Permit 8/ __ 0 *.� /466
7 _t'
I
11 OF TIGARD
,.� . ° PERMIT #: MST2007 -00233
. COMMUNITY DEVELOPMENT DATE ISSUED: 1/8/2008
,
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DB - 03800
SITE ADDRESS: 11275 SW QUELLE PL ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 036 JURISDICTION: TIG
PROJECT: SPETH
Project Description: Kitchen and bath remodel.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 17,000.00 REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 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: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 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 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
JOHN & NANCY SPETH MOSAIK laws. All work will be done in accordance with approved plans. This
11275 SW QUELLE CT 0112 SW HAMILTON permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 -3932 PORTLAND, OR 97239 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- 726 -2222 Contact #: PRI 503- 726 -2222 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 -726 -4444
Reg #: LIC 153808
TOTAL FEES: $ 675.85
REQUIRED ITEMS AND REPORTS
Issued By : f\ ip/ g 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.
„,,, ^ T'Y O T MASTER PERMIT
,r ,. CIF PERMIT #: MST2007 -00233
�r.
COMMUNITY DEVELOPMENT DATE ISSUED: 1/8/2008
TIG'Aki 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DB -03800
SITE ADDRESS: 11275 SW QUELLE PL ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 036 JURISDICTION: TIG
PROJECT: SPETH
Project Description: Kitchen and bath remodel.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 17,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 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: 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 8 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
JOHN & NANCY SPETH MOSAIK laws. All work will be done in accordance with approved plans. This
11275 SW QUELLE CT 0112 SW HAMILTON permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 -3932 PORTLAND, OR 97239 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 - 726 - 22 2 2 Contact #: PRI 503 - 726 - 2222 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 726 -4444
Reg #: LIC 153808
TOTAL FEES: $ 622.07
REQUIRED ITEMS AND REPORTS
V
//
Issue y : .. d Permittee Signature : `d l i j, � ; ! , I `
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. l
This permit card shall be kept in a conspicuous place on the job site until completion _t a project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application 4 I l
g1"- r x� vi -'C "`.� l,3f•. t . yr, , , ¢ 1 6,�r r t r P r o,
Building Fixtures � � 10 j � 4 E . ` 1..0R °t 6. .� F ° .' .i "a �...:. }tr ft a r '
r Ir w g Received �I
� _ City of Tigard - tp p+ gg p
a 13125 SW Hall Blvd., Tigard, OR 97 2 3 2008 Date/B / A 5 i( 0 '� � �l - y Inspection Line: 503.639.4175 UI i Plan Review . , ., Phone: 503.639.4171 Fax: 503. Other Permit No.:
f Y OF FIGARO Date/By:
T 1 G A K D: w B p'p R Date Ready/By len s: ® See Page 2 for
s� 1`5iy;cY'; ".s' Internet: ww.tigard- or.gov 8UILO p NGDIa�V ?e St®N Notified/Method. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description Qty. 1 Ea. Total
„e Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
ic rl- 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: 1/o2 .. s S C Q,� 1
e /7 ,.o / Catch basin or area drain 16.60
City/State /ZIP: '� /, / 0 -2 �1 Q ??2 J Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: 1 Project name: / S" (' 7 Footing drain (no. linear ft.: ) Page 2
/ Manufactured home utilities 110.00
Cross street/directions to job site: Manholes I 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
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
94 ' 4 . 'od... � s '1" `j .C, rG . Backwater valve 16.60
Zie•c,,.. „fs
Clothes washer / 16.60 /[ C °
Dishwasher / 16.60 /b. 6o
❑ PROPERTY OWNER ❑ 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 A. °
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker / 16.60 /L, C u
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: C Rogf drain (commercial) 16.60
Phone: ( ) Fax::( )
Sin 3 16.60 2 F
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet / 16.60 /L. C °
Business name: . 0 � , T �� �, _ Water heater 16.60
Address: (9/ '�
' 2 S.0 3 ' ,„-r_
Other:
� Subtotal
/ .
City /State /ZIP: -,-- r „ 01( f .,.2 c.2._
Minimum permit fee: $72.50
Phone: (S aJ) a 1 5_ sv C Fax: (S "bJ) 2J, S/ -C Residential backflow minimum permit fee: $36.25
c �/ Plan review (25% of permit fee)
CCB Lic.: /2 5 / ng Lic. no.: 026_6 2? /04
m ` , / J J State surcharge (12% of permit fee)
Authorized signature: ,/..../..../ ,/
f/ TOTAL PERMIT FEE
Print name: / /)
.> > /..- ,� 4' Date: /- 21 • 0 b- This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I \ Building \Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
•
Fee Schedule: • Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage:, Permit Fee:
Footing drain - 1' 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 510.000.00 $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 Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR9I8- 780 -0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
-4 "
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
i. 0 Building \Permits\PLM- PermitApp.doc 12/27/06
Building Permit Application / 12:7 5 5U) dir ((4).
Residential ECE %JED z p , t J T
t `,r 4' , y 4 ` i FOR OFFICE USE ONL "Y � " ; 'G
„ " . Recei
City of Tigard �/ Perm No
" �� tY Date/By la �a � /0 / 131 M57a009 — ea 7
V 13125 SW Hall Blvd., Tigard, O 23 , 20(11 P lan Review
11 A + Phone: 503.639.4171 Fax: 50 1940' Date/By l • 4-0% V6 Other Permit:
a
T I A R D' Inspection Line: 503.639.417 Date Read /B Juris. ® See Page 2 for
Internet: www.tigard - or.gov klIS 1 0� f1GARD Notified/Metho• .' D `7 9 0 --/- 1 Sunnlemental Information
BUILDING® {SION SP,.. Ivi izy ctJ D /cam
TYPE OF WORK REQUIRED D TAi,1 ANH 2 -FAd I :Y DWELLING ;
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
rand 2- family dwelling ❑ Commercial /industrial Valuation: $ ? 6-,,,,,,,
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //
[ S e (4) act EE (6_, p/( . New dwelling area: square feet
City /State /ZIP: (' (9� cl 7? 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
t
`
[� (c—C1 ) 4 Po- ef/� , I �• Q& . N i v4r7U7V ` Valuation: $
f � Existing building area: square feet
�, New building area: square feet
{a Pi iPERTY OWNER ❑ TENANT Number of stories:
Name: 4 4 . S/, % - - Type of construction:
Address: a� , - 7S S Gt) // t /(E r Occupancy groups:
City /State /ZIP: T? A4Z,1 OP__ 97 ? p-3 Existing:
Phone: (5 3) (p.{3 —a q4 Fax: ( ) New:
,'APPLICANT ❑' CONTACT PERSON NOTICE
Business name: /405 l'/ f� S,‘6/0 L(._ All contractors and subcontractors are required to be
Contact name: 3 7 -r- .. 12Sg_i licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:61 S 4 1-4 frt_j,` ( 'j73A-) jurisdiction in which work is being performed. If the
City /State /ZIP: # � g t D 2,2-;1 applicant is exempt from licensing, the following reasons
apply:
Phone:, )7, ate- Fax: : ( j) 7 - t C%/
E -mail: cce r re /fit O r l . /�^J C-1 . .
CONTRACTOR
Business name: /95 /4%_ s ›ES /6/0 L-C... • BUILDING PERMIT FEES* •
Address: /! (Please refer to fee schedule)
Structural plan review fee (or deposit): i LI G . a'1-
City /State /ZIP: f ! ,
Phone: ( ) ♦ / Fax: ( ) c / FLS plan review fee (if applicable):
CCB Iic.: .. /53 8O 6/ / '/.00/ V Total fees'due upon application:
Amount received: 1 -q„
Authorized signature: -41 ,•_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:S1 (^ 3 - / e .5/c4 Date: / g- a-� -Q7 * Fee methodology set by Tri- County Building Industry
Service Board.
1 :\Building \Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COMJWEB)
Building Permit Application Checklist - :.
r ; FO �Y -F O FEW E USE4 ONLY One- and Two - Family Dwelling , : �
City of Tigard • Received Permit No.:
Date By:
Ill 13 125 SW Hall Blvd., Tigard, OR 97223
® .
Associated permits
7
Phone 503.639.4171 • Fax: 503.598.1960 ❑ Electrical El Plumbing ID Mechanical
24- Hour Inspection Line: 503.639
TIGARD -
Internet: www.tigard- or.gov ❑ Other: , ;
+THE FOLLOWING1TEMS ARE RE snU IRED FOR PLAN `REVIEWk i ; : , ;r� FYes =� No ;,. N /At
`G .. .. .. .. k._ ... ......_., ..:. ._ ..,.. s.. � �l^s
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.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site: and
surface drainage. _
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
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 . ro'ect under review.
JURI SDIC1aIONAL�SPECIFICSN, , � 1 " +'-, -,- � ; F _
.4' .. ..,._ ..-7..., .. - . , ...r.,.. ., r _. A. -.., ,. .. _ . , �, e? :a ; tlr
.� w > fac t ,. '.
. �a'� sk a-,:.�" . x,R. ,i .. .e.v. c .��.; ?,'�'t .�' ,� ,
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ` ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
- 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval.
. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB)
Jan 07 08 08:05p Patrick 503 -239 -7516 p.
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0 L U U (1 "aC`�;i ' cam: 9° Fin . 7�mvC :; 1 d w.-a dti.OA i y�, g a
City of Tigard I Received I an N^
'r 13125 SW Haf Blvd., Tigard, O „arwoy 3
.. _ Q�� � 1 1 p ( g a � I � 1Dp ! Plan l a� � l • C�
t r ,ad Insoccnon 1. st 63941 i$ J t I , 1 GOWIS1OPl I y
1 tither Permit No
°:M *� ^9+f -ir; Internet: waw.tlgaTd- or.gov
I IS i."" 1 S otP ap.ador
I I .., 1 r"� sae=
r TYPE OF WORK FE E° cC i�T1T :r. I
I ❑ N e w rrolNrn.ai,.n 1. 0 nascrs:icn 1 Forfdrk" inffJnw we rh ttfb , I
I Description 1 Qty. 1 Fa 1 Total I
lialriklitionicherationirepiacanent lJ utter:
[New 1.2- family dwellings (includes 100 fl. for each utility Connection) I
illa CATEGORY OF CONSTRUCTION I I SFR (1) bath I I 24920 I
and 2- family dwelling 1 ❑ Commercial/industrial I [SFR (2) bath I I 350.00
❑ Accessor building 17 Multi - family 1 I SP— (3) bath 39 9.00
C *R,-.!e- builder I ❑ "so. F Each additional bath/kitchen 1 45.00 1
JOB SITE i'iiclriic c e di Ai4 LOCATION
i Fire sprinkler ( sq. R) Page 2 1
rSite utilities j
Jo site address //r9:75 sc.() ac i / i6 Pia I I Catch basin or area drain
aty/S1ate2IP: T 72 4,g,L, 4 4-2 rp. S I Drywell, leach line, or trench drain I 1 16.60
Suite/bldg./elk no.: prniecl name; � � C a 1 r t � I I Footing drain (no. linear R.: _, I 1 Page 2 I
+'--• ,. -_. Manufactured borne utilities '
Cr a -r .:., :i .s t:, job alto:
I I - 110
1 Manholes 16.60
L - I f Rain drain connector I 16.60
__- Sanitary sewer (no. linear R.: ) I I Page 2
Storm sewer (no. linear R: ) I I Page 2
G1hcJ I; no . 1 Water service (no. linear R.. ) I Pace 2
Tax map pa:coi oo.: •
Fixture or item
y r7T DESCRIPTION OF WORK K Absorption valve 1 16 60 I
1_�.. �49-12/ ' A , 4771 � dr/[/Odet , �. Back pro P 16. 2
/ T[ f Backwater valve I l R 1
I Clothes washer 1 I 1660 I
Dishwasher 1 1 16-6n I
' . ra OWT€ I 0 TENANT Drinking fountain !6 u.
Name: ` 4 I1.J /G� - -- '51+......7i-if �¢i dr 1 F.iegnTC/nunn 16.6
rar5.60
Address: //.2C 7 J ni ! l_F D /1t
Fixture/sewer. �, 1£.<0
City/State/ZIP: A .: ..ra a n..h
v s� % rw , 1 � =� Floor ,tr _ Mr: sink /huh 16.60
I PlIcz17 ( -:4114.0 i Fax: ( ) Ce. -.-; d+ pose: 16.5
i `0
,�•� I t
PPI.ICANr I 1J CONTACT PE u �'" ti ' ti i 1f.bS
/ "( t/ i PERSON 1x :n -,'
1_8113__ itreSS name t L $ 64J Tat. -- I v. u` ir
1 v. greoav tr4 ;6.60
I
I Contact name: A1 ' - r,_ J v o 1i : Medical or lSa+ (G is rr
_�) Page 2
I Add: 01 A J cu '/i -4 4 i c r i r:an W
!� I 16,60 I Ciiy /Siat�jP: '� }` Roc( drain .wlmtuc
lt'D fCr[ /�R,4 y f q.7.9...3 7
( I io.ou
Phone: uuuivaSnfSvtouiy 16.e0
E-mail: s M O5.4 ) f ) . Clem iiria uviauuwcris�wa pan 16.60 • I • CONTRAC1YIR I . 16.00 I
/ � j ,, / Water closet I / 16.60
I aszs :.c: r1� i f - 14, , 3 I/UIS Water heater ' i l 16.60
I Address: G o/ S S 2 3 -� ,of„ 0?-- I Omer: . 1 1
City /State/21P: /o,-rI. r ( o'e y9 2° Z i I Subletai
Phone (5'03) ,�1s_ j t MinimnmprnnitI 372.50
Si JI � Fax: (CI ) 2� - �/ I Rmidenr,al ha y minimum pe; nit fee: S36.25
t r Lie.: /.. i D: /j hu. � b Lie. -.1o.: p�{ -6274°,6 PIBt! MOM/ (254: nfpv is f.
Authorized algnature: #1 � `hV �/ •/ I1
State surcharge (Y%�f' )
i `/ / 7s✓e• J ' 'MIA' Pro MIT pE
I hint name : / // 4 R 42,, L / N/G L I Date:. f 7 - (22 8 i This permit appHHbon expires its permit h not ! taiPll within
�t G 180 days after it bas been accepted as empiric.
'Fec methodology set by Trt -Camty Building Industry Service Board.
to :s4lsc r.w...:474.- a-b.i:A wo itawca 44oler0T(Iao7ICOMArPg)
,�"p`w, ,±17 ,,u.,,,,," ,, k,a,,,,. r t ;? 1For , ti . a t ,
Mechanical Permit Applic • • II - 1 , P` FOR O 1 r� , i i g c ' t s t * K
1 R,;`, Ci ty of Tigard /' Permit No
L'.' a 13125 SW Hall Blvd., Tigard, OR 9
Date/By. ��
C Phone: 503 639.4171 Fax 503.598.1W' 0 (Aid Plan Review
Date /By: Other Permit:
A It
1 D 6 ! r t,Dr I Line. 503.639.4175
9 1 CIT ®F Date Ready/By tiros. ® See Page 2 for
1 (� 111[16 t8i
�4r, Internet: www. tigard- or.gov BUILDING WARN DIVI tOiU Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New constructionddition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
e if'I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1/ 2.75 .SW ai t p(t^ Air conditioning or heat pump
l (requires site plan showing placement) 14.00
City /State /ZIP: -1-16 q72-.)-3 Fumace 100,000 BTU (ducts /vents) 14.00
5 _ _ _ ( Furnace 100,000+ BTU (ducts /vents) 17.90
Suite bldg. /apt. no.: Project name: �`t- Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: . Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
r F ewer c Gas firepla 10.00
�( Ir�iG/�.� � ��Q(�iT'r /� Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
. i ROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: . 760." .. ) '..) f /t) J r 'q Environmental exhaust and ventilation
t� u Range hood /other kitchen
Address: 10 /
:7 j S -C ` / l / , ` �/ � equipment / 10.00
City /State /ZIP C 4 ®2 q2;--' Clothes dryer exhaust / 1000
Single -duct exhaust (bathrooms.
Phone: 93 ) cicf3 -awco Fax: ( ) toilet compartments, utility rooms) 1 6.80
��APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: c54-I: '_S &�
! F uel piping
Contact name: 6e L I - �� $5.40 for first four; $1.00 for each additional
0 42 / ` L �� 57—, Furnace, etc.
Address: G , 1 Gas heat pump
City /State /ZIP: 7 r- s. 0(2 c r2g- 39' Wall /suspended/unit heater
Phone: (qp0}.) 7a — ��- Fax: : ( `7� — Water heater
I Fireplace
E-mail: 5 440c ,ci_e`r. 5, • CZ,e.1 Range
CONTRACTOR Barbecue _
Business name: "g ; / - 44 — T A.z� Clothes dryer (gas)
� Other: •
Address: 12 B Q)( I d3 MECHANICAL PERMIT FEES*
City /State /ZIP: Ole&& al C(1'1 012 1 1046 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 7a,b - 51obi‘ Fax: (503) S($ - 9 t(-3 a Plan review (25% of permit fee)
CCB lie.: 1 5 (0 1 4 • / State surcharge (8% of permit fee)
TOTAL PERMIT FEE
e ' o �' This permit application expires if a permit is not obtained within 180
Authorized signature: 41 -AP
days after it has been accepted as complete.
Print name: 6
C-6 S/gfi()i Date: /„2_v2 Q- Fee methodology set by Tri-Counly Building Industry Service Board
F'.\ Building \Permits \,MEC- PermitApp. doc 01/19/07 440- 4617T(11 /02 /COM1WEB)
FROM :PRECISION ELECTIC FAX NO. :5037369324 Jan. 07 2009 07:31PM P1
From :Fiosaik Design 01/04/2008 16:12 #157 P,002/002
Electrical Permit A a licatil ! E � ', 7` } t. A l.'
{
9` ' hrl ii ill •Hilt tit oN A
a � 4�kx�6rr�N +att+e =�� �F : S ,•.rt5 t• , a +,
- City and RaColval Permit No-
�' ty a alts AN 0 8 . 2008 �t ry 7Z - 2 •c°233
� 13125 SW Ball Bavd., Tigard, OR 972 Review -.
Otl rerPamu:
icy '; ?Iloilo. 303.639.4171 Fax: 503, 598�y� r DeteBv.
!, ;; p"` i 11150000n Ling; 303.639.4173 ,.... y�e H s- t wi Date RaaadyIBy 1 Write Bw Paga 2 !or
D4.1', rM i" wli+tn httamet; www.tig rd.kx -gov BUfWI Ji 9 , ! AO - NohtICd1Method: alappl.tt.oa■satoam . uoa
•
• TYPE OF WORK PLAN REVIEW • .._JI
T
❑ New construction ddition/altcotiunirepiacemer t act of saes cheek a 1 r , t apply (submit E ac piaaa %whom sleeked iw
D Service or feeder 400 amp or mere 0 Building Mile arorios• -
❑ Dcmut icon _ ❑ Other where the anti:abk fault current Q Maness end boetHude-
CATEGORY OF CONSTRUCTION • aymaede 10,000 mops at 150 volts a p Floating buildings .
' lass to grormd, or swoosh 14,000 O cOmmaoiid -err araieultursi
and 2- family dwelling 0 Commercial /industrial 0 Accessory building mons fw all mho lsutdbmlous. buildings,
G 14 : 1ti -Purl ly ❑ MASter builder ❑ Offer - OFItppwp. 0n tailalion of 71 KVA, or
]OH 471E' 1NlftMATION AN LO CATION D P.mmaraoy memo. larger
loan or O "A" o E", separately
"i-2", "1 ■y ■tam.
... _ ^!!�� � D Addition of new m "E". ° k;2 ", "I •i•',
Job no,: ` 1 Job sire eddrcss_ / /g75 Su) • Q(. 1 . ft+i si.. a hires. � mion
k Q Six ar more readeatial unite D 12acnaerionak vehicle parks.
(Aiy /SialeJZIP: . , • 4., # 07 eiP- ra Health-carts fecitir;a 0 Supply voltage for more than
0Ha/y„ dons lenstions. 600 vote nominal.
' Suitdhldg. rapt. no Project name: ! ❑Senile or fender 600 mops or more.
- I - FEE SCHEDULE
Cross sireetldirections to job site: 1_z+tste - L z . .
-- New reakkotial gluier or s w1tl4etally dwelliue unit •
1 lweludea attached gunge.
9ubdiviNlog; 1 Lot no.: 1,000 e9. ft. or lose 145.15 4
Ea. add9 500 sq. 8. or portion 33.40 1
1 art map /parcel nu.; Limited mac, residarnid 75,00 I 2
• . DESCRIPTION OF WORK { kwrthabovc sq. a - } -- e
. ! Limited energy, inid !- f�nity
in,' ( � AIM Q ` py r . /' A
residendttl (with ebooev- B.) 75.00 l 2
• SWAMI Or feeders infgdntloo, alteration and/or relocation
200 amps ot less 80.30) 2
,PROPERTY OWNER • I 0 'TENANT
20 a to 400 amps !06.85) 2
r 400 amps to 600 amps 160- - ---- 2 -
Name: A) 601 amps to 1,000 amps 240.50 4 2
Adtl.re?B: ( - -2 . 5 -t) eft .4 (. �(t Over 1.000 amps or Vo1r4 454.65 .2
'
City/Ste -r ` 1 'ate 'emporer services or feeders installation, alteration, and/or
h r elocation
11 (/
Phone: (4°C( .. g *) ill Fax: ( 200 or 5 -R5 1
Owner Inatallatlont This installation :s being made on property that I own which is not
201 634/M64/Ps 100.30 2
intended for bale, lease, relit, or cxchonge,, according to ORS 447, 449, 670, and 701,
401 amps >a 599 amps 133.75 2
Date: Brooch dt cu to - new, alterado me
g or extension. Per ad
Owner signature: _ _. _ A. Fee for bunch circuits with
APPLICANT - 0 corrrAcT PERSON • above service or tale! er fee, 6.65 2
— ---_ each branch mn
eso _ 1
Business name: •-Sosip t'fr_ . els Gs-i - _ r— B. Fee for braneh circuits .
witltowt service a feeder fro,
+ Contact name' y 4 r 46.85 2
6ratOranch cir ircuit /
Address: alt 2 J 61,.1 � i r - C „rte) Each add'I branch circuit 2.- 6.65 Z
" 1 lueaib ..m.1, (sts Vie or ado r not imitated)
C hy( uri e /ZiP: jig � /4v 2 Q e_ q7 S Each mamrfbetuted or modular 90.90 2
dwelling, service and/or feeder
Phon (�j
603 ) ,� �
- - i Fax: : ( }' L - 4114efe Rococo= only 66.85 2
Email: V /t/ t7 t1�.$rc u -C61 -1 - _ Pump or irrigation circle • 53.40 2
M _CONTRACTOR • • • ' _ Sign or outline lighting 53.40 2
Busiacss wile: � v I 1 r Signal GirCOlt al or limited-
! _ w , s • A , enaryy MK alteration, OF
b l 2 a . . ... _ amnion. Describe: Page 2
Addre
cit• 'Statc/'Gip; �' 7 a �r) 0 C - 1 2...i f''+ Each iddldonaf s®pectioa over allowable ID wax of the above
50 Per eispeCtica 62,50
` 1 Phone; l • t7 `
�s o g Fw �JJ 4 i3 .' ' 3'? -1I Itrveau p on per hold h min) 6250
CC5 Lic.: 10 r . Electrical Lic. 9=1111EMM1 industat plant per lime 73.75
ELECTRICAL PERMIT FEES
5uprv. Electrician signature, required: J - * .; (. ' i _ snotOtal
Print name: ST ? - A A -, bon 't ,/ ' h. � Date: Q, 'dJ Flan trtiiew (253gtr of permit tW)' .. -
_ l� State e_ - large ($44 oYptnt+it fit).
Authuriietl si)matttre: 1 '1 • ��1 4-.. — TOTAL PERMIT FEE:
Print +�'� ''f'`p �f Dat '['et p eewit applieatloe aspires if a permit is sot obtained Wilda 180
`' ri e'V P"f+��/� t �+ 'P t ? L. —e7 _ , dart attar 1r Man boas oeee$tod no campfef,
i
/ 4 • Nmnbar of 7 spectioae allowed per pens**.
Hau.ldiea'alenriti r
aC -nern A.pp de* 0517314 / / j ' 44, inc w cOmmu
111 (/ /0/ //o
•
+' �
• MASTER PERMIT . ,
PE RMIT #: MST2007 -00233
COMMUNITY :DEV.ELOPMENT
;,� hf � DATE.ISSUED: 1/8/2008
�T[GA�,RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DB -03800
SITE ADDRESS: 11275 SW •QUELLE PL ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 036 JURISDICTION: T1G
PROJECT: SPETH
'Proj Description: Kitchen and bath remodel.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: s! BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 17,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX./NP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
t ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS, 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: .s
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR:. SIGN /OUT LIN. LT: PER HOUR: Y I.
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA AODL BR CIR: SIGNAL/PANEL: 114 •PLANT: �/
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN'REVIEW SECTION
Reconnect only;
> =4 RES UNITS: SVCIFDR> =225 A,: > 600 V NOMINAL: CLS AREA/SPC OCC:
Ca
ELECTRICAL - RESTRICTED ENERGY 0 4
A. SF RESIDENTIAL • B. COMMERCIAL.
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: 0
BURGLAR ALARM: ' OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: 0
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS:
This permit is. subject to the regulations contained in the Tigard p�
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable �'
JOHN & NANCY SPETH MOSAIK laws. All work will be done in accordance with approved plans. This
11275 SW QUELLE CT 0112 SW HAMILTON permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 -3932 PORTLAND, OR 97239 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- 726 -2222 Contact #: PRI 503- 726 -2222 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 726 -4444
Reg #: LIC 153808
TOTAL FEES: $ 622.07
REQUIRED ITEMS AND REPORTS
/
•
/. 7 .
Issue \ • tg (Uv'Ca 'Permittee Signature `. ` ji " � P
,Call 503.'639.4175 by 7:00 a.m. for an inspection that business day. l ,/
This permit card shall be kept in a conspicuous place on the job site until completion 'nitti'e project.
Approved plans are required on the job site at the time of each inspection. ;/
t`
CITY OF TIGARD
111111
BUILDING, DIVISION ' PERMIT #: MST2007-00233
13125 SW Hall Blvd., Tigard, QR 9723 - DATE ISSUED: 1/8/2008 '
Phone: (503) 639-4171
N-011,,
Inspection Requests (24 WS.): (503) 639-4175 s40.6L '':7-1.•
INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 40
•
SITE ADDRESS: 11275 SW QUELLE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO 2 - LOT #: 036 TYPE OF USE:
PROJECT NAME: SPETH "
DESCRIPTION: Kitchen and bath remodel.
OWNER: SPETH, JOHN & NANCY PHONE #: 603-726-2222
LCONTRACTOR: IVOSAik PHONE #: 503
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
. .
Code # Inspection Description Confirm # Contact # Message
799 Final inspection 069567-01 603-729 Y
Corrections /Comments / Instructions:
•
. ,
' .
r __,
. I I PASS L PAR1-' APPROVAL El CANCEL E NO ACCESS
• Li FAIL 0 ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: . A
Date: . —62 Phone #: "(503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00233
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/8/20013
Phone: (503) 639-4171 4 .414"ii A
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR 'DATE: 5/7/2008 TIME: 7:00AM PAGE: 35 •
SITE ADDRESS: 11275 SWOUELLE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: SPETH:
DESCRIPTION: Kitchen and bath remddel.
•
OWNER: SPETH, JOHN & NANCY 0 PHONE #: 503-726-2222
CONTRACTOR: MOSAIK PHONE #: 603
Inspection Request Scheduled For: Date: 5/7/2008 Pour Time:
Code # Inspection Desqription Confirm # Contact # Message
699 'Mechanical final 069473-03 503-726-2222
Corrections/Comments/Instructions:
•
•
PASS PARTIAL APPROVAL E CANCEL NO ACCESS
n FAIL In CALL FOR INSPECTION 0 LIIADDITIONALFEESASSESSED
Inspector: . ‘. Date: Phone #: (503) 718-
4 ._
CITY OF TIGARD • m. 4110
BUILDING DIVISION PERMIT #: MST2002 =00233
13125 SW Hall Blvd., Tigard', OR "97223 DATE ISSUED: 11812008
Phone: (503) 639 -4171 *ONO
Inspection Requests (24 Hrs.): (503) 639-4175 'II
INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7 :02AM. PAGE: 49
SITE ADDRESS: 11275 SW`CUELLEPL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: SPF:TH
DESCRIPTION: Kitchen and bath .remodel.
OWNER: SPETH, JOHN & NANCY PHONE #: 503. 726 -.2222
CONTRACTOR: MOSAIK PHONE.,# W3-726-2222
•
Inspection Request Scheduled For: Date: 1/30/2008 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
275 Framing 064180-01 503.708 -3246 Y
' Corrections /Comments / Instructions:
Age -5.
bpi• ..„017
•
pr
ILEM
•
PASS • ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_ Liao
1
Inspector: �
p " Date: _` .Phone,, #: (503).718 - -
CITY OF TIGARD 0 410
BUILDING DIVISION PERMIT #: S
lv1�aT20C) � , -O(l2 3 3
13125 SW Hall Blvd., Tigard, OR 97223 ,
DATE, ISSUED: 1p 2008
Phone: (503) 639-4171 " ' �Im'NU��t "11 t
Inspection Requests (24 Hrs.): (503) 639-4175 I.I.
INSPECTION WORKSHEET FOR DATE: 1/3012008 TIME: 7 : 02AM PAGE: 46
SITE ADDRESS: 11275 SW QUE1 LE PL ' • .CLASS OF WORK:
SUBDIVISION: (3ENf SI S No. 2 LOT #: 036 TYPE OF•USE:
PROJECT NAME: SPETH
DESCRIPTION: Kitchen and bath remodel. •
i' TFi,.J JOHN & NANCY PHONE #: 503-726-2222
OWNER: '
CONTRACTOR: ( 1AIK PHONE #: 503..726 -222.2
• Inspection Request Scheduled For: , Date: //3012006 Pour Time:
i
Code # Inspection Description Confirm # Contact # Message /2 Ho
G15 Mechanical rough -in 064181 -01 5017003 -3246 . Y
Corrections /Comments /Instructions: ,
• GArRRDG_ ? (15 nGEmtstS CP
SI l ' Ole--- i t 6, F
. KO-c& w L-r------.' ...
_.
• .
. .
,v----
_
ASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED l‘b
1 . ill'\Ibil . . i
lnspector: 1, ,..,' Date ® Phone #: (503) 718
' -
CITY OF TIGARD
•
BUILDING DIVISION - PERMIT #: MST2007-00233'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11012008
Phone: (503) 639-4171
Inspection Requests (24 Hrs): '(503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 1/10/2808 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 11275 SW QUELLE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO 2 LOT #:, 036 TYPE OF USE:
PROJECT NAME: SPETH
DESCRIPTION: Kitchen and bath remodel.
OWNER: SPETH, JOHN &NANCY PHONE #: 503
CONTRACTOR: MOSAIK PHONE #: 503
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Inspection Request' Scheduled For: Date: 1/10/2008 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
Footing 062947-01 503-700-3246 N
•
Correctiong7ComMents/Instructions:
60A/6"
I_ PASS PARTIAL APPROVAL CANCEL fl NO ACCESS
fl FAIL CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED
Inspector: / Date: /—/4 Phone #: (503) 718-
CITY OF TIGARD di - ,
BUILDING DIVISION ,j P #: MST2007- 00233
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11Bf2008'
Phone: (503) 639 -4171 iirp„�ia '
Inspection Requests (24 Hrs.): (503),'639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 6 6/7/2008 TIME: 7 : - 00AM, PAGE: 36
SITE ADDRESS: 1 SW QUELLS PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: SPETH
, DESCRIPTION: Kitchen' and bath remodel.
OWNER: ` SPUN, JOHN &NANCY PHONE. #: 603 - 726-2222
CONTRACTOR: MOSAIK • PHONE #: 503 720 ,
Inspection Request Scheduled For: Date: 5/7/2008 • Pour Time:
Code ;# • Inspection Description Confirm # Contact # Message
399 Plumbing final 069473^02 503- 726 -2222 N.
Corrections /Comments /Instructions: •
•
•
NA Z PASS (' I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '`/ - 5 - Date: 7 :I 6T; Phone #: (503) 718-
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CITY OF TIGARD ---
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BUILDING DIVISION PERMIT #: WIST2007-00233
13125 SW Hall Blvd., Tigard; OR 97223 DATE ISSUED: 102008
Ph One: (503) 639-4171 /
Inspection Requests (24 Hrs.): (503) 6$9-4175
INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7:02AM PAGE: 46
SITE ADDRESS:‘ 112m syv ou ELIE pt CLASS OF WORK:
SUBDIVISION: GENESIS. l'40. 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: spEri
DESCRIPTION: Kitchen and bath remodel OWNER: SPETH, JOHN & NANCY PHONE #: 603-726-2222
CONTRACTOR: IVIOSAIK • PHONE #: 603-726-2222
Inspection Request Scheduled For: Date: 1/3012008 • Pour Time:
Code # Inspection Description Confirm # Contact' # Message
320 Plumbing rough-in 064181-02 603-708-3246
Corrections/Comments/Instructions:
•
- _
PASS fl PARTIAL APPROVAL Fl CANCEL. 1 1 NO ACCESS
fl FAIL 11 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (1 Dat6:, 1 q'50 Phone #: (503) 718- ,
'‘ • - • -) ' •
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CITY OF TIGARD 40 •
BUILDING DIVISION PERMIT.. #: MST2007 -00233
131'25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - ifW2008
Phone: (503) 639- 4171u
Inspection Requests (24 Hrs:): (503) 639 -41,75
INSPECTION' WORKSHEET FOR DATE: U7/2000 TIME: 7:00AMi PAGE: 37
SITE ADDRESS: 11275 SW.QUELLE'PL = CLASS OF WORK:
SUBDIVISION: GENE:SISNO. 2 LOT #: 036. TYPE OF USE:
PROJECT NAME: SPETH
DESCRIPTION: Kitchen and bath - remodel•. •
OWNER: SPETH, JOHN & NANCY PHONE #: 503-726-2222
CONTRACTOR: MOSAIK PHONE #: 603-726-2222
• Inspection Request .Scheduled For: Date: 5/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final • 069473 -01 503- 726-2222 N
Corrections /Comments /Instructions:
•
•
•
❑ PARTIAL APPROVAL ❑ CANCEL APASS APPROVAL CEL '0 NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6-1 _? /13 a Phone #: (503) 718- 244
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CITY OF TIGARD II - .'/-- i-, .;■,,,7, iiii,,
MIIV il.
BUILDING' DIVISION ( /-- PERMIT #: MST2007-00233
13125 SW Hall Blvd., Tigard, OR 97223 C. ii. DATE ISSUED: liCO20013
Phone: (503) 639-4171 /ZoVaL'_114114114111111t
Inspection Requests (24 Hrs.): (503) 639-4175 --,-.0■'"1...... ' .
'INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7:02Alvi PAGE: 48
SITE ADDRESS: 11276 SW OUE.LLE PL • CLASS OF WORK:
SUBDIVISION: GENESIS,NO. 2 LOT 'it 036 TYPE OF USE
PROJECT spi
DESCRIPTION: Kitchen and bath remodel. . •
OWNER: SPFTH, JOHN & NANCY PHONE #: 503-726-2222.
CONTRACTOR: MOSAIK PHONE #: 503-726-2222
Inspection Request Scheduled For: ' , Date: 1/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough 064180-02 503.708-3246 Y
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Corrections/Comments/Instructions: 41/411 ''5
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y PASS ' Ej PARTIAL APPROVAL 0. CANCEL . D NO ACCESS
I I FAIL fl CALL FOR INSPECTION ' •ADDITIONAL FEES ASSESSED
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Inspe f ctor: •.
1, 6
Date: 70 Phone #: (503) 718-