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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00245 01111 DEVELOPMENT SERVICES DATE ISSUED: 8/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DD -BVO42 SITE ADDRESS: 12736 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 042 JURISDICTION: TIG Project Description: New SF detached. BUILDING REISSUE: BV2412 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 936 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,212 sf GARAGE: 500 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,243 sf RIGHT: 5 VALUE: 332,566.60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,391 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 100 . BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN »100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 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: 6 201 - 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: s=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC 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 6 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 of these rules or direct questions to OUNC by calling 503 - 246 -6699 Phone: 503- 645 -0986 • Phone: 503- 645 -0986 or 1- 800- 332 -2344. Reg #: LIC 70065 TOTAL FEES: $ 11,009.45 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : - _47..11,1 1 1 Permittee Signature : /) 7 le 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. , BuildingiPermit ApplicationFIECEID FOR OFFICE USE ONLY Received i , ,.... ' ..— City of Tigard Date/By: f /0 ei..5" Permit No.:H,r/a95:75/0,42 gig: 13125 SW Hall Blvd., Tigard, OR 97223 JUL ' .,' It:,A Plan Review l; 8.1 ....0 ,.._ Other PerrnitA049ais—e)0422./ Phone: 503.639.4171 Fax: 503.598.1960 - ' 14 ' N . vi)', Date/By: 1..A Inspection Line: 503.639.4175 „, ,_,..t;,. 134 i ' Date Ready/By: T ■,.. , ,... ._. ,... ii,..-- fiLl See Attached Checklist for Internet: www.ci.tigard.or.us Ca I '''''' • - — "• ti...¢ Notified/Method:if 1 ) O .... Supplemental information BUILDING OIVISIU" i-_. ' _ ''Qt „„.■ V CZI i3 0\i--- k.; , . '; ..:.. . ,:, . '; r,'• " :,,;:--!,' :','; ' ..iiii*;c4:*jitic ,-; ; - '. . : : ,;' , ' , : ' ' ;L - - :' , REQUIRED D2r-F New construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the ', ' ::: -,• = .,:''' :' -1 , ;,'' &1TibOiiii.10F ::.6614STR111 , 0 14 '' ,-- :'' ''- "' ,' ,. ' : '' ' ..' - I work indicated on this application. ) O 0 p 1- and 2-family dwelling 0 Commercial/industrial Valuation: $ 35Q OUV Number of bedrooms: 0 Accessory building 0 Multi-family 4 0 Master builder 0 Other: Number of bathrooms: ;. ,., r ,, ,-:''T..,:t ..4,:.: ',., , .-.: ,:. i. 2 ...,,..-. ,...■ tts: ..' ...k' . • ,t! ' '' %, .1.1/ '.{..H.. :6::,41:0:,!;;r::th1--;;._ Total number of floors: -, ,, , •••_;' . ..1- •:, ,:',. ,1i it :, 3:,30B INFORMATION•AND $.0CA'110 Nri -, -,.. , • ..:, ', !,,,, Job site address: I - 2- -1 '3 G SW a.a,r)-. bre,iyi cl-l- Ln . New dwelling area: a(i i square feet City/State/ZIP: s TiCyt-Yet 0 11 q-) 2. 2-4 Garage/carport area: 50() square feet Suite/bldg./apt. no.: Project name: P){t. tt& Vi 51-6... Covered porch area: i 0 square feet Cross street/directions to job site: Deck area: /0 0 square feet Other structure area: --• ty square feet 0(1IIIitEb1) - ATAit ij ISCOERcIALDE , ttl*CICLIgit , i Subdivision: 1")..e Lt.k. V s -I- c<. I Lot no.: 4 2. 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'Or WORk . -. - - - ' .' :, . ' ..r. : - work indicated on this application. Valuation: $ Existing building area: square feet • New building area: square feet ' :'' • - 7. i . ' Ed PROpERTy'DWNER.- ..•,.,,,,---, • ,, ,s, , :i •' •• , ; 0 : , - ,.,: :' - •, ••i•• • - Number of stories: Name: 1 It.exs i ci e.- }-'ti./ c, , 7-11c.. Type of construction: • Address: I ci 2 5 /Vv i Aro bvr 1 L.e-v - i[..1.4 # 2- 0 Occupancy groups: City/State/ZIP: B, 41/ . 01 ,4 cvi. OP.- q (4 Existing. Phone: (6 ) te Li S - 0 bi Fax: (50 2 1 4 2_ New: ..;tiiii64? ' t i l ' 'Coiii ' ACT .' ilfIR$Oi ■ e - :, 7 . - - . . . - -I • ,.- .: . ;1-:.--,,- „,,,,,.- ,-. ' ,,.„-. •,:;-;'ftr:1 ' ...,.i? A' ' . ,', .■• . • , ,-, ,.„.; ;'':" , h . ;:t : ; ' .,'■ :, • , - t:',;' . ::1 ,. ' , 4 5 .;!!: : ', Business name: • (2...; v. c L e . H vyvi , 5 , y. All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board • Contact name: . ,4--(A. :4 c) ./ W (4.-ti,--- under ORS 701 and may be required to be licensed in the Address: A q 2_ 5 Ai w ) 4, 1 , 1 1,,, r ,,,,L e , p 1 , - 0A„ , ,..,\ $ zoo jurisdiction in which work is being performed. If the City/State/ZIP: 4 y , O)2- q applicant is exempt from licensing, the following reasons 8, .e 4 c1 , 1/4... _ -700(, aPP1Y: Phone: (933) 1., Li S - ,f) e;,(, Fax: : () IG' C'" 2 - i - i - Z E-mail: ai a r i 1/e ckehtza i 1 , ,, , ,, , .-t-, ,. ,.. ,, . '.!. t) , 1.4: , - f- ‘'., . ..i:': '.: ' IF:: ;:-. .:L..!'" :.:1 • 1, a . Business name: 12i v_e,rsicke i-l oyvte.../ Z.... . ,,,,,, - ! ?i,P 4,1 ,, ,,, 1 ,,,,,,, ! ,47.Ft',S0 '',, - . , i's.0.'' - i:" '' L: Address: 11 2 5 N vv A.- b. l p ecAx) tA 6 iii le. 200 Please refer to fee schedule. City/State/ZIP: 10,e C. V .c..4 - 1-e-Vt— (7d. q - 7 00 (- e Fees due upon application Phone: (g0 ) C 4 _ s . le Fax: ( C ll 2› 2/ q- Z_ Amount received CCB lie.: Date received: Authorized signature: ai.6,66 G-A ( PC ) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:14CL,C kft,(1 Date: 1 2, - 2-0 4- Oti * Fee methodology set by Tri-County Building Industry • -- . Service Board. BauildingTermits113UP-PermitApp.doc 12/03 440-4613T(i 1/02/COM/WEB) ■ Electrical Permit Application .,:.FORiOFI;ICEUSE :Iva ': ... C I \ I ,� , Received H _ OOa 45 City' of Tigard G !!!!!! Pem,itNn•: p DateB �: , 19125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 i ,.5 1 Date/Bv: Other Permit: Inspection Line: 503.639.4175 JUL 1 rJ . 'f Date Ready/By: 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ._ .. ..- l:r - - fit' Y, . .. i; - - itg Please L1111::.11L�VIEW�''.;...:, ter•;. TYPE' -,UF � ® ® New constructi ' se check all that apply: ❑ Addit io n �r atlon/ replacement E) Demolition ID Other: v - rating Service over 22 5 amps, comm'1 Hazardous location ❑S ervice over 320 amps ratin ❑Buildrrg over 10,000 sq. ft - , ,,4CATEGORY :;OF• „ CONSTRUCTION._' :.. +•: , . .: - ., __ ,nti =::';j = of ] - and 2- family dwellings 4 or more new residential © I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or mot ❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures c .JOB',-'SITE =:INFOR114A`TION 1L ; OCATnOiti : ? ;'E .' ❑ Egress /lighting plan RV park ❑Health -care facility ❑Other: Job no.: Job site address: 1 2,1 (s, Ski IZ 1.40. Submit 2 sets of plans with any of the above. ' City/State/ZIP: T 163 , y -c ( o a ' 1 Z- Zq The above are not applicable to temporary 'construction service. -1 /�t� p I l / ..:...:....: . .:. : <EEE , _ s i.., ,5;.: /',Ja,tk_ V l � Description Suite/bldg./apt. no.: Project name: i C5 I - - _.:.:. _...._.' , . :_.:. . :I � i I Qt}•. 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 145.15 Subdivision: 1 1 Lot no.: 2, Ea. add'l 500 sq. ft. or portion 33.40 Limited energy, residential 75.00 Tax map /parcel no.: Limited energy, non - residential 75.00 • i. : �_' . „ t ` - DESCRIPTIO OF' ORK , F , . , _ ,, Each manufactured or modular dwelling, service and/or feeder 90.90 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 • _ _ ,, _ . _ _ r-: _ - _ ; .:r. : ; iii_ _ ... _ 2 01 amps to 400 amps 106.85 t f ' • .' ifI : ” O V V N E R + - ' s ,-, ❑ - -- ' ' N ? T ' - . : ' . '' r - '- ''''' 401 amps to 600 amps 160.60 Name: Y--) V „ l ; 1 c4 . . . --j6m t 5 j. . 601 amps to 1,000 amps 240.60 • Address: 1 / j 2 N�/ I' 1�Y ^ - - - YYI I /r 1 U) ( 4 -t Over 1,000 amps or volts 454.65 1 J rt �� Reconnect only 66.85 City/State/ZIP: i3c ct V•:e,�i 1 ry-) O "1 00 (e Temporary services or feeders installation, alteration, and /or 2 r ? relocation � Phone: (s) (p4 5 G` q e ; - , (!, Fax: (SG J) (al 0` G 4 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447;449, 670, and 701. 401 amps to 600 amps 133.75 Owner 'signature: Date: Branch circuits- new, alteration, or extension, per panel .," - - :ARPL ti! . .. : ii . '' „L' : iCONTACT ' IF `• A. Fee for branch circuits with , ,L1 �- . • _ - . ....: „ .... � �:., - ' : � _ .., .. : .... .... .... .. .... . . .. _..... -_ .o . _,. service or feeder fee, each 6.65 name: 21 d�X (rj t , t H - . , ��( . branch circuit .65 B. Fee for branch circuits Contact name: ./Art, AII without service or feeder fee, /! �, Li SG'`,'t /VI i.t t 46.85 each branch circuit Address: ) ri 5 f w ?73'1l)' -Pit, . 11) M): 'i ` 2, 0 0 Each add'l branch circuit 6.65 �� ^ 0 2- G ) U Miscellaneous (service or feeder not included) City/ State/ZIP: r l V e Y 'r �� lJ / -] J l ' �!i Pump or irrigation circle 53.40 • Phone: ( �j ) (E Lt 5 --r t (F, 1 Fax :: (St 3) 6, o - Z e( t4Z Sign or outline lighting 53.40 E -mail: a_nei 0 r I V�Y71 ��v (dl'LLG_ . c c - 'YI� Signal circuit(s) or limited- _ ° ?g'. „Lo �.:" .(- y/ - I'::a.i�. -�N a ' rG . 7_ ; �5f> t- vd - energy panel, alteration, or • i 1. _ �_ �, i ,;;;a�L� �,�i. ,���n ._,'-: a a. CO R1>+. r�...Qg`.':;�Firr,�?lt����3:•'.' _�,=- i _ -�H�,. .,, .. `. extension. Describe: Page 2 • Business name J P �r ff l e. Gil e.. t, e4 ,G . Each additional inspection over allowable in any of the above ' Address p 0 ct Q14 3g? Per inspection 62.50 C1ry /Stae/ZIP' Investigation per hour (1 hr min) 62.50 O ✓����i� r: O � - Industrial plant per hour 73.75 Phone: ?() 67 ., — 1 3 S,s Fax: (..P 3) ' 6 Z S —11 0 $ -, •'','° *;' _ `;EL-ECTRIC `'PEI2MI,TnFEE$ *'! .) t ;', :, CCB Ltc.: 2,0 f/ Electrical Lie.: 2 t Q ;‘. Suprv. Lic.: 3) bz 5_ Subtotal Supry Electrician signature, regttired:i2 B , g d Plan review (25% of permit fee) State surcharge (8% of permit fee) . Print came y4, g g,v�..,0 rya. Date: 2 / 2 / p s- 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 Punt namr bate; • Fee methodology set by Tri -County Building htdusey Service Board • - ' " Number of inspections per permit allowed i:\ Building \PennitshE1.C- PennitApp.doc 12/03 440- 4615T(10/t32JCOM/WEB 1 Mechanical Permit Apr @E1VIED FOR OFFICE USE ONLY City Qf Tigard Received n r�n/1� 5 Date/By: Permit No.: Milww' 13125 SW Hall Blvd., Tigard, OR 97223 J UL G 200[ " Plan Review OrJV [�/ �J J Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 \ Plan R eview � ® �I Inspection Line: 503.639.4175 �� �r Date Ready/By: J� See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGA Notified/Method: Supplemental Information BUILDING DIVISION p' ` .,., , ", TPE " "WORK -4 ;;: 1 ; :• ; ' 1: , :i , ' 'ra COMMERCIAL ;FE" E* i SCHEDUI = ;USE}CHE.i a :t.ii Mechanical permit fees* are based on the value of the work New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. C 4t.TEGOR ,. OF', -CONS 24:ve IO Value: $ T t. RESIDEIVTIALIEQUZPMENT /.SYSTEMS FEEi+7•;1. •;;" 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other, Description 1 Qty. I Ea. I Total 1).!,i;: 'Si! ' .. - ;JO$ (S$PFE +O 'T IT,,LQCA'P1O14. - . : �' .;� Heating/cooling 2.. Alr conditioning or heat pump • Job site address: 3 5 ,,At v>'1 h Y �� C� (requires site plan showing placement) 14.00 " City/State/ZIP: ---T-1 6itin(0( . (9/L - q 12-2-4 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: (,(,L V I S 4 Cj i 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 Flue/vent for any of above 10.00 Subdivision: p ct v i �.�. - k , Lot no.: 4 2 Other. 10.00 Tax map /parcel no.: Other fuel appliances ..r ,. - ,:: ' " _a Water heater 10.00 r., - '� - DESL7RIPTIOlt1`OF�WORI��� .t 3 �' ` • ,' t �.l Gas fireplace 10.00 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 _ _ Chimney/liner /flue /vent 10.0 • _`t ='t ®.J'ROPER7?�.= `O (' ! 'D TENANT' ' ' Outer 10.00 Name: ai•re,r51 Ci 4, I y'1,,Le5 , - x,.. j .,G . Environmental exhaust and ventilation Range hood/other kitchen Address: 1825 Anti A ,►') y ' 7 (o J y)1�o aK� # Z-00 equipment 10.00 City/State/ZIP: 13{ k V •Poy4e Da- D 0 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (GiP7) Le t-f-S - 0 ? 81, Fax: (c6) ) 6, 5 0 - 2-94/ Z toilet compartments, utility rooms) , 6.80 - 411'r, I ; :'; to APJ'LANT =' { )' L`; =} iii COI`7CTPER901V`: Attic/crawlspace fans 10.00 . - ( Other. 10 Business name: J. i l G) c{e t!v) vC �7 r Fuel piping Contact name: A-(!(4. SOY1 /./L w , $5.40 for first four; $1.00 for each additional Address: 0 25 Am, �b � e� , pr....“) pr....“) i 7 # ZO Q Gas etc. heat PAP - n �, C I) C Gt,i/ei -4� (942. mil? C O (P • Wall/suspended/unit heater Phone: (Sib ) (e (4 5 - cq 8( • Fax:: (tZj) 0 d - 2.1142 Water heater Fireplace E -mail: afflayrIP r i V 141 ieitaloY►u2_ • C crY►l Range L"•:i :a": ti ;l i :; r. "t t,, r '-r`i - C y - 4 i iik . lici i4: ` 4„ ; , = r- i'.;:.: '' '' - +' ` fi . _, ;�1''ri Barbecue '1' #_t.li{l. " :1114:' "Val, � ,: 1,?1 :'`�..:V ,,,, .?v + ' Y � F 'V, r� �� . ik : pit , Fi.•'r '� +fM',01". _„ 1D l `1 1 Clothes dryer (gas) Business name: +a 1 - M,n_rr° C R0._ `', r. S l , . C. 4 other: • Address: n o .a,�MEC C' tFIDE ,' ;"'t "� ' M� l Z Z S � ,U C I� e sc.,- cl S „f�mt t� - : i" +.. '" . �''�- P .ER1�� S ,ScTt,s�?�! : "t :.0 City/State/ZIP: (., r , t _ t 1„ � - 1 6 (z Cc 6 D Subtotal Phone: (c.3 ) . 8 1 „ y5- S Fax: (y ° 1 ) S I. / - 3'L 4c- Minimum (25% of r it fee) ) Plan review (25% of permit fe CCB lic.: / 5 2 '1 3 4 • State surcharge (8% of permit "fee) • TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 180 Authorized signature: days after It has been accepted as complete. Print name: 3 S ,I ,a..co r Date: crz. 1 o et b • Fee methodology set by Tri -County Building Industry Service Board i:\ Building\Pnmits1MEC•PamitApp.doe 12/03 440- 9617T(11 /02/COM/WEB) • Plumbing Permit App EVE1" FOR OFFICE USE ONLY City of Tigard Date o�1 /By: PermitNoA5r s _cI5 13125 SW Hall Blvd., Tigard, OR 97223 JUL 1. 5 "20'' Plan Review dd�` J Phone: 503.639.4171 Fax: 503.598.1960 .� Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 CITY OF TI /6nr t) ILL. Date Ready/By: Jun, ® See Page 2 for Internet: www.ci.tigard.or.us \ • Notified/Method: Supplemental Information D"` OI - - E - : W FLE ' . * IJt i:SU DTrIiE ' • ' .TYP W LIC. ' ..:` - • . � '' .. --_ ... . ., . I°'' New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) ' • "I: ' • , '' CA.IgECORY: •OF ,,CONS UC'TIOIY ' ! -, t ;' - SFR (1) bath 24920 511- and 2- family dwelling ❑ Comerciallindustrial SFR (2) bath 350.00 m SFR (3) bath 399.00 ❑ Accessory building • ❑ Multi - family Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other. Fire sprinkler ( sq. ft.) Page 2 ,•' '! ; 14 "r; ' iJ OS! .SI11E'lINBOOISIA7;IQN.,AND 7iOCATJOIS!' ■• : . _"r_l.;:...'1 Site utilities Job site address: L217)1P Sw 17 )i brct vl1-i- L.v . Catch basin or area drain 16.60 City/State/ZIP: -1-106(1 ✓v l . l.9 72.... g - Z Z Drywell, leach line, or trench drain 16.60 �},' Footing drain (no. linear ft.: _____) Page 2 Suite/bldg. /apt. no.: Project name: r,t t k l/ 1 5 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 Water service (no. linear ft.: __) Page 2 Subdivision: Lot no.: 9 . z 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 � ,T Drinking fountain 16.60 , -'r": � p�ROPE QW1,m II .. '1'71i;: - T.- ENANT; - . • - -. -..- �' -, - Ejectors /sump 16.60 Name: K..l v, lit.e. 4- iirn4P') , yr[ , Expansion tank 16.60 Address: p . 2 _ 5 ,V Li J k rvi 6-64 -� Le , pit # Z D n Fixture/sewer cap 16.60 City/State/ZIP: `L evv ,�.�.�, y I � 9 -ioO � JJ Floor drain/floor sink/hub 16.60 Phone: ( ) () S. Fax: (SeDj) 10/0 -'2-q Li 2- Garbage disposal 16.60 4 rCON Hose bib - 16.60 • • 7t- , , _(, 1®' L1P . . ? CANT' �' _ °"' r : _❑, r H,P. %:. Ice maker 16.60 Business name: 12) v`t?X�I [fe Hvyl 5 1 x'Y1L• Interceptor /grease trap 16.60 Contact name: .I'LL C 5c�Z_ . . Medical gas (value: $ ) Page 2 Address: I C 75 ivy/ nwY J C l., , PYt,(NL.) j# zoo Primer I 16.60 I City/ State/ZIP: Q Roof drain (commercial) 16.60 • Sink/basin/lavatory . 16.60 Phone: ( ) I Fax: : ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 '.:', t - `=t •, ∎ ,, :.`,... `'' "'; ,1 I•IIRI.. �,OR �.r _. ; `, -, ,... .- • r ■ ,. , . !;y Water closet 16.60 Business name: J`Ftr pawl I ill t �I tivl^ kg t1r.) Water heater 16.60 Address: ?s DS • S • W . A t/ � Irj' it • Other: Ci / State/ZIP: 4133 Of / 7'00(0 Subtotal h' Minimum permit fee: $72.50 Phone: (5-45 ) 0438- 66s 7 Fax: (5a ) 3V Z - 9 5 1 1 3 Residential backflow minimum permit fee: $36.25 CCB Lic.: 1 2 II I z>449 v/i/ 1 Plumbing Lic. no.: 3 y - 370 ? ej Plan review (25% of permit fee) -J State surcharge (8% of permit fee) Authorized signature . , I G s° . TOTAL PERMIT FEE Print name: j())14 ,j())14 n 8 f L Date: 2 -e- D J 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. i:\ Bwlding\Permits\PLM- PermitApp.doe 12/03 440-4616T(10/02/COM/WEB) . . 5- cra •. Al 10- 41 10- ® T CERTIFICATION S TREET ® I • I, p oar ,O wner / for Q rk �r I �i 1 e.,S T I* ® (PLEASE PRIN t � ' ` (PERMIT HOLDER) • ® 1 �j v'' _ ® 4 ® ��. ® /, )..t ® ' 2 ._. - A / _ ,, � ..• _. ■ ® Do hereby certif that th `' ' ► e` following location ► ® , ® meets Ai ; i zta T and /Washington L, ounty ► ® land use and development standards for street tree installation. ® • ® ■ ® ■ ® ADDRESS / 2 ? 3Co S V) Re,w b rand f Larne. `T a o A ► 4 7 2 J-1 ® - ® ► ® LOT: LI 2. SUBDI 13 LC \k Sl 4 Ito ® ► ® BY: 74 DATE 3/10 /O(c ® / ► • ® ► ® RECEIVED BY: DATE ® VV VV YVVVVVVV®YVYYYVYYYYYYYY YY YVYYYYYVYYYYVYYYYYYYYYYYVYYVYY' 1 CITY OF TIGARD '' r'1 sr BUILDING DIVISION PERMIT # : O - 7 . qc 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �i Inspection Requests (24 Hrs.): (503) 639 -4175 `- �I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / a- 7 3 ' , I / , _ ' RI CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3-9- 0 C° Pour Time: �V_; J� Code # Inspection Description Confirm # Contact # Message 1 9�i gq qq 57,1- �7o i ? , - t i Ci nicA rmit,Li a I d r`" Corrections /Com t� /Instruction • • •,__14_,Q ,_,....,...._0 / r rqi v , F -,A74-6-____ - per- z • / a E 1 -/-,1 ZGl °1 FLU ti - r-Div— c-Pa z -19.06 (Kis C 2 t_ 'U - M `1" - r - t) iZo °tom o , `/ • ! Y (. 1 / . F / / / 1 t - R_61)02' Z-1 (/Z Gm - Z c ''oS - C1 M Z '7 Eu) G. hf( /� _,l <-i 're—__ S� c PASS E - . - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI fr i ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect. Date: 3 / d ' ©hone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS7 »f�a (ifj7A5 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: a /240mi u , Phone: (503) 639- 4171 li I . Inspection Requests (24 Hrs.): (503) 639 -4175 `'j ... INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06AM PAGE: 42 SITE ADDRESS: •1 2736 SW REME3RANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 603..64 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.64+ -0905 Inspection Request Scheduled For: Date 2/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 027 -05 503-672470t3 N Corrections /Comments /Instructions: f t P4V/A v - 1 ' k "u/k ' ki ‘14Alr • .e4 - Gel-f 0 . r' (I.4 A 1 . , t C i _ ,�.. —� �/ '41. 4 _ ` rid, i / ) j "i % I �/ 1 .� _ � .�►�! _ �� ........4#1 ` �. 4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lk Date: 47 1 Phone #: (503) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 022349 -01 503- 678 -1355 N II 1/47' SWO ; cam• (..140Z2-361 Corrections /Comments /Instructions: � voLayi - XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M\ LLi Date: 1% 17..ie\s' Phone #: (503) 718- -2..41-1/ CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ng:r2.46 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 oipa Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06AM PAGE: 44 SITE ADDRESS: 1).73Ei SW RFMt3RANDT LN CLASS OF WORK: SUBDIVISION: BELLA VITA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 50 C4frtl9f3E5 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645.0906 Inspection Request Scheduled For: Date 2/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 027102-03 603-572 -4700 N Corrections /Comments /Instructions: 0 o 1\) (9-1 ! 0 kkle 7-31 "---C 1 -2 L-- vG0 0 2 % 1 6 g 0 fit )„_),A___ • p6„Q. Aou__ o�k i -k-x &W \e -cam 6'7.1 o 1 1 / 4q - q . ..— Vbi IC- b VWtz s ,. .- 5 ` v 2,4 /PLO 0 ._ c-g,(2 ky S-e---Q 5-6t-, (1,& 0 Jell X \e'3 6 k. c i. CovN vi _Q_.4 1€_. p,,f,(„,_ + V9,(i,ri ta-e,k_ A P . ©. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ack FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t Inspector: �� Date: / tom / `0 Phone #: (503) 718 -2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8124/2005 I Phone: (503) 639 -4171 A fl� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 24 1 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503545 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 11/8/2005 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 020611 -08 503 -572 -4708 N Corrections/Comments/Instructions: / P 7V/ /L1 /./ 401P / Al / ' iii /_tom _m w i�,vG �i , „„ divismiaimearlIPJAr/Ab' P.PASS . - ❑ ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 2)1 Date: / I Phone #: (503) 718 - CITY OF TIGARD -4 BUILDING DIVISION • PERMIT #: MST2005 -00245 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 A 'lll � Inspection Requests (24 Hrs.): (503) 639 - 4175 11. INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 67 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 019977 -06 503-572-4708 N Corrections /Comments /Instructions: ❑ PASS G: -, RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL LACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Min Date: i//f ri Phone #: (503) 718 - 6 CITY OF TIGARD " BUILDING DIVISION • PERMIT #: MST2005-00246 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24 /2005 Phone: (503) 639 -4171 g„a��"49I(I�j Inspection Requests (24 Hrs.): (503) 639 -4175 s _'� 4' INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 66 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 019977 -07 503-572 -4708 N Corrections /Comments/ Instructions: ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL �„ ALL FOR INSPECTION ((((����❑ ADDITIONAL FEES ASSESSED Inspector: n 4 Date: (II /A Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2005-00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 a , � f i Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message /0 305 Plumbing underslab 015936-01 503-572 -4708 0 i Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " `� Date: 94 vbzc--- Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 e ,d�s11 ill. Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.. INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 76 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 015490 -01 503-572-4708 N Corrections /Comments /Instructions: r -- 'e--e , p, „._.X c ...49 J__Je ..25 — o-(e___________ 4.----- PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V&A 0 y(1 3(d c Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 h I�il Inspection Requests (24 Hrs.). (503) 639 -4175 _� — R__ INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7 :05AM PAGE: 75 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 015490.02 503 -572 -4708 N .Corrections /Comments/ Instructions: 3 cj2 .sk PIS SV--0 . IA N\ (1-.) ....-\....-■ .....-r•—sj — e - --J .--- L - - P v^- — 1,"--41-----3 -4 —S E ---- s „...,-....„..... k -,..., \ ❑ PASS iTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VAV2 Date / 7 ( °&--- Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005.00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 ,,,tt � I�I I � Inspection Requests (24 Hrs.): (503) 639 -4175 . J J . A:_.. INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 74 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 015490 -03 503 -572 -4708 N Corrections/Comments/Instructions: --4\e■_e — e QA---i p Z --- @ _ L I SR ---- " S"L k ❑ PASS a i RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \.\ `-'___– Date: (3 /d Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2005.00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 , d 41l+ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7 :05AM PAGE: 73 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 015490 -04 503-572-4708 N Corrections /Comments /Instructions: i f if balimS PARTIAL APPROVAL El ❑CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \' `�. 9/1 V Y"' p Date. Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/13!2005 TIME: 7 :05AM PAGE: 72 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BF_LLA VISTA LOT #: Q42 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 • Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 015490 -05 503-572 -4708 N Corrections/Comments/Instructions: (Ai k u ��- +2_C. _ �- ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED O Inspector: ` (; Date: (�/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 ��ph1I I I� Inspection Requests (24 Hrs.): (503) 639 -4175 :..��� °__.. INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:06AM PAGE: 71 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 6455 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: . A Code # Inspection Description Confirm # Contact # Message ` 335 Rain drain 015490 -06 503-572-4708 AP Corrections /Comments /Instructions: . (5_____J(‘ L._,,,A.A. Tr-e._ crk.---■ P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �'�� Date: 9/5/ r #: Inspector: Date. Phone #. (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.0 j245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ,: 8/2N2006 Phone: (503) 639 -4171u 1 i / Inspection Requests (24 Hrs.): (503) 639 - 4175+` `' �.. INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06AM PAGE: 43 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELL.A VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 50, :v645 09;36 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 646.0906 Inspection Request Scheduled For: Date: 2117/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 027102 -04 503-572- 4708 N Corrections/Comments/Instructions: AVL L,v■ L �' �' �'� -c-v\A C- _ 4 L.-"- . ' Z'1 7 . (Q C (3 - 9-7.7 - V2e ‘C' P ; -c. WA50,c L; \A--€6. <)( ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' V& dqz Date: / /1 , / W Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 v f f / l rh, Inspection Requests (24 Hrs.): (503) 639 -4175 .- �� `:_.. INSPECTION WORKSHEET FOR DATE: 11/3012005 TIME: 7:09AM PAGE: 51 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 11/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 022667 -02 503-572 -4708 N Corrections /Comments /Instructions: • ( (,'5 U L .„, vy k' ( .. ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL pg_ ALL FOR INSPECTION ❑ ADDITIAL S ASSESSED Inspector: I Date: (( #: (503) 718- 1 . 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 e i.. INSPECTION WORKSHEET FOR DATE: 11/30/2005 TIME:. 7 :09AM PAGE: 52 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 11/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 022667 -01 503- 572 -4708 N Corrections /Comments/ Instructions: I . t o U p q// PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F R INSPECTION ❑ ADDITI NA/Phone EES ASSESSED Inspector: Date: ( ` #: (503) 718 - V} f CITY OF TIGARD BUILDING DIVISION PERMIT #: M i Zww.S oo2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ° p Inspection Requests (24 Hrs.): (503) 639 -4175 ' __.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KiVe i kJ"`tL =' S DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message ;Z`S Fli•e•6i 14 ZA ecuc-,1# ! C /Comments /Instructions: �� (Act ,,_,‘ 6_/L- , t,,i,L. Ql22::G,a v , /rT Z ) -Ta, S S GL' ,' S 44 / Ss." 42 ` T (� Pes;r v�� e'cuiA/6-G7 vry el v /44/.4 -7-zi was.- C'/4- ✓e,Q -c,= �?'1g G'litS h// ss'si7 1� AA, /,2wt. GC1< C' L. v r t t i t! ;��, L 971-i/Z- JA-C.IL. • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,/ Date: / /' — d , 3 Phone #: (503) 718 1 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 -00245 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 Alb il � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/10/2005 / TIME: 7 :02AM PAGE: 50 / SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 020949 -01 503-572 -4708 N Corrections /Comments /Instructions: r 7 - 7Q6- - 57o 7 gr" V ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: // /0 OS .--- Phone #: (503) 718 - v CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 it j i�l •Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' __.. INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 45 SITE ADDRESS: 12736 SW REMBRANDT LN i CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 020949-03 503-572-4708 N Corrections /Comments /Instructions: / /,,i,e4/02.ta.4 M.i'n / �j r v1„i - 6d 8 - vi...4./? /- Aa.4. c o/1� l f, 2) ,-- / .e. X 4.6 /a .4./r7Gi 7 fi mac( loi/A -4 J9 a-Z , 5) 'e; c.1 ex/L.2/ se ,,,,"")L, s4„..frA.0-6- 4) s',/ ig-zi d-46e ,i,:-L7e,dA c( oc._____________ s) Pi› 6 it di zna p 44-7 p4 a...i , ,1„,„, c' Po4c //61>i d 9a " A ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS y FAIL RI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (71 v Date: I V" /e Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 1 1 1:1 i�l� Inspection Requests (24 Hrs.): (503) 639 -4175 ^:_.. INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 48 SITE ADDRESS: 12736 SW REMBRANDT LN / CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 020949 -02 503.572 -4708 N Corrections /Comments/ Instructions: /Y1 9 4 7J Vs' !s0 - 7 - 49 , 2e e yp.) zi I m1,4_4.44) 6cY JAJ.-p 641,67' M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I I Date: f� � Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _. ' - F:_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 27 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 - 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.0966 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # M- : .• - 242 Interior shear walls 019881 -01 503 672 -4708 Ael Corrections /Comments/ Instructions: .. y PAS i t % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ii ADDITIONAL FEES ASSESSED Inspect., 1 Date: 1 ' ✓ /' � v Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639- 4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 �- ' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 23 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 6450986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 019881 -05 503 572 -4708 N Corrections /Comments /Instructions: rJy�PASS d "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS li ❑ FAIL • r4 e) LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: /0' -C/' O hone #: (503) 718- ` - Oct 24 05 02:45p • JRR Engineering, Inc. t4251 697 -4506 p. JRR Engineering, Inc. 18609 76 Avenue West, Suite B Lynnwood, WA 98037 -4149 Phone: (425) 697 -5108 Fax: (425) 697 -4506 • October 24, 2005 Irk e et i ',SOK 'Te.4 J Robert Harp Riverside Homes, Inc. 1925 NW Amberglen Parkway, Suite #150 Beaverton, OR 97006 • SUBJECT: Pull Test Holdown Anchor Bolt Retrofit, Plan 2415- 00- UR -00- 03-OR, Lot 42, Plat of Bella Vista. Riverside Homes, JRR #: 05-03R Dear Mr. Harp: JRR Engineering, Inc. (JRR) understands Simpson HD8A holdown anchors at the back wall of the daylight basement were not installed as shown on the approved plans for the above subject building. JRR also understands threaded rod set in epoxy replaced the required holdown anchors. Based on the overturning load, a required tensile strength of 7570 lbs. minimum shall be satisfied to resist the design uplift loads. Please advise if you have any questions or concerns regarding this matter. Sincerely, JRR Engineering, Inc. `gy PROFf • ph C. yu:� k' 9 AT G f lb P•,. 25,1°`x ca tc• �`� I4 vikor Concurrence: EXPIRES: 1 !I VIA Ronald K. Riach, P.E. Mmi1c \I JRRtLETrFRS\OS03RI.03.doe t. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 an l Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 11 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 019720-02 503 -512 -4708 N Correcti• s /Comments ructions: / -� [55 /N f- -1 /7 SThe/r5 "5 P 50 J e- > s il AM /t— & ) 1, o ,) A-i ' 1 Siva 5 43.z___./&( e_ F1 ___ 1 _, .- P o v i r A-Ls � S T *f'1 AJ - 1 @. 7 �YG /E s, 4 5/1-(6 / ---- f■) o&.) e .) mIr - ��' Fob Al ; ;111 XAIL ❑PASS M PARTIAL APPROVAL ❑ CANCEL El NO ACCESS n ' ' L FOR INSPECTION (`ADDITIONAL FEES ASSESSED Inspector: Date: /e . 48 ., -S Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639- 4171 flh' Inspection Requests (24 Hrs.): (503) 639 -4175 = INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 12 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 019720-01 503 572 -4708 N Corrections /Comments /Instructions: 14 Ull PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL l/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector 4 - Date: /� Zg S Phone #: (503) 718 - w CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00246 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I t c INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 29 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 019402 -01 503.572 -4708 Y Corrections /Comments /Instructions: ( r ) - 7"/(14-/c... c%(4/6 E /r// -ie-S A-1 DEG � ./cs C ,4i L. I e. /'/y77.0,, / - - 3 1-L c— _ 4S - , oe„ . 4 04 f/t-- ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: A, 24-6') hone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500246 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8124/2005 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 ' ^_ INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 59 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 6450986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-6450986 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 019249-02 503- 968 -9108 N Corrections /Comments/ Instructions: - 1›,01e.7" -- /0 •Z /• o (K C0k2G"ZT n, se..- -• sbic5thr____ h_.mi_z__ tfri i ss /et_Jcn-L „s 5 Z s 1 V k `j iLi f S S'/ 11`) CA e7 ',7Z_ s/ c. 0 l' t\l O 6 K k c,-(L_ 5 ` 1 A- s---1 rceov/r\ C' T.' -�.< ' I' /- 6ticc A14-/e_.- / -^./ &., i ('f 57 n PASS P 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I/ C , L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 7 '.--- 11111111 Inspector: - ___-aid Date: Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2006 Phone: (503) 639 -4171 azitr I� Inspection Requests (24 Hrs.): (503) 639 -4175 'I I.. INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:10AM PAGE: 60 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 603 646 - 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 019249-01 503-968-9108 N Corrections /Comments/ Instructions: R.El 2 i /0 • / • a • C Go r2 LPG - c-i - 2 A) 14 an 0-a✓` —( /° L.1:5 r ❑ PASS 1 PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS TA 'FAIL • • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector /_ = Date: ° • S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8124/2005 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I.. INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 58 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 019249-03 503 - 968 -9108 N Corrections /Comments /Instructions: R - o)2 ----- • -Z / •0 ce- - - _z. NI o---r c=-. B-'(f • ❑ PASS al PARTIAL APPROVAL El CANCEL ❑ NO ACCESS %1 // ' f L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A _ Date: L d �� Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00246 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639- 4171µd/Ip �1a Inspection Requests (24 Hrs.): (503) 639 -4175 4 "'I �� INSPECTION WORKSHEET FOR DATE: 10/2112005 TIME: 7:08AM PAGE: 111 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 018916 -03 503. 968 -9108 N Corrections /Comments/ Instructions: iVA/ c. C- - =KAZ-Pv1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 10 — Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 112 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 018916 -02 503 -968 -9108 N Corrections /Comments /Instructions: rij 4/0/4- ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: PO— Z/—dY Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24 /2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 113 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 018916 -01 503-968 -9108 N Corrections/Comments/Instructions: • -/ _ .vi Oa- Am/ ' - — - • ,0ePeney ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL w ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 ,-/k Inspector: Date: 1O— 2J --d Phone #: (503) 718- s CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24 /2005 Phone: (503) 639 -4171 irt i i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.545.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: 2 Code # Inspection Description Confirm # Contact # Messa e _ /� 220 Slab 015936-02 503- 572 -4708 Y 1/" Corrections/Comments/Instructions: k r IC g d 41r- C Vari pre T .G - G v,s N ________ ciAot., c,,.._Si e_.4 rem / L i,„jr,„ v,„4 �,, .„S, 11."-Q. 69-e re.— Y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date 4 t) #: (503) 718 - - - - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 474 011 li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 49 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.545 -0986 Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 015404 -01 503-572 -4708 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 /44 1 1 l Inspection Requests (24 Hrs.): (503) 639 -4175 F_'_.. INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7 :04AM PAGE: 47 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 6450986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 9112!2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 01540502 503 -572 -4708 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL QALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /1-7,-7 Date: %e Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 �, lit Inspection Requests (24 Hrs.): (503) 639 -4175 � • .. .. INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 48 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -09B6 Inspection Request Scheduled For: Date: 9/12/7005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 015405 -01 503-572-4708 Y Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- r '1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 u, �1i'� Inspection Requests (24 Hrs.): (503) 639 -4175 `- _.. INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7 :04AM PAGE: 46 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 9/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 015405.03 503-572-4708 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 1V1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto . Date: f /V Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 /�aau' la (' �, Inspection Requests (24 Hrs.): (503) 639 -4175 "'I1. INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 44 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 015405 -05 503-572 -4708 Y Corrections /Comments /Instructions: / (5 CI ❑ PASS ❑ PARTIAL APPROVAL c.tiCANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /2/'t4( Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 I Phone: (503) 639 -4171 ArA- r Inspection Requests (24 Hrs.): (503) 639 -4175 � °__.. INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 45 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986 Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitaiy sewer 015405.04 503-572 -4708 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL E C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r ine Date: Phone #: (503) 718- CITY OF TIGARD r BUILDING DIVISION PERMIT #: MST2005-00245 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/24/2005 i Phone: (503) 639 -4171 idppt Inspection Requests (24 Hrs.): (503) 639 -4175 . ! ;1.!!. INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7 :07AM PAGE: 58 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: Qb) Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 015290 -01 503-572-4708 N Corrections /Comments /Instructions: ..,0 . v • "s_ , L 2..:_ c4J14 -L4—. &AP / .✓' a%/ u y - ..-s /J:� S, - . ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A4 Inspector: Date: fr'�9 —os" Phone #: (503) 718- CITY OF TIGARD \I BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 Phone: (503) 639 -4171 44 1 Inspection Requests (24 Hrs.): (503) 639 -4175 F:_.. INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 108 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 9/7 /2005 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # . Message 205 Footing 015048 -01 503-572 -4708 N Corrections/Comments/Instructions: ( ) 4i2cA5 SuA N/ AAP C, g, --r- ( ) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED A Inspector: Date: g 7^O Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005 o Phone: (503) 639 -4171 A r ,i�O, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/6/2Q05 TIME: 7:06AM PAGE: 41 SITE ADDRESS: 12736 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 014965.01 503-572 -4780 N Corrections /Comments /Instructions: a : L�L.-1� ., - 4 UzGS7---' - r • ❑ PASS - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9-- Phone #: (503) 718- 11 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00246 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 81242005 Phone: (503) 639 -4171 u � bill I l, Inspection Requests (24 Hrs.): (503) 639 -4175 'IL INSPECTION WORKSHEET FOR DATE: 9/2/2005 TIME: 7 :07AM PAGE: 25 SITE ADDRESS: 12736 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 042 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF detached. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 9/2/2005 Pour Time: 12 : 00 Code # Inspection Description Confirm # Contact # Message 205 Footing 014890 -01 503. 502 -4589 N Corrections /Comments /Instructions: �]� Ajerr — P 7 �o A AQ s P��oAJ, �-sd 4.h:c`-(7 .612431,4w L/, r- .- /6 --05-0 ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: 9- Phone #: (503) 718- — !