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Permit
�, ,, CITY OF ' i lGA D f y ;: MASTER PERMIT t- a r ` ' COMMUNITY DEVELOPMENT PERMIT #: MST2007 -00083 �''' DATE ISSUED: 5/25/2007 �TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DB - 08100 SITE ADDRESS: 11200 SW MORGEN CT ZONING: R -4.5 SUBDIVISION: GENESIS NO. 3 LOT: 094 JURISDICTION: TIG PROJECT: ALLGAIER Project Description: Convert 578 sq ft of crawl space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 578 sf BASEMENT: sf LEFT: SMOKE DETECTORS: y TYPE OF USE: $F FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELUNG UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL 578 sf 53,407.20 REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 7HP: VENT FANS: CLOTHES DRYER: FURN >=t00K UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 3 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADM 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 1 SIGN/OUT UN LT: PER HOUR: CIA UMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR: 1 SIGNAUPANEL: IN PLANT: eLI MANU HM/SVC/FDR: 601 - 1000 amp: 601.amps•1000v: MINOR LABEL: O 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 8. COMMERCIAL ti AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8, STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: QQ GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: W HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: This permit is subject to the regulations contained in the Tigard Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MARK & CAROL ALLGAIER GLASS HOUSE CONSTRUCTION laws. All work will be done in accordance with approved plans. This 11200 SW MORGEN CT 3740 SE KING RD. permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 MILWALLKIE, OR 97222 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 PhDne 294 -5903 Contact #: PRI 503 740 - 5442 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 159081 TOTAL FEES: $ 1,066.71 REQUIRED ITEMS AND REPORTS Bolts in concrete Structural observation K.-- . . Iss ed By : ; , _ _ 1040 _J Permittee Signature : Call 503.639.4175 by7:00 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. • . ..,..! 7 ,e/U/ ./.- .1,..,e 7 /Rig IN q I TIGARD MASTER PERMIT PERMIT #: MST2007 -00083 '° , COMMUNITY DEVELOPMENT DATE ISSUED: 5/25/2007 TIGAR ; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 = PARCEL: 2S103DB - 08100 SITE ADDRESS: 11200 SW MORGEN CT ZONING: R -4.5 SUBDIVISION: GENESIS NO. 3 LOT: 094 JURISDICTION: TIG PROJECT: ALLGAIER Project Description: Convert 578 sq ft of crawl space to habitable spac . 9/26/2007 Add furnace BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 578 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y - TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: 53,407.20 OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 578 sf REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: • RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: 0 VENT FANS: CLOTHES DRYER: NAT FURN > =100K: I . ATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 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/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: • > =4 RES UNITS: SVCIFOR> =225 A.: > 600 V NOMINAL: CLS AREAISPC DCC: 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 # 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 MARK & CAROL ALLGAIER GLASS HOUSE CONSTRUCTION laws. All work will be done in accordance with approved plans. This 11200 SW MORGEN CT 3740 SE KING RD. permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 MILWALLKIE, OR 97222 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: 503 294 - 5905 Contact #: PRI 503 740 - 5442 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 159081 TOTAL FEES: $ 1,066.71 REQUIRED ITEMS AND REPORTS Bolts in concrete Structural observation // 4' Issued By : ,. , / - - i Permittee Signature Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. •' ;> cI Y Y OF TIGARD PERMIT "' PERMIT #: MST2007 -00083 "'" COMMUNITY DEVELOPMENT DATE ISSUED: 5/25/2007 .i TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DB - 08100 SITE ADDRESS: 11200 SW MORGEN CT ZONING: R -4.5 SUBDIVISION: GENESIS NO. 3 LOT: 094 JURISDICTION: TIG PROJECT: ALLGAIER Project Description: Convert 578 sq ft of crawl space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 578 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 578 sf 53,407.20 REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 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 INP: btu FLOOR FURNANCES: VENTS: 1 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: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 k: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MARK & CAROL ALLGAIER GLASS HOUSE CONSTRUCTION laws. All work will be done in accordance with approved plans. This 11200 SW MORGEN CT 3740 SE KING RD. permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 MILWALLKIE, OR 97222 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- 294 -5903 Contact #: PRI 503- 740 -5442 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 159081 TOTAL FEES: $ 1,066.71 REQUIRED ITEMS AND REPORTS Bolts in concrete Structural observation Iss ed By : __I 0 / ZL1 -4 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. Building Permit Application Residential � A h FOR OFFICE +USE ONLY r �, rte:.. _.i!'z. e;, i L.Jt' vI6•- r?, i.?= d".a ^� it'1.:'.V? "S. _ :: . :.Fk +�:a''$.44`�,iilr. T ' ti'.Y` G Received / 1 3 City o f Tigard �/ a d 7 Permit No.: N�J�� --�0 F W ` �7 g Date/By: ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 0 TIG�RD Ph one: 503.639.4171 Fax: 503.598.1960 DateiBy: I 5.a. Other Permit: . `� � � t "' -� ' Inspection Line: 503.639.4175 Date Ready/ 1 Jur El See Page 2 for pp 4t�(e c r,: Internet: www.tigard-or.gov Notified/Method:�I2S � � � LU Y ( j S Information Leff v- rrla\t w . i11 v son (e-ti tfac -) TYPE OF WORK .. REQUIRED.DA• A: 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 El Other: equipment, materials, labor, overhead, and the profit for the • . CATEGORY OF CONSTRUCTION work indicated on this application. 1=1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S ✓3t (� , 00 1=1 Accessory building ❑ Multi- family Number of bedrooms: 1 El Master builder 1=1 Other: Number of bathrooms: JOB SITE. INFORMATION AND •LOCATION • ' Total number of floors: Job site address: 112,00 S11I3 R a, New dwelling area: 6 square feet — City /State /ZIP: f 1 (j 9 f [ 1 (1C � , J Garage /carport area: square feet Suite/bldg. /apt. no.: -) Project name: ' a I Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet _ _ ' REQUIRELi DATA: COMMERCIAL -USE CHECKLIST 1 Subdi , :an: Lot no.: . erm t ees * are base on t va o .he w o k per Tax map /parcel no.: — Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the • ` DESCRIPTION_ OF WORK' work indicated on this application. 1 (Jar-- o L 4 � e-f _ f�4 D _/ `9 ` Valuation: $ g � / i%G' / (�T�'J %O C/ Existing building.area: square feet New building area: square feet /Rt PROPERTY _ , _ . ❑, TENANT . . - Number of stories: • Name: a lA I 4 C (,,t % � \ P'l Oa J ( Type of construction: Address: 1 \ 2OD (r.. Occupancy groups: City /State /ZIP: r r Existing: Phone: 3 201 – v l O -, Fax: ( ) New: • ❑ APPLICANT:. ❑ CONTACT PERSON ` . • NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) 1 Fax::( ) E -mail: CONTRACTOR ". Business name: U. 1 i sAnciion BUILDING PERMTI':FEES* • Address: - ,1 - 1 O s E �/� • ' (Please refer to lee scheda/ee) I'r r i ` / /� Structural review fee (or deposit):L� CA City /State /ZIP: IIJ " i a-a-a -- Phone. 5) ) �l Lif Fax: ) FLS plan review fee (if applicable): L� CCB lic.: i r _ 1 �� L 2 16 I �Qt Total fees due upon application: liu /, lam J t1 Amount received: Authorized signature: This permit application expires if a permit is not obtained V ��� within 180 days after it has been accepted as complete. . Print name: i1 2 (� ( ' \ Date: L. 2.._(-1 V� * Fee methodology set by Tri- County Building Industry — 101 Service Board. 1: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440-461 3T(1 I /02 /COM/WEB), \ Building Permit Application Checklist r 'lr t �s ` j.� "c49"�i�.a+ One- and,Two- Family Dwelling � r FOR{O E US E ON Y Fr t City of Tigard Date/Bed Permit No.: l ,y a 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: d G Phone: 503.639.4171 Fax: 503.598.1960 S - 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical %TIGAR D r sus xr< Internet: www.tigard ❑ Other: aTHEFOLLOINGI= TfEMSAREREQUIREDFOTRPLA 'NREV�IEW • 1 Land use actions com t feted. See 'urisdiction criteria for concurrent reviews. 0 ❑ ❑ 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 co. ri: ht 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 showin: 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 Ion: and/or an beam/ ca in 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 a..liances. 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 •roject under review. k OURISDIC 1 ION�L t PL.CIFICS F I y. e r » Y � ;� h �' �*� .c 23 Five (5 site .tans are re.uired for Item 11 above. Site •fans 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 .Ian to include tree protection measures as re, uired b conditions of a. 'royal. ❑ ❑ ❑ 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) V Plumbine Permit Application i :oR OFFICE USE ONLY City of Tigard Received , � Permit No.: 7 %j , :� v 13125 SW Hall Blvd., Tigard, OR 97223 1 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit No.: - r 1 G A 1` G Inspection Line: 503.639.417 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method I 4 Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New 1 -2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 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: '\ 1 2(00 s1A I V\(X fl . Ca Catch basin or area drain 16.60 City /State2lP: �� q 4 7 Drywell, leach line, or trench drain 16.60 - Suite/bldg./apt. no.: / I Project name: A 1 L,��� Q �� Footing drain (no. linear ft.: ) Page 2 Pa g J Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 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 Back flow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 P OPERTY OWNER I Drinking rinking fountain 16.60 11 O & . i Ejectors/sump 16.60 Name: O f Expansion tank 16.60 Address: ' St or Fixture /sewer cap 16.60 ( rtY /City /State/ZIP: ? ' Floor drain/floor sink/hub 16.60 Phone: (50 2 50 -2� Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON • Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: 8 ) Page 2 Address: Primer 16.60 City / State/ZIP: Roof drain commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/b n/lavatory / 16.60 Tub /shower Mower pan / 16.60 E -mail: Urinal 16.60 a CONTRACTO,t Water closet / 16.60 Business name: i N w 1 - 1 �: i �� 11 Water heater 16.60 Address: v Other: ` City / State/ZIP Subtotal Minimum permit fee: 572.50 Phone: D� Fax: ( ) Residential backflow minimum permit fee: 536.25 CCB Lic.: I Plumbing Lic. no.: Plan review (25% of permit fee) ✓,,,,, State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: . � ` � Date: LJ I J/)7 This permit application expires if a permit is not obtained within " ' V " `� Z �/ t/ / 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\ Building \Permits\PLM- PumitApp.doc 06/26/06 4404616T(10✓02JCOM/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 - l ° 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 - I st 100' 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 Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: 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 *. El Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Future 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 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" -4" Car wash Drain Comments regarding fixture work: Garbage - Domestic Disposal -Commercial - Industrial Ice Mach./Refiig. 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 Commercial fees assessed for the sewer increase must be paid before the - Service plumbing permit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i \Building \Permits \PLM-PermitApp doc 09/22/06 Mechanical Permit Application '-� I: I ;" r t "; i � grit=, )tl�' :Rasa {, � t , m ' t •y��< (I p s ' PP n L �1 1��Ijj �c I��r f't amti �' FOR OFFICW,,k4 NL'Y 1 yy�� `s {s ,: , x '�Y `� f• _. Y7.t11�k'itlkd�tvi.i�f1'��$s t.�.P.�ictr- +e+tiX... °ea Jt:r3r.'r`ut�eµ r. It/Rt 1 /1+'�f, ` j4 �� lE'' - d ..,,., Y .. � pY City of Tigard �- '• ` ,, ,i 1 _,..,, Receive Date/By: 'a W of Permit No. M4,7 -A.�� 7 _ 690 65 ; PY 13125 SW Hall Blvd., Tigard, OR 97223 Plan R ew t� .�i:,: ;' C � Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: vat "•dr 1 Inspection Line: 503.639.4175 +T G !R,D �PR fDay�(l Date Ready /By: Juns El See Page 2 for ,+�? CPA4tur* Internet: www.tigard - or.gov Notified/Method; Supplemental Information fl1 TYPE OF WORK `j . 1 y ? ' { -'� %E 1 t ` i..11 Y r ' COMMERCIAL. FEE* SCHEDULE •' USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Addition/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: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2-family g ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: For speciel information use checklist. Description Qty. Ea. I Total • . • JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address:I I 0D S VV ' O' j�n ,W CJL. Air conditioning or heat pump /' (requires site plan showing placement) 14.00 City /State /ZIP: 1 96,. -r1- U t� Fumace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Jr,�, Q .(• Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 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 ❑ PROPERTY Chimney/liner /flue /vent 10.00 OWNER ❑ TENANT Other 10.00 _ Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) `' 6.80 ❑ APPLICANT •. • • • ❑ CONTACT PERSON • Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: — Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRA M OR .. Barbecue Business name: ,, - l` * I '' y A I Clothes dryer (gas) Other Address: 1 t L�� � I _ MECHANICAL PERMIT FEES* City /State /ZIP: \ , I� 1 D� Subtotal Minimum permit fee ($72.50) Phone: ( % � Fax: ( ) Plan review (25% of permit fee) CCB lic.: ,� V E)\ State surcharge (8% of permit fee) i TOTAL PERMIT FEE Authorized signatur / This permit application expires if a permit is not obtained within 180 s' / _�; /� days after it has been accepted as complete. Print nam /'` t ` Date:/.--- / /11 t : — • Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Permits1MEC- PermitApp.doc 04 /06/06 440 -461 TT (1I /02/CON/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. 1:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2 Electrical Permit' Application +t a J FORI0FFICE US F' ONLY <; =# 4 rte' y �, ; CI of Tigard Received y o Permit No.: f/�/ 7- „ g Date/By: o I w a 1 3125 S W Hall Blvd., Tigard, OR 9 7223 Plan Review Other Permit: ;i C Ph one: 503.639.4171 Fax: 503 . 59 8.1960 Date/By: � ITN Inspection Line: 503 Date Ready /B �) 5 ' as Juns: 0 See Page 2 for 4 TIG A RD r �-,4x•:; Internet: www.tigard-or.gov Notified/Method: /it Supplemental Information TYPE OF WORK ' PLAN REVIEW. ❑ New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ 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 ❑ 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'.1NFORMATION`AND LOCATION 0 Emergency system. larger separately derived system. • ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: I I� �` 00 q > n , ❑ Six or or more. occupancy. p J v� / Six or more a residential units. ❑ Recreational vehicle parks. City /State /"ZIP: "i /, /t �� ❑ Health -care facilities. ❑ Supply voltage for more than ` eJ ❑ Hazardous locations. 600 volts nominal. J 1 (/I/ r Suite/bldg. /apt. no.: '1 Project name: � //�/,1 ( ❑ Service or feeder 600 amps or more. J "" FEE SCHEDULE Cross street/directions to job site: Description 1 Qty.' 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 . • DESCRIPTION IPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY. OWNR n ❑TENANT 201 amps to 400 amps 106.85 2 MIA 4 I 401 amps to 600 amps 160.60 2 Name: . - '. . ., __ A 7 = / — - 601 amps to 1,000 amps 240.60 2 Address: ' ' a _ _ ,. o rge � Over 1,000 amps p s or volts 454.65 2 City/State/ZIP: /�1� Temporary services or feeders installation, alteration, and/or 2 L/ r��� /rte Fax: ( ) relocation 00 ams Phone: 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT. ❑ CONTACT PERSON •" above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 2 first branch circuit Address: Each al branch circuit i 6.65, 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90" 2 dwelling, service and/or feeder Phone:( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 t CONTRACTOR r Sign or outline lighting 53.40 2 Business name: , t \ �t2 , r' ( C Signal panel, or t i o n, or �/ �. J v I � AI energy panel, alteration, or Address: extension. Describe: Page 2 2 -—t ' LZ -i v 1 , _ - City /State /ZIP: I _ - Each additional inspection over allowable in any of the above Per inspection 62.50 Phone:c 0' _ ( ) Investigation per hour (1 hr min) 62.50 ' CCB Lic Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 — ' t . ELECTRICAL. PERMIT FEES' Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: • TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. " Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T( I I/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* ❑ O ther: 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 ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n N urse Calls ❑ Outdoor Landscape Lighting* n P • rotective Signaling ❑ Other Total number of commercial systems: *No-licenses are required. Licenses are required for all'other installations I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 Construction Contractors Board Permit # : iw'�7 -�00 83 700 Summer St NE Suite 300 Address: //P ' k 4) / ile..6 V Cr : 1 7, Ni '.'-', PO Box 14140 i %': Salem OR 97309 -5052 Issued by: ��a Date: / , �� �� r. t . .-�1 Phone: 503 - 378 -4621 �. !-0 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: 0 r 1. I own, reside in, or will reside in the completed structure. . I understand that I must become licensed as a construction contractor if the structure is sold or offered for_sale before or on completion. _ - - _ _ 4i. 3A. My general contractor is _ �: „ , / 0 ox is 0 ''�•,, dir (Name) CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. e", OR j7_ . i�l�S 3B. I will be my own general contractor. 6,tf /`� / If I hire subcontractors, I will hire only subcontractors licensed with the Con ction 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. NAti 064. 5-ZO (Signature of permi p licant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06 -01 -04 • Acting a Your Own General Contractor? = • - • ' ..'.iNFORMATION 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 hame_or make a substantial improvement to anexisting 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 informations 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 (BllI) 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.usifonrnspay.htmi l for the appropriate forms. • r, - 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 ineorne 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.g.ov. . Other .Responsibilities. and Areas o 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 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. Tirne: Make sure you have sufficient time to supervise your employees. . Expertise: Make sure you have the - skills 'to act as your awn 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 #TV720& 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 LA, Inspection Requests (24 Hrs.): (503) 639 -4175 AM FL L. INSPECTION WORKSHEET FOR DATE:4 Igi d TIME: PAGE: SITE ADDRESS:1 200 6 (A) rn CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: M. (B1 bet Pour Time: Code # Inspection Description Confirm # Contact # Message Mc‘ ► SAL_ Corrections /Comments /Instructions: • ►1 PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL P1 NO ACCESS ❑ L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v • 4\0 Date: , 1. Q ¶ Phone #: (503) 718- 1141t CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007 Phone: (503) 639 Inspection Requests (24 Hrs.): (503) 639-4175 --- INSPECTION WORKSHEET FOR DATE: 2/4/2009 • TIME: 7:00AIVI PAGE: 19 SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GFNESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLCAIER DESCRIPTION: Convesi 570 sq ft of crawl space to habitable space. 9/2612007 Add furnace OWNER: ALLGAIER, MARK & CAROL PHONE #: 503-2M•5906 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503-740-M42 Inspection Request Scheduled For: Date: 2/4/7009 Pour Time: Code # Inspection Description Confirm-# Contact # Message 11)9 Electrical final 000255-03 503 Corrections/Comments/Instructions: ?k ° )( 3 e c-LUtkvic* icJ ftteeV & Pawa Att1 1 16, 3 .6 Pitta4Itzrit h itt C-Akg PaAilt Fca 11\ LL voq I q1/0 tote 3 41-V25 j e) f i y v 'atJ 1?- 161 wti, 6 uvi9 rt\l:Nvvv% 6c-- WAN 3(zA. I L # 2 trt s - 6 - • . E PASS PARTIAL APPROVAL E CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G N 66 LE Phone #: (503) 718- pi.14_ CITY OF TIGARD BUILDING DIVISION PERMIT #: MAMSJ2007 -000 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512512007 Phone: (503) 639 -4171 '�i�I Inspection Requests (24 Hrs.): (503) 639 -4175 �! F___ INSPECTION WORKSHEET FOR DATE: • 11/12e107 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 1100 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS I40. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALI.CAIER DESCRIPTION: Conv0rt 578 sq ft of crawl space to habitable space. 9/26/2007 Add furnrr e OWNER: ALLGAIER, IMIAtdK & CAROL PHONE #: 503 -2941 -5905 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503 - 740 -f,442 Inspection Request Scheduled For: Date: 11115/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 05969' -03 503. 6247145 N Corrections /Comments /Instructions: t 1 111 Sevtdex kle-0 0- VW 1 PASS PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS U FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- S Main Office •em Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 a� Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carlson 'Testing, I " ce Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: GLASS HOUSE CONSTRUCTION - BILL THOMPSON Project: ALLGAIER RESIDENCE - BASEMENT REMODEL CT1 Job #: T0705121. Address: 11200 SW MORGEN COURT TIGARD OR Jurisdiction: TIGARD CTI representative R. SCHULTZ was on site this date Aug. 01, 2007 to perform Special Inspection for: Permit MST2007- 00083 DFS #(s) PO Number: ALLGAIER BASEMENT SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: BILL Company: GLASS HOUSE CONSTRUCTION PER LETTER FROM ZTEC ENGINEERS 8" EMBED WITH P 5/8" THREADED ROD INTO 3/4" HOLE. PER PLAN 2. Inspection was "IBC" ® Continuous 0 Periodic LOCATIONS ON PAGE 1 OF 3 SOUTHEAST LOWER LEVEL 3. Work performed: is In the field Li At precast shop FOUNDATION WALL. ROD IS 13" LONG. 8 POINTS. 4. if shop inspection do they have fabrication and QC procedures? El Yes 111 No in N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was:. ® Completed ❑ In progress 2. Reviewed evaluation report? X 3. Verified manufacturer's anchor use conforms x 2. Completed work inspected was in compliance with to acceptance criteria in report summary. ® Approved plans and specifications 0 Shop drawings Verified following items meet manufacturer's © RFI 0 Design change 0 Submittal 0 N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: anchors. X 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). ❑ Yes ❑ No [] N/A 6. Verified anchor diameter. X — 7. Verified steel grade. x 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). CI Yes El No ® N/A X 9. Verified type of drill bit used. X ❑ Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. x 11. Verified adhesive application. X Report(s) findings were discussed and left with BILL Evaluation report number ESR -1772 of GLASS HOUSE CONSTRUCTION Name of product being installed SIMPSON 1 SET EZ Batch Number 039076JJ Expiration Date 04/08 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. El See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anch• • For: 08/01/2007 CTI Job #: T0705121. Project: ALLGAIER RESIDENCE - BASEMENT REMODEL Notes: _ In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Steven W Leach Review Date: 08/02/2007 RS /EAH GLASS HOUSE CONSTRUCTION - BILL THOMPSON FAX/ TO: CITY OF TIGARD BUILDING DIVISION ZTEC ENGINEERS INC - RON SELLARDS FAx /503 - 233 - 7889 CITY OF TIGARD . BUILDING DIVISION . 'PERMIT # :. MST2007_00083 13125. SW Hall Blvd., Tigard,, OR 97223 ' " r 1 DATE IS UED: &25/2( Phone: (503) 639-41.71 1@i i, tt' : 8 1 , , ,Inspection Requests 24, Hrs.: (503 639- 4175' � 3 INSPECTION WORKSHEET FOR DATE: 2/4/2009 TIME: 7 :0QAM - PAGE: 20 SITE ADDRESS: 11200 Sit IvIORGEN .CT' CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578.sq.ft of ca l: space habitable!space. 9/26/2007 Add furnace OWNER: ALLGAIER, MARK & CAROL PHONE #: • 503-294-5906 'CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 5m Inspection Request Scheduled For: - Date: 2/4/2009 Pour Time: Code # Inspection Description Confirm # Contact ; #' Message '399 Plumbing final 080255.02 503- 524 -7145 Rl Corrections /Comments /lnstr,uction • • • , ASS ❑ PARTIAL APPROVAL • ❑ CANCEL n NO ACCESS I I'FAIL • 1 1 CALL FOR INSPECTION , n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- ■ CITY OF TIGARD. q BUILDING DIVISION PERMIT # MST2007 -00003 131'25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5 Phone: (503) 639-4171 4 10 i A l Inspection Requests (24 Hrs): (503) 639 -4175 __.. INSPECTION `1NORKSHEET,FOR DATE: /130/2005 TIME: .g AM PAGE :_ 20f SITE ADDRESS: 11200 SW MORCEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO, 3 LOT #: t! TYPE OF USE: PROJECT NAME: GAIFR DESCRIPTION: Convert 5713 sq It of crawl -pace to habitable spice. 9/26/2007 Add `furn. ce OWNER` ALLGAIER, MARK & CAROL PHONE #: 603- 291-6905 CONTRACTOR: GLASS`HOUSE,CONSTRUCTION PHONE #: 6'03-740-,442 • Inspection Request Scheduled For: . • Date: 1/3012008 Pour Time: Code # Inspection Description. Confirm # Contact # Message 322 Shower pan 084207 -01 503 -6247145 N Corrections /Comments /instructions: • • (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL 'FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: (7Z)V1-/-A—ii \—.--- Date: i (_Ok Phone - #: (503) 718 - CITY OF TIGARD B I UILDING DIVISION PERMIT ` # : IVi:�T�00 " 00003 131.25 SW Hall BIvd., Tigard, OR 97223 .DATE ISSUED:: 5/25/2007 Phone: (503), 639- 417.1 es/41A Requests (24 Hrs.): (503) 639 -4 INSPECTION WORKSHEET FOR DATE: 11'/29/2007 TIME 7 :0OAM PAGE: 25 • SITE ADDRESS: 11200 „ SW,MORG.EN CT • CLASS OF WORK: SUBDIVISION`. 3ENES1 § NO. LOT #: 094 TYPE OF USE: • PROJECT NAME: ALLCAIEf DESCRIPTION; 'Convert - 578 sgrTi of = cr l spaee'•to habitable;space: 9/26/2007 Aced turm OWNER: ALLGAIER, MARK f CARD( PHONE #: 603-2945905 CONTRACTOR : GLASSHOUSE CON a'TRUCTION _ PHONE #: 503 Inspection: Request: Sehe Iuled For: . Date 1109/2007 Pour Time: Code # • Inspection Description Confirm # Contact °# Message 3'C) Plumbing rough -in 0604136 -01 603-624- 7.146 . N Corrections/Comments/Instructions: • • • • • • PASS PARTIAL APPROVAL � CANCEL n NO ACCESS n FAIL • � I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED: • • Inspector :CD - - 4n 1”! - — Date: 12m, i�.0'� Phone #: '(503) 718- V ; • • CITY OF TI.GAR® BUILDING DIVISION - - =, _ PERMIT #: MST:2C)07 OI 3 13125 SW Hall Blvd., Tigard, OR, 97223 DATE ISSUED: , al2.61:49V., {. • Phone: (503) 639 -41'71 / ship op A\ " Inspectio"n Requests (24 Hrs.): • (503) 639 -41.75 • INSPECTION WORKSHEET FOR DATE: 11/15I2007 TIME: 7;01AM PAGE: • SITE ADDRESS: t t. }00 MORGEN CT CLASS OF WORK: SUBDIVISION: 1DENEsis .I O 3 LOT #: 091 TYPE OF USE: PROJECT 'NAME: ALLGAIER DESCRIPTION: Convert 676 so it of crawl. space to. habitable space, .3/26/2007 , Add furnace OWNER: ALLGAIER, MARK CAROL PHONE #: 503`294 -69Q5 • CONTRACTOR:, t ,L ASS HOUSE CONSTRUCTION PHONE #: 508-740-6442' Inspection Request Scheduled For: Date: .11/15/2OO7 Pour Time: Code # Inspection Description - Confirm ,# Contact, # Message • 329 Phinib ri'g rough -in .069696.01 503.624.7145 I'4 • Corrections/Comments/Instructions: • 1� �.,� -cam 1-`e.✓ I 1 S:v -(Jai c,� i /' I _ . _ _ • • .„ • . . • [ PASS ❑' PARTIAL APPROVAL n CANCEL n NO ACCESS Z FAIL I.. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector :,, U 6 1 �^""� Date: I /ice/ O. 77 Phone # (503) 718- CITY OFTI"GARD R BUILDING DIVISION PERMIT # MST2007 -00083 13125; SW' Hall Blvd., Tigard, OR '97223 • 'DATE ISSUED 6125/2007 Phone: (503) 639 -4171 . *11 4400 1 114f ; Inspection Requests (24 Hrs.): (503) 639 - 4175 a INSPECTION,WORKSHEETFOR. . DATE: '6130/2007 • TIME: 7 :00AM , . PAGE: 39 SITE ADDRESS: 11200'SW,MQRGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE:, • PROJECT NAME: ALLGAIER ' DESCRIPTION: Convert 578 sq ft, of crawl space to habitable space. OWNER: " ALLGAIER, MARK'S:, CAROL. PHONE' # 503-.294 =5903 CONTRACTOR: GLAS S ROUSE CONSTRUCTION PHONE #:, 503' -740 -_5442 • Inspection" Request. Scheduled For Date: 6130/2007 • Pour Time: Code # Inspection Description Confirm # • Contact, #' Message 320 Plumbing rough-in .04922E -01 50'3-740-5442 N • Corrections /Comments /Instructions; . • • 4—Xe- AMBEII/ J /�� woes e /_t� - • • • • • • • • • 1 PASS . n PARTIAL APPROVAL, n CANCEL NO ACCESS n FAIL n CALL FOR'INSPECTION' 1, I ADDITIONAL FEES; ASSESSED Inspector: Date: /9 6 / Phon#: (503) 718 , • ' CITY OFTIGAR® • BUILDING DI\/9S10IV P ERMIT #; M ` T 007 -00113 13125.SW.Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5125.1200? ' Phone. (503) 639-4171 !u�l�y�iiq @�„ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/30/2007" TIME: 7 00AM PAGE: 38 SITE ADDRESS: 11200 SW'MORGEN CT CLASS OF WORK: SUBDIVISION: , GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER. DESCRIPTION: Convert 578 etiq ft of crawl space to habitable space. • OWNER: ALLGAIER, MARK& CAROL, PHONE #: 503 - 294•5903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503- 740 -5442 ; Inspection Request Scheduled For: Date: 5/30/2007 ;Pour Time: 'Code # Inspection Description 4 , Confirm # Cori tact # Message 305 Plumbing underslab - 049229.01 503- 740 -5442 N. Corrections /Comments /Instructions: • • • • -ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALI_ .FOR•INSPECTION ADDITIONAL FEES ASSESSED Inspector: , f _ • Date " ,° Phone # :. (503) 718 CITY OFTI'GARD BUILDING 'DIVISION }` PERMIT #: MSI t t17- t70Cti 13125 SW MI Blvd., 'Tigard .,1��2(tl) � 5 . j ,1 � Phone: (503) 639 -4171 // imdpi�p�l6l11,1 i 1 Inspection Requests (24 Hrs.): (503) 639 -41175 ,D 7? INSPECTION WORKSHEET FOR 'DATE: 2./4/2009 TIME: •' 7 :OOAlyl PAGE: 21 - SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: ; SUBDIVISION: GENESIS NO. .3 'LOT #: 09L1 TYPE OF US E: PROJECT NAME: ALLGAIER - DESCRIPTION: Convert- 578 sq.ft_of crawl space to habitable_ space, 9/26/2007 Add furnace OWNER: ALLGAIER, MARK & CAROL PHONE #: 503-294-5905 CONTRACTOR: GLASS_ NO.USE CONSTRUCTION PHONE#: 503 - 740.54412 Inspection Request Scheduled For: Date: 2/412009 Pour Time: Code # - Inspection Description. Confirm # Contact # Message 699 Mechanical final 080255 503.624 -7145 N Corrections /Comments /Instructions: '1 / 1 111/t jtv. ( 4\7‘ . . VS 01 (V. A 9 ) 5 ee • • A ZA , e-,4■4. )4_4: � _-D ;I PASS PARTIAL APPROVAL. ❑ CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION - ADDITIONAL FEES ASSESSED )( a Z Inspector;. Date: _ • Phone #: (503) 718 - . CITY OF TIGARD • • BUILDING DIVISION 0 PERMIT #: IvIST2007-00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2007 Phone: (503) 639-4171 — rnspectibb Requests (24 Ws): (503) 639 INSPECTION WORKSHEET FOR pATE. 1128/2009 TIME 1 PAGE 0 18 • SITE ADDRESS: 11200'SW CT CLASS OF WORK: SU GENESIS NO. 3 • LOT #: • TYPE OF USE PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of craw11:Pace to habitable space. 9 Add furnace OWNER: ALLGAIER, MARK 8, CAROL PHONE #: 503-2945905 • CONTRACTOR: GLASS HOUSE CONSTRUCTION 0 PHONE #: 503-740=5442 Inspection Request Scheduled For: Pour Time: -Date: 1/2812009 'Code # • .Inspection Description Confirm. # Contact # Message 299 Final inspection 080060-01 503-.6247145 • • Corrections/ComrnentS/Instructions: , Pe ,\(\a 1\)6 Firl 16 W. • ko\IALs (4,0,N)111-1b• E PL1/4-Dvvvii • • • 0 PASS PARTIAL APPROVAL Ei CANCEL fl NO ACCESS • Ig,1 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • • Inspector: Cy , 1\1(),(2) .L6" . 1 Date: I - Phone #: (503). 718- _ 00 • City of Tigard, Oregon Page 1 of 2 IN qty City of Tigard, regon � � t x t � w ® Y1 ? i t1� hall fflr�rL. 7 i�nr, f )Il , 1 .! f t b a 2„ _ �; t / 4 r ,, ff wct A , 'i9 Plate Gu C,;illlluffr tr-''�' 4 ' �-, t • - , , _ I b ,,cam: .;..: _. „,., ..> � , < r 1 Search Property 1 Planning 1 Crimes Transportation 1 Utilities 1 Aerials 1' EOC 1 1 Summary 1 Permit Summary 1 Community 1 Hazards 1 Explorer, 11200 SW MORGEN CT Property Summary 1, f I 1 - fi 1-1 l i \ l ; 0 1 r , f Y `l • I # 1 ",.mo v t .. , ' I — : -' '" r 2 1 L u. .� ' , -- i , , _1 \ / / ( , / �s f 1 ; G nests *7 j 1 pP - 0 ; -. I f � ' r.-. zap, g§ . Q V wx" 7 -Y; . 4 ' r.� -. �� � . _ l t i P ';'• �.�. -� 1, �'_�. � —t �t,. !: ,, � -,-,• / s � - PARK 5T 4, Property Owner Info Tax ID Number: 2S103DB08100 .Tax Account Number: R1139333 Site Address: 11200 SW MORGEN CT Site City: Site ZIP: 97223 Owner: ALLGAIER, MARK A & CAROL S Owner 2: 11200 SW MORGEN CT Owner 3: Owner Address: Owner City: TIGARD Owner State: OR Owner ZIP: 97223 Acres: 0.26 Sq Ft: 11,325.6 Bldg SF: 2,402.00 Bldg Value: $ 189,400 Land Value: $ 187,430 Total Value: $ 376,830 Taxable Ass'd Value: $ 240,360 Sale Price: $ 259,950 Sale Date: 05/17/02 Year Built: 1981 District & Community Info Municipality: Tigard Tigard Urban Sery Bndry: YES http: / /tiggisiw /mox52_multimap/ index. cfm? fuseaction = property. summary &CFID = 91209 &CFTOKEN =4... 1/28/2009 CITY OF TIGAR BUILDING DIVISION PERMIT #: MST 007 -000x3 1!3125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5125/2007' Phone: (503) 639-4171 1 i , Inspection Requests (24 Hrs.): (503) 639 -4175 °:W_ III.. . INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 18 SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: E SUBDIVISION: GENESIS NO. 3 r LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convort 678 sq ft of crav+il space to habitable space. 9/26/2007 Add furnace OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 -2.94 -5905 CONTRACTOR: {GLASS HOUSE CONSTRUCTION PHONE #: 503 - 740 -6442 Inspection Request Scheduled For: Date: 12/1212007 Pour Time: Code # Inspection Description Confirm ,# Contact # Message 280 !mutation 061385=01 503-624-7145 N Corrections° /Comments /Instructions: 7 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS. n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i i Inspector: irA Date://? Phone #: (503) 718 - � / CITY � Y FTI i4R® 410 V BUILDING DIVISION PERMIT #: MST:2007- 0 13125 SW Hall Blvd., Tigard, OR 97223, DATE ISSUED: 62512017• Phone: (503) 639-4171 4iirnN�l ' 1I 1I , Inspection Requests (24 Hrs.): (503), 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7 :06AM PAGE: " 17 SITE,ADDRESS: 11 (J() MC RGEN CT' CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 394 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert.S78.sti_ft_of erawl space ;to.habitable space. 9/26/2007 Add furnace OWNER: ALL_GAIE:R, MARK & CAROL PHONE #: 603-294,5905 CONTRACTOR: •GLASS HOUSE CONSTRUCTION PHONE #: 503-740 Inspection Request Scheduled For: Date: 127/2007 Pour Time: , Code # Inspection Description Confirm # Contact: # Message 275 Framing 060972 -01 503 - 624 N Corrections /Comments /instructions • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: / 67:—. > Phone #: (503) 718 '7 f -F� CITY OF TI.GARD BUILDING DIVISION • 40, PERMIT #: , ,3 3 - 13125 SW Hall Blvd:, Tigard, OR =97223' D ATE ISSUED:. 5,32500g7 Phone'(503) 639 -4171 RANUIgll -Inspection Requests (24 Hrs:): '(503) '639-4175 .._ ,INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7 :01AM PAGE: 48 SITE ADDRESS: 1 SW MORGEN CT CLASS OF `WORK: SUBDIVISION: . GENESIS NO 3 LOT*: .094. T,YP.E OF USE: ' PROJECT NAME: ALt GAIER DESCRIPTION: Convert 5 78 sq it of crawl space to,`habitable space,' 19/26/2007 Add furnace OWNER: ALLGAIER, MARK & CAROL PHONE #: 60:',Q94-6906 CONTRACTOR: ,Gt. ASS HOUSE CONSTRUCTION PHONE #: 503 -6442 Inspection.' Request Scheduled For. : Date : 1111612007 Pour Time: Code #, Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 059 69fs -02 603-624-7146 N 'Corrections %Comments /In structions: /' ! /SaA7 _ �L� 'O .' Su &A- 4 S � ,c ' . -cJ - 1 a t� � or • • • • • ❑ PASS, ❑ PARTIAL.APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL .FEES.ASSESSED Inspector: _ Date: //.—/ Phone : #: (503) 718- CITY OF TIGARD A . .. . , ,BUILD.IN;G' DIVISION PERMIT , . # MST 2007-00083 13125 SW Hall .Blvd.; Tigard,. OR 97223 - DATE ISSUED: 5/2,,5;30'07 Phone: (503) 639- 4171�ir�� Inspection Requests (24 Hrs - .) :, (503) 639 -4175 -�! _s INSPECTION WORKSHEET FOR ' DATE: 11115{2007 TIME: 7 :Q1AM, PAGE: 45 SITE ADDRESS :, 11200 SW MORCEN (T CLASS OFWORK: . SUBDI,VISION'i GENESIS NO. ,;� LOT #: 0M • TYPE OE USE: PROJECT NAME: ALLGA1ER DESCRIPTION: Convert 578 sg.ft of crawl space to habitable; pace. 9126/2007 Add furnace • OWNER: ALLCAIER,,,MARK &.CAROL PHONE #: 503 CONTRACTOR: CLASS HOUSE CONSTRUCTION PHONE # 503= 74i( tA42 Inspection Request Scheduled For:. bate: 11/15/2007 Pour Time: Code # Inspection Description. Confirm '# • Contact # • Message 275 Frarninq . 059095 -04' 54}3 -624 -7.415 • N • Corrections /Comments /Instructions: , • AJ CR ,4 - =� %ci_ / ;APP 0 /3d c q2.:e Z-- • y . PAS (1 PARTIAL APPROVAL 0 CANCEL n NO ACCESS FAIL n.,. CALL FOR INSPECTION EJ ADDITIONAL, FEES ASSESSED Inspector < Date: // — /S ----:-6 ' .s > Phone #: (503) • P' CITY OF TIGAR 41111‘ . . BUILDING DIVISION PERMIT #: MST2007 -00083 , .13 SW Hall.' Blvd., Tigard, OR 97223 DATE ISSUED: 5!25/2007 . Phone': (503) 639- 4171. # • Inspection, Requests (24 Hrs.):;,(503) 639 -4175 ,41+1 INSPECTION' WORKSHEET FOR ' DATE 8/212007 TIME: 7 :00AM PAGE 57 SITE ADDRESS: 11200SWMORCEN'CT CLASS • • SUBDIVISION: GENESIS NO. 3• LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION:'„ Convert 578 sq ft of crave(- space 'to habitable space. . OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 -294 -5903 CONTRACTOR:' GLASSHOUSE °CONSTRUCTIQN 1 PHONE # 503 - 7445442 . Inspection Request Scheduled For: Date: 8/212007 Pour Time: Code # Inspection Description Confirm # Contact, # Message 275 , • Framing . 053228 -02: 5'03 - 740.5442 Y Corrections/Comments/Instructions: � i � , 7 � � ' e - 6 - h G ' / e 1— d C4 - — 41.-5) &'‘ 1 _ - • • ,i PA - n PARTIAL APPROVAL n CANCEL n NO. ACCESS FAIL •. 1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED A • , , Inspector Date :` 8- a-0 Phone #.: (503) 718- _.9- f MY OF TI RD s _,__ BUILDING. DIVIS9ON,' PERMIT #: MST1007 -00083 131;25' SW Hall ;Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007 Phone :: (503) 639-4171 / � 0 ., • inspection Requests (24 Hrs.): (503) 639.. =4175 , INSPECTION WORKSHEET FOR DATE: 8/212007 TIME . :00AM • PAGE: 58 SITE ADDRESS: s ; ;i 1200. SW MORGEN CT . .. • CLASS OFD WORK: SUBDIVISION: GENESIS NO. 3 • LOT #: 094 TYPE OF USE: PROJECT NAME:'. ALLGAIEI?' , DESCRIPTION: Convert 578 `sq ft: of crawl space to habitable ::space. - OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 - 284 -5303 CONTRACTOR:, GLASS HOUSE CONSTRUCTION PHONE #: 503 - 740.5442 , • • Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # Inspection Description Confirm # Contact #' Message 235 Shear walls/anchors 053228 -01 503- 740.5442 Y Corrections /Comments /Instructions: . r1—O t '9•- ; r7 • H PASS 1 PARTIAL APPROVAL n' CANCEL 1 1 NO ACCESS 1 FAIL' CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: - W-7_ -- a Phone #: (503) 718- w. F' .ell - A § ' _ ;.Y . •x Ma W alem Offi B end Office _ ° Tigard O Bo 23814 4060 Hudso Ave., NE P.O. Box 7918 Box n 4 � ` Oregon 97281 Salem Oregon 97301 Bend, Oregon'97708 Car°ls ®n Test, 9 I Phone 503 684 3460 ' ( ) Phone (503) 589 Phone (5'4 ]) 330 915,5 � 9 M 4: 589 Fax,(503) 684;0 Fax (503) 13 09 ' - Fax (54;1) 330 -91 63 .. • Daily IZep.ort of Proprietary Anchors • • , Project: I A I l C yr •c Z . � i - Address:' IA b•O • _ f t v‘ L-•�- CTI -Jobs # : , T6-4 H_5_:.'/ i ` p ntative • 1 ' �. :' was o n s i te ,th - date o ri CTI re rese (Inspector Name &.pert. No) " p Ins ecfion for fKST x. 0 - 0° B uris dict on c r ° �� a ` , Special p 0 p E �DFS #(s) - 1 y ,5 In some case• thanone•box :may be;c1iecked fo'r a given item. • • • SCOPE OF . :INS'PECTION Location of proprietary anchors inspected to 'include grid • •-' lines; elevations floors),anddrawing, details] • • . 1. Checked in with su erintendent `or'client°representative.: • - Q / --- '�' i} . / 1 & . 1 -c- ff- - 4- - ;n In 41 U (' J ;Name: _ .Company. _' " eIG; T (O ( 5 -• ' _ / i� 11 , ' � i - �. • ' � c 3� J c �.!` 1-10/ t l Ptf • q/ • 2 ins y - - ' by A 1.0 f 1 �. n om], 6 O �.. • A , i ' ..7 ! 3 '-'7 ,-i k l • e'a S t . ection,was "IC" B A C o n ti n uous 0, Periodic / 0 �, p _ :, I bw< / �t I%t � . iru l,�u�° e .n;Wi , -.,c; 0 I J - = I U - 3. Work performed`.- In ;the field Fr At precasti i3po ;A k S , ' , • • • ° • Strop name: , ' •• - 4. -If shop inspection do•they.have ;fabrication :and (2,C: t procedures? ,❑ • 0 'No N/A _ ' Yes. - •� 1� u -` • '' - PROPRIETORY ANCHORS- • - POR SUM M A R n F Y ... - _ Yes, N6N /Ar RE - - __ _ •• • 1 0 s1,Reviewed previous: inspection reports? ✓ 1. Work ins ected was t r 5 2. Completed workins ecte Compl . Vowas not ess< r��� i 2�R eviewe evaluation report? ✓ � • 3kified manufacturer's'anchoruse conforms ( P p r�, 4o acceptance criteria •in report summary: v in compliance with 1V E ,- A pp rovedf p fans ands p ecificatons 0 ,Shop • drawings ' Verified items meet manufacturer's _, ' • . published in tallation-ins'tructions` - RFI .L Design change •- 0 Submittal N /A•. � . 4. Verifiedminimumenibedment : depth' ofthe Docum ent #(s) 'Dated:° , 1 4ti j , anc1iors 1 3 - Noncompliance ite-ni(s) were rioted this date, detail's °on ,5 Verified i nstallat on of ° the'anchors. '' follo_ win p a e s ,. • f Yes N ne �isTm - 6 Verified anchor'd ameter . g p g _ �) : - 7 Verified steel grade ✓ _� 4 Noncompliance'item(s) were reinspected this date_ details on following page f Yes . 0 No aN /,A. 8 Verified hole diameter: ✓ . a, ,� (s)., 9 'Verified'type of drill bitused. ✓ 0 Conform 41 RemaininTrogress - 10 verified; cleanliness of hole and • anchor • :/' 1 1 Verifie'd'adhesi application. ,, Report(s) findings were discu and left with . . --.. t . 5'S 4 L - s p tuber of Evaluatio report nu ._ t , Mr S�ti t .t yµ , Name of� roduct being`installed' S� C-= � - a • • • - Batch Number . i /O • Expiration. Date _ ( - - -- - • Based on the Code a l is e �'-s `om the Biiildin Official' before;the SPECIAL, INSPECTED =items noted a bove can be: covered.` Carlson Testing harovas a '` >. � • rect;work of :contractors or subcontractors. .._ • ,; Inspector Signature '" ` ■ y • II . / E S'ee additional,report:page(s). 0 Distribute attachments, Pa __ , .of ` PropAnch 05/02/0.6 • , - 8' - . sea. -�. �. -- -_+. _ ^ -�,. -r-T'_ _ - .,r- ...p -• - -_ _ _ .h_- J- �- 1Lt.- _�_� :1�.__..,1 -.:. �- .-- �__.�� a.___ ti �T "�i. __ '— _... _.� .. -•_ _ _ _ � _.- �� -..__ __�a... _ _ tee. _� . '..,.,F 'r I r, 'J. i l ..) 1.. - J '''' ' , C • ' , it . . . 1, ■ r: > I .I :'. . %,.. r 1 , Till' r'.r: _,7 „:l t,.fi , c .;•:+5,1 11' ' - 1 ,I . , r: ;,”' . - r v. II- -t ' RI; .-.:11 'r.: i.: ry ,i :. Y • r - 'it:' ,1 • ` i, 1 ,I' {. 1 . l r .i r �. aV 1':L i : !: l i "i' ., � i . ' . , ..'. Terms . 1 ; . r ,, 't: ' 'i3.( .' .:l ... ,'-i 4:":". fiF , ,ii j flit+ 1 ``?,)•i1 7. r/. `. 9 ..•,.y._ ' Cli re - that construction obse and/or testing ,provtded,byrCTI are techniques_ - . , :•,,.,, : , r , ' - - 'which ; may reduce the risk of construction defects, deficiencies, or omissions arising during or after 'con- - -r, struction. Services performed, by C.I'I do 'not .constitute a warranty or guarantee of any type. Even with . -,, ,'-; - -- - diligent • construction monitoring and/or testing by,'CTI, construction- defects, deficiencies, :or omissions • ,• in, the Cori tractors work -may eitist.'In.a1hcases,'Client and%ol ilie'Contractor shall'assign the: Contractor es .A. ,...'.:::.... ' • the responsibility for the quality and completeness of the work,and'for adher "ing to plans rand specifics .: °' .„ ' Lions. C11 s work .or failure. to performsame shall not in any way excuse any Contractor, 'subcontractor, :- . , or supplier.' from; performance: of its' work in,accordance'with the contract documents 1' ! . ,i•be..)' -4. - i `.: 3'. . .1`.1', l Iy1. J, .1 : 1 Ire, ti CTI'will provide its professional services to Client with that degre1e f care_and skill ordinarily exercised ` '' • "- ` ` - under similar circumstances by members of its profession This representation,i in lieu of other warran- • .. T r •.r a ,. ' n; r � N•. . 'Ind' 7 ' 4 •p » - : . ty 1 6 C i representatio eitho pressed be r implied: It :is,also understood agreed that statements made .� . f'rv'! r ; ,in, 1l reports are on technical jaidg and: should not be eonstruedtto be -con , • ' clusive'r of f I f condit d fr What,aie indicated orts "in - the rep come to , ' ' ,- ..:Ft ?. Client after-receipt of the'ieports� it''is recotllm ended' that'Clieile,contact CTI ediafely to • , ",, r . E authorize further° appropriate evaluation '*''r •;• - -i) , 1 1 ..r:'f,S i - . 1 c _ -'t 3 ,•r. ;L,.. :,*I' i +., i '.,__. . ._a.. -. _ . ..- _ . ._. ..-' , - - - , „ y', - 1 1 ,iCI7'stwi - ugor`impeme p k. shall not ft hall include deteriining ,.supervisilnting th `means,'methods;:techniques,' '` r. a 4 ,, E - r r ., F ! T , sequenc onstructs Cl~I ll not of be esponsible for�e or reporting j l . ' ob con _ ..... _ . __ _ _ ditions r to :health, safety or welfare ?, _' ri. ' , . ,.• , . r, 1 •, e,'1 ' it 6 a `� , C ii ;i.r• _ r. _.'r.. t ... ,,ra ,.' i ' Yi 'u i - 34,, ;, -7' - 1. "i 11 i 11_1 ; .r _ ii 1111 i ,fi7 1Vlet ^ 11 3i T'V 1 ? 1„ f r \'i ` - 't l ; r ` .is :Si •.' r,., _ ">E ^_ ?. . .I` .:: *f1191: ':' -. • , • r ' 1 ' jr ,•�, , l T . -'..- _– k - -• l_, rl'l,,I I''• ... :,..,' 1 ` - .E J ' '' f ' i - - 1 74 ' . 4 2 , I . ,�'■• c'. . . ' f ' . . :.ri. . . i ' .. ( 1 . - 4 4 .. „ - - - - ' " , - p' - .,:. 2 ' +:_ r ' !/' } t'..'" t- [ ` . .1u __1.= :r' -:7 . • ...'1'' :lir! .... ) r' , i ; r h _ '. L ..1: )`' 5 .1 • . ,'J' i.' '4” , z 1 ZTec Engineers, Inc. Civil- Structural- Surveying 3737 S.E. 8 Avenue Portland, Oregon 97202 (503)- 235 -8795 Fax (503) 233 -7889 John Mcl. Middleton, P.E. e -mail: ztec@ztecengineers.com Chris C. Fischborn, P.L.S. Ronald b. Sellards, S.E.,P.E. July 26, 2007 Mark Allgaier 11200 SW Morgan Ct. Tigard, Oregon 97223 �-- RE:- epoxy= set-all thread. anchors — - - -- Dear Mark: The epoxy set bolts shall require the following: a. Simpson "Set ": epoxy b. Drill a 3 /4" diameter hole in the concrete for a 5/8" diameter all thread rod c. Minimum depth of 8 inches, d. Clean hole with compressed air and a hard bristle brush. e. Fill hole . as per manufacturer's specifications. f. Insert 5/8" diameter all - thread with slow twisting turning.pressure. If I can be of further- assistance, please contact me at 503- 235- 8795. S' ely yours, ,0 ' onald b. Sellards, S.E., P.E. PROF ,c�`� 1 N C \A E I 9384 _ of , - CC: OREGON ' 'p0 /4 / 22. 10�Pas) ,. 8sa\ .'.. • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.00083 • " SW Hall Blvd., Tigard, OR' 97223 DATE ISSUED: 5/25/2007 • Phone: (503)'639-4171 uig ,Inspection Requests (24 Hrs.): (503) -4175 'I� INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7: 0 0 AM PAGE: 58 , SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of crawl .space to habitable space. • OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 -294 -5903 CONTRACTOR: GLASSHOUSE CONSTRUCTION PHONE #`. 503-740.5442 Inspection Request Scheduled For: Date: 6/29/2007 Pour Time: Code # Inspection Description Confirm # Contact# Message 255 Wtr proofing basement walls 051161 -02 503- 740 -5442 N Corrections/Comments/Instructions: • • AS$ PARTIAL APPROVAL CANCEL n ENO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . Date: Phone #: (503) 718 - .4`�� CITY OF TIGARD BUILDING DIVISION. PERMIT #: MST2007 -00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512x12007 Phone: (503) 639 -4171 Via° III Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6429/2007 TIME: 7:OOAM PAGE: 59 SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #`. 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of crawl space to habitable space. OWNER:, ALLGAIER, MARK & CAROL PHONE #: 503 - 294 -5903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503 - 740 -5442 Inspection Request Scheduled For: Date: 6/29/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 220 • Slab 051161 -01 503 -740 -5442 N Corrections /Comments /Instructions: • • PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS - n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL. FEES, ASSESSED , Ins ector.; Date: G� —GJ rJ� Phone #: (503) 718- Z� T CITY OF TIGARD 0 9 BUILDING DIVISION #: MST2007- 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED` 5/25/e007 Phone: (503) 639- 4171 A N���q l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: • 6/29/2007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 11200 SW ■ORGEN C T C LASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of crawl space to habitable space. OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 -294 - CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503- 740.5442 Inspection Request Scheduled For: Date: 6/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 051161 -03 503 -740 -5442 Y Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL - CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED { Inspector Date: 9--0> Phone #: (503) 718= Y))). A `` :CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: MST2007- 00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2512007 Phone: (503) 639 -4171 µ toiA Inspection Requests (24 Hrs.): (503) 639-4175 A INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:OOAM • PAGE: 49 SITE ADDRESS: 11200 SW MORGEN CT . CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 • , LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of crawl space to habitable space. OWNER: ALLGAIER, MARK & CAROL . PHONE #: 503 - 294.5903 - CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503=740.5442 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 220 ' Slab 050930 -01 503 = 7405442 Y . Corrections /Comments /Instructions: . • 1/ i )/ F 1 4 * . , f rz.,. k jk . „ .,1 I\ .. n 11 , \ • • • ❑ PAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED j Inspector: . Date: � � 7-6 ----6( Phone #: (503) 71'8 ' ` CITY OF TI,GAR_D 0 • - BUILDING DIVISION PERMIT #: . MST2007 -00003 13125 SW Hall Blvd., `Tigard, OR 97223 DATE ISSUED: 5/2512007 ' Phone: (503) 639 -4171 e'' 11 Inspection Requests (24 Hrs.): (503) 639 -4.175 �__.!±� -_ • INSPECTION WORKSHEET FOR DATE: 6022/2007 TIME: 7:03AM PAGE: , 7f1 r . SITE•ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME ALLGAIER , ' DESCRIPTION: Convert 57B sq ft of crawl space to habitable space. •OWNER:. ALLGAIER, MARK & CAROL" • PHONE #: 503-294-5903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503-740-5442 Inspection Request Scheduled For: • Date: 6/22/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 .Footing 050726.01 503 - 740 -5442 N Corrections /Comments / Instructions: y .X Ace r4, W6(--) .\ • • • • • Z PASS n PARTIAL APPROVAL " ❑ CANCEL l NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date:-47 Phone #: (503) 718- ' ¢ 1 CITY OF TI:GARD a,Ali. BUILDING DIVISION PERMIT #: MST2007 -00003 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 5/26/2007 Phone: (503) 639-4171 .11106 J)�il Inspection Requests (24 Hrs.): (503) 639 -4175 .,.�.: INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 76 SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO.3 LOT #:' 094 TYPE OF USE: • PROJECT NAME: ALLGAIER ; , DESCRIPTION: Convert 578 sq ft of•crawlspace to habitable space. OWNER: ALLGAIER, MARK & CAROL PHONE #: 503- 2945903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503- 740 -5442 • Inspection Request Scheduled For: Date: 6/2.2/2007 Pour Time: Code # Inspection. Description Confirm '# Contact # Message 255 Wt.r proofing basement walls 050726 -03 503. 740 -5442 N • Corrections /Comments /Instructions: • • PASS D PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL. A CALL FOR INSPECTION ❑ .ADDITIONAL FEES ASSESSED ,„,..,/ fnspector:,• - Date :‘— 47 Phone #: (503) 718 - �r CITY OF T1GARD BUILDING DIVISI,ON PERMIT.# MST2007 -00083 13125, SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007 Phone: (503) 639 -4171 - u 'IP I" III ' Inspection Requests (24 Hrs.) :'(503) 639 -4175 • INSPECTION WORKSHEET DATE: ' 6122/2007 , TIME: 7 :03AM , PAGE: 77 SITE ADDRESS: 11200 SW "MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 . • LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: . Convert 578 sqft of crawl space to habitable space. OWNER: ALLGAIER, MARK &CAROL PHONE #: 503-294-5903 • CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503-740-5442 Inspection Request Scheduled For: Date: 6/2212007 ' Pour Time: 2:00 Code # Inspection Description ' • Confirm #' Contact # Message 220 Slab 050726.02 `503-740.5442 N Corrections /Comments /Instructions: e..k/Gti.vowijle/v _ CON.47) • • • • • • • • • • • • • • • ❑ PAS. PA'RTIAL.APPROVAL n CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION I ) ADDITIONAL FEES ASSESSED Inspector: ! Dater Pho ne #: (503) 718- �_ CITY OF TIGARD BUILDING. DIVISION - PERMIT #: MST2007- 000133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 - 4175 ', � I� ,' INSPECTION WORKSHEET FOR - DATE: 6/20/2007 TIME :, 7:04AM PAGE: 62 SITE, ADDRESS: '11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094- TYPE OF USE: PROJECT NAME`-. 'ALLGAIER DESCRIPTION: 'Convert 578 sq ft of crawl space to habitable space. , OWNER: ALLGAIER, MARK & CAROL PHONE #: 503.2 -5903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503-740-5442 Inspection Request Scheduled For: Date: 6/2012007 Pour Time: 2 :00 Code # Inspection Description , Confirm •# Contact.# Message 205 Footing 050522 -01 .503 - 740.5442. N • Corrections/Comments/Instructions: r • • L�A PASS• PARTIAL APPROVAL • n CANCEL n NO ACCESS CALL FOR INSPECTION . - � � TION ADDITIONAL FEES ASSESSED - , • • 14 • Inspector: Date: Phone #: (503) 718- CITY OF TIGARD B • UILDING ®IVISfoN . PERMIT #: MS`I"2007 -00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE, ISSUED: 5/2 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 " ,,K.-!-„W • INSPECTION WORKSHEET FOR DATE 6/1312007 TIME 701AM ;PAGE: 90 • SITE ADDRESS: 11200 SW;MORGEN'CT 'CLASS OF WORK: SUBDIVISION: GENESIS NO..3 LOT #: 094 ' TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert. 578 sq ft of crawl space to habitable. space. OWNER ALLGAIER, MARK It CAROL PHONE #: 503 - 2945903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503 -71115442 Inspection Request Scheduled For :. Date: 6/13/2007 Pour Time:' 10:00 Code # Inspection Description Confirm # Contact #. Message 210 Foundation wafis 050092 -01 503- 740 -5442 Y • ' Corrections /Comments /Instructions: • • • • • I I PASS - PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ .FAIL n CALL FOR INSPECTION ❑' ADDITIONAL FEES ASSESSED , Inspecto 1 r.: - Date: ; - d 2 ; Phone #: (503) 718 - CITY OF TIGARD ill BUILDING DIVISION PERMIT #: MST2007 =00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007 Phone: (503) : 639 -4171 i: ' A u� f( I Inspection Requests (24 Hrs.): (503) 639 -4175 . .„ ` . INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 64 , SITE ADDRESS: 11200 SW MORGEN CT CLASS OF WORK: SUBDIVISION: GENESIS NO. 3 LOT #: 094 TYPE OF USE: PROJECT NAME: ALLGAIER DESCRIPTION: Convert 578 sq ft of crawl to habitable; space. . OWNER: ALLGAIER, MARK & CAROL PHONE #: 503 -294 -5903 CONTRACTOR: GLASS HOUSE CONSTRUCTION PHONE #: 503 - 740.5442. Inspection Request Scheduled For: Date: 6/6/2007 Pour Time: 9:00 Code # Inspection Description Confirm # _ Contact # Message 205 Footing 049645 -01 503- 740.5442 Y Corrections/Comments/Instructions: '/" dt- iii. aq 9-/7 . 1:14.�,v n PASS . PARTIAL APPROVAL • ❑ CANCEL , • ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. .- Date: -- � 0 7 Phone #: • (50 3) 718- Z. 1-4--,m