Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
MASTER PERMIT CIT , OF TIGARD 3 P ERMIT #: MST2007 00034 Ii r .: .. COMMUNITY DEVELOPMENT DATE ISSUED: 2/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AC-05200 SITE ADDRESS: 10965 SW GENEVA ST ZONING: R - 4.5 SUBDIVISION: HART'S LANDING LOT: 023 JURISDICTION: TIG PROJECT: ROSETTE Project Description: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. BUILDING REISSUE CUSTOM STORIES 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK ADD HEIGHT FIRST 572 sf BASEMENT sf LEFT SMOKE DETECTORS TYPE OF USE. SF FLOOR LOAD 50 SECOND sf GARAGE' sf FRONT. PARKING SPACES TYPE OF CONST 5N DWELLING UNITS 1 THIRD sf RIGHT VALUE OCCUPANCY GRP R3 BDRM BATH TOTAL 572 sf 0 00 REAR PLUMBING SINKS WATER CLOSETS WASHING MACH LAUNDRY TRAYS RAIN DRAIN TRAPS LAVATORIES DISHWASHERS. FLOOR DRAINS SEWER LINES SF RAIN DRAINS: 1 CATCH BASINS TUB /SHOWER• GARBAGE DISP WATER HEATERS WATER LINES BCKFLW PREVNTR GREASE TRAPS. OTHER FIXTURES 1 MECHANICAL FUEL TYPES FURN <100K. BOIL /CMP < 3HP 1 VENT FANS CLOTHES DRYER ELE FURN > =100K 1 UNIT HEATERS HOODS OTHER UNITS. 1 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 WSVC OR FOR PUMP /IRRIGATION PER INSPECTION EA ADD'L 5005F 201 - 400 amp 201 - 400 amp 1st WO SVCEDR I SIGN /OUT LIN LT PER HOUR. LIMITED ENERGY 401 - 600 amp 401 • 500 amp EAADDL BR CR 3 SIGNAL/PANEL IN PLANT MANU HM /SVC /FDR 601 • 1000 amp 601+anps -1000c 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 applicable DAVE& JILL ROSETTE ARTEKA INC laws All work will be done in accordance with approved plans This 10965 SW GENEVA ST 9350 SW ROYAL WOODLANDS permit will expire If work is not started within 180 days of issuance, or TIGARD, OR 97223 BEAVERTON, OR 97005 if the work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Nolificabon Center Those rules are set forth In OAR 952 - 001 -0010 through 952 - 001 -0080 You may obtain copies of these rules or direct Phone: 503 639 - 3443 Contact #: PRI 503 - 203 - 6774 questions to OUNC by calling 503 246.6699 or 1.800.332 2344 FAX 503 - 203 -6793 Reg #: LIC 150419 TOTAL FEES: $ 1,188.63 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issue . � �i7/ ni.rii Permittee gnature : /-' • r i Call 503.639.4175 by 7:00 a.m. for an inspection that b ness 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. ',0 Building Permit App - FokoI FIcF USE=ONLY `. Cl of Tl and ^ + 2 Received ' .,� III - g Iv1 Date/By cJ /-' ,- . 761 - ( .... , Permit No 7 -,90 ° 13125 SW Hall Blvd., Tigard, OR 97223 A • Plan Review te r' V 1 , Phone: 503 639 4171 Fax: 503.598.1960 q `• , i ICI ¢ � 1 Date/By A • a U 1 Other Permit T I G A R D Inspection Line: 503.639 C‘ t tfw r ,� I1 1 1 C Date Ready/By. Juns RI See Attached Checklist for Internet: www.tigard- or.gov BUILD N..,ed/Method A 7 A Supplemental Information TYPE OF WORK REQUIRED DATA: l- 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 ddition /alteration /replacement 0 equipment, materials, labor, overhead, and the profit for e i work indicated on this application. e CATEGORY OF CONSTRUCTION 1 - and 2- family dwelling ❑ Commercial /industrial Valuation. $ 4f9-1,0, ❑ Accessory building ❑ Multi- family Number of bedrooms 5Q t gsa •$ ❑ Master builder ❑ Other: Number of bathrooms. JOB SITE INFORMATION AND LOCATION Total number of floors Job site address' t D q ,5 51 6 - 6 � y ^ � New dwelling area: square feet 3-7� City /State /ZIP. l ; c). vJ CJ4, ' 77 a y Garage /carport area square feet Suite/bldg. /apt. no. ' Project name: (S O " Ce Covered porch area. square feet 4. Cross street /directions to job site: Deck area square feet 50 10 9 -r sites* I) (` &? -' • 1 (e if Ptq. Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no ' 2 3 Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no. S' i 3 LF _ 5 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application S ,,�� - �,�)) Valuation: S. sJ'eLx.� 1 . c S �e. t'izr , /`.c0 - t (-e , ' Existing building area. square feet / New building area: square feet ( PROPERTY OWNER ❑ TENANT Number of stories: Name: b a &it DC „3 se t Type of construction ia -- Address: $i,j 6-0qe ".� Occupancy groups: City /State /ZIP- C7`ic%rrQ e,L q 720 3 Existing. Phone: (SO 3) h -- ._ '3ff Fax: ( ) New ?1: ❑ CONTACT PERSON NOTICE Business name: 41-1 l(, All contractors and subcontractors are required to be Contact name. ) j Ub�)� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address 4 a o So Ri9e t» c s' Jurisdiction in which work is being performed. If the City /State /ZIP: Vr/C3 ve l GKl (J` t?7'& ' applicant is exempt from licensing, the following reasons apply. Phone ( 50 3)) 2c. 3`672+ Fax. :(503) 203-6 ?93 E -mail. af -- - t%k2 l•G s�,, yi CONTRACTOR Business name: / '441C - BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City /State /ZIP J _ e J ' app Structural plan review fee (or deposit). 5 -- a Phone' ( ) I Fax ( ) FLS plan review fee (if applicable). CCB lie : / 50 44— , Total fees due upon application: • Ao , Amount received: 4' 0 ...RA Authorized signature: v r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ph 6(.p 2.0q9 ? / 00 Dat : V31/0 7 * Fee methodology set by In-County Building Industry Mara n a n y � . \ \\ Plumbing Permit Applications 1--- 4 , a r , 'HOIZ o� r1cN , «sL 'ONLY , ∎-•, ' , City of Tigard JAN 3 1 2007 ' Received , �t f ( 13125 SW Hall Blvd, Tigard, OR 97223 DateBy Permit N� ° // � a�{,3 7 Plan Review 0 ,• Phone: 503.639.4171 Fax: 503.598.1960 I Y t,t" I iD Date/By Other Permit No . +;i G t1 it:D Inspection Line: 503.639.4175 BUILDING DIVIgION Date Ready/By iuris HI See Page 2 for • .. Internet: www.tigard- or.gov Notified/Method Supplemental Information ,,,,,,,41„, 5,14`f`„e /: t1 %.. t .rr � . ,, -v , HMV � t -"P4r . -,r y, ' -, m.• � r x s ',.w, k,a , ': ,. " , g � F; a - ' . "'g''' i ;" ° 4 -s� ?...v-14 . " `, " FEE * . S CH EDULE i.s ` ' ,;°.; A �= ❑ 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) '� ' ', : 4 ..'_ , : i7 1 N ,`CATE4).:4 ' �OFJ CONTRUCTION ' !y'p 5 r ` rt +' t m$ SFR 1 . !�� •�`� . , ,. w. �; ., S, . - r.l�w; a�' °.• .�.: era:` "i.:� .� •��� ( ) bath 249.20 F 1- and 2 -family dwelling ❑ Cotnmercial /indusMal 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 4,',...,, , JOB. SITE •INFORMATION =AIVD ; LOCATION 1 :" ,;;;; a 'M i ;i'- = },,, Site utilities Job site address. /Q ` SG) (, iev a J'-J- Catch basin or area drain 16.60 City /State/ZIP: J iye 2 elk 0'2 Z 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no: l Project name: igce e te( , Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector ) 16 60 Sanitary sewer (no. linear ft.. _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision. I Lot no : Water service (no. linear ft. ) Page 2 Fixture or item Tax map /parcel no.: "s r ' r , r = "DESCRIPTION ‘OF WORK' '...''''.Y-:,� `` "' `r ' Absorption valve 16.60 - Back flow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 1 ;; . _•�: Drinking fountain 16.60 tea' ' ❑• PROPERTY:jOWNER. '' _'0, ••.'TTEANT '.:4•� T -• . " tea ❑N „ Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State/ZIP: Floor drain/floor sink/hub 16.60 Phone ( ) Fax: ( ) Garbage disposal 16.60 '''' � 'APPLleAN : `k" "` s •" , ,CONTACTPERSON c. . � Hose bib ( 16.60 ' I Iii Ice maker 16 60 " 4 Business name. �4 Interceptor /grease trap 16.60 Contact name: 'i�l t ,^ z us Medical gas (value: $ ) Page 2 3 Address: 9 CW e, al Zop& tart s' Primer 16.60 City /State/ZIP D ' 7 cC'5 Roof drain (commercial) 16.60 Phone: (5() 3) -6 774- Fax: : (50 .. -•j. 6 '1.3 7 Sink/basin/lavatory 16.60 E -mail: � & �' - `s A 54-. 484- ' ! Urinal pan 16.60 Urinal l6 60 ' , CCp TOR .a :... , . , ° } ' 1t Water closet 16.60 Business name: �� ��� Water heater 16.60 Address: Other: City / State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic no Plan review (25% of permit fee) % I State surcharge (8% of permit fee) Authorized signature: L elr. i TOTAL PERMIT FEE Print name: 7 U 1 , Date This permit application expires if a permit is not obtained within 7 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I \Buildm8\Pmmsts\PLM- PamrtApp doe 06/26/06 440-4616T( I 0/02/COM/WEB) Plumbin2 Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utihhes , Qty 'Fe! Footing drain - I" 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 sty 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 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 r $50,001 00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: : Plan Riview for Plumbing installations':'' Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees*. 0 Any new commercial building with water service 2" and - Quantit by (Fixture) Work Perfornied' , greater, except systems designed and stamped by licensed . : ' • y F i x tui*TYPe: =‘.t Replace engineer. , • • Peviotis ' Capped Aided 0 New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918-780-0040. Bath - Tub/Shower 0 Medical gas and vacuum systems for health care facilities. -Jacuzzi/Whirlpool 0 Any multipurpose fire sprinkler system. Car Wash - Each Stall 0 Any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher -Commercial -Domestic .. t tS0 itlie o r Drinking Fountain , , ;.7 C Eye Wash 0 Isometric or riser diagram is required for new buildings Floor Drain/sink - that meet the qualifications above. Car Was Drain Comments regarding fixture work: Garbage -Domestic Disposal -Commercial -Industrial • Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang - Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Bradley fees assessed for the sewer increase must be paid before the - Commercial - Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal - Other Fixtures: I kEtuddingTernuts\PLM-PermitApp doc 09/22/06 Mechanical Permit Application FOR OFFICE USE ONLY Cit s ! Received IN y of r � ti- Date/By. Permit N. �� , Q " 1312 SW Tiga Hall Blvd d , Tigard, 0120 - _3,! -:., -�� • Plan Review Other Permit Phone: 503.639.4171 Fax: 503.598.1960 D TI G A R D Inspection Line: 503.639 JAN N 1 2007 Date Ready/By tuns ® See Page 2 for Internet: www.tigard - or.gov Notified/Method. Supplemental Information CITY Ji i i(../9til�'.1 TYPE O F��WORR ` i ^4{ s r COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ' Mechanical permit fees* are based on the value of the work El New construction IE dition/alteration/reptacement 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* and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: f� (,S s W ett Air conditioning or heat pump i (requires site plan showing placement) 14.00 City /State /ZIP T 09 q 7 z Z 3 Furnace 100,000 BTU ( ducts/vents) 1 14.00 'T Suite/bldg. /apt. no.: Project name: Rore44e I�J r , Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street /directions to job site: Duct work i 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision. Lot no.: Flue /vent for any of above 10 00 • Other: 10.00 Tax map /parcel no.. Other fuel appliances • DESCRIPTION OF WORK Water heater 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 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 PLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Ly Other. 10.00 Business nam r 1 Fuel piping 1 PP g Contact name: y $5.40 for first four; $1.00 for each additional l 1p Ur l b Furnace, etc. Address: ef 35 O SW R197(94 & G .7i l ameer Gas heat pump City /State /ZIP: 1 7 6- Wall /suspended/unit heater (503 Z d 3 - ! 7 ( j 2-19- 679 3 Water heater Phone: JlJ Fax.: Fireplace E -mail. ` a Ka . . ;.,-;,; „,>•” c• i i eeyriyasl., 064.• Range CONTRAC OR Barbecue Business name r - �% V--7 l- `r— Clothes dryer (gas) "� V « ,, 71' Other Address: 4 // AO ! lljrQ _ I kT7O &)� L /V e f! -¢ C Tete/1 L�-L MECHANICAL PERMIT FEES* City/State/ZIP }I 1 L . _ 1.4 t h i ti do i q of Q-j� �E d Subtotal Phone: (g)3) 66 a.. 7Ie Fax: ( ) Minimum (25% fee r mit fee Plan review (25% of permit fee) CCB lie.: / to I ) $1 _ ,0 g 1.. 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: P� � 3 Date. 't /3 1 / 7 • Fee methodology set by Tri- County Building Industry Service Board 1 \Budding\Permits\MEC -Perna pp.doc 04/06/06 440 .4617T(I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: Total Valuation: 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 12/30/05 2 Electrical Permit Application FOR OFFICE USE ONLY °- r "R� Permit No City of Tigard Z 1�/ /� 03 ` I 219 ! 01/ ... 1 ° 13125 SW Hall Blvd ,Tigard, OR 3 E ,-:Plan'Review • : Pho ne. 503 639 4171 Fax 503 598 1960 Date /By Other Permit Inspection Line 503.639.4175 OCT te Read /B lur ® See Page 2 for T 1 G A R D Internet www tigard -or gov ! ! 15 2007 Notified/Method. 1, (j Supplemental Information TYPE OF e-A 9 i 6 1 t i ART) PLAN REVIEW , . ❑ New construction El. Addition a)terati0 6 em epla en v. Please check all that apply (submit 2 sets of plans w /items checked below) i I Q (j Or VI ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑Other: v where the available fault current ❑ Mannas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural X 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system ❑ A Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: )01 /.6-30 v p � S-}- more occupancy o or r more re e Recreational units ❑ ecreatioy eahonal vehicle parks City /State /ZIP: fii 5 „r) oz 6-7-2,2-3 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: /v 0/ 4- O4y1,_ <.- 'f i _. v ) I A .64_ Description I Qty. I Fee. I Total I • ) New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I rI434.4 S JJ " k Lot no.: 23 1,000 sq. ft or less(,? 145 15 4 " r` rt � Ea. add'I 500 sq ft. portion 33 1 Tax map /parcel no.: Limited energy, residential 75 00 2 DESCRIPTION OF WORK (with above sq ft ) 1 Limited energy, multi - family 75 00 2 �it'stS ` " ■ L 171 44; (4) -�/ c_tYL A.; 43 residential (with above sq ft ) 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 Name: °ads , 11\ 12_05 , 401 amps to 600 amps 160 60 2 Si 01 amps to 1,000 amps 240 60 2 Address: f �y (.,,-.5” .5 1) C�Q.I Q ' '1 Over 1,000 amps or volts 454 65 2 City /State /ZIP: T' t 4.54.1" 4.54.1" D 0 ( 1 Z-L3 Temporary services or feeders installation, alteration, and/or � ' rr 1 relocation Phone: (92-3 ) 6-3 . 3y4)3 Fax: ( ) 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, ore chan e, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 75 2 f Branch circuits - new, alteration, or extension, per panel Owner signature �� Date: /c� - ��- �� A Fee for branch circuits with ❑ AP ' • ICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2 each branch circuit Business name: B Fee for branch circuits Contact name: without service or feeder fee, 46 85 2 first branch circuit Address: Each add'I branch circuit 6 65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90 90 2 Phone: ( ) { i dwelling, service and/or feeder . Fax: ( ) Reconnect only 66 85 2 E -mail: Pump or irrigation circle 53 40 2 CONTRACTOR Sign or outline lighting 53 40 2 Business name: (D,C) 1F Signal circuit(s) or limited - energy panel, alteration, or Address: extension Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) investigation per hour (1 hr mm) 62 50 CCB Lic.: Electrical Lic.: Suprv. Lic.: industrial plant per hour 73 75 ELECTRICAL PERMIT FEES • Suprv. Electrician signature, required: Subtotal Print name: Date: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit I \Buddmg \Permus\ELC- PermiApp doc 05/23/06 440- 4615T( I I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* n Heating, Ventilation and Air 'Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Budding \Permos\ELC -PermtApp doc 03/23/06 1, CITY OF TIGARD ' COMMUNITY DEVELOPMENT TIG;ARI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE ROYAL PLUMBING 14035 SW 6TH ST BEAVERTON, OR 97005 Permit #: MST2007 - 00034 Date Issued: 2/28/2007 Parcel: 1 S134AC -05200 Site Address: 10965 SW GENEVA ST Subdivision: HART'S LANDING Lot: 023 Jurisdiction: R -4.5 Zoning: TIG Project Name: ROSETTE Description: Addition Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form Is received OWNER: PLUMBING CONTRACTOR: DAVE & JIL ROSETTE ROYAL PLUMBING 10965 SW GENEVA ST 14035 SW 6TH ST TIGARD, OR 97223 BEAVERTON, OR 97005 Phone #: 503-639-3443 Phone #: 646-8824 Reg #: LIC 150419 LIC 168080 LIC 161187 LIC 121274 PLM 34 -311 pb AN INK SIGNATURE IS REQUIRED ON THIS FORM TV 4P (De*rJ Sign. e o o rized P 4mber Name (grin ed) T00lj XVJ Zb :ST L00Z /ITT /CO Nelson Electric Inc. RECE1 'Ems OCT 15 2007 1745 4th Avenue C j i y Ur 1 j A J` ' West Linn, Or. 97068 BUILDING ILJ @� DI f S I ON Phone: 503.267.8529 Fax: 1.866.237.6472 Www.nelsonelectric.ty Q.0 -4-07 To whom it may concern, Please take Nelson Electric LLC off of the permit listing for Permit # MST2007 - 00034 at site address: 10965 SW Geneva St. Tigard, Or. 97223 Please feel free to call if there are any questions. Thank you! Jocelyn Nelson Nelson Electric LLC 503.267.8529 CITY OF TIGARD BUILDING, DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DA MST2007-00034 TE ISSUED: h •- l'o 2f28/2007 • Phone: (503) 639-4171 , 47/41E , 01111 , \. Inspection Requests (24 Hrs.): (503) 639-4175 14 AL INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8/1' _008 7:01AM 20 SITE ADDRESS: CLASS OF WORK: 10965 SW GENEVA ST SUBDIVISION: LOT #: TYPE OF USE: HART'S LANDING 023 PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5107, ADDING (3) ADDITIONAL BRANCH CIRcurrs. OWNER: ROSETTE, DAVE & JILL PHONE #: 603,639-3443 CONTRACTOR: ARTEKA INC PHONE #: 603-203-6774 Inspection Request Scheduled For: Date: 8/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 073946 503 N Corrections/Comments/Instructions: , 4rA PAS . %. PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS • FAIL VI CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ....■ Inspector: Date: e if/acS Phone #: (503) 718- f: , ■ , . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: :128/2007 Phone: (503) 639 -4171 N�uypi Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/11 TIME: 7 :01AM PAGE: 21 SITE ADDRESS: 10965 SW GENEVA ;a - 1 • CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE I I F DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSE_ 1 I E, DAVE & JILL PHONE #: 503- 639 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503 -203 -6774 Inspection Request Scheduled For: Date: 8/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 07394 &01 503 -639 -3443 N Corrections /Comments /Instructions: � �`' 1 .......... .)-t . ` W PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: _ At �_ 41111.16 Date: 8 /1 n Phone #: (503) 718-2-12 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2.i28!2007 Phone: (503) 639 -4171 lm jfj II' � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 10965 SW GENEVA sr CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL IONAL BRANCH CIRCUITS. OWNER: ROSEI I E, DAVE & JILL PHONE #: 503 -639 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203-6774 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 07 2704-02 503-639-3443 N orrections /Comments /Instructions: 1 H -Y, , P/4-e,/ r./ ci i-- e.. tom' c____ i.s 1Y r 2 __ pP_c) iz, ‘ R i P .4- L(% /- i--/Ub R.4lt, e -- 2c P biz • S' /Li. '.►= o rte' , I 0 % -_ - at` dd %. n PASS WPARTIAL APPROVAL n CANCEL ❑ NO ACCESS C FA � 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /" P. Date: 7 /6/9 Phone #:. (503) 718 - Zh /7Y CITY OF TIGARD BUILDING DIVISION PERMIT #: i'v9ST207 -008:4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639- 41714Vuypiryf�l'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 0 SITE ADDRESS: 10%6 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition W/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 603••639- -3443 CONTRACTOR: ARTEKA INC PHONE #: 503 -203 -6774 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 Electrical final 072704 -01 603-639-3443 N Corrections /Comments /Instructions: t C r ' Mr_ _ -- _ A M �t� c.► LZ , / "J &- 7 Pc) t‘ ) e___ i-1-1237 - 7 - 1.) . _ Ceic- H-4--"J" 1 NJ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS &?"''' it CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / ' . Inspector: Date: 7 / � /e3 Phone #: (503) 718 - NIL CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7j78/2007 Phone: (503) 639 -4171 /avf � Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 10/1912007 TIME: 7:01Am PAGE: 52 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: . PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 503 -G39- 3443 CONTRACTOR: ARTEKA INC PHONE #: 5032036774 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Fine! inspection 057804 -04 503 - 639-3443 N Corrections /Comments /Instructions: ?ii Dt ( - c= '-/664 a S A" L 41vb rngYe‘ e(- •' Ile - - • . C .0 � � -a g- I t_�au rec "^-r & (S r2 1 __F app o � V g�� a Z. P lec,. /1 t>c% s el c, K.Lr 7Z. c F- 3 t.," - N t200.''k S $`- ....A,-2111. i` Z =g- 0 lb ar 67 1. 1 ice' -YL� � 'l ) ( _ Tr & 77/ t i.-,- • P' SS • PA' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED a/ Inspector: II . ! Date: 0 r Phone #: (503) 718- 2‘ �� Ili CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-P007-060:44 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/29/2007 Phone: (503) 639-4171 AirovOi Inspection Requests Requests (24 Hrs.): (503) 639-4175 4 I. - 6 . I INSPECTION WORKSHEET FOR DATE: 1a/19/2007 TIME: 7:01AM PAGE: 63 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS, OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639_3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203-6774 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 057804-03 503639-3443 N Corrections/Comments/Instructions: t) ee.-0-1,pe,c_e-Tz L/ I L?' ,A/L,- t e ( H.-1— -roe, - - PASS Ol 'ARTIAL APPROVAL El CANCEL n NO ACCESS 4 FAIL le CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: - ■01111■••...._ Date: /0 /1/a 7 Phone #: (503) 718- 2_, 411■., CITY OF TIGARD BUILDING DIVISION PERMIT #: IM#ST2007- 00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639 -4171 ii �dgm��ii��f���, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE.) i EE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSE TE, DAVE & JILL PHONE #: 503.639 -3M3 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203 - 6774 Inspection Request Scheduled For: Date: 41/0/2007 Pour Time: Code : pec • c -, lotion Confirm # Contact # Message f 199 Electrical final 046265-01 503 -980 -8586 Y Corr _ _ • •• • - ctions: A AA ' ' .)--■/\ (..r9...v\lf\.( / i '-' litAAar . f �I .. A. . Al L� Y 1.,k_ zial di / . -.• .t., -Lt., . _ - ,f/ - v- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION fI ADDITIONAL FEES ASSESSED Inspector: Date: (V U P Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: i+t:;T;�007 000;3 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ; / :8/71107 Phone: (503) 639 -4171 . G r iN 9» i t i Inspection Requests (24 Hrs.): (503) 639 -4175 ' =_.. INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 : 01A, j PAGE: 54 SITE ADDRESS: 10165 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: RO SLI I E DESCRIPTION: Addition 415/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & ALL PHONE #: 603-639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203 -6774 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0571304 -02 503 - 63 N Corrections /Comments /Instructions: ►!1 PA . • 1 RTIAL APPROVAL n CANCEL I I NO ACCESS 1 I FAIL [ `LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: Date: /o / Phone #: (503) 718- ZC , • , CITY OF TIGARD 1 BUILDING DIVISION . PERMIT #: MST2007-000:34 I 13125 SW Hall Blvd., Tigard, OR 97223 APOilk DATE ISSUED: 2/202007 Phone: (503) 639-4171 : //L i n i t i lt Inspection Requests (24 Hrs.): (503) 639-4175 ..,_,61- 1.1. INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 PAGE: 55 go kill tAkoTA tol 4s--- SITE ADDRESS: 10966 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5107, ADD1146 (3) ADDMONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503_203.6774 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 057804-01 503-639-3443 N Corrections /Comments/ Instructions: 2 PAS • PARTIAL APPROVAL CANCEL 7 NO ACCESS FAIL . ALL FOR INSPECTION i — El ADDITIONAL FEES ASSESSED Inspector: Aliklass...... Date: / PI/07 Phone #: (503) 718- z‘y _ II, _ , r- - CITY OF TIGARD - - BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639 -4171 �a41H�l�il1 ; Inspection Requests (24 Hrs.): (503) 639 -4175 ' °'' �.. INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: RO E:TIE DESCRIPTION: Addition 4/6107, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSEI I E, DAVE & JILL PHONE #: 503 - 639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203.6774 Inspection Request Scheduled For: Date: 4/0/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 046200 -01 503 -317 -6774 N Corrections /Comments /Instructions: . j►∎ PASS PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL % CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: -��� Date: `� Phone #: (503) 718- - Z &�,,�' ®. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639 -4171 £r +ko l ei,l\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3116/2007 TIME: 7 :01AM PAGE: '15 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203 - 6774 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postibeam plumbing 044968-02 5503.317 -6774 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL Ti CANCEL El NO ACCESS I I FAIL V____CAI FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Th 1 ' Date: / Phone #: (503) 718 - "2- . CITY OF -� ��nm m ��m TIGARD BUILDING DIVISION PERMIT #: IVisT2007-0003.4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2E/2O07 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 317Y2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE. [ DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 CONTRACTOR: ARTEKA|NC PHONE #: 503-203.6774 Inspection Request Scheduled For: Date: 317/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 044474-02 503-317-U74 N Corrections/Comments/Instructions: • � . A SS n PARTIAL APPROVAL F1 CANCEL I I NO ACCESS | | FAIL r CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED �kg ft-'(// / Inspector: y � � Oat:: Phone #: (503) 718- ' CITY ������U�������� � , „ ��n n K OF nn�m��nm�� BUILDING DIVISION PERMIT #: MST2007-00034 13125SVV Hall Blvd, Tigard, ORQ7223 DATE ISSUED: 2/28/20O7 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:00AAA PAGE: 3 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639-5443 CONTRACTOR: ARTEKA INC PHONE #: 503,203-6774 Inspection Request Scheduled For: Date: 3/7p007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 044474'01 503-317-0774 �y Corrections/Comments/Instructions: � ~^ ri PARTIAL APPROVAL —'' ri CANCEL H NO ACCESS I I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 17� y dV' Date: 3, Phone #� 8�O3) 718' `' ' ,, . . CITY OF TIGARD BUILDING DIVISION y • PERMIT #: MST2007 -00034 ''.n,. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639- 4171v�dNNu�i Inspection Requests (24 Hrs.): (503) 639 -4175 'IL. INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7 :00AiM PAGE: •I SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE I I E DESCRIPTION: Addition OWNER: ROSLI I E, DAVE & JILL PHONE #: 503.639-3443 CONTRACTOR: ARTEKA ING PHONE #: 503- 2034774 Inspection Request Scheduled For: Date: 3/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 04447403 503-317-6774 N Corrections /Comments/ Instructions: • / 1 / iii.c.• • `c PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I 0 Inspector: . Date: Phone #: (503) 718- PIA CITY OF ~ � ` ��nm m �.�n TIGARD • | BUILDING DIVISION - PERMIT #: MS72007-00034 | 13125SVV Hall B|vd, Tigard, <]R07223 DATE ISSUED: 2128/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ��mN~ ^� INSPECTION WORKSHEET FOR DATE: 5/612007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAM ROSETTE • DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 CONTRACTOR: ARTEKA|NC PHONE #: 503 Inspection Request Scheduled For: Date: 3/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 216 Footing drain 044359-02 503'317-6774 N Corrections/Comments/Instructions: . | | PASS 7 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS FAIL ALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED /y / l Inspector: �' - Dmte: 9 )/0 1/ Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/200007 Phone: (503) 639 -4171 , Na'%i0iii Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 3/612007 TIME: 7 :00AM PAGE: 3 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE [TE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 -633 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203-6774 Inspection Request Scheduled For: Date: 3/60007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 044399-01 503-317-6774 V Corrections /Comments /Instructions: i _i? , • I I PASS PARTIAL APPROVAL Li CANCEL ❑ NO ACCESS I I FAIL 41CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v ' r V Date: 3 �/ 9 Phone #: (503) 718- � Y • CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2007-00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2812007 Phone: (503) 639-4171 i_ ,4911'1'11\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7.00AM PAGE: 1 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE! TE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203-774 Inspection Request Scheduled For: Date: 36/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 044399-03 503-317-6774 N Corrections/Comments/Instructions: /6'7 1 5/ q , c--- ,T)/q--oti65-774' i ‘ /x .w , ------ II / / PASS PARTIAL APPROVAL fl CANCEL ,----, n NO ACCESS _ I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / t 4.'-." -4/ I ?( Date: / Phone #: (503) 718- ; f CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639 -4171 / A Umypq� Inspection Requests (24 Hrs.): (503) 639 -4175 ��' °•iL. INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 64 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE. I IE DESCRIPTION: Addition 415/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 503 - 639.3443 CONTRACTOR: ARTEKA INC PHONE #: 503 - 2036774 Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 046408 -01 503-203-6774 Y Corrections /Comments /Instructions: Irlj PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1-1 1 Phone #: (503) 718 r -- ( ✓ , < , , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007 Phone: (503) 639 -4171 u urypnlpi�yllfi�lr� Inspection Requests (24 Hrs.): (503) 639 -4175 .' F: _.. INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSE' I E, DAVE & JILL PHONE #: 503. 639 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503°203-6774 Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 046408.02 503- 203 -6774 Y Corrections /Comments /Instructions: ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I D i Phone #: (503) 718 , • , CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007-00034 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/213/2007 Phone: (503) 639-4171 111 Inspection Requests (24 Hrs.): (503) 639-4175 ,; INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: ' PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/6/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639-3413 CONTRACTOR: ARTEKA INC PHONE #: 503 Inspection Request Scheduled For: Date: 4/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 046339-01 503-317-6774 N C ; ections/Comments/Instructions: ( 4-----q —0 ? ,l - 4,60 t •-cajt.tt 01.5 Ir t96g- • k 1,D .\ A-e-t3 /..-r — r - t) IAA 44--"/ CT / - It p A. - fag. ciA --- 1 - Zior - -• Av 4-4 ZY/0 4 1 -10 ()Ltd' / -. AO' , ci / z.–, a tA..... ' N./ Li --Jr--- - - 5 o 4.1C7 / 41 -- 1772. - fl PASS (=>ARTIAL APPROVAL 0 CANCEL El NO ACCESS I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ? Date: 4 — ? Phone #: (503) 718- ,.. . . . 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: M 1 ST2007 -000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J28/2007 Phone: (503) 639 -4171 . � m ai� H N���11li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 2 ),Rr (Z, tGo+ . feel SITE ADDRESS: 16065 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE I 1E DESCRIPTION: Addition 4/6/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 503 - 639 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203.6774 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 an• :ing 046200 -03 503317 -6774 N Corrections /Comme s /Instructions: 4) F " .e_- Z� ' a/ F_.c V' 17� Z 0 r 4 <-- l .v .11i‘ _ ■ 1 _ 1112111 - G7 ---- IP e:- P( 4-0 5 s /s'7o / PLO V r oc( L-- / 7 e- Pme4- -L- of °-1 Z-7 2 Z- /'S ?0l r ,C 2 -41 , Ali. — --- cc - 4 a ' - --- --% ?G� I I PASS • 'ARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL IreL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: CJ Phone #: (503) 718 - �Y7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639- 4171 n�4Nutpi�i iir Inspection Requests (24 Hrs.): (503) 639 -4175 L . INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 3 1 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition 4/5/07, ADDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: ROSETTE, DAVE & JILL PHONE #: 603-639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503203-6774 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615. Mechanical rough -in 046200-02 503 - 317-6774 N Corrections /Comments/ Instructions: 4 n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL 11, or FOR INSPECTION ( I ADDITIONAL FEES ASSESSED Inspector: _ _ — Date: i 42 Phone #: (503) 718 - Lial7/5". CITY OF TIGARD ' ■ BUILDING DIVISION PERMIT #: MST2007 1 01 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 212F312007 Phone: (503) 639 -4171 Ark/molt Inspection Requests (24 Hrs.): (503) 639 -4175 ° _., INSPECTION WORKSHEET FOR DATE: 41312007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 1096.5 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE1 T E DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503- 639 -3413 CONTRACTOR: ARTEKA INC PHONE #: 503.203.6774 Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 045891 -02 503.317.6774 Y Corrections /Comments/ Instructions: I rEfP (6 _ i , _— F .:-Iall '11 lit � PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FO I INSPECTION n ADDIT.sNA . FEES ASSESSED Inspector: 1 Date: 1 3 © Phone #: (503) 718 -2470 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00134 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2E3/2007 Phone: (503) 639 -4171 Atik u�p� ' '�I ' Inspection Requests (24 Hrs.): (503) 639 -4175 ' __.. INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 58 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE I i E DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503. 630.3443 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203 -6774 ( Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 045891 -01 503- 317 -6774 N Corrections/Comments/Instructions: _t\046P—S / /PASS PARTIAL APPROVAL El CANCEL 1 I NO ACCESS ❑ FAIL I CALL FOR INSPECTION I l ADDITIONAL FEES ASSESSED Egg fi' Inspector: Date: 1 MS ( C)? Phone #: (503) 718 -24 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/218!2007 Phone: (503) 639 -4171 AA 41��iiigi'���� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 2€ • SITE ADDRESS: 10966 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: #723 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition OWNER: ROSE I I E, DAVE & JILL PHONE #: 503 - 539 -3443 CONTRACTOR: ARTEKA INC PHONE #: 503- 203-5774 Inspection Request Scheduled For: Date: 41212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 045837-01 503 - 203.6774 N Corrections/Comments/Instructions: Wie 7•44,/,e. n PA n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Dater --n Phone #: (503) 718- CITY OF TIGARD - hG ��� � BUILDING DIVISION t- 6. PERMIT #: MST2007-00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212812007 Phone: (503) 639 -4171 udi� Inspection Requests (24 Hrs.): (503) 639 -4175 `'IL. INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & ALL PHONE #: 503 - 639.3443 CONTRACTOR: ARTEKA INC PHONE #: 503-203-6774 Inspection Request Scheduled For: Date: 3/1612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 044968 -01 503-317-6774 N Corrections/Comments/Instructions: / / r ..,, . ,,, ' /11 I ! 4 -., . , M O .0i i _ �A 1E4 A V 1 4 1. a ��t LiJ r ❑ PASS I PARTIAL APPROVAL l CANCEL ❑ NO ACCESS FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I / Date / P hone #: (503) 718 /� CITY OF , _ ��mn n ��n TIGARD . BUILDING DUNG DUVUSUON A , PERMIT #: k4ST2007-00034 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 630'4175 a�%Wr «��� INSPECTION WORKSHEET FOR DATE: 5/12/2007 TIME: 7:01AK8 PAGE: 29 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE\\ DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503-639-3443 CONTRACTOR: ARTEKA INC PHONE #: 503-303-6774 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:. '' Code # Inspection Description Confirm # Contact # Message 235 She wal(s/moubom 044652-02 503-203-6774 N . Corrections/Comments/Instructions: ' , ^' ■ • dw / /_ 1 42n � �`.' -,' telkii ( C. 9 . , . I | PASS AL APPROVAL 0 CANCEL | I NO ACCESS I FAIL I I CAL FOR INSPECTION ADDITIONAL FEES ASSESSED |napeotoc � Date: 3//M r7/�-�uvy Phone �� (503) 718- k �^ -� / `� CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIIST2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007 Phone: (503) 639- 4171c;c9iq ( i� Inspection Requests (24 Hrs.): (503) 639 -4175 J 'I I.. INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 10865 SW GENEVA ST CLASS OF WORK: • SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSE I I E DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 - 639-3443 CONTRACTOR: ARTEKA 1NC PHONE #: 503 - 203 -6774 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 044652 -01 503 -203 -6774 V Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [ FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �l Inspector: Date: /� 7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212012007 ' Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 - 4175 :_.. INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7 :00AM PAGE: 54 SITE ADDRESS: 10965 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HARTS LANDING LOT #: 023 TYPE OF USE: PROJECT NAME: ROSETTE DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 - 639 CONTRACTOR: ARTEKA INC PHONE #: 503 Inspection Request Scheduled For: Date: 3/5/2007 Pour Time: `10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 044256 -01 503 - 317 -6774 Y • Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector:. , Date: _7-5 0 7 Phone #: (503) 718- Z 6 CITY OF TIGARD BUILDING DIVISION PERMIT #: M7007-00034 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2812007 Phone: (503) 639-4171 Inspection �� l � l Inspection Requests (24 Hrs.): (503) 639 -4175 �' J a. INSPECTION WORKSHEET FOR DATE: 3/512007 TIME: 7t00AM PAGE: 53 SITE ADDRESS: 10865 SW GENEVA ST CLASS OF WORK: SUBDIVISION: HART'S LANDING LOT #: 073 TYPE OF USE: PROJECT NAME: ROSE I l E DESCRIPTION: Addition OWNER: ROSETTE, DAVE & JILL PHONE #: 503 CONTRACTOR: ARTEKA INC PHONE #: 503 - 203.6774 Inspection Request Scheduled For: Date: 3/5/2DQ7 Pour Time: 10 : 00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 04425&02 503- 317 -6774 N Corrections /Comments /Instructions: /74 2,z- /) ioh42,e- �/,J,� S :Z- S7;4-c'mac A-‘ .4"4 '-‘,/ PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . Date: 3— c5 a? Phone #: (503) 718- =4-S-