Permit CITY TIGARD MASTER PERMIT
44 . PERMIT #: MST2006 -10058
DEVELOPMENT SERVICES DATE ISSUED: 6/9/2006
n� it 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S133CA -GW018
SITE ADDRESS: 11480 SW LOMAX TERR ZONING: R -25
SUBDIVISION: GABRIEL WOODS LOT: 018 JURISDICTION: TIG
Project Description: New SFA
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 691 sf BASEMENT: st LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 877 at GARAGE: 241 St FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWEWNG UNITS: 1 THIRD: sf RIGHT:
VALUE: 151,254.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1.568 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 3
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN 5=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 1 0 - 200 amp: W /SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 1 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FOR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 800 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
»-4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
JOE BAUSCHELT INTEX CONSTRUCTION INC applicable laws. All work will be done in accordance with approved
4325 SW PRIMROSE ST 7235 SW BONITA DR plans. This permit will expire if work is not started within 180 days
PORTLAND, OR 97219 TIGARD, OR 97224 of issuance, or 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
Phone: 503 860 - 6001 Contact #: PRI 503 452 - 3780 of these rules or direct questions to OUNC by calling 503- 246 -6699
FAX 503 452 - 4325 or 1- 800 - 332 -2344.
Reg #: LIC 97543
TOTAL FEES: $ 9,118.98
REQUIRED ITEMS AND REPORTS
1.
Issued By : Sj_/ Permittee Signature : ( 0------
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines da .
This permit card shall be kept in a conspicuous place on the job site until co pl ion of the project.
Approved plans are required on the job site at the time of each i s ction.
r
Building Permit Appl'ca ' uin .L•,. ,:..... :'.':1:012 OFFI E 1.1$F. 0 ■l City of Tigard CEIVE0' Received J_...p-- )6— t D r iki
Date/13 : 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 A �°'"� Date/B : S - Q • ®� Other Permit:
� 7 �� 1 � f l Date Ready/By: ® See Attached Checklist fo
Inspection Line: 503.639.4175 _ � ±si :.. "__.,
Internet: www.ci.tigard.or.us Notified/Method: immwm Supplemental Information
CITY OF TIGARD
RV /WING DIVISION
E 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.
Valuation: $ / S / 2 g' -
1- and 2- family dwelling ❑ Commercial/industrial `
❑ Accessory building ❑ Multi - family Number of bedrooms:
5
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: I I q 50 LOMA Y T`.tz New dwelling area: i 5'I:,, ii. square feet
City/ State/ZIP: • 114 A a i 0 (- 9 Z2 ii Garage/carport area: . q I square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: 3 I square feet
Cross street/directions to job site: S'W gy.ler`,:c,,. (ZLAd) L c i - Op, ; U Deck area: c square feet
A NA//)- (.O p[ /2. r . Other structure area: . square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: (i /1•(;(x �, W ,,/ ') Lot no.: 1 6 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.
Valuation: $
I1r (_ 1 c /V,'/ (•rc. 7/r,'N • /t4,''' 5 IORc1 /) r /O /1h7 IN/ill
c I / Existing building area: square feet
J /rVii I- i. c,'lT 6//1 t. . /5 girl • !,r 1-I tl,A)7 S/-fle I
New building area: square feet
[I PROPERTY OWNER ❑ TENANT Number of stories:
Name: Joe,: 1 3Fi L(sc r.< < T--
Type of construction:
Address: 4 5z 5 S41/4,/ pg., (v) ,2i' 3 i S i YLt Cc T Occupancy groups:
City / State/ZIP: Puke /1•n/J - + / (,)j2 9 72. 1 9 Existing:
P h o n e : ( ) f ?(� (: _ ly- CC % i Fax: (' ;:,5 ) ` - L13 . 2.5 . New:
NI APPLICANT 14 CONTACT PERSON NOTICE
Business name: '1, .(-• X L i ti S rj2((C:'ri 0 N ; T < • All contractors and subcontractors are required to be
( �. • licensed with the Oregon Construction Contractors Board
Contact name:
Inc 11 l L ` ° ,' \ under ORS 701 and may be required to be licensed in the
Address: 72. 35 S 61,/ 8r. "ti i rn 1)1 Li E-- jurisdiction in which work is being performed. If the
L 97 Z 2 �� applicant is exempt from licensing, the following reasons
City / State/ZIP:
7 - ) `` / v n OK y apply.
i
Phone: (51;3) OE. 75�'`I Fax: :(c)�13) ti`I • 31o5
E-mail: 1'ok -IZ r)e
CONTRACTOR
Business name: 'f j . 1 - 4 X C.,,,, 1)2 L: i. n t,' N' D
BUILDING PERMIT FEES*
Address: 7Z .3 5 5 trti' 8,-. A.. if 1)1( u L Please refer to fee schedule
City/State/ZIP: 'T
vi. /1 .e . t ) . OR 9 z L `/
Fees due upon application 5 a . -a)
Phone: (i 3 �) Li 52 . 3 7 Ei a Fax: (5 ) `i 52_ - r-I' 325
CCB tic.: Amount received ����
�� L► j 7 .5 1, 3 Date received �q G 6
within 180 days
Authorized signature: / ,/j . / , / f T his permit application expires if a permit is not obtained
/\
n l� a
Print name: t; , 4')1' / , ,r , r; Date: 3/i U % r• D. Fee method set after by it Tr -County been Building as Industry
complete.
/ Service Board.
is Building \Permits\BUP•PermitApp.docA2 /03 440- 4613T(1I /02/COM/WEB)
Mechanical Permit Application . _ 'i 12 0 01?F ICE US I: \'
Q L1
City of Tigard and Received
g Date/By: Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 11� t►. Permit:
Other Perm.
Inspection Line: 503.639.4175 es I''' Date Ready /By: Juris: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Rj 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description j Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address:
I I t•I $ o LorvIA x T e • (requires site plan showing placement) 14.00
City/State/ZIP: 1 r n l)/ 972 L y Furnace 100,000 BTU (ducts/vents) I 14.00 I 'I.
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgiapt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: \iv f) /}(Zw(1 w , s ,e,,,,,, 1,4_161.; L ASTS Duct work I4.00
Hydronic hot water system 14.00
Obi R(; AA; l (,L` (.i.JZ.j ' Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: J ifi L'. i L VV - e. D Lot no.: I B ether: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater • I 10.00 i C, •,)
Gas fireplace 1 10.00 i
Ns b1,' .c'Iv �inaLLci Ic)?.)
I ( � ,U i:• - 5 tL(l -L' t�-1T1�11.t 1. i:6 r1Glvt�' Flue vent for water heater or gas
� r . l 1 0 -. fireplace l 10.00 IONA
41) I t r� 71 i 1 LS i /1 it 6 /i "( 4 f , I • L ' C Log lighter (gas) 10.00
L i 1 I N (t SPIT . Wood/pellet stove 10.00
Wood fireplace/insert 10.00
�. PROPERTY OWNER 1 ❑ TENANT ot Chimney/liner/flue/vent 10.00
Other: 10.00
Name: J l) L I7 A U i. L- -l- Environmental exhaust and ventilation _
' J Range hood/other kitchen
Address:
`�.3 ) .' Pk! r/ OI: i Eiicr equipment I 10.00 10.
City/State/ZIP: !'t •1..111‘)v) 0k,_ 97 2 I 9 Clothes dryer exhaust I 10.00 IC. is
Single -duct exhaust (bathrooms,
Phone: (503 ) ,1;;.e L 00 I Fax: (`Jt) j) I • y 3/5 toilet compartments, utility rooms) 0 6.80 1.)--1 0
isl APPLICANT El CONTACT PERSON Attic /crawlspacc fans 10.00
T � �;•- � , Other: 10.00
Business name:
1.1V - )( (..0 5, 1Z.i.i( :Tll N �fVC Fuel piping
Contact name: hlJ (. A I I_Lec,
$5.40 for first four; $1.00 for each additional
" Furnace, etc. I t i `f t)
Address:
7 t 5 5 W' 6on.) an Diet �'� Gas heat pump
City/ State/ZIP: • 114 A e i1 . OR '9 712 - Wall /suspended/unit heater
,
Phone: (�jl)')) � F ax:: (7 3) �• Water heater j .�VI, 7501 Fax: .} �(. %� Fireplace I
E -mail: 1 -( ; . 0 i 1 tf.Y' 33 ce vcrr:CY) . 1.1 r Range I
CONTRACTOR Barbecue
n . Clothes dryer (gas)
Business name:
K Cll'f > iii'I I/V4 A"A /,l r/: oi.;N Other:
Address: P C 15;;:k 12.05 (0a) L^ 5 At6,7Fi s;, :.; (2-0 MECHANICAL PERMIT FEES*
City/State/ZIP: C /t - (Jf-r) 9 7O( 3 Subtotal
Minimum permit fee
Phone: (j 6 (, t% 3) 2 1 Li `� Fax: (5-L: 3) 2.1„. t, j y Plan 7 1 ($72.5 an review (25% of permit fee)
)
CCB lic.: (V" [ -1 r C ;V v V (; State surcharge (8% of permit fee)
r TOTAL PERMIT FEE
signature: y Lytur � This permit application expires if a permit is not obtained within 180
Authorized si
!'� / days otter It has been accepted us complete.
Print name: 71% °.tv.k7 h I Date: 3/10106 • Fee methodology set by Tri- County Building Industry Service Board
c
i:\ Building \Permiti\MEC- PermitApp.doc 12/03 440- 4617T(11 /02/COM/WEB)
• ROSS ELECTRIC INC PAGE 01 /b'L
03/08/2006 15:27 50364
Electrical Permit Application • FOR (H FI(I I I'I`: OINI,1( ' , .
Received Permit No.:
City of Tigard Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ` ,... jiI°j� Dale/By.
Date Ready /By: iwlt: Ed See Page 2 for
Inspection Line: 503.639.4175 Supplemental Information
Notified/Met
Internet: trrww.ci.tigard.vr.us _
- ^_ ; ::.::.;.•� .:. ::::•::.:. ... Please check all that apply:
New construction ❑Addition /alteration /replacement ❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition • ❑ Other: .... over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
.,. ............., .. ,. , ... ..•. . ,:.::• ;...,_..-- .....:..•...... -and2- family dwellings 4or more newresidential
.,,:.::::::. F' C()NS'I R(11 tION
;1;1;''::_ _,. • .... : •: over _ fl
❑System er 600 volts nominal units in one structure
1 -and 2-family dwelling ❑ Commercial/industrial ❑Accessory building Feeders, 400 amps or more
❑Building over three stories ❑ P
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
': '• °: :.::::�.:. ;,: ; -: .; :,:�OY{"SF�Q;R1NA�'�Q1V :AND : `.;`..:::.:: � ',_''�:.:: :.�'. ❑6gress/lightingplan RV park
•
. .: ['Other:
,. :........ ;. . ;.:...�,,:..::: � :,.....:: �•iI1
... ❑Health -raze facility
Job no.: I Job site address: II-190 j. MqX 4 f'r IQ Submit sets of plans with any of the above,
The above are not applicable to temporary construction service. • City /Start /ZIP: 714 A-126 r �R �� Z �'� . ».scgE» . ....... .
Sulte/bldg. /apt. no.: I Project name: Description I Qb. I Fee. I Total 1 ""
New residential single- or multi - family dwelling unit.
Cross street/directions to job site: Still �JY►(4Zc w, 5 4,t () /,,,A, X15 r Includes attached ¢arage.
1,000 sq. ft. or less ( 145.15 4
1 Lot no.: 1 Es. add 1 500 sq. ft. or portion / 33.40 1
Subdivision: 6I (3f c Vti� i n 5
Limited energy, residential (�� 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
11 .............. ..::: ::.: .. rilE5CITION.A WORK . • . Each manufactured or modular
' °' � � .,. dwelling, service and /or feeder 90.90 2
/ , ' Vie ( +iri 17 ` A ,' / L (.. j rt ' i1/) i t t /_1 f f om `i vi.` ' 7! Services or feeders Installation, alteration, and/or relocation 2
V - , / , 200 amps or less .
j -. c/1 64/ f t•F /v /A/6 / 201 amps to 400 amps 2
.. •.� ; ....•. . : .... `;. 160.60 •
:.; �� , ... ,
amps to G00 amps 240.60 2
601 amps to 1.000 amps
Name: U L �3/} u� i r Over 1,000 amps or volts 454.65 2
Address: ' ' 2
32.5 ,) W' 1 at iim fi. �r' R econnect only 66.85
City/State/ZTP: ' 4 (.} 12.0 r C K 9 72- 2 'I Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( 5 'S) f L ., U - b•Cl 1 I Fax: (5t:.5 ) L1 L "1 C 3Z. 200 amps or less 66.85 I 1
100.30 2
Owner installation: This installation is being made on property that, i own which is not 201 amps to 400 amps )33.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps
Owner signature: _ Branch circuits branch circuits with
or extension, per panel
alteration, o n cr
A Fee for bran
:,.;....• ......:.:...:. 2 •
service or feeder fee, each
•W �:::•:::::�...... .......:,AFPa,XCA,'.:::.: '� :::: 6.65
bra,lch circuit
Business name: -IN << x C (!)V5 T rL 4iC. 11 C/v I .1 g. Pee for branch circuits
Contact name: �) I ' V�dui c i� without service or feeder fee, 46 -85 2
1 � L t j each branch circuit
Address: '7 Z 51.1, 130/\; r'T 11 1) l 2 r u r Each add'l branch circuit 6.65 2
Cit /State/ZIP: J 9 '72 L i Miscellaneous (service or feeder not included)
y f 1 G I{ t 1 l� / (i 1 Pump or irrigation circle 01` 53.40 2
Phone: (r . C3) }; 42 7 i C.' �1 Fax: (`h`) ) ✓L i1 t, 314 Si or outline lighting 53.40 2
gn
E -mail: y y I a (fit- 3 L�r�1 Ve.; ( 7 GYI . 1'I r r t r
.: 6N
1::::;; s .:::: ;:.:::'.; :.::.:::, ;,;;• U : `:.:; ;: " _,.:......0 • Fly e1 E 1 OR .:.. : • ::.:;.:.....::...::.:::::%:;..;.. „ .... ... g 2 2 • . :. energy panel a l t
:, Signs circuit(s) era[
•.,�trt,:: ; ;.� ;.,:�. ;,:z ;::::.; ... ; t ....�..,. 1. extension. Describe
Page
': B usiness name: R0 $S � � C - ''h C
Each additional inspection over allowable in any of the above
Address: .Q $' 70 S c 7 $�� Per inspection 62.50
City/State/ZIP: 1 1 1 5 6,cl , O I— q 7 ra Investigation per hour (I hr min) 62.50
Industrial plant per hour 73.75
Phone: (S n3) It `7l Z gp0 I Fax: (so3) (e q a S8 (.S •EI:EG''1RI tMI7',:kle8i .=:::
CCB Lic.: 1 5-76 q 1 I Electrical Lie.: L 351-y3 I Suprv. Lie.: el Z3A 5 Subtotal
p p M Plan review (25% of permit fee)
Suprv. Electrician signature, required: /�” , ' State surcharge (8% of permit fee)
Print name: s f �P r�R1\ 0 c S LDate' TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
da after it has been accepted as complete
Pate: - Fee methodology set by Trt County Building Industry Service Board
Print name: **Number of inspections per permit allowed.
is■8uildmgV 'omfiutSLGPanmtApp.dx 1]/03
650.4415T(1 o,02/CO`LWEa
•03/16/2006 11:08 503 - 644 -5989 CRAFTWORK PLUMBING PAGE 01
r
Plumbing Permit Application • _ FOR OFFICE USE ONL.Y
Received permit No.:
City of regard Date/By:
13125 SW Hall Blvd., Tigard. OR 97223 Plan Review ether Pamtll No.:
Phone: 503.639.4171 Fax: 503.5911.1960 ` r' Vi
r i I Date/By: runs ®Sae Page 2 for
24 Hour Inspection Line: 503.639.4175 s '•� j Date Ready/By: ffi See P 2 inrbrmattoo
Internet wwar.ei.tigard.of.us 8 _ _
NoG ed/Method
: i:r•' : )r ,... R .n�.rnr a , ir. ,; c' = { . ± " :!
� , , • Ti rt:: •-, t lr_.v -[ •:nr t:urp:u � } a � f(" 'a. -, � f 1T �. ^�r�a !'ao �ii ! �{ �� � ^ i; ' I� .i ?' � Jl.i �l' y.9 L�fli'l7 � i {B' , • ti' ry � . "� ` ••
� �T IF. ,x ;� Fa .�t{d� l�lj` ? ?'.'{ r {I�i_��.fi�r IIT e.,�:'t��; l Aj. 1 �tt r�' �I - i 4r�ir�ii t�+C i P I II :I I'l V II ! k!PIl r.��� iY , A k l� i I,t { i'I51 d .111L'16GI,. > i. i0 .: r, �
,;� 41 id ?>i1'' n4 y. i IS IP_ s 1 .14 , ti' t 91' II1./Y N I . 4 � 114 Hn •1hrl •�16 , MVP 'ar ' , 5 1' ti II'
❑ Demolition For special information use c
U New construction Description I Qty. I Ea. I Total
O Addition/alteration/replacement ❑ Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection;
I I .��II rn -„- r 249.20
W , r�.:pix I,;l� {I:TU,r-t;.. r-; Sl';'"' m "r',rr iwF'P �`Y % °t SPR (1) bath �' u`X 1�7J�s.l�,lj..�� 7 . I '�r).. ..f. . t}'� -'9 olbi ct t.�u''t:`• :..,7, i
„ -- u.c n� rn Irfrli, r ,al.x'fi>tp.„�{.;Ialtl SFR (2)bath 350.00
I' I I. and 2- family dwelling ❑ Commercial/industrial
SFR. (3) bath I 399.00 '3z.)9 , 00
[] Accessory building • ❑ Multi- family Each additional bath/kitchen I 45.00 45 op
O Master builder ❑ Other Fire sprinkler ( sq. ft.) Page 2
Tlt] 1 M ' l a 7' , T� • , iT I' ].lrlr 1. -JJ. 1
:§ � :0 7F i �, ' GG - : 1; I , !f r rr `` 1� , 1 1u'tl�t 1 1 F i ) pr)ln h [ � Si u
• •_':h„ 1 1!-U i:;,1ri ;r,,Pr ., lily. r,ti: ?FJ o,sii,I.+In.!I :iII�!:t.. drPr ,fltlt,d'..t!_sCrr a t4
Job site address: I I LI 80 LOMA K Tom_. • Catch basin or area drain 16.60
City/State/ZIP: rywell, leach lint, or trench drain 16.60
ty /State/ZIP: T1 4 /1 kid VIZ y 7 2 Z Lf Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: (Project name: Manufactured home utilities 1 10.00
Cross street/directions to job site: W kw ac •„ k a 6 . / 2 Ai Manholes 16.60
. 2. -. Rain drain connector 16.60
Sanitary sewer (no. linear ft .: ____) l Page 2 55.0 D
Storm sewer (no. linear ft.; _____) 1 Pagc 2 55 ;)
' 13 Water service (no. linear ft.: I/ 0 ) Page 2
Subdivision: ) J , i Lot no.:
� i /}(� /L1� L �lni'� S Fixture or ltem
Tax map /parcel no.: Absorption valve 16.60
.po- 'i ::^ ;n,�.r:n;�.. . .. � ' . r�: � r,' ll'!I .�, ��nq � { rn � � '1 •.� �, r 7
' .t • e rA rQ17F1:`' ., ;1;1- : ; r# i7ir�f *� t I�of{ ` 4it . A S 41 d , B ackflowprcventer j Page 2 :? .'J 5
0Al: .; � Backw ater valve 16.60
Ak /�' CD 32. LiC i / , 5'1 171 • . F'env� U , t 16.60 16•i�e
Clothes washer
' Dishwasher I 16.60 / L • 1 0
_ Drinking fountain 16.60
I ' I " '•I :'�'���I I: -tl l . ,.. i • , Il • {:'. in ,m: ¢' {7 i R Y i l � ri .! 7 i I : : t,� , .T� ,�• 1•. 1 �. I g
�t 1TllIpp t J 1 1 I I nra I l r i la ' 6 , P T�i � r rC viii I n 1 h i1�; [ 4i' q F0 !, 7 r ol l
lh.+ lfi!l�,lfl�',h.li - �Itl, iiA rJr mF' , 7 lid.!�nl��,.rl,: dl1ilial l- R7111
4IF �Ila.rirxlfr,fJ~n }, hfr d,'tlf",:t.i j cctors/autnp J 16.60 /.L• 0
Name: G ? W;y'i /? Jo C. 64•14_50-ii- r Expansion tank 16.60
Address: • Fixture/sewer cap 16.60
q325 Sb•L` �/2 SiiL£�r
Floor drain/floor sink/hub 16.60
City/State/ZIP: C1 ui - n•lD . 0 2 '1 z i `1 .
Garbage disposal 16.60 i .
Phone: ( ` , " )63) 6 0 -VO( Fax'(J y52 - Y3 25 I 16.60 "33.
'. , 1 ,s F . ,r, '.•T � .r,,,, ^ur -tRp �� I Hose bib
Z I 1 t // [n 7, f�fl`•llfl t ,t ii 'f,�I� 1
i ..rfJ)�h4�'a:�'F'14�J i; h•�I #r /,r 1'� � °j S: J;nU.11'ui�.���III..�IJl'� Ira {: hk�;: tiil .h'��lt� ?F:n��1o�1!,i1�:li�t 1CC maker 16.6t)
N. Ilat, , w di�h< � ci iF. . ��hf polo
Business name: 1n;T / , K ci2N52 C:rl On% , niC - Interceptor /grease trap 16.60
Contact name: 9 c, L It 1 L Lec.- -- Medical gas (value: $ ) Page 2
Address: n / / y' ,- Primer 16.60
7L �V' `I� !v 1 1J `
of drain (commercial) 16.60
City/State/ZIP: j I " (; 72..2_,
Sink/basin/lavatory 16.60 •, `% {:i i
Phone: (60) B , .- S° t/ Fax:: 5 0 ) 4 . 7 , 1 1 , , _ - 3'7 u S
Tub/shower/shower pan 16.60 i
E-mail: r 0 ' M i I IZ• 3 1 VV r i ion Urinal 16.60
,. ,� 7}:7t�7 PI r §i�'� ) l� li r a4i n 't i ";� t`�f �I] II �'�;��IJ' l • (�}±� � •�%+
�" 1 I 1660
j r
rr ��, a,i I # ,. - I � A :! : 3!il d lh 16:ir C1 `�I'� ,� !� [IdYl�fr,!1 I�'Fl Taltif yi'A7!� ld Water closet [�
Business name: l�Q yl I.�k, I { N 1k1 (:ter ° I. 1 I.t, tl• I�_u.i 1.
• / h� Water heater 16.60 f' /
Or y
I
7 7 1 S u/ C 1 ' rr AO" other: -
Address: /� Subtotal
City /State/ZiP: / (/te ti� • q_7oio ' Minimum permit fee: 57250
Phone: (Sa$) fa i G - Fax: , ) yq . Residential backflow minimum permit fcc: $36.25
Plan review (25%of
CCB Lic.: C10 Ptu Lic. no.: .� p'R , State surcharge (8% of permit fee)
Authorized signature: �I / TOTAL PERMIT FEE
permit application expires if a permit Is not obtained within
/ - Date: T his per 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
iAlhdidiatPem,In\PLM.TermitAppdec 17A7 ' 44414616r(l0i021eorvwas)
11
if
Site Address:
11 . Building Division
TIGARD Transmittal Letter
DATE RECEIVED:
TO: i r) Nebo .- RECEIVED
DEPT: BUILDING DIVISION
MAR 1 2 2007
CITY OF TIGARD
FROM: Grad et4) 1 1.i Y- BUILDING DIVISION
COMPANY: 770 77 ( i s .v; HEnAneS
PHONE #.: 563 -. 7't 9 `1 $ 3 By:- 7 C 4Z_-
RE: MIT 2C)0 6 — / 0 a s e • ! __! 1 s iw Cc i-,,a x•
(Case number, site address, etc.)
C2 br,se 1 l d CO d S• L a % d'
(Project name or subdivision nam= and lot number) /
ATTACHED ARE THE FOLLOWING ITE :
)'‘.--- /
I Copies: I Description: • I Copies: Description: . .
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technicia • • Date: Initials:
Fees Due: ❑ Yes I No Fee Description: Amount Due:
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I: Building \Forms \Ltr- Transmittal.doc 02/20/07
A4 .
STREET TREE CERTIFICATION
I, F>r, I 142 r , Owner /Agent for TNT x ci,s425.4. tibmk
(PLEASE PRINT) (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: 11 fro Loon ax These
e
SUBDIVISION: (', e W000(s LOT:. / �S
. SIGNATURE: 1 DATE: / / -2 -
(OWNER/AGENT)
RECEIVED BY: DATE:
(CITY OF TIGARD)
1:\ Building \Forme \5trcctTeccCeitificatc 03/24/06
-
CITY OF TIGARD i.
BUILDING DIVISION PERMIT #: MST2006-10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/9 /2006
Phone: (503) 639 -4171 I nspection Requests (24 Hrs.): (503) 639 -4175 Vilt L.
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860-6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452-3780
Inspection Request Scheduled For: Date: 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039271 -23 503 - 799 -4883 N
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ // -3 -6& Phone #: (503) 718- 2-4-::
CITY OF TIGARD r
•
BUILDING DIVISION PERMIT #: MST2006- 10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/912006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ^'IL
INSPECTION WORKSHEET FOR DATE: 11/2/2006 TIME: 7:02AM PAGE: 10
SITE S
TE ADDRE S. 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860 - 6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 - 3780
Inspection Request Scheduled For: Date: 11/12006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039219 -03 503 - 799 -4883 N
Corrections /Comments/ Instructions:
AP 4,S 1 ,611/4./ 'Lc=-c 'r
AP P .- - , -- ,a — _ ' --- 7 4 \? S o - ,,-
------5-7'
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Il -- Phone #: (503) 718- �4-s.,-.
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2006 -10058
13125 SW Hall Blvd., Tigard, OR 97223 ! DATE ISSUED: 6/912006
Phone: (503) 639 - 4171 ,, 11fI1
Inspection Requests (24 Hrs.): (503) 639 -4175 s_ °: _..
INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503.860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780
Inspection Request Scheduled For: Date: 10/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039087 -03 503-799-4883 N
Corrections /Conyrnents /Instructions:
Nctti.�,e l�JJce_ . z 12- o C' o .q ° )
a 1 u Ikaly\A/ANi- 0 ±2?
I ,-A •■ v•S`\ VV\. GAS -C-t_ Sl.. _"w .-c�L
-\) -) -ek_A. NJ ct .(J---t j cr,A .
• N o 1u A" ).ra. -e 2 CiL0 - S--<_.ft s
d &mow .
eMeop_.,e c i --- (ss vu2_s 6th .0-1/L-f
.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: �� Date: I 0 7 ( G 6 Phone #: (503) 718 - 2 -- C ( 2---:
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 it
Inspection Requests (24 Hrs.): (503) 639 -4175 s'
INSPECTION WORKSHEET FOR DATE: 10/3012006 TIME: 7:05AM PAGE: 28
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 -8600 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 -3780
Inspection Request Scheduled For: Date: 10/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038998 -21 503-799-4883 N
Corrrection /Comme is /Instr ions:
,3t& ` 6 L w r
h 4 - e s k G LkJ -
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4A te--. Date: l O � Phone #: (503) 718- 7% �J
t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200& 10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639 -4171 I � I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 : 03AM PAGE: 26
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503.860 - 6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 - 3780
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 033887 -11 503-799-4883 N
Corrections /Comments /Instructions:
•
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ojt
Inspector: L1/ Date: 1,0(6( Phone #: (503) 718- —
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MSf2006-10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 VInspection Requests (24 Hrs.): (503) 639 -4175 .�I �..
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 1:05AM PAGE: 2U
SITE ADDRESS: 11480 SW I..OMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: NOW SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860 -6001
CONTRACTOR: IN TEX CONSTRUCTION INC PHONE #: 5034
Inspection Request Scheduled For: Date: 6/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 032355-01 503-799-4883 N
Corrections /Comments / Instructions:
Ni 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 (/ Inspector: Date: / / Phone #: (503) 718- 9/#
L
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST20061005$
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ ° ..
INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:05AIM PAGE: 29
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860 - 6001
CONTRACTOR: INTE CONSTRUCTION INC (-, J � B � PHONE #: 503 - 452 -37130
Inspection Request Scheduled For: Date: 10/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038998 -20 503- 799.4883 N
Corrections /Comments /Instructions:
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 4 N 60Z L Date: % C ` 30(0b Phone #: (503) 718- 1,446
CITY OF TIGARD -- • - .
BUILDING DIVISION PERMIT #: MST20031005t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 �_'
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME 7:06AM PAGE: 71
SITE ADDRESS: m11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Neva SFA
OWNER: JOE BAUSCHELT, PHONE #: 503860 -G001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 5034513780
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description ‘ Confirm # Contact # Message
120 Electrical rough -in 034798 -02 603 -642 -2800 N
Corrections /Comments/ Instructions:
X11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 .2 Vie)
Inspector: f d Date: 8 662 Phone #: (503) 718-
CITY OF TIGARD .
I BUILDING DIVISION PERMIT #: MST 2006101)58
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/g/2006
Phone: (503) 639 -4171 -1-4771(11
Inspection Requests (24 Hrs.): (503) 639 -4175 s r ..
INSPECTION WORKSHEET FOR DATE: 8/11 /2006 TIME: 7 :06AM PAGE: 72
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
GABRIEL WOODS 018
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503- 860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452.3780
Inspection Request Scheduled For: Date: 8/11 /2006 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
115 Electrical service �/ 034798-01 503- 642 -2800 N
Corrections /Comments/ Instructions:
•
K1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ot v Phone #: (503) 718 Vitd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 -10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61912006
Phone: (503) 639 -4171 :7141111'
Inspection Requests (24 Hrs.): (503) 639 -4175 .n_' .
INSPECTION WORKSHEET FOR DATE: 10/30/2006 ME: 7:05AM PAGE: 27
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 016 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA pp
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860.6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503- 452 -3780
Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: f i Nt4
Code # Inspection Description Confirm # Contact # - ssag . •
699 Mechanical final 038998 -22 503-799-4883 Y
Corrections/Comments/Instructions:
P h17-12-S--1 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I. �z
Inspector: �/ Date: / Phone #: (503) 718-
H .
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006 100 58
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/200E
Phone: (503) 639 -4171 I � I �
Inspection Requests (24 Hrs.): (503) 639 -4175 4
INSPECTION WORKSHEET FOR DATE: 6/31/2006 TIME: 7 :00AM PAGE: 9
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503.660.6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503-452-3780
Inspection Request Scheduled For: Date: 8/3112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 035890 -03 503.799 -4883 N
Corrections Comments /Instructions:
` re, <
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date 4-16/
- ,O (p Phone #: (503) 718-7/
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006- 100513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 l e
Inspection Requests (24 Hrs.): (503) 639 -4175 .,..&. �'I I..
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 :59AM PAGE: 13
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503452 -3780
Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: �j
Code # Inspection Description Confirm # Contact # M - ssage pt<li
245 Fire +mall 03550301 503-7934883 Y C _ ro..�'
Corrections /Comments /Instructions: l/"
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 v Date: 01/ Phone #: (503) 718 - `/, 1 1
P ( )
•
7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200G -10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 s _r�
INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7:03AM PAGE: 10
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503-860 -6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE #: J03.462 -3780
Inspection Request Scheduled For: Date: 8/22/2006 Pour Time: / S
Code # 4spection Description Confirm # Contact # M s ge
245 Firewall 035391 -03 503-799-4883 Y
6 t V t ay i
li
Corrections /Comments /Instructions:
&PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 --2,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006- 10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639- 4171V11
Inspection Requests (24 Hrs.): (503) 639 -4175 ., ..
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7 :03AM PAGE: t
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503-860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503- 452 -3760
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
245 Firewall 035247 -03 503- 799 -4883 Y
Corrections /Comments /Instructions:
4) 5 ,4iy lo / ��iy)
❑ PASS PA
-- RTIAL APPROVAL III CANCEL CI NO ACCESS
4iL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 0 l , — e ,6 Phone #: (503) 718- ?../4-1
I
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006 -10068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ., &— I —
INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7 :01AM PAGE: 14
SITE ADDRESS: 114130 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860.6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 603.462 -3780
Inspection Request Scheduled For: Date: 8/17 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interioi shear walls 035167 -03 503- 799.4883 N
Corrections /Comments/ Instructions:
�'� 5 79ie r70 -7 Cary /ra iz. /-�/ uA-c
❑ P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / _ Date: 6-- /7-4,C-7 Phone #: (503) 718 - `�,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 &10051)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 iui
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ' 1.
INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7:05AM PAGE: 14
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK: .
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: NOW SFA
OWNER: JOE BAUSCHELT. PHONE #: 503.8(70-6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503- 452 -3780
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
200 Insulation 035080-0/ 503 - 799.4883 N
Corrections/Comments/Instructions:
. �t4 ) f, Si-7F' 5 v ( -T�-- ,..../..— i vr2 -v -' S
( i-Z. -, ,ws,- e -rtoti irt. z.e 20 i- 1ccr�� /;' Vim,
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. A Inspector: Date: P Phone #: (503) 718- �C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M ST2006- 10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/9/2006
Phone: (503) 639- 4171�i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' IL.
INSPECTION WORKSHEET FOR DATE: 8/14/2006 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT. PHONE #: 503 -860 -6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503 -452 -3780
Inspection Request Scheduled For: Date: 8/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 034905 -05 503 -799 -4883 N
Corrections/Comments/Instructions:
' - 20)
I v/ G 6A *r f-2
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
y � Date: f¢ - Phone #: (503) 718- 24-
i 1
CITY OF TIGARD .
i BUILDING DIVISION PERMIT #: IviSl20010058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6l9/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s� ° � ..
INSPECTION WORKSHEET FOR DATE: 8/14/2006 TIME: 7:01AM PAGE: •10
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860.6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503.452 -3780
Inspection Request Scheduled For: Date: 8/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
245 Firewall 034905 -06 503-799 -4803 Y
Corrections /Comments /Instructions: ��
e /3 "r hp)W -CO S� ,7rf.4i7ooi cc..t4 r c-- C 41,16 c1 OXIL4
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / /_ Date: g - 71 1---42 Phone #: (503) 718-
7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/ct/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s r� ''I �..
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 18
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE: --
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Now SFA
OWNER: JOE BAUSCHELT, PHONE #: 603- 860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452••3780
Inspection Request Scheduled For: Date: 0/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 034833-05 503-799-4883 N
Corrections /Comments/ Instructions:
O 4A-J ',Q roc 17-77 .T yr — , e= , '?S .-t r'‘ / /e1�,
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . ei A Date: P/i �ec. Phone #: (503) 718 -
7
CITY OF TIGARD .
BUILDING DIVISION . PERMIT #: MST200&10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 ����j�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 . !. •__..
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 23
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 -860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452_ -3780
Inspection Request Scheduled For: Date: 8/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 034738 -03 503 - 806.7504 N
Corrections/Comments/Instructions:
EP , %v < - ld� ,e_
❑ PA ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS
FAIL ❑ ' ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: r Date:,- Phone #: (503) 718 - 241-4-g-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006 101158
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 I�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'. ^.
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 22
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: N SFA
OWNER: JOE BAUSCHELT, PHONE #: 503-860-6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -457 -3780
Inspection Request Scheduled For: Date: 8/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 034738 -04 503.806 -7504 N
Corrections /Comments /Instructions:
40 Ai A7 . , 6z77 ( . -7T1 , 20 1 - 1JI M-r10,c1
t•Dav
Fd PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: dA Date: B -70-d4 Phone #: (503) 718 - LC
CITY OF TIGARD ' .
BUILDING DIVISION PERMIT #: MST2006-10060
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 L. 71 '1
INSPECTION WORKSHEET FOR DATE: 8!9/2006 TIME: 7:04AM PAGE: 17
SITE ADDRESS: CLASS OF WORK:
1'i480 SW LOMAX TERR
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503 - 860.6001
CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503 - 3700
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 034657 -10 503- 799 -4889 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: < Date: 8- 9.W# Phone #: (503) 718 - 244C/
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2006- 10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 IC
Inspection Requests (24 Hrs.): (503) 639 -4175 s_r� ° :_..
INSPECTION WORKSHEET FOR DATE: 8/9/2006 TIME: 7:04AM PAGE: 16
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503- 860 -6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503.4'i2-3780
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
245 Firewall 034657 -11 503 - 799 -4889 N
Corrections/Comments/Instructions:
LA _L� —T S 'P Ar--1., c.., r
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: , . Date: h' Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MST2006 -100 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 619/2006
Phone: (503) 639 -4171 A. Inspection Requests (24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 8!7!2006 TIME: 7:02AM PAGE: 11
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: NOW SFA
OWNER: JOE BAUSCHELT, PHONE #: 503- 860•6001
CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452 -3780
Inspection Request Scheduled For: Date: Pour Time:
P q 817!2006
Code # Inspection Description Confirm # Contact # Message
245 Fire/trail 03.4487-14 503-799-4883 N
1 Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S--7 -0 Phone #: (503) 718-
CITY OF TIGARD MST20010058
BUILDING DIVISION PERMIT #: 6/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED:
Phone: (503) 639 -4171 h °'4�lll�
Inspection Requests (24 Hrs.): (503) 639 -4175 ° -_
7/21/2006 7:01 AM 26
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
11480 SW LOMAX TERR
SITE ADDRESS: GABRIEL WOODS 018 CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: TYPE OF USE:
PROJECT NAME: New SFA
DESCRIPTION:
JOE BAUSCHELT, 503 - 860.6001
OWNER: INTEX CONSTRUCTION INC PHONE #: 503.462 -3780
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Copa # I aggn gtion 99g6iiRct g89 883 Me4age
Corrections/Comments/Instructions:
)610 V i / A-PS ( —, , L .C2.du C 2n.s'
❑ PASS MARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ,❑ , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -/ . Date: 7- 2-/no6 Phone #: (503) 718- X4-45
CITY OF TIGARD 01 S^
BUILDING DIVISION
PERMIT #:01,06( - /o dS "
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 j
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' "-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
E ADDRESS: / / Lig a feseY1 a - 7 CLASS OF WORK:
S : I V ON: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspe 'on Request Scheduled For: Date: ( —,„D 5 '/ - ��o Pour Time:
C e � Inspection Description Confirm # Contact # Message
() 57 4 (
St.zJx .
Corrections/Comments/Instructions:
--f2e 2 1lcr. t�t,�11o N
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /7, Date: G- 5i a-a Phone #: (503) 718- .•
CITY OF TIGARD
BUILDING DIVISION P E R MIT #: I
13125 SW Hall Blvd., Tigard, OR 97223 7 AI/ DATE IS SUE D :
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
1 —
INSPECTION WORKSHEET FOR DATE: (0 - 0/ TIME: - 9 PAGE:
SITE ADDRESS: / / L f& d CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Schedu d For: Date: Pour Time:
T
Code a S ln ection escnption Confirm # Contact # Message
) cJ . ,7LLc/A
Correction /Comments /Instruc ions:
1
® ' i i L i 4 1, (Ar LVAILS - i o O 6 ))
1(6 I a UtA4--- ,c..L.____Q ��
t7AA/rk 41 Lt • - Ul-i 4LS41.- C--1-,-,/ki
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
W , Inspector: /� Date: 1.0/2 Phone #: (503) 718 - 2/e2-'Y
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST200G 10058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006 •
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 s_ °7 f � ..
INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 36 1
SITE ADDRESS: 11 /100 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Now SFA
OWNER: JOE BAUSCHEI.-T, PHONE #: 503.860 -6001
CONTRACTOR: INTEL CONSTRUCTION INC PHONE #: 503- 452 -3780
Inspection Request Scheduled For: Date: 6112/2006 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 031552 -03 503 - 806 -7504 N
Corrections /Comments /Instructions:
a , .- - �oi - . -
PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: to / 4' Phone #: (503) 718- .2—'1,1,n;
1
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST200F -10058
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 619120116
Phone: (503) 639 -4171 f i
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 35
SITE ADDRESS: 11/180 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: New SFA
OWNER: JOE BAUSCHELT, PHONE #: 503.860 -6001
CONTRACTOR: IN'FEX CONSTRUCTION INC PHONE #: 503452.3780
Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 031552 -04 503-806-7504 N
Corrections /Comments/ Instructions:
r% /N :. _... 5,2c 'VOA-Q-1 A.0- AS .0grAv ,J
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6-13----- & Phone #: (503) 718 - Z,4.4 -s