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Permit 71 n ���Y ®� �' '��® MASTER PERMIT COMMUNITY DEVELOPMENT P ERMIT #t: MST2007 00014 • DATE ISSUED: 11/8/2007 TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 2S 110CB -08700 SITE ADDRESS: 12464 SW ST ANDREWS LN ZONING: R -7 • SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 012 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. BUILDING REISSUE: SKYLINE555 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,338 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 2,056 sf GARAGE: 714 51 FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 2,483 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 5,877 sf 566,726.20 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: q WASHING MACH: 2 LAUNDRY TRAYS: q RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 4 • FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 2 • NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 4 MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: 6 , ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp; W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 12 201 - 400 amp: 201 - 400 amp: 151 W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: miaii LIMITED ENERGY: 1 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000* amp /volt : PLAN REVIEW SECTION 0 • Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: 4443 a ELECTRICAL • RESTRICTED ENERGY 0 A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: e • BURGLAR ALARM✓ OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 0 GARAGE OPENER:. CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL Y SYSTEMS: ■ / . This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BELLA VISTA DOMES BELLA VISTA HOMES laws. All work will be done in accordance with approved plans. This 3016 NE 65TH 3016 NE 65TH permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97213 PORTLAND, OR 97213 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 >S through 952- 001 -0080. You may obtain copies of these rules or direct Phone: '503 267 - 0192 Contact #: PRI 503- 267 -0192 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 99206 . TOTAL FEES: $ 14,502.73 • • REQUIRED ITEMS AND REPORTS . Ersn Cntrl 681 -4444 . Engineered soils Issued : ''� I � _ ' i 1..&...—.../ ; Permittee Signature : , • ell / - 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. Plumbing Permit Application Qg e)cQ g. 5 •09 FOR OFFICE USE ONLY City of Tigard 1 Received Date/By: M 14 Review J Permit No.: ZO , q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Plan Review C • Phone: 503.639.4171 Fax: 503.598.1960 4 Other Permit No.: Inspection Line: 503.639.4175 Date/By: T I G A R D Internet: www. [i ard - or. ov Date Re Ready /By: �ris: 0 See Page 2 for g g Notified/Method: 1 1§ Supplemental lnformation TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 Dq (D (4 51 A Y#Pu) S L n Catch basin or area drain 16.60 City /State /ZIP: Drywell, leach line, or trench drain 16.60 • 1 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: Project name: i tv4c4 Y I IQ4� O lC1 V " 't'j Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 1 Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 I 'LL OF WORK Backflow preventer Page 2 J'LL 0 SC- K Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER f ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain /floorsinklhub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 X CONTRACTOR Water closet 16.60 Business name: p . . (. . i w ,,,_, , l , C , Water heater 16.60 Address: 5 1 ' 2 S & • to n T - G t A 94 ve tat, (i,w y Other: City /State /ZIP: - f +zot,,- r-na1.m 0 (L q O (,a Subtotal > Minimum permit fee: $72.50 Phone: (503 ) 49 ( - 4(6 48 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: 1 ( ', Z4` f l • 1 • (R Plumbing Lic. no.: •p 4.Bz Plan review (25% of permit fe Authorized signature: - 1 • 1 • \` State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: D.,.„ . A» rC Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I t Building \ermits\PLM- PermitApp.doc 12/27/06 440- 46!6T(I0 /02 /COM/WEB) C I TY o F TIGARD MASTER PERMIT 1 PERMIT #: MST2007 - 00014 COMMUNITY DEVELOPMENT DATE ISSUED: 11/8/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110CB -08700 SITE ADDRESS: 12464 SW ST ANDREWS LN ZONING: R -7 SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 012 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. BUILDING REISSUE: SKYLINE555 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,338 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 2,056 of GARAGE: 714 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 2,483 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 5,877 sf 566.726' REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 2 LAUNDRY TRAYS: 4 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP c 3HP: VENT FANS: CLOTHES DRYER: 2 NAT FURN >=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 4 MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 12 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC1FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: ALL - ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: 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 applicable BELLA VISTA HOMES BELLA VISTA HOMES laws. All work will be done in accordance with approved plans. This 3016 NE 65TH 3016 NE 65TH permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97213 PORTLAND, OR 97213 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 267 - 0192 Contact #: PRI 503 267 - 0192 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 99206 TOTAL FEES: $ 14,502.73 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued : ' - " ' �I�_• , � .i...&_-:! 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. - won,mercial Tenant Improvement _ FOR cirricl: l J[: c_l� Auildine Permit Anpli'catio `; f , : : :, * . - _r:4' _. City of Tigard r ' r _ eved _ - 7 1 .� I Permit No „ < 7- i Os • 13125 SW Hall Blvd., Tigard, OR 97223 A I 1 ' - 20 Plan Review 1. Other Permit: + I Phone: 503.639.4171 Fax: 503.598.lg60, - DateB . • • • �l • J ► -- QI 7-1,4. +�s ^ , V ® See Pa e 2 for T (G A R D Inspection Line: 503.639.4175 � 6 • 1 G, 1 • ' �4 " e 7g ; -. Date Notified/Method: Supplemental Information g Internet: www.tigard - or.gov .- ,, .. ; _ d '1 " ,j 9 + TYPE OF WORK REQUIRED DATA 1- 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 . work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: S V4-1- and 2- family dwelling ❑ Commercial /industrial Number of bedrooms: S ❑ Accessory building ❑ Multi -family ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION • Total number of floors: 3 Job site address: ,, "4 ID „ A New dwelling area: '/84.119 square feet City/State/ZIP: on ?- Garage /carport area: 81W square feet Suite/bldg. /apt. no.: I Project name: MA , v key i' li Covered porch area: 3 . 7 to square feet Cross street/directions to job site: fik Mk . (La. '1-P o ut v / Deck area: 0. ? square feet / Vie• a Other structure area: Q square feet ( REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: vk . ki ke) E5. Lot no.: i Z Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF , WORK work indicated on this application. N Cp `S Valuation: $ 1 C q .. a� Existing building area: square feet New building area: square feet > PROPERTY_ OWNER_ I_ _ Q TENANT Number of stories: I Bella Vista Homes Type of construction: A 3016 NE 65 Occupancy groups: Portland OR 97213 Existing: j - 503 - 267 -0192 New: - 1 APPLICANT I - -_ u - CUA t. r>cn1N NOTICE Business name: V c c ,0 All contractors and subcontractors are required to be a � � licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: l> 5t■`.- `tAZ S4-, jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons Cit y 't L•�( ` � _ 1 1 4 a pp l y : Phone: ( 5b3) to-1 tJ , Lici p - Fax :: ( it • OA a6 E -mail: O% (Y' O C_t?lu. .-- CAW CONTRACTOR Bu' Bella Vista Homes BUILDING PERMIT FEES` Ad 3016 NE 65 (Please refer fee schedule) Cit - Portland OR 97213 Structural plan review fee (or deposit): .2.52?, (t) - 503- 267 -0192 FLS plan review fee (if applicable): Phl CQ CCB: 99206 Total fees due upon application: Amount received: _? �Q� Authorized signature: 47 i This permit application expires if a permit `" is sn not obtained within 180 days after it has been accepted as complete. Print name: c.,„ aJ\ hP P Date: ‘D. I ` a ' ND Fee methodology set by Tri - County Building Industry Service Board. l: \Building\Permits\BUP- TI- PermitApp.doc 03/23/06 440-4613T( I 1/02/COM/WEB) - T Building Division Plan Submittal Requirement Matrix r I n R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at i Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work J 2 (must indude location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** 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. I:\ Building \Permits \BUP- TI- PermitApp.dx 03/23/06 DEC. 12.2006 2:40PM NO. 1813 P. 5/6 r ltt..1.1naa i et lJltlac x� pp l i ca h oit 1.01: OH:IC C . . , 1111 _ - t City of Tigard Received Permit No.: I/ 37;2607 —oua / • 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review Phone: 503.639,4171 Fax: 503398.1960 DsieBy. OtherPernnhe c K Inspection Line: 503.639.4175 Date Ready/Br. Jame El Sec Page 2 for Internet www.tigard or.go't Notified/Method qa� Supplement al Information '.'. " i . ;o h' d• ;;•1 ∎!+ w A ,.;, 1, y " ,; a ' }� e 71 W M P� AT �.,. I A .' :r: t. , • 1.4, x ' 6y • � S(i ` � j " l '4, tif.,.+ .4`+o�, °' •' "• .v. I 1 § �,, +4 , .. ...0 i 0 , • ,V. A 0t.. Jt.:.... ' ,.. c t.:.! + a s ' ti 1 "t ,, 57�; . Qi el ,,. -New construction • , ❑ Addition /alteration/replacement Please check all that apply (submit lseta of plans wfitars checked telow): ❑ Service or feeder 400 amps or mole D Building me; three stories. Demolition ❑ Other; where the available fault once al%G Ines on i admymdx ii.« .. :;44:".:M;\.: :: 'A::: , + ': , a`/ ;v . ti. g os ; .i< .. �q l ti� c � 4 '' ' eoueeds 10,000 amps at 150 volts or ❑ Floating btubliegs. ,fir.m d, c,�fi_ ,�i vt ;'3: %y: less to ground or exceeds 14,000 OCommerdi -Jae eettrulteral /I - and 2- family dwelling El Conlmeroialindustrial ❑ Accessory building amps for all other installations. balding, ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. CI Installation .•'° 7S KVA of ` ' 4 41 .t• �n;0• y Sr tiilt 'v C� 4, , ", r. 7 , t;b. 7� o + „+�• ❑Bnerg�ncysystem. larger separatelyderiwdsystem. fi• •:h ii., ' :,, Ih, I'ISI'b .'!IT t i ), t',! Z U a e r u ” u r c.'• ?, y�'t „Y, ,a.., �i,n„ - t"` . . � ^ t. •; I N � � .. .. ? . C. .' � !.�^� "r,�•�+. � 'hL:�fi �� .�',t ~ " ❑ Addition 0f now mar 108d Of ❑ A , `�”, "1.2", °1-3 ", Job no.. ess; 1 ' I `, `�+,_ 100HP or more. oowpanoy 1 � rob site addr1 400`1'JWSit; riALISLA1t..A ❑Six or MOM residealiddwits. 08cctcapon4 %chide psrio. City/State/ZIP: � Oil A (,1 D Health-cam oc n 1:1 Supply ` oltal a for mom than �1 Vt•' _` El Hazardous locations. 600 volts oar dual. Suite/bldg./aptno.: Project name: �y/��1 (L//r��)y` C.. c J!r A ❑SomVice or feeder 600 amps ormms. • - a �- . ' i>� J Cross street/directions • '�'�r'�' / ," ,, 'T�n �i@f ay�a+�r iw street/directions to job site: - Y , L 1� h F.: e4: ! Y. I : :' 4 t . , t `rd fr'K /c ,K� � as; ^, 1. WRY / �?j I Its • New residential single- or multi family dwellin unit. _ .. • ► L.' - .. - - At, -.1 "t._, f Include. attached garage. Subdivision: «• J C C � ...4 LOt no.: a 1 1,000 sq. li or less I 145.1; 4 Tax map/paroel no.: Ea add'1500 sq. it or portion If 33.40 • 1 - Limited energy, residential 75 2 :vdCi fey ^':,� +, �? �� •n.. ? � ' r F ' £ '+ ( �_ ' Q( +• 1 , :�i+: " f !� . j c t� .i Wttb above tt) ��— Limited energy, (with above sq. 75,00 2 00.-Lt /5 R. residential (with boe sq. ft) , Services or feeders installation, alteration, and rr relocation A 200 amps or leas 80.3(. 2 r ; ,:. ?F •,; r,O �}4, f 'T. d ' �z inov rp 'i:'q°' i;;At 201 amps to 400 amps 106.85 — 2 N 401 amps to 600 amps 160.6(' 2 -- Bella Vista Homes 601 amps to 1,000 amps 240.6( 2 A 3016 NE 65t Over 1,000 amps or volts - 454.65 2 C Portland OR 97213 Temporary services or feeders installation, atter•4tton, and/or relocation pj 503 - 267 -0192 200 amps or less _ 66.8' 1 amps 100.3( 2 _ 201 amps to 400 i ntended for sale, lease, . a .. exchange, a di log to OR 447, + not 4 49, 670. and 701. � lease, rent, or cx 4 amps to 599 133,75 2 Owner signature: Date: Branch circuits -new, alteration, or extension, It er panel ' ,,, Gam A. Fee for branch circuits with P70 70 a:iv :4 44 Oily '' s ' A j J { ''"' PWM if �Fel*, above service or feeder fee 4 `. :i �t 5.< �{. 7� t it ��Pa'�'!!A ; ' y �r, " ' �:r,t:, 2 each branch circuit 6 ' 6 " Business mmne: 1PcCce * 111_Sjldt a wr-...o�.. ‘6A--a-* B, Fee for branch circuits Contact name: without service or feeder fec, +.k a..•_ first branch circuit 46,8. 2 Address: 1 64s 5t..0 Y � ►.a.21f...a.+,N_a.+.. Each add'l branch circuit - 6.65 2 Mlacellaneous (service or feeder not included) City /State/ZIP: ¶, "0- bi Each naanufaemred or modular 90.9( 2 dwelling, service and/or feeder Phone: (S(1) ( Fax Fax:: ( ) 41-15 . 0,0� Reconnect only 66.8. 2 , E -mail: 1 . 4 .. (0. c , __ _ ., Pump or irrigation circle 53.4( 2 40,,• ,. h4. I "., '•Irn,.'tii... •, A•7 01,1'1 foilh11• '1 . ,. ,124: A, F.: ico Sign or outline lighting 53A( 2 Business name: Signal circuit(s) or limited - ►� e n _ energy panel, eltetalion. or Ace Garner Electric extension. Describe: Paget 2 2920 SW Brookwood Ave #A - Cp Hillsboro OR 97123 Each additional inspection over allowable In an i of the above Pill 503- 648 -4552 Per n0° 6234 Investigation per hour (1 brain) 62,5( CC CCB: 121159 ELC: 34 -305C SUPV: 3707S Industrial . lent perhour 73.75 _ Supt v. Electrician �' _', i .a �: cj i<•eof ;, , ,. signature, required: ‘boi. Subtotal: Print name• ^ Date: Plan review (25% of permit fee): Slate surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: 1 1 Print pane: Date' This permit application aspires if a permit is not orda within 180 t� - days after It has been accepted as comp a•:e. I:1Auildm ' Nhnber of iospectixma allowed per permit. , \ glParaio1ELC- PamvApp.dm 0522/06 44046I5T(1 UOS/COM/WEti Mechanical Perpikit Application r City of Tigar{I Petmitrie.: S7 � —cam 1312' SW Ball Blvd., Tigard, OR 97223 — - ph one; 503.619 -a 171 Fax 503 598.1960 g CU= Penult: in I. inspection Loo: 503.639.4175 Do Reidy/Bs tom I : el tree Pad, 1 for Werner www.ti8ard.or•Sov Notified/Monied _ Boppraa®eN Adormallon p �. �iV a•,-�o ?r��- p ^1 1\ o r..ni� r. r .�I.. ,•yr•.rr;�n,r. uW •l�i -'/ r ��"x' rn.�.s ^' � {N {{�((,, r Ott, - I d et 1 r C t . J a.. l♦ `y�1 1u�J ':?'1 any { f r ,I . r, it h ` r." ,1 r 'rt:1 ° : 1 1 P � .. ^440 �e . et .. 'N.I41:tY f: r�l ... ,1_nL11vw,�C/:I.LV�rJ�N'•��L'.L -'r J '1r W:�1Wi'1 11 li .I / I1•Li[.� IJr� P."T�lr�-.i r: 1'.l',��In rul•Y,u9 rl., t' ..7/: �, ; cone0'UOdon ❑ Addition/alteration/replacement rt permit real= file ease • on the vatic Odle work • Demolition ❑Other: .. ' ■ Indicate the woo (rounded to the nearest dollar) of all 1 q� { . .a:� • enieag m wlals. equipment: labor, overhead, and profit. :/ " .uA '�'l ts �: ; r� : � ' rr 1 s: �r i ' fit " > I .. II )�� "r'{`�'1 ') •1 ,i it': r: i' Value: S . .. ... h . "�.. : • �•, .' FI C'. , 11z n`':[u/% u ;,r��1i'Y / L�. � . L } l ili 1 } - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building � "+ }� •; r' '� ,a vr� «ifd�. �; "fir`{ �. ,�' Via; For special b/formcrion use du c.trirt 0 Multi - family ❑ Master builder ❑ Other: I Q ty. Da r .';Q. n � s . ' �'�f ^•�G � �>;>Lti:r..ry.:�q�` r 'Ref{'s rir ,, K ^ � H • t Mm I Qt . - Ea. I Total { ` 1+: C's�� *� f )' r � i1 . 7: 1., d r i I 1 I 7 r,, t F '� 1.. f 3a17r1 r/ ` iir• r�: �m�sr fZ•.-. tFll�nitu���rl�"Yi�;'�fil..`r�V . , '�L 14111400v ' Job site address: , �•i Air • ndfdonitr8 br heat pomp A .. o .. •� • Duo • 'me 410Olen Awing placement) 14,00 City/Slate/ZIP: ,. 3 . •.r ,' .■ • oe 100.000 BTU (m{meMn 00 • • I oe 100,0001. BTU (dogs/ I , 17, SnitcPoldg.apt. no.: Pr0leet frame: , ` ots) Q . . • • . ., heat pomp (4.04 . Cross street /daaotioas to job sire: Du• work 14.00 1... t U6111111 H ■ oaic b�t p a am 14.00 aye dtz0aatboller (radiator or ., oak) 14.00 , L 11 l. , . Its Uoi heaters (thel•type, not elotkic), • A d .. . i is in.rct.eaapatdad, ere. 10.00 ' - Flu /vans lbr env of above I Subdivision: , , a� �, Lot no.: „�„ 10,00 • Oth•. 1 10.00 Tate map/parcel no.: t' ". .irti !. c err:' 7 �y r ,, • • • foal appliances .. l r t' � ���,� ti:::•`. �;1*). ��1iU **JAI W +t � � hate i 10.00 Des &opiaee 2. 10.00 6, ' . - `. a •• -ti ,, _.. ft•• F r ' vent for water htshtr or gra • 0 :lace 10.00 „Lo I li;htar (gas) 10.00 We.... len DtQve 10.00 Wo • . &enlace/Jgsort 10,00 , !, r ' : it jCtF ,, ?1;. l,Y I q � ( j,tlll ' ; ) , , r .�n` �c{L, ♦r �j'} r+ � ,j( '/ tr, „ ` .- ;' rlitlatinlicAl" t 7 /: ,+ti�Jei.\A tra I..N ter e.. '..,- .'- • t. L ..) 1,1 l at �� ..u � ii uf, ,gs, p � ronol r� .I i aY P �++1' - � �.OQ' •.i _ 10.00 En Bella Vista Homes , ' eno�' m alpl and vgadltlgon ° 4' 4 3016 NE 65`s I Ranaboodlothic ' . NI ' ' alt . 10.00 1 Portland OR 97213 I C ...es dryer ., . 1 2- • 10.00 I 503 267 -0192 s • I odbat exhaust ■ • mrooma, � toil.. emnt�rttrwmto. 4tIlfy robots) 1 610 1, 1 ..`�'` ,• - •' "PI : v • . .,.: r„; n era. ' . e /.v awe •r•.m"n , , v, 9'•: •r. ge�j1't :.Il Mid - cm'a4apeea tau ...10.00 )Q.oO a.. ... �...{ .■•■%ti`! Ale 1/1011111 Comact crone: G• _ . _ Sielfor drat taw; SIM 1. r Pena sdditioaai Address: - _ ' 0% al a e 1 -A.�. .t, ...‘ .. t. . , . - an ;it pggo �. p City/State/ZIP. , ee •I t " 1 • - W: : Jppndod niltheater • • Phone (15 41) . m r • Fax:: ( ) . . 0 • i W. • hem I _. E•mat7; e a . - C.SYY`" . — .-... 2 n �� ry �y ..V&71-,1, r ' - I� •,y ",�w. ppr� �.•l _ .I _l I t: . 1. I: ' ; 1 �•• 1 l ,, r,.. , �F' ^ I — MW � .w .. a1`� rfLd:l,,.L.' vRvi.�l._i i }l,i 4 'U u. :,lL 1: : t i y • ; l H . 9 � d'r.l 13 Advanced Heating & A/C l CI, , es drygf,(4s) 2- . A 5825 SE Foster ' - } C Portland OR 97206 4c + •• I I . +'r}'e r.' E Ft; 7 ..�4% "'t'i P� 503 - 774 -0161 • 503 - 774 -4391 ltnrna t � Pd A CCB: 98573 Plan review (25%ofpermit eta) • State eotrbarge (8% otparmf fro) TOTAL PERMIT )? Z1 Authorized eignatltip :4 "'e--- - n potadt ippttarlloe apt ii a permit is not t:)reimea within 180 - days Print name: /'9,97T 'TN96 4 /r•,!= Date: ' ' * 11 . rn a Ott has stern sre.p< i b sea Se l Z. i� /pig sy br'�+ Building !Manly 9ervi« Board `' — Ed Wb81:60 900E 21 ' °era 8SE6 £18 £0S: 'ON Xdd 9NIltSH S800ti1: W021d 0-cro i it. , . /15 rd-66 7_ Page 3 DEC 12,2006 18:54 . ,. : D_,. 12 20(i6 2:32PM NO. I e '1 • P. 5 . , • Plumbing Permit Annlication 1.014, (14,1.1( t. t .I. i)N1,1 1 City of Tigard u.a....1 Peach No DaddRy 132 aw Rail Islvd, Tagard, OR 9/223 rlim figniew Phone: S03.639.4171 Pox: 501.5081060 Ohr, Pamir No.: - ric.;, , , En DnetBy: inspccdOe Lin: 503.639A1/5 Vote Rcw.tyilly: Juat 61 3r. Nee ; for Wallet Viww..tigard , liotified0deakee a . .., , II? (armadas j . . :.. . '...% .....:. • ,'' ..1 :. ; • ...: . 1!.." .. : ' ..:. ' :I . . : • ........ i ?;".4,. 'A,A •. • s.,!.. , •, ;1 • • • „:" . ..c.l." : '4" . &c..',..f.',t l e . ''' • ..: . , .134,k !...1....t...-r. Vt-New cone, =don CI pcmolitkat sperlal riffprmatiaa we check:It — - For on Total _ 0 Additionialterationkeptaceman T Li Other: New l-2-fatolly dwellings (includes 100 II Pr awl Wary e.ounealen) ....• "'"' ' 4 ' . ' •••• - .' 7r- fOiriikijiica ir r • ' '•• Ali. se.40.4.1. -,, 1. • : ,.: %, n• ' .. ...:.' • .'•:: ::'• ''......•.:;'-' —7, • . . •• • -.`F. °., '11 '.!: " mear: cel"'.',.-.;:" SFR (l) both 2:9.20 -and 2-family dwelling 0 Commomialiindustrial SPR (2) both 341).00 ......._____—_, Aceor bu SFR (3) bid IL essy dding 1 I muistamay _ ....._._-- .. Each additional bamitnebeo I t:1.00 CI Mager 13124C7 El Otka: : '""7-7-•—•7-,-.,,,__, .. .. .. ,•,•mr:•••Te-.. .-,-.-e: • „y , - .„. . , \ .,, , ,,,, ,... ,_., Fire apnalder (___ sq. It) P9e2 _..... ._ '!.• ' `.'::, •"..t.:••••• ,',",:f0/41.'n.'.',11::R ..R`V,nd?P 70.00tigfiVt'...;7` '; m t am es rob sibs address: 0,111, ti 5 . , ..... a . . Ugh basis ur am drain , City/Stater/IP: !: 1 •., LI I II ,,, DePKIL leads 110c, or trench drain l ...60 - . '..60 .... . Suitethldg hart ob.: Project mum Poo* drain (um linbu fl: ___) _ Nee 2 m m oh.. --.• • •' ' .A Manufactured h nark* I LW Cross street/direcnons 10 job site: I • _ — II, • ,• ail rri .....__ Minimise : -:.60 ,.....„ __ Mu drain enanceks 51.60 Sanitary sewer (oo. linear ft: ) Peve2 .I.■......,......................................... Sobdivisicm. A . SIDIM emu (ea. hear ft.: ____) Pi.:3c 2 . ■ 0— , I °-: il Water eervice Pp•c 2 &line or item Tax map/pared nn.: L. 60 . .. , • • ...., . . , ., „.., .,, ... . /.•, .... ' :-.) ..t.(..'i• :;• • Baddlow punter Fa 2 Mahe waster 2 I ': Dishwasher _ i . . • . Br I-: , OROP:41kr**E1WrIllthr' ,. • - ''' ... •?■5•>•.r .;: tio ,,1,„ isling Smola I.' 50 locronsistypp In 50 . Bella Vista Homes xpainioo cook 1o50 3016 NE 65th balltesewer cap 10.40 . Portland OR 97213 taw draionloor aids/bob It..iu 503-267-0192 iarhage disposal . .....L .. . lose bib --7— 2_ te.f,0 • Ice truka I if 14 Business name: _ Illarceraarformsa trap I( IA counter name : • .—..___.- , Median gas (value: !. )....... ,, Sll Address: \ , . Prime 16.1:0 d. __ -_.:x. • . City/S1 ate/1P: „ ,. c 2.4 Rani dram (commercial) 16.00 _ .._ .. Phone:( • a ) . 4 1 % „ Fax : (Sb3 ) ti • ' • Sink/basinaavatury i6 t 0 Tobishowor/sitower pan 16 SO : 16 40 7 ', • ,..,,..- . '." .:,;, '....'. ''''. ' t ri l; . t; '• ; •. " ..Z $ . 7.- . 1 ::■ . .,;: k •••• Wtheter-el---"---oset 41 10 63 Crystal Clear Plumbing LLC , Watt:Hu:Eta i 161,1 17014 SE Naegeli #3 °dam I .. . Portland OR 97236 Rat/rota I 503-442-4284 Mialinurn permlf fee; 372.v1 Rialdindoihaelt flow retnipum permit fez 536.;:tt , CCB: 167501 PLM: PB37 Authorized signature: , i , — :61/■.■ A :t•,,;;;Y, .....- . .‘ Print iv/mut: ‘ ..,-iik _ , , I Plan Review (2 5% of permit A.e) Stare Elm huge (6% of permit fe) e. TOTAL PERMIT MI: . ..Defe_ ...7...1... : - i This permit applke __a mate, a pertai ba co Ala 10 180 days after it boa beeo accepted as cumpirre. 'Pee methodology set by Tri-County Building industry Service Board. lxiwildletioomoroomr-ramanap.ao 04MWEIG 400461670 WD24111041 111111...MIIIMINEIMMIIIIIII=MMENIMIEN—__ 2007 -11- 0921:04 » 5036243681 p1/1 q I T ur I IUMMLJ ' COMMUNITY DEVELOPMENT T `= A li i' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE CRYSTAL CLEAR PLUMBING LLC 17014 SE NAEGELI #3 PORTLAND, OR 97236 • Permit #: MST2007 - 00014 Date Issued: 11/8/2007 Parcel: 2S 110C B -08700 Site Address: 12464 SW ST ANDREWS LN Subdivision: MOUNTAIN V IEW ESTATES Lot: 012 Jurisdiction: R -7 ' Zoning: TIG Project Name: MOUNTAIN VIEW ESTATES Description: New SF. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503,624,3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BELLA VISTA HOMES CRYSTAL CLEAR PLUMBING LLC 3016 NE 65TH 17014 SE NAEGELI #3 PORTLAND, OR 97213 PORTLAND, OR 97236 Phone #: 503 - 267 -0192 Phone* 503 - 442 -4284 Reg #: LIC 99206 I,IC 121159 LIC 98573 I.IC 167501 PLM PB37 AN INK SIGNATURE IS REQUIRED ON THIS FORM X �- Signature of Autlfori d Plumber Name (printed) 3 CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE GARNER ELECTRIC 2920 SW BROOKWOOD AVE #A HILLSBORO, OR 97123 Permit #: MST2007 -00014 Date Issued: 11/8/2007 Parcel: 2S110CB -08700 Site Address: 12464 SW ST ANDREWS LN Subdivision: MOUNTAIN VIEW ESTATES Lot: 012 Jurisdiction: TIG Zoning: R -7 Project Name: MOUNTAIN VIEW ESTATES Description: New SF. Your company has been indicated as the electrical contractor for the permit referenced 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. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BELLA VISTA HOMES GARNER ELECTRIC 3016 NE 65TH 2920 SW BROOKWOOD AVE #A PORTLAND, OR 97213 HILLSBORO, OR 97123 Phone #: 503 - 267 -0192 Phone #: 503 - 648 -4552 Reg #: ELE 34 -305C LIC 121159 SUP 3707S N INK SIGNATURE IS REQUIRED ON THIS FORM X a . �/,� 1- /° L 4/ii•oi/ a7r Signature of Su ervisin Electrician 'Name (printed) SUP LIC # 9 P 9 (P ) City of Tigard, Oregon • 13125 SW Han Blvd. • Tigard, OR 97223 • L � N T EGA - RD i ; ki RESIDENTIAL PERMIT APPLICATION REVIEW Pcnnit \nmI,cr ►► � di o rb 1)1 c� - - MRVH. 1 \ ddit dliMPIRIMIMMEIL . �. .. (.ont:tct \arnc t(i\f-‘ �Fncr i, i rc I State I I Zip I As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. k The application is complete. The application is incomplete for the following reason: I I The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. I 1 The submitted plans cannot be reviewed until the above information has been submitted and /or approved. I I The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions please call Loraine Williams at (503) 718 -2708. du) Name of Plans Reviewer Date Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. II ■ 1 : • BUILDING DIVISION TIGARD TRANSMITTAL LETTER TO: L oy r 4 %---e-\ ar- DATE RECEIVED: • DEPT: • BUILDING DIVISION • . R FILED `�, JAN 1 7 2008 FROM: • LQ 1/4.�) 0 C�r,n CITYOF WAND COMPANY: C Er 13U1LfINC©n IQN PHONE: !�tl•�si•t�t��ci-. N By. RE: (Site Addre } (Permi a s e - Numb er) ��� i (Proidct name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEM ■... Copies: I Description: 'pi: • Description:. . - Additional set(s) of plans. Revisions: • Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: `, FOR OFFICE USE ONLY 5i ted to ' - mit Techn -' •n: Date: • • Initials: Fees Due: ❑ Yes KNo Fee Description: Amount Due: / $ • $ . $ $ Special • tx tiorrs Re rint Permit (per PE): ❑Yes 111 Done pp 1 1 . it e: Initials: V_" _ . • I: \Building \Forms \Transmittal Letter - Revisions.doc 4/4/07 t i 5 Tx/6 7- cr.) I if I: ALDER GEOTECIMCAL SERVICES, INC. DATE JOB NO. 3910 NE 10th Avenue 241 1/431(47 - I PORTLAND, OREGON 97212 i PROJECT I L01 2. J14 T. V e ---- LOCATION • (503) 282-7482 FAX (503) 282-7402 TO CONTRACTOR OWNER 1?)- ea.4 -vi . . WEATHER TEMP. o at iF e oat - PM PRESENT AT SITE IT E - goK‘87 F A)n 6.ifyv THE FOLLOWING WAS NOTED: f_-=:>ee-lrVit-7J > VISITEt 1 n)6,'t-Va F 1-Om-7J Ci F' Poor/A.)6-ns. "RC-Lit/I V To u r s A 14rY1?-1 Pte. • rtycyulDn-rolu.s _cLo70/11.)6— r Qs' Y _ -2( (-fil/A11540 .5_--re5Ps • bcf:t.)6-1-5._ 1 /L' 0-7z- tiu l*f i irt5t2. /,oc_knn Get) 14 4 M-Pr' Gips UAZTA. orb/2 sAl CSt ittN-Art-Z?\- r F Kn\- . T E-- F--00,0/0,trietio t--fr4-s Ti2 I e `112t pk-c5&L-EIA/1 P L'ou ei\- ftV on- L 1&Ji WO- 7&& V5 Li IP , - rts15 AveJO 1 0F 6 v ) 1't4.' a 1p 1J I 0-fo Th M alb I F Cw.4-77 OUS ler ?Duey eit Ok.) P Livu 1A141) lb`i "114 FOutu 601 itErt,F) F - u or AlkE ACT SOrric:-jUr gA iv mr- - -Trdret; P 1-5 rurr C) 22 7J - fl 0 )440v E A-7,) 0 I A E. (.471m frfet Tvte Abt oetk) P-Z-c-r 4i4 (Dt,t te:E:s 1 1 12v) - Lru g: COPIES TO C) REIPOWE SIGNED ei r'rP r"roTrekw CAL srR'f!e S I DATE JOB NO '' �'� .. 3910 NE ^' _! 210th AvenuPFCsv e ( c.. ._-C -' --. I F 7 Y 2 , c j!�TLJY -! \ ✓, Vlt -,�C1L . .}-, PROJECT (503) 282.432 2 vim C. � ,.. LOCATION FAX ',503) 2C2 -7402 v' CONTRACTOR OWNER TO ` WEATHER TEMP o at AM 0 at PM PRESENT AT SITE 3 ifj Sir— - _- THE FOLLOWING WAS NOTED: a...... . > (l) - T Li 0) (\) 5 c t, F- t & / pv C,-- E c -e C 7 S Hot) 1. A 6ff " elf) F j 61J dF--1"7 o. /11' S (: ,u/c) • ✓t" b P -(..mt-aro F cA.) 0d 7C9.-u Iuu. a 2 l.,u I Q) -- )c., t P . `1Zii c.a< �' `41 A. L + �-�J L) lP i k)t 4O 9/J .SL 6= 6�� L)' A ' 7 -A)C -- U - c)f\-) n Pt omits , Y1 e 7 A II E /v8 -- 9 & /A16- T r '` bp ruo --`_ -Pre V s` V c-`ru2 2 . `T --/ Ie- / 4 )`m 1 --- / 5 > u. c .' Ulm 114 " 4e is (' Ti L-.T7 iU(, - '-D,° i)b- c3 F Urt)lhO 7Q,&)S % 0 <<1 4 ti - : g (tI� v -0_7‘.-- 2/ us r Z3" IP GC 06€711] J ,).` 1 ' T J 1 1P-- Fz2r3/ - 17 - k S Z- `its 25 -UA S l E a9U Sri( Ppet , - rii L am - L 4 7 kU c - ' � (A-/`U El-- L/J / L-1._ 166. 1) Vf _ i / A) c / fr ) C , 0 , 444 - - - - "IV Teal . a — •.�� C' l 1/27E; P r r C.,- ,s SE--) 04 v1/1 A) -- Z- / ) 'L> C 7M-1 P/1 / - i COPIES TO ( ^ ( ) �— (-1 EtUF IIJZ,,]D RE POO It1 ,i j.) 452-6........ 6,....._6,....„, I SIGNED 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 - IS' 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' 46.40 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $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 $1 0,000.00. 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 Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit 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: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower r ❑ New exterior plumbing site utilities for any complex structure -Jacuzzi/Whirlpool as defined in OAR918- 780 -0040. -Jacuzzi/Whirlpool Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Stall ❑ Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator El Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory *Note: If the fixture work under tk d this permit results in an - Bradley p - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i.\ Building\Permits\PLM- PermitApp. doc 12/27/06 08/05/2009 14:21 5036425815 ROSS ELECTRIC INC PAGE 01/01 l cif Electrical �erm>it A p licatio> „ ��,. ,' , 4m, i� � , I~r' r,, r � . ..,,,:,,/ p , ,� ,, „ I �o h is q d . 4'4; JY ,r at'a ,urn fig � �� � a� r�lK �Frrt�� 1'S fl'VL � � r;W , .�� � ti ,l ,� - ,., use' ^!'c e w . . "r r . .,., 1 _ni•. : ile l r i.,1, -, ....a� c c ."n �,: � 6 " � �' r ry l f ,� � a� �'�� City of Tigird 8' 5' 0 I ARC ^'J, .. it Permi No.: �s7 Zav OC�GI 4 ri 13125 SW Kall Blvd,, Tigard, OR 97223 plan Review 4.' Phone: 503.639 - 41171 Fax: 503.598.1960 Dateipy: Other Remit: { ',.'...,:.,.'..4,e1 Inspection Litre: 503.639.4175 Date Ready/ ay; ,! G A R D 15Y: 70r1a B Si e Page 2 for Internet www tig'ard -or gov Notified/Mct Sk g � .� j 1, - tt °^ - a - Ir r--- '-T77- Pp)etneatal In formation ilif tt,f ,aiL'Y.i.: wl'i...d:,IJ'.3; ll ii ,(. t •, t J , '‘'44P f di',I ... th , ,.. Ltd i; , 1 -; tric t . ".‘14 .. 7+ q' , a' THm S te • � i 1 � u, :i» r , , di:arniidfi1;10.:Iti7 y CUl : ' i.Y1�l,h i 1 - . ' : i .11' .t�.`l'I. S j : v i ; .0 4 0 � t ( LL ) . . I , -T n .c %5∎.: ti ` ..ki 1 . i ' o New construction 0A. ddition/altcration/replacetnent Please check all Oa' apply (submit a sets of plans wftesn checked below): O Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: �' l r� t ! i i • � ' nt s>. l14 l d i 0 ° a /' a � " ' ' e fii iBNl ;; a , y n• m, where the available fault cur rent y �� 0 and boatyards. *. JI .,,1;; 7 ; - • .� + _ 't"_ fl ' . 0 4i -- .. 041. v I i -• 1 ' exceeds 10.000 amps at I SD volts Or 0 Floating buildings. ',0 Commercial /industrial ❑ Accessory building leas to ground, other or exceeds 11,000 ❑ Commercial agricultural ❑ 1 and 2 family dwelling g amps (br all other iltstallatioas. buildings. ❑ Multi family i❑ Maser builder Other; ❑ Fire von • is o ��,, t bild ❑ p P� O1nsMiladonef951CVAo� T e '• .' t -s:, T , rrW'�1' p','' -TR r 1 „r ❑ Emergency .seam, is 771,4' „ •iral f� X1 "d °1 ....414...... a Ili.. ' 'I'd: ' ` 0 * I ca`�I 1 i�L�yioa�u� d +R'a�11:�-�, � ' tt n i 1i„ �if te i pi ; � '� � {i ''-' ::�� t'Ber separately derived spiel ;:; ❑Addition of new rooter load of (] "A" ••g^,', 2' "'t -3" Job no. Job Site address: V • 100W or more. occupancy. • - - • 0 . ._, ID Six or more residential units, ❑ Recreational vehicie parka. City /State /ZIP: ❑ 1-leahh -care facilities. ❑ Supply voltage for more than Suite/bldg./apt. no.: Pfo 1 i 01 rdous iocationa. 600 volts nominal. j act nanr►e: �cL lLI(1 1! 0 { Service or feeder tine amps or mote. Cross street/directio t 4 i t , �' 4! ' i T ' ns o job site: F•i -,j 7`� m.i,.. :I :il' : i r'� :M1' n Description Qty. Fee. total • New residential single - or multi - family dwelling unit. l Includes attached garage. Subdivision: I Lot no.: 1,000 sq. 1t. or less 145,15 j 4 - Tax map /parcel no. - Ea. add'' 500 sq. R. or portion 33.40 f 1 l r l n. ,; i ,; '' - ,nF «: 7 igv a, r,l r t u;} i: , lz.. t.. ,,; s °•- ,. %,. . ;' energy, e s residential 75.00 2 'd;r:� i ar ,` ,,,z ' �ll� 1 D. v�. Limited energy, multi- family • ' .. X1 residential (with above aq. ft.) 75.00 2 Services or feeders Insttulation alteration, and /or relocation l tI "Tf^ � , r, nw ,° Q 200aro amps 2 �, " F';. a �'�trf + �, il. l 6 i �f*•..._wt { � ,�iA� - ^ ��ii'�'�P^" fi P 8 0.30 111.!M:'`+ - .'4 .1,a ∎i�t.t. , :1' , :bleu, i;1, .,?I1 !r,,': *,,1 1',r , , s � E'� .l' -6, `1,1 :"n ;` ' 201 amps to 400 amps _ 106A5 2 Name: 401 amps to 600 amps 160.60 2 kddress: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 1111 454. _ 2 City /s a /zJP: Temporary services or feeders iostallation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that 1 own which is not 201 arnps to 400 rumps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner sigflature: Date: Branch cireuib new, altcratlos or extension, per panel r l I ( '`- tl'.1h1��U l r mi , 16 1wi1 "�rri. C - P SRI t �� " f`t1 *' = ';" Date: y E„uµ a �F „r A. Fee for branch circuits with • ,.., lti _.1 ,,.,,&, I !, e � .4„1.00 "" 19, , li �� l 1rttf.l Y d } ttr27. i2�9 .1 F,+,.., i . )4 '•. �t1 i! � . above service or feeder fee, each branch circuit • 6.65 2 Business name: • B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 - City/State/LIP: Miseellnneous (service or (ceder not included Each manufactured or 'nodular 90.90 2 Phone: ( ) F dwelling, service and /or feeder Fax: � ( ) Reconnect o only 66.85 2 Email i { i 11;11;i1. Pum , or irrigation circle 53.40 2 ,�. : 1 :x, . l., '. i K , ; t l E nl f " 1s V7ci li iV bfkai tTi i1. Sign or outline lighting 5140 2 Business name: ;Ross Electric Jae. Signal circuit(s) or limited energy panel, alteration. or Address: 2670 SE 75'' Ave extension, Describe: Page 2 2 City/State /ZIP: Hillsboro, OR 97123 Each additional ins , action over allowable in a , f the above Phone: (503) 642.2800 Fax: (503) 642 -5815 Pa inspection II 50 • investigation per hour (I In min) 62.50 CCB Lic.: 15789.1 ( Eltttrical Lic.: 34-436C Suprv. Lic.: 7232S industrial plant per hour Ili 73.75 Suprv, Electrician signature, requ cr,21 ' 1 244/0 rid a'11'�t,. :, . ! „�, ,' ' ' � i , r 1 1 ��....JJ�� Subtotal: ,. Print name: Stephen Ross Date: 01/15/2009 Plan review (25% of perm1 fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Date: ~ . This permit application expires if a permit is not obtained within 180 days otter It has been accepted as complete. ' Number of inspections allowed per permit. tmeadinstramiinet .C- PmmitAssitec 0503/0b eao.46i$T(II /05 /C0M/wZO Mr 15 09 09:48a user 5034775549 p.1 - : 03/13/2009 14:58 FAX RECEIVED i 001 Electrical Permit Application MAR 1 6 2009 FIllt or F. Ick: tisr.t.)r.40( City of Tigard _ _ Received Perroit hIci.! HyrRec? —00/ AR Daie/Bv .1,1 3125 SW Hail Blvd., Tigard,. kt. O 97223 C ITY OF TIG D Plum i.teocw Oilier Permit; _: ._'_ Phone: 503.639.4171 FHX: 503 .59S. 1 2.6 DIVIS1011:1 Judi: F.I Sot Pre t for "MARI} thspeerinn Line: 503.639.4175 B ILDING Internet: www.tigard-Ongov Nod tled,44e(hod; - Supplemental Information - .. . .....,..... •-....• . '• .:**.„:•:„•:•••.,,...;;;;,;:,.; , -. : :::-.-:•,!..•. :••.;•2,-- - ...,:r:• 1:..i..::•,.•-... .1 . ...:i:: . ...::-..-•:.:.... -••:'..i.•-•.!,-Lri:*-'-4EYIY1'..".'!"::,'..::•.• . •••-•••',....,.'.. ''''.. . ...... . .. . . .,.. .. . .., .. . .. . . ,.. ..... , ... New construction DAddition/alteration/replatement Ple.nce cheek nil Oollapply Caohm it ageta Of plans wfiterns checked below): ' ID Sesviec or feeder eon snips or mom DBuildinA over toe: sodes. L3 Demoiition 0 Other: win's: the fra il abl• atilt waren! Ehlarinas and boatyards. eseeeds 10,000 amps ti I SO YOU Of 0 Fwati b,ildi. sA.TBroarkif):::,0E;CVNISTRITOIME:; . ', .. 1 , : ''''Hi.;;;C:.:. lass to ground, or exceeds 14,000 [I COMP ftrcial-use nee:Mural ›(1- and 2-family dwelling l: Commercial/inanstrial 0 Accessory building amps for all oilier illstallationS. hoildlogs. El Multi-family 0 Master builder El Other: ID Fi rc pump. El fostallation OC 7.5 KVA or . CI p,eriergettey system e larger separately derived system. - ., •• - •• •• : • : •••'- . ....,.::::,-. .......,......., • --:-.-: El Adiliiion of nw motor load nr lourIP or more, occupancy. Job noi -; Job site address: iz4 - w • Ill,. .I.*.. - i * El Six or more residential units. D Recreational vehicle rxdo. City/State/ZIP' () - P 2.2:41 1:111e4Itit.care fecilitie, c s vonege Ii mo iir no than A 43 4 0 Hftlo ut ocations, see 'eIi s Ante:mi. Suite/bIdg.hipL no.: Project name: 1,04 a servicc or Rear 600 amps or room. ;;;::': ., " .•...W..0 2,'.,: :: . Cross street/directions to job site: * di 11;ip p . . il U. . s. ,!. —4 g. A liall ' Defer Hs a • r, PC.- 'rent: ' ' New residential siNle g q-0 - or multi-faintly di dwelling wilt _.. . . 1 ICA 4111 i , Via II a ' includes attached garage. d Subdivision: Lot no.: a . 1,000 sq. ft. or less 145,15 -. 4 . G Tax mapipareel no.: ::::-.. , ;1:f -::-•2;:!. :.:.:::,.:;:]...;•;: iii:::...-•::::PE.sClq.011--WiiF.W9T4C (with :;'''',' - • ; : - -.. , ,.!;: .; . ';'::;.-;.:- . E. add'1500 sq. ft. or portion Limited energy, residentia / th shove 33.40 75 2 ,00 • 1 -\-- fraOl -- tAii_5 c,0 --hp I Limited energy, multi-family I rgN idenrial with above .. a. 75.00 III ,. , S try/ c is or feeders installation. alteration a nd/or relocation e.A. t s-HIA.,5 pe._r 14.4 Ii— 200 Ararts or lets 80_30 MAI ... . , .. , .... ... --- • • „::,:.."::: k0)304. .. ::.:, .. 7 .. „.,..:.,=:... • :: . ,„..„.:,:.•,'.:. ,.., ; .:*,,..,:"...., ... ... 201 amps to 400 amps 106,85 Name 401 amps to 600 LIMPS 160.60 1E11 - * ' 00' ''" A L Olkb AA ' 601 amps to I ,006 amps 1.11 240.60 Ell Adclress: - 5tC) ,, p +11 Over 000 amps or volts 454.65 2 J■1 City/State/ZIP: r ag , — 4 , 0 ' 2_ J Temporary services or feeders Installation, Alteration, a ildinr : v I relocation Phone: ( • •• 4 ttirl Fox: (50'3) is. ...2 e .,‘ 200 amps or less 1111 6:5.85 1111 Owner installation: This installation is being made on property that I own which is nal 201 amps to 400 amps 100.30 2 I intended for Rale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 claps to 599 amps 133,75 2 Rea neh circuits- new. alteration, or extension, per panel Owner signature: Date: A. lice for branch eimitits with . .. .. . . . • above service or feeder fee,. ' ' :;:. - :-.1!,i !,,,,. • ••:•:;•' - 1=1;:i , d 6 N- 161 PF*.PN.....:;:::-:. • ....... Business name: ' . each branch circuit B. Pee for branch circuits c wilhout senAce Of feeder fee, 6.65 2 46.85 2 Contact narric: first branch circuit &Leh addil branch circuit 6-05 2 Address: Miscellaneous (service or feeder flat inciuded) City/Stale/ZIP: Poch manufactured or modular 90.90 2 dwelljn• , service arid/or , * Phone: ( ) Fn: : ( ) Reconnect only II 66,85 2 I E-mail: Pump or irrigation circle 33.40 2 ::::• • ,:.:::.:::::::.: r . :. Ji : .:... :':::::::: , ,::::: :" .. :dr*TRACTOR ■...... I: : -: • ! • .. : .. • . .::::.'. ' . .:‘...:.*: .:: ::. II.1 53A0 Sign or outline lighting Signal circa ii(s) or lirni tad Business name: ki / i-,:. 7 L-7: k c..-/-iti c L Z. C . energy panel, alteration, or Address: 7• 7 9 $E 6 5 ) v el g i f a ii d 5 m tension. Describe: Page 2 City/State/ZIP: /yj /wa u /0 e_ 3 A 97 2_Z 2- Each uddittoaal inspection over allowable in nny of the abuvc Pcr inspection 62.50 Phone: (503) . 5 - 1 9 - /559 Fax (5i23) t1 7 7-55-5'9 . investi per hour (I he Illin) 62.50 icicle? Ccts Lie,; f-'$76 Electrical Lie.: 6 t75'3 Suprv, Lic, L/./ t../5'3 Industrial plant per hour 73.75 ' .'•::•:".. Suprv.. Electrician signature, required: 1 Subtotal: Print name: re A 54-a v c k- nate: 3 to 09 . , Plan roview (25% of permit fee): — .irstc surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: — nits pewit aolditnlian explras IS mu permit Is nil obtained With al 150 print name: Date: clays After II has va accepted as comp/etc. "-------- • Number Of iolpertio in allowed per permit ca.r,,idiugtpenaiiesw...c-renrei.sep dot O512.1f06 4•0.01511 i ii0SaCOMAYalS • • PERMIT NO ®V crit. CleanWater Services 0„,. 0„,. ('r)i111111;1iCio is clear. LOT EROSION CONTROL INSPECTION REPORT DATE,-2/ ®0 INSPECTOR., (/ /V <97/9 SUBDIVISION di/Vt e OWNER/PER ITEE p,f /? SITE ADDRESS / , d APPROVED FINAL INSPECTION THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. - A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THANK YOU FOR YOUR COOPERATION! INSPECTOR �r a,9 �� _ A� PHONE • HOME Certified, Inc. Monitoring Report Customer: RWC Street Address: 12464 St Andrews MC Goal: 18% Start Date: 11/1 Sales Order #: 10429 /3 3 Subdivision: Lot/Unit #: City: Tigard, OR Completion date: 11/11/09 PO #: Cross streets: Site Supervisor: Bob PH #: 503- 319 -9079 Cert Expected Date: Price $: $500 Date Moisture Content Readings 11/11/200913:45 13% 12% 12% 12% 12% _ 12% 13% 12% 12% 11% 11% 10% 12% 13% 11% 12% 10% 12% 13% 13% 13% 12% 13% 12% 14% 11% . 11% 11% 18% 11% 13% 13% 13% 11% 14% 13% 10% 12% 12% 9% 11% 15% 16% 12% 12% 13% 11% 13% 12% 15% 13% 13% 12% 12% 13% 13% 14% 12% 11% 10% 11% 13% 13% 13% 10% 11% 9% 13% 9% 13% 14% 13% 13% 12% 13% 13% 12% 13% 12% 13% 14% 14% 13% 13% _ 13% 14% 13% 13% 12% 13% 8% 11% 14% 12% 12% 11% 12% 12% 13% 13% 12% 11% 11% 14 %. 13% 14% 13% 14% 13% 15% 13% 15% 15% 16% 14% 15% 15% 15% • 14% 10% 10% 13% 15% 15% 15% 15% 14% 12% 14% 15% 15% 14% 13% 13% 7% 14% 12% 15% 13% 13% 13% 14% 12% 12% 11% 15% 13% 14% 15% 13% 14% 14% 13% 15% 14% 13% 15% 13% 15% 14% 13% 13% 13% 14% 13% 13% 13% 15% Crawl Space 11/11/0913:59 13% 12% 12% 10% 12% 13% 13% 14% 15% 15% 15% 15% 13% 12% 13% 13% 14% _ 12% 13% , 12% Livin s ace E ui : Pulled Equipment Pr..insuYeon mobMe Inflow (Frans *vim): X Notes: Crawl teat gldrying: X Floor testing/drying: Water Damage: Sneetrodt drying: Stud scrubbing: • Certificate of Moisture Content Other. Electric heat: Visitatiiion q Contractor signature: "-' Date: • 11/11/2009 Customer signature: om Date: 11/11/2009 Curt Kaupe 11 See teens & conditions on back TERMS AND CONDITIONS 1. Access to Property. Customer grants Contractor, and Contractor's authorized agents and required by any federal, state, or local govemmental agency because of any Hazardous Substance employees, full access to the Property to perform the Services. Customer shall be responsible for present in the soil or groundwater on or under the Property, and sums paid in settlement of cio s, moving, as requested by Contractor, all furniture, wall objects and other impediments to Contractor attomey fees, consultant fees, and expert fees) which arise as a result of the use o1 any chemical in performing the Services at the Property, and shall bear all risk of loss or damage resulting substance by Contractor or contamination of the Property therefrom. The term "Environmental therefrom. Customer shall provide, at Customer's sole expense, all electricity necessary to operate Law" shall mean any federal, state, or local statute, regulation, or ordinance or any judicial or other Contractor's equipment. governmental order pertaining to the protection of health, safety, or the environment. The tern 2. No Home Solicitation. Customer acknowledges and agrees that Contractor's agreement to "Hazardous Substance" shall mean any hazardous, toxic, infectious, or radioactive substance, provide Services to Customer (the "Agreement ") was not entered into by means of a home waste, and material as defined or listed by any Environmental Law. solicitation, that this Agreement does not constitute a "home solicitation sale" as set forth in ORS 9. Force Majeure. Contractor shall have no obligation or liability whatsoever arising out of or in 83710, et seq., and that Customer, or Customer's employee or agent, initially contacted Contractor connection with any delay or failure to perform any Services, or any loss or damage incurred by for purposes of obtaining the Services. Customer as a result thereof, if such delay or failure is caused, in whole or in part, either directly or 3. Payment Terms. Except when cash payment is required in advance, Customer shall pay indirectly, by act of God, fire, war, riot, civil insurrection, domestic or international terrorism, accident, Contractor all fees, costs, and charges owing hereunder in full within thirty (30) days of completion of embargo, govemmental priority, shortage or failure of supply of materials, parts, or equipment, the Services. Customer shall pay a late payment charge on any amount not paid when due equal to strikes or other labor trouble, decree or order of any court or government, any unknown condition of 1.5% per month of the unpaid balance, or if such 1.5% is deemed to be unenforceable under the Property or any structures upon which Contractor performed work or Services (regardless applicable law, the highest late payment charge permissible under applicable law. Customer shall whether such condition could have been discovered), or any other occurrence, act, cause, or thing pay an administrative charge of $50.00 for each check that is retumed unpaid. beyond the control of Contractor. 4. Exclusive Terms and Conditions. All Services rendered to Customer by Contractor shall be 10. Right to Lien. If Customer fails to pay any sum to Contractor when due, Contractor has a subject to, and govemed solely and exclusively by, the terms of the H2OME CERTIFIED, INC. statutory right to place a lien on the Property for all fees owing for the Services rendered, and all Services Contract (the "Contract"), if Customer signs a Contract. If Customer does not sign a charges for the materials, parts and equipment employed by Contractor in rendering the Services Contract, then all Services rendered to Customer by Contractor shall be subject to, and governed hereunder. Contractor expressly reserves all of its lien rights and nothing contained herein shall be solely and exclusively by, the terms, conditions, covenants, and disclaimers on the face hereof and deemed a wavier, release or discharge of any such rights. on the reverse side hereof (the "Terms and Conditions "), under which Customer accepts and 11. Ownership of Intellectual Property. Customer acknowledges and agrees that Contractor is agrees to be bound. The Terns and Conditions are hereby incorporated into and made a part of the the exclusive owner of, or has a license to use, various trademarks, service marks and trade names, Agreement, the Certificate, the H2OME CERTIFIED, INC. Monitoring Report (the "Monitoring including without limitation the trademark "Dry Score,' and various moisture reading methods and Report"), the Moisture Content Report, and the Summary of Protocols (collectively, the "Contract processes and other proprietary intellectual property rights, including patent pending rights, in Documents "). The Contract Documents, and all rights and obligations of Contractor and Customer connection with the operation of its business (collectively, the "Intellectual Property Rights "). thereunder, shall each be subject to, and govemed and interpreted in a manner consistent with, the Customer agrees not to contest the validity or ownership of the Intellectual Property Rights, or any provisions of the Terms and Conditions. To the extent any provision in the Terms and Conditions is registrations or applications therefor, and shall not at any time apply for or obtain the registration of inconsistent with, or in conflict with, any other term or terms of the Contract Documents, the Terms any of the Intellectual Property Rights, or do or suffer to be done any other act or thing which might and Conditions shall supersede and control. in any way impair the rights of Contractor in and to the Intellectual Property Rights. Customer shall 5. Limited Warranty; Exclusive Remedy. Contractor warrants to Customer that (a) Contractor not claim any right or interest in the Intellectual Property Rights, and shall have no right to use the will accurately record moisture content readings from the moisture meter on the Moisture Content Intellectual Property Rights. Nothing in the Contract Documents shall be construed as granting by Report and the Monitoring Report, as applicable, and (b) all meter readings reflected on the Moisture implication, estoppel, or otherwise, any license or rights under any of the Trademarks and Content Report and the Monitoring Report were taken on the dates and at the locations indicated Intellectual Property Rights. therein. Contractor's liability for breach of the foregoing limited warranty is limited to a refund of all 12. Miscellaneous Provisions. fees received by Contractor from Customer for the Services rendered. The foregoing limited 12.1 The Contract Documents constitute the entire, final, and complete agreement and warranty extends only to Customer, as the party for whom the Services were performed, and shall understanding of the parties relating to the subject matter herein and supersede and replace all not be transferable. The foregoing limited warranty shall not be extended, altered or varied except written and oral agreements and understandings heretofore made or existing by and between the by written instrument signed by a duly authorized officer of Contractor. parties or their representatives with respect thereto. No supplement, modification, or amendment of 6. Disclaimer of Unstated Warranties. THE FOREGOING LIMITED WARRANTY IS THE the Terms and Conditions, or any of the Contract Documents, shall be binding, unless the same is in ONLY WARRANTY APPLICABLE TO THE SERVICES RENDERED AND THE MATERIALS, writing and signed by a duly authorized representative of Contractor. PARTS AND EQUIPMENT PROVIDED TO CUSTOMER. CONTRACTOR HEREBY EXPRESSLY 12.2 All rights, remedies, and liabilities herein given to or imposed upon the parties shall DISCLAIMS ANY AND ALL OTHER WARRANTIES, WHETHER WRITTEN OR ORAL, EXPRESS extend to, inure to the benefit of and bind, as the circumstances may require, the parties and their OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF respective heirs, personal representatives, successors and assigns. The provisions of Sections 5, 6, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR ANY WARRANTIES 7 8 9 10, and 11 of the Terms and Conditions shall survive termination of the Agreement. ARISING FROM COURSE OF DEALING OR USAGE OF TRADE. EXCEPT FOR THE EXPRESS WARRANTIES CONTAINED HEREIN, THERE ARE NO WARRANTIES THAT EXTEND BEYOND 12.3 Nothing in the Contract Documents, express or impfied, is intended to confer on any THE FACE HEREOF. person, other than the parties to the Contract Documents or their assignees, any right or remedy of 7. Limitation of Liability. CON TRACTOR SHALL NOT BE LIABLE TO CUSTOMER FOR ANY any nature whatsoever. If any portion of the Agreement or its application is construed to be invalid, ty illegal, or unenforceable, then the other portions of the Agreement or the application thereof shall not CLAIM OR DAMAGE IN EXCESS OF THE FEES RECEIVED BY CONTRACTOR FOR THE be affected thereby and shall be given full force and effect without regard to the invalid or SERVICES RENDERED. CUSTOMER HEREBY WAIVES ANY AND ALL OTHER RIGHTS OR unenforceable portions. REMEDIES THAT CUSTOMER MAY HAVE AGAINST CONTRACTOR, AND IRREVOCABLY AND UNCONDITIONALLY RELEASES AND FOREVER DISCHARGES CONTRACTOR, AND ITS 12.4 No waiver of any provision of the Contract shall be deemed, or shall constitute, a waiver OFFICERS, DIRECTORS, EMPLOYEES, AND AGENTS, FROM AND AGAINST ANY AND ALL of any other provisions, whether or not similar, nor shall any waiver constitute a continuing waiver. No OTHER CLAIMS, ACTIONS, CAUSES OF ACTION, DAMAGES, LIABILITY, LOSSES, COSTS, . waiver shall be binding unless executed in writing by the party making the waiver. AND EXPENSES OF EVERY KIND AND NATURE WHATSOEVER. UNDER NO 12.5 Customer acknowledges and agrees that Contractor's employees and technicians have CIRCUMSTANCES SHALL CONTRACTOR BE LIABLE TO CUSTOMER OR ANY THIRD PARTY no authority to modify the Terms and Conditions or the Contract Documents. Any representations, FOR ANY CONSEQUENTIAL, INCIDENTAL, INDIRECT, OR SPECIAL DAMAGES, OR ANY promises, warranties, or statements made by any such employee or technician that in any way differ PUNITIVE OR EXEMPLARY DAMAGES, INCLUDING LOST PROFITS AND /OR LOST BUSINESS from the Terms and Conditions or the Contract Documents shall be given no legal force or effect CLAIMS, OR DAMAGES ARISING OUT OF, RESULTING FROM, OR IN ANY WAY RELATING TO whatsoever. THE SERVICES RENDERED, OR THE MATERIALS, PARTS, OR EQUIPMENT USED, BY 12.6 The Contract Documents shall be govemed, construed, performed, and enforced in CONTRACTOR, NOTWITHSTANDING ANY FAILURE OF ESSENTIAL PURPOSE OF ANY accordance with the laws of the State of Oregon, without regard to conflict of laws. LIMITED REMEDY HEREIN. THIS EXCLUSION SHALL APPLY REGARDLESS OF WHETHER SUCH DAMAGES ARE SOUGHT BASED ON BREACH OF CONTRACT, BREACH OF 12.7 All disputes, differences or questions arising out of or relating to the Contract WARRANTY, NEGLIGENCE, STRICT LIABILITY IN TORT, OR ANY OTHER LEGAL OR Documents, or the validity, interpretation, breach, termination, or subject matter thereof, shall be EQUITABLE THEORY. NO ACTION, REGARDLESS OF FORM, MAY BE BROUGHT AGAINST resolved by binding arbitration before a single arbitrator in accordance with the following provisions: CONTRACTOR MORE THAN ONE YEAR AFTER THE DATE OF COMPLETION OF SERVICES, (a) except as otherwise provided in this Section, the arbitration shall be administered by, and AS SET FORTH IN THE MONITORING REPORT. NOTWITHSTANDING ANYTHING conducted in accordance with, the then - current rules of the Arbitration Service of Portland, Inc.; (b) EXPRESSED OR IMPLIED HEREIN TO THE CONTRARY, CUSTOMER SHALL HAVE NO judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction RIGHTS, AND CONTRACTOR SHALL HAVE NO LIABILITY WHATSOEVER WITH RESPECT TO over the subject matter of the controversy, and the resolution of the disputed matter as determined THE SERVICES RENDERED TO CUSTOMER, IF CUSTOMER FAILS TO PAY FOR THE by the arbitrator shall be final and binding on the parties; (c) the arbitration shall be conducted in SERVICES IN FULL WHEN DUE. Portland, Oregon and the parties irrevocably waive any objection to venue of the arbitration in Portland, Oregon, and any claim that the arbitration has been brought in an inconvenient forum; (d) 8. Hazardous Substances; Indemnification. Customer acknowledges and agrees that the a party may, without inconsistency with this Agreement, seek from a court any interim or provisional performance of certain Services by Contractor, including without limitation Stud Scrubbing, may relief that may be necessary to protect the rights or property of that party pending the establishment require the use of certain chemical substances. Customer hereby acknowledges and agrees that of the arbitration (or pending the arbitrator's determination of the merits of the dispute, controversy, Contractor may use any chemical substance that Contractor, in Contractor's sole and absolute or claim); (e) the arbitrator shall have authority to issue preliminary and other equitable relief; and (f) discretion, deems reasonable and necessary for the performance of the Services, regardless of the prevailing party in the arbitration shall be entitled to recover reasonable costs, expenses and whether any such chemical substance is deemed a Hazardous Substance, and that Contractor shall attomey fees as fixed by the arbitrator. If a party fails to proceed with arbitration, unsuccessfully have no liability arising therefrom or relating thereto. Customer shall indemnify, defend, and hold challenges the arbitrator's award, or fails to comply with the arbitrator's award, the prevailing party Contractor, and Contractor's officers, directors, shareholders, successors and assigns, absolutely shall be entitled to costs of suit, including reasonable attomey fees, for having to compel arbitration harmless from any and all claims, judgments, damages, penalties, fines, costs, liabilities, or losses or defend or enforce the award. (including without limitation diminution in value of the Property, damages for the loss or restriction on the use of any portion of the Property, costs incurred in connection with any remediation work • f STREET TREE CERTIFICATION ,,,,,,„„,,,,,,, ,, .,, :, , ::,,-_,,,,:.:,...,f. '..' - .'.:;:,,,,'"•-, -- :" u : 1 I, 0 tv GUs?lvv1kv. „,, ° 4F , Ow er /Agent for 1 � 17 �\ �� vv\ (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigar la nd` u se and development standards ����” 1 �4for street tree installation , %Ng NV ovi G ov Bv1 } til `� i boo - non 1 ADDRESS: 2_4 4 -.-vV ST A.l DV L.z, SUBDIVISION: ["�o�.c� - ��y �� �� o - � - �s LOT: 1 2 SIGNATURE: — � �� �i DATE: y Ze_ ______ (OW R /AGENT) RECEIVED Y: � _ /.1 << ,/_ , DATE: 5/5//0 (CITY OF TIGARD) I:\ Building \Pons \StreetTreeCertificate 01/19/07 -....- ....„ STREET TREE CERTIFICATION .. _„2.,.....,x,.._,.,;_ " ..,:,„:„._,,...c.,,,„,,a,,,„:„..,.,„:„,v__. ,,,,,.,./.....„ . . .,..:_i.,... -:',.1',f-4-",:;:,.4).:,, ,rtzi,--Z<.i.,)., p* 1 7-f L-- 1 -:',-,I1;'' , � c� ��ls l �v1 �� 1 Owner /Ag for , L, �.� �1/1A -1' � ' h (PLEASE PRINT) ) m ) EAMIT HOLDER N Do h ereby certif that t he foll locat meets J ' i `t `�, C o Tig l anduse a nd ; ; dev e l op ment stan u: = ,.,, f tree m s tallatlo n f r ` z y * e n th rsT: ■ 1 'k ADDRESS. �\l /�.F � .' lei' L . 1 C /c."' SUBDIVISION � o . � � ; �� \ t � •r LOT: - SIGNATURE: � %�.� %' DATE: / =�/>/ � OWI \ E �AGE - RECEIVED Y: � � �� DATE: /n (CITY OF TIGARD) �'� P� I: \Building \Forms \StreetTreeCert Eicate 01/1 CDTV OF ° 8MARI E , UOL®BNG L!III/M8 ®N PERMIT #: - l : °p "t;g`..i'r 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: , - Phone: (503) 639 -4171 alittitA\ , Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: :?�1�1} TIME: l r +lvt PAGE I < °t :_ SITE ADDRESS: 1246• n %. AI:.R1-A, t11 CLASS OF WORK: SUBDIVISION: m}y ;; A) . '.,`t yr 1: ..'lA B : `, LOT #: 0 TYPE OF USE: PROJECT NAME: mg,'sLl4`I i'N>k1 vi : w t:._' l l I:!,-: DESCRIPTION: Now } I - OWNER: N. 1..A MIA i°it` K.tF`..; PHONE #: . 503..267 , 01 , - 0 CONTRACTOR: I" r:,L .1A V €, r, t•to :;`..'. PHONE #: F ,' =1_267 Inspection Request Scheduled For: Date: 10/3120 08 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Si e.;,4 v . ll :f :- ..ini1i , r�: 07C;207 -01 503-267-0192 Corrections /Comme sflnstructions: F( ►) 4 / `- ' (,2 /3! ct_.�all 0.; k , - 1 - S.0-1-1 0 ;1& C 0 ) 9 e. Z p e • (...t5 -z) ,u„ s A -y S6, u40/ Deli: ,e� et 7 ' -) ' li -- 6 `' Da LAI& C`)`.1 e- `t t -t3 c" \)Q. >'✓ 0c - (� , 9 kQ, 4 k e.: • • ° 0 S. ci i 2 A)W 1 3 , `r , - 1 S e e)AcA / 2/5 3 C ft rye; (a_ 0,4,-,\ 6 )e, . „ !, AA e ir Aci,v\,.. . aP p 3,-.... \-1' LL /C. 1/ u,...)411 a vz,..,c c. 4 -4 5 kt- , 5) S-1- (-)d kJ cs,IA't vv.. ilfiT, 5 set) c..., '3 ' e 0) S - 13c � X1/1, 3 S k {/ ' CZ CUc 1 I /€ . s ,()J■2- (ier) :w CSc °,',t)•'''' ) 1 �/7' J \ we I �r -�-ti C_r,rh�..� -c ,, - .4-0 to �� • `. v ' c PP.:. 4.z . Pc.of Si K, A.- , r c)ez. , (3/5 3 n PASS 1 PARTIAL APPROVAL CANCEL 1 NO ACCESS L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .S Date: 3 a C' C c, Phone #: (503) 718- p? '2 3 CDTY OF TM A RD L;UDOLDIlNG DfVOSDON PERMIT #: ;, { 200 7 ( ??'at >'i i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: d .1 P/3i,.:,,. .� . , P / Oaa g dl , Phone: (503) 639 -4171 a -0 .•III 0, � .'', ' Inspection Requests (24 Hrs.): (503) 639 -4175 .., INSPECTION WORKSHEET FOR DATE: - t ��. ?al¢ TIME:. PAGE: iEf • SITE ADDRESS: 12 W' ti‘ !3 -T AN DPI:YtIS 4 CLASS OF WORK: SUBDIVISION: B LOT #: TYPE OF USE: '`J PROJECT NAME: I' I N �liEw F- ATE { 1 h.it iJhrIA? " f1E N EO A - r[ 1.- DESCRIPTION: i4,,,.1 q31; OWNER: fit VI`3TA HOMES, PHONE #: ;T .' : ?6_.. •• w:3 2 CONTRACTOR: B I..A VIM A HOMES, PHONE #: ?':AB,26r..Et1`;'2 Iz Vke1a c)e:rh i -.,, 10 vt - a - T,`,1 sic.1 i �4, , ui �t T In Request Scheduled For: Date: it?J... .� f . y t . Pour Time: ._�.L . .} Code # Inspection Description Confirm # C ,pntact # Message Pte;.', :t. clrxrr mint r 2:'i !::;ii 0 1 W@IiEi= 3si:':s'sorle,. O tr .20. 603 •307- 570 Y Corrections /Comments/ Instructions: I) ( _ 1., Cr 6wv,.1 S i3b 1 .4ze).:512, Ai4-1/4:-. \: A. 4 b,2, t " ©c , e 3 ) LI i 0, - 6 / ,Z .4 Luc\ k \ ( 5c.: L.:MA. Lk) 0-1 0 ' t. i 1 l 7 • .. C e , (L✓ •1 . Y C: r- LLYG cr l 4 i r -� a , i • el g4"4. .5 LO i ', ri c� 5f�d €..., --� i ; c I) /,.. " c , 5) I // W, II 'T44-ef `tcr C'1eir cAe- 4C5 koe- /5' -`�`' Ai.t..1 + " c a 1 r i i' r ')(N),,A ua_ti (--iet etkc. L- . .1 fl-oin -- VII °, ; 1,,,,, 1 i Q J urr� f j J 4) ✓'t.C •a✓�u\ O0,, A) -1-- L ) 0.''V .$ d ;0 A W uleSf ,�iCJ� 1 Per .1-1•■. 0 . w ; t e. /al sets / , .e S s de., / tic: -t-- „AA - , r ! +`t/ RI) ( i `!ck f t ic e an l V,J' le R )-1. (• ..` c V tai `Nock .. ✓ c.3 / rt t I \ IA. ( Pole) c)V.A.:J.&s - H ,,..//5 A- 4- S; t1 !- u):e c ✓¢1 // ! toe, Z( - -q" a 1ooa CJ+L 1 2 e ,S,s a) G- , /sanfe .,,,, ,..-S'Ur //- ('f: 1 Ij PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCE SS - -FArFL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: /35 Date: 20CID& Phone #: (503) 718 - I t Y.-23 IC, MY 'I F 11 G A D { UOLDOONIG DOVOSOON PERMIT #: yo,:-,;1-)00"..(60-1.4, f00 (F k:.1.4, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: z ,-`. : :ilIt •- Phone: (503) 639-4171 ,> } > g s,t� 6 "'4t�' Inspection Requests (24 Hrs.): (503) 639 -4175 : ° ' _ � INSPECTION WORKSHEET FOR DATE: 10t112008 TIME: - . �. j3 PAGE: SITE ADDRESS: „ , -• �� - , u � , , -. , CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: i*,,°s4A,E JOT AN V1O ON f:' TA r I., DESCRIPTION: P , .,.; :,',IF OWNER: t`3iHt,t A VI ",:TA HOME!!, PHONE #: r y. c;:.t4t;:a,,! CONTRACTOR: lk:.I,I.. vi: I° u ; :> PHONE #: f,f.. : E, ,.0rir t Inspection Request Scheduled For: Date: 1 Pour Time: 3 10/1/2008 Fi Code # Inspection Description Confirm # Contact # Mes e _'3 `Ai -t wall. =.:;:arr�: fort- L_aw" 076162 -f} 1 60: °ttk7.• a i:' 't Corrections /Comments /Instructions: _ - ) dx- es& c twt k ■ \L v o A A � __ 3 i4)4r/ ?i /8' i L-4- f( e4a3A.. C e,"%A--- 4-0 ret, a 'l, R. ll ( .. ! .... le a ' - irk CL 1 1 d c" 7(7.',. f A • 42..1 ay\ AJe $ ' \ ii e ,,- : ,, z. e - I:6C ) A u.<-4 11 u -�`` t 1 e k-i e 1 c�rf " CfV I c I i- I 5 i l � Gt+6�L `� / . J � GL.� CI a; � � Gl, vl � f -/`!` �' - � �!''� G` � C� 1� •1 iK c 'iv • 1 5,:=i C.c.II \ c:: S' -4 -- , - N c 5;1- Ao p" r F" ,Uede.c) T.) C 14- 1 - 1 j ice) V Tu J '4 C)4?..."' v;.:: . 10 T;9 ' � C)J A- �o A...1 11a1. ' C - of (.7cr,a,A.... 1L -e r /eve J Qr0J83e- `)2.. -c:� •' r" nt is 1 c (-et .c " Fou r a 2Y'-6" 4J4-1 I e. , v tit. .5 4 ;,,,, q )1 s_<51 k5 1/43c. C /1 i d) k" + - 6 - w°c, II 310,1,4t•0..... t .fi n■;‘ L j V4V).') e r errs.),;,,,, . h .40 i ,0u. t-- 1-e v / . ,ujd - Per PIA tt .. c::u.kk U.wc4.16 S err 9C PASS fl PARTIAL APPROVAL n CANCEL 1 1 NO ^rs.n c IL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /3s Date: /e; /4• Phone #: (503) 718- , CEITY OF 11.,?AT-E-D . BUILDING DIMON AA - PERMIT #: - till A07430014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Litlllillth Inspection Requests (24 Hrs.): (503) 639-4175 ial INSPECTION WORKSHEET FOR PAGE: DATE: fr:',0/2018 TIME: 7:witty) 20 SITE ADDRESS: CLASS OF WORK: 12/16 .', sr mo)p.BAN K! SUBDIVISION: , — - . - 'fl - LOT #: , TYPE OF USE 1\ ii9TAN VIVO! f. TA S PROJECT NAME: Kit.,, , i, ,i 4 I A: N ',/flk•ici' I::tz '1 M [ t) . DESCRIPTION: O WNER: ilL j,p, HIVES, PHONE #: CONTRACTOR: , ; I — HOML.: - PHONE #: 1.3I A Ui:i- 2bl 0192 Inspection Request Scheduled For: Date: Pour Time: 91300.0W Code # Inspection Description Confirm # Contact # Message it ,,.. ,,,, af4 :,tif:X f:: s1Kitg ;-0 -..) ;3.261 0' I i Corr- i a, :rrine2/ n 61; 5 tr boail4 1 ke ' .';. e. i ' r,64,, i legainr , / , lififirtAMENEMITAIN.,; ,/,, 4 4 . ' • Z /..5 , '„, z/ ,' i e/'- ' &-.'i, 57 f lEffriffir , .1 i ' ' . " ' ' ' . . '' •sc:/, z IF Z , , ' - n •k i / i 5 --e all An le rin , .. _ .,4 i i I ' ' ' 1 IA" ' 4 tff4" -' / /I i ; 1 1 / )A,I ,e,Aezv , i a, 1, to cti popt 10- xi, 6' iii ii t a l (id 6, t,::: ( 7,,,,.. y n -. g,(-- 7 - .1 6 pwb 1-k kl 9 ...ka 0 v s ) o / ; , ,er,f4, d _ , , A _ voze 4 / ' )( ,f140/5 ,e6) L-- ma/ / pik ile244.4 , I Sivvi ' ' kat) ' Ail ./c _ 14.i 1/44/ r e- 4--_- ii5 4 I idlit.141 6? evav 1 1 WA i , - 4, I r 5 1Y1 1( i d I 44 41 /lot etif 4t 0 OfM - ..ea if PAP . i , _ . 1 p &,4 ivi A .,. Int) , ^ i , LIA ef 7 V C . * er /1 / " 112 ' ) .12 t e ?1,--- CP-ail I PASS fl PARTIAL APPROVAL CANCEL Fl NO ACCESS I I FAIL fl CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: 73...3 Vir Date: C,--S9 Phone #: (503) 718- City of Tigard ®o 13125 SW Hall Blvd. • Tigard, OR 97223 Phone: 503- 6394171 TIGARD FAX TRANSMITTAL Date October 3, 2008 Number of pages including cover sheet y To: Bella VistaHomes From: Building Department Co: Co: City of Tigard Fax #: 503 - 335 -2094 Fax #: 503.624 -3681 Ph #: 503 -- 684 -2772 SUBJECT: 12464 SW ST Andrews Ln. (MST2007- 00014) MESSAGE: These are the Shear wall /Anchor reports as requested. 1: \ Building \Forms \FaxTransmittal -T.doc 1/18/07 Co: Co: City of Tigard Fax #: 503 -335 -2094 Fax #: 503- 6243681 Ph #: 503 - 684-2772 SUBJECT: 12464 SW ST Andrews Ln. (MST2007- 00014) MESSAGE: These axe the Shear wall /Anchor reports as requested. 1FSui ding \ =s FaxTransmittal -T.doo 1/18/07 1 CZICQNCIS 3QOW AO '7198 b0 (S)3JCd 817:00:00 NOIICdf1Q b60ZSEEEOS 3WCN /'ON XCd E0 :91 E0/01 314Il`31CQ Z6S6Ltft #'83S • X31 Z89EbnE0S XCd 1d3Q JNI01lflfi QaCJIl : 31/4CN 170 :9t 800Z/E0/0Z : 3WIl 1J0d3d N0I1COIdId3f1 NOISSIWSNCeIl City of Tigard ,1 13125 SW Hall Blvd. • Tigard, OR 97223 • ® Phone: 503- 639 -4171 `TIGARD ................:.. . FAX TRANSMITTAL Date October 7, 2008 Number of pages including cover sheet 2 To: Bella VistaHomes From: Building Department Co: Co: City of Tigard Fax #: 503- 335 -2094 Fax #: 503 - 624 -3681 Ph #: 503 - 684 -2772 SUBJECT: 12464 SW ST Andrews Ln. (MST2007- 00014) MESSAGE: This is the final inspection for the Shear wall /Anchor as requested. 1: \ Building \ Forms \FaxTransmittal -T.doc 1/18/07 La: Fax #: 503- 335 -2094 SUBJECT: 12464 SW ST Andre Ln. (MST2007- 00014) MESSAGE: This is the final inspection for the Shear wall /Anchor as requested. Viuilding l Forms \FaxTrammittakT.doc 1/18/U7 Co: i of T' d Fax #: 503- 624 -3681 Ph #: 503-684-2772 W03 laWINb1S X10 Z0 EZ :00 :00 b60Z9EEE09 8E :80 L0 /01 300W 111196 (S)3Jdd NO I ldi'if10 310N /'ON XV.d 314I1 `31k/a Z6S6LV2VG068 44"83S t89E17Z9E89 : Xtl3 1430 sNamins 0JCEIl : 3WtiN 8E :80 800Z/LO/0t : 3WIl 160d36 NOI1d0I3I63A NOISSIWSWa 03/10/2009 12:40 FAX e1001 B E L L A • V 1 S T A 11 -4 NOM Bella Vista Homes Phone 971.570.6395 FAX 503.335,2094 corcy @be llav ista- homes. coin March 10, 2009 Rick Bolen. City of Tigard Community Development Re: Clarification of Consult Meeting March 3, 2009 Lot 12 Mtn. View Estates MST 2007 -00014 Rick, Thank you for meeting with us at the job site last week. It was very helpful. In reviewing the 'fixes' for the project, Nick, the fellow who was on site and will be making the remaining corrections, and I had a difference of memory on an acceptable fix. This involves the support for the garage floor, which was constructed with the garage floor joists sitting on a 2x12 ledger nailed to the wall. The solution involved attaching 2x4's flat to the wall at every other stud (i.e. 32" o.c.) from the bottom of the existing 2x 12 ledger to a new ledger some distance toward the foundation. I have included a sketch of the lower ledger placement as 1 remember it...a 4x6 p.t. ledger bolted to the Lower Floor floor assembly with 5/8" lag bolts at 32" o.c. Nick thought the ledger was 2x6 p.t. flat to the concrete or sitting on the compacted gravel. (Note: as we mentioned, the compacted gravel is easily 3' deep and digging to the foundation for bearing on the concrete is not readily accomplished) We are looking to clarify an acceptable remedy prior to installation, so as to be efficient with time and materials. Please fax a note of which is a condition that would be approved at inspection. Thank you for your time. G . 6-f Gail Boger Bela Vista Homes CCB 4 99206 03/10/2009 12:40 FAX 2002 B E L L A 9 V 1 S T A {r NOMfS - -� _ )°CIG Nap FLa0P. /-\ .5ei -A CL-r . _ Al?-,AG FLobQ A.-EMM &_`? _2XcTU7 WALL + 2x rLATA ( 5200.c.. Cyr•( 431V . A'TTA6 I. v L-- J` (2:) 0 n --Iv2. 4 -2" p.c,. Glzis%1AIL, • _--+ EX15TIN� j� 501,-r To RtM F A. 5EMeL J o i s w/ Vo 15ai -Th QD 2" 0.c . � .a vet.__ 1 . ,..., - MoT 2007- 000 II- D v •. • - „W 4 d M PAc-- RZI i) EL. --- <lq41 a c d 0 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 O00M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007 Phone: (503) 639 -4171 ,1 Inspection Requests (24 Hrs.): (503) 639 -4175 .,' !�i F 'I_�.. INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 :02AM PAGE: 7 SITE ADDRESS: 1246•4 SW ST ANDREWS I N CLASS OF WORK: SUBDIVISION: MOUNTAIN VILA' ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF OWNER: BELLA VISTA HOMES, PHONE #: 603 -267- 0192 CONTRACTOR: FELLA VISTA HOMES PHONE #: 503.267 -0192 Inspection Request Scheduled For: Date: 11/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 260 Roof nailing 077830 -01 503- 26 -019> Y Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� Date: 41✓V,J D� Phone #: 503 718- 2,/23 Inspector: � ( ) CITY OF TIGARD BUILDING DIVISION _ PERMIT #: MST2007-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/21)0/ Phone: (503) 639-4171 „_44111,it Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 PAGE: 8 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: N SF. OWNER: BELLA VISTA HOMES, PHONE #: 503-267-0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503-267-0192 Inspection Request Scheduled For: Date: 1)/m�8 Pour Time: Code # Inspection Description Confirm # • Contact # Message 242 Interior shear walls 077829••01 03-267-0192 Y Corrections/Comments/Instructions: 0 PASS 0 PARTIAL APPROVAL .4 El NO ACCESS fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: .-- Date: • - - 7X0 , e 6 5 Phone #: (503) 718- -2 YA7 CITY OF TIGARD BUILDING DIVISION PERMIT #: X 1 07 00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/007 Phone: (503) 639 -4171 i11 Inspection Requests (24 Hrs.): (503) 639 -4175 , P:_.. INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7: 02/0/1 PAGE: 9 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA HOMES, PHONE #: 503 -267 -0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 5p3 -267 -0192 Inspection Request Scheduled For: Date: /1/772008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 077828 -02 503 - 267 -0192 N Corrections /Comments /Instructions: ?ever `ro z Shej A► -►aiar-- T,et. 6 re /e.-- 1? Gfer/4 s ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 ' � D ate: � /�/-ve)` Ph one # : (503) 718- =2/,--3 CITY OF TIGARD BUILDING DIVISION % PERMIT #: MT2001 U1101Q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • Phone: (503) 639 -4171 tau 1 `I /8f2f101 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: : TIME: 7:0 PAGE 24 • SITE ADDRESS: 1 24 SW ST ANDREWS L N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES 'LOT #: 0 . 1 TYPE.OF USE: • PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF.. OWNER: HELLA VISTA HOMES, PHONE #: 50'3.267-0192 CONTRACTOR: 1:1ELLA VI STA HOMES PHONE #: 503 - 267- 0192 Inspection Request Scheduled For: Date: Pour Time: • 1013! "1008 Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 076267 -01 503 -267 -0192 Y Corrections /Comme. s /Instructions: • \\ i & / I.0 ` d1 et; TSo" I ed e, - '`p G • (.o d) z) .Vo c S604-4 . (A/4 d/ ge.. ter A. 7. " ` � Do A k Ce) e \D e_ 4 oc(8c) - dl-IQ. A l■ 6c) G Sid 12 A we l 5 • `f 4- S Dec � �� Cc) r rye r 0_ Lke \ ) 6 La /Lr- a -r R 14v` . 1 1 Sc u LUc 1/ 5) SI- tic) • ;111 c 1 vv,� 44 �., 5 S ed e, 3 t 1) a ,� c . '1 5 e_ ' sL C 1Ua( \�.0 V W\ .e ' CA , L1 � ■ J � e) 4l7 r we 1 ( kbr-At x r ►��.✓' N� �, .� 40 VJ c rr [2 ( dc)) G \._ Vo tc .\ ?)/5 '� lJlt�c ►� . e, /gi `� ©.(� . ( / t v ' "' y. 3 ` M Po t: ILaG S r /3 /s 3 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS .FpC(� ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ? - Date: 3 O C'f O p -Phone #: (503) 718- d i /e? 3 CITY OF TIGARD '''' BUILDING DIVISION PERMIT #: t�iST7007 00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007 Phone: (503) 639 -4171 -��,�„�1, 1. Inspection Requests (24 Hrs.): (503) 639 -4175 .�,l_ INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME 7.00AM PAGE 16 SITE ADDRESS: 124e SW ST ANDREWS L N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: � $ PROJECT NAME: MOUNTAIN VIEW ESTATES 19 DESCRIPTION: - OWNER: C3EIIA VISTA HOMES, PHONE #: 503 - 767 - 012 fict.I CONTRACTOR: SEE LA VISTA HOMES PHONE #: 0:3 267 - 0182 12 1 -101) c.)0(...-.15 l-c 1 .' 3 . v. 1:ev►. c A wai/S Ty,(r. In Request Scheduled For: Date: 1002O08 Pour Time: Code # Inspection Description Confirm # intact # Message .4A4e. ". door rha In c V 235 Shear walls/anchors 076220 -01 503 -307 -5742 Y Corrections /Comments /Instructions: i) (2) - 1 12 A uvc.. J 1 S t . 4 vn .,z.¢) C e, iCIA : V v . b¢, C , os. , • i L 1 1- 4" OA t.Lic0‘ c Lt kJ) ok.A 0 5) /VUi v l Q- Q. 0 wall • -vt4er 1c: f eyteck r - �,, e . 4 ( Ho \Cl el.)4 t LO M; SS'; en 5ivd5 c, co 4.4)0 41. /6 '' J O G 5 ) 0 L U . ) I - 174ee∎0r C A A r a y s 4 b e - /5' - y," wI .casvrcS / 11 sto vlc)e. Rey t''U ellt e vi er't . ') g E) 4 rac \ C: O GM tcl)e kG '1' ,t :P d - 1) TiliS 4 e. , 0 LLAII/ 2) 5 a �� Oc�S ,u •' /) ox.) .��cj 0 GO w,U4; 11 w 54 o) C r ` 1 P o r k. o CO 1 t •- Ocer1 1 ' 0 • -1 Ec) e, 0 ec. // we 5 s; de_ ke,f ,/t/a , ed 1, 3 , A) (A e,, ar, Tz i h • A'o .. c 1oc1: o • ti 1 ■ I. f. No1(Jc%Ow&S 6 A tv.i.// 5 44L Si »4k w4.51 we. // 7 ro be,' 3 . e PTou,ie, Rev :see) ens; neer:1 for 4s �v, 1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS EL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: %3-S Date: 0 70ci0e Phone #: (503) 718- Y - 1 CITYOF TIGARD ' BUILDING DIVISION PERMIT #: M�; r'007 000"I4 13125 SW Hall Blvd., Tigard,.OR 97223 DATE ISSUED: 11/812007 Phone: (503) 639 -4171 i � i . Inspection Requests (24 Hrs.): (503) 639 -4175 All; L . INSPECTION WORKSHEET FOR - DATE: 1W1/2008 TIME: 7 :CRAM PAGE: 7 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: • Iv MOUNTAIN VIEW E ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES • DESCRIPTION: . New SF. OWNER: t3EI.LA VISTA HOMES, PHONE #: 503-267.019: CONTRACTOR: BELLA VISTA HOMES PHONE #: 603.267 -0192 jut 1 Inspection Request Scheduled For: Date 10/1/2008 Pour Time: 3S / Code # Inspection Description Confirm # Contact # Mes e 735 Shear walls/anchors Ldc�`r 076162 -01 503-307-5742 • Y ' ea 1--- • t . Corrections /Comments /Instructions: Se -CUT v A(l Al. vs e, Ao \c) n)b ,►,cs av CF-4.54eArrS . �� w 1/ . .) d x- �eu�r) VA : v∎ o - 'A ago' _ 3 (1 tv6 f 3) /8' A 1,-4.1( eic) y ce,n-+ 4-o :faS .e. a, 11 com ;� ue� 11 a Se,f ?el Q \ cuvv ue....cc) S - k--e 'be V Irh et-,,..,441, & l o (--1)C ) A u , 1 ■ u ,,, c;) ,.,,--,,„ 3 ., ..C 1 00..— ..- tyn 1 .-,- vk 5'. k. elcde i 5i h c.A.4.6- r 5 ) 34. e I 1 a c9:: -- 1 an , e) � A-I I Si c'r k e r t4\o. _ �•.`9 C4 (1 (S r . �� . ., • (� QQro a% (:).e Ve. s `?0 f Ae)cJ z kkey A..t 4-1a./ i Vim. e-i J l ?...• -►■.. ‘ . 5 1- 0 - � 4 , - /eve / . � ' ?o )e--c �k or ALI Led�er� , r� 0%. .. 60..- 'c(oc, aS n 2(/'-6" Awq-I/ e, . v tic. 5 .x,:41 vx) - 0 / v) w'e6 + - we,: I1 1e,, : �a, 't- n...;. lgJ I ') v -,., -N r Tro -, • +o tower- 1-e v.e / ,(.&d- Per el a rt S n PASS ❑ PARTIAL APPROVAL ' ❑ CANCEL 1 � O � ACCESS , ri're_ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: 73S Date: /X/5 ' Phone #: (503) 718- ,2 ,? 3 CITY OFTIGARD BUILDING DIVISION !- PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: M1 / t3/20 7 -00014 Phone: (503) 639 -4171 ,, 11e i07 • Inspection Requests (24 Hrs.): (503) 639 -4175 J .... F'� - INSPECTION WORKSHEET FOR DATE: 9/3W2008 TIME: 7 :00AM PAGE: 20 SITE ADDRESS: i`2�164 SW ST ANDREWS L.N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW F_'I ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: E3ELLA VISTA HOMES, PHONE #: 503267 -0132 CONTRACTOR: f3EI.LA VISTA HOMES PHONE #: 603 Inspection Request Scheduled For: Date: 9/30/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 ie�4 .,- . r chors / j .. 7 ' 0 J- . i•267 -0' :' . Corr - M -' . mfnertfs/ n 'gig. d We I� �li �" /, c i ' 1 L 5 wristinvl r l.�z" vz.vd-, ) MPAJWL / , ww /err 62 /AREIFFwgifm .5-,-/- e 71 ' ' / / ' 1 - ' ' // -‘:/ LIA'd .; 7 sr ''. i -- 0/7" . 1 L c / . a ./. Jr z,.. , ._,, 19, , II& ' s' 1/5-e ‘. i t i i -' ' ';;i 1A . • , �, l p 1�> '� G ./ 0 - INFIMPWRICAMMT • ,.,A_.' e-d, • __ . . _ _ 6 /v-Ievto ithteeilla) S 1% g-(-- d Aeza5.5 0 ( A �� :: )V • ff S f . A " . /-_./.4 • // 1 00 `)EAL '' ii- 1 ,-/ . .41,--- - i / / ( 11,0'' .avtdri-vu 0 klaa, c. 16 i tata al tti'v . k-Li $ . l ? � 0 5 0Ckcwd,ar„a* k- � rP / . I- g - - � -m/��� - r-e K9-y- j i, /,,,,,,e ❑PASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED s Inspector: U9 Phone #: (503) 718- - • p T� � Dat 3 o -� CITY OF TIGARD B elk ' UILDING DIVISION PERMIT #: MST2007 00 14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1118/2007 Phone: (503) 639 -4171 p�JI, Inspection Requests (24 Hrs.): (503) 639 -4175 ' `:_.. INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIFW ESTATES ES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: F3 LLA VISTA HOMES, PHONE #: 50'3.267 -1)192 CONTRACTOR: E3FLLA VISTA HOMES PHONE #: 503 - 257 -0192 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 074472 -01 503-267-0192 Y Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL L ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "', Date: iNfo,Dv Phone #: (503) 718 - %2W7 CITY OF TIGARD . ' BUILDING DIVISION PERMIT #: MS72007- 00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/812007 Phone: (503) 639 -4171 47,0 4 ;714 1 h Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/8/2008 TIME: 7 :00AEVi PAGE: 23 SITE ADDRESS: 1218,1 SW `>T ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIE ESTATES LOT # : 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New ,..,F OWNER: E3ELLA VISTA HOMES PHONE #: 503-267 -0192 CONTRACTOR: BELLA A VISTA HOMES PHONE #: 503 -267 -0192 Inspection Request Scheduled For: Date: 8f0/2006 Pour Time: 23 � i Code # Inspection Description Confirm # Contact # Message 23h 1 Shear walls/anchors 073963-02 503 -2(7 -0192 Corrections /Comments /Instructions: 11 See Q e :5r4 ) 04eaJ `' - o`d (K Qkk.n. 5 (4190 a) QC S+ Q�c7 ss 7 . 1 0 V 0 1 — ' ; /A , . Jai /LA i 4/ / - / 1 . A _ ■ . e 4 , - * ------ 7 i / . ir , _ ' ' ..i . f Ar s / 1 ) ° '..-'( ' ,r/ — 7,--(21- S 4 4). PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR I A CTION ADDITIONAL FEES ASSESSED Inspector: Es , '�� / Date: RA/5 08 Phone #: (503) 718 - .2 ya3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSI'2007 -00014 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/0/2001 Phone: (503) 639 -4171 I(1 Inspection Requests (24 Hrs.): (503) 639 -4175 .,':� t ,. INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7 : PAGE: 68 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA HOMES. PHONE #: 503-267 -0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503 - 267 -0192 • Inspection Request Scheduled For: Date: 7123/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 236 Shear walls/anchors 072992 -01 503 -267 -0192 N Corrections /Comments/ Instructions: #) rR ,- i ,2 r ' 7 PL s o S• G) Cr 4 (7 A2,.�s / r te ! . • E PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: -2.:? - Phone #: (503) 718- 244/ ' CITY OF TIGARD BUILDING DIVISION PERMIT #: IvLST2007•00014 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 11/8/2007 Phone: (503) 639-4171 „ I Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/21/2007 E: 703A1v1 PAGE: 94 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ES DESCRIPTION: New SF, OWNER: BELLA VISTA HOMES, PHONE #: 503-267-0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503-267-0192 Inspection Request Scheduled For: Date: 021/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 061944-01 503-267-0192 Corrections/Comments/Instructions: fl -k) ) \ 6 \4 k,1/4_3)- - 64) (96 t e pi PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: t fS 70O7_g0 }314 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I I /602007 Phone: (503) 639- 4171 , il.11lh Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM - PAGE: 25 SITE ADDRESS: 17464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: IvIOUN1 AIN VIEW ESTATES DESCRIPTION: New SF. OWNER: F3ELLA VISTA HOMES, PHONE #: 603-267-0192 CONTRACTOR: BEI_LA VISTA HOMES PHONE #: 603-267-0192 Inspection Request Scheduled For: Date: 12/1' 07 Pour Time 1 :00 P q 4120 Code # Inspection Description Confirm # Contact # Messa• - Uv` 205 Footing 061647 -01 503 - 267 -0192 Y Corrections /Comments/ Instructions: a AMI m e 121 1 th, � • • ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: M T2007 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007 Phone: (503) 639 -4171 ; i Inspection Requests (24 Hrs.): (503) 639 -4175 ... ' - INSPECTION WORKSHEET FOR DATE: 12117/2007 TIME: 7 01Alyl PAGE: 24 SITE ADDRESS: 12464 SW ST ANDREWS L.N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF, OWNER: UELLA VISTA HOMES, PHONE #: 603 - 0192 CONTRACTOR: /3ELLA VISTA HOMES PHONE #: 503 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: 1 : 00 Code # Inspection Description Confirm # Contact # Message 10 Foundation walls 061647 -02 503 -267 -0192 Y Corrections /Comments / Instructions: 4 I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS on FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: ( 7 (7 Phone #: (503) 718- CITY OF TIGARD -- - BUILDING DIVISION PERMIT #: MST2007-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111812007 Phone: (503) 639-4171 A 4,,_ Inspection Requests (24 Hrs.): (503) 639-4175 e - INSPECTION WORKSHEET FOR DATE: 12/21/2007 TI • - PAGE: 85 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA HOMES, PHONE #: 503 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503 Inspection Request Scheduled For: Date: 12121/2007 Pour Time: 9.00 Code # Inspection Description Confirm # Contact # Message 205 Footing 061943-01 503-267-0192 N Corrections/Cof e ts/Instructions: r ( ro \ ------- . ‘41\/J )A !I/9 et-t—k 5 N 1 , COQ,h - Te-(= V.. 0 -vk UL Ler./ 6 .- • O., INA ,11- — P C( Fs ‘ C o P--ti: '-r e•- -- c-A-- -- 6 . • / l iPASS 4t PARTIAL APPROVAL 0 CANCEL NO ACCESS Ej FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED inspector: V/), A.---- Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11100007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 : INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 :02AM PAGE: 10 SITE ADDRESS: 124E SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF OWNER: BELLA VISTA HOMES, PHONE #: 503 -267 -0197 CONTRACTOR: F3ELLA VISTA HOMES PHONE #: 603 -267 -0192 Inspection Request Scheduled For: Date: 11/7/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 +- Shear walls/anchors 077828 -01 503- 267 -0192 Y Corrections /Comments /Instructions: `` Lower �IOO � V — ,5CevAAV\ Ou3 , d 0NQA R0OPY\ Z Rio v'Jo Accc.55 u ►.cl- ✓ ? PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL . 4/6ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector( Date: %✓ d9 Phone #: (503) 718- 2 �'Z dl CITY OF TIGAR® r. BUILDING DIVISION PERMIT #: MST2007-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I I/B/2007 Phone: (503) 639- 4171 u ° J iI Inspection Requests (24 Hrs.): (503) 639 - 4175 ,..4. -.. INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7:O1AM PAGE: 39 SITE ADDRESS: I1464 SW ST ANDREW; * IN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: I' ELL VI:>TA HOME'S, PHONE #: I)3- 267 -0192 CONTRACTOF:L [. ELLA VISTA HOMES PHONE #: 503267 -0192 Inspection Request Scheduled For: Date: 11/27/2107 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 20 looting 060295-01 971- 570 -6395 Y 11,0 Corrections /Comments /Instructions: ` ‘ 1 ' " M ' S' O► , ' (1 rf . e 1 'i 1 / L% Maw nn/i 4h Dfra.:/t4 9 44vuee, !v .44.57 r ,le.„ 0 t 9 ed6 4 A - 3) 5 b , 'M eit,,r4'' 4 /etv, s ` i9f1,/fh vi24, ` d..,,, p Y 4r k ' / 44-4 - r ; . C et/4 irr s' e A—U 5 _, 5 -ee. /i ce e 9alael Zetr6z--/i2-e 5,..A ; //1 4 -eve et-40 h:of-AY u/ / rZvi 1401-d/A4 q c,Aku / ..4ez e Vie. s e ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL PI NO ACCESS X FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED tit1 ,...1 1v (503) ! �v Inspector: Date: Phone #: 503 718- • / CITY OF TIGARD -. BUILDING DIVISION PERMIT #: MST2007- 000141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/t 200 r • Phone: (503) 639 -4171 7121 .. • Inspection Requests (24 Hrs.): (503) 639 -4175 ��':. • INSPECTION WORKSHEET FOR DATE: 11/2712007 , TIME: 7:01AM PAGE: 38 SITE ADDRESS: 126/1 SW ST ANDREWS l..N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 011 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA PHONE #: 603- 267 -0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 603-2674)192 • Inspection Request Scheduled For: Date: 11127/2007 Pour Time: 9:8 Code # Inspection Description Confirm # Contact # Message 10 - Foundation Wails 060296-02 971- f,70.6395 N . Corrections /Comments /Instructions: 5 ),„ AI_ 14r tr.. n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [FAIL 0., CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: 4 .1--/ Date: Oki /07 , Phone #: (503) 718- ; t l * ' �� OF _ MASTER PERMIT ' � ° " C OMMU NITY DEVELOPMENT PERMIT #: M 11/8/2007 -00014 I r DAT ISSUED: 11/8/200 I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 2S110CB -08700 SITE ADDRESS: 12464 SW ST ANDREWS LN ZONING: R -7 SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 012 JURISDICTION: TIG PROJECT: MOUNTAIN VIEW ESTATES Project Description: New SF. . BUILDING REISSUE: SKYLINE555 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,338 sf BASEMENT: st LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 2,056 sf GARAGE: 714 st FRONT: 20 PARKING SPACES TYPE OF CONST: 514 DWELLING UNITS: 1 THIRD: 2,483 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 5,877 sf 566,726.20 REAR: 15 . PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 2 LAUNDRY TRAYS: 4 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 2 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 4 MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 12 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 • 600 amp: 401 - 600 amp: EA ADDL BR CRR: SIGNAL/PANEL: IN PLANT: T MANU HM /SVCIFDR: 601 - 1000 amp: 601 *amps- 1000v: MINOR LABEL: 1000* amp/volt : PLAN REVIEW SECTION 8 Reconnect only: > =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY 1 A. SF RESIDENTIAL B. COMMERCIAL 0 AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER:, CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL fr SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BELLA VISTA HOMES BELLA VISTA HOMES laws. All work will be done in accordance with approved plans. This 3016 NE 65TH 3016 NE 65TH permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97213 PORTLAND, OR 97213 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503- 267 -0192 Contact #: PRI 503- 267 -0192 questions 10 OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 99206 TOTAL FEES: $ 14,502.73 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued = • _ I ! _i Permittee Signature : , • _anil 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. ` q CITY OF TIGAP' i ELECTRICAL PERMIT - `' a COMMUNITY DEVELLrMENT Permit #: MST2007-00014 T ( C 1 , RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/08/2007 Parcel: 2S 110C 808700 Jurisdiction: TIG Site address: 12464 SW ST ANDREWS LN Subdivision: Lot: Project: MOUNTAIN VIEW ESTATES Project Description: New SF. 3/31/09 First floor approved as unfinished space. Owner: FEES BELLA VISTA HOMES Quantity Description Date Amount 3016 NE 65TH PORTLAND, OR 97213 1 [BUPPLN] Pln Rv Deposit 01/10/2007 $250.00 1 [CDCPLN] CDC Pln Rev 11/08/2007 $45.00 PHONE: 503-267-0192 1 [LRPF] LR Planning 11/08/2007 $6.00 Surcharge Contractor: 1 [ELPRMT] ELR Permit 11/08/2007 $75.00 PERFECT CLIMATE 1 [TAX] ELR 8% State 11/08/2007 $6.00 Surcharge PO BOX 3176 1 [PKSDC] SF Park SDC 11/08/2007 $4,812.00 GRESHAM, OR 97030 1 [TIF -R] TIF Resident 11/08/2007 $2,800.00 PHONE: 503 -491 -4848 1 [TIF -MT] TIF Mass Tr 11/08/2007 $220.00 FAX: 1 [ BUPPLN] Pln Rv Balance 11/08/2007 $1,407.34 1 [BUILD] Bldg Permit 11/08/2007 $2,549.75 1 [TAX] Build 8% State 11/08/2007 $203.98 Surchrg Type of Use: SF 1 [METCET] Metro Const 11/08/2007 $719.67 Class of Work: NEW Type of Const: 5N Excise Tx Occupancy Grp: R3 1 [MECH] MEC Permit 11/08/2007 $129.30 1 [TAX] MEC 8% State 11/08/2007 $10.34 ` ? f\5 5 Surcharge 1 5 i � Sa A „ c 1S � 1 [PLUMB] PLM Permit 11/08/2007 $384.00 V A, ,� -i 1 [TAX] PLM 8% State 11/08/2007 $30.72 1 `/-Q O Z V� . I N ' \ ' `a � 9 NS5 1 Surcharge [ELPRMT] ELPRM ELC Permit 11/08/2007 $545.95 Total $14,690.23 G.-► NV L Required Items and Reports (Conditions) � C► ©� O � 1°-IVF9� it Vcpgs V F\04,.. P f` 55 I -14%.lo C ,Ntb us This permit is issued subject to the regulations - contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. CaII 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. I �'� t "1 �'\'_ #3Il `l l'IUt��`f iIlr .r1 S �` � � '5.J� v itti. https av accela coml`jetspeed portal. media -type, htmlr usertTIGARD.GNOBLEipage; default.psrni jsi q. ! 1 i X . �- P „`? ' Home - Print c= r Page ■ . Tools ■ Help ■ Research , Messenger inspection Detail Conditions (0) Documents (0) Inspection Type Address Case # 120 Electrical. rcugh -in. ..12464 SW ST ANDREWS 1.N..... MST2007 70001. , Request Date Request Time Requestor's Phone Number 03/17/2009 5:15 Request Comment Call 503 -267 -0192 1 hr ahead. . t Scheduled Date Scheduled Time 03/19/2009 AM i ; Inspection Date Inspection Time Result Department Inspector 03/19/2009 12 :34 FAIL Building Gary Noble ! i Result Comment �._., sil OESC, 250.104(B) - Bonding of metal piping and ductwork _-_—_ 1 1 Complete outlets, smoke detectors, etc. on first floor per plans , 1 Not ready, if scope of work has changed plans must be resubmitted to reflect new scope of work. :______21.„.11 i; 4i CAP Type Internal Use Only i Building /Res /Master Permit/NA HST07- 00000 -03802 I p Re orts i (2I : ;I li j A My Reports YCase Specific Permits _ ' ; i "+.i r n = �rrric i - -.t= -r Ocr_upan�,� c ,, 1. - V.fiuf cture_ 'tract -ur =er—, , t i a - 1 1 ti E,,, ,,'-',:n , .::',' . -- r3 a. trio -_ _n_rc': - rrift. • c:r' ' ic 3^.e. eric`ac n =Ermi: <,_: -_! - , - Stern - erm't .- _ . - :.. :`3C a tiwr :erm €t i fi r 2_ _1 -- r7,1st CC _ .,:i.. _ "'?(' h -cam Err? - _ _ -__ ,?kiss Imcf.::, _rnsrst =Ermi: I L + � In - Microsoft Inspection __-_ _ - -- - - - -_ _ _ _.._.___ ._ on List f- f" s '� .. _. - - - -- � -__ _ 6.46 x11 TRANSMISSION VERIFICATION REPORT TIME : 03/26/2009 06:59 NAME : TIGARD BUILDING DEPT FAX : 5036243681 TEL . SER.# : BR0D4J479592 DATE, TIME 03/26 06:59 FAX NO. /NAME 5033352094 DURATION 00:00:15 PAGE (5) 01 RESULT OK MODE STANDARD ECM CITY OF TIGARD BUILDING DIVISION PERMIT #: 1667 - 200.7.00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 t. at 4 c Inspection Requests (24 Hrs.): (503) 639 -4175 ,"�1 INSPECTION WORKSHEET FOR DATE: / ,• I,ttt. 0 9 TIME: PAGE: SITE ADDRESS: t 2.141k. p b U$s CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 31000( Pour Time: Code # Inspection Description Confirm # Conlact # Message R 4 vei pa . r gitions/gormlnitsrstructions: f*1 L ck o _ tight C Y, N r � • I. . a _ .. — - ,r- _ . 1 CITY OF TIGARD r BUILDING DIVISION _ PERMIT #: 2001'0014, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) ItPlilt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3,. let. 09 TIME: PAGE: SITE ADDRESS: 1 21.4( , fl o (gW3 Lj , CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 111011:60( Pour Time: Code # Inspection Description Confirm # Contact # Message 136 1--0 W V O bloree - A L C� 20 Rove r1cl Ao L. actions/ mme ntsTlnstructions: t' L n ii taooblfl cif.5 Fsi '. AZ, tst, to t O 01 S . iki 0141 !' L t. ' 1. if 1' Pis . Nay I- 6 c-cift Of wbc- VINF 0140 ► r. P n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 71 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 , 1 1 4 40eLle Date: 1 3'1 c l - 6 a t Phone #: (503) 718- 2.4q47 CITY OF TIGARD . ' BUILDING DIVISION PERMIT #: 9067 , � f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ``'`'t'' Phone: (503) 639 -4171 40010 Inspection Requests (24 Hrs.): (503) 639 -4175 <, INSPECTION WORKSHEET FOR DATE: 3. _ 09 TIME: PAGE: SITE ADDRESS: 2. 614 514 , t $y 3 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: GY" (k sE f PHONE #: • Inspection Request Scheduled For: Date: 3.1s- 09 Pour Time: Code # Inspection Description Confirm # Contact # Message V01."' M >r V1 u Sts rLV Corrections /Comments / Instructions: 6 E L s - e v c . A L i 1 . ) 660E7 L C a P t \ ) T We J ot.Z1EK, 7 4 j 7 i) 'aR,YSA. Cc vM CiSeT. AN vut kiNt WtJier g a 'Ta `'1 L . CZtS. ► S N � � 1� N o ` 1 t ► 6t4_3 we .�. '&1( �� I n t 1 blb CS) C_ r .±11 ' L ( n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c9" �- N% � Date: �� 31 0 Phone #: (503) 718 - 2446 CITY OF TIGAR® BUILDING DIVISION PERMIT #: yAr3'za Iy 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 IL Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3- 42 .09 TIME: PAGE: SITE ADDRESS: , 2Ur 64. 5 W 57 a , � r CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: f' ; Inspection Request Scheduled For: Date: 3.12 - Pour Time: Code # Inspection Description Confirm # Contact # Message 2 R40J0144 E c .cam. Corrections /Comments / Instructions: o f= s ti e (ALL FD(ti- Low \faiNt CoJ'E 1, bN`TikjS ���(koAlr f I rhi ,v • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION. ❑ ADDITIONAL FEES ASSESSED Inspector: N LE Date: 311 0q Phone #: (503) 718- Q.--.144.6 ,. Restricted Energy Electrical Installer Log e ° City of Tigard Building Division TI GA RD 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503. 639.4175 Internet:. www.tigard - or.gov PERMIT NO.: r g T ao0-7- 00C)1+4 ISSUED BY: Al DATE: 5 • b i . TO BE COMPLETED BY INSPECTING JURISDICTION CHECK TYPE OF WORK INVOLVED: 1 & 2- FAMILY j COMMERCIAL ❑ Audio and Stereo Systems* ❑ Audio and Stereo Systems ❑ Burglar Alarms 0 Boiler controls ❑ Vacuum Systems* 1 ❑ Clock Systems ❑ Data Cabling Data Communication Systems tk Other ` i . C n ❑ Fire Alarms ❑ HVAC ❑ Intercom and Paging systems ❑ Landscape Irrigation Controls* THIS MUST BE POSTED AT THE JOB SITE AT OR NEAR THE SERVICE ❑ Medical ' PANEL. IF THERE IS NO SERVICE PANEL, POST ON OR NEAR THE ❑ Nurse Calls INSTALLED PRODUCT. AN INSPECTION SHALL BE REQUESTED I e Li ❑ Outdoor Landscape Lighting* ONLY AFTER ALL OF THE ABOVE PERMITTED SYSTEMS HAVE BEEN f p g g* INSTALLED, AND THIS LOG HAS BEEN SIGNED BY THE SYSTEM . j ❑ Protective signaling CONTRACTOR(S). OAR 918- 309 -0400. } ❑ Other TOTAL NUMBER OF COMMERCIAL SYSTEMS: * Electrical licenses are not required for these items. • Construction Contractors Board license is required for all installations. • TO BE COMPLETED BY INSTALLER pll System fA0 ne__ TV A Iq yM 0 System. ' Company: At (- Teen Electitc. Phone: 5/9 /3 ° Company: Phone: Address: 10 p ve,r /q ri.. CCB # - 7 (-, (f S/G Address: CCB # . Sig.: Lic. # (L S 3 Sig: Lic. # O System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Sig:: Lic. # Sig. Lic. # • O System 0 . System • Company: Phone: Company: Phone: Address: CCB # Address: CCB # • Sig.: Lic. # Sig: Lic. # • 0 System 0 System Company: - Phone: Company: Phone: Address: CCB # Address: CCB # Sig.: Lic. # Sig: Lic. # . ' 0 System 0 System Company: Phone: Company: Phone: ' Address: CCB # Address: CCB # Sig.: Lic. # Sig: - Lic. # 0 System 0 System Company: Phone: Company: Phone: Address: CCB # Address: CCB # Si Lic. # Sig: Lic. # • • I: \Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 1 918 - 309 -0400 Restricted Energy Electrical Permit Application (1) A separate Restricted Energy Electrical Permit Application Form and Restricted Energy Electrical Installer Log are created and adopted. (2) The Restricted Energy Electrical Permit can be taken out by a general or subcontractor, limited energy installer or property owner for the fee set by the board in OAR 918 - 309 -0030 for limited energy transactions provided the requirements of this rule are met. The person applying for the permit must: (a) Assume responsibility to call for an inspection when the permits are signed by appropriate persons, installations are completed and after all corrections are made and comply with the requirements of the restricted energy electrical laws and the restricted energy electrical rules; (b) Be responsible for all corrections required by the inspector under the permit, regardless of who performs the work; (c) Call for a final inspection when corrections are made and the work is completed. (3) Options. The person obtaining the permit may: (a) Limit the permit to only the work of the permittee; or (b) Include any and all limited energy installations including those done by separate installers, but the installations must be ready for inspection at the first inspection call. When this is done, the permit must be completed and separately signed by the person, also identifying the business responsible for each type of limited energy electrical installation. (4) The restricted energy activities to be covered by the permit must be declared at the time of the purchase of the permit: (a) It is not necessary to identify the contractor at the time of permit issuance; (b) New permits must be purchased for all other restricted energy installations; (c) If a contractor is changed, the contractor who completed the work must be identified. (5) Regardless of what was initially intended the permit only covers those installations that are in place at the time of the first call for limited energy electrical inspection. A separate permit must be purchased for all other limited energy installations whether the installations become ready for inspection at a later date or are done at a later date. (6) This rule does not apply to an industrial plant when ORS 479.560 is applicable. (7) The Restricted Energy Electrical Installer Log must be posted at the job site for signing by appropriate persons installing the separate electrical systems as shown on the form. A municipality may require more than one log to be completed and left at the job site if it chooses to. I: \Building\ Forms \ELC- RestrictedEnergyLog.doc 02/01/07 2 CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2007 -00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//812007 Phone: (503) 639 -4171 i�l Inspection Requests (24 Hrs.): (503) 639 -4175 '_ ., INSPECTION WORKSHEET FOR DATE: 2//292000 TIME: 7:05AM PAGE: 51 SITE ADDRESS: 12464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIE! ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA HOME,, PHONE #: 603- 267 -0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 50; -267 -0132 Inspection Request Scheduled For: Date: 2112f2008 Pour Time: Code # Inspection Description Confirm # Contact # /9 �y Message 310 Crawl chain 0&4839.04 603267 -019q�2 Y + Corrections /Comments/ Instructions: g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: cjj\'vtiti,J, \'L+' -- bate: Q l ?1-0kl Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 Phone: (503) 639 -4171 i,, 1i1i� I, 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ., =�!,� `;_.. INSPECTION WORKSHEET FOR DATE: 211212008 TIME: 7:O5AM PAGE: f - q SITE ADDRESS: 174&4 SW ST ANDREWS I. N CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES • LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIES^! ESTATES DESCRIPTION: New SF. OWNER: IIFLLA VISTA HOMES, PHONE #: 503 -0182 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503 -267 -0182 Inspection Request Scheduled For: Date: 2/1212000 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 S:anitary sewer PIS /1 h 06 4839 -01 503.267-0192 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V v'vlWJ`i \v,.., Date: Zi 0..)\ 67) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 { 00i4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2001 Phone: (503) 639 - 4171 ' i 11 : Inspection Requests (24 Hrs.): (503) 639 -4175 �_�. `__ INSPECTION WORKSHEET FOR DATE: 7112/2008 TIME: 7 :05AM PAGE: 53 SITE ADDRESS: 12464 SW .a'f ANDREWS 1 CLASS OF WORK: SUBDIVISION: MOUNTAJN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME:. MOUNTAIN VIEW ESTATES DESCRIPTION: New SF OWNER: GFLLA VISTA HOMES, PHONE #: 503 - 267 -0192 CONTRACTOR: BELLA VISTA HOMES PHONE #: 503-267-0192 Inspection Request Scheduled For: Date: 2112/2003 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storin drain 064839-02 503 -267 -0192 N Corrections /Comments /Instructions: g PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ab 6.A....;.11 . Date: 2) 12 041 Phone #: (503) 718- CITY OF TIGARD It BUILDING DIVISION' PERMIT #: itil4tiT2007- 000•14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007 Phone: (503) 639 -4171 AkA, Inspection Requests (24 Hrs.): (503) 639 -4175 AI( `'I INSPECTION WORKSHEET FOR DATE: 2/i MOM TIME: 7 PAGE: 62 SITE ADDRESS: 174&1 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIF„WESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES DESCRIPTION: New SF. OWNER: BELLA VISTA HOMES, PHONE #: 503 -267 -0192 CONTRACTOR: F.3ELLA VISTA HOMES PHONE #: 503 -267 -0192 Inspection Request Scheduled For: Date: 211212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 064839.03 603-267-0192 N Corrections /Comments /Instructions: 9K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �.n�� ‘...-- Date: 2/ L- 2,',67) Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MTZ007 0(1014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007 Phone: (503) 639 -4171 Arthl�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 : 00AM PAGE: 6 SITE ADDRESS: 11464 SW ST ANDREWS LN CLASS OF WORK: SUBDIVISION: MOUNTAIN VIEW ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: 1v1OUNTAIN VIEW ESTATES DESCRIPTION: N SF. OWNER: [3ELLA VISTA HOMES, PHONE #: 503-267 -0192 CONTRACTOR: BEI.LA VISTA HOMES PHONE #: 503.257 -0192 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 061393.04 503 -810- 0534 Y Corrections /Comments/ Instructions: Lo °I -)O-II- A - L - 13 .,- I - 1 �v S� % Li v :ry-e- t e i .e ' A. ` o ,mac AJ0 f - Z To S,4v , 1 I N\ L 0 , 2/ S L R t 1 13 e Oey o RSG B _ -. A a ∎ \ P Ai) r' ✓d —A 11Ac.. ✓ k, Cc;,. \ \ / &AI. \A-; a gal (,J o,; ,c_fw - \ A C;D - ' (0�b 1, (2_, -1 - y (, P LA.-4'C t•-)w-Lv P L X 0 --t o S5 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( 'N-A -) Date:) Z J 12 I 0) Phone #: (503) 718-