Permit .. CITY OF TIGARD MASTER PERMIT
,) PERMIT #: MST2008 -00162
COMMUNITY DEVELOPMENT DATE ISSUED: 12/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 C B - 07300
SITE ADDRESS: 15347 SW 81ST AVE ZONING: R -
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 087 JURISDICTION: TIG
PROJECT: PRICE
Project Description: 12 sf. addition.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 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 2,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
NAT FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 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
BEN PRICE OWNER laws. All work will be done in accordance with approved plans. This
15347 SW 81ST AVENUE permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 952- 001 -0080. You may obtain copies of these rules or direct
Phone: 503- 330 -5172 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 191.83
REQUIRED ITEMS AND REPORTS
Issued By : (tti\J Atilif0 Permittee Signature :.. _ -
r -
Call 503.639.4175 by 7:00 a.m. for an inspection t - us iness day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
R esidential FOR OFFICE USE ONLY
- Ci} R eceived
Tigard of Ti and q
IN q ` J Wel) DateB :._ � _ ± IJ - u nit No.: �I� /1' _ 1 �" l � d
13125 SW Hall Blvd., Tigard, O' '7' : `� Plan Review
Phone: •
503.639.4171 Fax ?l'; �t • ;! Date /B : j j � Other Permit
TI GA RD Inspection Line: 503.639.4175 v Date Ready /By ® See Page 2 for
Internet: www.tigard- or.gov O 3 �OD Notified /Method: 2 • lI - o 8 Supplemental Information
OS'' (Po Y-12. W/ e,n
G
TYPE O , t r ' . R EQU IRED DATA: 1 - 2-FAMILY, DWELLIN
g .' a , '', v 151. .'. -
c I 1l ibT V Permit fees* are based on the value of the work performed.
El New construction rtton p
Indicate the value (rounded to the nearest dollar) of all
[Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- CATEGORY CONSTR ; s work indicated on this application.
Valuation: $ � ^ �cV�
21- and 2- family dwelling ❑ Commercial /industrial C
t
❑ 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: /5•3 Cf 7 31_ 81 IL-A Uc New dwelling area: square feet
City /State /ZIP: 7 6, ( L) DR' 77Z Zy Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: oA)ar,/ p Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
>A 1-6 t L. end g ,55 / ? /‘/f r 04) €?/ S � Other structure area: /Z square feet a
_.- " il .S Y Sid A) REQUIRED DATA: , COMM E RCIAL-USECHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
- - ,DESCRIPTION, OF WORK, . ' " work indicated on this application.
fNST ( o, t,: ,1 -Fl PLInL€. . ,PimicA4 mu 7 q L,, » Valuation: $
Aon v'17n� 14t/ii.. y Existing building area: square feet
New building area: square feet
'4I_T P ROPERTY OWNER - r. ❑ TENANT ' Number of stories:
Name: Ai.A3 ¶ ' c t Type of construction:
Address: / 5C ,, / sr- AtJfc_ Occupancy groups:
City /State /ZIP: 7 cg 72'Ze Existing:
Phone: (S,r; )33,,....5(7a Fax: ( ) New:
-❑ APPLICANT • - ❑ CONTACT PERSON . NOTICE '
Business name: All contractors and subcontractors are required to be
Contact name: fLAM A- 3 ;tw �Y licensed with the Oregon Construction Contractors Board
At) 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: OW/Mr ' BUILDING PERMIT FEES *_
Address: ,, _ '(Please refer to fee "schedule) ' . -
City /State /ZIP: Structural plan review fee (or deposit): Z.10. (/J
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: 7 Pg (Lk_ Date: /Z 0 g * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB)
l ,
I.
Building Permit Application Checklist
One- and Two - Family Dwelling l FOR OFFICE USE ONLY
C of Tigard Received • • permit No.:
II .
Date /By:-
a 13 125 SW Hall Blvd., Tigard, OR 97223
Associa permits:
Phone: 503.639.4171 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 Q Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet: www.tigard - or.gov Q Other:
' THE FOLLOWING ARE REQUIRED F PLAN REVIEW Yes No I N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ •
3 Verification of approved plat /lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ['permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if '
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
' and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings .
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS 1
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)
Mechanical Permit Application . FOR OFFICE. USE ONLY
,. Cl of Tigard Received
•
`J g an Date/By: 1p' 6 „ Permit No.: l/
. � f1 . '
V 13125 SW Hall Blvd., Tigard, OR 97223 D Review. ��
Plan
C Phone: 503.639.4171 Fax: 503. !L -s.V Date/By: Other Permit:
TI G ARD Inspection Line: 503.639.417 4' i ' — Date Ready/By: Juris: g
and -or. ov Supplemental See Page l for
Internet: www.ti
g g N otified/Method: Supplemental Information
214
TYPE 'Ol WORK(f O ` . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ErAddition� r t� � Itr - Mechanical permit fees* are based on the value of the work
'''' nn performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: 10ID mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL• EQUIPMENT /,SYSTEMS FEES*
21- 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: I s'31( 7 SE-) g ( £ �� - / tsA({ p C)R 97e Z C /
Air conditioning
(requires s to plan ho or i ngt p pump placement) re uires site lan showin ]acement 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: /.7 f_Y Pe Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
KC/1 )t0 A) 0 4.5 ft Er jZ.D Residential boiler (radiator or
hydronic) 14.00
#0 4 tb � O55 !i u oto RV S- Unit � � t 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 1 10.00 /6,Q
il■JST - AL of A GA5 - PLC . PuAX,Y /Nli e7,47 Flue vent for water heater or gas le fireplace 10.00
( . t ) 4 ( L A"J D }S t "i /DIN 6 " p' 4 /-"USF_.. Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
"PROPERTY OWNER 0 TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: ?t Edo 1' j Environmental exhaust and ventilation
Range hood/other kitchen
Address:
(e idetic „... 4s ic4 VE) equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (S ) 639 -/t y7 #44 Fax: ( ) toilet compartments, utility rooms) _ 6.80
. ' ❑ APPLICANT . ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: g,€ ?Kt `� $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
CcAwlf AS Af! U6) Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Water heater
Phone: (51, )33,_5, fl Cpl Fax:: ( ) Fireplace 1 S yo r.g0
E -mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
►� Other:
Address: MECHANICAL PERMIT FEES* . . '
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) 72,'3'
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lie.: State surcharge (12% of permit fee) . 0
TOTAL PERMIT FEE ) ( ,
Authorized Signature: This application expires if a permit is not obtained within 180
--l days after it has been accepted as complete.
Print name: /?Cii 1 t ( Date: f 2 ,.. * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permitts\MEC- PermitApp.doc 01/19/07 440 -4617T (1 t /02 /COMlWEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule: -
Total Valuation: Permit'Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00162
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/20/2009 TIME: 7 :00Am PAGE: 40
SITE ADDRESS: -1347 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 087 TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: 12 s"f. addition.
OWNER: PRICE, BE: ,4 PHONE #: 603 330 - 5172
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/20/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G10 Gas line 079826-01 503-330-6172
172 N
Corrections /Comments /Instructions:
( Gr✓1 P APPROVAL ❑ CANCEL Il NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 0 Date: _ / Ze Phone #: (503) 718 - 24:-3
CITY OF TIGARD - . ,
BUILDING DIVISION • PERMIT #: iVI;T20op -001G2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2008
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 'fill
INSPECTION WORKSHEET FOR DATE: 1/7/7009 TIME: 7 :01AM PAGE: 12
SITE ADDRESS: 15347 SW LIST AVE CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NCB 2 LOT #: 0t37 TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: 12 sf. addition.
OWNER: PRICE, BEN PHONE #: +£03- 330.1172
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/7/2009 Pour Time: alp
Code # Inspection Description Confirm # Contact # Me
205 Footing 079470 -01 503 -330 -5172 N
Corrections /Comments/ Instructions:
.- ---- 1
-------- '`
r JrT v z L
ri r
,-- i V
i•
6 fii 4 ,____________ .
..
•
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL n -NO ACCESS
n FAIL • CALL FOR I PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( ' Date: i 7 " 6 ( Phone #: (503) 718- JKo
CITY OF TIGARD
BUILDING DIVISION >t PERMIT #: MST 200:9 -00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2008
' Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639- 4175'fL.
INSPECTION WORKSHEET FOR DATE: 1I1 /2O09 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 15347 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO 2 LOT #: 067 TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: .12 sf addition.
OWNER: PRICE, BEN PHONE #: 603-330-6172
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/7/2038 Pour Time:
Code # In .ection Description Confirm # Contact # Message
606 Sanitary sewer 079469 -01 603-330 -5172 N
Corrections/ • • ents /Instruct•
° dr Sv ( r
W r ero
r ________.
7,,..1 t / C a:) I.
OP F-4r i
6 0-5 7 18
'7 _ - 16 `?>', 00
PASS ❑ PARTIAL APPROVAL ANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: WT2008 -00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2008
Phone: (503) 639 -4171u +
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 12/31/2008 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 15: :A7 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 0837 TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: 12 sf. addition.
OWNER: PRICE, BEN PHONE #: 603 -330 -6172
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/3 1/2008 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
20f Footing 079296-01 503 -330 -5172 N
Corrections /Comments/ Instructions:
S_— Via ( (--r T
__,...____ Cin . ,u I! -I
os
CY e
1 ` ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO ' L FEES ASSESSED
Ins ec tor: - .0 J Date: f _ �� P h one #: (503) 718 -
p �
CITY OF TIGARD \
BUILDING DIVISION PERMIT #: MST2008 -00162
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12111/20 08
Phone: (503) 639 -4171 �I�I+�
Inspection Requests (24 Hrs.): (503) 639 -4175 °_
INSPECTION WORKSHEET FOR DATE: 1211212009 TIME: 7 :00AM PAGE: 9
SITE ADDRESS: 15347 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 007 - TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: 12 sf. addition.
OWNER: PRICE, BEN PHONE #: 603 330.5172
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/1212008 Pour Time: , 2 : 00
Code # Inspection Description Confirm # Contact # Message
'
' 205 Footing 079017 -01 503 -330 -5172 N
•
_ Corrections /Comments /Instructions: .
•
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. y y i 04
et-'
eg: IA 4 - ,, i f LA-(
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❑ P' _ S ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
. _I FAIL , / 1 4 L FOR INSPECTION ❑ ADDITIONAL F ASSESSED
Inspector: ... — Date: / /Z 7/ Phone #: (503) 718 - Z‘ V
N
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15347 SW 81ST AVE, US May 12, 2017 at 9:13:36 AM
Record Type: Record ID:
Building/Res/Master Permit/NA MST2008-00162
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
All previous inspections complete other than building final inspection.
Final inspection passed.
Violation Summary:
Inspector Contractor