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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #. A DEVELOPMENT SERVICES DATE IS UED• 3/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 103 B D - 11300 SITE ADDRESS: 11688 SW ERROL ST ZONING: R - 5 SUBDIVISION: CAPPOEN ESTATES LOT: 004 JURISDICTION: TIG Project Description: New SF detached BUILDING REISSUE AXIS2226E STORIES 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK NEW HEIGHT 25 FIRST 1 345 sf BASEMENT sf LEFT 5 SMOKE DETECTORS V TYPE OF USE SF FLOOR LOAD 50 SECOND 1 414 sf GARAGE 568 sf FRONT 20 PARKING SPACES 2 TYPE OF CONST 5N DWELLING UNITS 1 TNRD sf RIGHT 5 VALUE 271 456 40 OCCUPANCY GRP R3 BDRM 3 BATH 3 TOTAL 2759 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 I WATER HEATERS 1 WATER LINES 100 BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES MECHANICAL FUEL TYPES FURN < 100K BOIL/CMP <3HP j VENT FANS 4 CLOTHES DRYER 1 NAT FURN >=100K 1 UNIT HEATERS HOODS 1 OTHER UNITS I MAX INP btu FLOOR FURNANCES VENTS 1 WOODSTOVES GAS OUTI ETS 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 FOR PUMP /IRRIGATION PER INSPECTION EA ADD'L 500SF 5 201 - 400 amp 201 - 400 amp 1st W/O SVC/FCR 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 +amp6-1000v MINOR LABEL 1000+ amp /volt PLAN REV1EWSECTION 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 INTERCOWPAGING 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 #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 CONSTRUCTION and all other applicable laws All work will be done in PO BOX 1577 PO BOX 1577 accordance with approved plans This permit will expire BEAVERTON, OR 97075 BEAVERTON, OR 97075 if work is not started within 180 days of issuance, or rf the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules Phone 503 -590 -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 # I IC 71037 direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES: $ 10,190.20 1- 800 -332 -2344 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 - Issued : '—t „it . • Permittee Signature a Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i S19 -e_ //-3 MST 2001 '2° /70 Building Permit Appli tion,.. FOR OFFICE USE ONLY EutivED City yam) .r of Tigard Received e iv ,'1 eive /' /,• , � ��.. �' Rec 13125 SW Hull 1 "f 972 5 2005 Plan Review r Other Pennn � Phone 503- 6394171 4171 Fax Fax 503 03598 II�rI U /'e�4'y:`��I +�\ Dale/B /kAV — S — 0(o -CO e' • Inspection Line 503 639 4175 4 Dale Ready/By �'�� ® See Attached Checklist for Internet www al iigard or us Notified/Method Supplemental Information ^ CITY OF TIGARD BUILDING DNISIOPI _t`_ `" ,C ^+TYPE OF WORK ; _ , .'M - , 0 , REQUIRED DATA: I; - AND 2- FAMILI',DWELLING W 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 T•-- - , _'' " : ,,4 - tr .,• • ^q> «° work indicated on this a •' t ;CATEGORY OF CONSTRUCTIONµ, _ _ r.; ,C. Valuation S 1 -and 2 -family dwelling ❑Commercial /mdustnal ❑ Accessory building ❑ Multi -family Number of bedrooms 3 Clb 7 Master builder ❑ Other Number of bathrooms V //2 d - - ' 4JOB'SITE INFORMATION'AND LOCATION <9 . � , " _ ° 2�" <_' '' Total number of floors a` ' lob site address / /6, ip 8 S. 6c ER,t o z SS'T• New dwelling area 2 7c ` square feet City /State /ZIP — 7 y,9.,c,,/, eve. 9722 J Garage /carport area s62' square feet Suite/bldg /apt no rProject name Covered porch area j 60 square feet Cross street /directions to job site .,/ Deck area _el.- square feet L i •J 7 i+ Other structure area square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST • / Subdivision C� n e,S74. -T 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 .R.... - ^c. ;i•r_ _ r • ,DESCRIPT ION " WORK' '' 2 • t.'), "'^ -?'„ ', '2 work indicated on this application Valuation $ 0.4---21/k. !-(v i // r- •-fie_• e`\ Existing building area square feet New building area square feet 'PROPERTY OWNER, I r : ' - •` - '.,' - t " • . Number of stories ,� Name F0Ac� 7. & fit SrtV e ea a Type of construction Address R C 2ect /. 7 7 Occupancy groups City /State/ZIP T?o> , f D/- fr Existing Phone 1.5b3) S9o- ore 'C Fax (3 &7o-/7.57' New :r s , P; APPLICANT - -; .- ; — NC;.,c ❑ CONTACT,PERSON� = <:�, ti -`t' , a - -' - - - +� , i , ' °'NOTICE , Business name e_r,9Yn , J A zle a_+_ All contractors and subcontractors are required to be Contact name licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address jurisdiction m which work is being performed If the City /State /ZIP applicant is exempt from licensing, the following reasons apply Phone ( ) Fax ( ) E•mad r d t ^{Wh/i_ .ui4 V":% n`r'^ Business name ,Q,24t4-69d .0 - - I �� " BUILDING FEES* Address /Y - Please refer to fee schedule. City /State /Z1P Phone Fees due upon application ( ) Fax ( ) CCB tic - 7(b3 Amount received • Date Ihis p received Authorized signature 1 his permit application expires if permit is not obtained within 180 days after it has been accepted as complete. Print name � ' ''•� Date 16— 2 4e:"..45 • Fee methodology set by I ri- County Budding Industry T` Service Board • \nmldmgWermn9BUP- 11- PnmaApp doc 12)03 440 -4613 RI 1l02/COMAVEB) 'Mechanical Permit g�y�u�¢��'y rtil: orFlcE; w:v City of Tigard n ecr ' n E® Received ' p ' Date/By Permit No v -co 0 13125 SW Hall Blvd, "l Fax 503 9 1 0 5 2005 Ae4Y (J J new Phone specuon 0 Line 503 639 q 9 p 503 598 1 ; r r i p;, I iI Plan Review Other Permit Internet www el 11 aril or u5 -- Daze ReadyBy Jam ® See Page 2 for g CITY OF TIGARD Noufied/Method Supplemental information RIIILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST K New construction ❑ Addition/alteration /replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value $ 14 I- and 2- family dwelling ❑ Commercial /Industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES? ❑ Multi-family E, Master builder ❑ Other: For special information use checklist Description I Qty Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address . 116 t p c ? $ Ai E ,e 0 L Ste' A� conditioning or heat placement) 14 00 (requires site te plan showing City /State/ZIP 'n A la Ott F7 .22 7 Furnace 100,000 BTU (ducts/vents) 14 00 Suite / bldg /apt no ` Project name Furnace 100,000+ BTU ( ducts/vents) 1790 Gas heat pump 14 00 Cross street/directions to job site 1,077 244 Sr. Duct work 14 00 Hydronic hot water system 14 00 Residential boiler (radiator or hydronic) 14 00 Unit heaters (fuel -type, not electric), in -wall, in-duct, suspended, etc 10 00 / Flue /vent for any of above 10 00 Subdivision e >0Poyx ,14 S t'- `-! Lot no ' / Other 1000 Tax map /parcel no Other fuel appliances DESCRIPTION OF WORK Water heater 1000 \^ Z Gas fireplace 10 00 ( - - .4 gc - $..) /701.1.-e--- 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 gi PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 1000 /� n Other 10 00 Name Et “i -4-') C✓L.. 57 LC77 ON L—r Environmental exhaust and ventilation Address �y Range hood/other kitchen 4S � ,4-7 equipment 1000 City /State /ZIP ti c4- 77 c>7.5-- c>7.5-- Clothes dryer exhaust 10 00 / Single -duct exhaust (bathrooms, Phone ISb3) S ',7o - expo 5” Fax 1.5 S3' -/7,57 toilet compartments, utility rooms) 6 80 ig APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 Business name C' �, / Other 10 00 H4 4n-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 heater Phone ( ) F ( ) Water heater Fireplace E -mail Range CONTRACTOR Barbecue _ Business name ' / t 1 Clothes dryer (gas) Other • Address D -W � / Of S, ltly- R-I-- MECHANICAL PERMIT FEES* City /State/ZIP /7/LLS40.4) nib-- Subtotal Minimum permit fee ($72 50) Phone (s 3) d`,,2 0- Lt. «3 Fax ( ) Plan review (25% of permit fee) CCB lic l 6 ,S-7j State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature_ This permit application expires if a permit is not obtained within 180 , // � days after it has been accepted as complete Print name W M AA) Ail //41/7t. Ks Date / 6 2'rd-a0 * Fee methodology set by Tn County Building Industry Service Board I \ Building \ Permits'MEC- PannnApp doe IVJ03 440-4617T(1 IIO2/COh9WEB) 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 \Building\Permis'MEC- PermnApp doc 12/03 2 • ' Electrical Permit APPr !iIVED F 'OR OI rICiS.I ti[ ONLi: City of Tigard �( � q oaIe Bd Per No /, 13125 SW Hall Blvd, Tigard, OR 9722 ( / 0 5 20OJ C Plan Review �� - 00 Phone 503 639 4171 Fax 503 598 1 96� ✓"' " H€ e' s Ir' ' 5 1 �"•. Date/B Other Penn Inspection Line 503 639 4175 f e'_ I Date Ready/By tun: E1 See Page 2 for Internet www ci tigard or us CITY OF TIGAR Notified/Method Supplemental informatmn DUILDINC OrfSIOb TYPE OF WORK PLAN REVIEW (RI 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 ❑Bulldog over 10,000 sq ft , CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ria I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units In one structure El Multi- family ® Master builder ❑Other. ['Building over three stories ❑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: )) � � ❑Health -care facility ❑Other / / 9 $3 s:6“ HtpIIL S7; Submit 2 sets of plans with any of the above City /State /ZIP: 7 .vx /t ni t 77 23 The above are not applicable to temporary construction service Suite/bldg./apt. no. Project name: FEE• SCHEDULE Description I Qty I Pm I T°14 . Cross street/directions to Job site W/Yzti � sr New residential single- or multi -family dwelling unit. Includes attached garage. 1,000 sq R or less 145 15 4 Subdivision: //�J �� Lot no : Ea add'I 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 n / dwelling, serum and/or feeder 90 90 2 L- C - � c-�O� Ff' e. Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 2 Fs! PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 10685 2 /n 401 amps to 600 amps 160 60 2 • Name ty u /t `,2j 0-� J 72Q ct C72 oN a- 601 amps to 1,000 amps 240 60 2 Address ?Of 219' / S 77 Over 1,000 amps or volts 454 65 2 Reconnect only 66 85 2 City/State/ZIP. U_ „. z( Q o7 ,C Temporary services or feeders installation, alteration, and /or Phone. (S1.3) _c Qc' ps' Fax (5U?) S70_ X75/ relocation 200 amps or less 66 85 1 Owner installation: This installation is being made on property that 1 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 APPLICANT y, ^ / ❑ a_ CONTACT � cc PERSON „ A Fee for branch circuits with >�r7 .p Sz e ST. ! ( ..l u I& 4Ao( t.4) bran ci feeder fee, each 6 65 2 Business name branch circuit Contact name: B Fee for branch circuits without service or feeder fee, 46 85 2 Address: each branch circuit Each add'! branch circuit 6 65 2 City/State/Z1P Miscellaneous (service or feeder not included) Pump or irrigation circle 53 40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name. extension Describe Page 2 2 Address: S' 75 et .0 ( �,w� Each additional inspection over allowable in any of the above Per inspection 62 50 City/State/ZIP Cp .7 0 ,c 77.22 ( Investigation per hour (I hr mm) 62 50 Phone (Sb3) 2w_ 77 Fax ( ) Industrial plant per hour 73 75 ,� +� ELECTRICAL PERMIT FEES* CCB Lic.. ( Z' OO 1 Electrical Lic Si/2 e_ Suprv. Lic. &Pdok./ 5 Subtotal Supry Electrician signature, required' (2 G 1 •)„, ..x Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: 2,6,47._ (24.4!14,- Date: / C�� •d C / TOTAL PERMIT FEE Authorized signature. .411- / , �� Otis permit application expires if a permit is not obtained within 180 � ' days after d has been accepted as complete /7 '^ lO ' Print name 7d % D ate. 2c1 _ • Fee methodology set by To- County Building Industry Service Board n Number of inspedions per pemtt allowed 1\Budding\Peimits\ELC- PamitApp doc 12/03 140-4615T(I0/02/COM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: I RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n 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 t \BuiIdm \ELC- PennnApp d« 04/03 Building Fixtures `e Plumbing Permit App •SCDEN FOR OFFICE USE oNL City of Tigard Receives 13125 SW Hall Blvd, Tigard, OR 97223, 0 5 q LOO�j ° Date/By �. 4' Plan Review Phone 503 639 4171 Fax 503 598 1960 /Rar � 4 Date/By Other Permit No Date Ready/By 24- Hour Inspection Line 503 639 4175 C ITY O F T IGA'�_ I� Jun' ®See Pace 2 for Internet www c1 li and or us .., g a � I 0 G D NomfieNMethod Supplemental information TYPE OF WORK FEE SCHEDULE LW New construction ❑ Demolition For special information use Mecum. Description 1 Qty 1 Ea 1 Total ❑ Add Mon/alteration/replacement ❑ Other New 1- 2-family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 24920 g 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi -family SFR (3) bath 399 00 Master builder ❑ Other Each additional bath/kitchen 45 00 Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities lob site address / 1 4 r 9 S ' t J gzR 0 L - S T' Catch basin or area drain 16 60 City /State /ZIP - 77y it/ n . 9 7 2.2 Drywell, leach line, dram (no linear e, or trench dram 16 60 Sine/bldg /apt no Project name ft ) Page 2 Manufactured home utilities 110 00 Cross street /directions to job site �Z f,6 S'1r Manholes 16 60 Ram dram connector 16 60 Sanitary sewer (no, linear 6 ) Page 2 Storm sewer (no linear fl ) Page 2 Subdivision alP rb,yzri ��-,, _ I Lot no (7( Water service (no linear 11 ) Page 2 �/t"^' Fixture or item Tax map /parcel no Absorption valve 16 60 DESCRIPTION OR WORK Backflow prevenler Page2 - 7,..J) Lieu) 4/at-it Backwater valve 16 60 Clothes washer 16 60 Dishwasher 16 60 14 PROPERTY OWNER I ❑ TENANT Drinking fountain 16 60 Ejectors/sump 16 60 Name � at r f.. '� ni t ,��.,� C7r nwl °_,„ Expansion lank 1660 Address ? D, 86z- J S - 77 Fixture /sewer cap 16 60 City/Stale /ZIP 2,0,44 may / 27 o7 o Floor drain/floor sink/hub 16 60 Phone ( t3) S90 - o�� Fax t/733) .C2 7S/ Garbage disposal 16 60 it APPLICANT ❑ CONTACT PERSON Hose bib 16 60 Ice maker 16 60 n Business name > lint- 4s f vi '�" / a�� 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 ( ) Suik/basm /lavatory 16 60 Tub /shower /shower pan 16 60 E-mail Urinal 16 60 CONTRACTOR Water closet 16 60 Business name G � Cp1u'.+hl Water heater 16 60 Address AS-72_ S S/ 410, Other Subtotal City /State /ZIP /let S/3a" -S! OA,-, e z712-3 Minimum permit fee $7250 Phone (3) 6,_— 2 3// Fax ( ) Residential backflow minimum permit fee $36 25 CCB Lie 7 / 9 7 Plumbing Lie no 3v-,A/ Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature j_ _ ,�, c� r+.rt�� TOTAL PERMIT FEE Print name 7r , ,,L- .*r Date /b -2c46S This permit application expires if a permit is not obtained within 180 days after a has been accepted as complete. *Fee methodology set by Tn -County Budding Industry Service Board i \auildmg \ Permits \PLMF- PernicApp doc 06/05 40- 1616T(10/03/COM/WEn) 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 dram - 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 $220 00 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 & Ram Dram - 1st 100' 55 00 $1 00 to $5,000 00 Minimum fee $72 50 . Storm & Ram Dram - 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 Back flow Prevention Device each additional $100 00 or fraction thereof, to (minimum permit fee $36 25) 27 55 and including $25,000 00 Ram Dram, single family dwelling 65 25 $25,001 00 to $50,000 00 $379 50 for the first $25,000 00 and $1 45 for Inspection of existing plumbing or each additional $100 00 or fraction thereof, to specially requested inspections - per hour 7250 and 00 for $50,00000 ' $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 criten& 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 extenor plumbing site utilities Previous Capped Added Existing ❑ A commercial budding with installation, alteration or addition Baptistry/Font of nine (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 Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed foe the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units - - Drinking Fountain ❑ Any NFPA 1 3-D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink -2'• Submit 2 sets of plans with any of the above. -3' -4 •. Car Wash Drain Isometric or Riser Diagram Garbage - Domestic _ ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - .Industrial Ice Mach /Refng Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory ' - Bradley - Commercial - Service - 4 . Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor • 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. 1 \Building\Pennus\PLM- PenmitApp dot 07/06/05 • ^)1 p ' �` A f�es Ener Ali Electrical Installer Log CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT # /Llcf7t 2005. PP *05 PLEASE PRINT ISSUED BY 4U/3 DATE O8, 23, 06 TO BE COMPLETED BY INSPECTING JURISDICTION CHECK TYPE OF WORK INVOLVED: NUMBER OF SYSTEMS' 1 & 2 FAMILY COMMERCIAL Rf Audio and Stereo Systems* ❑ Audio and Stereo Systems Et' Burglar Alarms ❑ Boiler controls ❑ Garage Door Openers* ❑ Clock, Systems ❑ HVAC* ❑ Data Communication Systems ❑ Vacuum Systems* ❑ Fire Alarms ❑ Other ❑ HVAC ❑ Intercom and Paging systems THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE ❑ Landscape Irrigation Controls* SERVICE PANEL IF THERE IS NO SERVICE PANEL, POST ON OR ❑ Medical NEAR THE INSTALLED PRODUCT AN INSPECTION SHALL BE ❑ Nurse Calls REQUESTED ONLY AFTER ALL OF THE ABOVE PERMITTED SYSTEMS-HAVE BEEN INSTALLED, AND THIS LOG HAS BEEN ❑ Outdoor Landscape Lighting* SIGNED BY THE SYSTEM CONTRACTOR(S) OAR 918 - 320 -450 ❑ Protective signaling ❑ Other * No licenses are required. Licenses are required for all other installations. ❑ SyE CENTRAL VAC JNSTALLTION ❑ System Compan GARY'S VACUFLO, INC 775 -0025 Company Phone. Address 9015 SE FEAVEL, 97266 CCB 69047 Address. CCB # -. CLE 26728 Sig Sig S — ,1099LMS 8,./OR JLE 985 ❑ Y• L . 8,./OR S stem Lic # ) ❑ Y Company Phone Company Phone Address CCB # Address CCB # Sig Lic. # Sig Lic. # ❑ System W N ,iak_Saa21, ❑ System Company (A,q p +. RAG41 Phone clo0.4( Company Phone Address 4j i( lJ UAtkedAf t GCB # jiScin Address CCB # Sig \Sa,R,pla - t ‘2 _, 0 4 .4 .-LS Lic # J,sg -A-- Sig Lic # ❑ System ❑ System Company Phone Company Phone Address CCB # Address CCB # Sig Lic # Sig Lic # ❑ System ❑ System Company Phone' Company Phone Address CCB # Address CCB # Sig Lic # Sig Lic # ❑ System ❑ System Company Phone Company Phone Address CCB # Address. CCB # _ Sig Lic # Sig Lc # *Construction Contractors Board License ® LSAAS ®SAS AAASS SSASSAS4 SAA ASSASSASSSASSSAASSSAAAAAAAAAAAA ®` A A 10 STREET TREE CERTIFICATION A I, DA-v/.0 A' ,,,Owner /Agent f or F vu.c , C oc v,o../ 1 (PLEASE PRINT) a (PERMIT HOLDER) A / E : 41 ; .e 1 Do herebyceptify vlaa th foHlow location A meets �Ci ig rd / ton County A l and use and development standards for street tree installation. e A A 10 ® ADDRESS: / /Ger SeJ Meoc snc €rr ® I> A 10 A D A LOT: 42 SUBDIVISION: C r ieterev 47 aN'75 . 7 BY: / 'e - - .I DATE: / - 2g -0"7 ® ' / Y ® RECEIVED BY: DATE: ® ® ®® 908® ♦9TVVVVVVVVVVV® 99999 TVVVVT999999 ®VVVVVVVVVVVVVV VS' 999® _, I I a CITY OF TIGARD BUILDING DIVISION PERMIT #. MST200S -00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 - 4171 , 1 ''�I Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 2/1/2007 TIME 7:01AM PAGE 72 SITE ADDRESS. 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION• New SF detached 1/9/07: Added NC unit, OWNER FOUR D CONSTRUCTION CO, PHONE #h 503-590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For. Date: 711/2007 Pour Time. Code # Inspection Description Confirm # Contact # Message 299 Final inspection 042797 -01 503. 7200012 Y Corrections / Comments /Instructions PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 1 1 FAIL CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: Date. Z — 1— o '7 Phone # (503) 718- 2_4-/4-5- CITY OF TIGARD . . - BUILDING DIVISION PERMIT # MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 6 . + 1 I A Inspection Requests (24 Hrs ): (503) 639 -4175 a — ` "'f INSPECTION WORKSHEET FOR DATE 1)25/2007 TIME 7:03AM PAGE 14 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION' CAPPOEN ESTATES LOT #. 004 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached 1/9107 Added NC unit. OWNER FOUR D CONSTRUCTION CO, PHONE # 503 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503 - 590.0805 Inspection Request Scheduled For: Date: 1/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess 299 Final inspection 042520 -01 503.720.0012 /" Y Corrections /Comments /Instructions: �� 2-4_01vU I- /.4 c2 V/ r CS \ C 2cCEl m r Z r .7-7 0 f G, &/4-TU recC A)(-5 - L e t 4 f. ( `vey L # — ' 4.. ) C e- fr /) STa - F_S / G /4-2/-f-(= d-t 0 rst)ikJ�n g2LOCclr -:(� 9 // (gam ©c ,'.n,r) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS ,ICI F_AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G P1 Date: 1/Zs-/ 7 Phone #. (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MS7 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 'iii Inspection Requests (24 Hrs )• (503) 639 -4175 ":_ .• • INSPECTION WORKSHEET FOR DATE 1/25/2007 TIME 7 03AM PAGE. 18 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION. New SF detached. 1/3/07: Added NC unit. OWNER FOUR D CONSTRUCTION CO, PHONE # 503 - 590.0805 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503-690-0805 Inspection Request Scheduled For: Date 1/25'2007 Pour Time Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 042518-01 503-720-0012 Y Corrections /Comments/ Instructions ASS PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ‘r ASSESSED Inspector: C...-641/ Date '/ �/ 7 Phone #. (503) 718- 0 ‘ CITY OF TIGARD ' .- BUILDING DIVISION PERMIT# MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 i ,r alp Inspection Inspection Requests (24 Hrs.)• (503) 639 -4175 INSPECTION WORKSHEET FOR DATE. 1/25/2007 TIME 7.03AM PAGE. 13 SITE ADDRESS 11680 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. 1/9107. Added A/C unit. OWNER FOUR D CONSTRUCTION CO, PHONE # 503. 590.0005 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503- 5900805 Inspection Request Scheduled For Date. 1/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 042520 -02 503-720 -0012 N Corrections /Comments /Instructions. I I PASS 1 1 PARTIAL APPROVAL /A CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION / • 5 FEES ASSESSED // Inspector cHjfl Date VZ--CA Phone #. (503) 718- z‘y`� C CITY OF TIGARD BUILDING DIVISION PERMIT #. MST20 05-001 0 5 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/2312005 Phone (503) 639 -4171 fit. Inspection Requests (24 Hrs) (503) 639 -4175 '__.. INSPECTION WORKSHEET FOR DATE //412007 TIME 7 :00AM PAGE 9 SITE ADDRESS. 11608 SW ERROL ST i CLASS OF WORK SUBDIVISION' CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION' New SF detached OWNER FOUR L) CONSTRUCTION CO, PHONE # 503-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503 - 5900805 Inspection Request Scheduled For. Date 1/4/2007 Pour Time Code # Inspection Description Confirm # Contact # Mes 1 e , 99 Electrical final 041811 -01 503- 720-0012 s Kr Corrections /Comments /Instructions r aTh C I 2 -4o /o , Cas' co rjKC n Co/1 PL C $.QASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Gi-FrP Date: 1/r 4 6 Phone # (503) 718- ZCyY CITY OF TIGARD ' • BUILDING DIVISION PERMIT # MWT2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone' (503) 639 -4171 i f�lt- Inspection Requests (24 Hrs )• (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 12/20/2006 TIME 7:00AM PAGE 6 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE - PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503. 590 -0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE # 503 - 590 -0805 Inspection Request Scheduled For Date: 12/20/2006 Pour Time: ' Code # Inspection Description Confirm # Contact # Messa.e 199 Electrical final 041346-02 503.720.0012 . cxiA Corrections /Comments /Instructions N f .- oV i a 3 .. A - ir[.mC 6 14 G C-141 1 4- P I S nl nc Awn9 -c c-Ent r�- Pa 'WC Nhe -Z -"DS - ro P-, IZ c'Wv tm iceetA c- z_A -#--t f' A- -C_5c7 t\t Z ' Ati �� d��_ I O Pci t -t r l Z PSI o j ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: !- .14-1P Date ll/-0/ 6: Phone it (503) 718- z W CITY OF TI'GARD - BUILDING DIVISION PERMIT # MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs) (503) 639 -4175 s. ^' I INSPECTION WORKSHEET FOR DATE 9/6/2006 TIME 7:06AM PAGE 1C SITE ADDRESS 11688 Sy,/ ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 004 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR ID CONSTRUCTION CO, PHONE #. 503-590-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-690-0805 Inspection Request Scheduled For Date: 9/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 036096-02 503-720-7445 N Corrections /Comments /Instructions. iT `I.'PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS Li FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. 1 v CJ Date. —514(16L— Phone #: (503) 718 - /41_,L,_— `- CITY OF TIGARD BUILDING DIVISION PERMIT # WST2QO& 1304 06. 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3•Lt • 0 6 Phone: (503) 639 -4171 ,w I C I Inspection Requests (24 Hrs) (503) 639 -4175 y Y 1 1 . i INSPECTION WORKSHEET FOR DATE 9.5• QS• TIME % tt AM PAGE SITE ADDRESS. %MS S Up t R(LOL. S I . CLASS OF WORK' SUBDIVISION PROJECT NAME. CAF POEN 51 Arc s LOT #• !}. TYPE OF USE DESCRIPTION. H 6F. OWNER /•.y b CAAS1 • PHONE #. CONTRACTOR PHONE# Inspection Request Scheduled For: Date: q• S'• d b Pour Time: Code # Inspection Description Confirm # Contact # Message 12O E\.Z V r C 4 . l . Ro jc t Corrections /Comments /Instructions. lb(sCkO�d� N Q A. k a I & t1/4) ,. P n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 1 FA L r —, CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ,l u Inspector' CT `*t t to a Date: 9. •s'0b Phone #: (503) 718- Z.`1 -Fb• CITY OF TIGARD - . BUILDING DIVISION PERMIT # MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED- 3/23/2006 Phone (503) 639 -4171 K �11 Inspection Requests (24 Hrs) (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE 8/31/2006 TIME 7:00AM PAGE: 20 SITE ADDRESS. 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION co, PHONE # 5035900805 CONTRACTOR* FOUR D CONSTRUCTION PHONE #. 503- 590 -0805 Inspection Request Scheduled For: Date. 8/31/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 035886 -01 503-720-7445 N Corrections /Comments /Instructions. ez P2onliOt. i��e�• oN LE. -► s ' F-; LAc -m c.c.i11 w ►roA pa Z►o,s2. n PASS I 1 PARTIAL APPROVAL CANCEL I NO ACCESS m y FAIL 'CALL FOR INSPECTION .,--ia N ADDITIONAL FEES ASSESSED /_ Inspector G 1"i IV6f�LS ON Date: t 31 6 Phone #: (503) 718 - 2.1141 CITY OF TIGARD BUILDING DIVISION # MS 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 - 4171 _VI Inspection Requests (24 Hrs) (503) 639 -4175 '� '. INSPECTION WORKSHEET FOR DATE 8/29/2006 TIME 7:01AM PAGE 9 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #. 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503. 590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.590 -0805 Inspection Request Scheduled For: Date: 6/29/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 035743-02 503-720 -7445 N Corrections /Comments /Instructions ci P(ttpO S 4t. ; b c - 1 4 S 1 oi c P 5.GW_ i tf 21P. 62--. SI Cre3 Pat Q tre_g wkali t Z El. VR€L Ka 1-i0 . 6 . (D P s o'Jfl Ca 6 Fa SE Tr Tai I n j pg II3 45 2, . c� god, Wt.. 1 PASS ❑ PARTIAL APPROVAL l CANCEL ❑ NO ACCESS "\FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED " - �J Inspector: " `�v� t.. l NO3 Date 2. 6 Phone #: (503) 718_i mid CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005 -00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 3/23/2006 Phone (503) 639 -4171 , M1' � I �+ Inspection Requests (24 Hrs) (503) 639 -4175 H� INSPECTION WORKSHEET FOR DATE 8/29/2006 TIME 7 01AM PAGE 10 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION Now SF detached OWNER. FOUR D CONSTRUCTION CO, PHONE # 503. 590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503. 590.0806 Inspection Request Scheduled For: Date 8/29/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 115 Electrical service 035743-0/ 503-720.7445 N Corrections /Comments /Instructions: • C PASS III PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL CALL FOR INSPECTION n ADD FEES ASSESSED // Inspector 1 ` `r V C J Date: a .Z -{ ' 06 Phone #: (503) 718- 104 CITY OF TIGARD - BUILDING DIVISION PERMIT # MST2005- 00405 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3(23/2006 Phone (503) 639 - 4171 Inspection Requests (24 Hrs) (503) 639 -4175 ''' l INSPECTION WORKSHEET FOR DATE 12/20/2006 TIME 7 00AM PAGE 7 SITE ADDRESS: 11688 SW ERROL ST CLASS OF WORK SUBDIVISION' CAPPOEN ESTATES LOT #. 004 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 603.590 -0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 -590 -0805 Inspection Request Scheduled For: Date: 12/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041346-01 503.720.0012 Y Corrections /Comments /Instructions: (7 r P Jy � 1 r, < 74 •. -- PARTIAL APPROVAL CANCEL I NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: C-l1I7 :- Date. _ j in i Phone #: (503) 718- z 9y CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2005 -00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 , 1 liri Inspection Requests (24 Hrs) (503) 639 -4175 a fir °__.. INSPECTION WORKSHEET FOR DATE 8/29 /2006 TIME 7:01AM PAGE 8 SITE ADDRESS: 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE: PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503.590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590.0806 Inspection Request Scheduled For Date 8/29/2006 Pour Time - Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 035743 -03 503. 720.7445 N Corrections /Comments /Instructions. • 12e ,p ar -1-..." 0I,4...51-- 1 2 3./15 4'0. 4_, ►4Pr° ?V 2 51 0 G TW , �] PASS PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS ❑] FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector _6'8 h,..:,., i 1 \\./ Date.S/2rn)0 Phone #: (503) 718- CITY OF TIGARD i"" BUILDING DIVISION PERMIT # MST2f1(i�r00405 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. 3/23/2006 Phone: (503) 639 -4171 �" Inspection Requests (24 Hrs ): (503) 639 -4175 °1ILI INSPECTION WORKSHEET FOR DATE 8/25/2006 TIME 7:16AM PAGE. 2 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE #. 503690 -0605 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590 -0005 Inspection Request Scheduled For Date: 8/25/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 035582 -01 503-640.2311 N Corrections /Comments /Instructions. PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED s Inspector G �t 1 Date: i/2 Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #' M9T2006-00405 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 3/23/2008 Phone' (503) 639 -4171 14 y 111 Inspection Requests (24 Hrs) (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE 4/11/2006 TIME 7:07AM PAGE 4I SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #. OG'l TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE #. 503 - &0-0005 CONTRACTOR FOUR D CONSTRUCTION PHONE # 603-690 -0805 Inspection Request Scheduled For: Date 4/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 PIA/beam plumbing 027733 -02 503. 720 7445 N Corrections /Comments /Instructions' ,, D „. , 41# In le. I All 1 Imo!► W' / 1 ASS 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL • FOR INSPECTION ❑ ADDITIIINAL , EES ASSESSED Inspector: ,�A& Date � i l 1 () Phone #: (503) 718 - sr Y CITY OF TIGARD m Si BUILDING DIVISION PERMIT # s- ao yob 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone (503) 639 -4171 illll Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE TIME � try PAGE SITE DD SUBDIVISION I / co gi C LOT # CLAS PROJECT NAME. DESCRIPTION OWNER. PHONE # CONTRACTOR. PHONE # Inspection Request Scheduled For: Date: 9-6 O Cto Pour Time: Code # Inspection Description Confirm # Contact # Message / omm 33v 2 3S \\ �,./ /,�o� Sa d""i C r i) . g r.> S�t4 1 -e Corrections/ omments/Instructions: ).) 1( _5. "lit PASS ❑ PARTIAL APPROVAL Li CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: I C/ Date' 1 J 1 Oc Phone #. (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT # MST200500405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639-4171 .1 �� Inspection Requests (24 Hrs) (503) 639 -4175 .n '. r''I� INSPECTION WORKSHEET FOR DATE 9111/2006 TIME: 7 :00AM PAGE 24 SITE ADDRESS: 11 688 SW ERROL ST CLASS OF WORK. SUBDIVISION. CAPPOEN ESTATES LOT #. 004 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION' New SF detached OWNER' FOUR D CONSTRUCTION CO, PHONE # 503- 590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.590-0805 Inspection Request Scheduled For Date. 9/11/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 280 insulation 036315-01 503 - 720.7445 N Corrections /Comments /Instructions: r n e v LD / ` ((( alb I, _- k LDI 'sU Imo . S. A PASS SS ❑ PARTIAL APPROVAL fl CANCEL I NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL F ES ASSESSED Inspector ' Date. / CP Phone # (503) 718 - Zkz3 CITY OF TIGARD - BUILDING DIVISION PERMIT # MST7006.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 - 4171 I I 4 1 Inspection Requests (24 Hrs) (503) 639 -4175 N 01j, '__.. INSPECTION WORKSHEET FOR DATE 9/6/2006 TIME 7 :06AM PAGE: 17 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 603- 590.0805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590.0805 Inspection Request Scheduled For: Date: 9/6 /2006 Pour Time Code # Inspection Description Confirm # Contact # Message 275 Framing 036096-01 503-720-7445 N Corrections /Comments /Instructions: � I CZ r-C_ C �L TE° v Aii -- vt2 '4 Z o Vert /✓c te-a, b J . a ---0 nu u A r ,r. -A :rtta . - Co C , e , W ,L S c� AS .:A V c li/9'L _ TA) 4.1X.�, r. �) S L >c1,��� c) — (&) \ fir; r- :Fro k - - r 4 1 clC /Ai a G ❑ PASS IPj •ARTIAL APPROVAL n CANCEL NO ACCESS ciatQL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector r :Jhr Date ,- c. ' 0 6 Phone #: (503) 718- 24/7-- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/20% Phone' (503) 639 -4171 ,'Yli'liI Inspection Requests (24 Hrs) (503) 639 -4175 ,,,�i INSPECTION WORKSHEET FOR DATE. 9/6/2006 TIME 7:06AM PAGE 14 SITE ADDRESS 11688 SW ERROL sr CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 0p4 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER. FOUR D COI4STRUCTION CO, PHONE # 503 - 5900805 CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503-590.0605 Inspection Request Scheduled For Date 9/60006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 03609604 503 - 720-7445 N Corrections /Comments/ Instructions k t SS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: j Date. 1-O * Phone #: (503) 7181'9'" CITY OF TIGARD BUILDING DIVISION PERMIT #. MST200500405 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 3/x3/7006 Phone, (503) 639 -4171 i$0; Inspection Requests (24 Hrs.)• (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 91512006 TIME. 7:06AM PAGE 15 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION- CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503 - 59010805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 59010805 Inspection Request Scheduled For Date: W6/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 610 Gas line 036096-03 503-720-7445 N Corrections /Comments /Instructions Z - CO iC 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F EES ASSESSED r �f // /' t✓ / Inspector Date P hone #: (503) 718- [-i I�G� CITY OF TIGARD - BUILDING DIVISION PERMIT #• MST2005.00406 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639-4171 A 4 Inspection Requests (24 Hrs) (503) 639 -417 'L' L INSPECTION WORKSHEET FOR DATE 8/16/2006 TIME 7.03AM PAGE 15 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK. SUBDIVISION. CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 603590.0806 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503 -590 -0805 Inspection Request Scheduled For: Date. 8/16/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 035242 -02 503.7200 7445 N Corrections /Comments / Instructions: Iw O ` i - / -0t Go -Z•L: a + .. Cart PC. r Z PASS ❑ PARTIAL APPROVAL ❑ CANCEL PI NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: eine Date: g • f g- b(o Phone #: (503) 718- [--g li CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00406 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 i A Inspection Requests (24 Hrs ): (503) 639 -4175 2 "'f II INSPECTION WORKSHEET FOR DATE 6118/2006 TIME : :03AM PAGE 16 SITE ADDRESS. 11688 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #. 004 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503- 590.0805 CONTRACTOR- FOUR D CONSTRUCTION PHONE # 503 -690 -0805 Inspection Request Scheduled For: Date: 8/18/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 236 Shear walls/anchors 035242 -01 503 -720 -7445 N Corrections /Comments / � (Z�tR [ & -i17 . O, CI / G®Zc' 0,0 _a 1 Lc- P A ••SS 1 1 PARTIAL APPROVAL CANCEL NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector 0f7 Date: 8 lc; - irf>(v Phone #: (503) 718 - 1__ - CITY OF TIGARD BUILDING DIVISION PERMIT # MST200 00406 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 3/23/2006 Phone. (503) 639 -4171 A it Inspection Requests (24 Hrs) (503) 639 -4175 _... INSPECTION WORKSHEET FOR DATE 8/18/2006 TIME 7:03AM PAGE 14 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590.0006 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 - 590.0605 Inspection Request Scheduled For: Date: 8/18/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 035242 -03 503-720-7446 N Corrections /Comments /Instructions: '02' • 0 At. coeP ,n) S no■ fLJ c 1h . 0C DE . \ SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gff P Date 8 /p'© Phone #: (503) 718- Z61/y CITY OF TIGARD BUILDING DIVISION \ PERMIT # MST2005.00405 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 '�I� Inspection Requests (24 Hrs) (503) 639 -4175 F__:. INSPECTION WORKSHEET FOR DATE 8/17 /2006 TIME 7:01AM PAGE 7 SITE ADDRESS 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 0 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION. WOW SF detached. OWNER. FOUR D CONSTRUCTION CO, PHONE #. 503.690 -0805 CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503. 590 -0805 Inspection Request Scheduled For: Date: 8/17 /2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 036173-0/ 603-720.7446 N Corrections /Comments/ Instructions: N/N/ L %u&s ' .5 ( j 7 w-7vs a) A /4, Soil e 9 S • / SS PARTIAL APPROVAL 111 CANCEL NO ACCESS L I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector. % /74 Date 9 --/7-e6 Phone #. (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.0040 5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 3/23 /2006 Phone (503) 639 -4171 ., 1 iI�I� F Inspection Requests (24 Hrs )• (503) 639 -4175 a _ !�- � INSPECTION WORKSHEET FOR DATE 8/17/2006 TIME 7:01AM PAGE 6 SITE ADDRESS 11680 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 004 TYPE OF USE - PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503 - 690-0805 CONTRACTOR FOUR D CONSTRUCTION PHONE it 503-590.0805 Inspection Request Scheduled For Date 8/17/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 03517302 503-720-7445 N Corrections/Comments/Instructions &S,5 22_ YU 41 L E2(7 PASS.---- ASS.- _ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector / . - Date: g --/ 7-0 Phone #: (503) 718 - " g _ CITY OF TIGARD - - . BUILDING DIVISION PERMIT #. MST200S-00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23/2006 Phone (503) 639 -4171 ' Inspection Requests (24 Hrs )• (503) 639 -4175 A INSPECTION WORKSHEET FOR DATE 6/17/2006 TIME 7:01AM PAGE: 5 SITE ADDRESS. 11688 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF detached OWNER. FOUR D CONSTRUCTION CO, PHONE # 503. 5900805 CONTRACTOR FOUR D CONSTRUCTION PHONE # 503- 590 -0605 Inspection Request Scheduled For: Date 6/17/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 035173.03 503. 720-7446 N Corrections /Comments/ Instructions: • if � ;i /_ i - w ! .c G '' !.41 C 4 1 4 ❑ PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I? I AIL 1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: l�iY` - Date 8 /7-6 Phone #: (503) 718 - Q-q —C CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2006•00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 3/23 /2006 Phone (503) 639 -4171 Il • Inspection Requests (24 Hrs) (503) 639 -4175 .._ INSPECTION WORKSHEET FOR DATE 4/13/2006 TIME 7:00AM PAGE 39 SITE ADDRESS 11608 SW F_RROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION: New SF detached OWNER FOUR 0 CONS1 RUCTION G"), PHONE #- G03 CONTRACTOR FOUR 0 CONSTRUt;TION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date 4/130006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 0279C-04 503. 720.7445 N Corrections /Comments /Instructions: / I HASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: it Date + - X, - et , Phone # 45 - (503) 718- 24 CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2005.00405 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 312312006 Phone (503) 639 -4171 1 Inspection Requests (24 Hrs) (503) 639 -4175 Alt INSPECTION WORKSHEET FOR DATE 4/13/2006 TIME 7:00AM PAGE 37 SITE ADDRESS. 11688 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 004 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION. New SF detached. OWNER FOUR D CONSTRUCTION CO, PHONE # 503-590-0805 CONTRACTOR FOUR 0 CONSTRUCTION PHONE # 603- 590 -0805 Inspection Request Scheduled For Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 805 Post/beam mechanical 027943-05 503. 720.7445 N Corrections /Comments/ Instructions PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS n FAIL I CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: % Date: *—/.3— c Phone #: (503) 718- 24-45 CITY OF TIGARD ' . /Y BUILDING DIVISION PERMIT # o7DOS- d0 9 O 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone. (503) 639 -4171 p� I�I+ Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE TIME PAGE ' SITE ADDRESS. // rd (/ E ` /A � CLASS OF WORK SUBDIVISION OFF' (ce'sis(r _LOT i TYPE OF USE PROJECT NAME 1 DESCRIPTION. OWNER. PHONE # CONTRACTOR PHONE #. Inspection Request Scheduled For. Date 3 - a % -0 p P our TI /0 " Code # Inspection Description Confirm # Contact # Message y a0 s °Z ,� U �l n 1 e ? D - 00 /� r r f ecti /Comments / � l / II ( fali ; As,. 1 L 0 t_ i ri -> / -----1 n ► i LdroAdD j , PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS n FAIL _ ALL F•R INSPECTION ❑ ADDITIONAL FE S ASSESSED Inspector emir Date ° M Cg hone #. (503) 718 -71