Loading...
Permit City of Tigard, Oregon 0 13125 SW Hall Blvd. © Tigard, OR 97223 • May 9, 2008 Amy E. Sandoz - Kelly Harrison Homes 3201 NE Wynooski Rd. #A1 Newberg, OR 97132 Re: Permit No. MST2008 -00041 Dear Ms. Sandoz: The City of Tigard has processed a refund for overpayment of permit fees on the above • referenced permit for the following: Site Address: 14900 SW 103r St. Project Name: Smelter Job No.: Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $116.91. ❑ Trust account "deposit" receipt in the amount of $ Notes: Project valuation was decreased after plans reviewed. Overpayment of plan review fees applied to permit fees due and balance refunded. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds \Administra tion \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard or.gov • TTY Relay: 503.684.2772 111 a City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Amy E Sandoz - Kelly Harrison DATE: 5/9/08 Homes 3201 NE Wynooski Rd. #A1 Newberg, OR 97132 REQUESTED BY: Dianna Howse LS TRANSACTION INFORMATION: Receipt #: 2008 -1259 Case #: MST2008 -00041 Date: 4/16/08 Address /Parcel: 14900 SW 103rd Pay Method: CreditCard Project Name: Smelter EXPLANATION: Overpayment of plan review fees. REFUND INFOORMATION:. , , . .. Fee Description From. Receipt ., ` ' Revenue.Account No : . ;. Refund.:. I Example: Permit: Fee ' . ,Eitample:.245- 0000-.432000 ;'.•,:• $ 'Amount FBUPPLN1 Pln Rv Deposit 245- 0000 - 433000 $116.91 TOTAL REFUND: $116.91 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board . . • FOR TIDEMARK. SYSTEM ADMINISTRATION USE ONLY , ..: Case Refund Processed: I Date: I .i79 I By: 1 -- 1: \Building \Refunds \Refundkequest.doc 05/23/07 -.. CITY OF TIGARD 5/9/2008 13115 spy 4W 61cd. 9:28:48AM • Tigard, OR 97223 5(13.639.4171 TIGARD Receipt #: 27200800000000001259 e //1/iTIL Date: 04/16/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 - 00041 [BUPPLN] Pln Rv Deposit 245 0000 - 433000 443.98 Line Item Total: $443.98 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid CreditCard AMY E SANDOZ - KELLY DEB 01666Z In Person 443.98 FIARRISON HOMES Payment Total: $443.98 • • cRecciptspi Pale I or I ��,�. CITY OF TIGARD ti . 5/9/2008 _ . . 13125 sw Hall Blvd. 9:29:3 I AM Tigard. OR 97223 5(13.639.4171 TEGARS' Refund Receipt #: 27200800000000001570 / ' - 1. z::::7:1-3' = "i` z -- Date: 05/09/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 00041 Reversal - [BUPPLN] Pln Rv Dcp 245 0000 - 433000 (116.91) . Line Item Total: (S11 6.91) Refund: Method Payer User ID Acct. /Check No. Approval No. H ow Received Amount Paid Credit Reversal AMY E SANDOZ - KELLY 01666Z In Person (116.91) HARRISON HOMES Refund Total: (5116.91) r;:-.1 ^ ry a 0 c g 1 g 0 -1. 0 u t.,. U V •4 v , � J g Q 3 A v t v i i ,,,,3 O g am+ 3 Nt tnw p a o 44 1..1 x e v V ° w 5 .40 Z �'� w \ fl •r r , 0 .. v ii; to. °) -= K .v v 8 �,Agr�V �O I i A x o co C4 \ I Ig. A H w c 4 a ,....,.. I ni A' tl � � MASTER PERMIT COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 TIGARfi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CB - 00800 SITE ADDRESS: 14900 SW 103RD AVE ZONING: R -3.5 SUBDIVISION: DEL MONTE SUBDIVISION LOT: 007 JURISDICTION: TIG PROJECT: SMELTER Project Description: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. 5/29/08 ADDING (1) service. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: g 000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 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 1000 SF OR LESS: 0 - ...........01 a : 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: 24 SIGNAUPANEL: 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 # 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 CRAIG & JULIE SMELTER KELLY HARRISON INC laws. All work will be done in accordance with approved plans. This 14900 SW 103RD AVE 3201 NE WYNOOSKI RD Al permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 NEWBERG, OR 97132 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: Contact #: PRI 503 554 - 8601 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 554 -8659 Reg #: LIC 145950 TOTAL FEES: $ 602.15 REQUIRED ITEMS AND REPORTS • Issued By • , ��� - - Permittee Signature : Sc:: O1/j � yl,cc/ Call 50 .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. :.► ' ..� �QCtI'1Ca� Permit al! 11 :: ht 1 , r 5 ,1 '.'f,''', h 11 " r" *lft <e r� y 1 i ft @ , 7,3 r y y rt,i *a , , " pl r s t 1 „ f I I lC 1 1� 1�11 r UV �,ll'tR : ttf t '7 i , i 6 " a i'✓ ! y, '1 Clay of Tigard 2 ��� a4` �0' t TrP. i �1i , ; rm ui .' { f r, d , rii; l .f f �'t si8i(ci 6 w ad T JLR w 13125 SW ]'tall Blvd„ Ti 1 q . I i r l iki gard.OR 97223 tw u r Nail patr�e : „ tNa _..c�% i�t'/�.C!� -1x1 a 1 : Phone: 5x3.639.417] Fax: 503.598,1960 V; 1'i i ,1 r Inapcctian Line: 500.639.4175 qy Of �1 `' �+ ' k _ };r >,. AeadylBv: m,u -- Internet Onvw tigard or gov G1 % 1� �� �+ Nor;Eed/Methad RI l fbr 1 t n'''''''..', 1 't 9 nf r U 1 1 1 � : , t 1 1 7, x , 1 " ..,11n f r n �.,.[ p • ti r 1 : 1 8 : .Imams' lntbrmatle , 11;, I t 1 r , -- s� l a , t ' '� .. , [ ..y .1 p f / q o 1 e, rv,,' "'4, , ^ w - r ,.. i_, 4 n , ,:mtrv. Y:., ,,,.', ,.c 1 .7,.r „j! `'P ,.' 1`2 ' ;,0 kyG!�N444 g ... a�` fi,D i ° „• ,, [[ r4 1' ?7 1t i' 4 ,.,,,,� t t _ q : �t 7� Vi �� (,dr D 0 New oonstru 8ia . „ , { tl.m�. Al 1 A. h _;1116 6 41 4 4 +� •' :utu 4 , ... �� w, 4 , w 1 ° r � l ;tf ® A dditicnl /altclationlreplaecment MMCxae Cheek MI that apply (whom a rats of Mons w /aeon chocked below) ctiOn El Service or aetdet 400 amps or more [] Budding over three stories 0 Dernoliliort ❑ Other. I � 01 t ,; s t 1 r .� ' aye z a rx "r r n r 1 where the available fault current El Marirna and boatyards, . "IY A h4a ,t. Utf�J �” {{f�' 'P c 4tia or .r ?. , t 7 ' . e .. qF , �nr C a l r , �i t ,b0 ON si ' , ,t 'r i, tt.,.. ` ° 1 4.14., s • .4.vr+., N . };, ,r •tttiri•∎ '1rhi '4 4%44 c A<S�: '' : s∎ nr > rS,i1,' 1 i. f i :.,. ten te, a o t a 150 volts of in comi isbu e r 4 " lera to ground, or exceeds woo Rem ings, l" see aaticalttrnat (8:1 1 -send 2 -L inty dwelling ■ CommerciaVlndu&ii J ❑ Accessory building amps for all vt rr Installations. baildingh, [] Mnib tramp 3� 0 Master builder �R t ❑ Other a vire pump, l3 Installation of 75 KVA or ri1i71 ;1V.,.;" O n ',Ve a , f tlr l ms �lr /t) . ,, f l, `7 7. , ^7;`� 1n 7:1 i - I.T.ni"71� I, i 1 T r" • Z' : 7 �i1 ti 8 f u I:3 Bmerge4vy 9yate1L. larger ''''`, ,,u,r ,74 v 1 4', a 4,:t. 1 a n r�x uhbs. ■ ev . , ; is > ?st:s, ■a a `n ''',,i'14".141.'4 �r 1 q : Wr aepa[etnly derived byatdn � � - "tip b . lD Addition of new mater U:ttd of Q «A^ "E• " , t�2 , •, "t �3•'. Job no.: Job site address: 14900 SW 103rd 100HP or mote. oea,yy, CLty/5tate/ZIP: Nerd, OR ❑ Six w mom roaidontial units ©Recreations] veldolo parka, 0 Reehh -cwra thollilins, D Supply voltage fist more than Suite/bldg./apt. no.: I Project name: Smelter Remodel ❑ S e rvice or locations. er 60 600 volt, a,tm mate � SoraiCC a tFeder 60D amps or more. Cross 03 to job sit P; " r " fi S r ' R '� Y ° 4"t " �-._ J e: McDonald to 203rd r.lr ��;, �t�.,t t ,a „ ;:!7: ro .7 ;1 .r' 111,: ,w -i'w 5.?,7" v.. yn �i' : �� �1�*�111a'tr*�slllg New residential single- or mallidamlly eventing unit. Subdivision: includes attic bed Sea ,, Lot no.: 1,000 sq. R. or less ME 145.15 IIIII Tait map /parcel no.: En. MT! 500 sq, A. or portion 33• , t� i ∎1tc }. T' l 4 t, 1 Cr 1 y.'',:,',',4'.':' DO ri • }.;rt4 � t u' Y^ f h1, .� "TrgEE 1 1 1 .>N�� , C1c } t, .,�y (d t 1h t � • � n f � r g� ( Limited energy, residential ' x S tt1k •, n' ,.r, ., , a . i, , J,1y,.✓?ht' .q v „ : , v ,$f / M.1 5 ',!Vg . '„ t i ,'.... 1 41 Ali. i s F:f',Y� J _SOLh nbovesq. fl.) 75.06 Reference permit UFMST2008 -00041 Limited energy, multi danbpaaol residential with aboveag. 75,00 2 Services or feeders inst alteration and/or relocation ■ rq” trot > r X11 , rte, " 1 ,yt { 2AOarn. n 80.30 + 1 ?� { t a 6 t i 1 hi�4 � � °,� m�"+Y °',� cnr, yrx Y 1, � } " X1 r 'Y " ni l «. n., ;,. dui 1 1a. . 1, • „ , , 1 i x 1 „ 1 o- ' , 1 . 1 .'.A ?. 201 arrlpa to 400 maps 106.85 2 Name: Craig and Julie Smelter 401 amps to 600 amps 160.60 Address: 601 henna to 1,000 am y 2 -- 240.6(1 2 City/State/ZIP: Over 1,000 atnp4 or volts 454.65 2 Temporary , terviccs or feeders installation, a lteration, and/or Phone; ( ) — relocation kyax: ( ) 200 am.: or less = 66.85 Min Owner Installation: This installation is being o on property that I own which is not 2 d 1 amps to 400 nips Ell 100 . 1111111111E2 intended for sate, Ise, sent, or exchange. according to ORS 447, 44% 670, and 701, 401 amps to 599 amps 133.73 Owner signature Branch circuits 2 UU! Date rcuits - alteration m extension ■ rig, ' I" no'''n1i. ti "''' 1 1 1 0 7; '04rr'1 ”S , , f' ^ I , r , wsi v t 1;,` r,,, ,, e,n, ry -1 1, T .. �. A . Fec fbr bra", ch circuits wide r tr mate! ! JJ q . ..i l ? : , ∎"4. .hS hlS `" ,s,V f a < to '' II v -''7 fir, . law `rr . ; ., . 4 . 4 , 1. .. , a6.c.. l . u _ . ., .� ,, . „ rcr . u 1 ;>� , 6 %'. . �µk; a 961/.1°C ar f eedef fee, 8uainess name: Kai Construction • each branch circuit 6.65 2 Warne: Amy Sandoz Contact S. Fee for branch circuits without service or tbeder fee, Address: 3201 NE Arse toenail eieeuft 46 .85 Wynooskt Rd #A1 Each WTI branch circuit - City/state/Z1P: Newberg, OR 97132 �~ - 6.63 Mlneellaneom (serfiee or feeder not Included) Each mnnufaetured or modular Phone: (503) 5548601 8dO] Fax; : (503) 554-8659 dwolli service and/or Roder 2 E -mail, atny@khirolesirltetion.com Reconnect it only ly�Yf 7YI+t` r 1 �, 1rt,(�,4; '',yt. �i Pump or 66.85 2 fi ', 11 -l'a� .�olliu4' Sti4SS' �l� '' y � r1 ,� II inigatkat click 53.4A Bu PC Electric m , � d ' ..4.... , :may ,,! ^Iw:}.'I � r1:v 4i ' n . . i ' 1 k, Y om ' , ,t g ,:4,v` Si Or outline lighting I 53.40 � Signal elm or limited- Acldress:� 0 r energy panel, alteration, or extension, Describe: Pilau 2 City /State/ZIP: A/C,ial b e et eqaa Each additional Ina . edon over allowable in a -. nfthe chore Phone: (603 ,53� 603 Fax: (503 ) 53 6 — 6-1- 6I Pcr inspection 62.50 CC)3 Lie.: j65); Burt on • 'tian per hour(] Ire ruin) a 62,50 MB r �, Supra', Lio.: So 1 A3 Industri dent hour Ma III Suprv. Electrician i l Signature, required: i l� - ? n 7 `.,71.,,.. t, I; r �i 4iiL� ,, . f r4 1' SA a,I JI Print name: Wc Q..a Subtotal: .1�4 c.i.f.:— Date: Plan review 5% of .errnftfee : Ati111orized signature: . State surcharge (12% of permit fhet ? - 6 NM Pr name `C DTAL PER M/7 /7 FEE: GiAry� Date: thla Ferran a nonunion expires If o permit Is not obtained with a t30 ►: let Tint gta nnndsr c e.r, it4rar sea oaaaio6 a dine after It Ma been accepted no complete. wo•467rr(1i!osrooM+w� Number ofinapoeNeee ell Owed Per Ma* T •d XUA 13ti SH dH Wb i i : S B002 6Z ReW S /a3 ,P,or ,7`: ?dcC// d b►zev ti c vu, l , , MASTER PERMIT a � �� TIGARD COMMUNITY DEVELOPMENT DATE ISSUED: MS2 2008-00041 5 008 • T•1GARb 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CB -00800 SITE ADDRESS: 14900 SW 103RD AVE ZONING: R - 3.5 SUBDIVISION: DEL MONTE SUBDIVISION LOT: 007 JURISDICTION: TIG PROJECT: SMELTER Project Description: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 5/25 ADDED (20) branch circuits. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 s{ 9,000.00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 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 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: 24 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: 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 CRAIG & JULIE SMELTER KELLY HARRISON INC laws. All work will be done in accordance with approved plans. This 14900 SW 103RD AVE 3201 NE WYNOOSKI RD Al permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 NEWBERG, OR 97132 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: Contact #: PRI 503 - 554 - 8601 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -554 -8659 Reg #: LIC 145950 TOTAL FEES: $ 557.23 REQUIRED ITEMS AND REPORTS Issued By ! /` / r i , 1i� �; � Permittee Signature : e, C�r,�;/`/Gt / /1111/-" Cali 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. y"v�.l� I i. :, 1v , r. ,�r� fry t ' y 1 7 1 ? e 1 H I 1 t ,�'{ l t n i a, :q A�7,l` ,,,L . t„ (,,, Y� ! r EDIED Electrical.. Permitl�>p�1' ,„ I+;rl'l�l .. y ti I(fl�tll1,1r 1,,'1 l' -, Y ,-, , r, , ', A ," i' rj ' x' i 0 ttfl, , 7��� ,1 4 0i � City o r� ,y .d.,�hr.I,t,,iC..tM d, J', •. ,,r.i�, :hJ.,, -.. �? a ,esJf + Vi.��4 a '.'''. y C ,gaga 2 2 20 Received Pcintltt c r 4 I 13125 SW Hall Blvd., Tigers, OR Plan Review Permit; i Phone: 503.639.4171 Fax: 503.598,1 CARD Attains curia 9J Se. Nee 1 for i i ';' r' inspection Line 503.639.4175 CU N Notified dr ?�f� Supptemcntat rn4h„r,etien r +, s i Internet: et: www.t bao r,r ti 1-, 1. a `�'; - j a "'i • " `" .. . . °�l'i9, A , -hr 1 'a K s ir - '' i15 t r t,' ' . ,$ - 1 t` 1 t o 1 , ; t y •T:r� tr 1 ar.trror ... S J g :iT 71 i t� i 1 f i r.. t �i t ' { .f t Y Y ' t � ; a , tl' a QY t ,t"' `t' y ( ,,, al , i1 v' " ' iii:. Ytl?I+4� :'�,tirx4iE,�• ��;9: all? Ill i?, t! t :i :.m- �•.•uL.wn,l :c :t , : ^.���. 1.7_, Rahn �_;7,�,SL`:�C�li�n��G1�H7ii; . 113 .. xrf•"} v �. . �, . t�.� , •rr,u,�� le.vdi•�, : : : +. f, 1.;dlui � 1, 1 New construction Addition /alteration/L•eplaccmetlt Please c ltedr alt tAat apply (submit g sew �fplonA w /lt cuu rheeked below ): CI Service or iledm 400 amps er more ❑ Building averthtoo melts. Demolition ❑ ❑ O[h.Cr: where Are available tech ournm Q Minimal and boa/Inds ��p et m /C, h' > F � ;-f p- „ : , , m ,c > , i'1 *r� + r� " rn 1 C t� ^ ! „ '3 R P exceeds 10.000 amps 150 volts ar o Floating bul1di iiZ x f t t �� ' , , ri" i "N.: %, ",rr,i,., , u,: ,._i;"� x„r1 TS... 1 w.. ie ,9lt.1 I P 16 • 1 1. and 2 fatnil dwells Commercial/industrial t ut to ground, err eweaeae era, co ccyamnrcta - use. a ltnrn y dwelling [ ,� 0 Accessory building arAlp9 for all other inetallatlone• bUildfirit;P. 0 Multi - family ❑ Master builder ❑ Other: 0 Fire peep. ❑ lnslallatitm M79 KVA or t' r 1i'tr j H Y eft Uta k ff o ,r• S t •"'r y +S',< � a anw - w •r , ry&�; ❑L,nerae,rey 6yAt 'L, Imrppr separately derived arman JOY, , : ', 104.'Z'''''' 1 ‘ ,'. ; ',. . , ',11‘, i lx '4 � il , a . t `. ' ,t, ,`t t� 1' l p t: ❑ A dditlanufnowmolartoatl 0 A . a ....).2.9..1 .3 ". .t . C t . . , .;: ,. d.a, , .. ',:4k... "; , r rtu :.. w2 . ,. E, i T, ,...vi.:, Job no.: Job Site address: 1.4900 SW 103rd 100HP or mare. ootnrpnnoy 0 six or more rearieetiol ranrG_ 0 Recreational vehicle parka. City /State/ZIF: Tigard, OR 97214 D Hoaith - care lhcll tics• ❑ Sopply vottaso for mare thin l i He esrdrms tocaticos 600'.ona nominal Suite/bldpJapt. no_: I Project name: Smelter Remodel ❑ Service or Roder 600 a 2 ear morn Cross street /directions to job site: SW McDonald to SW 103rd i` ' F, _ . 1 ��_v ', :•gio "r • "' ` 3� ` e. a ' :t p 4; rte Fe ... e. nrml • New reatdentlalainjie- ar mulct- family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4 Pa_ add'I 5003g, R or portion 33.40 _ 1 Tax mapJpat>~cl no.: Limited energy, residential 1 :' ,11 .":` '1 - 1 '''' '' ' i i Fl , d r ° j' ,,'n' d,p^ mi"r fa, n l r � , z 74,7:7,f."','• . i li tilm'r�i ,o: T�A'V r t i'`t�'i(N j � ` 75.00 2 1 ;0j 1 1:,'..�"APtN \ tt'p' , � ' , r.tt y ...v.. -,. vkm , 1y,1 -Pei: . .. 4Atirgt1.4n.', lS'd,?1,! t , 0,o, �',,.,4w. ..... (Wide 6heVepq,ft.) L im energy, mui fam Reference permit NMST2008 -001041 residential (with stove SCI. ft .) _ 75.00 2 Adding circuits in beoetaleilt Services or feeders Inatallatton altrratiolt, and /or relocation 1 na 200 am.s or lass 80.30 2 1 ' ` ' Aitt � N zn�' r r• c , S r t i n � A. ,i� e` M l �' Uf �� NY. !Lir' i t.Fl n.n .- ,I.q•, w.: •., : sc, r : .' 9t , ` M iss[ ;. 'M '''' n.rt 4a , ,ft • h ,hii u , ' � , f , n , ` S 201 imps to 400 FlIt1e8 106.85 • Name: Craig and Julie Smelter 401 seep, to 600 amps 000.60 601 amps to [,000 amps T 240.60 Address: 19900 SW 103rd Over 1,000 amps or volts 454.65 2 City /StateZIP: Tigard, OR 97224 Temporary services or feeders Inslallatfon, alteration, and /or relocation _ , Phone: ( ) 1 Tape: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 am. s to 599 amps 133.75 2 Owner signature Date extension er net , r 1' „r '' ; r rr, ,r t t . 1M,M„ P V r A. Free for branch circuits will, .. i r .0 ' t , ' ifs y l n ri. t ` ., ,+Y F " i '' , x r i i, t. 44 , } • De circuits — new alteration or Y :L�,'S(.4 : "'�.artl. > Y tin :n ! , . : ?'!'U:gt4' # !�`ti ' , I�i ,r.��� t ��l' d r . s : :. : -,n Y t',: �; •, � i41, #r ' �,'�t1 , :�� � above service or feeder fCO, 6.A5 Busineat name: JQII Construction each branch circuit B. Pee for branch circuits Contact name: Atny Sandoz w //hou/ service or fader fee. 46,85 2 first branch circuit — Address: 3201 NE Wynoosld Road #At Each edd'I branch circuit 6.65 ; 2 Mlsedlaneoua service or feeder dot Included City/State/ZIP: Newberg. OR 97132 Each manufactured or modular dwelling, acrvice and/or Feeder 90.9D Phone: (503) 554 -8601 + Fax: : (503) 554-065. 9 Reconnect only 66.85 E-mail: amYttkhicanstructloasorn �����l Ptmt. or irrigation circle f5;..; ... , ;i, ` qiP' rgc.', ` :,5!? l' ,.. ? , ti ! iiPi tP , t y Ar rr n u �. , ! ,r.: •a,. ,�, 4r.t •9 , ?," �;i� L ,�� r � : �r,i�"}y� ikryl? , Si err cNRline Ilghlin 53.40 � � , Fie. A �� Buaitt0S3 name: PC Electric signal circuit(s) or limited - energy panel, ahcrai;on, or Address: P ..• 1 extension. Describe: Page 2 2 City /State/ZIP; of, 91/32, Each additional is apeetlon over allowable In an of the above per ; ( Pa inRpoction 62.50 ) Sae 603 Fax: ' )S38* . 61 Investigation per hour(1 hr min) 6250 CC$ Lie,; 446)8O Electrical Lie.: -1 Suprv. Lic,: a O 125 Induaptal plant per hoes 73.75 Suprv, Electrician signature, repaired: � � Ilii4,fj:?'�' :'i'., �V y,tt r "d,., l' 4rrr 141101 rg r'' /1' _ _ . �ia� Plan review (25%of .it fee : P., li!ll paw: c a a : • State surcharge (12 %ofpelt the): r. Authorized signature: rm � TOTA1, Pl?RMIT FF ii_� l ) r Pruitt noose: Date: Thla permit apyileatlon empire,' lie permit is not 0 Fed wile a is0 -- - days alter it has been accepted as complete. • Number of ingestions allowed per per nut, r:Inalldle,twerotItauraerrntrApr teas osr006 44 3.40151'0 rrormomN S' kbzi 1 dH WdLO :E 8002 Z2 ReW 05/27/2008 18:29 5036269693 WHITED PAGE 01 " x'r{ g,;; YY �� A @ -��/ `' 1 L g© D 5a l i , COM 11 1 DEV EWPMEW i ` r I,), 13125 SW Hall Blvd., Tigard, OR 97223 503.639A171 Plumbing Signature Form IMPORTANT PERMIT NOTICE MA WHITED PLUMBING 108 5 NW LOST PARK DR PO TLAN D, OR 97229 Permit #: MST2008 -00041 Date Issued: 5/12/2008 Parcel: 25111 CB -00800 Site Address: 14900 SW 103RD AVE Subdivision: DEL MONTE SUBDIVISION Lot: 007 Jurisdiction: R -3.5 Zoning: TIG Project Name: SMELTER Description: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. Your company has been indicated as the plumbing contractor for the perrnit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3661. If you have any questions please call 503.718.2433. No plumbing Inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: CRAIG & JUL SMELTER MARK WHITED PLUMBING 14900 SW 103RD AVE 10626 NW LOST PARK DR TIGARD, OR 97224 PORTLAND, OR 97229 Phone #: Phone #: 503 - 351 -5585 Reg #: LIC 145950 LIC 155180 LIC 34752 PLM 37 -163PB AN I IGNATURE IS REQUIRED ON THIS FORItfl X tA-A--4%--ff - . M &ti 1 kat. JIA /1 Signature of Authorized Plumber Name (printed) $' cam a id) k/u.....41. ki-44-s 6c0-74/- ‘..- ( ,, : Y �� MASTER PERMIT I PERMIT #: MST2008 -00041 COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 TIGARD? 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 CB -00800 SITE ADDRESS: 14900 SW 103RD AVE ZONING: R -3.5 SUBDIVISION: DEL MONTE SUBDIVISION LOT: 007 JURISDICTION: TIG PROJECT: SMELTER Project Description: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: ' sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sl GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: TMRD: el RIGHT: VALUE: 0 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 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 1000 SF OR LESS: 0 • 200 amp: 0 • 200 snip: WSVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 6005F: 201 • 400 amp 201 • 400 amp 1st WC SVC,FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 seep EA ADDL BR CR: 4 SIGNAUPANEL: 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 & 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 CRAIG & JULIE SMELTER KELLY HARRISON INC laws. All work will be done in accordance with approved plans. This 14900 SW 1 03RD AVE 3201 NE WYNOOSKI RD Al permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 NEWBERG, OR 97132 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: Contact #: PRI 503 - 554 - 8601 questions to OU NC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 554 - 8659 Reg #: LIC 145950 TOTAL FEES: $ 408.27 REQUIRED ITEMS AND REPORTS 1 Issued By : , '♦ / 4..i Permittee Signature t 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. 'Plumbing Permit Application Building H'Iixtures � it r B,d r h ll a l ,h w rc � d ' " M 4J i r M4 C u l yl m i w�nr 4 li,. t t a r" � 1, t )It`P 1l l I( P(,� Ehf i 'tx tr'� ?'� (� Tta L. h a, .evl'.d:urv, ,1 i4, ,t41:4:.t .Pxd} •7 ,,u I Sli1:a „�'.. 1F. 6 . 3,1 �;�iini ; colt�t� iAgt r. " " �.t,.,i c .1; �� rtd dT � k i f . 1 ) N I S � , �� `��2�r�r "'�� City of Tigard ' V 11 , ;ved n � u4 a I A\ DReeo O � / O Al ermit No, 1 3125 SW H ali Blvd,. Tigard, OR 972 L: / v J� III i +1 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review 7 Detc/By: Other Permit No.: `' Inspection Lim 503.639.4175 2 0 20�$ T i i ` l? Interact: www.tigard- or,gov MAY Date Ready /By; Sr ®c Page 2 for 's 1' ; '''... ! t Nc / Supplemental Information l r 1 ! fl� 4" F � d � �� ! �t�( 10.� f 11�tlfpli }�1t'li it� r � i Ite7 t� � � � . j � l 1 u� �� I• � rill" 1 '1.,'' `Il i � u� mar r l 1� i 1 a ll�l'.tl4r l l'Ihl'll'l�aitY} ;{ 9mtfl�iyxi h� ' 1 : il ltlkl i I ' el, , 1 aj i+l!I j J' l !if f '" r'I ;"' l t U ❑ New construction ❑ ,, ,, 1 Ctzf. „ fl,tr14 �rlmh'l 'i) i ( q 1, �� i ��.,+, 4(j ir1 , Fors ecial in ormotion use checklist '{ Description Addition /alteration /replacement ❑ Other: — Qty. ra, Total iy?` 1 1 1 " f<t�l m . }}��1 gyp. }} 1 1e IA i Apr New I.2- family dwellings (includes 100 IL for each utility onnection) ICI 3" +' Il N tllll ll ; ? 41 �hSi:9CAt1gili ) IJ'f I' IlL MIIl�I{�lyrl � SFR (1) bath 340 20 } 1 i ' 021 - and 2- family dwelling ❑Commercial /indnsttial SFi2 (2) bath 350..00 ❑ Accessory building ❑ Multi - family SFR (3) hat], _ 399,00 ❑ Master builder II` Ii ry!'4�'� ❑ Other: � ( j min Each additional bath/kitchen 45.00 11 1�:I ��lllil�11� 1lI UI,EI ' E j!!� je till �nfl 'f`rf ° }r41ri : I Ta 't r �i�kd l ltttriitila� ' ;11 , 111 E n . �M1I • �l It Fir> sprinkler ( sq. ft.) Page 2 1 Site utilities Jut, site address; IAA U0 I N (IA / Catch basin or area drain 16.60 City /State/ZIP: Ti , _ Drywell, leach line. or trench drain 10.60 Suite/ bldg, /apt, no.: Project name: Footing drain (no. linear ft.: _.�) Page 2 Crass street/directions to job site: Manufi ctured home utilities 110,00 5 y � ,F ,, G� �Z, Manholes 16.60 mr,D •- , v �/�1`✓�' • Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ,_) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision; Lot no -: Water service (nn, linear II.: ) Pagc 2 Tax map /parcel no.: {{ Fixture or item l ) 1?_ '��; 1 1� 1 � ^° gH 'm a +����� ��tuI1 Absorption valve 16,60 Ir r i �ST� 11 ulmdahlfln f .,, , i t '� ,�� Backflow prcventer _- Page 2 , � , �� ,p 0004x1 Backwater valve 16.60 "`v`rG v p c 11f*- id\ or Clothes washer 16.60 — Dishwasher 16.60 ;�� X i im ,1ll +l „,,, r 6 v ' r 1 i) f' 1` 1 `' ��E E��� {I 9 9!: i, 11 1 k�� l,Al.4f{ , 4t �o n1RUt1"°'i 1I g ( Drinkin fountain Name: tmi li l iti1 ,, I• i 1 �' , 11i II l a; ti 31 w 111 @I E ump a 16.60 ,t, ,lQ � Expansion tank _ _ A Ex pddress: (�� ! ��� — -- 16,60 Fixture/sewer cap 16.60 - City/State/ZIP: ^� ,ems `rt { 1 v+. -r• Floor drain /floor sink /huh 16,6D Phone: ( ) Fax: ( ) Garbage disposal i(i'EVi {'11I7(illlf ilI iv))) :,'114j i •,, , , tt1 1 • II�jl�11 l 14 � { ' { m Pit 1m Hose bib - 16.60 u! i)illi�n,lil f � .t 1 1 ,�I . J r `l Rltlltmeit , c r. Viii l 16,60 ' ' A t 1 ` ` — Ice maker Business name: ) i 1 16.60 � 1 Contact name: g lnterccptor /grease trap 16,60 1 Medical gas (value: $ ) - Page 2 Address: S W - V... WOO S14124 \ At A _ Primer ' —' 1 6.60 City /State /711'; r e , k i , , ^� R drain (commercial) 1 (�+ 6.60 Phone: • 1' ) Fax:: � . � 0 '��� (�)'�:�t . r • � \ sink/basin /lavatory \ 16.60 t E `ail: / F Ai., i StY' WW1 � Tub/sho , vcr /shower pan I G.GO I i fig )iI)li i {1 I`� 1 "l1i r �� { i� ( j l i i 1 ' 1 I ;Si 1 � ! 1 +t r n,. l fill!' Urinal _ M y �t1 16 60 I l ltl i i a i I IIiNhu1 j1, i � ' I (' Water closet 16.601 Business name: J 1 ,v► k ; 1,‘ Water heater Address: _ - J 16.60 �lo2. W Ir V 4 S1`L MI11.1111111 Other: City/State /ZIP: rio ____• r. _ 0R27�1 Subtotal Phone: ( ) ? ` �/1r2G Fax (� ) Syr - Minimum permit f $72,50 - Oty e44? Residential backflow minimum permit fee: $36.25 ° - ( j u CCB Lie.: 7A Plumbing Lie. no.: Plan review of �ib 25 (y permit fee) 03.. 1l Atnhorixed signature: ! State surcharge (12% of permit fee) , A dl 1 ` A Print name: ii- r ` TOTAL PERMIT F1? ? Date: 51 ', This per mit application expires if permit is not obtained wf � tf ISO days after it has been accepted ay complete, thin "Fee methodology sct.by Tri-County Building__ industry Service R D lAirildinp1Permit TLMr- Permlt4pp.doc I2/27/pu Board 440-46I 6T(1 nm2 /COM/,sT.T!) ' (/r ?`a rY � MASTER PERMIT PERMIT #: MST2008 -00041 COMMUNITY DEVELOPMENT DATE ISSUED: 5/12/2008 T IGAR_D_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CB -00800 SITE ADDRESS: 14900 SW 103RD AVE ZONING: R - 3.5 SUBDIVISION: DEL MONTE SUBDIVISION LOT: 007 JURISDICTION: TIG PROJECT: SMELTER Project Description: Kitchen remodel, replace dormer and basement beams. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: 9,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 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 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/0 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR: 4 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 II 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 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 CRAIG & JULIE SMELTER KELLY HARRISON INC laws. All work will be done in accordance with approved plans. This 14900 SW 103RD AVE 3201 NE WYNOOSKI RD Al permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 NEWBERG, OR 97132 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: Contact #: PRI 503 - 554 - 8601 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -554 -8659 Reg #: LIC 145950 TOTAL FEES: $ 327.07 REQUIRED ITEMS AND REPORTS I-------- Issued B ` _ . Permittee Signature : 4110 . Call 503.639.4175 by 7:00 a.m. for an inspection that business y. 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. fV& / °`�- /- e . Building Pe t Application , Residential FOR OFFICE USE ONLY. City of Tigard . E VE � �ate /Bya /6 Ot Permit No.: •5� g- el/ eceive u 11111 13125 SW Hall Blvd.. Tigard, OR 97223 �„� Plan Review ' I • Phone: 503.639.4171 Fax: 503.598.1960 Date /By: ' $ •�a Other Permit: T 1 G A R D Inspection Line: 503.639.4175 APR 1 6 20 0 8 Date Ready /By: Juri ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: o1 e -IC ( �i Supplemental Information CITY ®F T(GARD 5, L 0 ,1t. TYPE OF WO 3lln11'1!G DIVISION REQUIRED DAT :1 -AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, for the -{� CATEGORY OF CONSTRUCTION work indicated on this application the profit P �"� I- and 2- family dwelling 1=1 Commercial /industrial Valuation: 1 ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of Floors: Job site address: 1 V 1 ©� � �V ' . New dwelling area: square feet City /State /ZIP: �- i1� 3 2' Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: y^n1 i.4 ' >kV1A0 OTS Covered porch area: square feet Cross street/directions to job site: \ 4 Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: In.' ate the value (rounded to the nearest dollar) of all equip 'ent, materials, labor, overhead, and the profit for t. DESCRIPTION OF WORK work in.' ated on this application. V ty� W s t o \M t WDO \ Valuation: $ trtVOCS \ I, ,vv v �,� kolaVA Existing buildin_ area: s. :l e feet 7 1 � , by New building area: square feet ‘!i PROPERTY OWNER ❑ TENANT Number of stories: IV Name: / ' Z, \1e "v` X [ e C ki Type of construction: Address: I J t 2 o ` 1 kob " ` Occupancy gro City /State /ZIP: - 1 - i i/ pt I. " l ` . , t 27k Existi. : Phone: ( ) f "_ Fax: ( ) New: t;;t\ APPLICANT ❑ CONTACT PERSON NOTICE Business name: K ` G5VE V'J&t ITY1 All contractors and subcontractors are required to be cense re �° x lid with the O on Construction Contractors Board Contact name: kAA L J�ht/ g ` " `°' '� under ORS 701 and may be required to be licensed in the Address: ? j f t■I WyekovQ6 * ' / d jurisdiction in which work is being performed. If the City /State /ZIP: N �jp I/� 2 applicant is exempt from licensing, the followin reasons t 9 J2- a pp l y : pQf'(Yll I- 6$ -?J Phone: (5j) 5sek, %O) Fax:: (Gj(.) A, S 66 1 E -mail: W v l ii Vgit1 CA/t, c,/y\ CONTRACTOR Business name: K \ A Y� y t BUILDING PERMIT FEES* Address: 2 /, ,, ,, ' (Please refer la fee schedsl City /State /ZIP: 3 , l i ... z Structural plan review fee (or deposit): I Phone:) �% � 1 Fax: ( - f {-, %Si FLS plan review fee (if applicable): • D CCB lie.: l4 Total fees due upon application: 1 .98 Amount received: l/ . 9 C Authorized signature: AM- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A � � Date: 4) (( f 018 * Fee methodology set by Tri- County Building Industry l Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB) 02O0 , /,1s9' • . • . d M1 , �a " ,,., i jJ + i 1 d Electr>ICaI Perlrlt Application P r '„ , F OFFICE US ON L ] ' �� il� " ��� li 14,4 bb� j �1 i �, V x . I ''Nt era,p!I t ,a . a .' '�' r i`7 ru 41 4i ; 1,4 a City of Tigard Da i By : Fr /G OS./ Permit No.: f (S Tvp06g — Oezif/ i °' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review l i Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: p APR 16 2008 Date/By: Ri SeePage2for T I G l ' ) Inspection Line: 503.639.4175 Date Ready/By: lur 5 : Internet: www.tigard or.gov /► /� r� Notifed/Method: I f C e Supplemental Information CITY `Sam @� Qt�� TYPE OF W y 41lRll(' !'1a 9 . ❑ New construction ddition /alteration rrepl PLAN REVIEW epl 'acement � ��� Please check all that apply (submit 2 sets of plans w /items checked below): 0 Service or feeder 400 amps or more 0 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 and 2- family dwelling 0 Commercial/industrial 0 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. 0 Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: \4- \ J G 1 D j Six or or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than 1 1` t` I ���, ����� p ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: L el Y Q ;a y ` 0 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • MG -�+1� New residential single- or multi- family dwelling unit. 0 Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OY WORK (with above sq. ft.) 75.00 2 ` - /^ P)(nom ` Limited energy, multi - family 75.00 2 I / 1 xl v W 1 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 [PROPERTY 'OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: C1 Vim` 4. d N )1,r 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 14 U V \ ll� Over 1,000 amps or volts 454.65 2 City /State /ZIP: n ,k Q 0 n Temporary services or feeders installation, alteration, and/or T. v V p �� \� L�� relocation Phone: ( ) Fax: ( ) 200 amps or Tess 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 Ivirh PLICANT ❑ CONTACT PERSON' above service or feeder fee, 6.65 2 � � � Fee circuit Business name: l n / B. Fee for branch ci rcuits V ' 32,..0k � V �I 4 .. 4p ` without branch service or feeder fee, /�6 % 2 i _' ,��\ first branch circuit � Contact name: 46.85 c't' - �JJ Address: ( Each add'I branch circuit 4 6.65 V p - 1 0 O 2 3w Miscellaneous (service or feeder not included) City/State /ZIP: / �l ( / 1 1 1 L Each ch manufactured or modular 90.90 2 KJ� �„ dwelling, service and/or feeder Phone: ( 41.y...\,.... t Fax: (�„ �, ��/�,� t ��� �/�/� Reconnect only 66.85 2 E -mail: fit V/ C Y ` �1 ` :3 1 . rly - I Pump or irrigation circle 53.40 2 \ J i CONTRA Sign or outline lighting 53.40 2 / Signal circuit(s) or limited - Business name: � L l / energy panel, alteration, or Address: jQ — t ? ar )) 5/ 7 extension. Describe: Page 2 2 City/State /ZIP: c .9\.� Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: ( )e%" (, 0 Fax: ( 5 `5 3 g _6 ¥o I Investigation per hour (1 hr min) 62.50 CCB Lic.: j5S 86 Electrical Lic.: andMiej Suprv. Lic.: 50/ 5 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES ' r Suprv. Electrician signature, required: Subtotal: 7 3 ..-1 J Print name: Date: Plan review (25% of permit fee): 19". State surcharge (12% of permit fee): . bt Authorized signature: 4 TOTAL PERMIT FEE: '3 9 . a This permit application expires if a permit is not obtained within 180 Print name: • 1♦ Date: 1 1 r days after it has been accepted as complete. ` • Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.doc /23/06 440- 4615T(I I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: • RESIDENTIAL WORK ONLY:. Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: r 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 n Instrumentation ❑ Intercom and Paging Systems n 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 ` . City of Ti and Oregon 0 13125 SW Hall Blvd.. o Tigard, OR 97223 ° u M 47; x }� Jrar Girv1 V !) r a•� 5114 i•4 +t , 1 44i P G�k May 9, 2008 Amy E. Sandoz - Kelly Harrison Homes 3201 NE Wynooski Rd. #A1 Newberg, OR 97132 Re: Permit No. MST2008 -00041 Dear Ms. Sandoz: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 14900 SW 103r St. Project Name: Smelter job No.: Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $116.91. ❑ Trust account "deposit" receipt in the amount of $ Notes: Project valuation was decreased after plans reviewed. Overpayment of plan review fees applied to permit fees due and balance refunded. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. 1: \Building\ Refunds\ Adminis trauon \LtrRefund- Overpa 01 /16/07 Phone: 503.639.4171 0 Fax: 503.684.7297 o www.tigard- or.gov e TTY Relay: 503.684.2772 /145T a -- 600 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Amy E Sandoz - Kelly Harrison DATE: 5/9/08 Homes 3201 NE Wynooski Rd. #A1 Newberg, OR 97132 REQUESTED BY: Dianna Howse LS TRANSACTION INFORMATION: Receipt #: 2008 -1259 Case #: MST2008 -00041 Date: 4/16/08 Address /Parcel: 14900 SW 103rd Pay Method: CreditCard Project Name: Smelter EXPLANATION: Overpayment of plan review fees. REFUND INFORMATION: . .Fee Description From. Receipt Revenue Account No Ekinple:.,[BUILD] Permit Fee Example '245 = 0000- 432000 " $ •Ai nouni [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 $116.91 TOTAL REFUND: $116.91 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: 9 1 / By: " I \Budding \ Refunds \RefundltequesLdoc 05/23/07 CIITY OF 'TIGARD 5/9/2001 • it s I'e 31'_ SW flan Iblcrl. 92545AM ▪ yn l I i ar 1 012 97323 503.639. Receipt #: 27200800000000001 259 //i Date: 04/16/2008 1 inc Items: Case No Tram Code Description Revenue Account No Amo Paid MSI'200$ -00041 [BUFPLN1 PIn R\ Deposit 245- 0000 - 433000 443 98 Line Item Total: S443.98 Payments: \ie[hod Paver liser ID Acct. /Check No. Approval No. 1 -low Received Amount Paicl CreditCard AMY E SANDOZ - KFLLY DEB 016662 In Person 443,98 HARRISON 1 IO1vIES Payment Total: .',443.98 CJN y ( Z5 0 eRci,211 /i i t 1 irgc 1 i)1 I a J F i i 4 , Ti demark = ■ Sys tem Administration n - n 2° "a ,ti h'� ^ Finance Department Request a "' 1 "" P q — -] I° .ice"_ Date: -:;.— / `'' A ,'. -::P ° _ -a C� f — To: Liz Lutz U o F. f Phyllis Harris � - - C - /� - ti IJ y-v From: Dianna Howse/ _ Re: Receipt #: . r' -,/ . /. `'t ' o y am '. J Please process this request as follows: z O Journal Entry (route copy of JE to Dianna Howse). m n Reversal (fees have been reversed on � Revenue Account Report). _ _ , Credit Card Return (fees have been reversed on Revenue Account Report). C r Other /Explanation: / eD Thank you! . I:\ Building \Fortes \RteSlip- FinanceReq.doc ^ " � N l ") •• F O J T.- N N cx 7.% > OG G 6 IJ N © _ r_' d 6 (pi :- 1,. n r. — — ,' — O o . H N ' . I _ = - — ... — ..J `' •C ' ,C J _ I -.i — — 5 0 0- 4 071.---1;41/111 O CITY OF TIGARD BUILLSING DIVISION PERMIT #: MS 2008•000ll 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 Phone: (503) 639 -4171 . f�l Inspection Requests (24 Hrs.): (503) 639 -4175 F__ INSPECTION WORKSHEET FOR DATE: 7/23/2003 TIME: 7:02AM PAGE: 28 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MON EE SUBDIVISION LOT #: 001 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. 5/29/08 ADDING (1) service. OWNER: SMELTER, CRAIG & ,JULIE_ PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 50: 554 - E16J1 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 073074 -01 503-784-9370 N Corrections/Comments/Instructions: tc�1/ Alec v . Abp-L r t y 1 7- 9 o93 (3/-4: ASS _ PARTIAL APPROVAL CANCEL I 1 NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 _ 23 —6 6 Phone #: (503) 718- Z = ~` CITY OF �*wn m m.�o� mm���m�m�� BUILDING ' DIVISION - � ' PERMIT #: kA8T2000-00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/20O8 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:O1AN1 PAGE: 60 • SITE ADDRESS: 14g00SVV1O3RQAVE CLASS OF WORK: • SUBDIVISION: DEL K40MTESUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormnmraodbanenmentbeemn. S/J1/O0. ADDING (1) SINK. S/2J/OQADDED (20) branch circuits. 5/29/08 ADDING (1) service. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-564'8601 Inspection Request Scheduled For: Date: 7Y21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 072899-01 603-784 N Corrections/Comments/Instructions: ��/ ��/����" �� � / (7 J^~� /l � /// / //l% �-�' --" / /(.� �� /' L�,� �^�� ` / �^~— �/ l ^ ~"«~~ OA( ^ / - '� • PASS | ALAPPROVAL CANCEL ri NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED CITY OF TIGARD • BUILDING DIVISION PERMIT #: MET2008.00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2000 Phone: (503) 639 -4171 ,I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MON`TE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beans. 6/21/08, ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. 5/29/08 ADDING (1) service. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY FIARRISON INC PHONE #: 603-554-8601 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 072717 -03 503 -7134 -9370 N Corrections /Comments /Instructions: l 67740/44— .0 A- L. C ��) °7- S a $ KH i ,'%ie1 6 p a ❑ PA :S 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [a FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A, Date: 7 —/6 DB Phone #: (503) 718 - 2.514S CITY OF TIGARD BUILDING DIVISION . PERMIT #: Nil-31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/200F3 Phone: (503) 639-4171 lt Inspection Requests (24 Hrs.): (503) 639-4175 ,,,, . -..... INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:OOAM PAGE: 25 SITE ADDRESS: 11900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 5/23/00 ADDED (20) branch circuits. 5/29/08 ADDING (1) servic:e. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-5540601 Inspection Request Scheduled For: Date: 7116/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 072711-02 503-784-9370 N Corrections/Comments/Instructions: . al - A-1 4 e -- z./ A: . 2 2 4 , 0 / / • • n ,,ss ,. Li PARTIAL APPROVAL El CANCEL NO ACCESS [KFAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: . . A Date: - 7 — /6 —68 Phone #: (503) 718- .------ CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2008.00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;ti2J2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/11/2008. TIME: 7:OOAM PAGE: 29 SITE ADDRESS: 1490) SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MON FE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 51231013 ADDED (2.0) branch circuits. 5128/08 ADDING (1) service. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503 - 554E -8601 Inspection Request Scheduled For: Date: 7/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical nical final 072501 -01 503.551 -8501 N Corrections/Comments/Instructions: c L{j lr t h r, .tomb ni A-i PLY ('7r� JLhi l £?% -L Mc, L 94-ao ❑ PASS fl PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS AIL ALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: . Date: 11–eig Phone #: (503) 718 - 2C— CITY ��N�~�� ������N�������� ��� u w�������� BUILDING DIVISION ' PERMIT #: K8572008-00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: SI12/2008 Phone: (503) 639-4171 Inspection Requests (24Hmj:(5O3)G3A'4175 INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:O0AN! PAGE: el3 SITE ADDRESS: 149OVRW103QDAVE CLASS OF WORK: SUBDIVISION: OEL K4()NTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen rm/nodn|, replace dormer and basement beams. 5/21/00. ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. OWNER: SMELTER, CRAIG &JULIE PHONE #: CONTRACTOR: KELLY HARRISC)N INC PHONE #: 603-554'8601 Inspection Request Scheduled For: [)ate: 5/211/2008 Pour Time: Code # Inspection Description Confirm # 'Contaut# Message 2130 |nxo|ution 070396-01 803-784'9370 M Corrections/Comments/Instructions: . / ~/ '67 - L ^ ^��� PARTIAL APPROVAL 0 CANCEL NO ACCESS n FA|L 1 CALL FOR INSPECTION | 1 ADDITIONAL FEES ASSESSED Inspector: Data:. --e6 Phone #: U503\ 718- CITY OF - ��nn m n�'m TIGARD . BUILDING DIVISION , ' PERMIT #: MST2008'00011 ,,,,,„„.,A,, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2008 Phone: (503)630'4171 Inspection Requests (24 Hrs.): (503) 639-4175 ~��m� n�-... INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:O1AM PAGE: 32 tko k.t>o'k._51 .— ,~~ -- SITE ADDRESS: 14gUD5W1DJRDAVE CLASS OF WORK: SUBDIVISION: DEL k4(}NTESUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen ron)*do|, replace dormer and ba.Ernent beams. 6121/08. ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. OWNER: SMELTER, CRAIG &JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-554'8601 Inspection Request Scheduled For: Date: 6/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Merhanice|rough'in 070351'02 508'5548001 N Conmcdono/Conlnnenta/|nat A � /< . /'_e, �� �� �Ja' / e --- K � ' p^ - ' F—| PARTIAL APPROVAL 7 CANCEL 1 1 NO ACCESS . FAIL 1 | CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED / ~~- -~ e� Inspector: Date: ��y y ' u Phone #: (503) 718- �~��' / '- --/ ^ `� ' �� -~~_- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 3 0fY11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -4.1!1. JL INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: E:59AM PAGE: 41 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL. MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchon remodel, replace corner and basement. beams. 6/21/08, ADDING (1) SINK. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503654 - 1601 Inspection Request Scheduled For: Date: 5/2112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 27f) Framing 070239 -01 503-5E48601 N Corrections /Comments/ Instructions: . _ �- _ . «�.7�'�i�'"✓' �- ASS r{ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: a g Phone #: (503) 718 - Z514-.)--- CITY "` ��wn. n OF mn�������� . BUILDING ��U��U�U���� ~~~~.~~~~"""~° DIVISION PERK4/T#: 1V15T2000'00041 1312SBN Hall 8hd, Tigard, ORQ7223 DATE ISSUED: 5/12/209 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 630~4175 ,-7.44~ 4. INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: 6:69AkVI PAGE: 39 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL k4()NTESUBDIVISION LOT #: 007 TYPE OF USE: '~. PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beum*. 5/21/OB. ADDING M\SINK. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 50:3-554'8601 • ` � ����_ Inspection Request Scheduled For: Date: 5/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 05 Mwcha,icalrough'in 070239-03 503-554'8601 N Corrections/Comments/Instructions: &_/Aid1144-Ph: . ~' /' 1 PA 0 PARTIAL APPROVAL | j CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED CITY OF ` ��m o m n��� TIGARD . BUILDING DIVISION PERMIT #: MST2008- 00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2808 Phone: (503) 639-4171 Inspection Requests (24Hs.):(5O3)G30'4175 °��W+ Y�'" INSPECTION WORKSHEET FOR DATE: 5/202O08 TIME: 6l59AM PAGE: 20 SITE ADDRESS: 14g00EW183RDAVE CLASS OF WORK: SUBDIVISION: DEL W()h!TESUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. OWNER: SMELTER, CRAIG &JUUE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-5548601 Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 515 K8euhmnioe}rough-in 070156-03 503-55486O1 N Corrections/Comments/Instructions: 6 4 J , �� [-� \ | | | PARTIAL APPROVAL / / CANCEL / / NO ACCESS ^^^ �^FA|L CALL FOR INSPECTION ADDITIONAL FEES ASSESSED —` _~�� Inspector: ����`� Date: —a��/ "^�� Phone #: (503) 718- _a3:Ecie/ . CITY J���� ~������ ���� - . �*mm m ��n� mmm�|������ BUDU • ��U���� DIVISION ^� PERMIT #: MST2008-00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: SJ1212 Phone: (503) 639-4171 Inspection Requests (24 Hr � S.): (503) 639-4175 . �W� *&�-- INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6i59AhN PAGE: 22 SITE ADDRESS: 14900SW1U3RQAVE CLASS OF WORK: SUBDIVISION: DEL K40NTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basernent beams. OWNER: SMELTER, CRAIG &JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-554-0001 Inspection Request Scheduled For: Date: 5/20V2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Frarning 070156-01 503554'8601 N Corrections/Comments/Instructions: _C___,..4) w^/xn- — 72:4 -- Vi SI. (7./A~<,:5 - PAS 0 PARTIAL APPROVAL 0 CANCEL pi NO ACCESS F� AIL E CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: ° j'` Oete:/) Phone #: (503) 718- CITY OF TIGARD ��m m ��m� nm����om�� ' ' � BUILDING DIVISION ' PERMIT #: MGT2008- 1 13125 SW Hall B|vd, Tigard, ORQ7223 DATE ISSUED: 5/12/2008 Phone: (503) 639-4171 Inspection Requests (24Hm.):(503)G3A'4176 A+ 11. INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00Ah4 PAGE: 26 SITE ADDRESS: 14908SW103RDAVE CLASS OF WORK: SUBDIVISION: DEL M0MTESUBDIVISION( LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, re f dormer and basement beams. 5/21/00.AQD|NG(1) S|NK 5123/00 ADDED (20) branch circuits. 5/29/08 ADDING (1) service. OWNER: SMELTER, CRAIG &JUL|E PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 603 Inspection Request Scheduled For: [}ate: 7/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072717-01 603-784-9370 N ° Corrections/Comments/Instructions: . ��R�S � PARTIAL � ���EL � NO ACCESS ��� / ' / / / / FA|L CALL INSPECTION || AOODlONALFEES ASSESSED _ _ _ Inspector: G (Y2 1 ‘ 6 • 4 CITY OF TIGARD ' it �, ' . 1 BUILDING DIVISION PERMIT #: MSTi 200i'upow1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: F1 121 2008 Phone: (503) 639 -4171 ` ° I ! Inspection Requests (24 Hrs.): (503) 639 -4175 ' F°�_ � . INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:OOAM PAGE: 26 SITE ADDRESS: 14900 SW 103RD) AVE CLASS OF WORK: SUBDIVISION: DEL. MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: I';iLt h(fl Terra dei replace dormer and basement bea.rr7 ; .;5/21/08, ADDING ('I) SINK. 5x23/08 / DI.JrT_) . (20)'8ranc;ii°cirruit :..509 /08ADDIN((1): - ....,:._...:- - - -'.. OWNER: SMI L I E.R; CRAIG & :11.JLll_. PHONE #: ' CONTRACTOR: KEI,LY , Hl�RI3T.,ON INC PHONE #: 50: 564 -8801 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message ,1 109 Electrical final 072717 -01 '. 503-784-9370 N 2 Corrections /Comments /Instructions: , * :.14 1 ., f. ' • ›,1% PASS n PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: y t" Date:1 Phone #: (503) 718 - /1"/*• CITY OF TIGARD . BUILDING DIVISION — PERMIT #: MST2003 -00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/121200 8 Phone: (503) 639 -4171 h , ,.p,! , lwli l l Inspection Requests (24 Hrs.): (503) 639 -4175 1! L INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 34 At>2`7 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MOJNTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: ;SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 5/23/08 ADDED (20) branch circuits. 5/29/08 ADDING (1) service, OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503•554 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072839 -01 503 5tA -8601 N Corrections /Comments/ Instructions: o s.° in PARTIAL APPROVAL n CANCEL 1 I NO ACCESS _I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 /S' el Phone #: (503) 718- 2 % y CITY OF TIGARD z . BUILDING DIVISION PERMIT #: MST200B -00c ii 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2008 Phone: (503) 639- 4171 i i�'� I + Inspection Requests (24 Hrs.): (503) 639 -4175 �__. INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7 :O0AM PAGE: 53 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: kitchen remodel, replace dorn and basement beams, 5/21/013, ADDING (1) SINK. 5123108 ADDED (20) branch circuits. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-564-8501 Inspection Request Scheduled For: Date: 5/2.8/2008 Pour Time: Code # Inspection Description Confirm -# Contact # Message 120 Electrical rough -in 07039502 \ 503 - 71369370 N Corrections /Comments /Instructions: i ) ) Ca T EISL N� W K 6(L c 1 L _► +._ 1\)1 6 E - S \-kcI - Q..v► " V %A L/JP i Ai! Li • n PASS X PARTIAL APPROVAL ❑ CANCEL E NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 0 08 LIE Date: 61 2.. Phone #: (503) 718 - 1-11% CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-0004•1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5i17/200I Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 AM. INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitt: lion remodel, replace dormer and basement beams. 5/21/08, ADDING ( I) SINK. 5/23108 ADDED (20) branch circuits. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 603-554-8601 Inspection Request Scheduled For: Date: 5/27/20013 Pour Time: Code # Inspection Description ,--Confirm Contact # Message 135 Low voltage 070351-01 503-554-8601 Corrections/Comments/Instructions: 4c rvT %°‘ k MINN 6 On Faa. 1115 -fircf & Lo %J.) VOL: (6 'Val e:i vatinvil tL V9 WOO \k- N NOD QALL 105ffel I Z-K)\riEg•-• [1] PASS 11 PARTIAL APPROVAL CANCEL 11 NO ACCESS j7,1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 1 \/ Date: 61 2.1(0 l ib Phone #: (503) 718-l-9 CITY OF TIGARD BUILDING DIVISION PERMIT #: M X120088.00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELF12/200U Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1I.. INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: 6:59AM PAGE: 40 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONIE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/2.1/08, ADDING (1) SINK. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503 -554 -8001 Inspection Request Scheduled For: Date: 5/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 070239-02 503 -554 -8601 N Corrections /Comments /Instructions: P e`V'iL. ALL* wa2_J 4kgL -. conn WI- 1\)2..2oo`u • a Q INNVA -u 6 N L r Nfs I �7 �� N6 4fff 6 ( A (\\( *()CL Lb‘ �y 4�`�f\ � -d far " c_q >± n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: U� d� L; Date: SI 3 6 Phone #: (503) 718al1 CITY OF TIGARD s BUILDING DIVISION PERMIT #: MST2008 -OOEI1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5//12/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . r INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 21 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503-554 -8601 Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirrn - #-- Contact # Message 1 �0 Electrical rough -in 070156-02 '''''' ''13-554-8601 N Corrections /Comments /Instructions: ‘A- 0 al f-E-& - c tot.) \i t tvc - 2) C(?_,) r 1 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 7(FAIL `CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 O(5 Date: b1 Phone #: (503) 718 - 2344 I L • / / � \� W I I I I ?� - - ,„ / / JANZEN_ ELROSE ST t 1 a sz.., ,„ <._...._ /„ 1 ri ) — L 1 /, / /N, ,. == = == _ =,==== 0000 0 0 l'' )j 1 j 1 \ I 0 00 / O 0 _C 0 �9'1> ��� g • 0 TE� - / .) VIEW TERR \ 4 4,V, , =,''' E. E R E'' \ I 1 \, • -1-7 \, , _____---,„ ji . , , i _I INEZ T CANTERBURY LN I I • a \ I I � J PEMBROOK ST ,,-. i . 1 / — , . ED =FS i I MURDOCK ST_ MURDOCK ' ST • E E13 L ) ,-�- H / leg, ,6 -, FAO' � 111 �� o� J L ,_ , ' i ‹C ❑� DELMONTE DR c' 1 , � CID C mm ° ux- �I aL�L — ,,1' 1 - _ 1 -P EPPER - TREE - tIJ ` 1 1 —LADY MAR(• ItitL i I — ,--' E L N D L M A , �., - -� 1 I - IIIII 1 ' w C / 7 r� S TILERST _ m x _ _ HOD v ../ , I r y . / ,, // 1--. ABL �°, OAKS _LN E ST IiL IP ( LI_ • 1 Ar /CABL ST, - ___________, ,.„,,___ o � — Q Lu 7-- I 2 � > Vvz — U1L _ AtCp \ ,,,,,., NAEVE ST , \ ~� ' � �__ j _ , _________--- — HIGHLAND DR 1117-2.--__ _� J i 1 j -�� , N�, T - \: ' I - _ „ A_ -� DR i� � ��� EPF ?ER.R _.� ��MM rn / IS O RG ,� \R — m\ I DR � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1212008 Phone: (503) 639-4171 „ Inspection Requests (24 Hrs.): (503) 639-4175 At INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 28 • SITE ADDRESS: 1.1900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. 5/21/08, ADDING (1) SINK. 6/23/00 ADDED (20) branch circuits. 5/29/08 ADDING (1) service. OWNER: SMELTER, CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503 . • Inspection Request Scheduled For: Date: 7/1112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing fina 072501.02 603-5%8601 Corrections/Comments/Instructions: 111° 4,4,4:4-41_Att.e 4,4A 'd. 41 .46:4 A 4 • r. 4/.1 d A .04 4.10 11.1 A� i ___ - 0-19-■■1/4n A1.1.9ve0 -. (5 1/j ' Li PARTIAL APPROVAL 111 CANCEL 1 1 NO ACCESS KIKA CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 01 ‘"(k.A,-l'i Date: — 711 0(37) Phone #: (503) 718- CITY ��N�~�� ������N�������� - ��m nn���m���� ~ ~ ' | BUILDING DIVISION PERMIT #: M�2 0B.0N�1 13125 SW Ha|| B�d,Tlguvd. OR Q7��8 � DATE ISSUED: 5/1J/2U08 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/22/20013 TIME: 6:59AM PAGE: 37 SITE ADDRESS 149O0 Sm/183RDAVE CLASS OF WORK SUBDIVISION: DEL k4UN LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dorrner and basernent beams. 5/21/08, ADDING (1) SINK. OWNER: SMELTER, CRAIG &JULIE PHONE #: CONTRACTOR: KELLY PHONE 6O3-55�-8���1 � #: Inspection Request Scheduled For: Date: 5/22J2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Plumbing rough-in 070239'04 503-664 8601 N | • Corrections/Comments/Instructions: ` | `., . • ' ' | � | ` | PASS 0 PARTIAL APPROVAL El CANCEL 1 | NO ACCESS | FAIL ri CALL FOR INSPECTION Fl ADDITIONAL FEES ASSESSED Inspector: Date: /~-1 Phone #: (503) 718- `~ ' 27//\(0 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: FAWNS Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 41 INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6 :59AM PAGE: 19 SITE ADDRESS: 14900 SW 103RD AVE CLASS OF WORK: SUBDIVISION: DEL MON SUBDIVISION LOT #: 007 TYPE OF USE: PROJECT NAME: SMELTER DESCRIPTION: Kitchen remodel, replace dormer and basement beams. OWNER: SMELTER. CRAIG & JULIE PHONE #: CONTRACTOR: KELLY HARRISON INC PHONE #: 503. 554 -8601 Inspection Request Scheduled For: Date: 5/20/ 2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 070156 -04 503 - 554 -8501 N Corrections /Comments / Instructions: 0 1.0+ fe %/ n PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS lig FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: \ v �'�-� ---' Date: ,c\ 2 Phone #: (503) 718-