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Permit • 0 • �� r. 1 ` ,� _ a MASTER P ERMIT % • PERMIT #: MST2006 -00088 �t 1 �,0 DEVELOPMENT SERVICES DATE 'ISSUED: 5/15/2006 ,. '---'"- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 109 B D -11500 SITE ADDRESS: 14650 SW 139TH AVE ZONING: R -7 • SUBDIVISION: PP1990 -075 LOT: 003 JURISDICTION: URB Project Description: Addition /remodel. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED ' CLASS OF WORK: ADD HEIGHT: 25 FIRST: 0 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 495 sf GARAGE: 397 sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: TNRD: 707 sf RIGHT: 5 VALUE: 129,377.10 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,202 sf REAR: 15 • PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: . TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX IHP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCJFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 0 - 200 amp: W/SVC OR RJR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 6 SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amp6•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: 1 $ ' ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 9 AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: ' OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: 0 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes GEORGE ACKLEY OWNER and all other applicable laws. All work will be done in 14650 SW 139TH AVE accordance with approved plans. This permit will expire TIGARD, OR 97224 if work is not started within 180 days of issuance, orif the , work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 382 -2315 Contact #: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES: $ 2,003.50 1 -800- 332 -2344. REQUIRED ITEMS AND;REPORTS Bolts in concrete High- strength bolts • Structural welding Special insp 10n-4-see plans) Issued i sy � . _�. 4,1 / • ( Permittee Signature : / /' -`4fr y CaII 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. • . 6 • MASTER PERMIT PERMIT #: MST2006 -00088 „,,, DEVELOPMENT SERVICES DATE. ISSUED: 5/15/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 • PARCEL: 2S109BD 11500 SITE ADDRESS: 14650 SW 139TH AVE ZONING: R -7 SUBDIVISION: PP1990 -075 LOT: 003 JURISDICTION: URB Project Description: Addition /remodel. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 0 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 495 sf GARAGE: 397 sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRG 707 sf RIGHT: 5 VALUE: 129,377.10 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,202 sf REAR: 15 • PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVC!FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 • 200 amp: 0 • 200 amp: W/SVC OR FDR: PUMPI1RRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 -.400 amp: 1st W/O SVCIFCR: 1 SIGN /OUT LIN LT: PER HOUR: . LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 8 SIGNALJPANEL: IN PLANT: 0 MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 0 1000+ amp /volt : • PLAN REVIE W S ECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: C ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 1 • AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 0 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS: Owner: Contractor: This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes WINIP GEORGE ACKLEY OWNER and all other applicable laws. All work will be done in 14650 SW 139Th AVE accordance'with approved plans. This permit will expire TIGARD, OR 97224 if work is not started within 180 days of issuance, or if the . work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 382 -2315 Contact #: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through • 952 -001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503 -246 -6699 or TOTAL FEES: $ 2,003.50 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Bolts in concrete High- strength bolts Structural welding Special ins ion-(s @e plans) ..... , , , , f te • Issued �y : 1� -�'(j (� /• � 9/ Permittee Signature : �'_ l/ � 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. V D 06 CITY O F TIGARD MASTER PERMIT PERMIT #: MST2006 -00088 WI' DEVELOPMENT SERVICES DATE ISSUED: 5/15/2006 RAP --1111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109BD -11500 1 y . SITE ADDRESS: 14650 SW 139TH AVE ZONING: R - SUBDIVISION: PP1990 -075 LOT: 003 JURISDICTION: URB Project Description: Addition /remodel.revised 8/10/06 to add bathroom in shop area. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 0 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 495 sf GARAGE: 397 sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: 707 sf RIGHT: 5 VALUE: 129 37710 OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 1,202 sf . REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 6 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other GEORGE ACKLEY OWNER applicable laws. All work will be done in accordance with approved 14650 SW 139TH AVE plans. This permit will expire if work is not started within 180 days TIGARD, OR 97224 of issuance, or 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 Phone: 503 382 - 2315 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1-800-332-2344. Reg #: TOTAL FEES: $ 2,057.28 REQUIRED ITEMS AND REPORTS Bolts in concrete High- strength bolts Structural welding Special inspection (see plans) Issued By : 1 41h _ L 4L1144 Permittee Signature Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . CI OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00088 veit DEVELOPMENT P Tigard, SERVICES 503-639-4171 DATE ISSUED: 5/15/2006 13125 SW PARCEL: 2 S 109 B D -11500 SITE ADDRESS: 14650 SW 139TH AVE ZONING: R - SUBDIVISION: PP 1990 -075 LOT: 003 JURISDICTION: URB Project Description: Addition /remodel. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 0 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 495 sf GARAGE: 397 sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THRD: 707 sf RIGHT: 5 VALUE: 129,377.10 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,202 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 2 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 0 - 200amp: 0 - 200 amp: WISVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W /OSVCOFDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 6 SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Munidpal Code, State of OR. Specialty Codes GEORGE ACKLEY OWNER and all other applicable laws. All work will be done in 14650 SW 139TH AVE accordance with approved plans. This permit will expire TIGARD, OR 97224 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 382 -2315 Contact #: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 2,003.50 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Bolts in concrete High- strength bolts Structural welding Special insp e plans) 4 n f Issued y : L _L _/. . . r ./ _ Permittee Signature : _ `mot /�./ 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. • Permit #: c�J RY)(0 - 60(A C Address: 4�j` �(� d1.i) / 1°— 60e— n Issue by: . ' �'�` r44tS Date: 4574) Statement: Information Notice to Property Owners About Construction. Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: Ii 1. I own, reside in, or will reside in the completed structure. L 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale I � before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners abo � truction Responsibilities on the reverse side of this form. ( (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) information Notice to Property Owners Abiput Construction R espo re s ^b Note: This information NoticLe tO Property Owners ^ Construction Responsibilities WaS developed by the Cor.sfrtctio, Contrators Board in accoidance with ORS 701.055(5,,). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and .areas of concern. • EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure. you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the cmploer, you must comply with the following: Oregon's withholding taxiaw: Asan employer, you must withhold income taxes from employe wages at the time employees are paid. Ynuw\||heUuh|nfbrrbetaxpuymcntsevenifyoodon'1uutuo||yvviUhboNtbcbixbnmynure/np|oyeco. For more information, call the 0rrgon.Uept.o[ Revenue ui945-809). Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, caU.the Oregon Employtnent Department at 378-3524. • Workers' compensation insurance: As an employe .you are subject 10 the Oregon Workers' Compensation l-aw, and muyt obtain workers' compensation insurance for your employees. If you fal to obtain workers compcnstion insurance, you may be subject to penalties and will be liable for all claim costs ifoneofyour employees is injured mn/bcjoh. For more information, call the Workers" Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. internal Revenue Service: As an employer, you must withhold federal income tax from employees wages. You will be liable for the tax payment even if you didn't actually withhold the tax. Formore information, call the Intcnil Revenii Service at 1'800829-1040. OTHER RESPONSIBILMES AND AREAS OF CONCERN: Code compliance: Asdm permit holder for this project, you are responsible for resolving any (a lure ,n meet code requirements that may he brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents ard omissions such as falling tools, paint overspray, water damage from pipe punctures, firc, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of roua-i n and finish trades, and t notify building officials at the appropriate times so they can perlbrni the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box ]4|40, Salem, 0R972O9'50j2. 503/378-462 The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1/94 Buildi>n Perm Applica.tio, - , ... �.: FOR OFFICE USE 'ONLY ' 4 , , r f l 3 l of Tigard Received (7/ y:_ � ✓lam Perm t No `� , e a 01 �� 13125 SW Hall Blvd., Tigard, OR 97223' ti, Plan Review Phone: 503.639.4171 Fax: 503.598.1960 c, t, TO Date/By: f –/U — (� Otter Permit: Inspection Line: 503.639.4175 {',QR . el I . Date Ready /By: // ns. See Attached Checklist for Internet: www.ci.tigard.or.us rte` i �INA'' , M Notifiedethod: p" / V ( CI ��1s -- ' Supplemental Information I , 't n r I , � r — . 40.4 i .1 j . A..� : ! tY�� .:- ' '2.: r'''.. �'�E ;' TY - o I Sr ' ` OR!{ ' - t REQU R D DATA 1 - AN : • MILY DWELLING El New construction r$ 0 . Permit fees* are based on the e of the work performed. Indicate the value (rounded to the nearest dollar) of all :1 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . - CATEGORY OF C ONSTRUCTION work indicated on this application. I Valuation: S /� od6o 60 C] 1- and 2- family dwelling ❑ Commercial /industrial / Number of bedrooms: El Accessory building ❑ Multi- family CI Master builder E Other: ��/» Number of bathrooms: �fDr1 �-e� . . • JOB SITE INFORMATION AND'LOCATION Total number of floors: Job site address: /L/ 6.,S' ,S', k/, /J9 Aves New dwelling area: 1 � Ate, , square feet y�, City/State/ZIP: L � f u ( / 9"-e,9), Gj 7-2-2-q Garage /carport area: square feet Suite/bldg. /apt. no.: 6 Project name: / 446 .e y R ( Covered porch area: square feet Cross street/directions to job site: ,$ n Deck area: /, 1p, square feet /6 6 p t a! f Ma UnT4i h goad Other structure area:3 square feet L0 REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the • , . . DESCRIPTION OF WORK work indicated on this application. / Valuation: S A;1 -/On and l•e&Lodi.-( a,5 -Ssta Ii/P1 an ofrA vrr S Existing building area: square feet New building area: square feet ERTY O . _-- R--,. • ��PROP WNER. - - _ , ` 0 TENANT - Number of stories: i Name: ( a rty.e. A ce-i h y Type of construction: Address: A/656 0 5'6 $/ 4f, /3 4 Aye ` Occupancy groups: City /State /ZIP: - /'odt -d U i - , e n q 7e, ,21/ Existing: Phone: (,$ ) 3 CT� .2 Fax: ( ) New: .21 APPLICANT Er CONTACT PERSON NOTICE Business name: OCvf1ed— All contractors and subcontractors are required to be // ��11 / licensed with the Oregon Construction Contractors Board Contact name: C ?e o fie lT �-ey under ORS 701 and may be required to be licensed in the Address: �4 jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR . Business name: OGln -vr BUILDING PERMIT FEES* Address: Please refer to fee schedule. City /State /ZIP: �J J� Fees due upon application Phone: ( ) Fax: ( ) Amount received I, CCB lie.: ' -, J - i Date received: y ' Authorized signature: e" / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Pnnt name: (?.tc A 6,1'1e y Date: (.,J__„ - . Fee methodology set by Tn- County Building Industry Service Board 1 .BwWing'Prrmns•BUP- Perm¢App doe 12,03 34024613Th 11. 0 CON1 WEB) ■ • One- and Two - Family Dwelling • Building Permit Application Checklist FOR OFFICE USE ONLY:-!;H City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 ssociat A Phone: 503.639.4171 Fax: 503.598.1960 ( Assoc ated permits. 24- Hour Inspection Line: 503.639.4175 t e .1 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ❑ Other THE 'FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW :. Yes ,, No:;;,:; N /A. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ 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. 1 I 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- ❑ ❑ ❑ 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 s licable to the •ro ect under review. JURISDICTIONAL SPECIFICS ,.: `� _ ,:.;, L y t � , ;t _, _ 23 Five (5) 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. 1 ❑ ❑ I ❑ I 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ I 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 tree protection measures as required by conditions 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. is Building \Permits `.One- Two- FamilyChecklist.doc 12/03 Building Fixtures • Plumbing Permit Appl at . t I'OR OFFICE USE ONLI City of Tigard Received 13125 SW Hall Blvd., Tigard, OR 97223 AD �. Date/By. Permit No.: Phone: 503.639.4171 Fax: 503.598.1960 APR 2O9� ,, Plan Review t t I Date/By. Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us L,i.' ' / Of I _ A Note Re tified/ Metho d t S See Page 2 for 4%F Y � ^'; , N;`. ;��. :u �� , � � T `a.YIA�l�.,6 NoMetho Supplemental Information rl'n.- : z-a. t ':TYPE O �1Va r .;r,, vs K ,.- - ,,.., � _Fr;r „mss: ii.i..,Tv. F ,:(5. 6 i�� ji tk, :f :�i 'A ; - 1'' .5'r'.<Y. .. � w � -. y m � � FEE .,. SCHEDULE V r ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ® Addition /alteration/replacement ❑ Other: y t, _,,;; Njk ;VgY .. New 1 dwellings (includes 100 ft. for each utility connection) ': "_ -' „ti-r :ra, .,.xa;�„�. ...tca�tr:s:=a� �;`� Frei• xr::: rirc =tx.:�-=- - .b�` ;, " "_ i _ _;GAIEG6R1''. ii„ O NVSCit[JCTI N �;:t,:. .- � -� �..,� - -r. - �.....�tx; :..... .. -.. ...,x�::4- .,::rb�: >I.i ,..4.;.`:`�_'E`. < : ...:. ,- SFR (1) bath 244.20 ❑ 1- and 2 -family dwelling ❑ Commercial /industrial LLt SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder 9 I:,= - r _; i:0 ,-, -2 ,, :- . 4 ,,,,,,,,,, -- , - - --- , ---,- ,-, � . : D Q Fire sprinkler ( ft.) Page 2 �N „ „ 4 - - -JOB S1TE tINFO RMAT ION'ANp CATIOPI: m „_ __,,;,&0,. ... Site utilities Job site address: /G „ S i tj i39 A. (l2 16.60 Catch basin or area drain City /State/ZIP: f- /ma 9.4�A oe--Ey n q7 -2.2 ,I Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: " Project name: Footing drain (no. linear ft.: Rio ) / Page 2 Cross street /directions to job site: Manufactured home utilities 110.00 fr� /1� Manholes 16.60 � /"/OG22/rl �p�� Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _ ) P age 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item >, _ ; -aw : , u:> ;:.n r x >., .,.,. Absorption valve ;,_•, . ..,JS.;.,,, .... ..� #iii :;�>l:,I. >, ,,.g. ,,r.. �� .��.; °'�T , «k��t :�� }.� ;y�; 16.60 ,,•:s• _,., - 'DE§CRIP.TI , 1V:. ...... ,rz�, ?�;,....A . .. �: O . UF��':WURIC��;" n. , > �` ,1 -. .... „.rv.�. ,.. ,F - ,�,g. .e ?�$yp,,,,a ^: °: � ' ' • t; %AC !' Backflow A " ' °' ' °' o preventer Page 2 • /VD a (Id r -1 Q.Q 4j a -e YQoMS /lo (le .+ )( fc -S ` Backwater valve 16.60 (-- r‘i /node ( a t,l cto0 i tion Clothes washer /-, f /D �e / 16.60 4, (, 0 Dishwasher Y / 0tle e- / 16.60 /b (,O -:.�.�' ;� "PROPERTY_ ...;,��.y� - ;�� 1,,;yi�A�a:- ,:1- .. �., -�;�<< Drinking - t _. ..�_ .,�40WNER ) I r,. %74 ® ,TENANT - LAA , �. g fountain 16.60 , - :, hie ;� � �; � : ��'rA�.�� /�//� Ejectors/sump 16.60 Name: 6-e a .. . A_ GF 4ey Expansion tank 16.60 Address: /i4 ( ` i lr/. R 9 .M /w,_ Fixture /sewer cap 16.60 City /State /ZIP: ! cper- � Or-,e�, 97 Y Floor drain/floor sink/hub 16.60 Phone: (j 3 , j � /�- F ax: ( ) Garbage disposal J",e(6,1,7-,e. i 16.60 14..1.0 ;r ie4 = r ?iL >'`F$ill:F - r4-61 "' f,°,`rvI M - '::'s'.:i'773. �'at % , :•: - ..ni. _ ; x R- q..,'r i-- '; APPLICANT 3 r r { CONT - . -kf+ Hose bib 16.60 . - - TM,�,.r ,.. � : � �;,.. �:a:� }. � , . . . AGTx•PER axfi Ice maker f-,e 16 rofie 1 1660 /(, O Business name: O /.ln4,r Interceptor /grease trap 16.60 Contact name: 6� o „ /4- L / Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory r1 to 1 16.60 Phone: ( ) Fax: : ( ) ts �� ,� Tub /shower /shower pan r / [a 7 - 3 e .A 16.60 4 ci, et, E -mail: Urinal 16.60 - , - CONTRACTOR"'' w � � .... _ Water closet f /aCtr fe , 7 16.60 q q. fro Business name: VGt ee„ Water heater 16.60 Address: Other: City /State /ZIP: • Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: 9u , , i�fg Lic. no.: Plan review (25% of permit fee) Authorized sigrtature:� / State surcharge (8% of permit fee) i TOTAL PERMIT FEE Print name: / � / I & y Date: g . This permit application expires if a permit is not obtained within C: rT 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1 : 1 Building \Permits PermitApp.doc 06/05 440-4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: SitteUtihtie. - . . Qty.. Fee(ea) ,Total.;. Square Footage Permit_ Fee:- .r;;.,: `:_ :: : -- . .- . Footing drain - 1 100' / 55.00 la1'Lei 0 to 2,000 $1 15.00 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 o ` _ Valuation Perniit.F.ee 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 Fee Total: additional $100.00 or fraction thereof to and Fixture or :Item.;:,_`_r:;` ;;�; . -. " ;.Q4'!=.::: ) : , . ; including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof Fixture Work: >LL : : ;: Plan: Review'for:Coimplex= Stiructure ;= Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. ;..; ;;" u d >::. ❑ Any new commercial building. ir� ;, :: ;` ; Q anti by (F uture) Work Performe t .:.,. T ; � ::,. -::, s -, - _ : < .:, .; � ,,x , ��- ' „� =s _ Any new exterior plumbing site utilities. Fiature;:Ty �; d . ai'd , , , . : Replace =;; n o ,, ,. c „ �:. � :. Previoua� � Canned =' �. Added - , ~E><Isting.: ❑ A commercial building with installation, alteration or ad dition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2” Submit 2 sets of plans with any of the above. -3" Car Wash Drain , I :' r. R Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains , Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station • Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: . plumbing permit can be issued. i \Building5Permits\PLM- PermitApp . doc 07/06/05 Mechanical Permit Application FoR of FICE t sEY)N1.1 ' City of Tigard. Received Date/By, Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 C6 - `i J v r Plan Review Phone: 503.639.4171 Fax: 503.598: 1960 i „, „ Date/B Other Permit: Inspection Line: 503.639.4175 1 II (i '1-1-• i 1 x Date Ready/By: ns: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information APR '2 4 . 7flUg „ TYP F WORK' ' ' =`' ; -• .. . - . , ,.. ,.. ,� . - ?�COMIIIEBCIAL,FEE * SCHEDULE USE CH:t0.ICI: ❑ New construction 04 SA d di tt on /al e nt Mechanical permit fees' are based on the value of the work ❑ Demolition ® Ot i'h er:. J • r (ry �1TTCu. 0�i performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. ._.. , _ , ... -` CATEGORY' OF��CONSTRUCTIONa':` i` '• • e: $ �• :RESIDENTIAL_EQUIPMENT /•SYSTEMS ° *' -. 12 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ Multi- family ❑Master builder 6:: Other: J p For special f rmatr ec isi. .::. y :.:..::::.. : l y�GfeMQtE a on Qty. Ea. r Total rs a rno onusec > 1 , - t� ( D scripti JOB ';'SITE: = INFORMATION :<AND. ` `. f',;_.._ Heating /cooling Job site address: /L./ 6� s /3 ll� Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State/ZIP: / -' , �j dr{ n r7,392,4 Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: Furnace 100,000+ BTU (ducts/vents) 17.90 Project name: fJ / j , y r-- Pirlacde i Gas heat pump 14.00 Cross street /directions to job site: Duct work 14.00 ��1 Hydronic hot water system 14.00 811 I) / l,1 un 1t,7.1 a6 A Li Residential boiler (radiator or hydronic) • 14.00 Unit heaters (fuel -type, not electric), • in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ;"6: wVl .;Fy n q.' :..., .. :DESCRIPTION R ,W 1r Water heater ,. � ::,`a; , °� 0.00 1) P Gas fireplace o1, 1 0.00 l^ l� r ` Dot a/1oi ( {, ocie / 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 AF ; • . - y ,;: , <, Chimne /liner /flue/vent (•':PROPER__ TY� OWNER t ; G ,' ®(.TENANT4' ; Y 10.00 Other: 10.00 Name: ��o,,,y //, k y Environmental exhaust and ventilation Address: / /_1 ( J 6/, ,'3. Range hood /other kitchen v- equipment / 1 0.00 City /State /ZIP: / r �a J/ � Y G , Clothes dryer exhaust / 1 0.00 J _ Single -duct exhaust (bathrooms, Phone: Qs- as---)._ oZ3/S Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ^:; s k. ®t CONTACT PERSON ° Attic/crawl f „' space fans .., . - . � .� _., _ , ..... - • ' _:;- 1 0.00 Other: 10.00 Business name: Ok h _ er . Fuel piping Contact name: / `-C a � � K )( $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 E -mail: Fireplace Range k ;..,.,.::. CONTRACTOR "� CO CTOR';i: ,:� , - . .. Barbecue Business name: C��/�� Clothes dryer (gas) • A . Other: Address: . , . MECHANICAL PERMIT FEES *, City /State /ZIP: Subtotal Phone: Minimum permit fee ($72.50) ( ) Fax: ) Plan review (25% of permit fee) CCB lic.: / State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name: �� ,,� 1 (� L / /(� v Date: /?/ ,..7 l • Fee methodology set by Tri- County Building Industry Service Board B i \uilding\Permits 1 MEC -Perm itApp.doe 12/03 K ! 440 -4617T (11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total-Valuation:= Permit:Fee:: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Buildin PermitApp.doc 12/03 2 A,. pim . • Electrical Permit Apti licationu , ,, ;.---- . FOR OFFICE USE ONLY r , \I ,,,,, Received . , City of Tigard Date/B . Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 oolQ 2 2ao ,„.„ ,t„ Other Pennit: Plan Review Phone: 503.639.4171 Fax: 503.598.1960 A .., ..: g , Date/B . Inspection Line: 503.639.4175 .4.4 ' i I Date Ready/By: luris: 1E1 See Page 2 for Internet: www.ci.tigard.or.us la . oy 1U Jr."- .. Notified/Method: Supplemental information ri w a _ :::•,.',,::.- •.;:f•: ,•)•.,.. •-!:,-. --`::::.,,••-, .21•'-.!_. ,;,,: i••,'',L:".;iiNz--.- -11-';'.:`'i:1.=;K•'.'01::.--.:014-;.,,il■I;,i1EVIE*:2,..::*-:0''..4:'k=.,'M•;:.•,;',:'.' El New construction Ig gdtictinnfalteration/replacement Please check all that apply: OService over 225 amps, comm'l ['Hazardous location El Demolition 0 Other: 0Service over 320 amps - rating ElBuildng over 10,000 sq. ft., .• • ,•,.• , ...-„... • • • L''. : ':': - • - ::::` :•.(-.,..,' ':'::?•.'•'‘:': : . ' ,.. ;CATEGORY. - OF..CONSTRUCTION:.2 .. - ._ - ': :: ' ...:::.' :. of 1- and 2-family dwellings 4 or more new residential El I - and 2 dwelling 0 Commercial/industrial 0 Accessory building ' 0System over 600 volts nominal units in one structure 0 Multi-family . Master builder 23 Other:4-0,1[a, Qt 1 °Building over three stories OFeeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or 7 . •,,.■ , , •-•,., :. , , • ' , • JOB SITE'INFORMATION AND LOCATION.::;. .,.;,..:'::::-..;-:'::--'. : 0Egress/lighting plan RV park 0Health-care facility ['Other: Job no.: Job site address: /Li .6 ,.. 5 , I /34 - "A A re Submit 2 sets of plans with any of the above. City/State/ZIP: - 1 -- , - / iyzo-7.i q 7 4 The above are not applicable to temporary construction service. Itg• -- FEE S CHEDULE stagooW,;;.:::: Suite/bldg./apt. no.: . Project name: A y fi /no 614 Description I Qty. I Fee. I Total I .. Cross street/directions to job site: New residential single- or multi-family dwelling unit. Includes attached garage. . Aid la Moom-r4un fioad 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. addl 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non-residential 75.00 2 A5i':•Tli... .0?: WORk - . :::.;%!,;,i; &:r : - i2: - .il! , 1 -- ...r - 1 ., - ) - ...' , - , - .3:. Each manufactured or modular dwelling, service and/or feeder 90.90 2 / qrill ai /node ( Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ':•: j4'4:- ge .irENANIIT,.4:7,;.,7-.::: 201 amps to 400 amps 106.85 2 ' • - '• 401 amps to.600 amps 160.60 2 Name: ry_c Ackte y 601 amps to 1,000 amps 240.60 2 ..7 Address: s A Over 1,000 amps or volts 454.65 2 A/ 4 0 , 4 , /3 q , j eWc Reconnect only 66.85 2 City/State/ZIP: —,,-- - .-m / /; areylki 9 7.z i f Temporary services or feeders installation, alteration, and/or relocation Phone: (.,.5Z?3 ) ,/ „2.3 IS— Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, ren exch. • 1:. a , i ding to ORS 447, 449, 670, and 701. Ap- 401 amps to 600 amps 133.75 2 Owner signature: ..4., .Allr ,,, ,, Date: g—,,2 6 Branch circuits - new, alteration, or extension, per panel GgriX0iti0siv,ir 0.;;V:;F. e r... 2, coi■ A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: 0 coilef- branch circuit . B. Fee for branch circuits Contact name: 6..... 2 A. y without service or feeder fee, 1 1 . first branch circuit 46.85 2 Address: Each add'l branch circuit , C/ 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) . Sign or outline lighting 53.40 - 2 E Signal circuit(s) or limited- : '..' . ' .2: : .-..;•--;': .v : ... CONTRACTOR': .... . . .. .. -. .. .:: . -. ..'. - .,- : .- -:,• ,, energy panel, alteration, or extension. Describe: Page 2 2 Business name: 00 Address: Each additional inspection over allowable in any of the above - Per inspection 62.50 City/State/ZIP: Investigation per hour (I hr min) 62.50 Phone: ( ) Fax ( ) Industrial plant per hour 73.75 ,. ' ' •;, • :'.. ELECTRICAL PERMIT FEES* - .... CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: Date: TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: 6_,,4,,--* A e Date: V-7y • Fee methodology set by Tri-County Building Industry Service Board •• Number of inspections per permit allowed. i ABuildingTermits \ELC-PermitApp.doc 12103 440-46 I 5T( 10/02/COM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: .RESIDENTIALAVORK-ONLY,-:-: fsV.z; Fee for all residential systems combined ... $75.00 Check Type of Work Involved: O Audio and Stereo Systems* O Burglar Alarm El Garage Door Opener* O Heating, Ventilation and Air Conditioning System* O Vacuum Systems* El Other: Fee for each commercial system $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: O Audio and Stereo Systems • Boiler Controls O Clock Systems 0 Data Telecommunication Installation 0 Fire Alarm Installation • HVAC 0 Instrumentation O Intercom and Paging Systems O Landscape Irrigation Control* O Medical O Nurse Calls D Outdoor Landscape Lighting* O Protective Signaling O Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i.\13uildingTerunts \ELC-PermitApp.doc 04/03 Jan. 3. 2006 4 :41 PM,= ��" CLEAN WATER SERVICES 503 6814439 No . 0533 P. 1 i,,„ cvv:Tx,h \v: il 'I - PM Ile 1 1.1 L rnn A0. 5033822475 r. 07 APR {�. 200 D ( C J 1‘`10 DEC 2 8 2005 . ri 4 - By CleanWateT \ Services Sensitive Area Pre-Screening Site Assessment . Our commitment is Ozer. W. Jurisdiction Date j42. 3rt7 - m s � -_ -- -�-- .=--- �.�_.. — ,� Map & Tax Lot - - = - a Owner f_ ,44-k/0 �/ k . 11' 1: ...L.44_... ` ,,►.,._., Applicant . I.0 Y Site Address / . - S. G/. / ' Company J , . Address / I4. b Ski /3 9 40E . Proposed Activity D kJ ELL /b6. A-o-o i 71o.v City State Zip t /b D oR .. .. .'- ID reg ,EAJT Phone Day szt3 382 211 a'xlsrie . S Aff Fax -a3 - 3 -4 By submitting 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 project site conditions and gathering Information related to the project site. ' Official use only below this lino Official use only below this IMO Y N N A cial use only halm this lino Y N NA Sensitive Area Con osltr. Mop E ❑ El Stormwater Infrastructure maps ❑. _,. Map _-- '2S /W 1S as �S' /S # . .. ❑ L 1 7 Locally adopted studies or maps Other Specify ❑ ❑ Specify _Oahe v,.1•..b/ _• B on a review of the above information and the requirements of Clean Water Services Design' and Construction Standards Resolution and Order No. 04-8; El Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. if Sensitivo.Arcas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. • g Sensitive areas do not appear to exist on site or within 200' of the site. This 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 04-9, Section 3 -02.1. All required permlte and approvals must be obtained and completed under appiicalble local, state, and federal law, 0 The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewer Comment:: r f ?.r ++* /. c ai de Q.1 !'o' Sip? ' Reviewed By: _ / -or, Date: VV,tr post -it" Fax Note 7671 Date / 3 VVJle9Be� Official use only To F rom / a r&h ii _ _ Returned to Applicant v' ew. IG ! //� k, l� Mail F ax X Counter Co./Dept.' CI). &U)5 — Date _ // , By cam Phone b Phone N - 1 Flue lf 5.05, 3 8.2 .A 4'o Fax ff .Giu,igat,iq�uo k CITY OF TI .� .•} D OREGON RESIDENTIAL PERMIT APPLICATION REVIEW Permit \ uinl cr _ _ r Su1)tin isi(;n• \Lldtc>= 165?0 5 135' k Collt:ict \.ui1C Ci e0e , f A Ck LEi( Iiu,inca �ti,.(.t 5' A M c ° ir` T= C D I State 10 2 Zip I g 7^3 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. e application is complete. The application is incomplete for the following reason: The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. L The submitted plans cannot be reviewed until the above information has been submitted and /or approved. The plans are deemed "simple ". (-he plans are deemed "complex ". MARL VA 24-11,S If you have any questions, please call-Chad W.n at (503) 718 -2$8- CIA L i - aii -06 Name of Plans Reviewer Date 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006 -000: 8 13125 SW' Hall Blvd., Tigard, OR 97223 411 DATE ISSUED 6/15120106 Phone :. (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION;'WQRKSHEET FOR DATE:. 10/2112008 TIME: 7 :OOAi PAGE: ' . SITE ADDRESS: 14650 SW 139TH AVE CLASS OF WORK: SUBDIVISION: pp 1990,076 LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Addition /remodel.revised 8/10106 to add bathroom in shop area OWNER: ACKLEY, GEORGE PHONE #: 503 -382 -2315 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/21/2008 Pour Time: 10:00 Code # Inspection Description Confirm '# Contact # Message 205 Footing 076989 -01 • 603- 590.5355 Y Corrections/Comments/Instructions: 4 • t • /004- Q ► O F F, 6 v\N/ .� Q OcK Q O r =S ,. PARTIAL APPROVAL n .CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL. FEES ASSESSED • Inspector: Date: a?IOL°TOES Phone #: (503) 718 - 492-3 CITY OF TIGARD tail Ai' • BUILDING DIVISION - PERMIT #: .MST1006-0r098 1125 SW Hall Blvd1 TiOard, OR 97223 - • DATE ISSUED: ' air 1 ) ' Phone: (503) 639-4171 ANAllguit 11; . Inspection Requests (24 Hrs.): (503) 639-4175 _.4.4 411. INSPECTION WORKSHEET FOR- DATE: 8/5/2008 TIME: , TooAm PAGE • • 4 SITE ADDRESS: 14650 SW 139T11 AVE CLASS OF WORK: SUBDIVISION: pp. 1990476 LOT #. . 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Addition/remodel sevised 811W06-to add bathroom in shop area. OWNER: ACKLEY, GEORGE • - PHONE #: 503-382.-2315 • CONTRACTOR: OWNER PHONE'#: Inspection Request Scheduled For: Date: 815/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 - Framing 073753-03 503-590-5355 Y Corrections/Comments/Instructions: - 44 • -- _. ez - bat y ■ e 41 i CV:WA, t _ at-C-C. e. I , t ,-/ e, c)Q.7.1e, , 5 . 4da .)44 pr- ectlx 4. ,igq6,15)- suc e-aa , 16o r A-66"4 t„.// co , • .. /. %Plot-- 4-cy pia 4..t. (6,1,4 u d,,// '3) i cis ...S Cif' rs P4 r 561 ecli a 16 225 fe•s+/&a.,... -- ea-55 -•c_cpyta 1 4 :0 cx, ) 4,o -.:',...--:'; -I .4-- c.-1. e II I • enc , 4')(4,r etxiii I ,— igktr-S & fr _l . .5', 0 e_ 40 a-,5 3.1:ki.gs-71„,)lor s — -tA:,-,\ ( 0,2,-i_ .s • e..„4, ,.,. civa 5e.e._ T ■ ) k ■ Ake- /00-1„, T,..4.vke.0: •••-cer■r C)0) 'I we. -: 3-51..- olac.;,4:-+ 4_.‘ • i..) t o' '-e. r-- C, Dae- Ocorkg. .rce) r C ' . . . . __. 0 PASS PARTIAL APPROVAL E CANCEL . NO ACCESS FAIL .. —e"A - LL -FOR INSPECTION 1 I ADDITIONAL _FEES ASSESSED Inspector: 131S Date:. 54a G OS Phone :4: (503) 718 2 . . CITY OF TIGARD BUILDING DIVISION PERMIT #` MST2006-00088 . • 13125 SW Hall Blvd., Tigard, OR 97223 DATE, ISSUED 5/15/ Phone: (503) 639 -4171 .. 11 ' /A l l� Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 8/5/2008 TIME: 7:00Am PAGE: 5 SITE ADDRESS: . OF WORK: 1 '46511 SW 139TH AVE SUBDIVISION: LOT #: TYPE OF USE ('P193f?�0'l5 1103 PROJECT NAME: ACKLEY DESCRIPTION:. Addition/remodei:revised 81;1010610 add bathroom in shop area. OWNER: PHONE #: 5 AC1 <LEY, GEORGE 503 -3B2 - 231 a CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2450 Exterior sheathing 073753 -02 503-5905356 Corrections /Comments /Instructions: . AX) lST6� - 6 1 ", • • • 2 • • • n PASS n PARTIAL APPROVAL ❑ CANCEL O ACCESS FAIL CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: Date: $ Phone #: (503) 718 . 44:5 CITY OF • BUILDING DIVISION „ PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15 /208-t)t7t�=3H Phone:' (503), 639- 4171 4Y N ii�61� li Inspection Requests (24 Hrs.): (503) 639 -4175 �: INSPECTION WORKSHEET FOR DATE: 815!2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 14650 SW 'I39TH AVE CLASS OF WORK: SUBDIVISION: PP1990 07 , LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Additionlremodel.re Wised 1W06 to add bathroom in shop area. OWNER: ACKLEY, GEORC3E PHONE #: 503t37 -2315 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled. For: • Date: ,8 Pour Time: Code # Inspection Description , Confirm # Contact # Message 235 Shear walls/anchors . 073753 -01 . 503590 -5355 Y Corrections /Comments /Instructions: 0 on arp " . 4�. S✓ • ❑ PASS ❑ PARTIAL APPROVAL ❑ - CANCEL I . NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Je.e4 Date: O 2 Phone #:: (503) 718- Z`1 -� CITY F TIGARD a. 0 . 0 „„ BUILDING DIVISION PERMIT #: MST200E� -00038 131,25 SW Hall Blvd., Tigard„ OR 97223 ! DATE ISSUED: 511512006 Phone: (503) 639-4171 3 : � "' �4 �11 / Inspection Requests (24 Hrs.): (503) 639-4175 .�, INSPECTION. WORKSHEET FOR DATE: 5/0120088 TIME: 7 :01A1VI PAGE: 33 SITE ADDRESS: 14650 SW 139TH AVE CLASS OF WORK: SUBDIVISION: PP1990.075 LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION:- Additionlremodel 811 0106 to add bathroom: in shop area. OWNER: ACKLEY, GEORGE PHONE' #: 503 -382 =2315 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5,812008 Pour Ti - • 12:00 Code # Inspection Description Confirm # Contact # Mes- -:ge 205 Footing 069581 -01 503.590 -5355 Y Corrections /Comments /Instructions: . • • • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR :INSPECTION 1 1 ADDITIONAL FEES ,A ESSED _ _ 4 _ Y Inspector: Da te : Phone #: (503) 718 , • JUL -21 -2006 FRI 03:32 PM NW PIPE FAX NO. 5033822475 P. 02 Jul 21 SS 10:54a, ...Neal V- Bu.rgstahle • p.1 I • • B:urgstah er E ngineer ng'Sy ' Lt .0 I ' 1. 1 , Corvsulting Stwctural•Engineers ' •• ; •• • • $2Q SSW, Stnric, Suite 417`«.Poriland, 013.97204 ° (5�� 228 -6841' !I i dl • 1'; I '1 is '' h 1 I ,i 11 . • 1 ,1 ,I .I. I Y I 1. I Y I 1 ' ,(. I I, II : 1' ' • Ii IF.i1 i ll .. 'Ii 1 • • • . 1 • I w • L . , , ''.I; . r • : I : . • . : 1 , , ,i • ' '''IC 1 I I! ' J y Art, 2 1 •1•.. 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( r • ( _ , • • 7 . r fp- ( .-.-.:- ‘ f . r r , r • ( , _. ic "." (-, ,... r- r- .... (, t _ r 4 r . • - ..... :- --- c ; :::, ' -... , , c * ' r "- ' ‘ir . • EXISTING FOOTING .rf r ''' r ' - l ' ". r- - - I ----r -- NEW UNDERPIN STEEL COLUMN r (- 1 • . ! , ti' r r . , ,_ -•„ _ :-. , ‘,.. r n.. FOOTING 'rr• r , c c- c r r \ r: . (f r , < t . • ' c • s . //- r - / r t ' " ri ( :: N ' • , c i • . r r • 1 ..._ f- ( n'' . , I - ra. --• re- r . c, -, ' • , 7 r Tf r'' -- r. r 1 - r ' r_ ".' e. '.... . ‘..--- P :. .„. ..... ■•• r ( r ._..c • , ( ( ( . ( c ' •:- N ■1 c; • . r r • _ . . ' .._______.... ..... ...........____......._..... ....... CITY OF TIGARD. BUILDING DIVISION A _ PERMIT #: lvIST7006-00088 • 13125 SW HaIF Blvd., Tigard, OR 97223 DATE ISSUED: F3, Phone: 639-4171 *0140 T Inspection Requests (24 Hrs.): (503) 639-4175 I ■■•••■11 INSPECTION WORKSHEET FOR DATE: 12/16/2007 TIME: 7:01AM PAGE: 64 SITE ADDRESS: 14650 SW :139TH AVE • CLASS OF WORK: SUBDIVISION: PP1990 LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Addition/remodelseviF. 8/10106 to-add•bathroom in shop area._ OWNER: ACKLEY, GEORGE PHONE #: 503-382-2315 CONTRACTOR: OVVNER PHONE #: Inspection Request Scheduled For: Date: 12/18/2007 Pour Tirne: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 061707-01 503-590-5355 Corrections/Comments/Instructions: • • P ,;/ PASS L j PARTIAL APPROVAL D CANCEL El NO ACCESS • FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector:. cS7A/1-7 • Date: it21 IT1:3 Phone #: (503) 718- • _ , , CITY OF TIGARD • • • BUILDING DIVISION., PERMIT #: MST 2008.00088 131.25: SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5P15 /200f Phone: (503) 639-4171 1I • Inspection Requests (24. Hrs.): (503) 639 - 4175'• INSPECTION`WORKSHEET FOR LATE: 7/11/2007 TIME: 7 :01AM PAGE: 72 SITE ADDRESS: 14650SSW 139TH AVE CLASS OF WORK: • SUBDIVISION: PP1990 -075 • LOT #: 003 TYPE OF USE: PROJECT NAME`. ACKLEY DESCRIPTION: Addition /remodel revised 8/10/06- to.add,bathroom in shop area. OWNER: ACKLEY, GEORGE PHONE # 503.382 -2315 CONTRACTOR: OWNER , PHONE #: ° Inspection Request Scheduled For Date: 7/11/2007 Pour Time: Code # Inspection Description Confirm # Contact -# •Message 310 Crawl drain 051712 -01 503 -382 -2315 N • Corrections /Comments /.Instructions.' • • . 'r • • PASS n PARTIAL APPROVAL ❑ CANCEL. n. NO ACCESS , FAIL n CALL FOR INSPECTION Ti ADDITIONAL FEES ° ASSESSED Inspector: ik) /1 Date: Phone #: (503) 71'8- • • CITY OF TIGARD BUILDING ERMIT #: I tIST200GO0080 G DI,V ISIOIV 13125 SW Hall Blvd;, Tigard; OR 97223 DATE 'ISSUED: 5/15/2006 Phone: (503) 639-4171 Requests (24 (503) 639 -4175 ' • INSPECTION WORKSHEET FOR DATE: 0/ 22/2006 TIME 03A i PAGE: 4 SITE ADDRESS: 14660 139TH A E CLASS OF WORK: SUBDIVISION: PP1990 9 LOT #: 0 0 3 TYPE OF USE: PROJECT NAME: ACKLEY . DESCRIPTION` Add itian /rem'odel.reviSed`€/1b106`to add bathroom in shop area .. OWNER: ACKLEY, Y, GEORGE PHONE #: 603-382-2315 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0/22/2006 . Pour Timer Code # Inspection Description • Confirm # Contact # 335 Rain drain -_ 35395 -02 503 - 382 - 2315' /4/04"/ Corrections /Comrrments /Instructs.. _ • • • g4 PASS ❑ PARTIAL APPROVAL n CANCEL ( I NO ACCESS n FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ' Inspector: fit'/'( Date: Phone #: (503) 718 - 1�y • CITY 0,F TIGARD 1111) . BUILDING DIVISIOft PERMIT #: MST200608088 13125 SW Hall Blvd., Tigard, OR 97223 A . D AT E ISSUED: 5/15/2006 Phone: (503) 639-4171 _141 Inspection Requests (24 Hrs.): (5b3) 639-4t75 INSPECTION WORKSHEET FOR DTE: 8/22/2006 TIME 7:03AM PAGE: 5 SITE ADDRESS: 14650 SW 139TH AVE CLASS OF WORK: SUBDIVISION: PP1990-075 ., LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Additioniremodel.revisq■zt 8/10/06 to add bathroom in shop area OWNER: ACKLEY, GEORGE , PHONE #: 503-382-2315 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8122/2006 Pour Time: Code. # Inspection Description Confirm # Contact # Message . 215 Footing drain • • 035395.01 503-382-2315 Y Corrections/Comnients/Instructions: • -..' . • • - - - ' • . . . . • , " ,. - . . , ' . . • . PASS - PARTIAL APPROVAL ' CANCEL FAIL D CALL FOR INSPECTION El ADDITIONALFEES ASSESSED 1 NO ACCESS Inspector: • C -111 Date: 6 ZZ -0_6 Phone #:- (503) 718- -* ' ' • CITY OF TIGARD • • . . . BUILDING DIVISION - PERMIT #: MST2006.00088 1.3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1512006 Phone: (503) 639 -4171 .�� p� u. F 1 Inspection Requests (24 Hrs.); (503) 639 -4175 --�± A!! INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6:58AM PAGE: 12 SITE ADDRESS: 19650 SW 139TH AVE_ CLASS OF WORK: SUBDIVISION: PP1990 -075 LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY . DESCRIPTION: Addition /remodel.revised 8/10/06 to add bathroom in shop area. OWNER: ACKLEY, GEORGE PHONE #: 503-3812316 , , CONTRACTOR: OWNER . PHONE #: Inspection Request Scheduled For Date: 8/21/2006 • Pour Time: Code•# Inspection Description Confirm #. Contact# Message 265 Mr proofing basement walls 036318 -01 503. 590 -5355 Y . Corrections /Comments / Instructions: */ ------ = ---4' ----/ebei,;-,..., . . • • PASS ❑ PARTIAL APPROVAL ❑CANCEL ri NO ACCESS ❑ FAIL f /CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Irispector: Date: 8 ' ?1 — c-1 Phone #: (503) 718 - - 2._.1-,Z ' CITY OF TIGARD . 7 0, • . . BUILDING DIVISION PERM # ' MST20O €:0O0B8 1'3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 5/1572006 Phone: (503) 639- 4171 hap1104 Inspection Requests (24 Hrs.): (503) 639-4175 " � II ' INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7 PAGE: 65 . SITE. ADDRESS :. 14650 SW 139TH AVE CLASS OF WORK: SUBDIVISION: PP1930,075 LOT #: 003 TYPE OF USE: PROJECT NAME: ACKLEY DESCRIPTION: Additionlreniode . OWNER: ACKLE'Y,'GEORGE . PHONE #: 603. 302 -231'i CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: " t3J7/2006 Pour Time: 9:00 Code # Inspection. Description Confirm # Contact # M: s ge 210 Foundation walls 03.4470 - 01 503 Correction's /Comments/Instructions: • • • • • • SS PARTIAL APPROVAL 7 CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,Inspector: �!\ Date: • / / Phone # (503) 718- p CITY OF' TIGARD AGY-2. G /.— BUILDING DIVISION PERMIT #: MST20064)00t3> • 13125 SW Hall Blvd., Tigard, OR 97223 DATE- ISSUED: 5/15/2006 . - Phone:. (503) 639-4171 �� I - Inspection Requests (24 Hrs.): (503) 639 - 41;75. , • - _ I � I:., : . INSPECTIONWORKSI-IEET,FOR DATE: " 7/27/2006 - TIME f' 7 03Am, PAGE: 02 SITE ADDRESS: 14650 SW 139TH AVE CLASS OF WORK: • SUBDIVISION: PP1990 -075 LOT #` 03 TYPE OF USE: .. "PROJECT NAME: ACKLEY 6--f ,� DESCRIPiTION• Addition /remodel • • OWNER At KLEY,' PHONE #: 503-302-2315 CONTRACTOR` OWNER, - ' ' ' PHONE #: ' Inspection Request Scheduled For: Date: 7/27/2006 Pour Time: 12 :00, .i Code # I nspection Description Confirm # Contact'.# Message 206 • ,, Footing • 033849-01 503- 382-.2315 Y • Corrections /Comments /Instructions:' , • , Y ; ,9 _pi,c)_.:1,!,,y: 5;4,...,2 ct r i/n- _ A. / h q 9 - /0 / PA ■ n PARTIAL APPROVAL . ❑ CANCEL .• ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION , El ADDITIONAL FEES ASSESSED ' K Inspector: Date., • Phone #: 503 718- � � 7 r �) AUG - 25 FRI 09:02 AM NW PIPE FAX NO. 5033822475 P. 01 0 . RECEIVED , AUG 2 5 2006 F CITY OF TIGARD B UILDING DIVISION t To: A p. ile ® ' From; (-G o� Akio Fax D. 3 . - SyeP" -- /46 Patios: 3 lc (. ' . ��.-- , Phony ,j a, ' (? - y3 q Pate: •, L-0 G, Re: / . , ++ 4 5 ce !/1 ytt ih Y 0 it 6* PI Y om /' 11L Q Urgent g -for Review • le Please Comment 1$1Please Reply 0 Please Recycle i ris) --S ' 0 , 4#6r 1 1 4 ) / 0' 4 " dui , n tX i 60 - / AsAIP).''' ' 66 ,. IA- vm O' I ; ' Iti -0(A" (H p 0) o ti'S f r ti/ If v k li d -.1 "'i ' IAT Ilir . ‘ Iii/Yr7}11/: -)6/(1 ' . fig 8 , 1 1 :' iffilaiK " r (814‘ AP VI o i l / • '4 ' . ° i i t ii Lk' f lit . it, „52- i, 1 („/,/,,, (%aor , „,, . I rti) I-- crr rq \i,, ,,, , i t_ o rip itill/ . qlpi It _ ______ _________ _ _ .._. _ _ _. _ AUG -25 -2006 FRI 09:02 AM NW PIPE FAX NO. 5033822475 P, 02 • • • TO —Hap Watkins / FROM— Ueorge Ackley i SUBJECT — Attached sketch fora crawl space drain per our phone conversation Tuesday 8/22/06 DATE — 8/26/06 I believe I understood your idea for - the crawl space drain and « just wanted to send you a sketch to verify how I will install the system. I would appreciate your review and comments that this will work for the City. The installation works fine for me and is easy to install this way: I would appreciate a return phone call at.the number below if this is okay with you or if I missed something. • Thanks for your help, George Ackley 503 382 -2315 • • o IU 1 i t A kla cc -4 i o, ; '(e 11),-(L 064,5-5 -,)-4 � fto�' / •I�'j pn C /��I[�/ t 'r_ ,5 itrLL°t WOC (,..f 6 1 • Js _ - Ar ( & I .j-ir 5•0 r-f eta- -e v �� . f - ,c. ✓'-e I J Gc e k 77�a� k1,' I t • Co tic r -'{i r5 c rc S 44 G v i -rs d r e0nrs.c c '/ o++ `le -/ Yap . t / /ei, r+ ,'S nal' V s , ' L (-e 4 k tee- It .6 ..c. Prv`T4 i -te1. Lc� J- _ ,,, r� ` .`Y rE -a.F Le Jri J��GI'�CG� ,..,y ` . P F �' .. �'c r t1•-' i { 6 ,..„! ° . '` - E-. r t 4 '- e - / :'4t CV /Zf�� t.l`sc`� j� to_ _� � c P CV co stn Y 5'-.�'r, f 1 co p • V / A .1Y-i. A rCq i „ s t 1 i! ZC G d /'M /AA 1, -a j•:e i y, O 1 5 r �-c v -c( ,2x )1. .44dr s 51 . x - -- T- s-ru b wu- j 1 S rS Cj.-ed x 144, i t !i AP ,-Fe O tt , �, .% . ' � �3 3�� _ - 77 ZZ /2 .yter S 4_ f..) �G: e � .) 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I n .. t?E.4,tc- - 5, 1,-144 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14650 SW 139TH AVE, US Building/Res/Master Permit/NA 242 Interior shear walls 05/24/2013 00:00 MST2006-00088 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14650 SW 139TH AVE, US Building/Res/Master Permit/NA 242 Interior shear walls 05/24/2013 00:00 MST2006-00088 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14650 SW 139TH AVE, US Building/Res/Master Permit/NA 242 Interior shear walls 05/24/2013 00:00 MST2006-00088 PASS Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14650 SW 139TH AVE, US Record Type: Record ID: Building/Res/Master Permit/NA MST2006-00088 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor