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Permit .,• __, , CITY TIGARD MASTER PERMIT PERMIT #: MST2005 -00336 � .��, DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114BC -00800 SITE ADDRESS: 10180 SW RIVERWOOD LN ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.1 LOT: 063 JURISDICTION: TIG Project Description: SF addition BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 496 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 500 sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THR sf RIGHT: 5 VALUE: 101,509.00 OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 996 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW FREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W/SVC OR FUR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 . 400 amp: 201 - 400 amp: 1st W/0 SVC/FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 . 600 amp: 401 - 600 amp: EA ADDL BR CIR: 8 SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: CP 1000+ amp /volt : rO 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 8 AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: W BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: 9 EXPIRE .XPIR r T DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: � 1`(JL Contractor: This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes ANDERSON, GREGORY W + EXECUTIVE CONSTRUCTION & and all other applicable laws. All work will be done in BATTAN, LATIKA D REMODELING accordance with approved plans. This permit will expire 10180 SW RIVERWOOD LN 10928 NE KILLI NGSWORTH if work is not started within 180 days of issuance, or if the TIGARD, OR 97224 PORTLAND, OR 97220 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: Phone: 503 - 762 - 1675 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 #: LIC 119919 direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 1,802.27 1 -800 -332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 `" Issued By : l , I . A.4 i ; 1 _ . _ , Permittee Signature : J Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 I . TIGA CIT Y OF RD MASTER PERMIT PERMIT #: MST2005 -00336 1 All DEVELOPMENT Tigard, V 503-639-4171 DATE ISSUED: 10/11/2005 13125 SW PARCEL: 2S 114BC - 00800 SITE ADDRESS: 10180 SW RIVERWOOD LN ZONING: R - 4.5 SUBDIVISION: PICKS LANDING NO.1 LOT: 063 JURISDICTION: TIG Project Description: SF addition BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 496 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 500 sf GARAGE: sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT: 5 VALUE: 101 509.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 996 sf REAR: 15 PLUMBING SINKS: / 2' I WATER CLOSETS: y a, WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS: LAVATORIES: 7 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 7 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: 3 OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCOFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDLBRCIR: 6 SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWSECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: 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 ANDERSON, GREGORY W + EXECUTIVE CONSTRUCTION & and all other applicable laws. All work will be done in BATTAN, LATIKA D REMODELING accordance with approved plans. This permit will expire 10180 SW RIVERWOOD LN 10928 NE KILLINGSWORTH if work is not started within 180 days of issuance, or if the TIGARD, OR 97224 PORTLAND, OR 97220 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: Phone: 503 762 - 1675 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 #: LIC 119919 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 1,802.27 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : ,/ 7__.,/. Permittee Signature : '� Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit App RFC E �� FOR OFFICE USE ONLY • C1 Of TI � SEf ZOOJ Received ��� `� g ar Date /By: a Q All Permit No.:W57 —M3 1312 SW Hall Blvd., Tigard, OR 97223 1 BUILDING D $' OF TIGAR • • IV ISION 'Mnh M Date/B 1M V /04 S Phone: 503.639.4171 Fax: 503. "9 , , p Other Permit: Inspection Line: 503.639.4175 u•! I Date Ready/By: See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method/ i `7 �� ® Supplemental Information ,��. �> ,._,,.:,.:, .< ... -- T+ WORT. - , ;�:TtE ,. �., UTREIliI )ATA:.1= Al�D FAMIt,Y ...� �, ._ sue' ',..n � � � ❑ 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 V�� �, <' _--` "� `e _ , work indicated on this application. ,, : �s, .,, > GATED 'TON - . : , f r° r, : : . 1 :. " ; PP �r El I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ 7 / 0Q0 ❑ Accessory building ❑ Multi - family Number of bedrooms: [ El builder ❑ Other: Number of bathrooms: 0 i.. s:.q , .;' 2::.3 ;,;:::, E s t ; I,•x ? .F:. :,. �,,=,R � , ,,�, �e'° � Total number of floors: '� r ;: - s';T{QBa,SIT ,,,INF ©Lt,, -.,,, .ANT? L(1CAT'TOl\` ,4,4`,1,41 : ft w.:. `:..,.._ . Job site address: 10180 S I 4 ic + r`W3,0D LN. New dwelling area: OO square feet City /State /ZIP: Ti C,ARD , OF 9 722 I Garage /carport area: 0 square feet Suite /bldg. /apt. no.: ,,,(q Project name: AN -pr. / 4 owl T (ON Covered porch area: I 60 square feet Cross street/directions to job site: sir I s ors! So✓ ; N Si D. Of Deck area: y// square feet S i,.. R 1 V a 2 wv o c L Al. . ti L T 1,.4 - cN S 0, / C7 fZ NIL Other structure area: I-156, square feet STORA4 - �,•w ..;,. ,. b 2.. A NO 5 -.t 21 v_ ((woo() PL. 11E9TJIRED T)ATA:COMNIERCTAL - E.CHEGT(LTST °. Subdivision: Lot no.: SOD Permit fees* are based on the value of the work performed. Tax map/parcel no.: 2 S I 19 13 G ®©'jr;:JO Indicate the value (rounded to the nearest dollar) of all equipment, materials, and the profit for the . :.: , labor, overhead, an e r > + _ ` Ll,, SCRIP'C'L = 4 w. o`%`"' work indicated on this application. 50 S(' A DpI r1ol4 ro MI int L=V= i- / Lo1i-t-t fiSoSr Valuation: $ Existing building area: square feet OF; At- T- it/kri(N APO iTt0N C9(= tiII SF 1)a Cr( . New building area: square feet v "'fi ,` %=� %,' -- ROPEL2T .. 9),Y,W - ,- Number of stories: ..'� v ''TENti;N't'-x ": o Name: A r -i � ^ WM / tl K.7..."-C-, f LATI Kq Type of construction: Address %' t - AS SIT=. Occupancy groups: City/State/ZIP: Existing: Phone: (5,33) 67D 9 0I6 Fax: ( ) New: lug. <' �.�.:, b. - .L � �. � , �� ►� ��:,� �� �.�,�,.a=- :,x: L GANT,> , , .n,;, x p . „'ACT ^PEl2SG /N, s �� � • . � $ wt ...„ 4s ,.,� 'i. � .. .. ... ,,. ., , ,, .,,... .a, .,.K,., �.,�. 5.�, -„ .,,_\.�.....�3e=,n xAT �'.. .. . -- `.iF�a •�v 46 �: �. �' :',:; i ?4.;:. � .._.. _. _..,. . `', ��W�� �� > >i= °y'•;. :- _'_�;<.: °,::• Business name: E X= Canv_ C. omsrRL1C•.riorl t R= I1O D= Ll1VCy All contractors and subcontractors are required to be Contact name: ® � T � � licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 Ida. K i LI.dNCrSWvf m-t S T: jurisdiction in which work is being performed. If the City /State /ZIP: pc, tt, LP,r.jP , OK 17220 applicant is exempt from licensing, the following reasons apply: Phone: ( 503) 762. ( e75 Fax: : ( 533) 76z . ( 677 E -mail: Ka I3 =tcT C =2t I--- Tlv- iC'- , `K�D�G- rnto9.G , A--r .- , .R ; _a: ':a:: _ .:” fi r=, ". ._, ,,� 'm >����: °: ,,...- , �dc���.�w.- ,�: ' - `:.. -...;- � _.yam , .i >s ....... -. Business name: �. .,. s, -. ` ;.:, S✓�l f= AS A -erl- A t- � '` ` .BUII; DINGxePER14IIt EEE5* `= °: ' '.'`'_ ,; Address: ; r : , ,:: =_.,w. ? s. Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax:( ) CCB lie.: ii I ..f2-k' q— -0 Amount received Date received: Authorized signature: I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: R 13Is fZ7 13 LAIN D Date: 9,, (2.05* * Fee methodology set by Tri -County Building Industry Service Board. i \Building \Permits \BIJP- PermitApp.doc 12/03 440- 4613T(I 1/02 /COM/WEB) • Building Fixtures ' RECEIVED Plumbing Permit Application FOR OFFICE USE ONLY. ' • i • CEP 2 3 2 Received City of Tigard Date/By Permit No.: H5Tpte,05 ao3 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review CJ �Y' Phone: 503.639.4171 Fax: 503.598.1960 ,. i �a If Date /By. �� CITY OF TI r. ; Other Permit No.: 24 Hour Inspection Line: 503.639.4175 ' BUILDIN 1/ ►J;, Date Ready/By: tans H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ° ry TYPE OF WORK FEE* SCH EDULE . ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. .I Ea. I Total la Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION, - ' SFR (1) bath 249.20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ' ❑ Multi- family SFR (3) bath 399.00 Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 ` ' . JOB SITE INFORMATION RMATION AND LOCATION Site utilities Job site address: I O I, , O S k R \V _ l W009 LA. Catch basin or area drain 16.60 City /State/ZIP: T I (.,A Ri) 4 R I) 2 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: AA� Footing drain (no. linear ft.: ) Page 2 �++4+ A patrlou Manufactured home utilities 110.00 Cross street /directions to job site: SIT S of t. So,, sl 0-4 6F: Manholes 16.60 S I.--I R (V t'CW ©gyp L..N e j q'I.Ja ->.( 5CJ 6Q.2r 14(/I;ND i s Rain drain connector 16.60 i A Qv) SW R I Va et,. Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: - Water service (no. linear ft.: ) Page 2 • Tax map /parcel no.: Z S 1(9 13C et>,EseDa Fixture or item Absorption valve 16.60 . .DESCRIPTION O F WORK Backflow preventer Page 2 2)< I_KI SI oA( ©F - ►ST/A.lk Lid . " D D 4C tren./ e r Backwater valve 16.60 cS6({T Nom- W Li NZ$ Clothes washer P 16.60 Dishwasher I 16.60 Drinking fountain 16.60 ,PROPERTY OWNER . : I.. ,❑ TENANT , Ejectors/sump 16.60 Name: A14bLQ Qfj, 1 ( 7 1- LM- A - ( ( Expansion tank 16.60 Address: ~-(- s T i Fixture /sewer cap 16.60 City / State/ZIP: Floor drain/floor sink/hub 16.60 Phone: (S 670 O 16 Fax: ( ) Garbage disposal I 16.60 • ®,' APPLICANT Hose bib 16.60 CO PERSON Ice maker 1 16.60 Business name: _ X1 oT Ni-, C01L(r(Ltjc t 04 fi 2.:moozc Interceptor /grease trap 16.60 Contact name: Zo I2)"2; j3LA Medical gas (value: $ ) Page 2 Address: i Oct 2 g /jam - tl,.Ltl i(,iS co es fzr-4 Si, Primer 16.60 City /State /ZIP: Fo p I pk_ 77 220 Roof drain (commercial) 16.60 Sink/basin/lavatory L i 16.60 Phone: (56s) 762_ . 167s Fax:: (503) 76z.. (677 Tub /shower /shower pan 2. 16.60 E -mail: Kbi3 JCS ‹cr-cIVzp�zuair SI ,.< Urinal 16.60 - ' CONTRACTOR Water closet i 16.60 Business name: ( ,,� t] �j�, s - ; >,_,, , m ,� Water heater 16.60 Address: 5 2_, . s 6-_, \v` � i7 \(` _ v n u-t , Other: \ YJ Subtotal / i 9 U City /State /ZIP: y�,:\ t/,)910,..\,6 -QJ ai c,... Q q 14 Minimum permit fee: $72.50 Phone: (,1--(19) .12 7 - 7 9 7 Fax: ( ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: / (0Z,. 00916 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) 15 ' H Au signature: TOTAL PERMIT FEE Print name: Date: 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 \Permits\PLMF- PermitApp.doc 06/05 440-4616T( 10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Scheduler Residential Fire Suppression Systems: . Site Utilities „ • . 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 Water Service - each additional 100' 46.40 Medical Gas Systems: Storm & Rain Drain - 1st 100' 55.00 Valuation: •Permit Fee:. $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 Back flow 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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixture s could result in increased sewer fees *. Please check all that apply. Quantity_by (Fixture) Work Performed ❑ Any new commercial building. Fixture.Type: Replace ❑ Any new exterior plumbing site utilities. • - Previous 'Capped Added Ezistina ' ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 - D multipurpose fire sprinkler system. Floor Drain /sink 2" Submit 2 sets of plans with any of the above. Car Wash Drain Isometric: or•Riser Diagram ., • Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: - plumbing permit can be issued. i:\ Building \Permits\PLM- PermitApp.doc 07/06/05 • OCT— 10 — Id 2o0S 9 : AM _ Gx SF73 232 7 698 P ^ to A . a.w• bow.' U 4 *1 rmk 'Otly' � CITY OF TIGARD MS) -- Aae -� 33 G. a °° , ,, _ , - I. 'III.. . , I. : . . . !. • I r - I , , • •I 1 I I I .1 I 33 W HIIIi 81yd. 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Fla 11,�p+lq oppeadlie aaprmsire pm* bud .. i1fWw PAM om►e: t7 y kw &O a Ims Mr ierplal • wrd+. • • T11rw Scoot .emiloa.�l�, am we4a.u+lrmaporomlst pwflasor wrMtl�o.ert . Oct OG 05 03:50P A 6 T - 0-6 3 3 0 P . 2 4 ' - MechR ! 7 ..,:, I Pe , -);r, u.._ ..r: iii.tp .. A E gamin, I I 1 It i Plij( 1 I 'sj ii City or TigArd AI benilly: _ rcreilt No.: 13125 SW 14611 Blyd, Titexrd. OR 07223 Plea Retina Mon Permit Plionr 503-639. ) Far 5(13' "Li tiel . 10 2005 - -,. , , ripoN : — gri: T - Inspection Linn 503.630,4175 ....4.,IL. 4 1_ um, lto /m '�i tor ttpUy: rtitemet www.ci.i1pArthorma Wer;fictlAlerhott: Rapala a I Iv rarmathe _____. mu, riew. im ,, L,:.,i 4 L, g - 77.779i adethrtnica1petodt fees' are Wed on dial e o the wink CI Now eaninnetion i " . on( olrationiroploceinerte . perfurrord. Indicate die value (tournkre toi mann dotty) of alt 0 Demolition 1:1 r)thcr recortartieli mail,, equipt ent. lab*. ov . . end : Valire: S q.cf,IN4 '; :IWO ,...fl:7 ',12iff4.1,,..' a a .. ....ty,-.17=1 :Z74 1,•; 0 1 - and 2 'familY 4 in 0 Conimcrciattindustrial 0 ACCessory tvilding For veered I hwativn arso c Nig 0 Multi , 7i Maw Imiliost 0 Other: Dclatiption (It) Ert. I Total - 4 n em i mitotAN Job it sildretit 1 01 SO SW e I vi i.iceti - Air ertnaitionms er heat pomp . trleta Orr elm ehowinavbeepertil 1/.00 City/Sonoran 7 14 . .. b c (Z 1 1 22 rtunue !moon ten; tdoctrii.oltip 14.00 FM= 100.000+ 11TU frlorwican) .11.90 Scite/bIde.hipt. no.: ‘,..---- Project ream: Alkfra.esda ADD,-nt*4 9 . heat ocean J4.00 , . 1===EelrMter!immmrmm Duct wont 14,00 EMI drertie Ito weterilypetn 14.00 - 1 VE Clatri . - L. ' millen Lid holler (rodlitor or hydreok) _ _ 14.00 Unit bracts (fuel-type, 1 elecrrie), ' In-woll, irt.drtat, iugraptled, Cle, 10.00 Subdithion: Lot nrn: 666 Threivent ony at above 10110 Oaer; ,10.00 Tsx romp/mai orr.: 2 .5 i 8.c.,. 00600 Other real arrella a ass . I?.i:::?:.11Y.4 77;,, ! ,.. r „Or :, ..I 1. 3 Water Minor 1000 - Om Freplace 1 lo,on Flue vent tbr vista' hater ar gni Orcolate 10.00 L fi oa rditer (too) 10.00 1.111111111111.1111111111.11111111.11.111.m.... •Voodioellet nom tom Wood timorcanima moo * 1 ' MEE :s.g.irSeR,....::A *1 "; OiXri ChimeYilillar'flu4"51 , 10.00 I 10.00 Etr4ronetteam1 extermakned ventilifion _ _ e tt Q at ig uip e nt h kitchen IZZIMMIMMIIIIIIIIIIIIMERmEm City/SlaietZIP: Oodles . er column I 10.00 . I 1000 Slnida-dint cx not Montfort/ma. Mime ( S03) E. 7o. ri 61 6 Thee: ( ) wild compostumnis, utility room 1 6.09 . Nwri.Fx4-1.3,1-dm,A.;:.7.1;w,.,:--11MiZZgr'' AnIsicrtrvilspsco aim 10,0D _ ' Other. 1 Basin= rime: 7:7-- yze_c_I-IT i w- CoNt.sracCTi CS Pad 040 plprint Contact mane: r_45 r_c.:-. ,gfr IlLokikli-,> SS.411 ro gilt Mon $1.00 for ertcl Mortal ifrti Fornocc, etc, 4ddrc t el : Nita - KILL to:, ,sr. , Gm heat pump City/Slate/ZIP: Pb &T.&, e,1 0 (C 9 7z c. Wanhopodeditmit *stn Ph: ( So9 IC Z , ( 6 7r Pox: ( 7' Z.. I Ct■ 71 Wei Mawr _. rimpisce E-Insa: I ' Miss e k,';11;,■:„1::"±k:11.CFV4F;;::4 tr!'1;"K,Y5;?%%i .:.';':':f.::?: '!'q.;' Bathe= Etrinsss trams: Crothss .. - Misr Maws ' 11( '' L.I . i.X n - A..i: ! .41 .. '4q..-"'": 1 0 M321g0 City/Sato:4TP: Nom ( ) Fox: ( ) 1 . . —. . neinintrtm pctrnit Fee an 12 .111111===.1.111. . . I Plan review (25% of permit' 13.111.1111111111 Stine nrteliorge (I% crooned' . 1 Al . I TOTAL PERMIT Authorimstl signaturdr." . . . A AA/A e --1/' - vim p.rot.pfAit.d.,, erWell if • perm* la eta bleed +KAM IRO dip sitar ii taw bSUE 4mrored In ell Ille- Print name: 4111104 1011111 .11r11111111M . . Fos 111AI/if/Acing) ici by ?"-■Cant y Dulkliq het ..Retftierc Stud iMuliktalortp.fislmsx•I'mritArrAine 12/0 .40-10177 c i fa verimnrith ( Clean Water Ser k eiP 1 ( 4)) September 08, 2005 2, 6 ' f ig 3 i,s0 rV16 *VS .16 1311N Executive Construction 13 1 0 0,2& KillingsVvorth POlitarld, 'OR 91220 • AddltiOn to single family residence located at10180 SW RivenNood La Tigard, OR. Vs file •8.003546 (Tax map 2S1148C Tax lot 00800) „ • . • • ClOn WOter ,!SeNibes has received your Sensitive. Area Certification for the aboVe referenced site. District staff has reviewed . the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project wit not significantly impact the existing Sensitive Areas found near the site. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 049, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state,*and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at(503) 681-3605. Sincerely, Chuck Buckallew Environmental Plan Review Site plan attached 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone; (503) 681-3600 • Fax: (503) 681-3603 • wvvwCleanWaterServices.org 1 • • Permit #: m % aooS --cc33 (7 Address: /6/ aQ 6,,,,),--e4),..)-0 * Issued by: J ItiZ Date: 1O —//—e6 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. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (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 y <,,, 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 certify t c at the above information is correct and that I have read and do understand the Information Notice to Prop - i Owners ab t ' onstruction Responsibilities on the reverse side of this form.. (S g natu re o f permit applicant) (Date) . (White copy to issuing agency permit file, pink copy to applicant) ' - ' f0forrnation Notice to Proiterty Owners Atoka ConstrbrtimvnRespo0Us't^Uit^es Note: This information Notice to Property Ow about Consir Responsibilities was by the Construction Contractors Boa in accordance with ORS 701. 055('5 If you arc 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 constroohonorimprnvcmcntofore«idcn|iu|s\ructurc`younULinmostioxtuoocs,'bcru\edtubeooemp]nycrmndthcpcop|e you hire will be employees. As the employer, you must comply with the following: Oregon's withholdi tax law: As an employer, you must withhold income taxes from employee wages atthetime 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. o[Bzvcnueut945'8O9|. Uaempoyment 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 Doparnentut378'3524. • Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must. obtain workers' compensation insurance for your employees. lfyou fail to obtain v/orkcm'zmnpcnaatinuhsumoce,youmuy be subject topenmldcoundv/iUhc|iuh|ofbruUu\ui0000stsi[noro[vouromyloycrsioi 'urmdmntbcjoh.Formnreiofbnnution, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. nternal Revenue Service: As an 2M p I oyer, 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 RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the perm k holder for tbix project, youme responsible forresolving any failure.to meet code requirements that may be brought to your attention through inspections. . • ' Liability and property damage insurance: Contact your insurance o�cnrnn see if you have adequate insurance uove/ugufbp 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 theexpertise to act as your own general contractor,to to coordinate the work of rough-in and finish trades, and to notify building offlcils atthe the appropriate times so they can perform the required inspections. If you have additional questions. write or call the Construction Contractors Board (PY\ Box l4\40,Sa|enjORP7309'5052, 503/378-462l): 7hc_B0ord is located at 700 Sumnmcr St NE Suite 30Q in Salem � �` '`- prop-own.pm4 Inspections Required for: MS s 2005 -00336 • I ✓ l Code I Inspection Description I PASS I By : MST - Master Permit 405 Excavation 410 Fill 415 Grading X 205 Footing , 'Z�b1c t 805 MFG - Structure grading/footing X 210 Foundation walls ? ay/21 AR Od / ZS I, 215 Footing drain / ���""" c:7\ 305 Plumbing undersiab , P X 220 Slab CO ' 310 Crawl drain 315 Post/beam plumbing 605 Post/beam mechanical 225 Post/beam structural I 230 Underfloor insulation 5 I? I , X 235 Shear walls/anchors 4d/ r X 240 Exterior sheathing WI. /0 242 Interior shear walls 6, 1 1 5/66 /-6 S (l4.1 -1 . 4/7-0-(‘‘ (2 6G 4') 245 Firewall 250 Roof nailing A lle 255 Wtr proofing basement walls Z •/4 ,� 265 Masonry 270 Reinforcing steel (rebar) / 6 A X 320 Plumbing rough -in / 7 �j it/95 325 RP/backflow preventer / / � / � X 610 Gas line ��/6� X 615 Mechanical rough -in iC 6G /( 110 Temporary electrical service / 115 Electrical service /reconnect r X 120 Electrical rough -in 19/ 046, q T , 3 5 _ kl Low voltage Spriner rough -in 1 k 275 Framing i p ( ,5 810 MFG- Structure set-up /� 6�' X 280 Insulation VO 6 Ze7 S 330 Water service X 335 Rain drain 340 Storm drain 505 Sanitary sewer 350 Septic tank ` 285 Drywall nailing ' I-E .56041- NQ. ¢/776 6 (c--() 289 Approach/sidewalk 295 Misc. inspection: 899 MFG - Structure final 498 Grading fmal 7 X 699 Mechanical final L' c X 399 Plumbing final y � -� J X 199 Electrical final E SPIRE iF V / 3 0 . 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' GREGORY W .-.F.-,-; '',-':, ' : Updated BL , , .D.''" < -:: ‘:‘ 9 41,. el. l ,,..:?: ... „ . -.. . , ,..... ,...4,, . W.V‘ • - ',” ...;..gv ,.-- 4 ,•;;;.,..1.4'• ■• ....4,r 4: , ' .....K 4 .! • , ',. .Ad dies5:101811SW'RIVERWOOD-1N '' . '''' , -Jur: ' -• --.- - --, -;i ..,-;•., -..--..-,.4-.4,..„ . -• , . ' - - i- ° ,. - • ,. • .. , - ,,..,..:,-.. -• --, - .. . ,tid .„,,.., .._,. - : ,.,uila ing , . ; . Description : - :Master AL: IMST2005-00336 Project: IiINDERSON :,.., •-:.." 2 '' ' , -:.:•'•'.'-g-gii...'4.att'st.i.!...4'.ii.r..:g.,'.::.-Ot.'',?...";.,., i • .!., ,,,,- ! , , -.4-... ,- i„;-el...4-....:...'1,-,‘..„-- •,. :-..4....v,' . 4 . . • .,„ , : 1 1 .: "ti , . ....f;:.4.44 - :' , 4; 1, :. •••:,,,-.. SF addition. 12/13/06, adding, (1) lay, (1) shower (1) water closet and other fixture is ....,:, ,. e pump. , ' (1) ej ..-: 1 , , ''' ' .' • ' , 1 ‘ ' ‘ 10,6,,,,, . ' Iv.,,, ' ' ,,,,,,,.,'?„.":::,,,,,, : : : 4,,,, ' ,,,,. • , ,, / . . ,, , , ', , •% Mr . ke <,. .. 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( 1 r` -4.4erfin'',1 .;39-44....-of ft ;45'4' „.„:, ' S„,,,,,., % ', , , 't: ,, -..t, , --' . t. tr..**. „....?...4,4 ,- .*- ..,.,,..,, - , -, . ., .. ... . , . ,.. , Case Activity Listing 1/23/2008 .CCEL!!, Case #: MST2005 -00336 12:44:33PM :. ........:_ . h .. . . ... y^(, � y � ,.. > :.. Assiganed ` : Done::. U tv . . Desch ton ., .� . .. z . , ......... ...:..�x�...�. � , .... �.. :.:;::: : �F': � , :q..`.:. , „;, ; ,,,;: . : .' :� ° Actt .. h,' � F P . ';��m�: . s � �«- ..,.Date.l _.�. . �.: .<,. Date2, ..,, ,..:. � .Date , 3 _� Holds,. � Dis ..Toy By : B ,:Notes ». . �s MST10I0 Application received 9/23/2005 None RECD DEB 9/23/2005 . BLD MST1020 Permit created 9/23/2005 None DONE DEB 9/23/2005 BLD MST2235 Shear walls /anchors 4/13/2006 4/14/2006 4/14/2006 None CB 4/14/2006 028075-01 — 503-670-9016 --, VM - STI N.- 150 MST2235 Shear walls /anchors 4/19/2006 4/20/2006 4/20/2006 None PASS CB 4/20/2006 028345 -01 — 503- 670 -9091 —VM - STI N MST2240 Exterior sheathing 4/19/2006 4/20/2006 .4/20/2006 None PASS CB 4/20/2006 028345 -02 — 503- 670 - 9016— VM - STI N MST2242 Interior shear walls 4/19/2006 4/20/2006 4/20/2006 None 4/I 4/ ( CB 4/20/2006 028345 -03 - 503- 670 -9016 — VM - STI N -180 MST2120 Electrical rough -in 5/16/2006 5/17/2006 5/17/2006 None 2/6 HAP 5/17/2006 029989 -01 — 503- 670 -9016 -- VM - VI HAP N MST2120 Electrical rough -in 6/9/2006 6/12/2006 6/12/2006 None PASS GN 6/12/2006 031539 -01 — 503 - 670 -9095 — V' GN N MST2280 Insulation 6/15/2006 6/16/2006 6/16/2006 None of f / 04 KBS 6/16/2006 031842 -01 — 503-670-9016 — VM - STI N -150 MST2610 Gas line 6/15/2006 6/1612006 6/16/2006 None t o (f/4/a4 KBS 6/16/2006 031844 -01 — 503-670-9016 VM - MI I STI N —150 MST2615 Mechanical rough in 6/15/2006 6/16/2006 6/16/2006 None KBS 6/16/2006 031844 -02 — 503- 670 -9016 — VM - STI N —150 Page 1 of 5 CaseActivit9..rpt: Case Activity Listing 1/23 /2008 CCEL/7 Case #: MST2005 -00336 12:44:33PM Assigned Done Updated , . .. Activity Description Date 1 , Date 2 Date 3 Hold Dis To By By . Notes . MST2275 Framing 6/15/2006 6/16/2006 6/16/2006 None L j„/( /v 4, KBS 6/16/2006 031846 -01 - 503 -670 -909# - VM - C STI N -150 MST2242 Interior shear walls 6/15/2006 6/16/2006 6/16/2006 None (Q/ f kj KBS 6/16/2006 031847 -01 - 503 - 670 -9016 - VM - STI N -150 MST2220 Slab 6/15/2006 6/16/2006 6/16/2006 None PASS KBS 6/16/2006 031847 -02 - 503- 670 -9016 - VM - STI N MST2280 Insulation 6/18/2006 6/19/2006 6/19/2006 None PASS KBS 6/19/2006 031928 -01 -- 503 - 670 -9016 - VM - STI Y MST2610 Gas line 6/18/2006 6/19/2006 6/19/2006 None PASS KBS 6/19/2006 031928 -02 - 503 -670 -9016 - VM - STI N MST2275 Framing 6/18/2006 6/19/2006 6/19/2006 None PASS KBS 6/19/2006 031928 -03 - 503- 670 -9016 - VM - STI Y MST2615 Mechanical rough -in 6/18/2006 6/19/2006 6/19/2006 None PASS KBS 6/19/2006 031928 - 04 - 503 - 670 - 9016 - VM - STI N MST2242 Interior shear walls 6/18/2006 6/19/2006 6/19/2006 None PASS KBS 6/19/2006 031928 -05 -- 503 -670 -9016 - V' STI N MST2322 Shower pan 9/20/2006 9/21/2006 9/21/2006 None PASS MRS 9/21/2006 036964 -01 - 503- 670 -9016 -- VM - STI N MST2199 Electrical final . 10/25/2006 10/26/2006 10/27/2006 None FAIL • GN 10/27/2006 038845 -01 - 503 - 670 -9016 -- VM - GN N MST1030 Check for parcel 9/23/2005 None DONE DEB 9/23/2005 Applicant was informed that Service tags /CWS BLD Provider letter is required prior to issuance. Page 2 of 5 CaseActivity .rpt 1/23/2008 Case Activity Listing 12:44:33PM CCEL/ Case #: MST2005 -00336 Assigned Done Updated '—z-''''' ,. . Activity Description Date 1 Date 2 ,Date 3 . Hold Disp, , ;.;: To By By Notes °. . MSTI050 Site plan revwd /route 9/23/2005 None DONE DEB 9/23/2005 to PT /PW BLD MST1060 Building plans routed 9/23/2005 None DONE DEB 9/23/2005 to PE BLD MST1730 Case update (see note) 9/29/2005 None DONE DEB 9/29/2005 Copy of CWS service provider letter BLD received by fax. Routed to Mark MSTI 100 Building plans 10/10/2005 None APRV MAV 10 /10 /2005 approved by PE MAV MSTI 110 Approved plans 10 /10 /2005 None DONE MAV 10/10/2005 routed to PT MAV MST1810 Ersn Cntrl 681 -4444 None 10 /10 /2005 MAV MST1065 Begin plan review 9/28/2005 None DONE MAV 10 /10/2005 MAV MST1240 Post - review 10 /10 /2005 None DONE DER 10/10/2005 completed DER MSTI270 Ready to issue permit 10 /10 /2005 None REDY DER 10 /10/2005 Print plumbing signature form after DER issuance. MST1280 Issue permit 10 /11 /2005 None DONE DER 10/11/2005 BLD � 6 MST2210 Foundation walls 10/20/2005 10/21/2005 10/21/2005 None W e to / Z KBS 10/21 /2005 018943 -01 - 503- 984 -4815 -- VM - STI N - 180 Page 3 of 5 CaseActivity..rpt 1/23/ Case Activity Listing CCEL Case #: MST2005 -00336 12:44:33PM Assigned Done Updated Activity Description ' Date 1 , Date 2 Date 3 Hold Disp' To By By ' Notes MST2205 Footing 10/21 /2005 10/24/2005 10/24/2005 None CNCL JMT 10/25/2005 019137 -01 - 503-984-4815 - VM - JMT N MST2205 Footing 10/25/2005 10/25/2005 10/25 /2005 None PASS RB 10/25/2005 019299-0 I - 503 -984 -4815 - VM - STI N MST2215 Footing drain 12/13 /2005 12/14/2005 12/14/2005 None ©:IL I 716 OC KBS 12/14/2005 023453 -01 - 503- 670 -9016 - VM STI N -150 MST2255 Wtr proofing 12/13/2005 12/14/2005 12/14/2005 None 0 %��41 4 KBS 12/14/2005 023453 -02 - 503- 670 -9016 - VM - basement walls STI N -150 MST1290 Reprint permit 12/13/2005 None DONE DEB 12/13/2005 Reprint for additional items. BLD MST2210 Foundation walls 10/25/2005 None PASS RB 12/15 /2005 RB MS1'2215 Footing drain 12/16/2005 12/19/2005 12/19/2005 None PASS CB 12/19/2005 023684 -01 - 503 -670 -9016 - VM - STI N MST2255 Wtr proofing 12/16/2005 12/19/2005 12/19/2005 None PASS CB 12/19/2005 023684 -02 - 503 -670 -9016 - VP basement walls STI N MST2305 Plumbing underslab 12/21/2005 12/22/2005 12/22/2005 None PASS MRS 12/22/2005 023905 -01 - 503- 670 -9016 - VM - STI N MST2230 Underfloor insulation 12/23/2005 12/27/2005 12/27/2005 None PASS DAN 12/27/2005 024036 -01 - 503- 670 -9016 - VM - STI N MST2320 Plumbing rough -in 4/4/2006 None PASS MRS 4/4/2006 MRS Page 4 of 5 CaseActivity..rpt Case Activity Listing :44:33 PM 08 CCEL 12:44:33 C Case #: MST2005 -00336 ,�..p -� � =�• .. ..r Assigned- one; Updated .Aettvt Desert tton ; ,.Date 1 Date:2'. Date 3 =Hold D ! To :... >:.. . B By :. 1Votes" ~ MST2615 Mechanical rough -in 4/11/2006 4/12/2006 4/12/2006 None �� KBS 4/12/2006 027798 -01 - 503- 670 -6016 - VM - �� i / �� STI N - 150 Page 5 of 5 CaseActivity..rpt CITY OF TIGARD • BUILDING DIVISION PERMIT #: I•, ST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 I � Inspection Requests (24 Hrs.): (503) 639 -4175 °'I �.. INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 3; SITE ADDRESS: 10100 SW RIVERWOOD LW CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME:. ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 036964 -01 503-670-9016 N Corrections /Comments/ Instructions: . - ,- * C 1 ° ;C;i4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED M t'Lv Inspector: ` Date: / / O. Phone #: (503) 718- /�/ CITY OF TIGARD BUILDING DIVISION PERMIT # O(�.S- O p 33 c 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 n ' ° L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / Q / i CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: y J � 1� Pour Time: Code # Inspection Description Confirm # Contact # Message p Apizyst., IjAgg,eA - 7.0 Corrections /Comments7Instructions: y htiAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � ` t^ Date: Phone #: (503) 718- r 1 , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 ij�h Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 49 SITE ADDRESS: 10180 SW RIVERWOOD LW CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 17113/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503- 762 -1675 Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 023905-01 503. 670 -9016 N Corrections /Comments /Instructions: %iiiM� / ,/ PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /7 4 Date: /JP2/6/ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2005-00336 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 0/1 112005 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.. INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AIVI PAGE: .49 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038845 -01 503 - 670 -9016 N Corrections/Comments/Instructions: 4 o A-, «?_____ '/ ,,Q . 1)%3RAMA. %03 (.) a orfts.),Ao•D j . - ?claw 1 r;rx Z.t ` .1 c.Al s ON KIT ck^t L 6 Lt..NZ . t . IA o ,'2. n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS "A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED IQ Inspector: 441 F q t a �-G Date: ! � G v Phone #: (503) 718- Z-64'y CITY F TI AR C O G D BUILDING DIVISION PERMIT #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101//12005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 1: 03AM PAGE: 59 SITE ADDRESS: 1018C) SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: ode # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 031539 -01 503.670 -9095 N Corrections /Comments/ Instructions: Sst s-ANA ENZ Of: 103 'KHAN g 1 tit*. OP So "`Su sue, a LL k 0 )o 4\1 14 0 boo 1 0 &c jpPt.. \WL". Mkt- FA 04 11 kis) Fltsit_ PLL- 2ov• i5 it - /A mtv. ovaL.75 N om ; s uA6-)e4 N c L P Zoo 6- noZz1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Lt !2- b Inspector: v � Date: 6 � Phone #: (503) 718- 22146 CITY OF TIGARD 1 . BUILDING DIVISION PERMIT #: MST21050033 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1112005 Phone: (503) 639 -4171 I , Inspection Requests (24 Hrs.): (503) 639 -4175 I�I INSPECTION WORKSHEET FOR DATE: 51171200E TIME: 7:06AM PAGE: 67 SITE ADDRESS: 101130 SW RIVERWOOD G.N CLASS OF WORK: SUBDIVISION: PICKS LANDING N0.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 1211 3105, adding, (1) lay, (1) sh . aet . (1) water closet and other fixture is (1) ejector Pui np. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 029989 -01 503- 670 -9016 N Corrections /Comments /Instructions: (Ok I Ai Z ( / ' C / ' --' 11., '' Old' ' - . ,_ , 4 it . CiL( r., 416 ) h2-Cy 14.,v4A.A. .4 / el •,--- /h4 aCi-c &d:1,( okmaj eon/ c C „/)-. I ❑ PASS N PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL K CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ;/ Inspector: Date: b'-/7 Phone #: (503) 710- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -00336 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Ii Inspection Requests (24 Hrs.): (503) 639 -4175 _�' �.. INSPECTION WORKSHEET FOR DATE: 6/19/1006 TIME: 7:05AM PAGE: 20 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 031928 -05 503-670-9016 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: -- /' Phone #: (503) 718- -2 —, CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20(6.00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 - 4171 11 lk\ Inspection Requests (24 Hrs.): (503) 639 -4175 s'!!+� 1111 .. INSPECTION WORKSHEET FOR DATE: ?006 TIME: 7:05AM PAGE: 21 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +. PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031923 -04 503 -670 -9016 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 62-- Phone #: (503) 718-- 21--4- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006- 00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 � 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ° � .. INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:05AM PAGE: 23 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12113/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031928 -02 503 -670 -9016 N Corrections /Comments /Instructions: /r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL gi C , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: ✓ 1 Date: 6- 1 o-& Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 °'I � .. INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 1:05AM PAGE: 24 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: Sir addition. 12113/06, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/ Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 031928.01 60.670.9016 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - --/9 —D Phone #: (503) 718- 24-4-6-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . "'IL. INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7 :05AM PAGE: �2 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 031928 -03 503-670 -9016 Y Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ----- Inspector: ,i9. Date: G--lV Phone #: (503) 718 - -4-4 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . ' At INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 031047 -01 503-670 -9016 N Corrections/Comments/Instructions: T - -r&o.py ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: 4 -/6--e6 Phone #: (503) 718- t(441-" CITY OF TIGARD � BUILDING DIVISION PERMIT #: MST2005•00336 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2006 Phone: (503) 639 -4171 ij Inspection Requests (24 Hrs.): (503) 639 -4175 �' ":L INSPECTION WORKSHEET FOR DATE: 6116/2006 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13105, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6■16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 775 Framing 031646 -01 503-670-909 ft N Corrections /Comments /Instructions: // JQ� Qr -o r.% �� 1/ Se A_./ s, Z2s F S i j �G / h4 S u 4 ‘ 6 : 56--/ oD ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . ten- Date: C.- --/6--06 Phone #: (503) 718- Z -q--ffS — � CITY OF TIGARD BUILDING DIVISION PERMIT #: MSST200F.00336 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10111/200f, Phone: (503) 639 -4171 .1: Olt Inspection Requests (24 Hrs.): (503) 639 -4175 .„ " -- INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13105, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W 4•, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 031844 -02 503 - 670 -9016 N Corrections/Comments/Instructions: !rte/ , "—rev J P ` JO )__-- ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL w CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: •// a Date: C -G Phone #: (503) 718- �-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MSf2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 .,. .. ^'I J.. INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON - DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031844 -01 50''3.670 -8016 N Corrections /Comments/ Instructions: __4__ ,'17 �� f - � sa/1..� ,ice --` ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL p CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: � /6- Phone #: (503) 718- 2-9-9-5 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: '14 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: Q TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12113/05, adding, (1) lay. (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: CMI'IER PHONE #: Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 031842.01 503-670-9016 N Corrections /Comments / Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■ffi Date: 6 /6. le Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200f- 00336 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11x/11/ 200, Phone: (503) 639 -4171 ,,1 A Inspection Requests (24 Hrs.): (503) 639 -4175 s'!+� 'II� INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO. LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12113/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W 4., PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/1612006 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 031847 -02 503-670-9016 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL , ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � / Inspector: - Date: G 16*-- Phone #: (503) 718 - .2-q-115 CITY OF TIGARD BUILDING DIVISION PERMIT #: ;1 ST2(tt� °a Ci13: :tG 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: lO /liJ)006 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °''— INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: . /:0.1AM PAGE: 72 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) I :av (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W + PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/20/2006 • Pour Time: Code # Inspection Description Confirm # Contact # Message aqi) Exterior .sheathing 028" ? }.02 603.610.9011; N Corrections /Comments /Instructions: • [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C•/ Date: I/20. v 6 Phone #: (503) 718- Z6.4/1/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2 iii I.) 35 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2006 Phone: (503) 639 -4171 .111411t Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 71 SITE ADDRESS: 10180 SW RIVE.RWOOD Lig CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejer,ter pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 412o /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 02834b03 503 - 6701-9016 N Corrections /Comments /Instructions: c .f12C —. F C ��. / � — � -L e ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &h Date: 1 /2 0 0 0 6 Phone #: (503) 718- Z‘‘/I-/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MS - 1200 6.00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11000:5 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 atrut. IL. INSPECTION WORKSHEET FOR DATE: 4/30/2006 TIME: •:04AM PAGE: 73 SITE ADDRESS: 10130 SW RI VERWOOD L.N CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water c :Ioset and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 23 € Shear walls/anchors 028345.01 503-670-9091 N Corrections /Comments /Instructions: I\oT T P o vi 6 (3) i 'vL F' A.4 S u PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GI If > Date: 1 /'Z0' 0 Phone #: (503) 718- Z 6 G // CITY OF TIGARD • BUILDING DIVISION k. PERMIT #: MST200f; 00336 13125 SW Hall Blvd., Tigard, OR 97223 44, DATE ISSUED: 10/11/2005 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,." -1114- INSPECTION WORKSHEET FOR DATE: 4/14/3006 TIME: 7 :07AM PAGE: 23 SITE ADDRESS: ( C 1C11t3i>I SW 171VFF2l�d� ,)C7 LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) l av, (1) shower (1) water closet and other Fixturo is (1) ejector i ;wnp. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4114/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 028075.01 503 -6 /0 -9016 N Corrections /Comments /Instructions: j1/415 e - )*; i� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ,ice LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED IF/in 1/ 718- Date: Phone Inspector: #: (503) 718 CITY OF TIGARD . BUILDING DIVISION • PERMIT #: I,y;1'200S 003j ; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 !Vitt INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:04AM PAGE: 10 1:1 SITE ADDRESS: 10180 SW PIVERWOOD I..N CLASS OF WORK: SUBDIVISION: PICKS LANDING 140.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) kw, (1) shower (1) Water closet and other fixture is (1) ejector pomp. OWNER: ANDERSON, t I,',E.Go RY W 4, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/1 22006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 027790 -01 503- 670.6016 N Corrections/Comments/Instructions: // /•rte ilGAr - j -j / /,r,-.Dzzya g S !c"4 . / Ass ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS FAIL CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED FAIL /. Inspector: / / Date: — /1 0&' Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST ?005.00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Q' h Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °T i I.. INSPECTION WORKSHEET FOR DATE: 12/27/2005 TIME: 7:03AM PAGE: 32 SITE ADDRESS: 10180 SW RIVERWOOD L.N CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet arid other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503- 762 -1675 Inspection Request Scheduled For: Date: 12/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message :a30 Underfloor insulation 024036 -01 503.670.9016 N tee Corrections /Comments /Instructions: (bk SLN \(; PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR IN PECTION ❑ ADDITIONAL FEES ASSESSED o� Inspector: tra • Date: Cv v h one #: (503) 718- "2-47" CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10111/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .,._' ^_ INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7 :01AM PAGE: 31 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) Iav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503 - 762-1675 Inspection Request Scheduled For: Date: 17/ 19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 023684 -01 503.670 -9016 N Corrections /Comments /Instructions: AM PASS / - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / ../ /. ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector A Date: / 21,1.615 / 6 ✓ Phone #: (503) 718- . CITY OF TIGARD aUILDING DIVISION #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,. J '' INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 30 60 AI 103 �� SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503-762-1675 Inspection Request Scheduled For: Date: 12/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 255 Wtr proofing basement walls 023684 -02 503- 670.9016 N . Corrections /Comments /Instructions: PASS l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL /1 C 7 L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L_ Date: -6(5 Phone #: (503) 718- ` CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 - 4171 . 1 Inspection Requests (24 Hrs.): (503) 639 -4175 �'.. 11L INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 4 C 3 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lay, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503-762 -1675 Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 265 Wtr proofing basement walls 023453 -02 503 -670 -9016 N Corrections /Comments /Instructions: ❑ PASS — _El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: : r Date: l2-- ite—DS -- Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200S -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 II Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 10180 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition. 12/13/05, adding, (1) lav, (1) shower (1) water closet and other fixture is (1) ejector pump. OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503. 7611675 Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 023453 -01 503-610-9016 N • Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /2-- ! 4---4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 4,41,e4, ...,.. Inspection Requests (24 Hrs.): (503) 639 -4175 4s.1-41t1- / INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 1 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503. 762 -1675 Inspection Request Scheduled For: Date: 101:5 /2005 Pour Time' 2:00 P Code # Inspection Description Confirm # Contact # Message eie I 205 -ooiing 1 019299-01 603.994 -4815 N O , Corrections /Comments/ Instructions: 0 T::;CP--A 61..,g (° /4 a ( 1. . Ii_._,.._ i I 1 c / -- --- c___-e -1-e .•� f- fi 2 �:A _ t NR. e_.-e-.2 r 3 ,) IA, - +4. cl 75 4" . l — _ �L, p / -_ � AA___ -1-- \ „(-,, --, , Arg i-C-7V.--- -- e v & t TO /WO Cr (vv\ ?rij j ' " A C ---D nt A6_,A_A__ u.rtrii_A-ufft/\ . '� PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 L/ 65 Inspector: * ix v v Date: f Phone #: (503) 718- r FROM ;.Cascade Design Processionals FAX NO. :503- 652 -9091 Oct. 25 2005 09:00AM P1 PAUL KLUVERS, P.E., S.E. CONSULTING STRUCTURAL ENGINEER S FAX TRANSMITTAL TO: NAME COMPANY FAX NUMBER Robert Bland Executive Const 503 -762 -1677 FROM: Paul Kluvers DATE: October 25, 2005 NUMBER OF PAGES: _2 (including this Cover Page) SUBJECT: Anderson Addition — Revised Footing, Rear Wall COMMENTS: Robert, Here are the calculations for the revived footing at the rear wall for the above referenced project. Note that the SSTB20's are adequate for this application. Call me if you have any questions. Paul 204 SE 78 Avenue, Portland, OR, 97215 Telephone (503) 257 -6540 Facsimile (503) 256 -4643 Cell (503) 705 -4300 . 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P� n c f7o m . • i Aloy,el______4,,2 . :y � y ae.w �w eXPIRAT1oN DALE: hyzni. ✓JSTauv - c c)33S City of Tigard � Approved Plans By Date .. a.�s• CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2Q05 -00336 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 It Inspection Requests (24 Hrs.): (503) 639 -4175 s_' INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 100 SITE ADDRESS: 10180 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 063 TYPE OF USE: PROJECT NAME: ANDERSON DESCRIPTION: SF addition OWNER: ANDERSON, GREGORY W +, PHONE #: CONTRACTOR: EXECUTIVE CONSTRUCTION & REMODELING PHONE #: 503-762 -1675 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 018943 -01 503-984 -4815 N Corrections/Comments/Instructions: 0 'P2uvg --r2,: \/ /Sa.vs w-t 72 LiCAJftlIi •' •3 - =: := I%1s.u4fl.ZS C I r - 7 a r ---- / / /L /,7 ❑ P ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS FAIL ! CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 4 Inspector: Date: j(2 — 21-0:N Phone #: (503) 718-