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Permit UPI q c i Ty ®F T ® b1A MASTER PERMIT PERMIT #: MST2009 -00077 ° i COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 110 B B - 01200 SITE ADDRESS: 12370 SW DUCHILLY CT ZONING: R -I SUBDIVISION: AMES ORCHARD LOT: 013 JURISDICTION: TIG PROJECT: KLUNE Project Description: Remodel existing bathroom. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 4,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 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: 1 CLOTHES DRYER: ELE 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: WISVC 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: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000* amplvolt : 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 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 JOHN KLUNE OWNER laws. All work will be done in accordance with approved plans. This 12370 SW DUCHILLY CT 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: Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 363.83 REQUIRED ITEMS AND REPORTS Issued By : Permittee Signature : Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .,. CITY OF TIGARD MASTER PERMIT NI PERMIT #: MST2009 -00077 COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 110 B B - 01200 SITE ADDRESS: 12370 SW DUCHILLY CT ZONING: R -1 SUBDIVISION: AMES ORCHARD LOT: 013 JURISDICTION: TIG PROJECT: KLUNE Project Description: Remodel existing bathroom. BUILDING REISSUE: STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK' ALT HEIGHT FIRST. sf BASEMENT sf LEFT. SMOKE DETECTORS' TYPE OF USE: SF FLOOR LOAD* SECOND. sf GARAGE. sf FRONT. PARKING SPACES . TYPE OF CONST. 5N DWELLING UNITS. THIRD sf RIGHT. VALUE: OCCUPANCY GRP. R3 BDRM: BATH: TOTAL: 0 sf 4,000 00 REAR. PLUMBING SINKS WATER CLOSETS' WASHING MACH LAUNDRY TRAYS. RAIN DRAIN. TRAPS. LAVATORIES 1 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 0 100K: BOIUCMP < 3HP. VENT FANS: 1 CLOTHES DRYER. ELE FURN > =100K• UNIT HEATERS HOODS. OTHER UNITS MAX INP: btu FLOOR FURNANCES• VENTS: WOODSTOVES. GAS OUTLETS ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp. 0 - 200 amp• W /SVC OR FOR. 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: 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 /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' 0TH• 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 JOHN KLUNE OWNER laws All work will be done in accordance with approved plans. This 12370 SW DUCHILLY CT 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: Contact #: questions to OUNC by calling 503 246 6699 or 1 800 332 2344 Reg #: TOTAL FEES: $ 363.83 CI REQUIRED ITEMS AND REPORTS / 7.----' f / / f Issu d By : / "' —.Ai / ....._ / ". _, • Permittee Signature : k C / all 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. „1:3uild.ing Permit Applic : i • . MINED Residential ICE - FOR OFF USE ONLY , FEB 5 2009 qq 1 q City of Tigard Date /By 01 1 / Pennit No 897 ��_? 7 13125 SW Flail Blvd , Tigard,J ti �I�IGARD Plan Revie .-� 1 �'� ' Phone 503 639 4171 Fax 3 ✓� 1 Plan Re Date Read } /$ ,r�.1 z luns Other Permit ) .11I TIGARD Ins ection Line. 503 639 4 DIVISION y iii See Page 2 for p 1J y Internet www.tigard -or gov Notified /Method e7 t 0 Supplemental Information TYPE OF WORK, ' ',' . ` ; `A REQUIRED DATA: 1 -ND 2- FAMILY DWELLING: - -' ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all [ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - . - -� • ' C OE CONSTRUCTION work indicated on this application. Valuation: $ Et 1- and 2- family dwelling ❑ Commercial /industrial r �� ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' ” f : ' JOB SITE TNEORMATION AND LOCATION ,,,._ . - •'., , '' i ` ' Total number of floors: Job site address: /. 3 7d s'w. Ot,, H r a a y C. New dwelling area: square feet City /State /ZIP: t--r;„, „I.yz p 9 7 ZZ y Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: a.10 S c.._ c c. Ml r. /10 6,1, Deck area: square feet /Or c9../ / -z T, ' Z....&...-2-- p ,0i'� he ,,,,..7 Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: A c . f .-5 af2/s -t_ r,t A- w d Lot no.: / 3 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 DESCRIPTIONOF'WORK work indicated on this application. A C---A ✓ , hi4- «- 0/#1 1'N / ldc9 it- &fa E '2— Valuation: $ /vim✓ /3 "f 1 i- ,'t �i -z- µ c �"'.+A. 6 - Cl/4-m 1-'I IN d Existing building area: square feet e.....-e:2 `rr G 1 New building area: square feet j' _PROPERTY OWNER -. °, ❑ TENANT . - Number of stories: Name: o 00 c / ” .✓e._ Type of construction: Address: / Z 3 7,9 S‘✓ tit he r t L y CT . Occupancy groups: City/State /ZIP: 6.09 72 2'' Existing: Phone: (re4) (p 5 (7-35- Fax: ( G 3 9 V3. New: 'q 0 - APPLICANT - - [t 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: t 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: �" / C CONTRACTOR . Business name: ©(,tom I� ) I BUILDING PERMIT FEES*. ' - ' Address: (Please refer to fee schedule) cei..,4A. E " Structural plan review fee (or deposit): e5 4 ,'7C City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) Total fees due upon application: CCB lic.: 2 80y / 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: / l e c,. •..g Date: 2 _s--.... d 9 * Fee methodology set by Tn-County Building Industry Service Board I \Building \Permits \BUP -RES PermitApp doc 11/6/07 440- 4613T(11/02/COM /WEB) Building Permit Application Checklist ' One- and Two- Family Dwelling 4. 1 ; FOR OFFICE USE' ONLY City of Tigard Received Permit No 71 u 13125 SW Hall Blvd , Tigard, OR 97223 mate /By Phone. 503 639 4171 Fax' 503 598 1960 Associated permits 24- Hour Inspection Line 503 639 4175 Cl Electrical ❑ Plumbing ❑ Mechanical TIGARD' Internet www tigard -or gov ❑ Other THE'fbi LOWING ITEMS -ARE' REQUIRED FOR PLANAFVIEw Yes • No ;» NA' I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ Cl ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ CI 5 Septic system permit or authorization for remodel. Existing system capacity CI CI ❑ 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- ❑ ❑ Cl 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. Cl ❑ ❑ 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 . ❑ ❑ 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. I \Bwldmg \Permits \BUP- RES- PermtApp doc 03/21/06 440- 4613T(11 /02 /COM/WEB) Mechanical Permit Application , ,,, FOR`,OFFICE USE ONLY'• City f Tigard ����� Re ce iv ed ` Date /By 00" S Q J k Permit No 11 9 I' a 13125 SW Hall Blvd , Tigard, OR 97223 I Phone 503 639 4171 Fax 503 598 1960 FEB 5 2009 Plan Review Other Permit TIGARD Inspection Line 503 639 Date Ready /By Suns ® See Page 2 for Internet www.trgard -or gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISIO • - : - TYPE OF WORK- - . . COMMERCIAL FEE * SCHEDULE USE.CHECKLIST 111 New construction 01 Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit • ' ' ° ' ' CATEGORY OF CONSTRUCTION. ,t .. - Value $ RESIDENTIAL EQUIPMENT,/ FEES * - ` - 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea. Total • ,' ° ''W - ':-r' " " " : : ." "'• °JOB SITE,INFORM ATIONAND LOCATION =, Heating/cooling Air conditioning or heat pump Job site address: 2 3 7e Shy a Co, f 4_t,,. 4 • (requires site plan showing placement) 14 00 City /State /ZIP •-7 7 , R d 97 ,LZv Furnace 100,000 BTU (ducts /vents) 14 00 / Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14 00 Cross street directions to job site: uP �u / T / one ��O at / Duct work / 10 00 �// n Hydronic hot water system 14 00 /z 9 D✓ /T/9 �E F Z'f� N l/u O . cho is e 7 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: ��G/f"9. Lot no.: t'3 Other 1000 Tax map /parcel no.: Other fuel appliances - -° DESCRIPTION, OF WORK Water heater 10 00 ' - • Gas fireplace 10 00 /4Oti / ✓6a #671 5'li' LT De.? C.--72 Re$- 4-+C /#"G Flue vent for water heater or gas -. . •fireplace 10 00 -- , / - Tit s ��"✓ Log lighter (gas) 10 00 Wood /pellet stove 10 00 „ ,. _ Wood fireplace /insert 10 00 Chimney /liner /flue /vent 1000 : ; Er PROPERTY OWNER . ` . ; ° " . - ❑ TENANT ` Other 10 00 Name ` 7 /may Jet A #,A---- Environmental exhaust and ventilation ✓ 'n Range hood /other kitchen Address: /2-S 70 S w ./“ e i- t y equipment 10 00 City /State /ZIP: ---/-74-: 4_.+ -6 9 7z Clothes dryer exhaust 10 00 / Single -duct exhaust (bathrooms, Phone: (CO3) G 39 £(3 S4? Fax: . -vi 3) a ., ? ce3 9 toilet compartments, utility rooms) 1 6 80 e4 APPLICANT; - - ° 13 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 Furnace, etc Address: /��� Gas heat pump City /State /ZIP: / Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR ° Barbecue Business Clothes dryer (gas) usiness name: OW O a A— Other Address: ' MECHANICAL'" PERMIT FEES*, - City /State /ZIP: l'A.... Subtotal Minimum permit fee ($72 50) - 12. '5(z.„) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: ?fa- 0 9/ State surcharge (12% of permit fee) f ,`7© TOTAL PERMIT FEE 2c- • This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: �� ,,..--- / [.c• over Date: -L, -0 7 * Fee methodology set by Tn- County Building Industry Service Board 1 \Budding \Permits \MEC- PermitApp doc 01/19/07 440 -4617T (I1 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: °:Total` Valuation: w Permit Fee: ` `a . • $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- PermrtApp doc 01/19/07 2 Elec.trical Permit Application s , � FOR` OFFICE USE ONLY Received 9. 7 City of Tigard "� ` Date/By b9 Permit No f 7 q 13125 SW Hall Blvd., Tigard, OR 97223 QQ b 7-Z* Plan Review II C , .. Phone 503 639 4171 Fax 503 598 l , Date /By Other Permit TIGARD Inspection Line 503 639 4175 .�+� �rv DateReadyBy teas HI See Page 2for Internet www tigard -or gov O 1► ` ' IC� Q1` Notified/Method Supplemental Information TYPE OF G D5 V J, . " PLAN REVIEW _, ❑ New construction g Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY. OF CONSTRUCTION _ - • 1 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 El Accessory building amps for all other installations buildings ❑ Multi- family El Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or _ .JOB` SITE IN FORMATION;, AND LOCATION ❑ Addition system larger separately derived system - - r , - - • _ e . ❑ Adwon of new motor load of ❑ "A ", "E ", "1 - 2 ", "1 - 3 ", � — 100HP or more occupancy Job no.: Job site address: 2 3'IC2 9 w ,Qk C f f r t- t, y j : ❑ Six or more residential units ❑ Recreational vehicle parks City /State /ZIP: �� Q 7zZy ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more y FEE SCHEDULE ' = Cross street/directions to job site: 4,/0 �uet Air, Q9 . 4, 19 ‘A, , / Description I Qty. I Fee. Total /`�� New residential single or multi family dwelling unit. / C - y62 - 7 - ter 00+- 4" i 4 Lr Includes ft or ched garage. 145 15 4 Subdivision: 6.- rr� e �.0-A �, Lot no.: /3 Ea add'l 500 sq ft or portion 33 40 1 Tax map /parcel no.: Limited energy, residential 75 00 2 ,DESCRIPTION OF `WORK (with above sq ft ) Limited energy, multi - family 75 00 2 / i?e.*C /,'-'6.- A" x Z,,•a 5/ej,.�7y7 / h f . Xn , r i residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation _ 200 amps or less 80 30 2 [g PROPERTY OWNER ❑TENANT - 201 amps to 400 amps 106 85 2 Name: 401 amps to 600 amps 160 60 2 �' r � "� � 601 amps to 1,000 amps 240 60 2 Address: / . 3 7 C> . _- 2 Cut', LL y Over 1,000 amps or volts 454 65 2 City/State/ZIP: ,--r Temporary services or feeders installation, alteration, and/or / Co a e 972 relocation Phone: (s 03 F, 3, 5-9 Fax: ( 503) 6' y3.tp 200 amps or less 66 85 1 Owner installation: T 's inst 11 • n is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, leas , rent, chang ccording 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 • , APPI,IC�AT': - -' : - • CONTACT PERSON , above service or feeder fee, 6 65 2 �� '' each branch circuit Business name: B Fee for branch circuits Contact name: without service or feeder fee, I 46 85 [abs� 2 first branch circuit [[ Address: Each add'l branch circuit 6 65 2 ,,...4 8 / Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90 90 2 Phone: ( ) Fax: : ( ) Reconnect only 66 85 2 E -mail: Pump or irrigation circle 53 40 2 . ' . - - • CONTRACTOR . , Sign or outline lighting 53 40 2 Business name: 0 N t.(L— Signal circuit(s) or limited - energy panel, alteration, or Address: extension Describe Page 2 2 City /State /ZIP: - Each additional inspection over allowable in any of the above Per inspection 62 50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62 50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73 75 . ELECTRICAL PERMIT, FEES , _ - Suprv. Electrician signature, required: Subtotal t1b6 ,e Print name: Date: Plan review (25% of permit fee) State surcharge (12% of permit fee) 'S. 4-,- Authorized signature: TOTAL PERMIT FEE 62 ,4 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit 1 \Building\Permits\ELC- PermtApp doc 05/23/06 440- 4615T(I I /05 /COM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: [-'RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: n Audio and Stereo Systems* Ti Burglar Alarm Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* • • n Other: COMMERCIAL WORK ONLY.: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems - n Data Telecommunication Installation • n Fire Alarm Installation n HVAC Ti Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* Ti Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Budding \Penntts \ELC- PermiApp doe 03/23/06 , Plumbing Permit Application Building Fixtures �� � Fok OFFICE° USE ONLY City of Tigard Received 5/ U Permit No /..../ Date/By / cap, 7- 77 Other Permit a 1 3125 SW Hall Blvd ,Tigard, OR 9722 Phone 503 639 4171 Fax 503 598.196rr8 209 Plan Review G Date/By Permit No T I GA RD Inspection Line 503 639 4175 � Date ReadyBy tuns ® See Page 2 for Internet www tigard -or gov ®FT1G _ Noti fied Method Supplemental Information TYPE" OF ,WORT "� �l,�N61)v., 1® : . ., . FEE *` SCHEDULE , ' " '" , ' ❑ New construction demolition Fos special information use checklist. Description Qty Ea I Total S Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft for each utility connection) " ., " ` ` ; F' ' : CATEGORY O, CONSTRUCTION : '``s, -_ SFR (1) bath 249 20 [, 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 El Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45 00 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft ) Page 2 . JOB. SITE, INFORMATION AND LOCATION Site utilities Job site address: j 3 76 .5.w c a '4.. r GT • Catch basin or area drain 16 60 City /State /ZIP: / ' , of 0 ,d q 77 Z 0► Drywell, leach line, or trench drain 16 60 Suite/bldg. /apt. no.: I Project name: Footing drain (no linear ft ) Page 2 Manufactured home utilities 110 00 Cross street/directions to job site: 609 f3 K t t !ti/r,aJ`,. •i✓ /hoc¢ - 7 Manholes 16 60 A.4 iG dr �2 T. O/c/ WA 7-t27`ntea; oi✓�/.- rc 7 Uet9}/ Rain drain connector 16 60 ■ Sanitary sewer (no linear ft _ ) Page 2 Storm sewer (no linear ft _ ) Page 2 Subdivision: d3 19 4 Lot no.: / ?] Water service (no linear ft . ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16 60 DESCRIPTION OF 'WORK, ' ' : - Backflow preventer Page 2 -- /1.40 /f Z rD LTV /r h Oh-7W Backwater valve 16 60 Clothes washer 16 60 Dishwasher 16 60 - Drinking fountain 16 60 ' ig" PROPERTY OWNER ° =, , , _ . - _" ❑: TENANT '• '0—TO Ejectors /sump 16 60 Name: N'r /4 4 •1"t Expansion tank 16 60 Address: /z 3 7o S 44 ! ■at c- /f t6 t---y --.5 . Fixture /sewer cap 16 60 City /State /ZIP: / 7 4. /2._e ' 722 r Floor drain /floor sink/hub 16 60 ( ) Garbage disposal 16 60 Phone: 3 G 39 v5 5-9 F ax: (Sb3) G3 9 cf 3 S9 '' ': fa , . 4;3 CONTACT. PERSON Hose bib 16 60 Ice maker 16 60 Business name: Interceptor /grease trap 16 60 Contact name: Medical gas (value $ ) Page 2 Address: cam, 6. Primer 16 60 City /State /ZIP: Roof drain (commercial) 16 60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory / 16 60 Tub /shower /shower pan 16 60 E -mail: Urinal 16 60 ' ` 7 1 ` , ''' 'CONTRACTOR �• - ,° __ . - . '� - , Water closet 1660 Business name: 7 j) i'/ -ie-Vl/ Water heater 16 60 Address: Other City /State /ZIP: ��, Subtotal Minimum permit fee $72 50 r Plan review (25% of permit fee) Phone: ( ) Fax: ( ) Residential backflow minimum permit fee $36 25 72;_. CCB Lic.: Z ' c y '/ / Plumbing Lic. no.: B,' -' ' �j State surcharge (12% of permit fee) B,'-/C) Authorized signature: i TOTAL PERMIT FEE (,, Print name: ' Y ,-- ,lL 4,.-I 6 "- Date: 2 - s ._ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn- County Building Industry Service Board i \BwIdmglPermas \PLMF- PermfApp doc 12/27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty; ` , Fee (ea) ' Total Squa Foot i� age: 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 Sewer - 1st 100' 55 00 3,601 to 7,200 • $220 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 &Ram Drain - 1st 100' 55 00 Valilation:;- _. Permit Fee: F $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 Qty. Fee (ea) Total additional $100 00 or fraction thereof, to and Fixture Or',ItCnl ''; r 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: $50,001 00 and up $742 00 for the first $50,000.00 and $1 20 for each additional $100 00 or fraction thereof • Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed ixt engineer. FixtUrelType: . Replace Previous' 'Capped Added : Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry /Font as defined in OAR918 780 - 0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. - Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain . Isometric Or Riser IDi_agran% . " Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink - 2" that meet the qualifications above. -3" 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 \Bmldmg\Permus \PLM- Perm6App doc 12/27/06 Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. , . 1 r ((� I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print N rmit Applicant l � /� x/5/09 Signat f P ermit Applicant Date Permit #: 1 0009- oOO77 • F I U �W % '� Address: ��� uC,��1L -t-y � ��.����n /i� %�� hi is �174 .1 • k..wr itnlfJF • Issued -. Date: At �`J4/ r This Copy for Permit Offices Building Division One & Two - Family Dwelling T rc n o Fees Checklist PERMIT INFORMATION: . Permit #: Plan #: Date: � '5( 0 Site Address: - (Z7o Parcel #: Subdivision: Lot #: Zoning: Jurisdiction: l (E Setbacks: Front: Rear: Left: Right: Class of Work: Stories: 2-- First Floor:, Type of Use: Height: Second Floor: Construction: Floor Load: Third Floor: - Occupancy Group: . R3 Dwelling Units: Bonus Room: Valuation: 1000 `°c' Bedrooms: Total Floors: Bathrooms: Basement: Decks: Garage: Porches: Other: FEES: Description: Fee.Amount: Amount Paid: Balance Due:_ Plan Check: Building: ,'7C) Extra Set: Permit: Building: PA , t (� Tax: (() , ( Metro CET: - - School CET: Mechanical '7Z Tax: Plumbing: 12 c Tax: g--70 Electrical: 4 Tax: 4 Lz- Low Voltage: Tax: CDC: CDC Ping. Rev.: CDC LRP Fee: SDC: Parks: TIF Res.: TIF MT: Erosion Permit: Erosion CWS: Erosion COT: Water Quality: Water Quantity: SUB - TOTAL: o It 5 . X6'77 Sewer: Permit: Inspection: SUB - TOTAL: TOTAL MST & SWR: I \Building \Forms \ResPlanCheckFces doc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) ' l' I Qty. I Fee(ea.) I Total Description Qty Fee(ea.) Total New 1- & 2- family dwellings Heating/Cooling (includes 100 ft. for each utility connection) - Air conditioning or heat pump* 14.00 SFR (1) bath 249 20 Furnace 100,000 BTU (ducts /vents) 14 00 SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) 17 90 SFR (3) bath 399.00 Gas heat pump 14.00 Each additional bath /kitchen 45 00 Duct work 10.00 _Rain Drain, single family dwelling 65.25 Hydronic hot water system 14.00 Fire sprinkler - sq ft. 0 to 2,000 115.00 Residential boiler _ Fire sprinkler - sq. ft. 2,001 to 3,600 160 00 (for radiator or hydronic system) 14 00 _Fire sprinkler - sq ft 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - sq. ft. 7,200 and greater 309.00 (in wall, in -duct, suspended, etc.) 14.00 . Site Utilities _ Flue /vent (for any of above) 6.80 Catch basin/area drain 16 60 Repair units 12 15 Drywell /leach line /trench drain 16.60 Other Fuel Appliances Footing drain - 1 100' 55.00 Water heater 10.00 Footing drain - each additional 100' 46.40 Gas fireplace 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 10.00 Manholes 16.60 Log lighter (gas) 10.00 Rain drain connector 16 60 Wood/Pellet stove 10 00 Sanitary sewer - 1 100' 55.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 Sanitary sewer - each additional 100' 46.40 Other. 10 00 Storm sewer - ] 100' 55.00 Environmental Exhaust& Ventilation Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment 10.00 Water service 1 100' 55.00 Clothes dryer exhaust 10.00 Water service - each additional 100' 46.40 Fixture or Item Single duct exhaust Absorption valve 16.60 (bathrooms, toilet compartments, Backflow preventer 27 55 utility rooms) 6.80 Backwater valve 16.60 Attic /crawl space fans 10.00 Clothes washer 16 60 Other: 10 00 Dishwasher 16.60 Fuel Piping Drinking fountain 16.60 * *($5.40 for first 4, $1.00 each additional) Furnace, etc. ** Ejectors /sump 16.60 Gas heat pump ** Expansion tank 16.60 Wall /suspended /unit heater ** Fixture /sewer cap 16 60 Water heater ** Floor drain /floor sink/hub 16.60 Fireplace ** Garbage disposal 16.60 Range ** Hose bib . 16 60 BBQ ** Ice maker 16 60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other: ** Primer 16 60 Total: Roof drain (commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory 16 60 Subtotal: $ Tub /shower /shower pan 16.60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet 16.60 State Surcharge (12% of Permit Fee) $ Water heater 16 60 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees ELECTRICAL FEES (residential single- or multi - family) Subtotal $ Description Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less 145 15 4 Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq ft. or portion 33.40 1 State Surcharge (12% of Permit Fee) $ Limited energy, residential 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwelling, service and /or feeder 90.90 2 Electrical Permit Fees - Subtotal. $ Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ TOTAL PERMIT FEE $ I \ Building \ Forms \ ResPlanCheckFees doc 01 /19/07 Page 2 - I / ? )\ \ - r -! DP V / I r l / I =-= =- ttL -' �� � !`�� � � Oi5 TO C )2 J 2-& 1 Jf1 L ij!LJ ( ', , Approved Conditionally Approv$d.............. [ ] A7' SeLetterto:FoHow.L....,. A.ed [] '' //I / ' Permit Number A - 00 Add :Tl� * - r By: Date: - (C. I - OFFICE COPY 4 N R og 1 -- 639/3� .43 3C7 City of Tigard, Oregon Page 1 of 2 City of Tigard G gon " ' `� ' ' ., � ' :61. Z.� f; i1 C.,.} � l ,' t ,. � lfl_ "+111 Fhrlr lt:rd, 1i +d rd. rUl Y'_'' i. • 1. 1� �. . i " TIGARD 1)'/dce 10 (.;,/I Home ." , 1 Search 1 Property 1 Pianntna 1 Crimes I Transportation I Utilities I Aerials 1 FOC 1 Street View I Print 1 1 Summary 1 Permit Summary 1 Community 1 Hazards 1 Explorer, 12370 SW DUCHILLY CT Property Summary W / N F1 ti CHANDLER DR « �, GAARDE 51. s • D UCHIILY CT c C * 'O, WU,d NTAtN Rt u, x N H CORYUJS CT 0 P Property Owner Info g v Tax ID Number: 25110BB01200 Tax Account Number: R491676 Site Address: 12370 SW DUCHILLY CT Site City: Site ZIP: 97224 Owner: KLUNE, JOHN G & LOIS A TRUSTEES Owner 2: 12370 SW DUCHILLY CT Owner 3: Owner Address: Owner City: TIGARD Owner State: OR Owner ZIP: 97224 Acres: 0.92 Sq Ft: 40,075.2 Bldg SF: 3,180.00 Bldg Value: $ 350,390 Land Value: $ 373,410 Total Value: $ 723,800 Taxable Ass'd Value: $ 415,340 Sale Price: $ 0 Sale Date: 06/17/94 Year Built: 1980 District & Community Info Municipality: Tigard Tigard Urban Sery Bndry: YES Tigard Neighborhoods: L Name Link to Website Area 12 Area 12 Neighborhood News School Attendance Areas: http: / /tiggi siw /mox52_multimap /index. cfm ?fuseaction= property. summary &CFID =1045 3 5 &CFTOKEN =... 2/18/2009 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2009- 01077 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/+-,,,/2009 Phone: (503) 639 -4171 1, Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7 :01AM PAGE: 3 SITE ADDRESS: 12370 SW DUCRILLY CT CLASS OF WORK: SUBDIVISION: AMES OR +wl D LOT #: 013 TYPE OF USE: PROJECT NAME: KLUNE DESCRIPTION: Remodel exir:ting bathroom. OWNER: KLUNE, JOHN PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2J 19/2009 Pour Time: Code # Inspection Description Confirm -# Contact # Message 120 Electrical rough -in \ 080646 -01 \ E)03-309-9989 Y Corrections /Comments /Instructions: _ � / -i to AAA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' v �'v Date: �- °��' Phone #: (503) 718- 1-411L. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003.00077 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2112009 Phone: (503) 639 - 4171 Argo Inspection Requests (24 Hrs.): (503) 639 -4175 A- "'' L. INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7:00AM PAGE: d SITE ADDRESS: 12370 SW DUCI CT CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 013 TYPE OF USE: PROJECT NAME: KLIJNE DESCRIPTION: Romodel exit Ling bathroom. OWNER: KL_UNE, JOHN PHONE #: CONTRACTOR: OWNER — PHONE #: Inspection Request Scheduled For: Date: 2/18/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 080611 -01 503- 309-9989 N- Y Corrections /Comments/ Instructions: �x. LFs' 100 V ❑ PASS ❑ PARTIAL APPROVAL I \ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION 9 ADDIT • iAL FEES ASSESSED Inspector: ■ IN 6 6 Lk.; Date: 1 - 7 11' 1 Phone #: (503) 718- Z'1 t l e CITY OFTIGARD .' BUILDING DIVISION 2� P ERMIT #: MST2009.00077 13125 SW Hall Blvd., Tigard, OR 97223 7 DATE ISSUED: 2/b/2 09 Phone: (503) 639 -4171 �'f� (/ Inspection Requests (24 Hrs.): (503) 639 -4175 °'f D 1 ��� Z i 1 INSPECTION WORKSHEET FOR DATE: 2/20/2009 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 12370 SW DUCHILLY CT CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 013 TYPE OF U E: PROJECT NAME: 4 <Ll1NE y DESCRIPTION: Remodel existing bathroern. 1 ) OWNER: N.Ll1NE, JOHN PHONE #: CONTRACTOR: OWNER PHONE # Inspection Request Scheduled For: Date: 2 / Pour Time: ()PK Ins P q .J ?0/2009 V b(N.� Code # Inspection Description Confirm # Contact # Mes ge bie o e 260 In sul;Ai on 080688 -01 503 - 309-9989 ,�/, Corrections /Comments/ Instructions: ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _, IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i I Inspector: ()� Date: ? -45 / C)g Phone #: (503) 718 - - CITY OF TIGARD ' - BUILDING DIVISION �.� PERMIT #: MST2009-00077 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' r: '.009 Phone: (503) 639 -4171 r �l�l / , t Inspection Requests (24 Hrs.): (503) 639 -4175 Z INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7;01AM PAGE: 1 SITE ADDRESS: 12370 SW DUCHILLY (,::T CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: t113 TYPE OF USE: PROJECT NAME: KLUNE DESCRIPTION: Remodel existing bathroom. OWNER: KLUNE, JOHN PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/1912009 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 080645 -03 503 -309 -9989 N Corrections /Comment /Instructions: &Jr ri,_c_c_. ...", /-,_ 5 A ),,, 1 1 1 I a ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ ' \ —� Date: >/ l A Phone #: (503) 718 - -2---(1 CITY OF TIGARD BUILDING DIVISION � � PERMIT #: tdl l`a01)9 00077 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 32009 Phone: (503) 639 -4171 gt j�l 0)j- Inspection Requests (24 Hrs.): (503) 639 -4175 s __.. INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 12370 SW DUCHILLY CT CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 013 TYPE OF USE: PROJECT NAME: KLUNE DESCRIPTION: Remodel exifating bathroom. OWNER: KLUNE, JOHN PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2.119/2009 Pour Time: J 44N4 /O:eo Code # Inspection Description Confirm # Contact # Me -ge 615 Mechanical rough -in 080646 -02 503.309.9989 Y Corrections /Comments /Instruct ns: • U� itlikf`4 t G PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / �-�(C Date: ,3— /\ _` 6 Phone #: (503) 718 - Z `f Z( CITY OF TIGARD BUILDING DIVISION . PERMIT #: MST2009.00077 13125 SW Hall Blvd., Tigard, OR 97223 (� i( DATE ISSUED: 2/&20:19 Phone: (503) 639 - 4171 4 i , 1 Tigt i ` Inspection Requests (24 Hrs.): (503) 639 -4175 6 INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7:00AM PAGE: SITE ADDRESS: 12370 SW DUCHILLY CT CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 013 TYPE OF USE: PROJECT NAME: KLUNE DESCRIPTION: Remodel existing bathroom. OWNER: I <LIJNE, JOHN PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/10/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 27 Framing 080611 -03 603 -309 -9989 N Corrections /Comments /Instructions: 6 -- n PASS ❑ PARTIAL APPROVAL ' CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD ,� . ' BUILDING DIVISION I/ PERMIT #: MVMST2009 -80077 13125 SW Hall Blvd., Tigard, OR 97223 1 f DATE ISSU • 2/612009 Phone: (503) 639 -4171 Arogiti 11 Inspection Requests (24 Hrs.): (503) 639 -4175 `,_.. 2 (o INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7 :00AM PAGE: 1 SITE ADDRESS: 12370 SW DUCHILLY ( CLASS OF WORK: SUBDIVISION: AlyMEr' ORCHARD LOT #: 013 TYPE OF USE: PROJECT NAME: KLUNE DESCRIPTION: Remodel existing bathroom, OWNER: KL.UNE, JOHN PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/18/2009 i T e: , ... �,/C 70 r Code # Inspection Description Confirm # Contact # Mess.- • • yvti 280 Insulation 080611 - 04 S03 309.9989 drk" Corrections /Comments/ Instructions: 13116-' ❑ PASS ❑ PARTIAL APPROVAL IVCANCEL fl NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD A BUILDING DIVISION �^ PERMIT #: pyl4T2tltlFrt }f' ±' 13125 SW Hall Blvd., Tigard, OR 97223 11 DATE ISSUED: - ` 6,12009 Phone: (503) 639 -4171 ,1i Inspection Requests (24 Hrs.): (503) 639 -4175 'F'I INSPECTION WORKSHEET FOR DATE: 2/18/2009 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 12170 SW DUCH'LL.Y CT CLASS OF WORK: SUBDIVISION: AME; C»''Z {HARD LOT #: 013 TYPE OF USE: PROJECT NAME: KI IJNE DESCRIPTION: Remodel E'XiSQing bathroom. OWNER: KLUNE, JOHN PHONE #: CONTRACTOR: OWNER 1 /1 PHONE #: Inspection Request Scheduled For:. Date: 2/18/2009 1 6 Pour Time: 64: j Code # Inspection Description Confirm # Contact # Mes ag 616 Mechanical rovgh -in 000611 -02 503 - 309 -9989 Y Corrections /Comments /Instructions: r D PASS ❑ PARTIAL APPROVAL %] CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- - CITY OF TIGARD . 1 '' BUILDING DIVISION � - PERMIT #: MST2009- 00077 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 2/512009 Phone: (503) 639 -4171 fr 40011 Inspection Requests (24 Hrs.: 503 639 -4175 '" ) ' INSPECTION WORKSHEET FOR DATE: 711712009 TIME: 7 :00AM PAGE: 11 SITE ADDRESS: 12370 SW DUCHILLY CT CLASS OF WORK: SUBDIVISION: AMES ORCHARD LOT #: 013 TYPE OF USE: PROJECT NAME: KLIJNE DESCRIPTION: Remodel existing bathroom. OWNER: KLUNE, JOHN PHONE #: CONTRACTOR: OWNER P` NE #: 0. 4-1 Inspection Request Scheduled For: Date: 2/17/2009 Pour Time: Code # Inspection Description Confirm # Contact # Me C ; 3 a 320 Plumb o rougli.in 080582.01 503-309- 9939 q Corrections/ omments / /' Instructions: . rc;9 PASS 0 PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS — FAIL ❑. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i� / � Inspector: Date: �I Phone #: (503) 718 - � 7