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Permit Alk CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00073 „��� DEVELOPMENT SERVICES DATE ISSUED: 2/21/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13157 SW GRANT AVE PARCEL: 2S102CB -07700 SUBDIVISION: POOLE MLP2001 -00003 ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: SL•r -LA+P , 6P 114,Jikeei- - u-at,h 1404 f_, BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1,782 sf BASEMENT: sf LEFT: SMOKE DETECTORS' TYPE OF USE: SFM FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: UNK DWELLING UNITS: THIRD sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,782 sf 0 00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP' btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 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: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HMISVCIFDR• 601 - 1000 amp: 601 +amps 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS. Owner: Contractor: TOTAL FEES: $ 5,113.51 This permit is subject to the regulations contained in the POOLE, PHILIP & DARLENE SANTIAM HOMES Tigard Municipal Code, State of OR. Specialty Codes and 13144 SW GRANT AVE CARVER ENTERPRSES LLC all other applicable laws. All work will be done in TIGARD, OR 97223 1600 SW INDUSTRIAL AVE accordance with approved plans. This permit will expire if WOODBURN, OR 97071 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 adopted by the Phone: 503 670 - 8254 Phone: 503 981 - 8944 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 98940 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Canto! Insp 84 Electrical Rough In Slab Insp Water Line Insp MFG Home Footing SE Misc. Inspection MFG Home Plumbing I MFG Home Set -Up Fin MFG Home Electrical Issue By : It :! ,' eLoA 2AL Permittee Signature : cret Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day c>%) 12200 3- 0006 ' Manufactured Dwelling _ OFFICE USE ONLY 44 Permit Application Date received. 7.9-f (d 3 Permit no.:} W0q3 ,..73 Al.., 41!. City of Tigard &Wo 1 6e°q( Project/appl. no.: Expire date: City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171, Fax: (503) 598 -1960 Case file no.: Payment type: Internet address: www.ci.tigard.or.us pp Health dept.: DEQ' Land use approval: MS 1—eboo,, s � K. ; TYPE OF PERMIT ` . • "Owner installed VContractor installed ❑ Repair O'New ❑ Addition/alteration ❑ Replacement: Same location ❑ Yes ❑ No "" JOB SITE_ INFORMATION . ' Job address: 13157 Space no.: Manufactured dwelling park: Address: City: 1 t �' Or. State: ®k ZIP: 77 Tax map /tal�� ot no. /account no.: Lot p ('pa, I Block: Subdivision: Base flood elevation: Elevation certificate: Description of work on premises: ___Exei- (/Q pp, r : " ' ' N ` :U � ' 1/A ' , . MANUFACTURED HOME : INFORMATION. . H OWNER �' ; :; ��z. Name: PA i (1 Aa rle.ic poo ie. Address: 131 S S. Ul. ra,417 A/ Concrete stringers/slab under home: (Yes 13 No City: 77:;, A Y I State: t 9L 9 ZIP: 7a (4f D ❑ Single ouble ❑ Triple Phone: ✓ 4 2d _ Mii Fax: E-mail: Valuation $_ 5 7 lJC/V m S q uare feet 1 17 g 2_ Owner representative: / Phone: Fax: E -mail: (dwelling and set up only, does not include other permits) ,, " - 4SET UP/INSTALLATION 'CONTRACTOR " .. , . '' ADDITIONAL' PERMITS (if required) . ° . Name: SA N [ l A UM E5 ❑ Mechanical Permit no.: 'Address: I t: ®0 .. -v1 l. 5t e 'Jai Ave Plumbin Permit no.: City: i,)oc + ir►r Mate: 9r ZIP: Gfi7Q "] I I Phone:s 9g/ 89 r(J ! ( . ( rp�'�P , seS Electrical Permit no.: CCB licens_ fliffq S ( h 7 City/Metro license no.: Foundation Permit no.: MDI license no.: I s f i ❑ Garage Permit no.: i SKIRTING CONTRACTOR ` . ,- • ' " Q � • Carport Permit no.: Name: P h, 1 P C t€ ( e) (6 ne r ) ❑ Cabana Permit no.: Address: 5 C -, ID Ramada Permit no.: City: I State: I ZIP: Contact person: I Phone: 7 ,,5-4 7D_V70 ❑ Awning Permit no.: CCB license no.: City /Metro license no.: ❑ Alterations Permit no.: Skirting license no.: MDI/LSI license no.: APPLICANT Li Other Permit no.: Name: 14 ' � Jon1P Notice: Manufactured dwelling installers must have an Oregon Address: j �/ . j, ). Grin /Q"' MDI and Construction Contractors Board license under provi- City: am State: Q,_ ZIP: 97 3 sions of ORS 701 and may be required to be licensed in the Phone: ( 16 r Es--y Fax. E -mail: jurisdiction where work is being performed, or the appliant is I hereby certify I have read and examined this application and know the same exempt from licensing for the following reason: to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. 440 y,,,,,„,,,,IF.,100,3 P Set u fee $ Applicant's signs i a Date State surcharge $ Notice: This permit application expires if a permit is not obtained within State fee $ 180 days after it as been accepted as complete. TOTAL $ d al 103 t , . Aw Pte -- 440 -4624 (8 /00 /COM) 44414 t l 61)e-A-4-1R. — e-e-wA�.f - - . 1 . Plumbing Permit Application e . FOR OFFICE USE' ONLY' Received Plumbing 2 Date /By. Permit No.: / ,0 00073 • Planning Approval Sewer City of Tigard Date /By. Permit No 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use y' '' � � I Date/By: Case No Internet: www.ci.tigard.or.us Contact Juris. ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 -4 ' Name /Method: Supplemental Information. >,. ; 41, " , ' q. FEE* SCHEDULE (forftiecial riformaiioi use; Wkiist .',° ; �' Ih`.; �; �-' �` ,�����LL .����,.��TYPE:OEWQRK,. ,__ TT °''. .. �.� w.,.. x,,. � �. ):�- :.'�.: A New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total , 'New 1., ,t,= ; <, _, R,cu ; p ,,. _ , p ° , , , - ❑ Addition /alteration/replacement ❑Other: ' ; ?) EE , v ' ` , ' , 4i ' " ; 1 ` °i:t is e ' ' � °n`c 0 ft f o r t ea c hi utilit co n nectioir), ; =.,.; " M it rit .: ` X.TfGORY: :O.Y ONSTRUCTIONKE'' :; V�_ ; �, ' SFR (1) bath 249.20 2/1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 ['Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 z =:.5. JOB SITE INFORMATION=and LOCATIONi!i ` f, ` _:. Fire sprinkler - sq. ft.: Page 2 Job site address: / 3 I 3 . S . UU . G- r a Ads : ` ,. ,:Site =Utilities=`_ , , ' `x ii . Suite #: Bldg. /Apt. #: Catch basin /area drain 16.60 Drywell /leach line /trench drain 16.60 Project Name: P ? 'Z,Q ' Footing drain (no. linear ft) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 P ,'i' . L ,‘ on aci id • t Manholes 16.60 o gr Rain drain connector 16.60 /� V e ' Sanitary sewer (no. linear ft.) Page 2 Subdivision: Lot #: Storm sewer (no linear ft.) Page 2 Water service (no. linear ft) Page 2 Tax map/parcel #: .._; �. :`' �`9`�`:H ° =3i � =.- n..�uFxture�t%rLltem 'y:��;:i;;;�;.�;�`';;k,°u;', \._, � A .: -, .'-DESCRIPTI'ON iviV RK ` " rc : 3 -710;: `� ' ` Absorption valve 16.60 Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 r El IFROPERTY: OWNEk- L : ::6`7,- -!1. I ❑,TEN90)13 J `.''; ;:�.'' " ' a -`: "i'.1' Ejectors /sump 16.60 Name: Ph , I l.A #' Oa ay. (eiyl,e Po 0 l U Expansion tank 16.60 Address: 1.31 r 7S. i J J . G/a,n.7 aAfe_ . Fixture /sewer cap 16.60 Floor drain/floor sink/hub 16.60 City /State /Zip: 77'. ; � I f a , . , 4 Garbage disposal 16.60 Phone: 670 - 99 i le Fax: Hose bib 16.60 1 IN - APRLICANT- W 1 '.;. i II'CONTACT- ,PERS.O1 „ : Ice maker 16.60 Name: 6j. yy1,- Gt a-- ag- e-v-e- Interceptor /grease trap 16.60 Address: Medical gas - value. $ Page 2 Primer 16.60 City /State /Zip: Roof drain (commercial) 16.60 Phone: Fax: Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 ._ ,. '-; ' ?CONT , ""° `r 4 k y Till, Urinal 16.60 Business Name: &J/L11L2 Water closet 16.60 Water heater 16.60 Address: Other: City /State /Zip: Other: y ; 5' . 1 :v :. P,lumb.ing:Permit)Fees *; _ . , . ': :r .: r Phone: Fax: ` : �1 n"�e,.. Subtotal $ CCB Lic. #: Plumb. Lic. #: Minimum Permit Fee $72.50 $ Authorized i p � Residential Backflow Minimum Fee $36.25 Signature: �� j 6 - Date: el I o2 -03 Plan Review (25% of Permit Fee) $ h i , ( i,Q , . 00 f e- State Surcharge (8% of Permit Fee) $ I (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. - *Fee methodology set by Tri- County Building Industry Service Board. is \Dsts\Permit Forms\PlmPermitApp.doc 01/03 - Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: :xs?~e;e ea ° rotal R`S nave Eoota a ;''n Perinit`Fee:. - .,.., � ��::•)� °�°_.�• µ - q _ g Footing drain - ls` 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 ;Permit Fee , 8 Storm & Rain Drain - 1st 100' 55.00 $1 00 to $5,000.00 fee $72 50 Storm & Rain Drain - each additional 100' 46 40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and M " = 4 ".134ur 70fiem'= ' " 9:6 Fee ea ,Tvtat't ",,;x::t, . � > � ;• :T� "f :' �., .�: �-�# ). �r .�� au includin $10,000 00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148 50 for the first $10,000.00 and $1 54 for Residential Backflow Prevention Device each additional $100 00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001 00 to $50,000.00 $379 50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72 50 $50,001 00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof Fixture Work: 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 *. ' ` a r n ` Qaa ntit 'b (Fiat ej ° iin d.r Comments regarding fixture work: , .. .., € ,; R e p lac e ` , `t4Fixture Type. . , ; 6 46 , , .. <.<<° sp ,61 x'�_ New 4" Mov ",ed:,.. Eiisttiig : Gappedfi`.• Baptistry/Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" -4" Car Wash Drain *Note: If the fixture work under this permit results in an Garbage - Domestic Disposal - Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach /Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures - is \Dsts\Permit Forms \P1mPermitAppPg2.doc 01/03 Electrical Permit Application FOR OFFICE USE ONLY Received Electrical ) I ff OW Yo � 7 g City Date/By Permit l t No.: / ® W • Planning Approval Sign C><t Y of Tigard Date/By Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post-Review Land Use /i���d�� I i'� Date /By. Case No Internet: www.ci.tigard.or.us ■ � , �! . I Contact Juris ® See Page 2 for 24 hour Inspection Request: 503-639-4175 — W Name /Method Supplemental Information. ,,. , ; :, '" `.' ? _ _ � . s'�;'gL iiiAN`REVLEWr leise'cli &Iiicilia "tla . � — -,i ��������������� �:�T��P�E[ ©�woRx °, :: ° ��� ", �� �..':��:��. _�. _� .'��.- � _� (p _ _peY� 1 _ , �_ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps- rating of ❑ Building over 10,000 square feet, _ 7 " '' :'r„ifitATEGORY,:OF CONSTRUCTIONS . - >Y' S' `"T 1 & 2 family dwellings four or more residential units in 12 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more n Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other d - . T .'JZt.'` JOB' SITE INFORMATION and LOCATION:1,2,13. Submit sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: / ) 5 $; 1.J. G rct,.4.1' /lrfP, "'i4'.:',;',=",".. , . ,ra- l_k > „ r. , .� <„ .,. = ;..< <' FEE* SCHEDi7LEu' '?5r _ �,,. .. -. . ;- _ Suite #: Bld . /Apt. #: Number of inspections per permit allowed Project Name: Pp ate, /i7 9 Description Qty Fee (ea.) Total New residential - single or multi - family per + Cross street/Directions to job site: dwelling unit. Includes attached garage. 119 /► /) k fJ S ' r. L t on 99 ul �D Service included: C 1000 sq ft. or less 145.15 4 S i IA.) ' G t / ✓ Ve . Each additional 500 sq. ft. or portion thereof 33.40 1 Limited energy, residential 75 00 2 Subdivision: I Lot #: Limited energy, non residential 75.00 2 Tax map /parcel #: y Each manufactured home or modular dwelling . , ' - °,c - : ”' ' DESCRI'P.,TION^ OFWORIC =r' * t' . .. " ''z` j service and/or feeder 90.90 2 Services or feeders - installation, alteration or relocation: 200 amps or less 80 30 •.2'' '" 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 , 24 PROEERT % :. ° OWNER`S 7 :'.47,111 TENANT, . r 601 amps to 1000 amps 240.60 2 //�� Over 1000 amps or volts 454.65 2' Name: , f 4 nei �� Doi-1-4.41,.... , o /PJ Reconnect only 66.85 2' ' Address: f i '5 5. 10, 6(Q/Yai Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: �, a vt Dr q 7,9 -3 200 amps or less 66.85 1 Fax: 201 amps to 400 amps 100 30 2 Phone: -715 `�� ax: 401 to 600 amps 133.75 2 ® i• V ? t'4X.: : "2:' rv CONTACT; PERSON „ - ';? - ''-':' , ``'; Branch circuits - new, alteration, or Name: g.-0,62_ a4- ^ o” -"p/ extension per panel: �� A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46 85 2 Phone: Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included). '-M ,.. f , q , P „w mo_ w CONTRA ,. CTOR.'�� . _ V , I ; , s u Each pump or irrigation circle 53.40 2 „� ,�, Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 2 Business Name: ( '--e(»(li Description: Address: Each additional inspection over the allowable in any of the above: City /State /Zip: Per inspection per hour (min. 1 hour) 62.50 Phone: Fax: Investigation fee. CCB Lie. #: Lic. #: Other: P ,:41:: • „�i , .TEi `e`cfricahPerinit:Teest Ing::a•.i• ko:N Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized , A i Notice: This permit application expires if a permit is not obtained within Signature: ay].) Q, Date: Q / 180 days after it has been accepted as complete. •Fee methodology set by Tri - County Building Industry Service Board. ( ease print name) ._ i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: • Audio and Stereo Systems El Burglar Alarm n Garage Door Opener n Heating, Ventilation and Air Conditioning System n Vacuum Systems 0 Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls F Clock Systems n Data Telecommunication Installation n Fire Alarm installation n HVAC D Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control n Medical n Nurse Calls n Outdoor Landscape Lighting D Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms \ElcPermitAppPg2.doc 01/03 f:: �ti 28" I.D. X D 200 SQ FT PER FT 28" I.D. X 5' D.W. 1,000 SQ FT 28" I.D. X 10•' D.W. 2,000 SQ FT 3,000 SQ FT 28" T.D. X 15' D.W. — �.r. - - ' D.W. 600 SQ FT PER FT X FT PER FT 4 I.D. ' I.D. X 5' D.W. 3,000 SQ 4' Y.D. X 10' D.W. 6,000 SQ FT 4' I.D X 15' D.W. 9,,000 SQ FT 4' I.D. X 20' D.W. 12,000 SQ FT 2: 5 o • l z/ , a ... . . • Y - , . . K.J . \ .:2, , .c, r' ,, . , CITY OF TIGARD 12/22/2006 13125 SW Hall Blvd. 10:30:55AM • Tigard, OR 97223 503.639.4171 Activity Listing .TIGARD Case #: MST2003 -00073 Primary Name: POOLE, PHILIP & DARLENE Project Name. POOLE Site Address: 13157 SW GRANT AVE y l x�.: ✓si S ( s,,, yy \S N pen,IL �DATE.. DOIVE a ' ;Wa�' DI B. DO O N S N RIPTIO `�° 1 n in r esce d Oder. _ N ^, _ m y th °Yi � .0 7a ., ice.... ., .,: ., .;• +�, < .e ¢. a. ; ., .r „�"� ,., „.p d,. s�,`.t» e , v.�.�z`>ik.i,a -:„ ` ®..,_ ^.�#,sa Wmw<. `. o- .Xc v^r,�: �`� ..- .. ... -n -___ - .s o„« .=-r�.c.Y hk ,0 ..s 4�.„.�-s- 740 Case finaled 3/24/2005 DONE JMT 299 Final inspection 3/16/2005 PASS KBS 001926 -01 — 503- 670 -8254 — VM - Y 299 Final inspection 3/8/2005 FAIL KBS 470 Return to "I” status 3/2/2005 DONE DEB Permit reinstated for final inspection. Ok'd per Hap. 290 Reprint permit 3/2/2005 DONE DEB Reinstated for 30 days. 945 Request inspection research 10/22/2004 DONE JMT EXPIRED LETTER MAILED 62.50 1 HOUR BLD SET UP FINAL 160 Expired by limitation 10/20/2004 DONE RB 775 MFG Home Set -Up Final 7/11/2003 7/11/03, do not Final until asphalt in road is paved, PI. 3/2/05, ENG2001 -00041 closed on 9/8/03, DEB. 728 MFG Home Set -up rough 4/15/2003 PASS RB 721 MFG Home Electrical Set -Up 4/14/2003 PASS HFY 723 Electrical Service 4/14/2003 PASS HFY final, on service. 716 MFG Home Plumbing Set -Up 4/11/2003 PASS MRS this entry ok'd by Hap 721 MFG Home Electrical Set -Up 4/7/2003 PART HFY service, approved for PGE connect. 30 days for complete connect and call for permant label. 760 Water Line Insp 4/7/2003 PASS MRS 755 Rain drain Insp 4/1/2003 PASS MRS 704 Sewer Inspection 4/1/2003 PASS MRS 730 Case update (see note) 4/1/2003 DONE AMS Administrative review shows text of MRS 4/1/03 Rain Drain Inspection to read: "Dry well bye [sic] engineering Dept. Gary & Rick.” Interpreted to mean that Gary Lampella approved substitution of reinforced concrete drywell for the in- ground rain drains shown on approved 728 MFG Home Set -up rough 3/17/2003 FAIL RB Provide Manuf. Insta. Instructions. 770 Misc. Inspection 3/14/2003 PART KBS # -1- partial set up. 708 MFG Home Footing Set -Up 2/28/2003 PASS RB w/ corrections. Pouring prior to and at time of inspection- corrections noted. 092 (F) Issue combination permit 2/21/2003 DONE DEB 005 Application received 2/21/2003 DONE DEB Sewer tap in street is to be done under ENG2001- 00041. Per Brian R this is still an active permit. CaseActiv tyShort Form rpl Page 1 of 2 "" >;X ' ' 7 4 , 'Y ' ," , . 4 ' '''-' „ . ,, ; 'Ll!: "'":" "'" 7 `. .;*:' „44 ; 4 ,. Ai - 1' ' ' , ,..',`,4'W,t;', , F4P,',, %fti, ,, ip . ;41141t:04,1 •"'' 4 ..t ::,- ,,,, - :•,,, - „ , „ „ , , , , ,D 'WE DON4.0, ,-sg. ' it niqP* '""" DON E4\'' - "NOTES or,,, , 'Ait >, -. :-.<;M* 0 ', ;414 i ' • ■-• , ft,, ,^ =4,C 9Th DEkRIPTION ', , p.pL ; . ,-„ p„ ,, , , , --- :',-, - kpotufg ufueiv° :,;,— :1; :, '' .';-•`•;*,,r,, - - - 4, , - . 0, ,,Tiv ;,4::‘,,,,,,, 7-5 , :zolit; ; ,.: -, vt..,.,',,,,t , ' - '<•'-., 4, " , ,- :79 , 14",4-1;1; Aciev,:, .._. ..„-4, -4A.7- -, ,— 0 08 Permit Created 2/21/2003 DONE DEB 080 (F) Ready to issue Gary Lam 2/21/2003 DONE DEB Per instructions of G ry p i review or stamped approved p lans . Lampella, issue this permit over the counter. It does n ot p lan re q uire 700 Erosion Contol Insp 846-8444 Approved 2-24-03 (JF) 707 Slab Insp Page 2 of 2 CaseActi vityShortform rpt CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00073 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2003 Phone: (503) 639-4171 / �d4 @�iiq ill,. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/16/2006 TIME: 7:11AM PAGE: 19 SITE ADDRESS: 13157 SW GRANT AVE CLASS OF WORK: SUBDIVISION: POOLE MLP2001 -00003 LOT #: 002 TYPE OF USE: PROJECT NAME: POOLE DESCRIPTION: Set -up manufactured home on residential lot. PERMIT REINSTATED ON 3/2/05 FOR 30 DAYS FO FINAL INSPECTION. OWNER: POOLE, PHILIP & DARLENE, PHONE #: 503- 670 -8254 CONTRACTOR: SANTIAM HOMES PHONE #: 503 - 981 -8914 • Inspection Request Scheduled For: Date: 3/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 001926 -01 503 - 670 -8264 Y Corrections /Comments /Instructions: :P 4 JD s� vg . (y 5 4 /1-(.S 6 - -�rJ? `S / sTI —yf I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 1-/ 6 Phone #: (503) 718- • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 - 73 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1-/-1 AM PM BUP Location _13_ / S 7 Suite MEC Contact Person Ph ( ) PLM Contractor /� _ � Ph ( ) SWR BUILDING Tenant/Owner f - 4 ��"� ELC Footing G 7D — g aSe7L ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final /, _ PASS PART FAIL l `77 e PLUMBING Post & Beam r Under Slab Rough -In r- — Water Service n Drail a ch Basin / Manhole Storm Drain Shower Pan Other: Fir PART FAIL HANICAL Post & Beam Rough -In . Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line Approach /Sidewalk Date Inspector 9? Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL - CITY OF TIGARD /n 5r - BUILDING DIVISION PERMIT #:.D03-- 6Q 0 73 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / �' ir pniy���l6I�II & Inspection Requests (24 Hrs.): (503) 639 -4175 : ' : � :_.. INSPECTION WORKSHEET FOR DATE: S -- 8 TIME: PAGE: SITE ADDRESS: 1 3 ,S 7 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: ID - - PHONE #: 7, 76 — g' a 544 CONTRACTOR: PHONE #: 6 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: s' ,� rr 1. l ` i / - ! V 2 + (4-' /mot �- -eJ �. "/C� �`L S' % %J = /.�i /�.sr' '1111/ Ag /% -- . C,i .e, 5 -- � / <, t7 ‚ -'— !' - I c n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: �/ -i Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175. MST 3 -- .:3 1 00 73 INSPECTION DIVISION Business Line: (503) 639 -4171 ,/ eBUP Received _ Date Requested " 5 AM PM /23 BUP Location / 3 7 7 5 6 1 Suite MEC • Contact Person 4 ' L 1 0 44 Ph ( S':?) I l ifbeo PLM Co"gator Ph ( ) SWR �pUILDI Tenant/Owner ELC Footing Foundation "' ELC Access: jj � ® Ftg Drain ! y ELR Crawl Drain Slab Inspection Notes: 0 // r SIT Post & Beam � 41 /41.0�Z�2�s Shear Anchors Ext Sheath /Shear Int Sheath/Shear ► v Framing / A.A. AP Aid "..AL.Ali, Insulation , Drywall Nailing Firewall Fire Sprinkler `9 (1 Fire Alarm _, �P L.0 r4 Susp'd Ceiling a Final /PUSS ING ART FAIL , V r ^ v \ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ri Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire ADA Line / 1 C / 3 C`1� Approach /Sidewalk Date l Inspector ` / pct Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 3 -44 D 73 INSPECTION DIVISION Business Line: (503) 639 -4171 MST (� / / BUP Received Date Requested ( 1 'T AM PM BUP • Location _ / 7 4 Suite MEC Contact Person ' Ph ( ) � 7o - gas PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear • Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ;ECECTRTCAL e is '1 ough -In UG /Slab Low Voltage Fir- alarm Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. 'ART FAIL ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line /� ` ADA Date /1" 5 Inspe or ��� Ext Approach /Sidewalk P Other: Final DO NOT REMOVE this inspection record from th site. PASS PART FAIL