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Permit
C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -10010 COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2007 T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 109 D D - 11000 SITE ADDRESS: 12698 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 040 JURISDICTION: TIG PROJECT: BELLA VISTA Project Description: New SF. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,121 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,171 sf GARAGE: 458 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,301 sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 3,593 sf 345,313.80 REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 6 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 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: 1 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 «amps•1000v: MINOR LABEL: 1000. amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable RIVERSIDE HOMES INC RIVERSIDE HOMES INC laws. All work will be done in accordance with approved plans. This 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 SUITE 200 if the work is suspended for more than 180 days. ATTENTION: BEAVERTON, OR 97006 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 645 - 0986 Contact #: PRI 503 645 - 0986 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 690 -2942 Reg #: LIC 70065 TOTAL FEES: $ 11,418.24 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issue,' By : 1 0 J L. J L 1 L1 1 L... P Si. ature : ...,..me/ �' ( __, Call 503.639.4175 by 7:00 a.m. for an inspection that b : ness day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. P din P g er p mit APLAI EVED FOR OFFICV. USE ONLY City of, Tigard i 2 Permit No. s� a/ / v 6 - /pOl �1 13125 SW Hall Blvd., Tigard, OR 97223 �� 2 rot: DateBy: Plan Review NV / Other Permit �/� tI �Y"Fi ' � // : Phone: 503.639.4171 Blvd. Fax: OR 98.1960 J `� 4 I I "{p ' , l � 5 ( 0 6 % b id 65. Inspection Line: 503.639.4175 Date Ready/By: Juris: 65 See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: _ Supplemental Information BUILDING DIVISION J/ 77 / �/ j TYPE OF WORK REQUIRED DAT , • 1- AND 2- FAMILY D ' LLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (mu nded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application Valuation: $ 3 I () 1- and 2- family dwelling ❑ Commercial/industrial t • db ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I Of .S"1/4/4 ({evr`loranci Lj(1. New dwelling area: square feet City/State/ZIP: — C1 50 ,,,. a b2 Q 1'a aL t Garage/carport area: square feet Suite/bldg. /apt.no.: Project name: 'a,p \\ ViSkCk Covered porch area: square feet Cross street/directions to job site: �" Deck area: square feet /. • Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: '&\\Q \J 1 o , Lot no.: I/0 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 t he profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ 174PI5SV� 7 ` /To 5 E Ill • �I L4X Existing building area: square feet New building area: square feet y ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: R I Y�XS I C� Non-u 5 , X r !L • Type of construction: Address: I C1 Z S N W i 4'ri l P7 P-r 5 L&. vt - (ri,w t q - $t 2_00 Occupancy groups: City/State /ZIP:,kV�.{.,Lyt. On- '7 0 0 (e Q Existing: Phone: ($D ) (Q 9 S - 0 N Fax: (5? ,) ( q v - 2 4 Z New: 0 APPLICANT ❑ CONTACT PERSON NOTICE Business name: 12.:, V,e y S t de_ How R 5 _, J y - All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: A(,G 5L'►'l M c4-1,- under ORS 701 and may be required to be licensed in the Address: j 1 2-S /V w ArYl her Let 1" 1'LAv L 51.1 Zo o jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: B,P4V 4ii -kayt„ n q - 70 0(e apply: Phone: ( 0 - 3 ) 6914 S - 09 8 (P Fax:: ( ) ( o - 2r-1 i .2 E- mail: LaMar r i V2r , oLe hOYl.t R .. r 011.} Cl CONTRACTOR Business name: p_, V ..e c7L ITrvi t _, -- BUILDING PERMIT FEES* Address: /12 5 N yV f - J•yl kj-P,- 1 / pr„w L Guile (e 20 O Please refer to fee schedule. City/State/ZIP: rj.0 ev - 4..„ b � r'/ U0 (P Fees due upon application Phone: (go,) (e q. 5 - 0 ° l ,E0 (P Fax: (6 (v`/ D' 2 - Amount received CCB lic.: Date received: Authorized signature: al re, WL C ") This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name: 6 t y(, 4/G,(1_ Date: 12 - 7_0 - 0 ci * Fee methodology set by Tri-County Building Industry • Service Board. is \Building \ Permits \BUP- PamitApp.doc 12/03 440-4613T(I1 /02/COM/WEB) Electrical Permit Application - - -- FOR USE ON � -� City of Tigard Received Date/By: Permit NW, 5 R _ 1( I 0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1.. , Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Otter Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ' ' . ,.-' TYPE Of • WORK - ' . - .PLAN1tEYIEW -. 5 New construction ❑ Addition /alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: 0 Service over 320' amps - rating ❑ Buildng over 10,000 sq. ft., . ,?. , • ' -, : -CATEGORY: OF CONSTRUCTION, ` , - of 1- and 2- family dwellings 4 or more new residential ® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ['Building over three stories [Weeders, 400 amps or more ❑ Multi family 0 Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or JOB, SITE INFORNMATION'AND- .LOCATION - ['Egress/lighting plan RV park Job no.: Job site address: 1 aija$ 54,4 R ot+ era rndt Ln ❑Health -care facility ['Other: `n Subm 2 sets of plans w any of the above. • City/State/ZIP: �` Goa Oa. Q1 aw-1- The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Y Q f � } S� . . , . FEE!' .,SCHEDULE _ ' _ .. • 60, \f,0. Description I QtY* I 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: 13(A\ 0 vt O■ Lot no.: 40 Ea. add'I 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 • , •. ., DESCRIP'T'ION, 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 ❑ . PROPE OWNER ❑ TENANT h 201 amps to 400 amps 106.85 2 " 401 amps to 600 amps 1 60.60 2 Name: 1?--/ Y,c 1 <, ) r1- 1-lcvu 5 - f'1nr_ 601 amps to 1,000 amps 240.60 2 G } e C Over 1,000 amps or volts 454.65 2 Address: I l ' VL&J J i'Y� �7 C� 1 4'L rl U tr. # Reconnect only 66.85 2 City/State/ZIP: Jae c . vey 1- L'/Z 6. / 700 (' Temporary services or feeders installation, alteration, and/or -f3)) Lp - (1 Fax: (5C ) (o t v- 2 41 `4 Z relocation 0 Phone: (S �' (!' � 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ' ❑ APPLICANT . l• ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Zi v -eX j i r1,P_, f - yl , , , — T _. branch circuit B. Fee for branch circuits Contact name: a . C s c without service or feeder fee, 46.85 2 _ � each branch circuit Address: t i 5 /� l�l/ �h' (e f't f.t): 2, 0 0 Each add'I branch circuit 6.65 2 City/State/ZIP: Betty -erw o 4-� 0 G j 7 t Miscellaneous (service or feeder not included) Phone: (�-) (e. Li S — Oct Fax:: (SE j) ; Pump or irrigation circle 53.40 2 ( F �J Z ( .4_7_, Sign or outline lighting 53.40 2 E -mail: (,c,rlicc.C,{ :) rIv , a -rs atf_}'vsyK _ , c c`l�l� Signal circuit(s) or limited- *1 CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: [� �r . >� l e. c - e C. ' - 4 ., G . Each additional inspection over allowable in any of the above A4 Po £ Qx 1g? Per inspection 62.50' City/State/ZT.P: ,2 0 ✓2. —ii a r; 9ii 2 O Z 0 Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 one: (5 ,) G Z s —i 3 S S` Fax: (-06 3) 6 2 8 - 11.0 S - ELECTRICAL PERMIT FEES* ' CCB Lic.: 2,e, f/ f I Electrical Lac.: ,2 04 Suprv. Lie.: 3i 6, Z s Subtotal Supry Electrician signature, required: a n Plan review (25% of permit fee) t_ n State surcharge (8% of permit fee) Q . au ;.1.. I4 . g .P.•ro c.-a - Date: 2/2i pS' TOTAL PERMIT FEE • Authorized signature: • This permit application expires if a permit is not obtained within 180 Print Hama~ days after it has been accepted as complete Date: • Fee methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed. is \ Building \Permits\ELC - PermitApp.doc 12/03 440- 4615T(10/02/COM/WEB IL Electrical Permit Application FOR OFFICE USE ONLI City of Tigard Received ty g Date/B : Permit No 7"7. Ua7 4, , d (f) 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ..a �hh : Other Permit Inspection Line: 503.639.4175 ...._,_,W Date Ready/By: kris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental information TYPE OF WORK PLAN REVIEW ew 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., __ CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential L71- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family 0 Master builder ❑Other: DOccupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION RV ❑ESess/liP��g plan park ther Job no.: Job site address: l gtvq 5v.1 if�tt C ❑Health - care facility ❑ Submit 2 sets of plans with any of the above. City/ State/ZIP:'- �' /,y0 i f q - Z The above are not applicable to temporary construction service. 1 t t%1W' I ` 1 FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: V-De tit k V 1 4-A — pdon Qty. Fee Total ** Cross street/directions to job site: 1 New residential single- or multi-family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: y.t it( V) s Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 V Limited energy, residential 75.00 2 Tax map /parcel no.: Limited DESCRIPTION OF WORK energy, non - residential 75.00 2 Each manufactured or modular I�t! v �J U ! �j /1� w , V H - »'n , 0( •c. G c k._ ? dwelling, service and/or feeder _ 90.90 2 Services or feeders installation, alteration, and/or relocation �/ 200 amps or less 80.30 2 9d PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps . 106.85 2 1 � p Z 401 amps to 600 amps 160.60 2 Name: �c.Q/r e Ii \ ,,, � ti . ►1' tLS j 1 MC. * o U 601 amps to 1,000 amps 240.60 2 Address: G� 15 NW `i / � p j/ Over 1,000 amps or volts 454.65 2 JY `�' t(^ � ` Reconnect only 66.85 2 City/ State/ZIP: tag I V 6 f ( o_ ' -7 00 l G, Temporary services or feeders installation, alteration, and/or / ( 9) ( /U - Z 1 q 200mpn Phone: ) Ul" F a x: 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 2 APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each • Business name: r� Y ,trb—r1 4 f'J rl4 Q ) J �C . branch circuit 6.65 2 �'' ' `' B. Fee for branch circuits Contact name: ALI 1 1. , _ A C C- ) 0 without service or feeder fee, 46.85 2 Address: I` ZS Ai W` t P 1 bp /+ 1 W v each branch circuit l Each add'l branch circuit 6.65 2 City/ State/ZIP: 6 4/// -i -- ) /� - q ■ v 0 ( p Miscellaneous (service or feed not included) /, r I t Pump or irrigation circle 53.40 2 Phone: ( ) uJ l J r -Lq7 ,� Fax: : (5p5)&% — 2 42, Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRA R ff �/u energy panel, alteration, or ►(f ' J / � A!/Y / -. ' , l � � ��" " ' 'C''' � ,„ ` ' extension. Describe: 1 Page 2 2 Business name: I� Y . (/(� ^ {`' G) Z �� �� I j 1 �� p�' �v Each additional inspection over allowable in any of the above Address: // 5/ Per inspection 62.50 City/State/ZIP: T ti vr/v /, q7O 4 Investigation per hour (1 hr min) 62.50 Phone: 7 ) / 5 J I Fa (9 )064-2142-' Industrial plant per hour 73.75 I� ELECTRICAL PERMIT FEES* CCB Lic.:iODUS I Electrical Lic.: I Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: I Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: t ) This permit application expires If a permit Is not obtained within 180 / / days after It has been accepted as complete Print name: Ai ll ` Y Date: s / t i • Fee methodology set by Tri- County Building Industry Service Board 8 * Number of inspections per permit allowed. i ABui !ding \ Permits \ELC-PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard nact�a Permit No. :� y ( a OZJ ( _ l a (O 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review xa Phone: 503.639.4171 Fax: 503.598.1960 / ih,„ , , Date/By: Other Permit: Inspection Line: 503.639.4175 j �1 i s " :__ Date Ready/By: y: Juris: See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK . COMMERCIAL FEE* SCHEDULE - USE CHECKhIST rg New 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. CATEGORY OF CONSTRUCTION - Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ' ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ^ ,,p s Air conditioning or heat pump 1 N g ) �2e�r�brQlnd} Lrt, (requires site plan showing placement) 1 14.00 City/State/ZIP: - (se . C14 n ` Furnace 100,000 BTU (ducts/vents) ' 14.00 ' PO: ` W► V 1 Gas heat pump BTU ( ducts/vents) 14.00 0 17.90 Suite/bldg./apt. no.: Project name: )€\ 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: V \\ a \I', s ' Lot no.: 14 Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater / 10.00 Gas fireplace / 10.00 Flue vent for water heater or gas ' fireplace 2. 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: j'e,r, kt o F1owue.5 �i',, Environmental exhaust and ventilation # Z O U / Range hood/other kitchen Address: C(2 5 AAA/ �Q »') , r j Le l�K,wv1 equipment 10.00 City/State/ZIP: { 4 V .e Oa- '17 o •J1 Clothes dryer exhaust 1 10.00 L5 ) L 4 - O 4 � Fax: (9 ) ( rj O - Z9 Z toilet c� exhaust (bathrooms, ro oms) s, ( compartments, utility rooms) ei � Phone: 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 t �_ Other: 10.00 Business name: jZ■ 1/ cle r tvr 1/2.5 , j�Y)C . Fuel piping Contact name: ALLt' beryl AA $5.40 for first four; $1.00 for each additional I Address: I 2 5 - 2 5 Am/ - r i , w J # 2_0 i) r d Furnace, etc. J Gas heat pump City/State/ZIP: 0 P _,, t , (/ �4,, n ,- i ( q7 0 0 (o Wall/suspended/unit heater Phone: (9j) ( 4 5 - 05 8(e Fax:: (47)3 ) (o p - 2142- Water heater Fireplace E-mail: aimcu V ) r I ✓e4 1Gt-Q.h4Y►'e - c ttYtt Range / CONTRACTOR Barbecue Business name: kit - M,g,�r o 0..a. n 1 r C Clothes dryer (gas) S Other: r: Address: M� I Z D, Z S l- ti C a t svr 6Z d 5 ...4",-. th 6 MECHANICAL PERMIT FEES* City/ State/ZIP: (-, r.x c t_ a r 6 c a c, A. 61 6 Subtotal Phone: ( e 3) Fax: (y e I) S q q - 3 2 Minimum permit fee ($72.50) S 3 S 1 `� S '� Plan review (25% of permit fee) CCB lic.: / S Z vi 3 - State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: C This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Print name: Q.i S 4_,.. ...Tor Date: oz I o o l t, • Fee methodology set by Tri- County Building industry Service Board i:\ Building\PermitstMEC- PamitApp.doc 12/03 440.46171 (I1 /02/COM/WEB) 'Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 5 - 1 (� .../0-v / O Phone: 503.639.4171 Fax: 503.598.1960 . Plan evrew /�" ��re Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ' I 1 Date ReadyBy: hits: I El See Page 2 for Internet: www.ci.ti or.us g� Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE xi 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 ( 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath ' 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/ldtchen 45.00 ❑ Master builder ❑ Other. Fire sprinkler ( sq. ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 Q CtS 5 pJ �e vnbrcr+cw - � j - Catch basin or area drain 16.60 City/ State/ZIP: � `1 ry 1 - � ell, leach line, or trench drain 16.60 a C K. a Gt as Drywell, A \As Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: 11 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.:TO ) Page 2 Storm sewer (no. linear ft.: ,SO ) Page 2 Subdivision: �/_1& v; S }. � I Lot no.: go Water service (no. linear ft.:.SO ) Page 2 TO 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 9 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 0 t 1 Ejectors/sump 16.60 Name: J V, y i r.L,_ ti , r)C • Expansion tank 16.60 Address: jt 2 5 NW J` { K) Le4i_ If 2 on Fixture/sewer cap 16.60 City/State/ZIP: bekY q 4I00 (* Floor drain /floor sink/hub 16.60 Phone: (5 ) t, 4c 05 $ ( Fax: (SIP') fort q Lit Garbage disposal 1 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 n � �/� maker aker 11 16.60 Business name: K.�1 1/`2X51 [t I WnL2 S , T-Y)L• Interceptor /grease trap 16.60 Contact name: At, U 9G1iC. Medical gas (value: $ ) Page 2 Address: i q 2. 5 AAA/ An J */ � I pit j # ZOO Primer 16.60 City/State/ZIP: it Roof drain (commercial) 16.60 ' Sink/basin/lavatory ,S 16.60 Phone: ( ) Fax:: ( ) Tub /shower /shower pan 3 16.60 E - mail: Urinal 16.60 CONTRACTOR Water closet 3 16.60 Business name: ;5+r p I in c thwlbf v15 Water heater 8 16.60 Address: 2S 0S- S ' (,c/ • 7'1 V5 v L b . Other. Subtotal city/ State/ZIP: 4 tOt k 02. '1 700 Minimum permit fee: $72.5 0 Phone: (5 098- (,6S 7 Fax: (so3 37 Z - 954/3 Residential backflow minimum permit fee: $36.25 CCB Lic.: ( 2 ( I ( Plumbing Lic. no.: 3 q - 370 p u Plan review (25% of permit fee) G 624-4 State surcharge (8% of permit fee) Authorized signature TOTAL PERMIT FEE • Print name: j()/44414 h 8 l l I I - Date: 2 - g- 05 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:\ BuidingTamits \PLM- PermitApp.doe 12/03 4404616T(10/02/COM/WEB) STREET TREE CERTIFICATION I, 4cr 1 s .' , Owner /Agent for ; �se�5= �c �o ,n% e_ (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington County land use and development standards for street tree installation. ADDRESS: 1 a lo $ s QerrNbeArmylv 1- n. SUBDIVISION: ( 1\4 V ■ A LOT: LI0 SIGNATURE: DATE: --7-3_0--) (OWNER/AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) / I: \Building \Forms \StreetTreeCertificate 03/24/06 CITY OF TIGARD) ll) BUILDING DIVISION l Alt • PERMIT #: MST200& 10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 ." gy � i i l �! Inspection Requests (24 Hrs.): (503) 639 -4175 - . ` INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 78 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 7/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 051614 -01 503572 -5278 N Corrections /Comments /Instructions: b/ i d ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l Inspector: Date: / Phone #: (503) 718 - CITY OF TIGARD • Ilk BUILDING DIVISION PERMIT #: MST2006-10010 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I � INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7:03AM PAGE: 44 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA 1 . DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 7/5/20A7 Pour Time: Code # ' Inspection Description Confirm # Contact # Message 299 Final inspection 051465 -01 503.572 -5278 N orrections /Comments /Instructions: di" /e it/6 - • 4._ c - a '' 4,- ( ---- . 4,v6ete-e , .z) - w_ - 7 / , L 4 ./ i : 5 fd Ai- - - L�.tl /d-4 • do LA) X 445 , CA X iv• /r/s5 r/ �ir �A.P/9loG .5 ieP� B4,06 % 6 ' /+fO.eE 3 !' /, "E.esRt /e ' ti 6►Ve4 oe , :IPA - lc-et/AM //e/.0 6 `` i t/i ref cdi.✓ofe_. i .e s /e- °i0///___ , `/' `1 , t i :./ L- A -✓x/p/ 0 6 •r 7:e-e l ;e— 10 ) au re._ a ee � eL.M Ad, — Oe ifiF° ! f;A/A -a - 6-e //Sec C eeer — ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL � it -4 CAL OR INSPECTION ❑ADDITIONAL FEES ASSESSED t g '. Inspector: Date: -/ 07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200G10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Olt Inspection Requests (24 Hrs.): (503) 639 -4175 � ' � � F __.. INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 7/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 051377 -01 503- 572 -5278 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (/_e._ Date: , I Phone #: (503) 718- CITY OF TIGARD l BUILDING DIVISION A PERMIT #: MST200G -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 qp1 ; Inspection Requests (24 Hrs.): (503) 639 -4175 _ ` I I INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 34 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 - 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 - 0936 Inspection Request Scheduled For: Date: 7/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 05127402 503- 572 -5278 N Corrections /Comments /Instructions: 5z 4A.A- cLs „A, . • 0 k.„\q_ 14-bw �MM�,. 4 T (31.0 0 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ti4t G V Date: Z 41s 7 Phone #: (503) 718- ZYZr CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 w Inspection Requests (24 Hrs.): (503) 639 -4175 -�' 1 — INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0986 Inspection Request Scheduled For: Date: 6/29 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 051202 -08 503-572-5278 N Corrections /Comments/ Instructions: y� ' / d& .- . J .e ri-°-4° C� #` /21 ( '. • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector:il / 7 1.7 -( / Date: / Ai AP Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION / PERMIT #: MST2006-10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 11 1 Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' ! !� ^ ' IL . INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 Inspection Request Scheduled For: Date: 5/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 047727 -03 503- 572 -5278 N Corrections/ omme is /Instr ctions: I tiL r 55.i-R 14 - 7 \ le 2 -r44--40 1 1 - > e c\ fr,‹,g+-,a_ -cam L J-e i-,ti.� A4 ,- _ekg A --ge=e-..,--i‹._ ciLA--- 4,A, L/ i \J , / U t . E ) 9_,49-; e--A& S i-7,--U S . _0( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4,1- ' L Z � � Date: �/ ) 1 ?Phone #: (5 03) 718 - , CITY OF TIGARD ' BUILDING DIVISION `■ PERMIT #: MST200G -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 bl Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 5/7 /2007 TIME PAGE: 51 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 501645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 5/7 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 047727 -02 503-572 -5278 N Corrections /Comments /Instructions: v " (0,,w 1/4,..›„(-J '1-70,\-(,, ‘2413--Ar\ . dint\,\--1; ' --V1A_e i,le--4 Ik -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c7 - Z�/��, Inspector: Date: ? Phone #: (503) 718- I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639-4171 rl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 54 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 501645 -0986 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 305 Plumbing underslab 045560.01 971- 246 -1996 Y Corrections/Comments/Instructions: y� b� GL p. 312-7 I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS k- PASS ❑ FAI 4 'ALL. FOR INSPECTION ❑ ADDITIO L FEES ASSESSED Inspector: - Date: d Phone #: (503) 718 - Z-4) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200& -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1J- INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.098E CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045248 -03 971 - 246-1996 N Corrections /Comments / Instructions: C ( - j/. • i (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l V. Date: c) -i I Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 .� INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 12698 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 6450986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 045248 -05 971 - 246.1996 N Corrections /Comments /Instructions: t(A/ SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1111 l , 4 V Date: 3 )) Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639- 4171 uv 4 q�Iyr Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 603 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645-0986 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain • 045248 -02 971-246-1996 N Corrections/Comments/Instructions: fit}- -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _3) n Inspector: `/ Date: Phone #: (503) 718- CITY OF TIGARD r ` BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645 - 0986 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 045248-01 971-246-1996 N Corrections /Comments/ Instructions: 'LEA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (11,• ( Date: ✓ ). 2-A3 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. • OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 045248.04 971 -246 -1996 N Corrections /Comments /Instructions: • • • S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l ' Date: .3 s .2 / ) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1 Phone: (503) 639 -4171 fin+ Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `'/.— INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 31 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 7/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051281 -01 503-678-1355 Y Correctio s /Comments /Instructions: w 2 ,,,. 1 ,� 1 41 3 • 4, r . O 4a, . PASS ❑ PA" IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL p. /LL F R 1 1 - I■1—AR DITIONAL FEES ASSESSED Inspector: r • Date: / 1 ' --- Phone #: (503) 718 -2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200C-10O10 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 �w Inspection Requests (24 Hrs.): (503) 639 -4175 ' W ^'I 11 .. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 048300 -02 503- 678 -1355 N Corrections /Comments /Instructions: W re p�.Ac -'�3' N grill C. Wkag-V RAYXX I.f 1 1.1 eMt. lP j wrr S* 9 ci,3 Noka, act1 .1(k) 3'. (1■51k f3i lbiNiN EN'"(Z. . 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS - - L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G''- 10% Date: 6 Phone #: (503) 718 - 2114 CITY OF TIGARD 1111 BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `' .=.. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 103 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503. 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 048247 -02 971 - 246 -1996 N Corrections /Comments /Instructions: TA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G Date: Phone #: (503) 718 - r V `Y CITY OF TIGARD 0 - BUILDING DIVISION 0 PERMIT #: MST200&10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 A I Inspection Requests (24 Hrs.): (503) 639 -4175 I L. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # , Contact # Message 115 Electrical service 048300-01 503-678.1355 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'Ne t`it Date: 6 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION ' PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �� INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645.0966 Inspection Request Scheduled For: Date: 7/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 061274 -01 503- 572 -5278 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ! 4 FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t if Date: 7 2 -07 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION , ,- PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 A y Inspection Requests (24 Hrs.): (503) 639 -4175 ,' At INSPECTION WORKSHEET FOR DATE: 6129/2007 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 6/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 051202 -07 503.572 -5278 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 6 -29 - 07 Phone #:' (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171' I Inspection Requests (24 Hrs.): (503) 639 -4175 `'! I.. INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 43 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 048683 -01 971- 246 -1996 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2 /`zr 7 Phone #: (503) 718-2 /2 3 ,?/ CITY OF TIGARD f' • BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 ° `'i .. INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645 - 0986 Inspection Request Scheduled For: Date: 5/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 048495-01 971-246-1996 N Corrections /Comments/ Instructions: _ I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: c'" f 1 CY / Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION ' . PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 1� ' . INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0913E Inspection Request Scheduled For: Date: 5/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 048381 -01 971- 246 -1996 Y Corrections /Comments/ Instructions: ❑ PASS .❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS 7 A \ FAIL ❑ CALL Fc - INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 76_ 07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2006.10010 Oh li 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 , ' �1I1 Inspection Requests (24 Hrs.): (503) 639 -4175 !!+� __.. INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 5/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 048381 -02 971 - 246 -1996 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I 0 Inspector: Date: S 1 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2006-10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 4 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 104 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603&15.0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 048247 -01 971- 246.1996 N Corrections /Comments /Instructions: A n 0 paC��/.1' 111_ F � Le C. k:_ A rA1 L AG tn A) ® p LtAM QTi�J4 pALAAkTvtA7- Tt,Als zz o W4 /1S a"." lS/o13,1 ?ASS gniA6 )4- At A I)rc_A1 . 0146 .a ri42 Y/ZZZe 70 FP AM_I-A)4 A ar, Ji,A L 1 P LA.1v a 10 $ r7 - ft .rs '*, CO . c r PL Al 72O C ! r C srkf DP T, Tr, ARA 1f f c D 1J uP PLAN 00 - Sz TA 410n bick rizAri 7WCt tuo r rOf ( � t �c� l r TAM 6 o f ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MA) Date: 3 7 Phone #: (503) 718- 27c/ CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' ":_.. INSPECTION WORKSHEET FOR DATE: 5/1512007 TIME: 7:00AM PAGE: 102 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503- 6450986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645.0986 Inspection Request Scheduled For: Date: 5/1512007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 048247 -03 971 - 246 -1996 N Corrections /Comments /Instructions: !U O btAcr Co Nn - r4—C• 7 e ft) Liu `p c /v_FAAJ lip _0.. --y-0 • /C6J- Leta 627.f.4 f @ tC /✓4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I� � Date: J�� ? S J d ? Phone #: (503) 718- , CITY OF TIGARD 1 - BUILDING DIVISION PERMIT #: MST2008 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 4.4itb Inspection Requests (24 Hrs.): (503) 639 -4175 .. �.. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 101 SITE ADDRESS: 12698 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 048247 -04 971-246-1996 N Corrections /Comments/ Instructions: ova FC-- . - 0 A01.1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 / V Date: 'S - lS - eg Phone #: (503) 718 - V 7 S -, CITY OF TIGARD II BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .. °__.. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 99 I ' SITE ADDRESS: 12698 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 048247 -06 971-246-1996 N Corrections /Comments /Instructions: >±JO kOnNPe )JR - S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ! Date: 57-/s ^ --0 7 Phone #: (503) 718- 771 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200610010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 • Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639-4175 °_ -. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 98 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645 - 0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 048247 -07 971 -246 -1996 N Corrections /Comments /Instructions: N© vNbffi F ^ A 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J101 ✓ Date: 61 S — "C1? Phone #: (503) 718 - a 7 s/ CITY OF TIGARD ) BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 alit Inspection Requests (24 Hrs.): (503) 639 -4175 • P: _.. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 97 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 048247 -08 971 -246 -1996 N Corrections /Comments / Instructions: A & y TA 4_1), — C HCckt..D Nln ON a c AfS HAve. Ncrr �✓ `i .rr. .r 6 u hs l7T cT n d AJ Rq r,IC._9- D A T C D < -/ /D 7 N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: -S ' - O7 Phone #: (503) 718- D/75"1 CITY OF TIGARD al. $, BUILDING DIVISION PERMIT #: MST200G -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Ati q IJI' i Inspection Requests (24 Hrs.): (503) 639 -4175 �# 6 1J1. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 100 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BEU VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 048247 -05 971-246-1996 N Corrections /Comments /Instructions: / /07 A LizAA 4� � F4.55 k Can/ S/ / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ^ Date: P � ' 5-"--1:91 Phone #: (503) 718 - 4+' i CITY OF TIGARD - BUILDING DIVISION PERMIT #: MSi'200f -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 °`'' � .. INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 • CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 645.0986 Inspection Request Scheduled For: Date: 5/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 047420 -03 971 - 246.1996 N Corrections /Comments /Instructions: ,ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - d7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/112007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645.0986 Inspection Request Scheduled For: Date: 5/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 047420 -01 971-246-1996 N Corrections /Comments /Instructions: 4/6- T —Gu-r& Aj!9 /L Si / �S , X PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 07 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2006.10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F_ INSPECTION WORKSHEET FOR DATE: 5/1 /2007 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12698 SW REMBRANDT LN • CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503.645 -0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0986 Inspection Request Scheduled For: Date: 5/1 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 047420.02 971-246-1996 N Corrections /Comments /Instructions: %I #/ G o&_ yot.9,19c.I,tf ,v im A cr PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - 5-- / - ()7 Phone #: (503) 718 - v' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .,, J.. • INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 53 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 045560-02 971 - 246 -1996 N •Corrections /Comments /Instructions: ,t Z -U.4 Sp 'i VZ 1 e PASS 2 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL y L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: Date:Ske Phone #: (503) 718-S 69X x. CITY OF TIGARD `' BUILDING DIVISION PERMIT #: MST200&- 10010 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 b� j jl� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 — `__.. • INSPECTION WORKSHEET FOR DATE: 3119/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 -645- 0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: 900 Code # Inspection Description Confirm # Contact # Message 1 205 Footing 045012 -02 971-246-1996 N Corrections /Comments /Instructions: to• , , .' Alma 4 K K7 ❑ PASS • 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a ' L FOR INSPECTION ❑ ADDITIO L FEES ASSESSED Inspector: _ Date: J f 0 Phone #: (503) 718- o AI 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSr2006 -10010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 '�'�ii`i Inspection Requests (24 Hrs.): (503) 639 -4175 ^ _ .. INSPECTION WORKSHEET FOR DATE: 3/19/2007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503-645-0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: 9 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 045012 -03 971-246-1996 N Corrections /Comments/ Instructions: I 4 Ems ' , 4Z - _ ...-4c . _or : AI, Mb Am -.2..._ (1 1-----? 81- <- a) i (-- A1 ,_ PASS II - ,. RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL /1 • r FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / o Phone #: (503) 718 - �� 0 , CITY OF TIGARD _ . BUILDING DIVISION PERMIT #: MS 20061001Q " °` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...' IL. INSPECTION WORKSHEET FOR DATE: 31/9/2007 TIME: 7 :00AM PAGE: 38 SITE ADDRESS: 12698 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 040 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF. OWNER: RIVERSIDE HOMES INC, PHONE #: 503 - 645.0986 CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645-09136 Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa• - 415 Grading 045012 -01 971-246-1996 4 40P Corrections /Comments/ Instructions: 0 ' C .Z..._ P___Y° ( 4 , I PASS ] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL If CALL FOR INSPECTION ❑ ADDITION • L FEES ASSESSED Inspector: ■10. Date: 0 Phone #: (503) 718 - c '