Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
• F,., C ITY OF TIGARD MASTER PERMIT PERMIT ISSUED: 2/24/200 00035 I DEVELOPMENT SERVICES DATE ISSUED: 2/24/2006 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109AD -S4132 SITE ADDRESS: 14971 SW GREENFIELD DR ZONING: R - SUBDIVISION: SUMMIT RIDGE NO. 4 LOT: 132 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: DM190 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,710 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,790 sf GARAGE: 680 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 342,115.2 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,500 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: i VENT FANS: 5 CLOTHES DRYER: 1 NAT 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: 7 201 • 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/FOR>=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: Owner: This permit is subject to the regulations contained in the Contractor: Tigard Municipal Code, State of OR. Specialty Codes DON MORISSETTE COMMUNITIES, LI DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done i n 4230 GALEWOOD ST #100 4230 GALEWOOD ST #100 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. Phone: 503 - 387 -7538 Contact #: FAX 503 - 387 -7615 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those PRI 503- 387 -7538 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 11,308.69 Reg #: LIC 162512 direct questions to OUNC by calling 503 - 246 -6699 or 1-800-332-2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 czt -( Issued By : de�', " Permittee Signature '; �� - Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. - Approved plans are required on the job site at the time of each inspection. Building Permit Applrc I lon49 0 x FOR OFFICE USE.ONLY City of Tigard DateByr -( 0 ‘ y Permit No 1:2 - 1 :30,85 — 13125 SW Hall Blvd„ Tigard, OR 97223 FEB 0 6 2006 Plan Review / Phone: 503,639.4171 Fax: 503.598.1960 th Date/ By: `� ther Permit: ou:4K , � . ��p l �� l � y� Al MA 9 --.��r - c�6 Inspection Line: 503.639.4175 CITY Date Read /B luris: 63 See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING J Jy ti^ g W Notified/Method: ./j , /.....„ Supplemental Information BUILDING DI 1/ IySION l r ti3 �- r:nrrx: -a`"'� rw.. ,nom". .,.:.. -� -. _.- '14.. ry ,.: ..:`..iu•rµ.. .G A � c <..� ,r„ O ; , ?,RE -. , D = FAIGIILY=D, , NG -''.. e.. fir. TY P:E.aO F..W R - 2•' 1JII2ED, APAi 2. W :_s ._ - .F;•.,.. _. .k .1..f_., . ..- .. -,. ... .x „rr .. i r. .. .. .. ;,a,.... ..dd,�.,.r. .. -,;�;`xri.. ,.. ';Px`�' -t ^'Ft �'., •.,.t_cr -. '; r.`:. _ - - -. -- .. .... � : - -.E: a: : .... . .. a.:... -v .,... ,._ .�. ,_ .._ =..,r ,' =:',r <_ _,_. _. .: , ii:% 4".;� ":r.,c?'�g:::.::::r h'.Y<:Y1tcw' ;,':r;., .x _.. -.. :. .,... New construction ❑ Demolition Permit fees are based on the value of the work erformed. vv \\ Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the :_, : z <..,,; _ ,7:; ' ^: work indicated on this application. ;tit' ;;r ; ,''CATEGORY . Y, :g9NST • .:_ : /�: � .: .>zQ - ,.. RUCTION %':,•,, ,,, <.,�,; �A:.�.. ,. „.,, .- .,: ,,. r 'C,'k +: },:'FF:":' f, s _ =• , rr' " ... ...: .. ... •,. n:Y. +: •..:,.. ._ .,. , _ . -. i: "S< . =;. .,,:. 9r�i, . ... .. _ ... ... x c. G and 2- family dwelling ❑Commercial /industrial Valuation: $ ?6 I ` • C] Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 3 �, .,lr. - ,.tu,', sent _:x: a,;i: x.:,a:ti- :it=;r, �. �l:: ��.:i`:n�:�,t'::� ��: <: ?:v.•�- "�i ':A•r-r >x ".•- _ r•.'F�, - ; ''Y'd c ,' a. '• ig i S'.a";rtS% „,:r _ ,'% c;•4',,, ,'•" t.;3;,,,.,.x,3..h„ :.i� < `,ts: �:,� 1 - v.x�:_ �t� - _ t :/' ,i�.; /. # :,,- ; /. ,.,r' Total number of floors: s, k?=,, ai. i:T JO SITEi`iIYFORIVIA�iIONi -AND ^L® A�TIO+ ,•x . ae;r;: =. >r;,. - `F r '' ;'' �:<- :...�,,,: •.:f.:,tZ'��, �„ ; ,: t.'.;,.:X <.'.`. ",:'r=r,:e ;?:..,, .:. ' �~ti„ , " >- • nt.. : :��i: "'::5:'i ?z,5 " -.r•✓.+„a r.?,5 :,. � ., , Job site address: ( t_c11 \ � �n eAc y( New dwelling area: 3_. square feet • City /State /ZIP: �o/� i V ,�� r` Garage/carport area: (DZID square feet Suite/bldg. /apt. no.: ■ - Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet i .: , y: �cr ,: ...:,.j qtr,: +.,.��r`:;��r�;� °t,.,,::. ,. �.:::: REQ I IR iii ;•,, CO O11I114ER'CIAL' U SE 6 ifi t iCI IST,ai _ #> ,i,,,.. m1,45nt,'2ftS.- f:,, 4 x: o,: p.:: .�r,: -, N..; Subdivision:' t\ ,\--` `_1ck6S .e Lot no.: , Permit fees* are based on the value of the work performed. Tax map /parcel no.: • Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the - - :�:)`+ -;. Y'e!"- „f1%st!: v.'S::- airc:' +�:'7: - :C. �.ti F ^.its- r -i' -,. ;'.y „ice - .3,:`.=1, ", !i F't -. Lf ' a'.,. work this application. :�`' Y " ork indicated on o I. ,I PTI � N F•s, �,'DESCR O ,.O ,WORK,- c•�:�•s�. �':�•> a '�� -_ PP n. fpm Valuation: $ • Existing building area: • square feet New building area: square feet v : "- r 1 ,: _• ,..._ \', : 'v . , < ....,, I i . , , s, <+ A „i ..: Number of stories: ;;':, >.I, PRO,• : ,...OW(V'ER <irl t,:.t , 'r al -, ., TEN =AIVT .,,.xr`i',,,, ,,,,,,,, .v ,._ i">-;'r -�s:_ : e�- '- r4,i .,.. t.x„_!= .:L �;1 5 , 2,,. ..> Y,. va%,`'; t r: ��aaa +.q�Yaof.S;;L,.,^=,acS'4: } n �lh.,r.:::,z:z `xr'.r•:S;to-,xdan > Name: '' [� L , A . - c cz, MM rV T �<:-) Type of construction: Address: 2 lip GT Cj( t-k. l Occupancy groups: City / State/ZIP: L � -e, �D 1 q. Existing: • Phone: (�, ° 5) 4 1) -- )' - 755?) Fax: (1 3) -3 - 7 7 Lr L S New: ..,v _ .. =. ".i., •. a:: ! : ,3-•.',. %v�.. "�s'� "`'° :'::iii 4•? i v,.1 - , .:,, CANT ,,,' T, ,w . ........... ... .. a,.. �. : u ,. ..i.o., „.,,,.,....,..,,. ,..,... ..,.,,, .,r,..ar.,.a,..,,,.rd'i ,?':�° :i�°3 - ;,u +•_ �,.NO�IGFi'i'� p� . : �..rt� ?, es,,fi..l ,'6`;t.' : �s:- r.4',a;r <. _ >;.� . *� `' . i , :;(_ ,'. Business name: No , f `--� All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: . applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: . - - =k.' - . -,:T. _ - _ - ,.y ^.'. ':.gip: .:..:. :.. ..:..... . ...,. �:::;,.,.,•,.,...,:::_,,: :- . : ._,,■,..:, .::. @ONT ,�,� - `i,i;Pn;:u "i Business name: 5>\--1-1,c„, Ks 1x4• jve :,,' -.- - :;: ",,y, -. "BUILiDING� PERIVIIT,rEEES* Address: Please refer to fee schedule. City /State/ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB lie.: Amount received `rD � ! e — i Date received: Authorized signature: - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: '17 .4 Ira �/1 Date: * Fee methodology set by Tri -County Building industry 1 # Service Board. is \Bu ilding \Permits \BUP- PermitApp.doc 12/03 440- 4(113T( I 1 /02 /COM /WEB) Electrical Permit Application - FOR OFFICE USE ONLY Received 5 s � O T' 003 City of Tigard Date/By: Pem>itNo (J � ( 13125 SW Hall Blvd,, Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 - /4 . '4.140, ' � e Date/By: Other Permit: Inspection Line: 503.639.4175 rh I' Date Ready /By: luris: El See Page 2 for Internet: www.ci.tigard.or.us Notifed/Method: Supplemental information ... _...; . ... ,._TYsPE•..OE WORK. R5v...xe.,.r'..,;g,7�, ° °: :: y jr , _ - ' � . New construction ❑ Addition /alteration /replacement Please check all that apply: Service over 225 amps, comm'l Hazardous location ❑ Demolition ❑ Other: a ❑Service over 320 amps rating ❑ Buildng over 10,000 sq. ft., :x : yi " of 1 residential 1 - and � F�GO TRU 'TION - o and 2- or new residenn ..t =•� " S C 2-family dwellings 4 0l • .: �; .. •. - ;.:•,.,:..,�.�,,._�.;.,. _, :.:.... ...::.- ::..,::.,,.,,;.,,. > -� -. �.,,; �;'` t::,., s; �;•,r z; �:;, +,��r:::;.:..:;;, 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure OBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or • ATION`.AND`�LO` -AT ON�'_i;r�;' =''�:' RV ark ,, .: •ems, >, .r :JOB "STTEsINF bR1V1 C , �. ; �7 , ; ❑E Tess /li htin plan P t.. ,�+a,., .:. s:, .,: .�,.. =,a.,:..,. - ..�a. >:,s,�. _� , _ � g g g P ' ,,Health-care facility ❑Other•: Job no.: . ..? - 11g5 Job site address: / �� � � ! (� , ` Submit 2 sets of plans with any of the above. City /State /ZIP: `i 0 e . l The above are not applicable to temporary construction service, e �:f._ .�c i�,Vi_k �:1�.i }I�y >i ;�.i :•i�� .It','�r _ tile:. f�M - • i �,i" ;1 :t t.t gRINEE: S:04E1)UtiE�,,l .. , Suite /bldg, /apt. no.: Project name: :_.::.' .... .::.:....::. ......,...,.,,. :.. ,, ..:, Description I Qty. Fee. Total ** Cross street /directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: C-i (y) 1+" ltd (jt Q Lot no.: ` Ea, add'1 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: J _ v "' _ ,3, Limited energy, non - residential 75.00 2 r - DESCRIiPTION k WOR t . ` "'F = '' "''i' ' i x `o "' -0 aE Each manufactured or modular .. -.. . ? - -. .. . . . f ,, V. ,. .,.e. _ � f .. 'i' _ ., ..„ „r �.:1_.: �w'.4 , ;te , ,..., t�i dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 - -: = - ,f:.: g_„n r. , ,rt;. ,.,,�. :+:f :: , ,:,,, ;m,, - , lk ii:r 201 am s to 400 am s 106.85 2 ,',`+::. ,,1 i v - �: ,„ b. ,7,,'-.:'' ., ' 5 ` r. • Yi.:,;: ° - i,i,.: ,i, i P P __ , 1 , % : _ NO :11 '_ ..,' r6 e ti ,t _ l 1,g:;,;- - ei,• - -;. l /' PROPERTY::, I ER < <; rt " " - ,T E NANT :-,.: ,;;a .,�: r;: ' , '"' ;ii - ,. fr . .,; .r.: =t ,vf � zx :t „ ,- .._.r1:a- >,..:r:; - .,_�. ? ++ � aa' - n _ x. �.1:,� ,.,..s, ., 401 amps to 600 amps 160.60 2 �kl. t 0 .. _ �� V �u 1 -he. 601 amps to 1,000 amps 240.60 2 • Address: `Ig �-( � too Over 1,000 amps or volts 454.65 2 i Reconnect only 66.85 2 Clty /State /ZIP: LO, 0 _ ( )6 � Temporary services relocation or feeders installation, alteration, and /or Phone: )� --.- Fax:l)�j� - 7(0-i ✓ 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 ° t:: - _:. s. , A. Fee for branch circuits with ;ice= :: ,Y:�;�, .���:. ,r "" <. s'A1'1'LIC�VT;; , +� . ; „ r ' CT. PERSONr`r , e h; service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited- - alteration, or ,,('- el on o u:is- energy an en i . N COTRA i K'� � �a; -� �`f =i gY P CsTO �x.. ,.�'t, ..r... r extension. Describe: Page Business name: � /(- Q,,� / Address: j�� S� �,L ll .1 i ' - cam" Each additional inspection over allowable in any of the above / V . d.[ v ` Per inspection 62,50 City /State /ZIP: ` /�(/ i _ t � �r% 3 Investigation per hour (I hr min) 62.50 t r Industrial plant per hour 73.75 :: Phone: 0j� 2.41 1 1 - � 1 Fax: ( ) , ::;.;17 ';;:34t;.i ilLECTRICATERN_ r%', REF_" CCB Lic.: Z-1�. 0 Electrical Lic. ( Suprv. Lie.: Subtotal Suprv. Electrician signature, required: - =. I ate Plan review (25% of permit fee) 1^ � A� , `, State surcharge (8% of permit fee) �I � Print name: C L/en D: / TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i:\ Building \Permits \ELC - Permit App,doc 12/03 440- 4615T(10/02/COM /WEB Mechanical Permit Application - FOR OFFICE USE ONLY ..- j 0. Cit of Tigard Date/By: . PemiitNo.. `/ 13125 SW Hall Blvd., Tigard, OR 97223 ° ' S�OD,C 0061� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / Jdl Pty Date/By: Other Permit: Inspection Line: 503,639.4175 • . jji � r W , Date Ready /By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information b " =s3 . .. - .-r. . s'4i` ;::€. - _ .. .s.,- PE..OF ;tx .... �..., .,... - -�. ,... -.... .,,,,.,._,.,... .,...,. '..,;;.. - °: :� � I:4L:.,FFiE..•:SGHE .UliE`�.. 5 g Ne Mechanical permit fees* are based on the value of the work construction ❑ Ad dttion /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ;:- ;''` CATS i RY .g,,RSTRUCTIONfr> ;u,.,, :. `i` Value: _.`r RES_II*NTIAL- EQUIPMENTI /;SYSTEMS ^FEES * '; 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For < special information use checklist. Multi-family ❑ Master builder ❑ Other: Description Qty, Ea. Total •` -s:" �:JOB� SITE'; INEORIYf�f1T [ONt:AND:�LOCATION' .: ... •� �.. -.... �..,:,. �:, �.. ...:.-- .....:. ..... ....... .... x ... F ._., - + ;�}:;' :.. Heating/cooling ng Air conditioning or heat pump Job site address: q� �. ...a. (requires site plan showing placement) 14.00 City /State /ZIP: �/ , �, I , � Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg, /apt. no.: I Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 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: awl . i .. \ .- - gI C�U Q I Lot no.: I �� Flue /vent for any of above 10.00 J 1 Other: 10.00 Tax map /parcel no.: Other fuel appliances - _ ;- tY'u_, 'vtC'°' - cam ;. + " - ' { �M:;'i':r'7nicqq{.:s �; t._ .r: `::A., :yl l *x i' %)i. ._,F vl.... :,1_i& Water heater 10.00 :,; ,tr.:�� :4� - `i', 'Y�'' ;�,=a;. �'r� -= ,,r, -. r,..., :1: r:�:.,,�,,: _, :1 - ,n,::r•tDESG TIOlV »tOF^ ,O . :s;'., : .., .:�,,,, - ...r .,. .L � ..., .- ..,. _ d,..:... v,,,,., ,.v....- ,IY . ........... ..:..:a n.u, ,)_ ..h . 4,: �.... r., i � H., li�,,.... a, :..;.a ,.,_:,L..,^.kxik 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 :. ;,,t:, :,,,;. ; , r :, ; ,;:.. ;•=e <- ::.: ,;;: Chimne /liner /flue /vent 10.00 RO ERT�Y;'OWIVER u:arr °� � +`? - ' ®TENANT. <: es: .,.._ ._ ._, .. - . ,-„ 'n;4 °i r3: -'.i tom; ; .::-,:_:, �:: .,::_,..::,4..;:•::n:.: >-: <' -.s M - ...:4,. are_ �. i.a. ��,,.,- w : , a,:.;•::;,.:- ,•.:- , ::.,;,�: ;.r 4 , :rr , >,',� j�, ' Other: 1000 Name: \ ` �W . a. ovvey1 >J I\ \ \ 1 J Environmental exhaust and ventilation Address: 01{,,, / ' • ? ID Range hood /other kitchen l..11�r // equipment 10.00 City /State /ZIP: 0 jp' q' )C)- S Clothes dryer exhaust 10.00 I V r', Single -duct exhaust (bathrooms, e. Phone: W7 ' —�. Fax: (., ' -- - 2 to 1 toilet compartments, utility rooms) 6.80 "5';'r- _ � _ rt;> "�'rxrp , _: {.; : - :'!nir`Sti,:i � ', :. ;. - •,, :: I � ♦ . :�,} „ Si'4 v1i �? v' ;li ra'R5 AI ' Fa - Fxf.: �. U' ; 1S=. �;�'.. k:AP ELIC : , Iy : W : ..,a�• ig. ; ,,.. s u• .1- ..,,). t {; . -TA .T -,E 1n tom , 10,00 Attic /crawlspace fans �,. >,�.4 „,i,: CO N. C ERSON e_ ;:.. -.,. .,, ,..t vu•� .:, �:. ,.. ,._, 1.,�9k) •nes�,;.�x= :(5�:'�n;:;� .:.. ent_ ,.. -, -1�M � s.:.�x.,e1v: }.� - , ..,:a!- :.- - :',:' +txv Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater E -mail Fireplace Range • . .: :r _ .,�z_,_ : €A.', , : ;CONTRACTOR X . i { - .:.,�• • , , ff_Y, Y ,;.4 Barbecue Business name: e Ik -' 4 � Clothes dryer (gas) v et L Other: Address: Po L t ? =:; _.....-_..,..•,...r E „ .. l r 13 ` `1VIECHAIVI -4.-PTJR7VIIT FEES *` f, City /State /ZIP: V �'ei 1" ` V ` g— ` 7O1 „a. •_,., -.:: Subtotal Minimum permit fee ($72.50) — Phone: ( rD.. ©1 "� I Fax: ( ) Plan review (25% of permit fee) � fij CCB lie,: ' ✓ State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: / � �'mir This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Print name: , , f t.A1 1 Dater * Fee methodology set by Tri- County Building Industry Service Board is \Building \Permits \MEC- PermitApp.doc 12/03 440 4617T(II /02 /COM /WEB) tw. Plumbing Permit Application - FOR 'OFFICE use ONLY City Of Tigard Received t� "- o 6 � „` Date/By: Permit No.. U U3✓ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 c G ,utdijl,� 6 1)j I ,i' Date/By: Other Permit No.: Y� 24- Hour Inspection Line: 503.639.4175 . A 11 Date Read /B luris ® See Page 2 for � . Y Internet www.ci.tigard.or.us Notified/Method: Supplemental Information _ Tr, - _it �; 1� _ ���:' .2� yf41 -. r ,,. _.,� r - .' , :�:-- 5':�:.��'• " . . TYPE'= OF.' =WOR .. 1,. ry ia a: � ,,.. M.,-:.- ,.�,,::- - °,. . : °:.Y`t'<;•: z t, •�.. _FEE, ;:;,. -.:.' ': :'_. � � .�...- ..- t4- .... __....: +c._7... _. -.�_ ... _. Lu_. - .,..- ,\._ -..- , .y._...__r'S'- �.e..tit'�:;�..... - ._ _�f�i':. �:_.)t --^xhr r:�:Y:':: a." _..�..,.__a .. _.e:•5�- , - �:v..� :z4r5 t -. .. _ K New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) �' -` ..GATEGORY�= OF'� <CONSTRUCTI = r� - -- SFR 1 bath 249.20 1 - and 2 - family dwelling ❑Commercial /industrial SFR (2) bath 350.00 LJ A ccessor building ❑ Multi- family SFR (3) bath 399.00 y Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: - e , Fire sprinkler ( sq. ft.) Page 2 , L ., E N `;,. ,,..: ,, s <, .'1 .;,. _ _ >JOB SITE:., N OR11'I'ATIO N w . .. A - . _ .- ,,.�,a ;:' �. . =M,,�..�t,. �,a4:r�ct.: , - .,,,:,;,;�. r: ,,,, ��,;.;::: .::: ....::. :: w _ " ". �;.,, :_;�, ,�..�,:,..- t.. ., site utilities Job site address: 11 Catch basin or area drain 16.60 City /State /ZIP: ..- 1 Inord ` Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: J I Project name: 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:SU 1V (' 2 d Lotno.:\ Water service (no. linear ft.: ) Page 2 t \\ `� F Fixture or item Tax map /parcel no.: erza :(r, _ 4 >::: sc:a;: ;:n; •xa -a ru: -,•fir: : :,r.,* : i; - - : +d,`rr,.'atit';r :' .... , Absorption valve 16.60 ; .. :t : : pf jza;' :4„ � 'd:t;r� ; ? t>•,s , . ,. J: . �. 3 ,!ar; i, - `- S.t rtilri: V: �, - .,5.'t� "alp \';t W ,,, ?I:' � t.: �1,' ^ ^ „•'. -i4 's, •.�d..;a� t ' _, ., ESCRIPTION ' OF 'WOI,,.. ,-,.,. . {:: ,,, ,.,,: . -» �.' „ �,•.... ,�,. :xr.,�,x;�, "�•�,:u� "= Y:'r,.6P Backflow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ;,, - •,;mot;:, =:w' aw :,,: h ;i ,= ; 'Y,;:= - .axr;r >r7s. �,_< Drinking fountain 16.60 i Et. ,_.. h ; . ? - • uy ? ; Cr - , "q'Ia s;+ g :.:. ,. ;P,ROEERT Y 1'OW.N ,• s ,_., . ; : 4. 1 ®� T .;t * _w , u'} - . � ^`� _ �;y,�,:� sr�`ci.._..4:::,a�, ci �,,,.�.;t::4; +�: '��`b:'' - 4A__uY ir;` -'.v i:'�� ;r: _I"si.::..� r "s: ,, c -�. f.,- _ .,u - . a._... a., °x " " � `' � "- ' � °'" Ejectors /sump 16.60 Name: \ �A'7 -�f .,�, d.c ,M `jN\rI ES Expansion tank 16.60 Address. :,LI s . LA. C.� t;e���a /.. \ :\ .' Y [ -f./ Fixture /sewer cap 16.60 City /State /ZIP: . / -� C-/( - � Floor drain/floor sink/hub 16.60 (---27) Phone: (---27) .� -- 7 1/ 'J Fax: 62y -2..----)b(s Garbage disposal 16.60 ;;a a:; s' : v;'nr,,,: *f:,,: c ;::,,, Ho 16.60 =::A IC'` " ., ❑ .,'CONTA CT. ;PER SON 1 . >,:_., _?.5• <;;.,_.., • `?ks., ,., s . ts:.c4r , Ice maker bib 16.60 Business name: Interceptor /grease trap • 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail Urinal 16.60 :d'-L �l� � • ?.'yea .t� G NTRA " "TO" - C R`�r Water closet .6 .. .. - . _ _ ...,,�_'.i" i',"-- )_ ":}�: _': t: r :i'..,'fi. \.,.::� : :r i � � .., . .Y':.t. . .. ...... u ....., ,:. ... -. ..w�'._r.x,::.��_f, Business name V ,J Water heater 16.60 1 Address: Q l Other: • Subtotal City /State /ZIP: 0,6e ' � �� ( Minimum permit fee: $72.50 Phone: (5,) .5) ( ..-/t 6 / '"'�l.'' 3 /.. Fax: ( ) Residential backflow minimum permit fee: $36.25 - CCB Lic.: J u `Y`' �G� Iripprtnmbing Lic. no.: 7 7 -- ,3 --v � o Plan review (25% of permit fee) , State surcharge (8% of permit fee) Authorized signature /' TOTAL PERMIT FEE Print name: , ) � I � 171 1 \ Date: 0 :61s-5\j, 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' \13uilding \Permits \PLM- PermitApp.dac 12/03 440- 4616T(10 /02 /COM /WBB) w• l' fl/ED FEB .0 6 2006 L!lt CITY OF Ticiiii<D CITY F TI M; RESIDENTIAL PERMIT APPLICATI R �I DIVISION OREGON Permit Number n'73 7d00 , - .0. 3 Lot No. 13Q Subdivision ,1 Address Contact Name An/f)%i Business (y V mo I.5sE - fie, CnanmuNri; er Street tiai O G qLEta000. S7. Sit. /00 City E os'W4i,J i State I cX I Zip 11703f As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. The application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and/or approved. The submitted plans cannot be reviewed until the above information has been submitted and/or approved. The plans are deemed "simple ". X The plans are deemed "complex ". If you have any questions, 'lease call Chad Williams at (503) 718 -2708. J I .1 • , !...L - � �� Name o Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 .:. k .I1 A A A ,,{A, A A A A Ai A A A A A ,I1i6 A na,. .4g, A A A ,o111, 11, dh. i ,J111, AK „illt;,. A II, AA .it .1111 1 i. Alli. iiiii AAA ,10, Al, „fillk, ,k, ,•11h, „ii, Ail, Al AA , L A di ,i,. A A 1 I. A .' NI V I ./4 5 r, ci —cpv-03 5 pd> 1 A . 0 i . . .. . ......,.. , .... , • . .. ..,. ..,,,, .. . ,.. , , „ . , i i>' IV Alt i. 5 : , :41v. .... .1,,. 1 ..J:,, : 4,, .0 ,,,.: .. 41 V ;;;;„.■,;,1' ,tit . A ?..g v:;. ,';','] l', s'V . ? :4: fi i',: ;,',.. . r,,i: ' ii .;Y ••••• ':''' ;t '''''':, . t',.:7.,. :' 1. 1! P ql,. '..”' .i '`:'i Ri• • 1),. . i 1 1 1 0 1 I ''':■, . II,P> '',, L,-,2-Z___. 0 Owner/4 gent for ,c 10_0.- , ' S c 4,, .0'...--- , .,. ,. 1 (PLEASE PRINT) / '0 (PERMIT HOLDER) ItD' Al . . P'• - 4,7 'fk A i .i ,.. . , • PJII> , •;, • It> / • .1 111 1 1.. 1 . otb. • ,-•: , '-: • , , :.:•.:.,;! p41,..,.,...,,,,o, ID> Al ammvis',. Ili At 4ii,4 - 1 i -, fi... ...ir . dwi Do herebyrattifp th the tOlilag location • .. Dr> 4,4 „,-,, p,' f ;'' . 11:ik' kft : V ,,, ;',',,.: ,,,:r4-4 ,-0 - I tu . 10; iiiiil • ' 4, , ..J It* 4 1ni . 2 la , _,'.... -. i . ',%•MV i'V .ig„t^',A ,-, A meets ,O....trot.U. C ounty IIP' 1 .....,..,„„4„ .„..„..„.„,47:0,,.,.. ...,'Weik.4":-:,t4;:::.ral■ .4;,..r.V,;..:0:::ii,e21 . . 1 bE 1 land use and development standards for street tree installation. A -0.11 . .., 0 ADDRESS: ! 7 . 7./ (--J G kr ./c/ Et • 1 to- 1 D> -01 LOT: / $ -2 -- SUBD IVISION:. i,,,, L,.. , -7— p)(i . ,... I , irh• I PD> • 11 ' BY- °' - - W DATE: • r" ,..‹.' rp.--oor . i . • I> RECEIVED BY: ■•••...- DATE: - — 011* . 6.. VVVVVVVVVVVVVVVVVVVVVV "'V ii 't'VV II' l'' VVVVVVVY V" V ' V V V ' VVVVVVVVY ' VVV79 _` . / ��N~��� ���� ' -- ' ,. � � CITY OF m��� BUILDING DIVISION PERMIT #: k4ST2006-00035 13125SVV[1 Tigard, OR07223 DATE ISSUED: 2124/2006 Phone: (50 9'4171 ik | nopection Requeoto(24Hm.):(G03)G30'4175 _aW�~ ^�J� i INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AkA PAGE: 3 k SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. 6J22/00 add AC unit. DON h4OR!SSEl|E(�Qh8yWUM|T|ES LLC., 503-387-7538 OWNER: ^ �' PHONE CONTRACTOR: DON k4OR|SS||E COMMUNITIES LLC PHONE #: 503387-7630 . Inspection Request Scheduled For: Date: 6/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032284-02 503-969-2047 N Corrections/Comments/Instructions: og:?' '^; c-%-z-. CIA, */a-,1.1trie,t i+ 4 — 3--- -,, ,e . I PASS � �RA�OALAPPR�VAL �� CAN��EL ��NOACCESS � �� | | FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ,./4" �� ��� --���� Phone #: (503) 718- _+�="��_~ Date: �~_�� . ` ' 2~4_4-�--_ CITY OF TIGjL RD , BUILDING DIVISION PERMIT #: MST2006d 00035 13125 SW Blvd., Tigard, OR 97223 DATE ISSUED: 2/2412006 Phone: (503) 639 -4171 �u, �ii�i Inspection Requests (24 Hrs.): (503) 639 -4175 . - __L. INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 4 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: - N W SF. 6/22/06 add AC unit. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503-3 CONTRACTOR: DON MORISSEITE COMMUNITIES LLC PHONE #: 503 - 3131 -7h313 Inspection Request Scheduled For: Date: 6/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 032284 -01 503- 969 -2047 N Corrections /Comments/ Instructions: rP) eiP / P6orlv>v i f � PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL 17. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - "' Date: Phone #: (503) 718 - Z.c}- < CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639 -4171 kA' Inspection Requests (24 Hrs.): (503) 639 -4175 . `:_.. INSPECTION WORKSHEET FOR DATE: 6/27/2006 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO, 4 LOT #: 1 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. DESCRIPTION: New SF. OWNER: DON MORISSEI IE COMMUNITIES, LLC., PHONE #: 503- 3£37 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7530 Inspection Request Scheduled For: Date: 6/2212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032172-03 503-969-2047 N Corrections /Comments /Instructions: _ Lc �. 1010 2 w', pL, IK LIDASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL (l CALL FOR INSPECTION ' n ADDITIONAL FEES ASSESSED Inspector: ctflF Date: 4 Z-Z_ 06 Phone #: (503) 718- ,41/5/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 0003ti 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639- 4171 4pyp � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 61211200E TIME: 7:07AM PAGE: . 48 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503. 387 -75383 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503-3 -7638 Inspection Request Scheduled For: Date: 6/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032044 -01 503. 969 -2047 N Corrections /Comments /Instructions: • • • ❑ PASS ❑ }}} PARTIAL APPROVAL (l CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: in'(1 " Dater �� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: iVIST2006- 00036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2(24/2006 Phone: (503) 639-4171 .Allb, r It Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/2212006 TIME: 7:2RAM PAGE: 25 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503-387-7636 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503-387-7538 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 030273-01 503-96R-2047 Corrections/Comments/Instructions: • n PASS fl PARTIAL APPROVAL fl CANCEL LI NO ACCESS FAIL pi CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date:--- Or Phone #: (503) 718-2:9/ C ITY ��nm m n�'n no���mnn�� BUILDING DIVISION • PERMIT #: MST2006-00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212412006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 630'4175 v���' « INSPECTION WORKSHEET FOR DATE: 4/1112006 TIME: 7:07AM1 PAGE: 2 SITE ADDRESS: 14971SWGREEMF|ELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO, 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 6O3-387-7538 CONTRACTOR: DON K6QR{ssETT5 COMMUNITIES LLC PHONE #: 503-307'7538 Inspection Request Scheduled For: Date: 4K11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 P1unnbingrouohin 027755'01 503-209-4897 N Corrections/Comments/Instructions: > 0 PARTIAL APPROVAL El CANCEL ri NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 01 Date: W Phone #: (503) 718- CITY OF TIGARD Ig 0 1 1 57 " BUILDING DIVISION PERMIT #: ZpV( 00a 35 13125 SW Hall Blvd., Tigard, OR 97223 ",'TE ISSUED: i64 Phone: (503) 639 -4171 4661 el Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: l 4c9 7 21)LePAV", CLASS OF WORK: SUBDIVISION: LO #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: . CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 — / — (43 Pour Time: Code # Inspection Description Confirm # Contact # Message c cD S 3 yo 3 35 - 33 b 3 /C' � ) / 4 -. orr e c Comments /Instructio /� s: 6v& _ � ^ Y, ' 0 ''i L , f �� d- > 33 h ce . 330 - / tf (. r r. ' 6 -o 2 -r7 a) S h-e--/ J 6v-re 1 times -1- � -y . l/ 4) - -: . - 3 /v - e___. PASS 'PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ---- Date: 7A /0c, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24120(6 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 lit INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO.4 DESCRIPTION: New SF. OWNER: DON MORISSE I I E COMMUNITIES, LLC., PHONE #: 503-387-7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503 -3F37 -7538 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 032172 -02 503. 969.2047 N Corrections /Comments /Instructions: KCP0 ( 6, • Zi• o C. (A._ c__,, 2, 0/1/4-) ,,p/vt_ Z K1' -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c-NiF' Date: G .ZZ" " Phone #: (503) 718- 7 66/1( I CITY OF TIGARD BUILDING DIVISION PERMIT #: INS(200600035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212412006 Phone: (503) 639-4171 y�j�,,l��ll� Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 612112006 TIME: 7 :07AM PAGE: 47 SITE ADDRESS: 14071 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO.4 DESCRIPTION: New SF. OWNER: DON MORISSE I I E COMMUNITIES, LLC., PHONE #: 503- 367 -7538 CONTRACTOR: DON MORISSE TE COMMUNITIES LLC PHONE #: 503-307 -7635 Inspection Request Scheduled For: Date: 612//2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 032044 -02 • .. 503-969-2047 N Corrections /Comments /Instructions: c.1 1 i i 4. 6e Lt_r-16 6- r .�u!tL.I / - . 00- 4 eve,/■... A /0 0A/e., ❑ PASS ❑ RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL % A ,� FOR INS 0, n ADDITION FE`S ASSESSED Inspector: y 1 ,4/� ` Vii_ Date: 6 Phone #: (503) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #41/50- DC - 00 3-C 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: • TIME: PAGE: SITE ADDRESS: 1 4 6 7 7 J Q � p�,�,� , f C�' 1 m/ CLASS OF WORK: SUBDIVISION: �/ ���� `` LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #g) j'S) 5 -& tt�� � CONTRACTOR: PHONE #: spe tion R:,_• uest Schedul � F r: Date: Pour Time: • •e • Inspec • - D - . r ' till Confirm # Contact # Message � r )1S/ f)-A /3S ` '� Correction mments /Instr ctio IJd FAO iky.S .----) , —..._______________ ._._____L___s_ 9 PA; I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V te L ..<;:- Inspector: Date: 4 i 4 Phone #: (503) 718- A____ . . . . . CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2006-00035 DATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/24/2006 Phone: (503) 639-4171 "vp Inspection Requests (24 Hrs.): (503) 639-4175 „,_.4 AIL INSPECTION WORKSHEET FOR DATE: 6422/2006 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT_ NAME: SUMMI _ -• 2 - - .v. I_ 4 DESCRIPTION: Ne SF. ' ,..- . . OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: •50 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC - PHONE #: 503-387--75 Inspection Request Scheduled For: Date: 6022006 Pour Time: Code # Inspection Description Confirm # Contact # M 299 Final inspection 032172-05 503-969-2047 Y Corrections/Comments/Instructions: e:__(--(_--: 1-./ e / C—C.- *1 - rz..e” ‹_._. -7- i8 .3:0 Lira..) e._eil • . • , -9 por /f.i/ 'OPP3s.-- 0 PARTIAL APPROVAL n CANCEL • 0 NO ACCESS FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: e--/ Date: 4.2z_• 0 G Phone #: (503) 718- Z-64"/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639 -4171 Jilt ' Inspection Requests (24 Hrs.): (503) 639 -4175 'IL INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 14971 SW GREENFIELD DR ' CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. A LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. A DESCRIPTION: New SF. OWNER: DON MORIS SL. I I E COMMUNITIES, LLC., PHONE #: 503-307-7538 CONTRACTOR: DON MORISSE I I E COMMUNITIES LLC PHONE #: 603 - 7538 Inspection Request Scheduled For: Date: 6/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 633 Mechanical final 032172-04 503-969-21:M7 N Corrections /Comments /Instructions: I I PASS n PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS ;2 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r / / iP Date: C *Z7 ' 0 4 Phone #: (503) 718- ZU / • CITY OF TIGARD BUILDING DIVISION PERMIT #: msT200&00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2124/2006 Phone: (503) 639-4171 . /iodp gpi p, (A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/1812006 TIME: 7:05Alvi PAGE: 6 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503-3(17-7538 CONTRACTOR: DON tvIORISSETIE COMMUNITIES LLC • PHONE #: 503-387-7538 Inspection Request Scheduled For: Date: 4118/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Insulation 028253-02 503-2094067 Corrections/Comments/Instructions: • -) Pc, C 4- Y C0 1 7f PARTIAL APPROVAL 0 CANCEL D NO ACCESS FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: _/7L// Date: 1 08 " 0 Phone #: (503) 718- Z • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200500035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639- 4171A Inspection Requests (24 Hrs.): (503) 639- 4175�'j�„ INSPECTION WORKSHEET FOR DATE: 4/18/2006 TIME: 7 :05AM PAGE: 7 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. DESCRIPTION: New SF. • OWNER: DON MORISSE7TE COMMUNITIES, LLC., PHONE #: 503 - 7538 CONTRACTOR: DON IVIORISSETTE COMMUNITIES LLC PHONE #: 503 Inspection Request Scheduled For: Date: 4/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 02825 -01 503.209.487 N Corrections/Comments/Instructions: • 1; ' £ SS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I F' L I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C-4/ !' Date: 4 / 1 8 - ( Phone #: (503) 718 Z / / • ' . CITY M������8�������� ��x u m ��'n u n�m���n�� BUILDING DIVISION / PERMIT #: 84ST2005.00055 13125SVV Hall Blvd.. Tigard, ORQ7223 DATE ISSUED: 2/24/20OS Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 839~4175 INSPECTION WORKSHEET FOR DATE: 4V17/2005 TIME: 7:O5AM PAGE: 15 SITE ADDRESS: 149715WGREEWFiEL[)QR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: D0NhM{)R|SSElTE CDkdhUUN|TlES,LLC.. PHONE #: 503-387'7530 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 5O3-3BT7538 Inspection Request Scheduled For: Date: 4/17/2OO6 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 0201 7&04 5O3'2O94037 W Corrections/Comments/Instructions: ( `���� ,_^//7�~ ) ` r -`~- '_-^^ - Fg-d e PASS ri PARTIAL APPROVAL �ANCEL NO ACCESS XAIL || CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED '�~ /,L���' /�l /J /�� �rx� Inspector: �---/' ''/ Oa�e�/f'/'/' ^�" Phone #: (5O3>718' z�'ux ��u�/ CITY OF TIGARD BUILDING DIVISION PERMIT #: WT2006-00036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (50.3) 639-4171 ,. Inspection Requests (24 Hrs.): (503) 639-4175 . &J' INSPECTION WORKSHEET FOR DATE: 4/17/2006 TIME: '7:05AM PAGE: 16 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO, 4 DESCRIPTION: New SF. OWNER: DON MORISSE! 1E COMMUNITIES, LLC., PHONE #: 503-3t37-7538 CONTRACTOR: DON IVIORISSETTE COMMUNITIES LLC PHONE #: 503-381-7538 Inspection Request Scheduled For: Date: 4/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 028175-03 503-209-4837 Corrections/Comments/Instructions: 2 LA - rZv3 L1 1 7' PASS 151ARTIAL APPROVAL El CANCEL 0 NO ACCESS fl FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: 6 Phone #: (503) 718- • - . .. . , , CITY OF TIGARD BUILDING DIVISION A . PERMIT #: MST2006% 00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2412006 Phone: (503) 639-4171 inavil0` Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00A114 PAGE: 2 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO, 4 LOT #: 132 TYPE OF USE: 1 PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 603-387-7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503. 387- 7538 Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 • Framing 027993-01 503-209-4837 N Corrections/Comments/Instructions: . C c'-' C. (d)••- 1_44 - c _ e . , i - I , i /-.22._/-e z ie fa A.ep 7 G , 1 I I PASS E PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector. AAA- c-i . • / Date: ih 3/i b Phone #: (503) 718- • 7 D CITY OF TIGARD f BUILDING DIVISION PERMIT #: IVIST200G -00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639 -4171 A vNI A A Inspection Requests (24 Hrs.): (503) 639 -4175 -« ■ `'I L. INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:I iAM PAGE: 9 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSE FTE COMMUNITIES, LLC., PHONE #: 503- 3137 -7538 CONTRACTOR: DON Iv4ORISSE COMMUNITIES LLC PHONE #: 503 3137 - 30 Inspection Request Scheduled For: Date: 4/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 02785B-02 W3-209-4837 N Corrections /Comments/ Instructions: • -6 19 ti/ dam/ (fie. -1 :./;;-i pie,, e _ e :_, /WA-17-Aed 6- c ryl-/A4,4e-erti lo koci-/le . g PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: Date: i /2- 04 Phone #: (503) 718- 2.`z° . . . . _ . . CITY OF TIGARD BUILDING DIVISION A PERMIT #: NtS1'200€.00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/24/2006 Phone: (503) 639-4171 :molt Inspection Requests (24 Hrs.): (503) 639-4175 . ......„.._W IL INSPECTION WORKSHEET FOR DATE: 4/12/2006 • TIME: 7:04AM PAGE: 10 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503-387-7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503-387-7538 Inspection Request Scheduled For: Date: 4/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 027858-01 503-2054837 N Corrections /Comments/ Instructions: i) t, a { ,i, 41 6.1 ha-, mi,a2-e d ./.1-7 iiz 7 c e — i 7. ee ( e ‘ l '° R -5 - 7 z) 9 cep 0 4 xne,-(el -/e, p-,e(4 4.f._, zixta - --- 4 6 el 2. - 4 _( 2 P.,e a r e.42 0 d v&e a _actA.cA. 5-e-c, R fe 0 PASS 7 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS [1Y FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - ) 1 1/4 4 0 Date: i i 7 .." g 6 Phone #: (503) 718- • 1 CITY OF TIGARD 40 s { A BUILDING DIVISION PERMIT #: f°' ,--o 0.035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A i� I w Inspection Requests (24 Hrs.): (503) 639 -4175 N� ..L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: Z L/ 7/ G a / r CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE € 5J 5 -& Lt' tt CONTRACTOR: kvv) 1 PHONE #: Inspection Request Schedule: Date: ii-10 --0(0 � Pour Time: )712c ° Code # I Inspection Description Confirm # Contact # Message c275; 6 [s D- /ti (14.-. V 4 Corions /Comments/ nstructions : rt Leit-A-Are-A...Q_ 4/7 €). VI'li'l>trb c-vv._ ofv--ta_. 6,1 L.," , tg,e-vcr,>)e — i., ‘2 dtt 5 le c" C\ (cr . - N a -F--- vz„,,,_, I t5 Vic (, Cam_ \ . ( j-. 't" 4t4,' „ M: 1 1 z ‘, 1 ,.5„. . (3-16*) 11 ° -- --- '...."- • I 0 :-. k ."-- • V-32- ' \ ❑ -ASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ip►1 FAIL ` CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED . n _ � Inspector: V `� Date: All/ #: (503) 718 -� CITY OF TIGARD MST BUILDING DIVISION PERMIT #: `ZU ( ) — Q ®o3s 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: Phone: (503) 639-4171 IOd1i, I )' 1 Iz Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: '4/616C, TIME: PAGE: SITE ADDRESS: / 9) j 1" .i.‘ �.12./( CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: S 5_ 6 ySZ_ Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 4 e �f Qs' 6:„, . Corrections /Comments /Instructions: I I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� Date: - Phone #: (503) 718- ZJ CITY OF TIGARD O BUILDING DIVISION PERMIT #:i T L °b' ° °°3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /emu- pulii° Inspection Requests (24 Hrs.): (503) 639 -4175 ��' °'L L. INSPECTION WORKSHEET FOR DATE: TIME: • PAGE: SITE ADDRESS: / 14 7 / ( 24 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #:Csb -5> Sti b CONTRACTOR: PHONE #: I e Request Scheduled For: Date: -- Pour Time: Se, Code # Ins ecti�n Description Confirm Contact # Message p p onflrm # Conta sage a- '= t I Corrections e Comments/Instructions: n ASS ❑ PARTIAL APPROVAL _ CANCEL El NO ACCESS ❑ FAIL C LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i Date: 4-5 si Phone #: (503) 718 - 2-4-1"5-- CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2006.00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 Phone: (503) 639-4171 *-"IINIAIIII\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3J77/2006 TIME: 7 PAGE: 33 SITE ADDRESS: 14971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO 4 LOT # 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4, DESCRIPTION: Ni SF. OWNER: DON Iv1ORISSE I FE COMMUNITIES, LLC., PHONE #: 503,387_7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 603.38746 Inspection Request Scheduled For: Date: 2/27/2006 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 027604-03 503-519-6162 N Corrections/Comments/Instructions: er.:V/&. g 7-. , ._se5T-E/1-.. / L/A/L=1 -41, r t- 6 Al 4PP (' 0 v c-_- pc/ s • l PASS PA IAL APPROVAL 0 CANCEL El NO ACCESS I FAIL A 0" INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ___ ■■■■•■■•••,..-___ _________ II ate: Phone #: (503) 718- 1-4 . , .. . CITY OF TIGARD .._ BUILDING DIVISION A . PERMIT #: MST2006.00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2412006 Phone: (503) 639-4171 ,..._ 4011 1 11\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01AM PAGE: 32 SITE ADDRESS: . 141971 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: StiMMIT RIDGE NO 4 LOT #: 132 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 4 DESCRIPTION: New sF. OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503_387,75m CONTRACTOR: DON IvIORISSETTE COMMUNITIES LLC PHONE #: 603 Inspection Request Scheduled For: Date 2/27/2006 Pour Time: itoo Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 027604-04 503,519-6452 N Corrections/Comments/Instructions: • ) It - ASS n APP OVAL 0 CANCEL 0 NO ACCESS 0 FAIL 1 C • L F. ' INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 7------ t Z? 7 C Dae: Phone #: (503) 718- CITY OF TIGARD /0s7 BUILDING DIVISION PERMIT #:Zad,v ~(7Qd 35 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �° i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: / 7` SITE ADDRESS: ! LC9 7 I / , / CLASS OF WORK: SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Re uest Scheduled For: Date: - 3 - '0 0 Pour Time: Code # Inspection Description Confirm # Contact # Message � _6 c(s — Corrections/Comments/Instructions: LD Anti iv S1 L V( �a2114� c�....-- a'4 mac— `72 -, /0 1 / (VD A I L- w 4 .0 rl Mttr4 X26 6\l -i 24\GL —iU - 471 -36 G '..161 :7 40 2— s J) -- /,'Y 1fri-i— 4 3s ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. _ / Date: 4-3-e e Phone #: (503) 718 - I- - — - - ---,- CITY OF TIGARD . 4: ') ,si BUILDING DIVISION PERMIT #o 0 4 - oo 03 5 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 A4111 a k„,„110, Inspection Requests (24 Hrs.): (503) 639-4175 A. - - 0 / INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 1 1-9 7/ w / ;/ ; il 14_, CLASS OF WORK: SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: ySCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- 7-0 Pour Time: Code # Inspection Description Confirm # Contact # Message 222S 3/Z ac'---S eA6 levirens/C, rii‘ntq/Instructions: , <#‘4J. p 0 rykLeJ4-- • v vv1.0"1 '3, 4\e' Y , ti)., -'(_._ V- 1- C-Ke•Jad■AC w . 4D I ; ■ 1 . \n/ \ J1A, k o N--.-k-a 0 1/4) ''d ° 26 — A-4-4 C"C\ Ck--ovt-C .K_A—Si-c—e, Qi.j,.it . \1 0 - ) 0 8 . --- Pre...".^.-- c...4 - - -0,1 -( 4 .6. a- ,,,_,Q. v-e_cl--,r- l,-, c,p-_,(z., • o v-e-4 1. \r \2.-.2-e, tc PARTIAL APPROVAL fl CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: .\-V LY? Date: '1 ; /1 t If Phone #: (503) 718- V-0,1