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Permit
a CITY O F T I (A R® MASTER PERMIT ° PERMIT #: M 14/200 - 00098 COMMUNITY DEV, _OPMENT SATE ISSUED: 7/14/2008 ,...,-.,• c n k D: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 2S109BA - 03600 SITE ADDRESS: 14114 SW BENCHVIEW TERR ZONING: R -7 SUBDIVISION: HILLSHIRE SUMMIT LOT: 021 JURISDICTION: TIG PROJECT: WILSON Project Description: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other- sump pump.,. owNER " BUILDING �KAI4 C.A U IZGUI' ADDS wish at REISSUE: CUSTOM STORIES: FLOOR AREAS - REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 2 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND. sf GARAGE: sf FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP; R3 BDRM: 2 BATH: 3 TOTAL: 2 sf 200,000.00 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES; 20 0 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 1 FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 • MAX INP: btu FLOOR FURNANCES: VENTS: - WOODSTOVES: • GAS OUTLETS: 3 'ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 5 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: 1 1 1 4 MANU HM /SVC /FDR: 601 - 1000 amp: 601.amps•1000v: MINOR LABEL: o 1000. amp /volt : O PLAN REVIEW SECTION 0 Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: . CLS AREA/SPC OCC: ' ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL 0 AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: ^ GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: '�/ HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR Specialty Codes and all other applicable GARY WILSON OWNER laws. All work will be done in accordance with approved plans. This 14114 SW BENCHVIEW permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 524 - 8303 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 5,493.16 REQUIRED ITEMS AND REPORTS Is - ued By : k OF Permittee Signature , _ . . .� _ Q -_---, CaII 503.639.4175 by 7:00 a.m. for an inspection that bu •ness da . This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. /0 /c/ t; 6 /� �, lac , TER PERMIT IN � 1 � ;° CITY O F T I GA R® PERMIT #: MST2008 -00098 COMMUNITY DEVELOPMENT DATE ISSUED: 7/14/2008 . :T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 10 9 BA -03600 SITE ADDRESS: 14114 SW BENCHVIEW TERR ZONING: R -7 SUBDIVISION: HILLSHIRE SUMMIT LOT: 021 JURISDICTION: TIG PROJECT: WILSON Project Description: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other - sump pump. 10/03/08 ADDED (16) branch circuits. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 2,391 at BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 200,000.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 2,391 sf REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 200 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: WISVC OR FDR: 21 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVC /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 IL STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable GARY WILSON OWNER laws. All work will be done in accordance with approved plans. This 14114 SW BENCHVIEW permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 524 - 8303 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 5,612.33 REQUIRED ITEMS AND REPORTS Issued By Permittee Signature : A■_ , - Call 503. . 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. ; <q CITY OF TIC /� RD _ MASTER PERMIT ' ; C': COM MUNITY DEVLLOPMENT PERMIT #: MST2008 -00098 PMENT DATE ISSUED: 7/14/2008 rlcAkp• 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 SITE ADDRESS: 14114 SW BENCHVIEW TERR PARCEL: 251096A -03600 SUBDIVISION: HILLSHIRE SUMMIT ZOTI R LOT: 02 ] JURISDICTION: N: TI TIG PROJECT: WILSON Project Description: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other - sump pump. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 2,391 If BASEMENT:• st LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT; 5 OCCUPANCY GRP: R3 BDRM: VALUE: 2 BATH: 3 TOTAL: 2,391 sf 200,000.00 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: . RAIN DRAIN: - TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 200 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 1 FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: - VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K. UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 •ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 5 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: n y....0 MANU HM /SVCffDR: 601 - 1000 amp: 60 . • 000v: MINOR LABEL: 1000. amp /volt : Rac• - _. a PLAN REVIEW SECTION O W. % ES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENE - • ' A. RESIDENTIAL B • •L AUDIO 8 STEREO , VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: • . ER • /PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALA- , OTH: ALL - ENCOMP BOILER: / / HVAC: . • NDSCAP • RRIG: PROTECTIVE SIGNL: w GARA• OPENER CLOCK: INS UMENTATION: MED. AL: OTHR: HVC: DATA/TELE COMM: CO NU- the IS TOTAL SYSTEMS: Own This permit is subject to th- -g -lions contained in the Tigard Con + act s+ • Municipal Code, State of OR •pe. alty Codes and all other applicable GARY L' ON / ow / 1711 laws. All work will be done in a cor with approved plans. This 14114 S VIEW j : permit will expire if work is not s -rte. within 180 days of issuance, or PORTLAN rR 97224 ' 1 if the work is suspended for mor: t 180 days. ATTENTION: Oregon law requires you to fotlo 'fie' adopted by the Oregon Utility Notification Center. Those rule are se forth in OAR 952- 001 -0010 i through 952- 001 -0080. You m. obtai copies of these rules or direct Phone: 50 524 -8303 I \.,i 4 f questions to OUNC by calling - or 1,800.332.2344. • TOTAL FE c 5,493.16 Reg #: REQUIRED ITEMS AND REPORTS • ued By : 1 O L/ , Is n 1 / , ,„6„„( ./ , Permittee Signature)( � / _ , w or I Call 503.639.4175 by 7:00 a.m. for an inspection that bu 'Hess da . This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. r I q CITY �� MASTER PERMIT . PERMIT #: MST2008 -00098 COMMUNITY DEVELOPMENT DATE ISSUED: 7/14/2008 T1GARp 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109BA - 03600 SITE ADDRESS: 14114 SW BENCHVIEW TERR ZONING: R -7 SUBDIVISION: HILLSHIRE SUMMIT LOT: 021 JURISDICTION: TIG PROJECT: WILSON Project Description: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other - sump pump. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 2,391 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 2,391 sf 200,000.00 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 200 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 5 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP 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 GARY WILSON OWNER laws. All work will be done in accordance with approved plans. This 14114 SW BENCHVIEW permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 524 - 8303 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 5,493.16 REQUIRED ITEMS AND REPORTS Is ued By : k ia 0 , , Permiftee Signature .. _Ai—. I - • Call 503.639.4175 by 7:00 a.m. for an inspection that bu - ness This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law 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. [ORS 701.055 (4)] 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. Please check the appropriate box and complete the following statement: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or t,1 1 will be performing work on property I own, a residence that I reside in or a residence that 1 will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. Print name of pdrmit applicant Signature o ermit applicant T-`'-P-7 iy 2- a° Date Permit #: 00&g. This form is supplied to building ,/ / `71 /19 o `c�tik11 4.) permit offices by the Oregon^ Address: Construction Contractors Board, k•.'tc , "► ' as required by ORS 701.055 (6) r;r //6/912 Issued b ate: T/f Sig This copy to issuing permit office - / L// /`f Sc ) , it/cAvi Permit Application i ldi ✓ c fit /� P'YG� '� fig, �4 T' � 1 UR " U1 11C 1 ,,l O �'l 1 '�. Residential y � *` `�'��.���, '��� ,� " � � � ° � ° � ^� ��' ' . t • :dg._. • R ece ived Cit of Tigard JUN 18 200$ DateB : �d (� MVO, ,/ Permit No.: ��� g 9 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review q 4 0 Phone: 503.639.4171 Fax: 503.598.19 Date/By: -O, $, /au l G $- Other Permit: a ,mac AiR`D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: lures: H See Page 2 for finsit4itssut Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: r yf- IA" , Supplemental Information TYPE OF WORK REQUIRED DA A: 1- AND 2- FAMILY DWELLING ❑ New construction 0 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, overhe d, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application„ 2OC, 0 • ...=:. X 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ Number of bedrooms: El Accessory building ❑ Multi - family Z ❑ Master builder ❑ Other: ( Number of bathrooms: ' 3 JOB SITE INFORMATION AND LOCATION Total number of floors: ` Job site address: Iv / / 4 / S tJ A e ' G ' . e t I e--r v AC e New dwelling area: / D go square feet 2 31) City /State /ZIP: -r-, - ,,,,..„. „,,..„. c t ,- C 7 Z / 2_,/ Garage /carport area: o square feet Suite/bldg. /apt. no.: Project name: c `S e ,J Covered porch area: 0 square feet Cross street/directions to job site: (,L “ (I M 9 4- 4 rAl +0 Deck area: O square feet / I c IA J . e- t..J ! r r R C.as l \ ,-) lit 3 ,p 4,4 Other structure area: square feet d N V` , *\ (.1 k.oftN� c , cL.e REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: j / Permit fees* are based on the value of the work performed. Q Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: R / g 6,g equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ TT, Oc c) A) N 5 h_- c__, 4.4.0 t Existing building area: S d square feet S n �� ¢ New building area: / R 6, square feet Y' )2kROPERTV OWNER _ ❑ TENANT Number of stories: 3 Name: c 'y t . L-t) 1 ( ) Type of construction: w o d p V' P Address: / / 1 q g L f £ �/u G 1 , e v., ,,,) - 1 -- i t r A. c . Occupancy groups: 6 , ,f/2_ City /State /ZIP: ( i ✓ A-' - 1 / � 1C 1 Lr 2 Existing: ' Phone: ( 0 '1 Sp r� ^. c -) 03 Fax: ( ) 7 New: 'APPLICANT ❑ CONTACT PERSON NOTICE Business name: / All contractors and subcontractors are required to be �p W e licensed with the Oregon Construction Contractors Board Contact name: /� P '�' `-y (5 under ORS 701 and may be required to be licensed in the Address: / rJ // j 5 LA A Q , C . � v , ,_ 1e r r Q jurisdiction in which work is being performed. If the nn applicant is exempt from licensing, the following reasons City /State /ZIP: I R-r gl 0 � 7 Z Z 5. apply: Phone: (5 5 ,..,I - g v-3 Fax:: ( ) E -mail: O� y L Of t ) Ijm n3 0 - o t / e PJ2 � ,J CONTRACTOR Business name: ,' it'l Q_ 45 R ,6d t/Q— BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): el yy 7, V City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lic.: Total fees due upon application: Amount received: 4"97. 1l/ Authorized signature:,. ! Y 4 N (t) ��t This permit application expires if a permit is not obtained l/� within 180 days after it has been accepted as complete. 7” Print name: G. AR .i W i l S ® Date: 0$11 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB) n r -s R • 'Mechanical Permit App1ic i c .: - -, E0 1 ) ' ! ". q ,: f,,OR (:?.1':1.:.1(.1.".,1:-.1)'.s..':,() I " I`1 N +'^ g ..' 1 " r City of Tigard l � Date/By: "' !O Og Permit No.: �l C � 13125 SW Hall Blvd., T OR 97223 Y' vw C N 1 D to /By: Other Permit: ew Ph one: 503.639.4171 Fax: 503.598.19 Z�Q3 Date/By: tF Inspection Line: 503.639.4175 Date Read B Ju rist El See Page 2 for �l�I'Gn•R Ready /By: g Internet: www.tigard CITY OF TIGARDA� Notified/Method: Supplemental Information TYPE BO P tiG DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST • ❑ New construction Addition /alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* g1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- famil ❑ Master builder ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: / 5i Ll S (,J B C_ - V , Qt ,.) ,. Air conditioning or heat pump // �� / ) t Ac , (requires site plan showing placement) 14.00 City /State /ZIP: T e fv o r 1 1 -z.-2_,71 Furnace 100,000 BTU (ducts/vents) , 14.00 ' 9, OP Suite/bldg. /apt. no.: J Pro name: / Furnace 100,000+ BTU (ducts/vents) 17.90 W k \S '�✓V Gas heat pump 14.00 Cross street/directions to job site: L i) ! r 4 t M 0 u �} A t -. Duct work D 10.00 Q ll II c_.. 1 Hydronic hot water system 14.00 Re-N tM V e, kr R (- ,) 1,1-1- 3 49 `S Residential boiler (radiator or C� r , Unit h i \A A- v+ t e� S f + Unit h ic) 14.00 heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 `/ /_ � u�yf/yj(� Lot no a Flue /vent for any of above 0 6.80 k„ go Subdivision: de �J!/L //L Other: 10.00 Tax map /parcel no.: f2 Z>/ `8(0 8 Other fuel appliances DESCRIPTION OF WORK Water heater 1 10.00 !n; 0"D / Gas fireplace 10.00 �aCk- t N - cl , --t p / 5--f i9-c-- 61 Flue vent for water heater or gas C,{ 4 t f . 2—, N1 L[ N F P • e I � Log © J ' Log ligh l 10.00 c� lighter (gas) 10.00 S 2 ft- c • Wood /pellet stove 10.00 � Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 )S'ROPERTY OWNER , ❑ TENANT Other: 10.00 Name: /• r t I SSA Environmental exhaust and ventilation I ` l Address: 1/ / i1 S' &/JG� Vt e t-lJ ! T G V equipment Range hood/other kitchen 10.00 City /State /ZIP: / T—", 5 it r, 2/7—Y-' 7 Clothes dryer exhaust 1 10.00 /0.0 rl Single -duct exhaust (bathrooms, Phone: ( coos S z 9 - 2 ; a ' 3 Fax: ( ) toilet compartments, utility rooms) 6.80 .O. . ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: , Fuel piping Contact name: G G) f (C oiV $5.40 for first four; $1.00 for each additional • Furnace, etc. t 5r 5 l ib Address: / G/ // L/ 5. hi 6i✓" V ' e / * ✓r/){', Gas heat pump f City /State/ZIP: — 7 - - / G 4-r--0 / 0 r ' 7 Z 2 `" Wall/suspended/unit heater Phone: (503 5-2,4 C 1, Fax: : ( ) Water heater 1 5 . 5 'ID � Fireplace E -mail: 0 fkmy L 1 l k A) 0 ctvotA 'I r // Range J - CONTRACTOR Barbecue Business name: 5' 4 e 4 Abe o< Clothes dryer (gas) 1 SIP 5 y[7 Other: Address: 0e00E2 MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal $7, qv Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) Z l • S C CCB lic.: State surcharge (12% ofpermit fee) to . 4.-11 X TOTAL PERMIT FEE net , This permit application expires if a permit is not obtained witilin 180 I" Authorized signature: d ays a i t has been accepted as complete. Print name: �Ae, r 6)e•v Date: / 701i/ * Fee methodology set by Tri -County Building Industry Service Board 1A Building oc 01/19/07 440-46 T (11//02// OM/WEB) ..- Plumbing Permit ApplicatimRECEllvE RP. '.. 1 - 1 "7,'"' - ' ZiP''' .*, r'.. -6,. . :' '. ‘ . , ' - , ., ... i• r" , - r , ; .: - Ar -, lit 1.,..,+ ,, , Building Fixtures *..P..- - •''.-it , ":',. - .... 4 (..4ur.0 , ,...4,' ' ,. s..,..• .: . 1*,,,,.: ,-;,: , :',.4' ' 6, 'c '" .,...f/.;'' City of Tigard JUN 1 8 2008 Received 4, /,,, „ i Permit No.:1 g 13125 SW Hall Blvd., Tigard, OR 97223 III Date/By: Le' Plan Review " Phone: 503.639.4171 Fax: 503.598 WY OF TIGAR Date/By: Other Permit No.: Inspection Line: 503.639.4175 M1717 BUILDING DIM! °I. Date Ready/By: Juris' El See Page 2 for ,. ..-4 Internet: www.tigard-or.gov .,,,U` Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction 0 Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total Addition/alteration/replacement 0 Other: New 1- 2 dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 IR) - and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00 399.00 IW 1E' El Accessory building 0 Multi-family SFR (3) bath Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 '7'!! Li S 4,6 . 13, op ( .. „ 1/4. - 12. yr Act Catch basin or area drain 16.60 City/State/ZIP: - 77 5 A 1^-& NHL -c. .01.1 C i 7 2- Lt Drywell, leach line, or trench drain 16.60 / Footing drain (no. linear ft.: _) 2 D o Page 2 , 1. s'b Suite/bldg./apt. no.: Project name: x „/ , Ls ., ,N) X`'.- Manufactured home utilities 110.00 Cross street/directions to job site: u. ..? . 6 c k 1 ‘ L ick° kiv-i- A, Ai Manholes 16.60 - 3 ,,.... c.. t., ,, . ,......3 -TR._ ,-, 4_ c,e. i R : ) kt Rain drain connector 16.60 Z 6 1 e9 cic ---- R * .D IN+ t 41 3 1 a c_ t 6 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 - 7 - 71 0 / - -- t -- Ir-ce___ T Subdivision: iii t (,44//e 1,//iyuyiti 1 Lot no.: 27 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: R 20q / e (a Absorption valve 16.60 DESCRIPTION OF WORK • Backflow preventer Page Aaa.:,..n A-8.1- • A-, (9A A.1-- 3 I P A-c_. .,:z Backwater valve 16.60 12_;,..) aprie.m..2 14 NJ c ;A) .,Sheir5. Clothes washer Dishwasher 16.60 Dir OWNER 1 0 TENANT Drinking fountain Ej ectors/s 16.60 ump 16.60 WM I b. - • Ex io Name: G fr ik . , ‘ I , isv:,,,,3 pansn tank 16.60 • Address: 1 Li 114 C tNi , Ae."/CA d , e Fixture/sewer cap 16.60 City/State/ZIP: T: 1 4 r -s.). 0 r- ci 7 1.-2._ "r Floor drain/floor sink/hub 16.60 / i Phone: (503) S _ g 3 I L _Fr iii ( ..L.1 .3 )ap r t-. 2, (A), i 4 Garbage disposal 16.60 Hose bib 16.60 APPLICANT - U CONTACif PERSOla%' Ice maker 16.60 Business name: e.a, A4C ., Aiti_l Interceptor/grese trap 16.60 Contact name: flor---1 k A i \-S..." Medical gas • City/State/ZIP: (value: $ ) Page 2 Address: / 1 / / 1....t 5 k,1 BQ ea c_ku L . . e ,...., rev s--4--,-.Q. Primer 16.60 "7" 4. ,E) 0 r' , 112.7_,-{ Roof drain (commercial) 16.60 - 1 Sink/basin/lavatory 3 16.60 ' 7 0 Phone: ( 5 c L-2_44,_ '3 3 ip Fax: : ( ) Tub/shower/shower pan E 54.4s) L. 1.A) . I4 Q 6.volcAsi .. /Jar Urinal 16.60 CONTRACTOR Water closet 16.60 el 1 1 Sat Business name: y ii+1 , a ___ A A o u (2- Water heater 16.60 & &e,) Address: 0 Lk) 0 P-- Other: 1404 Subtotal City/State/ZIP: Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 Plan review (25% of permit fee) I 2-5, / CCB Lic.: Plumbing Lic. no.: ' • State surcharge (12% of permit fee) . 30 . Authorized signature: 4 , LD ahlovl TOTAL PERMIT FEE ._ ... Print name: p j.. ,10 IF t Date: 6, This permit application expires if a permit is not obtained within n c S c 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IABuildingTermits \PLMF-PermitApp doc 12/27/06 440-4616T(10/02/COM/WEB) electrical Permit Application VE . E',...-i.-ii,,,-, :3 ' , . (TI- .: litii -) I -'w. � "` ,�'. : .e; ° City of Tigard JUN 1 ZOGB Da Receive A L J Air �i Permit No.: � !flip ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.19(!t? OF TIGAR • Date/By: Other Permit: +I G Inspection Line: 503.639.4175 �+ Date Ready /By: Juris El See Page 2 for B UILDING DIVISI ' Notified/Method Su .. Internet: www.tigard- or.gov Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction p; 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 g1- 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 ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION IIO ` ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3", Job no.: Job site address: Pill 171 51A1 ? e./V G'1 Vie W ' t y.� 100HP or more. occupancy. / ❑Six or m ore residential units. ❑ Recreational vehicle parks. City /State /ZIP: / / J q 4 y .� ) Ir ZZ ,-/ ❑ Health-care a do facilities. ❑ Supply voltage for more than ❑Hazrdous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: W t 1 S as ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: a. B t , ( , /� /` c) c ( /'U /A, (\ f t Description 1 Qtr. 1 Fee. 1 Total 1 T U l �+ J _ / New residential sin - or multi - family dwelling unit. �� V t ._,03 ._,03 l e t` r 4C,2_ Y. 1 h/ � J r �C. 3 Jg h Includes attached g ara g e. Subdivision: etkA/�e _umm / ` Lot no.: Z/ 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1,34 1 Tax map /parcel no.: 2 .2 /860 Limited energy, residential DESCRIPTION OF WORK (with above sq. 6.) 75.00 2 A Limited energy, multi - family /�d t3 t N.., - �'t 1 -I t - e' S�r- 1 ) A / � residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and /or relocation (i(, * ( / / Zr A) q k 04r p•) IS I I elk C—v' 1 .$7 4 Ce-- 200 amps or less 80.30 p ? 2 ja_PROPETITY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: ��1 '(Y W 1 [ S .,=,A) 401 amps to 600 amps 160.60 2 �, 601 amps to 1,000 amps 240.60 2 Address: I Li 1 5 / 5� �ZN� 0 r 0 Lj 1 e_� r ,o re _ Over 1,000 amps or volts 454.65 2 (� v -- Temporary services or feeders installation, alteration, and /or City /State /ZIP: / t/ G] (1 (J 7 2;2 relocation Phone: (SA 5 _43 ? I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation i made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, le. rent, or exchan e, a cording to ORS 447, 449, 670, d 701. 401 amps to 599 amps 133.75 2 r Branch circuits — new, alteration, or extension, per panel , Owner signature: ��,, = ■ Date: N / Q A. Fee for branch circuits with APPLICANT ❑ CONTACT 'RSO above service or feeder fee, 5 6.65 p a � 2 each branch circuit Business name: / B. Fee for branch circuits Contact name: r I A r � / � J first branch or i feeder fee, 46.85 2 first branch circuit Address: )(1- / /A) r !�� 0 r 2 t i L f Each add'I branch circuit 6.65 2 (/ _ Miscellaneous (service or feeder not included) City /State /ZIP: - r - 1 ,. . ? l) 4'!" C1 7 2-2-", 2-2-", Each manufactured or modular 90.90 2 / dwelling, service and/or feeder Phone: (yo 3 ,c1 �3 Fax: : ( ) T Reconnect only 66.85 2 U E -mails k7 L r /5 ) n�..G1 /t -$7' , Ai o- / Pump or irrigation circle 53.40 2 CO RACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: / ��"i e — >i L O ki energy panel, alteration, or I 7 5 Address: A ) � � � )91 sE -V.- O r�e 6 (G` Page 2 2 City/State /ZIP: l v Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: ( LS .� Date: _ Plan review (25% of permit fee): k_ I/ �/ � /// State surcharge (12% of permit fee): r Authorized signature: Q� i (��� TOTAL, PERMIT FEE: _ This permit application expires if a permit is not obtained within 186 Print name: 0 OA t IS 6A) Date: t /6 p days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.do 05/23/06 440- 4615T(1 I /05 /COM/WEB t kk t.ftlew 4 " {1.444 y �'� = , r ,1 Electrical Permit Application , , ° i1. . ` , K ', :�. f' �` F OR ' OFFICE USE ONLY ra3tt w r4 y , . ' ' b ow:'.4.?r . it*Ii «r :tw ,.ep .i . ,5 • t sib*...,. City of Tigard Date/By. Received Permit No.: Vl5� .. , ;:i i ii.,,,s,4-,,,; /] - p- ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� U 0 D Phone: 503.639.4171 Fax: 503.598 • . t. L Date/By: Other Permit: Inspection Line: 503.639.' r / C t 1 � Date Ready /By: Juris El See Page 2 for T + � ddd • ' . " Internet: www.tigard -o '? t e , ii,.. Notified/Method: 7T Supplemental Information ' ' OF W OKS r 1 P L A N REVIEW Y ❑ New construction ❑ Addition/101 (r' WOWS � tion /re I Please check all that apply (submit 2 sets of plans w /items checked below): `° ,.1 ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other ^VII 1 \ v where the available fault current ❑ Marinas and boatyards. CATEGORY a r :I ` 1 ' c .. exceeds 10,000 amps at 150 volts or ❑ Floating buildings t .p ' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural • ❑ 1- and 2 - family dwelling ❑ Con` - Industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ' ❑Emergency system. larger separately derived system. . ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "I - ", Job no.: Job site address: �f / I OOHP or more. occupancy. / // ,7 �t�(.X ,C.//C-4 /(. - ❑ Six or more residential units. ❑ Recreational vehicle parks. ty tate CI /S/ZIP: , ❑ Health -care facilities. ❑ Supply voltage for more than G� U'/ �f �) 600 volts nominal � / / ❑Hazardous locations. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. . 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 OF WORK .. (with above sq. fl.) Limited energy, multi - family t (6 b� 4 � U ,L' � residential (with above sq. ft.) 75.00 2 G Services or feeders installation, alteration, and/or relocation �,S7`2e -� ( ` -- I 200 amps or less 80.30 2 ❑` PROPERTY OW NER .. ' ❑ TENANT. 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Ci /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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 signature: Date: A. Fee for branch circuits with . . ❑ APPLICANT I - . - ❑ CONTACT PERSON above service or feeder fee, 6.65 2 CM G V 1 W. l B. Fee Fee circuit Business name: for branch ci r Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit M 6.65 (0( 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 Business name: Signal panel, alteration, alt er ra limited- o n, or l/L(f�l rv`' energy pneetio or Address: extension. Describe: Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 . ELECTRICAL. PERMIT FEES -. Suprv. Electrician signature, required: Subtotal: 10 co , q Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): / 7 7 Authorized signature: TOTAL PERMIT FEE: I ( pp 17 -t% 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- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: I : RESIDENTIAL WORK ONLY Fee for all residential systems combined .. $75.00 Check Type of Work Involved: <i. ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: `COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 II CITY OF TIGARD 5/27/2010 • 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 7:28:36AM TIGARD Activity Listing ; Case #: MST2008 -00098 Project Name: WILSON Site Address: 14114 SW BENCHVIEW TERR DATE DONE CODE DESCRIPTION (Descending Order) DISP DONE BY NOTES 205 Footing 07/24/2008 PASS KBS 073155 -01 - 503 -524 -8303 - VM - Y 210 Foundation walls 07/24/2008 PASS KBS 073156 -01 - 503 - 524-8303 -- VM - N 305 Plumbing underslab 08/04/2008 PASS JW 073671 -01 - 503 - 524 -8303 - VM - N 220 Slab 08/08/2008 PASS KBS 073950 -01 - 503 -476 -5612 - VM - N 315 Post/beam plumbing 08/15/2008 PASS Chip Barnett 074271 -01 - 503 - 524 -8303 - VM - N 605 Post/beam mechanical 08/15/2008 PASS Chip Barnett 074273 -01 - 503 - 524 -8303 - VM - N 225 Post/beam structural 08/15/2008 PASS Chip Barnett 074275 -01 - 503 - 524 -8303 - VM - N 615 Mechanical rough -in 10/02/2008 PART KBS 076225 -02 - 503 - 524 -8303 - VM - N -180 275 Framing 10/02/2008 FAIL KBS 076225 -04 - 503 - 524 -8303 - VM - N - 180 320 Plumbing rough -in 10/02/2008 PASS JW 076225 -01 - 503 - 524 -8303 - VM - N 225 Post/beam structural 10/02/2008 PASS KBS 076225 -03 - 503 - 524 -8303 - VM - N 120 Electrical rough -in 10/03/2008 FAIL Gary Noble 076271 -01 - 503 -524 -8303 - VM - N - 180 120 Electrical rough -in 10/06/2008 PASS Gary Noble 076323 -01 - 503 - 524 -8303 - VM - Y 230 Underfloor insulation 10/10/2008 PASS KBS 076562 -02 - 503 - 524 -8303 - VM - N 280 Insulation 10/10/2008 PASS KBS 076562 -01 - 503 - 524 -8303 - VM - N 275 Framing 10/10/2008 PASS KBS 235 Shear walls /anchors 10/13/2008 PASS KBS 076629 -01 - 503 - 524 -8303 - VM - N 242 Interior shear walls 10/13/2008 PASS KBS 322 Shower pan 11/03/2008 PASS JW 077567 -01 - 503 - 524 -8303 - VM - N 610 Gas Line 12/10/2008 PASS Chip Barnett 078934 -01 - 503 - 524 -8303 - VM - Y 699 Mechanical final 03/03/2010 PASS Rick Bolen Habitable mechanical racpArtivitvShnrtFnrm rnt Pana 1 of 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2()O Phone: (503) 639 -4171 t �� Hai Inspection Requests (24 Hrs.): (503) 639 -4175 ...._,W '1!. INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: - 7:01Am PAGE: 22 SITE ADDRESS: 14114 SW BENCHVI - ;1A/ TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON DESCRIPTION: convert cr wl space to habitable sp=ice. Mechanical other- crawl space fan. Plurnbing other- sump pump. 10/03/08 ADDED (16) branch circuits. OWNER: WILSON, GARY PHONE #: 503 - 524 - 8303 CONTRACTOR: OWNER PHONE #: 0 Inspection Request Scheduled For: Date: 12/10/2008 Pour Time: j/ .- Code # Inspection Description Confirm # Contact # Mes , 295 Misc. inspection 078936-01 503-524 -8303 Y odio- Corrections /Comments /Instructions: r . • 'J/ '/ /( ■` �i //'7_ l'v Nr PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (---- Inspector:. Date: 12 - 1 a j Phone #: (503) 718- i CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2008- 00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/200B Phone: (503) 639 -4171+ Inspection Requests (24 Hrs.): (503) 6394175 ��_: 1! INSPECTION WORKSHEET FOR DATE: 101612008 TIME 7 :OOAM PAGE: ?3 SITE ADDRESS: 14114 SW BENCHVIEW TERR CLASS OF WORK: SUBDIVISION: 1111.1SHIRE SUMMIT LOT #: 02 TYPE OF USE: PROJECT NAME: WILSON DESCRIPTION: Convert crwil space to habitable space. Mechanical other- crawl space fan. Plumbing other- sump pump. 10103/08 ADDED (16) branch circuits. ' OWNER: W,j '• N, GARY PHONE #: 503. 524 -8303 CONTRACTOR: OWNER -- PHONE #: Inspection Request Scheduled For: Date: 113 Code Time: Code # Inspection Description Confirm #. Contact # Message (7 120 Electric ro ugh -in 07632301 \ 603 -624 -8303 Y Corrections /Comments /Instructions: ` , `" -- Ar=k) c i)3 D n ?r N ix 1 4 --!N. I c L -► e. V, _ 2i • ,i. A'._., 1► Ai . CO __. �ik.c .0 :la i t_. 'A u' ...1f 0'. 33 . co b ' 44 s . - - oo' _ ^ 1.. - 4_, IA c.■I ILA , 1. , • sQ 4, ano Pin 33' . PASS n PARTIAL APPROVAL • ❑ CANCEL 1 1 NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L. • 1 v 6 (6L Date: 1O b 1 Phone #: (503) 718- Olt, CITY OF TICGARD '` BUILDING DIVISION 0 PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2008 Phone: (503) 639-4171 � , ,,.�i,� � 1 � 7/14/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 ,-4. - INSPECTION WORKSHEET FOR DATE: 1013/2008 TIME: 7 :OOAM PAGE: 19 SITE ADDRESS: CLASS OF WORK: 14114 lBENCHVIEVU ` ERR SUBDIVISION: }iIt,LSHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON DESCRIPTION: CO►rVert crawl space to habitable sparse. Mechanical other- crawl space fan, Plumbing other - sump OWNER: WI SON, GARY PHONE #. 5033524 - 8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in / 076271 -0 503 -524 -8303 N Corrections /Comments /Instructions: Z 'E A LL 1-bn6 P-Q5 . M.T 1 13.3 (a) e s % M L N (Y\ CAf N, ( R-) 339.SO - 65wilicrt w i ei niN 10 SI AI C ur IA, 3 (.104. s L. c-- 11 ( 'INS Z�r Wi 1... 62,4,1 V 1St 14 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL KCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gm IvGE 1 Date: 1013 1> Phone #: (503) 718- /4 1 . ---, 4 -____. 4.,,,, j i.--- _.„. \ 4 .- 1 i e w g � ....f, J E 1 ill / N , 4 0 . , % a ■ 1 W W # - . S 11 WO # . 1 1111 Q � �4, , A rGQpc, gW BENCHVIEW ii * ilk / \ 4 \,) N 4 \ ,1 . ,/ \ \ \ / c \ V /.'\ /____-- c,A \ 4-,- - /Il \ii-g\y( \ \ 5 \14*- - / '' \ , \ �/ rLETOE DR_ \ �'\ 'l \ A s? \ \ 7 ----- ._t.. / C� Si c .' "Ib b . l ain II \ • 'O r W ei r : . ._ - ,-.: SW. HILLSHIRE DR- \/ _ • 6 • , ..' . • . ' ' ' 1 1 J i. j 3 - . -• . • - # x . \ I I HIGH ' y I T_OR_DR U —. -I I aj is, I IN T 1 --; I � / e 5 EWPIN � '4 \ .\ M• _ 1' -SID E _... _ ®_ H I-1 411/ I IA 0 e . ALPINE VIEV1 _ am - IIII 111L1.1 (Z7 SW ( III 1I1 H , ALPINE VIEW - - I . � • ■ , .. BULL MTN �O o - o . o -o _I : g ®I lo- ; r Man. .. L-4 t -� � I r 0 S Q Ill l i IIN III". y Q � ® Q ..________, L .! 0 2 ,N_J cFc..-,; \ / ,,, ._ : ,. \_____; 7------_-,,_-i ,._,.. � ® , ,• N. �.. �- itr . i \ RHETT A \\\ 1 \ N / \ \// . x0,< V >,, _ ___________r___ /A Al CITY OF TIGARD BUILDING DIVISION - PERMIT #: M 20f58 4f)0t3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 /1412000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 'I —. INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME: 7:OOAM PAGE: 3 SITE ADDRESS: 14114 SW BENCHVIEW TERR CLASS OF WORK: SUBDIVISION: FIIt LS SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: ill SON DESCRIPTION: Convelt. crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other- sump pump. 10/03/08 ADDED (16) branch circuits. OWNER: WILSON, GARY PHONE #: 503-524-8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 07758701 503 -52.4 -8303 N Corrections /Comments/ Instructions: • PASS n PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l -\ \1∎ ---:_..., Date: i ) I2 Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION A t . PERMIT #: MST2008-00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1002008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: CLASS OF WORK: 14114 SW BENCHVIEW TERR SUBDIVISION: LOT #: TYPE OF USE: HILLSHIRE SUMMIT 021 PROJECT NAME: WLSON DESCRIPTION: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing Oitlei. sump pump. OWNER: VVI LSON, GARY PHONE #: 603524 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/212008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 320 Plumbing rough-in 076226-01 503-624-8303 N Corrections/Comments/Instructions: . - X PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED I nspectorabktitAki; \ '\L_.2_ Date: 1 D 1 r") \ - 6q -N , Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION , PERMIT # ://67 -c am 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 v a 'J Inspection Requests (24 Hrs.): (503) 639 -4175 .F "- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /y //y 5 I ,/ J 8,0\0406 k ,/ -7Z`�e_ CLASS OF WORK: SUBDIVISION:14 iLLSN -i R4' S LAMA' LOT #: TYPE OF USE: PROJECT NAME: ki l ,_ so J DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # : Inspection Description Confirm # Contact # Message - g ►_S 'Pcr.u A.! L. pos 84:34 -v` *. G'' • 01 (.e 64141 U 1 C-s•C- r S / / a C24-/ .Correctioris/Comments /Instructions: « PLLJ PoV 1(2341a1 li.l f `c Z / a/C :::.. tJo.-z-- : o `j L) , F , f - l e : e_- - 1 - 74-1S 71 Ai ( - : <m 0 c --_ Pes i e3 c: c,1‹...._ ,.r zz, S u - A- 'e---- P05-7 -76 04 Kr T : vi ' f= >/ ,�-i C Y. e ® a -= V ca i ° S. t=om (:-1 --/ H ) j..1 . 7` _ z S 77-ft S ziMc , . PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL 9 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED g , C - A 6 Inspector: Date: p Phone #: (503) ) 718- 26 CITY OF TIGARD BUILDING DIVISION PERMIT # • MST200B 00088 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: - 1114/20013 Phone: (503) 639 -4171 .���i" Inspection Requests (24 Hrs.): (503) 639 -4175 F.__ INSPECTION WORKSHEET FOR DATE: 0/4/2008 TIME: 7:03AM PAGE: 15 SITE ADDRESS: 14114 SW I3F_NCHVIE'tN TFRR CLASS OF WORK: SUBDIVISION: HILL SHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: Wt SON DESCRIPTION: Convert crawl space to habitable space. Mechanical other- crawl space fr n. Plumbing other- sump pump. OWNER: WILSON, GARY PHONE #: 503 -524 -8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date Bm/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 073671 -01 503 -524 -8303 N Corrections /Comments /Instructions: S ' L L.n ' 73 q" f3(A,tU.k"i C v, yl PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VY)--&-.. \1l` -••=1- , Date:'{ 4 a Phone #: (503) 718- - i Main Office em Office Bend Office s� �p P.O. Box 23814 406, r-iudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. Ti Oregon 97281 Oregon 97301 Bnd, 541) 330-9155 97708 Phone one ( (503)03) 684-3460 Phone hone (503)589 -125125 589-1252 Phone (541)330 -915-915 5 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors client GARY WILSON ENTERPRISES - GARY WILSON Project: WILSON RESIDENCE - REMODEL CTI Job #: T0807764. Address: 14114 SW BENCHVIEW TERRACE TIGARD OR Jurisdiction: TIGARD CTI representative R. SCHULTZ was on site this date Aug. 11, 2008 to perform Special Inspection for: Permit MST2008 -00098 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. PLAN PG. Al 5/8 X 9 -1/2" EMBEDMENT Name: GARY W /EPDXY FOR HOLDOWNS ON EAST WALL. INSTALLER Company: HOMEOWNER USED HILTI HAS ROD W /RE 500 SD. SEE NCL ATTACHED. 2. Inspection was "IBC" © Continuous Periodic NCL 1: EPDXY NOT SPECIFIED. NCL 2: EDGE DISTANCE AT (2) LOCATIONS LESS THAN PROPRIETARY ANCHORS 3-1/8". 2 " ACTUAL. Yes No N/A NCL 3: SPACING AT (1) LOCATION 1" FROM EXISTING ANCHOR. 1. Reviewed previous inspection reports? 2: Reviewed evaluation report? x Verified following items meet manufacturer's REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed n In progress anchors. X 4.Verified installation of the anchors. 2. Completed work inspected was not in compliance with x © Approved plans and specifications 0 Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. X ❑ RFI ❑ Design change ❑ Submittal ❑ N/A 7. Verified hole diameter. X Document #(s) Dated: 8. Verified type of drill bit used. X 9. Verified hole cleaning method. X 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. X following page(s). © Yes No N/A 11. Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). ❑ Yes 0 No © N/A 13. Verified installation torque. x Conform El Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ESR -2322 11/1/07 GARY Of HOMEOWNER Name of product being installed HILTI RE 500 SD Batch Number 0412072155 L3 Expiration Date 12 -2008 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. © See additional report page(s). ❑ Distribute attachments. Page 1 of 2 ! . Daily Report of Proprietary Anch■ For: 08/11/2008 CTI Job #: T0807764 . Project: WILSON RESIDENCE - 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. Keith Gauvin Reviewed By: Steven W Leach Project Manager Review Date: 08/16/2008 RS /SB GARY WILSON ENTERPRISES - GARY WILSON TO: CITY OF TIGARD BUILDING DIVISION CLINTON PEARSON ARCHITECT Carlson Testing, Inc. Incompleted Items List (NCL) Aug 18, 2008 T0807764. Project Name: WILSON RESIDENCE - REMODEL Project Address: 14114 SW BENCHVIEW TERRACE TIGARD OR Permit No: MST2008 -00098 P.O. No: Project Manager: K. GAUVIN Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 RS 08/11/2008 EPDXY NOT SPECIFIED. 2 RS 08/11/2008 EDGE DISTANCE AT (2) LOCATIONS LESS THAN 3 -1/8 ". ACTUAL IS 2 ". 3 RS 08/11/2008 SPACING AT (1) LOCATION 1" FROM EXISTING ANCHOR. GARY WILSON ENTERPRISES - GARY WILSON TO: CITY OF TIGARD BUILDING DIVISION CLINTON PEARSON ARCHITECT Page: 1 _- — ►__ G°�ON�[ dd L G�C��(t� C G°�O� DC ��C�Gv] p�pq 17 O 250: ��n�ton St. r CIVIL - STRUCTUR ENGINEERS •� • Finland, bl2 9721;6 • • • • 1'eI ' 503 -2N-629 Fax 503 - 254 -6761 • • • • • • •••• •••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• ••• ••• • • BEAM CALCULATIONS ••• •••• • • •• •• • • • • • • • •. • • • • • • • Au st 11 2008 • • •.• •.. • Wilson Remodel Three Specific Beams !, 1/4,...) c� 14114 SW Benchview Terrace y Tigard, OR 97224 CA O h l 6 1 ovke- S'I6e c ( 2006 IBC /2007 OSSC Pat and Gary Wilson 14114 SW Benchview Terrace Tigard, OR 97224 `' VISION ,,ED PRo, ��0 _ /0 ems ? aCrJ� cac 1 8 ) / , 58367 9 r C rty of Tigard 0r# , ,,,Approved Plans 0 RO�� 0 T. EXPIRES: DEC. 31, 0 1 EXCLUSIONDELLIBILMES 1 mISCI ,ATMF.R ANT) RFT YAW , BUYER HEREBY WAIVES, RELEASES AND RENOUNCES ALL WARRANTIES (EXPRESS OR IMPLIED), OBLIGATIONS, AND LIABILITIES OF ROWELL ENGINEERING & DESIGN, INC. AND ALL OTHER RIGHTS, CLAIMS AND REMEDIES AGAINST ROWELL ENGINEERING & DESIGN, INC. (EXPRESS OR IMPLIED) WITH RESPECT TO ANY NONCONFORMITY, IMPROPER INSTALLATION, WORKMANSHIP OR MATERIALS. P. FXCI.T ISION OF COMFIT TFNTIAT. AND OTHFR DAMAGES ROWELL ENGINEERING & DESIGN, INC. SHALL HAVE NO OBLIGATION OF LIABILITY, WHETHER ARISING IN CONTRACT (INCLUDING WARRANTY), TORT (INCLUDING ACTIVE, PASSIVE OR IMPUTED NEGLIGENCE) OR OTHERWISE, FOR-LOSS OF USE, REVENUE OR PROFIT, OR FOR ANY OTHER INCIDENTAL OR CONSEQUENTIAL DAMAGES. III. THIS PRODUCT IS FOR A SINGLE USE ONLY AND IS NOT TO BE REUSED WITHOUT SPECIFIC AUTHORIZATION.. copy 1 36% min. BRACED ALL PANELS (SHEAR WALLS). 7/16' STRUCTURAL PLYVD 1 8d yyAIL$ Q 4'ly6. (�) 1 • • � •• • OW 5 % actual 3.•. lb holdown ea. end typ. Simpson PHDS -SDS3 w/ 14 -SOS 1 /4Jx3I, swells 0 •l.n, % x s .: _ : • _ embed epoxy anchor. Note epoxy anchors rioulie syeclal • / • r): e spectlon during installatlo 6 • • • • D • • AR a'OXS'0 SHEA CC 3'0X5'0 3'0X5'0 3'0X5'0 • e'B r ,�AAA • q 4 L � VALL CSM T .1 V . CSMNT FIXED FIXED • • , • ►w` • �• T l,� ` � � :� I W : =:�I- ��s ItiIkST 6eArvv w IN Yz 114 'i" ! EAR ' LL�'E ® << ® 6' W ALL R I / II 10'A' T ALL i • • • �• M W��V 1 (0 r • • • • • 6 . am: • ••// :� \a t- 2 4 - vxt.L- 1 ll $C' • • • • • I • J/i F113l - ...• l�i (�I , ® M EDIA ' AM TO ICI . -A vAU II x 3'0X5'0 :r •• EF 0`_. ' S[iTtA G — N` j i ���• y, EDROOM E , gl .beam I11ir l E. 1 A l OLD • yy « ist be I ce iii --:_�■• 0ft:O �Y \r��iwNO Iw1.1r111 g , / ■ � L ' ly S" _ _— 5 0 • • Re N , � 4 1 = — ... V OCt � � '�� I r�c•�r ' 'Bj'�� . l u .7�{yr ND. EXISTING x8CO, • O'FTG W/ E 6X6 COL'S „I DROOM • - ® 4 bars V. don lo• • 1 CRAWL ` conc. h: reac �� SPACE P� \ 9 • ay streng ' + t* �. a' SLAB OVER �,- A • e � T l URF BARRIER / / / / COLUMN r BE / /j A � • 2 a' X 3' OR MORE ia� tCRAWL SPACE ACCESS, ����� / ENO D� SINSINEBE� Il INSULATED PANEL , '' 11! , ji / ON , 6xlo OR t - xlo R S WI / - / ,IL 1 ^ NEV COL, EXISVG BE if i / rf e _ _ V s •• ;i t 4 111� _`�•I • ::V.,.!' u « - ` .. 4 0x6 8 , i ��� � ' V I {;'� VALL LIIE ' „ ' t .L t. i ' s� .....7.7,- ,. • ' ` �� t �� � II" �r� r f ��� 4 %6 � :� ; i _. F �' hillI» i bill s — _ ..g.,-__.. y 3'.x6 . _ r -� s 3`. lag` �f@�ir wl�i.� ' _ HE EAR MI is - 7 4 yw,z .tz .::_.0 : l = „ FI CLEARANCE: I�� 1'Fr I /' � ' F �, • LA ` ."Y + 'ii�wRR'' HANDRAIL /, '�a� y LE ; j ;1 ''..-,,,,0-4,-..,' .: 1 ,' � { I ' . lie '�� AS RED'D CO j 2{-. Vx6 '8 end 3'0x8 F m "z WALL TYP I SE = I C ONCR E TF w d5l tirl.�: 0. Is��t��I: .. �! CLOSET a All i 1 1� POWDER % LOSET w , 3 a -It URNAC .O � . ROOM / _ ,� ^ 3'0X6'8 tin A , • iri, . : O L c1 ` . „ . ,,,..,.,.........._ ) ihawnwiewass, , . Y >< T .f 1 r t -'''''.;•,?.` : ��' ii { NEV OIAG. STRUTS IV Vi I i1 ;' CDPRES O S BIDCK EXISTING BEAM NORM EXISTING RETAINING 7' - ,6• WALLS B DAYLIGHT BASEMENT SITUATION cE PereC rer. 6b( 12. 6 * Lc7 r 11 S°AW 2 J) 3 60A, Cim-NLA � ( 0 N (S • • • • • • • • • • • • V 1 • • • • • • • • • • • • • • • • •• •• • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • I 1 M A 11`l 6m OAK M; ► n f Vw, - B41 sides 0(- eii S;f,� f � • . • • • • . •• ,�. "44.: • •••• • • • • •••• • •• ••• ••• • • FV2119'- 1-1V6 t at) z7 Ii4)•:.°Z441):Pif • . �:00Li n 7 10' � '::': • . r. 1� izzbo, 1,730 0- 310 ou it 0u _ ._ 1,16(2)134xl4 - LVLs 5tn6 L'-' islinl eistam. Aria ki T 1 STit'1G gL Ail , . v41-11,i ..»" 2 L4-& ScJ (o" l--On/(, E G / o , c, f N 2. �� RJ bL Am SJ p o R�( inn ' f2 6 Rt e -lam (66A0 LL I 1 : 6 ,nt, .. a 0— 3,2s' , 3,25 R o - goo , -7 ► Li, = 22 Ka 2240 U, 22 u- I� L = $� o 5 Ix._ 57o m— 1A6 3/17,-x 0 1'4 esL 2,0 4x 4 po27 To so ertc. T use tipc44 cs1 Pe/ 44 T% cool'l --1 ro ?o-Y1 ROWELL ENGINEERING & DESIGN By </'-- Date SI t Io S 1 Project \f\ \L R MWA.— - JVV frA4Cilik I1 1 qi ; Sheet of • • • • • •••• •• • • • • • • • ••• • • • • •• • • • • • • • • • • • • • • • • • • • • • • • •• r 3 I ,/., u * C61.4_441_ k-00‘. - tj, ri Lout, • • •••• •••• •••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • "�) Q • • • • • • • • • • • • • • • . •• • • . • • • . . • • . . • • • LL 40 •- �4(i°41(1. . . .. k\' ILL (n �� ..• • 0 ... (A.5 (nt,(2— — tbs-bacg t x\sTir\It. f-Lov g- Jo 1575 u i II / .4p ra 6 scL (011 LoNl& C G Cr V 4 LA6 6V) £t' Lv1JG i ii , @. (0 o,(, Mil_ x 14- LI L E4 S IV E of ∎ STING 6: t2 Sti;TioN A -A ROWELL ENGINEERING & DESIGN By Date Project Sheet of f 4) • •• •• •• • • • • •• Multi- Loaded Beam[ 2003 International Building Code (013 W/ei:.6.0®� F--6-17-14:1,. n M �By: Todd R. , Rowell Engineering on: 08 -10 -2008 :x'.47:32 PIQI . '� • • Project: Wilson Remodel - SW Benchview Terrace - Location: Main Beam Over Media RoentAdjdtent fo Existing Beam BM Sides Summary: ( 2 ) 1.75 IN x 14.0 IN x 19.0 FT / 1.9E Microllam - Trus Joist - MacMillan Section Adequate By: 36.9% Controlling Factor: Moment of Inertia / Depth Re tti‘ecj, tZ.61 Ip• • ••• • •. ••• Laminations are to be fully connected to provide uniform transfer of loads to a% members • • • • • • • • • • • • • Center Span Deflections: • • • • • • • • • • Dead Load: DLlY- Center= • • • • 0 1N ' Live Load: LLD - Center= 0.46 IN = U493 Total Load: TLD- Center= 0.61 IN = L/375 Center Span Left End Reactions (Support A): ••• • • • • • • •• • •• • Live Load: LL+�txn -A= • • • • • 2�1flQ • • • • • Dead Load: DL xn -�,= . . . .7115 • CB, Total Load: TL- RxrfA` • • 2995 ' 1.13 Bearing Length Required (Beam only, support capacity not checked): BL -A= 1.14 IN Center Span Right End Reactions (Support B): Live Load: LL- Rxn -B= 2280 LB Dead Load: DL- Rxn -B= 715 LB Total Load: TL- Rxn -B= 2995 LB Bearing Length Required (Beam only, support capacity not checked): BL -B= 1.14 IN Beam Data: Center Span Length: L2= 19.0 FT Center Span Unbraced Length -Top of Beam: Lu2 -Top= 0.0 FT Center Span Unbraced Length -Bottom of Beam: Lu2- Bottom= 19.0 FT Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: L/ 360 Total Load Deflect. Criteria: U 240 Center Span Loading: Uniform Load: Live Load: wL -2= 240 PLF Dead Load: wD -2= 60 PLF Beam Self Weight: BSW= 15 PLF Total Load: wT -2= 315 PLF Properties For: 1.9E Microllam- Trus Joist - MacMillan Bending Stress: Fb= 2600 PSI Shear Stress: Fv= 285 PSI Modulus of Elasticity: E= 1900000 PSI Stress Perpendicular to Grain: Fc_perp= 750 PSI Adjusted Properties Fb' (Tension): Fb'= 2546 PSI Adjustment Factors: Cd =1.00 Cf =0.98 Fv': Fv'= 285 PSI Adjustment Factors: Cd =1.00 Design Requirements: Controlling Moment: M= 14228 FT -LB 9.5 Ft from left support of span 2 (Center Span) Critical moment created by combining all dead Toads and live loads on span(s) 2 Controlling Shear: V= 2636 LB At a distance d from riqht support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): Sreq= 67.06 N3 S= 114.33 N3 Area (Shear): Areq= 13.87 N2 A= 49.00 N2 Moment of Inertia (Deflection): Ireq= 584.73 N4 I= 800.33 N4 . , ( ) • .. .. .. . . . Multi- Loaded Beamf 2003 International Building Code (01.NgS :i /ei:•t�.06.7.• • . .. • • : : By: Todd R. , Rowell Engineering on: 08 -10 -2008 :.7.04:29 P1 1 • ' ' ' • • Project: Wilson Remodel - SW Benchview Terrace - Location: Main Beam Support Beam Near Firtpla� Beam j Summary: 3.5 IN x 9.25 IN x 7.0 FT / 2.0E Parallam - Trus Joist - MacMillan Section Adequate By: 33.2% Controlling Factor: Section Modulus / Depth ReqiNdi!Q2 In .•. .•• •'. •'• Center Span Deflections: • • • • • • • • • • Dead Load: DLX- teIitstr= • •5.03 : I ll • • Live Load: LLtY- Center= • • • • tr12 IN = C/694 Total Load: TLD- Center= 0.15 IN = L/551 Center Span Left End Reactions (Support A): Live Load: Ltrrf-e`- .9. • 'a,2$IY. it. Dead Load: DL#Zxn -A= • 4 , •.,:611,• 4_ Total Load: TLI2xn -l= . 6 • . x85. B Bearing Lenqth Required (Beam only, support capacity not checked): • BL=A`- • • • .1b • 111 Center Span Right End Reactions (Support B): Live Load: LL- Rxn -B= 2280 LB Dead Load: DL- Rxn -B= 605 LB Total Load: TL- Rxn -B= 2885 LB Bearing Length Required (Beam only, support capacity not checked): • BL -B= 1.10 IN Beam Data: Center Span Length: L2= 7.0 FT Center Span Unbraced Length -Top of Beam: Lu2 -Top= 0.0 FT Center Span Unbraced Length- Bottom of Beam: Lu2- Bottom= 7.0 FT Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: L/ 240 Center Span Loading: Uniform Load: Live Load: wL -2= 0 PLF Dead Load: wD -2= 0 PLF Beam Self Weight: BSW= 10 PLF Total Load: wT -2= 10 PLF Point Load 1 Live Load: PL1 -2= 2280 LB Dead Load: PD1 -2= 570 LB Location (From left end of span): X1 -2= 3.25 FT Point Load 2 Live Load: PL2 -2= 2280 LB Dead Load: PD2 -2= 570 LB Location (From left end of span): X2 -2= 3.75 FT Properties For: 2.0E Parallam- Trus Joist - MacMillan Bending Stress: Fb= 2900 PSI Shear Stress: Fv= 290 PSI Modulus of Elasticity: E= 2000000 PSI Stress Perpendicular to Grain: Fc_perp= 750 PSI Adjusted Properties Fb' (Tension): Fb'= 2985 PSI Adjustment Factors: Cd =1.00 Cf =1.03 Fv': Fv'= 290 PSI Adjustment Factors: Cd =1.00 Design Requirements: Controlling Moment: M= 9324 FT -LB 3.5 Ft from left support of span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Controlling Shear: V= 2878 LB At a distance d from left support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): Sreq= 37.48 N3 S= 49.91 N3 Area (Shear): Areq= 14.88 N2 A= 32.38 N2 Moment of Inertia (Deflection): Ireq= 119.73 N4 1= 230.84 N4 `. • .. vi •• .. • �' . . •. Multi- Loaded Beamf 2003 International Building Code (01.N4S f �/ev:'6.0Q • : • . By: Todd R. , Rowell Engineering on: 08 -10 -2008 : ..:3' 6 P • • • • • Project: Wilson Remodel - SW Benchview Terrace - Location: Wine Cellar Beam - 11 flet'Iofig - eam • • Summary: 5.5 IN x 11.5 IN x 11.0 FT / #2 - Douglas Fir -Larch - Dry Use Section Adequate By: 25.6% Controlling Factor: Section Modulus / Depth ReqiNd.10.26 Irr •64. .'. .'. Center Span Deflections: • • • • • • • • • • • Dead Load: DLb- Cuter= • • . x.04 • • IN • • Live Load: LLD - Center= ••• • U •13 IN = t/1009 Total Load: TLD- Center= 0.17 IN = L/780 Center Span Left End Reactions (Support A): Live Load: Dead Load: pew n A= ••• : : IC Total Load: TL3 xn -2= . . . 3560 . Bearing Length Required (Beam only, support capacity not checked): • BL=A ' ' 1!)./4 ?4 ' TM `- Center Span Right End Reactions (Support B): Live Load: LL- Rxn -B= 1980 LB Dead Load: DL- Rxn -B= 580 LB Total Load: TL- Rxn -B= 2560 LB Bearing Length Required (Beam only, support capacity not checked): BL -B= 0.74 IN Beam Data. Center Span Length: L2= 11.0 FT Center Span Unbraced Length -Top of Beam: Lu2 -Top= 0.0 FT Center Span Unbraced Length- Bottom of Beam: Lu2- Bottom= 11.0 FT Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: L/ 360 Total Load Deflect. Criteria: U 240 Center Span Loading: Uniform Load: Live Load: wL -2= 360 PLF Dead Load: wD -2= 90 PLF Beam Self Weight: BSW= 15 PLF Total Load: wT -2= 465 PLF Properties For: #2- Douglas Fir -Larch Bending Stress: Fb= 875 PSI Shear Stress: Fv= 170 PSI Modulus of Elasticity: E= 1300000 PSI Stress Perpendicular to Grain: Fc_perp= 625 PSI Adjusted Properties Fb' (Tension): Fb'= 875 PSI Adjustment Factors: Cd =1.00 Cf =1.00 Fv': Fv'= 170 PSI Adjustment Factors: Cd =1.00 Design Requirements: Controlling Moment: M= 7039 FT -LB 5.5 Ft from left support of span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Controlling Shear: V= 2150 LB At a distance d from left support of span 2 (Center Span) Critical shear created by combining all dead Toads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): Sreq= 96.53 N3 S= 121.23 N3 Area (Shear): Areq= 18.97 N2 A= 63.25 N2 Moment of Inertia (Deflection): Ireq= 248.75 N4 I= 697.07 N4 • Main Office Salem Office Bend Office s� �+ P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, g, Inc. P ( Oregon 97281 Salem, Oregon 97301 Bend, 541) 330-9155 97708 Phone (503)03) 684 =3-3 4660 Phone (503)589 -125125 589-1252 Phone (541)330 -915-915 5 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client GARY WILSON ENTERPRISES - GARY WILSON Project: WILSON RESIDENCE - REMODEL CTI Job #: T0807764. Address: 14114 SW BENCHVIEW TERRACE TIGARD OR Jurisdiction: TIGARD CTI representative R. RYAN OBOA 808 was on site this date Aug. 07, 2008 to perform Special Inspection for: Permit MST2008 -00098 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. SHOW-UP/CANCELLATION Name: PAT CTI REP WAS ON SITE TO INSPECT 5/8" ALL THREAD Company: HOME OWNER ANCHORS WITH 9 1/2" MIN EMBED PER NOTES ON 2. Inspection was "IBC" © Continuous 1=1 Periodic SHEET Al. EMBEDMENT DEPTH WAS TOO SHORT. CONTRACTOR WILL RE -DRILL HOLES AND RESCHEDULE INSPECTION FOR PROPRIETARY ANCHORS A LATER DATE. YesNoN /A NO EPDXY ANCHORS PLACED. 1. Reviewed previous inspection reports? x 2. Reviewed evaluation report? x Verified following items meet manufacturer's REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: 0 Completed ® In progress anchors. x 4.Verified installation of the anchors. 2. Work inspected in progress x ❑ Approved plans and specifications ❑ Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. X RFI 0 Design change ❑ Submittal © N/A 7. Verified hole diameter. X Document #(s) Dated: 8. Verified type of drill bit used. x 9. Verified hole cleaning method. x 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. X following page(s). Yes 0 No ® N /A 11. Verified edge distance. x 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). 0 Yes 0 No ® N/A 13. Verified installation torque. x ❑ Conform 0 Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with 2322 (01/2008) PAT of HOME OWNER Name of product being installed HILTI RE 500 -SD Batch Number Expiration Date 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. See additional report page(s). ❑ Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchors For: 08/07/2008 CTI Job #: T0807764. Project: WILSON RESIDENCE - 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. Keith Gauvin Reviewed By: Steven W Leach Project Manager Review Date: 08/16/2008 RR /CK GARY WILSON ENTERPRISES - GARY WILSON TO: CITY OF TIGARD BUILDING DIVISION CLINTON PEARSON ARCHITECT CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2008 Phone: (503) 639 - 4171st l Inspection Requests (24 Hrs.): (503) 639 -4175 ;111.. INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: 7 :0•iAM PAGE: 24 SITE ADDRESS: 14114 SW BENCHVIEWTFRR CLASS OF WORK: SUBDIVISION: HILLSHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: 'W 1LSON DESCRIPTION: Convert crawl space to habitable space. Mechanical other- crawl space fan. Plumbing other• sump pump. 10/03/08 ADDED (16) branch circuits. OWNER: WILSON, GARY PHONE #: 503 -624 -8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/10/2008 Pour Time: . A. 1 i hti. Code # Inspection Description Confirm # Contact # Mes l>V' 610 Gas line 078934 -01 503-524 -8303 Y Corrections /Comments/ Instructions: Z- /C4+ o & y NI o = S) 2 - s b(J�- • � 1 i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Date: t Z d d Phone #: (503) 718- Z Inspector: _ ( ) SO CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/14/ Phone: (503) 639 -4171 � „ 7f MS T2005 14f:lfif3t3 Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''I I.. INSPECTION WORKSHEET FOR DATE: 10/13/008 TIME: 7:0flAM PAGE: 5 SITE ADDRESS: 14114 SW BENCHVIEWTERR CLASS OF WORK: SUBDIVISION: fill..LSI - IIRE SUMMIT 021 #: 021 TYPE OF USE: PROJECT NAME: I SON DESCRIPTION: Convert crawl space to habitable space. Mechanical other- c:iawl space fan. Plumbing other- sump pump. 10/03/08 ADDED (16) branch circuits. OWNER: WILSON, GARY PHONE #: 503 -524 -8303 a CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: , 1. 2 0$ Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls /anchors 076629301 503-524 -8303 N Z¢ Z l nr7 c..o2 Lays - t t, Corrections /Comments/ Instructions: i A- rr -eJIio -i ;a Pe' r�Zoa.s e',/L,t:lSo v s"a-'3 s.c.cs PASS ❑ PARTIAL APPROVAL ❑ CANCEL II] NO ACCESS A ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: M-11— /3— v$ Phone #: (503) 718- P14-0 Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 t Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carlson Testing, Inc. 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 •'\ Project: VJ i 1(7c tA. /Z-r 9 Address: ! ti j I PI 3. W. G 'c'^ `-1.4 v .- •„ T-c r CTI Job #: 1 05 o - i 71 / , CTI representative ? 1Z • _t. Lt kA 1 OE i - was on site this date 8 -(< -(- to perform (Inspector Name & Cert. No.) -' • Special Inspection for pernut El DFS #(s) Ail 5 - I Z OO U - a O D S jurisdiction IV( A a ,t'° -- `'`` I • • - In some cases more than one box may be checked for a given item.- ,,� SCOPE OF INSPECTION - Location of proprietary anchors inspected [to include grid_ - lines, elevations (floois)and drawing details]: / 1 Checked in :with supermtendent or client representative. $ S . - Name: u r v ' J ,. Company: 1-10(4,-, 0 wK -- w /d? lJ 0 f G ni d Qf)(V IA 9 N. 1 , Cie,' Gva 2. Inspection was "IBC" Continuous El Periodic • .- 1 ! X 1 `` � o n i r1 j .i—dall -/ i ..e ' I1;IT, ` t' A5 r`ob Ili{ -i^ t/E5jW S �. • NC-L. I1 G , t, ,. , l ,., `t R d . PROPRIETARY ANCHORS • .. - : iJ' n , 1- In (u 4 ; , L. r ' 4,i Yes /A . i )1111 • 1. Reviewed previous inspection reports? (3 b f'a (i v a I ( ) ) / ( t r, L, 1 " -1r0u• c A s 1, 0 2. Reviewed evaluation report? ✓ k C U REPORT SUMMARY 6 Verified following items meet manufacturer's published installation instructions. 1. Work inspected was: - Completed ❑ In progress 3. Verified minimum embedment depth of the 1 2. Completed work inspected lal was ❑ was not anchors. 4.Verified installation of the anchors. -/ in bmpliance with IL 5. Verified anchor diameter. ./ plans and specifications f Shop drawings ./ 6. Verified steel grade. ./ ❑ RFI ❑ Design change ❑ Submittal • ❑ .N /A 7. Verified hole diameter:" ✓ Document #(s) Dated: 8. Verified type of drill bit used. / • �3�.Noncompliance item(s)are noted this date, details on 9. Verified hole cleaning method..... -'.. ✓ following page(s). Yes I=1 No ❑ N/A _ 10. Verified adhesive application. 11. Verified edge distance. I 4. Noncompliance item(s) were reinspected this date, details on following page(s). Yes . No N/A 12. Verified spacing. i/ / ❑ ❑ ❑ .. 13. Verified installation torque. ✓ ❑ Conform ❑ Remain in progress Evaluation report number & date: Report(s) fmdings were discussed and left with CS 2 322. 11-1-0 J° I I of J 110&i -Ac C f.c':.t 1 / Name of product being installed EI , t r ll 2t 00 D Batch Number © G11161 1 A5 C 1 -3 , . Expiration Date 1 1 / Based on the Code, approval is required fro th B lding.Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no au to a ork of contractors or subcontractors. - Inspector Signature: k. See additional report page(s). 1=1 Distribute attachments. Page f of / PropAncli 06/16/08 r+ t�,. Ar .�gw:'YCI:.;x;r.Yra•.-�;.r1U. .. .. _ ..,. .- ..,.... .. - -- --• v .. .. ,- , ., 3 ` ' • Terms: Client recognizes that construction observation and/or testing services provided by CTI are techniques which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con- struction. Services performed by CTI 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 Contractor's work may exist. In all cases, Client and /or the Contractor shall assign the.Contractor the responsibility for the quality and completeness of the work and for adhering to plans and specifica- tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised under similar circumstances by members of its profession. This representation is in lieu of other warran- ty or representation, either expressed or implied. It is also understood and agreed that statements made in C; t I reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. . • CTI's work shall not include determining, supervising or implementing the means, methods, techniques, • sequences or procedures of construction. C;1'I shall not be responsible for evaluating or reporting job con - ditions related to health, safety or welfare. ' • • • • b CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 00098 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/1412008 Phone: (503) 639 -4171 i1 Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 10/10/2008 TIME: 7:OOAM PAGE SITE ADDRESS: CLASS OF WORK: 14114 SW BENCHV1EW TERR SUBDIVISION: t 101 1 Sl IIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: !MI SON DESCRIPTION: Convert crawl space to habitable space. Mechanical other- crawl space tan. Plumbing other- sump Dump. 10/03/08 ADDED (16) branch circuits. ' OWNER: WILSON, GARY PHONE #: 603 - 5248303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/10/200 Pour Time: Code # Inspection Description Confirm # Contact # , Message 280 Insulation 076562 -01 503 -524 -8303 N 2. 75 - * - +/ Corrections /Comments /Instructions: -90 ❑ SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: j' ---Z6 --,-, 4, Phone #: (503) 718- _ - 7 fr CITY OF TIGARD BUILDING DIVISION PERMIT #: M S T2008-00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/200t3 Phone: (503) 639 -4171 ,.... t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME PAGE �t10J2006 7 :0(lAM 1 2 SITE ADDRESS: 1d11A S/ BFNfi HYIEtiIV'I TERR CLASS OF WORK: SUBDIVISION: l.l_SI SUMMIT LOT #: 02'i TYPE OF USE: Fll PROJECT NAME: WILSON DESCRIPTION: Convert crawl space to habitable E.lpace. Mechanical other- crawl t:pace fan. Plumbing other- sump pump. 10/03/08 ADDED (16) branch circuits. OWNER: WI SON ' GARY PHONE #: 503 - 5246303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10110120013 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 076562 -02 503.5241-8303 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: // /U —O 0 Phone #: (503) 718- _2.1._"-- CITY OF TIGARD BUILDING DIVISION PERMIT #: h4ST2008 Oil(;98 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2000 Phone: (503) 639 -4171 ; q i 1 Inspection Requests (24 Hrs.): (503) 639 -4175 °___.. INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME: 7 :00AM PAGE: 2 SITE ADDRESS: 14114 SW f3ENCHVIE W TERR CLASS OF WORK: SUBDIVISION: HII..LSHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON DESCRIPTION: Convert crawl space to habitable space. Mechanical other crawl space fan. Plumbing other sump pump. OWNER: WILSON, GARY PHONE #: 503.524 - 8303 • CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 10/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 076225 -04 503 - 524-8303 N Corrections /Comments /Instructions: 5< r -- Sr i2 ), -i s - 7 . - - - , . . - 7 - 0 / NSv17/4 -f PA ❑ PARTIAL APPROVAL ❑ CANCEL E] NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /i — 2.G0 Phone #: (503) 718 - 214> CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2008 Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 100/2008 TIME 7:00AM PAGE SITE ADDRESS: 14114 SW BENr }iVIL�J 1`k:RR CLASS OF WORK: SUBDIVISION: HI LI_SHII?!; SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON SON DESCRIPTION: Convert crawl space to habitable space. Mechanical other crawl space fan. Plumbing other - surnp pump. OWNER: WJI SON, GARY PHONE #: 503 - 5248303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 076225 -02 503 524 -8303 N • Corrections /Comments/ Instructions: eZ iA/S v 1.afi 4 2e /ice /a & ./•,t. n : fl PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4f Date: 20 — Phone #: (503) 718- ZiL- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST:t0t18 00088 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2008 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 r i��1 l INSPECTION WORKSHEET FOR DATE: 10/71)008 TIME: 7:UOAM PAGE: SITE ADDRESS: 14'1'14 SW BENCHVIEW TERR CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: I SUMMIT 021 PROJECT NAME: WII_SOP! DESCRIPTION: Convert crawl space to habitable space. Mechanical other crawl space fan. Plumbing other sump OWNER: W1 SO N, GARY PHONE #: 603 - 5748303 CONTRACTOR: ()VtirR PHONE #: Inspection Request Scheduled For: Date: 10/2120(18 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 076225 -03 501524 -8303 N Corrections /Comments /Instructions: -0 , fits i 6/4 g - > 5 o f� Is PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: iC Date: l6 - G Phone #: (503) 718 - *i_. 3 • CITY OF TIGARD BUILDING DIVISION PERMIT #: / T ZC>418- b 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 .���le' Inspection Requests (24 Hrs.): (503) 639 -4175 °•_ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /q/ /y 5 / v' x J -reek_ CLASS OF WORK: SUBDIVISION: 14.1“..64.1 k2[f S un,,At► l LOT #: TYPE OF USE: PROJECT NAME: W 1(--SoJ DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Z !S P(,u0t�S, n.I 6 POST / tst�- 74." --k G ob' to t14-) Ci44 - ra5- r / ES tr'd4+ 2- s L 2 U BTU i2 A-C., posy/ Rj 044/ Corrections /Comments /Instructions: _-1._/ I - U.__d__ C 4(..„___ ‘ M c . Z G - ► 410 1 c 4 -- PO r Le ms( 4 2 , K-- 741re-J...)C;r1i .. (-4/ . 41...-- -- P057 804-,frA t,=a a2 NI e --,/ H—eipkim 01 . • -'THIS „ „ . ,_ S S , ' W A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / r Inspector: Date: 0 <S9-- a6 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION - PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14 /208.000;38 Phone: (503) 639 -4171 A /14l2UOt3 Inspection Requests (24 Hrs.): (503) 639 -4175 '''' — INSPECTION WORKSHEET FOR DATE: 8/8/2008 TIME: 7 :OOAM PAGE: 27 SITE ADDRESS: 14114 SW F3ENt�HVIEIN TFRR CLASS OF WORK: SUBDIVISION: HILLSHIRE SUMMIT 021 # O2 TYPE OF USE: PROJECT NAME: Wl SUN DESCRIPTION: Convert craw space to habitable space. Mechanical other- crawl space fan. Plumbing other- sump pump. OWNER: Wil_SON, GARY PHONE #: 503.524 -8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/8/2008 Pour Time: 9 :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 073950 -01 503 - 476-5612 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 8 -, —e- Phone #: (503) 718- -:24-04-Vr. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00098 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1412000 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 . ': ° — INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7 :00AM PAGE: 7 SITE ADDRESS: 14114 SW BENCH VIEIN TERR CLASS OF WORK: SUBDIVISION: F1ILLSHIRE SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: WI .SON DESCRIPTION: Convert crawl space to habitable space. Mechanical other - crawl space fan. Plumbing other- surnp pump. OWNER: WILSON, GARY PHONE #: 503-524-8303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/24/2008 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 073156-01 503-524-8303 N Corrections /Comments/ Instructions: • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: - 2 — Fi Phone #: (503) 718 - �4-4- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 0001)8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //1`/2t10 i Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ''I I ,. INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7:OOAM PAGE: 8 SITE ADDRESS: 14114 SW BE.NCHVIE W TERR CLASS OF WORK: SUBDIVISION: HILI..SHIRP SUMMIT LOT #: 021 TYPE OF USE: PROJECT NAME: W DESCRIPTION: Convert crawl space to habitable space. Mechanical other- crawl space fsn. Plumbing other- sump pomp. OWNER: WILSON, GARY PHONE #: 503 - 0303 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/24/2008 Pour Time: 2M0 Code # Inspection Description Confirm # Contact # Message 2 05 Footing 073155 -01 503 - 5248303 Y Corrections /Comments /Instructions: �/ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES A4SESSED Inspector: ' Date: 7---.741--e5 Phone #: (503) 718- Z4 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14114 SW BENCHVIEW TERR, US August 24, 2018 at 9:03:53 AM Record Type: Record ID: Building/Res/Master Permit/NA MST2008-00098 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor