Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00023 COMMUNITY DEVELOPMENT DATE ISSUED: 4/30/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111AD - 20700 SITE ADDRESS: 08807 SW SCHECKLA DR ZONING: R -4.5 SUBDIVISION: LADY APPLE LOT: 031 JURISDICTION: TIG PROJECT: LADY APPLE - Project Description: New SF. BUILDING • REISSUE: SILVERLEAF STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,346 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,693 sf GARAGE: 534 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: . OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.039 sf 297,116.40 REAR: 15 PLUMBING SINKS: 1 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: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 4 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 emp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 801 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000. amp/volt : PLAN REVIEW SECTION Reconnect only: . s=4 RES UNITS: SVC /FDR> =225 A: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL . RESTRICTED ENERGY A SF RESIDENTIAL B. COMMERCIAL AUDIO & 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 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 BEACON HOMES NW BEACON HOMES NORTHWEST INC laws. All work will be done in accordance with approved plans, This 12073 SW 67TH AVE 12703 SW 67TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 - 570 - 8828 Contact #: PRI 503 - 570 - 8828 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -570 -8869 Reg #: LIC 151251 TOTAL FEES: $ 11,986.99 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 r. dal ilk • f Issued By . �� G/ . • . 1 -' z' Permittee Signatures ��� � Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 1 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. . 1 Building Permit Application RECEIVED joR 0H-icy. I si: ONLY City of Tigard Received - /, Permit No. • 131 SW Hall lvd., Tigard, OR 97223 JAN 1 7 2007 Plan Review ,� ` /' —eV I °� a Phone: 503.639.4171 Fax: 503.598.1960 OF TIGARD � . ' 41 - 1 Other Permit: A► - / 0'00, _ _ i I G R Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: runs: ® See Attached Checklist for Internet: www.tigard or.gov Notified/Method Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (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. ® m U 1- and 2- family dwelling ❑ Comerciandustrial Valuation: $ ❑ Accessory building ❑ Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8807 SW SCIJECKLA DRIVE New dwelling area: square feet City/State/ZIP: TIGARD, OR Garage /carport area: square feet Suite/bldg./apt. no.: ( Project name: S1LVERLEAF PLAN Covered porch area: square feet Cross street/directions to job site: X -ST SW 88TH AVENUE Deck area: square feet Other structure area: square feet • REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: LADY APPLE ( Lot no.: 31 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 the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SINGLE FAMILY RESIDENCE Valuation: $ Existing building area square feet New building area: square feet • ® PROPERTY OWNER ❑ TENANT Number of stories: Name: BEACON HOMES NW Type of construction: Address: 12073 SW 67 AVENUE Occupancy groups: City/State/ZIP: TIGARD, OR 97223 Existing: Phone: (503)570 -8828 Fax: (503)570 -8869 New: ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: BEACON HOMES NW All contractors and subcontractors are required to be Contact name: DAVID DALBEY licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12703 SW 67 AVENUE jurisdiction in which work is being performed. If the City/State/ZIP: TIGARD, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 906 -3084 ( Fax: : (503) 570 -8869 E -mail: CONTRACTOR Business name: BEACON HOMES NW BUILDING PERMIT FEES* Address: 12703 SW 67 AVENUE (please refer to fee sekeduf Structural plan review fee (or deposit): SQ' City/ State/ZIP: TIGARD, OR 97223 Phone: (503) 570-8828 ( Fax: (503) 570 -8869 FLS plan review fee (if applicable): CCB lic.: 151251 Total fees due upon application: Amount received: .S'2 - Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: ` ‘� (� J (Date: I — .0 ( * Fee methodology set by Tri Building Industry Service Hoard. Mar 23 06 09:20a p . 1 - - • - -- - — - - --- • • — - - • • --• — - -- .- . — ' — , Etc:trip' Permit Application 1,,koll I, 1 I NI City of Tigard Roamed Dtte/Byt Pena kra- 10Z00 7 - c o a.23 13125 SW Hall Mt. Titan', 01.97273 Nam ROWS/ Pb ow 503.639.4171 Fitc 503.590.1960 Dataar OdstrAnnit /mantic= Lin= 503.639.4175 ....II ',. Dam Itsarter sa;.. I or Soo Pagel ff, Imenast wwwlaa0Las Naaaltdedtad: Suppicmwad odermarksi :•1.• ': :. '! :...•• ' .' .,algUtraroal 3 New contraction 0 Athlition/altermionhoplacemou Ream chock an UM imply: CISswrica aver 225 amps. eentral 1:1Framsdoos wens= 1:1 Demolition 1:1 Other: Menne° over 320 amps using OBroldrm over 10.000 sq. ft, ... :.,.,;' ,•.' •.:.• -.:.;-.:• .:.•••■ .:7 . of I. and 2 dwellings 4 or mote new telidtswial 181 I- Sod 2-1goily dwelling I:] Coarrameiallinduatrird Q ACcassory building MYR= over 600 volts nominal oaks St ono Swum • 011oiltfmg over three stades OFeeders, 400 amps or more Clmuin.fhimu Ei Master builds: 0 Odra: °Occupant load over 99 paean CIldolodbchand StrOl or : h °'' ',.■';'; 4, .....":' ...ADS '. ,... 12/1coldNeetc Emil* Meer Job no.: Sob slte address: RC/ Sj SCA C CCU\ ,I)0. • Submit" sctsof ohm with soy °Mc shove. Chy/State/ZIP: TIGARD, OR . The above me net applicable to mammary consonetion service. ... • . • • .. ..... Project o . : • . .74: Zs':1,', ,._:' . ..!':.INSIF)0140 . • .. •^, • • , . -, - ...... Sniteibldsiega. no.: 1 atom Dunlyetaa 1 Qtp. I Um j Taw 1 •• Cross area/directions to job sire: HALL TO SATTLER 10 SW WM Ncw residential sante or am154statly dwe1 nets ludadra attached garage. 1,000 sq. ft Gams r 145.15 4 Subdivision: LADY APPLE I Lot no_:ZI Ea. addl 500 sq. ft. or portion 33.40 I limited away. residentiaA 75.00 Tax m Limi map/parcel no.: 2 ted ener gy, a owesidantal 75.00 2 :;! ..; • • . ! .1 '.. - ' . . .j . VINIPW.gentekir • ' Erich mmufacened or modeler NE SINGLE FAMILY RESIDENTIAL &idling, service auVor Seder 90.90 2 r• Services or feeders Installnflon. afferalon, mitlior relocations . - 200 amps or toss $0.30 2 201 amps to 400 amps ....:*::?".; ' -- .4 "1.1.. 1" " ' AMINN I M 401 amps to 600 for , 106.65 2 160.60 2 Name: BEACON HOMES NW. INC. 601 amps to 1.000 amps 240.60 . 2 Address: 12703 SW 67 AVENUE Over 1.000 amps or volts 454.65 2 Room= only 6615 2 My/Shoe/ZIP: TIGARD, OR 97223 Temporary services or fteders tostn, sacerntioa, mutter rota Phone: (503)370-3823 J Fax: (SO3)5704869 200 swam leas 6625 1 Owes, installatloo: This installation is being made on property dun 1 own which is not ' 201 5 tw o, amps 100.30 2 intended for sole, lease, rent, or cadtange, aceortling to ORS 447„ 449. 670, and 701. 401 empa to 600 amps 133.75 2 Owner signature: MGM Breath cheeks - new. attendee. or mambo, per petrel • •.'',. ' , 1' " , it y.7 .:IraZZ A. F02 for blanch Manila WA ' service or Seder fe% each 6.6s Business name; BEACON HOMES NW. INC. branch circuit . 2 It_ Pee far branch wads Contact name: DAVID DALBEY without service co feeder fee, 46.85 2 • first brandt el twit Address 127130 SW 67 AVENUE Each al branch circuit . 6.65 • 2 City/Stem/ZIP: TIGARD, OR 97223 bludhmeeso *mice or fender net buluded) Pomp or inigsrian circle 1 53.40 1 2 Phalle: (SW) 670 1 Fax: : (503470) 8869 Sims ar matins figtuing 53.40 2 &mail: ddalbey@ElemarallomeaNWeoro SOW circeit(s) or limited. • '- *-: • :* ::: ..", 7 . , :!..,* ?...; . •:, 'A'..i'.: • :3. - . .4 wan' rend. elioative, or extension. rkeeribe: Page 2 2 Easiness eat= CONNECTIONS ELECTRTC Address: P.O. Bo'. -7 (36 Each additional Mewed= over plowable In any of the above Per in.patic. "sa 6250 CiteSserdZn': 541 eivt DR- q1.303 InvestIgatice pa soma Is min) 6250 P5 3'O-1 I No: ( 503) lit,3-123 Industrial *kat lour 7175 . . C(113 Lic.: ogiefif I Electrical Lic.: 2Lf -248C1 Sumv. Lic.: 34 'AI s Subtotal %rpm Elecoicien signature, =mired: ceSi,..,..._ Men maims (25% ot permit Om) • Slate surcharge (6% ofpamit fee) NIns nam Pi AZ) (10 P. (5E26Evt, iDatc: 3.22„,36 TOTAL PERMIT FEE Authorized simian= The ponds apprassioa capirs. Ws panitItls not obi- a %daft LSD ems saws en bum sarapiss as campiere Print name: ' I Date: • Roo arctliodeiogy act by Tri-Coonty &aiding lodutry Swaim Sam] " Number of treaccdaes ow await Mowed 03/22/2006 15:36 5036709064 THERMAL FLO PAGE 01 MAR.22.2006 3 :01PM BEACON HOMES NW INC NO.560 P.2/2 Mechanical Permit Application Hi!: ' , i , i i t ', 1 ; , City SW Tigard ea. OR 97223 n e : . 3 Gr10 _ 13125 Phone 503.639.4111 Far 503398.1960 1 • � Oder Permit �spec6enLMe 503.639.4175 , DamlBy • Tor Internet www.al.tigard.cr.Qs ' �a plm m me s l Information ® New construction ❑ Inc Mesbardeal cementer era based an the value of the weds performed. 3adimen 6 m th m %doe (founded e nearest dollar) doll ❑ Deamlitian ❑ Other: wed mpi at materials, equipment, labor overhead, and profit. J' :' , b' Ii i' •I:- ,777.7 aT1''.'. '.." : '.,1 F , : � r, Vahre: S •' • • ., ... .. .. �' - r. . _ .. �� .. ' -:. •.". '.• �� : :. r: � •� ® 1- and 2- family dwelling ❑ Commit allindnstrial ❑ Amatory building , ❑ Matd --f»y► 0 Master builder ❑ Other: Fot•�escfcrl raar Qty. yhe E --- �ga.� -�- .�. 40 �.Km.., . . _ - H . t Q�'• ra i Toil C 1 i I , , {: `' �1' _. y:!..7'.S,•'.!if• ea s fcaolag ^ ' �, •:' � .. � �-. � � •� .• i 7 ::.. IL. � : ` �.+.�n.ab�Y.� h� L r ,, -l: . : '1 T'. pip A:12 site address:., h�0'1 Si\ ,SCN ECk LA ', l e m sho a�aoemmlcl 14.00 My/Rat /AP: TIGARD, OR 97223 Fmntacc 100,000 BTU (doe alvmta) 14.00 9ttitdbldgJept, no.: I Project manta: • France 100,000+B BTU (deelaneeto 14.90 Gas beat pomp 14.00 Cress street/directions to job site: BALL TO SMILER TO SW 98TH Dort work 14.00 Hydronic hot water system 14,00 Resider boiler (radiator or ' 1c9dran1o) 14.00 Unit beaters (Stel4ypo, trot electric), Le-well, irked. secpended, ear:. 10.00 Subdivieioa : LADY APPLE I Lot no, :' 31 Flurivent Its any ofstave 10.00 orbs, 10.00 . Tax map/paiuel no.: Other fad manna ,': ., . : l "r• . : 'i ( L ' WfInrhada 10,00 '. : r :::'. . - ti ._ .. ..• :�!:_ • ,a,. I. Gas fireplace 1040 NEW SINGLE FAMILY RESIDENTIAL Flue vent Poe water boater or gas . fireplace 10.00 1A 10.00 • Wood/pellet Move 10.00 Wood Oreplaoednsert 10.00 • 1040 : ; . -, r.. • };. i : . ..a i ; : l', t, .• , �;: ;. , . , . • . ... ... ,. d 10.00 Names BEACON HOMES NW, INC. Eavb:onmaual adramt and gentile Sea ; 12703 5W 67 AVENUE Addy Rome husdkrther kitab:e amipmm t 10.00 City/Stater/IF: TIGARD, OR 97123 Clothes . edam 10.00 Single-duct exhaust (Mine* Phone: (503)3704928 Fart: (503)57G4969 toast • : u ' • ■ • 117017ts . 6.80 a o. ' • ., . • t: '" . . • L; P: ; _ , ": ;. '• Ankle ewispao a Hens 10.00 Other Business name: BEACON HOMES NW, INC 10.00 Fad Ovine Contact came: DAVID DALBEY 8340 Dr that burr SLOB for ash additional Addeesr 12703 SW 67" AVENUE Pumeoe ate, Otis hest pm" City/State/ZIP: TIGARD, OR 97223 Well/saepanded/®itbeater Phone: (303) 5704 3211 1 Fee : (503) 570.8969 Weer heater Ems: ddamey®Beseoa8mnea NW,eotn Fireplace Range !dam name: THERMAL FLO - , `i = ' Chattm drAT kae) Address: ! r Where - .��r -�, �... -� . a/ l 1, .•_ t! , W ,'�4,.:. c.� e:�:a� 3:` �C,.::L: City/Sortel3P: l7� i , • sic • r . Subtotal Phone: (50 b -34.3 Fox (y4) b7o - 90&1/ Minimum permit*: (972.60) Plan review (2596 aFpemdt tae) Cali lie.: �[R ramie earcbsige : %of : .; 65) TOTALI TyEE Art orIzed elgaanne: IMe Ha seer tabu 6een• co mplete 1 °twin 191) Print name• FreelaCk. 651 1 nom' 3 - 22 -O4, I ' fee reetheddelav agar/ t46aeenNBmad1n ivikemy thrsfae Board ,r..... �„� NO.558 •P.2^ . City 131238aft d, Olt 07229 Pb 503394171 I >� Permit .. 7.4- Row Inspection L>oce 503.5394179 rtJd2 Mar Penanab.: WIE . altiM MIONSIMEI spiew ism e ,W.,,......._ waq ,a �•:. =UMW Bodes 100* formals 2 4120 i� °°ni co6on) MEI ��aL1nth sadal ant 0) bath � ,ao 11111 MOM NMI 399 MEI CI Meter builder lob idle Wm= .:� Ct1EC�t.A DR . � Neiman TIGARD, OR MI6 basin a eras dodo ��� no.: �61em1h lie, �iteocit 15.6 �ieatna>u> 5 c—b,F 9c ioaoedram drain t6�so — ��m;n��z�a.� t�t�tt:� �EM� � ATt9vaero eev bonus �� 11111 130,0p MEM 166p MEM S"�Ya or (�. 1 iq�8:,� _ 1660 MEI Subdivision: I�pyA1'pLE Steno sewer (� 8: _) � �-- �alaa: Lot a°:; Water eeerrlea(pp bear . � num *vital a valve EMI NEW MI FAMILY L _ . vgeeven�r 16.6 Realonnernove MI 6.x60 MEI ., 16x60 MEM MIN Nye: ��".� : : u tel 6-60 MN aEACONHOg NW, INC - 4 , 16.60 Ad6a 11710 81V �T� AVENUE al 16.60 MEM OR 972x3 16160 164 MIMI Ybemoc( Roc Hoe dogs/floor b MN 16x6° Inn 16-6° Min Dusinese > : - is TBOt►�s t�v, JIM DAVID 1L%J y odd 16.6Q MIMI Address ]274iSW67'�AVEt�pg 1 �11ealgae(vate� 8 �- Cry: Ic',�q OR f 1660 , Sinieleshvlapiony Phone 003) Mean Eine aaa���.a„a 640 1111111. ' ;�K „,,: wia !.:4•:;'''. �� 16.60 %sinus Raft RP ..max PL I :1: r �,r i : 'P'1.1: 1660 Wes 16.60 heater 111111110EM11111 ar t) � _ �� �� ��� Andlorizca :; / „Mrr� I M pl.'. (2?liOfpit�e � fi/ '2 i /� .4 S tiff I FEE MEM � aeola 1 ,: L lt_/ E; ��”" �'t' �(� °Eramie la* Demme [ I- p 7� TOTAL PROM' ���� �lta.�+aitianotabalfee6 ... ,.,, - Wes meifmdalow ro, %damn, Fiendsapad. • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 A • s a y ;. RESIDENTIAL PERMIT APPLICATION REVIEW • Permit \ umbel M; R 0 r 1 Jot No. �ub�ln i ion • un t. ttr \lint 111!•' .`be L I�tt ine" nom ) ? r‘ \� M trttr ,C �n X1 ( 1 42.,d „ -6k I State I 042 I ZiP I 9 -a5 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. The application is complete. _The application is incomplete for the followin reason: .� • .. _ Al • A. ! •. k • lea 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 ". W The plans are deemed "complex ". If you have any questions please call Loraine Williams at (503) 718 -2708. Name of Plans Reviewer Date Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 M5Taciz57- cro • STREET TREE CERTIFICATION IL01 I aLsigitm. Ow Vocceo Owner/Agent for Aelistirth • (PLEASE RINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington-.County land use and development standards for street tree installation. . • ADDRESS: S4 01 9) c- AtLI(LA V SUBDIVISION: LA9 , ► ' Q LOT: 3 SIGNATURE: DATE: 'J — tO • 0$ .l � 7 R/AGENT) RECEIVED BY: DATE: k / 6 (CTTYOF TIGARD) i I:\ Building \Foams \StreetTreeCerti &sate 03/24/06 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 " _ .. INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -B82B Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 048912 -02 503-407-0580 N Corrections /Comments/ Instructions: 21 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ffl Inspector: Date: 5_23_ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 10 .. INSPECTION WORKSHEET FOR DATE: 5/2312007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503. 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503- 570 -8828 Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 048912 -03 503- 407 -0580 Y Corr- ions /Comments /Instructions: ilW / e.o..C7- ,.43,eir c g( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -57:23 87 Phone #: (503) 718- ' J CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 +L i 1. INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 61 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 -570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570 - 6828 Inspection Request Scheduled For: Date: 5/8/2007 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 0478490/ 503 -407 -0580 N Corrections /Comments /Instructions: • aria( ) gAJrG - o.0 SeT /31 A s.e_ e< « F3 -))r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /, Date: P' � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION J PERMIT #: MST2007-00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 60 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503-570-8028 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570 -B828 Inspection Request Scheduled For: Date: 5/6/2007 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 047849-02 503-407-0580 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL - ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED dD Inspector: Date: ` 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A IMP Inspection Requests (24 Hrs.): (503) 639 -4175 .. _ °_ .. INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 12 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 570 - 81328 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570.0828 Inspection Request Scheduled For: Date: 8/1 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 053207 -01 503 -407 -0580 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I l—D> Phone #: (503) 718- 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4130/2007 Phone: (503) 639 -4171 /� Inspection Requests (24 Hrs.): (503) 639 -4175 __— INSPECTION WORKSHEET FOR DATE: 7/2612007 TIME: 7:03AM PAGE: 2 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503-570-8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503- 570 - 8828 Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 052827 -03 503- 407 -0580 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: T f r 2,6 -O' Phone #: (503) 718- 294(S CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 'III ' INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7 :03AM PAGE: 3 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570 -8828 Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 052827 -02 503-407 -0580 N Corrections /Comments /Instructions: rii PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: 7-26-07 Phone #: (503) 718- __C CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 rmd� Inspection Requests (24 Hrs.): (503) 639 -4175 .J ,'.',111' L. INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7:06AM PAGE: 10 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW. . PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -8028 Inspection Request Scheduled For: Date: 7/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052533 -03 503407 -0580 N Corrections /Comments/ Instructions: 9o1 /It;eVci/ 5/14-6 / AW1' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 -25.1 V Phone #: (503) 718- — CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 , t i�I Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!+� F. INSPECTION WORKSHEET FOR DATE: 7/19/20Q7 TIME: 7 :03AM PAGE: 11 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: Q31 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570.8828 ' CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 052373 -05 503 -407 -0580 N Corrections /. omments /Instructions: ` O .`4 Uc SG /J1 C1.. A/"..,A.11a ' -_ec, car' 'i I . Fr. o'! I [-_-) 6 - c - ' 2A� 1 #J Iv. AC2 o S T° Q PC_A- r. C' — i aka r fib (4 ' LL n- 16 Z K /G ' a.f•4/6 6 ° • • .d — ii L-- '' I ,�• Li/Lt c � ntier - — e_77-7-Ft, T7 C ❑ PASS ' . RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Lb FAIL %I ALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED _.... 7 Inspector: _ Date: �1 Phone #: (503) 718 - 2-44 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �� INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 12 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503.570.8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -8828 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 052373 -04 503-407 -0580 N / Corrections/Comments/Instructions: 1 - f'/#4z, i'VC 7 c_ ILL.1D3 . '� / 0 ‘D 1 i& ©(�� v "7 C- c" P-& P C.e_� / PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS �❑ FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 / Phone #: (503) 718 - _..0 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . �' °`'I . INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 10 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570 -8828 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 052373.0E 503 - 407 -0580 N Corrections /Comments/ Instructions: 4 A/o 3 S i . 71-4 - /S (1 fit. CJ .t----- ❑ PASS ;!; APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL Ig CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ∎ ■— Date: / D Phone #: (503) 718 - Z--Cr.- It, • CITY OF TIGARD 4 BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 mmq 1I Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. - OWNER: BEACON HOMES NW, PHONE #: 503 570 - 8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 570 - 8828 Inspection Request Scheduled For: Date: 7/182007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 052269 -02 503-407-0580 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 Phone #: (503) 718- CITY OF TIGARD GAIL /.5 7 BUILDING DIVISION - PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 eh l. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503-570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 7/18/2047 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 052269-03 503 - 407 -0580 Y Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED O Inspector; Date: 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I .. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570.0828 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message - 242 Interior shear walls 052269-04 503- 407 -0580 N C. _• ions /Comments /Instructions: I evinA —i A7 3 Js ❑ PASS M PARTh4L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL y CAL1 FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ?ri- Date: _7' /f` Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 sr� AA, Inspection Requests (24 Hrs.): (503) 639 - 4175 .' INSPECTION WORKSHEET FOR DATE: 6128/2007 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW. PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 051141 -08 503-407 -0580 Y Corrections /Comments /Instructions: ,edo,,,' 4 Gc 1/ it/le ?� L /'4G..00w.1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS )FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: Z �/ - 0 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: Now SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -8828 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 051141 -10 503 -407 -0580 Y Corrections /Comments /Instructions: &70i/L �Gi e ,4 3S & c:- /"P ❑ PASS ❑ PARTIAL APPROVAL [1] CANCEL ❑ NO ACCESS iNtFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ' _ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .' L. INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: Now SF. OWNER: BEACON HOMES NW. PHONE #: 503 - 570.8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570 -8828 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 051141 -09 503-407 -0580 N erections /Comments/ Instructions: 6 /L cT- /LiAie.-iA) & 4 // i�f9A/Ec.s . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS y j FAIL 14 ❑ CA L FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: - 6)-61 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 3/11/2008 ME: 7:00AM PAGE: 32 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 603570 - 8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503670 - 8828 Inspection Request Scheduled For: Date: 3/11/2008 00 Pour Time: 1/" Code # Inspection Description Confirm # Contact # Message /' 298 Final inspection 06646' -08 503-407 -0580 Y Corrections /Comments /Instructions: l'(\ d I V/ ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V y2-5( Ins ec tor: Date: / Phone #: (503) 718 P � ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639- 4171t* Inspection Requests (24 Hrs.): (503) 639 -4175 .. "'I I.. INSPECTION WORKSHEET FOR DATE: 3/11/2008 T E: 7:00AM PAGE: 33 SITE ADDRESS: 08007 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 103 - 670.8828 CONTRACTOR: BEACON HOMES NORTHWEST INC; PHONE #: 603 - 57O - 0828 Inspection Request Scheduled For: Date: 3/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6J8 Mechanical final 066465-07 503-407-0500 Y Corrections /Comments /Instructions: • 1J1oi -e. IQ b Mc s i 1VisPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I nspector: \ — Date: 9 i ■` ( of Phone #: (503) 718- 2ce t' CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4f30 /2007 Phone: (503) 639 -4171 A.,* Inspection Requests (24 Hrs.): (503) 639 -4175 .. 'jll INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7 :00AM PAGE: 30 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: l.Al)Y APPLE i DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 - 8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 501570.6828 Inspection Request Scheduled For: Date: 1/3112008 Pour Time: Code # Inspection Desch .:.•, -- Confirm # Contact # Message 399 Plumbing fine 064277 -06 501407 -0580 N Corrections /Comments /Instructions: K6P - 01 ///o7 c___41,-g.2 S f /ARTIAL 1 o0 .7 1 .49a. S .3 4)-<---. APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL %' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ( 08 Phone #: (503) 718- L7Y CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 i l l Inspection Requests (24 Hrs.): (503) 639 -4175 . �' "_ .. INSPECTION WORKSHEET FOR DATE: 1124/2008 TIME: 7:02AM PAGE: 30 SITE ADDRESS: 08807 SW SCHECKI DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE 1, DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: W3-570 -8828 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing f inal 06385004 503 - 407 -0580 N Corrections /Comments /Instructions: m � = �� NI S Pc /%1 Z> tjt C. ( f 7 r.L S td E=Z- i ---_=. °v ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -��`, (-FAIL . % CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED " t 2426_ Phone #: (503) 718- Z61 Inspector. . Date: • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 - 4171 " Inspection Requests (24 Hrs.): (503) 639 -4175 . � INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: Q31 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503. 570.8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 059385-03 503 -407 -0580 N Corrections /Comments /Instructions: )MTh /5 1../< </ o r— ❑ PASS E] P IAL APPROVAL ❑ CANCEL 111 NO ACCESS 0 1 FAIL 1 .ffi ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 4 Inspector: �� ■ Date: Phone #: (503) 718- 7�7/Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' ill — INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570 -8828 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 051141 -07 503-407 -0580 N Corrections /Comments/ Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: / / _ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639- 4171 jl�� i Inspection Requests (24 Hrs.): (503) 639 -4175 ... I L. INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503. 570 -882f3 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570 -8828 Inspection Request Scheduled For: Date: 5/23/2007 X Pour Time: W Code # Inspection Description Confirm # Contact # Me :. • - /° 340 Storm drain 048912 -01 503-407-0580 Corrections /Comments/ Instructions: \AA k , 5l ?/D (tev,./2.5) ( --.'\ ❑ PASS ❑ PARTIAL APPROVAL X CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Z ( `� Date: 3 (� P hone #: (503) 718- 7/b, . • _ . CITY OF TIGARD - BUILDING DIVISION PERMIT#: MST2007 -00023 007 - .. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU: 4130!2 Phone: (503) 639- 4171�d' Inspection Requests (24 Hrs.): (503) 639 -4175 `'' �.. INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 1 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -8828 Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbin • 048833-03 503 - 407 -0580 N Corrections /Comments /Instructions: • jrce/A Imo' . 54-z,a-„ - S� r 4 C 2 - 41-1c \ 1 , ill) 1 II ' e rr-v,-. , 4;9,,,a `5 /x (ev ) ,. ( r--e- - 3 " C vbk • 1 , ,_ l&-&--, \ i.. s ( 4 -5 ), kz-v, stv 4 ` A-v--t, i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v Date: (3-7Z:2-7317 Phone #: (503) 718- 2", z_7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/200/ Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: • LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 - 510.8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570.8828 Inspection Request Scheduled For: Date: 5/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 048523 -04 503-407-0580 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /24 1 L _ Date: / Al Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 # 11$161" Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503.570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570 - 8828 Inspection Request Scheduled For: Date: 5/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 048523 -02 503-407-0580 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: in V Date: '2/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIV ISION PERMIT #: MST2007- -00023 13125 SW Hall Blvd., Tigard OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: E A LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 - 570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503570 -8828 Inspection Request Scheduled For: Date: 5/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 048523 -03 503-407-0580 N Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: ,c/ 1 n Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 - 4175 . ' F '. INSPECTION WORKSHEET FOR DATE: 6/17/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 • TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW. PHONE #: 503-570 -882.8 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503.570 -0828 Inspection Request Scheduled For: Date: 5/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 048523 -01 603-407-0680 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ! J 7 716Th Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Iv1ST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/300007 Phone: (503) 639 -4171 "' I i Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 :02AM PAGE: 29 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: 1 AI)Y APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 - 57043828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503- 570 -8828 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 063850 -05 503-407 -0580 N Corrections /Comments /Instructions: P ,*d 0 1 0 / 0 • ❑ PASS ❑ PARTIAL APPROVAL KCANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: D ate: 4 Phone #: 503 P � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 000`x3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/3012007 Phone: (503) 639 -4171 Als, g yl° Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00A1v1 PAGE: 58 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: Now SF. OWNER: BEACON HOMES NW, PHONE #: 503- 570`8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570.8818 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elochical final 06/25303 503 -407 -0580 N Corrections/Comments/Instructions: Ok .(E/A-6 &/' /---e-e-Y . • t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C , L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ' Inspector: Date: \ -r il 0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 �o'j'� Inspection Requests (24 Hrs.): (503) 639 -4175 "'I L. INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: Q31 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503-570-8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 11/9/0007 Pour Time: Code # Inspection Description Confirm # Contact # Message 139 Electrical final 059385 -04 503407 -0580 N Corrections/Comments/Instructions: Nto : PR _c:, i D %49 -1 I LA 1-4==.-- kz (7 ?cZL V PAS %, ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ' / Phone #: (503) 718- Z‘V CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2007-00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 l '*iIi Inspection Requests (24 Hrs.): (503) 639 -4175 `_ .. INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7:04AM PAGE: 7 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 -570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503. 570 - 8828 Inspection Request Scheduled For: Date: 7/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 051892 -0�, �\ 503 - 407 -0580 N Corrections /Comments /Instructions: N. e- CX G-1\5 i r or. 00 {`' ti`i\1A1 I V.2). L1 4 i rn . M6/ {L. Qb6 W. J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G--‘ N �e Date: 1‘s �' 07 Phone #: (503) 718- /A F O CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2007-00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 4a.* ;l�l Inspection Requests (24 Hrs.): (503) 639 -4175 ` -_ INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7:04AM PAGE: 8 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503-570-8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 - 570.8828 Inspection Request Scheduled For: Date: 7/12/2007 Pour Time: Code # Inspection Description # Contact # Message 116 Electrical service 051892.04 503 - 407 -0580 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY N 66l Date: 1 .1 Val Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION 11 PERMIT #: MST2007 -00023 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 _mart Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7:04AM PAGE: 6 SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: New SF. OWNER: BEACON HOMES NW, PHONE #: 503 -570 -8828 CONTRACTOR: BEACON HOMES NORTHWEST INC PHONE #: 503 570.6828 Inspection Request Scheduled For: Date: 7/12/2007 Pour Time: Code # Inspection Description rm, Contact # Message 135 Low voltage 051892 -06 s 503 -407 -0580 N Corrections /Comments/ Instructions: ` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: II' Date: / (11 Phone #: (503) 718 -1- vT Restricted Energy Electrical installer Log • i City of Tigard Building Division T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 Internet: www.tigard - or.gov PERMIT NO.: /1nat Glom - ate . ISSUED BY: ,yw DATE: l,(, a .G"? TO BE COMPLETED BY INSPECTING JURISDICTION CHECK TYPE OF WORK INVOLVED: 1 & 2- FAMILY COMMERCIAL ❑ Audio and Stereo Systems* ❑ Audio and Stereo Systems ❑ Burglar Alarms ❑ Boiler controls ❑ Vacuum Systems* ❑ Clock Systems ❑ Data Cabling � ❑ Data Communication Systems R Other A I l- Q,..t e k❑ Fire Alarms ❑ HVAC ❑ Intercom and Paging systems ❑ Landscape Irrigation Controls* THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE SERVICE ❑ Medical PANEL. IF THERE IS NO SERVICE PANEL, POST ON OR NEAR TI IE ; ❑ Nurse Calls INSTALLED PRODUCT. AN INSPECTION SHALL BE REQUESTED ❑ Outdoor Landscape ONLY AFTER b a Li htin g OF THE ABOVE PERMITTED SYSTEMS HAVE BEEN i p g* INSTALLED, AND THIS LOG HAS BEEN SIGNED BY THE SYSTEM ❑ Protective signaling CONTRACTOR(S). OAR 918-309 -0400. i ❑ Other TOTAL NUMBER OF COMMERCIAL SYSTEMS: * Electrical licenses are not required for these items. Construction Contractors Board license is required for all installations. TO BE COMPLETED BY INSTALLER . O System P W-r/ se c . , 0 System Company: ` e c is-t 6115 Phone: ayo -q/ y Company: Phone: Address: po 0 7/3 b CCB # 6 s--y y y Address: CCB # Sig.: Lic. # 3b II 5 Sig: Lic. # O / Stcstem__ _ 0 System ON Co — 1 Company: Phone: m CENTRAL `� VAC INSTAI -LTION Add GARY'S VACUFLO, INC 7 75 -0025 I Address: CCB # Sig.: f 9015 SE FLAVEL, 97266 CCB: 69047 Sig: Lic. # o CLE: 26728 t 0 System • ' , 2 116% &/OR ILE: 985 i Corr_ Company: Phone: Address: Lzn-,r- J Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # I:\ Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 1 918 - 309 -0400 Restricted Energy Electrical Permit Application (1) A separate Restricted Energy Electrical Permit Application Form and Restricted Energy Electrical Installer Log are created and adopted. (2) The Restricted Energy Electrical Permit can be taken out by a general or subcontractor, limited energy installer or property owner for the fee set by the board in OAR 918 - 309 -0030 for limited energy transactions provided the requirements of this rule are met. The person applying for the permit must: (a) Assume responsibility to call for an inspection when the permits are signed by appropriate persons, installations are completed and after all corrections are made and comply with the requirements of the restricted energy electrical laws and the restricted energy electrical rules; (b) Be responsible for all corrections required by the inspector under the permit, regardless of who performs the work; (c) Call for a final inspection when corrections are made and the work is completed. (3) Options. The person obtaining the permit may: (a) Limit the permit to only the work of the permittee; or (b) Include any and all limited energy installations including those done by separate installers, but the installations must be ready for inspection at the first inspection call. When this is done, the permit must be completed and separately signed by the person, also identifying the business responsible for each type of limited energy electrical installation. (4) The restricted energy activities to be covered by the permit must be declared at the time of the purchase of the permit: (a) It is not necessary to identify the contractor at the time of permit issuance; (b) New permits must be purchased for all other restricted energy installations; (c) If a contractor is changed, the contractor who completed the work must be identified. (5) Regardless of what was initially intended the permit only covers those installations that are in place at the time of the first call for limited energy electrical inspection. A separate permit must be purchased for all other limited energy installations whether the installations become ready for inspection at a later date or are done at a later date. (6) This rule does not apply to an industrial plant when ORS 479.560 is applicable. (7) The Restricted Energy Electrical Installer Log must be posted at the job site for signing by appropriate persons installing the separate electrical systems as shown on the form. A municipality may require more than one log to be completed and left at the job site if it chooses to. I:\ Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 2