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12995 SW OXALIS TERRACE " NH31 SIIVXO MG 56626 i 'I I LL' W H a J �c vii Q ca is LO v" w N r 12995 SW OXALIS TERR CITY,OF TIGARD 24-Hour BUILDING 10 Inspection Line: (503)6394175 � ^L ® ,.,60 INSPECTION DIVISION Business Line: (603)639-4171 — r BUP Received��Li _ Date Roques --_—AM_�_ _ BUP _— L.ocation __./2_59�_ _i!!�) S _ Sine�y �7 MEC Contact Person . _— _ Ph(_ ) �� --." �1__ PLM Contractor _ _ Ph(_ _) SWR UILDI Tenant/Ownar , ELC _ Foo ing Foundation/ A.c ces s. ELC r ,,rt ELR _ aw ral a �"' Inspection Noies• o SIT Post&Beam Shear Anchors Ext Sheath/Sheer Int Sheath/Shear -` Framing ""'-- Insulation 7-1 Drywall Nailing =� Firewall �� Fire Sprinkler Fire Alarm Susp'd Ceilin Final �� _-_` S PART FAIL � _ Post&Beam V`J Under Slab r � _ 1 rain - — CGt]Aaei'/Manhole --- Shower Pan Other: ---- Final -- 3 AR FAIL - -- - — Post&Beam Rough-In _. Gas Line R. Smoke Dampers sinal po PA:S PART FAIL — -- -- ELEC1''JICAL Service m Rough-In UG/Slab W Low Voltag® Fire Alarm Final Reins rtion fee of$ __ PASS PART FAIL ' --required before next Inspection. Pay at City Hall, 18125 8W Half Blvd. SITE Please call for reinspection RE:— Unable to insect -no access Fire Suppl;;Line ADA Approarh/Sirlewalk �� Other:_ Final DO NOT REMOVE this Inspoctlon rocord ftoo UM jour oft. PASS PART FAIL CITY OF TIGARD :'-Hour c,I BUILDING . I ispection Line:r03)633-4175 MST �C2� T 8J INSPECTION DIVISION Business Line: ( 03)639-4171 _ SUP Received . —Date Requested_— AM -PM �� SUP Location � _Suite MEC Contact Person r .---r' � P ( ) �a - r4� PLM _ Contractor____.__�_ h( ) _ SWR BUILDING Tei;ant/Owner ELC Footing FLC _ n a to rinsCpection E�sI 8:'--_ Fig raid ELR Crawl Drain Slab Notes: SIT _ Post&Beam Shear Anchors - -- ----� -------------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation I - Drywall Nailing �t - Y _ all FiSprinklers-Yf�J�-' z IC�.A'✓l C Fire Alarm �� ✓'�-3 tJ ��" I— Q� � C'�� (T 1 Susp'd Ceiling Roof . / 6 c - Othr,,: eL — Fin AS PART FAIL BIN4 [Post&Beam �— I ender Slab ! Rough-In - Water Service — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- — Shower Pan Other: -- Final PASS PART FAIL MECHANICAL Post& Bern Rough-In CL Gas Line Smoke Dampers h Final PASS PART FAIL -- -- -- ELECTRICAL Serv!ce m Rough-In — !L Low Voltage ---- _ Fire Alarm Final Reinspection fee of$_— required before next ins PASS PART FAIL I inspection. Pay at City Hall, 13125 SW Ha{!Blvd. a7E Please call for reinspection RE: _. Unable to inspect--no et70Miti Fire Supply Line ADA Dab ? . ApproPch/S{dewa{k Other: Final 00 NOT REMI ICoird �Siob 1bs. PASS PART FAIL CITY•OF TiOARD 24-Hour BUILDING 0 Inspection Line: (503)639-4175 _ lut3T : INSPECTION DIVISION Business Line: (503)63 _ p 8UP Received __.._ Date Requested ��_ d AM r '� ___ BUP Location Suite _ MEC Contact Person Ph( PLM —__— Contractor_ _ _ Ph( _) _ _— SWR B NQ Tenant/Crwner ELC -- ELC Foundation Access: --- Fig Drain FLR Crawl Grain _ Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear r' Framing S�..Q✓sy.r�` -___----_.___- Insulation Drywall Nailing --- Firewall Fire Sprink',er Fire Alan: Susp'd Cailing — --"-�"- Roof Other: _ -- Final SS . PART FAIL - -�_�-- --_. - ------._.__ 8lNO Post&Beam Under ,lab — - Rough-In Water Service Sanitary Sewer Rain Drains — --- ---_—___ —� — Catch Basin/Manhole Storm Drain ---- ----— Shower Pan Other. Final --------_,_ PASS PART FAIL _?M.E HANICAL Post&Beam _ Rough-In --------- ---- -- ----- Gas Line a Smoke Dampers - - F- Final N PISS PART FAIL ELECTRICAL _ Service m Rough-In 0 UG/Slab W Low Voltage ---------- - - -- Fire Alarm Final F] Reinspection fee of R —_____required before next Inarmefts. Pay at City H il, 111 2S)SW Hall Blvd. PASS PART FAIL _ SITE -_ _ [J Pleas-4 call for reinspection RE:--- F1 Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Dom I mpw�tm�r Other: Final DO NOT REMOVE this Inspeaon Trow rd immI tb,!joist Wts, PASS PART FAIL (CIYY O, F TIGARD► 0 BUILDING DIVISION PERMIT#:MS'P„pDq --DOI$1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone- (503) 639-4171 Inspection Requests (24 Hrs.): (503)6?9-4175 .w. INSPECTION WORKSHEET FOR DATE: -3/7 TIME: L1 PAGE SITE ADRESS: SS OF WK: SUBDID S ON: I� 1�� �x�� �P�✓� ' LO"(#: CLATYPE OF OURS'E. PROJECT NAME: DESCRIPTION: OWNER: ,�..t/ PHONE k: CONTRACTOR: Q 1�-K PHONE #: Inspecti,.m Request Scheduled For: Date: Pour Time: Code #;,�S Inspection Description 3onfirm # Contact # MGssage 3157 Pbs+A&CA'" P W mb ►,, 1B 6 S ✓ ✓ ,M ttAaw+'mj Gofrections/Comments/Instructions: Z"ee 2-'sem--- - , _ Cl Geo L-- VG'S IAJ A� `w ❑ PASS XPART01. APPROVAL ❑ CANCEL [] NO ACCESS [] FAIL ❑ CALI. FoR INSPECTION ❑ ADC TIONAI_ FEES ASSESSED Inspector: ._.—_,� C "'1� Date: /( Phone #: (503) 718- �__ MF!K-f,f-cWOO u ---------------- ®ll ON GROUP ARCH CTS RECEIVED !"4,� ;� 0 1005 CITY OF TIGARD BUILDING DIVISION March 15,2005 Ile Fi4ec,est iic.�ttros 00 6W 8W 92"�Ave. Site 100 l�7 ;rottland,Or. 97123 , RE: •Lot 4 Hull shire Cin,T*M,Or, 12995 SSI Onalis Torr. Pernik M: Mr O04-001'1 Item: It Ms berm brow*to Durr attvItio" Omits fevleion has bow made involving the bwk wall of the gsrap A jog in the bade in the bewk wall,whieb is a shear wall,is acceptable in light that the net amount of Oyw"d wall and nailing pattern is consistent whb the spp WAA Plan. in WdjUQn two wma hold down straps have been placed at the cones n of the oAet This is an acceptable revision to the Plan. Please do not kmaltate to call if you have any"W"s. CL r}0e Olson QP Ardit;cts AIA 503-620.9670 �D °'1NO 'A gALPH 0,0" 5 f� m W _j ago HAM,OAEMN QF o t nsa s w urs x ►r�QID^t7UAfYWI weaON 1721+•sO _M"M•W*lSAM400•fowl 00 Ott 81a.a►r+ MAR-1 -2003 09:48 HM GL51M I.Kvur 04Kq :e r e. -- ---- __ Fir �4 p-d i�eQ�j,._, Nolfsae _�_. ....•.� 1 „4r w 1 1 tl 1 1 1 I ` i .I e 1 .L jl 1 1 itsI 1 roll :4- 1 A I I q 1 1 t... 714, ic IL 1 I y YY tq _ L�POR CW" , Rt m N) "ic CITY OF TIGARD BUILDING DIVISION PERM T#: 0()1 13125 SW Hall Blvd.,Tigard, OR 97221 DATE ISSUED: Phone: (503) 639-4171 Inspectior Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: '3 / TIME: J e) ye*" PAGE: SITE ADDRESS: alff - CLASS OF WORRFCE ROUBDIVISION: ! '� �xC� L�� 7C�' ' ' LOT#: TYPE OF USE: 1R 200 P JECT NAME: INR DESCRIPTION: CITY OF TIGAHL) OWNER: PHONE!*IILDINGQDIVISIION l� CONTRACTOR: 1'04 PHONE #: Inspection Re,tuest Scheduled For: Date: Pour Time: Code #� .5 Inspection Description Confirm # Contact # Message (10 rections/Comments/Instructions: Q U Al Q P EX �� �-•G�� �t �'�L! , ��1 _ '�_—_k1_dLI--LJ' r��--�-R-r'\� � g' r.�l�„�,4� — ��'J�,�l • ,� WA -- --�— lAiwas , a co ED 1/w , -- =�` -- QI -c r; - w __. _.d �' << ,�i �„�-zir%�_ ❑ PASS P'4RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L" � C Date: p _ V. d Phone #: (503) 718- ____ CITY O F T I GA R D PLUMBING PERMIT _ PERMIT#: PLM2005-00414 DEVELOPMENT SERVICES DATE ISSUED: 8126/2005 13125 SW Hall 131vd.,Tigard,OR 97223 503-639-4171 PARCEL: 2S10413C-08200 SITE ADDRESS: 12995 SW OXALIS TERR ZONING: R-7 SUBDIVISION: HILLSHIRE CREST LOT: 004 JURISDICTION: TIG- Project IGProject Description: Backflow preventer for irrigation �S CF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: :'YPE OF USE: SF WASHING MACH: LACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 7U- SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: _ FEES RIDGECREST CONSTRUCTION Description Date Amount 6600 SW 92ND STE. 210 PORTLAND, OR 97223 [PLUMB] Permit Fee 8/26/2005 $36.25 (TAX]8%Strte Surchirl 8/26/2005 $2.90 Phone: 503.246-9808 Total $39.15 Contractor: CONTOUR LANDSCAPING INC 12485 SW TOOZE RD REQUIRED ITEMS AND REPORTS SHERWOOD, OR 97140 _-- Phone: 682-1302 Reg#: LIC 5698 a a v� m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordanoe with approved plans. This permit will expire if work is Wnot statedT within 180 days of issuance, or if work is suspended for more than 180 days. A iEN FIVN: Oregon law requires, .,u to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-(dB 010 throZrgli OAR 95 -0001-0100. You may obtain copies of these rules or direc'.questions to OUNC by calli -246-6699 o -8 33 -2344. _ �,,Q I s s u : Permittee Signature:x— T\ "--.i Y" �Q,�yX "J Call 503-619-4175 by 7:00 a.m.for an Inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job este at the time of each Inspection. Building Fixtures i;lumbing Permit Aplication Q �t( "Re-cewed ` 7�'�� Cit of Ti and Zxl�' I No11125 SW I tall Blvd.,Tigard,OR 97223 Plan Review1'hone: 503.639.4171 Fax: 503.598.1960 t4nnit No. ��y _ _ 24-[lour Inspection Line: 503.639.4175 Dole Ready/By - --_- ' see Page 1 for - Internet www.ci.tigard.a.us Nopri ethcA _^ si ester Isfer>•atio0 TYPE OF WORK FEER lTM ! .T wconstruction ❑Demolition For 4ftawl -1111 lse e^A11M. Description {S Total ❑ Add ition/alteration/replacemn ❑Other New t-2-family dwelllgp(includes 41). v ooh udlity connection) CATEGORY OF CON111TRUCTION SFR(1)bath 249.20 r4Eff'-1•and 2-family dwelling ❑Commercial/industrial SFR(2)bath 330.00 []Accessory building ❑Multi-family SFR(3)both 399.00 ❑Master builder ❑Other:--- - Each additional both/kitchen 45.00 Fire sprinkles(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION �Y Site utilities Job site address: a q (� - (,x T.�/ _ Catch basin or area drain 16.60 City/State/Zip: '* Drywell,leach line,or trench drain 16.60 Suitebldg/apt.no..:" project name; Footing drain(no.linear If.:�) _ Pap 2 Maru6tctured home utilith 110.00 Cross n''yet/directions to job site: Manhole 16.60 -- Rain drain connector 16.60 Sanitary sewer(no.linear ft.:_� Page 2 Storm sewer(no linear ft.:._) Page 2 Subdivision: - Lot no.: Water service(no.linear It.: ) Page 2 --- - -� Fhtan or ite■ Tax map/parcel no.: - Absorption valve 16.60 DUCROT wON OF VXaK Backflow pmventa _ Pap 2 _ Backwater valve 16.60 Clothes%saber 16.60 --- Dishwasher - 16.60 ❑ PROPERTY OVMR 17, T9NAXT -�` Drinking fmmtain 16.60 -- Ejectors/Rump, 16.60 Name: Expansion tank 16.60 Address: -C - Fixtum/sewer cap 16.60 Cky/State/ZIP: 2 Floor drain/floh sitdc/ltab 16.60 Phone:(5J3) a- OO Fax:( p ) d y6 _U g L Garbage disposal 16.60 ❑ APPLICANT q cowACT Pumm Hose bib 16.60 - - ---• ----- la maks 16.60 Business name. -__-- _-_--� Intaceptor/grase trap 16.60 Contact name: Medial gas(vatue:S ) Page 2 IL Addrks9: - ----- -- v -�- Prima -- 16.60 F- City/State/ZIP: Roof drain(commercial) 16.60 - - Phone:( Sink/basint'lavatory 16.64 ) -- -�Far-.( - ) - - Tub/shower/shower pan 16.60 E-mail: _ Urinal 16.50 m CONTRACTOR _ _ Water closet 16.60 WBusiness name: U _ -�6 vu✓bI t � Water hats _ 16.60 -- a a t, w �, P-0 Other: Address: ---_. :.72,51 City/StatwVP: (2` �_,I Minimttm Admit fee: $72.30 Phone: ) -(30.) Fax:( ) ,� Residential backflow minimum it fee: $36.25 S61 p Plan review (25%of permit fbe) CCB Lic.: CJ 11. Plumbing Lic.rv►.: _ - _ Statesurcharge(8%ofpe*mitfee) Authorized sigttaturc: .y _ _ TOTAL PERMIT FEE f Print name: t�L M cekobao Date: �p Thls permit application expires If a permit h not obi sed wltk n -- 1M days efts.•h has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board i\nuildinpTermih\PLMF-PennitApp doe 050 IO WOMMER) Plumbing Permit Application - City of Tigprd � Page 2 - Supplemental Information Fee Schedule: _ Residential Fire SuppressioSystems: _ Site Utilities -- 4. Fee(eat coal uare FootsIte: Permit Fele: footing drain-10 10053.00 0 to 2,000 S115,00 Footing drain-each additional 100' 46.40 2,001 to 3,600 —_ $160.00 3,601 to li 200 _ $220.00 Sewer-Ist 100' 55.00 7,201 and greater 1 $309.00 Scv;.t-each additional IM' 46A0 Water Service-I rt 100' 55.00 Medical V 8A�AtemA:—_ Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain-1 st 100' 55,00 _" S 100 to Si'(W Minimum fa$72.3 Storm&Rain Drain-each additional 100' 46.40 S5-001.0010$10,000.00 $72.30 fix the bray 5,000.00 old S 1.51 for ach Qt. Pee(h) ToW additional S i00. or fraction thrzeo(to and Fixture or Item including SIU .00. Commercial Back Flow Prevention Device 46.40 $10.001.00 to$25.000,00 $148.50 fbrjge first$10,000.00 and$1.54 for Residential IladcOow Prevention Device each addi' not 5100.00 or fraction thereof;to minimum permit f"tt6.25 27.55 and inc din 523 000.00. Rain Thain,single family dwelling 65.25 $25,001.00 to 530,000 00 S37$60 for the first$25,000.00 and$1.45 for Inspection ofexisting plumbing ex _ additional$100.00 or fraction thereof,to s iell r ested in. er hcx�r 72,50 including S30,000.00. SdMuUI. 5.50,001.00 end up 5742.00 for the flrst S50,0174.00 and S!.20 for each additiorAl 5100.00 cr flection thereof. Fixture Werk: Plan Review for Cowpkx. ctum Are you caps adding or replacing fixtures? If''yes", "complex structure"is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately tYport fixtures could result in Increased sewer fees*. Please check all that apply. ser Fistart Work IP I Im new commercial building. phreTypee � Any new exterior plumbing site utilities. Pmteal. Ca ere Ad1ad fencer !",,Any N erc%al building with installation,alteration or addition Ba tist /Fant 9)a•more new or reloated plumbing fixtures. Bath -Tuh/Shower ps and vacuum systems for health care facilities -lacuzzi/Whirl I iservices to human beings. Car Wash -Each Stall ❑ Plumbin,;lgstallations,alterations or additions to food service -Drive Thru facilities wh new plumbing fixtures,including interceptors, Cuspidor/Water i1_ irator are being in#Ad for the food service area Dishwasher -Commercial ❑ Any new resides building containing three(3)or more -Domestic dwelling units. Drinking Fountain _ ❑ Any NFPA 13-D mu rp ose fire sprinkler system. Eye Wash _ Floor Main/sink 2" Submit 2 sets of pi s with any of the above. _3.. 4" 11 Car Wash Drain Isoa -r Uig a Oarbage -Domestic _ isometric or riser diagram is uire d for new buildings �.. Disposal -Commercial three 3 or m stories in hei t. t,A -industrial Ice Mach./Refft Drains . oil Separator Gas Station Comments regarding fixture W Rec.Vehicle Dump Station Srr'er -Gang -Stall = Sink -Bar"vatory _ -Bradley -- -Commercial -Service Swimming Pool Filter -- washer-Clothes *Note: If the fixture work under this permit remits in an Water Extractor increase of sewer F,DUs,a sewer permit will be issued and Water Closet-Toilet Urinal fees assessed for the sewer increaw. must be paid before the oder Fixtures: plumbing permit can be Issued. i\nuildina\Pe min\PLM-Pm iwpp doe 07A)"S CITY �� �����® MASTER PERMIT — PERMIT M MST2004-OC 181 DEVELOPMENT SERVICES DATE ISSUED: 12/29/2004 13125 SW Hall Blvd.,Tigard, OR 97123 (503)639-4171 SITE ADDRESS: 12995 SW OXALIS TERR PARCEL: 2S104BC-08200 SUBDIVISION: NILL.SHIRE CRFST ZONING: R-7 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: New 3F detached. BUILDING REISSUE: OGALOT4 STORIES: 2 —_FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT- 26 FIRST: 2.261 of BASEMENT-. of LEFT* 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,524 of GARAGE: 526 of FRONT: 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TMp of RIGHT 5 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 3,70e of 362.936 60 FEAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DR41NS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BA-SINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HF_ATERS: I WATEn LINES: 10C SCKrL W PREVNTP.: GREASE TRAPS. OTHER FIXTURES MECHANICAL FUEL TYPES FURN<100K: ROIL/CMP<7HP: 1 VENT FANS•. 6 CLOTHES DRYER, 1 GAS FURN v100K: 1 UNIT HEATERS: HOODS: 1 OTHER UKFTB: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS. 5 ELECTRICAL _ a_ RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADWL INSPECTIONS 10008FORLESS: 1 0 - 2roamp: 0 200amp: WISV:ORIDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 7 201 -It0 amp: 201 -400 amp: 1st WIOSVCIFDR: SIGNIQUT LIN LT: PER HOUR: LIMITED ENEROY: 401 - 600 amp: ant 400 amp: FA ADOL SR CIR: SIGNALIPANEL: IN PLAN r: MANU hW$%'CIFDR: 601 - WOO 8110: 36l+a1rpe-1000x. MINOR LABEL: 1000•amolvolt _ P!_AN REVIEW SECTION _ Reconnect only: >600 V NOMINAL: CLS AREAISPC OCC: a.1 RES UNITS: SVC/FDR:--225 A.: ELECTRICAL•RESTRICTED ENERGY A.8F RESIDENIrIAL — B.COMMERCIAL AUDIO 8 Si EREO: VACUUM AYSTEM: AUDIO 6 STEREO FIRE ALARM: INTEPCOMMAGING: OUTDOOR LNOSC 0: BURGLAR ALARM: OTH: ALL-r'NCOMP BOILER: HVAC: LANnSCAPEIIRRIO: PROTECTIVr AIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DA:A/TELF COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,769.35 This permit Is subject to the,4gLllati,mz,contained in the RIDGECREST CONSTRUCTION RIDGECREST CONSTRUCTION CO l igard Municiral Code,State o1 OR.Specialty Codes 6600 SW 92ND STE.210 6600 SW 92ND AVE SUITE 100 and all other appllcable laws. All work will be done In PORTLAND, OR 97223 PORTLAND, OR 97223 accordance with approved pl,ns. This permit will eV ire if work is not started within 180 days of Issuance,or If the d work is suspended for more than 180 days. rz Phone: 503-246-8808 Phone: 503-246-8808 ATTENTION Oregon law requires you to follow rules N adopted by the Oregon Uthity Notification Center, Those It"M LIC 59228 rules are set forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or `-j direct questions to OUNC by calling(503)248.1987 ® REQUIRED INSPECTIONS WErsn Cntrl 681-4444 Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final _J Sewer inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insr) Mechanical Final Footing Insp Crawl Drain/ElIckwRter Electrical Rough In Gas Line Insp Water Line 1 sp Plumb Final LFoundation Insp PLM/Un,farfloor Framing Insp Gas Fl•eplace Wa er SB Insp Bulldt Final Post/Beam Strut lural Mechanical Insp Shear Wall Insp insulaticn Insp p/Sd In Issued By : �, -- Permittee Signature Call(503) 639-4175 by 7:00 p.m.for an inspection needed the next business(day , CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: RWR2004-00176 13125 SW Nall Bl id., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/29/2004 SITE AUDh ESS; 12995 SW OXALIS TERR PARCEL: 2S 10413C-08200 SUF:DP"SION: HILLSMIRE CREST ZONING: R-7 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF U ,E: SF NO. OF BUILDINGS: INSTALL TYPE:: LTNSWR IMPERV SURFACE: Remnnrks: Sewer connection for now SF Owner: — -- -- CEES RIDGECRES T CONSTRUCTION ilesrription Date Amount 6600 SW 92ND STE. 210 PORTLAND, OR 97223 [SWINSPJ Sewer Inspec 12/29/2004 $13:..00 [SWINSPJ Sewer Inspec 12/29/2004 $0.00 Phone: 503-246-8808 [SWUSAJ Swr Connectit 12/29/2004 $2,500.00 [SWUSAJ Swr Connecti( 12/29/2004 $0.00 Contractor: – Total $2,535.00 Phone: Reg#: Required Inspections — This Applicant agrees to comply with all the pules alid regulations of the „le, 1 Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if t.ie permit expires. The Pgency does not gu irantec the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, Pe installer shall prosperl 3 feet in all directions from the distance given. If not so located, the installer shall purchase aTrap and Side Sewer" Perry-it and the Agency will install a lateral. ATTENTION: Oregon law requires y(eu to lo•N r les adopted Vy the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr6 h AR 952-001- 00. `,'ou may obtain copies of these rules or direct questions to OUNC by calling (50, 246-�fi9 j Issued b,,,, _ - Permittee Signature: Call(503) 639.4175 by 7:00 P.M.for an Inspection needed the next busineti day CITYOF TIGARD SEWER COi4NIECTIONPERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00176 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 12/29/2004 PARCEL: 2S 10413C-08200 SITE ADDRESS; 12995 SW OXALIS TERR SUBDIVISION: I4ILLSHIRE CREST ZONING: R-7 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L 'SWR IMPERV SURFACE: Remarks: Sower connection for new SF Owner: FEES RIDGECREST CONSTRUCTION Description Date Amount 6600 SW 92ND STE. 210 PORTLAND, OR 97223 [SWINSP]Sewer Inspect 12/29/2004 $35.00 [SWINSP]Sewer Inspect 12!29/2on4 $0.00 Phone: 503-246-8808 [SWUSAJ Swr Connecti( 1 x/29/2004 $2,500.00 [SWUSAJ Swr Connectic "2129/2004 $0.00 Contractor: — Total $2,535.00 ^� Phone: Reg y: Required Inspectlo118 _ i This Applicant agrees tc comply with all the rules and regulations of the Clean Water Services. The permit expires 180 j days frorn the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If'he sewer is not located at the measurement given, a installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a' ap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow r Iles adopted I�y the Oregon Utility Notification Center. Those rules are. it forth in OAR 952-001-0010 thro4bh AR 952-001-0.00. You may obtain copies of these rules or direct q_,estions to OINC filling (503) 246-p69 ✓� am.. �'/ 1 Issue Permittee SlgnatureG Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next businept day Building Permit Alieatio n Received Permit No. City of Tigard � �U1 Dstd11 : .� _._ `f r 461 13125 SW Hall B!vd.,Tigard,OR 97223 Plan Review �,,�/ ,_. -r Phone: 503.639.4171 Fax: 503 596.1960 j�GARd Date/tt : M I- r^'(� Chher Prmrit ;^'= '1/ 601 ,1' Inspection Line: 503.639.4175 1+ ' v'S`kON Date Ready/By. ay Jur 0 See Attached r'hecil fnrr Internet: www.ci.tigard.or_us111� l71NG ails s --H.rr^telInform on _ �(` . TYPE OF WORK REQUIRED DATA:I-APlD 2+FAMILY DWELT ING $;4ew construction ❑Demolition _ Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Additionlalteration/replacement ❑Other: equipment,materials,lab^r,overhead,and the profit fo•the CATEddItir OF CONSTRUCTION work indicated on this apAiration. ___ `valuation: 1 and 2-family dwelling— ❑Commercial/industrial 1 - — ❑Accessory building ElMulti-familyNumber of h Brooms: --- ❑Master builder ❑Other: Number of bathrooms: 3 - JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address; //, / -7-jam _ New dwelling area: square feet ` eS�:Sv4� ! S G.eC�T City/State/ZIP: �f-� - Garage/carport area: s square feel_ Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross strriWdirections to job site: ^I/' VS 6&/ / Deck area: -+ square feet — Other structure arra: square.feet ,.,6i it �I COMMtRdiiill�t91;CHECKLIST Subdivision: j Lot no.: P-rmit fees`are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: 5 �/ �_! _- equipment,materials,labor,overhead,and the profit for the DF,SCRlPr(ON OF WORK _work indicated on this application. _ Valuation: S Existing building area: square feet New building area: _ square feet -----�-j�TENANT - ---V Number of stories.- — Name: Type of construction: Address: Occupancy groups- City/State/ZIP: Existing: Phone:( ) Fax:{~) _ New: -'�- ❑ APPLICANT C CONTACT PERSON___ NOTICE Business name: All contractors and subcontractors are required to he Contact name: 10, licensed with the Oregon Construction Contractors Board —__ �_ under ORS 701 and may be required to he licensed in the IL Address: r _ C��O - jurisdiction in which work is being performed.If the aapplicant is exempt from licensing,the following reasons City/Statemp: � _ apply: Phone:(S- t 1 a YE' - 7- 1 3 leo E-mail: '� ---- --_ CONTRACTOR WBusiness name: �$CIILDING PR!►'".:I FEES* J Address: � _ - _-------- --- -,--- -----.- ase•efer roee schedule City/State/ZIP: _- _ r- ' ,. l„, Phone:( ) Fax �- _a received CCB lin.: � � - - - - - - Date received: Authorized signature This permit application expires!f a permlt's not obtained within 190 days after It has been accepter,as complete. -Print�nme �' Date: /A � a Hee methodology set by Tri•Coumy Building Industry Service Board. i1N;i:n�na\pxridta\a1�r-panitApp.dx 114)7 4401"17T(IIKd"MAVESI One- and Two-Family Dwelling Building Permit Application Checklist MMMINIA1011 City of Tigard Received Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 ❑ Electrical O Plumbing O Mechanical 24-Hour Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us ❑ other, Kom IN111111 SEMI Mal 1111111 I Land use actions^ompleted. See jurisdiction criteria for concurrent reviews. 2 Zonin . Flood plain,solar balance points,seismic soils designation,historic district,etc. __ Li 3 Verification of aepr oved plat/lot. _ 4 Fire district approval required. Name of district: — 5 Septic sstem�rermit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district apQroval. _ 8 Soils report. Must carry original apple bee Stam and si lure on file or with application. 9 Eroslon control ❑plan []permit regal include drainage-way protection,sil:fence design and I scion of catch- basinprotection,etc. _ 0 El 10 3 .Complete sets of legible plans. Must be dr to scale,showing conformance to applicab oval and state building codes. Lateral design details and connectio must be incorporated into the plans or a separate full-size sheet attached to the plans with cross references betvt a Ian location and details. Plan r iew cannot be.:ompleted if copyright violations exist. I 1 Sit./plot plan drawn to scale. The plan must show lot and ilding setback dime ons;property corner elevations(if tnere is more than a 4-11.elevation differential,plan must show ntour lines ate .intervals);location of easements and driveway;footprint of structure(including decks);location o elWseptic stems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;i ervi s area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs an inforcing pads,connection details,vent size and location._ 13 Floor plans. Show all drmensi,ns,room identification,window siz ,locati of smoke detectors,water heater, furnace,ventilation fans, Ip umbitlg fixtures,balconies and decks 3 inches ab a rade,etc._ 14 Cross section(s)and details. Snow all framing-member sizes spacing such floor beams,headers,joists,sub- floor,wall constriction,roof construction. More than one cro se�don may be re ired to clearly portray construction. Show details of all wall and roof sheathing,ro ung,roof slope,ceilin eight,siding material,footings and foundation,stairs,firelace construction,thermal insul ion,etc. 15 Elevation views. Provide elevations for new constructio ,minimum of two elevations r additions and remodels. Exterior elevations must reflect the actual grade if the c ange in grade is greater than four not at building envelope. Ful!-size sheet addendums showing foundation cleva' ns with cross references are ecce to le. 16 Wall bracing(prescriptive path)and/or lateral alysis plans. Must indicate details andcations;for aon- rescri tive path analysis provide s eciflcations calculations to en ineering standards. 17 Floor/roof framing. Provide plans for all floor roof assemblies,indicating member sizing,rping,and bearing El locations. Show attic ventilation. _ 18 Basement and retaining walls. Provide cr s sections and details showing placement of rebar. F Nngineered systems,see item 22,"Engineer's calculat' ns." 19 Beam calculations. Provide two sets of alculatiuns using current code design values for all beams a multiple joists �� i over 10 feet long and/or an bcam/'ois arr�e�a non.uniform load. 20 Manufactured floor/roof truss des n details. _ 21 Energy Code compllance. Identi the prescriptive path or provide calculations. A gas-piping schematic' required IL for four or more appliances. F22 Engineer's calculations, required or provided,(i.e.,shear wall,roof truss)shall be stamped by an en g ,eer or r U) architect licensed in Oreo d shall be shown to be applicable to the project under review. 23 Five 5 site lens are r uired for Item I 1 above. Site plans must be 8-1/2"x. 11"or 11"x 17". ® 24 Two 2 sets each are uired for Items 16, 19,20 and 22 above. 25 Buildinglens shall of contain red lines or tape-ons "Mirrored"building plans will not be accepted. W26 "Reversed"buildi lans must meet criteria outlined in the permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. T 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard Street Tree List. -- 29 Site plan to include tree protection measures as required by conditions of approval. _ 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessmeni form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\3uilding\Permits\One-Two-FamilyChecklist.doc 12/03 maw`- Electriul Permit A a .� \!E D City of Tigard ReceDstefHEd Permit No nater+ : _ 13125 SW Hall Blvd.,Tigard,OR 47223 1 flea Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ,'._l N 1 t Pion Re --j Other Per dt: Inspection Line: 503.639.4175 Do Date Ready/By I 1 mn 0 see Page 2 for Internet: www.ci.tigard.or.us t-,ITY OF T!G/ Notified/Method: supplemental Information O K PLAN REVIEW F17(New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition Other. ❑Service over 225 amps,comm'] ❑Hazardous location❑ Service over 320 amps- ruling ❑Buildng over I O,OIX`sq.fl., CATEGORY OF CONSTRUCTION of I-and 2-family dwellings 4 or more n•w•sidential I-and 2-family dwelling [j Commercial/industrial ❑Accessory building ❑Syatem over 600 volts nominal units in one tructure Multi-famil ❑Building over three stories ❑Feeders,400 amps or more ❑ y El huilder I]Other. ❑Occupant load over 99 persons ❑Manufactured structures or JP)I STE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job tte address: y J .xL //_, _, Health-care facility ❑Other �' .1� brnit sets of plans with any of the above. r City/State/ZIP: The above ate not appli able to temporary construction service. r.RE' SCHEDULE Suire/bldg./apt.nes.: Project name: _ Description Qty. Pee. Tsui •• Cross street/directions to job site: New residential sin;(ie-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft,or less 145.15 4 Suhdivision! _ Lot no.: Ea.add')500 sq.fl.or portion 33.40 I � �� Limited energy,residential 75.00 2 Tax map/parcel _ Limited energy,nim-residential 75.00 2 DESCRIPTION OR WORK Each manufactured or modular dwelling,service and/or feeder 90.90 2 Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 011ie` OWNER [] TENANT 201 amps to 400 amps 106.85 2 —� -- -- ----- 401 amps to 600 amps 160.60 2 Name 01 amps to 1,000 amps 240.60 2 Address: �1 / Over 1,000 amps or volts 454.65 2 -- --— Reconnect only 6695 2 City/State/ZIP: Temporary services or feeders Installation,aftenHon,and/or Phone: ( ) Fax:( relocation 200 amps or less 1 Owher Installation:This installation is being made on property that I own which is not 201 amps to 400 amps fi6W6.85 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 4 2 Owner signature _ _ _Date: branch circuits–new,alteration,or extension,per panel _APPLICANT [i CQNTACT PERSON A.Fee for branch circuits with service or feeder fee,each Business name: ) y --_1���w branch circuit — 6.65 2 =*, - ty B.Fee for branch circuits Contact name: !t v without service or feeder fee, 46.85 2 I branch circuit _ Address: y� Each add'I branch circuit 6 i5 2 City/State/ZIP: /rte► 7 2 Miscellaneous(service or feeder not Included) _ 0. Phone: Fax: ; �1 •J�/ ?G�� Pump or irrigation circle 53.40 _ 2 tV4a Sign or outline lighting 53.40 2 E-mail: _ Signal circuit(s)or limited- C NTRACTOR energy panel,alteration,or CC__ / —' — extension.Describe: Page 2 L Business name: L _M Address: 2s—a / ?j Each additional Inspect'.cn over allowable In any of the above Ci lState/ZIP: �` Per inspection 62.50 w tY 9 D Investigation per hour(1 hr min) 62.50 Phone: - izl o Fax: Industrial plant per hour 73.75 EEL MCCH Lic.: q 1 .: —Electrical LicJ'!.a C Suprv.Lic.: —� PR SES* Subtotal Suprv.ElscMcian signature,required: Plan review(25%of permit fee) Print name: State surcharge(8%of permit fee) t ,U Date: /� ,__ _ —� TOTAL PERMIT FEE Authorized Signature: This permit application expires 11a permit to not obtained within i I -- days otter it ham been accepted as complete r Tint name: Date: • Fee methodology set by Tri-County Building Industry Service Board ••Number of inspections per permit allowed. i\BuildinglPermitstELC-PmnitApp doc 17103 440.4613T(10/02/CpM/wEB Electrical Permit ARP11cation - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for 1A residential systems combined........ 575.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door\*ndAit ❑ Heating, Venning System* ❑ Vacuum Syst ❑ Other: Tee for gLqk commercial sykew...................... S75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation p, ❑ Interrem and Paging S tems y ❑ Landscape Irrigat' Control* ❑ Medical m' ❑ Nurse s Uii / --� ❑ Outdoor Landscape Lighting* ❑ Protective Signaling [] Other Total number of commercial systems: *No licenses are required. Llf enses are required for all other Inatapatlons 1ABu1Wh*temluiBLG►amlAW&c oum Re�Y Plumbing PermitAq i WED City of Tigard ` — R_;B� Permit No.: r j(/ I�/ 13125 SW HPlan Review all Blvd.,Tigard,OR 97123 �. � 2U0 Other Permit No. Phone: 503.639.4171 Fax: 503.598.1960 Dalc/oy; 24-Hour Inspection Line: 503.639.4173 Y OF TIGARD Due Ready/t3y Jura &I See Page 2 for Inlemet www.ci.tigard.or.us tr rlt�(I �'(1 i Notified/Melhod Supplemental Information A 'WORK FEE* SCHEDULE New construction ❑Demolition Description ForspedaIInformation use checklist. t . Ea. 'Total ❑Addition/alteration/replacement ❑Other: New 1-2-f}amlly dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 I-and 2-family dwelling _ ❑Commercial/industrial SFR(2)bath 350.00 C1Accessory building E]Multi-familySFR(3)beth 399.00 -- Each additional both/kitchen 45.00 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 1 J,)B SITE INFORMATION AND LOCATION _ Site utilities _ Job site address Catch basin or arca drain _ 16.60 -7 J City/StatdzlP: r�lD Drywall,leach line,m trench dein 1660 Suile/bldg./apt.no.: Project name: Footing drain(no.linear ft.:_ Page 2 �� '/ - A Manufactured home.utilities 11 . 0 Cross street/directions to job site:� A,WS �.J�-J Manholes 166.660 (/ � � Rain drain connector 16.60 i _ _ Sanitary sewer(no.linear ft.:�) Page 2 Storm sewer(no.linear ft.: Page 2 Subdivision: Lot no.: Water service(no,linear ft.: Pag �) e 2 Fixture or Item Tax map/parcel no.: _ IL- d Absorption valve 16.60 nZSCittPTION OF WORK �— _ Backflow preventer Page 2 Backwater valve 16.60 ~�� a Clothes washer 16.60 -- �� --.-- �- Dishwasher 16.00 Drinking fountain 16.60 l+R(1t>`Pt fit'1' OWNER -� [I TENANT -- _ Ejectors/sump 16.60 Name: _ _ _ Expansion tank 16.60 Address: ' All _ Fixturelsewer cap 16.60 City/StatdZlP: t Floor drain/floor sink/hub 16.60 Phone:( ) Fax:( ) Garbage disposal 16.60 CbHose bib 16.60 t' Afyif d CONTACT AC7 PEON RS Ice maker 16.60 Business name: f.2 Z99 / Interceptor/grrase top 1 ti.60 Contact name: _ Medical gas(value:S ) Page 2 ILAddress: �` Primer 16.60 Roof drain(commercial) 16.60 F Citv/State/ZIP: — - N —— - Sink/basin/lavatory 16.60 Phots:(J`C',) � Fax:: �) — Tub/shower/shower pan 16.60 E-mail: _ Urinei 16.60 IMOCTOR ,' - Water closet 16.60 LBusiness name: C /i(� Water heater 16.60 1 Address: /- r Other: !?•! - Ks Subtotal City/State/ZIP: / Minimum permit t e' $72.50 Phone: Fax:(� - s Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge!(8%of permit fee) Authorized signature TOTAL PERMIT FEE Print name: Date: This permit application expires If a perodt Is not obtained wlthin 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Beard. i\Building\Pentil!a\PLM-PenrutApp doe 12/03 4404616T(10/0V(70Mf%TR) Plumbing Permit Application - City o:Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: S ties_: R �•; [ iu>�'e Foots �: _Permit Fee: Footing dmin-1"100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,6_00 $160.00 3,601 to 7,200 $220.00__ Scwer I st 100' 55.00 7,201 and greater 5309.00 Sever-each additional 100' 46.40 Water Service-Iat 100' 55.00 Medical Gas Systems: Water Service-each additional 100' 46.40 Viii3T frOA Storm&train[pain-I st 100' 55.00 - ; SI.00 to$5,000.00 _ Mi um fee S72.50 Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 Z 50 for the first 55,000.00 and S1.52 for each EMV"` Qty. lel;( ) Total additional 5100.00 or fraction thereof,to and includin S10,000.0c. Commerclal Back Flow vention Device 46.40 510,001.00 to 525, 00 $148 50 for the first 510,000.00 and 51.54 for Residential Backflo Prevention ce each additional$100.00 or faction thereof,to minimum permit a 536.25 27.53 and includin $25,0W.00. Rain Drain,single family dwelling 65.25 $25,001.00 550,000.00 5379.50 for the first 525,000.00 and$1.45 for each additional S 100.00 or faction thereof,to Inspection of existing plumbing or and including550,000.00. _ specialIX reclucsted in ectirn,s- er hour .50 i 550, 1.00 end up 5742.00 for the first 550,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please Indicate work performed by fixture. Fallur to accu tely report fixtut:ns could result in increased sew fees*. Comments re ding fixture work: Baptistry/Font Bath -Tub/Shower -Jacuzzi/Whirlpool -- Car Wash -Each Stall _ -Drive Thou Cuspidor/Water Aspirator Dishwasher -Commercial -Domestic _ Drinking Fountain E e'Vash _ -- Floor,pain/sink 2" 3" - - 4" Car Wash Drain garbage -Domestic Disposal commercial *Note: If the fixture work under this perm\beed n -industrial Ice Mech./RefFi .Drains - Increase of sewer EDLJs,a sewer permit will OilSeparator((ks Station fees assessed for the sewer Increase must be he Rec.Vehicle DunV Station plumbing permit cin be Issued. Shower -Gang -Stall Sino -Bar/Lavatory OuantitV Total -Bradley Isometric or riser diagram Is required if fixture quantity -Commercial - total is>9. -Service Swimming Pool Filter Washer Clothes _ _ Water Extractor _ Plan Review Water Closet-Toilet ___-__ Plan review It rpgttired if fixture quantity total is>9, ,)final Other Fixtures: i:\&,ildini,\P lTU4-pamaApp.doc 7ro3 _Mechanical Permit Application City of TigardReceived 70thetftmut: /DaWBy13125 SW Hail Blvd.,Tigard,OR 97213 PL n Review Phone: 503.639.A171 Fax: 503 Dau/Hy Inspection fine: 503.639.4fj�. Datc Rcady Dy see Pete 2 for Internet: wwwci.tigard.or. Nonfied/Method pfineo'alInformation - :« CI'At.TR19* SCHF,DT" - UMCHECKLIST New construction �d �torl/phttW` replacement `V Mechanical permit fees'are based on the value of the work. F���h'rr; performed.Indicate the value(rounded to the nearest dollar)of all C3 Demolition mechanical materials,equipment,labor,overhead,and rp ofit. Value:S _ — ' 1-and 2-family dwelling �]Commercial/industrial [l Accessoryry Irk tVXNTL4L EQUIPMENT/SYSTEMS FEES building --- [-]Muiti-family El Master builder ❑Other: _ For special information use checklist. —w� Description Qty. -Ea Lotel W UB,SR"E 1NFleatln coolin _ — Jab site address: ' Air conditioning or heat purr •'1// requires site plan showing placement) 14.00 Cit-yiState/ZFP: Isle,e//) Furnace 100,000BTtl ducts/vents 1400 _ Furnace 100,000+-BTU(ducts/venu 17.90 Suite/bldg./apt.no.: Project name: _ Gas heat pump 14.00 Cross street/directions to job site: S Duct work 14.00 /1 Hydronic hot wetsr system 14.00 Residential boiler(radiator or hydront�L__� 14.00 -- Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 10.00 — Subdivision: w���G'!s� Lot no.: Flue/vent for any of above_ 10.00 3 c Other: 10.00 _ Tax map/parcel no.: 5�� Other fuel appliances ' Water heath 1000 Gas fireplace )0.00 _— Flue vent for water heater or gas fireplace _ 10.00 _ — -- Log li hter sl 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 fk t - a Chrome /liner/flue/vent 10.00 MM �` Other: Name: Environmental exhaust and ventilation Range hood/other kitchen Address: _^ P � e ui ment 10.00 City/State/ZIP: — Clothes dryer exhaust 10.00 _ Phone:( ) Fax --- Single-duct exhaust(bathrooms, ( ) toilet compartments,utility rooms — 6.80 Atlic/crawls ace Cans 10.00 Other: Business name:_ of JI_,0 A Fuel ,pi. a, Contact name: r C G f"" $5.40 for first four;$1.00 for each additional Q: Address: ' / / Furnace,etc. -�jLS/ y City/State/ZIP: t�c? Oas heat puttg7 a0_1 iv Wall/suspended/unit heater J Phone: ) j( Fax: : ' _3 Water heater U Fireplace E-mail: Ilan e ,: .. 4 •;LU Barbecues — Business name: ,�(� Clothes dt�tt�as Other: Address: City/State/ZIP: Subtotal Phone: ) 7A _ Fax:( ) `- Minimum permit fee($72.50) Plan review(25%of permit fee) CCA lic.: �J !�� A — - State surcharge(8%of permit fee) --- --- - - � TOTAL PERMIT FEE _ Authorized signature: This permit appllcatlon expires If a permit Is not obtaintd within I80 days after It has been accepted as complete. Print name: ' Fee methodology set by Tri-County Building Industry Service Board i\Buildint\Permits\MEC-PamhAppdoc 12,'03ee0-e617T(II/02/ OMM68) Nivehanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: $1.00 to$2,000.00 Minimum fee$72.50 _ $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.s0 for each additional$100.00 or fraction _ thereof,to and including$5,000.00. $5,001.00 to$10,000.00 S 141.50 for the first$5,000.00 and --� $1.80 for each additional$100.00 or action thereof,to and including _ $ , 00.00. $10,001.00 to$50,000.00 $"131.5 r the first$10,000 and $1.35 for ea additional 00 00 or fraction thereo , an clI _ $50,000.00. $50,001.00 to$100,000.00 $771.50 for the st$ 000.00 and $1.25 for eac dditiona 100.00 or fraction th of,to and incl ing $I 00,00 ._0. _ $100,000.01 and up $1,39 .50 for the first$100,0 0 and $1 for each additional$100.0 r ction thereof. (rote: All new co ercial buildings require 2 sets of p!a s. a. a _J m t9 w i:\Auilding\Permits\MEC-PemtitApp.dnc 12/03 2 s 4rtr!II I CL I gel tj hill, oqr- rA o o CL ° I I � c, w D _ u E r , _ LIJ 0 p ` LITY OF TIGAHL, /Y41 BUILbING UIVi 01 1 CITV OF TIGARD-SITE PLAN REVIEW BUILDING PERMIT NO.: – PLANNING DIVISION: Required Setbacks: Approved ❑ Not Approved Side: Stree Side: - — From. Garage: t► Rear: L� Visual Clearance: 13 A eved [3Not Approved Maximum Building Height- feet Cws Servic ,vide Letter Requimd: ❑ Ves No ❑ Re eiv K R I--- Date; f ENGINEERIN ' MPARTMENI': Actual SI pe:T% 0, Approved [3 Not Approved Site Pla ( KApproved 13t %proved LB Date: Nous•. 9L a m 0 w CITY OF TIGARD 0 eVlLDING DIVISIONPERMIT": PLM2045-00414 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 6/261'1005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11f1/Z00a TIME: T06AM PAGE: 17 SITE ADDRESS: 12X195 SW OXALIS-'ERR CLASS OF WORK: SUBDIVISION: Hit LSHIRE CREST LOT C 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: f3w.Onw Wevente( tot ittigation OWNER: RI[?GECREST CONSTRUCTION, \ PHONE If: 6n24&0638 CONTRACTOR: CONTOUR LANDSCAPING INC PHONE 1f: 682-1302 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc inWection 020011-01 503209-78x'59 Y Corrections/Comments/instructions: -- ----r---- ;r -- to -- ry _ PASS L] PARTIAL. APPROVAL ❑ CANCEL NO ACCESS FAIL r] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: C (503) 718- CITY OF TIGARD f WILDING DIVISION PERMIT#: MST3Q -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1l+'`l!+ -0004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 102AM PAGE: 77 SITE ADDRESS: 12995 SIN OXALIS TF-RR CLASS OF WORK: SUBDIVISION: HILL.,:HIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: H11.1-SHIRE CREST DESCRIPTION: Now SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE #: 503-241 8(M CONTRACTOR: RIDGECREST HOMES PHONE #: 503-2468808 Inspection Request Scheduled For: Date: 111100005 ?our Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 020M901 503-209-1859 Y 1�'c- L Corrections/Comments/Instructions: AIN a. 'r It PASS ❑ PARTIAL APPROVAL. ❑ CANCEL [] NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Irspecto . �(X./ Date: Phone #: (503) 718- CITY QF TIGARD BUILDING DIVISION PERMIT#: MST2W30`181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212%'M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7.06AM PAGE! 7 SITE ADDRESS: -12995 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLS14IRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: NII '-SHIRE CREST DESCRIPTION: New SF dolached. OWNER: RIDCECREST CONSTRUCTION, PHONE #: 603-24&8808 CONTRACTOR: RIDGECREST HOMES PHONE#: Sn246-13f108 Inspection Request Scheduled For: Data: 111'3!2005 Pour Time: Cede # Inspection Description Confirm # Contact # Message 7.99 Final inspection 0202(;402 503-2037859 N Corrections/Comments/Instructions: IL - oc m w _a Z'PASS ❑ PARTIAL. APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:P— �_. Phone #: (503) 718- __ CITY OF TIGARD BUILDING DIVISION PERMIT C MST2L 1-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/212004 Phone: (503) 639.4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FO,1 DATE: 11/3/2Q05 TIME: 7.06AM PAGE: 8 SITE ADDRESS: 12995 SMI OXALIS TERR CLASS OF WORK: SUBDIVIS,ON: HILLRARE CREST LOT #: 0174 TYPE CF USF: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New Sr detached. OWNER: RIDGECREST CONSTRUCTION, PHONE #: 503246.8808 CONTRACTOR- RIDGECREST HOMES PHONE #: 503 2464808 Inspection Reque,-t S,;heduled For: Date: 11/:/2005 Pour Time: Code # Inspe,:tion Description Confirm # Contact # Message 699 Mochaw-lal final 02020401 ,032087859 N Corrections/Comments/Instructions: r Y 44p_� 1 �1_0 m w ❑ PASS PARTIAL APPROVAL ❑ CAPICEL ❑ NO ACCESS ❑ FAIL ] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: /f"3 Phone #: (SOS) 718- CITY OF TIGARD BUILDING DIVISION PERMIT#: MST20(W-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/2912004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 111112(10+5 TIME: 7:06AM PAGE: 19 SITE ADDRESS: 12995 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HII_LSHIRE CRE, T LOT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Now SF detached. OWNER: RIDGEC REST CONSTRUCTION, PHONE #: W3.246-10% CONTRACTOR: RIDGECRCST HOMES PHONE #: 503 24(r880H Inspection Request Scheduled For: Date: 11/1/005 Four Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0200'0,01 603-20.4-7 M, N Corrections/Comments/Instructions: IL F� PASS ❑ PARTIAL APPROVAL ❑ CANCFL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT#: MST200400181 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED: 12/29/2004 Phone: (503) 639-417+ Inspection Requests (24 Hrs.): (503)6394175 INSPECTION WORKSHEET FOR DATc TIME: PAGE: 31 SITE ADDRESS: 12995 SW OXALIS TF_RR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF detached OWNER: RIfX3ECRE1,A CONSTRUCTION, PHONE #: 50332468808 CONTRACTOR: RIDGECREST HOMED PHONE #: 50332468808 lospection Request Scheduled For: Date: 1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 3% Plumbing final 01987901 5031oq 7859 N Corrections/Comments/Instructions: IL a M W ❑ PASS PARTIAL APPROVAL [] CANCEL ❑ NO ACCESS FAIL ALL FOR INSPECTION F] ADDITIONAL FEES ASSESSED Inspector: _ "1' __ Date: /01 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION �-" PERMIT#: MST2004-00181 I 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED. 12!2812004 Phone: (503) 639-4171 n� Inspection Requests (24 Hrs.): (503) 639-4175 I - INSPECTION WORKSHEET FOR DATE: 10/1012005 TIME: T04AM PAGE: 117 SITE ADDRESS: 12%Fi SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HII_LSHIRE C11EST LOT M: 004 TYPE OF USE PROJECT NAME: HILLSHIRE CRE.`,T DESCRIPTION: New SF detariied. OWNER: RIDGECREST CONSTRUCTION, PHONE 0: 50324fi-8808 CONTRACTOR. RIDGECREST HOMES PHONE *: 603-246-ONO Inspection Request Scheduled For: Date: '1011012005 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Misr.. inspection 01781 01 503246-9908 N Corrections/Comments/Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS )N(FA F] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED G/, Inspector: I C�1 Date: C� Phone N: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT M: MSTX)04-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: S5 SITE ADDRESS: 129%SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CRFS1 LOT 0: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New`3F detached. OWNER: RIDGECREST CONSTRUCTION, PHONE K: 503-24& NW CONTRACTOR: RIDGECREST HOMES PHONE It: 503-24&8M Inspection Request Scheduled For: Date: 7/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 011707-01 503.209`7869 N Corrections/Ce,nments/Instructions. 'a m w PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS ❑ FAIL [] CALL FOR INSPECTION ❑ AD DITIONAL FEES :ASSESSED Inspector: �° a� Date: Pham #: (503) 718• CITY OF TIGAR , BUILDING DIVISION PERMIT#: MST2004-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12129/2b04 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: y1B/�^,,� TIME: 7:34A#A PAGE: 86 SITE ADDRESS: 401%� 5 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST IAT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF cietaGhAd OWNER: RIDGECRES'T CONSTRUCTION, PHONE #: 503.24&0" CONTRACTOR: RIDGECREST HOMES PHONE #: 503 24&OM Inspection Request Scheduled For: Date: 511B/2006 Pour Time: Code # Inspection Description Confirm 0 Contact # Message 320 Plumbing rough-in 00715601 W3-Xl3 7859 N Corrections/Comments/Instructions: cPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (] FAII. ❑ :;ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector/y]� Date:_'�(�_ Phonr 6, �11 118. 6, All) CITY OF TIGARD BUILDING DIVISION PERMIT#: MS32004-00181 1312 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12129JM Phc ne• '503) 639-4171 InF peL.son Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/1120(x) TIME: 7:06AM PAGE: 10 SITE ADDRESS: 12995 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Nnwv SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE #: 5032468808 CONTRACTOR: RID13ECREST HOMES PHONE #: 503-246.8808 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical !iroal 020010.02 503.2W7859 N Corrections/Comments/Instructions: rep ----- #,-1 PC_. --- PASS �] PARTIAL APPROVAL ❑ CANCEL [mml NO ACCESS FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES AS£FSSED Inspect Date:� E d Phone #: (503) 718- 1 di CITY OF TIGARD BUILDING DIVISION PERMIT#: MST20"00181 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 1.712 1'2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 30 SITE ADDRESS: '12995 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 004 TYPE OF UsE: PROJECT NAME: HILL SHIRE CREST DESCRIPTION: New SF detached OWNER: RIDGECREST CON'STRI.ICTION, PHONE #: :.43.2468808 CONTRACTOR: RIDGECREST HOMES PHONE #: WX2468M Inspection Request Scheduled For: Date: 10131/2005 Pour Time: C-)de # Inspection Description Confirm # Contact # Message 199 Electrical final 019879.02 603.209-7869 N ctions/Comments/Instructions: [� PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL C FOR INSPECTION ❑ ADDiTIONAL FEES ASSESSED Inspector: Date: ��,, �5�Phone #: (503) 718-�- CITY OF TIGARD BUILDING DIVISION PERMIT#: MISTM, -00181 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 12/ 9/7004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATL, TIME: PAGE: 29 SITE ADDRESS: 12995.13W OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE N: 503324&BM CONTRACTOR: RIDGEMEST HOMES PHONE N: 503-246.81)08 Inspection Request Scheduled For: Date: 10/3112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage. 01987903 5031097859 N Corrections/Comments/Instructions: 1,1?ASS _ ARTiAL APPROVAL [] CANCEL s [j NO ACCESS _ L] FAIL �� L FOR INSPECTION [] ADDITIONAL FEES ASSESSED — 0-1w Inspector: Date: ��' Phone #: (503) 718- CITY OF TIGARD 0 0 ' BUILDING DIVISION PERMIT k MST2004.00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: T09AM PAGE: 14 SITE ADD'7ESS: 12995 SW OVALIS TERR CLASS OF WORK: SUBDI✓ISION: HIL.LSHIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Now SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE a: 503.2141"x8808 CONTRACTOR: RIDGECREST HOMES PHONE #: 603.2468808 Inspection tion Request Scheduled For: Date: 6(3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 008408 503209 7869 N 's eK V J C v') ©o8�f Corrections/Comments/Instructions: a tu � T — J_ — m PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FA.IL , ALL. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M Date: ' V Phone #: (603) 718- CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004.00181 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 12/291M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHLET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 13 SITE ADDRESS: 12995 SW OXALIS TORR CI ASS OF WORK: SUBDIVISION. HILL.,fIRE CREST LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE HEST DESCRIPTION: New SF detiched. OWNED: RIDGECREST CONSTRUCTION, PHONE #: 503-24&8808 CONTRACTOR: RIDGECREST HOMES PHONE #: 503.246,8808 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 008408-05 501 209-7859 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL [] CANCEL NO ACCESS (] FA L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect)r: �� Date: 06—_ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004.00181 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 12M, 20D4 Phone: (503) 839-4171 Inspoction Requests (24 Hrs.): (503) 839-4175 Ai INSPECTION WORKSHEET FOR DATE: 61116/2006 TIME: 7:10AM PAGE: ri SITE ADDRESS: 12996 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Now SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE #: 50324&8808 CONTRACTOR: RIDGEC REST HOMES PHONE #: 503.246.8808 Inspection Request Scheduled For: Date: 6116x2005 Pour Time: Code # Inspection Description Con lrm # Contact # Message 2110 Insulation 009461••01 5012037859 N C rrections/Comma s/Instructions: 1t Uj PASS AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAII L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: fQ= 40`� Phone #: (603) 718- _ CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12229/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 74 SITE ADDRESS: 12995.SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE HEST LOT #: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Now SF detached. OWNER: RIDGECRESF rC`!:oTRUCTION, PHONE #: 503-24&8800 CONTRACTOR: RIDGECRE-'I'HOMES PHONE#: 503-246.8808 Inspection Request Scheduled For: Date: 6/61M Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 00848602 503.209-7859 N Cnr►scti omments/Instructions: �I t VY_AIA_N[A nwx 564P 04-71- U'Va n - - ok a v ��vsuL,s , a ac J_ W ,.,A — — 40 j4*0 PASS ❑ PARTIAL APPROVAL ❑ CANCFL F- NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspe.:tor: 114 _ Date: =_, -03_ Phone #: (503) 718• h CITY OF TIGARD 4p BUILDING DIVISION PERMIT C MST -001181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2912004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 76 SITE ADDRESS: 12955 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: 411.1-SHIRE CREST LOT 0: 004 'HYPE OF USE: PROJECT NAME: IiILI_SHIRE CREST DESCRIPTION: New SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE C 503.246.8808 CONTRACTOR: RIDGECREST HOMES PHONE C 503-24&8808 Inspection Request Scheduled For: Date: 61612005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 008486-01 503-XI%7869 N Corrections/Comments/Instructions: i a c� J W ASS ❑ PARTIAL APPROVAL F-1 CA;`ICEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Mil tf Date:,.� Phone #: (503) 718- __ CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004.00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/79/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503)639-4175 l,1vSr7-CTIC•N WORKSHEET FOR DATE: 6/3/2 ..-i TIME: T09AM PAGE: 12 SITE ADDRESS: 129%SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New•`T detached. OWNER: klDGEC,`REST CONSTRUCTION, PHONE N: 50.-24&8808 CONTRACTOR: RIDGECREST HOMES PHONE N: 6032.46-8808 Inspection Request Scheduled For: Date: 6/3/2005 Dour Time: code # Inspection Description Confirm # Contact # Message 610 Gas line J08408 06 503209,7859 N f;or-actions/Comments/11Istrufctions: / C b ' - _j l �' - -- - -- N PASS P TIAL APPROVAL [ ] r.;ns`1CFI- ❑ NO ACCESS [ ] FAIL. FOR INSPECTION ❑ ACDITIONAL FEES ASSESSED Inspector: . Date: --� C.�5 Phone #: (603) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00181 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 12/29/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: T:09AM PAGE: 17 SITE ADDRECS: 12%5 SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT N: 004 TYPE OF USE: PROJECT NAME: NII U)HIRE CREST DESCRIPTION: New SF delachiml OWNER: RIDCECREST CONSTRUCTION, PHONE #: 503246-FAW CONTRACTOR: RIDGECREST HOMES PHONE #: 503246fi6Q8 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 2:35 Shear walls/anchors 0084tJ 01 5032037659 N Corrections/Comments/Instructions: i loc m ul _j ❑ PASS • f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t r� Inspector: pate: `' S Phone #: (603) 7 18- CITY OF TIGARD BUILDING DI1;ISION PERMIT#: MST2004-00181 13125 SW Hall Blvd.,Tigaid, OR 97223 DATE ISSUED: 12/2W2004 Phone: (503) 639-4171 Inspection Requests (21, Hrs.): (503) 639-4175 INSPECTION WORKSHEI-T FOR DATE: 6113/7005 TIME: 7.09AM PAGE. 16 SITE ADDRESS: 179%SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 004 TYPE OF USE: PROJECT NAME: HIL.LSHIRE CRFLO DESCRIPTION: New SF detached OWNER: RIDCPECPEST CONSTRUCTION, PHONE #: 503-7468806 CONTRACTOR: RIDGEC14EST HOMES PHONE #: 5032468808 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 008408-07 503-209-7865!,s N Corrections/Comments/Instructions: OC U) J W PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAILC L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: __ Phone #: (503) 718- CITY OF TIGARD is BUILDING DIVISION PERMIT#: MST2004.MI81 9125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 11/2.912004 hone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR D:i E: 6/3/2005 TIME: 7:04AM PAGE: 15 SITE ADDRESS: 1 ex9 SW OXAI_!S TI---RR CLASS OF:WORK: SUBDIVISION: HILLSHIRE..CREST LOT 0- 004 TYPE OF USE: PROJECT NAME: HILL•SHIRE CREST DESCRIPTION: New SF detached. OWNER: RIDGECREST CONSTRUCTION, PHONE #: 503246.OW CONTRACTOR: RIDGECREST HOMES PHONE #: 503246.8808 Inspection Request Scheduled For: Date: 6/3!;2005 Four Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear wails 009408 03 603209 7659 N Corrections/Comments/Instructions: oc m uu _J PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ We: G Phan 1!: (503) 718- CITY OF TIGARD � �, i. . BUILDING DIVISION PERMIT x: MST2004-00181 13125 SW Hell Blv ' ,Tigard, OR 97223 _ DAT E ISSUED: 12/23tM Phone: (503) 639-41.1 Inspection Requests (24 Hrs): (503) 839-4175 I INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7.05AM PAGE: 78 SITE ADDRESS: 129 SYN OXALIS TERR CLASS OF WORK: SUBDIVISION. HILLSHIRE CREST LOT M: 004 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF detachad OWNER: RIDGECREST CONSTRUCTION, PHONE p: 503 2468808 CONTRACTOR: RIDGECREST HOMES PHONE #: 5173-2468808 Inspection Request Scheduled For: Date: 3/31/25 Pour Time: Core # Inspection Description Confirm # Contact # Message 226 Post/team RUucturai 00326301 503-2067850 N Corrections/Comments/Instructions: PASS ❑ PAR"TIAL APPROVAL [] CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Insp actor: _ Date: Phone 11: (503) 718- -.... . ._ . .. . —___ . ..�,..�_. i C i I 3 C � --§4 � o 4 Ills, Olko) 7 0 � ' ` W � ✓ I u U ,o q U { � G ♦AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA/, t ► t pol► NA pol.t �u Poo ,1 ► ► 7 ~ o t4 I� Po. ", � O (moo +�-' � �' ► � ► AP EW— EWA Poo. W - ► � v a 1 ► 1 0 ' ► VI ► 4.4Ct ° poll o i -° v Q t oil cu v ► o v IL 440 ► w , ^ ► ► w ► ► 7 Q ► -r ► 44 ► as � ► i