Permit , ;'' MASTER PERMIT
PERMIT #: MST2%%7 -00
COMMUNITY DEVELOPMENT DATE ISSUED: 6/16/2
jT' ID, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CC - 21500
SITE ADDRESS: 15611 SW 81ST AVE ZONING: R -12
SUBDIVISION: GAGE FOREST LOT: 022 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project Description: New SF detached.
BUILDING
REISSUE: MS4A -GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 839 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,272 sf GARAGE: 409 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 5f RIGHT: 10
VALUE: 216,561.54
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,111 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN ' 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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: 4 201 - 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: SVC /FDR> =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: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 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
TIMBERLAND HOMES INC TIMBERLAND HOMES INC laws. All work will be done in accordance with approved plans. This
12670 SW 68TH AVE 12670 SW 68TH AVE STE 300 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 TIGARD, OR 97223 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: 503 620 - 8860 Contact #: PRI 503 620 - 8860 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 141715
TOTAL FEES: $ 11,645.48
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 - 4444
•
d By / / , i �� Per m ittee Signature
Issue y ,tom ` _ —, �=i 9
Call 503.63' -s 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 tl s . t f>' u J i A ti . „ Y.. } T r k3," n „?t ")y ,F .7 1 la ,rrd ,
g � ° ®� fi tttd 1 a ,„ n "4t : n1x k F
Building Perm App9icati ECEt V -- Y A.qt:. * F `' 7. .h) ()F F I F l Sr O\I :l ,� , 0 �,;<
,sl3 Phone' 503.639.4171 Fax:
R eceived
Ci of Tigard I Permit No � ,/ n � ^^
� � ? �.u. _ t ��}} +fi ry Date /By � / / � r � 1 ��( �OW��� �/1 •
; . �' 13125 SW Hall Blvd., Tigard. 97223 AUG V LU�1 P lanReviet AV
Other Permit 4
q- .
,1 4. .503.598.1960 Date /By: Tt 6u 1.07-- Qp,' Q °
4,, moo: Inspection Line 503.639 41 7 5 { TIGARD l
R GFA h D.� p CITY I ®` /� N Notified/Method Date Readv /By: 1 /a ®Ser Attached Checklist for
r; K`[YV*s`:k 4"F.F Internee tvtvw. 11gard- or.:_>uv BUILDING DIVISION /� ` • j I is Supplemental Information_ -__
TYPE OF WORK REQUIRED DATA: 1 AND 2- FAMILY DWELLING
Er construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor. overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
E6- and 2- family dwelling ED Valuation: S l� j`C�L;
1
I=1 Accessory building ❑ Multi - family Number of bedrooms: 1
❑ Master builder ❑ Other: — Number of bathrooms: ).. •,S
.IOB SITE INFORMATION AND LOCATION ( Total number of floors: 1.
Job site address: /54/ / Sa." g t s " ' f v E New dwelling area: ' ).i i I square feet
City /State /ZIP: ((kt, SJ c-(2.„ 2Z' Garage /carport area: ITS( square feet
l
Suite/bldg. /apt. no.: , P. Project name: Ct p, F19-ES ( Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
��/ REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot n 0 Permit fees* are based on the value of the work performed.
7�1 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.
Valuation: S
NEG., (.\( 0 Ferri AL-ti ' ' . C sr � 0A/ Existing building area: square feet
`! Re
New building area: square feet
[PROPERTY OWNER ❑ TENANT Number of stories:
Name: i F v „si le p„,, wi .,s ( Type of construction:
Address: (Z ( p s L) ( 8 zJ VE Occupancy groups:
City /State /ZIP: TR. A-42_ C. , a A. C 7 2-13 Existing:
Phone: 1133) t o 2O • t t G. 6 F a x : ( ) 5 1 8 • 1 0 5 ( New:
E APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
5/A, under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt; from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: l BUILDING PERMIT FEES*
Address: I (Please refer to fee schedule) Al _
St Structural plan review fee (or deposit): ^ 7,D
City /State /ZIP: C l
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: il ( `t (S — Total fees due upon application: , ( �
Amount received: F( ?'•'
Authorized signature ��
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
t'r int name: p lOteko ' a1c Date: * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP- PermitApp. dot 03/21/06 440- 4613T(11 /02 /COAM/WEB) /
I
RECEIVED
,4,
. r t t 4 ,z1. , `"� b x` .. ,. .„... a x •�. ip ,4 rn v .,w,� -su
Plumbing Permit Application ;> i w r' i� � � y rx * , ! � � FOlz,o l I I(I s AO �l +� � 7 i � - � :
( s . .. . .- r +t n - - -a »�, s : � m - Yt �u.. a '..t -- . . "'S s, ...n a ..,,r . ,..;. ..,,
, Ci of 'Ti and A UG 2007 Received )1957;9440 s
r "� -- g Date/By oco 01 Penntt No ? ^� l
r.' .: '�cl 13125 SW Hall Blvd.. Tigard, OR 97223,-,1- r Y OF TIG�1RD Plan Review
= i Phone: 503.639 4171 Fax: 503.598 19150 Date/By: Other Permit No
., ' a» w . Inspection Line. 503.639.4175 BUILDING DI
V 1 G A -K D` Date Ready /B 11 1 0 See Page 2 for
;;:mi 7ety Internet: www ttgard or.gov Notified /Method: la Supplemental Information
TYPE OF WORK FEE* SCHEDULE
aNew construction ❑ Demolition For special information use checklist
Description Qty. Ea. Total
❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 It for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
[ - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building E] Multi-family SFR (3) bath 1 399.00
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: /5 ,,, g( w- p Catch basin or area drain 16.60 •
City /State /ZIP: , (,, Xf).-7 ( 0 9 1224 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: l Project name: Footing drain (no. linear ft.: _) Page 2
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 fi.: ) Page 2
Subdivision: I Lot no.: Water service (no linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
NEW &.t 3(1k(Ct L E Fern( LA-( p_es c D - Cex.15T-P-i_ka-toKt Clothes washer 16.60
Dishwasher 16.60
[PROPERTY OWNER I Drinking fountain 16.60
❑ TENANT
Ejectors /sump 16.60
Name: i (ry P L t \ t � tkr vu t N c . Expansion tank 16.60
Address: ( 1 Sup ( 8 TtA (-VE Fixture /sewer cap 16.60
City /State /ZIP: Tic( J,-+_,0 1 c & q'? 2:2-3 Floor drain/floor sink/hub 16.60
Phone: (,.9:S 62e • as ( Fax: (S'23 ) S g . c(O$ 1 Garbage disposal i 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
S ink/basin/lavatory '4 16.60
Phone: ( ) Fax::( )
Tub /shower /shower pan ° L 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet i 16.60
Business name: C. ( a►LV____ ?(_.i g.&(l (mac f _ Water heater i 16.60
Address: 1/t2 S t.,_) N f t& s PAVE ` t Other: 1
City /State /ZIP: te�/ 4 /( CUB VI 00 6 Subtotal
Minimum permit fee: $72.50
Phone: (St3 ) 614 . % 6 et % Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 11 G GG Plumbing Lic. no.: 20- (4$ ?t Plan review (25% of permit fee)
Authorized signature/ / ��t: -� State surcharge (8% of permit fee)
TOTAL PERMIT FEE j
Print name: al Ac ( ( e1 0,(Z_ 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 \ Building \Permits\PLM -Per mApp.doc 06 /26/06 440 - 4616'1710 /02 /COM/WEB)
i�P4-9E4sRo �t sTM��z* �'i pr qy � � r rs ,�,^+ s �;P'A r� �'�'" `r„`.4"- ���aa ci�2" j�.°r3'i �''
Mechanical Permit Application ���� t l �� >t rn.�� �keV
sr sf+V., ='a City Of Tigard Date/By. g 67 Permit No 1 5T Z,5
11 x N " ° 13125 S W Hall Blvd., Tigard, OR 9722 y ��
sn x , Plan Review Other Permit
s B c Phone 503 63 ).4171 Fax: 503.598.1960 ( +([�� r Date/By
M r Inspection Line. 5(1 AUG 2 0 2001 y
hT 1 et6Mi Ins ec p 3.6394175 Date Ready /By s t 0 See Page 2 for
&'_R" , t,3t w
. Internet. ww Tigard - gov Notified Method Supplemental Information
CITY OF TIGARC
BUILDING DIVISION _
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
(d New construction ❑ Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
131 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: /...le1/ 66,1 g g f Air conditioning or heat pump -
(requires site plan showing placement) 14.00
City /State /ZIP: - ( Z t- 2- 1 1 Z ...if Fumace 100,000 BTU (ducts /vents) l 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: C{ f''4E Fat -
Gas heat pump 14.00
Cross street/directions to job site: Duct work 1 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 10.00
Gas fireplace I 10.00
Flue vent for water heater or gas
1. L+) $ t A! (c c e FAvvi.1 fl-FS ( . Cep t∎l ST jL-e..c._7L cwt fireplace I, 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
[PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: C ti MILL • Environmental exhaust and ventilation
Address: ('2..(, Z e S t:,) ( rti t'�V e- Range hood /other kitchen
equipment I 10.00
City /State /ZIP: T((, A f CA-- '� za-3 Clothes dryer exhaust I 10.00
Single -duct exhaust (bathrooms,
Phone: (,Sa3 ) ( o Z O . iii8Go Fax: (SC 3 ) S • B ( toilet compartments, utility rooms) 3 6.80
2 ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5 .40 for first four; $1.00 for each additional
,___TA Address:
Fumace, etc. 1
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater t
Fireplace I
E -mail: Range '
CONTRACTOR Barbecue
Business name: (��L Pt"L 2 Clothes dryer (gas)
Other:
Address: 'p 0 ,ba c 133 MECHANICAL PERMIT FEES*
City /State /ZIP: CA,.. Artjt-ActerNAS i OA e n 0 t 5.-- . Subtotal
Minimum permit fee ($72.50)
Phone: (y i( ( . I et 0i Fax: ( ) Plan review (25% of permit fee)
CCB tic.: I 6 71 State surcharge (8% of permit fee)
L_..----- TOTAL PERMIT FEE
Authorized signature: permit application expires if a permit is not obtained within 180
L \ days after it has been accepted as complete.
" name: Nev°0'CR rT� Date: * Fee methodology set by Tri- County Building Industry Service Board
. Permits \MEC- PermitApp.doc 04/06 440 -46I 7T (I I /02 /COM/WEB)
�p CE�VE
Electrical Permit Applicat 1 M �� �, >� .����� , _ � � . � , �°`�;_
r .ti OI 1 I(I �t 4l O \L�l t, G , I �,
6. k d p z:44 . t1 " 5w a _� as - t.% . 1. ` ` .v;: x s t tie
411 040 City of Tigard p ti Received
I 6
#'' g 33 I dd 200 Date/By g Permit No.: M 7—oo /5S
n. 13125 SW Hall Blvd..'figard OR 9721iUw 0 Plan Review
b g , Phone: 503.639.4171 Fax: 503.59 Datev: Other Permit
� � I OF TIGARD
B
a..' �iF Inspecti Line: 503.639.4175
pTI Date Ready/By: iuris 0 B See Page 2 for
G A. RDs Q{ p�
e ,a� 14 tiV Internet: www.tigard- or.gov BUILDING DIVISION Notified /Metho / ICA Supplemental Information
TYPE OF WORK PLAN REVIEW
New construction El .Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w!Rems checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings .
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
D'i- and 2- family dwelling ❑ Commercial /industrial El Accessory building amps for all other installations buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A" °E" "1 "1 i"
Job no.: Job site address: /5 / S' $ 1 1r frot 100HP or more. occupancy.
❑ Six or more residential units ❑ Recreational vehicle parks.
City /State /ZIP: - ( (. t � - �i - ) ( C - 2 c 2 ❑Health -care facilities. 0 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Ct ik (t E E6' Vt ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description
Qty. � Fee. 1 Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. 0.) 75.00 2
Limited energy, multi - family
75.00 i 2
residential (with above sq. ft.)
, n � , Services or feeders installation, alteration, and /or relocation
S (f�( (�.. f el YVv I L- t I / S 1 (-Ll' S 11 c ` � I 200 amps or less I 80.30 2
[PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: T rA ? it t "brn�� ■ A C -
t 601 amps to 1,000 amps 240.60 2
Address: I Sc,.j (C ' - Svc Tr c, Over 1,000 amps or volts 454.65 2
Cr
" Temporary services or feeders installation, alteration, and /or
City/State/ZIP:
u /\�- t' ,, C ✓t 72,2-3
relocation
Phone: ( 2 ( ,2 C - Ui , 60 Fax: (57 j ) t (• C; f 200 amps or less _ 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 . 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: n 46.85 2
L) ( r \ f irst branch circuit
Ea
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (� ) L Z - 25 i, , Fax:: (673 ) S C G ' 9 c ' '
�• L i Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: (�( (( (-{- 3'Z -(zj f,`S€ ��'.(C Signal circuit(s) or limited -
(f�t energy panel, alteration, or
J
Address: e )„:11 S7i C 1 /j - V C , I c1 extension. Describe. Page 2 2
City/State /ZIP: Wi -SCAV V l 1--1.-6 6 iL cj - e'l V Each additional inspection over allowable in any of the above
/ C Per inspection 62.50
Phone: (3U) 5 ) - 9C. Cr'c.i Fax: (tl�3) 3132 - 1 q 4 j y _
Investigation per hour (1 hr min) 62.50
CCB Lic.: El ectrical Lic.: 3 �Z'-C. Su prv. Lic.::5 c.� t S' Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, r equired: =[n` �z.-L Subtotal:
- !
- ` - I
(J Plan review (25% of permit fee):
Print name: '2A,vi)" H � - I Date:
State surcharge (8% of permit fee):
Authorized signature: r"� � �. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Iyt /cilt,s .,eYZ: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
1: \ Building \ Permits \ELC- Permit.App. dot 05/23/06 440 - 46151(11 /05 /COM/WEB
p CITY OF T1 -.JA ® _ MASTER PERMIT
COMMUNITY DATE ISSUED: MST2007 -00155
ITY DEVELOPMENT 6/16/2008
T1GnRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CC-21500
SITE ADDRESS: 15611 SW 81ST AVE ZONING: R -12
SUBDIVISION: GAGE FOREST LOT: 022 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project' Description: New SF detached.
BUILDING
REISSUE: MS4A -GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: B39 sf BASEMENT: st LEFT:
5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,272 sf GARAGE: 409 sf FRONT, 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 5f RIGHT, 10
VALUE:
OCCUPANCY GRP: R3 BDRM: 4 BATH:
3 TOTAL: 2.111 sf 216,561.54 REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 ' SF RAIN DRAINS: - 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: • 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
' OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
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: 4 201 - 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: SIGNAL/PANEL: 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: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREAI$PC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL . B. COMMERCIAL
0
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0/ SYSTEMS: til
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR Specialty Codes and all other applicable
TIMBERLAND HOMES INC . TIMBERLAND HOMES INC laws. All work will be done in accordance with approved plans. This
12670 SW 68TH AVE 12670 SW 68TH AVE STE 300 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 TIGARD, OR 97223 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- 620 -8860 Contact #: PRI 503- 620 -8860 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 141715
TOTAL FEES: $ 11,645.48
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued B /�. -- / 6 " Permiftee Signature 1---__J ! /c
y __` �` �✓ 9 rte
Call 503.63., ! y 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.
CITY OF TIGARD
BOLDING DIVISION PERMIT #: MST2007 -00155 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5116/20Q0
Phone: (503) 639 -4171 A il
Inspection Requests (24 Hrs.): (503) 639 -4175 '_�' "_
INSPECTION WORKSHEET FOR DATE: 274/2009 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 156•1 SW 81I AVE CLASS OF WORK:
SUBDIVISION: (SAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New 3F detached,
OWNER: TIMBERLAND HOMES INC, PHONE #: 503. 620- 88(,0
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 2/24/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 080796-02 503 - 620.8860 \ Y
Corrections /Comments /Instructions:
,K o C
1-�► l\ 5 w 1 ' . E k. A pL-L . AID , \tO.3 C? Cdr; (Nt f*
V > 3 . 5 c t G: tab #-L;
k
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
rte;: -e. L ►�+ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: c)---- K 6G Le"
Date: Z - -9 ° - 4" C I Phone #: (503) 718- _2.-IM>
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M; 1`2007 00156
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/16!2O0(3
Phone: (503) 639 -4171+
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I_�..
INSPECTION WORKSHEET FOR DATE: 11/19/7008 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 16611 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: . 603. 620 -13060
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.8860
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 078261 -04 503- 737 -9888 N
Corrections /Comments /Instructions: -
1 / .0604/4 /1 0 /../ , •
1
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES A SESSED
ii
\ u
Inspector: i Date: 14 / v U Phone #: (503) 718 -
.
CITY OF TIGARD NA
BUILDING DIVISION PERMIT #: MST7007 f 0156 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . Zli(i1(1\
.
INSPECTION WORKSHEET FOR DATE: 11/1912008 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 16611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: (SAGE FOREST • LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC P #: 503- 620.8860
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 078261 -03 503.737 -9886 Y P
Corrections /Comments/ Instructions:
•
itiol vri ja4 1105 )-
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,
Inspector: \ilk Date: 4 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-001.55
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61•6/2000
Phone: (503) 639-4171 Ak.
.t
Inspection Requests (24 Hrs.): (503) 639-4175 „, ,, . ---
. INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 1 fieli i SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
. .
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 078191-02 503-582-9600 N
Corrections/Comments/ Instructions:
1 O 4 / 1 4 . • - A. . .
„ ;........._,.. . ...t..:. Lio i • , mov • 4.
, ' rIMINNIMPPWIRWIIIMPI
imientimILWRIENIc 0 L\ 4 •
1 wrmigr wr wr
4 i
8 A Ci / a . • e 1- S ,
1 -
(
PASS pi PARTIAL APPROVAL 0 CANCEL El NO ACCESS
1 CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector:- G. N661.E" Date: Al 1 %II Phone #: (503) 718-1-01
CITY OF TIGARD =
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2008
Phone: (503) 639 -4171 Ate
Inspection Requests (24 Hrs.): (503) 639 -4175 _Vi I!
INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01A PAGE: 16
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: .TIMBERLAND HOMES INC, PHONE #: 503- 620- 8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.. G20.88G0
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical eeIYICe 078191 -01 503. 582 -9600 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL 111 CANCEL iii NO ACCESS
0 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 41 1 U D Phone #: (503) 718- milk
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: w,007 oc�1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U16/2008
Phone: (503) 639 -4171 ` '°
Inspection Requests (24 Hrs.): (503) 639 -4175 J "''.I:
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: (GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: ()AGF FOREST
DESCRIPTION: New SF detached. (d 4 0 u r e-
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620.8860
i
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -ire 078052 -05 .3 N
Corrections /Comments/ Instructions:
Ct 3 K 0 IS R, .)i j 76.) 6tirt (e1F- RN a
ikCQ Arm%
S pot• C:M be' (ta 0 1 CA L6 16) v P ;MU RAOIY\ .
C 14 4 wCV>A 1 CZA55 CW Vc
p ti. I N K , , - %C.-rItki.5. Pa . 1 `3 3 0`)
•:v
Fi ( - to 4 ZIA 4 L:Iv i Pk .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (,- 1\ 6 Le Date: Irk Phone #: (503) 718- 111A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/16./200
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 :00AM PAGE: 29
SITE ADDRESS: 15611 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: Now SF detached
OWNER: TIMBERLAND HOMES INC, PHONE #: 03
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -8880
Inspection Request Scheduled For: Date: 11/14/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 078052 -04 503. 737 -9988 N
Corrections /Comments/ Instructions:
65 3 K 6 6 L -- 12 PoACL,
.0,(r,
•
•
.ter
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES
Inspector: 1.10 (_ Date: ill Ili /o Phone #: (503) 718- ON
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -001 66
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1602008
Phone: (503) 639 -4171 / ' ' A A
Inspection Requests (24 Hrs.): (503) 639 -4175 ' : 'I L .
INSPECTION WORKSHEET FOR DATE: '11/26/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 16611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE* FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: f;03- 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8860
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 078577 -01 503.737 -3888 N
Corrections /Comments /Instructions:
•
i0 /Ler " ` -/ -71 -,c2
I PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // —2- --6g Phone #: (503) 718- 2slsq-
. (( ( • .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €4160008
Phone: (503) 639 -4171 41.. 11 �j 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ..':. "L_"
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620.88E60
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503_620 -8660
Inspection Request Scheduled For: Date: 11/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
X80 ■�� Insulations 078392 -01 503- - 737 -9888 Y
Corrections /Comments /Instructions:
See_ ° q 1 - - . \ - a — 5 T re ,, / 49, o5 • `r s)
< 5S 0e- k.,; A.S A) -\--- SJ \VYk.ft d c .
c'o Ak9 * C-osa e r (ti ,r--7 w4- /
l PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
A rmir" ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 235 Date: A �o v 0 3 Phone #: (503) 718- .7403
CITY OF TIGARD 1 - 7 , -- Oj / Ss
BUILDING DIVISION 0," PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 6 39 -4171 kJ" (
Inspection Requests (24 Hrs.): (503) 639 -4175 ': `�I �..
INSPECTION WORKSHEET FOR DATE: 1 1 TIME: \0 PAGE:
SITE ADDRESS: 15 bit ) i/ 7 ) r -Q CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ��
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: - D C 1 „) PHONE #: <7Z 4g_gg
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection De cription Confirm # Contact # Message
Corrections /Comm /Instructions:
r�jr,G5 v.% err ke
b
1. .�. /a • ..411 . I-% 1 L41-
1• •
LU
-' /Os� of---ie d ®. Y1 C.46--Fit--i 4 -0 4 .--C
61 A% __-_e--,,-- 11 : ;) '' 1:' F'iPf s 5
o h •
Y ,e tC) > 1 1 J 2. . 7 (). erd:1
b j /74,...-r `�' /t, 1 SJ i ve 5174 Gl ' I,-tj'
t-:-, +0 C° ,)-
; 6 40 a, (4,-,A.e c.,,,,r-{J,,,,s .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: `/ Date: t L� " "
p Phone #: (503) 718- T T L-1(
CITY OF TIGARD A .
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1612008
Phone: (503) 639 -4171 �I I1
Inspection Requests (24 Hrs.): (503) 639 -4175 � pqp !' :_..
INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7 :02AM PAGE: 5
SITE ADDRESS: 16611 SW81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: { IMI3ERLAND HOMES INC, PHONE #: 503 - 620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -88 60
Inspection Request Scheduled For: Date: 11/190008 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
276 1Z Framing 078261 -02 503. 737 -8888 N
Corrections /Comments/ Instructions:
See_ iZe e5 /'/ Ati 0 c3
So 6 r* Ale t rvs5 s
Go(ret :kr¢i( S CY l
hie 1 o k 5 ✓tat
t PASS ❑ PARTIAL APPROVAL [ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: 4 Date: /4d'3 Phone #: (503) 718- 29,73
- • , ••-
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: msT2007-00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &16/2009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .491;
INSPECTION WORKSHEET FOR DATE: 11/1900013 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 11/19/2008 Pour Time:
4 I
Code # Inspection Description Confirm # Contact # Message I ''
240 Exterior sheathing 070261-01 503-737-9888 Y
Corrections/Comments/ Instructions:
A feiv\rei itt
•
I I PASS 0 PARTIAL APPROVAL ,CANCEL 0 NO ACCESS
I FAIL 0 CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: aS Date: 146ri C8 Phone #: (503) 718- ,2( ( . 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST OIl7.00Th
13125 SW Hall Blvd., Tigard, OR 97223 a {� DATE ISSUED: 6/1612008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7:OOAIVf PAGE: 32
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.G1() 88f:(1
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 630 8850
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 078052 -01 503- 737 -3888 N
Corrections /Comments /Instructions: `
o . je, 4' \ �Pa�r �. y v ti C w ( i f S 'k � ✓ 7
M1 a 4cAr
z) s \ rco �\ o e) b° ow. c 4 cAe . k .g Cl a 5 e
wt., ' — S c e CJ Ma r k s
f e n v i v e J/ t \ @ i t - Tvt -c r', c1 r`- , /VU v1 bars+. v.` ( f. <
- J
PPA mss: Stu <7\cc Q cY 34-0:.,r 5 . Le .-�
\boo w- W v^c'
5) s� je C 2 ) oZeC. Ao aAlei XXv dC- t.relCit ' 2 1 :t W1
6 Y054 - 5 /56torot,Sh UOGKS .44 --1- Qer Rr - ()(6
On der &t't `rC.)e 1 -s 6 c v ,�t 4o c ve 4 "o /' —
n PASS PARTIAL APPROVAL (1 CANCEL [ NO ACCESS
_
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 73-S Date: / Phone #: (503) 718 - V .23
, .
•
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: msT2007.00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &16/2008
Phone: (503) 639-4171 tre
Inspection Requests (24 Hrs.): (503) 639-4175 s
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7•00Am PAGE:
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGF FOREST LOT #: 0) TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: - nMBERLAND HOMES INC, PHONE #: 503
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603_620.8860
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 078101-01 603-737-9888
Corrections/Comments/Instructions:
?Ce S5.1 re_ 28
•
ETo2rifl
i rPASS El PARTIAL APPROVAL Ei CANCEL 7 NO ACCESS
0 FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: OS Date: / C8 Phone #: (503) 718- 2 -3
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
'- MST2007-00156
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 6116.120M
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 4+7 11..
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7:OOAM PAGE: 3•
SITE ADDRESS: 16611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE: FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 078052-02 503-737-9888 N
Corrections/Comments/Instructions:
•
PASS 0 PARTIAL APPROVAL 0 CANCEL • n NO ACCESS
n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 7S Date: / Phone #: (503) 718- .292 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 200 oo155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6.r1612008
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 .. `'�L
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGF FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603 620 - 0860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 50620 -8860
Inspection Request Scheduled For: Date: 1//1412000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 078052 -03 503 - 731 -9888 N
Corrections /Comments /Instructions:
PASS [7I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL [ _ J CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3S Date: /‘ v u Phone #: (503) 718- 4 ? 3
CITY OF TIGARD
BUILDING DIVISION v PERMIT #: M S 2007 00V36
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/ 16/2000
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 ...''`'I:L
INSPECTION WORKSHEET FOR DATE: 101912008 TIME: 7 :01AM PAGE J
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: FORE ST LOT #: 027 TYPE OF USE:
PROJECT NAME: GAGE FOREST .
DESCRIPTION: New SF detached.
OWNER: 1 IMF�ERLAND HOMES INC,
#: 50362(1.1:3800
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503620 -8860
Inspection Request Scheduled For: . Date: 1019/2008 Pour Time: w
Code # Inspection Description Confirm # Contact # Message A
735 '( Shear walls/anchors 076485.01 503 -737 -9888 Y .,
Corrections /Comments /Instructions: •
.Sae- ,-k r�0L+ea.) SV 5e,� f� d CR 5)
6 T h I-10) c)ouJ -- - , - i \-'s _ —
?, 9 0C - 'KiA CC l'tAv.. + ‘c. , EL.USQ., iUa:-. \\ V\C (a) 1(O1/4.3.) j 8 @� 3 0.c. — 6 K
n.,.) 03.„.\\ o `C (.3_ C. Corn tie) 6 k
4- J )u.;...\-,. ,,� C 4' S ?) :/ c � r)cli� rm i r--
..� \\,. co JJe- •V.v.c,� ... NZ-Jr €.JCs� -- d � �
\J ■ \G.v. s 4.0 (c)CJ ,Jua• , \ g
S i, A -e r , tJe .' . v-c v1 v – e: W S I •
v Ge" i► 1\'t L P
❑ PASS ARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ZS Date: 9 0 22 el Phone #: (503) 718- -24-1,73
CITY. OF TIGARD
I
'��
BUILDING DIVISION PERMIT # ~ T2007- Otlif,5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6116/2008
Phone: (503) 639- 41714V
Inspection Requests (24 Hrs.): (503) 639 -4175 �'_
INSPECTION WORKSHEET FOR DATE: 1012008 TIME: 7:01AM PAGE:
SITE ADDRESS: 156'11 SIN B1ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GAGE FOREST 022
GAGFs FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES IN PHONE # 503. 620 - 13660
CONTRACTOR: TIMBERLAND HOMES INC: PHONE #: 503-620.8860
Inspection Request Scheduled For: Date: 1010/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 076485 503 - 737 - 31388 N .
Corrections /Comments / Instructions:
ot
Ses2.. ie Re.r-Nr aoA 4 :ZS 5T) 0 S) 2 S
.
•
AJOtP Ce3\ .(',r-
?$3 .4 ✓ .- � S • a C C-(�_ " v- 0%,.. - '- v•
R
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 3 Date: 9 4e Phone #: (503) 718- 02
r:
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: M"T2007 Ot)155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6116/2008
Phone: (503) 639 -4171 /i1G 1 1'
_�
Inspection Requests (24 Hrs.): (503) 639 -4175 :! �
.- , fi'I_.
INSPECTION „WORKSHEET FOR DATE: 9125/2008 TIME: 7 :OOAM PAGE 6
SITE ADDRESS: 15511 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: C {f ,- FOR y - LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 620 - 0860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8850
Inspection Request Scheduled For: Date: 9/25/2008 Pour Time: '
Code # Inspection Description Confirm # Contact # Message
235 Shear walishhinchors 075942 -04 503-737-9888 N
Corrections/Comments/Instructions: 1
t) -1 W h -tG� 1 Ali )-101c.) r)ou1 n s • ko 5 e � d Li 4-1 & qc M .c � '
4 ?e, r- e�\ : Ccvh . , m p:c)¢ 4 I ,1 ; A3 kir) a - 3 eel' ole..44c ,') .,
(2) roue r?_c) e , 3" o .
_3)___:) AA.. um I 1 0 ( T e r v Iio Ga ' ) e_ A A ; I i v - - . . ( 1 3
V 55e()
"/ dc)v. Pc 1 1 ; in (... yv-i- ry , A n
1 -.. :� , 1 « ' 14,. t. ] , 1 /&« MA- , rV F 1---
l) Teet r 5 -€4013 - o very c) r 1 krP.-ri 1+" , J
6) 45 Of �1" la ri _s .. f 3 a c e n ►'- - .s -Are be, /c ) .tea I S
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7a.S Date: 002 `Afire a Phone #: (503) 718- o -'.? 3
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2007-00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611612000
Phone: (503) 639-4171 VIA(11.'
Inspection Requests (24 Hrs.): (503) 639-4175 ....„....,_. --...
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
W25/2008 7:00AM
SITE ADDRESS: CLASS OF WORK:
15611 SW 81ST AVF
SUBDIVISION: LOT #: TYPE OF USE:
GAGE FOREST 022
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER:
TIMBERLAND HOMES INC, PHONE #: 503-628-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date 9/2512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 7 6 Frarning 076942-06 503-737-9880 N
Corrections/Comments/Instructions:
_5e& ref be+ 235 6 ())4,-W otc ieCOR
_Al Zer&J )
D PASS 111 PARTIAL APPROVAL D CANCEL D NO ACCESS
FAIL -c CALL FOR INSPECTION lif ADDITIONAL FEES ASSESSED
Inspector: 73-3 Date: .5 Phone #: (503) 718- .2 .7
CITY OF TIGARD
BUILDING DIVISION • ,
PERMIT #: MST2007-00155
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 6116/2008
Phone: (503) 639-4171 "Plitil
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: 7:OOAM PAGE:
W25/2008 5
SITE ADDRESS: CLASS OF WORK:
15611 SW 81ST
SUBDIVISION: AVE LOT #: 022 TYPE OF USE:
GAGE FOREST
PROJECT NAME:
GAGE FOREST
DESCRIPTION:
New SF detached.
OWNER: PHONE #: 503-620-8860
TIMBERLAND HOMES INC,
CONTRACTOR: PHONE #: 503
TIMBERLAND HOMES INC
Inspection Request Scheduled For: Date: Pour Time:
9/25/2008
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 076942-05 503-737-9888 N
Corrections/Comments/ Instructions:
5e e ei9 ,+
•
17 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I ciAlL .4`.ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: /TS Date: .1 Phone #: (503) 718- .2 "2 3
: : , • ,"
, • .,. - . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: a1 X007 001;5
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/16/2008
Phone: (503) 639 -4171 .I��I
Inspection Requests (24 Hrs.): (503) 639 -4175 '!+� _
INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:00f�M PAGE: 7
SITE ADDRESS: 15611 SW 61ST AVE • CLASS OF WORK:
SUBDIVISION: SAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE # : 503. 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -8860
Inspection Request Scheduled For: Date: 9125/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 la Mechanical rough -in 075942 -03 503737 -9888 N
Corrections /Comments /Instructions: ii J
f , ti— cIo,Ce (& ) ,tja' ''+ vs 94, �� iv . T ^. m,e a 4 ��s T : a -.
n PASS ft—PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ZS Date: a2S 5 Phone #: (503) 718 - a ( 1a 3
,; U
CITY OF TIGARD
BUILDING DIVISION #: MSTt�A7 00I�i��
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/1612008
Phone: (503) 639 -4171 4 °'m� °,,�GI�
Inspection Requests (24 Hrs.): (503) 639 -4175 .. . . 1 `'
INSPECTION WORKSHEET FOR DATE: 9/ 25/2008 TIME: 7 :00AM PAGE: 0
SITE ADDRESS: 15611 SW 61ST AVE: CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAOL FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -6860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-81360
Inspection Request Scheduled For: Date: 9125/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message nM
610 Cryan line 076942 -02 503-737-9888 Y
Corrections /Comments /Instructions: Q
L U So re, It ; - W ✓� ..re(j `C, -7'l
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ' jaCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S' Date: .25TSe e Phone #: (503) 718 - 1`4 2 3
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: tAST2007-00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1G000n
Phone: (503) 639-4171 .13,4,1,0V
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8114/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: CLASS OF WORK:
15611 SIN 81ST AVE
SUBDIVISION: LOT #: TYPE OF USE:
GAGE FOREST 022
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIIVIBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 8/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
226 Post/beam structural 074200-01 503-737-9888 Y
Corrections/Comments/Instructions:
/PASS 0 PARTIAL APPROVAL El CANCEL El NO ACCESS
fl FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: . Date: ,--/q--a g Phone #: (503) 718- 2.5(Az
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E:/.IFp0011
Phone: (503) 639 -4171 ���
Inspection Requests (24 Hrs.): (503) 639 -4175 !Ii► e_-
INSPECTION WORKSHEET FOR DATE 8/12/2008 TIME: 7:OOAM PAGE: 13
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8860
Inspection Request Scheduled For: Date BM 212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/bearn mechanical 074070 -02 503.737 -9888 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: G Phone #: (503) 718 -
CITY OF TIGARD - , r ..
BUILDING DIVISION PERMIT #: MsT0a7 Oat ?�
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/16/2000
Phone: (503) 639 -4171 � '��� r +I' In
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�.� I I,:
INSPECTION WORKSHEET FOR DATE: 8/12/20(18 TIME: 7:OOAM PAGE: 14
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #• 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 6Q3- 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8660
Inspection Request Scheduled For: Date: 8/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 074070-01 503-737 -8888 Y
Corrections /Comments /Instructions:
•
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL — I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1--/2--.0 Phone #: (503) 718- Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2()07 001 ?i5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1612008
Phone: (503) 639 -4171 L�aa o..• •,p
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7:02AM PAGE: 1
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-- 620886()
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8860
Inspection Request Scheduled For: Date: 6/20/2008 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 07167402 503- 737 -8888 N
Corrections /Comments /Instructions:
re iZ 2c, v o k `G.5. aD aiv o8 •
4- S s:"Ze/Ste,45 Pe i7 1 4: ✓i s
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. S • Date: a?bJ� n OE Phone #: (503) 718- 02 V 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6//612000
Phone: (503) 639 -4171 1�
Inspection Requests (24 Hrs.): (503) 639 -4175 s'.W'I I..
INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7 :02AM PAGE: 3
SITE ADDRESS: 16611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -G20 -8860
Inspection Request Scheduled For: Date: 6/20/2000 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
?0 5 Footing 07167401 503737 -8883 N
Corrections /Comments/ Instructions:
•
•
r PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: •?U30'1 O Phone #: (503) 718 - -2`"2 3
hij MASTER PERMIT
� a CITY OF TILa.d/'""`R®
e 1 ' PERMIT #: MST2007 -00155
COMMUNITY DEVELOPMENT DATE ISSUED: 6/16/2008
TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S11200
SITE ADDRESS: 15611 SW 81ST AVE ZONING: R -
SUBDIVISION: GAGE FOREST LOT: 022 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project Description: New SF detached.
BUILDING
REISSUE: MS4A -GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 839 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,272 sf GARAGE: 409 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 10
VALUE: 216,561.54
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,111 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: , 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 '
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS .
1000 SF OR LESS: 1 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD1 500SF: 4 201 • 400 amp: 201 - 400 amp: 1st Wl0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: o
1000+ amp/volt : ,$
PLAN REVIEW SECTION \
Reconnect only:
> =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC:
N I
ELECTRICAL - RESTRICTED ENERGY 1
A. SF RESIDENTIAL. . B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: Ct
BURGLAR ALARM: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
th
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: I n
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: - Municipal Code,.State of OR. Specialty Codes and all other applicable
TIMBERLAND HOMES INC TIMBERLAND HOMES INC laws. All work will be done in accordance with approved plans. This
12670 SW 68TH AVE 12670 SW 68TH AVE STE 300 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 TIGARD, OR 97223 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- 620 -8860 Contact #: PRI 503 - 620 -8860 ' questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 141715
TOTAL FEES: $ 11,645.48
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By K__ / _ ' Permittee Signature
I.
Call 503.63" ' y 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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 0t Th5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU ; /°IOV 00
Phone: (503) 639 -4171 , t116 ,���
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'� �; q4 .
INSPECTION WORKSHEET FOR DATE: 272412009 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 15611 SW MST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC. PHONE #: 503- 620.81360
7i CO
Inspection Request Scheduled For: Date: 2/24/2009 Pour Time: Km __
Code # Inspection Description Confirm # Contact # Mes- :
399 Plumping final 080791°01 503 -620 -8860
Corrections /Co
7
a s /Instructions:
/ irA ' 6t) 9 add c l/(servus:--e
�) J 7 Le. _ (� ua-
tiLiet_i_k
&) 0 f '''n."- e IS - 6) 6e___ c--v-,s s
' AJ c Ai toL — 7 1-- t) ILA y s
...f..44 7 - .. AA :....__:__.- ddi• „. / hi--e. crP
. 414/4 / A . ,
(€) AS - a_/'
11A4s , C . - . C fr-e-S5- 4 ) .
/741 IU ?-- > 7.
❑ PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: > / › - /Q 1' Phone #: (503) 718 - Ycf
CITY OF TIGARD
BUILDING DIVISION — PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51/6/2008
Phone: (503) 639 -4171 d e" i l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9125/2008 TIME: 7:OUAM PAGE 9
SITE ADDRESS: 15511 SW 81ST AVE CLASS OF WORK:
SUBDIVISION:, GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620- 13860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -13860
Inspection Request Scheduled For: Date: 9/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 075942 -01 503. 737 -9888 N
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
1 1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � -.& Date: 9 1 ae) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST`` ?007 00155
13125 SW Hall Blvd., Tigard; .OR 97223 DATE ISSUED: 6/16/2008 Phone: (503) 639 -4171 ' )f . ,,;,ii
Inspection Requests (24 Hrs.): (503) 639 -4175 ...': 1
INSPECTION WORKSHEET FOR DATE: B112/2008 TIME: 7 :00AM PAGE: 12
CLASS OF WORK:
SITE ADDRESS:
15611 s B1ST AVE
SUBDIVISION: GAGE FOREST LOT #: (P2 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dct; shed.
OWNER TIMBERLAND HOMES INC, PHONE #: 503 - 620 - B860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.8B60
Inspection Request Scheduled For: Date: 8/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
316 Post/beam plumbing 074070 -03. 503737 -9888 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 i NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cli wMJs \ `\ -- Date: 7) k 2 ` Z Phone #: (503) 718-
mp linv - ..-- _ .
rY OFTIGARD
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &16J2C)Ot
Phone: (503) 639 -4171 , 1 639-4171 A454 '\
Inspection Requests (24 Hrs.): (503) 639 -4175 „±+� `F'....
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603620 - 8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620-8860
Inspection Request Scheduled For: Date: 6/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 071843 -02 603 - 737 -9888 N
S+o ✓N.. O av,
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CP \n'it -^) i k ■\ --,-.._ Date: C, \241 dg Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6116/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 6/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 071843-01 503-737-9888
kit
Corrections /Comments / Instructions:
g PASS 0 PARTIAL APPROVAL LIJ CANCEL NO ACCESS
fl FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C71 Date: 6 b;c1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G/1&2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �. 0- L
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620.8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603- 620 -8860
Inspection Request Scheduled For: Date: 6/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 07184303 50a-737-9888 N
Corrections/Comments/Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `fit`.. Date: (11 ICI r Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -O0155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6116/21108
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ..:._�_! "-
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:OOAM PAGE: 6
SITE ADDRESS: 15611 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 022 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620 -8860
Inspection Request Scheduled For: Date: 6/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 071843-01 503- 737 -9808 N
Corrections /Comments/ Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 04 '■■ Date: ✓6 Phone #: (503) 718-
03-17-'09 10:58 FROM- = T -364 PO 3 F-723
MAR 7 2009
RUIL
CITY p� TIGARD
'5 mB E D DI VISF
HOMES INC..
12670 SW 68TH AVENUE, SUITE 300 TIGARD, OR 97223
(503) 620 -8860 FAX (503) 598 -9081
CCs # 141715
Fax Transmittal Cover Sheet
To: Rick Bolen Date: 3/17/09
Company: City of Tigard Fax No. (503) 598 -1960
From: Maureen Denny , TIMBERLAND HOMES, INC.
RE: MST2007 -00155 — 15611 SW 81 Ave.
Hi Rick,
We didn't have these sitting out when we called for final building inspection_ It looks like
this is the only things listed in the comments. Can you final with these or do we need to
recall the inspection?
Thank you,
Maureen Denny
This cover sheet is page 1 of 3 in this transmittal. If you do not receive all of
the pages, please call our office.
03- 17 -'09 10:58 FROM- T -364 P003/003 F -723
Agif7: NO. / ,,/, / e/z,, , 7
CleanWater Services II)
MAR 17 2009
c�t cominirii eI f LOT
CITY OF TIGARD
EROSION CONTROL INSPECTION REPORT
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DATE ___ ,, INSPECTOR /11.f' /e, SUBDIVISION 7'
C. 1
OWNER/PERMITEE
SITE ADDRESS • I .R
WPM
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 PRONE ~; �,K 2 r
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1.
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I, i&)c_ 8 ,Owner/Agent for 72in /a /
(PI EASE PRINT) (PERMIT HOLDER) I
Do hereby certify that the following location meets
City of Tigard land use and development standards c
for street tree installation. 2.
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ADDRESS: 15 � $ ( J 9/ / >s W 2X7- S
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Lc) II it SIGNATURE: DATE: 2- i g
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7 ' RECEIVED BY: DATE:
m (CITY OF T TGARD)
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