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Permit
`' ` ;u CITY TIGARD MASTER PERMIT u' � a PERMIT #: MST2008 -00156 COMMUNITY DEVELOPMENT DATE ISSUED: 11/17/2008 TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DD-09900 SITE ADDRESS: 09600 SW VENTURA CT ZONING: R - 4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 107 JURISDICTION: TIG PROJECT: WILBERDING Project Description: Kitchen remodel (separate from MST2007- 00214) BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 40,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: 1 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: 1 0 - 200 amp: W /SVC OR FDR: 4 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 CAR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amplvott : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # 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 BJ WILBERDING THE MORSE COMPANY laws. All work will be done in accordance with approved plans. This 9600 SW VENTURA CT PO BOX 23365 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97281 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: 503 245 - 9768 Contact #: PRI 503 977 - 2454 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 977 -2459 Reg #: LIC 170471 TOTAL FEES: $ 1,052.52 REQUIRED ITEMS AND REPORTS AINIIIIIIIIII. Jt 4 J Is ued By : ( � �<► /a/ u . /_ i 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 project. Approved plans are required on the job site at the time of each inspection. Bnddipg �ermltt><c' at ' ' Residential CE VED FOR OFFICE USE ONLY City of Tigard 4 1, Received b Permit No.: �` 13125 SW Hall Blvd., Tigard, ard, OR 97223 n �f t y . i. u � � , ii g Plan Review C Phone: 503.639.4171 Fax: 503.5� t ,{ Date /By: 2 1 • 8 Other Permit: T I GA R D Inspection Line: 503.639.4175 V• OF T6 � I� �D Date Ready /By: ` 2 fuJr °� ®See Page 2 for Internet: www.tigard- or.gov ;!.11 r If iTSON Notified/Method: / / /J v k 1 ( ' A. Supplemental Information Wm (� I TYPE OF WORK REQ 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 for the CATEGORY OF CONSTRUCTION work indicated on this application. ,141_ and 2- family dwelling ❑ Commercial /industrial Valuation: $ 'LQQOO ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND / LOCATION Total number of floors: Job site address: q&00 1e� � OE/or, New dwelling area: square feet City /State /ZIP: 77,7/ Q ou ; Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: / // Z f f a,,,e,. 7 - 6 6 6 ,„ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: WAStfOUCT bA) . � 4 gJ4)(1k. Lot no.: j 67 Permit fees* are based on the value of the work performed. Tax map /parcel no.:Cj Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. K j , jl - Hp t - ti Valuation: $ !V �C-�� Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: ' LJ bo 1 bff, ,e_40 ,A.., Type of construction: Address: 61 LC/ pd ( .& TZ ! #. q 4. Occupancy groups: City /State /ZIP: 77( ., Existing: Phone: 25 — (e Fax: ( _)— New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: C � - t - � - � � �,.,�G Coirekd . / L All contractors and subcontractors are required to be Contact name: ` �il,C. , 0�5 ` IL_ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ?Q, OK 035- jurisdiction in which work is being performed. If the City /State /ZIP: 77 C.6` /i0 ©2 q 7 �'l applicant is exempt from licensing, the following reasons �} / �� er apply: Phone: (g 2) < 7'2 . zeI 6 /� Faax 7 7 2 � E- mail: -x -0 C�9% _ _( , G G t CONTRACTOR f/ Business name: 77,11 , ev 4,_ BUILDING PERMIT FEES* Address: & ' A J y 2 & (Please refer to fee schedule) �� TG 6,7t- �� Structura plan review fee (or deposit): � -97 City /State /ZIP: l Phone: 977 . ZLIt,/ Fax: f3 .77 - Z41$�/ FLS plan review fee (if applicable): -�' CCB lic.: 7 /7� Total fees due upon application: // Amount received: a��, Authorized signature: �--,� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: /� / 4 0 7 e.s Date: ZO (Per 0,3— * Fee methodology set by Tri -County Building Industry Service Board. I:\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440-46 I 3T(11/02/COM/WEB) t Building Permit Application Checklist One- and Two- Family Dwelling „,, ,, J ar ;OFFICE s USE ONLY _ City of Tigard Received permit No.: Date /By: a 13125 SW Hall Blvd., Tigard; OR 9 . Associated permits: ' 10 Phone: 503.639.4171 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical Internet: www.tigard- or.gov . - ❑ Other: THE EOLtiOWING ITEMS ARE,,REQUI 12 4 PLAN;REVIEW, °:` 1:r ` Ycs S No y N /Ar 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El Cl 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 a, .licable to the •roject under review. 0IURISDIGTIONAL SPECIFICS is 1 ' v ,' 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11 x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 , A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1 : \ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02/COM /WEB) .Mecliauical Permit Applicati E \E • FOR OFFICE USE ONLY �0_ City of Tigard Received Date/By: Permit No.: I T'/- - q 13125 SW Hall Blvd., Tigard, OR 97223 � 4 ^- ', Plan /1 41 O - �� '1 a . ' Phone: 503.639.4171 Fax: 503.598.1960 t • ' Date/By: view a V Other Permit. Inspection Line: 503.639.4175 TIGARD f t D Ready/By: ,2 . luris: Fli (i�R ® See Page 2 for Internet: www.tigard or.gov G1� O ( 1 ate ea/B y y : yotified/Method: Supplemental Information TYPE OF W 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* V-..-and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 1600 .- t . Air conditioning or heat pump �� 1 (requires site plan showing placement) 14.00 City /State /ZIP: �( ,Q6 oz g` 7 ZZ Furnace 100,000 BTU (ducts /vents) 14.00 l/^' o Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: �l GK ,0� Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: t/4 /,' J Scut � yr��' Lot no.: /67 Other: 10.00 Tax map /parcel no.: 'C^ Other fuel appliances DESCRIPTION OF WORK heater 10.00 Gas fireplace 10.00 K l -s) ke-weal Flue vent for water heater or gas fireplace , 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 . ROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: . d ,.' _, ` Environmental exhaust and ventilation ` equipment 1 10.00 • Range hood/other kitchen Address: g� t� U e, { ,f City /State /ZIP: t 9C7 Oft_ 1722,3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: j ) 2 . '7 ) ' Fax: ( ) toilet compartments, utility rooms) 1 6.80 PPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 /,� , / ,� Other: 10.00 Business name: --- 7 - 74*._ �+'v(/ / L- C � C�i F uel piping in / g Contact name: 2)%(-.m $5.40 for first four; $1.00 for each additional 2� ` Furnace, etc. Address: (�J Gas heat pump City /State /ZIP: t !�4 / Oz q 7 7 Wall /suspended/unit heater q77 _ 2 y 2.446-9 Water heater Phone: Fax: : (f�3 ) ? _ Fireplace E -mail: •tr114671- tcz:. ©/ - 65)-01 Range CONTRACTOR Barbecue Business name: g� y��� 4 Clothes dryer (gas) Other: Address: /4/44 /0 4) Sr MECHANICAL PERMIT FEES* City /State /ZIP: 'Verged DA- - 223 Subtotal Minimum permit fee ($72.50) 77 .SO Phone: ( 3) Jr 2, 6.-5;%iz 7 Fax: (P ? , 1.3"'t Sa57 Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) S 'l 0 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: �yL. days after it has been accepted as complete. Print name: Date:///7-0y7 . Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \ Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard -- Page 2 - Supplemental Information Commercial Fee Schedule: Total • Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including • $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • 1:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2 Plumbing Permit Application r � Building Fixtures d�v FOR OFFICE USE ONLY City of Tigard , k Received Permit No.: 514 AA I Date/By: /1 y o8 � T $ -Gbl Sjo a 13125 SW Hall Blvd., Tigard, OR 97Y�3 ' �. '(� Plan Review Other Permit No.: C Phone: 503.639.4171 Fax: 503.54.1 w� , Date/By: Line: 503.639.4175 \ v �,� Date Read /B ®See Page 2 for Internet: www.ti T I G A R D and - or. ov G\� ��� Ready /By: S g g a �� �l 1.., N otified/Method: (� Supplemental Information TYPE OF V I MIC I" FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ZAddition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 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 Job site address: / , 40 �, .` J / • e Catch basin or area drain ■ 16.60 City /State /ZIP: 67r!' k` G? 7 C.- Z 2� Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: 1 Project name: IiU Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: , i. 1 f: ,,, .. a ;, ea l r Lot no.:153 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 • -�; j ',O/e-- Backwater valve 16.60 f Clothes washer 16.60 Dishwasher r 16.60 PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 �/) Ejectors /sump 16.60 Name: ka f i . - lAi Expansion tank 16.60 Address: i , CO A . ! !I Fixture /sewer cap 16.60 City /State /ZIP 9722-3 Floor drain /floor sink/hub ■ 16.60 Phone: a:53) 24/5 c7 74:,,,c , Fax: ( ) Garbage disposal / 16.60 P PPLICANT ❑ CONTACT PERSON Hose bib 16.60 r Ice maker / 16.60 Business name: TZ ,4`fi3 . ��jn�j�i 7L� �iG� / < Interceptor /grease trap 16.60 Contact name: azz„ lice Medical gas (value: $ ) ■ Page 2 Address: PO ,e5e.),), dgigg 2, Primer 16.60 City /State /ZIP: 72'6 [J ix_ 729/ Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 3 /� Phone: ( ) l 77 - Z 4/5---,-1 Fax: : (5x3) 177- 2 4 4 5 - 9 ,� Tub /shower /shower pan 16.60 E -mail: -- f e /�ID/'SitCO « /,. cal-- Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Me_ 76 �t ). �IC.�N ,� Water heater 16.60 Address: q7 -SO) G S' " /�� ft Other: City /State /ZIP: tiF�E��?uJ ej�. 77 ,,,,,-, Subtotal Minimum permit fee: $72.50 Phone: t !3 ) 52/-/j39 Fax: ($Vj) 6'2./-/03 '9' Residential backflow minimum permit fee: $36.25 I CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) 8.76 Authorized si TOTAL PERMIT FEE Print name: . - / 6 t Date: / l -7 (5r-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Y P P *Fee methodology set by Tri -County Building Industry Service Board. 1: \ Building \Permits\PLMF- PermitApp. doc 12/27,06 440- 4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - I' 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 Dram - 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 Backtlow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building \Permits\PLM- PermitApp.doc 12/27/06 Electrical Permit Application FOR OFFICE USE ONLY 11111 City of Tigard R ECEVEIt e/B c eived : / ©o'. ok_■ Permit No.: Mr 13125 SW Hall Blvd., Tigard, OR 972 'Ian Review I7 .: Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D w Inspection Line: 503.639.4175 Ni n v (j 4n. (; Date Ready /By: l�uris: ^ ® See Page 2 for Internet: ww.tigard or.gov Notified/Method: /,c__... Supplemental Information E OF WO airy OI f IGAR[! PLAN REVIEW ❑ New construction Addition /altera c Sierif 1 p' -t ! !ON 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 'and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: (wee thtiaim CT- 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: „-, £2 _ g7 ZZ-3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: (/t/z[ Ego ,...t ❑ 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. / �� , - /l `� � //�� Includes attached garage. Subdivision:C;�, / I0 ) wi/� tar Lot no.hj 1,000 sq. ft. or less * 145.15 4 �� �r"'' '"' �'`` 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. ft.) Limited energy, multi - family t i r7- ci -/ €,L) '- oy[ , residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less I 80.30 2 f -1 oPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: a.)/ � �. ,a/44.:64... 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 91, Address: yt el:- Over 1,000 amps or volts 454.65 2 City/State /ZIP: �CZ.O cx. 4'720 ' • Temporary services or feeders installation, alteration, and/or relocation Phone: (om ) /y/j -g ?leg 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 fPPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 Business name: - 0 2'�e �� .4 ,� � Z.G� Fee branch branch circuit B . Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 (�Li first branch circuit Address: PO -)( Z Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: ---- © ,Q q 7 Z g-j Each manufactured or modular 90.90 2 �,C' dwelling, service and/or feeder Phone: ( r ) '77- Z'/ Fax:: (6?" q77 - 2 V 5 / Reconnect only 66.85 2 E -mail: -A 41ors e CO f fi$,/J• C`Q2.41 Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: / Signal circuit(s) or limited - i /ems ,`!e energy panel, alteration, or Address: &0 �� } 7 � ® � �div /T /� . -7 - extension. Describe: Page 2 2 City/State /ZIP: % ;eigte J�l'�� ek < 74 :9 < Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: c a l 7ki ? e F ax: ($ 3) 7 7 - 43 / S Investigation per hour (1 hr min) 62.50 CCB Lic.:�2 ���� / / d4ttrical L c-Z Suprv. Lic.: 4/276 Industrial plant per hour 73.75 � ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ,147 /Z, Subtotal: I L ( .. ec 0 Print name: aJ �' Date: Plan review (25% of permit fee): "yt /4 �L State surcharge (12% of permit fee): ( 2.- 8-3 Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I :\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T(II /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: s RESIDENT WORK ONLYi_ Fee for all residential systems combined ... $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: COMMERCIAL WORK ONLY: j Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 NOV -19 -08 WED 06:02 PM TEE.TO.GREEN.INCNG INC. 503 521 1039 P.01 ` vf CITY lsF T G .�[[��. • ° ° COMMUNITY DEVELOPMENT .., PM iVT 41t,013) 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE TEE TO GREEN, INC. 9730 SW 168TH PL. BEAVERTON, OR 97007 Permit #: MST2008 -00156 Date Issued: 11/17/2008 Parcel: 1 S125DD -09900 Site Address: 09600 SW VENTURA CT Subdivision: WASHINGTON SQUARE ESTATES N Lot: 107 Jurisdiction: R-4.5 Zoning: TIG Project Name: WILBERDING Description: Kitchen remodel (separate from MST2007- 00214) 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: BJ WILBERDING TEE TO GREEN, INC, 9600 SW VENTURA CT 9730 SW 168TH PL. TIGARD, OR 97223 BEAVERTON, OR 97007 Phone #: 503.245-9768 Phone #: 503 -521 -1039 Reg #: LIC 170471 LIC 176615 LIC 38062 LIC 156762 PLM 34.428PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x / ST Mi EC>6 Signature of Autho 'zed Plumber Name (printed) CITY OF TIGARD �, b BUILDING DIVISION PERMIT #: MST2008-00156 13125 SW Hall Blvd., Tigard, OR 97223 ,, ATE ISSUED: 11/17/2008 (503) 639 -4171 A o ''�� , , 4, 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ,44 -ii . , 1 i INSPECTION WORKSHEET FOR DATE: 216!2009 TIME: 7:O0AM PAGE: 20 SITE ADDRESS: 06600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WII ,4 DESCRIPTION: kitchen remodel (separate from MST2007- 00219) OWNER: VVILf3ERI ING, BJ PHONE #: 503 -245 -9768 CONTRACTOR: THE MORSE COMPANY Vij'\\ ,,,,,,oce--) , PHONE #: 503-97/ -246A Inspection Request Scheduled For: Date: 2/5/2009 fr It Pour T'me: AI ?- o Code # Inspection Description Confirm # Contact # Me ag 299 Final inspection 080366 -02 503- 317 -8037 Corrections /Comments /Instructions: L il----- ( 1---1---- . 4--- 1.-?-----fr----8) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ 9 --i-f- Inspector: Date: Phone #: (503) 718- D4� CITY OF TIGARD BUILDING DIVISION PERMIT #: NisT2008_001% 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008 Phone: (503) 639 - 4171 t'' °o�li� ' 40 ' I nspection Requests (24 Hrs.): (503) 639 -4175 I Z INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:00Atdi PAGE: 15 SITE ADDRESS: ()9600 SW VENTURA CT CLASS OF WORK: LA 1/M25244 if SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: U PROJECT NAME: WILBERDING DESCRIPTION: Kitchen remodel (separate from MST2007- 00214) - 11 1 , • ! ,� OWNER: WILBERDING, B..l #: 503 - 245 - 9768 CONTRACTOR: THE MORSE COMPANY t 4,-. -- ,, ; : . PHONE #: 503 - 977 - 2454 J 1 E4 . Inspection Request Scheduled For: Date: 2/5/2009 6;1 Pour Time: Code # Inspection Description Confirm # Contact # Me sag 399 Plumbing final 080313-03 503.317 -8035 Y Corrections /Comments /Instructions: I� ❑PARTIAL APPROVAL ❑CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A 1 2� z7 Inspector: Date: / I Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00166 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1 008 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 �' i,j . �'� �! INSPECTION WORKSHEET FOR DATE: 11/18/2008 IME: 7:01AM PAGE: 7 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: •07 TYPE OF USE: PROJECT NAME: MlLBERDING DESCRIPTION: .Kitchen remodel (separate from MST2007- 00214) OWNER: WILBERDING, BJ PHONE #: 603- 245.9768 CONTRACTOR: THE MORSE COMPANY PHONE #: 503 -977- 2454 Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 078193-03 503-317-8035 N Corrections /CFm ents /In ructions•• / VI-I 1 d k4L--(, ra.--Cf=1 c6.A>.-.41 •z) . V — a • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED d � Inspector: Date: r� 1 / t Phone #: (503) 718- . , i CITY OF TIGARD ' / BUILDING DIVISION PERMIT #M ,12008 OUi'i6 13125 SW Hall Blvd., Tigard, OR 97223 17 s'.. DATE ISS 11/17/20013 i r - Phone: (503) 639 -4171 Inspection Requests (24 Hrs.: 503 639 -4175 .... 67'_�� 410 INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:OOAM PAGE: 17 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: L.14 1102-55q(5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF US PROJECT NAME: WILE3ERDING DESCRIPTION: Kitchen remodel (separate from MST2007- 00214) �1 `l 1 7 OWNER: WILBE"RDING, 13,J ,' #: 1 503- 245.9768 CONTRACTOR: THE MORSE COMPANY PHONE #: 503 -377 -24644 4tioo Inspection Request Scheduled For: Date: 2/5/2009 Pour Time: , f' Code # Inspection Description Confirm # Contact # Mes g 699 Mechanical final 0B0313.01 503- 317 -8035 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED je_ . VC/O q , Inspector: \ Date: Phone #: (503) 718 `` 1 4 • CITY OF TIGARD BUILDING DIVISION PERMIT #: tv1ST200B -00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 ' 08 Phone: (503) 639 -4171 A - Inspection Requests (24 Hrs.): (503) 639 -4175 ,, 11I i ZC INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:OOAM PAGE: 16 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WII-BERDING DESCRIPTION: Kitchen remodel (separate from MST2007- 00214) OWNER: WILI3ERDING, BJ PHONE #: 5 503- 245.97Gf CONTRACTOR: THE MORSE COMPANY PHONE #: 503-977-24M Inspection Request Scheduled For: Date: 2/5/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 260 Insulation 080313-02 503- 317 -8035 N Corrections/Comments/Instructio s: P (� 4-/, A r / / / �' ( 2- 1) l kJ ❑ PASS ❑ PARTIAL APPROVAL XCANCEL (l NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- i • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20OB -00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008 Phone: (503) 639 -4171 40 Inspection Requests (24 Hrs.): (503) 639 -4175 s'.. __ INSPECTION WORKSHEET FOR DATE: 11/71/2008 TIME: 7 :00AM PAGE: 38 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 10 TYPE OF USE: PROJECT NAME: WIIBERDING DESCRIPTION: Kitchen reenodel (separate from MST2007- 00214) • ' OWNER: WILF3ERDING, Hi PHONE #: 503 CONTRACTOR: THE MORSE COMPANY PHONE #: 503- 977 -24M Inspection Request Scheduled For: Date: 11/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insult4ion 078342 -01 503.317 -8035 Y Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ,V CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 4 Date: // 68 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: h1S12008 OOiiE 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008 , Phone: (503) 639 -4171 ��I�I{I Inspection Requests (24 Hrs.): (503) 639 -4175 -�! - --_.. INSPECTION WORKSHEET FOR DATE: 11/1912008 TIME: 7 PAGE: 42 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WII DESCRIPTION: Kitchen remodel (separate from MST2007 -00214) OWNER: W1 BERDING, BJ PHONE #: 503 -245 -9758 CONTRACTOR: THE MORSE COMPANY PHONE #: 503-977 -2454 Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 078193 -04 503- 317 -8035 Y Corrections /Comments/ Instructions: )J:044 : D a ��.5OL' -e di-ASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 23 Date: /9>ga 0 Phone #: (503) 718- 2(2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: ST I6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008 Phone: (503)639 -4171 lil Inspection Requests (24 Hrs.): (503) 639 -4175 .. _. `'I I. INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7 :02AM PAGE: 1 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: Wl_E3ERDING DESCRIPTION: KitChell rem odel (separate from MST2007..00 214) OWNER: WJLEFRDING, S..I PHONE #: 603-245 - 9708 CONTRACTOR: THE MORSE COMPANY PHONE #: 503-977 -2454 Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message X80 Insulzdion 078262 -02 503.317 -8035 N Corrections /Comments/ Instructions: ,vc, a 0 #d■ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /3S Date: /,/4.4a o 0 Phone #: (503) 718- 272 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-001E56 13125 SW Hall Blvd., Tigard, OR 97223 a i DATE ISSUED: 11/i7/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .....„ — INSPECTION WORKSHEET FOR DATE: 11/1W2008 . TIME: 7:01AM PAGE: 9 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: Wil.BERDING DESCRIPTION: Kitchen remodel (separate from MST2007-00214) OWNER:' WILBERDING, B.1 PHONE #: W3-246.9768 CONTRACTOR: THE MORSE COMPANY PHONE #: 503-977-24M Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 078193-01 503-317.8035 N Corrections/Com ents/Instructions: (3 l< - ASS ri PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: vtA......"..------ Date: t ( 1 ( ...--- #: (503) 718- 11( CITY OF TIGARD BUILDING DIVISION At PERMIT #: MST:2008-00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 11/17/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ' INSPECTION WORKSHEET FOR DATE: 2/61/2009, TIME: 7:00AM PAGE: 21 SITE ADDRESS: 09600 SW VENTURA CT 07 CLASS OF WORK: LOT #: 1 SUBDIVISION: WASHINGTON SQUARE ESTATES NO TYPE OF USE: PROJECT NAME: Wil_BERDING DESCRIPTION: Kitchen remodel (separate from MST2007-00214) OWNER: WILBERDING, BJ PHONE #: f:A3 CONTRACTOR: "111E: MORSE COMPANY #: 503-977-2454 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: Code # Inspection Description _._Confirm #_, Contact # r , Message 199 • El ed ri sal fin F'366-01 503-317-803N Y 9; 3 —.....t. / isi LL Corrections/Comments/Instructions: B . • k PAS ''. 1 PARTIAL APPROVAL 0 CANCEL [7 NO ACCESS • FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED . Inspector: G') \%6 Lg" Date: 17 64 1 Phone #: (503) 718- 1,-W-L— , •,, - , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20011.00166 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/4/2009 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WILBERDING DESCRIPTION: Kitchen remodel,(separate from MST2007 OWNER: WlIBERDING, B,I PHONE #: 603-245-9768 CONTRACTOR: THE MORSE COMPANY PHONE #: 503-977-2464 Inspection Request Scheduled For: Date: 2/4/2009 Pour Time: Code # Inspection Description ' Co fiK Contact # Message 199 Electrical final 0264-01 603-793-3276 Corrections/Comments/Instructions: 9 A -1.ol fl PASS H PARTIAL APPROVAL 0 CANCEL Ei NO ACCESS FAIL H CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 1 % L Date: 1- - Phone #: (503) 718- lig; CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2000- 00166 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2000 Phone: (503) 639 -4171 O Inspection Requests (24 Hrs.): (503) 639 -4175 ... _ • . INSPECTION WORKSHEET FOR DATE: 2/:V2009 TIME: 7:00AMYi PAGE: 10 SITE ADDRESS: 09000 d VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: VJILBERDING DESCRIPTION: Kitchen ref node( (separate from IvIST2007- 00214) OWNER: WILBERDING, BJ PHONE #: 9`.;•03- 24S-9768 • CONTRACTOR: THE MORSE COMPANY PHONE #: 503. 977 -24E34 Inspection Request Scheduled For: Date: 7!3/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message A zoiej 1 99 Electrical final 080227 -01 503- 793 -3276 N Corrections /Comments /Instructions: -- P Cie 1,110.6- ' �� 0 P 6 4 `Pi c-6 Nye., iN 6E Rb x (N m c oaa) 1 '1 1) a tl) MI 68f1)4 ^ 4 Epp CS .A4 K, , ii sz ■ Oviri, . — 17 EWo 4 - 4\I6 cis' cAvkilAt it/ N.paib■)t (V\Mta- . )°(b PAN ie c \) 1(- VlP /441-8 N L--- vy■AA_ 1 1 - w■ ea. 6,ANS4 6 („CATir3 PAX 21 b , J ) "INAPittrE Tkemii Z R-vc.* , c..0 va ON v % c-. o \A' vol fiiiEbiT KF `v L7 . st\V-- 1 1 b-2\ Q__■) _ co vP Pt") t l W1 6t Q (1140WI GQ, -viii con) t).Qaqt6 or t io rg 0 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS iA FAIL ttLCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (3---- " L-C Date: 2 ' 3-1 Phone #: (503) 718 - 1/44 CITY OF TIGARD klAVA BUILDING DIVISION el U Y PERMIT #: MST20013.00 156 13125 SW Hall Blvd., Tigard, OR 97223 1Id�' ` DATE ISSUED: 11/17/2000 Phone: (503) 639 -4171 is i 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' 41 �I _ INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: W LBERDI NG DESCRIPTION: Kitchen remodel (separate from MST2007 00214) OWNER: Wll- HERDING, [3J PHONE #: 503 - 245 -9708 CONTRACTOR: THE MORSE COMPANY PHONE #: 603977 -2454 Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message / 120 Electrical rough -in 078262 -01 503317 -8035 Y f l� Corrections /Comments /Instructions: f'Ul id s l div,h, 4 inr If: it i1 ,: L ° .j%/ Al • bi 41 %PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- ,_.... , CITY OF TIGARD .' BbIlLbING DIVISION . Alh, PERMIT #: M81.2009-00166 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 11117/2008 Phone: (503) 639-4171 _Zeit Inspection Requests (24 Hrs.): (503) 639-4175 •.___ INSPECTION WORKSHEET FOR ' DATE: 11/18/2008 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: Wil.BERDING DESCRIPTION: Kitchen remodel (separate from MST2007 RI 2. 1 OWNER: W?LBERDING, BJ PHONE #: 603-2/1a CONTRACTOR: THE MORSE COMPANY ig sac.. . PHONE # Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description onfirm # Contact # Message /------- 120 Electric:al rough-in /078193-02 503.317-8036 • N q .., 193.3911) Corrections/Comments/Instructions: (t c.itstoOtae... ibip I p0. SkAg il (ZA (NI eiii c,k2S...o1.5 *a • eA7\)06- Itetto likkialift crn-kirS_6ilit41 NiT s vwl., t.iteAk's Nad 0 3v ti) otiL Qs . fsk1 . I.31- t 1) (00 V.,114- c,W_kurr (Aim/ L v <ON . e " To t v A ri l wpiK 6Kii /1 N1 seti 9 N(Ki . 'm8.02 L 4 Ts v..0 L iol 45 eti w) o um% giN'ri • )7A51:Ygg■oN ---_,____ • n PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS X FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G---. NIY31. Date: It 1 Iclt Phone #: (503) 718- gli6