Loading...
Permit , 1 q CITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 - 00163 COMMUNITY DEVELOPMENT DATE ISSUED: 1/16/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BC -01700 SITE ADDRESS: 12450 SW KNOLL DR ZONING: R -4.5 SUBDIVISION: TIGARDIA TERRACE LOT: 002 JURISDICTION: TIG PROJECT: STEPHENS Project Description: Addition and interior remodel. BUILDING REISSUE' STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 25 FIRST: 1,125 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 900 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 2,025 sf 197.136.91 REAR: PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: ' TUB /SHOWERS: 3 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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: 1 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL. BR CIR: 9 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 AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO. FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: 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 BRYN STEPHENS CD CONSTRUCTION laws. All work will be done in accordance with approved plans. This 12450 SW KNOLL DR 920 SW 173RD AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 BEAVERTON, OR 97006 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: 503 939 - 0783 Contact #: PRI 971 questions to OUNC by calling 503.246 6699 or 1.800.332.2344. FAX 503 716 - 4556 Reg #: LIC 184205 TOTAL FEES: $ 4,974.77 REQUIRED ITEMS AND REPORTS i tgos , oAl Coa1irloc. ..../ . -- — Issued -By - — - - - - — — - - - - L1 Permittee Signature Call 503.639.4175 by 7:00 a.m. for an inspection that busin- Ls day. This permit card shall be kept in a conspicuous place on the job site until ompletion of (he project. Approved plans are required on the job site at the time of each inspection. ' Buildin Permit Applicat ‘‘A Y�T�D , Residential ,. �CE its -- —.- , , - FOR OFFICE'IISE ONLY J ; ' - = - 1,1 City of Tigard DEC 0 42008 Date /B ill / Permit No.: ) I 1 8 —DO 13 _ . 13125 SW Hall Blvd., Tigard, OR 97223 r . AQjI Plan Review "1' Phone: 503.639.4171 Fax: 503.598 0F� /13 Date JAW t'SJ Other Permit: T I GA RD Inspection Line: 503.639.4175 BUILDING D NISIO N Date Rear :y: J�,ris: ® See Page 2 for Internet: www.tigard - or.gov !)U Notified /Method. J a Supplemental Information ° ' TYPE; OF K -; WOR - .. , " �A 1 REQUIRED:DATA: it AND, 2- FAMILY DWELLING i ❑ New construction El Demolition Permit fees* are based on the value of the work performed. - Indicate the value (rounded to the nearest dollar) of all [ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF: CONSTRUCTION, ' ' ' , ° work indicated on this application. ❑ l- and 2- family dwelling El Commercial /industrial Valuation: rri) t 7 ,� , El Accessory building El Multi-family Number of bedrooms: 2 Q Master builder El Other: Number of bathrooms: 2 -; _ A., r ° JOB SITE •INFORMATION AND: LOCATION: R°. °? i', - ° Total number of floors: 2, Job site address: 1 - S 0 't�J _. NA W -r • New dwelling area: . are feet City /State /ZIP: 1 6 ( 11 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 44..y1,01,\ Ty . / 1 ■"--2 ✓Ij' Covered porch area: square feet Cross street/directions to job site aA g cr o \- \ra. j Deck area: `j1 square feet Other structure area: square feet . REQUIRED; DATA :;COMMERCIAL- USE Subdivision: 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 ' '' a DESCRIPTION.; OF WORK; . °. ., _, work indicated on this application. P-e t 36:wsb (Ol ftr1) V1, ® cek'ir -• 2 tjGi Z tooth. Valuation: $ r� k. Oy �ro vs.---- ,, t,. ,L 1 -e_ h,....,—<_..... Existing building area: square feet New building area: square feet , '.Mel ROPERTY,.,OWNER „. ' k. CI' TENANT Number of stories: Name: �,f`'.k Y`l - ��_.Q_yetS Type of construction: Address: i 2.'4 50 Sw V-Yl \\ 'OY . Occupancy groups: • City /State /ZIP: 15.2(Ml €'c t.TY1 OR. q1 a a-3 Existing: Phone: (SO! )- ,r ) g bci — 018 Fax: ( ) New: '.(',.:„' tr APPLICANT < , .',,''':=':' ;❑ °CO NTACT° PERSON, ° 'NOTICE , Business name: ( OyV 1—� All contractors and subcontractors are required to be Contact name: DSGP.s.9�vv-, kS)bta—... licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: qaQ S CS) ‘ -1-5 4 L.,Ne_ jurisdiction in which work is being performed. If the City /State /ZIP: rbQp\A/4j1(' f 'Yy` Q a c o Q (p applicant is exempt from licensing, the following reasons ,�- apply: Phone: (lit) 2 -. .. - Se OO Fax: :(5 - 7I (p• L TJ 5 ( , E -mail: © Q(mS''+ c}tiDrU 1 c.6.-\ rc? o • C 0 r CONTRACTOR. ,; ° ,? ° ,- Business name: .0 ,n I BUILDING.PERMIT FEES *. , j/ j l 7 r . '...(Please `refer to fee schedule) r . Address: q / / Structural plan review fee (or deposit): 'r 7(I�D a 9'S City /State /ZLP: ems 6 Q te • q 7 (J . ,62 Phone: (7I - a - 61,10 Fax: (50 $) 7/ (, - (�- ,rf CCB lie.: 1 e v--„,105 - 1. • 4 • l U 7 4 � FLS plan review fee (if applicable) Total fees due upon application: , . QS' Authorized signature: ' / - - - -- -- - Amount received- - � _ : l� " c.5-- - - - � _- ,� - - - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a f#t p' 4 yc,,, , 6Y Date: ; Z — y- - Of * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I I /02/COM/WEB) r , Building Permit Application ( )cklist • _ One- and Two - Family Dwelling FOd.oF icE ' SE :O ` RI City of Tigard Tigard, OR 97223 AssoBaed perm its: 13125 SW Permit No • • Z. Phone: 503.639.4171 Fax: 503.5981960 r TIGARD. 24- Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard -or gov ❑ Other: ', THE FOLLOWING ITEM ARE R D` FOR PLAN "RE - , Y es ' No .' N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: - . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. . 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. . 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. . ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the 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, ❑ El' ❑ 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. I.\ Building \Permits\BUP- RES- PermitApp doc 03/21/06 440- 46I3T(11 /02 /COM/WEB) Mechanical Permit Applic2 *ion • ,' - ,FOR OFFICE USE ONLY . - ' City of Tigard Received ' PermitNo.: III • 13125 SW Hall Blvd., Tigard, OR 97223 Date /By: i �' - �'� ,„..\ L 4 .1 , I ' 0 Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: - 1E51 T I G ARD Ins Line: 503.639 �T! ��j , al ; '7, dy /By Juris: 65 See Page 2 for Internet' www.tigard- or.gov } b 1 l ` 1��. 'J Notified/M Supplemental Information - ' '. - TYPE YPE OF -WORK: ' • „ ,'''OE ‘4„ , ,- 2, 246 COMMERCIAL FEE *'SCHEDULE - USE CHECIaLIST' ❑ New construction ['Addition /alteration /replaceme>} OFi'� Mechanical permit fees* arc based on the value of the work (( G 1 QN performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: �rINGD mechanical materials, equipment, labor, overhead, and profit. w 1�' z Value: $ ` - , CATEGORY OF' CONSTRUCTION .. - ' ' ` ' , 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 . - 101i 'SITE'INFORMATION AND, 'LOCATION,' ' _ Heating/cooling Job site address: Z SO SITU _,,�0l l Ai conditioning heat pump `( (reqguires site plan shoo wing placement) 1 14.00 City /State /ZIP: T I C"' " _ ` 0 -� . O a- 3 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 1 7.90 Suite/bldg. /apt. no.: Project name: ' /_, 1 F 10 \ � 1 cf nen Gas heat pump 14.00 Cross street/directions to job site: S W ) \ CA. \\ \ a 1�v aN p Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION -OF ,WORK, Water heater 10.00 Gas fireplace 10.00 1 d.-e \ ( aC 411 W_) ) C \ l \ co F4- . 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 �� �,� O in 10.00 ? � ` `L WROPERTY, .WNERr , TENANT' : ,' ' " Other: 10.00 Name: �y tf r S k'-{ 4)1 Y r Environmental exhaust and ventilation Address: ' La- `70 5 u) \ 0 \\ O r . Range hood /other kitchen equipment 10.00 City /State /ZIP: 7--1 ( aY A Qa__ c. .- Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (cj03) 9, q -- 0-kg Fax: ( ) toilet compartments, utility rooms) 2...- 6.80 : ', - a ,E 41'PLICANT : . Y; ` , : ; `" O. CONTACT' PERSON y Attic /crawlspace fans 10.00 Business name: LO exyq — C-- �^ 1.,,, l-C/ Other: 10.00 `� ' \ Fuel piping Contact name: U.p.,Q_ )/t.J t7 $5.40 for first four; $1.00 for each additional Address: °I. e J-lJ Sw ) 1 Ave._ Furnace, etc. G \ l J � _ ` ` 00 co Gas heat pump � e on `i City /State /ZIP: ' � Wall/suspended/unit heater Phone: (col) � O 00 Fax: (563) 7) Cc y 5 5 6 Water heater L 1 _ Fireplace E -mail: Q a Consr✓c,QY\11 C l7 ^ , ckk o • C0w Range " CONTRACTOR a `:', ;, : ` • . Barbecue Business name: Q l) &peas -b-jc 4-i Q,,.,, 1,...1.-C___, Clothes dryer (gas) Other: Address: Cl'-Q �"r ` 'ME CH A NI C AL,P E RMIT FEES* , ' ,, City /State /ZIP: lb_e_0"/ 'j.(4 -7 Q(2-.„ 03 CP Subtotal (�"(l aaa r'l" C Minimum permit fee ($72.50) '12, Phone: ( ) 52 00 Fax: (5Oy - 7 i (p 7 55 co Plan review (25% of permit fee) CCB lie.: State surcharge (12% of permit fee) j , `7�' / TOTAL PERMIT FEE > b 2-- T hi Authorized signature: s permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 05Lap, A • p - g__ Date: / a - V- -Of * Fee methodology set by Tn- County Building Industry Service Board r\ Building \ Permits \MEC- PermitApp doc 01/19/07 440 -4617T (I1 /02 /COM/WEB) r Mechanical Permit Application :'ity 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 • Plumbing Permit Applic0 *ion Building Fixtures - OFFICE USE ONLY City of Tigard Received !� Permit No.: . u 13125 SW Hall Blvd., Tigard, OR 97223 a; e O w � �t7� �, i III �� t� view Phone: 503.639.4171 Fax: 503.598.1960 9415,./1....11.15- Other Permit No.: Inspection Line: 503.639.4175 date /By: TIGARD Da •eadyBy: luris: la See Page 2 for Internet: www.tigard - or.gov ® 4 11,7, d/Method: Supplemental Information v °, ; "- - - :_, 'TYPE OF WORK . " -- r `„ ' , , '.FEE* , SCHEDULE: _'., . ❑ New construction ❑Demolition Q F1IG�S D For special information use checklist DNI Description I Qty. Ea. I Total © Addition/alteration/replacement ❑ Other: WW New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) - " , ,, °-• 'OF• CONSTRUCTION ' - -- f ; ' SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 Accessory building SFR (3) bath 399.00 ❑ ry g ❑ Multi- family Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB;;SIT INF'ORIVIATION AND: LOCATION Site utilities Job site address: I tirGO 3 V... k\ �- . Catch basin or area drain 16.60 City /State /ZIP: - 1"1 Op s -� OP, on - D a-3 Drywell, leach line, or trench drain 16.60 g p \ K.," A •0y 1 e- Q S Footing drain (no. linear ft.: ) Page 2 Suite /bid /a t. no.: Project name: J S 0._.‘ " \v d. • Manufactured home utilities 110.00 job site: Cross street/directions to 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 ,..`.. rv, ;;.....,„ .' : :''..:,�� DES OF WORK =_a - - „ • s ;: ,,'.:. ',, ,, y) , Q _ - A , Backflow preventer Page 2 tO a.Q t.< ��(TW1 1 fl e- ., C1 � \ J 4 (� Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ''= Drinking fountain 16.60 / r PROPERTY" OWNER q „} „ . r 0 TENANT` .. ' r) r n � � Ejectors /sump 16.60 Name: 1J Expansion tank 16.60 Address: V2....-4-- co g-tA) y-..,Az \ D Y . Fixture /sewer cap 16.60 City /State /ZIP: 'mil O.,y'{ 0 a 9-1 Floor drain /floor sink/hub 16.60 Phone: (�Q3) "3 -- Q, $3 Fax ( ) Garbage disposal 16.60 �y �, Hose bib ( 16.60 60 4-6(..3 -� .. , '- . APPLICANT r - :. . _,.. ❑• CONTACT PERSON Ice maker 16. Business name: CA CjnS C, QP� t� � Interceptor/grease trap 16.60 Contact name: C.,.‘•12... (1/4-1. { �e---.. Medical gas (value: $ ) Page 2 Address: 9 S .) )' j r 4 • Primer 16.60 City /State /ZIP: a1/,Q.-y'4Yy� O . �l V 0(a Roof drain (commercial) 16.60 ^^��� )-� @@ 7 S Sink/basin/lavatory 3 16.60 A. Phone: (c171) a'`c 1 O CO Fax: : ) ( (o'/ S cO p Al �d �� L C ^ Co ub /shower /shower pan 16.60 E -mail: � 0 (O I 1 Ckh(O • ( VI" . Urinal 16.60 " CTOR ` '. .- Water closet 16.60 ''',..?_C � Business name: T� C 1 l.jWt .i I YL�1 \ , , Water heater 16.60 �, 1 a Address: i #2-1 2%., 1J G Cpl (� v", S-{- Other ���� /�� Subtotal i i Y i l a� tD 0 nn 1 � L 1 c � City/State/ZIP: 1 ' 1 �� "` t T' Minimum permit fee: $72.50 (O Phone: (55(, ) 9.,0 GI - 14 Zo■ 0 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: 1 55 GI 2_01 Plumbing Lic. no.: 3t-}`-\a7- Plan review (25% of permit fee) Authorized signatur State permit - 1 C 1 ; _____174..Z,." TOTAL PERMIT FEE If:3g,V� Print name: Dsea K " od 2_ Date: /2 - ,-_. 7 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. 1 \ Building\Permits\PLMF- PermitApp doc 12/27/06 440- 4616T(I0/02 /COM/WEB) Plumbing Permit Application 'ty of Tigard Page 2 - Supplemental Information • Fee Schedule: • Residential Fire Suppression Systems: Q*'• Fee (ea) ' Square. Footing drain - 1s 100' 55.00 0 to 2,000 . $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 . 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 • 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Total-' additional $100.00 or fraction thereof, to and F )1%tAre'`OrIt_elna s__ Q. r; aR . 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 .$50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Commercial Fixture Work: ; Plan_ Installations' Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and - Quantity by (Fixture) Work Performed, greater, except systems designed and stamped by licensed 'F►ature,Type s - ":Replace = engineer. Capped' .:Added Existing -y ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric • Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. 3" • -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station • Shower -Gang -Stall Sink - Bar /Lavatory • - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. . Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: • i:\ Building \Permits\PLM- PermitApp.doc 12/27/06 • lectrtcal Permit App1ica { 'qn ,-" .FOR OFFICE USE ONLY /� City of Tigard Date/ : Received V • , Permit No.: „ 200; • f( U 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' C" ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T IGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: HI See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK c : i ` ' 'PI AN REVIEW " � ❑New construction [ Addition /alteration /rent:. • . e Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: q where the available fault current ❑ Marinas and boatyards. s G00% - �• f ' " ° , n'. Y , , "` CATEGOROF Y ., COIVSTRUCTI01v`` 1- .. exceeds 1 0,000 amps at 150 volts or ❑ Floating buildings. K �` less to ground, or exceeds 14,000 ❑ Commercial -use agricultural l and 2- family dwelling ❑ Commercial /industrial ❑ Acceswriler , . amps for all other installations. buildings. ❑ Multi-family ❑ Master bUildei `° JOB STIE 1 El pump. ❑ Installation of 75 KVA or �� ,- . , ❑ Emergency system. larger separately derived system. ;11VFORMATIO N :AND' LClli . _ ., ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: ) ?X50 fW 14.40(1 Dr c ❑ Six Six o or r or more. more residential units. ❑ Recreation. eational vehicle parks. City /State /ZIP: y p( 0/2-- 07 ❑ Health -care facilities. ❑ Supply voltage for more than / ( / ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: //77 I� ❑ Service or feeder 600 amps or more. YtOI'1 f/ r ASY-ephyon f -f,;.- - _ "�:• —, .r FEE _SG HEDU*:', ' , .. ,r ; ;,! j l'1 Cross street/directions to job site: /�1. 0 80Z A. A. Va 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 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 °DESCRIPTION ;OF `WORK (with above sq. ft ) ° ., //. - Limited energy, multi- family 75.00 2 gQ� "(�t� Q reside nt ial (with above sq. ft.) l S �� i ce ) l / l / JGJ �' 7 ( q. o / Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 IN,:: ,,jEri ROP « . w - x ,D• ^ TENANT` •:,. _ 201 amps to 400 amps 106.85 2 Name: by- & f¢�y- tl� , 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 12 t4- sa Su..) I.v o I,.\ J"(. Over 1,000 amps or volts 454.65 2 City/State /ZIP: 'n d a 12 Ot --- 13 - > Temporary services or feeders installation, alteration, and/or relocation Phone: (5a ) £ _01 k 3 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, ter panel Owner signature:X . Date: A. Fee for branch circuits with ' % ` = h, .I'APPLIANT. C ., ❑ ..,CONTACT.TPERSON. , above service or feeder fee, n � � � � ° �� //, each branch circuit 6.65 2 Business name: et) `S V� \ r�` B. Fee for branch circuits Contact name: � v without service or feeder fee, 46 / 2 S Cr�c` 9_______ first branch c ircuit qb� Address: (1�t S (./3 1 (-'� �� Each add'I branch circuit • - 6.65 %)�,2 Miscellaneous (service or feeder not included) City/State /ZIP: b-efi‘A.) OW----, C� 6 { `-� 00 Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: (91 x) a -a-- g QQ Fax:: (3) 7 t C 14-5s-e, Reconnect only 66.85 2 E -mail: C Q CoYu •L-L-C, 7�'`�°0 • c . .0v- • Pump or irrigation circle 53.40 2 '''.: , .°w , '- ' s; ";:: ":.. .ss :,,,.r CONTRA "C °: , -.' ' - k.,"'".. , Sign or outline lighting 53.40 2 Business name: Ac_ Ej r 7 c,a— Signal circuit(s) or limited - energy panel, alteration, or Address: I- e e),,,JC 52, extension. Describe: Page 2 2 Y � t City/State /ZIP: ,L 1 7 - D k 9 7 3 P Z, Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503 )qf 0_3 5 y-- Fax: ( )3) S ,LS- ?to 33 ? Investigation per hour (1 hr min) 62.50 CCB Lic.: / 7 (p5 c ' g Electrical Lic.: C 3O/ Suprv. Lie.: y-.3 �aUS Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES . Suprv. Electrician signature, required: Subtotal: f DC, '70 Print name: / j// y� ,�� Date: 2 _ Plan review (25% of permit fee): v n�e��� /3 O State surcharge (12% of permit fee): I z_, 60 i Authorized signature: =' TOTAL PERMIT FEE: 1 1 q 5 0 • Print name: - 0 A jz 7 � Date: / 7 0� This permit application expires if a permit is not obtained within 180 (/ days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Bwlding \Permits \ELC- PermitApp.doc 05/23/06 440 -46 15T(11/05 /COM/WEB Electrical Permit Application • ^ity of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDE NTIAI'WORK;OlvLI'; Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* . Burglar,Alarm n Garage Door Opener* 0 Heating, Ventilation and Air Conditioning System* O Vacuum Systems* n Other: C,COMMERCIAL.*ORK O1�TLY:.: " " Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems O Boiler Controls n Clock Systems . . O Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems • O Landscape Irrigation Control* n Medical O Nurse Calls O Outdoor Landscape Lighting* O Protective Signaling • Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building \Permits \ELC- PermitApp doc 03/23/06 Nov. 21. 2008 4:39PM •,. No. 7529 P. 1 1,. . - - NO 200$ II Clean Water Services File Number C1eanWate Serv "'- 00358/ B y - - giarnsitive Area Pre- Screening Site Assessment 1. Jurisdiction: Tigard 2. Property information (example 1S234A13O1400) 3. Owner Information Tax lot iD(s): 2s101bc01700 Name: Bryn Stephens Company: �� Address: 12450 S , {iT.s . II Dr \ - . • Site Address: 12450 SW Knoll Dr City, State, Zip: Tiga '11, O' r 23 _, City, State, Zip: Tigard, OR 97223 Phone /Fax: 503 - 939 - 078 lb Nearest Cross Street: Hall Boulevard E - Malt: _ 4. Development Activity (check all that j ap 7.-- 6. Applicant Information w l Addition to Single Family Residened.( ck, garage) Name: Oscar Amador ❑ Lot Line Adjustment ❑ Minor Land Partition Company: CD Construction LLC ❑ Residential Condominium i Commercial Condominium Address: 920 SW 173rd Avenue ❑ Residential Subdivision ❑ Commercial Subdivision Beaverton, OR 97006 CI Single Lot Commercial ❑ Multi Lot Commercial City, State, Zip; Other lam{ 1 PhenelFax: 971- 222 -88 -00/503- 716 -4556 E -Mail, cdconstructionllc @yahoo.com 6. Will the project Involve any off -site work? ❑ Yes rgl No ❑ Unknown Location and description of off -site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, stale, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief, This information is true, complete, and accurate. Print!Type Name Bryn Stephens Printrrype Title Oscar Amador, General Contractor Signature • Date Nov 17, 2008 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRiOR TO ISSUANCE OF A SERVICE PROVIDER LETTER, If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. ix Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07.20, Section 3,02.1, All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly Impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening SiteAssessment does NOT eliminate the need to evaluate and protect additional water quality s ensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the tot was platted after 9/9/95 ORS 92,040(2). NO SITE ASSESSMENT DR SERVICE PROVIDER L TTER IS � RECD REO./ p Reviewed by s .�- ""'� Date 1/ A1�0 p ' 2550 SW i I listioro Hi ` - i hilsboro, Oregon 97123 - -. Phone:'( 503) 681 5100'• Fa+x:v(503)`6131 -9439 www cicanwatcrscrvices org P-IX This form is recognized by most Building Departments in the Tri- County area for transmitting information. Phase °complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. If BUILDING DIVISION TIGARD TRANSMITTAL LETTER ( i ) Do\ DATE RECEIVED: DEPT: BUILDING DIVISION U � AE C y]jJE FROM. CSC O.{- DEC 1 2008 COMPANY: c � �c.�` : tip ILDn °GDiv SI N PHON : 1 k a2- - 6600 B _ RE: j 4-SO SO—) 7 0Y I��:c.z_ ; ° tom (Site Address) Permit (7�ase Nur \ na (S � eln e � -�S (Project name or subdivis on name anbi lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: • Cross section s) and details. Wall bracing and/or lateral analysis. Floo. roof framing. Basement and retaining walls. Beam ca cu ations. Engineer's calculations. Other (explain): REMARKS: I ,, FOR OFFI E U E ONLY Routed to Permit Technicians Date: ( 7( Z in T Initial AW :e Fees Due: ❑ Yes L - o Fee Description: Amoun Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter- Revisions.doe 4/4/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 1 111 1 q BUILDING DIVISION TIGARD TRANSMITTAL LETTER • TO: J Q \ma■ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 0 5 2009 FRO O Q X , �'�Y C CITY OFTIGARD COMPANY: BUILDING DIVISION PHON ' Or( \ — )- L By RE: 1 21460 LynO \,\ )r, • 11 20 r; 00 1 • ( to Address) "emir ase'um.er (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. x Revisions: Per R u- Cross section(s) and details. Wall bracing and/or lateralVanalysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: • FOR OFFIC US ONLY Routed to Permit Techni�cii� : Date: V 12 C. Initials Fees Due: ❑ Yes ❑VNo Fee Description: Amount ) ue: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms\ TransmittalLetter- Revisions.doc 4/4/07 c , . _ _.�- �o� 253.43' —� �� �� . w I it7 o 2 N "Q EXISTING BUILDING Q G � 36' AREA dF IMPROVEMENT LIMITED i TO I -IATGH AREA ONLY — 0 CI CITY OF TIGARD • SITE PLAN REVIEW of - F BUILDING PERMIT NO: 51 $ - C ,3 r .er-IITY Z S , FE PLAN REVIEW I Street Trees: Approved ❑ Not Approved _ BUILDING PERMIT NO.: on 7>`C2coR •Cri Rio Protected T ® Approved ❑' Not Approved PLANNING DIVISION: y S oQ, Required Setbacks: f Ulf,� r .... ❑ Not Approved / er Da te: J // • CCN2 Side: $ _ S Approved eet Side: I - I �• I • Front. Garage: Rear: _ N Visual Clearance: Approved ❑ Not Appro'ttd Maxivnur Building Heit- t• feet ' PROPERTY tWS S er vi c Provider Letier Required: Yes ❑ No I LINE I b n, `"�° l � rived • B', : Date: r E ' ENGINEER NGDPAR'I ENT: 4 a f --- ' — • — • — • —. • — • — • Actual Slope ;� %. Approved ❑Not Approved S ite P n: 1.30.23' 7 /G &i/I, Date: ov /, Approved 4 1 SITE PLAN Notes: ED SCALE: 1/32" = 1' -0" i n CITY OF TIGARD . BUILDING DIVISION PERMIT #: MLiT200t3 0{l i63 13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSU i 12009 Phone: (503) 639 -4171 �l� 6 / Inspection Requests (24 Hrs.): (503) 639 -4175 .__ INSPECTION WORKSHEET FOR DATE: 2J8/2009 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12450 SW KNOLL. DR CLASS OF WORK: SUBDIVISION: TIGARDIATERRACr LOT #: 002 TYPE OF USE: PROJECT NAME: STEPHENS DESCRIPTION: Addition and interior remodel. 2/5/09, adding 20' of storm line. OWNER: STEPHENS, BRYN PHONE #: 503- 939.0783 CONTRACTOR: CD CONSTRUCTION PHONE #: 971 -2 ?2 -0800 Inspection Request Scheduled For: Date: 2)812009 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 000381 -01 971-222-8800 N Corrections Comments /Instructions: 3 W� /`v Lk (--P \"VL ---. 0 5 EA-C—Q- - 0i • 1, -1-fi °) < vv\.___ I) `C,if IM 't.r/v C4-' (c ) 5 C.4' QS—. IQ Q.„2_,,k52_,I. ‘t e -. ,roJ.2_(-L..A --,r-b ATip_JL.v:Ai 2.) v Q _ W � 4– 1-o i 4- 1 e- 4 Z C.4_71 kivuz -- Lefoc 1- F, C1 6 ("- ./, ., I 6 - , - DA --- krj '' • TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: W; (11* -- b b VG/ 6 Phone #: (503) 718- 2)Y CITY OF TIGARD t ,),t-z- BUILDING DIVISION I PERMIT # MST2000 -00163 (7 0 13125 SW Hall Blvd., Tigard, OR 97223 I DAT ISSUED:�1/1(;J gp.. Phone: (503) 639- 4171 ' II ) Inspection Requests (24 Hrs.): (503) 639 -4175 F _ . �__ I NI) INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7 :0 PAGE: 10 SITE ADDRESS: 12450 SW KNOLL DR CLASS OF WORK: SUBDIVISION: 'nGARDIA TERRACE LOT #: 002 TYPE OF USE: PROJECT NAME: STEPHENS DESCRIPTION: Addition and interior remodel. OWNER: STEPHENS, DRYN PHONE #: 503- 939 -0703 CONTRACTOR: CID CONSTRUCTION PHONE #: 971- 222 -8800 Inspection Request Scheduled For: Date: 2/5/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message . 335 Rain drain 080312 -01 971 -222 -8800 N. Corrections /Comments /Instructions: C . , 4 . 4 r? _ Ciii e,,;, --0-,- --A,e(--7,-Lit(3 1 1 / / / 1 0 1-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCES° • - • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i' ' Z1 Date: �< Phone #: (503) 718 - 1 1 . CITY OF TIGARD " BUILDING DIVISION i P ER MIT #: ST200B.0( ?t5 13125 SW Hall Blvd., Tigard, OR 97223 I DATE IS 1j I €;1 3( }T }s � n lo Phone: (503) 639 -4171 p 1i Inspection Requests (24 Hrs.): (503) 639 -4175 s' *' �.. I' _ i 4- 7 INSPECTION WORKSHEET FOR DATE: 2!5/2009 TIME: 7 PAGE: 19 SITE ADDRESS: 12460 SW KNOLL DR CLASS OF WORK: SUBDIVISION: TIGARDIA'T'EFU?.ACE LOT #: 002 TYPE OF US PROJECT NAME: STEPHENS DESCRIPTION: Addition arid intorior remodel. } 01 UP OWNER: STEPHENS, E3RYN PHONE #: 503 - 939 -07133 CONTRACTOR: CD CONSTRUCTION PHONE #: 971-222 -81300 / • Inspection Request Scheduled For: Date: 2/5,/21.109 if . Code # Inspection Description Confirm # Contact # Mes .. ge rr Pxx 315 Post/beam plumbing 080311 -01 971 -222 -8800 Y 1" V Correction Comments /Instructions: AL It" . ► 3 Ob A, .\ ` -r y- dk,....___ V" ' (2_,f )22-,,Q. Ly CS 4. - (AjCe-->Lf Ugs-ki-j( 1 4* PAS - El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED q 2--LC 2-4 , Inspector: Date: Phone #: (503) 718- `� CITY OF TIGARD BUILDING DIVISION e A e<3 , PERMIT #: MST2008-00163 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: 1/16/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 41- Ai!. , • b _ INSPECTION WORKSHEET FOR DATE: 2/6/2009 TIME: 7:OOAM PAGE: 23 SITE ADDRESS: 12450 SW KNOLL DR CLASS OF WORK: SUBDIVISION: TIGARDIA TERRACE LOT #: 002 TYPE OF USE: PROJECT NAME: STEPHENS DESCRIPTION: Addition and interior remodel. 2/5/09, adding 20' of :Awn lino. OWNER: STEPHENS, BRYN PHONE #: 603.939-0783 CONTRACTOR: CD CONSTRUCTION PHONE #: 971-2224300 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Post/barn structural 08036:3-02 971-222•8800 N Corrections/Com en s/lnstructions: .......= --"' Cal kk/N Ls:LJ 1 t/v.L\--.)2_(---i,-0--r • PASS D PARTIAL APPROVAL CANCEL NO ACCESS FAIL 111 CALL FOR INSPECTION D 0 ADDITIONAL FEES ASSESSED Inspector: \L (It Date: . / 6 1 Phone #: (503) 718- afY CITY OF TIGARD BUILDING DIVISION PERMIT #: l�Si200 -0 163 13125 SW Hall Blvd., Tigard, OR 97223 D DATE ISSUED: • 6/2 71 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1J!+i "'_.. ; INSPECTION WORKSHEET FOR DATE: 2/6/2009 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 124150 SW KNOLL DR CLASS OF WORK: SUBDIVISION: TIGARDIA TERRACE LOT #: 002 TYPE OF USE: PROJECT NAME: STEPHENS DESCRIPTION: Addition and interior remodel. 2/5/09, adding 20' of storm line. OWNER: STEPHENS, BRYN PHONE #: 503 - 939.0703 CONTRACTOR: CD CONSTRUCTION PHONE #: 971- 222 -8800 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 08036:3-01 971-222-8800 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' 1/ ' Date: u v I Phone #: (503) 718- d4 2)( CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST20()8-00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /160009 Phone: (503) 639 -4171 �Q'*^;' ��' Inspection Requests (24 Hrs.): (503) 639 -4175 s =' ° �.. INSPECTION WORKSHEET FOR DATE: 1/78/2009 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 12150 SW KNOLL DR CLASS OF WORK: SUBDIVISION: 1IGARDI TERRACE. LOT #: 002 TYPE OF USE: PROJECT NAME: STFPHENS DESCRIPTION: Addition and interior remodel. OWNER: S1EPHENS, f_3RYN PHONE #: 503 - 939.0733 CONTRACTOR: CD CONSTRUCTION PHONE #: 971 - 222 -88)() Inspection Request Scheduled For: Date: 1/28/2009 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 206 Footirrc� 080076-01 '371 \ ?` 210 • — rp S1•1 6A1 i bN1 4 K GAl.\. - i. T Corrections /Comments /Instructions: I NO f%1ic16 dos er SII'') SG-T 60 t� j cL4rA 0 l( FO ■APZ ( )6 E; G Y NAU-6 b� 1 -V)\--(3 pzwrs5 °)c \IROls _ () `_r1N y OI 5 0 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G Nc) 4. L Date: 1 "li 0/ Phone #: (503) 718- IN CITY OF TIGARD BUILDINS DIVISION PERMIT #: ;T 2fli)t3 0(t G3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/612009 Phone: (503) 639.4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 1/26/2009 TIME: 7:0OAM PAGE: 12 SITE ADDRESS: 12450 SW KNOLL DR CLASS OF WORK: SUBDIVISION: TIGARD!A TERRACE LOT #: 002 TYPE OF USE: PROJECT NAME: STEPHF_NS DESCRIPTION: Addition acid interior r emodel. OWNER: STE.PHENS, BRYi4 PHONE #: 603.939.0783 CONTRACTOR: CL) CONSTRUCTION PHONE #: q71 -:22 -6004 Inspection Request Scheduled For: Date: 1/26/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 405 Excavation 080009-01 971- 222 -8800 N Corrections /Comments/ Instructions: C I -`— - 0,- l..— l °1 CiL-.. .-- 1.----. ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL , ❑ CALL INSPECTION ❑ ADDIT ONA .FEES ASSESSED Inspector: / . Date: ( 07 Phone #: (503) 718 - A3k,