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Permit
7 , ' CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES DATE PERMIT UED• 3 /24/20 610003 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103BD -11400 ''SS: 11698 SW ERROL ST ZONING: R - 5 `N: CAPPOEN ESTATES LOT: 005 JURISDICTION: TIG Project t- New SF BUILDING REISSUE MAS22154 STORIES 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK NEW HEIGHT 27 FIRST 1 463 sf BASEMENT sf LEFT 5 SMOKE DETECTORS V TYPE OF USE SF FLOOR LOAD. 50 SECOND 1 142 st GARAGE 592 st FRONT 15 PARKING SPACES 2 TYPE OF CONST 5N DWELLING UNITS 1 THRD sf RIGHT 5 VALUE 255,88440 OCCUPANCY GRP R3 BDRM 3 BATH 3 TOTAL 2605 sf REAR 15 PLUMBING SINKS 1 WATER CLOSETS 3 WASHING MACH 1 LAUNDRY TRAYS 1 RAIN DRAIN 100 TRAPS LAVATORIES 5 DISHWASHERS I 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 I 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/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 RENEW 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 -ENCOM BOILER HVAC LANDSCAPE/IRRIG PROTECTIVE SIGNL GARAGE OPENER CLOCK INSTRUMENTATION MEDICAL OTHR HVAC DATA/TELE COMM NURSE CALLS TOTAL N SYSTEMS This permit Is subject to the regulations contained In the Owner Contractor Tigard Municipal Code, State of OR Specialty Codes FOUR D CONSTRUCTION CO FOUR D CONSTRUCT ON and all other applicable laws AU workwill be done in PO BOX 1577 PO BOX 1577 accordance with approved plans This permit will expire BEAVERTON, OR 97006 BEAVERTON, OR 97075 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 503590 -0805 Contact # PRI 503 -590 -0805 adopted by the Oregon Utility Notification Center Those FAX 503- 590 -1751 rules are set forth in OAR 952 -001 -0010 through 952- 001 -0080 You may obtain copies of these rules or Reg # LIC 71037 direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES. $ 10,360.97 1 - 800 - 332 - 2344 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 • Issued �!... 4' A ..-:.• [ P Sign - - J , j! //'n g��__.) 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 AT q , r+t PAVED , _ ' Foil OFFICE USE ONO' t City of Tigard � A R Re d 3- -OLD 17 pp i Permit No M.�r ,,V�3 _ Ai 13125 SW Hall Blvd, Tigard, OR 1 2006 Plan Review ��lJ� Phone 503 639 4171 Fax 503 598 1960 A "`G'MP�4�? I '�� Date/3 A t / ) - D 3 - G( in" Pend r Amite- 'ow D Inspection Line 503 639 4175 CITY OF TIGARD s• I I' Date Ready /By 5'a� / )1/4. / Juno ' ® See Attached Checklist for Internet www ci tigard or us BUILDING DIVISION N led/Met Supplemental Information VISION A/ a-cle- r, : TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLINf. V4 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 CATEGORY OF CONSTRUCTION work indicated on this application I_ and 2 -family dwelling ❑ Commercial/industrial valuation $ ❑ Accessory building ❑ Multi - family Number of bedrooms g Master budder ❑ Other Number of bathrooms //Z JOB SITE INFORMATION AND LOCAFION Total number of floors 2 Job site address Noy < ,j ) S, t.,0, ;/R R at S 7 New dwelling area 2 b 0,.. square feet City /State /ZIP / / ,4J , ` 5 9 q x � X 9 7 ,3 Garage /carport area 2 square feet Suite/1,1dg /apt no Project name Covered porch area l'?Q square feet Cross street/directions / to ' job site //Pit Deck area --0 - square feet L/V /ZL / 7' Other structure area square feet � r - � - REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision �i,;, D -4: �/� I 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 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application A -247 n/�� / / 4 Se- Valuation $ � /-T Existing building area square feet New building area square feet [P PROPERTY OWNER ❑ TENANT H Number of stories Name .0 z � (i / TYl r S7 c- C7' o / Ad C Type of construction Address ' (.� V /�'7 7 f / / \ \ Occupancy groups City /State /ZIP U. ij - 4 O/C ( O 7495" Existing Phone (9)2 )Z 5 O C Fax LS-1=S) S` rJ -/ 7s/ New 1X1 APPLICANT // ❑ CONTACT PERSON NOTICE Business name ,SN7qui /IS ' 6 o v- All contractors and subcontractors are required to be Contact name licensed with the Oregon Construction Contractors Board under ORS 70 and may be required to be licensed in the Address jurisdiction in which work is being performed If the City/State/ZIP a pply l ZS v tn'� o�t(11 p� the following reasons y l L. YL, �/ 1�_ Phone ( ) Fax ( ) �(� E -mad iIIAfl 1 4 2006 -� ,5.b. 66 CONTRACTOR CITY OF TIGARD t� Business name S73'Inst A,S ry .h 0 Uz- OU :LOItNS i.)'1)c ;CN BUIL PERMIT FEES* Address Please refer to fee schedule. City /State /ZIP Fees due upon application Phone ( ) Fax ( ) CCB he 7/ D3 7 Amount received �� ems /q/ Date received Authorized signature "fir/"` ( J is T his permit application expires if a permit is not obtained // within 180 days after it has been accepted as complete. Print name ) 4-6,- The, {, Date 9 — /S-( * Fee methodology set by TB- County Building industry •L Service Board i \emldmg\Permrts \BUP- TI- Penmb \pp doc 12/03 440-16137(1 IIO2/COM/WEB) C Building Division �" " "t " 1 Plan Submittal Requirement Matrix �-� Commercial & Multi- Family - New, Additions or Alterations \Cry of Tigard - Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) he Work 2 ( lust include location of all accessible parking) Plumb g (site utilities) 2 Building I* Fire Protection Sys -m 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 N Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, `, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1 , 1Buddin !s1BUP- 11- PennoApp doe 11/03 440-4613T(II /01/COM/WEB) Mechanical Permit Application - . -,. ilt ICE.usI oNI City of Tigard a - - Date/By Permu No dt0O& loon 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review Phone 6 3 503 639 Fax 5035981960 ivflkr 1 L ^^ '''kii tl l e , Date/By Other Permit P een5n .ii fill. Date Ready/By lens PI See Page 2 for Internet www el tigard or us Nonfied/Mediod Supplemental Information �� CITY HH I�� O�d//F�� ITIGARD TYP *•OF'L� WISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the wort. performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit . CATEGORY OF CONSTRUCTION Value $ I - and 2- family dwelling ❑ Commercial /Industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Multi-family 121 Master builder ❑ Other• For special information use checklist Description I Qty I Ea Total JOB SITE INFORMATION AND LOCA'I'ION Heating /cooling Job site address l/ / 9� S' � /' ' e / S T Air condmomng pump em �i ! � • (requires site plan showing placement) 14 00 City /State/ZIP '-7 /3 /)121( C11C q72 .2 7 Furnace 100,000 BTU (ducts/vents) 1400 Swte/bldg /apt no / J Project name Furnace 100,000+ BTU (ducts/vents) 17 90 Gas heat pump 14 00 Cross street /directions to job site Duct work 14 00 //.4 ( / Hydronic hot water system 14 00 /1) IX �W Residential boiler (radiator or hydronic) 14 00 Unit healers (fuel -type, not electric), in -wall, in -duct, suspended, etc 10 00 Subdivision JJ� Lot no Flue /vent for any of above 10 00 `� ^�/� /J-'" I't� < "r c. Other 10 00 Tax map /parcel n / Other fuel appliances DESCRIPTION OF WORK Water heater 1000 /cJ/� A.164.4...) Gas fireplace 10 00 ��+r . c4f 0 -- 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 P V PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 1000 n Other 10 00 /1 Name F /__ s-rpLe e_ ��¢ r � me Environmental exhaust and ventilation ' Range hood/other kitchen Address U, !� � ,�7 equipment 1000 City /State /ZIP S,0.7.9 J..-.r.G� -,... Dy 7? 0 ,7 3 Clothes dryer exhaust 10 00 7 Single -duct exhaust (bathrooms, ' Phone (503) 5o_ U9OS Fax (5 ••S .V ci —/ 7s/ toilet compartments, utility rooms) 6 80 tg APPLICANT ❑ CONTACT PERSON Atudcrawlspace fans 1000 Other 10 00 Business name s,V fyt a_ n$ /4 4o t/-.¢___ Fuel piping Contact name $5.40 for first four; $1.00 for each additional Address Furnace, etc Gas heat pump City /State/ZIP Wall /suspended/unit healer Phone ( ) Fax ( ) Water heater Fireplace E Range CONTRACTOR Barbecue Business name • ,e �a Z ear, Clothes dryer (gas) f� n Other Address 2 c ' /� l i -, ,r '1iC MECHANICAL PERMIT FEES* City /State/ZIP - 7 j /1/41.4 04. 7223 Subtotal Phone (�3) 4 2 o vs Fax ( ) Minimum permit fee ($72 ) Plan review (25% of permit teeee) CCB lie , 6 S7 ,) State surcharge (8% of permit fee) TOTAL PERMIT FEE signature ' / This permit application expires if a permit is not obtained within ISO Authorized 6 ea /� /it days after it has been accepted as complete. Print name / y t% AA, M iff 1 - ( / a Date 2 — /,5::: j 4 t Fee methodology set by Tn County Budding Industry Service Board I\ButtdingWermitsiMEC PmnitApp doe 12/03 4404617T(I i /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1 00 to $2,000 00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100 00 or fraction thereof, to and including $5,000 00 $5,001 00 to $10,000.00 $141.50 for the first $5,000 00 and $1.80 for each additional $100 00 or fraction thereof, to and including $10,000 00 $10,001.00 to $50,000 00 $231.50 for the first $10,000.00 and $1.35 for each additional $100 00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771 50 for the first $50,000 00 and $1 25 for each additional $100.00 or fraction thereof, to and including $100,000 00. $100,000 01 and up $1,396.50 for the first $100,000 00 and $1 10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i V3wlding\PermnsWMEC- PemiIApp doc 12/03 2 Building Fixtures RECEIVED Plumb Permit Application roa. pence USE ONLY; ` Tigard City of Tl d MAR 1 1006 Received 2 City D Penult No. �iy N.,�. /t79OJ 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review r+vA/ Phone 503 639 4171 Fax 503 59$;1I6d OF TIGARD &rscf l 4 Date/By Other Pemnt No 24- Hour Inspection Line 5036391 _ LDING DIVISION xtJ.. - I I Date Ready/By ) una ® See Page 2 for Internet www ci tigard or us Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE c ej New construction ❑ Demolition For special information use checklist. Descnption I Qty I Ea I Total ❑ Addition /alteration /replacement ❑ Other New I- 2 - family dwellings (includes 100 ft. for each utility connection) CA'T'EGORY OF CONSTRUCTION SFR (t)bath 24920 Ilg I- and 2 -family dwelling ❑ Commercial /mdustnal SFR (2) bath 350 00 ❑ Accessory building ❑ Multi -family SFR (3) bath 399 00 Each additional bath/kitchen 45 00 lg Master builder ❑ Other Fire sprinkler ( sq R) Page 2 JOB SITE INFORMATION AND LOCATION 1 Site utilities Job site address /14 9J S jj c 0 Sr Catch basin or area drain 16 60 City/State /ZIP Tiy / 04 9 722 3 Drywell, leach line, or trench drain 16 60 Suite/bldg /apt no d I Project name Footing drain (no linear ft ) Page 2 Manufactured home utilities 110 00 Cross street/directions to job site ,"/ `�.-,��/ / Manholes 16 60 4 r /Z Litt /�L/U Rain drain connector 1660 Sanitary sewer (no linear ft ) Page 2 Storm sewer (no linear ft _ ) Page 2 Subdivision 0 - t/to.Rt, 7 = — I Lot no Water service (no linear ft ) Page 2 Tax map /parcel no - / / // Fixture or item Absorption valve 16 60 DESCRIPTION OF WORK '/ Back flow preventer Page e...4.-4.-/il N�v1 ,C/a ado- Backwater valve 16 60 11 Clothes washer 16 60 Dishwasher 16 60 Drinking fountain 16 60 PROPERTY OWNER ❑TENANT 11 Ejectors /sump 16 60 Name 7C 'O (4i7r.$/ 2'21��Zr a- Expansion lank 16 60 Address ! ll <'4 45 Fixture /sewer cap 16 60 City/State /ZIP 2? 1 tJ.a +�ZSM _. c7 97 o76 Floor dram/floor sink /hub 16 60 Phone .f_tw ) ..7d — Ovvor Fax (3.13 70 - 7s/ Garbage disposal 1660 APPLICANT ID CONTACT PERSON Hose bib 16 60 Ice maker 16 60 Business name -Shine- Zkic /Aid 0-e- Interceptor /grease trap 16 60 Contact name Medical gas (value $ ) Page 2 Address Primer 16 60 City /State/ZIP Roof drain (commercial) 16 60 Phone ( ) Fax ( ) Sink /basin /lavatory 16 60 Tub /shower /shower pan 16 60 E-mail Urinal 16 60 CONTRACTOR Water closet 16 60 Business name � 4 e , 4 / A3 Water heater 16 60 Address /3fl S e , c-/s= i Other Subtotal City /State/ZIP /, /zzf id ,LA 0 6/ 9 7/2_3 / / Minimum permit fee $72 50 Phone _PS) 623 -221/ Fax ( ) Residential backflow minimum permit fee $3625 CCB Lie / 2 2 D7 Plumbing Lie no gig-477 ,. Plan review (25% of permit fee) Authorized signature g / ,./ �' State surcharge (8% of permit fee) Authorized YL� e �06t1 � TOTAL PERMIT FEE Print name /7,4 ..r.� _ Date 1 -7�-C24, This permit application expires if a permit is not obtained within 180 days after rt has been accepted as complete. *Fee methodology set by Tn -County Building Industry Service Board I \BuiidingWermi&PLMF- PennitApp doe 06/05 4404616T(1 WOJICOM/W EB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1 100' 55 00 0 to 2,000 $115 00 Footing drain - each additional 100' 46 40 2.001 to 3,600 $160 00 3,601 to 7,200 $22000 Sewer - 1st 100' 55 00 7,201 and greater $309 00 Sewer - each additional 100' 46 40 Water Service - 1st 100' 55 00 Medical Gas Systems: Water Service - each additional 100' 4640 Valuation: Permit Fee: Storm & Rain Dram - 1st 100' 55 00 $1 00 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for each Fixture or Item Qty. Fee (ea) Total additional $100 00 or fraction thereof, to and including $10,000 00 Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148 50 for the first $10,000 00 and $1 54 for Residential Backflow Prevention Device each additional $100 00 or fraction thereof; to (minimum permit fee $36 25) 27 55 and including $25,000 00 Rain Drain, single family dwelling 6525 $25,001 00 to $50,000 00 $37950 for the first $25,000 00 and $145 for each additional $100 00 or fraction thereof, to Inspection of existing plumbing or and including $50,000 00 specially requested inspections - per hour 72 50 $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for Subtotal: each additional $100 00 or fraction thereof Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees*. Please check all that apply Quantity by (Fixture) Work Performed ❑ Any new commercial building Fixture Type: Replace ❑ Any new exterior plumbing site utilities Previous Capped .Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of rune (9) or more new or relocated plumbing fixtures Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thou facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units Drinking Fountain ❑ Any NFPA 13 - multipurpose fire sprinkler system. Eye Wash Floor Drain /sink -2" 3 „ Submit 2 sets of plans with any of the above. -4' Car Wash Drain Isometric or Riser Diagram Garbage - Domestic U Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach /Refrig Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink -Bar /Lavatory - Bradley - Commercial - Service _ Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor P Water Closet - Toilet - increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures plumbing permit can be issued. \Buddmg\Permns\PLM- PerliApp doc 07/06/05 Electrical Permit Armlic - • Foa t IcE II ��__ JJtI.: q5L o I City of Tigard Received g CEIV ar Date/B 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review Phone 503 639 4171 Fax 503 598 1960 MAR 1 1 /• " "`ff'ioilij Date/B Other Permit Inspection Line 503 639 4175 AI I Date Ready/By Ilin 10 See Page 2 for Internet www ci tigard or us Notified/Method Supplemental Information CITY QP TICAR- TYPragil- M ,W(nnilSIMI PLAN REVIEW 5 New construction ❑ Addition/alteration /replacement Please check all that apply ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ['Hazardous location ['Service over 320 amps— rating ❑Buildng over 10,000 sq ft, CATEGORY OF CONSTRUCTION of I - and 2 -family dwellings 4 or more new residential M I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi-family Master builder ❑Other ❑Budding over three stones CI feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no . Job site address. l/4 9d Q( , RwoL ❑Health -care facility ['Other Submit 2 sets of plans with any of the above City / State/ZIP -- 77 , 94,2,t / 01 2_ 9 722 3 The above are not applicable to temporary construction service Suite/bldg./apt no.: Project name. FEE* SCHEDULE Description I Qty j Fee I Totai i ' Cross streef/direcuons to job site: New residential single -or multi- family dwelling unit. Includes attached garage. //6,7_ iy- hi,,1/44.7 1,000 sq ft or less 145 15 4 Subdivision. J Lot no : , S Ea add'l 500 sq ft or portion 33 40 1 Tax map /parcel no.- Limited energy, residential 75 00 2 Limited energy, non - residential 75 00 2 DESCRIPTION OF WORK Each manufactured or modular p_ /J � f ae -R _ dwelling, service and/or feeder 90 90 2 L f Est' zL� Services or feeders installation, alteration, and /or relocation _ 200 amps or less 80 30 2 V PROPERTY OWNER i ❑ TENANT 201 amps to 400 amps 106 85 2 � 401 amps to 600 amps 160 60 2 _ A Name : R3C! X— � arch CA7x? c cfl d .0 601 amps to 1,000 amps 240 60 2 Address: <po 7S �i /3r7 7 Over 1,000 amps or volts 454 65 2 Reconnect only 66 85 2 City/State/ZIP. 2 � ,_ / D /---- 9 7 07s Temporary services or feeders installation, alteration, and /or Fax: relocation Phone: ( �) S > " a —Oa' ��3) �!O /7s( 200 amps or less 6685 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. - 401 amps to 600 amps 133 75 2 Owner signature: Date Branch circuits — new, alteration, or extension, per panel $J APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with / service or feeder fee, each 6 65 2 Business name _c,,412,„ etu 4 f� e Wz_. branch circuit • B Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46 85 2 Address: Each add'I branch circuit 665 2 City/ State/ZIP• Miscellaneous (service or feeder not included) Phone ( ) Fax ' ( ) Pump or irnganon circle 53 40 2 Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension Describe Paget 2 Business name: (T L , ri &"-Ze-,---R— e _ c i Address' 1� S 9 S' ��7�y Each additional inspection over allowable in any of the above /�� � Per inspection 62 50 i4- City / State/ZIP: (PV /L4.Alt� Dte- ' Gz ? -, f ( Investigation per hour hr min) 6250 _ ( �{ Fax ( ) Industrial plant per hour 73 75 Phone (SD3)2- (�� _`7�J ELECTRICAL PERMIT FEES* CCB Lie 93 80 Electrical Lic24Z 93 CL Supry Lie. 30 ' 5 Subtotal Suprv. Electrician signature, required' (4 ico « A Plan review (25% of permit fee) Print name. Dale State surcharge (8 % of permit fee) 7 oLP2T Z 2c tee . / 2 /,S b 4 TOTAL PERMIT FEE Authorized signature 7e 'T.,yi/�n�, This permit application expires if a permit is not obtained within 180 ����� � N" ' d e : q / 4_5=0A days after it has been Bold andu Print name: Date: d / O .t+ • Fee methodology set by fn- County Bwlding Industry Service Board e e Number of inspections per permit allowed iiBwldingwe+iniDiEl C- PemutApp doe 12/0 440A615T(10/02/COM/wEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: F RESIDENTIAL WORK ONLY: Fee for all residential systems combined Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: C COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ • HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems. *No licenses are required. Licenses are required for all other installations I \Bmidmy \Penns \CLGPem,Npp doc 04/03 ® SSSSAAAAAA AAAA SA ASS AAAA AAASA AAAAAAAAAAAAAAAA®AAAAAAAAAA ®AAA Fr 1> STREET TREE CERTIFICATION ® , 41 , ® I DAv guess ,, / Agent f or favc C a nn eurne. � ® (PLEASE PRINT) ,. (PERMIT HOLDER) t ® r` 0. ® ,fr \ N ® Do hereby e t�l a ;Ate' fo location 0. ® meets Cityof :Tigird /Wa 44 10. ® l and use and development standards for street tree installation. Ites- ® 0. ® ADDRESS: //G yr Sa✓ *tie et s c T r ' ® LOT: 5 SUBDIVISION: e M°Poe.J nr*+lt Its- ® BY: < 1/4.1.?1/4? DATE: /0 - /if -6C I 1 RECEIVED BY: DATE: 0. ® ® V® VVVVVVVVVVVV VVVVVvvvVVVVV® vVVVVVVVVVVVVVYvvvVVVVVvvvvvVV© CITY OF TIGARD E BUILDING DIVISION PERMIT # MST2006.10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/240006 Phone. (503) 639 -4171 4 1 Inspection Requests (24 Hrs) (503) 639 -4175 , s.!i I l� INSPECTION WORKSHEET FOR DATE 10/20/2006 TIME 7 PAGE 84 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION• New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503 - 5900805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503-590-0805 Inspection Request Scheduled For Date 10/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # M 299 Final inspection 038488-01 603-720-0012 Corrections/Comments/Instructions CLe01-N S V /C& > r mist 1 t . /crt"C h. J C_r - 12 L SS l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date /e Zo a6 Phone # (503) 718 - 7qg CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S -10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503) 639-4171 Its Inspection Requests (24 Hrs) (503) 639 -4175 nl INSPECTION WORKSHEET FOR DATE 10/20/2006 TIME 7 :01AM PAGE 83 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER. FOUR D CONSTRUCTION CO, PHONE # 603-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590.0805 Inspection Request Scheduled For Date 10/20/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038488-02 503-720 -0012 N Corrections/Comments/Instructions: Q ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ! / Inspector: r fl Date / 0 o%, Phone # (503) 718- 16 y CITY OF TIGARD ` BUILDING DIVISION # ms 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24 /2006 Phone (503) 639 -4171 A °� Inspection Requests (24 Hrs) (503) 639 -4175 • "tub. • INSPECTION WORKSHEET FOR DATE 911B/2006 TIME 7 :01AM PAGE 6 SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE - PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO. PHONE # 503 - 590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date 9/18/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0367113.01 503-720-0012 N Corrections /Comments /Instructions. OP _AlefIer / ?). / el PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL /n/ l ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: M 1 k Date C Phone # (503) 718 - VLY CITY OF TIGARD - BUILDING DIVISION A . PERMIT # MST2006 -10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24T)006 Phone' (503) 639 -4171 A. Inspection Requests (24 Hrs) (503) 639 -4175 s u IL INSPECTION WORKSHEET FOR DATE 8114/2006 TIME 7:01AM PAGE: 13 • SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE: PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER. FOUR D CONSTRUCTION CO, PHONE # 503690 0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503. 590.0805 Inspection Request Scheduled For: Date: 8/14/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 322 Shower pan 034913-01 603-720-0012 N Corrections/Comments/Instructions' PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED / / Inspector G/ t Date:, J �• o c, Phone #. (503) 718- 2 g 7 y CITY OF TIGARD BUILDING DIVISION PERMIT # MST200& -10005 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 3/24/2006 Phone. (503) 639 - 4171 , 1 , r Inspection Requests (24 Hrs ). (503) 639 -4175 . i- IL. INSPECTION WORKSHEET FOR DATE 6112/2006 TIME 7:03AM PAGE 51 SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #. 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503590 -0805 Inspection Request Scheduled For Date: 6/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 031544 -01 503-591 -8701 N Corrections/Comments/Instructions 4 .. &---r r Fr, a _.5.1/ 2__ ' egi J v *I v PASS I I PARTIAL APPROVAL CANCEL n NO ACCESS '►i - ;IL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: r )/ /V Date: 0/1 — Ad Phone #: (503) 718- a- ``h CITY OF TIGARD - BUILDING DIVISION PERMIT # MST2006 -10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24112006 Phone' (503) 639 - 4171 , A 1 ! Inspection Requests (24 Hrs.) (503) 639 -4175 � r ^'�� INSPECTION WORKSHEET FOR DATE: 619/2006 TIME: 7:02AM PAGE 18 SITE ADDRESS' 11698 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503- 590 -0t305 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503. 590.0005 Inspection Request Scheduled For Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 031485-01 503-591-8701 N Corrections/Comments/Instructions N -f-C. A/1 = . icetaS, A - - - L ( c 6:_c sS `c\ - , c. ( P21 . "ynU i t u , P7Ae t 3, z c u- ee,e -- A f- ) S -{ 1A c. s `- e s, )v.J — n O II I PASS � PARTIAL APPROVAL ❑ CANCEL NO ACCESS -�J FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Vi;‘ 11/ Date: (2 I 41 ! b \!/ Phone #- (503) 718- 1 v4 CITY OF TIGARD BUILDING DIVISION PERMIT # MST200G -10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone. (503) 639 - 4171 , 1 Inspection Requests (24 Hrs) (503) 639 -4175 `rlL INSPECTION WORKSHEET FOR DATE 4/11/2006 TIME: 7:07AM PAGE 39 SITE ADDRESS 11690 SW ERROL ST CLASS OF WORK. SUBDIVISION: CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590 0605 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For: Date: 4/11/7006 Pour Time. Code # Inspection Description Confirm # Contact # Message 315 Post /beam plumbing 027730 -04 503-720.1445 Y Corrections /Comments /Instructions: r' a a_.' lor fa NEI r , ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL Li CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. Dater n6 �.� l Phone #: (503) 718 - 2 2 CITY OF TIGARD ,11 5T BUILDING DIVISION PERMIT # 0 0404_ /00 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone* (503) 639 -4171 i III Inspection Requests (24 Hrs) (503) 639 -4175 //� / , INSPECTION WORKSHEET FOR DATE TIME `�/ 2 PAGE. SITE ADDRESS* // X �;. /1 // 4 4 CLASS OF WORK SUBDIVISION v % LOT #. TYPE OF USE PROJECT NAME - DESCRIPTION OWNER PHONE #. CONTRACTOR PHONE # may/ Inspection Request Scheduled For. Date. 41-S ,U 6. Pour Tim/ A , // Code it Inspection Description Confirm # Contact # Message 33 33S 3W 57 t) � k- . � r� Corrections C /Instructions � � \ Co C d (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /1/11/4— — { / Date: V - -5 VA Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2006•10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503) 639-4171 - I Inspection Requests (24 Hrs) (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE 9/16/2006 TIME. 7.01AM PAGE 3 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503- 590.0805 • Inspection Request Scheduled For: Date: 9/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036718-02 503. 720.0012 N t °I °l Lc w •V 61.`P P�e �1 Corrections /Comments / Instructio ,� PASS I I PARTIAL APPROVAL CANCEL n NO ACCESS CALL FOR INSPECTION ADDITIONAL FEES ASSESSED u' It Inspector. G t' t �F Date III 111 o� Phone # (503) 718 - 2-11`M CITY OF TIGARD BUILDING DIVISION PERMIT# MST2006 -10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 3/242000 Phone. (503) 639-4171 ' 1 ' �If Inspection Requests (24 Hrs.). (503) 639 -4175 s', INSPECTION WORKSHEET FOR DATE 6/6/2006 TIME 7:02AM PAGE: 55 SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #: 005 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503 -59O -0805 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503-500 -0805 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 031163-02 503-720 -7445 N Corrections /Comments / Instructions: allII■ 0 Wyk PASS - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL - CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 0. A% 4 IP I v ca Inspector ■ I A Date / Phone #. (503) 718- r� CITY OF TIGARD '' BUILDING DIVISION PERMIT #. MST2006.10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/1006 Phone (503) 639-4171 A I Inspection Requests (24 Hrs) (503) 639 -4175 s!U 'thL INSPECTION WORKSHEET FOR DATE 6/8/2006 TIME. 7:03AM PAGE 17 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590.0006 Inspection Request Scheduled For: Date 6/8/2006 Pour Time: Code # Inspection Description Confirm # Contact if Message 135 Low voltage 031394 -01 503-720-7445 N Corrections /Comments / Instructions. PASS ❑ PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS I FAIL ----' CALL . INSPECTION ❑ ADDITIIO FEES ASSESSED ('y /�/ kik tor: V N C@ FOR Ci ci Phone #: (503) 718 1 7 v I CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006 -10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503) 639 -4171 , I �, Inspection Requests (24 Hrs )• (503) 639 -4175 �Y "'I INSPECTION WORKSHEET FOR DATE 6/6 /2006 TIME 7:02AM PAGE 56 SITE ADDRESS 11698 SW ERROL Si CLASS OF WORK: SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER: FOUR D CONSTRUCTION CO, PHONE # 503- 5900805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.590.0005 Inspection Request Scheduled For: Date: 616/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 115 Electrical service 031163-01 503-720-7445 N Corrections /Comments /Instructions: V TN.'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ti FAIL CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED e`^ C N Inspector. Dat V Phone #: (503) 718- ( CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006-10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503) 639 -4171 Inspection Requests (24 Hrs.). (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE 6/5/2006 TIME 7:02AM PAGE 14 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION Now SF OWNER, FOUR D CONSTRUCTION CO, PHONE # 503 -590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503. 590 -0805 Inspection Request Scheduled For: Date. 6(5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 031106.01 503 - 720.7445 N Corrections /Comments /Instructions: �� (le EL I Led i.e l(�� • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ��FAIL .CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: C-th Date , z C O 6 Phone # (503) 718 - u �/ 7 CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006-10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 3/24/2006 Phone: (503) 639 -4171 , 1 u1wI II Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 615/2006 TIME 7:02AM PAGE. 13 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK: SUBDIVISION CAPPOEN ESTATES LOT #- 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503 - 69(1.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. b03 -590 -0005 Inspection Request Scheduled For: Date: 6/5/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 031106-02 503-720-7445 N Corrections/Comments/Instructions. 1!f SY..2V■ CO� ` 4 '� n7SC soK) C— S 7 wlt� 12 s —14o • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G/-12 ( Date: (n 'S O 6 Phone #: (503) 718- 7 69V CITY OF TIGARD I BUILDING DIVISION PERMIT #: MSr2006-10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED: 312412046 Phone (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175' " INSPECTION WORKSHEET FOR DATE 6Ti612006 TIME 7:00AM PAGE 23 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION• New SF OWNER FOUR D CONSTRUCTION CO, PHONE #. 503 -590 -0005 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 594.0805 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm it Contact # Message 275 Q- Framing 031839 -02 503. 7207445 N Corrections /Comments /Instructions: A' -< `re, ,, .' flee G cvze -dad P 1€ -Atn, 0 P"a vi eize a—s-ta( iy9+li- vr,lean e74a_o cart. ter A . , / lwe et-4 - dyla.#7 . F r £ett' tcZed G�2 -( G tc. /rey o Ca-n-t 4Z-€e -lee( CK e ee..-? t 7/a5 4 9 , 4 a n e - -&Jyi /P47 vn v4 ante [- PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector. G�S�+ v Date: 647/7 6 Phone #: (503) 718 - 2 7 O 6 P-4.nw4 / L Dl'i t / ti-h. CITY OF TIGARD 1-° e_ BUILDING DIVISION PERMIT #' MST200S -10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED' 3/24 /2006 Phone (503) 639 -4171 �J'� Inspection Requests (24 Hrs) (503) 639 -4175 .� .,,. °__.. INSPECTION WORKSHEET FOR DATE 6/16/2006 TIME 7:00AM PAGE. 2 SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LQT #' 005 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES �// DESCRIPTION' New SF OWNER FOUR D CONSTRUCTION CO, PHONE #. 503 - 5900805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503'590 -0805 Inspection Request Scheduled For: Date 6/16/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 280 Insulation 03/83901 503.720-7445 N Corrections /Comments /Instructions' 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 9214 ❑ CALL FOR INSPECTION ❑ ADDITION £ L FEEESS ASSESSED Inspector. Date 0 /!9 6 Phone #: (503) 718- 2-70-10 CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S -10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503) 639 -4171 iii Inspection Requests (24 Hrs ). (503) 639 -4175 ., _ INSPECTION WORKSHEET FOR DATE. 6/16 /2006 TIME 7:00AM PAGE 22 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #• 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF OWNER FOUR D CONSTRUCTION CO, PHONE #. 503-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 -590 0805 Inspection Request Scheduled For. Date: 6/16/2006 Pour Time' Code # Inspection Description Confirm # Contact # Message 242 t2-f Interior shear walls 031839 -03 503-720-7445 N Corrections/Comments/Instructions: - Gra, t _ 4 r07,L.2 G C� 'zed, W PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector' IP Date: 6 (4 c& Phone #: (503) 718- 73 ®G r CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2008.10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone (503)639 - 41710 Inspection Requests (24 Hrs ): (503) 639 -4175 s n11 1 INSPECTION WORKSHEET FOR DATE 6/12/2006 TIME: 7:03AM PAGE. 2 SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME, CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For: Date: 6/12/2006 Pour Time' Code # Inspection Description Confirm # Contact # Message 24 Interior shear walls 031681 -03 603-720-7445 N C rections /Comments /Instructions: -S/f ! 4'Aan. -sr �...r C Cs-09 ac_ l r Z I I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL !/ //// CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /Y�ial Date: 4 -a---a& Phone #: (503) 718- Z¢-1 5 CITY OF TIGARD r BUILDING DIVISION A PERMIT #. MST2006.10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24 /2006 Phone: (503) 639 -4171 pill Inspection Requests (24 Hrs) (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE 6/12/2006 TIME 7 PAGE 4 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #• 005 TYPE OF USE. PROJECT NAME: CAPPOEN ESTATES DESCRIPTION New SF OWNER. FOUR D CONSTRUCTION CO, PHONE #- 503.590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.590.0805 Inspection Request Scheduled For Date 6/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031581 -02 503-720-7445 N Corrections /Comments /Instructions: / © it-/06 -4- r�o.r, as Y6 ° �Tos �0 ci,. l / A.4. -LCO 4'fLe/�, .s -S41'-'.v I/ O £ 1o' 4—�IN, a. Tta- tps4,Sn 42Ia , .v-'6 4h)Vc JPGuYL a) It 0(4 - lb w,,rtrc - c rta.,.,..,...e 6 AC,st °Lga£ .Asst cult. ..rrts n 4 06.4 s-0-tc,% 7 PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector. A A Date ( / a 6 Phone #. (503) 718 - 1.44 -,C C CITY OF TIGARD BUILDING DIVISION PERMIT # MST200G -10003 .13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/2006 J Phone. (503) 639 -4171 I ft r Inspection Requests (24 Hrs) (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE 6/1212006 TIME 7:03AM PAGE 6 SITE ADDRESS 11598 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES ,DESCRIPTION Now SF OWNER FOUR D CONSTRUCTION CO, PHONE #. 503. 590 - 0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 603.590 - 0805 Inspection Request Scheduled For. Date: 6/ 02006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031581 -01 503-720-7445 N Corrections /Comments /Instructions ASS Li PARTIAL APPROVAL I CANCEL n NO ACCESS I I FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /�/ Date 4 lg�iG Phone # (503) 718- �1/-4-S/ CITY OF TIGARD BUILDING DIVISION PERMIT #• MST2006 -10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/24/200G Phone. (503) 639 - 4171 1 Inspection Requests (24 Hrs) (503) 639 -4175 . s. F'I L. INSPECTION WORKSHEET FOR DATE 6/5!2006 TIME 7 PAGE 12 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT It 005 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER. FOUR D CONSTRUCTION CO, PHONE #• 503 -59D -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503.590 -0805 Inspection Request Scheduled For: Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031106-03 503-720 -7445 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: C Date: 6-Cr Phone it: (503) 718- ZG�__ CITY OF TIGARD BUILDING DIVISION PERMIT # M8T2016.10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 3/24/2006 Phone. (503) 639 -4171 I�I� Inspection Requests (24 Hrs.): (503) 639 -4175 P INSPECTION WORKSHEET FOR DATE 5/17/2006 TIME 7:06AM PAGE 26 SITE ADDRESS: 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME, CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR 0 CONS1 RUCTION CO, PHONE #. 503590.0805 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503. 690.0805 Inspection Request Scheduled For: Date 5/1712008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 030036-02 503- 720 -7445 N Corrections /Comments /Instructions: /1 PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS ff I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VI VI V a o Date: !( k1 / d 6 Phone #. (503) 718 - v ` vI CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006- 10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/2006 Phone: (503) 639-4171 .1,1 , ei Inspection Requests (24 Hrs) (503) 639 -4175 .2 INSPECTION WORKSHEET FOR DATE 5/17/2006 TIME. 7:06AM PAGE 2G SITE ADDRESS. 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE: PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE #. 503 - 590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590.08105 Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 030036-01 503-720-7445 N Corrections/Comments/Instructions: IL S ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS I I FAIL ❑/ CALL / FOR j INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector VC/'L v v — Date: & /L 7 / a Phone #: (503) 718- ZL(2-`19 CITY OF TIGARD BUILDING DIVISION PERMIT # MS 2006 -10003 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. 3(24/4)066 Phone: (503) 639 -4171 , 1 't Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 5111120015 TIME 7:0GAM PAGE 24 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES • LOT #: 00G TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER. FOUR D CONSTRUCTION CO, PHONE #. 503 - 690.0806 CONTRACTOR FOUR D CONSTRUCTION PHONE #: 503 - 59010005 Inspection Request Scheduled For: Date. 5/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2112 Interior shear walls 030036.03 503720.7445 N Corrections /Co ents /In tructiont S. I n PASS ❑ PARTIAL APPROVAL /l ill CANCEL I I NO ACCESS I I FAIL I CALL FOR INSPECTION ❑ ADDI IONAL FEES ASSESSED Inspector. (A Date '/b t Phone #: (503) 718-1-1427/(• CITY OF TIGARD BUILDING DIVISION PERMIT # MST200G -10003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 312412003 Phone (503) 639 -4171 A I Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 4/11 /2006 TIME 7:0 PAGE 38 SITE ADDRESS 11698 SW ERROL ST CLASS OF WORK SUBDIVISION: CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF OWNER FOUR D CONSTRUCTION CO, PHONE #• 603 59041805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503. 590.0805 Inspection Request Scheduled For: Date: 4/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Post/hearn fructura! 0277313.05 503-720.7445 N Corrections/Comments/Instructions: - / ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector:d!i.,YL 1 Date l ( o� Phone #: (503) 718- 3 CITY OF TIGARD ' BUILDING DIVISION PERMIT # Msr200t; - 10003 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/24/2005 Phone (503) 639 -4171 And r Inspection Requests (24 Hrs ): (503) 639 -4175 ■ IL INSPECTION WORKSHEET FOR DATE. 4/11/2006 TIME. 7 :07AM PAGE 40 SITE ADDRESS. 11698 SW ERROL. ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 005 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER FOUR D CONSTRUCTION CO, PHONE #• 503. 590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.590.01305 Inspection Request Scheduled For: Date: 4/1112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post /beam mechaniral 027738.03 5037207445 N Corrections /Comments /Instructions: PASS SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED !q� Inspector: C\ Date I I (J�� Phone #: (503) 718 - \-Z CITY OF TIGARD BUILDING DIVISION PERMIT# ER 0 016 -/ 6003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone (503) 639 -4171 fV/ f" Inspection Requests (24 Hrs ) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE TIME PAGE SITE ADDRESS // Co E 8 . L CLASS OF WORK. SUBDIVISION t LOT # TYPE OF USE: PROJECT NAME: DESCRIPTION OWNER PHONE # CONTRACTOR. PHONE #• Inspection Request Scheduled For Date: 3-a 9 -O g Pour Tim &) U O Code # Inspection Description Confirm # Contact # Messag ao S a, 7aa- 6C1.-- oC "rrec igi ns /Com ants/ n truc ions: 0 _ Z�� -s -S-1 • ...(is 1 .. a 4* WatilPer ant I ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL '► ALL FOR I PECTION ❑ ADDITION L FEES ASSESSED I t' d Inspector: i`r' 77II Date. 4 "ne # (503) 718�7a