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Permit
, t., CITY ® a�d�1�® MASTER PERMIT ° PERMIT #: MST2007 -00042 ; ;,} A COMMUNITY DEVELOPMENT DATE ISSUED: 4/5/2007 k i 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CA -13700 SITE ADDRESS: 09685 SW SATTLER ST ZONING: R - 3.5 SUBDIVISION: DARMEL LOT: 012 JURISDICTION: TIG PROJECT: FURLOTT Project Description: 935 sq ft addition BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 941 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL 941 of 89,139.60 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR GRAINS: SEWER UNES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K BOIUCMP < ]HP: VENT FANS: • CLOTHES DRYER . FURN >v100K UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX WP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADM_ INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W/SVC OR FOR: - PUMP/IRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FOR 1 SIGN/OUT LIN LT: PER HOUR: 'nil UNITED ENERGY: 401 •600 amp: 401 - 600 amp: EA ADDL BR CAR: 3 SIGNALIPANEL• IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL 1000+ amp/volt PLAN REVIEW SECTION Reconnect only: A >4 A/ RES UNITS: SVC/FDR> =225 A: > 600 V NOMINAL: CLS ARENSPC OCC: ELECTRICAL i 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: LANDSCAPEARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable ROD FURLOTT OWNER laws. All work will be done in accordance with approved plans. This 9685 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224. 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: 503 624 - 9439 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,638.50 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : - Permittee Signature : >c C.. 2-6.-- 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. w "1t CITY it MASTER PERMIT i I' PERMIT #: MST2007 -00042 COM MUNITY DEVELOPMENT DAT ISSUED: 4/5/2007 TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 '"' ",!,, ^ " "° PARCEL: 2S111 CA -13700 SITE ADDRESS: 09685 SW SATTLER ST ZONING: R -3.5 SUBDIVISION: DARMEL LOT: 012 JURISDICTION: TIG PROJECT: FURLOTT Project Description: 935 sq ft addition BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 941 el BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: st FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: Sf RIGHT: 5 VALUE: 89,139.60 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL 941 51 REAR: 15 PLUMBING SINKS: WATER CLOSET 2 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 0 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 2 0 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: 5 ' \ c1 MECHANICAL OTHER FIXTURES: ,� FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX WP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS AMYL INSPECTIONS Z 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 1 SIGN/OUT UN LT: PER HOUR: UMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 3 SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: 5 1000• amp/volt PLAN REVIEW SECTION §1 Reconnect only: >=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS ARENSPC 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: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: IP GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TEL.E COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable ROD FURLOTT OWNER laws. All work will be done in accordance with approved plans. This 9685 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 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: 503 624 - 9439 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,638.50 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : Permittee Signature : � 24--/ 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. 3/08- // /7/ �T/W Vi� jt S-62- Ct C'4f -s MASTER PERMIT 1 a CITY O F T I ARE) PERMIT #: MST2007 -00042 COMMUNITY DEVELOPMENT DATE ISSUED: 4/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CA -13700 SITE ADDRESS: 09685 SW SATTLER ST ZONING: R -3.5 SUBDIVISION: DARMEL LOT: 012 JURISDICTION: TIG PROJECT: FURLOTT Project Description: 935 sq ft addition. 4/3/08 added (12) additional branch circuits, (2) A/C's, (1) gas water heater, (3) bath fans and (1) air handler. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 941 sf BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 89,139.60 OCCUPANCY GRP: R3 BORK BATH: TOTAL: 941 sf REAR: 15 PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN a 100K: BOIL/CMP a MP: 2 VENT FANS: 3 CLOTHES DRYER: FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 1 SIGN/OUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 800 amp: 401 - 800 amp: EA ADDL BR CIR: 15 SIGNAL/PANEL: IN PLANT: MANU HM /SVC/FDR: 801 - 1000 amp: 801+amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=.4 RES UNITS: SVC/FDR> =225 A.: > 800 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 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 ROD FURLOTT OWNER laws. All work will be done in accordance with approved plans. This 9685 SW SATTLER ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 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: 503 624 - 9439 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 1,733.37 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 r Issued By : / /� � � ! ∎�G Permiftee Signature : r Call 503.639.417 iy 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. Z ! • • Building Permit ADDlie' tiOn - I roc of Flcr 1 sl: oNI City of Tigard D e 11dR i I % Permit No.: .S 44907 ..-01Gk, II I II ° 13125 SW Hall Blvd., Tigard, OR 9 .vn Plan Revie Phone: 503.639.4171 Fax: 503.59111W 2 2 1007 DaDate/13 . • , . .,,, Other Permit. T 1 G A R D Inspection Line: 503.639.4175 Date Ready : y. Fs hIdist for Internet: www.ti d-or. ov ; s u Ntta6od/Mdhott �Q ��' ( � S oPp See h Attached mtal laforma tfoa Ber g el �i 4Jr ii ico l / Z./ T •: r ;G,? 1r I. Al r'i 7. i't i iii 42 i0 . t - WORK REQUIRED DATA: 1- AND 2-FAMILY 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 [,Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S '" r I- and 2 -family dwelling ❑ Commercial /industrial l 5.5'51 ❑ 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: 1 kD $ S 5 , 5 n New dwelling area: 93 s square feet — City/State/ZIP: TLc.„ roret.0 O 2 9 7 A Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: ‘...i.tftl.01'r IiCQ p \ R 04 Covered porch area: square feet Cross street/directions to job site: r� '3' Deck area: square feet 0 +-Ic 5 or.r- i.A 1 l?j ¶L*- t . ct( ' a- 1-4 Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: D,Act2M I Lot no.: i 2 Permit fees* are based on the value of the work pe `firmed. Tax map/parcel no.: Z 5 (� (3 (� - O 1 L O U Indicate the value (rounded to the nearest dollar • f all equipment, materials, labor, overhead, and th • raft for the DESCRIPTION • OF WORK work find ; • ted on this application. Valuation: S Existing building area: square feet New building area: square feet a PROPERTY OWNER I ❑ TENANT Number of stories: Name: (7 c Z 7 .o Tr Type of constru '.n: Address: 9 tog S 5,k $ A-'CTt -AIL Occupancy , u P�cY =� s: P City/State/ZIP: or-A c. Ora, 't 1 O2 9 7 eZ .14 mg: Phone: (S°)) ( .4 9439 Fax: ( ) New: ci APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: 0 v'L 8. licensed with the Oregon Construction Contractors Board q under ORS 701 and may be required to be licensed in the Address: l 6 $' S 5 4 5 - rLe, jurisdiction in which work is being performed. If the 7 �,� applicant is exempt from licensing, the following reasons Cit y /St ate/Z1P: T (4 t/� S 2 apply. Phone: (5 I ) l 14. 9 459 I Fax:: ( ) E -mail: fO el r l o't'+ ® Coyi.a.t..5 k. . r e-* CONTRACTOR Business name: 010 C) f Iv BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City/State/ZIP: Structural plan review fee (or deposit): Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: -- Total fees due upon application: , Amount received: Authorized signature: 1� C / ^� //l_ � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board. I:\ Build 'mg \Pamin\BUP- RES- PcmitApp.doc 03/21/06 440-46 137(1 IN2/COM/WEB) One- and Two-Family Dwelling * ' Building Permit Application Checklist FOIL otlici: 1,51.: oNLv IS City of Tigard Permit No.: • 1 3125 SW Hall Blvd, Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 r i G.� u U 24- Hour Inspection Line: 503.639.4175 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard- or.gov O Other. .11-1E, I'OLL.O\V'I \C. I I I:IS ARE REQUIRED FOR PLAIN REVIEW \ CJ N N /:A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. I • 1 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 0 , 0 ❑ 6 Sewer permit. 0 ❑ 0 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ ion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ 0 ❑ basi , protection, etc. 10 omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state 0 0 ❑ • .ding 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 copyrig . violations exist. 11 Sit plot . lan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ 0 ❑ .• more than a 4-fl. 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; utilityTocations; 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 ❑ ❑ 0 and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ 0 0 furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ 0 0 . floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. 0 ❑ ❑ 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 j] ❑ ❑ 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. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ 0 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore and shall be shown to be ...licable to the . •'ect 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". ■ ■ • • • 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. 0 ❑ 0 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 0 0 ❑ 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 ❑ ❑ 0 Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ 0 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\Building Permits \SUP- RIS -Pvmi App.dcc 03/21/06 E1ect Per mit Application FOR OFFICE USE ONLY City of Tigard ' ' p 1- i e Permit No. , ,7_pUpVZ 111 11 I v 13125 SW Hall Blvd., T i g a r d , V P 5 1 ^ Plan Review • Phone: 503.639.4171 Fax 5 03 . ielT60 Date/B . Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: • Solis: la See Page 2 for Internet: www.tigard - or.gov FEB 22 2001 Notified/Method Supplemental Information - _ - TYPE OF WORK • , ` ' PLAN REVIEW `. _ ". - ,, : ❑ New construction Et. Addition /olteiationn/hIl�Ce�lt nt l "L Please check all that apply (submit 2 sets of plans w/items checked below): ❑ Demolition �,I Tr- �' ' �� 1 'C 1 ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Other: � where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION • - • exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 51. 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or • JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. • ❑ Addition of new motor load of ❑ "A ", "E ", °1 -2 ", "1 -3 ", Job no.: Job site address: I 4.S. S S ems- or more. occupancy. ❑ Six Six o or r more residential units. ❑ Recreational vehicle parks. City/State/ZIP: �• (�Z� G 2 9 ❑ Health -care facilities. ID Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: A 6 kt- 004-00.,rt. b ea ❑ Service or feeder 600 amps or more . . ; FEE SCHEDULE •' ; . Cross street/directions to job site: Description I Qty. I Fee. I Total I ' New residential single- or multi- family dwelling unit. 0,4 5 TH-eitt (S#1 ` • 94 `i. ci 0 �} " Includes attached garage. Subdivision: 9 N eter_ M t,Z,., Lot no.: t X 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 • 1 Tax map /parcel no.: L 5 ( I (SO — O 1 ( 00 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. It) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 . :44. PROPERTY OWNER • . •_ •I ' .' . ^ ' - ❑ TENANT • • , 201 amps to 400 amps 106.85 2 Name: 2O 9 , f r , Lo r 401 amps to 600 amps 160.60 2 - , 601 amps to 1,000 amps 240.60 2 q Address: L t 5" ) wt 5 -s-t_C Over 1,000 amps or volts 454.65 2 City/State/ZIP: 14 \ O 2 1 7 a,4 Temporary services or feeders installation, alteration, and/or relocation Phone: (.9 ) (p 4 3 q 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, l re r ex tang ding to ORS 447, 449, 670, d 701 401 amps to 599 amps 133.75 2 7 2_a O 7 Branch circuits — new, alteration, or ex tension, p r panel Owner signature: Date: Z A. Fee for branch circuits with " �$ APPLICANT .- - CONTACT PERSON " : _ - ' above service or feeder fee, . :~ `; .::.,. ,,, each branch circuit 6.65 2 Business name: B. Fee for branch circuits without service or feeder fee Contact name: (Zak (- `�•r first branch circuit 46.85 2 Address: 4.14, t S 5,4 5 IPer•n,,C.a._ • Each add'l branch circuit 3 6.65 _ 2 Miscellaneous (service or feeder not included) City/State/ZIP: -r-% 4 IOert° , v re- 9 7 A 24 4 • Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (6Z>3) (p z4 9 4 3 9 Fax: : ( ) Reconnect only 66.85 2 E- mail: (• a Ck. c.v r k. - -t ® cow,. c.k..5 A- - t,... e-4- Pump or irrigation circle 53.40 2 •• • - • • .CONTRACTOR •. ' ' Sign or outline lighting 53.40 2 • - ^, , . 1 e ,� Signal circuit(s) or limited - Business name: (�U GK� energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES - . • Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): • f State surcharge (8% of permit fee): Authorized signature: 0 C ( TOTAL PERMIT FEE: Print name' This permit application expires if a permit is not obtained within 180 : Date: days after it has been accepted as complete. • Number of inspections allowed per permit. l :\ Building \Permits\ELC- PennitApp.doc 05/23/06 4104615T(I1/05 /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* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ • Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation 12 Fire Alarm Installation • ❑ HVAC ❑ Instrumentation • ❑ 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 1:\ Building \Permib\ELC- PeumiiApp.doe 0323/06 r • ' Mech2 ical Permit Application 1012 OFFICE USI.: ONLY City of Ti a nd • 0 � 2 0 p - Received PermitNo. h' g i"," D�vBy. ,/t�T�2dU7 -crr� 5 i Y 13125 SW HaII Blvd., Tigard, 3,, , J' Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By.. Other Penmt: TI G A It p Inspection Line: 503.639 FEB 1UU7 Date Ready/By. kris. 65 See Page 2 for Internet: www.tigard or.gov Notified/Method Supplemental Information • TYPE OCr I WI .t ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST T � n t V 1 .S 1, O N Mechanical permit fees' are based on the value of the work El New construction Additiclt t�orJr paCem a 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 - famil dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 2-family g ❑ Commercial/industrial ❑ A ccessory building 13 Multi-family El Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling 9 g 5 5 iP - Te1-E2 Ai gplan conditioning or heat pump Job site address: em I �Q C] (requires site pl showing placement) 14.00 City /State/ZIP:7-N. e tr .Q / O ez 9 ".2.4 Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: Project name: _ Furnace 100,000+ BTU (ducts/vents) 17.90 La Tr I 6-0 9 0-..to tJ Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 o Ik 5 vg's 51 Q Hydronic hot water system 14.00 �T ( �o� t 0 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: ® toM,rA.E,L Lot no.: % Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Z S ( ( ( D ' Of I 00 Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 €,. J`b / 0 a 2J i-c e-r7 Y 0,E4 [r[-13 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 .FROPERTY OWNER l ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: ( w2 L on - Environmental exhaust and ventilation Address: Q in 7 5 5 5 A.m.-Lc/L. Range hood/other kitchen equipment 10.00 City /State/ZIP: r(, 6,1 verst) t 0 Q 1723+4 Clothes dryer exhaust 10.00 • 6 • Q Single-duct exhaust (bathrooms, Phone: (g(') Z I Fax: ( ) toilet compartments, utility rooms) 6.80 I APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name:`( Fuel piping Contact name: (2 D tv4L.07r- $5.40 for first four; $1.00 for each additional 5 5 / Furnace, etc. Address. a W 5 J repru Isa.._ Gas heat pump City/State/ZIP: ' ( 4. A -i v) , cm 9 7 Z A.4 Wall/suspended/unit heater Phone: (5cs3) 6 24 _ 14 31 I Fax: : ( ) Water heater 11 Fireplace E -mail: ie a C.$ ye to +t ® c..a�.c. 0.3 +. A e.+ Range CONTRACTOR Barbecue W k , G � Clothes dryer (gas) Business name: f" C. Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Phone: ( ) I 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: 2,.. � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date: • Fee methodology set by Tri County Building Industry Service Board I:\ Building\Pmnits C- PennitApp.doe 04/06/06 440 -4617T(II /02/COM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. .. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. „ $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I: \Building\Permits \NEC- PermitApp.doc 12/30/05 2 f, Jf r Plumbing Permit Apnlicatioir' -, \mil; l [ - -'\ ' ;f - City of Tigard ��ll Received Permit N S7 i'i7 -- CYyZ ,' • • 13125 SW Hall Blvd r , Tigard, OR 97223 ' `� ' • ' �U� E D By. vl ew Phone: 503.639.4171 Fax: 503.598.1960 Ply Re Other Permit No.: TI G A I. 1� Inspection Line: 503.639.4175 �, I � r/BY )lair El See Page 2 for Internet: www.tigard- or.gov 0t +4 11 `j1 I i i 0:1 \-‘ � Ir . fimdlNlethod - _ Supplemental Information TYPE OF WOJ - Y*- Ti FEE* SCHEDULE ❑ New construction ❑ Demolition For spedal information use checklist. Description I Qty. I Ea. I Total tAAddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath _ 249.20 14 1- and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: c i (p 35 s w g x, f Z Catch basin or area drain 16.60 City /State/ZIP: -in ( Ai2-0, Q fZ et 7.,1,4 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: 1 Project name: F, f1/4..ph'i'.0r1 Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 C. W4 5 evert - J.4A_ 3 Tu. 1 1 . 1 4,1•1 4. , O Q n i Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _J Page 2 Storm sewer (no. linear R: ) Page 2 Subdivision: b s G._L I Lot no.: (L Water service (no. linear ft.: _) Page 2 Tax map/parcel no.: Z '$ ((((3 p - O (( O O Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 r hli- OA2Lc1Ai et..s%5 r•N ( 1 {gA-ri gaol" Backwater valve 16.60 9 0% 14 CI w 0 . C.1-CA 5 E T Clothes washer 16.60 Dishwasher 16.60 (tPROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: (eo 0 - (LL' OTCs Expansion tank 16.60 Address: l (Q 15^ S.n1 5 o A. Fixture/sewer cap 16.60 City/State/ZIP: 1Z4a,, .&0 , ©1'Z 9 712.4 Floor drain/floor sink/hub 16.60 Phone: (y 0 j) it . 4 - g4 31 Fax: ( ) Garbage disposal 16.60 g APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: ti-g7 () c ,LO iT Medical gas (value: $ ) Page 2 Address: c i (a ft ¶ 5 •J S . ft. Primer 16.60 City/State!ZIP: •-k--% ey Oret.9 , O e. 77.2.24 Roof drain (commercial) 16.60 / Phone: (S721) • 6 24 . ci 4 1 Fax:: ( ) Sink/basin/lavatory 16.60 L Tub/shower/shower pan r 16.60 E-mail: r o .� c t' , 6 T't i9 c� rti C g,y 1 ' Urinal 16.60 CONTRA TOR Water closet / 16.60 Business name: 0 Ge) /.JEV 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 %ofpermit fee) State surcharge (8% of permit fee) Authorized signature: C TOTAL PERMIT FEE Print name: • I Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. IABuilding1PamiuPLM- PumitApp.doc 06R61O6 440-4616T(I0/o2/COM/WFB) 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 - l 100' 55.00 0 to 2,000 $11 5.00 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 loo' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm &Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: $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 Back flow 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 6525 $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. Subtotal: each and up $742.00 for the first $50,000.00 and $120 for 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 engineer. Fixture Type: 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 OAR918- 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. -3" Car Wash Drain Comments regarding fixture work: Garbage - Domestic Disposal - Commercial - Industrial Ice MachJRefrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station • Shower -Gang -Stall *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Bradley fees assessed for the sewer increase must be paid before the -Commercial -Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\&aId nawamiuwt.M- PamitApp.doc 09/72/06 Construction Contractors Board Permit #: )1 VTaOO - Oin I IV-• 700 Summer St NE Suite 300 Address: 9686 .//-77 <' f', 4, PO Box 14140 Salem -5052 - x ` Phone: 503 - 378 ° Sl OR 97309 Issued by: 1/571, Date: 5 8 `" -4621 `t �; i Web Address: www.ccb.state.or.us Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed 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 licensing 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: af 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ❑ 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ( 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed 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. C— 2.1/1714 4 (s /bz (Sign a of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503 -378 -4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503- 947 -1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503- 945 -8091 or www .dor.state.or.us /formspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503- 947 -7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. • You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1- 800 - 829 -4933 or visit their web site at www.irs.gov. Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone.- . • Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503 - 378 -4621) or write the agency at PO Box 14140, Salem, OR 97309 -5052. Property_owner.doc 06 -01 -04 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 415/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 09585 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: F:URLorr DESCRIPTION: 935 sq ft. addition. 4/3/08 added (12) additional branch circuits, (2) /VC's, (1) gas water heater, (3) bath fans and (1) air handler. OWNER: FURLOTT, ROD PHONE #: 503 - 624 -9439 CONTRACTOR: t7MfNER PHONE #: Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message rq) Interior shear walls 070015 -01 503 -624 -9439 N Corrections /Comments/ Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date.5 Phone #: (503) 718- �= CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2007 -000.12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007 Phone: (503) 639 -4171 /�n A A , Inspection Requests (24 Hrs.): (503) 639 -4175 ��' "'III INSPECTION WORKSHEET FOR DATE: 5/1 5/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 09686 SW SATTLER ST i CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 i TYPE OF USE: PROJECT NAME: FUI L.OTT DESCRIPTION: 935 sq ft addition. 4/3/08 added (12) additional branch circuits, (2) NC's, (1) gas water heater, (3) bath fans and (1) air handler. OWNER: Ftlf LOTT, ROD PHONE #: 603 -624 -9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 069949.01 503-' N Corrections /Comments /Instructions: i 1 i ASS n PARTIAL APPROVAL ❑ CANCEL 1 ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED I Inspector: Date: S is --Oc9_ Phone #: (503) 718 - 2 6 I CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41&12097 Phone: (503) 639-4171 11 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME 7:01AM PAGE: 13 SITE ADDRESS: 09686 SW SATTLER ST CLASS OF WORK: SUBDIVISION: IDARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLO TT DESCRIPTION: 935 sq ft addition. 4/3/02 added (12) additional branch circuits, (2) A/C's, (1) gas water heater, (3) bath fans and (1) air handler. OWNER: FURLOTT, ROD PHONE #: 503-624-9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 775 Framing 069361-02 503-624-9439 Corrections /Comments / Instructions: PASS fl PARTIAL APPROVAL E CANCEL , E NO ACCESS fl FAIL CALL FOR INSPECTION (11 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- tr-rirS• • CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/.5/201)7 Phone: (503) 639 -4171 l i2l � l t# Inspection Requests (24 Hrs.): (503) 639 -4175 ..... __.. INSPECTION WORKSHEET FOR DATE: 5/512008 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 09686 SW SATTLER ST I CLASS OF WORK: SUBDIVISION: DARMEL. LOT #: 012 ' TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 936 sq ft addition. 4/3/08 added (12) additional branch circuits, (2) A/C's, (1) gas water heater, (3) bath fans and (`i) air handler. OWNER: FURLOTT, ROD PHONE #: 503. 5249439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 069361 -01 603-6249439 N Corrections /Comments / Instructions: -7-) ,4p r %�c7 ASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 i ,„I Inspector: , A Da ,� —"� Phone #: (503) 718- �4�'/-- CITY OF TIGARD BUILDING DIVISION PERMIT #: :, "S : %O07- 000.12. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' J'b: ?0O7 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4'3 V x: 013 TIME: 7:06 AM PAGE: 10 SITE ADDRESS: Via`: ° ; t €:: ``; V CLASS OF WORK: SUBDIVISION: DARNEL. LOT #: 012 , TYPE OF USE: PROJECT NAME: F €RLO 'T t DESCRIPTION: - 53 :.4 ii a p. 413:4); :4dtlef f 12' .'3d'rif"ria! br tla; drelas, :) WM..., ( I 93 hc7„..;,er, ( ) OWNER: • f t.n.4..t.:' 1 -I, PHONE #: ':03.62.4 - 03:s CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: '3I30f200: Pour Time: Code # Inspection Description Confirm # Contact # Message y.._ =i} 00900?._ 01 Ca• 6:. } 4- 9413 `Y' Corrections /Comments /Instructions: 774-k Lc see • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ,„ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION. A . PERMIT #: MST2007- 00092 13125 SW Hall Blvd., Tigard, OR 97223 • i DATE ISSUED: 4/6/20U7 Phone: (503) 639 -4171 :�* Inspection Requests (24 Hrs.): (503) 639 -4175 .�'ill • INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME! 7:OOAM PAGE: 22 SITE ADDRESS: 09685 SW SAT1'LEdR ST CLASS OF WORK: ' SUBDIVISION: CARPEL. LOT #: 012 TYPE OF USE: PROJECT NAME: FURL.OTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503-624-9439 CONTRACTOR: OWNER j PHONE #: -- Inspection Request Scheduled For: Date: 3/2612008 Pour Time: Code # Inspection Description , Confirm # Contact # . Message 615 ivie>cha:iical rough -iri 06735%04 503 -9439 N . Corrections /Comments / Instructions: Ah a-i /A 1 -,-- kk (Am . ' iite,*5191],ii., 1 � t a 2 e 4, /ij t%#\ /xi., , 1 fiV 1 4 .z ) ;JV / tetia eJ &). . 1 LM> - (144 (3) . ❑ PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED or: Da ) OA Phone #: (503) 718 Inspector: ( ) CITY OF TIGARD t - BUILDING DIVISION PERMIT #: t ST2007 -0012 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /6!2007 Phone: (503) 639 - 4171 Al., Inspection Requests (24 Hrs.): (503) 639 - 4175 `�I I � INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:00Aivi PAGE: 31 SITE ADDRESS: 09685 SW SATTLER ST i CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLO'TT DESCRIPTION: 835 sq ft addition OWNER: FURLOTT. ROD PHONE #: 503 - 6249439 CONTRACTOR: OWNER PHONE #: - Inspection Request Scheduled For: Date: 3/18/2008 i Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 066863 -01 503 G24 9438 N Corrections /Comments /Instructions: . G /t..rea .GS vtiYL �ei, `r2a,i - • /Ms," <_ , ./t...,t62 ".Lic, - PA i ✓12 _ L. 4 Ar , ✓ 1 /- 4/44.?.n / y r C ' /�L .Z �- L/ 1 A° _at LPL - - /11 - 'S �c�G TV. )IL/ ' C } ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: ' ns ector: /0\ Date: . l�—�? Y Phone # : 503 718- ' 1 CITY OF TIGARD ! ' - P:444-1;1A- BUILDING DIVISION PERMIT #: MST2007-000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/n07 Phone: (503) 639 -4171 Ai gil Inspection Requests (24 Hrs.): (503) 639 -4175 ,..it INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 09$6 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARNEL LOT #: 012 , TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 936 sq ft addition OWNER: FURLOTI , ROD PHONE #: 603 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/2012007 Pour Time: n1'` Code # Inspection Description Confirm # Contact # Message � 242 ay � a.� ,� Interior shear walls 060001 -01 503-674 -9439 Y t ,r�{: I Corrections /Comments /Instructions: c _ / g A q j ._ 1. „e_ I 7 1 ' ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Date: II Phone #: 503 f\-4q Inspector: !1 w ( ) 718 - CITY OF TIGARD ,- BUILDING DIVISION PERMIT #: MST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 9, DATE ISSUED: 4/5/2007 Phone: (503) 639 - 4171 t �; /�1` b/ ' , Inspection Requests (24 Hrs.): (503) 639 -4175 ;�& : "'II. "/ U INSPECTION WORKSHEET FOR DATE: 9/213/2007 TIME: 7:OOA PAGE: 30 SITE ADDRESS:_ 09685 SW BATTLER ST — CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT - i, - DESCRIPTION: 936 sq ft addition _ OWNER: FURLOTT, ROD PHONE #: 5036249439 CONTRACTOR: ovi NCR - PHONE #: Inspection Request Scheduled For: Date: gj2872007 • Pour Time: Code # Inspection Description Confirm # , Contact # Message 240 Exterior sheathing 056576-01 503- 624 -9439 N Corrections /Comments /Instruction : _ = - 1A-6:: I -ev Q../.__. - ' V Ne■J ) S-7' L , ( } t , • Q9.- /1/vt • • , i ' / ,,,, ,t , tz ``1 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,' Date: 9 i 2k 6 � Phone #: (503) 718- _Lf2 CITY OF TIGARD - - , BUILDING DIVISION P ERMIT #: MST2007 00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/'17007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ._..!: 1 -� __ INSPECTION WORKSHEET FOR DATE: 9/28/2007 TIME: 7 :OOAM PAGE: 29 SITE ADDRESS: 09685 SW SATTLER ST CLASS OF WORK: SUBDIVISION: [)ARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLO°f l DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROC) PHONE #: 603.624 -9439 • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 056576 -02 503.6249439 N Corrections /Comments /Instructions: - 1: 1 ■(4 - E-VttkC AL&X---- (JIAA/5 - 7 ( n PASS I MARTIAL APPROVAL ' CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,/lam` - - - Date: 4/ t 6 1 Phone #: (503) 718- 7-1/2-J CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/ 4120 0 7 TIME: 7 :01AM PAGE: 27 SITE ADDRESS: 09685 SW SA1TLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503-6249439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Frarning 055061 -01 503 -624 -9439 N Corrections /Comments /Instructions: ,VDT • n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: Date: - Phone #: (503) 718- S— CITY OF TIGARD - BUILDING DIVISION - PERMIT #: MST2007 -00t42 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639 -4171 �:�i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE:. 4/25/2007 TIME: 7:OOAMVI PAGE: 49 SITE ADDRESS: 09685 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTF DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503 - 624.9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled. For: Date: 4/25/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 047115 -02 503-624-9439 N Corrections /Comments /Instructions: - - I- C ;e_i_ ..t PASS ❑ PARTIAL APPROVAL ❑ CANCEL f l NO ACCESS I 1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: - Date: 7 Phone #: (503) 718 r i • CITY' OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639- 4171�I�I Inspection Requests (24 Hrs.): (503) 639 -4175 ..-- !�i INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 09685 SW SATTLER.ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503-624-9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/25/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 047115 -01 503624 -9439 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 1 1 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- �? Phone #: (503) 718- 2—S -e-b-5-- CITY OF TIGARD .- BUILDING DIVISION PERMIT #: M ST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639 -4171 A I l� r Inspection Requests (24 Hrs.): (503) 639 -4175 .,L.. ' . , INSPECTION WORKSHEET FOR DATE: 412412007 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 09685 SW SAT ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503.624 -9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 047042 -01 503 - 6249439 N Corrections /Comments/ Instructions: 0 4/OT -n /• IG %4 "Ai ola -i iL �ore. t*l,G /. Zo Yv .)-r 210 1J a- .../7.4naN 44 - 1 4 - u� r _z u, y - purr —Vc. CV ❑ PA S ❑ PARTI APPROVAL fI CANCEL El NO ACCESS AIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED \ Inspector: ' / Date: ¢ —x . Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5120(17 Phone: (503) 639 -4171 �'� Inspection Requests (24 Hrs.): (503) 639 -4175 `'I INSPECTION WORKSHEET FOR DATE: 4/2812008 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 09686 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 93f, sq ft addition. 4/3108 ;added (12) additional branch circuits, (2) NC's, (1) M.as water heater, (3) bath fans and (1) air handler. OWNER: FURLOTT, f', ROD PHONE #: 503624 -9139 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electiical rough -in 0689W -02 503-624-9439 N Corrections /Comments/ Instructions: 2 P taI0 E J tOOI° 00160/ 6044-0 4-0 ®W 4131011 414 - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ )4PASS NO ACCESS �� ` FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 14 6 l L Date: - 2.Qk at Phone #: (503) 718- 1q% CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00G12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/U2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 !�U I INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7:OOAM PAGE: 25 SITE ADDRESS: 09685 SW SATTLER ST CLASS OF WORK: SUBDIVISION: [.)ARMEI. LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft additinn OWNER: FURLO TT, ROD PHONE #: 503.624 - 139 CONTRACTOR` OWNER PHONE #: Inspection Request Scheduled For: Date: 3/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Hoctiical rough-iii 067359-02 503-624-9439 N Corrections /Comments / Instructions: ;.) ai enald, 5(,--/21 /,&1111/Y : ( v611 frLe'- nay) -* aacti7 -Oh7'6 AA; e P lie it G4.&3. 2-0.2 l ' ' / J /ecew;dtkcee W— o10D7(& f Cj "t o ! ®ir 1-5 At) cY AL ,v LA e t etil.5 No., S'ax.vi cZ YYNA1 N NOS o� P gL-- Q� 14o�V U6Et Ex►6i Os PI '44,1-A ta 'ik to2i/t/lacie- id-- kic v,,„, ! I.,,,,,,,,ta ,,,,,,,,,iiii,b, (g,,/-, //,,,Ic) ,.. ti -'__,/.. 'ea '4,1, .,:wii --ii.:50 4 " z ' "cgeic ,/ r / MEM ' ye / , - k lA a I— I i `%lL. ,-- .._.'4{ 9 i , mo o / - �Y (�I. VW\ pe,..._ , , .. C41 IA.I! / 4 A...._., L% ■ _ i V � it �(� � �tI ' V (.�' C t 11/ n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL X CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 1 / 0 Phone #: (503) 718 - �% 1 ' a CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /(i/2007 Phone: (503) 639 -4171 �E_���� Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 3/26412008 TIME: 7:0OAtvi PAGE: 26 SITE ADDRESS: 09686 SW SAT1 LER ST CLASS OF WORK: SUBDIVISION: DARNEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: F URLOTT, ROD PHONE #: 503 - 9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/2€/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Elect.hical service 067359°01 503.62A -9439 N • Corrections /Comments/ Instructions: • l n PASS ❑ PARTIAL APPROVAL l CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INS ECTION ❑' ADDITIONAL FEES ASSESSED Inspector: 1, i Date: 3/ 24, v Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007-00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/512007 Phone: (503) 639-4171 Vtilill' Inspection Requests (24 Hrs.): (503) 639-4175 — ...— INSPECTION WORKSHEET FOR DATE: 5/8/2009 TIME: 7:01AlVi PAGE: 15 SITE ADDRESS: 09685 SW SAMER ST CLASS OF WORK: SUBDIVISION: DARNEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition. 4/3108 added (12) additional branch circuits, (2) NC's, (1) gas water heater, (3) bath fans and (1) air handler. OWNER: FURLOTT, ROD PHONE #: 503-624-9439 CONTRACTOR: OWNER PHONE #: P Inspection Request Scheduled For: Date: 502008 Pour Time: r - Code # Inspection Description Confirm # Contact # Mes jetit 320 Plumbing rough-in . 06959G-01 503-624-9439 Y Corrections/Comme /Instructions: , / / L -,.a.A......cd A -- ' .....ar........... tf.j___ • r 3... er-k Al PAS U PARTIAL APPROVAL D CANCEL fl NO ACCESS II" AIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date:./Vei K Phone #: (503) 718 2_ fi _ ( CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00042 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4'5/2007 Phone: (503) 639-4171 _414 a Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 41280008 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 09685 SW SATHER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURI...0 DESCRIPTION: 935 sq ft addition. 413/08 added (12) additional branch circuits, (2) NC's, (I) gas water heater, (3) bath fans and (1) air handle. OWNER: FURLOTT, ROD PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 068968-01 503-6249439 Corrections/Comments/ Instructions: 4 p,rov-c-j [1/4AL ‘1\, CoA:k r erc — F C1<3 rt-ri Se_ v-e, — (7) E1° J (4 f!0=;i 4-4 F PASS El PARTIAL APPROVAL El CANCEL pi NO ACCESS 111 FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: CT7 Date: C4 /23107> Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4150007 Phone: (503) 639 -4171 a�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7:OOAM PAGE: 24 SITE'ADDRESS: 09685 SW SATILER CLASS OF WORK: SUBDIVISION: DARNEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, RG4) PHONE #: x:03 - 9439 CONTRACTOR: OWNER • PHONE #: Inspection Request Scheduled For: Date: 3/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 numbing rough -in 067359-03 503. 624 -9439 N - Corrections /Comments/ Instructions: Lot v I(�eJ�� Ue,�'rD�e�' -� Akovt. r T✓ap. w t, 1 G-t k(/ (le . I 1 'A - • Re-et 1AJv -t i P p ' OF I c<. o • S T,►.,�- C p 4 e wt/ a n ve. d— ��e. w'- i A OANJe. Tea- Ix 1e;r✓ (,Jc.,1c✓ (-- .ems '�► \ (/0 t 4,4.1 M C00 v?,,) N om �✓°'� A- v,v, o F T1 glv-o (� PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v \ \N.'� Date: 3 )24, \ 0 l Phone #: (503) 718- s . CITY OF TIGARD ,. BUILDING DIVISION PERMIT #: MST2007- 00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639 -4171 r� Inspection Requests (24 Hrs.): (503) 639 -4175 N AL INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7 :03AM PAGE: 72 SITE ADDRESS: 09685 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503-624.9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/8/2007 Pour Time: I Code # Inspection Description Confirm 1 Contact # Message_ 335 Rain drain 047835 -02 150:-624 -9439 Y r Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL A ALL - viiv ION _ ADDITIONAL FEES ASSESSED Allin Inspector: W ■L_ Date: Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00042 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE:. 5/8/2007 TIME: 7:03AM PAGE: 73 SITE ADDRESS: 09685 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 . TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503.624 -9439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 047835.01 503-6 -,. 39 N Corrections /Comments /Instructions: • • ►, • SS ❑ P' RTIAL APPR• • n CANCEL n NO ACCESS FAIL / ALL •'ECTION ADDITIONAL FEES ASSESSED Inspector: Date. Phone #: (503) 718 • CITY OF TIGARD BUILDING DIVISION r PERMIT #: MST2007- 001742 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 4/5/2007 Phone: (503) 639 -4171 491, 1 � ii Inspection Requests (24 Hrs.): (503) 639 -4175 E:_.. INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 76 SITE ADDRESS: 09686 SW SATTLER ST CLASS OF WORK: SUBDIVISION: DARMEL LOT #: 012 TYPE OF USE: PROJECT NAME: FURLOTT DESCRIPTION: 935 sq ft addition OWNER: FURLOTT, ROD PHONE #: 503.6249439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 047226 -01 503 -624 -9439 N Corrections /Comments / Instructions: r• ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VI 11V Inspector: Date: 411/ / Phone #: (503) 718- •