Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION ;-DECEIVED
FROM: Juan Liu AUG 1 7 2022
COMPANY: Home owner/Juan Liu & Cimin Liang . ITY OF TIGARD
3UILDING DIVIrION
PHONE: 503-928-0368 II By:
EMAIL: suejuan2009@_gmail.com
RE: 12105 SW 123RD CT, TIGARD, OREGON MST2006-00163
(Site Address) (Permit Number)
This is a revision of MST2006-00163, MST2021-00181 is void.
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: .Copies: Description:
t Additional set(s)of plans. Revisions:
2 Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 1. Add a door in the corridor;2. Extend current closet to fit washer and
drier; 3. Add a kitchenette; 4. Add an exterior door; 5. Add a window near
the new sink; 6. Move the door of Bedroom 1 to a new position.
FOR OFI'ICE USE ONLY
Routed to Pe t Technician: Date: 5b/2Z Initials: -Wei—
,
Fees Due: Yes ❑No Fee Desc iption: Amount Due:
$ I
b- ev , r � $ LIe-
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: ti-el.- Date: It /i 41j , Initials:73,
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name: Juan Lie
Service Address: Street/Suite#: 12105 SW 123rd Ct
City: Tigard State: OR Zip: 97223
Phone Number: 503-928-0368 Email: suejuan2009@gmail.com
Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink x 1 = 1 x 1 = 1
Bidet x I = x 1 =
Clothes washer 1 x 4 =-4 1 x 4 = 4
Dishwasher 1 x 1.5 = 1.5 1 x 1.5 = 1.5 /-
1"Outside Water Spigot 1 x 2.5 = 2.5 x 2.5 =
Water Spigot,each add'l 1 x 1 = 1 1 x 1 = 1
Kitchen sink —1— x 1.5 = 1.5
x 1.5 =
Laundry sink x 1.5 =� x 1.5 =
'
Lavatory(bathroom sink) 4 x 1 X I = �—
Water closet, $t.6 GPF(toilet) x 2.5 = x 2.5 =
Bathtub/whirlpool ( x 4 = -1 x 4
Shower stall 1 x 2 = g- 3 x 2 =
Bath/shower combo 2 x 4 = 8 -2 x 4 = -8
Current Points: 25.5 Proposed Increase: 20.5
Current Points+Proposed Increase= 46 =New'At Points =Required Meter Size 1
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3 " 37.5 and over points= 1"
New Meter Size Needed for New Total Points: 1" 'C t: $ 24,886.00 se page 1)
t 5
Current Meter Size per Utility Billing: 5/8" .3�tf I ost: $ �,�� -1✓, see pa e 1
New Meter Size Cost minus Current Meter Size Cost= $ (Y' I i 3 —
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units) { t
*************************************************************************************
FOR OFFICE USE ONLY Meter will need to be increased to one (1) inch.
J Bentley 11/15/22
Current Meter Size Confirmed with UB
Signature of UB Representative Date
I:/Building/Forms/WaterMeters_070120Add.doCX Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . Water Meter Fixture Unit Worksheet
T I G A R D For Additions / Remodels /ADUs
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.Qov
LOCATION: City of Tigard—City Hall WATER METER SALES:
Utility Billing By Appointment Only: 503-718-2460
13125 SW Hall Blvd.
Tigard, OR 97223
METER: SIZE: FEE: Pricing effective 01/01/2021
5/8" $9,495.00 Fee includes:
3/4" $13,554.00 water system development charge,
1" $24,886.00 water meter, and
1-1/2" $73,689.00 meter installation fee.
2" $119,333.00
DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS
City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon
Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the
variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the
appropriate meter size.
Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed
increased number of fixture units, which will determine whether an increased meter size will be required.
Submit this signed worksheet with your building or plumbing permit application submittal.
DOCUMENTATION
Once you are ready to purchase the new meter, please provide the following items to the Utility Billing
counter:
• Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page).
• Copy of building or plumbing permit application date-stamped by building division.
• Copy of issued building or plumbing permit.
Your fixture count will be verified and your request will be processed upon receipt of these documents.
No exceptions.
INSTALLATION TIME
Once the upgraded meter size has been purchased, please contact Public Works for installation. Their
number is 503-718-2591. Most meters are installed within 10-14 business days.
1:/Building/Forms/WaterMeters_070120 Add.dOCX Page 1
Approved plans J SPECIAL INSPECTION REQtha D
chat! be on !ch s.D C.�"\,j,J >tate of Oregon Structural,S.peclalty Code
U
\� ;0 oncrete and Reinforcing Steel
i �3 Bolts installed in Concrete
1a s 1
,
0 Special Moment-Resisting Concrete Frame
I NEW T-6"DOOR, I 0 ReinforcingSteel &PrestressingSteel Tendons
1/G0
SEE FOR ( - REV IS ION
t
FRAMINGINN DETAIL I 0 tractor al.Weiding.
v v _, �! 0 Fe-Strength Bolting
.3
0 StructLralj Masonry J`
ry BEDROOM 1 BEDROOM 0 Reinforced Gypsum Concrete 2 1 PLAN GENERAL NOTE
\
kb� ��'4 0 Insulating)Concrete Fill - r--- 1.VERIFY WITH THE INSPECTOR FOR
1 (� ' J/ //-- THE DOUBLE LAYER DRYWALL
A,�`tIL (-�01��•L1T / L____,__,_ i_ l... IN pl INSPECTION.
1 i / . r7 Spray Applied Fire-Resistive M erials
\ 2 0, jy 4,i c�ff,ii±.�� [ R�1�J DD pp �T (�a 9 In 4 - — - __. Pi! NIAIIPR 7 �FOT2R�FE NCE�NLYiss ns -
- Shotcrete__ _,i- 1
' OFFICE COPY
• I t Speci rod `;g,Excavation 8r Filling
NEW 3'-0'WINDOW, • �'..
SEE 11G03 FOR 1 `11 I
FRAMING DETAL III Smoke CiO ntrOl Systems
9 I I
T. PLAN LEGEND
- ;, - I'E:, Other Inspections LIVING C �_ i t — EXISTING PARTITION
-I--. \l - 4
BATH I NEW PARTITION
\ \ I City of Tjgar �' EXISTING WINDOW
W Ii ,t 11�1/
■ 1
►pproved PI r� NEW W NDOW
N o (intro r-s', 4 9 r'
sy Date 3n ?? EXITING DOOR
IN P( CO0 �-- - , 25-11' / --T(/vlJ(Q bbll.G, 1 NEW DOOR
C-..f100L-A �x 1 . N.)ak- r0 1,21 t SUS l'1.--g--°j' c-k
GOI - Guest Room Plan 12105SW123RD CT,TIGARD 08-06.2022
NEW CRIPPLE STDS OVER
HEADER
(E)DBL TOP PLATE
--1771
— — NEW FULL-HEIGHT STUDS
ADJACENT TO HEADER
NEW(2)2X6 HEADER
TABLE R6027(2) \ S /
GIRDER SPANS'MO HEADER SPANS.FOR INTERIOR SkARING WALLS
(woYlam Wars ISO Douglas BNant,haailr,southern pine Ng sonswelnwer and required mulllw al IN w studs) \ /
HEADERS NV SIRLOINS Width. _._ \ /
[mu6+Is SIZE 20 a 21
SOPPORTIMG
ow NY soon NY soul NO \ /
2.-.2a4 3-I I 22 I 2.5 \ /
urea 94 1 Tu 1 3s \ /
NEW JACK STUDS
2-2a2 5+ 1 ss 2 4-5 _ OR TRIMMERS
12o le 24 2 61 1 15 \ /
1-2s0 tl 2 79 2 6-3 \
N /
Ow&mo.Iy 12+2 7-2 1 a3 1 17
12 a 10 24 1 I-7 3 69 CD j�
32aD 142 2 610 2 110 Z CV'1--. /
42.2 9A 1 24 I 49 (A
41aN 141 1 sa I x19 w NEW MENING
4-2a12 11-9 1 142 3 wI _ I / \
1-1 a 4 2-2 1 Ile I 1-7
z2.a 3-2 2 2-9 2 2-5 iri a / \
7 / \
2-2aa 4-I 2 16 _ 1-2 ..
2-2al 411 1 43 2 110 / A
2-2a 12 3-9 2 54 3 4-3 / \
Two Dame 11.2 11 2 4-3 2 3-11
3.22111 42 2 54 2 410 / \
12 n 12 7-2 2 63 2 17 / \
43e2 41 1 5.3 2 14 •
42a le 7-2 2 62 2 se / (E)SILL PLATE
4221E 4d 2 72 2 45 / A
Ice SI:i inch=2%4 mm.1heI =mt11 min / \ (E)SUBFLOOR
a.Spa are Omuta fret st r..lm.
I
b.No. or haute pads lumber siWl be used foe southern Om.leper totNatrd cahtm assume 22 bode lwnbee 3
c 11ai16atwiml a measured perpnrdimtbr to the rote Fr widths behave elowdown.spanuam permittedle be interpnlaed.
4We Humber arm*ads rapmd te aupµnt each eelWim.Oe umber of required jack buds 22.12one.We header in permitted n be supported b2 a 7-6" f
approved fmnint anchor auChd to the Wl4beipb d to bender.wall read and b .
1 FRAMING DETAIL AT INTERIOR DOOR
I'=1..0"
Pmx=r Dee
G02 - Guest Room Plan 12105 SW 423RD CT,TIGARD 0E-06.2022
•
TABLE B602.7(1)
GIBBER SPANS°AND HEADED SPANS°FOR EI9ERIOR WALLS
18Mnnan spans ter Douglas flNseh,MR6B 9OI r, Ahem pale and and required 06391E4I 44 LOA studs) NEW CRIPPLE SIDS OVER
I anouroswow LOAOw9p' I HEADER
allml393 AND '10 I a [ i°
11FAOER1 EDE el+11646 wid111 N00
fW° 1s 28 a 30 a 96 16 20 36 (E)DEL TOP PLATE
11P ✓> LW sp. N18 Egan x.P aA.l NS' Spat 14P Spn 6D° span tie 1pa 1 MY
I.2r1 46 1 3-10 1 3-5 1 39 12 t 210 2 -- - _- - - 4 - {
13a10 34 1 4-11 1 4-4 1 4-9 44 I 17 2
13612 611 1 311 2 5-3 3 5-9 4-12 36 3 1
23.4 34 1 32 1 3-10 1 12 2A 1 26 I 240 I 26 1 2-3 11 I NEW FULL-HEIGHT STUDS
3766 35 1 44 1 42 1 4.6 41 1 18 2 42 I 31 2 31 2 ADJACENT TO HEADER
23a8 610 1 311 2 34 2 3II 32 2 47 I 31 2 47 2 ' 61 2 -- - NEW(2)2X8 HEADER
12 a 10 65 2 7-3 2 66 3 7-3 61 2 37 2 66 2 5-7 2 56 2 -,
ROW 816I901396 2-2a12 - 9-9 1 15 2 74 2 65 7-3 2 66 2 741 2 66 2 610 3 N /
13 a 11 14 I 7S 1 68 I 75 63 2 34 2 66 I 39 2 3-2 13 N V
12a18 106 I 31 2 62 2 9-1 7-10 2 7-0 2 62 2 7-0 1 64 2 N /
12 a 12 12-2 2 167 2 35 2 (0-7 9.1 2 62 2 65 2 62 2 24 2 N. /
43 a II9-2 I 64 I 7-I I 54 75 I 64 I 74 1 66 I 541 I N. /
4-2910 114 I 106 I 95 2 1D6 9-1 2 8-22 2 3 2 5 1 1-2 3 13 1 N V
/ I NEW JACK STUDS
4.26 12 ' 141 1 ' Ill 2 10.11 1 12-I 167 2 33 2 1611 2 35 2 R-S • 2 N. / OR TRIMMERS
13a8 311 I 35 I 30 I 37 1I 2 be 2 N. V
1,2910 50 2 4-4 2 3-10 2 66 111 2 34 2 NEW OPENING
1-2a12 5.10 2 49 I. 2 42 2 15 4-2 2 34 2 / N.
Mu 4 31 I 24 1 25 1 2-9 25 1 22 I 27 I 25 1 2-0 1 / N.
1 2-266 46 I 40 1 11 2 41 11 2 31 2 39 2 33 2 I-II 1 / N
2-2 all 5A 2 5.0 2 -4-6 2 5-7 46 2 41 2 49 2 42 2 39 2 1 / N
RwE cN168 2-2a 10 74 1 6-2 2 36 1 64 56 2 30 1 59 2 61 2 4-7 1 / N. N
tean,,,Ra1r 1.2 a 12 -41 I 7.1 2 65 2 74 61 1.9 1 64 ' _ 318 1 3-3 3 /
62 a 6 3.2 1 62 2 La 2 6.3 5.11 2 31 2 5.11 _ 37 1 43 1 / N
33 a 10 69 2 74 2 611 2 7.11 611 2 6.3 2 - 7.3 2 64 2 51 2 / N.
12 a 11 10-2 2 1811 2 60 2 32 1.4 2 7.3 2 65 2 74 2 67 2 r ,
42 aR 61 I 7-1 1 67 1 7.5 --- 66 1 SII 2 610 I 60 2 5-5 12
62 a 10 161' 1 6N 2 10 3 9.1 14 2 7-2 2 34 2 7-4 2 67 I 2
42 a 12 11-9 2 163 2 63 7 667 9-3 2 64 2 94 2 66 2 7-7 2
1-26R 36 1 30 I 241 1 3-5 211 I 37 2
1.2 a 10 46 1 310 1 33 1 44 3-9 1 31 2
1-2612 36 1 42 2 33 2 tJ _ 3-11 2 11 2
23.4 24 1 2.4 1 2.1 1 27 2.3 1 24 1 25 1 21 I 31-10 1
22 66 3-11 I 1-1 2 30 2 3-10 34 2 30 2 15 2 11 2 124 2
±68 30 2 44 2 310 2 410 1 42 2 19 2 46 2 3-11 2 136 2
R°°LR'E°R 12a10 31 2 33 2 41 7 3-13 2 5-1 2 47 3 56 2 49 2 47 3
and one 1*.
9pr floorI 2-2612 11 2 61 3 35 3 6161 2 5-11 3 54 3 64 2 5-63 5-0 3
32•11 63 2 35 2 4-10 2 61 S 33 2 41 2 34 2 411 2 41
12 a 10 7-7 2 6-7!2 311 1 76 2 65 2 39 2 6-10 2 60 2 34 2
12a12 60 2 74 2 610 2 67 2 7-5 2 64 I 7-11 2 611 2 65 2 q ' jr
62.1 7-2 1 63 2 37 2 71 1 61 2 33 2 66 1 34 2 5-1 1 1..
42 a 10 69 1 73 2 60 _ 67 2 7,1 2 67 2 7-I I 2 61I _ 62
42 a 12 101 2 610 2 7-11 2 9-11 1 67 2 74 2 93 2 14 2 7-2 2
1 FRAMING DETAIL AT EXTERIOR WINDOW
1-_1.-0.
Prol Dem
G03 - Guest Room Plan 12105 SW 123RD CT,TIGARD 08s-2022
3 -
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 Transmittal Letter
T I c A R o 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 1/G- YYf C' kl DATE RECE
DEPT: BUILDING DIVISION �®
SEP 0 7 2021
FROM: ,TW41A/ 4/ Gl CITY OF TIGARD
BUILDING DIVISION
COMPANY: A
PHONE: /
EMAIL: .'LL f u,q 0 ,20'0 JC 44 a, D rki
r /r e
RE: /./D -S - ct 42 3 '";L /`IJT,dv/ - 0D/63
(Site Address) (Permit Number)
Li /9-NG
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
1 Copies: Description: Copies: Description: .:„
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. .3 Engineer's calculations.
Other (explain):
REMARKS:
FOR FFI E USE ONLY
Routed to Pe ' Tec ' 'an: Date: I 5 y 1 Initials: AA—
Fees Due: Ye No Fee Descrip ion: ll Amount Due:
/ $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No v ❑ Done
Applicant Notified: 1-477------Date: 9((C(iLi Initials:
I:\B u i I d i n gT o rms\T rans m i ttal Lette r-Revv ii s i on s_073120.d o c
CITY OF TIGARD MASTER PERMIT
'',II DEVELOPMENT Permit#: MST2006-00163
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 MI
Date Issued: 04/25/2007
Parcel: 2S103BB10800
Jurisdiction: TIG
Site address: 12105 SW 123RD CT
Subdivision: Lot:
Project: LIANG
Project Description: Addition
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 248 sf Basement: sf Left: 5 Parking Spaces:
Height: 20 Bathrooms: 4 Second: 2048 sf Garage: sf Front: 20 Smoke
Dwelling Units: 1 Third: sf Right: 5
Detectors: Yes
Total: sf Value: $217,396.00 Rear: 15
PLUMBING
Sinks: Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: Urinals:
Lavatories: 4 Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: 3 Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures: 0
Drywell-Trench Drain: Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: 1
NAT Heat Pump: N Hoods: Other Units: 1
Furn<100K: Vents: 3 Woodstoves: Gas Outlets: 1
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 1 0-200 amp: W/Svc or Fdr: 4
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF 5N R3
Owner: Contractor:
CIMIN LIANG Required Items and Reports(Conditions)
JUAN LIU
12105 SW 123RD CT
TIGARD,OR 97223
PHONE: 503-524-6015 PHONE:
FAX:
Total Fees: $2,913.90
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i _._ **----� Permittee Signature: mf�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
�, f `� , :::
ii Q Y 006 -00163
�t f� ,
y8 a .�; k �
COMMUNITY DEVELOPMENT DATE ISSUED: 4/25/2007
IFI TIGR D4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
- PARCEL: 2S103BB - 10800
SITE ADDRESS: 12105 SW 123RD CT ZONING: R -4.5
SUBDIVISION: YE OLDE WINDMILL LOT: 028 JURISDICTION: TIG
PROJECT: LIANG
Project Description:' Addition
•
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 20 FIRST: 248 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE ' USE: SF FLOOR LOAD: 50 SECOND: 2,048 sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 2296 sf 217,396.00 REAR: '15
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DtSP: WATER HEATERS: WATER ONES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 0
MECHANICAL
. FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: 1
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 ,
MAX INP: btu FLOOR FURNANCES: VENTS: 3 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADM. INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 4 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR:
UMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL IN PLANT:
MANU NM /SVC/FOR: 601 - 1000 amp: 601 «amps- 1000v: MINOR LABEL: NI
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
v=4 RES UNITS: SVCIFDR> =225 k: > 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: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: 0
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
VIP
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
CIMIN LIANG OWNER laws. All work will be done in accordance with approved plans. This
TUAN LIU permit will expire if work is not started within 180 days of issuance, or
12105 SW 123RD CT if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97223 i 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 - 524 - 6015 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 2,913.90
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Bolts in concrete
i . i
Issued By : X i s , g - 10. . - ! Perrnittee Signature : X �. r �`___ `- � � , �
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.
� ' CITY OF TIGARD MASTER PERMIT
III PERMIT #: MST2006 -00163
COMMUNITY DEVELOPMENT DATE ISSUED: 4/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BB -10800
SITE ADDRESS: 12105 SW 123RD CT ZONING: R -4.5
SUBDIVISION: YE OLDE WINDMILL LOT: 028 JURISDICTION: TIG
PROJECT: LIANG
Project Description: Addition
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 20 FIRST: 248 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 2,048 sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 2 396.00
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 2,296 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: 1
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 3 W0ODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 4 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401. 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL S 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
CIMIN LIANG OWNER laws. All work will be done in accordance with approved plans. This
TUAN LIU permit will expire if work is not started within 180 days of issuance, or
12105 SW 123RD CT if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97223 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 -524 -6015 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 2,913.90
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Bolts in concrete
Issued By: t _ , _ / i i/_ .1 / Permittee Signature : J r ----� — � • 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 o_ f Tigard, Oregon 0 13125 SW Hall Blvd. 0 Tigard, OR 97223 m�olo
L2�A" k
OP
131) 41„ ftn
V
May 1, 2008 �v .0
Cumin Liang / Tuan Liu
12105 SW 123rd Ct
Tigard OR 97223
RE: Permit MST2006 -00163
This letter is notification that the referenced permit for the work at the above address has not
received a final inspection. Since more than six months has elapsed with no inspection activity, it is
assumed that the work has either been suspended or abandoned and this permit will be expired by
limitation as provided in Section R105.5 of the Oregon One & Two Family Dwelling Specialty
Code.
Please be advised that, in the event of a subsequent sale of your home, the lack of inspection
approval for this permit could delayclosing. The lending institution and /or the title company may
require proof of a completed permit for such work prior to the sale of the property.
We will allow thirty (30) days from the date of this letter to apply for reinstatement of this permit for
the purpose of final inspection(s). Certain fees will be applicable at the time of reinstatement.
A reinstated permit will be valid for 30 days. If the required inspection(s) fails, you will have an
additional 30 days to make the necessary corrections. A minimum fee of $70.00 will be assessed for
additional inspection(s). If you fail to request these additional inspection(s), this peiinut will be
expired without the opportunity for reinstatement.
If you have any questions about the permit or its status, please call;Jeanne Temple in our office at
503 - 718 -2433, Monday- Friday, 7:00 a.m. to 3:00 p.m.
Sincerely,
j tt I.. b y ;nnr
Darrel "Hap" Watkins
Inspection Supervisor
cc: Property File
Phone: 503.639.4171 0 Fax: 503.684.7297 0 www.tigard-or.gov ® TTY Relay: 503.684.2772
t
Building Permit Application FOR OFFICE USE ONLY
City of Tigard CE V ET
Date/By: 1 t0 0 6, , f� PermitNo.: )41 - � f Zj
13125 SW Hall Blvd., Tigard, Ag,23 Plan Review
Phone: 503.639.4171 Fax: 503.59$11tQ60 1 0 2006 ��'t / "i�M, j l+ti °'j DaDate/By: 'k .\ ' 01, 1 /
Other Permit:
Inspection Line: 503.639.4175 JJ Vv ►t-- 11 .,� Date Ready /By: '/ Juts 0 See Attached Checklist for
CIT
Internet: www.ci.tigard.or.us Y OF TIGARD Notified/Method: 7 r L I i 1 C Supple ental Information
all ING DIVISI - 1 OM 1
TYPE OF WORK REQUIRED DATA: - AND 2 -FAMIL ! i WELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest ,dollar) of all
Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
eV 1- and 2- family dwelling ❑ Commercial/industrial
Valuation: $ AA
❑ Accessory building ❑ Multi - family Number of bedrooms: T
❑ Master builder ❑ Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCAT,7,ON Total number of floors: 2. c�
Job site address: f,./a S- $W & Ji, New dwelling area: 7 ? sqi Z r8 feet
City/State /ZIP: / 97z2-3 Garage/carport area: l square feet
Suite/bldg. /apt. no.: � Pto ect name: g,„ A ,94 N1 Covered porch area: La U (p . square feet
Cross street/directions to job site: Deck area: square feet
, l Y eil"r /?'Q _ � L y / 2 Other structure area: square feet
c i —
e - a . REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: `d Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
11 ,_ Valuation: $ 7.---- -- --
igcalGt r�•t... Q1 c I a.7( aia. n n rtit
6.of'av r �Z�C /_ „ 4vp ! e /r S Existing building area: square feet
'� 1G2 � '`t/fJ New building area: square feet
EZ PROPERTY OWNER / ❑ TENANT Number of stories:
Name: G j/ Z--;a. �' TK .4n Z- K Type of construction:
Address: /240 f SK) J/2 f r ?( `i Occupancy groups:
City/State /ZIP: 7i , (2/2 ? . ? 2--2- j Existing:
Phone: (Cd?) f"1 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the �"
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( )
E -mail:
CONTRACTOR
_Business name: n W A) c BUILDING PERMIT FEES*
Address:
Please refer to fee sched e.
City /State /ZIP: A5y� •
Fees due upon application CCJJ
Phone: ( ) Fax: ( )
Amount received O �' aJ
CCB lic.:
Date received: 1 (1 ( 4 00
Authorized signature: ‘ This permit application expires if a permit is not obtained
— within 180 days after it has been accepted as complete.
Print name: cii `70._ ,y Date: 7 7ae✓6" * Fee methodology set by Tri County Building Industry
'"' Service Board.
i:\Building\Pennits\BUP- PermitApp.doc 12/03 C l m r-1 / 4440- 4613T(11 /02 /COM/wEB)
�� Wk \ 00 • C6rV1
One- and Two - Family Dwelling '
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 �/o � +`
24- Hour Inspection Line: 503.639.4175 i = .I II ❑ 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. ❑ El ❑
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 LI plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 / Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state CI ❑
wilding 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.
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 -fl. 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 Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
Illa Two (2) sits each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Buil , mg 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. ❑ ❑ ❑
�2:2Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include 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.
I: \ Building \Permits\BUP- RES- PermitApp.doc 2
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE :t Received
Date/By: 7 iC C )1 I P No.: ,G � - •00/ 6 / 3
Q
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 J U L 1 0 0 //, / / 1 N ' � " ' 1 i Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 c' -� =•I I� Date Ready /By: � . El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: l IC. Supplemental Information
TYPED DIVISION FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
JJ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
I=1 Accessory building ID Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: /J /0,,t " " " S141 ..2-g yot ce , Catch basin or area drain 16.60
City/State /ZIP: 7, (-a.r _ , 0 9'77 - 3 Drywell, leach line, or trench drain 16.60
o u I y ^ .46-Lim
.�
Footing drain (no. linear ft.: ) Page 2
Cro bldg. /apt. no.: Project name: rJ l ( x '(�
Cross Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
/ P '7 /L �1✓ Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: 74 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Suit/ 0.02 CLO i 4 al 166 404-Wed If Backwater valve 16.60
` .�� . 62.01, -Q�r - Clothes washer 16.60
�' Dishwasher 16.60
ket - t_ Drinking fountain 16.60
I
Kt PROPERTY OWNER ❑ TENANT
// Ejectors /sump 16.60
Name: � /;t.. �� TK.dLt Z...4 (4 Expansion tank 16.60
Address: /2,./0 t" s•-• 1 ,3 roe. ! Fixture /sewer cap 16.60
City/State /ZIP: 7,, ,.., , 0/2 92 2 2 - 7 Floor drain /floor sink/hub 16.60
Phone: (r03) 1 - l l j 0i, f - Fax: ( ) Garbage disposal 16.60
❑ APPLICANT Hose bib 16.60
❑ CONTACT PERSON
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( ) r- Sink/basinfiavato l y 16.60
, Tub /shower /s ower pan
.3 16.60
E -mail: Urinal 16.60
CONTRACTOR J Water closet Z 16.60
Business name: 0w0 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.: Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: -
TOTAL PERMIT FEE
"
Print name: C, ,;(7,7,01‘ , '
,;( Date: 7 /O .43- . 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:\ Building \Pemits\PLM- PennitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
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
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes ", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * .
Quantity by (Fixture) Work Performed
Fixture Type: Replace
New Moved Existing Capped Comments regarding fixture work:
Baptistr
Bath - Tub /Shower
- Jacuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor/Water Aspirator
Dishwasher - Commercial
- Domestic
Drinking Fountain
Eye Wash
Floor Drain/sink - 2"
-3"
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial *Note: If the fixture work under this permit results in an
Industrial increase of sewer EDUs, a sewer permit will be issued and
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall
Sink - Bar/Lavatory Quantity Total
- Bradley Isometric or riser diagram is required if fixture quantity
- Commercial
Service total is >9.
Swimming Pool Filter
Washer - Clothes
Water Extractor Plan Review
Water Closet - Toilet Plan review is required if fixture quantity total is >9.
Urinal
Other Fixtures:
i: \ Building 'Permits\PLM- PermitApp.doc 3/03
1
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE Received /� 9�„/ —60/6, 3
f1 ec e B y: 7 /0 06 �. Permit No.: �6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1 0 2 �� !��",'i$ -`; l D ate/By: Other Permit:
Inspection Line: 503.639.4175 _ll�. ` Date Ready/By: �J See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: / / (, Supplemental Information I
TY�IVISIOI PLAN REVIEW I
❑ New construction Addition /alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: 0 Service over 225 amps, comm'l ['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
91 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more
0 Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: I Job site address: 42 J - sty /2-3y a. El Health-care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: 7/8-0 , 0/2 97 yi 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: 8 t4i (d. A106-k4,1 FEE* SCHEDUL —
Description I Qty. I Fee. I Total sa
Cross street/directions to job site: kt2 e/ vai r .,L a J i 2 / New residential single- or multi - family dwelling unit.
C oj Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: 4 Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK • Each manufactured or modular
J r0( _ J /. r 1 `� r _ / dwelling, service and/or feeder 90.90 2
O ul�c(JG6L(,819 (tj� GGtR )ZOT —uI�YU GO?/�P/1 �L01 Services or feeders installation, alteration, and /or relocation
e/ ', - � � 200 amps or less f 80.30 2
1 PROPER OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Gi ",�a z.,� 7w _e.�. /....--,G( 601 amps to 1,000 amps 240.60 2
Address: / L /O,r S /2--? ed Get" Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: 71_ , 'R 9 7 ?. y j Temporary services or feeders in ation, alteration, and /or
2
Phone: (PP? ) s -2. 4 , I 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, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each ' 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City /State /ZIP: ' cellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: 01,013f-a- extension. Describe: Page 2 2
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 10 . 9
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) .55
-_ TOTAL PERMIT FEE
Authorized signature: �T / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: ' 4/f * Fee methodology set by Tri -County Building Industry Service Board
/ 7 / '
' O ** Number of inspections per permit allowed.
is\ Building \Pennits\ELC- PermitApp.doc 12/03 44044615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
n Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
n Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
I I Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
• ❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\Building\Permits\ELC- PermitApp.doc 04/03
Mechanical Permit Application FOR OFFICE USE ONLY
Received f �
City of Tigard Date/By: 7/e 062 6-34/9 Permit No.: j-1 r: ,� yvn _n p 163
R E C E I V
13125 SW Hall Blvd., Tigard, OR 97223 w 11 t.
A am Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
, p ,
DateBy:
Inspection Line: 503.639.4175 JUL 1 0 ; n� L ' ' ' I
_„ , l. Date Ready/By: Iuris: PI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ern Supplemental Information
CITY OF TIGARD
TYPPYRak COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Q 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: $
1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description • Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling , r
Air conditioning or heat pump
sr.,
Job site address: /Z1 .5 12-f yd (requires site plan showing placement) 14.00
City/State /ZIP: 7;1 / 0A7 972'2-3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: gco l ei d Gas heat pump 14.00
Cross street/directions to job site: ' r, Duct work 14.00
�/ _ 1 Hydronic hot water system 14.00
/� /�:«'l.P./rifi P . S/J<_ L 1 and .2'3 rel Residential boiler (radiator or
Cam' Unit heaters ic) 14.00
Unit h (fuel -type, not electric), 4
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Z Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
/ 6� / Gas fireplace I 10.00
/j�[(if( ___ a iLQ -ule-fii" Flue vent for water heater or gas
�/ - , ��,, y� fireplace 10.00
1 7' �i — X7 10 1 . '�. `'� ter of at). Q ;'Sit f Log lighter (gas) 10.00
1s46,Q n ✓ Wood/pellet stove 10.00
E / e 'OD - Da f d rS 'y Gel LL-15 Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
// Other: 10.00
Name: G / m,jl, 1--" z ZGl Environmental exhaust and ventilation
Address: /a /Dt 5Cc� /Z3 YCI ,,""//. Range hood/other kitchen
equipment 10.00
City/State /ZIP: 7� 0/2 97;21 Clothes dryer exhaust 10.00
�/ Single -duct exhaust (bathrooms,
Phone: (b3 ) - o G 1 Fax: ( ) toilet compartments, utility rooms) .R 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump •
City/State /ZIP: Wall/suspended/unit heater _
Phone: ( ) Fax: : ( ) Water heater
Fireplace 1
E -mail:
Range
CONTRACTOR Barbecue
Business name: C /(.CJ , Clothes dryer (gas)
Other:
Address: _ MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: �/� 'r� T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: G,/fret L'ay, Date: 0624 -O6- * Fee methodology set by Tri -County Building Industry Service Board
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
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
1111
S
July 18, 2006
Cimin Lung T I G A RD
12105 SW 123r ct.
Tigard, OR 97223
RE: Addition to single family residence
Project Information
Building Permit: MST2006 -00163 Construction Type: VN
Address: 12105 SW 123` ct. Occupancy Type: R -3
Area: 1826 sq. ft. Stories: 2
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
2004 edition; the State of Oregon Residential Specialty Code (ORSC) 2005 edition and the
Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The submitted plans
have been reviewed and the following information is required prior to issuance of the permit.
1. Please show all smoke detectors on the plans as required by R313.
2. Please show safety glazing in all locations as required per R308.
3. Please show bathroom ventilation as required per R303.
4. Please identify the type of fireplace to be installed on the main floor and include on the
mechanical application.
5. Please show minimum energy code requirements as required per chapter 11 either using
one of the prescriptive paths or whole house energy calculations.
6. Please provide engineered truss design drawings as required per R802.10.
7. The plans as drawn do not meet the prescriptive requirements for lateral bracing. Please
provide an engineered lateral design for the entire structure per R301.1.3.
8. Please identify all beams on the plans and provide calculations for such per R106.1.1.
9. 5/8 type x gypsum board is required on the garage ceiling under habitable space above
per R309.2. Please show this element on the plans.
10. The existing 12 "x6" footing shown on the plans does not meet the code minimum for a
two story structure per tableR403.1. Please provide an engineered design for footings in
question.
• When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of
Tigard in tracking and processing the documents.
Respectfully,
Mark VanDomelen,
Plans Examiner
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
July 18, 2006 C/
Cimin Liang L T I GARD
12105 SW 123` ct. JOY n ' l
Tigard, OR 97223 -
RE: Addition to single family residence
Project Information
Building Permit: MST2006 -00163 Construction Type: VN
Address: 12105 SW 123` ct. Occupancy Type: R -3
Area: 1826 sq. ft. Stories: 2
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
2004 edition; the State of Oregon Residential Specialty Code (ORSC) 2005 edition and the
Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The submitted plans
have been reviewed and the following information is required prior to issuance of the permit.
Please show all smoke detectors on the plans as required by R313.
First floor smoke detectors not shown on the revised plan
- Response not accepted.
— 2. Please show safety glazing in all locations as required per R308.
"Bottle glass" next to front door does not meet the requirements for safety glazing
- Response not accepted.
--3. Please show bathroom ventilation as required per R303.
No bathroom ventilation is shown on the first floor, and the bath fan for the Master
Bath is missing
- Response not accepted.
411 Please identify the type of fireplace to be installed on the main floor and include on the
mechanical application.
Direct vent gas fireplace shown on plan.
- Response accepted.
Please show minimum energy code requirements as required per chapter 11 either using
)\ one of the prescriptive paths or whole house energy calculations.
'X No prescriptive energy Path identified, insufficient information for insulation of walls,
( ceilings, and underfloor.
- Response not accepted.
Please provide engineered truss design drawings as required per R802.10.
. Trusses provided do not cover entirety of addition, no additional roof framing
information provided for these areas.
- Response not accepted.
\1
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
•
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
n
T I GARD
7. The plans as drawn do not meet the prescriptive requirements for lateral bracing. Please
provide an engineered lateral design for the entire structure per R301.1.3.
Engineered design for lateral bracing is missing calculations, details for any shear
transfer, an• : - _::.: .:• . - • • • �. .. _ •d to the existing foundation.
- Response not accepted. ( toOy p ' {-O V'1C�,Q ()Wail
8. Please identify all beams on the plans and provide calculations for such per R106.1.1.
The span tables provided are not beam calculations, and do not provide sufficient
information. (' K (0Q -2r ✓l •
- Response not accepted.
9. 5/8 type x gypsum board is required on the garage ceiling under habitable space above
per R309.2. Please show this element on the plans.
Not shown on revised plans
- Response not accepted.
1.1 The existing 12 "x6" footing shown on the plans does not meet the code minimum for a
two story structure per tableR403.1. Please provide an engineered design for footings in
question. ea aI0 , ISO C7 '
The engineered footings assume < 1585 y. f soil bearing capacity; this is not allowed
without a complete geotechnical eva uation. The engineered design to allow a second
J story on the existing foundation does not address the existing foundation not meeting
code minimum.
- Response not accepted.
11. The revised stairs require specific provisions of Section R311.5.3.2 to be met for the
winder treads. Please provide a detail showing compliance with this code section.
12. The Engineer's response includes a noted "reinforced beam" please clarify if th}s is a
stem wall and if so what size footing is under it. -4 Sc 1)-- { h c p - �/ O l C o ✓ C6B 1-
a`
13. The revised plans show no new location for crawl access, please provide location of any � c.
necessary new crawl space access locations per R408.3
submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of
Tigard in tracking and processing the documents.
Respectfully,
Loraine Williams,
Plans Examiner
loraine @tigard - or.gov
phone: 503.718.2708
fax: 503.624.3681
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard or.gov • TTY Relay: 503.684.2772
BEtEN 3u‘_ 1 p 'Nob Permit #: Ho 1(0
CITY (--) pj v j VON Address: /�d 5 (ac;
BUILDING
Issued by: _ Date
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:
z 1. I own, reside in, or will reside in the completed structure.
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
k z . 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.
(Signature of permit applicant) ( ate)
(White copy to issuing agency permit file,
pink copy to applicant)
, ^ �
Information Notice to Property Owners
About Construction Responsibilities
8o/e: This ho6,maxi,n Notice oo Property Owners about Construction Responsibilities
was developed by the Construction Contractors Board inaccordance with ORS 70/.055(5).
If you are acting as your ossn contractor to construct a new home or make a substa tin} 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 iinprovemeiit ofa residential structure. you will, in most instances, be ruled to he an employer and the people
you hire will be employees. As the employer, you must comply with the following:
'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 ot'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. tfyou fail to obtain workers' compensation insurance, you may
besuhwcttopeuu|deuondnU|he|iub(cK/ruUc|aimuussifoncof}nurcmplo}ccsisi urcdon\hcjuh.Formoreiobxmu1ion_
call the Worker 'CompensuhunDhisinout|heDcpaumcn8n[[onyumerandBunineusServiocsut44
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 ifyou didn't actually withhold the tax. Formore information, callthe Internal Revenue Service
at 1'800'829'1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: /\x the permit holder for this project, }vouopcsponsih|eforrcma|vingxnyhui|ure0orncctcnduroquin:mootu
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 vow 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.
lfyou have additional questions. write or call the Construction Contractors Board ftO Box 14140. Salem, OR 97309-5052,
503S78'4621). The Board is located at 700 Summer Sc NE Suite 300, in Salem,
pmn'°^o.pm4
1 /9w
CITY OF'TIGA D •
' BUILDING DIVISION • PERMIT #: MST2006- . 001 . 63
13125 SW Hall Blvd.,, OR 97223 ' DATE ISSUED: 4/25/ .2007
Inspection Requests (24 Hrs.): / II �I I � I
Ins Phone: (503) 639 -4171
p q ( cs): (503) 639-4175 �' __.., '
INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7 :,61AM PAGE: 7
SITE ADDRESS: 12105 SW 12jRD CT .. CLASS OF WORK:
SUBDIVISION: YE OLDE WINDMILL LOT` #: 028 TYPE OF USE:
PROJECT NAME: LIANG '
DESCRIPTION: Addition '
OWNER LIANG, CIMIN PHONE #: 503 - 5246015
CONTRACTOR: OWNER - PHONE #:
i
Inspection Request Scheduled For: Date: 6/23/2008 Pour Time:
Code # - Inspection Description Confirm # Contact # Message .
2 :36 Shear 'walls/anchor s " 071739-02 503.524 -6015 N
Corrections /Comments /Instructions: ,
/ /v/ . • .,1 ' r . . . „ _ i L . ,s,e •'. }, t, a .rL� a —eG �.
_ 1 c . Z.5-' . - ) _ i -- _eL
. r ..
PA El PARTIAL APPROVAL CANCEL n ' NO ACCESS
FAIL CALL FOR INSPECTION • ❑ ADDITIONAL FEES,ASSESSED
Inspector: Date: - -o& Phone # (503) 71$- r
•
CITY F TIGARD •
BUILDING DIVISION PERMIT. MST2006- 00163'
13125 SW 'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2512007 • -
Phone: (503) 639 -4171 •
Inspection Requests (24 Hrs.): ,(503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0 6/23/2008 .TIME: 7 :01AM . PAGE: 5
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:
SUBDIVISION: YE OLDE WINDMILL LOT #: 028 TYPE OF USE:
PROJECT NAME LIANG
DESCRIPTION: Addition
OWNER: LIANG, CIMIN PHONE #: 503. 5247601
CONTRACTOR: OWNER PHONE #: '
•
. Inspection Request Scheduled For: Date: 6123/2006 . Pour Time:
Code # Inspection Description Confirm # Contact # Message '
275 •Framing 07173 501524 -6015 N
Corrections /Commen is /Instructions :
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL .. n NO ACCESS
FAIL ❑ CALL. FOR INSPECTION _ ,A DDITIONAL FEES ASSESSED •
Inspector: Date: Phone #: (503) 718 -�
CITY OF TIGARD
10 .
0 .
BUILDING DIVISION PERMIT #: IvMST2006-00163
131'25 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 4/25/200/
Phone: (503) 639 -4171 + 4Pu�i7��1
Inspection Requests (24 Hrs.) (503) 639 -4175 '. �:_. .
INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7 01AM PAGE: 6
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:
SUBDIVISION: VE OLDE WINDMILL LOT #: 028 TYPE OF USE:
PROJECT NAME: LIANG
DESCRIPTION.: Addition
OWNER: LIANG, CIMIN _ PHONE #: 503. 5246015
CONTRACTOR: - OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 I xterior sheathing 071739 -03 503 -524 -6015 N
Corrections /Comments /Instructions: -
❑ P ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:, D ate: G —Z3 0 o Phone #: (503) 718 - - 2- 4- 4-'6f
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: MfSr2a%a5 00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41.751200!
Phone: (503) 639- 4171 mv 7 �l�i�rpll l tl
Inspection Requests (24 Hrs.): (503) 639 -4175 '_,.. •
INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:
SUBDIVISION: YE OLDE WINDMILL LOT # 028 TYPE OF USE
PROJECT NAME: LIANG
DESCRIPTION: Addition
OWNER: LIANG, CHAIN PHONE #: 503 - 524 - 6015
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For.: Date: 6/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Underfloor insulation 071739 -01 503 -524 -6015 N
Corrections /Comments /Instructions:
T ��y
❑
PASS____, 411 PARTIAL APPROVAL ❑ CANCEL Fl NO ACCESS '
CM • CALL. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z v Phone #: (503) 718 -
CITY OF TIGARD . ilk,
BUILDING DIVISION T PERMIT # . MS1 00161
13125 SW Hall Blvd., Tigard, OR :97223 DATE?ISSUED: 4/25/2007
Phone:: (503)" 639 -4171 - it h��iigtillt " '
B r
Inspection Requests (24 Hrs): (503) 639 -4175 �_','�i.::'
INSPECTION WORKSHEET FOR, DATE: 7/20/2007 TIME 7 :03AM PAGE: 61
' SITE ADDRESS: 12105 SW 123RD .CT CLASS OF WORK:
SUBDIVISION:. YE.OLDEWINDMILL LOT #: 028 TYPE OF USE:
• PROJECT NAME:'' LIANG
' DESCRIPTION: Addition .
'
OWNER: .LIANG", CIMIN PHONE #: 503.524 -6015 v
CONTRACTOR: , OWNER PHONE;#
Inspection Request Scheduled"For: Dater 7/20/2007 Pour Time: .
Code # Inspection Description Confirm # , Contact # Me a e
310 `Crawl drain 052409.01 503 -524 -6015 Y V '
Corrections /. rnrnents /Instructions: „ ,�,
L C 0 ' CO '
. • 6 j- , L et i — ' -- e(,A,- V/,L6 ‘ p ) - •
• 1 ____47
.
PASS PARTIAL,APPROVAL • CANCEL ' " n NO ACCESS'
n -
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED.
Inspector Date: / / ;Phone #: 503 718-
.r•
CITY OF TO GAR
BUILDAIVG DIVISOOIV PERMIT #: MST2OO6•00163
13125 SW Hall Blvd., Tigard, OR 97223 - ;DATE- IS SUED: 4/25 '3007
Phone: (503)639-4171 . llt ��
")
Inspection Requests (24 Hrs.): (503) 639-4175 'I �..
•
•
INSP ECTION WORKSHEET FOR, DATE: 10/12/:200 TIME: p l PAGE: 66
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK: '
, SUBDIVISION YE OLDE WNDMILL • LOT #' 020 TYPE OF USE:
PROJECT NAME: LIANG
DESCRIPTION: Addition . ,
OWNER: LIANC, CIMIN PHONE #:' 50
CONTRACTOR: OWNER PHONE. #:
Inspection Request Scheduled For. Date: 10/12/2oo7 Pour
Code# Inspection Description Confirm # Contact # Message
605 Post/beam mechanical • 05747.; 01 503.524 -6015 N
Corrections /Comments /Instructions: •
•
•
•
•
•
•
•
•
PASS' n PARTIAL APPROVAL : `CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL, FEES ASSESSED
Inspector: Date: Phone' #: (503) 718-
•
'CITY .OF TIGARD BUILDING DIVISION /1 ' • PERMIT #:, isAF,72s?C6,aulaa ,
13125 SW Hall Blvd.,, Tigard, OR 97223 I lC0) DATE ISSUED 4d25/7jt7' -•
( ) � Llv3 y1114i
Phone: 503 639 41 Z1 /la va u ". r
Inspection Requests (24 'Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR. DATE: 10/1i/2007 TIME: 7.)1AM!, PAGE:
•
SITE ADDRESS: n:Ias SAN •I23RD.CT CLASS OF WORK: •
SUBDIVISION: `YE OLDE WINDMILL LOT #: '. .028 TYPE OF USE:
PROJECT NAME: LIANG •
DESCRIPTION: Addition
OWNER: PHONE # 503
�t;I�Nd Cii�IN •
CONTRACTOR: OWNER PHONE. #:
Inspection „Request Scheduled For: Date: 10/12/2007` . Pour T,irne:'
Code # Inspection Description _ Confirm # Contact # Message
225 Post/beam structural 057475.02 . 503.524 -6015
Corrections /Comments /Instructions:.
•
irmatkawrovinvi .
IFF A.
•
. t
X PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS.
FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Date: �” ` -- Phone #: (503) 718
Inspector: ,
CITY OF TIGARD
BUILDING DIVISION t.,' ® PERMIT #: MST2000-0Q163
- 1'3125 SW .Hall Blvd., Tigard, OR 97223 ` i DATE ISSUED: 4/26 • Phone: (503) 639-4171 i u 14 lt°
Inspection Requests (24 Hrs.): (503) 639 -4175 - 'l l..
INSPECTION WORKSHEET FOR DATE 77/20/2007 TIME: 7:03AM • PAGE;. 63
•
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:'
SUBDIVISION: YE OLDE WINDMILL • LOT #: - 028 TYPE OF USE:
PROJECT NAME: LIANG
DESCRIPTION: Addition
OWNER: LIANG, CHAIN • PHONE #: 503 -524 - 6015
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 71202007 Pour Time: 12:00
Code # Inspection Description Confirm # • Contact # Message
205 Footing 052404 -01 • 503 -524 -6015 N •
Corrections /Cot sIInstructi np s:
•
•
PASS ❑ PARTIAL APPROVAL • ❑ CANCEL • n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED •
•
Inspector: NO/ Date: Phone #: (503) 718-
.
CITY OF TIGAR®
I e i s
BUILDING DIVISION 'PERMIT*. tVIST 00163.
13125 SW Hall Blvd.,, Tigard, OR '972 DATE ISSUED:' 4/2612007
Phone: (503) ,639-4171 u 0 li . ii-
Inspection Requests ,(24 Hrs.): (503) 639 =4175 - a
INSPECTION' WORKSHEET FOR DATE: 7/20/2007 TIME. . 7 :03AM PAGE: 62
'SITE. ADDRESS: 12105 SW 123RD CT CLASS OF,WORK;
SUBDIVISION: YE'OLDE WINDMILL LOT #: 028 TYPE OF USE; '
PROJECT NAME: LIANG
" DESCRIPTION: Addition
OWNER: LIANG, CIMIN - - PHONE _ #: 503 - 5246016
CONTRACTOR:' OWNER ... PHONE #:
Inspection Request. Scheduled For. Date 7/20/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # ' Message .,
215 Forting drain' •052408 -01 „ 503.524 -6015 N
Corrections /Comore ts',Instructions: ' ..
' , /6 . , .
m
•
1 PASS 1 1 PARTIAL APPROVAL V CANCEL ❑ .NO ACCESS
FAIL, I I CALL FOR INSPECTION . "1 A DDITIONAL FEES ASSESSED
4 . , Ins e ctor \/ Date: / 00 7 - Ph ' _ , ,
p one #: (503) 71,8-
c r
. ,
,• CITY OF TIGARD • •
- . „BUILDING DIVISION
,
PERMIT #: MST2006-00163
' 113125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 4/25/2007
Phone: (503) 639-4171 - . 1111it`
Inspection Requests (24 Hrs.)(503) 639-4175 JJ
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:OOAM PAGE 51
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:
SUBDIVISION: YE OLDE WINDMILL LOT #: 028 TYPE OF USE
PROJECT NAME: LIANG
DESCRIPTION: Addition -7)4 7
OWNER: LIANG, CIMIN • PHONE #: 503
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time: b:oo,
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 051915-01 503-524-6015
Corrections/Comments/Instructions:
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BUILDING DIVISION PERMIT #: , MST2006-00163
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639-4171 iartati jilt"
Inspection Requests (24 Hrs.): (503) 639-4175 ..,4/ 4 11.
' INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02Atvl PAGE: 38
SITE ADDRESS: 12105 SW 123RD CT CLASS OF WORK:
SUBDIVISION: YE OLDE WINDMILL LOT #: 028 'TYPE' OF USE:
PROJECT NAME: LIANG
DESCRIPTION: Addition
OWNER: LIANG, CHAIN • PHONE #: 503
CONTRACTOR: OWNER. PHONE #:
Inspection Request Scheduled For: Date: 7/2/2007 Pour Time 1000
Code # Inspection Description Confirm # Contact # Message
205 Footing 051264-01 503-524-6015
Corrections/Comments/Instructions: •
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