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Permit
k A_O ,,,dc, 2 00 amp f-erU. i l l . v C IT Y OF TIGARD MASTER PERMIT . II ` -• COMMUNITY DEVELOPMENT Permit #: MST2008 -00141 .TIGARID 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/26/2008 Parcel: 1 S 136AD00800 Jurisdiction: TIG Site address: X 1.0485 -SW. ,_6,7TH Subdivision: Lot: Project: LONGTIN Project Description: 1161 sf. addition. Mechanical other- attic fans. Plumbing other -hose bibs. 6/12/09 ADDED 200 amp service. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 478 sf Basement: sf Left: 5 Parking Spaces: Height: 21 Bathrooms: 2 Second: 683 sf Garage: 799 sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: sf Value: $142,557.91 Rear: 15 PLUMBING Sinks: Water Closets: 2 Washing Mach: Laundry Trays: Rain Drain: 100 Catch Basins: Lavatories: 2 Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: 3 Tubs /Showers: 1 Garbage Disp: Water Heaters: Water Lines: Drains: 0 Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: NAT Heat Pump: N Hoods: Other Units: 2 Fum <100K: 1 Vents: Woodstoves: Gas Outlets: Furn > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0 -200 amp: W/ Svc or Fdr: 12 Ea addl 500 sf: 20 1 -400 amp: 1 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add] Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) BLAKE LONGTIN BELL HEATING 10485 SW 67TH AVE 15550 SE PIAZZA AVE TIGARD, OR 97223 CLACKAMAS, OR 97015 PHONE: 9971- 244 -3387 PHONE: 503- 656 -1184 FAX: 503- 656 -4650 Total Fees: $3,752.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 246,6699 or 1.800.332.2344. • Issued By: Permittee Signature: 0( 1c • - - -q CITY OF TIGARD MASTER PERMIT 1, PERMIT #: MST2008 -00141 COMMUNITY DEVELOPMENT DATE ISSUED: 9/26/2008 .T 1GAItD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 136AD -00800 SITE ADDRESS: 10485 SW 67TH AVE ZONING: R - 4.5 SUBDIVISION: VILLA RIDGE NO. 2 LOT: 011 JURISDICTION: TIG PROJECT: LONGTIN Project Description: 1161 sf. addition. Mechanical other- attic fans. Plumbing other -hose bibs BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 21 FIRST: 478 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 683 sf GARAGE: 799 of FRONT: 20 PARKING SPACES : TYPE OF CONST: 514 DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,161 sf 142,557.91 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 CATCH BASINS: TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 3 MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 2 CLOTHES DRYER: NAT FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 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: 12 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 1 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVC/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 6 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 BLAKE LONGTIN OWNER laws. All work will be done in accordance with approved plans. This 10485 SW 67TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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: 9971 244 - 3387 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 3,662.38 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 _ Per mitte e Si Issu � d By � � / -� .� .. Signature : 9 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. B.1nidi-nI erm t plic�t _ y . Residential q , �'ry ;� -- �C FIi s onvo.4. � 3 ' ; '' �- a ; ,� .as� y �, � . -,: K : mss � , �r ��� ''�� � ^+% , '� � �: Received City of Tigard `� DateB . i '�J Perm No. �7 -`_ g' . I IIII a 13125 SW W Hall Blvd., Tigard, OR 97 p� Plan Revieyy,, Other Permit: ` I Phone: 503.639.4171 Fax: 503.598. t 'C ' u Date/By: . 10 5 /8 S¢ and \1 Q , D ate Ready /By. � . " ® See Page 2 for :11'1 G A R'D Inspection Line: 503.639.4175 Notified/Method: ( V r Supplemental Information - Internet: www.tigard -ocgov - P�� � /I ;fir PP " . TYPE OF WORtA A ® �tN El p3 s a REQUIRED DATA: 1- AND 2-FAMILY DWELLING G New construction Permit fees* are based on the value of the work performed. ❑ D 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 CONS TRUCTION .. . - work indicated on this application. /5/a 57 . `l/ El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $'.1 4' 1 5. 7 q 9 1:1 Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: r2 " ' :. JOB SITE INFORMATION AND LOCATION - Total number of floors: Job site address: Qy BS S . W „ 6 7fi` A ve— New dwelling area: -8 square feet fro/ City /State /ZIP: I i �,,,, oC. 9 72 Z. 3 Garage /carport area: q-aie, square feet "7")? Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Q 0-k. I — c toss S {it f --, . Deck area: square feet • L 0. .S f LvJSL On 12 t9 l t• Other structure area: square feet REQUIRED DATA: COMMERCIAL- USE'CICKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ` DESCRIPTION OF WORK - : work indicated on this application. I\ / /1 /� _ t n v I Valuation: $ � : /Ld Existing building area: square feet N. New building area: square feet • kk" ' ® PROPERTY OWNER:, ❑ TENANT: Number of stories: Name: Q Jk` � C >� n Type of construction: Address: 1 04 8r" S, I.J. 6 -7r. /_ 0 e.. Occupancy groups: S City /State /ZIP: T1 3 ...a-- 0 2 71;2.3 9 7Z-3 Existing: Phone: (iv ) L-9 y 3 3 8 7 Fax: ( ) New: N APPLICANT . .• ❑ CONTACT"PERSON .. - - . . ' NOTICE • Business name: l ^ D J � f._ i 4L ,r,e.s All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board A dd (3 "(ikQ - � O"g �� under ORS 701 and may be required to be licensed in the Address: 1 c7 49 r s: t..r, 6 7Th 4,� jurisdiction in which work is being performed. If the City/State /ZIP: �; �� �� q 7 ZZ 3 applicant is exempt from licensing, the following reasons 9 apply: Phone: (/ 7l ) Z Li y — 3 38 7 Fax:: ( ) E -mail: Q f q i‘L _ L7,1 ,-t-,\-, e_ `1 L.� . Go . w M • Vs. - - CONTRACTOR .. t, Business name: [r .' BUILDING PERMIT FEES* Address: (Please iefer to fee sclredulee) , •' Structural plan review fee (or deposit): 6 /3. 2 J City /State /ZIP: , . Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 73 kc_ L i.,y Date: 9 -5- 0 d' * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(l l /02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling ;. , 4 4 FOR O1 FIC USE :ONLY ,' { x : C of Tigard Received permit No.: IN • Date/By: a 1 3125 SW Hall Blvd., Tigard, OR.97223 Associated permits: C ;.a Phone: 503.639.4171 Fax: 503.598.1960 Q Electrical 0 Plumbing ❑Mechanical - . 24- Hour Inspection Line: 503.639.4175 .TIG _ Internet: www.tigard - or.gov ❑ Other: . )hTN FOLLOWINC' ITE A RE'REQU I RED'FOR:PLAN; , REVIEW,? _ '^-�x" � ? es *�� 1\`0; IAN /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 - ' 12 ❑ ❑ 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 (a ❑ ❑ 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 p ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size. location of smoke detectors, water heater, 5i1 ❑ ❑ 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 - X ❑: 0 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. gi ❑ ❑ 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 j ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 121. 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 IJ ❑ ❑ architect licensed in Oregon and shall be shown to be as p licable to the Iroject under review. . .IURISDI CT] ON�1L S PECI 1 IS , C . t :' :n ,. , 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, i9, 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 W ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, E ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB) i Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard to Date/B y / W Permit No.: sn/I . 13125 SW Hall Blvd., Tigard, OR • 7 SN Plan Review , - / Phone: 503.639.4171 Fax: 50 3F t . Date/By: Other Permit: T I G A R D Inspection Line: 503.639 " • Date Ready /By: See Page 2 for Internet: www.tigard or.gov �` Q p�; Notified/Method: Ea Supplemental Information TYPE OF Q� A `Q1`a COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �,��� Mechanical permit fees* are based on the value of the work ❑ New construction X Addition /al��¢ \, < it :ii, ment performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* rgi 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 1 J 6 Air conditioning or heat pump /t'� l D 4 e s S, -� v (requires site plan showing placement) 1 14.00 City/State/ZIP: f i9..rl o K 971,L3 Furnace 100,000 BTU (ducts /vents) 1 14.00 Ibt.x. - Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: C 4 , 056 c+,..,4 ; c7A At Sf. Duct work 10.00 l Hydronic hot water system 14.00 L *►S y N 1 0 os ✓ p Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 1 6.80 G..yl) Other: _ 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ®" PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: e A k� tor., }i Environmental exhaust and ventilation Address: t 0 Lit c S. 6 7V A Range hood /other kitchen v L equipment 10.00 City /State /ZIP: 11 . c 9 72 2 3 Clothes dryer exhaust 10.00 5 Single -duct exhaust (bathrooms, Phone: (Ci 71 ) 2 4,11 _ 3 3e 7 Fax: ( ) toilet compartments, utility rooms) 3 6.80 )f .1 <1 F APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans a. 10.00 vv tru Other: 10,00 Business name: ( ^ A a J A4 i v v N o,...� y LLL Fuel piping Contact name: A (a e ` L 4 . ; ^ $5.40 for first four; $1.00 for each additional 3 Fumace, etc. Address: I ocifir S' . 6'1 P. A v..... Gas heat pump City /State /ZIP: T i l„,r) Ott ' 7LZ-$ Wall /suspended/unit heater Phone: € . I ) 2`11 3 3 8 7 Fax:: ( ) Water heater Fireplace E-mail: b i wk` _ L.n ,, }-j,n . Y.,ko - "► Range CONTRACTOR Barbecue Business name: h-475 Clothes dryer (gas) Other: Address: /5 5E v,�. ` r 7- MECHANICAL PERMIT FEES* �� Minimum permit fee ($72.50) _ Subtota City /State /ZIP: // Ciu( v44 S U (1 - 7 V/ S / Phone: (r' 3 ) r05(, •- / 1 1 > F ax: () ) CO5 - 6 �C,,(� Plan review (25% of permit fee) 1 CCB lic.: -` 1 ! State surcharge (12% of permit fee) 1 TOTAL PERMIT FEE Authorized si ature• This permit application expires if a permit is not obtained within 180 » days after it has been accepted as complete. Print name: Q' O - n'}-vy, Date: / - S . 00 * Fee methodology set by Tri- County Building Industry Service Board :\ Building \ Permits \MEC- PermitApp.doc 01/19/07 4404617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1 \BuIlding\Permits\MEC-PermitApp doc 01/19/07 2 Electrical Permit Application Ell FOR OFFICE USE ONLY Cl of Tigard A / `J Received g 0 Date/By: Gj / Permit No.: S�� , ---c_6( ---c_6( X La 0 13 SW Hall Blvd., Tigard, OR 9 G? Plan Review r ((( 8� Y/ C Phone: 503.639.4171 Fax: 503.59:'.1' V oCERN ^ Q Z�' 1 Date/By: Other Permit: T 1 C A R D Inspection Line: 503.639.4175 c `p O Date Ready/By: ® See Page 2 for Internet: www.tigard- or.gov J K Q , Notifie d /Method: Supplemental Information TYPE OF WOOIV :art- 0 D � \i C ril 0� PLAN REVIEW ❑ New construction ® Addition/alteragcateMar Please check all that apply (submit 2 sets of plans w /items checked below): NOVil ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural ' 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑mergoncy system. larger separately derived system. ['Addition of new motor load of ❑ "A ", "E ", "I - 2 ", "1 - 3 ", Job no.: Job site address: Q99c ‘.0. 67 f' A. I or or eres. Recreational � ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: -r; Q w � O p ," Z ; ❑ Health-care a dour facilities. ❑ Supply voltage for more than J h ❑Hazrdous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: L„ yl j f ^ •J ❑ Service or feeder 600 amps or more. '-�/� FEE SCHEDULE Cross street/directions to job site: C ro„ - O. Ic S.f- . Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. • L S k U V nli OA Q t Includes attached garage. ■ Subdivision: Lot no.: 1,000 sq. ft. or less �� � 145.15 4 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 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 J , PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 1 106.85 it4,,W 2 401 amps to 600 amps 160.60 2 Name: .., • ' k L ,,94-,\., 601 amps to 1,000 amps 240.60 2 Address: 1 py 9 S• 0 • Giet. 4. e. Over 1,000 amps or volts 454.65 2 City/State /ZIP: , 7 Z 2 3 Temporary services or feeders installation, alteration, and/or ') relocation Phone: (9 71) 144 -3'187 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, leas rent, or exchange, according to ORS 447, 449, 670, and 701,,,.. amps to 599 amps 133.75 _ 2 _ S ' D Branch circuits — new, alteratiop per panel Q Owner signature: Date: - I A. Fee for branch circuits with t APPLICANT ❑CONTACT PERSON above service or feeder fee �� 6.65 • (60 2 each branch circuit Business name: ( 444-i vi e, LLG B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 c' 2 `(3, . Le._ torso -Kt, first branch circuit _ �1 4 Each add'I branch circuit 6.65 2 Address: i 0 1 o S $ 6 7 � ' 4 t-• Miscellaneous (service or feeder not included) City /State /ZIP: fl �f'd 0 g (472 3 Each manufactured or modular 90.90 2 3 dwelling, service and/or feeder Phone: (q 71) 24 ti 3 38 7 Fax: : ( ) Reconnect only 66.85 2 E -mail: ai4k, _ Lon n e Y-• koo • mow, Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited- OW exerny Pan alreetion, 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 (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(t I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2.- Supplemental Information LIMITED ENERGY PERMIT FEES: [RESIDENTIAL. WORK ON Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: '.COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls . ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 Plumbing Permit Application Building Fixtures �10 FOR OFFICE USE ONLY City of Tigard Received 2/j��� 711 V 13125 SW Hall Blvd., Tigard, OR ! .,. to DateBy: g�g�V Per mit No.: i t�� Phone: 503.639.4171 Fax: 503.; ���'- Plan Review 0 c ! : 9 , !, t . Other Permit No.: (i Date/By: Ins Inspection 503.639.4175 D p,teR B J s: TIGAKD p S�Q n � , + Ready /By: �� Supplemental Information ® See Page 2for Internet: www.tigard- or.gov ..0 `, ified/Method: ! , TYPE OF WORK [� Q `` f `` A `V�5 FEE* SCHEDULE ❑ New construction ❑ De� a1fl►�`v For special information use checklist \1J Description 1 Qty. 1 Ea. 1 Total ® Addition/alteration/replacement ❑ Ot New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 2i 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( _ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: I Q y sr . . U . 6i f' Au. Catch basin or area drain 16.60 City /State /ZIP: , 9 w.• OR °I 722 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Gloss _ 0 c„,(4. E.4_ Manholes 16.60 (... s 4 - Ix D JSc- OA Q :-- k.t Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 6 Storm sewer (no. linear ft.: ) ( Page 2 55 . Subdivision: I 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 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: a I ,,1(` Lo , 3,t;„ Expansion tank 16.60 Address: 16,48s- S - t, ' (.3 7 Yii, t-- Fixture/sewer cap 16.60 r. City /State /ZIP: ''4._ d R 9 722'_ -; Floor drain/floor sink/hub 16.60 Phone: ( 971 ) 24.{ 318 7 Fax: ( ) Garbage disposal 16.60 5i APPLICANT ❑ CONTACT PERSON Hose bib 3 16.60 / Ice maker 16.60 _` Business name: I n n 0 ■/44i V c_. gam-It-4 LLL Interceptor /grease trap 16.60 Contact name: 13 (A �. L... 4-,A,‘ Medical gas (value: $ ) Page 2 Address: 1 y 8f 3. ,....), 6-7,... .4 v ` Primer 16.60 City /State /ZIP: 'r, ,r O R 9 -72 �3 Roof drain (commercial) 16.60 Sink/basin/lavatory o/o /3 3 16.60 y9, so Phone: (q -7I) Z M4 33 I Fax:: ( ) Tub /shower /shower pan ' 16.60 0 E -mail: 01ti k'c_ o _ La a .eCI h•O. co...... Urinal 16.60 `pf CONTRACT - /^ Water closet 3. 16.60 3 3,a-J Business name: ®w/ li Water heater 16.60 Address: Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 X y Yo CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) v ] State surcharge (12% of permit fee) 2 y . s2 Authorized signature: 1 TOTAL PERMIT FEE 7,28, , ei z Print name: (a 12 ( f'+\n Date: CPI . S ..0t 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 - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 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' A 55.00 Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" - 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig, Drains • Oil Separator (Gas Station) Rec. Vehicle Dump Station • Shower -Gang -Stall Sink -Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter - plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i.' Building \Permits\PLM- PermitApp.doc 12/27/06 Information Notice to Property Owners About Construction Responsibilities Statement 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 and complete the following statement: 1 own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in or a residence that 1 will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. if 1 change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. a t A k r (4=1y4A% Print name of permit applicant Signature of perms pplicant e t- Z -o9 Date Permit #: H g — DO l l This form is supplied to building permit offices by the Oregon * i Address: 104S5 e-t-)67 Construction Contractors Board, a . as required by ORS 701.055 (6) .4"•3a �C R`p ` p2 72-.3 Issued b 'Date: 94 8. This copy to issuing permit office Sep. 25. 2008 9:48AM No. 7107 P. 1 e P 2 400e5 11 :1>. 1503244 4tEcE LONGTIN 1-Au 01/02 w SEP 2 5 2008 J r rr C al -- O tV 1UL ', . i, BUILDING DIVISION Clean Water Services File Number SEP 19 2008 CleanWate Services C O — 003/ ? I e y e tive Area Pre - Screening Site Assessment 1, Jurisdiction: Tigard 2. Property Information (example 1S234A8014Q0) 3. Owner Information Tax lot ID(s): Unsure of where to get thls info. Name: Blake Longtin 15/ 36,40 OOaOO ._. Company: Innovative Homes LT.0 address: 1 W 7th Ave She Address; t Ve• City, ate, Zip: Tigard, OR. 97223 City, State, Zip:,.l9ard, , 3 Phone /Fax: 971- 2443387 Neatest Crone Street Oak a E -Mail: brake Iongtln@yahoo.com - 4. Development Activity (cheek all that apply) 5. Applicant Information Addition to Single Family Residence (moms. deck, garage) Name: Blake Longtin p Lot Line Adjustment ® Minor Land Partition Company: [] Residential Condominium 0 Commercial Condominium Address: 10455 SW 67th Ave J'{ Residential Subdivision ® Commercial Subdivision tarry, state, zip Tigard, OR, 97223 d Singte Lot Commercial ® Multi Lot Commercial g71 so 3 • /7(0 Other PnonojFex: 5 _ E.Mail: blake_Iongtln©yahoo,com 6. Will the project Involve any of-site work? ® Yes it No 0 Unknown Loaatlon and desorlptlon of oif -site work " 7. Additional comments or Information that may be needed to untieretand your project - Simple Addition Into backyard. This application does NOT replace Grading and Erosion Control Permits, Connection Permhs, Building Permits, Site Development Permits, DEQ 12000 Pannft or other permits as Issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required pemtits and approvals must be obtained and completed under applicable local, state, and federal law. By stirring this Torn, the Owner or ovmers authottaad agent er representative, eckrwwledgee and agrees that employees of Clean Water Services have authority to enter the project site at at reasonable times for the purposd of Inspecting project site conditions and gathering lnformarlon related to the project site. I certify that 1 em familiar with the inform contained In this document, and to the be of my knowledge and baler, this information Is tore. complete, and accurate. ' Pdnuiype Name slake Longtin prt r ype Tfti Homeowner Signatur® Dam 9 -18-05 FOR DISTRICT UBE ONLY 1] Sensible areas potentially exist tingle orwtlhln 200 of the site. THEAPPLICANT MUST PERFORMA SITEASSESSMEKT PRIOR TO iSSUANCE OFA SERVICE PROVIDER LETTER, Ii Sensitive Areas exist on the site or within 200 feel on adjacent properties, a Natural Resources Assessment Report may also be required. L Eased 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 %%Assessment dose NOT eliminate the need to evaluate and protect water quality sensitive areas if They are sutrsequerrlly discovered. Thla doCtrmBnt veld 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. ix Based on review or the submitted materials and best available information the above referenced project vali not significantly Impact the existing or potentially sensitive areas) found hear the sits. This SensNveAres Pre-Saesnin9 SiteAssessment does NOT eliminate the need to evaluate and protect additional water quality sensitive ereas if they are subsequenffy discovered. This document will serve as your Service Provider letter as required by Resolution end Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state endfederel law, This Service Provider Letter is not valld unless _i_ CWS approved site plan(,) are attached. The proposed activity does not meet the definition of development or the lot wee platted after 9/9/95 ORS 92.040(2), NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER 19 REQU ED. Reviewed by — e �2e - Date ' 4, • 1 ' !dl t - " .i it •I . i , ' , ' ,f.',' IL ; : i i i . I , ■. % (4g • HAT& ,Sep. 25. 2008 9,48 MZ6032444662 LONGTIN No. 7107 P. 2 : 02/02 • N 0' 12' 00" t 98 -74' wllr PROPERTY UNE • �� sliglilifir ' 9 P - x P Ili ' P A . a .d- I y in 1, 1 0 • • ,, , at 1"/ ''s'i r , ei) 1 .. O 4 INT& . 0 g 1 err. - ._ - -- . • _� .�__ ' n .8 m 4. two A y bt 'am ` �. f %. Cl /-N ; . 1 ro 1 14485 AVE i 9 4' Y _4161 A A 1 I ' _ __.,- r i 1 il 8 8 i t _..--- --N a 1 : ,,_,, ,,,), i 1 1 1 dZi 1-, V 1 '+' i Ili 3O . \ IR !..,g i PROPERTY UNE L i,.. i r.M(Y r.r.�.�lw�r• r � Yr N 0' 30' 00" E 82,23' \ 67TH AVENUE Approved Clean Water Services B • CITY OF TIGARD BUILDING DIVISION PERMIT #: h�IST20A�A0j4I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g/26/2Q0 3 Phone: (503) 639 -4171 � ',,,,���il Inspection Requests (24 Hrs.): (503) 639 -4175 :� -_: IL INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:O AM PAGE: 9 SITE ADDRESS: 10485 SW 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: A11 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other- attic fans. Plumbing other -hose bibs - OWNER: LONGTIN, BLAKE PHONE #: 9971.244 -3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 23 5 26 Shear walls/anchors 078260 -01 971- 244 -3387 N Corrections /Comments / Instructions: Sew (Do vs // - /e - Ov (is) ) Nat\ Oot)'0e Sly d5 e, Mid c)ow„ �61C...__ ?) ,Vc \ g'■ )/ e kfe _ a k_ t III o — S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /3S Date: M4/od0$ Phone #: (503) 718- . /2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2OO8-00141 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/2612008 Phone: (503) 639 -4171 jel Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 10485 SW 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: L.ONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other - attic fans. Plumbing other -hose bibs OWNER: L.ONGTIN, BLAKE PHONE #: 9971 - 244 - 3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 2 Exterior sheathing 078260.02 971 -244 -3387 N Corrections /Comments /Instructions: Sue, R.e )1 - Iv- o z Q l ,U a `, \ a1-eci t" Q a.vi e-, ` Per Scll ed o 1 e — O it z) �. -(s4 Ail 6x . 51 /0 ■V5 -- 6 {C ,k(j_pAss n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 35 Date: /,Woo OS Phone #: (503) 718- ,?'/2 3 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MS 200 o0t41 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/76/7008 Phone: (503) 639 -4171 hoi2'.,, Inspection Requests (24 Hrs.): (503) 639 -4175 A441r , ;111 INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 10485 sw 671•H AVE ' CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other- attic fans: Plumbing other -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971.244 -3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/1812008. Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 0781913 -01 971••244 -3387 Y Corrections /Comments/ Instructions: 2 . J ! - L Lw ar- rL _ '' - ," - ❑ PA ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: Date: !f — /li —a Phone #: (503) 718- Z ---- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 2008 00141 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/26120013 Phone: (503) 639 -4171 A ,, Inspection Requests (24 Hrs.): (503) 639 -4175 ,._... INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7 :01AM PAGE: 4 SITE ADDRESS: 10485 SW 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other- attic fans. Plumbing other -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971- 244.3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Exteria! sheathing 078191102 971 -244 -3387 N Corrections /Comments /Instructions: (.11-Z f - A 1._-!3(7 `y` - (: -I 7F OL/A 4-€. a \G�x: /24- ‘e-V----AJ ❑ PAS " ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: >4 Date: /1— 19 —ag Phone #: (503) 718 - 2+- CITY OF.TIGARD BUILDING DIVISION PERMIT #: MST2008-001 1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: c /26/200 Phone: (503) 639 -4171 .1 111�i Inspection Requests (24 Hrs.): (503) 639 -4175 ,r- INSPECTION WORKSHEET FOR DATE: 1'11412008 TIME: 7:OOAM PAGE: 7 SITE ADDRESS: 1048; SW 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 0.11 TYPE OF USE: PROJECT. NAME: LONGTIN DESCRIPTION: 1161 sf. - addition. Mechanic:al other- attic fans. Plumbing other -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971- 244.3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/412008 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 225 Posttlbearn structural 077631 -01 991- 244 -3387 N Corrections /Comments /Instructions: p LL C d Covse✓ AR-PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r Date: e //14'. 9 0 Phone #: (503) 718- -2c70?3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200R O01 11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/266— )00t1 Phone: (503) 639 -4171 � l ,��� Inspection Requests (24 Hrs.): (503) 639 -4175 ,_'% °_ _.. INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7:00Am PAGE: 11 SITE ADDRESS: 10485 SW 67TH AVE . CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONOTIN DESCRIPTION: 116 1 sf. addition. Mechanical other- attic fans. Plumbing other-hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971 - 214.3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1 0 /2 9 /2008 Pour Time: 2 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 077327 -01 971 - 244-3387 N Corrections/Comments/Instructions: AA ,,,, I AL Lo•.5 E�h) .,/,/ ( Pau" 4G ✓� S Zod si S o A, Per ())e4-- S 0 X TO ?au r E -ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS i ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �S Date: 0C'10 Phone #: (503) 718- • .7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSp008.00 Ui1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26d2008 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 J. ''�.. INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 10485 SW 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE_ NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 si. addition. Mechanical other- attic fans. Plu mbing other -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971.244 -3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1 0/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 077327 -02 971.244 -3387 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /3$ Date: 2 %00706 Phone #: (503) 718- 2%2 CITY OF TIGARD - . BUILDING DIVISION #: rMST200t3 001/i1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2008 Phone: (503) 639 -4171 Avia +� Inspection Requests (24 Hrs.): (503) 639 -4175 .4111 K11- INSPECTION WORKSHEET FOR DATE: 10/20/20013 TIME: 7:0dlAM PAGE: SITE ADDRESS: 1(f1t3 SW 67711 AVE CLASS OF WORK: SUBDIVISION: VILLA Iil }��1 NO. 2 LOT #: f1 1 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sr. addition. Mechanical other attic fans. Plumbing other - hoe bibs OWNER: I..ONGTIN, BLAKE PHONE #: 9971 - 244.3387 CONTRACTOR: OWNER ER PHONE #: Inspection Request Scheduled For: Date: 10/20/2008 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 20S Footing 076916 -01 971 -241 -3387 N Corrections /Comments /Instructions: , s ‘o ` /, STAle-F._::: o I` IIV 41.111W.-- A 'i 11110 . FA ---._ up ,„„,. Or - P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITVINA .FEES ASSESSED \ � .1111' ZD Q � ' Inspector: Date: f'/ Phone #: (503) 71 -~ - [1�Ti� ~ lh ��(��� �_j' '�---�-_ _��__��-' --''��-'_-'�'-'_�-� r' . • _� � � . � � _��!~�u��V --` -- -- - - - - ---- - - ----------'- - - -- -- \ - - ---- --------- ��& i � ' \ ��~ ��h�os//m�ncceocum�e�spe | �y ! _ x • https://ay.accela.com.ljetspeediportal _ `'�` _ -_ --'--- � �`��� �` ___ ___ ___ ���` File Edit View Favorites Tools Help --- ---'---- --- - ''' --''--'------' ----- - '--'---------' - ----- - -----'---'--'-- ----- - - ------ - ------------ Y,,..? & / Home ~ [J L -1 *.: if..ia Print - 'd: Page ■ ^ Tools ■ 0He|p ••• k Research ."4 Messenger Inspection Type • Address Case # [�l 115 Electrical service 10485 SW 67TH AVE • MST2000'00141 , -- ' Request Date Request Time Requestors Phone Number • 06V12/2009 03:11 971'244'387= • Request Comment � �� 1002728-01 MSG! 971'244-3n7 ! ' : . ' ; Scheduled Date Scheduled Time /---�� 06V15/2009 12:00 AM �� Inspection Date Inspection Time Result Department Inspector ---.... ii 86/15/2OO9 10:07 FAIL Building Gary Noble i ---1 li . �— � Result Comment '7, .__- . z. Provde pane� co�ee 6oraU pmn��. ��' 1zO.3 (�) �� 2. Provide No-Lox Anti-Oxidation compound on all aluminum terminations Art. 110.3 (5). i~ . 3. Use lugs per listing only. NO SPLIT WIRES for terminations. Art. 110.3 (6) � ' 4. Bond ground terminals to metal enclosure per Art. 250 in sub panel. , Note: Bonding required to Meter main or first piece of equipment. .' ' - . ��� ' CAP Type / - � ' �ui|ding/Re,�masterpenni�m� ���� `'` ''"'' ` ._ '==,=-== ` � '` - -===`'`�� = - -`--' �`=====` � ' - | Reports ��L� i -. . � �'MvRepo�s �CaueSped�permi� ill '%°�n��icr ' ~�°�| | »~Expo� - IFAS '~�~� 10-Export Permit Activity | ^� $~[nspections | 70-Miscellaneous ' »~ Standard Reports �~�� / { > �� c �� |���____ --_ _________- _- _-'_-___ ---_____-______ _-_ _ _____ ____ __ ', Done [H ) & � ��1O096 ~ - � .' ` ------'� m���� - Y ---- --- ' � �� a ` -..-.3. | .1. ln Microsoft .. � �� Inspection List ( jQ� (�\z�'*�O <�/ ' 7,44 AM ~~- -^ _- ,'~�^~ -_ -__-- ~_ -.~..~'. „~~-� =~ _ _-_ --_ � �� ~= -- -- . . , _ _ _ _ .,iut,.Erif.„stic2,-,---.(f.D --: :win ] ilfy;1-,-4, fi ift- fit t-' E.' ' ±. I tif---dt . . . , . . },--------- ,--,...-- - . _. https:/iay.accela.comijetspeediportal Ft 5. 1:4,t X - . ,: ----- File Edit View Favorites Tools Help - — ,_ C3j c.,4) - L.-.„6 Page ■ '',..J Tools fra- a .3 _ 0 NST2C:C:3-0r21 10485 67TH AVE Issued Inspections 09/08/2008 1161 sf. addition. r : ,-: .-.--g ..---.. 1 .--.. = , — CAP ID: MST2008-00141 = E.: ! aC ncei del" ( Reports Help el , . - . --, ; ----I Inspection Detail Conditions (0) DOCLIME (0) g il Inspection Type Address Case # ' ! 120 Electrical rcugh 10485 SW 67TH AVE MST2008 Request Date Request Time Requestor's Phone Number ,., 05/03/2009 10:40 I Request Comment R. P ...,,..-.-.._ . -1 ' 001722-01 971-244-3387 Scheduled Date Scheduled Time -- -:- -- --i II i 05/04/2009 07:14 AM , 1 Inspection Date Inspection Time Result Department Inspector .---........ I , 05/04/2009 11:06 FAIL Building Herb Stabenc.A , i ----I, 1, Result Comment - ,, , I i ground the service and all metalboxes--bond gas pipe to rebar ground cacableswithin i ! , ;--- CAP Type Internal Use Only • 7.---- t Building/R.es/Master Permit/NA HST08 , I Reports ----...-- . ......_.,- - ! "-My Reports. 11,.... c....„-.. n Don e Er 0 Internet k 1.00P.4:1 - „- ... . , . . _ __ . „ . , ---- : "" /,it s a 4 - .: —I t ,e,,Aon . A °at 0 - j (;,-; : , _ 233 PM ............ _____ . . _ f-Atif tOlii...!D - Wii Ifit't-ii ',. ... .. ..,.__ ". ... , . .. - . . .. - _ -, -, -- - _. .... ....____ , ..._____ 'Tx j 5 i'.. ::,:,.. https://ay.accela.comfjetspeedlportal x .:,. .._ -..../ __ File Edit View Favorites Tools Help ,?''' tfil 4 T • 0 r ..V.4 ...:4 .,14 p ■ l age ■ °,:j Tools v Ov •,i .,, --..1.-_-r---- MST2003-00141 10485 67TH AVE Issued Inspections 09/08/2008 1161 sf. addition. r St•Slii ,-:-_-. ..:-... Et--: =,--: ..------:---. - ,. Er- _ LE. --- CAP ID: MST2008-00141 . 7-- a Cancel 2 Reports 1 / Help a..- Inspection Detail Conditions (0) Documents (0) Inspection Type Address Case # 120 Electrical rough-in 10485 SV.; 67TH AVE MST2008-00141 I 1 ' i Request Date Request Time Requestor's Phone Number gi . il - 05114/2009 07:40 971 Request Comment __.----- • i; ._ 1001960-02 971-244-3387 ' I • ' Eamaal i Scheduled Date Scheduled Time , - ---- - -'1 -: 05/15/2009 12:00 AM _ =1 Inspection Date Inspection Time Result Department Inspector . . li 05/15/2009 11:15 PASS Suildino Gary Noble --......., ..1 li Result Comment Replace all ceiling fan with approved type. 7- 'Hi pay additional fees for two 200 amp feeders. a,--&.-- ....-_-.... ---_-.. =:-......- CAP Type Internal Use Only ---_-- EluildingiRes/Master Permit/NA HST08-00000-06395 -.=---.-_- -=_—_--_--.- --__...--- -_,---_--. Reports : 'ILL: I _jg ------- --.-_-- ,...-7.-_--_--- )4 My Reports > Cace Specific Permits . - Done , , ev Li) 0 Internet t. 100% - .. , . .., ) ,..f,r,pTfaa,-.,'' - 74)eOg t 32T'g:Wa 234 PM _ ______ CITY OF TIGARD BUILDING DIVISION PERMIT #: mu I w00 14'i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2612000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . IL . INSPECTION WORKSHEET FOR DATE: 1/5/200:9 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 1t Ik3v! 67TH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 s:f. addition. Mechanical other- attic fans. Plumbing other -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971-244-3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/5/2009 Pour Time: Code # Inspection Des ipti' Confirm # Contact # Me ge 335 Rain drain 07937:5 t)1 971-2M-3387 N C? orr ectns Comment / ti s: k (3 '3 ) l (W o) - O -L - v — iri.►CI C/L. ` -- . 4 I i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: /� Date: V Phone #: (503) 718 -�' ` 2:1 CITY OF TIGARD "° BUILDING DIVISION - PERMIT #: MST2008.00141 13125 SW Hall Blvd., Tigard, OR 97223 400 D DATE ISSUED: 9/26/7000 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 `_ -.. INSPECTION WORKSHEET FOR DATE: 12/31/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 10.186 SW 11TTH AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other- attic fans. Plumbing other -hose bibs: OWNER: LONGTIN, BLAKE PHONE #: 9971.244.336/ CONTRACTOR: (' OWNER PHONE #: Inspection Request Scheduled For: Date: 12/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 306 Plumbing underE:lc b 0793111 01 971 - 244 -3387 N Corrections /Comments/ Instructions: ( --7 (1 /ti/ 6_._ ,_____. ,L...4A„._ ______ .i. .... Ak t &PASS PARTIAL . APP AL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 4) A Date: 17/ Phone #: (503) 7182 CITY OF TIGARD ,4 BUILDING DIVISION r PERMIT #: MST2008 00141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/ 36/200 3 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '__— I INSPECTION WORKSHEET FOR DATE: 11110/2008 TIME: 7:02AM PAGE: 25 SITE ADDRESS: 10485 SW 67TH AVF CLASS OF WORK: SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 011 TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 11(;1 sf. addition. ivlec :hanical other- attic fans. Plumbing other. -hose bibs OWNER: LONGTIN, BLAKE PHONE #: 9971 - 244 -3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 077850 -01 971- 2443381 N Corrections /Comments /I structions: , uvzi ....-.■------.-7 + \., i (. -,- 12`el- (:--- -A/ N(1‘ / pAf6L-Jk 4 VI/j +1 L e "&-12-- PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1n a4 2 Inspector: �� Date: 1 / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 8-00141 13125 SW Hall Blvd., Tigard, OR 97223 i ll 5 DA SSUED: 9/26J2000 Phone: (503) 639 - 4171 °'r����i Inspection Requests (24 Hrs.): (503) 639 -4175 ±+� 4LL / INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: Too, PAGE: 6 SITE ADDRESS: 10485 SW 67TH AVE_ CLASS OF WORK: SUBDIVISION: VILLA A RIDGE NO. 2 LOT #: Oil TYPE OF USE: PROJECT NAME: LONGTIN DESCRIPTION: 1161 sf. addition. Mechanical other attic fans. Plumbing other - hose bibs OWNER: 1..ONGTIN, BLAKE PHONE #: 9971.244.3387 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 11/4/2008 Pour Time: $ ... 6i Code # Inspection Description Confirm # Contact # Me -age iAr N G 316 Post/beam plumbing 077632-01 971-244-3387 Y • '1 Corrections /Comments /Instructions: - i - - - s (4) • ■ z ....2t a i j t d T - ek' . L,,, ' V` ti rA 4'1 V:Aqsd , VA VA . LeAjlej "'--... 1/ OlIti A,I ■ ,--\--t ,ex i 2 -7,c - t"--' t s n PASS N \ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: �\ / Phone #: (503) 718- Vi c� : ; TJ,±',L - - — . : .; „-- ,- - ... - . ---• - - - - _ :-_--- L ,--.)-,,,, - - _ • -----, , , ,--- ---- _ _--- ---- -- http://vois I*1 ?‹ File Edit View Favorites Tools Help ,... : ii; ' 0 '•-1 WO ' 1 i -1:- Page Y $.. 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Tax ID Number: 1S136ADC0800 Tax Account Number: R278915 Site Address: 10485 SW 67TH -:-.'-lE Site City: Site ZIP: 97223 Owner Address: -,--...-. Done Eil 0 Internet ' 100% _. : -.- _i. $ -rrZfift-i 0— 0 (Au, -,.. 0,■- Inbox Microsoft ... i =,D Ins ection List ii a . ' ..,.., ,.... 1. . . , , , .7 .. 1 ''';' ' . 1 ' ^ ' - 0 410 t2 W 1161 VI LJ ......1,_ 7:41 AM . . . ,. . .. . -10 ir =_.:-; - 'ffiliii illit':45 ;• - E::,./,t_51t)1 - i - J - - - • . P - ,,,,,-..- • --, .,.--, , , ;0 http:/ .iwv,iw .tiqardmaps.corRimox52_multimaplindex.cfm?fuseaction=property.summarp , It I + t . 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[' 0 i f 0.-:: ' . „.._30,401. 754 AM _ _ ........_ Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10485 SW 67TH AVE, US Building/Res/Master Permit/NA 699 Mechanical final PASS MST2008-00141 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10485 SW 67TH AVE, US Building/Res/Master Permit/NA 299 Final inspection PASS - No C of O MST2008-00141 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10485 SW 67TH AVE, US Building/Res/Master Permit/NA 399 Plumbing final PASS MST2008-00141 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10485 SW 67TH AVE, US Building/Res/Master Permit/NA 199 Electrical final PASS MST2008-00141 Chip Barnett Violation Summary: Inspector Contractor