Permit Abi: . C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2005 -00272
DEVELOPMENT SERVICES DATE ISSUED: 10/10/2005
::;4111111's 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S109DD -BV005
0
SITE ADDRESS: 12813 SW REMBRANDT LN ZONING: R -
SUBDIVISION: BELLA VISTA LOT: 005 JURISDICTION: TIG
Project Description: New SF.
BUILDING
REISSUE: BV2415 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 278 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,700 sf GARAGE: 480 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRp. 1,408 sf RIGHT: 5
VALUE: 326
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,386 sf REAR: 15
PLUMBING
SINKS: 2 WATER CLOSETS: 3 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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 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/FOR: SIGN /OUT LIN LT: PER HOUR:
LIMITED 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+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: 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 Municipal 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 Phone: 503 - 645 - 0986 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
Reg #: LIC 70065 direct questions to OUNC by calling 503 -246 -6699 or
TOTAL FEES: $ 10,906.20 1- 800 - 332 -2344.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
•
Issued By : -- 2Z 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.
A, 4 .
Building Permit Ap oation- FOR OFFICE USE ONLY
�' Received .
City of Tigard Date/I3 : ' "� e % Z- Penult No.'� 7/ jam /}� 7 '7)
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �b�FN��� -
Phone: 503.639.4171 Fax: 503.598.1960j', / y �
"'_� II " Date/By: Other Permit: W ) /�
Inspection Line: 503.639.4175 '" �� 4 uu ■ Date Ready/By: 3 uri (� Fa See Attached Checklist for
Internet: www.ci.tigard.or.us CITY �� f � ` ��� Notified/Method .r) V Supplemental Information
la i2_,PPriv of ccF, ) MQ t 3Y Wb - A)j"' ''A TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING N
NI New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all u ,
❑ Addition/alteration/re placement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
dwelling Valuation: $ 30)000,60
y g ❑ Commercial/industrial
N 1- and 2-family
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: Li-
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 r
Job site address: 1 Z Si 3 124..#1-7 b ra_r7 GO New dwelling area: 5 SL+ square feet
City/State/ZIP: 77 Q c rd p C - 7 2-2 Li Garage/carport area: 4 Li 5 square feet
Suite/bldg. /apt. no.: J r Project name: 6.( ( k / � / (5-1-k- Covered porch area: — 7 2 square feet
Cross street/directions to job site: `� Deck area: `0 ( square feet
Other structure area: .- square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST —
Subdivision: la t C , Vi S-I-6(...._ Lot no.: 5 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and t he profit for the
DESCRIPTION OF WORK work indicated on this application.
,./ Valuation: • $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: R 1 V •exS I ca Nvrne 5 , Z✓I C- • Type of construction:
Address: I q 2 5 N W Aro b a Le. , i yl)(N (,Fr f' 2.0 O Occupancy groups:
City/ State/ZIP: B e / weir .YL d 12.- 9 7 0 0 Lo 8 Existing:
Phone: (6 ) (Q S - O l C)le Fax: WpJ) (0 2 Z New:
❑ APPLICANT I ❑ CONTACT PERSON NOTICE
Business name: 2+ v.6,1,,-5"/ C1, . j uvv.10 , . , T,.-x. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
(_,G
Contact name: A S o- vi c�- r under ORS 701 and may be required to be licensed in the
Address: j ij 2-5 , f w ityyl i'}GY Le, p i i...w ., Slit .E.G ZO 0 jurisdiction in which work is being performed. If the
City/ State/ZIP: /�j,��.V e -j-c n q 7 U 0 ()p applicant is exempt from licensing, the following reasons
apply:
Phone: ( $ 0- 3 ) (e L./ S - D `-(g) Cp Fax:: ( )( 0 - 2G1 2
E- mail: & CL -4) r t VP.y , Gt.2 horn .P _. C c1'a /
� .. `
. CONTRACTOR CONTRAC - TOR. -r-
Business name: Ill v4,r51 v� HortifC - -P ,,.. • BUILDING. PERMIT FEES*
Address: /'J 2 S N w A7 {-jay t o vt� PK ui LA S j (e 20 0
Please refer to fee schedule.
City/ State/ZIP: 4y,�.'. � y d ' 0U t'..p
Fees due upon application
Phone: ( ) ) (e 4 5 -0 c r S t o F ax : ( , ) 6 y D 2' (.4.2_
Amount received
CCB lic.:
Date received:
Authorized signature: (� � t -vL ( PC ) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print — Date: 1 L .. ZD - 0 L * Fee methodology set by Tri -County Building Industry
Service Board.
i:\ BuildingtPermits \BUP- PermitApp.doc 12)03 440-4613T(11 /02/COM/WEB)
Plumbin_gPermit Application FOR OFFICE USE ONLY
City of Tigard Received
DateBy: permit N Ta2��5 C 7 � 7 oZ
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ANc? I ri DatefBy: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 e`_I_� Date ReadyBy: Julia: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: I Supplemental Information
TYPE OF WORK FEE* SCHEDULE
pl New construction 0 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
SFR (3) bath 399.00
❑ Accessory building ❑ Multi - family -
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: I 2 8 13 Svj 12241-1 `JQ r GI-l- L{1 . Catch basin or area drain 16.60
City/State/ZIP: ` a J 472 a r (9 a_ • Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: A . t) f 5-1--c‘, 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: - 6 I V ( s �_ Lot no.: 5--- Water service (no. linear ft.: _) Page 2
l 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
}� ,11 Ejectors/sump 16.60
Name: K.1 V./YSj C tilrn-fPS , T-r-)C • Expansion tank 16.60
Address: jei Z eJ Nw ,k,,r i b- r It Z D I . ) Fixture/sewer cap 16.60
City/ State/ZIP: `.off V,e , p C/ 1O0 t Floor drain/floor sink /hub 16.60
Phone: ( ) b' $ Fax: (S ) fo�0 -2_q e.l2 Garbage disposal 16.60
(O ( 4 S _ Hose bib 16.60
❑ APPLICANT ❑ CONTACT PERSON
Ice maker 16.60
Business name: u ,,,,,„. o t, HDY►. Q S 1 c�'Y7G• Interceptor /grease trap 16.60
Contact name: AL ( ec-34._ Jt/(,C.c...0 Medical gas (value: $ ) Page 2
Address: j q 2 E N{ Am 6e4-1 2„, / pr Pr ZOO Primer 16.60
City/ State/ZIP: Roof drain (commercial) 16.60
• Sink/basin/lavatory . 16.60
Phone: ( ) Fax :: ( )
Tub /shower /shower pan 16.60
E -mail: U 16.60
CONTRACTOR Water closet 16.60
Business name: J` te i I VI t pl tllll/1I0t ►15 Water heater 16.60
Address: 2S DS • S • 1-. A u5 tisL D' • Other:
City/ State/ZIP: }Q tJk q ot 9 7°616 Subtotal
Minimum permit fee: $72.5 0
Phone: (5'403 ) gnS - b 6S 7 Fax: (5b3 ) 37 2. - 95 3 Residential backflow minimum permit fee: $36.25
CCB Lic.: i /12 III Plumbing Lic. no.: 314 - 3 7O a. Plan review (25% of permit fee)
-
State surcharge (8% of permit fee)
Authorized signature G TOTAL PERMIT FEE
Print name: jOrt er, to $ ( ; I, ( Date: 2 - e_ 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. `
i:\ Building \Permits\PLM- PamitApp.doc 12/03 440-4616T(l0/02/COM/WEB)
lectrical Permit Application .. FOR'OFFICE`•USEONI `
'{
4 ity f'Tigard Received Pennit No s 07J5 Q b Date/By: aZ
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 - .' c� Other Pennit:
Dat
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
TYPE OF WORK ; .PLAN REVIEW
5] New construction ❑ Addition /alteration /replacement Please check all that apply:
❑Service over 225 amps, comm'l El Hazardous location
❑ Demolition ❑Other:
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
' .CATEGORY OF CONSTRUCTION - of 1 - and 2- family dwellings 4 or more new residential
4 i 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure
❑ Building over three stories OFeeders, 400 amps or more
❑ Multi - family 0 Master builder 0 Other:
❑Occupant load over 99 persons DManufactured structures or
JOB , SITE INFORMATION AND LOCATION 0 Egress/lighting plan RV park
•
I Job site address: ) 7 $ %t r jyy n , ,,, , ❑Health -care facility ❑Other:
Job no.:
I '"^z" ' ' br�9 l- /'Epbmit 2 sets of plans with any of the above.
City/State/ZIP: " b a- g 1 "2-2-y The above are not applicable to temporary construction service.
• EEE *. " SCHEDUL'E- •'
Suite/bldg. /apt. no.: Project name: LC& V l ( Description I Qh•. 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 4
Subdivision: 1 VEC� Lot no.:5 Ea. add'1 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 I
❑ TENANT - • 201 amps to 400 amps 106.85 2
n L 401 amps to 600 amps 160.60 2
Name: V--) V,..V " �> ) / omk S -. r 601 amps to 1,000 amps 240.60 • 2
n Over 1,000 amps or volts 454.65 2
Address: G 2 5 'Vl&/ Aiii I7-fiYC2 � I I t L( )', # 2 U G
Reconnect only 66.85 2
City/ State/ZIP: 13, - oc ' . ( u Temporary services or feeders installation, alteration, and/or
_ relocation
Phone: (5j))) La4 j _ C 6 F U, Fax: (e, e G (/^ 2c-142_ 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 1 , ' - ❑ CONTACT PERSON; . .. A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: 2i v - (X ir) .P H.01.1 ' , -16 branch circuit
B. Fee for branch circuits
Contact name: AL (ri sr,k,t /lAifA t I without service or feeder fee, 46.85 2
each branch circuit
Address: j el 2, � _ i v w A--)7*7 -P f - 1.e,1„,‘,_ ,Dt0L();� - 10 2, G (J Each add'l branch circuit 6.65 2
City/ State/ZIP: 6 E7 ct er -4-CN-I -- 76 5 () (L) Miscellaneous (service or feeder not included)
Phone: (c) (e, 45 --0 Fax:: (Std) 7._q(4:2_ Sign irrigation circle 53.40 2
fit) � Sign or outline lighting 53.40 2
E -mail: &,tyl ea. Ci r i V•O/Y 51 Gtr kdYLt,(_ , c Clv Signal circuit(s) or limited-
- U - CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: e t _ iP .0 f e. vrr. -s ,G.
Each additional inspection over allowable in any of the above
Address: 0 v,4 .? a? Per inspection 62.50
City/State/ZIP: /� Investigation per hour (1 hr min) 62.50
O ✓t -�./i r: / D Industrial plant per hour 73.75
Ilh°n41( 2) 6 7 $ -13 S s- Fex: (A53) . 67 e —I l 0 $ ELECTRICAL PERMIT .FEES*
CCB Lic.: 2,8 fir Electrical Lie.: .2,V4.4
f&/ ; Suprv. Lic.: 1 (,z S - Subtotal
Supry . Electrician signature, reiltdred: o2 c R i Plan review (25% of permit fee)
n
. State surcharge (8% of permit fee)
Print name 1 v ! Q. ;;al 6 i n g,,,o cr a. Date: 2/2/ p s-
/ TOTAL PERMIT FEE
- Authorized signature: • This permit application expires If a permit is not obtained within 180
name: days after it has been accepted as complete
Print
_fDate: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Permitr\ELC- PermitApp.doc 12/03 440 -4615T(10 /02/COM/WEB
_Mechanical Permit Application FOR OFFICE USE ONLY
•
City of ;Tigard Da By ToZ a
Permit No.; . 4.s .) S cyp 7 • r
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ge,, Other Permit: i
Phone: 503.639.4171 Fax: 503.598.1960 . t I Date/By:
11, � � ° � \
inspection Line: 503.639.4175 � r Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
- TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
5 New construction Mechanical permit fees* are based on the value of the work
❑ Addition/alteration/replacement 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
(� f , e f ) �� Air conditioning or heat pump
Job site address:
I 2 V I SW Y17 k Y4.41 �- Lh . (requires site plan showing placement) 14.00
City/State/ZIP: T 9t, r . O . 4 z '7 1_( Furnace 100,000 BTU (ducts/vents) 14.00
./a t. no.: Project name: hr-4/4i /
Suite/bld ct l Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. p J V I 44, 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: r u t V I' 5-} (,L Lot no.: 5 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 ❑ TENANT
10.00
'' __� _ _II Other.
Name: �JYQ.t"�I C1 D J rJ y71.h! � ., T G • Environmental exhaust and ventilation
# ZO U Range hood/other kitchen
Address: (
2 5 /`/1,1.1 A.yy t, G) , aK,I,)I� equipment _ 10.00
City/ State/ZIP: 13.E l/ Oa_ 70 0 (P Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
• Phone: (67P) ) (O t-!-S - o 5 ol Fax: (6 ) C / v qO - Z94,/ Z toilet compartments, utility rooms) _ 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other. 10.00 _
•
Business name: 12..1 Y/• e -y .ic>Le Ibrn1er5 -Y-71C . Fuel piping
•
Contact name: A-Lt..; t.,UyI A.A Lc-- $5.40 for first four; $1.00 for each additional
Address: 1q 2 5 ,�/ }4,- p �'� Lj # Z b 6 • Gas heat p pump
` � J Ga heat u
City/ State/ZIP: 1) 1_ U,(/�4�yu On., q--700(e Wall/suspended/unit heater .
Phone: (5t) ( (4 5 - 09 S(e • Fax:: (47)3)0v-21142- Water heater
Fireplace
E -mail: C..t7ktieC ® 1 ✓!4 ,OLQ.h.Owe- M'l� - C � Range
,l , CONTRACTOR Barbecue
•
Business name: .�lI - Pt,o_ �, C. tr G+ Clothes dryer (gas)
J Other.
Address: J? /ti•: 12 D Z 8 1 - 0 106 h e so--- g c 5 v i1*., t>3 6 MECHANICAL PERMIT FEES*
City/ State/ZIP: ( c I ,-,,.. t 6 (Z Ot 1 6 3 D Subtotal
Minimum permit fee ($72.50)
Phone: (S ° 3 ) - 3 S 1 vs- 5 q.. Fax: (s ° 3 ) 64,1- 3 Z 4 Plan review (25% of permit fee)
CCB lic.: / 5 r1 1 - 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: '0 L. , \ _ S p,_,._ .�a.d'J e Date: OZ / o °l / b 5 • Fee methodology set by Tri County Building Industry Service Board
1:\ Building \Permits\MEC- PamitApp.doc 12/03 4404617T(11 /02ICOM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200S (0fl2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10110/2005
Phone: (503) 639 -4171 • Olt
Inspection Requests (24 Hrs.): (503) 639 -4175 • ' __..
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:10AM PAGE: 33
SITE ADDRESS: 12013 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA L T #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: !iO3 - 09FF6
Inspection Request Scheduled For: Date: 515/20106 Pour Time:
Code # Inspection Description Confirm # Contact # Message
209 Final inspection 029369-02 503-758-5821 N
Corrections /Comments /Instructions:
i z,1.44/ 6 e, - f-6-/ezej
El PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: ;16 Phone #: (503) 718 - X7 6- 6
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200, ",.00272
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1W I0120;
Phone: (503) 639-4171 ( i
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 12(313 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503646-09#36
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645 - 0986
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
198 Electrical final 027947 -01 603. 6761355 N
Corrections /Comments /Instructions:
/
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED ti(-)
Inspector: P Date: c l Phone #: (503) 718 L
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MST20t)5.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/1012005
Phone: (503) 639 -4171 `°" ''iw � i
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 1/6/2006 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 006 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 008E
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 1/5/2006 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
120 Electrical rough -in 024425-02 503.678 -1355 N
Corrections /Comments /Instructions:
Wy ' _if) ._ '74,6 'y e a I,
�I I I _ �- . u L, ��
1 , I .
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
q OA
Inspector: a Date: /0 C e Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200.5 0027 ?_
A lk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 4h j i l
Inspection Requests (24 Hrs.): (503) 639 -4175 s__..
INSPECTION WORKSHEET FOR DATE: r TIME: PAGE:
1 /�aoar 7: OoAM 41
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 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: 1/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 024425 -01 503-678-1355 N
Corrections /Comments /Instructions:
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ � Inspector: I Date: 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:140-a2
oaf= Da 2 7z
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 W 11-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 1-vi CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #f 'Rj 55 72- o'
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: `4 �� d� Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 "tg poLH Q
Corrections/Comments/Instructions:
I
4;;,;
Ai% i / . i ��
- : SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \J Date: r f Phone #: (503) 718 -
CITY OF TIGARD .
1 BUILDING DIVISION PERMIT #: MST2005-00272 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 lJ I
Inspection Requests (24 Hrs.): (503) 639-4175 .. I �..
INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 70
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645.0986
Inspection Request Scheduled For: Date: 12/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 023820.01 503-572 -4708 N
Corrections/Comments/Instructions:
-PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: or. h Date: t _ C Phone #: (503) 718 -
1
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST200S -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 0V
Inspection Requests (24 Hrs.): (503) 639 -4175
li
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 24
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: NIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645-0986
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
� • 320 Plumbing rough -in _ 023774 -02 503572 -4708 N
Corrections /Comments/ Instructions:
1 / i _-
' T r "7/ _ ,jr "ei ...._, ? ar7j€,,-
•
0 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0/ Date: ()" ?6 aj Phone #: (503) 7184/3/
CITY OF TIGARD . ■ _ 0
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 l ��
Inspection Requests (24 Hrs.): (503) 639 -4175 ;�' .. I I..
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 63
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0986
Inspection Request Scheduled For: • Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 018691 -02 503 -968 -9108 N
Corrections /Comments /Instructions:
I 1F ► V51,20 '
ks 42,4 ss F Ai— Lis --
Q
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' v' Date: 1 o I Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 Vi i�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' L
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 61
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 018691 -03 503 -968 -9108 N
Corrections /Comments/ Instructions:
tt N
ikipASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
VLIV -
Inspector: Date: V/1 #: (503) 718-
CITY OF TIGARD . l.
•
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639- 4171��m�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ . ' IL.
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 64
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 018691 -01 503 -968 -9108 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l� ��l �
Inspector: Date: I Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200500272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 ,, ;�g m � ij �lr �
Inspection Requests (24 Hrs.): (503) 639 -4175 _!!�i R
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 93
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VIM1 � . LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA` `'
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message -
505 Sanitary sewer 018355 -05 503-572 -4708 N
Corrections /Comments /Instructions:
PD1 Q
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C1 V A-A idU..-&- Date: / V /se/or: Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 - 4171 i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' p
INSPECTION WORKSHEET FOR DATE: . 10/14/2005 TIME: 7:02AM PAGE: 94
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.0986
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 016355 -04 503-572 -4708 N
Corrections /Comments /Instructions:
f r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CB ti34 A---) ? ∎A) .� Date: /b/H/00 Phone #: (503) 718-
_
CITY OF TIGARD .
1
1 BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 A,mi„yl 1V
Inspection Requests (24 Hrs.): (503) 639 -4175 ell.
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 95
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA .
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 018355 -03 503-572 -4706 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (TO try ' -.„__ Date: 1) / y/ n c‘. Phone #: (503) 718-
CITY OF TIGARD , A BUILDING DIVISION PERMIT #: MST2005 -00272
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1012005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 F.
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 96
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0986
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 018355 -02 503 -572 -4708 N
Corrections /Comments /Instructions:
7J1t
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr# ■ -- Date: iq iv /aa� Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 ; Aisb
� j � l +
Inspection Requests (24 Hrs.): (503) 639 -4175 -_..
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 97
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503- 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645 -0986
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 018355 -01 503 -572 -4708 Y
Corrections /Comments /Instructions:
P A ) D•N1 Ore,' ✓ Ort«.i ,- X�v•-FAt, 9Ctwy -st a/V1 T O i/14-444,/'f 'a J✓ 10(■Qa./
A 1 1 1 ./`1 J r a ✓:fin / SL, c . ul 7-zw` f efflaikussf, 1A 1 " 1' 0 ✓ 1�A.1 1ia,.�2�.
U 4_ U s-c./ ✓1✓ £rte. ti fir - d - u t
g ifr
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: <-11 6..w% I Ii A-4_ Date: /d /W/oc Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 200`s.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503) 639 -4171 *Atte 110
Inspection Requests (24 Hrs.): (503) 639 -4175 F. ..
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7 :10AM PAGE: 34
SITE ADDRESS: 121313 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BE_L.LA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-098G
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -086
Inspection Request Scheduled For: Date: 5/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 1 029369 -01 503 -758 -5821 N
Corrections /Comments /Instructions:
4 -2._rtr-- ° ig, C
XC PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C Phone #: (503) 718- 9--70 5'
CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: MS - 1 006. 0272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 , 49j�1�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 603 - 645 - 0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603
Inspection Request Scheduled For: Date: 5/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 029092-01 603-572 -4708 `t
Corrections /Comments/ Instructions:
ge`=F6 err iie . 64m)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C/ Date: 3 Z o G Phone #: (503) 718- Z64/9.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSi2005.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503) 639 -4171
A il
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_..
INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 12813 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.093116
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 512/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 029091 -03 503.572 -4708 Y
Corrections /Comments/ Instructions:
Cra 2 1 4 1 Z.S . 0 6 (
Nter Conk /...--v�•ra)
M C : t L -- f(&ti4 -t lifegokir. ,i(c(-NC
do p fo .
((J(:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
M AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CMP Date:2 'a6 Phone #: (503) 718- ZK 7 9
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2005.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503) 639 -4171 A l i e
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ' I..
INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 12013 SW REMBRANDT IN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0B06
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 03- 645-0996
Inspection Request Scheduled For: Date: 4/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 020961 -04 503 - 4708 Y j /f
Corrections /Comments/ Instructions:
37 - IQ JtJ L /-r- . ri c—t���77 t�
.
■ Co `t
1, ?'!'P l� D� Cl -1 4 I 1hlSPcE t - ZE a : !. ''
J
_ _S 0 f 71, i AH [= /J/i4- s u elm L c_V LL�
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -- "J-1 11 Date: 1 /28" 0 6 Phone #: (503) 718- z‘ tie{
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MSI
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10!10 /2005
Phone: (503) 639 -4171 A �fl� Inspection Requests (24 Hrs.): (503) 639 -4175 �' ` :..
INSPECTION WORKSHEET FOR DATE: 4/2812006 TIME: 7:02AM PAGE: 11
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-61 f1-09 6
Inspection Request Scheduled For: Date: 4/2812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 028961 -03 503 - 672.4700 V
C rections /Comments /Instructions:
I`-t 1. 0'7, /
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
ftLFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -/1 //' Date: - iZ6.06 Phone #: (503) 718- z -y/
CITY OF TIGARD
111
BUILDING DIVISION PERMIT #: MST2006.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -10j100006 Phone: (503) 639 -4171 / a Qui9
Inspection Requests (24 Hrs.): (503) 639 -4175 `I �
�..
INSPECTION WORKSHEET FOR DATE: 1/25/2005 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 121313 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 0Q5 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503645_09N
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603.645 -0986
Inspection Request Scheduled For: Date: 1/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 025710-01 503572 -4708 Y
Corrections /Comments/ Instructions:
_ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑. ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: / -2 - ,S ----29 6 Phone #: (503) 718 - ��t-
CITY OF TIGARD
BUILDING DIVISION .v PERMIT #: MST200 5 00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10.0.005
Phone: (503) 639- 4171a t l
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7 :03AM PAGE: 26
SITE ADDRESS: 12t313 SW REMBRANDT LW CLASS OF WORK:
SUBDIVISION: DELLA VISTA LOT #: U05 TYPE OF USE:
PROJECT NAME: FELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 645 -0.986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 1/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 02.5710.02 603 - 572.47013 Y
Corrections/Comments/Instructions:
fi d) -- � --2 b, () 2�,� .v ,i- /---/e - - -- ac,
!1z . - A - • - ,__- - 7 ., L Fi2ezo2 au2-1.co.v ,-7- 4=-ye 5 ' e_
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO. ACCESS
❑ FAIL ❑ ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / VI, Date: /— 2 S —oG, Phone #: (503) 718- .¢ ¢S
" 12/19/2005 11:09 5032280475 CSA CONSULTING ENGIN PAGE 02
. y
�.s e ‚° -
A CONSULTING ENGINEERS
ENGINEERING EXCELLENCE
December 19, 2005
Robert Harp
Riverside Homes, Inc.
1925 NW AmberGlen Parkway, Suite 200
Beaverton, OR 97006
To: Robert Harp, Riverside Homes, Inc.
From: Ryan E. Paddock, CSA Consulting Engineers
Re: Shear Wall Modification, Plan 3386B, CSA Job #004 -04.
It has come to our attention that a window has been added in the rear wall of the upper floor
bathroom since our engineering was completed. As a result, shear walls shall be added at the
ends of the back wall on the upper and main floor as indicated by the clouded areas on the
attached sheets. Note that this will require two holddowns to be retro-fit; Please refer to the
epoxy anchor schedule on sheet S 1 for epoxy requirements.
Please call if further clarification is required.
•
Cordially,
GSA Consulting Engineers
sue
. 1
op 1011
e.
`yyy��
Ryan E. Paddock, P.E.
4
15 82nd Drive, Suite 150 • Gladstone, OR 97027
(503) 22 -3848 FAX (803) 228-0475
12/19/2005 11:09 5032280475 CSA CONSULTING ENGIN PAGE 04
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12/19/2005 11:09 5032280475 CSA CONSULTING ENGIN PAGE 03
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L
CITY OF TIGARD '`
BUILDING DIVISION j PERMIT #: STI_00S.0 X272
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/10 /0005
Phone: (503) 639 -4171 ki �elu t ,111 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ` :_..
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 006 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-64f)-0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 1/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 025184 -04 503. 572 -4700 Y
Corrections /Comments/ Instructions:
1 if, fi - *w\ Q ct ► c_� � k (S� s
Nkc-vu-C- x-r-e_e,,,,,k -s L__<5---e --7,.,4-- -P.-o 8_ 3.-Qc_,`L_ /x/sLe,,9--_S
+ v _
x Ai_rs 4 C S) S bL Z S1•2-,_,A s els .
14 1 *-- -r;t6....,„,,,...,2 S ..1-4__..._..Q vv J. , CI-Ls-e_,S
■-c_1 L..--A - iv-o- . \--6 --Q--e TO Sxki ‹S-i_e,...)
la av * Pr N 15 ‘1 k-A,JL-- (. 4--- `7 CA
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V 3 0 f X Wit/ - 1 - S G - , s
N [i 2 5-15%t- k)ciA . 5p i c..J2 .,. C./ J ) _
❑ -As: ❑ PARTIAL APPROVAL 111 El 111 NO ACCESS
ju FAI / 0 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: v� Date: I l ci / to Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST200S.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503) 639 -4171 ioz i
Inspection Requests (24 Hrs.): (503) 639 -4175 KE /
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 :01AM PAGE: 37
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: F3ELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 -646 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50:9 -645 -0986
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # J nspection Description Confirm # Contact # essage pioiv-
615 Mechanical rough-iii 025184 -01 503 -572 -4708 V
Corrections om nts /Instructions:
IS s �1.�
/ —
�, \A` _--__ -
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \/\()___ Date: `/, (6c' Phone #: (503) 718 - Z -2— �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2Q0 , 01272
1 SW Hall Blvd., Tigard, OR 97223 j DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 1,d, Jul r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VIS 1•A
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -09136
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.09 86
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 025184 -02 503-572 -4708 V
Corrections /Comments /Instructions:
v3D1 1) I� ( C ► L s
,...„ /mac
e_r-cw.) t S 4. -- ok__I
(;)a--f _ 0 cc_
Y
'1,../,: . kt, PQ ` - �- Lt_4—
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..........„----.
Qc:, .
❑ PASS et PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( } G . Date: /‘ R-1) a Phone #: (503) 718- 2 W_SZ
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: msT200s.00272
13125 SW Hall Blvd., Tigard, OR 97223 f DATE ISSUED: 10/10/200%
Phone: (503) 639 -4171 u° ,1 A o �/
Inspection Requests (24 Hrs.): (503) 639 -4175 1J—
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 :01AM PAGE: 30
SITE ADDRESS: 12013 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: I3ELLA VISTA LOT #: 006 TYPE OF USE:
PROJECT NAME: DELLA VISTA
A
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503- 645.0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.646.0306
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # ) nspection Description Confirm # Contact # Message
240 Fxdorii r sheathing 026184 -03 503.672 -4708 Y ,
Corrections /Comments /Instr ctions:
V--36 f ' W a() A14 Uda_9 Pc,„i2_,.., C),
Ivy. \ s .
_,
ozi
❑ PASS Ili PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \/' l/ CZ__ l I �/ d `f' Phone #: 503 718- 2,V 2 Y
CITY OF TIGARD .
BUILDING DIVISION ' ' PERMIT #: MST 0(,,5 -00272
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 k/ U 1'iI,
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ^_ ..
INSPECTION WORKSHEET FOR DATE: 12/30/2005 TIME: 6:59AM PAGE: 66
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: EBELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: F3ELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0936
Inspection Request Scheduled For: Date: 12/3(1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 024203 -02 503 - 968 -9108 N
Corrections /Comments /Instructions:
.__,_ C . is '"l r (-_(
S (------- t /\/"IC F° & Srt, (_,K(9
.`PA ' SS � AL APPROVAL ❑ CANCEL ID NO ACCESS
❑ FAIL Al,(- FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , PAL Date: (Z So ' hone #: (503) 718 -
VP
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200S 00272
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/101..0(35
Phone: (503) 639 -4171 haw g o � i�
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 12/30/2005 TIME: 6:59AM PAGE: 57
SITE ADDRESS: 121313 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 - 0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0996
Inspection Request Scheduled For: Date: 12/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 024203 -01 503968 -9108 N
r- ctions /Comments /Instructions:
1 P
� p S G " �'l (�� �j'' 'J11 ' C -( /To •% - (A S S j� ` i
V PLC^ i
S
, A - J■ r2 L714 ]7V S () _/-�- C� Y .
' o .a _.
• 1 - `— A�g IF.:d Imo\
i!4 i (.��, c� tai 5 �
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F olfI _ Suc/04 o ' a 2 Sa Wr m
r- re__ 0--c_.5 L. u e_-.5 Z___6-7,047.1--
❑ PASS II •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL / •A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i.11111.11111 Date: rZ -S ' hone #: (503) 718 - 2-6(.../
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639- 4171w.
Inspection Requests (24 Hrs.): (503) 639 -4175 ._' L. I I..
INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 66
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986
Inspection Request Scheduled For: Date: 12/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 023525 -01 503-968 -9108 Y
Corrections /Comments /Instructions:
EFO /z - / 6 G492C -i rCIQS
■Nie7 (2E> >■ PLC "
7 Peon e c --- U ■/6 r ti/c�� Z <A/r ._ T i 2
1 <i/ z> O 4- /L-/ !•,//y ---eL-_.
o/K TO s it> _ x c
U P PC . / 4 o S% 6-0" i g- %Q C,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL Di ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ —__
Inspector L - Date: /2 1 ' Phone #: (503) 718-
\
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 �iioa+,,i
Inspection Requests (24 Hrs.): (503) 639 -4175 :_ -
INSPECTION WORKSHEET FOR DATE: 12/15/7005 TIME: 7 :04AM PAGE: 64
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645-0986
Inspection Request Scheduled For: Date: 12/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 023525-03 503 - 968-9108 N
Corrections /Comments/ Instructions:
KGPc T IIa.IZ••c (_.-e ) , _,,e_2�2�-m0i . .) S
Io PASS %' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r� FALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' i<e("Y
Inspector: — Date: / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005.00272 i
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 y�tirIIl
Inspection Requests (24 Hrs.): (503) 639 -4175 W 111.
INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 65
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986
Inspection Request Scheduled For: Date: 12/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 023525 -02 503-968 -9108 N
Corrections/Comments/Instructions:
� . &: �� /'Z° Iz - o re---i. 2620/ IVS
t4or- 62, , --L
•
❑ PASS �►� PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
E] FAIL ' .ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED y-----
Inspector: f2 7$ o $
p o
ect r: � Date: Phone #: (503) 718-
e.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 4 ,� l � l , l
Inspection Requests (24 Hrs.): (503) 639 -4175 I .
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 30
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA I
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 12/12/2.005 Pour Time:
_ Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 023296 -03 503- 572 -4708 N
Corrections /Comments /Instructions:
1 . 1► S s C C.l► e- i z_
J.:h /4-1 LS L oi.‹I�- rt K
Z c .. ./1 / S — L - o
L-0 i /7Z PL_oo IC._
v"!' - / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`I, AIL i t CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
I nspector• Date: /Z 6 #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L.
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 64E0966
Inspection Request Scheduled For: Date: 12/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 023296.02 503 -572 -4708 N
Corrections /Comments /Instructions:
I ) 7 t∎ 0V 1 ki Ca /A) c, / t! O to i IBC Fa ,� •✓i tiJ b o Li
Z ( Ssii) •
❑ PASS
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ( C ALL FOR INSPECTION
111 ADDITIONAL FEES ASSESSED
Inspect r: ------ Date: O S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 i °'dry i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..A• J .
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
1 SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0986
Inspection Request Scheduled For: Date: 12/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 023296 -01 503- 572 -4708 N
Corrections /Comments /Instructions: � - , .�
6 ( . 7 ie___ s o r i
07 4-- <= S 4LfiU &I 4 St. ppc. --
i
f) U Z L � S u Z 1—Z /5y
' � —�t-�n e b S / r / l ► ' <<
r rZZ e---- s U) n 2
❑1 PASS ❑, - . RTIAL APPROVAL ❑ CANCEL El NO ACCESS
j FAIL • / L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ` L _ — Date: /Z I Z -(.:Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST005 00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 1t
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645 -0986
CONTRACTOR: "RIVERSIDE HOMES INC PHONE #: 503. 645 -0986
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # ■ : ssage
225 Post/beam structural 020611 -10 503-572-4708 Y
Corre tions /Comments /Instructions:
1) ' K o C - s 5 V0,
Lo t
D) P- — 1 • r) c lw 1 S - - 5 - - / - .0
L-12- c--,r e•-tok •
A
N . ' - : 6.-r\ O V C
DA 0 W ( 9 41) la's L-...s - k- -b�
k) ( 03 , 5 ,4-73 P 10'1 0-c.
6 (/V\ ' "pi et?, Pwz " /' 6,ret_Jc.3
0
0 lA 2L 5-L A T z /y e
-.1 Nom'►
( Ovt - =_ s <- S
S
v7 .i-v Y•e\�.. <; Lk \<2_,21Y. 4.•c>3C' .
❑ PASS VrPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: k ' Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 �q�i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 `_ ..
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 22
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 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: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
255 1Mr proofing basement walls 019530 -08 503572 -4708 N
Corrections/Comments/Instructions:
J I l 1/ I_ -E:[ 200 ie "Ci `-
t A, / _ ` tea
01(
?91kr 2 ■ C.;
p _ 'A S Mi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FiRfti // CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L _ — Date: / Z7- Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005-00272
ti 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639- 4171 gatjl
Inspection Requests (24 Hrs.): (503) 639 -4175 �'
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 23
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503. 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 019530 -07 503 -572 -4708 N
Corrections /Comments/ Instructions:
PASS if AR ' L APPROVAL El CANCEL El NO ACCESS
El FAIL A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ate: /00 6 'c-Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 Ate �
Inspection Requests (24 Hrs.): (503) 639 -4175 R:_..
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:07AM PAGE: 28
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503- 645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 019402 -02 503-572 -4708 N
Corrections /Comments /In tructions:
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Jd �-1,S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2005 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639- 4171I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 117
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-64 q 6
Inspection Request Scheduled For: Date: 10/13/2005 Pour Tim( 10:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 018145-02 503-572-4708 N
Corrections /Comments / Inst tions:
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PASS ❑ PA APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C ' L 0 -1R INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: /' '/ ' S Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200500272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) Ate
Inspection Requests (24 Hrs.): (503) 639 -4175 `' I �
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 118
SITE ADDRESS: 12813 SW REMBRANDT LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 005 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503 - 645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 • Footing 01814501 503 - 572 -4708 N
Corrections /Comments /Instructions:
SS P�RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL //FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: / 1- Phone #: (503) 718 -
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