Permit A II
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00381
A DEVELOPMENT �B,
SERVICES 39 -4171 DATE ISSUED: 1/3/2005 OR 97223 13125 SW
SITE ADDRESS: 12498 SW WINTERVIEW DR PARCEL: 2S110BC -TP002
SUBDIVISION: THORNWOOD PARTITION ZONING: R -
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE: DM164 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 825 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.500 sf GARAGE: 407 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 1.595 sf RIGHT: 10
VALUE: 378
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3,920 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W7O SVC /FOR: 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 +amp3- 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: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 11,137.92
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC
4230 GALEWOOD ST STE 100 4230 GALEWOOD ST, STE 100 and al Municipal Code, State A l work k wil b o ne i n
and all other applicable laws. All work wlll be done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
accordance with approved plans. This permit will expire
if work is not started within 180 days of issuance, or If the
work is suspended for more than 180 days.
Phone: 503 387 - 7538 Phone: 503 387 - 7538 ATTENTION' Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 35533 rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundatio PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Iss ed By : ci Permittee Signature :
X
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i
Buildin _ Permit A • -. , 1) FOR OFFICE USE ONLY
City of Tigard Date/13et: I ffi'J� -
13125 SW Hall Blvd., Tigard, OR 9722 ,° 'J ' I �� '
Phone: 503.639.4171 Fax: 503.598.10 1 ���4 /Amp ' I 'I Date/By: eW f�1Q,/ — 3 - o y
Inspection Line: 503.639 4175 ''f I Other Permit:Awe/e� Z / 377
., Date Re 014: tuns• ® See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: //54 / ftl„, Supplemental Information
BUILDING DIVISION b .i uf/ .
TYPE OF WORK / RE D DATA: 1- AND 2- FAMILY DWELLING
New construction
El Permi f ees are based on the value of the work performed.
x Indicate the value (rounded 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.
1:1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 11 Other: Number of bathrooms: 2 )Z
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I a4 \�\�A ��Y V 0( • New dwelling area: �� square feet
City/State/ZIP: \ j ,{, 1 Garage/carport area: 1-107 square feet
Suite/bldg. /apt. no.: �J" _ Project name: y '\ ` f-NOV tf Covered porch area: square feet
Cross street/directions to job site: Yl Y 1 + Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision. Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: c9"" 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.
Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,� "j�_� ,^ y Type of construction:
Address: �fa (`. f� I l . �V� (.0 Jl) � � G J ( (�• [. (7 Occupancy groups:
City/State/ZIP: L 1 IJ�.N V I
,c� ok q i J 70 rJ" Existin g:
yy�� � -- � / j
Phone: la.(7 ✓) �j� ^/ �(� Fax: ( ) -3 / -7 . 7 L„ [ s New:
' ❑ APPLICANT ❑ CONTACT PERSON • NOTICE '
Business name: 5 f s - I NS ketNie 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.
CONTRACT
ONTRACTOR • .
B usiness name: A f\ P
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Phone: ( ) Fax: Fees due upon application
( )
CCB lic.: .55 - Amount received
Date received:
Authorized signature: / (`�� ����„yf This permit application expires if a permit is not obtained
Print name: , i r2/ ^ . it i 1n 1 ic/ I `' r within 180 days after it has been accepted as complete.
Date: / / * Fee methodology set by Tri -County Building Industry
t Service Board.
t\ Building \Permits \BUP•PermtiAppdoc 12/03 440.4613T(I1 /02/COM/WEB)
Electrical Permit Ap l holz OFFICE USE ONLY
`J Tigard of Ti and V VED Received i t r —00.38/
Plan Review
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 y:
Phone. 503.639.4171 Fax: 503.598.1960E 1 4 2004 Plan Review
/� '�;r�I� ' Date/By: Other Permit:
Inspection Line. 503.639.4175 7 F' I Date Ready/By: ions' El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
(ITY OF Tr
MI * VK ioN PLAN REVIEW
New construction ❑ Addition /alteration /replacement Please check all that apply:
X
['Service over 225 amps, comm'l ['Hazardous location
❑ Demolition El Other:
['Service over 320 amps - rating DBuildng 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
❑ Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
JOB SITE INFORMATION AND LOCATION ['Occupant load over 99 persons ['Manufactured structures or
❑Egress lighting plan park
no.: Job site address: / %S v " n p \MA ❑Health - care facility ['Other ['Other �,o Submit 2 sets of plans with any of the above.
City /State/ZIP: U D The above are not applicable to temporary construction service.
Suite/bldg/apt. no.: 3 otiJ ?'
I Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
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: I Lot no.: Ea. a dd ' I 50 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 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
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
Name:
P ROPERTY OWNER El 201 amps to 400 amps 106.85 2 ix\ ...6... / //��
401 amps to 600 amps 160.60 2
�i 601 amps to 1,000 amps 240.60 2
Address: — 14 w V�wit�l/ too Over 1,000 amps or volts 454.65 2
'2 Reconnect only 66.85 2
City/ State/ZIP: Lou, U, ")C 'J Temporary services or feeders installation, alteration, and/or
Phone: 2) ,? _7' Fax:4p,) — 7(01 s relocation
V 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 I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
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
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
I` V 1� extension. Describe: Page 2 2
Business name: '•
Address: 4r a) sw kt,rn Si a - ;:? 7 Each additional inspection over allowable in any of the above
- Per inspection 62.50
City / State/ZIP: "71 /n(� t L '
� ) 3 Investigation per hour (I hr min) 62.50
Phone: �,Lr{ ` - JO ']
' C/ r Fa ( ) Industrial plant per hour 73.75
Del ELECTRICAL PERMIT FEES*
CCB Lie.: y 0,2 Electrical Lic , G Suprv. Lie.: 3�j Subtotal
Suprv. Electrician signature, required: — -rJ� Date: f/` '� '� ~� Plan review (25% of permit fee)
Print name: C��� - /� I ' 7 11/ State surcharge (8% of permit fee)
T/ -�'r/� �
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
1 \ Building \Permas \ELC- PenniiApp.doc 12/03 440- 4615T(10 /02/COM/WEB
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit No.: N A T 4 3s
13125 SW Hall Blvd., Tigard, OR 9 2
Date/By: / O�
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /4 ' ' ir" � Date/By: Other Permit:
Inspection Line: 503.639.4175 1 4 2O0 � �'� , • III
DEC M _ _ Date Ready/By: y: Juns See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TICARD
S � re COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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
o Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY OF CONSTRUCTION Value: $
El 1 -and 2-family dwelling Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 4 . , V A , I Air conditioning or heat pump • ,_ 1 1 / (requires site plan showing placement) 14.00
City /State/ZIP: '/1 � I a 7 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: �`� 179 Lot no.: Other: 10 00
Tax map /parcel no.: 6U,att. Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
PROPERTY OWNER Q ❑ TENANT Other: 10.00
Name: � +� I II V O Environmental exhaust and ventilation _
Address: V t/" � . I /Q� Range hood /other kitchen
l� ll��h // equipment 10.00
City /State/ZIP: i ( I i I q TU7,t Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 60 - -7�1 Fax: (€ 1 .— —2 (01 toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: (i Yc�.,� r` � /" �'�` /Q /a , Clothes dryer (gas)
� ' Other:
Address: P 1 - 1 2.. 1
1 ` ^ r /] /f] ,,C MECHANICAL PERMIT FEES*
City /State/ZIP: `f pei - 1' `V ` / �/ /��j I . - ;0 f , Subtotal
�5 /� 2 , Minimum permit fee ($72.50)
Phone ✓ J " ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: �7 /,j�ir This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name f e 1 - Date: , • Fee methodology set by Tri- County Building Industry Service Board
i:\Buitding \Permits \MEC- PermiApp doc 12/03 440-4617T (11/02/COM/WEB)
Plumbing Permit Ap i 11 " tolc k., - i VED FOR OFFICE USE ONLY
City of Tigard Received
y g DEC Date/By: Permit No.: NN 4_603g/
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ���� //bmgsh,,,.4 I A Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639 4175c' U ' L J • _ � _ � i Date Ready/By: Juns El See Page 2 for
Internet: www.ci.tigard.or.us S r uF numb - N otified/Method: Supplemental Information
TYPE [ SION FEE* SCHEDULE
N
New construction ❑ Demolition For special information use checklist.
�' _ Description Q ty. Ea. 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
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
•
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: a i 1 OA .1 r i Catch basin or area drain 16.60
City /State/ZIP: '1` i / / ` 1 Drywell, leach line, or trench drain 16.60
a Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: 1 \Air
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Lot no.: g
Fixture or item
Tax map /parcel no.: �� g Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER 'I ❑ TENANT Drinking fountain 16.60
Ejectors/sump
Expansion tank 16.60
Name: Vi1fM21 .: co 16.60
Address: L1� Ofj .�' 1 , �"y Fixture/sewer cap 16 60
City/State/ZIP: i ^' 1 C /►� N Floor drain /floor sink /hub 16.60
J �, / Garbage disposal Phone: F ) � $'7 7 Fax: (th . Garba osal 16.60 g P
APPLICANT
❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City / State/ZIP: Roof drain (commercial) 16.60
Phone. ( ) Fax:: ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR • ' Water closet 16.60
Business name: w f _ ? , ry ,,� �3 Water heater 16.60
Address: 1 O � Other:
City /State/ZIP:kik- Subtotal
f Minimum permit fee: $72.50
Phone: ) G 2 - 36 Fax: ( ) Residential backflow minimum permit fee. $36.25
CCB Lic.: I °ea- g inmbing Lic. no.: 1' Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature t.
TOTAL PERMIT FEE
Print name:.. pH 1 I I\ Date: l This permit application expires If a permit is not obtained within
V 180 days after it has been accepted as complete.
. *Fee methodology set by Tri-County Building Industry Service Board.
i 1Butldmg \Permits \PLM•PemutApp doe 12/03 440 -4616T(10 /02/COM/WEB)
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06/06/2005 16: 503- 644 -5989 CRAFTWOFK PLUMBING PAGE 01
06/06/2005 15:55 503- - -1577 KEN La 4CK PAGE 01
•
WOMACK WATER WORKS, INC
GCB LICENSE #125943 051286
BACKFLOW ASSEMBLY TEST REPORT EXISTING
PROPERTY OWNER. CRAFTWORK PLUMBING PHONE _
WILING ADDRESS; 7742 SW NIMBUS AVE
CITY BEAVEPTON STATE OR ZIP 9722$
A38EMBLYADDRESS : 12498 SW WINTER VIEW DR
DCVA .75 20008 AIMS 12482
WATER PURVEYOR; TIOARD
A88EM61Y LOCATIONBSMNT PLR
alSaaSaa /SIASMaaaMMtNaaISl1UP000OASsO/S www e0OO MOVUus ossOOMMMIIRA
MRW. T68T RESULTS
REDUCED PRESSURE ASSEMBLY PVBNSVBA INITIAL TEST
aM CHECK DOUBLE CHECK AIR CHECK PAS$6D_x__
PRESS DROP (A) CHECK Il INLET , FAILED
RELIEF VALVE TIGHT )<_ V.0 OPENED AT PRESS DROP
OPENED AT (B) LEAKED r 6SID DATE
MIN 2 PSID PSID PSID 010908
INFER CHECK /►2
A4D TlSHT_ L _2.6 NOT PARED SYSTEM
MIN 3 P81D LEAKED_ PSID OPEN PSID
MLA VALVE
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COMMENTS
REPAIRS
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TEST AFTER REPAIRS
ww REDUCED PRESSuRS AS1 LMBLY PVBArevIA AFTER REPAIRS
1>h CHECK DOUBLE CHECK DATE;
PRESS DROP _ (A) CHECK •t OPENED At PRESS DROP
REUFF TIGHT PSID
OPENED__ ___ (9) CHECK 02 PASSED
BUFFER MIT I PSID TIGHT PSID PS C 1'91J
+MBo_
MIN 3 PSID
IN COMPLETING AND SUBMITTINO THIS T tST REPORT, THE TESTER CERTIFIES THAT THE
ASSEMELY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE
RULES AND REGULATIONS OF THE WATER SYSTEM, AND STATE REGULATIONS.
GAUGE CALABRA 11ON DATE 02/09 1 2005 DETECTOR METER READING
TEST SIGNATURE lit CERTA898
TESTERS NAME JEREMY Y GAUGE W:095
TESTERS ADDRESS PD BO UBAVSRTDN OR 97018 803 843
COMPANY NAMEWOMACK ATEA WORKS, INC PHONE
REPORT RECEIVED BY X SERVICE RESTORED
(REPRESENTATIVE OR OWNER)
Post4r Fax Note 7871 oars s O to
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SELECT: ALL HISTORY ITEMS PRINTED: 00050
DB /CR: ALL CYCLE /NON: ALL
V
CITY OF TIGARD � ' i g. BUILDING DIVISION PERMIT #: MST2004 -00381
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 /3/2005 l
Phone: (503) 639- 4171+�� ,I I
Inspection Requests (24 Hrs.): (503) 639 -4175 ___ "� L
i
INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:12AM PAGE: 48
I I
SITE ADDRESS: 12498 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached 1
OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503. 387 -7538
Inspection Request Scheduled For: Date: 6/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008733-02 503209.4837 N
Corre tions /Comments /Inst uction
v
Q.-evt__Q W e
oli tp) 4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
N ,D
Inspector: Date: /Wf' Phone #: (503) 718-
CITY OF TIGARD f .
BUILDING DIVISION PERMIT #: MST2004 -00381
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/3/2005
Phone: (503) 639 -4171 a'' x i i i /
Inspection Requests (24 Hrs.): (503) 639 -4175 -' 5 _
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7:11AM PAGE: 62
SITE ADDRESS: 12498 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387-7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 5 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007385.01 503-209-4837 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 Phone #: (503) 718-
•
CITY OF TIGARD • - A: •
BUILDING DIVISION PERMIT #: MST2004- 003811
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2005 1
Phone: (503) 639 -4171 „�:e'q�i�(�l - 7
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7:12AM PAGE: 47
SITE ADDRESS: 12498 SW WINTER VI EW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.387 -7538
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007315-01 503-209-4837 N
Co rections /Comments /Instructions:
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( ` 6e/k(i' 3 n o s--r Q._ �l "' tkl/-- g k9j
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,- (6 „_„A ----)) Lk.._e_ - el -.,__e , bAi.,<71•A-,=-- .
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
in FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \l/)--
Date: / 1 l /b Phone #: (503) 718-
-
CITY OF TIGARD
II BUILDING DIVISION • PERMIT #: MST2004 -00381
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2005
Phone: (503) 639 -4171 � I
Inspection Requests (24 Hrs.): (503) 639 -4175 °s:_
INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 53
SITE ADDRESS: 12498 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached 6' 3 9, L' 0 c t S 1
OWNER: DON MORISSETTE HOMES, PHONE #: 503.387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.387 -7538
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007043 -01 503- 209 -4837 N
Corrections /Comments /Instructions:
w ed QL K A' L..cat
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 2 -/ y Q u K3 Date: S -0-es Phone #: (503) 718-