J ■f %� 13125 S W Hall Blvd., Tigard, UR 972 �' 100 Date / Plan Review Phone: 503.639.4171 Fax: 503.598.1960 4 ∎ Date/13y: Other Permit: Inspection Line: 503.639.4 _ ' =� .1 II DateReadyBy: Juris: H See Page for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information BUILDING DIVISION A -t: •.. , ., . ,.. . : ;.. -. ;V: : TY . a t 1 , : , „ . LE JSE'CHEC ,. o- ,. .,.- ., �,.- _.x :x,.. .. . ,,.<, :,�. m- ^.,aa,�. ....1a ., s ' v� i,x>.a», _, >., .... _. .,.�, ,_.. +�.a,are,�ren�,.,.ur., : " ,�.a��,. ,.. - -<,1,71„,....:4, _. 4 14 New construction 111 Other:on/alteration /replacement Mechanical permit fees* are based on the value the work performed. Indicate the value (rounded to the nearest dollar) of all Demolition ❑Othe: mechanical materials, equipment, labor, overhead,•and profit. • �T E` � 12'Y. E -. °;.5 ", �� -:�; -. Valu : :�� CA GO .�0 CUN TR ' C1" O • ,� i .; »1r�: S I <� �. .. r,iRESID NI�F EQL IPMENT 1 SYSTTEMS f4k F ' , .' 1 dwelling Commercial/industrial lde ' 'i° r "'£' ° "�"' ° ' � '�; ' / ;8. ' ° ` kE 1- and 2-family t 16 y g ❑ ❑ Accessory building Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total - 4 a3 ; H ; % n et,„ ,. a ;< := k � Cis71, a s �,, -; a. :,.,::a ' a; u, = ' j ' ilii : > ,, S� t3 ,. ', ,; >�s ;I`OB °' O ItMA, TIO I V :AI `t� ?, , fJCAT &:.r te„;..;._;-. . , Heating/cooling , ti r „ - , -,n �-.� a. >S,�m�• +zu:�aw.�•a;tw.:��5a4,.. _s �a,;.5�.a�,:- .. >.,,. >:..,, .�� .. c..c:, z:z..r�3 �a::�t• .,', .; ��:,,,;�;.:�.a:.�ns -., g g Air conditioning or heat pump Job,site address: Jl�L /) / l / n �� (requires site plan showing placement) 14.00 City /State /ZIP: - / / / � t2,e 74.72Y- C Furnace 100,000 BTU (ducts /vents) 14.00 Suite /bldg. /apt. no.: Project name Furnace 100,000+ BTU (ducts /vents) 17.90 �e� Gas heat pump 14.00 Cross street/directions to job site: Mfr /h �tl l /a- I- /"..J / c / • 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- dttct, suspended, etc. " -' 10.00 ' Subdivision i ! e Lot no.: 4S Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ( �y';� ` c r ,£ >i- ::�-3b�"? Water heater 10.00 ='Y� < i, 'i `.xi`� gi ,fi ,HES OR �a , - ,.,; .:,1:: "�1 "4:x'3 „�,�,z;;%'� '�� ,.%��.ay.1:`.3s;,,.rs.� ,.i= .�- a- :a� < -czfiF <,aa•,r� >,,�'- 3-2s ;.e a.�K.�t- .� -�-e, �; <_,v ,.<. ,, ,,__�_,� ,. ;n�.�. x, 3s n y��y Gas fireplace 10.00 / / B //7 eathu �! I Oil 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 • >�:,, -.;,,, . y, , Chimney/liner/flue/vent 10.00 PRO , P E RT Y O W > ER ;r ,x ��: - , :, ., . '.�w';,r,,, .�,,.� � ..,�, . °_ .,r >, ��<i�`:.x,.. � '�: ..�: ' ? � - ., � ,�- _...� ..r-,�`�ti ,.� . r 10.00 - '- � � Other: Name: ` ' rr _ itt 0)2,1-• Environmental exhaust and ventilation Address: "�j i t tj _ f��� Range hood /other kitchen a ti I [ I < f / equipment 10.00 City /State /ZIP 'g v / , - n �i oe 701 Clothes dryer exhaust 10.00 Phone: (aY 'C� /Q_ 41 6, L Fax: ?% 6'- 0 compartments, utility rooms) 6.80 Singled exhaust (bathrooms, toilet co ents ut ,;;,•, c.:i ^. _ _n;•� -. .: :!sue <a ;' s..: : °' "" Attic /crawls ace fans 10.00 `® r1'P.PLTCANT �" ,+COi+tTAC,p; P , R . d v ra p tine- �';'�,'� 3:, -: '; ^'�, ;:k� � ., a ���,`i'�'- � = ° � , 's : . Business name: / C Other 10.00 Contact name: �. �rr1 - o / l�l S' � °� Fuel piping � n �1 ,1� . first four; $1.00 for each additional ? , $5.40 for fi ,l rl �� Address: d 4 / ve `,) g /k d ok ./�j , t Furnace, etc. Q55 l p w Gas heat pump City/State/ZIP: ( � i le ,_/ 0 ) / Q70 Wall /suspended /unit heater Phone f ! 9 !/ 6 ( 23 Fax:: (21/ i 6,..._ �©g Water heater - [ Fireplace E -mail: +�h n (.- r oii,nclSiofif rQ er cS. co%o Range AV : ;" r C � tTNIF/ J _ C;` ORr ; x , ;-µ -,: _ i, Barbecue l I � Busine Air Central A LLC ' !dr :;.' Clothes dryer (gas) Other: Addresi PO Box 433 - ` ,< 'M c iaivie'A'i *ii _, iitT EES* ..: ' ,. „-eas t. ,.. �z;•..z:;:,;r-.. ; , :> >a *:'£..„..,.,..._ ,:.,, -,*.„ ,,,,., `•i'"'.' } iM + �� City/St] Clackamas OR 97015 Subtotal Ph: 50 3- 803 -1303 Fax 503- 244 -1702 Minimum permit fee ($72.50) Phone _ P lan review (25% of permit fee) CCB: 162677 State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permitis not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: .� ! ! err - Date: * Fee methodology set by Tri- County Building Industry Service Board s . l ' .��tC' 'ma _ 440- 4517T /11 /(O /COM/WFR\ • Plumbing • Perm a'li 1 FOR OFFICE USE ONLY City of Tigard nFr 0 Date/By: Permit N 13125 SW Hall Blvd., Tigard, OR 1972.23 Other Permit No.. 1 ' 2005 IY$T . ' cow ! Plan Review Receive Phone: 503.639.4171 Fax: 503.598.1960 " � � I +I Dte /By: 24- Hour Inspection Line: 503.633.1411 150F TIGARD Pl L Date/By: Date Ready/By: to °s. ® See Page 2 for Internet: www.ci.tigard.or.us BUILDING • / cia I Notified/Method: Supplemental Information � �_,:.��,.,.r...,fa:<.,:r.... TYPE -OE,.W RK. , . z New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) >4,"`u�-vS,r,. `Vg` a,- iii ;r i` ) 't5€5:55%55^,555 C , , } " CONS TR G (, s TOlY' <: %- SFR (1) bath 249.20 .,- ... -, ..- . �., .3yr... 'efia,.v � 'sw,:,ictl:i:w .. ,. ,._ ��•a". .. ., "::� �3 >,• ,r . ..s -,.. _< s �i�, r i ;r"' 1- and 2- family dwelling ❑ Co Accessory (2) bath 350.00 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder : ,, >,..,,, .. _ Fire sprinkler ( Q ) ti ..,, r ' �,:,a 3s .�;`,�..*�'.,• . °'�� ^,, ^k. � ;, ,: ::s�;r;�c: a ' ^ . €�;` , < °. - "; .. ' , .- JOB S T2E;It1Tk'OR IY L 'Is TDN > ~L®CuA,,, ,,N`: -` '_ a :- Fir sq. Page 2 ,�•a�, ... - ,__���. ...,_ , .. ,: �:��::rr�+���: , .., .. ��.;�$. ,u.���- n,r.',r =; = '. � ":?�; Site utilities Job site address: 7 - .310 h . Catch basin or area drain 16.60 City /State /ZIP: fr ( t AC I7A-2. Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: (2e 1 Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: i di , • , IL. 6/ Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 • Storm sewer (no. linear ft.: ) Page 2 Subdivision: /Me e.A e I Lot no: 6 Water service (no. linear ft.: ) Page 2 Fixture or item . Tax map /parcel no.: valve pia .._.. ce r ,:;;' 3 .:.mot;;; ;,:: ;';'t ;', .;._: - i• ,r , , c.s =,s, -�_ "4?' =3;r,`.. Absorption 1 0 ,..., DESGRI IO , ; , ,,;:. :-,r.. � , _. �"> �..� . , _ F ..- e ... _ ... -. ,.� . F �_ , Page 2 ac o eventer ,� . __ � ` � B kfl w pr 12 Ao' ( ? Oliar“. Cr) Backwater valve 16,60 Clothes washer 16.60 Dishwasher 16.60 • , .. ..- ,r . :, :' ,'•;, ;i,,;': Drinking fountain 16.60 : :PROPEB ] O�VN) R t -TEIV " ri wa, - .. )_:x- 1ld;;��s± _�- ��,:�•�•.';: _ ;�� ° �- � %':��_,�� _,�,,. ., Ejectors/sump 16.60 Name: errl 0 ,/ , y � / op Expansion tank 16.60 Address: 0 550 0/0 ''� / 1(er ��iv �� a Fixture /sewer cap 16.60 City /State /ZIP: ( Ae a „ r i A Q70a, Floor drain/floor sink /hub 16.60 Phone: ( l/ l j 6. :,�0 6' W Garbage disposal 16'60 Fax dis o 41 Akio: ; ` _�:; :,_ °v�' 11 3k. °' ° ;, 3 s s' fk � ; uu ; Hose bib 16.60 =� . • =.,�r�';:3� _ ;° " rF ; _v,. ,.�,I., � „ -� rs a "'' �C n„ ... �4 "�; �F,' *.;, +i'. +�'?'^'-,. .. yF} �,�� .P �:. :? .n':��v`:�.=: r �.;. <,,$jfE,' •.$i���er ;.' �r�:if•; % 'z,^�$p - ';<, , d:s:,$L��''$r',. . , ,F �'y�is ' Ice maker 16.60 Business name: r1 . 7 1--- ( 7 #! /2'j /yes Interceptor /grease trap 16.60 F ' Contact name: Cl/ i -tom/ Medical gas (value: $ _ ) Page 2 Address: rM f K M �IM Primer 16.60 City /State /ZIP: ( i ea Of +r) ( 9k' q 70 (6 Roof drain (commercial) 16.60 Phone: / _ / Fax: 6'� Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 • E -mail: B 6h 0 -IG/ _ J o ' 'j. , /eS' SJM Urinal 16.60 �,' .3 =r. `5 ;,.r .:. :,;n :i ;:k2. -e ,,19..1 .x�a£'�•i^ '• ?;"-�.• •., >.,t,. r; Water closet 16.60 OO N RAC O' < ,_ ,:;.; ., .. ., ^. wL ;s- = "``: `.: :ss. .. �� <�: ,; .>., ».•�u. .,., Business name: Hi kt a -{ �t .r n T . l &.�hi)c . n Water heater 16.60 t t / ____4_, Other: Address: .� n . s : _ ✓.I a City /State /ZIP: d r.,,,,,p 0 /� A'7' Subtotal C / � Minimum permit fee: $72.50 Phone: (03 (/I, F ax: 0 0 J b,,,,2_ - 7 Residential backflow minimum permit fee: $36.25 CCB Lie.: ¶/ ' 4/b Plumbing Lic. no.: .J ^ �� P6 Plan review (25% of permit fee) State surcharge (8n /o of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: , OIL0 � �7�7 Date: This permit application expires if a permit is not obtained within r t �` ..l! , '''' (1 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permns\PLM- PermitApp.doc 06/05 440- 4616T(10/02 /COM/WEB) 05/11/2006 07:24 5039814643 WHISKEY HILL ELECTRI PAGE 03/04 • a. Electrical Permit Application, IMIIIMII:=laIITT"Ill Receiver_ -- - //_ O C pe rmit Nn fj 9 /- City of Tigard! Received �DO.S n�, 1 13125 SW Hall Illvrl., Tigard, OR 97223 Plan Rr•View Other Permit: rhonc: 5(t3,6:i9.417I Fax: 503,598.1960 ° I "j iii0 1 ' I)nlc/13y: LI • I l " Date Ready /ley, owls: • El See Pngr. 2 for In nti Line: Notified /MCOUod: Supplemental Information hrtcmct: ww'vw.ci.lagnrd,or,us al p a , j it , l , { n1 r' , q li tr, 1 l.tp,..t{ I �N a r !s Ili (� i ' { 1 V` i t ' ;1h f1 1 jl ! I I ' tl�l� , �. tUf�lllRltlk�"''.'d E I�f'�`tl 172 I It '� 111 }�?i%tl,iy�1'��i l� f f . I I I ,i } 33ff 3 t , r ii[ t ' � �' If �y ° .' i ' {`4t1 1 1'E,. iI V i, G , I, � • '' , , '' 111 "1 � 11 j,�'�i , ; 1. � . , . SI,a1- i1 1 r 3 L,,!:((l I I r '. {. A • .• •- � III' 1 1 �L i,IL1I a�l �s�tlfi, ?i 4. ;I,e,,. q 5 i , 1 ' ,.; r - ' I I i ... ; lk � �� �t�it' ' � '` New construction [] Addition/alteration/replacement Addition/alteration/replacement Addition/alteration/replacement please check all that apply DScrvicc over 225 amps, comm'l Di4 z1rdots location L)Cmolition t a � 1 l :" 11 }ki I t � ' � ' ;:1 1..'11, I OScrvice over 320 n of I . a 2 Faro i dwellings rating �4 or more new resid nt all Other: f I nn ��,t r'�yyet rttkklr�� 11 1 `����� +� I1i1� ' t y Et. :i Iii ?i11i'.i' ".: :: {'( . : :,', • „,v.n7tQtien . 9 1,1. . 1 �iitlli��.ull,la,�i,IIi , 1 1 °5ystamov volts nolninnl units inotrostructure ix over 600 ' 1 - rant] 2- fnrnily clwcllin$ Ei Commercial/industrial 0 Accessary building ❑Building over three stories QPeeders, 400 amps or more ❑ Multi- 111mily ❑ Master builder 0 Other: ❑Occupant land ovcr 99 persrm9 0mmil,0tcturcd struoltlres or army d m ,.tt•,asn� . Tm, ., Q J i j ' i ' I 1 1' I ) 'I�fI j i 1 I i i e iv ll! i'- DEgi'ess /lighting plan RV park . :• , .' .' C , 1. %I':. , •, i i Tlf” i .,j_ � i ,. + i 9 � idj,. , . 9 , f . , ,„ U �, ,11, li . I , t ['Other; ,1. .3 �..,: ,;s�:,,:,.,.;,,,;;¢'... ,� � . , []i'lenitlt- carcfttcitity r' Job no.: Joh site address: if J z�D�LC. ?N - Submit 2 sets of plans with any of the above. . _.._____... _ service. C'ily /Statcl7.,iP ,. ,. /!� d� -J_ rz- The above arc not applionblc to temporary construction 1 1 1 ,VIj1i l''''' En Ili :; 1 133E , 0 '; it NN! 1 "1 Project name: Dr,cdptlon "I` q ty . "' Suite /bld no.: ! �� /5 ` 5ra v1� per. Tarnt • °— New residential single or multi-family dwCiiit►g quit. Cross St,! spree ct /direGtionS to jab site: Includes attacllctl garage. -- - I ,000 sq. it, or Icss 145.15 4 Ea, add'I 500 sq. It or portion 33 1 <inhdivlsinn: - • S T�i4� �t ce' �v " ` I S Lot no.: - _ .._ 2 . _ Limited energy, residential 75.00 Tax map /parcel no.: � T•imited energy, non - residential 75,00 _ • 2 } , rw r ;n+^n {'yty �jt i T) j i 1� s i =1 1 S ' t 1. 1141 ash manufactured or modular T — :i: �.!�i l li l ii l � i �� I + i�� Hi t• . I . Fi- ! I I 1iJ 4Yt," {fhl. %r . aAP• I� � 1 11�1 i��1� 1 fI���Ii l " i ,I II i i P 2 :o.;.-..,; '!( 'b ' t i:i: I <L dwelling, service and /or feeder 90.90 r�� , 5 E � / i , ( , n1 . (.j Services or feeders installation, alteration, and /or relocation G Vf f,Ct _ 80.30 •• - -- - 200 amps or Icss 2 ,_•,_ , '' , . l' { 201 amps to 400 amps 106.85 2 • m „1 ,,rmr . ; t, ,( wp f ” l + " i11'i ip p l I 1i: ii I,I :!;:'fl!ti i t I�, l ;+ i1� ^ I;4,,.1i ! N,;. r�l +ij y Ij,. I ,I, I; 4 � F 1 t1j I ' s j 1 40 1 am to C+ l 60 2 _ I�a , : :, 9i. ` ., ..�,., i iiy,.GLn�J' ',ta •I. I n!t' � � Ih I:1��I k All.)113 � . .�.1� 1,1N. n, amps 0 amps Name: „__ 601 amps to 1,000 amps 240.60 2 ” "^ W -- J^ Over 1,000 amps (31. volts 454.65 2 Address: Rcatmnectonly 6h.R5 — 2 City/State /7_. P : �- Temporary services or feeders installatinn, alteration, and /or relocation Phone: ( ) ^'~ ,.. Fax: ( ) _ 200 amps or less-- 1 Owner incttllintion: 'This instaiintion is being made on property th at I own which is not 201 amps to 400 amps t,6.85 00.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 33.75 - - 2 Owner signature: Date: - -__ Branch circuits - ntw, alteration, or extension, per Panel - _ qq 11� { ���,�{{,•Iyiya�s U t , 1 1T i A. Fcc for branch circuits wgi n .one 'i : 3 e i1i%`ty' i !Ill l til4. I�i!;;e ji ili'Iii Illt lip:_ f `q't' 11 lvsvr'1 tcil lii r •. I •; r i ii - i n 11 °i ;I ; I 1 .4, , cal •.1 , ! IfJ scry rec. en= `i;: 1 �1I';' •;;;�l�m�,i, '�i . r'.. kA .„ ; i111 " fl l�p;l, i I ..}J; " [. lip :004 u 1 .,:cr e;: ec OT fe eder f 6.65 2 �:,vi,,,_ , .,ILL,.J:1 . branchclrcuit Business nn.me: ,.,._ —•. - II,'Fee for brunch circuits Contact. name: Y - without service or feeder fee, 46.85 2 first branch circuit AddresR J -- -- _ -- - Each add'_ branch circuit 6,65 ' 2 Miscellaneous (service or feeder not included) C.'ity /State /J I1'; _ Pump or irrigation circle -„ 53.40 _ -� 2 or Phone: ( } F ax^ : ( ) Sign or outline lighting y_ 53,40 2 - -- Signal circuit(s) or limited- E-mail: n�.f ox ; , r I+ I " ++ !& r �, ` ener p anel. altt:ratiott, d.,. Ai' 1:'Ii;111.! i ` 'rt 0 7.' . i1 f i ,.l;t1ili a ili 1j'' j , i H 1 Page 2 • '` �.�l 'I ?!(1,;lii ?il1,III1 „f.. extension, Descr Business __ nn _ _ . _ .. WNr •- ' � lf f. �/'� � gl U � —' W m �._ . -� -- Each Additional inspection over allowable in any of the above Address: ( 4, ,�-- Per inspection 62.50 Q 70 Z investigation per hour (1 hr mint t - - - --- Slate /71P: �/ � ( �J In d and per hour 7 - --- -.._.._... — ...:. Industrial pl p , 375 (+, •^^' x, „� f e F ax : �)) ) N _- q` ' 3 { 1 f! 1 1 BY • �� ,( , t,1' w .,I it y,.v{ i11 "r[fa,111111i11i C(7.1.3 (_i?' ) ..� i D { 7 ! ,�tl's1;16'l.i,tii ldilf.�i!i! r • I C(7.1.3 Lie.: Ire Electrical Lie.: (✓ 1 Suprv. Lie.: S 9�s 1 - yes —. -- „-_ — - — ( Plnn review (25% of permit ce) fiuprv, Electrician signature, required: - - _____,; ____-• state surcharge (8% of p ermi t Coe) „ -^ Print name: �,.ut, L J1jC6t.T Dal.,; J ^ 5 // �. p/ TOTAL. PERMIT FEE d rc: . w This permit npptkntion expires if a permit is not obtained wiihln 180 ° Authorised signature: _ , lava after it has been accepted as complete • Date: 't Feu methodology set by Tri•Connty Building industry Service Board ..._ . -- ._. Print nnname: .. - " Number of inspeetinne per permit allowed, `l ,l4n- en1 {1al112/COMtWi' :.,n,dlnl„rArrnn;im11..0 - re remit Ann.den 12/n7 ECEIVE I DEC 1 2005 ,u, �cuy�I��ui CITY OF TIGARD TIGARD BUILDING DIVISION RESIDENTIAL PERMIT APPLICATION REVIEW Permit Number T i' Lot No. S' Subdivision S ONE Address a 0 _ on/ 1.0. Contact Name 3 AA) a SCR n, Business GE,g& - ft €tiGGi C t 1o✓h p Street 1tft) St►J gE4 VeR1QN / to 4t i+tvy, City BE,4vERToAl State ioK, Zip ?rto 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. The application is complete. )( The application is incomplete for the following reason: NO E&CatNtJ KOM ANb No "L" S 14rs75 • The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. I X I The submitted plans cannot be reviewed until the above information has been submitted and /or approved. The plans are deemed "simple ". X( The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. Ck u a )a -)3 - Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 STREET T CERTIFICATION .. .. i .. 1 it " ® I �� ��/� � � , ® Owner gent for C v'i ft - Nog 1 CU S+Uy v, Hl)J1'ie, ® (PLEASE PRINT) t'•''' IT HOLDER) . k` . . \ Rt'• ® Do here t i _ ., t -a= g location ® meets fi °. tt ' <` .� �xo rd � asiiii� on county ® .w.f.....,. . <.w ®' � land use and development standards for street tree installation. ® ADDRESS: \ i2 - SW rn0Y) LA , TI q OL V0I 0Z 9 ® U ® LOT: 1 SUBDIVISION: S` 1'1 chas- I I • BY: DATE: 00* 11 1 2Ca0 b ® RECEIVED BY: DATE: q a ® F'YVYYVYVYVVVYYVYYYVYYYVYVYYY®® ®YV VV Y® V ®®V ® '�' CITY OF TIGARD : BUILDING DIVISION PERMIT #: MST2005A0416 r 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 A, Phone: (503) 639-4171 4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04Am PAGE: 10 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4669 . , CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 038336-09 503,320-2703 V Corrections/Comments/Instructions: i 07 • r e --------------- ( PASS fl PARTIAL APPROVAL fl CANCEL I I NO ACCESS 1 _I FAIL I I CALL FOR INSPECTION 0 ADDITI NAL FEES ASSESSED L I ip k Inspector: AWN Date: ( Phone #: (503) 718- _______ Pv CITY OF TIGARD BUILDING DIVISION 40 PERMIT #: m5 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639-4171 7 itliptili Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7: CANA PAGE: 11 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4568 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038336 503-3202703 Y • Corrections/Comments/Instructions: ■iri ,--- - aril II P 1/4 'd i i 1 - ---- --------- I PASS PARTIAL APPROVAL • pi CANCEL fl NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED li■ w 1 \ I nspector: T Date: MI1 0 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639 -4171 Avido Inspection Requests (24 Hrs.): (503).639-4175 °:_.. INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 12 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 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: 10/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 038336 503- 320 V Corrections /Comments /Instructions: ° 5. F.3 KC t Air ,-- 1./A/ P. opi 0-ivt ''' f d' f 0 1/4......c, PASS n PARTIAL APPROVAL ❑ CANCEL I l NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIO L FEES ASSESSED Inspector: Asp �,A Date: (7/ Phone #: (503) 718 7i V CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005_00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639 -4171 a phi A Inspection Requests (24 Hrs.): (503) 639 -4175 •! .. INSPECTION WORKSHEET FOR DATE: 813/2006 TIME: 7:06AM PAGE: 46 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: am TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: N oiv SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 50.819 -4060 CONTRACTOR: GERRITZ ii3IGGI CUSTOM HOMES PHONE #: 503 - 519 -46G8 Inspection Request Scheduled For: Date: 8/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 034297-02 503 -930 -7246 N Corrections /Comments /Instructions: . PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n F A I L _ C A LL FOR I PECTION U ADDITI • AL EES ASSESSED • Inspector: 4. 1 1 Date: I � I Phone #: (503) 718- �4 3 CITY OF ��um n ��m TIGARD BUILDING DIVISION ' ~~~,"~~~°,,~~= ~°"°.~~"~~"~ PERMIT #: h4ST2805.0041G 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 839~4175 ~ INSPECTION WORKSHEET FOR DATE: 6/19/I006 TIME: 7:01AM PAGE: 28 • SITE ADDRESS: 11240 SW ELLS0NQN � CLASS OFVVORK: SUBDIVISION: N� BTONECHAGE OT #: 016 TYPE OF USE: PROJECT NAME: sT0MECMASE DESCRIPTION: New SF OWNER: GERR|TZ BIGG| CUSTOM M0MES, PHONE #: 603-619A66.8 CONTRACTOR: @ERR|TZ B|GG| CUSTOM HOMES PHONE #: 503-619'1668 Inspection Request Scheduled For: Date: 5/19/2000 Pour Time: Code # Inspection Description Confirm # Contact #. Message 33() Plumbing rough-in 030212-01 503'330-2703 N Corrections/Comments/Instructions: PARTIAL APPROVAL ri CANCEL El NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 9 [ � �~� �^/^- � Inspector: \ ~~ Date: ' � Phone 718- (5O3\ \� � ~ .` (503) ^ — CITY OF TIGARD /11 BUILDING DIVISION PERMIT #: - 20 S— V.0 zi 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 ! � u " Inspection Requests (24 Hrs.): (503) 639 -4175 r INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 1 2- 6 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: .(ti i tf 0 ,'tom i Z Inspection Request Scheduled For: Date: 3-- ? --© (. 6) Pour Time: Code # Inspection Description Confirm # Contact # Message 33 • S 3 3 /D 3 g- S 2 9 2 5 ? Corrections /Comments /Instructions: • PASS P' "TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL IPALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto : / ,� Date�� Phone #: (503) 718- ` CITY OF TIGARD rn ST . BUILDING DIVISION PERMIT #: 00,5 oo e-8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 a4P�iiia ,j Inspection Requests (24 Hrs.): (503) 639 -4175 �' .�� � .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 1 a 1 /� CLASS OF WORK: SUBDIVISION: ` � LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: - 3 - ' -- 6( e Pour Time: C de #'--\ Inspectjon cription ~--- - `• \Confirm # Contact # Message � v 5.€,(1,,,y‘ , 3 Z o - -D-7O o r cti n / omments /Instructions: 1 � .. r f • PASS PARTIAL APPROVAL CANCEL Q NO ACCESS 1 I FAIL CALL FO' INSPECTION fl ADDITIO6AL F ES ASSESSED 0 •A / r / � Inspector: Date: � �, Phone #: (503) 718- ' • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 Otkl'i6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1!05/2006 Phone: (503) 639 -4171 � ipliti(i � . Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 9/7Q/2006 TIME: 7 : 01Am PAGE: 46 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ 61001 CUSTOM HOMES, PHONE #: 503 -61g -4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-6/9-4668 Inspection Request Scheduled For: Date: 9/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036853 -01 503 - 961 -4640 Y Corrections /Comments /Instructions: + ' cbhut N PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ./" Inspector: N A 4 C , t t Date 9 Phone #: (503) 718 -'!\ Z r CITY OF TIGARD BUILDING DIVISION PERMIT #: ivisr 00rr0O416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2512006 Phone: (503) 639 -4171 J �� lj��i���ilI I � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/812006 TIME: 7:03AM PAGE 80 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ 131061 CUSTOM HOMES, PHONE #: 503. ° CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503 Inspection Request Scheduled For: Date: 6/8//2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 . ow valta •e 031364 -01 503~320 -2703 N 0 mow Corrections /Comments/ Instructions: /a _ .V / _� Cam- / $ ASS [7 P, 'TIAL APPROVAL ❑ CANCEL ff NO ACCESS l FAIL . , LL FOR 15?s'TIO n ADDITIONAL FEES , SESSED / ril al Inspector: I Date: Co Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25 Phone: (503) 639-4171 .4,01111'1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/25/2006 TIME: 7:03AM PAGE: 41 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BII3GI CUSTOM HOMES, PHONE #: 503-6194668 CONTRACTOR: GERRITZ BItGI CUSTOM HOMES PHONE #: 50619-4668 Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Elealical rough-in 030590-02 503-981-4640 Corrections/Comments/Instructions: - • V*4 p, iJ fl1/41k ) FM /" 3T (50 SL PARTIAL APPROVAL l] CANCEL E NO ACCESS n FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: S ---ZC: c Phone #: (503) 718- e/-y CITY OF ��nm w ��m nn����nm�� BUILDING DIVISION ' ' ~~~°"~~�°."~~= ~�"°"~~"~=.~ PERMIT #: k8ST2M~00116 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (603) 639'4175 INSPECTION WORKSHEET FOR DATE: 512512006 TIME: 7:83Alvi PAGE: 42 SITE ADDRESS: 11240 SWELLSC)NLM CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: RTONECI-}ABE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619'4608 CONTRACTOR: GERR|TZBIGG| CUSTOM HOMES PHONE #: 803-019-4668 Inspection Request Scheduled For: Date: 5/250006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 E3ectrica|se/vims 030590-01 503'981~4610 N Corrections/Comments/Instructions: �� � PARTIAL NO CANCEL � -_ ^-� . I | FAIL FE CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: Ctnr/V Date: -S 2~C ` ^^~ 2 Phone #: (5J}3) 718' \ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2512006 1 Phone: (503) 639- 4171 ����Ipu�u� @������( Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6112/2006 TIME: 7:03AM PAGE: 0 SITE ADDRESS: 11240 SW ELLS - O N LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 016 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Now SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 5 0 3 - 61 - 4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503 -619-468 Inspection Request Scheduled For: Date: 6112/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 031578 -02 503-320 -2703 N Corrections /Comments /Instructions: INIMI 41i I l I ' , ( ' /A ( ( WIT PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I FAIL CALL FIR R INSPECTION n ADDITI t NAL F, ES ASSESSED Inspector: M t \ . . t7 Date: I — Phone #: (503) 718 - 2 CITY OF TIGARD ,, BUILDING DIVISION PERMIT #: MST2005 -00415 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: //2612006 Phone: (503) 639 -4171 � -i fiCI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/7/2006 TIME: 7 :06AM PAGE: 81 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503.61.; -4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503 - 619.4665 Inspection Request Scheduled For: Date:, 617/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031254 -02 503-320-2703 N Corrections /Comments /Instructions: I Alll i v. r ------- 1 ..1!,*....../ANNIIIM, 7 - MIL A \,, ...... F v PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,IV Date: 7 Phone #: (503) 718- o ' . CITY OF TIGARD A . BUILDING DIVISION PERMIT #: MST2005-00416 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1125/2006 Phone: (503) 639 -4171 rnlm�ii�llf�l�I\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/7/2006 TIME: 7:06AM PAGE: 82 SITE ADDRESS: 11240 SW ELLSON LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 - 619.4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503.61B -466B Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 031254 -01 503 -320 -2703 N Corrections /Comments/ Instructions: • ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _„ tit Date:( 7 e:), Phone #: (503) 718 - �� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/212006 Phone: (503) 639- 4171au��u,i� �� = Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 6/7/2006 TIME: 7:06AM PAGE: 79 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 - 6194668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503.619-4660 Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031254 -04 503 -320 -2703 N Corrections /Comments /Instructions: PASS _ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED Inspector: 6,1 ' Date: ` 6 Phone #: (503) 718 - Z Z75 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00416 13125 SW Hall Blvd. Tigard, OR 97223 DATE ISSUED: 1/2h/2006 Phone: (503) 639 -4171 Alt° l ii� Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/7/2006 TIME: 7:06AM PAGE: 80 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503.610 -4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-61 4666 Inspection Request Scheduled For: Date: 6/712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031254 -03 503-320-2703 N Corrections /Comments/ Instructions: tca Coit2-- '(5 PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INS' CTION ❑ ADDITI•NAL ES ASSESSED Inspector: 4 Date: r Phone #: (503) 718 - OW CITY OF TIGARD m4+ BUILDING DIVISION PERMIT #: MSI2t)0 X010)416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639 -4171 ullm�iul ?i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503- 619 -4666 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503 - 619 -4668 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 031175 -03 603 - 320 -2703 N • Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED QG Inspector: Date: h Phone #: (503) 718- Z '` CITY OF TIGARD BUILDING DIVISION >. PERMIT #: Mg1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2:31200t3 Phone: (503) 639-4171 . 7ill V Inspection Requests (24 Hrs.): (503) 639-4175 „.„.",o■ I INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ F31661 CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 603-619-4660 Inspection Request Scheduled For: Date: &1 1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message , • 235 Shear walls/anchors 029706-01 603-320-2703 N Corrections /Comments/ Instructions: • _I) 5 p 44 ),,\ l / d P c) F SixeL,./ ...- , (/„.- PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS FAI . ' CALL FOR INSPECTION n ADDITI0 NAL FEES ASSESSED ' • ...`-- ■ I id , 1 • Inspect • IdWAT AL Date: ( . 10..4 Phone #: (503) 718- 2-k2"3 1 _ CITY OF TIGARD . .. BUILDING DIVISION , PERMIT #: MST2005-00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11251200G Phone: (503) 639-4171 A t Inspection Requests (24 Hrs.): (503) 639-4175 Ay l INSPECTION WORKSHEET FOR DATE: 6/10/2006 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 11240 SW FILSON LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 016 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ DIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 029639-02 503-320-2703 N Corrections /Comments/ Instructions: (3_74 _ a 4 -if 11, c.„ 7 1A- GI Y , - ) k ■ PASS 0 PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ■114t _ Inspector: / Date: _5 i I b' 0 P Phone #: (503) 718- , /i CITY OF TIGARD - • BUILDING DIVISION PERMIT #: MST2005•00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/200F. , A Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02A1v1 PAGE: 13 SITE ADDRESS: 11240 SW ELLSON LN CLASS OF WORK: SUBDIVISION: SIONECHASE . LOT #: 015 TYPE OF USE: PROJECT NAME: SIONECHASE DESCRIPTION: New SF OWNER: GERRITZ BEG CUSTOM HOMES, PHONE #: 603-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 603-619 Inspection Request Scheduled For: Date: d10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 142 Interim shear walls 029639-03 503-320-2703 Corrections/Comments/Instructions: PASS fl PARTIAL APPROVAL El CANCEL NO ACCESS 1 FAIL • CALL FOR INSPECTION l] ADDITIONAL FEES ASSESSED -- / Inspector: 400 Date: 5 j I 0 1 0 Phone #: (503) 718- --J-3 CITY OF TIGA'RD BUILDING DIVISION PERMIT #: M ST 200&00410 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f251200 Phone: (503) 639-4171 bgii A �l Inspection Requests (24 Hrs.): (503) 639 -4175 _ - INSPECTION WORKSHEET FOR DATE: 5/10/2000 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 11240 SW ELLSON LW CLASS OF WORK: SUBDIVISION: ST ONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: Gt-RRITZ 'I.3IGC1 CUSTOM HOMES, PHONE #: 503 CONTRACTOR: GERRITZ 6IGUI CUSTOM HOMES PHONE #: 503- 619.4661 Inspection Request Scheduled For: Date: 5/1012006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 2:36 Shear waits/ anchors 029639-01 503 -320 -2703 N Corrections /Comments /Instructions: ! c 3) TA. // 13 o+ 1 e U t S c 1.+/ r G S r c../0 0 er" c o c4 b 1 o>, .s4:5 S 7� f/ tZ W e ( v►; i vl. s J c )--e F S 1 ce IA./4 !) a n PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ['� FAIL r --.�� CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 'J, Date: 5 10 I 0 �0 Phone #: (503) 718- 0-,L) 0.5 V CITY OF TIGARD ., BUILDING DIVISION Alik PERMIT #: tVIST200E,-00416 1/29 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,„_. . --. INSPECTION WORKSHEET FOR DATE: :07/2006 TIME: 7:0 PAGE: 100 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 11240 SW °ISOM t_14 STONECHASE LOT #: 015 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New sF 603-619-4660 OWNER: GERRIT? BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ OGG! CUSTOM HOMES PHONE #: • Inspection Request Scheduled For: Date: , 7127/2006 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls . 027M3-02 503-307.0239 N Corrections/Comments/Instructions: :2 ma I irm fra ms. menr ,. • - ASS n PARTIAL APPROVAL 0 CANCEL n NO ACCESS I I FAIL :, CALL FOR INSPECTION El ADDITI,NAL ' EES ASSESSED i FM Inspector: / it Date: _.J 1—..... Phone #: (503) 718- a hiv- .. . _ ' CITY OF TIGARD BUILDING DIVISION Alk),,w PERMIT #: msT2005.00416 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2006 Phone: (503) 639-4171 a motiptil i d\ ' Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7J27/2006 TIME: 7 PAGE: 109 SITE ADDRESS: 11240 SW ELLSON IN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 016 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: NOW SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603_6i 9, CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-6194668 Inspection Request Scheduled For: Date: 2127/2006 Pour Time ...... • 2:00 Code # Inspection Description Confirm # Contact # Message 2O Footing 027548 503-307 Y 4C Corrections/Comments/Instructions: WI , c ----7 7 --- 40111 /MI W a 4 p del / _--) V ... iff qv,* Z , . / PASS 1 i PARTIAL APPROVAL I I CANCEL 0 NO ACCESS I I FAIL 1 CALL FOR INSPECTION ri ADDITIO AL FE ASSESSED \-. ,_ Inspector: --- Date: 2— 64 . Phone #: (503) 718- _, _ CITY OF TIGARD B'Y1 ST BUILDING DIVISION PERMIT #: �/ S —'00 y/ b 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 d4��lli Inspection Requests (24 Hrs.): (503) 639 -4175 J 'll.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / / a i CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -'' -6 ( Pour Time: Code # Inspection Description Confirm # Contact # Message 27,-5' 605 -- 3 zO _ ,--703 /P/ rection /Co a is /Instruct 6 '''s. 1 ( IA ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSP CTION ❑ ADDITI'JNA ; FEES ASSESSED Ins ector: MIA Date: ail Phone #: (503) 718 - - %yr