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Permit is ` v CITY O F TOO D _ MASTER PERMIT PERMIT # MST2008 -00039 ,s COM MUNITY DEVELOPMENT DATE ISSUED: 4/22/2008 TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CD - 03000 [r1 SITE ADDRESS: 09935 SW MCDONALD ST ZONING: R-4.5 SUBDIVISION: LOT: 030 JURISDICTION: TIG • PROJECT: WESTERMANN Project Description: 400 sf. family room addition. . Mechanical other -duct work to addition. BUILDING . REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: 400 51 BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: s1 GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: 0.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 400 sl REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 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 c 100K: BOIUCMP c 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS; OTHER UNITS: 1 MAO INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 - 200 Imp : WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 211 - 400 amp 201 • 400 amp 151 WHO SVCFDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp EA ADDL 8R CR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 6015amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: 5=4 RES UNITS: SVClFDR> =226 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: 1 R 1 . ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 1 AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 0 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: Z HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a 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 COREY WESTERMANN OWNER laws. All work will be done in accordance; with approved plans. This 9935 SW MCDONALD ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,422.66 REQUIRED ITEMS AND REPORTS / . / ) : (7 / ) Issued By : , ...la. Permittee Signature : j-.. - Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completi s • of the project. Approved plans are requited on the job site at the time of each inspection. , -:: MASTER PERMIT TIGARD ° � � PERMIT #: MST2008 -00039 COMMUNITY DEVELOPMENT DATE ISSUED: 4/22/2008 TI GAR D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CD - 03000 SITE ADDRESS: 09935 SW MCDONALD ST ZONING: R -4.5 SUBDIVISION: LOT: 030 JURISDICTION: TIG PROJECT: WESTERMANN Project Description: 400 sf. family room addition. Mechanical other -duct work to addition. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 14 FIRST: 400 51 BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: 60 RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 400 si . --O:BQ— REAR: 15 11-1' 37 3 c 5i. v e) PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN GRAIN: 100 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: 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: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 600SF: 201 • 400 am P 201 - 400 amp 1st WA SVCiFDR 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 am EA ADM BR CR 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> =226 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 a SYSTEMS: This permit is subjed to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable COREY WESTERMANN OWNER laws. All work will be done in accordance with approved plans. This 9935 SW MC DONALD ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,422.66 REQUIRED ITEMS AND REPORTS . A , ARUM Ka Issued By :MOW ; �/4 _.f : Permittee Signature : _ J �� - - Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completi t of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONI..Y City of Tigard '1 11 ' Date/By: Received y i ) r 3-_ Permit No.://1 5 7 , �'.„;( j ' � , ° 13125 SW Hall Blvd., Tigard, OR 97223 , ' 'it/ Plan Review -` "' C Phone: 503.639.4171 Fax: 503.598.196 ,0 , „ Date/By: , ) /A ', \ (38 Other Permit: T I G A R D Inspection Line: 503.639.4175 , Date R : �1 �� luris: ® See Page 2 for Internet: www.tigard or.gov �� v 6, ? '(; Notified/Methd /Meth od; ;W �'�- / Supplemental Information °\\) \ �'i' l ?: i L,� . ,,,113‘ TYPE OF WORK ► REQUIRE ATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ De et ht ah Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all (T Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 21 I- and 2- family dwelling El Commercial/industrial Valuation: $ 3 i - 3 cp i El 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: CAC V5 Sk) Mc-,DpvN os \ ck Si. New dwelling area: T00 square feet City /State /ZIP: - 1'; A �,� 1 OR 97 2,-2-4 Garage /carport area: square feet ,J Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: i t ; kt. S± o - R9 \n/ Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. no.: Indicate the value (rounded to the nearest dollar) of all Tax map/parcel 2-5 I o Z L p o 3soo equi , ent, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work • I icated on this application. 1 4 - 173 54. r ad■-■+. Valuation: $ Existing bui g area: • uare feet New building area. square feet I PROPERTY OWNER ❑ TENANT Number of : es: Name: �,r W e s4 e v' w t v.\ T • • • f construction: Address: GI Gl 3 t 7 S K cA) O vt Al a s4. occupanc groups: City /State /ZIP: ` A „k, 6 i z . C("] 1,2_4 Existing: Phone: (i.,'7,) 7 8 4. _- (0 2 > Fax: ( ) New: FR APPLICANT ❑ CONTACT PERSON NOTICE Business name: N 61 , All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Coi" v\.)Cst under ORS 701 and may be required to be licensed in the Address: (5 o ot 5 O ,•/) jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) I Fax::( ) E -mail: Love WV?, IA, g I y AA oO , Wtn-■ • CONTRACTOR Business name: BUILDING PERMIT FEES* Address: CS c4 G S C.) ,.", v•,Q,►,) (Please refer to fee schedule) Structural plan review fee (or deposit): )--7 7, City /State /ZIP: FLS plan review fee (if applicable): ,--- Phone:( ) Fax: ( ) ^ Total fees due upon application: ,)----7 / , CCB lic.: Amount received: Authorized signature: "� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: i 1 1 • Fee methodology set by Tri County Building Industry Me Permit Application % R FO OFFICE USE ONLY 7 _ , � ; L rK • City ofTigard DateBy: L1 Plan Review //� l)S Permit No.: /)/137-- UB � I N 1 3125 SW Hall Blvd., Tigard, OR 97223 C . Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: Date/By: (,� I c D • In s pe ction Line: 503.639.4175 Date Ready /By: Juris: . Ell See Page 2 for 'r= z : Internet: www.tigard or.gov Notified/Method: Supplemental Information 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. - CA TEGORY OF CONSTRUCTION. • • � Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE. INFORMATION. AND LOCATION . . Heating/cooling Job site address: lei 3 7 \ S � L k <. .,9._� 3 Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 1 1 (�, - C11 Z 4 Furnace 100,000 BTU (ducts /vents) 14.00 Uf Act Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Acl (-1 Gas heat pump 14.00 Cross street/directions to job site: Duct work 1 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK ' Water heater 10.00 - 4 o QQ l'kl U `_ Gas fireplace 10.00 Q rte l.. Flue vent for water heater or gas fireplace 10.00 • Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 PROPERTY OWNER • ❑ TENANT. Other: 10.00 Name: c't..( w�.9 IA/LCt,.k y, Environmental exhaust and ventilation Address: ° 11 7 r` c00I"-�.P� d ST Range hood/other kitchen equipment 10.00 City /State /ZIP: 1 J `C, CAL 22-+ Gj Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (505) 7 p i4 - Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT • ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax::( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue y� Clothes dryer (gas) Business name: (9±Eijt- l"� Other: Address: . MECHANICAL PERMIT FEES* ' City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: i State surcharge (12% of permit fee) TOTAL PERMIT FEE r�r This permit application expires if a permit is not obtained within 180 _ Authorized signature: days after it has been accepted as complete. Print name: C W .` - n *, Date: 1 15 Vg . Fee methodology set by Tri- County Building Industry Service Board M 1.Building\Permits\EC -fermi pp.doc 01/19/07 440- 17T(II /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuations • 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. I:\Building \Permits \MEC- PermitApp.doc 01/19/07 2 ' Electrical Permit Application e4 § , , FOR O ICE S ONLV „ . ti ., City �f Tigard Date/By: Permit No.: /4.75711a46.-- licti c ( 14 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C `' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I C A R D Inspection Line: 503.639.4175 Date Ready /By: Juris: 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK • PLAN REyIEW • . ❑ New construction 91Addition/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 - ", "I - ", I OOHP or more. occupancy. Job no.: Job site address: -55 9 s f ❑Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: j. v� U { — q- . ❑ Health -care facilities. ❑ Supply voltage for more than y°– / ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: U Project name: P4A,1Ruy, ❑Service or feeder 600 amps or more. FEE SCHEDULE • , Cross street/directions to job site: Description i Qty. I 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 Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential DESCRIPTION OF WORK , (with above sq. ft.) 75.00 2 ��y� V' Limited energy, multi - family q � ` t W 5 k (3L 61 1 f "' residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 t PROPERTY _OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 /' 1A3 + _ _ rit' 401 amps to 600 amps 160.60 2 Name: l �V Pr� 1 - to ..--. �, IS' . 601 amps to 1,000 amps 240.60 2 Address: 11 S Sw ` CC `s V S }- Over 1,000 amps or volts 454.65 2 City/State /ZIP: -1; S` c�Y ei Z2 1 Temporary services or feeders installation, alteration, and/or J relocation Phone: ( 7if2,) 76LA ( Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation 's being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, le , rent, ore h e ording to ORS 447, 449, 670, nd ]01. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: LI IS A. Fee for branch circuits with . ❑ APPLIC ❑ 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, 1 46.85 2 first branch circuit Address: Each add] branch circuit 6.65 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: Signal circuit(s) or limited - �wN energy panel, alteration, or Address: extension. Describe: 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: Subtotal: Date: I Plan review (25% of permit fee): Print name: �SJ b-g 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. I :\Building\Permits\ELC- PermitApp.doc 05/23/06 440-4615T(11 /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: COMMERCIAL WORK 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 Plumbing Permit Application Building Fixtures OFFICE USE QNLY * City of Tigard Received Permit No.: � s ` u 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: er $ Plan Review Other Permit No.: - Phone: 503.639.4171 Fax: 503.598.1960 Date/By: t 5• =i Inspection Line: 503.639.4175 T IGNRD Date Ready /By: Juris: la See Page 2 for 15;R`e:ry:4°j41 Internet: www.tigard - or.gov Notified/Method: Supplemental lnformation TYPE OF WORK FEE *, SCHEDULE. ❑ New construction ❑ Demolition For special information use checklist Description J_ Qty. f Ea. 1 Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF .CONSTRUCTION ' SFR (1) bath 249.20 j2k1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB ,SITE INFORMATION AND LOCATION . Site utilities Job site address: `161 2 Suj Oka 0,,�„sLd S1 Catch basin or area drain 16.60 City /State /ZIP: 1 ` v l`- R-i if Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: (� Footing drain (no. linear ft.: _) Page 2 1 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: /00 / Page 2 Subdivision: 1 Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve I 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 1 4(0 sf R p 4 i --h\A, Backwater valve 1 6.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ROPERTY OWNER I ❑ TENANT n ,} Ejectors /sump 16.60 Name: l )'f W-R-g 144--C1 n Expansion tank 16.60 Address: -I"l 35 S te) )„, 04 S,� Fixture /sewer cap 16.60 City /State /ZIP: ''�}}t G� 1122 4- Floor drain/floor sink/hub 16.60 �- Garbage disposal 16.60 Phone: ( 5ii -7 V l { -7 G Fax: ( ) Hose bib 16.60 . O.. APPLICANT : ° ❑ CONTACT PERSON Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax::( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Water heater 16.60 Address: (9t„J,...,-.12-_,) Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: P umbing Lic. no.: Plan review (25% of permit fee) Authorized signature: P, State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: • �,e,�, Date: y i (5/0 b This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\PLMF- PermitApp.doc 12127/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty: Fee (ea) T °tai Square Footage: Pelrmit Feei . Footing drain - l' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: . Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or. Item Qty. • Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: - Plan Review for 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 * . ❑ Any 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 RiserThagrain ` Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" - 4" 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 - 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 Urinal Other Fixtures: \ Building \Permits\PLM- PermitApp.doc 12/27/06 o4 /1Ap r. 8. 20081: 3: 22PNvx No, 5223 P. 1 Zoozioo2 f` .l ' II ,ill l,'... L. • • Il t , l' I �:, 1t1 1 y I 1 ti APR 0 1 2008 J1 ClcfluiWaicl- Services Cher rvml4il1ncnt it steer. � CWS Pile Number SeIrfsitive WeT-gc eening I 0 Sc -coo 7 5 c I Site Assessment Jurisdiction: _ 11n[ Cam/ 1A)Y\Sr\ . C-O. Property Information: (example 1S224A801400) Owner Information: Taxiot ID(s): 2-$ 2.. Cr. b 3ittinitr Name: ,_ (.0e-S1 vka I Company: tJ I ix Address: C V) 35 SW c,0O1J Prt-D SC Site Address: 'VI 3 5 (A) d` }-t,D S i 1 ' ' m ' ZZ lkP - az- - Phone /Fax: . >3 -7� --1563 / 2 - 111 1 Nearest Cross Street: OM IN1ZA, E -mail: . . A o • Development Activity: Check all that apply Applicant Information: Addition to Single Family Restdence (rooms, deck, garage) l Name: (S s Lot Line Adjustment ❑ Minor Land Partition ❑ Company: Residential Condominium ❑ Commercial Condominium D Address: Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone/Fax: / 503 -22.1 i ll "1( Other E-mail: Will the project Involve any off -site work; YFS n N0141 Unknown ❑ Location and description of off -site work: • Additional comments or Information that may be needed to understand your protect: JO* ,�. i 'IJ o es .w us This application does NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as Issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE, All required permits and approvals must be obtained and completed under applicable local, state, and federal law, By signing this form, the Owner or Owner's authorized agent or representative. acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting protect site conditions and gathering information related to the project site, 1 certify that I am familiar with the information contained In this document, and 10 the best of my knowledge and belief, thls Information Is true, complete. and accurate, Print/Type Name. 17 Ma 1 t•.tact•, Frint/TypeTitle: I Signature: _ • NNW Dale: ! !!! 0 1 / FOR DISTRICT USE ONLY ❑ Sensitive areas pot .Intially exist on site or within 200' of the slle. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feel on adjacent properties, a Natural Resources Assessment Report may also be required. 1 Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, Stale, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive areas) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ Thls Service Provider Letter is not valid unless CWS approved site plan(s) are attached, n The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT 0 SERVICE PRO IDER LETTER IS REQUIRED. Reviewed By: Date: 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 68•-5100 • Fax: (503)681 -4439 • tervw .�101aw+1tcrsorc Revise,:.1aYl, 20D7 1/12B, 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: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I 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 I 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 certi that the info , ation checked and completed above is correct and accurate. 6)e--;1 vim J, 1■D Al Print name o permit applicant Signat re • permit applicant (5 , ' Date Permit #: WA 91 fi This form is supplied to building of . permit offices by the Oregon . .111 - �h° Address: 9935 " rie , ' 4 " -b . Construction Contractors Board 0 -i e : arum_ � as required by ORS 701.055 (6) ` .. Issued by: . Date: %' 08 This copy to issuing permit office CITY OFTIGARD BUILDING DIVISION - PERMIT #: MST2008 -00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/722008 Phone: (503) 639 -4171 � d' k I Requests (24 Hrs.): (503) 639 -4175 ' f _�:. INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 :00AM PAGE: 8 SITE ADDRESS: Dc:,r ; ;a; ENV MCDONAI17 ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: VV STERMANN DESCRIPTION: 400 sf family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 077485.02 508- 378 -4756 N Corrections /Comments /Instructions: ) ‘) • ,V X PASS ❑ PARTIAL APPROVAL _ CANCEL 111 NO ACCESS FAIL ❑ I ALL FOR INSPECTION ADDITI NAL FEES ASSESSED Inspector: fl'' Date: M / Phone #: (503) 718 r CITY OFTIGARD 2 „'��'� BUILDING DIVISION l4, ', PERMIT #: M, ;T2008 -00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/::?/: 008 Phone: (503) 639 - 4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10131/2008 TIME: 7:00AM PAGE: q SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: I SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: ' +/ESTERMANN DESCRIPTION: 400 sf family room addition. �. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1013112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077485 -01 5O& 3784756 N Corrections /Comments /Instructions: J PASS PARTIAL APPROVAL El CANCEL U NO ACCESS A IL El CALL FOR INSPECTION [II ADDITIONAL FEES ASSESSED Inspector: 41 Date: Phone #: (503) 718- 1149___ CITY OF TIGARD • BUILDING DIVISION ;-- PERMIT #: X2008 -00039 13125 SW Hall Blvd., Tigard, OR'97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 1f��'� Inspection Requests (24 Hrs.): (503) 639 -4175 P_ INSPECTION WORKSHEET FOR DATE: 8/142008 TIME: 7:OOAM PAGE: 8 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family roorn addition. Mechanical other -duct work to addition. OWNER: WE:STERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: D a te : 8/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 074197 -01 503 -7th -7563 Y Corrections /Comments /Instructions: 061 1?[OPt i,b_ dF L cit.0 b ot.)ctIoA 16 o` s e N c ‘ 1 1 % , v5 >r A sNALL s`-'; r,() -emu 4 P .Ltrs T s`T i s . No c.►�.t.,) o /0 A , zv i� rolITIm.). NE.I. **1'L- %15 i4) �� E X I • tJ9 a l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . 1` b Date: % I it A Phone #: (503) 718- 2t "7'D CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 00P 00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: +102/2008 Phone: (503) 639 - 4171 ° " �� ; �� i Inspection Requests (24 Hrs.): (503) 639 -4175 '- INSPECTION WORKSHEET FOR DATE: 8/11/2008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 09935 SW MCDONAI D ST CLASS OF WORK: SUBDIVISION: LOT #: 03C1 TYPE OF USE: PROJECT NAME: WFSTERMANN DESCRIPTION: 400 sf family roorn addition. Mechanical other -duct work to addition. OWNER: 1+VESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 8/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 0P1020-01 603 -784 -7563 Y Corrections /Comments /Instructions: . i) M .( < u i x 61(.. �"10‹.._ MI 'I F A PARTIAL APPROVAL ❑ CANCEL n NO ACCESS i %/ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i . Inspector: Date: 8 i I Ole Phone #: (503) 718- Z‘ / La OFTIGARD - BUILDING DIVISION PERMIT #: mm-2008.00039 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 A4.11.2 INSPECTION WORKSHEET FOR DATE: 81 2112008 TIME: 7:07AM PAGE: g SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: Q00 &f. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Insulation 074477 -01 50 -•784 -7563 Y Corrections /Comments /Instructions: 14 'ASS 11 PARTIAL APPROVAL n CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED �/ Inspector: A Date: 8 — .oe Phone #: (503) 718 - 1-4-35 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2008-00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2212008 Phone: (503) 639 -4171 - 0 ,� , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/14d�00$ TIME: 7:Ot)AM PAGE 7 SITE ADDRESS: - SW MCDt�NAi..I? sr CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTER MANN DESCRIPTION: 400 sf family room addition. Mechanical other -duct work to addition. OWNER: VVESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/14/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 074197-02 503 -784 -1563 Y Corrections /Comments / Instructions: 1 0 1 AA4 y21— 6 -clr c PASS ❑ PARTIAL APPROVAL 1 1 CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: g -G9- Phone #: (503) c P � ) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MSl2(108- 000: ;9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639- 4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 ..... INSPECTION WORKSHEET FOR DATE: $/11!2008 TIME: :O PAGE: 10 SITE ADDRESS: 09935 SW MGDt�NALI� ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other- ducat work to addition. OWNER: WE.STERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Framing 074020 -02 503 - 784 -7563 Y Corrections /Comments/ Instructions: C tip/ eteei72-1 z., /,),cam C 4- 1 ---7-2 /V. .- a/ L • -. T .i - S cG - /h°,5 -mie-- 64\45 f iii.--- `S a 1 e- ,/ ' = ' .L___/.. - %••• -• -L - LS. >>v '� ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ` J ALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: g `4- i g Phone #: (503) 718- �- CITY OF TIGARD T - BUILDING DIVISION PERMIT #: MST2008.00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2212000 Phone: (503) 639 -4171 AI t In spection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR .DATE: 613/2006 TIME: 7 :OOAM PAGE: 41 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -durl, work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/3/2008 Pour Time: Code #. Inspection Description Confirm # Contact # Message 240 Exterior sheathing 070657 -01 603-784 -7563 N Corrections /Comments /Instructions: Z CA. p 1-0 77'e— c2 a io,U A LA- „ / - 5--2 & a lgt.e- /L/R/i- 7 it-ec e c7,/,&. e..,--.47 , 7-ierree) ) 4_s ‘4,0,7-- . PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: g--a Pi Phone #: (503) 718- CITY OF TIGARD " . BUILDING DIVISION PERMIT #: MST200€ -00039 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/221200 €3 Phone: (503) 639- 4171 iil Inspection Requests (24 Hrs.): (503) 639 -4175 i INSPECTION WORKSHEET FOR DATE: 5/2912008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 09935 SW MCD NALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 7.10 Exterior sheathing 070499 -02 503- 784 -7563 N Corrections/Comments /Instructions: /�� f✓� � /� � ,, L� ) &__K 4 L- � P /A-r ! ca i i � > A-iNi " f - 7 / z_W 0 I D Al,( Li' IA --�LC NA- t ..> /.,/ &N D i� /5 Ll -- S . . _M 1 55, L�1 At o ff' : t ,4T7 Mau S' ,y 5 f-� - ; f-t41 t/ ar) 9- 5 r 4 --,,pa (c_0(44-1--ib"..1 01 6 uL . 1M1$ S t-rv' 2.0\ t s a..iC r 1-4144 --) . i M4-1Li 1. /LT v.. /iT14- ei3 IX \' (-, �'2 l L l ■ , r . el a A/ oT : •-xi S P Z? lN��„L. e i • L 14t _ ld. ! , o. ( <r 1 F- =` oi— PC. /a -✓.!S . H PASS VPARTIAL APPROVAL ❑ CANCEL n NO ACCESS X ,010 /AA CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: Date: 6�� Phone #: (503) 718 - _—_' CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2008 -00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/20015 Phone: (503) 639 -4171 ^(I. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:OOAM PAGE: 29 SITE ADDRESS: 09935 SW MCC)ONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: • PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other-duct work to addition. OWNER: WESTERMANN, COREY PHONE #: • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message J35 Shear walls/anchors 070499 -01 503.784 -7563 Y Corrections /Comments /Instructions: 1 *i A1s ie-cav iitl Pen o 4,2 fr lc'rT A o • • ❑ PASS ❑ PARTIAL APPROVAL �� CANCE 7 NO ACCESS FAIL ❑ CALL FOR INSPECTION IDITIONAL FEES ASSESSED L/7 Inspector: Date: 6 £/ Z ' 1/ 0 t5 Phone #: (503) 718- Z-‘ CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST200B -00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2000 Phone: (503) 639 -4171 r'' � I +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7 :OOAM PAGE: 61 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. faniily rooin addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 070378 -01 503 - 784 -7563 N Corrections /Comments / Instructions: (_. --rte \/ /r.�� r - - A e n� - - 5 cyv S <2 - //ca s �e__7-/ ,.-. , W ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: 28 -e P/ Phone #: (503) 718 --4}- CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2008•00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . ' . I NSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:OOAM PAGE: 60 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sr. family room addition. ' Mechanical other -duct work to addition. OWNER: WE:STERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2'10 Exterior sheathing 070378 -02 503 - 7847563. N Corrections /Comments /Instructions: • n PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: _,:5 o --,n g Phone #: (503) 718- Z�F4 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2008 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 . "_ _.. INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family roorn addition. Mechanical other - duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/23/2008 Pour Time: Code # Inspection Description Confirm # . Contact # Message 240 Exterior sheathing 070304 -02 503- 679 -9631 N Corrections/Comments/Instructions: A ❑ PASS _ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14 Date: Phone #: (503) 718 -/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00039. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 Ar014 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other-duct work to addition. OWNER: 1A:STERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 070304 -01 503-679-9631 N Corrections /Comments /Instructions: n PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 5 — Z3-are Phone #: (503) 718 - 2-4 —ra CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2008.00039 13125. SW Hall Blvd., Tigard, OR 97223 k DATE ISSUED: 4122/2000 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "IL. INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 6:59AM PAGE: 36 SITE ADDRESS: 09936 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Undeifloor insulation 070132 -03 503 - 679 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: / Date: 5 -e 6 Phone #: (503) 718 - �� CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2008 x0039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 A ,i iL Inspection Requests (24 Hrs.): (503) 639 -4175 & _ INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6 :59AM PAGE: 39 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family roorn addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: . Inspection Request Scheduled For: Date: 5/20 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 070132 -01 503.679 -9631 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION "A 0 ADDITIONAL FEES ASSESSED Inspector: Date: X 20 —o 5 Phone #: (503) 718- .2._4 -e-- CITY OFTIGARD BUILDING DIVISION PERMIT #: MST2008- 00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/20003 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 e L INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 38 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sr. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 070132 -02 503679 -9631 Y Corrections /Comments/ Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5 3 a —ap. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2000.00039 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/21308 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 - 4175!: INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:OOAM PAGE: 49 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY. PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: 200 Code # Inspection Description Confirm # Contact # Message 205 Footing 069937 -01 503 -679 -9631 N Corrections /Comments /Instructions: L0 J p®lt4-c or, PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �- p Inspector: Date: 0 C7 Phone #: (503) 718- a61/1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/20O0 Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:OOAM PAGE: 48 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: 2 :OC) Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 069937 -02 503.679 -9631 N Corrections /Comments/ Instructions: Lri, PAS PA El PARTIAL APPROVAL ❑ CANCEL II] NO ACCESS � • FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED De Inspector: Date: 1 � Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 412 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 09936 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition: Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mess. =.- 295 Misc. inspection 069937 -05 503 -679 -9631 Corrections /Comments/ Instructions: • ❑ PASS ❑ PARTIAL APPROVAL p!4 CANCEL ) ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED G t L/1 � Inspector: Dater, �� Phone #: (503) 718 - ., , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2 ?12008 Phone: (503) 639 - 4171 a ' Inspection Requests (24 Hrs.): (503) 639 -4175 1 !.. INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:OOAM PAGE: 46 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 069937 -04 503.6739631 N Corr - ctions /Comments /Instructions: ��5 ❑ PASS r a PARTIAL APPROVAL NO ACCESS ❑ FAIL Rip CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /S C . OB Phone #: (503) 718- " CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2003- 00039 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4122/2000 Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 M INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 09935 SW MCDONALD ST CLASS OF WORK: SUBDIVISION: LOT #: 030 TYPE OF USE: PROJECT NAME: WESTERMANN DESCRIPTION: 400 sf. family room addition. Mechanical other -duct work to addition. OWNER: WESTERMANN, COREY PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 069937 -03 503-679 -9631 N Corrections /Comments / Instructions: =� �'�L L • - _ ��L�IA 'mar ` G► ❑ PASS ❑ PARTIAL APPROVAL AMP; ri NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / 6g Phone #: (503) 718 -