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Permit a CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00369 I 'A DEVELOPMENT SERVICES DATE ISSUED: 11/9/2005 °T' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112BC - 01200 SITE ADDRESS: 14533 SW 81ST AVE ZONING: R -4.5 SUBDIVISION: DURHAM ACRES LOT: 070 JURISDICTION: TIG Project Description: Addition. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 320 sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 51\1 DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: 2 9,937.60 OCCUPANCY GRP: BDRM: BATH: TOTAL: 324 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: 1 VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 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: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other DONALD JENNINGS JAMES YANZICK applicable laws. All work will be done in accordance with approved 14533 SW 81ST AVE 14020 SW PLEASANT VALLEY RD. plans. This permit will expire if work is not started within 180 days TIGARD, OR 97224 BEAVERTON, OR 97007 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 Phone: 503- 684 -3943 Phone: 503- 628 -8603 or 1 -800- 332 -2344. Reg #: LIC 99477 TOTAL FEES: $ 831.72 REQUIRED ITEMS AND REPORTS Issued By : / 1-../jj r.2,6:6,--4.: Permittee Signature : _ __ „t �;l :; � . _ Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business.. ay. / This permit card shall be kept in a conspicuous place on the job site until comple, ion of the n roj =ct. Approved plans are required on the job site at the time of each inspection.` Building Permit Applicatiozn. FO OFFICE USE ONL City of Tigard ~ Date /B d , /- _ ) �� Permit No.' . ' 3� 13125 SW Hall Blvd., Tigard, OR 9 223 Plan Review ► f Phone: 503.639.4171 Fax: 503.598.1960 q s * 'lit! ^ "i / / "r m�: /ly�� Date /By: �� Q • A i Other Permit: ir Inspection Line: 503.639.4175 ®C 1 __ Date Ready/By: Fift See Attached Checklist for Internet: www.ci.tigard.or.us �F t It f•,- - Notified/Method: Supplemental Information ow/ . O F 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 C IT Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application © 1- and 2- family dwelling El Commercial /industrial Valuation: $ � t�� C) ❑ Accessory building ❑ Multi- family Number of bedrooms: r ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION _ ' Total number of floors: f . Job site address: /L/53 3 S -L ,,3 , L, L New dwelling area: 32_44 square feet City /State /ZIP: 1 ;-. , -c J O 9 7 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: e3 ,,,,m s 4,4 ,.= - . _ d __ Covered porch area: square feet Cross street /directions to job site: Deck area: square feet /' S t1 Q_( r c( � e ,y - t; --� Other structure area: square feet REQUIRED DATA: COMMERCIAL .CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all i Tax map /parcel no.: ZSf i 7_6 c / / Z00 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ' N e..t.,a Peic> �ti o Valuation: $ i Existing building area: square feet -I New building area: square feet V v jg PROPERTY OWNER • ❑ TENANT Number of stories: • a M Name: b t C, i n1 ` ),e v■ s-,:t i S Type of construction: a Address: / L /5 3 S . , 0- / Occupancy groups: City /State /ZIP:`c Ctc-\ \� Existing: 2F Phone: ( �3) 6 il i! – 3'9 y . 3 Fax: ( ) /407 New: - 0. APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: . CONTRACTOR w Business name: ,J cam. es Le Ck .„.. f r t = l't , N. J W P�a4dour J BUILDING PERMIT FEES* � Address: N�o Please refer to fee schedule. City /State /ZIP: it / 1 Fees due upon application _7j 65- Phone: 91 ) ,f of -$ Fax: ( ) CCB Iic.: 6 "y ., it a _AA Amount received \ Date received: ure: Authorized signat i"ft � �j " This permit application expires if a permit is not obtained j � within 180 days after it has been accepted as complete. . Print name: I Date: * Fee methodology set by Tri- County Building Industry v Service Board. i:\ Building \Permits\BUP -PetmitApp.doc 12/03 440 -46t3T(t I /02/COMIWEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard . Received Permit No:' Daze /By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 /iia,ir ?j; (�,�\ 24- Hour 'Inspection Line: 503.639.4175 •_.� I I ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other. THE FALLOWING ITEMS ARE REQUIRED F012 PLAN REVIEW. vas No N/A I Land use actions completed. See juri•..iction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance poin , seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district a t t royal re uired. Name • district: ❑ ❑ ❑ 5 Septic system permit or authorization for emodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable s .mp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. . elude drainage -way protection, silt fence ••-sign and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be dra n to scale, showing conformance to . pplicable local and state ❑ ❑ ❑ building codes. Lateral design details and connect ens must be incorporated into the • ans or on a separate full -size sheet attached to the plans with cross references bet. een plan location and details. ' Ian review cannot be completed if copyright violations exist. I I Site /plot plan drawn to scale. The plan must show lo, and building setback di ensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan mus, show contour lines . 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); I tion of wells/set c systems; utility locations; direction indicator; lot area; building coverage area; percentage of co erage; impe sous area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold-downs : d reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, windo ize, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and dt s 3O inches above grade, etc. 14 Cross section(s) and details. Show all framing- member : zes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than • e cross sectiorteay be required to clearly portray construction. Show details of all wall and roof shea ing, roofing, roof slope, ceiling height, siding material, footings • and foundation, stairs, fireplace construction, the al insulation, etc. 15 Elevation views. Provide elevations for new .nstruction; minimum of tw■ for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual ti :de if the change in grade is greatcr than four foot at building envelope. Full -size sheet addendums showing fount : tion elevations with cross reference acceptable. 16 Wall bracing (prescriptive path) an - 'r lateral analysis plans. Must indicate' details and locations; for non ❑ 0 ❑ prescriptive path analysis provide s. ifications and calculations to engineering standards. 17 Floor /roof framing. Provide pl.. for all floors /roof assemblies, indicating member` 'zing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilatio•. 18 Basement and retaining wa s. Provide cross sections and details showing placement ofrebar. For engineered ❑ ❑ ❑ systems, see item 22, "En eer's calculations." 19 Beam calculations. Pr. 'tde two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/tr any beam /joist carrying a non - uniform load. \. 20 Manufactured fib' /roof truss design details. ❑ ❑ ❑ - 21 Energy Code co pliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or my appliances. 22 Engineer' calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be ...licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ — ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. . • ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. _ ❑ ❑ • ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City ..of Tigard , ,❑ ❑ ❑ Street Tree List. • , 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ' M ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions; O. ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:U Building \ Perm its \BUP- RES- PermitApp.doc 2 Building Fixtures Plumbing Permit Application . [oR OFFI UUSE. .oNEY City of Tigard COVED E® Received Permit No.: 13125 SW Hall Blvd., Tigard, ORE- VV Plan Review Review Phone: 503.639:4171 Fax: 503.598.1960 C Av , .I Date/By. Other Permit No.: 24 - Hour Inspection Line: 503.639.417 C° 05 ^• ° Date Ready/By: -Furl ® See Page 2 for Internet: www.ci.tigard.or.us us 1. 21 20 _ � tL g ''��{{ rQ�D Notified/Method: Supplemental Information TPF?"WO FEE* SCHEDULE El New construction 3 UI ®�� D emolition For special information use checklist Description j Qty. I Ea. I Total Addition /alteration/replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection) • CATEGORY OF' CONSTRUCTION SFR (1) bath 249.20 [a 1- and 2 -family dwelling El Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building 12 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: /LJS 3 3 s W (g I r nue , Catch basin or area drain 16.60 City /State /ZIP: e _C ` t ` - re L Drywell, leach line, or trench drain 16.60 �} Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: - � /-1 dd ' l in n ems \J Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 ( (- b1 P ( 1 t^ ; Sl igZ/ - Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.:A) i i Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Ls I ( Z 9 c / 70.6 Absorption valve 16.60 - , DESC OF WORK Back flow preventer Page 2 Backwater valve 16.60 Clothes washer • 16.60 Dishwasher 16.60 ® Drinking fountain 16.60 / PROPERTY OWNER - I ❑ TENANT - t Ejectors/sump 16.60 Name: > ^ ^ a \x t ' lc ri ( T �, O v\ v\‘‘. (c, � Expansion tank 16.60 S ( , Address: � c� 3 3 ' S- cf l /'7`Ue_ • Fixture /sewer cap 16.60 • City /State /ZIP: I 1 a j rck / Q 7 7, L/ Floor drain/floor sink /hub 16.60 Phone: (5 ) c P _ 39 93 Fax: ( ) 14O ON 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 CONTRACTOR Water closet 16.60 Business name: 6/A 9A e, Water heater • 16.60 Address: Other: Subtotal City /State /Z1P: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permiffee: $36.25 CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signatureL. �. TOTAL PERMIT FEE / Print name: P 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\PLMF- PermitApp.doc 06/05 440- 4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Fee (ea) Total Square Footage: Permit Fee: ' Footing drain - 1' 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 $ek er - each additional 100' 46.40 Wate Service - 1st 100' 55.00 Medical Gas Syste Water Se ice - each additional 100' 46.40 Valuation: ermlt Fee: • Storm & Rai P rain - 151 100' ' 55.00 $1.00 to $5,000.00 inimum fee $72.50 Storm & Rain Dr.. - 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 Ite t: Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Pr. ention Device 46.40 $10,001.00 to $25,000.11 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevent,.. 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 $50,0 '0.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and .p $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. • Fixture Work: Plan Re for Complex S :, _ Are you capping, adding or replacing fixtures? If "yes ", • "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees • . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace • Any new exterior plumbing site utilities. Previous Capped Added Existing Ili A commercial building with installation, alteration or addition Baptistry/Font .• nine (9) or more new or relocated plumbing fixtures. Bath -Tub/Shower , ❑ Me.' . gas and vacuum systems for health care facilities - Jacuzzi/Whirl .00l providi services to human beings. Car Wash -Each Stall AM ❑ Plumbing i • . lations, alterations or additions to food service -Drive Thru facilities where -w plumbing fixtures, including interceptors, Cus.idor/Water As.irator are being installed i the food service area. Dishwasher -Commercial AIIMM - in Any new residential bu . ing containing three (3) or more - Domestic dwelling units. • Drinkin: Fountain ❑ Any NFPA 13 - D multipurpose - sprinkler system. Eye Wash Floor Drain /sink 2" • Submit 2 sets of plans with any o . e above. -3" -4" Car Wash Drain Isometric Or Riser Diagram . Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang i -Stall I • Sink - Bar /Lavatory - Bradley -Com - cial . -Se. ice Swimming Poo Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Permits \PLM- PermitApp.doc 07/06/05 Mechanical ',Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By. Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 /n'_ i 'vc� r �„, I' 1••v Date/By Inspection Line: 503.639.4175 Dale Ready/By: Juris: Fit See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ' TYPE, OF WORK COMMERCIAL FEE* SCHEDULE - USE'CHECKLIST ❑ New construction M Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF 'CONSTRUCTION Value: $ RESIDENTIAL; EQUIPMENT / SYSTEMS FEES'' p I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total JOB • SITE - INFORMATION AND LOCATION ° . Heating /cooling Job site address: S't Air conditioning or heat pump / 1 5 3 3 S t1 ` �/ p _ (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 . Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: -- ,,... ii -4 � , ri -jam Gas heat pump 14.00 Cross street /directions to job site: Duct work 14.00 s n � Rr i hot water system 14.00 // • l (l r h 'e- r �/ ?� I >/ ff ,J 1 1 a ■`�Gl 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.: 2_5i/ LBC L / z� (-"'� Other fuel appliances DESC TION OF WORK , Water heater 10.00 Gas fireplace 10.00 F5C - e vl.5 t e:_ /� ` , cs i? " w8 (V` + � t N el,) Flue vent for water heater or gas n 11 fireplace 10.00 �L=',--"'"'\. ' /S t : e I t f ` J 1 ) � - 1 - t ' _ — p t ' t - f P k - " l i 14/ 1 i ek -Log l ighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 PROPERTY OWNER ❑ TENANT Other: 10.00 Name: ) /)a'l.CL.1�� i) ./l.� Q IZ k 1�� S Environmental exhaust and ventilation L/ ` �r> 'I- "'� Range hood/other kitchen Address: /9"--3 s 3 3 .w `.t ( 4 �-t/ -� equipment 10.00 City /State /ZIP: 1 / �- r � d ( 7 ZZC� Clothes dryer exhaust 10.00 • 9 Single -duct exhaust (bathrooms, Phone: (503 ) ( _ 3 'fief 3 Fax: ( ) 1.46 RE toilet compartments, utility rooms) 6.80 . ❑APPLICANT . ❑ 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 ' Furnace, etc. Address: Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range • CONTRACTOR Barbecue Clothes dryer (gas) Business name: 6 CA) //� r' LJ Other: Address: MECHANICAL PERMIT FEES* . City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) \ U, -�.� TOTAL PERMIT FEE 4111111W - Authorized signature This permit application expires if a permit is not obtained within 180 � ys after it has been accepted as complete. Print name: \ Date d " Fee methodology set by Tri- County Building Industry Service Board • i:\ BuildingPennits \MEC- PennitApp.doc 12/03 440 -4617T (I I /07JCOM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Com ii ercial Fee Schedule: Total hiationt Permit Fee: $1.00 to $ 000.00 Minimum fee '.72.50 $2,001.00 to '.5,000.00 $72.50 forth: first $2,000.00 and $2.30 for each add' Tonal $100.00 or fraction thereof, to a d including $5,000.00. $5,001.00 to $10,110.00 $141.50 for the first $5,000.00 and $1.80 for ch additional $100.00 or fraction t ereof, to and including $10,000.+0. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 f',r each additional $100.00 or actio thereof, to and including $ !.0 4 0.00. $50,001.00 to $100,000.00 $771 0 for the first $50,000.00 and $1. I. each additional $100.00 or fraction the eof, to and including $110,000.00. $100,000.01 and up $ ,396.50 forth. first $100,000.00 and '1.10 for each add' 'onal $100.00 or action thereof. Note: All new comm : cial buildings require 2 sets plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 I Electrical Permit Application / FOR OFFICE USE ONLY City of Tigard �� a / ,. Received Permit No.: !/ Re 13125 SW Hall Blvd., Tigard, OR 972 3 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /Arid/ i'�r' Date/B . I ' Date/By: Other Perm Inspection. Line: 503.639.4175 y � �' I Date Ready/By: Jugs: WI See Page 2 for Internet: www.ci.tigard.or.us ' uC I T 2 1 1 - _ -� Notified/Method: Supplemental Information ' TW(OIMA PLAN REVIEW , ❑ New construction plAttlitimaitAIVAIgA ent Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential p I- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi-family ❑Master builder ID Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or ' JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: pi 33 C (� j , l �,L ❑Health -care facility ❑Other: �� Submit 2 sets of plans with any of the above. City/State/ZIP: i i - ci , Q<-,A �1 1____ 9 72 LL/ The above are not applicable to temporary construction service. I J FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: , ` LH `� J.�3 [�C i ' Gil Descript Qty. I Fee. I Total I .• Cross street/directions to job site: _ ' . . New residential single- or multi- family dwelling unit. Includes attached garage. n ro c r Cd I ' 4 -U•�. Sc n ; k---0.._ 1,000 sq. ft. or less 145.15 4 Subdivision: � r Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: ? S f j ? piL) 7_0 Limited energy, non - residential 75.00 2 DESCR OF WORK Each manufactured or modular dwelling, service.and/or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: - 1 1, • , \A - i I ' lau"v Ty.,2 V\ 41 \ f\sS 601 amps to 1,000 amps 240.60 2 Address: 1 - 5 3 3 s t� - q S 7 } v.e Over 1,000 amps or volts 454.65 2 G Reconnect only 66.85 2 City /State/ZIP � l 6z_ 9 7 '. Zt� Temporary services or feeders installation, alteration, and/or � Phone: (3) Fax: ( ) �1 C7 �N E 2 � � L � _ � g q 3 2000 0 amps or less 66.85 1 Owner installation: This installation is .eing made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, rent, or ex'- .r g y according to ORS 447, 449, 670, and 701. ` 401 amps to 600 amps 133.75 2 Owner signature: mul eA , r,V,. '‘) . « _ -4.7 • ate: jr)- 2-1 "0 , Branch circuits — new, alteration, or extension, per panel • ❑ APPLICANT \ ❑ C ra; ACT PERSON A Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 /6 2 Address: Each add'l branch circuit 3 6.65 /9,9s 2 City/ State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or Business name: 4 E.—C._ Describe: Page 2 2 Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 . ;ELECTRICAL PERMIT FEES* CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: • This permit application expires if a permit is not obtained within 180 • days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building industry Service Board •• Number of inspections per permit allowed. i:\ Building \Permits\ELC- PennitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LI TED ENERGY PERMIT FEES: RESI $ s IAL WORK ONLY: �� Fee for al. residential systems combined ... $75.00 Check Typ of Work Involved: El Audio . d Stereo Systems* ❑ Burglar A arm ❑ Garage Doo. Opener* ❑ Heating, Venti _. tion and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: C01VI1VIERCIAL WORK ONL Fee for each commercial system... $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: El Audio and Stereo Sys •ms ❑ Boiler Controls ❑ Clock Syste ❑ Data Te - communication Installation El Fir; Alarm Installation ❑ VAC r� Instrumentation ❑ Intercom and Paging Systems ❑ • Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PennitApp.doc 04/03 • Permit #: ,\ aO0,6 00 3&7 Address: /4533 5 gist AVG, Issued by: �� Date: 2// Statement: Information Notice to Property Owners About. Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: . 2 / V2. , 1. I own, reside in, or will reside in the completed structure. I understand that I .must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is " T „ , , , . , s Y h z .. ,-1.54--, ,e c\t..-\ 9 9' e{ 7 7 (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above ip is correct•and that I have read and do understand the Information • Notice to Propel Owner:. ut ruction Responsibilities on the.reverse side of this form. a ,,_ 8 _ oc (Signature o p- ap. icant) 1 (Date) ch i.• - spy to issuing agency permit file, pink copy to applicant) ~'^ lin~ Kmatioon Notice to Property Owners !laoWt Construction L'espons^b^;^t^("s Note: This Information Notice to Proerly Owners about Construction Responsibilities was developed by the ConstucTion Contractors Board in accordance wi/h ORS' 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, youcoo`prcvonLmuoyp»nNcnuxhvhcingummreofthe,fb|hvvingrcsponsUbi\idcsoodao:uxofconoena. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructhg or assisting in the construction or improvement of a residential structure, you will, in most instances, he ruled to be an employer and the people you hire will be eMployees. As the employer, you must corn Ply with the following: Oregon's withholdi tax law: Man employer, you nust withhold income taxes from employee wages at thetime employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091. • • Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378-3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers compensation insurance for your employees. lfyou fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs ifone ofyour employees is injured mnthejob. For more information. call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. nternaJRcvenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information. calithe internal Revenue Servie at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: Aa the permit holder for this project, you are responsible 'for resolving any fuUureto meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough inondDniah trades, and to notify building officials at the appropriate times �o they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box |4\40, Salem, 0R97}09-5052, 50]/378'4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1194 r -,•, CITY OF TIGARD BUILDING DIVISION ' A PERMIT #: iViSi2006-00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2006 Phone: (503) 639-4171 / OimmAi# Inspection Requests (24 Hrs.): (503) 639-4175 A. - AL INSPECTION WORKSHEET FOR DATE: 2114/2006 TIME: 2:22P1v1 PAGE: 3 SITE ADDRESS: 14533 SW 01ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: Jr:1Ni NGs . DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: t303..6 CONTRACTOR: JAMES VANZICK OFF 130><ItTA- PHONE #: 503-620-8603 Inspection Request Scheduled For: Date: 2114/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 026076 S03 N Corrections/Comments/Instructions: f " a dr t-1 5----*'-*'*--------- ASS pi PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL CALL FOR INSPECTION 0 ADDITIONAL EES ASSESSED itirli Inspector: Date: b 411 ... Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: I�iST:0t5 0tl`r 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 11/9/2005 Phone: (503) 639 -4171 4, 411 1 1 tl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 3.22p1, PAGE: 4 SITE ADDRESS: 14533 SW 01ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 07t1 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: , ILNNINGS, DONALD PHONE #: 6.n.684•3 13 CONTRACTOR: JAMES YANZICK PHONE #: 503- 668 -860 Inspection Request Scheduled For: Date: 2114/2006 Pour Time: Code # Inspection Description Confirm # - ontact # Message 230 Underfl insulation 026876.01 503-539 . 5079 Y Corrections /Comments /Instructions: ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL ES ASSESSED r Inspector: We Date: Phone #: (503) 718 - 2-42"---.. CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2005.003 g 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/200h Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: //25/2000 TIME: 7 :03AM PAGE: SITE ADDRESS: 14633 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 603- 68439i3 CONTRACTOR: JAMES YANZICK PHONE #: 603-626-6E03 Inspection Request Scheduled For: Date: 1/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 026707..02 503 - 539-5079 I Corrections/Comments/Instructions: d,! I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I y L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED " 11111111.° 718- inspector: Date: one #: (503) 718 0 f ITY _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST:. 00 &0,7369 i 13125 SW Hall Blvd., Tigard, OR 97223 A DATE IS SUED: 11/9//200b Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 W 1... INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 8: 36AM PAGE: 6 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS • DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 60684 -3:13 CONTRACTOR: JAMES YANZICK PHONE #: 503. 628.83003 Inspection Request Scheduled For: Date: 1/1 €12006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 2361 Shear walls /anch s 026034-01 503-535079 N - ZY' 4) ‘" (- - 5k_A-e-)1 /-4 Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED j ki 1, Y Inspector: Date: 1 1 I/ (R Phone #: (503)' 718- ,. �, CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST2005-00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02AM PAGE: 69 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 503-684.3943 CONTRACTOR: JAMES YAN2"..ICK PHONE #: 503-628-8603 Inspection Request Scheduled For: Date: 1/1212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 024800-02 503-539-5079 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector: 4 97/6/ Date: #4 Phone #: (503) 718- 2- 7° 6 CITY OF TIGARD -12- _ . BUILDING DIVISION - PERMIT #: MST2005-00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1119/2005 Phone: (503) 639-4171 --se-iviie Inspection Requests (24 Hrs.): (503) 639-4175 .,,,—glar 'I lL INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02Atvi PAGE: 70 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS e' DESCRIPTION: Addition. OWNER: JENNINGS, DONALD 17 PHONE #: 603-604-3943 CONTRACTOR: JAMES YANZICK PHONE #: 503-628.0603 Inspection Request Scheduled For: Date: 1/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 91A.. 615 Mechanical rough-in 024800-01 503-539-507B Y Corrections/Comments/Instructions: Cee 2 — ,4-7 e) etAlyi.Z.4, PASS 1 PARTIAL APPROVAL El CANCEL fl NO ACCESS FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 9441/ 2 7 6 Date: k i 2 - '6 Phone #: (503) 718- Inspector: '-% I • ii, -,-. CITY OF TIGARD BUILDING DIVISION AllAdhk PERMIT #: MST2005-00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639-4171 *omit ii I i Inspection Requests (24 Hrs.): (503) 639-4175 ,...„--61- ' INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: 22 . - - SITE ADDRESS: 14533 SW alST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 503-684.3943 CONTRACTOR: JAMES YAW/JCR . PHONE #: 503-628-0603 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 024671-01 503-539-5079 N Corrections/Comments/Instructions: 1) ,.is A 1.-4 A- 3 - 0 i ---- e.-sei..t..- --r - ,e. .="co2.4-7M >APSi74-1-MIteil.. 0 - /..--e. c.7.7 0 (- . ..- Amrigrio' el r ,, . , 1 , , • -:---- I , 1 f , 0 P ms fl PARTIAL APPROVAL -? CANCEL Li NO ACCESS ' FAIL CALL FOR INSPECTION e----- H ADDITIONAL FEES ASSESSED ,r Inspector: Date: / de: Phone #: (503) 718- 1 . CITY OF TI ARD C YO G BUILDING DIVISION - PERMIT #: MST2 -00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639- 4171Nuy� "� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: 'SUBDIVISION: :` DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER' JENNINGS, DONALD PHONE #: 503- 684.3943 CONTRACTOR JAMES YANZICK PHONE #: 503 - 628 -8803 Inspection Request Scheduled For: Date: 112/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Po .vbeam structural 023787 -02 503- 539-5079 N Corrections /Comments /Instructions: • SS • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL P C /FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:Hate: IZ Phone #: (503) 718- Z7.2_ CITY OF TIGARD • BUILDING DIVISION PERMIT #: MSTO(1�-� UO369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639 -4171 ^� °bNliil'I�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7 :30AM PAGE: 6 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 503-684-3943 CONTRACTOR: JAMES YANZJCK • PHONE #: 503 - 628.8603 Inspection Request Scheduled For: Date: 12/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 023787 -01 503-53 9-.5079 N Corrections /Comments /Instructions: • r • / PASS / Il CANCEL El NO ACCESS fi FAIL A LL'FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: Z w O hone #: (503) 718 - CSC/ L._/ I CITY OF TIGARD BUILDING DIVISION PERMIT sei r2_00c Odd 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /" A IN Inspection Requests (24 Hrs.): (503) 639 - 4175 °`'I INSPECTION WORKSHEET FOR DATE: j Z /Z., TIME: PAGE: SITE ADDRESS: / L/533 SI •/" 1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: U C 1nix `f Z lff PHONE #: CONTRACTOR: l l PHONE #: • Inspection Request Scheduled For: Date: Pour Time: l Ov Code .# Inspection Description Confirm # Contact # Message i/ /0 0175 5 j - 1/1 4 U Corrections /Comments/ Instructions: Gifr / 1 i w:( s. PASS I J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL 11 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 4,10 Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.003€9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639 -4171 : ,109 1 1 1 t Inspection Requests (24 Hrs.): (503) 639 -4175 ....,....„.4...- :_.. INSPECTION WORKSHEET FOR DATE: 1217/2005 TIME: 7 :00AM PAGE: 35 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 503 - 584.3943 CONTRACTOR: JAMES YANZICK PHONE #: 503 -62.8 -8603 Inspection Request Scheduled For: Date: 12J712005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 023095-01 503 - 539-5079 N Corrections /Comments /Instructions: ? 0 7 71 -A .PASS I I PARTIAL APPROVAL ❑ CANCEL ( NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J71 / Date: 1 ) P / IL/ Phone #: (503) 718 - 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005 Phone: (503) 639 -4171 *04° 1iV��'iII Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 1217/2005 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 14533 SW 81ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition, OWNER: JENNINGS, DONALD PHONE #: 503 - 684 -3943 CONTRACTOR: JAMES YANZICK PHONE #: 503 -628 -8603 Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 023095 -02 503 - 539 -55079 N Corrections /Comments / Instructions: `Ri . PASS PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. 1 ` Date: Phone #: (503) 718- pp- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11,19/0CY, Phone: (503) 639-4171 iAec ,.. 411/ Ii Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7:03AM . PAGE: 32 SITE ADDRESS: 14533 SW B1ST AVE CLASS OF WORK: SUBDIVISION: DURHAM ACRES LOT #: 070 TYPE OF USE: PROJECT NAME: JENNINGS DESCRIPTION: Addition. OWNER: JENNINGS, DONALD PHONE #: 503-6843943 CONTRACTOR: JAMES YANZICK PHONE #: 503.628..8603 Inspection Request Scheduled For: Date: 1/2512006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electric:al rough-in 026707-01 503-539-6079 N Corrections/Comments/InstrUctions: (!-_--- i l S° > r a; PASS ARTIAL APPROVAL 0 CANCEL r7 NO ACCESS FAIL 11 g LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: I.... Date: /2- C one #: (503) 718- % I CITY OF TIGARD .._. . BUILDING DIVISION PERMIT #: NI_Ch).-0 t2C 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 i ltitilifi Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: `ord cm SITE ADDRESS: ( 4g 3 &/ cl-Av-e..... CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: . OWNER: ---- PHONE i32S39 -- 7 9 CONTRACTOR: J O rvves PHONE #: Inspection Request Scheduled For: Date: 24 , 7 , 0 Pour Time: S ) Code # Inspection Description Confirm # Contact # Message ?Vi I -c15) -------- " e--r p i l l D.A. 5 ' — 6 Li) / Corrections/Comments/Instructions: V _PASS A IN P - IAL APPROVAL D CANCEL 0 NO ACCESS L FAIL a ' L FOR INSPECTION I ADDITIONAL FEES ASSESSED ■11111 7 ob Inspector: ...A ■...........— Date: Phone #: (503) 718- ft■ CITY OF TIGARD . _ i . - • BUILDING DIVISION PERMIT #: MST2005 -00396 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/23120(,1; Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 7/1012006 TIME: 1:05AM PAGE: 10 SITE ADDRESS: 11695 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: NON SF. OWNER: FOUR D CONSTRUCTION CO., PHONE #: 503-690.0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503.530 - 0806 Inspection Request Scheduled For: Date: 7/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 032869.02 503 - 72(100'12 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0--00 Phone #: (503) 718- 2.51-c-1- -S CITY OF TIGARD ., BUILDING DIVISION PERMIT #: MST200F -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/230006 Phone: (503) 639 -4171 ,i ,�� Inspection Requests (24 Hrs.): (503) 639 -4175 �:_. INSPECTION WORKSHEET FOR DATE: 7/1012006 TIME: 7:05AM PAGE: 11 SITE ADDRESS: 11695 ``+/ ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES ATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO. PHONE #: 503- 530 -01805 CONTRACTOR: FOUR D CONS I RUCTION PHONE #: 503 - 590.0005 Inspection Request Scheduled For: Date: 7/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032869 -01 503- 720.0012 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /h, Date: 7 - /l1- 6 Phone #: (503) 718 - 2 - 5-1-9 -5- CITY OF TIGARD . • • BUILDING DIVISION PERMIT #: T2o( o(y4t ; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . ) /23/2(vi Phone: (503) 639 -4171 1r�I Inspection Requests (24 Hrs.): (503) 639 -4175 s ". INSPECTION WORKSHEET FOR DATE: 2/C42006 TIME: 7:02AM PAGE: 20 SITE ADDRESS: V1696 SW ERRO1.. ST CLASS OF WORK: SUBDIVISION: GAPPOEN ESTATES LOT #: ( }(J1 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF OWNER: FOUR I..1 CON STRIJCTI CO., PHONE #: 603-690-0B06 CONTRACTOR: FOUL; D CONSTRUCTION PHONE #: 03 ' =90.(1612:=, Inspection Request Scheduled For: Date: 2/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message I(1 Storm drain 026323-04 503 -%9 -4631 N Corrections /Comments/ Instructions: m -ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Mt ki_ Date: Phone #: (503) 718- / -/ ( _ CITY ��N�~�� U�� ' • m�"m. nn��um�� BUILDING DIVISION � ~°~,,~~~°,,°~� ~=,°,~°,=,," PERMIT #: k4ST2O0�U0�S( 131258VV Hall B�d, Tigard, ORQ7223 D ATE|SSUED: y�3j2O8� Phone: (503) 639-4171 � Inspection Requests (24 Hrs.): (503) 639'4175 .-:;j INSPECTION WORKSHEET FOR DATE: 216/2006 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 11696GWBRROLST CLASS OF WORK: SUBDIVISION: CAPp0ENESTATEG LOT #: 001 TYPE OF USE: PROJECT NAME: CAPP0ENESTA7E8 DESCRIPTION: New SF. OWNER: FOUR 1) C()NJTRUCTION CO., PHONE #: �03 CONTRACTOR: FOUR DCONSTRUCTION PHONE #: 503-5980806 Inspection Request Scheduled For: Date: 2/60008 Pour Time: Code # Inspection Description Confirm # Contact # Message 686 Banibmy 026323-05 603-9694831 N Corrections/Comments/Instructions: • • • ‘ t4pASS El PARTIAL APPROVAL El CANCEL 0 NO ACCESS | | FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: -9 / Date: 4' / �� 6 CITY OF TIGARD BUILDING DIVISION PERMIT #:1;, > {,0;.( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/200; Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7 :02AM PAGE: SITE ADDRESS: 1 1t;Si - ; SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOE.N ESTATE'S 6 LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEW ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION I"ION CO., PHONE #: e.303-r 5 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 690 -W0 Inspection Request Scheduled For: Date: 2/612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 026321 50;x- 959 -4E31 ICI Corrections /Comments /Instructions: • I -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p A rrnI Date: 5/ `! l Ins ector: ,Y l ,J - bj g (0 Phone #: (503) 718- `" CITY OF TIC;ARD • • BUILDING DIVISION PERMIT #: Mf00.003% 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/200;:i Phone: (503) 639 -4171 AA, • nspection Requests (24 Hrs.): (503) 639 -4175 ,_ INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7 : 02AM PAGE: - SITE ADDRESS: 11695 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: Now sF. OWNER: FOUR D CONSTRUCTION : rION CO., PHONE #: 503 -69th3 -01105 CONTRACTOR: FOUR C) CONSFRUCTION PHONE #: 503 -¢ 90 -.080 a Inspection Request Scheduled For: Date: 2J&200$ Pour Time: . Code # Inspection Description Confirm # Contact # Message 330 Wat er ;:er 02631:3 60'3 N Corrections /Comments /Instructions: } -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 J FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: / `/ Date: 2// Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: lviE 17).0) .Ct13` 6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 1/23/2006 Phone: .(503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2J €I2O06 TIME: 7:O2Mvi PAGE: 31 SITE ADDRESS: '11696 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: Now NSF. OWNER: FOUR D CONSTRUCTION CO. PHONE #: 603.-690-005 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603 - 690.005 Inspection Request Scheduled For: Date: 2/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl th in 02€ 3 ; -01 60)3 - 969.4631 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /7) /. l T Date: � 6 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: IA ST2005, -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s "' I. INSPECTION WORKSHEET FOR DATE: 7/6/2006 TIME: 7:03AM PAGE: 11 SITE ADDRESS: 11695 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO., PHONE #: 503.590 -01305 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590-0805 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact Message 199 Electrical final 032741 -01 50 20 -0012 N Corrections /Comments/ Instructions: d eW j etSi; Lr ' e-- I el 0--(5 , • A 01 — Ci/e-c -i•l/. PASS lij - RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL % A . FOR = TI • ❑ ADDITIONA FEES ASSESSED Inspector' ' Dater ,-. Phone #: (503) 718 CITY OF TIGARD - 5T^ BUILDING DIVISION PERMIT #: ? S p 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 � Po �� r i r'i I Inspection Requests (24 Hrs.): (503) 639 -4175 M. �_ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ( 1 (p ! CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspecti equest Sch uled For: Date: e Z 8-- e) 6 Pour Time: 1.2.S Code # Inspection Descripti n Confirm # Contact # Message , M4 / /39 399 /5 - 7 00/;._ i larri Corrections /Comments /1 tructions: 1 G n/ If » 5 SIO6✓ 7 1a9O f t E ,./....C 7 R/Ci z i - %-- - 7A7 1 - ' -4 a—, ". 171 A/ - i 8 n cr-ki- ► eir%eiiaEAC%PY r_ 4 ,1 - hot: - c J,�,q ' 0� . /1T kd AtiaZDAI -A - i' a 6. - ■40 0 I 1 ' ' _ 0;40 Ad 0 k . - : .+►_r kawr AM"' y . 055" -moo, /11° e'3 5- 21D.ci f?_c_632? 14 v _rAlle _ • ■ ...-- ‘ 41.4J- < . 154 r- 4,0 l ` 3 -A/ gt//V • - 71 - ,', ' •]Y M 47 GS 2- ,9 '' t j,FG- spa ic�',l' ` 3 , z- E . )72/ ' ' 0 _ D '' . ; . -0 1V ' j l � q -- ' e Ile .- Zi?� 1,0 - , ? 1 - 43 SS PARTIAL APPROVAL n CANCEL c NO ACCESS IL C_ L FOR INSPE •N , ❑ ADDITIONAL FEES • SSESSED Inspector: A r A JA Date: ' 1 Phone #: (503) 71, CITY OF TIGARD . BUILDING DIVISION PERMIT #: IVI T2O0' - 00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: (/23/200 Phone: (503) 639 -4171 A �,,�� Inspection Requests (24 Hrs.): (503) 639 -4175 ' :_ INSPECTION WORKSHEET FOR DATE: 4/1112000 TIME: 7 :07AM PAGE: 42 SITE ADDRESS: 11695 IN ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN F s I ATES DESCRIPTION: New SF OWNER: FOUR D CONSTRUCTION CO., PHONE #: 503-590-06m CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503- 590 -0f:M Inspection Request Scheduled For: Date: 4/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 13S Low voltage 02 -01 503- 720.. N Corrections /Comments/ Instructions: • i 1/ .1 Jim /. - ,A,, * ' 6 / y d , , i I 1 tall L . 4 ,-Z i A I .1 ..1 .,I = / L. J/ i i / • . % I 1 f ' 1 / g PASS PARTIAL APPROVAL l I � � CANCEL PI NO ACCESS 1 1 FAIL ►21 . CALL FC INSPECTIONS , / ADDITIONAL FEES ASSESSED I � , / , --( Inspector: Date: Phone #: (503) 7182 6 ■ CITY OF TIGARD ti S BUILDING DIVISION PERMIT #,(.26S - 3 97° 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 r' . Inspection Requests (24 Hrs.): (503) 639 -4175 °'ll� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / / (p 96 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: . DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For Date: 3 -*� 7 v ! Pour Time: J'I Code # Inspection Description Confirm # Contact # Message OS / 2- / - 7a o - 7�f q� �� aec 4 Corrections /Comments/ Instructions: Q NN►L PL�VE &63®4 NtemgL &O. g'31•33$d 1 6 — tve,iL, Li` \ cY‘No Q.bru\ilzik Aiaz 63‘-3Vi-kr Si c a A.e cA6Lk. t N FPn) Bo 5 . ►1 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ` N (v Date: 2 6 Phone #: (503) 718- L `L�• CITY OF TIGARD BUILDING DIVISION PERMIT #: MST:100; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23120(k; Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .',),41-?''AJJ: • INSPECTION WORKSHEET FOR DATE: 41312006 TIME: 7:00AM PAGE: SITE ADDRESS: 11695 SIN ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO, PHONE #: 503- CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503-590.030% Inspection Request Scheduled For: Date: 411312006 Pour Time: Code # Inspection Description . Confirm # Contact # Message 280 Insulation 027989..01 Corrections/Comments/Instructions: / iv Su Lior /411z- W"-if • PASS PARTIAL APPROVAL El CANCEL El NO ACCESS I I FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 4 Phone #: (503) 718- CITY OF TICi4R® ,a M s 7� BUILDING DIVISION PERMIT #: Vd - OCR 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A . t r∎ �! Inspection Requests (24 Hrs.): (503) 639 -4175 �.i ° ''L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / ( (p C f S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: • CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - c,2 7- d (o Pour Time: /i- , • Code # Inspection Description Confirm # Contact # Message a7 C7(6 6 lD Dare 7a0-001D- 140 c.t— a4S ions omme /Instr tions: 6 1.a T T Ne - zer 6 S" ine c:, , gel„, (L. -- o-Gc. 37 S Fief --vt - O ‘ Cv..A.-„..,,,„ t. v oo-.. 1: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 1 Date: 3 6 Phone #: (503) 718 - CITY OF TIGAR® 31. BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A lk Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 11 to l 5 F.A.A.a-2.. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- /' L-0 ( Pour Time: Code # Inspection Description Confirm # Contact # Message Correction / Comments /Instructions: si s • • PASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /91 Inspector: tDate: — /-d 62 Phone #: (503) 718- CITY ��U�� • • ��mm m ��w TIGARD . ' BUILDING DIVISION PERMIT #: mm 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/231200( Phone: (503) 639-4171 Inspection Requests �4Hm.):�Q3)G3Q~4175 � INSPECTION WORKSHEET FOR DATE: 2/8/2006 TIME: 7:01AM PAGE: � SITE ADDRESS: SW E[OL. ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO., PHONE #: 683.6900806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 6n690'0806 Inspection Request Scheduled For: Date: 202006 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 F\>s1Hbnamubuctura{ 025506-01 503-7207446 W Corrections/Comments/Instructions: PARTIAL APPROVAL El CANCEL NO ACCESS F �� / / FA|L CALL ��A000ONALFEESASSEGSED '/17K( CITY OF TIGARD • BUILDING DIVISION PERMIT #: • li%1` 1' }0(,i;`.r0i.Sr:1G 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: . .I/ 312(E(e ; Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/8,f2006 TIME: 7:01Am PAGE: SITE ADDRESS: 11E65 SAN ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOE_N ESTATE'S ATE LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION Co., PHONE #: %03 - l;9Q - 0806 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 5B-690-080S Inspection Request Scheduled For: Date: 202006 Pour Time: Code # Inspection Description Confirm # Contact # Message '605 Po:;:tJb'am rnectianical 026605 503 - 720 -744E; N Corrections /Comments /Instructions: • • ASS / I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Z - 3 -- o 6 Phone #: (503) 718- 2 -- CITY OF. TIGARD BUILDING DIVISION PERMIT #: MST 200S.00396 13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: . )/23/ ;N) i 4 Phone: (503) 639 -4171 4,4-!.).-1'42 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/31/20()6 TIME: 7:O1AM PAGE: 26 SITE ADDRESS: 11695 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOLN ESTATES DESCRIPTION: Nv.4.0 SF . OWNER: Ft)(JR [) CON:r.; l RUCTI0N CO - , PHONE #: 503 690-(80! - CONTRACTOR: FOUR [7 CONSTRUCTION RUCTION PHONE #: (0;,4 ,90 (I;30`:; Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: 1i:00 Code # Inspection Description Confirm # Contact # Message 210 Found t.ion lAfalls 02602.5 -01 503-720-7446 N 205 Corrections /Comments /Instructions: r • A . c , i A L » . e / 72 gt i- o I t, Q'V c • L,.r4e —StH-02 t9— PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: _ Date: J-- � /��4 Phone #: (503) 718 - 2414-";--- CITY OF.. TIGARD . • BUILDING DIVISION • PERMIT #: 1v;; i 2O;jr ;- 0039f.; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/'7006 TIME: 7 :01AM PAGE: 111 SITE ADDRESS: 11(i15 S!, ERPOL ST CLASS OF WORK: SUBDIVISION: CAPPOFN ESTATES LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES ATES DESCRIPTION: New ;I OWNER: FOUR Cj CONSTRUCTION CO., PHONE #: s(1 69(D 0805 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 603-590-01 Inspection Request Scheduled For: Date: 1/30/2006 Pour Time: 1 :00 Code # Inspection Description • Confirm # Contact # Message 20S Footiusg 025956 -01 FA - 720 -744 ii N Corrections/Comments/Instructions: ❑ PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS M AIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( ) .-4 Date: / — 30__ ab Phone #: 503 718- ��"� CITY OF TIGARD BUILDING DIVISION PERMIT #: ;, ;, ( {006.c 0Yg; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/201); Phone: (503) 639 -4171 * A a o „ 1 1 4 4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 100/2006 TIME: i :O1Alb. PAGE: 17 SITE ADDRESS: 116% L V ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN F a`iATE S LOT #: 001 TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO., PHONE #: 503. CONTRACTOR: FOUR D CONSTRUCTION PHONE #: ;03.59) -020f Inspection Request Scheduled For: Date: 1/30/2006 Pour Time: too Code # Inspection Description Confirm # Contact # Message 10 Foundation ndation wall , 02696(';-02 603-720.7446 `r Corrections /Comments/ Instructions: • n PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1- 3 0' - - � 1 ° Phone #: (503) 718 - 2-4 7'` CITY OF TIGARD . BUILDING DIVISION PERMIT #: IvMS1200 500396 13125 SW Hall Blvd., Tigard, OR 97223 37�', DATE ISSUED: 112,312006 Phone: (503) 639 -4171 *0%00 l � n C7 , vj Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 71 &2006 TIME: 7:03AM PAGE: 10 SITE ADDRESS: 11655 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: p TYPE OF USE: PROJECT NAME:. CAPPOEN ESTATES DESCRIPTION: New SF. OWNER: FOUR D CONSTRUCTION CO., PHONE #: 503 - 590 -0605 CONTRACTOR: FOUR D CONSTRUCTION PHONE #: 503 - 540.0305 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032741 -02 503-720-0012 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS Ft AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: v Phone #: 503 718 --2 p 9 ) _ c CITY OF TIGARD - 4 m ST BUILDING DIVISION PERMIT #:? OS - 0O3 %, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 j� I Inspection Requests (24 Hrs.): (503) 639 -4175 t h }r •.:.. %. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: (1 (' ! CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspecti equest Sch uled For: Date: eP Z g' (P Pour Time l .-ce Code # Inspection Descript n Confirm # Contact # Message i X*01 19 9 3'7 9 1 - 7 z 0 00 I c-- 1 vial 11 sjr Corrections /Comments /1 tructions: • t " 4.1. - II It ____...,mb......: or, 65/Phl OageL F :- -- /A 7 i . a d /.1.--, im' L AI ! 8 AI rn — k1,, e �` �� 1iDI 7� i t ii ar - 1E v 7— - P LD / 1/c3,g� c h9,bc ; 2 o, Z; ' .4D/V --791 Z/9 - 61 2- 90ie5 0;149 /4i IVO e_k Ai AK. o %-- .or, ' « A4" /16 ." . 035 -vD ,� r z�� '' " � F .3 1 /- : ! _ B -ll4 o f /A/' P to -H a, 4- i a , RS - Z' r .- !d // 1l �'E��S �- - " A J,eG- gyp[ EZC ' ;• • ; 2 _ - 12f d, --0 p ^ -- = ..001/- I:L. 1,0 i Oifffe 4 )1, VM '-- A(11 X9-1 L.. e 25 .- ' 0 Gi IP v 1 a . ` a - c • ,r k 'r, _,, _ •1 4 / • — W ' . 'tit 4 - /0311; riicve , 1 -- 7 - 171/1z i_____, zi r e 11,4 40 0 _.; A 'A • ' - ' -,,....., P SS I I PARTIAL APPROVAL 7 CANCEL / DIN NO ACCESS A IL ■ C. L FOR INSPE •N / 7 ADDITIONAL FEES • SSESSED r = �' � or Inspector: � `�l _ /. t � Date: ' - Phone #: (503) 71 CITY OF TIGARD .m BUILDING DIVISION PERMIT # a 0 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / / ( 9 � CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date:3 -„,2 7 -6 Pour Time Code # Inspection Description Confirm # Contact # Message 3 P"`-1 (y-a- s71 Corrections /Comments /Instructions: f 2 g6 \4 0 775 ti PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -1 Inspector: �i■ Dater / t1 Phone #: (503) 718- 2 Zi( CITY OF TIGARD BUILDING DIVISION PERMIT #: tit I'2001, -f• 341 :396 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2312006 Phone: (503) 639 -4171 � p7 ll Inpection Requests (24 Hrs.): (503) 639 -4175 =� INSPECTION WORKSHEET FOR DATE: 7/8/20Q8 TIME: 7 :01AM PAGE: ') SITE ADDRESS: '1%96 SW ERROL ST CLASS OF WORK: SUBDIVISION: CAPPOEN ESTATES LOT #: € 0 i TYPE OF USE: PROJECT NAME: CAPPOEN ESTATES DESCRIPTION: N 3F OWNER: FOUR U CONSTRUCTION CO;)., PHONE #: 60:3-7 )6 CONTRACTOR: FOUR D CONSTRUCTION TION PHONE #: ti ; Inspection Request Scheduled For: Date: 2/0/20€1; Pour Time: Code # Inspection Description Confirm # Contact # Message :z mr:o Po`1 /be :In plumbing € 2650' I33 ' C A3 7°21 74 ; N Corrections /Comments /Instructions: . or- Fr, air MP FEW' •Inw---- — ' - I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL � l_ CALL FOR INSPECTION El ADDITIO L FE S ASSESSED 67 ■ial Inspector: Date: P hone #: (503) 718 - 2--ik-Z- .. 4 4 4 k S IA iker,..' EET ; . 44ikrifilitt 1 R I, �Yi /7 , Uwner /Agent for � vv1.. , eeyvsr , ® (PLEAS RINT) 'm ( PERMIT HOLDER) . ,, , r ® ®. Do herebycertf thatth following location z i; ® meets C.iiy of Tigar / C ounty l and use and development standards for street tree installation. Oit- 4 ® - 4 ADDRESS: 7/45 Sw _5 7X . LOT: SUBDIVISION: £ '/ Yf E----" 1 (,g "-- I> , 4 ® BY: - Iii. DATE: /a /. ® �► - RECEIVED BY: DATE: A V 4 VVVVVVFVVVy ® ®®® y®yv ®®y y® v ® y V