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Permit li CITY OF TIGARD MASTER PERMIT PERMIT #. MST2005 -00182 'T,^A DEVELOPMENT SERVICES DATE ISSUED• 9/21/2005 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL 2S103AD -00404 SITE ADDRESS: 10960 SW ERROL ST ZONING: R -4 5 SUBDIVISION: LOT: 012 JURISDICTION: TIG Project Description New SF BUILDING REISSUE MAS5011 STORIES 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK NEW HEIGHT 19 FIRST sf BASEMENT at LEFT 5 SMOKE DETECTORS V TYPE OF USE SF FLOOR LOAD 40 SECOND 633 sf GARAGE 633 at FRONT 15 PARKING SPACES 2 TYPE OF CONST 5N DWELLING UNITS I THRD sf RIGHT 15 VALUE ]3 B11 10 OCCUPANCY GRP R3 BDRM 1 BATH 1 TOTAL 633 sf REAR 12 PLUMBING SINKS 1 WATER CLOSETS 1 WASHING MACH 1 LAUNDRY TRAYS RAIN DRAIN 100 TRAPS LAVATORIES 1 DISHWASHERS 1 FLOOR DRAINS SEWER LINES 100 SF RAIN DRAINS I CATCH BASINS TUB /SHOWERS 1 GARBAGE DISP 1 WATER HEATERS 1 WATER LINES 100 BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES MECHANICAL FUEL TYPES FURN <100K 0 BOIL /CMP < 3HP VENT FANS 2 CLOTHES DRYER 1 GAS FURN > =100K UNIT HEATERS HOODS 1 OTHER UNITS MAX INP btu FLOOR FURNANCES VENTS I WOODSTOVES GAS OUTLETS 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS I 0 - 200 amp 0 • 200 amp W /SVC OR FOR PUMP /IRRIGATION PER INSPECTION EA AOD'L 500SF 1 201 • 400 amp 201 • 400 amp 1st W/O SVC/FOR SIGN /OUT LIN LT PER HOUR LIMITED ENERGY 401 - 600 amp 401 - 600 amp EA ADOL BR CIR SIGNAL/PANEL IN PLANT MANU HMSVC /FDR 601 - 1000 amp 6O1'ams -1000v MINOR LABEL 1000+ amp /volt PLAN REVIEWSECTION Reconnect only > =4 RES UNITS SVC /FOR> =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 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 Munlopal Code, State of OR Specialty Codes ENGLERT, TERRY OWNER and all other applicable laws All work will be done In 10960 SW ERROL accordance with approved plans This permit will expire TIGARD, OR 97223 if work is not started within 180 days of Issuance, or If the work Is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules Phone 503 - 639 - 5176 Phone adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080 You may obtain copies of these rules or Reg # direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES. $ 8,798.87 1 - 800 - 332 - 2344 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 r / 4 Issued By : _ZZ:2i __ ��__yyyy __ Permittee Signature% 4 / 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 uritil completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applial@CEIVED K . :Si "a 'a :` ` 7' r • . FOR OF US ONLY I �; r °i CI d_ / I31 W Hall Blvd ,Tigard, OR 97223 Y r of Tigard Receive DateBy, 3 2 r 1' Pemm No N'\,Viz' f o / pe2, Phone 503 639 4171 Fax 503 598 1960 MAY 2 `j 200 Plan Review Date/By Ir 1-6 -OS Other Permit ti Inspection Line 503 639 4175 !� t i ) Date Read Internet www ci h aid or u5 CITY OF ToG i"'* —° yBy �,/� Suits S upplemental Information See Attached Checklist for g WILDING NNotified/Method 9'6 p� !/ (,/ S BUILD V ,J��. I ' �—ar ��� p n'r ,, � � ti � t p .a h.r`,4t)` a l IY ' ` \a ,,. , ; d s L `lY4 4' 'e+} A • ac:Y_' xc a.c ,:., - .. .. aw.ilrtetrry };?.,"• t ir, 1 �T q O ,, „. K" , `j';4 .,> ? kya aat '"`, ,* '' ". ILG u a ,„. 4 U 1 1 - Y,PWELLING ..eana.c-a� dSMrcia,*. v rs7a^a,"`x2'x L'*�If- 'EraP�.� '4s: f,,. Q- ,aaz- .msx.:.teena�e %w - � 5,;.. ,.,.. _. A New construction ❑ Demolition Perrot 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 ` ;v P. e '""">"' "'v"""'''`""_° "' S VR - I"''� tai; ;kgt „r P fr r i r work indicated on this application 9,• ,. 4, 6” m r RY OF C,ON G TIONb a r >t,, t e t,,.:'" S ' 1 1 ' ,sU- ■� , i PP -7, 7 Valuation $ X and 2- fanuly dwelling ❑ Commercial /mdustnal ❑ Accessory building 111 Multi-family Number of bedrooms ❑ Y Maaster builder ❑ Other Number of bathrooms +.'- �s'lwY 5� tF.I,k�n>d�n.� s b:,vv,vee:w.,ssmm H.aS ayra. p-r e '-' - i . 3.-. xLt` r �,; rfi ry, ��OIthSItFEWFORM"' A, „TION,At�,`n,LOOAIION Total number of Floors ? Job site address J / i7 / _n til Err, I New dwelling m ea tp 3 3 square feet City /State/ZIP , -” ,// 1 if ( • Garage /carport area 6, 3 3 squat feet Suite/bldg /apt no , Project name Covered porch area square feet Cross stieet/directrons to job site Deck area square feet 4 r A A T a / I a . 1111 Ii AO , • Other stiucture area 0((, op square feet y <REQUIRlD; TN:;COT nMENCIAL Subdivision „ ,� // fl 1 / Lot no 4] Per; lit fees* are based on the value of the work perfoi med Tax map /parcel no a .s j � �11 /� �'1 L/ 4 /� Indicate the value (rounded to the nearest dollar) of all � ¢„ c F, / l� , y4 T , y , r t) ` r p rc equipment, materials, labor, overhead, and the profit for the ysy y0 a �f � t , s � ; I r D PsoitT sO N y OFp y keig i°dt 'n gap" work indicated on this application 5'f J )\ 1 y r � c 1. i � Valuation $ I- - � (� —r Existing building area square feet New building area square fee, y R "0`K xd xsu,f n t # "bi"d t2I P" ter- += +-r s°c+cz t' } V , e + d(PR OPER7} Y 4IYMEN 4 r +t; ` t 7� ' +, „5 n - E• all Number of stones Name — 4 Type of construction • Address /�1.:.r Occupancy groups City /State/ZIP /{ f4 i r ) Ce ' Existing Phone (503) L 3 �'j? Pax ( ) New yp ,T"4'f „ ,'APPIIC . .AN 1 .trg .-v "�.," +a,' s h y .c roP ., na+' ' �+r, SYk ,., -,.°sa ® CONT:4CT LIiS tiiaiut'6 }:1w r ' a ' n ei :,I i ' -': 'S4 , - Business name t' �w45' s" e. r�"`-' �°' 5' �; ��t. C�-••. z. �° �., a'�� "SS; ",,: � ',i 1 � .I ri) C U b ( 2yf 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 Jul sdretron in which work is being performed If the Ci / State/ZIP applicant is exempt from licensing, the following reasons apply Phone ( ) Fax ( ) E -mail tap i- ary ,«,,a,`�.�,: - m=.;,.=rx; t a... u" �� n� _ - 1"-, tio-6 1'RAC :7: +lr * v Business name 0 ,p _ knit- iii arei DI\,'G * '. :. + , " ' Address Please refer to fee schedule City/State/ZIP - Fees due upon application Phone ( ) Fax ( ) - CCB lie Amount received Date received Authorized signature This permit application expo es if a permit is not obtained within 180 days after it has been accepted as complete Print name t Date y . * Fee methodology set by Trr -County Building Industry Service Board , \Budding \Permits \BUP- PermnApp doe 12/03 5 03 0 5 /3 / 13T( r 1102ICOM/wee) One- and Two- Family Dwelling Building Permit Application Checklist ..FOR OFFICE 'USE ONLY t 1: i City of Tigard Received Penult No 13125 SW Hall Blvd , Tigard, OR 97223 Date/13y Phone 503 639 4171 Fax 503 598 1960 Associated permits 24 -Flour Inspection Line, 503 639 4175 f P - ❑ Electrical ❑ Plumbing ❑ Mechanical Internet www et ngard or us -W ❑ Other THE ;FOLLOWI ARE REQUIRED FOR PLAN 'REVIEW' Yes *,lYo; „; /A 1 Land use actions completed. See Jurisdiction criteria for concurrent reviews ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc ❑ ❑ ❑ 3 Verification of approved plat/lot ❑ ❑ ❑ 4 Fire district approval required. Name of district ❑ ❑ ❑ 5 Segue s stem • ermit or authorization for remodel Existin • system ca•acity ❑ ❑ ❑ . 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details Plan review cannot be completed if copyright violations exist I I Site /plot plan drawn to scale. The plan must show lot and building setback dimensions, property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft elevation differential, plan must show contour lines at 2 -ft intervals), location of easements and dnveway, footpnnt of structure (including decks), location of wells /septic systems, utility locations, direction indicator, lot area, budding coverage area, percentage of coverage, impervious area, existing structures on site, and surface drainage 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction More than one cross section may be required to clearly portray construction Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc 15 Elevation views. Provide elevations for new construction, minimum of two elevations for additions and remodels ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope Full -size sheet addendums showing foundation elevations with cross references are acceptable 16 Wall bracing (prescriptive path) and /or lateral analysis plans Must indicate details and locations, for non- ❑ ❑ ❑ rescn.trve 'alb anal sis erovide sa ecificanons and calculations to en,meenn• standards 17 Floor /roof framing Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations Show attic ventilation 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations " 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/Joist carrying a non - uniform load 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances 22 Engineer's calculations. When required or provided, (i e , shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be ap.licable to the .roject under review JURISDICTIONAL' SPECIFICS •p 23 Five (5) site plans are required for Item 11 above Site plans must be 8 -1/2" x 11" or I I" x 17" ❑ ❑ ❑� 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons `Mirrored" building plans will not be accepted ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale ❑ ❑ 5 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List 29 Site plan to include tree protection measures as required by conditions of approval ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ID including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved pnor to September 9, 1995 i \Building Wen \One- Two- FamilyChecklist doc 12/03 � PEIVED.. ., E leetr cal Permit App`lit: io n t FoRoFFICE S'EoNiuiN -.1 : i.:1 • 7r Recencd City of'Tigard 25 � Pennn * --- q 13125 SW Hall Blsd . Tigard OR 97223 ��� J ���° I OsdBs C C{ 1 �'-�- B Plat lucre.. Phone 503 6394171 Pae 503 598 1960OiTY OF FIGA- ( DattiO' Onitr Prrmll Inspection Line 503 639 4175 BUILDING �IVI:_u emit Dale 12,4,1 Icr e See Page 2 nor Internet AAA ci Board Or us 1 'solilitd lLthod Supplt n rit d Intwin urmi 1 TYPE OF WORK PLAN KEN IESS New construction ❑ Addition /alteration /replacement Plead. chock all that apols ❑Senlcc ovol 225 amps Comm I ❑Flaialuous location ❑ Demolition ❑ Other ❑Sort ice u. a 320 amps - rating 1713elldng0.0 /0 000 .q i CATEGORY OF CONSTRUCTION 01 I - aid 2 -tamd' d'wlhng, 4 of mule nco,oshtur Hot I I and 2 family dwelling ❑ Commercial /industrial ❑ Acces >orr building ❑sysmm o. e1 600 sot nominal m3 in one sin Lie (- ❑ Budding o'er three stoles 1111 tedtrs 400 amps or molc ❑ Multi-family ❑ Master builder ❑ Other C xl an u lac tut cd 51101 ❑Ocwpam load °' or 99 pot oro JOB SITE INFORMATION AND LOCATION ❑hglc» /lighting plan RV Palk Job no Job site address /� J� ❑Health -cmc facility ❑0thcr �11 Y'1 �,� �, � Err,-, Submit 2 sets ul plans "uh arty of the abo.c City /State /ZIP '" e t7 2 3 the abort arc not apphcaulo tooctnpuian cumuu .n u cuunc i Suite/bldg /apt no Project name FEE` SCHEDULE D,..ripumi I Qn I ELL ( roil 1 --1 Cross street/directions to Job site Nett residential single- or mullrl anvils dnellrng unit Includes attached garage • A • / • p O •c( a - / r , 7 a 1.000 sy It of le I 145 15 1 I -0 Subdivision 41 Lot no La add'I At h or poi non I 3340 I I limned energy resdcnbal 7500 I ' Tax map /parcel no S 10 7,4D O24 0 (/ Limned energy, non - residential 75 00 '- DESCRIPTION OF WORK / Lash manulactut ad or modular . d'w �1 lbg n sort ict and /or ieedei 00 90 Sersurs or leerier s installation, alter anon and /ui itIotatiun I 200 amps of loss e) 30 1 I 2 A PROPERTY OWNER ❑ TENANT 201 amps n> 400 amps 106 S5 '_ 401 amps to 000 amps 1601 60 / I 2 ---fl I/ En h ( T. 601 amps to 1 000 amps 1 240 60 2 1 Address L2 ti 4 /AR/ /9/ Os CI 1 000 amps of ' °Its ] 454 69 2 Reeonnoct only 66 85 F 2 1 City /State/ZIP /^ — r F,L Tempura n sen ices or'cede's installation alteration. a ud /ui relocation Phone (50) 6 7C Fax ( ) 200 amps of less I 66 85 Os' ner installation. This installation is being made on property that I own which i s not 201 amps to 400 amps I I 1 0 0 3 0 I I 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps I I [ 3' 75 I 1 2 Owner signature Date Branch uncoils ness, alteration, or extension per panel APPLICANT ❑ CONTACT PERSON A tin tot branch uruuts rat /i I scrvicc or !ceder tee each s Business name • 6 o f l� Jt branch an curt 6 ti- 4 / 13 I ca for blanch scums Contact natty icuhou/ set vice or feeder lee, 46 85 ' Address each branch circuit Each add"' branch cu curt I 665 I '- City /State (ZIP NI iseella nco us (sen ice or feedti not included) Phone ( ) Fax ( ) Pump or negation circ IL 53 40 7 Sign or outline lighting 1 53 40 ' E Signal circuit(s) 01 limucu- CONTRACTOR cnci gv pam.I altuauon of esiennron Describe Pagc 2 Business name 1, / 7VLC 1 Addt e55 [ Each additional inspection o' allossa mans of the a Kr inspection F 6 •0 I F City /State /ZIP l■csugaatmn per hour (I lir111uu I I 62 50 I 1� Indmu rap plant per hour 73 75 I 1 Phone t ) Fax ( I El ECTRICAL PERMIT FEES* F CCB Lie I Electrical Lie 1 Supry Lie Subtotal Supn Electrician signature required Plan re'ico (23'4! Of permn Ice) 'state surthaiec 18;(. of pormn Iccl Print name Date 101 Al. PERMIT FEF Authorized signature Gin porter apphcaonn " pirts It a ptrnul i. mil obi mad ..rrbrn Inb 1 dr.. al tr it has been atienad a cirniph it Print name /04 i f ) / Date i �" - 1 cc nitihudoiOtt scr b■ 10 Budding Inju.tr. SLO •a Ii ra b � C - Cumber of Inspecnont;er pc nnualln.c_J .'nuOamLRcrmuoFI C Pernur 50n du. 1 : 0 1 ..a ad <Tt I n tL CO.I ' 0 1 B V. Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined 575.00 Check Type of Work Invoked: • Audio and Stereo Systems* Fl Burglar Alarm I Garage Door Opener* 17 Pleating, Ventilation and Air Conditioning System* n Vacuum Systems' n Other COMMERCIAL WORK ONLY: Fee for each commercial system 575.00 (SEE OAR 918- 260 -260) Check Type of Work Invoked: Audio and Stereo Systems I I Boiler Controls Clock Systems Data Telecommunication Installation n Fire Alarm Installation I HVAC I Instrumentation Intercom and Paging Systems P1 Landscape Irrigation Control* Fl Medical Nurse Calls n Outdoor Landscape Lighting,* Protective Signaling Other Total number of commercial systems *No licenses are required. Licenses are required for all other installations nwldme'Pemn, t LC Pemnt ' do G40: Building Fixtures Plumbing Permit it E FOR OFFICE Use ONLY . Received City of Tigard Date/fly Permit No �\ 5V/4-Ca / 13125 SW Hall Blvd , Tigard, OR 97223r l y ty 2 5 2005 Plan Review Phone 503 639 4171 Fax 503 598 1960N P7 U di! ' i DateBy Other Peron No 24- Hour Inspection Line 503 639 4175 Y OF - f iGAR E , a i, Date Ready /By Juria a See Page 2 tar Internet www ci tigard or us Gil ern nlV(cJ(�al No Date Supplemental Information r I.p C T1PE OE WOR 'k' ° F - r- a l Flv`.3T'v m-vrt �`r ciftFEENaliiiUI:EP'u:5d-` -rrr , _ , ^,�t,t�.� �:1�v��t.� -- ><,.�.,... ry ""�s�"` srnm 's�,r,.,s?w " ..�. - _- .. • , Di New construction ['Demolition For special information use checklist. Descnpnon 1 Qty, 1 Ea 1 Total ❑ Addition/alteration/replacement ❑ Other New 1- 2 -family dwellings (includes 100 ft for each utility connection) K ii i e1144 0191W IO ON' +4 *F ' f� /� SFR (1) bath 24920 i,it' � !n = - fiS -,- - . _ �.Pd�l.� %Sia 1- and 2- family dwelling ❑ Commercial /Industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi- farmly SFR (3) bath 399 00 Each additional bath/kitchen 45 00 ❑ Master builder ❑ Other ,.aaw r< n�,. --m rx.;x,,n Fire sprinkler ( sq ft) Page 2 '- 4F '~ +� .ilOB STfE *IN ArVD, =' ;� 3 .�«. r- �..•� z� xa„ - -- , t , r:' �� �,. p Site utilities Job site address I 0 9 6 o 5 L) E r 5 re) I Catch basin or area drain 16 60 City / State/ZIP I • dr h P 97 3 Drywall, leach line, or trench dram 16 60 V Footing dram (no linear ft ) Page 2 Suite/bldg /apt no Project name Manufactured home utilities 110 00 Cross street/directions to job site , C �` r Manholes 16 60 i A • [ C l ILA • Rain drain connector 16 60 Sanitary sewer (no linear ft ) Page 2 // Storm sewer (no linear ft ) Page 2 Subdivision /� / /At Lot no N/A Water service (no linear ft ) Page 2 'v/ Fixture or item Tax map /parcel no Q34 . ,- 0 _ Absorption valve 16 60 l brt `d x );Ji b ' 'b' Ir # r ORKi5 s r` re Y �' ryi�-,._'`$ 4 ,..ti4�.. �,� s�_ »a a, - ; �.¢ x:R x x Backtlow prey enter Page 2 1 F 1 1 1) ( f O'7054, �' fi r" brit Backwater valve 16 60 ll Y �� �l Clothes washer 16 60 Dishwasher 16 60 ,ix ,,..a,,, ,,. „r. n f T,-"z ,2e r 5 , Drinking fountain 16 60 i 11 ° ' :sPROPE 8t, i ?c fl I :_) Q m TFi \et,1 � 3 v,..,.5.,.r., i„• „ „,�.*.,� zt*53 $ =tr 2nLM1,^ »• -��,. ., ,.. Ejectors /sump 1660 Namc rr " �II / yi n, L I Cr l Expansion tank 16 60 Address / /�� C . . /l /�/ / Fixture /sewer cap 16 60 City /State /ZIP 4 1--„ ,o /1 eve: A � 1 t �� , of ! / 7 a7_3 Floor drain/floor smk/hub 16 60 Phone (yy3) 6 3115- S I / 6 Fax ( ) Garbage disposal 16 60 • wvwi tt��ls w{*amr npr xuemr_a Hose bib 16 60 1 Pri k 41:1,,CRVI ICANT, y b is a• . @ONTAC Ti°'NP,ER S OY ^' ” ' ice maker 16 60 Business name ; (A C. r-tj V lf h. - Interceptor /grease trap 16 60 Contact name Medical gas (value S ) Page 2 Address Pnmer 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 Unnal 16 60 : 3 h ,' #a v ,+*5i, ,. • t ?CONTRAETO a'.^°t(a,TM;. r d'- .,., !�. ".+ . era' .•1 Water closet 16 60 Business name b 1-.) yi tr Water heater 16 60 Address Other City/State/ZIP Subtotal Minimum permit tee S72 50 Phone ( ) Fax ( ) Residential backflow minimum permit fee S36 25 CCB Lc big Lic no Plan review (25% of permit fee) �j �l State surcharge [ fee) Authorized signature TOTAL AL PERMIT FEE Print name 7 l g" 4,-.± Date This permit application expires if a permit is not obtained within J 180 days after it has been accepted as complete *Fee methodology set by Tn- County Building industry Service Board I \Buddiegwermlts \PLMF- PemlnApp doc 14/03 440 -4t i6T(10 /02 /COM/wEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: CS a Milities '" 'N 9L9' ee,(ea ' YrT µ SyuareF otage :yges3 ar PesmitaF,ee, , 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 $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' 46 40 t - » .,, ..,la *,,.ryx et°`^re„ras e r -' - -s ;zr *.'r " �_ °� -• • Storm &Ram Dram - 1st 100' SS 00 YxYs`alU tdif it:ri:..aii::.i.�i'y, +peYn] -lt $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 foi each ` - k - s n13 "`S e ".y ` 0 xtureho r Ife? f 't1 , eFee ea " ,, : To'tal additional $100 00 or fraction thereof, to and F including $10,000 00 00 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 65 25 $25,001 00 to $50,000 00 $379 50 for the first $25,000 00 and $1 45 foi Inspection of existing plumbing or each additional $100 00 or fraction thereof, to specially requested inspections - per hour 72 50 and including $50,000 00 Subtotal- $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for each additional $100 00 of fraction thereof Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please Indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . intrk , ': a,` y Quan` titY• by:(Fiztur`e);Q}ork'Pe`rformedS � ixture Type: a F x • r'- tur, + {A'a "i ,�44' Re}ilaee ° Pro?, a . i3 �' - y � � y y y ^r < M o we a wsl g &, c-app d� Comments regarding fixture work: Baptistr Bath - Tub /Shower - Jacuzzi/Whirlpool _ Car Wash -Each Stall - Dnve Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain /sink - 2" 3" -4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permtt results in an - Industnal Ice Mach/Refng Drains Increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec Vehicle Dump Station plumbing permit can be issued. Shower -Gang _ -Stall Sink - Bar /lavatory - Bradley Quantity Total - Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total Is >9. Urinal Other Fixtures 03eddiag\Penn,u'PLM- PCrnmApp doe 3/03 • Mechgiiical Permit Application FOR OrrIcEa)sEONLY City of Tigard Received Permit No 13125 SW Hall Blvd, Tigard, OR 97223 (yd A Phone 503 639 4171 Fax 503 598 1960 d+ Plan Review >u afery I +' Date/By Other Permit Inspection Line 503 639 4175 ill' E'� I. Date Ready/By Fa ® See Page 2 for Internet www ei tigard or us Notified/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE SCHEDULE — USE CHECKLIST New construction ❑ Other Addition/alteration/replacement Mechanical permit fees" arc based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Demolition ❑ Oilier' mechanical materials, equipment, labor, overhead, and profit • CATEGORY OF CONSTRUCTION Value $ ID 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist ❑ MBItl -famtl Multi-family ❑ Master builder ❑ Other: Description Qty Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling �� l YD( Air io conditioning showing lamp Job site address to t? In _ Ai r cndi ni tir e heat plu mp 14 00 City /State/LIB rte ` ) if " 2- Furnace 100,000 BTU (ducts/vents) 1 14 00 f i1.On Furnace 100,000+ BTU (ducts/vents) 17 90 Suitc/bldg /apt no Project name Gas heat pump 14 00 Cross street /directions to Job site Duct work 14 00 Hydronlc hot water system 14 00 t I-,_ _/ti Residential boiler (radiator or hydronm) 14 00 Unit heaters (fuel -type, not electric), in -wall- in -duct, suspended, etc 10 00 Subdivision / /A Lot no .4,/ /1 Flue /vent for any of above 10 00 7 Other 10 00 Tax map /parcel no 2 5 /ay/040y Other fuel appliances J DESCRIPTION OF WORK Water heater ) 1000 /0 / l / Gas fireplace 10 00 5 f / ✓ ` en (✓1 C 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 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 000 _ Other 10 00 Nance T l int C L J l M le Environmental exhaust and ventilation ^ / _ / ' �r )4/44/2i 1 Range hood hood/other kitchen — Address' L ( .t , �' /r (equipment 1000 il) Cty /State /ZIP L' Clothes dryer exhaust / 10 00 J 7'' r Single -duct exhaust (bathrooms, Phone ( 9) 3 ( ) 43 0 Fax ( ) toilet compartments, utility rooms) 2,,,.. 6 80 ) 3 (�j ❑ .APPLICANT ❑ CONTACT PERSON Atudcrawlspace fans 1000 Business name Other 10 00 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 ( ) I Fax ( ) Water heater Fireplace E -mail Range CONTRACTOR Barbecue y�� Clothes dryer (gas) Business name !"� Other 3 S•c /C Address MECHANICAL, PERMIT FEES* City /State /ZIP Subtotal 63. Phone ( ) Fax ( ) Minimum permit fee ($72 50) )]. Plan review (25% of permit fee) CCB I1c State surcharge (8% of permit fee) 5- to TOTAL PERMIT t, Authorized signature --- Thu permit application expires a permit is not obtained within 180 days ys after it has been accepted as complete Print name • ` • .. ` Date •• Z ' • Fee methodology set by Tn- County Building Industry Service Board I \BmldmglPennitatMrC- PermnApp doe 12/03 441 .617T (II/MOM/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 \Building \ Permits \MEC- PermitApp doc 12/03 2 Permit # \'�- - 5 - - o 2oa 00>'��? (4oa t) Address , 0960 S Li w reoV Issued by: v6 D a t e : / ' / ? Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued This statement is required for residential building, electrical, mechanical, and plumbing permits Licensed architect and engineer applicants, exempt from registration under ORS 701 0/0(7). need not submit this statement This statement will be filed with the permit Fill imthe appropriate blanks and initial boxes I and 2, and either box 3A or 3B t 1. I own, reside in, or will reside in the completed structure. cx s 2 I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR yi 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property wners aabt on Responsibilities on the reverse side of this for . (Signature of permit applicant) (Dat- (White copy to issuing agency permit file, pink copy to applicant) information Notice to Property Owners A bout Construction Responsibilities Note' This lnfot mutton Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board tit accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure. you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you lure persons not registered with die Construction Contractors Board to do labor in constructing or assisting in the constu uction or improvement of a residential structure, you will, in most instances, be ruled to he an employer and the people you lure will be employees As the employer, you must comply v,ith the following: Oregon's with holding tax law: Asan employer, you must withhold ineometaxes from employee wages at the time employees are paid - You w ill he liable for the tax payments even if you don't actually withhold the tax from your employees For more information. call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you arc required to pay a tax for unemployment insurance purposes on the wages of all employees, For more information. call the Oregon Employment Department at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation I,aw, and must obtain workers' compensation insurance for your employees. I f you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs it one ofyour employees is injured on the job- For more information. call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer. you must withhold federal income tax from employ ees' wages. You will be liable for the tax payment even ifyou didn't actually wttlihold the tax. For more information, call the Internal Revenue Service at 1- 800 -829 -1040 OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project. you are responsible forresolving any failure to meet code tequiiements that may be brought to your attention through inspections. Liability and properly damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspi ay, water damage from pipe punctures, tire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have theexpertise to act asyour own general contractor, to coordinate the o r k ofrough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions. write or call the Construction Contractors Board (P0 Box. 14140, Salem, OR 97309 -5052. 503/378 -4621) The Board is located at 700 Summer St NE Suite 300, in Salem. prop -own rm4 1/94 . . r/ CleanWater Services Our ium nnliurnl i. Li .n September 20, 2005 Todd Englert 12640 NW 111 Pl. Tigard, OR 97223 Re: New single family residence located at10960 SW Errol St, Tigard, OR CWS file 05- 002376 (Tax map 2S103AD Tax lot 00404) Clean Water Services has reviewed your proposal for the above referenced activity on your site. Staff has conducted a prescreen review and requested completion of a Sensitive Areas Certification Form Following review of submitted materials it appears that Sensitive Areas do not exist onsite or within 200' from your project. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 049, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This concurrence letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at(503) 681 -3605 Sincerely, Chuck Buckallew Environmental Plan Review 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone (503) 681 -3600 • Fax (503) 681 -3603 • www CleanWaterSei vices org • i Permit \'�`,>)° oo/ (41DU- .--) Address } 0 5 60 7, W v co'C Issued by v6 Date 4 Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued This statement is required for residential building, electrical, mechanical, and plumbing permits Licensed architect and engineer applicants, exempt from registration under ORS 701 010(7), need not submit this statement This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B j 1 I own, reside in, or will reside in the completed structure 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A My general contractor is - (Name) Contractor regis # I will Instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 7 3B I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor I hereby certify that the above inform tion is correct and that I have read and do understand the Information Notice to Property wnersut on Responsibilities on the reverse side of this for . 7 L / (Signature of permit applicant) (Dat (White copy to issuing agency permit file, pink copy to applicant) 4 ■ STREET TREE CERTIFICATION I (cry-s EL Ic r Owner /Agent for (PLEAPRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington County land use and development standards for street tree installation. ADDRESS: /O 1 60 r g rvo S4 SUBDIVISION: LOT: SIGNATURE: DATE: 6/z 3A A rreprmwrivT) RECEIVED BY: _ DATE: • d� (CITY OF TI : RD) �� 1 \Budding \F onus \Street CreeCemficate 03/24/06 CITY OF TIGARD ,;" BUILDING DIVISION PERMIT IL M5T2005-00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 9/21/20% Phone. (503) 639 - 4171'°' „ I A Inspection Requests (24 Hrs) (503) 639 - 4175 „s ''L. INSPECTION WORKSHEET FOR DATE. 7/612006 TIME 7-03AM PAGE 62 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME: ENGLERT DESCRIPTION New SF OWNER ENGLERT, TERRY, PHONE # 503 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date 7/6/2006 Pour Time: Code It Inspection Desc 0 : Confirm # Contact # Message 299 Final irtspectio '� 032716-02 603-805-1310 N Corrections /Comments /Instructions: 4 IKe4,ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION in ADDITIONAL FEES ASSESSED Inspector: L-rnF Date: , 3 (// - 66:, Phone # (503) 718-2--‘+'4/ CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S -00102 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. 9/21/2005 Phone: (503) 639 - 4171 . l lit. Inspection Requests (24 Hrs) (503) 639 -4175 �' 1 INSPECTION WORKSHEET FOR DATE 7/6/2006 TIME 7:03AM PAGE 83 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION New SF OWNER. ENGLERT, TERRY, PHONE # 503 CONTRACTOR. OWNER PHONE # Inspection Request Scheduled For Date: 716/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032716-01 503- 805 -1310 N Corrections/Comments/Instructions PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: eh Date: / -‘ .O6 Phone #: (503) 718- zegy CITY OF TIGARD BUILDING DIVISION A PERMIT# MST2005.00102 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 90112005 Phone (503) 639 -4171 I Inspection Requests (24 Hrs) (503) 639 -4175 £!�' ^'� . INSPECTION WORKSHEET FOR DATE 5/23/2006 TIME 7:03AM PAGE 71 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION Now SF OWNER ENGLERT, TERRY, PHONE # 501639 -6176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 5123/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 030404 - 03503 - 805.1310 N Corrections/Comments/Instructions L ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL � ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED /� Inspector. I" � (I Date: \5.- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MS12005-00102 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 9010 005 Phone (503) 639 - 4171 , 1 1 i t Inspection Requests (24 Hrs )• (503) 639 -4175 J,Y ^'I . INSPECTION WORKSHEET FOR DATE 2JWWW2006 TIME 7:01AM PAGE 57 SITE ADDRESS 10F300 SW ERROL ST CLASS OF WORK SUBDIVISION LOT it 012 TYPE OF USE PROJECT NAME E t? - _ DESCRIPTION Vew SF OWNER ENGLERT, TERRY, PHONE #• 503. 63946176 CONTRACTOR. 01h'1ER PHONE #. Inspection Request Scheduled For: Date: 218/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Pl rough -in 0.6431 -01 503.8054310 Y Corrections/Comments/Instructions 13o - ep ' 0 -07Z t,- - 0 eE r rod wt, TRIt �� 5 0 PPoP - PDG- INTS C Ocg g e-P- 0 'OVI PAL_ _ilcs kr e '/ ( gns___• t a. •, fAsrtN s P tN � 8 4 S i s c (k - D t - p &c 4 , z"/ c(vke) I I PAS 7 ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS re± ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector / re / Date Aid ` Phone # (503) 718- 2-4k--2.---5 crar i With i 1 CITY OF TIGARD 1 BUILDING DIVISION PERMIT #* MST7t10."a00i82 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 9;2112003 Phone (503) 639 -4171 A Inspection Requests (24 Hrs )• (503) 639 -4175 ..L..I' "-- INSPECTION WORKSHEET FOR DATE. 12/30/2005 TIME 6:59AM PAGE: 50 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK: SUBDIVISION LOT # 0 TYPE OF USE PROJECT NAME PEP DESCRIPTION/N ew SF OWNER ENGLERT, TERRY, PHONE #. 503-639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 12!30/2005 Pour Time Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 024211 -01 503-805 -131() N Corrections /Comments / Instructions • 1 -PASS i i PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL �1 H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date' y�/ I I l Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #. MST200500182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED' 9/21/2005 Phone. (503) 639 -4171 azOitiptt _ Inspection Requests (24 Hrs )• (503) 639 -4175 INSPECTION WORKSHEET FOR DATE' 11/10/2005 TIME 7'02AM PAGE 10 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE: PROJECT NAME ' GLERT DESCRIPTIO New SF OWNER ENGLERT, TERRY, PHONE #. 503. 639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 020967-02 503 - 005.1310 NI Corrections/Comments/Instructions: e liA - SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL flf CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED h Inspector ►y1 A Date: / ) ) A Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005-00102 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED* 9/21/2005 Phone (503) 639- 4171j(` Inspection Requests (24 Hrs) (503) 639 -4175 ,,. °� .. I INSPECTION WORKSHEET FOR DATE 1/9/2006 TIME 7:01AM PAGE 62 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME. EN DESCRIPTION OWNER ENGLERT, TERRY, PHONE # 503 - 639 - 5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date. 1/9/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 330 Watei service 024619 -01 503 - 805.1310 N Corrections/Comments/Instructions: I _PASS I I PARTIAL APPROVAL n CANCEL H NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r Inspector. . Date: i (T 0 Phone #: (503) 718 - 1 • CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005- 00182 O 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/2005 Phone: (503) 639 - 4171 ' � l Inspection Requests (24 Hrs ): (503) 639 -4175 n5 . 1 . INSPECTION WORKSHEET FOR DATE 11/10/2005 TIME 7:02AM PAGE 19 SITE ADDRESS' 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME. ENG DESCRIPTION OWNER ENGLERT, TERRY, PHONE #• 503 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 020967 -01 503 -805 -1310 Y Corrections/Comments/Instructions PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector Date: I I' I f Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S -00182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 9121/2005 Phone (503) 639 -4171 0140,11 � Inspection Requests (24 Hrs ): (503) 639-4175 ..-4.4- '-ti.. INSPECTION WORKSHEET FOR DATE 6122/2006 TIME 7.01AM PAGE 2l SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION. New SF OWNER ENGLERT, TERRY, PHONE #- 503 CONTRACTOR OWNER PHONE #- Inspection Request Scheduled For. Date: 6/22/2006 Pour Time: Code # Inspection Des Confirm # Contact # Message 199 Electrical fi 032170 04 503805 -1310 N Corrections/Comments/Instructions: Kt P® E 77 - ! i•-a Cof_2C -Z Sz->/JS Go t-k,p PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Gam/ F Date: C. Z 7 _p 6 Phone #: (503) 718- Z 6 etr CITY OF TIGARD BUILDING DIVISION PERMIT # MST200500182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9121/20(15 Phone. (503) 639 -4171 11111‘ Inspection Requests (24 Hrs.) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 6/5/2006 TIME 7:02AM PAGE . 9 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT #. 012 TYPE OF USE. PROJECT NAME: ENGLERT DESCRIPTION New SF OWNER, ENGLERT, TERRY, PHONE # 503 - 639 - 5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date 6/5/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031110 -01 503 - 8051310 Y Corrections /Comments /Instructions: t\LO A -(.. ss PASS PARTIAL APPROVAL ❑ CANCEL f/ � / 'JO ACCESS VC_FAIL OS.RALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector e- Date 6-‘- ° 6 Phone #. (503) 718- 2-‘47/f CITY OF TIGARD BUILDING DIVISION PERMIT # M9T2005•00182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9/21/200S Phone (503) 639 -4171 Inspection Requests (24 Hrs) (503) 639 -4175 ..L ^LI .. INSPECTION WORKSHEET FOR DATE 5/2212006 TIME. 7:29AM PAGE. 21 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION New SF OWNER ENGLERT, TERRY, PHONE #. 603- 639.6176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For: Date 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030279-02 603 - 005.131(1 N Corrections/Comments/Instructions: U N `3 a vc o Cr . A2 ► , $ 3 v . ] c BLS TED I 5- pS-LZ N ASS w 1\ \,1fic C ttSt6 d er- k-7 210 , 2 ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS VA FAIL \CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 'v/t'� Inspector' crk N vS Date. V2 v6 Phone #: (503) 718- 1.NT0 CITY OF TIGARD G ., 6v T BUILDING DIVISION ( _i3 P # 21) a Sr- a U /8 L A 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED: Phone (503) 639-4171 etrit Inspection Requests (24 Hrs) (503) 639 -4175 _. . INSPECTION WORKSHEET FOR DATE 3 /3 k/O TIME PAGE SITE ADDRESS / 0 i 6 D & r'ee---( 7 CLASS OF WORK. SUBDIVISION. LOT # TYPE OF USE PROJECT NAME DESCRIPTION OWNER PHONE # CONTRACTOR: PHONE # Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Co :c # Message ) /r to • Ct Corrections /Comments /Instructions: A , // ASS a• -TIALAPPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL N 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` Inspector Date a_P one # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006•ooit)2 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. ar21/2005 Phone. (503) 639 -4171 , dp l � l Inspection Requests (24 Hrs )• (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE 2(712006 TIME 7:02AM PAGE 69 SITE ADDRESS: 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE. PROJECT NAME' EN - L DESCRIPTION i y 5 OWNER. ENGLERI, TERRY, PHONE # 503639.6176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For: Date' 2 /7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026227 -03 G03-005'1310 N Corrections /Comments / Instructions �LiLl1 za. / S ` l yJl �a l� : _ ° i��� , tL! B a 'is St a, 21 _; it 4411114 r la..:2a Sar Abs.41. A , bt`wp 2 SaNlGlr E` itis CDIJto rC (9 9C1.t.■10< a v R C- w a-C cmciK V kab Pki g 0 ziffiba ,P 0L,, ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ����// Inspector: r t_ N 6B cE Date � bb Phone #: (503) 718 - ' CITY OF TIGARD • BUILDING DIVISION 4 PERMIT # MS12005- 001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 9J21/2005 Phone. (503) 639 - 4171 , to Inspection Requests (24 Hrs ). (503) 639 -4175 ' � f �, INSPECTION WORKSHEET FOR DATE. 1/31/2006 TIME. 7 :01AM PAGE. I I SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME Ft , 4T DESCRIPTION -- _ OWNER ENGLERI , TERRY, PHONE # 503 - 639 - 5176 CONTRACTOR OWNER PHONE #. Inspection Request Scheduled For Date: 1/31/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 026031 -04 103-806.1310 N Corrections/Comments/Instructions Fie '7-": Cf9'LC-- 1 SCP ViCx< - FXSPfz-n-t i'V ASS PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS ❑ FAIL WC LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / � G � V Inspector. `ea "" •�� Date. 5 I `� P hone #: (503) 718 Z CITY OF TIGARD BUILDING DIVISION A PERMIT # MST2005-00182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9121/2005 Phone (503) 639 -4171 .11V ! Inspection Requests (24 Hrs ). (503) 639 -4175 2 INSPECTION WORKSHEET FOR DATE 6/22/2006 TIME 7 :01AM PAGE ? SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION New SF OWNER ENGLERT, TERRY, PHONE # 503639 - 5176 CONTRACTOR OWNER PHONE #• Inspection Request Scheduled For: Date: 6122/2006 Pour Time: Code # Inspection Description Confirm # Contact it Message 299 Final inspection 032170 -03 603805-1310 N Corrections /Comments /Instructions Kerte CC G - Sc ° Cz. oS ) c oV cZ cc -r:-. i./.sr tarn-. eZ/ ' /c.a.., Fit air 1.1 at. —7.:, - ,.Oi/C ma. r c- e74-ry l../.4-77 S iR- t/rc-cs5 " PASS PARTIAL APPROVAL n CANCEL n NO ACCESS /( FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: G/11F Date. £'ZZ OC Phone #. (503) 718 - 7--647 CITY OF TIGARD BUILDING DIVISION PERMIT #. MST2005-00182 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED 9/21/2005 Phone. (503) 639 -4171 ,. i Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE &512006 TIME 7•02AM PAGE 8 SITE ADDRESS. 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME' ENGLERT DESCRIPTION: New SF OWNER. ENGLERT, TERRY, PHONE #: 503-639'5176 CONTRACTOR: OWNER PHONE #• Inspection Request Scheduled For: Date: 6/512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031110 -02 503005.1310 N Corrections/Comments/Instructions M CZ -#&hJ c=am_ P,' /r4L CI_ c -,mot 5rcp ✓ices Cil S, ' 'T r -c.L C-02— L P hbrC At�i1R fZ3 7—/./ 2--d P6 / -�cC 64- 1-14./ i — R ee - t 6 /` q/Z - u,'( 2 yo / , TS J0 i g-L-CM E i tfi S 71144- Z <' Situ u c c) 2 S 1� CSt — N f o Ar -C-c>"'S r.Lb r kk Z : 2.41 J b2 A1A til a`i j / c4 t n� 5 21 K 2 r i .c172 2>./ f ��r - O C Tan dL1 r -,L, 4-9 n PASS I 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS gFAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED `� Inspector: C- Date 6' 0 Phone #: (503) 718- uy/ CITY OF TIGARD BUILDING DIVISION PERMIT # L� —C s�OI g'2 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED Phone. (503) 639 -4171 1 1* n Inspection Requests (24 Hrs.)• (503) 639 -4175 ° II- INSPECTION WORKSHEET FOR DATE TIME PAGE. SITE ADDRESS: t 0t3 lap e.is/V p t 50k • CLASS OF WORK SUBDIVISION LOT # TYPE OF USE PROJECT NAME DESCRIPTION. OWNER / PHONE #LS J D 6 /3 CONTRACTOR l© c PHONE #• Inspection Request Scheduled For: Date: if — 5 ' C ° Pour Time: Code # Inspection Description Confirm # Contact # Message ((9 .,„) ) . Stn Cc.- h'`°'^ 2), o Corrections /Comments /Instructions: PA55 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • ei Date: I ,c O-b Phone #: (503) 718 - ter 5— CITY OF TIGARD 6..- Pk, BUILDING DIVISION (.e PERMIT 2 -os = 0 S a 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone (503) 639 -4171 � Inspection Requests (24 Hrs )• (503) 639 -4175 41 "'I a INSPECTION WORKSHEET FOR DATE 3/3 \/D (p TIME PAGE SITE ADDRESS / O q a U v rre / I CLASS OF WORK' SUBDIVISION LOT #. TYPE OF USE - PROJECT NAME DESCRIPTION OWNER PHONE #. CONTRACTOR PHONE # Inspection Request Scheduled For. Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Z7) r fr —,-r.c c� c Corrections /Comments/ Instructions: - PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector de - A Date: 3— gt - te' Phone # (503) 718- 2.4-441-- CITY OF TIGARD BUILDING DIVISION PERMIT# /14S720CS - OO /Z2-- 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone: (503) 639 -4171 P, fll.* Inspection Requests (24 Hrs) (503) 639 -4175 =! INSPECTION WORKSHEET FOR DATE TIME PAGE SITE ADDRESS 1096,0 ` -r0 I CLASS OF WORK SUBDIVISION LOT # TYPE OF USE PROJECT NAME DESCRIPTION: OWNER ,� - PHONE # s 3 SS - 1 3 1 C CONTRACTOR ( p oto( PHONE # Inspection Request Scheduled For: Date: 3 _7_I - O co Pour Time - Code # Inspection Description Confirm # Contact # Message I ► S � I >O G LC _27 .5 Fra_,.,�" % ( Corre ti /C _ is /Instructions• duce 1�� �(\-. IIS /120 CZ,6-Li , K (Pori Z-- *7-06 6/1) GvC,eCZ-nonS 1' /(ii - Co.'-. . � PC Ott 6 ce T4C eaaACI M &c.:f Ato 0 i (can-1-179/-0 S ' Pk1 C--- 6/S" me-z R. ova -i K. ePo2C Z -iS- o6 6Z) co R./Cot-1 7 crvvteC 0- Tz- — Priss S ( z '?s' FRC f416,_ - (-cab f,3/-a6 (cis) cs2t2trc•mo * Z- (lo r cot-. (A5rb a- K,7 - cka) R (ocoz S &/6 e n M (,C Lo( ✓a- i-r.�_ C (12G L c. :: o ttj 1 /11/6 r i l T , K c o Z , 3 o 3 3 rN V -AS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ii1) FAIL , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �G/ Inspector _ . Date: O � Phone #: (503) 718.26 CITY OF TIGARD - BUILDING DIVISION PERMIT # MST200i o01i12 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED: 9121/2005 Phone (503) 639 - 4171 ' 1 ,'II Inspection Requests (24 Hrs.) (503) 639 -4175 „It INSPECTION WORKSHEET FOR DATE 2114/2006 TIME 7.O4AM PAGE: &S SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME. ENGLERT DESCRIPTION New SF OWNER• ENGLERT, TERRY, PHONE # 503.639-8176 CONTRACTOR OWNER PHONE# Inspection Request Scheduled For: Date: 211512006 Pour Time' Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 026898 -06 503- 806- 1310 N Corrections /Comments /Instructions I Ahnl 30X. 1A-( (SS 1A/& iUn e-- fuRT-- . 6 Ait+ M /S 4 / PASS % P' 'TIAL APPROVAL I CANCEL ❑ NO ACCESS Ig FAIL % C, L FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date 2 '/CO 6 Phone #. (503) 7182 L ( V CITY OF TIGARD BUILDING DIVISION 41111 # MST2005.00182 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 0/21/2005 Phone (503) 639 -4171 ��a■"+�' flick Inspection Requests (24 Hrs) (503) 639 -4175 "w` INSPECTION WORKSHEET FOR DATE: 2/15/2006 TIME 7.04AM PAGE. 63 SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME ENGLERT DESCRIPTION. New SF OWNER ENGLERT, TERRY, PHONE # 503639-5176 CONTRACTOR. OWNER PHONE # Inspection Request Scheduled For: Date: 2115/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 275 Framing 02689030E 503-805.1310 N Corrections /Comments /Instructions: � KrPO p / 06 (A �n 22C ir '�_' �ln PASS la ARTIAL APPROVAL CANCEL NO ACCESS L ' AL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: — a DI Date: ` c Si o 6 Phone #: (503) 718 - {ma y : C �, ` CIT eF"TIGARD BOOING, DIVISION PERMIT #. MS.12005 00102 13128- SWtall Btd , Tigard, OR 97223 DATE ISSUED 9/ 21/20Gb PhotSe:,(503) 639 -4171 '�I 0nspection Requests (24 Hrs.): (503) 639 -4175 ,_• � ` INSPECTION WORKSHEET FOR DATE 1/31/2006 TIME: 7 :01AM PAGE 12 SITE ADDRESS: 10960 SW ERROL ST CLASS OF WORK SUBDIVISION LOT # 012 TYPE OF USE PROJECT NAME. E 2 DESCRIPTION ew S R OWNER' ENGLER1, TERRY, PHONE #. 503.639 -b1 7G CONTRACTOR' OWNER PHONE # Inspection Request Scheduled For. Date 1/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 026031-03 503 - 805.1310 N C• -ctions/Comments/Instructions: n s f7 c I_ , I�. V L- � �. �/�I N l~�L �-�/ 1J / �'�- � oV �'t - -�f L '-� J r` / G / P2ov t T7rc- ?� LIC / tJ L',4)--, ' '; c=3 E/f /n/ - .- / J cow! c.c-Lc — to L/ - 4 -- CrC - 3 AicL ✓11- �:Z�y.�0Pfoc G- tLu -L/� -M eIc�tb , 6797,M 4".1b are+ .L- Cji ifo—c_ i ALT" " t--6,Th its tJ&n Pct . PCA103 — S -1 /13 PL ' rn/L .- (`'t1 iJ , o— eI (;6''l/ r✓_ i an rt Tr CA - ti° C- Tor PLATO G.0 ki /I4&6 ay .v LAS( Smog- r.1/2-l.y c; OZ. - S.Z . Tor P C r?-Tr a Velma n/on iit, 3Y SO % &� 3 `' 1.74 -6 kovJ1 « N VVP -S7ke in/C, �� loZ.6,/ Y L -TT S ijt LL /,¢ZL .zvVSte 7 ■2 /5/0C (`> (Mcc-e-75/ I /0 ( S) ❑ PASS PARTIAL APPROVAL LJ CANCEL ❑ NO ACCESS AIL 1 C A LL FOR INSPECTION _ ADDITIONAL FEES ASSESSED p F Inspector: / /�� 6 ate' /t3) 6)6 Phone #: (503) 718 - ° Z/ CITY OF TIGARD _ BUILDING DIVISION PERMIT # MST200S-001Q2 . ' 1Y'125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 9121/200', Phone (503) 6394171 A Inspection Requests (24 Hrs) (503) 639 -4175 Al ._.. , „`Z — _ INSPECTION WORKSHEET FOR DATE 1/19/2006 TIME. 7 :03AM `F - ") PAGE 37 SITE ADDRESS 10960 SW ERROL S CLASS OF. WORK ,, a SUBDIVISION n A ,n LOT # 012 TYPE OF USE • PROJECT NAME F. ' -'T • DESCRIPTION - Now ,y , OWNER ENGLERT, TERRY. . PHONE # 603 -639 -5176 * . ,,, CONTRACTOR OWNER 7 PHONE # ;,-Inspection Request Scheduled For: Date. 1/19/2006 Pour Time: t : Code # Inspection Description Confirm # Contact # Message _ r 235 Shear walls/anchors 025282 -01 503.8Q 1310 • N • . • • ° j Corrections/Comments/Instructions: t, el, ( ( 17 X 7 (3.12re.,5C77,04 A 1.S7 - 17-- 3 —e5 v Thii PASS I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL ,y / /� /I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: / /,% Date. l — e & Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #. MST200S -00182 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 9/2 /2005 Phone (503) 639 - 4171 aro 1 i I I I Inspection Requests (24 Hrs.)• (503) 639 -4175 u' 5 : . INSPECTION WORKSHEET FOR DATE 12/30/2005 TIME 6.59AM PAGE 71 SITE ADDRESS 10960 SW E12ROL ST CLASS OF WORK SUBDIVISION. LOT # 012 TYPE OF USE PROJECT NAME I;_N GL . ;j DESCRIPTION ew S OWNER ENGLERT, TERRY, PHONE # 603639.5176 CONTRACTOR OWNER PHONE # Inspection Request Scheduled For Date: 12/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 024188 -01 503. 805.1310 N . Corrections /Comments /Instructions: a Ft — (OW ,itk " — Ic4 5(n-Lc r H-- F -�25� £ d ( -a-Jur (3 A 1 L�G'C ( G �.> 1 ,:art it ' -( S J C/ to [ 6 sE-L u 160SrP 67*3 Th 1(6c n PA I I PARTIAL APPROVAL ^ SS CANCEL f NO ACCESS AIL I CALL FOR jNSPECTION ❑ ADDITIO AL F S ASSESSED Inspector. � Date ( 6 � Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #• MST2005.00182 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. 9/21/2005 Phone (503) 639 -4171 a Inspection Requests (24 Hrs )- (503) 639 -4175 INSPECTION WORKSHEET FOR DATE. 10/26/2005 TIME 7 07AM PAGE 13 SITE ADDRESS. 10960 SW ERROL SI CLASS OF WORK SUBDIVISION: LOT #. 012 TYPE OF USE PROJECT NAME E . DESCRIPTION i7 OWNER ENGLERT, TERRY, PHONE # 503 CONTRACTOR. OWNER PHONE it Inspection Request Scheduled For: Date. 10/26/2005 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 019408 -02 503-805 -1310 N 2or Corrections /Comments / Instructions ,1, G.ti/ i E -5 Aitri ie. s 'L .> I S o 1-,9-72: r` S — s i .�- �<7 /.c. "2ta-Le / 2 /ivSf.=civv 1 S ,.�L - is u s . - "'aes.w S. a.) (21),-.L . 4 ,c /<es /accwosv r�r✓/ - — a..-4bov-c /1,9 /F/2/ nIII - < ,/ /% . { I PASS I I PARTIAL APPROVAL fI CANCEL I NO ACCESS ❑ FAIL , CALL FOR INSPECTION 'ADDITIONAL FEES ASSESSED Inspector: I Date 925 Phone #. (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005-00182 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED* 9/21 /2005 Phone (503) 639 -4171 .� lit Inspection Requests (24 Hrs) (503) 639 -4175 s� INSPECTION WORKSHEET FOR DATE 10/25/2005 TIME 7' 10AM PAGE 12 1,/, z--T /T abtfo K SITE ADDRESS 10960 SW ERROL ST CLASS OF WORK SUBDIVISION* LOT # 012 TYPE OF USE. PROJECT NAME: i d� DESCRIPTION' OWNER ENGLERT, TERRY, PHONE # 503.639 - 5176 CONTRACTOR. OWNER PHONE #. Inspection Request Scheduled For Date: 10/25/2005 Pour Time 10 00 Code # Inspection Description Confirm It Contact # Message 210 Foundation walls 019279.02 503 -805 -1310 N I Corrections /Comments /Instructions. ��y� / I �) -Ne: 4/ 4-- Z-Z Fk C71/ / l� (, /ter rv\ / /v�e i r ' ) ere- -cs a /xi Jr ❑ PASS a P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL C OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ® ate: lb' Z' S OS Phone #: (503) 718- le =Pr