Permit 12- i rIri - �p G/% ri Ibrg at .Ircl,c fS _ � 9 /ll,�Gt
„ ; ' V ��� ASTER PERMIT
COMMUNITY DEVELOPMENT DATE ISSUED: MST2006-00097
5/24/2006
T[GARa 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104AD - 03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: AUGUST
Project Description: Addition to master bath, sitting room & relocate laundry. 8/7/06: Added (1) sink, (1) water closet &
(1) tub /shower. 9/18/06: Added (6) branch circuits. 9/11/07: (1) of the existing branch circuits will
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 470 sf 43,428.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
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: 2 0 - 200 amp: 0 WISVC OR FDR: 10 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st WIO SVC /FDR: 0 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAL/PANEL: IN PLANT:
MANU HM /SVCIFDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
THOMAS AUGUST OWNER laws. All work will be done in accordance with approved plans. This
15707 SW BRISTLECONE WAY 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: 503 - 579 - 1245 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 1,368.51
REQUIRED ITEMS AND REPORTS
Issued / / / / /// /, I, .. Permittee Signature : sp ,L /lee
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.
C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00097
41 DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006
---- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104AD -03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R - 4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry. 8/7/06: Added (1) sink, (1) water closet &
(1) tub /shower. 9/18/06: Added (6) branch circuits.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 43,428.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 470 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
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: 2 0 - 200 amp: 0 W /SVC OR FDR: 10 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 0 SIGN /OUT UN LT: PER HOUR:
LIMITED ENERGY: 1 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 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 AREAISPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOM 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
THOMAS AUGUST OWNER applicable laws. All work will be done in accordance with approved
15707 SW BRISTLECONE WAY plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 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 - 579 - 1245 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-800-332-2344.
Reg #:
TOTAL FEES: $ 1,368.51
REQUIRED ITEMS AND REPORTS
Issued By :` e / 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.
CIT �I MASTER PERMIT
PERMIT #: MST2006 -00097
i� DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006
°---' 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 104AD -03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry. 8/7/06: Added (1) sink, (1) water closet &
(1) tub /shower. .
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 470 sf 43,428.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP 5 3HP: VENT FANS: 3 CLOTHES DRYER: 1
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: 2 0 - 200 amp: 0 W /SVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 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 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOM 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
THOMAS AUGUST OWNER applicable laws. All work will be done in accordance with approved
15707 SW BRISTLECONE WAY plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 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 - 579 - 1245 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Reg #:
TOTAL FEES: $ 1,325.42
REQUIRED ITEMS AND REPORTS
Issued By : ff /�— 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.
V .• .
0 1
CITY F TIR® MASTER PERMIT
gip, PERMIT #: MST2006 -00097
A,J,a DEVELOPMENT W O MEN SERVICES
H B Tigard, -639 -4179 DAT ISSUED: 5/24/2006
PARCEL: 2S104AD - D3502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry. 8/7/06: Added (1) sink, (1) water closet &
(1) tub /shower.
BUILDING
• REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 470 sf 43,428.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 . LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP <r3HP: VENT FANS: 3 CLOTHES DRYER: 1 .
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: 2 0 - 200 amp: 0 W /SVC OR FDR: 4 . PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: 0 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp:. EA ADDL BR CIR: 0 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: ALL -ENCOM 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
THOMAS AUGUST OWNER applicable laws. All work will be done in accordance with approved
15707 SW BRISTLECONE WAY plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 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 - 579 - 1245 Contact #: of these rules or direct questions to OUNC by.calling 503- 246 -6699
or 1 -800- 332 -2344.
Reg #:
TOTAL FEES: $ 1,325.42
REQUIRED ITEMS AND REPORTS
Issued By : � /-- "-- Permittee Signature : /�/ ,. .. /(/‹‹,/
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.
TV ® T I G A ® MASTER PERMIT
PERMIT #: MST2006 -00097
��I{ DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006
l=
13125SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S104AD 03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R
SUBDIVISION: LOT JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry.
BUILDING
• REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf • RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL 470 sf 43,428.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING; MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER UNES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP <3HP: VENT FANS: 3 CLOTHES DRYER: 1
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: 2 0 • 200amP: 0
WISVC ORFDR: 4 PUMP/IRRIGATION: PER INSPECTION:
EA ADDL 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FOR: 0 SIGN/OUT UN LT: PER HOUR:
UNITED ENERGY: 1 401 - 600 amp: 401 • 600 amp: EA ADOL BR CIR: D SIGNALJPANEL• IN PLANT:
MANU HM/SVC/FDR: • 601 • 1000 amp: 601.amps- 1000v: MINOR LABEL la
1000. ampNolt : 0
PLAN. REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVCIFDR>=225 A.: > 600 V NOMINAL CLS AREAJSPC OCC:
ELECTRICAL • RESTRICTED ENERGY GIN
A. SF RESIDENTIAL B. COMMERCIAL 1
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOM BOILER HVAC: LANDSCAPEI1RRIG: PROTECTIVE SIGNL
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
THOMAS AUGUST OWNER applicable laws. All work will be done in accordance with approved
15707 SW BRISTLECONE WAY plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 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 - 579 - 1245 Contact #: of these rules or direct questions to-OUNC by calling 503- 246 -6699
or 1- 800 -332 -2344.
Reg #:
TOTAL FEES: $ 1,278.22 •
REQUIRED ITEMS AND REPORTS
Issued By : AP_ , / .- el ���, Permittee Signature / - i '
Call 503 =639 -4175 by 7:00 a.rn. 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.
•
. .. ... . .
MASTER PERMIT
C I T y 0 , F TI
PERMIT #: MST2006 -00097
ii�� DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006 •
" -- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S104AD -03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R-4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 43,428.00
OCCUPANCY GRP: R3 WNW: BATH: TOTAL st REAR: 15
PLUMBING
SINKS: WATER. CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
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: 2 0 200 amp: 0 W /SVC OR FDR: 4 PUMP/IRRIGATION: PER INSPECTION:
EA ADM_ 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: PER. HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: 0 SIGNAUPANEL IN PLANT:
MANU HMISVC/FDR: • 601 • 1000 amp: 601•amps•1000V: MINOR LABEL 143
1000. amp/volt : C :,
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVCIFDR> =225 A: > 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL • RESTRICTED ENERGY r
' A. SF RESIDENTIAL B. COMMERCIAL l
AUDIO &'STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL
s
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: - OTHR: Y
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
e ,
This permit:is,subject to the regulations contained in the Tigard
Owner: C ontractor: Municipal Code, State of OR. Specialty Codes and at other
THOMAS AUGUST OWNER . applicable laws. All work will be done in accordance with approved
15707'SW BRISTLECONE WAY plans. This permit will expire if work is not started within 180 days
TIGARb, OR 97223 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 -579 - 1245 Contact #: of these rules or direct questions to •OUNC by calling 503- 246 -6699
or 1-800-332-2344.
Reg #:
TOTAL FEES: $ 1,278.22
REQUIRED ITEMS AND REPORTS
Issued' By: w�: of ��� 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.
`/
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00097
l DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006
c�� I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104AD - 03502
SITE ADDRESS: 12810 SW WALNUT ST ZONING: R -4.5 -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Addition to master bath, sitting room & relocate laundry.
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: 470 sf BASEMENT: sf LEFT. 5 SMOKE DETECTORS Y
TYPE OF USE: SF FLOOR LOAD' 50 SECOND. sf GARAGE: sf FRONT: 20 PARKING SPACES . 2
TYPE OF CONST: 5N DWELLING UNITS: THIRD sf RIGHT 5
VALUE. 4 3,428 00
OCCUPANCY GRP: R3 80RM• BATH: TOTAL 470 sf REAR. 15
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH. 1 LAUNDRY TRAYS' 0 RAIN DRAIN TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS' SEWER LINES: 100 SF RAIN DRAINS' CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP. WATER HEATERS: WATER LINES' BCKFLW PREVNTR. GREASE TRAPS:
OTHER FIXTURES 1
MECHANICAL
FUEL TYPES FURN a 100K: BOIL/CMP < SHP: VENT FANS: 3 CLOTHES DRYER: 1
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' 2 0 - 200 amp: 0 W /SVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp' 1st W/O SVC /FDR. 0 SIGN/OUT LIN LT: PER HOUR
LIMITED ENERGY: 1 401 - 600 amp. 401 • 600 amp: EA ADDL BR CIR: 0 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: ALL - ENCOM 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
THOMAS AUGUST OWNER applicable laws All work will be done In accordance with approved
15707 SW BRISTLECONE WAY plans This permit will expire if work is not started within 180 days
TIGARD, OR 97223 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 - 579 -1245 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344
Reg #:
TOTAL FEES: $ 1,278.22
REQUIRED ITEMS AND REPORTS
Issued By : �L 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.
)A
- d
Building Permit Applications) 1 --- i I�OR C)I I IC USt ()NIA , .
131 5'S i B , • 223 Plan i' Received l q - ,
Q
Cl of Tigard ) -e/-� Pertnit L)
i a
S � � Plan Review
` ' Pho srt .4 `7503:598.1960
MAY l p (' 1 2 006 Date/B M n d 5 ") - i - 06 Other Permit.
Inspectibn'' e: 503.639.4175 DateReadyBy _ I ons - Vi See Attached Checklist for
Internet: www.tigard or.gov Notified/Method:� e �y VC / ce-_ Supplemental Information
MAY C0 1 20 (jaay F i 1. t, \ �� , . , w r ,
VPE,o 1C (- VII l/ li N ti o -I
i REQ � 1' ED-DATA: 1- AND 2 -FAM LY DWELLING .
0i; I xk1
❑ New constructiMul m oliti on Permit fees* are based on the value of the work performed.
�,/ b�1� Indicate the value (rounded to the nearest dollar) of all
4' Addition altetalpl ment' 4 4 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
,-� Valuation: $ .` /�
2 t- and 2- family dwelling ❑ Commercial /industrial Y f 4/.2
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' JOB SITE INFORMATION AND ANDLOCATION Total number of floors.
Job site address: /28 0 S w (�al et WI S7 _ New dwelling area' 4./ 70 square feet 4 j
City /State /ZIP: 7,y c,e, 9 72Z g Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: // Covered porch area: square feet
Cross // stt / reet /directions to job site: !A/st,1 vL .1.4 s . 4..,„ I2 ST-4 -1- Deck area: s 0 square feet
5 cvlid 7 v a ✓ el d e , ✓e, .3 =` � nil . e �,A �S ( Other structure area: 00 square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2 $� ®�( A D (913-02... 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.
11 n I1 ,/ n Valuation. $
c^2lc>c� 1 a.m.wdiP I ¢yui! tu�l�e k et.ce..eme
t .it ,ft C dti cth I1'1y 1,6 &9 S l t.ii€it) ' �zJJ r,11 �� Existing building area: square feet
/`�ocvl ' New buildmg area: square feet
' WPROPERTY D OWNER ❑ TENANT Number of stories:
Name: -7140144 n1 4f aif Type of construction:
Address: pi-7 f7 S(A7 B/5V►l , c.n/t 8, AI�fc.J Occupancy groups:
r
City /State/ZIP: - ' �" � / p� 9 77 Z3 J Existing:
Phone: (So3 S' 79' - j zziS 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 m which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: apply:
Phonc:( ) Fax.:( )
E -mail:
CONTRACTOR . -
Business name: BUILDING PERMIT FEES* '
Address:
(Please refer to _fee schedule
Structural plan review fee (or deposit): I v . 5 )
City /State /ZIP: - —
Phone' ( ) Fax ( ) FLS plan review fee (if applicable):
CCB lic.:
Total fees due upon applicatior• ' �/.. J
Amount receives, - ()_ , J
Authorized signature: / -.` L —0 j
' ,L/ This permit application expires if a permit is not obtained
> within 180 days after it has been accepted as complete.
Print name: 7 A u , Date: i i/36/ * Fee methodology set by Tri- County Building Industry
J Service Board.
1 \ Build mg\Permus\BUP- RES- PennitApp doe 0321/06 4404613T(I 1 /02/COM/WEB)
e
t
One- and Two - Family Dwelling -
Building Permit Application Checklist loll OFFICE USE ONE)
City of Tigard Received Permit No.
il lim U 1 3125 SW Hall Blvd , Tigard, OR 97223 Associated permits.
II : Phone: 503.639.4171 Fax 503.598.1960
T I G K D 24- Hour Inspection Line. 503 639.4175 ❑ Electncal ❑ Plumbing ❑ Mechanical
Internet: www.tigard- or.gov ❑ Other
' F HE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 C Nu 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.
I 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 licable to the ro'ect under review.
• 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x I T'. ❑ ❑
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. I
29 Site plan to include tree protection measures as required by conditions of approval. j ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I \ Budding \ Permits \BUP- RES- PenniApp doc 03/21/06
I I■
Electrical Permit • 1 s 1icat�i �->ia p t g t vl 11 ,f ?, , , , � ` FOR O (ISE 0N 4 ` , . `1 -� ° ? ' '_ ,
City of Tigard ' t'" Received Date/By. Permit I`' —/x7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.196 �/ /ix, t Other Permit
Qp ^ 1 0 1 200 Nh I I r Date/By:
Inspection Line: 503.639.4175 I "I H _ y . 1 , Date Ready/By. Juns El See Page 2 for
Internet: www.tigard- or.gov ` ` ��Ity Notified/Method Supplemental Information
': ^ o -14QR \ T1gil 01\ PLAN REVIEW
❑ New construction �jtlofl/ahteration/replacement Please check all that apply.
❑ Demolition 0 Other: 0 Service over 225 amps, comm'l E] Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft ,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
d l - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family 0 Master builder 0 Other: ['Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: as/0 ) }. ❑Health -care facility DOther:
.� ((�<. [N.tL Submit 2 sets of plans with any of the above.
City /State /ZIP: I4 0g 9 7 g az The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
1 `` / 1.(4 Description I Qty. I Fee. I Total
t J .S7
Cross street/directions to job site: 44/44 . ?b (Z8 ` New residential single - or multi - family dwelling unit.
/ ]// p , 3 ^ f� �` Gi 1/ 4 Includes attached garage.
Jc,Leits, net's 3 rrzi/�l r1' ✓C, . .c�t.G/e, 'o /ctT �4oe -._) 1,000 sq ft or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: 2S 101e A 0 0 3s-Oz Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
_// n (( r`� dwelling, service and/or feeder / 90.90 2
f'�.Lnc4o Mc
�ien//' r ,� ..11 Y2J .Cl� / olr1'f n AP ,S/ /Ay vt v Services or feeders installation, alteration, and /or relocation
,S `7� < Si pu,4..n Sf t L N r \vtq J 2 amps or less 80.30 80,.,W 2
PROPERlY O J ❑ TENANT 201 amps to 400 amps 106.85 2
� 401 amps to 600 amps 160.60 2
^
Name: l iq,p 4 t. ,It- 601 amps to 1,000 amps - ' 240.60 2
Address: 7 Over 1,000 amps or volts 454.65 2 _
I` / S 0 � �'�'�`,,', �� Reconnect only 66.85 2
City /State/ZIP: Q,G vv Ok , 9 7 ? z.3 Temporary services or feeders installation, alteration, and /or
V relocation
Phone: rea S—on„ (21 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, re t, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signaturep�t - v-z� p, Date: b Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT . - ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 4 , , 6.65 C. 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, t
Address:
first branch circuit 46.85 2
Each add'I branch circuit r 6 65 /3 3,0 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 -mail: Signal circuit(s) or limited- .
CONTRACTOR energy panel, alteration, or
extension. Describe: I Page 2 '73' - 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal ( v Z S
Suprv. Electrician signature, required: Plan review (25% of permit fee) X13.61
Print name: Date:
State surcharge (8% of permit fee) j y .0Z
TOTAL PERMIT FEE 2 33 .06
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: • Fee methodology set by Tn- County Building Industry Service Board
•' Number of inspections per permit allowed.
I \ Building \Permits\ELC- PennitApp doe 12/30/05 440- 4615T(10/02/COMAVEB
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*
El Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
[r Other: bribiSto
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I\ Building \Petmits'ELC- PennitApp.doc 12/30/05
Mechanical Permit A 1 t-01 FOR OFFICE us►.: ONLY
L-- Received
City of Tigard Date/By Permit r -. ., - 7
13125 SW Hall Blvd., Tigard, OR 97223 v 't 11 1 Plan Review Permit.
503.639.4171 Fax: 503.598.1960 MQ1 ui.,d .;t - :� I ,a, Date/By Other Peut.
Inspection Line: 503.639.4175 1< l °�:' I Date Ready/By
Internet: www.ci.tigard.or.us - _ _ — e/Met o tang Supplemental See Page for
t l
�3 � �, ' ' Notified/Method: Supplemental latormetioo
` ry ' \I �'
Imo. p ' � ' 1i ■ k .
E oRK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY OF CONSTRUCTION •
Value: $ $(5142 `—
12'1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS
❑ Multi - family 0 Master builder For special information use checklist.
❑ Other: Description
Qty. I Ea. I Total
_ JOB SITE INFORMATION.' AND LOCATION Heating/cooling
,p , 11 coi
Job site address: 12 CS /6 2 so L), vtat.,� ( Air re ndit site plan oning sho wi heat n placem ent) 14.00
City/State/ZIP: 7 Furnace 1 00,000 BTU duds /vents
y 04 9 3 (ducts/vents) 14 00
Suite/bldg. /apt. no.: J
Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street /directions to job site: i v / k /- 1 122 1 � t, � n S' Duct work I 14.00
n 7 d / Hydronic hot water system 14.00
COL �/
'j y..rv¢il rgvv
`, ..P. g ( „ . on ief-1 (6v`¢ia.rti 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. : S 10q,4130 3S't> Z Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Add I I ` � (v I 4,f_.,41 -/7 q. V Gas fireplace for gas
10.00
R
Gr b v G 1 - u r rX 1r�' Flue vent for water heater or
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 I • ❑ TENANT Other: 10.00
Name: A
/�s.,[sl N uq Environmental exhaust and ventilation
J Range hood/other kitchen
Address: /4 70 jit?..4( - 1 - ,GoD(,e t ipy equipment 10.00
City /State /ZIP: 17- _ - 0 R, 9 ' J Clothes dryer exhaust 1 10.00
Single -duct exhaust (bathrooms,
Phone: (3 Z2) s 7E1 , t J Fax: ( ) toilet compartments, utility rooms) S 6.80
❑ APPLICANT ❑ CONTACT PERSON - Attic/crawlspace fans 10.00
Business name:
Other: 10.00
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
Business name:
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES* '
City/State/ZIP Subtotal
Phone: ( ) • Fax: ( ) Minimum permit fee ($72.50) 72
Plan review (25% of permit fee) /pj_ I Z
CCB lic.: State surcharge (8% of permit fee) s. 6 e,
TOTAL PERMIT FEE /6 3. 1Z.
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 74 4.7 Ault/ A l+ I Date: �� o /a� • Fee methodology set by Tn- County Building Industry Service Board
i\BwldingWennas\NEC- PemntAppdoc 12/03 440.4617T(ii / /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:\Building\Permits\MEC- PermitApp.doc 12/03 2
Plumbine Perm,it lic IOR owlet: t s1 ()NIA 1
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223- 200 Ate Date/By.
Plan Review Perron Ng. 1`r� Va'a
Phone. 503.639.4171 Fax: 503 . 598 .1960 Other Perron No
24- Hour Inspection Line • 503.639.4175 ' ,i� r v s, l I Date Re
Internet: www.tigard x . \ ? L - 1441 - --• adyBy I ® See Page 2 for
_ _ - - \ ' Notified/Method. Supplemental Information
TYPE '{ -0W WORK FEE* SCHEDULE
r '``
❑ New construction � ' S 1 ❑ Demolition For speda/ Infonnation use checklist
Description 1 Qty. I Ea. I Total
Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
£and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ` Z81 0 617 LJe..Li4 Catch basin or area drain 16.60
City /State/ZIP: T ,4,671 o, 9'1 Z3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: T c,..4,601 Project name: Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: 1 J
Manufactured home utilities 110.00
�f pp �n l TO �8 TLt h^y Manholes 16.60
Sco -i6 e5 1 ,-. 1 .1e. I ,,,v4 V'f . 7 r� 4o4_r.f P. t iPt /4 Rain drain connector 16.60
(-( ,•, Sanitary sewer (no. linear ft.: 30 ) 1 Page 2 SS_
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: 251 fbr.j Al) 0311
or item
Absorption valve 16.60
DESCRIPTION OF WORK
Back flow preventer Page 2
l 10c ic t.> Y`]/ ) a.�ot"e Lt i 11 S h k Backwater valve 16.60
/'e�0 tcQ� r S(n 2 nl n ✓-' i w M
e et eT _ 4 �i ti -i, ccZ. c av> ,..4wi'4Q. Clothes washer 1 16.60 /4_1.0
W j - d 'c/iffy ! 14 cof- hl e- abet -1 ✓t I' r1-Q. SI l et, tvitaie D 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name:
Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker t 16 60 JC,, c,-0
Business name:
Interceptor /gease trap 16.60
Contact name Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone ( ) Fax • • ( ) Sink/basin/lavatory I 16.60 M�,,a
Tub /shower /shower pan i 16.60 IC y'b
E -mail:
Urinal 16.60
CONTRACTOR Water closet
16.60
Business name: Water heater 16.60
Address: Other:
City /State/ZIP. Subtotal
Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 X64. 9 b
CCB Lic : Plumbing Lic. no • Plan review (25% of permit fee) .30 , 3S
State surcharge (8% of permit fee) 71
Authorized signature , %•
_ - _ - TOTAL PERMIT FEE � , j,[i
Print name:
T Date - 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.
I \ Budd mg\Pcm Its \PLM -Perm oApp doc 12/30705 440- 4616T( 10/02/COM/WEB)
F
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - I 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' i 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 - I st 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.
$50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof
Fixture Work: Plan Review for Complex Structures
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.
Quantity by (Fixture) Work Performed ❑ Any new commercial building.
Fixture Type: Replace ❑ Any new exterior plumbing site utilities.
Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower I ❑ Medical gas and vacuum systems for health care facilities
- .1acum/Whirlpool I 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 I dwelling units.
Drinking Fountain ❑ Any NFPA I 3-D multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink - 2"
3 „ Submit 2 sets of plans with any of the above.
-4"
Car Wash Drain Isometric or Riser Diagram
Garbage - Domestic I ❑ 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 I I
Sink -Bar/Lavatory
K. .1z radloy 1
- Commercial
btri; - Sce.
Swimmin r � Pool Filter
Washer - Clothes ` 1 *Note: If the fixture work under this permit results in an
Water Extractor p
Water Closet - Toilet 3 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: j, ' ) plumbing permit can be issued.
K h . si k ?
a4:1.1;.,(0-
I \Budding\Penniis\PLM- PermicApp doc 07/06105
Permit #:V\ Y 0 6 - 0.00q
Address: Ln, 1 D S �' W \\ , St -
Issued by: 6_6 Date: L /o &
l
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:
1. I own, reside in, or will reside in the completed structure.
r �ii 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
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
Int 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 about Construction • Responsibilities on the reverse side of this form.
nature of permit applicant) Ua te
( g P PP ) ( )
(White copy to issuing agency permit file, •
pink copy to applicant)
•
Information Notice.to Property Owners
• About Construction Responsibilities
Note: -This Information Notice to Property Owners about Construction Responsibilities
icas developed by the Construction Contractors Board in accordance It ith 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 ofthe follow ing 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 employer, you must comply with the fol lowing: -
Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees
are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more
information, call the Oregon _Dept. of Revenue at 945 -8091. - -
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.,call the Oregon Employment Department at 378 -3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensation insurance for your employees. Ifybti fail to obtain workers' compensation insurance, you may
be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. 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. For more information, call the Internal Revenue Service
at 1- 800 - 829, 1040. , `
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements
that may be 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 and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, 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 ofrough -in and finish
trades, and to notify building officials at the appropriate times so they can perform the required inspections.
If you have additional questions, write or call the Construction Contractors Board (P0 Box 14140, Salem, OR 97309 -5052,
503/378 - 4621). `i`he'Board,•i•s located at 700 Summer St. NE Suite 300, in Salem.
prop -own pm4
1/94
CITY OF TIGARD
BUILDING DIVISION PERMIT # MST2006,00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE; ISSUED 5/24/2006
Phone: (503) 639-4171 447/4 411111",
Inspection Requests (24 Hrs.): (503) 639- 4:175
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM' PAGE: 41
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: •
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room & re,Iocate.iaundry. 8/7/06: Added° 1) sink,.(1) water closet & (1)
tub/shower. 9/18/06: Added-(6) branch circuits. 9/11/07: (1) of the existing branch circuits will be.for
OWNER: AUGUST, THOMAS PHONE #: 503-579-1245
CONTRACTOR: OWNER PHONE #:
Inspection Request. Scheduled For: Date: 10/2/2007 Pour.Time:
Code # Inspection Description Confirm # Contact # Message .
200 Insulation 056773 -02 503-679-1245. Y
Corrections/Comments/Instructions:
•
•
.
ttA PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
- FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: G67 Phone #: (503) 718 =,
CITY OF TIGARRD.
BUILDING DIVISION PERMIT #; I ST 00600py7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/34/2006
Phone: (503).639-4171 o i1
Inspection Requests (24 Hrs.): (503)''639 -4175. . ,.,,, _ _
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME :: 7:04AM PAGE: 42
•
SITE ADDRESS: 12310 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ' LOT # :. 'TYPE OF USE:
PROJECT NAME: AUGUST •
DESCRIPTION: Addition to master bath, sitting room & relocate laundry. 8/7/06: Added (1) °sink, (1) water ! >Ioset•& (1)
tub/shower: 9118/06: Added (6) branch circuits. 9/11/07: (1) of the existing branch "circuits will.be tor
OWNER: AUGUST, THOMAS PHONE.'' #: 503.579-1245
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled. For: Date: 10/2/2007 . " Time:
Code # Inspection Description 'Confirm # Contact , # Message • 0
275 Framing 056773 -01 .503.579 -1245 Y , I 1
`(
Corrections /Comments / Instructions: •
•
•
•
•
•
0 PASS n .PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL E CALL FOR INSPECTION n ADDITIONAL FEES ,ASSESSED •
l� Inspector: � Date: Phone #: (503) 71;8 -
CITY OF TIGAD
BUILDING DIVISION PERMIT # MST2006=00037
13125 SW ;Hall Blvd., Tigard, OR 97223 DATE, ISSUED: 5124/2006
Phone: (503) 639 - 4171 4 11. II
Inspection Requests (24 Hrs.): (503) :639 - _41.75 ..1141111.1
-
'INSPECTION WORKSHEET FOR - • DATE: • 9/7/2006 TIME: 7 :02AM • PAGE: 8
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK: '
SUBDIVISION: LOT #: TYPE OF USE:
. PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, silting & relocate laundry. 8/7/06: Added (1) sink, (1) water "closet & (1)
tub /shower.
OWNER:. AUGUST, THOMAS PHONE #: 503:57931245•
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For:., Date: 9/7/2J06 Pour Time:
Code # Inspection Description Confirm # Contact # essage
240 • Exterior sheathing • 036167 -01 503 ¥ : vo
Corrections /Comments /Instructions:
•
•
•
•
•
•
•
4 , PASS ❑ PARTIAL APPROVAL _ ❑ CA NCEL, pi NO ACCESS
FAIL I I CALL FOR INSPECTION I 1 ADDITIONAL F ASSESSED
Inspector: _ 641.0 Date: Z' . • O, Phone #: ( 718 - e-
_ - •l.
•
CITY
OF 1'IGAR
BUILDING DIVISION PERMIT #: • MST200S -00007
13125 SW Hall Blvd., Tigard;. OR `97223, - DATE ISSUED: 5/11700.
Phone: (503) 6394171 .-• I
/ m��' �y��ii
Inspection Requests (24 Hrs.): (503) 639 = 41'75 • -!` II :.
•
INSPECTION WORKSHEET FOR DATE :• 9/6/1006 TIME: 7 :06Am •' PAGE: 11
SITE ADDRESS: 11810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
AUGUST
DESCRIPTION: Addition to master bath, sitting room & relocate laundry. 817/06: Added 0) sink, CO waiter closet & (1)
• .tub shower.
'OWNER: AUGUST, THOMAS PHONE #: 503 579.1245
CONTRACTOR: OWNER PHONE #:'
•
Inspection. Request Scheduled For: Date 9/612006 . Pour Time:
Code # • Inspection Description Confirm #f Contact ,# Message
699 e 036091.01 5B-3207424 Y'
Co tions /Comments /Instructioris:
l
•
•
•
•
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. Vov6 PASS _ARTIAL.APPROVAL Is CANCEL n NO ACCESS
•
n FAIL CALL FOR 'INSPECTION . i ADDITIONAL FEES ASSESSED
Inspector ( • Date: `‘ 'd• Phone # .(503) 718 Flo - /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EST 00 000 7
'131.25 SIN , Halle Blvd. Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639 -4171 Ipu�r ill
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION`WORKSHEET.FOR DATE: 9/6/2I06 TIME :. 7 :06AM PAGE: 11 .
. • SITE ADDRESS: 12810 SW WALNUT ST CLASS OF :WORK:
SUBDIVISION: . LOT #: TYPE'OF USE: ,
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room & reiocate laundiy. 8f7 /06:'Added:(1) sink, (1) Water closet & (1)
tubfshower.
OWNER: AUGUST, THOMAS PHONE #: 503-579-1245
CONTRACTOR :. 'OWNER PHONE #:
Inspection Request Scheduled Fon Date: 9/6/2006 Pour. Time:
Code # Inspection Description , Confirm # Contact # Message
240 I". xteiior sheathing , O36098 -02 L3-320-7424. . Y
Corrections/Comments/Instructions:
C1
•
n PASS n PARTIAL APPROVAL CANCEL I NO ACCESS
0.
[FAIL — CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C--,77
wT T Date: 1I Phone #: (503) 718 - L Z1
• CITY OF TIGA ' D 0 • .
BUILDING. DIVISION PERMIT # MS 2006-00097'
13125 SW Hall Blvd., Tigard, OR 97223 DATE'_ISSUED: 5124/2006
Phone: (503) 639-4171 Areti oil
Inspection Requests Hrs.): (503) 639- 41.75' iI- I.: ,
INSPECTION :WORKSHEET FOR DA TE:. /6/2006 TIME 7a16 PAGE: ''g
SITE ADDRESS: •1 2810 SW WALNUT Si" CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: . AUGUST
DESCRIPTION: Addition to master bath,, sitting & relocate laundry. e/7/06: Added (1) sink, (1) hater closet & (1)
tub/shower.
OWNER: AUGUST, THOMAS
• PHONE #: 503 - 675.145
CONTRACTOR: OWNER PHONE #:
•
• Inspection Request Scheduled For: Date: 902006 Pour Time:
Code # Inspection Description Confirm # • Contact ..# Message
. 230 Underfloor insulation 03609B -03 503-320=7424 . Y
Corrections /Comments /Instr ns: •
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or PASS 0 PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
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Inspector: CI f (U • Date: 7 - 1,—
Phone #: (503)' 71 • Z.-.6 /
,
'1
CITY of TIOARD 5
BUILDING DIVISION: PERMIT # C 2 N 6_ ooe> 97
' 13125 SW Hall Blvd.: Tigard, OR 97223 DATE ISSUED,: .
Phone: (503) '639 -4171 /u � di �m , Nl�it ° �'�
Inspection Requests (24 Hrs.): (503). 639 -4.175 ! -�; 'f ...
INSPECTION ,WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ./ _ `, 1 0 - . CLASS OF WORK` _.
SUBDIVISION: LOT #: TYPE OF USE:
' PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: •
ection Re - uest Scheduled For :. Date:
p g O Pour Time
Ins
Code # Ins ection Descliption Confirm # Contact # Message Ct 'oe ____,
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L, I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector. • 1 Date: / 5=.a Phone' #: (503). 718 Z`t4�$:
CITY OFTIGARD = 1
BUILDING DIVISION PERMIT #: i ST 00G-0 0 7
13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED:. 5124/2005
Phone: (503) 639- 4171 / ii i�uIPP�VI(I
Inspection Requests (24'Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: , .8,12/2006 TIME 7 :06AM PAGE: 6 •
•
SITE ADDRESS:, 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISIOW LOT #: TYPE OF USE:
PROJECT NAME: AUGUST
DESCRIPTION: Addition=to.master :bath, sitting room s & laundry.
•
OWNER:: AUGUST, THOMAS. PHONE #: 503 679.1245
"CONTRACTOR: OWNER PHONE #:
Inspection Request 'Sched'uled For: Date: 8/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
275 Framing 0342661)2 503-3204424 • N '
Corrections /Comments %'Instructions: • •
•
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1
•
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•
•
•
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•
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n FAIL , ! CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED •
. Inspector` ® - Date: 0 -' 0.. Phone #: (503) 71 "8- \ �
CITY OF TIG RD
L
w 7 0 . . ,
BUILDING DIVISION _ . :PERMIT #: MST200 00087
13125 S W H all Blvd., Tigard, OR 97223 DATE ISSUED: 5/2412000
Phone: ( ) 639-4171, Zeillillt "
Inspection Requests (24 Hrs.): (503) 639- 4.1.75, , __s., • ,
INSPECTION WORKSHEET FOR DATE; ' 802006 TIME: 7:06AM PAGE " 7
SITE ADDRESS: 12810 SW WALNUT ST " CLASS OF WORK: "
SUBDIVISION: LOT :# TYPE OF USE:.
PROJECT NAME AUGUST -
DESCRIPTION: Addition to master "bath, s tting.room & relocate laundry. .
OWNER . AUGUST, THOMAS PHONE #: 503 -579 -1246
CONTRACTOR: OWNER PHONE #: •
•
Inspection Request Scheduled For: Date: 8/2!2006 Pour Time
Code # Inspection 'Description Confirm # Contact #. Message
226 Post/beam s tructural 034266.01. 503 - 32 ¥
Corrections /Comments /Instructions:(�T' lO :c
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FAIL. ' '❑ ALL FOR INSPECTION n ADDIT 1 ONA FEES ASSESSED
Inspec dilitt / D ate P hon e #: (503 718=
.CITY OF TIGARD. • •
BUILDING DIVISION PERMIT #: MST2006 00097
131.25 SW Hall Blvd., Tigard, OR 97223 DATE 'ISSUED: 5/24/2006
Phone: (503) 639 -4171 114/40111111k, =
Inspection Requests (24 Hrs.) (503) 639 - 4.175. •
INSPECTION WORKSHEET FOR DATE:. 7113!2006 TIME:, 7:02AM PAGE: 42
SITEADDRESS: 12810 SW WALNUT ST CLASS, OF WORK:
SUBDIVISION: . LOT #:. TYPE OF USE:
PROJECT NAME`. AUGUST
DESCRIPTION: Addition to master°bath, sitting room & relocate, laundry.
OWNER:
AUGUST, THOMAS PHONE #: 503 1245
CONTRACTOR: OWNER PHONE # :.
Inspection Request Scheduled For.:, Date: . 7113¢2006 Pour Time 10:00
,Code # ,Inspection Description Confirm # Contact:# . Message
• • 206 • Footing 033039 -01 .. 603 - 320-7424 Y
Corrections/Comments/ Instructions: •
,
' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL , .I ALL FOR INSPECTION ' . ADDITIONAL. FEES ASSESSED
Inspector: 4 i Date:: 7—/- .Phone #: (50) 71 +8-
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST2006 -00097
13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: . 5/2412006
Phone:'. (503) - 639 =4171 �, ° I '
Inspection Requests (24 Hrs.): (503) 639-4175 ! 4 I� ;
INSPECTION; WORKSHEET FOR. DATE: 7113/2006 • TIME. 7:02AM PAGE: 41
SITE,ADDRESS: 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE USE:
• PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting. room &, relocate laundry. '
OWNER: 'AUGUST, THOMAS PHONE #: • 5
CONTRACTOR: O?NNER. PHONE #:
Inspection 'Request Scheduled For: Date: 71/3/2006 Pour•Time 10:
Code # . Inspection.,Description Confirm # - Contact # Message
210 ' ,Foundation *ails
033039-02 503 - 3207424' - N
Corrections /Comments /Instructions:
- 1�Y14i..tn.3yc d.- .) I. GcJaA - -1--i _ lid t - x.L s»-74%1 z/7. ir . .; y 4J �
PASS: I I APPROVAL PPROVAL
. ❑ .CANCEL - ❑ NO ACCESS
1 FAIL' I CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 �
Inspector: / Date: 7„- Phone #: (503) 71 .24'4b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M i'200&00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639 -4171 kovroi
Inspection. Requests (24 Hrs.): (503) 639 - 41.75' ..
INSPECTION.INORKSHEET FOR DATE: 9/28006 TIME 7 PAGE: 5
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYRE OF USE:
PROJECT NAME:' AUGUST •
DESCRIPTION: Addition to master bath, sitting room &: relocate laundry. 817/06: Added (1 sink, (1) water closet & (1)
tub/shower. 9/10/06: Added (6) branch circuits.
OWNER: AUGUST, THOMAS PHONE #: 503 - 579 -1245
CONTRACTOR: OWNER • PHONE #:
Inspection Request Scheduled For: Date: 9/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 037331 -01 503- 320 -7424 N
Corrections /Comments /Instructions:
•
•
•
•
•
•
,BASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: i j Date: i Ar Phone #: (503) 718-
CITY OF TIGAR 0
B
•
UILDING DIVISION . PERMIT #: M T 00s.o0097
13125 SW Hall Blvd.,, Tigard, OR 97223 - DATE ISSUED: 5/24/200
Phone: (503) 639-4171 isirgyuvi i�+�
AL Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR ' 'DATE: • 8/42006 TIME: 7:04Am . PAGE: '11
.
SITE ADDRESS: 12010 SW WAL NUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AUGUST •
DESCRIPTION: .Addition to masterbath, sitting room & relocate laundry.
OWNER: AUGUST, THOMAS PHONE #: 503- 579.1245. - .
CONTRACTOR: Wei tER PHONE #:
Inspection Request Scheduled. For: Date: 814/2006 . Pour Time:
Code # Inspection Description Confirm # Contact, # Message
315.. Postlbeani plumbing , 034410 -01 5103- 320-7424 N
Corrections /Comments /Instructions': -
•
./�,, pASS I :1 PARTIAL APPROVAL
_, Ell CANCEL n NO ACCESS
n FAIL . , 1 I CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED . (1 Al
Inspector: j� Date ` P hone #: (503) 718 G (
411/
CITY OF' TIGARD . Ank
IV
BUILDING DIVISION PERMIT #: °n
13125, SW Hall Blvd., Tigard; OR: 97223,
DATE ISSUED' 241 0U0
'Phone: (503) 639-4171 14814160i I i`-
Inspection Requests (24- Hrs.): (503), 639; - 4175 .
INSPECTION WORKSHEET FOR DATE 811/2006 , TIME: 7:'02At • PAGE: 3
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK: ,
SUBDIVISION: , #: TYPE OF USE :,
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath sitting room & relocate laundry.
OWNER :. AIJCU T,_THOMA P H O NE #: 503-579 -1245
., CONTRACTOR: OWNER • • ' PHONE #:
Inspection Request "Scheduled For: • Date: Q1i1006 Pour Time:
Code # Inspection Description Confirrn # Contact # • Message •
.
320 Plumbing rough -in • 034181. -01 , ' 503-320-7424 y
Corrections /Comments /Instructions: " .
F7 fr ), 6(—
. ,3
,74
-, .
•
ASS n PARTIAL APPROVAL n CANCEL • P) .NO•ACCESS,
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
M 440
Inspector - L
p Date: //1) . Phone #:. (503) 718
CITY OFTIG RD 410 •
BUILDING DIVISION G PERMIT. 1V1ST700&.00097
13125 S Hall Blvd., Tigard, OR 97223 DATE ISSUED: 55/24/2006
Phone :' (503) 639-4171 • �4P�iut6� -
lnspection .Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET'FOR DATE: 7/31/2006 TIME. 7 :06AM PAGE: 10
•
SITE ADDRESS: 128 SW WALNUT ST CLASS OF`1NORK
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room & relocate laundry.
OWNER' AUGUST, THOMAS • PHONE #: 603-679 -1246
CONTRACTOR: OWNER - PHONE # :_
Inspection, Request Scheduled For: Date: ..7/31/2006 PourTime:
Code #, inspection .Description:. Confirm # Contact # Message •
320. Plumbing rough -in - 034004 -01 503 - 320 -7424 N
Corrections/Comments/Instructions: '
•
•
n . PASS `G!•ARTI'AL APPROVAL Q CANCEL ❑ NO ACCESS
r:�a
FAIL CALL FOR INSPECTION ' ❑ ADDITIONAL FEES ASSESSED
Inspector: v Date: ' Phone # (503)'71.8-
i
CITY TIGARD 111
BUILDING ,DIVISION PERMIT #. Ni�aT t 06-00 7
13125 SW Hall Blvd., Tigard, OR 97223 5/24/2606 ISSUED: 5/24!2606
Phone: (503) 639-4171 •
Inspection Requests (24 Hrs.): (503) 639-4175 �I I
INSPECTION WORKSHEET FOR • DATE: 7/2}3/23(6 TIME: 7 01Am • - PAGE: -j
•
SITE ADDRESS: 1281.0 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT : TYPE.OF USE:
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room &:relocate laundry.
OWNER: AUGUST, THOMAS PHONES #: 693- 679.1245
CONTRACTOR: OWNER PHONE #: •
Inspection .Re Request Scheduled For: Date:
P q 7f20/2006 Pour Time :,
Code # Inspection Description • Confirm # Contact ,# - :: age
3) Rain drain 03399103. 503- 32117424; Y
Corrections /Comments / Instructions:
•
•
•
•
•
•
•
V PASS' n PARTIAL, APPROVAL. [] CANCEL ❑ NO ACCESS
n FAIL [l CALL. FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Gl� Date: . /7�
nP Phone #: 503 71
•
t P r .
CITY OF TIGAR
'BUILDING DIVISION PERMIT #:: MST2006 -00097
13125 SW Hall BIVd., Tigard, OR 97223 - DATE ISSUED :: 5l24 /2006.
Phone: (503) 639 -4171 l ivihomm iI
Inspection Requests (24 .Hrs.): (503) 639 -4175 .__.
INSPECTION WORKSHEET FOR DATE: 71280006' TIME: 7 - : O1Aivi PAGE: 2
SITE ADDRESS; 12010 SW WALNUT ST CLASS OF WORK: -
SUBDIVISION: - ,LOT #: TYPE OF USE:
PROJECTNAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room &. relocate • laundry.
OWNER: AUGUST, THOMAS - • PHONE #: 503 -579 -1246
CONTRACTOR: OWNER _ PHONE #:
Inspection Request Scheduled For Date: 772812006 Pour Time:
Code # - :Inspection Description Confirm # Contact # - Message, -
310 Crawl drain 033992 -02 •• 503 -320 -7424 N.
Corrections/Comments/Instructions:
•
•
•
•
•
•
•
a PASS - n PARTIAL APPROVAL ❑ CANCEL . • ❑ NO ACCESS
FAIL 1 I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: � "/ Date : 174g/ ,4 Phone #: ZZ17'
.CITY OF TI,GARD ,
BUILDING DIVISION PERMIT #: MST` 906 -00097
13125 SW Hall Blvd. OR 97223 DATE ISSUED: 5124/2006
Phone: (503) 639-417.1 rrr�y i
Inspection Requests (24 Hrs.): (503) 63 . , i ���u -i . I I
INSPECTION WORKSHEET FOR DATE: 7/28/0006 TIME: 7 :01AM PAGE: 3.
ACRcS$ •Fito "l 1Z5�
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: "- -'- L OT #: TYPE OF USE:
PROJECT NAME: AUGUST.
•
DESCRIPTION : : Addition to roaster bath', sitting room & relocate laundry_.
OWNER:.. ' AUGUST, THOMAS PHONE #:: 503 - 679 -1245"
,CQNTRACTOR ::. OWNER PHONE #:
Inspection Request. Scheduled For: • Date: 7/28/2005 • Pour Time: •
Code -# Inspection Description ' Confirm # Contact # • M';-
215. Footing drain 033592 -01 503=320.7424 c- --e--�::
`Corrections /Comments /Instructions:. •
•
•
•
•
•
•
•
•
•
•
•
/o. o
PASS ❑ PARTIALAPPROVAL. ❑' CANCEL ❑ NO ACCESS
FAIL •, • n . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date 7 / e3 oG Phone #: (503) 786V
•
CITY OF TIGAR�D
BUILDING; DIVISION', . .. PERMIT#: MST200& -00097
13125 SW Hall Blvd., Tigard„ OR 97223 DATE' ISSUED 6/24/2006 '
Phone:.(503) 639 -4171 /1„11��� I r
Inspection Requests (24. Hrs.): (503) 639 -4175 �) I
INSPECTION WORKSHEET FOR DATE: . 3/27/2007 TIME: 7 :02AM PAGE: 10
SITE ADDRESS: , 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:' AUGUST
DESCRIPTION: Addition to master bath sitting"roonl & relocato laundry. 8/7/06: Added (1) sink, (1) water closet & (1)
tub/shower. 9/18106 :, Added (6) branch circuits.
OWNER:. AUGUST, THOMAS `PHONE #: 503 -579 =1245
CONTRACTOR: OWNER, • • PHONE-#:
Inspection Request. Scheduled For Date: 3/27/2007 our Time:
Code: # - Inspection Description; Confirm-4 Contact •# Message
120 . rough -in. 600-01 03-320 -7424 Y
Corrections /Comments /Instructions:
1 19•' 3
•
PASS n PARTIAL APPROVAL ❑ CANCEL - n NO ACCESS
CALL FOR INSPECTION • n ADDITIONAL FEES ASSESSED'
Inspector: N V Date. '3` V] • t Phone # (503) 718= y •
CITY Y OF TIAG.ARD i , , , .10 .
BUILDING - DIVISION - PERMIT# Mi T200& 097
13125' SW Hall Blvd., Tigard, OR 97223. DATE' ISSUED: 5!24!2006
Phone: (503) 639 -4171 yp �, �'d
Inspection Requests (24 Hrs.): (503) 639'4175 ,�' 7I.w
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:06AM PAGE:. 3
SITE ADDRESS: 12810 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: - LOT #: TYPE OF USE:
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting, room & relocate laundry. 8/7/06: Added (`i) sink, (1) Water closet & (1),
• tub/shower. 9/18/06: Added •(8) branch circuits: .
OWNER: AUGUST, THOMAS - PHONE #: 508 - 579 -1245
CONTRACTOR: OWNER PHONE #: .
P- Inspection Request Scheduled For:. Date: 9129]2006' - Pour Time:
. Code # Inspection Description Confirm # Contact # Message
11.5 Electrical service 037422 -01 503-320-7424 N
Correctio ns /Comments /instructions:
FAN) (6 ox - I w 110101
0 ttC 1 4 cdz\i6L •fix g A T 'ZkTit IAQ,A / e
1 :
Fo:, w••=
PASS n PARTIAL APPROVAL CANCEL 0 NO ACCESS
F IL . n CALL FOR INSPECTION 1 ..1 ADDITIONAL FEES ASSESSED..
, I �
Inspector: � ` N 66 �` e
Date: ` 0'o` Phone #: (503) 718- 2.144):
_•�f; ¢gin .fir - .. r e ••
'CITY OF TIGARD •
_-- - BUILD1NG DIVISJOfIV - : = a 1=ERnnl� #' chi : :
13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED 5/24/7005
Phone: (503) 639 -4171 /rii�N�,���; •
Inspection Requests-(24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE :: TI ME: PAGE 80612� � 7:86AI� 9
SITE ADDRESS: 12810: S t #ALNUT ST. CLASS OF WORK.
SUBDIVISION: LOT #: : TYPE OF USE:• • ,
• PROJECT 'NAME: AUGUST
DESCRIPTION: Addition tomaster 5; th, sitting room & reloeateIaundry. 8/7/06: Added (1) sink, (1) water closet & (1)
tub /shower.
OWNER: AUGUST, THOMAS PHONE #: 503- 573.1245
CONTRACTOR' OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/02006 Pour Time:
Code #• Inspection Description Confirm # Contact' # i °y •
120 Electrical rough -in 036098-04 503-320 -7424
Corrections /Comments/ Instructions: •
itib. C * . , r 5
070 Z-- - Y ,� •
PASS PARTIAL APPROVAL. I CANCEL n NO ACCE
FAIL n CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED"
Inspector: C6 h - Date: 7-6 -oC., Phone # • :(503) 718-
CITY OF TIGARD 411
BUILDINGDIVISION P ERMIT# MST 2 00600047
13125.. Hall Blvd., -Tigar'd, OR 97223 DATE ISSUED: 5/240006'
Phone: (503) 639 -4171.. / rmdi l , 111ii II'I .
Inspection. Requests (24 Hrs.): (503) 639 - 41.75°
INSPECTION WORKSHEET FOR. DATE: 6/8/2006 TIME 7iO3AM - PAGE: 4
SITE ADDRESS: 12810 SW WALNU T ST CLASS OF WORK:
'SUBDIVISION:.. LOT #: TYPE OF USE:
PROJECT NAME: AUGUST
DESCRIPTION: Addition to master bath, sitting room .& relocate laundry..
OWNER: AUGUST, TIIOMAS PHONE' #: 503 - .579.1245
CONTRACTOR: OWNER • PHONE' #:
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: -
Code # Inspection Description Confirm # Contact # Message
115 Electrical service • 031397 -01 . 503-320-7424 Y
I o f 2 ssok C s
Corrections / /Instructions:
P
n PASS Zril PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL•FOR; INSPECTION n ADDITIONAL' FEES ASSESSED .•
Inspector:, • .IVO� Lt Date: C.' I k Phone. #: (503) 718- 241-x,
r •
- , Cl l'Y OF TIGARD y
n 1 :i125 SW )milt Blvd.
' � Tigard, i g ard, OR 9722
'i 503.639.4171 b39 4175
_ hlspt�on bequests
t.
S 12006-O009
. .
t
She Address siding roam & retnrate
'k , dditicn to master bath, s nk. (1) water t`Josn! &
sundry. 817 /06: Added (1)
dded if l branch Circuits.
1 j tubfshn.�ec 9116106. A hranch circuits will be
s escriptinn of the existing
■ .11110 ?: ('
i D i or heat pump.
, ,ontractor --••'
', nspection Request Scheduled For.
. • ctober 01, 2(11
�s• r
`i• ou r Time nsp e action
ction Code 99 Final insp � r 1245
� equest C ', 17484.01 503.79•
Phone ^�
oquestors
t •03-579.1245 f
esult Comments BUILDING REQUIRED. INSNEC;I eR GK[Al ED
NSPCC
I' OR FINAL 111NG � SN_C HON REQUEST:
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