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11115 SW MEADOWBROOK DRIVE STE 7 l�S �� �roaae�r+a�� �llli J v UI a oc m i t`1n, U �1 Iy-Y OF I IG /�, RD ELECTRICAL PERMIT t /� PERMIT#: ElC2006-00058 -, DtVELOPMENT SERVICES DATE ISSUED: 113l/2006 13125 SW Hall Blvd.,TiLaard, OR 97223 50)3-639-4171 PARCEL: 2`)"1ODC-01000 SITE ADDRESS: 11115 SW MEADOWBROOK DR 1 ZONING: R-25 SUBDIVIS.ON: Wll_[OW BROOK FARM LOT: 014 JURISDICTION- TIG Projnct Descriptio-v Unit 1, i,istall service for washer and dryer. RESIDENTIAL UNIT TEMP SRVC/FEEDERS! _ MISCELLANEOUS __ 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVT FDR: 601+amps- 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIFt _UITS — _ ADD".INSPCCTIONS _ 0 - 200 amp: WISERVOCE OR FEEDER: PE".:NSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/volt: >-4 RES UNITS: >600 VOLT NOMINAL: _u Reconnect only: SVCIFDR>-225 AMPS: CLASS AREAIS?EC OCC: Owner: Contractor: SUMMERFIELD ASSOCIATES, LLC JET ELECTRIC INC. `%IISC REAL ESTATE PO BOX 20765 1500 SW 1ST SUITE 1070 PORTLAND, OR 97294 PORTLAND, OR 97201 Phone: 503-546-5712 Contact M PRI 503-258-1715 FAX 503-258-1716 —� FEES Description Date Amount Reg III: ELE 26-10680 LTC (HRELC]Hourly Electrical 1/.31/2006 $14.38 SUP 45175 141920 (HRTAN)Hourly R%State 1/31/200(; $1.2_.5 SU Total $15.63 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations oontained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires jou to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of then+e rules or direct questions to OI INC at 503-246-6699 or 1-WO13W344. � IL Issued By: Permittee Signature: _12,92 AC OWNER INSTALLATION ONLY N The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ — DATE: _ m 0 CONTRACTOR INSTALLATION ONLY U.1 ----- _,I SIGNATURE OF SUPR. F_LEC'N: - DATE:_ UrtNCF NO: —_ - - -- -- Call 503-6394175 by 7:00 a.m.for an Inspection that businp-s-lay. I his permit cart'shall be kept in a conspicuous place on the jGb s!te rintil completion of the project Approved plans are required an the job site at the time of each Inspection. JFT ELECTRIC INC 5032GO1716 P. 3 dl/2a/2806 1 :52 I I IXtiM Bull-Dim DEPT PA6F 01/03 Aw ctry o(-riprd a 1)129SwHAD"I.d,Tiw1kfi)1/7317 nM ae.r..rlt I.�.1tlr.l ina SO)AM17S CITY ( wwt/r1M��MM trtsensr. �+w�d.dpA.ae.w 'ice i of M —.—••• lrrwosneent owft- ji,/. ,. a •,-, 1U'I Ig �ysrwIt: Aa.rt-rfh]1e3]0ft3w.! a•a,l,�1d14�aN�poor OWN =w L. 4yA�41It.MrAO�rrl1�t10ra11M11 adb111**e�wIMR I,�re3Amilya �(t Can,m�teit�tr4ta.rr+•10 Ava"llwrbdtdL7�.MAte�erwnea.Met. Or.t+lvs+eonl�.R.wr. Mold-fa+ul% lt1.lot7rbullde Odter• 001" ollwA Ir"6stras QO+w•sewerles rn�c,ro. t0M ew�pWk _— r ❑< tirY kltr .- -_ �_ Job ft0•: At fIN � J �IAt �1111�j 111 Or�MM IIrD.��e�Ywd / TteNswttM■Ol4"IIr01�IQMOCDt11feA0i�+� Wo6bM&hvt 116: V. Qtr• tAw sar -. Gal arnetltiedlana b)ab site: E A �/_ 1 J ive� w MMN �t;l Y f41e)fir/awR �1 1lMIO t a Ntt {7.13 4 u`3 300 A a )7.40 I 9r•Mlrlales: l.et sa: ' Tex mpJp MI m ListdM SwKwdow. l0.70 ail r iao lee.0 i �uxn. 4(1 �� too," 2 �••.: /� - 0 _ AdUbmas.•�, t fir: R C. ES sq�, - i�.; 0." 2 Clt�etes�: �.R�ND ,1,,�2U I Tn.ow+rr�..Aeeaw w+wtebr..Ma.u...:n F.x: in toodkil a.TMs Wu%R$ vn is baia0 fttrdc Onprope+tF that WAIld Is 10 n3+s1!SIA r Itb t1r�J f 0pIJ0 2 IetAicffdple N7►sde.lesser,tau Or VKdOPP.ttoeofdl+r ro l))AR199 71.400,8"..as 701. 401 1111"Swjwp Ow+�`rsloldtlDe. ,5_ �_�,0 , !` ^P"ft land cift 't_ntMYiM. �;li z t'Y, r•.,..,.1, '�'t �1'J y;�1 ua.ks or*mkr*%ww% BWirres7 ruse ter Cattttcl �ar"of*Ar 6L I 46.05 i Ad&m = /� BAA wn attae OAS 2 Cib/91rdL1T� ,�f=t i[►7A> U✓P'T 1'v�Z- a vvkc drdtw Oxtler set IrtlMe%�^ FC I5i�6--y � Ar7 r� .�,.T i i '.... .•'Jti:4'.r.3a^;1., - .@l. _ �ORd�llr+ .d*.vd-t.ar t",' ti eclenalon Oarallra 1MOe 1 ] Ad�fttale� Orer ab►,OA h d'tYit��» 4 r�t rylltttttdL � p f� Ct .Y.. I r • ��OI� 15$`1l► Ft�t( ) —f-1� Ine��el.1pw!aw .7! CC]Lla: I 01-"*W Lk-, _ C SWI.Lie:4 SsNtaal �- 9ep v.Etseaiden aidtMltr0.ropaer>d rho easlrw 0%or,ntait teH _J hrntr+tews: srr.arrdpeePl►er+..dlllull _ , ►'1 I.3riL.7 �° 3-o G mrnt,rtsttt►trr rM � Auttiaitsd tdputlune _ _._ sw,r11 e« wrStnM rrrttt4ser J ftio;nuns I)a• PrndMrr7r:yttiQrsryMYAttltstltr�SrrAnrtlsrd ►ttstttse sllt+raaaa�r•r.n+t tn..ea ttlrMrlk�wtrgf�C-rwttMAMtW 1107 MMaNa1111.rl�YwaA T"'�t- ,TY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2006-00051 13125 SW Hall Blvd.,Tigard,OR 07223 503-639-4171 DATE ISSUED: 1/31/2006 PARCEL: 2S 110DC-01000 SITE ADDRESS: 11115 SW MEADOWBROOK DR 1 ZONING: R-25 SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG Project Description: Unit 1, install dryer vent. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPEL _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: 1 FURN < 100K BTU: AIR HANDLING_UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES SUMMERFIELD ASSOCIATES, LLC Description Date Amount % HSC REAL ESTATE [IIRMEC]Hourly Mecha 1/31120GE $14.38 1500 SW 1ST SUITE 1020 �11RTA X]Hourly 8%Sta 1/31/200E $1.25 PORTLAND, OR 97201 — Phone: 503-546-5712 Total $15.63 _ Contractor: SKYWARD CONSTRUCTION 15908 NE 10TH AVE. REQUIRED ITEMS AND REPORTS RIDGEFIELD,WA 98642 Contact#: FAX 360-546-1630 PRI 360-546-1629 Reg#: LIC 158289 a H This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not m started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires LU you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 -� through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-24`-6699 or 1-800-332-2344. Issued By: ' r i Perrnittee Signature: ,� ,�� §-141- Call 503-6394175 by 7:00 a.m.for inspections that business dsy. This permit card shall be kept In a conspicuous place on the job site until completion of the project Approved plans erre req Bred on the job ske at the time of each Inspection. Mechanical[ 11 . rm;t City of Tigard TICk #r wive , 7N.T-mi 13125 SW Hell Blvd.,'I'igard,OR 97223 IMan Review Phone: 503.639.4171 Fair. 503 598.1960 V-te/By Inspection Line: 503.639.4175 J�tn1 6 �1 Date kc±dy/Byee Page 2 for Internet: www.ci.tigardor.us NotifiedtMettlod: 1C, Supplemental information COMMERCIAL FEV SCHEDULE - USE CHECKLIST El New ecrosG action ❑Addition/alteretionlreplBame Mechanical permit fees'are based on the value of the work perfinmed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition PfOther:l c i,1, q_ F _mechanical materials,equipment,labor�overha and profit. CATEGORY OF CONSTRiJ(TION _ - Value:$ - / [i I-and 2-family dwelling ❑ RESIDENTIAL EQUIPMENT SYSTEMS FEES* Commercial/industrial Accessory building --• For special iryfvrmation use checklist. ❑Multi-family i ❑Master builder Other; _ Desaiption I Qty. Ea.7 Total JOB SITE INFORMATION AND LOCATION Heatiu coogM _ Job site address: Ll� f��A�W K Air conditioning or hat pump _ requires siteTlon showing placement) 14.00 City/State/Zi f��` �t17 6�, Furnem 100,000 BTU(duclstvent:.) 14.00 0Furnace t�000+BTU(ducts/vents 17.90 - Suite/bldg./apt.no.: Project name�ry Gas heat LrAmp _ _ 14.00 _ Cross street/directions to job site: WRHAmtU� Duct work v- 14.00 _ •?'std- �---- --- - yAs nic hot water system 14.00 Renid�ential boiler(radiata or --- ---_--- h dronic) 14.00 _ Unit beaters(fuel-type,not electric), in-well,in-duct,suspended,etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 - - --- Other: _ .0.00 fax map/parcel no.: Other bselappllanees - DESCRIPTION OF WORK Wates heater 10.00 -- -- Gas fireplace 10.00 V� iN(s 01= Flue vent for water hater or gas fireplace _ _ 10.00 -- --- ---- - Log I ighter s _ 10.00 W!10& ellet stove 10.00 - Wood fireplacelinsert 10.00 -- bV7PROPERTV OWNER �- ❑ TENANT - Chimney/liner/flue/vent 10.00 1 �f"I�� � Y(t Other: 10.00 - Name:�7��� (' Eavlrosmeetal exhaust cad veatilaHoe• -'�` 1 Range hoodlother kitchen Address: itC7C7a •,j I; trr At/a �cS, I-re (0� ucp ipment --- 10.00 _ City/State/ZIP. 7 V Z q7 20 1 Clothes dryer exhaust 10.00 Single-dtict exhaust(bathrooms, Phone: . ) �� ?I Z Fax:6:1 ) toilet compartments,utility rooms) 6.80 APPLICANT ❑ CONTACT PERSON Attictcrawispsce fans 10.00 Business name:�+ Other:_. - 10.00 -_ �7�a11.>A3L GtJ�4t"¢vC TjC.N 1►•(C. _ _ Fuel piping - - -_, Contact name: 6155.40 for fine four;x1.00 for eacb additional IL Address:(� (O '~_ Furnace,etc. - -- x Gas heat pump N City/State/71P: '�?I �1�) - 9�6 � Well/suspended/unit hats Phone:( Di ) CJ' ? C Fax c3bo) U Water heats Fireplace ...JJJ E-mail:100 Range CONTRACTOR Barbecue - IJJ Business name: a W�7,7T/'y�,�c oer� Address: f �(� �G' _- ME.CHANLCAL PERMIT FEES* City/State/ZIP:/zLDGtF1"-,9912 3 ¢� -_ Subtotal Phone:( ) � Fax: 5 ) �((� ! '? _ .Jin reviewaum permit5% f (Lam • _ Plan review 2S%of permit fee CCB lic.: State surcharge(8%of permit fee) •� 7 I TOTAL PERMIT FEE Authorized s;gnantre: , ��//l�,�t/' nit permit application n PIT"If a permit h not eMained elthln IR dayN after It has been accepted m complete. Print name: Fee methodology set by T'- o my B led Ind S a Board K RD A.-.. tr"'� Date:/ a�a 1�s eF��I � dT�o� i:\Building\Permitl\MEC-PermitAppdm 12103 617 II/ O a.51 Meut�y t� /�a rte°=. lite_�S WW* r ,, paAM ►-r - b 15.46 sicµ CIT IY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2006-00036 13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 DATE ISSUED: 1/31/2006 PARCEL: 2S 110DC-01000 SITE ADDRESS: 11115 SW MEADOWBROOK DR 1 ZONING: R-25 SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG Project Description: Unit 1, install washer. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: i FEES _ SUMMERFIELD ASSOCIATES, LLC Description Date Amount % NSC REAL ESTATE 1500 SW 1ST SUITE 1020 [HRPLM] Hourly Plumb 1/31/2006 $14.38 PORTLAND. OR 97201 [1IRTAXj Hourly 9%St, 1/31/2006 $1.25 Phone: 503-546-5712 Total $15.63 Contractor: RAY'S PLUMBING 15200 NE CAPLES SUITE C VEQUIRED ITEMS AND REPORTS BRUSH PRAIRIE,WA 98606 -- -- - Contact# : PRI 360-892-8700 1-AX 360-892-9644 RAg#: I.IC 33217 PLM 37-149PB IL QC M �rn .J 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 riot started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law W requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 5C?-246 99 or 1-800-332-2344. Issued By: Permittee Signature: Call 503-639-4175 by 7:04 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 site at the time of each inspection. 01/2_3/2006 14:52 5036243681 TIGARD BUILDING DEPT PAGE 02/03 Building Fixtures �' Plu Pe it L ������� ' City of Tigard I.�/`t '� s '1�� .«+vase t!P 1'vrmft No.: 13125 SW Hell Blvd..Tigard,OR 97223 Z Phone: 503.639,4171 Fax: 503,598.19lO �n� 6.e OIIwPennhW; 24-Hour Inspection Line: 503.639.417JU 1 X O i t Dow Px*1BT 0 hef'AP1 fn Iota ncr: www.ci,tIprd,or.usTTLT 1h, %T TIT NdiAadMelhaih NatneNlas 3 '1 �'- ' []New construction` ❑lkmolkios Jr., rdw N"02�am checks k. ©Addition/tl(emtion/replikewcat _.__. Miller ,'��,.'y i Y'+�T71� ��71'J-+P feow i-2-Jt,mlly aaefg (includm 10(!R.AN each utility connection) r `1 ir:,y e, �� K SFR(11 both 24910 [31-and 2-family dwelling E3 C'ommar. 1/induehiei SFR(2)Wit 350.00 ❑Accessory building (p'�'ulti-family SFR 31 bath 399.00 ❑Master buildsOtho: Each ar!dition t btMlichen 45.00 Aw[1 r, Fire sp;lnkler(__sq.A.) PW 2 lob elk address( sl ,J �� �l Catch 6esln or area drain 16,60 City/Stalt/LIP:- K� y - Dr Al.leech line,or trench drain 16.60 5uitclbldg1apt.no.: - Projee:name '� �il i 1 t'otMn .dean(no.Ilntsr 1L: Page 2 Mamtflicalrod home utliitla 110.00 Cerate xtreet/dircctions to job aIle,' y Manholes 16.60 Rain dein connector 16.60 Switw,sewer(no.linea R:_ ) -- Page 2 Sturm sewer(no.linear ft' � Page 2 Subdivuion - --- �Lnt Walestervinc(no.linesQ: )Fbttsn or nets Pa {e2 Tax tnep/psrcel no.: WAbwW.on valve 16.60 Barkllrw pM-Mtef Page 2 -- N tVeJ CSC- ��}_ Badcwntervalve 16.60 C" a wee)er 16.60 Dishwasher 16.60 Lrinking Aalmain 16.60 i Name: _�1`_�� Ejnatur'JssmP 16.60 7 t Arnii} �,L C-- Expu,sl on ank 16.60 Address: CO -- I:! 1C w 5'i Fixtemsewcr oap 16.60 Cfy/Stat e/ZIP: � Cle, C? 7),V 1 Floes ditln/floor aWAftb _ 16.60 - phone:(yU 5 C' " Z F.x:6Cy3)c" I Gwl agr.dlTosal 16.60 _ i t1iLlta4Pl'�'; Hoar bib 16.60 Business name: Ice mdc� _ 16.60 G' W CpN �'T�+-�+C -1 ?r+ 1*►i IMaoeut_or/grwt»rnp 6.60 Contact name. Medical`6.r(value:S_) PW2 CL Add �i•' V,v ICA J� Prima 16.60 City/Stale/7,TP; R4L7 t 952SC-$Z Rtbt dn(In(e mmerciel)--- 16.60 -- N Phone; I& •�j Sink/baun/lavatury 16.60 E-mail; (b. -!, - Tnbi'sf�wer/shower pat 16.60 �. Ur&sil 16.60 ____ Wats c1esnt usm16.60 9gs Warne: (� l Wow Matta 1660 w Address: CityBtete2lP 1 llebtotal Phone:(3&1 ,) Minimum Permit fbefbe: 172.50 9 2- g L Fax: �(pa) _Residentkd hddow mainroenpenit fee: 136.25 CCB Lie.: `�� PlutnbMg Lfe.no.: - Pim review ("%of permit flee) Authorized sig{ - _ Sbft sur6up(814 ofpermit Ae) TqrAI,PERMIT FEE This permit aPpliewtion 910"If a p r'tnit Is net obtalaed within 184 days after h has beta seeepled as Complete. doe /N8T *Pee methndology set by Tri-County Building lnd;astry Service Board, i�1�,Rhana��'rmlallt.tvtr-t'mnNApo �} j� -"""� MM61tN1'te'M/COIKw66) 'ifi�J�l'.� 1 i�'-I.Fi R. ill61,E C tows° -� to pMH IT'S = 14 15 .4� fi�c� CITY OF TIGARD BUILDING DIVISION PERMIT k: iJ_(;li7iN t1ilQidi 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: �ll'iN PAGE: Epi SITE ADDRESS: � c CLASS OF WORK: iii :W MEALX)WE3l2t yt7K DR 1 SUBDIVISION: WILL BROOK FARM LOT M: i114 TYPE OF USE: PROJECT NAME- SOMM 2FIFLD APA(4ME"NTS DESCRIPTI" )nit 1, in :all cervico for washer and dryer. OWNER: �;t1MMf t�Fl _D A. )UATES,LLG. PHONE It: 503!i46ti71'l. CONTRACTC9: II-�Cl.t-CTR .NG. PHONE k: �75R 111r� Inspection Request Scheduled For: Date: yi4/M) Pour Time: Code # Inspection Description Confirm # Contact # Message t 2i) Flor.1fic:al tough-in 026821102 503310.7101 I\l kci°1 Fit411�L— Corrections/Comments/Instructions: a m w J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ` Inspector: ' _ Le _.__ ___ Date: _Z-���.� Phone #: (503) 718-�___._ CITY OF TIGARD (� BUILDING DIVISION PERMIT#: PI M)0QC�000 tc 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2U0'� Phone: (503) 639-4171 Inspection Requests (2.4 Hrs.): (503) 639-4175 INSPECT;ON WORKSHEET FOR DATE: )J 14/2006 TIME: ).1vM PAGE: IH SITE ADDRESS: 11111 SW MEAUO AMO:)K Cit 1 CLASS OF WORK: SUBDIVISION: WLLOW BROOK FARM LOT# 0.1,1 TYPE OF USE: PROJECT NAME: `;IJMMFRI=ILLD APARTMENTS DESCRIPTION: Unit 1, install washet OWNER: ;;UMM[=RFII=1_D At3SOGIATES, LIG, PHONE #: 503.i►Q5! ll) CONTRACTOR: HAY'S PLUMBING PHONE #: 36D 89?-13100 Inspection Request Scheduled For: Date: 2/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message Plumbtn-1 rough in 0) 943.31()7187 IJ Corrections/Comments/Instructions: VOL A P --- - 0000"- a rn w J ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [� FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/ (�t�----� Bate: (' Phone #: (500) 718- �Z T CITE' OF TIGARD BUILDING DIVISION PERMIT K: ME:C1t10'>t)t`( ,1 13,125 SW Hall Blvd., Tigard, OH 97223 DATE ISSUED: Phone: (503) 639-4171 All k 0� Inspection Requests (24 Mrs): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2l14/200r TIME: ),21)M PAGE: SITE ADDRESS: I 1116 SSW MEA OYCRO OK W 1 CLASS OF WORK: SUBDIVISION: Wt LOW iJROOK FARM LOT N: 014 TYPE OF USE: PROJECT NAME: SUMMERF-11-1D APARTMENTS, DESCRIPTION: unit 1, install dryer vent OWNER: 1IMMEI2FIt"L.D ASSOCIATES, LLC, PHONE #: r p;�.j;44 CONTRACTOR: 4.KYWARD CONSTRUCTION PHONE rf: ;U!yA61G2!t Inspection Request Scheduled For: Date: 21141 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mochanical wiigh in 07('107 0) f►Q't-310.7187 N Corrections/Comments/Instructions: 1 a a 00 W a &IO PASS ❑ PARTIAL APF ROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -_ �"�'!`_,-- ---=---.---- Dete: � /� Phone #: (503) 718-