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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00301 e i1� DEVELOP SERVICES 503-639-4171 DATE ISSUED: 11/14/2005 Hall PARCEL: 2S 104BC -09000 SITE ADDRESS: 14050 SW KARLEY CT ZONING: R - SUBDIVISION: HILLSHIRE CREST LOT: 012 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: MAS1314A STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 35 FIRST: 0 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,211 sf GARAGE: 696 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 2,329 sf RIGHT: 5 VALUE: 382,989.30 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,540 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 4 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: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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 REVIEWSECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes RIDGECREST HOMES RIDGECREST CONSTRUCTION CO IN and all other applicable laws. All work will be done in 6600 SW 92ND. 6600 SW 92ND AVE SUITE 100 accordance with approved plans. This permit will expire PORTLAND, OR 97223 PORTLAND, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 Phone: 503 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through . 503 246 - 8808 952- 001 -0080. You may obtain copies of these rules or Reg #: LIC 59228 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 11,180.23 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 . Engineered soils �y J ......-V / % X 1 � Issued By : . Permittee Signature : � Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. III 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 Ap 1 1 c On FOR OFFICE USE' ONLY 0'; City of Tigard AUG 1 9 2005 Received ('/� Permit No 13125 SW Hall Blvd., Tigard, OR 97223 Da B Q / /� ! 7 0��� ..,9/ g Plan Revr Phone: 503.639.4171 Fax: 503.598. /o ,pol� 0M , Date/By: J /I - 7- 05' Other Pernut�� DS "GYM 1 ' ui Y OFTIGARD , i II -� Inspection Line: 503.639.4175 „ ��� Date Re .dy :y: 8 See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information day r ., y . . w :F :t t X ; i"' n4: it J , i p YPE 'OF W®1 .' `� S RE IIRE DATA .;,, , . - - „k F AMIL Y DWELLI\, �' :: e.�,at Da .-� >�� „ €.�. .�. -,'% ?s�� :,.�;, :�u.:.9�a�:aa�a5;�'a'u ?r,^w� .'_ tii�sc,�<.3 -,.a?, �, , a <.ai.,.� - �', . ...�.: r,�.. ...°,t�l. ,. ..: .��P,�ar,,r..,.. s.. .3s:[;,,, ,. .. ., , -.., , 0 ew construction ❑ Demolition Permit fees* are based on the value of the work performed. V■ Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement Other: equipment, materials, labor, overhead, and the profit for the T RN , 3 . CATEGORY O', O RU 1,'i, work indicated on this application. Valuation: $ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 16 ❑ Master builder ❑ Other: Number of bathrooms: v g :'1 ;'1 . 1 ^0 '; 5 'o' l*:. P. ", r.7, : : - z .. :p ,�: •taP,' ., Total number of floors: bL .', 4:4+ JOBp ST AiA,NFc.)#vaIO�` AN;D ;O _ . , ,,, Job site address: /9' 3 5 5 .( _ 52...1. �j New dwelling area: square feet City /State /ZIP: ) -, �� A t � / -7-z2' Garage /carport area: square feet ct Suite/bldg. /apt. no.: Project name: 4 i „ Ski r . ca C sr CS I Covered porch area: square feet . ��. Cross street/directions to job site: Deck area: square feet a :en l is Other structure area: square feet g. ; R-EQ1 f tEA: :DATA: COMMERCIA.`Ii JSE,CHECKLIST, — Subdivision: ' gS{ t , ' , •t (L L,n� c. l Lot no.: it 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 :. ,: , : =rte ; -:_; . N, g ,A::r,zT, : ,- . -: - - 3- , -.,:. _ = <: equipment, materials, labor, overhead, and the profit for the °`�`'" . r � PM. ii, „ li n DESC>GtIP�LOk�i OF WORK. t t work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet - -,:� f.� °��st „i' >a? = > �. - z`�-,.,' ": =� .a�:. .',' +E �'�a'� ;`. s��,a.. ;; -; ;, "i'�, ��,�„�.- _,'-., .;:t;. =�, y � : ':�;e. . ,i .b PR PER1 O W,) , ENANTw , ; , m . ,x Number of stories: Name: , d c e- (V T.:5 k KO YIr1C Type of construction: Address: e 5.W. 1Z4u'E Occupancy groups: City/State /ZIP: �(Z1---, O Z. q'7 ZZ3 Existing: Phone: ( ) Fax: ( ) New: ip $ r- : .r : a? :: s - '., '.,, ?- .. "4.:. t' :five . . „- :.e�.: „..„ ;i•, 4 ,, ,. >.,,,,..:'., *ax , ;, ; . :° A i s . =A PL ICANT, ..7 .[ }�CONII' =ACT P R © N is a ;�":. .- .� :�...��,.a�a,�;-�.x ��.- ..�..Y�� � '; �'s:�;':'na � � �'z..�a- ���.r -� .r, ,.-� >, �.,.z.<::..#ti 9,:'�,�. �.�.' ea i. �'-�, g 4^r„NQNI(:E. Business name: All contractors and subcontractors are required to be Contact name: � �- /4 S A 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: IV '1 . ire ; � CONTRACTOR ” : `i ' 1 . . i f`'• Business name: i s A` e C tesc S 1 ,A m CS ` w 1 BUIL PE FEES :,,- . Address: _ ., iita ; t ,, . ._ ... . ,mt _ , - , , .:. . ' - ' ��e ` g z ' Please refer to fee schedule. City/State /ZIP: 4, , 62 97 Z Z 3 / p Fees due upon application Phone: (6 z cf(� - 660 (/ Fax: (5 Zq"(o - 3 CCB lie.: 5, 2; g Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained IL within 180 days after it has been accepted as complete. Print name: �rc 4. /_10 / ' g / Date: 5-ice- 0 b * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I1 /02 /COM/WEB) 1 One! and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE US ONLY City Of igard Received Permit No. • Date/By: SW. :11 Blvd., Tigard, OR 97223 Associated permits. Phone: 503..19.4171 Fax: 503.598.1960 Av l � 1 A. 24- Hour Insp. tion Line: 503.639.4175 L ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www. i.tigard.or.us '" '' - ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' . Yes No .-: N/A 1 Land use a tions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flo Id plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification I approved plat /lot. / ❑ ❑ ❑ 4 Fire district a' . royal required. Name of district: . ❑ ❑ ❑ 5 Septic system p : mit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. - ❑ ❑ ❑ 7 Water district app oval. ❑ ❑ ❑ • 8 Soils report. Must c. original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ pl: ❑ permit required. Include drainage -way protection, silt fence desiy and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legi. e plans. Must be drawn to scale, showing conformance to app able local and state ❑ ❑ ❑ building codes. Lateral desi: details and connections must be incorporated into the pla . or on a separate full -size sheet attached to the plans wit • cross references between plan location and details. Pl, review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. T' - plan must show lot and building setback di - sions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation • ferential, plan must show contour lines a -ft. intervals); location of easements and driveway; footprint of structure (i luding decks); location of wells /sep c systems; utility locations; direction indicator; lot area; building coverage are. - percentage of coverage; impe ous area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor , any hold -down .nd reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identific. °'on, wind size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconie .nd ,. -cks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing -memb- izes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More th.. one • oss section may be required to clearly portray construction. Show details of all wall and roof sh-: hing, roo g, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, t al insulation, : c. 15 Elevation views. Provide elevations for new onstruction; minimu • of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual • ade if the change in grade ; eater than four foot at building envelope. Full -size sheet addendums showing foil. • ation elevations with cross refer: • ces are acceptable. 16 Wall bracing (prescriptive path) a' 4 /or lateral analysis plans. Must indi :te details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide .ecifications and calculations to engineering •- .ndards. 17 Floor /roof framing. Provide p .' s for all floors /roof assemblies, indicating memb- sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining w,1 ls. Provide cross sections and details showing placement of •ar. For engineered ❑ ❑ ❑ systems, see item 22, Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all bea ,. and multiple joists ❑ ❑ ❑ over 10 feet long and%or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code,compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is r-: ired ❑ ❑ ❑ for•four or,more appliances. 22 Enginee'r's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or Ei ❑ ❑ archi(ct licensed in Oregon and shall be shown to be ap.licable to the •roject under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". _ CI ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\Building\Permits \One - Two - FamilyChecklist.doc 12/03 Electrical Permit % , r a �' 'FOR OFFICE USE ONLY Received City of Tigard f+l i(� Q �ooC Date /By: PermiCNo. , , y --003P 13125 SW Hall Blv Tigard OR 97 9 .D Plan Review Phone: 503.639.4171 Fax: 5 03.598.1960 /„ " AMa•"jvi l Date/By Other Permit L as'� Inspection Line: 503.639.4175 CITY OF TIGARD .� ! Date Ready/By: Juris: M See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW , , 7 . - , New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., Iii 1 - - CATEGORY OF CONSTRUCTION s ° -. of 1- and 2- family dwellings 4 or more new residential li 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or , ,JOB SITE„ INFORMATION- AND = LOCATION „ . - , :, ['Egress/lighting plan RV park Job no.: Job site address: // so 12/L g r ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City/State /ZIP: The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: /5(, Q ( rj/ FEE* SCHEDULE , / Description I Qty. I Fee. I Total I ** Cross street/directions to job site: New residential single- or multi - family dwelling unit. 19 f Includes attached garage. 0 64 't (( 5 1,000 sq. ft. or less 145.15 4 • Subdivision: ,4 / //$4/,f ( Lot no.: J 2_ Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK - ., Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 - ; ❑ „PRO�ERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 _ c 401 amps to 600 amps 160.60 2 Name: h C �l 5/ / J P P 601 amps to 1,000 amps 240.60 2 w - Address: 6 . p -, '7e1.. 9Z/51— Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City/State /ZIP 4/i7 4e. /�7Z2 3 Temporary services or feeders installation, alteration, and /or • Phone: ( -d,/) �• ` g Fax: ( 3j .2 - U� relocation 200 amps or less 66.85 1 Owner installation: This installation is being mad on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease t, exc an l,,, : a try to ORS 447, 449 670 and 701._ �� r/ 401 amps to 600 amps 133.75 2 Owner signature: "` � y Date: v 7 Branch circuits — new, alteration, or extension, per panel ' , - ❑ - APPLICANT 1 ❑' CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 • Business name: branch circuit B. Fee for branch circuits Contact name: ,///72r /7 4 , /94aUl without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) Sign or outline lighting • 53.40 2 E -mail: Signal circuit(s) or limited- - , ' ,, CONTRACTOR energy panel, alteration, or / extension. Describe: Page 2 2 Business name: L 4--/ &, ft`— ,C4:= T% iG ....7 Address: / 713/ l�l f/ ,_ // ! ' �d . Each additional inspection over allowable in any of the above • Per inspection 62.50 City /State /ZIP: sJtc o 64;000 D,. Investigation per hour (1 hr min) 62.50 Phone: d (5 3 �n 2 $ — / Fax: ( ) Industrial p lant per hour 73.75 ELECTRICAL PERMIT • FEES *. , , CCB Lie.: 56, S 6 ( Electrical Lic.: 3 15 7 e. Suprv. Lic.: 3.05 5 Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: /�' // Dater — S ,d - O State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: / ! jEPtiZ "" This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: //x/ 'I l/7 Date: , i' 6 7 / 9 - 6 .. * Fee methodology set by Tri- County Building Industry Service Board * Number of inspections per permit allowed. . i:\ Building \Permits \ELC- PermitApp.doc 143 440.4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard Page.2 - Supplemental Information LIMITED ENERGY PERMIT FEES: v' W SIDENTIAL .WORK ONLY: Fe • for all residential systems combined $75.00 • Che k Type of Work Involved: ❑ • udio and Stereo Systems* ❑ B , rglar Alarm • . ❑ Gara_,e Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systz s* ❑ Other: • COMMERCIAL WORK ON `►Yc Fee for each commercial system.. ... $75.00 (SEE OAR 91 8- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Teleco • munication Installation ❑ Fire A = rm Installation ❑ AC ■ Instrumentation Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is \Building\l'emiits\ELC - PermitApp.doc 04/03 Mechanical Permit • ' — r_ �l'a ,Ir 9 iiVED . FOR<OFFICE USE ONLY ,'. i 3 : -' 'r ' a City of Tigard Received Permit Date/By: ' y0 $GIB 13125 SW Hall Blvd., Tigard, OR 97223 AUG 19 2005 �/� Phone: 503.639.4171 Fax: 503.598.196 P lan Review ��/�//u� �, � DDate/By: Other Permit: Inspection Line: 503.639.4175 c °p !. ' . Date Ready/By: kris: 8 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION ate. " "' <'<,, �' 3, .. . l- • °, rc,rr. *. ", , -s ,. `-.�„" *,, l! W � , ' •: F .. T E F " W O z RKl1 , a;- a . t t- = {I ;Cmv . I.ER GTA I , - E L SC '„ CHE I ew construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work . performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. i . 47 :eio - .. „ vGA" e6aiv O C Ngifie 0 .., ` '?iog ` ., , ' .., . ' v <,:x " " " .. Value: $ ,::<. x;_ <,.,,h :n ,�,/ '' ti_R'ESI NTIAL EQ I SYSTEMS.FEES L l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building M builder For special information use checklist. Multi - famil ❑ Multi ❑ El Description Qty. Ea. Total °s,�..;� s; ° ���;, .. � �,-� - : gin, :,;„ -1 c� ,,, ` , . ; , , ,, T k IN• EOR;„,,,z4 L.O.C, AT ION ":, R • H a, ' �e ' � .,� ,. . g „ �; �s�',�:: , ;> -,.. t.a m. rd saw' ..: - .,a :�- �`r ",.'. >.. -u-� Job site address: pp�� )) �}-- Air conditioning or heat pump � �CJ 5 , co , e� is r l ` C • (requires site plan showing placement) 14.00 City/State /ZIP: --r: , C , , �, 0 2 l Furnace 100,000 BTU (ducts /vents) 14.00 ( Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt.no.: Project name: //` / /shfyL eirG 57 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 r / /) j 5 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: //Sk,: ( Lot no.: / '7-`” Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances • ra ,,- . •, - : : l- -r >: 0,i - :; : :..:: . -:,- ;.� . V- 1 -- . .4,- ; ry I:,: " . ' , W r he t r .413 t IC 1...; D 'WJK ONe Ok" WO x 2- .. , o at 10.00 a e 10.00 _fir � - � >:•:��,..��., . �_.....��,� �.�.�,..,.,n a���• Gas fireplace 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 - ,:Er,.. ',.; ; : ;-" v Chimney/liner/flue/vent 10.00 �� ° ERT; OWNER .. ..a . a ' T NAN I7 $ , €.. " a Other: 10.00 Name: - i'4 C Cr#' .ivie 5 Environmental exhaust and ventilation L _ Range hood /other kitchen Address: r/ 6 v y 7f ' equipment 10.00 City/State /ZIP: , ' , a , 9 Z Z 5 Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, Phone: ( 3) Zs/� `f ge: Fax: ( .) Z(6 — Zlo f 3 Z_ toilet compartments, utility rooms) 6.80 r r , x ,? �A At " # , 5°'CQNT T PE y , m Y Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: -,--. 1 AS / � �i� G $5.40 for first four; $1.00 for each additional Address: / ` Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: ( ) Water heater Fireplace E -mail: Range WCRO* ONT OR ; ,a� � t . m t' . <:r, :. .3l- Barbecue _.� *.4,,i,. i -.x ,. hl,- 1,1 � Business name: -SG4re/rle p` 7 �' /' , t .a( ` Clothes dryer (gas) //�� Other: Address: 5,V.. 6 9 of e j• / p ''Mle• ,i. � ale. ;, tIVA ..... , .. - ` L AIE CHANICATI R1V_IIT'F`EES:. City/State /ZIP: .. 1�4.42 Ai p / / 4* 77r ?e Subtotal ,.2 • Phone: (5'3) Z/ - 060,0 Fax: (Z 3&'y- Minimum (25% fee rmit fee) Plan review (25% of permit fee) CCB lie.: ./ 9 q Z— State surcharge (8% of permit fee) TOTAL PERMIT F Authorized signature: �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: th S4' / ,> o , 7 ,9 7 -- Date: O /- 73 ' Fee methodology set by Tri- County Building Industry Service Board • i:\ Building \Permits \MEC- PcrmitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Applicat on - City of Tigard • ., Page 2 - Supplemental Informati ► n ommercial Fee Schedule: .` tal Valuation ,. Mani . ee .R. ¢. 0 ..;.: :, $1.0 to $2,000.00 Minim , fee $72.50 $2,001.10 to $5,000.00 $72.50 or the first $2,000.00 and $2.30 for ea additional $100.00 or fraction there to and including $5,000.00. $5,001.00 to ', .0,000.00 $14 .50 for the first $5,000.00 and $1.'i 0 for each additional $100.00 or fr. ction thereof, to and including _ $ 0,000.00. $10,001.00 to $50,000.00 •231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fr• tion thereof, to and including $50,11! 00. $50,001.00 to $100,000.01 $771.50 fo se first $50,000.00 and $1.25 for each a. 'tional $100.00 or fraction thereof, to an. ' cluding $100,000.00. $100,000.01 and u. $1,396.50 for the first $100,000.1:. d $1.10 for each additional $100.00 or fraction thereof. Note: • 1 new commercial buildings require 2 sets of plans. i:\Building\Pemvts\MEC- PermitApp.doc 12/03 2 • Building Fixtur ( ; 1 Plumbing Perm ppncation FOR OFFICE USE ONLY • City of Tigard AUG 1 9 ZOOS Received Permit No.: htS � �^ `05_,,y�,� / 13125 SW Hall Blvd., Tigard, OR 97223 Date/By Plan Review • Other Permit No.: Phone: 503.639.4171 Fax: 50M8,I 0 Y�GA�D ^^ � /y%» yM�� Date /By: . 24- Hour Inspection Line: 503. _ 1 Internet: www.ci.tigard.or.us BUILDING DIVISION - Date Ready/By: Juris: See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK ' . ,FEE* SCHEDULE • ' . . New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. _ I .Total ❑ Addition /alteration /replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) - ,CATEGORY OF CONSTRUCTION "' SFR (1) bath 249.20 dQ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ O ther: Fire sprinkler ( sq. ft.) Page 2 - JOB SITE INFORMATION;' AND LOCATION Site utilities Job site address: ` / Q $, V_ / %9/Z ( 077 Catch basin or area drain 16.60 • City /State /ZIP: �7 / te d OR. / Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: gg,S 4(h.,-„ g _ Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 1 10.00 Cross street /directions to job site: ��� � (rC Manholes 16.60 J Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ) Page 2 • - -- • Storm sewer (no. linear ft.: ) Page 2 / r1 /5 /(�-2 • Z Water service (no. linear ft.: ) Page 2 Subdivision: /�` 1_74 � I Lot no.: / Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 • • Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ,' .❑ PROPERTY OWNER ❑ TENANT . ' _ Ejectors/sump 16.60 �7 Name: / 'dt,� v ��5 407 C Expansion tank 16.60 Address: 6 e o 50) y 24 c Fixture /sewer cap 16.60 City /State /ZIP: /? 7 , a? 97223 Floor drain /floor sink/hub 16.60 • • Phone: ( 3 Z L( G. -E39,08 Fax: (,Sb3) L (((o - 3(08 Z Garbage disposal 16.60 ` • '❑� ,APPLICANT , , Hose bib • 16.60 ' � CONTACT PERSON - Ice maker 16.60 Business name: Interceptor /grease trap • 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: _ _ Urinal 16.60 CONTRACTOR .. • • Water closet 16.60 Business name: 7 ,L�j , g ' ,/Z S�tfc' • Water heater 16.60 Address: 77 yVZ 5 4J At/ 04 he 5 4(/e . Other: Subtotal City /State /ZIP: , e,' - ,7'f/ ate• y7e)429 Minimum permit fee: $72.50 Phone: (503 ) (r Y'4 o Fax: ( ) p Residential backflow minimum permit fee: $36.25 CCB Lic.: 794 �4 Plumbing Lic. no.: 26) -G 9 196 Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) C TOTAL PERMIT FEE Print name: g ,/, p 747,"p/ Date: p --(�( ` 635 ^ 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. is \Building\ Permits\ PLMF- PermitApp.doc 06/05 44046t6T(t0 /02/COM/WEB) PI bing Permit Application - City of Tigard Pag • 2 - Supplemental Information •. Fee Sc : edule: Residential Fire Suppression Systems: Site Uti .'ties _ Qty. Fee (ea) . Total , Permi F Footing drain 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - , .ch additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.0Q Sewer - 1st 100' 55.00 7,201 and greater $309.01 Sewer - each additi t al 100' 46.40 Water Service - 1st 1 11' 55.00 Medical Gas S stems: Water Service - each a. 2 itional 100' 46.40 ValuatlOn' Fermi Fee'` Storm & Rain Drain - 1st 00' 55.00 $1.00 to $5,000.00 Minim fee $72.50 Storm & Rain Drain - each a• ditional 100' 46.40 $5,001.00 to $10,000.00 $72. for the first $5,000.00 and $1.52 for each Fixture -or Item . . , ._ Qty. Fee.,(ea) Total ads . ional $100.00 or fraction thereof; to and i • eluding $10,000.00. Commercial Back Flow Preventi s t 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 D: ice 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 $50,01;.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 a . up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: ' Plan Reyiew ComplexStructures . Are you capping, adding or replacing fixtures? "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure system that meets any of the following criteria accurately report fixtures could result in increased se • • r fees*. Please check all that apply. . Q uantity by (Fixture) Work Pe orme ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. . Previous Capped. Adde. Existing ❑ A commercial building with installation, alteration or addition Baptistry /Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall • ' lumbing installations, alterations or additions to food service -Drive Thru 1111.11111111.11 ...lities where new plumbing fixtures, including interceptors, Cus.idor/Water As:irator 111111111.11 are b:' g installed for the food service area. Dishwasher - Commercial ❑ Any ne -sidential building containing three (3) or more - Domestic dwelling uni Drinking Fountain ❑ Any NFPA 13- P •1 ultipurpose fire sprinkler system. Eye Wash ■ Floor Drain /sink -2" Submit 2 sets of p . , with any of the above. -4 „ Car ash Drain Isometric or Rise , iagr , Garbage omestic ❑ Isometric or riser diagram is require new buildings Disposal Commercial three (3) or more stories in height. = Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comm regarding fi xture work: . Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley • - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Permits\PLM - PermitApp.doc 07/06/05 //rrov5- 0 TREE E C R STREET TIFICATION .. r b Pt- I k rd difSES Ow ent for ,d�tc�� �Iovr1E li4 g (PLEASE PRINT) e _ (PERMIT HOLDER) it' , :. ,.. ; Do hereb y t followin location meets City` ti gar d / W a shi t on l and use and development standards for street tree installation. • ADDRESS: / / - 03 - 6 S • 0. 14 2 / e- / 1 0. • LOT: /;? /l SUBDIVISION: f�1 / // h/ r C 2 av t / o. BY: Le / DATE: 6 - 2 1 OC, kt- • RECEIVED BY: DATE: CITY OF TIGARD - .. BUILDING DIVISION PERMIT #: MST2005-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 4,,,,,,,4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE:' 612212006 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 01 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, 603-246-N08 PHONE #: CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3 Inspection Request Scheduled For: Date: 6122/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 032160-01 503-209-7859 N Corrections/Comments/Instructions: • • n PARTIAL APPROVAL • fl CANCEL El NO ACCESS I I FAIL I I CALL FOR INSPECTION A pi ADDITIONAL FEES ASSESSED Inspector: _, Date: —2/--&' Phone #: (503) 718- 24--‘1-- LL: r t -y.. CITY OF TIGAR.D BUILDING DIVISION PERMIT #: MST2005- 1)0301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /14f2005 Phone: (503) 639 -4171 i� lit • Inspection Requests (24 Hrs.): (503) 639 -4175 „„ �a4mlp INSPECTION WORKSHEET FOR DATE: 6 TIME: 7 :01AM PAGE: 42 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503,246.880B CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 - 246 - 3803 Inspection Request Scheduled For: Date: 6 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032160 -02 503- 209 -71359 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: // < Date: f/ w Phone #: (503) 718- - .. . CITY OF TIGARD ' • - BUILDING DIVISION PERMIT #: MST2005-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 9 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSFIIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 Inspection Request Scheduled For: Date: 6/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message '199 Electrical final 0320130-01 603-209.7859 N Corrections /Comments/ Instructions: lib IS • L .., L ■Iii Ni ' Nril■ I X1 PASS 0 PARTIAL APPROVAL 0 CANCEL n NO ACCESS fl FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 'S l\) Og 1 -- 1 4 Date: C - z.41 - Ok Phone #: (503) 718- 2 4 1 4 ' . . . • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-0030 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006 Phone: (503) 639-4171 / easpigil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: N(W SF OWNER: RIDGECREST HOMES, PHONE #: 503-24648808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 199 Electrical final 032006-03 503-209-7859 Corrections/Comments/Instructibris: f;)v/i PG.( Fo7zrr J e S R4ci 15 /4 1 St - 37 4 6 - kfr Z- ie-t9v cS a Fe-/ t-f -Z/z7 / PASS LII fl n PARTIAL APPROVAL LI CANCEL III NO ACCESS A FAIL fl CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: Date: 4.Z_O 0 Phone #: (503) 718- 2 - 6 4714( CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11114/2005 Phone: (503) 639-4171 Ath Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 20 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 Inspection Request Scheduled For: Date: 6120/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 032006-02 503-209-7859 Corrections /Comments/ Instructions: • fg.ReSS n PARTIAL APPROVAL fl CANCEL NO ACCESS El FAIL n CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: C.::-/ Date: C 'ZO• 06 Phone #: (503) 718- CITY OF TIGARD - • BUILDING DIVISION PERMIT #: rn , - pD0,5 -OO 30 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639-4175 1.E. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 ipso KO"( tej Cyt CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: ^� PHONE #: 5 3- 2-- Dq -'�g 4 I< CONTRACTOR: t �% C PHONE #: Inspection Request Scheduled For: Date: 3 -��- - Pour Time: Code # G. � i Inn - spection "Description 1, Confirm # Contact # Message orrections/Corr Instructions: ( I GP l� 1-- --- - r ° 7 - C. G 6,- k b g ,2e-CG — i - ZZ) Colt. eL-(5 i'll-Al ISol(L.5 — ev-FILY - ti414 LtLv6.---(____ ,R., 6) • p2 PASS w PA IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a CA FOR INSPECTION F ADDITIONAL FEES ASSESSED Inspector: AI. Date: �� - �1 #: (503) 71 I- 7 ` NNW- ilibb CITY OF TIGARD '' (Y) S r-. BUILDING DIVISION PERMIT #: a04S- 00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 ,' 3 Inspection Requests (24 Hrs.): (503) 639 -4175 �' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / d Sd Ke A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: • CONTRACTOR: PHONE #: Inspection Request Scheduled For` 11 ate: 3- ( 7 ` G Pour Time: 1. 4 Insp- en Description ' Confir # o ct # Message rI 2-o -: - /3$ 7 �� ' ore •ns /Co ! nstructions: a0 7D � tea- tkauw, r Rm... $ 61 4 'k° , s P a b \le It I t Y C A - li 6 6 1 () L- Nt, G./Ea_ -- _____-1_0_0(Ltle ge4 C .(4. i 1\) 1/411 plu i .., . - , ...,..i < S I . ) f L Q . ® C45 toejil it V {■Gv vnv.. SliiI M w' (L,T,rl 6IN) Lzw 6 .E s05e ,1 N s gl-E' u PASS n PARTIAL APPROVAL ❑ CANCEL _I NO ACCESS 01 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- V CITY OF TIGARD BUILDING DIVISION PERMIT #: M572005-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 h olt Inspection Requests (24 Hrs.): (503) 639-4175 „ INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: Now SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8t3013 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 032006-01 503-209-7859 Corrections/Comments/Instructions: Al■AO /o 111 • b Ss fl PARTIAL APPROVAL III CANCEL I] NO ACCESS I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: / Date: / Phone #: (503) 718- 2 6/3) CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200S-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1i/14/2006 Phone: (503) 639-4171 A A ill Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/5/2006 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New $F OWNER: RIDGECREST HOMES, PHONE #: 503.246 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 • Inspection Request Scheduled For: Date: 615/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 031089-01 503-209-7859 Corrections/Comments/Instructions: r/1 / • PS PARTIAL APPROVAL CANCEL NO ACCESS FAIL fl CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: / 1C. Date: / 0 Phone #: (503) 7181/d7) CITY OF TIGARD .. m 5T BUILDING DIVISION PERMIT #: o� 06 5 0 b 3d 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 °a410 Inspection Requests (24 Hrs.): (503) 639 -4175 .. °I �� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / L 6 S - D /th e-- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: / � PHONE #: CONTRACTOR: °1-6 �,l / ' � J, -tC-'° PHONE #: Inspection Request Scheduled For: Date: 3 --/6 _6 Pour Time: Code # Inspection Description Confirm # Contact # Message /S Z 6,2, ._ O 9 - 783-7 A rections /Comme is /Ictio nstru : p1I( . 'j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: OD i"),,^^A)' i111--q..— Date: 3 ) / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Mti-T2005.00301 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1/14/2005 Phone: (503) 639-4171 41; /00/0 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC. PHONE #: 503-246-3603 Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 - Storm drain 024297-02 503-649-8117 Corrections/Comments/Instructions: LASS n PARTIAL APPROVAL CANCEL fl NO ACCESS FAIL E CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector:" Date: / Phone #: (503) 718- . . CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2005-00301 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 Vitilit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 9 _. . SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HI LSI RE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 50'3-2.464609 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246.3663 Inspection Request Scheduled For: Date: 11312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary tiewer 024297-03 503-649-8117 Y Corrections /Comments/ Instructions: • — , I i 4i1 I I / _ff, ,,-/ tr' I ' ' • ,e, i . / ......._ NA ._ SS El PARTIAL APPROVAL Ir- „VANCEL NO ACCESS rd • '7- -- FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / in(14 Date: ) Phone #: (503) 718- . . CITY OF ��mn w ��m TIGARD BUILDING DIVISION PERMIT #: MST2006.00301 18125SVV Hall 8|vd, Tigard, ORQ7223 DATE ISSUED: 11/14K2005 Phone: (503) 639-4171 *01E01 je Inspection Requests (24 Hrs.): (503) 639-4175 �B�W 14, INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 14050 SW ORLt]/CT CLASS OF WORK: SUBDIVISION: M|LLSHRE LOT #: 012 TYPE OF USE: PROJECT NAME: MiLLSMFlECRES[ DESCRIPTION: New SF OWNER: R)DGECREST PHONE #: 503'246-8008 CONTRACTOR: RIDGECREST CONSTRUCTION CC) INC PHONE #: 503'246-3683 Inspection Request Scheduled For: Date: 5y10/2006 Pour Time: 11:00 {}ode # Inspection Description Confirm # Contact # Message 220 Slab 029051-01 503-209-7859 N Corrections/Comments/Instructions: [Zi PASS El PARTIAL APPROVAL F - l CANCEL I | NO ACCESS n FAIL CALL FOR INSPE |ON ] ADDITIONAL FEES ASSESSED ';"����} |nInspector: []ate: .57 6 Phone #: /5O3\718' l r CITY OF TIGARD BUILDING DIVISION PERMIT #1.49 VVS _ - aV3O I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: I (#051) ' / (1.1 c CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 52 • OWNER: r PHONE #: (� ! gs 1 CONTRACTOR: I C71 PHONE #: Inspection Request Scheduled For: Date: 3 30 r ®cc> Pour Time: Code # Inspection Description Confirm # Contact # Message a ;so • ions / ;omments/ Instructions: PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL , n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - m-5— CITY OF TIGARD BUILDING DIVISION PERMIT #: -X0S -QQ3p f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 C "2 04(A/1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 04-DE / C '' b2,j c CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #:5 3 --g,0 - 7Fic CONTRACTOR: K PHONE #: Inspection Request Scheduled For: Date: 3 --;-3 -(7 Pour Time: Code #- Inspection Description Confirm # Contact # Message 9-7 Col s vNr. . 1 �Cc rections /Comr> is /Instructions: S `�` 275" 7. -19/>o /E di? , 4-rvi.4/A4.4.7, � ;4-- d,ls L► 2 ( ,j' G p") ® dT It l' ..E t9-4 p, 0.7 .tee. c ✓r� ,� J P 7 A° deg 1 ' e de..Anc , r 4fr.4.eAc „.eet()Z Are& f ;ele a ,t c e C/✓eded cie,of �irc .�� �"�c.TZ'�'�.► al 4444121 ZOO/4 dAth , �� 9 c Av. Ae / /--e) 22 - PfrZe .41 tc 6/1-e_ee, PASS n PARTIAL APPROVAL n CANCEL U NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I �f Date: 05/6 C Phone #: (503) 718:` - e.. CITY OF TIGARD . _ BUILDING DIVISION PERMIT #:fl S (IODS' - 0030 j 13125 SW Hall Blvd., Tigard, OR. 97223 DATE ISSUED: Phone: (503) 639 -4171 .i �rnugh1ugl G 1 1 Inspection Requests (24 Hrs.): (503) 639 -4175 '' :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 14057 K 112A C CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: n ^^� PHONE #65 5 �i 7 0 � CONTRACTOR: /-C 1 v` PHONE #: Inspection Request Scheduled For: Date: 3 -.DJ - �� Pour Time: Code # (&j Inspection Descrri Confirm # Contact # Message 0 a,, Corrections/Comments/Instructions: l/PASS 1 PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS FAIL n �A FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector:: Date: 3-7/--1 62 Phone #: (503) 718- 04---+.`i CITY OF TIGARD j BUILDING DIVISION PERMIT #: W - 0O ?d 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /A� 111114 ° r l If e 14 Inspection Requests (24 Hrs.): (503) 639 -4175 „ ' I .„ INSPECTION WORKSHEET FOR DATE: 7 / J' 'k f TIME: PAGE: SITE ADDRESS: /C-/ OS k / CLASS OF WORK: SUBDIVISION: ! LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: \ v 'iUk,L, PHONE #: 24 5 7 5 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message & I ® C S 6 , - - - ` 2 • 4 2 _ . :-- -- Corrections/Comments! Instructions: k t a : iiPdi°94.-eivate , n PASS n PARTIAL APPROVAL n CANCEL _ _ _ I I NO ACCESS I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED fill ......_ i / Inspector. Date: 4746 zji P hone #: (503) 718 -° AI° CITY OF TIGARD - sr- BUILDING DIVISION PERMIT #: Rr�C act o 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 At Ins pection Requests (24 Hrs.): (503) 639 -4175 5 ! INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / q 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: ' PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3—( -- Uk: Pour Time: Code # Inspection Description Confirm # Contact # Message -,---- Corrections /Comments /Instr t ions: 3 5 a-- c_f • ) r .6/1 6 ( 6 1 ( 7.eact-,fra 960ezow a/644. F , .2) P,e)'/e)20 firi.,m44-47' 1 5 -? -))e - 4-, aZ 6/446 /L2evi &G i /77�G�.c 1 /cz .. r . 2 35_ XPM 0/39 24 ° = PP/i2 c) eAc) L K PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL (l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspecto 3 Date: 7 G' 4 C.' Phone #: (503) 718- 2 7.01-T 'O� i ��', �_ � y3 fi' r� $ " ',} Cj { '• r f ? ` , ... �& � i cicl.z'�Ic�Ll.e�� i �P���6�A11lI�tf�i.l7 ! 4�:�sc1{� !J'I �E1' d a:li'lc ��c�ir'1 Bp (a,"nt%a1`}�E'"'iT: ,;, a��a.�' F7 a 'j �, � .cdr'.i 0 17 i8 �I 1c� ; nom t�:�;��_b'iesi� CITY OF T IGARD BUILDING DIVISION PERMIT #: MSl- :1005 -00301 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/700.5 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 12/2912005 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 14050 SW KARLEY CT' CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 12 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: �,t}•;?45 L31 #;�i3 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 -246- 3083 Inspection Request Scheduled For: Date: 1212912005 Pour Time: 2M0 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 024148 -01 50:3-2'0 -19&$ N Corrections /Comments /Instructions: p°'t I ?hod( C " j 7 / /OCJ > � 'L 4 c2 " f / 5 Zt.PP02. �/ L/h i1 --ZA -e/P7 �� a C' ezA Q ,,E9 v` �- �.) r 2 iA/e �'S 723 Fa , - , n .gym 4 f /" a v/CA-C__ 06, AUL 6!� a/Y-1 6 ao p O� . Gt/sZ" i2. �C�r,/ 7 O 4 17�✓cc.e ■27 C.eii -z : !L4 5...P A t „Val PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector 7 � /"$ Phone #: (503) 718- 270 (/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639 -4171 ua�lpuypl�i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7: O4AM PAGE: 11 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503 - 246 -8808 CONTRACTOR: RIDGECREST' CONSTRUCTION CO INC PHONE #: 503-240-3883 Inspection Request Scheduled For: Date: 12)15/2006 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 023543 -01 503 - 250.1856 N Corrections /Comments /Instructions: -0 n. . 5 17,5 ' S O • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS I l FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / #: (503) 718- r . , CITY OF TIGARD - . . BUILDING DIVISION PERMIT #: MST2005-00301 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 :44111 Inspection Requests (24 Hrs.): (503) 639-4175 11 INSPECTION WORKSHEET FOR DATE: 12 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE. OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 ' Foundation walls 023086-01 503-250-1956 N Corrections /Comments/ Instructions: 0 In yz A 4-z.-L.- J - rlit," I ALS' / Ai ( v - it0 / ro. -,4 7-7 -17 ,C <'?• Aigir .4 - <- 4' .. 44 4o 4 A.- - 5 - ..- - c" .... ' S"'"4-(17, .... 21-c ri PASS qi El CANCEL _III NO ACCESS I FAIL FOR INSPECTION A El ADDITIONAL FEES ASSESSED Inspector: . Date: /2--7-65 Phone #: (503) 718- p, 5/: �</ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-3683 Inspection Request Scheduled For: Date: 11/23/2005 Pour • Time Code # Inspection Description Confirm # Contact # Message 205 , Footing 022353-01 503-2094859 5 ' - r - 1A.A. P. Corrections/Comments/Instructions: (IL Le-11 rod-40, d 44 A- thi_cArae, 75-) 7L eL4 1 ino-ta edrefre Pk. PASS [NT PARTIAL APPROVAL 0 CANCEL H NO ACCESS FAIL n CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspecto Date: / 3 8 Phone #: (503) 718- 27(9/6 CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2005- 00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2005 Phone: (503) 639 -4171 �ONI!ypl° y- Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 98 SITE ADDRESS: 14050 SW KARLEY CT CLASS OF'WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 012 TYPE OF USE: PROJECT NAME: HILLSHIRE CREST DESCRIPTION: New SF OWNER: RIDGECREST HOMES, PHONE #: 503-246-8808 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 - 246 -3683 Inspection Request Scheduled For: Date: 11/22/2005 Pour Time: 00:a0fl Code # Inspection Description Confirm # Contact # Message 205 Footing 022154.01 503 -209 -7860 N Corrections /Comments /Instructions: / L7 • ❑ PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL r CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: l / -22 — f Phone #: (503) 718-