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Permit (VAP//e CL,,,,c,', , ���� � i S ' ®/�_ ■■ ����►►® MASTER PERMIT L ax .fJ..y r V CITY OF TIGARD t _. COMMUNITY DEVELOPMENT Permit #: MST2010 -00102 T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/17/2010 Parcel: 2S 112 BD07800 Jurisdiction: Tigard Site address: 7768 SW HANSEN LN Subdivision: Lot: 0 Project: Hansen Project Description: Repair roof due to tree strike. 6/22/10, adding range hood. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front. 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: sf Value: $70,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 20 Ea add'I 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea addl Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) HANSEN, MAXINE JOE HEKKER CONSTRUCTION LLC 7768 SW HANSEN LN 16004 SW TUAL - SHERWOOD RD #118 TIGARD, OR 97224 SHERWOOD, OR 97140 PHONE: PHONE: 503- 849 -2305 FAX: 503 - 625 -0715 Total Fees: $1,937.48 This per ' issue. •'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do - in accordance wit' approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day ATTENTION: Oregon I•w r • ' es you to follow the rules adopted by the Oregon Utility Notifi - - • Center. Those rules are set forth in OAR 952 001 -0010 through OAR 952 -0100. Y• • ay obtain a copy of the rules or direct questions to OUNC by ca. ng 503.246.6699 or 1.800.332.2344. Ne- l_ I /, �� / / /� //i� Iss • d By: _ _mil Ll` �1i�L Perm ittee Sign • r - e: ��•- '," - '1` CITY OF TIGARD MASTER PERMIT 1 pi COMMUNITY DEVELOPMENT Permit #: MST2010-00102 IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/17/2010 T Parcel: 2S112BD07800 Jurisdiction: Tigard Site address: 7768 SW HANSEN LN Subdivision: Lot: 0 Project: Hansen Project Description: Repair tree strike. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: sf Value: $70,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Math: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs/Showers. 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 20 Ea add'I 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) HANSEN, MAXINE JOE HEKKER CONSTRUCTION LLC 7768 SW HANSEN LN 16004 SW TUAL - SHERWOOD RD #118 TIGARD, OR 97224 SHERWOOD, OR 97140 PHONE: PHONE: 503 - 849 -2305 FAX: 503 - 625 -0715 Total Fees: $1,836.68 This per 1 .. - - • bject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be • •ne in accordance wit = .Prove. .tans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 .ays. ATTENTION: Oregon la • requir-s yo to follow the rules adopted by the Oregon Utility Notification Center. Those . -s are -t forth in OAR 952 - 001 -0010 through OAR 95 001 -1100 Y• m -y obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1 :0: Issued By: .. . . � /�/ � Permittee Signature: -- Building Permit Application kijg 77 / . . Residential R Received FoR ofFICI:: uSL o�NI.v� Iiii City of Tigard RECEI Dateved /e ( !j Permit No.: vlD -©o/0 2 ° 13125 SW Hall Blvd., Tigard, OR 97223 11111111 V Plan Review -;� G Phone: 503.639.4171 Fax: 503.598.196�0q Date/B : / Other Permit: Inspection Line: 503.639.417 J ®� , )r - .4,) Date Ready :y: H See Page 2 for •rlcnliD ; ft! Internet: www.tigard- or.gov N.tifi�! / et) /� ` A= Supplemental Information CITY • ; ti. AIllift1iei1 TYPE' 1 a ��� � t l i — �N ' t IR ®11 DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permi ees* : e based on the value of the work performed. Indicate t e value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ � o c7 ❑ 1- and 2- family dwelling ❑ Commercial /industrial J ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7? 68 5 Mk $ e,,, AA L, New dwelling area: square feet City /State /ZIP: �r,� 4 ," v` 4 9' ? 2 Z t.( Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: / % P ! S e . Covered porch area: square feet Cross street/directions to job site: ( 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. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. fie e x"" �C r Re ''� s 1 II y �� • T� ct f s Valuation: $ /kt N � Existing building area: square feet ' " —r6i• --t--e.4 P f _ '- I New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: v(} ii c HQ,,, , es7 Type of construction: Address: 7 7 6 O $ G,i J/Ci..,t f go1 Attet Occupancy groups: City /State /ZIP: 77 q ct ( f / Q 9 ? 2 2 L{ Existing: g: Phone: ( ) 5' 3-6) ? --,53 s( Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) 1 Fax:: ( ) E -mail: CONTRACTOR Business name: v p e 1 k/ e, 6, i , o c,.. ke x,' B 1 G L C BUILDING PERMIT FEES* Address: /6e L( $ W 7 -7 40 4 ? – J 4 e r,,. o ed Rd, #,, (Please refer to fee schedule) City /State /ZIP: 54 e, w 00 , / 0 4 9' > i 4 Structural plan review fee (or deposit): t% FLS plan review fee (if applicable): Phone: (/'O f) g q p' ^ 2.3O5 I Fax: ( ) CCB lic.: / 7A 9.1 ` 4-- /1 I Total fees due upon application: ii l Amount received: 57g • 03 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: e l ye i' Date: Opp * Fee methodology set by Tri- County Building Industry Service Board. 1:\Building \Permits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB) Building Permit Application Checklist z a I r OR OI i ICE us i :Or\1 � v One- and Two - Family Dwelling �, Ci ty of Tigard Received Permit No.: Date/By. 1 14 a 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: ® ?,. Phone: 503.639.4171 Fax: 503.598.1960 - 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: IIIE IIT:EMSf v iz RREQUIizFI) O R _ hLA N ' RRI V IA,w is \t. *s.- Nu N/ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ El 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ .0 . ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. . - - 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. _ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be as •licable to the .ro'ect under review. „IURISDIC ! IONAL: SI'I :C II ICS _ 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. . ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. _ - ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. . ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, . ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. . . 30 A Clean Water Services' Sensitive Area Pre Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(1 I /02 /COM/WEB) Tuesday, June 15, 2010 4.02 PM Weber Electric, Inc. 503 620 6819 p.02 Ice W ll r '"' Eletrical Permit APD11co il, # n i 1 }, Received Cl of Ti and J I Permit No. Y eAio 602- � " a 131 HaII Blvd., Tigard, OR 97223 a te, P n Review , ` � `r 0 " ' 1 a , Phone: 503,639,4171 Fax: 513/p '' N ; 010 t3tn/B : Other Permit: ,4 ' , "• ; .' 7.. . - ' 7 .:'` "04 i Inspection Line: 503.639.417k, i '. 1 . ? ,�� � Ql .�t •' Data Ready /Sy: Iuris: ei See Page 2 for s; +I i r , 1 i Internet: www.tigard.or.gov1 , C ITY Q F 1 iGAR� Notified/Method; Supplemental Information TYPE OF i D NG DIVISION PLAN REVIEW , IA New construction ❑ Addition /alteration/replacement Please check all that apply (submit abets of plena w4roms checked below): El Service or feeder 400 amps or mote ❑ Building over three stones. ❑ Demolition 0 Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 1S0 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 0 Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings, ❑ Multi- family ❑ Master builder 0 Other: ❑ fire pump. ❑ Installation of 77 KVA or YOB SUE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived aystcm. ❑ Addition of new motor load of ❑ "A" "B ",'9 - 2" "1 - 3", Job no.: I Job site address: 7768 Sw e /� 10011P or more. Recre aacy, Occup ,� 4• (] Six or more residential units. ❑ Recreational vehicle parks City /State /ZIP: t)gro( r 0 f 7.2.z. r ❑ Ha o Fcato ❑ 6 voltage or more than . s ❑ Hazard ardous locat ionns. s. G000 0 v vo olts noo mmi nal, Suite/bldg. /apt. no.: I Project name: ,/�4,05 0 Service or fonder 600 amps or more, 6 , FEE SCHEDULE Cross street/directions to job site; Drsrriumm 1 Qtr. 1 roe. 1 TOM 1 - New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I I.ot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq tt or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 67.84 2 Limited energy, multi family 0440 -4-1---$49 ,ies copp1ecl I a '4. ,a's residential (with above sq. ft.) 67.84 2 C Services or feeders installation and/or relocation Re - / i'1 s 4 1/ W 200 amps or less / 100.70 I00,70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.76 2 Name: /�� �/� - 401 amps to 600 amps 200.34 2 { /"' -, sg� 601 amps to 1,000 amps 301.04 2 Address: 7 .> 6 8 5 Gv ilv41,2 se a r (7 Over 1,000 amps or volts 552.26 2 IY 77p�� � ®� 9 2 t.4 Temporary services or feeders installation, alteration, sad /or City/State/ZIP: relocation Phone: 13) e 39 -5 4l ( I Fax: ( ) 200 amps or leas 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new alteration, or extension, per panel Owner signature: Date: ' A. pee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder Ice, i each branch circuit 2- 7,42 t fr. 2 p Business name: B. Fee for branch cllcuits without - - - - - service or fbeder ire, first 56,18 2 Contact name: branch circuit _ Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Each menu or modular City/State/ZIP: — dwelling, service and/or feeder 67.84 2 Phone: ( ) i Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: CONTRACTOR Signal or midi= lighting 67.84 2 Signal circuits) or limited - energy Business name: et a r - �.r - t panel. alteration, or extension. , Page 2 2 1? C Each additional inspection over allowable in any of the above Address: pn 31 ff q Additional inspection (1 hr min) 66.25/ hr investigation (1 hr min) 66.25/ hr City /State /ZIP: r �r`� r �/� Ls--.1 t' ? 2r 8'/ / L Induatrialplant(1hrmin) 79.1 / hr N Phone: ("52) 6 y o t 9 t�L 1 pax: 6 t inspect lone for which no fee is 90.00/ hr specifically listed ( hr min) CCB Lie.: 4'4 p$ 7 i Electrical Lic.:34 - 6{,g2C,,,,Suprv. Lic.: ELECTRICAL PERMIT FEES 5uprv. Electrician signature, required: - J (/ l /l 5ubrot p Plan review (25% of permit fleee)): Print name: dillatt ZAJ (-+ Date G — /.. /0 State surcharge (12% of permit fee): ZQ.. e rn TOTAL PERMIT FEE: 2 7r .? Authorized signature: Tbis permit application expires If a permit Is not obtained within 1$0 days after It has been accepted as contests. Print name: Date: * Number of inspections allowed par permit. LlauildingPermitslELC .PermitApp.doc 10/01/09 440.4611TO /03/COMAVEt8 Jun 21 10 11:54a Gar Thomas 503 - 537 -3021 p.1 t " r 'M541Mi{ Alf^ '' r 7 '" &,p "t: i - t v J 1'g' I 'y' '7"2;3 rg ° a'1 �1rr h Mechanical Permit Application E r P: ; � 1, H I yyF- l �" �/ City of Tigar [j t a17n ,.. ( , oil l0 1 Permit Nn OO/62— OR 97223 i1 �; .- {,. I le n h•,. c �'4.. a . . Phonc: 503.639.4171 Fax: 503.598.1960 Izo.•:n. ()diet Penn 1. MST 20111 jr I IC Inspection Line: 503.639.4175 JUN 2 1 201 ) ti Internet: www.tigard or.gov N udiiied`letloid. supple age 2 `J11 T 4 I!loslinU' j TYPE OF WORK -J COAIDIER('lAL FEE* SCHEDULE — ItSEC11ECKLIST i / I ii I -1 .' 1- tcch:mical pernut Res" arc h;r,eJ on the valor of the work ❑ New construction ® Addition /alteratioll/rep�acemwl perl)rmc(I. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical nlalerials. equipment. Iahor. overhead, and profit. CATEGORY OF CONSTRUCTION - Value: S RFSIDF:NTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building -- ( special itr /nr,na/rn, ,eve checklist. ❑ Multi - family ❑ Master builder ❑ Other: - 1)cscripno ° .. .._._ 1 113.. I Yu. I tal T JOB SITE INFORMATION AND LOCATION (leading /cooling Air conditioning Job site address: 7768 Sw Hansen Ln ne, iie..ilc tau shu,.ine I:mcicnll 46.75 City /State/ZIP: Tigard,Or, 97224 Furnace 140.0011 IITt iduct i.c 1 46.75 - --. .. furnace 1(0),01)111 13'1'1) (Ii_ ;v,-nud 54.91 Suite/bldg. /apt. no.: I Project name: I (cat pum > 61.0 Cross strecudirections to job site: I1nct work 2 3.32 --- - - - -- 1Ivdronie hot %%ater system 23 -32 Residential hotter ( radiator or hvdronicl 23.32 -- ------- - ----' -- -- - - I lint heaters (rucl - type. not electric). in - wall. in -duel, suspended,ctc. 46.75 - -- - - -. I : Itte enI lin ant o1ahuvc - -- '3 +2 Subdivision: I Lot no.: — Idtcr: 2332 'Tax map /parcel no.: Other fuel Appliances DESCRIPTION OF WORK Walter healer 23.32 Gas lircplacc 33.39 Venting for cooktop Hood ' `- --'" • - "' -Inc I•l vent f,r walct hc:dcr Of has fireplace 2 32 " Lod lighter ((eat 23.32 --- A bD r6Ol D -OO C2----"E Wood /pellet stove 13.39 Wood Iireplace/inserl 2332 — . --- -- - -- 1 Vino evilincOlucivcnt 23.3 ® PROPERTY OWNER ❑ TENANT - ' (Viet: _ 23.32 Name: Hansen Environmental exhaust and vcnt5latIon Address: 7768 Sw Hansen 1-n Range hiu d:olher Kitchen .----- - -- ---- -- - --- -- -- equipment — — 1 33.39 City /State /"ZIP: Tigard,or, 97224 Clodtes ((ever exhaust - 33.39 --- ----- — ti1nele -die1 e\haust (hathtnums. Phone: ( ) Fax: ( ) toilet compartments. utility rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic'crawlspacc fans 23.32 Other: 23.32 Business name: C. Thomas Enterprises — — Fnei pipintt Contact name: Gary Thomas SI4.15 for first four; 54.93 fur each additional Address: PO Box 880 Furnace, etc. (ias heat pump City /State/"ZIP: newberg,or, 97132 Walt /suspended /unit healer Phonc: (503) 804 -6333 I Fax: : (503) 537 -3021 Wale' heater - - ----•-- Pirc ilce :t_ E -mail: d thomasd verizon.net 1. - K P J Kanec _ CONTRACTOR Barbecue Business name: G. Thomas Enterprises C'lothcs dryer (rust -- - -- - - - - - - Other: I - Address: PO Box 880 11F:C'tIANIC,■1. PERNll•r FEES" ` City /State/ZIP: Newberg,Or,97132 T Subtotal GK3 I Phone. (503) 814 -6333 Fax: (503) 537 -3021 � 1 Minimum permit tee ($90.00) / ' - -- _-- _ - -_ -1 1'tan review 125% orpennil reel — CCB lie_: 88093 _ J __ Slate surcharge (12 o orperntit Icy') /0_, so ---- -..— __--- -- --_. ___- _ -- TCl'I :11. PERMIT EEL: V ' - � -- � ^� s b ' lids permit application t• if - permit is not complete. within 1811 Authorized signature: ij:44,47 dac, after it ha. been accepted as complete. Print name: Gary Thomas Date: 6 -21 -10 • Fa: muhndology so Pc It •C'nunll Building lishistiy Service Board I:t fuifdingWermitslM£C- PmnitApp,duc 10 /01 /00 - 111..1n1'111 Vu2/11 IWwll11) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7768 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2010-00102 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7768 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2010-00102 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7768 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2010-00102 Chip Barnett Violation Summary: Inspector Contractor