12775 SW BLUE HERON PLACE aMtiMw�iYw++r�w�,awe+..w..,�■■�.�,.«,�,.�.,......�...�..,.� �....`.Y.`::�.■w�»w.�..,,.,w.».�.....,.......,.�..,�..�,.......�...�....a.w..,........■...�......�_,....M..,... .....,.... �..,_,.�
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12775 SW glue Heron Place
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
METZGER ELECTRIC INC
8780 SW LEHMAN ST
TIGARD, OR 97213
I
Electrical Signature Form
Permit #: MST2002-00291
Date Issued: 8121102
Parcel: 2S103BC-BHP17
Site Address: 12-75 SW BLUE HERON PL
Subdi%ision: BLUE HERON PARK
Block: Lot: 017
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
ectrical permit to be valid, the signature of the supervising electrician is required. Pleas.- have the
appropriate individual from your company sign below and return this Electrical Signature ,:orm prior to the
start of the work to the address above, ATTN: E ..ding Dept.
No electrical inspections will be authorized until this completed form is received
I
OWNER: ELECTRICAI- CONTRACTOR:
WINDWOOD CONSTRUCTION METZGER ELECTRIC INC
12655 SW NORTH DAKOTA 8780 SW LEHMAN ST
TIGARD, OR 97223 TIGARD, OR 97223
Phone #: 503-625-6526 Phone #: 244-9025
Req #: L IC 96805
SUP 34305
ELE 34-167C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician RrajEIVED If you have any quc-stions, please call (503) 639-4171, ext. # 310
AUG z 6 200
BiltLt�N(31i�'�"
CITY
OF
TIGAR® MASTER PERMIT
PERMIT M MST2002-00291
DEVELOPMENT SERVICES DATE ISSUED: 8/21/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63�,-4171
SITE ADDPESS: 12.775 SW BLUE HERON PL PARCEL. 2S103BC-8HP17
SUBDIVISION: BLUE HERON PARK ZONING: R-4.5
BLOCK: LOT: 017 JURISDICTION: TIG
REMARKS: New SF Path 1
BUILDING __
REISSUE! STORIES: - FLOOR AREAS -_ - REQUIRED SETBACKS REQUIRED -
CLASS OF WORK: NEW HEIGHT. 24 FIRST: 1.157 at BASEMENT: at LEFT: 5 SMOKE DETECTORS: v
TYPE OF USE: SFA FLOOR LOAD 40 SECOND: 9,14 at GARAGE: 264 e' FRONT: 2n PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT:
VALUE: $155,833.80
OCCUPANCY GRP: R3 BORM: 3 BATH: i TOTAL: "'C., s. REAR: 25
PLUMBING —
SINKS: 1 WATER.CLOSERS 3 WASHING MACH I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS: 1 CAT-CH BASINS:
TUBISHOWERS: 2 GARBARF r!S,' I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASL TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10fIK: BOIUCMP�3HP: VENT FANS: 4 CLOTI-ES DRYER: 1
FURN—100K. I UNIT PEATERS: HOODS: 1 O'HER UNrrs: 1
MAX INP. btu FLOOR F'1F;Nn1ar'ES. VENTS: 1 WOODSTOVES: GAS OUTLETS. I
ELECTRICAL
_RESIDENTIAL UNIT_ _ SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS_ �ADD'L INSPECTIONS
1000 SF OR LESS 1 0 100 amp: 0 200 amp: W1SVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: -1 201 400 amp: 201 400 amp: 1s.WIO SVCIF OR: 00 SIGNIOUT LIN LT. PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 - 600 amp- EA ADDL BR CIR. SIGNALIPANEL. IN PLANT:
MANU HMISVc/FDR: 601 • 10o0 amp: 601-amps-10001. MINOR LABEL.
1000,amp/volt:
PLAID REVIEW SECTION
Reconnect only:
>=A RES UNITS: SVCIFDR>=225 A.: -000 V NOMINAL.: CLS AREA'SPC OCC.
_ EL:CTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL -
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: IN7=RCOV:PAGING: OUTDOOR LND3C LT.
HURGLAR ALARM: 0TH: BOILER: HVAC: LAND:CA,1EARRIO: PROTECTIVE SIGNL:
GARAGE OPENER: CLOC✓ INSTRUMENTATION: MEDICAL: OTHR:
HVAC: OATAlTELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
TOTAL FEES: $ 6,816.34
r;wrler: Contractor: Thie permit is subject to the regulations contained in the
WINDWGOD CONSTRUCTION WINDWOOD HOMES INC Tigard Municipal Code,State of OR. Specialty Colres and
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will be !one in
T IGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire If
work is not started within 180 days of Issuance,or If the
work is suspended`or more than 180 days. ATTENTION:
Phone: Phone: 780.4375(M) Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those riles are set
Rog N+ UC 50195 forth In OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechar+ca Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Sewer Insper;lon Unde,flior insulation Plumb Top Out Exterior Sheathing Insl Firewall Insp Mechanical Final
Footing Insp trawl Drsln/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final
Foundation") Fooling/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Final Inspection
PosUB�m Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp
Issue y Permittee Signature VO
Call (503) 639.4175 by '1:00 p.m. for an inspection needed the next business day
SEWER CONNECTION PI=RMIT
CITY OF TIG /� R D
DEVELOPMENT SERVICES PERMIT#: SWR2002-00195
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 1639-4171 DATE ISSUED: /21/02
PARCEL: 2S 10360-F3HP 17
SITE ADDRESS; 12775 SW BLUE HERON PL
SUBDIVISION: BLUE HERON PARK ZONING. R-4.5
BLOCK: LOT: 017 _ .Ir11PISDICT1-N: TIG
TENANT NAME:
USA NO: FIXTURE UI+IITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDiNGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: New SF Attached residence.
Owner: — FEES_
WINDWOOD CONSTRUCTION Type By � e Amount Receipt
12655 SW NORTH DAKOTA - - — --
1IGARD, OR 97223 PRMT CTR 8/2.1102 $2,300.00 2720C 00
INSP CTR 8121/02 $35 00 27206200000
Phnnc: 503-625-6526 Total "'2,3:,5.00 _
Contractor:
Phone:
Reg #:
REqulred lospactions
This Applicant agrees to comply with all the rules and regulaticns of tie Unified Sewage Agency. The permit expires
190 days from the date issued. The total amount paid will be forfeited if the Firm" expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If thu �cwer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given If not so loc-31^d, the inst,?ller shall purchaso a "Tap and
Side Sewer" Permit and the Agency will instal! a lateral. ATTENTION: Ore.j-in law requ res you to follow rules adopted
by the Oregan Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080.
You Thy obtain copes of these rules or direct questions to OUNC by calling (503) 246-1987.
Issu�d.hyQ� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next buslWd( s day
_ 1
Building;Per wit Application
City of Tigard �—� Date receiv�d• —A Permit no.: r ) 7
CiryofIribard Ad0ress 13125 SW Hall Blvd,Tigard,Of' 97223 Project/appl.no.: Expire date:
Phone: 003 i 639-4171 A
Date issued:
Fax (503) 59R-1960 ()L 11 eceipt no.:
U0Case file no.: Payment type:' 7OU, —
Lata use approval: Cl 11 1 UP i 1&2 fami I y:Simple Complex:
RZ 900a ov
,dJ� 2 family dwelling or accessory ❑Commerrial/industrial U Multi-family U New construction ❑Demolition
U Addition/alteration/replacernent ❑Tenant improvement D Fire sprinkler/alarm U Other:
RMATION
Job address: /27 r: gc,_J p Ao /c (P Bldg. no.: Cuite no.:
Lot: / Block: Subdivision: ,Br —_; + T'ax.map/tax lottaccount no.�s
ProjeLt-name:
Description and location o;work on premises/special conditions:
rNaGa.v�(u��rerI &2 family dwelling:
Stat ZIP: P73_ Valuation of work....... g 33 $6
............... ...............
Phone: No.of bedroontshbathr..........................%.I�
�' - G F ,(, E-mail: .,
Owners representative: / — -�—
t _ - ._ Total number of floors......................... ,... 'L
Phone: Far.. E-mail: New dwelling area(sq.ft. ............. l _ u
Garagekarport are•t(sq.ft.)..............2,11N _
Name: /n Covered porch area(sq. ft.) ......................... _
—_
Mailing address: Deck,Tea(sq.ft.) ........................................
city: _ State: ZIP: Other structure area(sq.ft. —
Phone: Fax: F-mail: CommerciaUloduaMnUmulti-family:
Valuation of work........................................ $
Business name: t' Existing bldg.area(sq.ft.) ..........................
New bldg.area(sq, ft.) _ —
Address: ................................
_yStatZIP. Number of stories
Cit : e:— ........................................ --
Phone: Fax: — Type of construction
_ -- E-mail: ........ ...........................
CCB no.: 5ef/ � Occupancy group(s): Existing:
City/metro lie.no.: _ New: _
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: W t — jurisdiction whem work is being performed.If the applicant is
City. / Tl S!a[ed^t ZIP: �j -,7 exempt frau►licensing,the following reason applies:
Contact person: qr n _ Plan no.: —.—
Phone: I Fax
Name: �,,�/� -v,; Contact person: j& Fees due upon application ... $
Address: Date received:
City: StateZIP:
Amount received .......
Phone: t; .G1�1 Fax? I:_rnail: _ Please refer to fee schedule.
I hereby certify 1 have read and examinee'this application anti the Nor All imiedictioru i—lit credit ca-U.r•m call),trddictioe fa more inrormAtiar.
attached checklist.All provisions of laws aiA ordinances governing this U VISA t]Mastercard
work will be complied with,whether specifiro htrein or not Credit cad number:
Authorized signature-- r T J_ Date: Name or cardholder AS Shown on cmclit cuA
Print name:— 1 /t�c� — —� ------rutS
Cadholder S stue _ _ Amollar
Notice: this permit Irpplication expires if a permit is not obtained within 180 r;a,,s after it has been accepted as complete. 440413(000MM)
I
`''Numbing Permit Application
City Of Tigard Dace received:_ Permit no.: /
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.:
(�lh`ojNaH Phone: (503) 639-4171
Project/app l.no.: Expire date:
Fax: (503) 598-1960 LDte issued:
By: Receipt no.:
Land use approval: _ stfife no.: Payment type:
��Jjlj Nola 05111,311 a
Xl dt 2 family dwelling or accts, ,ry ❑Commercial/industrial l l Multi-famil
❑New construction Y O Tenant improvement
U Additiorm/alteration/replacement U Food service G Gthet:
Job address:
1)�cri don _ (p y. Fee(e9,) Total
Bldg.no.: _ Suite no.: New 1-and 2-family dwellfnis only:
Tax map/Gvt lot/account no.: ^�1 S v — (includes 100 ft.for each utility connection)
Lot: Block: _- rZo_ SFR(1)bath — -
--- _ Subdivision: f.P krSFR(2)bath — - --
Project name: �/� Jv' GI^ SFR(3)bath --
City/county: Ips Q�� Each additional bath/kitchen — -
Description and W tion o work on premises: Site utilities:
Catch basin/area drain
Est.date of completion/inspection: D well;each lineltrench drain
Footin drain no.lin.
Business name: �� Manufactured home utilities -
Address: - Manholes
U - C) _ Rain drain connector
City: _ dtatc�/� ZIP: 7LY)�-- Sanitary sewer(no.lin.ft.) — -
Phone: y�i-ct/ul y Pax ' U31 Email: Stomt sewer(no.lin. ft.) `
CCB no.: � � Plumb.bus.req no: 3 - �,(;. Water service(no.lin.ft.)
City/metm lie.no.: �' — Fixture or kern:
Contractor's representative signature: //1 �� Abso tion valve
Print name: Back flow reventer
Backwater valve
11 U E 14011
Basins/lavatory --
Name: [_ Clo ec washer _
Address: Dishwasher -
City: State: ZIP: Drinkin fot ntatn(s) - - --
Phone: Fax: E-mail Ejectors/surn
Expansion tank -
Fixtum/sewer cap -
Name(print): Ik,Qt, -t c t4 C! /S/` Floor drains/floor sinks/hub _ �-
Mailing address: S Aj^fo.y.., 4j t� Garbage dis sal
~ --' Hose bibb
city- ,z _ StateC K Z1P: - a�Z --
-'-�-Y" _ ice maker
Phone:06 �' ��Fax:G0K'-9� E-mail: lnterceptodgreasetrap '-
Owner installation/residential maintenance only: The actual installation Primers) --
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the pro-,erty I own as per ORS Chapter 447. 3ink(s),basin(s),Iays(s)
Owner's si nal e: Sump -
Tubs/shower/shower an —
7Adds
Urinal-- Water closetatcrheater
. tate: ZIP: pth,�rm-�- -
Na as juridictian Z;;Q7,At cards,please call urisdfctioo fir -~�
l titre iafomwian. Mlnitti::.^.:its................
O Visa ❑Masten and Notice:This permit applicatir,t Plan review(at %) S _
expires if a permit is not,�4tained
Credit rata rrtmbv _,. __ Fxpims/ / within 180 days after it has been State surcharge(8%),...$
tiara or cardnoteer
to draw on-,edit card accepted as complete. IOTA:. .......................$ _M
_ S
der slWtorc Aa:wuai —
440-4616(&IDWOM)
1.
CITY Of TIGARD
.Residential certificate of Occupancy
Permit No.: 2oo 2 - 002—Cl f Address:
Owner/Contractor: — �&/P'
Date of Final Inspection:pe 3 inspector:
This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling
SpecialSpecialU Code and is hereby approved for occu anc .
Mechanical-Permit Application
Date received: Permit no.:
City 0 Tigard
Project/appl.no.: Expire date:
Ciryof7igard Addreffd: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503)639-4171 pate issued: _ By: Receipt no.:
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
❑ I &2 t ily dwelling or accessory ❑Commercial/industrial ❑Multi-family U Tenant improvement
U New construction U Addition/alter don/replacement U Other:
Job address: Ae 1krr,,t j0lt Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/accountno.: $/ ev bC L 390a profit.Value$
Lot Block: Subdivision: #, kra� A- *See checklist for important application information and
Project name: ae kw. u jurisdiction's fee schedule for residential permit fee.
City/county: a! ! e.. ZIP: ¢'7�_�
Description and locationfof work on premises:— 111W
Fee(ea.) Total
E'st date of completion/inspection: Demiption Qty. Res.only Ret.00ly
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handlin unit CFM
Is existing space insulated?U Yes U PJo it conditioning(site an require )
Altera—tion or existing HVAC systemJIM I will Boller/compressors
Business name: �ey��i� f State boiler permit no.:
Ac'dress: Td 3 �, HP Tons Bi'U/F!
tr`e7rmo ampere uct smo a electors
-da—
City: ,.-r S f t RN1tate: _IP: Q Xj3 eat pump(sne plan requlrc�r -- --
Phone: - Fax. E-mail: nsta rep ace urnac umer B'!
CCB no.. ��6 C�1 �J Including ductwork/vent liner O Yes O No
7 Instal rep ac re ocate eatirs-suspen u ,
City/metm lic.no.: wall,or floor mounted
Nwne(please print): A $d,I ent ora ance o er an umace -
e n:
Absorption units—____ BTU/H
"tune: -5Ce 1A <- Chillers Hp --
Address: Compressors lip
City: State: Z.IP: Envirotomenta a riot ventilation:--
Appliance
ets ton:
T_— Appliance vent
Phone: Fa:r: Email: ryerex gust
Mods,Type res. jtc a iazmat
hood fire suppression system
Natne: -A/,,p W0,:A,,0 —
GGW S�' .�'h L Exhaust fart with single duct(bath fans)
Mailing address: /��_ I w ti/ exhausts stem a art tram heatingor AC.
�'1[l: j�/¢/L/� Y State:Q/� ZIP: Oe piping andn oo(up to outlets)
none:lro� -6G Fax: 6 Email: Type:
LPG NG __ Oil
ue i in eac a ditiona over out ets
cessPiping(sc ematicrequire )
r lame: Number of outlets --
l i ger ■pp nce or eq�Tu �em np t:
Address: — Decorative fireplace
City: State: Insert-ty�e� __ —
Phone; Fax: Email: cds(ov pe —_��_
Applicant's signature: Date: er:
Name(print):
Nd all jurladictiom"M creat cud,,please call iunrffl, on fa more inramlation Permit fee.....................$ —
U'vwsa ❑MasterCard Netice•'!ie permit application —
Minimum fee................$
CrAit cart number _ , ' expires if a permit is not obtained
-- — Ex�.- within 180 days after it has been Plan review(at _ %) $
None W c,rdt,otdrrv�e on tc�- accepted as complete. State surcharge(8%) ....$ _-
$ _ TOTAL .......................$
Cardholder dgunve Amount
"0.1617(61WOM)
'Electrical PerndtApplication
Date received:
City ofgstird —,-- r
tmo_1 t `�oa T
Ciry q�7 ignrd
Addn s: 13125 SW Nall Blvd,Tigard,OR 97223 Pr°ject/appi.no.: cdatc:
Phone,: (503) 639-4171 Date issued: By_'�'— Receipt no.:
Pax: (503) 598-1460 Casr,file no.. — Payment type:
Land use approval: —Y
"Ails
U I &2 family dwelling or accessory U Commercial/industrial
U New construction U Multimily
U Addition/altcration/rcplaccment Ll Other:
faU Tenant improvementU Partial
t 1
Job address: —c
Bldg.no.: Suite no.:
Lot: — Block: Sulxlivision: Tax map/tax lot/account no.:
Project name: _ Description and location of work on premises:
Eslimated date of completion/inspection:
t . t
Job no: —WIN 10111AA
Business name: I ee Max
�trrX.( �L 2t C Description Qty. (ea.) Total
no.ins
Address: 7�p New resldcnrial-single or multi 11—.1,11 dw•r—
Cil '7
_— dnrllingunil.Inclwlelattadectdgar-ai;c.
Y:^rt A- _ Statc:lop— ZIP:
Phone: a p Pax: 7•'7- Service Included:
1 E-mail:C-mail1000 sq,ft.or if ss 4
CCD no.: 4�i app; Elec.bus,lic.no: cl_ Face additional 500 sq.ft.nr portion thereof
City/metro lic.no.: Limited energy,residential 2
Limited evert y,non-residential 2
Si ahrrcofsupervising drxlrician'required) _ Eachmanufatturedhomeormodulardwelling --
( ) �,._ bate — Service and/or feeder 2
Sup,elect.name(p+7nt) I.ia rase nrr ( � J Servtcrs orfredrrs-installation,
PROPERTVt alteration or relocation:
_ 200 amps or less 2
Name g addJLmy—: � r �/I 201 amps to 400 amps
Mailing addt�ess: 401 amps to
2
fL eT 1 — 601 amps to IA00 turps 2
City: j��g State ZIP: 2
Phone: - �� Over 1000 amps or volts 2
_ hex. E-mail: Reconnectonl
Owner installation:The nstalladon is being made on property 1 own Temporary services or feeders- I
which is not intended for sale,lease,tent,or exchange according to Installation,alter-ation,orrelor-adon:
ORS 447,455,479,670,701. 200 amps or leas 2
Owner's si nalurc: 201 amps to 400 amps 2
Date: 401 to 600 em s
Branch circuit.-new,alteration, --- 2
_Name: or et,tenslon per panel:
Address: — A. Fee for branch circuits with purchase of
service or feeder fee,each branch circuit 2
Ctly_ __ _�SGtte: ZIP:— B. Fee for hranch circuits without purchase
Phone: fax , mail: of service or feeder fee,first branch circuit 2
Bach add,Ucnal bunch circuit:
Mbc.(Service or feeder not Inc lu(ird):
O Service over:15 amps-commercial U stealth-care facility Fach pump or Irrigation circle
O Service over 320 amps-rating of 1&2 U Bazar dous location Each signor outline lighting 2
hmilydwdhngs UBuildingover10.000squarefeet fouror Signalcircmt(s)oralimited energy panel. 2
Q System ovet 600 volts nominal more residential units in one structure alteration,orextemJon•
Q Building over three sto+ies U Feeders,400 amps or more — 2
U Occupant load aver 99 persons U Manufactured structures or RV park $Ueacri Von:—
U Egress/lightingplan U Other Each additional dmpeclion over. allowable W any of the above:
--- —._-------
Pei inspection
Submlt,sets of plow"jib any of the above. - _--
The above are +nhestigation tee
not applicable to tem ,. --
potary cotutructfoo service. Other - -.
Nd all I+rcisdictlaq acorya ertdit cMtl,
tAes a can jtrcledkdon for mar infonnaria, Permi,fee.....................
i7 Visa ❑MasterCard Notice:lhrs permit application $
expires i1 a pervtil is no'Obtained Plan review(at
C $
Credit card Dumber. within 180 days atter it has been State surcharge8% —
F.nplres )....s _-_------
- Nrae ,�,;,+,o e„ t c — accepicd as Complete. TOTAL
-
------ Amours
4M)4615(6RYCOM)
�® A i, A. V
DESIGN ASSOCIATES, INC.
Date:5/21/02
To whom it may concern:
With this letter Alan Mascord Design Associates,Inc. gives permission for the Buyer:
Name: Wiadwood homes,Inc.
Address. 12,555 SW North Dakota C
Tigard,OR.97223
Phone: (503)625-6526
To make revisions to,and additional copies of: —
Plan No. 4026A
For the construction of a single project located at:
City or County City of Tigard
Lot No. Lot 17& 18
Subdivision Blue Heron Park
This permission is granted for the specific project and design listed above.This document is valid only
in oriinal form,wid an original signature in ink. Any modifications to,or copies of,this letter will
void the permission granted herein.
Alan Mascord
1305 NW Is'°Avemie
PrwdwkL Orerm 97209
$03/225-9161 FAX 303/2254)933
www.naacord.am
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 -
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received — Date Requested f' 3 AM—_ PM BLIP
Location �� r � Suite MEC ----- -
Contact Person .-- _-- -- -- Ph (—_) in?�� PLM
oWactor _------_-__-- - Ph(--_) _ SWR
BUILDING - Tenant/Owner .-_-
ELC
Footing - — --. - - - ----
Found-'ion —
Ftg Drain
Access: ELC - - -- --- -----
Crawl Drain EL R
Slab Inspection Notes: - ^- - SIT -- - - --
Post& Beam -----------_ -
Shear Anchors -- - — -
----------
- -
ExtSheath/Shear - --
Int Sheath/Shear
Framing --
- - - ..---
Insulation - - --- ---------.--_
Drywall Nailing --- -
Firewall - — -- -----
Fire Sprinkler ----- -- -___. _-
- - ------
ire Alarm - -
Susp'd Ceiling ---
Roof -- -
Other: ----_ --
ASS PART FAIL -- --- -
BING
Post 8 Beam
Under Slab
Rough-In
Water Service --
Sanitary Sewer --
Rain Drains - --- --------_ -_
Catch Basin/Manhole - -
Storm Drain
Shower Pan - - —
Other. -
wthl
PART FAIL
ICALam - _-
Rough-In
-- -- - --
Gas l_Ine _---
S e Dampers -.--- - -
PAS PART FAIL - - ---- --
---
----—
Service
Rough-In -
I1G/Slab --- ---
Firlarm �-
_-PART FAIL E, Oninspection fee, of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
Cj Please call for reinspection RE:
lie
Supply - Unable to inspect-no access
FLine -
ADA 311310 3
Approach/Sidewalk Ins ector
- p —_ —
Other: Ext
--`--- ---•-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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