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Permit ' . . ,.f..k -i-a 7 f o g ..e �� -k c►m - � �f � MASTER PERMIT ,I1`I. !Ty ,,,,F TIGARD PERMIT #: MST2008 -00040 COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 TIGAR! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103CA -00603 SITE ADDRESS: 13400 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: PETITT Project Description: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 1,505 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 752 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 1 72,424.23 OCCUPANCY GRP: R3 BDRM: 4 BATH: 2 TOTAL: 1,505 sf REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 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 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 9 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000. amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable THOMAS PETITT A E CRANMER CONSTRUCTION laws. All work will be done in accordance with approved plans. This 13400 SW 121ST AVE 969 BRIDGE ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 LAFAYETTE, OR 97127 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 539 - 2049 Contact #: PRI 503 864 - 4456 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 135173 TOTAL FEES: $ 4,213.30 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Cssued By : /1/./.1.....1-1 Permittee Signatu .. r , 4 _ _ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. ' i s 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. (0 /6/ /06 / 4 t -f" a4:� e — 7i ,5-di o �-• C ali. , ip f w IY U MASTER PERMIT l ;,, PERMIT #: MST2008 -00040 COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103CA - 00603 SITE ADDRESS: 13400 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: PETITT Project Description: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 1,505 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 752 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 2 TOTAL: 1,505 sf 172,424.23 REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1005 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 MO SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 9 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable THOMAS PETITT A E CRANMER CONSTRUCTION laws. All work will be done in accordance with approved plans. This 13400 SW 121ST AVE 969 BRIDGE ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 LAFAYETTE, OR 97127 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 539 - 2049 Contact #: PRI 503 864 - 4456 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 135173 TOTAL FEES: $ 4,358.90 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issu By : Permittee Sign -(112 t.- - c . 7_,.. , Call 503.639.4175 by 7:00 a.m. for an inspection that bu •' ess 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. � 'jaq � TIGARD MASTER PERMIT 711 PERMIT #: MST2008 -00040 !,,_._ ,,,...,..„: COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 TtGARr^ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103CA -00603 SITE ADDRESS: 13400 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: PETITT Project Description: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST: 1,505 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 752 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 2 TOTAL: 1,505 sf 172,424.23 REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 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 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 6 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: 1000• amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable THOMAS PETITT A E CRANMER CONSTRUCTION laws. All work will be done in accordance with approved plans. This 13400 SW 121ST AVE 969 BRIDGE ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 LAFAYETTE, OR 97127 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 539 - 2049 Contact #: PRI 503 864 - 4456 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 135173 TOTAL FEES: $ 4,190.96 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Iss • ed By : - �LWs `/ i 1 / 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. 4., ' REGWV CL1 , Electrical Permit Application FOR OFFICE USE ONLY IN City of Tigard iv;`- ` Date/By: 7 Qg Permit No.: ' ��g--e/l • 13125 SW Hall Blvd., Tigard, OR 97223 Review l7 Phone: 503.639.4171 Fax: 503.598.19t�I TY Or j i teBy: Other Permit: T I G A R D Inspection Line: 503.639 �. nI V I ,Si u t o R ea d y /B y : lu ris: ® See Page 2 for Internet: www.tigard -oc - gov fI:. ni• ? Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. / � ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: a 4/dd Ovv /a� �(� � I or more. occupancy. ` ❑ Six ix or or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) � / i /04- i � J Limited energy, multi- family 75.00 2 J k..- �`7 residential (with above sq. ft.) """- li \% / - ,o,, Services or feeders installation, alteration, and/or relocation �/,(��lJ� i,12, 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: r - 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: _Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 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 599 amps 133.75 2 Branch - circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 3 6.65 !7•C,_< 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: e- ie� Signal circuit(s) or limited - L t� 7v N El T G energy panel, alteration, or Address: "? 0 , --6)( %too extension. Describe: Page 2 2 City/State /ZIP: � 0 /Z 9 C d / Each additional inspection over allowable in any of the above l Per inspection 62.50 Phone: (S03) 1135 _i 6 LC) �1I A Fax: (503) -0,5 / Investigation per hour (1 hr min) 62.50 0 CCB Lic.: \ C 7 ( Electrical Lic.: 3( -UDC Suprv. Lic.: 1 5 6n6 5 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: e e 1 o 1(fi Subtotal: Print name: CW C r..�O h Date: 7/f / OS( Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\Building\Permits\ELC- PermitApp.doc 05/23/06 440.4615T(11/05/COM/WEB i Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ,;:RESIDENT 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: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 : \ Building \Permits\ELC- PermitApp.doc 03/23/06 Building Permit Application �, Residential ( ::;,, ^ N,e}� 1P? „1l4i u +....� ; A 1 "r i4.� i ° ,. ♦ cau ..$,:. It N r t � ∎ FOR OFFICEUSE ONLY d � i f g /� ,, 6.- ..+f r i ' - �� S.�k�yyl�. e r � l' . i ;i . "� u,_, ..: • 1 s .- �� .��.�: �:Ai i.'fi6 -. N.>v," �'7Pt;l � F! V . 1 t City of Tigard 4 V i Received V �� permit No.: e, � �' e4 f , , Date/By: l(J a 13125 SW Hall Blvd., Tigard, OR 97223 ;to, , `` , Plan Review '' Phone: 503.639.4171 Fax: 503.598.1' . I - v / Date/By: ' �I O ' Othe r Permit: GI 8 Alt) T I C i1 k p Inspection Line: 503.639.4175 , + ° er C.;' s C l� y • Ojetc24).? 1 El See Page 2 for v ie Re /B Juris: „,ii1 Internet: www.tigard- or.gov . P ad 104 � ` v + +fi 'fie e o d: Supplementalluformation ,4 b /40'"742 --- - -.... .... --- -- _.. TYPE OF WORK -‘1as. ; .- ' • REQUIRED DATA: 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 3 2 ❑ Other: equipment, materials, labor, overhead and the rofit for the CATEGORY OF CONSTRUCTION work indicated on this application. ,i / -i Z 7 ` �� - • A 3 L1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ��n� , • .. ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: JOB : SITE INFORMATION AND LOCATION Total number of floors: J Job site address: 1 3 40 o S v'J 12 1 45 t y t New dwelling area: square feet /SO S City /State /ZIP: T t G A_0.0 ©R Lc. o .-i Gi 7 3-'2- 3 Garage /carport area: jo . square feet -352 • Suite/bldg. /apt. no.: N _A Project name: p. 4 '.. i .. . Covered porch area: X/ - square feet Cross street/directions to job site: k4 out or2D Deck area: N -, square feet WA-L-PIXT ' I T V 12.. i S r 0 l - F i • - t - r, 1 - 4 u w pub() e. Other structure area: 1U - square feet 1. - E F i tt o u . S - L o Q N c- L(, 1 2 - 1 r 4 140 c A-(L b- REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: IQ _ O Lot no.: (0 3 Permit fees* are based on the value of the work performed. I Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: - l0 s s tS a{ /q 04"7 `f Si S equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK . ' work indicated on this application. Valuation: $ pp. L'1” tipa7 i W ci- tiv.£.S M c- -Cie_✓ 13-Q 0J- or)v�-v � ISATi - c . 1R��r 000A S , (6 LLe`� 1:'11 -t � �i �.:rJ� Existing building area: square feet ,_,/ New building area: square feet 12 PROPERTY OWNER ❑ - TENANT Number of stories: Name: To 0-t --p, t T I Type of construction: Address: i 3'L) D Sw 1 i 'S'T A!✓ c Occupancy groups: City /State /ZIP: T (� R_Z- 0 0 2 C Cz o A.1 C1 Existing: Phone: ( 1/) ty5 - -s-4 3 Fax: ( S'd 3) -'7 7 - s </y New: (APPLICANT ' - II CONTACT PERSON ` NOTICE ' . Business name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: � Fr / �m � � /^ under ORS 701 and may be required to be licensed in the Address: / 3 (- 0 CD S L-LJ 1 21 C..-1- Prt) £ jurisdiction in which work is being performed. If the City /State /ZIP: T I - � Z Z applicant is exempt from licensing, the following reasons e 4..ez , .9 apply: Phone: 97/ ) ( -- - t-i 13 Fax: : (5.„1 3) % - c - 1 (..t . E -mail: CONTRACTOR Business name: P . l_ CA p„. t,) k. C o S T '12U_c -T on . BUILDING PERMIT FEES* Address: Ad q k0 C •2D e t Q 6 r 5 (Pleaseiejatojeeschedule) o Ad City/State/ZIP: ` t. Structural plan review fee (or deposit): 5g � y 1 �� C � FLS plan review fee (if applicable): — Phone: (5 a3) c;--L 4 - CI +-i $ 6, (. ) C =fit 5 i - ,o $ - lib 2 CCB lie.: j 35' 7 3 � Total fees due upon application: 5 K. r 0 Amount received: Authorized signature: 4�/ //j 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. l: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(1 I /02 /COM/WEB) L, . Building Permit Application Checklist One- and Two-Family Dwelling - � .. il FOR ; O USE .' ONLY m I , ; f ,, City of Tigard Received Permit No.: . V 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 ❑ Electrical ❑Plumbing ❑Mechanical : 24- Hour Inspection Line: 503.639.4175 _.. I m..? Internet: www.tigard - or.gov EL Other: r,' THE" FOLLOWING4TEIVIS 'AREIREQUIRED'FOR'P RE VIEW «u � r+ ; k F ', •=Yes 3» No� 4 ;N /Aw 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ • 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ n , 1omplete protection sets et c. o legible plans. Must be drawn to scale, showing conformance to applicable local and state U-- ❑ ❑ ilding codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property comer elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2-11. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray . construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction: minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. - 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ • ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. '0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURI SIiECIFIC �r R .. ` -. " < .` , ; ; R, , a . . ` , n.K : . ' ,; �' " • 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". I S ,O ❑ 4 Two (2) sets each are required for Items 16, 19, 20 and 22 above.r' ( ❑ ❑ 5 Building plans shall not contain red lines or tape -ons. "Mirrored" building plabe acc pted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, - ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30. A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ . ❑ ❑ including decks, patio covers (over non- impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02/COM/WEB) Al Pluinbing Permit Application Building Fixtures ,,....4.....4 ' , ;` FO of i IcE. o� � , „' ' ' ' ge r City of Tigard Received Permit No.. } t .l , Date/By: a 13125 SW Hall Blvd. Tigard, OR 97223 Plan Review , , ' Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.: , ,+ 2 Date/By: y: t ,r Inspection Line: 503.639.4175 d T 1 6' A KI D p Date Ready/By: lugs: ® See Page 2 for 4x Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description Qty. Ea. Total <ddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION , SFR (1) bath 249.20 Tand 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ 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 AND LOCATION Site utilities Job site address: t .3 Li 0 0 c i Z (S r R.vl_ Catch basin or area drain 16.60 City /State /ZIP: -Ft fa A1L17 0 £ 60 t , 9 7 2 z - Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: xy _A I Project name: "-.P.42_4---- t f.fi Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: 1 Manufactured home utilities 110.00 rt V A'_ t) S 1 _ • Manholes 16.60 `lq l.0 kn E " 'PT n 1J LO4L_ tit 111 Le---r--r 12_1s7 Z )S'i Rain drain connector 16.60 1--C FT l'{-0 w r1 c7. 1 G vvli__ !_ u [ v4- rr r7 l- O 2/Utz Sanitary sewer (no. linear ft.: _) Page 2 I 2. l S i + tT[;t.k; � 0 S .� Storm sewer (no. linear ft.: ) Page 2 • Water service (no. linear ft.: ) Page 2 Subdivision: Lot Lot no.: (,o / Fixture or item Tax map /parcel no.: 7 (05 SG 5- - R 0 49 4 S) S Absorption valve 16.60 j� DESCRIPTION c, O � F WORK Backflow preventer Page 2 1`� v 0 • �l i .---"-• - 1'� 1 ' 1A4 t I ve..-�� Backwater valve 16.60 ?% Nom`- ,i�o.tK " "=:-TiT C,o w1 NTT•SE4JE , Clothes washer / 16.60 �/ - _. �"' -' Dishwasher 16.60 L PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: To t L r s n - P -4 , 1-i-- Expansion tank 16.60 Address: 1 all 0 O i..v i 7- 1 Y'r A.A.) Fixture /sewer cap 16.60 City /State /ZIP: "T'\ (a 4a_..40 0t2,c c, p vJ q 7 2_2:3 Floor drain/floor sink/hub 16.60 Phone: ( )�� Fax: ( ) Garbage disposal 16.60 r APPLICANT ❑ CONTACT PERSON Hose bib a 16.60 Ice maker 16.60 Business name: / 94 .. w F" eel .c.li RR 7t Interceptor /grease trap 16.60 Contact name: - T - i y y l 1 c /�� h ft Medical gas (value: $ ) Page 2 Address: /.3 4 /0 G. W / 2 / S T R-�.___ Primer 16.60 City /State /ZIP: TT l , t,1'1'L 0 n /L (� 7 2 -Z - Roof drain (commercial) 16.60 Phone: Sink/basin/lavatory L1 16.60 ( ) Fax: ( ) Tub /shower /shower pan A 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet it 16.60 Business name: Ow ti i...1 (,© N - re , p _ Water heater / 16.60 Address: v 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 (12% of permit fee) Authorized signature. _L '�Z" TOTAL PERMIT FEE Print name: L:= I `� - ( Uwtl� �� Date: ; _) _ r.. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. / 0041 / e / % ----: " � s - Fee methodology set by Tn County Building Industry Service Board. i CO /V / � e GIfp I:\ Building \Permits\PLMF- PermitApp. doc 12/27/06 440 - 4 6 T(I O /02 /COM /WEB) - :a . Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1S 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' 1 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 each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections -per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑Y new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall / Sink - Bar/Lavatory / S - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes / / Water Extractor Water Closet - Toilet da Urinal Other Fixtures: is\ Building'Permits\PLM- PermitApp. doc 1 2/27/06 • • Electrical! Permit Application � Received H r : > 1,i' PFORO1.1-1€ FUG 0NLN r .,` / r City of Tigard �� Date/By: y Permit No.: 13125 SW Hall Blvd., Tigard (R 722 '� Pl Review Phone: 503.639.4171 F.c�k, 5 8 f960 6 , � " Date/By: Other Permit: Marti" I "s Inspection Li 503.639.4 t7 � ' ® ,�lP1GAIZ �� l � ' w` Date Ready/By: Juris ® See Page 2 for D p e ct Line: t \� alratil„ t+e Internet: www.tigard - or.gov " �(. : Notified/Method: Supplemental Information o TYP Ol� U PLAN REVIEW ❑ New construction [Addition �' Y n/replacement Please check all that apply (submit 2 sets of plans w /items checked below): r�to ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. �,� less to ground, or exceeds 14,000 ❑ Commercial -use agricultural Lr7 ► - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: 100HP or more. occupancy. /3 �{f] S L) /2. / S r ,4 v e ❑ Six or more residential units ❑ Recreational vehicle parks. City /State /ZIP: A2 f r, 0 �� Al �'� Z 3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: /1 h Project name: ❑ Service or feeder 600 amps or more. ( P � t t r FEE SCHEDULE ' Cross street/directions to job site: H U t.v alz. 7 _ j y}L IQ t.lT S. . Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. tr I10 To 17. i S'r 1.1Q e_.. 1-e F Tti t4-0 EP I � r Includes attached garage. Subdivision: -i ti„ A Q D - N I A Lot no.: 0 3 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: T ( (0 5 S G s / R t) Li 1 7 4 S 15" Limited energy, residential 75.00 2 DESCRIPTION OF WORK . (with above sq. ft .) \ Limited energy, multi - family 75.00 2 �x L�,C ) - < ,,.__.(2_, '(am iv- -s 1 -c_% 1 -14 residential (with above sq. ft.) f Services or feeders installation, alteration, and/or relocation ;L�'t.�-> \ Pv 1.L tJ - e: ,,,, -.) 1\-10 0 L cam. 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: m. k p 0 L n ?e__A t 601 amps to 1,000 amps 240.60 2 Address: i .4 0 0 S t�J ` Z I s t N.- ✓ S Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or T1 lc, © - 7v 0 N R 3 relocation Phone: ( ) Fax: ( ) 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, rerr according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits -new, alteration, or extension, per panel Owner signature: '' Date: - / - A. Fee for branch circuits with ['APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: j ' LL) L.---2_ C ., or-2 ev e- 1 2 B. Fee for branch circuits A without service or feeder fee, 0 1,.,t 4. LL r i n ? t ¥ t first branch circuit I Contact name: 46.85 2 Address: ,4,7-. _ Each add'I branch circuit b 6.65 2 t L..,_:, ` .. I V ` Miscellaneous (service or feeder not included) City/State /ZIP: --i--1 Cs „ - A,2 0 D iz ci 0,6 Cy 7 . 2 - 3 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 • CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name: W A ) G L. Coco-re f7 -- C . T - TL-- energy panel, alteration, or Address: extension. Descrlbe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 • ELECTRICAL PERMIT FEES ' ' Suprv. Electrician signature, required: I Subtotal: Print name: I Date: Plan review (25% of permit fee): I > State surcharge (12% of permit fee): Authorized signature: - F -- ��- �. ----,. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: 4_ � . 7 Date: C_ � to �� /O�� /ETY/ Li - I - 0 .----- days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(1 I/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: j 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: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) 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: \Building\Permits\ELC-PermitApp doc 03/23/06 a Permit Application ,. " ' • Mechanical a,}�1 a;M' $ z nF • l''ISL O \'Li ` - . i . s s w * " -` Cl of Tigard Received w b Date/By: No.: ``� ° 4312 SW Hall Blvd., Tigard, OR 97223 %- t! a Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit Date/By: Inspection Line: 503.639.4175 T t G A R D Date Ready/By: Juris• ® See Page 2 for tit Internet: www.tigard- or.gov Notified/Method: Supplemental lnformation TYPE OF WORK COMMERCIAL FEE* .SCHEDULE -,.USE CHECKLIST • Mechanical permit fees* are based on the value of the work ❑ New construction [ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION . Value: $ [2r1- and 2- family dwelling ❑ Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* . • ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION • Heating/cooling A _ Air conditionin g or heat pump Job site address: j 3;4 0 r S ( 2_ Y i t r'Cv (requires site plan showing placement) 14.00 City /State /ZIP: •-r, G A t20 nee= fi ,U 97.-2 3 Furnace 100,000 BTU (ducts /vents) 14.00 a _A Project name: Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: ��'-� t f� Gas heat pump 14.00 Cross street/directions to job site: 5T X & <T /�e / 7 / 0 , ,d , #; ,. /z/9 S 7 Duct work # 10.00 [� T / _ Hydronic hot water system 14.00 it ,/ X . 7 1/1 7- T / s' /►C_ FA Residential boiler (radiator or /i�OCii.4/Z/J X dc hydronic) 14.00 � / J Unit heaters (fuel -type, not electric), (. &;- /7‘•r�.4/7e // / ST ,fris in -wall, in -duct, suspended, etc. 14.00 Subdivision: N _a Lot no.: ‘ O 3 Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: 7- ‘ 5 - ; 0 s --Aeg ay " ys - s O ther fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 tb bCT1 (1V • t}'k LST £.42 C 1 +fJ rvvy + V3 Flue vent for water heater or gas fireplace 10.00 ,.q-✓ (9 rw /N - - Gt t-e S°r *- IrVI - 1-1 1 l-t_T L-crvi R �c'rn Log lighter (gas) 10.00 ,.) \RtY0wx . Wood/pellet stove 10.00 Wood fireplace /insert 10.00 � Chimney /liner /flue /vent 10.00 GrgtOPERTY OWNER • ❑ TENANT Other: 10.00 Name: - fD t i: E ms, n '- „ • /7 Environmental exhaust and ventilation Range hood/other kitchen Address: /3 goo £ / S% AUK _ equipment 10.00 City /State /ZIP: %76,512o tne t Ovj el 7,2,1 Clothes dryer exhaust 1 10.00 Phone: ( ) Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments, utility rooms) 3 6.80 APPLICANT ❑ CONTACT PERSON • • Attic /crawlspace fans 10.00 ' Other: 10.00 Business name: � v,cJ & � l)AYZi9 - t /V4 Fuel t io P R Contact name: i e :2/� • � r7 7r $5.40 for first four; $1.00 for each additional Address: /:2 �/e) S/ / " T / i - Furnace, etc. - Gas heat pump City /State /ZIP: -- , •,e' C 7.al 3 Wall /suspended/unit heater Phone: ( .. ) Fax: : ( ) Water heater Fireplace W E -mail: Range CONTRACTOR Barbecue Business name: (9 y�2 C �ti772Atr 12).<7 Other: dryer (gas) Other: Address: • MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application permit is not obtained within 180 expires if a -.. Authorized signature-:----- -e p e - p pp p p �' days after it has been accepted as complete. Print name: _� •� e _ �.�1 ��- Date: U ^ 1 0 c` ' Fee methodology set by Tri- County Building Industry Service Board 11\ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (11/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $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. 1:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box and complete the following statement: 1 own, reside in, or will reside in the completed structure and my general contractor is: . r. a. C i3MEe, Cox)sn_ 155/73 6, /7 /og Name CCB# Expiration Date 1 will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in or a residence that 1 will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If 1 change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. Print name of permit applicant Signature of permit applicant � �/ z /r'e Date Permit #: Hhra'ZOOCd- owe/0 This form is supplied to building 4p ( ! .1' five- permit offices by the Oregon , - : Address: . M1 a ti3 y Construction Contractors Board, .. F a r �4 . . as required by ORS 701.055 (6) *.:t i ` f/ OS I ssued by� • Date: This copy to issuing permit office • CITY TieARD _ MASTER PERMIT PERMIT #: MST2008 -00040 COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103CA -00603 SITE ADDRESS: 13400 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: PETITT Project Description: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 16 FIRST' 1,505 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE SF FLOOR LOAD. 50 SECOND: sf GARAGE 752 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: SN DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP' R3 BDRM: 4 BATH. 2 TOTAL: 1,505 sf 172,424'23 REAR: 15 PLUMBING SINKS: 0 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: . RAIN DRAIN. TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES. 0 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN < 100K. BOIUCMP < MP: VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS. • MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS ' V 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: (///) EA ADD'L 500SF• 201 - 400 amp: 201 - 400 amp' 1st W/O SVCIFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR. 6 SIGNAUPANEL: IN PLANT MANU HM /SVC /FDR: 601 - 1000 amp: 601.amps- 1000v: MINOR LABEL: O 1000+ amp /volt : PLAN REVIEW SECTION Q Reconnect only: M > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL CLS AREA/SPC OCC: w ELECTRICAL - RESTRICTED ENERGY 1 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: IANDSCAPEIIRRIG: PROTECTIVE SIGNL: O GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR. HVAC: DATA/TELE COMM NURSE CALLS: TOTALS SYSTEMS. This permit Is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable THOMAS PETITT A E CRANMER CONSTRUCTION laws. All work will be done in accordance with approved plans. This 13400 SW 121ST AVE 969 BRIDGE ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 LAFAYETTE, OR 97127 if the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 -539 -2049 ontact #: PRI 503 - 864 -4456 questions to OUNC by calling 503 246.6699 or 1.800 332 2344. Reg #: LIC 135173 TOTAL FEES: $ 4,190.96 t EQUIRED ITEMS AN REPORTS Ersn Cntrl 681 - 4444 1 Al . . , • . ,,,,,,.. „..____ ,,,/., ._ Is s ed By : _44,1111,10 `/ 1 Jt / 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. -7/ -7 . _ / C - S W ERR._ T Oa -- -- k \ --- : ' / i iv 1, - ill 11111-1/ AL / p _ TIPPITT - ' = , CARRA ST - Itt ( - -I 1 \ f LE- illir V ------[ - " - - ri 4. AR -,_ , -_--. I I I ALBERTA ST Iii '4 �� JAMES RD - � rel O ta( � i1 I 4 4 11#7,411111 A . 7 / - _ it ION ST 7 - ' 1 § ' "iv , \- J 17 ' loll, .„.','„„,,:, N-N .4.' '/,/ 7/ -.( ..k44. I" ' i'-' -SVI1-4 L I V NI /' -'''' *41** °• i ' 4.k- /.__ _ilir MINI �/ 0 ,_ �zed ►= 4 p�� /r ` �� FAI- -�w Tr�,ont uu lir 1111111 ■_ ` [:- - - „ H IST L E R'S LP =11 ` . wallow . ", �i�... 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' ✓ f------1 � �- J . i , c _ , � 1__ ,_ 71-- _/ , ,/ F / � / ' � �`CC P 7 / � I CRE � � % �G b� i L Th � � \ �� ' — j �j' L_____) I- FAIRHA LJ --SW LN � --1 I -- � �; [Tim -- � \� \,61--,,, r - - -- - -- - _, � , I - W H IS T L ER'S �\ -J �- m� II ��LL - - ,x, �� ' ;WHIS LP ��'�./ / \ ��L 1 w� ,,, m , I j, I / / 1 , I ,/��-. 7- / FAIRVIEW LN ' - -- Q - KELLY CN T 7 r Z 1 i\ e - RO�SE_V_IS A.DR i � ��, J - VI EWMC \ ,= �� ____ F________ ry < 1 / � V > - ,� � SVIrAERIE D � I V IEWMOUNT LN -- S W GAARDEi - _ ' 1 ,, = — � � �� - '` - �- - -� -- SWGAARDEST - - -- - - - - -- -- .— I- -I -I- i .. --I - -7 - -i -- _ _ GAARDE -_ ST-- - — SW AMES LANE / - I I ~ `SW - CN -- I - _ (rREEVEw_c - z— Ly _ __ � - SW CHANDLER DRIVE — -- /--` — ji - - � � �� . 1 / 1- 1 �_, I - CITYOF TIGARD BUILDING DIVISION PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE/ 5/12now Phone: (503) 639-4171 1 , 11 Inspection Requests (24 Hrs.): (503) 639-4175 ,...4 INSPECTION WORKSHEET FOR DATE: 1211012008 TIME: 7•01AM PAGE: A < -- 3 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PI-7TITT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose. HI' - Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETiri, THOMAS PHONE #: 503-539-2(49 CONTRACTOR: A E CRANMER CONSTRUCTION j . PHONE #: 503-8E44455 Inspection Request Scheduled For: Date: 12/1012008 41 Pour Time: OA, Code # Inspection Description Confirm # Contact # Mes- - • :- 299 Final inspection 078950-01 971-645-81113 ...••••''' Corrections/Comments/Instructions: C-C - 70 1 1 CQ ---- - I AK S 1 ' . . . . . . . . . . . - - ■ - ^ - I - ■ , ' - " : - ' - • .,..------ ) 7 --. L..- .,. • PASS I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector ') Date: u2-6(06 Phone #: (503) ...- , CITY OF TIGARD ; . `.4 BUILDING DIVISION 4 PERMIT #: MST200D -00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2008 Phone: (503) 639 4171 a4 @��iu "�� + J Inspection Requests (24 Hrs.): (503) 639 -4175 l INSPECTION WORKSHEET FOR DATE: 12/9/2008 TIME: 7 :02AM PAGE: 4 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: porn DESCRIPTION: 1041 sf. addition.Me.chanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: ,03 539 CONTRACTOR: A E CRANMFR CONSTRUCTION PHONE #: 503-864 -4456 Inspection Request Scheduled For: Date: 12/912008 Pour Time: Code # pection Description Confirm # Contact # Message 39 kt," Plumbing final 078906-01 971-645-8413 N Corrections /Co ents /Instructions: ,s-e° rizt,14--).. 6 l . `2- d .......... • PA ' SS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED y Inspector: �� Date: ) �/ " v Phone #: (503) 718� � , , .., .__. ..... , ,.. CITY OF TIGARD ... BUILDING DIVISION ,A, y . . P IT #: mgr2oos-oomo 13125 SW Hall Blvd., Tigard, OR 97223 DAT UED: 5/1 moos Phone: (503) 639-4171 -4° tig0i 6A /9 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/1/3008 TIME: 7:00AM ---- PAGE: 28 SITE ADDRESS: 13 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: pF DESCRIPTION: 1CM1 sr. addition.Mechanical other- duct work. Plumbino other - (2) hose bibs, Sewer connection work done under separate permit. 7/8108, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 503.639.2049 CONTRACTOR: A E CRAMMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: •2./1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 078601-01 971-645-8413 N Virreo 'ons/Comment /Instructions: 4 7 , .._____ _ / : ' . 2 5 )7 7Ar //.6 hliC)IL 6/;7-3-, & 4 .5d(■eetAiLe--- ti , c f -7 -a `°— ii - (eld' re,v. • :,- • • _ 1 b 1 <;. - - 7. i I PA \ S \ n PARTIAL APPROVAL El CANCEL 7 NO ACCESS M FA ‘.)\ El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ---\ Inspector: Date: 1 , --'1 ‘ I W Phone #: (503) 718- . . . . . CITY OF TIGARD BUILDING DIVISION (- PERMIT #: WT2008-00(140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/1000 Phone: (503) 639-4171 167#44 ' 1 NIV P1 Inspection Requests (24 Hrs.): (503) 639-4175 ..,, -.... r INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME 7:00AM PAGE: 11 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: p Errr r DESCRIPTION: 1041 O. addition.tAechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08. ADDDING 0) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT. TI-10MAS PHONE #: 5 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Requ t Scheduled For: , Date: . 11/3/2008 Pour . Code # nspection Description Confirm # Contact # Me.. age 330 Water service 077562-01 971-645-8413 • ¥ •„ 000 , Corrections/Comments/Instructions: •,,, • PASS 7 PARTIAL APPROVAL E CANCEL 7 NO ACCESS ! r, I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASS SED Inspector: All . Date: 1 ' 6 Phone #: (503) 718 . CITY OF TIGARD BUILDING DIVISION Y PERMIT #:11'IS7 008L 13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: Phone: (503) 639 -4171 u iigl�lf'l l i t / Inspection Requests (24 Hrs.): (503) 639 -4175 ..JJ _ — INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: i 3 T D D f, /.4-3 a{/ - P--- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: l D ' 3 /' 6 1 Pour Time: Code # Inspec n Des ription Confirm # Contact # Message 33 Ic' � 8 � j 0 7'7` -99 -o. q7r -- Co � � 3 Corrections /Comments /Instructions: ,p 14 ...:=_.‘ e L A , , 4__, • . _ . � . I alltiffer ■ # ■ I I ` C( 4117/1ft_____J s :CZr S- S re 4, - - cry y� t • n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS pj1 F L • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED c one (� Inspector: \� Date: i 0 3 Ph #: (503) � 718 - 2- CITY OF TIGARD . BUILDING DIVISION PERMIT #:,�:y00t0(Q/10 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/12/2000 Phone: (503) 639 -4171 o. j Ihl Inspection Requests (24 Hrs.): (503) 639 -4175 . ' I.E. INSPECTION WORKSHEET FOR DATE: 847/2008 TIME: 7:01AM PAGE: ., SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PE11TT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7008, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PE?ITT, THOMAS PHONE #: 503..539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503- 364 -44E:6 Inspection Request Scheduled For: Date: 8/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 073904 -01 503 -560 -7362 N Corrections/Comments/Instructions: l�� J� 1 14 l & +C/ SQfIJT Ge-. J La I 1 1 C. Re-el 4 - 4 kleiL -) Li ? �/ � Se-✓ G'� <S Lk \ C . g) 2 A.,A- O-e.i - rab tt G -6 0 est. A w ✓ 5 2 4,-„I c e. i t LLL pe,r `T' g-e,, rt v s- }-0../4-c wt,' V P i - -e ,,.. e „,,L ,., ,1 vu-il J F LOA-1-e./ pezev-r , i.. � e c — sra If\ /- Pe/ c�cA--C6 a 0 Lk, (a 0 PS C: TP fl ok S In. 6 . 4-r- A l t .7' J(-. , kk 44_, Nr Cie - s ao tc.G � a.l g-- —w.. L,z, { (PLA,A,--, w,-kAA Gic,,krt-, Nle,w 40U 4 verve-ATM Catiecr ) ❑ PASS g PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �Tx ' . .I 1L .` Date: 7 )67') Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ° PERMIT #: MST2i108 OOr3'#0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5112/2008 Phone: (503) 639- 4171 +�� Inspection Requests (24 Hrs.): (503) 639 -4175 .J_,INI■__.. INSPECTION WORKSHEET FOR DATE: /I",i2000 TIME 7 :OOAM PAGE 13 SITE ADDRESS: 1400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITE DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 718/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PHONE #: PETIIT, THOMAS 503 - 539.2049 CONTRACTOR: A E CRAMMER CONSTRUCTION PHONE #: 503. 864 -4466 Inspection Request Scheduled For: Date: 8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 073743 -01 603.560 -7362 Y Corrections/Comments/Instructions: fivn, ge.. - ra ve✓f W t. Cc -,p ‘, 4 A-r e of v Co, Li Ver 9 1 - P6&0A,, Tzi..rcre4M5A - - 6,L1 --a SLowe./ Aicr c Le v ` z c A Ill I V .. NV1 0 , a- . kk 13,tcl 3 I \ ,13 0 e'G Iw eve U S",ci n•.■ 104.-✓ 11tH 1 O �cu te-r' p a► -a-s1., (� V C 16 (.O Gr- 4b Ot ✓`p, e %wA /'4 PV ArC c Wr` 6 V Q vie t•- S ►N a u) 0 f 11.e, Si a.t elA v`, 41(. - e. P l �e . ) L 61 L► k.. U\ r r A b d v L -1' e: w . d , /Cr Go v-L Ayr NI tto CT c t„, PL-u- T v A tip ../ Cam. 00 76 ■ n PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS g FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CV \ Date: <irk ) 67) Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION ' '' ` PERMIT #: MST20013F p0Gi0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 12/24)08 . Phone: (503) 639-4171 Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 �..' n g • INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 10411 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDINC (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 503.533.2043 CONTRACTOR: A E. CRANMER CONSTRUCTION PHONE #: 503 -864- 4456 Inspection Request Scheduled For: Date: 7/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 073165-01 503-f560-7362 N Corrections /Comments /Instructions: Pe) SQ h 9 cog, 0 0 PS c 11e -1-c r,e-1 kt Ue,L,. ( 1 ✓Ur L4 1 ti � G3 . � ti of a We, P- S ice, .. ■ e,,, iv\ 1 v\ P Vie, S 1 ?- 0c uv °1P-e.i C'1 oZ/��►,/ e, !'1 �a��✓ QsA�v M1 v.�• S ) z e. 2 4_e_. • c 'i- - A („.) a,-A 3) r+l-\ GL,,—,re..) Pi)a ► S" f 13-e. 5) 28 Pe./ - - 1 — a 2 I P . (— (, ' : e s : fie / �2 ✓ (a a <4. ?S 0 PSG s p `I' (,1 6, -4-c, S7f LA‘ek, 11J�a�c, l, �. A. . ' • 11.1—,,1 j o v--1544 E v -av,,,,t) .. ,,,,� (^ e� \ _ Jy...e ret a✓y4_ mx.'T 01 V\ , / I) I- C 1 Lt — to eoye) e uv - 7 o I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ O ACCESS A FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C Date: — 7 J2IL\ l D Phone #: (503) 718 . ti CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5112/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 712312008 TIME: 7:02AM PAGE: 3 SITE ADDRESS: 13400 sot 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDI11ONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 603-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4466 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in • 073090-01 603.660-7362 Corrections/Comments/Instructions: •-• -1 . 11 ' 7 4 '0 46 , . -9 ' • * la , P er ‘1)0). Kovii 4r i 4-4.001 " S aitiet,,t oo N.rI 0 v Pao Lk „cc v-e,t...A; taei - "FLA L 45 -T tlf - e r eA LLj4, C.),,t+t 1 At . LJ CL re c vt,t,re 6 pe.A...q‘A 4 .„ 4 _, cot (3'. Ri 0( eg-C 4 1 1 . P .A!ivUve_ et 4—Se, vit re_ (3 ) b S Li k tiA guLf Law. P 7 0 1 11) V 0-A , S t -t-e, Lk. L011 ( v-5 1 — 1-- 6 -4; > I 1 -J r t te A-il o rA p 6 <- k 104. I ( At/ s 13 r P ) (Ca t p o .13-e P I dootow 4—C k AoA../e..” ( JAut. asLI it oT ( . 3 PASS Fl PARTIAL APPROVAL 0 CANCEL I NO FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: <V Date: 7 123 )0 72 Phone #: (503) 718- '• CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 A 0P DATE ISSUED: U12120013 Phone: (503) 639-4171 44/40 Inspection Requests (24 Hrs.): (503) 639-4175 Aiiv INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: pErrri DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. OWNER: PETM", THOMAS PHONE #: 503-539-2043 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 614/2008 Pour Time: psv i\ Code # Inspection Description Confirm # Contact # M e 335 Rain drain 070856-01 503-560-7362 Corrections/Comments/Instructions: • ° PASS fl PARTIAL APPROVAL 0 CANCEL pi NO ACCESS 0 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED L, A,/ Inspector: Date: Phone #: (503) 718- Mvi • CITY OF TIGARD - r ° � - 0 -- 0 d0 t/v BUILDING DIVISION i,._________ PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE :,, S ,..)) Jo i ___ or, Phone: (503) 639-4171 PONOI 3 0 Inspection Requests (24 Hrs.): (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1; 3 d �V ( " U CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message kocil mite4,, / 11;1- -- ee.Q Corrections /Comments /Instructions: . PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED "e Inspector: V6\------- Date: v U P hone # : (503) 718 - P ( ) _ T CITY OF TIGARD BUILDING DIVISION 0(06,444 I PERMIT #:/VISTaobg-000 ¥6 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: Phone: (503) 639 -4171 editivpikplj � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 13q0D CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: U1-31 D8 Pour Time: Code # Inspection Description Confirm # Contact # Message /q 9 07 ¶7I- Pio Corrections /Comments/ Instructions: V Dt4° a9 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECT ON ❑ ADDITIONAL FEES ASSESSED Inspector: Date: IO 31 v Phone #: (503) 718 - IN CITY OF TIGARD n5 f ,/ BUILDING DIVISION PERMIT #: ,,,,z/)p S OO VO 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / riF A j H � i Inspection Requests (24 Hrs.): (503) 639 -4175 �''I INSPECTION WORKSHEET FOR DATE: /d/ * TIME: PAGE: SITE ADDRESS: 13 00 /241- Av CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: / j OWNER: 7 ,4 747 PHONE #: CONTRACTOR: G i /C. PHONE #: Inspection Request Scheduled For: Date: Pour Time: / Code # Inspection Description Confirm # Contact # Message 4 lqq c, d f7/4/iO Corrections /Comments/ Instructions: <0 t*CCA - 2 -1e. A LC PIZWIOS ckmmtiQ - fizsA 0 RiVitt- o.r ALL vvw U� i - LA) i OE Z,RANQA tl gc.,u .S .) fb..D L6ki.) v6L/t uita:ie --11.0 Ilk-i- patziyAl ... 1 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL lyCALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: G . 10 6 1 - 1 ( Date: Phone #: (503) 718 - - - - __----- CITY:OF TIGARD BUILDING DIVISION . . PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: MST2008-00010 5/12/2000 Phone: (503) 639-4171 tiftvifj i IT\ Inspection Requests (24 Hrs.): (503) 639-4175 ...-,-04. ■ 1.1. . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/20/2008 7:00AM 2 ow tak SITE ADDRESS: CLASS OF WORK: 13400 SW 121ST AVE SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRAMMER CONSTRUCTION PHONE #: 503-8&1-4456 Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 076919-01 503-436-1600 N Corrections/Comments/Instructions: 1 001 — ,. . — PASS PARTIAL APPROVAL 0 CANCEL ri NO ACCESS )_ PI CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: ______ Date: it Z-0 CA Phone #: (503) 718- 7-4# sr 110 ___ CITY �� ^�� '— ��um m ��n mw��mnu�� BUILDING DIVISION ��"�=""~~��.~"�"~~"~ PER�|T# mRT��O�O�4O | � — #: 13125GVV Hall B�d,Tlgavd.ORA7223 DATE ISSUED: 5/12/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639'4176 INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:00Ak8 PAGE: 15 SITE ADDRESS: 1340O8VV121E;[AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PE[TT DESCRIPTION: 1041 sf. addidun.kAechan{ca| other- duct work. Plumbing other - hose bibs. Sewer connection work done under separate permit. 7/8/08.AQQDN@(3) ADDITIONAL BRANCH CIRCUITS. OWNER: PET|TT.TMOMAE; PHONE #: 503-639-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864'M56 Inspection Request Scheduled For: Date: 7Y1012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 072446-01 503-436-1600 N Corrections/Comments/Instructions: • • • • • PASS || PARTIAL �� ANCEL || NO ACCESS _-� . . . . . . I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED / 4 /1 Inspector: ��~—v �� ter' Date: 1 k Phone #: (503) 718- « vilt ( CITY OF TIGARD BUILDING DIVISION #: { MST2008 -00040 1.3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ?i/i! ?0ga3 S' -5 (503) 639 -4171 //� ' Nln��q�6�� e' "';" Requests (24 Hrs.): (503) 639 -4175 • Z • - INSPECTION WORKSHEET FOR DATE: 811512008 TIME: 7:00AM PAGE: C ! SITE ADDRESS: CLASS OF WORK: . °'- SUBDIVISION: 134® S> 121ST AVE LOT #: TYPE OF USE: . PROJECT NAME: �. , DESCRIPTION: 1041 d:f. addition.Mechartical other- duct work, Plumbing other - (2) hose bibs. Sewer connection l` work done under separate permit. 71810E ADDDING (3) ADDITIONAL RA CIRCUITS. OWNER: PETITT, THOMAS�0 : 503-539-2049 . CONTRACTOR: A E CRANMER CONSTRUCTION PHONE # : 503-864-4456 Inspection Request Scheduled For: Date: 8/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message . 280 Insulation 074243 -01 503 - 560 -7362 N (. Corrections/Comments/Instructions: ' al e/`ll11 `S �`l cnis f PASS n PARTIAL APPROVAL CANCEL 1 I NO ACCESS (� FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date s �i� Phone #: (503) 718 - CITY OF TIGARD ,. BUILDING DIVISION . 13125 SW Hall Blvd., Tigard, OR 97223 DATE #: ms E ISSUED: 5/12/200B Phone: (503) 639-4171 i Iittiiir Inspection Requests (24 Hrs.): (503) 639-4175 J INSPECTION WORKSHEET FOR DATE: 13/11/2008 TIME: 7:01AM PAGE: i SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: p F - TriT DESCRIPTION: ir.i., r I a. additionivlechanical other- duct work. Plumbing other - (2) hose bib. Sewer connection work done under separate permit. 7/8/00, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 0/11/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 074027-01 503•560-7362 N Corrections/Comments/Instructions: --- T' PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION ._.e El ADDITIONAL FEES ASSESSED Inspector: i - Date:6 Phone #: (503) 718- Z4-127 CITY OF TIGARD BUILDING DIVISION 41110a PERMIT #: IViST2008-000410 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2000 Phone: (503) 639-4171 Aw4400W Inspection Requests (24 Hrs.): (503) 639-4175 A91- IE. INSPECTION WORKSHEET FOR DATE: 802000 TIME: 7:00AM PAGE: 5 SITE ADDRESS: CLASS OF WORK: 13400 SW 121ST AVE SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 710/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PHONE #: 1 PETIrr, THOMAS 503-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 8/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 073972-01 503.560-7362 N Corrections /Comments/ Instructions: 0 A j - z:e- - 7 6 4 pi-v- v-cr/;7dv-r C ,-- m-y-, /94:- Ai 4-CC.5 Q CA4 ge i . Al - Cr ' ,Lef" .1Ge. '7 :AAP '17)\e ArAimr. ef-S .1 .! - /014.<7- ,4 ,.. , fl PA 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL I I CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED Inspector: 45 Date: F -- F --- (78 Phone #: (503) 718- ' . . ` CITY ��~U�� ^ ��mm n ��m nn�m��na�� ' BUILDING DIVISION PERMIT #: NI8T200B-00010 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2008 Phone:(503)630'4171 |nap��ionRoqu*�e(24Hm.):(SO3)G30'4175 ~ � INSPECTION WORKSHEET FOR DATE: 7Y17Y2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: P[TlTT DESCRIPTION: 1041 of, addbinD.hMechominm| other- duct work Plumbing other - hose bibs. Sewer connection work done under seprate permit. 7Y8/08.ADQ0)N5/3A ADDITIONAL BRANCH CIRCUITS. OWNER: PET|TT,THAkdAS PHONE #: 503-539-2049 CONTRACTOR: A E CRAMMER CONSTRUCTION PHONE #: 503 Inspection Request Scheduled For: Date: 7/17/2008 . Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 072811'01 603-560-7362 N Corrections/Comments/Instructions: T PASS [1] 0 � PARTIAL APPROVAL ri CANCEL NO ACCESS pi FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: xg/^� Y - Date: 7,- /7 Phone #: (503) 718- . . . CITY OF TIGARD . f' BUILDING DIVISION 1 a i PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2008 Phone: (503) 639-4171 Inspection Requests Requests (24 Hrs.): (503) 639-4175 L. INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 sf. addition.IVIechanicl other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8108, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRAMMER CONSTRUCTION PHONE #: • 503-864-4456 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 072733-01 503-560-7362 N Corrections/Comments/Instructions: AJA-iL (arvir.... F-: ..-, p = . , ...- . A i ' - J.,' • ._. • El PASS •-•? PAR<AITA:PROVAL D CANCEL 1 NO ACCESS fl FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ijA , • Inspector: . Date: 7 --X--orff Phone #: (503) 718- __Zg_ CITY OF TIGARD BUILDING DIVISION ./ PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5112/2008 Phone: (503) 639-4171 Alk ,.... /tpi i t Inspection Requests (24 Hrs.): (503) 639-4175 l INSPECTION WORKSHEET FOR DATE: 7/15/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 sf, addition.Mechanical other- duct work Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL BRANCH CIRCUITS. OWNER: pErn THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 7/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message Zi- 615 Mechanical rough-in 072656.01 503-560-7362 N Corrections/Comments/Instructions: ) Sec . er--- o lOed 9-4qo - 0$ Kr PASS El PARTIAL APPROVAL El CANCEL 0 NO ACCESS 1 I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 2?3 . S • Date: /5 Phone #: (503) 718- 2 2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: . MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1212008 Phone: (503) 639-4171 /Alm i m il lt 1 11 1\ Inspection Requests (24 Hrs.): (503) 639-4175 / INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITr DESCRIPTION: 1041 sf. addition .Mechanical other- duct work Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDING (3) ADDITIONAL. BRANCH CIRCUITS. OWNER: PETrrr, THOMAS . PHONE #: 503-639-2049 CONTRACTOR: A E CRANtvIER CONSTRUCTION PHONE #: 503-864-4466 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 072460-01 503-660-7362 Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL pi CANCEL fl NO ACCESS n FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: / Date: 7 - 74"--6 g Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 8-00 10 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/12/2008 Phone: (503) 639 -4171 A ' ypvA i i1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:80AM PAGE: 8 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: 1041 F. a ddition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 7/8/08, ADDDJNC (3) ADDITIONAL BRANCH CIRCUITS. OWNER: PETITT, THOMAS PHONE #: 603639 -2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 603 -864 -4456 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 072450 -02 503560.7362 N Corrections /Comments /Instructions: / 63.- iniecrr" 6 tc -V 7 7 s l4-1 /7‘,9 , ,.-P —�o JAC(f F ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: --7 --/e — e 1 0 Phone #: (503) 718- -"ZA-4,— CITY OF ��m n m n�'n m n�m�mnu�� KUUU ��U�� DIVISION ' ~~~°"~~"~""~~= ~°"°"~°"~,"~ PERMIT #: k8ST2UOB'O0Q1Q | 1312GSVV Hall B|vd.. Tigard, OR07223 DATE|SSUED: 5/12/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.):. (503) 639-4175 A- AJ INSPECTION WORKSHEET FOR DATE: 644/2008 TIME: 7:01AM PAGE: 5 � SITE ADDRESS: 1M00 8VY121STAVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: P[TlTT DESCRIPTION: 1041 Sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection • woik done under separate permit. OWNER: PET|TT.TMQMAS PHONE #: 505-639-2049 CONTRACTOR: AECRANk8ERCONSTRUCTION PHONE #: 603-864'4450 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shearwal|s/anchnrs 070866-02 503-.560-7362 Y • Corrections/Comments/Instructions: ^�� ( ��w~ x/ - x�. u , �� 45--,&: ~' ' || PASS 0 PARTIAL APPROVAL El CANCEL ri NO ACCESS E^ r | ",|L | I CALL FOR INSPECTION __ ADDITIONAL FEES ASSESSED � ^� Inspector: ^�� -� Date: �p~---:-- Phone #: (503) 718- ` ` . , . CITY OF TIGARD ' . BUILDING DIVISION s PERMIT D i r .: 5 I MS .0 17 20 00 08 8-. 00040 13125 SW Hall Blvd., Tigard, OR 97223 a ' DATEIS u Phone: (503) 639-4171 , h_orempti I i'j'\ Inspection Requests (24 Hrs.): (503) 639-4175 ...,111- '' a. --. INSPECTION WORKSHEET FOR DATE: 5/30/2008 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: IDETITT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. OWNER: PETITT, THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 5/3012008 Pour Time: . . Code # Inspection Description Confirm # Contact # Message 215 Footing drain 070604-01 503-560-7362 N p orrections/CommentS/Instructions: ■ ( ---- t — b C %, 6 9 • 4 ON 1 (k is /--- .. ' ._ • 4 k ki/ 1111L_W ° — Re 11. ,c. IP' - $ • — i. 1 ° ‘, 'C I LA -- • ) .7 % . • k. - Clo t/ 7 • A ---- • • " Ler \r'S PASS PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503)• 718- r zif , . PITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/112008 Phone: (503) 639-4171 ,..._,.44doliti Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: i SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT • • DESCRIPTION: 1041 sf. addition .Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection • work done under separate permit. OWNER: PETITT, THOMAS PHONE #: 503-539-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 070169.01 503-560.3672 N Corrections/Comments/Instructions: 5, 7 - , e•- 57/9;a, v-...i-S X--- PASS fl PARTIAL APPROVAL El CANCEL fl NO ACCESS El FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector: Date: 5 Phone #: (503) 718- 2--st--4--15.------- . CITY ��^ TIGARD ��mm m OP mn��o�� BUILDING DIVISION PERMIT #: IvI8T2O08'00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2008 Phone: (503) 639-4171 Inspection Reque�a(24Hsj:(5O3)830'4175 ~1 "�� • INSPECTION WORKSHEET FOR DATE: 5/1E/2008 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 134QO 8VV121STAVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETTT DESCRIPTION: 1041 cf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work dons under separate permit. OWNER: PEOTT.THQk4AS PHONE #: 603-539-2O49 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503'864-4456 Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 070014 603 M Corrections/Comments/Instructions: (��o- ^ ‘,/ fa. � ,0w-7 5 .-~ ri PASS PARTIAL APPROVAL CANCEL F - 7 N{}ACCESS I I FAIL I I CALL FOR INSPECTION [7 ADDITIONAL FEES ASSESSED Inspector: Date: 5 � Phone #: (503) 718' -��-E&S' - . • CITY - OP TIGARD ' 101 b BUILDING DIVISION PIP PERMIT #: MST2008-00040 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2000 Phone: (503) 639-4171 kopto , Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/14/2008 TIME: 7:04AM PAGE: 13 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETHT DESCRIPTION: 1041 sf. addition.Mechanical other- duct work. Plumbing other - (2) hose bibs. Sewer connection work done under separate permit. 1 OWNER: PETTIT, THOMAS PHONE #: 503-639-2049 CONTRACTOR: A E CRANMER CONSTRUCTION PHONE #: 503-864-4456 Inspection Request Scheduled For: Date: 5/14/2008 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 069885-01 503-568-7362 N CorrectkArs Comme ts/Instructions: ( 0 .---- 0 - . - *. 1 , 1 ., 1 e,tic6t. -,t,,,e_ • - _ ‘c_. J ----- &_4. F q 1 0 . c___ • i 1 _ ...„------ i _ _ I (-- ..., (/a-K,45 r , , tg .... CM 63,) .7 ,) Al .' • (7) lic-re- /r o-1 c.,)W - , . PASS PARTIAL APPROVAL Ill CANCEL n NO ACCESS 14■IL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: ./6VZ Date: 5/1 Phone #: (503) 718- 7 V 24