Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -10039
I
DEVELOPMENT SERVICES DATE ISSUED: 5/9/2006
`'�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 125DC -05300
SITE ADDRESS: 07433 SW LANDAU ST ZONING: R - 4.5
SUBDIVISION: WEIGELA TERRACE LOT: 005 JURISDICTION: TIG
Project Description: New SF
BUILDING '
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,413 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,502 sf GARAGE: 696 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,915 at 289,512.40 REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 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 < 3HP: ' VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 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 FOR: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /S VC /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: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: X 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
GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION applicable laws. All work will be done in accordance with approved
19200 SW 46TH 19200 SW 46TH plans. This permit will expire if work is not started within 180 days
TUALATIN, OR 97062 TUALATIN, OR 97062 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: 503 692 - 3390 Contact #: FAX 503 692 - 5433 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 - 692 - 3390 or 1- 800 - 332 -2344.
Reg #: LIC 34350
TOTAL FEES: $ 10,478.30
REQUIRED ITEMS AND REPORTS
Issu = d By : _ / A - 4 - 1 / Pe Signature : -
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines 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 Application FOR OFF1c F. LSE t)\l_1
r -,
City of Tigard E%V ° 7.i Received Q S
13125 SW Hall Blvd., Tigard, OR 9722� �� • I g Permit No. _ 0 , 0 6 �1
Phone: 503.639.4171 Fax: 503.598.1960 Plan Rrne fi r / .
DatcJB 6g Other Permit: �, ac �' --/e) Inspection Line: 503.63 5 �AtZ �i 't00) y jl, •_�_i' Date R y/By /,, '17 •�'.
Internet: www.tigard- or.gov !t 4i° �• NotiSed/Method J D `r �� ®fie « �'�for
, •
✓ Supplemental Informatio
n TGA R®
TYP E ; 1
gl�t�i �� .... r REQUIRED DATA: i- AND2-FAMILY.DWII Id1bjG',<' ",I
-
( xi New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additibn/alteration/replacement 0 Other:
;; equipment, materials, labor, overhead, and profit for the
:. ° ' " ` ` `. r " ` :; _ CATEGORY OF CONS"TRUCTION.. 4 ._ . _ .:,;: _';,;_ :;:Y, :' =- . :,.
.'.. work indicated on this application. 2 $ 7 S . Gil d
NI 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: s
0 Accessory building ❑ Multi- famil Number of bedrooms: -3
❑ Master builder ❑ Other: Number of bathrooms: ••.--•
• :...,._..,'.: >. JOB . SITE:.
_ :
. ., .. INFORMATION.:: AND`: .
- . .
. t° , ...... LOCA Total number of floors
TION.;.;.? _
Job site address: 74/ 3 3 S 4-) LEA) Via. „ St New dwelling area: square feet 2 pi
City/State/ZIP: ' F/l4 A z o� 9 ? Z Z3 Garage/carport e /�
J � g carport azea: �% - 4,4=9 feet �9
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 7 yf4 • L j {
4 t,L Deck area:/_.g. square feet
Other structure area: square feet
Subdivision: / -' REQ�ED DATA: COMi1 I4 USE sir
w .e i t .e C �, „_. c _ e I Lot no.: S • Permit fees* are based on the value of the work performed.
Tax map/parcel-nth:- J /.57Z,,5-0C_ Indicate the'value (rounded to the nearest dollar) of all
:.. --',..;.::-:'•--;•.• DESCRIPTION.. OF WORK:,:::.,- and equipment, materials, labor, overhead, an the profit for the
_ _ work indicated on thi app
/Y e 41 os rr Valuation: S
Existing building area: square feet
New building area: square feet
ROPERTlf?'OWNER;' .
'*�� P Q`.TENNHT: - - Number of stories:
Name: Cdr c fZ C.. o.VS fR ce e 1 o,eJ a
.v G Type of construction:
Address: / 72 0 5 4) t/6.
I Occupancy groups:
City /State/ZIP: - r 4 (4 71 !'/1 , 7G2-16 7 70
Existing:
?hone: ( ) Fax :( )
.0. APPLICANT` • • .: , . .... New:
I ' CONTACT .PERSON >.
Business name: ( : lL . � - /� O.t/44iecae T c,� ,
/ � l All contractors and subcontractors are required to be
"
Contact name: �,7 ,t�L licensed with the Oregon Construction Contractors Board J
Address: / 9 Z 0 S yG f under ORS 701 and may be requires to be licensed in the
L jurisdiction in_ tcttl � vorrk:isl iei� w rng{perfo ted. If the
/ �/ a
.7ity /State/ZIP: T a !4 tiCN Q g) 0o Z e - U ? 70 applicant is t t from�liceen following reaso,
?hone: ( Se3) 6 9 z -.33 70 ax:: (5-o3) 6 f z -SY 3 3 PP y:
11
mad: tllA�a 7n11U p
CONTRACTOR::
.,t -r./ ■C TtCARD
FJP
3usiness name: q�.t rL l ,� - uILDING DIVISION
N S,'t- c 7 4 7: .0 e.
Address: / 9 Z 0 6 S c,..) YG 4 ' BUILDING PERMIT: FEES* •
:icy / State/ZIP: 7 ., ( f,,, CA 6 7 7 CC Z -8 , ) Cj Please refer to fee schedule
'hone: (�i3) G ( Fa x: Fees due upon application
F'2 - 337 (503) G p L - sy 3 _3 �-
:CB lic.: 3 Y 3,5- Amount received / i .95-0 ___
_Date received: 3/706 ___
authoriied signature: b
This permit app icati a expires if a. permit is not obtained
within 180 days after it -has -been accepted as- complete.
'ring name: X. G• .fL Date: 3 --Z (-c • Fee methodology set by Tri- County Building Industry
Service Board.
luildingWerm iu\aUP -Pam itApp•doc 121mW05 440.4613T(11/CC/COM/WFS)
One- and Two- Family Dwelling
Building Permit Application Checklist i•ok 011:1( 1: t SL ONLY .
City of Tigard Received r
13125 SW Hall Blvd., Tigard, OR 97223 DateBy Permit No.:
'!'hone: 503.639.4171 Fax: 503.598.1960 Assoaated permits:
24- Hour Inspection Line: 503.639.4175 _Al; 4P ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard- or.gov
0 Other
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ®'
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ 0 0-
3 Verification of approved plat/lot. ❑ ❑
4 Fire district approval required. Name of district: 0 ❑ 0
E
5 r
Septic system permit or authorization for remodel. Existing system capacity . 0 0 Er
6 Sewer permit. ❑ ❑0
rgi 7 Water district approval. ❑ ❑
8 Soils report. -Must carry original applicable stamp and signature on file or with application. E" ❑ ❑
9 Erosion control Zplan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- E' 0
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state Er ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ®" ❑ ❑
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12_ _ Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size D ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, a ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross sections) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- Z 0 0
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. (I" ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - El 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor / roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing Z ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered (g" ❑ Er
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists Z' ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. f ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ' ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or gr - ❑
architect licensed in Ore on and shall be shown to be licable to the project under review.
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17".
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. 0 ` ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document ❑. Q, LET
27 "Drawn to scale" indicates standard architect or engineer scale. 0 0
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑
Street Tree List.
j 29 Site plan to include tree protection measures as required by conditions of approval. 0 . ❑ E r
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, 0 ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
r :\ Building \Permits\BUP- RES- PermitApp.doc 2
Plumbine4Perrpit App c a, io � v FOR Ohl ICE FSE ()Nt:1
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 MAR 28 200 Date/By. Permit No.: )/ ,. / g , �
Phone: 503.639.4171 Fax 503.598.1960 Plan Review r ,k' •l W
r ° . ;r, :. , i Date/By. Other Permit No.:
24 -Hour Inspection Line: 503.639.4175 CITY OF TIGA L ,',)
Internet: www.tigard or.gov �"�, _ '�" Date y/B lifi I 0 See Page 2 for • -
BUILDING DI V.-,::,777. NotifiedrMeth
Supplemental information
._ ............ .1 :.. -.
r
,.,..:: :....:..: E SCHEDULE' "� . -. _ .: .:
_. . <,- ;.,•:.... -.._. .RS°µ.
, , FE . . ; ., ��.vy:::� �- ��a:;
New construction
❑ Demolition For special information use checklist
- Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑ Other:
ew - am y dwellings (includes 100 ft f or each utility connects
- t 'o s in h 'lity 'on)
.::::....: .... •CATEGORY •F CONSTRUCTION _� " ::;���, •.: - :.•, ::••-, SF (1) bath
. .. ...,; .... .. 249.20
IX 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath t - 350.00
i=1 Accessory building ❑ Multi -family SFR (3) bath 399.00
ID Master builder ❑� Each additional bath/kitchen 45.00
Ire ( sq. ) g
F' sprinkler . R. Page 2
: ................. `Z :: = JOB.. SITE IN FORMATION: 'AND LOCATION:.: t - ` .�. : :. >;
•
Site utilities
Job site address: 3 4 1 3 3 5 L 4 6 ... 7 4.-- Catch basin or area drain _ 16.60
City / State/ZIP: T, G 4... Q,e ! 2 2. 2- 3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft: 100 ) Page 2 5
�Y 4( 4 A n Manufactured home utilities 1 10.00
Cross street/directions to job site: tS e� 4
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: /Ocl ) Page 2 $s
Storm ;ewer (no. linear ft: 2.04) Page 2 1 C /
Subdivision: r l� T�� Lot no.: 5 Water service(no.linear ft: /bp) Paget ,f
s Fixture or item
Tax map/parcel no.: / S 2 DG
Absorption valve
DESCRIPTIONOF WORK .. • . t
so►Pu 16 60 •
. ',
/(� /� - Backflow preventer Page 2
Ate lid 1...,e Backwater valve 16.60
Clothes washer I 16.60
Dishwasher I 16.60 .
. Drinking fountain 16.60
PROPERTY .OWNER,'; E- TENANT:':. • ". :`
Ejectors/sump 16.60
Name: 42 Cr:IN S"Fiet+ 7 / ev u Expansion tank 16.60
Address: /7 zd d 5&1 e fiC
Fixture/sewer cap 16.60
City/State/ZIP: Tct., ( 1,,a d t T2 06 L Floor drain/floor sink/hub 16.60
Phone: (spa) ? 2 - 3 39 0 Fax: (5b (. F.2 - 5Y33 Garbage disposal I 16.60
. ® APPLICANT`': :' . '13 :CONTACT'PERSON.. .
Hose bib 16.60
Ice maker I 16.60
Business name: G"d.A 7 ,J 174.a sec_ �....., C;, r,,e_ Interceptor /grease trap 16.60
Contact name: l< .e G,eie fr Medical gas (value: S ) • Page 2
Address: /7 ZO O Sw 4 (4 1 ' 4 Primer 16.60
City /State/ZIP: �rs„ 6. , . '1`!.0 OK ? c 2- 8 770 Roof drain (commercial) 16.60
Phone: So ` Sink/basin/lavatory 16.60
( 3) ?Z-'3S Fax: 6 4(7 -.54(33 I
E -mail:
Tub /shower /shower pan 16.60
Urinal 16.60
.: .CONT . .,..... , , . Water closet ' 16.60
Business name: �< AI 1 - Pk 1. b i„r /�. Water heater 16.60
Address: A Q, 4 45)c 2 7c( V Other:
City / State/ZIP: 17 0 G S Subtotal
lvw s I C L,,�a
Minimum permit fee: $72.50.
'hone: (,53) 737_2384( Fax: ( S 0f) G.s - 82/2 Residential backflow minimum permit fee: $36.25
•
LCB Lic.: /0 3 7 7 Z Plumbing Lic. no.: 3-25
_ Plan review (25% of permit fee)
State surcharge (8% of permit fee)
authorized signature: TOTAL PERMIT FEE
'tint name: Mod. f ‹ , , , 7 7 4 r.e40 .14 Date: 3- 2.. G--( This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri - County Building Industry Service Board.
.:\ BuildingPermita\PLM.PennitApp.dx 12/30/05 440- 4616T(10/02/C WNW PB)
........ «1 a'garu
Page 2 - Supplemental Information
•
Fee Schedule: Residential Fire Su
Site Utilities •Q�: • • Fee (ea) :..Too l ppression Systems: • Footing drain - 1' 100' Square Foota O: `' Permit Fee : i ' ;.; : :::.; . ~, ' :.
55.00 0 to 2,000 S115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600
$ 160.00
Sewer - 1st 100'
/ 55.00 3,601 to 7 200 $220.00
Sewer - each additional 100' 7,201 and greater $309.00
46.40
Water. Service -1st 100' J 55.00
Water- Service -each additional 100' / 46.40 Medical Gas Systems:
Storm & Rain Drain - 1st 100' 55.00 $ t $5,000.00 ; Mini m a it Fee: : . ' ='may
Storm & Rain Drain - each additional 100' (] 46.40
$100 to $5 000 00 Minimum fee $72 50 •.t'; Y Y
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
46.40
additional 5100.00 or faction thereof to and • FiXtUreor Ilan:: ,: : ::...::: ::: QtY• : F ec ea ) ...., T tal..
Commercial Back Flow Prevention Device including $10,000.00.
Residential Backfiow Prevention Device $ 10,001.00 to 525,000.00 $148.50 for the first 510,000.00 and $154 for
(minimum permit fee $36.25) 27.55 each additional $100.00 or fraction thereof to
Rain Drain, single family dwelling 65.25 and including $25,000.00.
525,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 51.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof to
specially requested inspections - per hour 72,50 and including $50,000.00.
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof
Fixture
Are ou i a Plan .Review for Complex: Structures :` . `:.:
Y ppi ng� adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to
, system that c meets any pl the following criteria
accurately report fixtures could result in increased sewer fees*. Please check all that apply.
0 Quantity by (Fixture) Work Performed • Any new commercial building.
Fatrire Type: ❑ Any new exterior plumbing site utilities.
Pious, taped ea ❑ A commercial building with installation, alteration or addition
_
Baphstry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub/Shower
Tub/Sh /Whirlpool ❑ Medical gas and vacuum systems for health care facilities
Each Stall providing services to human beings.
Car Wash
Drive tall ❑ Plumbing installations, alterations or additions. to food service
Cuspidor/Water Aspirator facilities where new plumbing fixtures, including interceptors,
Dishwasher Commercial are being installed for the food service area.
- Domestic ❑ Any new residential building containing three (3) or more
dwelling units.
Drinking Fountain
Eye Wash ❑ Any NFPA 13 - D multipurpose fire sprinkler system.
Floor Drain/sink - 2"
Submit 2 sets of plans with any of the above.
-4"
Car Wash Drain bom e l r i C, or-Riser. Diagram:. • . . •
• -
Garbage Domestic ' .
Disposal ommercial ❑ •
Isometric or riser diagram is required for w buildings
Industrial three (3) or more stories in height.
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) • Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink -Bar /Lavatory
- Bradley
- Commercial
- Service
Swimming Pool Filter
Washer - Clothes
Water Extractor *Note: If the fixture work under this permit results in
Water Closet - Toilet increase of sewer EDUs, a sewer permit will bf issued and
Urinal fees assessed for the sewer itrc ase lure nid
Other Fixtures:
plumbing " u " � before the
P g permit can be issued. `
i.\ Building1Permin \PLM- PenoIApp.doc 07/06/05
Llectrical Yermtt Application . FOR OFFICE t. SE: V
City of Tigakd RECEIVED Received
Date/B . Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 r
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 " Date/8 Other Permit:
In �IAR 2 8 . ection Line: 503.639.4175 w '3a ..� __.. 'pate' Read B �� : y ® See Page 2 for
Internet: ww.tigard- or.gov l J Not Supplemental Information
.. . : ItiA, - l.):.. - - PLAN RE{�W = ■ -
TYPE OF • WOR = :.c:_ 'j: ;;s:. -
'1 i rllut -. tl`!i`�.t( oral . -,..� � ... ��,. . •.ca� �'�;rr_i:�= >'.1��:
gl New construction ❑ Addieoe nI/alteraUOn/ replacement Please check all that apply:
•
['Service over 225 amps, cornm'I ❑Hazardous location
❑ Demolition ❑Other:
CATEGORY . OF: CONSTRUCTION : f I - and 2-family dwellings rating ❑4 10,000 sq
or more new re
of identi l
rg I and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts .nominal units in one structure
I Multi family ❑Master builder ❑Building over three stories ❑Feeders, 400 amps or more
❑ O ther:
. Occupant load over 99 persons ❑Manufactu red structures or
: _ ` : .. JOB SITE INFORMATION AND LOCATION ; ' '
- ❑Egress lighting plan RV park
Job no.: Job site address: 7 4/ 3 3 SW 4as+e_ a S"f ['Health-care facility El Other
Submit 2 sets of plans with any of the above.
City/StateJZIP: •J btA. O4 ?7 22 3 The above are not applicable to temporary construction set vice.
PEEe SCHEDULE.. ;,,
Suite/bldg- /apt no.: Project name: e : ; �k
Daiptioe I Qty. Fee. I Total ... I •• - _
Cross street/directions to job site: 7 4 / /'f 4 .q J New residential single- or multi- family dwelling unit.
Includes attached garage.
• 1,000 sq. ft. or less I 145.15 4
Subdivision: (.c.).• t . T 4 ,� e -e Lot no.: s Ea add'I 500 sq. ft. or portion e 33.40 1
Tax map /parcel no.: / 5 / Z $
Limited energy, residential 75.00 2
>c Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK.. • - • Each manufactured or modular
dwelling, service and/or feeder . 90.90 2
t � � ' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 _ 2
`PROPEBTX OWNER: .` - ❑.T'ENANT ..
201 amps to 400 amps 106.85 2
Name: / 401 amps to 600 amps 160.60 2
q'ed1 c�0 "c.7 K- 45/4csw � /o._ C.- 601 amps to 1,000 amps 240.60 2
Address: `72 6 p 5 (. j ceG - Over 1,000 amps or volts 454.65 2
t Reconnect only 66.85 2
City/State /ZIP: 7 �„ e � eyi.._ q ) do 2.-8 7 20 Temporary services or feeders installation, alteration, and/or
?hone: ( St3) .7 L - 33 fa Fax: ( 3 4? L- 5-'1,13 relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
ntended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps • 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ 'CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
first branch circuit 46.85 2
Each add'I branch circuit 6.65 2
city/State/ZIP: Miscellaneous (service or feeder not included)
Rhone: ( ) F ( • ) Pump or irrigation circle 53.40 • 2
•
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
' • 'CONTRACTOR • .. energy panel, alteration, or
/'�
// extension. Describe: ' - • Page 2 2
3usiness name: -e } k cr� e.e, .`•��R t /A-4.,
,
Address: / O 6 3 r 5g F S Gl C/e_ �� Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Pcvz. >4 (4fr A - , C/ ? 7 ZZZ Investigation per hour (1 hr min) 62.50
Phone: (5Cs3) 788 - p8gG Fax: (J 3) ? 86 — 2_0 Y o Industrial plant per hour 73.75
ELECTRICAL. PERMIT FEES''
".CB Lic y � 3' ' 3 Electrical Lic.: 2 r 2.. /C Suprv. Lic.: 25/VS Subtotal
Suprv!Efec signature, required: i 7 �� � 'rO , �� /4 // r - Plan review (25% of permit fee)
•
/ !°"� State surcharge (8% of permit fee)
'tint name:_ //=�'f hz s s « •ac, _Date: 2 ( !?6 —
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
'Tint name: 't'.1 G `GL 12 Date: 3 — 71 =ems, • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed.
tiuilding1Femin \ELC- PermitApp.doc t 440- 4615T(I0/07/COM/WEB
ul 1 11111
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
..>,
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
•
El Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
•
•
COM ERCIAI;,WORK:ONLY:
Fee for each commercial system...... .... $75.00
(SEE OAR 918- 260 -260)
Check Type -Work Involved:
❑ Audio and Stereo Systems
•
❑ Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls •
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial' systems:
*No licenses are required. Licenses are required
for all other installations.
1 :\ Building \Permiu PmnitApp,doc 17/10/05
iriecnanlcal Yermit Application
FOR01FIE''L 1SE ONLY •
City of Tigard
A Received
13125 SW Hall Blvh., Tigarit, OR 97223 Date/By. . Permit No.:/.� ✓✓ ��: Plan Review �r �t �f i(e r D � Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 i l.� l l 11 V `'�` Date/By.
www.tigard or.gov - ��YBY r N ice+ !i! See Page t for
•
Notified/Method Supplemental Information
M&R 28 2006
TYPE OF: WORK,.
T t n n' COMMERCIAL FEE ':SCHEDULE. = °.USE
iII v ■ , CHECHI:IST'
Sil
vi
New construction 0 Addition/alteration/re iacerneft N Mechanical permit fees* are based on the value of the work
tS U i LU n u u P • • • - performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other:
mechanical materials, equipment, labor, verh
;.::;_.CATEGORY OF CONSTRUCTION :' ,; .::.. .:. .. a -• Value: S la
or o cad, and profit
RESIDENT &j E Q. UIP ME
1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building 1vT:/ SYSTEMS FEES * ``r'
0 Multi- family 0 Master builder 0 Other: For special information use checklist.
Description I Qty. I Ea- I Total
i,.: '... '' ?/ . JOB .SITE INFORMATION . AND : LOCATION ., ', ' °':;' :; : : ; :'.- Heating/cooling
'^�T
job site address: 7 y33 5 / A ( /3 �C d S - 7 Air conditioning or heat pump
6� (requires site plan showing placement) 14.00
City/State/ZIP: ' rt ., �[ e� 0,& ?7 2 G. Z 3 Furnace 100,000 BTU (ducts/vents) 1 14.00
Suite/bldg. /apt no.: d Project name: Furnace 100,000+ BTU (ducts/vents) • 17.90
Gas heat pump 14.00
Cross street/directions to job site: 7 Y 1 Duct work
�'"� 14.00
Hydronic hot water system - 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric), •
in -wall, in -duct, suspended, etc. 10.00
iubdivision: �..e t . ie im T•«4,GPI Lot no.: S Flue/vent for any of above 10.00
r d er: 10.00
Fax map /parcel no.: / .5 Z 5 4 C. D Q�
_
5J Other fuel appliances
DESCRIPTION OF.: WORK. Water heater 1 10.00
WC; Gas fireplace 10.00
Nr
w `7 C oigCe,,_ 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
,t4 : PROPERTY OWNER' . , : .,.TENANT Chimney/liner/flue/vent 10.00
I.'. _ .;..:, Other:
�/ 10.00
a
me: /
'�� LL �I� rsT'ICCC G il r u ` /
fit Environmental exhaust and ventilation
.ddress: /1 Z O a SW YG -1. Range hood other kitchen
L equipment I 10.00
'ity /State /ZIP: 74:s la ft N OA 72 0 4Z - 4'226 Clothes dryer exhaust I 10.00
(573 ) [QL _ Single -duct exhaust (bathrooms,
hone: (
3 3 3,9a Fax: ( .z3) e pz -37Y3_3 toilet compartments, utility rooms) 5 6.80 •
• •• al • APPLICANT - •, . . •...,CONTACT PERSON .: Attic/crawlspace fans 10.00
usiness name: G'r4 A- a 4 i �� JdAJ / L Other: 10.00
TI
' (�` Fuel
piping •
ontact name: Ki!Aj 6Y4- SS.40 for first four; 51.00 for each additional
.ddress: 2(7p �(,J G 4 :4 Furnace, etc. .
/ (DC c S �� 6 Gas heat pump
ity /State/ZIP:
�`'t"'.L a 1(t'`' d/� 7 ) Wall /suspended/unit heater
hone: ( 3'63 ) G?L- 3 3 p Fax: : ( 02,- S Y3 3 Water heater I
-mail: Fireplace
I
Range
•
• CONTRACTOR .. • . Barbecue
usiness name: p , 6- G O f a /_ A Clothes dryer (gas)
ddress: it P. (3 0 <x /.7C.:1 other:
/- MECHANICAL PERMIT FEES*
ity /State/ZIP: I r{ CIC,r -ek D /Z Q? O 2 Z Subtotal lone: ( $) 6. p 2 z / Fax: ( C5 - ? 3 Minimum permit fee (572.5
U _ Plan review (25% of permit fee) )
- CB- lic. :- 7 Z Sl - -- .
State surcharge (8% of permit fee)
TOTAL PERMIT FEE
3thorized signature: 41_, / 4*.
This permit application expires if a permit is not obtained within •180
±nt name: // j days after it has been accepted as complete.
Oi✓�d Date: 21 - G I • Fee methodology set by Tri County Building Industry Sens cc Board
B uilding \PenniuWIEC- PermitApp.doc I2/30/05 4404617T (11 /02/COM/WEB)
rermit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valnation: -Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001;00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof; to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
•
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof; to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note:- All.new commercial buildings require 2 sets of plans.
\Building\PermIts\MEC-PermitApp.doc 12/30/05
keorrlu� �lll�ll���' ( j ��
CITY OF TIGARD
RESIDENTIAL PERMIT APPLICATION REVIEW CL TY 2006 OREGON
BUILDIN Ti OREGON
D IVISION
Permit Number ow , _, ..39
Lot No. S
Subdivision_ ( ),6E • 7 - Rpc
Address 3 3 S L t 044/I
Contact Name jam„ GE1277
Business (( @77. COW AP ci)onJ Co. /NC.
Street )5,400 Ski LJ( a
Cit / 4t, L,47'//J/ State ok Zip ' 7-0
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.
FIE1 The 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.
1 I The submitted plans cannot be reviewed until the above information has been
submitted and /or approved.
The plans are deemed "simple ". X The plans are deemed "complex ".
If you have any questions, please call Chad Williams at (503) 718 -2708.
ON) ( /\I ' d 3- ,Q(
Name of Plans Reviewer Date
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
ST C ER T IF I CA TI ON
1, / Owner /Ant for
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby cettify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: 7 V33 6 iAp019- 3T
SUBDIVISION: M 7A 7/2- . LOT: S
SIGNATURE: ; f DATE: 1 z o
(OWNER/AGENT)
RECEIVED BY: DATE:
rislY OFTIGARD)
•
FILE COPY 254
Elev 254 or, ' 4
cn
TREE
PR❑TECTI ❑N
i
i -
256°
5.00 I
8279 SF a
I
N
C
ii 258 ,.r.... _ ,
i o
ii t —�� \
1----• `
Elev 266 tool
H \
(Jl 9 °." F �"„Y 7 "
i , „roan ,, ,
2 tr• - ', - N -- " . n
la Elev 266 54,. 4 _
olo
-
1 w
i; 4: 3 GAroAGE 2- kW' U 2 yae 1 \ 7'
7
1 A ,, ....--- .....__. , Sp
-\--- ‘
k. > c
O
O �� O
6 4 ■ y O i
C D w �g • . 'd
_____ -��� 2s� -- i 83.00 2 Elev 26 • a. ,
• . ".
0!i — W STREET TREE FRON TIGARD STREET — ‘111f' a ' '
� / _ /.1. TREE UST ./,1. 0
/
- -- /
q 33s.w, LA\ D AU STREET
0
GERTZ Y IN C. N
BUILDING
Main Floor 1312 SF CUSTOM HOMES SINCE 1977 WARNING:
Upper Floor 1501 SF OBTAIN LOCATES PRIOR TO ANY
Total SF 2813 SF (503) 692 -3390 EXCAVATION
Garage 659 SF 7433 SW Landau St.
Lot 5 Weigela Terrace
SCALE 1" = 20'
GERTZ CONSTRUCTION COMPANY INC.
PLOT PLAN 5/3/06
a
x.1 ik I ad
•
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 114 Z-C_o _ v 40 a
PLANNING DIVISION:
Required Setbacks:
Approved ❑ Not Approved
Side: „S_— Street Side
Front. -elLa. Garage _
Wsual Clearance: Approved ...j..5 A pproved 0 Not Approved
Maximum Building= 1 -Ieig ht• a feet
CWS Service Provider Letter Required:
❑ Yes L2i No
8� : 0 Received
ENGINEE ir ' } `� --
DEI , I-MENT :� 2./c,
Actual Slope: /o U9 Approved
Site Plan: ❑Not Approved
B : , n ��J ` ® Approved ❑ Not Approved
Notes;
Date: .0
CITY OFTIGARD
BUILDING DIVISION
4 PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 ,,Azir 1 ip •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:04AM PAGE: 20
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK: '
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE: .
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF 10/19/06, ADD A/C, ,
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
. Inspection Request Scheduled For: Date: 10/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 038676-01 503-780-7793 N
Corrections/Comments/Instructions:
/NM .
f' Ati .
AWN"'
...,
Ilk AL
liw -.... T .
/ _I PASS PARTIAL APPROVAL ri CANCEL 0 NO ACCESS
. ' I I FAIL 0 CALL FOR INSPECTION ' fl ADDITI NAL EES ASSESSED
g awk
Inspector: Ggligsr■Ce. ' Date: (a 2 0 Phone #: (503) __________
1111111 V I —
,., ,. ... .
. .
CITY OF TIGARD ,
i
,
BUILDING DIVISION ' PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51912006
Phone: (503) 639-4171 PpoliliT\ 0
A
Inspection Requests (24 Hrs.): (503) 639-4175 „_.3.0■ • J J -.
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7:03AM PAGE: 19
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: VVEIGELA TERRACE
DESCRIPTION: New SF ,
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390 ,
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390 !
Inspection Request Scheduled For: Date: 1011E1/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038253-02 503-780-7793 N
Corrections/Comments/Instructions:
. , - ------ Tali&
i'..i. A_..41111
. . ,
I i PASS 1 PARTIAL APPROVAL El CANCEL Illf NO ACCESS
I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ,
L(/ _- zy (--/
Inspector: 1 t • Date: , I I Phone #: (503) 718- ,.
-
._ ,
. , -...„ .
CITY 'OF TIGARD " .... ,
BUILDING DIVISION .
, PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223
A DATE ISSUED: 5/9/2005
Phone: (503) 639-4171 47 41gOil# .
Inspection Requests (24 Hrs.): (503) 639-4175 .4A, - A 11
___ --...
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEI GELA TERRACE
DESCRIPTION: Now SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 9/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 036701-01 503- 7793 Y
Corrections/Comments/Instructions:
1 \ 1 \,.
. • 0 r , v A r 0 ,,,- -_ . - -. - _ ■r// . Adr.-"r
_..A. - ____....i ,igt. /'_- _■ _
_
/
•
/
./.-
•
„
3
____ .....----7
PASS n PARTIAL APPROVAL I CANCEL El_NO_AC_CESS
FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 11,./ Date: 6 7 • PC Phone #: (503) 718-
r —
, -
CITY . OPTIGARD
BUILDING DIVISION PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 411hi,
Inspection Requests (24 Hrs.): (503) 639-4175 it
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: li
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-6923390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 717 Pour Time:.
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in ' 032823-02 503-780-7793 N
Corrections/Comments/Instructions:
4117 r 0 r
/.4 .0 .e:. - 'i /' _ A...A- / _, _ a■ -4
Wr
A illrilr, w 4 ,
...g --- .u1-..e.40 , .■// _ ... .,.A.,. 1 " /
(
...."■// - ai
619, ■._ , . / ,./ / /
_ ...I _ —. ..C. —...!..-• – . 1 , ■ _ rill.—
k ----- -
) •
1F t ! --
SS IPARTIALAREROVAL ril CANCEL 0 NO_ACCESS
LI FAIL 1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED _
Inspector: i t/1/ 74( 1) Date: I) 7/ 6 6 Phone #: (503) 718- 2.-- 1 3 1
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: MST2005.10039
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51912006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 515/2006 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503 - 692 -3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503.692 -3390
Inspection Request Scheduled For: Date: 5152008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 031104 -01 503 - 700.7793
Corrections /Comments/ Instructions:
riliMriNfral=
PASS ❑ _ PARTIAL APPROVAL_ __ __ ❑_CANCEL ___ ❑_ NO ACCESS
❑ FAIL ❑ LL FONNSPECTION ❑ ADDITI NAL EES ASSESSED _
Inspector: +' /��
Date: Phone #: (503) 718 -01-23
.... . .._
CITY OF.TIGARD
BUILDING DIVISION
A, PERMIT #: NIST2006- 10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 colit
Inspection Requests (24 Hrs.): (503) 639-4175 i__./
INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7 : OBAlvi PAGE: 10
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: N6W SF
OWNER: GERTZ CONSTRUCTION CO INC. PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 50-692-3390
Inspection Request Scheduled For: Date: 8/2(2006 'Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 031022-04 503-78O7793 . N
Corrections(Comments/Instruttions:
, M,P"‘fr 4o*'
Pi .i...4' --
A,
vor A ' • p ' . , - . 1
■ Ill.
hr I ir a rai iril I ff W 6 ( . 4 -
.-__. --A A
ItrAtra 11 1 .14WI. v ; g01 1r74111111.
.
II / 10 /
Ilief
... ‘,
- I PU cieAls en)7 -__ „i
t V azPFLon--,
C-ow y c 1
? i i n PARTIAL APPROVAL Ili CANCEL D_NO_ACCESS
I AIL , U CALL FORn1SPECTION n ADDITIO AL F' ES ASSESSED
Ariv ,.. ‘ ) 2A, 2A-"--°',
Inspector: mwri sr .._i Date: I __....• IP 0 Phone #: (503) 718-
MP/
CITY 0F, TIGARD
BUILDING DIVISION PERMIT #: MS1'2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 0 4;/9/200G
Phone: (503) 639-4171
InspectiOn Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AM PAGE:
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: W6:IGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CC) INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-892-3390
Inspection Request Scheduled For: Date: 5/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
336 Rain drain 030520-04 503-780-7793
Corrections/Comments/Instructions:
I
ASS El PARTIAL APPROVAL CANCEL NaACCESS
ti FAIL I I CALL FOR INSPECTION [7 ADDITIONAL FEES ASSESSED
Inspector://) Date: • Phone #: (503) 718-
, ;
CITY 'OF.TIGARD
BUILDING DIVISION PERMIT #: 1\451
13125 SW Hall Blvd., Tigard, OR 97223
Jam' IL
• . DATE ISSUED: 5/9/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AM PAGE: 10
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WE:IGELA TERRACE LOT #: 005 -TYPE OF USE:
PROJECT NAME: VVEIGELA TERRACE
DESCRIPTION: New SF
OWNER: Gurrz CONSTR UCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 5124/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
50 Sanitaiy sewer 030520-05 503-780-7793
Corrections/Comments/Instructions:
•
_ . TA SS _ 171._PARTIALARPROVAL_ _ _ _ .17 CANCEL NO_ACCESS
I FAIL n CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: AA tfr Date: / Phone #: (503) 718-.24(7
CITY ������N��������
��nw n ��m . um���=u���
BUILDING DIVISION PERMIT #: 1v1SJ2.V(6-1O039
13125 SW Hall Blvd., Tigard, OR .97223 DATE ISSUED: 5/912005
Phone: (503) 639-4171 Ak
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5124/2006 TIME: 7:12A1v1 PAGE: 12
SITE ADDRESS: 07433 SW LANDAU sr CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 006 TYPE OF USE:
PROJECT NAME: VVE.IGELATBRRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: tiO3-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503692-3390
Inspection Request Scheduled For: Date: 6/242006 Pour Time:'
Code # Inspection Description Confirm # Contact # Message
510 Crawl drain 030520'03 503 N
Corrections/Comments/Instructions:
•
-- EL --' El -N{)ACCESS
'
| | FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�~
Inspector: / - Date: Phone#: (503) 718-
S44
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/912806
Phone: (503) 639-4171
. ,111„ 1 1,,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/12/2006 TIME: 7:03AM PAGE:
•
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: VVEIGELA TERRACE LOT #: 006 TYPE OF USE:
PROJECT NAME: INEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 603-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 5/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Sanitary sewer 029796-01 503•7R0-7793
Corrections /Comments/ Instructions:
_Ar C--C , 7•U r -
C07
r L04-
I I PASS ARTIAL APPROVAL n CANCEL n NO ACCESS
LI FAIL fl CAL FOR INSP:CTION ADDITIO AL FEES ASSESSED
4 41‘f
Inspector: At Date: t* Phone #: (503) 718-
fr
CITY OF .TIGARD
BUILDING DIVISION PERMIT #: NIST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171
, Zlirs
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,... i - n-
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AM PAGE: 33
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF 10/19/06, ADD A/C.
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390 -
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
. Inspection Request Scheduled For: Date: 10/20/2006 Pour Time: V
Code # Inspection Description Confirm # Contact # M ssag -
699 Mechanical final 038584-03 503-780.7 93 Y
- 7-PIA
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PLIA,v,A0.-:A4 -- ",_,,,:,3,._Q f. tet, ex
Correc Ions/Comments/Instruc s: v
6. 1
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,
7
_____ E PARTIAL APPROVAL El CANCEL_ I NO ACCESS
I FAIL I I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Date:
---__ - 0V (2-2/64 Phone #: (503) 718- —Z—YZY
-
• , . -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 Arh
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE: •
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF 10/19/06, ADD NC.
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-5913390
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
Code # Inspection - ription Confirm # Contact # Message
1" Electrical final • 038584-02 503-780-7793
Corre •• • - • ments ctions:
171 PASS PARTIAL APPROVAL CANCEL I ACCES_S
rA
CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: G" 11 1 Date: VCilk- Phone #: (503) 718- ________
. _
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 14
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-6913390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-592-3390
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038513-01 503-780-7793
Corrections/Comments/Instructions:
•
pASS 7 PARTIAL APPROVAL CANCEL NO ACCESS,
I I FAIL 7 CALL FOR INSPECTION = ONAL FEES ASSESSED
Inspector: 1M6 Date: I I 6 Phone #: (503) 718- 2116 ___
. .
CITY OF .TIGARD 4
BUILDING DIVISION PERMIT #: MST200& 10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639 -4171 b N nlii ,�i �ll�
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' • •
INSPECTION WORKSHEET FOR DATE: 10/16/2Q06 TIME: 7 PAGE: 20
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 405 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE r
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 5503- 692 -3390 '
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503 -692 -3390
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038253 -01 503-780-7793 N
Corrections /Comments /Instructions:
A. C,
(A .A. ' az c liZ Gaza `0. wani `"PiciT'. 1101
'® Pi -�- =-_� =a Si t17� 6C SIT. b ta wt W62Y•, M' 11 & l&
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L.1.1 4 v611vE b 'PI C ■l 0 17 .
r o coil ok4
_ I I PASS PARTIAL APPROVAL 0 CANCEL I NO ACCESS
4\FAIL a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N t 6 i- ' Date: III 41 vv Phone #: (503) 718- 2_44__
CITY OFTIGARD - .. .
BUILDING DIVISION
Alk, PERMIT #: iVIST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5
Phone: (503) 639-4171 / Inspection Requests Requests (24 Hrs.): (503) 639-4175 M . IL
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: VVEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: t4ew SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 603-692-3390
Inspection Request Scheduled For: Date: 7/1912006 Pour Time:
# Inspection Description
l
,.... firm '
3 Contact #
'3.780-7793 Message
115 Electric:a service 03341-01 50
N
CorreCtions/Comments/Instructions:
,..
4
...4--
_PASS 111__PART_IAL_AERROVAL Fil_CANCEL D NO_ACCESS
I I FAIL H CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ' ---- i 11 4 0 'a t...E Date: 11111 ob Phone #: (503) 718- 2--41.10
CITY OF-TIGARD ., - •
BUILDING DIVISION PERMIT #: 15T2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 toi
Inspection Requests (24 Hrs.): (503) 639-4175 Ja tit
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7 PAGE: 10
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-6913390
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 033165-03 503-780-7793 N
Corrections/Comments/Instructions:
....-
t VIC A .....,
multi ' if - i i.' TrAlgaga
-...---
171_ PASS El_PARTIAL APPROVAL -111-CANCEL Fl_NO_ACCESS
0,, CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: , / i fir Date: 7 1 1r 7 °C Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MST2006- 10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 A
. /,10 1 11 1 1 _
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,-.Y- IL
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7 : 04 AM PAGE: a
V
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: ° TYPE OF USE:
PROJECT NAME: WEI GELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
•
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 033185-05 503-780-7793 N
Corrections/Comments/Instructions:
4 _lEASS g_PARTIAL_APPROVAL Ei-CANCEL H---NO-ACCESS
I I FAIL I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector: • 4',..thr Date: 7 /9 Phone #: (503) 718- z6"4"V
CITY OFTIGARD ., .. ..
BUILDING DIVISION
PERMIT #: MST2006.10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 ,.. 77,010,1T 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7 :° 4 Am PAGE: 9
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEI GELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 033185-04 603-780-7793 N
Corrections /Comments/ Instructions:
•
•
rff/V & .._.---- S o 'U
'!til !ASS Fil_PARTIAL_APPROVAL 0_CANCEL El_NO_ACCESS
fl FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ,-4,/i7r Date: t" ?'N` Phone #: (503) 718-
_ . . .. .
- •-,- - •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIST2006-10039
i qrs...
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 Alka
• Nel l 1 it
Inspection Requests (24 Hrs.): (503) 639-4175 J 0- -1..
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AiVi PAGE: 13
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-682-3390
CONTRACTOR: GERTZ' CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038513-02 503-780-7793 N
Corrections/C. ments/Instructions:
( .t )A .r &le—w% ../`(" ■ & ' ''' A
NM
t I t ei - - _
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_
'ASS I I PARTIAL APPROVAL 0 CANCEL n NO ACCESS
)171 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Vi) c Al . ,------ --
Inspector: Date: 0€ Phone #: (503) 718-2-
. .
CITY OF TIGARD'
BUILDING DIVISION A PERMIT #: MST200G -1009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513/20536
Phone: (503) 639 -4171 ikno 1p ill i
Inspection Requests (24 Hrs.).: (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 :07AM PAGE: 30
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503 -692 -3360
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503.692 -3390
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 033775 -02 503. 7607793 N
Corrections /Commer)ts /Instructions:
9 ?)?ASS ❑_PARTIAL_AP_P_R OAL__ ❑ _CANCEL Q_NO_ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l ( t Phone #: (503) 718 - -PliP(
•
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: MST200&10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 PAGE: 31
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WE:IGELA TERRACE LOT #: Q5 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: , GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-6n3390
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 4)
.- Framing 033775-01 503-780-7793
Corrections/Comments/Instructions:
_ _ ss ri PARTIALAPP_BOYAL rl_CANCEL_ r_l__NO_ACCESS
I I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
c}t/ Inspector:. Date: 7/V0/ 17 Phone #: (503) 718-.
CITY OFTIGARD
BUILDING DIVISION PE s Ml T D # :. 5
M:
13125 SW Hall Blvd., Tigard, OR 97223 DATEIS u
Phone: (503) 639-4171 /Ay
, ff.,40iit
Inspection Requests (24 Hrs.): (503) 639-4175 ,, „.„4 - 1 .-t..
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 PAGE: 29
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGEI A TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 603-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
,
i3L
235 Shear walls/anchors 033775-03 503-760-7793 N
Corrections/Comments/Instructions:
I • "'"
t ,
_PASS rl_PARTIALAP_PROIVAL FMCANCEL r_l__NO_ACCESS
I I FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
t c.i ty -
Inspector: Date: '7 / Vti 69 Phone #: (503) 718- 2 d ‘12-Y
CITY OFTIGARD ,
MST200610039
BUILDING DIVISION PERMIT #: 5/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 i
....,_-, --...
7/21/2006 7:01AM 15
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07433 SW LANDAU ST
SITE ADDRESS: WEIGELA TERRACE 005 CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: TYPE OF USE:
PROJECT NAME: NW SF
DESCRIPTION:
GERTZ CONSTRUCTION CO INC,
503-692-3390
OWNER: GERTZ CONSTRUCTION PHONE #: 503-692-3390
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
CwItt # I MeggeaPRidlO 99btiTA W9 M 9l a g e
Corrections /Comments/ Instructions:
•
1 PASS ' 0 PARTIAL...APPROVAL _E CANCEL ri NO ACCESS
FAIL Ill CALL FOR INSPECTION fl ADDITION L FEES ASSESSED
Inspecto .
997fr Date: 7 2 1 i Phone #: (503) 718-
‘ . . . .
• .
CITY . 0F.TIGARD ms1
BUILDING DIVISION PERMIT #: 5/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 NO
Inspection Requests (24 Hrs.): (503) 639-4175 J.. L
7/21/2006 7:01Alvi 17
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07433 SW LANDAU ST
SITE ADDRESS: WEIGELA TERRACE 005 CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: TYPE OF USE:
PROJECT NAME: New SF
DESCRIPTION:
GERTZ CONSTRUCTION CO INC„ 503-6913390
OWNER: GERTZ CONSTRUCTION PHONE #: 503-6913390
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Ccyyt # I r Nia t italINREF; I NO n q, b Me Wg e
Corrections/Comments/Instructions:
/ b 6677/2e7 (Jl
reszl
11.
2- j • if
j or
12-d ti_
PASS PARTIALAP_P_ROVAL El CANCEL NO_ACCESS
RI FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:
Date: e l ( 11 0 U Phone #: (503) 718-
CITY-OF.TIGARD MST2006-10039
BUILDING DIVISION PERMIT #: 5/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
7/2112006 7:01AM 16
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07433 SW LANDAU ST
SITE ADDRESS: WEIGELA TERRACE 005 CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: TYPE OF USE:
PROJECT NAME: New SF
DESCRIPTION:
GERTZ CONSTRUCTION CO INC, 503-692-3390
OWNER: GERTZ CONSTRUCTION PHONE #: 503-692-3390
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Co) # ir l I MP r aana ti°n MEITIch W196b-#/793 Merge
Corrections /Comments / Instructions:
1)(J_DASS F_TPARTIALAFIEROVAL D_CANCEL _NO_AC_CESS
FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
-2756
Inspector: Date: (" Phone #: (503) 718-
•
CITY OF TIGARD
MST2006 -10039
BUILDING DIVISION PERMIT #: 5/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 iit
7/21/2006 7:01 AM 14
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07433 SW LANDAU ST
SITE ADDRESS: WIEIOELA TERRACE 005 CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: TYPE OF USE:
PROJECT NAME: Now SF
DESCRIPTION:
GERTZ CONSTRUCTION CO INC, 503 - 692-3390
OWNER: GERTZ CONSTRUCTION PHONE #: 503 - 692-3390
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Co g # Ir pe iun Description AMA i39194-4$'793 Mes age
Corrections /Comments/ Instructions:
2v/l �X—e 942. 4 ,4 i Z Cj-u7 ��
. 14) 0 1 /7 ib " - e-.--- ---, s1 icfri, 1#4.4.---e--i--P---td ,
9(
H PASS I I_PARTIAL_AP_P_.ROVAL _ n CANCEL ❑_NO ACCESS
FAIL !1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4 i/g Phone #: (503) 718/ `7
. .
' CITY OF TIGARD ,
BUILDING DIVISION
PERMIT #: MST200&10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 , 00 /411 1
Inspection Requests (24 Hrs.): (503) 639-4175 :
INSPECTION WORKSHEET FOR • DATE: 7118/2006 TIME: 7 : MAW' PAGE: 24
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: Now SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 033253-02 503-780-7793 N
Corrections/Comme ts/Instruc ions:
Il li 0,1 1 al • 1 ttl 5Q4 u> a -C (-LJ .-1 0/ ie (CAD
k
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R 4, „
ii■ AIL j e I I CALL FOR INSPECTION Fl ADDITIONAL FEES ASSESSED
t v ;A)
Inspector: (1('(-v —}//eC AL.
Date: if 1 6 4' Phone #: (503) 718-
...-----,-
CITY OF TIGARD .._
BUILDING DIVISION ..., PERMIT #: IVIST200610039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9000C)
A i ft\
Phone: (503) 639-4171 ,..„.. /larol
Inspection Requests (24 Hrs.): (503) 639-4175 MB/2006 --
INSPECTION WORKSHEET FOR DATE: TIME: 7 : 03 AM PAGE: 26
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WE1GELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
PHONE #
OWNER: # "°
GERTZ CONSTRUCTION CO INC, 503-692-3
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 033253-01 503-780-7793 N
Corrections 4 Corn ynt,s/Instr tions: .
1 PfA0G. 6 .[ AAAAt' vo,-vti --)
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cli—:Ir e......c "A" (...e.-CX °
I _ PASS
PARTIALAPPROVAL D CANCEL NO_ACCESS
a
k L( U CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: . VX Cil1/4- ‘.7 /\6 ctO
--- Phone #: (503) 718-
CITY "OFTIGARD
BUILDING DIVISION
A, ,,,,\
PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/912006
Phone: (503) 639-4171 ,..._.kappilli I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: /:03AM PAGE: 22
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 603-692-390
Inspection Request Scheduled For: Date: 7/18/2006 Pour Time:
Code # inspection Description Confirm # Contact # Message
235 v Shear wails/anchors
033253-01 503-780-7793 N
Corrections /Comments / Instructions:
6, - 3\/ . I-S5AA-Q-
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V Skll- I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
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Inspector: Date: 7/ O ( e Phone #: (503) 718- V1
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CITY OFTIGARD
BUILDING DIVISION
Po PERMIT #: MST200&10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 519
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 ..:_.44 IL.
INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 703141 PAGE: 23
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WER3ELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
PHONE #:
OWNER:
GERTZ CONSTRUCTION CO INC, 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/1812006 Pour Time:
Code # /Inspection Description
N (1 ) Confirm # Contact # Message
242 ._ Interior shear walls 033253-03 503-780.7793 N
•
Corrections/Comments/Instructions:
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Inspector: Date: 7/\ 0 i,
Phone #: (503) 718- 2)42;4
. ,
CITY TIGARD -
BUILDING DIVISION
PERMIT #: MST2006-10039
52006
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED:
Phone: (503) 639-4171 Jiriti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7704 PAGE:
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503
CONTRACTOR:
GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
610 Gas line 033185-02 503-780-7793 N
Corrections/Comments/Instructions:
-PASS ___O_PARTIALAEFIROVAL JCANCEL aNOACCESS
n FAIL r7 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: if 1 e?( /10 )3ei \ ,
Date: I 1d Phone #: (503) 718-
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CITY'OFTIGARD
BUILDING DIVISION
PERMIT #: tVW2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 160 44141i ifi'\
Inspection Requests (24 Hrs.): (503) 639-4175 -A. - -R.
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7 : 05 AM PAGE: 12
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
SF
DESCRIPTION: New
OWNER: GERTZ CONSTRUCTION CO INC,
PHONE #:
PHONE #: 503
CONTRACTOR: GERTZ CONSTRUCTION 503-692-3390
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear vvallelanehors 032994-02 503-780-7793 N
Correctio- s/Comments/Instructions:
v/ d ele
(04q I En, 16 -a._.% 1 0 7 1 . 9 -t 4 P-X 3 C 0 I E
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( Ply bvo o f- S'iturecA '
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n PASS E PARTIAL APPROVAL fl _CANCEL El_NO_ACCES_S
irj FAIL VI CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
illkor
Inspector: . ,-- Date: 7/4 Phone #: (503) 718- 2--16fr-
lac / L 26 4--L
CITY OF.TIGAR®
BUILDING DIVISION _ PERMIT #: MST2006h'10039
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5
Phone: (503) 639 -4171 A ��l
Inspection Requests (24 Hrs.): (503) 639 -4175 : ��
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 1:
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: °°6 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3°390
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 032994 -01 503-780-7793 N
Corrections /Comments /Instructions:
0 k. -to> '?,, di?
I PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: o „ Date: / ' 04 Phone #: (503) 718- 2—,�
CITY"OF. TIGARD
BUILDING DIVISION PERMIT #: MST200&- 10038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/912006
Phone: (503) 639- 4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 J.' f � ,.
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 11
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: NOW SP
OWNER: GERTZ CONSTRUCTION CO INC, • PHONE #: 503-6913390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503 - 632 -3330
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 032994-03 503 -780 -7793 N
Corrections /Comments /Instructions:
0 . r .. 71,1„,se de ( 67",....,(.....e 4 - 2 , ( q. , ,, c t,,,lit
Mir
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I__I_PASS Pe1 _PARII AL_ AP_P_ROVAL _CANCEL 0_ NO_ACCESS
FAIL rill CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: Da te: /' 6 Phone #: (503) 718 -
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CITY 'OF TIGARD
BUILDING DIVISION PERMIT #: IvIST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 615/2006 TIME: 7:02AM PAGE: 15
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ coNsTRucTioN Co INC, PHONE #: 503-6913390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 6/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Postfbearn structural 031104-02 503-780-7793
Corrections/Comments/Instructions:
4
--
PASS I PARTIAL APPROVAL E] CANCEL ITIN_O_ACCESS
I I FAIL CALL FOR .\ SPECTION ADDITI • AL EES ASSESSED
0■4 '
Inspector:
V
Date: Phone #: (503) 718- Zik-Z
• .
CITY-OF.TIGARD -
BUILDING DIVISION
PERMIT #: MST200610039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639-4171 a ztoitili
Inspection Requests (24 Hrs.): (503) 639-4175 J.
INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:08AM PAGE: 8
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-6913390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 6/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 031022-06 503-780.7793 N
Corrections/Comments/Instructions:
....._ , " S A, •
&Ilk PP s etU i •,( 1
am ..c.
EIP E -i' di l■ ( OL A
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PABTIAL APPROVAL CANCEL El NO ACCESS
FAIL I .,CALL FOR SPECTION El ADDITI AL EES ASSESSED
ANA , 1 a - 42,a
Inspector: Date: Phone #: (503) 718-
CITY OF .TIGARD - -
BUILDING DIVISION
Adi, PERMIT #: MST2006-10039
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: a/9/2006
Phone: (503) 639-4171 omillitiltlgt11\
Inspection Requests (24 Hrs.): (503) 639-4175 111‘.14■ r'
INSPECTION WORKSHEET FOR DATE: 612/2006 TIME: 7:08AM PAGE: 9
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WEIGELA TERRACE
• DESCRIPTION: New SF
$
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-6913390
CONTRACTOR: GERTZ CONSTRUCTION - PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 6/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 031022-05 503 N
Corrections/Comments/Instructions:
4611
LINFIJIMINSMIT
-p- ... - -, ., ,r
l_/_ _PAS_S ____D_PARTIALAPP_ROVAL 11 CANCEL Ei NO ACCESS
I I FAIL I I CALL FOR INSPECTION El ADDITI NAL FEES ASSESSED
1 -1
Ali y VV*7-
Inspector: IF Date: -'' t i Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/912006
Phone: (503) 639-4171 Atb
Ni
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 612/2006 TIME: 7:08AM PAGE: 11
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: INDGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WE,IGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-692-3390
Inspection Request Scheduled For: Date: 612/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Fooling drain 031022-03 503-780-7793
Corrections/Comments/Instructions:
A
WarfififfthirMIZZIMInt
-,
/PASS 7 PARTIAL APPROVAL 7 CANCEL II] NO ACCESS
0 FAIL CALL FO" INSPECTION pi ADDITION FEES ASSESSED
1
Inspector: Date: Phone #: (503) 718-
CITY 'OF TIGARD
BUILDING DIVISION
Ai, ‘
PERMIT #: MST2006-10039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2008
Phone: (503) 639-4171 / 0414(11-
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 074133 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
' PROJECT NAME: WEIGELA TERRACE
DESCRIPTION: New SF
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 603-692-3390
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503-6913390
Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: 11:00
Code # Inspection Description . Confirm # Contact # Message
205 Footirig 03022R-03 503-307-0236 N
Corrections/Comments/Instructions:
0 ) ,Z=•tz. .-----:-..6 r-r-n_s --) •
-) - 57 - 1 . 2 AG .X, 5 o re. . / e5. r>)
•
.4 .
_ _ASS ili_PARTIALAPPROVAL _ .111_CANCEL_ g_NO-ACCESS
I FAIL - CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ._.://,‘
.,Z Date: -5 f- Phone #: (503) 718- 2-1___I_S__---
i
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: hii ,T :x006 1c 39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2000
Phone: (503) 639 -4171 %� ryi „ �ii�8l mil
Inspection Requests (24 Hrs.): (503) 639 -4175±i -
INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 07433 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: WEIGELA TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: WE:IGELA TERRACE
DESCRIPTION: New SI
OWNER: GERTZ CONSTRUCTION CO INC, PHONE #: 503
CONTRACTOR: GERTZ CONSTRUCTION PHONE #: 503 - 692
Inspection Request Scheduled For: Date: E/19/2006 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
2W Foundation walls 030221 -04 503-307 -0236 N
Corrections /Comments /Instructions: //
0 /�3T71L /<;(-1/ '63 s -tZcc v /a--s. � b�rJ
_ASS_ __ _ __❑_PARTIAL_ APPROVAL_ -___ __ _F- CANCEL -- -E-NO-ACCESS
❑ FAIL 2 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: mil/. Date: S -/? ' Phone #: (503) 718 - 2, j---