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Permit 1 MASTER PERMIT CITY OF TIGARD PERMIT #: MST2006 -00005 . f> ■i ulj, DEVELOPMENT SERVICES DATE ISSUED: 3/7/2006 �'! I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134DB-S0020 SITE ADDRESS: 11265 SW FOREST LN ZONING: R - 4.5 SUBDIVISION: STONECHASE LOT: 020 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS22151A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,216 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,390 sf GARAGE: 762 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 260,107.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,606 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other GERRITZ BIGGI CUSTOM HOMES GERRITZ BIGGI CUSTOM HOMES applicable laws. All work will be done in accordance with approved 9550 SW BEAVERTON HILLSDALES H 9550 SW BEAVERTON HILLSDALE HW plans. This permit will expire if work is not started within 180 days BEAVERTON, OR 97005 BEAVERTON, OR 97005 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules 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 Phone: 503 - 619 - 4668 Contact #: FAX 503 - 526 - 2084 of these rules or direct questions to OUNC by calling 503 - 246 -6699 PRI 503 - 619 - 4668 or 1- 800 - 332 -2344. Reg #: LIC 148831 TOTAL FEES: $ 10,394.27 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 ..c Issued By : i Permittee Signature : 3J -e_ Q - Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio FOR OFFICE USE ONLY City of Tigard DEC 2 J 205 Received g• el. �Q ' I pennit No. � 800a 13125 SW - Hall Blvd., Tigard, OR 97223 Plan Review p ,, Phone: 503.639.4171 Fax: 503.598.1960 /nanrd tl Date/B : V � - � C06. — Other Penni .s . �_ � � , Inspection Line: 503.639.4175 Ci T 1 �;: r' 8 , Date Ready/By: ?I& H See Attached Checklist for Internet: www.ci.tigard.or.us 4 I ULDI j SI TG DT � r7 S 7 N otified/Method: V( Supplemental Information 1 V 1 ,, ,. .,, a.. EE . . _ .'�. <� , .. - ,. ..;, ,:.ra ,�. �3 .. s, n, .z':.. ;S }3 ,is ?s °a,. s a `,.,.�,,.:r SeakR.s,1 =:s.�>"��,• ; y', -=' " id, ,.,,;.',, -'.: ,s'- ,. T>P r , . _ : RIC, .;.,'' e'_ >:. - l'' , .a ;3x''> ' ' 'DATA 1' i "AMIEVIP F'EE . G.. ' 1 .. . . .... ...... . :.....:. .... .. .." �,» -ae °^REQUIRED, r . ,� �' AND" IlV" �.-?".. 4 - „ +z�.ea.,, ..>�. -., f.. .,, � ... .. -_. -- ,3,. ::. ^r: ':_�:�..:. .., - -- _��` � -'�> .a,,,st2awY�, . ,� _ :`al. �r \:. .... ,a ^, : "n. :a- =t:. J:�tr�' . >n,_ ., .$. 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 ,-#- :1'. ,,_ - ; -: Wit, x ..,Y -. ,�4 ,a.' _ ._ '" � work indicated on is application. = , a7- r :x -:GA"T GOR t'�O ++ " bw C()NST ON x f` n 1 - and 2- family dwelling 121 Commercial /industrial Valuation: S 111 60 7570 111 Accessory building 1=1 Multi-family Number of bedrooms: J ❑ Master builder El Other: Number of bathrooms: 3 a , I s ': ,;:,,'; ,. - l mber of floors: , i' . 4, _'- .. JOBi;4SIT., �,IlVF . ' ' 1)t11I TM ; ` `F .. .. ys ,. ,,,. ;" c 'qr, m [<3, -„ v;' }� �' , t,31. , s , ;, 3i. . ^ ":,i#"w'y:i;'riiic''a , ;_ :t, - g_ i ,.. Total nu Job site address: - -- 'p__ re L I) New dwelling area: a & ( 26 square feet City /State /ZIP: - j ev j Ne "' / Garage /carport area: 7t- square feet Suite /bldg. /apt. no.: V Project name: + nP 0t f� Covered porch area: i-/9 square feet Cross street/directions to job site: /� f t : _ . / si - Deck area square feet Other structure area: square feet • j Hje;Mta 33!n -n3a,� ;:.ar;';s3 :° , : -.`:w, 1lt E + '3LRFD, « ,.ATA r Girl , RC7A7 E E+Ci TST Subdivision: n.e C/ a ,.e__, . 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 ' ;,,!'�" fr ' ° k, :k <, ; ,,: Imo• work indicated on this a :. %rz"D, I , W. 330RK . , ., �,..: ,'; o application. �,-„ x _ . ` #; .. _ , . ...... - n,.r „ °”. 8 #'?, ' -9�.0 . ,. ,e... �#' 3,� ^ e , , , x ..k ,;,mss", .l- .. r _ �, -_` - ,� ',�,..�.N -D� . =- °::"�. - � r.�x �t, - , ;..�,,.,r,..<.�.y.i�- 'u „ .,. ,�.�,��t:�se / h " 00726 ri-eA » Valuation: $ �V Existing building area: square feet ✓ ✓✓ New building area: square feet r -, `s.a ,r- ?'' E AIV , a 1 Number of stories: ❑ sPRbl R „ ,,, 4FNE :, CJ ^`+ �i'.,i,"..f„ zs. ., t`g =e'> •`�j,.'�Ji.,#i6,.'.Ss'n' "' u a X-: m>.a38,. ".,: % .,: s ".:"' , oR:Si:,...uu , . ,.3i'Sa "hlE..�,� ":..`tr%d: .., d : 1« ,'.. . Name: � T yp e of constr uction: Address: 0 I �i,- � / o(1 xi • I / / Occupancy groups: City /State /ZIP: ` ` ea t ( ey - ►P T ) 0 70 Existing: Phone:, (5Q i ) 4 6 6 . w w Fax: ( 5D0 5 New: ' ,... .,,- .. >.;; r - +. ..2c'x.,;,':,:;_ ", ,, + ,. fi t;,, ; ,,.,. ,r :,..r, } , 4 'F, u �M'f� < 3:.�i3 i!.it ,,g �,. , {e. .� ., _i;`t ' , , , . 3;,,.L,;re- ,. ^:. ,:.. .-, "' ,.i" 3F %lm'.: ✓,1', ^ -:�" ar+, ; },p, . ... .. , -,,.,, .- .,a. <.:.; .. , ..ems a; , , - -;, >. ;,u�.. ;: °iaf >: - >�,=e�s'� �,. , y -� : �.� '.,: =3+"a,!: % ,,,.. ,.. » , :., p. e , ANT. " .. n , „� T�4CT, -P RS IV' �.�z: �::, :;�;m�c., e -;'-`� ! �' r ,i ry -, .. .,. s ,... .. _ s ., ,a.�i. .,;. 33 F,:. lE.,., e a .a, .. '".:1 'rFZ.; f.qi. Business name: f(j� tia - c S m s All contractors and subcontractors are required to be Contact name: -fry licensed with the Oregon Construction Contractors Board J under ORS 701 and may be required to be licensed in the Address: Q55 Q C L6 �� -.�/�/1 / �/ jurisdiction in which work is being performed. If the City /State /ZIP: -Ldp i) 4( Q7�� / applicant is exempt from licensing, the following reasons apply: / / 2 1 b p� E-mail: Phone: ) (� if ' 10 / 6, g ,/� Fax: ( 0.- 0 o ( 1 1 ( Oh n ! ards� /)6i r� W' �i s "� � ;F ' t � ? ,i:- `.."_»c�.�.J'. -#' - T;.. -a � ., ;i,:3E 65 .,ifrn ,.>• w" ;,r» ?rub r.�a ,: ' " . k ,,, s: €.: >'. ":-- ;CON I?I2AC Tf7 . , -r; .r ic.y,fe• ,,. ss..�;t »", ., r...,. -, z. .3u ,�! . "., , . , x ,l,. -x-, ° ."r ..,::s, �.,�, .., ..a "� ` r,: .i.'v ...� �;r ": .i;G';:fz,; ��•.» Y�i=t; ;3 ,?,�z:::; 3 Business name / r ,:,e, ' .1. F...: . _.., ., ..,- -�y rr f ,. � ; " (.�e � / :: e �C.CI>s E � # ■ 112,e�S ;�� "�. �a�ti� ;; �: ;13r�I�nllvc��.E�Mt�r����s ; °�.;;�; 1 / Address: �i � i A. - if, I ..1 q A Fees due upon application Phonc: - -,, • Please refer to fee schedule. City /State /ZIP: , e_aver (n IC Q70�t� 03) (pig— 4(0 U/ F ) 6 , �7/ �/ Fax: [ / Amount received CCB lic.: � 3 ! /> ] � V Date received: Authorized signal � % This permit application expires if a permit is not obtained ' tilt ` � / within 180 days after it has been accepted as complete. Print name: „ID / 06( / Date: 1U f Ur * Fee methodology set by Tri- County Building Industry ///11 ✓ ✓✓ Service Board. is\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(I1/02 /COM/WEB) Mechanical Perm A l a • - FOR OFFICE USE Received T OG' , City Of Tigard Date /By: Permit No.: U� 13125 SW Hall Blvd., Tigard OR 97223 DEC 2 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 GAar' $. Date/By: Other Permit: Inspection Line: 503.639.4175 CITY U� TIG , 1° ;' Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us IV ��TII Notified/Method: Supplemental Information BUILDING _.., ,e >, ... ,...:,,. „ -.,.. �` �. ,,,._._...- . ",�, ,E EO -. O �,;" _ QkIER+~IAL, = , CHFsDUIE . S CH °ECKLIST �,...:� .. � - -.. _ .. .�.. . . : -. ,. ,:. � , , ,.��' ,.. ,., ,.._:. , "�. v. a. cl3y�y3 , :., , `�.1 > .._ ,.__,�u>�.. R.: gi , ..x" . >e �� _ -�.3� >.x w _,w? b °a,° a4.. u..�?- �.,.�:ss_,.��°d� � - - r _. >x�a. - �w+.w$aeazfr; >,.F. -�:, New construction ID Other : on /alteration /replacement Mechanical permit fees* are based on the value of the wor performed. Indicate the value (rounded to the nearest dollar) of all Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit. «� s=ix -� �' ", :<, �'� � >.:., .��e° ::.��.,.a;; ,,;,�,r : �: t° a : . CATE9,0#:, ::f)Fk IY� O.1V �:,a= <b' F . n r.,_ 'I..::;- PIP ;:ItE� n �E�TTI;�ZEQTJ y A` TEN' 1' ; /IvS'I'�MSREES *:�'�.-'`� 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building �� Tirt s " �' "` /i Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description Qty, Ea. Total 3a <•�;;' °P„� ' "�, �' 'rte= :�? "w," Heating/cooling 4 1fSin TEle Oir tifok'A1�iU'%%Is ` °' -' �'.�_ , a:vs t3 _ r<•a _� .. :. � � - s. �:,..; >'s.. ..: ii .�,..>....,_ ..h, 1 Air conditioning or heat pump Job site address: I' �e_ C./ (requires site plan showing placement) 14.00 City /State /ZIP: 77 � oe 9 Furnace 100,000 BTU (ducts /vents) 14.00 � V YI�� Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name /2(60156/3e, Gas heat pump 14.00 Cross street/directions to job site: /6� h a/ a 1- /,2.-- 71-/ Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), n in -wall, in -duct, suspended, etc. i0.00 Subdivision ✓ /ttJ l� ase., Lot no.: Flue /vent for any of above 10.00 AO Other: 10.00 • Tax map /parcel no.: Other fuel appliances v1 4 s - _.�.. .:65 ,. . . . 3 , .3- ' , , ,; Water heater 10. - , , ';i; ., DESCR[PTIUN4 Gt� URm : - „ :. �;` . ., - 5z ".4 do �, n Gas fireplace 10.00 nad n O� & � / Q� 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 ,. , : yw 3 dal Chimney /liner /flue /vent 10.00 j , ','Sn •:,�3i A'1,3x�i Vii„ t. .r,,3 y ,, _, , '. „ , ,g: 9 3 °` '�; : , Y - ,T N i ::.,. p, ; , , , ,:�• „�.... ... ,..:::= _.,, : '�,� > r >.- �r,_:__ .� �� P >n- �„�v .�,u �s -' oth 10.00 Name: . 'frr 46 - _ 711 Pig Environmental exhaust and ventilation 7l ' l�0* , Range hood /other kitchen Address: � �� � S , equipment 10.00 City /State /ZIP 0 i 1,/e . o r) 0,e 0, Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (, $ ' s 1/ G &g Fax:6, , .-207 toilet compartments, utility rooms) 6.80 m .: =a ° , ,., „ :-3. :, :i l °;�r��_�: `�'' -,1; � Attic /crawls ace fans 10.00 ti ❑ .,,„;;,,,r `ABPti,I, f,,. k ( 4 _� ' ONTACT,>P ' 4 RSON , ; i r' :mil «:::_; >. M ,u , . k ".., e -E W.':_ ,� ,,3' Business name: p1 ) / J/] /� Other: 10.00 fr! / D / 1 1/(j / -5 Fuel piping Contact name: _J9 -.tar y _ $5.40 for first four; $1.00 for each additional Address: I Fumace, etc. I� ��g ' /( Gas heat pump City /State /ZIP: ( 0 e(t /2T 0 I/) 1 7©195 Wall /suspended /unit heater Phone.4563 , /g___ t 6 ( L o Fax: : (503 (0 e...._ 208 Water heater , ) L a eon Fireplace E-mail: " ��,- (� mcis ,� To er jc Sg e n Range " Q �`.'`.�m'c = =` d -:ix' n" "t om. . �•t . I�,; •' f: - Sh " ,�- ,,�"ws':S`,' F= '; "'.. "�': .. ,,a4 ";;; ".; - � :;_` . t ,,, , " „> h= "_ ,, Barbecue ;:a.3" �; <�,,: �' ,>: : _. >,�QiYT � ��. � �. �; �� .�t�'�_�� �� =. --.--r , I 9 _ - I _ , , 0 //17 Clothes dryer (gas) Bun' Central Air LLC Other: O Box 433 ° ; : °' P n�cxAr�TC� Eil%Irr:iT��l+rs : �= e �i ?'vita -`3: °; Cit Clackamas OR 97015 Subtotal Ph: 503-803-1303 • Minimum permit fee ($72.50) PO -1303 Fax: 503- 244 -1702 _, • Plan review (25% of permit fee) C 162677 CCL .. State surcharge (8% of permit fee) // IU --1 It TOTAL PERMIT FEE • Authorized signature: This permit application expires if a permit is not obtained within I80 /_. L am ` days after it has been accepted as complete. Print name: d ` Ll Date: " 2,4,17 U * Fee methodology set by Tri- County Building Industry Service Board : io..aa:.,,a o......:.,.l n,rcr_n >...,• e..,, n..� , ,In 4411 I 7 11 I /119RY1M/WPRl • Plumbing Permit Appl cai ` @. FOR OFFICE USE ONLY City of Tigard REew eived Permit No 13125 SW Hall Blvd., Tigard, OR 97223 DEC` 29 td oo ' . r� - P Phone: 503.639.4171 Fax: 503.598.1960 h %'auJ� +I Date/By: Other Permit No.. 24- Hour Inspection Line: 503.639,4175 a'. Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us �-TY OF Il Notified/Method: Supplemental Information +fie .::..r �',.,;.::, � >:.:. ., fig. ,e',s '�:" gym- `�';a; "��,:,�r -s. ��.�.,�a�� -sK `_�.�,:_- =.�:� �. . «, r ; � �.: �i. � r, � °3�?'�r3:� �r;'�,s" -:::, v ? 8:::- nom.- ? . -�" :;` �1->: >,;,._. ~ -.-, . 1i; a i` °: F,EE, .SC13EI'!'UIE`" °. --. �+ *`4".: .,� ?,��- r:'k$�. ..,- =;5 :: -.:: -V `ti`s, ,; tags,, * + ;'.C.: ,:;!= 3�e ^.J�E:.��:r:,•;;,r. =.. _s.�,�.; ,`�`:�'dt�,";`::p1Rr., �.c. �, d3�r,:_ > `- _.?� ° " s& a���a`. �.. �...,:. �, ..?�,.�><=- g s'>w,?'>:�. �,�- «., ,. e , . .a... .u�-ir; an, €�a ,c _. ,. TANew construction ❑ Demolition For special information use checklist. Description Qty. Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) OIti K a 'Ct1 EGOIi,A CONSL'RIJG'tIaN' . _;° -1 ; , ;,. SFR(1)b bath 249.20 ,;... , s - `L�S�,�.ti�..e�- .., >;7o `rte "o" .. ...- ,zA . ;.,� � �F� , ` a r.� . ,.., It 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 .r,, • „r,�; ?;. riN §w :' "gt&�!�l1,i"'• w - ,,,.f: V,,:: ,�,,. J OB SITE'''IIVFORMATI�N.. AN. :'LQ;CATItl,A <_'', ,,, �� - .,.,. ��-r�. ,,:�� �. <- ; „YS.�;. , ' -, > -„ ',Mt +: Site utilities Job site address: /47,3. /-o(e/ L/) Catch basin or area drain 16.60 City /State /ZIP: -- 7 - 7 / f, or 1 ,2-/ Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt. no.: • Project name: >fe / e...-• � Manufactured home utilities 110.00 �� f /l __4• Cross street/directions to job site: ' ,_ - • Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 4P eA e . I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: valve FW3 Absorption I 16,60 >`�`�`- "yam; DiSGRIPTtf)IV:.OF . OIK ., � t , 3•�•,,` �•�.,n "> - �= ' °- ��s:. >_.��• =,�r ackflow e2 reventer Pa ' xr�:x��z`� � awl, � �:yf�;;:.. ,a, ,�>.� „r�.��65._x,_� -,,T�� ., -..sn »� B p g �a ; /2 ad ^ A C M & eCil a- C, Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 •F ;.r.;a • „y:;., "r. ,` -, : r :..s ".: :.` - , :e ;J� : ° =.' , Drinking fountain 16.60 � ; `;,,� ROI? RTY ,OWNER',, ;:M ..;: , - , ❑, - TENANT. : .., > •,- .•>x �: p :.:::G.,a. „ s QQ , t:A ., ,.., anit t.; . is ,,.....: ,,F::- „•''' -' , , ''' Ejectors /sump 16.60 Name: er(1 0/, L= / gle- Expansion tank 16.60 Address: C Q a a l / : f &rtomii / i al. Fixture /sewer cap 16.60 City /State /ZIP: ' v �/�• ,,K i 1 • 70a) Floor drain/floor sink/hub 16.60 Phone: ( .6 6,7 Fax: �� �� 6 :- e Garbage p sal 16.60 .,..:- , >.>,, .::: <,�,, t� r�x, fia r:,r, . -� v�sr;- �•- , ��.. - -> _,;,,, �.: �, �., ;,>. � �.: �;.- se:rr., <; s� Hose bib 16.60 is o -., >: f mfrs - . H " ' }APRIIGA -,,. R. ; .\ ❑ ;.: CONS= AGT.gP7 RSON',f, , `.:: 4 <t »- :',:``,,`_..•..I,• ;. " °::.. . .gin' ,: Ice maker 16.60 Business name: ri 7_w- 0700 , (.f✓ /� f2'? 7 f /LS Interceptor /grease trap 16.60 Contact name: � 0 l 'ii ' /' c j Medical gas (value: $ ) Page 2 Address: Q ` • i _ / . ` �� L I Primer 16 ilk City /State /ZIP: ( / eix t 0 n (i q l ol� Roof drain (commercial) 16.60 J / Sink/basin /lavatory 16.60 �(�L Phone: r e Fax: 4 ` , " _, - t - Tub /shower /shower an 16.60 • E -mail: ® n 0 , /, /aff j % /e.5, _ii►M Urinal 16.60 ��� � -,., . - ~.,. ,,. - � . CCONTRAG')G50 ,,. ° -;; - 4.,�,. ' ° �,,,.,,.- ::- :.,;,,:: =t Water closet 16.60 Business name: _�':w,r�=,:-.,,, ,�:,x._:. .. �,., .�,��. - b :;�;'!13�i;°' -, > - ,.- = ..� __.��:_..- .,- , -,,..z W t I r`. i 4, R r cn ? in r Water heater 16.60 � :�. e' e// to - Address: $ , ■ 04f - e l/ _ �; Other: cit /State/ZIP: � �� 0"79 5 Subtotal !! Minimum permit fee: $72.50 Phone: (50 6,5 _ /c3 7 Fax: L y�t -fee/ Residential backflow minimum permit fee: $36.25 CCB Lic.: • ' 1 '7 / Plumbing Lic. no.: ,...3... 9 p� Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: ' 0, TOTAL PERMIT FEE Print name: ORFAI I,° ate: I I r O This permit application expires if a permit is not obtained within v 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i B uildingNermits \PLM- PermitApp.doc 06/05 440- 4616T(10 /02 /COM/WEB) 05/19/2006 12:53 5039814643 WHISKEY HILL ELECTRI PAGE 04/04 / ' 0' VOL M °DiP 1900v.5 Ele Permit A Jim •a �! e Irt)ll1)1 I. Ii :til•; ()NI,' s Rece C'ili into /13 v #' Tigard Perm" - 00 S 131 SW Hall Rivet., Tigard. OR 97223 Plan Revi y v cw Phone: 50:1,639.4171 Pax: 503.598,196IAV I 2 UU6 ib ' ' ryPti'll) bntBy; �. o1ltcrp rtrir. inspection Line: 503,639,4175 Ca U r " t L Mite Rcndy/BBy; atilt 121 See Ngc2fir Internet www.ci,ugarcLor.us CiA 0i= it ate Notif ed /Method: Supplemental Information yy I i r } } I ' { li'I_� t ;" ` 1 i 1:jj}( }i :;!ttt , • { I }Sil FJ 1 i ` (I 1 4' i • , •ri i l I l ■ n F i ' l a ! i ' }t ` I l i 1 I 1 Il l file tl(� 1 �} t i ` !y '1 11; ::,'lt4�iiiil`11' -, I l ll;,ili is�„1' l lj , ra �n air. i il f ]" , ') it13, . ,:61 " ? l.a 1 " I i 11 lli 1s t� IN 1 , t o,, )1 ak � r �i� "Erie) • I � tt 13 i i 1 il I a ' '' ; j U• J1, u t, l .111 Please check all t115tt apply: IN New construction ❑ Addition /alteration /replacement DScrvicc over 225 amps, commrl ❑Hazardous location ❑ Demolition 0 Other: }� ` ] } 3 I DScrviee over 320 amps. rating ❑I3uildngover 10,000 sq. ft, �" 11'': `1' hi ''I } iii] y . i ,� � { '7":. 11, ,,�,,tt]' ti1,� '' I, - ,i ,I, N<,r m 1 "� i ts't j � l �l i iikl l ilt rC� 11 1 �# � [ i l ii�� i 14� Pil�lk�lll of l - and 2- family dwellings 4 or more new residential Ji'llilx,l lit,.' ' i''' ".if {i{ I .I:�IIt1;i;IJ'�It{ "L'' J . • . YeS� li';,. i k,. rir{�r I�LI � ••, 1 - and 2- family dwell ❑ Commerc / ❑ Accessory bu ❑System over 600 sifts nominal units in one structure ❑E3ttilding over three stories ❑Feeders, 400 amps or more ❑ Multi-family ❑ Master builder 0 Other: . ,., load over 99 persons ❑Manufttctttred structures or � r g. , 4 I4 as Ja It f } RV park "L i 'ii''` . ijirski ",,, :k ""1° 11. ' swil ii .' - .; . „,.,. ► . t a,, '''''', ,I ' tli i l' ; ,,!*“kl ll a llia . 1 . 16., I�rgress /lighting plan P :.,,., �. �:;:: ui1' a ' . ...i�;r-�li:..:�E.t�1rI;�:IN.14� l�' ,; :L::•..,.a..u, [jI•Icallh - core (1tciHty ❑tither: - - ^ - -- Job no_ j Job sii :c addres �p5 (S1AJ Q s [ Submit,/ sets of plans with any of the above. City/State/ZIP: __ L J J t' 7 � The above arc not applicable to temporary construction service. 1 , 'j 111 a' }'`l G MINIE • i } �,; III , MN , t l' i3 ''.. II` ' _ i.1+; +� Sttitc. /bld no Projcet name; __ pestriptln _ Oly. Ate, Tatnl Cross street/directions to job site: New residential single- or m - family dwelling unit, __ includes attacked garage. ,_ _ l,000 sq. ft. or less _ 145.15 4 —._ .,... •_ I Lot no.; Ian ndd'I 500 sq. 'ft. or portion 33.40 I Subdivision„ �sr9�� 1,imfted energy, residcutiai - 75,00 2 Tax man/parcel no.: _Limited encrgy, non - residential 75.00 2 ;r. 1.r.. },. ,. y .. : �u l;,ll' np�.` { }yy .fill iah''rl "1 .i "Yr li { }�I •--- �'!: ;i . ' i � V '1 . iii ;.,1 l yi l j p t Ili f i1 ,,�� �� � I li i f i iIU I i illi j Foch manufactured or modular i , i�;i.k }!),lift'. „iglSli'. •.411 ,•I,,.., . A ■ t' l'"'' qU jr igilir :l:lllG. ' • '1..1 � l i tl r , «!`Ili ii z ~« ''= dwelling, service and /or feeder 90 -90 2 _ X.I. ky__560 ✓a, /- G42 ilii” ^ Ig_FW 51K.„,. Services or feeders installation, alteration, and /or relocation 200 amps or less 80,30 2_ m n rrl xrK nma^r t "� u* P lyil{''t" 1 ', i^ I: i'p {1' I' 4 , i } 1(, 201 amps to 400 amps 106.85 2 -∎ l i ° , 7 ' 90 , I it it ,iii +� I 1, l r Y 1 tll .,i: l , • .I' ! i `1ll _. ;., : ; ;HIi .'1', .r:, p•_,1.,: Y , L a� ° „ ., : -Iiy`i�, � � ,. lip y i;N111; . % i i� Y „, . ... ll " kl ; 110, C t '' i Ctiii 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address u Over 1,000 amps or volts 454,65 2 - .,_ Reconnect only 66.85 y 2 City/State/71P: - ` — _ Temporary services or f eders installation, alteration. and /or - relocation _ Phone: ( ) Fax ( ) 200 amps or Icss_ 66,R5 . 1 Owner in stallation: This installation i s being made on property that I own wh is no 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 arnpa 133.75 2 Owner sipnal.ttre: Date; Branch circuits ` new, alteration, or exteoston, per panel T r r 1� °i l ! 's ° t; '1 f 1' li l ei , ill ,, s .,, : ; , "{i''1 nu 1i. / A Fee for branch circuits with L:La::.o!!; .j',,ii i M...:! " i' i.;,. k .!.: i.,.,,,, j , 114 I9 �:, l ,' 1 :I5 s (. . , . , ; ➢ , 1 ..,_. , t I ! service or feeder Fee, each 8,65 2 Business name: branch circuit - 2 _ - _ _ ...... _..,.. -- --- T3, Fee for branch circuits Contact name: without service or feeder fee, ,� 85 2 _..,..., .._ .... - ...- -.-- -- - fltst branch circuit Address: _ Each a dd') branch circuit 6.65 2 C ity /State/ZIP: - Miscellaneous (service or feeder not included) . ,_„ -•, -. __.. -^ Pump or irrigation circle 53,40 2 Phone: ( ) Fax: ( )�^ _ - Sign or outline lighting_ 53.40 ^ 2 E -mail: -- . Signal circuits) or limited- M ° o. h ",. .. J / sl9 1 ` ' i i o "t7 ik I I ° 's i 'I'I li t 1 1} "f3 111 l l 15� NI cncrSY anel altera Or ,1 :a::ill.'' El i' � , f , , ;ti:i.:f tr , L . - I P ...t r h o � �l :.. �fl Iii } j y '•�� � I i t J 1 W �, 5{1iS4 ,<•, eM f) gscr ' Pates 2 2 Business nnme: J4 6J_ i Ri L Siq G -- — _... - �« Each ndditional inspection over allowable in any of the above r, Address: 0 . oOX _ . Per inspection _ - 62.50 City /State /ZIP: u j p 0A a ^Z investigation per hour (i t r min) - 62.50 — Q Cl y �t Industrial plant per hour 73,75 Phone. ( j� 0� ) /. 6�� Fax: (5 ) /v/ ^ �liy� ; - B ;InutNIMI.,$' "''si'' KM ^1 ► 1 l t i• Qi li . 1'lp li'PII : CCB i.,ic 131cctrical tic.: G Suprv. tic.: 1J62 Subtotal Strprv, Electrician signature, required: X r i flan review (25% of permit fcc) — ---- -..._.. - -._,- - State surcharge (R'Y% of permit Ice) _. -. __.. -._.- �. l d,�i ►�' Dat . Print name: Cow-- pp ��,.^ ^� r TOTAL PERMIT FEE Autitorixed signature: This permit application expires if a permit Is ant obtained within if0 days after it has been ttcoptcd as complete Print na.m— - _ pate: '" Foe methodology set by TO- County Building Industry Service Breed Pr: a ' 0 Number of inspectinne per permit allowed. i•1RJ111dinn1Per,l11511".1 (�•f rrnihAIlrtlnc 12/07 �Y 1+10- 4R15Tilt1ln21COMlWP,B STREET TREE CERTIFICATION „ .. '-vAtVs .sii -.... ..;..-441 ., ..<5 ."1:= .. .i = ''''-f" • •• ' 4i , ..;°,1 2 14. , ., .i:::g?4,fi 4 A):44. , Ail.":;*!viAl.pWzo*.avitV - - - ?.'1' , 5A3 , > , i% • '.?Vj / , ... iritgalt ,..4.3A9pV i, , v-ip:k '' ‘ .... ‘ '''''':=Irq , ,,P' 4:4'13-1F;i4 D• re/L ) 6c.56 -) --tr 1.44„.. -- i - . 7 p,--.. k__Iwner - a .. re' - :- I,JA- '' ' '' fii. - t-RT 3 ,,W4:Pe.--19,,,,, V .-4-N :iiv -.,;,:-.:, -.. - , Vi" g 6LDER) (PLEASE PRINT) ,,,,,,,,,,,,,,,, ‘, --qa • VIV- i- ''V „ 4 - ..T.47; , ,.,•;*.•': $1?,'!0* tp) - .4.. T.7 .,„..., %.. e-a. ;..;.,•:. i _ • 1 14", -; • 34;. -, • ._._ q. - 4.:. that ,:-..-- Do herebr, , tertify that theIbllowirit-location meets .,-.1r.,,---,,..-,..c, ..:---,,..„. ...,.....„, . . J,: -..,,, ...,,..,..4, ,,-,...-... ...,,,,.....„?„..., City ofaika.rdiand ,... ard fostreet tree installation .,...,, ....,-, :,.. .,.....t., ...=i•'1,-'..". • -.. . , :,..-.:.:„..-,...,..............:: land use and deve opment stan s-n. „..,,,,...-.-..9z!„..,..,., - : .,;-,„1.:..,::, ....,7:47,- o,- VI' '.5•AY ' - - ::-.- r;.7'_c -i-F:!,..ri,: s. 1 ' ;'• - --4. '`" •4' - 4 : ::C . . , 1:1`; .;•.,-• :: 4'7"' ....'.;' i':., i e4-t-. F--': 2- =f7Ce: . 1. ' :,-zZA ;;,..• •" '- J„.."'' , • ' ',',,, , y,,'X ' :• : ::'' '. . : ' ;''"•.' ' . 1 , - ..................... !i-V.; '4 ,'' - ';',',"'-'' .=.- : 4; 4 ',:_, t i r .:4'' ' ' ' :.;.:•;kr1: ' : ==-.."..q . :1/434, ' ' 4: :_''''' -:.' . .t. .';,:::-, - ,, --' 1'''''' , c.L — '',.''''''''''• ?,-, •=,, '4..11 . VA .; '`, ."...,' .,;•,.,:*0 fe-:1' -. , '',1, ,-.• .=..; , . 4, . , „., ... , . :'`., 7.‘':•. 1..-r t--,,----. ; , ,L , ..4 - z.. , :' ---- .. :-. .,:- -, , ..,-- 4 ,-. .1_,Ni-:', 1 ,:: .--,13 t --- ,,,,, , 1,:.1 r- .....:,-.. 4 ..4- , ., • -.- . , 4 - .:.. t. , ...,, -1.-; ? itr-,;', ' ,,,,,,, ' , t75: t:fc ,.• :"-., • -,.: '.'..i... ''' '' " ' - 1 .cii r , ; ;::, '': - : 4 " "''';' "? -; ' , '......4 5 4 : "4 ix. , j:.•;:•:::''J' s .,;,:. g'.: , -. :-- ::;:' : , '' •-•.'"'•'•'` ..; ;-:"-..'? ' '''' ''',;=:•:• •:( -,.. • . .:.-' :::: `1.- ' .1. ' .',;.i- _•-• ; ...;;; .-, ,.•i,-'' -!.I.,'" , ' - .'t• 1 : " .' :. •:"•; , :".R. 7 .. •,. '..; ... : •-' '.%. 'I:- :': ' " r •,'• • - 1 ■"... :. ;1',t,, : . . , " -• : .. `:` ADDRESS: r t 1 1 SUBDIVISION: ,346n-c. dcai-e____ LOT: c ??0 SIGNATURE: . DATE: /0 ' ' 7 . _ _ _ ..., . ...■ (01PNE ' AGENT) RECEIVED BY: , DATE: /0 7 t ( / 7 ( OF I GARD) I: \Building \Forms \StreetTreeCerrificate 03/24/06 / CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number 20C) . _ • Lot No. Subdivision , Address /2 S S Opt L . Contact Name SONN ciao. Business G ERR..rr GCS CwsTewe tirovIA, S Street r fsSO sw AvrN Nxtr"hat Hwy City t4.,t1 I State I OA I Zip I97en - As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. 1'he application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. The submitted plans cannot be reviewed until the above information has been submitted and/or approved. The plans are deemed "simple ". [ -he plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. MANN/ 1 Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200SS- 00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 /7! 2006 Phone: (503) 639- 41714lt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/412007 TIME: 7:02AM PAGE: 2B SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: N SF OWNER: GERRITZ BIGOT CUSTOM HOMES, PHONE #: 503 - 619.4666 CONTRACTOR: GERRITZ BIGOT CUSTOM HOMES PHONE #: 503 -G19 -4668 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description Confirm # , Contact # Message 2 99 Final inspection 05+970 -04 503 - 320 -2703 Y Tfla Corrections /Comments /Instructions: `/-- Atte- CA/ L' _t., afrt . ./.- ela' (� PASS PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL (l CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: °//7 Phone #: 503 p l � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: mm006.00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a' 7/2006 Phone: (503) 639-4171 A 400ii ,,,ij 4. d. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7•02AM PAGE: 29 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603 CONTRACTOR: GERRIT/ BIGGI CUSTOM HOMES PHONE #: 503•6194668 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 056970-03 503-320-2703 Y Corrections/Comments/Instructions: • • • A r \ . PASS 0 PARTIAL APPROVAL 0 CANCEL Li NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Pey Date: 0(11 67Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION •` PERMIT #: MST20Ae,..00006 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 317/2006 Phone: (503) 639 -4171 gy p, ii if Inspection Requests (24 Hrs.): (503) 639 -4175 ��'!ai '!„ INSPECTION WORKSHEET FOR DATE: 1W2/2007 TIME: 7:04AM PAGE: 10 SITE ADDRESS: 11266 SW FOREST LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: 0. y r ONECHA SE DESCRIPTION: Nevv SF OWNER: GERRITZ 8IGGI CUSTOM HOMES, PHONE #: 503-619 -4668 CONTRACTOR: GERRITZ E3IGGI CUSTOM HOMES PHONE #: 103,618~4668 Inspection Request Scheduled For: Date: /01212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 056685-02 503-320-2703 V Corrections /Comments/ Instructions: Ca 11 P4 ✓ D _.,. b l e G IAC cAL 8 c, c, e to w ae,v 1 c e, 'Tire i -I c ,CjeLk e to \ 2 o (,- O_ ( -C ca., ■ 1 "i l.. ; 1 P I (itwb wirMloC °Octoos O _ 0 c c & Li 1 Bt T-e r- e .0 kt C:) j 172r1 0-e- ova 4- I ) ()t 4 ip t H,,. ,''., -,-- Ut z 1--e 4 Appr,t ❑ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: az l'1 4 i L-ti.._ Date: /' /C /y7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST?06 00005 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/7/2005 Phone: (503) 639 -4171 .. ,, a I l e, Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 9/19/2006 TIME: 7 :35AM PAGE: 69 SITE ADDRESS: 11265 SW FOREST Lid CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 50a- 619.4661 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503. 619 -4668 Inspection Request Scheduled For: Date: 9/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 036760 -02 503 - 32703 ¥' Corrections /Comments /Instructions: r 'fi , _ , , . lb 411, • PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL - I CALL FONNSPECTION ❑ ADDITI NAL FEES ASSESSED p ), Inspector: Date: /� 66 Phone #: (503) 718: • CITY OF TIGARD ' /1 ST BUILDING DIVISION PERMIT #: ? 2 –° ' ao,$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171ii Inspection Requests (24 Hrs.): (503) 639 -4175 Jrrt INSPECTION WORKSHEET FOR DATE: TIME: PAGE: go SITE ADDRESS: f j (-a S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: , C - 7 - - . - p Pour Time: • Code # Inspection Description Confirm # Contact # Message 3 z o t Lot iNI U, nu6,,t+ 320 - a 703 Corrections /Comments /Instructions: 1-I Y I e i Clc � -- r .---- � . ASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n.FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C- `P Date: Phone #: (503) 718 - _�/ CITY OF TIGARD _ BUILDING DIVISION PERMIT #: NIS� d ao DS 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 � wntm o o h ll i � Inspection Requests (24 Hrs.): (503) 639 -4175 s __.. l /g INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 1 .4 e-- )— l .p._ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: �7 D3 OWNER: PHONE ,g7� ?y0 -; CONTRACTOR: &`Q- PHONE # : Inspection Request Scheduled For: Date: 3 - 3 / '4' G Pour Time: C ow # Inspection Description Confirm # Contact # Message 1 315 po st g.441, P( ►-i., rrecti ns o mments /Instructions: • (530) (5,A/t_ 1 - Le _0 ( _ ‘ ,.\? --,<AA- , ( te, ) ey . 17, - V'i lAvice ZW C. 'Vv K.. e- - U I 911 0 ■ l'..°Y6 ' n PASS AN PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: vti.. C Date: / V / b (e Phone #: (503) 718- v M � r CITY OF TIGARD (�. BUILDING DIVISION PERMIT # Od�`_d 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE : Phone: (503) 639 -4171 / n m 1pi ��� i i l 4\ Inspection Requests (24 Hrs.): (503) 639 -4175 ��! __.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: `/ - (0 s Ai CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 .46_64, Pour Time: ' i de# Inspection Description Confirm # ontact' Message Corrections /Comments/ Instructions: 4 (MMS � Le44 tr<-- Loco o 111W ) > P ASS ❑ PARTIAL APPROVAL H CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIO AL F ES ASSESSED ez r Inspector: Date: /607 _ Phone #: (503) 718- / (--"› 2:41(—) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST7006-00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639-4171 A, Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/1 21 2006 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 11265 SW FOREST LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # 199 Electrical final 038071-01 503-981-4640 AMP Corrections/Comments/Instructions: V 4 . PASS 0 PARTIAL APPROVAL fl CANCEL fl NO ACCESS I FAIL lE1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: p -67‘ Phone #: (503) 718- 1 . CITY OF TIGARD , 1 BUILDING DIVISION PERMIT #: NIST2:0600005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/712006 Phone: (503) 639-4171 .._ 1 t Inspection Requests (24 Hrs.): (503) 639-4175 I L. INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 39 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE#: 503-619-4668 . CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 031461-06 503-320-2703 N Corrections/Comments/Instructions: • pri....ess 7 PARTIAL APPROVAL CANCEL El NO ACCESS — l _I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: C.-- Date: 6 , 7 , 06 Phone #: (503) 718- Z 6i-ig _ . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639 -4171 Anh ��� @ i Inspection Requests (24 Hrs.): (503) 639 -4175 ..' IL. INSPECTION WORKSHEET FOR DATE: 8/6/2008 TIME: 7 :02AM PAGE: 59 1 SITE ADDRESS: 11265 SW FOREST L CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE 1 DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 5 03 - 6 1 9 -4 669 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4666 Inspection Request Scheduled For: Date: 6/612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 031159-02 503-961-4640 N Corrections /Comments/ Instructions: J0k . d r _ 44 i..r . 4 m► s _ eA d e : � L_._ . r V ii „:, 'ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS Li FAIL I I CA. L FOR INSPECTION ❑ ADDITI NA FEES ASSESSED ' r 1 Inspector: Date0 6 Phone #: (503) 718 - 0) ( - C O GA BUILDING DI RD PERMIT #: M yT2006-0000 ro 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639 -4171 ii i f Inspection Requests (24 Hrs.): (503) 639 -4175 '. ' L1 INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7 : 02AM PAGE: 60 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: S I ONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503- 619-16613 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 031159-01 503-981-4640 N Corrections /Comments /Instructions: * PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL OR INSPECTION n ADDITIONAL FEES ASSESSED OD Inspector: Date: 0 Phone #: (503) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639 -4171 na ��iiw) I�I' Inspection, Requests (24 Hrs.): (503) 639 -4175 =.� INSPECTION WORKSHEET FOR DATE: 6//612006 TIME: 7 :00AM PAGE: 83 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: Novi SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 - 619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 603 - 4668 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 200 Insulation 031803 -01 503-320-2703 N Corrections /Comments /Instructions: ■ i A _.rill. \ Ate . 1 ‘ .., arvirlvaaw . �� l I . / w , ,„. ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I F . / ..._ 1L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:,, i Date: Phone #: (503) 718- S , . ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -08005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639- 4171uagpu nib °� Inspection Requests (24 Hrs.): (503) 639 -4175 '.���_�.. INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 84 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: Q TYPE OF USE: PROJECT NAME: S1 ONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 6603- 618'4668 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031802 -01 603 -320 -2703 N Corrections /Comments /Instructions: • I - J A W,I L l — I I r - • • PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR IN PECTION ❑ ADDIT NAL FEES ASSESSED ill Inspector: Alt Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&- 00005 I q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639- 4171 IVi��1�" Inspection Requests (24 Hrs.): (503) 639 -4175 °' INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7 :00AM PAGE: 132 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603- 615 -1568 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503- 619.4668 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031803-02 503 - 320.2703 N Corrections /Comments / Instructions: Egi Rfr AfiL g - r r 4 AP M , s t i . , , 7... ../ ...-- : PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ EAIL,_ an ii _ CAL FOR INSPECTION ❑ ADDITIO L FEES ASSESSED , ,x.i 9 ,,..... 7„0 „. 40 Inspector: �r. Date: � Phone #: (503) 718- / Ir • CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 -00005 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/7/2006 Phone: (503) 639 -4171 :it i i Inspection Requests (24 Hrs.): (503) 639 -4175 1 INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 42 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ 61001 CUSTOM HOMES, PHONE #: 503- 619 -4666 CONTRACTOR: GERRITZ 81001 CUSTOM HOMES PHONE #: 503.619 -4666 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031461 -03 503 -320 -2703 N Corrections /Comments /Instructions: t / (i.66Z-) ' CO c T cs i?Cr - / a t <-I. _-• F-. — fAJ 1.-/A _I S j 79- -/ f <s , ) ) Ps , / 5 e `A/, l._ ; - -Ko .v s' z____ . fcdv,DL‘ Ft_(_ i �2 6 (06 /7 L A! � -C , S(-< �evA Jr 4/ ( f 60 o. / Z) L t i■ ` - a ✓ !I ► u " . ` f - /k c) — PC:. 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(..._,Q-- • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 0 1-.EAIL ►7,ii CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CA 1P Date: 6 - ' 06 Phone #: (503) 718- 7-64/II CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639-4171 . ,Ivi o Inspection Requests (24 Hrs.): (503) 639-4175 — - 1 1. - INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4658 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-'619-4668 Inspection Request Scheduled For: Date: 6/912006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 031461-0 503-320-2703 N Corrections/Comments/Instructions: I) AT i TS /------ 70 . t.)c>""i P ,IST P>, 1 c _ y _ i ;--• 6 . 0 PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS L EAIL al CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: . C./1 Date: ‘ • / °‘ Phone #: (503) 718- N. • l , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639 -4171 . 0 +���i Inspection Requests (24 Hrs.): (503) 639 -4175 ..' INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 40 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: S1 ONES "RASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 - 619 -4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas. line 031461 -05 503. 320 -2703 N Corrections /Comments /Instructions: • X DAS , S EI PARTIAL APPROVAL n CANCEL' ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector:. CFY1 Date: 6 - I ' 0 Phone #: (503) 718- 7— 6/-ii CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200€-00005 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639-4171 A I I 11 14 ,VIV f 4 .6 1 ,. , Inspection Requests (24 Hrs.): (503) 639-4175 U. INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 43 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503-619-4658 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 031461-02 503-320-2703 N Corrections/Comments/Instructions: ,A/,,,,/e-, ASS El PARTIAL APPROVAL El CANCEL n NO ACCESS fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C./6P Date: 6- ?- 0 Phone #: (503) 718- Z6'// , , , 1 CITY OF TIGARD • BUILDING DIVISION Aho PERMIT #: MST2006-0000 D ATE 5 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 3170006 Phone: (503) 639-4171 , triti t Inspection Requests (24 Hrs.): (503) 639-4175 —.JO - -... INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:10AM PAGE: 47 SITE ADDRESS: 11265 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF / 1 OWNER: GERRITZ B1GGI CUSTOM HOMES, PHONE #: 503-619-4668 CONTRACTOR: GERR1TZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 515/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 029351-02 503-320-2703 N Corrections/Comments/Instructions: • EX PASS I I PARTIAL APPROVAL El CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 4/4/ 1 . Date: • -•-*-- ,A ---- 4 Phone #: (503) 718- 2-7,6 CITY OF TIGARD BUILDING DIVISION Ato PERMIT #: iViSI2006-00005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2006 Phone: (503) 639-4171 Atilhifit Inspection Requests (24 Hrs.): (503) 639-4175 ...„..,„ '-..... INSPECTION WORKSHEET FOR DATE: 5/612006 TIME: 7:10AM PAGE: 48 SITE ADDRESS: 11265 SW FOREST LW CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF , OWNER: GERRITZ BIGGI CUSTOM HOMES, / PHONE #: 603.619-4(68 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-46G8 Inspection Request Scheduled For: Date: 61512006 Pour Time: Code # Inspection Description Confirm # ' Contact # Message 235 Shear walls/anchors 029351-01 603- 320, 2703 N • Corrections /Comments / Instructions: • IY:1 PASS pi PARTIAL APPROVAL fl CANCEL I I NO ACCESS n FAIL ' El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 9- Inspector: MX" Date: VT ' Phone #: (503) 718- • CITY OF TIGARD ° 1 BUILDING DIVISION 411,0„ ll A, PERMIT #: tvisnow-ouous 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 317/2006 Phone: (503) 639-4171 ii svAlktii. Inspection Requests (24 Hrs.): (503) 639-4175 AVIA I.L. INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7710Alvf PAGE: 46 SITE ADDRESS: "11'266 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASE LOT #: t120 TYPE OF USE: PROJECT NAME: STONECHASE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 603-619-4668 CONTRACTOR: GERRITZ BIGGI CUSTOM HOMES PHONE #: 503-619-4668 Inspection Request Scheduled For: Date: 66/2006 - Pour Time: Code # Inspection Description Confirm # Contact # Message 242 I Iliel ler shear walls 029351-03 503320-2703 N • Corrections/Comments/Instructions: // / / ../. 7 ..d.a.-ee_a_., j-4-6e1 _.e.,0—/ b : F- 4 Aia-ge 1 J. I PASS V PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I I FAIL 'pm CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: ‘.'7 Phone #: (503) 718- . . .. ' CITY OF TIGARD /Y1 s BUILDING DIVISION #p (2 � 8� 6-o00 0,5--- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: l r ea Ph (503) 639 -4171 iiritip I` Inspection Requests (24 Hrs.): (503) 639 -4175 .. i f-g-- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: ■ SITE ADDRESS: / I a Le J °A Ai CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3' / �"O� our Tim- ` P Code # Inspection Description Confirm # Contact # Message �-vS .. /0 4 341-7-- e73 r ra Corrections /Cojnents/ Instructions: I --/- 114 - J, ed, 044-C/X0/1 4 6„.114 Gt.,/ / Gi—M14V .2- ' f"2-.-0----I14.,(TY1 CO -4,...1 apime),/te-4. 3) &.h-o wY, izod O k- -t) C --4 h. 6 1 cc -',4. .41 r j i 5-) , + aAavi,t, -. in ( l 3 i ` Gl..gc." c 4-0 As?. 6e.A-1 .vim bo79o1 &( Fieii oil toy PP- c -exA_ 2`0 - W PPAO cA-€ , /2,olLaeI 643317 ..///t7 a - c. Cd K PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: g1l/ Date: . 3 I , / ( Phone #: (503) 718 - r, CITY OF TIGARD - '�`' Or---- g /X- ` ✓�2 T BUILDING DIVISION PERMIT #: )- / ' CC Oar" 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: _ Phone: (503) 639 -4171 AA �I�I Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: '7/3 1/6 / TIME:. PAGE: SITE ADDRESS: / / 6.5 i - 7�/")2._S LAO , CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 5l_ A ,_p PHONE #: 3 2_0 , 2:2..03 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Com ents /Instructions: 2 4 y�3 4 .i rS Le t-c . J • _s_1 _/, - , -_ ii-- . .� 40 7/ Abe.' f eZAL-ie a--7z. 1—.4, e, !n (i 1- G01 n-� 2) P-40 d'r Ge e_. , "0 - 4 , t�f .A4. -4-r f Cc - "- ; n e e--J G .c,T.71,.. V P.e /( de, / 14,(4 Si- 4 -r.c a A • 7 0 -7 PAa44 ol0 ,,e-e4 9 tV !'rV . ,, gyve Ala 74) dz 4 � 2-2— rid 9Z le ci4� ‘ 6 r..: /9,,,w-04e4_ Lgi PASS U PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 9 Inspector: Date: Q/ Phone #: 503 718 -. s-7 a r ) • CITY OFTIGARD -/ , BUILDING DIVISION PERMIT #: MST2006- 000055 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311120(16 Phone: (503) 639-4171 4 48 Requests (24 Hrs.): (503) 639 - 4175 "'-.. INSPECTION WORKSHEET FOR DATE: •10/4/2007 TIME: 7:02AM PAGE: 30 SITE ADDRESS: 11266 SW FOREST LN CLASS OF WORK: SUBDIVISION: STONECHASF_ LOT #: 020 TYPE OF USE: PROJECT NAME: STONECHA yE DESCRIPTION: New SF OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503 -619 -4860 CONTRACTOR: GERRIT7 BIGGI CUSTOM HOMES PHONE #: 503. 6194668 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 056970~02 503-320-2703 Y Corrections /Comments/ Instructions: • gQ PASS ❑ PARTIAL APPROVAL ❑ CANCEL l I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Crb vl'd i \ \`1 Date: ) c j LI Lt)? Phone #: (503) 718 -