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Permit CITY OF TIGARD PERMIT #. MST2006 -00081 MASTER PERMIT 4 adj, DEVELOPMENT SERVICES DATE ISSUED 6/21/2006 Ip— 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL" 2S103BD - 11500 SITE ADDRESS- 11716 SW ERROL ST ZONING: R -4 5 SUBDIVISION CAPPOEN ESTATES LOT. 006 JURISDICTION TIG Project Description New SF BUILDING REISSUE STORIES 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK NEW HEIGHT 26 FIRST 1216 st BASEMENT sf LEFT 5 SMOKE DETECTORS Y TYPE OF USE SF FLOOR LOAD 50 SECOND 1 390 sf GARAGE 552 sf FRONT 20 PARKING SPACES TYPE OF CONST 5N DWELLING UNITS I THIRD at RIGHT 5 VALUE 25503900 OCCUPANCY GRP R3 BORM 4 BATH 3 TOTAL 2606 st REAR 15 PLUMBING SINKS 1 WATER CLOSETS 3 WASHING MACH 1 LAUNDRY TRAYS 1 RAIN DRAIN 100 TRAPS LAVATORIES 5 DISHWASHERS 1 FLOOR DRAINS SEWER LINES 100 SF RAIN DRAINS 4 CATCH BASINS TUB /SHOWERS 3 GARBAGE OISP I WATER HEATERS I WATER LINES 100 BCKFLW PREVNTR GREASE TRAPS OTHER FIXTURES MECHANICAL FUEL TYPES FURN 4100K BOIL/CMP < 3HP l VENT FANS 5 CLOTHES DRYER 1 NAT FURN >=100K 1 UNIT HEATERS HOODS 1 OTHER UNITS 2 MAX INP Mu FLOOR FURNANCES VENTS WOODSTOVES GAS OUTLETS 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD L INSPECTIONS 1000 Sr OR LESS 1 0 - 200 amp 0 • 200 amp W /SVC OR FOR PUMP /IRRIGATION PER INSPECTION EA ADD L 500SF 5 201 - 400 amp 201 - 400 amp 1st W/O SVC /FOR SIGN /OUT LIN LT PER HOUR LIMITED ENERGY 401 - 600 amp 401 • 600 amp EA ADDL BR CIR SIGNAL/PANEL IN PLANT MANU HM /SVC /FDR 601 • 1000 amp 601+empa 1000v MINOR LABEL 1000+ amp/volt PLAN REVIEW SECTION Reconnect only > =4 RES UNITS SVC /FDR> -225 A > 600 V NOMINAL CLS ARENSPC OCC ELECTRICAL - RESTRICTED ENERGY A SF RESIDENTIAL B COMMERCIAL AUDIO 8 STEREO VACUUM SYSTEM AUDIO & STEREO FIRE ALARM INTERCOM /PAGING OUTDOOR LNDSC LT BURGLAR ALARM 0TH BOILER HVAC LANDSCAPE/IRRIG PROTECTIVE SIGNL GARAGE OPENER CLOCK INSTRUMENTATION MEDICAL OTHR HVAC DATA/TELE COMM NURSE CALLS TOTAL # SYSTEMS This permit Is subject to the regulations contained In the Tigard Owner Contractor Municipal Code, State of OR Specialty Codes and all other FOUR D CONSTRUCTION CO FOUR D CONSTRUCTION applicable laws All work will be done in accordance with approved PO BOX 1577 PO BOX 1577 plans This permit will expire if work is not started within 180 days BEAVERTON, OR 97075 BEAVERTON, OR 97075 of issuance, or If the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080 You may obtain copies Phone Contact # PRI 503 - 590 - 0805 of these rules or direct questions to OUNC by calling 503 -246 -6699 FAX 503 - 1751 on -800- 332 -2344 Reg # LIC 71037 TOTAL FEES $ 10,279.97 REQUIRED ITEMS AND REPORTS Issued By G a , Permittee Signature Call 503 - 639 -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 site at the time of each inspection. _ - 3 - ti L 4 / 0 5 - B Permit APnf &jE V EL FOR OFFICE USE ONLY• City of Tigard Received / 471 —6 13125 SW Hall Blvd , Tigard, OR 97223 A pp n q Plan Review / � , f / ±, Phone 503 639 4171 Fax 503 598 1960 ryf l\ 14 LOO'� / '46 <r l� , Date/B ,S'21 ' i 5 a alien Permit s il l 1 , i j t r Inspection Line 503 639 4175 _ ' . • �, Date Ready/By f tuns ® See Attached Checklist for Internet www al ngard or us ell Uk. �LuFa Notified/Method,_) 25 yClilt r) Supplemental Information ��'(� rT TC: rMFITSTON 1 V-.17 V-.17 .3 ''j 5 J —'AVIJOF WORK REQU EDDATA: I- AND 2- FAMILY DWELLING New construction ❑ Demolition Permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application a l I- and 2 -family dwelling ❑ Commercial /industrial Valuation $ Z, (f,Sj V ,3 8 ❑ Accessory building 0 Multi-family Number of bedrooms , / LA Master builder ❑ Other Number of bathrooms ![ -- JOB SITE INFORMATION AND LOCATION Total number of floors "1 O Job site address 1 17/4 a 4.,j R NC � .. Z. New dwelling area ,26 O b square feet City /State /ZIP '773 p R i l ?4,,c_ . 9722 Garage /carport area 2. square feet Suite/bldg /apt no Project name Covered porch area _E 13 square feet Cross street /directions to job site //4 7:, 'L- //0/9-244...-7 Deck area -- square feet Other structure area — square feel ' REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision 61.910 N TS/�7T -e of Lot no Permit fees* are based on the value of the work performed Tax map /parcel no • Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the _ DESCRIPTION OF WORK work indicated on This application 24- 1-161 4 ,14 Valuation $ /� Le Existing building area . square feet New budding area square feet PROPERTY OWNER ❑ TENANT Number of stories - Name cc ,c `)) ( 74 ,Clti a A) as— Type of construction �� Address ' ?Qe Z sy Ls -7 7 Occupancy groups City /State /ZIP 4. 07, 97 0 -75- Existing ( Phone 03) S2 S O- ocPC Fax (5-I] d s S/0 -/ 7S( New APPLICANT ❑ CONTACT PERSON NOTICE Business name 4-91-9-[ ,, Aid h i. 4 a U,,,--/ All contractors and subcontractors are required to be Contact name licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address jurisdiction in which work is being performed If the City/State/ZIP applicant is exempt from licensing, the following reasons apply Phone ( ) Fax ( ) E -mail CONTRACTOR Business name S - Ji.-c� � 4 h 00— BUILDING PERMIT FEES* Address Please refer so fee schedule. City/State/ZIP Fees due upon application (7,2 r® dry Phone ( ) Fax ( ) 9 Amount received dZC-1 O CCB he 7/ 0 7 V -"d /,/ Date received V Authorized signature �� /% /_ / - This permit application expires if a permit is not obtained L1l��G / ✓/y within 180 days after It has been accepted as complete. Print name (,�J�4?,4 /. /mile -, Date „Z-AS---6 . / • Fee methodology set by Tn- County Building Industry Service Board 11Bui Idmg \Permus\BiJP- 31- PenniApp doc 12/03 940- 4613T(11 /02/COMRWEB) r Building Division Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations Co of regard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building I* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. \BmldingW.mitLs\BUPgi- PamnApp doc I2/01 440- 4611T(11 /O2JCOM/WFB) Building Fixtures Plumbing Permit Appli' ca�tinn & � FOR OFFICE USE ONLY City of Tigard u u Received Pe Permit No 13125 SW Hall Blvd, Tigard, OR 97223 Date/By Plan Review Phone 503 639 4171 Fax 503 598 1960 APR 1 4 2 .."?', j�ittYllitq Dye Other Permit No 24 -Hour Inspection Line 503 6394175 JJ{• ' Date Ready/By runs E1 See Page2 for Intel net www ci tigard or us d ' IT V OF f1 � 1 Notified/Method Supplemental Information TY K FEE* SCHEDULE I i t cv New construction ❑ Demolition For spend information use checklist. Description I Q I Ea I Total ❑ Addition /alteration /replacement ❑ Other New 1 -2 -family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 24920 0 1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi -family SFR (3) bath 399 00 Master builder Each additional bath/kitchen 45 00 ❑ Other Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address 1/ 7A S /N• c_..,1,/ 0/ Sr Catch basin or area drain 16 60 City /State /ZIP /7,#)2./ d t 2 3 Drywell, leach line, or trench drain 16 60 Suite/bldg /apt no �Pro)ect name Footing drain (no linear ft ) Page 2 Cross street /directions to Job site Manufactured home utilities 110 00 Manholes 16 60 Ram drain connector 16 60 Sanitary sewer (no linear ft ) Page 2 Storm sewer (no linear ft ) Page 2 Subdivision (''� /, 0. -.rye -5 I Lot no C, Water service (no linear ft ) Page 2 Fixture or item Tax map /parcel no Absorption valve 16 60 DESCRIPTION OF WORK Back flow preventer Page 2 Backwater valve 16 60 Clothes washer 16 60 Dishwasher 16 60 jgi PROPERTY OWNER I ❑ TENANT Drinking fountain 16 60 � (ft- Ejectors/sump 16 60 r Name LA /t. , ai y S72 erne A) Expansion tank 1660 Address Q 2,ry / L�� ] Fixture /sewer cap 16 60 City /State/ZIP,�j� _ / [J� r � . D / X- Floor drain/floor sink/hub 1660 Phone 5 3 ) _9O —0C ( � OV Fax (S 57O—/757 Garbage disposal 16 60 IX APPLICANT ❑ CONTACT PERSON Hose bib 1660 A / Ice maker 16 60 Business name J t L E _ / / 6 0 Q ' Interceptor /grease trap 16 60 Contact name Medical gas (value $ ) Page 2 Address Primer 16 60 City/State/ZIP' Roof drain (commercial) 1660 Phone ( ) I Fax ( ) Sink /basin/lavatory 1660 Tub /shower /shower pan 16 60 E -mad Urinal 16 60 CONTRACTOR Water closet 16 60 Business name r • 7 ��6h+z ,4/k9 Water heater 16 60 Address ,/ ...S /_"' l -C Au -2--, Other City /State /ZIP // /I £.S 6 a ,2, n 1 72 3 Subtotal // J Minimum permit fee $72 50 Phone �oJ) �d -.3l Fax ( ) Residential back flow minimum permit fee $3625 CCB Lic / 2 2 7 3 / Plumbing Lic no 44--47(../p4 Plan review (25% of permit fee) Authorized signature / 9-t / e �J- State surcharge (8% of permit fee) °-vcss� . Gs, TOTAL PERMIT FEE Print name O ' t .1k'e. (�, -- Date S "I.5.7--c), This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tn -County Building Industry Service Boar 1 \Buiidmg\Penmu\PLMF- PenmiApp doe 06/05 4404616T( IO/OLCOMRVEB) • Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - I" 100' 55 00 0 to 2,000 $115 00 Footing drain - each additional 100' 46 40 2,001 to 3 600 $160 00 3,601 to 7,200 $220 00 Sewer - 1st 100' 55 00 7,201 and greater $309 00 Sewer - each additional 100' 46 40 Water Service - 1st 100' 55 00 Medical Gas Systems: Water Service - each additional 100' 4640 Storm & Rain Drain - 1st 100' 55 00 Valuation: Permit Fee: $1 00 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for each Fixture or Item Qty. Fee (ea) Total additional $100 00 or fraction thereof to and including $10,000 00 Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148 50 for the first $10,000 00 and $1 54 for Residential Backfow Prevention Device each additional $100 00 or fraction thereof, to (minimum peanut fee $36 25) 27 55 and including $25,000 00 Rain Drain, single family dwelling 65 25 $25,001 00 to $50,000 00 $379 50 for the first $25,000 00 and $ 1 45 for Inspection of existing plumbing or each additional $100 00 or fraction thereof, to specially requested inspections - per hour 72 50 and including $50,000 00 Subtotal: each 00 and up $742 00 for the e fi first rst $50,000 00 and $1 20 for each additional $100 00 or fraction thereof Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "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 report fixtures could result in increased sewer fees *. Please check all that apply. Quantity_by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: armed ❑ Any new exterior plumbing site utilities Previous Capped Added Existing ❑ A commercial building with installation. alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ My new residential building containing three (3) or more - Domestic dwelling units Drinking Fountain ❑ My NFPA I3 -D multipurpose fire spnnkler system. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -3" -4 Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach /Re &ig Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water or increase of sewer EDUs, a sewer permit will be issued and Closet rode Closet - rod p Urinal fees assessed for the sewer increase must be paid before the Other Fixtures plumbing permit can be issued. 1 \umldina \Pem,ns\pLM PemwApp doe 07/06/05 Electrical Permit Applicatidc NE FOR OFFICE/USE ONLY' r Received City of Tigar Date/0 Pem,d No 13125 SW Hall Blvd, Tigard, OR 97223 1 4 , 1 2Q0 Plan Review Phone 503 639 4171 Fax 503 598 1960 pPR M.�0Wili Date/13 Other Permit Inspection Line 503 639 4175 J i b V .• • Date Ready/By tuns EJ See Page 2 for Internet www ci tigard or us t t' S (y tf 11 *riTni Nonfied/Method Supplemental Information TYPE b WQMR Intl 61 t--f ‘ ' - PLAN REVIEW Lyi New construction ❑ Agin n /aa1 e at ration/replacement Please check all that apply ❑ Demolition ❑Other ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps – rating ❑ Buildng over 10,000 sq R, CATEGORY OF CONSTRUCTION of I- and 2 -family dwellings 4 or more new residential I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family W Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park Job no : Job site address- / r /7 ❑Health -care facility ❑Other /7/ �') � r` �L� S-7- Submit 2 sets of plans with any of the above City /State/ZIP''77 ✓ G / 0 972.7=3 The above are not applicable to temporary construction service Suite/bldgiapt. no. Project name FEE• SCHEDULE . Description I Qty I Fee. I Total Cross street/directions to job site: New residential single - or multi-family dwelling unit. Includes attached garage. 1,000 sq R or less 145 15 4 Subdivision- ,Afint Lot no.: Ea add'I 500 sq ft or portion 33 40 1 �F-Y / Limited energy, residential 75 00 2 Tax map /parcel no Limited energy, non- residential 75 00 2 DESCRIPTION OF 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 2 201 amps to 400 amps 106 85 2 4°d PROPERTY OWNER ❑ TENANT �t)u / n 401 amps to 600 amps 160 60 2 Name: .-- l S7/2 c c GTIC [_'sue 601 amps to 1,000 amps 240 60 2 Address' (D 207 /S '7 Over 1,000 amps or volts 45465 2 / / Reconnect only 66 85 2 City / State/ZIP' lfO_Ay er-J.,`! ,, 97 a 7J Temporary services or feeders installation, alteration, and /or Phone j 3j) SSo — s od I Fax:SD3 ) Cfc\ -17J_ relocat am 200 amps or less 66 85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 2 Owner signature: Date- Branch circuits – new, alteration, or extension, per panel 1APPLTCANT ❑ CONTACT PERSON A Fee for branch circuits with � � / service or feeder fee, each 6 65 2 Business name: S?r/ � h 0 a - e_ branch circuit Contact name B Fee for branch circuits without service or feeder fee, 46 85 2 Address• each branch circuit Each add'I branch circuit 6 65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) - Fax : ( ) Pump or irrigation circle 53 40 2 Sign or outline lighting 53 40 2 E -mail Signal circuitis) or limited - CONTRACTOR energy panel, alteration, or ` � � C extension Describe Paget 2 name [� Business nam Address- 7_S7 S. wJ 42 i/--2-, Each additional inspection over allowable in any of the above Per inspection 62 50 City / State/ZIP C j ,TG ,( / 6 X_ 2 z 22 / Investigation per hour (1 hr mm) 62 50 Phone (52t ) V�_ 77 Ls rc i ." Fax ( ) Industrial plant per hour 73 75 Y" p � / ELECTRICAL PERMIT FEES* CCB Lic.: 93�p Electncal Lic. 3/Y) _2_2 C Suprv. Lic.: 3 b C Subtotal i! - Supry Electncian signature, required. 0 - _ /271 (4� Plan review (25% of permit fee) i �� -L ^ n State surcharge (8 % of permit fee) Print name. Na 4 .� 4T /t4, 0 tihti Date 3 /- OA /'� / TOTAL PERMIT FEE. Authorized signature: �j� `/ / This permit application expires a permit is not obtained within within ISO � �G�111111 days after it b has been accepted as complete Print name.�4l� r J}�il �� Date 3 2� p-..c • Fee methodology set by Tn -County Building Industry Service Board C� /� •• Number of inspections per peon' allowed i \ Building \Penmu\ELC.Perm,tApp doe 12/03 440- 015T1I t/0LCOM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: l RESIDENTIAL WORK ONLY Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Bur Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* rl Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems n Boller Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations \Bwld.ng\Perm,SELC -Perms pp doc 04/03 Mechanical PermPAQJ it ttion �� FOR OFFICE,US ,O_ ' , Received City of Tigard 14 TO Date/By d Receive Permit No 13125 SW Hall Blvd , Tigard, OR 97223 nP Plan Review Phone 503 639 4171 Fax 503 598 1960° kw. o ,1 to Da/ Other Permit Inspection Line 503 639 4175 ' `t. 1 E' Al. a I Datl Ready/By Ready /By Jvns ® See Paget for Internet www CI tigard or us t `1 ,N y � . 1 N r1 Notified/Method Supplemental Information ` aft f)% V '1 " TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CIIECKLIST K ] New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value $ I - and 2 -family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Multi -family p-Master builder ❑ Other: hor special information use checklist Description Qty I Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address /7 '7 7 Air conditioning or heat pump // / /� S. t2 &.... 2 -1 / (requires site plan showing placement) 1400 City /State /ZIP 771 / 2 /i U/_ 7 9 . - Furnace 100,000 BTU (ducts/vents) 14 00 Furnace 100,000+ BTU (ducts/vents) 17 90 Suite/bldg /apt no Project name Gas heat pump 14 00 Cross street /directions to job site Duct work 14 00 Hydromc hot water system 14 00 Residential boiler (radiator or hvdronic) 14 00 Unit heaters (fuel -type, not electric). in -wall, in -duct, suspended, etc 10 00 / Other 10 00 Subdivision ��(� ,�L Lat no yp Flue/vent for any of above Other 10 00 Tax map /parcel no Other fuel appliances DESCRIPTION OF WORK Water heater 1000 qj Gas fireplace 10 00 JS �(/ �rYlcA Flue vent for water heater or gas fireplace 10 00 Log lighter (gas) 10 00 Wood /pellet stove 10 00 Wood fireplace /insert 10 00 r? PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 1000 (PROPERTY 10 00 Name D) �j �._,S7- £a r Environmental exhaust and ventilation Address P c (' ' 2 /.....5-7 7 Range hood/other kitchen equipment 10 00 City /State /ZIP EQ ---„.wi 9' '7 a d 7 Clothes dryer exhaust 10 00 q — / / 7.5-1 Single -duct exhaust (bathrooms, Phone (-.AZ) S 0 - O ?a Fax (SO. C 9v " / toilet compartments, utility rooms) 6 80 lg APPLICANT ❑ CONTACT PERSON Attic/crawlspacefans 1000 Business name fL, �� / Other 10 00 n """ �L v u Fuel piping Contact name $5 40 for first four; $1.00 for each additional Address Furnace, etc Gas heat pump City /State /ZIP Wall /suspended/unit heater Phone ( ) Fax ( ) Water heater Fireplace E -mad Range CONTRACTOR Barbecue Business name�f, nr_ /ZJ Clothes dryer (gas) Y / , /1 c� Other Address a S. w ! , 0 e _,, 7. � , MECHANICAL PERMIT FEES* City /State/ZIP '7'/ t/ JAI ' c7 7 2-2- Subtotal Phone .(SL ?) t a _ 5C4, Fax ( ) Minimum permit fee ($72 ) / k` / Plan review (25% of permit feeee) CCB he C� S State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature s � / This permit application expires if a permit is not obtained within 180 � /r/ / days after it has been accepted as complete ( � /t Print name D' l'7:-�'/el ! /C Y Date 3 - -- 7-6 • Fee methodology set by To-County Building Industry Service Board i \Budding/Pennits\ MCC-Perm iuApp doe 11/03 440-4617T(I I /01/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $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 $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00 $5,001 00 to $10,000.00 $141 50 for the first $5,000 00 and $1 80 for each additional $100 00 or fraction thereof, to and including $10,000 00. $10,001 00 to $50,000 00 $231.50 for the first $10,000 00 and $135 for each additional $100.00 or fraction thereof, to and including $50,000.00 $50,001.00 to $100,000 00 $771.50 for the first $50,000.00 and $1 25 for each additional $100.00 or fraction thereof, to and including $100,000.00 $100,000 01 and up $1,396 50 for the first $100,000 00 and $1 10 for each additional $100 00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. i \Bmldmg\Permos\MEC- PermfApp doc 12/03 2 . CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 IMPORTANT PERMIT NOTICE 3S7 - S. Electrical Signature Form ��V X006 Permit #: rvl ��(6O 6 -O cc) c ' :.` A PO Date ( Parcel: / O G� NGO \� Site A dd res s: / l - 7 / ( s U/ -� t sO w Block. Lot. Jurisdiction. Zoning Remarks: Your company has been indicated as the electrical contractor for the permit indicated above In order for the electrical permit to be valid, the signature of the supervising electrician is required Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN Building Division No electrical inspections will be authorized until this completed form is received OWNER' join D £L aiteo,t, ELECTRICAL CONTRACTOR Pd aoy IS 71 Q— E02-" '""' 911e 1 �p ,� (Z p7S So 7OS IV W a- -d" PA f e 6R TM' Phone #* Phone # 3793— 3s a3.5 Reg #. 33 ?/S AN INK SIGNATURE IS REQUIRED ON THIS FORM nature of Supervising Electrician If you have any questions, please call 503.718.2433. Please return this form by mail, or you may fax it to 503.624.3681. ® AA SAAAAAAAAAAAA AAAAAAA A ASSSSS ® ®®A®®S®® AAAAAAASSSSSA ® 4 41 Rs- 1 STREET TREE CERTIFICATION `® ® ° a ® a ® I, AiD />'vbB S Owner/Agent for Fa v C'or/Smyvc77or1/4/ ® (PLEASE PRINT) / (PERMIT HOLDER) 1 r \ b�e ® l } i ® Do herebyt,e th`e following location 0. 41 a ®` meets 4Cit } o f :Ti a nd / on 'Count ® land use and development standards for street tree installation. ts- 1 to- ® ADDRESS: // 7/t' SA) tdceoz. sneetr as- 44 ® LOT: � p SUBDIVISION: C,9- °�°acw / 6Mr5 �� 1 ® � BY: ^ ; ' D ATE: 7 27 - 77 ®- 44 RECEIVED BY: DATE: CITY OF TIGA'RD , BUILDING DIVISION - ' PERMIT # MST2C36 -00091 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 4 6/21/2006 Phone. (503) 639 - 4171 , 1 „IC Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 2/1/2007 TIME 7:01AM PAGE 71 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. 1/9/07: Added NC unit. OWNER PHONE #. CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date. 2/1 /2.007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 042797-02 503-720 -0012 Y Corrections /Comments /Instructions: Q PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS I I FAIL (/ /((' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: i % " Date: 7 —i o 7 Phone #: (503) 718- _ 1 A CITY OF TIGARD ( , - • " . BUILDING DIVISION PERMIT# MSr2006e0081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 612112006 Phone (503) 639- 4171I'II Inspection Requests (24 Hrs ). (503) 639 -4175 , .._ ^ INSPECTION WORKSHEET FOR DATE 1/2512007 TIME 7 :03AM PAGE 15 SITE ADDRESS. 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. 1/9107: Added NC unit. OWNER PHONE # CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503.590 -0805 Inspection Request Scheduled For: Date 1/25/2007 Pour Time Code # Inspection Description Confirm # Contact # Message 293 Final inspection 042519 -03 503- 720-0012 N Corrections/Comments/Instructions: t2 1 d-4- Z S GUTS i C-, - rv c—re'C MR r— r7_(J -= _ IGtil .4'roKc NL q,7 s CJ _r1 - c i-t( r CoRiC(�Z -r 4-c3, ` = • ° z�'lS @ G • 4 :• i - ea-) /s E e to 4 t ; z= / c z y " z ) k1L� «.f Bin Al L�� 7b N C Fic_t__L3 1J /7 Co tic. - e_ / t,'TZ�� 7\ T02nt /'I o ,�-1e G & ;A /( �n xi--/A f C/ L�f / I , 1 L4' ei. i, 4s 4 .4 I- 4 , A A ' I �' o — /1 d ell 44 / aIl�f � �. l � /�! I I PARTIAL APPROVAL ❑CANCEL n NO ACCESS I�!l FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector GlflP Date: 4 ��o Phone # (503) 718- 7 CITY OF TIGARD i • ' . . , ,, . . • BUILDING DIVISION PERMIT # MST2006.000B1 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21 /2006 Phone (503) 639 - 4171 , 1 A Inspection Requests (24 Hrs) (503) 639 -4175 �Y- °'I J.. INSPECTION WORKSHEET FOR DATE 1/25/2007 TIME 7:03AM PAGE 16 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION' New SF. 119/07 Added NC unit. OWNER PHONE # CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503- 590 -0805 Inspection Request Scheduled For: Date. 1/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 042519-02 503 - 720-0012 Y Corrections /Comments /Instructions p PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS • • IL 1 I CALL FOR INSPECTION i ( ADDITIONAL FEES ASSESSED Inspector: [---4717 � Date: / /Z�/ Phone #: (503) 718- Z��j CITY OF TIGARD r . BUILDING DIVISION PERMIT # MST2006-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone: (503) 639 -4171 t\ Inspection Requests (24 Hrs )• (503) 639 -4175 44- 1!.L INSPECTION WORKSHEET FOR DATE. 1f412007 TIME 7:00AM PAGE 8 SITE ADDRESS* 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE# CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503.590_0BQ5 Inspection Request Scheduled For Date: 1/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041811 -02 503-720-0012 Y Corrections /Comments /Instructions 146t,Se— - R --v-tr IC c f 1 V d Za..c !'0 C s r2,A( k( r,—R_s . /C!of"U . il. Pt - n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I i FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: e--/-/--t Date I it °I? Phone #: (503) 718- 7. G dir- CITY OF TIGARD A A BUILDING DIVISION PERMIT # MST2006,00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6121/2006 Phone (503) 639 -4171 'iI� Inspection Requests (24 Hrs) (503) 639 -4175 s _ INSPECTION WORKSHEET FOR DATE. 10/6/2006 TIME 7 :03AM PAGE 19 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE #: CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For. Date: 10 /6/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 037813-03 503-720.7445 N Corrections /Comments/ Instructions - 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL l I I CALL / FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: " ✓ —" D ate: t / Or Ph one #. (503) 718- � ✓ CITY OF TIGARD . ' - • BUILDING DIVISION PERMIT #. MST2006.00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/21706 Phone (503) 639 - 4171 1 1 Inspection Requests (24 Hrs) (503) 639 -4175 y ''fil' INSPECTION WORKSHEET FOR DATE. 6/4/2006 TIME 7:04AM PAGE 20 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #' 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF. OWNER PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE # 503- 590 -060G Inspection Request Scheduled For Date. 8/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Posllbeam plumbing 034405-03 503-720-7445 N Corrections/Comments/Instructions PASS n PARTIAL APPROVAL CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 �/ Inspector. `�'` �/v V Date: r5 Phone # (503) 718 vV CITY OF TIGARD . • BUILDING DIVISION PERMIT # MST2006 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 6(21/2006 Phone (503) 639 -4171 Ill Inspection Requests (24 Hrs) (503) 639 -4175 _ _.. INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME 7.03AM PAGE. 43 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT #. 006 TYPE OF USE: PROJECT NAME CAPPOEN ESTATES DESCRIPTION Now SF OWNER PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE # 503 -590 -0805 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 310 Crawl drain 032731 -01 503-969-4631 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL l NO ACCESS FAIL �^ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / r �/ /^� L\ & Date ,/ a / Phone #• (503) 718- ■ . CITY OF TIGARD • A BUILDING DIVISION • PERMIT# MST?006 -00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21/2006 Phone (503) 639 - 4171 , 1 ,1 � Inspection Requests (24 Hrs.): (503) 639 - 4175 „! — ^:_'_.. INSPECTION WORKSHEET FOR DATE 7/6/2006 TIME. 7:03AM PAGE 41 SITE ADDRESS: 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER FOUR D CONSTRUCTION PHONE #• 503-590.0805 CONTRACTOR PHONE # Inspection Request Scheduled For Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 032731 -03 503-969 -4631 N Corrections /Comments /Instructions: P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ 7 Date 2/ f Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006- 00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6121/2006 Phone (503) 639 -4171 ' XIt Inspection Requests (24 Hrs.) (503) 639 -4175 s_ INSPECTION WORKSHEET FOR DATE 7/6/2006 TIME 7:03AM PAGE. 40 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK: SUBDIVISION. CAPPOEN ESTATES LOT # 006 TYPE OF USE: PROJECT NAME CAPPOEN ESTATES DESCRIPTION' New SF. OWNER PHONE #. CONTRACTOR' FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 340 Storm drain 032731 -04 503-969 -4631 N Corrections /Comments /Instructions SS I I PARTIAL APPROVAL ❑ CANCEL [ I NO ACCESS 77 FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector M,• NJ(/' Date: • / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006-00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21/2006 Phone (503) 639 - 4171 A � Inspection Requests (24 Hrs) (503) 639 -4175 rWr 1 ., INSPECTION WORKSHEET FOR DATE 7/6/2006 TIME. 7:03AM PAGE' 39 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER: PHONE # FOUR D CONSTRUCTION 503. 590.0805 CONTRACTOR PHONE # Inspection Request Scheduled For Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitaiy sewer 032731 -05 503-969.4631 N Corrections/Comments/Instructions I XL PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector 9 fq6 i 4 Date: ./ Phone #: (503) 718 - �"r°r CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2006-00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED' 6/21/2006 Phone, (503) 639 -4171 I Inspection Requests (24 Hrs.) (503) 639 -4175 h'ii. INSPECTION WORKSHEET FOR DATE 1/25/2007 TIME 7:03AM PAGE 17 SITE ADDRESS. 11716 SW ERROL Si CLASS OF WORK SUBDIVISION: CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION' New SF. 1/W07' Added NC unit. OWNER PHONE # CONTRACTOR' FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date: 1/2512007 Pour Time: Code # Inspection Description Confirm # Contact # MMee 199 Electrical final 042519-01 503-720 -0012 / Y S'K Corrections /Comments /Instructions. �� Tr 1/ ` 7 r- - Se c o22 iJZ e 1- o.LS — PASS PARTIAL APPROVAL CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: CY/P Date: C / Phone #: (503) 718- Zrcy7 CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006.00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21/2006 Phone: (503) 639 -4171 maliAle Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 1/412007 TIME 7:00AM PAGE 7 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 4Q6 TYPE OF USE. PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE # CONTRACTOR, FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date' 1/4/2007 Pour Time Code # Inspection Description Confirm # Contact # Mess.. - i � 199 Electrical final 041811 -03 603- 720 -0012 Ste__( Corrections/Comments/Instructions: 5- / - �.-- is fp i M-_-_71' M r i e THY S Tl ✓LI t � ,i .. N 1 . . _ - A r rltu _ ei_t S =T JJ z ... _ ... L _pi 121 :` 1" O frL __K-- le n 00.4' (''' -- 3 ci> - l ' vJ ilk _ 1 1 ?k? "7 LO L - C �i -4C 1 steak S' r -- 4 Z! I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED / / Inspector c-itie Date / /y� 7 Phone #: (503) 718- Z6" 7y CITY OF TIGARD . BUILDING DIVISION PERMIT #• MST2006 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 6721/2006 Phone (503) 639 -4171 ��'',' ' � I �^ Inspection Requests (24 Hrs) (503) 639 -4175 " __.. INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME 7 :01AM PAGE 6 SITE ADDRESS. 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION- New SF. OWNER PHONE# CONTRACTOR FOUR D CONSTRUCTION PHONE #- 503. 590-0605 Inspection Request Scheduled For: Date: 10/W2006 Pour Time Code # Inspection Description Confirm # Contact # Message 135 Low voltage V 037874 -03 503-59(1.0805 N Corrections/Comments/Instructions: r la 1 if '/ / a- id, ti 1 ,, 1 L l A & s,>j,, /9 --)- gi dui `j PASS \PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VO Inspector lifitir Date. / q G 0 4 Phone # (503) 7182 V CITY OF TIGARD BUILDING DIVISION PERMIT # MST200600081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639 - 4171 Inspection Requests (24 Hrs ). (503) 639 -4175 N ,. INSPECTION WORKSHEET FOR DATE 10/6/2006 TIME 7 : 03AM PAGE 21 SITE ADDRESS 11716 SWERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE #. CONTRACTOR FOUR D CONSTRUCTION PHONE # 503550 -0805 • Inspection Request Scheduled For Date: 10/6/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 037813-01 503-720.7445 N Corrections /Comments /Instructions 1 •&i t 0 1,&-‘41 PASS I PARTIAL APPROVAL CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector t/" `r"� Date: ( Phone #' (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2006 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. U21/2006 Phone. (503) 639 -4171 j. 1 Inspection Requests (24 Hrs) (503) 639 -4175 jai' ^'IL INSPECTION WORKSHEET FOR DATE 10/6/2006 TIME 7:03AM PAGE 20 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT #. 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION• New SF. OWNER PHONE# CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-690 -0805 Inspection Request Scheduled For: Date 10/&2006 Pour Time 1 Code # Inspection Description Confirm # Contact # Message 115 Electrical service 037813-02 503-720.7445 N Corrections /Comments /Instructions: I I r A i PASS I I PARTIAL APPROVAL CANCEL NO ACCESS FAIL n C L FOR INSPECTION I I ADDITIONAL F / E , S ASSESSED Inspector: I Date: � l (76/ FEES Phone # (503) 718- CITY OF TIGARD ' . BUILDING DIVISION PERMIT# MST200600081 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED W21/ Phone (503) 639 -4171 Inspection Requests (24 Hrs.)• (503) 639 -4175 Jilt .. INSPECTION WORKSHEET FOR DATE 10/19/2006 TIME 7:02AM PAGE 32 SITE ADDRESS: 11716 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER. PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE # 503. 590.0805 Inspection Request Scheduled For Date. 10/19/2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 280 Insulation 038497 -02 503 - 720 -7445 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,� Date 70 15 -06 Phone #: (503) 718- Zt`ti CITY OF TIGARD . - BUILDING DIVISION PERMIT # MST2006-00081 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED. FJ2112006 Phone• (503) 639 -4171 tI Inspection Requests (24 Hrs ): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 10/19/2006 TIME 7:02AM PAGE 34 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF OWNER PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date: 10/19/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 038497 -01 503 - 720-7445 N Corrections/Comments/Instructions: . 1atec 57L .fz/ GLA.e -S �G�t, «• = �� 7s• r �, I I PASS- I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. Date: /d —19 — Phone # (503) 718- ?q CITY OF TIGARD . BUILDING DIVISION PERMIT #. MST200G -00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21 /2006 Phone (503) 639 -4171 k Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 10/17/2006 TIME 7 :Q44M PAGE 74 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION' CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE #V 503-590-0805 Inspection Request Scheduled For: Date: 10/17 /2006 Pour Time. Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 038305 -02 503-720-0012 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS — FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector �� Date: /6 r- / 7 —do Phone #. (503) 718 - _.q'-q_'_ CITY OF TIGARD • A BUILDING DIVISION PERMIT # MST200 6-0t308i 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21 /2006 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs) (503) 639 -4175 '__ INSPECTION WORKSHEET FOR DATE 1 011 7/200 6 TIME 7 :04AM PAGE 76 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK* SUBDIVISION* CAPPOEN ESTATES LOT #• 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION. New SF. OWNER PHONE #. CONTRACTOR FOUR D CONSTRUCTION PHONE # 503.5.10 -0805 Inspection Request Scheduled For: Date: 10/17/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 275 Framing 038305-01 503-720-0012 N Corrections /Comments /Instructions: PASS I I PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS I I FAIL dk I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date a1 / 7--h- Phone # (503) 718- Z ---- CITY OF TIGARD • . ` BUILDING DIVISION PERMIT # MST2006•00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21/2006 ' Phone (503) 639 -4171 "Wilt Inspection Requests (24 Hrs ): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 10/9/2006 TIME 7:01AM PAGE 8 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER • PHONE #. CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503.590.0905 Inspection Request Scheduled For. Date: 10/9/2006 Pour Time Code # Inspection Description Confirm # Contact # Message 6ID Gas line 037874 -01 503-590-0805 N Corrections/Comments/Instructions: j�� 4MS '.-Finel "2 i —7— s — Z6 '/ Ci ,- /tit. s nl - Ri I I PARTIAL APPROVAL I CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: %1` Date: ki- Is'6 Phone # (503) 718 - 7¢141--- CITY OF TIGARD - BUILDING DIVISION PERMIT # MST2006.00081 13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED ed21/2006 Phone (503) 639 -4171 e '11 1 Inspection Requests (24 Hrs) (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE 10/9/2006 TIME 7.01AM PAGE 7 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME: CAPPOEN ESTATES DESCRIPTION. New SF. OWNER PHONE# CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503- 590.0805 Inspection Request Scheduled For: Date' 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 037874 -02 503-590 -0805 N Corrections/Comments/Instructions up Srcu," Z cnctC Gp' I& , T wn , 4,e ei- t i / -S 144/0 -r --I-3 - '.C6.L / Veal a4 Ci dti i - / c7 I I PA 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / /�% Date le —Gj F6 Phone #: (503) 718- ±-4-474C CITY OF TIGARD . BUILDING DIVISION . A 0 PERMIT # Msr200600081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639 - 4171 tilt Inspection Requests (24 Hrs) (503) 639 -4175 ; . '' INSPECTION WORKSHEET FOR DATE 10/9/2006 TIME 7:01AM PAGE 3 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION. CAPPOEN ESTATES LOT #- 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE# CONTRACTOR FOUR D CONSTRUCTION PHONE #. 503-690.0805 Inspection Request Scheduled For: Date: 10!912006 Pour Time Code # Inspection Description Confirm # Contact # Message 275 Framing 037874 -06 503-590-0805 N Corrections/Comments/Instructions: '-- /tJIR /G- '%lvvkc ,GL J71 ( gilt-CA i \ J 'P / ,CLL- S 6, 47 (2 O )c/2" �Jr' -/-ftK c3" e5 /�3) c/L�ri.Lr.._4c fin" .S'F�/1c (.s�/2f.4ni ;,i " , re <, i.. �, e. , ,a .:J a, T°m.-- F L /- • I) 'M .. 4 q'S!' IV 9A.Q/A4-14.d ,,t ,p- x;v l.cw C: . ✓ -- . - 61r✓ . ✓cl , ! nhLr fr—P :$:r Ps-,s //ea.!- 5 ,en /' 2°J jnC C 0L, c.� /u� 5,4ia' AO 4 v2 SfJ4s.GS A-, 'a 57, A A,-r. s., cr G! /F7.cit ! - t.As, ri P3 --,--• #7,4„9.71. e') -rre - - C Lc /mss li7 6 /a •P.tr.<.,,6 .1a,.:f-- C,-,. 52-ic*c =rr5c5) (014t,7mac= a. . c..rz- # at e . . j Wit! - c t . .- I I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I7I FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector 7,I/ Date /� — y — CO Phone # (503) 718- CITY OF TIGARD , . . BUILDING DIVISION PERMIT # MST2006 -00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639-4171 A Inspection Requests (24 Hrs) (503) 639 -4175 � .;. "II :. INSPECTION WORKSHEET FOR DATE 10/9/2006 TIME 7:01AM PAGE 6 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION- CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE # CONTRACTOR. FOUR D CONSTRUCTION PHONE # 503 - 690-0805 Inspection Request Scheduled For: Date. 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 037874 -04 603. 590.0805 N Corrections/Comments/Instructions PAS SS ❑ PARTIAL APPROVAL ❑ CANCEL pi NO ACCESS I I FAIL (/ //I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector /). A Date: 1P — –0409 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST200S00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED: 6/21/2006 Phone (503) 639 -4171 yew IIIi Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE' 10/9/7006 TIME 7.01AM PAGE 4 SITE ADDRESS. 11716 SW ERROL ST CLASS OF WORK. SUBDIVISION: CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME. CAPPOEN ESTATES DESCRIPTION' New SF. OWNER PHONE #. CONTRACTOR. FOUR D CONSTRUCTION PHONE #- 503-590-0805 Inspection Request Scheduled For Date 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 037874 -05 503-590-0805 N Corrections/Comments/Instructions. r�e�L t -- 372 /nriL - A-",t-n.— bc.,rrc, if 5A450-7 (0 47q-%n-s:" A'S 5 /4t4»� PASS I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: MA Date:/9 Phone # (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT # MST2008.00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6(21(2006 Phone. (503) 639 -4171 Inspection Requests (24 Hrs ). (503) 639 -4175 Agar 1... INSPECTION WORKSHEET FOR DATE 9/1912006 TIME 7 :05AM PAGE 6 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION' CAPPOEN ESTATES LOT #. 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION Nev SF. OWNER PHONE # CONTRACTOR' FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For Date: 9/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 036808.04 503 -720 -7445 N Corrections /Comments /Instructions: • PASS I 1 PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS I I FAIL . I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i/7' Date: Q— /l —afo` Phone #: (503) 718- nfir CITY OF TIGARD - BUILDING DIVISION - PERMIT # MST2006-00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639 -4171 l �* Inspection Requests (24 Hrs) (503) 639 -4175 ''II.. INSPECTION WORKSHEET FOR DATE 9/19/2006 TIME 7:05AM PAGE 5 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOF_N ESTATES DESCRIPTION. Now SF. OWNER. PHONE #. CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590.0805 Inspection Request Scheduled For Date: 9/1W2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallJanchors 036808-05 503.720-7445 N Corrections /Comments /Instructions: ��yyA� / 0" n //a/ C-, .% G ' i `S c c `j4 is iacanL , • I I PASS ARTIAL APPROVAL ❑ CANCEL NO ACCESS I I FAIL ��_ I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector !1'�rl �/ Date: 9 n---ak+ Phone # (503) 718 - 4 CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2006 0000B1 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639 -4171 il Inspection Requests (24 Hrs) (503) 639 -4175 nti� _ . INSPECTION WORKSHEET FOR DATE. 9)19/2006 TIME 7 :05AM PAGE 7 SITE ADDRESS 11716 SW ERROL ST CLASS OF WORK SUBDIVISION CAPPOEN ESTATES LOT # p06 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION New SF. OWNER PHONE # CONTRACTOR FOUR D CONSTRUCTION PHONE # 503- 590.0805 Inspection Request Scheduled For: Date: 911912006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 036808 -03 603-720 -7445 N Corrections /Comments / Instructions / O�PA S' ---' I I PARTIAL APPROVAL ❑ CANCEL (7 NO ACCESS FAIL p CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED ....., Inspector: . �LJ� Date: 9-19 -o4 Phone #: (503) 718 - 24-4-c CITY OF TIGARD - - , A L BUILDING DIVISION PERMIT # MST2006 -00081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 6/21/2006 Phone (503) 639 - 4171 atilt Inspection Requests (24 Hrs) (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 8/4/2006 TIME 7:04Am PAGE 22 SITE ADDRESS 1 SW ERROL ST CLASS OF WORK SUBDIVISION- CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION• New SF. OWNER. PHONE #. CONTRACTOR. FOUR D CONSTRUCTION PHONE a 503 - 590.0805 Inspection Request Scheduled For: Date 8!4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 03440501 503 -720 -7445 N Cans /Commelnstrions jp d i r L'iC' y „ j `7 C74L,2 4h/trier PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 4 CC_ Date: 7 q (0 `-C Phone # (503) 718 - v ` v 1 CITY OF TIGARD a - • BUILDING DIVISION PERMIT# MST2006.00081 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 6/21/2006 Phone (503) 639 - 4171 , 1�jl�l Inspection Requests (24 Hrs) (503) 639 -4175 ,•�i INSPECTION WORKSHEET FOR DATE 8/4/2006 TI . 7 04AM PAGE: 21 SITE ADDRESS. 11716 SW ERROL ST CLASS OF WORK. SUBDIVISION CAPPOEN ESTATES LOT # 006 TYPE OF USE PROJECT NAME CAPPOEN ESTATES DESCRIPTION' New SF. OWNER PHONE #- CONTRACTOR FOUR D CONSTRUCTION PHONE # 503-590-0805 Inspection Request Scheduled For: Date: 8/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 034405.02 503-720-7445 N Corrections /Comments / Instructions PASS I I PARTIAL APPROVAL fl CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED VO Inspector: Date. d / Phone #: (503) 718- VitL ,- t, CITY OF TIGARD _ l►'l ST BUILDING DIVISION PERMIT #: o_o% -co�/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone (503) 639 - 4171 4 , 1 yq( I A Inspection Requests (24 Hrs.). (503) 639 -4175 ..L- IL INSPECTION WORKSHEET FOR DATE TIME PAGE SITE ADDRESS / ( / (P E/ v l CLASS OF WORK SUBDIVISION. LOT # TYPE OF USE PROJECT NAME DESCRIPTION. • OWNER PHONE #• CONTRACTOR PHONE# Inspection Request Scheduled For: Date: 6 -9_9 — 'our Ti ✓ / / b O a Code Inspection Description Confirm # Co # Message V D r t /�C/V �-- - 70 2 a / Y / S orrec i /Comments /Instruc ions: • C#A IC erf/�n (--- 0 - 'ft • /l kC— O L <76 / / `7,a r&r'iz.v�' 4 S4[u4•) / 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED \\ ll Inspector: Date —zs -- Phone #: (503) 718 - ¢G / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2oo6-0o081 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612112006 Phone: (503) 639 -4171 Ake Inspection Requests (24 Hrs.): (503) 639 -4175 ... I ! '' _ I — l ' ` INSPECTION WORKSHEET FOR DATE: 7/5/2006 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 11 716 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 006 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: Now SF. OWNER: PHONE #: CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.590 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 032731 -02 503. 969 -4631 N Corrections /Comments/ Instructions: n ' ASS PARTIAL APPROVAL _ CANCEL El NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ar7i Date: 7 6 1 0,2 Phone #: (503) 718-