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Permit - I, CITY OF TIGARD MASTER PERMIT I�-u PERMIT #: MST2006 -10044 ' COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133CA-02300 SITE ADDRESS: 13865 SW ANNA CT ZONING: R - 25 SUBDIVISION: GABRIEL WOODS LOT: 002 JURISDICTION: TIG PROJECT: GABRIEL WOODS Project Description: New SFA BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 691 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 877 st GARAGE: 241 sf FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING 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: 4 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =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 /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 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 AREAISPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 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: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable JOE BUSCHELT INTEX CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This 4325 SW PRIMROSE ST 7235 SW BONITA DR permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97219 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 - 860 - 6001 Contact #: PRI 503 - 452 - 3780 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 452 - 4325 Reg #: LIC 97543 TOTAL FEES: $ 9,118,98 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued ;y : . ' , J _14, ILL Permittee Signature : :(' .1 Call 503.639.4175 by 7:00 a.m. for an inspection that business . a . This permit card shall be kept in a conspicuous place on the job site until co • I ion of the project. Approved plans are required on the job site at the time of each in . • • ction. Building Permit Applicatio E® FOR OFFICE USE ONLY tar of Tigard �; Ct Received , .i/ _ l//�o — '� F Permit No.i /, , - ' do g and �. ~ Date/Date/I3 • 13125 SW Hall Blvd., Tigard, OR 9' �� ^ Plan Review Phone: 503.639.4171 Fax: 503.598.1960 U ' nil' , �' . e� t u i l r ' f' DateB : � other P e " / ,• �DO''� Inspection Line: 503.639.4175 y��� _ ,, • „ , Date Ready : y: June: n See Attached Checklist for Internet: www.ci.tigard.or.us o Notified/Method: T t/ Supplemental Information ia o x�� ON '�. REQUIRED DATA: 1- AND 2- FAMILY DWELLING ISi 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. P2 I- and 2- family dwelling ID Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13865 ANNA C'-r. New dwelling area: I5t..' 2. square feet City/State/ZIP: r t l r) 1 , L i) Ct f' ') 7 z 2 `t Garage/carport area: 'i-t i square feet Suite/bldg./apt. no.: Project name: Covered porch area: •. i square feet Cross street/directions to job site: (j ...' I) i ./ ` r c., : -t Deck area: p square feet PAI:vV) (. c • L iC l . Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: (i /'; 6 /` i c . _ c. W' ,\.....:, Lot no.: 2. 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. t Valuation: $ [ \ t4/ (.Civ' „7:.';i;.i"it.AI • /[..?-• .• /” e•' /j /) /) r/ .AII'i vi'ill ' ., , Existing building area: square feet j %A4c, L. i. t.;) - 7 ffl' i 1 .. 151: 'c. f . .. ('f' 1 4r',ti,'. :)I' 4 <= c New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: 1 ��i` ; i3/1 LtSC rice L. 'r Type of construction: Address: i.4 :)2 s s '.1r` r / v? i i_ . ,• ,i c) )',f"t << ;' Occupancy groups: • City/State/ZIP: ( . ) ; _ c Z it st,,' i t (, j_ 9/ Z s 9 Existing: Phone: (')C 1) ) f - L. C • is cc I Fax: ('j ;; '-,) `i 5 C 4 1325 . New: 0 APPLICANT til CONTACT PERSON NOTICE • Business name: '.17K;. i . (:,._,./ j i k i t C :O C !v j 6 .' < All contractors and subcontractors are required to be Contact name: 12,... t. jl'(i L licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: '7335 S },(,' li'ti / TI) A20., v t. jurisdiction in which work is being performed. If the ; applicant is exempt from licensing, the following reasons City/State/ZIP: r 1 6i 4l, l� CA' Li 7a 1 q apply: Phone: (5i; i') ) • C`L" 7 5.' 'I Fax:: (c C i) t:''i 3 5 t ,J_ (j( S2- efi E -mail: ) ' I " q i.`i t I Zc;) . ► )(i �,t�' I CONTRACTOR Business name: -11‘,..,-6 y '. CAi 1 )L i.< i ? ,, .A BUILDING PERMIT FEES* Address: 7235 S b't. 13:-A, , / "r) / . 1/4 " , t, I. Please refer to fee schedule. City/State/ZIP: I ' , C.R `� 7 Z L y Fees due upon application Q- Phone: ( L . ' ' > ) ) 'i2 " 3-7 E; i. l Fax: (S 6` .3) `I 5 4 "'-i 525 2 Amount received (a z CCB lic.: (I F: Lt `) 3„ Date received: 3 :. tq a Authorized signature: / I This permit application expires if a permit is not obtained / .. 1 � � within 18.0 days after it has been accepted as complete. Print name: jS C • /j i i ,' ` .L Date: /, / - I, • Fee methodology set by Tri -County Building Industry / Service Board. i:\ Building \Permip'BUP•PermitApp.doc 12/03 440 4613T(11102/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard pat y° Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ,..4111% , . 0 . 01 al Date/By: Other Permit' Inspection Line: 503.639.4175 /4 1 Date Ready /By: Sarin: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST IN 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* 50 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ( 3 g (p s Air conditioning or heat pump ANNA C-� • (requires site plan showing placement) 14.00 City/ State/ZIP: ) ) 722 y Furnace 100,000 BTU (ducts/vents) 14.00 I -f .J'- Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldgiapt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: ` v i ", r Duct work 14.00 IY�L �'�fff4114 .J IC.� /). I►,�Kly C•'. �i Hydronic hot water system 14.00 ( _ • • • 1(; / /v Ant (v�. Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 c' Lot no.: Flue/vent for any of above 10.00 Subdivision: (;4151,2 . t �' U`� /) �- Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 10.00 11, .i 11 _ Gas fireplace I 10.00 ,.6 Z t\i i v't,; (- = hi S i (a� , "Cr I l ti • (yy' 0 • S - 11:.(L , ..1 , 1 I R( ill i) i IUIv1 E. Flue vent for water heater or gas L 1 fireplace al 10.00 N1 lA rill .. i 14(i. "S ( • i1 iZ C kit e.; C 7 ( • .1; ' e - "(1 f; 1 Log lighter (gas) )A 10.00 L t Ir INC 5i't 1C ti . Wood/pellet stove 10.00 Wood fireplace/insert 10.00 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other: 10.00 _ • Name: )'. Z Cj A i,..c it cr i..1.--- Environmental exhaust and ventilation Range hood/other kitchen Address: '1;1 21 •) b1,` 1 I itll:.' (.'s ` i CE. equipment 1 10.00 I C Ci / State/ZIP: ) '� ' 7 ) Clothes dryer exhaust I 10.00 i C i ty j' 1 i i Lit Ivi) 1 I`" Single -duct exhaust (bathrooms, Phone: ('),:. S ) C" "L;(. g• t. • 1 Fax: ('t.' _5) L•f 5 2 . y 3 43 toilet compartments, utility rooms) 6 6.80 ,'f{ .% Z (l APPLICANT Igl CONTACT PERSON Attic/crawlspace fans 10.00 r Other: - 10.00 Business name: Lail f 1C -L II 3 ICit f 1.1'V(' Fuel piping Contact name: j (, t . ' 1 'v I l i t_`, $5.40 for first four• ' $1.00 for each additional OS 7 c S Furnace, etc. 1 t� -10 Address: 7Z . 7 b'�` 1.3er :� el /'1 1. )iLivL Gas heat pump City/State/ZIP: • 1 R AkA LIZ ' ;i 1aq Wall /suspended/unit heater Water heater i Phone: (.ic; j) `:C,�. `t • -�,1 Fax:: (:7u.j) (;: : -i �.. !e; "� i Fireplace E -mail: Range i CONTRACTOR Barbecue , [� ll / Clothes dryer (gas) Business name: It CI i 1 . 1crii'/ 1,(;C it /;.l l t'' L'r.r'A L i Other: - r" II ) Address: I'.t, - ii�.� I '2 ( (.' ")s) L' � /4 A; t)%, 7>i. •, i< MECHANICAL PERMIT FEES* City/ State/ZIP: ') 7 (. (' /m•: J, � t 1 3 Subtotal Minimum permit fee ($72.50) Phone: (`i ) ) 2 6 b - / 2 Li '7 Fax: (5 ,.. 7) 1 6. 1; 3-0 7 1 Plan review (25% of permit fee) CCB lic.: - s`, I L L <.i i m L„:_, i ., State surcharge (8% of permit fee) ,� ( � TOTAL PERMIT FEE Authorized signature: � . (xc-'' T his permit application aspires if a permit is not obtained within 180 days af ter it has been accepted as complete. Print name: .1)(!' Ic(Y f .i lu/ h I Date: 3 110 I 06 • Fee methodology set by Tri - County Building Industry Service Board i:\ Building \PermiuUMEC- PermitApp.doc 12/03 440. 46171'(11 /02/COM/WEB) ' .03/08/2006 15:27 5036425815 ROSS ELECTRIC INC PAGE 01/02 Electrical Permit Application FOR OFFICE ush: ONI City of Tigard Received e B Date/By: permit No. 13125 SW Hall Blvd., Tigard, OR 97223 plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 a,0r Date/By: Inspection Line: 503.639.4175 44 ":_.. Date Ready/By: ;uric: 8) see Pagel for Internet: www.ci.tigard.or.uS Notified/Method: SupplemeatalInformation IN New construction ❑ Addition /alteration /replacement Please check all that apply: ❑Service over 225 turps, comm'I ❑Hazardous location ❑ Demolition • ❑ Other: ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. fl i1 :1. : : :-i : : : : " : :;; : : . : `' ;i' : : ::' ::6;i:MORY •OF' :CONSTIRU+CTiON ... . - ....... . . . of I- and 2- family dwellings 4 or more new residential :' : :::'- � : : :� :W' ,'.` `:: • : .. • . .. , ., . , • ❑S y9tem over 600 volts nominal units in one structure 1- and 2- family dwelling ❑Commercial /industrial ❑Accessory building ❑Building over three stories OFeeders, 400 amps or mot ❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures c .,,............; •::..... . _,...... ©� ,. : ` plan S ETaE � , r]B ASfioN' .: '::::.:..'.,';'; 0 6 gr e ss /li g htin g p RV park ' °• n ❑Health -care facility ❑Other: Job no.: I Job site address: 3665 S ANNA CT Submit./ sets of plans with any of the above. city /State /ZIP: � The above are not applicable to temporary construction service. t_ 1(, � g i) �(� ��..1 1 •I Sudte/bldg. /apt. no.: I Project name: Description I Qh• I Fee I Total J ' ' 1' -^ , Ncw residential single- or multi - family dwelling unit Cross Street /directions to job site: .S (,L P) %fiZc• w' S l�, ,r /) (�c/i,b Includes attached garage. C/L -, c Allilv,/ `t- ‘ • 1,000 sq. ft. or less 1 145.15 I L/S, 15 L no.: Ea. add'I 500 sq. ft. or portion / 33.40 3 3. y0 Subdivision: � ) /1(;j / ' C � ) Limited energy, residential isy 75.00 Tax map /parcel no.: Limited energy, non - residential 75.00 .. .0..:.' :: =:: ` ' :` ' F� �WOR1K . Each manufactured or modular 7 � dwelling, service and /or feeder 90.90 _ /Vc (,i iv'f 'ct, i / •A/ / w' . ire 47 it /77, t rf /) /I '/bi I( Li, , '7 i-1 Services or feeders Installation, alteration, and/or relocation 80.30 NON j, /r, 4 l '....c/ik' Cll /', /`'1 f c.'C 201 amps too less amps All 106.85 i'itlt�i1 ...__....... ..;.,,.. .: : : . :.: .. .. 401 amps to 600 amps 160.60 Name: .1 C t (3 /f ._ ;-t £ . 'r 601 amps to 1.000 amps 240.60 ' , ' Over 1,000 amps or volts 454.65 Address: 3L 7 .) v.. / /2,'HA! 1 '2 �/ • Reconnect only 66.85 City /State/ZIP: / iI 1 4 ( i2 `) 7 2. 2 ti Temporary services or feeders installation, alteration, and /or . relocation Phone: (')t. '")) " C. c: - bC't 1 I Fax: (C i..3 ) i-(`r - ( 3 S 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel . :4 J: _ ; ,, : .. ,. : : :..,,; 4- - E Fee for branch circuits with W ., .;! •... . .. AFYI,1[Gr11±►iQ I, CONTACT :1' RSQN :: :. ::::: •::;:',r - ... I . service or feeder fee, each 6.65 Business name: .1_1‘i-i.-., X (t` so 12 (, iC i I o k, i 16.4 branch circuit B. Pee for branch circuits Contact name: w service feeder fee ce or , 1 2. ; I `� �i %=< 46.85 each branch circuit Address: 7 Z 3.) `) 'tr j t�, rit : 2 - (t' ( Each add'l branch circuit 6.65 j1� City/State/ZIP: ; /�tt f I_ `J 7l Cit y ) 2 Miscellaneous (service or feeder not Included) IV 53.40 Phone: 0.4Z: ) rL GL 1'j Fax: " ( :x ) B Lit •31i' J Sign or outline lighting 53.40 E -mail: i' C Signal circuits or limited - Ills I ICS- � 1 ✓c4 "/ 2 � ' . C:N . _ Si8^ circuit( s) :..... •.... :... :...: : :. : :. • ,.. ; :. : :..... . [ }1 C t energy panel, alteration, or ::: . : • . r, ...,. :.,., :i.;.:; : :. :,... c: ,; t : : : : :' : :( :;'C.T)7r#'E7GQR :: extension. t o ag ..... . ... . .-..... '. Desa'b : Page 2 Business name; R oss e -L e__, -'2Zc. -1 C Address: ez g 70 S c 7 Ste?- (A-c,'e $ 24.3 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: ffi 1 l SCQOI-0 , O r 3 7 (a - _ Investigation per hour (I hr min) 62.50 Phone: (S ) I( ci-Z Z B OO Fax; (v 3) t.e q a 5V LS- Industrial plant per hour 73.75 ::.. - :' .:VLECI110.AL:tt T 1 S *; ;i :: CCB Lic.: j 5 1 Electrical Lic.: 3y -y3( C Supr �1z3). 5 Subtotal Suprv. Electrician signature, required: ,__Z,...-( g_j " Plan review (25% of permit fee) S t-�pkAV' �o , S State surcharge (8% of permit fee) Print name: Date: TOTAL PERMIT FEE Authorized signature: Thie permit application expiree if a permit it not obtained within 18( days after it has been accepted as complete Print name: Date: - Fee mcthodOlOgy set by Trl- County Building industry service Board t• Ntunber of inspections per permit allowed. isknv iidievh .uitatbl.C- t'ernvtApp.doc 12/03 440,4615T(10102/COWWEB - 03/16/2006 11:08 503 - 644 -5989 CRAFTWORK PLUMBING PAGE 01 I ..;- Plumbing Permit Application FOK OFFICE USE ONl Y City of Tigard DatcIB • Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review pWer P•rnJt No.: Phone: 503.639.4171 Fax: 503.598.1960 4r,d I ? DatrJny: 24 Hour Inspection Lino: 503.639.4175 i s U• r ' 1 Date Ready/By: °n' B1 See Page 2 for interact www.ci,tigard-or.us Notifed/Mcthod• Supplemental intbrmagno -, z�c n,a- .•:rc:,:,c:ar.:r '1 : i�rr. 'r;,. � '� .r.,�..wa-c:_a.r.- sim ,, ; a' -' 7:r:•. -- -: -1:^ Fe 'C .f.' J , Y , a'r`7•C'Jj. ,i r I `. �-: S 711 '.��i �'{ •,= i111Y�' i Sj�nj nt I lin l i', illi 1 '�I `�' .1 t1:i' 1��{tli �� i . s • FT -4 � Ip�1411 f� :2 r ii ' .i l -1711u 9 4" J 7 3 1 41 t 1 R ) 1 t " I ' r riairi ff �.� i 1. 1I t�' i' '" 0I�I {'1 j 111 1:11 'I N h ^';I?f• d.ltt i , G • e:q W? ' . re9'�'l�ta1�� Y?e m7,1,i1-4.71ri.I.Ir1,ii -s.Re R,i'irit I I/. RFtI,II!t'r l f! ., 4: di 41 C :. . 1a 1,1i 'FT ) ?.,r. Demolition For special information use checklist New construction ❑ Demo Description I Qty. I En- I Total [J Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility conncctic ^r r., � -tr r --a -ry:�:a:, rlr ?. .c, -i -n,. tr,t F rF f' r , rclyi i +61 r r � I 'i'' 1 r r ''i f III tii hl;A;;f:e,, t r4r r,',, :..,,f r T ,, � i; {I $PR l bath • 249.20 I „ . 1 " 1 1.161,, iSlttlil i, illih •:fpp, ,I , •11.1 ;1 t-.,31Y ?+ x.4.7 1 r:f ololl ,: a`, '.:r: ,- M t, ( ) 511. and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR. (3) bath I 399.00 39)•00 Each additional bath/ldtchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 i, •� � -,� l T�s, -7,: �-a :ro as �- '1. /j;,7,1• � . ar aa- a �''�'tl'�p i�{''Ifl'n! `�, d d rr°a ' II '�� T .�f� l�l�u ` JI r i •i ,I) "i it t{r ' Site u .4 - U+' (fr, pr,,, I t r�tl UF- o,tz,1!,'It i !tall xiDO.I tlip .J-•f0 1e4 •.11 d D. Job site address: 138 (25 1 - NAM r. Catch basin or area drain 16.60 Ci /Statc/ZIP. Drywell, Icach lint, or trench drain 16.60 Suite/bldg./apt. no.: (Project name: Footing drain (no. linear ft: ) Page 2 ) Manufactured home utilities 110.00 ',Cross streel/directions to job site: 5b� ��i•�L iZ� .vim ACC %try _ / it /2i. Manholes 16.60 r ' , - 1 ii, iv ' ° b 1z r* Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 5s 0 0 Storm sewer (no. linear ft.: Page 2 Ss OD Lot no.: 2 Water service (no. linear ft.: ) Page 2 �5. t ip Subdivision: r+ /)f> / 2 1�L X 1, 1 - � 1 ) 5 I ( Fixture or item Tax map /parcel no.: _ A bsorption valve 16.60 7 ,•ti Jy1, . I .: ,•r:uvir. ', _ ?i'(;1,N I 1 : S 1 rlt i r1nt.n:ir P I r 17 l.�' Le . ` :, �t. . t l'. ,. iii Lirl '3 p. lila n e Ui tl tit pt? ! t• r )I� I r kr , t.. - .. nh.:1,�!��1:'�2. , Ir} t, F. l��, t� li�7t � . 1�6 1��. lliu�, hiGf I�G, �� itllr�kllT: ; � ��{Il.::�1 ".:yOxl .b .it'1�. Backflowprcventcr f Page �7.rs7 ^ , B ackwater valve 16.60 � , G;.' ( f./vSrT ttCa0i 1 . L• 4 d L / - j1 ;' rlr) / Clothes washer i 16.60 )L• 6 :i /i.)4 (irG:'. i' ///jk ffiv:j / fi,. f / of- /a1r;,,< Si9/%Zi. Dishwasher l 16.60 iT 'Ii 7 I :- , •r . , .. i {� .,, .il,.ti e .iq i l l•; = Y ^Ingrn�n: � ' -. Yh i [ i i ,i o "`'III''f ✓.� n.r - rt77 dr, q lli'�':;� Orinking 16.60 f i , Y , 141 ';, n, :f I lr I t rl J!r y 7 ��1; �l `�I l r: fl�` ?.I ��o 1l. t rd�liEl1�6. �p it 'luk ! WL ' �'� r' Rail. fi�t• , '.I ' I -rill . ,nnm Y1'>'r m .,a', Ili ,', R 22 n ,t Plrnii ,, R II f N 4 . ... t' g 16.60 Name: t I,,Vi1L - .- ji_''4. I•Jrr1i`o-1 t` Expansion tank 16.60 Address: I-6 2 5 ,7 L L ,L ( /vi l2 c i 1 57/2( .. Fixturo/sewer cap 16.60 • City /State/ZIP: I 02•T Lit Ni) C 12. • 7 1) Floor drain/floor sink/hub 16.60 '� '1 2 . > Garbage disposal I 16.60 Phone: ()L. F ., e , L . � 0 1 Fax: (.7 � � )) �{ 'i � 3 „,, i , Z, r,7r n- ::.,cgs.I: :g: rt „r., -ri Hose bib 16.60 i�i k X41 fl I i I ll IJr•��I "iU ,1 r iIIk�1II I ,�,1 h71 ,I i L. ��if �. 7 ik �n �� , r I I 1! � J E f'r� f + + im ma 16.60 .,.. rf' ii '�iAllirf.. t,. iF: l�a,( 41. Pi��( y�P• j3: ulll f {�.�:,�II ��lA[ ?F.'�lt ISfl.Lll ;�_`17.�I.Ia�I i1'+:III!t• lgusinessname: 1ti � ` ( i; 6)• ' . 1 12 t,.C"r c1v . _ N.,( . Interceptor/greasetrap 16.60 Contact name: Page 2 r L' (i L Le. {.L Medical gas (value: S ) j�c. Address: 7Z5 IA, 4 o rvi ni iIi-i u Primer 16.60 City/State/ZIP: T 1 /+ /fir) o l � ) 2Z' ( Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: (," 3) L ,�...'7 j �; i j Fax: (', J) •!L %� ? Tub /shower /shower pan 16.60 E- mail ` !Yl t t k 5 F: , , L c ,i r'1•,_ + Urinal 16.60 x, r ti � r- ,yr n r, i Iii :1 I r r' lFl �: , 1 ]"fr I :1,1 , j�lr:l 1 i T 7,P1 ,' � a 4 l r , 1 ti ;i , L i 'l If till I h y . • " l W close 16.60 ,_ `41 �1{�hPA- 1 t3` }u ,t1+17 11 11t I1: if.rr rs4ira 4� rk � prYld , u• tYr,,f�.lm:. of i:q.gP'. :!Hti Business name: era or / co ' j /•[L Water heater 16.60 Address; 7 711 su/ Ga Dr. Other. /� �• Subtotal I City /State/ZiP: o p r i- 0 ' a Q7ov Minimum permit fee: $72.50 Phone: (S"'d 1 U i + G ' Pax: , ) - I. - R bacldlow minimum permit fix: $36.25 h er&&A Plan review (25% of permit fee) l^CB Lie.: P lumbing Lit. no.: >049 �'� S tate surcharge (8% of permit fee) Authorized signature: _v4 " ' / • TOTAL PERMIT FEE (. / n Print name; ) I Date: 1 This permit application eau res if a permit la not abtained within � peg vr� J 1 180 days after it has been accepted as complete. •Foe methodology set by TN- County Building Industry Service Boar i- otadireetre101PL34JatnitAppdoc 12/03 44046167110/02/COM/waa) STREET TREE CERTIFICATION I, ra1J. 11e.c" , Owner /Agent for G2.b€\ woods L. C. (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: 1 3 S C 5 Sw A3 SUBDIVISION: Ga b} -te.\ Wo0A S LOT: Z SIGNATURE: DA'Z'E: - 1G-07 (OWNER/AGENT) RECEIVED BY: DATE: (CITY OF T7GARD) I: \Building \Forms \StrectTreeCertificate 03/24/06 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA 6/19/07: Add NC unit. OWNER: JOE BUSCHELT, PHONE #: 503 - 860.6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: Code # Inspection Description / Confirm Contact # Message 199 Electrical final /050847 -03 503 -642 -2800 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS L FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G ---1 C)E Date: 6•> CY Phone #: (503) 718 - 1.� a CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 jt Inspection Requests (24 Hrs.): (503) 639 -4175 s_' INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 5/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 047949 -01 503 - 642 -2800 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ - AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ` 0 2 Phone #: (503) 718- 6 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200S - 10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' °_ INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL. WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 - 860.6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452 -3780 Inspection Request Scheduled For: Date: 5/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 047949-02 503-642-2800 Y Q Corrections /Comments /Instructions: 1 �� 0 120/ 0 r/cA,-, 9-1,,, 4 , bna,,l-e-lv J 4 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` �,j 747 Inspector: 174-ritir) Date: Phone #: (503) 718- � " '1/4d CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 fill Inspection Requests (24 Hrs.): (503) 639 -4175 s_r� INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA 6/19/07: Add NC unit. OWNER: JOE BUSCHELT, PHONE #: 503- 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503.452-3780 Inspection Request Scheduled For: Date: 6/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 051024 -01 503 - 799.4883 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:C — � 7 a Phone #: (503) 718 - 2. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL_ WOODS DESCRIPTION: New SFA 6/19/07: Add A/C unit. OWNER: JOE BUSCHELT, PHONE #: 503 - 860-6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503.4613780 Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 050871 - 01 603.799 - 4883 N Corrections /Comments /Instructions: • y PASS P -TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • ALL FOR INSPECTION ❑ ADD FEES ASSESSED Inspector: Date: Phone #: (503) 718 - 7-6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& 10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s r� "'I L. INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA 6/19/07: Add NC unit. OWNER: JOE BUSCHELT. PHONE #: 503 -860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503.452 -3780 Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 050871 -02 503 - 799.4883 N Corrections /Comments /Instructions: /k\2st.f.--- '7 ag e 7 c ) /Ii PASS ❑ P. • IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL : LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto . �--��^ ' Date:' , ® Phone #: (503) 718 -LO6 ____f , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200610044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Vi Inspection Requests (24 Hrs.): (503) 639 -4175 s' °:_.. INSPECTION WORKSHEET FOR DATE: 5/7 /2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503-860.6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452-3780 Inspection Request Scheduled For: Date: 5/7 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 047738 -02 150 - 379 -9488 N Corrections /Comments /Instructions: Co �Il44 V iNkss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , / Inspector: IN/ — Date: 7 Z‘171 Phone #: (503) 718 - 4 CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2006`10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' 'I�� INSPECTION WORKSHEET FOR DATE: 5/4/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL. WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: Now SFA OWNER: JOE BUSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 452 - 3780 Inspection Request Scheduled For: Date: 5/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 047645 -04 503 - 799.4883 N Corrections /Comments /I� V1 tructions: � kare--V=9. ti. cOA, d_4 keae S _ �, • • , U0 � z l ` �(( Lv _ No t,i-e s 4-- s- is cIlreL.;.. ‘6.4="L... ° 111M an ■ .‘ ■111 A- ■ ■ A___. i VA -6 . Kg4te 1 A4L S @ 4L 1 u iJ s L aJog kokiCrL, — ‹ 14 VW .V — crv . / ?o QZ‘Z. 4 . i\lUS""k s . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \it% ` � L Inspector: Date: L S I" 6� Phone #: (503) 718- �� CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006-10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 e 7I J INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 13865 SW ANNA CT • CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: Now SFA OWNER: JOE BUSCI PHONE #: 503-860-6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452-3780 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 045909.12 503. 799.4883 N Corrections/Comments/Instructions: S A..,, 1 IA_ all- 1 1I v .--.91. V r Liu_ D ✓n/w X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CTa 11,-4-4 1 1 , . -4- Date: C f f 7/a Phone #: (503) 718- CITY' OF TIGARD • • BUILDING DIVISION PERMIT #: MST2006 10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 _' "'I � .. INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503452 - 3780 Inspection Request Scheduled For: Date: 413/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 045909-10 503. 799 -4883 N Corrections /Comments/ Instructions: I M` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 1 ,` t 1,,....,_ Date: 1 1 1 1 io Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s: °7 I � .. INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 43 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860.6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452-3780 Inspection Request Scheduled For: Date: 3/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045667 -05 503-799 -4B83 Y Corrections /Comments/ Instructions: jgi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ohl ti►N.A..fil k .-4-- Date: )7ti Y6 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006-10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL. WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA • OWNER: JOE BUSCHELT, PHONE #: 503860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503- 452 -37B0 Inspection Request Scheduled For: Date: 3/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 045667 -06 503 - 799-4883 Y Corrections /Comments/ Instructions: EK PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CI ---A) 11 13.x_ Date: C7 /2, 0IF7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503.860 - 6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 - 3780 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045576 -08 503-799-4883 Y Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( 7) Date: 3)2.r/ Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 I 1 Inspection Requests (24 Hrs.): (503) 639 -4175 _.1,17 ° INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503.860 - 6001 CONTRACTOR: INTF_X CONSTRUCTION INC PHONE #: 503452 - 3780 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 045576 -09 503799 -4883 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Qd ('hA-J ► N \'^-- Date: 3 J 2-Tt)7 Phone #: (503) 718- CITY OF TI G ARD • BUILDING DIVISION PERMIT #: MST2006.10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: Now SFA OWNER: JOE BUSCIIELT, PHONE #: 503-860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452-3780 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code It Inspection Description Confirm # Contact # Message 330 Water service 045576 -07 503 - 7934883 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL LI NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 )2-Q I Phone #: (503) 718- CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MST2006-10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3114/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' I ... INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 5/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 245 Firewall 048643-01 503-799-4883 Y Corrections /Comments /Instructions: �a F ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5 -07 Phone #: (503) 718- 24-4-5' • CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 1200610044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' IL. INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503-860-6001 CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503-452 -3780 Inspection Request Scheduled For: Date: 5/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 048527 -03 503-799-4883 Y Corrections/Comments/Instructions: // /i IA) � e4/ `. X 4,6, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: bfre13 Date: ..7/ 7 / 6 7 Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2006- 10(144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s s� IL. INSPECTION WORKSHEET FOR DATE: 51/7/2007 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860.6001 CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503-452 -3780 Inspection Request Scheduled For: Date: 5/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message / 215 Firewall 048527 -02 503 - 799.4883 Y r - Corrections/Comments/Instructions: 14 Oil g/t ". U, PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED o Inspector: �(� oi-716 Date: Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200G10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 i l l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5//612007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860.6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 5/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 048408 -02 503 -799 -4883 N Corrections /Comments/ Instructions: ig PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - 0 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G -10&14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�' 4.A(11- °'I � .. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503.860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503452•3780 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # - Contact # Message 280 Insulation 048319.02 503- 799-4883 N Corrections /C ents /Instructions: 1/ t(e - O1/ • PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Vb Date: • ` Phone #: (503) 718- I . CITY OF TIGARD . BUILDING DIVISION PERMIT #: MSI'200G1004'1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ..L I INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503- 452 -3780 Inspection Request Scheduled For: Date: 5/11 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 245 Firevvall 048142 -02 503 - 799-4883 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 43 Date: h ` \. . °—.1 Phone #: (503) 718 -' O 1 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200G -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 j l l a Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 13865 SW ANNA CT • CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503-860-6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503-452 -3780 Inspection Request Scheduled For: Date: 5/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 048142 -01 503-799.4883 Y Corrections /Comments /Instructions: 1) Ptov is r to • e 1 . 1., 1 -� cc Tr L t o rnA71--- I Snit W Irkrct S CielS1 t \ • - t orn sV dk `-) ,„\----ci -) 9 X PAS c •A' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: q-1° Date: 1� 1 , O� Phone #: (503) 718 - flO t CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 1 L. INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503-860-6001 CONTRACTOR: INTDC CONSTRUCTION INC PHONE #: 503. 452-3780 Inspection Request Scheduled For: Date: 5/W2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 047955 -01 503-799 -4883 N Corrections/Comments/Instructions: 7 . - - . ) C . - - - . 1 v - Pa R_el 1 � -- - r - 7 6 1 - t4 ' C-CID M -- ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED # -- G Inspector: Date: ("5—"A% 7 Phone #: (503) 718- a� — CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 s r. °'I � .. INSPECTION WORKSHEET FOR DATE: 5/8 /2007 TIME: 7:03AM PAGE: 77 SITE ADDRESS: 13866 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 5/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 047834 -06 503 - 799-4883 N Corrections /Comments /Instructions: IJo ?uk-is `c ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL g CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: PI" Date: S SP- 0'7 Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST200G 10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 s_' I L. INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 76 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BtJSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: IN I'EX CONSTRUCTION INC PHONE #: 503- 452 -3780 Inspection Request Scheduled For: Date: 5/8 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 047834 -07 503-799-4883 N Corrections /Comments /Instructions: P7 /r /s Mme.►.. 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ti Ai Date: r q 7 Phone #: (503) 718 -' 7,51 . CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST200G -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 AV Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' e1 I I .. INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452-3780 Inspection Request Scheduled For: Date: 4/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 047119-05 503-799-4883 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED "4 " Inspector: Date: ? Phone #: ( 503) 718- ' CITY OF TIGARD - - BUILDING DIVISION PERMIT #: MST200610044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 s_ " INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 - 3780 Inspection Request Scheduled For: Date: 4/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 047119 -06 503-799-4883 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " `�' Date `f / L L' ` Phone #: (503) 718 3- YIP CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503.860-6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 - 3780 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 045900-/1 503-799.4883 Y Corrections /Comments /Instructions: 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 v Date: 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G10044 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 _ I INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 138E5 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503 -860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 3780 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 045909-09 503-799-4883 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: if Date: . / 17 Phone #: (503) 718 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MSl 2006 -10044 13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 3/14/2007 Phone: (503) 639- 4171j�l� Inspection Requests (24 Hrs.): (503) 639 -4175 "_ INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT, PHONE #: 503- 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 -452 -3780 Inspection Request Scheduled For: Date: 3/26/2007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 045382 -06 503-799-4883 N Corrections/Comments/Instructions: �] / PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 6 Inspector: 4U Date: 3 • (9-/) • 6-) Phone #: (503) 718 - 9..3 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006 10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 33 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA OWNER: JOE BUSCHELT. PHONE #: 503 - 860 -6001 CONTRACTOR: INTEX CONSTRUCTION INC PHONE #: 503 - 452 -3780 Inspection Request Scheduled For: Date: 3/26/2007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 045382 -05 503 - 799 -4883 N Corrections/Comments/Instructions: U k/ hold dwr\ a v � ix PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 344 1 07 Phone #: (503) 718- a o CITY OF TLOARD . ) BUILDING DIVISION PERMIT #: MST200G -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1412007 Phone: (503) 639 -4171 A, I nspection Requests (24 Hrs.): (503) 639 -4175 s_' ^ 'I L INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 13865 SW ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: New SFA 6/19/07: Add NC unit. OWNER: JOE BUSCHELT, PHONE #: 503 - 860-6001 CONTRACTOR: INTER CONSTRUCTION INC PHONE #: 503 - 452-3780 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 051128 -01 503 - 799-4683 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: L -Ze - 0 7 Phone #: (503) 718- ,i-1.4,c'