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Permit • tA CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00110 c . �l�� DEVELOPMENT SERVICES DATE ISSUED: 4/27/2005 AO. ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA 10200 SITE ADDRESS: 10956 SW BRETTON CT ZONING: R -4.5 SUBDIVISION: BRETTON WOODS LOT: 007 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: SSN2854 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,269 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,585 sf GARAGE: 713 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf ' RIGHT: 5 VALUE: 283,691.50 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,854 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS. 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: . 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: 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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes LEE -LAND HOMES LEE -LAND HOMES and all other applicable laws. All work will be done in 28 BECKET ST 28 BECKET accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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: 503 - 635 - 1343 Phone: 635 - 1343 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 41535 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,427.54 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By ; ' :tip / P / ermittee Signature : t, 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. , - Building Perm It • i ' 1 1; -- WED „ ,i 1 0RR OFF iCE USE OiNL - City of Tigard D ate/By. f�' PermitNo.: yT � /N ..4.//) 13125 SW Hall Blvd., Tigard, ORp 2005 Y " Phone: 503.639.4171 Fax: 503.51 960 !�' a� + I + � DateB Review C- k - G - D -- other Pennir.Aj 66 / 1 Inspection Line: 503.639.4175 .4J h' 1 Date Ready/By: El See Attached Checklist for Internet: www.ci.tigard.or.u�1 \ T _ OF TIGARD J Notified/Method: � Supplemental Information BUILDING DIVISION TYPE OF WORK, REQUIRED, DATA: 1- AND 2- FAMILY DWELLING. • Af 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. 4r6 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 37.s 06 ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder El Other: Number of bathrooms: 2 4 JOB SITE INFORMATION AND' LOCATION Total number of floors: c 2 Job site address: l 5% �l 4" ,,S, (7/ New dwelling area: / square feet City /State /ZIP: ( I t J O R . Garage /carport area: — 7l3 square feet Suite/bldg. /apt. no.: f Project name: /3711/8 t ® J S Covered porch area: square feet Cross street /directions to job site: / Deck area: square feet /0l/li(r a-tv) ' I 'Gf 4/. /(7 t& / --L Other structure area: square feet REQUIRED DATA: COMMERCIAL-USECHECKLIST Subdivision: 8/44 i, 4/Ti//101.5 Lot no.: 7 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. Valuation: $ Existing building area: square feet New building area: square feet ' ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 1 E F . � 4 pill f S Type of construction: Address: 9 9 .. r Si Occupancy groups: City /State /ZIP: Ak '° f ,,.� (g ,CR (, ) Existing: Phone: (,5 (?) (1s� l. - ) tl ,3 / Fax: ( ) C, New: - „ , ❑ - APPLICANT ❑ CONTACT PERSON NOTICE . Business name: 4 F ` 4 ,/ / in f-_ All contractors and subcontractors are required to be Contact name: ��� v licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: Q /3 G L( 5/, jurisdiction in which work is being performed. If the City /State /ZIP: GG�, / � / `L� 4 �, y 0 ,, OR q 7 ( f ? s applicant is exempt from licensing, the following reasons Phone: (7^,9, �' 3 4 / 3 ( Fax: : ( ) , g'! e � L � E -mail: • CONTRACTOR - Business name: L E/% ... fl f � / f - 5 ES* E �- BUILDING PERMIT FE Address: 2 1 Q G L . 't S - / ( ' � P refer to fee schedule. City /State /ZIP: lr ,L a z/ Q er , � Fees due upon application _ Phone: ( J� [ O_? 5"—/ ?' /3 Fax: ( ) S`�,24 .&_ CCB lic.: c y 5-- Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained y� ` within 180 days after it has been accepted as complete. Print name: /t�,�j J i`4 y . Date: _ 2 Pk '5' * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP -11- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) • Building Division l�uh4 Plan Submittal Requirement Matrix _' Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at `Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) • Plumbing (site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. \ Building \Permits\BUP- TI- PetmitApp.doc 12/03 440- 4613T(I I /02/COM/WEB) \. / Electrical Permit Application, ® ft _ , . , FOR OFFICE USE ONLY City of Tigard Date/By. Permit No.: hr 06 -� r /1 / / 13125 SW HaII Blvd., Tigard, OR 972'3 Plan Review V�7 Phone: 503.639.4171 Fax: 503.598.1960 ���� *° Received 4 ri�s1l �r�� • Date/By: Other Permit: Inspection Line: 503.639.4175 140 3 0 20 c•1�� Date Ready/By: Ju s: ® See Page 2 for Internet: www.ci.tigard.or.us 'r �� NotifiedtMethod: Supplemental Information TY r H K ( / jri ci0 PLAN REVIEW , . , New construction ❑ Add 1 / tk ri r pl8cement Please check all that apply: ❑ Demolition ❑ �r` Ili OService over 225 amps, comm'l 0 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 Ai_i_ and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Building over three stories ❑Feeders, 400 amps or more ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egess/lightingp1an RV ark p 1 ❑Health -care facility ❑Other: Job no.: Job site address: l % �/ �� S� A-1. ,/ 4 �ii Submit 2 sets of plans with any of the above. City /State/ZIP: J { e / oj R, 1 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: - It e / FEE* SCIIQDULE ,✓ � �LJ J Description I Qty. J Fee. I Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. n 1,000 sq. ft. or less 145.15 4 Subdivision: /3,-,// 4.4, j f Lot no.: 7 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 ,DESCRIPTION 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 I ❑ TENANT 201 amps to 400 amps 106.85 2 (...,„//10 401 amps to 600 amps 160.60 2 Name: ii — 0 P' / S 601 amps to 1,000 amps 240.60 2 Address: d � l Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City / State/ZIP: - �Pi 0, (,C. B � �/ �,. Temporary services or feeders installation, alteration, and /or ( 529) (y _ /3 t / C 4/ -1----- 2 00 m ion Phone: Fa x: ( ) � f,(, 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with / J service or feeder fee, each 2 Business name: / 7 o g ni. ,.. \.:: ,. , r „ z A'4 >f-/�� � %S branch circuit Contact name: t // //�� / , r B. Fee for branch circuits 6.65 iii without service or feeder fee, 46.85 2 Address: 2 each branch circuit ., tt -lam �1 ! Each add'l branch circuit 6.65 2 City /State/ZIP: (,1,a,t, (9 e /� �� q ) 3�� Miscellaneous (service or feeder not included) / 6/ Pump or irrigation circle 53.40 2 Phone: (4 ,7) 3 . 5 - - /W3 Fax: : ( ) . Si or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- , . CONTRACTOR energy panel, alteration, or e n // v extension. Describe: Page 2 2 o Business name: iv „ lei, >"/ „` Address: /J k 2 l y Each additional inspection over allowable in any of the above t� Per inspection 62.50 City /State/ZIP: //) Ad rte OA q ? /2 ) / J Investigation per hour (I hr min) 62.50 • Phone: (6'a3 ) S 7 j . - 131 F ax: ( 54 3 ) g yg Industrial plant per hour 73.75 f' Q °Zj ELECTRICAL PERMIT FEES* CCB Lic.: /q 2 74 Electrical Lic.: Suprv. Lic.: tit/ S Subtotal // / Suprv. Electrician signature, required: �`,�,/ Plan review (25% of permit fee) 7� °� [J` Date: State surcharge (8% of permit fee) Print name: 0c �/S //4 TOTAL PERMIT FEE Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: 11041,-* Date: ” O i , • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB • Electrical Permit Application - City of Tigard . Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDE WORK'.ONLY: . . , 1 Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System * ❑ Vacuum Systems* ❑ Other: rCOMM•ERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ • Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ 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\Permits\ELC- PermitApp.doc 04/03 . , .. • - CENEI • Plu Permit Applic t t In FOR OFFICE USE ONLY' . City of Tigard MAR 3 ® JO Deceived Permit No.:�� s• LQ - 13125 SW Hall Blvd., Tigard, OR 97223 ��IHIi +- I' Re . Plan Review Phone: 503.639.4171 Fax: 503.598.1960 //ar09 ;�Mi�PE�i" I1l'�,\, Daz Other Permit No.: 24- Hour Inspection Line: 503.639.4175 , 1 l 3 � Date Read Jude: ® See Page 2 for Internet: www.ci.ti ard. . orus yT � �� " "" � /B y o g g � TT 1 1 ��, TT D � 1V Notified/Method: Supplemental Information TYPE O Vera I1N _ ' FEE *' SCHEDULE K New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ilti- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 'JOB SITE INFORMATION AND LOCATION Site utilities / Job site address: D q`rj ( 5 /,� � � 0 � 0I. Catch basin or area drain 16.60 City /State/ZIP: /f �� - OR Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: 3 pj1/ , 6.41013 Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 AN i i d Q s Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: /3//C-11/74 - 1 (/ /70/5 I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 f - "L t'4 /J Ejectors/sump 16.60 Name: Expansion pansion tan tank 16.60 g L <'// Fixture /sewer cap 16.60 City /State /ZIP � , Lc, ®s t , e p z2 '7 ? 03 Floor drain/floor sink/hub • 16.60 � ` Phone: (9)��,rr,, 6 s� ` c 3 Fax: ( ) �� J,„e Garbage disposal 16.60 APPLICANT ❑ CONTACT PERSON Hose bib 16.60 ,, 1. Ice maker 16.60 ` Business name: Z. ! l C, A AM s D/h E5 Interceptor /grease trap 16.60 Contact name: /1 r s . 1 . €- Medical gas (value: $ ) Page 2 Address: :2 /Z A G c f S I- , Primer 16.60 City /State /ZIP: / �� Roof drain (commercial) 16.60 Phone: (50) 3 J am- f .JG. r i Fax: : ( ) Sink /basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 • . CONTRACTOR ' Water closet 16.60 Business name: l J �a /,,,,, i � h c, Water heater 16.60 Address: pp, goo Z / Other: City /State /ZIP: T,0 i j /D OP, q) l z3 ` /.Z f9 'q Subtotal / Minimum permit fee: $72.50 Phone: (Sops ) pia_ 23 ` / Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: l 9t © 7 Plumbing Lic. no. :,3 / _ '1y_ fl Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) Poi TOTAL PERMIT FEE Print name: /`� y D �y Date: 3 .-2 7 0r .5� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits\PLM- PermitApp.doc 12103 440- 4616T00/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule:' Residential Fire Suppression Systems: Site Utilities. '° _ Qty. " fee (ea) T °tal Square' F ootage: Permit Fee: Footing drain - 100' 55.00 0 to 2,000 • $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity by (Fixture) Work Performed Fixture Type: Replace New Moved Existing Capped Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" -3" -4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an -Industrial increase of sewer EDUs, a sewer permit will be issued and Ice Mach. /Refrig. Drains Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: is \Building\Pennits\PLM- PermitApp doc 3/03 r l ° r . Mechanical Permit Applic-ati LI El FOR OFFICl list ONLY u ' ~ " City o Tigard Received Permit No.: j DO , 13125 SW Hall Blvd., Tigard, OR 97223 pA A 0 t k0 Plan Review Phone: e5 . 503163 Fax: 503.598.1960 1"lli k ,� y , „ , Date/By. Other Permit: —x�'i _ Date ReadyBy: lads: ® See Page2for Internet: www.ci.figard.or.us CITY OF 1' J 'w' Notified/Method: Supplemental Information 1.11 ITT . TYPE t F'WOR��� ������ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work 'New construction [I Addition/alteration/replacement ,performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION Value: $ ix I- and 2- family dwelling . El Commercial /industrial El Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1:1 Multi-family 0 Master builder For special information use checklist. ❑ O ther: Description I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION . Heating /cooling ' Air conditioning or heat pump Job site address: ® q 1 p S� . t.�f 1pn �V . (requires site plan showing placement) 14.00 City /State /ZIP: 1 1 .4/ OR/ Furnace 100,000 BTU ( ducts/vents) 14.00 f Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: gee/4m /211/- Gas heat pump 14.00 Cross street /directions to job site: I Duct work 14.00 /./ {1 T Day .A a'M le ( O � A / / f Hydronic hot water system 14.00 o (/ Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: r ... 711 7 4o ,�j Lot no.: Flue /vent for any of above 10.00 �� Other: _ 10.00 _ Tax map /parcel no.: Other fuel appliances D_ ESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 y � P�ROPERTY OWNER I 0 TENANT Chimney /liner /flue/vent 10.00 E- it 41-A �./ � % Ether: IU.OU Name: � 5 Environmental exhaust and ventilation Range hood/other kitchen Address: 8 c L•L” f is,L r equipment 10.00 City /State /ZIP: Z f( /� 4, '5, at Clothes dryer exhaust 10.00 Phone: ( 5 / /3 $2�? Fax: ( ) toilet compartments, rtme nts (bathrooms, rooms) l rvl 4_ toilet cam artments, utilit rooms ) 6.80 . X APPLICANT '❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: L E G"" 444/4 IiD/11� Other: 10.00 Fuel piping Contact name: R i L - , / 7 L 41"-a' $5.40 for first four; $1.00 for each additional Address: L e- Si , Furnace, etc. Gas heat pump City /State /ZIP: , C ..e/ (s k.' gp ®V. Wall /suspended/unit heater Phone: ( ) 435_ /, CK. Fax: : ( ) ti!� ,f� Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: /F014 ��I�, - ,„ I t Clothes dryer (gas) t� '1 G s A°" Other: Address: llS �(/� MECHANICAL PERMIT FEES* City /State /ZIP: /fib,,4 - 6,e 1200 Subtotal Phone: (J ,��6 /l, 7 or Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.:. / 1 g' 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: gd‘f,i Lgi, I Date: ? , 2 7r of • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pennits\MEC- PennitApp.doc 12/03 440 -4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page .2 - Supplemental Information Commercial Fee Schedule: Total Valuation: w Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE G & B PLUMBING PO BOX 1269 HILLSBORO, OR 971 23 -1 26 9 Plumbing Signature Form Permit #: MST2005 -00110 Date Issued: 4/27/2005 Parcel: 2S115AA -10200 Site Address: 10956 SW BRETTON CT Subdivision: BRETTON WOODS Block: Lot: 007 Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF Your company has been indicated as the plumbing contractor for the permit indicated r3bove. In order for . the plumbing permit to be valid, please have the appropriate individual from your comp ; ny sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACT OR: LEE -LAND HOMES G & B PLUMBING 28 BECKET ST PO BOX 1269 LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123-1269 Phone #: 503 -635 -1343 Phone #: 503 - 640 -5770 Reg #: LIC 19907 PLM 34 -44I'B AN INK SIGNATURE IS REQUIRED ON THIS FORM X It Pie, r o- .� ._... R 11 x Signature of Authorized R umber If you have any questions, please call 503.718.2433. T REE CE TIFICATION .. STREET .. l� 1$ c 1 r ' , I, (POlL , L Z .g1L- „o wneriAgent for Z. / - � - / zin,14 //O, 'S (PLEASE PRINT) (PERMIT HOLDER) .` 1 IA Do hereby: certf y thatthe folf owing location £ C t , , o - f: Ti a ndWath meets n Cy ,..,.wm,e .+`«� +a" ;idk:4�..'�'�„ � ^.� ". / ;-.: ,..x. .�.�z �zM, _.d::J>b /;ew via."/ " "i... .t >n-'. ount o 0. l and use and development standards for street tree installation. 0. 1 ADDRESS: /0q 3 - (i /3/ l 1 7 1 LOT: SUBDIVISION: /37 YO4 ' BY: DATE: / 7 - / - 05-- 0> I RECEIVED BY: DATE: Y VV VVV'VVV V VV VVVVVVVVVVVVV VVVVVVVVVVVVVVVV jar e CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 � °'�qP N�gpml i Inspection Requests (24 Hrs.): (503) 639 -4175 �..' W th INSPECTION WORKSHEET FOR DATE: 11/1612005 TIME: 7:03AM PAGE: 28 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF ( OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021446 -02 503 - 709 -6795 C Corrections/Comments/Instructions: / 2/Z 0 421 6 47 ® - I) piO pi/4 o4r•i2cc. 2/, 0, 04 1/4, 4 4./ / %i44- Z.' --e 7-ced pm .e .i.eex.,(0 e-e Ad„ .d ..,Z:4., ed A-or_.: V /14 4 4 .1 , -e-- _ e4 7 a •^ /� i / d/,i .�.t�7 �ip�'7‘i (' /C -7/ chi' a se- 1/ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I i FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspecti r � Date: � / � Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 ; Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 18 SITE ADDRESS: 10956 SW BRL I ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BREI I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 021308-02 503. 789-6795 N Corrections /Comments/ Instructions: [PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: it Date: (/' ' U Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 :mjjd//�N Inspection Requests (24 Hrs.): (503) 639 -4175 . '_� - INSPECTION WORKSHEET FOR DATE: 71/1/2005 TIME: 7:07AM PAGE: 13 SITE ADDRESS: 10966 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE #: 603- 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 011163 -01 603 - 786796 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 7%1 Inspector: r, Date: 1 " Phone #: (503) 718 - riligi'* . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639-4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 12 SITE ADDRESS: 10956 SW BREI ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 636-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # • Message 115 Electrical service 011153 -02 503 - 7896795 N Corrections /Comments /Instructions: • K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1,4-q? Date: 7,(/--O. Phone #: (503) 718- -� )/hZd�'L. CITY OF TIGARD r BUILDING DIVISION PERMIT #: MST2005 00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 : �� " @��iigj �� Inspection Requests (24 Hrs.): (503) 639 -4175 .14 INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 29 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE ( ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: I3RE1TON WOODS DESCRIPTION: New SF . OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 021445 -01 503-789-6795 N Corrections /Comments /Instructions: 4' PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect , Date: / /3, %l Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639-4171 h 111I- Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 19 SITE ADDRESS: 10956 SW BRESTON CT CLASS OF WORK: SUBDIVISION: BRE I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BREI JON WOODS • DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE*: 603-635-1343 CONTRACTOR: LEE HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 11/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 39N/ Plumbing final 021308-01 503-789-6796 Corrections/Comments/Instructions: 1770. WV A ■A;INIZ 11.1 :2 1 4 \ Mq1X if`f\ I ! PASS fl PARTIAL APPROVAL fl CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED . c/0. Inspector: wiPv wr Date: Phone #: (503) 718- /4, ..._ . , CITY OF TIGARD .„ ,. , BUILDING DIVISION PERMIT #: MST2005-00110 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639-4171 14 4 i k ..0.... Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 39 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE! I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS , DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE #: 503-635.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 11/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 020832-01 503-7139-6795 N Corrections/Comments/Instructions: , -0- 4 Z 41 . / g -- - &.' 6 I 1 0_, a n PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • Inspector: qv Date: , 0 0 Phone #: (503) 718- 150. , CITY OF TIGAR . BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 /� ��r � Inspection Requests (24 Hrs.): (503) 639 -4175 ''�.�.. } ),. INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: 18 SITE ADDRESS: 10956 SW BREI 10N CT CLASS OF WORK: SUBDIVISION: BRE I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE I I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 01063E -02 603-789-6796 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0_i D ate: / Phone #: (503) 718- c v CITY OF TIGAR BUILDING DIVISION PERMIT #: MST2005.00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 l , I Phone: (503) 639 -4171 Allk y�ii Nl�� Inspection Requests (24 Hrs.): (503) 639 -4175 .�' '.. INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: 19 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRt 1 I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BREI ION WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503- 635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 010638 -01 503-789-6795 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AM/ Date: L■ Phone #: (503) 718 - CITY OF TIGARD M ' I 1 BUILDING DIVISION PERMIT #: MST 006 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 /4/00 141V" �' Inspection Requests (24 Hrs.): (503) 639 -4175 'f �� INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 64 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 5117/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 007004 -01 503- 640 -2311 N Corrections /Comments /Instructions: • 24. V / / ' �. / /�_ /- t PASS S PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '' )/ Inspector :_ i 6V Date: 12 Phone #: (503) 718- i CITY OF TIGARD NO IS BUILDING DIVISION PERMIT #: MST2005 00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2006 Phone: (503) 639 -4171 4, 0 1 /0011 1 � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7:11AM PAGE: 62 SITE ADDRESS: *10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 -635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 535.1343 Inspection Request Scheduled For: Date: 5/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 007013 -01 503 -640 -2311 N Corrections /Comments /Instructions: I )LLEASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1711 Date: Phone #: (503) 718- , 3._ _ 4 4 Li CITY OF TIGARD . • BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED` 4/27/2005 Phone: (503) 639 -4171 ' /J ilili\ Inspection Requests (24 Hrs.): (503) 639 -4175 _.„._._61- INSPECTION WORKSHEET FOR DATE: 5/4/2005 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 10956 SW BRE I I ON OT CLASS OF WORK: SUBDIVISION: BRL.I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE #: 503 - 635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 - 1343 Inspection Request Scheduled For: Date: 5/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 006089 -02 503.380 -2945 N Corrections /Comments /Instructions: • . Li t( p 'PA'S-S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED vbi coc Inspector: Date: / / Phone #: (503) 718- CITY OF TIGARD ' ' ` " II BUILDING DIVISION PERMIT #: MST2005.00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 ,..A414 �, Inspection Requests (24 Hrs.): (503) 639 -4175 !:' INSPECTION WORKSHEET FOR DATE: 5/4/2005 TIME: 7 :01AM PAGE: 36 SITE ADDRESS: 10856 SW BREI ION CT CLASS OF WORK: SUBDIVISION: BRE I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503-635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 636.1343 Inspection Request Scheduled For: Date: 5/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 006089-03 503-380-2945 N Corrections /Comments /Instructions: • 1\ S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: q/` ( Date: 5 Phone #: (503) 718- CITY OF TIGARD • ' ■ l b BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 Japvilll'\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/4/2005 TIME: 7:01AM PAGE: 38 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I 1 ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, • PHONE #: 503 - 835 -1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 6355 Inspection Request Scheduled For: Date: 5M12006 .Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 006089 -01. 503- 380 -2945 N Corrections /Comments/ Instructions: .a . c��.�_ �, -P-� .. J 1 A ---f - c-,-1_-„vic\ 4.r........ , 0. v\/ • IPA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n F. IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `� L Date: '7 / 4,A Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION ' PERMIT #: MST2005 00 1 10 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 t� �iI"i i y ii i Inspection Requests (24 Hrs.): (503) 639 -4175 ,,' =� INSPECTION WORKSHEET FOR DATE: 8/10/2005 TIME: 7 : 05Am PAGE: 67 SITE ADDRESS: DR 10956 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRt I I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE I I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503-635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 013240 -01 503-789-6795 N Corrections /Comments / Instructions: (1 P ,kj,(4-r z-- ( Ni • // ` PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS / ❑ FAIL / ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C____ Date: r 0 - 0 S<hone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005`00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 �'� "r "��� "'NI'11�1i�1�\ Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 0/5/2005 TIME: 7 : 02AM PAGE: 18 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: SRL.I ION WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503- 635 -1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635 Inspection Request Scheduled For: Date: 8/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls _ 012938-01 503.789.6795 N Corrections/Comments/Instructions: 140 ❑ PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS PA FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — Date: d S Phone #: (503) 718- 0 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 0011Q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 / � 0 " 4u � � i IP °� i i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7!2912005 TIME: 7 PAGE: 71 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 7/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 012435.01 503. 789.6795 N Corrections /Comments/ Instructions: • p►4 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL WALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspect. : _ Date: 2 7 d Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST200S 00110 Phone: (503) 639 -4171 / " #p' i 4/2712005 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 7/27/2005 7 :15AM Si SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 10956 SW BREI i ON CT LOT #: TYPE OF USE: PROJECT NAME: BRE1 I ON WOODS 007 DESCRIPTION: BRE I I ON WOODS New SF OWNER: • PHONE #: CONTRACTOR: LEE -LAND HOMES, PHONE #: 503 - 635•1343 LEE LAND HOMES 635 1343 Inspection Request Scheduled For: Date: Pour Time: 7/27/2005 Code # Inspection Description Confirm # Contact # Message 275 Framing 012221 -01 603 - 789.6795 N Corrections /Comments /Instructions: // 0 • • "W?-7 '. -- S A//z- - /�re.� w, 4/ ��� ti ALsy�� � F, ' Za.....--- • \I IPASS ❑ PARTIAL APPROVAL El CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 7 Inspector: A Date: 7= 7--dc Phone #: (503) 718- CITY OF TIGARD •' BUILDING DIVISION 1 PERMIT #: MSj-2005 Opt j0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4127/2005 Phone: (503) 639 -4171 1 itili � \ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7 :09Am PAGE: 18 SITE ADDRESS: 10956 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503- 635 -1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 835 -1343 Inspection Request Scheduled For: Date: 7/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 011980 -01 503-789-6795 N Corrections /Comments/ Instructions: i ) PKo V/6 I e ' S TI2i 1 it46- & P ., 'Pt- 14-rZ' © S L � /---L c 1 - 2-f--/ if a) riC o , , ( )e ,4-1-0 S `772 t " , , t G,, o r Gvi i o P ? 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S-✓ P P ole.- ;i ot— 57 k� S , A , > C�t� S = 42c ''''' -:. - 7 -- 7, r -►— .7_,,,,, .7_,,,,, . p , ��,r� 'IZ �, . - / 1 / s 0 '. / L V _ i'' SS' h. /i - pry o V e i7( t , ,h, L - 1/A / L-, j•- ti c . e l C „„ F7Lsty F (26 L Cc-m-s e-- 5 - \l ea-e n i- 6- I PASS VA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS II 1 FAIL / r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■u i, -4111111111111111W Date: r- 7 2 -z - 0 .Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00110 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 �%�f11 { i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7 :09AM PAGE: 16 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE I I ON WOODS 'DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503- 6351343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 7/22/2005 - Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 011980 -03 503-789-6795 N Corrections /Comments /Instructions: • t PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ►'+ L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ ` �— Date: 72Z b J Phone #: (503) 718 - i ii CITY OF TIGARD BUILDING DIVISION PERMIT #: MST005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/7005 Phone: (503) 639 -4171 a o�� � 'IP��ypiiq�j � hl 1 Inspection Requests (24 Hrs.): (503) 639 -4175 M INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7 :09AM PAGE: 17 SITE ADDRESS: 10956 SW BREI ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE I I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503.835.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 535.1343 Inspection Request Scheduled For: Date: „ 7/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 011980 -02 503 - 789.6795 N Corrections /Comments /Instructions: 1 • Ntet-lZ 77 �--1 l -- (' / � ALL_ b • CS') /`E a -r " Loo 4- T (/ -0 cl f . i • o 0 -. _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑FAIL FO° )L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ._ O Date: 72z 0 SPhone #: (503) 718 - CITY OF TIGARD ,.. BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 r ' p;11ih Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/21/2005 TIME: 7:09AM PAGE: 60 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE ON WOODS DESCRIPTION: New SF OWNER: LEE - LAND HOMES, PHONE #: 503 - 1343 CONTRACTOR: LEE HOMES • PHONE #: 635.1343 Inspection Request Scheduled For: Date: 7/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 011890 -01 503- 789 -6795 N Corrections /Comments/ Instructions: z z Fri / t4V PASS U PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL jth LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED tC2 Inspector: Date: 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 " " ilit Inspection Requests (24 Hrs.): (503) 639 -4175 „A I INSPECTION WORKSHEET FOR DATE: 6127/2005 TIME: 7 :09AM PAGE: 39 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE.I I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 603.636 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 6/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 010219 -01 603-789-6796 N Corrections /Comments /Instructions: - -Do ., - 0 G � 0C= - Cs • i A PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL M / ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ; Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M T2005 x0110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 �Mr Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16A PAGE: 42 SITE ADDRESS: 10956 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 6351343 Inspection Request Scheduled For: Date: 6/1512005 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 009338-01 503. 789 -6795 N Corrections /Comments/ Instructions: AL-/ b 6b (_ z oa"'I TS1? /1- S i� ; % i el^-1 o vefi P Z o z P, F. C Sn.li°S • ❑ PASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL -CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ _ _ Date: / , OS Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 • A Mypigll'j l l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 61/5/2005 TIME: 7:16AM PAGE: 41 SITE ADDRESS: 10956 SW BREI ION CT CLASS OF WORK: SUBDIVISION: BRE 1 1 ON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF • OWNER: LEE -LAND HOMES, PHONE #: 503 -635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 6/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 009338.02 503-789-6795 N Corrections /Comments / Instructions: • • V I, PASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 21 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -41111116 Inspector: D ate: /Co Phone #: (503) 718- CITY OF TIGARD - ' j BUILDING DIVISION PERMIT #: MST2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 /n Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7:12AM PAGE: 23 SITE ADDRESS: 10956 SW BRE I I ON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BREI I ON WOODS DESCRIPTION: N SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 5/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Pos!/beam mechanical 006837 -02 503 - 789 -6795 N • Corrections /Comments / Instructions: • `ti ' SS / 'ARRJ L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL •�' C L FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: ` () Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION 411k MST2005- 00'i10 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 / mir 410iil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7:12AM PAGE: 24 SITE ADDRESS: 10956 SW BRE I ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 5/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 006837 -01 503 - 789.6795 N Corrections /Comments /Instructions: Pi—UO l To c -P° 0 4 1 ` 1 / I• " ❑ - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I �eL FO R INSPECTION J y ADDITIONAL FEES ASSESSED Inspector: Date: � 7/�) _ Phone #: (503) 718 - _IOW CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 00110 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/27/2005 Phone: (503) '639 -4171 , , , ���u,l��,�l � Inspection Requests (24 Hrs.): (503) 639 -4175 �..' `:_-.. INSPECTION WORKSHEET FOR DATE: 4128/2005 TIME: 7:42AM PAGE: 81 SITE ADDRESS: 10956 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE.I ION WOODS LOT #: 007 TYPE OF USE: PROJECT NAME: BRE I ION WOODS DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE #: 503 - 635.1343 CONTRACTOR: LEE -LAND HOMES - • E #: 134 Inspection Request Scheduled For: Date: 4/2W2006 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 005539 -01 503-96 $390 Y Corrections /Comments /Instructions: L C'_' - 7-14mmi. 0 - OP A 0/111,Si r F , 0 J . ....„..—.) to t All ""�� - i Al aim 11M1=1•Maeriii . , PASS (l PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL fl CALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED Inspector: . ` Date: ` ( #: (503) 718-