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Permit ,, 1 1. f , "jTY OF TIGARD MASTER PERMIT PERMIT #: MST2006 - 10041 ! � ' ',11,1 DEVEL I CES -639 -4171 DATE ISSUED: 3/29/2006 �� PARCEL: 2S 104CA - 01900 SITE ADDRESS: 13739 SW LAUREN LN ZONING: R -7 SUBDIVISION: HILLSHIRE LOT: 019 JURISDICTION: TIG Project Description: PERMIT CREATED FOR PURPOSE OF FINAL INSPECTIONS. BLDG, ELEC, MEC, PLM. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: BDRM: BATH: TOTAL: 0 sf 0.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: 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 Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other LEASCU, EMANUEL + ANISOARA applicable laws. All work will be done in accordance with approved 11349 SW 135TH ST APT 5 plans. This permit will expire if work is not started within 180 days TIGARD, OR 97223 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 - 572 - 5588 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1-800-332-2344. Reg #: TOTAL FEES: $ 250.00 REQUIRED ITEMS AND REPORTS Issued By : /� 1 - 4 .41, Permittee Signature : G/lc . �� J Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. -- y/ vL 7_ / :, ernD G � /V � rs` ;. Q • Buildi>n' lee1-m Apply Ga#FOII 1 V E DA FOR OFFICE USE ONLY City of Tigard Daiee;By. 3 �.1q - b B Permit No. s , b _ od 4 13125 SW Hall Blvd., Tigard, OR 97223 MAR r iS 2oQp cc iPeir,.rJ Plan Review Phone: 503.639.4171 Fax: 503.598.1960 'a / i l ' Date/By. Other Permit: Inspection Line: 503.639.4175 _1y. = _ I Date Ready/By: Juris: M See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARP - Notified/Method: Supplemental Information BUILDING DIVISION . TYPE OF WORK REQUIRED DATA -1- AND 2- FAMILYDWELLIN _ :` ❑ 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 ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF_, CONSTRUCTION work indicated on this application. El I- and 2- family dwelling El Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: ' , 40B• SITE' INFORMATION AND LOCATION,' ' Total number of floors: 2 C Job site address: 1 2, 37 '7 5 ,' (j Utet5t( New w dwelling area: square feet \ City /State /ZIP: 77 . L2 3 • L. A- U �, o s) Garage /carport area: square feet ✓ yam Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: Deck area: square feet . Other structure area: square feet ,. REQUIRED COMMERCIAL -USE CHECKLIST • Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the t DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet • New building area: square feet ❑ ,PROPERTY OWNER '❑ 'TENANT . Number of stories: Name: - " h[ Ulf"( ' cv • Type of construction: • Address: j J .1 SUQ) L. D€ C,-t4 Occupancy groups: City /State /ZIP: 'fi' 6:L , c7 t .. . 5 7223 . Existing: \_Phone: (` 03 ) % 5 Fax: ( ) - New: ❑ 'APPLICANT ❑ CONT PERSON NOTICE - • Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: . , , CONTRACTOR Business name: 6 'BUILDING PERMIT FEES *` Address: Please refer to fee schedule. ' City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: - - - - - — - -- - -- Date received: - - - - - - - 7 , Authorized signature: , (, �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- PeimitApp.doc 12/03 4404613T(I I /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY; City of Tigard Received g Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 e/1 Ass Associat a ed permits: Phone: 503.639.4171 Fax: 503.598.1960 tiN I rinhy: , • \, ❑ 24- Hour Inspection Line: 503.639.4175 ^ •.1911, � I I ❑ Electrical Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district al 'royal re I uired. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ • building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be . D • licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS 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. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 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. I: \Bui Idi ng \Permits\BUP- RES- PermitApp.doc 2 72_1_ JT 6. r37 Lu, Li( __t.LL& . b(-)r3La $L4A_A_AJA-L-4 6__ # • . . I (7 - t3L,OG _ 2 zsa, op P L\A (2,e,2(tv L 71,660 1-1 C—e 0/44A p4 - - . CITY OF TIGARD BUILDING DIVISION PERMIT #: l i'Si OVI -•;0 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2006 Phone: (503) 639-4171 , I nspection Requests (24 Hrs.): (503) 639 -4175 Ja plip P�. I INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 7:07AM PAGE: 1 • SITE ADDRESS: 13739 SW LAUREN IN CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 019 TYPE OF USE: PROJECT NAME: LEASCU DESCRIPTION: PERMIT CREATED FOR PURPOSE OF FINAL INSPECTIONS. B "6, ELEC, MEC, PLf, Basement level only, as- built, work already covered. OWNER: LEASCU, ElvIANUEL + ANISOARA, PHONE #: 503-572.-5'598 CONTRACTOR: PHONE #: Inspection Request Scheduled 'For: Date: 4/11/2006 Pour Ti r - Code # Inspection Description Confirm # Co tact # Mess -g:• 190 Electrical final 1027751 -01 ff `l; , 57 ;t..55I 9 fit F , 4 ' tilk7b r Ait---1k4 6 -2__q_n y/.. Corrections /Comments /Instructions: e)ttjip,1 R (24 C. 6_ 4_ _ o-z-t--L `" _.. _ ___----- - - 4 0 " ,I s _ / ,-- ,/ 3 4 467/4.4 ilei 61 Celt/ '- 1/ //-3/A25--- m74--Ls ' .71-.5 c, ' / 41 0_ 5 —77- / I...1 114-ft ' r? 0 i / eirEi iL 4-- . S - / - 3 Z ell> .1 ` 5 s2 / ---- 7 - o ._PASS ._ ❑_ PARTIAL APPROVAL _ _ ._ ❑ CANCEL _— ._,_NO_ACCESS I FAIL ALL FO' I •- .' TION n ADDITIONAL FEES ASSESSED ' ,e40 .' Inspector: Date: `U Phone #: (503) 71 ITT,...,OF TIGARD S le m ST-- BUILDING DIVISION PERMIT #:aQl.� — (Od 4 --// 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 _ :#9411/111, �/' Inspection Requests (24 Hrs.): (503) 639 -4175 ��' , er— INSPECTION WORKSHEET FOR DATE: TIME: PAGE: �% i/ SITE ADDRESS: , 3 7 ? c f CLASS OF WORK: SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: ).,,, Inspe n Request Sched d For Date: `7` 1-/- 6 c' Pour Ti 7. / j etio Cod # Inspection 7escription Confirm # Contact # Message _, ____ , xF • 9 q . ,c 7a — s5 E4-ri g"c or r eccfion. / o /Instr _ , j----. / 1.... ti 147 ---:-- ib,, l'v/REI diLle_r-K I/4 ar k-- 1 .s k LAlc____ , , 3©/0 - - e�� � v , � 3 ® � D , .J t - _ ❑ PASS _ _ ❑_PARTIAL APPROVAL__ ❑ CANCEL_ - -Pi-NO-ACCESS -- - - - FAIL A !ALL O' r - d i ION ❑ ADDITION ■ L FE S ASSESSED ' i Inspector: V l ' . Dat=: I / Phone #: (503) 718/ CITY. „OF TIGARD 01 S./ BUILDING DIVISION PERMIT #. : 'R ooh- /0o `11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � I nspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: • SITE ADDRESS: i 3 7 3 dr / ` CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: ( PHONE #: p, I 4 (9'.-° 6 i : / --- - - Inspection Rpquest Scheduled For: Date: 3 — — 0 p Pour Ti : '` A... Code # I pe ti - es r Confirm # Contact # Messa• = . ,,. -'-_ . i z / 399 6 ? sE5E p oi Corrections /Comments /Instr ctions: rn'�z' 5-7d, S �� f � ,e-c.<)/..-14 66-1) — C .s a 2_,,...„ w �- - TN , V 1--(j(---"r4-- ''LL....- e . 3 4 1 ----- \Wc--QA- -----a-k — e.._-ki vJ -e-_,„S \\JI-tri cL, c _ 32 .ir-- - � c____4 A . VA-D-- ata<J2( • L 5 [ -- .. 6..)/27/4A-(2 _ , _. -ASS _ __ ❑ - PARTIAL_AP_P_ROVAL_ .__.__ _ ❑- CANCEL - . NO- ACCESS - - -- -- ___ ►0 FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (t t iii Inspector: Date: J � D t(! Phone #: (503) at.{ • ._ _ CITY OF TIGARD . ms BUILDING DIVISION PERMIT #:Q6 /dJ a y/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 aA Nlii����� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/3 O A r, TIME: PAGE: v4 -L AIo r t_� T SITE ADDRESS: J 3 73 ( CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: L 7 _ c Inspection Request Scheduled For: Date: Pour Time: Code # In pection Description Confirm # Contact # Message 1 ( i j %►, s h.. ems -) 4.(L s ki ms r 9l —®5/ Corrections /Comments /Instructions: h1 e_oe f CZ ! L/ 1 /, 1-10 /n/tc. - 0 s C 4 a P G Eau iu 6 -OU z-von bo a /C 6c:e.ZAZ �r� ° <•I ��:� a' (Jr G' , ' _+rte / 1` lc_oc-x'1 0.6) . coy s/46t1. 6- i2.-6C ixi)q i�,c- som.p -_v__ z/o.g) PASS- __ ' • RTI • L APP L -- n _ CANCEL --_NO_ACCESS _ _ _ V FAIL CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED 2 Inspector: Date: J O6 Phone #: (503) 718 - 26� ! rc' ' � y ... ,, -9: r� ..''' a , 1 / 7` ,:, ; �rk..7'. '4 p x a rt ', }, �' ,•c' 1 ;z.:t ?'" 1 " ' . i .2.!i;,1::' -r 1 i r� ; f ' '` +`` �� �k ' , a t 3 � a r, y tt i, } s t w A f ns •F m VXs.� � .-``� t'. + ,�.. y?k � " 5. � + x� ' �y k `� » s ' �3" s i ad's ' S Ma G u p5' �'N a r 7w ,, c - 3 :, a #. b �. 1 t k ti^k �'t.' �'�` ** �e�n,. .e�r!<i '+"t y '�' V 2*�3. Tb T� ! A`v . .. r:, 4 . . ,.3" ,, . � e�q •,"< ao4,. •ri A , w,,: , ; .. ..». ■ Y BUILDING DIVISION ' :.. r PERMIT #: _ 0 ' . / 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 l ii'' Inspection Requests (24 Hrs.): (503) 639 -4175 1I... INSPECTION WORKSHEET FOR DATE: 3/3 Q/0 TIME: PAGE: X.441.NUir— LT SITE ADDRESS: 13 - 23 c CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: 7 c Request Scheduled For: Date: Pour Time: < Code # In Description Confirm # Contact # Message l'q (,, sue' gos -�-, I,.�. - 117sr y V Corrections /Comme is /Instructions: J '' / h./ Lb4 e c / L..__/ l,l /le! - .� ) i U. = VIZ s o P(V G eoQ - -0 -o.) - 1 1 ) 6 \ic - c..._ Z120 t> I r c c -6' S PRA //v - A, — . Tit / G / 6 ba e /Yd oZ" S ,r l doe °Tr. / een_ ti c' w .%1 Ar e -I tCocxti c___ et j 0 . ,9) 1 2 o 1 / I C'. S ml & L6 cS = l / r h/ U ClIx C ! e lc so M P - 'Po r A/C a / o . ) / geZ '/ .. e TA) - Ez.iihil Kos A/ oy✓ Zee 4? i fl -&- 2-40 11 (C. J CS ❑ PASS II ' • RTI L APPROVAL f l CANCEL ❑ NO ACCESS FAIL /// CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .,o. .. -- - -. , .^ , , n_._. J �V 01�n� .__ L. i rnnN - sin �.�7 CITY OF TIGARD MS I / BUILDING DIVISION PERMIT #97/96(0 ff — /06 4 L 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 konngpho i Inspection Requests24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /3 7 3 9 Aan.€41 A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: _ D.i Inspection Request Scheduled For: Date: -6, -- 6 Co Pour Ti , * . i' Code # Inspection Description Confirm # Contact # Messes 3 5 - S Corrections /Comments /Instructions: . `.t 4 _i a I _d A I t / , Jai 1.. ■ I. s ,/ :� I' / aa i , de Alas, , ._, /14 _ PASS U P _ TIAL_AP_P_ROVAL— -- D- CANCEL n - NO- ACCESS 1 I FAIL r CALL F_ . SPECTIO '1- BBITIONA FEES ASSESSED 4 - 1 J Inspector: Date: Phone #: (503) 7fg? .CIT Y, TI A risr BU LDING DIVISION PERMIT #:�pv2 — ( 4, --// k � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ��!�blp� � �, I nspection Requests (24 Hrs.): (503) 639 - 4175 . "A I . INSPECTION WORKSHEET FOR DATE: TIME: ao PAGE: t , ` 4 0 � l SITE ADDRESS: 1 3 7 3 c� CLASS OF WORK: SUBDIVISION: ( LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: / / Inspe n Request Sched / 7` d For: Date: ' - � ° Pour Ti t Cod # Inspection Description Confirm # Contact # Message 2 9 9 3 i 7 52?, - 3 F8' E4/7a2 "C orr e cTions / /Instr 4 -0 - C- ET/4" � , - �. aseressiftb .s=_. AMIEW ...virx , saliVita. N. _O iR r..4/..,7__ b„ At f - ! 3Q i2 .1 '_ o 1,o x _____ AeLvtc kat _ J iicr c, cRi v . / Ce--),(i — I — P ASS 1 I PARTIAL - I - 1 CANCEL - - - - - - - - NO ACCESS - - FAIL I ALL O'. ,p - 1 ION ADDITION' L FE S ASSESSED Inspector: / Dab � '� I f Phone #: (503) 718 - :CITY OF TIGARD ni s. BUILD DIVISION PERMIT #: a °626 / l?0 q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 M,�iigl�l AI, i Inspection Requests (24 Hrs.): (503) 639- 4175'��IIIr INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /4.1 CLASS OF WORK: iv SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: 0 i 1 k �� /c' - Inspection R uest Scheduled For: Date: 3 ^ ?�� 0' Pour Ti c Al- al r Code # I p cti 6es�ription Confirm # Contact # Messag° ° ,, -. . 9 i 3 99 ' ?. sE5E 6. n� r�-`�' -zit-. 5 6 ,S° ee Corrections /Comments /Inst ctions: TI , J , Viva- , .� - -Q `�-� *��e I vti vw., - Vin► S( `4 v e f44._; le. (2_, (X„....,...._e . 0A.)2 e v_ -- ems_ Li _Z) \-\1_4(...k-, I Xl C mot..,- Ste' - =�- i C� <z.� a- c A/ . -I---I °ASS - - - --- PARTIAL APPROVAL — CANC - EL - I —I -NO- ACCESS 0. FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: f� Phone #: (503) 718 - ;t4'