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Permit • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • T I GARD', September 24, 2008 � ' Winterbloom, Inc. 14780 SW 98 Ave. Tigard, OR 97224 Attn: Vicki Davis Re: Permit No. PLM2008 -00364 Dear Ms. Davis: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: • Site Address: 13170 SW Howard Dr. Project Name: Willis Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $32.48. ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as customer cancelled job. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. • I: \ Building\ Refunds \Administra tion \LtrRefund- CancelPennitdoc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Winterbloom, Inc. DATE: September 22, 2008 14780 SW 98 Ave. Tigard, OR 97224 REQUESTED BY: Dianna Howse Attn: Vicki Davis TRANSACTION INFORMATION: Receipt #: 2008 -3121 Case #: PLM2008 -00364 Date: 9/5/08 Address /Parcel: 13170 SW Howard Dr. Pay Method: CreditCard Project Name: Willis EXPLANATION: Per applicant's request as customer has cancelled job. Refund 80% of permit fees. REFUND _ : .• • , . ... • . • . • _ Fee Description From Receipt .. ' • • Revenue Account No: Refund Eiiinple:••.[BUILD]: Permit Fee : • Example: 245- 0000 - 432000 $:Amount' [PLUMB] Permit Fee 245 - 0000 - 431000 $29.00 [TAX] 12% State Surcharge 100- 0000 - 207020 3.48 TOTAL REFUND: $32.48 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager �� % 4 `T ' C'g If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board • . FORTIDEMARK SYSTEM ADMINISTRATION USE ONLY • Case Refund Processed: I Date: I 1,A. f•,f By: I ,e Y I: \Building \Refunds \RefundRequest.doc 05/23/07 4 �"� 3, � . } q' 1 11 1J1 A 0 •. D 9' • 1 (11 1" *IA P;a`fi 13125 SW Hall Blvd. Tigard. OR 1 )7131 501.619.4 (71 • ti7 �sj Receipt #: 27200800000000003121 Date: 09/05/200 Line Items: Case No 'Fran Code Description Revenue Account No Amount Paid I'L1vI2008-00364 [PLUMB] Permit Fee 245- 0000- 431000 6.25 PLMV12001 -00364 TAXI 1 State Surcharue 100- 0000 - 207020 4.35 Line Item Total: $40.60 Pa vntents: IMhod Payer User II) Acct. /C11eck No. Approval No. Boll Received Amount Paid CrcditCard WINTERBLOOiM INC. BTT 013152 Fax 40.60 Payment "Total: $40.60 • • • 'z.? Cif 'V OF TIGARD 9 24/2008 .? 13125 SW hall Blvd. 9:02:5$AM Tigard. Olt 97221 5113.6314171 r Refund Receipt #: 27200800000000003330 /<' "t'. .fl` -- Date: 09/24/2008 Line Items: Case No "Tan Code Description Re venue Account No Amount Paid PLM200S -00361 Reversal - [PLUMB] Permit Fee 245- 0000 - 43100(1 (29.00) PLM2008 -00361 Reversal - [TAX] 12% State Sur 100- 0000- 207020 (3.4$) Line Item Total: ($32.48) • Refund: !Method Payer User I0 Acct. /Check No. Approval No. I -low Received Amount Paid Credit Reversal WINTERBLOOM, INC. 013152 Pax• (32.48) Refund Total: ($32.48) • • V G a.� o . 1N v ID) a, ••;` lii 5• x 0 u ." i ....$ o r✓' a c h ! o _ tl S x U 4 o wG .s ti , - A A >x a V O 4 ‘ , a A lx O a < • 0 Q v \ V N Er Q E 4 rL. a4 a - • 2008 -09 -17 14:34 » 5035981960 P 2/4 I N Community Development ,, ,;,, Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) 0 1 vv b l Cow 1 ',n c- . V 1 0 Mailing Address: 1.1 0 s w q g -M-. A, , . 3 ►� City /State /Zip: \ i � D' - • -'C,Z / Phone No.: S l.)" . 59 . O l- L` i • PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ('/): a ❑ CANCEL PERMIT APPLICATION. '� REFUND PERMIT FEES (attach receipt, if available). INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: LM 200$- 00 19 4 \ Site Address or Parcel # : V \ SW - t UJp n-c by \\r Project Name: U3 \ 1 \ \ S Subdivision Name: W Gres -1- \-.) 0 . Lot # : Q 22 EXPLANATION: CA U r,. - \-42 0 c. ILs;i 1.,1,- t rNc-- Signature: _\,,j t.C_Ac �� vv Date: q / 1'+ ocz Print Name: .\\ \\ cJk.•\ O� v - \ Bef.upyiPolicy 1. The Director or Building Official may authorize the refund of a) any fee which was erroneously paid or collected b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the budding permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. I I11■.( I It I I SI t►'\f \ Rte to S • . min: Date B Rte to BI M eJ, . B,_ ���J Refund Processed: Date -_ ,2 Di- ElfZa Invoice Processed Date B Permit C.anceled Date B ,,2 Parcel Ta: Added: Date B Recei•t # r. -d ot. Date 9 s 0. Method '( Amount $ 1:\ Building \Forms \RegPermitAetion.•oc v 07 26 07 Ilier IN 41 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00364 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2008 PARCEL: 2S 103CA - 00213 SITE ADDRESS: 13170 SW HOWARD DR ZONING: R -4.5 SUBDIVISION: WOODCREST NO.2 LOT: 023 JURISDICTION: TIG PROJECT: WILLIS Project Description: Backflow preventer for irrigation. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES RICK WILLIS 13170 SW HOWARD DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/5/2008 $36.25 [TAX] 12% State Surch 9/5/2008 $4.35 Phone : 503 -579 -0831 Total $40.60 Contractor: WINTERBLOOM INC. 14780 SW 98TH TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -598 -0219 Reg #: PLM 6111 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By 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. rr -. •1^v08 -09 -04 12 :58 » 5035981960 P 2/4 , ,:, Plumbint, RECEIVED Building Fixtures 14tIC t/I 1,11 1 1 <1 4 t: • City of Tigard Receiv 13125 SW W Hall Blvd., Tigard, OR 9722 FF _ Dote/By; . � * �- Permit No.: / 1. 1Q 0, /, i Phone, 503.639,4171 Fax 503.598.19' 6TT P 4 2003 Plan Review `� 7 Inspection Line: 503.639.4175 bate/By: Other Permit vo,; ' Internet www or,gov CITY OF T Datc Ready /By Juri S see Page 2 for �� Notitied /Method: , P . Svptementat information Tree o ' ''f!'i" 1 G DITISI0 ` . III 1'M gCNlLDULt New construction ❑ Demolition Fors.ecial information use checklist. Descri .tion it . Ea. Total ❑ Addition/alteration/replacement 11 Other: * i S . ,, ' • • New 1- 2- Gamily dwelling% (includes 100 f , for each utility connection) CATEOORY OF COP4TaUCf0N SFR (1) bath _ 249.20 ❑ t - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ID Accessory building ❑ Multi•family SFR (3) bath t 31)0(7 Each additional bath/kitchen 45,00 ❑ Master builder ID Other; J01 VTR INFORMATION AND LOCA1JON Fi sprinkler ( sq. ft.) Page 2 Site utilities Job site address: '- -. Sw ■rA> r 1'y Vt Catch basin or area drain 16.60 City /stale /ZIP: , , • I2, Drywell, leach line, or trench drain 16,60 Suitt /bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) P age 2 Cross street /directions to job ' • • Manufactured home utilities 110.(11 �� i, • Manholes �' 1660 Mil - 4. lb .hole l )r• Rain drain connector 16.60 _ _ Sanitary sewer (no. linear ft.: ) p age Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear R.: ) page 2 Tax map /parcel no.: Fixture or item DESCRIh'ION OF K Absorption valve I 16.60 Backow preventer page 0 U`^ 1 ►.'� . + 1 Backwater valve 11111 16 60 • 4 CD— Clothes washer 16 -60 Dishwasher M 16 60 © , TY 0 u Q MAW Dr eking fountain 16.60 Name: Gjcctors /pump ■ 16.G(1 Expansion tank 16.60 Address: Fixture/sewer cap 16.60 .2 City /State/ZIP: Flair drain /floor sink /hub 16 60 Phone; ( ) Fax: ( ) Garbage disposal 16.60 D APPLICANT 0 CONTACT PRISON Hose bib - 16,60 Business name: lee maker 1 6.60 Interceptor /grease Imp 16,60 Contact name: m Medical gas (value: $ ) P age 2 Address: _ Primer 16,60 City/State /ZIP; Roof drain (commercial) •� 16.60 Phone: Sink/basin/lavatory 16.60 ( ) Fax: ) E -mail: - Tub /shower /shower pan 16.60 , Urinal 16.60 CONTRACTOR - Water closet 16.60 • Business name: A t ..• + ■ ' it Water' heater y 16.60 Address: *-I''- ■ 4 i . Other: City /State /Z1P: ; , • 9- t'7■-•-�-/_, SubtotalM Phone: Minimum permit fee: $72,50 R •, ( r Fax ( ) .� O Residen ba minimum permit fee: $36.25 ,, i• ' - • I* �,ytp : /D Plan review (25% of pennit fcc) j 1. Authorized signature: V - State surcharge (12% ot' permit fcc) TOTAL PERMIT FEE. 9 v Print name: \J ck't V ‘. S Date;q Li / (.) This permit application expires if a permit is not obtained within / 180 days after it has been accepted as complete. *Fcc methodology set by'fri- County Building Industry Service Board. tonuildinsw e••,10■PLA4F- rermuApp.doc 1:/ ;:vas 440 -45 1CT) ION7, /C'UhV1vEal 2008 -09 -17 14:34 » 5035981960 P 2/4 Community Development ,, \ l '�, Request for Permit Action TO CITY OF TIGARI) Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant N Contractor ❑ City (check one) / REFUND OR Name: l' � • INVOICE TO: (Business or Individual) l Cj I vz b 1 pb — V 0 1 0 Mailing Address: 0 5 w 5/A 3 ®� ���/ City /State /Zip: a i Phone No.: j O'er . 5 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCEL PERMIT APPLICATION. REFUND PERMIT FEES (attach receipt, if available). INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit # : 2- C) CY — 003,99 \ Site Address or Parcel #: \ \ S\ L o -c Project Name: Subdivision Name: ` � C 't•-) 0 . 2_ Lot # : EXPLANATION: t�,r -,'s •t�•,o c�I t� c� 1� Signature: > Date: 9 / l � cO Print Name: \ \ (,''\ 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected b) not more than 80% of the land use application fee 'when an application is withdrawn or canceled before any review cffon has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended, c) not more than 80% of Mc building permit fee for issued permits prior to any inspection requests, 2. Refunds will be returned to the original Payer in the sane method in which payment was received. Please allow 1 -2 weeks for processing refunds. /it'(' 1 1.1 1( 1 d 'SI ,( "\ l 1, Rte to S • • min: Date B Rte to B!. p A• nun: Date? B / Refund Processed: Date ,2 :,ny , Invoice Processed: Date B Permit Canceled: Date -. B d ,,J Parcel Tat Added: Date Recei•t # —3 0 7, Date 9 . s pe• Method re_ Amount $ 1: \ Building \ Forms \RegPcrmitAction..oc ' v 07 26 07 !J City of Tigard, Oregon ® 13125 SW Hall Blvd. o Tigard, OR 97223 k�u • n • y r S ( tIG'A1 D September 24, 2008 Winterbloom, Inc. 14780 SW 98 Ave. Tigard, OR 97224 Attn: Vicki Davis Re: Permit No. PLM2008 -00364 Dear Ms. Davis: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 13170 SW Howard Dr. Project Name: Willis Job No.: N/A Refund: n Check # in the amount of $ Credit card "return" receipt in the amount of $32.48. ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as customer cancelled job. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. I: \Building\ Refunds \Administ ration \LtrRefund - CancelPermit.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard - or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refisnd form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Winterbloom, Inc. DATE: September 22, 2008 14780 SW 98t Ave. Tigard, OR 97224 REQUESTED BY: Dianna Howse Attn: Vicki Davis TRANSACTION INFORMATION: Receipt #: 2008 -3121 Case #: PLM2008 -00364 Date: 9/5/08 Address /Parcel: 13170 SW Howard Dr. Pay Method: CreditCard Project Name: Willis EXPLANATION: Per applicant's request as customer has cancelled job. Refund 80% of permit fees. :�'- - — � - - - - - - :: d's"�, =�+• a:<,r�.�;F �. �:a:: - .:�t3a�'- - � -.n�^- - - =w °;.; _e�, f ,r, ° �,,;. -. - ^� i_ .:k''R "' ='x.: ' w ,N-t - t .a:: h ...-'; .. ;e a.,: .-._s, . Fv? ,s�`_-?- "'> "^ >'; :'=' iwt �REF�UIV�D .I'NF�,ORMATION::�_ '. , -;,: �- ,��� °�- �.:��,.� .,� - �r,'an;;w..;,.�:�"�.''�.''.'i d`: wS "t �:# N.. �_r#"s'�:.��. a "''aar +..k.Lx.-r, .»,;, a- c. E�.'. � .;,- :�F�t��;w'''= ��'*.`.:�:'S�� �.:�:,k�n,��?.�'.� - :.. - ::z �•z:c:5u:.;� ";� -:: - '+5, v�:s��Y1.,g•; ',}" -'; - :i:, -� Y ';w '�` i:r = " ";: > %a?.�j:S'''i? s,� pk.' '��� `��, � .mss- a,r= ^...���S Aar- ,�•�,s�r, r�- �<<2__�..: �;<...,., ,:f Dese "ri do iWait ea {. ,: , .:: > Fw w p � _,p - ,� �, ,: =�•a= ReveiiueAccount�:IVo.'v , �- ._,... , � ., -�' .€ '� ., •<,, „r.;,zs..""e�,. zt .'�,.. ii { , :7 � ,. ,<-. - !. . fi =a - g r , N'W, ' :f%'"?. . � '�:i+ ` : s � z � *`. ".�'..:.� .. �.,,.� � ..��; ^ .,. q w. �;,� =e ci' " - � �'t' .. _ � .,., - I. , ' ... ,. Yi r ,. f<r.+S?'a`� Exniprle..�; r = ,rPermtFee:. ; .. ?` y ,,,� . - Ie::245.0000- _43200 ]� �f', ��._. -..�� F. ��v., ��_ ��;...,. ...- ._p__.�..._.,��Nn_.._.f�_ ..._ 4���;��;�;x [PLUMB] Permit Fee 245- 0000 - 431000 $29.00 [TAX] 12% State Surcharge 100 - 0000 - 207020 3.48 TOTAL REFUND: $32.48 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager -! If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board Case Refund Processed: I Date: <- By: I: \Building\ Refunds \RefundRequest.doc 05 /23/07 "TIF.T.F:rii - ,-,-„ - „ - - Lim - VW •• 1:44.0.4 C I i Nr 0 ll 1 ICA RD . tr, .,■=1 , S:06;.7 I 1 25 S\' \ thin R11. -il. OR 97223 503.639.4171 Sgrakl sil Receipt #: 27200800000000003121 1. D a te: 119/05/200S Line Items: Case No Tian Code Description Re■CIIIIV Account No A,,, p aid 1 [['LUMB] Permit Fcc 1 45-0000-431000 36.25 PLN 1 X112'V. State Surchun2c 100-0000-207020 4.3:; Line Item Total: $40.60 Payments: A lethod Payer User II) Acct./Clieck No Approval No. lioNN Received Amount Paid CreclitCard WINTERBLOOM. INC'. BTT 013152 Fa, 40.60 • Payment 'Iota!: $40.60 1 • 1 . ! ! Tidemark N e System Administration _ pr.-..-A. r; • T YciRD F D epartment Request _ _ . Date: - - J IJ To: : - Liz Lutz f o (---) Phyllis Harris = ' f; . �= From: Dianna Howse/ - <_Y z r Ji - _ Re: Receipt #: , %' t=e _ % „' y . - - - -: C' - C) . 4_ > Please process this request as follows:- n Journal Entry (route copy of JE to O J Dianna Howse). - Z Reversal (fees have been reversed on r? Revenue Account Report). Credit Card Return (fees have been .. reversed on Revenue Account Report). Other /Explanation: > t— m c x C T- r Thank you! a E I: Budding \Forms \RteSlip- FinanceRegdoc FLT y = c, = n U , r y T r- .. Iv _ o J 77 ---- N IN/ 00 x C 7. W C i IJ -1- r, ^ F s•\ N - 1 N r C - r It r - .y n ( i f • ' p nn p ‘ E i , I ., C Y) = 1J 1J iJ IJ _ 1 'Ji _ • • a CITY OF TIGARD PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00364 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2008 PARCEL: 2S103CA -00213 SITE ADDRESS: 13170 SW HOWARD DR ZONING: R -4.5 SUBDIVISION: WOODCREST NO.2 LOT: 023 JURISDICTION: TIG PROJECT: WILLIS Project Description: Backflow preventer for irrigation. • CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: • BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES RICK WILLIS 13170 SW HOWARD DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/5/2008 $36.25 [TAX] 12% State Surch 9/5/2008 $4.35 Phone : 503 -579 -0831 Total $40.60 Contractor: • WINTERBLOOM INC. 14780 SW 98TH TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -598 -0219 • Reg #: PLM 6111 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952- 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By ` � -�' � Permiftee Signature: %�Cu/ >G�✓ 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. INSPECTOR'S SIGNATURES ARE NOT . Inspections Required for: f1)4(y 6(f REQUIRED ON GREEN INSPECTION CARD: Code I Inspection Description I PASS Date By ✓ Code Inspection Description I PASS Date By • BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing • 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 . Underfloor insulation 195 Misc. inspection: • 235 Shear walls /anchors 199 Electrical final • 240 Exterior sheathing • 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in - 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing A 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection . 599 Final inspection • I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07