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Permit �� CITY OF TIGAR MASTER PERMIT 11 2 ' : COMMUNITY DEVELOPME Permit #: MST2008-00159 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/08/2008 Parcel: 1 S134DBBP002 Jurisdiction: TIG Site address: 11294 SW ELLSON LN Subdivision: Lot: Project: BERG PARTITION Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1285 sf Basement: sf Left: 5 Parking Spaces: Height: 24 Bathrooms: 3 Second: 1736 sf Garage: 903 sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: sf Value' $0.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: Rain Drain: 100 Catch Basins: Lavatories: 8 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Other Fixtures: 3 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: Vent Fans: 5 Clothes Dryers: 2 Heat Pump: Hoods. 1 Other Units: 3 Furn <100K: Vents: Woodstoves: Gas Outlets: 6 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp' 0 -200 amp: W/ Svc or Fdr: Ea add'I 500 sf: 6 20 1 -400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: l 401 -600 amp: 401 -600 amp: Ea addl Br Cir 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Other: Other Description: Ecompasing: 1 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) DAVE & KATHY BERG 12210 SW ALBERTA ST TIGARD, OR 97223 PHONE: 503- 710 -8365 PHONE: FAX: Total Fees: $17,050.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800 332.2344. Issued By: Permitt Signature: `t • , MASTER PERMIT • NI a0 CITY OF TIGARD PERMIT #: MST2008 -00159 COMMUNITY DEVELOPMENT DATE ISSUED: 12/8/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DB-BP002 SITE ADDRESS: 11294 SW ELLSON LN ZONING: R -4.5 SUBDIVISION: BERG PARTITION LOT: 002 JURISDICTION: TIG PROJECT: BERG PARTITION Project Description: New SF BUILDING REISSUE: ARBOR2766A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,285 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,736 sf GARAGE: 903 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,021 sf 330,149,13 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 8 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES. 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 3 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 2 FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 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 HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000* amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FOR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: - DATA/TELE COMM: NURSE CALLS: TOTAL It 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 DAVE & KATHY BERG KMC CONSTRUCTION laws. All work will be done in accordance with approved plans. This 12210 SW ALBERTA ST 6706 SW 36TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97219 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- 710 -8365 Contact #: PRI 503 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 176760 TOTAL FEES: $ 16,896.51 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : -� _ r �V Permittee Sign • ure -: , iL ,, d Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 4 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. >a-Z 4 , .u) .ea: -.01q L.is- fr ilding Permit Application It 41 , ' Residential FOR R RECEIVED OFFICE USE ONLY ' - City of Tigard RECE�� :)ate/B v (/ /3 DS Permit No.: r $_14/)/ . q 13125 SW Hall Blvd., Tigard, OR 97223 Ian Review ^� Z14)/466,9 Phone. 503.639.4171 Fax: 503.598. 3 200 t oateBy: 12 - G • , A Other Permit T I GA R D fur Inspection Line: 503.639.4175 If Ready /By: r� n See Page 2 for Internet www.tigard- or.gov CITY OF TIGA D I otified/Meth■d: IA Dl � Supplemental Information r TYPE I' 'CORK VIM F , REQU h t DATA: 1' AND'2 FAMILY DWELLING E] New New construction ❑ Demolition �� ' Permit fees* are based on the value of the work performed. v% Indicate the value (rounded to the nearest dollar) of all c, ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY . O F CONSTRUCTION work indicated on this application. Valuation: $ 30 1 {i 1.01 . (3 - ❑ 1- and 2- family dwelling Ill Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 3 . JOB SITE INFORMATION AND LOCATION ' ' Total number of floors: 2. Job site address: f i 2_, (i (( .s' 1.,,) 67/s v ,4..) L New dwelling area: 3000 square feet City /State /ZIP: T t y 4, ,..d -' 4i 7 Z z 3 Garage /carport area: g 9 5 square feet Suite /bldg. /apt. no.: 1 Project name: c_.>_,1, f ,. , r 0 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: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the i DESCRIPTION OF, WORK work indicated on this application. q Valuation: $ ( ✓ Q S ii � Existing building area: square feet I New building area: square feet - ❑ PROPERTY OWNER ' ❑ TENANT Number of stories: Name: (._C.t_. --- L d— b a_U .e • (3 PrN-7 Type of construction: Address: ' 2_ is S' n (i) 4- [h . , /- - .2 Occupancy groups: City /State /ZIP: T tt c 4 ,_ cP, an_ 9 7 2_ 7.___3 G� / Existing: Phone: (5o) 0 %p s- 6 .Sr Fax: (S03) 5--2 / 6 6 3 �b New: .0 ,APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) 'Fax:: ( ) E -mail: ' 'CONTRACTOR " Business name: ie._ VA L (OA) ft. • / CO U) a it) ., BUILDING PERMIT FEES* ' Address: 6 7 6 4, s L.) 3 1 d-c, z_ l (Please refer to fee schedule) City /State /ZIP: 14 q 7 .. 1 Structural plan review fee (or deposit): Phone: (50,3) 7 2 (� / ( 2 I Fax: (5d 3 �}' FLS plan review fee (if applicable): , ? , G 7 Z • O 64g, Total fees due upon application: CCB lie.: tL2 t0 Amount received: '- 7523 Authorized signature: This permit application expires if a permit is not obtained . within 180 days after it has been accepted as complete. Print name: Date: 1 r —13 -0' * Fee methodology set by Tri- County Building Industry Service Board. L\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1/02 /COM/WEB) Building Permit Application Checklist .. One- and Two - Family Dwelling FOR "OFFICE'USE ONLY . City Tigard Received y of Permit No : Date/By: ® 13125 SW Hall Blvd., Tigard, OR 97223 • Associated permits: l. a 2 • Phone: 503.639.4171 Fax• 503.598.1960 TIGARD 24- Flour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet. www.tigard - or.gov ❑ Other: I THE. F "ARE REQUIRED' FOR P LAN ;REVIEW ' 1 Yes ..[ , No = ; N/A • . 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat /lot. ❑ ❑ ❑ 4 " Fire district approval required. Name of district:.. . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. '_Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ i 7 Water district approval. ❑ .. ❑ ❑ i 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; perceritage of coverage; impervious area; existing structures on site; and surface drainage. 1 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. /i 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 ❑ ❑ Cl 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. ❑ Cl ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 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.\ Buildin \Permits\ RES- PermitApp.doc 03/21/06 440- 4613T(t 1 /02 /COM/WEB) Lti V LaJ Plumbing Permit Application NOV 13 2008 . , • . . • FOR..OFFICE QNLY" City of Tigard C ITY OF TIGARD Received r Permit No.: } II de a 13125 SW Hall Blvd. Tigard, oRD IDING DIVISION DateBy: /I / 3 Of A ' ` r ' f=2::)( Phone: 503.639.4171 Fax: 503.5 98.1960 Plan Review Other Permit No.: Inspection Line: 503.639.4175 DateBy: , W2 - �pt.5Sl TIGARD Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK ' FEE* SCHEDULE , ❑ New construction ❑ Demolition For special information use checklist Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION ' . . - .. • _ SFR (l) bath 249.20 ❑ 1- and 2- family dwelling El Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ID Multi-family SFR (3) bath ` 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen - -4'' 45.00 Fire sprinkler ( sq. ft.) Page 2 ' _ , `JOB' SITE' INFORMATION AND LOCATION Site utilities Job site address: J ( Z 7 T S w g:/( .c t rt) Catch basin or area drain 16.60 City /State /ZIP: �l l C g d Oft-- f '1 "a- 2.- 3 v Drywell, leach line, or trench drain 16.60 - Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: B.€1- rpl, -/---r 1-1 C.)6-1 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item • - • Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF, WORK: F. Backflow preventer Page 2 N P SF Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 '❑ ' PROPERTY- OWNER .1 ❑' TENANT Ejectors /sump 16.60 ' 1A_LI Name: C U Expansion tank 16.60 Address: i 2,,. 2 ( 0 L(.1„) fJ-1 /i e, . It0. S7'-. Fixture /sewer cap 16.60 City /State /ZIP:7_ G, d ,, on_ 2 7 Z 3 Floor drain /floor sink/hub 16.60 C ` / Phone: ( 7 f 0 g....... 3 , ..� Fax: (.503) J f-- 6 6 .36 Garbage disposal 16.60 a APPLICANT Hose bib 16.60 ❑ CONTACT PERSON ' Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 1 6.60 Phone: ( ) Fax:: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 .• ' CONTRACTOR. • ' - Water closet 16.60 Business name:- l w L _ r" 6-4_6 1 �Co Water heater 16.60 Address: /y Sor / . / cp. -/1 //i Ie . Other: City /State /ZI4 . r � y r Q / + 9ley3 Subtotal • I - t Minimum permit fee: $72.50 Phone: (16-$-; a ( If 7 S'� -i /7 9 Residential backflow minimum permit fee: $36.25 CCB Lic-. r , qt./7t '')., 1 Plumbing Lic. no.: 34 / a7 p(5 Plan review (25% of permit fee) Authorized signature: 1» l Il' 7,r ili State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name ' ( 1S -Date: l / 43 -p This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. // ' / *Fee methodology set by Tri- County Building Industry Service Board. ' a..12.7 1: \Building\Permits\Pt M- PermitApp.doc 1 /27/06 440 -4616T(10 /02/COM/WEB) Y 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 - 1 100' 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 Storm & Rain Drain - 1st 100' 55.00 Valuation:` ° Permit. Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each F1xtilrC Or Item Qty Fee (ea), Totah additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 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: Are you capping, adding or replacing fixtures? If "yes ", . , . Plan.Review Plumbing,Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. - accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by'(Fiature) Work Performed , ❑ Any new commercial building with water service 2" and Future Type:, �" � •' Replace greater, except systems designed and stamped by licensed Previous Capped. '_. Added • Existing , engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash -Each Stall 111 Medical gas and vacuum systems for health care facilities. -Drive Thru CI Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator, CI Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash , Isometric or Riser Diagram. • Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3' that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory 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: • c\Building\Permits\PLM- PermitApp.doc 12/27/06 RECEly t • DO 'Flseetrical Permit Application FOR O USE ONLY City of Tigard Nov 1 S �OO2008 `J g Received ,/ � p _ �f � �!/ / permit No.: �0/ . 3 • - ° 13125 SW Hall Blvd., Tigard, OR 97223„ 11 Plan D Review p III Phone: 503.639.4171 Fax: 503.5980d01 OF Date ateBy: / / By: Other Permit. pv/2 (/JdDO ?>0`Sy Inspection Line: 503.639.4175 BUILpING DIVISIO Date Ready /By. Juris' ® See Page 2 for TIGA Internet: www.tigard-or.gov PP No tified/Method: Su pp TYPE OF WORK . - PLAN REVIEW . ❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition El Other: where the available fault current El Marinas and boatyards. CATEGORY. OF' CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling El 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 ", r L I OOHP or more occupancy. parks. Job no.: Job site address: l 9 5'4) Li��Suril ❑ Recreational vehicle ❑ Six or more residential units. p Cl /State /ZIP: - n ? ❑ Health -care facilities. ❑ Hazardo locations. ❑ Supply voltage for more than ty ✓ �/ C t �Y O t 600 volts nominal. Suite/bldg. /apt. no.: Project name: J.3 e v- C. P ce- j 1 Cr-11 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I * New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less f 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. ft.) � M1 Limited energy, multi - family ■ IV Q�� ,� F residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ ..PROPERTY OWNER ❑ TENANT, 201 amps to 400 amps 106.85 2 Name: I-0- tb ,e__ Q., r._ 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: ti ( b ¶ w )1-1,1 p e 1-ck S/' Over 1,000 amps or volts 454.65 2 City/State /ZIP: T ( L e ,�,►, ay__ ? 7 'L 3 Temporary services or feeders installation, alteration, and/or relocation Phone: (gp ,) '7 (Q '3 6 5 .-- Fax: (5 3 ) 5---7 2 6 6 3 p 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A, Fee for branch circuits with .. ,❑ APPLICANT. ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR • Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: n energy panel, alteration, or Address: 9 l 6) C p i .�, �Q� (j6j) C.� A v - extension. Describe: Page 2 2 City/State /ZIP: l� I L� 20 bk. Q "7 3 Each additional inspection over allowable in any of the above ( ^) ( t4 e - • , (5b 7 7 a , Per inspection 62.50 Phone: J 3� O (.� Fax: 31 by( 2 -- 5....- � Investigation per hour (1 hr min) 62.50 CCB Lie.: la , /5 --? Electrical Lie.: 3‘./.-5 :a s C Suprv. Lie.: 3707 5 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: ! Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: )6T:2_0_4.....7 TOTAL PERMIT FEE: l This permit application expires if a permit is not obtained within 180 Print name: C t r 3. e G Date: (( -13 -c days after it has been accepted as complete. J • Number of inspections allowed per permit. 1 \ Buildin gWermits\ELC- PermitApp.doc 05/23/0 440 -46 15T( t I /05 /COM /WEB Electrical Permit Application - City of Tigard Page 2 Supplemental Information LIMITED ENERGY PERMIT FEES: FAESIDENTIAL WORK O1VLY ; ° . 7 Fee for Al residential systems combined .. $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: - .COMMERCIAL WORK Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n 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 i 1VtP.cllanical Permit Applj��l �� FOR OFFICE USE ONLY . � ` c City of Tigard � � 1 3 2008 Date/By: I �� ( l0 PermitNo.: G ,' --/Y /5 13125 SW Hall Blvd., Tigard, OR 3 y s w` I ` Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: a5L-0, TIGARD C ITY OFTIGARD DateBy: / ��S Inspection Line: 503.639 Internet: www.tigard- or.gov Date Ready /By. Juris ® See Page 2 for BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF. WORK " • COMMERCIAL FEE* SCHEDULE: — USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY' OF CON.S'HLU6,T . Tr+ RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ❑ 1- 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 / Air conditioning or heat pump Job site address: / 2 ? L( S& L ,) E! rS U i' til) (requires site plan showing placement) 14.00 City /State /ZIP: - (5 t 1 2- 3 3 Fumace 100,000 BTU (ducts/vents) f 14.00 y Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: 3 €�,, Pc.N t 1L ,G✓1 Gas heat pump 14.00 Cross street/directions to job site: Duct work • x 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 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace x 10.00 Flue vent for water heater or gas � ^ fireplace 10.00 "� Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER , ' Chimney /liner /flue /vent 10.00 . • ❑TENANT • O 1 0.00 Name: ._k d- b ar V e B erg Environmental exhaust and ventilation `� f y� Range hood /other kitchen Address: j ✓Z 2_ l U S W f 4 1 b-e✓` 1. /; equipment i 10.00 City /State /ZIP: -Ft 2 c4 � eV Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, r 1 Phone: ( U 3) 7 to s- 3 6 3 Fax: (S03) S 9 6. c a b toilet compartments, utility rooms) 6.80 ' ❑ APPLICANT ' 0 CONTACT PERSON" Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range X i - CONTRACTOR- ' . - , - `° ' _ ' • _ Barbecue Business nattie._, �� �. ATt� Ar C..-O rva t `v Clothes dryer (gas) [ u _ Other: Address: /63 l .JEt'1-f4-L t v-t / ../ MECHANICAL,PERNIIT FEES* City /State /ZIP: "CT- 02 Q 7a6 o . Subtotal Ph one: 'X — 2 = l0? J_ _ - - Fat.( 3) A �+ ?»I5c( Minimum permit fee permit ) / r Plan review (25% of permit feeee) CCB lic.: 5o ,/ a r 6. /� 9 State surcharge (12% of permit fee) 11 TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a_ i 41 Date: / ( —/ 3 _0 r * Fee methodology set by Tri- County Building Industry Service Board P\ Building \Permits\ME.C- PermitApp.doc 01/19/07 440 -4617T (I l /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - SupplemeDtal Information Commercial Fee Schedule: Total - ,;` - „Permit Feei $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building \Permits \MEC- PermitApp.doc 01/19/07 2 Building Division is ' One & Two-Family Dwelling g 1 I (, ;v is n Fees Checklist Permit: 0/51203 . ()p 1S Reissue: 4Q L �7 44fl Date: 11 . i I. 08 Address: ` 29,4- SW F.u?- - L ,, Subdivision: 1 CLe- ki -Elnn Class of Work: Al .c First Floor: 1 7 S Lot: Type of Use: F Second Floor: [136 c e' Zoning: Construction: 5 e, Third Floor: Left: Occupancy: R3 Total Floors: p 21 Right: Stories: 2 Basement; Front: Height: 2,1{' Garage: 10 -. 2, Back: Floor Load: ` Q Decks: Beaverton CET: Dwelling Units: l Porches: ) g't ✓1 g -Tual CET: Bed rooms: LI Other: TVFR: Bathrooms: ` Valuation: 33 l \ .13 Geo /Grading CDC Pln Rev: l-(Co - 0 O LR Planning Surcharge: ( . 00 Pln Rev Deposit: 750. o - 7 En. 00 SZS Pln Rev Balance: 4 037 Pln Rev Extra Set: 5 del Bld Permit: 11 S 2 , k 1 Bld Permit 12% State Surcharge: 2. 1 SS Metre -Cgnst Excise Tax: 5'-1i. . R Tig -Tual B averton School CET: "?... 2 1 , Co MEC Permit: 13 3.30 MEC 12% State Surcharge: 1(0.00 PLM Prmt: 3 c ick . 00 PLM 12% State Surcharge: 41. S8 ELC Permit: 3LE [ j.S S ELC 12% State Surcharge: 1. L - 4 1 ELR Permit: ELR 12% State Surchrge: SF Park SDC: 5 Z tS CO TIF Resident: 3 rya .0a TIF Mass Tr: 2 .CO Erosion Control: i l 2.0 6 Erosion Pln Rv CWS: a� b Erosion Pln Rv COT: , Water Quality: 25. d Water Quantity: SUB - TOTAL: 1 in ,1 y t . S t Sewer Permit: Inspection: SUB - TOTAL: TOTAL MST & SWR: MECHANICAL PERMIT FEES --1 PLUMBING PERMIT FES Description Qty. Fee. Total • Description Qty. Fee. Total Heating/Cooling A/C or heat pump 1 14.00 New I- 2- family dwellings (inc. 100 ft. for each utility connection) Furnace 100,000 BTU (ducts/vents) 14.00 SFR (1) bath 249.20 Furnace 100,000+ BTU SFR (2) bath 350.00 (ducts /vents) 1 17.90 SFR (3) bath 1 399.00 Gas heat pump 14.00 Rain drain Duct work 10.00 Hydronic hot water system 14.00 Each additional bath kitchen 45.00 Res. boiler (radiator or hydronic) 14.00 Fire Sprinkler -Sq. Ft. 0 to2000 115.00 Unit heaters 14.00 Fire Sprinkler -Sq. Ft. 2001 to 3600 160.00 Flue /vent for any of above 6.80 Fire Sprinkler -Sq. Ft. 3601 to 7200 220.00 Other: 10.00 Fire Sprinkler -Sq. Ft. 7201 & greater 309.00 Other Fuel Appliances Site Utilities Water heater 1 10.00 Catch basin or area drain 16.60 Gas fireplace r, 10.00 Drywell, leach line, or trench drain 16.60 Flue vent for water heater or gas fireplace 10.00 Footing drain -1" 100 ft. 55.00 Log lighter (gas) 10.00 Manufactured home utilities 110.00 Wood/pellet stove 10.00 Manholes 16.60 Wood fireplace /insert 10.00 Rain drain connector 16.60 Chimney /liner /flue /vent 10.00 Sanitary sewer -1" 100 ft. 1 55.00 Other: 10.00 Storm sewer 100 ft. \ 55.00 Environmental Exhaust & Ventilation Range hood 1 10.00 Water service-1' 100 ft. 1 55.00 Clothes dryer exhaust 4 10.00 _ Fixture or Item Bath/toilet exhaust 6.80 Absorption valve 16.60 Attic /crawlspace fans 10.00 Backflow preventer 27.55 Other: 10.00 Backwater valve ' 16.60 Fuel Piping Clothes washer Q 16.60 $5.40:first four $1.00:each add'I Dishwasher I 16.60 Furnace, etc. 1 Ejectors /sump 16.60 Gas heat pump Expansion tank 16.60 Wall /suspended/unit heater Water heater I Fixture /sewer cap 16.60 Fireplace a Floor drain /floor sink/hub 16.60 Range 1 Garbage disposal % 16.60 Barbecue 1 Hose bib a. 16.60 Clothes dryer (gas) Ice maker I. 16.60 Other: Interceptor /grease trap 16.60 Subtotal (Minimum permit fee - $72.50) :°'::::,, ., Primer 16.60 12% State surcharge 1 r • ; Roof drain (commercial) 16.60 TOTAL PERMIT FEE I Sink/basin/lavatory 1/3 fs 9 16.60 111=1= ELECTRICAL, REMIT FEES Tub /shower /shower pan 4 16.60 Description Qty I Fee. Focal Urinal 16.60 New Res.(Habitable + attached garage) Water closet 3 16.60 First 1,000 sq. ft. or less 1 145.15 Water heater I 16.60 Ea. add'l 500 sq. ft. /portion Co 33.40 Other 16 60 Limited energy, residential 75.00 r F, Services or feeders installation, alteration, and/or relocation Subtotal (Minimum permit fee-S72.50) ,', (`t . 200 amps or less 80.30 12% State surcharge ; g 201 amps to 400 amps 106.85 TOTAL PERMIT FEE 401 amps to 600 amps 160.60 601 amps to 1,000 amps 240.60 Over 1,000 amps or volts 454.65 Branch circuits - new, alteration, or extension, per panel A. Fee for first branch circuit W /service /feeder 6.65 B. Fee for first branch circuit W /out service /feeder fee 46.85 Each add'l branch circuit 6.65 ... Subtotal: , ° , , 12% State surcharge TOTAL PERMIT FEE: 02/19/2009 15:45 5034749031 WEST HILLS PLBG INC PAGE 01/01 r yr IIUUARD COMMUNITY DEVELOPMENT T rc. A R o 13125 SW Hall Blvd., Tigard, OR 97223 503.639,4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE WEST HILLS PLUMBING 2925 NE REDWOOD DRIVE MCMNNVILLE, OR 97128 Perrnit #: MST2008 -00159 — Date Issued: 12/8/2008 Parcel: 1 S134DB -Bp002 Site Address: 11294 SW ELLSON LN Subdivision: BERG PARTITION Lot: 002 Jurisdiction: R-4.5 Zoning: TIC; Project Name: BERG PARTITION Description: New SF (our company has been indicated as the plumbing contractor for the permit referenced above, In order for the )lumbing 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 forrn to: City of Tigard, Building Division, 3125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 5 03.624,3681. ryou have any questions please call 503,7182433. lo plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: DAVE & KATH BERG WEST HILLS PLUMBING 12210 SW ALBERTA ST 2925 NE REDWOOD DRIVE 11GARD, OR 97223 MCMNNVILLE, OR 97128 Phone #: 503 -710 -8365 Phone #: 503 -314 -0341 Reg*: LIC 108214 PLM • 34 -273PB LIC 50244 LIG 176760 L IC 121159 APIA N INK SIGNATURE IS REQUIRED ON THIS FORM , � J Jo Name (print ;nature of i,��h•rized Plumber e ) i ■ • ,� _ .. _ • • Ate, a. �.;;< ? ` F; I D • - -• - ?' _ }{ • DESIGN GROUP INC. INWINTWO r'. - 1 - REr SEES r .. .. ,ra:.sesr �! r 10700 SW BEAVERTON ix' c �PF T xArMOCO A9, WjIIM/m Y/ H SWY 855 WAIIORN M MSm � D ( fr o COWS. PAro r - , BEAVERTON OR 97 T. - i- Ail. Ivr, -04 -45 . F ,: -- • • mvr�o� r Ill i —_ .._ iv.. •..e • O i o _ r alai um LOT 2 � Ii �� i_ II_.'�� roar e LEU ear I / � _�s \ LOT 3 1 I _ / .I QQ as — — — UL 1 II EAR DDTMRr \ . . / X IX w w / Q0 N rc CV LOT 2 SITE PLAN II— TREE P1307EC1ION NO7E8 w F O NOR, CO 0 ONLY ROSE MIS POITIFIED OV DC ARROW], MEE REMOVAL PLAN AAE AUDOISIED NW RENOWL SY DRS LWOW! DC FTALCASIO NOW SMALL SE RACED WI DC FINAL LONSINUCTION POdIQ'R MTTTWIAIOT ANY ODER'IONSM Cr RAS NIL ANY PARTY TOM) N SE N MOAROS V INS GRAPIER PLIDDTINI T) OM•T>. LW OF I E WARD MINOPML COW SHALL SE SMELT N A ry OWL OP lO POO EL eC Roma, T) RYDr ANT DAMES CA RCO Or ME i t SARI RE EDNmN SOIL SCUM BUT NOT UMW, m x FOLLOWS. a RPUNEVEr Of uu.IALY ROOM ON DAMN. TEES N AttmmIMS WIN SECTOR DEO (D) ES TV MOT CEWLOPNENT [COO MO IL nCY/ Or AM AOOT n ONAL a PENALTY RMSM ET t NC EMOTED O WALK ANY .1 OWARTLILY REMO. OR O SAND TEL AS VETO.. osPO THE MET COMM MIEPIMTONAL SOCIETY OF ARSOxuTAE GOOF FOR RANT APPRAISAL. _. . _ S)) PROS R C.NTANCI.0 AMY STE KW DIE APPICANT 9WL EST...I MOO AS DIRECTED ST TIC PROJECT AAMOMT IIS PROTECT INF TEES TO BE ACT*. DE APp _ NT SHALL ALLOT ACCESS SY TE w /wNC STAFF FOR RC NwroSE OF Nwnmw MO ELSOECTa OF RC TEE PRONE/MN TD Warr TAT TE TEE PROIECDCW MOW. ARE PLRpe[C ACEOIAOLY. FAILURE AT IO FOLLOW I E RAN w Mw ro T. TEE nR MOW OW N THE DESwAT. G LOTNU SHALL ROC OATS ES OOO VOS FOR YDIA EIE S/.SRMSII NOW Or RO ON TE SE A RIE vn NNI A1 L(ASASE9 AMAA T OIE WARMS CAN SE 0 DI R O R TIMOR TOM SHALL NOT EE M TES L � I NE RDYSSOI AID S I P ERNRM Of RILE TIMOR W VISOR N NSJME2 OF SLOPING TERM AM ANY CERI1 CRIES OF OCCLPANCT. APPLICANT .9401 .'MARE NI PROJECT ARSONIST 5 N AEWIOD TORS / REPORTS o A� �TN APPLICANT PLANNING h. ST K BEs EKED LEAST, ONE EICTT I E REELS O MO M AE TEE PROTECTION OPT) MCP. AR y M AT nN ESE dSLNC RYWSTAICHEL AS R MNETRS /ME ST O M' D C' Rs F X i ND Y. OF A ITC4 . ra r O II PROVIDED 10 NE CITY rs CITY MgC5T IN DC RA OF SC SIALL COMAE 11 . r DE A ED W ANY A S NE ES AS COMM ARO LOCATOR CO' RE SCE ANY CRAWS THAT S DE NOME MS MOWN AND S O R N MOIMT OF NV MS RUMPS OCT TE MOECT AIWORS7 WO ,MOOT WIT N OIL LARRY Our PC CONSIRFTNE DMOS I O THE S OE WITm.YerasTE 34 0 50(777 'MLRAIE _ i IT t I RIPE rs AR DC E . OP TIC TRI BY 71 ALAIIE T AR AI O NRRVAL DEC 0 3 2008 a AMO R C APPEARS 74 rE . S Lr NE ON PI / E RAN 6 NOT [EEC RECIPES ST DE ` NC PL AGTOE l0E Ory GM SW YO T CM ME PDDELI IOW APO Ib.IOI CAN ES NOW NT a PE RANN4 SOTI AN TL. NAE MOM T4 WD AT TNJ . I f R EVALUATE CLOOT.. TEE PROTECTOR IV OCT LO ES A R T CF T D 4 W EST MS YOLAN A 00 4 ATE CIMMKTO, PROJECT I . � OEIOEIE E AMY PARE Lr DC SW IIIM[OIMY SAN HAS ®a MLYAOO NUMBE BEROOZ ISPIll PLAN77NG LEGEND CITY OF TIGARD m- Memo. e+ BUILDING DIVISION = .. g � f� , EXISTING TREE TO BE REMOVED . DE 3 EXISTING TREE TO BE PROTECTED IN PLACE 1 / 1 1 • • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: /11 ST •CA A --GO( 677 PLANNING DIVISION: Required Setbacks: 0 Approved ❑ Not Approved Side: Street Skit- 1 -5 - Front. Re ^r: _LEL Visual Clearance: cV Approved El Not Approved Maximum Bui;•ii>, :'el,- '' feet CWS Servi . tiv ..:,.• _ ::_r ' <egtiired: ❑ Yes . No R D. Received _ _ Da te: ,zfy /� ENGINEERING D . 1 i Actual Slope:a_ % 1g Approved ❑ Not Approved Site PI (! Approved ❑ o f proved B y : Date: /2 1- 80 Notes: ✓ `'' x r 1 CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: /1157 2c1.6 >lS'/ Street Trees: (I] Ar:,; di ❑ Not Approved Protected t` p :! (... vet Approved : . '' - . Pr/ O Note;: • i ; . A CITY a e a �� ® MASTER PERMIT r COMMUNITY DEVELOPMENT PERMIT #: M 00159 , :: - - -'• c- =- DATE ISSUED: 12// 8/200 8/200 8 ,.Tu R , : 13125 SW Hall Blvd., Tigard; OR 97223 503.639.4171 PARCEL: 1 S134DB -BP002 SITE ADDRESS: 11294 SW ELLSON LN • ZONING: R -4.5 SUBDIVISION: BERG PARTITION LOT: 002 JURISDICTION: TIG PROJECT: BERG PARTITION Project Description: New SF • BUILDING REISSUE: ARBOR2766A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,285 st BASEMENT: sr LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,736 sr GARAGE: 903 sl FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS' 1 THIRD: 51 RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,021 sl 330,149.13 REAR: 15 • • PLUMBING SINKS: i WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 8 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES. 100 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS, 4 GARBAGE DISP: 1 WATER HEATERS: 1 . WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 3 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 2 FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 I MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS AMYL INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: . 0 • 200 amp: WISVC OR FOR: • PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: 0 LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: • se ' MANU HM /SVC /FDR: 601 - 1000 amp: 601*amps- 1000v: MINOR LABEL: 1000. amp /volt : PLAN REVIEW SECTION (�`�e. Reconnect only: ; e > =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 & 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 A 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 DAVE & KATHY BERG KMC CONSTRUCTION laws. All work will be done in accordance with approved plans. This 12210 SW ALBERTA ST 6706 SW 36TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97219 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 -710 -8365 Contact #: PRI 503-720 -1 182 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Reg #: LIC 176760 TOTAL FEES: $ 16,896.51 . REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 \ . ued By : _ , fie G „-L,,L�/ Permittee Sign- ure •: ,e)„� , ,/� "Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 1 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. CITY OF TIGARD - BUILDING DIVISION j 1 ‘ 4,/t) ` PERMIT #: MST200�3.00I59 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: '0812008 Phone: (503) 639 -4171 i I Inspection Requests (24 Hrs.): (503) 639 -4175 . -±i%i INSPECTION WORKSHEET FOR DATE: 2/27/2009 TIME: 7 :O1AM PAGE: 16 SITE ADDRESS: 11 794 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New ,F OWNER: BERG, DAVE & KATHY PHONE #: 503- 71043365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503- 720 -1182 Inspection Request Scheduled For: Date: 2/7712000, VI Ik Pour Time: 4i g o Code # Inspection Description Confirm # Contact # Mes ag 4 jt 320 Plumbing rough-in 080897 -01 503- X32 -21300 Y I / � � 9 g ,Ll Corrections /Comments /Instructions: 97- 1 Ls ' - `"6 _ 1_—_- f 1 f /...j Crf Aas A . 7,tAkr-7/) - 0Y-)L-r - t- 0 gbcl''--K buode,,,c_ a, 7J — 'Di/L/17- (5 , 4 PMF • - • / . :_. - n - SS , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( /� / V Date: �O / / Phone #: (503) 718 - d I )" 1 Ins ( ) P CITY OF TIGARD '-• - _.:,, ( L\ BUILDING DIVISION • PERMIT #: MST2008-00i59 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE : 1207000 Phone: (503) 639-4171 AzzAWIIIII 1 Inspection Requests (24 Hrs.): (503) 639-4175 s Ala■ , AL INSPECTION WORKSHEET FOR DATE: WM009 TIME: 7 PAGE: 36 SITE ADDRESS: 11294 SW BISON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: Nmi GE OWNER: BERG, DAVE & KATHY PHONE #: 603.710.0306 CONTRACTOR: KMf CONSTRUCTION PHONE #: 503-720-'1'1(12 Inspection Request Scheduled For: Date: 10012009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postiboam plumbing 079829-01 503-7201182 N Corrections/Comments/I structions: Ivp,t, W J4 YE 11 1J\Q 'la i -1 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS pi FAIL El CALL FOR INSPECTION . D ADDITIONAL FEES ASSESSED Inspector: • 6 Ay _ Date: 12 t iA ) / Phone #: (503) 718-c2" CITY OF TIGARD M c1 7,6 o 4- 00Icl BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 r o D'TE ISSUED: Phone: (503) 639 -4171 A ill Inspection Requests (24 Hrs.): (503) 639 -4175 . �� f 411 INSPECTION WORKSHEET FOR DATE: VI .o/ 0 6 TIME: PAGE: SITE ADDRESS: 1 1 2 �/� ('c lvtl CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message X39 c12-/ u. Corrections /Comments /Instructions: / /r -/-Wc..-.71 5 j (,V 1 rs 6 Al �� .1____1) �2_,e +C5-. ,/ ❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '\ // ` V k Date: 0 e" l Phone #: (503) 718 2-Li 2 - - (( I CITY OF TIGARD ` YA5T s 04 t5 BUILDING DIVISION #: 13125 SW Hall Blvd., Tigard, OR 97223 j'® �/ 1 , TE ISSUED: Phone: (503) 639 -4171 �� ,, R,�lI /' Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 0 CO 0 I TIME: PAGE: SITE ADDRESS: I L 'Zq 4 L 1, 1. 5. zyk. L. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: rn i j s Code # Inspection Description Confirm # Contact # Message uu s rf" N i x Lei Corrections /Comments /Instructions: ? bur& 3 03 (1 — ok ( - 340 ) 4 6 1/1 ( .0) .e.,k)-ei_ / — d a firi v. a ri,... -r„ S Y -. e PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �t Inspector: (�' (/ Date: 0 (Ql Phone #: (503) 718- . . CITY OF TIGARD . . BUILDING DIVISION , A , PERMIT #: MST2008-00 159 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812000 Phone: (503) 639-4171 -- Inspection Requests (24 Hrs.): (503) 639-4175 11— INSPECTION WORKSHEET FOR DATE: 1/15/2009 TIME: 9 PAGE: 2 SITE ADDRESS: 11294 SW ELLSON LINT CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: LIF:PG PARTITION DESCRIPTION: N sF OWNER: BERG, DAVE & KATHY PHONE #: 603710-8366 CONTRACTOR: KMC CONSTRUCTION PHONE #: 53-720-1'182 Inspection Request Scheduled For: Date: 1/160009 Pour Time: Code # Inspection Description Confirm # Contact # Message 60! Stay sear 079761 503 Y Corrections/Comments/Instructions: r — -- 1 - i k ---. :---,---. -1---li c__ LJ--c c . 1 b \PN P_AA.) ' ____ _ ______ _________ K11 " Ct ; L. c_ , 1 c — k) 2 ' . 1 ■I • "tr i - li "---- -.•-.-,---"\-- C' .../'•'' c---g—\--- 4-7) .:...... - -\. . 0 or 0‘&).. - 'l2 A 0 PASS 0 PARTIAL APPROVAL 0 CANCEL D NO ACCESS 0 FAIL 0 CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED Inspector: kW.A IC Date: 1/C/j-q Z.--I 2- 4 Phone #: (503) 718- ' - __._ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200a.001 9 13125 SW Hall Blvd., Tigard, OR 97223 ♦ DATE ISSUED: 12.1800611 Phone: (503) 639 -4171 A I N Inspection Requests (24 Hrs.): (503) 639 -4175 "�L. INSPECTION WORKSHEET FOR DATE: 1/15/2009 TIME: 9:07AM PAGE: 4 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: E3ERG PARTITION DESCRIPTION: N SF OWNER: BERG, DAVE & KATHY PHONE #: 503-71043366 CONTRACTOR: KMC CONSTRUCTION PHONE #: 50342(1.1102 Inspection Request Scheduled For: Date: 1/16/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 079761 -03 50a-m3-4332 N Corrections /Comme is /instructions: J , ce\r w 4.....\; , ,,.1 t,, ., ., L_ U ` .C.--e/v\ IN Q _ r 1 / ,--(< \<6. pr-(3c --\--b .a.i .A...\,/ .., Kf _ . ,., ( k . 1 _--- - -1 p c&c.)/N -. --\-v- . j . k. ;_-;:z■ x_ .. -- 63 tf-Q = C. C--7 -- \f--- . fl# ,... ❑ PASS ARTIAL APPROVAL ❑ CANCEL E NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (4- Date: 1 / S / J Phone #: (503) 718 - 24 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MS,12003041159 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J8/7000 Phone: (503) 639 -4171 4gpi�'�I 4 6____ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1nn5 009 TIME: 9 :07Ai PAGE: �, SITE ADDRESS: 112M'1 SW ELI SON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 50 3- 71043:66 CONTRACTOR: KIM CONSTRUCTION PHONE #: 503 - 720 -11t02 Inspection Request Scheduled For: Date: 1/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 336 Rain drain 079761 -02 G03- 203.4332 N Corrections /Comments /Instructions: J rte. ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS n FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/ (.` �- Date: Y ( ' C ( Phone #: (503) 718- - C Z p CITY OF TIGARD BUILDING DIVISION PERMIT #: MST Ot11'i9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8 /2006 Phone: (503) 639 -4171 ���4 1111' fi, Inspection Requests (24 Hrs.): (503) 639 -4175 Alt INSPECTION WORKSHEET FOR DATE: 1/15/2009 TI 9:07AM PAGE: 6 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: . - SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: E3FRG PARTITION DESCRIPTION: New SF OWNER: BERG DAVE & KATHY PHONE #: 503- 710 -1)365 CONTRACTOR: KMC; CONSTRUCTION PHONE #: 03- 720`1182 Inspection Request Scheduled For: Date: 1116/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 079761 -01 503 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION. ❑ ADDITIONAL FEES ASSESSED Inspector: Date: f I Phone #: (503) 718 - 2J-1 2 i4 , CITY OF TIGARD BUILDING DIVISION PERMIT #: f_I. 2fftii3- OCli,B 13125 SW Hall Blvd., Tigard, OR 97223 DATE - ISSUED: 1218 #2008 op Phone: (503) 639 -4171 A ms r - Inspection Requests (24 Hrs.): (503) 639 -4175 4 _ I INSPECTION WORKSHEET FOR DATE: 11 TIME: 7:OOA4 PAGE: 12 SITE ADDRESS: 11294 SW FLLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 007 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: F,O3.710- t336E, CONTRACTOR: MC' CONSTRUCTION / / PHONE #: .602020 1182 i 6 J ✓1 Inspection Request Scheduled For: Date: 1/1312008 046,( Pour Time: Code # Inspection Description Confirm # Contact # Me-.. • - 33r' Rain drain 079633-01 503-710-8365 Corrections /Comments /Instruc . ns: p aye bkit i1 -- 24 k rai CS' V-Yiv-- kr•A C,e \X ❑ PASS VI P' 'TIAL APPROVAL LI CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i l 3 C Phone #: (503) 718 -P" f 2-- 4 CITY OF TIGARD BUILDING DIVISION A. PERMIT #: i�ST2008 at1153 13125 SW Hall Blvd., Tigard, OR 97223 3 ATE ISSUED: 1218/2000 Phone: (503) 639 -4171 ; , i / Inspection Requests (24 Hrs.): (503) 639 -4175 ^ ' 1 ! I I q INSPECTION WORKSHEET FOR DATE: r TIME: PAG 117/20C1.� . � AM 9 SITE ADDRESS: 11294 SW FLLSON LN CLASS OF WORK: SUBDIVISION: F3ERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 503.710.8365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503 - 720 -1102 Inspection Request Scheduled For: Date: 1/7/2009 Pour Time: Code # Inspection Description Confirm # Contact # Mes ge 335 Rain drain 070473.01 503.625.1611 N Corrections/Comments/Instructions. ' / c - i�o L,,, S :: vt / 5 5y # y , , -\''// 1 4 1 7 ,, 1-; b /: , 'vi 4 , 0 t . ', Li PARTIAL APPROVAL II] CANCEL ,, ❑ NO ACCESS pi s �� FAIL CALL FOR INSPECTION 1 ADDITI 'J AL FEES £ ,,,,e SSED It o t i ... , Inspector: Date: Phone #: (503) 718- CITY OF TIGARD "-` BUILDING DIVISION PERMIT #: MST2008-00159 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1278/2008 Phone: (503) 639 -4171 '' i il' A Inspection Requests (24 Hrs.): (503) 639-4175 F 'I I.. INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7:OOAM PAGE: 11 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: L3FRG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: 13FRG PARTITION DESCRIPTION: New L;F OWNER: BERG, DAVE & KATHY PHONE #: 50341f1 -836 CONTRACTOR: KMC CONSTRUCTION PHONE #: 603- 720.1182 Inspection Request Scheduled For: Date: 1/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 079414•02 503 -72 0-1182 N Corrections /Comm is /Instructions: 5 496 ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ii2FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l' V` Date: 0 Phone #: (503) 718 - CITY OF TIGARD _ __ BUILDING DIVISION PERMIT #: MST2008•001 ?a9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812oot1 Phone: (503) 639-4171 ,,'''', II , Inspection Requests (24 Hrs.): (503) 639 -4175 __' INSPECTION WORKSHEET FOR DATE: 1 /6/2OO9 TIME / :OOAM PAGE: 10 SITE ADDRESS: 1129'i SW EI_LSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: hleW SF OWNER: BERG, DAVE & KATHY PHONE #: 503.710 6 CONTRACTOR: MC CONSTRUCTION PHONE #: ; 503_720.1182 Inspection Request Scheduled For: Date: 1/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 33/5 Rain drain 0794/403 503.720.1182 N Corrections /Comments /Instructions: ,, r\ 1/t1 V (X -°.c n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS c W_FAIL IiKALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lJ %" Date: V.L-1 G Phone #: (503) 718 - 21 CITY OF TIGARD BUILDING DIVISION PERMIT #: M:.;T20Ot .0U169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2000 Phone: (503) 639 -4171 Ate ' l Inspection Requests (24 Hrs.): (503) 639 -4175 "_... ?): INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7:OOAM PAGE: 9 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: EWRG, DAVE & KATHY PHONE #: 603-710-11365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 603.72Q- 11t32 Inspection Request Scheduled For: Date: 102009 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water r > ervico 07941404 50 +/20.1182 N Corrections /Com nts /Instructions: , lite, k - ),..,, / N� i J 1 I n PASS, / n P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , 5 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� 1�,, //r,// Inspector: v Date: I. `�- , Phone #: (503) 718 - 21 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200800159 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 ?18I ow Phone: (503) 639 -4171 ittil e Inspection Requests (24 Hrs.): (503) 639 -4175 ..._-_.t." � �. INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7•0OAM PAGE: 8 SITE ADDRESS: 11294 SW FU SON LN CLASS OF WORK: SUBDIVISION: BERG PARTI LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New $F OWNER: BERG, DAVE & KATHY PHONE #: 603. CONTRACTOR: KMC CONSTRUCTION PHONE #: 503 -]7(}- -1.187 Inspection Request Scheduled For: Date: 1/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 07941405 503 -720 -1182 N Corrections /Comments/ Instructions: - 1/upt----q ---\ n PASS ARTIAL APPROVAL ❑ CANCEL (l NO ACCESS grn :IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ' r � 1 Phone #: (503) 7 1 8 - / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2009-001&3 13125 SW Hall Blvd., Tigard, OR 97223 / 'fl DATE ISSUED: 12/8/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .4 411. INSPECTION WORKSHEET FOR DATE: 1/6/2009 TI : 7•00Am PAGE: 7 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: N SF OWNER: BERG, r. ‘; , DAVE & KATHY PHONE #: 603,710.8366 CONTRACTOR: KMC CONSTRUCTION PHONE #: 603-720 Inspection Request Scheduled For: Date: 1/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Sanitary SeliVOI 07941406 503720-1182 N Corrections/Comments/Instructions: 1 , .... . A ‘ r \ \ 010 / . 0 PASS El PARTIAL APPROVAL Li CANCEL El NO ACCESS 11.1AIL %KALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: V'ct__,___ Date: I ( "10 Phone #: (503) 718- 7-- . . ^'' MASTER PERMIT - .p CITY OF 1 BUMR - COMMUNITY DEVELOPMENT PERMIT #: M /8/200 00159 DATE ISSUED: 12/8/2008 T[GARD! 13125 SW - Hall Blvd., Tigard, OR 97223 503.639.4171 . PARCEL: 1S134DB -BP002 SITE ADDRESS: 11294 SW ELLSON LN ZONING: R -4.5 SUBDIVISION: BERG PARTITION LOT: 002 JURISDICTION: TIG PROJECT: BERG PARTITION Project Description: New SF . BUILDING REISSUE: ARBOR2766A _ STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,285 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1.736 sf GARAGE: 003 51 FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,021 51 330.149.13 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: RAIN GRAIN: 100 TRAPS: LAVATORIES: 8 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 3 MECHANICAL - FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 2 FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS. 3 It • MA %INP; btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS I P 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: CO EA ADD'L 500SF: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: 0 LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: es 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: 8 ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 1 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: 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 DAVE & KATHY BERG KMC CONSTRUCTION laws. All work will be done in accordance with approved plans. This 12210 SW ALBERTA ST 6706 SW 36TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 PORTLAND, OR 97219 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 -710 -8365 Contact #: PRI 503-720-1182 Questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 176760 TOTAL FEES: $ 16,896.51 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 • Issued By : ��_ ,__,_,.. „i Permittee Sign ure -: 2) . 6 CaII 503.639.4175 by 7:00 a.m. for an inspection that business day. • This permit card shall be,kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 0 " ©0/s 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: S TIME: PAGE: SITE ADDRESS: 1) 2 9 tf Ifs - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5 I Pour Time: Code # Ins pection Description Confirm # Contact # Message "4/1C[ ( i Q41 " Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date. `6 Phone #: (503) 718- CITY tFTG RD r;UBL®BINIG olVIISBON PERMIT #: n1S J 200$ -006-1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '. 1 . 01 Phone: (503) 639-4171 41 0114„ Inspection Requests (24 Hrs.): (503) 639 -4175 - ' f "� INSPECTION WORKSHEET FOR DATE: 3 - - q TIME: PAGE: SITE ADDRESS:, t 2 5 W LL so LIV CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: . ., Inspection Request Scheduled For: Date: 3-( Pour Time: Code # Inspection Description Confirm # Contact # Message to Nv v c.� !r � Ste• CO�ecctions /Co io` • i lt PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` 1" v '% Date: 3 -9 Phone #: (503) 718- `l'Y "1 Q City of Tigard, Oregon Page 1 of 2 City of Tigard, Oregon �— ..41110^.• 1 1 1 TIGARD 1' r .. ( all l/wr,r Sc. I Property 11 I �, i„ ; I i irm:.u,; bc'. � I to ■o.o , � i � . �,,,� 1 `r, r.l '. �, .. ` I ! .tt ; 1 I Summon 1 Permit Summary 1 Community 1 Hazard• 1 Fxplarrr I 11294 SW ELLSON LN Property Summary ` D R` COTTONWOOD LN GENEVA ST • MANZANRA ST s n TIMOTHY PL • NORTH DAKOTA ST Q Q Z O S o J N r a 0 BURLCREST DR TORLAND 8T Property Owner Info Tax ID Number: 1S134DBI2700 Tax Account Number: 02161852 Site Address: 11294 SW ELLSON LN Site City: Site ZIP: 97223 Owner Address: Owner City: TIGARD Owner State: OR Owner ZIP: 97223 Acres: 0.24 Sg Ft: 10,454.4 Bldg SF: 0.00 Bldg Value: $ 0 Land Value: $ 45,275 Total Value: $ 45,275 Taxable Ass'd Value: $ 16,440 Sale Price: $ 0 Sale Date: Year Built: 0 District & Community Info Municipality: Tigard Tigard Urban Seri Bndry: YES Tigard Neighborhoods: L Name Link to Website Area 3 Af04 3 Nelghb4Lhg4QNCyls School Attendance Areas: L School District Name District Number Elementary School Name Middle School Name High School Name TIGARD-TUALATIN 237 C.F. Tigard Fowler Tigard Tigard Parks District: YES Water Service Area: Tigard Water Service Area Garbage Hauler: Residential Hauler Commercial Hauler Dropbox Phone L Hauler Name Residential Hauler phone Commercial Hauler phone Dropbox Hauler Number Agency Waste Management of Waste Management of (503) 249 -8078 Waste Management of (503) 249-8078 Waste Management of (503) 249 -8078 WASH Oregon Oregon Oregon Oregon Precinct: L precinct County 404 W Phone Service Areas: Verizon Bull Mtn Metro Council Boundaries: L Metro District Councilor Name E Mail 3 Carl Hosticka hostickac @metro.dst.or.us CONTACT US Cn, 05 hgerd, 17125 SW flail Blvd, '1 ipxN, UR 47223. 501.939 -4171 I lAgi. ucl1Ji nua, http:// www .tigardmaps.com /mox52_multimap/ index. cfm ?fuseaction= property.summary&C... 3/6/2009 CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST20()9 pp 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2060 Phone: (503) 639 - 4171'"' M1I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/26/2009 TIME: 7 :03AM PAGE: 14 SITE ADDRESS: 11291 SW ELLSON LN CLASS OF WORK: SUBDIVISION: ;ERG, PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BFRt3 PARTITION DESCRIPTION: New SF OWNER: t3ERG. DAVE & KATHY PHONE #: 5037')0 - 6305 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503. 720 -1182 Inspection Request Scheduled For: Date: 2/?6/20U9 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exteri sheathing 080855 -01 5Q3 71(1.8366 N Corrections /Comments /Instructions: 11 f t A- PF' \ & f' A S ►:/ PA PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - CITY OF TIGARD - BUILDING DIVISION PERMIT #: MS1200B -00159 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/200£ Phone: (503) 639 -4171 mow' , 1' Inspection Requests (24 Hrs.): (503) 639 -4175 I i INSPECTION WORKSHEET FOR DATE: 2/25/2009 TIME: 7 :00AM PAGE: 24 isl 1 7A t&(f / i IS SITE ADDRESS: 11294 SW ELL SON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 503-710.8365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503-720-1182 Inspection Request Scheduled For: Date: 2/25/2009 Pour Time: Code # Inspection Description Confirm # Contact # Mesh• _ 240 Exterior sheathing 080797 -01 50.E-71Q -8365 Corrections /Comments /Instructions: ) p.c,ii / 145--i - --st7 _c e._. veA_--i-- 1,44-zez_s v ef . -7, /( ) I( 2 g.'.0 ' i 6 -s _ 2/r. /f l' 7G � -cv n PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS krFAIL / (I CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Ins Inspector: �__ Date: ` Phone #: (503) 718 - p �L � ) CITY OF TIGARD /612 BUILDING DIVISION l PERMIT #: MST2008 €�9 13125 SW Hall Blvd., Tigard, OR 97223 t6 DATE ISSUED: 12/8/2000 Phone: (503) 639 -4171 ■" -'� r' I‘It ' 1 Inspection Requests (24 Hrs.): (503) 639 -4175 .:�� ei.....- 1 ;7------13) I INSPECTION WORKSHEET FOR DATE: 203/2009 TIME: 7 :00AM PAGE: 23 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: F3FRG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: EIERGG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 503.710433365 CONTRACTOR: KMC CONSTRUCTION PHONE #: M03- 720 -1161 Inspection Request Scheduled For: Date: 2123/2009 Pour Time: Code # Inspection Description Confirm # Contact # Mes . - 235 Shear walls/anchors 080629.01 503. 710-8365 Corrections /Comments/ Instructions: J e 4 ' ka I ^ S ‘'I/Uo-t 1 ) . DA.LA \- e(S 1- --- 51 S pt? -- k7 ■ C124■-iL Ile G✓ J�� -.,-- SL R - \ I/2 v ell■ ut- e . \!‘42../0 • •* k " . •' a‘--S •'%/\-N c ( J 1 -) ‘ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: //1 Date: 2 5 / I Phone #: (503) 718 e) `"1 CITY OF TIGARD BUILDING DIVISION "' PERMIT #: � - )008-001 59 13125 SW Hall Blvd., Tigard, OR 97223 dr I j DATE ISSUED: •y a l} Phone: (503) 639 -4171 (f Inspection Requests (24 Hrs.): (503) 639 -4175 s now f INSPECTION WORKSHEET FOR DATE: 1/21/2009 TIME: 7:O0AM PAGE: 3 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BFPO PARTITION DESCRIPTION: New SF OWNER: F3EI2G, DAVE & KATHY PHONE #: 503-710 00 CONTRACTOR: KMC CONSTRUCTION PHONE #: 5J3 720 - 11 02 Inspection Request Scheduled For: Date: 1/21/2009 Pour Time: Code # /( nspection Description Confirm # Contact # Message 725 Post /(earn structural 079897 -01 503- 720 -1182 N Corrections /Comments /Instructions: 0 917-0 01 ----- kC,i. ,0-.2-.A,i C \AI\ CovvL (Aa ( - "---S NV ' i 0 A1194 W j a� .-- rr\ 0 :CVL-52c i os-1 - s `i/l v v.ei S i i / / / 1 / I PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO A n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i V6 -4-(fr. 1k Inspector: Date: / Phone #: (503) 71,, • CITY OF TIGARD BUILDING DIVISION PERMIT #: ts4ST2008.00169 13125 SW Hall Blvd., Tigard, OR 97223 P DATE ISSU D: /2020008 Phone: (503) 639 - 4171 A �� , :h 7 -. i '3 Inspection Requests (24 Hrs.): (503) 639 -4175 ll� 0 INSPECTION WORKSHEET FOR DATE: 1/20/2009 TIME: 7:O0Aivi PAGE: 34 SITE ADDRESS: 11294 SW FI_LSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 503 - 710.8365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503 - 720.1182 Inspection Request Scheduled For: Date: 1/20/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Pos /beam structural 079829 -03 503-720-1182 N Corrections /Comments /Instructions: q)e- 4 5 \r r ........._ 1 Lx 3 i v e.....v \ _ . 3' 1 \r›-e-sc—ei 6 C -, z . N G - : - - t ■ 6_a d — - > ✓ e Ai _ • e6 IV�s SS 9 (J,( i.60& , --h( , , \ k-s , , . A „ ,,, ,,,,, ,,,,, 1, i t./ ,.., I o PASS Adi s PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date ,' • Phone. #: (503) 718- ,_4_ l CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2008-00159 ttl7lr�g 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2/02008 Phone: (503) 639 - 4171 1 ,. M1i�' I Inspection Requests (24 Hrs.): (503) 639 -4175 9 ,, INSPECTION WORKSHEET FOR DATE: 1/2012009 TIME: 7 :00AM I PAGE: 35 SITE ADDRESS: 11291 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: E3F_RG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: r fl365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503_720_1102 Inspection Request Scheduled For: Date: 1/20/7009 Pour Time: Code # Inspection Description Confirm # Contact # Message 60e, Post /beam mechanical 079829 -02 503.720.1182 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . �� Inspector: Date: I D � Phone #: (503) 718- L 'i l l./ CITY OF TIGARD BUILDING DIVISION PERMIT #: M T2Q(38 Ot15 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/0/20013 Phone: (503) 639 -4171 . f�l Inspection Requests (24 Hrs.): (503) 639 -4175 °:_ INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: m010.0365 10.0355 CONTRACTOR: KW CONSTRUCTION PHONE #: 503 - 720 -1102 Inspection Request Scheduled For: Date: 1/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 216 Footing drain 079414 -01 503. 720 -1'182 N Corrections/Comments/Instructions ThaA--- 0 i- T • ., ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V " // L/ Date: t 1 lLit M Phone #: (503) 718 - -)3-t-?)4.. CITY OF TIGARD BUILDING DIVISION PERMIT #: hiSr2o0t00169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2000 Phone: (503) 639 -4171 jell Inspection Requests (24 Hrs.): (503) 639 -4175 , .! : P.__ INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:OOAM PAGE: 24 SITE ADDRESS: 11294 SW ELLSON LN CLASS OF WORK: SUBDIVISION: E3ERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, DAVE & KATHY PHONE #: 503 - 710.8365 CONTRACTOR: KMC CONSTRUCTION PHONE #: 503720.1102 Inspection Request Scheduled For: Date: 12/12/2008 Pour Time: _____ Code # Inspection Description Confirm # Contact # Message _ 01 Jm 210 Foundation walls 078994.02 503619 -9836 4110 . Corrections /Comments / Instructions: — / r : "PARTIAL APPROVAL ❑ CANCEL El NO ACCESS IN FAIL I % / CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ■� Date: _1247.4E Phone #: (503) 718- LA Wi CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20O8 -O0i59 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/8/20Ot� Phone: (503) 639 -4171 t' t Inspection Requests (24 Hrs.): (503) 639 -4175 .. ^ '! INSPECTION WORKSHEET FOR DATE: 12/12/7008 TIME: 7 PAGE: 26 SITE ADDRESS: 11294 SW ELL SON LN CLASS OF WORK: SUBDIVISION: BERG PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: BERG PARTITION DESCRIPTION: New SF OWNER: BERG, C)AVE & KATHY PHONE #: 503-710.8355 CONTRACTOR: I <MC CONSTRUCTION PHONE #: 503-720.1182 Inspection Request Scheduled For: Date: /212/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 0769913 -01 503-519-9836 N Corrections /Comments /Instructions: i`d:` S ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS AIL / ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t f Inspector: Date: I� 1 1- 1 1) " Phone #: (503) 718- Z-6q p ( ) 7' ac() .9() / 5 STREET TREE CERTIFICATION ,- I IL----1A,, r.�,u e Owner /A ent for S� -P_____ (PI.FA PRINT) 7 (PERMIT HOLDER) RECEI Do hereby certify that the following location meets MAy 112009 City of Tigard land use and development standards e wriGmo for street tree. installation. BUILDING DIVISION j ADDRESS: I (2-- 5 ( 5 Q M5-r . - cc ISM SUBDIVISION: c > u , (9 LOT: SIGNATURE: / P r - ____ • _ DATE: ,,__5 —Q i • ER /AGENT) RECEIVED Y: i� j l� de - ! c DATE: 5� a (CITY OF TIGARD) 1: \ Building \ Forms \Street 1'recCcrtificate 01/19/07 msTAovs _ 00/ Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLE p1 GEMENT FORM G G� G� I, / , am the general contractor or the owner- builder at the following address: Site Address: v u itj City: I ,, G_ Permit #: U �� 0 0 I Subdivision/Lot #: Pte- CY and/or Map and Tax Lot #: 16 q To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 -480- 0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry wei ht of d r framing members. Signature: • ate: eneral Contractor or Owner- Builder l:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08