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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00151 1Ii; DEVELOPMENT SERVICES DATE ISSUED: 6/13/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1106A -05600 SITE ADDRESS: 11865 SW WILDWOOD ST ZONING: R -2 SUBDIVISION: SHADOW HILLS LOT: 009 JURISDICTION: TIG • Project Description: Accessory apt. w /garage & excerise room w/ office. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS . REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 22 FIRST: 800 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,110 sf GARAGE: 576 sf FRONT: 30 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 IMP sf RIGHT: 5 VALUE: 197,120 80 OCCUPANCY GRP: R3 BDRM: 1 BATH: 3 TOTAL: 1,910 sf REAR: 25 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 2 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 2 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 2 BOIL/CMP < 3HP: 2.... VENT FANS: 3 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: 2 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 2 0 • 200 amp: W/SVC OR FDR: 10 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: (7 201 - 400 amp: lst W/O SVC/FDR: 0 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- 1000x: 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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DEIGNAN, JOHN E + MARY OWNER and all other applicable laws. All work will be done in 11865 SW WILDWOOD STREET accordance with approved plans. This permit will expire TIGARD, OR 97224 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: Phone: 503 - 475 3180 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080 You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 2,708.41 1- 800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : _ .. . , .rs ' `r l Permittee Signatu - - / AP ,....m.... Call 503 - 639 -4175 by 7:00 a.m..for an inspection that b If . This permit card shall be kept in a conspicuous place on the job site unt ..,• II • - tion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit A °T! vE FOR OFFICE USE ONLY City of Tigard Received . Permit No . 13125 SW Hall Blvd., Tigard, b 9 L ard, OR 9722[' (t 1005 8 / Date/By: 4/C7217 Q� ✓����Q/f f �` Phone: 503.639.4171 Fax 503 598.1 L. • ;I'M t �( Other Permit: T V 0s Inspection Line: 503.639.4175 , 6'' Plan Date/B vie Date Ready/By _Tuns 0 See Attached Checklist for Internet• www.ci.tigard.or.us CITY OF TI ARB Notifie. / tho. fi (� or ' � Supple, ental Information BUIW�INGI �IlnsioN M 1� , _,,, TYPE OF WORK - '' ` 1 �� , � ," , REQUIRED QUIREDA `,A:'1 -AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the " "= c work Indicated on this application. CATEGORY OF CONSTRUCTION =' , : = ` 'l ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ � J ' 6.0 U N 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: / / 8`gs sW w !LD U OOn New dwelling area: square feet City/State/ZIP: 7-p 64 RD 6It, ?722V Garage/carport area: square feet i Suite/bldg. /apt. no.: Project name: DE/ a y , v4W Covered porch area: square feet Cross street/directions to job site: a K / f /70K i74 /A) - ‹44950 if, /fs Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL, USE CI3ECKLIST Subdivision: S4 � /ids 1 Lot no.. Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . ' - 'DESCRIPTION OF WORK . work indicated on this application. 4 (ft 04/ i' I W /1ARA�6 4 4ei E}f,GE'+2-S /.6E Valuation: $ P66 la /17 P F /C E' Existing building area square feet New building area: square feet PROPERTY .OWNER '.. ' " El P - � • `, .�` ❑ , _r _ Number of stories: Name: .3-04 A D6714 N4& Type of construction. Address: 1/ P •6 s s w A ., / ,l;D "a 0 Occupancy groups: City/State/ZIP: 7/64AD ' D C OA) , 9 ? 2.Z '/ Existing: Phone: (.503) 6 3 %o � Fax: ( ) New: ' '4 APPLICANT - • ❑ CONTACT PERSON NOTICE - _ ` ' Business name: S4.trt c_ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: . CONTRACTOR , . . . Business name: /� -7 l� • ,,. ''' - _- l� I . s , BU JLDING PERMIT FEES* Address: City/ State/ZIP: Please refer to fee schedule. Phone: ( ) Fax: Fees due upon application ( ) CCB lic.: Amount received 1 — Date received: Authorized signature: l `!—` This permit application expires if a permit is not obtained l ) \ n within 180 days after it has been accepted as complete. Print name: WI ' 1 NI Date: H U J * Fee methodology set by Tri- County Building Industry Service Board I \Bwldrng\Pemtits \BUP- PermiApp doc 12/03 440- 4613T(1 I /02 /COM/WEB) , . Building Division /ia�u�p�, .�I�j Pl an Submittal Requirement Matrix � ---' Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans . • (Includes new, additions and alterations.) Required at . ' Submittal . Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 • Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Buildmg \Forms \COM- PlanSubRe 12/24/03 ' Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Dateed y. Permit No OD/5..'1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /�� , 1'ti I ' Date/By Other Permit No. • ''`�i1 Hour Inspection Line: 503.639.4175 ET Date Date Jan' ® See Page 2 for Internet: www.ci.tigard.or us Notified/Method: Supplemental Information TYPE OF WORK' - ' • FEE* SCHEDULE : ❑ New construction 0 Demolition For special information use checklist Description I Qty. I Ea I Total K Additiorl/altcration/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 Accessor building ❑ Multi- family SFR (3) bath 399 00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 r JOB- SITE INFORMATION AND' LOCATION, e , ; Site utilities Job site address: / / z6 5 513 IA) f [.D 000D Catch basin or area drain 16.60 City/State/ZIP: r/6 Ala O oz. 9 2 ,2 ii Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: ��'/g MIA) Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: au ii "'k mG k rAl / Ai Tel �� // Manholes 16.60 , 0 4 DOW /, ;( ( Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 5/4 DD w Ibis' I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16 60 : DESCRIPTION, OF, WORK: `" � /6 .. > ' I- Backflow preventer Page 2 /4CcEsJoR/ Apr, At2xtG6 4-4) D Backwater valve 16.60 E xcE2USE goo 4, /AFFi c L Clothes washer 16 60 Dishwasher 16 60 c PROPERTY W1' ER'-, . ❑ TENANT Drinking fountain 16.60 < O I .!.; ','' Ejectors /sump 16.60 Name: S O /t ''l SE / 60v411./ Expansion tank 16.60 Address: // 8'65 S4! AJ /GD G/O OD Fixture/sewer cap 16.60 City/ State/ZIP: 7-/6 .j 2•D/ QQ 97.22 / Floor drain/floor sink/hub 16 60 Phone: (S03) 6Ap — 396 o Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 - , ,APPLICANT : , _ 0 CONTACT PERSON - Ice maker 16 60 Business name: s4 F Interceptor /grease trap 16.60 Contact name: EAI C. GA_ _ 1 /( A ✓ £ Medical gas (value: $ ) Page 2 Address: S 0 S!6 7 0 5 5 Primer 16.60 City/ State/ZIP: Roof drain (commercial) 16 60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 3 16 60 Tub /shower /shower pan i 16 60 E -mail: Urinal 16 60 ' . . CONTRACTOR' 6 • Water closet 16.60 Business name: d Ili QA-- Water heater 2 16 60 Address: Other: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee $36 25 CCB Lic.: - ,Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: r l • • • TOTAL PERMIT FEE W Print name: ilniti Date: ©NE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board i.\ Building \Pcnnits\PLMF- PermitApp doe 12/03 440- 4616T(1 0 /02/C0M/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site U,tilities,v- - ;. • Qty. Fee (ea) Total Square Footage: - • Permit - Fee: Footing drain -1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46 40 2,001 to 3,600 $160 00 3,601 to 7,200 $220 00 Sewer - 1st 100' 55.00 7,201 and greater $309 00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55 00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation:- • Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1 00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001 00 to $10,000.00 $72 50 for the first $5,000 00 and $1.52 for each Fixture or Item Qty. Fee (ea) . Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000.00 $148.50 for the first $10,000.00 and $1 54 for Residential Backflow Prevention Device each additional $100 00 or fraction thereof, to (minimum permit fee $36.25) 27 55 and including $25,000 00. Rain Drain, single family dwelling 65.25 $25,001 00 to $50,000 00 $379.50 for the first $25,000.00 and $1 45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000 00 Subtotal: $50,001.00 and up $742 00 for the first $50,000.00 and $1.20 for each additional $100 00 or fraction thereof Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity, by (Fixture) Work Performed Fixture Typ'eE, = : •- Replace V eiv ` . ` Moved Existing Capped: Comments regarding fixture work: Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain Eye Wash Floor Drain/sink - 2" - 3" - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial *Note: If the fixture work under this permit results in an -Industrial Ice Mach./Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Commercial Isometric or riser diagram is required if fixture quantity - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: I \BuddinglPermiis\PLM- PermitApp doe 3/03 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard 4110, Received Date/By. Plan Review Permit Noly 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503 639 4171 Fax 503.598.1960 //.600 Date/By Other Permit: Inspection Line: 503.639.4175 ,....14,.. ei 1 I Date Ready/By: ions RI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method Supplemental Information TYPE OF WORK- ., ,,: : .7.., , t:.:-y,:1.,. : .. ,,,,:_;; ' COMMERCIAL ,FEE,*..SC ITEDULE:-/-1JSE;CHECICLIST ' • ... . Mechanical permit fees* are based on the value of the work D New construction NI Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. , ',..', , „ ' '.'" •-.` '. l't .` ' " CATEGORY OF CONSTRUCTION . ' ..;' ' '14.i-;',.: Value $ RESIDENTIALTQUIPMENT/SYSTEMS FEES* El 1- and 2-family dwelling 0 Commercial/industrial ad Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description I Qty. Ea I Total JOB SITE INFORMATION AND LOCATION : - . Heating/cooling Air conditioning or heat pump Job site address: I R. 65 s• Lj At i Lo s. tt , 0 9 (requires site plan showing placement) 14.00 City/State/ZIP: TI 6-,,,.w 0 « 7 7,22,V Furnace 100,000 BTU (ducts/vents) ,,2 14.00 / Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: . 70 DE I AAA, Gas heat pump 14.00 Cross street/directions to job site: Duct work 14 00 Hydromc hot water system 14.00 Bed/ /16144-r4.4 7 o A" A4 4,90 4 .> IV / // Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc 10 00 Flue/vent for any of above 2 10.00 Subdivision: Lot no.: Other: 10 00 Tax map/parcel no.: Other fuel appliances - , . • -, . , , , , , _ -- ., ,;' DESCRIPTION.,OF- WORIC ..•, ' " -. ' l'" Water heater z 10.00 Gas fireplace 10.00 4 "INENWP ‘X C tgeS/S tr gel ID ". st) /P P A / c 6 Flue vent for water heater or gas fireplace 10 00 4,4 p ACCES(64/cc 4p7 S 01/4 244 K g Log lighter (gas) 10.00 Wood/pellet stove 10 00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 El PROPERTY 6WNER': ''' . ., t. - -' ' E' TENANT ‘ - -`' - • .:. • _ . -2 — , . — . , . ,- . ... _.:. Other. 10.00 Name: Zs A frx D s /6, it Environmental exhaust and ventilation Range hood/other kitchen Address: // 8 .s . ej d 1 Lc, ) 0 9 0 equipment 1 10.00 City/State/ZIP: n 6 ika,i) 6 g , 9 7 22 c i Clothes dryer exhaust 10.00 f Single-duct exhaust (bathrooms, Phone: (503 ) 6 20 s 3 7 6 6 Fax: ( ) toilet compartments, utility rooms) 2. 6 80 .,' 0 APPLICANT '' : - j '-- . , 0 'CONTACT PERSON .°- '.- - '" Attic/crawlspace fans 10.00 . . , - " ' Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. 2 Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater 2. Fireplace E-mail: Range ' 16:iri r ritAc - to ' R - -''' Barbecue Clothes dryer (gas) Business name: ,„/ 0--1,11/A_ Other Address: - '-. - - -, ; .., , ,--;' -MECHANICAL pERMITTEES- City/State/ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: I State surcharge (8% of permit fee) ---- TOTAL PERMIT FEE ' ! .11, , This permit Authorized signIV7-- , ..:. -.. \ ol -1----- i # , ' NM application expires if a permit is not obtained within 180 has been accepted as complete. TO Print name: RI ` MaralMil Date: Arai= days after It • Fee methodology set by Tri-County Building Industry Service Board ■11r lir t \Builduig \Perms \MEC-PennitApp doe 12/03 440-4617T (11/02/COWWEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: itlf ee: 3,"7 � E .Sv F = °1k ,r % ',- Total:yaluation• w r • Perm $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or • fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including ' $50,000.00. • . $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and ; . • $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or • fraction thereof. • Note: All new commercial buildings require 2 sets of plans. .tt i:\Building\Permits\MEC- PermitApp.doc 12/03 2 ' Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: y . PemvtNo. ' v! �i�g� 15-1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review , Phone: 503.639.4171 Fax: 503 598 1960 G '44' � I Date/By. Permit. Inspection Line 503 639.4175 s I I Date Ready/By Juns 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction Eg Addition /alteration/replacement Please check all that apply: ❑ Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑Other: ❑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 Et Accessory building OSystem over 600 volts nominal units in one structure 0 Building over three stories 0 Feeders, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: ❑ Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park .` t' ❑Health -care facility ❑Other. Job no.: Job site address: /174,5 SW IA), LO[JO 6D Submit 2 sets of plans with any of the above. City/State /ZIP: T/ 6 'i.l t D Q k, 9 2 225! The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: ' Project name: DE 6. N , 4 ,ti FEE* SCHEDULE Description I Qty. I Fee. I Total I ** Cross street/directions to job site: a /10 / r v Tt, sneworl New residential single or multi - family dwelling unit. Includes attached garage. Ili //f 1,000 sq ft. or less 145.15 4 Subdivision: s Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 �/4d C A /� Limited energy, residential 1 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK - Each manufactured or modular � - dwelling, service and/or feeder 90.90 2 /¢pprIp D P 4 c CFSse. cy Ar I , 4 R4 E ai Services or feeders installation, alteration, and /or relocation CX CLCQ J r/ .1'4" Roo /D PFfc b 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 401 amps to 600 amps 160.60 2 Name: ` '� h a 'ps 6 A) 4t J 601 amps to 1 amps 240 2 Address: // O. es s L, t /11 4,6 A 1� Over 1,000 amps or volts 454.65 2 O Reconnect only 66.85 2 City/State /ZIP: 77 dAteD D� 9 Z 22V Temporary services or feeders installation, alteration, and/or , b3) 2O Fa x: ( ) relocation Phone: (5 6 — 3 t 6 a 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 0 CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each i� 6.65 2 / 70 ty/State /ZIP: ntact name: dress: name: branch circuit / B. Fee for branch circuits without service or feeder fee, each branch circuit 46.85 2 Each add'l branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 2 Sign or outline lighting 53.40 E - mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension Describe: Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic : Electrical Lic.: Suprv. Lic.: Subtotal K ..).. Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge, (8% of permit fee) TOTAL PERMIT FEE Authorized signature: I `A This permit application expires if a permit is not obtained within 180 � 1 / _ days after it has been accepted as complete Print name: �� Iv Date: (4/2/0 J • Fee methodology set by Tri -County Building Industry Service Board " Number of inspections per permit allowed. i \Building\Penmits\ELC- PennitApp doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm • ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: V Fee for each commercial system $75.00 ' (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio .and Stereo Systems ❑ Boiler Controls - ❑ Clock Systems ' ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other . Total number of commercial systems: *No licenses are required. Licenses are required for all other installations - I \Bwldmg\Permds\ELC- PermrtApp doc 04/03 - • osi 16. 2005F11:59AM Plumbing OF TIG No. 5634 P. 1L CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 Plumbing Signature Form Permit #: MST2005 -00151 Date Issued: 6/13/2005 Parcel: 2S110BA -05600 Site Address: 11865 SW WILDWOOD ST Subdivision: SHADOW HILLS Block: Lot: 009 Jurisdiction: TIG Zoning: R -2 Remarks: Accessory apt. w /garage & excerise room w/ office. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received • OWNER:. PLUMBING CONTRACTOR: DEIGNAN, JOHN E + MARY RAYBORN'S PLUMBING INC 11865 SW WILDWOOD STREET PO BOX 69 TIGARD, OR 97224 TUALATIN, OR 97062 Phone #: Phone #: 503 - 692.4139 Reg #: LIC 87852 • PLM 34 -166PB AN INK SIGNATURE IS REQUIRED ON THIS FORM . X • Signature of Authorized Plumber • If you have any questions, please call 503.716.2433. I . .) Avr•29. 2005 8:55AM CLEAN WATER SERVICES 503 6814439 RECEIVED 1 �i APR ; �� 11 t' 1 �� APR 2 9 2005 21 2005 � CITY OF TIGARD BUILDING DIVISION Y �-- _. He Number 10 C1eanWater Services -OO Iii I Our eommltmcnt is aill,r. Sensitive Area Pre - Screening Site Assessment Jurisdiction , - CiTy o P ' lift,, D Date S, (.ie 2 005 ._....._ _ Map 8 Tax Lot 2S/1 8R O S4, 6 6 Owner ] w ok . .„ lens-04.4. Contact Site Address // r 6 5 S ..1 w f l 0 4,490 a Company . — - 77 a '(20 ea, 9 722 1 Address 11R6 S S'J aI cnrwoOD Proposed Activity / 4Dv,Tie•u c City State Zip f7 64R D cot, 9 722V Phone -ro3 .. 6 .qo _ ,3 q- O Fax 503 3 32 ofioie, use wry below this line Y N NA Y N NA S ensitive Area Composite Map Stormwater Infrastructure maps Ti: D D # a��m,,q C_:) ❑ r l ass 4,17 _ 74 Locally adopted studies or maps Other ❑ ❑ rA Specify .� ❑ Nat Specify Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 04-9: ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. if Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. El Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. O The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: /4,,,,,, lIy $.a,;,. ✓t asr. r/ /Iv he Ohow/ _.. Reviewed By: &tw Date: _y /,tT/G S Post - ir Fax Nom 7671 Yfrpkf' ► ` Relented [O Appliawrt To 12€1902 tia° M� � e `er► �6� Fax � Commie, /, y Date M/. / OS Byj Co opt- co. E•d3 Motel vrono • 03 S/Od Fels 517 ' 5 t, Fmr Permit #:V 0 20 C - 00 /,s/ Address: //Y6_5 S (,,) "1 ock.„/ Issued by: / / j 05 .3f Date: 6/0 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1" 1. I own, reside in, or .will reside in the completed structure. . Fo J 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is l I (Name) Contractor regis. # • I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR FIO 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit.of the name of the contractor. I hereby ce • ' that the above information is correct and that I have read and do understand the Information Notice t Property .Ow ers about Construction Responsibilities on the reverse side of this orm. (' ig i I f permit applicant) - - (Date) (White copy to issuing agency permit file, - pink copy to applicant) nvoronatl:u®n Notice to Property Owners About Constr cfio 1 Respo sithMt es :Vote: This Information Notice to Property Owners about Construction Responsibilities - was developed by the Construction Contractors Board in accordance with ORS 701.055(5).. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the follow ing: • Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept.‘ofR'evenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information; call the Oregon-Employment Department at.378 .i524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs ifone ofyour employees is injured on the job. For more information, call the Workers'•Compensation•Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be " liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1- 800 -829 -1040. OTHER RESPONISI?ILITIES AND AREAS - OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failureto meet code requirements that may be brought to your attention through inspections. • Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. • Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrough -in and finish trades, and to notify building officials at the appropriate times so they can perform the' required inspections. If you have additional•questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. _ prop -own. pm4 1/94 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2005 Oo'151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1312005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1.L • INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7:06AM PAGE: 25 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: • SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 023623 -01 503-647-5266 N Corrections /Comments /Instructions: c71 �/ IT/PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V / Date: /g.--"6. oS Phone #: (503) 718- CITY bF TIGARD i.• - BUILDING DIVISION ' PERMIT #: MST200S -00151 13125 SW Hall. Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F :_ I INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7 :01AM PAGE: 57 SITE ADDRESS: 11865 SW WiLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room All office. 2113/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. 5/30/06, added backflow device. 6/08/2006 adding (2) AC units. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/20/2006 . Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 031972 -01 €03. 647 -5266 N Corrections /Comments /Instructions: • • • • • • PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL E CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: —2D Phone #: (503) 718- 2-4-1 . CITY OF TI'GARC - a, BUILDING DIVISION PERMIT #: MST200 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/'13/2005 Phone:' (503) 639 -4171 �' uw �II ' Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. • INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM • PAGE: 48 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: - DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room WI office. 2J13/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. 5/30/06, added bacldlow. device. OWNER: DEIGNAN, JOHN E •+ MARY, PHONE #: . CONTRACTOR: ' OWNER PHONE #: Inspection Request Scheduled For: Date: 6/612006 - Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031167 -01 503 -647 -5266 N . Corrections /Comments /Instructions: Air WI ❑ PASS ❑ PARTIAL APPROVAL I►2 CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CHIP Date: 6. 6 .0 4 Phone #: (503) 718- �.‘ ‘7 • CITY OF TIGARD t, BUILDING DIVISION PERMIT #: MST200f -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171 °' rylu ,4' Inspection•Requests (24 Hrs.): (503) 639 -4175 ^'I �� INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7 :08AM PAGE: 15 @.A? VAC F SITE ADDRESS: 11865 SW WLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN . DESCRIPTION: Accessory apt. vv/garage &_excerise.room wt office. 2/13/06: Upgraded electrical service, added (1) 200 +amp. Job #47901.5/30/06, added bacl4low device. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: . CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled' For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031021 -01 503-647 -5266 N Corrections /Comments /Instructions: iZ��cD < ZG • 0 C, G-I /u S o 4 6,l - _ .' (Jr 6t i" • • • • KPASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • Inspector: C Date: t� "36 Phone #: (503) 718- C� • CITY OF TIGARD. BUILDING DIVISION PERMIT #: MS T2005.00151 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/13/200:; Phone: (503) 639 -4171 4�p1 i Inspection Requests (24 Hrs.): (503) 639 -4175 � ' , � I L. INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room vv/ office. 2113106: Upgraded electrical service, added (1) 200Efamp. Job #47901. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message -199 Electrical final 030663 -02 503-647-5266 N Corrections /Comments / Instructions: 1.11, 24 ti:� ' .��� S eS3 TO '�,�]� ��'' L•_ J k V 10:LPATVV,s--1111111rVIV W W V 6). t icALA \ IC 3 IC CA (k tMA - P' � 1 . ► � l �o c�► / N 5 PRJSN i � L di - Ti 0 1p A ND (3 b"1to rN oV ST I R6 <tyK. WF■ 6 W. • ? I A `ro csa 0'1 a0'6\0 • Q 1�. � w- 6 2w Nod P�a� �o p v p otZ U • �N‘ is- ia. (Z,C S��Z,� vJ O©D (44?)ItAll t:I ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS )FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' • N kYB Lt = Date: 1 2 I 0 6 Phone #: (503) 718- 217 CITY OF TIGARD' fil a —o - BUILDING DIVISION PERMIT #: 045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 11 11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 1,0 P �^ CLASS OF WORK: SITE ADDRESS: ( (�� SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: • OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - 0 Pour Time `- A- rn , Code # Inspr=ption Confirm # Contact # Message Q Corrections /Comments /Instructions: • • • • • Zli,(ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ° 31 . - " 6-. Inspector: • A. "" Date: 3 11 Li L Phone #: (503) 71 S- CITY OF TIGARD - I BUILDING DIVISION PERMIT #:a pUS_ DO /S7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: - SITE ADDRESS: ' ' g ( s W CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - / 3 ' Pour Time: Code # InspectinDcription Confirm # Contact # Message /2--6 � 6 ` Corrections /Comments / Instructions: Pct-44 I at .�..1§0 v c L- 66.) Ofd-L6 OAL 2- 0 V) tZ.V\ l bsk(t) 1 0 latCika • PELAN re4 v4 i (tA Fa.. ' Tv 8 . (4T • ISWOM A w \Mr d R1,44 3 0 67E6 (z, • • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector:, i\i6s 1Jk' Date: 3 ri 61, Phone #: (503) 718- 2-114 CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: IBS- 1-200F► -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6J13 /20I15 Phone: (503) 639 -4171 iR'lllf Inspection Requests (24 Hrs.): (503) 639 -4175 = INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 2:22PM PAGE: 22 SITE ADDRESS: 11965 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. W /garage & excerise room wrl office. 2J13/06; Upgraded electrical service, added (1) 200 +amp. Job #47901. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER • PHONE #: Inspection Request Scheduled For: Date: 2/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026867 -01 503-233.6467 N Corrections /Comments /Instructions: • • • i t k PASS ❑ PARTIAL APPROVAL , ❑ CANCEL ❑ NO, ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &T \R `1 qq)sk- Date: 51 6 Phone #: (503) 718- 2 ` 1 CITY OF TIGAREY • BUILDING DIVISION PERMIT #: h�;f:?t,1f)�, UI)11;1 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: €I13/200 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 `: _.. INSPECTION WORKSHEET FOR DATE: 2/ 13!2006 TIME: ?:03AM PAGE: tc; SITE ADDRESS: 1 186E SW WiLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DFIGNAN DESCRIPTION: AC : ce soiy apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 026765 -01 503 - 233 -6467 N Corrections /Comments /Instructions: (5 kop • • • ❑ PASS ❑ PARTIAL APPROVAL- ❑ CANCEL ❑ NO ACCESS • 'r<J FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED // / // Inspector: / �/ • % Date: Z 13 b Phone #: (503) 718- _L01_ CITY OF TIGARD- 64414 BUILDING DIVISION PERMIT #: M h 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171 oII�' °�* Inspection Requests (24 Hrs.): (503) 639 -4175 .' I INSPECTION WORKSHEET FOR DATE: 12/1312005 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: . Date: 12/13/2005 Pour Time: 200 Code # Inspection Description Confirm # _ Contact # Message 3u 120 Electrical rough -in 023382 -01 503.233 -6467 Y7)144 -z Corrections /Comments /Instructions: 0.� - M ago •� ���.` V 1p9aa DPP\ N\SYZJ3020 6 in G•• I F ' 4 L3% ;,... �.. • qM A iievitg • )4 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • V �q Date: 1 2f 1 3 o Phone #: (503) 718- Jti. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6113/2005 Phone: (503) 639-4171 W ,�, i ll - Inspection Requests (24 Hrs.): (503) 639 -4175 •:_.. INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7:02AM PAGE: 69 SITE ADDRESS: 11865 SW WLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w/garage & excerise room tnr/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 022989.01 503-233 -6467 N Corrections /Comments /Instructions: Q l r to Ai L L. iz - P Ni G= Owoo rr u N 0 PA NS (• 1 -pi) sERNI1 r "Pi II o coo. s ',ON • AZ1 :64 2 " FNNI e0115 viva°, 1...a 41- kL-L. L Vgith Vai A pptasviO • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' v I V 6 L Date: 12-- 6 ` 0f Phone #: (503) 718- 20 CITY OF TIGARD li - ; , -w' /mod I. BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171ngp�' {� Inspection Requests (24 Hrs.): (503) 639 -4175 � � INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 31 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN ' DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. • OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 020388 -01 503 - 233 -6467 N .Corrections/Comments/Instructions: i . ∎ /1 . ..A _: � _ 4 • %4 ' - ?iv __ AR./ N t tO 7�v R Svc 4 a'-, Gw44 • • ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS IL ❑ FA ❑ CAL FOR INSPECTION !❑ ADDITIONAL FEES ASSESSED Inspector: i Date: U` K Phone #: (503) 718- , CITY OF TIGARD" • BUILDING DIVISION PERMIT #: MST200•O01b1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 �mupu Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �.. • INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 11865 SW WI LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room w/ office. 2/13106: Upgraded electrical service, added (1) 200 +arip. Job #47901, OWNER: DEIGNAN, JOHN E 4- MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 030663 -01 503-647 -5266 N Corrections /Comments /Instructions: / �. J / . - . ,./ice .�! • • ❑ PASS 111 - RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \1 2 i n Inspector: Date: b Phone #: (503) 718 - • CITY OF TIGARD " BUILDING DIVISION PERMIT #: MST20Ub 001x1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &13 /2006 Phone: (503) 639 -4171 .` l]�UI�I�I Inspection Requests (24 Hrs.): (503) 639 -4175 W °:_.. INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 54 SITE ADDRESS: 11865 SW W LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. am /garage & excerise room WI office. 2/13/06: Upgraded electrical service, added (1) 200+amp. Job #47901. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/2.8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 030663-03 503-M7 -5266 N Corrections /Comments /Instructions: • • • ftf ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: AA '.' Date: Phone #: (503) 718 - CITY OF TIGARD" BUILDING DIVISION PERMIT #: MST2005.00V i i . A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/131200 Phone: (503) 639 -4171 ta� • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 7:07AM PAGE: 49 • SITE ADDRESS: 11865 SW W1LDVVOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory: pt. wlgarage & e.xcerise room w/ office. 7113/06: Upgraded electrical service, added (1) 200+amp. Job #47401. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 027732 -01 503047.5266 Y Corrections/Comments/Instructions: • 1. i ii -ASS ❑ PARTIAL APPROVAL ❑ CANCEL / ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f/ (. / e.- Date: y Phone #: (503) 718 - I • :N. . CITY O TIGARD " - BUILDING DIVISION PERMIT # MST2005 -00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C�l13f2i1G =; Phone: (503) 639 -4171 i' s ' l t l iffi Inspection Requests (24 Hrs.): (503) 639 -4175 , „_ ^' I =.. riP9g INSPECTION WORKSHEET FOR DATE: 2/14/7006 TIME: 2:27PM PAGE: 86 . SITE ADDRESS: 11865 SW WI LDWOu® ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: /Accessory apt. vi/garage & excerise morn wv/ office. 2/13/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. OWNER: DEIGNAN, JOHN E - MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/14/2006 Pour Time Code # Inspection Description Confirm # Contact # Me- 0 320 ' A rt Plumbing rough -in 026820-01 503-6914139 Corrections /Comments /Instructions: baAefir- 1 o l_ - s ,, --,-- was 1 151 4 KJ ok; L ? Leje lAiL2■il--- Y \ - - 7- ■ c■e-j■ . P .ems - Wes: s 2:::... . 1 ' . a __ AA, ra_et_ .4 cl-v \f,...)cu_A c-ii-e-•/ ILA . lei-j6k-.) . 1 5 i a s_ ‘f 4 oy■, I (5149 Wj S ..■/-: X02. 0 0 -P- AA c�____ I 1 Ar-e D u, ) U --iO4.44-0, je I C k 6 A-0 . t n 6 c • ► j4-e, a � a.,11 --A7 . I , 'S 1 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS j 1 FAI 0 Ell CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c Inspector: �� D ate:) d Phone #: (503) 718- 2 J (� r CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ML;I2006.00i;1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '13/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 „— I . INSPECTION WORKSHEET FOR DATE: 211!200(3 TIME: 7 : 02AM PAGE: 43 SITE ADDRESS: 111366 SW W LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w/garage & excerice room Ins/ office. OWNER: DEIGNAN; JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 026088-01 603 -692 -4139 1' Corrections /Comments /Instructions: . �. /mod i • ❑ PASS [ `PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ✓ ' r7 Date: 2.- 1( Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00151 ry 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 Ar Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ ' ° LL INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM • PAGE: 8Q SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: • Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 305 Plumbing underslab • 022501 -02 503-647 -5266 ' N Corrections /Comments/ Instructions: • • '=PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONALFEES ASSESSED Inspector: Date: r Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 1t INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 85 SITE ADDRESS: 11865 SW WILDWOOD -ST • CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain , 022501 -01 503-647 -5266 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: • Date: Phone #: (503) 718- • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 Ak , I Inspection Requests (24 Hrs.): (503) 639 -4175 "'I L. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 86 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room vv/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 022499 -01 503 -647 -5266 N Corrections /Comments /Instructions: • • • • • • 4 _,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: frr fOs Date: tt tzq / Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 'I —, INSPECTION WORKSHEET FOR DATE: 11/28/2005 TIME: 7:05AM PAGE: 36 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 022407 -01 503692 -4139 N Corrections /Comments /Instructions: I /1 g._ J M PASS - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector; Datel //JIM Phone #: (503) 718 - CITY OF TIGARD .. - . BUILDING- DIVISION PERMIT #: MST2005-00151 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13 /2005 Phone: (503) 639 -4171 I 1 - Inspection Requests (24 Hrs.): (503) 639 -4175 _J at °-- INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 45 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: lcce a°T I i i & rise rotim w/ f ce ) OWNEI : DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection 'Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message _ 320 Plumbing rough -in 021432 -01 503 -692 -4139 N • Corrections /Comments /Instructions: • • 4 -7 • • ) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /27)/d Date: / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ^_ INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 97 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room WI office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 021213 -01 503-692 -4139 N Corrections/Comments/Instructions: „or # _ -- - — - - / .//) — - L1i • • • ❑ PASS 14LEARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • rr7 Inspector Date: t " Phone #: (503) 718- • CITY OF TIGARD ,. • • BUILDING DIVISION ,. PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 V Phone: (503) 639 -4171 tama Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7 :03AM PAGE: 20 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 ' TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room - w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503-475-3180 Inspection Request Scheduled For: Date: 9/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 016258-03 503- 312 -0202 V N Correctio s /Comments /Instructions• s \e_ , • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL " V V ❑' NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED `(,11 / .Inspector: Date: �( / Phone #: (503) 718- fJ V CITY OF TIGARD - BUILDING DIVISION P ERMIT #: MST2005 - 00151 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED. 6/13/2005 Phone: (503) 639 -4171 a ,N�ryp,� i l l Inspection Requests (24 Hrs.): (503) 639 -4175 __� 92/ INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7 :03AM PAGE: 60 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 11865 SW WLDWOOD ST LOT #: TYPE OF USE: PROJECT NAME: SHADOW HILLS 009 DESCRIPTION: DEIGNAN Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER 503-475-3180 #: 503 - 4753180 Inspection Request Scheduled For: Date: 9/21/2005 Pour Time Code # Inspection Description Confirm # Contact # Message , U/ 315 Postlbeam plumbing 016249-01 503 -312 -0202 e d Corrections /Comments /Instructions: '1� (5 °9 -P Sc \2 / C`�►' C u te r) Si■ILA ‘__I-e_ e , 4" V, OAAAti) �,,, -� .x.t_ 4-- G - A \ 1 as -- 6 U-,- - 0N-v,/ \ SA 6i5 L " / , Y -- j co-a. -- (z,A,..\ A4, - 17‘..6.--A -- iAA s \-- _e___r_c . V_.(74, et..-t-__A_ 4- (' 3e1,_ ( ❑ PASS . 1` PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ 'A DDITIONAL FEES ASSESSED Inspector: VA Date: 9/ Phone #: (503) 718- c _ Y' CITY OF TIGARD . BUILDING DIVISION . f PERMIT #: MST2005-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &'13/2005 Phone: (503) 639 -4171 v i �l� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' __-. INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 67 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503-475-3180 Inspection Request Scheduled For: Date: 9/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 016098 -01 503-692-4139 N Corrections /Comments /Instructions: .. .u 5 s Y e _ . - e - v • i • " / ( W C - - - ( 6--j■-\ ` ii Oil1 ) o e i.J CA r kd iL. (gin 4-( L/1— L & 1 U AA r � 1 r• 4-.Y e _ Ni --ga..„ --- ef ❑ PASS VEARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 / 2/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION r PERMIT #17/613606--e0/7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 711111ifis Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / g(os %4,LJd 00 CLASS OF WORK: • SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: 2 4/7- 64, Inspection Request Scheduled For: Date: 9 -- - Pour Time: Code #32 Inspection Description Confirm # _ Contact # Message • R‘1/4A,InAtO (20v.00e. °Iwo'. 61 Corrections/Comments/Instructi•ns: tr+ it • - • A_cA_ Ve-43-a • • • 0 PASS 0 PARTIAL APPROVAL ' I K CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: // Phone Phone #: (503)118- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 v A. Inspection Requests (24 Hrs.): (503) 639 -4175 R _ INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7 :07AM PAGE: 60 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: ' SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt: w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503.475 -3180 Inspection Request Scheduled For: Date: 9/20/2005 Pour Time: Code .# Inspection Description Confirm # Contact # Message 335 Rain drain 016114 -01 503-692-4139 N Cor ections /Comments /Instru ions: - .buri--trzp,-c -- et - L-NA. IQ a CA0--tf_3-.z- . • Ate', :tL if LQ Lc:/L__Q i O-At__ 1t - 4 eQ - .c tt.„1„.___43 ,. . c , _-(A.:4_____,:t__3_,. 4- ro eik..., c)(-- ei c ., c,c)..1—kr<__ . , • �✓1 � 4 2 - Is -- `l',--Q 1-� 111 11 s • 0) . . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS FAIL ❑ . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ''< CI � ' D� Inspector: Date: /�� Phone #: (503) 718 - CITY OF TIGARD F6 BUILDING DIVISION PERMIT #: MST` 005 -001 i'I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13f2O0 Phone: (503) 639- 4171'.•i (' Inspection Requests (24 Hrs.): (503) 639 -4175 `LL INSPECTION WORKSHEET FOR DATE: 17128/2005 TIME: 7 :02AM PAGE: 10 SITE ADDRESS: 11865 SW 1MLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: p09 TYPE OF USE: PROJECT, NAME: DFIGNAN • DESCRIPTION: Accessory apt. w /garaga & excerise room w/ of *ce. OWNER: DEIGNAN,.JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/280005 Pour Time: Code # Inspection Description Confirm # Contact # Message 05 Drywall nailing 024093.01 503.617 -5266 N Corrections /Comments /Instructions: KielV 0/42earejd-e R 06-7,4 q6/ ce. • . • • • • • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , 9 --- 7 ' Date: ( Z Phone #: (503) 718 - 0 G i J CITY OF TIGARD r BUILDING DIVISION PERMIT #: MST200 00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611312006 Phone: (503) 639 -4171 Alb i l Inspection Requests (24 Hrs.): (503) 639 -4175 ° :_.. INSPECTION WORKSHEET FOR DATE: 12/28/2005 TIME: 7 :02AM PAGE: •15 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DF_IGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request. Scheduled For: Date: 12/21312005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallsJanchors 024091 -01 503 -647 -5266 N Corrections /Comments / Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED Inspector. Date: �' ° < Phone #: (503) 718- 2-7o k, • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 �amu • Inspection Requests (24 Hrs.): (503) 639 -4175 - -- INSPECTION WORKSHEET FOR DATE: 12/2012005 TIME: 7 :30AM PAGE: 44 • SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS • LOT #: Q TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w/garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 023740 -01 . 503 -647 -5266 N Corrections /Comments /Instructions: • • • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL r. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' , Date:/-' Phone #: (503) 718- • CITY OF TIGARD . P- BUILDING DIVISION PERMIT #: MST200S- 00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1x/2005 Phone: (503) 639 -4171 ��'� � * Inspection Requests (24 Hrs.): (503) 639 -4175 �'I �.. INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: ' PROJECT NAME: DEIGNAN • DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 023465-01 503 -647 -5266 N Corrections/Comments/Instructions: & (P-r07 Net/2_4' - 7 - 7,5._L -- LA-y1/407" ' .7oS,-71 U4" -- 1 -2 ,474 - ( • ' ❑ PASS . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /2-- 1 ll�OJ hone #: (503) 718- • CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005.00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 A j1l Inspection Requests (24 Hrs.): (503) 639 -4175 ' ^ __.. INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 11865 SW WLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 023140 -01 503 -647 -5266 N Corrections /Comments /Instructions: ` — +6 Ge-toktp--rimps --= • ❑ PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR IN PECTION ❑ ADDITI•NA FEES ASSESSED Inspector: \ � Date:./ Phone #: (503) 718- CITY OF TIGA•RD • BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 ��i Inspection Requests (24 Hrs.): (503) 639 -4175 —,111- "_ INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 74 SITE ADDRESS: 11865 SW WLDWOOD ST _ , CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room wl office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER - PHONE #: Inspection Request Scheduled For: Date: 11/18/2005 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 021845 -01 503- 647 -5266 N Corrections/Comments/Instructions: • • &I 1 /)7,4 • • • PASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS ❑ FAIL ' ' ❑ CALL FOR INSPECTION ❑ ADDITION L F. S ASSESSED Inspector: 4 Date: l 11 6 Phone #: (503) 718- . , CITY OF TIGARD • r � . . BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 6/13/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 `'� t .. INSPECTION WORKSHEET FOR DATE: 11/18/2005 . TIME: 7:17AM PAGE: 73 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 ' TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/18/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 021846 -01 503- 647 -5266 Y ? M 3I2.o2iZ, . Corrections/Comments/ structions: 1/9,40 0- !22c77‘61 ,1 Z/›.7(el.)2. k) /-1 a) / .0--€4, a"'AMA! S ��i e.., 2 � cJc d ' AZ, ,4 /J .104 -1 ha, ,z4 a o a ?A..aa , . ,r,_i - - -A i • . . . . , • Z PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto : Date: / � � '' Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006.00161 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 I I �.. INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 11865 SW W1LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT 0 TYPE OF USE: • PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt w /garage & excerise room office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact .# Message 615 Mechanical rough -in 021284 -01 5503 -647 -5266 N Corrections /Comments /Instructions: • ,P-A er( a.a and-447 lJ ('ern C �- c -(//0.-441,-AA h / • • PASS ❑ PARTIAL APPROVAL , ❑ CANCEL ❑ NO ACCESS ❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect° . Date: 1 r /ti Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST200& -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2006 Phone: (503) 639 -4171 tl Inspection Requests (24 Hrs.): (503) 639- 4175IIL. INSPECTION WORKSHEET FOR ' DATE: TIME: PAGE: 37 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN . DESCRIPTION: Accessory apt. w /garage.& excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 01984301 503-M7-5266 N Corrections /Comments/ Instructions: - D 6 be 11gz ( S 1 " • • PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /c " j Phone #: (503) 718- , . :(, T . 1 C ITY OF TIGARD ,. • • BUILDING DIVISION PERMIT #: MST2006 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'IL. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 61 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. vv/garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 019598-01 503 -647 -5266 N Corrections/Comments/Instructions: • ❑ P ❑ PARTIAL APPROVAL ❑ CANCEL 0 NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: 2 -5- °c Phone #: (503) 718- , CITY OF TIGARD . BUILDING DIVISION • PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 °__.. • INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 123 SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room wi office. OWNER: DEIGNAN, JOHN E + MARY. PHONE #: 'CONTRACTOR: OWNER PHONE #: Inspection Request.Scheduled For: Date: 10/10/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 017785 -01 503-647 -5266 N Corrections/Comments/Instructions: • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /00 Zd — d ' Phone #: (503) 718- CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2005-00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639 -4171 h++a li Inspection Requests (24 Hrs.): (503) 639 -4175 ":j_.. n INSPECTION WORKSHEET FOR DATE: 9/21/2005 ' TIME: 7 :03AM PAGE: 22 SITE ADDRESS: 11865 SW WILDWOOD ST , CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN 1 DESCRIPTION: Accessory apt. w /garage & excerise room w /=office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475 -3180 Inspection Request Scheduled For: Date: 9/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 lb. Post/beam structural 016258 -01 503- 312 -0202 N Corrections /Comments /Instructions: , l , ..r i S 5 VA /V t/ 3 PA C : tom ‘1At) 1/Le■-- ( -C ,kS 5-N./LA . S . — C...47v--.C .x_c_jb..L.,-_, . 3 . vvv..e1/4ke, , • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ' ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Viit v Date: ` /(/.° 5Phone #: (503) 718 C C. f, r ' CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005-00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171 v�pyl Inspection Requests (24 Hrs.): (503) 639 -4175 `' .. OPj INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7:03AM PAGE: 21 _ SITE ADDRESS: 11865 SW WLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503. 475.3180 Inspection Request Scheduled For: Date: 9/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 016258 -02 503-312 -0202 N Corrections /Comments /Instructions: Vtkl 5 < ay."7 SVr ❑ PASS ; ' . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " `'''` " �--- Date: V S Phone #: (503) 718- CITY OF TIGARD • ' - BUILDING DIVISION PERMIT #: MST2005 -00151 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171 + Inspection Requests (24 Hrs.): (503) 639 -4175 .. +L e -- .. INSPECTION WORKSHEET FOR DATE: 9l20 /2005 TIME: 7 :07AM PAGE: 1 SITE ADDRESS: 11865 SW WILDW000 ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN 1 DESCRIPTION: ,accessory apt. w /garage & excerise room w/ office. • OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 5Q3 .475.3180 Inspection Request, Scheduled For: Date: 9/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 016160 -01 503 - 647 -5266 N • or -c ions /Comments /Instructions: S . ' _'_ e � � Cry S ` ,..4 L(2,4g, .fr e--1, A (2-'2--(--112--4---v--/- tv P �� C L erld • A tO S T ro - - ( CL-Ge--0--.55 Yb - 1 W # (, _ _Jr 0 a y• 6 , !_ I I k----kvc J • V - S • 1 T U , -(--e W ' +II() C.Lf --t -1-1) , .— _______K I■i 6 Gr Li 7 1 rt _ �, � .i,\/) . ❑ PAS' 1 El PARTIAL APPROVAL 111 CANCEL El NO ACCESS kk. FAIL / /'2 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C)/7 Inspector: Vti; Date : Phone #: (503) 718- CITY OF TIGARD ., BUILDING DIVISION PERMIT #� 1 57 13125 SW Hall Blvd., Tigard, OR 97223 .iATE ISSUED: Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: S �(� �CJ�G�4 , �'�-�- - `V' CLASS OF WORK: SUBDIVISION: / � � LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: • OWNER: PHONE #: CONTRACTOR: PHONE #:6 v7- S 6 1 • Inspection Request Scheduled For: Date: 9 - 3- 0 — Cr Pour Time: Code #6 /..6 Inspection Description Confirm # Contact # Message " Me 4(tig-4./ C-0 leq.A 0 Kol CA . 6- Corrections /Comments /Instruc 'ons: ? il . 10J ‘— (*4' "E(_(A1 . 4, -- - E9. --1 -C lA/ LANO--eliv(et ' 44-13 ,. ( k T5 +-I, ��-, eq ai 8_,t_„._ -(A--w-o•cl- Lc *161 OP, glc11)&. . - gLiti /W-er Int cl a.„-J e.. — (44. • • 4 i ,1) . PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Ins V(.1 Date: ' V" /one # :' (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/13/2005 Phone: (503) 639 -4171 .1 Inspection_ Requests (24 Hrs.): (503) 639 -4175 .�' .. ^ 'I �� INSPECTION WORKSHEET FOR DATE: 8/26/2006. TIME: 7:O6AM PAGE: 30 SITE ADDRESS: 11865 SW WLDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt.. w /garage & excerise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503 - 475 -3180 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: 2 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 014383 -01 503 -312 -0202 Y FM - Corrections /Comments /Instructions: WALL 0,1 Fo 2 /-�- OrOZ •I o ns • ZPASS 2 'A:. IAL APPROVAL • ❑ CANCEL ❑ NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , � Date: o 5 #: (503) 718- C ' . 1 CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005- 00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2006 Phone: (503) 639 -4171 Ate ry Inspection Requests (24 Hrs:): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08AM PAGE: 56 1 JE LL , - rte- Fi944 -A-V t SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: Dag TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room WI office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: 503 -475 -3180 Inspection Request Scheduled For: Date: 8/24/2005 • Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 . Footing 014180-01 503- 312 -0202 Y Corrections /Comments /Instructio . vr r1z /A L� N) pi =AI pe7T - C KC�,Z✓--� -Lz,- r le G-, 4 c= t -a 0 r -, "I &' 5 4 vAibA -T "e3/\I >"/"4---L_I _S • • • Ili -ASS re • ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL N C -L FOR INSPECTION • ' ❑ ADDITIONAL FEES ASSESSED Inspector: , ��— Date: Z 4 / °� Phone #: (503) 718- - • 'J I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/131200b Phone: (503) 639 -4171 *00' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7 :02AM PAGE: 64 SITE ADDRESS: 11865 SW W1LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: U0 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & excerise room w/ office. 2/13/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. 5/30/06, added backflow device. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 031150-01 503-647 -5266 • N Corrections /Comments /Instructions: RD pr(, � 2 re j r — la/, 1 L b ( ‘P - 7 • ► PASS El PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS r mi FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: Date: 6 -6' 6 Phone #: (503) 718 - 2-64/‘/ l• CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00151 13125 SW Hall Blvd :, Tigard, OR 97223 DATE ISSUED: 6/13/2005 Phone: (503) 639- 4171.l1l Inspection Requests (24 Hrs.): (503) 639 -4175 '!� _ INSPECTION WORKSHEET FOR ' DATE: 6/5/2006 TIME: 7 :02AM PAGE: 37 SITE ADDRESS: 11865 SWWLDW00D ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: 'Accessory apt. + /garage & excerise room wI office. 2113/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. 5/30/06, added bacldlow device. • OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: - Date: 6/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 299 • Final inspection • 031099 -0 503-647 -5266 Y • Corrections/Comments/Instructions: �irloS - 1 S'eZ -`5 e>19 -- • • • ❑ PASS PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: =� & Phone #: (503) 718 - 14-47\ 7 \ • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611312005 Phone: (503) 639- 4171uiy� • I Inspection Requests (24 Hrs.): (503) 639 -4175 °:_.. INSPECTION WORKSHEET FOR DATE: 612/2006 TIME: 7:08AM PAGE: 14 • SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 000 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. wlgarage & excerise room vv/ office. 2/13/06: Upgraded electrical service, added (1) 200 +amp. Job #47901. 5/30106, added backflow device. OWNER:. DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: . Inspection Request Scheduled For Date: 6/2/2006 Po • " Code # Inspection Description Confirm # Contact # Message 275 Framing 031021 -02 503- 647 -52 N Corrections /Comments /Instructions: . U (_x s 'tom / C-6 v • • ❑ PASS ❑ PARTIAL APPROVAL CANCEL , ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` f Date: 6 O - r 636 Phone #: (503) 718- Z4/41 • CITY �� OF TIGARD eu ,u . BUILDING DIVISION PERMIT # MST2005 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/73 - 2 . 006 • Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . '!i '�� INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06AM PAGE: 66' SITE ADDRESS: 11t)65 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 009 TYPE OF USE: PROJECT NAME: DFIGNAN DESCRIPTION: Accessory apt: w /garage & excerise room w/ office ' 13/06: Upgraded electrical service, added (1) 200+amp. Job #47901. OWNER: DEIGNAN, JOHN E +- MARY, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request,Scheduled For: Date: 2/ 17/'006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 - Mechanical rough -in 027097 -01 503.647.6266 N • Corrections/Comments/Instructions: r h c) u, Gte Aft s .bi 3 M ari. • • • -. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS /X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 70 Ins ector D 2 p __�. Date: � � Phone #: (503) 718 - CITY OF TIGARD Y BUILDING DIVISION PERMIT #: MST:005 -00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED : 6/1312006 Phone: (503) 639 - 417111* • Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 1/1812006 TIME: 7 :01AM PAGE: SITE ADDRESS: 11865 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #:. 009 TYPE OF USE: PROJECT NAME: DEIGNAN DESCRIPTION: Accessory apt. w /garage & exceiise room w/ office. OWNER: DEIGNAN, JOHN E + MARY, PHONE #: CONTRACTOR: OWNER PHONE #: - Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 025163 -01 503 -617- 5266 Y ( 2 Corrections /Comments /Instructions: , l 1111fl;Flow • w, • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL fl CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED Inspector: rI Date: I �J ` Phone #: (503) 718- . CITY OF TIGARD ' /tit 5 BUILDING DIVISION PERMIT #:aQC) 57-0 D /57 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 a p,� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: G I y t p CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 Pour Time: Code # Inspection Description Confirm # Contact # Message gd o rec ions /6mme s /Instructions: - / 4J-i C J - 40 • 12 PASS �;; PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 5 Inspector: Ai/ 3 Date: —J�� �o Phone #: (503) 718 - Z-