Permit • MASTER PERMIT
PERMIT #: MST2006 -10071
j;� �� DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006 .
° °� 13125.SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S109DD -10000
SITE ADDRESS: 12668 SW REMBRANDT LN ZONING: R -7
SUBDIVISION: BELLA VISTA LOT: 030 JURISDICTION: TIG
Project Description: New SF.
BUILDING
REISSUE: 'RH2100 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 681 ' at BASEMENT: of LEFT: 5 SMOKE DETECTORS: y
TYPE QF USE: SF FLOOR LOAD: 50 SECOND: 863 sf GARAGE: 380 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1.271 of RIGHT: 5
VALUE: 273,938.20
OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 2,815 et REAR:
PLUMBING
• SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: i RAIN DRAIN: 100 TRAPS:
' LAVATORIES: 5 - DISHWASHERS: 1 FLOOR DRAINS: SEWER UNES: 100 SF RAIN DRAINS: 4 - CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 4
MECHANICAL '
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 6 WOODSTOVES: GAS OUTLETS: 4
• ELECTRICAL -
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: • PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN/OUT UN LT: PER HOUR:
LIMITED ENERGY: 1 401 • 600 amp: 401 • 000 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HWSVC/FDR: 601 • 1000 amp: 601■ampa•1000v: MINOR LABEL:
1000. amp/volt : '
. PLAN REVIEW SECTION '
Reconnect only:
?=4 RES UNITS: SVC/FDR >=225 A.: > 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY -
.. A. SF RESIDENTIAL B. COMMERCIAL . -
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: ' FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: ,
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: - MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC . applicable laws. 'All work will be done in accordance with approved
1925 NW AMBERGLEN PKWY # 200 1925 NW AMBERGLEN PKWY plans. This permit will expire if work is not started within 180 days
BEAVERTON, OR 97006 SUITE 200 of issuance, or if the work is suspended for more than 180 days.
BEAVERTON, OR 97006 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- 645 -0986 . Contact #: PRI 503- 645 -0986 of these rules or direct questions to OUNC by calling 503 - 246 -6699
FAX 503- 690 -2942 or 1- 800 - 332 -2344.
Reg #: LIC 70065
TOTAL FEES: $ 10,826.94 .
. REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444 . .
Structural observation '
Issued By : Permittee Signature : 7
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. .
Approved plans are required on the job site at the time of each inspection. .
,
Building Permit'Applicatio c``'c® [ FOR OFFICE USE ONLY City of Tigard V G DateB A -- I �l / / . Permit No'' , , — / / /
13125 SW Hall Blvd., Tigard, OR 97223 5 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUN 44 `I Date/By: Q -L3 .CS (p V Up Other Perini . j s4 jag O oy I I
Inspection Line: 503.639.4175 D ate Ready/By: Juris: See Attached Checklist for
Internet: www.ci.tigard.or.us CIS OF TIIV S ION Notified/Method / - �� ' - 1 Information
BUILDING D w., d \ 1 4_1( 0\0 it,r)'
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rou nded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and p fit or the
CATEGORY OF CONSTRUCTION work indicated on this application. a (05, 0s, (cO
(co I- and 2-family dwelling Valuation: $
y g ❑ Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
Lto
❑ Master builder ❑ Other: Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: j24 Sw 124414 i.... New dwelling area: Zfl 7 square feet
City/ State/ZIP: 1 I a Oe g, a� Garage/carport area: 38 V square feet
Suite/bldg. /apt. no.: Project name: C overed porch area: 8 square feet
fella v i �
Cross street/directions to job site: Deck area: (CO square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: t)e.%,O . \J\( \J\45ACk Lot no.: 30 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 t he profit for the
DESCRIPTION OF WORK work indicated on this application.
1 5 S U 7 \( 1° 3 0 . Valuation: $
• I \I o I rl Existing building area: square feet
. New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: R I v,XS 1 ci >✓ 1-1(i e. `, , me • Type of construction: •
Address: I C 2_5 N1J .rn h-r5 Le v► - iY v (,Q— i 2-0 (D Occupancy groups:
City/State/ZIP: 'ect tltli!'4,�- b j2-- '7 0 0 Le Q Existing:
Phone: (6 (e i-{ S - sfrn b(Q Fax: (5 ,) ( 1 ?O - 2 - Z New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 12j V.6I.5 i _ H F S T--yx ,.. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: A LL. Se A4 r4...-4 under ORS 701 and may be required to be licensed in the
Address: j 6 1 2-5 A) w .A4e41- r Il -w (A _ s cat c ZU 0 jurisdiction in which work is being performed. If the
Iv applicant is exempt from licensing, the following reasons
City/ State /ZIP: jje _ Ur G l7 U 0 (p apply:
Phone: ( 5 5 6 3 ) ( P L4 S - 0 e ) t , Fax:: () t.a G - Zcl Lt Z
E -mail: Cc,mct. r ve/t, i oCe h(Nl4.12 .. t' oYv
CONTRACTOR
Business name: 12: v,e,r
/i - 7 -1 /1C- , BUILDING PERMIT FEES*
Address: 1 6 1 2 5 N vv Ar y1 h (y Peak) w L s ui k 20 0
Please refer to fee schedule.
CC
City/State/ZIP: 10.e V ,.. -{--vim q
P. 4 S -Oc ( (S5) 17, 2> Z� Fees due upon application
Phone: (8027) (
F ax: � Z
Amount received
CCB lic.:
Date received:
Authorized signature: CLe, ,-nri'.„ ( PC ) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:(^ 30-y(„. / (At Date: ] . _ 2_0 _ 09, * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building Termits \BUP- PermitApp.doc 12/03 440.4613T(11/02/COM/WEB)
Electrical Permit Application FOR 'OFFICE ! USE ON LY
` City of Tigard • Date/By: Permit N9445 7 6- / C) 7/
Tigard, OR 97223 y
13125 SW Hall Blvd., Ti
g ^ E�E�� Date Review
Phone: 503.639.4171 Fax: 503.598.1960 K 4 . ' "i� ` t ` Date /By: Other Permit:
Inspection Line: 503.639.4175 ' Date Ready/By: _funs: 0 See Page 2 for
l
Internet: www.ci.tigard.or.us JUN 7 5 2" Notified/Method: Supplemental Information
T YPE IV IGARD PLAN. REVIEW
® New construction ❑ Additi at /[ ealit Please check all that apply:
Due ❑Service over 225 amps, comm'l 0 Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
• - CATEGORY OF CONSTRUCTION • of 1- and 2- family dwellings 4 or more new residential
ci,' 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building 12 System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family 0 Master builder
❑ Other:
['Occupant load over 99 persons DManufactured structures or
JOB . SI INFORMATION AND LOCATION' - ❑Egress /lighting plan RV park
Job no.: Job site address: / v 8 --_- L' � / [� ] I� ealth -care facility ❑Other:
N
gonla /�u�mit 2 sets of plans with any of the above. •
City/ State/ZIP: -T Q a f ) O 1 ao4 The above are not applicable to temporary construction service.
. . FEE* SCHEDULE
Suite/bldg./apt. no.: J Project name: tin '�.
S Description I Qty. I Fee. I Total I"
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less - I 145.15 4
Subdivision: 1 V•%3 \-R Lot no.: OD Ea. add'l 500 sq. ft. or portion E 33.40 1
Limited energy, residential • 1 75.00 2
Tax map /parcel no.:
Limited energy, non-residential- 75.00 2
DESCRIPTION OF WORK • Each manufactured or modular .
dwelling, service and/or feeder 90.90 2
Services or feeders installation, ;Iteration, and/or relocation
200 amps or less 80.30 2
❑ - PROPERTY OWNER D TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 1Z-) V' 1'" 1 Ci -e 1 5 i -4-1ir- 601 amps to 1,000 amps 240.60 2
# 7 17, L Over 1,000 amps or volts 454.65 2
Address:
I 2 5 NIA) ..4YY7 J7f'a () Km Reconnect only 66.85 2
City/ State/ZIP: /3 ( V' . ' Y .1. 0 - y OC `) 6. /700 (• Temporary services or feeders installation, alteration, and/or
(.014- 5 - 0 e D Fax: - / / 0— Z 4 Z relocation 0 m
Phone: (SP)) amps f!. ' C ( � ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 _
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 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: 2 v , )1 ,,,,,; (; ),_ i-i Uy1,t e IC branch circuit
A -+T B. Fee for branch circuits
., t
Contact name: L (� f crvk AA (A ( without service or feeder fee,
Address: q 1
each branch circuit 46.85 2
f I/l/ 1'1(x' (e proLt) f. q ..N 2 , G 0 Each add'l branch circuit 6.65 2
City/State/ZIP: 6e6t.t/.e r_ b Gj 4e Miscellaneous (service or feeder not included)
c � , Pump or irrigation circle 53.40 2
Phone:
(��) ( e. t '( - 5 -- O� t V ( Fax: ' (SE 3) 6,90- Z q 42_ Sign or outline lighting 53.40 2
E -mail: &rylci 0 r j V svAt 4, r hdwcQ C Ctiivk,_ Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business Ham's: ga avr ,a ie. c.re-.‹..
4.4. Each additional inspection over allowable in any of the above
Addrem P Q c.. Q -. Per inspection 62.50
City/State/ZIP: co O ✓2-a.. kJ. o r; 9 . O e Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Pbemt: (S°2) 6 7 $ _i s.s' Fax: (-0853) 6 Z $ -I I O $ ELECTRICAL PERMIT 'FEES*
CCB Lie.: 2,e, ?if Electrical Lie.: .2040
( 40 Stxprv. Lie.:'? 14, Z S Subtotal
Supry Electrician signature, required: e ' r e , Plan review (25% of permit fee)
Print name: State surcharge (8% of permit fee)
o � , - Mr • 7 DS'
TOTAL PERMIT FEE
Authorized signature: �� f This permit application expires if a permit is not obtained within 180
Print name: ; PEN days after it has been accepted as complete
Z 1 11 _ Date: £// 9/o 0 ` Fee methodology set by Tri -County Building Industry Service Board
•" Number of inspections per permit allowed.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440.4615T(10/02/COM/WEB
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Receive Permit N / t� 7 /
13125 SW Hall Blvd., Tigard, OI � E'v E D Plan R v
Phone: 503.639.4171 Fax: 503.9 � Plan Review
I � Other Per
Inspection Line: 503.639.4175 J uN 1 5 2006 _,. - .. Ready/ By: R ead : ruris: •
Internet: www.ci.tigard.or.us Notified/Method: Su pplemental Information
su 03P N
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
cg New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® - and 2-family dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description
Qty. I ]?z. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address:
1244 SW Y br . Air conditioning or heat pump
(requires site plan showing placement) I 14.00
City/State/ZIP: lak 9°"^a , d C., et142n Furnace 100,000 BTU (ducts/vents) 0 14.00
Suitelbldg. /apt. no.: Project name:' et, \ Y;sro Gas
Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: 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
Subdivision: Bet ' a Vt b#0.- Lot no.: 30
Flue/vent for any of above 10.00
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 10.00
Gas fireplace I 10.00
Flue vent for water heater or gas
fireplace 2. 10.00
•
• Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
•
❑ PROPERTY OWNER I ❑ TENANT Ot y/liner/flue/vent 10.00
Other 10.00
Name: e.J.YP.'5 - O i - , s 5 , G Environmental exhaust and ventilation
�" Range hood/other kitchen
Address:
X 1 7 55 JV iv A-r y') l r 5 Lei*" pK.,I(/` # ZO equipment I 10.00
City/State/ZIP: 0 4 v , � - 1 r' Oa_ 7 O d (e, •J Clothes dryer exhaust I 10.00
t 7) LB t� S - O �[ 6/ Fax: (�G),) 6, C J O - 2 ./ Z toilet c om p exhaust (bathrooms, rooms) s, , l
( compartments, utility rooms) .,VP 1
• Phone: 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
�
� " Other. 10.00
Business name: 1 ✓LYr� f r5;yt4 5 V, 7...-7-..7,-)c.. , Fuel piping
Contact name: LL; nUVI AA ( $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: j g 2 S /( o/ ro rr(o� j rt,w 1� i Z b d Gas heat pump
City/ State/ZIP: 0 t_ �v - 4 Gil- ` 47 00 (p J Wall/suspended/unit heater
Phone: (5jib) ( 1.4 5 - 05 S( I Fax:: (!7)j) 0 d -2142-- Water heater
Fireplace
E -mail: GLf(Y l r i ✓e4 io .e. tow'Q - C ( Mtn Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: kll - M,p_ RcL 1 r S 1 P - L + er. •
Address: 1) ■ 1 Z D, 3 8 ;-o k) C IA e. e , ,_ - 6? d 5 „ tt 6 MECHANICAL PERMIT FEES*
City/ State/ZIP: (' r_AL t L,...„. t 6, (a ar A. 6 D Subtotal
Phone: (S ° 3 ) 3 S 1 - 41 - S` g Fax: (5 e -,) S q s / - 3 Z 4 S Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: / 5 i 3 State surcharge (8% of permit fee)
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.
Print name: Li,_ 6_,_ .a..-c1) r Date: Oz ) c ot / b ! * Fee methodology set by Tri - County Building Industry Service Board
\ \
i:\ Building PermitsMEC- PermitApp.doc 12/03 440- 4617T(11 /0
• Plumbin Pe rmit Applica ' t® FOR OFFICE USE ONLY
City of Tigard B� ., G GG Received Permit N
13125 SW Hall Blvd., Tigard, OR 971 J Date/By:
T /�0
Plan Review
Phone: 503.639.4171 Fax: 503.598.19601 \N 1 1QOv � I /4wp-1 I ` i
� Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 F \GP _\ p1 A I D R B luri e 2 for
ardor.u
Internet: www.ci.ti " '- ' Ready y: s: El Page
g �,� (`� G p�� � Notified/Method: Supplemental Information
T YPEO W ` VORK FEE* SCHEDULE .
J°►' New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 •
at 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath • 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities •
Job site address: • /2.(e4116 6W 12U41 � Catch basin or area drain 16.60
City/State/ZIP: '• pa�, o e ` 1i aa /..` Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: J I Project name: , 11a J,sk'0.,., Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision:
e,,l ` v 1a `'` I Lot no.: 30 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:. Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer ' Page 2 -,-�
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
}� ' 1 11 t Ejectors /stump . 16.60
Name: K-1 l/,iY (IL T777 4-fj') - 1� -s^K • Expansion tank 16.60
Address: tq 2 5 /VW /`1 rYl 'r�! ,. _ / EAA # on Fixture/sewer cap 16.60
City/ State/ZIP: �h ig loo ( J Floor drain/floor sink/hub 16.60
Phone: (93 ) L 4S _ d Gj ( ( Fax: (sfi)) 1., 0 -Zcl 4 Z Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Y az Hoyl,te S 7' - ►L• Interceptor /grease trap 16.60
Contact name: Ai Li' 8c-)Z Medical gas (value: $ ) Page 2
Address: ( "1 2 5 .Nw k* 1 / pYLW 4 ZOO Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) I Fax::( )
Tub /shower /shower pan 16.60
E -mail: , .Urinal 16.60
• CONTRACTOR Water closet 16.60
Business name: v i
J`f' (bbbyt I ht IZ:4Vv410;vl5 Water heater 16.60
Address: 2 S D5" • S ' u' - A u tr br . Other. r
City/State /ZIP: 4 tok,ati 0t 1 7O0 ' Subtotal
Minimum permit fee: $72.5 0
Phone: (5 gg$ - b 6S 7 Fax: (5a ) 'tit 2.- 95 3 Residential backflow minimum permit fee: $36.25
CCB Lic.: ( 'y 2 1 1 I nom Plumbing Lic. no.: 3 N - 370 p B Plan review (25% of pennit fee) �,s
Authorized signature G 6,14;4 State surcharge (8% of permit fee)
• TOTAL PERMIT FEE
Print name: 3j) rl 4 A h 8 / l I ( Date: 2 -e-0.) 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.
is\ Building \Penmits\PLM- PemiWpp.doc 12/03 . 440-4616T(10 /02/COM/WEB)
I � I � I j I I� I
CITY OF TIGARD
OREGON
RESIDENTIAL PERMIT APPLICATION REVIEW
Pi inn( \ninlicr ItiIC� � c
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( =ir\ f �)47,r r State I V I` I Zip I VVIC
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.
X The application is complete.
The application is incomplete for the following reason:
I The submitted plans will be reviewed; however, a permit cannot be issued until the
above information is reviewed and /or approved.
I I The submitted plans cannot be reviewed until the above information has been
submitted and /or approved.
I I The plans are deemed "simple ". .(J The plans are deemed "complex ".
If you have any questions, please call Chad Williams at (503) 718 -2708.
.UJ
LI5.
ame of Plans Reviewer Date
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
M 5T,2.07:Dee — foz, 7 / .
STREET TREE CERTIFICATION
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(PLEASE PRENT) : -" ':,-;' )'-- -'• . • t; •- ,,, '-,•!' ' •
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Do hereby cer
_. fy that the f. .,.
-- ollowirigslocation meets
City of Washington County
land use and development o m _,.
.e tstandards for fstr i
— ett tree installation.
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ADDRESS: / SUJ -Q *rokY■011•1 Lckne_,
•
SUBDIVISION: e__ Lt c), 1 s+c-k_ LOT: 30
/ 774
SIGNATURE: A 4 -44‘e- r
4 I I IP DATE: 3 /5 /0 7
Ay (OWE' AGENT)
7 S -- /c 3 7
RECEIVED BY: DATE:
((TIT 0 4 4 RD)
AI
1:\Building\Forms\StreetTreeCertificate 03/24/06
•
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MST200 &10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2912006
Phone: (503) 639 -4171 1N � I
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 126613 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986
Inspection Request Scheduled For: Date: 3/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me . -
299 Final inspection 044304 -01 5 503 -5572 -4708
Corrections /Comments /Instructions:
1
•
COt, 1 .
a; • . SS / -A 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 111 • ' OR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: so- D ate: Phone #: (503) 718 - L-Z y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: yh ZO�Ot •I ®�'7I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4 0ah0 i (l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 31 %1'01 TIME: PAGE:
SITE ADDRESS: 1 2)0 b % S W f Z, cab l Nv ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: J 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 °\ °\ v - V FI
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cy" Le--- Date: )' (Y Phone #: (503) 718- LJf r
_ _ _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/299200$
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 4 ''I ��
INSPECTION WORKSHEET FOR DATE: 7120/2407 TIME: 7 :02AM PAGE: 20
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
•
SUBDIVISION: BELLA VISTA LOT #: Q30 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986
Inspection Request Scheduled For: Date: 7128/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 044089 -01 503. 678.1355 N
Corrections /Comments/ Instructions:
4 0.) e--,
fii.Li..)- be . - IIIIIPII ".- 9- ' 1110 1 - / ) l'S C )
•
,,
,5/' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ,LU CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: *il 7 Phone #: (503) 718 I /9 0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2Q06
Phone: (503) 639 -4171 ,,N11� �a
1 Inspection Requests (24 Hrs.): (503) 639 -4175 .. '`'IL.
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -615 -0986
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 040463 -02 503 - 678.1355 N
Corrections/Comments/Instructions:
i
OM' 0 I OW
1 61n— 61/CaA 1--, bt
,.5 I/ 4,4_, 41 (-a-4- ,ele h PliAg 69 )
• gmAi A-(Ze
fl- &vr a/ /c-
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1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 111 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
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Inspector: Date: b i t i % 'V / one #: (503) 718) VIM
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MST200610071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 - • zl
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L
INSPECTION WORKSHEET FOR DATE: 11/3012006 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 12668 SW REMBRANDT LN -- CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE if: 503.640986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0986
Inspection Request Scheduled For: Date: •11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 040463-01 503 -678 -1365 N
Corrections/Comments/Instructions:
14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑, CALL FOR INSPECTION ID ADDITIONAL FEES ASSESSED A k
Inspector: Date: � l Phone #: (503) 718-
- — 4
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST200G- 10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 / gnu I , ���r
Inspection Requests (24 Hrs.): (503) 639 -4175 - . __
INSPECTION WORKSHEET FOR DATE: 12/4/2006 TIME: 7 : 03AM PAGE: 26
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: A30 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: N SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503.645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986
Inspection Request Scheduled For: Date: 12/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 040591 -02 503 -572 -4708 Y
Corrections/Comments/Instructions:
c ,_, ‘T6 S 7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j) 6e L( Date: 1 2 Ph one #: 503
P lv � � ) 718 -
Restricted Energy
'i lii Electrical Installer Log
CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223
PERMIT # 9 NI °7 i goo - t 0
PLEASE PRINT ISSUED BY riPi DATE Ilk J0,
TO BE COMPLETED BY INSPECTING JURISDICTION
CHECK TYPE OF WORK INVOLVED: NUMBER OF SYSTEMS:
1 & 2 FAMILY COMMERCIAL
D Audio and Stereo Systems* 0 Audio and Stereo Systems
D Burglar Alarms 0 Boiler controls
D Garage Door Openers* 0 Clock Systems
D HVAC* 0 Data Communication Systems
• Vacuum Systems* 0 Fire Alarms
D Other O HVAC
O Intercom and Paging systems
THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE 0 Landscape Irrigation Controls*
SERVICE PANEL. IF THERE IS NO SERVICE PANEL. POST ON OR D Medical
NEAR THE INSTALLED PRODUCT. AN INSPECTION SHALL BE 0 Nurse Calls
REQUESTED ONLY AFTER ALL OF THE ABOVE PERMITTED
SYSTEMS HAVE BEEN INSTALLED, AND THIS LOG HAS BEEN 0 Outdoor Landscape Lighting*
SIGNED BY THE SYSTEM CONTRACTOR(S). OAR 918-320 -450. 0 Protective signaling
O Other
* No liter --- -......'....1 I : 2 r rani,irpd for all other installations.
D Syst CENTRAL VAC INSTALLTION 0 System
Company GARY'S VACUFLO, INC 775 -0025 Company: Phone:
Address: 9015 SE FL • V L, 97266 CCB: 69047
r t �r Address: CCB #
Is gib. o CLE:26728
Sig.: 1 (. '*u+, \ ^ &/OR JLE: 985 Sig: Lic. #
D Sys1—.. 0 System
Company: Phone: Company: Phone:
Address: CCB # Address: CCB #
Sig.: Lic. # Sig: Lic. #
D System 0 System
Company: Phone: Company: Phone:
Address: CCB # Address: CCB #
Sig.: Lic. # Sig: Lic. #
O System 0 System
Company: Phone: Company: Phone:
Address: CCB # Address: CCB #
Sig.: Lic. # Sig: Lic. #
D System 0 System
Company: Phone: Company: Phone:
Address: CCB # Address: CCB #
Sig.: Lic. # Sig: Lic. #
D System 0 System
Company: Phone: Company: Phone:
Address: CCB # Address: CCB #
Sig.: Lic. # Sig: Lic. #
*Construction Contractors Board License
J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005 �v
Phone: (503) 639 -4171 f' T ''
Inspection Requests (24 Hrs.): (503) 639 -4175 _ IL.
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7 :00AM PAGE: 67
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 3/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
299 Final inspection 044114 -05 503-572-4708 -
572 -4708 F' `
Corrections /Comments /Instructions:
-I
Al w
-- t �?�_ ir e''
•
❑ PASS / :.r TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: --40■•• Date: (!� / /6 7 Phone #: (503) 718- 2 - -C 1
MI
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 a.,'�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' F__..
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 5Q3- 6455-Q956
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -4985
Inspection Request Scheduled For: Date: 3/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044114 -06 503-572 -4708 N
Corrections /Comments /Instructions:
P ASS MI r' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL // - A L FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: -) Date: / 0 Phone #: (503) 718- Z�L
N
CITY OF TIGARD •.
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 ,$f�lK
Inspection Requests (24 Hrs.): (503) 639 -4175 . • "_
INSPECTION WORKSHEET FOR DATE: 2/27/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE: I
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043951 -01 503 - 572 -4708 N
Corrections /Comments /Instructions: •
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Al 1/ 17-(/ Date: I Phone #: (503) 718-
• .
CITY OF TIGARD - ..
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 - ,;w F'I�
Inspection Requests (24 Hrs.): (503) 639 -4175 s !:_..
INSPECTION WORKSHEET FOR DATE: 11/2212006 TIME: 7:03AM PAGE: 9
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 040190 -02 503-572 -4708 N
1
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 ' 1 -
v Date: / ` (! Phone #: (503) 718-
,
CITY OF TIGARD
BUILDING DIO PERMIT #: MST2006.10071
13125 UILN
SW Hall Blvd Tiga rd OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 A fl� Inspection Requests (24 Hrs.): (503) 639 -4175 �:� ` :_..
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7 :03AM PAGE: 10
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 040190 -01 503-572-4708 N
Corrections /Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - 1 11 Date: i I . V 6 Phone #: (503) 718-
- - -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2912006
Phone: (503) 639 -4171 Apto/il
Inspection Requests (24 Hrs.): (503) 639 -4175 Agi.
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 76
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645 - 0985
CONTRACTOR: RIVERSIDE HOMES INC. PHONE #: 503
Inspection Request Scheduled For: Date: 10118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing undersdab 038378 -01 503.672 -4708 Y _-
j (4 1 N\N
Corrections /Comments /Instructions:
a lg. it / / / /i /__ ! _ . ∎3 ' / //.. i��
/ ,
�" .. ,- r /tip ``i _
!: 0 a) - , -
/A 0 F .9. _- - _,4 _‘....edit
/
414, ...„,-
r •
,'�[� PASS II: '' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
9e-/ Inspector: 1 N Date: / n eq Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639-4171 r f, l
Inspection Requests (24 Hrs.): (503) 639 -4175 _� I
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0986
Inspection Request Scheduled For: Date: 10112/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
330 Water service 03808302 503-572-4708 N
Corrections /C om ents Instructions:
11 p
kir t_l_ cte 1/ e__
ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: el/FP Date: /O ' 12- ' ° Phone #: (503) 718- Z41/,4
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
144 i
Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'I � ..
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 22
SITE ADDRESS: CLASS OF WORK:
12668 SW REMBRANDT LN
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603 - 645 -Q9136
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 615.0986
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 038020.04 603 - 572 -4708 N
Corrections /Comments/ Instructions:
5 r 1 C�
1\10-r- - . �v
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CS f'P Date: / o6' Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .1 1 1 * .
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 24
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BEI.LA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M es
505 Sanitafy sewer 038020 -02 503.572-4708 Y r"
Corrections /Comments /Instructions:
VA PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: eilkF Date: I 0 1 `I ' 42-6 Phone #: (503) 718- t6 /7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9!2912006
Phone: (503) 639 -4171 VI1b I
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7:02AM . PAGE: 25
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 ,
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 038020 -01 503- 572 -4708 Y
Corrections /Comments /Instructions:
0 .... P_ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CM C Date: / V i` l " a 6 Phone #: (503) 718- fir
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 i�l • Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 23
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BF_LLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 038020 -03 503-572 -4708 N
Corrections /Comments /Instructions:
•
k fASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C4 ' r Date: / a 0 6 Phone #: (503) 718- ��
' l
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
Msr2oo6-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 21
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 038020 -05 503-572-4708 N
Corrections/Comments/Instructions:
$ PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cl /e Date: jo ft � �O Phone #: (503) 718- ZC 1
T
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 6-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 " � —
INSPECTION WORKSHEET FOR DATE: 10f11/2006 TIME: 7 :02AM PAGE: 20
SITE ADDRESS: 12668 S W REMBRANDT LN CLASS OF WORK:
D
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503.545.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645-0986 '
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # /gyp 8 Message
3.40 Storm drain 038020 -06 503-572 -470 N
Corrections/Comments/Instructions:
•
14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C 7
Date: / 67 ‘ Phone #: (503) 718-2-‘ y‘6(
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 I I-.
INSPECTION WORKSHEET FOR DATE: 1216/2006 TIME: 7 :01AM PAGE: 64
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-646-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 6i46.0986
Inspection Request Scheduled For: Date: 1216/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 040712 -03 503-572-4708 N
Corrections /Comments /Instructions:
_ --- Al
111111/1/111/1allatil MI 11
r- PA SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITI AL EES ASSESSED
k li r 6,6 Inspector: l _ Date: `- 'I/l\ \! Phone #: (503) 718 - AZa_
NW/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
' Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I—
INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7 : 01AM PAGE: 65
1
SITE ADDRESS: 12669 SW REMBRANDT LN CLASS OF WORK:
I SUBDIVISION: BELLA VISTA LOT #: Q34 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
•
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040712-02 503-572-4708 N
Corrections /Comments /Instructions:
IM
i..---
inajdili r
..
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • 'CALL FO' INSPECTION ❑ ADDITI' EES ASSESSED
0 ,'
Inspector: Aik Date: . Phone #: (503) 718-14-20
CITY OF TIGARD •
BUILDING DIVISION • PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/1006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 4t
INSPECTION WORKSHEET FOR DATE: f2/1/2006 TIME: 6:58Am PAGE: 56
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 03p TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0936
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040510 -08 503- 572 -4708 N
C rrections /Comments /Instructions:
NA/4._ c D G • ■C At A r4
/ Tat C
gy p
r_. .. 'g� ....ii_ LA� -tZ� )1 � i. Imo` • r a -SL 6
CK__ TO -ZOOS 0 L
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e.Ale Date: 12._ / Aa% Phone #: (503) 718- z6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200& -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639-4171 '� ` c�
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:58AM PAGE: 55
SITE ADDRESS: 12568 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645.0886
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040510-09 503-572 -4708 N
Corrections /Comments /Instructions:
C_1 Z $ i G S e___,t5 � a.)
1
•
FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GMP Date: /Z // 4 Phone #: (503) 718- Z‘`.?
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200610071
13125 SW Hall Blvd., Tigard, OR 97223 441110 DATE ISSUED: 9129/2006
Phone: (503) 639 -4171 ,V it
f�lh
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 55
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645.0986
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040276-02 503572 -4708 N
Corrections/Comments/Instructions: _
! 11ri" /4u �VGI • .4..XCS ..rP -
N1-0 P K vJ rb c1 , )C-
/'1 (1%fie)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[pi' FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a 1 Date: Il D‘ Phone #: (503) 718- _ zgYr
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 54
•
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503.645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645.0986
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 040276-03 503-572-4708 N
Corrections /Comments /Instructions:
•
•
° '•!� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e t,P Date: p 9,fl0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200610071
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 ,yj� l l
Inspection Requests (24 Hrs.): (503) 639 -4175 �:_..
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:03AM PAGE: 56
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 040276-01 503- 572 -4708 N
Corrections /Comments /Instructions:
Z - 2_ , a/
El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
6
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �h Date: // 7� Dh Phone #: (503) 718- ZC9-7/
eITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2912006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' '
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 53
SITE ADDRESS: 12668 SW REMBRANDT W CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 040276 -04 503-572-4708 N
Corrections/Comments/Instructions:
_dr o r I ZZ 0 G
GOM ���
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: LNn P Date: 4 Phone #: (503) 718- z�L/
1
CITY OF TIGARD "
BUILDING DIVISION PERMIT #: MST2006 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 4 1
Inspection Requests (24 Hrs.): (503) 639 -4175 F '' I..
INSPECTION WORKSHEET FOR DATE: 1.12212006 TIME: 7:03AM PAGE: 8
SITE ADDRESS: 12668 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 040190 -03 503-572-4708 N
Corrections /Comments /In ?tructions: 1 j '
lam. _ - AMA 113 0
..._ — AS i 1
• •
L.
X.4
1 ,_:.:: cf_ d .+ (
r
f
,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
C u t4/
Inspector: Date: 1 \ � Phone #: (503) 718 - -2-1 1 -2 ' Lil
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 � ` �i
Inspection Requests (24 Hrs.): (503) 639 -4175 : � � __..
INSPECTION WORKSHEET FOR _ DATE: 11/15/2006 TIME: 7 :07AM PAGE: 61
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me :•te
2 Exterior sheathing 039763-01 503-572-4708 / +�
1
Corrections /Comments/ Instructions:
tkt■ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -# iP Date: like-6 Phone #: (503) 718-
6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200610071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7 :07AM PAGE: 60
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 6450986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 039763-02 503-572-4708 N
Corrections/Comments/Instructions: C22 L _ ry rZ fik s1k 7,"/7
•
\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
/ ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G61P Date: 1 /S / Phone #: (503) 718- Z-64/1(
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171a 44?`
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 37
SITE ADDRESS: 12668 SW REMBRANDT LN ' CLASS OF WORK: •
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986
f
. Inspection Request Scheduled For: Date: 10/26!2008 Pour Time:
Code # Inspection Description Confirm # Contact # • -
225 Post /beam structural 038866.04 503-572-4708 p�
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /1 G/ti Phone #: (503) 718 - �6��y
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2006- 10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 38
SITE ADDRESS: 12668 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5Q3- 645.0986
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: 2=00
Code # Inspection Description Confirm # Contact # Message
220 Slat, 038494 -01 503-572 -4708 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C /P Date: i° // Oh Phone #: (503) 718 - y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29!2006
Phone: (503) 639 -4171 Ake
,1�
Inspection Requests (24 Hrs.): (503) 639 -4175 !�- �'I
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7 : 00AM PAGE: 34
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645.0986
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # ' o
255 Wtr proofing basement walls 038158 -03 503-572-4708
fi
Corrections/Comments/Instructions:
►j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e Date: /O - •O6 Phone #: (503) 718- it, 4/y
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 a �dpgg t,�
Inspection Requests (24 Hrs.): (503) 639 -4175 J. " :_..
INSPECTION WORKSHEET FOR DATE: 10/1212006 TIME: 7 :01AM PAGE: 37
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE: •
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., _ PHONE #: 603 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 '
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # , -!- - e.
255 Wtr proofing basement walls 038089 -01 503-572-4708
it
Corrections /Comme /Instructions:
i C.I/Ik A4., r clibi C /
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.
Inspector: t .- 4i 1P Date: l l ' 0 G Phone #: (503) 718- ezqy
CITY OF TIGARD v
BUILDING DIVISION PERMIT #: MST2006-10071
13125 SW Hall Blvd., Tigard, OR 97223 L. � DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 . w 1 s jiii 0 •Inspection Requests (24 Hrs.): (503) 639 -4175 .� _—_. F:_..
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7 :03AM PAGE: 34
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Now SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503. 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time* 12:00 •
Code # Inspection Description Confirm # Contact # Message
205 Footing 037797 -01 503-572-4708 N
Cor ection /Comments /Instructions:
iP7C12-e- L, c vN 4 3
•
1 _S e ---- 5/■..r.../
G LO - Ta,. .
• -. " S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
t% FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4, 4 ' Phone #: (503) 718- __2__Y___04
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 &10071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171 artg3r I t l
Inspection Requests (24 Hrs.): (503) 639 -4175 I '! ..
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7 :03AM PAGE: 33
SITE ADDRESS: 12668 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 030 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645 -0986
1 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time: 1200
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 037797 -02 503-572-4708 N
Corrections /Comments /Instructions:
0 UQ4c f aL (---w, I r . t 5 d
1n '5e i 6 ' _
II A - S _ . 5a 14 v&csz'v •C n „ 4.-
O lAitra,e_ 11 ) C p_0�' 1rd�l,c.,`� f WL
, )
0 ' w..,r. 414
I F " PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vi Date: 16 (e b (3. Phone #: (503) 718 - 2:192)-/