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Permit
Y t CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00223 t 1 w 6, DEVELOPMENT SERVICES DATE ISSUED: 7/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 104CD -06500 SITE ADDRESS: 13658 SW WHITE CEDAR PL ZONING: R - SUBDIVISION: HILLSHIRE ESTATES LOT: 065 JURISDICTION: TIG • Project Description: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 267 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,006 sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TURD: 416 sf RIGHT: 5 VALUE: 156,063 60 OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 1,689 at REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 6 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W/SVC OR FDR: 12 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st WO SVCIFDR: 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. ampNolt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: A VACUUM SYSTEM: x, AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: ), 0TH: f},LL. P. BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: N elf C I ' t P CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: • DATA/TELE COMM: NURSE CALLS: TOTAL 8 SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes WAUGH, BERT E JR + SUSAN B ROB'S HOME IMPROVEMENT CO and all other applicable laws. All work will be done in 13658 SW WHITE CEDAR CT 12354 SW 131 ST AVE accordance with approved plans. This permit will expire TIGARD. OR 97223 TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 - 579 - 5717 Phone: 503 - 590 - 7754 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 79617 direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 2,461.08 1- 800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Bolts in concrete 4l Issued By : / I'L Permittee Signature : \� 4,o ' : I �1 "22- -Q5 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. , , t Building Permit App O : F(1It OFF IC1� List.: ONI. • City of Tigard , ,, Dat / B . f g e ; Permit No.: M ✓/ 5 y) 3 � 1 ...J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review —' , _,8 e ;: . Other Permit: Phone: 503.639.4171 Fax: 503.598.1960�� i` ", i / i ' Date/B . Its- 2 -G Inspection Line: 503.639.4175 /off �' -- '- �- Date Ready/By ® Checklist Attached ecklist for Internet: www.ci.tigard.or.us �� � �� 0\ � �UI -_ Notified/Method Supplemental tnformatioa TYPE OF WOR -,S) REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction C q;t rnolition 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 �S i work indicated on this application. 6 U6 ii. OD CATEGORY OF CONSTRUCTION Valuation: $ 1W0 coo - 2A0 i ❑ 1 - and 2- family dwelling ❑Commercial /industrial r ❑ Accessory building ❑ Multi- family Number of bedrooms: ADD _ 2E�rou� ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 C t Job site address: 1 5% `)tA) • Limn cutp.R pace. New dwelling area: 1(;, square feet r City/State/ZIP: Tl CARD % C) . 9"� Z.Z , Garage /carport area: square feet - Suite/bldg. /apt. no.: I Project name: U.Ikk)GIA RES1D£lycz, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet v Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: l Lot no.: Permit fees* are based on the value of the work performed. ax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. gpDIT ION Valuation: $ Existing building area: square feet 1 New building area: square feet L�J PROPERTY OWNER I ❑TENANT Number of stories: Name: HERS a SUZY W fNUG1 -1 Type of construction: Address: 1'x(9 S,w . W NttE C,EIv e RACE, Occupancy groups: city / State/ZIP: T I G ARD ()Q . 91725 Existing: C PJ Phone: (503) 5 "lcj - 51 1 1 Fax: ( ) New• ❑ APPLICANT ❑ CONTACT PERSON NOTICE 19 All contractors and subcontractors are required to be Contact name: 120 ' j NQ ME TAP Roue VIEW licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1'Z 5 vJ ! 3 t ST AvE • jurisdiction in which work is being performed. If the Al City / State/ZIP: T , Gl�R, 1 OIZ . 97 Z...3 applicant is exempt from licensing, the following reasons apply: Phone: (55) � -'2,3 I Fax:: (So3) 5 4 - T ?54. E -mail: _ CONTRACTOR Business name: (2.O6'S F{O Ke. 1 MP RI:V Q Mewl CA , BUILDING PERMIT FEES* Address: 12'{.4 5 ,w . 1 57 AVE . Please refer to fee schedule. \,() City /State/ZIP: MBAR , Q R . 972-2,3 Fees due upon application Phone: (531s) 5 _'l,cyk, I Fax: ( ) - -----. Amount received CCB lic.: --rt fn _(i Date received: Authorized signature: � ; , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: RD E D4 MZ/k 1 I Date: 1(1,105 • Fee methodology set by Tri -County Building Industry Service Board. i \Building\Pennits\Bt1P- PennitApp doc 17/03 440- 4613T(11 /071COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICI City of Tigard Received Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Date/By Associated permits. Phone: 503.639.4171 Fax: 503.598.1960 / u,- .W :} 24- Hour Inspection Line: 503.639.4175 I I O Electrical Cl Plumbing O Mechanical Internet: www.ci.tigard.or.us - O Other. 1'I -IL: FOLLOWING ITE!i\'IS ARE IZEQ)UIIZED FOR I'L:AN REVIEW Y es No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • • 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . Q ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state El ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft, intervals); location of easements and driveway, footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, El ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- 0 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ El ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ El ❑ architect licensed in Ore on and shall be shown to be licable to the project under review. 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. 0 ❑ El 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. El El ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. 0 ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. l:\ Building \Permits\BUP- RES- PermitApp.doc 2 Building Fixtures ' Plumbing Permit Au a#to QNI E FOR OFFICE. USE ONLY City of Tigard Permit No.: l�ST ion - oo7.- 3 13125 SW Hall Blvd., Tigard, OR 97223 y t , i• t1 VW plan Review . Phone: 503.639.4171 Fax: 503.598.1960 I , /r.,.., V 'l i Date/By e/BY Other PemutNo � 24- Hour Inspection Line: 503.639.4175 TY 0F TIGti -►#. • __ I Date Ready/By t °" EI See Page 2 for Internet: www.ci.tigard.or.us R 11i LDING DI Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction ID Demolition For special information use checklist Description I_ Qty. I Ea. I Total Addition /alteration/replacement 0 • New 1- 2- family dwellings (includes 100 ft for each utility connection CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 I- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 CI Master builder Each additional bath/kitchen 45.00 ❑ O ther: Fire sprinkler ( ' sq, ft.) Page 2 JOB SITE INFORMATION AND LOCATION • Site utilities Job site address' I 56,5% S.4.) W . vi "-11r F CEDgk -ACE, Catch basin or area drain 16.60 City / State/ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: �� q SUZY WAUGH A1431Tt0■1 Footing drain (no. linear ft.:, p-f) ) Page 2 Cross street /directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector �}}�� ) 16.60 Sanitary sewer (no. linear ft.:'1b) Page 2 Storm sewer (no. linear ft. ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: HI LSH1RE I Lot no Fixture or item Tax map/parcel no.: KW • %. S f.C.1 .T. Z.S. R•t Vi ., W.try Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 1 WO - ADP I G leST 831.11't - Z SMt . Si FAS Backwater valve / 16.60 DtSw.uRSHE.e• Clothes washer 16.60 I Dishwasher / 16.60 PROPERTI'•OWNE R . ❑ TENANT Drinking fountain 16.60 I '. Ejectors/sump 16.60 Name: BER.3 '} 50.Z. -1 W UOG4 Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City /State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT : El CONTACT PERSON. Hose bib 16.60 Ice maker .1 16.60 Business name: Interceptor /grease trap 16.60 Contact name: , - - Medical gas (value: $ ) Page 2 Address. . t:), ,i - r'L � z �� Primer 16.60 City / State/ZIP: h L , < Roof drain (commercial) 16.60 � �_ , y c - f t:S23) �tLi`y Z _ ) Sink/basin/lavatory 3 16.60 Phone. // ax; : ( Tub /shower/shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR / Water closet 1 16.60 Business name. Water heater 16.60 Address' Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: .S 7Q Plumbing Lic. no.: 3 y /56 r8 Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: 7 TOTAL PERMIT FEE Print name: e te G o+Fcrr•S Date: 7 /7 -S This permit application expires if a permit is not obtained within IRA dos., ,ft. :o ....e Keo.. Iod no on., nloilo G ..1k;;,,22 05 07:55a Precision NW Electrical C 503 521 1637 p.1 ,/ -0- a -22 , Electrical Permit Application roe OFFICE t;S1: o\•L1 City of Tigard ^ C ,� Recei B : Rc.., CE G Date Permit Na. 13125 SW Hall Blvd , Tigard, OR 13 y., Plan ew nc Phoe: 503.639.4171 Fax: 503 5'8. t =� : sp ya;r f1 I pudB . Other Permit: Inspection Line. 503.639 4175 '} si° Date Ready/BY: 'Mi. 65 See Page2 for w Internet: ww.ci.tigard.or.us JUG 22- C OO Notified/Method: Supplemental Information TYP � F` BD .' PLAN REVIEW LJ New construction ❑ Act li t:at� ent Please check all that apply: ❑ Demolition ❑ L ❑Service over 225 amps, Comm 'I ['Hazardous location CATEGORY OF CONSTRUCTION ❑Service ova 320 amps —rating ❑Bulldog over 10.000 sq ft . of 1-and 2- lenity dwellings 4 or more new residential Ic 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders. 400 amps or more ❑ Multi - family ❑Mesta builder 0 Other ❑Occupant load ova 99 persons ❑ManuEctured structures or JOB SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park lob no.: 1 Job site address: 13 S.w , LIJI4 - CEbAca. ❑Hearth -care facility ['Other: Submit 2 sets of plans with any of the above. City /State/ZIP: —VI GAPsJ , 0 9 'S The above are not applicable to temporary construction service. Suite/bldg. /apt no.: Project name: NVZ 5 • FEE* SCHEDULE W � °� � De•ripam I Qty- I Fm f TWO I •• Cross street/directions to job site: New residential single- or multi-family dwelling unit. Includes attached garage. 14 1,000 sq. ft or less 145.15 4 Subdivision: `LS14 l ! Lot no.: C5 Ea. add'I 500 sq. fL or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 ' 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 iostallation, alteration, and/or relocation 200 amps or less I 80.30 2 201 amps to 400 amps 4._ 106.85 2 ❑ PROPERTY OWNER 1 ❑ TENANT Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: Reconnect only 66.85 2 Temporary services or feeders installation, alteration, and/or I Phone: ( ) I Fax: ( ) relocation made on Zoo amps w less 66.85 I Owner installation: This installation is being property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701. ' 401 an to 600 amps 1 33.75 i 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with Business name: service or feeder fee, each 1l- 6.65 2 branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6 65 2 City /Slate/Ztp: Miscellaneous (service or feeder not intended) Phone: { ) Fax:: ( ) Pump or irrigation circle 53.40 , 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: PtLA S U,,,....1 Nom_) �\ - CG extension. Describe: Paget 2 Address: 1 4Z t� S� n ^c_s -r—c „ Each additional Inspection over allowable in any of the above City.State/ZIP: Per inspection 6250 I (, )V,j CO co Cr Investigation per hour (1 hr mice) 62.50 Phone (> y) 4. ( 3 .- q 7 0 F ax: (r) 57_,1 -- k A . Industrial plant per hour 73.75 1 CCB Lic.: Electrical Lic.: J` 1S 4, ELECTRICAL PERMIT FEES* ( 3 (4 Suprv. Lic.: .� 3.310 Subtotal • v k) Suprv. Electrician signature, required: Y Plan review (25% of permit feel r as State surcharge (8% of permit fee) Print name: t-y�,, tRJ q f , , 1 G. �Y Y� �/��� ' ZZ �U� TOTAL PERMIT FEE t 4 4- ` - Authorized signature . n 10 T is permit application aspires if a permit is not obtained within 180 Print name: {N days after it has been accepted as complete ,`X _ Y x '1/1^ l 0 ale: `Z (�� • Fee methodology set by Td -Canty Building Industry Service Board •• Number of inspections per permit atlemed. i%BuddinalPermmlELC -Pen App.doe 1:A7 440A613T( Ia'Oi1CO.MJWEB JUL 22,2005 08:44 503 521 1637 Page 1 • Electrical Permit Auieat�i�� ©' FOIZ OFFICE: USE ONI.1' City of Tigard I p ' ° ` d Permit No.: Nyf , - m 13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 8 2005 Rei Review / • A Phone: 503.639.4171 Fax: 503.598.19 OF TIGAR P `14-' i i • D ' d � • Other Permit Inspection Line: 503.639.4175 v , -'_ Date Ready/By kris: s: El See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISI _ 1,1 J Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other ['Service over 225 amps, comm'l ['Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: Job site address: 1365 5,u). HtSt CUAR PLA(E ❑Health -care facility ❑der: Submit 2 sets of plans with any of the above. City/State/ZIP: The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: Description Qty• I Fee' I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation • 200 amps or less I 80.30 2 LI PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: gEIZ1 9 SJ2_•( W A IAGN 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 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 I ❑ CONTACT PERSON A. Fee for branch circuits with service or Business name: branch c rcueeder fee, each i..1 6.65 2 it B. Fee for branch circuits sC Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) • Phone: ( ) Fax::( ) Pump or irrigation circle 53.40 2 - Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: A .C.. F LECTR c 11•1C.... Address: tc61b0,0 Sp►EN Dop44 Each additional inspection over allowable in any of the above 91045 Per inspection 62.50 City / State/ZIP: 0) �jNCN1• -( I Q R - 91045 Investigation per hour (I hr nun) 62.50 Phone: ( 503) 2,3z.- %65( Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lic.: -- ).1/L Suprv. Lic.: 0175 Subtotal Suprv. Electrician signature, required: — 2 ,- / —Oh /3 —/ —o7 Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is Building \Permrts\ELC- PermitApp.doc 12/03 440- 4615T(l0/02/COM/WFB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system. $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i \BuildingTrnnib\ELC- PamnApp.doc 04/03 r : �''h87/21/20@5 11:16 5036502933 OCH PAGE 02 ,_.' Mechanical Permit Application rol: (.11FI r USE t-'l.1 City of Tigard CEI V d 13125 SW Hall Blvd., Tigard, OR 912 �. Dote/ atdHY• Permit Nr,,; MT 7 VQ7. Phone: 503 639 4 171 Fax: 503.598.' 960 nrr Plan New Other pen Inspection Line: 503 639.4175 JUL l lei! ' i Y ! Internet: wwtv el, ligaid.or.us U IT � �eReadylpy emir- RI See Page 2005 No6ftedthrfethott Supplemental to formation '6113 �� , f ' - .,:a • _ H COMMERCIAL_ FEE* SCHEDULE - USE CHECKLIST ❑ New construction , . I t 1 , [A(��ke Mechanical perm w it fees* are based on the value of stank ❑ Demolition ❑ I )ihcr: IV performed. Indicate the value (rounded to the nearest dollar) of al _ mechanical materiels, equipment, labor, overhead and profit. CATEGORY OF CONSTRUCTION Valuc:J _ 1 - and 2- family dwell ❑ (:ommereiellindusu iab ;.) r RESIDENTIAL EQUIPMENT/ SYSTEMS FF,FS• ❑ Multi - family ❑ pQastcr builder ❑ Other: For speciallnjnrrrrntron are checks /s /. Description i Qty, 1 Fa J. Total JOB SITE IN 7 0RMATION ANA LOCATION HeutJ, g /con tiue Job site address, i 36 5j ` J • t l�!Jl l .. C. EV l R S Air conditioning or heat pump -- ` .a TL ( requires site plan ;thewingplammeni) 1 City /$tate/ZlP; Furnace 100,000 BTU (dactslvenU.) I 14.00 Suite/blds. /apt. no : l Project name: WAlJ6H ADp� rlou Furnace I 00,00(}i BTU (ducts/vents) 17.90 Gas heat pump 14 00 Cross street/directions to job site. _ ^ _Duet work I 14.09 Hydronie hot water system 14 00 __' Residential boiler (radiator or ,_ hydronic 14.00 — Unit heaters (fuel -ty not electric). - - in -wall, in -duct suspended, etc. 10.00 subdivision. VM,L5VVE. l.ol no.. Flue/vent for any of above - t [0.00 Other: 10.00 Tax map/parcel no. _ �— Other fuel appliances • DES( RIPTION OF WORK Water heater _ 1 0 . 00 Gas fireplace 1 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 (0.00 PROPERTY OWNER — 1 TENANT Chimney/liner /flue/vent 10.00 T Name: 1 R ¶3t:) � P1 1 ) ,- , - ...14 Ot 10.00 Environmental exhaust and ventilation Address Range hood/other kitchen equipment 10.00 _City /Stntc/Zll'. _ Clothes dryer exhaust 10.00 • Phone: — Single-duct exhaust (bathrooms, ( ) Fax:( ) toilet compartments, utility rooms) 6.80 • ❑ APPLICANT • ❑ CONTACT PERSON �- AtQdcrawlspace fans 10.00 t Rusintss name: Other: 10.00 Fuel piping Contact name. $5.40 for first four; $1.00 for each gddltional Address: Furnace, etc. _ City/State/ZIP. ` Gas heat pump 'r`~ Wall/suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater E-mail . Fireplace Range C /NTRACTOR % - 2,.. Barbecue `,.._ Business names i�4� ., `.�% Clothes ctryrr (gas) Address: /fit Other: City/State/ZIP: Q MECHANICAL PERMIT FEES* __ __ 770„7.7 Su blob t ` .Phone. (503) rhos _ &XII Fax: (933) G.5-D - 3 Minimum permit fcc (572 50) f J Plan review (29 ^/0 of permit fee) CCB lie. State urchar a 3% of - $ ( permit fee) TOTAL PERMIT FEE Authorized signature ' aria p eppllcm,em expires If n permit Ii not nMnined within ISO dwt *nor it ha• h.....rrented n. ...nentrte. JUL 21,2005 12 :07 5036502933 Page 2 � 2005 3:16PM WATER SERVICES 503 6814 4 39 .R VIct s No .8185 P. Iuul ,IUL 13,3005 14:17 DOMZALSHI 5035247754 T; rul . Page P N E -� I JUL 13 2005 I► • �� � u kil i _1 , U JUL 1 3 2005 "�� -) Fill Num5 - �f3Db r (kiln 1 Wat;1 Sei'V es - „. �,,,., 7700.401 , - 'x° s Area Pre- Screening Site Assessment • Jurisdiction Date .10..f tt 4 v., Map & Tax Let - 25/ ocirt 06560 — Owner F,i~R? • Contact k N 1-,.a.. Y'1np, r74n 41y Site Address ' 17(fj -A ' �� ' +r�ltiC gt)4t rLt Company �'iiv.`•' : 'p t g i '`a4' lee ..`.+33. .__ __ Addnaao _ r �;,.,� Put Pro used Activity kceerp•+ eat Nroc A 11n: r City State Zip ,.:p t.l(; ;Ir Sr �CTcktf Phone 1�!J. i.;. °;��: ( 4,A. 4,1):.1kt.,,..t __ _.._..._..... Fax ® - -•- ' use only belowtht line — Y N NA Y N NA I n Sensitive Area Composite Map ❑ ❑ Stormwater Infrastructure maps Map #5 / .. QS# £/ 11 1.1 1 " � r1 Locally adopted studies or maps ❑ n ra Other LYN Specify , 1 Specify _ Based on a review of the above information and the requirements ut Clean Water Services Design and Construction Standards Resolution and Order No. 04 -9: U Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. if Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Sensitive areas do not appear to exist on site or within Z00' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 - 9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments; Reviewed Ply: _..... , ...._.. Post -it" Fax Note 7671 DRto7 /,P,/ 05 Wags / Relarned ru A/,plicanl >'b 011 Des. i jf�c: F rom 4014,0.444, Mail P'oa CUlrnlcr comern• Co. (4)9 Dote $7.1.1/*). By eell- pmmot Phono # f. • e C/ . Poo Fax# j ?PI Fa" e, 0413 JUL 21,2005 16:19 503 846 3525 Page 1 CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 �°q Inspection Requests (24 Hrs.): (503) 639 -4175 ''� - INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 18 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 12/22212005 Pour Time: Code # Inspection Description Confirm # ' ontact # Me • age 299 Final inspection 023929-04 503 - 349 -6332 • IN --- rections /Comments/ Instructions: r 7 t+(1K 7 �� ( too 2 6PC xy - spCG/�I (___ r •41 a_ - -- tmc-7 - 1, ' _' .4 - _ Fo 5�-6) 4-AiG14-o1 T k1 h = -1. F, ..Mc -- icy et't n11-1.0A, -- T 7 i■/& Or/ AI/ - ASS /� P: IAL APPROVAL i ❑ NO ACCESS ❑ FAIL ■ PALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto : Date: / Phone #: (503) 718 -Z‘q CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 �ydj Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 20 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hoso bibs, (1) bac water valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503-579-5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 603590 -7754 Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: Code # . Inspection Description Confirm # Contact # Message 399 Plumbing final 023929-02 503349.6332 N Corrections/Comments/Instructions: • / "2 PASS %/1 • S AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL OO/ • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ( 2 ?S #: (503) 718- Z 4-/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 d ' A, Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 21 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) baclanrater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 5035735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 12/22/2005 Pou` • e: Code # Inspection Description Confirm # Contact # essage 699 Meunanical final 023929-01 503-349 -6332 Y I I :SD Corrections /Comments /Instructions: • • PASS ri P. IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL PALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L Inspector: Date: 72 Z 767 hone #: (503) 718 -('t� � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 imph ; Inspection Requests (24 Hrs.): (503) 639 -4175 —141- IL. INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 19 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10114/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503- 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 590-7754 Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 023929 -03 503- 349 -6332 N e orrections /Comments/ Instructions: -L.3..r L % - ! �-- At L- o - o filAS r po4C 0,e 41 yep CZC. 1 i �t 1 �� s6r�.i�mmi. 6 jam/ PASS PA: IAL APPROVAL ❑ CANCEL ❑`NO ACCESS ❑ FAIL L L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto : . _ Date: Pho ne #: (503) 718 - 1‘27/Y CITY OF TIGARD . • BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: MST2005 -00223 Phone: (503) 639 -41718 l `I 7/22J2005 Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7 :07AM PAGE: 14 SITE ADDRESS: CLASS OF WORK: 13658 SW WHITE CEDAR PL SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater OWNER: valve and (1) ice maker. PHONE #: WAUGH, BERT E JR + SUSAN B. 503 - 579 -5717 CONTRACTOR: PHONE #: ROB'S HOME IMPROVEMENT CO 503-590-7754 Inspection Request Scheduled For: Date: 9123 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 016491 -01 503 -349 -6332 Y Corrections /Comments /Instructions: W I • R,ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i c Inspector: (il ti Date. ._ , Phone #: (503) 718- , _ .,-1) CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 A , Inspection Requests (24 Hrs.): (503) 639 -4175 .� F'� '6S . INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7 :08AM PAGE: 12 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 5735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503- 590 -7754 r Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: p }i Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 014207 -01 13-349-6332 Y ` -,r - o l , Corrections /Comments /Instructions: ._t_., .e.-- - -.r i e e i r - --Pi c-v (1/A.A. vv kl C •ra.) -0 ( G-vim vy kA (I„, - Pidfc & c� Q1/43_ 0 ea - )-,a _Q 0 j - . - - i d . - 12.x.A_e_ p k, 0\p_e.,,i&__._ (w/ 95 C A-J A 4S (Ov2-) w' Q - ( S G- ,/...--e.. ■e -- it- 9 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � ( i Inspector: VA Date: " I ? ' 1 S Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION � PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 A • Inspection Requests (24 Hrs.): (503) 639 -4175 ` 'I � .. INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7:10AM PAGE: 26 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503.579.5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503.590 -7754 Inspection Request Scheduled For: Date: 8/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 014019 -01 503- 349 -6332 Y Corrections /Comments /Instructions: A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CP 1 11.-4,-.;\ 11 Date: 21;7) nr: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 4 l 4 to Inspection Requests (24 Hrs.): (503) 639 -4175 . -_. — INSPECTION WORKSHEET FOR DATE: 822/2005 TIME: 7:10AM PAGE: 24 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) baclavater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503.579.5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 590-7754 Inspection Request Scheduled For: Date: 8/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 014019-03 503-349-6332 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: rTUti►w- ) -AN 11 Date: 7/22. or Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2212005 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 `'I � .. INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7:10AM PAGE: 25 . SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 066 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503-579-5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 8/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 014019-02 503- 349 -6332 N Corrections /Comments /Instructions: 6 ,., l n v.a,, 4- � ei 1 .0,r ■S L t \ Ta v N. --A-c t " As Pf pvv-✓1 Lo -fl,,, Mi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: rJl huh a l Date: 7122,14)C1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 vnln� (r, Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 4- "' INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7:07AM PAGE: 21 SITE ADDRESS: CLASS OF WORK: 13658 SW WHITE CEDAR PL SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503579.5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 8/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 013930 -01 503-3.49-6332 N Corrections/Comments/Instructions: I _1 frO /-' aP -- PASS 111 PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2212005 Phone: (503) 639 -4171 A . o'h, Inspection Requests (24 Hrs.): (503) 639 -4175 _' "'II� INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 16 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E ,.IR + SUSAN B, PHONE #: 503 - 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503. 590 -7754 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 13N Low voltage 018513 -01 503- 349 -6332 Y Corrections /Comments /Instructions: x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /d /7 / 5" Phone #: (503) 718 - r CITY OF TIGARD BUILDING DIVISION A , . PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 4 � I Inspection Requests (24 Hrs.): (503) 639 -4175 I .. 1 INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 18 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) badoivater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503- 5735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503- 590 -7754 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Cod # Inspection Description Confirm # Contact # Message 115N Electrical service 018628.01 503:149-6332 Y Corrections /Comments /Instructions: Ih IXQ \ fp CO kik G2b��� . 1)12 1 ��-,COF (PM) WTI fl n c)-.1ori\l u‘k \.,LC 1 'OA Nq4/ \P . ..(MC- 01(ortf-A,CN, C,DIN(% CA 11 \ 0 oKi&i Tv* Pi i c, cw) \kopill.,, 11 - 1 •. c3(s(,91A4Gtie 8o1-t ) 1%(* k p,c y(-1_ - Qt, 99 (c) -(t? \ 7 l os) r kfit.-1 / ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -' - .N._ (----- ----- Date: g 6 Phone #: (503) 718- E kd 1 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 13 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 5735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 -590 -7754 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 � Electrical service 018613-04 603- 349-6332 N Corrections /Comments /Instructions: / fr2V ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ..FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A--)44 Date: k /7 J Phone #: (503) 718- 27'41 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639- 4171� Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 32 667%/0/ V'a SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503- 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 590.7754 Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 018252 -01 503 - 413 -9870 Y Corrections/Comments/Instructions: I\ 1 f 5rt (( tA./, N T1 & goo 141 — /Qa>— 1Srcc %1 I- PASS / -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I � " ----111111111111" ' Date: /.2) QS hone #: (503) 718- , q111 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00223 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/27J2005 Phone: (503) 639- 4171a � 1� -_,61- Inspection Requests (24 Hrs.): (503) 639 -4175 ' ':_.. INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 38 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backvvater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 -579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590 -7754 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 018838 -01 503 - 349-6332 Y AM Corrections /Comments /Instructions: - 7 - 14C For—Lc, 1.,/ /VCS Z -14 SPC qaiJS tilEei> vol. PkI OK_ 3v2 4 Its 3ve s WZa+ - z ( a V-444 -1_— - Y o 0 V • ✓ I — ' Y e ' PO - %Z a k' l,/,7i /iy _ H am/ A- ic- i. Its < a ke.si _ (. p /moo y /q- /i cy -e125 Cfr6- - F g 47V C k e_5/‘/ E '09C :-14T:' 1e � : `� 1� • S . ,'- et 60 AO C e� - M u - 41-___ s&l2�fir Ili PASS MI -- 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED r -- Inspector: - .._ Date: /' #: (503) 718- CITY OF TIGARD - . A BUILDING DIVISION 4� � t PERMIT #: MST2005.00223 I 13125 SW Hall Blvd., Tigard, OR 97223 ``'�' DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 ( ' Inspection Requests (24 Hrs.): (503) 639 -4175 • '. !L. INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 15 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10/14/2005 added low voltage. J , - r OWNER: WAUGH, BERT E JR + SUSAN B, (j5 PHONE #: 503.579 -5717 CONTRACTOR: ROBS HOME IMPROVEMENT CO PHONE #: 503. 590 -7754 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Cod # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 018513.02 503. 349-6332 Y Corrections /Comments /Instructions: \ , 3 b Q • V PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 /�rog i dle Inspection Requests (24 Hrs.): (503) 639 -4175 °:_.. INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 14 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503-579-5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Cod # Inspection Description Confirm # Contact # Message 275 Framing 018513 -03 5033436332 Y Corrections /Comments/ Instructions: l' = i Q R\ c\ Q s ) c‘Nt), ( 4\- awl), t-- 0 L) ) N. P\C-0W 10414 cb\Y) l PASS 111 PARTIAL APPROVAL 111 CANCEL III NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: O' 7 ' • Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639- 4171wniitt ' / Inspection Requests (24 Hrs.): (503) 639-4175 + L INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 17 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) baclavater valve, and (1) ice maker. 10/14/2005 added low voltage. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503- 5347754 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610N Gas line 018628-02 503-349-6332 N Corrections /Comments / Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED -✓ — _ / Inspector: , G- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005.00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 // ry .'' � i Inspection Requests (24 Hrs.): (503) 639 -4175 _-' t'I I INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 34 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater • valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 5735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 590 -7754 Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # e 235 Shear walls/anchors 018251 -01 503 - 3436332 11" Corrections /Comments /Instructions: At c + ,e S y7 FO L L o i�.li d 4 4Y C °1 C C �o o eg 1 C--A, TSTf1 6 , Re,* M e 62, AY1 Ci'� e--( „ C., 9 Dm /A z S - v dr �■ 1 Yid lo_A'a a. l S rC:Z (i...- - ` L 0%1 / A4 Al &bi-e L (s..0 —,;_ p --- (e..„ si-c-r sr..#7. --- o .ov / it - sS' 0 f Si LL., 1././4i_ if../&, Pg 'rt 7 6 met L.) / T ❑ PASS ��� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 7i Ci,, L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ . Date: / '(3 - O _ P hone #:.(503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 33 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 579 - 5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 018251 -02 503 - 349-6332 N Corrections /Comments/ Instructions: • PASS % P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect. : ` � Date: /d ©c Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005-00223 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 Ate �t l i Inspection Requests (24 Hrs.): (503) 639 -4175 . -�..� • INSPECTION WORKSHEET FOR DATE: 8/25/2005 TIME: 7:12AM PAGE: 11 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 579_5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 590 -7754 Inspection Request Scheduled For: Date: 8/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 014295 -01 503 - 349 -6332 Y Corrections /Comments /Instructions: - 7"-‘44.0.,- 4.1 -/-<9 2e - ai , 4 -- �'0' \eeo1 - V4 0 Q- 4AR2r e — ( )om, P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Date: "� --- -..C .--- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: 8/23/2005 TIME: 7:05AM PAGE: 52 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 066 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 6795717 CONTRACTOR: , ROB'S HOME IMPROVEMENT CO PHONE #: 503 - 580.7754 Inspection Request Scheduled For: Date: 8/23/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 014090 -01 503-349-6332 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /) ,A Inspector: Date: 19' • - ' Phone #: (503) 718- • CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005.00223 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/22/2605 Phone: (503). 639 -4171 I I Inspection Requests (24 Hrs.): (503) 639 -4175 R'' I-. INSPECTION WORKSHEET FOR DATE: 6/19/2005 . TIME: 7:07AM PAGE: 20 SITE ADDRESS: 13656 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: ' PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503 - 5735717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503.6g0_7754 Inspection Request Scheduled For: 'Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # . Contact # Message 225 Post/beam structural 013930 -02 503 - 3436332 N • Corrections/Comments/Instructions: i • �- < .Y---5c1i -u 4 -gs" GZ,•s s s >v • • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: X — Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 ����$� Inspection Requests (24 Hrs.): (503) 639 -4175 _ -' 5 INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7 :09AM PAGE: 65 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503- 579 -5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503.590 -7754 Inspection Request Scheduled For: Date: 8/11 /2005 Pour Time: ( 200 Code # Inspection Description Confirm # Contact # Message /0/0 220 Slab 013333-01 503-349-6332 Y ' Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL El CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' 1 f Date: q ---.1 / 4 - Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 / ° "vlilh Inspection Requests (24 Hrs.): (503) 639 -4175 __,41- `:_.. INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7:05AM PAGE: 45 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 065 TYPE OF USE: ■ PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) baclaroater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 603- 570-5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503.590-7754 • Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 013163-02 503 - 969-0390 Y Corrections /Comments /Instructions: FF II 1 ` 60 d 0 , „ _ , . • P i ..-- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL f ALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED 1I Inspector: 40 All / Dat l (5 v Phone #: (503) 718- CITY OF TIGARD ' . - � BUILDING DIVISION PERMIT #: MST2005-00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005 Phone: (503) 639 -4171 i,r.N�p,�� (�� I I Inspection Requests (24 Hrs.): (503) 639 -4175 "IL ` INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7 :05AM PAGE: 46 SITE ADDRESS: 13658 SW WHITE CEDAR PL CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 063 TYPE OF USE: PROJECT NAME: WAUGH DESCRIPTION: Residential addition. Other plumbing fixtures are (3)rain drain connectors,(2)hose bibs, (1) backwater valve, and (1) ice maker. OWNER: WAUGH, BERT E JR + SUSAN B, PHONE #: 503. 579-5717 CONTRACTOR: ROB'S HOME IMPROVEMENT CO PHONE #: 503-590-7754 Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 013163 -01 503-969-0390 Y Corrections /Comments /Instructions: I CO ( ( I . A.:"T - TO Rt-c___Loal ,i ._ il t, 0 3 o ii. __ _ mia v._ up, " PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C I S CA FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Air Date: �� G 0.... Phone #: (503) 718 - P )