The URL can be used to link to this page

Permit CITY F TIGARD MASTER PERMIT 71 PERMIT #: MST2005 -00380 COMMUNITY DEVELOPMENT DATE ISSUED: 1/27/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109DD -07400 SITE ADDRESS: 12822 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 004 JURISDICTION: TIG PROJECT: BELLA VISTA Project Description: New SF. 6/5/2008 ADDED (1) backflow preventer. BUILDING REISSUE: RH3117 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1 at BASEMENT: 1,389 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,388 at GARAGE: 605 at FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,694 sf RIGHT: 5 VALUE. OCCUPANCY GRP: R3 BDRM: 4 30,435.30 4 BATH: 3 TOTAL: 4,470 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER UNES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIUCMP c 3HP: VENT FANS: 7 CLOTHES DRYER: 1 NAT FURN 5=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: 9 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR: UMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amplvolt : PLAN REVIEW SECTION Reconnect only: 5=4 RES UNITS: SVC/FDR> =225 A.: 5 600 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 8 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC laws. All work will be done in accordance with approved plans. This 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 SUITE 200 if the work is suspended for more than 180 days. ATTENTION: BEAVERTON, OR 97006 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 Phone: 503 645 - 0986 Contact #: PRI 503 645 - 0986 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 690 -2942 Reg #: LIC 70065 TOTAL FEES: $ 11,854.86 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By /� �_ �� l Permittee Signature :I // 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. Plumbing Permit Application 1 Bui4ding Fixtures FOR OFFICE USE ONLY City of Tigard DateB �p tJ Y Permit No.: t57 �� III ■ 13125 SW Hall Blvd., Tigard, OR 17 = PI ' 1: y � G Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 JUN p Date Read B ru ns: 01 See e2for T I G n R D Internet: www.tigard -or.gov 0 5 2000 y Y S N Notified/Method: Supplemental Information d TYPE OF �w Y w �I �e C FEE* SCHEDULE ❑ New construction �7 �� n F T GA�I� Forspedal information use checklist " ' T °a n 4 t�I t1 9U�SI ®� 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 ❑ 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: /�. D P--)_ St A 4 Catch basin or area drain 16.60 City /State/ZIP: '7') 10 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: 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: I Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 4 DESCRIPTION OF WORK Backflow preventer I Page 2 �� t LS� yt j r/r► !, Backwater valve 16.60 / 1 i a ,, t) tvm.-0 Clothes washer 16.60 7 e UM fe/ ,,k s» / / � � Dishwasher 16.60 ❑ PROPERTY OWNER / ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City/State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: A2 �� Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax: : ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR yy� Water closet 16.60 Business name: �,Y /, rl 1i ,r pf� %� / Aj Water heater 16.60 Address: Other: City /State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: I Date: 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. 1:\ Building \Prnnits\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information -• s- Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - I 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater _ $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling . 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or • each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • • • Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed • greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool • ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. . -3" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory • - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: • is\ Building \Permits\PLM- PermitApp.doc 12/27/06 /s'-4 5: a CITY OF TIGARD MASTER PERMIT PERMIT #: ° 4 COMMUNITY DEVELOPMENT DATE ISSUED: 1//27/2006 00380 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109DD - 07400 SITE ADDRESS: 12822 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 004 JURISDICTION: TIG PROJECT: BELLA VISTA Project Description: New SF. 6/5/2008 ADDED (1) backflow preventer. BUILDING REISSUE: RH3117 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1 sf BASEMENT: 1,388 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,388 sf GARAGE: 605 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: 1.694 sf RIGHT: 5 VALUE: 838,071.30 OCCUPANCY GRP: R3 BOW 4 BATH: 3 TOTAL 4,470 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER UNES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP c 3HP: VENT FANS: 7 CLOTHES DRYER: 1 NAT 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 FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 9 201 - 400 amp: 201 - 400 amp: let W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR: UMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC/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 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: LANDSCAPEARRIG: 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 applicable RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC laws. All work will be done in accordance with approved plans. This 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 SUITE 200 if the work is suspended for more than 180 days. ATTENTION: BEAVERTON, OR 97006 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 Phone: 503- 645 -0986 Contact #: PRI 503- 645 -0986 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 690 -2942 Reg #: LIC 70065 TOTAL FEES: $ 11,987.72 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : i � _ ,..„,,,,am.„ _ •ermittee Signature : / / .V .. Call 503.6 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 Application Residential FOR OFFICE USE ONLY Received City of Tigard C �� ' E Date/By: ray Permit No.:�5? a j :� q 13125 SW Hall Blvd., Tigard, OR 972 Plan Review 0 Phone: 503.639.4171 Fax: 503.598.1 Jl'N DateBy: Other Permit: TI G n IZ D Inspection Line: 503.639.4175 1 O 5 2 008 Date ReadyBy: 0 Juris: See Page 2 for Internet: www.tigard - or.gov l Notified/Method: Supplemental Information Y ®f 1►GP►Rt TYPE OF W010 �� DI VISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING �.1`iew construction ❑VA ton Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. it 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder al Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / a -8 <9-2_ sw /Q,gM1 �� r.� ,/,,,,,..e._ New dwelling area: square feet City/State /ZIP: L I'j (j /Q Y 7.1-,-1/ Garage /carport area: square feet Suite/bldg. /apt. no.: J Project name: gat Ul Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 3 4 ,4 14 Lot no.: y Permit fees' are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the I - I J DESCRIPTION OF WORK work indicated on this application. ti 0 /� Wes4 S: e /ads -� Valuation: $ �1 //� i y �( �t Existing building area: square feet (li��J e/' e : / 7)-107- New building area: square feet ❑ PROPERTY OWNER Ell TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: /?W s gopzeg All contractors and subcontractors are required to be Contact name: piliJj�Q� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /9,35 C(/ , � gy..�(vi/ jurisdiction in which work is being performed. If the City /State/ZIP: s r}y� " 1 /7ec 7 applicant is exempt from licensing, the following reasons h / apply: Phone: ( 7) ll y5 -Q r i�i Fax:: ( ) E -mail: t 11 CONTRACTOR / c L Business name: S r' C4 r Tiv Q 'y / t ` 44d rc j Al irbae - A) BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City/State /ZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: Total fees due upon application: Amount received: Authorized signature: 1,/g&e This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �f/fj �� CG 42-4?___ Date: (S * Fee methodology set by Tri-County Building Industry ` Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1 /02/COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: 11111 1 3125 SW Hall Blvd., Tigard, OR 97223 Associat C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ . 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan 0 permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be a t t licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ U including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ Building \Permits\BUP- RES- PennitApp.doc 03/21/06 440-4613T(11/02/COM/WEB) MASTER PERMIT CITY OF TIGARD PERMIT #: MST2005 -00380 �11 DEVELOPMENT SERVICES DATE ISSUED: 1/27/2006 °=--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 . PARCEL: 2S109DD -07400 SITE ADDRESS: 12822 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 004 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: RH3117 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,388 sf BASEMENT: 1,388 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,388 sf GARAGE: 605 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THUD: 1,694 sf RIGHT: 5 VALUE: 430,435.30 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 4,470 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 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 LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 7 CLOTHES DRYER: 1 NAT 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 FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 9 201 - 400 amp: 201 - 400 amp: 1st W/O SVCFOR: 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 - 1000x. MINOR LABEL: 1000+ amo/volt : PLAN REVIEW SECTION Reconnect only: 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 # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Muniapal Code, State of OR. Specialty Codes RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC and all other applicable laws. All work will be done in 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY accordance with approved plans. This permit will expire BEAVERTON, OR 97006 SUITE 200 if work is not started within 180 days of issuance, or if the BEAVERTON, OR 97006 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 645 -0986 Contact #: PRI 503- 645 -0986 adopted by the Oregon Utility Notification Center. Those FAX 503- 690 -2942 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 11,824.00 Reg #: LIC 70065 direct questions to OUNC by calling 503 -246 -6699 or 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : )2 Permittee Signature : 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. Buijding• Permit ApplicatiK iu ,1; FOR OFFICV USE ONLY City of Tigard Da / By: n 5Dr 'jt Permit No �til "b 13125 SW Hall Blvd., Ti `' Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 �""�fli f DateBy: / 1 9 - a 5/ - ay" Other Pennit_:� _ �/_ q Inspection Line: 503.639.4175 . V -Oi ..:'�' j� ? ! '':_� Date Ready/By: Juris. = 0 See ttaehed Checklist for Internet: www.ci.tigard.or.us , i;:t..tiiNG Di\ ��r i ,,�,�. Notified/Method:a. ",ftji5 t I /I Supplemental Information 5 to .., Wje \\ i d N--_, TYPE OF WORK REQUIRED DATA 1 - AND 2- FAMILY DWELLING ® New construction 0 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 the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. i',0 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 500)00°. 0 0 El Accessory building ❑ Multi - family Number of bedrooms: y- ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: I Z c62, 5k4/ R_4161. bray, 4 4- L New dwelling area: 4141 p square feet • City/State /ZIP: j & rGl C) p_ 2_ 2_ 9 '? 2_--2-1-4 � Garage/carport area: up D s square feet Suite/bldg. /apt. no.: J 1 Project name: B ! (a \l i !A-6k_, Covered porch area: 1 2 ' 2 7 square feet Cross street/directions to job site: Deck area: 100 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: F2,)Q I l0; V t FkrA_J Lot no.: Li Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and t he profit for the DESCRIPTION OF WORK work indicated on this application. 1 ) , 0 1 `r P C- D -;' 612--- Valuation: ., • $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: P 1 y�X51 U e_. itll✓►'t.e 5 , TOG- • Type of construction: Address: C( Z 5 mA, A-wl feir5 Levi - (r ( t $ 2C C) Occupancy groups: City/ State/ZIP: t 64v vl. d i2— '7 0 0 ( Q Existing: Phone: (n(3) (e L S - O Y O (e Fax: (50 t - 2`114 Z New: ❑ APPLICANT I-1- 4.7 CONTACT PERSON NOTICE Business name: 2i t/..6 y5; cL l- [.U ., - ��C.., All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: (,L; 50 A4 al„._ under ORS 701 and may be required to be licensed in the Address: I 617_5 A w A4n'i h-Cr J L 11 ` , ) 5v1 f . e Zoo jurisdiction in which work is being performed. If the _ 1` " applicant is exempt from licensing, the following reasons City/State/ZIP: Betty - .,.�_ (CJ IZ q apply: Phone:( 3) (e LIS - O c j e) ( Fax: :(5 J )(C0- 2! E -mail: Ct,imlU. ri veir,5i °Lc hoYl4 .. r tin- CONTRACTOR Business name: 1 2 v.ersi c,e Howie, G • BUILDING PERMIT FEES* Address: 112 5 A vV A kei b / Prow IA G O1 le 20 Please refer to fee schedule. City/State/ZIP: l,e t�V .e-r .I.e,w ( /-700(e Fees due upon application Phone: (S (B y- 5 -Oct L Fax: (6 17/2 >- 2''Z q Amount received CCB lic.: Date received: Authorized signature: C ‘-yk ( PC') This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:, C /yL A -1 Date: l l _ 7_0- 09, * Fee methodology set by Tri- County Building Industry i Service Board. i:\ Building \Pcmits\BUP- PamitApp.doc 12!03 440 -4613T(11 /02/COM/WEB) 1 Mechanical Permit Application FOR OFFICE USE ONLY city of Tigard A Date/By: Permit N9q 6 / R.ee S - UlJ3 a c 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 Ap \ Date/By: Other Permit: Inspection Line: 503.639.4175 l� _ Date Ready/By: y: i� See Page 2 for Internet: www.ci.tigard.or.us ..T.409._., Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ca 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: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: - Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 1 Z T.97 -2_ SW fim bawd T conditioning s se plan or heat pump (req uires site pl showing placement) 14.00 City/State/ZIP: 71 .6 V ` 4 ' (� q -2,2.4 Furnace 100,000 BTU (ducts /vents) 14.00 "k n ^ Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: mil r I(,( U I ' n4-c(....., 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: del to v, s4-0,.., Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 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 10.00 ❑ PROPERTY OWNER I ❑ TENANT Other: 10.00 Name: e.1Y?.r5i d D /-- 5 , C - Environmental exhaust and ventilation �,, " Range hood/other kitchen Address: q 2 S A IA/ Aryl ae/r Gj i D{'�,LCJ(� # 2-496) equipment 10.00 h, 0{ 4 V , P,Y O� ' 7 O a (, J Clothes dryer exhaust 10.00 City/State/ZIP: ' / �' Single -duct exhaust (bathrooms, Phone: (S6) to i-/-S - O q o( Fax: ((d)j) ( o SO - 2 (Z toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: 'Zi V 1 -I'S, 9Lt? It'YI1_l .5 -J 1 )C • Fuel piping Contact name: ALL.; 7:-,01/1. $5.40 for first four; $1.00 for each additional Address: iq 2 5- /C/vi / 470 prt,w j t # G Z 6 Q an hea p Gas heat pump City/State/ZIP: t_ (til/ -4.. , (912, q7 U U (v Wal l/suspended/unit heater Phone: (€j (Q 4 5 - O9 8(e. Fax:: (47)-3) /O l D - 21 Z Water heater Fireplace E -mail: Canvi l V r i ✓e 5 iote 'l ov► - - C cMV Range e CONTRACTOR Barbecue Business name: .kit - ■,p--\--ro u 0.0- ,■ S t r L + Clothes dryer (gas) a Other. Address: p M 1 2 a , - z S 4 u c E! p.,,.. g a 5 „‘,-1..,_ t, 1. MECHANICAL PERMIT FEES* City/State/ZIP: (, r./l_ c l_ a� / 6 la c, A, 6 3 6 Subtotal Phone: o Minimum permit fee ($72.50) (t 3) 3 S I - `� S '� Fax (5 ' �) S 3 Z S Plan review (25% of permit fee) CCB lic.: / 5 Z 9 3 4 State surcharge (8% of permit fee) • TOTAL PERMIT FEE Authorized signature: C This permit application expires If a permit Is not obtained within 180 days after it has been accepted as complete. Print name: 3:7 Cr S J Date: OZ J o / A r • Fee methodology set by Tri - County Building Industry Service Board i:\ Building \Pefmits\MEC- PermitApp.doc 12/03 440- 4617T(I1 /07JC0M/WEB) Plumbing Permit Application FOR OFFICE USE ONLY R eceived �A[", 9 - �3 'C) City of Tigard Permit No 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 x� Other Permit No.: 24- Hour Inspection Line: 503.639.4175 fi'U i 1 Da Re �P � • Date Ready/By: J " ^ ^ : ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information. TYPE OF WORK FEE* SCHEDULE 14 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 • a 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath ' 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/ldtchen 45.00 ❑ Master builder ❑ Other. Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: Z ?i �W / / y) r -�� .i- Catch basin or area drain ■ 16.60 City/State/ZIP: 1 q ( ,,,,,- r I n 2- 2-4 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: J I Project name: be,f I c,_ v f S 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: I Lot no.: 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 Ejectors/sump 16.60 Name: E ail.¢_ io .7S . i-)c . Expansion tank 16.60 Address: Fixture/sewer ca 16.60 )ci Z 5 Nw t-4 L „,, p r, A„ i # � o r- p City/ State / ZIP: be pia_ g -Q() (l J Floor drain/floor sink/hub 16.60 Phone: (573 ) IP 4s - I >5 % (P Fax: (SD 1 -zy L.J, 2_ Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 EA Ice maker 16.60 Business name: V lL C Hpyl,te S t Y)L• Interceptor /grease trap 16.60 Contact name: At (At 5ci/L_ r" ' Medical gas (value: $ ) Page 2 Address: 1 q 2 Nw �Qyt1 _ J G- / pY�,.1 it f ZOO Primer 16.60 City/State/ZIP: a Roof drain (commercial) 16.60 Phone: ( ) Fax :: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: `6+1 pawl i C h c Vvhbt 05 Water heater 16.60 Z SDS- .S, A u Other Address: S (� � • City/State/ZIP: 4 tOtet h O � 1 7 p06 Subtotal Minimum permit fee: $72.50 Phone: ( 5 - G 3 ) 09,8 - b 6S 7 Fax: (5& ) 321 Z - 991 3 Residential backflow minimum permit fee: $36.25 CCB Lic.: j* Y 2 III Plumbing Lic. no.: 3 y - 370 p e, Plan review (25% of permit fee) L Authorized signature--344,_. 6 E(frl State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: Son RTn4 v 8 r l I I Date: 2 - g-. 05 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 \Pumita\PLM- PermitApp.doc 12/03 440 -4616T(10 /02/COM/WEB) Electrical Permit Application FOR'OFFICE'USE ONLY Received g44 �2®0j>5 — 3g City of Tigard Date/By: Permit N94/1 ` '� / °� d 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Pennit: Inspection Line: 503.639.4175 �_� al I Date Ready/By: 1uris. 0 See Page 2 for Internet: www.ci.tigard.or.us Notilied/Method: Supplemental Information TYPE OF WORK PLAN. REVIEW cP' New construction ❑ Addition /alteration/replacement Please check all that apply: Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition 0 Other: ❑Service over 320 amps — rating OBuildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure Multi-family ❑Building over three stories ❑Feeders, 400 amps or more y ❑Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or '. JOB. SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park //�� , / ! ❑Health - care facility ❑Other. Job no.: Job site address: ' ^7 g 22. cV b .1Y) 6{4,/1�i1 S ubm it • 2 sets of plans w any of the above. ' City/State/ZIP: T q � v q--72-7 4 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: J of Project name: ! e J / CC v r 5- FEE* SCHEDULE E I I +• 1 Description Qq•. Fee. Total 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 4 Subdivision: `/4 1/1. 5 Lot no.: q Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 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, alteration, and/or relocation 200 amps or less 80.30 2 ' ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: �a V'. 1; r'J - f ) 5 J Tin(, 601 amps to 1,000 amps 240.60 2 O 06.41 �, Over 1,000 amps or volts 454.65 2 Address: 1 N �/ A-n �') - (A( 1(.{i Reconnect only 66.85 2 City/State/ZIP: /3e c:tv'•e1y-j L/2 i a / 700 ( Q Temporary services or feeders installation, alteration, and/or Phone: (5T) jpL f _ p 9 Fax: (SSj:) G� 0- 2 �! 4 Z relocation 00 f*� '7 - 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 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 0 CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: 21 v��, . i r) , -H . Uyl , Le / �� branch circuit ^ Alt B. Fee for branch circuits Contact name: Jam• Li sock /VI (A t without service or feeder fee, 46.85 2 each branch circuit Address: 7 AI 14/ Ai'►') • l -7. t LLU 74 2 G U Each add'I branch circuit 6.65 2 City/ State/ZIP: tAt.V ,e.1 - VtN1 D Gj 7 J u Miscellaneous (service or feeder not included) Phone: ( ) (¢ L i - 5 -o 91 E3) 7 Pump or irrigation circle 53.40 2 (t! Fax: (S � �IU ' Z � y4_7_ Sign or outline lighting 53.40 2 E -mail: (C -r)1c 0 r I ;Row $1 C orva , C 0),-1.-k_ Signal circuit(s) or limited- ) CONTRACTOR energy panel, alteration, or • extension. Describe: Page 2 2 ' Busin Warne �� mr �f _ ____ `.c, t -d Each additional inspection over allowable in any of the above Address: P Q _ Qx .3 S. p Per inspection 62.50 City/State/ZIP: p O ••2.,a../ j( o r: .• O Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Pte: (r') 6 7 S —1 3 S FBX: (063) 6 2$ —I f O $ ELECTRICAL PERMIT FEES* CCB Lic.: 2,0 ri Electrical Lim: S&fu7 Suprv. Lit.: 31(, Subtotal Supry Electrician signature, required: • . go Plan review (25% of permit fee) Print t'rerrle• State surcharge (8% of permit fee) , Q Qv 17 17 410 i� tl� ,e,.,,o (.-d Da t e: 2 / 7 ps TOTAL PERMIT FEE ' Authorized signature: • This permit application expires if a permit is not obtained within 180 Print days after it has been accepted as complete Dat • Fee methodology set by Tri County Building Industry Service Board . — -- •• Number of inspections per permit allowed. i:\ Building \Permits\E1.C- PcrmitApp.doc 12/03 440-46I5T(I0 /02/COM/WEB Electrical Permit Application FOR OFFICE USE ONE\ . City of Tigard Received Permit 5 • 13125 SW Hall Blvd., Tigard, OR 97223 Pla n Review 3 �� Plan Phone: 503.639.4171 Fax: 503.598.1960 11 1 Date/f3 : Other Permit: Inspection Line: 503.639.4175 -- ■ '_f_ Date Ready/By: kris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Dew construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other ❑Service over 225 amps, comm'l ❑Hazardous location ❑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 [l and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi- family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: ) 2 8 2 Z ��'Y, ❑Health -care facility ❑�� m i t 2 sets of plans with any of the above. City/State/ZIP:_ 2-24 The above are not applicable to temporary construction service. • Suite/bldg. /apt. no.: Pr oject name: 6.1,A, v 1 7 FEE* SCHEDULE Description Qty. I Fee. I Total •• 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 4 Subdivision: FY) (it V i s-{-1L , Lot no.: [)LJ. • Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: V � _ + Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular 1---I V V C , Y t O) ai lt� O , C / C � / dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation �/ 200 amps or less 80.30 2 re PROPERTY OWNER I ❑ TENET• 201 amps to 400 amps 106.85 2 � 401 amps to 600 amps 160.60 2 Name: v f 4 (A �- ) *fr 3 4 l� S ) 'IL . ZC) 0 601 amps to 1,000 amps - 240.60 2 Address: q is 1 V (/, '/ J a j / Ow ` 4 Over 1,000 amps or volts 454.65 2 v' Reconnect only 66.85 2 City/State/ZIP: ja v �/ � ( 12_ 61 Temporar services or feeders installation, alteration, and/or f �� ZG , L Z relocation Phone: ( (1zj) L21.-C' 5-6 Fax: ( r ) I "f 200 0 arn amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 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 I ❑ CONTACT PERSON A. Fee for branch circuits with • Business name: , e v .bY ( Y I �7 branch cilar fee, each 6.65 2 Y t -Q `� C - rcu ��+ ; B. Fee for branch circuits / 11/1 Contact name: 6 J , -/ i , w ` ... C �t Z Al � W , �/y / i 1 /1 (ti , t ,t' Each a a dd'I ra branch circuit ,� � � � b branch cuit 6.65 2 City/ State/ZIP: '),Q�1 (��it/-ItA e/) .- q 7 0 t7 (p Miscellaneous (service or feeder not included) r ✓` r f Y / T Pump or irrigation circle 53.40 2 Phone: (7) (pii{ 3 L 9 Fax: : (571;5)66 — z9 (f Sign or outline lighting 53.40 2 E -mail: J �C� Signal circuit(s) or limited - CONTRA OR energy panel, alteration, or Y1 �/ J &; extension. Describe: I Page 2 2 Business name: If /' it_ V ' L& ` Address: i(s Z /I �l�� V- [ Q� �`'`� zoo Each additional inspection over allowable in any of the above I 1 r,/ Per inspection 62.50 City/ State/ZIP: T 1 vM/ I q 70 U 4 Investigation per hour (1 hr min) 62.50 Phone: GA )t5) tom„/ l I Fax: (CO' ) 'G L Industrial plant per hour 73.75 f�A ELECTRICAL PERMIT FEES* CCB Lic.:iOO (e I Electrical Lic.: I Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: State surcharge (8% of permit fee) Date: / �, TOTAL PERMIT FEE Authorized signature: U� This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete Print name: A (1,5 ifkt Ma/ Date: t / i l • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is\ Building \Permits\ELC- PermitApp.doc 12/03 440-4615T(10/02/COM/wEB A Viiii k �\ CITY OF TIGARD RESIDENTIAL PERMIT APPLICATION REVIEW OREGON Permit Number Imam - 00 4: • Lot No if . Subdivision ria Address - 8__ W ' -v , Na _1 , , Contact Name 4lI iroA Business KIVaKut., 146/us T/1JG V Street !far NW 4n i GE 7.0.1y St481_, aoD City 6betvu 74N State I p/. I Zip I ”606 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. FRE The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or. approved. . 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 ". The plans are deemed "complex ". If you have any qu- - , . lease call Chad Williams at (503) 718 -2708. 0 ..4,o �, if "it Of Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 .44s— o2:9s - az) 3 FO ® 1 Ito. AA AAAAAAAAAAAAAAAAA AAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAA ® . ® STREET TREE C ® I, /G LEAS Gee ca ner /l�gent for fite ® PRINT) � (PERMIT HOLDER) ® s ® ,,: z . �, ® Do h ereb. T . 4 Iii ' = o e f'O :F. , i = is ® - location ® meets A:� o : rd%Wari' , on county ounty s �.. . ® land use and development standards for street tree installation. ® ADDRESS: / 9N 50} ffeiebrasiii hi T y ar q ii. 0. ® ® ,L LOT: q SUBDIVISION: AG4 i / Y 44 ® /2 ® BY: _� DATE: - Q • G ® RECEIVED BY: DATE: A h. grVIVVYVVVVVVVTVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVvi . i . . /2S 94/ 12__a,n/ t br'(,( STREET TREES MUST 3 /)? 7 l BE PER APPROVED DEVELOPMENT TREE PLAN 1 1 . °$ RECEIVEC I Nov 1 3 2005 R= 25.00' - CITY OF TIGARD L= 25.54' I BUILDING DIVISION TAN= 14.01' _____._1-_ N65 °01'14 "E 27.04' DELTA = 58 °32'14" I Vi °' ` - �� 3Qo Iti a 1 " SS - TRACT A 4 , °SD' III SW 1 w r 0 w\ �I, Co ,, 2 0 L. 74 z, r %111_1-1 5 ? ► l J. 1 ■ ' I a o ,., "Z. I V ) i_ ----------------, 6 A> \ \ L - N N cD J v '" *CA o •, 40' Z ._ cr .,.... ,,....,_ , , il / \--,..,:,,,,,, 00-41, W e SDE & SSE ro �wrY%/IoK.S I ri C 6 4 Sst = ce. 2810 ` `, ° ` „ '- ∎ i3q o in 3s�fl 0108W58.12� SURVEY POINT ''''''--,,.,..,8y °° o 1 r _Lao O BELLA VISTA LOT 4 SCALE: 1 " = 20' c o ENGINEERING & LAND SURVEYING (1)ESIGNED: PREPARED FOR: RJ _ o 1 "lilt % 4 02 CanyOn L RIVERSIDE HOMES °- � Sutte DR / �/ �+ S W 1925 NW AMBER GLEN PKWY, SUITE 200 �= Ve �\ , ; e Portland, OR 97225 BEAVERTON, OR 97006 0 oo - ^4n CHECKED: (503) 645 -0986 0 �� 4 !� H Inc. RJ (503) 690 -2942 0 DA / ` \�` ' 4 °- _ _ 3 (503) 291 -9398 6/20/03.} O (Fax) 291 -1613 o CITY OF TIGARD - SITE PLAN REVIEW t . ,... BUILDING PERMIT NO.:■S'peOS 'DD3Y) PLANNING DIVISION: Required Setbacks: Approved ❑ Not Approved Side: Street Side: l Front. 15 Garage: 0 o Rear: 15 Visual Clearance: la Appr ❑ Not Approved Maximum Building Height 3 2 feet CWS Service Provider Letter Required: ❑ Yes r No ❑ Received BN : L(�,c ,,r�� Date: 1/ -l5 - 05 ENGINEERING DEPARTMENT: Actual Slope:L7�% (Approved ❑ Not Approved Site Plan: Q pproved ❑ Not Approved r I By: L�. -:•-- r Date: !� /.6 /Og- °t' : - nu -AGL1 4. 4-av « CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20Q5.00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 d"41I�II Inspection Requests (24 Hrs.): (503) 639 -4175 F: _.. INSPECTION WORKSHEET FOR DATE: 6/9/2008 TIME: 7:01AM PAGE: 44 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. 6/5/2008 ADDED (1) bacldlow preventer. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.09036 Inspection Request Scheduled For: Date: 6/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 071013 -01 503 - 572 -5592 Y Corrections /Comme /Instructions: ira a ✓ate 2t�.�y L C7U l" co,--,eldittJT 6,),,,k,'FO a-- ccit}k PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14- A ( tn^ -d- Date: 6 k, ,b ) Phone #: (503) 718- CITY OF TIGARD . • • BUILDING DIVISION ' � � ERMIT #: MST 20D5 003130 13125 SW Blvd., Tigard, OR 97223 6 Ti and AT ISSUED: 11271200€, Phone: (503) 639 -4171 riots 1, Inspection Requests (24 Hrs.): (503) 639 -4175 eh- INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7 M PAGE: 54 I SITE ADDRESS: 12822 SW REMBRANDT LN CLA S OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 - 645 - 0986 Inspection RequZpection st Scheduled For: Date: 6/5/2008 Pour Time: Code # 11 Description Confirm # Contact # Message 399 N d- Plumbing final 070835-02 503 -572 -5592 N Corrections /Comments/ Instructions: I i # f Vrift - 11.N.:: C_ `----- 1 \ rC ' 2 4/ 61 — tip' 1%■N S L e �-0 p 6 C- ro S C vu-, uG,n o / „.._..r f rAA Le., A \i L_ W 4 " fri 0 % GL-IAA . (?LHo-cxDiS a ---- Le(Ai, 9.,r" _ e 5 Z . t ./0 A- LA , i . . IV:- .41-AA f I, c A--v-_-u-e_d Q__, PA) v 0 L2-. 1..,/, 5 e_a_z__ , V 4 // ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS KEAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: "/c/6 Phone #: (503) 718 - l CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2f)05 003130 ■ 13125 SW 'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112712006 Phone: (503) 639 - 4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E3ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0986 Inspection Request Scheduled For: Date: 6/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 070706-02 503- 572-5592 N • Corrections/Comments/Instructions: i F � 1 ., 4-4;r. k12:0232_ APL M 2oo_6 —Oo .50 asz `(' t i Ob- E a�� . New_atvo : 1` .✓ (2 r -e rP.l_ P UH A 11 C k wt..) 01 41 c _, O.e.01c._(, d- PA ( t £ - r ev xr % e , cite Wa) _rf Lia, I IrlQ.� H ✓ti 403 i s �d U S - . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 3b v%' 4..7I � - Date: 6 (.2 Jig-, Phone #: (503) 718- CITY OF TIGARD " . BUILDING DIVISION PERMIT #: M+T2005- 00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 , l r a Inspection Requests (24 Hrs.): (503) 639 -4175 t'I II INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AM PAGE: 21 l I SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503"645 - 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Requet Scheduled For: Date: 3/25/2008 Pour Time: Code # ( Description Confirm # Contact # Message 320 Plumbing rough -in 067285 -02 503.577 -: t N Corrections/Comments/Instructions: . PO/ 6_6 .. ak--- vy , f Le.,,,_ A- \,,1 .....E;_v1/412,4s , b\N-1 v - eV__ 4 .t ... e,a;_i V9 t.' / \"--e e L‘t....--v._ PASS tlipARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED k/� i C /� : -3 /Z' /.. a �- . Inspector: Da te. / Phone #: (503) 718- CITY OF TIGARD " . . BUILDING DIVISION PERMIT #: MST2005- 00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 ,o 4 ii1l Inspection Requests (24 Hrs.): (503) 639 -4175 I_ INSPECTION WORKSHEET FOR DATE: 3/2512008 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645.0386 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645-0986 Inspection Request Scheduled For: Date: 3/25/2008 • Pour Time: Code # p Q ,spection Description Confirm # Contact # Message 315 \ J" Post/beam plumbing 067285 -01 503-572 -8689 N 4 Corrections /Comments /Instructi 'ns: 41A19--.,gcce-yvl,vk-r \ — -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins e ctor: 04. I Dat e / Zc /6 Pho ne #: (503) 718 - �1 Z'—` P ) CITY OF TIGARD - . ft S BUILDING DIVISION PERMIT #:a1)40S a 03 e 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Afi g Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: l ) g CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: f Code # Inspection Description Confirm # Contact # Message 3oS ti - u/r /a4-__ ? 68 - - W a Corrections /Comments/ Instructions: I PA,SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l L'1- Inspector: (� ' Date: / _ Phone #: (503) 718- Z CITY OF TIGARD . .- A BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/?003 Phone: (503) 639 -41710 h i Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 2/612006 TIME: 7:02AM PAGE: 21 SITE ADDRESS: 121822 SW REMBRAND f LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELL VISTA DESCRIPTION: Neev SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 603-646-09a; CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50•645 -0n6 Inspection Request Scheduled For: Date: 2/6/20Q6 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 1Watei service 02632401 603. 572 -4700 N Corrections /Comments/ Instructions: A/ P(- ,f/ Id PASS II P^ ' APPROVAL ❑ CANCEL ❑ NO ACCESS 'FAIL 'A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: v Phone #: (503) 718- - • CITY OF TIGARD - .. BUILDING DIVISION PERMIT #: MSf2005- 00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/20V, Phone: (503) 639 -4171 1Z ; �lrh. i Inspection Requests (24 Hrs.): (503) 639 -4175 I . INSPECTION WORKSHEET FOR DATE: 2/312006 TIME: 7 :02AM PAGE: 24 SITE ADDRESS: 12022 SW REMBRANDT LN ' CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: fl '1 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503.64&0936 I CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -09136 Inspection Request Scheduled For: Date: 713/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 026252 -05 503 - 572.4708 N Corrections /Comments /Instructions: a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: rh„ Date: i I Phone #: (503) 718- ,0,9 v CITY OF TIGARD BUILDING DIVISION PERMIT #: ST700 03 0 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/7.7/200f. Phone: (503) 639 -4171 4 /14111\ &0 Inspection Requests (24 Hrs.): (503) 639 -4175 .� I .. INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7 :02AM PAGE: 23 it SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: gal TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -6441 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0886 Inspection Request Scheduled For: Date: 2/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 026252 -06 503-572-47M) N Corrections/Comments/Instructions: il ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED U , Inspector: , ' I 4 , Date: 2 ' Phone #: (503) 718- d' 3) f CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 003 #0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/200G, Phone: (503) 639 -4171 A , I �I , � Inspection Requests (24 Hrs.): (503) 639 - 4175 t INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7 :02AM PAGE: 22 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: FBELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 603_645_098G CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 - 646 -0986 • Inspection Request Scheduled For: Date: 2/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 026262 -07 503- 572 -4708 N Corrections /Comments /Instructions: • 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' ' / 4 Dater 3 15 Phone #: (503) 718- CITY OF TIGARD .- . - DIVISION PERMIT #: Ms1-2006.003t3r3 /BUILDING 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/1006 Phone: (503) 639 -4171 N I ill Inspection Requests (24 Hrs.): (503) 639 -4175 - �'!!+ - IL. INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7 :02AM PAGE: 21 r SITE ADDRESS: 1 21322 SW REM13RANDT IN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503. 646-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-m5 Inspection Request Scheduled For: Date: 2/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 026252 -08 J03- 5714708 Y Corrections /Comments /Instructions: 14.1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: .) 6 Phone #: (503) 718- 1 CITY OF TIGARD ,.• 1 BUILDING DIVISION PERMIT #: fV ST2006 003#30 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/20fX — Phone: (503) 639 -4171 . mu; il. , Inspection Requests (24 Hrs.): (503) 639 -4175 AL INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7_()2AM PAGE: 26 SITE ADDRESS: 12822 SW REMIBRANDf I.iNI CLASS OF WORK: SUBDIVISION: E3ELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 603 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450$:16 Inspection Request Scheduled For: Date: 2/312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Wale' service 026252 -04 503 -672 -4708 N Corrections /Comments /Instructions: / I X. 1)/.4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL VCCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "7 Date: ,7/61 . Phone #: (503) 718 - CITY OF TIGARD . _ BUILDING DIVISION PERMIT #: MST200S-00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU 1/27/2006; Phone: (503) 639 -4171 ko. i , i Inspection Requests (24 Hrs.): (503) 639 -4175 ...SI- `__- - INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7 iAM PAGE: 26 SITE ADDRESS: 12022 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 00r( TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 603.646-0906 I CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -646. )9 G Inspection Request Scheduled For: Date: 1/30/2006 Pour Time: 1.0.t;J 1-I Code # Inspection Description Confirm # Contact # Message 206 Footing 025952.02 503- 572 - 4700 N I / I Corr o / - omments /Instructions: 1 �sl 5 VtC D ti . ✓r Ail - z 1 "c) U Sc A- 5 C K_ PC_ l(Jl( ,N K i).ct-rC -5 /V F ° ' - )0/4 f'2, vG vL -16,//Gx ct( Z4 � D z) K 46 &ufw ce/d ch a ; ,,,,,(,._ 64 VPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \.. Inspector: Date: 1- 3d T Phone #: (503) 718 - 2 � , " 2/ Jan. 30. 2006 3:06P • No. 2U40 r. I • tgysiterrirni.n j Reel -World Geotechnicel Solutkete Invention • Design • Construction Support ,January 30, 2006 Project No. 02 -7801 Attention: Rob Harp Riverside Homes, Inc. 1925 SW AmberGiart.Parkway, Ste 200 Beaverton, OR 97008 • Fax 503.968 -9185 RE: SM. ENGINEER'S REVIEW OF FOUNDATION EXCAVATION SUBGRADE LOT 4 - BELLA VISTA TIGARD, OREGON References: 1. OalyPeadin Engineering Inc., Geolechnios! Report, Bella Vista, Tom, Oregon, dated peaember 9, 2002. • a, GooPoc iic Engineering Inc.. Sell and Wan Engineer's Summary at Conclusion of Earthwork, Bella Vied, Tigard. On'9on. June 15, 2005. 'GeoPaciflc Engineer, Jim Imbrie, visited the site to review the foundation excavation subgrade. The observed fill soil is stiff clayey silt Some mucking may be required if the subgrade is left exposed to wet weather, for a long duration, the current subgrade shows up to 4 inches Of muck in limited areas and less than IA inch in most 'areas. We also tad compaction on the surface of the crushed rock fill placed several feet deep in the sewer lateral extension located beneath the foundation. Based on our observations, it Is our opinion that the current foundation aubgrsde le suitable for spread foundation support to a maximum allowable bearing pressure of ,500 psf. Minimum reinforcement has been recommended In the above Reference 2. Setbacks on adjoining rokcery walls are adequate in most areas although we would deepen by one foot the middle of the west perimeter Where the fling is about two feet away from a 3-foot tall wail. Our work scope pertains to a geotechnical engineer's foundation excavation review only and the conditiars existing and exposed at the time of our site visit. Our tests in the crushed rock tilt were not at a vertical frequency to evaluate the entire depth of fill. No deck footing, patio, or other appurtenant structure subgradee were observed. Our work was performed to the current local standards of practice. No warranty iS herein expressed or Implied. If you have. any questions, please call. Sincerely, - •' • GeoPacific Engineering, Inc. • X4 4 0 %Rp�- 49 - alt ti � £atitlM 44 D it\ O 9 ta74a i OREGON J °4 R • otS �` `-0 James D. imbrie, P.E., C • .G. 4i a td► • � 30 .7 Geotecvnical Engineer • 10 30 d ONI S3WOH 3QISd3AI2t 5916896E0S 1Z :51 900Z/0E/10 03/28/2008 17:04 5032280475 CSA (STING ENGIN PAGE 02 s. • CON5U1-11NG ENG /NNOR5 ENGINEERING EXCELLENCE March 28, 2008 • Sam Scott Riverside Homes 1925 N.W. AmberGlen Parkway Suite #200 Beaverton, OR 97006 RE: Shortened Shearwall Bella Vista, Lot #4 CSA Job #3815 Dear Sam, Please find the attached revised calculations which verify it is structurally acceptable to shorten the main floor shearwall as shown on the attached shearwall plan. A type 2 holdown shall be provided at each end of the main floor shearwalls in line with the shortened wall as indicated. If you have questions, please feel free to call. Sincerely, CSA Consulting Engineers, LLC Howl" Dwight D. Mason, P.B. 1,; Structural Manager is Wilk 2895 Beavercreek Rd. • Oregon City, OR 97045 (503) 228 -3848 FAX (503) 228 -0475 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00360 13125 SW HaII'Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639- 4171ui°r Inspection Requests (24 Hrs.): (503) 639 -4175 ti INSPECTION WORKSHEET FOR DATE: 6/10/2008 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 12822 SW REMBRANDT IN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. 6/5/2006 ADDED (1) bacldlow preventer. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 6/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 071163-01 503-572-5592 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6 - to -a& Phone #: (503) 718- 2.-4`i CITY OF TIGARD _ �r BUILDING DIVISION PERMIT #: MST200 -00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 .r f l l � � Inspection Requests (24 Hrs.): (503) 639 -4175 . AJ. °�:L INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7:01AM PAGE: 25 SITE ADDRESS: 121322 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: E3CI_L.A VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: I ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0906 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 646.098G Inspection Request Scheduled For: Date: 1/3012006 Pour Time: 10.00 • Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 025952 -03 503-572-4708 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / '� Date: 1 4 6 / ° Phone #: (503) 718 - Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00380 13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 1/27 /2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/9/2008 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 12822 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. 6/5/2008 ADDED (1) backflow preventer. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645`0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 6/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 071013 -02 503- 572 -5592 N Corrections /Comments /Instructions: A C72, i 6< -7-7 r.s.,2 -re E kY.erf ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - a�� CITY OF TIGARD �'� . BUILDING DIVISION J / PERMIT #: MST2005.00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 /n Inspection Requests (24 Hrs.): (503) 639 -4175 W I - INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:00AM PAGE: 56 SITE ADDRESS: L 12t322 SW REMBRANDT N CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: DELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 -0996 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0996 Inspection Request Scheduled For: Date: 6/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 29 3 Final inspection 070834 -01 503 -572 -5592 N Corrections /Com ents /Instructions: CI 0 L ;,,- ,C c ,ss a & ` D VA/c\ L a S — Kr , DJ _g_,Qt-a;-, . ,,,A,,,„, c) y---et,....„ ..- 5 Lo--v. .t--"(,.,_ 0 -4:1- <4 - --C . z - / C-e---e-k 5 \ N-1---t j <K\A- 5 (' b --g----- - 6-4-1--CV 0.-e-d 51"-44.N.1 C. \" r, • = Alli■iLl- 5 ■...II el--- eC* Z s 4 I ..-----___ _ ,g.,_ . , • (r :1 : 40 . } 1 ❑ PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED to i 2.4 Inspector: `� Date: "�/ Phone #: (503) 718- �T X Lam' CITY OF TIGARD . BUILDING DIVISION ' / PERMIT #: MST2005 00380 13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :�'! I �.. INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 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: 6/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 070835-01 503 -572 -5592 N Corrections /Comments /Instructions: • 4 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED " Vk tfe-------- tl-fq Inspector: 7V-19 nsp tor: Date: Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00380 13125 SW Hall Blvd.,'Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 A j II� Inspection Requests (24 Hrs.): (503) 639 -4175 ...,., `__— INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 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: 6/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 070706 -01 503 - 572 -5592 N Corrections /Comments/ Instructions: N I/VI ki1;69,4,,md -tivittkx ss iet-twiii,,,,,A,,,, kal ,/ L. ! 1 A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I' Inspector: 01 Date: 't3 ' 0% Phone #: (503) 718 21_0_ CITY OF TIGARD . • BUILDING DIVISION PERMIT #: MST2005.00380 13125 SW Hall Blvd.,'Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 At t Inspection Requests (24 Hrs.): (503) 639 -4175 . IL. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 12822 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E3ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 - 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 Inspection Request Scheduled For: Date: 3131/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 067582 -02 503.572 -8689 N Corrections /Comments /Instructions: • /:1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . J, W•WoV AI Inspector: Date: Phone #: (503) 718- CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2005 -00380 13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: 1127/2006 Phone: (503) 639 -4171 a��'` Inspection Requests (24 Hrs.): (503) 639 -4175 W `'I I .. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 12822 SW REMBRANDT IJd CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E3ELL.A VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 60364Fr0986 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 067582 -01 503572 -8689 N Corrections /Comments/ Instructions: Vo/ / //;(Iv 1Ad*1,)114. Caii. w/ 2/, s- ,.., • /1b 141) 1i e 5 (to it V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED J ,1 Ins ector: Date: �1 I V P #: (503) 718 - P ( ) i CITY OF TIGARD : . BUILDING DIVISION PERMIT #: MST'' ?DOa003130 13125 SW H2II Blvd.,'Tigard, OR 97223 D ATE ISSUED: 1/ ?.7/2006 yu Phone: (503) 639 -4171 /r r l � l +l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3127/2008 TIME: 7:03AM PAGE: 26 SITE ADDRESS: 12822 SW REMBRANDT L.N CLASS OF WORK: SUBDIVISION: E3ELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503646 0986 Inspection Request Scheduled For: Date: 3/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 067429 -01 503 572 -8689 N Corrections/Comments/Instructions: *PASD PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L. _ .... 4 -74— Inspector: _ v _ Date: C Phone #: (503) 718- �� C7� CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MS72005-00380 13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: 1/27/200S Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �.- ''__.. INSPECTION WORKSHEET FOR DATE: 4 /3/2000 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 12822 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: EBELLA VISTA LOT #: 001 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: s03- 645-0986 Inspection Request Scheduled For: Date: 4/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 067826 -01 603 572 -8609 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4-- ---3— 49 r Phone #: (503) 718 - - 4-4-V CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00380 13125 SW Ha II Blvd.; Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 °�' Inspection Requests (24 Hrs.): (503) 639 -4175 F'� L INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E3ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0936 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503646.0986 Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 067657 -02 503-572 -8689 N or -ctions /Comments /Instructions: - , f. ... io - .. A /--0 .:_ t L Ai; ,-4 .. ))Z./! C. A a r 1 A . . .4 I E . . El I I Fr" FL -A w. _A P ril 'A iw Ag 1- ' �� ■ ` ( PARTIAL r APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: D ate: z l i 6 Phone #: (503 718 - LC/ CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2005-00300 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1/27/20M1 Phone: (503) 639 -4171 1 ,�1-d4�'� 1 i1 i Inspection Requests (24 Hrs.): (503) 639 -4175 _,' W" -_.. INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E3ELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645-0986 Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2Q2 Interior shear walls 067657 -01 503 - 572 -8689 N Corrections /Comments /Instructions: .-A.'. D8 6?-, Gog_g e'l xn.IS c.€ M P6_�Z -�, E in PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL IP, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: -41_ Date: I 06 Phone #: (503) 718 -2 CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MST2005•CO380 13125 SW Hall Blvd.; Tigard, OR 97223 D ATE ISSUED: 1/27/2005 Phone: (503) 639 -4171 /�nu Inspection Requests (24 Hrs.): (503) 639 -4175 F__.. INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BE_LLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: EBELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 50°3-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645- 0986 Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -ire 067655-01 503.572 -8689 N Corrections /Comments/ Instructions: 41 F:_ AS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL p CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ - _ _ ■� Date: ! /4 6 Phone #: (503) 718 -��r • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2005.00300 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11 27/2003 Phone: (503) 639 -4171 Z I nspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503646 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description • Confirm # Contact # Message 24; Interior shear walls 067592 -07 503- 572 -8689 N Corrections /Comments/ Instructions: t S 1 1— i/9Z_4_-S �_ i M/ 4_y T/ 5 1 d cy "4.-4 a r,f ST I M I s5 i #1/4/ L. ST' I vb / 0,--c-/- � �. J iv y 2 A-A1 G,- e_ 1---4-E90 i> u e--77--- A - /es e---- - vim A/.41./ L.-, ,,./7- WS 11.-- .s, �+� � � N 0 c° C=am 1 H I S L ci e —t 'Zr 1� S T !�-,S i�=1� L ovC�� t=7 xc S i b l7 _ , . , /)4-Le-____ 4 /) tRe° ti / G Z A ,/ c k_c- l vs e/c__ gc pe2K T7 _ lam/ /s7 S) `fie vv / /4 Z?, ' S &_ Z41 ' °A piJi 6.67747( .2-.4/3 A7 Ii15) Ili S ^/ G S - #7 l L-, a- u mac it_.-c o C Ste= (. r '_,___ • a CC Co w S PCUT 4 _ ` 1 , ❑ PASS % , PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 4h,,_____.„,.."1EVIWI al CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: L_Sb i 17g Phone #: (503) 718 - Z.-Ct/ CITY OF TIGARD • . • . BUILDING DIVISION PERMIT #: MST2005 -00380 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1127/2006 Phone: (503) 639 -4171 ¢ n y Inspection Requests (24 Hrs.): (503) 639 -4175 ...:..� `:_.. INSPECTION WORKSHEET FOR DATE: 3131/2008 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 12.822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: EiEI_LA VISTA LOT #: 004 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: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 067582 -04 503.572-8689 N Corrections /Comments/ Instructions: I - ' P Jl / t � � .rtJ r _ YAM. Ail O i b c • �r1 c i-TL C1ti/oPG;e:7 ' -vim ( s v�P - - - 4 . _ 6 0 _ _ (z_) z_d - 4s 0 - 1 , 1Kc.".;C: PKe ► �� M t I 45 1 b ucob''r-_._ C../ f . 09, CW/ 6Emz-___ b . )ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS `►yA _/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — Date: CS Si /OA Phone #: (503) 718- l-,6 CITY OF TIGARD - • BUILDING DIVISION PERMIT #: M aT2005.00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7 :01AM PAGE: 13 SITE ADDRESS: 12822 SW REMI3RANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: EiELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 603 G45 6 CONTRACTOR: RIVERSIDE HOMES INC . PHONE #: 503 - 645 - 0986 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 067582-05 503.572 -0688 N Corrections /Comments /Instructions: C ✓ �i — r4- C_ —' Alivret, / /loo r e C y Alo m s'if 0A/ e Y-7 • • ❑ PASS IARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS i A 21 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: 34/08 Phone #: (503) 718 - 2---16 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200S•003130 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639- 4171w°NI1I • Inspection Requests (24 Hrs.): (503) 639 -4175 � `__.. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E.iELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message X25 Post/beam structural 067582 -06 503-572-8689 N Corrections /Comments /Instructions: Ni a 1Po S i t �3 c - 7"1 S 77-i LYU �- �--- ❑ PASS %4 PARTIAL APPROVAL C L 1 • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � Inspector: ■ . Date: J .o Phone #: (503) 718- 246 CITY OF TIGARD - . BUILDING DIVISION - PERMIT #: MST2005•00300 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1127/2006 Phone: (503) 639 -4171 ov°d Inspection Requests (24 Hrs.): (503) 639 -4175 "' L. INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELL.A VISTA LOT #: 001 TYPE OF USE: PROJECT NAME: E3EI_LA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC. PHONE #: 603 6 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -09:36 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 Post/beam mechanical 067582 -03 503-572-8689 N Corrections /Comments /Instructions: ❑ PASS PARTIAL APPROVAL tp CANC ❑ NO ACCESS ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED `i Inspector: Date!.-4 023 Phone #: (503) 718 - L �7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 3127/2008 TIME: 7:03AM PAGE: 25 SITE ADDRESS: 12822 SW REMBRANDT IN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0966 Inspection Request Scheduled For: Date: 3/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 067429-02 503 572 -8689 N Correct /Comments /Instructions: i 4 t� / 1, !_ :„ = PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 27 / 58 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00380 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 A i� Inspection Requests (24 Hrs.): (503) 639 -4175 J "'' L INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 12822 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: E3ELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: EBE_LLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 3/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 23( Shear walls/anchors 0667313 -02 503-572-8689 N Corrections/Comments/Instructions: (� ^^ g Move- any ,(f: r a 1 1 hio(o A /8 '1'b („4, r S ate °; ci Ivy a5 S Sbr 1 0, 06 ) 11 ►a- ivoAt'. 2135 1 0 0 - 1 - 0 8 44 u. -b7_ s; W.1'7v Y 3 `' / n 1 of y , ('11 &eK Or /160 h if 4¢, : 4 1 Cheek Cam e\k A- a Ca,kni.IA5 . ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5 • Date: ` P Phone #: (503) 718 - A</ CITY OF TIGARD I BUILDING DIVISION PERMIT #: MST2005-00380 13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1127/2006 Phone: (503) 639 -4171 ' " ��YI1I� Inspection Requests (24 Hrs.): (503) 639 -4175 °`__.. INSPECTION WORKSHEET FOR DATE: 3/14 /2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 001 TYPE OF USE: PROJECT NAME: E3ELLA 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: 3/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 260 Roof nailing 066738 -01 503 - 572 -8689 N Corrections /Comments /Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 15 —5 • Date: NYWr °g Phone #: (503) 718- JI_W____ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00300 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 A 'I Inspection Requests (24 Hrs.): (503) 639 -4175 :�' R__.... INSPECTION WORKSHEET FOR DATE: 3/14/2000 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 12022 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: E)ELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: E.BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0906 Inspection Request Scheduled For: Date: 3/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 066738.03 503. 572 -8609 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:' 1 J- Date: I ( Ac -Oci Phone #: (503) 718 -1(71-2- CITY OF TIGARD ' . . BUILDING DIVISION PERMIT #: MST2005.00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 "'� �.. INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BEL VISTA LOT #: 00E1 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503G4G - 0986 Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 066378-05 503 572 -8689 N Corrections /Comments /Instructions: . i t : 55: I a_ (C)-r ` i4 - r'ri ( 4 O /a I I� _ C/ 04.cli �TT/� 5 1 q 1 i( vne.Ae iler4 (u'L�% iWOU`5 1t] Qv 4r red Kfl :29 Z — ..140na..„_it A - 41 ura. A r fi .NA.„, 14,10 C 1nvc'u 5 A- ' xTef d,AQ4 ; ( 1, c,15 S T Off— i—TT Grvng- ft-00%- - 110 cam► V1v1■�S.)5 * c&k ■ ` 111 1v'1I 'tk — (3ed►?o ' ilk , 1 S0 LA- \1 w Car i ee- �eOv le i H\ Nroa� ed L.-4) - t .t\ Relw - /s` !IfO- -e : V 0 v aft Sr, /s ct T ESc U,rrI 4 C) A /rise SpCGbi l wv..- b ,-.1 N e 0 S 3 C ■ v1 Jevi o r) ❑ PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS E/I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' r - Date: ID IV VI & _ Phone #: (503) 718 -a yon CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00390 13125 SW 'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/200( Phone: (503) 639 -4171 AviZ� A(1 Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 3110/2008 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 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: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 250 Roof nailing 066378-06 503.572 -8689 N Corrections /Comments / Instructions: ) S AVQ_ 4 i 6 ti ,,n5 /0 M t-c)$ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IX FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:' S, Date: 6,144ro0 Phone #: (503) 718- 2`/2`3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639- 4171 I I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 12822 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 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: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 066378 -07 503 572 -8689 N Corrections /Comments /Instructions: .e, rI n5 (Pg Ot` %OM 23 . (� Nkr02) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c Inspector: C3 .5 , Date: �/!/1a --d9 Phone #: (503) 718- ( CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00380 13125 SW Mall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639- 4171 4 1 ___ I Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME: 7 PAGE: 29 12822 SW REMBRANDT LN �'' SITE ADDRESS: CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: Naw SF . OWNER: RIVERSIDE HOMES, INC., 503.6 - -15.0986 RIVERSIDE HOMES INC PHONE #: 503.645 -0986 CONTRACTOR: PHONE #: Inspection _ Request Scheduled For: Date: 7/6/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 032737 -01 503 - 572 -4708 N Corrections /Comments /Instructions: 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c J/ii Date: 17 6 - oG Phone #: (503) 718 - Z' .Y CITY ARD � ' M C OFTIG BUILDING DIVISION PERMIT #: MS-12006-003W 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006 Phone: (503) 639- 4171 °� Inspection Requests (24 Hrs.): (503) 639 -4175 `'I .. INSPECTION WORKSHEET FOR DATE: 2/8/2006 TIME: 7 :01AM PAGE: 30 • SITE ADDRESS: 12822 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: DELLA VISTA T #: 004 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-646_0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 7J8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 1Mi proofing basement walls 026486-01 ?;0'3-572-47( Y Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED P -- Inspector: Date: ' (t2• Phone #: (503 718- � 6