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Permit
g CITY O T��GARD MASTER PERMIT PERMIT #: MST2005 -00311 `" 1 DEVELOPMENT SERVICES DATE ISSUED: 9/16/2005 .' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 11 AA -04800 SITE ADDRESS: 08640 SW INEZ ST ZONING: R -4.5 SUBDIVISION: GREENSWARD PARK LOT: 026 JURISDICTION: TIG Project Description: Fire damage. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT: VALUE: 20,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 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: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: +l! f CI 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: 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: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes WILLIAM SIEVERS OREGON HOME IMPROVEMENT CO and all other applicable laws. All work will be done in 8640 SW INEZ ST INC accordance with approved plans. This permit will expire TIGARD, OR 97224 DBA OHI CONSTRUCTION if work is not started within 180 days of issuance, or if the 17255 SW PI LKI NGTON RD work is suspended for more than 180 days. LAKE OSWEGO, OR 97035 ATTENTION: Oregon law requires you to follow rules Phone: 503 312 - 2341 Phone: 503 635 - 6248 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 #: LIC 34908 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 550.33 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issued By : e// J - Permittee Signature Piz Call 503 - 639 -4175 by 7:00 a.m. for an inspection that b ■ iness 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 Applicaticm_ " FOR OFFICE USE ONLY City of Tigard RtGENE 61 4 1, Received _ PnnNo Date/B • * - 6 1 3 - ' L eit . . .._ .... _ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1969\ U G 2 9 2005 h.ollo Date/B : ,, . - 31 _, 5 -- Other Permit: Inspection Line: 503.639.4175 - 11. Date Ready/By: —. -, I _.- , Jur Fil See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: ,_, ‘ - -- 0 1 — 7 /V' Supplemental Information CITY OF TIGARD Lorac$,,,mits)Q E6t ,2T. leAliMira r,,T ,A„, ,.; ,,,,;-, i -,, 'AVREOUIRED DATA'4-rAND DWEJILIAWF eassesm:'' : I..- MAI.= ,'3%; %nz :',Aft: '''--,,,,,-: ---,:,:mommo ,z, • :Au:N - ',ove,e,mo.e me ,g : El New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all I Addition/alteration/EPlacemQ) El Other: equipment, materials, labor, overhead, and the profit for the leir'' Vegfg - --- , ' , I1 ., 61 , Ti6diiit"ithi4i1609 '''Pg"''' :',' :'5-TAirP work indicated on this application. Valuation: $ o 0 El I _ and 2-family dwelling El Commercial/industrial .1 00 Number of bedrooms: El Accessory building El Multi-family . Number of bathrooms: El Master builder El Other: 0*Ii*AM !!liinI,A 00#XV,:, WAIV immed,,„„e ems:4; s 31 Total number of floors: tit ; :r4 V 4Fir 4get*,ii,f71 f : ATS-::Z:i,s New dwelling area: square feet Job site address: g 6, mo 9 z .51 - City/State/ZIP: T 6.4, AD /o A 72 L '-i Garage/carport area: square feet Suite/bldg./apt. no.: Project name: 53-Eue ,2 eszi.Ict-icer Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet flREQUIREWDATA:;CPMMERcIAL-Un CRgeKJIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the givizl , ; „,r, -, :: ,i,:glik*Ttho 4 tisok, 4 work indicated on this application. Valuation: $ Z E ft..ite.-e cwr o Ti?..tes, geoi= 6 # 64-1- grd6- 1 4./4t.t .SA4e Existing building area: square feet 5Th d-S Dues To ,Se Ar New building area: square feet iiillik :: I kf 1,64: , ' kirsTiiiitiii; ' >, Ti Number of stories: Name: LA ) r Li _ . .. z . 44 , 1 6 :r:eve - es Type of construction: Address: 13 6 40 s a--,..)6--z sr. Occupancy groups: City/State/ZIP: Tr: 6.„4..z. C. a R, i i 7Z2 Existing: Phone: (Sol) 2,(-z- 2 .... / 91 Fax: ( ) New: - "':' --''' VVATTAirTffri4VAINMANO movImityr—gi—sk-rh , - - p: '.!:', Business name: ft Ex) 61 ./... D 6 .. 1 „ - ",,,,,.. 14 ,,,r All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: RA.N.. Al 430 4 .r under ORS 701 and may be required to be licensed in the Address: 3 z L A .,,,..■ 5 ell . At.,, Xi Zo / . jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: fig 77 Avz / 5 72 apply: Phone: (505 ) 2 z. 3 -c) Z. Fax: : ( ) E 6,0.4s; Gii) Icrie.‘ 0**0 1 1 Business name: „:,..v = A, :WM 1: , ,' , ',',:1:46e0u144NRIM.Ii1,14, v,r , , .-' : "'•,%. Address: I 7 2.. 5 S PIL.V..riJ 6 R- Please refer to fee schedule. City/State/ZIP: LA w a s, j 0 / a / 570 35 Fees due upon application /5 . g ...5 Phone: ( 5 03 ) 6 35 - 6 2 Li t Fax: (503)636 - 71153 Amount received CCB lic.: Date received: Authorized signature: .../e4yieZ.....7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: e ,4, Date: g/ * Fee methodology set by Tri-County Building Industry Service Board. . • i: \ Building \ Permits \ BUP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB) . /14 ST ,S -C /) I ' /c 1) �� .�'°sON�O Electrical Permit Application •- .�` '` Phone: 503 -846 -3470, Fax: 503- 846 -3993, Inspection Request 503- 846 -3699 155 N. 1' AV, Suite 350 -12, Hillsboro, OR 97124 www_co.washington.Or.us ° EGOO' Land Use Approval: Project # Permit # TYPE OF WORK PLAN REVIEW Please check all that apply: 0 New construction Addition/alteration/replacement ['Service over 225 amps, comet ['Hazardous location Q Demolition Other: ❑Service over 320 amps -riming ❑ Buiidng over 10,000 sq. ft. CATEGORY OF CONSTRUCTION of I- and 2-family dwellings 4 or more new residential ['System over 600 volts nominal units in one structure (AI - and 2- family dwelling ❑Commercial/industrial 0 Accessory building ['Balding over three stories QFeedees,400 amps orwort ❑ Multi- family 0 Master builder ❑Other ['Occupant load over 99 persons ❑Manufactured anteing= at 0 Egressaighting plan IW park JOB SITE INFORMATION AND LOCATION ❑Healthcare facility QOM -r' Submit 2 sets of plans with any of the above. Job no.: lob address: • • The above are not a L . licable to - .. ., construction service. City /StatelZlP: - FEE' SALE .. ` -.• M Fee. Told Project name: Di � oewAputeo ay dwelling nN Suite/bldg./apt. no.: � ` J New residential single or multi- family - per u Crass street/directions to job site: Include square footage for atta . -. rage. 1,000 sq. ft. or less I 150.00 j ■• r 4 Ea. add'! 500 sq. R or portion & 42.00 _ ry Subdivision: Lot no -: Limited energy, residential 60.00 2 Limited energy, multi- family 66.00 2 Tax map/parcel no.: Each manufactured or modular 102.00 2 ' DESCRIPTION OF WORK dwelling, service and/or feeder �'tf a Services or feeders installation, alteration, and/or relocation C e ` / I� i� `/ L •1 200 amps or less MI 90.00 2 r 201 amps to 400 amps 1.1111 120.00 2 !. I ' 401 amps to 600 amps 0111 ts000 2 0 PROPERTY OWNER 4 Q TENANT 601 amps to 1,000 amps II 270.00 2 Name: Over 1,000 amps or volts 504.00 2 Reconnect only 70.00 1 �\ Address: Temporary services or feeders installation, *Iteration, and/or \ City /State/ZIP: relocation 200 amps or less 78.E 2 Phone: ( ) ( Fax: ( ) 201 amps to 400 amps toa.00 2 Owner installation: This installation is being made on property that I own, which is not 401 amps to boo amps 150.00 2 intended for sale, lease, rent, or exchange. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with service or feeder fee, each 6.50 Q APPLICANT 0 CONTACT PERSON branch circuit 2 B. Fee for branch circuits Business name: • without service or feeder fee, e first branch circuit I, 2 Contact name: Each add'[ brand[ circuit ',L JAG Address: Miscellaneous (service or feeder not included) Pump or irrigation circle 6000 2 City/State/ZIP: Sign or outline lighting 60.00 2 Phone: ( ) I Fax: ( ) Signal circuits) or limited - energy panel, alteration, or 60.00 E extension. Describe: 2 CONTRACTOR Each additional inspection over allowable In any or the above Business name: A � � 'ee( t (' Per inspection 90.00 v i 0. n (n• ^ 'N - „sr, investigation fee EE COMPLIANCE) Address: �� C t at) b••7 Other City /State/ZIP: kw © Q-7-0 1 ELECTRICAL PERMIT FEES" Phone: ( tI AL, 16 ,•. r Z■ Fax' - � ) . f S_ EiRa Subtotal �� '' usomM illgro , CCB lie. no.: ♦ 0 0 (DS 5mit Plan review (25% of permit fee) S Supervising electrician / . ! / / ' 1 e State surcharge (8% of permit fee) P, signature, requited: ` ., / . /'`/ i TOTAL PERMIT FEE e _i;j , C �Li- 111111 Date: i This permit application expires if a permit is not obtained Authorized within 180 days after it has been accepted as complete 0. / • S signature: • Fee set by Di-County Building Industry Service Board • 7• �I ••'Number ofinspcctions allowed per pernuL 7 Print name: I Date: ann -561 ST Mal/ I f h z'd 8288 -S8S -COS 0 i. 4 4 0 a13 IStiA eCC:60 SO Si. des . FROM :SunSet Athletic Club FAX NO. :645-6259 Sep. 16 2005 Oa:01AM P1 1 • ' k 7%/41& .. . s `r�a7)5 -31 1 r ,4, -. ' : Plumbing Permit Application c;FFlce Fi5 n.v r ` arty of Beavertail Dam t No.: Rcceiveck . Permit �` PO OR 97076 Dam Issued: By: Phone (503) 526 -2403; P a; (503) 526 -2550 4 Internet www.d.beavert l.or m ' Pay Team L. TYPE OF WORK FEE` SCHEDULE ❑ New construction ❑ Demolition For tpeclalinforwaUon we clucklbx N �Adt�itiotl/4> replacemeat ❑ Other: 2 bu 1 Qty. B0.. 1 Taal r _ New -m throats, (tndte0es' 100lt to each utility cotmecoiauJ CATEGORY OF CONSTRUCTION • SFR(1)bath 20000 ' l - and 2-family dwelling • ❑ CamnmtdalAndustcial SPR (2) lass v 23040 • ❑ Acocssory buildin 0 Multi-Imlay SFR (3) bath 260.00 ❑ Master ❑ r Each additional6arLN6rdten 24.00 Othe . Fro R (_ R) t• . JOB SITE INFORMATION AND LOCATION . Job she address: I / q, Si/ , I✓ ' Catch been eeemachain 10.40 City/State/ZIP: DrywcD, leach hue, ae treat d9in 10.40 SnimlbldgJapt. no.; l Project tome: Peaks dam Oa linear R: ) 10.40 Cross stmeUditectian to job aloe: Maw[atxwad hoWB utilities 10.40 Manhole: . 10.40 • Rain drain cones 10.40 • Sanitary sewer (ma linear s.: _„",) ew Storm *ewes (ea Hoax b.: _ ) "' Sabdivisloo: I to no.: Water service (m. linter ft. ) .. piatme or Era Tax maplpamel no.: Abaraption 10.40 DESCRIPTION OF WORK / 4 Beddow prevent= =A0 . f iR� 4 ,441 44V.C f 4 saek.atea 10.40 . Clothes washer 10.40 Dishwasher 10.40 . Drinking fountain 10 PROPERTY OWNER I TENANT Expmaion tack 1040 Name: Fixnue/aewer tap 10A0 Address: Han dtaiNlocr einldltub 10.40 • CitytStaronLP; ' d 1040 Mow: ( ) . Fax: ( ) lime hub 10.40 Mow: APPLICANT CONTACT PERSON Ice Maker 10.40 Lmcepoor/greaaetrap 1040 Business tome: Medical gas (value: S � ) - •a Contact name: Riser 10.40 Addccts: � Roofdrain(commmie° 10.40 Siatrfiasm9a atCry ( t040 IP; Tobiahowefebowtr ' 1040 Phone: ( ) I Fax:: ( ) Bei®t 10.40 &meal water closet A 10.40 _ • CONTRACTOR / . Water be der 10.40 Boa relea then: � Al is®� �fv1 1 1 of . 10.40 Address:. -Wog" " /.S4 kiii. J Other. 10.40 Subtotal Cley /tatedZIP: /1,J4 btdbe 0 Ar J Waste= permit tee / Phone:(SPT) 43'1 8a?3V Fax: TOT) er')Y/7Ii€ _ Mao review (23%otpetmltRe) Ccaliv... / A 41 / 50 Linn.: , /.yrarA ° SUteeurLarge panda tee) Authorized i . i D(D TOTAL PER not obtained in , Q ,..� r>rapermitapp rot let a eeepte Lseato 18D ,� tlaye ask tree beenavarptedhss westplaa. • Foorauttatillogy set byTh.0 raa04laatmeser a Print name: : -t J erevs Date: , y e1 ••143 Fes sc CITY OF TIGARD BUILDING DIVISION PERMIT #: MST1005-00311 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9i16/2 ob Phone: (503) 639-4171 /.1114141111i, Inspection Requests (24 Hrs.): (503) 639-4175 .44*. INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: '7:00AM PAGE: 67 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: W3-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 29 Final inspection 024648-03 971-219-4823 Corrections/ComMents/Instructions: • K PASS P AL APPROVAL EI CANCEL NO ACCESS I FAIL L FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector Date: (2 6 Phone #: (503) 718- ' %le CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00311 13125. SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/200s Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage, 9/29/05: Added (17) branch circuits. OWNER: SIEVF,RS, WILLIAM PHONE #: 503-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 024648-01 971-2194823 Y Corrections/Comments/Instructions: e //7 ` ___ a J' Ti} 4 PASS .1 PAR L APPROVAL 0 CANCEL El NO ACCESS r l I IL fl 'AL FOR INSPECTION j ADDITIONAL FEES ASSESSED Inspector e: 0 hone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION . '' A PERMIT #: MST2005.00311 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/1617005 Phone: (503) 639-4171 :14 Inspection Requests (24 Hrs.): (503) 639-4175 ...,...W 'LI" INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 1:00AM PAGE: 68 SITE ADDRESS: 08FA0 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final . 02464B-02 971-219-4823 Y Corrections/Comments/Instructions: • P(Q)ASS UV • RT ' L APPROVAL 7 CANCEL 0 NO ACCESS I I FAIL r C ' L FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspect° A,„„ Dire Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 "' °n NNu�igll�f�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 66 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS,I+VILLIAM PHONE #: 503 -312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 017612 -01 971- 219.4823 N Corrections /Comments /Instructions: . 41DASS Ill PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: �� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 !°� °fp��ii�g��" Inspection Requests (24 Hrs.): (503) 639 -4175 ice' 'f ... INSPECTION WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WLLIAM PHONE #: 503 - 312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635 -624B Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 017505-01 971 - 219.4823 N Corrections /Comments /Instructions: 1 ` c 1 • , .00 ' n PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: \7 & ` ( _ Date: ` t/one #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00311 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 �o1 ,a�ay� ii jf l q ,1 Inspection Requests (24 Hrs.): (503) 639 -4175 �' l (/ INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 33 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503- 312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635.6248 Inspection Request Scheduled For: Date: 10/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 017232-01 971-219-4823 N Corrections /Com nts /Ins ctions: NH-- ' . b\idv --- 'KJ 0._*---6 (___c_ • \,,,itiA-Lccl — KI6-- t....„,„__ - te_ S \----" . W ' . A--Q--e---(Lr-b--c___- S.C/'.(2_,u -cNiCx/ ,..-- _____ .\ ' >s A--til ". IN-are , f S Q 5-e..-- Ste` --e-P ,:Q � `mil's �-s 1 . , P ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . i Inspector: V V' Date: � ( Phone #: (503) 718- CITY OF TIGARD ,,_ BUILDING DIVISION PERMIT #: MST 00 00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16121;)(J5 Phone: (503) 639 -4171 ! �mi�n�q i Inspection Requests (24 Hrs.): (503) 639 -4175 � 'I INSPECTION WORKSHEET FOR DATE: 12/23/2005 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 08640 SW INE ' ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9129/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503 -312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503•G35•6248 Inspection Request Scheduled For: Date: 12123/200, Pour Time: C ode # Inspection Description Confirm # Contact # Message 610 Gas line 023990.01 971-219-4823 N 626+ L acJN.. aDDL Corr /Comments/ Instructions: GU'is ed iS ,L,'s ,fi 661 t4 ,49 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 41 1 Date: 1 Z / hone #: (503) 718 1° C V . ‘ CITY OF TIGARD BUILDING DIVISION . A PERMIT #: MST2005-00311 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639-4171 hoph,00i,■ 1 Inspection Requests (24 Hrs.): (503) 639-4175 ..,-4, -411. INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 72 SITE ADDRESS: 08640 SW INEZ ST CLASS TP OF O F WORK: USE: O R K : SUBDIVISION: GREENSWARD PARK LOT #: 026 Y PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM - PHONE #: 503-312-23441 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635.6248 Inspection Request Scheduled For: Date: 12/21/2005 Pour Time: Code # • Inspection Description Confirm # Contact # Message 610 Gas line 023817-01 971-219-4823 V 9.014. OE 9 zict Corrections/Comments/Instructions: -'5T. ' . - 4 . -(-&I ::9a/1/1 g: Pm ---- - A,r e744,0--.0,4_ ) i-e-6 • PASS fl PARTIAL APPROVAL El CANCEL g NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspect° . i A Date: 1 2-1)4 i 0 . 5 ---- 1 - :hone #: (503) 718- I 1 r / CITY OF TIGARD r3 BUILDING DIVISION • PERMIT #: iVi ST2005.00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 h iavu Ml" � Inspection Requests (24 Hrs.): (503) 639 -4175 ' •I � INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AI PAGE: 74 SITE ADDRESS: 08640 SW INE . ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29105: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503 - 312.2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635'6248 Inspection Request Scheduled For: ate: 12/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 023520-01 970 -409 -9230 N Corrections /Comments/ Instructions: 2L5 /) dm • ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL l CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED X45 Inspector: 4 � . Date: ( Phone #: (503) 718- � CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639- 4171��pliiu�8)i�Jl Inspection Requests (24 Hrs.): (503) 639 -4175 �'.W' L. INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7 :09AM PAGE: 5 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WLLIAM PHONE #: 503- 312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 -635 -6248 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # - Contact - # ' e _age M 616 Mechanical rough -in 018864-II; 971-219-0874 r Corrections/Comments/Instructions: < 1 — / °/ /` 6-S ) a rZ _< --� 7= - 0 Al S ere, "4 r / 4 0 vS i . - -44! E__. / � �7 pm, S P' - ❑ PARTIAL APPROVAL ❑ CANCEL ;P; CESS l t AIL-- k■a- - . - TION El ADDITIONAL FEES ASSESSED r Inspector: — w Date: /(5 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 8 SITE ADDRESS: 08€ 40 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503 -312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635 -6248 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 018742 -01 971- 219 -0874 N Corrections /Comments /.Instructions: 1, 2 15Cu 6 6'44 Z�.( - 2. . � / `/ ✓A 117 S a �/ w / C • PA PARTIAL APPROVAL 1 CANCEL I 1 NO ACCESS FAIL I I ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ./O 9 --6 S - Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2005 00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9116/2005 Phone: (503) 639 -4171 A di& 'I Inspection Requests (24 Hrs.): (503) 639 -4175 e INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 7 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503 - 312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 018633 -01 971 -219 -0874 'Y Corrections/Comments/Instructions: PASS I PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • Date: /-// -aS Phone #: (503) 718- - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639- 4171 .. u 11 4p� ", Inspection Requests (24 Hrs.): (503) 639 -4175 „.'!i INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10A PAGE: 6 SITE ADDRESS: 08640 SW INE2: ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503- 312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 543- 635.6248 Inspection Request Scheduled For: Date: 10/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 018635.01 971 - 219~0874 Y Corrections /Comments /Instructions: ".'S / -�� 1. - 6 /3" 142 / c —c_-- W5 /l/ • 2, - I I PAS ''n PARTIAL APPROVAL f{ CANCEL I I NO ACCESS FAIL I I ALL FOR INSPECTION l ADDITIONAL FEES ASSESSED • Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION . :,,,_ PERMIT #: MST200&00311 13125 SW Hall Blvd., Tigard, OR 97223 Aka jA DATE ISSUED: 9/16/2005 Phone: (503) 639-4171 1 7091i Inspection Requests (24 Hrs.): (503) 639-4175 ....„,_. - -.4.. INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 89 kt,c e1g.c9sliewA4 86 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Description Confirm # Cita :-.•---, Message 275 Framing 018046-01 971-219-0874 Y GAId-- Fcv< C-co - f Corrections /Comments / Instructions: • a PASS " RTIAL APPROVAL D CANCEL 0 NO ACCESS 0 FAIL % AL OP INSPECTION El ADDITIONAL FEES ASSESSED ....NNIIIIII■ Inspector: IIIIII■ Date: / 0- #: (503) 718- ....- , . CITY OF TIGARD • BUILDING DIVISION • PERMIT #: MST2005 00811 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/16/2005 Phone: (503) 639 - 4171 ° � 4h��iul j Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 91 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503.312 -2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635 -6248 Inspection Request Scheduled For: Date: /0012/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 018044 -01 971- 219 -0874 N Corrections /Comments /Instructions: f U Ki I o i S` - ?,_C 10f. � -g_iiq :AAA S i LASS - PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑FAIL I 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /f � Inspector .4 — Date: / V r `` � - "'G5 Phone #: (503) 718- CITY OF TIGARD " .. BUILDING DIVISION . PERMIT #: IvIST2006-00311 13125 SW Hall Blvd., Tigard, OR 97223 A. ._____- DATE ISSUED: 9/16/2006 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/06: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 603-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 017527-01 971-21 c34823 N Corrections/Comments/Instructions: , ly IX ' U c i • - U __ . . v A—t\ 1.v. c_..ciL,ki-c.L.. )I PASS Q 0 PARTIAL APPROVAL Pt CANCEL Pt NO ACCESS FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: /( t114- Date: 6 /S1 3 — Phone #: (503) 718- .-. , . ,.._ . . .„, . CITY OF TIGARD BUILDING DIVISION ' PERMIT #: MST2005-00311 13125 SW Hall Blvd., Tigard, OR 97223 4 .,... DATE ISSUED: 9/1612005 Phone: (503) 639-4171 eN Inspection Requests (24 Hrs.): (503) 639-4175 -Al. U 1 INSPECTION WORKSHEET FOR DATE: 10/3/2005 . TIME: 7:07AM PAGE: 32 SITE ADDRESS: 88640 SW I NEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503-635-6248 Inspection Request Scheduled For: Date: 10/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mec:nanical rough-in 017233-01 971-219-4823 N Corrections/Comments/Instructions: \ ME&2.40en — 00 5 (,/,) 4 C6res (t_ 4 F P) A • P . - 3■._,(A-aL.).-- "(--- ..i.9---C ----- KS L---'%/`-K 0 og 1 - (7 ) d1/ . . A 0 lik: ' ( RfLai kAA.s-0„1_Aj s eA ., .•■ 1 dil , 0 PASS 0 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS FAIL 0 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: I • A / . 4 Date: \ () Phone #: (503) 718- CITY OF TIGARD ^ �~._ _ _ . . BUILDING DIVISION ` PERMIT #: MS1'2075O03i1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16J2005 Phone: (503) 639-4171 AteA Inspection Requests � a4Hro "�U�� "--.. INSPECTION WORKSHEET FOR DATE: 1i412008 TIME: 6:59AKA PAGE: 6 SITE ADDRESS: 080488W|NEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 016 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9Y28/05: Added (17) branch circuits. kp OWNER: SIEVERS, VMLUAM '); 1' PHONE #: 503 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC \ .1- PHONE 503-635.6240 Inspection Request Scheduled For: Date: 1 Pour Time: Code # Inspection Description Confirm # Contact # Message �� 19��4 Electrical final 024550-01 5O3-78(}8597 Y Corrections/Comments/Instructions: . `� ° ,, | | -- �� PASS I / PARTIAL APPROVAL U CANCEL NO ACCESS �� -- | | FAIL I | CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED »^ Inspector: � ,' � Date: ./ 9« Phone #: (503) 718- - �� / ` ` ^^ / / / CITY OF TIGARD . fi• . BUILDING DIVISION PERMIT #: MST2005.00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1€12005 Phone: (503) 639- 4171u j� ii °l Inspection Requests (24 Hrs.): (503) 639 -4175 �__ W IL. INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 08640 S/ INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. r. OWNER: SIEVERS, WILLIAM PHONE #: 503-312-2341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC PHONE #: 503 - 635 -6248 Inspection Request Scheduled For: Date: 12/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 023862-01 503. 780 -8587 Y Corrections /Comments /Instructions: s T sg ® RTINg. 6F. Pc3r- • RAvc6 airy f umr kit ct\r . I: PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL I I CALL FOR NSP CTION ❑ ADDITIONAL FEES ASSESSED ' I. � Inspector: Date: _ °'1 W Phone #: (503) 718 - Z CITY OF TIGARD ,, BUILDING DIVISION PERMIT #: MST2005 00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 - ohifivipll ( j In Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 29 SITE ADDRESS: 08640 SW INEZ ST CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 026 TYPE OF USE: PROJECT NAME: SIEVERS DESCRIPTION: Fire damage. 9/29/05: Added (17) branch circuits. OWNER: SIEVERS, WILLIAM PHONE #: 503 - 3112341 CONTRACTOR: OREGON HOME IMPROVEMENT CO INC . PHONE #: 503- 635.6248 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # - • - : - .•tion Confirm # Contact # Message 120 Elecrical rough -in 017646 -01 503- 780.8597 Y Corrections/Comments/Instructions: . 0 14 I ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS Li FAIL I I CALL FOR INSPECTION. ❑ ADDITIONAL FEES ASSESSED Inspector: NI be L� Date: 1 o i 0 j Phone #: (503) 718- 2 ' l