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Permit
( '«R/ � 7 ; i21 fIieE� 1/141449-ran/ E FEC� /' 0 7 UP El I C O F T I G R L� MASTER PERMIT v '� COMMUNITY DEVELOPMENT PERMIT ISSUED: MST2007 - 00148 DATE SS 8/31/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 114 B D - 01500 SITE ADDRESS: 09800 SW RIVERWOOD LN ZONING: R - 4.5 SUBDIVISION: COPPER CREEK STAGE 2 LOT: 044 JURISDICTION: TIG PROJECT: CHURCH Project Description: 280 sq ft deck and 165 sq ft addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 165 st 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: TOTAL: 165 sf 20,842 15 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 0 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: 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: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEJIRRIG: 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 LARRY CHURCH DEARING & YUNG CONSTRUCTION laws. All work will be done in accordance with approved plans. This 9800 SW RIVERWOOD LN 3005 NE DUNCKLEY permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97212 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: Contact #: FRI 503 - 318 - 7246 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 249 -7679 Reg #: LIC 49812 TOTAL FEES: $ 687.91 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : / � a� > `r_ _ Permittee Signature : G'/te 4 ' +T',q, 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 RECEIVE I FOR OFFICE USE ONLY Received Q 1 / . City of Tigard Date/By: D ! 0 7 , P erm i t N o.: f iNtf07 ADI . • 13125 SW Hall Blvd., Tigard, OR 97223 A I {( ? 9 1 2007 Plan Revie u 1 � • (/,V C Phone: 50 Fax: 503.598.1960 tJl7 i Date/By: `� Other Permit: T I G A R D CITY O F TI GA►RD Inspection Line: 503.639.4175 Date Read /B : '�' 7uyr ® See Page 2 for Internet: www.tigard- or.gov Notifie / / Supplemental Information BUILDING DIVISION TYPE OF 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 X Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit sr the CATEGORY OF CONSTRUCTION work indicated on this ap ,... x i_ and 2- family dwelling ❑ Commercial/industrial Valuation: / • ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Ap/tj JOB SITE INFORMATION AND LOCATION Total number of floors: g e... t , Job site address: 6 1%00 6% RIVOKA,OMP L0 New dwelling azea /«7; square feet--4.,,, : City /State /ZIP: �1aD ®�, q �Z _ 1 Garage /carport area: square fee _ / Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross g street/directions to job site: Deck area: g A. ? 5 square feet Zi iD I/(/tAf VugA. 4 .--- (• -- " L J &i t , - y� - --- te. Other structure area: square feet 6� L ti 0- 'W 1 11 � t REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: (pP . yZ r� ga5 Le._ Lot no.: L Permit fees* are based on the value of the work performed. Tax map /parcel no.: Z$7/ 452) z 7 `5-00 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . i `O )6 DESCRIPTION OF WORK 11 work indicated on this application. l [ 1,5 / L + - . -` LA (ILA ROOK, Valuation: $ g /J` /7 �( /` '/J 35 ' / p� [ /� Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Lr P(lz ia C 4t.' (( itt , Type of construction: Address: OI�Q W R t. tJ .4 turv]) L1'J e Occupancy groups: City/State /ZIP: -1 (2_6 I 0 r _ q-q- 7i2 f Existing: Phone: (55 ) Z2(4) - 0 gl) Fax: ( ) New: ❑ APPLICANT — OWN 2❑ CONTACT PERSON NOTICE Business name: DE AR 11,) 6 4 10)J 4 c / i t .J T-ta /fc To g5 L All contractors and subcontractors are required to be Contact name: —row. .4 Q4 N 6% licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: -3 c� a Dv, Vir...e_.L.. ) jurisdiction in which work is being performed. If the City /State /ZIP: k ANT) , 0 R , G 7 Z I Z-- applicant is exempt from licensing, the following reasons apply: j 7 Phone: ( ) 3l i -- 4 ? L Fax: : (5)3) 2_41- 76 / E -mail: 1G t ' ` ^ l � a_ vfrTlrl --C.. QQ • �9•yL CONTRACTOR Business name: BUILDING PERMIT FEES* Address: 41 (Please refer go fee schedule) City/State /ZIP: /A Structural plan review fee (or deposit): /,,q . Jam- FLS plan review fee (if applicable): Phone: ) Fax: ( ) CCB lic.: . !.c1 U /Z.,- / /24 Total fees due upon application: Amount received: Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 7'�Qm4'5 �r DEmem Datc: g 4/0 - * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Pernits\BUP -RES PermitApp.doc 02/23/07 440 -4613T(11 /02 /COM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY IN City of Tigard /' -,)�, / A Received Date/By: Perm,[ No.: 1 3125 SW Hall Blvd., Tigard, OR 97223,, ' „ Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical T I G A R D Internet: www.tigard -or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. _ 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. , ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the •ro'ect under review. 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. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613TO1 /02 /COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY R EC E I �I E -'• eceived City of Tigard Date/By: S 1 / '5 / 1 Permit No.: t" I ST2C 09- _ Co +4 g • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review '' 2 . Phone: 503.639.4171 Fax: 503.598.1960 AUG 1 4 2007 Date/By: Other Permit: T I G A It D Inspection Line: 503.639.4175 Date Ready/By: , luris: ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: "]`'f Supplemental Information TYPE OF W ILDING DIVISION PLAN REVIEW ❑ New construction L 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 ❑ CommerciaUindustrial ❑ 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 12 Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: q'DD SW gt vat...7mA j„" 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 'J I C Re , Crg. , el 3 — ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: D>A v ham. -- 7 L L i . , t� 5 t 40 Description I Qtr. I Fee. I Total I • �1, New residential single- or multi - family dwelling unit. t Includes attached garage. Subdivision: cii PE/g_ GR z., Lot no.: 144 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Z5t/t/41 8p 2 / sex, Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) G / v I S �^ Add/ /4 /�J Limited energy, multi - family 75.00 2 /" �f' - / /r�P �'rn residential (with above sq. ft.) 8 X 35 ...C__,., S Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: L /7 �IrR r /i G i1 e.../-71" 401 amps to 600 amps 160.60 2 � �) A/ � breR 1� Over 1,000 amps amps 240.60 2 Address: !� i Over 1,000 0 amps ps or volts 454.65 2 City /State /ZIP: 7 `6,9-41) ` DA , g 7 ZZ Temporary services or feeders installation, alteration, and/or / relocation Phone: (S03 2 -. © / Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signatu -' Date: A. Fee for branch circuits with ' ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 ` B . ness nam B. Fee for branch circuits n , without service or feeder fee, 46.85 2 Contact name: cm Dept /2 I /r� first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 A Business name: '61 T,t2/ t L C / ∎, GA) , Signal circuit(s) or limited- t , - / energy panel, alteration, or I Address: v _ extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: () - Fax: 5 3,) w a.•�L _ Investigation per hour (I hr min) 62.50 CCB Lic.: L ? 7 t I a le ical Lic.: 4 . ya / c , Suprv. Lic.: `el s Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, �� : Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information r - 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* n 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: El Audio and Stereo Systems ❑ Boiler Controls E l Clock Systems ❑ Data Telecommunication Installation • ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El 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 Plumbing Permit Application „.. RECEIVE la 7T FOR OFFICE USE ONLY City of Tigard AUG 1 4 2007 DateBy P D ib , 1 1 Permit No.: MST2CO _co 14k • 13125 SW Hall Blvd., Tigard, OR 97223 ' C Phone: 503.639.4171 Fax: 503.598.196 Plan Review Other Permit No.: bITY OF TIGARD DateBy: Inspection Line: 503.639.4175 gate Read B od: See Pa e 2 for i TIGARD Internet: www.tigard-or.gov BUILDING DIVISIO otifie 1 Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 13-1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities q Job site address: , 0 0 0 S W ! l l/e4 AglaA - • Catch basin or area drain 16.60 City/State /ZIP: 11,, ft-(Z-]J 9 DK, , 0, 2 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: u ` -1 t 11, V I * ', Manholes 16.60 1/ UZ t A, �X Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 4 Water service (no. linear ft.: ) Page 2 ] Subdivision: enie. GieFgg_ I Lot no.: c f Tax map /parcel no.: 5// / 50O Fixture o item A v alve 16.60 yy[[ t L DESCRIPTION OF WORK Backflow preventer Page 2 if I ?( 15 �-t 40i L `- r A a �( j7 ), Backwater valve 16.60 Clothes washer 16.60 A ���.. r .� -" l ' ' - - Dishwasher 16.60 r iv[`C ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: e. ,C uie& '7" Expansion tank 16.60 Address: 9 SleD ....to R` (f W-e-pp Fixture /sewer cap 16.60 City/State /ZIP: - 77 / 3 / e, b 01 • £ Floor drain/floor sink/hub 16.60 Phone: (g5) 22,4 0 $ � 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: $ ) Page 2 Address: Primer 16.60 City/State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR 11 Water closet 16.60 Business name: sy �t f ,5 P 1 -.H/5/ felt z,. Water heater 16.60 Address: ' ° . Other: City /State /ZIP: - • .7 ' h Subtotal Minimum permit fee: $72.50 Phone: ( `' Y • ✓ Fax: (5O _ . . Residential backflow minimum permit fee: $36.25 c - w ..•-_-- " CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: <-_JV 1--i - - - • P TOTAL PERMIT FEE Print name: /71 Qate: g - This permit application expires if a permit is not obtained within r 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 11Building \Permits\PLM- PertnitApp.doc 12/27/06 440 -4616T(10 /02/COM/WEB) .1 • 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 - 1S 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, adding or replacing fixtures? If "yes", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Tub /S ❑ New exterior plumbing site utilities for any complex structure Bath - hower Tub /S owerrlpool as defined in OAR918- 780 -0040. Car Wash -Each Stall ❑ Medical gas and vacuum systems for health care facilities. Each aru ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3„ that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial • Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory *Note: If the fixture work under this permit results in an - Bradley - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: is\ Building \Permits\PLM- PermitApp.doc 12/27/06 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • I1 TIGARD September 12, 2007 Dearing & Yung Contractors, Inc. 3005 NE Dunckley Portland, OR 97212 Attn: Tom Dearing Re: Permit No. MST2007 -00148 Dear Mr. Dearing: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 9800 SW Riverwood Ln. Project Name: Church Job No.: N/A Refund: ❑ Check # in the am ount of $ . ® Credit card "return" receipt in the amount of $577.34. [1 Trust account "deposit" receipt in the amount of $ . Notes: Square footage calculation error of the addition resulted in a project valuation error and overcharge of plan review and permit fees. Refund is for the difference and the permit has been reprinted with the corrections. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse • Building Division Services Coordinator Enc. I:\ Building\ Refunds \Administration \LtrRefund - Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 : • City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for PermitAction or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Dearing & Yung Contractors, Inc. DATE: September 12, 2007 3005 NE Dunckley Portland, OR 97212 REQUESTED BY: Dianna Howse Attn: Tom Dearing SLN TRANSACTION INFORMATION: Receipt #: 200743004 4009 Case #: MST2007 -00148 Date: 4 8/31/07 Address /Parcel: 9800 SW Riverwood Ln. Pay Method: CreditCard Project Name: Church EXPLANATION: Square footage calculation error resulted in project valuation error and overcharge of plan review and permit fees. Refund difference. REFUND INFORMATION: . Fee Description "From.' ' Revenue Accou N.o.. Refund ' Example: p3 vu, Permit Fee. a, , Exarrnple: =245- 0000- 432000 $ Amount [BUILD] Bldg Permit 245- 0000 - 432000 $320.37 [TAX] 8% State Surcharge 100 - 0000 - 207020 25.63 [BUPPLN] Pln Rv 245 - 0000 - 433000 208.24 [ERPRMT] Erosion Control 100 - 0000 - 207307 14.00 [ERPLN] Erosn Pln Rv CWS 100 - 0000 - 207308 4.55 [EROSN] Erosn Pln Rv COT 245 - 0000 - 433010 4.55 TOTAL REFUND: $577.34 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager ; ( j/ �r t C 7 If under $22,500 Department Manager`' / G If under $50,000 City Manager If over $50,000 Local Contract Review Board FO.R T PE R.N,ST'ST7E M :ADINIIN SOM IONAJ:SE Case Refund Processed: Date: eyA e I B I �.., I:\ Building \Refunds \RefundRequest.doc 05/23/07 Sep 06 2007 7:33FlM Electrical Contractors & 503 - 667 -7965 p.1 CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.839.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE ELECTRICAL CONTRACTORS & DESIG 150 NE VICTORY SUITE A GRESHAM, OR 97070 Permit #: MST2007 -00148 Date Issued: 8/31/2007 Parcel: 2S 114BD -01500 Site Address: 09800 SW RIVERWOOD LN Subdivision: COPPER CREEK STAGE 2 Lot 044 Jurisdiction: TIG Zoning: R.4.5 Project Name: CHURCH • Description: 280 sq ft deck and 600 sq ft addition. Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624,3681. If you have any questions please call 503.718.2433. No electrical Inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: LARRY CHURCH ELECTRICAL CONTRACTORS & DESIG 9800 SW RIVERWOOD LN 150 NE VICTORY SUITE A TIGARD, OR 97223 GRESHAM, OR 97070 Phone #: Phone #: 503- 666 -9358 Reg #: ELE 26 -466C LIC 47712 SUP 1882S AN INK SIGNATURE IS REQUIRED ON THIS FORM " E 5 IA/Q W ` v 81 Signature of Sup ising Electrician Name (printed) SUP LIC # !� q CITY OF TIGARD . COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE JAY JAY'S PLUMBING 19447 E. BURNSIDE PORTLAND, OR 97233 Permit #: MST2007 -00148 Date Issued: 8/31/2007 Parcel: 2S114BD -01500 Site Address: 09800 SW RIVERWOOD LN Subdivision: COPPER CREEK STAGE 2 Lot: 044 Jurisdiction: R -4.5 Zoning: TIG Project Name: CHURCH Description: 280 sq ft deck and 600 sq ft addition. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: LARRY CHURCH JAY JAY'S PLUMBING 9800 SW RIVERWOOD LN 19447 E. BURNSIDE TIGARD, OR 97223 PORTLAND, OR 97233 Phone #: Phone #: 667 -8420 Reg #: LIC 49812 LIC 47712 LIC 14332 PLM 26 -177PB • AN INK SIGNATURE IS REQUIRED ON THIS FORM X Q .�° � h KeN Pe-77P Sm Signature of Authorized Pl r Name (printed) i ---...----,, ' • . CleanWater Services - A *()'''' , \ \ .\\)..,0 V'Y Our commitment is clear. �6 P cep . /� t1`�,c Q � �G September 05, 2007 0∎. Dearing & Yung Contractors 3005 NE Dunckley St Portland, OR 97212 RE: Addition to single family residence located at 9800 SW Riverwood Ln., Tigard, OR CWS file 07- 003530 (Tax map 2S114BD Tax lot 01500) Clean Water Services has received your Sensitive Area Certification for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project will not significantly impact the existing Sensitive Areas found near the site. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed =- under applicable local, state, and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at (503) 681 -3605. Sincerely, 7.-g-e,i,-*•-°1-- Chuck Buckallew Environmental Plan Review Site plan attached • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org \ � 0 LEGEND \ � • FOUND 5/5" I.R. W./ YELLOW CAP N \ 2 j � � E9iQ jN MARKED "PLS 1332 , EXCEPT AS NOTED 10 (14 Th CO V: �!y 1¢ j S -X- FENCELINE �� ` ¢�S 6 , 6 J () DENOTES RECORD DIMENSION PER r�G N N COPPER CREEK STAGE 2 3 N 89'34'20" E 66.22' / i. (N 89 E 66.17')/ STREET TREES MUST a N N / / BE PER APPROVED "s S 00 s" E 132.20' / EVELOPMENT TREE PLAN o o o (S 00'10'00" E 132.00') / U 2c) / / LOT 45 / 0. / ' // / SCALE: 1" = 30' TRACTE / mm � / ... / 0' 15' 30' 60' 120' / / �1 / /9 N trY E / /C\ 0� O 0 Lo to L Ai 00 FOUND r IRON ROD, NO W W CAP, FROM WHICH A i" IRON I I ROD W/YELLOW CAP ' -12.0' d _ I I STAMPED "MARX & CHASE" IN N I BEARSN 03'53'22" W 0.19' Oo --- )( 7 n 0 �� _ 9800 R�ERWOOD LN.I STAG 2 � 6.7'�� 11,0• I .al 17.4' I . C co S � = a I COP 14.3' i n TRAVERSE 1.8' POINT LOT 44 LOT 43 LOT 42 � � x ,k RECEIVED , k � ,A (-1iOK Alit) l ?007 APPROVED PLANS MUST BE • ' : ATE, CITY N TIGARD BUILDING DIVISION TAX LOT: 257148007500 DATE: 06/06/07 MERAK SURVEYING, LLC EXHIBIT MAP SCALE: 1 '= 30' 4974 SW ELM LANE PORTLAND, OREGON FOR PREPARED BY MOF LARRY & NANCY CHURCH 1503) 787-7996 77‘7141C9800 SW RIVERWOOD LANE PROJECT No. 2007 08 MARK FILSINGER, PLS, CWRE CITY OF T-19Ot � STATE OF OREGON SHEET 1 A I CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: 1457 - W /i SCE Street Trees: ❑ Approved ❑ Not Approved Protected Trees: ❑ Approved ❑ Not Approved By: Date! Notes: - CITY OF TIGARD - SITE PLAN REVIEW 1 BUILDING PERMIT NO.: x -0014W 501 PLANNING DIVISION: Required Setbcks: [rApproved ❑ Not Approved Side: -' Street Side: l Front. AO Garage: aD Rear: ( Visual Clearance: [Approved ❑ Not Approved Maximum Building Height feet CWS Service Provider Letter Required: ❑ Yes ❑ No Received 9 bULJ Date: R7707 ENGINEERINPARTMENT: Actual Slope /o (2 /Approved C3 Not Approved • Site Plan: proved ❑ Not Approved By: di i/' ra Y�. ri Date: g3,�7 ---'7 Notes: a j 6U- J _ v - aDcthf CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00 M8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639 -4171 AWiri Inspection Requests (24 Hrs.): (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE: 1 200 TIME: 7:02AM PAGE: 63 PlAr 1 1 / g" 41441— SITE ADDRESS: 09800 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 04 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503-318-7246 Inspection Request Scheduled For: Date: 1/2g/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 064009 -01 503 -7246 N Corrections /Comments /Instructions: . - Piet 1\1 a I SS N F-= S Le(-- ( 1 C ) - C../ Al • 0 ---� i l z '1 -1:: ::: ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _....._ .......__ Date: I l log Phone #: (503) 718 - `�'�� l CITY OF TIGARD - I BUILDING DIVISION PERMIT #: MST2007 -00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639-4171 Iliwi Inspection Requests (24 Hrs.): (503) 639 -4175 p' �� INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 : 00AM PAGE: 24 SITE ADDRESS: 09800 SW RIVERINOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503 - 318.77.46 Inspection Request Scheduled For: Date: 10/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 PoWbeam structural 058035 -01 503. 318 -7246 N Corrections /Comments /Instructions: 4- - ° 1A 31,E d , c/A.<Gr -tGUt - f V�.1 • l _ NAA 4-Arr II PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: /6 - gy p -- 67 Phone #: (503) 718 - Z-Q.. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 001118 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639- 4171q Inspection Requests (24 Hrs.): (503) 639 -4175 F'I �- INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7 :01AM PAGE: 54 SITE ADDRESS: 09f00 SW RIVFJZWOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 185 sq Ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARINGG & YUNG CONSTRUCTION PHONE #: 503 - 318-7246 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: I V d li Code # Inspection Description C;T:1 ntact P P 03.3%8573 A tth Corrections/Comments/Instructions: y tif PASS El P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I /CALL ECTION ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 7 18- e CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2007 -00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639-4171 / Inspection Requests (24 Hrs.): (503) 639 - 4175 ' ... INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 :00AM PAGE: 51 SITE ADDRESS: 09800 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 7 LOT #: 444 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 260 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503.318..7246 Inspection Request Scheduled For: Date: 10/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 057187 -02 503- 316 -6573 Y � n 9 - 1 Corrections /Comments /Instructions: (14 , , 4, 1' _ PASS El PARTIAL APPROVAL ❑ CANCEL El NO ACCESS �❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 o l v Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: T2007- 0OI46 13125 SW Hall. Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 '"' i .. INSPECTION WORKSHEET FOR DATE: 9/2W2007 TIME: 7:00AM PAGE 79 SITE ADDRESS: 09800 SW RIVERWOOD LN • CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503 - 318 -7246 • Inspection Request Scheduled For: Date: 9/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 056495 -01 503 - 318 -7245 N Corrections /Comments /Instructions: • • • G ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector : , ;=- : Date: — Z.f— ci ? Phone #: (503) 718- 24 • ("'('''(/' • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3112007 Phone: (503) 639 -4171 ` �I�j' Inspection Requests (24 Hrs.): (503) 639 -4175 II INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :01AM PAGE: 5 SITE ADDRESS: Q9800 SW RI VERVVOODLN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: (144 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION • PHONE #: 503-318 -7246 Inspection Request Scheduled For: Date: 9/26/2007 Pour Time: • Code # Inspection Description • Confirm # Contact # Message 240 Exterior sheathing 056394 -01 503 - 318 -7246 ,.N Corrections /Comments /Instructions: • • • • ❑ PAS n PARTIAL APPROVAL ❑. CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • Date:Y — 24' 'Phone #: (503) 718- • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007-00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE. ISSUED: 8/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639- 4175�µl� INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 09800 SW RIVERWOOD Lid CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 . LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503 - 318.7246 Inspection Request Scheduled For: Date: 9/18/2007 Pour Time: Code # Inspection Description Confirm # Contact .4* Message 225 Postlbeam structural 055884 -01 503 - 318.7246 N Corrections /Comments /Instructions: 0 i O• - • 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - , Inspector: . . Date: ?-18- 6 Phone #: (503) 718- 1( `l CITY OF■IGARD • BUILDING DIVISION PERMIT #: MST2007- 00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813112001 'Phone: (503) 639 -4171 taa Inspection Requests (24 Hrs.): (503) 639 -4175 ,...'�I,�' INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 09800 SW RI VERWOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER:. CHURCH, LARRY • PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503°318 - 7246 Inspection Request Scheduled For: Date: 9/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 055811 -01 503-318-7246 N Corrections /Comments /Instructions: - • ASS ❑ PARTIAL APPROVAL ❑ CANCEL , n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: q - / 7 —o? Phone #: (503) 718- "7— I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 0014L3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639 -4171 I!. . Inspection Requests (24 Hrs.): (503) 639 -4175 "IL.. INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 09800 SW RI VERWOOD LN . CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE,OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503- 318 -7246 Inspection Request Scheduled For: Date: 9/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 055811 -02 503 -318 -7246 N Corrections /Comments /Instructions: ci • • • y ❑ PAS LI PARTIAL APPROVAL CANCEL U NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,Inspector: // ,, • Date: -/ 7 —6> Phone #: (503) 718 2 "- J , CITY OF TIGARD • A BUILDING DIVISION PERMIT #: MST2007- 00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/31/2007 Phone: (503) 639- 4171p�q! Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 56 Au C + t , se 2e,9DA , E„e, `*► e °� SITE ADDRESS: 09800 SW RIVERWOOD LW CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 260 sq ft deck and 600 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503-316 -7246 Inspection Request Scheduled For: Date: 9/1112007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 055450-01 503.318 -7246 N Corrections /Comments /Instructions: c «o X /G Y ( �2 a v ("P 'lf , joi3 FR P -A-A (► "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■ �� _ Date: / Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST ?007 - 00148 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007 Phone: (503) 639 -4171 a+,� l�' Inspection Requests (24 Hrs.): (503) 639 -4175 .,,, 1 ... INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7.00AM PAGE: 14 SITE ADDRESS: 09800 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 044 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 sq ft deck and 600 sq ft addition. , • ` OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503 318'7245 Inspection Request Scheduled For: Date: 9 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # . Message 211) Foundation walls 055400 -01 503-804 -1972 N Corrections /Comments /Instructions: iiiks /A/spec-771,A., , - . .t fir,— ✓e)e -i. % ( �Eyc�r-G1/2A 9�/Z - AID A . , zi i 1 ---: 4 ( :Y-..5.--4. - -- —. -._ ( mi smL L 4,4JC 4'/L !x T"S S, Z: ��/J.e,, n4 -s / - . 1-A0C+tift • ASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: % A0 —a7 Phone #: (503) 718- 2-(1 -4' q ����/ ®� �� ���® _ MASTER PERMIT = COMMUNITY DEVELOPMENT PERMIT #: M 31/200 oo1a8 DAT ISSUED: 8/31/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BD -01500 SITE ADDRESS: 09800 SW RIVERWOOD LN ZONING: R -4.5 SUBDIVISION: COPPER CREEK STAGE 2 LOT: 044 JURISDICTION: TIG PROJECT: CHURCH Project Description: 280 sq ft deck and 600 sq ft addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORN: ADD HEIGHT: FIRST: 600 51 BASEMENT: sl LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 51 FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 TwRD: 51 RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 600 51 0.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 0 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIL/CMP < SHP: VENT FANS: CLOTHES DRYER: FURN > =1006: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: WSVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: ,A EA ADD'L 500SF: 201 • 400 amp 201 - 100 amp 1st WO SVC FOR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp EA ADDL 8R CR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 vamps.1000v: MINOR LABEL: 1000. amp /volt : 'Jo PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL • RESTRICTED ENERGY 6 A. SF RESIDENTIAL B. COMMERCIAL O AUDIO IL STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: IZIP BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: p GARAGE OPENER: • CLOCK: INSTRUMENTATION: MEDICAL: OTHR: \ /�/� HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: V � This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable LARRY CHURCH DEARING & YUNG CONSTRUCTION laws. All Work will be done in accordance with approved plans. This 9800 SW RIVERWOOD LN 3005 NE DUNCKLEY permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97212 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: Contact #: PRI 503 - 318 - 7246 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 249 -7679 Reg #: LIC 49812 TOTAL FEES: $ 1,265.25 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 ` � n a'ZZEL!l r - ` Issued By : '1 'u �J r ` x („ Permittee Signature : C�/ • Cali 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection.t . CITY OF TIGARD • : BUILDING DIVISION �_ PERMIT #: MST1pp7- 00i�i8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2[107 Phone: (503) 639 -4171 AA, Inspection Requests (24 Hrs.): (503) 639 -4175 ..� INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 PAGE: 52 SITE ADDRESS: 09 800 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: COPPER C REEK SAGE AGE LOT #: J4 TYPE OF USE: PROJECT NAME: CHURCH DESCRIPTION: 280 Fl ft deck and 165 sq ft addition. OWNER: CHURCH, LARRY PHONE #: CONTRACTOR: DEARING & YUNG CONSTRUCTION PHONE #: 503-31B- 7246 Inspection Request Scheduled For: Date: 10/912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 057187 -01 503-318-8573 Y Corrections /Comments/ Instructions: a } ( 1 1 ( r/. l 2 ' 4 l • 1. ,; AI/J.. 1/Ir � Al 4/�i r ' d • y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 h l Inspector: Date: I " t 07 Phone #: (503) 718- II .q C 1 Ty O F T 9 I A R® MASTER PERMIT "'' COM M UNITY DE1i LOPMENT PERMIT if: MST2007 -00148 • DAT ISSUED: 8/31/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BD -01500 SITE ADDRESS: 09800 SW RIVERWOOD LN ZONING: R -4.5 SUBDIVISION: COPPER CREEK STAGE 2 LOT: 044 JURISDICTION: TIG PROJECT: CHURCH Project Description: 280 sq ft deck and 600 sq ft addition. • BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 600 sf BASEMENT: st LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sl FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 T1OAO: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 600 sf 0.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 0 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: - SF RAIN GRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE OISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS . 1000 SF OR LESS: 0 - 200 any: 0 • 200 rep: WSVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: 'A EA ADD'L 500SF: 201 • 400 amp 201 - 100 amp 1st WAD SVCPDR: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 6W am EA ADDL 8R CR: SIGNAUPANEL: IN PLANT: O MANU HM /SVC /FDR: 601 - 1000 amp: 601 *amps•1000v: MINOR LABEL: 1000. amp /volt : ® . PLAN REVIEW SECTOR Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: • ELECTRICAL - RESTRICTED ENERGY • t A. SF RESIDENTIAL B. COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: Iftk GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: O� HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 8 SYSTEMS: V � This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable LARRY CHURCH DEARING & YUNG CONSTRUCTION laws. All work will be done in accordance with approved plans. This 9800 SW RIVERWOOD LN 3005 NE DUNCKLEY permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97212 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: Contact #: PRI 503 - 318 - 7246 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 249 -7679 Reg #: LIC 49812 . TOTAL FEES: $ 1,265.25 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : "l 'U ti rti S., ,(-1, , L\---. Permittee Signature : (",..&„„ . c.. 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.%