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Permit n ., ‘f � MASTER PERMIT CITY OF TIGARD PERMIT #: MST2006 -00047 A DEVELOPMENT SERVICES DATE ISSUED: 3/6/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103AA 01909 SITE ADDRESS: 12385 SW 106TH DR ZONING: R -4.5 SUBDIVISION: COTTONWOOD PLACE LOT: 012 JURISDICTION: TIG Project Description: Entry and rear patio afterations. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT: 5 VALUE: 10,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 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: W /SVC 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: I SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWS ECTION 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes JIM AND LO FLATTERS DOUG ZIEBART CONSTRUCTION INC and all other applicable laws. All work will be done in 12385 SW 106T1-1 AVE PO BOX 80402 accordance with approved plans. This permit will expire TIGARD, OR 97223 PORTLAND, OR 97280 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: Contact #: PRI 503- 245 -5433 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 Reg #: LIC 96471 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 347.77 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS • 1, r Issued y : _ ) / i�L�. •� _ Permittee Signature'-_ 1 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. , . ,,, . • „., dire 7.: Lv E 1 I - Building Permit,l "8.6 CE1 V FOR OFFICE USE ONLY City of Tigard DD r� Date/B 1 p6 At 46 Permit N. h ._,o, ...... 13125 SW Hall Blvd., Tigard, OR 95EB 1 i 2006 Plan Review Ready/BT 'i Date/B . Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 ..., , � l h O Inspection Line: 503.639.417 Date Ready SJ See Attached Checklist for Internet: www.ci.tigard.or.us m. OF ��� °"" Notified/Method: f r Supplemental info BUILDING PTVJSTOR TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ,� ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: J 7 f O 0 0 0 12 Accessory building ❑ Multi- family Number of bedrooms: CI Master builder CI Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: .lob site address: 12385 SW 106th Drive New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 400 square feet Cross street /directions to job site: Walnut to 106th Drive Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Entry and rear patio roof alterations Valuation: $ _ _ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Jim and Loraine Flatters Type of construction: Address: 12385 SW 106th Drive Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone: ( ) Fax: ( ) New: Ial- APPLICANT ® CONTACT PERSON NOTICE Business name: Doug Ziebart Construction , Inc. All contractors and subcontractors are required to be Contact name: Doug Ziebart licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 80402 jurisdiction in which work is being performed. if the City /State /ZIP: Portland, OR 97280 applicant is exempt from licen mg, th ollowing reasons apply: S . � Phone: ( 503)245-5433 Fax:: ( ) - E -mail: zbart3 @comcast.net CONTRACTOR . Business name: Doug Ziebart Construction, Inc. BUILDING PERMIT FEES* Address: same as above Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie.: 96471 ` \Ot Amount received \ Date received: Authorized signature: ` 1 f,, R.` S , This permit application expires if a permit is not obtained //J / within 180 days after it has been accepted as complete. Print name: Douglas G. Z i e rt Date: 2-17-06 * Fee methodology set by Tri -County Building Industry President Service Board. i:\ Building \Pennits'Bl1P- PermitApp.doc 12/03 440-4613T(11/02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE OM ' City of Tigard Received Permit No.: Date /By 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 I / "' " IWaI' 1li'� ❑ Electrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 IJ. Internet: www.ci.tigard.or.us "" ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 - Fire a i I royal re' uired. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered - ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's 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 .1 ilicable 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 II" 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. ❑ ❑ ❑ 30 - A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 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:\ Building \Permits\BUP- RES- PermitApp.doc 2 Fe¢.11. 2U06 I0:21AM BEAK ELECIKIC No.1 /0b P. I • t' i �` k' . tt OFFICE'` t'SE :ONLY Electrical � } ' p ani City Date received: Permit no T . 4 7 10 — 9 /7 �a ��tj:� , Cat of Tigard Proect/a I. no.: Expire date: � 1 _ p City of Tigard Address: 13125 SW Hall l v , Tigar �� 223 jpp Date issued: By: _ no.: Phone: (503) 639- 41,,j(71 Y - 1 Fax: (503) 598- 196W-'�� �, V �K� Case file no., Payment type: Land use app 1 I ILDING DTVJSJO' r . ,, r TYPE ' ', '[ E OF' PER111T • RI 1 & 2 family dwelling or accessory G Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction Li Addition /alteration/replacement 0 Other: C) Pt rtia1 - ,,i. '`: . • ,f', . .1011 SUIT: IN1 • .. • . . Job address: 12385 SW. -106th Drive Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot; i Block: !Subdivision; • Project name: I Description and location of work on premises: Entry & rear patio root Estimated date of complction/inspection: alterations z . , •:CON•1'RACTO iPPLJC:\TION ; 4. >4. ' t.:; =-:. . IFLli SCIIL0,1.LE ' r�fr'� r r;. � ' -, JOb no: Fee Max l3usinessname: ?. E,1. ' \C , ` Description Qty., (ea.) Tatar na.lnsp Pl Address. , ?.-4,7_7>x ?.-4,7_7>x ?��j� errmidential- single or aalti- farnilyper dwellingtait, Ineludos attached garage, City: C,.L<j State: C z1P:Cl`70 36 Scrviccmeladcd: Phone: tQlP)• /5 Fax: '7 • . - II (Y1 E -mail: 1000 sq. ft. or less 4 CCB no.: ` Elec. bus. lie. no: Each additional 500 sal R or portion !hereof O 1 9 L� ^7� r u ( Limited energy, residential 2 City liar ic. no.; l�l►«•. �L- �� Limited energy, nun - residential 2 n manufactured home ur modular dwelling ‘2 c of supervising electrician (required) Date ' ' ae,.,ce and/or feeder 2 Sup. elect name (print)• ,. _ Tit S .t.I • Licantc no: f .'0 y Serrlcesor feeders- hwtallatl alteration ur rciocaltion: ,Ea' s` , , .: =„4 t , 1'ItOl'1':It•I'V O'* •:N11 K 'i d '" . ', 200 amps or less 2 Name (print): Jim and Loraine Flatters zol amps to 400 amps 2 Mailing address: 12385 SW 106th Drive 401 amps lu 600 nmps _ 2 601 amps City: Tigard istate: ORIzrP: 97223 Ov er UU 100 ta mp s amps 2 Over amps or volts 2 Phone: IFax: IE -mail: Reconnect only I Owner installation: The installation is being made on property town Temponiry servicesorfccdcn - which is not intended for sale, lease, rent, or exchange according to 1tent! ollulivrr ,ultenliun,urrelucaliuc. ORS 447, 455, 479, 670, 701.. 200 amps or leas 2 . 201 amps to 400 amps 2 Owner's signature: Date: 401 to coo amps 2 w ' •.?: . ,I V ,INIfI K A, 41;:.,,,, ,,,,," Branch circa lts• new, alteration, Name: or extension per panel: ----- A. l'ee fur brunch circuits with purchase of _ A _. ddress: service or feeder fee• each branch circuit 2 City: . I State: i ZIP: B. Poe for branch circuits without purchase _.y �e- Phonc: Fax: E -mail: or service or fettle!' fee, firs! bunch cittuiC b' 2 Each additional branch circuit 1 6 . ` . _ , PL:th REVIEW (Please check all that apply) misc. (Sec vice or (ceder not included): U Service over 225 amps - commercial 0 Healti.care f;,eility Each pump or irrigation circle 2 0 Service over 320 a mps•rating or 1 &2 0 I t ;tcrrdous location Each sign or outline lighting , , 2 funnily dwelling¢ U Building over 10,000 square foci four or Signal circuit(s) or a limited energy panel, U System over 600 volts nominal none residential units in One structure alter Lion. or extension` • _ 2 0 Building over throe stories 0 Feeders, 400 amps or more *Description: 0 O.cupant load over 99 persons 0 Manufactured structures or 1W park Each d4iI.ioiiul inapvrliun ones' the alluwabtc In any of the abuvc U Egess'lighting plan U Other. —• - -- - • Per inspection I I I Submit _ sets of plans with any of the above. inveitig.,tion fee The above are not applicable to tezuporary construction service. Other _ Permit fee ........ ..,., S 3 • ;7-) Nut aujwtisdiatoul aea4t =Sit Garda please Call jurisdiction In more inlermatiun. NOt]CC'. This permit application O Vim 0 MasterCard expires if a permit is not obtained Plan review (at_s a °A) $ Credit card number. . ,_,_._ -_•___ / / within IRO days after it hats been State surcharge (8 "/n) $ .. -- Expires Name of oaolhutder as shown on credit caul accepted as complete. TOTAL ...........__.._._.......... . $ . '., Cardholder signature Amt,uni _.,.. 440 .4515 (6HI0/COM) • . ,, tz..,. , . 1 op EG NED 1 — /aim„,,,4llq 1 FEB 17 2006 =' 4 - -mot ferry of 'Do CITE ® TI RESIDENTIAL PERMIT APP 1 tom WV ® OREGON Permit Number i, _ a, , - coo Lot No. Subdivision Address leg 5 stJ 0 , et , Contact Name i bO t, LtFm,Pi Business 00146, LI b,'7' MARS 70.L4Or/06' -7 Street pc BOX 6Pv'-1 City Po - fL State Oj Zip g7at) As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. { i The submitted plans cannot be reviewed until the above information has been submitted and/or approved. X, The plans are deemed "simple ". The plans are deemed "complex ". If you have any questions, please call Chad Williams at (503) 718 -2708. eLLOQ------- d-17— Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 ■ ,If fl IS. Z( 0 rn N N E s rb ° r v fit M v) Di (5-1-7 ev,1a,n (vvee-a 2,5$0 0 w yL - 5+ c ro o. 2 /2 r /L'aver4 -br /y.S /p S c (N U 7 7 ∎ Lcs» Th Z' s1oee n � o s •■i eff.„ ..,_____, \ s c a - . V • — t' 1 03 fi - r c ° 7 , S ' /2355 Sw 106 +`' c9_, /7 / n � ,/ k,., d 0•, / 4 �Ll 3,x6" 0 S DQ1v t" 1J (A Itss i P 0 � 4. o 1 = S Ioea .p v • o / / o 4 2..51 � � `� CITY OF TIGARD - SITE PLAN REVIEW ` BUILDING PERMIT NO.:MS"� 2 0 — c7OO 7 PLANNING DIVISION: Not Approved Required Setbs: Approved ❑ pp' Side: Street Side: fS �l �?-(� Rear: (_ Visual Clearance: 1K Approved ❑ Not Approved Maximum Building Height t)feet CWS Service Provider Letter Required: ❑ Yes ❑`No atop eceived EN: 9 dAk Date: E;` , NEERIN DEPARTMENT: Actual Slope: % iii •proved ❑ Not Approved Site PI n: riii Approved 0 Not Approved Bv: ✓ Date: 3 - w — c' (, Notes: • • I •; • 1 ,. . ' CITY ��b����U�������� / . / ��n m m OF u n�m��na�� w ° �� BUILDING DIVISION � ' ~�~,"~~~°""°~� "~"~° ��o� PERMIT &4STZOO�OOD47 \ ~~ " � | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2006 Phone: (503) 639-4171 Inspection Reque�a(24Hm.):(SU3)O3S`4175 � e��� INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AK4 PAGE: 21 ` WArt—reiUT SITE ADDRESS: 12308SyV106TM[)R CLASS OF WORK: SUBDIVISION: COTTONWOOD PLACE LOT #: 012 TYPE OF USE: PROJECT NAME: FLATTERS DESCRIPTION: Entry and rear patio aflerations. OWNER: FLATTERS. JIM AND L0RRA|NE PHONE #: CONTRACTOR: DOUG Z|EBART CONSTRUCTION INC PHONE #: 503245-54'33 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031177'01 603-307'4114 N Corrections/Comments/Instructions: Z &,c 6 C.-o Coit-t /e . 9 �2 *ASS I PARTIAL APPROVAL 111 CANCEL [1 NO ACCESS || FAIL I | CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 6 ^e ^ e ^^ Phone #: (503) 718- z . . CITY OF TIGARD _ BUILDING DIVISION PERMIT #: IViST2006-00047 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31612006 • Phone: (503) 639-4171 14:111410 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/22/2006 . TIME: 7:29AM PAGE: 17 SITE ADDRESS: 12385 SW 106TH DR CLASS OF WORK: SUBDIVISION: COTTONWOOD PLACE LOT #: 012 TYPE OF USE: PROJECT NAME: FLATTERS DESCRIPTION: Entry and rear patio afterations. OWNER: FLATTERS, JIM AND LORRAINE PHONE #: CONTRACTOR: DOUG ZIEBART CONSTRUCTION INC PHONE #: 503-245-5433 Inspection Request Scheduled For: Date: 5122/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030284-01 503-678-1356 Corrections/Comments/Instructions: 11 Is • ,PASS fl PARTIAL APPROVAL fl CANCEL pi NO ACCESS I FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 6 N()e LC: Date: 1 : 1 -106 Phone #: (503) 718- 2Liqt) •. CITY OF TIGARD WI Cr o BUILDING DIVISION PERMIT #: a o 4 o a 9? 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / A �� II Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/3 04 TIME: PAGE: S ITE ADDRESS: / 3 e � Z � / 6 / j SITE ADDRESS: (� • CLASS OF WORK: SUBDIVISION: TTT LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: 67 g- / s -- s -- Inspection Request Scheduled For: Date: Pour Time: • Code # Inspection Descrip ' n Confirm # Contact # Message Corrections /Comments/ Instructions: • • • ,e PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED LI/ Inspector: L _ Date: O Phone #: (503) 718- �� 11 glb 1 CITY OF TIGARD - BUILDING DIVISION a- PERMIT #: MST2006-00047 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/6/2006 • Phone: (503) 639 -4171 � �Ipig ji Inspection Requests (24 Hrs.): (503) 639 -4175 :,':t �' INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 12385 SW 1061 H DR CLASS OF WORK: SUBDIVISION: COTTONWOOD PLACE LOT #: 012 TYPE OF USE: PROJECT' NAME: FLATTERS DESCRIPTION: Entry and rear patio afterations. OWNER: FLATTERS, JIM AND LORRAINE PHONE #: CONTRACTOR: DOUG ZIEI3ART CONSTRUCTION INC PHONE #: 503 - 245 Inspection Request Scheduled For: Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031100 -01 503 -307 -4114 N Corrections /Comments/ Instructions: )c-, e t-/2G 5/01 0145 ' 7 cfro g---1 (D ,_ - sZ C Li PASS �ARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL C L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: zi Date: . - -D 6 Phone #: (503) 718- .. 4/ 41I 1 -7(ate ircc -w CITY OF TIGARD iin 5 k. BUILDING DIVISION PERMIT #:,,,7z e ©G ( {7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 7 , Phone: (503) 639 -4171 :fir %� �j Inspection Requests (24 Hrs.): (503) 639 -4175 �� =�� {:_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: /�3 S / � � SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: / OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: `. --3 -6 Pour Time: Code # Inspection Description Confirm # Contact # Message .-7,__c ��'� De3 3o7 - q' 1 ! I( Corrections /Comments /Instructions: C ,V Je, ICJ f ." ,. , \ i 1 ,1 4 i • - . ►IPA Qlrla:s r!MIEW!asiii GeluP.IPI I FZCth ef r/ - - P 1 .vim _ - - 1 0 - c n ii-VPI)CM e 6( r - x-0 ,i,.._wct IXPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED /- Date: 1A7 1 Phone #: (503) 718- 2'. ' Inspector: � ( ) CITY OF TIGARD 5 7T BUILDING DIVISION PERMIT #: DO e o0 Li 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: to _ p Phone: (503) 639 -4171 e atk '��ml -/ Inspection Requests (24 Hrs.): (503) 639 -4175 ' a& T-U �(fJN INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ' �- O f 6 873 /v' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3-14-/- 0 (P Pour TirrCTO - Code # Inspection Description Confirm # Contact # Message 0 5 307 L- f / I L1 Corrections /Comments /Instructions: - fJdv Ig PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I 1 FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i : //g-t/ Date: q /7 er Phone #: (503) 718 - 2 70 6